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PRE 2010 DOCS0 0 City of Fridley, Minn. BUILDING PERMIT N® 3635 Date:. �..... .. `�- Owner ....................................... Builder ..... Address...................................... Address ............................................. 'Q�C��/:. ON OF�UILDINC No. �... Street .... ... l . ./..: ` ! .... Part of Lot ..... Lot ........ Block .. !............. Addition or Sub -Division .. .......... .. + y,9 ... Inside Lot ......... Setback P, Sideyard f�. P to.. °. .` . Corner Lot ......... .. DESCRIPTION OF BUILDING TO Used / �, Y!c e ty ... ... .. Front . l...� , Depth a. .. � Height . ��. o Sq. Ft. 141rb Cu. Ft. 0— '.0 ...... Front Pf� Depth �•� Height 1q. ; 0 "' Sq. Ft. A? �. Cu. Ft. , D� -Y -!2 .. o .. Type of truction ................... Nst. Cosi ./ 3 • l� To be Completed —�^ In consideration of the issuance to me of a permit to construct the builiiing desribed above, I agree to do the proposed work in accordance with the description above set forth in compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $.�.. , permit is hereby granted to ................... ......................... to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. NOTICE: This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. do U (/ SUBJECT City of Fridley tPERM AT THE TOP OF THE TWINS BUILDING PERMIT :1Z ______ COMMUNITY DEVELOPMENT DIV. r L PROTECTIVE INSPECTION SEC. -I 1 � � -"'1 CITY HALL FRIDLEY 55432 1.4 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 8/20/86 JOB ADDRESS 6131 - 6th. Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 16 1 Upland 2nd Addition SHEET 2 PROPERTY OWNER MAILADDRES$ ZIP PHONE Geo./Betty Thompson 6131 - 6th Street N.E. 571-6338 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 B DESCRIBE WORK Screen in Porch on Existing Deck & Extend Existing Deck 9 CHANGE OF USE FROM TO -STIPULATIONS o � 4v WARNING eefore d; TELEPHpryF digging call local Utilities ELECTRIC . SAS Etc.0 REQUIRED OY LAW��ft S 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 I HEREBYCERTIFY 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 $5,150 $2.55 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- $56.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $14,13 $73.18 SIGNATURE OF CONT CTOR OR AUTHORIZED AGENT IDATEI N6 WHEN PROPERL V LIDATED THIS IS YOUR PERMIT BLDG INSP fiATE SIGNATURE ON IIF OWN UILD IDATEI U (/ NEW [ ] City of Fridley Effective 4/1/86 ADDN. [ ] �R-1 AND R-2 ALTER. [ 7 Building Permit Application Construction Address: ��- le - 5 - Legal Description: Owner Name & Address: "s �e�Y T�� '"�" �'/ 3/ - 6 ST. 1 Cr Tel. # Tel. # Contractor: ,gakcc- Address: -Z /d/ 6� LIMING AREA: GARAGE AREA: DECK -AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Length Length Length DESCRIPTION OF IMPROVEMENT Width Height Sq. Ft. Width __ Height Sq. Ft. Width Hgt/Ground Sq. Ft. -1 E1ff'Enl D L X r 57'i W G Pe c f; L t [ ] Inside Lot [A Ft. Yd. Setback cK /.*XQy x�i,Col Side Yard Setback Corner o Type of Construction:ae0 Estimated Cost: $ ` Approx. Completion Date: OC`' C PC C') 6a Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation DATE. �5` APPLICANT a Tel. 0_0 CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Plan Check $ 25% of Building Permit Fee State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $475 per SAC Unit Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary Not Necessary [ TOTAL $ STIPULATIONS: ,So 0 , . .r 5 --;p 9/ al XC N L �1 � C G � � 1 r v 5 --;p 9/ al XC N SUBJECT P R 0. City of Fridley o 19978 AT THE TOP OF THE TWINS BUILDING PERMIT _ RECEIPT COMMUNITY DEVELOPMENT DIV. 1 L 3 �3 r 1 � PROTECTIVE INSPECTION SEC. 1 � � ,`� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY : 612-571-3450 910-F15 7/3/89 JOB ADDRESS 6131 - 6th Street N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 16 1 Upland 2nd Addition SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Betty 'Thompson 6131 -- 6th. Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Richard Hastings Roofing 6331 Riverview Terrace N.E. 574-9966 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 C REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling (18 Squaws.) 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 .replacellre>tt Tt State Code requires that 2 layers of 1511 mapped together, be -installed to a poW 24 lacba up from exterior wall line, or the fte 0 ji er 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 $900 $.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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $23.50 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI WHEN PROPERLY VA ATED THIS IS YOUR PERMIT 4 SIGNATURE OF OWNER OF OWNER BUILDER) (DATE) BLDG INSP AT NEW [ ) ADM [ ] AL ER [ ) IL-1 AND R-2 Building Permit Application Cmwtructian Address: 6 / 3 / , bl7/ sY-, Effective 5/1/88 Legal�: Owner Nam & Address: E7Y-v TGAv.j co.Y fit. 0 Oontractor: k c % r2 Q fj145-f-( 'rVGS Z�el. #_ Address: 6 33 1 : y iZ V a' C �.J 722 R, Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVIM XM: Lergth Width Height Sq. Ft. AM: Length Width Height Sq. Et. DDCR Aim: LeX)gt + Width Sq. Ft. OTM: Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks 7YPe of Construction: e ?, oa E Estimated Cost: $ 'Z, — ,r `'0 Approx. Ccnpletion Date: —21-3 n - / ff may. Proposed Driveway Width If New Opening Is Desired: Ft. $ $ Width + 6' See Back Page DATE:7 3 ZFJ9 APPiSam: ' Tel. # Permit Fie $ U State Surcharge $- SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ $ 113 . S'i'IPUTAMCNS: V1W Flee Schedule on Reverse Side $.50/$1,000 Valuation $575 per SAC Unit Alt. "A" or Alt. "B" Above Free Determined by Nary [ ] Not Necessary [ ] CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On March 1, 1996 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS�'j New Fixtures $ 7.00 Old Opening, New Fixture $ 4.00 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 $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge $ 50 TOTAL FEE $ 70, st') 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 true and correct. Owner Building Used As 6 / / 4 , 1996 THOMPSON BETTY 6131 6TH STREET NORTHEAST — FR I DLEY , 55432 5 7 � _ 6 ?T? H 571-6338 W Estimated Cost^ PERMIT NO. PLUMBING COMPANY C&BL k" SIGNED BY TEL N0. Approved By Rough -In Date Final Date_ / MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20.00 PLUS THE $.50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SQ INCHES. f'C,Cy"Ni � �_Xq%(u /jG LnJSQ CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 RATE SCHEDULE APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Residential 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) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Effective On March 1, 1996 JOB ADDRESS Zo (( J S7" /V The undersigned hereby makes application for a permit for the work herein Rate TOTAL 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 $ 30.00 9Q 0 • l® representations stated in this application are true and correct. _ ,1996 $ 10.00 $ OWNER 6&q $ 10.00 $ BUILDING USED AS $ 10.00 $ ®c7 ESTIMATED COST IaZ®®� PERMIT NO..�� $ 25.00 $ DESCRIPTION OF FURNACE AND OR BURNER State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING 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. No. of Heating Units 1 Circle One (Steam) (Hot Water) rm A Trade Name /" �� Size No. 395�1f (l®'7® BTU HP EDR Fuel Total Connected Load Burner Trade Name Size No. BTU HP EDR HEATING OMPA Signed ;e Approved By FILL OUT BACK SID OR REPLACEMENT FURNACE BLAINE HTG. ASC & ELECT. INC. 13562 CENTRAL AVE. N.E. ANOKA. MN 55304 Tel No. /252-40'a00 Rough -in Date STACK VERIFICATION ON Final Date CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes Y) No ( ) 2. Is free from rust or deterioration 3. Has no foreign objects lodged within Yes No ( ) Yes No 4. Is securely supported Yes 0 No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes (9) No ( ) 6 Has total heating BTUs of 740002 All other BTU's TOTAL BTU's /D _ Gco 7. Has a liner been provided for water heater Yes ()No() 8. Has combustion air been provided for water heater Yes M No ( ) Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: QLAINE HTG. A/C & ELECT. 4 Ve:. 1 15 - Date: AIdo6CA, MM 5530 ��-- oo�a6) NEW [ ] CITY OF FRIDLEY ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: W :5 I k)F- L± �f , rr i d I 2y h-1 rA Legal Description: O Y) e - Owner Name & Address:El �-!? YI "170 ly► l I 1 Cfn!Y - gess Tel. # 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 Sq. Ft. OTHER: Construction Type: �z nc l i2 ' Estimated Cost: $�� r 1"Vhiu Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ DATE: �� APPLICANT: �� 4�i/C`�l (' Tel. # Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 N using credit card and we will call you for card number. Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge CITY USE ONLY - $ q T• f Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1450 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 $ 103 1 R J(� STIPULATIONS: From: unknown Page: 2l7 Date: 6R/2007 6:05:38 PM r -- Building; BUILDING Permit NO.: - - ; Inspections VALUATION $ 3 . v RESIDENTIAL APPLICATION Received By: 7d3-57Z-36/oa/ See Back Page for Fee Schedule CITY OF FRWLEY 1D L DATE G I 9 (CI % ! YOUR E-MAEL ADDRESS L �� .fl P �L • SITE ADDRESS 6/31 — 65+4 5-,, M Surcharge THIS APPLICANT IS: O OWNER eCONTRACTOR License Surcharge PROPERTY OWNERI NAME: vou&= f 61 (n( IL(, I Ams SAC Charge /• ADDRESS: C 5 t —ow ST Illi Crry Fr4je —y srAl'E9! 6P--5ry32— TENANT Curb Cut Escrow PHONE: ft + 6 ft = ft x $21 = $ CONTRACTOR NAME: $450 Conservation Plan Review STATE LICENSE# EXP DA'Z'E r5� L.,�k SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: V2S' PA. CITY 12 5 STATI M_ j� WiIH APPLICATION PHONE63l • :'G, 1141,g? FAX 6x- 3. 4, e $ / ,' ` J . / PROPERTY TYPE JOSINGLE FAMILY/NEW CONSTRUCTION SIZE THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED ❑ TWO FAMILYINEW CONSTRUCTION STORMS PERM TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS O BASEMENT FINISH ArROOF O DRAIN TILE El DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK:❑ 'W ❑ ADDITION AINTI24ANCEMPAlR O REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT S . Ft.FIND O HOUSE ONLY NUMBER OF SQUARES J' 011OUSE & GARAGE AASEMENT REMODELING SUBMIT- GE E3 ATTACHED GARAGE 1. Floor 2. Pro ting Pow floorPlan an PROPOSED SIZE: O DETACHED GARAGE 3. List of structural members w be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, 13 Vinyl ❑Soffit ADDITIONS, & PORCH—M SUBMIT: O Aluminum O Trim 1. Site Plan/Survey showing the existing structures O Other ❑ Fascia and proposed pmt Twoconstruction plans WIIVDOWS 3. Calculations IN EXISTING OPENINGS OYcs ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ONVALUATION, INCLUDING THE COST OF LABOR AND MA I ERIUALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ 3 . v OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review S 65% of Building Penni t Fee Fire Surcharge $ 3 6L 001 times the total job valuation Surcharge $ �„,7 .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1675 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total. Due $ / ,' ` J . / Make checks payable to: City of Fridley Attact THIS IS AN APPLICATION FOR A 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 application for a p;xmit an ori( is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work whir itires revie and approval of plans. �j t ,��j SIGNATURE OF APPI ANI' PRINT NAM15 � � )016 tr G DATE 07