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PRE 2010 DOCSVMage ®f Fddley9 WELDING PERI ® 358 Office of WSPECTOR OF BUHM G8 owner, �'�'(- ,f Architect Frid'_ey, Minn., Builder1 t LOCA ON OF BUILDING No._� Street J Part of Lot Block p Addition or Sub -Division DESCRIPTION OF BUILDING Front s.aDepth height Stories_ Manner of Constructio C." -e To be used as To be completed ted Co AL -X2, - Permit is hereby granted to i t F the building�✓��� described in the above statemem. This permit is granted upon the express condition that the person to whom it is granted, and his agents, emplo rees and workmen, in all the work done in, around and upon said building, or any part thereof, shall conform all respects to the ordi- nances of Fridley, Minn., regarding the construction, alteration, maintenance, repair d moving of buildings within the city limits, and this permit may be revoked at any time upon violation of an r of the provisions of said ordinances. ector of Buildings. AGREEl KNT AND SWORN STATEMENT In consideration of the issue and delivery to me by the. Inspector of uildings of Fridley of the above permit, I hereby agree to do the proposed work in accordant with the description above set forth and according to the provisions of the ordinances of Fridle , and, being first duly sworn, I hereby state and. say that the facts stated by me and contained ' the above permit are true as therein stated. Subscribed and sworn to before me at Fridley, Minnesota, day of ?ed A -D. 19-A-1' f 1.40, X84 SUBJECT PERM City of Fridley 15 AT THE TOP OF THE TWINS BUILDING PERMIT r ECEIPT NO. � COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 i � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 8/9/79 JOB ADDRESS 6436 Pierce Street N.E. 1 LEGAL LOT NO. BLOCK T RACT OR ADDITION SEE ATTACHED DESCR. 5 Moore Lake Highlands lst SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE XL Jon Sandberg 6436 Pierce Street N.E. 571-0388 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. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION El REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK roof 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be 2nd but not 3rd roof. Install ridged galvanized valleys. i i SEPERATE PERMITS .REgPRED FOR W11" KEATING, PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Asphalt 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 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 $'400 $.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- $7.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE 11 $8.00 S NATURE OFCONTR OR OR AU RIZED AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT �. BLDG )NSP f1 E IGNATURE OF OWNER) OWNER BUILDER) IDATEI X84 CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) OWNER: ,1 d/____��__ ADDRESS: q 3 l� TEL NO:� f ®3 BUI LDER: ADDRESS: TEL NO: Construction Location STREET NO: STREET: LOT: r BLOCK: ADDITION. p DG' P G�Z I1 ' V Corner Lot: Inside Lot: 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 uSYFront:_ Depth: Height: Square Feet: Cubic Feet: Front: Square - Feet: Type of Construction: 'j' P41 !b Be (bmpleted: Depth : Height: Cubic Feet: Proposed Driveway Width If New Opening Is Desired: Estimated Cost: $ �Q Alt. A Alt. B 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 trr anA correct. DATE :_ 1 (� L SIGNATURE: Stipulations. C)6�--7 Q N.L 63o o F AJS 1 fi'LL. .S� l SUBJECT N City of Fridley 32959 AT THE TOP OF THE TWINS BUILDING PERMIT f ` RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. ______ r PROTECTIVE INSPECTION SEC. C` / T 7 NUMBER REV DATE PAGE Of APPROVED BY i ,,, CITY HALL FRIDLEY 55432 _-_•�'�/"" 1 763-571-3450 9�aF�s 8/6/02 JOB ADDRESS 6436 Pierce Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 Moore Lake Highlands 1st SHEET 2 PROPERTY OWNER MAIL ADDRESS 7i:'$x iEXli x3r ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Erick Kallerup Construction 1602 Archwood Rd, Minnetonka, MN 55305 612-701-9892 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 7591 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 House & Garage (18 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING. HEATING. TYPE OF CONST OCCUPANCY GROUP 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 $1,930 $.96 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 - TION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE Licens C $5.00 77.14 00, SIGNATURE OFC N7RACTOR OR AUTHORIZED AGENT 40ATEi EN 006ROP LIDATE THIS ISAOUR PERMIT SIGNATURE OF OWNER,IF OWNER BUILDERI iDATE, B G SP FATE NEW [ J CITY OF FRIDLEY Effective 1/1/2002 ADDN (] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER (J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: ATO CH3(a P i accy- ST Legal Description: 5 1 rte HOa56— Owner Name & Address: Tel. # Contractor. EkI.Q . KtA7LA 1.NI-cJ OP MN LICENSE # 7S-'? I Address:,1L11P- aQCNlc.9®®� a h %Y M Tel. # 62- 221 19%1 LIVING AREA: GARAGE AREA: DECK AREA: OTHER: 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 Width Sq. Ft Construction Type: ® FF I'- ie&-(Za) F- Estimated Cost: $� Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ —=$ DATE: 2- APPLICANT. Tel. # Call (763) 572-3604 for Permit Fees if mailing In application or Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - i $ Permit Fee Fire Surcharge $ 1 State Surcharge $ SAC Charge $ License Surcharge $ S d® Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ t�2f� 77, iy Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 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 [ ] Not Necessary [ ] STIPULATIONS: 4 CITY OF FRIDLEY PERMITO.: 2004-01090 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 07/12/2004 763) 572-3604 FAX: (763) 571-1287 ADDRESS : 6436 PIERCE ST NE PIN : 133024310040 LEGAL DESC : MOORE LAKE HIGHLANDS 1 ST : LOT 5 BLOCK 0 PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : RESIDING VALUATION : $ 6,500.00 NOTE: PER R703,2000 INTERNATIONAL RESIDENTIAL CODE, REQUIRES THAT A WEATHER RESISTIVE BARRIER BE PLACED OVER EXTERIOR SHEATHING TO PROTECT THE INTERIOR WALL COVERING. EXCEPTIONS FOR THIS PROVISION WOULD BE IF SHEATHING IS AN APPROVED WEATHERPROOF PANEL OR WHEN THE SIDING IS AN APPROVED WEATHER BARRIER. VINYL SIDING IS NOT A WEATHERPROOF COVERING UNLESS THE MANUFACTURER STATES THIS IN THEIR APPLICATION GUIDELINES. CALL FOR INSPECTION OF WRAP BEFORE COVERING OR TAKE PICTURES. RESIDE HOUSE & GARAGE; REPLACE 11 WINDOWS WITHIN EXISTING OPENINGS; SOFFIT & FASCIA APPLICANT BUILDING PERMIT FEE 139.25 GARY PAYNTER FIRE SURCHARGE 6.50 6436 PIERCE ST NE STATE SURCHARGE, VALUE 3.25 FRIDLEY, MN 55432 TOTAL 149.00 PAID WITH CHECK # 1150 GARY PAYNTER 6436 PIERCE 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 regulating cono4ctiona the erform/,ance of construction. Applicant ,,.! Date�� SEPARATE PERMJfS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 4 -leg NEW [ ] CITY OF FRIDLEY Effective 4/1/2004 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION a Construction Address: �3 �l EI2c, �T _ FR IDc E Y AW .55-1/3 Legal Description: Owner Name & Address: 6AP-V PAYAJ TZDZ Tel. # Ao 3 - S- 71 -all l Contractor. 6A4K %)AYAI Tine MN LICENSE # Address: 6y3(c PiQ2CE 1F. F IDLEY{ 1k1W/ Tel. # 76 3-57/ -all l LIVING AREA: GARAGE AREA: DECK AREA: OTHER: 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 Width Hgt/Ground Sq. Ft. 6~,*c E 4w,6 6AS-MI 1Q��'LA S Fir, f .'tcip G u'rrEr_5• lvoe'vi0'l65. Construction Type: Estimated Cost: $ 65bo- to- Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ DATE: 7 -/a -©s/ APPLICANT: Tel. # 76 3 -S -7/-2f// Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 If using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL S S S S $ N91 co Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1350 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 [ ] Not Necessary [ ] STIPULATIONS: Engi>lzering WATER AND SEWER Permit No.: Q G' 16L l 1 Q, U 763-573-3552 PERNUT APPLICATION Received By: Am 763-571-1287 fax CITY OF FRIDLEY Da Q'(Q(T 0 5 Y011 EFFECTIVE 7/1/2010 pp APPLICATTON DATE: I 0-f2 - I ® YOUR E-MAHAFAX: _ THIS APPLICANT IS: 0 OWNER �'CONTRACTOR/ JOB ADDRESS: �Q F26 t ea C e !! '4 NEW CONSTRUCTION PERMIT# (IF APPLICABLE): PROPERTY NAME: ADDRESS: f-� ��Lcd�CE� �"l CITY ` STATE IP �� OWNER/ TENANT PHONE: CP 1� CONTRACTOR NAME: SUBMIT A COPY OF ADDRESS: CITY STAIPD YOUR STATE ��r���7� LICENSE WITH PHONE 4;4a'7�7� CELL PHONE: APPLICATION ��qq STATE LIC # STATE BOND: C/ EXP DATE: 1. Narrotivetwritten des ' tion: { 2. Please attach sketch showing curb line, utility line, building, etc. with distances on back page. � A d 3. Stipulations: ILI ja Z"!� V-1.Wo abalk (M 2 cwn'40L p . ,"PRC_ PERMIT TYPEw.1{Tl� �Jl��E2 FILL- P�? 3.� JExz�� �� ® ® SEWER CONNEC ON PERMIT $50 ,4TS ❑ WATER CONNECTION PERMIT $50 ❑ WATER LINE REPAIR $40 �. �J{� ❑ SEWER LINE REPAIR $40 40 ❑ ADD STATE SURCHARGE $5.00 dao 3"1Z PJ I T ❑ SAC CHARGE @ $2100 = d,,� HL -ro Cm. �- A 2��d Z HSS 1?1Ua2 TOTAL $ S P� OTHER CHARGES (IF APPLICABLE) PAY TO UTILITY BILLING NEW WATER METER COST — SEE UTILITY BILLING SPECIAL ASSESSMENTS — SEE FINANCE WATER TAP — SEE ENGINEERING NOTE: WATER METER REPAIR, INSP OR SHUT-OFF / EVENINGS, WEEKENDS & HOLIDAYS $125/HOUR-BILLED THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a water or sewer (new connection or repair) 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. I understand this is not a permit but only an application for a permit and wo is t �wi ut a permit. r SIGNATURE OF APPLICANT INT NAME: DATE: APPROVED BY: DATE: COPY Giq& WATILITY BILLING (only if new meter) ❑ PUBLIC WORKS ❑ ENGINE NG City of Fridley Engineering Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3552 FAX: 763-571-1287 I`�hsh�C�toZaai-5��5 AD (0 (4 -5 (0 - Pr,4�0� �-Co -�5 �- Q(/ 4v OV)