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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT NJ4 o --- Date: Owner: _ ... _ __.. ___......_.... Builder ............. ........ ... Address Address _.. LOG&TION 0F BUILDING No. GG'. -.w Street .._._......._.._.......... ParV<_ t ..... ....... _.._.....----•-•- Lot ... ----------------i._........ Block ... - ...... .... - - ../..:........... Addition or Sub -Division _.. •- ?...... -- Comer Lot ...... ................... _........ Inside Lot ....._............. .................. Setback ..... _......... .......... .............. Sideyard .....-_ l._ ....� .... - -----.._...... Sewer Elevation ..... . ............. _............. _......... ._....... ................................... ......... Foundation Elevation DESCRIPTION OF BUILDING 2VAJ �_._ Front ..:...0�...._ Depth .01 ... Height ...... ._.. Sq. Ft.. 1—V Cu. Ft. ...._.............._........-----......----------...... Front ---_----_--_----- Depth Height............. '' //ii----��- P ............... g ............... Sq. Ft.-...._.. Cu. Ft. ..... ................. - Type of Construction _...... :i�r.._. Est. Cos"t.1...f/.. ...... To be Completed ........................ _......--- - f ........... ALP `=iT AIJT1-10^!?E VIOLAT- EUf•J O ,r N1Y P!;{V TE LAND COVENANTS .AND BUILDING RESTRICTIONS. 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. 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, reR,,air and moving of buildings within the city limits and this permit may be revoked at any time upon violatioif any of the pr visions of said ordinances. ,+'� d�of / i 1 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. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owners Name Builder Addresse;" Address _ LOCATION. F BUILDING No.CZ_2 o Street Part of Lot Lot_..._. Block Addition or Sub. Div. Corner Lot inside Lot, Set Back Applicant attach to this form Certificate of Survey of Lot and proposed building location.. DESCRIPTION OF BUILDING To be was Frontes DepthHeight Sq, Ft, Cu. Ft.'��-�--G Front ,..Depth Height Sq. Ft. Cu. Ft. tima.ted Co A': ®- Type of Construction �=---•--- To be completed The undersigned hereby makes -application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations.stated in this application are true and correct. Date Signature (A Schedule of Fee Costs can'be found on.the Reverse -Side) Date: July 2 s 1965 City of Fridley, Minn.. BUILDING PERMIT Owner: Edward G. Herman Builder Address 6320 Madison N. E. Address Same LOCATION OF BUILDING No. 6320 street Madison Street N. E. Part of Lot Lot 8_ Block Addition or Sub -Division Christie Add' n Corner Lot Inside Lot Setback Sideyard Sewer Elevation Foundation Elevation To be Used as: DESCRIPTION OF BUILDING N° 8110 Front Depth Height Sq. Ft. Cu. Ft Front Depth Height Sq. Ft. Cu. Ft Type of Construction Est Cost $1 000.00 _ To be Completed Storm damage repair House and Garage In consideration of the issuance to me of a permit to construct the building described above I agree to do =Poi work in accordance with the description above set forth and in compliance with afl provisions of cmiinances of the city of Fridley. In consideration of the payment of a fee of $10.00 ___, permit is hereby granted to Edward Herman to construct the building or addition as described above. This permit is granted upon the express condition that the ZbuIlk o whbe= is granted and his agents, employees and workmen, in aII work done in, around and upon saidg,or thf,shy,Minnesoconitthinthe dty lits t may at any time upon violation of any of the provisions of said ordinant�s. Allen Jensen Building Inspector NOTICE: Thb pwmh den not cewr the coestredtlm, hist Wan for whdeg, phunbin8, gas hating, awa or water. as are to we tin Buffft Inspe for for apmto pwmhs fw thea Items. APPLICATION.FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME edzeve�h-, UILDER ADDRESS 1�3676 /ADDRESS r LOCATION OF BUILDING NO. STREET PART OF LOT P LOT BLOCK ADDITION OR SUBDIVISION _ C �1 CORNER LOT INSIDE LOT SETBACK SIDE -YARD SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To be used as; DESCRIPTION OF BUILDING Front Depth Height Sq. Ft. Cu. Ft. Front Dept ,.,_Height Sq. Ft. Cu. Ft._ Type of Cons tructioEstimated Cost ��.6 ® _ 0* To be completed 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. (Schedule of Fee Costs can be found on the Reverse Side). City of Fridley SUBJECT PE 15.3.3 9 AT THE TOP OF THE TWINS BUILDING PERMIT r � ` COMMUNITY DEVELOPMENT DIV. L PROTECTIVE INSPECTION SEC. r � , CITY HALL FRIDLEY 55432 612-571-3450 EIPT N NUMBER 910-F15 REV. DATEPAGE 7/17/79 OF APPROVED BY JOB ADDRESS 6320 Madison Street N.E. 1 LEGAL DESCR. LOT NO. 8 BLOCK 5 TRACT OR ADDITION SEE ATTACHED Christie Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ed Herman 6320 Madison Street N.E. 571-1327 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Richard Hastings 6331 Riverview Terrace N.E., Fridley 560-2610 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ ❑ NEW ❑ ADDITION X ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Install aluminum trim 9 CHANGE OF USE FROM TO STIPULATIONS SEPERATE PERMITS REQUIRED FOR W[RIatty HEATING, PLUMBING AND SIGHS. Iwo 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 AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION ZONING SQ. FT. CU. FT. OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANYTIME 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 AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT VALUATION $1,100 SURTAX $.55 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF Ak4Y OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $9.00 PLAN CHECK FEE TOTAL FEE X�� 0_R111T.:11?R�11r.AG $9.55 SIGNATUREOFCDNTRACTO (DATE) VALIDATED THIS IS YOUR PERMIT �WHENPERLY DATE SIGNATUREOFO NERIIF OWNER BUILDERI IDATEI CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) 1 f 'I OWNER: BUILDER: F1 t C'_%f f�� %7�/%S 7-1 r ADDRESS: ADDRESS: 3, / A� TEL NO: Y]& — 1'5C9;7 TEL NO: Construction Location STREET NO: STREET: pD`` LOT: BLOCK: If— ADDITION : 77c_c )q&6 4J. 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 Front: Depth: Height: Squane.Feet: Cubic Feet: Front: Depth: Height: Square - Feet: Cubic Feet: Type of Construction: r Estimated Cost: A � Tb Be Completed: S 7 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. ,9 ! .% O/ Z/ — n Stipulations: oil SUBJECT of Fridley KECity 18 6 6 4AT THE TOP OF THE TWINS BUILDING PERMITEI COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. ��J 1 ; � l 1� .....I� CITY HALL FRIDLEY 55432 NUMBERREV. DATE PAGE OF APPROVED BY •--. L 612-571-3450 910-F15 9/24/8 JOB ADDRESS 6320 Madison Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 8 5 Christie SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Edward G. Herman 6320 Madison Street N.E. 571-1327 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 Cj REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be the 2nd layer but not the. 3rd. Install ridged g galvanized valleys. 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 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 Z 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 $379 $.5O 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- $15.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $15.50 IG TUREOFCONTRACTORORAUTHORIZEDA ENT IDATEI WHEN PROPERLY VA ATED THIS IS YOUR PERMIT SIGNATURE OF OWNER IIF OWNER BUILDERI (DATE) I BLDG INSP ryATE oil NEW [ ] City of Fridley Effective 4/1/86 ADDN. [ ] R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Addr, Legal Description: U Owner Npme & Address: Lz"'e (" /-/P_ /? �� y Tel. # Contractor: S e --I— I Tel. # Address: 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: Approx. Length Width Height Sq. Ft. GARAGE AREA: Length Width Height __ Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: /Vt Uv X06 d USPS Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback 2 3 %12 Type of Construction: ' P h /-AS Estimated Cost: $ - Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation DATE: % -C�? /-/ ` S� APPLICANT: Vx� X� �J �2- Tel. Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ /� �� Fee Schedule on Reverse Side $ 25% of Building Permit Fee $ �Q $.50/$1,000 Valuation $ $475 per SAC Unit $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] NEW [ ] . QJj' Effective 5/1/88 ADCN [ ] R-1 AND R-2 ALTS (] Building Permit Application f Z` construction Address: ( 3e)Q legal Description: Owner Name &Address: P , M, 4 Al 3�0 X11,4d Asa N Al t . Tel. _5 Contractor: 70-1. # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. IPTIDi�T OF IIr�RO�vH��N' LVIM AREA: length Width Height Sq. Ft. GARAM AREA: Length _ Width Height Sq. Ft. DECK AREA: length Width Hgt/Ground Sq. Ft. 07m: Corner lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ Approx. C mpletion Date: 13 $ 0 Proposed Driveway Width If New Opening Is Desired ILFt. $ ;Width + 6' See Back Page DATE: l AP'PLICAM iLL0-=z2Teel• - -� 7 f_ /.3a7 Permit Fee $ State Suxrharge $ SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ S STIPULM7CNS: cm USE Fee Schedule on Reverse Side $.50/$1,000 Valuation $575 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined byi Agreement Necessary [ ] Not Necessary [ ] SUBJECT P City of Fridley Q. 4 0 AT THE TOP OF THE TWINS BUILDING PERMIT r I RECEIPT NO. • COMMUNITY DEVELOPMENT DIV _ PROTECTIVE INSPECTION SEC. 1 CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 9/20/96 JOB ADDRESS 6320 Madison Street NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 5 1 Christie SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Edward Herman 6320 Madison Street NE 571-1327 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 X 8 DESCRIBE WORK Reroof Garage (7 Sq) Tear -off 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 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 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 @ $.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $577 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- $23.75 Fire SC, $.58 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE $24.83 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI P WHEN PROPER VALIDA ED THIS IS YOUR PERMIT GN ATURE OF OWN ERU NERWUILDERI (DAT EI 8 1 INSP GATE NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: Legal Description: Effective 3/1/96 4-V4 S Owner Name & Address: ,Ed�$C�F,d� Contractor: 'S -,t-f r MN LICENSE # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF E%IPROVEMENT LIVING AREA: Length Width Height _ GARAGE AREA: Length Width Height _ DECK AREA:Width /Hgt/Gro OTHER: � �->2o r ��4 /,>,, , ( q- 7. Comer Lot [ ] Inside Lot [ ] Type of Construction: Approx. Completion Date: _ (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE: APPLICANT: Tel. #� CITY USE ONLY Tel. # Sq. Ft. Sq. Ft. Sq. Ft. Ft. Yd Setback Side Yard Setbacks Estimated Cost: $ Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 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 [ ] Not Necessary [ ] TOTAL $ 0-�' STIPULATIONS: sueJEcr'PERM IT NO. City of Fridley (12 6 3 2 7 AT THE TOP OF THE TWINS BUILDING PERMIT f RECEIPT NO. i I-V ____ COMMUNITY DEVELOPMENT DIV. nf r � PROTECTIVE INSPECTION SEC. I X ��V 1 . � NUMBER REV DATE PAGE OF APPROVED BY E _ CITY HALL FRIDLEY 55432 612-571-3450 910-F15 6/23/98 JOB ADDRESS 6320 Madison Street NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 5 I Christie Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Edward Herman 6320 Madison St NE 571-1327 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 Ij REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof House (16 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 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 @ $1,417 $.71 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- $48.50 Fire SC $1.42 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOT FEE . / I A 5 0.63 CONT RAriTOROG'D�AGENT iDATEi N RO 4BLjTG INSP e VALID E HIS IS YOUR PERM DATE -�IGNAT SIGNATURE OF OWNER 0F OWNER BUILDER, MATEi NEW [ ] ADDN [ ] ALT [ ] ConstructionAddress: Effective 1/1/98 CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2�I BUILDING PERMIT APPLICATION 4 Legal Description: Owner Name & Address: Tel.4 4a - Contractor: MN LICEN E # Address:_ 6:22 E Tel. # LIVING AREA:. GARAGE AREA: DECK AREA:' OTHER: Construction Type: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EMPROVEMENT Length Width Height Sq. Ft. / qD -1 Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Estimated Cost: $ /%Y L' b (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: Tel. # ,CZ/ 412-7-7 CITY USE ONLY Permit Fee $ % Fee Schedule on Reverse Side Fire Surcharge $ % c/ 2, .001 of Permit Valuation (1/10th%) State Surcharge $ , % $.50/$1,000 Valuation SAC Charge $ $1000 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 [ ] TOTAL $ STIPULATIONS: , . - a CITY OF FRIDLEY INSPECTION DIViSION ��; - 6431 University Ave NE Effective On January 1, 2000 Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE JOB ADDRESS C) � � �" Residential Rate TOTAL OWNER l" c Furnace She and pct ork, Burner - BUILDING USED AS_'0 Als eplace_ m_Fu_r_$ 30.00 $ (Side Vent - Fill Out Back) Gas Piping ESTIMATED COST PERMIT N0. L L j (Needed with new furnace, $ 10.00 $ but not replacement) Gas Range DESCRIPTION OF FURNACE AND OR BURNER $ 10.00 $ Gas Dryer No. of Heating Units I Circle One (Steam) (Hot Water (War A $ 10.00 $ Trade Name l Size No. oci *Air Conditioning - All Sizes $ 25.00 $ BTU HP EDR Fuel Total Connected Load All Others/Repairs & Alterations (LIST ON BACK) / U C., qj-y2o -Qlv a 1% of Value of Appliance or Work $ Burner Trade Name No. BTU HP EDR Commercial/Industrial 1.25% of Value of Appliance or Work $ The undersigned hereby makes application for a permit for the work herein State Surcharge $ 50 specified agreeing to de all work in strict accordance with the City Codes an rulings of the Building Division, and hereby declares that all the facts and 7n representations stated in this application are true and correct. TOTAL FEE $ DATE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION HEATING CO `. n REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $ 50 STATE SURCHARGE Sign 1G' TEL # REINSPECTION FEE $47.00/Hr �J *Air Conditioners can not be placed in a side yard without written permission from adjoining Approved By Rough -In Date Final Date lb 3r D/ property owner. FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE COMMON VENT VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing 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 j No ( ) The venting 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 existina 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 V1 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 as per current codes. Yes* No( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type WLE BTU Input 0 6 0 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 i� 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 in Type ALTERATIONS: (Describe) HEATING CO: =aQ Date Signed By: �s� SuBJECT P City of Fridley 32923 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. /� L1,1 r 1 NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 763-571-3450 910415 7/24/02 JOB ADDRESS 6320 Madison Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DEscR. 8 5 Christie Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Edward/Lorraine Herman 6320 Madison Street NE 763-571-1327 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Twin City Exteriors 9060 Zachary Lane N, Maple Grove, MN 55369 763-425-4737 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 O ADDITION ❑ ALTERATION C REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reside House & Garage 9 CHANGE OF USE FROM TO STIPULATIONS Per Section 1402, 1997 Uniform Building Code, requires that a weather resistive barrier be placed over exterior sheathing to protect the interior wall covering. Exceptions for this provision would be if sheathing is an approved weatherproof panel or when the siding is an approved weather barrier. Vinyl siding is not a weatherproof covering unless the manufacturer states this in their application guidelines. Call for inspection of wrap before covering. Caulk and flash all exterior openings. 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $14,700 $7.35 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 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $251.25 SC $14.70 PLAN CHECK FEE TOTAL FEE License $5. $ 78.30 SIGNATURE OF CON'RACTOR OR AUTHORIZED AGENT AGATE, EN=ROPALIDATED IS IS YOUR PERMIT 1/ 7 'z S-GN4TURE OF OW NER,if OWNER BuIIDERi iDATEI Bl0iNSP MATE NEW I ) Effective 1/1/2000 ADDN [ ) CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [) SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 6320 MADISON STREET NE, FRIDLEY 55432 Legal Description: Owner Name & Address: EDWARD & LORRAINE HERMAN Tel. #763,-571-1397 T9E��FRI9 .EY 69 432 Contractor: TWIN CITY EXTERIORS MN LICENSE# 2535 Address: 9060 ZACHARY LANE N, MAPLE GROVE, MN 55369 Tel,#763,425-4737 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: Construction Type: 5/ f//i7/SSS Estimated Cost: $_ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: Tel. #_ _7X3 h -- CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $�/, Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ r/ $.50/$1,000 Valuation SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ $1100 per SAC Unit $ z7w -$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 [ ] Building $ BUILDING Permit NO.: SS Inspections $ (jD RESIDENTIAL APPLICATION Received By: 763-572=3604 $ 25-10-0 CITY OF FRIDLEY Date Rec'd: 3 -AA� 0 DATE _ 2Z-0 YOUR E-MAIL ADDRESS Erosion Control SITE ADDRESS 32®S-7— TTHIS Park Fee THISAPPLICANT IS: ❑ OWNER CONTRACTOR $ PROPERTY OWNER/ NAME: ' � 3/ TENANT �f�jJ�/ ADDRESS: 6 3 00 401.li Vf— CITY Kiu !/`� STATEA�^>WZ PHONE: ? 6 3,' 5-71— /392 CONTRACTOR NAME: cg ��1t AIC, STATE LICENSE #�� Z 3EXP DATE " ®� SUBMIT A COPY OF YOUR STATE LICENSE �( ADDRESS: i��'C/� Ce: f iZ CITY 11 STAT N Il.) 2 WITH APPLICATION PHONE 763-!572-e d- 2Q -C;, FAX 7-6 3 - V.? ' 273 PROPERTY TYPE SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING $<THER ❑ SWIMMING POOL TYPE OF WORK: ❑ W ❑ ADDITION ANCE/REPAIR ❑ MODELJYG DESCRIBE WORK BEING DONE: �C� /�- SIZE OF IMPROVEMENT LENGTH WIDTH DIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE I. Existing Floor Plan 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF •WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ c`' -C -e) E 7) OCCUPANCY TYPE Permit Fee $ Plan Review $ Fire Surcharge $ (jD Surcharge $ ct OD License Surcharge $ 25-10-0 SAC Charge $ Curb Cut Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ Total Due $ P70--_2 �' See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1675 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) checks payable to: City of Fridley Attach THIS IS 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 pe work is not to start without a pe it; that the work will be in accordance with the approved plan in the case of all work wh' h r .1 tr s review and approval of plans. �^ K AV