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PRE 2010 DOCSCity of Fridley, Minn. BU ELDING PERMIT Date: .... / ./�i.................... owner....................................... Address ...................................... N® 3248 Builde�: .............. Address ............................................. n LOCATION OF BUILDING N . ..:..... ' Street �. ..:........ ........ ....... Part g Lot ..... ..... .... ... Lot ......:�.�.... Block ....`. ............ Addition or Sub -Division 1 4.. Corner Lot ............ Inside Lot ............ Setback . ..... Sideyard . hr ... .::a......... DESCRIPTION OF BUILDING To Used as: Depth :::�.. ®. Height I Sq. Ft. /' O. � t Cu. Ft ......... Front ........ De ........ .................... Front ........ Depth ........ Height ........ Sq. Ft. ........ Cu. Ft. ........ Type of Construction— ".":�-....... Bst. Cost. a ®®�?..� ...... To be Completed ...e. Lrr......... . r pct- LU_t� r 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. k .................................................... In consideration of the payment of a fee of $. .........., permit is hereby granted to(. -1 ......................... 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. •fig '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. City of Fridley, Minn. BUILDING PERMITS? 4250 Date: ....---_.__._----•----•--•----------•-•--_.. Owner: .................. Builder ._.....:._.._......._. � � Address _...._ ................... _........................ _..._...._..__............ Address ............... ....... _............. _............. _................ ... ._......._.......__._.._ �� L CATIONOFBUUILDING NO. ............................... Street .....�%' ••- .. _ .. -a - ��'••:..1--... Part f Lot/.1...._.J. 77 Lot .......... ............ Block ..... -....... ..._.............,�/�........ Addition or Sub -Division .. --?ce' . --- -----?---1' ..... (o Corner Lot .................................... Inside Lot ....................................... Setback ......................................... Sideyard Sewer Elevation .................... .............. -............. -............................ _....................... Foundation Elevation . ................ DESCRIPTION OF BUILDING To be Used as: P Depth H.b Sq Front ?z�4�_. Ft.Cu. Ft.2_® Front Type of Construction Depth ...................._.. Height Est. Cost_- .............................. Sq. Ft. ...................... Cu. Ft. 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 compliance with all provisions of ordinances of the city of Fridley. /0 %l _ `7 � 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 of th provisions of said ordinances. m _ __z , 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. 4 City of Fridley, Minn. N° 7796 BUILDING PERMIT 6 � C6" Date: dune 9s 1965 Owner: Eugene Harris Builder McCall and Company Address 6811 Madison Street N. E. Address 1618 W. Lake Street N. E. LOCATION OF BUILDING No. 6811 Street Madison Street N. E. Part of Lot Lot ____5 — Block Addition or Sub -Division Rice Creek Terrace, Plat 6 Corner Lot _ Inside Lot Setback Sideyard Sewer Mevation — Foundation Mevation DESCRIPTION OF BUILDING To be Used as: Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Est. Cost %,.000.00 To be Completed Storm damage repair 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 abovee�fo ��in pliance with a& provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ , permit is hereby granted to .McCall & GQ. Don Donahue 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, Minnesotanngg 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. Allen Jensen Big Inqwtor NOTICE M perm* don trot oswr the sonstruafion, hutaliatien for wiring, phmbhtg, gas 6athgh sewer or wafer. Be euro to ae the Building h *oftr for apwaM p-ndit for thea *ams. r APPLICATION FOR• 1-M PERMIT CITY OF FRIDLKY� SOTA OWNERS NAME EUGENE HARRIS � BUILDER ADDRESS .6811 MR Ldiio n St=. NE:-' ADDRESS LOCATION OF BMDING k No., Street Part of Lot r� /9 Lot Block Addit.ioir or SubdiVisian Corner Lot Inside Lot eCek Side Yard SEWER ELEVATION FOUNDATION ATX0� Applicant. attach to this form, Two Certificates of, Survey of Lot and proposed'build-- .. ing location drAvn on these CA-ttificates . DESCRIPTION OF BOILD ING Ta be used as: d Front Depth Height- S41. eight Sq. Ft. Cu. Ft.. _,,Front Depth Height s Sq. Ft. Cu. Ft. Type of Construction Estimated Cost $. 4000.00' The undersigned hereby makes application for a permit for the work -herein specified, agreeing to do all work Sri strict accordance with the City of Fridley Ordinances and rulings Of the Departa�nt"'-of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. ,edule.of Fee Costs can be found on the Reverse Side). Roof '= siding. Glass, screens. Painting and general repair. City of Fridley, Minn, N° 7959 BUILDING PERMIT Date: JUNE 18, 1965 Owner: EUGENE HARRIS Builder SUSSEL COMPANY Address 6 811 Madison S t . N. E. Address 1850 Como Avenue St. Paul, Minnesota LOCATION OF BUILDING No. 6811 Street Madison St. N. E. Part of Lot Lot 1 5 _ Block 4 Addition or Sub.Division . Rice Creek Terrace, Plat 6 Corner Lot _ Inside Lot Setback Sideyard Sewer Elevation To be Used as: Foundation Elevation DESCRIPTION OF BUILDING Front Depth Height Sq. Ft. Cu. Ft. Front t)epth Height Sq. Ft. Cu. Ft. Type of Construction Est, Cost $1,300 _ To be Completed TORNADO REPLACEMENT - GARAGE ONLY In consideration of the issuance to me of a permit to constru� building described above I agree to do the proposed work in accordance with the description above co=p and in compliance with ail provisions of �dinanoas of the city of Fridley. % q -�7 , In consideration of the payment of a fee of 00 , permit is hereby granted to SUSSEL COMPANY to construct the building or addition as described above. This permit is granted upon the express condition that theZb ffi, arotmd nd upon sairidley, Minnesota thin the city limiffir�t may be revoked at any time upon violation of any of the provisions of said ordinances. ALLEN G. JENSEN Building Inspector NOTICE: Sh pump don not osrw the coe mcfiw, huh diom for whim phMhlnB, ass haHne, sewer or water. Be sone to as t6 Building Wspedw for separeh pwn& for dwn hems. ADDRESS 1 1. APPLICATION FOR BUILDING PERMIT CITY .OF FRIDLEY, MINNESOTA F LOCATION OF BUILDING No. Street ��Part of Lots LOT BLOCK ADDITION.OR SUBDIVISION Corner Lot Inside LOT V, Setback Side Yard SEWER ELEVATION FOUNDATIOR ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To be used as: X4424 -G Type of Construction To be completed, DESCRIPTION OF BUILDING Front 2-6 Depth` Z2 Height A— Sq. Ft, Cu. Ft. —Front- Depth wHeight Sq. Ft. Cu. Ft. M timated Cost The undersigned hereby.makes application for a permit for the work herein -specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE 417Al 6 SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). J-pVA'_Q�� .. MiiNDER ENGINEERING CO3moqlNCw ENGINEERS AND SURVEYORS L^ND SURVEYING SOILS TESTING CIVIL &. Mumciom. BNOINEERING LANG MANNING ,I$ 641$ -SGT" AVENUE N. MINNEAPOLIS 'LT. MINK. KE 7- SG37 0 �- h Imo' 'j-3 07 25 ArWE HERESY CERTIFY TWIT THIS IS A TRUE AND CORRECT REPRESENTATtM OF A SURVEY OF THE BOUNDARIES OF THE LA140 ABOVE DESCRISED AND OF THE LOCATION OF ALL BUILDINGS, IF AMY, THEREON, AND M.L VISIBLE ENCROACHMENTS, ,IF ANY, FROM OR ON SAID LAND. MINDER ENGINEE(21NG CO., INC. GATED SK►S twyGF -re.pt +s„ %e r AO.f�S Emali11gE0.$ AND SURVEYOR$ • PARTIAL RATE SCHEDULE a a rC PLWM ING FIXTURE RATES; N0, Pi RAT@ TOTAL 1.\a:her Fixtures _x $3.00 $ Wa f o r 1w $2.00 .„0 �•wnn x $2.00 S Catch 9aain • ' ' n $5.00 $ `� ar u .+ R,,u w o. 100;C00 'BTU to 199,000 BTU Naater $10.00 .J .� L 1140 .K rC C p •Np� b .0 $5,00 U .GAS FITTING FEES; ' 12t 3 fixtures x $3,00 a )Jditional rixturse x $1,00 y A x $10.00 qU Al ap O l� u' q q 1~/IC w U PO K l9 na 1eC n. is c Cott • >C -sppxje, heater j 7.1d )re < th , Fvture'Connactlon Opening Connected with Sowor 1.1 11aw Fixcvra, Old Opening Natur d ALTERATIONS rirat $100.00 each add. $100.00 or fraction State Surcharge TOTAL FEE $5.00 $ $2,00 $ .:0 97 -81. -416o51 , Job Address 6811 NE Madison Street Department of Uuildinga " City of Fridley Tel. 9571-3450 ` The undersigned hereby makes application fora permit for the war specified agraoing•to do all work in strict accordance with the C1 and rulings of the Departmont of Buildings, and hereby docla.rds th the facto and rdpreoantations stated in this application aro true Fridley, Ki, 11-16-77 OWNER EUGENE HARRIS KIND OF BUILDING frame - USED AS res. 90 TO BE COMPLETED ABOUT 11-0 -77 ' ESTIMATED COST OLD - NEW UUILDING PERMIT NO, PE(�IIT 110, a 7khd Compa7X'c M(Nkic�jASCo Signed By ' Tel. No. ROUGH INSP, Date FIN1}L INSP. Dato ' APPROVAL FOR PERMIT ✓,�� MINIMUM FEE FOR ANY PLUMBING PERMIT 19 57.50 PARTIAL RATE SCHEDULE PLWM ING FIXTURE RATES; N0, RAT@ TOTAL 1.\a:her Fixtures _x $3.00 $ Future el-ttura 6poning •' —' >1 $2.00 New Fixture, Old Opening --~ x $2.00 S Catch 9aain • ' ' x $5.00 $ `� ,.Water Neater - to 99,000 BTU x 55..00 $ 100;C00 'BTU to 199,000 BTU x $10.00 5 Water Softener x 1140 5 ' Ne'a Ground Run Old Building x $5.00 5 Elac uic Water Heater - x $5,00 $ ^� .GAS FITTING FEES; ' 12t 3 fixtures x $3,00 )Jditional rixturse x $1,00 y ;Gas Range to 199,000 BTU x $10.00 __ $ �� REPAIRS d ALTERATIONS rirat $100.00 each add. $100.00 or fraction State Surcharge TOTAL FEE $5.00 $ $2,00 $ .:0 97 -81. -416o51 , Job Address 6811 NE Madison Street Department of Uuildinga " City of Fridley Tel. 9571-3450 ` The undersigned hereby makes application fora permit for the war specified agraoing•to do all work in strict accordance with the C1 and rulings of the Departmont of Buildings, and hereby docla.rds th the facto and rdpreoantations stated in this application aro true Fridley, Ki, 11-16-77 OWNER EUGENE HARRIS KIND OF BUILDING frame - USED AS res. 90 TO BE COMPLETED ABOUT 11-0 -77 ' ESTIMATED COST OLD - NEW UUILDING PERMIT NO, PE(�IIT 110, a 7khd Compa7X'c M(Nkic�jASCo Signed By ' Tel. No. ROUGH INSP, Date FIN1}L INSP. Dato ' APPROVAL FOR PERMIT ✓,�� MINIMUM FEE FOR ANY PLUMBING PERMIT 19 57.50 CITY OF FRIDLEY Effective Date January 1, 1991 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDENTIAL RATE TOTAL Furnace Shell and -Duct Work, Q Burner (Also replacbment furnace) $ 20.00 S24, Gas Piping $ 10.00 S (piping needed with new furnace) Gas Range $ 10.00 S Gas Dryer $ 10.00 $ • Air Conditioning (all sizes) S 10.00 All Others/Repairs and Alterations It of Value of Appliance or Work S fl COMMERCIAL/INDUSTRIAL 1% of Value of Appliance or Work $ State Surcharge $ .50 TOTAL FEE $ REINSPECTION FEE $30.00. $ Rough Insp. Date Final Insp. ate Approval for Permit MINIMUM FEE FOR ANY HEATING/COOLING/VENTING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. Job Address Building Inspection Div. 6431 University Ave WE Fridley MN 55432 Tel. No. 572-3604 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and Correct. OWNER/Z! G Ti `+ 4! Vq A U b -Lis -L g9 KIND OF BUILDING �� -1 USED AS ! ��T' le ,f -7 TO BE COMPLETED ABOUT d./ (�" A"r /— ESTIMATED COST- — T— OLD - NEW BUILDING PERMIT NO. PERMIT NO. )o A i DESCRIPTION OF FURNACE/BURNER HEATING or POWER/ PLANTS Steam, Hot Water, Warm Air- No. Trade Name Size No. :2 �c L Capacity Sq. Ft. CDR BTU BP Total Connected Load -5-2 Kind of Fuel BURNER - Trade Name size No. Capacity Sq. Ft. EDR BTU HP Company s` /e, Signed By� Tel. No. Fill out back side for stack verification on replacement furnaces CHIM14EY 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 ( No ( ) 3. Has no foreign objects lodged within Yes (L -T No ( ) 4. Is securely supported Yes (K No ( ) 5. Meets all current Code requirements for size and total BTU connected YesNo ( ) 6. Has Total heating BTU's of :21:y� All other BTU's Yoe TOTAL C� f tPiU cJ Rema rk s � s Com pa ny r J 11y, ✓�. Signed By Da to SUBJECT ..PVR M I T N 0. City of Fridley` 24038 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. COMMUNITY DEVELOPMENT DIV. 1 ______ v PROTECTIVE INSPECTION SEC. r CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED By 612-571-3450 910415 4/1/96 JOB ADDRESS 6811 Madison Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 4 1 Rice Creek Terrace Plat 6 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Brian Walberg 6811 Madison Street NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO B & B Roofing 6760 Madison Street NE Fridley. 5 571-0248 9042 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 B DESCRIBE WORK Reroof House & Garage 28 S 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 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 @ $2,240 $1.12 H WITH % ER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT REME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE DOES OT PSU PERMIT FEE SAC CHARGE PRO SIO S OF ANY OTHER TE OR LOCAL LAW REGULATING CON- $74.75 Fire Sc $2.24 ST CTI NOR THE PERFOR CE OF CON TRUCTION. Ay PLAN CHECK FEE TOTAL FEE License SC $5.00 $83.11 GNATUREo C RO Au H RIZEDAG T IDATEI WHEN VALIDATED THIS IS Y'OODURR'PEERMIT ,PROPERL - BLDG SP GATE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: Legal Description: / ✓/ GL /il! 0] Effective 3/1/96 13gS Owner Name & Address: 49 / f}A) �U ff 1. ,B Cr Tel. # 8_ Contractor: 6 RDO F) At, C-,- MN LICENSE # Address:b %lyd /fd�/�vyl / Tel. # .s ZJ- Da t� 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: 0 D/= _ L� -e = Z _S0 to r Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ 1/6 Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: t + 6 Ft = Ft x $ _ $ DATE: 6J` / APPLICANT: 7172 6- Tel. #__271-e Z CITY USE ONLY Permit Fee $ 717 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 $ . Ce) $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: SUBJECT City of Fridley , 29297 AT THE TOP OF THE TWINS BUILDING PERMIT r 1. L'_�____ COMMUNITY DEVELOPMENT DIV. r E PROTECTIVE INSPECTION SEC. 1 �0"'1j CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE of APPROVED BY 1 612-571-3450 910415 4/26/99 10B ADDRESS 6811 Madison Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 4 1 Rice Creek Terrace Plat 6 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Brian/Carol Walberg 6811 Madison Street NE 574-0471 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 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION Cj REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside House; Install 12 replacement windows 9 CHANGE OF USE FROM TO STIPULATIONS Call for building wrap before covering. Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1994 Uniform Building Code. CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. SEPARATE PERMITS ARE REOUIRED 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 BO 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 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 $12,000 $6.00 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $187.25 Fire SC $12.00 PLAN CHECK FEE TOTALFEE $205.25 SIGNATURE OF CON TRACTOR OR AUTHORIZED AGENT IDATEI HEN PROPERLY VA ATED THIS IS YOUR PERMIT F'{(. I OP $,GN4 TUBE OF OWNE R, IF OWNER BUILD, IDATEI L IN BATE NEW [ ] Effective 1/1/99 ADDN [ ] CITY OF FRIDLEY ALTER j>Q SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: t b t n1b &t --trn S t - o f• Frl Gf (ec M hl Legal Description: Owner Name & Address: ZY-ja h' (d-�'b I WO-U)pb-n _Tela # Contractor: MN LICENSE # Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Length Length Length DESCRIPTION OF EUPROVEMENT Width Height Sq. Ft. Width Height Sq. Ft. —�-� Width Hgt/Ground Sq. Ft. rui,o mr)Ao 10-5r R �lS GC)�N oa Construction Type: Estimated Cost. $ I AJcoo l (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: `i Gly APPLICANT: UA&C U, 0. Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: o2S CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $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 [ ] Building $ BUILDING See Back Page for Fee Schedule Permit No.;Q0001-b0 �, y Inspections m�5 , a RESIDENTIAL APPLICATION Fire Surcharge Received By:NW W f 763-572-3604 .001 times the total job valuation CITY OF FRIDLEY $ vat V' FF A 763-502-4977 FAX License Surcharge $ NOi-c_e Rt,cz�)uL, $5.00 (State Licensed Residential Contractors) SAC Charge EFFECTIVE 1-1-09 $2000 per SAC Unit (Plans to MWCC for determination) DATE YOUR E-MAIL ADDRESS rir onta uxCC K a h o+(Y ai i. COIF SITE ADDRESS U'911 Cid i son St Ne rrid I e j Ni\1 664'6p, $ THIS APPLICANT IS: OWNER ❑CONTRACTOR Park Fee PROPERTY OWNER/ NAME: n d Mena da ace K - Fee Determined by Engineering TENANT ADDRESS: 6& Macuson St Me CITY Frid le STATE _MI`' �l ZIP C55032- 503ZPHONE: Agreement necessary ( ) Non Necessary ( ) PHONE:C1(3) U 39 — -7 a 3-7 $ CONTRACTOR NAME: uv. SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # EXP DATE AND CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE PHONE FAX PROPERTY TYPE ASINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES_ PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS XBASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ XREMODELLI�N� G DESCRIBE WORK BEING DONE: t�U71(YiQI bases h-' C bedywrn , �L� 1 f'1'�OYY� I utl t I N gem rUC rn . I M SIZE OF IMPROVEMENT LENGTH .311 F1 WIDTH `f ft HEIGHT fi SQ FT L S ROOFING ❑HOUSE ONLY NUMBER OF SQUARES N�P� ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: l3✓ 1. Existing Floor Plan GARAGES PROPOSED SIZE: N 1A ❑ ATTACHED GARAGE ❑ DETACHED GARAGE 2. 3. Proposed floor plan List of structural to be PROPOSED HEIGHT: members used SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim I. Site Plan/Survey showing the existing structures ❑ Other ❑Fascia and proposed project. 2. Two sets of construction plans WINDOWS N// 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) a PA 11 l o TOTAL JOB VALUATION Permit Fee $ ;1 j See Back Page for Fee Schedule Plan Review $ m�5 , a 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation __Surcharge _ $ t;'-0.0005 x Pen -nit Valuation Minimum $.50 License Surcharge $ NOi-c_e Rt,cz�)uL, $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 =$ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ yr Agreement necessary ( ) Non Necessary ( ) Total Due $ lY 5,39 Make checks payable to: City of Fridley Attach Stipulations 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 approved plan in the case of alANXork which requires review and approval of plans. SIGNATURE OF APPLICANT PRINT NAME,3TtP4&, J. iol DATE �f3 b 10 ,Do Page 2 - Building Residential Application BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and. up Permits for construe allow for proper rev Stephtn ¢ Merancla lot ► �Aoj_i son St WaccK- q/ W E l®1 3z- 1za��treI or etas a.r,d l;s �®l.►,r� 1, lA- e r, �rr� �X51 �mP��Lo �t,l( �Gi.v�-- iS Jv 0 P have rj er�d of +W �er% 0j® I w, lumbiI le C'Mca,Q (LoNtc'h � nAfy- se PC.ra.1C +�e "I" tS A Certificate of Sur t � � >ti �c _ �� e)(kn s, on required before proc Cj CLta,� a6' iYY1S i-h�S Yeo11 sttd _err �jru). -- ,fq " Jae,� aun. /VJ—JVG—Y7// )0 or fraction, to and 000 or fraction, to and al $1,000 or fraction, ,000 or fraction to and 31$1,000 or fraction to litional $1,000 or dditional $1,000 or f application to on will be From: unknown Page: 212 Date: 4127/2009 8:13:30 AM Building MECHANICAL Permit No.:�'U Inspections RESIDENTIAL APPLICATION Received By; 763-572-3604 CITY OF FRIDLEY rAMI P 8 2 763-502-4977FA X lirl,%Cr IVU 2. i9 -(p - DATL' jjj� . YOUR Aloao SITE ADDRESS -60... Aded" gt tt*- SOIL THIS AP111 ICAN ( IS eNWWNF-R C3MNTKA(-r0K PROPEWIlly NAMU- OWNEW TENANT A D D R fk STA rff4j/ Zi CONTRACTOR COMPANY NAMF- SUSMITA COPY OF CONTAC-1 HIRSON, - YOUR STATE STATE I 1(,I,,NSE 0 13X11 DATH LicENSS Wri'H APPI.ICATION ADDREIMS.. CITY I-ATZ Z111 IJIIUNL--..- - rAX PEitmirr,rype. A1:11140 I F. PAM I L Y 0TWO FAMILY 0 Towwlouso TYPE OF WORKi 13 NEW 0 101LACumem VIALTIMATION/Mmorim. DETAILED DWRLPTION Or. wom5;- .1264 L lda�g 4le—yWo 4F. mwd Z. AW -4�woa J(. - Q VIDES ARK HAsri.D ON $10.00 PER nx rtjiu,. Pxciarr wtimirt Nr;rFri. mx1lultEs., (woicA'rp.']VrAl. NLIMIIER or EACH 1JELOW) Equip wal jimalliKI M170. MODEL. wwrij MPG- MQT)FL MOD&- SIZj7jJj'rU AIC S2S 00 [REPLACE (PAS) $15-M UAS RANGUOVEN$1000 _AIR IR TC) AIR EXCI [ANGLER S 15 —F[ R11PLAC111 (WOOD) $35.00 —NEW GAS GRILL S 10 00 __B0ILHR$35.00 rUI1NAC11$35(H) —GAS UNIT HTR $10-0A) (21-11NINHY LINER $10.00 — CAS DRY1310 III 1K) — POOL HBATuR $35.00 .WDUCT woriksim GAS PIPING $10.0(1 — VEN i'll-ATOR $15 W JVumber qihib 61 NTj nbprq Axtul' Nkjrnbdrpr x $3$.,()0;4 S- 40 vqhqram, ,ri-iis IS AN APPLICATION FOR A PFKM1T-N01 VALID UNTIL PROC12SSED I horaby apply for a building permit and I acknowledge that the inrarmation ubove is oomploto and accurate, that the work will be in confamiarlice with (he ordinances And codes or the City of Fridley and with the M.inncsota Construction Codes; that I understand this is nol. ii permit but only all upplic-ution for a permit and work is not to stun without a permit; that the work will he in accordance with the OPPr*Ved Plan in the Case 0f4llAOrk w ich requires review and UpprOVUl Of P11111S. SIGNATURE OPAPP11CANT AWaZC1 PRINT taz=oo.., SCIRAIUM P.RRITs.A.M., a!QaRl)FQRQ[jlLC4N'13..E1jL MXAANDQ M13CHANICAIt.W.ORK City of 'Fridley Building Inspections Department 64.11 Univemky Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-5024977 119 From: unknown Page: 1/2 Date: 4/27/2009 8:13:30 AM Building PLUMBING Inspections RESIDENTL&L APPLICATION Rectived By, 763-572-3604 CITY OF FREDLEY Datjo: A P FM 2 763-502-4977 FAX-. EFFECTIV9 DATE YOUR R -M A I LADD RHS8 THIS APPLICANT is. )aowNaR r3coN I itAcrok PROPERTY NAME Lf%c!It iA&,4k OWNER/ADDIU.-S& 'r9NAN`I' 6k Ayfilrw�,- A—$ f Y___,15�d _q PHONE fill. lssi!Npuz CONTRACTOR NAMI! SUBMIT A COPY OF YOUR STATE M A'I1&LI(:LNSIJ.0 FXII DATE , LICENSE, BOND AND 91-A11111KIN119 IW DATII CCRTIFICATIl: OF ADDRESS. PHONE FAX PeamiTType W%iN(;i P FAmil Y OTWOPAMILY 13'1'OWNIiOIJSF Twii; Or WORKi 1.1w iL1d*PI.A(7EMI1NT DETAILED I)I3_S(.'j1(P'fIaN OF WOrtl< ftve. M&6jr"-h p ft_jw of PER MS 1613-665 the permit fee is a minjilill III a($1$,00 or 5% of the total Cost lip to $500,00, whichever is greater, for the improvement, installation or replacement of residential r1XI6lre, OX011.1dinp, the fixtures, (This should reflect only the cost. of labor Ubor cost under $300 = W.00. Labor cost between $300 to $500 = cost of labor X.05plus .50 surcharge 011 M 4#1:6;� wk- 'Wait rORPROJIFIC117.13 %q-IFRIz I.AO('JFL Fixerrm sm, rRI33-9 ARE BASED ON$10.(K) PLR ITIXTURC, LXCEFr WI -111-1111 NOTED Al'I.TRES: (INDICATIF TOTAL NUMBER OF BACH BELOW) MINIMUM FEE $15 50 _XBATI-I SINKILAV W 1-100it I)RA(NN si-lowElt WA11111i III PING FIhTI I'I*t 10 (1,AS VIIIINO (NFFI) CITY I. IC) SWIMMING POOL WATIzit SOFTN Rit ($35) CLOTI-IES WASHER KncH[!N SINKBACKPLOW IIKIIV (SIS) WAF6KC1.08FIT —DISHWASHER —LAUNLIKY*I'ItAY HEATER ($35) IzOR IRILIGATION _WATER WATER METER OTHER [n.nign,(T13f31;!?,ft Pim dy g goo: Permit Fee Number offixtures @$10.00 'D X$10.00-$ Surcharge 5 Number orlixtures @ $15,00 x $15.00 = 014 Number or fixtures @ $35-00 x $35.00 = TOTAL DUE $ o State Surcharse MINIMUM $15,50) (MINIMUM S15,50) Tota1=$77-122. THIS ANN 1-1-1. ICATION POR A PERM 17 -NO -I VALID UNTIL VROcII-8811ri I hereby apply for 4 PILIMbin$ Ile)-niii and I acknowledge that the inromintion above is complete and 2CCLita tC1 that the work will be in conron,nancc with the ordinances and codes al*ffie Cily n1' Fridley and with ilia Minnesota Construction Codes; that 'I underStUrid this is not a permit but only an application fin' a pqiTnj1 and work is not to start without a permil on site; that the work will be in accordance with the approved plan in the camof I work which requires review and approvul of plans. SIGNATU100FAPPLICANT- 1'1(lN*I"NAMF5�fA6__4?tC_1�iL DATF APPROVED BY FRASE NOTE. 'SERAX—ATE PERMITS ARE RIr • UIREIJ FOR BUHNNIG. 9LB0'IX1CAAND M151M. AMC". W. I City of Fridley Building Inspections Department 64.11 University Avenue NE, Fridley, MN 55432 763-572-3604 1 10" PAX: 763-502-4977 ef X11