AF - 47944sue�ecr P _
City of Fridley �
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T ���'� �
r
� � RECEIPT NO.
� `L ______ COMMUNITY DEVEIOPMENT DIV. � � ��
r � � PHOTECTIVE INSPECTION SEC.
' � �'��1 ' CITY HALL FRIDLE� SS432 NUMBER REV OATE PAGE OF APPROVED B�
�""� � �'J 612-571-3450 970-F15 5/17/95 � /
JOB ADDRESS 735 Rimball Street NE
t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. lO, l l 0 Riverview Heights SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Paul Dotty 735 Kimball Street NE 292-0692
3 CON7RACTOR MAIL ADDRESS ZIP PMONE LICENSE NO
Same
a ARCHITEC7 OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDHESS Z�P PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW O ADDITtON ❑ ALTERATION � REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
Reroof House (12 Sq) Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
TYPEOFCONST. OCCUPANCYGROUP OCCUPANCVLOAD
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S�. FT CU. FT
AUTHOFiIZED IS NOT COMMENCED WITHIN 60 DAYS, OH IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANV TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFV THAT I HAVE REAO AND EXAMINED THIS APPLICATION 1 STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yALUATION SURTAX
ANO ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED @
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING Of A PERMIT y�9OO �.SO
DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE Oq CANCEL THE pERMIT FEE SAC CHAHGE
PROVISIONS OF ANV OTMER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE Of CONSTRUCTION. �L3.00 Fire SC �.90
PLAN CNECKFEE T07AlFEE
$24.40
UAEOFCON' OAO A� MOAIZEDAGENT �DATE� WHEN PFiOPE Y AVALIDATED THIS IS VOUR PERMIT
.LL' V c G(/� �'I � ' �(y / �
ATU�iE OF Q , F OWNEA BU DERi �DATEi � �, Bl G iNSP �i rE
t ?y
NEW
ADDN
ALTER
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ConstructionAddress:
Legal Description:
Owner Name & Address:
h
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
��� � . � _ � r -=. �-�
Tel. �
-� � MN LICENSE #
Contractor: s � �
Address:
LIVING AREA:
GARAGE AREA:
DECg AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
lot, with the proposed constivction drawa on it to scale.
Length
Length
I.ength.
DESCRIPTION OF IMPROVEMENT
w�acn
Width
w��
Height
Height
Hgt/Ground
Tel. #
Effective 1 / 1 /95
�-1�'��
Sq. Ft �
Sq. Ft.
Sq. Ft.
�---
Comer Lot [] Inside Lot [ j Ft. Yd Setback Side Yard Setbacks
Type of Conistrucdon: Estimated Cost: $ �(J�
Approx. Completion Date:
(Cosi on Back)
Driveway Curb Cut Width Ne�ed: . Ft = t $ _$
DATE: � _ / `7 - %S A PLICAN . Tel. #_� �� ? �
Permit F�
Fire Surcharge
State Surcharge
SAC Charge
License 5urcharge
Driveway Escrow
Erosion Con�rol
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
CITY USE ONLY
$ �. �� �� Fee Sch�ule on Reverse Side
� � � .001 of Permit Valuation (1/lOth%)
$ � ��� $.50/$1,000 Valuadon
$ $85(1 per SAC Unit
$ $5.00 (State Licenseci Resideatial Coniractors)
$ Alt. °A" or Alt. "B" Above
$ $450.00 Canservation Plan Review
$ Fee Determin� by Engineering
$ Agreement Necessary [ ] Not Necessaiy [ ]
� � - �
�
� �� ��
13UlLDING PI:KMI"1' I=EL' SGiF_DULE
"1-hc Cl�iet� l3uilding Utiicial �hall, t�cfore issuing permits for the erection of any building or structure,
ur 1ur any a�iclitic>n to �ny existinb buildin}; or structure, or for any alteralion or repair to any exisiin};
I�uiliiing or s�ructurc, u�n a�plication therefore, rc;quire the �ayment by the al�plicant for suclt nermit
c�(� tcc� tc� thc: amount hercin t�cli�w tict to�th and in thc manner herein provi�lcxl to-wil:
'i�O���nL vnLUC
� 1 co $500
$501 to $2,000
$2,001 tn �25,OQ0
$25;001 co SS0,000 �
$50,001 to $100,000
�100,001 to $5{10,000
$500,001 to �I,Q00,000� -
$1,000,001 and up
r-r_��s
$15 (Minimum Foe is $15 plus surcharge)
$15 for first $S00 plus $2 for each additional $100 or
fraction thereof, to and including $2,000 -
$45 for first $2,000 pius $9 for each additioual $1;000
or fraction theroof, to and includiag $25,000 �
$252 �for first $25,OQ0 ples $6_SO for each additional $1;000
or fractio� thexeof, to_ and including $50,000
$414_SO for first $SO,t�lO plus $4S0 for each additional
$1,000 or frac:6on thereof, to and including $10!},OOQ
$63950 for €ust -$100,Uif0 plus- $3_50 for each additional�
$1,000 or fraction thereof, to and includiug -$St10,000
$2039.50 for die first $5t10,000 plus $3 for each additional
$1,0� or fractiou th�eof, to and including $1,OOD,000
$3539_SO for the fust $1,ODU,000 plus $2 for each additioual
$1,0(}0 or firactioa t�iereof -
DRIVEWAY DEPRESS[OM ESCROW
(Concrete Curb Sixeets Only)
Alternate "A": Removal and replacecnent of curb and gutiter only - Driveway width plus 6 feet times
� 13.50.
Alternate "Q": Removal and replacement of curb and gubter and instali a 3 foot �vide
approach with 6 inch depth - Driveway width plus 6 feet times $15_75. .
VCRIF[CA"C[ON OF FOUNDAT[ON
Permits for conslniction will be issued a minimum of 24 hours from the time of a�plication to a11ow
for propcc rcvie�v of the proposcd Stnacture and of the construction site_
A CertiGc:ite of Survey of d►e lot, showiag the location of the founciatioa once it ha� it has hecr�
co��.structe�! will tx; re:yuirul t�efore proceeding with the framing.
r� , _ _„
sue�ecr PERMIT NO.
City of Fridley ^�
AT THE TOP OF TME TWINS g U I L D I N G P E R M I T ���'� �
r
� ' EI
� �
� • COMMUNITY DEVEIOPMENT DIV.
r � v � PROTECTIVE INSPECTION SEC. �� ��"
� �
� �
� � �'��1 � CITY HALL FRIDLE� rJS4$Z NUMBER REV DATE PAGE OF APPROVED BV
�'"""� � �'' 612-571-3450 970-F15 8/29/95 / /
108 ADDRESS 735 Rimball Street NE
t LEGAL �OT NO. BLOCK TRACT OFi ADDITION SEE ATTACHED
oesca. 10,11 0 Riverview Heights SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Paul Dotty 735 Rimball Street NE 292-0692
3 CONTRACTOR MAIL ADDfiESS Z�P PHONE UCENSE NO
Same
4 ARCHITECT OR DESIGNER MAIL ADOAESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW f� ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WOFiK
Construct a 12' x 16' Deck
9 CHANGE OF USE FROM TO
STIPULATIONS
See notations on plan.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. fT
AUTHORIZEO IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED Oi; ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. OWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF IAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 1 64
DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERM1T FEE SAC CNARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERF RMANCE OF CONSTRUCTION 5
PLAN CNECKFEE TOTAIFEE
� ��P $56.48
S�GNATUAEOFCON'R ORORAUTF�OA�2EDAGENT IDATEI WHEN PRO LY�IDATED THIS IS YO R PERMIT
' � ��9�ifi
SiGNATURE OF OWNER �iF OWNER BU�LDER� IOATEi OG �NSP ��tiTE
. ...:::.:... . ...... . ..... . . . . . . . . . . . _ . . . . . . . . . . . ... .-. . . ....,. , . ...
NEW [ ]
ADDN [ ]
�.�R [ l
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
constructionAddress: 73S - /'t;
Lega1 Description:
Owner Name & Address:
Contractor:
Address:
LIVING A1tEA:
GARAGE AREA:
DECg AREA:
OTHER:
0
Effective S/ 1 /95
�3���
Tel. #��, C' 6 �..�_
MN LICENSE #
Attach to this application, a Certificate of Survey of the
lot, with the pro�sed construction drawn on it to scale.
`i�DESCRIPTION OF IMPROVEMENT
i
Length t L Width � Height
Length Width Height
Length � Width �_ Hgt/Ground
Tel. #
Sq. Ft.
Sq. Ft.
sq. Ft. � ��
Corner Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks
�
Type of Construction: vJ o0 1�� �'' Estimated Cost: $ %. �J�, � ,
Approx. Completion Date:
Driveway Cbrb C�t Width Nceded: �
DATE: APPLICANT:
Pe�mit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$��
�
� l, �°'
$
$
$
$
$
$
$
,�
' I
{Cost on Back)
Ft. + 6 Ft = Ft x$
�ITY USE OATLY
_$
Tel. #
Fee Schedule on Reverse Side
.�1 of Permit Valnation (1/lOt6%)
$.50/$1,000 Valuation
$850 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Al� "B" Above
$450.00 Conservation Plan Review
Fee De�ermin� by Engineering
Agreement Ne��ar�' [ ] Not Necessary [ )
BUII.DING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any 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, u�n application therefore, require the payment by the applicant for such permit of f� 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,�1 to $25,�0
$25,�1 to $50,000
$50,�1 to $100,(?00
$100,001 to $5�,(l00
$500,001 to $1,000,000
$1,0�,001 and up
FEES
$21 (Minimum Fee is $21 plus surcharge)
$21 for first $5� plus $2.75 for each additional $100 or
fraction there�f, to and including $2,�0
$52.25 for first $2,0� plus $12.50 for each additional $1,000
or fraction thereof, to and including $25,�0
$349.75 for first $25,(�IO plus $9.00 for each additionat $1,Ofl0
or fraction thereof, to and including $SO,OQO .
$574.75 for first $50,�0 plus $6.25 for each additional
$1,000 or fraction thereof, to and including $1�,000
$887.25 for first $100,000 plus $5..00 for each additionai
$1,000 or fraction thereof, to and including $5�,000
$2887.25 for the first $500,000 plus $4.25 for e,ach addition,al
$1,000 or fraction thereof, to and including $1,O�,OQO
$5012.25 for the first $1,000,�0 plus $2.75 for each additional
$1,� or fraction thereof
DRIVEWAY DEPRESSION ESCRUW
(Concrete Curb Stre�ts Only)
Alternaxe "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.�.
Alternate "B" : Removal and replacement of curb and gut�er and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet time,c $15.75.
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 howrs from the time of application to allow for proger
review of the proposed structure and of the construction site.
A Certificate of Survey of the lot, showiag the location of the foundation once it has it has been constructed
will be requir� before pr�e�ing with the fiaming.
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COMMON VENT VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When replacins� an existin� furance, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions, Yes No
and is securely supported and firestopped where required. �� ��
The yentingwsystem is. piastic/PVe and meets all current codes and manufacturer '
specfications :including sizing, length, number of elbows and termination. - � Yes O� No {. )
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturer's specifications. This does
include AGA-GAMA Category I Central Fumace Venting Tables for fan Yes () No ()
assisted and natural draft appliances.
The existina combustion air is sized and installed to meet the current codes
and manufaoturer's specifications.
When required to install a new combustion airLit will be sized and installed
To meet the current codes and manufacturer's specifications.
Yes ( ) No ( )
Yes ( ) No ( )
When installins� a new ventins� svstem, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturer's
specifications. This does include AGA-GAMA Category I Central Furnace Yes No
Venting Tables for fan assisted and natural draft appliances. i) i)
Is the common vent and vent connectors sized and installed coRectly after
an appliance'.has been -removed from the common vent and vented Yes O No O
separately as';per current codes. .
. A liance T e and Size/Common Vent and Vent Connector Information
Appliance #1 Type _ BTU Input _ Fan Assisted or Nat`
Appliance #2 Type BTU Input e 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
Appiiance #3 Vent Connector Height ,_ ft Length ft Diameter ______in Type ___.__
ALTERATIONS: Describe
:; , : ,
HEATING Cb: . ' : �
Signed By: I Date : � '
v
�
c��nroF
FRiDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287
May 4, 2004
Mr. Richard Miller
735 Kimball St NE
Fridley, NIN 55432
Re: Final Inspection at 735 Kimball Street NE, Fridley
Contractor: Norblom Plumbing Co
Dear Mr. Miller:
A plumbing permit was issued on March 7, 2003 to install a water heater 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 permit. As of this date the inspection has not
been requested.
The permit fee that was paid covers t�e inspection to make sure the work was completed
according to the Code. We will keep your permit open for another 30 days and if we do
not hear from you within this time to set up the inspection, we will mark the permit "no
inspection called for by homeowner after notification" and take no further action.
To set up the inspection or to ha.ve any questions answered, please contact the Building
Inspection Division at (763) 572-3604.
DJ/mh
From: 9528081688 Page: 2!5 Date: 6/28/2010 9:06:38 PM
`� °- From: Cliy of Fridley Ta: 85?.8dB18$8 Page: 2l4 Date: 6/2�2b10 9:121� AM
W.A�R A.�1TD S�VVER Pezmit Na � G C�
�a�����g FE�MIT AFPL�CAT�QN' Received � `
763-572-3552 �' �
76�-57X � 12�7 fax CIZ"�' OF F�3.DL�l. � ��j
sr�tCr�vr� Uti2aio
/W'PLJC/171QN DATL�: ��E��1�'1" r u YOUR k�-MAiLJ�'AX: "l�a�'! OQp�'(,� D O ,_„
'CHIS APALICANT IS: � OWIdSR �ON'CRAC70R
JOH AD�RES$� �_��till t • ��.-
N�'W CONS77ZU�7'ION AWiM1TY! (IF APPLlCAP3L��
OWIV�ER1 ADDR�..SS: J C17Y STAT'S�L1P
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SUBMJT A CO�PY OF "n,n b�� • -- --- - STATIs' +�,'L1P,'�� g
YOUR S%'AT� A�dK�SS; �I e��J I 17�.� _ I r"�-S`'�'' �C e1T�' � .
LICENS�E 1�'/TN PNANL' �c,�s a�r�]` �$ — CFLL PH�NB: �.•
APP1Jl."AT70N STATt L1C il U�J y�'I � I U STATt HAN�: F.'.7cP bATk: ��I ��.IJ f U
i. Na,�ra�ve/written descr�pf3on:
/��G�i t` Se!.�wG r' r ti.+ S T1- �c. �'
� �. PICASe att�.Ch c�Cel�h ehOwit� cu['b 13t�e, utilitv line� �uildinp,} etC. with distR�tecg ot1 �A¢k P�g�.
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3BW�R CONN�CTIQN P�Ri'Vi[T
WA'[`ER COIVNECf'ION PERMIT
WATB LINE R ' . LR
SEWPR LINfs R.EPAIR
STATE S[T1tC E
3AC CHA.RGE �, $21U0 =
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$50 _ _ .. —
$SU
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�taR� T0�'AL �
` pTHER CHARGES (IF AP�'I�ICABL�) PAY TO UTILITY BILI�I
NEW WATER. N1ET'ER COSY' - SEE UT'[LtTY SILLINC�
SPECIAL ASSESSMENTS - SEE �iNANCfi
WATER TAP - 5�� ENGINEERING
un�.• wn-rue M��rHR RsPartL tNSP C�R 3HL1T-�FF /�v�NiNCS, W�t.K.�NUS & HOLIUAYS_ _
THIS !S AN APPL](J1T10N 1�RA PBRMI7-NQT VALiD UNT1L PKQC�55�n
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1 h�Cby apply for a w3ter or scwor (naw r�,�tncxtioe of r�spair) pra�mit and 1 aaknowlod�c ih&t r.he inf�atroation abovo i.g complefe and
aCturatp; tltet thc worlc w�i lu7 in conforma�cc with tha ordinancos and codcs of tl�a City of Fricilcy. I undcrKt�and ihis ig not � permit bu�
onty an applic�tion for e p�rmit and wcrk is not to srt�t witrout a permit.
51CiNAl't1RBOF APPLICA PK1N7 NAMk{'. �E.�!'��"�T � — UATL': ''�4 ���'1'
APPROVk�D SY: _ . pArt: � Z6 ��
t''f1PV f: FN (l� LTTY BiLL1NG (only if new imeter) �'UBLIC WOR,IGS �NGINEERING
�ity of Fridley
�mgia��rxng De��.ri�m.ent
{�43 a LTniver�ity Avenue iVE, Fridl.ey, MN 55432
763-572-3552
FAX: 7G3-571-128?
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