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PRE 2010 DOCS,y City of Fridley, Minn. BUILDING PERMIT N° 64 10 Date: — Z — 2 `— e�' Owner: k[ Z 2a � Builder Address Address LOdCAT10N B ILDING No. �, ,9 Street ,c _ P o Lot Lot __ Block Addition or Sub -Division /► l sI Corner Lot A --Inside Lot _ _ Setback ..� -- Sideyard [ , / Sewer Elevation — Foundation Elevation DESCRIPTION OF BUILDING T Used � Front Depth Height Mir) Sq. Ft. �� Cu. Ft., al(n— t Depth Height Sq. Ft. Cu. Ft. Type of Construction Est. Cost 90 41T --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 all provisions of ordinances of the city of Fridley. /A I ---- In 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 within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. - ^ ---% NOTICE ills permit do" not corer the construction, hahmatien for wbtng, phrmbing, on hendng, sewer or water. Be ane to we the BulMhrg Inspector for separate permits for thew hems. APPLICATION FOR BUILDING PERMIT CITY 'OF-FRIDLEY MINNESOTA OWNER ° S NAME BUILDER/,-/-' ADDRESS ADDRESS Gro o LOCATION OF BUILDING No. 44-1;r- 9� _ Street -I//. Part of Lot Lot'. / Block o2. Addition or Subdivision �,,o/ Corny LoInside Lot � Setback �S'� Side Yard 17 SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two,Certifitates of Survey of Lot and proposed build- ing location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as: 6Q.- Front Depth Height Sq.' Ft-. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. 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 strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby :declares,that ell the facts and representations stated in this application are true and correct. DATE SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). Too 96 P. Land Plmmin9(fa&"ftM 075-,Yowy 005 AE, ladSurveying Minneapolis V, .So;lsTsMi ENGINEERING, INC. M;nn�sola civil fr M�micipnl sunret4-6o66 Engineers Surveyors --- certMeate of SllL&Ve for D.L.ANNE►? �lt{�! T . ;CPN f S4 -41c . i~. F0 AVE. N. E. 0 `�— N7 - I'll -7n W 1U Z -DT / 5�—OCA owy'-� Z -u" A-,-,IlelT II -)A` h�Gy rrr% lbaf #0 5 a bw and a rMd repMsWtofran of W sWrey qrt* &w*res e& 06W AW. -,bed lard, and locahno of'oll 1%iMikp , l xmw , and all risible arivarhmmis , rFa , ffm ar w"d lard. As surveyed by r„ me f/Gis _ doy Nu rck ASMil. SUB URBAN EMINEERINO , INC. Engineers Fr .Surveyors �r i ap d 1.1J 'H 0 `�— N7 - I'll -7n W 1U Z -DT / 5�—OCA owy'-� Z -u" A-,-,IlelT II -)A` h�Gy rrr% lbaf #0 5 a bw and a rMd repMsWtofran of W sWrey qrt* &w*res e& 06W AW. -,bed lard, and locahno of'oll 1%iMikp , l xmw , and all risible arivarhmmis , rFa , ffm ar w"d lard. As surveyed by r„ me f/Gis _ doy Nu rck ASMil. SUB URBAN EMINEERINO , INC. Engineers Fr .Surveyors �r 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 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ each add. 80,000 BTU ....................... Replacement of Furnace ............................ Repairs & Alterations—up to $500.00 ................. Repairs & Alterations each add. $500.00 .............. 8.00 $ �1 2.00 $ 5.00 $ 5.00 $ 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water . 8.00 $ 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 $ 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 $_'Z_"3 '.6 O ROUGH Dept. of Bldgs. Phone SU 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. 19 — Owner ✓id - v Kind of Building Used as 10 To be completed about Estimated Cost, $ Permit No. 6 G Permit N DESCRIPTION OF WORK HEATING or POWER PLANTS -,Steam, Hot Water, Warm Air—No Trade NamP Size No Capacity Sq. Ft. EM.R BTU H.P Total Connected Load Kind of Fuel BURNER —Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P FINAL (REMARKS -OVER) ��- •� .,W42 Business Phone No 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 q G7 NO. RATE TOTA.,L,, Number Fixtures ......................Z x $1.50 �aL Future Fixture Opening ................ x 1.20 ti Z 24�c Z Z _ O J W z Z z • . WATER HTR. GAS ELEC. GAS FITTING FEES: RATE TOTAL' C� 1st 3 Fixtures ..........................Z /NO. x $1.50 $---/—, —3 Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 a� Base 1st i 2nd 3rd 4th • Future Connection Openings Connected with New Fixture, Old Openings I Sewer � Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTA.,L,, Number Fixtures ......................Z x $1.50 $���() 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 U New Ground Run Old Bldg. ............ x 3.25 $ GAS FITTING FEES: RATE TOTAL' C� 1st 3 Fixtures ..........................Z /NO. x $1.50 $---/—, —3 Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE . City of Fridley: C 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. .. Mddlev- Mnn- Alf q 194J Owner _/o . (� Kind of Building Used as To be completed about Estimated Cost, $ Old Ne ding Permit No.�® Permit /lA ROUGH FINAL -Q9042 2M Business Phone URC 7E DRDER PURCHASED BY DATE , - irk, THIS DOCUMENT GOOD FOR PURCHASES UNDER $1,000.00 ONLY F32117 THIS NUMBER MUST APPEAR ON ALL CORRESPONDENCE SENT TO US SUPPLIER Alhv- ADDRESS 1/ 0© � iO', 7 oLtc, LAI - � ��_�.� r� � Lt' IjI '� a� CIT`/ OF //- FRIDLEY PHONE NO. /,Q ' S .� — C� 6431 UNN. AVE. N.E. C C n FRIDLEY, MN 55432-4384 CONTACT - uG-. 612-571-3450 PRINTED ON RECYCLED PAPER. PAYMENT VOUCHER BY SIGNING THIS DOCUMENT BELOW I HEREDO AUTHORIZE PAYMENT AND THAT THE GOODS AND SERVICES HAVE BEEN RECEIVED OR RENDERED AND ALL CITY GUIDELINES HAVE BEEN FOLLOWED IN THE PROCUREMENT OF THE BELOW STATED ITEMS. DATE RECEI PAYMENT A.. RIZED BY ACCOUNT OTY. UNIT PLEASE ENTER OUR ORDER FOR THE FOLLOWING UNIT PRICE AMOUNT ®D 00 a gWAd6- L /co JA)/- 6 ©�/ 5 w L/E�S� lSsuF L' l r TOTAL UO THIS AGENCY HAS AGREED NOT TO DISCRIMINATE IN HIRING PRACTICES ON THE BASIS OF RACE, SEX, COLOR, CREED, MARITAL STATUS, RELIGION, OR NATIONAL ORIGIN AND HAS AGREED TO TAKE AFFIRMATIVE ACTION TO RECRUIT MINORITIES AND WOMEN INTO EMPLOYMENT. IT ENCOURAGES FIRMS AND OTHER AGENCIES WITH WHOM IT PURCHASES PRODUCTS OR SERVICES TO DO LIKEWISE. EXEMPT FROM SALES TAX AS A POLITICAL SUBDIVISION OF THE STATE OF MINNESOTA CITY OF FRIDLEY NO. 8030301 WHITE, VENDOR — YELLOW, 'PURCHASING — PINK, ACCOUNTING — GOLDEN ROD, DEPT. HD. OF SUBJECT P City of Fridley 218 5 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. COMMUNITY DEVELOPMENT DIV. it O� I PROTECTIVE INSPECTION SEC. r IS-99 , NUMBER REV DATE - PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 "'j 612-571-3450 910-F15 5/17/93 JOB ADDRESS 6596 Pierce Street NE 1 LEGAL LOT N0. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 2 Don's 2nd X116M Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Richard Berganini 6596 Pierce Street NE 574-0355 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. American Remodeling 3700 Annapolis In, Plymouth, MN 55447 553-0020 2406 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION j7 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS Z> 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 NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. 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 $2(QCC $1, 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- $45..00- Fire SC $2.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE License SC $5.00 $53.00 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) HE RY U - ED THIS IS YOUR PERMIT L5 BLDG WSP DATE _ SIGNATURE OF OWNER �IF OWNER BUILDERI IDATEI OF Effective 3/1192 — NEW W [ l( s� ADDN [ ] CITY OF FRIDLEY ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: Nj Legal Description: Owner Name Address• �'�'� C/ Contractor. Je�L Tel.®c� • MN LICENSE # ��� �;.�. ��;� Tel. #�� ` ®,ZO 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: Comer Lot [ J Inside 4t [ J Ft. Yd Seth Side Yard Seopcks Type of Construction: �� Estimated Cost: $ Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + b Ft = Ft x $ = $ i � DATE: 9APPLICAN Tel. 010120 TOTAL on STIPULATIONS: J� Permit Fee $ `�` Fee Schedule on Reverse Side Fire Surcharge $ C;? e-0 .001 of Permit Valuation (1/10th o) State Surcharge $ `®d $.50/$1,000 Valuation SAC Charge $ $700 per SAC Unit License Surcharge $ � . M $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL on STIPULATIONS: SUBJECT PER City of Fridley 218 9 3 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. _ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r ; NUMBER REV DATE PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 .--.�/"',•� L 612-571-3450 910-F15 6/3/93 JOB ADDRESS 6596 Pierce Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED 1 2 Dons 2nd Addition SHEET DESCR. 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dick B.erganini 6596 Pierce Street NE 574-0355 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Minnesota Exteriors 295 Hwy 55, Hamel EN 478-,6001 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 Residing; soffit & fascia 9 CHANGE OF USE FROM TO STIPULATIONS Install smoke detectors as per UBC 1210 -- adjacent to all sleeping areas anal in basement. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 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 $2F000 $1.00 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- $45:, 00 Fire SC $2 00. STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE License SC $5,00 $53.00. SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI ,I ROPE VALIDATED THIS IS YOURPERMIT 9 G P DATE SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI NEW [ ) ADDN ( ) ALTER [ ] Construction Address: Legal Description: Effective 3/1/92 CITY OF FRIDLEY) SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Owner Name & Address: Contractor: Address: e LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Tel. # . -f MN LICENSE # Tel. # LZ2f -e 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 Length Width Height Length Width Hgt/G Corner Lot [ J Inside Lot [ j Ft. Yd Setback _ Type of Construction: Approx. Completion Date: 4- f1 Driveway Curb Cut Width Needed: Ft. + 6 Ft = DATE: � -:!7 a Sq. Ft. Sq. Ft. Sq. Ft. Side Yard Setbacks Estimated Cost: $ (Cost on Back) Ft x $ _ $ APPLICANT: -'—d. �� Tel. # CITY USE ONLY Permit Fee $ t -)-D Fee Schedule on Reverse - Side Fire Surcharge $ db .001 of Permit Valuation (1 / 10th %) State Surcharge $ / 1�''D $.50/$1,000 Valuation SAC Charge $ $700 per SAC Unit License Surcharge $ S, $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS: a SUBJECT 7RMIT NO. City of Fridley 2 8132 AT THE .33964, BUILDING PERMIT E ` a • _ COMMUNITY DEVELOPMENT DIV. I j E PROTECTIVE INSPECTION SEC. ��� 1 ; � CITY HALL FRIDLEY 53432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 10/7/98 JOB ADDRESS 6596 Pierce Street NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 2 1 Don's 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Dick Berganini 574-0355 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Quality Contracting 11380 West River Rd Cham lin MN 55316 427-7733 035 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 O ADDITION ❑ ALTERATION fiEx REPAIR ❑ MOVE - O REMOVE B DESCRIBE WORK Reroof house and garage (22 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 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 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 1885 $.94 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF AM OTHER STATE OR LOCAL LAW REGULATING CON. STRUCT ON OR E ORMAN OF CONSTRUCTION 59.50 Fire Sf. $1.88 PLAN CHECK FEE TOTAL Lice C 5. 0 67. SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT 10 EI EN OPE ALIDAT IS IS YOUR PERMIT !!! S-GNATURE OF OWNEROF OWNER BUILDERI IDATE, BLD INSo rIAtE a NEW [ I ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAivIELY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: C V .e y c -e 'S `-rt- e i Effective 1/1/98 Owner Name & Address: C -'::P PC -Qv° r.- e 45Tel. Contractor: Quality Contracting MN LICENSE# 7035 Address: 11380 West River Road Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF BIPROVEMENT Tel. # 427-7733 LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: �22 S25 /�etV 4-r 7L Construction Type: Tear off and reroof Estimated Cost: $ Driveway Escrow (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $' _ $ DATE: �® APPLICANT: C� Tel. # &-f 2'% STIPULATIONS: q CITY USE ONLY Permit Fee $ .�9.5.� Fee Schedule on Reverse Side Fire Surcharge $ 1,300 .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ S;-, 60 $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 [ ] TOTAL $ 62 9.3d STIPULATIONS: q "?00 V0, W V NEW [ ] CITY OF FRIDLEY Effective 4/1/2004 AQEYN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (7/q) 571 12qk I;rax BUILDING PERMIT APPLICATION ✓ „/ /,� T✓ l�J (/ Construction Address: Reree- 5 -1 -- Legal Description: Owner Name & Address: _A'o- a &%n a oeY`n c n ► n i Tel. # 743 -,5 -,7 -y -63, -0 - Contractor: a4erlIncs MN LICENSE # 0-77 Address: Woo-,5eWecsn,, NWV Tel.# 74-?- !,SZW 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: Construction Type: Re Ran� a (.+lndmo Qeolwr4f iEstimated Cost: $ 9,!V a y® Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ -=$ DATE: 9 0 6 APPLICANT: <�e-� Tel. # 763- y9l-d 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 $4 ! 3 Fee Schedule on Reverse Side Plan Review $ 65% of Permit Fee Fire Surcharge $ .a .001 of Permit Valuation (1/10th%) State Surcharge $ /a- 9— $.50/$1,000 Valuation SAC Charge $ $1350 per SAC Unit License Surcharge $ 5,A) $5.00 (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 [ ] ��`� c;L TOTAL $ STIPULATIONS: Minnesota Commerce .r MENCE Energy Info Center News Releases Contact Us I Page 1 of 1 Commerce Home I North Star Home I Commerce Site Mal Friday, May 12, 201 minnesot3 northstai Advanced Search I Search Topics 1 Q All NorthStar I O Commerce Site Only Consumer Industry Applications, Info and Info and Registration, Services Services Certification License Detail Unclaimed Heating Weights & Minnesota Petrofund Property Assistance Measures Relay Here are the details for the license you are currently looking for: Licensee Name: MINNESOTA EXTERIORS INC Licensee Address: 8600 JEFFERSON HWY , PO BOX 266 City State Zip: OSSEO , MN 553690000 License Number: 2877 License Type: Residential Building Contractor License Status: ACTIVE License Effective Date: Jan 22 License Expiration/Renewal 1314e: Mar 31, 2007 Qualifying Person: JEFFREY Btwm Number of hours of continuing education required to renew license: 7.0 Enforcement Action: No Copyright 2000 North Star, Minnesota State Government Online State Of Minnesota I About Us I Get Acrobat North Star is led by the Office of Enterprise Technology Reader This site best viewed with 1024X768 or greater and with Netscape 4.7 or Internet Explorer 4.5 or greater. to� slims. hqs://www.egov.state.mn.us/Commerce/license lookup.do?LIC NUM=2877&LIC TYP... 5/12/2006