The URL can be used to link to this page

PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT 6099 Date: Owner: Builder Address Addpm No. Street art t Lot a _ Bi X;77 Addition or. Sub -Division w X Corner Lot Inside�Lot �i Setback _...__ Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING TO. Used • • ' - + � ,�y Front _L Depth 6 Height Sq. Ft.Cu. Ft.�(./ 77— t Depth Height Sq. F't. Cu. Ft. Type of Construction %AJI4441— Est.. coat Iso be Completed In consideration of the issuance to me of a permit to construct the building described above, Ido 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 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, 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 viola Jon of any of the provisions of said ordinances. "% _ w Building Inspector NOTICE: Thb pamb den net cewr the condmctfon, hwmDeRm for wieh& phm hbt& gas hontieo, savwr or vabr. Be sun to see the au mhm mqm for for separab perm(ts for then benne. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner's Name ®® Builder Address_ja Address LOCATIOR OF BUILDIN No. .!P .S— C) 6 Street Part of Lot Lot, 2 Elock_�_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. DESCRIPTION OF BUILDING To be used as: Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Type of Construction To be Completed Cu. Ft. Estimated Cost. 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. /0_l /`l , .I' (Schedule of Fee Costs can be found on the Reverse Side). City of Fridley Application for Plumbing and Comas Fitting Permit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: N RATE TOTAL Number Fixtures ....... x $1.50 $ !vZ , 0 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 $ d New Ground Run Old Bldg. ............ / x 3.25 $ GAS FITTING FEES: 1st 3 Fixtures ......................... Additional Fixtures ................... Gas Range to 200,000 BTU ............. NO. RATE TOTAL — x $1.50 $�L _ x .50 $ — x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ...................................TOTAL FEE $� G $ ------ /�,6 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 all the fact and representations stated in this application are true and correct. Owner Kind of Used as To be c�..,Y..., Estimated Cost, $ Old oNew'ding Permit �7-2<21 Cc Signe By ✓� Business Phone No ROUGH % — FINAL J 42 2M 3 f� n �� _Y ? Y o� et Z �O �<Tj Z U 5O < �°1 C7 �U' o� Z �p F N WATER HTR. GAS ELEC. Base j 1st ! 1 2nd 3rd 4th • Future Connection Openings New Fixture, Old Openings I Connected with Sewer � Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: N RATE TOTAL Number Fixtures ....... x $1.50 $ !vZ , 0 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 $ d New Ground Run Old Bldg. ............ / x 3.25 $ GAS FITTING FEES: 1st 3 Fixtures ......................... Additional Fixtures ................... Gas Range to 200,000 BTU ............. NO. RATE TOTAL — x $1.50 $�L _ x .50 $ — x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ...................................TOTAL FEE $� G $ ------ /�,6 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 all the fact and representations stated in this application are true and correct. Owner Kind of Used as To be c�..,Y..., Estimated Cost, $ Old oNew'ding Permit �7-2<21 Cc Signe By ✓� Business Phone No ROUGH % — FINAL J 42 2M 3 f� n Application for Power Plants and Healing, 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 $ MECN. WARM AIR Furnace Shell & Duct Work to 170,000 BTU ............ each add. 60,000 BTU ....................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 ................. Repairs & Alterations each add. $500.00 .............. TEAM or NOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. IDR Steam ...... Furnace Shell & Line—to 640 sq. ft. EDR Hot Water . . Each add. 200 sq. ft. EDR Steam ...................... Each add. 320 sq. ft. EDR Hot Water .................. 8.00 $ 2.00 $ 5.00 $ 5.00 $ 2.50 $ 8.00 $ 8.00 $ 2.50 $ 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 $ 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• $ 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 area and correct. idley, Minn Z 19 C� Z_ Owner Kind of Building t Used as t!- �- To be completed about Estimated Cost, $ Old ew,Building Permit No. Permit No. �- DESCRIPTION OF WORK HEATING or PO R team, Hot Water, Warm Air—No Trade Nam Size No. eajz 40 Capacity • Z) 0 25 Sq. Ft. E.D.R , BTU 76 -D Total Connected Load 22 0 b Kind of Fue " - Ca -� BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. w42 2M 11� (REMARKS -OVER) Frank Liebl Mayor of Fridley C/0 Fridley City Hall 6431 University Avenue Fridley, Minnesota 55421 Dear Frank, V A/ /9 MA 6500 Pierce Street, N.E. Fridley, Minnesota 55432 29 January 1973 �b Attached are letters defining, as realistically as possible, the damage to our Chinese Elm fence that borders on Mississippi Street. For several past winters the City sidewalk snowclearing equipment snowblows the snow deposited onto the sidewalk, from plows clearing Mississippi, onto our lot and for those same several springs we have seen a progressive kill of this 135 -foot natural fence. Samples of the plants have been sent to the University of Minnesota for analysis and the resultant prognosis is attached. I might add that the natural fence (established for now 8 years) experienced no type of progressive demise until the city started blowing the excess plowed snow from Mississippi Street, and then the sidewalk, onto our property. The majority of the fence (about 70% of the bushes) are now dead and will have to be replaced. Attached is an estimate of the replacement costs of which I would request the City to consider $307.50 as reasonable reimbursement costs for complete replacement with bushes that have an exhibited higher tolerance to salt kill. I would appreciate your response toward any further questions or the city's position regarding pompensation for the aforementioned damage. Very truly yours, Henry T. Melcher HTM:vap Enclosures 14D lu W. Ul 0 Ly- bi 'e • MEMO FROM: NASIM M. QURESHI City Engineer Dir. Planning - Cnmm.,Dev. SUBJECT: MEMO TO: (Memo No., letters represent name initials) MEMO NO. JB 21 DATE: March 8, 1973 Report Before 12151511114 111 3-13-73 Salt Splash Complaint by Mr. Melcher, 6500 Pierce Street. See attached Material REMARKS Please prepare a plan of the house at this address, 'showing the set -back, trees W from Building Inspection if possible. I N 0 Review 6 take appro- ' priate action the location without checking with me first! 0. 0 Review & comment 0 Note b discuss with me 0 Work with 3 [] Bush, immediate action desired SIGNATURE Make reports, w/background COMMENTS material as complete as pose- ble. Make interim if report necessary. Send original a memo back only if action is a fully completed. z 0 Action completed, no O further review needed 4 0 Further action necessary 0 See attached letter 0 Interim report . a DATE-- 0— SIGNAT'UItB.i,•__- AGRICULTURAL EXTENSION SERVICE UNIVERSITY OF MINNESOTA Date: July 9, 1971 Dear Mrs. Melcher: The specimen of Chinese elm 14A INMMTUTE OF AGwcuLTuKE ST. PAUL, MzNNEsorA 55101 Address correspondence to: Plant Disease Clinic University of Minnesota St. Paul, Minnesota 55101 which you sent to this office was found to be damaged by an unknown agent. Recommendations: From the symptoms, salt injury is suspected. Are these shrubs near a road or driveway, say within 20 feet? If so, this is a possibility. There does not seem to be a pathogen involved. See enclosure under salt toxicity. Enclosures: - Very //truly yours, 6JVl (0 Q W. C. Stienstra, Extension Plant Pathologist WCS: js UNIVERSITY OR MINNESOTA, V. S. DEPARTMENT OF AGRICULTURE AND COUNT* EXTENSION SERVICES COOPERATINC the dormant season can cause differential con- traction of wood within tree trunks. The result is the opening of long vertical fissures in wood and bark. Frost cracks.may occur in succeeding years in the same place, causing excessive formation of callus tissue or swelling on one side of the tree. WATER DEFICIT INJURIES Drought In years when rainfall is low, many tree species can be substantially weakened or killed by drought. Introduced species, like Colorado blue spruce, and recently planted trees are very susceptible to drought injury. Branch dieback may be the direct result of drought but weakened trees also are susceptible to attack by insects an disease -causing parasites. J Species such as box elder, green ash, hack berry, locust, ponderosa pine, red cedar, and siberian elm are fairly drought resistant. Howey obtain seed of these trees from relatively dry areas because strain differences occur within species. Leaf Scorch A sudden and rapid loss of water from maple leaves during hot dry weather may cause leaf scorch. Affected leaves have yellow or brown margins and remain on the tree. Or, the affected tree may just lose its leaves prematurely. Water- ing during hot dry weather may prevent or alle- viate the problem on small trees. ROOT DAMAGE Transplant Injuries Transplant injury is a major cause of tree loss; many roots are lost during digging. So, to compensate, in the case of broad-leaved trees, a proportional amount of the top must be removed. By root pruning, nurserymen train tree roots to form more compact masses so that a greater percentage of roots can be taken up when trees, especially evergreens, are transplanted. Early spring generally is the preferred time for trans- planting trees.' Oxygen Deficit A deficit of oxygen in the root zone inter- feres with normal life processes; dieback of branches often occurs. Extensive flooding or soil fill on top of existing soil reduces the oxygen supply to roots. After this occurs, trees may not show symptoms of oxygen deficiency for 2 or 3 years. Frequent use of paths compacts soil and reduces oxygen and water movement through it. 14B 4 Sidewalks, driveways, and streets also limit oxy- gen and water uptake by roots. CHEMICAL DAMAGE Herbicide Damage Tree damage from hormone herbicide sprays often results, even if they are used several hundred feet away. Affected leaves become distorted, twisted, curled, 0r,4gg%di -margins turn brown. Or, affecFpd>-fd'aves may be clw €agd. Salt applied to streets in winter is abso ed later by roots of boulevard trees during the rov- ing season. This results in varying degrees of marginal browning of leaves. Dieback may ccur in trees damaged in successive years; so mg trees have died. Other Chemical Injuries ``�PPes+irotga-�oxti'e`friciustrial processes can cause chlorosis, spotting of foliage, and, in severe cases, defoliation of trees. Damage from dog urine on conifers, especially arborvitae, is evidenced by black needles. Foliar sprays, normally considered nontoxic to trees, may cause leaf injury if applied during hot weather. Also, a spray concentration recom- mended for one species may be toxic to another. MPECHANICAL INJURIES Mechanical injuries to trees can be• cAused by ice, hail, lightning, machinery, wind, and other agents. These injuries may or may not kill a tree, depending on the severity. But wounds can be entrance points for disease -causing para- sites. LACK OF NUTRIENTS Soils deficient in nutrients do not support normal tree growth. Know the fertility of your soil by having it tested; then adjust nutrient levels accordingly. Trees growing on nutrient -deficient soils may be more subject to attack by parasites. Issued in furtherance of cooperative extension work in agriculture and home economics, acts of May 8 and June 30, 1914, in cooperation with the U. S. Department of Agriculture. Roland H. Abraham, Director of Agricultural Exten- sion Service, University of Minnesota, St. Paul, Minnesota 55101 5M-2-69 A 14C FLORISTS, NURSERYMEN SINCE 1885 ■ 6010 LYNDALE AVE. SOUTH, MINNEAPOLIS, MINN. 55419 ■ TELEPHONE 612/869-1461 • July 28, 1972 Mr. Henry Melcher 6500 Pierce Northeast Fridley, Minnesota Dear Mr. Melcher: As requested by you, we have examined the plant material on your property which was recently damaged. We submit the following list of replacement costs: 75 Zabel's Honeysuckle 3-4' Planted $307.50 Labor to remove and haul away Chinese Elm Hedge 300.00 Tax 5.10 $612.60 The above plant material is covered by our liberal guarantee. We appreciate this opportunity to offer our quotation and sincerely hope to be of further service to you. $15.00 charge for inspection and letters. Invoice will follow. Vey truly yours, Sack R. Moore Landscaping Department ' 9 BRANCH SHOPS: BROOKDALE, DAYTON'S -DOWNTOWN r ,"' - EDINA, RADISSON HOTEL, ROSEDALE, SOUTHDALE OFFICE OF THE CITY MANAGER FRIDLEY, MINNESOTA APRIL 5, 1973 MEMO TO: THE CITY COUNCIL SUBJECT: CLAIM OF HENRY T. MELCHER On January 29, 1973, Mr. Melch-&r wrote a letter to the City requesting reimbursement in the amount of $307.50 for shrubs which are dying on his property. These are shrubs located immediately adjacent to the sidewalk on Mississippi Street. It is Mr. Melcher contention that the the shrubs are dying because of salt deposited on his property by City snow removal equipment. The claim was turned over to the City's insurance company. The insurance company has informed the City that the claim has been denied. This matter was originally brought to the Council's attention on March 19, 1973. Mr. Melcher also appeared at the April 2, 1973 Council meeting concerning the shrubs. Mr. Melcher has offered to settle the claim for $120.00. Mr. Melcher stated he would do most of the work if the City would haul away the dead shrubs after they have been taken out. Attached is a release form which the City would have Mr. Melcher sign .if the Council approves the payment of $120.00. The City in one other instance did offer to pay for shrubs that had allegedly been damaged by the City snowplow. The City prepared the same type of release as the one that is attached for Mr. Melcher's signature. However, the property owner in that ipstance refused to sign the release, therefore, the City did not turn the check over to the property owner. 7. GERALD R. DAVIS CITY MANAGER GRD:sh S 560.3450 . 3A ANOKA COUNTY 6431 UNIVERSITY AVENUE NE RELEASE OF LIABILITY DATE: FRIDLEY, MINNESOTA 55421 IN RETURN FOR THE PAYMENT OF $120.00, I HEREBY AGREE THAT I WILL NOT SUBMIT ADDITIONAL CLAIMS AGAINST THE CITY OF FRIDLEY FOR DAMAGE TO TREES OR PLANTINGS ON MY PROPERTY LOCATED AT 6500 PIERCE STREET NORTHEAST, FOR TREES OR PLANTINGS NOW IN PLACE ON MY PROPERTY, OR WHICH MAY BE PLANTED IN THE FUTURE. WITNESS HENRY T. MELCHER August 3, 1981 Mr. Henry T. Melcher 6500 Pierce St. N.E. Fridley, MN 55432 Re: Intersection Vision Safety Zone Obstruction Dear Mr. Melcher: In order to provide safe passage for vehicular and pedestrian traffic in the City of Fridley, periodic inspections of street intersections are conducted. An inspection on July 30, *1981 has determined that the sight line for the intersection on your property is obstructed and could present a hazard to traffic. Section 205.154 of the City Code requires that, "On a corner lot in a vision safety control zone, nothing shall be erected, placed, planted or allowed to grow in such a manner as to impede vision..., the vision safety control zone is described as follows: That area bounded by the street right of way lines of a corner lot and a straight line joining points on said right of way lines twenty five (25) feet from the intersection of said right of way lines." Therefore, the City is requesting you, the property owner, to correct the following problem and make the City's streets safer for travel. A reinspection will be conducted on or about August 10, 1981 to determine compliance. We are confident in your cooperation to correct this matter and if any questions or problems result from this letter, please contact me at 571-3450. The inspection of your lot indicated that the following obstruction is existing and should be corrected: Bushes or shrubs growing into sight line - trim down or back to be less than 2 1/2 feet high. Hedge growing into sight line - trim down or back to be less than 2 1/2 feet high. Tree branches growing into sight line - trim up. Fence extending into sight line - lower or remove. Other Sincerely, STEVEN J. OLSON, R.S. Environmental Officer SUBJECT P T City of Fridley 21760 AT THE TOP OF THE TWINS BUILDING PERMIT ` RECEIPT NO. COMMUNITY DEVELOPMENT DIV. _ PROTECTIVE INSPECTION SEC. NUMBER REV GATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910415 3/10/93 JOB ADDRESS 6500 Pierce Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 2 Doris 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Henry/Rosemarie Melcher 6500 Pierce Street NE 571-6144 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Advance Home Products 3770 W Broadway Robbinsdale 55422 521-9211 2332 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 Reside dwelling 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. 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 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 $ 5 70.0 $285 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 1. DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THEpERMITFEE SACCHARGE PROVISIONS OF ANY OTPE STATE LOCAL LAW REGULATING CON- $81.00 Fire $5.70 STRU TI O THE PE O AN `C9 STRUCTION. .SC PLAN CHECK FEE TOTALFEE 13 License SC $5,00 $94.55 IGNATURE FCO TRACTORORAUTHORIZEDAGENT (DATE- ERY LID ED THIS IS YOUR PERMIT 6WWHP NSP BATE SIGNATURE OF OWNERoF OWNER BUILDER) IDATEI NEW [ ] Effective 1/1/93 ADDN [ ] CITY OF FRIDLEY ALTER[ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �3 Building Permit Application Construction Address: � � c� — �P'E�� 54le hE Legal Description: Owner Name & Address: He k, v i G,�n�, e �, � 1C- 11 Tel. # ,S 7/- 6hl Contractor: Ajj,,,, 0��L (VrL ��cf� MN LICENSE # 6o0 a 33 Address: -37.70 -- 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: Length Width Hgt/Ground OTHER: Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback _ Type of Construction: Approx. Completion Date: 3 - ; 3 Sq. Ft. Sq. Ft. Sq. Ft. _ Side Yard Setbacks Estimated Cost: $ 5,7e'," 6 6' - (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft $ _ $ DATE: - c - q3 APPLICANT: , v' / Tel. # -7V, CITY USE ONLY Permit Fee $ 61,0o Fire Surcharge $ 5-.96 State Surcharge $ o? c S SAC Charge $ License Surcharge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ TOTAL $ �� STIPULATIONS: Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $750 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] NO. 25407 SUBJECT City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT Ir COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 "'j 612-571-3450 910-F15 8/22/97 JOB ADDRESS 6500 Pierce Street NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 2 Don's 2nd Addition SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Henry Melcher 6500 Pierce Street NE 571-6144 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. 323-7400 5294 PTL Contracting2526 N FerrySt Anoka 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 ElNEW ❑ ADDITION 0 ALTERATION [a REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage 27 S Tear -off: Install solar tubes 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 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 $3,768 $1.88 WITH WH THER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES PRESUME TO IVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVI 10 S OF A Y ER STATE OR LOCAL LAW REGULATING CON- T U TI OR T ORMANCE OF CONSTRUCTION. 87.25 Fire SC 3.77 PLAN CHECK FEE AL FEE d License $5. 7$97.90 IG T OR ORAUTHORIZED AGENT DATEI SURF FC NT:r HEN ROP VALI .,'BL INSP T(/D�THIS IS]�UJR2ERMIT GATE SIGNATUREOF OWNERUF OWNER BUILDERI IDATEI NO. 25407 NEW ADDN L ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstrucdonAddress: Legal Description: Owner D Contract Address: Effective 1/1/97 Tel. # 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 LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. o� OTHER: `%q7-,' 7 Construction Ty U _ Estimated Cost: $� r (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. Ft= t x $ _ $ DATE: -2 Z — APPLICANT: Tel. # Permit Fee $ Fire Surcharge $, q7 State Surcharge $ f SAC Charge $ License Surcharge $ C�C� 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 $950 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 [ ] Building PLUMBING PermitNo.• _ Inspections RESI]DENTIALAPPLICATION Received By: J-1 763-572-3604 CITY OF FRIDLEY Da 'd: 763-502-4977 FAX EFFECTIVE 1-1-05 r r DATE ® YOUR E-MAIL ADDRESS SITE ADDRESS P THIS APPLICANT IS: 0 OWNER NeONTRACTOR PROPERTY NAME; e P� ADDRESS: I -eAf tSr CITY STATE iP OWNER/ TENANT "O ��!y PHONE:[ CONTRACTOR r , NAME: «/ STATE LICENSE # '-�f did G EXP DATE SUBMIT A COPY OF YOUR. STATE LICENSE, BOND AND E STATE BOND DATE CERTIFICATE OF ADDRESS; 6f L CITY STATE 1P INSURANCE PHONE FAX PERMIT TYPE INGLE FAMILY O TWO FAMILY 0 TOWNHOUSE h4tEPLACEMENT TYPE OF WORK: O NEW DETAILED DESCRIPTION OF WORK to PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05 = plus .50 surcharge OR FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $15.50. BATH SINK/LAV DRAINS —SHOWER _ WATER PIPING _FLOOR —BATHTUB GAS PIPING (NEED CITY LIC) _ SWIMMING POOL WATER SOFTNER ($35) _ _ _ CLOTHES WASHER _ KITCHEN SINK _ WATER CLOSET _ BACKFLOW PREV. ($15) DISHWASHER LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION WATER METER —OTHER Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ OR Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 (MINIMUM $15.50) (MINIMUM $15.50) Total = $ 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 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 caspoof4ll wo l ich requires review and approval ofplans.1,-6 SIGNATURE OF APPLICANT PRINT NAME DATE 2C— APPROVED BY DATE ". City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building PLUMBE4G Permit No.: ` ` 01P Inspections RESIDENTIAL IAL APPLICA'T'ION Received By: 763-572-3604 CITY OF FREDLEY Da cN®y 1 3 20 763-502-4977 FAX EFFECTIVE 1-1-08 DATE 11/11101 YOUR E-MAIL ADDRESS SITEADDRESS 1.05d0 Pia4,e THIS APPLICANT IS: ❑ OWNER AONTRACTOR PROPERTY NAME: V-D� $ GUk ,A ADDRESS: U5-o 6w5,e Sf 1j e CITY rrl A-e!j STATE�'KtF ZIP FIi 2 OWNER/ TENANT PHONE: Iv'� 571- 6141-% CONTRACTOR NAME: P10- 11:!j biI exta, STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE, BOND AND STATE BOND # EXP DATE CERTIFICATE OF ADDRESS: 5lib U&& S-� AU �3 W CITY GVH d t44 STATE/l/ ZIP S��Z INSURANCE PHONE -i 10E� 4 - 2I 1�9 FAX � y!? J I - 2005' PERMIT TYPE #NGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK. ❑ NEW REPLACEMENT DETAILED DESCRIPTION OF WORK T7n6j (�'j 9{ 0-� VgdjgyAdVjitfei' 814,&- 4 PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 =cost of labor x.05 = plus .50 surcharge OR FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $15.50. _SHOWER WATERPIPING _BATHSINK/LAV _FLOORDRAINS _ GAS PIPING (NEED CITY LIC) _ SWIMMING POOL —WATER SOFTNER ($35) —BATHTUB CLOTHES WASHER _ KITCHEN SINK_ WATER CLOSET _ BACKFLOW PREV. ($15) _ _ DISHWASHER _ LAUNDRY TRAY TWATER HEATER ($35) FOR IRRIGATION WATER METER OTHER ,771 Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ OR Number of fixtures @ $35.00 _1 x$35.00=$ 3 q P O State Surcharge = $ .50 (MINIMUM $15.50) (MINIMUM $15.50) Total = $ "19 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 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 work which requires review and approval of plans. G Cele' DATE L/ /l Lor— SIGNATURE OF APPLICANT � " "r/y'— PRINT NAME A %�'i _ ` APPROVED BY DATE *lw1AE`t. SIFT ?'1*RIT1 %II` 11,`RIiliiiCr,°ELI~G`>ICAL A'l�I�;�NIECI' City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977