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PRE 2010 DOCSCity of Fridley SUBJECT 2 3 8 AT THE TOP OF THE TWINS BUILDING PERMIT I + RECEIPT NO. _ COMMUNITY DEVELOPMENT DIV. 1r PROTECTIVE INSPECTION SEC. �41 ' 1 CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910415 8/25/98 JOB ADDRESS HIM fi fitm>al 1E 5793 6th Street NE 1 LEGAL LOT N0. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6,7 32 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Rod Tauer 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Rod's Construction Inc 11136 Woodhill In. Blaine MN 55449 7RA-8490 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK JJ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 26' x 44' Dwelling and a 28'8" x 2214" Garage 9 CHANGE OF USE FROM TO STIPULATIONS See notations onlan. Provide Cit with P y copy of verifying survey before capping. Provide sod in the front and side yards. Provide a hard surface driveway, WATER LOCATION: See City Engineering Dept. SEWER LOCATION: See City Engineering Dept. WARNING BONN digging Call for all iltllity loC8ti"s MOW :. A1ATE tA�lRS. REQUIRES `FfG"R . &YURE' D BY LAW WIRING, 4rFANG, `PLUMBING AND SIGN& 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 1 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 $99 116 $49.56 WITH WHETHER SPECIFIED HEREIN OR NOT. T .# GRANTING OF A PERMIT PERMIT FEE SAC CHARGE Fire SC DOES NOT PRESUME TO GIVE AUTHORITY TO,,;,yIOLATE OR CANCEL THE PROVISIONS_OF ANY OTHER STATE OR LOCAL+ LAW REGULATING CON- $887.25 1,000 STRUCTIO R TH PERFORMANCE OF CONSTRUCTION. $99.12 PLAN CHECK FEE TOTAL Licens $5. 0 40.93 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEIN P OPER 1-4 oqf, I S LID TE T IS Y UR PERMIT SIGNATURE OF OWNERIIF OWNER BUILDERI IDATEI NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY n ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION 611 ConstructionAddress: S f' N Legal Description: c� S L • 3� e q-V �C Owner Name & Ad ess: o z f 1°� z Tel. # '" Contractor: .s CO-19 pl S l �, --14 C . MN LICENSE # �' Address:_/ r 3 6 w d L9 tl �Z c� l L ti. Af�-�Aj. Tel. # 7 S6''' 9 �4? 0 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. / �G•� DESCRIPTION OF IMPROVEMENT L l ` LIVING AREA: Length Width Height Sq. Ft./�%� e�� Y dg, GARAGE AREA: Length Width '%� Height Sq. Ft. DECK AREA: Leneth Width Hat/Ground Sq. Ft. 9 712 OTHER: Construction Type: Driveway Curb Cut Width Needed: Ft. + 6 Ft =;—�Ft x $ z $ • �' DATE: ld APPLICANT: �u�-Q�. Tel. # �R 5A % a Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge CITY USE ONLY $ Fee Schedule on Reverse Side $ .001 of Permit Valuation (1/10th%) . $ °'J $.50/$1,000 Valuation $ / 6ZO, ,5�0 $1000 per SAC Unit $ $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering �P� $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: SUBJECT PeRWIT NO. City of Fridley 28414 AT THE TOP OF THE TWINS BUILDING PERMIT ii COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC- 1 � CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY ' 612-571-3450 910415 10 26 98 JOB ADDRESS 5793 6th Street NE 1 LEGAL I LOT NO.6' 7' BLOCK TRACT OR ADDITION 1 SEE ATTACHED DESCR. 11/2ofVac.A111y 32 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Rod's Construction 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Rod's Construction 1117R6-R49n 2422 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW Rx ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Add additional living area 20' x 2'; 4-Season Porch 14' x 16'; Deck area 16'x 161; Finish lower level 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Submit energy calculations for porch. wa numam itKNING 130M digging Call for Olt utility locations 454.0002 REQUIRED 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 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 $32,818 $16.41 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CE G PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTIO THE RFOROF CONSTRUCTION 421.7,5 EireH 32.82 PLAN CHECK FEETOT F E ei Lice e S 5 0 4 5 98 SIGNATURE OF CON'RACTOR OA A UTHORIZED AGENT IDATEI N ROPE ALIDAT 5 IS Y UR PERMIT BLD N5� ��/ F VV DArE S.GNATURE OF OWNEQ,IF OWNER BUILOERI IDATEI NEW [ ] ADDN [ ] ALTER [ ] ConstructionAddress: Legal Description: Owner Name & Address: Contractor: Address: W 36 Effective 1/1/98 CITY OF FRIDLEY SINGLE FANJULY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION 1F7 /S/ X/6'. d S Co u S %a, Tel. # 7 ?G 00 Gf S MN LICENSE # 'Op- f �-�• Got , 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 GARAGE AREA: Length Width Height DECK AREA: Length Width Hgt/Ground . OTHER: L(.5 C?s oh o pAC,4 1 L �y9'2 ell Sq. Ft. x L Sq. Ft. Sq. Ft. x .2-:, 3 x GZ�a' Construction Type: Fi' q Ph -e Estimated Cost: $ ~0 0 0 7, f 7 L 'I?- (Fee Z(Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: a APPLICANT: Tel. # Permit Fee / Cj $ , Fire Surcharge , $ State Surcharge $ SAC Charge License Surcharge Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: / 1000 CITY USE ONLY z4k' � Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1000 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 [ ] CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT Effective On January 1, 1998 MAKK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Water: Bath ` Stories Closet Urinal Tub Shower Sink Wash Drink. Tray Fount. Floor Catch Auto. Gas Drain Basin Washer Appl. Gas Range Misc. Fixt. Water Heater Gas Elec Basement $ 7.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $ 4.00 specified agreeing to do all work in strict accordance with the city codes Floor 1 is $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $ 7.00 and representations stated in this application are true and correct. Floor 2 $ 7.00 Rain Water Leader $ 7.00 rV\ Sump/Receiving Tank $ 7.00 .1998 � Water Treating Appliance $10.00 Owner cn� Water Heater —Electric $ 7.00 Water Heater — Gas** $10.00 Building Used As PLUMBING FIXTURE RATES: NO. RATE 3 ��NE TOTAL JOB ADDRESS�� '6 New Fixtures $ 7.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $ 4.00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $ 7.00 and representations stated in this application are true and correct. Catch Basin $ 7.00 Rain Water Leader $ 7.00 rV\ Sump/Receiving Tank $ 7.00 .1998 � Water Treating Appliance $10.00 Owner cn� Water Heater —Electric $ 7.00 Water Heater — Gas** $10.00 Building Used As Gas Range** $10.00 Gas Dryer** $10.00 Estimated Cost PERMIT NO. Back Flow Preventer Required ( )Yes () No Type $15.00 PLUMBING COMPANY Reinspection Fee $42.00/HrSIGNED BY ; l0EL N0. ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance /"_X Approved Bye" Rough—In Date Final Date State Surcharge $ .50 TOTALFEE $ MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20.00 PLUS THE $.5o STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SQ INCHES. 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 k,�' No ( ) 3. Has no foreign objects lodged within Y No ( ) 4. Is securely supported . Yes�No ( ) 5. Meets all current Code requirements for size Yes l) No ( ) and total BTU's connected 6 Has total heating BTU's of All other BTU's 101 TOTAL BTU's 7. Has a liner been provided for water heater Yes)�<No ( ) 8. Has combustion air been provided for water heater Yes �4,No ( ) Remarks:. 0 List ALTERATIONS Being Done: HEATING CO: Signed By: Date: CITY OF FRIDLEY INSPECTION DIVISION 6431 University Ave NE Fridley, MN 55432 572-3604 RATE SCHEDULE Residential r APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Furnace Shell and Duct Work, Burner — Also Replacement Furnace (Side Vent — Fill Out Back) Gas Piping (Needed with new furnace) Gas Range Gas Dryer *Air Conditioning — All Sizes All Others/Repairs & Alterations (LIST ON BACK) I% of Value of Appliance or Work Commercial/Industrial 1.250/a of Value of Appliance or Work Rate TOTA $ 30.00 $ � $10.00 $ ✓ $10.00 $ $10.00 $ $ 25.00 $_7 State Surcharge TOTAL FEE $ .50 UP MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr Effective On January 1 _1998 JOB ADDRESS Oq3 � � YJ 157 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 Building Division, and hereby declares that all the facts and representations stated in this application are tru and correct. c / to ,1998 OWNER 01-0�%Lt,�l T-mr�— BUILDING USED AS G S t (2411 4;A2 ESTIMATED COST PERMIT NO. l DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air)' Trade Name "41 Size No. BTU—%BTU—%We HP EDR Fuel Total Connected Load Bumer Trade Name f Size No. gyr_ BTU HP EDR HEATING Signed By. Approved By Rough—In Date Final Date *Air Conditioners can not be placed in a side yard without FILL OUT BACKSIDE FOR STACK VERIFICATION ON written permission from adjoining property owner. REPLACEMENT FURNACE C17YOf FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 December 17, 1998 Rod's Construction 11136 Woodhill Lane Blaine, MN 55449 Re: Final Inspection at 5793 6 Street NE, Fridley, MN 55432 Dear Sirs: A final inspection was conducted on December 17, 1998 for the above noted dwelling. We found that the construction of the building complies, to the best of our knowledge and belief, with all the requirements of the building codes of the City and the State of Minnesota relating thereto, and permission is hereby given for the occupancy of said building. If you have any questions on this matter, please feel free to contact me at 572-3602. Sincerely, Building RJ/mh Engineering WATER AND SEWER Permit No.: 763-572-3552 PERMIT APPLICATION Received By:_� 1631571-1287 fax CITY OF FRIDLEY EFFECTIVE Date Rec'd: 0 1/1/2010 APPLICATION DATE: / 1-10 YOUR E-MAIUFAX: _ THIS APPLICANT IS: ❑ OWNER 'CONTRACTOR JOB ADDRESS: %a3` � I NEW CONSTRUCTION PERMIT# QF APPLICABLE): PROPERTY NAME: Ane, OWNER/ TENANT ADDRESS: CITY STATE -ZIP PHONE: _ -7 e ll ^ / 0. CONTRACTOR NAME: OOyCtl-'� SUBMITA COPY YOUR STATE OF /� ADDRESS:_ I YS O c�7t'—" � ► CITY ` 70A STAT)MWZIP s 1 / " LICENSE WITH PHONE 7� - SSI Qi- 3c/0-7 CELLPHONE: -7&3 - APPLICATION HAH LIC # STATE BOND: EXP DATE: 1. Narrative/written descriptio �� /" -/ -L �ro �/ ' f�(y �, oor� l�hc2n 2. Please attach sketch showing curb line, utility line, building, etc. with distances on back page. 3. Stipulations: A i0 . diy T/OnJ uJ� /.,V S I DF e. V kg . C LD ooX 7'#*AO 7ffitT Z.E Q Q j #L" C U2$ rZSf4*,&K 6, J 7r B A610E BY CITY 12Ow 6z01 A)Aj-'Vc.E , C CALL A01t 11#SPXCW*0 + 74401% 71> &KJ4AI" PERMIT TYPE ❑. SEWER CONNECTION PERMIT $50 ❑ WATER CONNECTION PERMIT $50 ❑ WATERLINE REPAIR $40 ❑ SEWER LINE REPAIR $40 Q ❑ ADD STATE SURCHARGE $.50 S ❑ SAC CHARGE @ $2100 = *L10-50 TOTAL $ OTHER CHARGES (IF APPLICABLE) PAY TO UTILITY BILLING NEW WATER METER COST- SEE UTILITY BILLING SPECIAL ASSESSMENTS - SEE FINANCE WATER TAP - SEE ENGINEERING NOTE: WATER METER REPAIR, INSP OR SHUT-OFF / EVENINGS, WEEKENDS & HOLIDAYS $125/HOUR-BILLED THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a water ori, sewer (new connection or repair) permit and I acknowledge that the information above is complete and accurate; that the work will be in formance with the ordinances and codes of the City of Fridley. I understand this is not a permit but only an applicati r a permG' wor� I��no�.te-mart without a permit %� �`/ /�� SIGNATURE OF APPLIC T PRINT N '``"```f '' ' j`f__ DATE: APPROVED BY:DATE:I �" f% Ir COPY G O: '❑ UTILITY BILLING (only if new meter) ❑ PUBLIC WORKS ❑ ENGINEERING City of Fridley Engineering Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3552 FAX: 763-571-1287 10