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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N® 4 5 9 5 Date. .. _._ _...... _ _.__....._............._. _ _.......__ i �°' Owner: - '.. _.... „ k `- .. Budder -'r ��' - �_i.. � � �.� 45 ........ + . tea'~-` __• � .._.. Address _. ... ? � [.�._..�.L.:..__..._..�....=..���•---�-�:-��•�•-.�'•',,�.�-,� Address...�W.�...�..-zr..•-_._...�.._...�-�''r. ._. ...�v;-�-*�•-•.;�` I rMF B-,ILDING No.P. ..,: Street ._ .,.._....... '_...----..... Part of Loi .._.... _- z._ .._._...._.._. _............._.... r , Lot . .._ ...--....... Block ----- -------- ............... _....... .... -- . Addition or Sub-Divoop ... Corner Lot ....................... .... Inside Lot .....__..... � '� "" ...... Setback ..,,t G _ ? ' �-' "Siddyard . -- ....: ..--..-----.. ......._........... SewerElevation....._............._.....---•-••---..........__.................................-••_...._........ Foundation Elevation .................... .............. .............. ............................. _................. DESCRIPTION OF BUILDING To be ised as: dk Afy Front r - ._.. Depth .. -" Height ....... Sq. FtJOA.�.._.. Cu. ...................................... ......:...................t Depth .............. Sq. Ft. ..... - .......... :...... Cu. Ft......................... 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. �......._...._..... In consideration of the payment of a fee of $..",* :.. ............. permit is hereby granted _...__._._._......... _._................................. to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time-zpon violation .of -:any of theprovisions of said ordinances. *` <' �.; Inspector NOTICE: This permit does not cover the Construction, installation for wiring, plumbing, gas heating, sewer or wafer. Be sure to see the Building Inspector for separate permits for these items. 4 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY$ MINNESOTA MUfp- WIM LOCATION OF BUILDING No. (Q D yb Street_ 2 "Fart of Lot Lot 14 Block Addition or Sub.Div, Corner Lot Inside Loth t Back Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used ass /! Front ✓ �� Depth � � Height Sq. Ft. Cu. Ft. Sq. Ft. Front Depth Height Cu. Ft. Type of Construction `�� Estimated. Cost ! • . To be completed a-,5 a- P 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 representa- tions stated in this application are true and correct. DATE C�� 1 _ SIGNATURE (A Schedule of Fee costs can be found on the Reverse Side.) ' / � � s �,�,�. ... , ,,, RNII M a k Ca C) z uj C: 0 RNII M a k Ca V -n C: 0 21 -n -n 0 o o o W 0 iIQ z m SUBJECT P City of Fridley 2 7 0 5 8 AT THE TOP OF THE TWINS BUILDING PERMIT `-REDSWrNO. _ COMMUNITY DEVELOPMENT DIV. l e ; PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 ti,`, ---- 11.� 612-571-3450 910-F15 j 8/7/98 f' JOB ADDRESS 6040 2nd St 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. p Yt3-1 8 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ben Fredrick 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Richard Hastings 6331 Riverview a 574-9966 4051 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION )M REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (14 Sq)_.Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 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 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 $1167 $.58 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING `CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $40.25 j Fire SC, $1.18 PLAN CHECK FEE TO TA EE ? fe Lice C 5. $ .O1 SIGNATURE OF CONTRACTOR OR AUbkORIZED AGENT DATE) '00�TNATEHISPIS Y PERM( DATE S.GNATURE OF OWNER OF OWNER BUILDER( (DATEI.BLQ6 NEW [ ] Effective 1/1/98 ADDN [ J CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: o Vo Legal Description: Owner Name & Address: F)v Tel. # Contractor: �( c% N iz O , %�° �l6`S MN LICENSE # z ® 5 Address: 6 33i �� o_ i�� - Tel. # ? t(- 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: / 5:e - Construction Type: T A k FF- 4- RF k c o F Estimated Cost: (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 1-7 d APPLICANT: Tel. # 5 7 1� -1 P9�c- TOTAL IP • CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ $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 [ 1 TOTAL IP • CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-3604 YAX: (763)571-122 7 ADDRESS 6040 2ND ST NE PIN 233024220052 LEGAL DESC UNAVAILABLE LOT BLOCK PERMIT TYPE : BUILDING PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE RESIDING PERMIT NO.: 2004-00731 DATE ISSUED: 05/18/2004 VALUATION : $ 7,100.00 NOTE: PER R703,2000 INTERNATIONAL RESIDENTIAL CODE, REQUIRES THAT A WEATHER RESISTIVE BARRIER BE PLACED OVER EXTERIOR SHEATHING TO PROTECT THE INTERIOR WALL COVERING. EXCEPTIONS FOR THIS PROVISION WOULD BE IF SHEATHING IS AN APPROVED WEATHERPROOF PANEL OR WHEN THE SIDING IS AN APPROVED WEATHER BARRIER. VINYL SIDING IS NOT A WEATHERPROOF COVERING UNLESS THE MANUFACTURER STATES THIS IN THEIR APPLICATION GUIDELINES. CALL FOR INSPECTION OF WRAP BEFORE COVERING OR TAKE PICTURES. RESIDE HOUSE & HOUSE; SOFFIT & FASCIA. STATE LICENSED CONTRACTOR 1 APPLICANT NETKO DAN EXTERIORS INC (20060494) 1305 104 LANE NE BLAINE, MN 55434-3616 (763)784-0227 OWNER PROVOST TANYA M 6040 2ND ST NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 day§ 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 wort 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 regulati,n-1_ c�ons/'tion or a performance of construction. Annli2t 1 ��� 1-%�J /1 Date /t -P1 Bldg Insp BUILDING PERMIT FEE FIRE SURCHARGE STATE SURCHARGE, VALUE LICENSE SURCHARGE TOTAL Ji;rA1V11 J✓ rrtUVH JL 3 r'r'yU1r"n1j rum w urm kj i rmm r r1A1V 1JLSJl.1C11SE1J HD V V �. 153.25 7.10 3.55 5.00 168.90 "7�� NEW [ J CITY OF FRIDLEY Effective 1/12002 ADDN (J 6431 University Ave NE, Fridley, MN 55432 (763) 5724604 Bldg Insp ALTER ( SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION " l 3 Construction Address: _ �o 04 Y4 Sl'- A) C -- Legal Description: Owner Name & Address: l aG 23Q k d y -o -Vo 6 f Tel. # Contractor. 'b &411. 0 EA2 Eulw ors MN LICENSE # A D 0 041 L( Address: 13 05— jigijh Ly, fi)j5 -0%41,09, YnV YS-�Tel. # %L,2-7 ism—f 2-a• Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LMNG AREA: Length Width . Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft DECK AREA: Length Width Hgt/Ground Sq. Ft OTHER: -zKk4 Construction Type: -rt"- d +'r S` S Estimated Cost: $ -7 / lam% ® e17 Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ =$ DATE: 5 I T'Q Lf APPLICANT: b A Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge $ /5J7 - -'? $ 6 $ CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by•Engineering Agreement Necessary [ ] Not Necessary [ ] TOTAL $ I � o � STIPULATIONS: rrom: silty of rndley To: 6124362300 Page: 416 Date: 5!512009 2:57:35 PM Building MECHANICAL Permit No.: ` - 1a Inspections RESIDENTIAL APPLICATION Re. B�� 763-572-3604 Date ec'd: 4" 763-502-497 F CITY OF FRIDLEY EFFECTIVE 2-IM9 DAT); 45 L YOUI E-MA1 ESS SITE ADDRESS MFG: �Y�. MODEL: SZ� THIS APPLICANT 1S: 1:03 OWN ER CONTRACTOR MFG: MODEL: G� PROPERTY NAME: _FIREPLACE (GAS) $15.00 RANGE(OVEN $10.00 _AIR TO AIR EXCHANGEER $15 ADDRESS:,- ST LIP�4 TENANT FURNACE $35.00 PHONE: _CHIMNEY LINER$10.00 CONTRACTOR COMPANY NAME: Standard Heating & Air Conditioning SUBMIT A COPY OF CONTACT PETiSCSN: 130 Plymo venue No YOUR STATE STATE LICENSE # N 55408-2909XP DATEin , MN 55411-3445 �6r� LICENSE WITH ADDRESS: 6 -82 656 612 CITY STATE GIP APPLICATION PHONE FAX PERMIT TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: 0 NEW AREPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK /ice ct FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIX'T'URES: (INDICATE TOTAL NUMBER OF EACH BELOW) Equipment Installed MFG:�s",,.,� MODEL: SIZE/BTU MFG: �Y�. MODEL: SZ� SIZEiBTU X\A/C $25.00 MFG: MODEL: G� SIZE/BTU _FIREPLACE (GAS) $15.00 RANGE(OVEN $10.00 _AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 _GAS GAS GRILL $10.00 _BOILER $35.00 FURNACE $35.00 _NEW UNIT HTR $10.00 _CHIMNEY LINER$10.00 GAS DRY ER$10.00 _GAS _GAS HEATER $35.00 _DUCT WORK $10.00 PIPING $10.00 _POOL VENTILATOR $15.00 THIS 1S AN APPLICATION FORA PERMIT -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 City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an ap ' tion for a pe work is not to start without a permit; that the work will be in actor ante with the approved plan in the cas f all o hich . uires view and approval of pi t SIGNATURE OF APPLICA T AME TE l t City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977