AF - 44476� . . . •
City of Fridley, Muin.
BUILDING PERMIT N° 4 015
a �
�
Date: .......:'
...................................9................. . --.. `�.......................................
_ -I�'' , _
Owner: ..�..�%1�--.........._��r............1...�.�/J.!/1.�..� Builder y�'�....._.
Address ..._..3�..'T'T'�--.._...- -�-1--.�-.•��-��# .............��-4�'_... Address .../..g...�.r...�........._....(..�.l1...N1...�.1.._.l.�.V�....... �� `,d �,�. 1
..... ._........
OCATIO F BUILDING
No. �T....7....�%. Street ........... ... . . ...... .. ...... .:.................. ................ Pa of Lot .................................................................. ..........._----
Lot ....1....��..........._....... Block ....................lQ..........._..._......... Addition or Sub-Division �d!1.l�,.%���
� ���.. ��
Corner Lot ......---._.........__._....... Inside Lot
Sewer Elevation
Setback ...................................... .... Sideyard
................... Foundation Elevation ..................
DE�CRIPTION OF BUILDING
To be Used as:
%,��c�' Jp �/ /7' / . �,j ,/�/�
`�/ .�4�v.��.... . nt L....L...,'..p. Depth ��"�yHeight ....L...�_�gSq. Ft�.��.. Cu. F��/.....(2....V
......... .. ����ont ........................ Depth ........._ _.. Height ........................ Sq. Ft. ............... .... Cu. Ft. ........................
Type of Construction ............._...._....._........._.................... Est. �.�/�._... ..._ To be Completed .._......_......................................_..
%
In consideration of the issuance to me of a permit to const t the building described above, I agree to do
the proposed wark in accordance with the description above se,�rth and in ompli with all provi ' s of
ordinances of the city of Fridley. % � /� � �
In consideration of the payment of a fee of $�._ '.''�..�., permit is hereby granted to ............._............_............_..........._..._..
....._ .................................................................... to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridiey, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances. / _ e �t""�
Building Inspector
NOTICE:
Y
This permif does not eover fhe eonstruefion, insfallation for wiring, plumbing, gas heatieg, ssw�r or wafer. B� sure to s��
the Building Inspector for separafs permifs for fhese ifema.
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City of Fridley, Miun..
BUILDING PERMIT
Date: ._._._..._.._. July 20 1965 ��__,___
� � � �' �
N° 8239
Oaner, Ben Tammes Biulder B& V Con.struction
_._._..._._.. � -�--�26�8�eorgia."_Ave�'..�o.._...___._....._._�
� � ���� 5444 Altura Rd.
Address_..._._.._...._.____......_...___._ ............._...._.__.....__.___.___......_._ Address ....___. _.____.___....._.._....._..._..__. _.�..___.
LOCATION OF BUILDING
5444 Altura Rd.
No. ..�__.........___.__ Street ...._.._._._..____�._........._..__._._._...._ _-----._...._._._.._..._._. Part of Lot _.
Lot .....____....__.�__ Block _.�________._�._.___._. Addition or Sub-Division ....._..._.._._.—_
Corner Iat -----_..._...._ Inside Lot ••-•_-------___.__._._. Setback .____.__....--•.__.___._ Sideyard
Sewer Elevation
Foundation IIevation
To be vsed as:
Type of Construction
DESCRIPTION OF BUILDING
Front —______.. Depth _.._.._....___ Height .__......__.._. Sq. F� ..r..__�.
Front _._..___r.. Depth ___�._._ ... .. . Sq. F� _______
.�, ���o_._. _. _. __
_.._._.._..___.._.---_..._...___.. Fst. Cost _.------_.._......... _.._...__..---...... To be Completed
Cu. Ft ...._.
Gti. FL _._
Repair stiorm damage
In consideration of the issuance to me of a permit to cons ct the building described above, to do
the proposed work in accordance with the description above set orth and in compliance ''ons of
ordinanoes of the city of Fiidley.
• B & V Construction
In c�onsfderation of the payment of a fee of �_.._ ..__._.., permit is hereby grauted 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 mo�ving of buildings
within the dty ]imits and this permit may be revoked a t any time upon violation of any of the provisians oi said
ordinaacoes.
� ALLEN G. JENSEN B�� ���
NOTICE:
ilds p�emh doa nef eowr �u eonshveNon, inshll�Non fo� rvieino. Piumbino. Yas h�afi�Y. shw�r or wat�r. !� wn to aN
th� duiWfno In�pKler for ap�ral� p�emils for th�a h�ms.
� . ..
APFLICATION FOR BUILDING PERMIT
CITY OF FRID�LE'Y, MINNESOTA
OWNER'S NAME BUILDER
+ c
ADDRESS � ADDRESS G�
,
LOCA1"ION OF $UILDING
- -
N0. ,� �`7��`STREET �� PART OF LOT
LOT BLOCK ADDITION OR SUBDIVISION
CORNER LOT IN5IDE LOT SETBACK SIDE-YARD
SEWER ELEVATION FOUNDATION ELEVATIOft
Applicant attach to this form-Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
To be used as;
DESCRIPTION OF BUILDING
Front Depth Height
Sq. Ft. Cu. Ft.
Front Depth Height
Sq. t. Cu. Ft.
Type of Construction ` � Estimated Cos� ,� �v �
�
�—
To be completed
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 � �,2 � � �� SIGNATURE
(Schedule of Fee Costs can be found on the Reverse Sidej.
• �... •
_
_
C�1Y OF
FRIDLE.Y
FRIDLEY MUNICIPAL CENTER • 6431 UNNERSITY AVE. N.E. FRIDLEY, MN 55432 •(612) 571-3450 • FAX (612) 571-1287
December 30, 1998
Nicole Reinbold
5444 Altura Road NE
Fridley, MN 55421
Re: Construction Without Obtaining a Building Permit
(Reroof at 5444 Altura Road NE)
Dear Ms. Reinbold:
According to Section 106.1 of the 1994 Uniform Building Code as
adopted by the City of Fridley, no building or structure regulated
by this Code shall be erected, constructed, enlarged, altered,
repaired, moved, improved, removed, converted, or demolished unless
a separate permit for each building or structure has first been
obtained from the Building Official.
You have been notified of your need to obtain a building permit and
have failed to comply as of today's date. As a result, a special
investigation fee will now be added to the permit, equal to the
permit fee. The City of Fridley will give you 30 days in which to
comply before turning this matter over to the City Attorney for his
legal consideration.
Please contact me at 572-3603 if you have any questions on this
matter.
Sincerely,
Lf/, G�
B RY RIESCH
Building Inspector
BR/bk
sue�ecr PE . `
City of Fridley 2 8 8 2 0
�
AT THE TOP Of THE TWINS g�� L D i N G P E R M l T
,,
, � pG/a�
� �y __� COMMUNITY DEVEIOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC.
� � �"'� � CITY HALI FRIOLE`� 55132 NUMBEp REV O�TE v�GE O: �PVROvEO Br
�""'�"� �'' b12-571-3450 9�0-Ft5 � �
1 4 99
lOB ADDRESS
5444 Altura Ro
t LEGAI �OT NO. BLOCK TRACT OR ADOITION SEE ATTACHED
DESCR. 20 6 � SHEET
2 PROPERTY OWNER MAIL AOORES$ Z�P PHONE
Nicole Reinholds -
3 CONTRACTOF MAIL AOORESS ZIP PHONE LICENSE NO
New Haven Cons -
e ARCNITECT OR DESIGNER MAII AODRESS ZIP PMONE UCENSE NO.
5 ENGINEER MAIL AODRE$S ZIP PHONE UCENSE NO
6 USE OF BUILDING
Residential
7 CIASS OF WORK
❑ NEW O ADDITION O ALTERATION � fiEPA1R p MOVE O REMOVE
8 DESCNIBE WORK
9 CHANGEOFUSEFROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
TVPEOFCONST OCCUPANCVGROUP OCCUPANCVLOAD
SEPARATE PERMITS ARE REOUIREO FOR ELECTRICAL, PLUMBING. MEATING.
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOIO IF WORK OA CONSTRUCTION ZpNING SO. FT CU FT.
AUTHORIZED IS NOT COMMENCED WITNIN 60 DAYS. OR If CONS7RUCTION
OR WORK IS SUSPENDED OR ABANQONEO FOA A PERIOD OF 120 DAVS A7
ANV TIME AFTER WORK IS COMMENCED. ' NO DW�G. UNIT$ OFFSTREET PARKING
I MEREBV CERTIFV THAT I HAVE REAO AND EXAMIN�O THIS APPI,ICA710N STA�LS GARAGES
ANO KNOW THE SAME TO BE TRUE ANO CO F1ECT. ALL PR ISIONS Of LAWS VAWATION SURTAX
AND ORDINANCES GOVERNING THIS TV E OF WOAK ILl BE COMPUEO
WITH W 1HEq SPECIFIED ME IN OR OT. THE GR TING OF A PERMIT $1799 $.9O
OOES N RESUME TO GIV UTM RITY TO VIOI TE OR CAMCEL THE pEpMIT fEE SAC CHARGE
PROVISIO OF ANY OTH S AT Oii LOCA� LA REGULATING CON-
�S RUCTI R TME PERF RM OF CONSTRU ION tiSSC).].rj Fli2 SC �1.HO
PLAN CNECK FEE TOTAL FEE
License SC $5.00 $64.45
S�G Q CON'AACT 0�7 �UTtiOQIzED sGENT iD�7E� WMEN PROPEF1lY LIDATED THIS IS VOUQ PERMIT
�
/
$�GHnTUAE O� OW�+EQ��F pWNEABU�LDEA� iDATE� . ` BLOG �NSp ' � ���'�
NEW " [ - ] Effective 1 / 1 /99
ADDN [] CITY OF FRIDLEY D
ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION . ��� �
�' b0
� ��"� A� �'4-�(�- �� � c� 1� �
ConstructionAddress: �-
Legal Description:
Owner r
Contract�
Address:
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
� Tel. # S � Z `�� �
MN LICENSE # �� `� 7`) ��SZ.
�_Tel. # �o�o � �2 � _
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
Length
Length
Length
DESCRIPTION OF IMPROVEMENT
Width Height 5q. Ft.
Width Height Sq. Ft.
Width Hgt/Ground Sq. Ft.
�''7 ,� � �
" - ( r
Construction Type:�� � Estimated Cost: $ � %��
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: � - � ' %� APPLICANT: Tel. # �'� � 32 Z- � w
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License 5urcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
5TIPULATIONS:
$ � S�
$ l� f� �
$ � �d
$
� ` cJv
$
$
$
$
$ �o� - `�S�
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.50/$1,000 Valuation
$1050 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 [ ]
Building
Inspections
763-572-3604
MECHANICAL
RESIDENTIAL APPLICATIUN
CITY OF FRIDLEY
DATE �– (' ��o YOUR E-MAIL ADDRESS
srrE twDxESS �i44 .�l-lurw R�l
THiS APPLICANT IS: ❑ OWNER �CONTRACTOR
PROPERTY
OWNER/
TENANT
CONTRACTOR
SUBMIT A COPY OF
YOUR STATE
LICENSE WITH
APPLICATION
PERMIT TYPE
TYPE OF WORK:
ADDRESS: CIT'Y
PHONE:
COMPANY NAME: `��J`' w^L�a� �+cv L.aT w
CONTACT PERSON: .,•__._ � �__ ' _' �'---
Permit No.:
Received By:
Date Rec'd:
STATE ZIP
STATE LICENSE i1 EXP DATE
ADDRESS: � 5�' CITY �d� STATE I�ZIP!5_5432
PHONE "lb 3 '164 -{o � oo _ Fa?c 7(�3 'iSa -4 �94
�SINGLE FAMILY ❑ TWO FAMILY
❑ hiEW �REPLACEMENT
O TOWNHOUSE
❑ ALTERATION/REMODEL
DETAILED DESCRIPTION OF WORK l�io,mort ar� t.zc� l�w e� '�"''""'� � A��
PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the
improvement, instaliation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor )
Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS =
FOR PROJECTS W3�RE 1-ABOR EXCEEDS $500, FBES ARE BASED ON 510.00 PER FIX7'URE, EXCEPT WHERE NO'I'ED. FIXTURES: (II�iDICATE TOTAL
NUMBER OF EACH BELOV�
EquipmentInstalled MFG: �� - MODEL:3IQA�.VQ3�.�n SIZE/BTLJ '10��
MFG: MODEL: SIZEBTU
J�,J�G; MODEL: SIZE/BTU
�A/C $25.00 FIREPLACE (GAS) $15.00 _GAS RANGFJOVEN S10.00
AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) 535.00 NEW GAS GRILL S10.00
�BOILER $35.00 X FURNACE $35.00 _GAS UNfT HTR 510.00
CHIMNEY LINER $]0.00 GAS DRYER $10.00 POOL HEA'1'�R $35.00
�DUCT WORK $10.00 ,_GAS PIPING $10.00 VENTILATOR S15.00
— ,..
— __. .. _ �.»n,,�.,�� :..:�:w: . � _ .Q� '�''
�l�.�fl."s�.."SJr�'1�'1?iiJ�.±h.� ^n7a.Ce'l�.i�°,ti3r.a,�i✓sr.au:wura��ats#�..�;r=�ear� �:^.z . .u.,.,..�.+.� . .,,.-, �:,.�-.� -.«._ ... _.. _..
Permit Fee $ Lp . oo � Number of fixtures @$10.00 x$10.00 =$
Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $
TOTAL DUE $ t�o .�o Number of fixtures @$25.00 x$25.00 =$
Number of fixtures @ $35.00 x $35.00 = $
State Surcharge = $ .50
Total = $
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 in
conformance with the ordinances and codes of the City of Fridley and with the Minnesota �Construction Codes; that I understand this is
not a permit but only an application for a permit and work is not to start without a permit; that the work will be izi accordance with the
approved plan in the case of all work which requires review and approval of plans.
SIGNATURE OF APPLICANT ��^�- ��' P�T N'� Kri F��'� DATE��
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: ?63-502-4977
�-
REQUIRED INFORMATION NEEDED TO PROCESS PERMIT
RESIDENTIAL PERMIT APPUCATION HVAC
❑ NEW HOMES/ADD(TlONS ❑ EXISTlNG HOME ❑ MAKE-UP AIR
REQUIRED FOR NEW/EXISTING HOMES
1. Combustion Air (See note below) .
a. Oil or solid fuel IMC Cha.pter 7 with MN Amendments
b. Naturai Gas or Propane/IFGC Chapter 3 with MN A.mendments �
2. Make-up Au' (See note below)
a. IMC Chapter 5 with MN Amendments
3. Venti.ng
a, Gas appliances 1FGC Chapter 5 with MN Amendments
� b. Fuel other than gas IMC Chapter 8 with MN Amend.ments
REQUlRED FOR NEW HOMES
4. Heat loss & cooli.ng load per room
a. Required on new construction IMC 1346.0312
5. Venti�ation .
�. Per Mr? Energy Code 7670 or 7672
6. Duct Design Per lMC 1346.0603.2
a. ACCA Manual D
NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for
combustion and make up air calculations
Building „
Inspections
763-572-3604
763-502-4977 FAX
DATE (D +_�Z'
� -�� �
SITE ADDRESS ,
THIS APPLICANT IS:
BUILDING
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
EFFECTIVE 1-I-08
PROPERTY OWNER/ NAME:�
TENANT p,DDRESS:
PHONE:
CONTRACTOR
SUBMIT A COPY OF
YOUR STATE LICENSE
E-MA1L ADDRES5
A / .^ /� _ �
❑CONTRACTOR
CITY
ADDRESS: � CITY,
PHONE
STATE LICENSE #
PROPERTY TYPE I❑ SINGLE FAMILYMEW CONSTRUCTION
❑ TWO FAMILYINEW CONSTRUCTION
PERMIT TYPE
TYPE OF WORK:
DESCRIBE WORK BEING
SIZE OF IMPROVEMENT
ROOFING
NUMBER OF SQUARES _
GARAGES
PROPOSED SIZE:
PROPOSED HEIGHT:
SIDING
�,Vinyl
❑ Aluminum
❑ Other
FAX
EXP DATE
SIZE
❑ ADD[TION ❑ GARAGE/SHED � WINDOWS
❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
❑ DECK ,;R(SIDING ❑ OTHER
❑ SWIMMING POOL
❑ NEW I-iOME CONSTRUCTION ❑ ADDITION
❑ MA[NTENANCE/REPAIR ❑ REMODELING
WINDOWS
1N EXISTING OPENINGS ❑Yes ONo
OR FOR NEW OPENINGS-DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED
❑ HOUSE ONLY
❑ HOUSE & GARAGE
❑ ATTACHED GARAGE
O DETACHED GARAGE
Permit No.:
Da�c�d
�
,
A'
'ATE ZIP
FT
BASEMENT REMODELING SUBMIT:
I . Exis[ing Floor Plan
2. Proposed floor plan
3. List of structural members to be used
FOR NEW CONSTRUCTION INCLUDING DECKS,
❑Soffit ADDITIONS. & PORCHES SUBMIT:
❑ Trim I. Site Plan/Survey showing the existing structures
❑ Fascia and proposed project.
2. Two sets of constrnction plans
3. Energy Calculations
LOCATION OF WINDOWS
OF
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR ANA MATERIALS:
` USING THE 1997 UBC FEE SCHEDULE)
TOTAL JOB VALUATION $ L. ��'D OCCUPANCY TYPE
Permit Fee
Plan Review
Fire Surcharge
Surcharge
License Surcharge
j SAC Charge
� Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Total Due
$ 3� .'j� See Back Page for Fee Schedule
$ 65% of Building Permit Fee
$ �. 0 .001 times the total job valuation
$ • .0005 x Pertnit Valuation Minimum $.50
$ $5.00 (State Licensed Residential Contractors)
$ $1825 per SAC Unit (Plans to MWCC for determination)
$ ft+6ft= ftx$21=$
$ $450 Conservation Plan Review
$ Fae Determined by Engineering
$ Agreement necessary ( ) Non Necessary ( )
$ 1.�(� :aFi Make ct►ecks payable to: City of Fridley Attach
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge that the ' ormat n 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 Mi esota Constluction des; understand this is not a permit but only an applicatio a permit and work is not to start without a
permit on site; that the work will be in a ce wit the oved n the case of ali work which req�ire� review and a v of�pian$ � E�L�
SIGNATURE OF APPLICANT GC PRINT NAME N1 Go /l �/ K'��O DAT
APPROVED BY DATE
�
_
C[1YOE
FRtDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287
BUILDING PERMIT APPLICANT: PROPERTY OWNER
'�{ ei n,�o 1 I„
�, understand that the State of Minnesota
requires that aN residentia{ building contractors, remodelers and roofers obtain a state
license unless they qualify for a specific ex i n from nsi requirements. As
the owner of the property at "' /' , Fridley, I
am exempt from the state licensing requi ement only if I am not u�lding or improving
this property for purposes of resale. By signing this document, I attest to the fact that I
am improving this house for my own use and do not intend to sefl it. 1 hereby claim to
be exempt from the state licensing requirements because I am not in the business of
building or remodeling on speculation or for resale and that the house for which I am
applying for this permifi, isl the first residential structure I have built or improved in the
past 24 months. I also acknowledge that because I do not have a state license, I forfeit
any mechanic's lien rights to which I may otherwise have been entitled under Minn.
Stat. 514.01.
Furthermore, 1 acknowledge that I may be hiring independent contractors to perform
certain aspects of the construction or improvement of this house and I understand that
some of these contractors may be required to be licensed by the State of Minnesota. I
understand that unlicensed residential contracting, remodeling, and/or roofing activity is
a misdemeanor under Minnesota law, and that I would forfeit my rights to
reimbursement from the Contraetor's Recovery Fund in the event that any contractors I
hire are unlicensed.
I have also been informed and acknowledge that by listing myself as the contractor for
this project, I alone will be responsible to the City of Fridley for compliance with all
applicable building codes and city ordinances in connection with the work being
performed on this property. _ _
Name
Date %O .- � �- � 61 O�
,T—