PRE 2010 DOCSCity of Fridley, Minn.
BUH DING PERMIT N® 3561
Date:
owner....................................... Builder . .......... .
Address ...................................... Address ................
ATION OF BUILDING
No� �. �.. Street . .......... .................. Part of Lot �......... ..... .............
Lot ....9 ...... Block .... ........ Addition or Sub -Division . 4P,4W.. l,d.. � • ...�
Comer Lot ............ Inside Lot ... A ...... Setback 357.7'.. ... -� Sideyard .`.�r .. f�.pp.J�
DESCRIPTION OF BUILDING
To be Used a ,S" � �
..... Front .�'• .s.� O Depth Height .��.� Sq. Ft. Cu. Ft.'r/
Front . /. Depth '. Gi Height ./0.-'J0'* Sq. Ft .3. Cu. Ft , 3 O
Type of Construction ................... Bot. Cost.. �-�ftff.'......... 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.
a�
In consideration of the payment of a fee of $..07.1 ......
..07./..�, 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
doe in, around and upon said building, or any part thereof,' shall conform in all respects to the ordinances of
dley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with -
I# the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
<.. 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.
City of Fridley, Minn.
BURDING PERMIT
Date: June 17, 1965
Owner: Ll d Leslie Builder
0720 Address • • son Address
N° '7910
David S. Gates
Rt, 1 Bog 174 Hamel, Minn.
LOCATION OF BUILDING
No. 6720 Street Madison Part of Lot
Lot 7 _ Block 5 Addition or Sub Division Rice geek Terrace
Corner Lot Inside Lot Setback Sideyard
Sewer Elevation Foundation Elevation
To be Used as:
Front
Front
Type of Construction
Rebuild storm damage
DESCRIPTION OF BUILDING
Depth Height Sq. Ft. Cu. Ft.
Depth Height Sq. Ft. Cu. Ft.
____ Fast. cost 18d Stn 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 forthp once with 1 provisions of
cn'dinanoea of the city of Fridley. r `
In consideration of the payment of a fee of 1Q: ,00 permit is hereby granted to David S. Gates
to construct the building or addition as described above. This permit is granted upon
the express oandition that the person to whom it is granted and his agents, employees and workmen, in aII work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota location, constructCon, alterafilon, maintenance, repair and moving of buildings
em city limitsr��s permit may be revoked at any time upas violation of any of the proviatons oP said
Allen Jensen B„ildhig Inspector
NOTICE:
This permh dos not sever the comtrucoon, tes*e bftn for wbb& pWWAeg, ga thatlng, awn or water. Be are to me
the BUM* hapo tsr for operate peemI- for thea hens.
OW1aR' S
ADDRESS
APPLICATION FOR BUILDING PERMIT
CITE' OF FRIDLEY, MINNESOTA
LOCATION OF BUILDING
-�� Street Part of Lot
LOTj__XMIK_ ) ADDITION .OR SUBDIVISION
Corner Lot Inside L , Setback Side -Yard
,SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
To be used as;
DESCRIPTION OF BUILDING
Front I 'Depth-- height
Sq. Ft. Cu. Ft.
Front Depth _Height,
Sq. Ft. Cu. Ft.
Type of Construction Estimated Cost
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 ate, SIGNATURE r
(Schedule of Fee Costs can be found on the Reverse Side).
JO)
97 -8h -h16051 CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
PARTIAL RATE
SCHEDULE
PLUMBING FIXTURE RATES:
NO.
pr
M
a
Number Fixtures
x
$3.00
U
.
x
0
$
Water
m
$2.00
$
�C
e
"'
x
$5.00
9
V
a
a
w
$
$4
Heater
..
54
0
%1 0�Uro
Water Softener
x
$7.00
_
$
New Ground Run Old Building
ao+
a�
N
.c
0
$5.00
$
•
s+ o
g
b�
ro
eqq
,y{
q
+�1
lec
W
U
9
m
o0
N
3:
w
0
w
U m
r
C7
£
o
as
1st
2nd
3rd
4 th
(F.) - Future Connection Opening
Connected with Sewer
M a 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
x
$2.00
$
Catch Basin
x
$5.00
$
Water Heater - to 99,000 BTL?
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 s 8.00
REINSPECTION FEE
(Sio-00)
Job Address 6720 NE Vadison
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. 7-19-78 , 19
OWNER Leslie
KIND OF BUILDING frame
USED AS res.
TO BE COMPLETED ABOUT
ESTIMATED COST 20.00
OLD - NEW BUILDING PERMIT NO. PERMIT NO.lr' 7
Company
Signed By MINNEGASC®
Tel. No.
ROUGH IMP.
Date
FINAL INSP. 9 -/ 5 -:2 'K
Date
APPROVAL FOR PERMIT
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 pLUS $.50 STATE SUFE
7
sueJEtr
P'3
City of Fridley
2 2 7 2 32272
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
DEVELOPMENT DIV.
- �y'p,{
572-SC04'
RECEIPT
COMMUNITY
PROTECTIVE INSPECTION SEC.4
8
r
00
CITY HALL FRIDLEY 55432
NUMBER
f1EV
DATE
PAGE OF
APPROVED EIY
' 612-571-3450
910415
10/23/01
JOB ADDRESS 6720 Madison Street NE
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
7
5
Rice Creek Terrace SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Dave/Maureen Collins 6720 Madison Street NE
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Pro -Tec Exteriors Solutions 2101 105 Ave NE, Blaine, MN 55449 763-792-6704
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
2023065
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION .7 REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Reroof House & Garage (24 Sq) Tear -off; Reside House & Garage
9 CHANGE OF USE FROM TO
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.
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
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
]
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
$11,573
$5.79
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANYOTHER T E OR LOCAL LAW REGULATING CON-
$209.25
Fire $11.57
STRUCTI NOR THE PE ANCE Of CONSTRUCTION
.
w
M0 0 ����
PLAN CHECK FEE
Licens S $5.0
TOTAL F E'
$23 :61
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEi
EN ROPE IILIOATE T IS YOUR PERMIT
/
S,GNATURE OF OWNER..F OWNER BUILDERi tDATE.
8L0If;-SP OATE
7
NEW [ ]
ADDN [ J CITY OF FRIDLEY
ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address: _Se _G
Legal Description: _ S A,
Owner Name & Address: _
Contractor. po T{L I
Address- I to( 1 D. S-1
well�a
).gut a AavreeA
Y,ter10r
v
I AJ f FP � (e -
66(((A5
0/15
aU
Effective 1/1/2001
(763) 572-3604 Bldg Insp
15fy31)
Tel. #
MN LICENSE # -z 6)-& 3 i* S
Tel.# 743-7ga-&713y
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: ��fr - d ��2 9 QD les
Rob
Construction Type. Estimated Cost. S
Driveway Curb Cut Width Needed:. Ft. + 6 Ft = Ft x $ _ $
DATE: 10"Q3-0 I APPLICANT: N"`^I'To l•#7� '7V -4-m
CITY USE ONLY - Call (7634 572-6034 9r Permit Fees if mailing in application
Permit Fee $ Fee Schedule on Reverse Side
Fire Surcharge $ /A 6-9 .001 of Permit Valuation (1/10th%)
State Surcharge $ �1 $.50/$1,000 Valuation
SAC Charge $ $1150 per SAC Unit
License Surcharge $ :5 $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 $ C� 3/, 6 t
STIPULATIONS: