Loading...
PRE 2010 DOCSCity of Fridley, Mian.. BUILDING PERMIT Builder Address _ LO. N F BUILDING No. #�- Street__ " part Lot — Lot_� Block_ Addition or Sub -Dl Comer Lot _ Inside Lot �tbackSideyard — Sewer Elevation ____ Fo dation Elevation DESCRIPTION OF BUILDING T awl 4 A Front Depth V&Zme Height /40 rr Sq. Ft. Cu. Ft. 3AW t Depth Height Sq. Ft. Cu. Ft. /► �� . Type of Constructi _ _ Est. Cost _./ "4' 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 m compliance with all provisions of grdinanoPs of the city of Fridley. ot 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 anyon violation of any of the provisions of said ordinances. ' ,t Building Inspector NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, gas heating, sewer or water. Be sure to as the Building Inspector for separate permits for these items. h '• v ""d • 4 .a APPLICATION FOR BUILDING iMgM[T CITY OF FRIDLEY, MINNESOTA Owner's Name Builder Address Address /n1 LOCATION OF BUILDING No. Street�� /�i Part Lot,J* Block Addition or Subdivis Corner Lot Inside Lot ./Buck SEWER ELEVATION of Lot WkA Side -Yard & / ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To a used as: Front Depth:Z ;I�Height /to Sq. Ft. .. Cu. Ft.�3, Front Depth Height Sq. Ft. Cu. Ft. !® Type of Construction _ c Estimated Cost�ItL 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 all 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). AppBeation for Poser Plants and Heating, Cooling, den"Won. Re%igerotion and Air Conditioning S"ems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ..... .. $10.00 $ Replacement of Furnace ..... ... _ . 6.00 OL— Repairs & Alterations --up to $500.00 6.00 $ Repairs & Alterations each add. $500.00 8.00 IL-- _ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU .. .. $10.00 $L_ each add 60,000 BTU .................... .. 3.00 i Replacement of Furnace 6.00 $ Repairs & Alterations—up to $500.00 6.00 $ Repairs & Alterations each add. $500.00 &00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam $10.00 $. _ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water 10.00 $_ Each add. 200 sq. ft. EDR Steam un Each add. 320 sq. ft. EDR Hot Water 3,00 $-- OIL BURNER—to 3 gal. per hour 6.00 $ — over 3 gal. per hour ---See Fee Schedule GAS BURNER (up to 199,000 BTU) ..... 6.00 $ over 199,000 BTU See Fee Schedule GAS FITTING FEES. NO RATE TOTAL 1st 3 Fixtures —x$2.00 $ Additional Fixtures a .75 $ e to 199,000 a$ 5.00 $ �CONDMOG FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $ /A , S D ROUGH ILI (SURCHARGE $_.50) Dept. of Bldgs. Phone 880-3480 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. 11\^ Fridley, Minn Z -1-2-S— 19 1-?-- Kind Z Owner Kind of Building Used as To be completed about 8% Estimated Cost, Old—New. Building Permit No. Permit No. -sill DESCRIPTION OF WORK '�.rs--steam, Hot Water, Warm Air—No Trade Nam � Size Ne_ /� Capacity Sq. Ft. E.D.R BTU H.P. Total Connected Load� Fuel BURNER — Trade Name Size No Capaci Sq. FL E.D.R BTU )EEg (REMARKS -OYER) SUBJECT R M City of Fridley 19499 AT THE TOP OF THE TWINS BUILDING PERMIT _ � RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. r i PROTECTIVE INSPECTION SEC. 1 =� /"'S • CITY HALL FRIDLEY 55432 NUMBER REV. DATE OF APPROVED BY 612-571-3450 910-F15 5/31/88 t___;PGE / JOB ADDRESS 6070 - 5th Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1-A 2 3 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dale Baldwin 6070 - 5th Street N.E. 571-6147 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 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 & Reside House 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be 2nd layer but not 3rd. Install ridged galvanized valleys. On all new roofs or tear -offs and replacement roofs, State Code requires that 2 layers of 15 Ib. felt, mopped together, be installed to a point 24 inches up from exterior wall line, or the use of other approved underlayment membrane. 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 1,000 $.50 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 PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $25.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $25.50 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPERLY LI DATED THIS IS YOUR PERMIT c , BLDG WSP 43 �A)F ' SIGNATURE OF OWNER OF OWNER BUILDER) (DATE) NEW I ] ADDN [ ALTER [ ODnstruction Addri Legal Description City of Fridley R-1 AMID R-2 Building Permit Application Effective 5/1/88 Owner Name & Address: Tel. #--671 J�Z Address: Attach to this application, a Certificate of Survey of the lot, with the proposoed construction drawn on it to scale. 1 * 1 •' •AS I y I, Z�8,tj J ID1 OR LIVING AREA: Length Width Height sq. Ft. t iffia ARFA: Length Width Height Sg. Ft. ' DBCx ARFA: Length Width Ground Sg. Ft. ODrner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Oonstruction: Estimated Cost: Approx. Completion Date: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ Width + 6' See Back Page DATE: �' - r ;� �' ADPL ICS :sC%r�.iri _�� ��!%. �, = Tel. - 6 (5/ 7 Plermit Fee State Surcharge SAC Charge Driveway Escrow Park Flee Sewer Main Charge TOTAL 3PIPUL"ION: CITY USE CALY Flee Schedule on Reverse Side $ -Sb $.50/$1,000 Valuation $ $550 per SAC Unit $ Alt. 'A' or Alt. 'B" Above $ Fee Determined by Engineering s eenent Nece [ ] Not Meow r ] 1119. _?� Agr ssary nary CITY OF FRIDLEY INSPECTION DIV. _S 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On January 1, 1993 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 1� R MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR $ 4A0 Beer Dispenser Ur i I nal Blow Off Basin Sower h Catch Basin Wash Tra Dain r ..... l > `' asii ' Washer `l''< , . e G s a er Heat r e R an a Gas EI c i* .. <`> i> t . Stories se Ba ment $10.00 Water Heater —Electric $ 7.00 Water Heater — Gas $10.00 Gas Range $10.00 Gas Dryer $10.00 Floor 0 1 Type •$5.00 Floor2 Floor 3 Floor 4 PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 7.00 Old Opening, New Fixture $ 4A0 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Water Heater —Electric $ 7.00 Water Heater — Gas $10.00 Gas Range $10.00 Gas Dryer $10.00 Back Flow Preventer Required ( )Yes () No Type •$5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance alb'-od State Surcharge $ .50 TOTAL FEE $ JOB ADDRESS i:;o'! 0 5�='` sr &! E, The undersigned hereby makes application for a permit forthe work herein specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. llc_ • , 1996► Owner Af}t_ E fSRL' Pk) S J !�r_7 / " (c, 7 Building Used As Estimated Cost '115.0 PERMIT NO. S PLUMBING COMPANY QL&A-/-,T y PL%4 J 6 Z'-jc. SIGNED BY 1`1f 2. TEL N0. 571— 0 L S- 4 Approved Byll X, Rough—In Date Final Date PLUS THE $.50 STATE SURCHARGE suaJEcr MIT NO. City of Fridley 24233 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. • ______ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC 1 � NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 �'' 612-571-3450 910415 6/3/96 JOB ADDRESS 6070 5 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 112 3 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dale/Monica Baldwin 6070 5 Street NE 571-6147 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Northwest Exteriors 4530 Excelsior Blvd, St Louis Park MN 55416 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 926-8663 2577 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside house & garage 9 CHANGEOFUSEFROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED @@ $3.20 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $6,400 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- OF CONSTRUCTION $124.75 Fire SC $6.40 STRUCTION OR THE PERFORMANCE PLAN CHECK FEE TOTALFEE .41 i�f -�z 224 License SC $5.00 $139.35 -SIGNATUREOFCONTRACTORORAUTHORIZEDAGENT IDATEI WHEN PAOPERL BLDOF ALIDATED THIS IS UR PERMIT DA TE SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI i`rwil ADDN [ l CITY OF FRIDLEY ALTER 19C SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: Legal Description: Owner Name & Address: Contractor: Address: c Effective 3/1/96 MN LICENSE # 7 'Arel. # s'-'/iG Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF E%IPROVEMENT LIVING AREA: Length 3 S- Width 4 Height � Sq. Ft. GARAGE AREA: Length --.2,�- Width Height �_ Sq. Ft. U c� DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: n ��� — -le-, , /)":. Corner Lot [ ] Inside Lot L] Ft. Yd Setback Side Yard Setbacks Type of Construction: �g� Estimated Cost: $ e� zQ �s Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: -3 APPLICANT: A-) Tel. # CITY USE ONLY Permit Fee $ 4%•'%S Fee Schedule on Reverse Side Fire Surcharge $ - % G' .001 of Permit Valuation (1 / 10th %) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $900 per SAC Unit License Surcharge $ CO $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 $ 3 J �� STIPULATIONS: r � ` CITY OF FRIDLEY INSPECTION DIV, + Effective On March 1, 1996 6431 University Ave NE _ Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES W JOB ADDRESS (e Cn )0�- RATE SCHEDULE: The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner - rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30,00 $CI_ GAO representations stated in this application are true and correct, (Side Vent - Fill Out Back) � �. �/, 1996 Gas Piping (Needed with new furnace) $ 10,00 $� All Gas Range $ 10.00 Gas Dryer $ 10,00 *Air Conditioning - All Sizes $ 25,00 All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1,25% of Value of Appliance or Work State Surcharge TOTAL FEE $ .50 $.c�z� MINIMUM FEE FOR ANY FiEtiTING/CnOL16VGLVENTILATI(�N REFRIGERATION/AIR COPIDITIONIING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42,00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner, OWNER / `IQN p C/t 4�24 l/ �J %l - ( Y-7 BUILDING USED AS ESTIMATED COST _ / (0 06 �-'� PERMIT NO. S QESCRIPTION OF FURNACE AND OR BURNER No, of Heating Units / Circle One (Steam) (Hot Water)g(War;mA1 Trade Name� y �,�- Size No, A,*d - STU_ HP EDR Fuel Total Connected Load Burner Trade Name BTU HP Size No. EDR' , HEATING COMPANY %�����, J Signed,'�� C) 94J -,J --_Tel No. d'-Y� Approved By — Rough -In Date Final Date acx�� . �) FILL OUT BACK SIDEOR STACK VERIFICATION ON REPLACEMENT FUR ACE CEMEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes �-rNo ( ) 2. Is free from rust or deterioration Yes (,r-YNo ( ) 3. Has no foreign objects lodged within Yes (-)"No ( ) 4. Is securely supported Yes (�No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes 6 Has total heating BTU's of2�, vv� All other BTU's j TOTAL BTU's J JJ 7. Has a liner been provided for water heater Yes () No ( ) 8. Has combustion air been provided for water heater, Yes (-)-'-No (" ) Remarks: List ALTERATIONS Being Done: A -C—%-- HEATING CO: Lam-/�,�, Signed By: ��3, 1zDate:5; � � I ✓- !fA—, ,CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1997 6431 University Ave NE 0 Fridley, MN 55432. APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS ? y S •✓- �: RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner - rulings of the Building Division, and hereby declares that all the facts and Also Replacement. Furnace $ 30.00 $ representations stated in this applicatio rue and correct. (Side Vent - Fill Out Back) Lt /L: ,1997 Gas Piping (Needed with new furnace) $10.00 $ OWNER® N c.w �;� +o l taa :, S 7 I N 7 Gas Range $10.00 $ BUILDING USED AS— Gas Dryer $10.00 $ ESTIMATED COST PERMIT NO. o ` *Air Conditioning- - All Sizes $ 25.00 $ s DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (UST ON BACK) Units 1 % of Value of Appliance or Work $ No. of b Circle One (Steam) (Hot Water) (Warm Air) Trade Name:a- -W Ag -w. Size No.,A Commercial/industrial BTU HP EDR 1.25% of Value of Appliance or Work $ Fuel Total Connected Load State Surcharge $.50 Burner Trade Name Size No. $f BTU HP EDR . TOTAL FEE HEATING COMPANY Lq MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 Signed PLUS THE $.50 STATE SURCHARGE Tel No. � Z- '0 d'Y__� REINSPECTION FEE $42.00/Hr Approved ByRough-In Date Final Date *Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE F R STACK VERIFICATION ON written permission from adjoining property owner. REPLACEMENT FUnn ACE ,y j �-- List ALTERATIONS Being Done: HEATING CO: Signed By: Date: CEnREWY AND STACK VERIFICATION The undersigned hereby verifies that the .existing chimney or stack: 1. Has been carefully examined Yes O No ( ) 2. 9 Is fine from rust'or deterioration - Yes O No ( ) 3. Has no foreign objects lodged within Yes ( ) No ( ) 4. Is securely supported Yes ( ) No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes () No ( ) 6 Has total heating BTU's of List ALTERATIONS Being Done: HEATING CO: Signed By: Date: CIlYOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (612) 571-3450 - FAX (612) 571-1287 December 30, 1998 Dale Baldwin 6070 5th Street NE Fridley, MN 55432 Re: Construction Without Obtaining a Building Permit (Reroof/Reside at 6070 5th Street NE) Dear Mr. Baldwin: According to Section 106.1 of the 1994 Uniform Building Code as adopted by the City of Fridley, no building or structure regulated by this Code shall be erected, constructed, enlarged, altered, ,repaired, moved, improved, removed, converted, or demolished unless a separate permit for each building or structure has first been obtained from the Building Official. You have been notified of your need to obtain a building permit and have failed to comply as of today's date. As a result, a special investigation fee will now be added to the permit, equal to the permit fee. The City of Fridley will give you 30 days in which to comply before turning this matter over to the City Attorney for his legal consideration. Please contact me at 572-3603 if you have any questions on this matter. Sincerely, OYRY RIESCH Building Inspector BR/bk 01 SUBJECT PER City of Fridley 2 8 877` AT THE TOP OF THE TWINS BUILDING PERMIT r i COMMUNITY DEVELOPMENT DIV. V------ PROTECTIVE INSPECTION SEC z/6 r L E , NUMBER REV DATE PAGE OF APPROVED By _ E S CITY HALL FRIDLEY 55432 ' 612-571-3450 910-F15 1/29/99 JOB ADDRESS 6070 5 Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 1 , pt 2 3 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Dale/Monica Baldwin 6070 5 Street NE 571-6147 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Northwest Exteriors 6500 Walker St, St Louis Park, MN 55426 926-8663 2577 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 B DESCRIBE WORK Reroof House (18 Sq) Tear -off; Partial reside 9 CHANGEOFUSEFROM TO STIPULATIONS Ice and water must meet the state building code. Verify underlayment when final inspection called for in spring. 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 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 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $3,432 $1.72 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 PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON. $87.25 Fire SC $3.43 TRUCTION OR THE PEPWORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE License SC $5.00 $97.40 SI NATUA CON•AACTOR AUTHORIZED AGENT IDAiEI WHEN/PROPERLY LIOAT D THIS IS YOUR PERMIT 14, BLOt INSP ATE SIGNATURE OF OWNEROF OWNER SUILOERi 'DATE) 01 NEW [ J Effective 1/1/99 ADDN [ J CITY OF FRIDLEY ALTER [�Q, SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: �p C/) 19 5 / xf CF Legal Description: Owner Name & Address: GJ � A) A�lch"el. # E2L— Z Contractor: MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF LMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length ' OTHER: �% a �� - Width 1 . � Hgt/Ground ��ji� Sq. Ft. IL i Construction Type: E—st'unated Cost: $ (Fee Schedule on Back Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: Tel. # STIPULATIONS: CITY USE ONLY Permit Fee $ 67,-2 - Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1050 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 [ ] TOTAL o STIPULATIONS: SuBjECT ERMIT NO. City of Fridley 3125 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. • _ COMMUNITY DEVELOPMENT DIV. �JO PROTECTIVE INSPECTION SEC. (//d j/ � CITY HALL FRIDLEY 55432 NUMBER REV OAT' PAGE OF APPROVED BY L 612-571-3450 910-F15 7/27/00 JOB ADDRESS 6070 5th St NE 1 LEGAL LOT NO.BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1&2 (Ni) 3 Hyde Park SHEET 2 PEipPERTY OWNER MAIL ADDRESS ZIP PHONE RiF Baldwin 6070 Sth St NE 763-571-6147 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE N0. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW OX ADDITION O ALTERATION O REPAIR O MOVE O REMOVE 8 DES RIBE WORK 14t x 61 Cedar Deck 9 CHANGE OF USE FROM TO STIPULATIONS For stipulations, see attached plan. SEPARATE PERMITS ARE REOUIREO 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 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 789.60 $.50 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 PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- Fire SC $.79 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $32.65 PLAN CHECK F TOT FEE 33.94 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT iDATE, E PROPE BLM NSP Y ALIDA ED THIS I = I rjATE I/ ) S�GNATUAE OF OWNER,IF OWNER BUILDERi SOA TES NEW [ ] Effective 1/1/2000 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �Q5Ia4iA J44 Construction Address: D 7U ✓s" �`Y/ c� G2 2' 9e3 -z - Legal Description: Owner Name & Address: 6070 -s '10';V i-� Tel. # ZG 3 -57/ -6 Contractor: MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground /,,7- " Sq. Ft. OTHER: Construction Type: Estimated Cost: $ 7P6eQ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ —=$ DATE: APPLICANT: Tel. # %� 3 7 CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ 2 " Fee Schedule on Reverse Side Fire Surcharge $ 79 .001 of Permit Valuation (1/10th%) State Surcharge $.50/$1,000 Valuation SAC Charge $_$1 100 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 [ ] TOTAL $ 33. 99 STIPULATIONS: K ` IL ERROR