AF - 47683�
�
City of Fridley, Minn.
BUII.DING PERMIT
Date: . 6. O . . . . �. � . . �� . . . . . . . . .
�
N° 3497
Owner....................................... Builder .�✓... .... .r.���............
Address ...................................... Address .... i%���...............................
LO�CATIO�V OF BUILDING
No. . � �. S . . . . Str2et . /.� :4�?!�G�s2;��� . /.V.-1.l . . . . . . . Part of Lot . . . . . . . . . . . . . . . . .
...... ........
Lot .�P�. .. ..... Biock ..l ...... .. ....... Addition or Sub-Division ��!��!!�. / . .........
Corner Lot . . . . . . . . . . . . Inside Lot . . � . . . . . . . Setback 3�. .—� . y Sideyard ��. .� .��. . • � . . . . . . . . . . . . . . .
DESCRIPTION OF BUILDING
TO U6 8S: 1 a r `i p I ° / !f�.... �,
. . . . F�ont �� : � Depth 4�.� `. � Heigi�t � /. � .D Sq. Ft. f. .����Cu. E't. °. :« �.� ,�
............. .. ..... Front . ....... Depth ........ Height . Sq. Ft. ........ Gti. F't. ........
Type of Construction ................... �e� Cast.. J:?1F �..�-. To be Completed ...................
In consideration of tit►e issuance to me of a permit to con desribed above, I agree to do
the proposed work in accordance with the descrlption above et compliance with all proviaions of
ordinances of the city of F`ridley.
%�. . .......................................
U�
In consideration of the payment of a fee o! $.��......., 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 gi�anted and iris agents, employees and worlunen, 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 buffdings with-
in the city limfts and this perniit may be revoked at ax�y time upon violation of any of the provisions oY said
ordinances. ��
•Y,�!��• • �4�.... Buil[lin� Inspecbor
NOTICE:
This permit does not cover the construCtion, inatallation or alteration for wiring, plumbin�, gas heatin�,
sewer or water. Be sure to see the Buiiding Inspector for separate permits for thesa it+ems.
�
M
City of Fridley, Minn.
BUILDING PERMIT N° 5 9 9 5
na�: _.. "' ':'� . � �
----..._............ ,'�._. !�!__._._._.______...___
. i
• ._ . _ . ..._-- ------�-� ----. ..��
Owner: ...:. ._ ..._.._ _..�!!�'�..___._..._. Builde --- ,�
Address---.._ ............._.. ._.:.._._.....___._...�......._.._�........_...---------......_----_.......-•---- Address _..._...---_.--___--�----........_.._......---•.:. .._--•-----------------___.__.�._......
LOCATiO OF
No. . �..�I�....�.�.._. s�t _.. _ ._ . ..., �. � ...��il
�
Lot ._----.��--_.._....__ Block .........._-_.�.;�-.---.--.--_...-----;--.. Addition or
Corner Lot .....___.........._......_ Inside Lot ---.:--��--•-----. �tback
Sewer Elevation
Elevation
iot w:
..._.._�--- `-----......_._.._..._.._...._..__.�
DESCRiPT10N OF BUILDING -
To as:
_ ' �_. Front ___.. Depth .� � Height .l�...__ Sq. Ft: �� • Cu. Ft ���� .
...... Fron � .__.._,; Depth ._.�. ` Height ��.. �. F� �.�. Cu. Ft ����
Type of Construction ..: Est. ••: -- - - . .. . ----- To be Completed ••--.-•---•-----_.._...�...._..._.
In consideration of the issuance to me of a permit to construct the building described above, I agree 'to . dv
the proposed work in accordanee with the description above set forth and in compliance with all provisions o!
ordinances of the city of Fridley.
� __.__.._.._._.......�
In consideration of the payment of a Pee of
permit is hereby granted to_..__— —.
.....__........._......____..._ ............._..__..... to construct the building or addition as described above. This permit is granted. upom.
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 ordinences of.
Fridley, Minnesata. regarding location, construction, alteration, maintenance, repair and moving of buil '
within the city limits and this permit may be revoked at any ti�upon viola ' f any of the provisions oE�
ordinances. / l �
Building InspectoT
NOTICE:
Thfs permit does nof eowr fhs eonsfrudion, instapafion for wiring, plumbing, gas 6eaKng, s�wsr or waMr. B� wn to sN
N�s Building Inspector for separaN psrmits fo� th�s� iNmt.
.. , _ ,., •
a�,4 •
.. , � � -- !
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEX, MINY3ESOTA
� .
owner' � Name �L ����e [ S S su�.lder�itrl'��R C.�''� GaRa�c 13���0��
Address 7a� e�NAsTo1L. �/�= ;__�___�ddress�i�,.Ylr�/���,�,s�_..
rrocp,Tiort oF suir,nzNC .
No .� o� � street /�Ye N�1�9 S� �il 1� �,LPart of Lot � ��- �
r-
Lot /� Block /. Addition or Subdivision
Corner Lot Inside Lot�_ Setback�Side�Yard•3 �
SEV�ER EI,,E�IATION FOUNDATION ELEVATION ��
Applicant attach to this form Certificate of St�rvey of Lot and
proposed building location.
DESCRIPTION OF BUILDING
To be used aso�
�a�l'a � f `�'` �° , .-, � ``
Front� epth � 7 Height �
S�. Ft. �'a � �. Ft. �3 � g�
�el T'j t� Front�,�_Depth c14� Height_
Sq. Ft. ,L `� �"� Cu. Ft. ,��
� �
Type of Construction �J�J� 1�1 �„ Estimated Cost �7d a�_
To be Completed �/ v L�/ L� '� �--� ,
The undersigned hereby makes application for a permit for the work
herein specified, agreeing to do all work in stXict aceordance with
the Gity of Fridley Ordinances and ruling o¢ the Department of Huild-
ings� and hereby declares that all the facts and represen�ations
stated in this application are true and correct.
DATE �° 6 �'"" SIGNATLTRE
(Schedule of Fee Costs can be found on the everse Sidej. _
...�_ • • .�.:,.
CITY OF FRIDLEY Effe�tive oace May �. 1988
,:�
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND
AIR CONDITIONING SYSTEMS AND UEVICES
RATE SCHEDULE
QESIDE�iTIAL �
Furnace Shell and Duct Work,
Burner (7�so rePl��ent furnace)
Gas PYpinq
(pipinq needed with new furnace)
Gas Range �
Gas Dryer
RATE
$ 20.00
$ 1D.00
$ 10.00
$ 1Q.00
• Air Conditioning (all aizes�
Al1 Others/Repairs and Alterations
li of Value of Applfance or Work
COMMERCIAL/INDUSTRIAL
lt of Value of Appliance or Work
Reinspection Fee
To�rAr.
$
s %-Od
S
$
$ 10.00 $
State Surcharqe
TOTAL !LE
(S15.00)
Rouqh Insp.
Date
Final insp.
Date
Approval for Permit f r
MINIMUM FEE FOR ANY HEATING PERMIT IS f15.00
PLUS S.SO STATE SURCHARGE
*Air Oonditfo�rs can not be placed in s3de yard without
written pe�ission fra adjoininq neighbor.
i
S
S
$ .50
S�
$ /� , 57�
1�
Job Address l � � � �� ;\) A� �. 1 ��� �9�7 aC
Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432
City of Fridley
Tel. M571-3450
The undersigned hereby makea application for a permit for the work herein
specified agreeing to do all work in strict accordance with the City Codes
and rulings of the Department of Buildinqs, and hereby declares that all the
facts and represenCations stated in this application are true and correct.
Fridley, Minn. f� , 19��
OWNER I`� � '� 1 7 �'
KIND OF BUILDING - - � �
USEO AS �y��,�„ � i �'.`�
TO BE COMPLETED ABOUT t! 1'� V I�„ I` �� l_
J`�
ES IMATED COST �,' � L7 �.�
OLD - EM� BUILDING PERMIT NO. PERMIT NO. ��
DESCRIPTION OF PURNACE/BURNER
HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No.
Trade Name ' Size No.
Capacity Sq. Ft. EDR BTU HP
1bta1 Connected Load Kind of Fuel
BURNER - T ade Name Size No.
r
Capacity Sq. Ft. EDR B'N Hp
Gompany ��CiV{�/� � ! �.S 6�L�Uc'f
Siqned By ��l• ��'
T��. �. �i �(�' �b�_�cf �
Fill out back side for stack verification on replacenent furnaces
4ESIDEIVTIAL
CITY OF FRIDLEY
Effective Date May 1, 1988
r�PPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND
AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
` RATE TO'PAL
Furnace Shell and Duct Work,
Burner (A1so replacement furnace)
Gas Piping
(piping needed with new furnace)
Gas Ranqe
Gas Dryer
* Air Conditioning (all sizes�
All Others/Repairs and Alterations
1$ of Value of Appliance or Work
COMMERCIAL/INDUSTRIAL
1$ of Value of Appliance or Work
$ 20.00 $�_�
$ 10.00 $
$ 10.00 $
$ 10.00 $
$ io.00 s /D •�
$
$
State Surcharge
�� �
Reinspection Fee ($15.00)
Rough Insp.
Date
Final Insp.
Date
Approval for Permit _�
MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00�
PLUS $.50 STATE SURCHARGE
*Air Conditioners can not be placed in side yard without
written peYmission fraa adjoining rieighbor.
$ .50
$ .�'� , �
�
3p,5 6
Job Address ���'— �� ��/�� �/ �,
�
Department of Suildings, 6431 University Ave. N.E., Fridley, MN 55432
City of Fridley
Tel. #571-3450
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the City Codes
and rulings of the Department of Buildings, and hereby declares that all the
facts and representations stated in this application are true and correct.
Fridley, Minn. � ��i . 19�
OWNER
KIND C
USED P.
TO BE
ESTIMATED COST
OLD NEW BUILDING PERMIT NO. PERMIT NO. / D,�� �
DESCRIPTION OF FURNACE/BURNER
HEATING or PO R PLANTS, Steam, Hot Water, arm Air- .
Trade Name Size No. �Ur, d�d-a
Capacity Sq. Ft. EDR BTU HP
Total Connected Load ���s�� Kind of Fuel •
BURNER - Trade Name Size No.
Capacity Sq. Ft. EDR BTU HP
i �
I �.,_�._ � 1__, �� i�.( -�' �
_ •i �:��� =�����
_ /' ' '
i �
Fil] out back side for stack verification on replacement furnaces
CHIMtJEY AN� STACK VERIFICATION
The undersigned hereby verifies tha t the existing chimney or stack;
1. Has been carefully examined Yes OC)
,
2. Is free from rust or deterioration Yes �C)
3. Has no foreign objects lodged within Yes ()
4. Is securely supported Yes �)
5. Meets all current Code requirements for size and
total BTU connected
6. Has Total heating BTU's of /��
All other BTU's 1,�_ ��
TOTAL /a20, Go�� ,f�T'Gf.
Rema rk s
Yes �)
No ( )
No ( )
No .(�)
No ( )
No ( )
Com pa ny '
c
Signed By
Da te
�' R
SUB.IECT
City of Fridley
AT THE TOP OF THE TWINS g � i L D 1 N G P E R M I T
:,
� �
� • CO�M1)M�UNAITY OEVELOPMENT DIV.
� ; V� �' � � � ' V f `��Q�
� � P SEC.
� . .
� � �"'1 � CITY HA�L FRIOLEY SS�J2 NUMBEf�I
�'""�� �'' 612-571-3450 9t0-Ft5
10B ADDRESS
721 Kennaston Dr NE
t LEGAL LOT NO. BLOCK TRACT OR ADOITION
oesca. 12 1 Brookview 7
2 PiiOPERTY OWNEF MAIL ADORES$
Harrv & An�ie Westman
3 CON7RACTOR MAtI ADDRESS
Ron Miller Construction Inc 95?
l ARCHITECT OR OESIGNER MAIL AODRESS
5 ENGINEER MAII ADDRESS
8 USE OF BUIIOING
Re idential
�
REV IOATE
9/17/98
'27845
� �
R�EIPT NO.
�38
APVROVEO BY
� � I
SEE ATTACHEO
SMEET
pMONE
PMONE LICENSE NO
2 571-3514 6354
PMONE LICENSE NO.
PMONE IICENSE NO
CIASS OF WORK
O NEW ❑ ADDITION O ALTERATION tJ REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
9 CHANGE OF USE fROM
TO
STIPULATIONS
Roofing can be the 2nd layer but not the 3rd.
TYPE OF CONST. OCCUPAI
SEPARATE PERMITS ARE REOUIRED fOR ELEC7fi1CA�, PLUMBING, MEATING,
VENTILATING OR AIR GONOITIONING
THIS PERMIT 9ECOMES NULL ANO VOID IF WOAK OR CONSTRUCTION ZpNING SO. fT
AUTMORIZED IS NOT COMMENCEO WITHIN 60 OAVS. OR If CONSTqUCT10N
OR WORK IS SUSPENOED OR ABANDONEO fOR A PERIOD OF 120 pAYS AT
ANY TIME AfTER WORK IS COMMENCED. NO DWLG. UNI75
I HEREBY CERTiFV TMAT 1 HAVE READ AND EXAMINEO TNIS APPLICATION STAI,I$
AND KNOW TME SAME TO BE TRUE ANO CORRECT. ALl PROVISIONS Of LAWS VALUA710N
AND ORDINANCES GOVERNING THIS TVPE OF WORK Wlll BE COMP�IED � ���
WITM WHETHER SPECIFIEO MEREIN OR NOT. TME GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTMOqITY TO VIOLATE OR CANCEL TME pEqMtT F
PROVISIONS OF ANV OTHER STATE OR LOCAI LAW REGULATING CON-
$TqUCTiO R TME PERfORMA Of CONSTRUCTION �
PLAN CN
Lic
S�G st E OF C , •.TOp O EO �GEtii �O��E�
S�Gtia�uQE O� OwtiEA��� OWNEA BW�OEA� �OAIE� E
sc $5�0
CU FT
iTREET PARKING
GARAGES
�AX
� �
CMAqGE
Fire SC
FEE ���
�
�
LOAD
NEW
ADDN
ALTER
_ � ,�
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CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: '� � ( K� n� � �; � � �_ /1� ,
Legal Description:
Effective 1/1/98
�s �
Owner Name & Address: �-��-� �-- I�� � � �� fyyr� � Tel. �
Contractor: _� �'L� �� �Q�- �r �hQ�/S � b HI ��✓ G MN LICENSE #��_��
Address:_ �:��"� �, SS SF � /�/�� � 1 �-S� ����J� Tel. # .�'7,11 �S ,��
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IlVIPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft. ___���-(�'
OTHER: � � �� �,� � D
/�
Construction Type: Estimated Cost: $ c�
(Fee Schedule on
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$
_$
DATE: ` - APPLICANT: [� _ ��� Tel. # - J�
l
� � � �� CITY USE ONLY � �
Permit Fee $ Fee Schedule on Reverse Side
Fire Surcharg $ �� .001 of Permit Valuation (1/lOth%)
State Surcharge �$ �t' $.50/$1,000 Valuation
SAC Charge $ $1000 per SAC Unit
License Surcharge $ � U � $5.00 (State Licensed Residential Contractors)
Driveway Escrow $ Alt. "A" or Alt. "B" Above
Erosion Control $ $450.00 Conservation Plan Review
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ Agreement Necessary [] Not Necessary []
•
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_._— --
__ �-
.�����
STIPULATIONS: