Loading...
PRE 2010 DOCSCity of Fridley, Minn. N° 7827 • BUILDING PERMIT Date: June 10, 1965 ow.: Virgil Haugen Builder Corlon Construct on Co. Adm 6010 7th Street N. E. Address 6631 Nokinlay Meet N. E LOCATION OF BUILDING No. 6010 Street 7th Street N. E. part of Lot Lot 7 _ Block 1 Addition or Sub -Division Bonny Add. Corner Lot _ Inside Lot Setback Sideyard Sewer Elevation Foundation Elevation To be Used as: DESCRIPTION OF BUILDING Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Est. Cost &44000 To be Completed • Storm damage repair :7 In consideration of the issuance to me of a permit to construct the building described above I do the proposed work in accordance with the description above set forth in ce wi of ordinances of the city of Fridley. In consideration of the payment of a fee of $-I , permit is hereby granted to rnrl on Cnnw— r_ Co. 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 provi®tons of said ordinances. Allen Jensen NOTICE Uh pump does not cover the eendrudios, hutalladw for whb& piumbhg, gn haring, awer or water. Be arra to as 16 Building Inspeeter for Up -do permit for thea home, APPLICATION FOR BUILDING PSr_KT. ; CITY OF FRIDLEY, MI.IiaESGTA OWNER'S NAME Viral Haugen BUILDER CORLON CONSTRUCTION COMPANY ADDRESS 6010 7th St. N.E. ADDRESS 6631 McKinley St. T.E. LOCATION —O7F BUILDING, 6 �O No. 010 / Street Part of Lot Lot Block Z Addition or Subdivision Corner Lot Inside Lot Setback Sade -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant at to this form Two Certificates.of Survey of Lot and proposed build- ing location drawn on•these_Certificates. DESCRIPTION OF BUILDING To be used as: Front icptii Height Sq. Ft. Cu. Ftp Front Depth Height Sq.- Ft. Cu. Ft. Type of Construction REPAIR Estimated Cost $4P100-00 To be Completed June 30, 1965 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 representations stated in: this application are true and correct. DATE June 9, 1965 SIGNATURE .(Schedule of Fee Costs can be found on the Reverse Side). Sheetrock all ceilings, one bedroom --Replace siding --window repair --New roofing Misc. repair throughout straighten garage wall SUBJECT PERMIT N City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO `y COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. J-//-5 1 � ` "1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BV 612-571-3450 910-F15 4/2/87 JOB ADDREUb10 - 7th .Street N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 1 Bonny Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO, North Central. Builders 7401 - 42nd Avenue, New Hope 55427 533-6168 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING R-1 7 CLASS OF WORK ❑ NEW ❑ ADDITION KO ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Soffit and Facia 9 CHANGEOFUSEFROM TO STIPULATIONS 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 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 $1,800 �r $.90 DOE OT RESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PR ISIONS OF ANY OTHER STATE R LOCAL LAW REGULATING CON- ST UCTION R THE PERF�ORMANC R=CONSTRUCTION. $59.00 PLAN CHECK FEE TOTALFEE $59.90 / �---)1�Ae 7 GNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PRO ERL LI ATED HIS IS YOUR RM T BLDG INS MATE JL SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) NEW [ ] ADDN. [ ] ALTER. [ ] Construction Addri Legal Description City-OE/Fridley Effective 4/1/86 fR-1 AND R-2 I Building Permit Application Owner Name & Address: Contractor: Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT 181. V LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: so (= R C - � �7 QC-, Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Cost: $ N ® Q Type of Construction: Estimated Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: APPLICANT: CITY USE ONLY Tel. # Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $ 525 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] /E®J v /v ��Jel, 01 SUBJECT City of Fridley G 19395 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. •COMMUNITY DEVELOPMENT DIV. �..------, r 1.� PROTECTIVE INSPECTION SEC. 1 =� �'--1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 4/18/88 JOB ADDRESS 6010 - 7th Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 1 Bonny Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Virgil Haugen 6010 - 7th Street N.E. 571-1384 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. D & D Home Improvement Inc. 7401 Central Avenue N.E., Fridley 784-7543 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 O MOVE ❑ REMOVE 6 DESCRIBE WORK Reshingle/Overlay House & Garage (20' Squares) 9 CHANGE OF USE FROM TO STIPULATIONS 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 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 $.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,000 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. $17.50 � PLAN CHECK FEE TOTALFEE /t G� 4=1 - $18.00 SIGNATURE OF CONT CTOR OR AUTHORIZED AGENT IDATEI WHEN PROPERLY LIDATED THIS IS YOUR PERMIT BLDG $NSP nA SiGNATURE OF OWNERIIF OWNER BUILDER$ IDATEI 01 NMS ( ] City of Fridley Effective 4/1/8( ADDN. I ] R-1 AND R-2 ALTER. VQ Building Permit Application Construction Address: ® Legal Description: �'/r l �1 a' 14i �� Tel . �' — / �-% Owner Npme t Address: ,A �S Contractor: N m- � P. I-f\c- Tel. ; Address: O c�i� P`tl U , AA 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: Corner Lot [ ] Inside Lot Ft. Yd. Setback __ Side Yard Setback. Type of Construction: �E/tq�� ���'� ��� f© Estimated Cost: /-'cpv— / 95e 4-9 .1L Approx. Completion Date: `Y Alt. A Alt P Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation DATE: , (—/ 1,— T5 APPLICANT: = eaik� Tel. # %1%9, —�✓' CITY USE ONLY Permit Fee t ✓°7 Fee Schedule on Reverse Side Plan Check t 25% of Building Permit Fee State Surcharge $ $.50/$1,000 Valuation SAC Charge 4 $475 per SAC Unit Park Fee t Fee Determined by Engineering Sewer Main Charge Agreement Necessary ( ] Not Necessary [ ] TOTAL : %g O U • STIPULATIONS: SUBJECT PERMIT 1.0-----�, City of Fridley 22286 AT THE TOP OF THE TWINS BUILDING PERMITEIPT NO. COMMUNITY DEVELOPMENT DIV. _ ~ PROTECTIVE INSPECTION SEC. l 1 /1 CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY � 612-571-3450 910-F15 1/13/94 10B ADDRESS 6010 7 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 1 Bonny Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 571-1384 Virgil Haugen 6010 7 Street NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Pacesetter Products of MN 1110 New Brighton Blvd, Mpls. 55413 331-9303 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 O ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST, OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $5,500 $2.75 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $8100 Fire SC $5.50 TRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE L1 License SC $5.00 p IN $94.25 WHE PE L V LIDATED THIS IS YOUR PERMIT I6NATURE OF CONT RACTOR OR AUT ZED AGENT ID EI LDG I S DATE�- SiGNATURE OF OWNER OF OWNER BUILDER) (DATE) NEW [ ] -Effective 1/1/94 ADDN 1 [ ] ' CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Const<vctionAddress: (� O 7 S T N .0 Legal Description: (�C < �� % ©� Owner Name & Address: 12C,IL AVE, 6 ca / 0 7 4^^ 5-7- At f- Tel. # S-71 - / 3 FL/ Contractor: Ael c- e. S e- T' 7-e, rc /fro t_-2 v `T S MN LICENSE # Address: 1 / l (7 & L - y .D Tel. # 33/-9 903 M 19 L S P-1 IV 5,3-30 p y 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: Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: lee- S / 6? e — Let Estimated Cost: $ S O Approx. Completion Date: (Cost on Back) Driveway C b Cu Width Needed: Ft. + 6 Ft = Ft 1 $ =$ DATE: 1 / % � APPLICANT: Tel. # 3 3 l - `) 03 CITY USE ONLY Permit Fee $ <S/ 00 Fee Schedule on Reverse Side Fire Surcharge $. SD .001 of Permit Valuation (1 / 10th %) State Surcharge $. $.50/$1,000 Valuation SAC Charge $ $800 per SAC Unit License Surcharge $ 00 $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ ( 4` 2� STIPULATIONS: NEW j j Effective_. 11 1/94 . ADDN j CITY OF FRIDLEY ALTER [ j SINGLE FAMILY AND DUPLEXES R-1 AND R-2a� Building Permit Application Construction Address: Legal Description: Owner Name & Address: ��� �� jam"" Tel. # S Contractor:`o. MN LICENSE # ir 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: Corner Lot (] Inside Lot [) Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ Approx. Completion Date: fl 1 -#--- 3 (Cost on Back) S C1 DrivewayCut Width Needed: Ft. t = Ft 1 - _ DATE: Cr2 / APPLICANT: Tel. # 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 $ $800 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $_ Agreement Necessary [ ) Not Necessary TOTAL STIPULATIONS: SUBJECT PEaley City of Fr 2687 AT THE TOP OF THE TWINS BUILDING PERM r RECEIP • COMMUNITY DEVELOPMENT DIV. 6 r 1 PROTECTIVE INSPECTION SEC. d NUMBER REV1;/29/98 ATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 JOB ADDRESS 6010 7 St NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 7 1 Bomy Add. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Hausten 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Gates Roofing 4640 Ximinps T -n Plymnlli-b 55442 550-0043 6793 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION LX REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof 23 SO Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 1918 6 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 PERFO MANCE OF CONSTRUCTION. $62.25 tire SC $1.92 PLAN CHECK FEE O AL FEE �] 7- ) Y e 1 E PY VAL A D THIS IS YOUc R SIGNATUREOF CON'. CTOR OR AUTHORIZED AGENT (DATEI 1 1 � _ S.GNATUREOFOWNER IIFOWNER BUILDER) IDATEI ® G opS GATE NEW (] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: ( Q) D Legal Description: Owner Name & Address:Tel. # Contractor: Address: V MN LICENSE # 6 %q3 Tel. # 550-004 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE -AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: 1ud & k -Yde a CIG, SC/ Construction Type:AWN,0 T Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: I CITY USE ONLY $---2-0113 $ �Q, ,-2S- Fee Schedule on Reverse Side $ .001 of Permit Valuation (1/10th%) $ $.50/$1,000 Valuation $ $1000 per SAC Unit $ r7 W $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 [ ] $---2-0113 01 SUBJEtr NO, City of Fridley 30114 AT THE TOP OF THE TWINS BUILDING PERMIT f T • �___ COMMUNITY DEVELOPMENT DIV. t � v _ PROTECTIVE INSPECTION SEC r '✓ci 1 � i CITY HALL FRIDLEY W432 NUMBER NEV DATE Of APPROVED BY 612-571-3450 910415 I 8/24/99 r;G1 � JOB ADDRESS 6010 7th Street NE 1 LEGAL LOT NO. BLOCK ADDITION SEE ATTACHED DE DESCR. 7 Ronny Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Virgil Haugen 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO AdvanceAlum, 77()l Main &L NE Frielley 55439 - 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 Reside; Fascia 9 CHANGEOFUSEFROM TO STIPULATIONS Call for building wrap inspection before covering. Permit Inspection Carus Will Be Mailed To Homeowner To Post 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 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 $2000 $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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION 69.25 Fir C $2.00 PLAN CHECK F TOT E Lice S 5. .25 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT iDATEj MIS I UR P MI 7ENROPRAIOAT S-GNATURE OF OWNER -IF OWNER BUILDER. IDATE, BLD INSP r�ArE 01 DA g 612 571 2260 ADUANCE ALUMINUM I L [) CITY OF FRIDLEY [ ] SINGLE FAMILY AND DUPLEXS R-1 AND R-2 BUILDING PERMIT APPLICATION tlonAddress:��� 5 �" /t"41, v 01 ffeWve 1/1/D8 Description: r Nakne & Address:y1 C-/G� ,Cl ; 6 01,9 Y.< S* 7- Tel. # ictoi: A�U,�1i4t..r�. Ac.v���� �� do�✓�Y, /-YG MN LICENSE#_ �$ 3 ss • 7 70 Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF1IVIPROVEM ENT s AREA: Length Width Height Sq. Ft. 7YE iAREA: Length Width Height Sq. Ft. AREA: Length , Width Hgt/Ground Sq. Ft.1. I �+ ction Type: t•1 w 14 Estimated Cost: $ 't a4b (Fee Schedule on Back) ay Cilrb Cut Width Needed: Ft. + 6 Ft = Ft x $ . _ $ APPLICANT: Tel. # CITY USE ONLY Pern*it --ee Fire ISu charge State! St rrhange SAC: C1 arge Licedise Surcharge Drivtwi y Escrow Erosion Conti of Park iFe 5ewet ain Charge TOT, f� $ !- �S Fee Schedule on Reverse Side $ - 04 .001 of Permit Valuation (1/10th%) $ /,00 $.50/$1,000 Valuation $ $1000 per SAC Unit _ $ 6,00 $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 [ ] MPtJL, kTIONS: mot xa)tu���-t 44uv- Building PLUMBING Permit No.: "\, a Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY DatR@W0d AR O 763-502-4977 FAX EFFECTIVE 2-19-09 DATE A 1.26,1'a YOUR E-MAIL ADDRESS SITE ADDRESS '7 n i THIS APPLICANT IS: 0 OWNER *_-ONTRACTOR PROPERTY NAME: N ADDRESS: -1 vt CITY STAT ZIP 5S Y3 OWNER/ PHONE: `% 3 - S % /3d° NAME: Terry Overacker Plumbing Inc CONTRACTOR SUBMIT A COPY OF YOUR STATE STATE LICENSE # 502 E Main St LICENSE, BOND AND STATE BOND # Anka, MN 55303 CERTIFICATE OF ADDRESS: E ZIP (763) 572-8880 INSURANCE PHONE PERMIT TYPE AF�SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE ❑ NEW REPLACEMENT TYPE OF WORK: DETAILED DESCRIPTION OF WORK r IV FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $35.50. BATH SINK/LAV DRAINS _ SHOWER _ WATER PIPING _ _FLOOR 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 ($35) FOR IRRIGATION _ WATER METER —OTHER a u k45 �� Q�r% "���:�'i"`�`, r aa P� i.. ` r r W➢�1nk�i�$; tt r y2l%i�^t11� it Pl"l' ,/y. 0511 / i,`' S :r4 al l� 1Y 47bd 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 of all work which requires review and approval of plans. �A G l(' 1C °@ vJ� DATE SIGNATURE OF APPLICANT PRINT NAME ",,°Ji ; s� E'ARATE:% ARRREQUfflMt City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977