PRE 2010 DOCSM
SUBJECT
PERM
City of Fridley
� 17 2 0 7
AT THE TOP OF THE TWINS
BUILDING PERMIT
REC
�
• COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
p
OW9
r I
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
-'"1 CITY HALL FRIDLEY 55432
612-571-3450
910-F15
8/22/83
JOB ADDRESS
80 Lggan Par
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
1
DESCR.
26
1
SHEET
Oak Creek Addition
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
danti a3
—Rami
7 CLASS OF WORK
❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof Dwelling
9 CHANGE OF USE FROM TO
STIPULATIONS
Reroof dwelling; Roof can be 2nd layer but not 3rd. Install ridged galvanized
valleys.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
Asnhalt
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
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
VALI TION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
yS1�300
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
S.65
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-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
$22.00
PLAN CHECK FEE
TOTAL FEE
$22.65
S1 N UREOFCONTRA OR TN IZED GENT (DATE(
(DATED THIS IS YOUR PERMIT
A�WHENPROPERLY
I'l®
SIGN RE OF OWNER IIF OWNER BUI ERI IDATEI
BLDG INSP 0AT
M
CITY OF FRIDLEY Effective Aug. 1, 1981
APPLICATIOA FOR RESIDENTIAL BUILDINIG PEW-11ITS
(Rcm, Alterations, Additions, or Repairs)
OWNER: 14 N, N'e
q,/
ADDRESS: A/113o✓ m )< W41
TEL k0: JK � 1 ` 06
BUILDER: >�
ADDRESS:
TEL 110:
a Construction Location
STRI-T NO: STREET:
LOT: BLOCK:
ADDITION: Oae /(?i2e&(�,
Corner Lot:: Inside Lot: Setback.: Sideyards:
Applicant attach to this form two Certificates of Survey of lot and
proposed building location drawn on certificates to scale.
'it -C Front:
DESCRIPTION OF CONSTRUCTION
Depth:
Square Feet: Cubic Feet:
Height:
Front: Depth: Height:
Square Feet: Cubic Feet:
Type of Construction: Estimated Cost: $
To Be Cbripleted: ';3 Li Ee--�
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired: $ S
SEE PEVF:RSE SIDE OF SHEET .
Ziie undersigned hereby makes application for a permit for the %cork herein specified,
agreeing to do.all work in strict accordance with the City of rridley Ordinances and
rulings of the Departmait of Buildings, and hereby declares that all the facts and
representations stated in this application are tr an� correct.
UWE: 2� �f 3 SIGNTITUI�:
Stimulations:
CITY OF FRIDLEY INSPECTION DIV.
Effective On January 1, 1993
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER
PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND
AIR CONDITIONING SYSTEMS AND DEVICES
JOB ADDRESS
RATE SCHEDULg
The undersigned hereby makes application for a permit for the work herein
Residential Rate
TOTAL
specified agreeing to do all work in strict accordance with the City Codes and
Furnace Shelf and Duct Work, Burner —
rulings of the Building Division, and hereby declares that all the facts and
Also Replacement Furnace $ 20.00
representations stated in this application are true and c rrect.
,1993
Gas Piping (Needed with new furnace) $10.00
$
OWNER
Gas Range $ 10.00
$
BUILDING USED AS
Gas Dryer $10.00
$
ESTIMATED COST�PERMIT NO. /--
*Air Conditioning — All Sizes $10.00
$
•
DESCRIPTION OF FURNAgE AND OR BURNER
All Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work
$
No. of Heating Units Circle One (Steam) (Hot Water) arm Air
Trade Name ��.e Size No. �/t�Cp 12f
Commercial/Industrial
BTU®t, ®� HP EDR
1% of Value of Appliance or Work
$
Fuel /V¢ Y" Total Connected Load
State Surcharge
$ 50
Burner Trade Name Size No.
TOTALFEE
®
BTU HP EDR
MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION
REFRIGERATIONWR CONDITIONING PERMIT IS $15.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $30.00
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
HEATING COMPANY
Signed By� �IlNo. 6/ )�
Approved Byj�Wf- Rough—In Date Final Date
FILL OUT BACK SIDE FOR STACK VERIFICATION ON L�
REPLACEMENT FURNACE j
M
CHIMNEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack:
1. Has been carefully examined
Yes s)
No ( j
2. Is free from rust or deterioration
Yes (7c)
No ( )
3. Has no foreign objects lodged within
Yes (-
No ( )
4. Is securely supported
Yes (rye)
No ( )
5. Meets all current Code requirements for
size and total BTU's connected Yes No ( )
6. Has total heating BTU's of doe> ®®�
All other BTU's o C>
TOTAL BTU's
Remarks
List Alterations Beincx Done:
HEATING COMPANY,�,��
Signed By A�� , D,
Date rg- ��
SUBJECT
T NO.
City of Fridley
25059
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
RECEIPT NO.
�L ----'- COMMUNITY DEVELOPMENT DIV.
�!��%
r PROTECTIVE INSPECTION SEC.
Clti�S7
NUMBER
REV
DATE
5/13/97
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910415
JOB ADDRESS 80 Logan Parkway NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
26
1
Oak Creek
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Bill Hinderer 80 Logan Parkway NE
378-1553
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO.
Madlon Construction 5411 Ojibway Ave N, Oak Park Heights MN 55082 407-9316
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO.
20040890
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION? REPAIR
❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Reroof House & Garage (22 Sq) Tear -off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
TYPE OF CONST.
OCCUPANCY
GROUP
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
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
1
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
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$1,815
$.91
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-
$59.50
Fire SC $1.82
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTAL FEE
.S -e3-9-)
License SC $5.00
$67.23
SIGNATURE OF CON f RACTOR OR AUTHORIZED AGENT IDATEI
WHEN PROPERLY VPLIDATED
THIS IS YOUR PERMIT
Gds'
BLDG I SP
�✓
DATE
S,GNATUREOF OWNERI,F OWNER BUILDER, IDATEI
NEW
ADDN L ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: s z�?�—oma- ,�� v.e ti c
Legal Description:
Owner Name��& Address:
Contractor: / f' .4 eqell
Address:S �/ it
(( P:InJe-,Z,,z
6ti A �r N
Effective 1/1/97
4 .3----�,C .
Tel. # 37 g- /mss 3
MN LICENSE #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Tel. # ;4 7- S 3/ �-
LIVING AREA:
Length
Width Height Sq. Ft.
GARAGE AREA:
Length
Width Height Sq. Ft.
DECK AREA:
Length
Width Hgt/Ground Sq. Ft.
OTHER:
Pe 02-, 14ds
e .4- Q a S S'
Construction Type:
(
Estimated Cost: $
(Fee Schedule on Back)
Driveway Curb Cut Width Needed:
Ft. + 6 Ft = Ft x $ _ $
DATE: (3 - q
APPLICANT:
c 4 _ ,� 1 n , Tel. # �(e -7 - i 3/6
CITY USE ONLY
Permit Fee
$S
j S C�
Fee Schedule on Reverse Side
Fire Surcharge
$
c
.001 of Permit Valuation (1/10th%)
State Surcharge
$
% /
$.50/$1,000 Valuation
SAC Charge
$
$950 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
$
Agreement Necessary [ ] Not Necessary [ ]
TOTAL
$
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 FLOOR
Effective On May 10, 1999
PLUMBING FIXTURE RATES:
NO. RATE
New Fixtures
$ 7.00
Old Opening, New Fixture
$ 4.00
Beer Dispenser
$ 5.00
Blow Off Basin
$ 7.00
Catch Basin
$ 7.00
Rain Water Leader
$ 7.00
Sump/Receiving Tank
$ 7.00
Water Treating Appliance
$10.00
Water Heater -Electric
$ 7.00
Water Heater - Gas**
—Z $10.00
Gas Range**
$10.00
Gas Dryer**
$.10.00
Back Flow Preventer Required ( )Yes ( ) No
Type
$15.00
Reinspection Fee $47.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
State Surcharge
TOTAL FEE
TOTAL JOB ADDRESS fo 4& wy
$ X0.5-4
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.
Owner kA=H&EE,1 NIA1P,92&jZ_
Building Used As
Estimated Cost PERMIT NO.
PLUMBING COMPANY -/��/Z Ve •LAoe /'0/-/5y
SIGNED BYA.r TEL N0. 5-n -fPj d
Approved By Rough -In Date Final Date
g o
MINIMIJ
EEFO ANY PLUMBINGIGAS PERMIT IS $20.00
PLUS THE S.50 STATE SURCHARGE
**COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SQ INCHES.