PRE 2010 DOCSVillage of Fridley, Minn.
BUILDING PERM"
N? 908 Office of INSPEMB OF BUILDINGS
owner L
Architect Fridley, Minn., -
Builder
LOCATION OF BUILDING
No. Street_ —Part of Lot
Block "Addition or Sub -Division
DESCRIPTION OF BUILDING
Front Depth ---L'�'L-r—f, Height— Stories,,- -----Manner of construction
To be used as To be completed Estimated Cost
Permit Is hereby granted to
to --
the building"' described in the above statement. This Permit to granted
upon the express condition that the person to whom it is granted, and his agents, employees and workmen, In all
the work done in, around and upon said building, or any part thereof, shall conform In all respects to the ordi-
nances of Fridley, Minn., regarding the construction, alteration, maintenance, repair and moving of buildings
within the city 11 -its, and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
Tnsneetnr of Rufldinzs.
AGREEMENT AND SWORN STATEMENT
In consideration of the issue and delivery to me by the Inspector of Buildings of Fridley of
the above permit, I hereby agree to do the proposed work in accordance with the description
above set forth and according to the provisions of the ordinances of Fridley, and, being first duly
sworn, I hereby state and say that the fads stated by me and contained in the above permit are
true as therein stated.
Subscribed and sworn to before me at Fridley,
day ofty A.D. 19
—
Minnesota, thiss,
City of Fridley, Minn..
BUEWING PERMIT N°5 s 3 s
Date:
Owner:
+' Builder
Address Address — -- —
tL y, N =DING
j2
iLBlock No.treetPart tLot �___ _� _ r__ ddition or Sub -Division
Corner Lot Inside Lot Setback Sideyard
Sewer Elevation Foundation Elevation
DESCRIPTION OF BUILDING
ToU _ ,as: P
"f Front Depth. Height Sq. Ft. Cu. Ft."em
'L�Cs
DepthHeight_ Sq. Ft.. _ _ Cu. Ft.
Type of Construction c r�f��'L Fast.�z?i To be Completed _
In consideration of the issuance to me of a permit to construct the building described above, I agree to do
the proposed work in accordance with the description above set forth and in compliance with all provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of $_/ — , permit is hereby granted to
to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
ante city limits and this permit may be revoked at any tun upon violatid—] any of the provisions of said
.� f ,
Building Inspector
NOTICE:
This permit does not cdver the construction, installation for whing, plumbing, gas heating, sewer or water. Be sure to we
the Building Inspector for separate permits for these Nems.
LEM
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
Owner's Name % Vz l ��ly 1 Builder
Address '+ k1 & G_R l `/ T k) L-_. Address.
LOCATION OF BUILDING
No. "3 �4 Street ,_.Part of Lot
Lot Block Addition or Subdivision
Corner Lot Inside Lot Setback Side -Yard
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
DESCRIPTION OF BUILDING
To be used as:
"ry L S H E 17 Front__Z d Depth Height
Sq. Ft. Cu. Ft.
Front --- Depth Height
Sq. Ft. Cu. Ft.
Type of Construction S r i5_E L Estimated Cost f S-6
To be Completed
The undersigned hereby makes application for a permit for the work herein specified,
agreeing to do all work in strict accordance with the City Ordinances and ruling of
the Department of Buildings, and hereby declares that all the facts and representations
stated in this application are true and correct.
DATE (I n S / ``% - - - SIGNATURE %1,i� vL itil Wil'
(A Schedule of Fee Costs can be found on the Reverse Side.)
SUBJECT
City of Fridley
Fei� 4221
THE TOP OF THE TWINS
BUILDING PERMIT
rAT
R EIPT NO.
`y �_____ COMMUNITY DEVELOPMENT DIV,
q�
j PROTECTIVE INSPECTION SEC.
[Jy
1 �
� CITY HALL FRIDLEY 55432
,
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
L 612-560-3450
910-F15
g 7/18/77
JOB ADDRESS 434 Liberty Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
34-36
7
Spring Brook Park SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Leslie Shore 434 Liberty Street N.E.
3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO.
Scott Construction 7415 Wayzata Boulevard, Mpls. 546-4528
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION Gj REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Fire Repair
9 CHANGE QF USE FROM TO
STIPULATIONS
SEPERATE PERMITS REQUIRED FOR WIRING,
HEATING, PLUMBING AND SIGNS.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
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
1-
STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED,
$2,000
$1.00
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$12.00
STRUCTIO OR THE PERFO MANCE Og—L-ONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
$13.00
SIGNATURE OF CONT CTORORAUTHORIZED AGENT (DATE)
WHEN PRO ERLY VALIDATED THIS IS YOUR PERMIT
BLDG INSP DATE
SIGNATURE OF OWNER IIF OWNER BUILDER) IDA )
Ul I Y UI Ili IJJLLY
APPLICATION FOR RESIDENTIAL LUJLDING PERMITS
(NEW, ALTERATIONS, ADDITIONS, OR REPAIRS)
OMER: ` BUILDER:
c
Address: Address: zz/
Tel. No.:—
No.:,
o. ✓��e-—��i d
No. Street:
n
LOT: 3 (l 3,5'3; (Q BLOCK: �` ADDITION: X�
CORNER LOT: INSIDE LOT: SETBACK: SIDEYARDS:
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
Front: Depth: Height:
Square Feet: Cubic Feet:
Front: Depth: Height:
Square Feet: Cubic Feet:
Type of Construction: � � � � Estimated Cost: $ A
To Be Completed: —-- %
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired $ $
(SEE REVERSE SIDE OF SHEET)
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are true and correct. See reverse side for ditional info T
ation.
DATE: >-Zr% SIGNATURE:
Stipulations:
JJ ll, L1/I II k1 1 L-4," II 1 . V- L_ 1J -II- I:Q--
SECTION 2. The Inspector of Buildi.ncls shall, before issuing perniLs for the erection
of itlny I)uil(lali'J OY :imr"U(:t.U):(', or for h)ny iid,ijt7()II t!) ally ('x.lf:t.Jnq bui.lrlinrl or ::t:ru(;(,l)1-,'0
or iur: any a1LuJ_-aLiou or r"(_pajr:; to a;i/ ('i:l:;Unr: build 11(I or f;tructure, upo71 ajljl].i!:.tt:7r)Jl
therefore, require the payrient by the applicant for such perilli.t of fee:.; to the amount
herein below set forth and in the mann(:$ herein provided to -wit:
NEW (:OIISTRtJCTION: Single Family Homes and Garages: $4.00/1,000 cubic feet.
PLA14 CHECK: 25 percent of building permit fee.
DRIVEWAY DEPRLSSION: (Concrete Curb Streets Only)
Alternate. A: Removal and replacement of concrete curb and
gutter only; Driveway width plus 6 feet x $11.75
Alternate B: Removal and replaccment of concrete curb, and
gutter and install a 3 foot wide approach with
6 inch depth; Driveway width plus 6 feet x $15.40
ADDI T I OPdAL INFORMATION
For the purpose of computing fees for building permits, the cubical contents of any
building or addition, is determined by multiplying the ground area covered from a
point six (6) inches°below the floor line of the basement or the cellar to the
average heights of the upper surface or to the average height of the roof surface
of the main gable of a pitched roof.
For repairs or alterations to an existing structure, the fee shall be at the rate
of $3.00 per each five hundred dollars ($500.00) or fraction thereof in the cost
of all proposed work.
In no case shall the fee charged for any permit as set forth in Section 2 be less
than $7.50 plus $.50 state surcharge.
VERIFICATION OF FOUNDATION
NOTE: 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 been constructed will be required before proceeding with the framing.
CERTIFICATE OF OCCUPANCY
Application for a Certificate of Occupancy shall be made ten (10) days prior to the
use or occupancy of any structure for which a building permit has been issued; and
said structure shall not be used or occupied until a Certificate of Occupancy has
been issued.
.;„
CITY OF FRIDLEY
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND
AIR CONDITIONING SYSTEMS AND DEVICES
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR:
RATE
TOTAL
Furnace Shell & Duct Work
$12.00
$
Replacement of Furnace
7.00
$
Repairs & Alterations-Lp•to $500.00
7.00
$
Repairs & Alterations each add. $500.00
4.00
$
MECHANICAL WARM :SIR:
Furnace Shell & Duct Work to 100,000 BTL'
$12.00
4.00
S
$
each add. 50,600 BTJ
7.00
$-7,00
Replacement of Furnace
Fe a,rs & Alterations -up to $500.00
7.00
$
Ret:irs & Alterations each add. $500.00
4.00
$
STLy.1-: OR IQT 11 ATE.R SYS T LSI :
Bailer & Lines up to 100,000 BTU
$12.00
$
each adzin. 50,000 BTU
4.00
$
Boiler only up to 100,000 BTU
7.00
$
each addn. 50,000 BTU
6.00
$
OIL BURNEER- to 3 gal. per hour'
$10.00
$16.0�
each add. 3 gal. per hour
10.00
$
GAS BURNER- from 100,000 BTU to 199,999 BTU
$10.00
$
•
' (over 199,999 BTU see Fee Schedule)
$
GAS FITTING FEES:
ist 3 Fixtures x' $ 3.00 $
Additional Fixtures x $ 1.00 $
Gas Range to 199,000 BTU x $10.00 $
AIR CONDITIONING -1% 1 $
FAX HEATING SYSTEMS See Fee Schedule $
VENTILATING SYSTEMS` $
ALTERATIONS & REPAIRS- J $
state Surcharge $ .50
TOTAL FEE $3 'SAD
iCUGH INSP.
Date
FLIA9T. INSP.
Date
APPROVAL FOR PEFUXIT
REINSPECTION FEE
(.$10.00)
Mix -MM FEE FOR A-= HEATING PERMIT IS $7.50
Job Address
Department of Buildings
City of Fridley
Tal. 8571-3450
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, Mipn. KZ11—ai , 1922
OWNER
KIND OF BUILDING
USED AS J
TO BE COMPLETED ABOUT
ESTIMATED COST
OLD - NEW BUILDING PERMIT NO. PERMIT NO.
DESCRIPTION OF FURNACE/BbS'IER
HEATING or POWER LANTS, Steam, Hot Water, Warm Ai - No./-( / ,`�
Trade Name Size No.
Capacity Sq. Ft. EDR q& VTU H?
Total Connected,
onnec�Loa� nd of Fuel
BURNER - Trade Namettaelq-Ay�t( Size No.
Capacity J( c� [� r. Sq. Ft. EDR BTU HP
Company
Signed By
. Tel. No. �� — -3,66 0
CIRIONYTR '.'A"I G. & AIR COND.,INC.Job INC
D656 4410 txeolalor Boulevard, Minneapolis 16, Minn.
NEAT LOSS CALCULATIONS Job Address-
Weatherstrips AS. . . Construction No. Insulation
Guide
WindowsI Doors Reference Out. Wall Int. Wall Ceiling Roof Floor I Kind How Applied
Yea -No Yes -No 19_
I F1.1 .,-/ 3 Room I Length // Width /l L Height II I F7 I Room I Length !r -- Width H
Windows and Doors—Crackage and Area
�1
Width HeightNo. of Lineal ft. Area
No. of pane of pane lights of crack p. tyyta
No.
Width Height No. of Lineal ft. Area
of•pane of pane lights of crack eq. ft.
a -: L
No. of
Ilghte .
-Cpef.1
Area
s4. ft.
Btu
Coef.
Btu
Infiltration
v
Glass
Coef.
Btu
Infiltration
3
y
Sti
l�
Glass
b'°°=1 � �. — 14` r
y �—
��
int. wall,
Exp. wall
+0
C i
Ivia
Net exp. wall
t ,!°�-���-1 L =
��/'
C•
�' j
Int. wall
l /—
Ceiling
,r %l L
L
/
47T
Floor /
Total Btu. Ij—L
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
i F1.I T• Room I Lenitth G/ Width /l—Height r5�
Windows and Doors--Crackage and Area
�1
Width HeightNo. of Lineal ft. Area
No. of pane of pane lights of crack p. tyyta
Width Height No. of Lineal ft. Area
No. orpane of pane 9lghls. of/crack W.. ft.
Windows and Doors—Crackage and Area
a -: L
No. of
Ilghte .
-Cpef.1
Area
s4. ft.
Btu
Coef.
Btu
Infiltration
v
Glass
Glaze
y
Glass
Earp. wall
y
Sti
Iry
Exp, wall
b'°°=1 � �. — 14` r
�' ,�'
��
int. wall,
Net exp. wall -.Z Q •
+0
C i
Ivia
Int. wall,
/
�r !oor�l
Floor
Ceiling YA (,
l /—
Floor
I otal Btu. 1�C
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
d FI.I °`�,,�i:.� Room ILength Width // Heiaht
Windows and Doors--Crackage and Area
�1
Width HeightNo. of Lineal ft. Area
No. of pane of pane lights of crack p. tyyta
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack p. ft.
Windows and Doors—Crackage and Area
k X73
No. of
Ilghte .
-Cpef.1
Area
s4. ft.
Btu
Infiltration
Infiltration
Glass
Exp, wall
v
Glass
Glaze
y
Earp. wall
Exp. wall
Ceiling
Net exp. wall
b'°°=1 � �. — 14` r
�' ,�'
��
int. wall,
Int. wall
Ceiling /.
L ,r/ t-
/
�r !oor�l
Floor
sq�ft, C.D.R. or sr. ins. W.A. Leader area
Infiltration
Glass
Exp. wall
Net exp. 4--all7f 6
Int. waU _
Ceiling /[ 4 v
Floor _
Total Btu.
Required sq. ft. E.D.1
/ FICA
_EM_
V=—
FMM. IM
or sq. ins. W.A. Leader area
im I Length/ / L . Width / Z- Heiaht
Windows and Doors--Crackage and Area
�1
rr
q
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack p. ft.
Windows and Doors—Crackage and Area
width Height
No. of pans of pane
No. of
Ilghte .
Lineal It.
of crack
Area
s4. ft.
3 c,
to
Infiltration
Glass
Exp, wall
i—
Glaze
y
Infiltration
Glass
Exp. wall
Net exp. 4--all7f 6
Int. waU _
Ceiling /[ 4 v
Floor _
Total Btu.
Required sq. ft. E.D.1
/ FICA
_EM_
V=—
FMM. IM
or sq. ins. W.A. Leader area
im I Length/ / L . Width / Z- Heiaht
Windows and Doors--Crackage and Area
�1
rr
q
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack p. ft.
tWidth
Coef. Btu
f.
to
Infiltration
Glass
Exp, wall
Glaze
y
c ` y
�--,�
Exp. wall
Ceiling
Net exp. wall
' '/L
La
/l C c,
Int. wall
Ceiling /.
L ,r/ t-
/
�L
Floor
7 otal Btu.
Required sq. ft. E.D.R. or sq. i[is. W.A. Leader ares
Fl.I Room 1 Length-) — Width Heiaht
Windows and Doors-Crackage and Area
Height No. of Lineal ft. Area
No. of pane lights o[ crack w•
))ft.
tWidth
Coef. Btu
Infiltration
Glass
Exp, wall
Net exp. wall
= - / } s
c ` y
Int. wall
Ceiling
Floor
I otal tstu. r •;
Required°sq. ft. E.D.R. or sq. ins. WA. Leader area
CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE
w
Number Fixtures
x
$3.00
N
Future Fixture Opening
ro
$2.00
oK
New Fixture, Old Opening
r x
e
Water
dfm
$5.00
w
Water Heater - to 99,000 BTU
x
$5.00
$
ro
x
a
0
bp 54
04
C4
�
New Ground Run Old Building
Heater
$5.00
$
Electric Water Heater
x
y
N
Em.
xAx
t
1st 3 fixtures
x
'$3.00
$
Additional Fixtures
x
$1.00
N
W
R
$10.00
"��
REPAIRS $ ALTERATIONS
x
C C
3
First $100.00
u .14
D x
$
U
d
$
State Surcharge
$.50
TOTAL FEE
//
$ _(p.SD
ca
v
$
Id
y
3
A w
U)
4
to M
U
a 9
0
c
o
as
lec
1st
2nd
3rd
=th
(R) = Future Connection Opening
Connected with Sewer
(�) = New Fixture, Old Opening
Water
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE
TOTAL
Number Fixtures
x
$3.00
$
Future Fixture Opening
x
$2.00
$
New Fixture, Old Opening
r x
$2.00
Catch Basin
x
$5.00
$
Water Heater - to 99,000 BTU
x
$5.00
$
100,000 BTU to 199,000 BTU
x
$10.00
$
Water Softener
x
$7.00
$
New Ground Run Old Building
x
$5.00
$
Electric Water Heater
x
$5.00
$
GAS FITTING FEES:
1st 3 fixtures
x
'$3.00
$
Additional Fixtures
x
$1.00
$
Gas Range to 199,000 BTU
x
$10.00
$
REPAIRS $ ALTERATIONS
First $100.00
$5.00
$
each add. $100.00 or fraction
$2.00
$
State Surcharge
$.50
TOTAL FEE
//
$ _(p.SD
REINSPECTION FEE
($10.00)
Job Address
Department of Buildings
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, Mn. y v1 . 19 "' "'
OWNER
KIND OF BUILDING
USED AS
TO BE COMPLETED ABOUT Se a / (J
ESTIMATED COST
OLD - NEW BUILDING PERMIT NO. PERMIT NO. V
Company
Signed By
Tel. No.
ROUGH INSP.
Date
i
FINAL INSP.
,
Date
APPROVAL FOR PERMIT
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 pLUS $.50 STATE SURCHARGE
'*
►M��• 7. So It SO = 8.00
l
07
SUBJECT
P
City of Fridley
3 0 8 51
AT THE TOP OF THE TWINS
BUILDING PERMIT
�
RECEIPT NO.
• COMMUNITY DEVELOPMENT DIV.
ry
f PROTECTIVE INSPECTION SEC.
I
`.--•�; r---f;•� CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
L 612-571-3450
910.F15
4/24/00
JOB ADDRESS 434 Liberty Street NE
T LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
34,35,36
7
Spring Brook Park
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Scott Schultz 434 Liberty Street NE
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Northern Exposure Exteriors 8944 181 Ave NE, Forest Lake, MN 55025 (651) 982-9190
a ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO
20173814
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ! REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House V$,Ujit (12 Sq) Tear -off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
TYPE OF CON T.
G
OCCUPANCY ROUP
OCCUPANCY 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
AUTHORIZED IS NOT COMMENCED WITHIN 80 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
STALLS
GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$1,049
$.52
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON -
Fire SC $1.05
TRUCTION THE PERFORMANCE OF CONSTRUCTION
RUCTION
.8O
PLAN CHECK FEE
TOTAFEE
Licens $5.00
48.37
Ir ATURE OF CON" CTOR OR AUTHORIZED AGENT IDATEI
'uHENjPR P LY VALIOA D HIS IS cr PF M
J
S-GNATURE OF OWNER,IF OWNER BUILDER) I ATE)
BLD )NSP
pa1E
l
07
NEW I ] Effective 1/1/2000
ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp
ALTER [ SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �J
// BUILDING PERMIT APPLICATION
Construction Address: L� � A
Legal Description:
Owner Name & Address: Caw Tel. #
Contractor:0� /7P�,' C��r� C 0 MN LICENSE # oQOr%j& y
Address: gelr-/ � �Z' 1e- 1`O�s'' C-. 1/0&rTel. # 64 - 9W
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length 21 Width .Z Height Sq. Ft
GARAGE AREA: Length Width Height Sq. Ft
DECK AREA: Length Width Hgt/Ground Sq. Ft
OTHER: %L ax
Construction Type: Estimated Cost: $ % 0,419
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $
DATE: _ Z -v ® APPLICANT: Tel. # �5 "
CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application
Permit Fee $ ql• °' 0 Fee Schedule on Reverse Side
Fire Surcharge $ /-QS- .001 of Permit Valuation (1/10th%)
State Surcharge $ S7.2- $.50/$1,000 Valuation
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
$_$1 100 per SAC Unit
$____2-_60 $5.00 (State Licensed Residential Contractors)
$ Alt. "A" or Alt. "B" Above
E11
Park Fee $
$450.00 Conservation Plan Review
Fee Determined by Engineering
Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ]
TOTAL
STIPULATIONS:
a
CIlYOE
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287
May 6, 2002
Scott Schultz
434 Liberty Street NE
Fridley MN 55432
Re: Paved Driveways
Dear Mr. Schultz:
In 1997, the City Council adopted an ordinance declaring gravel driveways a public nuisance.
They were declared a public nuisance for a number of reasons, such as: they can cause
erosion, contaminate soil with oil and other vehicles fluids, and deposit soil and gravel in the
City's storm sewers and detention ponds. When gravel driveways were declared a public
nuisance, the City Council gave property owners five years to have their gravel driveways
paved. The five-year deadline is quickly approaching, which means all gravel driveways within
the City of Fridley must be paved with approved concrete or asphalt by December 31, 2002.
If on December 31, 2002, your driveway hasn't been paved a citation will be issued and filed at
the Anoka County Courthouse. A misdemeanor citation is a criminal offense and is punishable
by up to 90 days in jail and/or a $700 fine.
If you've already paved your driveways, Thank you! Please call me at 763-572-3595, so I can
update our files.
For your convenience, a brochure on the City's loan program has been enclosed. You can use
this loan program to acquire financing for your driveway improvement project. Please call Jim
Hesnik at 612-335-2651, if you have any questions regarding this program.
Thank you for your cooperation! As you successfully complete your driveway improvement
project, please call me at 763-572-3595, so I can do an inspection of your property and update
our files. If you have any other questions, please feel free to call meat the above number.
Sincerely,
6WIIIAt
Stacy Stro berg
Planner
C-02-53
G7YOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY. MN 55432 - (763) 571-3450 - FAX (763) 571-1287
July 2, 2002
Scott Schultz
434 Liberty Street NE
Fridley MN 55432
Subject: Paved Driveway Reminder
Dear Mr. Schultz:
This letter is a friendly reminder that all driveways within the City of Fridley need to be paved by
December 31, 2002'".
As you are aware, the City Council adopted an ordinance declaring gravel driveways a public
nuisance. They were declared a public nuisance for a number of reasons, such as: they can
cause erosion, contaminate soil with oil and other vehicles fluids, and deposit soil and gravel in
the City's storm sewers and detention ponds. When gravel driveways were declared a public
nuisance, the City Council gave property owners five years to have their gravel driveways
paved. The five-year deadline is quickly approaching, which means all gravel driveways within
the City of Fridley must be paved with approved concrete or asphalt by December 31, 2002*.
If you've already paved your driveways, thank you! Please call me at 763-572-3595, so I can
update our files.
For your convenience, a brochure on the City's loan program has been enclosed. You can use
this loan program to acquire financing for your driveway improvement project. Please call Jim
Hesnik at 612-335-2651, if you have any questions regarding this program.
Thank you for your cooperation! As you successfully complete your driveway improvement
project, please call me at 763-572-3595, so I can do an inspection of your property and update
our files. If you have any other questions, please feel free to call me at the above number.
Sincerely,
"Stacyomberg
Planner
*If on December 31, 2002, your driveway hasn't been paved a citation will be issued and filed at the Anoka County Courthouse. A
misdemeanor citation is a criminal offense and is punishable by up to 90 days in jail and/or a $700 fine.
C-02-83
SUBJECT
RMIT NO.
City of Fridley
�
3 2 9 341
AT THE TOP OF THE TWINS
BUILDING PERMIT
iE IPT NO.
• _____ PROTECTIVE INSPECTION SEC. COMMUNITY DEVELOPMENT DIV.
'fr'
y ���
r I �
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
763-571-3450
910415
7/31/02
JOB ADDRESS 434 Liberty Street NE
1 LEGAL
LOT No.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
34, 35 , 36
7
1 S rin Brook Park SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Scott Schultz 434 Liberty Street NE
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Merit Building Co Inc 3029 Coon Ra ids Blvd #311 Coon Ra ids MN 55433
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
763-323-7363 20271430
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW O ADDITION 0 ALTERATION I� REPAIR O MOVE O REMOVE
B DESCRIBE WORK
Replace windows within existing openings; Reside house
Permit Inspection Cards
9 CHANGE OF USE FROM To will Be malled
post
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. Caulk and flash all
exterior openings.
Provide smoke detectors in all sleeping rooms and on all levels of the dwelling
per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all
exterior openings.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
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 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
1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
ISTALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$6.10
WITH WHETHER SPECIFIED HEREIN OR NOT THE GRANTING OF A PERMIT
$12,200
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$223.25
Fire SC $12.20
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTALFEE
Liceng4C $5,0
46.55
SIGNATURE OF CONTRACTOROR AUTHORIZED AGENT 4DATE,
HE PROP VALIDAT THIS IS YOUR PERMIT
�. 7-3/mop 2--
B OG INS OAYE
_
S-GNATURE OF OWNER,FF OWNER BU0.DERi iDATE�
NEW [ ] CITY OF FRIDLEY Effective 1/1/2002
ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMITAPPLICATION
Construction Address: 3LIL-' b� �� 5+fe -1- + d l
Legal Description:-
-Owner Name & Address: '5CCt* 5c hLA 1 t -Z-- Tel. #
Contractor. 11'1 of i --I- T- 1 d !�N < 1 n C, MN LICENSE # W Z -111-4 3
Address: 3009 C6or, ?ujpj lb BIud-kV3)1 Cco,) l2tAp,cls rnn 551-133 Tel.# 7!®3-323-7.360
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width Height -Sq. Ft
GARAGE AREA: Length Width Height Sq. Ft
DECK AREA: Length Width Hgt/Ground Sq. Ft
OTHER:
00
0 err
Construction Type: Von wi ndouus,S,'ei i' nc Estimated Cost: $
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $
DATE: 7% `�`� APPLICANT: Tel. #
Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will
call you for card number. _
CITY USE ONLY -
Permit Fee $ z5 Fee Schedule on Reverse Side
Fire Surcharge $ l Z 2" .001 of Permit Valuation (1/10th%)
State Surcharge $(�'' `� $:50/$1,000 Valuation -
SAC Charge $ $1200 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 s
Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ]
TOTAL $ ZL4 C®5 5 STIPULATIONS: .
APR 8 4 2W
Building
BUILDING
(USING THE 1997 U.B.0 FEE SCHEDULE)
Permit No.: 0010 -6 140
Inspections
OCCUPANCY TYPE
RESIDENTIAL APPLICATION
Received By:
763-572-3604
Plan Review
CITY OF FRIDLEY
Fire Surcharge
Date Rec'd:
763-502-4977 FAX
Surcharge
$
1 .0005 x Permit Valuation Minimum $.50
License Surcharge
$
EFFECTIVE 1-1-2010
SAC Charge
$
DATE �i' i 10
YOUR E-MAIL ADDRESS A N ca ,,/ n I c,
' Y
W . �i iw +�'ct
SITE ADDRESS =�
,
L i Q ♦ t✓
$
THIS APPLICANT IS:
❑ OWNER CONTRACTOR
$
PROPERTY OWNER/
NAME: I)N C
$
TENANT
ADDRESS. f.r DA_*ITY
, STATE ZIP
Make checks payable to: Citv of Fridlev Attach Stipulations
PHONE: 7
CONTRACTOR
NAME: e_i-,4t%.e ,,•orf awr.,r k,'�,>,,., rs �' f
% L.f�
SUBMIT A COPY OF
�p„
YOUR STATE LICENSE
STATE LICENSE _
S e� CJ EXP DATE 6
AND CERTIFICATE OF
ADDRESS:_ 13LOZ &L's I � C Pr yPr 1g
CITY(Z/k /CII„&f- STATEAIP 3�
INSURANCE
PHONE FAX
PROPERTY TYPE
79 SINGLE FAMILY/NEW CONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGEISHED 13 WINDOWS
❑ BASEMENT FINISH PROOF ❑ DRAIN TILE
❑ DECK ❑ SIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW HOME CONSTRUCTION ❑ ADDITION
)WMAINTENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE: R-@., xt5'_Vqr
SIZE OF IMPROVEMENT
LENGTH WIDTH
HEIGHT SQ FT
ROOFING p HOUSE ONLY
NUMBER OF SQUARES ❑ HOUSE & GARAGE
BASEMENT REMODELING SUBMIT:
1. Existing Floor Plan
GARAGES
❑ ATTACHED GARAGE
2. Proposed floor plan
PROPOSED SIZE:
❑ DETACHED GARAGE
3. List of structural members to be used
PROPOSED HEIGHT:
SIDING
FOR NEW CONSTRUCTION INCLUDING DECKS,
❑ Vinyl
❑Soffit
ADDITIONS_ & PORCHES SUBMIT:
❑ Aluminum
❑ Trim
1. Site Plan/Survey showing the existing structures
❑ Other
❑ Fascia
and proposed project
2. Two sets of construction plans
WINDOWS
3. Energy Calculations
IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS
FOR WINDOWS — PROVIDE U -VALUE AND
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
MANUFACTURE STICKER ON WINDOW.
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $
D,S
OCCUPANCY TYPE
Permit Fee
$
a See Back Page for Fee Schedule
Plan Review
$ 65% of Building Permit Fee
Fire Surcharge
$
.001 times the total job valuation
Surcharge
$
1 .0005 x Permit Valuation Minimum $.50
License Surcharge
$
$5.00 (State Licensed Residential Contractors)
SAC Charge
$
$2100 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
$
ft + 6 ft = ft x $24 = $
Erosion Control
$
$450 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement necessary ( ) Non Necessary ( )
Total Due
$
Make checks payable to: Citv of Fridlev Attach Stipulations
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a
permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the
approved plan in the case of or hich requires review and approval of plans. %
SIGNATURE OF APPLICANT PRINT NAME�r r�lK?i,, 7'1�t -,/CA IC, DATE P/� / Ca