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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT Date: ...�... . /..................... ....... .. r Owner .� . !\ . .: Builder Address ��.,���.111 %!L� Address N® 3362 _ . . . . . . . . . . . . . . ..... . . . . . . . . . . . . . . . . . . . . . . . . . . . . // LOCATION OF BUILDING No. .(r^..�.. Street...... ... . �. Part of ... ........ . / . . . ..... ... Lot ... Block ..... k .......... Addition or Sub -Division ........ Corner Lot ............ Inside Lot ... A ..... Setback ..:��..�... Sideyard..':............... DESCRIPTION OF BUILDING ToPe Used as: <... Front ./A.. Depth . fR O . Height Sq. Ft..YC t.�.J .� Cu. Fa 6 .................... Freest ........ Depth ...... Height ........ Sq. Ft. ........ Cu. Ft......... Type of Construction . e �l P'.�.`.': .. Hat C�ost'A::. .'�. "To be Completed ................... In consideration of the issuance to me of a permit to construct the building desribed 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 $# f -' ...., 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 with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. ....... 7. ............. Building Inspector NOTICE: This permit does not cover the construction, installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these itema ING PERMIT ViR a of Fridley, Minn. N° 2553 Date.,~............ ........... Owner 1F a+r'• E��y Builder ...y4,a,1t :........................ . ....... Address 'd L ... ! 1, is 0—; .1"K Address ......................................... L ATION OF BUILDING No. i&:7-.7....... Street . . ......... Part of Lot ....................... Lot ...../,........ Block ... �, .... Addition or Sub -Division ..� .. �, Corner Lot ............ Inside Lot ........ Setback '!! ON OF BUILDING To be Used as: Front jof4 .� Depth .��, .. Height .,It S, .... Sq. Ft../.4 .,ro Cu. Ft........ . +' 1 ..................... Front ........ Depth ......... Height ......... Sq. Ft......... Cu. Ft........ . Type of Construction E Cost1P/'..3 rrC . CC ........ To be Completed W*w,.. . 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 fhe description above set forth and in compliance with all provisions of ordinances of the village of Fridley. 11 In ponsideration of the payment of ,.'fi/ .. to construct the ex&ress condition that the person 1 done in, around and upon said buildini Fridley, Minnesota regarding location, in the village limits and this permit m ordinances. fee of permit is hereby granted to,.,,,,.t,u.... . e building or addition as described above. This permit is granted upon whom it is granted and his agents, employees and workmen, in all work or any part thereof, shall conform in all respects to the ordinances of )nstruction, alteration, maintenance, repair and moving of buildings with - be revoked at any time upon violation of any of the provisions of said �� , l •i �'• fpd` ....... Building Inspector NOTICE: This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. E SUBJECT PER City of Fridley 13049 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. V ___ COMMUNITY DEVELOPMENT DIV. i L �', r � � PROTECTIVE INSPECTION SEC. �O 1 NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 812-880-3450 910-F15 6-25-75 JOB ADDRESS 6351 MADISON STREET N.E., FRIDLEY, MINNESOTA 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 16 6 CHRISTIE SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE BILL MORIN, 6351 MADISON STREET N.E., FRIDLEY, MINNESOTA 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. RICHARD HASTINGS COMPANY 6331 RIV ERVIEW TERRACE N.E. FRIDLEY, 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING RESIDENCE 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE � 8 DESCRIBE WORK REPAIRS - SIDING 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. PRAMP- THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. 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 $550 150 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 PERFORMA CE OF CONSTRUCTION. $5.00 PLAN CHECK FEE TOTAL FEE SIGNATURE OF CONTRA T RORAUTHORIZED htENT (DATE))IVHEN PROPERLY,VALIDATED HIS IS YOUR PERMIT `(A/ JUNE 25,1975 BLDG. INSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) •APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION.BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME : t �L L. �/% D R I •tJ BUILDER : % C_ // /P #951 / S ADDRESS: ssy /1''L a.e�y— .57ru 1 ADDRESS: VO:. 4.3 S % STREET • // fi'�f°L�e-o���t'"'� LOT: BLOCK: cQ ADDITION: CORNER LOT: INSIDE LOT: J SETBACK: SIDE -YARD: Applicant attach to this *f or.rrTwo Certificates !-,f Surve.•of Lot and.proposed building location �:rawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: • A —EP A 1 _ Front: Depth: • Height: r - Square Feet: Cubic.Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: Estimated Cost:_$ �J d• To Be Completed: The undersigned hereby makes application fora 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 herjeby declares that all the facts and representations stated in this application are true and correct. DATE: -7 Sr SIGNATURE • _(See Aeverse Side For Additional Information.)' aG a • 1 CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1997 6431 University Ave NE , Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING,.0000NG, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner — Also Replacement Furnace (Side Vent — Fill Out Back) Gas Piping (Needed with new furnace) Gas Range Gas Dryer *Air Conditioning — All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Rate TOTAL $ 30.00 $�, $10.00 $ $10.00 $ $10.00 $ $ 25.00 $ State Surcharge TOTAL FEE $ .50 MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. JOB AL� DDRESS P 3 Hr,,r s S—Y . %VZ 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 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application a true and cqxropt. ,1997 OWNER. BUILDING USED AS art ESTIMATED COST PERMIT NO. /1_ eel q I DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trads Name Size No. BTU ? s, HP EDR Fuel ''/4&A,,f G% s Total Connected Load Burner Trade Name Size No. BTU HP EDR HEATING COMPANY Signed By.. /%Tel No. 7 S' q I Approved By Rough—In Date Final Date 0,r FILL OUT BACK SIDE OR STACK VERIFICATION ON REPLACEMENT FU CE Remarks: . List ALTERATIONS Being Done: HEATING CO: Signed By: Date: v «rn CBMANEY 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 1k) No ( ) 3. Has no foreign objects lodged within Yes 0<) No ( ) 4. Is securely supported Yes (>I No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes " 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 ¢Q No ( ) Remarks: . List ALTERATIONS Being Done: HEATING CO: Signed By: Date: v «rn Building BUILDING Permit No.: -ON3 Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY aN 18 2008 763-502-4977 FAX EFFECTIVE 1-1-08 DATE YOUR E-MAIL ADDRESS SITE ADDRESS THIS APPLICANT IS: ❑ OWNER ❑CONTRACTOR PROPERTY OWNER/ NAME:_ TENANT ADDRESS: 6 3S-/ '/Y-'�S ONt S-1,Ae CITY �R� .C1 C �Y STATE &A1ZIP .S�"��a PHONE: NAME: ADDRESS: CITY STATE ZIP CONTRACTOR SUBMIT A COPY OF PHONE FAX YOUR STATE LICENSE STATE LICENSE # EXP DATE PROPERTY TYPE INGLE FAMILY/NEW CONSTRUCTION SIZE/t7SX ❑ TWO FAMILYNEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH OOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: <'-' ,"BD SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES 07® OUSE & GARAGE BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used. PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING ADDITIONS. & PORCHES SUBMIT: ❑ Vinyl []Soffit 1. Site Plan/Survey showing the existing structures ❑ Aluminum ❑ Trim and proposed project. ❑ Other ❑ Fascia 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: SING THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION $_ _ d(3T OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $3 a5 $ $ J $ 1 3 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) $1825 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks pavable 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 permit and work is not to start without a permit on site; that the work will be in accordance with the ap eveI plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANT PRINT NAME �i4�/a �fc � � DATE ep 14 -600 APPROVED BY DATE