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PRE 2010 DOCS
City of Fridley, Minn. BUILDING PERMIT Date: ... J........ ...:...:......... Address ...................................... N® 3401 Builder .. — ................ Address ........... LOCATION OF BUILDING No. �.4..�®..� . Street .. . .... .................. Part of Lot Lot .... (f ..... Block ..... .......... Addition or Sub -Division Corner Lot ............ Inside Lot ../.i......... Setback Sideyard .40.. 0 ................ DESCRIPTION OF BUILDING ToUsed as: / / t _�/f /t . .. Front J Depth:?- �.IGd "Height / 7..` . �' Sq. Ft. �.1� . % Cu. Ft. ?.Y. Q � S� .................... Front ........ Depth ........ Height ........ Sq. Ft. ........ Cu. Ft. ........ Type of Construction ................... Not Cost. 144. '<r . ....... To be Completed ................... 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. .� r'l .... .......................... In consideration of the payment of a fee of $.47/..., permit is hereb 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 lame upon violation of any of the provisions of said ordinances. p—`--:• .�W........ 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. '-� ,/ 4 2- t � City of Fridley, Minn. 9930" BUILDING PERMIT Date: —Sept. 13, 1968 Owner. Robert V. Johnson Bider Same Address 6869 Madison St. N. E. Address Same _ LOCATION OF BUILDING No. 6869 Street _ Madison St. N. E. ___part of Lot Lot _ 6 Block 4 Addition or Sub -Division _ Rice Creek Terrace Corner Lot._ Inside Lot — Setback --_ Sideyard ._ Sewer Elevation -- Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Garage Front 22' Depth Z4' Height 10' Sq. Ft. 528 CtL Ft, 5280 Front Depth Height _ _ Sq. Ft. Cu. Ft. Type of Construction _ Frame Est. Cost —__ X1900.00 __ To be Completed — In consideration of the issuance to me of a permit to construct the building the proposed work in accordance with the description above s7`�fo�th and b ordinances of the city of Fridley. / / // 0 I agree to do provisions pf In consideration of the payment of a fee of $ 8.00 , permit is hereby granted to Robert Vy—johns on to construct the building or addition as described above. This permit is grantedupon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. Official Building MmpWtMK NOTICE: Tho permit does not cover the construction, butallotion for wiring, plumbing, gas heating, sewer or water. Be core to no the Building Inspector for separate permits for these Nems. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER oS NAME ADDRESS %�,� '� _ ADDRESS�����(' LOCATION OF BUILDING NO,6STREET �4L,'� _. LOT BLOCK ADDITION OR SUBDIVISION-6d-- CORD' UBDIVISION6d-- CORD' LOT INSIDE LOT r,,1-11� SETBACK SIDEYARD SEWER ELEVATION TOP OF FOOTING Applicant attach to this form T-wo Certificates of Survey of Lot and proposed building location drag on these Certificates. DESCRIPTION OF BUILDING To Be Used As: " �- FrontDepth Height L Square feet !�' Z Z5, Cubic Feet .5� Zfi; 0 Front Depth Height Square feet Cubic Feet Type of Construction /4�-'-v 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. w DATE ✓ — / I-- (s 31 SIGNATURE [/ (Schedule of Fee Costs can be found on the Reverse Side.) L--z� Z/Y("'� tles-- MINNEGASCO 53-84-s-915.51 City of Fridley ,APFlicelan for Plumbing c1nd Gas r. -11'A1 -,,s Nru-n-llt Dept. of Bldga. Phone 360-34W DES3CRIPTION OF VIOR M" 6869 1t. E. Madison Street Numb -or, Kind and Locetien of Fixtures Localf�^ ;� ! M i< � • r � N � ; � tit: O r 7 � _i ► O i ' S o < ; U � U a N z U V o 0 NGAS WATER "TR. $ ELEC. st x $1115 $ Electric Water Hester .............. s $2.00 5 AS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures • ............ • • • • • x $2.00 $ . Additional Fixtures ............... x $ .75 $ 5.00 an Gas Range to 149.000 BTU ........... 1 x $5.00 $ 1 i .. Futuro Conaec!ku Openings I ...,u..... `.... �� i,ewos p New Fixture. Old Openincs Ceaspool E] PARTIAL RATE SCHEDULE M413ING 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 $ Water Heater (Up to 99.000 BTU). • • • x $3.00 $ New Ground Run Old Bldg......... x $1115 $ Electric Water Hester .............. s $2.00 5 AS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures • ............ • • • • • x $2.00 $ . Additional Fixtures ............... x $ .75 $ 5.00 an Gas Range to 149.000 BTU ........... 1 x $5.00 $ City of Fridley: The undersigned hereby makes application for a permit for the work her el specified, an eeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct - Fridley, Minn 6-18-75 Owner Robert Q. Johnson Kind of Building Frame --- Used as Res.. To be completed about —6-25' 75 Estimated Cost, $ 10.00 Old --ISM Building Permit No. Permit Signed C140.-& • By MINNEGASCO -- Business Phone No ROUGH FINAL -0-- 7® '2r., . EPAIRS & ALTERATIONS—Refer to Code .50 State Surcharge .Description ........................ e.............. •� . TOdrAL FZE $-5.50 'Pr Surcharge �yass . SUBJECT P City of Fridley 26506 AT THE TOP OF THE TWINS BUILDING PERMIT r ` R COMMUNITY DEVELOPMENT DIV. _ tr PROTECTIVE INSPECTION SEC. NUMBER REV GATE 7-9-98 PAGE OF APPROVED BY � ���'--1, � CITY HALL FRIDLEY 55432 --"jk� 612-571-3450 910415 JOB ADDRESS 6869 Madison Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 4 1 Rice Creek Terrace Plat 7 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bob Johnson 571-1270 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Premium Roofing, 6680 Lucia Ln 411 Fridley, 55432 571-3973 20097688 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 l3 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Re -roof house & garage (24 Sq) - Tear -off 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 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 $2,001 $ 1.00 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- $74.75 Fire SC $2.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE Licen $5. 82.75 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI EN 0155ROP 6RVALID*,gb THIS IIa UR PERMIT SIGNATURE OF OWNER I IF OWNER SUILDERi IDATEI _BC G INSP FATE NEW [ ] ADDN [ ] ALTER [ ] Effective 1/1/98 CITY. OF FRIDLEY : SINGLE FAMII.Y -AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 1"I'gD Legal Description:�►�-[��� Owner Name &Address: /3(10 �-06112SG-L/ - 6D'6 � ��i� tS®Qi�'Tel. #. S %/-1 � -70 Contractor: ft/Li MN LICENSE # Address:. L uc .2 Tel. # S 7/'-59 72 Attach to this application, a Ce ificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width GARAGE AREA: Length Width DECK AREA: Length ---Width OTHER: A Height Sq. Ft. Height Sq. Ft. Hgt/Ground Sq. Ft Construction Type: &O 'tr-I'V6 Estimated Cost: $� (Fee Schedule, on Back) - Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: %�7 `�� APPLICANT: C�'/(, (1'1.JL)6dz Tela # 7 // " Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: $ © �" �._ CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1000 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 [ ] SUBJECT City of Fridley 2 0::5:5 6 AT THE TOP OF THE TWINS BUILDING PERMIT i � R COMMUNITY DEVELOPMENT DIV. / _ L PROTECTIVE INSPECTION SEC. �7 Ga CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 9/7190 JOB ADDRESS 6869 Madison Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 4 Rice Creek Terrace Plat 7 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Robert V. Johnson 6869 Madison Street N.E. 571-1270 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 O ADDITION ❑ ALTERATION j7 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling (22 Squares) 9 CHANGE OF USE FROM TO STIPULATIONS Roofing can be.2nd layer but not 3rd, Install ridged galvanized valleys. On all new roofs or tear-offs and replacement roofs, State Code requires that 2 layers of 15 Ib. felt, mopped together, be installed to a point 24 inches up from exterior wall line, or the use of other approved underlayment membrane. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. 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 $.55 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- $2= $27.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE E e SC $1.10 $28.6.5 SIGNRZOFCONTR C R R N�.O.RI�DAGENT PATE. _ . WHEN PROPERLY VAA�TEDg TH�y SJIS YOUR PERMIT BLDG INSP OAT SiGNATUREOFOWNEROF 0WNtHUjJ1LUtM D EI 1 R-1 AND R-2 Building Permit Application -77 Effective 8/16/90 Ml - Contractor: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. 5" LIVIM AREA: Length Width Height Sq. Ft. GRRAGE AREA: Length Width Height Sq. Ft. DEM AREA: Width Hgt/Grotiuid Sq. Ft. CMM: ��- A,)os$ � Corner lot [ ] Inside Lot ['l1 Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ ? Approx. Completion Date: y Proposed Driveway Width If New Opening Is Desired:: 4 Ft. $ $ i + 6' See Back Pa e DATE:APPLICANT: i # s `. Permit Fee $ 12 ov Fee Schedule on Reverse Side Fire Surcharge $ 4-1O Q1• x Permit Valuation (1/10th o) State Surcharge $ 50/$1, 000 Valuation SAC Charge $ $600 per SAC Unit Driveway Escrow $ Alt. "A" or Alt. "B" Above Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Neoesssaary TOM $ � 5 S'I'IPfJI�iTIC�S: •r�` U CIZY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE 11 Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/ Industrial 1.25% of Value of Appliance or Work Rate $ 30.00 $ 10.00 $ 10.00 $ 10.00 $ 25.00 State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. JOB ADDR Effective On January 1, 2002 OWNER iJJLxx-k VUVkY1,Y)VI TOTAL BUILDING USED AS ESTIMATED COST `�(�•� PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER $ r No. of Heating U 'ts l Circle One (Steam) (Hot Water) ( i m ) $ Trade Name Size No. G BTU '1,6TS1� HP EDR $ Fuel�� • Total Connected Load Burner Trade Name Size No. - BTU HP EDR $ The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes an $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. $ IDUSD DATE HEATING COmi rugsuo � p Signed'�1 TEL # 7693--7S FAX # Approved By Rough -in Date Final Dat v THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED COMMON VFNT, VFNT CONN TOR AND COMR11STIM AIR `FRIFI ATION When re lacing an existing furan=, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes X No( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes, No( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturers specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes( No( ) The existing enmhnstinn air is sized and installed to meet the current codes and manufacturer's specifications. Yes ( No( ) When required to install a new enmhustinn air�it will be sized and installed to meet the current codes and manufacturers specifications. Yes (f No( ) When installing a naw yantina eye m, the undersigned hereby verifies that \ it is a listed assembly and meets the current codes and manufacturers specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes No( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yesf�No ( ) Appliance Jype and Size/Cnmmnn Vent and Vent .nnn _ntnr Informs inn Appliance #1 Type fi�V� BTU Input iM Fan Assisted or Nat ��%. Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type HEATING CO: C ���� 14&wl Mg c--40 EQZ C`e,h" m( RV W IPo Signed By: e� - Date: lD 7 -- D2,- �s�'