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PRE 2010 DOCSMage of medley, 'Milan, BUHMING PERM" 09 -Wee of INSPECTOR OF BUZDINGS: Front Tobe used as 11 Fridley, Minn.- 19_ LOCATION OF BUHMING I of -Tnt Block Addition or Sub -Division DESCRIPTION OF BUILDING Height- Stories manner of Construction - To be completed Estimated Cost-- - Permit is herew,granted to to Iii the building described In the above statement This permit Is granted upon the express condition that the person to whom it is granted, and his agents, employees and workmen, in an the work done ink around and upon said building, or any part thereof, shall conform In all respects to the ordi- nances of Fridley, 311nin- regarding the 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. -----inspector of Buildings. AGREEMENT AND SWORN STATEMENT In consideration of the issue and delivery to me by the Inspector of Buildings of Fridley of the above pert, I hereby agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Fridley, and, being first duly sworn, I hereby state and say that the -facts stated by me and contained in the above permit are true as thereiri Stated. - Subscribed sworn to before me at Fridley, Minnesota, this A.D. 19--L MaNMGASCo - 53-8la s®915 51 Applicafian for Plambing end Gm �if�nj Permit Dept. of Bldga. Phone 560.3450 DESCRIPTION OF 1i'OF.rt Number, Kind and LoerSien o4 Fixtures Loca 6170 Sunrise Drive ... PARTIAL BATE SCHEDULE :UMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 $ Future Fixture Opening ............ x $1.5.0 $ _.. Neter Fixture Old Opening.........: x $1.50 $_.__. o x $3.25 z Water Heater `Up to 99.000 BTU).... o WATER HTR. m UEC. New Ground Run Old Bldg. ........ x $•.25 $ El®ctric Water Heater, ....:........ a $2.00 $ AS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .................. x S2.00 $ . Additicnai Fixtures ............... x S .75 $ sr 3 a • 1 i'u4ti::a Coanocti� a Gpaain,�z Cozmectod With Novi Fixture. Old 07ani^.�s Berner .0 Ccs --pool Q PARTIAL BATE SCHEDULE :UMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 $ Future Fixture Opening ............ x $1.5.0 $ _.. Neter Fixture Old Opening.........: x $1.50 $_.__. Catch Basin .................... x $3.25 $ Water Heater `Up to 99.000 BTU).... x 83.00 $ New Ground Run Old Bldg. ........ x $•.25 $ El®ctric Water Heater, ....:........ a $2.00 $ AS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .................. x S2.00 $ . Additicnai Fixtures ............... x S .75 $ Gas Range to 199.000 BTU ........... ._.1;_..._ x 35.00 $ 5 - 00 City of Fridley: The undersigned hereby makes application for a permit for the- work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct' Fridley. Minn 12-31-75 19— Owner --kchael L, RittkSer Kind of Building Frame. Used as Residence To be completed about 1-7-76 Estimated Cost, $ 10.00 Old --l. Building Permit No. Permit NO._ Signed By ASCO _.. Business Phone No MINNEG ROUGH :PAIRS & ALTERATIONS—Refer to Codd .50 State Surcharge Description ...... ........... ............ TOTAL FEE $ 5.50 • Class ""A" Surcharge .50¢ . A CITY OF FRIDLEY Effective Date May 1, 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE .RESIDENTIAL RATE. TOTAL Job Address f �� ��)���'��✓-��� ���111J Furnace Shell and Duct Work, Burner (Also replacement furnace) $ 20.00 $ Gas Piping $ 10.00 $ (piping needed with new furnace) Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ * Air Conditioning (all sizes) $ 10.00 $ i® 0C.) All Others/Repairs and Alterations lit of Value of Appliance or Work $ Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 City of.Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn. e_3il OWNER Fi>?c ie_ KIND OF BUILDINGr COMMERCIAL/INDUSTRIAL USED AS li of Value of Appliance or Work $ TO BE COMPLETED ESTIMATED COST State Surcharge $ .50 _ OLD - NEW BUILDING PERMIT N0. PERMIT NO. f � 'DOTAL FEE Reinspection Fee ($15.00) S DESCRIPTION OF FURNACE/BURNER Rough Insp. Date HEATING or POWER PLANTS, Steam, Hot Water, � Air -_No. Final Insp. 1 U�r' ��'a� size No. (moi Trade Name Date Capacity Sq. Ft. EDR BTU,, 0- HP Approval for Permit Total Connected Load Kind of Fuel BURNER - Trade Name Size No. MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00- PLUS '75.00PLUS $.50 STATE SURCHARGE *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. Capacity Sq. Ft. EDR BTU HP Company &'' �' ' 'v�': !i° Gt/ is •{� c' !✓+/� Signed By Tel. No. y d� Fill out back side for stack verification on replacement furnaces I J 6 L()rc-t- ✓ha -I L I.vim' CHIM14EY AND STACK VERIFICATION The undersigned hereby. verifies that the existing chimney or stack; 1. Has been carefully examined Yes (,) 2. Is free from rust or deterioration Yes ( ) 3. Has no foreign objects lodged within Yes ( ) 4. Is securely supported Yes ( ) 5. Meets all current Code requirements for size and total BTU connected Yes ( ) 6. Has Total heating BTU's of All other BTU's TOTAL Rema rk s Company I. Signed By Da to No ( ) No ( ) No ( ) No ( ) No ( ) CHIM14EY 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 ( ,No ( ) 3. Has no foreign objects lodged within Yes No ( ) 4. Is securely supported yes A No � ) 5. Meets all current Code requirements for size and total BTU connected tee A No ( ) 6. Has Total heating BTU ' s of A11 other BTU's J TOTAL Remarks Signed By Da to A CITY OF FRIDLEY r Effective Date May 1. 19ii8 Y APPLICATION FOR POWER PLANTS AND,HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEviCES RATE SCHEDULE RESIDENTIAL RATE TOTAL Furnace Shell and Duct Work, Burner (Also. replacement furnace) $ 20.00 Gas Piping $ 10.00 $ (piping needed with new furnace) Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ ' Air Conditioning (all sizes) `w>,10. 00 $ !0 °( All others/Repairs and Alterations 1% of Value of Appliance or Work $ COI,MERCIAL/INDUSTRIAL 1t of Value of Appliance. or Work $ State surcharge TOTAL FEE Reinspection Fee ($15.00) Rough Insp. Date Final Insp. Date Approval for Permit MINIMUM FEE FOR ANY (HEATING PERMIT IS $15.00• PLUS $.50 STATE SURCHARGE *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor.._ $ .50 s Job Address�� Department of Buildings, 6471 University Ave. N.E., Fridley, MN 55432 City of Fridley Tel, #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. 1'ridley, Minn. 1 , 19 OWNER ! �.?� 4� '.-7 /J KIND OF BUILDING /i USED AS TO BE COMPLETED ABOUT {,Q�.i (> ESTIMATED COST OLD NE14 BUILDING PERMIT Nti. � PERMIT NO. DESCRV TION OF FURNACE/BURNER HEATING cx .4`%4 X PLA.HT,3, Steim; Hot Water, '7agre Air-. No. Trade Na Li � �i� � jr' Size No. Capacity Sq- Ft. RDR 8111 "5 4 t ' HP Total Connected toad Kind of Fuel G_ BURNER - Tirade Name Size No. Capacity __Sq. Ft. EOR BTU HP Company Signed By Tel. No. Fill out hack side for stack verification on replacement furnaces 0 SUBJECT PE City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. e PROTECTIVE INSPECTION SEC. ®/ % 1 i � CITY HALL FRIDLEY 55432 NUMBERREV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15% F154/19/83 JOB ADDRESS 6170 Sunrise Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 25 2 1 Sylvan Hills Addition SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Mike Rittenger 6170 Sunrise Drive N.E. 571-7946 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. L. R. Tabor & Sons 1800 Central Avenue N.E. 788-6665 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 0,ALTERATION ❑ REPAIR ❑ MOVE El x 8 DESCRIBE WORK Construct a 16' x 10' Addition to Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS Install products of combustion alarms in bedroom areas. WARNNIN SEPERATE PERMITS REQUIRED FOR WIRING.. digging call local 06" les Before -4EATING, PLUMBING RTA SIGNS. TELEPHONE - ELECTRIC - GAS Etc. REQUIRED BY LAIN TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame 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 'HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS 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 $7,750 $3.88 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DO RESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS F ANY OTHER STATE OR LOCAL LAW REGULATING CON- $68.50 NONE S R TI. N O THE PERF NCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE 4 ! $17.13 $89.51 SIGNATURE OF CONTRA r0 OR AUTHORIZED AGENT (DATE) 8 WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT !G BLDG )NSP D E SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI 0 It S 4 1 k rim t s/r M►'$ k QeAec- / � �tio fAlLfj 170 S u..P (se- 44. Ake. L' .4�v1. Q t ��eN�e✓' c^ �. Oou p t- A-t-000ol/ — S� `gkb' St wf�=Mlwm .wu Roor d vt5T5 E��'Y SPS V !! Pl. wd� a3o�frb�����sS JPoof,.�- 8 RgVets 16' O•e- PI[!_" -0r UAa.,1.Ted( ��rJ C�f�fNq co 0 F xy ST wAI-L 1.TC J 9.uo ry ,�poc. � Air r e r f M J y r 0 1 CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATION F014 RESIDENTIAL BUILDING PERMITS (Newo Alterations, Additions, or Repairs) -OWNER: MIXE7 r c-10-6 Z-- P-1' r 1E, -C7 --F-74- BUILDER: �, Q. ���� � �. �® ice, s ADDRESS: L- 17 O ADDRESS: / P 06 C;1E,cJ L A VF— )Ue TEL NO: 7 / — 79 �-�, TEL 110: 68 Construction Location • STRECT NO: & f % ® STREET: S Q A-) P— /S' E---- .® LOTS BLOCK% ADDITION: 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 Front: Depth: ® Height: Square Feet: e% Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: '� Z 1f.�a `��'`�' i(�� Type of Construction: A k�'A1 Ti ® FP -^I-1 jE7 Estimated Cost: S Tb Be mropleted: �7]- Lk AJZ`_ 1 , I A 3 Alt. A Alt. 8 Proposed Driveway Fidth If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET . Zile undersigned hereby makes application for a permit for the »ork herein specified, agreeing to do,all work In strict accordance with the City of Fridley Ordinances and rulings of the Delvirtment of Duildin nd hereby declares that all the facts and representations stated in this application a true and correct. tions: U s R BUILDING PERMIT FEE SCHEDULE The Inspector of buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any •xisting 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: TOTAL VALUATION FEES $1.00 to $S00.00 $20.00 Minimum Fee $1S.00 plus surcharge $501 to $2,000 $10.00 for the first $500 plus $1.50 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $32.50 for the first $2,000 plus $6.00 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $170.50 for the first $25,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $283.00 for the first $50,000 plus $3.00 for each additional $1,000 or fraction thereof, to and including $100, 000 $100,001 and up $443.00 for the first $100,000 plus $2.50 for each additional $1,000 or fraction thereof PLAN CHECK: 25 percent of building permit fee DRIVEWAY DEPRESSION ESCROW: Concrete Curb Streets Only Alternate "A*% Removal and replacement of curb and gutter only , Driveway width plus 6 feet x $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 x $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 been constructed will be required before proceeding with the framing. co -L0 dV �c,.au . a t '•- ,.� c�CP ob - +-� IMTOMMY— it (WIVE Tw 1+r � ijN � � !ii• i � OR! a O wp Z h�y Q . ro a ha 400 yJM 'ir40 aI IL S� Nd�. • SUNRISE;pw • `� C 4 • tl j P tv -lip I i t f N =STAR � - e � . `�o �. �-° g" .�� a:•,��� r _ N UNK� O �r • AOL- .o 00s 1MINNESOTA DEPARTMENT OF HEAL i WELL OR TI BURN 0CATIOON TH SealingN Wetf and Boring u 59168 9 1 vO k�s�J County Name WELL AND BORING SEALING RECORD Minnesota Unique No. f l Minnesota Statutes, Chapter 1031 or W -series No. ANOKA(Leave blank if not known) Tours Township No. RangeilNo. Section No. Fraction (sm. , Ig.) Date Sealed Approximate Date Well $" I a 3 2 1 SE;, SVA f. FEBRUARY - ? �: 4 or 1,rng Constructed 191iof S Numerical Street Address or Fire Number and City of Well or Boring Location 61"7--0 S U-411 mS DRIVE* Depth Before Sealing 53 ft. Original Depth � tt• Show exact location of well or boring Sketch map of well or boring Static Water Level JV Accurate in section grid with "X-. location, showing property lines. N roads, and buildings. ❑ Approximate _ W Screen from m to tt. Open Hole from to n. OBSTRUCTIOWDEBRISIMLL _ E Single Aquifer ❑ Multiaquifer 1 ft. below above land surface MIKE & CAROL RITTINGEERF I Mailing Address if different than property address indicated above. ^y170 ll''yy�g�::((�� pp DRIVE CASING TYPE Steel ❑ Plastic ❑ Tile ❑ Other Removed ❑ Not Present ❑ Other –1 CASING Diameter Depth Set in oversize hole? Annular space initially grouted? in. from to 5 2 ft. ❑ Yes ,1 No ❑ Yes ❑ No ❑ Unknown in. from to - ft. ❑ Yes ❑ No ❑ Yes ❑ No ❑ Unknown from to ft. ❑ Yes ❑ No ❑ Yes ❑ No ❑ Unknown GEOLOGICAL MATERIAL COLOR HARDNESS OF FORMATION r - Screen from m to tt. Open Hole from to n. OBSTRUCTIOWDEBRISIMLL ❑ Obstruction ❑ Debris ❑ Fill PROPERTY OWNER'S NAME MIKE & CAROL RITTINGEERF Type of debris/obstruction Obstruction/Debtis/Fill removed? ❑ Yes ❑ No Mailing Address if different than property address indicated above. ^y170 ll''yy�g�::((�� pp DRIVE PUMP Removed ❑ Not Present ❑ Other CASING Diameter Depth Set in oversize hole? Annular space initially grouted? in. from to 5 2 ft. ❑ Yes ,1 No ❑ Yes ❑ No ❑ Unknown in. from to - ft. ❑ Yes ❑ No ❑ Yes ❑ No ❑ Unknown from to ft. ❑ Yes ❑ No ❑ Yes ❑ No ❑ Unknown GEOLOGICAL MATERIAL COLOR HARDNESS OF FORMATION FROM TO If not known, indicate estimated formation log from nearby well or boring. C AS EED H0 -L E 0 64 GRAVEL/ STONE,: GRAY ra 4 1 �w d JORD YELL01 9 26!in. METHOD USED TO SEAL ANNULAR SPACE BETWEEN 2 CASINGS, OR CASING AND BORE HOLE: No Annular Space Exists ❑ Annular space grouted with tremie pipe ❑ Casing Perforation/Removal in. from to ft. in. from to ft. Type of ❑ Perforated ❑ Removed ❑ Perforated ❑ Removed perforator ❑ Other GROUTING MATERIAL Grouting.material PORTLAM 53 from to from to F ft. yards2 bags ft. yards bags REMARKS, SOURCE OF DATA, DIFFICULTIES IN SEALING GEOLOGY FROM: 6431 WIV. AVE.from LL to ft. yards bags WATkM LEVEL IN ABOVE WELL: 70 DATE WATER LEVELTAM. 11-21-61; from to ft. yards bags UNSEALED WELLS AND BORINGS — FEB2 j 5 y� Other unsealed well or boring on property? 11 Yes A No LICENSED OR REGISTERED CONTRACTOR CERTIFICATION ( �1) �• r l� This well or boring was sealed in accordance with Minnesota Rules, Chapter 4725. The information contained in this report is true to the best of my knowledge. E.H- AMM SONS, INC. 71015 Contracto7Bineas Name License or Registration No. ccordin toMN ato rn� ����a� Authorized Reprieserliptive Signature Date a� PP LOCAL COPY H 59168 Name of Person Seating Well or Boring , HE -01434-01 I SUBJECT P City of Fridley 33832l' AT THE TOP OF THE TWINS BUILDING PERMIT T NO. L. ` ______ COMMUNITY DEVELOPMENT DIV. 1. PROTECTIVE INSPECTION SEC. r NUMBER REV DATEPAGE OF APPROVED BY I 1 CITY HALL FRIDLEY 55432 763-571-3450 910-F15 8/27/03 JOB ADDRESS 6170 Sunrise Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 25 2 Sylvan Hills SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Burt Buchen 6170 Sunrise Drive NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Advanced Home Improvements 9 Central AveOsseo, 6 763-424-2974 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20017269 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS Of WORK O NEW [I ADDITION ❑ ALTERATION O REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK 81 Construct a TU x 14' Porch Addition 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. WARKIN" Before digging call f®r all utility locations 45.0002 REOUIRF-mv BY LAW 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 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 y 0 Q 01ZIZ $8.137 a $$/X0 $4.07 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE 8.14 PROVISIONS O ANY O ER STATE OR LOCAL LAW REGULATING CON- � § $167.25 Fire SC $ x TR CTI ONPLAN �ZF;ORA�NCEOFCO CHECK FEE TOTALFEE ice a SC $5.00 1 $7401$$, $0 $184.46 SRACTOR OR AUTHORIZED AGENT tDATE, HEN PROPERLY VALIDATED THIS IS YO R PERMIT BOG -NSP BATE SIGNATURE OF OWNER �a OWNER BU4DERi iDATE� I NEW [ ] CITY OF FRIDLEY Effective 1/1/2003 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ j SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION ' Construction Address: Legal Description: Owner Name & Address: �?V-c"6j Tel. # Contractor. em &-dMN LICENSE # 0-0®/ Address: �l �c�r� �? ��� ,fes//°/ _ X6'5 9 Tel. # 76�--�Z� jro Attach to this application, a Certificate of Survey of the` lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT 0 LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Wil Hgt/Ground- Sq. Ft. OTHER: Po"Construction Type: Po ( SE - Estimated Cost: $ 01 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE: 94 1 APPLICANT: 40ZL//dTel. # 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 Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL ''Qe Schedule on Reverse Side .OU1 of Permit Valuation (1/10th%) .0.50/$1,000 Valuation $1275 per SAC Unit _ 3.00 (State Licensed Residential Contractors) Alt. "A" or Alt. 'B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] BUILDING PERNM 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. k 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 08/28/2003.;,03:04 7634243530 ADVANCED HOME IMPROV PAGE 02 rr , Roar -car' Qlpo � , zxb• .. i 2�6 �3lo�r,L.:. �, •.. I ' » •! J Aq, �5 S�4 �v M//v (Ail I I � i t i I � � �. i i• t 1 4 I .} I� i ! i i• i • 8' from floor to --�—� header WALL SECTION GL30rrN Ise /J Gable end of house north side behind garage ,ir chute 04FA104 standard ceiling Asphalt shingles ��✓��� y�� 7116 Decbng M Aluminum facsia /���� 2x6 Facsia board 2-24 for top plate Aluminum soffit 5I8" Sheetrock 112" Sheetrock 7116 osb plywood r� 2x6 wall insulated to R-19 Vinyl siding-66/i�Tf�' 314 Tongue and groove osb glued Rim board ®5400 O ;M/Oft 9 112" I joists 16" 0. C. Crawl space yJ ,act' L�aW�f� I� 22'-6 318° O a 3a 14' -Oa �� 8'-6 3180 42'-4 318" ■r. 08/21/2003 01:19 7634243530 ADVANCED HOME IMPROV PAGE 06 Permit Number REScheck Compliance Certificate Checked ByADate 2000 .Minnesota Energy Code REScheckSoliware Vasioo 3.5 Release Id Data filename: Q\Program Files\ChWk\RBScheck\Buchenack PROJECT TITLE: Ruchen COUNTY. Hennepin STATE: Minnesota ZONE: 2 CONS'T'RUCTION TYPE: Single Family AAT B: 08/21/03 DATE OF PLANS: 21 -Aug -03 PROJECT DESCRIPTION: Bart Buc hen 6170 Sunrise Drive Fridley, MN DESIGNEWCONTRACTOR. Advanced Nome Improvements 9 Central Ave. . Osseo, ,NTN 55369 COMPLIANCE: Passes Maximum UA - 32 Your Home UA - 30 6.20/6 Better Than Code (UA) Gross Glazing + Area or Cavity Cont. or Door Perimeter R -Value R ValueU—Facxor UJA Ceiling l: Flat Ceiling or Scissor Truss 112 38.0 0.0 3 W911 1: Wood Frame, 16" o.c.. 64 19.0 0.0 3 Window 1: Above-Grade:Vinyl FrameMouble Pane with Low E 20 0.290 6 Wall 2: Wood Frame, 16" o.e. 112 19.0 0.0 5 Window 2: Above.Gtade:Vinyl Frame:Double Pane with Low E 10 0.290 3 Door 2: Solid Wall 3: Wood Frame, 16" o.e. 20 64 0.080 2 13.0 0.0 Crawl 1: Masonry Block with Empty Cells 45 5 0.0 13.0 3 Walt heigbt: 5.0' Depth below grade: 3.6' Insulation depths: 4.0' )P'roopmed and Maximum U yactor Averages Proposed Maximum Average U Factor Allowed U Fagot .OW 08/21/2003 01:19 7634243530 r,Abov&O-Ade windows and Glass Doors Includes F'oundadon Wmdows> 5.6 02 ADVANCED HOME IMPROV 0.290 0.370 PAGE 07 CONJPI "CE STAT'E1V1 W: Time proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the 2000 Nlin�esgq Energy Code requirements In RESch¢cWersdon 3.5 Release I d (fb merly MCchw4 and to comply with the mandatory requirements listed in the RESchecklnspecdon Checklist. Builder/Designer Date N From: 6129224498 Pa e: 111 Date: 917/200610:26:03 AM Date __47 v RF-: Permit Refund To Wixom It May Concern: o► ROOFING AND Excellence Abovo and Beyond 4104 Excelsior Blvd. St. Louis Park, NAN 55416 I I am requesting a refund on the permit for the following job address: , A permit was mistakenly applied and paid for, ,e f ax } Please send the refund check to: Sets Roofing &Remodeling, Inc., 4100 Excelsior i�oulevsrd, St. Louts Park, MIV 55416. Thank you for your prompt attention to this matter, Respectfully, Permit Manager Sela RLH) inR alfa ReM.Od ing.Inc.--_ .} -- a T-�•..�. •..-�- :—•---='-��rp4 L+I�Ccl�tr,1r131�,St:Luuia t?icclt.t�tiV 5i-t1h ti l}t_��'.;.tl�ib i tlpls.j 1751�>3-53b �. tSt.l'tuq (71-1421-10-8 FAX) 1%i.+l[ us at wwwscjusc t iccs.com Sratc of Minprzom S.icvpse fD =000 0110 CITY OF FRIDLEY PERMIT NO.: 2005-02789 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 11/08/2005 - (763) 572-36U4 1+'AX: (763) 571-1287 APPLICANT SELA ROOFING & REMODELING INC (1050 4100 EXCELSIOR BLVD ST LOUIS PARK, MN 554164727 (612) 823-8046 BC 1050 OWNER MINOGUE MICHAEL ROBERT 6170 SUNRISE DR 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 construction or the performance of construction. Applicant Date Bldg Insp Date BUILDING PERMIT FEE 69.25 FIRE SURCHARGE 1.97 STATE SURCHARGE, VALUE 0.98 LICENSE SURCHARGE 5.00 TOTAL 77.20 PAID WITH CHECK # CC SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. REPRINTED ON 9/7/2006 ADDRESS : 6170 SUNRISE DR NE PIN : 143024330040 LEGAL DESC : SYLVAN HILLS : LOT 25 BLOCK 2 PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ROOFING VALUATION : $ 1,965.00 NOTE: UNDERLAYMENT AS PER STATE BUILDING CODE. REROOF HOUSE (16 SQ) TEAR -OFF STATE LICENSED CONTRACTOR 1 APPLICANT SELA ROOFING & REMODELING INC (1050 4100 EXCELSIOR BLVD ST LOUIS PARK, MN 554164727 (612) 823-8046 BC 1050 OWNER MINOGUE MICHAEL ROBERT 6170 SUNRISE DR 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 construction or the performance of construction. Applicant Date Bldg Insp Date BUILDING PERMIT FEE 69.25 FIRE SURCHARGE 1.97 STATE SURCHARGE, VALUE 0.98 LICENSE SURCHARGE 5.00 TOTAL 77.20 PAID WITH CHECK # CC SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. NOV. 6.2005 9*- lik1 SELR ROOFING SRLES NO.456 P.1/2 NEW CITY OF FRIDLEY Effective 11112004 6-,v1 Ur,ime+sily Hv� NE, Fridley, MN 55432 (763) 572.3604 Bldg t SINGLE FAMILY AND DUPLEXES R-4 AND R-2 (763) 571-1287 Fax N a BUILDING PERMIT APPLICATIOid unstloction Address:Or . Legal Desc iptiori: Ouvner hal ne & A001 Qss: 1J o k Tel. I f - 7 f 3 - 7 Contractor: MN LICENSE # Address: Tilk fA0 FiNO S I EFla QDr-t= Tel 4) 6'12 ; 'yo I ILL EX01t-1,SIuFH I8LVD. ST��I'�L411 �s�,�pli tlit�l� a Gerlificate of Survey of the EI 1=t1UFING & REtvR BLV 'e(��v 0440f-060sed construction drawn on it to scale. =i y U0 EXCELSIOR 6LV� ' ST. LOUIS PARK, r 55Rii6 IG 50 DESCRIPTION OF IMPROVEMENT t� LIVING ANCA: Ler,9tl, _ Width Height Sq. Ft. C-AI� GF- AREA' I_enot;', � Width Height Sq. Ft, DECK AREA: Length Width Hgt/Ground Sq. Ft. 1 11IIIL_R: i;:onstrLIQ tiun Ty@e:�'• � ��� � � T,0 L7­t•r'vwPEs1i»iaied Cost: $ DrivE-Way Curb Cut Width heeded: Ft..r 6 Ft = FIX DATE:' t`)APPLICANT:z. E�'�'7 /' \ Tel. # j < Z 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. Pen -nit Fee Fire ,Surcharge $tate Surcharge s.� c a(ye l.;i.l�u lsul E��I�:d Erosion Control •i' CITY USE ONLY - Fee Schedule on Reverse Side .401 of Permit Valuation (1/1 Oth%) $,50/$1,000 Valuation $1350 per SAC Unit $5.00 (elate Licensed Residential Contractors) Alt, ",4%" or All, "B" Above $450.00 Conservation Plan Review - - -�.- I-efz-� lietelrriined by Engineeririg d •;.ILLI 11ej 1t f lel: essar y Not. tAecesgary [ ) TOTAL_ -$ // 9";)-o STIR IATiO�dS: