AF - 43709�
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BUILDING PERMIT
Village of Fridley, Minn. No
Date ��Il�l� . . �.7.�. .� QJ. if . . . . . . . . . . . . . . . . .
Owner ..W .�. I.eu r.-.�, . . . . „�.q, �.� �.+1.�°. . . . . Builder
Address �.Y vI. �. . . C!. � .� �r . . . . . . . . . . . . . . . . . . . Address
z��z
�/�.) ................. ............
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LOCATION OF' BUILDING
No. �!'. �'.�.�.. . . . Street . . . �'�!� .. . .. .. .. ... . . . . . . . .. . . .. . . .. . Part of Lot .� U r� � �.4�'G,l�. �r..
/ �
Loi . . . . . . . . . . . . . . . . Block . . . � . . . . . . . . . Addition or Sub-Division . �! a.� �.hj�. �,,,;, , . . . � �:R.�.. , , . , ,
� r
Corner Lot ............ Inside Lot .....C.�. Setback ...� 5...... Sideyard .......�Q .................
DES�RIPTION OF BUILDING
To be Used as:
. . .�,W �.'.1.'t `!1�. . . Front . . �.�. �'� . . Dept.h .�. v1�. . . : Height . . . . . . . . . Sq. Ft. .li��. Cu. Ft. . . . . . . . .
. .4-? � �^ �.�. . . . . . Front .1.`.� . . . Depth P�.Q: . . Height . . . . . . . . . Sq. Ft.p%g�. . . Cu. F't. . . . . . . . .
t /�
Type of Construction . � �!! .a .. Est. Cost . . �,ay �� .... . . .. . . . To be Completed ... b.iwV.: ......
0
In consideration csf the issuance to me of a perrnit 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 village of Fridley.
. . . � . ,,..�,. . . �.� . . . . . . � . . . . . . . . ��.. . . . . . .
In onsideration bf the payment of a fee of $ �A� ��CJ permi�reby granted to . . . . . . . . . . . .
��'�'�`' to construct the building or addition as described above. This permi i�s granted upon
the express�ndition 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 ther , all canform in all respects to the ordinances of
Fridley, Minnesota regarding loc�tion, construction, a1t ation, aint n , ep ' and moving of buildings with-
in the village limits and thiS permit may be revoked at any ti e u� i on f any of the prn�ions of said
ordinances. ( a . l �--, .
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Inspector
NOTICE: �
This permit does not cover the construction, installation or alteration for wiring, plumbing, gas heating,
sewer or water. Be sure to see the Building Inspector for separate permits for these items.
�
�4pplicotioit �or Powt�r Ptanfs and H�aMng. Coofi�� Yen�fiation. Re�f�iq�e+atiain and
Ait Condi�ioning S� � Devica
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR: ltJlY'� TOTAL
F1�rnace ShelI & Duct Work . . . . . . . . . . . . . . . . . . . . . . . . . $1d.00 i
RepIacement of Ftirnarce . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6.00 ;
Repairs & Altera�ions—up to �500.00 . . . . . . . . . . . . . 6.00 S ---
Repairs dc Alterations each add. #500.00 . . . . . . . . . . . . . . . 3.00 ;
lrLECH. WARM AIR
Furnace Shell & Duct Work to 1�0,000 BTV . . . . . . . . . . . .$10.0� $
each add. 80,000 STIT ....................... 3.W i
Replacement oi �rnace ............................. 6.00 �
Bepairs & Alterations—up tc> #500.00 . . . . . . . . . . . . . . . . 6.00 �
Repairs & Alterations each add. $500.00 . . . . . . . . . . . . . . 3.00 a
STEAM o: HOT WATEA SYBTEM
Furnace She�l & Lines—to 4U0 sq. ft. EDft Steam . $1Q.Q0 $
�rnace Shell & Line—to 640 sq. ft. EDR Hot Water .. 20.00 $
Each add. 200 sq. ft. EDR Stesm . . . . . . . . . . . . . . . . . . . . 3.0(1 �
Each add. 320 sq. ft. EDft Hot Water . . . . . . . . . . . . . . 3.00 �
OIL BUR1�iER—to 3 gal. per haur . . . .' . . . . . . . . . . . . 6.00 $
over 3 gal. per hour—See Fee Schedule
GAS BEIRI�ER (vp to 199.00Q BTU) . . . . . . . . . . . . . '. . . . . . . . . S.OQ $
aver 199,000 BTU See Fe� Sch�dulo
GAS FITTING FEEB: NQ RATE TOTAL
Ist 3 FSxtures ..... .......:........ x� 200 $
Additional Fixttires . ....... ....... x .7b ;
Gas Range to 189,f10�k ... xE b 00 �
N
AIA CO1tUiTIOIiII�G � �g � ?'' Y � �, .� d ��
F11N HEATIMG SYSTEI�[ See F� $c}udab
VEI�ITILATIP[G SYSTEM t jI y/ �� ��D"'o-"� ���i �
��—
ALTERATI�NS ir REPAI�t$ TOTAI. FEE '�—'
xouax
FINAL
Dspt. of BId9s. Phos�. s80-3490
LOC�liea (� �ID �✓ �j".c /r'� � ��/ ✓ �- ,
City ot Fiidley:
The undersigned hereby makes applieation for a permit for the work hereir.
specified, agreeing to da all work in strict accordance with the Eity fhdinance:
and ruling of the Department oi BuiIdings, and hereby declares that a2l the facts
and representations stated in this agplicatioa are true and correct.
� — „%
FridIey,
Owner `
_, I��
Kind oi Building � _ �'
Use� as
1`o be comgleted about
o�
Estimated Cost, $—� � � "—
Building Permit No.
�le�
Permit Pto. �7`�%
DffiCRiPTtON OF WORR
HFATING or POWEIi PI.ANTS-�Stesm, i%t Water, Warm Air—Na
Trade Name Size No
Capacity Sq. F't. E.D.R BTU FI.P.
Total Connected Loaci Kind of Fue�
BURNER — Trade Name Size No
CaPacity Sq. Ft. E.D.R BTET iiP.
(REMARKS—OVER)
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City af Fridley, Minn. ` � 2 2
6431 University Ave. 1�. E., Minneapolis, Minn. 55432
BUILDING PERMIT
��; _ January 18�1973
p�ex; __ Sh � r 1 Q� Rh nde� __,_, Builder in ohns on Bui 1 ders
_.._. �k.�___.�,L___._._._.�.___._._......____...
�d�� 6464 Able Street N.E. Address ___3507 West 50thMStreet �
LOCATION OF BUILDING
Na 646/-�, S��t � Albe Street .N_ E._�__...._.:.._-.---_....:.-----. Part of Lot ..__
Lot Block __._.___. Addition or Sub-Divisian ._.____. _.__.._____.._._�..�..._:�_
Corner Lot ._ inside Lot _�__._�....__..__. Setback -----._.._•_------...._---... Sideyard ..._._._.__.__.: _.�.
$Sewer IIevation _...._�____�� _.._ Foundation Elevation _---_._.._._-------....__._.
DESCRIPTION OF BUILDING
To be vsea a�:
Resid��jouse & Trim �ont ._ Depth He�ght Sq. F� Cu. Ft .�.....
- ..._._ Front .._...____..... Depth Hei�ht •---______.. Sq. Ft. _----__.____.. Cu. Ft __._
TyPe of Co�n.struction ___.�.t��.1L�.lum_.__ Es� Cost .._.,�..1.,,500.,00._M._._. To be Completed _._.January�,_ 1973
Stipulations: Caulk butt ends
In cansideration of the issuance to me of a permit to construct 'the btulc�i g described above, I agree to �
'ihe proposed work � accordan� with the descxiption above se�„ fp�th and ir�'komp�ance with all provisions ot
Ord3nances of the ci of Fridle /r` // �/ //
.75 Sta�e
In consideration of the payment of a fee of $�:00 ,_�...._.., permit is hereby granted to.Chi.ng.__-Tohnson R,tilders
_ to construct the buiiding or addition as described above. This permit is granted upoii
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects •to the ordinanCes of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildirig8
}Yithin the city limits and this permit may be revoked at any time upon ' lation of any of the provisions of Said
ardfiiances.
____ .� Building Inspector
DARREL CLARK
NOTICE:
This �ermif does not eover the construetio�, installation fo� wir�ng, plumbing, gaa heating, aswer or water. Bs sur� to sw
t�n�uilding inspecfo� for separate permits fo� these items.
i
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APP���A�IQ� FQ� R��iA���T��� A�T�R,AT�A�,
QR �A��TT�N ��ILUTNG P�RMTT
�IT� QF F�TA���� M�NN�soTA
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Q4��TFR,' S N�E : -° BUIL�ER : '
ADDREB S : � �6'� �/ �G%�'"� �f /�/'� AD�S 3 : � � 6 �� .�U -�i
, . * ��wl� � T+�1 ! I I I ■
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i.M�� dr 4- V LW k1 � RM7�#��J.�N �
�G��$ i�OT: �N$�?E T�0'�: S$TBACR€ SIDEY4IRD:
�,.-'.�
��.�,� ��ac� �;a �ia,� ��t�„o Certi�icates of SuxveY o� La� a�td propp�ad
�i�.ti�g �acatiox� d� � #a:+�se Cezti�i.cates,
�
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���CRI�TIQN OF BUILi1zNG
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� c�2-e� �cs-�.�- �-- C�'v.cQ �� �+t�.: �iei$ht :
S��s�xe �'�e�; Cubi.ae �'�+e�3
�rc�t; Deprh; Hei�ht:
�qua�� �'eet; Cubic F�eet:
�t�+ nf �oa�tru��i.a�� ��- �-�-e-rrl. EstimatCed Cos�:_�� �
�r� �e+ �3t�+iq��d; °2 �
7� �a�cla��igaed hereb� �Se� ap�pl�caGivit #or, a pe�tit fax th� wazk h+axein
�pe���#�d� a��eain� to du a�� i+o�rk in sttaLct accordance with rttQ G�.ty o�
F�'.�dl�' t�rd�.� a�►�1 �v�3a�s �f �a Deparaeten� Qf Bui�d�.ngs, e�d �exeby
��aze� � a�1 �h� �acta �d ���resar►tations stated � zhis ap�licatian
a��a #� and cp�rrec� .
�AT�; � ' � � '- � S �GNATU�E : `��'�-
��tli R+�►e�'ee S#.�S Fo� 41dd�R�,o�na1 In�o�atiaa.)
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SUBJECT � P - --
City of Fridley .� 1325
AT THE TOP OF THE TWINS g U l L D I N G P E R M I T
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' ' NO.
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� `y _ _ _ COMMUiJITY DEVELOPMENT DIV. :��� �
r � � PROTECTIVE INSPECTION SEC.
� � /'�'1 � CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVED BY
�""� � ,�� 612-560-3450
910-F15 10/8/75 � �
JOB ADDRESS
6464 �',��� ar Avenue N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 4�S 3 Florence �dr�C SHEET
2 PROPERTY OWNER MAIL ADORESS ZIP PHONE
Shirley Rhodes 6464 Central Avenue N.E.
3 CONTRACTOR MAII ADDRESS ZIP PHONE LICENSE NO.
McCall & Com an 5435 L ndale Avenue South
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP "' PHONE LICENSE NO.-
5 ENGINEEf; MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USEOF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION O REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK
Construct a 1' 14' Addit'on
9 CHANGE QF USE FROM TO
STIPULATIONS
SEPERATE PERMiTS kEt�UiRED FUH ti�Vl��li'v�,
HEATING, PLUMBING AND SIGNS. .
wAR�r��
9efore digging c��� �o�a� uti(ifies
fi�I�PF�Ql�E • ELEC�RfC = �qS ��e:
���������'' �`� ��:��`J
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATINCa OR AIR CONDITIONING. WOOCZ FrdTl1H
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WfTHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDEO OR ABANDONED FOR A PERIOD OF 120 DAYS AT R 1 ZiO ZGSO
ANY TIME AFTER WORK IS COMMENCED. NO. DWIG. UNITS OFFSTREET PARKING
� HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLiCAT10N 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 GRANT OF A PERMIT �S`3 � I.SO �.. SS
DOES NOT PRESUME TO GIVE AUTHORITY TO VtOLA OR ANCEL THE pERMITFEE SACCHARGE
PROVISIONS OF ANY OTHER ATE L LA R LAT�NG CON-
STRUCTI OR T PERFO ONSTRUC I . yS1�..O0
r. f CHECKFEE TOTALFEE
12.58
. �GNATUf±EOFCON� O nu7NO GEN7 lon� e� . WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
' y�J�.e� � ��'��11 �� �8—`75--�
SiGNATURE OP OWNERtlF OWNER BUILDERI IDATEI BLDG INSP � .� DATE
A�PLICATION FOR RL'SIDrNTIAL, ALTLRATION,
OR AllDITION �UILllING PERMIT
CITY OF FFIDLEY, T4INNESOTA
`�'����
OWN�R`S N. :__1�%'�tL�f� BUIZDER��� �Q����'C�
r� �
l�DDRESS ° � ADDRESS � `��� L,«G�- ,
�-:� �� ^ �
N0:
STR�ET:
LOT• BLOCK•
CORI��R LOT : IATS IDE LOT :
ADDITION• ���
SETBACK: SIDEYARD;
Applicant attach to this form Ttao Certificates of Survey of Lot and proposc i
building location drati�n on these Certificates.
To Be Used As:
vESCRIPTION OF BUILDING
�"ront : /(/ Depth : � Hei.ght :
Square Feet • �`� Q Cubic Feet • �� ��
Fron�:
Depth :
Height:
/�
Square Feet; Cubic Feet:
od
Type of Constructio , Estimated Cost: $
/
To Be Completed: / v� � r 3r�v
The undersigned hereby makes applicatinn for a permit for the work herein
specif.ied, agreeing to do all work in st'xict accordance with the City of
I'ridley Ordinances and rulii�gs of the Department of Buildings, and hereby
declares �hat a11 the fac�s and representations stated in this application
axe true and correct.
>
DATE: �� � '�� SIGNATUR� ��G�'"
(See R�verse Sicie For Addi_tional Information.)
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City of Fridley ° 13721
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
i�
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COMMUNITY DEVELOPMENT DIV. �y
r �� � PROTECTIVE INSPECTION SEC. a 5 U�
� � r����1 � CITY HALL FRIDLEY 55432 NUMBER FEV. DATE PAGE OF APPROVED BY
�""�'' ,`� 612-560-3450 g1p-F15 H%Z�J�76 � l
JOB ADDRESS 6464 Ab1e Street N.E.
1 LEGAI LOT NO. BLOCK TRACT OR ADDITION SEE ATTACMED
DESCR. $��2 of & 5 3 Florence Park SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Shirle Rhodes 6464 Abl
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Milton L. Johnson
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
SAME
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
residential
7 CLASS Of WORK
❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR ❑ MOVE ❑ REMOVE
a oESCRiBewc�ew roo'� and gutters
9 CHANGE QF USE FROM TO
STIPULATIONS
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 STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNItVG TFiIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �� �SOO .75
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. 9�00
�� �`' � S�` �� PLAN CHECK FEE TOTAL FEE
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SIGNATUREOFCONi ACT RORAUTHORIZEDAGENT IDATEI EN PROP RLY ATED IS IS YO R PE. IT
v � �/�f��� _�/��������Y
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Si� NATUREOF OWNEfi11F OWNER BUILDERI IDATEI BLDG. INSP DATE -� .
CI7Y OF FRIDLEY
APPLICATION FOR RESIDENTIAL ALTERATION,
ADDITION, OR REPAIR BUILDING PERMIT
D / �
OWNER' S NAME •`� fi � 2.( /�- l� c? ��� =S' BUILDER • i L Tc „! !� •-� c► l'/au s d,� Q
ADDRE S S:�o ��o � i1 h I c�- S%.�-g� ADDRES S: '°1 S�� C� e N� � a.� /� �
NO : C `� � `f S TREET : �'t,��c�" .S� �. � �" ,��•
LOT : �7 �s y d- 'S BLOCK : � ADDITION : ��•0 � ..� c.uG ��L�
CORNER LOT: INSIDE LOT:�SETBACK: SIDEYARD;
Applicant attach to this form Two Certificates of Sur'vey of Lot and proposed
building location drawn on these Certificates.
To Be Used As :
HESCRIPTION OF BUILDING
Fror�t : Depth : Height :
Square Feet:
Cubic Feet•
Front: Depth: Height:
Square Feet; Cubic Feet:
�/
Type of Constxuction: 0("do v�- �� ?7ti.-� Estimated Cost: $/; °� .
To Be Completed:
The undersigned hereby ma.kes applicativn for a permit for the work herein
specified, agreeing to do all work in stxict accordance with the City of
Fxidley Ordinances and rulings of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are true and corxect.
DATE : SIGNATtJRE •
(See Reverse Side For Additional Information.)
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SUBJECT . T •
c�ty of Fridley 218 5 8�
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
� � R .
� �
� • COMMUNITY OEVELOPMENT DIV. /�O
� �y'_ ___
{ � � PR07ECiIVE INSPECTION SEC.
� ' /'��1 � CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVED BV
�'""'�'� �'' 612-571-3450 9�0-F�5 5/19/93 / /
108 ADDRESS 6464 Able Street NE
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 4� S 3 Florence Park SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Jill Marks 6464 P�ble S.treet NE
3 CONTRACTOR MAII ADDRESS Z�P PHONE LICENSE NO.
D& D Home T�provement 74Q1 Central B�LX� Ave NE, Fridley 55432 784-7543 4840
4 ARCHITECT OR DESIGNER MAIL ADORESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS Of WORK
O NEW ❑ ADDITION ❑ ALTERATION C� REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WOAK
Reroof House (19 Sc�uares.) 2nd Layer
9 CHANGEOFUSEFROM TO
STIPULATIONS
Roofing can b.e the 2nd layer but not the 3rd.
TYPE OfCONST. OCCUPANCY GROUP OCCUPANCVIOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULI AND VO�D 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 WOFK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �' STA�LS 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 SPECIf1ED HEREIN OR NOT. THE GRANTING OF A PERMIT $�'��2� SeSl
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- $27� QQ Fi.xe SC $Z.O3
STRUCTIO R THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE TOTAL FEE
� License SC $5,Q0 $33.54
SiGNATURE OF CON7f7nC70R OR AUTHORIZED AGENT IDATE� yyHE�F. P E lY /A ATED THIS IS YOUR PERMIT
� S- �9-53
S�GNA7UREOFCwNEA�.'�POWNEABU�LDERi �OATEi BLDG �NSP qqTE
NEW [ j
ADDN [ ]
ALTER [ j
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Construction Address: ���� �7- ✓��-
Effective 3/ 1192
�(�� `�
Legal Description:
Owner Name & Address: �%�� 1�j�`�.1��� Tel. #
Contractor: D& D Home Improvement, Inc. MN LICENSE # 4840
Address: 7401 Central Avenue N.E., Fridley, MN 55432 Tel. # 784-7543
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
,
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
DESCRIPTION OF IMPROVEMENT
Length Width Height
Length Width Height
Length Width Hgt/Ground
Sq. Ft.
Sq. Ft.
Sq. Ft.
Comer Lot [ J Inside Lot (] Ft. Yd Setback Side Yard Setbacks
Type of Construction: �.� � .,� Estimated Cost: $%C� ��,Q
Approx. Completion Date: y! Q/S �� ���-
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: � APPLICANT: Tel. #
CITY USE ONLY
Permit Fee $ ��% (�1� Fee Schedule on Reverse Side
Fire Surcharge $ /, p� .001 of Permit Valuation (1 / l Oth %)
State Surcharge � . � / $.50/$1,000 Valuation
SAC Charge $ $700 per SAC Unit
License Surcharge $ .� . � � $5.00 (State Licensed Residential Contractors)
Driveway Escrow $ Alt. "A" or Alt. "B" Above
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ Agreement Necessary j] Not Necessary []
TOTAL
$ � � .s��
STIPULATION5: - �
sue�ecT FF�B�,
c�ty of Fridley � �,�, � ;�
AT THE TOP OF THE TWINS g U I L D I N G P E R M i T ��
r —
� � RE�EIPT NO.
� • COMMUNITV DEVELOPMENT OIV.
� � V_�����',
r � � PROTECTIVE INSPECTION SEC.
, , �a
1 ' /'��1 � CITV HALL FRIDLE� SS432 NUMBEF pEV DATE PAGE OF APPROVED BV
i"""�"� �'' 612-571-3450 g10-F15 5/ 15 / 96 / /
J08 ADDFESS 6464 Able Street NE
1 LEGAL LOT NO. BLOCK TRACT Ofi ADDITION SEE ATTACHEO
DESCR. /+,5 3 Florence Park SHEET
2 PROPERTY OWNER MAIL ADORESS ZIP PHONE
Dean Knowles 6464 Able Street NE 572-8754
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
D& D Home Im rovement Inc 7401 Central Ave NE Fr'dl -
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO
5 ENGINEER MAIL ADDFESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CIASS OF WORK
❑ NEW O ADDITION ❑ ALTERATION O REPAIR ❑ MOVE O REMOVE
X
8 DESCRIBE WOFK
Install e ress window and new rear door
9 CHANGEOFUSEFROM TO
STIPU�ATIONS
Egress window must meet the State Egress Code.
TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVLOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIF CONDITIONING.
THIS PERMIT BECOMES NUIL AND VOID IF WORK OR CONSTRUCTION ZON�NG SO. FT. CU. FT.
AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTFiUCTION
OR WORK IS SUSPENOED OF ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UN17S OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALIS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMP�IED � 1� OOO �y . SO
WITH WHETHER SPECIFIED HEREIN OF NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING corv- �34. %S Fire SC ��.00
STRUCTION OR THE PERfO MANCE OF C TRUCTION
� PLAN CHECK FEE TOTAL FEE
License SC $5.00 $41.25
SIGNATUAEOFCONTRACTOAOAAUTHOA�ZEDAGENT IDATEi WHEN PiiOPERI ALIDATED THIS IS VOUR PERMIT
` ' ✓ � �
SiGNATUREOFOWNEFl�IFOWNE�7BUILDEAI 1DATE1 BLD �NSP r f�4TE
NEW [ ]
ADDN [ ]
ALTER []
� � CITY OF FRIDLEY : � �
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Effective 3/1/96
'
Building Permit Application ` �a � �
Co�fiictio�Addr+�SS': 6 4 6 4 Aki l e S t. N E ' ,, .
Ixgal Description: •
ONmer Name & Address: Dean xnowles - same TeL #``'��'���8754
CoIItrdctcR': & D Home Improvement, Inc MNLICENSE�4840
Address: �401 Central Ave NE Tel. # 784-7543
� Attach to this applicadon, a�et�tificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVTNG AREA:
GARAGE A1�EA:'
DECK AREA:
OTI�R:
-DESCRTPTION OF IMPROVEMENT
Length Width Height
Length Width Height
Length � Width � Hgt/Ground
Sq. Ft.
Sq. l�t.
Sq. Ft.
Comer I,ot [] Inside Lot �] Ft. Yd Setback Side Yard Setbacks
Type of Construction:Eqre�.s window; RR. door .��� Cost: $ 1��.00 • �
Approx. Completion Date: �, 7 ` � - �'� . ' ,
(Coat on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft =,�Ft x$ _$
DATE: 5-15 - 9 6 AppLICANT: Tel. #� 8 4- 7 5 4 3
�
Pernut Fee $ �'f� ��
Fire Surcharge $ / d a
State Surcharge ; $� ; . • ✓d
SAC Charge $
License Surcharge $ J . ��'
Driveway Escrow $
Erosion Control $
Park F� , . . $ i , .
Sewer Main Charge $
CITY U5E ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.SO/$1,000 Valuation
$900 per SAC Unit
$5.00 (State Licens�d Residential Contractors�
Alt. "A", or Alt. -"B" Above �
$450.00 Conservation Plan Review
• , �-:, . ,
Fee Dete�'minerl by Engineering � � '
Agreement Necessary [ � l�ot Necessary [ ��
TOTAL $- -��--�-�- Ll � `� S . �
STIPU�.ATIONS:
�
r,.
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572-3604 .
[Z� . �
Residential
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
REFRIGERATlON AND AIR CONDITIONING SYSTEMS ANO DEVICES
Furnace Sheli and Duct Work, Burner —
Also Replacement Furnace
(Side Vent — Fill Out Back)
Gas Piping (Needed with new furnace)
Gas Range
Gas Dryer
*Air Conditioning — All Sizes
All Others/Repairs & Alterations (LIST ON BAC�
1% of Value of Appliance or Work
Commercial/Industrial
1.25% of Value of Appiiance or Work
Rate TOTAL
$ 30.00 $
$ 10.00 $
$ 10.00 $
$10,00 $
$ 25.00 $,���
$
$
State Surch�rge
TOTAL FEE
��
°�—�
M.INfMUM.FEE FOR ANY HEATtNG/COOLING'VENTILATtON
R�FRIGERATI�AIR CONDITIONIIVG PERMIT IS �25.00
PIUS THE $.SO STATE SURCHARGE
REINSPECTION FEE_$42.00/Hr
=A.ir Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
Effective On March 1, 1996
JOB ADDRESS �p�� � �� c�� N�
The undersigned hereby makes �pplication for a pErmit for the work herein
specified agreoing to do ali 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. ___
,1996
OWNER D� 1'�Y10 i�J I�t.� S%a:— �%�`f
BUILDING USED AS -Q�� L L ri �1
-T ��,
ESTIMATED COST C� I'J�D(� � PERMIT N0.
,�
� ; ��� ��: .; :
No. of Heating Units Circie Ono (Steamj SHot Water) (Warm Air)
Trsd�+ Name Size No.
BTU HP EDR
Fuel Total Connected �oad
Burner Trade Name Size No.
BTU HP EDR �
HEA'
.
Sig
HTd. MC i B�T. INC,
! CEtfniAL A1fE. N.E.
Tel No. �—(Q c� �
Approved Sy Rough—In Date Final Date �� ✓
FILL OUT BACK SID FOR STACK VERIFICATION ON
REPLACEMENT FURNACE
- CHIlVINEY AND STACK VERIFICATION
iu `-
_�
The undersigne���by verifies that the existing chimney or stack:
1. Has bee �fully examined Yes () No ()
2. Is free �t or deterioration Yes () No ()
3. Has no fo�n objects lodged within Yes () No ()
. �... �.
4. Is si��'1�� supported Yes () No ()
5,
J
Mee� all current Caie req_uirements for size
and d"ot�l BTU's cdnnected
heating BTU's of
All b�jier�BTU's
TO 's
7. Has a liner been provided for water heater
8. Has combustion air been provided for water heater
Remarks: .
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
Yes ( ) No ( )
Yes ( ) No ( )
Yes ( ) No ( )
sue�EtT PEFiMIT
City of Fridley 9228
AT TME TOP OF THE TWINS g �� L D 1 N� P E R M I T -
r
� � RE
� � •
� ; y_���_ COMMUNITY OEVEIOPMENT DIV. �D ��(')
r � � PROTECTIVE INSPECTION SEC. �1 ���
..J v
� �
t � �'��1 � CITY NALL fRIOLEV SS�3Z NUMBER pEV OATE PAGE OF APVROVED B�
�----�•' �•' 612-571-3450 910-F15 4/16/99 / /
JOB AODFESS 6464 Able Street NE
t IEGAL ��T NO. BLOCK TRACT OR AODITION SEE AT7ACHE0
oesca. 4,5 3 Florence Park SHEET
2 PROPERTV OWNEF MAIL A,ODRESS ZIP PMONE
3 CON7RACTOR MAIL ADDRESS ZIP GHONE LICENSE NO
Stock Roofing Inc 289 Libert Street NE, Fridle , MN 55432 780-3561 3112
4 ARCHITECT OR DES�GNER MAIL ADDiiESS 21P PMONE LICENSE NO.
5 ENGtNEER MAII AOORESS 21P PHONE LICENSE NO
6 USE Of BUILOING
Residential
7 CLASS OF WORK
❑ NEW O ADDITION � ALTERATIpN � FiEPA1R O MOVE O REMOVE
8 DESCRIBE WOpK
Reroof House & Garage (1$ Sq) Tear-off
9 CHANGE OF USE FqOM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to
9:00 pm on Saturday; No work on Sunday.
TYPEOfCONST OCCUPANCVGROUP OCCUPANCV�OAO
SEPARATE PERMITS ARE RE�UIRED FOR ELECTR�CAL, P�UMBING, MEATING,
VENTILATING Oi; AIF CONDITIONING
TNIS PEfiMIT BECOMES NULL AND VOIO If WORK OR CONS7RUCTION ZONING S4. FT CU fT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAVS. OR IF CONSTRUCTION
OA WORK IS SUSPENOED OR ABANDONED FOF A PERIOD OF 120 DAYS A7
ANV TIME AFTER WORK IS COMMENCED NO DWIG. UNITS OFFSTfiEET PAHKING
I HEAEBY CEFT�FY THAT I HAVE READ AND EXAMINEO THIS APPLICA710N 1 STALLS GARAGES
AND KNOW TNE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS Of LAWS VAlUAT10N SURTAX
ANO OROINANCES GOVERNING 7HIS TYPE Of WORK WILI dE COMPUEO
WITM WHEtNER SPECIFIED HEAEIN Ofi NOT. THE GRANTING OF A �ERMIT �1,542 $.77
DOES NOT PRESUME TO GIVE AUTNORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCMARGE
PROVISIONS OF ANY OTHER $TATE OR IOCAL LAW REGULATING CON- �51.25 Fire SC �I.S�F
STqUC�N OR ANCE OF CONSTRUCTION
PLAN CHECK FEE �OTA EE �
�--' Licens $5.0 $58.56
$�GN�TUAE Of CON'RA(;1OQ OQ �UTFIOA�ZED �GENT IOATE� HEN O A OAT I$ IS � PE)��
✓�/' /
l
S�GN47U�7E O� OWNEQ ��F OwHEQ Bu��DEQ� �OATE� Bl0 �N$7 � � �1FTf
NEW [ l
ADDN [ l
ALTER [ )
CITY OF FKIDL�Y
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
��ConstructionAddress: �_
Legal Description:
Y ����-
Tel. #
Effective 1 / 1 /99
. �
��
�'
�
Owner Name & Address: 3 /�.�
Contractor: � � ov � ��' MN LICENSE #
� 9 ���6��-� c� � �Gc'�cJ -e Tel. # 7 ��'`3 ��i �
A1lress: 3
' Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Construction Type:
DE5CRIPTION OF IMPROVEMENT
Length . Width Height Sq. Ft. ______
�ng� Width _ Height Sq. Ft. _
�ng� Width Hgt/Ground Sq. Ft.
_ / ��2_ °e'
�� �
Driveway Curb Cut Width Needed: Ft. + 5 Ft =
DATE:
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
APPLICAN'T:
Estimated Cost: $
(Fee Schedule on Back)
Ft x $ _ �
CITY USE ONLY
Tel. #
$ % 2� Fee Schedule on Reverse Side
$ % S� .001 of Permit Valuation (1 / l Oth%)
$ � ?% $.50/$1,000 Valuation
$ $1050 per SAC Unit
$ -5'� �d $5.00 (State Licensed Residential Contractors)
$ Alt. "A" or Alt. "B" Above
$ $450.00 Conservation Plan Review
$ Fee Detertnined by Engineering
$ Agreement Necessary [ ] Not Necessary [ ]
$ ��, �G
• • • • •••+�-�. � ���vr�..v � �Vlr {!I V.
6431 University Ave NE '� Q�
Fridte�y, MN 55432 l
572-3604
�
StOfl@S
Basement
Fioor 1
Floor'2
Floor 3
Floor 4
PLUMBING FIXTURE RATES:
New Fixtures
Old Opening, New Fixture
Beer Dispenser
B{ow Off Basin
Catch Basin
Rain Water Leader
Sump/Receiving Tank
Water Treating Appliance
Water Heater -Electric
Water Heater - Gas"
Gas Range"
Gas Dryer"*
Back Flow Preventer Required ()Yes () Nc
Type
APPLICATION POR PLUMBING AND GAS FITftNG PERMIT
MARK�NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
�:. ... . {
,.;r:; :�`.`�:�;:: Wash :��i�'�� : Floor � ��y k
.•�t ;s,=' w..•:,�.t: �' ` ,�.
r.'Y,�. .�..'�','r,'.i3�i�'�� �1Ut0.
;*��'�''4 � . /.�ji {}: y``la+'-�it'4 i`}S�: �:.•�'yv'. 'v.2Y{:::.i'.C�•r � �I
..:� Shower :�t�3CC�,�:;: Tra _ :�?Q�fl��<<��� Drain . `��"�}��: WachPn
NO. RATE TOTAL
$ 7.00
$ 4.OQ
a„ $ 5.00
$ 7.00
$ 7.00
$ 7.00
. $ 7.00
$10.00
$ 7.00
�_ $10.00
$10.00
$10.00
$15.00
Reinspection Fee $47.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Yalue of Fixture vr App{iance
State Surcharge
TOTAL FEE
�
$,20. 5O
JOB
5
Effective On May 10, 1999
Gas
�t4kJ
Heater
Elec
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all wo�k in strict accordance with the city codes
and rulings of the Building Division, and hereby declares that all the facts
and re�resentations stated in ihis application are true and correct.
KNOWLES, DEAN � z�Z 2
%�464 ABLE STREET NGf,TNFAST
rRIDLEY, MN 55432
Owner (763) 572-8754
�
Building Used As
Estimated Cost � �Q�� PERMIT NO. �� �-` `��
PLUMBING COMPANY � Q ��L��%� PL,(,/G7�j- /J`j�
SIGNED BY EL N0. '��� u�7- �033
,
Approved By Rough-In Date Final Date '� �°d�
'*COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SQ INCHES.
�
_
CIIYOF
FR[DLEY
FRIDLEY MUNICIPAL CENTER • 6431 LJNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287
March 8, 2002
Dean Knowles
6464 Able Street NE
Fridley, MN 55432
Re: Final Inspection at 6464 Able Street NE
Contractor: Norblom Plumbing
Dear Mr. Knowles:
A plumbing permit was issued on January 2, 2001, to install a water heater at your address.
According to Section 4715.2800 of the State Plumbing Code, a fmal inspection shall be
conducted on the plumbing authorized by this permit. As of this date, no inspection has been
called for.
The permit fee that was paid covers the inspections to make sure the work was completed
according to the Code. We will keep your permit open for another 30 days and if we do not hear
from you within this time to set up the inspection, we will mark the permit "no permit called
for" and take no further action.
To set up the inspection or to have any questions answered, please contact the Building
Inspection Division at (763) 572-3604.
ADDRESS
PIN
LEGAL DESC
PERMIT TYPE
PROPERTY TYPE
I CONSTRUCTION TYPE
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
�/►.�GS11L' !,'�'��
: 6464 ABLE ST NE
: 143024410056
: LTNAVAILABLE
: LOT BLOCK
: ELECTRICAL
: RESIDENTIAL
: ADDITION/ALTERATION
,"/ 1-1Lif"/
PERMIT NO.: 2004-00130
DATE ISSUED: Ol/28/2004
VALUATION .
NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE.
PANEL CHANGE AND LAUNDRY OUTLET
# 0-100 AMP CIRCUITS
APPLICANT
' TOTAL ELECTRIC INC
� 11967 ELDORADO ST NE
BLAINE, MN 55449-7907
(763)786-8484
OWNER
, KNOWLES DEAN A& MARGARET A
' 6464 ABLE ST NE
FRIDLEY, MN 55432
1
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of worl�
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or cancel the provisions of any other state or local law
regulating construction or the performance of construction.
Applicant Date
Bldg Insp Date
STATE SURCHARGE, ELEC FLAT
ELEC AMP SERVICE FEE
ELEC CIRCUIT FEE (0-100 AMPS)
TOTAL
PAID WITH CHECK # 12630
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
0.50
30.00
6.00
36.50
�uildin�
Inspections
763-572-3b04
PL�MBING
RESIDENTIAL APPLICATtON
C�TY OF FRIDLEY
Perr�it Naf.�',�� l?"�
Iteceived By:
1)ai.E: Rec' d:�� j=,c.7=�...._
�, ��— p Ya�.� E•MAIL ADURk:SS Y' i�w I I.t,m b c.° GlD I. Co v� I
��nrc , �.. �� ,� �—`�- ..
S1T►: ADDRh.:SSl�, " � ���' . �'-' • '
Ttils �aPPUCANT i5: O OwNBR ��UNTitACI'Oit
PROPEftTY NAN(E: ' . . �� _ � ��../��� _.��//��—�,����-/
I�.n�Ji /1. . [•TATO /1I171f+ �J���
OWNETU
'1'FNANT
CONTRACTOR
SU�3MiT A C:UPY UF
Yov�� sTA•r�
LICENSE Wl'fii
APPLIC:ATION
PERMIT TYYE
TYl'E OF WORK:
AUDRES�:.(�_`ti=
PFit )NG;� .
NAMF.: . �
S'CATL• L1CNN5C �! D
AIInKESS'� �
rHOrre �.l�,..$G
�S1NC:�LE EAMII..Y
p N�W
fL_�►.J� oa�'tumY�� r_ �`. ... . .�. .•.•—
, `� GXP L�aTE 1 a _�
> ���s�)n ��NSS�z.3
�.• GfIY� �Iil
���.,_ FAX .., � I o �.-L� 1[�P•J��
❑ TW� 1'AM►l,Y 0'I'UWNHUUSC
� j� REI'I,ACL•MEN7'
��
DETAI���..�f1�D� UES(%KIP 10N OF WURK �
_...�" "�- ..,�,�• ..,... ...
PBR MS 16g.665 tf►e pem�it fee is a minimum of StS.00 or 5°/d nf t�� totri eoEt up to S5UU.00, whichevcr Is �rea��t, for the
improvea�ent. instxll•ation or replacemcnt of a residential fixture, excluding the fixtures. (This should raflect unly the eost af labor )
l.abor cost und�r 5300 �_ �1 S.OU. Labor cost tx:tween 5300 to 5500 = cost oF fabor , x.OS =._._ __
� pkp,�p,��� WH�KE LAB()k �XCE�5 5500, FGES AaE DA..1fU ON SIU.QO PER TIXTUtt�, GXGHx'7' WHwkL• NU'�'EU. FIX rUR�S: (A'1DICA'fE TO'1'AL
NUMHL'ROF 1:ACli BELOW) SN��W�R _ WATER P1PiN<i
BA1N SiNKlLAV _PI.UOR DRAINS ^ SWIMMING PUOL V WATBit SOFTN� (S:�S)
« BA'iIiTUH G�S PTPMG IN�vciri'uu�xst) _... WARR CI.OSE'f ._ HACKFIAW PREV, (SIS)
CLO'I1�ES WASfI[Ii ' -L�A �DkY RAY � WA7FRllEA71:R (3351 f�OR IRR1GArION
.,�— DISHWASHE[L _. � WATEit METER ._ UT1�lER
AL DUE
Nurulur of fixtur�y (3 � 10.00 ..� x�C i U.00 � s�_...
� ° .5p Numbnr uf fixtures (� Si5.A0 �„_ x SIS.OU — S. ^.
Number of fixtures f3 $35.00 � x 535.�0 -�
— — �-• State Su�churge = ��.�Q
-r.,..�� � t �n G,n
'�'HLS l5 AN APPi•iCA'C14N FUK A PEKMfT•N(�T VAI.1U l!N'1'1L PRtX:LSSE:I)
T bereby apply ibr a building permit a� I ucla�nwiedge that the informacion alx�ve is cemplett e�id eccu��at�;
th+�t the w�rk will be in
conformance with thc ordinunces �nd coclus of the City oP Fridley and with d�e �'ilnnasota Ccrosuuc.Kioa C��des; tN�at I understand thix ts
nut a p�srmit b�U only a� appiicatiun for a permlt and wark is noe to start without a permit; ihat ehC work wilt t� L� ��►d��� W�th the
approv�d plsn in thu case uf Il wark whicl� i�:cluiras reviow und approval o}'p �s• � 07._
SIGNA7URE UP APPI.ICAN1' _
�, � YRMI' NAMP.., � ,l:01f�-�r�.�� UATS..�- •—
City of Fri�ley
Iiuildyng Inspections Aepartment
6�431 tTnivexsity Avenue NE, Fridley, M1�1 55432
76:i-572-3604
FAJ�: 763-5�2-4977
Ld WdZa : F0 L00Z i� 'upf ZBZi IZS£9Z :'ON Xti� ha i p t a� .+o FZ � �; �,qa�
Building
Inspections
763-572-3604
DATE ����'Q�{--
SITE ADDRESS
THIS APPLICANT IS:
PROPERTY OWNER/
TENANT
CONTRACTOR
SUBMIT A COPY OF
YOUR STATE LICENSE
WITH APPLICATION
PROPERTY TYPE
PERMIT TYPE
TYPE OF WORK:
DESCRIBE WORK BEING
SIZE OF IMPROVEMENT
NUMBER OF SQUARES
GA A E
PROPOSED SIZE:
PROPOSED HEIGHT:
BUILDING
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
YOUR E-MAIL ADDRESS
��� .
❑ OWNER "�EONTRACTOR
t
Permit No.:
Received By:
ADDRESS: CITY STATE ZIP
PHONE: � ` S�- p� .- ���
NAME:
STATE LICENSE #
ADDRESS:
PHONE
❑ SINGLE FAMILY/NE�
❑ TWO FAMILY/NEW �
❑ ADDITION
❑ BASEMENT FINISH
❑ DECK
❑ NEW
❑ MAINTENANC`F/RFP�
Renewal By Andersen
1920 County Road "C" West
Roseville, MN 55113
License #20130983
651-264-4777
❑ GARAGE/SHED ❑ �
O ROOF
O SIDING
❑ SWIMM
❑�
u tiVUSE ONLY
❑ HOUSE & GARAGE
❑ ATTACHED GARAGE
❑ DETACHED GARAGE
ATE ZIP.
❑ DRAIN TILE
0 OTHER
• t. :
WIDTH
B_ASEMENT MOD IN CIIRII�IT•
l . Existing Floor Plan
2. Proposed floor plan
3. List of structural members to be used
Ft.
p�� FOR NEW CONSTRUCTION INCLUDING DECKS,
OSoffit ADDITION & POR H S ci1RMIT•
❑ Aluminum O Trim
❑ Other ❑ Fascia 1• Site Plan/Survey showing the existing structure
and proposed project.
WINDOWc 2. Two seu ofconstruction plans
[N EXISTING OPENINGS OYes ONo LOCAT[ON OF WINDOWS 3. Energy Calculations
OR FOR NEW OPENINGS-DESCRIBE S1ZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF W[NDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR Al�1D MATERIALS:
(USING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $ )�( ( t� �— nc�ri ivs nrrv T.,D�
Permit Fee
Plan Review
Fire Surchazge
Surcharge
License Surchazge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Total Due
$ -
$ I . �f o
$ i '��—
$ .�, �
See Back Page for Fee Schedule
65% of Building Permit Fee
.001 times the total job valuation
.0005 x Permit Valuation Minimum $.50
$5.00 (State Licensed Residential Contractors)
$1550 per SAC Unit (Plans to MWCC for determination)
ft+6ft= ftx$21 =$
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make c6ecks payable to: City of Fridlev AttA�
THiS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be 'v
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Constiuction Codes; that I understand this is not :
permit but only an application or a pe i and work is not to start without a permit; that the work will be in accordance with the approvec
plan in the case of all work w ch requ' eview and appmval of plans.
SIGNATURE OF APPL[CANT PRINT NAM __�'� (��
(%% DATE
Building BUILDIN� Pe�'� N°•:
76 pect2 � 04 ����NTIAL APPLICATION R�;eived By: �, 2 1 2
3 57 3b CITY OF FRIDLEY �t���
DA� 10/19J09 yp(�ggMqII,,4�p�g estherd�probuiitam.com
sF� AnnxESS 64 64 ABLE ST I3E
THIS APPLICANT IS: ❑ OWNER OCONTRACTOR
PROPERTYOWNER! ��: Marqaret Knowles
TENANT �D�ss: same as site ct�t sTA� ztr
PHONE:
CONTRACTOR N�: proB ' t America
SUBMiT A COPY OF STATE LICENSE # BC — 2 0 3 5 6 8 4 7 �p Dp� 0 3 10
YOURSTATELICENSE ADDRF.S3: 2211 llt AV@ E C�y North Sb STATE � 557.p9
WITH APPLICATION pHp� 6 51- 7 7 0- 9 315 �� 6 51- 77 0- 04 9 5
PRUPERTY TYPE 0 51NGLE FAMILYRVEW CONSTRUCTION StZE
❑ TWO FAMILYlNEW CONSTRUCTION STORIES
PERMIT TYPE ❑•wnmorr ❑ c��c,F1s� o wnanows
❑ BASEMENT FINiSH ❑ ROOF � DRAIN TILE
❑ DECK ❑ SIDING ❑ OTHER
❑ SWA�IIvIIIVGPOOL
TYPE OF WORK: � � ❑ ADDTi'ION
0 MAINTENANCFIREPAIR 0 REMODELING
DESCRIBE WORKBEING �ONE: Replacing 5 window,
SIZE OF IMPROVEMENT LENGTH WIDTH HEIGFiT . Ft�
ROOFING p HOUSE ONLY
NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMIIIT REMODELING SUBM[T:
GARAGES ❑ ATTACHED GARAGE �' EX�st�ng F'1°°r Plan
�ort�sEn sizs. o n�rnc�n r�enr� 2- rro� no� �tan
PROPOSED HEIGHT: 3. List of shuctural �mbers to be uxd
SIDING FQR NEW CONST1iUCTIOTT INCLiJAING DECRS,
❑ Vinyl OSoffit ADDITIONS_ & PORCI-IES SUBIefIT:
O Atuminum O Trim l. Site Planl�vey showing U�e ex�ti� �
t7 Other ❑ Fascia a� Proposed P%lect-
W��u,S 2. Two sets ofconstruction plans
IN BXISTING OPENINGS �Yes C3No LOCA1iON OF WINDOWS
3. Fa�ergy Calcu}aiians
OR FOR NEW OPIIVINGS-DESCRIBE 3IZE OF
QPENING CHANGES 8c 5
TYPE OF WINDOW TO BE INSTALLED NUMBER OP WINDOWS
ALL FEES ARE BASED ON VALi7ATION, INCLUDING TAE COST OF LABOR AND MATERIALS:
{U5ING THE 1997 U.B.0 FEE SCHEDUL�)
TOTAL JOB VALUATION S 2513 OCCUPANCY TYPE
Permit Fee
Ptan Review
Fire Surcharge
Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
$ �3 .�.� See Sack Page for F� Sch�ule
$ 65°!0 of Buitding Peamit F�
$ �`� .001 times the Wtai job vatuation
$ �-� � .0005 x Permit Valuation MiniFnnm $.50
$ `��^� �5.00 (State Licensed Residential Contractors)
$ $2675 per SAC Unit (Ptans to MWCC for determination)
S ft+68= ftx$21=S
$ $450 Conservation Ptan Review
$ Fee Detennened b}' Engiaeering
$ Agreement necessary ( ) Nan Necessary ( }
$ ,; � fi Make checks Davable to: Cih� af Fridtey Attac
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I aeknowledge that the information above is complete and accw�ate; that the work will be in
conformance with the ordinances and codes of fhe City of Fridley and with the Minnesota Construction Codes; that I understsnd this is not a
permit but only an application for a permit and work is itot to start without a pemii� that the wodc wilt be in aceordance with the approved
plan in the case of ali work which reyuires review and approval of plans.
SIGNATURE OF APPLICANT �:6�� � PRn�r[� NAI„� Esther Dahl DA,I.E 10 / 19 / 0 9
Building
Inspections
763-572-3604
763-502-4977 FAX
DATE �G ' �" � - U�
SITE ADDRESS �
THIS APPLICANT IS:
PROPERTY
OWNER/
TENANT
CONTRACTOR
SUBMIT A COPY OF
YOUR STATE
LICENSE WITH
APPLICATION
PERMIT TYPE
TYPE OF WORK:
MECHANICAL
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
EFFECTIVE 2-19-09
Permit No °
Received By: �
Dat�e�d��� O
YOUR E-MAIL ADDRESS �����J �j7� � v���2- ' ��
❑ OWNER �RACTOR
NAME: �i'/!-�'`,'i i t�"�" /�- �v�
,�D�SS: �� G � /�3 Gf �r
PHONE: �(0 3 iS%�-- �5 % ��
STATE ZIP
COMPANY NAME: /I' v� ��v y� v� �
CONTACT PERSON: �l�ir-� ���� �< <
STATE LICENSE # EXP DATE q
ADDRESS: ao�-� � J��" � CITY / v�� STATE ZIP �� �/
PHONE � ' �� �- 36a,� FAX
FAMILY ❑ TWO FAMILY
❑ REPLACEMENT
DETAILED DESCRIPTION OF WORK
❑ TOWNHOUSE
❑ ALTERATION/REMODEL
'° ' FEES rCRE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE 1VOTED. TIXTURES: (IIVDICATE TOTAL NUIWIBER.f1�'.�AC�-B�L,OW) '` "
PROVIDE HEAT LOSS CALC'S PER MANUAL J 2006 A HRAE HANI�BOOK. _.r:'_- •j-` �� r- .
Equipment Installed MFG: �J%1/� MODEL: �� SIZEBTU /�
MFG:
MODEL:
SIZE/BTU
MFG: MODEL: SIZEBTU
_A/C $25.00 �FIREPLACE (GAS) $15.00 GAS RANGE/OVEN $l0,00
_AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 _NEW GAS GRILL $)0.00 '
BOILER $35.00 FURNACE $35.00 GAS UNIT H7'{t $10.00 -
CHIMNEY LINER $10.00 GAS DRYER $]0.00 POOL HEATER $35.00
DUCT WORK $10.00 GAS PIPING $10.00 _VENT[LATOR $15.0(7 °`
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I aclrnowledge 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 app ' ation for a rm' an ork is not to start without a permit; that the work will be in accordance with the
approved plan in the case all ork wh' r uir review and approval of plans.
SIGNATURE OF APPLICANT PRINT NAME��o` "'`-' I`�"�� /L( DATE / U�%'�/�
APPROVAL
DA
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604 FAX: 763-502-4977