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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N® 3642 Date:./.�...��...�"..: ............. owner ....... Builder M......... Address ...................................... Address ............................................. LOCATION OF BUILDING No. .�.%� y /../r .. Street .. .lK.' ........... Part or Lot .j........ . ........ ..............�..... Lot .../A..... Block ..... �� ......... Addition or Sub -Division or ..`�',4 � Corner Lot ............ Inside Lot .?(......... Setback.... Sideyard ................ DESCRIPTION OF BUILDING To Used as: , Q !' n ..... Fronts ® Depth s (Height ./ ! . d Sq. Ft. ,�l.�r... Cu. Ft. �✓ s� © � ... ... Front . (. � : � Depth .� �.. f Height �i� . ?fl. Sq. Ft..3�� Cu. Ft.��.� �. Type of nstruction ................... Ast. Cost... � . �..,� . . � ro 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. .`i..Y4C.............. ........... 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 with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. Y d T. Af*j � : 4 A .......... 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 a 9 I. d'7 >,ep SNE Gev �a ��M� - �, .C.' `4i't W E E. R 5 AND SUPLVEYORS L^NO Pt-" AVENUE mi mm EXP6LIS, M. MIN KE: Wr If Al W7 'T, 0� P fmk� , a 4 ih, A, ..................... . 1, % 41" al Nk P t tk -w- ON 19 04- 9 SuBjECT PER City of Fridley 28219 AT THE TOP OF THE TWINS BUILDING PERMIT 572-_ 5MMUN RE CEIP r`v _ COITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 6;73 07 r 1 ; t NUMBER REV DATE PAGE Of APPROVED By CITY HALL FRIDLEY 55432 612-571-3450 910415 10/13/98 JOB ADDRESS 6711 Madison Street NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 12 4 Rice Creek Terrace at 6 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Christine Berke571-4789 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Lloyds Home Improv. Inc - 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 3a 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. 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 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- STRUCTION OR THE PERFOR ANCE OF CONSTRUCTION $74.75 Fi3Q SC $2.06 PLAN CHECK FEETOA FEE )l/ k Lice S 5 .84 SIGNATURE OFC TAACTOA OR AUTHO i ED AGENT EN RO VALID THIS 1§ YOUR P IT b SIGNATURE OF OWNER of OWNER BUtLDERt iDATE� BL �NS� - rlAtE 9 NEW [ Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION 1IA ConstructionAddress: 6711 MADISON ST. NE �I Legal Description: Owner Name & Address: CHRISTINE BJERKE Tel. # 571-4789 Contractor: LLOYDS HOME IMPROVEMENTS, INC., MN LICENSE# 0001798 Address: 1012-421-2 AVE. NE. COLUMBIA HEIGHTS, MN. 55421-3159 Tel. # 788-5602 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlVIPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: 24 sq. Construction Type: TEAR mFF & RF.RnnF H()TTSF. Estimated Cost: $ =4WfiQfixfta= 9, 0 55-6 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: 10/13/98 APPLICANT: CITY USE ONLY Tel. # 788-5602 Permit Fee $ 7q. 75'- Fee Schedule on Reverse Side Fire Surcharge $ 2.0(. .001 of Permit Valuation (1/10th%) State Surcharge $ 01 $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ 5. 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 $ - c6 STIPULATIONS: SUBJECT P NO. City of Fridley 29904 AT THE TOP OF THE TWINS BUILDING PERMIT r ` RE O. rry _ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. f � � PROTECTIVE 1 NUMBER REV DATE PAGE OF APPROVED By = 1 o-1% CITY HALL FRIDLEY 55432 ' 612-571-3450 910415 7/19/99 JOB ADDRESS 6711 Madison Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 12 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Christine Berke 571-4789 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Lloyds Home Improv. Inc. 1012 42 1/2 Ave NE Co s S5421 788-5602 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 ®K ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Enclose 6' x 11' patio behind arae & add 6' x 11Addition 9 CHANGEOFUSEFROM TO STIPULATIONS See stipulations on plan WARNMG Before digging call for aN utility locations 04.0002 REQUIRED BY LAIC MPRRATE PERMITS Rtyum. w FM' ii WIRING. HEATING, PLUMBING AND SIGH 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 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 $8000 $4.00 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 - TR CTIO OR THE P RFOR ANCE OF CONSTR TION $153.25 Fire $8.00 PLAN CHECK FEE E =� Lice S $5. 0 4AT ;775 SIGNATURE OF CO :RACTO OR AUTHORIZED GE t aDA'TE, EN Rol HIS I7- R P MIT SIGNATUREOF OVVNERIIF OWNER BUILDER. (DATE. "rA 1NSP io19d NEW [ ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 6711 MADISON ST., NE Legal Description: Owner Name & Address: Contractor: CHRISTINE BJERKE LLOYDS HOME IMPROVEMENTS, INC,., Effective 1/1/99 M Tel. # 612-571-4789 MN LICENSE #0001798 Address: 1012-42z AVE. NE, COLUMBIA HEIGHTS, MN. 55421-3159 Tel.# 612-788-5602 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 IMPROVEMENT Length Width ' Height Sq. Ft. Length Width Height Sq. Ft. Length Width Sq. Ft. /f Estimated Cost: $ B, (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ A r, DATE:LA t.4 R APPLICANT: Tel. 101 1 CITY USE ONLY 4 Permit Fee $ �Jr Fee Schedule on Reverse Side Fire Surcharge $ &V .001 of Permit Valuation (1/10th%) State Surcharge $ d0 $.50/$1,000 Valuation SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ $1050 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 [ ] $ /Pe) -ate G SUBJECT P City of Fridley 313 61 AT THE TOP OF THE TWINS BUILDING PERMIT E EIPT NO. ____ COMMUNITY DEVELOPMENT DIV. v r PROTECTIVE INSPECTION SEC. F 1 = �---1 CITY HALL FRIDLEY 55432 "'' NUMBER REV DATE PAGE OF APPROVED By 612-571-3450 910-FIS 9/5/00 JOB ADDRESS 6711 Madison Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 12 4 1 Rice Creek Terrace Plat 6 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Christine Bjerke 6711 Madison Street NE 763-571-4789 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Lloyds Home Improvements Inc 1012 42 1/2 Ave NE, Columbia Heights, MN 55421 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 763-788-5602 1798 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION Ci REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside; window trim, doors, garage door 9 CHANGEOFUSEFROM 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. 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 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 $10,550 $5.28 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 CH GE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON. $195.25 Fir SC $10.55 STRUCTION OR THE PERFORYANCEnOF CONSTRUCTION ` PLAN CHEC TOTA FEE AS.G Lice%e C $5. 0 $ 6.08 TUREOFCONTRACTOR ORAUTHORIZEDAGE (DATE, HEN P OP VA IDA T D IS 1 ;A:RMIT BLO INSP RATE S-GNATURE OF OINNERI,F OWNER BUILDER, (DATE, G NEW [] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 6711 MADISON ST., NE Legal Description: Effective 1/1/2000 (763) 572-3604 Bldg Insp Owner Name & Address: CHRISTINE BJERKE Tel. # 763-571-4789 Contractor: LLOYDS HOME IMPROVEMENTS, INC MN LICENSE # 0001798 Address: 1012-42-1, AVE, NE 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: Construction Type: REMOVE & REPLACE SIDING Estimated Cost: $ 10,550,00 COVER WINDOWS, DOORS, GAR., DOOR 763-788-5602 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ l DATE: 9/5/00 APPLICANT: Tel. # 763-788-5602 CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ 5,;L9 Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1100 per SAC Unit License Surcharge $ (3 $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: $ ,�-,`� f . b of CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURFS To RF INSTAI I Fn ON FAr14 FI nnR Effective On Jan 1, 2000 in M�� 14M MTF743.177_7 RM 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*' NO. RATE Gas Dryer** _ Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL FEE (� ?) ����is�� � TOTAL JOB ADDRESS_ ARE- OtS dta�tJ Ems. 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 P,uilding Division, and hereby declares that all the facts .and representations stated in this application are true ant. `T ( /d correct 20 Owner U /f �ML�,6 �j/erkC,, - &ZI It Ma -d soy..Rrect NC-. Building Used As.CZ oo Estimated Cost PERMIT NO, L� PLUMBING COMPANY (4 SIGNED BY _ a TEL NO.A%Z"SU-zk 1, Approved By Rough -In Date .50 Final DMINIMUM F ANY PLUMBINGIGAS PERMIT IS $20-00a � IZbc� $2aPLUS THE S.50 /STATE SURCHARGE . 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 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 () 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 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 installina 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 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 in Type ALTERATIONS: (Describe) HEATING Cb: Signed By: Date