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PRE 2010 DOCSCity of Fridley, Minn. 3 212 BUILDING PERMIT NIT a Date: . "...-7. ....................... Owner ....................................... Builder C.�........ Y Address...................................... Address ............................................. LOCATION OF BUILDING No.- .7 / Street . l�.U....................... Part of Lot . .. ............... . Lot ........ v Block ....... I ......... Addition or Sub -Division .. .. <AAC........... ' Corner Lot ............ Inside Lot ............ Setback ............ V Sideyard ........................... DESCRIPTION OF BUILDING To Ilp Used as ... ....... ... Front ... v Depth ........ Height ..... Sq. Ft. ®bg®o Cu. Ft. ........ .... .. t .. Depth .. Hei ht .... r S . Ft. Z 1. Cu. Ft. ........ g q Type of Construction .. . Est. Cost. /4750.®........ To be Completed . ......... In In consideration of the issuance to me of a permit to construct the building desribed 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 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. f Building Inspector NOTICE: This permit does not cover the construction, Installation or alteration for wiring, plug, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these a s. City of Fridley, BUILDING PI • Date: Xw 25, 1965 Owner: Herbert W. Hynes Builder Address A270 X- E. 7th. Street Address • LOCATION OF BUILDIN No. 6270 _ _ street 7th. Street N. E. — l Lot 2 _ Block 1 Addition or Sub -Division Corner Lot _ Inside Lot _ Setback Sewer EL—mtion Foundation DESCRIPTION OF To be Used as: House & Front 42 Depth 24 Height Garage Front Depth Height Type of Construction Frame Fst. Cost 0U * 730 In consideration of the issuance to me of a permit to construct th the proposed work in accordance with the description above set forth ordinances of the city of Fridley. 0 r h N° 7522 & Miller Const. Co. Of Lot Sideyard Sq. Ft. Ct. Ft. Sq. Ft. Cu. Ft. To be Completed wilding described above, I agree to do dr/in co�,m/pliance with �arprovisionsll pjovi_sions of In consideration of the payment of a fee of $ 10.00- - - , permit is hereby granted +,,Glad & Miller Const. Commarar 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 reg location, construction, alteration, maintenance, repair and moving of buildings within the city limits and permit may be revoked at any time upon violation of any of the provisions of ea[d ordlstano". NOTICE Ub permit don not emer the construction, 6utallafton for wiring, p umbbm an heaths& sewer or water. Be sore to sse tin BuiWiee Inspector for separate permits for those Items. 4# APPLICATION FOR BU- ING PERMIT. CITY OF FRIDLEY, &NNESOTA OWNER'S NAME012 ,� BTJILDER �4 �`d �%�/ ADDRESS 0 ADDRESS PA'V - h -V is LOCATION OF BIDING No. Stteet Part of ;Lot Lot c;L Block _. Addit.ioir or Subdivision .: Corner Lot Inside Lot ,_,AetVatk Side-Yard- SEWER ideYard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach_to thin form, Two Certificates.of. Survey of Lot and proposed build ing location drAwn on these Cattificates. DESCRIPTION OF BUILDING To be used as: P� d it Front 7 `� Depth Height S$. Ft. Cu. Ft. rL1 -Ed- FrontDmpth Height Sq. Ft. Cu. Ft. Type of Construction �� � la Estimated Cost'/47427, L -r' -irk The undersigned hereby makes application for a permit for the work herein specified,, agreeing to do all work iit 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 A r / Pr �%Js,� ? _JSChedule of Fee Costs can be found on the Reverse Side). 0 0 Application for Power Plants and HeathM& Cooling, Vonflkdbn. RfMg nd%n and Air Cond Woning Sy t m and Doritos PARTIAL RATE SCHEDULE GRAVITY WARM AIA: RAW TOTAL Furnace Shen & Duct Wwk ................ .. $10.00 $ Replacement of Furnace ......... ............... 6.00 $ Repairs & Alterations—up to $500.00 ... 6.00 $ --. --- Repairs & Alterations each add. $500.00 ... 3.00 $—_ MECIL WARM AIR Furnace Shell & Duct Work to 130,000 BTU ........ ..$10.00 ; each add. 60,000 BTU .................... .. 3.W i Replacement of Furnace 6.00 ; Repairs & Alterations -up to $500.00 6.00 $ Repairs & Alterations each add. $500.00 3.00 ; STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam $10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water 10.00 Each add. 200 sq. ft. EDR Steam 3.00 Each add. 320 sq. ft. EDR Hot Water 3.00 $� OIL BURNER—to 3 gal. per hour 6.00 $ over 3 gal. per hour- -See Fee Schedule GAS BURNER (up to 199,000 BTU) 6.00 $ over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures x$ 100 $ Additional Fixtures x .76 $ Gas Range to 199,000 x$ 6.00 ; AIR COIfDITI016IlIG FAN HEATING SYSTEM Sae Fee Schedule VENTILATING SYSTEM$ ALTERATIONS & REPAIRS TOTAL FEE Roo, $ , ROUGH (SURCHARGE $�,50) Dept. of Bidq.. Phom 600-3= City of Fridley: The undersigned hereby makes application for a permit for the work :hereir 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. Owner E W_zA it G of I '' 74 Kind of Building . Used as To be completed about Estimated Cost, New. Building Permit No. Permit No.`t�- DESCREMON OF WORK 1W HEATING or mPO P7.ANTS�v®Bteam, Not Water, NO—Z-_ Trade Nae 6� 1j' e ,91-0 sin 74 /�W� Capacity Sq. efv BTU 19!!. Total -Connected Load BURNER — Trade Name Size No Capacity Sq. FL E.D.R BTU 113' (REMARKS -OVER) g�-<rb i IN L By Budness Phone No- 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 Ft nnA Effective On March 1, 1996 PLUMBING FIXTURE RATES: NO. RATE TOTAL 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** 1 $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 ae.o State Surcharge $ .50 TOTAL FEE $ '�e . S c JOB ADDRESS a 14:5 7- /1g The undersigned hereby makes application for a perm it 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. 51(10 11996 Owner J7, ev, 0 P_ a& I A6 (Z- Building L Building Used As 14 o +r F_ a T Estimated Cost I a6' ° `) PERMIT NO. i//,S PLUMBING COMPANY 'i n,s QgAL,rj fLa.-„4, J6 .7-A)e. SIGNED BY Approved By MU TEL NO.-6--7/-o45y Rough—In Date Final Date —)6_ 76 **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SQ INCHES. CITY 0.9 FRIDLEY INSPECTION DIV. �Q Effective On January 1, 1997 6431 University Ave NE I Fridley, MN 55432. APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner — rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30.00 $ representations stated In this application are true and correct. (Side Vent — Fill Out Back) 1997 Gas Piping (Needed with new furnace) $10.00 $ OWNER j�� � PA t CkVW el) Gas Range $10.00 BUILDING USED AS W Gas Dryer 110.00 $ . ESTIMATED COST_ 15w . n PERMIT NO._ 4le *Air Conditioning — All Sizes $ 25.00 $ DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work $ No. of Heatingnits Circle One (Steam) (Hot Water) arm A Trade ame Size No. Commercial/Industrial BTU HP EDR 1.25% of Value of Appliance or Work $ Fuel Total Connected Load State Surcharge $ .50 Burner Trade Name Size No. TOTAL FEE 3$ D T BTU HP EDR . HEATING COMP I•� �, MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION -1 REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 Signed ByAil A44 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr Approved By 14 Rough—In Date Final Date_/ *Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE FO STACK VERIFICATION ON written permission from adjoining property owner. REPLACEMENT FURNA E e w CEMONEY AND STACK VERIFICATION The undersigned hereby verifies that the existing cbimney or stlada 1. . Has been carefully examined Yes No ' ( ) 2. Is free from rust or deterioration Yes ( No ( ) 3. Has no foreign objects lodged within Yes (kj No ( ) 4. Is securely supported Yes k) No (. ) 5. Meets all current Code requirements for size and total BTU's connected Yes ('. No { ) 6 Has total heating BTU's of 1pl 1n7v All other BTU's TOTAL BTU's I��1 7. Has a liner been provided for water heater Yes V No (). 8. Has combustion air been provided for water heater Yes .(� No ( ) List ALTERATIONS Being Done: �a HEATING CO: Signed By: Date: BLAINE HTG. A/C ELECT., i, b 11 HEATING AIR CONDITIONING HOUSE HEATING TEST RECORD sumfiE AND ELECTRICINC. ADDRESS APT. FLOOR CITY URB OCCUPANT L-,� t �a \'�� .� l�yl, OWNER HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY Electrical Work ByGas Lina By TYPE OF HEAT GA FA 4( HW STEAM SPACE HTR. UNIT HTR OTHER GAS DESIGN COW ON MAKE Z MAKE OF BURNER Model Z-1-4 0, Model Serial i I� (, •, �-, Max. BTU Rating INPUTS MAKE OF FURNACE Model CONTROLS THERMOSTAT Heat_Plug Valve Limit `:1: •as is Limit Setting N lrk'Ikj Fan Setting V • V -a Pilot Type Wa i5'1 -n. -o. Fy%1 E:z Pilot Make Pilot Model Pilot Timing d ` L W. Cut Off Pressure 11 Percent CO, Input CFH 10 Percent O, Stack Temp. Percent CO a l Form 235 1 Vent Size 1+" KIND OF LINER SIZE`S NONE Draft Hood Regulator Filters Size `4 X -r 2c- Number - Odminey Location Inside ICE Outside Chimney Construction V, Smoks Bomb Whing f� Draft Tat Tag Door Pressure Ughting hint. Date Tested i — f - •'4 '9 Company Tasting �—Wp, ' �= Name of TesterLki L- SUBJECT _( NO. City of Fridley 26923 AT THE TOP OF THE TWINS BUILDING P E R M I T j i COMMUNITY DEVELOPMENT DIV. i V � ___ � _ fr PROTECTIVE INSPECTION SEC. r 1 � r NUMBER REV DATE PAGE OF APPROVED By CITY HALL FRIDLEY 55432 L 612-571-3450 910415 7/30/98 JOB ADDRESS 6270 7th St NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 1 Upland 1st Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jim Neuberger 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Midwest Siding & Roofing 18979 Gladstone 416-4804 20010277 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 11 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage 25 SO Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Buidling 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 BO 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 D EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SA TO BET AND RRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDM ANC G HIS PE OF WORK WILL BE COMPLIED WITH ETHE CI HE IN NOT. THE GRANTING OF A PERMIT $2085 $1.04 DOES NOT P E GI V A ORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISION O E OR LOCAL LAW REGULATING CON- STRUCTIO OR P O CE OF CONSTRUCTION. $74.75 Fire SC $2.08 �j 0 r 7 PLAN CHECK FEE TOTA .EE ✓ . 0 X2.87 IGNATURE OF CONTRACTOR OR AUTNORIIED AGENT (DATE) P OPE LIDAT IS IS YOUR PERM T _ �' BL INSP • r MATE SIGNATURE OF OWNER OF OWNER BUILDER, IDATEI NEW [ ] Effective 1/1/98 ADDN [ J CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 2? 4_h Legal Description: Owner Name & Address: , j e C -Pw Tel. # Contractor:' -0(1%4 -e S 's4 MN LICENSE # Z o,!v 1 O 2 7 7 Address:�� S -t® ��� • �''c �v� Tel. # V((p 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: $ 00 $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Construction Type: T & V- 54 S Estimated Cost: $ Park Fee Driveway Curb Cut Width Needed: DATE: 7 ^ 31' —�$ APPLICANT: '(Fee Schedule on Back) Ft. +6Ft= F x $ _$ Tel. # 7 �& TOTAL STIPULATIONS: I � j CITY USE ONLY Permit Fee $ �1, �� Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $_ $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ 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 STIPULATIONS: I � j SUBJECT RMIT NO. City of Fridley 32366 AT THE TOP OF THE TWINS BUILDING PERMIT i � R `� COMMUNITY DEVELOPMENT DIV.��®� INSPECTION SEC. r PROTECTIVE F , CITY HALL FRIDLEY 55432 NUMBEN REV DATE PAGE OF APPROVED BY L 612-571-3480 910415 12/19/01 JOB ADDRESS 6270 7th St NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESca. 2 1 Upland 1st Addition SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Louia Thompson, 6270 7th St NE, Fridley, MN 55432 763-571-5669 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO K Designers, 3810 W Highway 13, Burnsville, MN 55337 952-894-3600 20138685 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Dwelling 7 CLASS OF WORK JD NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 11XjtTXX3rX7yXjtX Vinyl siding 9 CHANGE OF USE FROM TO STIPULATIONS Per Section 1402, 1997 Uniform Building Code requires that a weather - resistive barrier be placed over exterior sheathing to protect the interior wall covering. Exceptions to this provision would be if sheathing is an approved weatherproof panel or when the siding is an approved weather barrier. Vinyl siding is not a weatherproof covering unless the manufacturer states this in the application guidelines. Call for inspection of wrap before covering. 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 $9,769.59 $4.88 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 $181..25 $9.77 Fire SC PLAN CHECK FEE AL FEE $5.0 cen J7$200.90 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT tOATE, HE P O LY VA TED THIS ISYOUR PERMIT B G NSP /f r,AiE SIGNATURE OF OWNER,IF OWNER BUILDERI iDATE. (r�'dl t,lV�iy ky-p- N� NEW [ ] 5 614 3d Effective 1/1/2001 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: �0�7�� % ' 2 tjz� Legal Description: Owner Name `& Address: �.®ZL/k 1 hDi;'ldS6r1 Tel. #x'%3,1 S71 -S6699 /(_- Contractor: Lrs-kns�' zae. MN LICENSE # /3 (o FS -- Address: 3 l SSS 7 Tel. # 6LV W 3&60 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: //157/J/� ///!�I//� .�//�/�l%� /II�P� ��C/S7///G ' P_176 /D,—" Construction Type: Estimated Cost: $ 976 2,52 Driveway Curb Cut Width Needed: Ft. + 6 Ft = DATE: aI APPLICANT: CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL Ft $ _$ Call (763) 572-3604 for Permit Fees if mailing in application Tel. # $ 1$ l - -qs Fee Schedule on Reverse Side $ q 17 .001 of Permit Valuation (1/10th%) $ 41 1?8 $.50/$1,000 Valuation $ $1150 per SAC Unit $ 5,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 [ ] STIPULATIONS: SUBJECT 'PEIT NO. City of Fridley 3 2 6 2 AT THE TOP OF THE TWINS BUILDING PERMIT r 1 1 RECEIPT NO. ------COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. ��� NUMBER REV DATEF7; GE OF APPROVED By CITY HALL FRIDLEY 55432 �..__1l•' '•� 612-571-3450 910-F15 5/24/02 / JOB ADDRESS 6270 7 Street NE T LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 1 Upland 1st Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE L. Thompson 6270 7 Street NE 763-571-5669 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Master Remodeling Inc 32 10 Ave S, Hopkins, MN 55343 952-932-9311 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 20012916 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION Cj REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Replace windows 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. Permit Inspection Cards Will Be Mailed To Homeowner To Post TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 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 $3.00 WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT $6,000 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 PLAN CHECK FEE TOTAL FEE Licen $5. $1 .25 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT iOATEiEN ROPE ALIOATED IS IS YOUR PERMIT S-GNATURE OF OWNER OF OWNER BUILDERS IOATEi BLQA iNSR T/6 Ft NEW [ ] CITY OF FRIDLEY Effective 1/1/2002 ADDN [ J 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: (�,a `70 'l �"' S#r�sc.� 11.E • �r cot M n 55y Ate, Legal Description: Owner Name & Address: "u►aThorjprQbo 6,29D 'la'' St. Yl �. Tel. # ('161) 5"11-56b9 Contractor. Ir UTEB RMODELING, INC. MN LICENSE # BMTU i RiF7vTR nV1Tr.rrr�INC, Address: JbinkhmAhNsimts 55343 Tel. # ,,32 Tenth Avenue South (942)N2-9311 (952)932 9391 343 Atta q�j tion, a Certificate of Survey of the (952) 932. 311 lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length I Width Height - Sq. Ft GARAGE AREA: Length Width Height Sq. Ft DECK AREA: Length Width Hgt/Ground Sq. Ft OTHER: Construction Type:04•"J,,,:�a__W-4jtstimated Cost: $ Driveway Curb Cut Width Needed: Ft + 6,5? /Lx $ A =$ 121—oz— APPLICANT: _Zz�i'AARWII - — Tel. #_ Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-5714287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge CITY USE ONLY - $ (25�. 2- $ $ &-o $ Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.501$1,000 Valuation $1200 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 $ l STIPULATIONS:-