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