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PRE 2010 DOCSVillage of Fridley, Minn. BUILDING PERMIT N? 857 Office of INSPECTOR OF BUILDINGS Owner Architect Fridley, Minn., Builder LOCATION OF BUILDING NO Street art of Lot, Lot Block— Addition or Sub -Division DESCRIPTION OF BUILDING Front—i— Depth --:� I-Ieight---.:—' stories r of ConstruePo Estimated Cost Tobeusedas To be completed 4 Permit is hereby granted to. the building —, -A" -i described in the above statement. This permit is g upon the express condition that the person to whom it is granted, and his agents, employees and workmen, the work done in, around and upon said building, or any part thereof, shall conform in all respects to th nances of Fridley, Minn., regarding the construction, alteration, maintenance, repair and moving of blu within the city limits, and this permit may be revoked at any time upon violation of any of the provisions ordinances. Trispector of Bu AGREEMENT AND SWORN STATEMENT In consideration of the issue and delivery to me by the Inspector of Buildings of Frid the above permit, I hereby agree to do the proposed work in accordance with the descl above set forth and according to the provisions of the ordinances of Fridley, and, being firs sworn, I hereby state and say that the facts stated by me and contained in the above perp true as therein stated. Subscribed and sworn to before me at Fridley, day of A D. 1 Minnesota, thL%--- BUILDING PERMIT Village of Fridley, N° 2524 � nn. Y Date �..4►r�rr*:'"��'% . ....:. . . Owner Builder ..... ....... ...... ......... ... . Address.. Address ....... ... .. . ............. .......... LOC TION OF BUILDING Street .. ........ Part of Lot ........................ No. ................... woo Lot .... ........ Block ............. Addition or Sub -Division . Corn t'......:..... Inside Lot ............ Setback Sideyard...... DESCRIPTION OF BUILDING To be Used as: . .. ...... Front . �y Depth Height f Sq. Ft.. Cu. Ft. . .................... Front ..... Depth ........ Height ......... Sq`..Y . .... Cu. Ft.. . . Type of Construction Est. Cost wfto. 4 ... To be Completed ............ .. .. . In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the village of Fridley. ..T .s In consideration of the payment of a•fee .oi.$.., permit is ereby granted to .......... to construct the bun g' addition as deseribed above. This#Ad*=- ted upon that the person to who - it is granted and his agents, employees and workmen, in all work *dofe_h�' around and upon said building, or any part thereof, shall `conform in all respects to the ordinances of Fridley, Minnesota regarding location, construottion, alteration, maintenance, repair and moving of buildings with- in the„yiliag_ a limits and this permit may be revoked at any time upon violation of any of the provisions of said. ,> a� t • �/zktoaw • terra. Building. Inspector NOTICE: -- This permit does not cover the construction, insta liftion or, alteratioh for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. City of Fridley, Minn.. 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUH DI NG PERMIT Date: july 27S 1971 Owner: __,.Ralph F. Pineault Builder Same Address ._._.6690 McKinley Street N.F., Address Same LOCATION OF BUILDING No......_..6620 _ Street _. McKinley Street N.E. part of Lot Lot. __ 9_— _ Block Addition or sub -Division More Lake Park 2nd Addition Corner Lot Inside Lot _ _- X Setback Sideyard Sewer Elevation _ _ �_ _�_ Foundation Elevation _._.. DESCRIPTION OF BUILDING To be Used as: _play. Room int 15 t Depth 10, Height Sq. Ft. Cu. Ft Front . — Depth Height Sq. Ft Cu. Ft Type of Construction Frame Est, Cost 2 000 00 To be Completed Nov. 1. 1971 Stipulation: Maintain Existing Elevation In consideration of the issuance to me of a permit to construct the building described above I agree to do the proposed work in accordance with the description above set fo and in compli with ah provisions of ordinances of the city of Fridley. 1.00 Sta6e In consideration of the payment of a fee of $ 5_00 , permit is hereby granted to Ralph Pineault to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects -to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildirizs the city limits and this permit may be revoked at any time upon violation of any of the provisions of said HANBuilding Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas beating, sower or water. Be sins to no the Building Inspector for separate permits for these items. i APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME :_L& 6 % . ?_/ i9 e a a L / BUILDER: ADDRESS: 66 20 �-r , /rr ;.) f.- y 5/ ADDRESS NO:. Z G STREET : ;�G LOT: BLOCK: / ADDITION: /fit ee fi CORNER LOT: INSIDE LOT:_X ETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Surveg of Lot and proposed building location drawn on these Certificates. To Be Used Ast DESCRIPTION OF BUILDING o Front: I.- Depth: / Height: Square Feet: / S-0 Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: /'l("4 "rr a Estimated Cost: $ 267-� To Be Completed: NO y The undersigned hereby makes application for gn y pp permit for the work herein specified, agreeing to do all work in sttict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby 3 declares that all the facts and representations stated in this application are true and correct. �r DATE: SIGNATURE: (See Reverse Side For Additional Information.) - /= % % — �;, G, -e- 1 d ..°'•��y S�.7g, yw��.p Pgy�p3 J �pw+ —ION L-. ,6'i i %a,�' G.,c.* f 8 IO E• 4 Rr l e N6D :.� 1upld T. ai pq ..ww.... ._, -.....r.......:. .+, w...... .. SIJ IR &.♦..�..�.. .m..,,...�m.�.....�e.,.wu-.>o.T.•,tl.ta. r.�.e..�ati..,,m.�-j.,:a 6® � E. CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY jiAR.\I AIR: RATE TOTAL --arnace Shell & Duct Work $12.00 $ Replacement of Furnace 7.00 $ Repairs & Alteraticrs-up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTL' $12.00 $ each add. 50,000 BTU 4.00 7.00 $ $ Replacement of Furnace Repairs & Altertions-up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ STEa-: OR HJT WATER SYSTL.NI: - Boiler z Lines up to 100,000 BTU $12.00 $ each ad.n. 50,000 BTU 4.00 $ Boiler only up to 100,000 BTU 7.00 $ each addn. 50,000 BTU 6.00 $ OIL BURNER- to 3 gal. per hour $10.00 $ each add. 3 gal. per hour 10.00 $ GAS BURNER- From 100,000 BTU to 199,999 BTU $10.00 $ lo -co (over 199,999 BTU see Fee Schedule) $ ,,GAS FITTING FEES: ist 3 Fixtures ® x$ 3.O0 $ Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00 $ AIR CONDITIONING $/D,®® FAN HEATING SYSTEMS See Fee Schedule $ VENTILATING SYSTEMS $ ','ALTERATIONS $ REPAIRS_) $ State Surcharge $ .50 TOTAL FEE $.27.� ROUGH INSP. e IXAL INSP. Date APPROVAL FOR PERMIT REINSPECTION FEE ($10.00) Job Address 6620 M@Kinley St.NE Department of Buildings a City of Fridley Tel. #571-3450 The undersigned hereby makes application fora permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn. 10-4-76 , 19 OWNER Ralph F. Pineault KINb OF BUILDING frame USED AS residence TO BE COMPLETED ABOUT 10-30-76 ESTIMATED COST 1100.00 OLD - NEW BUILDING PERMIT NO. PERMIT NO. � DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Trade Name West. Size No. FGUR-11_OP Capacity Sq. Ft. EDR BTU HP Total Connected Load rep�&CpMpnf Kind of Fuel _ga a BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP 1 -West. SL023C 2 ton A/C #7981 Gene Florek MINI?SUM FEE FOR ANY HEATING PERMIT IS $7.50 i' Company Signed By Tel. No. 6FATING X AIR CONDITIONMtj RM GOrfiam Ave, 929.6757] IN lbuls Park, Mlnn.s.r. 55476 SUBJECT PERMIT City of Fridley 2 5.235 AT THE TOP OF THE TWINS I' I L D I� I %� D[ D� A I T BUILDING r DV IVv rLR'vt I ECEIPT NO. • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. -'-1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 1.j 612-571-3450 910-F15 16/5/79 JOB ADDRESS 6620 McKinley Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 Moore Lake Park 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ralph F. Pineault 6620 McKinley Street N.E. 571-8697 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Add a 20' x 12' Addition to XXXX Back of Garage 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway. WARN1146 Before digging call local utilities TELEPHONE - ELECTRIC - GAS Etc. REQUIRED BY LAW SEPERATE PERMITS REQUIRED FOR WIRING. HEATING, PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT 240 2400 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $2,009 $1.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $9.60 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE AA A 1A $10.60 SIGN;URREE OF CONTRACTOR�QELAAVTHORIZED A�GE/N%T (DATE) PROPER V I AT THIS ISYOUR PERMITSIGNATUR 7 �ZNSPGATE F OWNER IIF OWNER BUILDER) IDATEI CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) OWNER:A1sZ�/' /1 ��/ �/ e aim L l ADDRESS: k Z 6 S-/ I.E. TEL NO: 5- 7/ — F6'7 7 STREET NO: p6 4 z0 LOT: / BUILDER: LR4A f 0/yeaw17 ADDRESS: p / z 2e J// 7/ e y 57 3rrC TEL NO: S^71 — 9 77 Construction Location STREET: 7- 1-- L !LL- 6 T BLOCK: ADDITION: Corner Lot: Inside Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION -AAA& f®®/jia/� Front: � ® Depth: ®� Height: / O Square. Feet: 2- "/ 6 Cubic Feet: 2- y& L, Front: Depth: Square Feet: Cubic Feet: Height: Type of Construction: "W ® 4 1.) Fl? A !N 16 Estimated Cost: $ 4 10 Tb Be Oompleted: 2. At 0A)7// 5 Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: ` 3 s 79 SIGNATURE :C� Stipulations: V C O 4 1 • M SUBJECT City of Fridley 2-*REECETnNFriT__N. AT THE TOP OF THE TWINS BUILDING PERMIT • COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 7/20/93 JOB ADDRESS 6620 McKinley Street NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 Moore Lake Park 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Leo Frantzen 6620 McKinley Street NE 574--1213 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Panelcraft 3118 Snelling Ave S, Mpls. , MN 55406. 7216628 2179 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside dwelling 9 CHANGE OF USE FROM TO STIPULATIONS provide smoke detectors as per UBC 1210 adjacent to all sleeping areas and in basement. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $3,200 $1.60 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $63.00 Fire SC $3.20 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE License SC $5.0.0 TOTAL FEE $72.80 �/ ✓ r SIGNATU OF TRACTOR OR AUTHOOrZRt AGENT EIWHEN P PER (VALIDATED THISISYOUR PERM SLOG INSP 7 DATE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI NEW [ l ADDN [ ] ALTER [] Construction Address: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application v Effective 5/26/93 Legal Description: r Owner Name & Address: � � �m ��JV Tel. Contractor: n% (_ MN LICENSE #? Z Address: N��1(%CT �'�° s Tel. Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: ES -1D fS Corner Lot [ ] Inside Lar [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $� Approx. Completion Date: I 3 J (Cost on Back) Ft. + 6 Ft = Ft x $ _ $ Driveway Curb Cut Width Needed: DATE: APPLICANT: Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge $ ,S7 CSO S Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $750 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above Conservation Plan Review $450.00 Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] TOTAL $ �� C�, Z' STIPULATIONS: SUBJECT IT City of Fridley 24918 AT THE TOP OF THE TWINS BUILDING PERMIT f RECEIPT NO. tr ______ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC, /%� Ji•/ NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 3/24/97 JOB ADDRESS 6620 McKinley Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 I Moore Lake Park 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Leo Frantzen 6620 McKinley Street NE 574-1213 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Panelcraft of MN 3118 Snelling Ave S, Mpls., MN 55406 617-2879 2179 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House (32 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 1 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $2,640 $1.32 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $74.75 Fire SC $2.64 PLAN CHECK FEE TOTALFEE License SC $5.00 $83.71 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPERLY ALIDATED THIS IS YOUR PERMIT NSP MATE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEIBLDG NEW L'ItCc llvl 1/1/94 AD0N CITY OF FRIDLEY Al-T13it SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: (a&26 / % e > h f e v ,. Legal Description: Owner Name & Address: _ c-ra j Z ea Tel. /1 ;5 -74 - Contractor: -7-Contractor: —Bo— [�[' OF _IYAJ MN LICENSE //_ 9 %-7 Address:__—,3/z ne i /i- aQ Ave. s.6 Tel. /I in j7 - 0479 Ls S O(� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: e i Idth Hgt/Ground Sq. Ft. OTHER: % C Corner Lot Inside Lot f Ft. Yd Setback Side Yard Setbacks Type of Construction: 46atD%F, r9_-YG1QF Estimated Cost: $ XQ&q. Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. +,6 Ft = Ft x $ _ $ _ DATE: ��— APPLICANT: ��GLy Tel. // %a Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE OIDLA Fee Schedule on Reverse Side .001 of Permit Valuation (1/1001%) $.50/$1,000 Valuation $800 per SAC Unit $ $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review Fee Determined by Engineering $ ----- -- Agreement Necessary I I Not Necessary SUBJECT PERMIT NO. City of Fridley 33457 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. • _____ COMMUNITY DEVELOPMENT DIV. t ;V� H r � PROTECTIVE INSPECTION SEC. I � NUMBER REV DATE PAGE Or APPROVED By CITY HALL FRIOLEY 55132 763-571-3450 910-F15 4/21/03 JOB ADDRESS 6620 McKinley Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 Moore Lake Park 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Leo Frantzen 6620 McKinley Street NE 763-574-1213 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO MN Exteriors Inc 8600 Jefferson Hwy PO Box 266, Osseo, MN 55369 763-391-5514 / ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 2877 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install soffit/fascia 9 CHANGE OF USE FROM TO STIPULATIONS Install soffit ventilation to meet the State Building Code. f ; Permit Inspection Cards Will Be Mailed elpo Homeowner o Post SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $3,896 $1.95 WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $97.25 Fire SC $3.90 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE Licens.a4 $5. VV108.10 S•GNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE. EN ROP Y VALIDA ED THIS IS YO PERMIT S.GNATURE OF OVVNER.F OWNER BUILDER. .DATE. BLOV INSP QAiE NEW [ ] CITY OF FRIDLEY Effective 1/1/2002 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: _ Owner Name & Address:r Tel. # Contractor. �'>GfA_) 44 MN LICENSE # Address: ,;7, L.,/ � i�a'o6 � 1.� � �� ( Tel. # 3 -3?SIi1C Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Gmund Sq. Ft OTHER: Construction Type:2# Estimated Cost: $__3_ Fz"b Driveway C Cut Width Needed: Ft +6 Ft= Ft x $ _ $ DATE: APPLICANT-�� Tel. #12 Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-5714287 if using credit card and we will call you for card number. CITY USE ONLY - Perm It Fee S - • e Fee Schedule •n Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ / . $.50/$1,000 Valuation SAC Charge $ $1200 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ } ®� ` to TOTAL $ ! STIPULATIONS: PERMIT TYPE TYPE OF WORK: I �NEW FAMILY 0 TWO FAMILY 0 REPLACEMENT DETAILED DESCRIPTION OF WORK ifr' 5 f ex i( 0 TOWNHOUSE 0 ALTERATIONIREMODEL /_ i_. G PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whicbever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor) Labor cost under $300 = $15.00. Labor cost between $300 to $5oo = cost of labor x .05 = FOR PROJECTS WHERE LABOR EXCEEDS S50D, FEES ARE BASED ON S10.0D PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATETOTAL NUMBER OF EACH BELOW) 5IZ TU EquipmentIsWird MFG: MODEL: c. � SIZEIRTU MFG: MODEL - MFG: MODEL: SIZE/BTU A/C $25.00 FIREPLACE (GAS) S15.D0 GAS RANGE/OVEN $10.00 _AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 _BOILER $35.00 _FURNACE $35.00 GAS UNIT HTR $10.00 BOILERS LINER $10.00 GAS DRYER $10.00 _POOL HEATER $35.00 DUCT WORK ER S1 GAS PIPING $10.00 ` _ TOR $15.00 Permit Fee $ Number of fixtures @ $10.00 / x $10.00 = $ /0 Surcharge $ 50 Number of fixtures @ $15.00 x $15.00 = $ /S TOTAL DUE $ Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ 50 Total = $ THIS I5 AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota -Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case ofall work which requires review and approval of plans. / SIGNATURE OF APPLICANT �� -PRINT NAME IC ,y /211 `�` � DATE 4 D �! City of Fridley Building Inspections Department . 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 MECHANICALTPi�r�mitNo,-,�,�7-G��/ Building Inspections RESIDENTIAL APPLICATION Received By: DEMOS � m C 2 a 763-572-3604 CITY OF FRIDLEY DATE I d YOUR E-MAIL ADDRESS SITE ADDRESS e' �' `� THIS APPLICANT IS: 0 OWNER CTOR PROPERTY NAME: C'- o 4f � � Fr'L /t' • STATE '1/1ZIP OWNER/ ADDRESS: j � D AY1 L 1Cie� L4_5 . CITY ci TENANT PHONE: 2-lP - S 7 I l CONTRACTOR COMPANY NAME: m CONTACT PERSON: T � SUBMTr A COPY OF YOUR STATE STATE LICENSE DATE STATE ZIP LICENSE WITH ADDRESS: A011 CITY APPLICATION PHONE FAX PERMIT TYPE TYPE OF WORK: I �NEW FAMILY 0 TWO FAMILY 0 REPLACEMENT DETAILED DESCRIPTION OF WORK ifr' 5 f ex i( 0 TOWNHOUSE 0 ALTERATIONIREMODEL /_ i_. G PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whicbever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor) Labor cost under $300 = $15.00. Labor cost between $300 to $5oo = cost of labor x .05 = FOR PROJECTS WHERE LABOR EXCEEDS S50D, FEES ARE BASED ON S10.0D PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATETOTAL NUMBER OF EACH BELOW) 5IZ TU EquipmentIsWird MFG: MODEL: c. � SIZEIRTU MFG: MODEL - MFG: MODEL: SIZE/BTU A/C $25.00 FIREPLACE (GAS) S15.D0 GAS RANGE/OVEN $10.00 _AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 _BOILER $35.00 _FURNACE $35.00 GAS UNIT HTR $10.00 BOILERS LINER $10.00 GAS DRYER $10.00 _POOL HEATER $35.00 DUCT WORK ER S1 GAS PIPING $10.00 ` _ TOR $15.00 Permit Fee $ Number of fixtures @ $10.00 / x $10.00 = $ /0 Surcharge $ 50 Number of fixtures @ $15.00 x $15.00 = $ /S TOTAL DUE $ Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ 50 Total = $ THIS I5 AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota -Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case ofall work which requires review and approval of plans. / SIGNATURE OF APPLICANT �� -PRINT NAME IC ,y /211 `�` � DATE 4 D �! City of Fridley Building Inspections Department . 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977