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City of Fridley, Minn.. BUILDING PERMIT Date: . .......`f.... .......... ....... . Address ...................................... N® 3524 Builder.... .. ........ ... ................ Address ............................................ LOCATION OF BUILDING No. / Street..�......... ..,S�....... Part of Lot ............ ......... Lot .... f ...... Block -3 ........... Addition or Sub -Division Comer Lot ... Inside Lot A......... Setback .0 Sideyard ��.: �..c� .............. DESCRIPTION OF BUILDING To be Used ass � o / e ,r f c .... Front J° l "I Depth . .: �P Height !. f t Sq. Ft. /* . Cu. Ft..;? .................... Front ........ Depth ........ Height�� .. Sq. Ft. ........ Cu. Ft ....... Type of Construction .................. list. Cost ��.j........ To be Completed .......... In consideration of the issuance to me of a permit to co ct g desribed above, I agree to do the proposed work in accordance with the description above et compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of V.17/ ., 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. A ,. r if 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. City of Fridley, Minn. BUILDING PERMIT Date: AorzAl Owner:' .:.. ..._..._....... ..._.441-A-4._.._ Address N° 4'708 Builder Address LOCATION WING WING street , of LD .......... No.:....�, _._._.._.__....._...._.....__...._.... r r Lot ----- _-.--..�°.........-........ Block .--.._...._.......-...._................. Addition or Sub -Division ter........_._.. Corner Lot ...._ ...................._........ inside Lot .---._ ................................. hack Sideyard .... .. SewerElevation ................... ---.._....-----.-... .... ......................... .._..._. F. dation Elevation - .................. _........ _.._._............. -...... _...... _..._..------_------ DESCRIPTION OF BUILDING Tok Used .... Front }�. -.. Depth .... ... Height • -,/�� .. Sq. Ft. X 2— cu. Ft.. - ..._.............._ ...-._.....__........... ont ..._. Depth ........ Height Sq. Ft. ............ Cu. Ft. .___......._........ ... Fr Type of Construction .-.._ Est. Co P tell .................................................. _. ...... To be m le A:U iTHORIZE VILLA -r- E LAND COVENANTS AND �IJELC`i"v f k �-.u,.'dJNS. In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed -work in accordance with the description above set forth and in compliance, with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $_- ...._.__.._, permit is hereby granted to...._..... ........ ................... ............... to construct the building or addition as described above. This permit is granted upon the express condition th t 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 violatin of any of the provisions of said ordinances. Building Inspector NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, gas heating, sewsr,lor water. Be sure to see the Building Inspector for separate permits for these hems. 4 Owners N Address APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA LOCATION OF BUILDING No. �% / Street_ Part of Lot r Lot Block Addition or Sub.Div.i�,! _�4 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 J ai-- Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Estimated Cost To be completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City 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 �. �� SIGNATURE Lz` ;( w (A Schedule of Fee costs can be found on the Reverse Side.) 1, June 7, 1983 CI'T'Y OF FRIDLEY 6431 UNIVERSITY AVENUE N:E., FRIDLEY, MINNESOTA 66432 Wayne W. Anderson 6710 Monroe Street N.E. Fridley, MN 55432 Subject: Tree Roots in Sanitary Sewer Dear Mr. Anderson, TELEPHONE ( 612)571.3450 I have been given your letter of June 3, 1983, to respond to. If there is any break or hole in a sewer pipe or joint, tree roots will invade and enter the pipe for moisture. Once in, the roots will be nourished and rapidly expand to fill the entire space. There are treat- ments that are designed to stop or reduce root entrance and growth but the surest corrective action is to eliminate the hole. The city policy is we will investigate the sewer pipe at the property line. If any problems exist between the property and the main line, the city will make necessary repairs at no cost to the property owner. If a problem exists between the building and the property line, the property owner must initiate corrective action. The city informs the owner of the problem and he can determine if he wants the city to correct the problem, obtain a private contractor, or do nothing. The city cost for the investi- gation is approximately $250 and repair another $250 depending on the location and extent of repair. Of the alternate solutions you have identified in your letter, you may also request the city to investigate and fix the line or retain a private contractor to do this work. From the bills provided, it would appear that the root problem is within your property line. If you desire the city to initiate any action in this matter, please respond to me so that we can schedule the work this summer. I hope this provides you the necessary information you desired. If you have any further questions, please feel free to contact me at 571-3450. Sincerely yours, John G. Flora Director of Public Works JGF/mc 01 SUBJECT PER - City of Fridley 19 43 AT THE TOP OF THE TWINS BUILDING P E R M I T _ , t `L _ COMMUNITY DEVELOPMENT DIV. r � PROTECTIVE INSPECTION SEC. G 1 , , i �/"",•� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY ..-. L " 612-571-3450 910-F15 6/17/88 JOB ADDRESS 6710 Monroe Street N. E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 3 Brookview Terrace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Tim Johnson 6710 Monroe Street N.E. 571--6541 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 ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling (20 Squares) 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be 2nd layer but not 3rd. Install ridged galvanized valleys. On all new roofs or tea r-offs,`and` keplacement 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. 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 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 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, 000 $.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 PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $25,00 STRUCTION OR THE PERFORMANCE O CONSTRUCTION. jgl!�2� '0/' x7 P N CHECK FEE TOTALFEE $25.50 SI ATUREOFC NT CTORORAUTHORIZED E IDATEI WHEN THIS IS YOUR PERMIT 11'Zd, aPR,OQPERLY (LIDATED ^SIGNATUR BLDG INSP 0A E FOWNRC OWNERBUILDE , IDA 01 MW [ 7 ADDN [ ] ALTER [ ] Construction Address Legal Descripticn:_ Owner Name & Address Oontractor: Address: City of Fridley R-1 AMID R-2 Building Permit Application Effective 5/1/88 Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposoed construction drawn on it to scale. IL110 0 �. ; - . ps Corner Lot [ ] Inside Lot [ ] Width Width Height Height Hgt/Ground Sq. Ft. Sq. Ft. ' Sq. Ft. Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost : $ 4 O00 Approx. Completion Date: Alt. A Alt. B Proposed Driveway Width If New Openin Is Desired: $ $ YdthL+6 See Back Page , ; DUE: � / APPLICA : Tel. � CITY USE COY Permit Free b State Surcharge $ �? SAC Charge 5 Driveway Escrow 5 Park Free 5 Sewer Main Charge 5 TOTAL ICNS: Flee Schedule on Reverse Side $.50/51,000 Valuation $550 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] June 7, 1983 CITY OF FRIDLEY 8431 UNIVERSITY AVENUE WE., FRIDLEY, MINNESOTA 55432 Wayne W. Anderson 6710 Monroe Street N.E. Fridley, MN 55432 Subject: Tree Roots in Sanitary Sewer Dear Mr. Anderson, TELEPHONE ( 812)571-3450 I have been given your letter of June 3, 1983, to respond to. If there is any break or hole in a sewer pipe or joint, tree roots will invade and enter the pipe for moisture. Once in, the roots will be nourished and rapidly expand to fill the entire space. There are treat- ments that are designed to stop or reduce root entrance and growth but the surest corrective action is to eliminate the hole. The city policy is we will investigate the sewer pipe at the property line. If any problems exist between the property and the main line, the city will make necessary repairs at no cost to the property owner. If a problem exists between the building and the property line, the property owner must initiate corrective action. The city informs the owner of the problem and he can determine if he wants the city to correct the problem, obtain a private contractor, or do nothing. The city cost for the investi- gation is approximately $250 and repair another $250 depending on the location and extent of repair. Of the alternate solutions you have identified in your letter, you may also request the city to investigate and fix the line or retain a private contractor to do this work. From the bills provided, it would appear that the root problem is within your property line. If you desire the city to initiate any action in this matter, please respond to me so that we can schedule the work this summer. I hope this provides you the necessary information you desired. If you have any further questions, please feel free to contact me at 571-3450. Sincerely yours, John G. Flora Director of Public Works JGF/mc 6710 Monroe Street NE Fridley, 14n 55432 3 June 83 City Manager, City of Fridley 6431 University Ave NE Fridley, rn 55432 Dear Sir, I seem to have a sewer problem. As you can see from the enclosures, Roto Rooter was out on September 6, 1980 and on June 19.,.1981; Churchill's sever service wns here on June 2, 1983. Each of the three times I was told there are roots 35 to 4G feet frog, rw. t aserre=.t sewer opening. I have received a nur^.ber of causes and a number of rossibl-? :clutions. Rusty, a city employee, seem: to have eliminated some of the causes, and I assume that he Would agree that the fundamental nrot-lem is tree roots. I can only think of some possible solutions. I can continue as I am and have the problem for as long as I live in the house -- more than a nuisance. I can cut the elm tree down and the problem will probably he eliminated In a couple of years. I can hire a sewer company for % number of thousands of dollars and repair the sewer connection where the roots are apparently entering the sever line. I would hcpe that you can readily see that each of the above solutions is somewhat less than satisfactory. I am very interested in getting jour resronse to the problem. Tf theve are any solutions to the problem that I did not consider, I would be happy to hear of thea: in writing. Thant: you for your consideration and promnt attention. Waiting to hear from ,you Yours truly, � Wayne W. Anderson Churchill's rr.' � ,�: 1� '' Sewer Service 595 �z Street, N.E. Minneapolis, MN 55432 571-5555 SERVICE INVOICE c wo_�_ dower f „ z", .. C-1 ❑ Extra 3S' 571-56 t 57l-858585 CHURCHILL'S SEWER SERVICE HUGH CHURCHILL 5955.2/: ST., N.E. Owner MINNEAPOLIS, MINNESOTA 55432 F2 pATE�IAti TAX ❑ No One Howe Date Completed �-"'"d- Signature ❑ Total amount ❑ Total billing to 1 hereby acknowledge the ral:sfoctory completion of the above due for above be mailed aft*, described work. work: or completion a' SEWER SERVICE ti AGREEMENT FOR ROTO -ROOTER SERVICE y 2231 EDGEWOOD AVE., MINNEAPOLIS, MINNESOTA 55426 - TEL: 544-9551 "QUA L I T Y SER VICE SINCE 1935" DATE: C ^ �, 6 19 _L In consideration of The Promise of Roto -Rooter Sewer Service Co., HEREINAFTER called The "Company" to do work on customer premises servicing the premises at: AYF JOB: �' ' ` C ' guarantee '.� Ft'°cff Z _ for $ c/ JOB: $ JOB: $ which under normal conditions will take up to: hrs. In case of additional time needed to properly clean this line because of abiiormal or unusual conditions of the line a charge of S '� �'�� per hour per man after �7 hours on the job will be added. additional hours required ................... $ Parts and supplies from below ..................... . In accordance with the conditions set fo . on the reverse hereof and above, THE UNDER- SIGNED SIGNED AGREES TO PAY THE COMPANY THE, SUM OF Payable as follows: 1� r 1J Special Terms: 1 t - t C/ 5 I , ACCEPTED BY r1 Com. Print n..— l C'. ROTO ROOTER SEWER SERVICE CO.h CTruant's Tel,•pP-n- BY `` Authorized Representative 'In addition to the cleaning services as set forth above, the following described parts were installed by Company. at an additional charge of $ Authorizes above parts and installation: Customer's Signature CREDIT REFERENCE (The reverse side is a part hereof) Parts and installation NOT authorized Customer's Signature SERVICE WORK ORDER 0 - &0 070THIS IS YOUR INVOICE — NO OTHER WILL BE SENT. OOMR REMIT TO I . ROTO -ROOTER SEWER SERVICE CO. P.O. BOX A1840 r MINNEAPOL S MN 55486 CONTROL NO. ) --� ` �� AMOUNT PAID $ Customer Billed Customerddress n City _ zip Gt1Rlpirt.- if ,,JVt Cu'.turrn r i" i Customer Phone Tenant Name Tenant Phone RE TURN TNI: POR T IIN. V.11 N (1--1 DESCRIPTION OF SERVICE & PARTS SERVICE. ` %� GUARANTEE ON__ 7,--'�—FT. OFbn zl� SERVICE: GUARANT _ON F SERVICE GUARANTEE ON FT. OF SERVICE AT HOURLY RATE OF $ INCLUDING TRAVEL HOURS NORMAL SERVICE TAKES HOURS. ABNORMAL CHARGE AT -HOUR -HOURS PARTS PRICE C-) INVOICE TOTAL 176 PAYABLE AS FOLLOWS �� __ SUBJECT TO CONDITIONS SET FORTH ABOVE AND ON THE REVERSE SIDE OF THIS FORM. ROTO-ROO,T SE E SERVICE CO. _ _—=1Jt DATF� — •�1 (SLRVICL UPLRATOR) ACC! (' i LU f:Y� �I i'- 1 L - _� ^��� ��� PRINT NAN1E��,�?i S&U HAIR i LINT C U LOCATION I APPLICANT Employer Employer's Address Name of Bank Checking Acct: Account Name Account No. �Account Name of Bank Savings Acct: Name Drivel Lir 'or other Positive ID THAIMM YOU Ph COMMENTS Ko C- ) /, CREDIT APPLICATION JOINT APPLICANT Relationship to I Applicant FOR USING Employer Employers Address Name of Bank Checking Acct: Account Nam( Account No. Savings Acct: Name of Bank Account Name Ph Driver Lic.lor other Positive ID ROTO -ROOTER SEWER SERUM! l SUBJECT City of Fridley ZR 4 7 AT THE TOP OF THE TWINS BUILDING PERMIT COMMUNITY DEVELOPMENT DIV. 1 � r 1 PROTECTIVE INSPECTION SEC. 1 . I vpV CITY HALL FRIDLEY 55432 NUMBER. REV DATE 9/26/9 PAGE OF APPROVED BY 612-571-3450 910-F15 JOB ADDRESS 6710 Monroe Street NE I LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 9 3 Brookview Terrace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jan/Tim Johnson 6710 Monroe Street NE 571-6541 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. .. Brinkman Russell Home Improvements 3415 Hartford Rd, Woodbury MN 55125 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 735-8367 8168 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW J ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Construct a 14' x 19' Addition; Interior remodeling to move kitchen; Replace two windows an onedoor; PossIbie wall: removal 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. ,TVP B'NG R Q i �, X W SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $28,000 $14.00 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- STRUCTION OR THE PER RMANCE OF CONSTRUCTION. T PLAN CHECK FEE TOTALFEE 2 -On License SC$5.00 $423.75 SIGNATURE OF CONT CT AUTHORIZED AGENT IDATEI WHEN PROPERLY VALI TED THIS IS YOUR PERMIT 6 /.✓ fez BLDG INSP 1 DATE SIGNATURE OF OWNER oF OWNER BUILDERI IDATE'I NEW [ ] Effect' /1/97 ADDN CITY OF FRIDLEY I ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 7 i BUILDING PERMIT APPLICATION1D � J ConstructionAddress: 6 -710 NE Legal Description: Owner Name & Address: T 9- T ^ Jo- A ns ®^ 6 -�) o Nd, o e Tel. # S 71 Contractor: r-;), le , --v-, ss c f/ MN LICENSE # $16 S Address: L115- 14 -- i J 6 P d Road , Lid 6 d P, , A1N sJ- / 2 S Tel. # 7 -3S- - 8 3 K7 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 I y Width 19 Height Sq. Ft.2 v ( �� fV GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Len th -- ! Hgt/Ground Sq. Ft. OTHER: %(�1��'� �' /%7G1 k`� L �l � - i i C� �) L)�, )i xj 33c -,S I-Ix 00 IL - p©Ss, 4 Construction Type: Estimated Cost: $ '213/0076? (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: % / 11 /'? 7 APPLICANT: 6� 5� a 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 $326. 7S— Fee Schedule on Reverse Side $ o . 00 .001 of Permit Valuation (1/10th%) $ $.50/$1,000 Valuation $ $950 per SAC Unit $5.00 (State Licensed Residential Contra to Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ SuBjECT PER IT_N-O-: -:., City of Fridley 28768 1 , ® THE TWINS BUILDING PERMIT -RECEIPT NO.. 1 • COMMUNITY DEVELOPMENT DIV. r E � PROTECTIVE INSPECTION SEC, ����✓ 1 ; � CITY HALL FRIDLEY 55432 IL_ �'' NUMBER REV DATE PAGE OF APPROVED BY -_-A 612-571-3450 910-F15 12,16198 JOB ADDRESS 6710 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Tim & Jan Johnson 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Brinkman Russell Hm.Im rov. 3415 Hartford Rd Wondburg i512S ASI -735-R367 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 O NEW 0 ADDITION 0 ALTERATION )Ek REPAIR 0 MOVE 0 REMOVE 8 DESCRIBE WORK Reside house, windows and insulation 9 CHANGE OF USE FROM TO STIPULATIONS Call for building wrap inspection before covering. Install smoke detectors to meet the State Building Code - in each sleeping room and on each level of house. 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 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 $14,800 $7.40 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 $224.75 Fire PLAN CHECK FEE TOTAL E Lice e $5.00 $2%Z.95 SIGNATURE OF CON'RACTOR OR AUTHORIZED AGENT [DATE, ENP P LIDATE IS I$ Y UR PERMIT SLOG I S GATE SIGNATURE OF OWNEA0F OWNER BUILDER, 'DATE' NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER / SINGLE FAMILY AND DUPLEXES R-1 AND R-2 v BUILDING PERMIT APPLICATION ConstructionAddress: 6—� O ( v, i f o e- S f_ IVE !, Legal Description: Owner Name & Address: , i � 9- 1 -aa Tel. # Contractor: ��-; „ ►;,,,,Q,� kms,.// T M e , MN LICENSE # g) 6 g Address: 3'-115- 14a,-14- and Lc a d ; LJ ry /LfN J--5-1 25- Tel. # i6�0 73 S^ S 3 C7 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: Construction Type: �� s�oltnr,.�rhdows f-cks,.,t.- .Estimated Cost: $ l q, gob (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE:Z j' 7-g APPLICANT: Tel. # CITY USE ONLY Permit Fee $ '76- Fee Schedule on Reverse Side Fire Surcharge $ -?'0 .001 of Permit Valuation (1/10th%) State Surcharge $ `fi. q® $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ 5. 0 0 $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 [ j Not Necessary [ J TOTAL $ STIPULATIONS: 73-s--;57,67 Bnnkman Russell CONTRACT 3415 Hartford Rd. PROPOSAL Woodbury, MN 55125 735-8367 MN Lic # 8168 We herewith submit proposal for materials and labor to be supplied at the sole request and order of: NAME ADDRESS, CITY STATE & aP CODE Jai, To h+ -J_ Home Phone S-71- 6 S yl Job Address 9'7 10 A4 o n rbc. 5-+. N E office Phone Office Phone Job Name Job Phone hereinafter referred to as owner, for work to be performed at premises set forth above, according to the following terns and specifications: Re -;Ki- 1r. -1e i -A00 6 „-t- �d rto �T'1, s/d` o+ 11� ,f E 2, 09� _..." `- ZIA— ek., d dispel'- , r- e st r � �i �.fi1. a �•sll •�►-�� (. neper f��-Fvc,./v cash.s� boclt o�F atr�.c✓•�Il q ^ d e< -Md s t cls walls In s -1 -Gil 7/Y' ( �►ccd �-' s 4 f ►.�w�i �aa.+� r�s•�{a�ru., cn -'e-yc . --r d_;� Ke -std., 11e, pyr,'Ui- a d no P -IL st cic -F pax it 3s0!�g UQfI �I C,K art d ry.0..k !4 3 <Ci"'4' "hQ/nyeAAel _V dk!5 �• I+/ l�1. +G a l✓�-r � w�► i� i't't.'1' Anal � r G i q _- rte•• f t �,el S %n.e a �sf"F<rs o�� d0 c.ir, �S�o ✓+s �nl+AU :'� A�rTcff 6,, f<aL.uv porJ4.0 rP Fr�a.-I- e./wl/ Ke -19C -lee J214 '- I e.." . '41'. rt-."+ d' A^4crfee% jRCdcea,. - • is,+ee+ &.j c-esr ^ You, the buyer, may cancel this transaction at anytime prior to midnightof the third business day after the date of this transaction. See the attached notice of cancellation form for an explanation of this.right. All materials are guaranteed to be as specified and to carry manufacturer's warranty. All work to be completed in a neat and workmanlike manner. Any alteration or deviation from above specifications involving extra labor and/or materials costs will be executed only upon written order from owner or his authorized agent and will become an extra charge over the below agreed amount. Agreements made with mechanics or subcontractors on the job are not recognized. No statement, arrangement or understanding, expressed or Implied not contained herein will be recognized. We propose to furnish and install the above complete in accordance with the above specifications for the sum of TOTAL AMOUNT DEPOSIT BALANCE Balance of payment to be made as follows: Contractor's Acceptance <� Work to be started on or before 19 and be substantially completed on or before 19 Company Representative `']�1?�� �) Uc. No. Accepted r d �! ///r� S16S Contractor ,sT. Lic. No. This proposal may be withdrawn if not accepted within days. nvmc• - rvnm "D dollars (s ). Payment to be made as follows: Owner's Acceptance The foregoing terms, specifications and conditions are satisfactory and are hereby agreed to. You are authorized to do the work as speci- fied and payment will be made as outlined above. The owner upon signing this agreement represents and warrants that he Is the owner of the aforesaid premises and that he ha§ read this agreement. Owner Date Owner Date CITY OF FRIDLEY PERMIT NO.: 2004-02185 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 11/29/2004 14MI11L10r.lw_4iirflIU14A a y-4all ADDRESS : 6710 MONROE ST NE R PIN : 143024140005 LEGAL DESC : BROOKVIEW TERRACE : LOT 9 BLOCK 3 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION : $ 0.00 NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC CHAPTER 6 AND TABLE 6-A # ELEC WATER HEATERS 0 VALUE OF FIXTURE/APPLIANCE # NEW FIXTURES (EXIST OPENINGS) 0 # GAS WATER HEATERS # GAS DRYERS 0 # GAS RANGES # OF NEW FIXTURES 0 VALUE (FOR MINIMUM CALC) # WATER TRMT APPLIANCES 0 APPLICANT BY PIPEWORKS 3670 DODD RD EAGAN, MN 55123- (651) 365-1340 5C1AJO 9 JOHNSON TIMOTHY S 6710 MONROE 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 regulatipg.Gonstruction or the performance of construction. Ant) icant i Date I Bldg Insp. PLBG PERMIT MINIMUM FEE PLBG FIXTURES (NEW OPENINGS) PLBG FIXTURES (EXIST OPENINGS) WATER TREATMENT APPLIANCE WATER HEATER - ELEC WATER HEATER - GAS GAS RANGE FEE GAS DRYER FEE PLBG REPAIR/ALTERATIONS STATE SURCHARGE, PLBG FLAT TOTAL PAID WITH CHECK # 10433 ARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 0 1 0 200 0.00 0.00 0.00 0.00 0.00 35.00 0.00 0.00 0.00 0.50 35.50 CITY OF FRIDLEY INSPECTION DIV. Effective April 1, 2004 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT (763) 572-3604, FAX (763) 571-1287 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** NO. RATE TOTAL I Gas Range** Gas Dryer** Back Flow Preventer Required ( )Yes () No Type $10.00 $10.00 $10.00 $10.00 $10.00 $10.00 $10.00 $35.00 $35.00 $35.00 $10.00 $10.00 $15.00 Reinspection Fee $50.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.25% of Value of Fixture or Appliance State Surcharge JOB ADDRESS(L0310 ,MO!(1 f 0e, 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. DATE: Nov • 23 20 � OWNER _ I (IM JQnsors BUILDING USED AS Relesla ESTIMATED COST t UO, 0D PERMIT NO PLUMBING COMPANY SIGNED BY � `sv,' 0 � TEL N0.01 -SUS -134 0 '6D Approved By Rough -In Date Final Date MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 or 5% OF COST TOTAL FEE $ OF THE IMPROVEMENT WHICHEVER IS GREATER PLUS THE SURCHARGE. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A, **PROVIDE COMMON VENT INFO ON BACK SIDE 3`�� FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT; VENT CONNECTOR AND COMBUSTIONAIR VERIFICATION When replacing an existing fOrnace, 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 () 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 manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes ( ) No( ) When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes ( ) No( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's 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. Yes () No( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input 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 ALTERATIONS: (Describe) HEATING CO: Signed By: Date