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City of Fridley, Minn. BUILDING PERMYr Date: .... ..... ...4 �.... ` 4.. ....... Owner ....................................... Address ...................................... N° 3406 Builder ... ..�............... Address............................................. LOCATION OF BUILDING No. . !r:.? Street ...i ................. Part of Lot .. ............ Lot .....I ..... Block ...... ' .......... Addition or aub-Division Corner Lot ....X .... ............ Setback i Inside Lot: �t.�. Sideyard ..!. Q :. .. ...... . DESCRIPTION OF BUILDING To Used as: r ... .... Front jr :.�J� Depth Q,1..� Height l f � ® Sq. Ft -/. G AX Cu. Ft. R OAQ S .................... Front ........ Depth ........ Height ........ Sq. Ft......... C,tL Ft. ........ Type of Construction ................... lkt. Cost./J. ... 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 fo in coweliance with all provisions of ordinances of the city of Fridley. .!9! .. ... I/ ..................... / In consideration of the payment of a fee of $ d!..C�"0. ... , 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 with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. I .�.. "�%.. .. 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. Date: July 2, 1965 Rev. Holsten City of Fridley, Minn. BUILDING PERMIT Builder Blan*e Constr. Co N° 8104 Address 6899 Madison Street N. E. Adm 108 Patton Road.,New Brighton, Minn. LOCATION OF BUILDING No. 6822 street Madison Street N. E. part of Lot Lot 1 _ Block Addition or Sub Division Rice Creek Terrace Corner Lot Inside Lot Setback Sideyard Sewer Elevation — Foundation Elevation To be Used as: DESCRIPTION OF BUILDING Front — Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Fit. Cost —. $900 •00 — To be Completed Storm Damage repair Plat 7 In consideration of the issuance to me of a permit to construct the building described above I agree to do theproposed work in accordance with the description above set forth and in compliance with aft provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $-.10 , permit is hereby grantedt- BBlanehe Conistr. Co. the express condition that to hecepensrstron o whbuilding or nddition as ted and his agents, above. opermit yees and wormisengranted in all work. done in, around and upon said building, or any pari thereof, shall conform in all respects to the ordinance of Fridley, Minnesota regardii�gg lavation, conatructCon, alteration, maintenance, repair aad moving of buildings wiordi�naaces�. dty limits and this permit may be revoked at any -time upon violai3on of any of the Provisions of said Men Jensen Building inspector NOTICE: Ub pwn* don net emu the send md1m, hutatia m for whim, pbmd&a, an heating, sewer w water. so sure to no the W0diaa ft" a for npa parmhs for thaw hmm j- APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S E BUILDER ADDRESS ADDRESS _/'04 0 LOCATION OF BUILDING NO. STREET,,, PART OF LOT LOT BLOCK ADDITION OR SUBDIVISION,.? 6.k -r"' . il�- CORNER LOT INSIDE LOQ 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 BUILDING To be used as; Type of Construction To be completed Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. d estimated Cost ®� a 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 SIGNATURE G✓��/ (Schedule of Fee Costs can be found on the Reverse Side). /0'" 411 City ®f Fridley, Mian.. X° 8544 BUILDING PERMIT Date: OCTOBER 192 1965 Owner: GRACE EVANGELICAL FREE CHURCH Builder KERMCT A. HILL CONSTRUCTION CO. Address 6899 Madison St. N. E. Address 1552 Sumter Avenue North Fridley 32, Minnesota Golden Valley, Minnesota LOCATION OF BUILDING No. 6899 Street Madison St. N. E. part of Lot Lot 1 _ Block 4 Addition or Sub -Division rice creek terrace, plat 7 Corner Lot _ Inside Lot — Setback __ _ _ Sideyard Sewer Elevation _ ._. _ _ — Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Det. Garage Front 16 Depth 22 Height ____ 8 Sq. Ft. 352 Cu. Ft. 2816 Front Depth — Height -- Sq. Ft. _______ Cu. Ft. Type of Construction P'?_at>L Est. Cost 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 in compliance with ail provisions of ordinances of the city of Fridley. e In consideration of the payment of a fee of $ 4.00 , permit is hereby granted to KERT A. HILL CONSTRUCTION CO. 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 buildIn— within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. ALLEN G. JENSEN NOTICE M pamh does not oowr the aondrocdon, hwWhdm for v Mh& plumbing, an huth* anew or water. Be am to in the Butming Inspaatsr for separate pemlb for these hams. P 4 V APPLICATION FOR B'- ING PERMIT CITY OF FRIDLEY 6 NINESOTA C -� �C OWNER'S NAME ��� a c. e �pd. _�Y�-� �S� r.�.N�8�1T+�ER 11 P w'�i � �_. ��, .� � S ADDRESS nl 9 — ads( b �. i�. � ADDIt SS . ALL)— �,r� tea l z LOCATION OF BUILDING No. - � Street . 41 s ;1_1K Fart of Lot Lot Block Addit.iow or Subdivision Corner Lot_ Inside Lot „Setlsatk Side Yard SEWER ELEVATION FOUNDATION EL9V'�!`PION Applicant attach.to thi3 form, Two Certificates of, Survey of Lot and proposed build- ing location dfAwn on these CA-ttificates. DESCRIPTION OF BUILDING To be used as: De-ff1 ed CA trout � � � Depth . � � � Height � P Sq. Ft. Cu. Ft. -Front Depth Height, Sq. Ft. -Cu . Ft.. Type of Construction Estimated .Cost ,.171 % (J, !tL moo. -ba -Completed lyd i The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work ift 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. -A'Schedule of Fee Costs can be found on the Reverse Side). A" FPH=Lr=Y COTY C7 8431 UNIVERSITY AVENUE N.E., -FRIDLEY, MINNESOTA 55432 TELEPHONE ( 612)571-3450 Y/ /f A;if v N. " ? (D OBSTRUCTION: "m- 7 Lot Block Addition pi Property (Xvner -:address RECORD OF C0�,r,,9t.1'1'TCATI0N,'): 7na /v 2. 3. 4. 5. 6. 7. J SUBJECT P City of Fridley 16243 AT THE TOP OF THE TWINS BUILDING PERMIT ip iL'__ ___ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. 3aO r I PROTECTIVE I � I CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY j J\ 612-571-3450 910-F15 6/17/81 JOB ADDRESS 6899 Madison Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 4 Rice Creek Terrace Plat 7 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mike Scipioni 689.9 Madison Street N.E. 571-0242 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. All State American Concrete Inc. 323 West 48th-Street 377-1742 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑_ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Repair foundation 9 CHANGE OF USE FROM TO STIPULATIONS Call for inspection after old wall and footing is removed. Soils Engineer may have to be called if soil support is doubtful. 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 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 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 $3000 $1.50 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 (ON- PROVISIONS OF ANY OTHER STATE O LOCAL LAW REGULATING CON- $18.00 TRUCTION OR THE PERFO E O CONSTRUCTION. s a 011/ PLAN CHECK FEE TOTAL FEE � (p $19.50 IGNATURE OF CON RACTOR OR AbTHORIZED AGENT (DATE)I PROPERLY ALIDATE D THIS IS YOUR PERMIT JaWHEN 4 BLDG )NSP f)AT SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) J CITY OF FRIDLEY APPLICATIO'd FOR RESIDENTIAL BUILDING PER14ITS (New, Alterations, Additions, or Repairs) BUILDER: Aey'G''W'14' ADDRESS: TEL 1.40: 0 2 2::Z 7ZR Construction Location ' STRM, T. NO: l�� STREET: oqb/ �©N "Drp� • N E LOT: BLOC:: ADDITION: ice c pu-' le'4ij1qK-E1 Ptj) l Corner Lot: Inside Lot: Setback.: Sdeyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION ,I�JyYtdl%�G¢ih�Front: Depth: �' Height: t Square.Feet: Cubic Feet: • Front: Depth: Height: Square -feet: Cubic Feet: Type of Construction: Y�, Estimated Cost: �d To Be Ocmtpleted: . Alt. A Alt. B Proposed Drivmtay Width If New Opening Is Desired: $ ' $ SEE REVERSE SIDE OF SHEET Me undersigned hereby makes application for a permit for the v'ork' 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 aAd correct. DATE: (la f42— �r SIGNATURE:: r � zoSt:iZulations : v K-) U Z�E� y 0 ACTENG cool INC* "g IMP for eracks in Alas- GENERAL OFFICE I:o be raised. 323 WEST 48th STREET PLUMBING not responsible for waterproofine MINNEAPOLIS, MINNESOTA 55409 NO HEATING Y� unless specified in order. Phone: 825-6616 ELECTRICAL ,::pis contract covers normal #oil conditions only IJNI,F,SS STATED IN unless specified in order. CONTRACT AND AGREEMENT I WRITING ON CONTRACT I/We, the owner(s) or buyers of the premises mentioned below, hereby contract with and authorize you as D. F. Vizeeky Contracting Co., Inc. to finish all necessary materials, labor and workmanship to install, construct and place the improvements according to the following specifications, terms and conditions, on premises below described: Buyer(s) Name lu�- Job Address _ _ ------ -County --- --- - tate city — _—_-_ SPECIFICATIONS Telephone �S /_.ii _1, 0 UrrIVIP IGATIONS .i- Crf1AL �p r CITY OF FRIDLEY Effective Date May 1. 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE AESIDEKTIAL Furnace Shell and Duct Work, Burner (Also replacement furnace) Gas Piping (piping needed with now furnace) Gas Range Gas Dryer 6 Air Conditioning (all sizes) All Others/Repairs and Alterations It of Value of Appliance or Work COMMERCIAL/INDUSTRIAL It of Value of Appliance or Work RATE TOTAL $ 20.00 $ �r $ 10.00 $ $ 10.00 $ $ 10.00 $ $ 10.00 S S State Surcharge TOTAL FEE Reinspection Fee ($15.00) Rough Insp. Date Final Insp. 4 ^/ — �11/ Date Approval for Permit MININUN FEE FOR ANY HEATING PERMIT IS $15.00 - PLUS $.SO STATE SURCHARGE • Air Conditioners can not be placed in side yard without written permission tram adjoining neighbor. V $ .50 $Ro'�50 Department of Buildings, 6431 University Ave. N.E., Fridley, NN 55432 City of Fridley Tel. #571-3450 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. �7Fridley, Minn. t— OWNER�� 40 KIND OF BUILDING USED AS 1� TO BE COMPLETED ABOUT a ESTIMATED COST (:7..�2 OLD - NEW BUILDING PERMIT NO. PERMIT NO. ! DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS. Steam, Not Water, Warm Air- ANO - Trade Name 6� 1-(/1.91 size No. A G® � ® )/Z� 11) 3&066 Capacity Sq. Ft. EDR BTU Total Connected Load L `7 i ® Kind of Fuel 9 H'f ` (ci S BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Company Signed By �7 Tel. No. ` 5—� C5?0 D Fill out back side for stack verification on replacement furnaces CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack; 1. Has been carefully examined Yes ( ) No 2. Is free from rust or deterioration Yes ( ) No 3. Has no foreign objects lodged within Yes ( ) No 4. Is securely supported Yes ( ) No 5. Meets all current Code requirements for size and total BTU connected Yes ( ) No 6. Has Total heating BTU's of All other BTU's TOTAL Rema rk s Company Signed By Date SUBJECT P `-NO• City of Fridley 212 2 8 AT THE TOP OF THE TWINS BUILDING PERMIT r T ______ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC.CITY rAPPROVED NUMBER REV. DATE PAGE OF BY HALL FRIDLEY 55432 612-571-3450 910-F15 3/10/92 JOB ADDRESS 6899 Madison Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 4 Rice Creek Terrace Plat 7 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Tim Dewing 6899 Madison Street NE 572-8840 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Twin City. Storm Sash 10825 Greenbrier Rd, Mtka.55343 546-8160 3090 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 R] ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 6 DESCRIBE WORK Soffit/Fascia, 9 CHANGEOFUSEFROM TO STIPULATIONS 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 60 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 $992 $.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SACCHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $25.00 Fire SC $.99 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEETOTALFEE SC $5.00 149 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PFIIOPERLY V A D S S YOUR PERMIT 3` /O-/ OG )NSP DATE f- SiGNATURE OF OWNER IIF OWNER BUILDER) IDATEI NEW [ ] Effective 3/1/92 ADDN [ ] CITY OF FRIDLEY M 7 y ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: Leg 9 9 ,mad ,cn 6 -t - N E_ Legal Description: Owner Name & Address: e- Tel. # 5 7 d, - g'S" V6 Contractor: 1 up ; ; 4- +t, ,r MN LICENSE # _Z 6 c7 a Address: s -3 r ee h ,b r , e y- R,-\. .M -r- K,4 . ✓ 1 -41 56 3 y3 Tel. # 5 V& - Co 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: moi, .c T ,km_t t .&-- Corner Lot [ ] Inside Lot [ ] Type of Construction: Approx. Completion Date: Ft. Yd . Setback Driveway Curb Cut Width Needed: Ft. + b Ft = Side Yard Setbacks Estimated Cost: $ o 0 (Cost on Back) Ft x $ = $ DATE: 3 - g - 9aZ APPLICANT: S - Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge $ Driveway Escrow $ 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 $700 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ,u0 $ o7S, ZS 0 -4�,f 9S 9-, 31. q L .�. ct;q a ,5-UG— 2_3 SUBJECT PERMIT NO. City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT 22568 i RECEIPT NO. � • COMMUNITY DEVELOPMENT DIV. -__---, r C1 61 I r I PROTECTIVE INSPECTION SEC. I NUMBER REV DATE PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 612-571-3450 910415 5/26/94 JOB ADDRESS 6899 Madison Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 4 Rice Creek Terrace Plat 7 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Timothy Dewing 6899 Madison Street NE - 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 IR NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Construct a 24' x 11' Deck; Install a 28' Round Swimming Pool (16,550 allons 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. See comments/stipulations on letter dated May 26, 1994. WARN H4 Before digging call for all utility locations 454-0002 REQUIRED BY LAW 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 $2.20 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $4,398 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- $72.00 Fire SC)00Q=, $4.40 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $ $78.60 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PR LY VA DATED THIS IS YOUR PERMIT 19L-�� BLDG I DATE SIGNATURE OF OWNER 0F OWNER BUILDERI IDATEI NEW (( Effective 1/ 1 /94 ADDN j ( CITY OF FRIDLEY�� I ALTER (j SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: -- Legal Description: — L , 7' Owner Name & Address: �r, �t.y �% �-C w �•rr Tel. # Contractor: s c % MN LICENSE # Address: Tel. # 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 L( Width Hgt/Ground Sq. Ft. OTHER: Q %u u e r r 9 a...� o 11' _ ?K / J /6. Corner LotXj Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: f bou .e G gp-. .0/leo o( Estimated Cost: $ goo- ? S(j f 20Y - Approx. Completion Date: 1-13,96 (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: 4— Tel. # r,7.2 ��yd Permit Fee Fire Surcharge State Surcharge SAC Charge `%•LC'$ 54, 00 License Surcharge $ Driveway Escrow $ Erosion Control $ Park Fee $ CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $800 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Sewer Main Char a Agreement Necessary [ ] Not Necessary [ TOTAL $ STIPULATIONS: �ti Q,W—. ' (V�:,o �,C 61- 12 CITY OF FRI DLEY FRIDL EY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 May 26, 1994 Mr. Timothy D. Dewing 6899 Madison St NE Fridley, MN 55432 Re: Swimming Pool Construction at 6899 Madison Street NE Dear Mr. Dewing: This letter is to make clear this department's requirements for the swimming pool construction at the above address. 1. As indicated, one (1) skimmer approved by the National Sanitation Foundation will be provided. 2. As indicated, one (1 ) inlet of approved design for fresh and/or repurified water will be provided. 3. The filter and pump shall be approved by the N.S.F. and be of sufficient capacity to provide a minimum turnover of at least two (2 ) times in 24 hours. This department recommends a turnover rate of 6 - 8 hours. 4. A deck of at least three (3) feet wide, measured from the pool waters edge, shall be provided which extends completely around all private residential pools. Above ground private residential pools may be provided with decking of a minimum size of 4 feet by 4 feet at pool entry points and provided that such decking has the approval of the City. 5. Fencing or other effective means including but not limited to walls or buildings, acceptable to the City, shall be provided to positively control all access to public and private residential swimming pools. Fencing shall meet the following criteria: a. The fencing shall prevent the entrance of children and be without hand or foot holds that would enable a person to climb over it. b. The fencing shall be at least 6 feet high and entrances shall be equipped with self-closing and self -latching gates capable of being locked. c. Self-closing and self -latching devices shall be placed at the top of the gate or otherwise inaccessible to small children. d. The opening between the bottom of the fence and the ground or other surface shall be not more than four inches. May 26, 1994 Mr. Timothy D. Dewing Re: Swimming Pool Construction Page 2 6. An automatic chlorinator should be provided with a suitable test kit. 7. All electrical and plumbing installations shall be inspected and approved by the City Inspection Department. 8. All overhead electrical lines must be a minimum of 10 feet horizontally from the pool surface and 18 feet straight line distance from the waters edge. An alternative is to bury said lines. 9. The pool fill spout must be protected by a vacuum breaker or air -gapped. 10. Suitable safety equipment to include but not limited to a ring buoy and rope that is 1 1/2 times the pool diameter, and shepherds crook pole must be provided and maintained with the pool at all times. Furthermore, these and any other requirements must meet the provisions of the Fridley City Code, Section 115, Swimming pools. The building permit is approved contingent on final inspections and approval by the City. If any questions or problems arise from this letter, please feel free to contact me at 571-3450. Sincerely, N PALACIO Chief Building Official JP/mh ----------- Scale: 1X = 1. r -T, ----------- Scale: 1X = 1. SUBJECT City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT (` 2334 RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. �7 CITY HALL FRIDLEV $$432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 5/4/95 JOB ADDRESS 6899 Madison Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 1 4 Rice Creek Terrace Plat 7 I SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Timothy Dewing 6899 Madison Street NE 572-8840 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Sussel Corporation 1852 Como Ave, St Paul, MN 55108 645-0331 1934 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE REMOVE XO 8 DESCRIBE WORK Remove existing 22' x 16' Detached Garage; Construct a 26' x 22' Detached Garage 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Provide a hard surface driveway if not existing. 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 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 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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 $7,000 $3.50 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- TRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $90.00 Fire SC $7.00 PLAN CHECK FEE TOTAL FEE 1����' {�•�°Ii�`� License SC $5.00 $105.50 SIGNATURE OF CONTRACTOR OR AUTI-Ib RIZED T (DATE) W LY Vpk4PATED THIS IS YOURPERMIT SIGNATURE OF OWNER,IF OWNER BUILDER) IDATEI BLDG iN OATE NEW (] Effective 1/1/95 ADDN [ ] ..: CITY OF -FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES, R-1- AND R-2 -Building Permit Application Constr ictiofAddress. 1 ►moi :... ��', iJ tom..; . Legal Description: Owner Nam b Address: Tel. # amu?—gam Contractor:��� C o� MN LICENSE Address: . -!B S Z Ca--.- � -t AJ- 75r- Pin `:, ^ S St o Tel. # 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 7 (o Width ZZ Height g'w- Sq. Ft.. t5-1 Z DECK AREA: Le Width Hgt/Gro ` d Sq. Ft: OTHER: A Corner Lot of Inside Lot [ ] Ft. Yd Setback 7 25' Side Yard Setbacks Z25' Type of Construction:_ Estimated Cost: $ -2 b ©o 6.1 Approx. Completion Date: Jc�J� � S, t 4 45 (Cost on Back) Driveway Curb Cut Width Needed: F +617 = Ft x $ _ $ DATE: cs=l — APPLICANT: J� �.►Js� Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ 9y= 4' Fee Schedule on Reverse Side $ 7 .001 of Permit Valuation (1/10th%) $ �� )7 $.50/$1,000 Valuation $ $850 per SAC Unit $ 5 e ` $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 [ ] $ /OJ, 510 CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-36U4 YAX: (763) 571-1287 ADDRESS : 6899 MADISON ST NE PIN : 143024120097 LEGAL DESC : RICE CREEK TERRACE PLAT 7 : LOT 1 BLOCK 4 PERMIT TYPE : BUILDING PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE WINDOW/DOOR REPL PERMTTO=2004-01080 DATE ISSUED: 07/12/2004 VALUATION : $ 320.00 NOTE: PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER R317 OF THE 2000 INTERNATIONAL RESIDENTIAL CODE. CAULK AND FLASH ALL EXTERIOR OPENINGS. INSTALL AN EGRESS WINDOW; REMOVE SWIMMING POOL APPLICANT VANG TOU XIONG 6899 MADISON ST NE FRIDLEY, MN 55432 OWNER VANG TOU XIONG 6899 MADISON ST NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of worl will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulat nstruction or the performance of construction. Applicant Date__,_� Bldg BUILDING PERMIT FEE 23.50 PLAN CHECK FEE 15.28 FIRE SURCHARGE 0.32 STATE SURCHARGE, VALUE 0.50 TOTAL 39.60 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. NEW [] ADDN [] ALTER [ ] Construction Address: Owner Name & CITY OF FRIDLEY ie -44-3-73? 6431 University Ave NE, Fridley, MN 55432 SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION 4a150h S(J— I e Fl�IDLGyl Effective 4/1/2004 (763) 572-3604 Bldg Insp (763) 571-1287 Fax, YV MN LICENSE # Address: Tel. # 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: - � ® zo 1-06V7:--30,, Construction Type: ' Estimated Cost: $ —3ZO Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: ,0 APPLICANT: J&�: Z�' YI'DAI 6- Tel. Z ` 0& Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 iif using credit card and we will call you for card number. CITY USE ONLY - Permit Fee $ ; �)Fee Schedule on Reverse Side Plan Review 65% of Permit Fee Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1350 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Curb Cut 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: NEW _ CITY OF FRIDLEY 69 00 60�1 ADDN '' [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: (02Qq M S cSY1 �fi l i Legal Description: Owner Name & Address: loin Y4 AiR Ne es o n 5f Tel. # 1 Co3- Q I — 9 SO Contractor. MN LICENSE # Address: Tel. # 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 2B4 Width I Hgt/Ground 2, Ca Sq. Ft OTHER: Construction Type: De -c. Estimated Cost: $ '5t7D It 6-n Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ —=$ DATE: 3 —4-O�7 APPLICANT: 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. CITY USE ONLY - Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge $ jQ3 •'5® Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1450 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 [ ] TOTAL $ STIPULATIONS: Building PLUMBING Permit No —001 Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Recd: DATE I - a;Q_01 YOUR E-MAIL ADDRESS SITE ADDRESS THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY NAME: ADDRESS: CITY STATEkWZIP5 q3 A OWNER/ �i TENANT PHONE: CONTRACTOR NAMIjr—fiQ9. AA SUBMIT A COPY OF STAT SErK5 EXP DATE YOUR STATE ADDCITY i STATE ZIP LICENSE WITH PHON F-ALC !�I 3L�S-1?Ng0 APPLICATION MN 55 123 PERMIT TYPE A 119SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: 0 NEW REPLACEMENT DETAILED DESCRIPTION OF WORK i PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 =cost of labor X.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) BATH SINKILAV DRAINS _ SHOWER _WATER PIPING _ _FLOOR BATHTUB GAS PIPING NEED rrrrucl� _ SWIMMING POOL _ WATER SOFTNER ($35) _ _ _ CLOTHES WASHER _ KITCHEN SINK WATER CLOSET _ BACKFLOW PREY. ($15) LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION DISHWASHER _ — WATER METER —OTHER PROJECT'S_ _ w Permit Fee $ -55 . 00 _. Number of fixtures @ $10.00 x $10.00 = $ Surchar e.50 Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $35.00 x $35.00 = $ TOTAL DUE $ 3�i •�12 State Surcharge = $ .50 Total = $ iTHIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all Work which requires review and approval of plans. PRINT NAME l�I DATE O '® SIGNATURE OF APPLICANT_, PLEASE,NOTE: S City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building $ BUILDING Plan Review Permit Ng9--W Inspections Fire Surcharge RESIDENTIAL APPLICATION .001 times the total job valuation Received By: 763-572-3604 .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ CITY OF FRIDLEY Curb Cut Escrow DateRec'd: (9 763-502-4977 FAX Erosion Control $ $450 Conservation Plan Review Park Fee $ EFFECTIVE I-1-09 Sewer Main Charge $ DATE 6 Z YOUR E-MAIL ADDRESS CJ1J W,4, SITE ADDRESS THIS APPLICANT IS: OWNER ❑CONTRACTOR PROPERTY OWNER/ NAME: v— O TENANT ADDRESS: . ON, CITY STATE LIP S5tl3 Z PHONE:' (p,-2n, Sb'L CONTRACTOR NAME: SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # EXP DATE AND CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE PHONE FAX PROPERTY TYPE KSINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK )4 SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR REMODELING DESCRIBE WORK BEING DONE: S SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING NUMBER OF SQUARES ❑ HOUSE ONLY ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS_ & PORCHES SUBMIT: 13 Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ OtherUgd 13 Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF. WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ 3 c- — OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ r .001 times the total job valuation Surcharge $ P .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $22 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ a Make checks payable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and des of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of alF rk which requires review and approval of pan.. SIGNATURE OF APPLICANT ��« PRINT NAME ✓1 v2 L DATE