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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT Date: . A. ` -.. :�. ........ owner ....................................... Address ...................................... I�® 3521 Builder.... � .. ............... ......... Address ............................................ LOCAT�F BUILDING No. 10.1/p . Street . � ....................... Part of t .................... ......... Lot ... Block .. .......... Addition or Sub -Division .. ... ....... Corner Lot ............ Inside Lot ............ Setback ............ Sideyard ........................... DESCRIPTION OF BUILDING To Us Y , f 4' r1 Height �!.. v Sq. Ft/0`.'.... Cu. Ft.R.®... ............ ... Front ........ Depth ...... Hei t ... Sq. Ft......... Cu. Ft........ . Type of Construction .................... Wt. Cost/.�� .. ... .f .. / ....... To be Completed ..............:.... In consideration of the issuance to me of a permit to Wtheed above, I agree to do the proposed work in accordance with the description aboe te 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 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. Boding Inspector NOTICE: This permit does not cover the construction, installation or alteration for wiring, jpBmbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. City of Fridley, Minn. BUH DING PERMIT wAg 6 Address Address LOCATION BUILDING No. Street P Lot Lot___ _ Siock Addition or Sub- once f Corner Lot _ Inside Lot _ _ � *SMackdeyard tr— Sewer Mevation Fo tion Mevation DESCRIPTION OF BUILDING To as: Front Depth Height Sq. Ft Cu. Ft FrolA Depth� He Sq. Ft — Cu. Ft Type of Construction'"'_ jr Fit Cos!' i 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 21 provisions of 1h ordinances of the city of Fridley. r� In consideration of the payment of a fee of $ _agRa , permit is hereby granted to to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. --I" 1 Building Inspector NOTICE: Thk psrmM den net cover the condrucdoe, WshWon for vrkloo, phmehing, on hodko, surer or water. Be sun to no the Building ingmtor for aparato peraft for dhea Moms. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner's Name Z w qr®/ / / 9 /n e N n / Builder 5jylV C Address2,Zg 1�Iatiroe ST ti. c Address LOCATION.OF BUILDING No. 4 Street No w evc— Part of Lot Lot_ Block -3 Addition or .Subdivision ho o ku) e w Te r ra ce Corner Lot Inside Lot i/ 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: ale Lia' .'h e 01 9L,,A-�ront ;;,70 � Depth� i94 Height Sq. Ft. 0 Cu. Ft. Front Depth Height Sq, Ft. Cu. Ft. Type of Construction It /pan e Estimated Cost �"m To be Completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATEI-',�� . ?/ / �/'�� SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). 45;?e/s- City of Fridley, ..Minn. N° 7931 BUILDING PERMIT Date: June 17, 1965 owner: W Hamernick Builder Carlson & Carlson Address 6740 Monroe Address 4416 3rd St. N•E• LOCATION OF BUILDING No. 67WQ Street Monroe Part of Lot Lot _ _ 6., — Block 3 Addition or Sub -Division Brookview Terre Corner Lot — Inside Lot Setback Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Est. Coat To be Completed Repair Storm Damage In consideration of the issuance to me of a permit to construct the building described above I agree to do =Poi work in accordance with the description ab t forth and in compH ce with ail provisions of oirlinances of the city of Fridley. � //1I In consideration of the payment of a fee of E 10000''—, permit is hereby granted to Carlson & Carlson 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 ofbuilding ofs within the city limits and this permit may be revoked at any time upon violation of any of the provisions said ordinance. A31en Jensen Building Inspector NOTICE: This permb does not emn the Bond mCdoe, huhiielion for Yritittg, pinmbing, gas heating, aawer or water. Be era to no ih• Bedding Mwector for separate permits for these Neon. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA , OWNER'S 4 ADDRESS / 6 a�-J ADDRESS-1%'�I1 &'� `'`� . ;7 c LOCATION OF BUILDING =� Street Part of Lot LOT R ADDITION OR SUBDIVISION, Corner Lot Inside LOT 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. To be used as; Type of Construct DESCRIPTION OF BUILDING Front Depth Height Sq. Ft. Cu. Ft. Front Depth _Height Sq. Ft. Cu. Ft. Estimated Cost x®®67. 0 To a completed � .2 �. ieundersignedCh�ereby 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 66 SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). suedEcr PE City of Fridley - 1 AT THE TOP OF THE TWINS BUILDING PERMIT RECEI 1 VV COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION r � � SEC. ��� I NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 812-560-3450110/25/74 910-F15 JOB ADDRESS 6740 Monroe Street N.E. 1 LEGAL LOT NO. BLOCK TR ACT OR ADDITION SEE ATTACHED DESCR. 6 3 Brookvi.ew Terrace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Edward Hamernik 6740 Monroe Street N.E. 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 EX ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 12' x 9' Entry onto dwelling 9 CHANGE OF USE FROM TO STIPULATIONS SEPERATE PERMITS REQUIRED FOR WIRING, HEATING, PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,500 1.25 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. $15.00 PLAN CHECK FEE TOTALFEE $16.25 SIGNAT OF CONTRACTOROR AUTHORIZEDA`ENT (DATE)TED THIS I O FERMIdo�=A a � ATE)— AISTn BLDG TE�SIATWEAFMANER(IF i APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAM: _-0W&12(0 /��f1% e yZ BUILDER : S A -Z1-- ADDRESS : 6 1�7 q(o /%1/1 ge2Q & F_ ADDRESS: NO:. ray, STREET: LOT: 6 BLOCK: 3 ADDITION- B—'o©'eV/,fee) % �f CORNER LOT: INSIDE LOT: X SETBACK: SIDEYARD: 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: )EAlmr Front. 02 Depth: ` Height: Square Feet: /D 8 Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: • 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 sttict 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: / O a Y- -SIGNATURE: (See Reverse Side For Additional Information.) CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY WARM AIR: Furnace Shell & Duct Work Replacement of Furnace Repairs & Alterations -up to $500.00 Repairs & Alterations each add. $500.00 MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTU each add. 50,000 BTU Replacement of Furnace Repairs & Alterations -up to $500.00 Repairs & Alterations each add. $500.00 STEAM OR HOT WATER SYSTEM: Boiler & Lines up to 100,000 BTU each addn. 50,000 BTU Boiler only up to 100,000 BTU each addn. 50,000 BTU OIL BURNER- to 3 gal. per hour each add. 3 gal. per hour GAS BURNER- from 100,000 BTU to 199,999 BTU (over 199,999 BTU see Fee Schedule) GAS FITTING FEES: 1st 3 Fixtures Additional Fixtures Gas Range to 199,000 BTU AIR CONDITIONING FAN HEATING SYSTEMS ) See Fee Schedule VENTILATING SYSTEMS ALTERATIONS & REPAIRS ROUGH INSP. FINAL INSP. RATE TOTAL $12.00 $ 7.00 $ 7.00 $ 4.00 $ $12.00 $J .Q® 4.00 $ 7.00 $ 7.00 $ 4.00 $ $12.00 $ 4.00 $ 7.00 $ 6.00 $ $10.00 $ 10.00 $ $10.00 77yy $ Total Connected Load replacement Kind of Fuel gas $_35,50 x $ 3.00 x $ 1.00 x $10.00 State Surcharge TOTAL FEE REINSPECTION FEE Date (.$10.00) APPROVAL FOR PERMIT MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 Job Address 6740 Monroe St NE Department of Buildings 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. Fridley, Minn. 7-29-76 , 19 OWNER Ed Hamernik KIND OF BUILDING f came TM'P.T] LG residence TO BE COMPLETED ABOUT 8-15-76 ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. �� V $ 0 DESCRIPTION OF FURNACE/BURNER $ HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Lenname Name West. Size No. FGUE-082M $HS8-261-2 tons Capacity Sq. Ft. EDR BTU HP $ —82M $ .50 Total Connected Load replacement Kind of Fuel gas $_35,50 BURNER - Trade Name tm Size No. Capacity Sq. Ft. EDR BTU HP Company #7926 Gene Florek Signed By HEALING $ AYR CONDITIONINP, 15360 D611fiem Ave, 929.6767, Tel. No. RrO t�.yy Perk, Minnesota 55426 of Fridley SUBJECT 15704 AT THE TOP OF THE TWINS BUILDING PER M rpCity • _____ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 � � i ---- , CITY HALL FRIDLEY 55432 L J\ 612-571-3450 ECEIPT NO. NUMBER 910-F15 REV. DATE 5/6/80 PAGE OF APPROVED BY JOB ADDRESS 6740 Monroe Street N.E. 1 LEGAL DESCR. LOT NO. 6 BLOCK 3 TRACT OR ADDITION SEE ATTACHED Brookview Terrace SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Ed Aammernik 6740 Monroe Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Pearson Masonry 741 Kennaston Drive 571-7224 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 6 DESCRIBE WORK Install brick veneer on building 9 CHANGE OF USE FROM TO STIPULATIONS SEPERATE PERMITS REQUIRED FOR WIRING, HEATING, PLUMBING AND SIGNS. 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 AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION ZONING SO. FT. CU. FT. 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 AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT VALUATION $800 SURTAX $.50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS ANY, OTHER ST TE OR LOCAL LAW REGULATING CON- -TRUCTIO THE PERFORM N E OF CONSTRUCTION. PERMIT FEE $7.50 SACCHARGE PLAN CHECK FEE TOTAL FEE $8.00 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT -C9 'l.0 BLDG INSP V DATE CJ SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) OWNER: ADDRESS: LCfU GI''dyL- TEL NO: BUILDER: ADDRESS: TEL NO: s7r) 'f Construction Location STAT NO: y U STREET: Y ' 0 `N VQ6 L� LOT: BLOCK: ADDITION: Corner Lot: Inside Lot: %f 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: Square. Feet: Front: Depth: Height: Cubic Feet: Depth: Square- Feet: Cubic Feet: Height: ©_ Type of Construction:3u0n ((�1� ()�-�CkEk Estimated Cost: $ & C)o To Be Completed: Alt. A Alt. B Proposed Driveway Width If New opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: � e- �� SIGNATURE: �C c Stipulations: SUBJECT PEqAW City of Fridley 18254 P, AT THE TOP OF THE TWINS BUILDING PERMIT Ir `RkCEIPT • COMMUNITY DEVELOPMENT DIV. �----y---, INSPECTION SEC. r � PROTECTIVE 1 ! � ---t CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 10/18/85 JOB ADDRESS 6740 Monroe Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 6 3 Brookview Terrace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Edward Hamernik 6740 Monroe Street N.E. 571-6091 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 Construct a 16' x 13' Three Season Porch Addition 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS REQUIRED FOR G AND I 1 _ �.� P �:r.HEATING, PI_19R WIRING, V local Utiiiiie5 Wore digging Call ELECTRIC - GAS Etc- TELEPHONE - BY LA REQUIRED� SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Wood Frame THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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 208 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 $2/500 $1.25 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- $38.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $ '9.63 $49.38 SIGNATURE OF CONTRACTORO AUTHORIZEDAGEN (DATE) WHEN PROPERL VALIDATED THIS IS YOUR PERMIT BLDG )NSP f1A SIGNATURE OF OWNER IIFDWNER BUILDER) ( ATE) NEW [ ] City of Fridley Effective 4/1/84 ADDN. [] h R-1 AND R-2 ALTER. [ ) Building Permit Application Construction Address: Legal Description: Owner Name & Address: ��� �Tel. # Contractor: S e Tel. # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: Length GARAGE AREA: DECK AREA: OTHER: Length DESCRIPTION OF IMPROVEMENT Width Height Sq. Ft. Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. ,/'/2 "o L i 'Oe)R r4 1g.4631Z =jq/42ovU2 i y Iq. Corner Lot [ ] Inside Lot [,Q Ft. Yd. Setback a Yard Setback Type of Construction: AVD hUML.,_dWcR4&-rF- 1;00k Estimated Cost: $ Approx. Completion Date: Proposed Driveway Width If New Opening Is Desired: Alt. A Alt B See Back Page for Explanation DATE: /�/6' S APPLICANT: A4-oxa Tel. 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 $425 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] 9 A • SUBJECT PER City of Fridley o 1838 AT THE TOP OF THE TWINS BUILDING PERMIT RE `___ COMMUNITY DEVELOPMENT DIV. y ------ r � PROTECTIVE INSPECTION SEC. 4 CITY HALL FRIDLEY 55432 NUMBER REV, DATE PAGE OF APPROVED BY 612-571-3450 910-F15 4 18 86 JOB ADDRESS 6740 Monroe Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 6 3 I Brookview Terrace SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Edward Hamernik 6740 Monroe Street N.E. 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 l2 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof Dwelling 9 CHANGEOFUSEFROM TO STIPULATIONS Roof can be the 2nd layer but not theXXXdX 3rd. Install ridged galvanized 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 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 $550 $.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- $15.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $15.50 SIG TURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPERL IDATED THIS IS YOUR PERMIT BLDG INSP GATE SIGNATURE OF OWNERIIF OWNER BUILDERI IDATEI NEW [ ] City of Fridley Effective 4/1/86 ADDN. [ ] R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: N . Legal Description: 9 -- Owner Name & Address: J GuQ r M eY A i Tel. # Contractor: Tel. # Address: 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 [ ] Inside Lot [t/ Ft. Yd. Setback Side Yard Setback Type of Construction: Rp-SAJr)5 (e �ouse Estimated Cost: $IF $SO Approx. Completion Date: Yn C-!4 Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation DATE: 7 1? 19 6 APPLICANT: _YZn . al. �r Tel. f2l - 4°S/ Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY 00 Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $475 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] A� G ri CITY OF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY. MN 55432 • (612) 571-3450 • FAX (612) 571-1287 April 21, 1994 PW94-077 Mr. Ed Hamernik 6740 Monroe Street NE Fridley MN 55432 Subject:d Street Repair Y Dear Mr. rnernik: I received your letter of April 9, 1994 and have spent some time reviewing your concerns with our inspector and contractor. In placing the concrete curb and gutter for storm water drainage on Monroe Street, it was required in some instances to adjust the elevation from the existing asphalt berms in order to provide for proper flow. In your particular location, because of a depression in the street, the concrete curb was raised 6 inches above that which it had previously been. This was necessary in order to provide for proper surface water flow. In a normal back filling process of the curbs, we have gone back approximately three sod widths to blend into the yards. In your particular case, because of the exceptional raising of the curb, we will, when the sod farms open this spring, remove the existing sod in the boulevard area, place fill in the front yard and resod in an attempt to fill the depression that has resulted. In this process, we will allow for surface flow onto the driveway and into the street to eliminate ponding that could occur in the front yard. While the driveways were put in late in the year, the construction was proper and within specifications. In reviewing your driveway, we have not found any improper asphalt. We did notice that along the edges where the roller compressed the asphalt, it resulted in extruding the material to the sides which gives_ the appearance of minimum thickness. Be assured that in the driveway area, there is in excess of 2 inches of asphalt. Because of your concern with the appearance of the driveway surface, we will have the contractor provide a fog treatment on the driveway surface this spring when he does his remedial work. This fog treatment consists of an application of asphalt mist which seals the surface. We anticipate completion of this work in May of this year, predicated upon the availability of sod in this area. I hope that with the accomplishment of these items, you will be satisfied with the work that was completed on Monroe Street. If you have any additional concerns or questions in this regard, please feel free to contact me at 572-3550. Sincerely yours, John G. Flora Director of Public Works JGF:cz 10� 7, CITY OF FRIDLEY INSPECTION 6431 University Ave NE Fridley, MN 55432 (763) 572-3604 FAX (763) 571-1287 RATE SCHEDULE DIViSION APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Effective January 1, 2003 State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. $ The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes an $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE 6' HEATING CO Q r� (2!?.o % Signed -1-S TEL # %GS - ZLy -G i ej a FAX rC3 Approved ByA_ Rough -In Date Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE JOB ADDRESS 11 79 OWNER 4ij 4&m -c►, Act Rate TOTAL 'k BUILDING USED AS /& S, J " $ 30.00 $ a. � � ` ESTIMATED COST_ Vii PERMIT NO. 0�& $ 10.00 $ DESCRIPTION OF FURNACE AND OR BURNER $ 10.00 $ No. of Heating Units Circle One (Steam) (Hot Water arm ) $ 10.00 $ Trade Name t�� Size No.— aweZaag BTU 201,5" o' HP EDR $ 25.00 $ Fuel_Total Connected Load Burner Trade Name Size No. $ BTU HP EDR State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. $ The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes an $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE 6' HEATING CO Q r� (2!?.o % Signed -1-S TEL # %GS - ZLy -G i ej a FAX rC3 Approved ByA_ Rough -In Date Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED When raIn acing an exrsfina Iran _ _, 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 exisficnmhtystinn air is sized and instalied to meet Lhe wffentt codes and manufacturer's specifications. Yes( No( ) When required to install a new _emh 1sban air it will be sized and installed to meet the current codes and manufacturer's specifications. Yes (rf No ( ) When Installing a new venfine sy pm, 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 (o -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 KNo ( ) Appliance #1 Type ca - igj-4 BTU Input Fan Assisted or Nat PO-7- Appliance ed-7"Appliance #2 Type Je,e�BTU Input .,d,- Fan Assisted or Nat A94-!- Appliance 9- Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height _A_ft Length _ ft Diameterin Type Appliance #2 Vent Connector Height 2�ft Length _/ft Diameter in Type Cfys Appliance #3 Vent Connector Height ! ft Length ft Diameter in Type N HEATING Signed By: -�-- cam. —a3 Building BUILDING See Back Page for Fee Schedule Permit No.,-doo 11 Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Surcharge Date 763-502-4977 FAX License Surcharge $ ao® $5.00 (State Licensed Residential Contractors) SAC Charge EFFECTIVE 1-1-09 $2000 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow DATE 7^ Ili- QQ YOUR E-MAIL ADDRESS ft + 6 ft = ft x $22 = $ SITE ADDRESS 67 YD M QAfbe- s'r ;- $ THIS APPLICANT IS: ❑ OWNER ONTRACTOR Park Fee PROPERTY OWNER/ NAME: r�iftm n%k-LS' Sewer Main Charge TENANT ADDRESS:—C7410 N0111 o t 64 4U CITY STATE ZIP $ PHONE: 6 `Z^ orlw— -71.5 9 CONTRACTOR NAME: SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # EXP DATE 3-3/-2010 AND CERTIFICATE OF ADDRESS: 930 7 Mtij L tr'. CITYJ!h&MJAjn_STATEAILZIP S' INSURANCE PHONE Z ^f&A FAX PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING 1�6 DESCRIBE WORK BEING DONE: T • NZ. p -P 4fie- h Qw. SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING , ' f it LOJ OUSE ONLY NUMBER OF SQUARES 5 & GARAGE BASEMENT REMODELING SUBMIT: Oct VHOUSE 1. Existing Floor Plan GARAGES ❑A.T7ACHED GARAGE 2. Proposed floor plan PROPOSED SIZE:2^Ca WDETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, S ING- - - - ---- --- - — ---- _ _ /$ sd v ❑"Frim m _ ADDITIONS. & PORCHES SUBMIT: I . Site Plan/Survey showing the existing structures ,� ❑ Aluminum �f l� El Other ❑ Fascia Ali* and proposed project. 2. Two sets of construction plans WINDOWS /y!'% T^( 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: TOTAL JOB VALUATION $ 1131 (USING THE 1997 U.B.0 FEE SCHEDULE) OCCUPANCY TYPE Permit Fee $ 73rd 5 See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ I .001 times the total job valuation Surcharge $ 31 .0005 x Permit Valuation Minimum $.50 License Surcharge $ ao® $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 $ Make checks payable to: City of Fridley Attach Stipulations I THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I 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 on site; that the work will be in accordance with the approved plan in the case of all w ' r uires review and approval of plans. 11 SIGNATURE OF APPLICANT PRINT NAME '�Q`IG ICIrVit ,$0 7 DATE 7�'