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PRE 2010 DOCSi BUILDING PERMIT Village of Fridley, Minn. N.2519 DateG...... .......................... Owner.:"".: .'' "�"" Builder ....... ...... .... tJ S ...: /: . ........�� Address Address ,� � v�...................,...................... l LOCATION�� �rO- F BUILDING No. .461 J .... Street Rvf!4 '. r ................................ Part of Lot ...................... Lot ....:,........... Block ................ Addition or Sub -Division ................ ...................... Corner Lot Inside Lot ....:°!...... Setback ... Sideyard ... dam."" DES=CRIPTION OF BUILDING To be Used as: ,okef'10,r.9" ...... r ........... Front ........ Depth P^. I-- Height A A V .... Sq. Ft.:.. .... Cu. Ft, ........ .................... Front ........ Depth ........ Height ......... Sq. Ft.... .... Cu. Ft........ . Type of construction �"'��.' . Fit. Cost f�s:l++�� .�R.°1°�............... To be Compl -0//ol`?� � In consideration of the issuance to me of a permit to construct the building describe 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 village of Fridley. _ r In consideration of the payment of a fee of $, . , permit is hereby granted to 'to construct the buil • . ding. addition as described above. This tis granted upon - the rens condition that the person to whom it is granter} and his agents, employees an 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 village limits and this permit may be revoked at any time updnviolation o any of the provisions of said ordinances. .. .Cd+ . ..... ding Inspector NOTICE: This permit does not cover the construction#. installation or alteration for wiring, pli imbing, gas heating, sewer or water. Be sure to see the Building, inspotor for separate permits for, these ite me. Y. a, City of Fridley 52-84-915.51 Application for Pigg and Gat Fitting P mk Dept. of Ridge. Phone 9®04440 DESCRIPTION OF WORK Number. Kind and Location of Fixtures 6435 NE. Pierce S t. PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 $ Future Fixture Opening ........... _ x $1.50 $ New Fixture Old Opening .......... x $1.50 $ Catch Basin .................... x $3.25 $ Water Heater :Up to 99,000 BTU) .... x $3.00 $ New Ground Run Old Bldg. ....... . Electric Water Heat .............. GAS FITTING FEES: 1st 3 Fixtures ............... . Additional Fixtures ................. . Gas Range to 199,000 BTU.. . — ....... install (1) gas grill & (1) lite REPAIRS B ALTERATIONS—Refer to Code x $3.25 $ s $2.00 $ NO. RATE TOTAL 2 x $2.00 ; 2.00 x $ .75 $ x $5.00 $ 6.00 City of Fridley: 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 al& the fact and representations stated in this application are true and correct Fridley, Minn Julv14, 1971 , 18, Owner Leonard Bergman Kind of Building frame Used as residence To be completed about July 19 r 1971 Estimated Cost, $ 20.00 Old New. Building Permit No. Permit No. By • - Business Ph a No ROUGH Description ...............................— ............. $®AeA (�l$�5 Surcharge .50(' TOTAL FEE $ 8.00 MINNEAPOLIS GAS Gp, ol V 1 g" FFF $c X73 ` 3 V �AS Is is i v • e WATEN MTA. ELEC. Base 1st 2nd 3rd 4th • ]PUN r• Coan•elloa Openiage e Now Fixture. Old Openings _ Connected with Sewer campool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 $ Future Fixture Opening ........... _ x $1.50 $ New Fixture Old Opening .......... x $1.50 $ Catch Basin .................... x $3.25 $ Water Heater :Up to 99,000 BTU) .... x $3.00 $ New Ground Run Old Bldg. ....... . Electric Water Heat .............. GAS FITTING FEES: 1st 3 Fixtures ............... . Additional Fixtures ................. . Gas Range to 199,000 BTU.. . — ....... install (1) gas grill & (1) lite REPAIRS B ALTERATIONS—Refer to Code x $3.25 $ s $2.00 $ NO. RATE TOTAL 2 x $2.00 ; 2.00 x $ .75 $ x $5.00 $ 6.00 City of Fridley: 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 al& the fact and representations stated in this application are true and correct Fridley, Minn Julv14, 1971 , 18, Owner Leonard Bergman Kind of Building frame Used as residence To be completed about July 19 r 1971 Estimated Cost, $ 20.00 Old New. Building Permit No. Permit No. By • - Business Ph a No ROUGH Description ...............................— ............. $®AeA (�l$�5 Surcharge .50(' TOTAL FEE $ 8.00 MINNEAPOLIS GAS Gp, O SUBJECT P City of Fridley 27280 AT THE TOP OF THE TWINS BUILDING PERMIT r RIMIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 1 � NUMBER REV DATE PAGE OF APPROVED BY ` CITY HALL FRIDLEY 55432 612-571-3450 910-F15 18/19/98 108 ADDRESS 6435 Pierce Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Pt. 15 P134 lAud. Sub. #88 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE L. Bergman 55432 574-9266 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner 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 Ak REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof house (10 S 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 REQUIRED 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. DWLG. UNITS OFFSTREET PARKING 1 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 $834 .50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $32,00 Fire SC .83 PLAN CHECK FEE TOTAL FEE 3 3 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE, E PRO VALIDATED S IS YOUR PERMIT k!! SiGNATUR OWNER qF OWNER BUILDERI IDATEI DG INS PATE O Ij 51:1 ADDN [ CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 3 S— -��e•�— Legal Description: Owner Name & Address: Contractor: Address: Effective 1/ 1/98 53()6 Tel. # -:1'7'Y- i 2, G' q MN LICENSE # 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 GARAGE AREA: Length Width Height DECK AREA: Lenwh Width G OTHER: . �� Imoi R'�� //I it , Construction Type: Driveway Curb Cut Width Needed: Ft. + 6 Ft = DATE: J I � 7 Tel.# -57 `t`- 72- 44 Sq. Ft. Sq. Ft. Sq. Ft. Estimated Cost: $ '023 Y, 04, (Fee Schedule on Back) Ft x $ = $ APPLICANT: Tel. # . STIPULATIONS: CITY USE ONLY Permit Fee $ 2, 6Z) Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ , JPO $.50/$1,000 Valuation SAC Charge $ $1000 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 [ ] 37,33 TOTAL $ . STIPULATIONS: suelEcr ERMIT NO. City of Fridley 27448 AT THE TOP OF THE TWINS BUILDING PERMIT ' , PT NO. i ______ COMMUNITY DEVELOPMENT DIV. v PROTECTIVE INSPECTION SEC. r NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 j 612-571-3450 910415f' 8 28 98 JOB ADDRESS 6435 Pierce Street NE 1 LEGAL LOT NO. Par. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. Pt.1f 134 Aud. Sub. #88 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mrs. Leonard Bergman 574-9266 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. North Central Builders Inc. 7401 42nd Ave N New Hope MN 55427 533-6168 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION jj�c REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Repair siding on house and Rarape 9 CHANGE OF USE FROM TO STIPULATIONS Call for building 11wrap inspection before covering. 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 80 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 2000 $1.00 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. $62.25 Fire SC $2.00 PLAN CHECK FEEL FEE License 5.0 0.25 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI E PRO B G INSP VALI D THIS IS UR PERMI DATE SIGNATURE OF OWNEROF OWNER BUILDER) IDATEI I } NEW [- ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: Effective 1 / 1 /98 Owner Name & ddress: J Tel. # Contractor: MN LICENSE # ,j'Jlo 3 Address: /''�L� /. ! /� vel. /�i /�/Leld s" DB,. �IIV SS�a �f Tel. # 5733 –6146f Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPRO MENT LIVING AREA: Length �C id"th / /L Height S . Ft. g g q GARAGE AREA: Length Width Height Sq. Ft. _ DECK AREA: Length Width Hgt/Ground Sq. Ft. / — OTHER: -44Z s CovP.�r marl. fit'S/ls,�..c q.. 11µ fast; Constructio Type: Estimated C (Fee Schedule on Bank) Driveway Curb Cut.Width Needed: Ft. + 6 Ft = Ft x._ $ _ $ DATE: APPLICANT: Tel. #,!5'53 - b/6f Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge $ TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side 001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ J Not Necessary [ ] Building PLUMBING Permit No --U D (o Inspections RESIDENTIAL APPLICATION R • O�A 763-572-3604 009 CITY OF FRIDLEY D ate 763-502-497��7AA FAX EFFECTIVE 2-19-09 min DATE YOUR E- AIL ADDRESS SITE ADDRESS „l J e1,�.V� L� n . THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY NAME: OWNER/ TENANT ADDRESS: CITY STATE ZIP PHONE: CONTRACTOR NAME: IAP4 allfflNfifnG, SUBMIT A COPY OF YOUR STATE STATE LICENSE # EXP DATE LICENSE, BOND AND STATE BOND # EXP DATE CERTIFICATE OF ".= �� CITY d— STATE Ill ZIP- -2- ADDRES'Sn A-110 . INSURANCE - i ,, PHONE - UV')0 l.�« UNCI FAX PERMIT TYPE 1,05INGLE FAMILY ❑ TWO FAMILY O TOWNHOUSE TYPE OF WORK: ❑ NEW PLACEMENT DETAILED DESCRIPTION OF WORK FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $35.50. _ BATH SINK/LAV _FLOOR DRAINS SHOWER WATER PIPING _ _ BATHTUB _ GAS PIPING (NEED CITY LIC) _ SWIMMING POOL SOFTNER($ —WATER CLOTHES WASHER —KITCHEN SINK WATER CLOSET PREV.$1 ) —BACKFLOW DISHWASHER _ LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION _ WATER METER —OTHER 0 1 v � � THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a plumbing 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 l• tio not a permit but only ann for a permit and work is not to start without a permit on site; that the work will be in accordance he work will be in accordance lans. the approved plan ie c e off all work w h requires review and approMI'AQ/ SIGNATURE OF APPLIC "&^Oa - PRINT NAME DATE IO � L' t t Mt w t - r City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 3-� P Building TOTAL JOB VALUATION $ BUILDING OCCUPANCY TYP Permit No. 66 7 Inspections See Back Page for Fee Schedule RESIDENTIAL APPLICATION Received By: 763-572-3604 Fire Surcharge $ .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 CITY OF FRIDLEY Date Rec'd: 763-502-3604 FAX SAC Charge It $2100 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ EFFECTIVE 1-1-2010 Erosion Control $ DATE / 2 ®` YOUR E-MAIL ADDRESS T /��� n " 0l/a@ J /^r VVF , Cy rt^ SITE ADDRESS x/ r dir/�- t 6T %�otwi mo $ THIS APPLICANT IS: ❑ OWNER CONTRACTOR $ . ® PROPERTY OWNER/ NAME:_ raiW'Q t il' .'WL iCo£/✓r6- TENANT ADDRESS: (e tL 3 r p/ wa _ CITY b60 -i4 / STATE i"NZIP 6-1'/3 i. PHONE: '763 -5 ->f37 - CONTRACTOR NAME:lZwo i1*T. SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSER ?06 3 do 3 6 EXP DATE4(3//X/-A AND CERTIFICATE OF ADDRESS: CITY AWOO-V_ STATB'HAJ ZIP C' INSURANCE -53 PHONE FAX 7G 3 576 --09J3— PROPERTY TYPE PKSINGLE 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 DESCRIBE WORK BEING DONE: £ SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT 'I` ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES q ❑ HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim I . Site Plan/Survey showing the existing structures ❑ Other ❑Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS FOR WINDOWS - PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS - ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATE LS: o� (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYP Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge It $2100 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $24 = $ 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 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 on site; that the work will be in accordance with the approved plan in the case of all vyo whichre�� d approval of plans. ��� 6 SIGNATURE OF APPLICANT //� PRINT NAME 1 L • DATE If WAY 'X16