AF - 47858SUBJECT P
City of Fridley � 13133
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
� � RE .
� • COMMUNITY DEVELOPMENT DIV. }7 F�� ��
� �y-------
r � � PROTECTIVE INSPECTION SEC.
1 ,
1` ' /���1 � CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVED
"°'�' ,'� 612-560-3450
910-F15 8-8-75 � �
JOB ADDRESS 1410 KERRY CIRCLE
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 6 1 HEATHER HILLS, 2ND ADDITION SHEET
2 PROPERTYOWNEF MAILADDRESS ZIP PHONE
DANIEL SCHUMACHER, I410 KERRY CIRCLE
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
COMMERCIAL ERECTORS 5298 FILMORE STREET N.E. FRIDLEY MI
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
RESIDENC�
7 CLASS OF WORK
}{X NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
CONSTRUCT DWELLING 30 x 26, & C•AR.AGE 22 x 30
9 CHANGE QF USE FROM TO
STIPULATIONS
PROVIDE VERIFYING SURVEY Q@fQCB dlg$Illg CB�� (OCB� U�1�1�183
PROVIDE HARD SURFACED DRIVEWAY TEi,EPMQNE - ELECTRIC - GAS E#C.
PROVIDE SOD ON FRONT & SIDEYARD
REQUIRED BY LAW
SEWER: 10' East of Water Box 76' S.E. of Hydrant
& 61.5' South of M.H.(M.H. in Cul de Sac (Inv: 929.77)
Wye Elevation - 929.65
Top of Footing - 933.15 (rtinimum) �jiR.ED �� ��R� � G�
WATER: 59' South of M.H.
69' 5.E. of Hydrant 5'-����'T� P��M��� pNp SIGNS,
��ATING► PI.UI�A81NG
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAO
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SUFiTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 44 SOO.00 22.40
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE R LOCAL LAW REGULATING CON-
STRUCTION THE PERFORMA� F CONS?RUCTION. 53.2$ 325.00
�0 ,� PLAN CHECK FEE �y`400.00 TOTAL FEE
V �� — ��
SI ATUREOFCONiRACTORORAUTFiORIZEDAGENT IDaTE� WHEN PROPERLY�ALIDATED THI � IS YOUR PERMIT
/
'-( 8-8-?5
SiGNATUREOFOWNERUFOWNERBUILDERI IDATEI BLDG INSP DATE
� •• . .
Surveyors C�ertificc�te
COM5TOCK & DAVIS, INC. Consulting Engineers and Land Surveyors
I446 County Road J, Mpls., Minn. 55432, ?84-9346
Proposed House Location • For: Mr. Mike 0'Bannon
Lot 6, Block 1 �
Heather Hi11s 2nd Addition � �/
�'ridiey, MTnnesota �'o. -'�:� '
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exlsf:ng drair�age y`' __-_ 1� N
vfi/i �y easement -.- ,l Prop nse e� dr�ina,qs �' �
°� ` �,► �o • � ufiY�fj� easeme��
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Legai Description: Lot 6, Biock i, keather Hills Second Addition
� WARNI�IG �
Before digging catl local utilities
TELEPHONE - ELECTRIC - GAS Etc.
. R�QUIRED BY ��.AW
SCALE: /"� : SO' `
p- - c�erlo�es iron mor�vrn�i�1� .
I hereby certify that this survey, plan or report was prepared by rne or under my direct
supervision and that I am a duly Registered Land Surveyor under the laws of the State
of Minnesota.
,� ,,� ��n-�°yl' �083,2 6/,z/,s 33 90
Reg. No. Date Job No.
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• �`' '. � •APPLICATION FOR RLiST'D1:NTIAL., ALTLRAI'ION, � •
. , . OR AllllITION. BUILDING P�P�I�iIT .
. ` CITY OF FRIDLEY, hIINNESOTA • : .
- _ � ; • • � �� � .
O�,T�ILR' S N�11`1E • BUILll�R : /i% "� �
ADDRESS ..• D ADD1tES S: J v� G% � �� �
. ,
• NO:: .�.�U STREET• /\�QR.jI ���LG � — � .
. � :���� ��.� ���.� �
i.OT: �BLOCI�: / ADDIT�Ol�: t
T r �
. CORIvTER LOT : INS ZDE LOT :_ /�� ,_SETBACK : _ SID�YAr.D : . `
!
. � • .. ,
. � i
Applicant attacr. �o this for:ra Zt•JO Certificates. �f Survey.of L�ot and.pxoposed •'
� buildino ?ocation drawn.on these Certific�tes. , �
:
. . . . . �
• . � � • � � - . 'i
. . - . �
- - . ' ' ., • . !
.. . _
.� � �HESCRIPTION OF BUILDING � - "
. . . ;
. � - ,
. . ;
To Be Used As : ' . _ _ �
. � • Front : � � Depth • � � t° Height • .
�.- _ Square Feet: Cubic.Feet:
� . Front :�,_�_Depth : .3 d Height : :
.. . Square Feet; Cubic Feet: � .. .. ,j'
- 7jrpe of � Cons truction t Estimated Cost : ��� .
To Be Completed: � �l/ � � /.� . • � �1-�. b Ov.O v, • ' . .
' 7'he undersigned hereby maltes applicativn for a pexmit for the work herein �
speciii.ed, a�reeinfi to do all worlc in st=ict accordance with tlze Cit}• of _
� Fxidley Ordinances and rulings oi the Department of Buildings, and her�by
decl�res that all the �acts and representations stated in this application
are'true and correct. � .
, .
� i �_. ` '� � -
• UATE: � SIGNATURE•
• (Sce I�everse S de For Additional Information.)' ,
Ac�o��oc y, . S.: � ' . • (�R m � r; 53 2$ . ' �
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' •. � . �in», SCwr,� yov• o v
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G2tl1FiTT 4tARpt A.IA:
il�nxe Si:tIS � Durt Warit
Re�;acrrr,onL of Flsrna�e
P.�pa:rc k.41:rra:.r,r.c-- up to 3SQ0.00
Rc�airs & �.:;�rat:ons each add. t500.fA
iSLCii. W 1lATt 1�IFt
iL•rissct S2:e;l !t Duct Wori� to 510,444 BN
eac3: add. CO.Q00 BTV - .. . .
Reaiacmer:t oi F�.r�ucr
Rrain & A?tPratiaru--vD to t500.OQ
Rt�aIn & Attcratioas eath add. SSOO.OU
i°i� � �. TOTP.L
.. a�o.00 s
6.(M $
fi � �
. 3 UU $
. EI O 00 ;�
3.W S
s.� :
6.00 �
3.00 ; �
STEAM o: HOT WATLR SYSTE3t
. F.r^.acr Sh•_:1 S� Lires-'o 400 s�. t: ?.DR S'.eaz:: e�pnn e
• fl:rnace Shz:i ctc Linr-:o 640 sq ft. EDR Fiot Water 2000 3.
Eac!s �dd Z0� sQ. ft. EI�ft Sceam 3 tNl g
E�cA add. 320 sq. :t EDR Hot Water 3:00 5
OIL BIIPI`EP.-to 3 gal Der hour ' 6.Q0 S
ovrr 3�a1, per hour-See Fes ScAedule
G11S 3VAHER (u� to i99.000 BTLD 5.00 ;�
wcr 2�9.Oq BTiJ Sse F�s Sch�dul•
`GJ1S FITTING .i'iE3: li0 RATE TOSAL
Ist 3 Fxtures : zE 200 E�..=,._
Additional FZs4ures z ,76 �--• --
c� xz� m�a.c� :a a.o� a_
� ���o��� State Surcharge .50
�.
tAlf F"..:,,:TL'�: s t�TBT� S�e Fay &t�:: 3�
�r�� aT�r.� . �
u.rr�rro�cs s �.-pa�s rosz�a. � $ �a
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Cfty o? Fridte7:
; h� �:n�ersi�ed here`y ma�ces app.icu'iorti 'or a p�r^:it faz L�� a•a:-i� �erea
spectfi<•d a�r���ir,g to dc atI •x•erk in �'.rici ac:o^dar.ce with ihe City �,'rd!r,.a..;t�
and *.:��r:�; of the De;aa trr,�r,t c�f I3uildir.;;s, and hc:rby detL--. L`�a, aii :.�.e fac
and reUr�r�Pntati s s!atrd :n tius a�plicat�on are tn:e aad c9rrect.
F}:diey, N�inn- �—� ! � �� �IP �
f.lwner . i��' Lt��...o � //S�d�z.r�� .
Kir.d of Buiiding . —�7�''L--�
i /1 G' /J n �
�Jsed ae
T� �e compteter] about � �^'� �� �
/ O p
Estim2?e�3 Cost, S �C� � �'"-'-"_
Oid New. Iding Permit No. Pormi: No. `�'`rtcC;
T'4..°1v"'r1%.^ii0if Oi i�OFi�
HF„ATING or PQG�R t'f.AN'�S-S?�cara, Fiot �aLer. W Atr-Na
_. �� � �
Trade Name _ _ Slze Fio �
Capacity_. _._ .— Sq. �'t E.D.R BT(7 g:
TotaI Connetted IA.�d __ 2�3nd of F1:et ,�-�
BURh"ER - TYa+�e t`mm S3ze No d• ���J
C�pacity �q. FL E.DR BZ'U �
(tSCtOAtXf.�0Yt7t3
J� ^ °��I`i'f.Cl�_! ���.
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� .`il�! fiY �iiG�)Qy
• �t��lica�iar� #vr P3ur���� �.�� �� ��t���� Pe�i�
— r.-. Aept. of Sldoa• Phon• SE4•34.°,0
• D�SCP.IPTION OF V10I�2: � �y�Q � �
Nuas`�a:ti Kiad and I.ocrtioa c! Fl:cluze• i3OCa�,•'+
0
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��! WATF4 NTR, CILy OS `I�7�Cy: � �
��i � ��. = y � � Z F� � p` Z I� T O � , u i • • . : -� . . . . . . �.. . .. . . � � . . . . . .
p � � i � Z`� ,� .� � � o� S� 5< 7� 7� 7 w r N c�s ncc. ' The undersigr�ed hereby rrakes apDllcation for a permit ior thr work herei
N .; � , � � � '^ s ' ° ` ` ° '� 3 " " • " � specificd, a6rccing to do all work fa strict accor�ance with the Ci� OrCir.ana
���t �' 1 • and ruliag of 2he Deparfinent of �ui7d:n�, and hereby declares that all the tact
-- •. and representations siated in this application are true and corTect
:.t. Frid]eY. �� � � � . 19 !��r
1r,d � .
3rd Owner — —
4th Kind of Buitding
•..-i'utu.rs ConaociSca ODsni:s.�s Coaaoct:+d wl2a ' ,
Sessor � Used as
# ?f�w FSzfuso. Old OflaninQs Ctwpr.o� []
To be comPieted about � ^
�'ARTlAI. RATE S�HEDULE est,m3�a c�s�. s
Old New. uifding Permit Na P.rmit No. ���
?i.'JMHTHG t'iXTUPE RATES: ItQ. AA'T� TOTAL � I
, : �,�. x 52.00 S._.b[.la_: � � Signed
� r:�,�T3i%: .�iX�{i:CS • • • • • • • • � • • � . • •�• r - � � �. � . �
f'�,wre ,Flxture Ot,cning . . . . . . . . x S1.50 S By • -'
�� x 1.50 ____._ _ Business Phune No
., .
Ive�v Fixture O
!ci enin . . . . . ` . . . 3 i
OD S .
� C�tCtil �iSjT1 • • • •�• . • • � e � � � � � � � � � • X �.2J ♦ . . ..�� . . . . � � � . . ..
�: ater F:.a:er 'l;p to �!:•:: II i't �. - . . ,r.., x �3.00 5�=.—.-..: �. . .
ROGGFi
�re;v Ground R�.�r 4�' E;d.q. . . . .:. . •. . � x �3.25 3
EI�etrk Ylat�r iiwa! ;s . . . . . : . . : . . . . . s $2.00 S Z 5— "r •
• FINAL /J — 7 �.. ..
: L: ^TTIHG FEE$: . NO. RF,TE iOTAL
. . . . . . . . . . . . .:. . . . . x S2.fA ; ol , •
lst 3 Fixtures . . .
� ; x $ .75 '; •
Addlticnal Fix!urPs . . . . . . . �... . , • . .
Gaa RaaYe to 199.040 ATt1 ..... ...... �. x 55.00 6
REP�IIAS ic ALTEA1l720N$—A�fer !o Cods . .50 State SttrChairge
. . . . . . . . .. . :. . . . ... . . . ... . . . . .... �. ... . .a � /, ° a
. DcacrlPtion . . . . _
i . . • . � . .. . .'�. . . � � � • V+liL i iW �� • , ,• . � � .. . . , . .
� .. . . , . . � _ .. . . . � • . . . . . . . . . . . - ' � �. . . � ..
. •
560-3450
,
+ , �if o rid�e
c.�'i c�
ANOKA COUNTY
�' 6431 UNIVERSITY AVENUE NE December 5, 1975 FRlDLEY, MINNESOTA 55432
i
Commercial Erectors, Inc. :
814 South 9th Street
Minneapolis, Mn. 55404
Re: Final Inspection at 1410 Kerry Circle N.E. .
Dear Sirs:
A iinal inspection was made on Dec�nber 5, 1975 of the above address. The
following items were noted and must be completed before the construction can �
be finaled out; '
l. Install house numbers
2. Install door closer on door between house and garage
3. Install joist hangers on floor joist }aelow €ront entrance
4. Provide sod in the front and side yards.
We will expect items 1, 2, and 3, to be completed by December 22, 1975, and
item 4 to be completed by June 15, 1976. If any problems arise that will
prevent you from completing these items by the appointed dates, please
cantact us.
Reinspections will be conducted on or about the appointed da.t�s to deteiznine
compliance.
Sincerely,
DARREL G. CLARK
Community Development Adm.
DGC/tnh
sua�ecr PERMIT NO.
c�ty of Fridley �� 17 0 31
�
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
; � ,. s RECEIPT NO.
� • COMMUNITY DEVELOPMENT DIV.
� �y-------�
r � � PROTECTIVE INSPECTION SEG
1 � ,
, � /"'1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE � OF APPROVED BV
� ---'1�<• •'�
612-571-345Q 910-F15 � / /
106 ADDRESS 1410 Kerry Ci rcl e N. E.
1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHEO
DESCR. 6 1 Neather Hi 11 s CO SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Jean Schumacher 1410 Kerr Circl 571-1131
3 CONTRACTOR MAIL ADDRESS P PHONE LICENSE NO.
Northtown Construction 7992 in S r -
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHO LICENSE NO.
/
6 USE OF BUILDING �
residenti 7
7 CLASS OF WORK
❑ NE C� A I710N ❑ ALTERATION ❑ REPA1 ❑ V� ❑ REMOVE
,
8 DESCRIBE WORK
construct a 3 seas n porc 12 6" by 16'
9 CHANGEOFUSEFROM TO
STIPULATIONS
turn s lites
1
SEPARATE PERMITS ARE REOUIFED FOR E CT IC I„ PLUMBING, NEATING, TYPE OF CONST: OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING. WUOd 1 Y�aI�CIe
THIS PERMIT BECOMES NULL AND ID I RK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED W HIN 60 AYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABA ONED F R A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMM NCED. NO. DWLG. UNITS OFFSTREET PARKING
I NEREBY CERTIFY THAT I NAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VAIUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 4�000 Z.00
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING �oN- 44.50
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE TOTAL FEE
1i.13 57.63
SIGNATUREOFCONTRAGTOFlORAUTHORIZEDAGENT IDATEI WHEN PROPERLY VALIDATED THIS IS YOUfi PERMIT
SiGNATUF7EOFOWNERIIFOWNERBUILDERI IDATEI BLDG WSP OATE
Effective Aug. 1, 1981
CITY Ot' F(tIDLCY '
A('PLICIITIO'1 FOft P,CS10Li��TIP,� I3U1LD1i;G P�tLf�I7S �
(t�e►•r, A1 ter•iLions, Additions, or Repairs)
O�sr�ER: �� a r SG%�u m�-e���r
AD�JRESS: I�I l 0 F%tY1ry �'i�r-c. ��
TEL k0: S% S� -' �! 3/ l
Constructior
}QUI LDtR : _ f(% �"`�%. `� c.v Y. ���
oaztss: 9� QLr•"�� � /h�'.
TEL t10: �;� �-
STJiI�T NO: �"� � O STItEET: 'f r �
IA7: �p ' BLOQC: 1 ITIO:Z:
ion
Corner Lot: __ Insidc Lot: �tbacY.:
Ap�lic�-u�t attach �i t�+ro Certf
p=oposed building oca�tion d wn on ccr
� S�a�
ESCRIPTIO�
t: 1 � � � ��
re Fee : C� v
�r�1- ��� �•ront
_,, .
Square e!
2o r � ��. r�l� �
iype Ic� �d%.str�b(� : _�
Rb Be Obr.�pleted:
Proposed Driveway hidth If N
��
�
COf;STFUCT
n
Sideyards:
s�of S1�rvcy of lot and
tes to scale.
i s% �-
�p�; /( Height:
GUbic Fcet:
�pth; Height:
. Nbic Peet: _ (�/�Q V
�Q M �. 3 ��. �
� Estimal:ed Cost: S ,�,� o .��b
Alt. A Alt. B
Is Desired: $ s
, SL� P.£VF.R: L' SIDL OF SiIEET ,
9Sie undersioned hereb:� mal;c:� applic�zticn for a per�it fcr the �:ork herein specified,
agreeing to cb _all �:ork ii� strict accordsnce with the Ci�y of Pridley Ordinances �nd
rulin�� of tl�e Delk�rtment of IIuildings, and hereby declares that all tl�e facts and
represcztZticns stated :n this applic�tion are true and correct.
��._� �
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D.':TE: ; J SIGNATUIs.: .
i
SLii�ulations : �v � . / � // � �' �
Q.�� �ty.� " '`
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P.� 1 I .13
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. • _ .
sue�ecr P MIT NO.
City of Fridley � � 2 p
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T �
r
; � REC- .
� ; y _ COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC. l��p��
� � �
� � /"�1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE � .PAGE OF APPROVED BV ��.
�----�' `.' 612-571-3450 910-F15 8/18/83 � �
106 ADDRESS ],Lj],O KP.rY`�7 Circle N. E.
LOT NO. BLOCK TRACT OR ADDITION
1 LEGAL SEE ATTACHED
DESCR. 6 �. H@d'tYle1^ H1.1�.5 SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Jean D. Schumach.er 1410 Kerry Circle N.E. 574-1131
3 CONTRACTOR MAIL ADORESS Z�P PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE UCENSE NO.
5 ENGINEER MAIL ADORESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS Of WORK
❑ NEW C� ADDITION ❑ ALTERATION ❑ REPAIR O MOVE ❑ REMOVE
8 OESCRIBE WOHK
Construct a 12' x 14' Porch. Addition
9 CHANGEOFUSEFROM TO
STIPULATIONS
S�PERATE PERMITS REQUtRED FOR WIRItYG„
WEATlN� pt_t1h�Ri�fr. 4NF� �cf;N�
WA�NIHG
Be#ort Giggir�g cati ioc�1 ut�lities
TELEPHONE - EtEC�TRIC - �AS EtC.
REQUIRED BY LA�
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REOUIRED POR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONOITIONING.
THIS PERMIT BECOMES MULL AND VOID IF WORK OR CONSTRUCTtON 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 1 STAI.LS GARAGES
AND KNOW THESAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WI�L BE COMPLIED �`4�SOO �2.25
WITH WHETHER SPECIFIED HEREIN OR 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 CON- �`r.JO.00
STRUCTION OR THE PERFORM NCE OF ON TION.
� PLAN CHECK FEE TOTAL FEE
$52.25
SIGNATU OFCO ' A RORAUTHOFIZEDAGENT IDATEI W EN PROP R V I A THIS I�S YOUR PERMIT
��,, , r g �� - � .3
Si U Of OWNERI OW BUILDERI IDATEI LD �NSP - DAiE
' CITY nF F(tIOLCY : Effective Aug. 1, 1981
A('PLICATIO'� FOR RCSIDLi•JTIP,� I3UIL�li�G PEFL'lITS
(��e►•�, AlteraLions, Additions, or Rcpairsj
01•,NER: � P..��.71 .� _ �C� Il� 1��GIlE'i2
ADDRESS: _,� I( ��2 Yl.l,1 c Ir-�
.
TE��o: 5��(.�t13(
'[3UILDER: �
ADDRL-SS:
TEL t10:
ConsL-ruction Location
STJtL�T NO : STItEF.T: � L..I�j2l� �`, Y' •
L07 : C(� BLOQC: __�____ ADDITION: I� P Gt �.� N��' S
Corner Lot: Insicie Lot: Setback: Sideyards:
Ap�licant attach to this form two Certificates o£ SLrvey of lot and
proposed building location drawn on certiiicates to scale.
`— DESCRIPTIO�� OF COFjSTF:UCTIO�J
� �^ � � r
�` ` � I'ront: '�� Depth: ��t Height:
Squane teet: Qibic Feet:
Front: Depth: Height:
Squar.e Fent: Glibic Peet:
��oa �_
�pe of Construction; �C,r � aY-C�
Zb Be O�r,�pleted: �-� -
�
Estimated Cost: $ � S� d •
Alt. A Alt. 8
Proposed Driveway kidth If New Opening Is Desired: $ $
_ , S�E F.c�VF:R�L SIDE OF SFIEET .
zSie undersigned hereby m�};c� applicaticn for a permit fcr the �:ork herein specified,
agreeing to do ,all kork ii, strict accordance ��ith the City of Fridley Ordit�ances aiid
rulings of t1�e Delh�rtmei�t of Buildi.ngs, and hereby declares that all tl�e facts and
rc�resentatiens stated in this applic�tion are true and,�correct.
D1:TE: � � l � S
Stii�ulations : �
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CITY QF FRIDLEY INSPECTION DN
6431 University Ave NE
Fridley, MN 55432
572-3604
•,
APPLICATION FOR POWER PLANTS AND HEATING, COO�ING, VENTIlATION,
REFRIGERATION AND AIR CONDITIONING SYSTEMS A�VD DEVECES
Residentiai
Furnace Shell 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 BACFQ
1% of Value of Appliance or Work
Rate TOTAL
$ 30.00 $
$ 10.00 $
$ 10.00 $
$10.40 $
$ 25,00 $
$
Commercial/I ndustrial
1.25% of Value of Appliar�ce or W� ' $
, #�� ��
�/ a Sur ha�ge �50
TOTAL FEE �� ���
MINIMUM FEE FOR ANY HEATING[COOLING/'VENTILATION
REFRIGERATIONlAIR CONDITIONIWG PERMIT 15 $25,00
PI.US THE $.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner,
Effective0n March 1, 1996
/� /� �
JOB ADDRES� �'7 � D -e(2�c,y l.� j�c� ��
The undersigned hereby makes application for a permit for the work herein
specified agreQinr� to do �II work in strict accordance with the City Codes arrd
rulings nf the �uilding Division, and hereby declares that all the facts and
representation3 statad in this appiication are irue and correct.
_ -----
----��-- �3
,1996
, —,l �
BUILDING U5ED A3
ESTIMATED COST �' %�L,� V PERMIT N0. /�--� �C �`
r ; • , • . • i :
No. of Heating Units / Gircle OnQ (Steam} (Hot Water) (War ir)
Trad� Name Size No,
BTU 'z-7�'-r� HP EDR
Fuel �` /� r+- T Total Connected Load
Burner Trade Name � r� Size Nn. ���/7-%�z��.��� �
BTU �7ob-�v HP EDR � ��
HEA7ING COMPANY,� � p,����p �/— ���
�igned By r �� Tel No. �v�'j 3—tUc��
� ���'�"`''!��
��
Approved Sy Rough-In Date �J,(� Final Date j
FILL OUT BACK SIDE OR STACK VERIFICATIO O�
REPIACEMENT FI�RNACE
sue�ecT RMIT NO.
City of Fridley � �. �, ,�:g
AT THE TOP OF THE TWINS g � I L D I N G P E R M I T
r
� �
, � RECEIPT NO.
� • COMMUNITY DEVELOPMENT DIV.
� � -_""-, ��
r � ti � PROTECTIVE INSPECTION SEC.
i �
� � _
� ' r"'i � CITY HALL FRIDIE� 55432 NUMBER REV DATE PAGE UF APPROVEO Bv
�"""�� ,�� 612-571-3450 910-F15 10/9/96 � �
JOB ADDFESS 1410 Kerry Circle
t LEGAL LO7 NO. BLOCK TqACT OR ADDITION SEE ATTACHED
DESCR. () 1 Heather Hills, 2nd Addition SHEET
2 PROPERTV OWNER MAIL ADDRESS ZIP PHONE
Jean Johnson, 1410 Kerry Circle, Fridley, MN 55432 574-1131
3 CONTRACTOF MAIL ADORESS ZIP PHONE LICENSE NO.
Fireplace Showroom, 225 Cty Rd 81, Osseo, MN 55369 425-9656 20062055
4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PMONE UCENSENO
6 USE OF BUILDING
Residence
7 CLASS OF WORK
l�l NEW ❑ AQDITION ❑ ALTERA710N ❑ REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Install fireplace/stove (gas).
9 CHANGE OF USE FfiOM TO
STIPULATIONS
TYPEOFCONST. OCCUPANCVGROUP OCCUPANCVLOAD
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, NEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAVS, 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 OFFS7REET PARKING
I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPIICATION STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORHECT. ALL PROVISIONS OF LAWS VALUATION SUFTAX
AND ORDINANCES GOVERNING THIS TYPE Of WORK WILL BE COMPLIED � 1� SOO. OO tate SC �.%S
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIV AUT ORITV TO VIOLATE OR CANCEL THE PERMtT FEE SAC CHARGE
PROVISIONS OF A Y OTHE STA OR LOCAL LAW REGULATING CON- �L�H.SO lie SC �L.SO
STRUCTION OR T PERFO MA E OF CONSTRUCTION.
PLAN CHECKFEE TOTALFEE
j icense Fee $5.00 $55.75
s��N aE oF c0 � ACt q OA AU7HOR12ED AGENT ion E HEN PROPER VALI TED THIS IS VOUR PERMIT
dr/. u� /D--/o-��'G
S�GNATUREOFOWNEPiiFOWNERBUILDERI iDATE1 BL �N57 q4TE
NEW
ADDN
ALTER
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ConstructionAddress:
Legal Description:
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R 1 AND R-2
Building Permit Application
Effective 3/ 1 /96
� �3
��
Owner Name & Address`��q-/� �S p�U�1 Tel. # J��'L� -` �� �
Contractor: � �/2�jOL�-� `�����d1�'� MN LICFNSE # c�E�L��3- ,�/1��
Address: � � � �.�5� �'1i1,/ .�S'3GT Tel. # ��-`���
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IlVIPROVEMENT
Length Width Height
Length Width Height
Length Width Hgt/Grou�d
Sq. Ft.
Sq. Ft.
Sq. Ft.
Corner Lot [] Inside Lot [) Ft. Yd Setback Side Yard Setbacks
/ r
Tyge of Construction: ���S�a� l�`�s �a� Cost: $ /��G27
,Approx. Complerion Date: � � .
tCost on Back)
Driveway C�rb C�t Width Needed: Ft. + 6 Ft = Ft x$,
DATE: APPLICANT:
Fermit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
$ �
$
�
$ � �
$
$ ,�
$
$
$
$
� �S, ��
CI1'Y USE ONLY
Fee Schedule on Reverse Side
_$
Tel. #
.001 of Permit Valuation (1/lUth%)
$.50/$1,000 Valuation �
$900 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
STIPULATIONS: - - '
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572- 3604
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLC�c)R
Effedive On March 1, 1996
PLUM$ING FIXTURE RATES
NO. RATE TOTAL JOB ADDRESS � �
New Fixtures
Old Opening, New Fixture
Beer Dispenser
Blow Off Basin
Catch Basin
Rain Water Leader
Sump/Receiving Tank
Water Treating Appliance
Water Heater -Electric
Water Heater - Gas**
Gas R��* �it,��c.q��'
Gas Dryer**
Back Flow Preventer Required ()Yes () No
Type
$ 7.00
$ 4.00
$ 5.00
$ 7.00
$ 7.00
$ 7.00
$ 7.00
$10.00
$ 7.00
$10.00
$, o.00
$10.00
$15.00
Reinspection Fee $42.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.596 of Value of Fixture or Appliance ���
State Surcharge
TOTAL FEE
$ .50
$���
/
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 Building Division, and hereby declares that all the facts
and representations stated in this application are true and correct.
�� — [ ��(/� , 1996
• _ � ' � i.�.+ 1.
Building Used As �
� �S �r� �
Estimated Cost �� PERMIT NO. '!j
PLUMBING COMPA Y � Q
SIGNED BY TEL N0. L��_-��('�o
Approved By'��i_`� Rough-In Date Final Date �
PLU3 THE $.50 STATE SURCHARC3E
**COMBUS?lON AIR SHALL BE PROVIDED PEFi UMC SECTfON 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SQ INCHES.
sua�ecr PERMIT NO.
City of Fridley �. � � � ��
_�
AT THE TOP OF THE TWINS g � I L D I N G P E R M i T ���"p �
r ----
� .
, � RECEfPT NO.
� COMMUNITV DEVELOPMENT DIV.
' � �.------ � ��(/3l0%
r � � PROTECTIVE INSPECTION SEC.
� � _
� � /'��1 � CITV HALL FRIDLE� 55432 NUMBER REV OATE PAGE UF APPROVED BY
�-"'�'� �'' 612-57t-3450 910-F15 9/15/94 / /
JOB AODRESS 1410 Kerry Circle NE
t LEGAI �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. O 1 Heather Hills 2nd Addition SHEET
2 PROPER7Y OWkER MAIL ADDRESS ZIP PHONE
Jim Johnson 1410 Kerry Circle NE 551-2229
3 CONTRACTOR MAIL ADDRESS Z�F PMONE LICENSE NO
Al1 Systems Roofing 2325 Endicott St, St Paul, MN 55114 646-3533 8963
4 AFCHITECT OR DESIGNEF MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAII ADDRESS ZIP PNONE UCENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR p MOVE O REMOVE
8 DESCRIBE WORK
Reroof House (23 Squares) 2nd Layer
9 CHANGEOFUSEFROM TO
STIPULATIONS
Roofing can be the 2nd layer but not the 3rd.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
SEPARATE PERMITS ARE REQUIRED FOA ELECTRICAL, PLUMBING, HEATING,
VENTI�ATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTfiUCTION ZpNING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERI00 OF 120 DAYS AT
ANY TIME AFTEFi WORK IS COMMENCED. NO. DWLG. UNITS OfFSTREET PARKING
I HEREBY CERTIFV THAT 1 HAVE READ AND EXAMINEO THIS APPLICATION 1 STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VAIUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILI BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �1s26S �.63
DOES NO7 PRESUME 7 E AUT Y TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS Of A OTHER E R LOCAL LAW REGULATING CON- $31.00 Fire SC �1.27
S RU OR PE A E O ONSTRUCTION
_, .._-
__-- '" -
' � PLAN CHECK fEE TOTAI FEE
- ------- --%S'�� License SC $5.00 $37.90
GNA?U�7EOF FI�RAC10�70AAUTMORIZEDAGFNT IDATEI WHEN PfiOPERLY Y IDATED THIS IS VOUR PEFMIT
r .y ` ��/"
^— S�GNaTUi7E OF OWNER UF OWNER BUILDERi iDATEi BLOG S� pFTE
NEW
ADDN
ALTER
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Construction Address
Legal Description:
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
�:? ,�--��� C?r�.,
Owner Name & Address: .� � � _
Contractor: �r� ( 5 �% S���it S�
�o
Address: �
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
�
Effective 1 / i /94
-- l �l! C� �iY'✓' �Tel. # S�S / -' �a-�-�
, tiJb MN LICENSE #� �O 3
� �,T- �(,� i�i n, - Tel. # �� �4 � ,2 � �
Attach to this appIicadon, a Certificate of Survey of t6e
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft.
I,eng#h Width Height Sq. Ft.
Length Width Hgt/Ground Sq. Ft.
�� /� �� �r', - �3 S�5 _
Corner Lot [] Inside Lot � Ft. Yd Setback Side Yazd Setbacks
Type of Construcdon: �
%� cr Estimated Cost: $ � �-.�'1-:� ; r"`
,�...° � � -�
Approx. Completion Date: / (� S
(Cost on Back)
Driveway Curb Cut Width Needed: . — Ft x� =$
DATE: — / �' Q � APPLIC NT: �� Tel. # �p y� � � 5.33
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosior► Control
Park Fee
Sewer Main Charge
TOTAL
o � ��w /, �-!� s
CITY USE ONLY
$ �/, G'�) Fee Schedule on Reverse Side
$ % • � .001 of Permit Valuation (1/ iUth%)
$ � � $.51J/$l,OQO Valuation
$' $$00 per SAC Unit
$ � � �'L7 $5 .00 (State Licensed Residential Contractors)
$ Alt. "A" or Alt. "B" Above
$ $450.IX? Conservation Plan Review
$ , Fee Determined by Engineering
$ Agreement Necessary [] Not Necessary [ �
$ � �-90
STIPULATIONS: _ . • '
�ilding
Inspections
763-572-3604
763-502-4977 FAX
MECHANICAL
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
EFFECTNE 2-19-09
DATE I C ` Z�j � Ci Q YOUR E-MAIL ADDRESS
SITE ADDRESS ��{ � p r�.c!' y C�rt LL }�) •�1
THIS APPLICANT IS:
PROPERTY
OWNER/
TENANT
❑ OWNER C9CUNTRACTOR
NAME:
t7
Permit No.:
Received By:_ r=?�
Date Rec' d: � � — '�
ADDRESS: I�1 � ��t�rV C�c N•� CITY �t �� ��.�� STATEMnZIP
rxoi•rE: 6► Z- 6 6�i -'� Lt 5 G
CONTRACTOR COivrnAivx NAME:
SUBMIT A COPY OF CONTACT PERSON: ReSY en ia •
YOUR STATE STATE LICENSE # /i�r C��lt��f �'
LICENSE WITH ,�D�ss: � 815 East 41 st Str�r STATE ZIP
APPLICATION pxorrE MinneB�]OIiS, MN 55407
PERMIT TYPE
TYPE OF WORK:
�INGLE FAMILY ❑ TWO FAMILY
❑ NEW CYR�PLACEMENT
❑ TOWNHOUSE
❑ ALTERATION/REMODEL
DETAILED DESCRIPT'ION OF WORK � D�� c..� �v �� 4u� �r�. o� C� `-c.0 v Ui o'L O
g6��oc� �r.�'S
FEES ARE BASED ON a10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BE OV1�
ui entlnstalled MFG: StZEBTCT �(o Oot7
E9 Pm �2J�1 �b I� MODEL: [, y(� u �to ZD 4
MFG: MODEL: STZEBTU
� MFG: MODEL: SIZEBTU
A/C $25.00 _FIREPLACE (GAS) $15.00 GAS RANGE/OVEN 510.00
_AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 _NEW GAS GRILL $10.00
_BOILER $35.00 �GFURNACE $35.00 _GAS UNIT HTR $10.00
CHIMNEY LINER $10.00 GAS DRYER $10.00 _POOL HEATER $35.00
DUCT WORK $10.00 GAS PII'ING $10.00 _VENTILATOR $15.00
TNIS IS AN APPL[CATION FOR A PERMIT-NOT VALID UNTIL PROCESSED
I-hereby apply for a building p it and I ackno edge tha the information above is complete and accurate; that the work will be in
conformance with the ordinan and codes f the ity of r'dley and with the Minnesota Construction Codes; that I understand this is
not a permit but only an appl' at on for a pe it d wo ' not to start without a permit; that the work will be in accordance with the
approved plan in the case of ork which quNes rev and approval of plans.
SIGNATURE OF APPLICANT / ME� �ao..� � ��l��C DATE + ► -L3 -U 9
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604 FAX: 763-502-4977