PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT
Date: ...�... . /..................... .......
.. r
Owner .� . !\ . .: Builder
Address ��.,���.111
%!L� Address
N® 3362 _
. . . . . . . . . . . . . . ..... . . . . . . . . . . . . . . . . . . . . . . . . . . . .
// LOCATION OF BUILDING
No. .(r^..�.. Street...... ... . �. Part of ... ........ .
/ . . . ..... ...
Lot ... Block ..... k .......... Addition or Sub -Division ........
Corner Lot ............ Inside Lot ... A ..... Setback ..:��..�... Sideyard..':...............
DESCRIPTION OF BUILDING
ToPe Used as:
<...
Front ./A.. Depth . fR O .
Height
Sq. Ft..YC t.�.J .� Cu. Fa 6
....................
Freest ........ Depth ......
Height ........
Sq. Ft. ........ Cu. Ft.........
Type of Construction
. e �l P'.�.`.': .. Hat C�ost'A::. .'�. "To
be Completed ...................
In consideration of the issuance to me of a permit to construct the building desribed 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 $# f -' ...., 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 with-
in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
....... 7. ............. Building Inspector
NOTICE:
This permit does not cover the construction, installation or alteration for wiring, plumbing, gas heating,
sewer or water. Be sure to see the Building Inspector for separate permits for these itema
ING PERMIT
ViR a of Fridley, Minn. N° 2553
Date.,~............ ...........
Owner 1F a+r'• E��y Builder ...y4,a,1t :........................ .
.......
Address 'd L ... ! 1, is 0—; .1"K Address .........................................
L ATION OF BUILDING
No. i&:7-.7....... Street . . ......... Part of Lot .......................
Lot ...../,........ Block ... �, .... Addition or Sub -Division ..� .. �,
Corner Lot ............ Inside Lot ........ Setback '!!
ON OF BUILDING
To be Used as:
Front jof4 .� Depth .��, .. Height .,It S, .... Sq. Ft../.4 .,ro Cu. Ft........ .
+' 1
..................... Front ........ Depth ......... Height ......... Sq. Ft......... Cu. Ft........ .
Type of Construction E Cost1P/'..3 rrC . CC ........ To be Completed W*w,.. .
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 fhe description above set forth and in compliance with all provisions of
ordinances of the village of Fridley. 11
In ponsideration of the payment of
,.'fi/ .. to construct
the ex&ress condition that the person 1
done in, around and upon said buildini
Fridley, Minnesota regarding location,
in the village limits and this permit m
ordinances.
fee of permit is hereby granted to,.,,,,.t,u.... .
e building or addition as described above. This permit is granted upon
whom it is granted and his agents, employees and workmen, in all work
or any part thereof, shall conform in all respects to the ordinances of
)nstruction, alteration, maintenance, repair and moving of buildings with -
be revoked at any time upon violation of any of the provisions of said
�� , l •i �'• fpd` ....... Building Inspector
NOTICE:
This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating,
sewer or water. Be sure to see the Building Inspector for separate permits for these items.
E
SUBJECT
PER
City of Fridley
13049
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
RECEIPT NO.
V ___ COMMUNITY DEVELOPMENT DIV.
i L �',
r � � PROTECTIVE INSPECTION SEC.
�O
1
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
812-880-3450
910-F15
6-25-75
JOB ADDRESS
6351 MADISON STREET N.E., FRIDLEY, MINNESOTA
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
16
6
CHRISTIE SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
BILL MORIN, 6351 MADISON STREET N.E., FRIDLEY, MINNESOTA
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
RICHARD HASTINGS COMPANY 6331 RIV ERVIEW TERRACE N.E. FRIDLEY,
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
8 USE OF BUILDING
RESIDENCE
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE
�
8 DESCRIBE WORK
REPAIRS - SIDING
9 CHANGE OF USE FROM TO
STIPULATIONS
TYPE OF CONST,
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
PRAMP-
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
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
$550
150
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 PERFORMA CE OF CONSTRUCTION.
$5.00
PLAN CHECK FEE
TOTAL FEE
SIGNATURE OF CONTRA T RORAUTHORIZED htENT (DATE))IVHEN
PROPERLY,VALIDATED HIS IS YOUR PERMIT
`(A/ JUNE 25,1975
BLDG. INSP DATE
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE)
•APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION.BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME : t �L L. �/% D R I •tJ BUILDER : % C_ // /P #951 / S
ADDRESS: ssy /1''L a.e�y— .57ru 1 ADDRESS:
VO:. 4.3 S % STREET • // fi'�f°L�e-o���t'"'�
LOT: BLOCK: cQ ADDITION:
CORNER LOT: INSIDE LOT: J SETBACK: SIDE -YARD:
Applicant attach to this *f or.rrTwo Certificates !-,f Surve.•of Lot and.proposed
building location �:rawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As: •
A —EP A 1 _ Front: Depth: • Height:
r -
Square Feet: Cubic.Feet:
Front: Depth: Height:
Square Feet; Cubic Feet:
Type of Construction: Estimated Cost:_$ �J d•
To Be Completed:
The undersigned hereby makes application fora permit for the work herein
specified, agreeing to do all work in sttict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and herjeby
declares that all the facts and representations stated in this application
are true and correct.
DATE: -7 Sr SIGNATURE •
_(See Aeverse Side For Additional Information.)'
aG
a
• 1
CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1997
6431 University Ave NE ,
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING,.0000NG, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
Residential
Furnace Shell and Duct Work, Burner —
Also Replacement Furnace
(Side Vent — Fill Out Back)
Gas Piping (Needed with new furnace)
Gas Range
Gas Dryer
*Air Conditioning — All Sizes
All Others/Repairs & Alterations (LIST ON BACK)
1 % of Value of Appliance or Work
Commercial/Industrial
1.25% of Value of Appliance or Work
Rate TOTAL
$ 30.00 $�,
$10.00 $
$10.00 $
$10.00 $
$ 25.00 $
State Surcharge
TOTAL FEE
$ .50
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
JOB AL� DDRESS P 3 Hr,,r s S—Y . %VZ
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 a true and cqxropt.
,1997
OWNER.
BUILDING USED AS art
ESTIMATED COST
PERMIT NO. /1_ eel q I
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air)
Trads Name Size No.
BTU ? s, HP EDR
Fuel ''/4&A,,f G% s Total Connected Load
Burner Trade Name Size No.
BTU HP EDR
HEATING COMPANY
Signed By.. /%Tel No. 7 S'
q I
Approved By Rough—In Date Final Date 0,r
FILL OUT BACK SIDE OR STACK VERIFICATION ON
REPLACEMENT FU CE
Remarks: .
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
v «rn
CBMANEY 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 1k)
No
( )
3.
Has no foreign objects lodged within
Yes 0<)
No
( )
4.
Is securely supported
Yes (>I
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 ¢Q
No
( )
Remarks: .
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
v «rn
Building
BUILDING
Permit No.: -ON3
Inspections
RESIDENTIAL APPLICATION
Received By:
763-572-3604
CITY OF FRIDLEY
aN 18 2008
763-502-4977 FAX
EFFECTIVE 1-1-08
DATE
YOUR E-MAIL ADDRESS
SITE ADDRESS
THIS APPLICANT IS: ❑ OWNER ❑CONTRACTOR
PROPERTY OWNER/
NAME:_
TENANT
ADDRESS: 6 3S-/ '/Y-'�S ONt S-1,Ae CITY �R� .C1 C �Y STATE &A1ZIP .S�"��a
PHONE:
NAME:
ADDRESS: CITY
STATE ZIP
CONTRACTOR
SUBMIT A COPY OF
PHONE FAX
YOUR STATE LICENSE
STATE LICENSE # EXP DATE
PROPERTY TYPE
INGLE FAMILY/NEW CONSTRUCTION SIZE/t7SX
❑ TWO FAMILYNEW CONSTRUCTION STORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS
❑ BASEMENT FINISH OOF ❑ DRAIN TILE
❑ DECK ❑ SIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW HOME CONSTRUCTION ❑ ADDITION
❑ MAINTENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE: <'-' ,"BD
SIZE OF IMPROVEMENT
LENGTH WIDTH HEIGHT SQ FT
ROOFING ❑ HOUSE ONLY
NUMBER OF SQUARES 07® OUSE & 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:
FOR NEW CONSTRUCTION INCLUDING DECKS,
SIDING
ADDITIONS.
& PORCHES SUBMIT:
❑ Vinyl
[]Soffit
1. Site Plan/Survey showing the existing structures
❑ Aluminum
❑ Trim
and
proposed project.
❑ Other
❑ Fascia
2. Two sets of construction plans
WINDOWS
3. Energy Calculations
IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS
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:
SING THE 1997 UBC FEE SCHEDULE)
TOTAL JOB VALUATION $_ _ d(3T OCCUPANCY TYPE
Permit Fee
Plan Review
Fire Surcharge
Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Total Due
$3 a5
$
$ J
$ 1 3
See Back Page for Fee Schedule
65% of Building Permit Fee
.001 times the total job valuation
.0005 x Permit Valuation Minimum $.50
$5.00 (State Licensed Residential Contractors)
$1825 per SAC Unit (Plans to MWCC for determination)
ft+6ft= ftx$21=$
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checks pavable to: City of Fridley Attach
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 ap eveI plan in the case of all work which requires review and approval of plans.
SIGNATURE OF APPLICANT PRINT NAME �i4�/a �fc � � DATE ep 14 -600
APPROVED BY DATE