PRE 2010 DOCSBUILDING PERMIT
Village of Fridley, Minn. N? 2488
Date +�•.p...V........................
'
Owner 1Builder ..0f�4f ....................... .
'tOA
t
Address"! i+ti �`+'rl:a�7E .......... Address .........................................
LOCATION,, OF BUILDING
No, .��. `40. ..... Street ,C�,�r� •.A✓!• • • •, . ............ Part of Lot . ..................
Lot ....... ....... Block. ................ Addition or Sub -Division .................
I..............
Corner Lot ............ Inside Lot ............ Setback %7 .� Sideyard ...............
DESCRIPTION OF BUILDING
To be Used as:
or ...... Front �.! Depth Height ... Sq. Ft.. „w"I.+r9 Cu. Ft. ........
.................... Front ........ Depth ........ Height ..... Sq. Ft. ...... Cu. Ft.........
AP
Type of Construction ,i;+�`4-4- � .. Est. Cost 8+t? ? ....... To be Completed .16
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 forth and in compliance with all provisions of
ordinances of the village of Fridley.
PY y`
In consideration ofthe payment of a fee of $... ,�",.. , pe t is h reby .ranted to . .
...;;... to construct the building or ad dition as described above. ermit i granted upon
express condition that the person to whom it is granted and his agents, employeesland 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, Arumesota regarding location, construction, alteration, maintenance, repair and moving of buildings with-
in the village limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances. 'A if "n -
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.
0
BUILDING PERMIT
Village of Fridley, Minn.
Date..�J .tib . ...........................
Owner J. �.... JK� ) .............
Address...: /,!. ^ !Y�... ........... .
N° 2947
'Builder ... �� 5'� ...' �q . /.�, ............ .
Address �. ..: !! 1 CIa 1 p!!1... %. ...... .
f' LOCATION OF BUILDING
No. ..... ?� % ®.. Street .....M 0, ! .!n.... .................. Part of Lot .... ..............
Lot ................ Block ................ Addition or Sub -Division ..... ZC?.............................
Corner Lot ............ Inside Lot ..... Setback ............ Sideyard ..........................
DESCRIPTION OF BUILDING
To be Used as:
Y
Too.)... S4�I
9_ . . Front ..t9 �! .. Depth ..W.. �.. Height .. I..... Sq. Ft.. .0.0. Cu. Ft. ........
.................... Front ........ Depth ........ Height ......... Sq. Ft......... Cu. Ft. ........
0
Type of Construction .............. Est Cost . 70.0 ................ To be Completed .. G/YI'I.$0.......
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 f} and in compliance with all provisions of
ordinances of the village of Fridley.
..... LV,..4Y5QP-....,r:. (A.. F-/. � .�.r• „r•_Jr,rd or.......... .
�r
�} coderation of the payment of a fee of $.� . permit is here y ted to , s.�............... .
... IiG . k .vim......... to construct the building or addition as desc a 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 village limits and this permit may be revoked at anyjtw-Von violation of any of the provisions of said
ordinances.
... ... 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.
ra
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572-3604
PLUMBING FIXTURE RATES
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
Beth Wash dPitt�t FlcorII
h Auto.Urinal 7rfa' Shower :Sink Tray i+.awriL .':Draint Washer
NO. RATE TOTAL
New Fixtures
$ 7.00
Old Opening, New Fixture
$ 4.00 —�
Beer Dispenser
$ 5.00
Blow ON 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**
$10,00
Gas Range*"
$10.00
Gas Dryer**
$10.0 D
Back Flow Preventer Required ( )Yes
Type
$15.00
Reinspection Fee $42,00/Hr
U' ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
ru 1.59E of Value of Fixture or Appliance
m
ry
State Surcharge
TOTAL FEE
L—.50
Effective On March 1, 1996
J
Q
Gas
t..
Water HeaterRangeI;'s Gas Elec
JOB ADDRESS
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 an correct.
Owner
7
Building Used As
Estimated Cost PERMIT NO._ 16_V
PLUMBING COMPANY
SIGNED BY TEL N0, -jam- 3S'Y_J
Approved By 16=4 Rough—rn Date Final Date
$
4�� rrIn'"11MUM t* r= rvfl ANY PLUMBING
PLUS THE�.5G STATIE SURCHARGE
**COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SO INCHES.
53-84-s-915.51
MOUEGA3C0 Cify of Fridloy
APA1icatlon for Plumbing and G= Riiong Permit
- Dept. of Bldga. Phone 5£0.3450
DESCRIPTION OF WO171M. _ 4140 N.- E. Main Street
Nutnbb4r, Kind and Locrtion of Fixtures Loca te
WATER NTM. City of Fridley:
O I l
y
NO. RATE TOTAL
T
i
M
v
x $1.50
8 n
S
005 3�
u
u.
t�f
YZ
08
O
/
•
M
WS
tuG
Barr
New Ground Run Old Bldg:........
x $3.25
$
Electric We* or Hoatair......:........
s $2.00
S
W-1 FITTING FEES:
NO. RATE TOTAL
1st3Fixtures ..... •••••'•••••••
x$2.00
$ ,
z st
1
Znd
3rd
4th
• Futuro Conn"rices Gpznings ""-
$+ewes
s X&w F`ix:urv. Old Openings CCUP001
PARTIAL RATE SCHEDULE
PLM4BtNG FIXTURE RATES:
NO. RATE TOTAL
Number Fixtures .........:.......
x $2.00.
$•.�._._
Future Fixture Opening .............
x $1.50
S -
.
New Fixture Old Opening.....:....
x $$1.p5p0
$_.-_
Catch Basin • .. • ..... a ... • • • s e a e
X 33.25
$---��
Water Beater '.Up to 99,000 BTU) • • • •
x $3.00
$
New Ground Run Old Bldg:........
x $3.25
$
Electric We* or Hoatair......:........
s $2.00
S
W-1 FITTING FEES:
NO. RATE TOTAL
1st3Fixtures ..... •••••'•••••••
x$2.00
$ ,
The undersigned hereby makes application for a permit for the work her ei
specified, agreeing to do all work in strict accordance with the City Ordinance
and ruling of the Department of Buildings; and hereby declares that all the fad
and representations stated in this application are true and correct"
Fridley, Minn 11-11-75 19.
Owner Richard W. Peasley
Kind of Building Frame
Used as Res. = To be completed about 11-18-75
Estimated Cost, $ 10.00
Old --C Building Permit No. Permit No.
Signed -�'�
By MIWM .Act+,n -
Business Phone No
ROUGH
FINAL - 7 4.
.50 Stratf- Surcharge
TOTAL5—--
!Class "PC 'Surcharge..500
i
SUBJECT
PE
City of Fridley
00108
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
EIPT NO.
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
r
NUMBER
AEV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
L 612-571-3450
910415
8/24/99
JOB ADDRESS
4140 Main Street NE
1 LEGAL
LOT NO. Pt. 4
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
Parcels 670V750
Auditor's Subdivision #39
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Cindy Peasley
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Owner
a 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 (MX REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house (15 Sq) 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
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
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
$1311
.66
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
$50.95
Fire SC $1.31
PLAN CHECK FE
TOTAI EE
92
Y7��E OF CON TAAC TOA OR AUTHORIZED AGENT (DATE,
N PMOPELIDATEWHIS R P M
I AA P10 I A4
a,1O.141R,&UL.41R,
SP
nAtE
�.GNATUAE OF O E IDATE
NEW [ ] Effective 5/10/99
ADDN [ ] CITY OF FRIDLEY f t
ALTER [ ] SINGLE FAAMY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address: ( MC%-
Legal Description:
Owner Name & Address:
Address:
LIVING AREA:
GARAGE AREA:.
DECK AREA:
OTHER:
Construction Type:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
0 -
Tel. #
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length Width Hgt/Ground Sq. Ft.
Driveway Curb Cut Width Needed:
Estimated Cost: $ /a(/
Ft. + 6 Ft = Ft x $
DATE: `���il f q �l APPLICANT: Tel. #
Permit Fee $ SD - qS
Fire Surcharge
$ /. 3
State Surcharge
$ (o %
SAC Charge
$
License. Surcharge
$
Driveway Escrow
$
Erosion Control
$
Park Fee
$
Sewer Main Charge $
TOTAL $_5,2- 9Z
STIPULATIONS:
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1050 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 [ ]