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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N® 3263 Date: ... ................................... Owner....................................... Builder1 �.,_ .. ` :...��� ......................... Address ...................................... Address ............................................. LOCATION OF BUILDING No.`s �. 7. .. . Street . .............. Part of Lot............................... .. Lot ........ !/ ... Block .................. Addition or Sub -Division ........ ......... _........ . Corner Lot ............ Inside Lot ............ Setback .._: :•..... Sideyard ...:........'� � :.:....... DESCRIPTION OF BUILDING To Used as: .�.:.::........ Front �' 4 . Depth ; ....:.. Height ....,i"... Sq. Ft. ........ Cu. Ft ...... . .................... Faront ...........Depth ........ Height ......... Sq. Ft ......... Cu. Ft. ........ Type of Construction .....:....... lilst Cost...:: "...' :.:....:.. To be Completed leted ....=...:? ........ . 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. 1 `' ................................................... In consideration of the payment of a fee of $c`.- ...., permit is hereby granted to 1�'`:" . .. ........................... to construct the building or addition as described above. This permiti 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. 11 .. .. .... .. .ate 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. IV 0 Bu"d'ng Job N�_?t 6 . ....... . .... ...... .. .... ADDRESS "I ' ..................... 228 toe) OWNER BUILDER DATE - Q d TYPE DESCRIPTION PEpmlr No. DATE INSPECTION . ..... RECORD REPORT F-- - City of Fridley, Minn.. BUILDING PERMIT N® 7257 Date: d `" .3 Owner: Builder Ad _ Address LO NON OF UILDING No. -/R_ D Street W.PLot Lot Block _ Addition or Su vision Corner Lot Inside Lot Setback Sideyard Sewer Elevation — -- F undation Elevation DESCRIPTION OF BUILDING T as: _ '�%�� Front Depth Height -4146L Sq. Ft. ZCu. Fkf t Depth Height ____� _ Sq. Ft. Cu. Ft. Type of Construction , If jr Est. e� 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. _ 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 �� city limits and this permit may be revoked at any time upon tion of any of the provisions of said NOTICE: 16k permit doss not cover the construction, hwhllation for whM& phunbing, gas 6e8ttng, sewn or water. Be sure to no the Building Inspector for separato penrdh for those itona. APPLICATION FOR BUILDING PEPMUT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME ol,�_s .14� ,J k-,, /Sh I BUILDER ADDRESS 0 -Md.cc, ".Se'" ADDRESS LOCATION OF BUILDING No. (.0-4D Street Fart of Lot Lot / Block Addition or Subdivision Corner Lotlz� .Inside Lot Setback Side and d / SEWER ELEVATION /OUNDATION 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 Da,-,th Height / o Sq. Ft. / Front Depth Height S . Ft. Cu ..Ft . Type of Construction Estimated Cost To be Completed 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 / Co .(Schedule of Fee Costs can be found on the Reverse Side). City of Fridley, Minn. BUILDING PERMIT 9® N° 7357 Date: Owner: Builder AddrAddress L CATION O B LDING NO. street -t- part Lot Lot _ _ �__ Block Addition or Sub -Division . ,Ll��l3_ a Corner Lot ,!� Inside Lot Setback — _ _ Sideyard alV ® Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To- vseaq Front Depth Height ®_ _ Sq. Ft �y� Cu' M,5 Fib t Depth Height �_ _ , _ Sq. Ft. Cu. Ft Type of Construction Est 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 21 provisions of ordinances oP the city of Fridley. a _ A A dX- ---- In consideration of the payment of a fee of $ ,permit is hereby granted to- to oto construct the building or addition as described above. This permit is granted upon the express ndition that the person to whom it is granted and his agents, employees and workmen, in all work done in, �:dEd upon said building, or any part thereof, shall conform in all respects to the ordinances oP Fridley, regarding location, construction, alteration, maintenance, repair and moving of buildings within tts and this permit may be revoked at any time upon violatlQn of any of the provisions of said ordinances. NOTICE This pond dodo not cover the conatrucMon, fm*a Moe for whine, pMmhies, on boding, sower or water. Be sura to we the Buiidhv lespomr for soparaN ponnhs for those honor . APPLICATION FOR BUILDING PEPHET CITY OF,FRIDLEY, MINNESOTA. OWNER'S CS; a. / -.. /c; /,—. r ADDRESS 6,n_-- s • LOCATION OF BUILDING No. �,,(� �'Yj��(� „_ Street �� , S� 2Z<C_ Fart of Lot Lot�Block Addition or SubOivision Z_10 . /I .' Corner Lot Inside Lot Setback Side -Yard 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 Daap.th Height . Sq. Ft. � Cu. Ft. /Q Front Depth Height, Sq. Ft. Cu. Ft. Type of Construction Estimated, Cos To be Completed 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. (Schedule of Fee Costs can be found on the Reverse Side). City of Fridley, Minn.. BUILDING PERMIT Date: July 26s 1965 JOE SZYKULSKI Builder NELSON CONSTRUCTION N° 8263 Address 6860 Madison St. N.E. Address 9170 Jackson St. N.E. Fridleys Minnesota LOCATION OF BUILDING No. 6860 Street MADISON STREET N.E. Part of Lot Lot _ Block Addition or Sub -Division Corner Lot — Inside Lot Setback Sideyard Sewer Elevation — Foundation Elevation 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 $14j,700.00 _ To be Completed STORM DAMAGE REPAIRS 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.�v 7n consideration of the payment of a fee of $ 10'00 , permit is hereby granted to JOE SZYKUISKI 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 location, constructtTon, alteration, maintenance, repair and moving of buildings within the city Emits andel this permit may be revoked at any time upon violation of any of the provisions of said ordinances. ALIEN G. JENSEN Building Inspector NOTICE: 'lids permb den net serer the condnm9m, hataihdien for whine, phnubing, gn heating, www or water. Be wn to see 60 eoiidiog bqm for for uparate permhs for three BMW ® • APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME 13 G4 G) . / BUILDER F - +&- i e f,4 �'�/� �• ' �" ADDRESS 0 - ADDRESS Q/:G, 7,14cfe 5' . LOCATION OF BUILDING NO. STREET PART OF LOT LOT BLOCK ADDITION OR SUBDIVISION CORNER LOT INSIDE LOT SETBACK SIDE -YARD SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF B ING��� To be used as; f; Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft._ U U Type of Construction Estimated Coss',/ % To be completed 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, �p ` So 9 SIGNATURE &44 &•Pae In (Schedule of Fee Costs can be found on the Reverse Side). City of Fridley 52-84-915.51 APpOcatioe for Plug and Gan Fhiieg Perm* Dept. of Bldgs. Phone MCI -3450 DESCRIPTION OF WORK 6860 NE Madison Number, Kind and Location of Fixtures • • Locagwn— PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 $ Future Fixture Opening ........... x $1.50 $ _ New Fixture Old Opening .......... x $1.50 $ Catch Basin .................... fllls s 1 i#1.-rl � j x $3.25 §1n1X Eleatric Water Beater .............. _ $2,00 Z �g GAS FITTING FEES: 0*7 91 / WATER MTR. N GAS ELEC. Base Additional Fixtures .................. x $ .75 $ Gas Range to 199.000 BTU ............... x $5.00 $ 1st ' nsi al -A 1 ' to 9r krili 2nd 3rd 4th_ • Future Connect" Openings + Now Fixture, Old Openings Coanodod with Sewer Gs"oo, ❑❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 $ Future Fixture Opening ........... x $1.50 $ _ New Fixture Old Opening .......... x $1.50 $ Catch Basin .................... x $3.25 $ W7..ite & er ril1l . , Ater Heat;1fp to 99,000 BTU1.. 2 x$3.00 $ 6-00 New Ground Run Old Bldg......... x $3.25 $ Eleatric Water Beater .............. _ $2,00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ............... 1 x U00 $ 2.00 Additional Fixtures .................. x $ .75 $ Gas Range to 199.000 BTU ............... x $5.00 $ REPAIRS & ALTERATIONS—Rotor to Code Description ............................................. TOTAL FEE 8 8.00 City of Fridley: The .undersigned hereby makes application for a permit for the- work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that alit the tact and representations stated in this application are true and correct Fridley, Mnn May 26, 1971 19, Owner Joe Smlculski - Kind of Building fr. Used as res. To be completed about June 1 Estimated Cost, $ 20.00 Old—New. Building Permit No. Permit Signed MIN�j+�1• +' 0 emAZIP'hv�.ne No ROUGH 010A-- IN CL' ..A SUBJECT City of Fridley MOVING 21057 AT THE TOP OF THE TWINS 4)DG PERMIT 'r , T _ COMMUNITY DEVELOPMENT DIV. fr PROTECTIVE INSPECTION SEC. 1-11-107 NUMBER REV. DATE PAGE OF APPROVED BY � /1 CITY HALL FRIDLEY 55432 �---- � . I.J 612-571-3450 910415 9/12/91 JOB ADDRESS 6860 Madison Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION I SEE ATTACHED DESCR. 1 2 Rice Creek Terrace Plat 6 to,(. -SH 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE /® W f 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSCNO. - Ernst Machinery & House Movers 9400-85th.Ave N M ls. 5445 892 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 ❑ REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Move house out of City-. 9 CHANGEOFUSEFROM TO STIPULATIONS Site to be cleaned of all debris. Sewer & Water to be disconnected as per City Water/Sewer Foremen. Route; 68th to Monroe to Miss. St to University, south to 61st & west to Main, south.out of City. t PPe_0 G,,\ F1Lr.,1'z11 TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES VALUATION SURTAX 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 PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $15.00 STRUCT�OTHE PERFORMANCE OF CO RUCTION. PLAN CHECK FEE TOTALFEE o $15.00 S16NATIJRE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WEN PROPE Y HIS IS YOUR PERMIT DG INSP ryATE S.GNATURE OF OWNER IIF OWNER BUILDERI IDATEI ( l moving [ ] Wrecking CITY OF FRIDLEY NDvn G OR i1REcMKn1G !APPLICATION ,lob Address: Afl6lsoo Legal Description: e —C,_1 / , ��C , (' Z�F /� / /� �� �(�►11 Owner & Address: Tel. # Contractor: 2 ti3/'&A Tel. # Address • C5�", LS State License # DESCRIPTIaN OF BOIIDIM Living Area: Length Garage Area: Length Other: Length Width Width Height Width Height Estimated Cost of Wrecking/Moving Sq. Ft. Cu. Ft. Sq. Ft. Cu. Ft. Height Sq. Ft. Cu. Ft. Approx. Campletion Date .• :1- . City Water/Sewer Mpls. Gas Ca:npany Northern States Pa,7er Northwestern Bell Tel Co. 571-3450 [ ] 372-4720 [ ] 566-9120 [ ] 293-0665/293-1319 [ ] Water Bill Paid: Yes [ ] Amount To Be Collected 0 3 ] Initials Moving Route: FEES Moving: Principle Building into Fridley . . . . $ 80.00 Accessory Building into Fridley . . . . $ 20.00 Ki imz Fee: $15.00 Through, within or out of City . . . . $ 15.00 Wrecking: For each 1,000 cubic feet or fraction .$ 1.25 For structuress which would be inpractical to gibe, the fee shall be based on the total cost of wrecking at the rate of $6.00 for each $500.00 or fraction. The undersigned hereby makes application for a permit to wreck/move the building described above, agreeing to do all work in strict accordance with the City Ordinances and rulings of the Building Department, and the State Code which requires arry water well on the property to be sealed by a State licensed water well driller, and hereby declares that all facts and representations stated in this application are true a7Q0, �,^,,,�, .tel C- �A oU Signature P�IIT FEE: % E STIPULATIONS: CITY OF FRIDLEY Alf 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, a2 Burner (Also replacement furnace) $ 20.00 � S_ Gas Piping $ 10.00 S1�v (piping needed with new furnace) Gas Range S 10.00 S Gas Dryer S 10.00 S • Air Conditioning (all sizes) S 10.00 e?� S All Others/Repairs and Alterations It of Value of Appliance or Work S COMMERCIAL/INDUSTRIAL It of Value of Appliance or Work S State Surcharge $ .50�� TOTAL FEE �• REINSPECTION FEE $30.00. S Rough Inap. Date / (� Final Insp. ! ^ ` Date Approval for Permit Job Address Building Inspection Div. 6431 University Ave NE 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. /' f� s' ! (� 1'g/9 OWNER IL %0 C/ /--/Y/ 6 -'&V / KIND OF BUILDING USED AS TO BE CDMPLETED ABOUT ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT SO. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Not Nater Wars Air- . Trade Name _j`/ Size No. G/9 Capacity Sq. Ft. EDR BT�� BP Total Connected Load Kind of Fuel/ t �A-5- BURNER - Trade Name L`0 Size No. Capacity Sy. Ft. EDR MINIMUM FEE FOR ANY HEATING/COOLING/VENTING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE SUBURBAN AIR C0MMKING CO. Company 8419 CENTER DRIVE Signed M!'N'NEAPQLIS, MINNESOTA 55432 T.I. No. •Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. Fill out back side for stack verification on replacement furnaces CITY OF FRIDLEY eve Effective Date January 1. 1991 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE AL4��'Z'X' ���Q1111 ESIDEL�TIAL RATE TOTAL Job Addresshd f I (e Furnace Shell and.Duct Work, Building Inspection Div. 6431 University Ave NE Fridley MN 55432 a Burner (Also replacement furnace) $ 20.00 $ 9 - Y eY Tel. No. 572-3604 Gas Piping $ 10.00 $ (piping needed with new f�yc Hata) Gas Range 5z57fiYe,,6_4e —$ 10. o0 $l0 Gas Dryer �f9�s �$ 10.00 $� e Air Conditioning (all sizes) $ 10.00 $ All Others/Repairs and Alterations It of Value of Appliance or Work $ COMMERCIAL/INDUSTRIAL 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 reeresentations stated in this application are true and correct. OWNER KIND OF BUILDING ' USED AS L It of Value of Appliance or Work $ TO BE COMPLETED ABOUT ESTIMATED COST - State Surcharge $ .50 — J n (% J OLD - NEW BUILDING PERMIT NO. PERMIT NO. ! TOT>•L TEE $� REINSPECTION FEE $30.00. S DESCRIPTIOL4 OF FURNACE/BURWER Rough Insp. HEATING or POWER PLANTS, Steam, Hot Water, Harm Air- No. Date Final Insp. 2i Trade Name Size No. Date Capacity Sq. Ft. EDR BTU BP Approval for Permit Total Connected Load Kind of Fuel BURNER - Trade Name size No. Capacity Sq. Ft. EDR BTU HP MINIMUM FEE FOR ANY HEATING/COOLING/VENTING PERMIT �1 IS $15.00 PLUS THE $.50 STATE SURCHARGE AIR CONING CO. company SUBURBAN I�O 8419 CENTER DRIVE Signed By l P' 1MEAPOiIS, MMPINESOTA 55432 Tel. No. *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. Fill out back sine for stack verification on replacement furnaces CITY OF FRIDLEY APPLICATION FOR PWMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures ; 7.00 - Sv Old Opening, New Fixture $ a a water a a H nw Blow Off Basin 110. o c u c .r. H w A .� i7. fr C Heater $ b $ Z In i $ r 44 C 1 M Ci as L dc U e $ 7.00 - $ Mater Heater - Gas C -.0 x� Gas Range ��� S 10.00 - .+ m .i m a e a t 9 $ U D a$- No Type S w UU4 SO l r (R) - Future Connection Opening Connected with Sewer (•) - New Fixture, old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures ; 7.00 - Sv Old Opening, New Fixture $ 4.00 - S Beer Dispenser S S.00 - S Blow Off Basin S 7.00 - $ Catch Basin S 7.00 - $ Rain water Leader $ 7.00 - $ Sump/Receiving Tank $ 7.00 a $ Water Treating Appliance S 10.00 - S Mater Heater - Electric $ 7.00 - $ Mater Heater - Gas $ 10.00 - $ Gas Range S 10.00 - $ Gas Dryer S 10.00 - $ Back Flow Preventer Required ( ) Yes ( ) No Type S 5.00 - $ t% ALL OTHERS AND/OR REPAIRS AND ALTERATIONS It Of Value of Fixture or Appliance REINSPECTION FEE $30.00 State Surcharge TOTAL FEL' LSfective Uate January 1, 1991 Job Aidre:a Building Inspection Div. 6431 University Ave NE Tel. No. 572-3604 Fridley MN 55432 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 Depdrtment of Buildings, and hereby declares that all the facts and representationti stated in this application are true and correct# A0AQ . 19 OLD - NEW BUILDING PERMIT NO. PERMIT NO. Company Signed B/ Tel. No.(a ROUGH 116P. Date FINA1. II7SP. Late APi-hOVAL 1.014 PEPMIT MINIMUM FEE FOR ANY PLUMbI':r,/GAS PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE House SUBJECT PE City of Fridley 21090 AT THE TOP OF THE TWINS BUILDING PERMIT i ECEIPT NO i COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. o r NUMBER REV. DATE PAGE OF APPROVED 8Y i ,•� CITY HALL FRIDLEY 55432 ---- A L J ` 612-571-3450 910-F15 10/1/91 JOB ADDRESS 6860 Madison Street NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 2 Rice Creek Terrace Plat 6 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Daniel/Lori Szykulski 6860 Madison Street NE 571-6074 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Rob Carlson Builders Inc. 1680-A 99th Lane NE, Blaine MN 55434 784-2542 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 ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 49' x 451 Dwelling; a 2V x 46' Garage; and a 311 x 14' Deck on existing ing asemen with a x semen i i.on 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan. Provide a hard XXX X surface drivewa ._. y • "If•of —id- xadi sod in the front and side yards. sltlpvlar• SEWER.& WATER LOCATIONS: Existing lines. �!W®� WAS Before digging call for all utility locations 454-0002 SEPARATE PERMITS REQUIRED FOR REQUIRED BY LAW WIRING, HEATING, PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $125,050 $62.53 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS ANY OTHER STATE OR LOCAL LAW REGULATING CON- $730.50 Credit from Moving STRUCTIO O THE PERF RMANCE F CONSTRUCTION. PLAN CHECKFEE TOTALFEE $125. $3k8-08 SIGNA URE OFONTRACTO OR AUTHORIZED AGENT IDATEI IS YOUR PERMIT WHEN PR PE1=;C/S l I /' o` I P BATE SIGNATURE OF OWNER I IF OWNER BUILDERI IDATEI House NEW [ ] Effective 1,/2/91 ADDN R-1 AND I-2 AIM GC] Building Fe mit Application 6860 Madison St., Fridley, MN 55432 Legal Description: Lot 1, Block 2, Rice Creek'Terrace Plat 6 Owner Name 6 Address: Daniel & Lori Szykulski, 6860 Madison StW. # 571-6074 Contractor: Rob Carlson Builders, Inc. 'Del. $ 784-2542 1680-A 99th Lane N.E., Blaine, MN 55434 Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn cn it to scale. �BCRIPTIQ�I OF II+lPR+R�� LTVM ARTA: Length � � Width � . Height Sq. Ft. Z I BARAGE AM: Length �s � Width � Height Sq. Ft. ZOO AM: Length WSq. Ft. Comer Lot (,] Inside � [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ o Approx. Cospleticn Date: Z�� op Proposed Driveway Width If New Opening Is Desired: Ft. $ $ Width + 6' See Back Page DATE: APPLIC U: Tel. # Permit Fee $ S6 Fire Surcharge $ .Q State Surcharge $ (opt's SAC Charge $ Driveway Escrow, $ Park Fee $ Sewer Main Oorge $ 703ML �t sr UTICHS: $ I s.0y aL 033.0u 01o� Fee Schedule an Reverse Side .001 x Permit Valuation (1/10th %) $.50/$1,000 Valuation $650 per SAC tkdt Alt. NA".orAlt. "B" Above Fee Deti *ed;,by Agreemert y [ ] Not Necessary [ ] AJ F, w oo�z wA IF.) IT G 4nia-G L 0.000 . 22.4 2%( z 512 ICOO. y o -- ups. P't<Ooru, oqc(dw (y ),( - 4 I X 02 St t 1014 GQV ( 0016041 , (03i. So 2cove Arm WF CI7YOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY. MN 55432 • (612) 571-3450 • FAX (612) 571-1287 January 3, 1992 Rob Carlson Builders Inc. 1680 A 99th Ln NE Blaine, MN 55434 Re: Final Reinspection at 6860 Madison Street NE, Fridley Dear Sirs: A final inspection was conducted on January 3, 1992 of the above address and the following items must be completed before the structure can be finaled: 1. Provide sod in the front and side yards by June 1, 1992. 2. Provide front landing and steps by June 1, 1992. We will expect these items to be completed by the scheduled date and a reinspection called for. Occupancy of the structure is approved. If you have any questions on this matter, please feel free to contact me at 571-3450. Sincerely, DARREL G. CLARK Chief Building Official DGC/mh SUBJECT P City of Fridley 7 7 9, AT THE TOP OF THE TWINS BUILDING PERMIT r 1 o COMMUNITY DEVELOPMENT DIV. v PROTECTIVE INSPECTION SEC. 1 i 1 1 NUMBER REV DATE 9/15/98 PAGE OF APPROVED BY CITY HALL FRIDLEV 55432 612-571-3450 910415 JOB ADDRESS 6860 Madison ST NE 1 LEGAL LOT NO.BLOCK TRACTOR ADDITION SEE ATTACHED 1 2 Rice Creek Terrace Plat 6 SHEET DESCR. 2 PROPERTY OWNERX AIL ADDRESS ZIP PHONE 11x&t'2Dan Suculzky 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO D&B Home Improvements 4901 105th Ln Circle Pines 55014 784-0922 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 C1 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house & garage - 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 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 $2,142.00 $1.07 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 NST CTION. a PLAN CHECK FEE TOTAL F �j Licen C $5.0 $82.9 SIGNATURE OF CONTRACT OR AUTHORIZED AGENT IDATEI EN P OPER LIDATED �.'G^SP S IS YO R P MIT r�aTE SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI h1 :1`.'I ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: (p 6 ® 14, Jt4 0,x) 5 � Legal Description: Owner Nan Contractor: Address: Effective 1/1/98 A Tel. # MN LICENSE # % 7 7T Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EWROVEMENT W10WAMjAM LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: .00 Construction Type: —® kmorEstimated Cost: $ % 2 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE:F-fL6-- ?APPLICANT: Tel. # -© STIPULATIONS: CITY USE ONLY Permit Fee $ -7G% 75 Fee Schedule on Reverse Side Fire Surcharge $ -• • I q .001 of Permit Valuation (1/10th%) State Surcharge $ % ` O % $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ • C'd $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 $ o b STIPULATIONS: City Fridley sue.iEtr P IT NO. of 2 913 q AT THE TOP OF THE TWINS BUILDING PERMIT iIEC_EI P -T NO. � `y ------ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. n r PROTECTIVE E � NUMBER REV DATE PAGE OF APPROVED By _ 1 CITY HALL FRIDLEY 55432 j 612-571-3450 910415 4/2/99 JOB ADDRESS 6860 Madison Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 1 2 Rice Creek Terrace Plat 6 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dan Szykulski 6860 Madison Street NE 571-6074 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Minnesota Exteriors 8600 Jefferson Hwy, Osseo, MN 55369 391-5519 2877 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 0 NEW O ADDITION 0 ALTERATION REPAIR 0 MOVE O REMOVE 8 DESCRIBE WORK Reside Two Walls 9 CHANGEOFUSEFROM TO STIPULATIONS Call for building wrap inspection before covering. Permit Inspection Cards Will Be Mailed To Homeowner To Post 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,000 $1.00 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- $62.25 Fire $2.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTIONfp PLAN CHECK FEE TOTAL F E Lic SC _$ 00 7 .25 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI EN ROP VALIDATE T IS YOUR ER S,GNATURE OF OWNER,IF OWNER SUILOERI IDATEI BLD NSP r)ATE JUL-16-1996 )DN [ j .TER [ ] hstnictionAddress: 11:08 FROM CITY OF FRIDLEY TO CITY, OF FRDD .. . s; ....: . SINGLE FAMII,Y =AND , DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION 4933689 P.02i02 �/b ;al Description: ►ner Name & Address: Tel. # 572-697-2 atractor• MN LICENSE # JR 7 7 3ress: ' 9v sra3w Tel. Attach to this app ication, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. .. DESCRIPTION OF RAPROVEMENT rING AMA: Length Width Height Sq. Ft. RAGE AREA: Length Width Height Sq. Ft. CB AREA: Length' Width • Hgt/Ground Sq. Ft. HER: Vii.. *62ka4, 4A Muction Type: Estimated Cost: $ '•== • • " • (Fee Schedule on Back) eway Curb Cut Width Needed: ' Ft::'=i- 6 Ft = Ft x $ _ $ 7,.-'` " 7,.-3,31- ' APPi�cAl�rr- Tel. • ��, �ti� � � CITY USE ONi.Y ut Fee Fee Schedule on Reverse Side�� Surcharge $_ Z o O .:: .001 of Permit* Valuation (1/10th%) Surcharge $ Z $.56/$1,000'Valuation Charge $ $1000 per SAC Unit ise Surcharge $5.00 (State Licensed Residential Contractors) :way Escrow $ Alt. "A". or Alt. "B" Above on Control $ $450.00 Conservation PIan Review Fee $ Fee Determined by Engineering .r Main Charge $ - Agreement Necessary Not Necessary OTAL $ / 0 . �sr UI.ATIONS: TOTAL P.02