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PRE 2010 DOCSCity of Fridley, Minn. WELDING PERMIT N® 3776 Date: ...,1.... /",:'.... � .. 7............ . owner ....................................... Builder Address ...................................... Address ............................................. LOCATION OF BUILDING No. ./.. l.. Street ../� .:: . ...,...�. Part of Lot ............. ............ .. Lot ...... r.... Block .... ........... Addition or Sub -Division 4a - -OV-44 Corner Lot ............ Inside Lot . K......... Setback Sideyard .l t�.:��.*`r. 7/ lq.�... . DESCRIPTION OF BUILDING T be Us as ........... >o'..: Depth;?;q:. Height .J 9- ®` sq. >.. ca. Ft./0.4I .................... Front ........Depth ........ Height .... Sq. Ft. ........ Cu. Ft. ........ Type of Construction ................• . Est. Cost- k.�.=... To be Completed ............. In consideration of the issuance to me of a permit to construct the building dearibed 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 $../1P ....... 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 auy of the provisions of said ordinances. 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. City of Fridley, Minn. BUILDING PERMIT Ko 4243 Date:....._..�_... _.`._._... ...�-/.. .... ..G_ ........ .............. ... Owner: ---.. . .................... ...... ....... _...................... ......... _........................ _.................... Builder�i . .f.... ...._. ` .... Address ..... .............. _......._.__......._..._.._.._...._......_.._.._.._ _ _..... - Address ........ _............. ........... ................................. ........... — _ n OCATION OF ?BI�ING NO. Street /Strreet ..... .....�.........�It...�:`..r........... Part of Lot ............. _...._........................... _..._... a ' Lot ._.._.... .............. Block ............. ..._.......... ....._<:..... Addition or Sub -Division CornerLot .................................... Inside Lot9 ......................... Setback ..... _............. _........... ........... Sideyard.....----..........-............._............._............._.._._.... Sewer Elevation ...... .................. .......... _............. _........................ ............................. Foundation Elevation DESCRIPTION OF BUILDING To be Used as: ��J � s /9 o Front .4%.Y.. i= Depth . ,2.-A) Height /.....9_.__� Sq. Ft. Cu. Front........................ Depth ........... ....._.. Height ..................... Sq. Ft. ...... ................. Cu. Ft........................ Type of Construction ....... ................... ........................ .....- Est. Cost ......1.�A ...:7........''....... 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. r, In consideration of the a �® 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 the 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 we the Building Inspector for separate permits for these hems. 4 wr ,. moi_ .01 x' BLOCK ADM33 / � SAM, .D• TM, ....... ............ .........._.......'...`......._......................._...._....._.._................_............ _._._.._......... Property Line 6 a 7 .Ala. ® as $ 40L 14 4 e✓ 6 A F'gront ►erty Line Date: City of Fridley, Minn. BUILDING PERMIT May 22, 1965 a� ��,-, N® .7498 Owner. Paul Koch Builder James M. Sands, B1drs. Address 6751 Madison St, N,E. Address 400 Maple St._ Sa�zage LOCATION OF BUILDING No. 6751 Street Madison _ Part of Lot Lot 8 ___ Block 4 Addition or Sub.DivisiojRice Creek Terrace 1 Plat 6 Corner Lot _ Inside Lot _ Setback --- Sideyard Sewer Elevation To be Used as: Front Front Type of Construction Foundation Elevation DESCRIPTION OF BUILDING Depth Height Depth 1feMb ____ Fest. Cost _ Sq. Ft. Cu. Ft. Sq. Ft. Cu. Ft. To be Completed — Repair storm damage. Frame house & garage. In consideration of the issuance to me of a permit to construct the building descri above, I agree to do the proposed work in accordance with the description abovg�set forth and in cor with all provisions of ordinances of the city of Fridley. f -"%A 11A In consideration of the payment of a fee of $ 10.00 permit is hereby granted to James M Sands, Bldr. 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 of the provisions of said ordinances. Building Inspector NOTICE: We permit deer not cover the constriction, installation for wiring, plumbing, gas hosting, rower or water. Be sun to no the Building Inspector for separate permits for these hems. 4 V APPLICATION FOR B ING PERMIT CITY OF FRRIDLXYj NNESOTA OWNER'S NAME /` .L �/ BUILDER ADDRESS / a ADDRESS LOCATION OF B1UDTWG 6 No. Street Part.of Lot. Lot Block 7' Additioze or Subdivision Tl Corner Lot Inside Lot ;,:$etisack SideYsrd SEWER ELEVATION FOUNDATION ELEiYATION Applicant attach to thi3 form, Two Certificates of, Survey of Lot and proposed build— ing location drAvn on these Certificates. To be used as: DESCRIPTION OF BUILDING Front Depth Leight - Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Estimated Cost �. -Completed /us The undersigned hereby makes application for a permit for the work herein specified, agreeing to iso all work iii 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. _ /'/ / glos- SrrKM= to jSchedule of Fee Costs can be found on the Reverse Side) . r _ s UA 01, SUBJECT PERMIT City of Fridley 19543 AT THE TOP OF THE TWINS BUILDING PERMIT _ r � R COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. 1 PROTECTIVE 1 � � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 6/17/88 JOB ADDRESS 6751 Madison Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 4 Rice creek Terrace Plat 6 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Richard Darling 6751 Madison Street N.E. 574-0844 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 x REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling (30' Squares ) 9 CHANGEOFUSEFROM TO STIPULATIONS Roof can be 2nd layer but not 3rd. Install ridged xzkam galvanized valleys. On all new roofs or tear -offs and replacement mots, State Code requires that 2 layers of 15 Ib. felt, hopped together, be imtailed to a point 24 inches bh tro'm n'tOu well line, or the use of other approved undetlayment membrane. 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 1 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AWORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1 $.75 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT ,500 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- $35.00 THE O CONSTRUCTION. STRUCTION Op THE PER OR A CHECK FEE TOTALFEE $35.75 SIGNA REOCO iRACTORORAU ORIZE AGENT IUWTFi WHEN PROPERLY VDATED THIS IS YOUR PERMIT r 19 SIG T FOV NRI O I I (DATE I BLDG IN Ty I UA 01, NEW [ ] ANDN [ ] ALTER [ ] Construction Address Legal Description:_ Owner Namne & Address Contractor: Address: City of Fridley R-1 AMID R-2 Building Permit Application s Effective 5/1/88 Tel. # Tel. # Attach to this application, a Certif i;cate of Survey of the lot, with the proposoed constructioi:;kawn on it to scale. DESCRIPTION OF IMPRM940TI, LIVING AREAL Length Width Hei..gIt Sq. Ft. G MGE AREA• Length ` .WidtYi' Hei t' DECK AREA: Lenath V 'Wi /Groan f 9q. Ft. ,. Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Szd��'Yard °Stbacks Type of Construction: Estimated. -.post: Approx. Completion Date: Alt. A Alt. B Proposed Driveway Width If New opening Is Desired: $ $ m6' See Back Page A�4-46 �-"O DATE: APPLICANT: li Tel. 4II'y USE MLY Permit Flee State Surcharge SAC Charge Driveway Escrow Park Fee Sewer Main Charge TOTAL 91`TIMMONS: Flee Schedule on Reverse Side $.50/51,000 Valuation $550 per SAC Unit Alt. *A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] sue.IEcr P City of Fridley � 5AT THE TOP OF THE TWINS BUILDING PERMITR _ a86 CEI `y —_____ COMMUNITY DEVELOPMENT DIV. INSPECTION 9 r -I PROTECTIVE SEC.d-- NUMBERREV. DATE PAGE OF APPROVED BY /'"1 CITY HALL FRIDLEY 55432 �.j 612-571-3450 910-F15 9/24/86 JOB ADDRESS 6751 Madison Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 4 1 Rice Creek Terrace Plat 6 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PH.ONE Dick Darling 6751 Madison Street N.E. 574-0849 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 Cj ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Construct a 191 x 24' Garage Addition 9 CHANGE OF USE FROM TO STIPULATIONS Must use 2" x 6" Rafters, 16" On center. Provide a hard surface driveway, p�E.R:I�`CTS REQ SEPAR��WARNINGE Before digging call local utilities �;j1�` p � 'N �� WIRING, 'N1 TELEPHONE -ELECTRIC - GAS Etc. REQUIRED BY LAW SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMtS 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 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 $5,575 $2.80 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. $56.50 PLAN CHECK FEE TOTALFEE $59.30 SI A URE 9�F'CONTRAC/Ty^ORO/RAUTHORIZED AGENT (DATE) WHEN PROP RL V (DATED THIS IS YOUR PERMIT BLDG INSP F SIGNATURE OF OWNER IIF OWNER BUILVERi^ IDATEI NEW [ 7 City of Fridley Effective 4/1/8( ADDN. [ 7 R-1 AND R-2 I ALTER. [ 7 Building Permit Application Construction Address: 6 22 / %ala 5 c' Legal Description: /a i 4 j3/ Owner Name i_ Address: ile /L A, A A e- G is-/ M41 . 5 ep -N Tel. Contractor: 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: Length Width __ Height Sq. Ft. GARAGE AREA: Length __ Width Height Sq. Ft. DECK AREA: Length __ Width Hgt/Ground Sq. Ft. OTHER: CAI A rL Y4 j = /'9 X A,/ Corner Lot [ ] Inside Lot Ft. Yd. Setback ___ Side Yard Setback � ' v Type of Construction: i% Estimated Cost: i �59SP Approx. Completion Date: ' JAa',S Alt. A Alt P Proposed Driveway Width If.New Opening Is Desired: $ $ See Back Page for Explanation DATE: 7- o? y - QAPPLICANT: c� Tel. � Q1' C SE ONL Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Hain Charge Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $475 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS MINDER ENGiNEE4RING C0,11INC, ENGINEERS AND SURVEYORS LAND SURVEYING SOILS TESTING CIVIL 8r MUNICIPAL ENGINEERING LANO PLANNING 6418-S6TM AVENUE N. MINNEAPOLIS 2T, MINN. KE 7- SG37 1C4pr-tilica it of IS Norw(Fir - -ro r - 7-,y Ho m f -s, cy 1� o ,5CA4E 30 v0vi o c,r 4, RI c -,r CRErx 7,=,?i?hcF Pur6 WE HERESY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF TME LAND ABOVE DESCRIBED AND OF THE LOCATION OF ALL BUILDINGS, IF ANY, THEREON, AND ALL VISIBLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND. M IN D R EN G I N EE R I N G CO., INC . DATED THIS ONYOF A.O.t�j6 6►�IBERg ANO SURVQYORS 7_? 7 1 a„ GNOE FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 February 21, 1996 Richard Darling 6751 Madison Street NE Fridley, MN 55432 Subject: Property at 6751 Madison Street N.E., Fridley, MN Dear Mr. Darling: The above referenced property is not located in a flood hazard area. It is located in Zone C, which is defined as "areas of minimal flooding", of the Federal Emergency Management Agency's Federal Insurance Rate Map. The Community Panel Number of the map is 270013 0003 B, dated March 2, 1981. If you have any further questions regarding this issue, please contact me at 572-3593. Sincerely, Michele McPherson, BLA Planning Assistant MM/dw C-96-31 CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Frifaley, MN 55432 572- 3604 F FIXTURES TO BE INSTALLED ON EACH FLOOR rJte'> Y... ... Wash ;i�.r..ink::::, Floor Gatch�<;; Auto. Gas i > IN:s..:::>>.;: Water a er St i ores s�?#et . Urinal T b.... how ertik: Tray Eout�f<; Drain Basin :>< Washer ApT >> Ran a 1~iz `:<> Gas ec Basement Floor 1 Floor 2 >;:::: Floor 3 Floor 4 =r APPLICATION FOR PLUMBING AND GAS FITTING PERMIT Effective On March 1, 1996 MARK NUMBER O **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SD INCHES. CARL I PSC+ R I CHARD M PLUMBING FIXTURE RATES: NO. RATE TOTAL i ;THEH:.T JOB ADDRESS FR I' I r�� I :='� �r; ";��iFDLEr' 5 3.2' 6< H 574-0849 id O® New Fixtures $ 7.00 The undersigned hereby makes application for a permit for the work herein Cf 2 N Old Opening, New Fixture $ 4.00 specified agreeing to do all work In strict accordance with the city codes K-w1aulz Beer Dispenser Blow Off Basin_ $ 5.00 and rulings of the Building Division, and hereby declares that all the facts �v'1<g � _ $ 7.00 and representations stated in this application are true nd orrect.L�® Catch Basin $ 7.00 4ru.3. Rain Water Leader $ 7.00 9- , 1,*, -j � 0< Sump/Receiving Tank $ 7.00 ¢ �Z Water Treating Appliance $10.00 Owner L� — c/ a9 v zy 82 Water Heater -Electric $ 7.00 •� Water Heater - Gas** � $10.00 10� Building Used As Gas Range** $10.00 � � Gas Dryer** rY $10.00 Estimated Cost PERMIT NO. �15� 400 Back Flow Preventer Required ( )Yes () No Type $15.00 `` nn,,^ PLUMBING M NY L"4 MAJAX C.O. Reinspection Fee $42.00/Hr SIGNED BY TEL N0. RZ 7- 4053 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance Approved By Rough -In Date Final Date State Surcharge .50 n� MINIMUM FEE OR ANY PLUMBING GAS PERMIT IS 20.00 TOTAL FEE $ 0'�J� PLUS THE $.50 STATE SURCHARGE SD INCHES. SUBJECT City of Fridley 2 6 4 4 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. ______ COMMUNITY DEVELOPMENT DIV. I L PROTECTIVE INSPECTION SEC. r c�J(rJl REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432NUMBER 612-571-3450 910-F15 7/2/98 JOB ADDRESS 6751 Madison Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 4 Rice Creek Terrace Plat 6 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Richard Darling 6751 Madison Street NE 574-0849 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Hass Bros Construction 638 E Cook Ave, St Paul, MN 55101 771-4502 3754 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 O ALTERATION Ii REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Repair Windows, Siding & Roof - WEST SIDE ONLY - STORM DAMAGE 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 MOT. 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 $500 $.50 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 STVE OR LOCAL LAW REGULATING CON- $21.00 Fire SC $.50 STRUCTION OR THE PERFORMAACE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE License SC $5.00 $27.00 51 ATUREOFCONTRACTOR ORAUTHORIZED AGENT IDATEI WHEN PROPERJdy VALIDATED THIS IS YOUR 1B�G INS ;/XIPERMIT /ATE SIGNATURE OF OWNER IIF OWNER BUILDERi IDATEI NEW [ l ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress : Legal Description: Owner Name & Contractor: Address:. fo 3 LIVING AREA: GARAGE AREA: DECK AREA: OTHER: 0 C-13. Effective 1/1/98 aaI� � a` 55 - Tel. # _5-7q MN LICENSE # 3 7s4/ _Tel. # q / VS -0 2 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF MIPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Width Hgt/Gr nd Sq. t. Lent_SCT'70� I S?z Construction Type: v ` D Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: Tel. -.9/3 TOTAL $ �' Da STIPULATIONS: CITY USE ONLY dell Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ 5'0 .001 of Permit Valuation (1 / 10th %) State Surcharge $ 5'_G $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ S 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 $ �' Da STIPULATIONS: SUBJECT P IT NO. City of Fridley 3 2 7 4 9 AT THE TOP OF THE TWINS ? BUILDING PERMIT r ` R E C-E-1 P—T WO. : COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. J ! CITY HALL FRIDLEY 5542 NUMBER REV DATE 7/2/02 PAGE OF APPROVED BY 612-571-3450 910-F15 JOB ADDRESS 6751 Madison Street NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 4 Rice Creek Terrace Plat 6 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Richard Darling, 6751 Madison St, Fridley, MN 55432 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO B & B Remodeling, 6760 Madison St, Fridley, MN 55432 763-571-0248 9042 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO B USE OF BUILDING Residential 7 CLASS OF WORK CX NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK New siding 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 to 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 the 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 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 ANDANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $6,200.00 $3.10 WIT WHE HER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 0 S NOT PRESUME TO GIVE UTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE P OVISIO S OF ANY OTHE STATE OR AL AW REGULATING CON- $139.25 Fire SC $6.20 TRUCTI N OR THE PERF MANCE OF N CTION PLAN CHECK FEE TOTAL FEE License $5.00 $15 55 SIGNATURE# CON TRACTOR OR AUTHORIZE D AGENT IOATEI EN ROP ALIDATED IS IS YOUR PERMIT 7-3-4AP-1 OG INSP 7 GATE _ SIGNATURE OF OWNEROF OWNER BUILDERI - IDATEI NEW [ ] CITY OF FRIDLEY Effective 1/1/2002 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Z5 Legal Description: Owner Name & Ad r@ess: Tel. # Contractor. /, �CJ/� /�1� MN LICENSE # '/'49 Y02 - Address: Tel. # A: X57/ oa`/�- 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: 4 Estimated Cost: $ Cog®®r 0"r�> Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ DATE: 7- Z a z APPLICANT: Tel. # 763 s 7/ o z /f Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge $ /3 $ ' $ 3.1y TOTAL $ Q CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 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: CITY OF FRIDLEY INSPECTION DIViSION�Ci ��//� Effective On January 1, 2002 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS �� I S 0 /0 RATE SCHEDULE (:)4�L( �y (f,OWNER Residential IRate Furnace Shell and Duct Work, Burner - TOTAL BUILDING USED AS Also Replacement Furnace (Side Vent - Fill Out Back) $ 30.00 ESTIMATED COST PERMIT NO. Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) DESCRIPTION OF FURNACE AND OR BURNER Gas Range $ 10.00 $ No. of Heating Units_ Circle One (Steam) (Hot Water) arm Ai Gas Dryer $ 10.00 $ Trade Name PelL-- Size No. BTU 7& doy HP ZZ EDR *Air Conditioning - All Sizes $ 25.00 $ Fuel_zOf Total Connected Load `/1 v00 All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name Size No. 1% of Value of Appliance or Work $ 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 specified agreeing to do all work in strict accordance with the City Codes an State Surcharge $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. TOTAL FEE $ DATE 7— MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION _�� HEATING CO REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE Signed _ZA�9� TEL # FAX # REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without Approved By Rough -In Date written permission from adjoining property owner. L� Final Date 10.) 1 a - THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED COMMON VENT. VENT CONNECTOR AND COMR1 ISTION AIR V RIFI CATION When re lacing an PAsting 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 px_ fisting comhustinn air is sized and installed to meet the current codes and manufacturer's specifications. Yes(-) No( ) When required to install a new comhustenn air.itwill be sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When inc_talling a new v _nting sy-ctem, 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 #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 HEATING CO: Signed By: Date: a006=X71 CITY OF FRIDLEY INSPECTION DIV. Effective April 1, 2004 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT (763) 572-3604, FAX (763) 571-1287 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR 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 $10.00 $10.00 $10.00 $10.00 $10.00 $10.00 $10.00 $35.00 $35.00 $35.00 $10.00 $10.00 $15.00 Reinspection Fee $50.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.25% of Value of Fixture or Appliance State Surcharge TOTAL JOB ADDRESS (,o75-( `%cbswl Sl PE 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 are true and correct. DATE: 3 Z 20 O-�_ OWNER AI G kc;f f- ('Gt V 1111 3S - Ov BUILDING USED AS_ R-eS (d e -W l I Gl I ESTIMATED COST 2-00'00 PERMIT NO. PLUMBING COMPANY_ N1' f2r yy r5 SIGNED BY V I/ tnQ L S6= TEL N0. �S 3 (O S 13410 S6 Approved By Rough -In Date Final Date MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 or 5% OF COST TOTAL FEE $v OF THE IMPROVEMENT WHICHEVER IS GREATER PLUS THE SURCHARGE. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. "PROVIDE COMMON VENT INFO ON BACK SIDE 3S'__5-() f 0 FILL IN COMPLETELY FOR REPLACEMENT FUEL BU14NING APPLIANCE PERMITS COMMON VENT: VENT CONNECTOR AND COMBUSTION.AIR VERIFICATION When replacing an existing Wrnace, 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 venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes 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 ( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes ( ) No( ) No( ) 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 ( ) 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 ( ) 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 CO: Signed By: Date : No( ) No( )