PRE 2010 DOCSt
City of Fridley, Minn.
BUII'LDING PERMIT N® 3264
Date: .....:: .. ...`....................
Owner ....................................... Builder .......... ...:.......`...............
t
Address...... Address .... .........................................
LOCATION OF BUILDING
N . :........ pp . Street . . i.7 ...'.:.:....................... Part of I;tee.., � . .. .
Lot .1.. Block ... 9. ...... .. Addition or Sub -Division ....
Corner Lot ............ Inside Lot ............ Setback .::.i...... Sideyard .......
DESCRIPTION OF BUILDING
To bbUsed as: z f
.�............ Front � 1 .. ... Depth .. Height .... .r.. Sq. Ft. .... Cu. Ft.� :..:. �V
.................... Front ..... • . Depth ........ Height ..... Sq. Ft P ..... Cu. Ft ........
Type of Construction .. : ° :....: :.. Bat. Cost.. y7....�'............. To be Completed fes:.:.. �........ .
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.
....................................................
' - e iv
In consideration of the payment of a fee of $ ... ...:, permit is hereby granted to ................
0
......................... 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.
Bufl5pg 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.
I
City of Fridley, Minn..
BUHDING PERMIT N? 6781
XA�•�
� h
Y
L DATIONj3UILDING
No. Street PartA I.o
Lot Z__ Block Addition or Sub- on
Corner Lot W Inside Lot -- Setback Sideyard
Sewer Elevation Foltdation Elevation
DESCRIPTION OF BUILDING
To
Front Depth Height Sq. Ft. Cu. Ft.
Fropt DepthHeight /_, Sq. Ft. Cu. Ft.
t.
Type of Construction Fs'C�1 __ Tobe Completed
ir
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 ford ;!:,in n2 with all provisions of
ordinances of the city of Fridley. d�-�
In consideration of the payment of a fee of $ 7 , 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 reg location, construction, alteration, maintenance, repair and moving of buildings
within the city limits andthis permit may be revoked at any time uponvioja�Qn of any of the provisions of said
ordinances. — � 6 i
Building Inspector
NOTICE:
This psrmh doss not cover the construction, hwtalldion for wWmg, phnnbing, on hating, s wer or water. Be sun to no
tin Building Inspector for aparate permits for these items.
City of Fridley 53-84-x915.51
Application for Phmddng and Gat F100" Pa
Dept. of Ridge. Phone 8®04480
DESCRIPTION OF WORN Ttim 6857 ME. Madison St.
Number, Kind and Location of Fixtures
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ................ x $2.00 $
Future Fixture Opening ........... x $1.50 $ _
New Fixture Old Opening .......... x $1.50 $
Catch Basin .................... x $3.25 $
Water Heater (Up to 99,000 BTU) .... x $3.00 $
New Ground Run Old Bldg........ .
Electric Water Healer ..............
GAS FITTING FEES:
1st 3 Fixtures ..................
Additional FSxtures ................
Gas Range to 199,000 BTU ...............
install (l gas grill
S► O
REPAIRS B ALT—Refer to Code
_ x $3.25 $
. _ _ $2.00 $
NO. RATE TOTAL
1 x $2.00 ; 2.00
—x$.76 ;
— x $6.00 $
3.00
City of Fridley:
The .undersigned hereby makes application for a permit for then 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 ally the fact
and representations stated in this application are true and correct
Fridley, Minn Ap-ri l 20- 1972 -1 19,
Owner F:lmPr Hnnnnri
Kind of Building fraW
Used as residence
To be completed about MAY 1 • 1972
Estimated Cost, $
Old gNew. Building Permit No. Permit No. %
Signe
By --•-
Business Phune No
ROUGH
FINAL ,
Description ............................................. ,f
TOTAL F13E s 5.00 GWS "k' Surcharge .500
U
7
FFF
d
C �S
�i�777111
U
`
O
V
e
e
WATER WM.
GAS
ELEC.
Base
1st
2nd
3rd
4th
-TuRuro
Connecdoa Openings
* New Fixture. Old Openings
Connect" with
Sewer
a
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ................ x $2.00 $
Future Fixture Opening ........... x $1.50 $ _
New Fixture Old Opening .......... x $1.50 $
Catch Basin .................... x $3.25 $
Water Heater (Up to 99,000 BTU) .... x $3.00 $
New Ground Run Old Bldg........ .
Electric Water Healer ..............
GAS FITTING FEES:
1st 3 Fixtures ..................
Additional FSxtures ................
Gas Range to 199,000 BTU ...............
install (l gas grill
S► O
REPAIRS B ALT—Refer to Code
_ x $3.25 $
. _ _ $2.00 $
NO. RATE TOTAL
1 x $2.00 ; 2.00
—x$.76 ;
— x $6.00 $
3.00
City of Fridley:
The .undersigned hereby makes application for a permit for then 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 ally the fact
and representations stated in this application are true and correct
Fridley, Minn Ap-ri l 20- 1972 -1 19,
Owner F:lmPr Hnnnnri
Kind of Building fraW
Used as residence
To be completed about MAY 1 • 1972
Estimated Cost, $
Old gNew. Building Permit No. Permit No. %
Signe
By --•-
Business Phune No
ROUGH
FINAL ,
Description ............................................. ,f
TOTAL F13E s 5.00 GWS "k' Surcharge .500
I
CITY OF FRIDL.EY INSPECTKON DIVISION
" I ` '
Effective On January 1, 1998
6431 University Ave NE
Fridley, MN 55432 AP'PUCATION FOR POWM PUNTS AND HEATING, COOLING VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
JOB ADDRESS
RATE SCHEDULE
The undersigned hereby makes application for a pwn! for the work herein
Residential
Hate
TOTAL
specified agreeing to do all work in strict accordance with the City Codes and
Furnace Shell and Duct Work, Bumer -
rulings of the Building Division, and hereby declares that all the and
Also Replacement Fumace
$ 30.00
$
representations stated in the anion are true and gorrect.
(Side Vent - Fill Out Back)
,19W
Gas Piping (Needed with now furnace)
$10.00
$
OWNER
Gas Range
$10.00
$
BUILDING USED AS_!'.'�
Gas oryer
$14.00
$
ES'3tAAAiED COST 3'9� ca PERMIT N0.
*Air Conditioning - All Sixes
$ 25.00
$ J®D
DESCRIPTION OF FURNACE AND OR BURNER
All Others/Repairs & Alterations (UST ON BACK)
I% of Value of Appliance or Work
$
No. of Heating Units Circle One (Steam) (hot Water) (Warm Air)
Trade Name Size No.
Cormmercialfindustdal
BTU HP EDR
1.25% of Value of Appliance or Work
$
Fuel Total Connected Load
State Surcharge
TOTAL FEE
$ .50
NNIMUM FEE FOR ANY HE&9N9ICOO1L1NG/V9c1TILATION
REFRRIR COMMIONING PffMT iS $25.00
PLUS THE s.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr
*Air Conditioners can not be placed in a side yard witirout
wrrW permission from adjoining property owner.
Burner Trade Name Size No.
BTU 'Lip D;-
FEATINGOOhFMY��it/ aw r�� ♦ l ,�
Signed
Approved
L Date Final Do
FILL OUT • • ON ON
cv
7
HEA
Date:
W.
_.Z I.i P7NO
end; rsigned hereby verifies that the existing chimney or stack:
Has been carefully examined Yes () No ( )
Is frets from rust or deterioration Yes ( ) No ( )
Has,, no foreign objects lodged within Yes (} No ( )
Is securely supported Yes { } No { )
Meets all current Code requirements for size
and total BTU's connected Yes () No ( )
Has total heating BTU's of
All other BTU's
TOTAL BTU's
Has liner been provided for water heater 'Yes (} No ( )
Has combustion air been provided for water heater Yes {) No ( )
rks:
NG CO:
By:
7
SUBJECT
PE
City of Fridley
2 6 512
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
yA
� . I
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
'•j
612-571-3450
910-F15
7-8-98
JOB ADDRESS 6857 Madison Street nE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
1
1
Rice Creek Terrace Plat 6
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
572-0877
Tim Pettit
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Four Seasons Roofing & Remodeling, 7930 University Ave, 55432, 795-9410 20138780
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR O MOVE ❑ REMOVE
8 DESCRIBE WORK
Remove and replace roof (24 Sq) - tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with 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
1
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
$2 001
$1.00
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-
TI OR THI,_2EAFORMANCE OF CONSTRUCTION.
$74.75
Fire SC $2.00
PLAN CHECK FEE
FEE
2.75
r.
9TOTAL
5.
SIGNATURE OF CONT(VOR OR AUTHORIZED AGENT IDATEI
EN ROP
g INSP
L ALIDAT THI IS R PERMIT
�� -
gATE
SIGNATURE OF OWNERIIF OWNER BUILDERI IDATEI
7
NEW [ ] Effective 1/1/98
ADDN [ ] CITY; OF FRIDLEY
ALTER [) j SINGLE FAMILY -AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress:226 Di56,n _'54-.- Ad F—
Legal Description:
Owner Name & Address: -rl M Tel. # 7i
Contractor: ryr,,Se,!:2.sons Rf6 ngdj e rr►o de i,,� L Gly MN LICENSE # �� 3�`7�3�
Address:. 7q36 U0 r V,6_, 5I iL1 4yg lyel 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/Grrround Sq. Ft.
OTHER: e ii'tbv� �- �� ��r F>> ��f �� c�� SI'1► I
Construction Type: 1M 6ye_S�_�D�cC� Estimated Cost: $
(Fee Schedule, on Back),
Driveway Curb Cut Width Needed:
Ft.' + 6 Ft =
Ft x $ = $
DATE:. q— APPLICANT: Q4.PV1VZ�- Tel #
CITY USE ONLY
Permit Fee
$ , d ��
Fee Schedule on Reverse Side
Fire Surcharge
$
y,.001 of Permit Valuation (1/10th%)
State Surcharge
$ /,6.0
$.50/$1;000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$ E: 00
$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
STIPULATIONS: