PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT
-- /0 -
Date: ... .............. ... ..........
Address......................................
N® 3707
Builder .�. ....... ... ...... .
Address ........................................ .
LOCATION OF �BUUILDING
No. .6.731. street . .� .... Part of not
Lot ... /0..... Block .... �K........... Addition or Sub -Division Alt., 64�..G
Corner Lot ............ Inside Lot .%i......... Setback`.. sideyard .16:.,0 .................
DESCRIPTION OF BUILDING
T be Used as:
7r/'
. I r, Depth ....... ieight ..® sq. Ft. 1... Cu. F't./��`��`./ /d c
.. ....... Front ./y
... Front !. !.: �. Depth A' Height ��'� sq. Ft.� A.. Cm Ft.
........ ltt. Cost.. y®�, , ... To be Completed ............... .
Type of Construction ........... r p
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 $. ��, 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. /' / .
n!... �1....... 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 IV separate permits for these Item&
City of Fridley, Minn.. N° 7759
BUILDING PERMIT U� ,
Date: _ Jane 7, 1963
Owner: John Wine Builder Midland Const. Co.
Address6731KwUson, Street N. E. Address Box 8010 St. Paul, Minn. Zone 13
LOCATION OF BUILDING
No. 6731 Street Madison Street No E. Part of Lot
Lot 10 _ Block Av= Addition or Sub.Division Rice Creek Te=aoe, Plat 6
Corner Lot _ Inside Lot Setback
Sewer Elevation
To be Used as:
Sideyard
Foundation Elevation
DESCRIPTION OF BUILDING
Front Depth Height Sq. Ft. Cu. Ft.
Front Depth Height Sq. Ft. Cu. Ft.
Type of Construction Fst. Cost __.. $2,950,00 To be Completed
Storm damage repair
In consideration of the issuance to me of a permit to construct the buildingdescribed a I agree to do
the proposed work in accordance with the description above set fo in compliance th provisions of
ordinances of the city of Fridley. s
In consideration of the payment of a fee of $ 10.00 , permit is hereby granted to Midland Const. Coo
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 buildiuga
within the city limits and this permit may be revoked at any time upoh violation of any of the provisions of said
ordinances.
Allen Jensen Building Inspector
NOTICE
This permit don net cora► the comtrucdon, tmhMon for W9, phMhin& on heating, sewer or mater. Be sun to see
the Building hnpator for npmte pwndit for these Dom
OWNER'S NAME,
APPLICATION FOR BUILDING PERMIT
CITY OF FAiDLEY, ' M]IQNESOTA
ADDRESS 6 %-3/ �'� ADDRESS _ Ao-4 �(-G/ ® SY4 < /3
LOCATION OF `BU'ILDING'
No. Street Part of Lot
L ^_BLOCK ADDITION OR SUBDIVISION�l�,l
Corner Lot Inside LOT Setback '.Side='Yard
SEWER ELEVATION FOugb.ATION ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
To be' used is:
DESCRIPTION OF BUILDING
Front Dept Height
Sq. Ft. Cu. Ft.
Front' Depth Height
Sq, Ft. Cu. Ft'..
Type of Construction Estimated Cost
To be �c']bmpletye!d'
'•��. Aim (j / / /. ,. ®�1 • '��O ►�' �. �a'£�l�o�L .��'�� P / ..
®The undersigned hereby makes applicati'bn fora permit for the work herein specified,
agreeing to do all work in strict accordance with the City of.Fridley Ordinances
and ruliings of'the Department of Buildings, and hereby 1. declares that all,' -the facts
and represents tions stated'in'this application are true and correct.
DATE �; e _ �� SIGNATURE
(Schedule of Fee Costs can be found on the Reverse Side).
d�
r
,3,71%
City of Fridley, Minn. N° 8758
BUILDING PERMIT
Date: APRIL 11, 1966
Owner: JOHN NYLINE Builder SAME
Address 6731 MADISON STREET N.E. Address
FRIDLEY, MINNESOTA 55432
LOCATION OF BUILDING
No. 6731 Street MADISON STREET N.E. Part of Lot
Lot — 10 _ Block 4 Addition or Sub.Division RICE CREEK TERRACE, FLAT 6
Corner Lot __ Inside Lot __ Setback of house Sideyard 10'
Sewer Elevation Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
ATTACHED PORCH Front 13 Depth 14 Height 10 Sq, lit. 182 Cu. Ft. 1, 820
Front Depth Leight Sq. Ft. Cu. Ft.
Type of Construction FRAME Est. Cost _ $546. 00 _ To be Completed
In consideration of the issuance to me of a permit t 5%,1hT
a buil des a I agree to do
tha proposed work in accordance with the description ab ve in co c th provisions of
the city of Fridley. n 1 \
In consideration of the payment of a fee of $ 4.00 / , permit is hereby granted to JOHN NMINE
to construct the building or addition as described above. This permit is granted upon
The expondition that the person to whom it is granted and his agents, employees and workmen, in all work
:Lj�d nanduesota rethtylimits and ces.
ALLEN G. JENSEN Building Inspector
NOTICE:
16b pannb don mn MW tbo comsrocHon, hutal ndm for wmh& phimbieg, on hodtbm =war or wmr. Be s, to sao
tbo BdMbg huprator for pparm poems for dboa boon.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S
ADDRESS
S
OCATION OF BUILDING
N0.__aZ. STREET PART OF LOT
LOT BLOCK , ADDITION OR SUBDIVISION
CORNER LOT INSIDE LOT
SEWER
SIDE YARD ,l
FOUNDATION ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To be as;
Front - Z _Depth.// Height e
Sq. Ft. Cu. Ft.1 ���
Front
Depth Height
Sq. Ft. Cu. Ft.
Type of Construction- o�� Estimated Cost �Q-
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
(Schedule of Fee Costs can be found o t e Reverse Side).
SUBJECT
Cit of Fridle
y y
F?l3585
AT THE TOP OF THE TWINS
PERMIT
r
BUILDING
R IPT NO.
• COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
'
1
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
! CITY HALL FRIDLEY 55432
J 612-560-3450
910-F15
6/14/76
JOB ADDRESS 6731 Madison Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
10
4
Rice creek Terrace Plat .#6
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
John Nyline 6731 Madison Street N.E.
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO.
Homeowners Service 5942 Kentucky Avenue North, Crystal
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 a ALTERATION ❑ REPAIR
%
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Gutters, soffits and facia
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.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SQ. 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
$820.00
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
.50
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-
$6.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
$6.50
SIG ATUREOFCONTRACTORORAUTHORIZEOAGENT (DATE)
WHEN qROPERLY VALIDATED THIS IS YOUR PERMIT
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::_,TP11r1A! � `�L f pjP "T
BUILDER: %y 6 fY2 c� cacti (-C 3 e R
ADDRESS (� ��% �yjG xV,- ot� ADDRESS : ^% 4ia /gyphr�/ beep
NO: • G �_ STREET: 177441-Sd,,O /
LOT: le) BLOCK: 10/ ADDITION: �ee cle c'Ae,64C
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 r Be Used As:
A
,/fii "Id 'Front:
Depth: Height:
Square Feet: Cubic Feet:
Front:
Square Feet; Cubic Feet:
11 -A
$ 8-2 ��
Type of Construction: Estimated Cost.
To Be Completed:
loe
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in st-kict 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.
J
DATE: � SIGNATURE: r
(See Reverse Side For Additional Information.)
r
g d 'TZ 7?t c.
01
SUBJECT
PERM
City of Fridley
go, 17-896
AT THE TOP OF THE TWINS
BUILDING
PERMIT
RE
• ______ COMMUNITY DEVELOPMENT DIV.
v PROTECTIVE INSPECTION SEC.
1
r
_�
CITY HALL FRIDLEY 55432
REV.
DATE
PAGE OF
APP OVED BY
612-571-3450
[NUMBER
910-F15
4/8/85
JOB ADDRESS 6731 Madison Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
10
4
Rice Creek Terrace Plat
6 SHEET
2 PROPERTY OWNER MAILADDRESS
ZIP PHONE
John Nyline 6731 Madison Street N.E.
571-4716
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.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION 11 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroo£ Dwelling
9 CHANGEOFUSEFROM TO
STIPULATIONS
Roof can be the 2nd layer but not the 3rd. Install ridged galvanized
valleys.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
Asphalt
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
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
$1,200
$.60 "
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-
$20.50
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
LAN CHECK FEE
TOTALFEE
$21.10
SIG TUBE F CONTRACTOR OR AUTHORIZED AGENT (DATE)
-I-
NN WHEN PROPERLY VALIDATED THIS IS YOUR P RMIT
BLDG )NSR
n E
IG N A TORE OFOWNERI OWNER BUILDER) IDATEI
01
NEN [ ] City of Fridley Effective 4/1/84
ADDN. [ J R-1 AND R-2
ALTER. [ ] Building Permit Application
Construction Address
O
Legal Description:
Owner Name a Address: ���% s��a'�- Tel. #
Contractor
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 Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER:
Corner Lot [ ] Inside Lot [ve
t. d. tback Side Yard Setback
Type of Construction: J Estimated Cost: $
Approx. Completion Date: 4- —
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $ $
See Back Page for Explanation
DATE: APPLICANT: Tel. #Z -W/
CITY
Permit Fee $ c?,C)--S.-b Fee Schedule on Reverse Side
Plan Check $ 25% of Building Permit Fee
State Surcharge $ 6r) $.50/$1,000 Valuation
SAC Charge $ $425 per SAC Unit
Park Fee $ Fee Determined by Engineering
Sever Main Charge $
�/ / Agreement Necessary [ ] Not Necessary [ ]
TOTAL $
STIPULATIONS:
f
CIIYOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287
R,
June 1, 1999
John Nyline
6731 Madison Street NE
Fridley, MN 55432
Re: Final inspection at 6731 Madison Street NE
Contractor: Airco Htg. & AC
Dear Mr. Nyline:
A mechanical permit was issued on June 8, 1998 for the property located at 6731
Madison Street NE for a new furnace and air conditioner. According to Section 305(a)
of the 1991 Uniform Mechanical Code a final inspection shall be performed on the
mechanical permit. As of this date no inspection has been called for.
You will be given thirty (30) days from receipt of this notice to respond. If we do not
hear from you, we will expire the permit and any inspections on this installation will
require a new permit.
Any questions can be addressed to myself at (612) 572-3603.
Sincerely,
Barry Riesch
Building Inspector
N
CITY OF FRIDLEY INSPECTION DIVISION
Effective On January 1, 1998
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, e f y
572-3604 REFRIGERATION
AND
AIR CONDITIONING
SYSTEMS AND DEVICES
JOB ADDRESS6 ;2J1
RATE SCHEDULE
The undersigned hereby makes application for a permit for the work herein
Residential
Rate
TOTAL
specified agreeing to do all work in strict accordance with the City Codes and
Furnace Shell and Duct Work, Burner —
rulings of the Building Division, and hereby declares that all the facts and
Also Replacement Furnace
$ 30.00
representations stated in this application re true and correct.
(Side Vent —Fill Out Back)
u 1998
Gas Piping (Needed with new furnace)
$10.00
$ /O. 10
OWNER i
Gas Range
$10.00
$
_
BUILDING USED AS
Gas Dryer
$10.00
$
l
ESTIMATED COST PERMIT NO. < ��
*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
DESCRIPTION OF FURNACE AND OR BURNER
$ No. of Heating Units_, Circle One (Steam) (Hot Water arm Air
Trade Name dgiZi_y. Size No.;7a, aa® .
BTU O ® HP EDR
$ Fuel --5 Total Connected Load
$ .50
MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION
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.
Burner Trade Name
BTU
Size No.
HP EDR
HEATING • `.,
Signed By No. 2 11
Approved By AA Rough—In Date 4ApFinal Date AMP
FILL OUT BACK SIDE FOR STACK VERIFICATION ON
REPLACEMENT FURNACE
CHEWNEY 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
3. Has no foreign objects lodged within
4. Is securely supported
Yes (/No ( )
Yes () ) No (�
Yes (V� No ( )
5. Meets all current Code requirements for size
and total BTU's connected Yes (WNo ( )
6 Has total heating BTU's of /l, a
All other BTU's 3
TOTAL BTU's d
7. Has a liner been provided for water heater
8. Has combustion air been provided for water heater
Remarks:
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
Yes (vy'No ( )
Yes (4 No ( )
City of Fridley
AT THE TOP OF THE TWINS
SUBJECT
BUILDING
PERMIT
410WIT- NO- ._
27587
r
COMMUNITY DEVELOPMENT DIV.
r E PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
612-571-3450
RECEIPT
NUMBER
910415
REV
DATE
9/4/98
PAGE OF
APPROVED BY
JOB ADDRESS
6731 Madison Street NE
1 LEGAL
DESCR.
LOT NO.
10
BLOCK
4
TRACT OR ADDITION
1 Rice Creek Terrace Plat 6
SEE ATTACHED
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Doris N line
571-4216
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Nutzmann Bros. Const 736 Ist Ave628-Q12A
20043453
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 Jac REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
Reroof house and izarajZe 29 S Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
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
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
ZONING
SO. FT.
CU. FT.
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
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
VALUATION
SURTAX
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
2485
$1.24
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.
$74.75
Fire SC $2.48
—�
PLAN CHECK FEE
TOTAL FEE
�License
SC $5.0
83.47
SIGNATURE OF CON' ACTOR OR AUTHORIZEDAGENT (DATE10
7WHEN PROPERPIVALIDATED
BIAG INSPo
THIS IS YOUR PERMIT
GATE
SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 ,q
BUILDING PERMIT APPLICATION 1 ��
ConstructionAddress:
Legal Description:
Owner Name & Address: �, , %,,,s>y��,,-,, ,� �5� Tel. # T71
Contractor:/��, ry, a„� ��, roS . MN LICENSE
Address: %75- j , G -e Tel. #
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:
U-11 �/ s
Construction Type: ��•�.� ��� Estimated Cost: $
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
DATE: l L/ y APPLICANT: Tel.
CITY USE ONLY
Permit Fee
$ ` f
Fee Schedule on Reverse Side
Fire Surcharge
$ Y2
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$ bO
$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
$ —3,
STIPULATIONS:
l (d %�
SUBJECT
P
City of Fridley
T�'8'903
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
E
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
s
I �
1
NUMBER
REv
OATS
PAGE OF
APPROVED By
CITY HALL FRIDLEY 55432
612-571-3450
9t0-Ft5
2/8/99
JOB ADDRESS
6731 Madison Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
10
4
Rice Creek Terrace Plat 6
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Doris N line 6731 Madison St NE
571-4216
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Nutzmann Bros Construction 736 1 Ave NW New Brighton MN 55112 628-0128
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO.
20043453
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑
❑ NEW ❑ ADDITION ❑ ALTERATION X REPAIR
X
❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Reside House
9 CHANGE OF USE FROM TO
STIPULATIONS
Call for building wrap inspection before covering.
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
@
$3.75
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$7500
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CO
Fire SC $7.50
STRUCTION OR THE PERFORMANCE OF ONSTRUCTION
$137.25
PLAN CHECK FEE
TOTALFEE
7�!'�GN.T..lOF �.T.O..11.
License SC $5.00
$153.50
CON'RACT OR AGENT i TE-
WHEN PROPERLY V IDATED
.BLit NSP
THIS IS YOUR PERMIT
f�AiE
S,GNATURE OF OVVNEAoF OWNER BUILDERk iDATEi
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �uo
BUILDING PERMIT APPLICATION a-
ConstructionAddress: (� 1 .✓U i ���'J� 'S `�`'-3�
Legal Description: ,� }
Owner Name & Address: / v Tel. #-(12 -,57/- yZ/�
Contractor: 34- y, (//vim MN LICENSE # Z 610 �t 3 ��
Address: —1' - M Lj 1922VSSS / �� Tel. # / -(� Z�- �/!—�
Attach to this application a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF DIPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER:
r �
Construction Type: l� a6PEstimated Cost: $
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
DATE: APPLICANT:
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
. STIPULATIONS:
Tel. #-V2- - (2 9. n 127
CITY USE ONLY
<
$ 3-7, 2
Fee Schedule on Reverse Side
$ -7 �U
.001 of Permit Valuation (1/10th%)
$
$.50/$1,000 Valuation
$
$1000 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 [ J
TY OF FRIDLEY INSPECTION DIViSION
Effective On January 1. 2001
31 University Ave NE
idley, MN 55432 APPLICATION
FOR POWER PLANTS AND HEATING, COOLING, VENTILATION.
m :3.572.3604
REFRIGERATION AND AIR CONDITIONING SYSTEMS ARID DEVICES
a
6-71-2:)\
JOB ADDRESS
m FtATE SCHEDULE
OWNER
:sidentlat
Rate
TOTAL
urnace Shell and Duct Work, Burner -
BUILDING USEDAS %vC�
Jso Replacement Furnace
$ 30.00
$
(Side Vent - Fill Out Back)
ESTIMATED COST PERMIT NO.
ias Piping (Needed with new fumace,
$ 10.00
$
but not replacement)
A'SCRIPTION OF FURNACE ANO OR -BURNER
:as Range
$ 10.00
o
No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air)
%as Dryer
$ 10.00
$
Trade Name Size No.
BTU HP I £DR
%ir Conditioning - All Sizes
$ 25.00
$
Fuel Total Connected Load
A Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work
imrnercial/Industrial
i .25% of Value of Appliance or Work
w
0
u
State Surcharge
TOTAL FEE
E
INIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
:FRIGERATIOWAIR CONDITIONING PERMIT IS $25.00
.US THE E.50 STATE SURCHARGE
v
:INSPECTION FEE $47.00/Hr
it Conditioners can not be placed in a side yard without
itten permission from adjoining property owner.
w
N
S
$ .50
$Z-5
Burner Trade Name Size No.
BTU HP MR
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
representations stated in this application are true and correct.
01
DATE 9-.2 (�� -0 /
H EATI NG CO �\' � v-= * 4.Scsz-ta �� 1.A r. k)m--�
Signed ,�,TEL # L-1 f61^OSC�J
Approved By Rough. In Date Final Date
COMBUSTION AIR VERIFICATION