AF - 46864. AP�.lGATION� FOR M;OVIN,G ��tN1IT
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_ Fridley, Minn.¢���-%- 19�
Ina�ctor of Buildi.ngs,
6431 Univ. Ave. N.E. �
The underaigned hereby makes applica,tion for permit to m�ove building as herein apecified, agreeing ta do a11
wo'rk in strici accordance witIi the City Ordiaances and rulings of the Department of Buildings, and hereby de-
claxea that all the facts and representations st�ted in thia application axe true and correct.
Lot Block
Present Locatian :
�,�ll � � r�r�/ J,�l�� J �� .
, --, --,
Additioa
To be moved to:
,� . _ a ��.' c��:�7��� �% �, �., ��i� �� �
RO11t1IIQ' : �.5 !7Q v A/ � /10 � (ii1 a � �� T� / � � �'OfU /Q �t! -� D � sfi�w � / 1 a �
— s
Distance moved �-���5 ft.To be completed abau ``� ` � 9�
Taxes paitl? Eatimated coat $-���—� Fouadation and alterati permit numbera
Certi�ca.tion as to eost; �� ,��-. �`_s ;�..,
, �� YM . A , . -_
I hereby certify that the above designated building is worth at lea,st a' y(60) per cent o� t�ie cost�of a simi-
� lar new buildin�.
Signe
Owaes or Ageat
Aggroved by:
a
��/�iL� Water & Sewer Depaxtment
City Engineer
Utilities Notified :
d� �J-�� -�
���� Min.nea,pt►lis Gaas Co. (date) �
(Title) -
��� �
Northern Statea Power Co. (date) � � ����,
- cTitle�
�%j��„— Northwestern Bell Telephone Co. (date) -� ���� 7
(Title) ,r - � �
Liceased Mover
(See reverse side for ins3ruciions)
In the event that the moving germit is to be apglied fmr by the owner or bg any gther person than the licensed
Mover, the following letter must be completed and signed liy eaid mover: �
Inapector of Buildings,
6431 University Ave. N.E,
Fridley, �Minnesota
Please issue the beaxer of this application, Mr
Da 1��
a permit to move bnildin$ from • ���r✓ Ts`,� /i�7 !r� ,dC
.
to: �� �-�`p.rs �a/ to which hereby authorize him to ign my e.
� Sign � ��
Licensed Mover
GENERAL INSTRUCTIONS
The following mu�t be secured l�fore mo�ing g�ermit will_ be issIIed;
1.. A building germit for new location of building to be moved. To obtain this building permit, the following is
re�uit�si,-
(a) The building to be moved must be inspect� for structural soundness by the building inspector. Phone this
office for inapection. SUnaet 4-7470.
(b) A aurvey of lot to which building is to be moved. This aurvey muat be made by � licensed surveqor.
(c) The buxlding and moving permit must be obtained at the same time.
2. Tax receipt showing that all real estate taxes due have been pa,id. Duplicate receipts may be obtained at Anoka
County Auditor. _
3. Approval from, the Fridley Water and Sewer Department showing that bills chargeable against the progerty to
be moved have been paid and water connections have been discontinued at the curb line or at the main, (See
reverse side of form.)
4. Approv�l from Fridley Director of Public Works office approving routing.
6. Notifica,tion to, and signature of utility companies. (See reverse side of form.)
(a) Minneagolis Gas Co., 739 1Vlarquette Ave., Engin eering Depaertment, Fourth F1oor.
(b) 1�Torthern States Power Co., 15 South 5th Street, Applica,tion and Extension De�artment.
(c) Northwestern Bell Telephone Co., 224 South bth Street, Business Office, First Floor.
li 25a8-sa
\ -
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Inspector of Buildings,
6431 Univ. Ave. N.E.
A,PPL�I�.A110N FOR M,OVIN�G PERMiT
No
Fridley, Nlinn. �- ' �' g � i
The undersigned hereby makes application for permit to m�ove buildiag a.s herein specified, agreeing to do a11
work in s�rict accordance with the City Ordinances aad rulings of the Department of Buildings, and hereby de-
clarea that all the facts and representations atated in this application are true and corr�t.
Lat Block Addition
Pre.sent La�eation •
� � � ' ��
���i?�i� �? � `�, i , °� A , d
To be moved to:
_ . _._ � / � �-J°J L9z*1 t�)�'� -- - -� Pf�� l��/ ��,Z�
Routing:
Diatance moved it.To be completed abou± y 9—
Taxea pa.id? Estimated cost $ Foundation and alteration pexmit numbers
;ertification as to c�s�:
I hereby certify that the above deaignated building ia worth at least sixty (60) per cent of the cost of a simi-
�r new building. . I ; _ : i ,
' Signea
Owaer or Ageat
i
�ggroved by:
Water & Sewer ITepartment
; City Engineer
;
�
ftilities Notified:
Minneapolits Gas Co. (da.te)
„� (Title)
(Title)
orthern States Power Co. (date)
orthwestern Bell Telephone Co. (da.te)
(Title)
Signed
Liceased Mover
(See reverse side for 3�_�^,�oas)
� ~ ��
II `� 1
i. �
In the event that the moving germit is to be apglied for byd the owner or,by �.nv other person than the licensed
Mover, the following letter must be comgleted and signed by said mover: �
�
Inspector of Buildings,
6431 University Ave. N.E.
Fridle�, Minnesota
Please issue the beaxer of this application, Mr
a permit to move building from :
.
to:
DatA , 19—
SignPCl
whieh I hereby authorize him to eign my name.
I�fcenaed Mover
GENERAL INSTRUCTIONS
The following mns�t be secured before moving pern�it will be issned •
1. A building pern�it for new location of building to be moved. To obta.in this building germit, the following is
required :
(a) The building to be moved must }s� inepect� for atructura.l soundnesa by the building inspector. Phone this
office for inspection. SUnset 4-7470.
(b) A survey of lot to which building i,s to be moved. Thia survey must be ma,de by � licensed aurveyor.
(c) The building aad moving permit must be obtained at the same time.
2. Tax receipt showing that all real estate taxes due have been paid. Duplicate receipts may be obtained at Anoka
Cuunty Auditor.
3. Agproval from, the Fridley Water and Sewer Department showing that bills chargeable against the property to
be moved have been paid and water connections have been discontinued at the curb line or �t the main. (See
reverae side of form.)
4. Approval from Fridley Director of Public Works office approving rauting.
6. Notification to, and signature of utility companies. (See reverse eide of form.)
(a) Minnea.polis Gas Co., 739 Maxquette Ave., Engin eering Dep�rtment, Fourth �1aor.
(b) Northern States Power Co., 16 South 5th Street, Applica.tion and Extension Ilepartment,
(c) Northwestern Bell Telephone Co., 224 South 5th Street, Business Office, First Floor.
11 250-8-58
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� 7'he Acting Ci.t}' Alanager sai_d th:it �at�ec� thi.s had t7ee�i ori�i:�alJ.y rcquested,
they liad requested « vari�nce fxo,a 35 feet t:o 28 fec.i c<�li7.ch had bc�eil
granted by t:lie L'oard oi �ppe� ls, at thuir meeti�i;; of: ,Tuiic 29, 19�z7, but nrn:�
they a�-e reque�ti.ng thc vari.aiice be from 37 t:eet t:o 2.6'� feet. ITe s�id
that rlr. Ing�.l�son has the si.Gnatures of seven iiei�,libors �•7!i� do not object.
MOTIO\ by Counci.lman Liebl to grant the rec;uested L=ariance fron; 35 feet to
26� feet as reqt�estc�d by TIr. Gerald G. Tngaldson. Seconded by Councilman
Samu�lson. Upon a voi..ce vote, there beir.g tio r�ays, �iayor I�irktiam declare�,,d �
the motion carried.
BUILllI\G ST1II�DARDS - DESIG�i CO\�TP.O?, Slil-1COi�L?II!'1.'FE �IEETI�G I�:T_\UTES, JULY 11,
1967• -
�----. �� ��a .-_ �
1. CO\TSIDERA'1'TON 0?' A r^:E�UE_S'1' FOR A OVI�:G PJsFu�fIT T'0 P•iOVi: A�IOUSE ONTO /
LOT 1, BT�OCY. l, FI:OIDS �DD'i_!'IO\ ( TROi�'1'U�? S'1'R1:ET i�;ORT.HFA�T) . REQU�ST
BY Mh', c� I�II'.S. GEORC�E �'1?011J, 445 IP,Oi�TO;d Si�'.Z:;T \0}:T�ILAST. (COi2TIi�IUEL' 1t:0?•i
r�ETI:NG Oi� J�E 6, 1967) ; TM y
MOT7:Oiv' by Councilmar! Harris to concur c•�ith the Subcomniittee ai�cl deny the
zequesi, Seconded by Cc�uncilman Sherid�n. Upon a voi::e vote, there bein� (
no nays, Mayor Kirlcham declared the mo�ion carried.
. -�_"�
(�-�'�. CO\SIDERATIOi OF CO�S`�'RUC?'IOiV 0� A 4-PLEX 0� L(�'i'S 2 AI�:D 3, BT,GCI< 11, ~—1
I i�MILT0:1'S F,UI}T1'TO\ TO ifI;C:L.�u\ICSVILLE, -{5840 - STIi STP.EET \ORTii�AST, FRIDLEY,
1 MIl`,\FSQTt�) P.F:QUESm B`.t AI00� COiLPOP.aTIOiJ, 6225 U�vTVEP.SITY �1VE1�TiJE P.GR7'���AST�_
FRIL'LEY, rII\idL.SOTA: , ^�'" ' •
'MOTIOV by Councilman Harri_s to receive thi.s recan�.i:�endation an3 refer it te
the Board of AppEals for tYie necess.�ry variance. Seconded by Councilcr.an '
Samuzlson. Up�n a voice vote, there being no nays, ��ayor. Kirkhaat declared �
� the m�tion carried. �!�
�3�REVIEW OF Ct�RLES S7:�EET 52-tTNIT APAF.T�O,tiT CO�JPI,EX, P.i L�'ST BY MC�ON
COfiPO_��TIO\ Z 6225 L�IVE�:SITY ��VENUi: \C7'. ?'F�r.t1ST, FRIDIFY, : �INi1ESOTA; —
The Ci.ty Engineer said tha* this has b�een before tfie C�uncil for appravaZ
before, an� he felt that a decisio�. sha��ld be made on cti�h�ere the st:reet ��i11
be and ���hat kind ot access tt:ere �vill be to Chase's Island. He said that
there will be another comole� of bui.lc�in�s r.earby an� t;:e street pattcrr�
and where access to East River Road �aill be, shoul.d be s�t up. The City
Engineer shot;;ed the Co<<ncil a map of tne ,area. Councilm�n Ei�rris said that
he fiad 1.i�cussed this with the Cow�ty at.d also si�r�Iization. He said he
felt there should be a discussion on w,.ere the si�nal ligh�.s will be, as it
would he foolish to set a streer oattern and fi��d rhat there ca*_:not be a
light there. He suggested that this be returned to the Engineeri:�g Dep�rt-
ment so they could c�n;e up with �entative sibc?alized crossi:n;s from I-o9!�
to th� northern extrerr,ati.es. He said i?e would e:cplain to them ��;hat "dis-
cussion he ha.d had caith the Coun�y. The Cit:}r F..^.�ic:eez said tiiey als�
should discass a 25' declicatior.�. �Ie said they expect to gei. the sec�.id
half oF Lhe dedir'ati.ozZ irari tlie s4Eiooi. H� s��id ne trioujht ttie scliool �vas
�J111117" Cl? o1VP. Ct1C' Cli?C]_i_L1�1�;i1 �)LI�� i.�1t?j C�O .:Oi: :C3iit �?Ijj ?SS�'liSC'iC.'1:5.
v011:.Ci.1Gt'!R �i�i"t"Y1S S;iC! i.lif' �..1.�� C•'.� C�1�CE' ��j� �:1C� t£ f:C' � '-
,e� c: cc�e not to usc�
lt� fl:l�: , i'IE' S11Cj itc, ttii�ti�;1C i:t1G}' �iVll!Ci �L'i:iLi c'iCC�:3S dC ttilt. SOU!'�1 i':?C� Cj
the school prol>>rty Lo tt:c isla�:d. '!'E�i� City En�,?n��er su��;ested they could
ask for a 30 foot easeruent, a�id even if they di.d r.c�t �et a dedi.cati.an fr��:n
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' �/nreby `erf'�y: fhnf lhis is rr �►rve a�d �� represenfafwn 'o�'a survey qi'f/n �ies �� abo� d�6rd l�4, o�d
� o�'Nt /• n a!/ �ldrn9s, 9lureon, m�da1/ risr�e ma'ovdimtafs ,��an�. {rnn or at�aid ian9d. JIs surree,ed br� me flus - cht�
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a: L-rr iaeus� Fr�Surrcyor ¢
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Engineering --- F!� Q!/7��'Cr'S �-� :SU!'�el�fll"S !--'--'
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!/rere6r� tarfi�y �hm�!liis is a five und mr�cf re�eseR�o�ian a�"'o sr�►et1 �'� b�imdorids �'fhe obo�a da�ri6ed lmp4,bml �
o�//t /' o/I burldu�s , there� , m�d a!/ ris'�6de �chmr,�rfs , i�ar�. �rn or cv�said fmAd. As wrve�t /ed 1� r�' #lu�._-- �6tf
_
er �- _ ;4' I.�l ii.a � SU�GI�BAAI ENGlNE�lZlNG r I��+•
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Mr. �lal Walteer
401 Iroutoa Se. P. E.
F7cidleye A3i�ttle�oCe
Au�ueC 15, 1968
Se= Lo� l� Block 1� Froid's Addn.
�`�i p��� � i�;�� �.� �
Dear Sirs
A� �ta�pec�i,on thie �aee inciatca�e� eh�t �he gsrage mov�d o�a to
your propertq �sam Che �'roid proper�y (Parcel �180j �.s im�rrogerly lncated
and aot s�fi on foa�ings or a slab. Th�..s structure muet be pr�gerlq
luc�eed a�nd a�ec�uate euppo�rt pravided tait�iia 30 days or th�s matCet
eiil b� ��ferreci ts� �he 6ity Attorney f�or his advice 6n proceedure to
correet eh2s giola�ioa.
I€ qou have aay fur��er questiane in re�,ard ta this �atter
please feel �xee to cc�ntact me in tiine office.
C�/bks
a
Yours very erulqs
�l.arenGe� _Sslisle
Buildiag I�gecCur
Citq of Fridley
0
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City of Fridley
AT THE TOP OF THE TWINS
�
� �
� ' COMMUNITY DEVELOPMENT DIV.
j j L ��'��_�
� � � PROTECTIVE INSPECTION SEC.
� t i""1 � CITY HALL FRIDLEY 55432
�""'� � ,�� 612-571-3450
SUBJECT
BU ILDING PERMIT
NUMBER REV. DATE PAGE OF
910-F15 12/10/82 � �
JOB ADDRESS 391 Ironton Street N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION
DESCR. �. 1 Froid's Addition
PERMIT NO.
I° - - 687.
RECEIPT�
%
�
APPROVED BV
SEE ATTACHED
SHEET
2 PROPERTY OWNER MAIL ADDRE55 ��r rnv���
Gus Doty 571-6441
3 CONTRACTOR MAILADDRESS Z�P PHONE LICENSENO.
J. A. Menkveld & Associates, Inc. 540 Greenhaven Drive, � Anoka 421-9060
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE . LICENSE NO.
5 ENGINEER
MAIL ADDRESS
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8 USE OF BUILDING - -
Residentia� HEATfiVG, PL�6�� �E�� �a6V� �l���.
7 CLASS OF WORK
NEW 0 ADDITION ❑ ALTERATION � REPAIR ❑ M
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8 DESCRIBE WORK
construct a 30' x 3s� �,re�.ii� ana a 20� x 24� Garage �efore cs�„��� ��'� ��+��_�
TELEPMC`�� r �� L'� � tl �a9 °
9 CHANGEOFUSEFROM
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STIPULATIONS �ve dwelling back so the min�*m�m front yaxd setback is 47 feet.
Provide City with copy of verifying snrvey before capping. Provide sad in the
f ront and side yaxc7s . 1'rovide a haxd s.urface drivewa.y .
SEWER LOCATION: 10' E. of M.H. and 11' E. of M.H.
U�TER IACATION: 23.8' W. of Sewer Serivice. Two Services: 2.6' aparte
E. curb stop 21.3' north of manhQle - W. �rb stop 22.2' north of ma.nhole.
e•
DRIVEWAY DEPRESSION E5CRUW: N/A ��8� �C6TY +�F ��a�ll� ��� hfi{3T �L���$��I�E '��
If Sewer & Water services s�'�s��� i� �"���°�����e����' �e
' `A°5 �if+��r9 ���ic�C��'��
proposed location of the structu����
the building perimeter and have �� p�� T�
°.3/� TFIE �tTE.
TYPE OF CONST.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, �o� Frame
VENTILATING OR Alq CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R—�-
ANV TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �-
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $47,900
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OF; CANCEL THE pERM1T FEE
PRO ISIONS OF ANY OTHER STATE OR LOCAL LAW LATING CON- $274.00
STR�TION�R TI-� PEFdFORMAN�OF CONSTRUC N. _
' �� � --I � "'�"� ""—� � .r .
SIGNATURE OF CONTRACTOR OR AUTHORI AGENT (DATEI „
a
.�.....r,,.,�..�.,,.�.��o.�cnm�ucwaiw ca� tDATEI �
$68.50
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P
SQ.
GROUP IOCCUPANCYLOAD
CU. FT.
OFFSTREET PARKING
STALLS GARAGES
SU RTAX
$23.95
SAC CHARGE
$425.00
TOTALFEE
$791.45
:RLY VALIDATED THIS IS YOUF PER
� CITY OT FRIOLCY Effective Auq. 1, �981 p
`3' ,�� t� �J�� . ' �
APPLICAT10Fi FOf� RESIDCWTI/l� BUILDII�G PCRi�ITS .� '�
i�f
,� `'
(f�c��, Alterations. Additions. or Rcpairs)
OtJNER: � �i�� �ca � � BUILDER: � r1�9 YU�i��I�� ��'-��T€��I�.
ADDRESS: AOD1tCSS: �� C��'�A1��9 �� � l�1�
TEL N0: �%I —��= i � TEL t�0: '�-Z 1— � C��'C�
Construction location
. sT�r No: �� 1 sT�r: I�o �J 1 Q�
LOT a � HLODC : � ADAITION :��,�' t PS �D i��- ,�
Corner Lot: Insic7e Lota � Setback: 'a-� � Sideyaz8s: �>� �� 4`
J1p�iicant attach tfl tl�is form ts�o Certificates of Stirvey of lot and
proposed buildinq locatioa� drawn on certificates to scale.
OESCRIPTIOid OF CUFJSTRUCTIO��
��� Front: �� Depth: � � Aeiqht: ��
Square Feets `� � 1 Qibic Feet:
-�j ���f,Z Front: � � Deptha 2- `-� Height: ��"`�
Square Feet: �� � A�b3c Feet:
. - 47,�Oo
Zj►pe of Cflr,structioai : �\�-��''N��� Estimated Costr S �� �
Rb Be Cbr.�pleted:
Alt. A Alt. B
Proposed Driveway kicltb If New Opening Is Desireds $� S _
, , SEG REVER: E SIDE OF SHEET .
9iie ur�c3�signed ?�ereby mal;e� application for a permit foz the ti�ork� herein specified,
agreeing to do .ali work is, strict eccor�ee with the City of Fridle�� OrBinances ancl
ruling� of the Departancrt oi Dvilciings, and hereby declares that all the facts and
repr�s� tatiens stated in this application aze true and corre�rt. ��
D.��= �1—��—�� S��n��:
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Stipulationss -
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BUILDING PERMIT FEE SCBEDULE
The Inspectoz of buildings shall, before issu3ag permits ior the
erectioa of any building or atzucture, ar for any a�dition to any
•xistfaq buildinq or structure, or foz any altezation os repaizs
to ariy ssi�tinq buildinq oz structure, upon application therefore,
sequire the payment by the applicant !or such permit of �ees to the
a�ouat besein below set fortb and in tbe �anner herein provided to-wit:
ro�ri►z vi►r.vA�a�
Si•oc m Ssoo.00
5501 bo 52.000
S2, 001 to $Z5. 000
�es -
510.00 Minimum Fee 515.00 plus surcharqe
510.00 fot the first S500 plus �1.50 for each
additional 5100 oz fzaction thereof, to arid
irtcluding $2,000
532.50 for the first $2,000 plus 56.00 for each
additional $1,000 or fraction thereof, to anc]
inclnding $25,000
�25,001 to 550,000 5170.50 for the first $25,000 plus S4.50 for
each additional $1,000 cr fraction thereof, to
ar►d includinq S50, 000
550,001 ta S100,000 S2B3.00 for the fizst 550,000 plus 53.00 for
each adaitional s1,000 or fraction thezeof, to
and includinq s100,000
5100,001 ar�d up 5443.00 for the first $100,000 plus S2.50 foz
each additional $1,000 oz fraction thereof
PLAN CJ�QCs 25 perc�t of building pe�mit fee
DRIVF7�IAY DEPRESSION ESCROiWa Concrete G1irb Streets Orily
Alternate "A"a Jtemoveal ar�d seplacement of curb and guttez only
Driveway width plus 6 feet s¢13.50 �
Alternate "B"a Renoval an8 replacement of curb ar�d qutter and install a 3 foot
wide approach wiLh 6 inch �epth
Driveway width plus 6 f eet x 515. 75
VERIFICATION OF FOUNDATION
Pezm3ta for constxuction will be issued a minisnina of 24 hours fraan the time of
applicatien to allow for proper revie� of the proposed structure and of the
constiv ction site.
A Cert3ficate of S�nrey of the lot, shawing the location of the four�clation once it
has been vonstxucted will be required before proceeding with the frami,rig.
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CITY OF FRIDLEY
8431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55d32
TELEPHONE ( 812)571-3450
February 4, 1983
Mr. J. A. Menkveld
540 Greenhaven Drive
Anoka, NIl�T 55303
Re: 391 Ironton Street N.E., Fridley, MN
Dear Mr. Menkveld:
The house you are constructing at 391 Ironton Street N.E. is nearing
completion and we are concerned that you may have forgotten that one
of the stipulations of the building permit was to relocate the sewer
and water service serving the existing ha�ae to the north, out froan
under your new home.
To my knowledge, this has not yet been done and we will not give
final inspections of the home until the sewer and water has been
relocated.
We also have not received the verifying survey of the lot, so please
get the survey done and submit a copy to us.
Sincerely,
DARREL G. CLARK
Chief Building Official
DGC/mh
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'j� April 18, 1983
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CITY OF FRIDLEY
8431 UNIVERSIT1f AVENUE N.E.. FRIDLE1f, MINNESOTA 6bd32
TELEPHONE ( 812)571-3450
J. A. Menkveld � Associates, Inc.
540 Greenhaven Drive
Anoka, Mn 55303
Re: Final Inspection at 391 Ironton Street N.E.� Fridley, MN
Dear Mr. Menkveld:
A final inspection r�as made on April 15� �983 of the above noted
address and the folloxing items were noted which must be completed
before the structure can be finaled out:
1. Provide sod in the front and side yards.
2. Provide a hard surface driveWay.
3. Provide City �ith a copy of the verifying survey.
We aill expect the ahove items to be completed by July 1, 1983 and a
reinspection called for. If you have any questions on these items,
please feel free to contact me at 571-3450.
Sincerely,
DA�RREL� G. CLARK
Chief Building Official
DGC/mh
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CIIYOF
FRIDLEY
FRIDLEY MiJNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(612) 571-3450 • FAX (612) 571-1287
October 9, 2000
Max W. Maloney
391 Ironton Street NE
Fridley. MN 55432
Re: Final Inspection at 391 Ironton Street NE
Contractor: Mr. Rooter of Anoka Co.
Dear Mr. Maloney:
A plumbing permit was issued on May 18, 1999, for the above noted address,
to install a gas water heater. According to section 4715.2800 of the State
Plumbing Code, a final inspection shall be conducted on the plumbing authorized
by this permit. As of this date no inspection has been called for.
You will be given thirty (30) days from receipt of this notice to respond. If we do
not hear from you, we will expire the permit and any inspections on this
installation will require a new permit.
Any questions can be addressed to myself at (763) 572-3603.
S
DAb�,d�F,DdSEN
Buildii�lnspector
� �.
� � � � SuBJEGT .
c�ty of Fr�a�ey
�
AT THE TOP OF THE TW�NS � � I L D i N G P E R M I T
� •
� ��
� ` ��� COMMUNITY DE�ELOPMENT DIY.
r � v � PROTECTIVE INSPECTION SEC.
� �
� . ,
� i �""1 � CITY MALL FfiIDLE� 53�32 NUMBEA pE
�'°'� � �'� 612-571-3450 9t0-F15
JOB ADDRESS 391 Ironton Street NE
1 LEGAL LOT NO. BLOCK TRACT Oii ACDITION
DESCR. j 1 Froid's Addition
2 PFOPEiiTY OWNER �MAIL ADDR�S$
Max Maloney
3 CONTFACTOR MAIL ADORESS
Window Lite i3ome Improv. 8400 89th Ave N Bro
4 ARCHITECT OR DESIGNEFi MAIL ADORESS
5 ENGINEER
MAIL ADORESS
�TE I PAGE OF
10/21/99 � �
ZIP
_3�9
RECEiPT NO.
l!/�f
�PPROVED B�
SEE ATTACMED
SNEET
780-4673
PHONE LICENSE NO
25-2227 20039258
PMONE LICENSE NO.
LICENSE NO
8 USE OF BUILDIN(3
Reside�.tial
7 CLASS OF WOAK
❑ NEW O AOOITION � ALTERATIpN ❑ REPAIR O MOVE � REMOVE
8 DESCRIBE WOFK
Re lacement of 4 windows
9 CHANOE OF USE FROM TO
STIPULATIONS
Provide smoke detectors in all sleeping rooms and on all levels of the house.
SEPARATE PERMITS ARE REOUIRED FOR ELECTiiICAI. PLUMBING. MEATING.
VENTILATING OR AIR CONDITIONING.
tHIS PERMIT BECOMES NULL AND VOIO If WORK Oii CONSTRUCTION 20NING
AUTHORIZED IS NOT COMMENCED V�fITHIN 80 DAYS. OR IF CONSTpUCTION
OR WORK IS SUSPENDED OR ABANDONEO FOii A PERIOD OF 120 DAYS A7
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG
I HEREBY CERTIFV THAT I HAVE READ AND �XAMINEO THIS APPIICATION
AND KNOW TME SAME TO BE TRUE AND CORRECT. ALL PFOVISIONS OF LAW$ VALUATION
AND ORDINANCES GOVERNING THIS TVPE OF WpRK WILL BE COMPLIED
WITM WHETHER SPECIFIED HEREIN OR NOT. TNE GRANTING Of A PERMIT $2849
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEqMIT FEf
PROVISIONS OF ANY OTHER STATE Ofi LOCAI LAW REGULATING CON-
STRUCTION OF TME PERFOfiMANCE Of CONSTRUCTION �53. ZS
PLAN CNEC
Licens
S�GNATUpE O� CON"anCTOA Op AUTMOp�2E0 AGENT IOATE�
iDATE�
i���r�it ��spection Ca��s
Wili �e �aile�
To �omeou�ner To Post
STAILS
�
OCCUPANCVLOAp
CU
' PARKING
GARAGES
� $1.42
SAC CNARGE
Fir SC $2.85
TOTA E
.52
NEw(�'
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ALTER
��a�e snoi�
[ l CITY OF FRIDLEY
[] SINGLE FAMII.Y AND DUPLEXES R-1 AND R 2
BUII.DING PERMIT APPLICATION
Constr�ction Addres�:
Legal Description:
Owner Name & Address: Tel. # `°���� �.�
Contractor:
Address:
` `� MN LICENSE #� ' � �
_ C�y-Pr�. � , � c� ✓'' Tel. # _�' � ��
Attach to this application; a Certificate of Survey. of the��� ��'
lot, with the proposed° construction drawn on: it to scale.
- . - DESCRIPTION OF IMPRO��MENT �
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
01'HER:
Construcdon Type: �,z� 1 ` � timated Cast: �,��, �o `
- . . �
Driveway Curb Cut Width Need�d: '- Ft. f 6 Ft ._ . oFt x:$� _$ �
DATE: I D
CITY USE ONLY
Tel. � �� °� -/ ��/ �
Permit Fee $ ��s �� Fee Sch�ule on Reverse Side
Fire Surcharge $� � �. -_ :QOl af Pe�nit Valuatioa� (1./lOtl�%)
State Surcharge $ , �� $.50/$1,000 Valuation .
SAC Charge $ $1050 per SAC Unit
License Surcharge $���? $5.00 (State Licensed Residential. Contractors)
Driveway Escrow $ Alt. "A" or Alt. "B" Above
Erosion Control $ $450.00 Conservation Plan Review
Park Fee $ Fee Determined by Engineering
Sewer Main Charge ., :.$ , Ag;eement Necess�r.y, [,� Not HecessarX []; .,
TOTAL $ � �� , _ , , ,
STIPULATIONS:
_ � ��
BUII.DING PERNIIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or stnacture, or �.. ,�ny
addition to any existing building or structure, or for any alteration or repau� to any existing building or s�� :, �. a�e,
upon application therefore, require the payment by the applicant for such permit af f�s°-tc� tlie amouY�� .: ��ein
below set forth and_in the manner herein provided to-wit:
TOTAL VALUE
$1 to $500
a�501 to $2,0(�
$2,001 to $25,000
$25,001 to $SO,Q00
$50,001 to $100,000
$100,001 to $500,000
$500,001 to $1,000,�
$1,�,001 and up
FEES
$23.50
$23.50 for first $SW _plus $3:D5�fot each addirional $100 or �.
fraction thereof, to and _including:$2,Q00 : �.
$69.25 for first $2,000 plus $14.00 for each additional $�,000
or fraction thereof, to and including $25,0�
$391.25 for first $25,000 plus $10.10 for each addirional $1,OQ0
or &action thereof, to and including $50,0� �
$643.75 for first $SO,Ot� plus $7.00 for earh addidonal
$1,000 or fraction thereof, to and including $100,0�
$993.75 for first $100,000 plus $5.60 for each additional
$1,000 or fraction thereof, to and including $500,(�0
$3,233.75 for the first $500,000 plus $4.75 for each additional
$1,000 or fraction thereof, to and including $1,OQ0,0�
$5,608.75 for the first $1,000,0� plus $3.15 for each additional
$1, OQO or fraction thereof .
I)RIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $1 �.: `_
Eliternate "B": Removal and replacement of curb and gutter and install a 3 foot wiae. .,:
approach with 6 inch depth - Driveway width plus 6 feet times $23.25.
VERIFICATION OF FOUNDATION
Permits for conshvction will be issued a minimum of 24 hours from the time of applicat�on to allow for proper
review of the proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the foundadon once it has it has been co��t� will
be required l�fore proceeding with the framing.
sue�ecr
City of Fridley
AT THE TOP OF TME TWINS � � i L D I N G P E R M I T
r
� �
� ��
� COMMUNITY DEVELOPMENT DIV.
v PiiOTECTIVE INSPECTION SEC.
� ____ ,
r ; ';
� . ,
� _ �"'1 � CITY MALI f RIOLEV SSIJ2 NUMBEFI pE�
�"""� � �'' 612-571-3450 91Q-F15
IOB ADpRESS 391 Ironton St.
1 LEGAL ��T N0. BLOCK TRACT OR ADDITION
DESCR. ], 1 Froid�s Addition
� PROPERTY OWNER MAIL ADDRES$
Ma.x Ma.loney 391 Ironton St. NE
3 CONTRACTOR MAIL ADDRESS
Window Lite 8400 - 89th Ave. No. #460, Brookly
4 ARCHITECT OR DESIGNEFi MAIL AODRES3
DATE PAGE O:
7/7/00 / /
31� 1��
E�EIPT NO.
����
iROVED 8Y
SEE ATTACHEO
SNEET
21P PNONE
780-4673
ZIP PHONE UCENSE NO
Park, MlV 55445 763-425-2227 2003925
ZIP PNONE IICENSE NO.
5 ENGINEER MAII ADORESS 21P PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK � NEW 0 ADOITION ❑ ALTERATION CX FiEPAIR O MOVE O REMOVE
B DESCRIBE WORK
Replace 6 Windows and 2 Doors
9 CHANGE OF USE FROM
STIPULATIONS
TO
Provide smoke detectors in a11 sleeping rooms and on all levels of the
dwelling per Section 310.9,1.2 of the 1997 Uniform Building Code.
�er�nit In�pection Card�
�Nill Be Mailed
To Homeowncr To Post
TYPE Of CONST. . OCCUPA
SEPARATE PERMITS ARE FECUIRED fOR EIECTRICAL, PLUMBING, MEATINCa.
VENTI�ATING OR AIR CONOITIONING
THIS PERMIT BECOMES NULL AND VOIO IF WOfiK OF CONSTfiUCTION 20NING SO. FT
AUTHOfiIZED IS NOT COMMENCED VtIITMIN 80 OAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENDEO OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS
I HEREBY CERTIFV TMAT I MAVE READ ANO �XAMINEO THIS APPLICATION 1 STAILS
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF �AW$ VALUATION
AND OfiDINANCES GOYERNING TNIS TYPE OF WORK WILL BE COMPLIEO �6,569.00
WITM WMETHER SPECIFIEO MEREIN Op NOT. TME GFiANTING Of A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pEqMITfEE
PHOVISIONS OF ANV OTHER STATE OR LOCAI LAW REGUTATING CON-
STRUCTION OR THE PERFORMANCE Of CONSTRUCTION $139. ZS
License
S�GNATUpEO�CON"AOCTOpOp1UTMONIIEOaGENT IDATEi
i �O�fE� �
v
DATE
OCCUPANCVLOAD
CU
f PARKING
GniiAGES
$3e28
SAC CMAFlGE
Fire SC $6.57
fOTAL F
� s �O
rt�w
ADDN
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��
CITi� OF FRIDLEY
3INGLE FAMII,Y AND DUPLEXES R 1 AND R-2
BUILDING PERNIIT APPLICATION
ConstructionAddress: �j� I � ('C"9 �-�b �9- �'�' •
Legal Description:
Effective 1/1/99
� ���a�
%1 !�'�°
Owner Name & Address: r`'�(��' �C�,� f.� K1 �( � �i°l l L �c�n�cx� S� . _ Tel. # �% $� — `-t (-��1 �
Contractor: W\ �O W �-.�� �, C� MN LICENSE # ZC�C,'�qZ..� Ff
Address: ��60 $�( �'^ , .� Q 1�' � �f (�� �p �.w 5Sy`�S Tel. # �C� ' �-l2S -ZZ Z�-
LTVING AREA:
GARAGE AREA:
DECK AREA:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
. DESCRIPTION 4F .IlVIPROVEMENT . :
Length Width Height Sq. Ft.
�n� y�id� Height Sq. Ft.
Leng�th Width Hgt/Ground Sq. Ft.
OTHER:
�� �a.D�2�t
Construction Type: l,��tc1[�c��J '��i)1CIlcP rre�(1�� Estimated Cost: $ (v��o�: ��
(Fee Schedule on Back)
Driveway Curb Cut Width Needed:
DATE: �`Z�oIZ�
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
$ .
$ �
$ 3, o��
$
� ,5• ao
$
$
$
$
� I �. I a
Ft. + 6 Ft = Ft x$
� _ (,
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/1Qth%)
$.soi$l,000 v��t�on
_$
Tel. � �ol � "�!� l �-'i
$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 [ ]
STIPULATIONS: ���"' Y/D� ,�� /)�`y� �
� �.�. ��'�.�
r �-v� �.��G ,���� �,�'_�-,y�' �/d��. .��.G�'°..�/�
5��. �/O. T. �� `997 l� /�,,, c.
BUII.DING PERNIIT FEE SCHEDULE
The Cluef Buildmg Official shall, before �ssumg permits for the erect�on of aay buildmg 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
$ i to $500
,:.
$501 to $2,0�0
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $100,000
$100,001 to $50(%000
$500,001 to $1,000,000
$1,000,001 and up
FEES
$21 (Minimum Fee is $21 plus surcharge)
$21 for first $SQO plus $2.75 for each additional $100 or
fraction thereof, to and including $2,000
$62.25 for first $2,OU0 plus $12.50 for each additional $1,000
__ or fraction thereof,, to and including $25,000
$349.75 for first $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 fraction thereof, to and including $100,000
$887.25 for first $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 fractiog thereof, to and including $1,000,000
$5012.25 for the first $1,000,000 plus $2.75 for each additional
$1, 000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concr�te -Curh-�gets-Dnly) _ _
Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50.
Alternate "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 $15.75.
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper
review of the proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed
will be required before proceeding with the framing.
e
� � _ �.
� SuB�ECT - P IT NO-.
City of Fridley 313 3 9
AT THE TOP OF THE TWINS � � � L D I N G P E R M I T
�
� ` RECEIPT NO.
� • COMMUNITY OEVELOPMENT DIV.
� tV � '
r � � PROTECTIVE INSPECTION SEC.
� • �
� _ �"'1 � CITY NALI FRIOLEV SS132 NuM9Ei1 nEV O�TE PAGE oi �VvROVED Br
�'""'� � �'� 612-571-34b0 91Q-F15 8/24/00 � �
JOB ADDRESS 391 Ironton Street NE
1 LEGAL ��T NO. BLOCK TRACT OR ADOITION SEE ATTACHEO
oescR. 1 1 Froid`s Addition SNEET
2 PROPERTY OWNER MAIL ADDR�S$ ' Z�P PNONE
Max Maloney 391 Ironton Street NE 763-780-4673
� CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Window Lite Home Improvement 8400 89 Ave N, Brooklyn Park, MN 55445 20039258
4 ARCHITECT OR DESIGNER MAIL AODRESS 21P PMONE UCENSE NO.
425-2227
5 ENGINEER MAIL AODRESS 21P Ph10NE IICENSE NO
8 USE OF BUILDING
Residential
� CLASS OF WORK
p NEW � ADD�TION ❑ ALTERATION � REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Reside House & Garage; Reroof House & Garage (20 Sq) Tear-off
9 CHANOE OF USE FiiOM TO
STIPULATIONS
Per Section 1402, 1997 Uniform Building Code, requires that a weather
resistive barrier be placed over exterior sheathing to protect the interior
wall covering. Exceptions for this provision would be if sheathing is an
approved weatherproof panel or when the siding is an approved weather
barrier. Vinyl siding is not a weatherproof covering unless the manufacturer
states this in their application guidelines. Call for inspection of wrap
before covering. Underlayment must comply with the State Building Code.
TYPf OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARA7E PERMITS ARE REOUIRED FOR ELECTFICAI. PLUMBING, MEATINti,
VENTILATING OR AIR CONOITIONING,
THIS PERMIT BECOMES NULL AND VOIO IF WORK Oii CONSTRUCTION 20NING SO. fT CU FT
AUTHOii12ED IS NOT COMMENCED V�!ITHIN 80 OAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENOED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANV TIME AFTER WORK IS COMMENCED. NO. DWIG. UNITS OFFSTREET PARKING
I MEREBY CEfiTIFV THAT I MAVE READ AND EXAMINEO TNIS APPLICA710N 1 STA�LS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS Oi LAWS yALUATION SURTAX
ANO OROINANCES GOVERNING TMIS TYPE Of WORK WILL BE COMP�IED 1(F,434 �14'.43
WITH WMETMER SPECIFIEO HEREIN OR NOT. TME GRANTING OF A PERMIT �
DOES NOT PRESUME TO GIVE AUTMORITY TO VIOIATE OR CANCEL TME pEPMIT FEE SAC CMARGE
PROVISIONS OF ANV OTHER STATE OR LOCAI LAW REGULA7ING CON• @251.25 ire SC y�%.22
STRUCTION R HE �E MANCE O CON TRUCTION W
�[� PLAN CHECK F E OiAL FEE
`��/ "��7 Lice C $5.0 ' $277.90
$�GNOTUpEOFCON:A f7OAAUTM iZEDAGEHi iD�iE� ME PRO V VA ID TED TMIS IS VOUp PEp
♦ )
� I 0
S�GN4TUAE O� OWNEA��F OWNEpBU�LOEpi I��TE� .= ✓gq �N ��f
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ADDN
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ConstructionAddress:
CITX OF FRIDLEY
3INGLE FAMII.Y AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
n
Effective 1/1/99
Legal Description:
�3� / _� r�fon S � Tel. # %�Q — ��O �,..3
Owner Name & Address: � � s
Contractor: ` i � , MN LICENSE #��c� 9a5�
Address: �TW- B�I� ti'(1p IV 0 � � K� � ��1 ►ilE'1 �555�5� Tel. # �J` =�a�.�
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
. DESCRIPTION 4F .IlVIPROVEMENT
LIVING AREA: Length Width Height
GARAGE AREA: Length Width Height
DECB AREA: Length Width Hgt/Ground
OTHER:
Sq. Ft.
Sq. Ft.
Sq. Ft.
s� //
Construction Type: �i � i n c� — Estimated Cost: $ ��' �� �' �� �
���
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _�
i � � f �la
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ a�i, a �
$ 7zZ
$ /y. ��
$
� ,DD
$
$
$
$
/,i._
c
�
CITY USE ONLY
Fee Schedule on Reverse Side
Tel. #
.001 of Pernut 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 [ ]
0 . r '"
BUII..DING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of aay 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 appl'ication 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
$1,000,001 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,Q00
$62.25 for first $2,000 plus $12.50 for each additional $1,000
or fraction thereof, to and including $25,000
$349.75 for first $25,000 plus $9.00 for each additional $1,000
or fraction thereof, to and including $50,000
$574.75 for first $SO,Q00 plus $6.25 for each additional
$1,000 or fraction thereof, to and including $100,000
$887.25 for first $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 $1,000,000
$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 frazning.
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"�HE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE
APPLICATION WILL BE RETURNED
C�MMnN VFNT� VENT _nI�I�F _TOR �41�D �MBIISTI�I� AIR ��RIFI ATlnl�
V1/hen � la _in� an exi_c±in� fi�ranr_p, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions,
and is securely supported and firestopped where required. Yes () No ()
The venting system is plasticlPVC and meets all cuRent codes and manufacturer
specifications including sizing, length, number of elbows and termination.
The undersigned also verifles that the replacement unit is a listed assembly
and meets the current codes and manufacturers specifications. This does
include AGA-GAMA Category I Central Fumace Venting Tables for fan
assisted and natural draft appliances.
The pY�A cem6 ��en a�r is sized and installed to meet the current codes
and manufacturer's specifications.
Whe� �BqUll'ed t0 ine±all a ne�•� r_emh ,_��n ��r it wi11 be sized and installed
to meet the cuRent codes and manufacturer's specifications.
Yes ( ) No ( )
Yes( ) No( )
Yes( ) No( )
Yes ( ) No ( )
Wh@11 inctallinA a new v_ntin����, �e undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturers
specifications. This does include AGA-GAMA Category I Central Fumace
Ven6ng Tables for fan assisted and natural draft appliances. Yes () No ()
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented �
separately as per current codes. Yes () No ()
I�.. .� - .- .�. .u��.� -� .�. -� .��- . � .ru,�.�
Appliance #1 Type BTU Input Fan Assisted or Nat
Appliance #2 Type BTU Input Fan Assisted or Nat
Appliance #3 Type BTU Input Fan Assisted or Nat
Total Appliances Total Btu Input
Common Vent Type Vent Height Diameter inches
Appliance #1 Vent Connector Height ft Length ft Diameter in Type
Appliance #2 Vent Connector Height ft Length ft Diameter in Type
Appliance #3 Vent Connector Height ft Length ft Diameter in Type
� r -, r•► .- ,.-
HEATING CO:
Signed By: Date :
_
_
CIlYOF
FR(DLEY
�
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (7b3) 571-1287
Apri127, 2004
Mr. Max Maloney
391 Ironton St NE
Fridley, MN 55432
Re: Final Inspection at 391 Ironton Street NE
Contractor: Shiloah Water Company
Dear Mr. Maloney:
A plumbing permit was issued on January 24, 2003 to install a water softener at your
address. According to Section 4715.2800 of the State Plumbing Code, a final inspection
shall be conducted on the work authorized by this pernut. As of this date the inspection
has not been requested.
The permit fee that was paid covers the inspection to make sure the work was completed
according to the Code. We will keep your permit open for another 30 days ane�weri o
not hear from you within this tune to set up the inspection, we w�ll mark th p
inspection called for by homeowner after notification" and take no further action.
To set up the insP
ection or to have anY Questions answered, Please contact the Building
Inspection Division at (763) 572-3604.
Sincerely,
uispector
DJ/mh
Building PLUMBING
Inspections RESIDENTIAL APPLICATION
763-572-3604 CITY OF FRIDLEY
763-502-4977 FAX EFFECI'IVE 1-1-08
DATE ��z � � `� � YOUR E-MAIL ADDRESS
SITE ADDRESS � °� � 1 �'" O.�J ' � .`1 � %
THIS APPLICANT IS:
PROPERTY
OWNER/
TENANT
CONTRACTOR
SUBMIT A COPY OF
YOURSTATE
LICENSE, BOND AND
CERTIFICATE OF
INSURANCE
PERMIT TYPE
� OWNER �CONTRACTOR
Permit No.:
Received By:/��
Date Rec'd: ���'� �
NAME: 9v L' ,� ✓�'l H L E�J F`�
ADDRESS: J � � �� � �� x � `" S ; CITY / �' � AL � �' STATE� °'�ZIP � �y32
PHONE: '7 �i' 's % ciG - `� � y �°
NAME: � � / � �
STATE LICENSE #_ T@P('�/ OV@iBCIC@� PIUCYII�ItIg, �IIC. EXP DATE Z/ J�
sTATE soND a_ 502 E Main Street EXP DATE
STATE Z�P
a�n°R�ss: Anoka, MN 55303
PHONE
❑ SINGLE FAMILY ❑ TWO FAMILY 0 TOWNHOUSE
TYPE OR WORK: I� NEW
�REPLACEMENT
DETAILED DESCRIPTION OF WORK �� -
�w `%Ct�t�
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, installation or replacement of a residential fixture, excluding the fixtures. (This s Xouols reflect only thp,usS50 s,urcharge
Labor cost under $300 =$15.00. Labor cost between $300 to $SOOO--Rcost of labor
FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: {INDiCATE TOTAL
NUMBER OF EACH BELOV�. MINIMUM FE� $15.50. SHOWER _ VVATER PIPING
BATH SINK/LAV _FLOOR DRAINS — _ WATER SOF'CNER ($35)
BATHTUB _ GAS PIPING (NEED CITY LIC) _ SW1MMiNG POOL _ BACKFLOW PREV. ($I S)
— KiTCHEN S[NK WATER CLOSET FOR IRRIGATION
_ CLOTHES WASHER — LA�DRY TRAY �WATER HEATER ($35)
DISHWASHER — WATER METER _OTHER
Permit Fee
TOTAL DUE
15
•; .> � � �r �r, kra R � v:,. - , r...:.,. ,:.�. ., . .,,, .,. _ _ _
-,a. �; tr , . .. , 4 ,.,2�'rv,�.�'1�.. . : ; .��:�.s . s .� , v � _�.:.^., ro
$ ` � �� Number of fixtures @ $10.00 x $10.00 =
.50 Number of f xtures @$ I 5.00 x$ l 5.00 =$__
$ �. � OR Number of fixtures @ $35.00 x $35.00 = $__
State SuXcharge = $i50
(MINIMUM $15.50) Total = $
THIS IS AN APPLICAT]ON FOR A PERMIT-NOT VALID UNT1L PROCESSED
I hereby apply for a plumbing 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 th andtwo k isdnot to st rttw thout�a permit on site cthat he work will be n acco dance
not a permit but only an application for a permrt
with the approved plan in the case of all work which requires review and approval of plans. �/Z �`���
SIGNATURE OF APPLICANT
PRMT NAME d��- K�� Ic s�' �" �J � DATE
DATE
APPROVED BY k -
. ,....:.,. . ,.�.y..;_. ..,..:vrw:��.+`w�A. i N'.MfiR+i1ST✓....�r..ra
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3b04
FAX: 763-502-4977