PRE 2010 DOCSCity of Fridley, Minn.. N9 9594
BUILDING PERMIT
Date: — Jan. 16, 1968
Dalberg
Owner. lders Builder Dalberg Blders .
Address _1121 80th Ave. N. E. Address Same
LOCATION OF BUILDING
No. 7472 Street McKinley St. N. E. -- Part of Lot
Lot — 4 w_ Block 1 Addition or Sub -Division .-__ Dalberg Blders .
Corner Lot —_ Inside Lot .-._ x Setback 351 _ Sideyard _..
Sewer Elevation — 894.54 _ 897.54
Top of Footing
DESCRIPTION OF BUILDING
To be Used as:
Dwelling Front _ 42' Depth 24' Height 20' Sq. Ft, 1008 �, r, 20160
garage Front 20' Depth 30' Height 10' Sq. Ft. 600 Cu. Ft. 6000
Type of Construction Frame Est. Cost $15 300 To be Completed
Sewer Location - 222 ' South of Manhole
Water Location - 33' South of Manhole
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 co plian with Zl provisions of
ordinances of the city of Fridley. LLI
A
$100.00 Sewer Connection Charge
In consideration of the payment of a fee of $ 39.00 permit is hereby granted to Dalberg Blders .
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 aad his agents, employees and workmen, in all work
done in, around and upon said building, or any thereof, shall conform in all respects to the ordinances oP
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buil
wi city ts and this permit may be revoked at anytime uponolaC tany,�of the provisions of d
cm
Building Inspector
Jan Ggsterkand
NOTICE:
This permit does not corer the constwction, im &don for whing, plumbing, gas heating, sawar or waler. Be sun to sou
the Building Inspector for mparab permits for these home.
AFPL,ICATION FOR BUMDINO PERMIT
CITY OF FRIDLEY, MINNESOTA
; OWNER'S ''NAME 6621q5'g_IDEB�_
ADDRESS ADDRESS
LOCATION OF BUILDING
NO, STREET ,72'7.
LOT FLOCK I • ADDITION OR SUBDIVISION . /7/-tC�,Ei�� iiffF_
CORNER LOT. INSIDE LOT SETBACK �� � SYDEYARD' _ Ae-, �
SEWER ELEVATION TOP OF FOOTING�Gl�
��,,
Applicant at_1'\t\Ahis form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.,
��. ky ��`� �DESCRIPTION.OF.BUILDING
To Be Used As:
6SHeight
Square feetCubic Feet
Front - Depth Height"_,
Square feet _`tCubic Feetl'd
Type of Construction�j F_ Estimated Cos
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 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.
DATE �� SIGNATURE Id,
(Schedule of Fee Costs can be found on
00
_-J
the Reverse Side).
s'
City of Fridley
APpf caAan for Plaw.M.,ag mnd Gas Flining Pe ma
Dept. of Bldgs. Phone 560-3450
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures
V1
m
N N
ac
II
J
Z
z
•
r
WATER HTR.5x
�p
F
N
G�''Ec-
Base
%
1st
f
I
2nd
3rd
4th—
° Future Connection Openings
Connected with
* New Fixture, Old Openings
Sewer
Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ...... ............. x = $ `i $2,000
Future Fixture Opening ................ x.$ $1.50
1 e.0
New Fixture Old Opening .............. x b&s $1.50
Catch Basin ... ....I ................ x 3.25 $
Water Heater (Up to BTU) ...... '0/ x -2ce) C)— $3,00
New Ground Run Old Bldg. x 3.25 $
City of Fridley:
Eye
The undersigned hereby makes application for a permit for the work herei
specified, agreeing to do all work in strict accordance with the City Ordinance
and ruling of the Department of Buildings, and hereby declares that all the facl
and representations stated in this application are true and correct
Fridley, Minn 45 19k-ly
Owner
Kind of Building�-
P
Used as
To be completed about
Estimated Cost, $
Old—New. Building Permit No
I Permit No.
Signed° L�G—
By�
Business Phone No
ROUGH
Electric Water Heater $`p2600 FINAL
GAS FITTING FEES: NO. RATE TOTAL
1st 3 Fixtures ..:........................ _ x $1.1ft $ Z' �' C> $2.00
Additional Fixtures .................... x -KI
C $ 075
Gas Range to (f U .............. x
REPAIRS & ALTERATIONS—Refer to Code
Description................................................$
TOTAL FEE $ 02-3-055 -qW0e2
1
At U
uyApplication for Power Plants and Healing, Cooling, Ventilation, Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR: RATE TOTAL
Furnace Shell & Duct Work ..........................$10.00 $
Replacement of Furnace ............................. 6.00 $
Repairs & Alterations—up to $500.00 .................. 6,00 $
Repairs & Alterations each add. $500.00 ............... 3.00 $
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $
each add. 60,000 BTU ....................... 3.00 $
Replacement of Furnace ............................. 6.00 $
Repairs & Alterations—up to $500.00 ................. 6.00 $
Repairs & Alterations each add. $500.00 .............. 3.00 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $
Each add. 200 sq. ft. EDR Steam ...................... 3.00 $
Each add. 320 sq. ft. EDR Hot Water .................. 3.00 $
OIL BURNER—to 3 gal. per hour ........................ 6.00 $
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to 199,000 BTU) 5.00 $
over 199,000 BTU See Fee Schedule
GAS FITTING FEES: NO RATE TOTAL
1st 3 Fixtures ...................... x$ 2.00 $
Additional Fixtures ................. x .75 $
Gas Range to 199,000 ........... x$ 5.00 $
AIR CONDITIONING
FAN HEATING SYSTEM
VENTILATING SYSTEM
ALTERATIONS & REPAIRS
ROUGH
FINAL
See Fee Schedule
TOTAL FEE $
Dept. of Bldgs. Phone
City of Fridley:
The undersigned hereby makes application for a permit for the work hereir.
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.
�s1 / Fridley, Minn 2 r &—
y 194e
Owner
Kind of Building
Used as
To be completed about
Estimated Cost, $
Old ew. uilding Permit No. 01-� Permit No. 'V8 '"D
DESCRIPTION OF WORK
HEATING or POWER WANTS—Steam, Hot Water, Warm Air—No
Trade Nam Size Nod /�&
Capacity Sq. Ft. E.D.R BTU H.P.
Total Connected Load' el -7 Rind of Fue y
BURNER — Trade Name Size No
Capacity Sq. Ft. E.D.R BTU H.P.
(REMARKS—OVER)
SignastUBURr�i �NDl1�.10N�ING x:90
By 8419 CENTER DRIVE 9465432
MINNEAPOL t
as Business Phone No
PI
SUBJECT
PERMI
City of Fridley
o 18 4 2 8
AT THE TOP OF THE TWINS
BUILDING
PERMIT
_
r
R E C
`L _ COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
70 /
I
v'0
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
L 612-571-3450
910-F15
5/14/86
JOB ADDRESS 7472 McKinley Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
4
1
Dalberg Terrace
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Andrew Holewa 7472 McKinley Street N.E.
786-5366
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Milton L. Johnson Co. 2513 Central Avenue N.E., Mpls
55418 781-9548
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 (j ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reside dwelling and add triWgutter
9 CHANGE OF USE FROM TO
STIPULATIONS
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
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
$2.80
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$5,600
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHER STAT OR LOCAL LAW REGULATING CON-
ST UCTION OR THE PERFORMANCI OF CONSTRUCTION.
$56.50
PLAN CHECK FEE
TOTAL FEE
/
$59.30
�§IGNATURIT'O'F CO TRACTO O UTHORIZEDAGENT ID TEI
WHEN PROPERn
NSP
VALIDAT D THIS IS YOUR PERMIT
O TE
SIGNATURE OP OWNER IIF OWNER BUILDERS IDATEIBLDG
PI
NEW
[
] City of Fridley Effective 4/1/84
ADDN.
[
] R-1 AND R-2
ALTER.
[
] Building Permit Application
Construction Address: 7 �4-7 ,:A, le- IX ti
Legal Description:
Owner Name S Address: A b_d- t!
Contractor: 0 AJ SD N
Address: aS / 3��Js /Ls�c- /V L -a'
LIVING AREA:
nAVAr.F AREA
DECK AREA:
OTHER:
/V_f>
Tel. # ` S-3
-� Tel. #
Attach to this application, a Certificate of Survey of the
lot, -with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height
Length Width Height
Length Width Hgt/Ground
Sq. Ft.
Sq. Ft.
Sq. Ft.
Corner Lot [ ] Inside(Lot [ ] Ft. Yd. Setback Side Yard Setback
Type of Construction: S'�� �' 'I c)77_&'st. Estimated Cost: $
Approx. Completion Date: o c
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $ $
See Back Page for Explanation
DATE: S / APPLICANT: Tel.
CITY USE ONLY
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Sewer Hain Charge
TOTAL
STIPULATIONS:
Fee Schedule on Reverse Side
25% of Building Permit Fee
$.50/$1,000 Valuation
$425 per SAC Unit
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
SUBJECTi�4
City of Fridley
2 2
AT THE TOP OF THE TWINS
BUILDING PERMIT
�
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
(� /
r PROTECTIVE INSPECTION SEC.
I
NUMBER
REV
DATE
PAGE OF
APPROVED BY
i
I 1 � CITY HALL FRIDLEV 55432
.J 612-571-3450
910-F15
7/26/94
JOB ADDRESS
7472 McKinlev Street NE
1 LEGAL
LOT NU
BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR.
4
1 Dalberg Terrace SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Andrew Holewa 7472 McKinley Street NE 786-5366
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
MIlton Johnson Co. 525 Lowry Ave NE, M is 55418781-954R 20RI
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 ❑ REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK
Reroof House (23 Squares) 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.
ZONING
SO. FT.
CU. FT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
NO. DWLG. UNITS
OFFSTREET PARKING
ANY TIME AFTER WORK IS COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS I GARAGES
VALUATION
SURTAX
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$2,350
$1.18
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
PERMIT FEE
SAC CHARGE
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$54.00
Fire SC $2.35
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
License SC $5.00
$62.53
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
OP Y V DATED THIS IS YOURPERMIT
g.L.GIN.IF-
SIGNATURE OF OWNER I IF OWNER BUILDERI IDATEI
DATE
NEW (( Effective 1/1/94
ADDN [ CITY OF FRIDLEY
ALTER (( SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
�a
Construction Address:
Legal Description:
Owner Name 8i Address: 1 st-���� �c �, /moo L F fq Tel. # �J�� —sem G
Contractor: /,Vi Lro IJ S o '/ w MN LICENSE'#
Address: -e" e A-<' Tel. # dei
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:
Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yazd Setbacks
Type of Construction: 102e Estimated Cost: $ 4 3s� . c -z)
Approx. Completion Date:
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: APPLICANT: Tel. # %moi
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
$ 61( 00
Sewer Main Charge $
TOTAL
STIPULATIONS:
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$800 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 [ ]
Building
$ (pip. 0
BUILDING
Permit No.:
Inspections
65% of Building Permit Fee
RESIDENTIAL APPLICATION
Received Bi419
763-572-3604
Surcharge
CITY OF FRIDLEY
Date Rec'd:
DATE
YOUR E-MAIL ADDRESS
SITE ADDRESS
SAC Charge
THIS APPLICANT IS:
❑ OWNER 21 ONTRACTOR
PROPERTY OWNER/
NAME: Sa h 1 1
TENANT
ADDRESS: -,>In °C_ V,etL/ % p �e S T CITY _ STATE ZIP
$
PHONE: 9,. p — ZZ) — 7 7 3 17
CONTRACTOR
NAME: 4C,'Nory- Ir2cC,;=iti,�5i njrriq LLC
STATE LICENSE #_ S441,i \ EXP DATE 3 —31 —07
SUBMIT A COPY OF
YOUR STATE LICENSE
ADDRESS:CITY SS%o STATE ZIP G%
WITH APPLICATION
PHONE 65—�6f'Z-- FAX
PROPERTY TYPE
❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS
❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
❑ DECK ❑ SIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW ❑ ADDITION
❑ MAINTENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE: P- ®c,i= Y -e,942 --off,= s r��"Zr— — . S cT7-!T- P -e2 4-i &—
SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft.
ROOFING
❑ HOUSE ONLY
NUMBER OF SQUARES
❑ HOUSE & GARAGE
BASEMENT REMODELING SUBMIT:
GARAGES
❑ ATTACHED GARAGE
1. Existing Floor Plan
PROPOSED SIZE:
❑DETACHED GARAGE
2. Proposed floor plan
PROPOSED HEIGHT:
3. List of structural members to be used
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.
WINDOWS
2. Two sets of construction plans
IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS
3. Energy Calculations
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
TOTAL JOB VALUATION
(USING THE 1997 U.B.194a FEE
TYPE
Permit Fee
$ (pip. 0
See Back Page for Fee Schedule
Plan Review
$
65% of Building Permit Fee
Fire Surcharge
$ 1.
.001 times the total job valuation
Surcharge
$ . q.;2
.0005 x Permit Valuation Minimum $.50
License Surcharge
$ s:OU
$5.00 (State Licensed Residential Contractors)
SAC Charge
$
$1550 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
$
ft + 6 ft = ft x $21 =$
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: City of Fridley 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; that t e work will be in accordance with the approved
plan in the case of all work w ich re Aires review a approval of plans.
SIGNATURE OF APPLICANT PRINT NAME DATE__" -��