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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N� 57so 01 Date: IL— �. ownw: Builder,, ..�. i Address.. � LOCP1T1 OVUILDING /// , No. Street — .Part o t Lot 1, Block Addition or Sub -Division_! Corner Lot _ Inside Lot _ Setback S b::._.___ _ Sideyard _ Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING =Used Front Depth Height Sq. Ft. ACu. Ft Fro Depth Height ;► Sq. Ft..— Cu. Ft. Type of Construction____ Est. Cost To be Completed In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and m compliance with all provisions of ordinances of the city of Fridley. ta' 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 grantedupon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ;ordinances. NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, tower or water. Be sure to see the Building Inspector for separate permits for these hems. 4 ._ -s - t - e APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Address 6Jbb4 Address 1 LOCATION OF BUILDING Street(T4:Lart of Lot Lot BlockAdditionor Subdivision Corner Lot Inside Lot X, Setback J3 Lr side-Yarde' SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. To 7pe used as: DESCRIPTION OF BUILDING Front+4/Depth & Height Vii.IQ sq. Ft. 0 cu. Ft .,, 10 FrontDepth eight sq. Ft. Cu. Ft. Type of Construction�err Estimated Cos 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 ail the facts and representations stated in this application are true and correct. DATE.t- 1� ��C,a �/ SIGNATURE (schedule of Fee Costs can be found on the Reverse Side). . A City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: 3 RATE TOTAL �� S x vi 3� o� x pZ uJo �Z S� O71g� <3 1 �Ud (9 �U NU' Z �UO P N WATER HTR. GAS EIEC Base 2.00 $ Ak' d New Ground Run Old Bldg. ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL_ 1st 3 Fixtures .......................... Z x $1.50 A 1/-, S (-) Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. 1st 2.00 $ 2nd 3rd 4th • Future Connection Openings New Fixture, Old Openings I Connected with Sewer Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... S x $1.50 $ 1 U U Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ Ak' d New Ground Run Old Bldg. ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL_ 1st 3 Fixtures .......................... Z x $1.50 A 1/-, S (-) Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description .........................................$ TOTAL FEE $ ' City of Fridley: P" The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this applicatio are true and correct. dley, Klin Z 19� �I Owner v Kind of Used as To be completed about Estimated Cost, $ Ol Ne ding Permit ROUGH y FINAL " d2 2M Business Phone Application for Power Plants and Heating. Cooling. Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. IDR Steam ..... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ 0d� Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .............. .. 2.50 $ OIL BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ 13-0 O GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 Additional Fixtures . ............... x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $ �`�• J n ROUGH FINAL Dept. of Bldgs. Phone SU 4-7470 City of Fridley: 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 representations stated in this application are true and correct. Fridley, P nn- � % lgrp Z Owner ^ Gly . �• Kind of Building Used as To be completed about Estimated Cost, $ Old ew Building Permit No. �-.- 6 Q Permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS --Steam, Hot Water, Warm Air—No Trade Name,4�9� —�-�L ®� Size No Capacity ✓� Sq. Ft. E.D.R- e 2) BTU H.P. Total Connected Load Kind of Fuel 99:9� 11/7 BURNER — Trade Nam Size No Capacity Sq. Ft. E.D.R BTU - H.P. (REMARKS -OVER) 42 'iM Business Phone a, r • ' PLUMBING, FIXTURE RATES.. NO, RATE • x u Nzura f -I ttura Oponing •• u• $2,Q0 Nx u $2,00 Wator, x $5,00 • �' x $5.,00 100;000 17V to 199,000 BTU x 510,00 Water SJltantr. �- x 57,90 ' New Ground • tarn Old Building x 5.5 q 00 Eloctrlc Nater Heater �- I I O A C O r .� 1 , .+ d• M 1st J fLxtura2 h "� p N Y N Q r jl�J y u � P4 ' 510.00 RFP 1' 0 b S ++ aN N N N leo 0 AI 11d me 7_71 ..I -I- -J. (R) " Nture CoMectIOA Opening Connoctad with Sauo't (•J a New Fixture, old opening watq -PARTIAL RATE SCHEDULE ' PLUMBING, FIXTURE RATES.. NO, RATE 14=: Cx Fixtures �� x :J,00 Nzura f -I ttura Oponing •• ai $2,Q0 Acw Fixture, O1d*0poning x $2,00 titch Bio in • x $5,00 1•Wator Bait - CO 99,000 BTU., '' x $5.,00 100;000 17V to 199,000 BTU x 510,00 Water SJltantr. �- x 57,90 ' New Ground • tarn Old Building x 5.5 q 00 Eloctrlc Nater Heater �- x $5,00 GAS FITTING FEES: 1st J fLxtura2 x 13,00 )Jdlticlal rUtures __•x 51100 ,Gas Rsnge to 199,000 Btu x 510.00 RFP 1' A RS 4 AI.TERA'fIONS first :100.00 IS.00 each acd, 5100.00 or traction 91,00 S,tata Surcharge • TOTAL FEC TOTAL. 9 J158id-AIN01 IMM 638,2 NE N are -A Department of Uuildingl Clty of Fridley 1 Tal, 1571-)450 , ITho undarelgned hereby mAkee application lora permit for the w apiaif.ed agruoing•to do all work in Itrict accordance with the C And rulings of tlia DapartnoAt of Building,, and hereby daclareo t the LAct9 and ralirgeuntAtiono otatod in this application aro tM ' Fridley, Kn, 24-78 , OWHER KIND OF UUMMIG fram USED AS res TO HE C014PLETED AUOUT 5-1178 ESTIMATCD COST 20. Ca OLD - 11EW UUILDINO PERMIT 140, MV+IT 110. �L•=-z• Company M1NNEGWftrGASC0 signed By' Tal, No, jiOUGlI YNSP. ' DAta , I . ' c, FIIIkL S DAto ' ' APPROVAL FOR PERMIT . M111IMUM FEB FOR MY PLUMBING PEMIT 19 11.50 9 50 I 10.50 • I City of Fridley SUBJECT PERMIT NO. 414.6 AT THE TOP OF THE TWINS BUILDING P E R M I T r i. RECEIPT NO. `y _ COMMUNITY DEVELOPMENT DIV. 1 PROTECTIVE INSPECTION SEC. < NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-560-3450 910-F15 6/10/77 JOB ADDRESS 6389 Pierce Street N.E. 1 LEGAL I LOT NO. BLOCK TRACTOR ADDITION A� SEE ATTACHED DESCR. 42. A00 4 I ® -_2 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE &W ! c "", �- 5,jrIc-el 5719r 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. cv gS - 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 7 CLASS OF WORK ❑ ET NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 18' x 20' Garage 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway. Before fgging call 1=1 utilities 'MLM4NE - ELECTRIC - GAS Etas. REQUIRED BY LAW 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. 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 360 3600 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 $2,664 $1.33 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 FANY OTHER STATE OR LOCAL LAW REGULATING CON- $14.40 STRUCTIO THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $15.73 SIGNATURE OF CONTRACTOR OR AUTHORIZED CyENT ATE) EN RO ,SLY ALIDATED THIS IS YOUR EfR9M IT BLDG INSP 4✓ �! f DAJE SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) '01 CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS. (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) BUILDER: COT S v Address : 63,F ' ��o y�C.� Sf � Address: Tel. No.: rye 7 Y7p a n No.: fs S treet: Pi P V -e e- /t/-,,° LOT: 2�— BLOCK: ADDITION: _ D di -S CORNER LOT: INSIDE LOT: SETBACK: SIDEYARDS: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. 2] DESCRIPTION OF BUILDING To Be Used As: jgp^/4 qP Front: Depth: Z ® Height: Square Feet:' O Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: .2 Type of Construction: ��e- �y� !g Estimated Cost: $ � To Be Completed:.;�v /S�` / F 77 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 Depa at' ent of Buildings, and hereby declares that all the facts and represen ns stated in this application or are true and correct. See reverse sid XO additional information. DATE: SIGNATURE: Stipulations: 141 etI6 �r33 r` .r 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 TELEPHONE ( 612)571-3450 ,n October 17, 1980 Mr. Dennis Villella c/o Omega Management 2810 Co. Rd. 10; Apt. #430 Brooklyn Center, MN 55430 Dear Mr. Villella: RE: 1980-81 License Application for the Residential Rental Property located at 6389 Pierce Street N.E., Fridley, MN At the end of July, 1980 you were mailed an application to license your residential rental property. As of the date of this letter, the City has not received the application and appropriate fee. Therefore, we are again mailing out the enclosed application which must be completed, signed and returned with the license fee plus the 50% late penalty no later than 11-3-80. Your prompt attention to this matter is appreciated. Very truly yours, STEVEN J. OLSON, R.S. Environmental Officer SJO/kw Enclosure (1) 0069A/O807/A October 20, 1980 City of Fridley 6431 University Ave. N.E. Fridley, MN. 55432 ATTN: Steven J. Olson, R.S. Dear Mr. Olson: Regarding 1980-81 License Application for the Residential Rental Property located at 6389 Pierce Street N.E., Fridley, MN., which we recieved from you, should be sent to Mr. Jerry Fruin, the new owner. 2131 Mississippi Circle New Brighton, MN. 55112 Sincerely, Denis L. Villella C/O Omega Management SUBJECT City of Fridley rTj 2 0 8 4 8' AT THE TOP OF THE TWINS BUILDING PER RECEIPT NO. COMMUNITY DEVELOPMENT DIV. v _ PROTECTIVE INSPECTION SEC. �* it 1 I CITY HALL FRIDLEY 55432 NUMBER REV GATE PAGE OF OVEO BY "'j 612-571-3450 910-F15 5/24/91 JOB ADDRESS 6389 Pierce Street NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 1 Don � s Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Carol Gadke-Berge 6389 Pierce Street NE 572-3784 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 Duplex 7 CLASS OF WORK ❑ NEW � ADDITION ji ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 1W.x 184 Deck (Detached); install garage window; construct 41x41 canopy over.rear steps 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS I 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 $1,300. $.65 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- $31.00 Fire SC $1.30 . STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $32.95 SIG E OF CONTR OR OR A RIZED AGENT J,DATEI WHEN ROPER Y I A D THIS IS Y�JPR �T Jam. I T R F OWW40F OW DERI i ATEI BLDG INSP �1ATE NEVI [ ] Effective 1/1/91 ADDU [ ] R-1 AMID R-2 ALTER Building Permit Application omwtru tion Amos: Legal Description: Owner Name & fid s: &Tress: 49W,9- Attach 9W,9- #-,5wl Attach to this application, a Certificate of Survey of the lot, with the proposed ooritruction drawn on it to scale. Dig FC1iIP17M OF II - -RE = LTVIM AREA: Length Width Height Sq. Ft. C,RMM AREA: Length Width Height Sq. Ft. DEM AREA: Length n'" Width 4�— Hgt/Grand Sq. Ft. 07SER: p, g ce d44 ,, Se�e-1 ot6x .Si�q Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setha� /✓eta ZYpe of Cation:i� Estimated Cost: $ ��" Approx. Completion Date: / Al® – Proposed Driveway Wid::= Is Desired: Ft. $ $ Q Width + 6' See Back Page DATE: '// �Tel. # Permit Fee ou Fire Surge State Surge $ SAC Charge $ Driveway Escrow $ Park Fee $ t. CITY U6B aNLY Fee Schedule on Reverse Side .001 x Permit valuation (1/10th �) $.50/$1,000 valuation $650 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by EnTinee i *g Necessary [ ] Not Necessary [ J Telephone 561-2505 CHERIER WINTER & _CSOCIATES INC. REGISTERED PROFESSIONAL s LANG rFJRVEYORS SUITE 306 VILLAGE NORTH PROFESSIONAL BLDG. 7420 UNITY AVENUE NORTH BROOKLYN PARK, MINNESOTA 55443 Garb O'cate ®f Survey PROPERTY OF Kohan En ;e e• crises __- a described as follows- _._ _ 2, Block 1, DON ADDIT.uN, according to tale P" a of record thereofof Anoka, State of Mi.nnesota LIT ?� 3 33 N." I i N � h ti� � � .'►I 6 �i yJ QI 2¢.0 -- zo C o �6 o /4-9.75 1 li I hereby certify that this survey plan ,r • 000r9 was prepared by me or Scale I inch eoual�., -�� ...he/ under my direct supervision and that I air dery Registered Land Surveyor e - Indicates Iron Motwe»nt Sol under the laws or State of MIo�a o - Indicates Iron Ma u~1 FbWW Book Pave .... Job me. Sa�oQ Data �% B l Rag No SUBJECT P _ City of Fridley 214 2 0 AT THE TOP OF THE TWINS BUILDING PERMIT Ir E COMMUNITY DEVELOPMENT DIV. ______ r � ~ PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY ;.� 1 J` 612-571-3450 910-F15 6/25/92 JOB ADDRESS 6389 Pierce Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 1 Don's Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Carol Anne Gadke-Berge 6389 Pierce Street NE 572-3784 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 -- Duplex 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ji REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside Structure 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. Vinyl ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN'60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 2 ISTALLS 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 $4,000 $2.00 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- $63.00 Fire SC $4.00. STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $69.00 ENP P VA DAT S IS YOUR PERMIT NAT) i RAC OR AA HORIZE AGENT /q, TE0;fCON y(DATE) SIGNATURE OF OW & IIF OWNER BUILDERI IDATEI LDG INSP DATE NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: 6 9 7q Legal Description: /v t- ��L �� /1"15 �Q �.-t- Owner Name & Address: Contractor: © v Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Effective 3/1192 Tel. # 6-7,P `,3 MN LICENSE # Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length 11l� Width Hgt/Ground Sq. Ft. Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction:y i ( Estimated Cost: $ D o o = Approx. Completion Date: Driveway Curb Cut Width Needed: Ft. + b Ft = Ft x $ (Cost on Back) DATE: W.-2;� APPLICANT: - Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge $ cc $ 6e) $ e2.00 License Surcharge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: $ �0 CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.501$1,000 Valuation $700 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] City of Fridley SUBJECT 73f4_�L6Z 3' AT THE TOP OF THE TWINS BUILDING PERMIT � R �• COMMUNITY DEVELOPMENT DIV. ,;------ , r � PROTECTIVE INSPECTION SEC. a ®4/ � NUMBER REV DATE PAGE OF APPROVED BV CITY HALL FRIDLEY 55432 763-571-3450 910-F15 4/23/03 JOB ADDRESS 6389 Pierce Street NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 1 Don's Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Carol Anne Gadke 6389 Pierce Street NE 763-572-3784 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same d 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 O ADDITION O ALTERATION jJ REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof JA040A Duplex (23 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL. PLUMBING. HEATING. VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO OWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 2 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $2,663 $1.33 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 PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE $87.24 SIGNATURE OF CON'AACTOA OR AUTHOA,ZED AGENT (DATE, HE PR LY VALIDA ED THIS IS YOU RMIT 0 2-z3-®2 B DG ,NS u� �3 DA1 SIGNATURE Of OWNER dF OVVNEA BUILDER, ,DATE, APR -18-2003 10:48 FROM CITY OF FRIDLEY TO 6514844469 P.0"2 NEW I) CITY OF MOLLY Effective 1/112003 ADDN [ ] 6431 University Ave NE, Fridley. MN 55432 (763) 572-3604 Bldg Insp ALTER I) SINGLE FAMILY AND DUPLEXES R.1 AND R_2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & Address: tea% Z�, Sq Tel. # 743 —,5-7,a _,37 Contractor. MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF OVEMENT SR LININO AREA: Length Width Hei Sq. Ft. GARAGE AREA: length Width Height Sq. Ft. DECK AREA: Length Width HgUGround Sq. Ft. OTHER: Construction Estimated Cost: $ �' y Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT:�'� Tel. # `37 Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 7635714287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee $ '-5 Fee Schedule on Reverse Side Fire Surcharge $ tit IaL .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1275 per SAC Unit License Surcharge $ .00 (State Licensed Residential Contractors) Curb Cut Escrow $ Alt. "A" or Alt. 'B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPI n ATinnre- 97,014 cso-c,