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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N® 3372 Date: ... 9-. 6; .�. '5--e ........ Owner ....................................... Builder ... ...... ............ ........... Address...................................... Address .... ........ ......................... / LOCATION �� OF BUILDING No. ZJ/ Street ..... ....... ... ..'Ce. .... 41 /;r ... Part of I.,Qt .... .. .... ... Block ..... ........... Addition or Sub -Division ..... Lot ..../... . ... Corner Lot ............ Inside Lot . A ....... Setback .23:1. . f.0" Sideyard / W1f-/ - DESCRIPTION OF BUILDING To Used ,�+/ fig Cf C� .... Front ..-1`..�!. Depth .a J... Height .� /.... Sq. Ft. 1/aT Cu. Ft.R!� Front . �.. Depth ... .. Height ..% o.. Sq. Ft. 0747aCm Ft. .'� . �Y .. .. ....... ..... ilkt. �l�b To be Completed .................. . Type of Construction ............. 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 an provisions of ordinances of the city of Fridley. ............. In consideration of the payment of a fee of $. RA....., permit is hereby gram�ted 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. _ �� ...... $wilding Inspector NOTICE: This permit does not cover the construatlon, installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inepeotor for separate permits for these items. 000' IrIF.ZW V49MLIOr., 0 Application for Power Pknts and Heating, Cooling, Ventilation. Ref igeration and Air Conditioning System and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: Furnace Shell & Duct Work .......................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 .................. Repairs & Alterations each add. $500.00 . MECH. WARM AIR Furnace Shell & Duct Work to 190,000 BTU ............ each add. 60,000 BTU ....................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 ................ . Repairs & Alterations each add. $500.00 .............. STEAM or HOT WATER SYSTEM RATE TOTAL 8.00 $ 5.00 $ 5.00 $ 2.50 $ 8.00 $ �� 8.00 Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 5.00 $ 5.00 $ 2.50 $ Furnace Shell & Lines—to 400 sq. ft. IDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ *�-- GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ aA Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS REMARKS: $ See Fee Schedule $ TOTAL FEE $ Dept. of Bldgs. Phone SII 4-7470 Location i 6A 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 andel correct. Fridley, Minn- CO-- 195 Owner -) L'e® �U � _ 195_ Kind of Building � itpA/�✓�� 195— Used as .!!59 SIDS /V E" To be completed about Estimated Cost, $ Old—New. Building Permit No.�� DESCRIPTION OF WORK HEATING or POWER , Warm Air—No Trade Name A J Size No_CA**S /,00D Capacity. 90-9:Z 10®10 Sq. Ft. E.D.R BTUsZ H.P. Total Connected Load_ Q/ Kind of Fuel 4 S BURNER — Trade Name Size N Capacity Sq. Ft. E.D.R BTU H.P. Ddb �sr HEAT LOSS CALCULATIONS Weatherstrips A.S.H.V.E Guido Windows Doors Reference es ea—No= 19— DEPARTMENT OF BUILDINGS MINNEAPOLIS. MINN. Construction No. Insulation Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied 09 ' Width /, -,g Height �� Fl.� " �"�:: m Room Length //' Width // G Height and Area Windows and Doors—Crackage and Area alt . Area Width Height Nob'l to Lineal ft. Area ft. N. of pass of pane 116bts of crack sq. tt. Windows an oors—Crackage a Width Height No. of Lineal ft. No. ofVane of pane lights of crack Width Height No. of Line No. of pane of pane lights of cracks9 3 a d. Coef. Btu Infiltration Coef. to Infiltration J Glass Glass 60 � 'go ® o Exp. wall Net exp. wall / Net exp. waq Net exp. wall 0,1 Int. wall Ceiling Int. wall Ceiling® Floor Ceiling® Floor '09116-1 5-00 Floor Total Btu. 6� p Required sq. ft. E.D.R. or sq. ins. A. Leader area , Fl. f�� Room Length 7' / Width z� Height P Windows and Doors--CrackaSe and Area Width Height No. of Lineal ft. No. ofVane of pane lights of crack Wld h Height No. of Lineal ft. Area No. of pane of pane lights dt crack sq. ft. Coef. Btu Infiltration Coef. Coef. to Infiltration Glass® Glass Exp. wall' 1111 Exp. wall Net exp. wall 4 Net exp. waq Int. wall 0,1 Int. wall Ceiling Ceiling® Floor Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. A. Leader area Fl. , oom I Length Width Windows and Doors—Crackage and Area Width Height No. of Llneal tt. Area No. of Dane of Dane lights of crank aa. tt Btu Infiltration Glass Exp. waU Net exp. waU Int. waU Floor Tbtal Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area Btu m MR 101 Net exp. wall Int. wall Ceiling ` Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area i F7_I / i :s' oom I Length Width Y A ® Heisht Windows and Doors—Crackage and Area Width Height No. of Lineal ft. No. ofVane of pane lights of crack Area sq. ft. Coef. Coef. to Infiltration / Glass 1111 Exp. wall Q Net exp. waq 0,1 Int. wall Ceiling® Net exp. waU Floor '09116-1 5-00 Total Btu.® Required sq. ft. E.D.R. or sq. ins. WA. Leader area in I --z- cl___ 1 r ___L ..,, I G, W.A&L LI—L. iPl Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane of Dane lights of crack ap. ft. Coef. Btu Infiltration Glass Exp. waU Net exp. waU '09116-1 Int. waU Ceiling Ilo awe) Floor RenuirpA an_ k_ ED_R_ nr an_ ins_ W_A_ 1.&AAPP AT&A 1 11 HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS Weatherstrips A.S.H.V.E. Construction No. Guide Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind i Fl.l A , Room I Length Width�,---) ® Heistht 0 -/ II FI.I Room I Lenath Windows and oors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of cra k sq. ft. � F Coef. Btu Infiltration Coef.1 Btu Infiltration Net exp. wall .47 1 77 Glass Ceiling Floor — Exp. wall Net exp. wall a Int. wall Ceiling r 0 0 C"0 Floor 1° Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room ( Length Width Windows and Doors—Crackage and Area Width Height No. of Ltneal ft. Area No. of Wane of pass It.6is of crack I so. fL Btu Infiltration I Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Tbtal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area MINNEAPOLIS. MIM. Insulation 'How Applied Width Height Windows and Doors—Crackage and Area Width Height No. ofLtneal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I F7_I Room I Length Width Heistht Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq: ft. E.D.R. or sq. ins. W.A. Leader area F7_I Rnnm I Lenath Width Height Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane of -pane lights of crack aq. ft. Coef. Btu Infiltration Class Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. leader area 52-84-4915.51 City of Fridley App9cation for PhnnMng and C"m Dept. of Bldge. Phone 560-3450 DESCRIPTION OF WORK 631.1 N E 7th St Number, Kind and Location of Fixtures Future Comeclioa OpeniwI %.onn ci.a wua Sewn New Fixture, Old Openings Cesspool ❑ PARTIAL RATE SCHEDULE SIP F a w x $2.00 Y - l llngn x $1.50 $ < ` (�9 1 e / • N WATER HTR. GAS EIEC. Base x $3.25 $ Electric Water Heater = $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $2.00 $ Additional Fixtures . ..... $ .75 $ Gas Range to 199,000 BTU .............. 1 x $5.00 $ 3.00 1st 1 2nd 3rd -- 4th Future Comeclioa OpeniwI %.onn ci.a wua Sewn New Fixture, Old Openings Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ... ...... x $2.00 $ - Future Fixture Opening ... .. ..... x $1.50 $ New Fixture Old Opening x $1.50 $ Catch Basin .. ...... ... .. x $3.25 $ Water Heater (Up to 99,000 BTU) x $3.00 $ New Ground Run Old Bldg. x $3.25 $ Electric Water Heater = $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $2.00 $ Additional Fixtures . ..... $ .75 $ Gas Range to 199,000 BTU .............. 1 x $5.00 $ 3.00 REPAIRS & ALTERATIONS—Refer to Code Description . ............................................$ TOTAL FEE $ 3.00 -so 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, ?Mnn 4-25-69 y.19_ Owner N Hodefield Kind of Building frame Used as r®S To be completed about 4-30-69 Estimated Cost, $ 10.00 Old—New. Building Permit Nd, Pe it Ao. By MINUMLIt GAS CO. Business Phone No ROUGH FINAL --Y l 7 -? C) City of Fridley 53-84-5915,51 Application for Plmbfng and Sm Fktkg Pandit DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 $ Future Fixture Opening ........... x $1.50 $-- New _New Fixture Old Opening .......... x $1.50 $ Catch Basin .................... x $3.25 $ Water Heater :Up to 99,000 BTU) .... x $3.00 $ New Ground Run Old Bldg. ........ x $3.25 $ Electric Water Heater .............. a $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures 2 x X00 $ 2.00 Additional Fixtures .................. x $ .75 $ Gas Range to 199.000 BTU ............... x $5.00 $ Install (1) Gas Lite And Grill $6.00 REPAIRS B ALTERATIONS—Refer to Code Dept. of Ridge. Phone 960-3430 l.e�sfea 6341 N E 7 St City of Fridley: The .undersigned hereby makes application for a permit for the work herei specified, agreeing to do 411 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, M,,,. 5-22-72 18, Owner Richard Ekstrand Kind of Building Frame Used as Res, To be completed about -29-72 Estimated Cost, $ 20.00 eC Old—New. Building Permit No. � Permit No. d Signed a At, Z2 eq 1 0 5al� By M!RM-A 6 G 9 Business Phone No ROUGH FINAL O " ' Description ............................................. 1 am Imp surcharge .50¢ TOTAL FEE $ 8.00 "Cr 1 3 r ' • WATER M. TR• GAS ELEC. Base 1st 2nd 3rd 4th • Future connection, Openings * Fixture. Fixte, Old Openings Connected with BawerN•w ❑ Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 $ Future Fixture Opening ........... x $1.50 $-- New _New Fixture Old Opening .......... x $1.50 $ Catch Basin .................... x $3.25 $ Water Heater :Up to 99,000 BTU) .... x $3.00 $ New Ground Run Old Bldg. ........ x $3.25 $ Electric Water Heater .............. a $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures 2 x X00 $ 2.00 Additional Fixtures .................. x $ .75 $ Gas Range to 199.000 BTU ............... x $5.00 $ Install (1) Gas Lite And Grill $6.00 REPAIRS B ALTERATIONS—Refer to Code Dept. of Ridge. Phone 960-3430 l.e�sfea 6341 N E 7 St City of Fridley: The .undersigned hereby makes application for a permit for the work herei specified, agreeing to do 411 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, M,,,. 5-22-72 18, Owner Richard Ekstrand Kind of Building Frame Used as Res, To be completed about -29-72 Estimated Cost, $ 20.00 eC Old—New. Building Permit No. � Permit No. d Signed a At, Z2 eq 1 0 5al� By M!RM-A 6 G 9 Business Phone No ROUGH FINAL O " ' Description ............................................. 1 am Imp surcharge .50¢ TOTAL FEE $ 8.00 SUBJECT PERMIT City of Fridley - AT THE TOP OF THE TWINS BUILDING PERM I T r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. INSPECTION r PROTECTIVE SEC. / /a CITY HALL FRIDLEY 55432 NUMBER REV. DATEPAGE OF APPROVED BY L 612-571-3450 910-F15 9/24/$0 JOB ADDRESS 6341 7th St. N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 14 3 Christie Add. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John DiSarro 6341 7th St. N.E. Fridley 55432 571-4737 3 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 20 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install aluminum sidincr and trim, 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. Aluminum 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 R-1 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 $3,000.00 $1.50 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. $18.00 PLAN CHECK FEE TOTAL FEE SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROS�°° SLY VELI DATED THIS IS YOUR PERMIT NATURE OF OWNER 0F OWNER BUILDERI IDATEI�� BLDG INSP OATE CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PEW41TS (flew, Alterations, Additions, or Repairs) OWNER: —fE> %N� r,�, N ADDRESS: TEL NO: S-1 BUILDER: - tN---4w �(L ADDRESS: TEL 110: Construction Location STREET NO: STREET: '-[ �� 1QS LOT: \� BLOCK:^ ADD ION: Corner Lot: Inside Lot: Setback.: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION -SQL Front\�:Depth: Height: Square.Feet: Cubic Feet: Front: Depth: Height: Square -Feet: Cubic Feet: _ . Type of Construction: Estimated Cost: $ ®Oi� To Be Completed: .��1�1 \S� V\$� Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET 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: Stipulations: SIGNATURE: ' • • SUBJECT P City of Fridley < 23594 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO.a9 _ COMMUNITY DEVELOPMENT DIV. v PROTECTIVE INSPECTION SEC NUMBER REV DATE PAGE OF APPROVED By CITY HALL FRIDLEY 55432 1'J 612-571-3450 910-F15 8/1/95 JOB ADDRESS 6341 7 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14 3 1 Christie Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kurt Hamberg 6341 7 Street NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Quality First Roofing 3864 Vincent Ave N, 588-9064 20020292 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 6 DESCRIBE WORK Reroof House & Garage (24 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must meet the 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 SQ. FT. CU. FT AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED, NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,920 .96 DOES NOT PRE ME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS NY OTHER SYATE OR LOCAL LAW REGULATING CON- S TRUCT�OOHEPE R NCE OF CONSTRUCTION $62.25 Fire SC $1.92 PLAN CHECK FEE TOTAL FEE License SC $5.00 70.13 SIGNATURE CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PAOPERLV ALIDA ED THIS IS YOUR PERMIT SIGNATURE OF OWNER)IF OWNER BUILDER) IDATEI BLDG )NSP DATE NEW [) Effective 8/l/95 ADDN (] CITY OF FRIDLEY ALTER [) SINGLE FAMILY AND DUPLEXES R-1 AND R -2 -e �GIS� Building Permit Application T Construction Address: Legal Description: — r Owner Name & Address: '�"v A Tel. # Contractor: � � � � S� �c� 0�, ng — MN LICENSE # Z O O Z O Z.9_ Address: 19 Tel. # S H _ 7 0 6 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 HgdGround Sq. Ft. Y -e I o ci 6 �Se -r ('C't CL OTHER: - Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ 2 IL26� Approx. Completion Date: ' (cost on Back) Driveway Curb Cut Width Needed: Ft.+ 6 Ft = Ft x $ _ $ DATE: - I- t //�� APPLICANT: r d l a S Tel. # 5 2 Z• S i l� STIPULATIONS: CITY USE ONLY Permit Fee $ CC� �Sr Fee Schedule on Reverse Side Fire Surcharge $ / . g .001 of Permit Valuation (1 / 10th %) State Surcharge $ 1 �% . $.50/$1,000 Valuation SAC Charge $ $850 per SAC Unit License Surcharge $ U $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 $ lq7C ' ,3 STIPULATIONS: a SUBJECT City of Fridley 3331 AT THE TOP OF THE TWINS BUILDING PERMIT f `� EIPT NO. I COMMUNITY DEVELOPMENT DIV. _ r PROTECTIVE INSPECTION SEC. / 1 ; NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 763-571-3450 910 -FIS 1/8/03 JOB ADDRESS 6341 7th St NE 1 LEGAL LOT N0. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14 I 3 Christie Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS Melissa Richard, 6341 7th St NE, Fridley, MN 55432 ZIP PHONE 763-571-8080 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Krizan Construction Inc, 12616 Central Ave NE, Blaine, MN 55434 763-767-6260 d ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20266936 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Basement bath & family room remodel 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plans. SEPARATE PERMITR REaUIRED FOR: 11 PLUMBINd AN "wo SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD VENTILATING OR AIR CONDITIONING THIS PERMIT 13ECOMES 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 I 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 @@ $2'60 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $5,200.00 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. $125.25 Fire SC $5.20 STRU OR TME PERFO ANC OF ONSTRUCTION PLAN CHECK FEE TOT FEE d Licens 5.00 $ 8.05 S NATUREDPNTRACTOA OrU06AIZEDAGENr ATEi EN RDYY VALIDAT THIS IS YOUR PERMIT ' S-GNATUREOFOWNER.-FOWNE-BUILDER. .DATE, B G NSP a NEW [ ] CITY OF FRIDLEY Effective 1/1/2003 ADDN [ J 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: CU y ZW l a� a-TaA;e Legal Description: Owner Name & Address: Tel. # 763 -.5?/ --M t?O Contractor:6/ Z C MN LICENSE # Be A?Oot Co La -9, Address: /A 4F 16 A2d Ana / AVA ZVE, Qlai/J0- Tel. # ?(z ) 767-6 2 6 0 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: C' Construction Type: V'j Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: Ax APPLICANT: Tel. # 710 i�y%Yoz�O� Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL Fee Schedule on Reverse Side $ 5 • QO .001 of Permit Valuation (1/10th%) $ D , &O $.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 [ ] o0, a pays/uil i 4,v vW dJ'V 6u,l 51 x7 1 1 in Ci z cc LL 0 w V_ CITY OF FRIDL1=Y INS'P'ECTION OIV. W1 Urirem*Ava HE Fridley, IAN 55432 (763) 572-3644, FAX (763) 571"1287 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT tnsme oai Jail 1, anus FLUNDING FWLIFIE BATES: NO. RALE TOTAL JOB ADDRESS 6 3 ! ` -7-k iZ-7 Z�_. Old Openft, Now Fb4ffe 3 Beer Ckpariftr Catch Basin Rain WOW Leader summing Tank Water TreaWq AppSartos Wer Hea6er -Cedric Waley Heater - Gas" Chas ,,. Gas Dryer" Baric Fir Preventer Required { )Yes () No Type $ 7.00 $4.00 $ 8.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $90.00 $ 7.00 $1(_fI0 $10.00 $10.00 $16.00) #Wn speclon Fee $47 00fIt ALL OTHERS AND/OR REPAIRS ANDALTERATION5 1.6% of Value of Facture or Appliance Siete Surcharge TOTAL FEE 7he urtdlersigned hereby malaes GWICOWn tar a liMn t f the VgMk heats 3 ved(fad agreft to do all work in strict act Will the city Dories and rulings at Ifie Building Div%, and hNOW declaims that a8 ft tas and rspMwvtaW tl steel in Oft sWiCai W aro ince sold correct. V%3 owner euifinj Esticnated Cost PERMIT NO. l 3 PLUMBING COWAW t ` SHED BY - TEL ND. 143 -M/-ZZ&7 AWO"d By Rough -In Dfift Fnal Date " �� -eV i N8111� UTA FEE JW P_i_uil @ff G MM P MIT Is $2(LOO PLUS THE 5.61.1 STATE SURiCHAROE COMBUSTION AIR SHALL BE PROVIDED PER UMC SEC110H 504(A) AND TABLE 6-A. COMWN VENT INFO ON SACK SIDE e u L F 1 a s r c F V IL a