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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N° 4097 Date: --....../ ...... ......... 1. ... ........ Owner:..... .....------._........... Builder ....... _. . - ._.._.. _.._.._..._._ _.._ Address---............._-.....-------------------......_..._......._...._......_.-_...----.....-....----- Address L CATION ILDING /1 ;�%� - No. Street . - - - ._ ._ ......----._..R................. Part of Lot Lot .......... .................. -........ Block ..... -....... ..................... .......... ....... Addition or Sub -Division Corner Lot . ............................... Inside Lot ..... -..... ---..................... Setback ..... -............. - .............. ........ Sideyard Sewer Elevation .....-............................-------------------------•------.............................---... Foundation Elevation .................. DESCRIPTION OF BUILDING To be Used as: ��"" l t m y ... ...� .... Fronta7La..:)V Depth ` Height .-.(-. VSq. Ft. _ Cu. Ft. Y7` c 0 - .................. ._Front .......----............ Depth ....................... Height ........................ Sq. Ft. .....-................. Cu. Ft......----.........._.. Type of Construction .......... ........................................ -........ Est. Cost......10..._.'�...... 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 city of Fridley. - , A ,, n In consideration of the payment of a fee of$........., permit is hereby granted to ........................................ _--•-_•-....... ........ -....................................... 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 buildings within the city limits and this permit may be revoked at any time upon violation of any o provisions of said ordinances. _ _ Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building inspector for separate permits for these items. s APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owners Name Builder M i Address 6311 ac" ST Address t4 Q U of •.,,,,� G%/l - LOCATION OF -BUILDING No. S1}reet Part of Lot Lot Block Addition or Sub.Div. t Corner Lot Inside Lot Set Back Side -Yard SEWER ELEVATION FQUNDATION ELEVATION Applicant attach. to •this,torig Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be •_u -sed as : � - -•. ' .. .. Front i� `� Depth Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft,. , Cu. Ft. Type of Construction.,,J Estimated Cost_�� • To be completed �� 1 The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work irkstrict accordance with the C;.ty Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representa- tions stated in this application are true and correct. DATE, % = SIGNATURE (A Schedule of I"e.e costs can be found on the Revarse Side.) SUBJECT ) - ERM180 City of Fridley 6 6 AT THE TOP OF THE TWINS BUILDING PERMIT r i; L'______ COMMUNITY DEVELOPMENT DIV. SEC. ^ 17,0 r , PROTECTIVE INSPECTION 7D Ll CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 16/13/85 JOB ADDRESS 6311 Madison Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 12 6 Christie Addition SHEET 2 PROPERTY OWNER MAIL ADDRES$ ZIP PHONE Diane Walsh_ 6311 Madison Street N.E. 571-2157 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Charles. Aspenson 291 Rice Creek. Terrace N.E. 574-9706 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 Garage Fire Repair 9 CHANGE OF USE FROM TO STIPULATIONS Call for on-site inspection prior to any new construction. SEPARATE 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. 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 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 $4F220 $2.11 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 P OVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $50.50 RMANCE OF CONSTRUCTION. S UCTIONUz.OFIOITAUTORIZEDAvEnTs �--� �` �� LAN CHECK FEE TOTAL FEE $52.61 SIG URE O IDATEI WHEI�• PROPERLY LI DATED THIS IS YOUR PERMIT BLDG IN SP f1A fE SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI NEW [ ] City of Fridley Effective 4/1/84 ADDN. [ ] �R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: (D 311 Legal Description: 1.1 Owner Name & Address: '61)�p17P &Z1 Tel. # s/� aes7 %I% /mss � Tel . # P� SO ✓! S Milo Contractor: ( `� ��-t '"� -� Address: a y� �'•cp 6"' -PP % / Pri qCP Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IHPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: OTHER • Length T /�'P Width d62 i l' Hgt/Ground Sq. Ft. Corner Lot [ ] Inside Lot [ ] Type of Construction: Ft. Yd. Setback Side Yard Setback Estimated Cost: $ ;:;O, dd Approx. Completion Date: L," —.2 �'�— Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: !D— // —FS APPLICANT:zz/'&Tel. # &W—%ril / Permit Fee Plan Check State Surcharge SAC Charge, Park Fee Sewer Hain Charge TOTAL STIPULATIONS• CITY USE ONLY $ :a� S� Fee Schedule on Reverse Side $ 25% of Building Permit Fee $ �� $.50/$1,000 Valuation $ $425 per SAC Unit $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] $ � J� CITYOF FRIDLEY CIVIC CENTER - 6.131 UNIVERSITY AVE. N.E. FRIDLEY. MINNESOTA 55432 - PHONE (612) 571-3.150 September 16, 1985 Kathleen Speggen Community Health and Social Service Department County of Anoka Courthouse Fourth Floor Anoka, MN 55303 RE: Application for Licensure of Day Care at 6311 Madision Street N.E. Dear Ms. Speggen: A day care facility of 10 children or less at 6311 Madison Street N.E. would be a permitted use according to Fridley City Code. If you should have any questions please contact me at 571-3450. Sincerely, Susan Merriam Planning Assistant SM/dm C-85-226 STATE OF MINNESOTA DEPARTMENT OF HUMAN SERVICES 444 LAFAYETTE ROAD ST. PAUL. MINNESOTA 55101 Date reet Address ty l/ State Zip Re: Zoning Notification of Application for.Licensure_ DHS -2722 (5-85) Subject: Akso �� Type ,of Name of Day Care Home Applicant License: Family Day Care %d L 4A� Group Family Street Address Day Care j�&-��o? Licensed Capacity /D City State Zip Code 871 o?1S7 This is to inform you that we are in receipt of an application for licensure under Minnesota Rules, parts 9502.0300 to 9502.0445 (formerly Rule 2), Family Day Care and Group Family Day Care Standards. Issuance of this license is subject to compliance with the provisions of Minnesota Statutes, sections 245.781 to 245.812 and 252.28, subdivision 2 known as the Public Welfare Licensing Act and the rules of the Department. (Subd. 3. A licensed residential facility serving six or fewer persons or a licensed day care facility serving 12 or fewer persons shall be considered a permitted single family residential use of property for the purposes of zoning. Subd. 4. Unless otherwise provided in any town, municipal or county zoning regulation, a licensed residential facility serving from 7 through 16 persons or a licensed day care facility serving from 13 through 16 persons shall be considered a permitted multi -family residential use of property for purposes of zoning.) If we do not hear from you within 30 days upon receipt of this letter, we will .consider the above-mentioned day care home to be in compliance with (over) AN EQUAL OPPORTUNITY EMPLOYER -0000 DHS -2489 (10-84) -2 - your local zoning code. If zoning approval is secured in writing prior to the end of the 30 -day zoning notification period, this shall be considered to satisfy the requirements for 30 -day zoning notification in accordance with Minnesota Statutes, section 245.812, subdivision 5. .0200, WorkerLicensing Name of Agency/Or anizatiptl QpNUNiTY HEALTH & SOCIAL GXjkVICES DEPARTMENT Street Address ONRTHOL-M& FOURTH FLOOR ANOKA. YIMMOBOTA SZ366 City State Zip Code 39b-05 SUBJECT PERMIT NO. City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r ~ PROTECTIVE INSPECTION SEC NUMBER REV DATEP AGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 'I I JOB ADDRESS 6311 MADISON STREET NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 12 6 CHRISTIE ADDITION I SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE DIANE WELSCH 6311 MADISON ST FRIDLEY MN 55432 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. QUALITY CONTRACTING 11412 W RIVER RD CHAMPLIN MN 55316 427-7733 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 xx 8 DESCRIBE WORK REROOF TEAR -OFF 15 S 9 CHANGE OF USE FROM TO STIPULATIONS UNDERLAYMENT MUST COMPLY WITH STATE BUILDING CODE TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. 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 I 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 1 200.00 60 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. PLAN CHECK FEE TOTAL FEE 47.05 SIGN AWRE OF 9154 CTOR�THORIZED ATE) WHEN PROPERLY ALIDATED THIS IS YOUR PERMIT 9xe A; 5 BLD INSP � DATE SIGNATURE 8F 6WNEP,IF OW NER BUILDERI 1 TEI -NEV [ ] Effective 8/1/95 ADDN [ ] CITY OF FRIDLEY ALTER [) SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address:a Legal Description: Owner Name & Address: i 4L. VL & Ld e (:;C. _ Tel. # Contractor: „c..'N'z G _ MN LICENSE # Address: Lf l Z f' .) , r ci-o .&iTel. # _ Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT IOS3- 4�1Z7 — 7 73 LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot [ ] Inside Lot I ] Ft. Yd Setback Side Yard Setbacks Type of Construction: e Vo8 4�- Estimates Cost: $ 2 6? Com' Approx. Completion Date: /a i / i5 - (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ ) . Fee Schedule on Reverse Side $ j , .001 of Permit Valuation (1/10th%) $ c (, $.50/$1,000 Valuation $ $850 per SAC Unit $ �. r: $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] CITY OF FRIDLEY INSPECTION DIV. Effective On March 1, 1996 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES O JOB ADDRESS�o�j��S�j�J S f f iOG'� r RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work In strict accordance with the City Codes and Furnace Shell and Duct Work, Burner - rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30.00 representations stated in this appiication are true and correct. (Side Vent - Fill Out Back) �_ Gas Piping (Needed with new furnace) $10.00 $ �o_�i p 1996 a OWNER b� �� / S7 S 7� - � Gas Range $10.00 $ � BUILDING USED AS ,�«1! el C�`l� j Gas Dryer $ 10.00 $ ESTIMATED COST PERMIT NO. *Air Conditioning - All Sizes $ 25.00 DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) (� Ctt1 d RTO 1% of Value of Appliance or Work $ J No. of HeatincUninits Circle One (Steam) (Hot Wat(Warm Air} Trade Named/� i 4 _ . Size No. Commercial/Industrial BTU odne) ?t/ HP EDR 1.25% of Value of Appliance or Work $ Fuel 1,9?—% Total Connected Load State Surcharge $.50 TOTAL FEE s 615 � � MINIMUM FEE FOR ANY HEATINGICOOLINGNENTILATION/ 77.4 2" REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr Burner Trade Name Size No. BTU HP HEATING COMPANY Signed- Approved By EDR ZAGiA 7MFATlirl�� Rough -In Date Final Date "Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDOR STACK VERIFICATION ON written permission from adjoining property owner. REPLACEMENT FUR ACE List ALTERATIONS Being Done: HEATING CO: Signed By: Date: CHIMMY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes ( No ( ) 2. Is free from rust or deterioration Yes (iQ No ( ) 3. Has no foreign objects lodged within Yes No ( ) 4. Is securely supported Yes No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes (SQ No ( ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes () No 8. Has combustion air been provided for water heater Yes No ( ) List ALTERATIONS Being Done: HEATING CO: Signed By: Date: - V suedEcr(�U�MITNO- City of Fridley ��6 ATTHE TOP OF THE TWINS BUILDING PERMIT r RIPT-NO. EC a � wCOMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. B /jJ CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED By 612-571-3450 910-F15 9/19/96 JOB ADDRESS 6311 MADISON STREET NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 12 6 1 Christie Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Diane Welch 6311 Madison Street NE 571-2157 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Twin Cities Glassblock 2817 2 Street N M ls. MN 55411 520-0944 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 a ❑ NEW ❑ ADDITION X ALTERATION 0 REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Install basement windows (removal of existing - no bedrooms) 9 CHANGE OF USE FROM TO STIPULATIONS 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 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 @ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $810 $.50 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- Fire SC $.81 STRUCTION O THE PERFORMANCE OF CONSTRUCTION $32.00 PLAN CHECK FEE FEE TE r�$L3 i� _ C 3.31 'NATURE OF CONTRACTORkRAHORIZED GENT IDATEI PRO v G INSP E Y VALIDA THIS IS Y R P RMIT DATE _ SIGNATURE OF OWNER OF OWNER BUILDER] IDATEI - V NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress : Legal Description: 04 I -L G 1 Owner Name & Address: �` �,n 2 `L Tel. # Contractor: w \v,\ L \ i -e-s I a SS l� UC MN LICENSE # Address: 11:� 2 n9 S o I `) )4p IS Y1/ S�S"'�I )1 Tel. # SLC) -m� 1 `� Effective 3/1/96 S__1 ( -- IL 15 __� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF RMPROVEMENT LIVING AREA: Length Width • Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width `` Hgt/Ground Sq. Ft. --� OTHER: _ `�;�NL W'y-\ loZS Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side. Yard Sdtbacks Type of Construction: C�IuSSbIc�cJ� W��Cjov�S _&n5-Failettimated Cost: $ Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. +�6 Ft = Ft x $ _ $ DATE: q - qu APPLICANT: < Tel. # _� -Zc) --d �y CITY USE ONLY Permit Fee $j Fee Schedule on Reverse Side Fire Surcharge $ • PV _ .001 of Permit Valuation (1/10th%) State Surcharge $ .'So $.50/$1,0()0 Valuation SAC Charge $ $900 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 [ J Not Necessary [ ] TOTAL $ .3-3-3/ _3- STIPULATIONS: a SUBJECT PERNIII-NO-.._......_ City of Fridley 24842 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT • ______ COMMUNITY DEVELOPMENT DIV. I y PROTECTIVE INSPECTION SEC. 61 r i CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY I•J 612-571-3450 910-F15 12/31/96 10B ADDRESS 6311 Madison Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 12 6 1 Christie Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dianne Welch 6311 Madison Street NE 571-2157 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. The Cities Hoe 6148 Olson Memorial Hwy, Golden Valley 55422 -ImRrovement 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 591-0332 20043502 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Replace windows 9 CHANGE OF USE FROM TO STIPULATIONS Replacement Bedroom windows must meet the State Egress Code. Provide smoke detectors in all sleeping rooms and on each level of the dwelling. 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 SO. 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 5 , 26 $2.63 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. Fire SC $5.27 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $112.25 PLAN CHECK FEE TOTAL FEE Licen SC01 .00 $125.15 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI NMPRLY VA DATED THIS IS YOUR PERMIT G IN P '� • / GATE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI a NEW [ ] Effective 3/1/96 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: C 3 Z/ �1 a o 'f r„ S � Legal Description: Owner Name & Address: a n h Tel. Contractor:% e r .e_ MN LICENSE Address: 0 /i -O PI —Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: LL ;,4,,-_,r Estimated Cost: $ Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 1.) 301 APPLICANT: o�.ri� rc� ��' r .e h Tel. #� Ste` /- 3 Permit Fee $�/� • S .� Fire Surcharge $ , 1� State Surcharge $ SAC Charge $ License Surcharge $ Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ ��✓` �� CITY USE UNLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $900 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 [ ] Not Necessary [ ] STIPULATIONS: �� ! ��✓��'''� -� S7 suBJEtT IT NO. City of Fridley 28476 AT THE TOP OF THE TWINS BUILDING PERMIT RECE O. i `L .......COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. 72 7 n f PROTECTIVE Qy � I CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-FIS 10 30 98 JOB ADDRESS 6311 Madison Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 12 6 1 Christie SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Quality Contracting 11380 W River Rd Champlin MN 55316 427-7733 7053 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ® REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (24 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2056 $1.03 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. Fire $2.06 STRUCT,NOR THE PERFORMANCE OF CONSTRUCTION $74.75 sC PLAN CHECK FEE TOTAL FEE License SC $5.00 'WHEN 1$82.84 IGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE, PROPERL ALIO TED THIS IS YOUR PER/M�ITJry/,/' A. of ,NSP TIAfE S,GNATURE OF OWNERoF OWNER BUILDER, IDATEI i NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 e1�p BUILDING PERMIT APPLICATION r�Iie ConstructionAddress: / 1�Z19f1r.�rk. �T � Legal Description: Owner Name & Address: Tel. # Contractor: ��/�A-�� . ` MN LICENSE #_ 70S5' Address: l I 1�0 bU ,�C'cv-�e r g-f(2�a{-�:. n (,�., udt� Tel. # 4 -Ka -7 773 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: T-C'qe' -0-p( pef evo :F r-) L( Sys Construction Type: $5.00 (State Licensed Residential Contractors) Estimated Cost: $ 20 5�+� Alt. "A" or Alt. "B" Above Erosion Control (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: 16 361 APPLICANT: Tel. # a _ �� STIPULATIONS: CITY USE ONLY Permit Fee $ 7 q* 7$ Fee Schedule on Reverse Side Fire Surcharge $ 06, .001 of Permit Valuation (1/10th%) State Surcharge $ / • o3 $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ 00 $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 [ ] TOTAL $ - 1S STIPULATIONS: CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO RF INSTAI I Fn nN FArN FI nnR Effective On Jan 1, 2000 PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas' * Gas Range** Gas Dryer'* Back Flow Preventer Required ( )Yes O N Type (e3 C 1 J hAb 1S0)J � A -)t-, NO. RATE TOTAL JOB ADDRESS N)VC te- &ZL)'E12— $ 7.00 The undersigned hereby makes application for a permit for the work herein $ 4.00 specified agreeing to do all work in strict accordance with the city codes $ 5.00 and rulings of the (Wilding Division, and hereby declares that all the facts $ 7.00 and representations stated in this application are true and correct. $ 7.00 WELCH, DIANE `x/30 $ 7.00 6311 MADISON STREET NORTHEAST 2004 $ 7.00 _ FRIDLEY, MN 55432 $10.00Owner ,_ (763) 571-2157 $ 7.00 _ $10.00 Building Used As j��61m11p cz $10.00 $10.00 °= � � C Estimated Cost PERMIT NO. J 0 $15.00 PLUMBING COMPANYOIr•C�ILdZ_()lV1CjJAjf;�_ Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL FEE $M_550 SIGNED BY . , Approved By j[:ft=:j Rough -In Date TEL N0. /Z-SZ740 �-3 Final Dat / :RMIT IS 520:00 COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacina an existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes O No ( ) The yenting."system is. plastic/PVC and meets all current codes and manufacturer specifications .including sizing, length, number of elbows and termination. Yes( No(* ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When required to install a new combustion air, it will be sized and installed To meet the current codes and manufacturer's specifications. Yes () No ( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance;has been -removed from the common vent and vented. separately asper current codes. Yes( )No( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat'_ Appliance#2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter n Type ALTERATIONS: (Describe) HEATING CO: i Signed By: Date CITY OF FRIDLEY BUILDING INSPECTION 6431 University Ave NE Fridley, MN 55432 763-572.3604 FAX 763-571-1287 RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner & also Replacement Furnace Gas Piping (New Furnace, Fireplace, Insert) Gas Range Gas Dryer Effective 4/1/2004 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS 63 11 f nA of So n Fed Tot `- Owner x'(�1 G �e GCS . $35.00 $–K.-00 Building Used As w e o $10.00 $ ESTIMATED COST 300- D U PERMIT NO $10.00 $ $10.00 $ *Air Conditioning -All Sizes $25.00 $ All Other Repairs or Alterations (List on Back) 1% of Value of Appranee or Work $ Minimum Fee $15.00 for Residential or 5% of cost of Improvement whichever is greater on work less than $500.00 Commercial/ Industrial/institutional 1.25% ofValue of Appliance or Work (List on Back) $ Minimum -Fee $35.00 for ComntercaayindustrieVinstitutional State Surcharge $___. 5 TOTAL FEE $3� REINSPECTION FEE $50.00/HOUR *Air Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to City FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE le 0 of Heating Units Circle One (Steam) (Hot Water)gi Air Trade Name A u.u.V Size No. BTU to 1:1 SO 0 HP EDR Fuel /7 WE; (a ct0 Total Connected Load Burner Trade Name BTU Size No. HP EDR The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and ruling% of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. River City Sheet Metal, Inc. HEATING 00 $29() M_:F. , Sill lite . signed Fridley, VJ 55432. (763) 754-2199 Fax (763) 7 - FAX Date 1110105 Approved Rough -in Date Final Date (jg311 A4DiS074 S+na Fa, o le, £0 ' d 18101 FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VEJVT VENT.CONNECTOR AND COMBUSTION AIR IFICATION When Mlacing an existing furnace, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes No ( ) The venting system is plastic/PVC and meets all Current codes and manufacturer Yes ( No ( ) specifications including sizing, length, number of elbows and termination. The undersigned also verifies that the replacement unit Is a listed assembly and meets the current codes and manufacturers specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes ( No( ) The existing combustion air is sized and installed to meet the current codes Yes (7g No( ) and manufacturer's specifications. When required to Install a new combustion air, 1! will be sized and installed to meet the current codes and manufacturer's specifications. Yes () No �Q When Installing a new venting system, the undersigned hereby verifies that it Is a listed assembly and meets the current codes and manufacturers specifications. This does include AGA-GAMA Category I Central Furnace Yes, No ( ) Venting Tables for fan assisted and natural draft appliances. Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented Yes No (� separately as per current codes. () Appliance Type and Size/Comrnon Vent and Vent Connector Information Appliance #1 Type Wit, 46k BTU Input- 3D,8 Fan Assisted or Nat _ �l Appliance #2 Type BTU input f�;� Fan Assisted or Nat 7� Poe— a Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input �N if 4/ Common Vent Type Vent Height � " Diameter Sinches Cr Appliance #1 Vent Connector Height ,2 It Length Diameter 41 n Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance 43 Vent Connector Height ft Length ft Diameter �in Type ALTERATIONS: Descries HEATING CO: e `t Signed By: Date: £0/20'd AYX118d d0 A1I0 LZ:ZT 1700Z-ZT-AON Building . Inspections 763-572-3604 DATE...7- !_L?� Srr13 ATJDRF,ss %1 THIS APPLICANT IS: PROPERTY OWNEPJ TENANT SUBMIT A COPY OF YOUR STAT; LICENSE WITH APPLICATION PROPERTY TYPE PERMIT TYPE WORT%'I From: 6512754053 Page: 5/6 Date: 7/31/20061:28:04 PM From: City of Fridley To: 651.275-4053 Page: 4/5 Date: 7128/200612:14:37 PM BUILDING Permit NO,: RESIDENTIAL, APPLICATION ReceivedByDU (Sq CITY OF MIDLEY Date Rec°a: _ YOUR E-MAIL ADDRESS e_ LW— ST Nrt- -T _ C3 owNt n, (SCONTRA.CTOR NAME: D 1 h i. &I CITY V-L4,h'LV —5-5-9-ya- STATE LICENSE it DS/ 4'{ _ LX? DAT — " b - -- ADDRUES:E r =!° Y CITY XMP!* L STATE ZIP PHONE 0 BASEMENT FINISH Q DECK DESCRIBE WORK BEING DONE: SIZE OF TW?X7VLMENT _OR. 0—F NUMBER OF SQUARES_ PROPOSED SIZE: PROPOSED HPUGHT: SMYNG O vinyl O Aluminum 0 Other WIMOws TN WOTING OPENINGS DYes ONo OR FOR NEW OPENINGS -DESCRIBE SITE OF OPliNNG C1RANCxES ,% TYPE OF WINDOW TO BE INSTALLED .ALL, FEES ARE AA.SED ON V TOTAL JOA V, Permit Fco Plan Review Fire Surcharge Sureborge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Scwcr Main Charge Total Due 0 N,OUSE SF GARAGE 0 ATTACBED GARAGE 0 DETACHED GARAGE MOM O Trim 0 Fascia LOCATION OF WINDOWS �(iJSTIYr IN S 0 WINDOWS 0 DRAIN TILE C107M $ASE�I+1T AEyl�r�pDlrI.INC3 ST1IiMIT' L Exhuting Floor Plan 2. Proposal floor plan 3. List of sttucWr4 molnbm- to be used FORNEW CONSTRUCTION INCLUDINo DECKS, �O.NS. dt PORGIES SLIB,bttx; 1, Site Plfln/Survey showing the eAW% slrueluraq and prepaued project 2. Two seta of co=mction pulls 3. Energy Caiculattons UMBER OF WINDOWS , ]INCLUDING THE COST OF _LA OR AND :MA 1497 TI -13.0 FEE Sf:UMDULE) See Rack Page for Fee Schedule 65% of Building Permit Foe ,001 times the total job valuation OOQS x Permit Vcluation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1550 per SAC Unit (,.T'lans to NMCC for dctartniflation) _ ft+6ft- ftx$21 =$ 5450 Conservation plan Review Fee Determined by Engineering Agreement necessary (; ) Noss Necessary ( ) THIS IS AN APPLICATTON FOR A PE JVlT•NOT VALTD UNTIL PROCESSED I Hereby apply for a building permit and I aclmowledge 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 Mirmoaota Constniction Codes; that T understW this is not a permit: but only an applicatiolo for a permit and work is not to start without a permit; that the work will be in noeordance with the approved plan in the case of all work which ret i h review and approval or plans. (� SIGIJATURE OF APPLICANT„ -PRINT NAME ,rz �1I�4�DATE �(n 1