PRE 2010 DOCSr
City of Fridley, Minn.
BUR DING PERMIT N® 3584
..Date: ...� •...... ............
. +1.
Owner.................... *-*-**-*--Builder .. . ...............
Address ...................................... Address .............................................
LOCATION OF BUILDING
No. 12V. Street •. ..................... Part of Lot . .
// •
Lot .. ��....... Block ..... 5 .......... Addition or Sub -Division � . C�Z,rtoil. -2,. �
i r o�
Corner Lot ............ Inside Lot .)(......... Setback : ` .�.... Sideyard .......4 ..* .................
DESCRIPTION OF BUILDING
To Used as:
. .... .... Front �1 , K ` Depth ........ '0/ Height .�.�.: f Sq. F't./ :r. Cu, 0 0.60 -Y
6 a1 a
... Front /.:. a Depth �: 7 Height �� :`�.' Sq. Ft ��.. Gtii. F't.s� �'
Type of Construction ................... Wt. cost.
.1. 37 70�.�. 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.
�!:...................... ....................
Geo
In consideration of the payment of a fee of $... ......, 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.
. r.... 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 tseparate permits for these sterna
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MlNDEP.F2qZlNREXZlNG C0,911 co
ENGINEERS AND [i ! .
LHND 9URVE.YINO
CIVIL & MUNICIPAL ENGINEERING
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SOILS TESTING
LANA PLANNIN43
6418 -56TH AVENUE N.
MINNEAPOL15 YM MINN.
KE 7- 3637
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WE HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDNRIES OF THE
LAND ABOVE DE5CRIBED AND OF THE LOCATION OF ALL BUILDINGS, IF N3Y, TUEREON , WD NL.L VISIBLE ENCROACHMENTS,,
IF ANY, FROM OR ON SAID LAND. MINDER ENGtNEERtNG CO., INC.
t7.4iEp THIS DPI? OF `�? J A.O.1`/j'?.
.: ENGINEEQS ._ v.►tp SURVEYORS
1 °bY�Pe r L
• .APPLICATION FOR RESI'DENTIAL., ALTL'RATION,
OR ADDITION - BUILDING PERMIT -
CITY OF FRI Y. MINNESOTA
OWNER S
\ BUILDER: G V
ADDRESS: DDRESS :
NO. STREET : -•
LOT; �(/ BLOCK: ADDITION:
CORNER LOT: INSIDE LOT: SETBACK: SIMARD:
Applicant attacr. to this form, Tcao Certificates -if Survey -of Lot and.proposed
building location c:rawn on -these Certificates. i
DESCRIPTION OF BUILDING
To Be 'Used As:*
4L Front: Depth: Height: u
• Square Feet: Cubic -Feet: �. G
Front: Depth: Height:
Square Feet; Cubic Feet:
Type of Construction: ��v Estimated Cost: $
To Be Completed:
The undersigned hereby makes application for a 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 hereby
declares that all the facts and representations stated in this application
are true and correct.
•
DATE: SIGNATURE:
,.(See neve a Side For Additional Informa
CITY OF FRIDLEY INSPECTION DIV. Effective On August 1, 1995
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
572-3604
MARK NUMRFR OF FIXTt JRPA TCJ RF INRTAI i i=n r)tj xAe%t4 m nnp
PLUMBING FIXTURE RATES, NO.
Urinal
Urinal
TOO
Shower
Wash
MKg Tray
Floor
r
Drain
'Auto,
-s ';g: Wa he
s r
Gas
f Range
s:r�� `Water Heater
1.1 I Gas Elee
Stories
Basement
$7.00
Rain Water Leader
$7.00
Sump/Receiving Tank
$7.00
Water Treating Appliance
Al
Water Heater —Electric
Floor 1
Water Heater — Gas**7
;10.-00
Gas Range"
$10.00
Gas Dryer**
$10.00
Back Flow Preventer Required )Yes No
Floor 2
$15.00
Reinspection Fee $42.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or: Appliance
Floor 3
411
Floor 4
9
Nllii
PLUMBING FIXTURE RATES, NO.
RATE TOTAL
Now 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**7
;10.-00
Gas Range"
$10.00
Gas Dryer**
$10.00
Back Flow Preventer Required )Yes No
Type
$15.00
Reinspection Fee $42.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or: Appliance
State Surcharge $ .50
TOTAL FEE cgjd
JOB Awnss 4 7 a/ (".4"j J4 & 1' 5 or,) 3 7- ATE,
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 ZZ'q e 0 f D Me- t P AJ c_ 4 !S' 7/ — % To -2
Building Used As
EstimatedCost .50' 0 PERMIT NO. o �73 tl
25 0_0_96_CAJr57'
PLUMBING CORANY of f-1 tJ -50AJ NtS6 r.l 6,'-q I-OkE, S�6736?
SIGNED
'k -b ctr7) TEL NO. zz,63 - Sa �
f.,
Approved By1d Rough—In Date Final Date
7 -
MINIMUM FEE FOR ANY PLUMBING[GAS PERMIT IS $2000
PLUS THE $.§Q STATE SURCHARGE
"COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SO INCHES.
City of Fridley
SUBJECT
PERMIT
.13222
AT THE TOP OF THE TWINS
PERMIT
BUILDING
RECEIPT NO.
L L'______ COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
1 i � CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
812-580-3450
910-F15
9/23/75
I /
JOB ADDRESS
PETER J..Lonq 6721 Madigon Street N.E.
1 LEGAL
DESCR.
LOT NO.
11
BLOCK
4
TRACT OR ADDITION SEE ATTACHED
Rice Creek Terrace Plat 6 SHEET
2 PROPERTY OWNER MAIL ADDRESSZIP PHONE
Peter J. Long 6721 Madison Street N.E.
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.
5 USE OF BUILDING
rpqidpntial
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
2nd garage 13' x 22'
9 CHANGE OF USE FROM TO
STIPULATIONS
Special Use Permit for 2nd Accessory building approved 9/22/75 by Council
Only to be used for boat storage, not for automobiles without a driveway
!Sr-r?EMTE PERMITS REQUIRED F®R WIRJ'JG,
110 PLUMBING SAND SIGNS*
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST. OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
1 wood frame
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
286
2,H6O
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,
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$2,116.40
1.05
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-
$5.29
STRUCTIQ,.IiL-OR-PERFORMANCE-PE_RF RMANCE OF CO TION.
TRUC
PLAN CHECK FEE
TOTALFEE
6.34
SIGNATURE OF CONTR CTOR RA IAGEN - (DATEI
WHEN P OPE Y E HIS ISXYR PRMITtp�
V DATE .y
SIGNATURE OF OWNEPFOF OWNER BUILDERI (DATE)
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S 4a::Ea�BUILDER•
ADDRESS • xoz - /%zr/ ADDRESS ;
NO:. STREET: 6/
LOT:-- BLOCK: ADDITION /4'4 • /i f�
CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD:
Applicant attach.to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
A� ' Front:
Square Feet:- n Cubic Feet:
�.3
Depth: C�--
Iieight • / d
,-)8(00
Front: --Depth: Height:
Square Feet;
Cubic Feet:
Type of Construction: Estimated Cost: S --� )) 6.0
y
To Be Completed:
The undersigned hereby makes application for a 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 hereby
declares that all the facts and representations stated in this application
are true and correct.
DATE:
(See everse de For Addition
j, 0