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PRE 2010 DOCSCity of Fridley, .Minn. BUILDING PERMIT N° .tOza Date: �„ �:'r+� Owaer: Builder e. 0 —,& Address LOCATIO F BUILDING No. Street � Part, of Lot_ _��_ Block . Addition or Sub -Di -� -� - Corner Lot _ Inside Lot "aback ideyard Sewer Elevation -- FounZion, Elevation DESCRIPTION OF BUILDING To U as: Front Depth .e Height Sq. Ft. Cu. Emil DepthHeight Sq. Ft. Cu. Ft. ;Z Type of Construction FF tst o be Completed In consideration of the issuance to me of a permit to construct the building described above I agree to do the proposed work in accordance with the description above set forth and in compliance with ail provisions of ordinanoes oP the city of Fridley. In consideration of the payment of a fee of E , permit is hereby granted to— s the to construct the building or addition as described above. This permit is granted upon express condition that the person to whom it is granted and his agents, employees aad worl�en, 3n all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regardiig location, construction, alteration, maintenance, repair and moving of buildings wi oe dty limits and this permit may be revoked at any ti violn of any of the Provisions of said NOTICE: Ybb pennk don not corer the conslrucdon, huhlla8on for wking, phmising, gas heating, sewer or water. Be sum to no the Building lesimser hr separate pormhe for thea keno. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner's Name tt f e 1, [ Builder_ Address �� . ,E��i� e > Address/ LOCATION OF BUILDING No. Street y�z Z �� Part of Lot Lot Block Addition or Subdivision Corner Lot Inside Lot Setback.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: caerg Front__4�_Depth D- Height / Sq. Ft. S = Cu . Ft . S Front Depth = eight Sq. Ft. Cu. Ft. Type of Construction/L„�Z� Estimated Cost �g„ 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 ruling of the Department of Build- ings, and hereby declares that all the facts and representations stated in this application are true and correct. j DATE `�� SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). . r , V A�l ADDRESS VALGAT ION ADD, TYPE Cove - 'ib fAv Fl,?C.Ivrz / ^Idg ............... . .................................................. ................................. ...................................... ....................... City of Fridley, .Minn. BUILDING PERMIT Date: June 2, 1965 Owner: 6361 Lyle Rossynan Address 6361 Monroe St. N. E. Builder McCalls Co. LOCATION OF BUILDING No. 6361 Street Monroe Street Me E. Part of Lot Lot 16 Block 7 Addition or Sub -Division Christie Addition Corner Lot Inside Lot Setback Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: N? '7642 Front - Depth Height Sq. Ft Cu. Ft Front Depth Height Sq. Ft. Cu. Ft Type of Construction Est cost -11,5.00&00 To be Completed Storm damage repair 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 fo,#h and in compliance with idl provisions of ordinances of the city of Fridley. k. In consideration of the payment of a fee of $ 10•x, permit is hereby granted t&e&U$ and C• to construct the building or addition as described above. This permit is granted upon the e eesa condition that the person to whom it is granted and his agents, employees and workmen, in all work Eq cm dty limiffireand this permit may be revoked at arty time upon violation of any of the provia�tona of said ALLen Jensen NOTICE: M pert don not cover the condmcdon, hutaMm for wkb& phm"9& 6a hathm awer or water. Be ara to as the &ending Mvedw fm apwats permha fey thea hems. 0A - P7 APPLICATION FOR M00 Mw PERMIT CITY OF FRIDM6 &MOTA OWNER'S NAME /e�C BUILDER CIV ADDRESS ,�,341 /'j01AV-ve_ 15 ADb"SS ,141 R tF�'S LOCATION OF SING Part of Lot No.. Street 4,L --- � Lot Block _2,Additiow- or. Subdivision Corner Lot Inside Lot etb�otk Side Yard SEWER ELEVATIQN FOUNDATION Applicant attach to thin form Two Certificates of Survey of Lot and proposed'bujM-� ing location diAvn on these Certificates. Tia be used as: DESCRIPTION OF BUILDING a&. '4�ZAI , Pront —Depth Height sq. Ft. Cu. Ft. ,Front --Depth —Height 'Sq. Ft. Cu. Ft. Type of Construction J�Estimated Cost IS &4 -*J 5 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 ipf the Departnt,of Buildings, and hereby declares � that . All the ftets. and representations stated in this application are true andcorrect. ,_Odied�of Fee Costs can be found on the Reverse Side). SUBJECT PER�I City of Fridley 6 3 AT THE TOP OF THE TWINS BUILDING PERMIT r RE O. • __ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. � I � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 9/9/81 JOB ADDRESS 6361 Monroe Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 16 7 Christie Addition SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Lyle Rassman 6361 Monroe Street N.E. 571-1853 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Minnesota Exteriors 295 Hwy. #55, Hamel, MN 478-6021 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 551 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install aluminum covering for soffit and facia 9 CHANGE OF USE FROM TO STIPULATIONS 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 S0. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1,416 $.71 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 PROVIS SOF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $25.00 TRU TION OR THE PERFORMANCONSTRUCTION. `\\�vffl PLAN CHECK FEE TOTAL FEE $25.71 SIGNATURE OF CONTRACTOR OR AUTHOR DAGENT (DATEI WHEN PROPER.Ly VALIDATED THIS IS YOUR PERMIT r' B BLDG (NSP ATE SIGNATURE OF OWNER I IF OWNER BUILDERI (DATE) CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATIOJ FOR RESIDENTIAL BUILDING PER4ITS 9d_l� 169 (New, Alterations, Additions, or Repairs) 01•114E R: ADDRESS: �� n TEL NO: BUILDER: ADDRESS:OF S° TEL NO: 6 C) d Construction Location STRIMT NO: �-J�/_ STREET: LOT: BLOCK: ADDITION: C f Corner Lot: Inside Lot: i_ Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION Front: Depth: Height: Square. Feet: Cubic Feet: Front: Depth: Height: Square -Feet: Cubic Feet: Type of Construction: To Be Oompleted: ®� �— S/ Estimated Cost: $ 1'�flel6 �— 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 %:.,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 applicat' n e true and corre DATE: ( 0� SIGNATURE: � v Stipulations: � j� o0 SUBJECT PERMIT NO. City of FridleyI ir 2 6 AT THE TOP OF THE TWINS AT BUILDING PERMIT Jr? 1` NO. i ______ COMMUNITY DEVELOPMENT DIV. �CEIPT r PROTECTIVE INSPECTION SEC. NUMBER REV. DATE PAGE OF APPROVED BY --n CITY HALL FRIDLEY 55432 L 612-571-3450 910-F15 7.1/9./87 JOB ADDRESS 6361 Monroe Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 1 6 7 Christie Addition I SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Poirier 6361 Monroe Street N.E. 572-9565 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. D & D Home Improvement 7401 Central Avenue N. -E., Fridley 784-7543 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Reroof 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling (23 squares) 9 CHANGE OF USE FROM TO STIPULATIONS hoofing can be the 2nd layer but not the 3rd. Install ridged galvanize valleys. 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 1 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 $.58 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,150 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $20.50 �� LAN CHECK FEE TOTALFEE $21.08 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY V LI TED THIJ IS YOUR PERMI SIGNATURE OF OWNER IIF OWNER BUILDERI (DATE)) '4--l"BLOr INSP OAT NEW [ J City of Fridley Effective 14/1/86 ADDN. [ J R-1 AND R-2 ALTER. [ J Building Permit Application Construction Address: a& / , e- 5 `� Legal Description: Owner Name & Address: Contractor Address: 74/- A&Itr F Z-111 /0" Ave Tel . # Tel. # 7 S- 7 s�i3 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: Corner Lot [ l Inside Lot [ Ft. Yd. Setback Side Yard Setback Type of Construction: /0 �� r% Estimated Cost: $ Approx. Completion Date:L= ---- Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ — $ See Back Page for Explanation DATE:/ L-127 APPLICANT: ]-� LV_a_A71'X_ Tel. yg7Si�3 Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $ 525 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On January 1, 1993 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas Gas Range NO. Gas Dryer _ Back Flow Preventer Required ( )Yes () No Type RATE $ 7.00 $ 4:00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $5.00 TOTAL JOB ADDRESS �p 3 1-v I M S 1-k �- Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance (State Surcharge .50 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 Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. vZ /16. , 1993 Owner Building Used As S / E !U T" Estimated Cost -A0 : d b PERMIT NO. PLUMBING COMPANY C—LF s.�5-7a--�P 5 SIGNED �f� �,,, /3 � ---� TEL N0. 9-7Z - oZ 2 Z Approved By ��\ Rough -In Date Final Date MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 TOTAL FEE $ /5-- � PLUSTHE $.50 STATE SURCHARGE 0- Z/ds/j CITY -OF FRIDLEY INSPECTION DIV. 641 brilversity Ave NE Effective On January 1, 1991 Pridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATIO14 AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace Gas Piping (Needed with new furnace) Gas Range Gas Dryer JOB ADDRESS 061 The undersigned hereby makes application for a permit for the work Rade TOTAL herein specified agreeing to do all work in strict accordance with the city codes and ruling of the Building Division, and hereby declares $ 20.00 $ '2e? -PP that all the facts and representations stated in this application are true and correct. $10.00 $ nn OWNER 7'.' $10.00 $ BUILDING USED AS $10.00 $ ESTIMATED COST ��4416b fi' "Air Conditioning - All Sizes o2 %i'1 $10.00 All Others/Repairs & Alterations (LIST ON BACK) I % of Value of Appliance or Work Commercial/Industrial I % of Value of Appliance or Work State Surcharge TOTAL FEE $ .50--- $_ JP . so MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. PERMIT NO. 44,26 DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units___L_ Circle One (Steam) (Hot Water)a A Trade Name /--✓r.�y Size No. BTU l? ",p HP_ EDR Fuel Total Connected Load Burner Trade Name Size No. BTU HP EDR E® V`0ICK HEATING COMPANY - 47:zfNG R e11 rowilTirNiNG Co. o ,? 8910 WE,-4TV.JRTH AVE. S0. Approved By C9 C Rough -In Date Final Date s -- FILL- FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined 2. Is free from rust or deterioration 3. Has no foreign objects lodged within 4. Is securely supported 5. Meets all current Code requirements for size and total BTU's connected 6. Has total heating !!Mr*'s of CV All other BTU's TOTAL BTU's Remarks _ 1, __..� ��0 •, JJ ° ! / -� z:. od_--mac" � is f �- ti �/ List Alterations Being Done: ®DICK KATING & F,:3 COD'DITIONING CO. 8910 WE�M',,)RTH AVE. SO. HEATING COMPANY MINNEAPOLIS, MN 55420 Signed By ��✓ Date Yes No ( ) Yes (� No ( ) Yes (W No ( ) Yes (1'r No ( ) Yes "i No ( ) I SEDdWICK. HEATING & AIR CONDITIONING C 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 • (610'881 9000 s ADDRESS 6361 Mon toe ;S4 CITY OCCUPANT I �'` P OC E e l OWNE SOLD BY .5 E/e 4u e /- i INSTAL MAKE 4 Q OV MODEL SERIAL NO. 589JC ® 9 41 A 8 INPUT THERMOSTAT 6/1011 e u fu 1T -e �� 2 w/S V g b a $e- VENT VALVE Rd b aP > a Aa w TYPE LIMIT 4 e, -,v ox LINER LIMIT SETTING /'So O FILTER FAN SETTING Ll" eek 6111 WIRIN PILOT TYPE _ r/ P C F t c TEST IGNITION MODEL < e'l h 6 LIGHT[ PILOT TIMING �n {ev' fw -h f' i --&g t DATE PRESSURE 2 ' �� PERCENT COz 10-90 INPUT CFH __ 6 ® PERCENT OZ y �16 COMP STACK TEMP. 90 PERCENT CO d 96 NAME FORM 236 (REV. ll=) fk�rk'9_e.7da'�s •yr4 `%�`iL,�'Siyl-fir 0. G TAG ANY SAP AY:-;'•^ OS.,�;IU^'�':Y: -fly. .. �e . ,GPGtT HEATING JOB NO, Y '3512 TEST R CORD f, R (.vl PO1•Y'.e LED BY u/ Gai 0)-6o-, 60660 SIZE U C OF LINER SIZE S: SIZE 16X4 5 Y / NUMBER Ccs ti. i fir( -/4, re 5, o NG INST. TESTED TESTING �w %c If R OF TESTER M R C 6r4.k (- h COPY - JOB FILE YELLOW COPY - CITY FORM DISTRIBUTION: WH CITY OF FRIDLEY INSPECTION DIV, Effective On January 1;1993 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 512-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 *Air Conditioners can not be placed In a side yard without written permission from adjoining property owner. HEATING COMPANY Signed By,' 1 4�0' � -_ Tel No. S 7 Z'- ( S (-,S Approved By Rough—In Date Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE JOB ADDRESS F -o 6 '-5-re z�-r NE RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work In strict accordance with the City Codes and Furnace Shell and Duct Work, Burner — rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 20.00 $ representations stated in this application are tru an correct. ,1993 Gas Piping (Needed with new furnace) $10,00 $ OWNER I i M 0 Po r i i a dz- Gas Range $ 10.00 $ BUILDING USED AS S I NC, LE 6/w m • �'C� Gas Dryer $ 10,00 $ ESTIMATED COST �T 2-1 o PERMIT NO, *Air Conditioning — All Sizes $10,00 $ • DESCRIPTION OF FURNACE AND OR BUBNER All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work $ No, of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name �uc--1• N G L o Size No. Commerclal/Industrlal BTU coo o HP EDR I% of Value of Appliance or Work $ Fuel 6,As Total Connected Load State Surcharge $ ,50 Burner Trade Name Size No. BTU HP EDR TOTAL FEEig S To MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 *Air Conditioners can not be placed In a side yard without written permission from adjoining property owner. HEATING COMPANY Signed By,' 1 4�0' � -_ Tel No. S 7 Z'- ( S (-,S Approved By Rough—In Date Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE Remarks List Alterations Being Done: HEATING COMPANY Signed By Date CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: .l. Has been carefully examined Yes ( ) No ( ) 2. Is free from rust or deterioration Yes ( ) No ( ) 3. Has no foreign objects lodged within Yes ( ) No ( j 4. Is securely supported Yes (-) No ( ) S. Meets all current Code requirements for size -and total BTU's connected Yes ( ) No ( ) 6. Has total heating BTU's of All other BTU's TOTAL BTU's Remarks List Alterations Being Done: HEATING COMPANY Signed By Date SUBJECT P City of Fridley 22282 AT THE TOP OF THE TWINS BUILDING PERMIT i(,,,-,P- TNO. COMMUNITY DEVELOPMENT DIV. r I L PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV GATE PAGE OF APPROVED By %.j 612-571-3450 910-F15 1/7/94 JOB ADDRESS 6361 Monroe Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 16 7 1 Christie Addition SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Tim Poirier 6361 Monroe St. NE 572-9565 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 ❑ ADDITION Ek ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install gas fireplace 9 CHANGE OF USE FROM TO STIPULATIONS Install per manufacturers specifications 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 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 $500 $.50 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- Fire SC $.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $15,00 PLAN CHECK FEE TOTAL FEE $16.00 OF CONTRACTOR GRAUTHORIZED AGENT IDATE HEN PROPERL ALIDATED THIS IS YOUR PERMIT ,/�SSIGNATURE I BLDG INSP GATE "-\ SIGNATURE OF OWNERiiF OWNER BUILDERI IJDATEi NEW. [ ]: Effective 1/1/94 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE:FAMILY AND DUPLEXES R-1 AND R-2 464 Building Permit Application ConstructionAddress: /P 3 (0 I C) -(-r LAG Legal Description: Owner Name & Address: -']I M Tel. # S-! a- - q S L S Contractor: S 5-L F MN LICENSE #. Address: Attach to .this- application, a Cdrtificatc. of Survey. of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: -& 4nS C -rn f KTT - Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: r4z /A mo f:�-i = P L-A C-6 Estimated Cost: $ � Approx. Completion Date: ? o G'j Driveway Curp Cu Width Needed: (Cost on Back) Fx: + 6 F = Ft x $ _ $ DATE: 9 b � -/ APPLICANT:"'' _ / % Tel. # CITY USE ONLY Permit Fee $ /6-00 Fee Schedule on Reverse Side Fire Surcharge $ . 67?-) .001 of Permit Valuation (1/10th%) State Surcharge $ -Sb $.50/$1,000 Valuation SAC Charge $ $800 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: F SUBJECT PERMIT NO. City of Fridley 28305 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. `y COMMUNITY DEVELOPMENT DIV. _ ___ ........ .. PROTECTIVE INSPECTION SEC. 7093r I � NUMBER REV DATE PAGE OF APPROVED By 0-"'1,'- CITY HALL FRIDLEY 55432 L J\ 612-571-3450 910415 10/19/98 JOB ADDRESS 6361 Monroe Street 1 LEGALLOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 16 7 Christie SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Jill Poirier 572-1042 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO MIdwest Roofing & Siding 18979 Gladstone Blvd Ma le Grove 55311 20010277 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 5Bx REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof house and garage (25 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 2142 $1.07 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $74.75 Fire SC $2.14 PLAN CHECK FEE FEE T7 Lice e C 5. .0 .96 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IOATE- EN PR P VALIDA D HIS IS YOUR PER � �_ r /Q, / Y,, I / f SIGNATURE OF OWNER,IF OWNER BUILDERI -,DATE, BLD -NSP - PATE F MEW DST 13 ALTER IWS-04 FROM CITY [IF FRIDL.EY 'M 4164805 P.®iAm Efftedve 111158 $ -�9.7J ule on Revem We .001 of V 'cam (1110") 3uilding $ 1�53 _,2 BUILDING Plan Review Permit No.: Inspections Surcharge RESIDENTIAL APPLICATION Received By: 763-572-3604 $ 4Z 51.--_ CITY OF FRIDLEY Date Rec'd: )ATE 16 2t. 16 <_ YOUR E-MAIL ADDRESS $5.00 (State Licensed Residential Contractors) ITE ADDRESS (6 3 ( ra f- S - 'HIS APPLICANT IS: ❑ OWNER 1ICONTRACTOR ft + 6 ft = ft x $20 = $ PROPERTY OWNER/ NAME: r ,,, cT I i U" I "I $450 Conservation Plan Review ADDRESS: 6 3 l i'f 1 d d, CITY_GjL� STATJ!Y% :ZLY3Z, TENANT Sewer Main Charge PHONE: 3 – 9,2 % – m ri g Agreement necessary ( ) Non Necessary ( ) CONTRACTOR NAME: fi&4401h �'(trwcicfr `� 4trr�(I�� STATE LICENSE # EXP DATE (6o Icy, r r 61 Jd L410 a, DP re6 STATEM—JdIP a�`f 37 SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: .2614 o. —CITY WITH APPLICATION PHONE a'7 - ,'2 338 FAX 3 -Ll 2_7 - A I r7;7 - PROPERTY TYPE -763- ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERNTr TYPE ❑ ADDITION ❑ GARAGEISHED ❑ WINDOWS ❑ BASEMENT FINISH 9ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING I OTHI,L 13SWIMMING POOL d d fir^ r TYPE OF WORK: ❑ NEW ❑ ADDITION I �C �' �t d G"I )17 �-1 Sl Com, Sc NXADMNANCE/REPAIR ❑REMODELING �r� Secttr�� DESCRIBE WORK BEING DONE: 2—p )ALL 52 C t1 01. D f Gi fn r rt(j 7rn'y"'z„ SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. 200E G ❑ HOUSE ONLY JTJMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: .G 3ARAES ❑ ATTACHED GARAGE 1. Existing Floor Plan 2. Proposed floor plan ROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used :,ROP6sF,D HEIGHT: 3IDING FOR NEW CONSTRUCTION INCLUDING DECKS. :1 Vinyl ❑Soffit ADDITIONS_ & PORCHES SUBMIT: D Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures :3 Other ❑ Fascia and proposed project 2. Two sets of construction plans ;A9NDOR'S 3. Energy Calculations N EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS DR FOR NEW OPENINGS -DESCRIBE SIZE OF DPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL F,FES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: �j (USING THE 1997 U.B.0 FEE SCHEDULE) OTAL JOB VALUATION $ ?) ally = OCCUPANCY TYPE Permit Fee $ 1�53 _,2 See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Surcharge $ J, % (.0005) times the total job valuation — Minimum $.50 Fire Surcharge $ 4Z 51.--_ .001 x Permit Valuation (1/10%) License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1450 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $20 = $ 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: Cit 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 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 uires review and approval of plans. �j SIGNATURE OF APPLICANT 04OU PRINT NAME ) 0 1 4 �) � DATE l Z10 O CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE 0 Fridley, MN 55432 619, 3 572-3604 41'�:D APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On January 1, 1999 Rep 10,4 PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater —Electric Water Heater — Gas** Gas Range** Gas Dryer** Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance � 0 O JOB ADDRESS (013 The undersigned hereby makes application for a perm it for the work herein specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. �0/g l0 6 ,1999 Owner -7-iM PO / rer 'e-� 9 - /0 V i Building Used As ie6l dence-, Estimated Cost _ P200 � PERMIT NO. MCGUIRE & SON PLUMBING COMPANY 60512th Avenue South Hopldns, MN 65343 SIGNED BY% TEL No. d193 7 Approved By Rough—In Date Final Date State Surcharge $ .50 �� MINIMUM FEE F ANY PLUMBING/GAS PERMIT TOTAL FEE $ 02D PLUS THE $.5o STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SQ INCHES. Arm G7Y0F FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 October 9, 2000 Tim Poirier 6361 Monroe Street NE Fridley, MN 55432 Re: Final Inspection at 6361 Monroe Street NE Contractor: McGuire and Sons Dear Mr. Poirier: A plumbing permit was issued on June 13, 2000, for the above noted address, to install a gas water heater. According to section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the plumbing authorized. As of this date no inspection has been called for. You will be given thirty (30) days from receipt of this notice to respond. If we do not hear from you, we will expire the permit and any inspections on this installation will require a new permit. Any questions can be addressed to myself at (763) 572-3603. Sincerely, DAVEJENSEN Building Inspector