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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N°4 6 3 8 Date: Owner:.:.. Builder r Address _"', • �: „�Addn _ i_.•. LOCATION,-Qf BTILDING No.. Street _ '..ga :_.',,, ,,r ..._ Pam L,ot .... __.....--.._.. .._ .. r .... r:,m... rr2/-. Lot ...._ ......................... Block _..._... .�......................... Addition or Sub�pivisi ��' : �'� ��' ...,. ,t... ---....._----f -, Corner Lot ....._................__........ Inside Lot .... .._....... Setback ` t :e,.rSideyard ............... . Sewer Elevation....._............._.............._._.._....._......._...._.._------_----_--------..._._ Foundation Elevation DESCRIPTION OF BUILDING Tne Uised as: Depth =.._.. Height .-----_.. Sq. Ft. "r Cu. Ft.._�;J' °u .......---- .............. ................... ..... ront ...................... Depth ...... ............. ;, Heigh ..............eT, Sq. Ft....................... Cu. Ft. .... ................. Type of Construction .._�;,,..�... Est. Cost.'.......�_f_.. _ -To be Completed ............. _...................... ........... CAUTION THIS PERMIT DOES NOT AUTHORIZE VIOLAT- ION OF ANY PRIVATE LAND COVENANTS AND BUILDING RESTRICTIONS. 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 $.._ "`� -------_........ I 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, olation of any of 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 see the Building Inspector for separate permits for these Items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY., MINNESOTA Owners Name Address Address LOCATION OF BUILDING No. -7 Street /7- Part of Lto 4 Lot 'Block Addition or SubDiv. L -e - T 7 Corner Lot.Inside Lot_.,,, Set Back Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: Front Depth."..��' Height� Sq. Ft. Cu - Front Depth _._Height --- Sq. Ft. Cu. Ft, Estimated Cost Type of Construction,.. -,- 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 Ordinances and ruling of the Department of Buildings,, and hereby declares that all the facts and representa- tions stated in this application are true and correct. DATE d SIGNATURE (A Schedule of Fee . costs can . be found on the Reverse Side.) 1 '31;7'r City of Fridley, Ngnm N° 8636 BUILDING PERMIT Date: DECEMBER 162 1965 Owner: J -M CONSTRUCTION COMPANY Builder RICHARD MILLER HOMES Address 8256 Monroe St. N. E. Address 8256 Monroe St, N. E. Minneapolis, Minnesota 55432 Minneapolis, Minnesota 55432 LOCATION OF BUILDING No. 6866 Street MADISON STREET N.E. Part of Lot Lot 2 _ Block 5 Addition or Sub -Division RICE CREEK TERRACE, FLAT #7 Corner Lot _ Inside Lot Setback Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: DWELLING Front 40 Depth 25 Height 10 Sq. Ft. 1,000 CtL Ft. 10, 000 DET, GARAGE Front 22 Depth 24 Height 10 Sq. Ft. 528 CtL Ft. 5,280 Type of Construction Frame F.st, Cost X15. 000 _ To be Completed REBUILD DUE TO STORM DAMAGE 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 f and in coa7girce with ail provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ 15.00 , permit is hereby granted to RIMM MTTT�_R HOMES to construct the buildin or addition as described above. This permit is granted upon the express condition that the person to whom it is ted and his agents, employees and workmen, in all work done in, around and upon said building, or any thereof, shall conform in all respects to the ordinances of Fridley, Minaesota regarding k+cation, oonstru alteration, maintenance, repair and moving of buildiags wiord nous. city limits and this permit may be revoked at any time upon violation of any of the provisions of said ALLEN G. JENSEN 8wlftg nopeaw NOTICE Ob pomch don not cow the na md1on, hahllddon for wi&& pNmbinW on haling, nwor or wtlor. Be aco to ne tin BnlWhro ingm or for apardo ponWU for thea ham APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA LOCATION OF BUILDING �{ (� Street -17&z: Part of Lot-' LOT �l R ADDITION OR SUBDIVISION_ Corner Lot Inside LOTS_ Setback Side -yard ....SEWER ELEVA'r201y FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. I. DESCRIPTION OF BUILDING To be used as; Front Depth_ ,Height Sq. Ft._ Cu. Ft. Z/ Front Depth Height C Sq. Ft._ Cu. Ft. Type of Construction r�' Estimated Cost S To be completed ,�-Xtldl� / .. 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. ?-.16 - CS (Schedule of Fee Costs can be found on the Reverse Side). City of Fridley, Minn. BUR DING PERMIT Date: ......l.. '. . P..— � ...r ..... Address ...................................... N® 3430 Builder A .. ...6644.04^. ... .............. Address ............................................. j?. LOCATION F �B%UILDING No. . W R . Street .. .' 1. , Part o Lot ....... .......... . Lot ....5q..... Block ... ........ •Addition or Sub -Division f0F*W..l Uek4 . Corner Lot ............ Inside Lot ............ Setback ............ Sideyard ........................... DESCRIPTION OF BUILDING To Used as: ... .. Front .J. l 7. e"' Rs� `�.� Height Zf. .. Sq. F't IOXX Cu. Ft. 0? ®®.'-P5' .................... Front .. .......Depth ./.�,.�-�Heeight ........ Sq. Ft. ........ Cu. Ft. ........ Type of Construction .................. list. «. j*w. J. ... To be Completed ............... L . In consideration of the issuance to me of a permit to construct the building desribed above, I agree to do the proposed work accordance with the description above set fort ed it}.�omp]iar� with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $1. ..Y. v% .-F..72"'r..-f........................ granted to ................... ......................... to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. , ...,fl.. Building Inspector NOTICE: This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. a co,,q INo "�c U Q:�V EY0 P 3 ENGINEEPPS ANlt-.R LAND %ui;;XvF_YlP40 50ILa TESTINO C�VIL A� MUNICIOAL ENOINFEQING LANC) PL.0,1.4NIN43 G418-SG'rm AVENUE N. MINNEAPOL15 ll.MMN. KE 7- 3G37 IF /Z.o f If V". ;Y NRI OFTHE UF r M HERE�W CERTIFY T�OL_r rM15 IS N T . OF. N SUP.VE CF T"E WND E LMAD PJ30VE DF_5�_Q;3ED AND OP TRE LOCATt0Nl OF ALL &ULL01r4C33, IF- "\�4y, -T�Af,�Z[-oq , -'I'Li- ENcf,-Zo��CHWENTS, FQ!f)�A OR ON S?�iD Lr%ND. SUP- syo;zsl by City of Fridley 11TSUBJECT PER 4293 AT THE TOP OF THE TWINS BUILDING P E R M I RECEIPT N • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. NCO 1 = � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY �•-'_'�'� ,'J 612-560-3450 910-F15 8/17/77 JOB ADDRESS 6866 Madison Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 5 Rice Creek Terrace Plat 7 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John Gregory Hosch 6866 Madison Street N.E. ,5 ,%—,62 ? 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 8 DESCRIBE WORK Construct a 19' x 20' Addition to Dwelling 9 CHANGEOFUSEFROM TO STIPULATIONS WARNING Before digging call local utilities TELEPHONE - ELECTRIC • GAS Etc. REQUIRED -BY LAIN SEPERATE PERMITS REQUIRED FAR WIRING, HEATING, PLUMBING AND SIGNS. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Wood Frame THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. 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 R-1 400 8000 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.0 $12,000 $6.0 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- $32.00 NONE STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $0 $46.00 SIGNATURE OF CONT CTOR OR AUTHORIZED NT (DATE t WH PR ERLY VALIDATED THIS IS YOUR P+ERMI BLDG I P DA E .� SGNA UREO OWNERX OWNER IL E I - ID T PI MY Y UI- HUM APPLICATION I7OR RESIDENTIAL BUILDING PERMITS (NEW, ALTLRATIONS)j ADDITIONS, OR REPAIRS) OWNLR: acs --1 BUILDER: -r— •dress: 54ot r.. ,, • Tel. No. . No.: 61% 6G Street: Ma� iso &L �t LOT: .A 7 BLOCK: 6' ADDITION: CORNER LOT: INSIDE LOT: SETBACK: SIDEYARDS: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: Front: Depth: �Q-��, Height: Square Feet: �4y Cubic Feet: � �' ' Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: D a E Estimated Cost: $ )'1 - To 2 To Be Completed: 6e-+ 1 Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) 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. See reverse side for additional infor%ation. DATE: 9 16' SIGNATURE: ENERGY CONSERVATION SUPPLEMENT TO BUILDING PERMIT APPLICATION PIANNTNC; AND INS11E('TTON DE.PARTPIENT CITY OF FRIDLEY, M1JJJJi-,SOTA This supplement is provided to assist the applicant in computing EXTERIOR ENVELOPE AVERAGE "U" FACTOR INFOP11ATION. This information is required so the BUILDING 0i"PICIAL can determine that submitted plans comply with the ENERGY CONSERVATION DESIGN CRITERIA of the STATE BUILDING CODE (Section 6000). It is the APPLICANT'S responsibility to accurately compute the data; reflect the proper DESIGN CRITERIA in the plans; submit product specifications, if needed to support the "R" and "U" factors used; and to assure construction is per approved plans. JOB LOCATION: _46 Ej K �� S',c� � .51 // 9F OWI, EP./CONTRACTOR : ADDRESS: L,5801 f PHONE: A. Determine the Total Exposed Wall Area as follows: 1. Total wall window area 2. Total door area 3. Total sliding glass door area 4. Total fireplace wall area 5. Total wall framing area(average 10%) 6. Total net wall area above floor(average 90%) 7. Total rim joist area Subtotal: Total exposed wall area above floor 8. Total foundation window area 9. Total net foundation area above grade Subtotal: Total exposed foundation area GRAND TOTAL EXPOSED WALL AREA 3 3. d©3 A-1000" As. e 3 V / .® ®A 5-1/A. B. Multiply the GRAND TOTAL EXPOSED WALL AREA X .17 = C. Determine the Total Exposed Roof/Ceiling Area as follows: 10. Total skylight area 11. Total roof/ceiling framing area (10%) 12. Total net insulated roof/ceiling area 3L0_ GRAND TOTAL EXPOSED ROOF/CEILING AREA 39-0 D. Multiply the GRAND TOTAL EXPOSED ROOF/CEILING AREA X .05 I Item I q'Ad Item II /I E. Determine the "U" value of each segment (1-9) and multiply by the area as Lvi1r,"nl;. X "U" .©3 12.� �✓�e 1. _ 3�, x „U„ 1. X "U" 3x „L „ a� 4. x "U" 5. 7J x "u„ 6. Via, X „U,. 7. , g x „U„ Of r 2. "' x „U„ _ ADD 1-9 F'OR TOTAL WALL SEG141ENTS = ITEM III 9A 7 F. Determine the "U" value of each segment (10-12) and multiply by the area as follows: 10. P- X "U" 11. X "U" .©3 12.� �✓�e x "U" 91499 ADD 10-12 FOR TOTAL ROOF/CEILING SEGMENTS = ITEM IV,9� _ G. If Item III is the same as, or less than Item I, you have met the intent of State Building Code 6006 (c) 2. H. If Item IV is the same as, or less than Item II, you have met the intent of State Building Code 6006 (c) 1. I. Add Item I y/ + Item II ?___ /' ` t J. Add Item III + Item IV 7,- f = 4 (of" K. If the sum of Items III and IV are less than Items I and II, you have met the intent of the Code for total envelope system. The undersigned, as applicant for a building permit, hereby affirms the above information has been prepared and submitted by himself or under his direction, hereby acknowled(tes the information to be correct and accurate; and hereby presents the infonnat.ion with required plans in support of the building permit application. JOB be. ,72893 4 Of 4 P i 6- 2-77 80100 6'AEa_". -1 JOB NUMBER 772893 4 OF 4 PAGE 2 P d HYDRO -NAIL +* PLATE LOCATION +a JOINT J 2 •ItJI}1� 13/% JOINT PLATE SIZE o• X De ++ T •• TYPE DESIGNED IN ACCORDANCE WITH MINNESOTA STATE BUILDING CODE J 1 2 114 X 4 D 2 1/4IN 14 PLATIJ46 CONFORRS TO U.B.C. STANDARD NO. 25-17 (IC80 REPORT NO. 1591) J 2 4 118 X 6 D BIN Is TYPE a 1799 UNIFORM LOADING SPAN - 211T. - 31N. TOP CHORD LL - 40.0 PSF J 3 1 X 4 D 11% 4 SPACING - 2FT. - MIN. ON CENTER DL a 10.0 PSF SHORT TERM LOADING INCREASES BOY CHORD LL - C.G PSF SJ 4 3 1/8 X 8 D 8IN 2 LUMBER STRESSES INCREASED - 1.00 DL - 5.0 FSF PRe-SFLICC IS 9118 -.e -D PLATE RATING INCREASED - 1.00 TOTAL LOAD a 55.0 PSF J 5 1 X 4 D 1IN 4 HYDRO -AIR POSI-SPAN TRUSS OVER-ALL DEPTH - 14 IN J 6 3 1/8 X 4 0 41N 5 GB1MOaw- a 11¢ �• L✓®✓1�'- vao/- Ade J 7 3 118 X 4 0 4IN 2 100-.f- - 'g;pe PANEL LENGTH CHORD FORCE WEB FORCE JOINT LOAD REACT J 8 1 X 4 D 1IN 4 P I. 1FT U- 81161N C 1- -1155 W 1- 2776 J 1- 13 -116B P 2- 2FT 7- W 61N C 2- -2580 W 2- -256 J 2= 131 SJ 9 3 118 X e R)N 2 P 3- 2FT 6- 0/161N C 3- -2560 W 3- -1897 J 3- 256 o0 PRE'.-SPLEC_E 15 -31/p VGp P 4- 2FT 6- 0/161N C 4- -5483 W 4- 1247 J 4- 250 J10 1 X 4 D iZN 4 P 5= 2FT 6- 0/1611i C 5- -5483 W S- -250 J 5- 250 P 6- 1FT 0- G0161N C 6a -5945 W 6- -500 J 6- 175 J11 4 118 X 8 0 BIN 1S P 7- 2FT 6- 01161H C 7- -5483 b 7- 17 J 7- 175 P IS- eFT o- 01161M C do -5483 W 8- 17 J 8- 250 J12 2 114 X 4 D 2 1141N 14 P 9- 2FT 6- 0116I4 C 9a -2580 W 9- -487 J 9. 250 P10- 2FT 7- 8116IN C10- -2580 W10- -250 J10- 256 503 4 118 X 14 0 7 P11- 1FT 0- all61N C11= -1155 W11- 1147 J11- 131 PRE'-SPLICe 15 5118 WCD P12- 2FT 7- 8/161N C12- •U W12- -1897 J12- 13 -1168 J14 3 1/a z 10 0 7 P13a SIFT 0- 0/161N 03- 4332 w13- -256 J13- 38 P14- 3FT 6- 0116I14 C14- 5933 W14a 2776 J14= 42 J15 3 118 X 4 0 41M 5 P15a 2FT 6- 0/16IN C15= 5945 J15a 30 P16a SFT G- 01161N C16- 4332 J16a 37 J16 3 118 z 10 0 7 PI?- 2FT 7- 8J161M Cl?. 0 J17- 38 $J97 A 118 z 14 0 7 PRIff-SPUCE' 15 -31113 vfep +++++ REPETITIVE STRESS VALUES NAVE BEEN APPLIED TO THIS DESIGN +++++ D a 20 GA. ( 136 PSI USING GROSS PLATE CONTACT AREA) TOP CHORD IS 4X2 NO 1 KD SOUTHERN PINE F-1850 T-1050 0-1450 STRESS FACTOR- 0.991 WEBS ARE TO BE 4X 2 NO 3 KO SOUTHERN PINE BOT CHORD IS 4X2 NO 1 KD DENSE SOUTHERN PINE F-2150 T-1250 C-1700 STRESS FACTOR= 1.000 THE FOLLOWING WEBS ARE DOUBLED 1# 14* 21 2 RININUM BEARING REQUIRED AT J 1 AND J12 J 6 J 1 J 9 J 9 J 10 J I1 � 1 � r ^ i _8�ppppp_ RfFCT RFACT J I J 17 J t6 J 15 J 14 J l3 J 12 P t7 P 1,6, P 15 P 14 P 13 P t2 Trt M rcf'r the the wow. I %. 1nlonnd• Cunl01a1{ to SPAN .a. C31190 ante/U Sham I har:oy corltf :a plan. apaotftoatlan. .Nrr.-part .••:r. } mu or undur t.y 772fl 93 d Of 4 dtre :-• a .n a wily RoRlr- t u.ur the lraa of 11799 80100 _44�L��_ Ingle—chords; - t1 _. DR �tLta 1 1/0' 1c �-Dt 3I y es 1/11' t°� x I Yd' 4BoLtop a � Is ® ch.bF . g pre - splice double web PLEASE READ REVERSE SIDE: FOR HYDRO -AIR CLAIMS PROPRIETARY RIGHTS TO THE NOTES: MATERIAL DISCLOSED HEREON. THIS DRAWING 1. CUT ALL MEMBERS TO BEAR. AODI noNAL INFORMAT10N. AND/OR TECHNICAL INFORMATION IS ISSUED IN -0>t� PABAIC.ATItkI INSTWUCTIOd19, CONFIDENCE FOR ENGINEER ING•INPORMATION 2. CENTER ALL PLATES ON JOINT$ UNLESS OTH8RIYIS8 NOTED. AND NOTICUS. � � ONLY AND MAY NOT BE REPRODUCED WITHOUT ®0�13Q�FIn®.OS.7$'s. EXPRESS PERMISSION OF HYORO.AIR HNGINEERING. INC. P i P 3 P d J 2 J 3 J 4 J 5 J 6 J 1 J 9 J 9 J 10 J I1 � 1 � r ^ i _8�ppppp_ RfFCT RFACT J I J 17 J t6 J 15 J 14 J l3 J 12 P t7 P 1,6, P 15 P 14 P 13 P t2 Trt M rcf'r the the wow. I %. 1nlonnd• Cunl01a1{ to SPAN .a. C31190 ante/U Sham I har:oy corltf :a plan. apaotftoatlan. .Nrr.-part .••:r. } mu or undur t.y 772fl 93 d Of 4 dtre :-• a .n a wily RoRlr- t u.ur the lraa of 11799 80100 _44�L��_ Ingle—chords; - t1 _. DR �tLta 1 1/0' 1c �-Dt 3I y es 1/11' t°� x I Yd' 4BoLtop a � Is ® ch.bF . g pre - splice double web PLEASE READ REVERSE SIDE: FOR HYDRO -AIR CLAIMS PROPRIETARY RIGHTS TO THE NOTES: MATERIAL DISCLOSED HEREON. THIS DRAWING 1. CUT ALL MEMBERS TO BEAR. AODI noNAL INFORMAT10N. AND/OR TECHNICAL INFORMATION IS ISSUED IN -0>t� PABAIC.ATItkI INSTWUCTIOd19, CONFIDENCE FOR ENGINEER ING•INPORMATION 2. CENTER ALL PLATES ON JOINT$ UNLESS OTH8RIYIS8 NOTED. AND NOTICUS. � � ONLY AND MAY NOT BE REPRODUCED WITHOUT ®0�13Q�FIn®.OS.7$'s. EXPRESS PERMISSION OF HYORO.AIR HNGINEERING. INC. CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On May 10, 1999 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS h� �OIo t\&A1 Sbv,, New Fixtures $ 7.00 -�l (90 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $ 4.00 specified agreeing to do all work in' strict accordance with the city codes Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $ 7.00 and representations stated in this application are true and correct. Catch Basin $ 7.00 Rain Water Leader $ 7.00 v% e- 1-7 1999 Sump/Receiving Tank $ 7.00 1 Water Treating Appliance $10.00 Owner ICl Water Heater -Electric $ 7.00 Water Heater - Gas** $10.00 Building Used As Gas Range** $10.00 Gas Dryer** $10.00 c_ Estimated Cost PERMIT NO. Back Flow Preventer Required ( )Yes () No Type $15.00 PLUMBING COMPANYA # Reinspection Fee $47.00/Hr SIGNED BY TEL N0. ALL OTHERS AND/OR REPAIRS AND ALTERATIONS Lf 1.5% of Value of Fixture or Appliance Approved By Rough -In Date Final Date State Surcharge $ .50 MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20.00 TOTAL FEE$ - S� PLUS THE $.50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SQ INCHES. SUB.IECf ERNI O. City of Fridley 3;"o1 1 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT N,/j. _____ COMMUNITY DEVELOPMENT DIV. I INSPECTION SEC. � r PROTECTIVE I/[O 1 � = CITY HALL FRIDLEY 55432 ti.__.11.' '•� NUMBER REV DATE PAGE OF APPROVED By 612-571-3450 910-F15 8/5/99 JOB ADDRESS 6866 Madison Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED 7 DESCR. 2 5 Rice Creek Terrace Plat SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Alan Folie 6866 Madison Street NE 572-2058 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner 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 0 ADDITION Rx ALTERATION O REPAIR O MOVE O REMOVE B DESCRIBE WORK Finish off bathroom in basement 9 CHANGEOFUSEFROM TO STIPULATIONS See stipulations 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 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 $1500 $.75 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TME PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $54.00 Fire SC $1.50 PLAN CHECK FEE TAL FEE "I 'A - '1� I/ $56.25 ACTOR OR AUTHORIZED AGENT [DATE, S-G7111: E P LY VA TED THIS I$ yA1JR PERMIT I mss[ �� SoGUMOWRE ET.NER.IF OWNER BUILDER. iDATE. G iNg gAtE NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY \� ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: % a, i V0 --x S�- Legal Description: Owner Name & Address: Man E --o V; e bW- (�'i °,�� 51. ?J& Tel. # 6 i z 5 7 a. z o SS Contractor: /V/A MN LICENSE # N'%A Address: �' FN Tel. # A,//a 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: "6 04 bo� e 0 o a,, i h 4L W%, 4 - Construction Type: Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: • 3 ci ck APPLICANT: Tel. # 577 z- X 0 5� CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ 1,60 .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ $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: 0 SUBJECT PE City of Fridley 30000 AT THE TOP OF THE TWINS BUILDING PERMIT REC v ------ COMMUNITY DEVELOPMENT DIV. f PROTECTIVE INSPECTION SEC. (�/J A� � � 1 NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910415 8 /4199 JOB ADDRESS 6866 Madison Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 5 Rice Creek Terrace Plat 7 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Al Folie 572-2058 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Nutzmann Bros. Constr. 736 1st Ave. -NW - - 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 B DESCRIBE WORK Reroof houseTenr-off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $2447 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1.22 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- STgUCT N OR T PER RMA CE OF CONSTRUCTION $83.25 FireASC $2.45 PLAN CHECK FEE TOTA E /�u�'t 914h9 Lice S 5. 0 .92 SIGNATURE OF CONTRACTOR AUTHORIZED AGENT iDATEi [�4�14 P VALIDA THIS IS V UR PERMIT ;. .. u► r)ATE S,GNATURE OF OWNER.eF OWNER BUILDERi iDATE, 0 NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Pe 000 BUILDING PERMIT APPLICATION �d ConstructionAddress: Legal Description: -- Owner Name & Address: , & Tel. # Contractor:( MN LICENSE Address:?3�O -F-IW- Attach (.[\%% 2- Tel. # to this appli tion, 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: — t Estim ted Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ W99 DATE: 3 APPLICANT: Tel. # CITY USE ONLY Permit Fee $ 6 -?'S^ Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ _ $1000 per SAC Unit License Surcharge $ $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: 0 SUBJECT P City of Fridley 29701 AT THE TOP OF THE TWINS BUILDING PERMIT NO. F • _ COMMUNITY DEVELOPMENT DIV. V ..... r 1 PROTECTIVE INSPECTION SEC. � � NUMBER REV DATE PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 ---_�;"',•� L 612-571-3450 910-F15 6/16/99 JOB ADDRESS 6866 Madison t 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 5 Rice Creek Tprrarp Plat 7 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Alan Folie 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Rainbow 4 ARCHITECT OR DESIGNER MAIL ADDR SS ZIP HONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION O ALTERATION U REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace siding and soffit 9 CHANGEOFUSEFROM TO STIPULATIONS Call for building wrap inspection before covering. Soffit must meet the requirement for the State Building Code. 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 AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT $6000 $3,00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVIS1g4S OF ANY OTHER STATE R LOCAL LAW REGULATING CON. T UC7 OR THE PERFORMA F CONSTRUCTION $125.25 Fire SC 6.00 PLAN CHECK FEE OTAL FEE P License 5.00 139 5 TURE OF CO,OR AUTHOR4E0 AGENT i0 TES PR PERL 9l P DATED IS Y R /PEIT I7,21 ryAtE $-GNATURE OF OWNER,IF OWNER BUILDER) tDATEi 0 NEW[ l Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & Address: Contractor: Pa //I " " ,,�fij/j I� LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Tel. # MN LICENSE # Attacfi to-Mis application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EMIPROVEMENT Tel. # �'/,2 - Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Construction Type: -51 C// v1 7 �® �� Estimated Cost: $ ®®� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: ��f APPLICANT: Tel. # CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ /x,00 .001 of Permit Valuation (1/10th%) State Surcharge $ 3.00 $.50/$1,000 Valuation SAC Charge $ $1050 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 $ zj o, '3g.60 STIPULATIONS: