AF - 35733Date:
Owner;
Addres
City of Fridley, Minn.
BUILDING PERMIT
N°
5236 `
Builder...___.._....._._..._. ---- ............._.._..__-----..._........_.._------------........._.�._._.._
Address•-----.. .... ---•--- - ---..f......._�....-------....__...----•-----..__._..
CATI F BUILDING
No. .�R...�� Street . �._ ._. _...--- •.. .....�__.--�---•---------------------�--. Part of Lot ........---------•--_...---•---•.__....--•-•--._...._...._._........_�_
Lot._.._......._..--•...__........ Block ...__.__ .............-........._----•--.... ... .Addition or Sub- ivisio�,------......._.----••--•-�----..........._..-•-•------_...._._�.......---•--._.....___.__.._
.Mr.
Corner Lot .._.._ ............._........ Inside Lot ..._�-•-- •--- Setback . ...j,�.....__........--- Sideyard .........---•� �Mi�....�...�..---._..........---•-------..._..........:...
SewerElevation ._._......._.._......__...._.._.._._---....._...._......_....._......._.._........ Foundation Elevation ....._ ......................_..._..--------•._.._.......-----......•---.._-----__.....
DESCRIPTION OF BUILDING
To y
_. j��� .._ Front �._....._.. Depth ��..r.� Height ��._.. Sq. F� ��� Cu. Ft �...�
_._.___.._._......____._._......_.._.. F�nt �__.._......___ Depth _.�.__. eight .. Sq. Ft. _..._.___._.. Cu. Ft
Type of Construction __. .... ,.. . Es� Cd�i� ���"....�fo 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 dty of �idley.
,�.___.._...�.....________ ___
In car�sideration of the payment of a fee of $_..�E'�._._�.�'.�_.., pexmit is hereby granted to...._....J.__.._._._.__....w..._._.._
_.._..._._._._..._.._..___.�...._....._...._.._. 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
dane in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding lceation, construction, alteration, maintenance, r and maving of buildings
within the city limits and this permit may be revoked at any time u n violation� atty of the provisions of said
ordinances. ;;
Building Inspector
NOTICE:
This psrmit doe: not aow� th� construetion, installation for wfring, plumbing, ges heattng, sewer w wmr. B� wa to sN
fh� BuNding Inspsator for sspawte pumirs for fha� ft�ms.
•
a�,4 �
„ . . �� � ..+-
Owners Name �,
Address � �d
No. _ _��?��� ;
APPLICATION FOR HUII.DING PERMIT
CITY OF FRIDLEY, MINNESOTA
� ua�v --Builder
��GU-C,�., Address -
LOCATION OF BUTLDING
'
of Lot
Lot Bloak Addition or 5�a.b.Div.
_ _ .�. / -^ / = _ .
Corner Lot�„�„Inside Lot � 3et Ba.ck�� � Side-Yard�,_
�..r i
8� ELEVATION �FOUNDATION ELEVATION �
Applicant. attach to this form Certificate of 3urvey of Lot and pro�osed building
looation.
DE5CRiPTI01v OF BUILDING
To ba used as:
� ont I�� Depth °� a' � Height,,,,,..G,.�.�✓_.�._.
�.--� --
Sq, Ft. Cu• Ft•� � ��G�
Front Depth Height
Sq. Ft. Cu. Ft. �
Type of Construction �;�� �, '��2��--- Estimated Cost��. _.� . ci% ,_,_,
To be completed
�he undersigned hereby makes application for a permit for t,�e�work herein specified,,
agreeing to do all work in strict acaordance with the City Ordinances and ruling of
the Department of Buildings, and hareby declaxes that ali the facts and representa-
tions stated in this application ai�e txue and correct. '
DAT� SI�NATURE . ,_.._.,,..,�,_.`.
(A Schedule of Fee co�ts can be found on the Rever�e Side.)-
J
i
_ .. _ _..ti
..
BUILDING PERMIT FEE 5CHEDULE
Section 2�, The Inspector of Buildings shall, before issuing any permit
for the erection of any building or structure, or for any addition to
any existing building or structure, or for anq alterations or repairs
to any existing buildin� or structure, upon application therefor� require
the payment by the applicant for such permit of fees to the amount herein
below set forth and in the manner herein provided to-wit: �
2.1. For any such permit for the erection of any fire-proof building� other
than a garage, warehouse, factory or grain eleva.tor, or for the erection of'
any fireproof addition, for similar occupancy, to any existing building
sha.11 be at the rate of �1.L,A for each one thousand cubic feet� or t`ract3on
thereof, in such cubical contents.
2.2. For a.ny such permit for the erection of any fireproof garage, ware-
hous�, factory ar grain elevator, or for the erection of any fireproof
-�addition, for similax occup�n.cy, to ar�y existing buildin� shell be at the
rate of �1.25 for each one thousand cubic feet, classified as "fireproof'�
by Section 502 of the Minneapolis Building Code. _
HOUSES ,
` 2.3. For any such permit for the erection of any non-fireproof building
other than a�arage, waxehouse, factory or grain elevator, or ar�q non-
fireproof addition, for simil.ax occupancys to any existing building.
Permit �1.00 for each one thousand cubic feet.
GARAGES
�.4. For any such permit for the erection of any non-fireproof �arage,
warehouse, factory or grain elevator, or for the erection of•any non-
fireproof addition, for similar occupancy, to any existing building er
for each such building or addition. Ninety Cents for each one thousand
cubic feet or fraction th�reof, in the cubical contents thereof with a
zninimum of �.00.
� For the pu-rpose of computing fees for building permits the cubical contents
of any building or addition to a uniform height throughout by multiplying
the ground area covered from a point si.x.(b) inches below the f].00r line of
the basement or cellax to the average height of the upper surface or to the
avera�e height of the roof surface of the main gable of a pitehed roof.
2.5. For repa.irs or alterations to an existing atructure, the fee shall be
at the rate of`�3•00'for E�.ch F'ive Hundred Dollars ($500.00), or fraction
thereof in the cost of all proposed work.
2.6. In no ca.se shall the fee charged for any permi.t as set forth in
Section 2 be less than �4.00.
i •
__ z.._
, r `
nnrr��e��sco - 53-8i�s-915.51 , .
• �-
Ci9y c'� �ri�'1�y + � : � �
l��Flic��t�� ��a� �'tv���� ���; ��� ���r�;�� ���:� .
_a._ __ __ I?ept. of Bldqs. Phor• 3E0-34SU
D£'3CRIPTION O° �'IORX ' 61�1.p N. E: Able Street
Num�ar. Kind as�d Loce..'�ea of F{siuret I'°eafi�^ --
" w�,c, Nr�. City of FYidley: -, .
� Y� r � z � Y S ` N f N .Of � Z � O • .. . . .
i y � '� Z I Z . . . . � . . . : . � � . .
, �� �;�� z�� � � g 3'S �,� 7� 7� 7$ r w ws ncc. The undersigned hereby makes agplicatian for a permit tor tht� vork heni
� � l. � S r � �n � 3 � O� r G' < 3 V l! a V
specificd. an eeing to do all w•ork in sirict accordance with the Cit� O:siin�nce
r
• and ruliag of the Department of Euild:ngs,'and hereby declares thai alI the fact
In ta 1 as Gr' 11 ', and zepresentatioms stated in th:s appllcation are true and corsect
— Fridley, Minn 5-9-75 �9_
l - . •
;
Owner Norbert M= 1rJaeleiton , ,.,
Kind.of Buitding F`r'ame --
Futuz• Conaoc�i:,a Opoain�s Conaot2ad t�i2fi
E��as O Used as Res . --- .
Nova ftx3ut�. Q:d O,-�nin£s _ Ccr.zpool
To be comple2ed about 5`1h-75 -
i
P/�RTlAL RATE S�HEDULE Est;m3�a cost. t io.00 --
Old--�¢i%7GXIIui.ding Permit Iho.
P.:mit No. �`� /�
.QMSING F'IXTUR£ RJRTES: NO. RATE Ta1"AL
r
� s , Signed
humber Fflxtures . . . . . . . . . . . . . . . . ....� x S?. • ,
F1�ture Flxture O,�cning . . . . . . . . . . . x 51.50 S . gy ��1�1►1�,*rn��nn_ �'- _
New Fixture Old Operung. ....:.... . x 51.50 S_.._._ Busincss Phvae No
C3tch Basin . . . . . . . . . . . . . . . . . . . x 53.25 E
�i'ater iieater 'L'p to 99.000 BTLI>. ... x S3•00 S .
ROUGH •
tiew Ground Run Old Bidg. ....-. -. :. x�3.25 8
Flectric�=��:mrx.at.r .............. � = s2.c0 a FIx1w,r6-..�3-?(i .
�'.:: FITTI"!G FE£3: N�. RfiT`:,' TOTAL ` •
Ist 3 Fixtures . . . . . . . . . . . . . . . x 32.00 ; . ' , ' • _
Additional Fixtures . . . . . . ... . . . . . . x $ .?5 � ' :
Gas R�nge to 199.000 BTU . .... . . . . .. . ' x 35.00 b .
�PAIRS tx �LTERxT10NS—Aofer to Cod. : .50 State Surcharge � �
.ISesczi�tion ..........Install.Gas��rill...,.�.....� 5.00 �� `'� -
' , To�rAt. � i 5•50• , ��S� �R�, �archarg0 "-`' •
.
. ..
_ ,>
�
- i :s- ,r- �'i a . " @ . � � A ry i�..-� . s; e � «.,,,, _� � Ssr^,,,_» a,,.,,.,a� 1�'�' n ..., f ^.„�. ;uy . m , . c � , . H- �>.` .-. A' 4 . � „! �
r:� ..r..�.wv�r � R� rli�.:..J f:.a....:�i`J ��.., itiv�..na rY�'.t� V'iwQlYr'ai �� �L��wl.��irWU�t�Vii� ��:..�f�.b�R.:'��^:N`rii�'YV�� ��
c!Y C
� � . . � . � �^.o. �n� F�^""�� ^ �',^+¢@ "r�.M�'3'*'^1",!!9 t"* .y �'"` / �+y ^.e.+a . � ..
I . . . �frh.:d :s�rtw.ilE�.✓SLJ.:r�r'� V ulsCrs.a� u.dd....E�v,.. wt:��ot.u'„i. . � � . � . .
3'i'i�i��t".L "i:,f'i.iV �7�1"ic.w�r��.i'i.� �� �, ��w,
G�Aqt�' v:�:�= rYirt: ���Y� 'i'=�`���.l..
�':ira::c� S':�-'.F 2c �aci '�?ar� . . . . . . . . . . : . . $30.� $
F�t.:�r•.e:,t cf i'i,:r:s: rt . 6.00 �
Rcpai-� & Altcrations---up to �SOt�.CO 6 pp �,
Repairs .'.c A;tcrs:tons each add. a3G0.00 . 3(y� ;
�:°��. �� r...K.�� �r
.'�lirnsc� s.�:eIl ca L`uct �ori: to 1:.�,L4G0 Fa�rV
�rtz add. bO,tT� $'f'(7 . ... . ....
��`:zc�ra�t a� F�rn: ce
_... Y a?t.eratian.s---up W $SQ0.00
:L_;; :i7-s & .=,�ter� ��.s each add. .'�5'JO.ufl
��) � �
. . $10 (3� $..L�
. . 3.u'J ;
5.�0 � ._
6.(� S
3.fA $
Sii�t�.c o: FO? e�/:�T�� �`: Wi�.'S •
FLmace She:3. 3c ?.ines---to 4�0 sQ. fL. F.DR Stesm $tO.OQ S
�rnaee Sh�l �Q Lin�—to f.40 sq. ft. EDR iiot Wa:er 20.fA �,
Each add 2�0 sq. ft. El�i{ Steam . �.th'1 �
�ch ad3. 320 sr. It. EDR Hot VtTate: � 3.(i0 ��._,_.,, _
CIL BiJBYs�—co 3 ga�. pen c�ur 6.C� 5..�_.,,,., :
over 3 gal. p�r hour—v�ee �'ee Scht�ule
vv
G 3 S E'IT:iI�� �L:? � IJ�,G� BTU) " . . � � � b.� � $�� � . .
�r:.: rn:?.(kY� �"€7 s�a-a iva Pit�^,.�.'v20
Cv�''.S F1TTi2iG :::�: ::O RA.`s'g i'Oi&L
;st 3 F�xtures -- x' 2QJ 3�
� Ada.t;0��1 ���tttl'�', ;.� .i3 �--. _.__ '
G:s R:ng� ta 1�.� :� b.G°J $
�.?� Ce���'��°:'iC`_, ::^v
F�a-.:F F���.i'I_s`�a 2::"L:'i.t�::i
�"�':':Lri.7"....'°:. 5:�:`�..""'•:5
�l,.�.'°.Riaii�ia:3 dY RiP�TtI1'42i
.�c3`.:+v'a-�
�A� l / - � '7 — 7� .
State Surcharge .50
� �
�E3��e ic� �:���:a:.�
$ --� �
'YOT:�3. i"um � ��
L`,s�.4. cf �.�..;��. 3'hocw ..:�3-.�.�
. _ . � /�
!,� r
�
�
c�ty o� �:az�:
�'he undersigned hereby makes applicntion !or a pezr,sit far the wor� he:eir
specuied. a�r•reing to. dc ali u�or�C in strict accordance wiih L'�e City G`zeiiaaae�
� ana ruling �i the Depar :m�nt oY Buildir:ys, 2n3 hereby daciares that a2! t�e fa�
and tepreses�tatierns stated in th:s appi;cation arr tn:e a,d corz�ec:.
Fridizy. A�.�an % " `'�� .28�5
C)wner F7iC/ '
Kind of f�uilding �=�' �—°�'?''��, .
�Jsed as ._._
To t�e camplet��ri aboui ��'S'V � J
/ v �
Estimated Cast, a . Ld �' � '' _
• . • ' . Per�it Ho. � �� �
O!d—Netv. Buildin� Permii No. _ ��_
' , i� ;ii..°i��.�i'°tC3�:8 QF i:90::� .
• 4T'iNC or PO�R P'%f.N3"'�--St�srsn, Flot �ater, � No
�
Trade Nsm$ ,,.+ PJ�^,—�.= %�, °-T—»� ;;i=e PIc���`/UD %V/�'1/�.
CaprsCily--. ----.- . i�'t. E.D.R � U� d U� $T'U H.P
TotaF Connected L,oEd� ot T�e � �
�G�—,—x:e.��fr.A
�vx��3E..R - T�s�� 1�Iaa�� sixr xo-
C��ciYy 9q. P3. E.D.R 8�t7 �
t�sas�acs-cv�a�
/
. i ♦ . '' ��/i� _—
L �i !1 �
I
` City of �ridlQy �
. Applica�€an far P1sra��sg c�nd �s F'�i~i�g Pc��it � '
Dept. of Bldqs. Phons �•3450
D�5CRIPTION OF VJORiC ' L�� /' _ L1 /� ����2� �F' � -�• �
Number. Kind arid Locr,.l4oa o! Fixlusea ^ c� �C� ��
� N w+�iE+t �n�. City of iYidley:
� C ~g � p t� r i � � ` _ ��' Z � ` 1 � � � '
o �<Q � 3 z I�� �, � 8�'' '' � 7� 7� 7�' r N G�S acc. The undersigned hereby makes appllcation tor a permit for th� vork herei
��3tl � i� a N�3.o. ��cS�'t3u orv$
__ specified, a$reeing to do all work in strict accordance with ihe Ci� ordin�ncs
Base � and nling oi the Department of Build:ngY, and hereby declares that aIt the tact
— •, and representations stated !n this applicatioa are true and correct'
l it
2nd - I�Yidley, M3nn � � °� � , 19�s-
3rd Owner �/�l . �l� �(_�� /'f,c,.��,� � ,
4th _ Kind of Building �/Z-��r�.�
� Conaactsd wiih
Fu:ur� Coanxs3ca Opoainqs �� •I ❑ Used as �Ll.�f�''� : D�: ==.4
t Ii�w FixlurM. OId 6p�ainqs � .
� To be completed about �— L� `�'�
P�,RTIAL RATE S�HEDULE
E' ated Cost, E � 7� �_�-�
Ol New. Building Permit No. P•sait Na ����
pLQM$2NG FI�TURE RATES: N�. R1►TE TOTAL � ,, '�-
"7umber flxtures . . . . . . . . . . . . . . . . x 52.00 S Signed �
Fl.�ture f7xture C)pcning . . . . . . . . : . . . x SI.50 S ,• . gy -...
New Fixture Old Opening. . . . . : . . . . . x $1.50 i----.- Busin�� Phune No �3 �—��5� �/
Catch Basin . . . . . . . . . . . . . . . . x 53.25 S
.. .. � D ,
Waler Heater 'Up to 89.000 BTU�. ... �_ x$3.00 S� .
:v'ew Ground Run 01d Bld ROUGH
g. . . . .� . . . . x 53.25 3
Elactric Watar Haatoz. . . . . : . . . . . . . . : 52.00 s
. FINAL
yA3 e1Z'TZ?iG FEE3: �: NO. AATE 'fOTAL
� �.
lst 3 Fixtures .�: i'.� `. '.�� . x���
Additicnal Ff ures . . : . .t+�.... . . . . x j .75 • '
Gas Range to 199.U00 BTU .,.. ...... � x 35.00 6 '
AEPAIRS �c ALTERATIONS--R�i•s !o Cod• .50 State Surcharge . � ' •
. Descziptian . . . . . . . . . . .. . . .. . . . . ... . . . ... . . . . ... . ... . �
T"OTAL FEE �_ta.ZlL � � " •
' � '
CITY OF FRIDLEY �
APPLICA'fIO�V FOR PLUM*3ING AND GAS FITTING PERMIT
m a� � 'ro o • k d water
m m N 'Q ��� m q �a�+ w w � Heater
� � r, � m H•.+ ro s� m ro �r a
-'+ c� � a xm x� d s� .c c a c� a s+
p u O �•�i � N C N � 7 O O a.Vi �N N t�n N ul N .[
m u a � a� v�i 3 o w b[i w u�� 3 � � c� o as lec
is � � ,� �
2nd 1
3rd
4'h ~ `
�
(R) = FUture Connection Opening Connected with Sewer
(*) = New r^ixture, Old Opening Water
PARTIAL RATE SCHEDULE
PLU�i3ING FIXTURE RATES: N0. RATE
h'u�vPx Fixtures � x $3. QO
F3ture Fixture Opening —±�- x $2.00
Nea Fixture, Old Opening oZ x $2.00
Catch Basin x $5.00
Water Heater - to 49,000 BT[T x $5.00
100,OQ0 B2'U to 199,000 BTU x$10.00
Water Sof tener x $7.00
New Ground Fa�n Old Building x $5.00
Electric Water Heater x $5.00
GAS FITTING FEES:
lst 3 fixtures x $3,00
Additional Fixtures x $1.00
Gas Range to 199,000 BTU x$�:0.00
REPAIRS F� ALTERATIONS
First $100.00 $S.OQ
each add. 5100.00 or fractioa 52.00
State Surcharge
TOTAL FEE
REINSPECTION FEE
( $10. 00}
TOTAL
S +� . U�
s
$ L . CiZ�
$
$
S
$
$
$
S
S
$
S
S
S .50
S B•vC�
Job Address _� 7� �j � �j % L 5 %'� � E .
Department of Buildings _
City of Fridley �
Tel. #571-3450
The undersigned hereby makes application for a persnit for the work here.i.n
speci£ied agreeing to do all work in strict accordance with the City Codes
and rulings of the Department of Buildings, and hereby declares that a12
tha fach.:i and reprosentations stated in this application are true and oorrect
Fridley, Mn. .S r/�/' % 7 �,g
OWNER W G/ A,� i T Z G.i
KIND OF BUII,DING S/ N�/ O �✓V G/�� K 5 ���' 4�+n s
usEn as Si .. ��e 1� w s i/ i K' •.
T—
TO BE COMPLETED ABOUT .S � I y" %�f
ES2IMATED COST __y % s �
OLD - NEW BUILDING PERMZT NO. PERMIT NO. M(Q�
Company �, T. M�! l c> /�/ �h! f�•� .
signea sY - G7���" i y�'� i*.��.
�
Tel . No . S % � - � O j� �%
ROUGH INSP.
Date
FINAL INSP.
Date
APPROVAL FOR PERMIT
MINIMUM FEfi FOR ANY PLUI�ING PERMIT 2S $7.50 pLUS $.50 STATE SURCHARGE
0
sue�ecr PERM151Q9
City of Fridley
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T •
r
; � RECEIPT NO.
COMMUidITY DEYELOPMENT DIV. ���� �
v PROTECTIVE INSPECTION SEC.
i L "'�',
r ; �
,
� � � ���'1 � CITY HALL � FRIDLEY 55432 NUMBER � REV. DATE � PAGE � OF APPROVED BY
�••��� � ,•J g12-560-3450
9�0-F15 4/5/79 � �
JOB ADDRESS 6410 AY�le Street N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. ],2�j3 3 Florence PdYIC SHEET
2 PROPERTYOWNER MAI�ADDRESS ZIP PHONE
Wegleitner 6410 Able Street N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Joy-Mar Building Inc. 8380 - 5th Street N.E., Sp. Lk. Pk.
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE UCENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR C] MOVE O REMOVE
X
8 DESCRIBE WORK .
Construct a 20' x 1Q' Addition to Dwellin
9 CHANGE QF USE FROM TO
STiPULATIONS
sFP��ATE �E��w�TS RE WARI�lItG
MEATING. PLUMBtNG AN�UIREfl F.,�'JR �;�t�l��� Befot7e digging cal! local utilitit�
$tGj�,� TEi.EPHONE - Ei.ECTRIC - GAS Etc.
REQUIRED BY LAW
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTIiATING OH AIR CONpITIONING. wOOd FrdIlle
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTqUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PER{OD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCEO. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT 1 HAVE REAO AND EXAMINED TNIS APPI.ICATION 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 $2 � 4Q
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT rM4r 8OO
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STAT OR LOCAL LAW REGULATING CON- $30.00
STRUCTI O THE P RFORMAN F CONSTRUC N.
`/ r, PLAN CHECK FfE TOTAL FEE
�� $32.40
I NATUREOFCONTqA TOR A i RI2EDAGENT IDATB � WH N PR PE LY D T D THIS IS YO PERMIT
� I
.�SIGNATUREOFOWNERUFOWNERBUILDERI ID f;k -� BLDG.INSP � � � DATE
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CITY or- F�tIll�cY
' APPLIC�iIOT� f=0ft RESIll�NTI/1L BU11_DING PERt�1ITS . �
' �fVEt�, .IIL.TCR/1TION5, ADDITIOtJS,' OR REPAIRS) ?
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. Addxess : CO��/�% ��iZ° S��v� t Gl< Address : r/ �� s� ��' .l�' f���
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Tel. lvo.
No. :_, l C� _ Street: ����.Q_, N i
IAT : �� � I � BiACY.: � • ADDITION : F� � �� � , %�'K-�.. ,
COItNER LOT: INSIDE ?AT: j� SLTBACI:: SIDEYARL'iS s
_7".,�._
Applicai-.t attach "to this form �tao Certiiicates of Survey of Lot and proposed
• building location drawn on these Certificates, . '
DESCRI PTION OF BUILDI NG ..."
Z+o Be Used As: .
/� -1 !
�� r'�"fl � �lJ Front: �v Depth: �l�/ Height: � � ,
Square Feet: � Cubic Feet: ���� �
� Front: � Depth: � Height: ;
�
� Square Feet: . Cubic Feet: , +
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Type of Construction: �J✓/;��r-��4 Estimated Cost: $��ja ! �
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- Zb 8e Compieted: %/'J �Jr/S �
�---�� � Alt. A Alt. B
Proposed Driveway Widt� If New Opening Is Desired !l$�` i° --- $ •
� (SEE i2EVERSE SIDE OF SHEET)
The undersigned hereby ma}:es application for a germit for the work herein
specified, agreeing to do all caork i.n stzict accordance with the C.i.ty of
Fridley Ordinances and rulings of the Department of Ruilding,s, and hereby
declares'i:hat.all thc facts and representations stated in this application
are true and correct. See reverse side far acld'tional i rmation.
�
DATE: ��- �' % / SIGNI�TURE:
Stipulatioiis :
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. BUILDI��G PER(�IIT FEt SCHEDULE
SECTION 2. The Inspector of F3uildings shall, before'issuing pe�cmits for the erection
of any building or structure, or for any addition to any existing building or structure,
or for any alteration or repair� to any existing building or structure, upon application
therefoxe, require the payment by the applicant for. such permit of fees to the amount
herein below set £orth and in the manner herein provided to-wit:
NEW CONSTRUCTION: Single Family Homes and Garages: $4.00/1,000 cubic feet.
PLAN CHECK: 25 percent of building permit fee. ,
DRIVEWAY DEPRESSION: (Concrete Curb Streets Only)
• Alternate A: Removal and replacement of cancrete curb and
gutter on1y; Driveway width plus 6 feet x$�5.?5
Alternate B: Removal and replacement of concrete curb and `
. qutter and install a 3 foot wide agproach with
� 6 in�h depth; Driveway width plus 6 feet x$17.85
, ..��TI�N�.�,.�FOR�TION
Fbr the purpose of computing fees for building permits, the cubical contents of any
building or addition, is determined by multiplyinq the ground area covered from a
point six {6) inches below the floor line of the basement or th� cellar to the
average heights of the upper surface or to the average height of the roof surface
of the raain gable of a pitched roof .
For repairs or alterations to an existing structure, the fee sha].1 be at the rate
of $3.00 per each five hundred dollars,($500.00) or fraction.thereof in the co'st
of all proposed work.
In•no case shall the fee charged for any permit as set forth in Section 2 be less
than $?:50 plus $.50 state surcharge. �
VERIFI�ATIO� OF .EOUNDATIQN
NOTE: Permits 'far construction will be issued a mini.m�a of 24 hours from the time
of application to allow for proper review o£ the pro,posed structure and of the
construction site.
A Certificate of Survey o£ the Zot, showing the location of the foundation once it
has been constructed will be required before proceeding with the framing.
: ��RTtFir_aTF OF OCCUPANCY
' App3.3cation for a Certificate of Occupancy shall be made ten (10) days prior to the
use or occupancy of any structure for which a building permit has been issued; and
said structure shall not be used or occupied until a Certificate of Occupancy has
beem issued. .
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CITY OF FRI�LEY
6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432
��� /� �/� ���� TELEPHONE (612)571-3450
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Y�:AR DATE FROM
PERMIT j EXCAV
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ROYAL OAK, MICHIGAN 48073
TOTAL AMOUIVT
THIS SHEET ORTLY
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.� C1TY OF FRIDLEY
• �• ' APPLICATIO� FOR PWhtDING AND GAS FITTING PERMIT
A ' p � � � u � � � ' 4later
.°� u � � m � c�� � a �+� � a w g Heater
i�� o� u .�c�a� � o� ►�
,� .� .c a a � 8 •.� � u�
u u-�i 4 r++a �q .+ �� u o� .� �ro a a m ro N �ro ;as 'slec
N ' U O q ia N 3 C7 4. vI f4 U W fi 3 l� � t7 O
lst C � 6 t 8 d h S$ I'
2nd � . '
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4 :h
(R) � ELture ConnecClon Opening Coitinected with 5ewer
(') � New Fixture, Old Opening Water
PARTIAL RATE SCHEDULE ' �
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PLU�IBING FIXTURG RATES; N0, RATB TOTAL
Nu�er FixCures
Ftiture F:x ture Openinq
Ne�,r Fixture, Old Opening
Catch Basin
Hater Heater - to 99,000 B1V
100,000 BTU to 199,000 BTU
Natac Sottenei
Nev Ground �n Old Buildinq
Flectrlc Water HeaCer
G;.S FITTING FEES:
lst 3 llxtures �
Addlcional FLxtures
W s Ranga to 199,0�0 BTU
REPAIRS f� ALTERATIONS
First 5100.00
each add, $100,00 or fraction
x S3,p0
x $2.00
x $2,00
x $5.00
x S5.o0
x sio.00
x $7.00
x S5�00
x 55.00
x 53,00
x 51.00
x $�:0.00
SS.00
$2.00
StatQ Surcharga ,
TOTAL t'GE
REIt�SPECTION FEE
S
$ ---�
S
$
6
s
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$
S
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$
S
S
S .50
S 8•�
Job Aadress b�il� �E Able St�'eet �
Department oE Bu�ldings ,.
City of Fridley
Tel. H571-3450
The�undorsl.gned horaby makes application !or a permit for th�� work hereln
specified agreeing to do all work in strict accordance with th+n City Codes
and rulings oE tha Department o£ Buildin9s, and hereby declare;; that all
tl�o facl� n�id repro�ontnl•ions statod 1n Chia n�plication aro trva nnd corra:t
Fridley, Mn, 8�7�79 , 19
owr�ca WEGLE .
KIND OF IIUILDING 'friae
useo As res.
TO BE COMPLETED ABOUT 8—��'7 4
� ESTIhIATED COST !=�•0�
OLD - NE4! 9UILDING PERI9IT N0. PERIIIT N0. �!:°` F
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Company _ _
Signed Hy MINNEGASCO
Te1, No.
ti�
ROUGH It�SP.
Data
FINAL ItJSP.
Da te
APPROVAL FOR PEl2T1IT ^���_
MINIMUM FEE FOR F,NY PLUI��BING PERMIT IS S7,50 pLUS 5.50 SThTE 6URQtARGE
A«
-° : ' " `"HOUSE HEATING TEST RECORD
ADDRESS 61,��0 NE. Abl� �'t• APT. FLOOft 1f1�CiTY suBURa Fridl�y
OCCUPANT Norbert We�leiq OWNER
HEAT LO55 DATE HTG. INST.
SOLD BY �innegasco INSTALLED BY
Electrical Work By Gas Line By
TYPE OF HEAT GA FA HW STEAM SPACE HTR. x UNIT HTR. OTHER
GAS DESIGN CONVERSION
MAKE Perfectio� MAKE OF BURNER
Model � �='""� Modei
Ssrial 9 �-� Mox. BTU Rating
INPUT '��� MAKE OF FURNACE
Model
CONTROLS ��
THERMOSTAT Heat Plug Vent Size ���--°C�"�"`"�
Valve � KIND OF LINER SIZE NONE
LimiT
Limit Sstting
Drah Hood Regulator
Fiiters Size Number
Fan Setting Chimney Loeation Inside Outside
Pilot Type Chimnsy Construetion
Pilot Moke
Pilot Model Smoke Bomb Wiring
Pilot Timing � Draft Test Tay
L.W. Cuf Off Door Prossure LighTing Inst.
,�--
Prossura '-� Psrcent CO2 Date Tested `� ��
Fnput CFH—, �B v Percent 02 Company Testing
Stack Temp. Percent CO � Name of �fester
Form 235
SUBJECT
City of Fridley 2 6 3 2 3�
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
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; � RECEIPT NO.
COMMUNITY DEVELOPMENT DIV. �� _� �
~ PROTECTIVE INSPECTION SEC.
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� _ /"'1 � CITY HA�L FRIDLE� 55I32 NUMBER � REV � DATE PAGE OF APPROVED BY
�.---�' �•� 612-571-3450 910-F15 6/23/98 / /
JOB A�DRESS 6410 Able Street NE
1 IEGAL LOT NO. BIOCK TRACT OR ADDITION SEE ATTACHED
oesca. 12,13 3 Florence Park SHEET
2 PROPERTY OWNER MAIL ADORESS ZIP PMONE
Norbert Wegleitner 6410 Able Street NE
3 CONTRACTOF MAIL ADDFiESS ZIP PHONE IICENSE NO.
Donahue Construction 8470 Center Dr, Spring Lake Park, MN 55432 785-2919
d ARCHITECT OR DESIGNER MAIL AODRESS ZIP PHONE I.ICENSE NO.
I10�
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
� NEW � ADD{T10N O ALTEfiATiON G� REPAIR O MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House & Garage (18 Sq) Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
TYPE Of CONST. OCCUPANCY GROUP OCCUPANCV IOAD
SEPARATE PEFMITS i4RE REOUIREO FOR ELECTRICAL, PLUMBING, HEATING.
VENTILATING OR AIF CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK Op CONSTRUCTION 20NING SQ. FT. CU. FT.
AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED fOR A PERIOD OF 120 OAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OffSTFiEET PARKING
I HEREBY CERTIFV TNAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALIS GAiiAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIEO
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �1�501 $.7S
DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERM1T fEE SAC CHARGE
PROVIStONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFOiiMANCE Of CONSTRUCTION. �S 1. ZS Fl e SC � J, . SO
PLAN CHECK FEE TO fEE
License $5. $58.50
SIGNA7UiiE OF CONiRACTOR OR AUTNORIZED AGENT IDATEI N ROP VALIO THIS IS VOUR PERM' ��
S�GNATUAE OF pWNEA UF OWNEA BU�IDEAI IOATE� � g� ip50 � TE
NEW
ADDN
ALTER
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CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Effective 1 / 1 /98
,�� ,�/�`��(1�
,�� � � ��
ConstructionAddress: lv � o ,41�i r..� s-r'iz��.?" � --
Legal Description:
Owner Name & Address: �06�.,�' ��-rr��c.�r�- Tel. #
Contractor: po ��,�- ��,rl�r�.���', a� MN LICENSE #/ �� 7
Address:
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
GARAGE AREA: Length Width Height
DECK AREA: Length Width � Hgt/Ground
OTHER:
Tel. # �� � - Z91�
Sq. Ft.
Sq. Ft.
Sq. Ft.
� . 7"��% -o�
Construction Type: �,��� Estimated Cost: $
(Fee Schedule, on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ �� �-J�
DATE: lo - 23 - g8 APPLICANT: P��.�-� C��sr�.��-i� Tel. # 7�,5- 2�i / 9
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ /, ��'
$ �. �7�
.>�---
$
$
$ �. � c1�
$
$
$
$
� �8-��
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.50/$1,000 Valuation
$1000 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 [ ]
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BUILDING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for
any addition to any existing building or structure, or for any alteration or repair to any existing building or
structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount
herein below set forth and in the manner herein provided to-wit:
TOTAL VALUE
$1 to $500
$501 to $2,000
$2,001 to $25,000
,
$25,001 to $50,000
$50,001 to $100,000
$100,001 to $500,000
$500,001 to $1,000,000
$1,00O,OOl and up
FEES
$21 (Minimum Fee is $21 plus surcharge)
$21 for first $500 plus $2.75 for each additional $100 or
fraction thereof, to and including $2,000
$62.25 for iust $2,000 plus $12.50 for each additional $1,000
or fraction thereof, to and including $25,000
0
$349.75 for �rst $25,000 plus $9.00 for each additional $1,000
or fraction thereof, to and including $50,000
$574.75 for "first $50,000 plus $6.25 for each additional
$1,000 or fracta�n thereof, to and including $100,000
$887.25 for �rst $100,000 plus $5.00 for each additional
$1,000 or fraction thereof, to and including $500,000
$2887.25 for the first $500,000 plus $4.25 for each additional
$1,000 or fraction thereof, to and including $1,000,0�
$5012:25 for the first $1,000,000 plus $2.75 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50.
Altemate "B" : Removal and replacement of curb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $15.75.
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper
review of the proposed structure� and of the construction site.
A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed
will be required before proceeding with the framing.