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PRE 2010 DOCSCity of Fridley, Minn. BUR DING PERMIT . . Date: ........................................ Address ...................................... N® 3.252 Builder Vc :' " Address...6 ........................................ LOCATION OF BUILDING No. " I s� * F� ............ Street �%I�� '�/ ............... Part of Lot ..... ... ........... . Lot ............ Block ...... ::......... Addition or Sub -Division ./V Vii'. Garner Lot ............ Inside Lot ............ Setbacks..... Sideyard Zn .... �:�'. a.:7' . Q ......... DESCRIPTION OF BUILDING To be Used as: ®.... X.. �Y ...... Front Depths ,i.. -n. Height .... Sq. F't./Q: .................... ........ Depth ........ Height . , ..•... Sq. Ft. ........ Cu. Ft. ........ Type of Construction _17nt '::A:: ': .... Mat. Cost. .I ® ` ' ��.. ... To be Completed ? rz. 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. ,)( .................................................. „ �,�. • •In•consideration of the payment of a fee of $ .., permit is hereby granted p �u . ............... to construct the buildingor aThis eras ...ddition as described above. 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. � Building Inspector NOTICE: This permit does not cover the construction, Installation or alteration for wiring, pTumbing, gas heating, sewer or water. Be sure to see the Building Inspect* for separate permits for these Items. MxNDER ENGD EM1 NG Co., INc e ENGINEERS AND SURVEYORS LAND awavayiNe SOILS TESTING CIVIL Au KAUt4lClP^L ENGINEEMING LAMO PLANNING 4418-54'ru AVENUE N. MINNEAPOLIS TL MILAN. KE *T- SG37 V, R C) I by Building lln - --------- Z-' o 1-7— 5—z- -9 WE HERESY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF X SURVEY OF THE BOUNDARIES Of THE LAPID ABOVE DESCRIBED AND OF TRE LOCATION OF ALL BUILDINGS, IF ANY, THEREON, PAID Mir VISIBLE ENCIZOM14MENTS9 IF ANY, FROM OR. ON SAID LlkNO. MENDER ENGINEERING CO." INC. OATrLp -mls_ my CF EM014REMS MID st)"llyov-s er 7 qta City of Fridley, Minn. BUILDING PERMIT x? s?s1 Owner: 42�.9 � Buffle-1 Address Address YCATION UI DING No. A&- :Street ' Part Lo Lot 81ock Addition or Sub- on Corner Lot Inside Lot _ **back Sideyard Ale fAC OF Sewer Elevation Fo dation Elevation DESCRIPTION OF BUILDING AW E To T, d Front Depth Height Sq. Ft. Cu. Ft DepthHeight Sq. Ft Cu. Ft 40 dowse—MM Type of Construction A isr- Est–CuP &M—W–ro 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 ail provisions of ordinances of the city of Fridley. .T" 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 n, around and upon said building, or any pari thereof, shall conform in all respects to the ordinances of Fridley, Milmesota regarding location, construct%n, alteration, maintenance, repair and moving of buildings within the dty limits and this permit may be revoked at any time upon vion of any of the provisions of said ordinances ;,r !'' � "mss"' ,- =..a.� � � • - NOTICE: 'fids pwmh den not cover the conn miloe, huhlWm for wiHM phnnbing, gn haating, saver or water. Be sure to sae the Building bupeder for spm to pwmhs Por thea hams. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER' S NAME EA M is . H l I U S t ft BUILDER ADDRESS ) % - /n- A.& ADDRESS ,c r / 3 �( - 7` /i n1 /1- s At 61 OF BUILDING - No. :'' 'Y'3- Past of . Lot Lot Block Addition or-Subdivisi Corner Lot AOOO" Inside Lot Setback Side- d SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed build- ing location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as: Front Q Depth Height -� Sq. Ft. 11410 Cu. Ft. 1 Front I Depth Height Sq. Ft. Cu. Ft. Type of Construction Lt A. in .P Estimated Cost To be Completed 19 CIO— 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 ® — _ 4/,SIGNATURE �- U 13 19 -1 /2,3. / At C (Schedule of Fee Costs can be found on the Reverse Side). City of Fridley AT THE TOP OF THE TWINS suB�Ecr BUILDING PERMIT PER NO. _ 110. 500 COMMUNITY DEVELOPMENT DIV. r 1 PROTECTIVE INSPECTION SEC. 1 = � CITY HALL FRIDLEY 55432 L 612-571-3450 R EIPT NO It NUMBER 910415 REV. DATE 8/12/86 PAGE OF APPROVED BY JOB ADDRESS 6851 Madison Street N.E. 1 LEGAL DESCR. LOT NO. 1 BLOCK 4 TRACT OR ADDITION SEE ATTACHED Rice Creek Terrace Plat 6 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Joseph Hrncir 6851 Madison Street N.E. 571-1170 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Modern Insulation Inc. 10779 - 93rd Avenue North, Osseo 55369 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 JJ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside & insulation 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD. VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION ZONING SQ. FT. CU. FT. OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT 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 AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT VALUATION $8,000 SURTAX $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- S\9VCTION OR THE PERF RMANCE OF CONSTRUCTION. $68.50 PLAN CHECK FEE TOTAL FEE $72.52 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENTIDATEI _ WHEN PROPERLY BLDG )NSP ALI DATED THIS IS YOUR PERMIT o A CJ, OAA E SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI NEW [ ] City of Fridley Effective 4/1/86 ADDN. [ ] R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: Legal Description: t-1 I 5 1 vc- 6 0 A/ V! Owner Name & Address ti W� y < Tel. # ���� �� Contractor: D 2 X741 S U k %r oy `�' y !rel. # Address: r�'?A!)d LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Corner Lot [ ] 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 ,__. _ Hgt/Ground Sq. Ft. _— Inside Lot [ ] Ft. Yd. Setback Type of Construction: Sr Chi Approx. Completion Date: ri Side Yard Setback ®�O Estimated Cost: $ "o Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation � DATE. APPLICANT: Tel. CITY USE ONLY Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge STIPULATIONS: $ �,� �,. c,ze Fee Schedule on Reverse Side 253 of Building Permit Fee $.50/$1,000 Valuation $ $475 per SAC Unit $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] $ 17.? _ s� SUBJECT P , City of Fridley 2 6 6 AT THE TOP OF THE TWINS BUILDING PERMIT r IE8 NO. 1 • COMMUNITY DEVELOPMENT DIV. I L PROTECTIVE INSPECTION SEC. e q6 72 r NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 7/29/98 JOB ADDRESS 6851 Madison 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 Rice Creek Terrace Plat SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Pat Hrncig 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO D & B Home Improvement784-nS?? 7773 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Reisdential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION OX REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with 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 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 2001 $1.00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOC - LAW EGULATING CON- STRUCTION OpR T PERFORMAN FCO T U 1 N. $74.75 FivG SC $2.00 PLAN CHECK FEEZ/2.75 FEE % AJNAR Licen S 5. CONTRALTO o A O NT IDA I EN R P I N S P V LI T THIS IS OUR PERMIT S.GNATURE OF OWNER OF OWNER BUILDER) IDATEIMK NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: / 5-I Legal Description: Owner Name & Address: Contract Address: Tel. # ENSE #273 Tel. # 7F Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Effective 1/1/98 � 66 73 a zj& 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: Orr Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ _ $ r DATE: `'C;) APPLICANT: Tel. # STIPULATIONS: r CITY USE ONLY Permit Fee $ �` �� Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ 1. CQ $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ C) $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 [ ] 6 TOTAL $ STIPULATIONS: r SUBJECT,PIIT NO. City of Fridley 2667 AT THE TOP OF THE TWINS BUILDING PERMIT r ` RECEIPT NO. w _ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r 1 NUMBER REV DATE PAGE OF APPgOV BY CITY HALL FRIOLEY 55132 612-571-3450 910415 6/6/02 JOB aooREss 6851 Madison Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 1 4 Rice Creek Terrace Plat 6 SHEET 2 PROPERTY OWNER MAIL AODRES$ ZIP PHONE Patricia A Hrncir 6851 Madison Street NE 763-571-1170 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 B USE OF BUILDING RM Residential 7 CLASS OF WORK Q ❑ NEW [I ADDITION x ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install sliding glass door 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. See notations on plan. 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 S0. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ' NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1,389 $.70 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOT FEE 3.04 SIGNATURE OF CONTRACTOR OR A TNORi ZED AGENT iOATEi HE ROP L VALID T THIS IS YOUR PERMIT A7- a010 KO X*111-&-T.-Ey01 Bl ..NSP � qA E OWNER dF OWNER BUIL DE R� iDATE, NEW [ ] CITY OF FRIDLEY Effective 1/12002 ADDN [ J 6431 University Ave NE, Fridley, MN 55432 (763) 5722604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: fi ��� —�!% Xtd , S o .,V S7-, Legal Description: Owner Name & Address: rc� Pr J4 • Rte1:;C Tel. # S7)— ) 170 Contractor. L11 1,,)(6 , MN LICENSE # Address: Tel. # LIVING AREA: GARAGE AREA: DECK AREA: OTHER: 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 Leng Width HgVGround Sq. Ft 1 v Qd Construction Type: Estimated Cost: $ 't/ 3 r% Xt Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ = $ DATE: APPLICANT: &7"-/Z i e .� • /-/A NG 1 JZ Tel. # 763 -571 -// 7D 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 TOTAL CITY USE ONLY - 3 �SU. 95 S�S S 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: SUBJECT R City of Fridley 3470 AT THE TOP OF THE TWINS BUILDING PERMIT a• ` RECEIPT NO. COMMUNITY DEVELOPMENT DIV. _ _ 1 INSPECTION SEC. (21 //&0PROTECTIVE I . F NUMBER REV DATE PAGE OF APPROVED BY CITY MALL FRIOLEV 55432 I'' 763-571-3450 910415 4/25/03 10B ADDRESS 6851 Madison Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. j 4 1 Rice Creek Terrace Plat 6 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Pat Hrncir 6851 Madison Street NE 763-571-1170 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. -9" ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW j] ADDITION ❑ ALTERATION O REPAIR O MOVE O REMOVE B DESCRIBE WORK Construct a 20' x 16' Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. 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 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED @ $1.98 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $3,968 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTALFEE $103.20 NAT RE�OFC%ONu'JRACTORORATMORGAGAsTE,- W EN PROPERLY VALIDATED THIS IS YOUR PERM T _ aiD a a5o S-GNATURE OF OWNERJF OWNER dUlLbER, iDATE. BL5D PATE NEW [ ] CITY OF FRIDLEY ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 ALTER [ ] SINGLE FAMILY AND DUPLEXES R4 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: IU Owner Name & Address: Contractor: Effective 1/11/2003 (763) 572-3604 Bldg Insp (763) 571-1287 Fax Tel.# 763-5-7/-/170 MN LICENSE # Address: Tel. # LIVING AREA: GARAGE AREA: DECK AREA: OTHER: 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 Hgt/Ground Sq. Ft. aG Construction Type: �Estimated Cost: $ -I Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: `7' �Z`� ' a APPLICANTS /moi Y il,,,/yryt' Tel. # `� 3 57I 700 Call (763) 572-3604 for Permit Fees if mailing in application. 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 Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ 0 13=0� 0 CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 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 [ ]