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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT Date: — May 11, 1967 Owner: _ William C. Thompson Builder Address 6578 McKinley S t . N. E. Address Same Same LOCATION OF BUILDING N° -2i6 �V 9233 No. 6556 Street — Stinson B lmd . _ _�_ Part of Lot Lot _ _ 3 _ _ __ Block 3 Addition or Sub -Division Moore Lake Park 1st Addu . r Corner Lot ---- Inside Lot _ x Setback 35 —_ Sideyard __10-9 Sewer Elevation __ __ _ 882.15 5 Top of Footing DESCRIPTION OF BUILDING To be Used as: Dwelling Front 40' Depth 26' Height 20' sq. Ft. 1040 Cu. Ft 25,260 Garage Front 21 Depth 26 Height 10' � Ft. 546 Cu. Ft. 5460 Frame $29, 000 AugAst 1967 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 in compliance with all provisions of ordinances of the city of Fridley. / $100.00 NSSSD In consideration of the payment of a fee of $ 38. , permit is hereby granted to William C. Thompson 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. CLARENCE BELSILE Building Inspector NOTICE: Ibis permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to an the Building inspector for separate permits for them home. w APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME �� ��� L BUILDER ADDRESS a ��k '� -F '�. o, PDDRESS LOCATION OF BUILDING N0. Q : find STREETS c 90 k4,1 Q PART OF LOT ly o,4.0a= (- LOT BLOCK 3 ADDITION OR SUBDIVISION /F 0 11 CORNER LOT INSIDE LOT SETBACK r SIDE -YARD ��m SEWER EL VATI ON ff--� • /� TOP OF FOOTING YO/ f7 / ) 2 Applicant attach to this form two certificates of survey of lot and proposed building location drawn on these_ two certificates. DESCIPTION OF BUILDING To be Used as: Front 1-16) Depth �v Heigh } Sq. Ft. /0 Cu. Ft. '� c F 'z- Front J Depth Height s- r-.- Sq. Ft 5' a e: Cu. Ft. Type of Construction Estimated Cost '20(06r To Be Completed '461 cap,, 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 Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. 1 DATE /% SIGNATUREI�, e (Schedule of Fee Costs can be found on the Reverse Side). j ',r h BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any building of structure, or for any addition to any existing building:or structure, or for any alteration or repairs to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: Uniform Building Code: Type 1,2, & 4- $1.75 for each one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3 & 5 - $1.50 for each one thousand cubic feet. For the purpose of computing fees',for building permits,.the cubical contents of any building or addition to a uniform height throughout by multipluing the ground area covered from a point six (6) inches below the floor line of the basement or cellar to the average height of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each Five Hundred Dollars ($500.00),or fraction thereof in the cost of all proposed work. In no case shall -the fee charged for any permit as set forth in Section 2 be less than $5.00. NSSSD Connection Charges based on location- Area 1 or 2. App9icaNan fbr power pjan2s cuedMae NIM aCooling, Vangsjc&a. WrigamMon and Air CandiNoning Sygems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ............... $ X10000 ........... Replacement of Furnace $ 6000 Repairs & Alterations—up to $500.00 .........�{ $ 6 00 0 Repairs & Alterations each add. $500.00 ............... $ 3000 XECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU .. , ...... . each add. 60,000 BTU ....................... Replacement of Furnace ............... Repairs & Alterations—up to $500.00 ................. Repairs & Alterations each add. $500.00 ....... STEAM or HOT WATER SYSTEM ka $ $10000 ka $ 3.00 $ 6®00 $ 6.00 c $ 3.00 Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $ $10000 Furnace Shell & Line—to 640 sq. ft. EDR Hot Water Wig$ ... Each add. 200 sq. ft. EDR Steam .... • ..... , 10000 Each add. 320 sq. ft. EDR Hot Water ........... 3 000 3000 OIL BURNER—to 3 gal. per hour ....................... 6.00 over 3 gal. per hour—Fee Fee Schedule GAS BURNER (up to 199 0000 i.............. 5.00 $ GAS FITTING fig: 1999000 BTU 1st 3 Fixtures ............. NO RATE TOTAL _x$ Additional Fixtures x Gas Range to 1 BTU x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ - iALTERATIONS & REPAIRS TOTAL FEE . -7.00 ROUGH FINAL $2000 .75 $5000 Dept. of Bldgs. Phone 660-3480 'City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Minn` � — / rL- —$ 19 6v 7 Owner �-' Kind of Building Used as To be completed about Estimated Cost, $® Old —Z . Building Permit No. —9--8,3 Permit No. -590-1 DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No Trade Name Size No."-�7 Capacity Sq. Ft. E.D.R B ru,el &— H.P. Total Connected Load_ - 2 S' Kind of Fuel— BURNER — Trade Name - Size No Capacity Sq. Ft. E.D.R BTU H.P. Signed �,��� By �� <z Business Phone No . Sjoultam (REMARKS -OVER) 8419 CENTEDR MINNEAPOLISIVE NNESOTA532 City of Fridley Application for Plumbing and Cas Fitting Permit Dept. of Bldgs. Phone SII 4-747.0 DESCRIPTION OF WORK 4 Number, Kind and Location of Fixtures Location m j� TOTAL �! x $-66 $� O Z 8 a� Z $ x 1.00 t7 x N WATER HTR. GAS EIEC. Base x :.?r9� $ X 3.25 $ 1st 2nd 3rd 4th • Future Connection Openings * New Fixture, Old Openings I Connected with Sewer ❑ Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: Number Fixtures ....... .............. Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin ...... ..................... Water Heater (Up to 200,000 BTU) ...... New Ground Run Old Bldg . ............ GAS FITTING FEES: 1st 3 Fixtures .......................... Additional Fixtures .................... Gas Range to 200,000 BTU .............. REPAIRS & ALTERATIONS—Refer to Code NO. RATE TOTAL �! x $-66 $� x 1.20 $ x 1.00 $ x 3.25 $ 3<0-' 6-Z) x :.?r9� $ x 3.25 $ NO. RATE TOTAL Z" x $1-.a0" $ x .50 $ x 2.00 $ City of Fridley: The undersigned hereby .makes application for a permit for the work here! 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 apiaheation are trued correct. l ft idley, Minn 194 Owner Kind of Building Used as To be completed about Estimated Cost, $ Old—New. Building Permit No ..it No. Signe 'L\ By Business Phone No ROUGH el FINAL Description ................................................$ TOTAL FEE $'" a 2 2M City of Fridley AT TIM, TOP OP TH[ TMryNB rL-------COMMUNITY DEVELOPMENT OIV, 1 i MOUCTIVR 19ftCT*M 9M. CITY HALL FRIDL9V 664$4 53-8h—S-915.51 SSSIAEGT PLUMBING, PERMIT APPLICATION Job Address v /- 17 1 1 1 rivu 6556 N. E. Stinson Blvd. William 0. Thompson s Phone Contractor Address A ress Phone 3� NIARQUE,_-stiff AVENUE Kind of Building Use M@LS, MINN, Frames Res. Completion Date Estimated Cost 5-10-7h 10.00 i Plumbing Fixture Rates: NO. RATE TOTAL -_ i I it IW I i WiI ` I Number Fixtures x $2.00 Future Fixtures x $1.50 New Fixture -Old Open. x $1.50 I � 1 Catch Basin x $3.25 eve •xt�l —� � Water Heater -99,000 BTU x $3.00 •�gtw � ( I ' I I Ground Run Old Bldg. x $3.25 , •MNival I I I I �l I m I Elec. Water Heater x $2.00 8Nt8Y8I I ij ! O HO1tl91 I ! I I I I IJ yI Gas Fitting Fees: (Q ON pNtvaa I t 1st 3 Fixtures x $2.00 �u I saaMu++sl O I I I I Additional Fixtures x $ .75 F7Tyri �tNta° Gas Range -199,000 BTU x $5.00 I + ` I a Ns MI Repairs & Alterations "1N191 j Description: See Install Gas Grill Code 5.00 I I I I I eNlevel I I I State Surcharge Class lrAll Surcharge 50r .50 TOTAL FEE $ 5.50 ( Neve l I The undersigned hereby makes application for a permit sivmmnI I I for the work herein specified, agreeing to do all work •uavliM in strict accordance with the City Ordinances and Tulin I ' I of the Department of Buildings, and hereby declare that all'the facts and representations stated in this application are true and correct. Signature A Date City of Fridley Applicculaa for P1wwnbhg cmd ig Fe Dept. of 131dgeti. Phone DESCRIPTION OF WORK Number, Kind and Location of Fixtures p VO I< aE rc °� S 7 ' i ZW I N WATER "To. CAS ELIC. Base 1st 2nd 3rd • Future Connection Openings I w�°` ern fleweY * New Fixture. Old Openings Ccaspool 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) .... d, x $3.00 $ f New Ground Run Old Bldg. ... x $3.25 $ Electric Water Heater .............. : $2.00 $ :.AS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures x $2.00 $ Additional Fixtures .................. x $ .75 $ Gas Range to 199,000 BTU ............... x $6.00 $ City of Fridley: 'Phe undersigned her specified, agreeing to do and ruling of the Depart and representations state Owner 4 �) s e— Z / Kind of Building f.hV 5.0 R k --z /D Il y makes application for a permit for the work herei I work in strict accordance with the City Ordinance wt of Buildings, and hereby declares that all the fact in this application are true and correct ey, Minn Z/ (;� 19— fy0,0-1 PsoAi, Used as p ^l 6 4 A -j 4aa C To be completed about / / --2" '- Estimated Cost, $._ Q1 New. Building ROUGH No. Ps it No. dc9 Signed By" Business Phone No REPAIRS & ALTERATIONS --Roger to Code .50 State Surcharge Description ........................'.................... TOTAL F= Form 235 OUS HEATING TEST RECORD _ ADDRESS APT... FLOOR CITY SUB R13 OCCURANT - 6 - OWN01 �> A LAd1 HEAT LOSS ` 1' DATE HTG. INST r� .�yT,r 57 SOLD BY; E (,.1. INSTALLED g8'/;�/'f.;'f8��.9;`�� Electrical Work By Gas Line By TYPE OF HEAT GA _ _FA =HW STEAM SPACE HTR. UNIT HTR. OTHER ` GAS DESIGN', CONVERSION, MAKE .MAKE OF BURNER Model I. a ¢,_. .-f' v" C; Mode f Serial a "Max. BTU Rating INPUT � MAKE OF FURNACE' „. Model . CONTROLS si THERMOSTAT(OCIVJHeot Plug VenYSizti' Volvo KIND OF LINER �— SIZE NONE Limit 4 Ll� 0 �i -- Re ulator Draft Hood Limit Setting_ Filters Size Number Fan Setting 010 Chimney Location In Outside Pilot Type �` Chimney Construction Pilot Make V Pilot Model Smoke Bomb Wiring Pilot Timing Draft Test Tag L.W. Cut Off Door Pressure' Lightin Inst. — I( t _ d � _ Pressure d Percent COZ Input CFH Percent 02_ -215 Date Tested Company Testing 66 Stock Temp. Percent CO. Name of Tester Form 235 a -,o I I ID Cl�r 4d to It IL $�4Aw •o g 10 p R mK PC ,o ° o w F m M lw o '?0 4A$ gn 4A rn a « � O S1 CA r CA N Vi N 44 to N 44 4A N N cor N � / r1 " � d a x w g a oaon In rib �g z w. ,rt t� C h A rt a c be O N ��n � M w m pri$o �� kn� O. a 70 H A �• O c CL •v s K ir 1p l g 1-hto d FS n ? r a D D i rg M o n h •� C bo a. moo' K 1' a s Cf r 'Mug W O a '0 IN Sial' C,11 6 •�:tT Ci %` z7 �� '8ZT-T' r'.3��:II< � SLI ,�' T` CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack; 1. Has been carefully examined Yes {� No ( } 2. Is free from rust or deterioration Yes t10 No ( } 3. Has no foreign objects lodged within Yes ()0 No ( ) 4. Is securely supported Yes No ( ) 5. Meets all current Code requirements for size and Yes No ( } total BTU connected 6. Has Total heating BTU's of .::4 UU All other BTU's TOTAL 1[6DW Company Signed Signed 1 Date SUBJECT PERMIT NO. City ®f Fridley 26 � 6 4 AT THE TOP OF THE TWINS BUILDING PERMIT P t , CE0 a. t t _ COMMUNITY DEVELOPMENT DIV. tr PROTECTIVE INSPECTION SEC. S� // 7J r CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 6/6/91 JOB ADDRESS 6556 Stinson Blvd NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 3 3. Moore Lkae Park 1st Addn SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Tom/Debbie Larson 6556 Stinson Blvd NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Skyway Quality Homes 8025 Garfield St, Spring Lk Pk 784-5464 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW J] ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Construct a 2Q' x 201 Deck Addition 9 CHANGE OF USE FROM TO STIPULATIONS S.ee notations on plan WARNIN Before digging call dot all Utility locations :� � SEPARATE PEI1MI.T$ `REQ.UIRED,, toR �E�UI D -0002 LAWWIRING, HEATING, PLIJItilBIN AND 8-IGN Se TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. 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 1 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 $3t G00.$1, 50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT P ESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIO F ANY OTHER ATE OR LOCAL LAW REGULATING CON- $54.00. Fire SC $3,QQ STFPUC,T(O R THE PERFO CE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE 58 O WHEN P OPERLY Vf LID T IS YOUR PERMIT SGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) � s P O E SIGNATURE OF OWNER IIF OWNER BUILDER) IOATE) MW [ ] ADtV [ ] AM E R [ ] R-1 AND R-2 Building Permit Application Effective 1/1/91 Omwtruction Address: ��� �� o f� � ��o �✓ t�r� s7� legal-. ' 1- ��� �' ,� %ii a Owner Name & Address: "�c� ��'�`� ���"� Tel. # Contractor: 5)�'VW L- OU41-1 'ri' 0167 f Tel. Attach to this application, a Certificate of Survey of the lot, with the proposed om trwction drawn on it to scale. IL IP17M CR' IIalsh-VEMM LIVING AREA: Length Width height Sq. Ft. GMUM AREA: insxgth DECK AREA: Loxjth - ®® Width Heightr : Width e) ` Hgt/Gro61d. Sq. Ft. Sq Ft. ci Corner Lct [ ] Inside lot [] Ft. Yd Setback r, ;Side Yard Setbacks Type of Constniction: D C-/ FFsttiarazfied Cost: $ ----- Approx. Coapletion Date: L fk'"• Proposed Driveway Width If Now Is Desired: Ft. $ $ + 6' See Back Page DATE: APPLICANP- n ti Tel.. ?4 7` CITY un Permit Fee $ = "! Fee Schedule on Re mrse Side Fire Surcharge $_ y .001 x Permit Val6ation (1/10th $) State Surcharge $.50/$l, 000 Valuation SAC Charge, $ $650 per SAC Unit Driveway Escrow $ Alt. "A" or Alt. "B" Above Park Fee $ Fee Determined by Erzj; neer-i *+g Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ r' srrPulATIMS: IL The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any eadstin3 building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount here -in below set forth and in the manner herein provided to -wit: TOTAL VAHM FESS $1 to $500 $15 (Minima Fee is $15 plus sur kirge) $501 to $2,000 $15 for first $500 plus $2 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $45 for first $2,000 plus $9 for each additional $1,000 or fraction therwf, to and including $25,000 $25,001 to $50,000 $252 for first $25,000 plus $6.50 for each additional $1,000 or fraction thereof, to and including $50, 000 $50,001 to $100,000 $414.50 for first $50,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $639.50 for first $100,000 plus $3.50 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 arra up $3539.50 for the first $1,000,000 plus $2 for each additional $1,000 or fraction thereof ERTVENM SSICK ESCROW (Omcrete Ourb Streets Only) Alternate "All: Removal and replacement nt of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Removal and replacement of curb and gutter arra install a 3 foot wide approach with 6 in h depth - Driveway width plus 6 feet times $15.75. • :�i' .' •+. .• .,- 'x'11 U>. .�. Permits for construction will be issued a minimum of 24 hours fthe time of application to allow for proper review of the proposed structure and of the cons site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been will be required before proceeding with the framing. HAitvEY A.CAH7WRIGHI ANOKA COUNTY SORVE-YS IT H AVE. N. F. P. qAST RIVER RD STFRILANG 2301 PiAFzoL,) R. OLSON SOX 1;4, ROUTE WESTWOOD SHORES MOUND, MINNESOTA MOuND 348M Orv.,'.1le P..)himanski CARTWRiGHT & OLSON LAND SURVEYORS REGISTERED UNDER LAWS OF' STATE OF MINNESO FA LICENSFO BY ORPINANCE OF CITY.OF MINNEAPOLIS 337 PLYMOUTH BUILDING LINCOLN 8721 6urberar"!5 Certificate ---- 6-6 I RECORDS OF H, --L. Er- TABLISHED 1*96 C.. r .tiANDHOFF:. F!,TABLISHEL- 19fE AMFfi NELSON. v.SrAFILISHED i9 -z INMUS.TRIAL BUSINESS ..01 SURVEYS LAKESHORE PLAT I INC, Inv. 4 10617 :— C - I " t ('" � l7 0 e cp-tify that t'il*Ls plat 1s a true ani coo -rant -kj:j'L- - -F a s *or v y _sAddltion, knoka Minnesota }-.O t. I lock' "oore Lake 1-a-rk F4 -.-. as s, -r,jrpyed us this lath ,.day of November, 19' 2. SUBJECT PERMIT N City of Fridley C-213 21 AT THE TOP OF THE TWINS BUILDING PERMIT Ir L`r COMMUNITY DEVELOPMENT DIV.�� REC IPT NO. 1 v __._�_� PROTECTIVE INSPECTION SEC. 'GJ� CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVED BY �'"" t "'j 612-571-3450 910-F15 5/7/92 JOB ADDRESS 6556 Stinson Blvd NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 3 Moore Lake Park lst Addn SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Tom. Larson 6556 Stinson Blvd NE 571-4651 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. D & D Home Improvement Inc, 7401 Central Ave NE, Fridley 55432 784-7543 4840 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 Reroof Dwelling (20 S(juares) 2nd Layeg 9 CHANGE OF USE FROM TO STIPULATIONS Roofing can be 2nd laye.r..but not 3rd, 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 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 $110.6,0 $,53 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 PROVIS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $27.00 Fire SC $1.06 STRU ION OR THE PEFIFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE License SC $5.00 $33.59 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI rLa WHE RQ)v RL Y VA IDA D THIS IS PERMIT `YOUR 2 LDG INSP BATE SIGNATURE OF OWNER OF OWNER BUILDERi IDATEI NEW 'I ] Effective 3/1192 ADDN [ J CITY OF FRIDLEY ALTER [ ] SINGLE. FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Legal Description: Owner Name & Address:om Z'e�®sem Tel. # Contractor: D & D Home Improvement, Inc. MN LICENSE # 4840 Address: 7401 Central Avenue N.E., Fridley, MN 55432 Tel. # 784-7543 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT Length Width Height Length Width Height Length Width Hgt/Ground Sq. Ft. Sq. Ft. Sq. Ft. Corner Lot [ ] Inside Lot [ J Ft. Yd. Setback Side Yard Setbacks Type of Construction: title/, 1 e1z, Estimated Cost: $ l L or - Approx. Completion Date: J`uk e- cP-0 V - (cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: APPLICANT: Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Park Fee I Sewer Main Charge $ TOTAL $'3 S STIPULATIONS: qz Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$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 j ] Not Necessary [ l BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein glow set forth and in the manner herein provided- to -wit: TOTAL VALUE FEES $1 to $500 $15: (Minimum Fee is $15 plus surcharge) $501 to $2,000 $15 for first $500 plus $2 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $45 for first $2,000 plus $9 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $252 for first $25,000 plus $6.50 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $414.50 for first $50,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $639.50 for first $100,000 plus $3.50 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $3539.50 for the first $1,000,000 plus $2 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only...- Driveway width plus 6 feet times $13.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 . feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction :site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. CITY OF FRIDLEY PERMIT NO.: 2004-00204 ko? 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 02/13/2004 763) 572-3604 FAX: (763) 571-1287 ADDRESS : 6556 STINSON BLVD NE Ny PIN : 133024140026 `� a LEGAL DESC : MOORE LAKE PARK 1ST ADD : LOT 3 BLOCK 3 PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SIDING VALUATION : $ 13,686.00 NOTE: PER SECTION 1402, 1997 UNIFORM BUILDING 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 IS APPLICANT A CONTRACTOR? 1 APPLICANT PACESETTER CORP (2414) 4343 S 96 ST OMAHA, NE 68127- (402) 331-9400 OWNER LARSON THOMAS J & DEBORAH 6556 STINSON BLVD 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 work 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 stat or local law regulating construction or the perfo mance of/nstruction. Bldg BUILDING PERMIT FEE 237.25 FIRE SURCHARGE 13.68 STATE SURCHARGE, VALUE 6.84 LICENSE SURCHARGE 5.00 TOTAL 262.77 PAID WITH CHECK # 4225 SEPARATE PERMITS REQUIRED FOR WORK OTHP-R THAN DESCRIBED ABOVE. JC -?q -'W7 NEW [ ] CITY OF FRIDLEY Effective 1/1/2004 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 Construction Address: (55�r sh lyisoft) 61L,41 SS Legal Description: Owner Name & Address: 7c-AdA A-hitbr,,A, , Oor -Can Tel. # -1to3 Contractor. Vticq. ' � I, C.'3V' 6 MN LICENSE #� Address: Ll 3U'3 f> %J-" S'-' d who' Atop, r?v� ! �--7 Tel. # L1 v;�, " 597 - I -DOR - 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. R. OTHER: Construction Type: �� S'1_ Estimated Cost: $ )<-3 6 b co Driveway Curb Cut Wdth Needed: Ft. + 6 Ft = Ft x $ —=$ DATE:Q- ���® APPLICANT: "'L ,`f4✓( Vl✓ Tel. -6-70 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. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge CITY USE ONLY - Fee Schedule on Reverse Side 1 .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 [ ] TOTAL $ �� STIPULATIONS: BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof CURB CUT ESCROW (Concrete Curb Streets Only) Removal and replacement of curb and gutter only - driveway width plus 6 feet, times the annually determined rate. Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. VERIFICATION OF FOUNDATION A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Only Building PLUMBING PermitNo.:,; 7-00 Inspections RESIDENTIAL APPLICATION Received By: Z6 763-572-3604 Date Rec'd: CITY OF FRIDLEY '21.2 3 /6 O DATE YOUpR E- ADDRESS SITE ADDRESS 6 SSI. -�^�`"�. THIS APPLICANT IS: 0 OWNER ONTRACTOR PROPERTY NAME: OWNER/ ADDRESS: G S 5 4,3cn-y f STA i~IP S" TENANT PHONE: % 6e 3 S -� / - Lf (ff NAME: Terry Overacker P1bg Inc CONTRACTOR SUBMIT A COPY OF STATE LICENSE # :51 -r 1( P/r 1 1628 County Hwy 10 _ YOUR STATE ADDRESS: _ Spring Lake Park, MN 55432 °ATE LICENSE WITH PHONE (763) 572-8880 APPLICATION �tINGLE FAMILY O TWO FAMILY 0 TOWNHOUSE PERMIT TYPE TYPE OF WORK: o NEW AIIEPIACEMENT DETAILED DESCRIPTION OF WORK AA4iA&9e war 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 improveme�, installation or replacement of a residential fmture, excluding the fbaum. (11iis should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x .05 = FOR PROJECTS WHERE LABOR EXCEEDS $500. FEES ARE BASED ON 510.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) BATH SINK/LAV FLOOR DRAINS SHOWER _ WATER PIPING r BATHTUB __._ GAS PIPING esm awatcm) i_ SWRA IING POOL —WATER SOF7NER (S35) _ CLOTHES WASHER KITCHEN SINK CLOSET • _BAC WLOW PREV. ($M —WATER —DISHWASHER _ LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION _ WATER MUTER —OTHER �g� Aa+Y�© Permit Fee $ Number of fi=nes @ $10.00 x $10.00 – $ Stuck .50 Number offixtures @ $15.00 x $15.00 = $ Number of fres @ $35.00 __ x $35.00=$ TOTAL DUE $ State Surcharge = $ .50 Total = $ 3&7s' THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTO. 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; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of��plans. 1 SIGNATURE APPLICANT ° C- 04Ce k-s2 d N � DATE �/a OF PRINT NAME"J9 MOWS_ V� City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, -MN 55432 763-572-3604 FAX: 763-502-4977 �f Building BUILDING Permit No.: Inspections RESIDENTIAL APPLICATION Rec 'y' 763-572-3604 CITY OF FRIDLEY Date d: Zo to �° `ec /r P+tJy►q I DATE 7YOUR E-MAIL ADDRESS q ® �� K���d ►'i w q, err s SITE ADDRESS 6 5�5-(®® o IST 1 -1 S ate+ 'Q L-+>.0 v THIS APPLICANT IS: ❑ OWNER WONTRACTOR PROPERTYOWNER/ NAME: L-AkSo.aj TENANT ADDRESS: 6-4,"6 CITY STATE—ZIP B PHONE: --7(o I - a5 `71- q&,S l CONTRACTOR NAME: We-<S"Fb',+4J L~: �--'o Rc cco Y STATE LICENSE # G 9'70 EXP DATE 3 �° SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: `-Z-7q C-Aeo tzo CrrY ST- t-',7 vL STATa4m,&R5sI�! WITH APPLICATION PHONE /o - Z S - O q e FAX PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ,alfbOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ANCF/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: �� 0GG o°,—,a A zac�F' SIZE OF IMPROVEMENT % LENGTH WIDTH HEIGHT Sq. Ft. ROOFING USE ONLY NUMBER OF SQUARES OUSE & GARAGE BASEMENT REMODELING SUBMIT: ❑ GARAGES ` ATTACHED GARAGE 1. Proposed floor plan Existing Floor Plan 2. 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 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and propos project WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USINGTffq-T� U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ X3:5 $ $ See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1675 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks uavable to: Citv of Fridlev Attach THIS IS AN APPLICATION FOR A PERMrr-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 Cityyf Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permi ork ' not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which r s approval of plans. A� SIGNATURE OF APPLICANT PRINT NAME 6 t v- DATE ZCr