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PRE 2010 DOCSDate Owner Address //(26, BUILDING PERWr Village of Fridley, Minn. . ........... Builder .... ....... ......... . r►+Piiil Address ........................................ LOCATION OF BUILDING No.. ? :........ Street A l� t�'41 .. .. ........ .. Part of Lot ....... ............. . `�t ,r• Lot ......:al:: , ..... Block .: a *.. ...... Addition or Sub -Division .. ..... . _ /?tea � Corner Lot ............ Inside Lot ..: Setback ,,� 5�1 '. Sideyard . ..... .......... . DESCRIPTION OF BUILDING To be Used as: �9���� • j ft. �ie�: Front .: �a.. Depth oTX ..: 'Height � .. ...... Sq. Ft......... Cu. Ft........ . .................... Front ... Depth ......... Height ......... Sq. FL ........ Cu. Ft........ . Type of Construction i .d 004* Fst. Cost ........... To be Completed /..'•":! ... In consideration if 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 vM ge of Fridley. In Ideratfon c I 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 hat the.person to whom''it Is granted and his agents, employees and workmen, in all work done in, around and t M said building, or; any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota re ardipg location, construction, alteration, maintenance, repair, and moving of buildings with- in the village limits ajd this permit may be revoked at any time upon violation of any of the provisions of said ordinances. .'.' .. Building Inspector NOTICE: This permit sewer or water. S not cover the construction, Installation or alteration for,wiring, plumbing, gas_ heating, sure to see the Building Inspector for separate permits for .these Items. 0 CJ • �iof Fridley, Minn.. tY Y� BUILDING PERMIT N® 7301 Date: // — r/�— '6 e/ ftner:A0 A Address LO ION OF BUILDING No. Street _ Part of Lot Lot Block Addition or Sub -Dion . Corner Lot Inside Lot Setback —_ SAL 4 Sewer Elevation �') 4) Elevation �a Fe�'a4A/p DESCRIPTION OF BUILDING v e jB Front Depth � =�— Height Sq. Ft Cu. Ft 12 Front 9 Otepth Height Sq. Ft XW Cu. Ft Type of Co coon Est C — 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 orth and in compliance with all provisions of ordinanoea of the city of Fridley. 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 any tj ups violation of any of the provisions of said ordinances. y�/I // .--i Building Inspector NOTICE: Als pormM does not cover the condrueflon, huteliation for wM h& phnnbing, gee hearing, sower or water. Be sun to me the MIA* inspector for separate peradis for them items. "\'b�, (J� I APPLICATION FOR BUILDING PEi SUBJECT P } City of Fridley ' 2 7 6 4 i 2 AT THE TOP OF THE TWINS BUILDING PERMIT F? T NO. _ COMMUNITY DEVELOPMENT DIV. tr PROTECTIVE INSPECTION SEC. NUMBER REV DATE 9/9/98 PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910415 JOB ADDRESS 6020 6th Ave NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 11,12 2 Hyde Park Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS Steve Haynus 6020 6th Ave NE ZIP PHONE 55413 571-0612 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Four Seasons Roofing & Remod 7930 Univ Ave NE Fridley 55434 795-9410 20138780 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 ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof #i#xmff house & garage (19SQ) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 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 1 HAVE READ AND EXAMINED THIS APPLICATION 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 $1,628.00 $.81 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 P VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $54.00 Fire S�.' $1.63 TR CTO O�MANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL E /J License $5.0 $61.44 SIGNATURE OFCWT RACT R AUTHORIZED AGENT (DATEI p p BLO (NSP 000AT I IS R PERI^�IT DATE SIGNATURE OF OWNER pF OWNER SUILDERi (DATEI NEW [ ] 11 Effective 1/1/98 ADDN (] CITY OF FRIDLEY 44 ALTER [ ] SINGLE FAMILY -AND DUPLEXES R.1 AND R-2 40P BUILDING PERMIT APPLICATION ConstructionAddress: 1`1 . Legal Description: Owner Name & Address:q e)R Tel. # T Contractor: Four s_e 6. cm s RO6�< n' r d- n5 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 Sq.,Ft. OTE,,ER: PO' "vn d v e., cl- kepi . ,� og 6i f, -� s hyY114 I s Construction Type-"0VC, tl.lC.e„p�G� P_ �i' Estimated Cost: $ >�oo70 (Fee Schedule. on Back) Driveway Curb Cut Width Needed: Ft. t 6 rt = Fto = $ DA'Z'E: q' .APPLICANT: Tel. # STIPULATIONS: 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 All. "B" Above Erosion Control $450.00 Conservation Plan Review Park Fee Fee Determined by Engineering Sewer Main Charge Agreement Necessary [ ] Not Necessary [ ] TOTAL �' L STIPULATIONS: SUBJECT City of Fridley C 3862 AT THE TOP OF THE TWINS BUILDING PERMIT r NO. COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. 1 � r NUMBERREv DATE PAGE Of APPROVED BY CITY HALL FRIDLEY 55432 ' 763-571-3450 910415 9/8/03 JOB ADDRESS 6020 6 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11, 12 2 1 Hyde Park Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Steven Haynus 6020 6 Street NE 763-571-0612 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Cities Home Improvements 640 Mendelssohn Ave N, Golden Valley, MN 55427 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 763-591-0332 20076414 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION] REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside House & Garage 9 CHANGE OF USE FROM TO STIPULATIONS 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. Caulk and flash all exterior openings. 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 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 WITH WHETHER SPECIFIED THE GRANTING @ $5,000 $2.50 HEREIN OR NOT. OF A PERMIT DOES NOT PRE ME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS O ANY OTHER STATE OR LOCAL LAW REGULATING CON- $111.25 Fire SC $5.00 CTION O HE PCONSTRUCTION TR ER RMA OF /J (�!Jbr4ens4 PLAN CHECK FEE SC $5.00 TOTAL FEE $123.75 SIGNAT 0; N' ACTOA OR ANT.VoWtzEDAGENT IDA TIE, WH N PROPERLY VALIDATED THIS IS YOU PERM T SIGNATURE Of OWNERaF OWNER BUILDER, IDATE, BL Oft k6gp pA I E NEW [ ] CITY OF FRIDLEY Effective 1/1/2003 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 5714287 Fax, BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & Address: Tel. # 7§1 r s'7 /' A2 Contractor. l � � �° a__ MN LICENSE #--Re "(0 'Y/ � Address: 1P'1'9 �� �� G► v -e L v% tA11JL1 Tel. # 76 63:-Vvq % 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: 1 / ` � Construction Type: V '� ` � 1 dQ "2M Estimated Cost: $ �o�o Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: (��3 APPLICANT: CLP(- z� & -.-I Tel. # %& 3 __0 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 Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1275 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 � 3 �� 6431 University Ave NE Fridley MN 55432 (763) 572-3604 or Fax (763) 502-4977 Water and Sewer Permit Application ❑ New Connection fBUtility Line Repair/Relocation ❑ Existing ❑Water and Sewer Connection Date: Job Address: D h S -t Name of Applicant (Plumber): CG 0- e U rn Name of Property Owner: Existing Structure Permit # Permit Type: Sewer Fee: Water Fee: MeterFee:--� Repair Fee: Relocation: State Surcharge: SAC Charge: Special Assessment Fee: Total: $ ` % s �;- 0 Applicant Signature: Inspector approval: Water Meter Repair — Weekend & Holidays $125/hour Water Connections Permit $50 Sewer Connections Permit $50 Inspection Fee for Water/Sewer Line Repair $40 Special Assessments See Engineering Cost of Water Meter See Utility Billie SAC Charge $1675 State Surcharge $ .50 Water Tap See Engineering Building PLUMBING Permit No.:2C,%Z-UISg1 Inspections RESIDENT', APPLICATION Received By:� 763-572-3604 CITY OF FREDLEY Da d. 763-502-4977 FAX EFFECTIVE 1-1-0>I DATE _az�L-p O a YOUR E-MAIL ADDRESS SITEADDRESS (00a n n F. THIS APPLICANT IS: ❑ OWNER ,CONTRACTOR PROPERTY NAME: OWNER/ ADDRESS: CITY STATE ZIP TENANT PHONE:_5 7 /— 0 &Z 7- CONTRACTOR NAME: River City Plumbing SUBMIT A COPY OF Go YOUR STATE STATE LICENSE # EXP DATE LICENSE, BOND AND STATE BOND #Frid�' eyMPI 55432 EXP DATE CERTIFICATE OF ADDRESS: n -,�. STATE ZIP INSURANCE -C— PHONE PERMIT TYPE ❑ SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE D NEW REPLACEMENT TYPE OF WORK: DETAILED DESCRIPTION OF WORK PER MS 16B.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 improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor X.05 = plus .50 surcharge OR FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $15.50. BATH SINK/LAV DRAINS _ WATERPIPING _ _FLOOR —SHOWER GAS PIPING (NEED CITY LIC) SWIMMING POOL —WATER SOFTNER ($35) —BATHTUB _ _ CLOTHES WASHER KITCHEN SINK WATER CLOSET BACKFLOW PREV. ($15) _ _ _ DISHWASHER _ LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION —WATER METER —OTHER SfBY Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ OR Number of fixtures @ $35.00 x$35.00=$ 35. TOTAL DUE $ State Surcharge = $ .50 (MINIMUM $15.50) (MINIMUM $15.50) Total = $ THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a plumbing 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 on site; that the work will be in accordance with the approved plan in the case all wort which requires review and approval of plans. -o�f SIGNATURE OF APPLICANT �- I'!/ �L�/�A'�'C PRINT NAME �/C LCIS O`G( DATE / 'L Z"0 lC APPROVED BY DATE : 1'I:EA;$E N6 A�� V1�1 RE .il1�a��1 R>B1�11�T�is�+I.C"L1�If:�t. City of Fridley ]Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977