PRE 2010 DOCS• 53-8h-879.01
City of Fridley
AT THE TOP Of THE TWIN$
`tU-------; COMMUNITY DEVELOPMENT DIV, PLUMBING PERMIT T APPL I CAT I Oil
t t PROTECTIVE 01110ECTI" DEPT,
CITY HALL FINCL19T OME
.....�.� .J
02-6"-34060 MUM REV. DATE PAOE OF A OV D By
Job Address 0 12115/73 1 'l 800
281 N, E. Longfellow Street
ner Address phone
Phillip Benson
Contractor
f Building
Frame
tion Date
3-5-74
s-IYNIan
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Res.
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10.00
,
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RATE TOTAL
Number Fixtures
x
$2.00 $
Future Fixtures
x
$1.50
New Fixture -Old Open.
x
aoNYa
Catch Bastn
� � j
$3.25
V#
ID
$3.00
Ground Run Old Bldg.
x
$3.25
Elec. Water Heater
—
$2.00
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Res.
Gas Fitting Fees:
I 1st 3 Fixtures x $2.00
I
Additional
��► �� x $ .75
Re
i plac
Gas Range -199,000 BTU 1 x $5.00 5.00
Repairs & Alterations
See j
Description: Code I
State Surcharge Class ImAm Surcharge .500 .50
TOTAL FEE $ 5.50
!The undersigned hereby makes application for a permit
for the work herein specified, agreeing to do all work
in strict accordance with the City Ordinances and Tulin
of the Department of Buildings, and hereby declare that
all'the facts and representations stated in this I
application are true and correct.
4a oo__ <
-S i —, Date
r,scimacea I✓osc
10.00
Plumbing Fixture Rates: N0.
RATE TOTAL
Number Fixtures
x
$2.00 $
Future Fixtures
x
$1.50
New Fixture -Old Open.
x
$1.50
Catch Bastn
x
$3.25
Water Heater -99,000 BTU
x
$3.00
Ground Run Old Bldg.
x
$3.25
Elec. Water Heater
x
$2.00
Gas Fitting Fees:
I 1st 3 Fixtures x $2.00
I
Additional
��► �� x $ .75
Re
i plac
Gas Range -199,000 BTU 1 x $5.00 5.00
Repairs & Alterations
See j
Description: Code I
State Surcharge Class ImAm Surcharge .500 .50
TOTAL FEE $ 5.50
!The undersigned hereby makes application for a permit
for the work herein specified, agreeing to do all work
in strict accordance with the City Ordinances and Tulin
of the Department of Buildings, and hereby declare that
all'the facts and representations stated in this I
application are true and correct.
4a oo__ <
-S i —, Date
SUBJECT
PERMIT -
City of Fridley
12
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
RE IPT NO.
• COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC.
1 �
= CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-560-3450
910-F15
6/18/73
10B ADDRESS 281 Longfellow Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
15,16
6
1 Spring Brook Park Addition SHEET
2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE
North Metro Construction Inc. 5203 Central Avenue N.E. 780-1191
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
-7-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
C! NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct 36' x 28' Dwelling (No Garage)
9 CHANGEOFUSEFROM TO
STIPULATIONS Provide a verifying survey before capping. R See notations on spec.
sheet, page 3. Use 2 x 10 floor joists and 2 x 6 rafters.
NO SEWER OR WATER
SEPERATE PERMITS REQUIRED FOR WIRING,.
-HEATING, PLUMBING AND SIGNS,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
Wood Frame
ZONING
SQ. FT.
CU. FT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
R-1
202160
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
*1008
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
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED,
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$14,394
7.20
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$38.00
$275.00
STRUCTION OR TH PERFORM NC OF CONSTRUC ION.
PLAN CHECK FEE
TOTALFEE
��
t —%
$320.20
DT (DATE)
» SIGNATURE CONTR00 RORAUTrroR�IW-
WHEN PROPERLY VA ATED THIS IS YOUR PERMIT h
(( -
BLDG. )NSP DATE
SIGNATURE ( F WNER IL (DATE)
APPLICATION FOR RESIDENTIAL, ALTERATION,.
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEYj MTNNE�O`TA
ADDRESS:SSa,g3 aei1LdzA1:e' /a, ADDRESS: SA'lr QX -1
�0
wo; sm= il aw z
LOT: BLOCK; -PIDTTTON S
CkWER LOT: INS IDE LOT.; EMCM 3 SIDEQ ARD :
A4�pticMt attachtothU fo= Two Certificates of Survey of Lot and proposed
'but1ding location dr wa on these Certificates,
/All
x
DESCRIPTION OF BUILDING
To Be Used As:
FDepth He
a-Fit=ight:_
Square Feet; Cub�cfeet; a
Front: —Depth: Jleight:
Square Feet', Cubic Feet:
fife of Constructions �r',q /°pI , e, Estimated Cost: –$ Zg
TO 90 "Iete44
The undervigned hereby makes application fora permit for the work herein
specified, agreeing to do all Wank 4n att;Lct accordance with the City of
M41ey Or4tvances and imlivo of the DePartment of Buildin$a, so hereby
d"JAves dKt all the facts and representatilolas 9_"t1pd in
egg true and correct,
D&TF.. swuTun:
(000 Raveype SSde For Additional Information.
7 S
"•: r:..-.:.._,. a..- rye.:
Ab. M. BRADLEY
-
;Sift .?A761 A17E111UE tigUTM
009110>;+004ri,. MiDC!t6:BOTA 601 � � ... .
M-2100
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wool
I Lo xy Ae. As- w
$z
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AGREEMENT
DATE
1, the owner of the
following described property 281®ngfell®� St. Nig, '
(Lots 15 and 16, Block 6, Spring Brook Perk Adder) `� u
Hereby agree to pay in cash $ - 999,52 "Idg„ Me
Charge)
to the city of Fridley to cover "my proportionate
share of the utility system, or in lieu thereof- agree
to have the City levy an assessment against the
property described above to cover the cost of my
proportionate share of the utility system as pro-
vided in Section 2 of Ordinance No. 113, passed
by the Council of the City of Fridley on December
11, 1958.
w
OWNER'S SIGNATURE
Tapping Permit No.
Coat for patting in .services may be
credited against the assesswnt charge®
a
E,a
_ 5
!AOIL 7VA7E ZdIC'HE'20ULE fit. of 1 %a no" mm
�'771ATM wa= AM: RATE TOM
Pmmaca Shell & Dud Werk ... ..... . $20.00 �
Replacement of 71mmee ... 9.00
Repairs & Alterations—up to 8500.00 6.00
Repsixs & Alterations each add. �fiftoo 3.W �----- -. _— -
�y_ . W
Turnace Shell & Duct Work to 120,000 BTU ..5310.00Meh $ L
. GO,= RM ................... . 3.UU
Replacement of Furnace 0.00
Repairs & Alteration --up to $.e00.00 x.00
Repairs & Alterations each add. $M.00 3.00
!�'MAM or HOT WATER STSTM
21trnace Shell & Tinea --to 400 eq. ft. EDR Stearn $20.00 $
DNwnace Shell & IAne—to $40 sq. ft. EDR Hot Water 10.00 $_
Each add. SOIL sq. ft. E DR Steam 9.00Each add. 320 sq. ft. ZDR Hot Water 3.00 �—
OIL BURNER—to 3 Bal. per hour 6.00 g _
over 3 gal. per hour -fie Fee Schedule
0 �
€LAAO R (up to 10,000 RM LOD $
over 199,000,BTU See Flea Schedule
¢SAO FITTING ncES: NO RATE TOTII"
Ist 3 2Mxtures
Additional Inxtures _ ,7 _
Gas Range to 199,0110 X$ &00 =
AIR conDPtIONI>Na
- FAN NZATING M
TEXT ILATINa STSTEM
ALTERATIONS & REPAIRS
ROUGH
FMA1.%G`--2-r-% V
t
Fie schedule•
TOTAL nm
City of Fridley:
The undersitnLd hereby des application fee a permit f®r ?kze work hereig
specified, agreeAng to do all work in strict stEcardance with eae City c�--
amd ruling of the Department of Building. i9d hereby decHnxes that zall the ffee"a
and representations stated in this application are true!' t i S .
Fridley, - b� _ m? -3
Kind of Building
Used as
To be completed about—
uv
Estimated Cost,
Old—New. Building Peradt No. Permit No.
Capacity Sq. rL E.D �- BTU IMF!
(af" Kf-Oval
9 5=6 3 BUILDI DEPARTMENT
1 4.20
6 4.9 3 Construction t1o.
j 5 1.34 Out Wall Int Wall Ceiling Roof Floor . Kind
4 0.54 I
? 9.89 idth Height FIP4 room I le
3 4 6. �.
Area Windows and Doors—Crag
ft. Area Width Height No.
`i pck aq. ft. No. of pane of pane ligi
1 1,®
Coef. Btu
Infiltration
Glass
Exp. wall
Net exp. wall
Int wall
Floor
Ceil.
Total Btu.
Infiltration
Glass
Exp. wall
)P Net exp. wall
Int. wall
J — Floor
7 d Ceil.
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I
FI. I • Room I Length T Width Height
Windows and Doors . Crackage and Area
Width Height No. of Lineal ft. I Area
No. of pane of pane I lights of crack I sq. ft.
Coef. Btu
Infiltration
Glass
Exp. wall
Net exp. wall
Int wall
Floor
Ceil. %b
Total Btu.
Required sq. ft. ED.R. or sq. ins. W.A. Leader area
FI. Ir._01-� oom I Length 3 Width % Height
Windows and Doors—Crackaae and Area
NN.
Insulation
How Applied
Width C -Height
and Area
Required sq. ft. ED.R. or sq. ins. W.A. Leader area
FI. I C � Room I Length Width
Windows and Doors—Crackaae and Area
Coef. Btu
6
1L-1 bml 6
i3;-- Xv
I I I I 1 I Coef.1 Btu
Infiltration 1
Glass Z
Exp. wall
Net exp. wall a
Int wall
Floor
Ceil.
Total Btu.
Required sq. ft. ED.R. or sq. ins. W.A. Leader area
FI. I % =moi Room I Length / �2 Width
Wind ws and Doors—Crackage and Area
I Width I Height No. of Lineal ff. Area
No. of pane of pane lights of crack sq. ft.
Coat I Btu
FA
Coef.
Btu
Infiltration
Infiltration
Glass j @
C
Glass
Exp. wall _
Exp. wall�� r
Net exp. wall
Int wall
Net exp. wall
Int wall
Floor
Floor
CeiL
Ceil.
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Total Btu.
I Required sq. ft. ED.R. or sq..ins. W.A. Leader area
Coat I Btu
FA
City of Fridley
r AT THE TOP OF TME TWIN$
'---^-COMwtJNITY DEVELOPMENT OIV,
PROTECTIVE 09016CTION MT,
CITY NAIL FIUOL`Y $Hlt
Job AdL e,��
iUDOEGT
PLUMBING PERMIT APPLICATION
1
kc
aaaress one
I" Z/11/0810 /t;ontra or� Address Phone
Kind of Building Use
on i)ace
9P-- / — %.3
CIS
Fixture Rates:
1
NO.
RATE
TOTAL
I_Plumbing
Number Fixtures
II
x
$2.00$42.00
Future Fixtures
x
$1.50
New Fixture -Old Open.
i
x
$1.50
Catch Basin
x
$3.25
Water Heater -99,000 BTU �_ x
i
$3.00
3.v U
Ground Run Old Bldg.
x
$3.25
Elec. Water Heater
x
$2.00
Gas Fitting Fees:
1st 3 Fixtures
_�_ x
$2.00
I -
Additional Fixtures
x
$ .75
i
Gas Range -199,000 BTU
x
$5.00
Repairs & Alterations
See
Description:
Code
State Surcharge .50
TOTAL FEE $ /?'1z)
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
Df the Department of Buildings, and hereby declare that
all'the facts and representations stated in this I
appl_ca4on are true and correct.
'Signa
47-
Date
4 -/6 73
&y OF FMLEY 429
Application for Installation of Nater and Sewer Service
This form to be completed before a tap is made to any existing water
or sewer line. _ _ /17 _ A ..
Lot - (p.. Block .... (iPw............. .-. Additio
Owner
Plumber ...
(this portio of form to be completed by pe on requesting tap)
CHARGES TO BE PAID BEFORE TAP IS MADE — VVHEM
ASSESSMENT HAS NOT BEEN LEVIED AGAINST PROPERTY
Sewer Connection fee
*Street patch -._
Water Connection fee
Meter deposit
Materials used
*Street patch ._
9S", 0V
* Where applicable
The above applies for all regular residential size services
IF LATERAL ASSESSMENTS HAVE BEEN LEVIED AGAINST
THE PROPERTY, THERE WILL BE NO CHARGES OTHER THAN
CONNECTION PERMITS AND METER DEPOSIT
The City will furnish materials for water service and the plumber
will bill the City for sewer, not to exceed $3.00 a foot or a maximum
of $60.00. ,
ASSESSMENTS TO BE LEVIED
,� 1
Credit for material ....._....... .....
Total assessment $-------- - --- _.._..------.._...
Sewer Lateral $.....-•---_..._. _.._......
Credit for material 60.00
Total assessment
Clerk's signature ----- ----)
I hereby authorize the above tap
1st copy—Public Works Director of Public Works
01
SUBJECT
City of FridleyI'
18030
AT THE TOP OF THE TWINS
BUILDING
PERMIT
_
r
�
-
CEIPT NO
`L COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
/---1 CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
6/5/85
JOB ADDRESS 281 Longfellow Street N.E.
1 LEGAL
LOT NO,
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
15116
6
Spring Brook Park
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Ray Kingsbury 281 Longfellow Street N.E.
786-11295
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
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
Construct a 24' x 24' Detached Garage
9 CHANGEOFUSEFROM TO
STIPULATIONS
Provide a hard surface driveway.
REQUIRED FOR
WARNING
PERMITS
PARADE � SjGNS.
PLUMS1
8* digging call local utilities
WIRING, "EA-C'NG'
T'WHONE - ELECTRIC - GAS Etc.
REQUIRED BY LAW
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP 1,
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 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
$7 r 021
$3,51
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-
$68-50
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
$72.01
SI URE OF CONT TOR ORAUTHO I DAGENT (DATE)
WHEN PROPERLY V6,WDATED THIS IS YOUR PERMIT
W
4 N,0A '4 11
BLOG INSP
( _VatL
DATE
iGN TUBE OF OWNER OF OWNER BUILDERI IDATEI
01
NEW [ City of Fridley Effective 4/1/84
ADDN. [ ] �R-1 AND R-2
ALTER. [ 7 Building Permit Application
fl-nc*n„n*inn oArinwq.q! O` I ZCJIi01 ST �i�l [ Q Y /41 A, 57%
Legal Description: QYe)( &Y�Gj.ra�
Owner Name & Address: R.wK10, 43 belrSFM Tel. #
Contractor: ,(/oNe Tel. #
Address:
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 t Width RY" Height Sq. Ft. _
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER:
b I'Z .t� t
Corner Lot?.n
] Inside Lot [�] F Yd. Setback Side Yard Setback
Type of Construction: GvaoW Fr''0M a Estimated Cost: $ / 05 1
Approx. Completion Date:
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $ $
See Back Page for Explanation
DATE: (D y" S APPLICANT: Tel.
CITY USE ONLY
Permit Fee $ (O ��'J U Fee Schedule on Reverse Side
Plan Check $ 25% of Building Permit Fee
State Surcharge $+� $•50/$1,000 Valuation
SAC Charge $ $425 per SAC Unit
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $
TOTAL $ Z
Q Agreement Necessary [ ] Not Necessary [ ]
STIPULATIONS:
C
iv
SL k 6RAOLly
STATE OF MINNESOTA
DEPARTMENT OF HUMAN SERVICES
444 LAFAYETTE ROAD
ST. PAUL. MINNESOTA 58101
Date
loniflo Authority
�( 3 l fJ .
Street Address
City State Zip Code
RE: ZONING NOTIFICATION OF APPLICATION FOR LICENSURE
Subject:
Name of Day Care HomApplic�rlt
l,--� I
Street Addre
-�, Q V_1-�N. 3
city State Zip Code
F A_
DHS -2722 (9-85)
PZ -02722-02
Type of License:
Family Day Care
Group Family Day Care
Licensed Capacity I
Phone No. -1 19 �. - 1 j-1-9 S
This is to inform you that we are in receipt of an application for
licensure under Minnesota Rules, parts 9502.0300 to 9502.0445 (formerly
Rule 2), Family Day Care and Group Family Day Care Standards. Issuance of
this license is subject to compliance with the provisions of Minnesota
Statutes, Sections 245.781 to 245.812 and 252.28, subdivision 2, known as
the Public Welfare Licensing Act and the rules of the Department of Human
Services.
You should note that under Minnesota Statutes, Section 245.812, Subvision
3, a licensed day care facility serving 12 or fewer persons shall be
considered a permitted single family residential use of property for the
purposes of zoning. Subdivision 4 of the same section indicates that a
licensed day care facility serving from 13 through 16 persons shall be
considered a permitted multi -family residential use of property for
purposes of zoning.
If we do not hear from you within
will consider the above-mentioned
your local zoning code.
Sincerely,
Licensing We)rker
30 days after receipt of this letter, we
day care home to be in compliance with
COMMUNITY HEALTH & SOCIAL
SERVICES DEPARTMENT
COUNTY OF ANOKA
COURTHOUSE, FOURTH FLOOR
Name e ion
Street Address City State Zip Code
AN EQUAL OPPORTUNITY EMPLOYER
Effective Aug. 1, 1981
CITY OF FRIDLEY
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND
AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
RESIDENTIAL
RATE
TOTAL
Furnace Shell and Duct Work,.
$
20.00
�®
$ ,'
Burner
Gas Piping $
10.00
$
(piping needed with new furnace)
Gas Range $
10.00
$
Gas Dryer $
10.00
$
%�
Air Conditioning (all sizes) $
10.00
$
All Others/Rcpairs and Alterations
18 of Value of Appliance or Work
$
e
d�
COMMERCIAL/INDUSTRIAL
1% of value of Appliance or Work
$
State Surcharge
$ .50
TOTAL FEE
$�S
Reinspection Fee ($15.00)
$
Rough Insp.
Date
Final Insp. G `,q'��
Date ,,JJ
Approval for Permit l F�
MINIMUM FEE FOR ANY HEATING PERMIT IS $10.00
PLUS $.50 STATE SURCHARGE
Attach.stack verification form with.replacement furnace permits
Department of Buildings, 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. 9'
OWNER
KIND OF BUILDING _�S dx-�'c VI
v
USED AS
TO BE COMPLETED ABOUT
ESTIMATED COST
OLD - NEW BUILDING PERMIT 110. PERMIT NO.
DESCRIPTION OF FURNACE/BURNER /J.
-HEATING 0 POWER PLANTS, Steam, Rot Water, � No.
Trade Name�1��� Size No.
Capacity Sq. Ft. EDR BTU HP
Total Connected Load Kind of Fuel X&
Tra Name
��� Size No.
-
Capacity Sq. Ft. EDR BTU HP
SUBJECT
PERMj-RtO`---
City of Fridley
19441
"-
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
• _ COMMUNITY DEVELOPMENT DIV.
r , � PROTECTIVE INSPECTION SEC.
1 �
I CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
5/4/88
JOB ADDRESS 281 Longfellow Street N.E.
1 LEGAL
LOT NO,
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
15,16
6
Spring Brook Park Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Ray Kingsbury 281 Longfellow Street N.E. 786-1295
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
`i
6 USE OF BUILDING
Residential
7 CLASS OF WORK
�
❑ NEW ❑X ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 101 x 201 Garage Addition
9 CHANGE OF USE FROM TO
STIPULATIONS
Provide a hard surface driveway.
Before. 190
TELLS L-!Cd,fr ^GASF_
@ �yL
RED By
SEPARATE 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
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
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$2.,850
$1.43
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-
$54.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
LAN CHECK FEE
TOTAL FEE_i
7
$55.43
i SIGNATURE OF Cq>LRACTO 5PR AUTHORIZED AGENT (DATE)
e
WHEN PROPERLY VA L T D THIS I YOUR PERMIT
_
�G
c -i
BLDG INSP n 7E
iG UR OF IIF O NER UI ERI IDATEI
MR [ ] City of Fridley EEfective 5/1/88
ADDN [ ] R-1 AND R-2
ALTER Building Permit Application
Construction Address:— I Z®A�a & $r F0, wJle ,- m � S—S 41,3
Legal Description:—ZeTS .4- 'fn 1N SProv-S A«*�r , Ar<
Owner Name & Address :—Rt - Y re � 00 %e 2 Ori e '+60V4-- Tel. # 7 td –lv�
ODntr actor :
S e t fr' Tel. #
Address:
Attach to this application, a Certificate of Survey of the
lot, with the proposoed construction drawn on it to scale.
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Std. Ft.
• Length Width Hgt/Ground Sq. Ft.
' rA°LI.O
ODrner Lot [ ] Inside Lot [ ] Ft.YYd Setbacks Side Yard Setbacks
Type of Construction: Estimated Cost: 5 ��
Approx. Completion Date:
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired: $ $
Width + 6' See Back Page
DATE: APPLICANT:
Tel. #
C3TY USE ONLY
Permit Fee Fee Schedule on Reverse Side
State Surcharged $.50/51,000 Valuation
SAC Charge 5 $550 per SAC Unit
Driveway Escrow 5 Alt. "An or Alt. "B° Above
Park Fee $ Fee Determined by Engineering
Sewer Main Charge" Agreement Necessary [ J Not Necessary [ J
TOTAL �$
STIPULFITIONS:
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CITY OF FRIDLEY INSPECTION DIViSION
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
ResidentialRate
Furnace Shell and Duct Work, Burner - Qqj`,'
Also Replacement Furnace $ 30.00
(Side Vent - Fill Out Back)
Gas Piping (Needed with new furnace, $ 10.00
but not replacement)
Gas Range $ 10.00
Gas Dryer $ 10.00
*Air Conditioning - All Sizes $ 25.00
All Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work
Commercial/Industrial
1.25% of Value of Appliance or Work
State Surcharge
TOTAL FEE
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $47.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
Effective On May 10, 1999
JOB ADDRESS 33\ UW Co �:2LUW St N E
OWNER UrV-DA i rN6 S 1�aW1.
TOTAL
BUILDING USED AS WWII i Y1G
$3
0 oo
ESTIMATED COST Q000- 00 PERMIT NO. /
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units_ Circle One (Steam) (Hot Water) arm Air)
$ Trade Name Te m j2 S.Tcjn� Size No. 940 020
BTU 0n HP EDR
$ Fuel to At 1 A �_ Total Connected Load
$ .50
Burner Trade Name Size No.
BTU HP EDR
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 an
rulings of the Building Division, and hereby declares that all the facts'and
representation tater in this application are'true and correct.
diver Gety Sheet Metal, Inc.
9923 Bluebird St. N.W.
Coon Rapids, MN 55433
HEATING CO 754-21 ON
CHRANEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack:
1. Has been carefully examined Yes () No ( )
2. Is free from rust or deterioration Yes () No ( )
3. Has no foreign objects lodged within Yes () No ( )
4. Is securely supported Yes () No ( )
5. Meets all current Code requirements for size
and total BTU's connected Yes () No ( )
6 Has total heating BTU's of
All other BTU's
TOTAL BTU's
7. Has a liner been provided for water heater Yes () No ( )
8. Has combustion air been provided for water heater Yes () No ( )
Remarks:
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
SUBJECT
PERMIT NO.
City of Fridley
i 699
AT THE TOP OF THE TWINS
BUILDING PERMIT
r?
'Reee"Two_
COMMUNITY DEVELOPMENT DIV.
f PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
NUMBER
REV
DATEPAGE
OF
APPROVED BY
' 612-571-3450
910415
3/26/01
/
JOB ADDRESS 281 Longfellow Street NE
I LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
15,16
6
1 Spring Brook Park Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Linda Kingsbury 281 Longfellow Street NE
763-783-9479
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Renewal By Andersen 350 73 Ave NE Fridley, MN 55432
763- 02-4777
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO.
20130983
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION j] REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Replace 1 bay window within existing opening
9 CHANGE OF USE FROM TO
STIPULATIONS
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 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
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
O
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$3,000
$l.
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
$83.25
F re SC $3.00
PLANEE
L FEE
LiGME s SC $ 0
7$92.75
SIGNATURE OFCONTRACTOR ORAUTHORIZED AGENT iDATE,
N PRO Y VALI
TOD THIS IS UR EF1MIT
,
9DG iNSP
• ��
nA1
_
S.GNATURE OF OWNERJF OWNER Bu4DER11 iDATEi
NEW [ ] Effective 5/10/99
ADDN [ l CITY OF F'RIDLEY
ALTER [ l SINGLE FAMILY AND DUPLEXES R-1 AND R -B
BUILDING PERMIT APPLICATION
Construction Address:
Legal Description:
Owner Name & Address: ln'�� ) :
CITY OF FRIDLEY PERMIT NO.: 2004-00095
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432 DATE ISSUED: 01/22/2004
572-3604 FAX: (763)571-1287
ADDRESS : 281 LONGFELLOW ST NE
PIN : 033024310051
LEGAL DESC : SPRING BROOK PARK
: LOT 15 BLOCK 6
PERMIT TYPE : ELECTRICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDITION/ALTERATION
VALUATION
NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE.
INSTALL XCEL ENERGY SAVERS SWITCH
# INSPECTIONS 1
APPLICANT
HUNT ELECTRIC CORP
2300 TERRITORIAL RD
ST PAUL, MN 55114-1614
(651) 646-2911
OWNER
CLAYSON,TRENT
281 LONGFELLOW ST NE
FRIDLEY, MN 55432
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of wort
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or cancel the provisions of any other state or local law
regulating construction or the performance of construction.
Applicant Date
Bldg Insp
ELEC PERMIT FEE - MIN (RESI) 20.00
STATE SURCHARGE, ELEC FLAT 0.50
TOTAL 20.50
PAID WITH CHECK # 113375
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.