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PRE 2010 DOCS*City oFridley, , Minn. • BUILDING PERMIT N° 4247 Date: ............. .......I........._..�../_.................. _.. Owner: ..... .................... _..................................... ................................... -.................... Builder Address Address // C IIONN OF BUILDING No.....i� .1...... Street....._......1............/.....�P�.... Part of Lot . _. _f P f ................_.............. .............. .......... . Lot .........._........ Block ........... ... Addition or Sub -Division ... ................_.......... _........... _............... - .... _.. Corner Lot .................................... Inside Lot --.2-5 ... Setback .J...... -0.1.............. Sideyard .................._.......... ........_............._._.._... Sewer Elevation .................... k.2 .............._............... Foundation Elevation .................. 4 �(r.._........................... ................ DESCRIPTION OF BUILDING To be Used as: i ... ........... Front ..l.....®.. Depth ........ Height0 .: Sq. Ft... Cu. Ft. ............................................................ Front ........................ Depth ............. ...... _.. Height ........................ 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 buil ' described above, I agree to do the proposed work in accordance with the description above set forth an compliance with all rovisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $..:...1, 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 time upon violation of any of the provisions of said ordinances. Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to we the Building Inspector for separate permits for these items. 4 Owners Name Builder Address 67 " r _Address ! , LOCATION OF BUILDING No.;7Stree Part of Lot B Addition or Sub -Div. Lot lock Corner Lot Inside Lot__X..Set Back er Side..Yard SEWER ELEVATION "®O FOUNDATION ELEVATION.. Applicant attach to this.form'Certificate of Survey of tot and proposed building loca.tiori. - DESCRIPTION OF BUILDING To be used as: Front -- Depth Height Sq. Ft. % . Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of.Construction _Estimated Cost To be completed - e - The undersigned hereby makes application fora permit for the work herein specified, agreeing to do all work in strict,accordance•with the City Ordinances and ruling of the Department`bf Buildings,, and hereby declares that.al he facts and representa- tions stated -:in this application are true.and correct DATE SIGNATURE- /'rC (A Schedule of Fee costs can be found on the Reverse Side.) s� . City of Fridley Application for Pi mbmg and Gas Pitting Pernnt DepL of Bldgs. Phone SU 4-7470 DESCRIPTION OF WORK ell /� / y Number, Kind and Location of Fixtures Location *el PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ ,Ci 4'-0 Future Fixture Opening ................ x 1.20 $ p x 1.00 z & WATER HTR. 3.25 $ Water Heater (Up to 200,000 BTU) ......—,� x 2.00 . D® New Ground Run Old Bldg. x 3.25 $ (�90 F N GAS ELEC Base / 1st 2nd 3rd 4th • Future Connection OpeningsI Connected with New Fixture, Old Openings Sewer Cesspool � PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ ,Ci 4'-0 Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ......—,� x 2.00 . D® New Ground Run Old Bldg. x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ..........................Z x $1.50 $--/- S 6 Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ — 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. Fridley, Minn- c o� 1 �l Owner 19 Kind of Build , 19— Used as To be completed about Estimated Cost, Old—New. Building Permit By Business Phone No Connection Permit No. .. ? ` . / .17 ........................................ A Water OCT 1 1959 Sewer Meter Deposit 11 IM -8-S8 City of Fridley, Minn. BUILDING PERMIT N°5 4 6 0 Date: w t!Z 61 9L.- I Owner:--= 1 :� +r±� .' r,� y Builder Address Address — -- LOC N OF BUILDING No. s t Street___� __ Part f Lot Lot _�Y __ Block Addition or Sub- on�f��� Corner Lot _ Inside Lot ideyard' Sewer Elevation — _ Fo dation Elevation DESCRIPTION OF BUILDING T t r Front Depth 4Z4tw Height __ Sq. , Ft 3 Cu. Ft Front . Depth `Cst. ' Ht� _ Sq. Ft. Cu. Ft eig Type of Construction �' Fast.' 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 io 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 upon vi o n of any of the provisions of said ordinances. Building Inspector NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, gas boating, sewer or water. Be sure to as the Building Inspector for separate permits for these Ilona. 0 .OW4 0 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, KWNESOTA Builder Owner's Name 44il- /lam LOCATION OF BUILDING No., V/,? y/ Street %X�l Part of Lot /Ieez Lot Block Addition or Subdivisio Corner Lot Inside Lot_ Setback / e / Side -Yard f SErJER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. To be u ed DESCRIPTION OF BUILDING Sq. Ft. -? 9 Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction �\\ - — -�.� Estimated Cost It{. / S To be Completed f 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. DAM SIGNATURE (A Schedule of Fee Costs can be found on the Reverse Side.) 9 L� City of Fridley, Minn.. N° 7804 BUILDING PERMIT Date: June 9, 1965 Owner: Joseph Specht Builder L. H. Haug Const. Co. Address 62,41 6th Street N. E. Address z7o9 Lyndale So. LOCATION OF BUILDING No. 62/ -111 stmt 6th Street N. E. Part of Lot Lot 5 _ Block 1 Addition or Sub -Division Upland_ s, 2nd Add. Corner Lot _ Inside Lot Setback Sideyard Sewer Mevation _ Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Est. Cost :QQ _ __ To be Completed • Storm damage repair n LJ In consideration of the issuance to me of a permit to construct the building described above I agree to do tht? proposed work in accordance with the description above set fyrth and in compliance with 21 provisions of ordinances of the city of Fridley. , In consideration of the payment of a fee of 10.00 , permit is hereby granted to L. H. Haug Constr• Comps 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, Minnesotalocation, construction, alteration, maintenance, repair and moving of buildings within the city limits permit may be revoked at any time upon violation of any of the provisions of said ordinances. Allen Jensen Building Inspector NOTICE: fhb pesnh does sot cover the eoestrueHoe, huhllathm for whtsg, plumbing, gas hwtisg, sewer or water. Be core to see the BuBdh* hupeetor for separate permha for these hose. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME �J 0 ��Y ,��� /17 - BUILDER . ,r c/ G �C' 00 ADDRESS e 7— S / , ADDRESS LOCATION OF BUILDING &/ Street Part of Lot LOT BLOCK ADDITION OR SUBDIVISI0NJA Corner Lot. Inside LOT Setback Side - rd SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To be used as; DESCRIPTION OF BUILDING Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. o�G Type of ConstructionZ/� r6e�,kf Estimated Cost® 6 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 representatio s stated in this application are and corre t. i f (Schedule of Fee Costs can be found on the Reverse Side). City of Fridley Application for Plumbing and Gas fitting Permit 53-84-879.01 Dept. of Bldga. Phone 560.3450 DESCRIPTION OF WORK Low>;on 6241 NE. 6 `fit. Number. Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... Future Fixture Opening ............... New Fixture Old Opening ............. Catch Basin ........................... Water Heater (Up to 99,000 BTU) ..... New Ground Run Old Bldg. ........... Electric Water Heater GAS FITTING FEES: 1st 3 Fixtures ...... .................. Additional Fixtures ................... x $2.00 $ X $1.50 $ x $1.50 $ x $3.25 $ x $3.00 $ x $3.25 $ a $2.00 $ NO. RATE TOTAL �- x 2.00 $ x $ Gas Range to 199,000 BTU .............. x $5. $ replace (1) range 3.00 REPAIRS & ALTERATIONS—Refer to Code City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, Minn. Sept. 41 1970 , 19— eT Kind of Building frame Used as residence To be completed about S Estimated Cost, $--LO —.00 O1dX—New. Building Permit No Permit No. i e By Busines ROUGH u �M FINAL—1 2 - � = '?C Description ................. ..............................$ TOTAL FEE $ 'J.00 az 12 ayzr��8� Z �rl a Z U O < t�9 •� W �U' �n i; �O • P • N WATER HTR. GAS ELEC. Base 1st 2nd 3rd 4th • Future Connection Openings * New Fixture, Old Openings I Connected with Sewer Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... Future Fixture Opening ............... New Fixture Old Opening ............. Catch Basin ........................... Water Heater (Up to 99,000 BTU) ..... New Ground Run Old Bldg. ........... Electric Water Heater GAS FITTING FEES: 1st 3 Fixtures ...... .................. Additional Fixtures ................... x $2.00 $ X $1.50 $ x $1.50 $ x $3.25 $ x $3.00 $ x $3.25 $ a $2.00 $ NO. RATE TOTAL �- x 2.00 $ x $ Gas Range to 199,000 BTU .............. x $5. $ replace (1) range 3.00 REPAIRS & ALTERATIONS—Refer to Code City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, Minn. Sept. 41 1970 , 19— eT Kind of Building frame Used as residence To be completed about S Estimated Cost, $--LO —.00 O1dX—New. Building Permit No Permit No. i e By Busines ROUGH u �M FINAL—1 2 - � = '?C Description ................. ..............................$ TOTAL FEE $ 'J.00 az CITY OF FRIDLEY Effective Date May 1. 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE O@0TnVW9PTST. Furnace Shell and Duct Work, Burner (Also replacement furnace) Gas Piping (piping needed with now furnace) Gas Range Gas Dryer * Air Conditioning (all sizes) All Others/Repairs and Alterations It of Value of Appliance or Work COMMERCIAL/INDUSTRIAL 10 of Value of Appliance or Work / -/A' RATE TOTAL Job Address �1 Yl Z $ 20.00 $ ,6D Department of Buildings, 6431 University Ave. N.E., Fridley, NN 55432 City of Fridley $ 10.00 $ Tel. #571-3450 $ 10.00 $ 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 $ 10.00 $ and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are t ue and correct. $ 10.00 $ �® Fridley, Minn. , 19L OWNER ( i vG (.aAC- (� —<&, OV S KIND OF BUILDING 7C%a � ` l / ?T A A,",,7—. USED AS i S TO BE COMPLETED ABOUT State Surcharge $ .50 TOTAL FEE $ b. Reinspection Fee ($15.00) S Rough Insp. Date Final Insp. Date Approval for Permit MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00 - PLUS $.50 STATE SUI(CHARGE *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. ESTIMATED COST ? ® D . e-1 OLD - EW BUILDING PERMIT MO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS,/Steam, Hot Water, Warm Air- No. Trade Name �1�� Size No. Capacity Sq. Ft. EDR BTU w/HP^ Total Connected Load ;'Z C;" 6,0() Kind of Fuell / `( PV's . Co� BURNER - Trade Name Size No. Capacity Sq. Ft. EDR _ Company Signed Tel. Nc Fill out back side for stack verification on replacement furnaces CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack; 1. 'Has .been_ carefully _examined Yes (,W -No( ) 2. Is free from rust or deterioration Yes (-Y'No ( ) 3. Has no foreign objects lodged within Yes (O No ( ) 4. Is securely supported Yes (,,YNo ( ) 5. Meets all current Code requirements for size and total BTU connected Yes ( No ( ) 6. Has Total heating BTU's of All other BTU's TOTAL Remarks CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PLUMBING FIXTURE RATES: RATE SCHEDULE NO. New Fixtures Future Fixtures Old Opening, Now Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Hydraulic Valve Sump or Receiving Tank Water Treating Appliance Hot Watgr Heater Gas Range Gas Dryer RATE TOTAL S 5.00 $ m 3.50 S ae. m S b 4.00 u S fit m S Water � u40 $ 5.00 $ $ 5.00 b S S V w°w�eI _L S 5.00 S Heater ~ S �ope S p afil 0 4Ac O at�� W u a y o w b[i w u ani 3 >� tai o s lec t7 Bass- lat 2nd 3rd 4th (R) - Future Connection Opening Connected with Sewer (•) - New Fixture, Old Opening Nater PLUMBING FIXTURE RATES: RATE SCHEDULE NO. New Fixtures Future Fixtures Old Opening, Now Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Hydraulic Valve Sump or Receiving Tank Water Treating Appliance Hot Watgr Heater Gas Range Gas Dryer RATE TOTAL S 5.00 $ S 3.50 S S 1.50 S S 4.00 S S 5.00 S S 5.00 S $ 5.00 $ $ 5.00 S S 5.00 S S 7.00 S _L S 5.00 S S 10.00 S g 10.00 S Back Flow Preventer Required. . . Yes ( ) No ( ) Type S 5.00 S ALL OTHMtS AND/OR REPAIRS AND ALTERATIONS It of Value of Fixture or Appliance $ Reinspection Pee State Surcharge S .50 $ _ (515.00) TOTAL FEE $ %S Effective Date May 1, 1988 Job Address Department of Buildings City of Fridley Tel. 9571-3450 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct �Fri75', Mn. Co 9 , 19� OWNER fry (� G C"L l ", KIND OF USED AS TO BE COLLETED ABOUT 41 J / ESTIMATED COST F`EW BUILDING PERMIT NO. PERMIT NO. A / / fr", / Company - Signed By Tel. NO. ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT J Z MINIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE W IT NO. 29820 Su9jEtY P City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT r ItEl IPT NO. � • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. � � 1 � NUMBER REV GATE PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 612-571-3450 910415 7/6/99 JOB ADDRESS 6241 6th Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 5 1 Uplands 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Joseph Ecker 502-1459 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner 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 0 ADDITION ❑ ALTERATION X® REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof garage (5 S) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Call for inspection of ice and water shield if installed on garage. 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 S0. 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 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 $437 $.50 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 $23.50 Fire SC $.43 PLAN CHECK FEE TOTAL FEE 24.43 SSG TUBE OF CON -R TOROR uT R� E GENT iOATE� HE ERLY V IOATED THI IS YOUR PERMIT �-� -� -9 at iNS� ,GNOTUREO OW NEA nFp NEA BURDERi iDATE� W IT NO. 29820 NEW [ ] R Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: a:2 Legal Description: / ( -10!1--' 40C117- Owner 0 i/7— Owner Name & Address:���f �C���— Tel. # Contractor: MN LICENSE # Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF BIPROVEMENT Length Width Height Length Width �_ Height Length Width Hgt/Ground Tel. # Sq. Ft. Sq. Ft. Sq. R. Estimated Cost: $ 17,13 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: "� APPLICANT: Tel. # ,� poi Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1050 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 [ ] SUBJECT P City of Fridley33781 AT THE TOP OF THE TWINS BUILDING PERMIT ' , COMMUNITY DEVELOPMENT DIV. v REC PTO. I/g'0/ ���CCC I PROTECTIVE INSPECTION SEC r 1 , ' NUMBER REV DATE PAGE OF APPROVED BY /-"1 CITY HALL FRIDLEY 55432 .�' 763-571-3450 910415 8/8/03 JOB ADDRESS 6241 6 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 1 Uplands 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Joe & Peggy Ecker 6241 6 Street NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Mic-GJ Inc 1369 Lakeside Dr Eagan, MN 56123 651-688-2521 7775 A 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 O NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Remove and replace a bow window within existing opening 9 CHANGE OF USE FROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. 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 HEREIN OR NOT. THE GRANTING OF A PERMIT $2'000 $1.00 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 $2.00 STRUCT N OR THE PERFORMANCE OF CONSTRUCTION $69.25 PLAN CHECK FEE TOTAL FEE c�Li nse SC $5.00 $77.25 $ N4 TU EOFCONTRACTOR ORAUTHORIZED AGENT o E. MEN PROPERLY VALIDATED THIS IS j0Uq PERMIT V vriATE S,GNATURE Of OVVNER,'; OWNER BUILDER] IDATE� 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) 571-1287 Fax BUILDING PERMIT APPLICATION C:nnstruction Address: h Z V/ 6 4' ST . A% 5 Legal Description: L/ wr 4otl 910em.'19 Owner Name & Address: To Tel. # Contractor. MN LICENSE # fl L _ 77 7 � Address: 1 G4 Tel. # 0-1 " 6do' 2-1-Z / LIVING 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. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Construction Type: Estimated Cost: $ 10 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: Tel. # %6 , S- 7 0Z'L Call (763) 572-3604 for Permit Fees if mai tZin application. 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 Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge $L&2 $ 00 $ /"00 $ E-00 $ TOTAL $ !� CITY USE ONLY - 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 PERMIT NO.: 200401509 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 09/01/2004 571-36U4 FAX: (7631571-1257 ADDRESS : 62416 ST NE PIN : 143024340038 LEGAL DESC : UPLAND 2ND ADD : LOT 5 BLOCK 1 PERMIT TYPE : ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL SAVERS SWITCH. # INSPECTIONS 1 APPLICANT HUNT ELECTRIC CORPORATION 2300 TERRITORIAL RD ST PAUL, MN 55114 - OWNER ECKER JOSEPH H & MARGARET A 6241 6TH 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 days 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 work 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 regulating construction or the performance of construction. Applicant Date Bldg Insp Date ELEC PERMIT FEE - MIN (RESI) 20.00 STATE SURCHARGE, ELEC FLAT 0.50 TOTAL 20.50 PAID WITH CHECK # 117431 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. Building BUILDING See Back Page for Fee Schedule Permit No.:() Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Surcharge Dal)'cUG 0 ZOOS 763-502-4977 FAX License Surcharge $rte : $5.00 (State Licensed Residential Contractors) SAC Charge EFFECTIVE 1-1-08 $1825 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow 8—L-00 ft + 6 ft = ft x $21 = $ DATE YOUR E-MAIL ADDRESS $ // Park Fee SITE ADDRESS 4a 54 - Fee Determined by Engineering Sewer Main Charge $ THIS APPLICANT IS: ❑ OWNER B9COMRACTOR Total Due PROPERTY OWNER/ NAME: (7� ADDRESS:f' CITY STATE—ZIP— TATEZIPPHONE: TENANT 763 02 " PHONE: NAME: P1K fiNG 1 ADDRESS: VI c • Vf�ir f�tl �E N+� CITY�� STATE ZIP v1b?.-.�0—/.N CONTRACTOR SUBMIT A COPY OF PHONE 7f FAX YOUR STATE LICENSE STATE LICENSE #p2 66`� tg i EXP DATE PROPERTY TYPE INGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH � ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING f DESCRIBE WORK BEING DONE: T�� &% 4orl, e. Onin TT SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING % ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES / ❑ HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used. PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING ADDITIONS & PORCHES SUBMIT: El Vinyl ❑Soffit 1. Site Plan/Survey showing the existing structures ❑ Aluminum ❑ Trim and proposed project. ❑ Other El Fascia 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑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 ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: e�r (USING THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION $ �j '-t'OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ q .0005 x Pennit Valuation Minimum $.50 License Surcharge $rte : $5.00 (State Licensed Residential Contractors) SAC Charge $ $1825 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 $ Make checks payable to: City of Fridley Attach Stipulations 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 permit and work is not to start without a permit on site; that the work will be in acc�or with the appy d plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICAl1T9I' &�.,%,,1 PRINT NAME F ,J , L., DATE8--6�2