PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMITN® s 14 v
owow: Builder e54�__'o
Address Address
,�/ LOWN UILDING
No. Street Part of Lot
Lot _ _ __ 81ock Addition or Sub- on
Corner Lot — Inside Lot — **back Sideyard
Sewer Elevation -- F dation Elevation
DESCRIPTION OF BUILDING
T���
U
�Front Depth Height Sq. Ft. _ G Cu. Ft. �
t Depth freight Sq. Ft. Cu. Ft.
Type of Constructs ey� Est.w��To be Completed
30,
A
k
In consideration of the issuance to me of a permit to construct the building described above, Ido to do
the proposed work in accordance with the description above set forth and in compliance with all provisions of
ordinances oP the city of Fridley.
In consideration of the payment of a fee of $�e"'"' , 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 regardinglocation, conatruccttlon, alteration, maintenance, repair and moving of buildings
oWithin the
rdinances. city limits and this permit may be revoked at any time upon v1o>s"tf any of the Provisions of said
Building Inspector
NOTICE:
Tds permb does not cover the constrween, humBa8en for vrkba phnAlno, on heather, sewer or grater. Bo sura to ae
the Bntldba bwoftr for apwate permtb for thea items.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
Owner's Name /JA Builder
r
Address3"/j� i 4 _ Address
T
LOCATION OF BUILDING
P
No. Street ��ir Part of Lot
Lot Block Addition or Subdivision
Corner Lot Inside Lot 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.
DESCRIPTION OF BUILDING
To be us as:
Front DepthHeight
Sq. Ft._ Cu, Ft.�-
-Front Depth Height
Sq, Ft. Cu. Ft.
Type of Construction 441441.e Estimated Cost !3 49e.
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 %t /G' SIGNATURE1Y
(Schedule of Fee Costs can be found on the Reverse Side).
r ' F
Application for Power Plants and Heating. Cooling, Ventilation, Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR:
RATE
TOTAL
Furnace Shell & Duct Work ...........................
$10.00
$
Replacement of Furnace .............................
6.00
$
Repairs & Alterations—up to $500.00 ..................
6.00
$
Repairs & Alterations each add. $500.00 ...............
3.00
$
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $
each add. 60,000 BTU ....................... 3.00 $
Replacement of Furnace ............................. 6.00 $ • eo
Repairs & Alterations—up to $500.00 ................. 6.00 $
Repairs & Alterations each add. $500.00 .............. 3.00 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $
Each add. 200 sq. ft. EDR Steam ...................... 3.00 $
Each add. 320 sq. ft. EDR Hot Water . 3.00 $
OIL BURNER—to 3 gal. per hour ........................ 6.00 $
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to 199,000 BTU) ....................... 5.00 $ 1-15,10
over 199,000 BTU See Fee Schedule
GAS FITTING FEES: NO RATE L
1st 3 Fixtures x$ 2.00 $
Additional Fixtures ................. x .75 $
Gas Range to 199,000 ........... x$ 5.00 $
Dept. of Bldgs. Phone 560-3480
Location 5-16 �
City of Fridley:
The undersigned hereby makes application for a permit for the work hereir.
specified, agreeing to do all work in strict accordance with the City Ordinances
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and correct.
Fridley, Minn /M11-ck -�6 '1962
Owner sn-uaJ
Kind of Building
Used as 4L�K
To be completed about —
Estimated Cost, $
Ol LNew. Building Permit No. Permit No.
DESCRIPTION OF WORK
HEATING or PO ER.PLANTS-Steam, Hot Water, Warm Air—No
s
Trade Nam Size No 1-721 d-4.,
Capacity a Sq. Ft. E.D.R BTU—/f.5,r 4VQ M.P.
Total Connected Load `r a i , Rind of Fu
BURNER — Trade Namp Size No
Capacity Sq. Ft. E.DR BTU H.P.
AIR CONDITIONING $
FAN HEATING SYSTEM See Fee Schedule
VENTILATING SYSTEM $
ALTERATIONS & REPAIRS TOTAL FEE
ROUGH
eQD042
FINAL
(REMARKS—OVER)
T MTta wffl...
�l y
: F _
Original
PERMIT for Power ,ants and Pleating. Cool=
ing. Ventilation, Refrigeration and Air
Conditioning Systems and Devices
DESCRIPTION OF WORK
No. of Heating Plants to be ' tape ltered—repaired
Make
Oil fired ; Cil fired ; Gas fired ; Gas Authorization No.
Remarks
Approved
Final Inspection Date , 19_
,Inspector
Permit N° 4432
Fee $ /
Office of the Inspector of Buildings
City of `Fridley
City of Fridley, Minn. /" ��, 19- Z-7
Owner
Location .T/67
Kind of Buildi
How Occupied -
Work to be Commenced °3 Af ,19-19�!
To be Completed 9
Estimated Cost,
Old -New, Building Permit No.
Permission is hereby granted to `-- L-0 . to install—erect—use the material and devices described in the
above statement. This permit is granted upon &e express condition that the persoh to whom it is granted, and his agents, employees and workmen, in all the work
done and materials used under this permit, and in the operation of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley
relating to or governing the work to be done and the operation of the devices herein named, and to the speciftcatt)yns set forth in the approved application for this
permit on file in the office of the Inspector of Buildings.
Inspector of Buildings
42 zM 11-67 v
City of Fridley, Minn. 1 5
6431 University Ave. N.E., Minneapolis, Minn. 55432
BUILDING PERMIT
Date: Ang.Ust 3, 1972
Owner: __ Joseph Tapsak Builder Same
Address ississippi Street N.E. Address Same
Sid
No. .____ _ _ Street
Lot Pa
1L
LOCATION OF BUILDING
Mississippi Street N.E. part of Lot
—__...___ - Addition or Sub -Division Section 14
Corner Lot ___.._._____ _ Inside Lot X Setback ____ Sideyard
Sewer Elevation Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
Resplash House with stu ffcchnt Depth Height Sq. Ft. Cu. Ft.
Front ._ Depth Height - Sq. Ft. Cu. Ft.
Type of construction ._._......_S urzco Est, cost 1 000, 00 To be Completed 1 month
In consideration of the issuance to me of a permit to construct the building described above I agree tq do
the proposed work in accordance with the description above set forth and in compliance with ah provisions of
ordinances of the city of Fridley. - , _ A
In consideration of the payment of a fee of $ 6.00 , permit is hereby granted to Wrc _ _ osap1, mspsak
to construct the building or addition as described above. Thispermit 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 buildiIIgs
within cee city limits and this permit may be revoked at any time upon violation of any of the provisions ofordinansaid
s
s.
ARF.Nt?F. BELISLE .
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas heating,_ sewer or water. Be sure to see
the Building Inspector for separate permits for these items.
Fri
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER IS NAM: - ,J—o ,4jLs A k BUILDER:
ADDRESS: S_/Q i --54' ADDRESS:
NA:. -5-1 0, STREET: /�/ SS/SS/
n
LOT • 6a0 BLOCK: ADDITION:(..,�
CORNER LOT: INSIDE LOT :SETBACK: SIDEYARDS
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:
A91L.,d,ALJ c Lu Front • Depth • Height •
Square Feet: Cubic Feet:
' Front: Depth: Height;
Square Feet; Cubic Feet: /
Type of Construction: _,dZ c Estimated Cost: $ (, ��• �'
To Be Completed:
The undersigned hereby makes application for a permit for tine work bergin
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 applioetion
are true and correct.
DATE / / 9 SIGNATURE: -
(See Reverse Side For Additional Information.)
JV
01,
suBJEcrERM
City of Fridley
®12509
AT THE TOP OF THE TWINS
PERMIT
r
S �
BUILDING
REC
�------� COMMUNITY DEVELOPMENT DIV.
y-
r � � PROTECTIVE INSPECTION SEC.
/ 2
�� �/
1
y7
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
IL ,`J
L ----A 612-560-3450
910-F15
4/26/74
JOB ADDRESS
510 Mississippi Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
Parcel %6
O
SHEET
1 Section
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Joseph Ta sak 510 Mi-g-gissippi Street N -E-
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 ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK Construct a 16' x 24' Addition to existing garage
9 CHANGE OF USE FROM TO
STIPULATIONS Provide a hard surface driveway. Stucco addition to match existing
garage exterior.
SEpERATE PERMITS REQUIRED FOR WIRING,
HEATING, PLUMBING AND SIGNS.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
Wood Frame
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
I
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
$1,100
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMITF E
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
7.50
PLAN CHECK FEE
TOTALFEE
.�X .- L -e- e-2—?�
$8.51
SIG U OF NTR T UTHORIZEDAGENT (DATE)
WH PRO E L ID TED THIS IS Y ,UR PERMIT
)NSP DATE
SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI
01,
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME: Lk 5eQ0// T//f'si}k BUILDER:
ADDRESS:- 0 IV 15 S 155 j1YI ::� j' ADDRESS:
NO:. STREET: S/G' 1m15_51551,,1,1 S 7
�� r)6(
LOT: BLOCK: ADDITION:
CORNER LOT: INSIDE LO`f:��SETBACK: SIDEYARD:
MErTS _�' &0 k Sirc. iq *T'3 c, R a�
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:
6A 'X E� Front: Depth: • `�
p Height • �J
Square Feet: 3r� y Cubic Feet: �� G 7�
Front: Depth: Height:
Square Feet; Cubic Feet:
Type of Construction:4cCX- _Q P 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:
A/�%Ji ,
2-1
-,7`1 SIGNATURE: 4
Aon.)
(See
Reverse
Side
10,
For Additional Informa
P��vw��
. Sc,►� ��x I.v�
k Llce
vvti ss ss t P !p ► <T`a-r CIC .
Slv 1'Y?l sS�S�lP-0)
C
owner of the property located
at _)GV A'115515 -1f.!21 15," JZ have no objection to the. City
allowing the construction -of a LA-jf x - A012i ZL41 to be located at*
without the required certificate of
survey that the City ordinarily requires for all new construction.
r
Signed
D
Address
b�
2, Z
Date
Witness
r
suB.lEcr
PERMIT NO.
City of Fridley
• 88
AT THE TOP OF THE TWINS
PERMIT
r
BUILDING
RECEIPT NO
�
______ COMMUNITY DEVELOPMENT DIV.
~
, PROTECTIVE INSPECTION SEC.
7,Rr ��
I
NUMBER
REV.
DATE
PAGEL OF
APPROVED By
CITY HALL FRIDLEY 55432
612-560-3450
910-F15
8/31/78
JOB ADDRESS 510 Mississippi Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
Parcel 7.6
O
Section 14 SHEET
2 PROPERTY OWNER MAILADDRESS ZIP PHONE
Joe Taps.ak 510 Mississippi Street N.E.
3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO.
Twin City Storm 2641 Louisiana Avenue 927-6534
4 ARCHITECT OR DESIGNER MAILADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW 0 ADDITION 4 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Install aluminum trim
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
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
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,
$1,500
$.75
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-
$9.00
STRUCTIOrORR E PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
$9.75
SIGNATURE OF CONTRACTOR OR AUTHORIZ AGENT (DATE)
WHEN PROPE VALID
T D THIS IS YOUR PERMIT
r
_ (9-31 //�(l
1 Ll
DATE
SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI -
BLDG )NSP
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMI
(NEW, ALTERATIONS, ADDITIONS, OR REPAIRS
OWNER: =44 I BUILDER: �1 �✓ � l
Address: Address
Tel. No.: 'F2 '7 n--E–
No.:
-
No,: Street:
1
BLOCK.: ADDITION:
COINER LOT: INSIDE IAT: SETBACK.: SIDEYA
Applicant attach to this form Two Certificates of Survey of.Lot
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
rub:
and proposed
Front: Depth: Height:
Square Feet: Cubic Feet:
Front: Depth: Height:
Square Feet: Cubic Feet:
Type of Construction: jqLU_k71 . r 41 Estimated CostLlt.
To Be Completed: Alt. B
Proposed Driveway Width If New Opening Is Desired $ $
(SEE REVERSE SIDE OF SHEET)
The undersigned hereby makes application for a permit for the ork herein
specified, agreeing to do all work in strict accordance with t e 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. See reverse side for additional informa ion.
DATE: c I- % SIGNATURE: �
Stipulations:
CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
New Fixtures
Future Fixtures
Old Opening, New Fixture
Beer Dispenser
Blow Off Basin
Catch Basin
Rain Water Leader
Hydraulic Valve
Sump or Receiving Tank
Water Treating Appliance
Hot Water Heater
Gas Range
Gas Dryer
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1% of Value of Fixture or Appliance
Reinspection Fee $
($15.00)
$ 5.00
$ 3.50
$ 1.50
$ 4.00
$ 5.00
$ 5.00
$ 5.00
$ 5.00
$ 5.00
$ 7.00
$ 5.00
$ 10.00
$ 10.00
State Surcharge
TOTAL FEE
S
S
$ .50
Effective Aug. 1, 1181
4 G
Job Address l 55155 I p
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 a e true and correct
�^ r
Fridley, Mn. , 19�
OWNER
KIND OF BUILDING
USED AS
TO BE COMPLETED ABOUT
ESTIMATED COST
OLD - NEW BUILDING PERMIT NO
PERMIT NO.
Company
Signed By
Tel. No.
ROUGH INSP.
Date
FINAL INSP. 3 -X3 8�
Date
APPROVAL FOR PERMIT
MINIMUM FEE FOR ANY PLUMBING RMIT IS $10.00
PLUS THE $.50 STATE SURCHARGE
m
>.
(du
x
m
Water
0
H
r. .m1
Ca
m
b N
p.
n
�
Heater
a
u
w
o
a�roJ
m
&a4
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-too
7 ro
ro
q
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ag
rn
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U
$4
P
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M
U)
S
a w
4
y
4
w
U
S
U
t
o
s
lec
1st
2nd
3rd
4th
(R) = Future Connection Opening
Connected with Sewer
(*) = New Fixture, Old Opening
Water
RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
New Fixtures
Future Fixtures
Old Opening, New Fixture
Beer Dispenser
Blow Off Basin
Catch Basin
Rain Water Leader
Hydraulic Valve
Sump or Receiving Tank
Water Treating Appliance
Hot Water Heater
Gas Range
Gas Dryer
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1% of Value of Fixture or Appliance
Reinspection Fee $
($15.00)
$ 5.00
$ 3.50
$ 1.50
$ 4.00
$ 5.00
$ 5.00
$ 5.00
$ 5.00
$ 5.00
$ 7.00
$ 5.00
$ 10.00
$ 10.00
State Surcharge
TOTAL FEE
S
S
$ .50
Effective Aug. 1, 1181
4 G
Job Address l 55155 I p
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 a e true and correct
�^ r
Fridley, Mn. , 19�
OWNER
KIND OF BUILDING
USED AS
TO BE COMPLETED ABOUT
ESTIMATED COST
OLD - NEW BUILDING PERMIT NO
PERMIT NO.
Company
Signed By
Tel. No.
ROUGH INSP.
Date
FINAL INSP. 3 -X3 8�
Date
APPROVAL FOR PERMIT
MINIMUM FEE FOR ANY PLUMBING RMIT IS $10.00
PLUS THE $.50 STATE SURCHARGE
SUBJECT
PERM
City of Fridley
142 18209
AT THE TOP OF THE TWINS
BUILDING
PERMIT
REC
• COMMUNITY DEVELOPMENTr .DIV.
�y-------
PROTECTIVE INSPECTION SEC.
�
1 ` �
1 /�-'1 CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
----Alf ".j 612-571-3450
910-F15
9/13/85
JOB ADDRESS 510 Mississippi Street N.E.
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
Parcel 76
0
s3i Of Section 14
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Joseph Tapsak 510 Mississippi Street N.E.
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
The Quimby Co. 2173 Energy Park Drive, St. Paul
646-7401
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 C:k ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof Dwelling
9 CHANGEOFUSEFROM TO
STIPULATIONS Roof can be 2nd layer but not 3rd. Install ridged galvanized valleys,
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
]
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
$2,500
$1.25
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
PFtOVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
UCTION OAPTHE,RFORMANCE OF CONSTRUCTION.
$38.50
PLAN CHECK FEE
TOTALFEE
$39.75
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
WHEN PROPERLY LIDATED THIS IS YOUR PERMIT
BLDG )NSP
r
q/a 8.1
qAT
SIGNATURE OF OWNER OF OWNER BUILDER) (DATE)
NEW [ ]
ADDN. [ ]
ALTER. [ ]
Construction Address:
Legal Description:_., -
Owner Name & Address:
Contractor:
Address •
V O
City of Fridley
�R-1 AND R-2
Building Permit Application
Effective 4/1/84
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
[vf,- Ft. Yd.
Setback Side Yard Setback
Type of Construction:
Estimated Cost: $ So �•cy
Approx. Completion Date:
91"
Alt. A Alt B
Proposed Driveway Width
If
New Opening Is
Desired: $ $
See Back Page for Explanation
DATE: �� /3 — �s' APPLICANT:
"V41' 00.- Tel. # 6�� 7,V0/
.ZZ69
CITY
USE ONLY
Permit Fee
$ -��
Fee Schedule on Reverse Side
Plan Check
$
25% of Building Permit Fee
State Surcharge
$
p ���
$.50/$1,000 Valuation
SAC Charge
$
$425 per SAC Unit
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
9
Agreement Necessary [ ] Not Necessary [ J
TOTAL
$
STIPULATIONS:
SUBJECT
IT NO.
City of Fridley14
25968
AT THE TOP OF THE TWINS
BUILDING PERMIT
REC O.
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
� n
G�f d
r I
NUMBER
REV
DATE
4 / 23 / 98
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910 -Fl S
JOB ADDRESS 510 Mississippi Street
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
Parcel 762
, S 1/2 Of
Section 14
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Kimberly Burnham, 510 Mississippi Street, Fridley 55432
572-2473
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO.
John Haley #1 Roofer, 3150 Lakeshore Blvd., Wayzata 55391
404-9386 20126880
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 Ek REPAIR
❑ MOVE O REMOVE
8 DESCRIBE WORK
RE -roof (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
MOT.
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
$1,584.60
$079
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-
$51.25
Fire SC $1.58
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
Or
®j tO
PLAN CHECK FEE
License $5.00
TOTAL FEE
$58.62
51 NAT FCONT RACTORORAUTHORIZED AGENT '-&DATE)
WHEN PROPERVrYALIDATED THIS IS YOUR PERMIT
BLO INSP s
TiATE
SIGNATURE OF OWNER IIF OWNER SUILDERI IDATEI
i4EW [ ]
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND
BUILDING PERMIT APPLICATION
ConstructionAddress: J�/O r�.°S51551 , i
Legal Description:
Owner Name & Address: X1ff?gp� 7w /Scy F ��•
Contractor: 30 � n /-�� (e y �.� �,2�0 �e� MN ]
Address: 3«O
Attach to this application, a Certificate of Survey of
lot, with the proposed construction drawn on it to sc
DESCRIPTION OF EWROVEMENT
LIVING AREA: Length Width Height
GARAGE AREA: Length Width Height
DECK AREA: Length Width Hgt/G
OTHER:
Construction of oeet�c) F- Estimated Cost: $_
(Fee Schedule
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $
DATE: `� ��� APPLICANT: -'ToA -.
CITY USE ONLY
Permit Fee
$
Fee Schedule on Reverse Side
Fire Surcharge
$ 4
.001 of Permit Valuation (1/10th%)
State Surcharge
$ e
$.50/$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$
$5.00 (State Licensed Residential C,
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 Nec
TOTAL
$
STIPULATIONS:
Effective l/ 1/98
A o
oo0
Tel. # 5-72
TENSE # c�201,2(e60
Tel. # */O'/ - �'
Sq. Ft. _
Sq. Ft. _
Sq. Ft..
G d
5-0 AUS Y's R va
Back)
Tel. #���3g�
M ) 62b-5@3
CITY OF FRIDLEY INSPECTION DIViSION
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
Residential
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace
(Side Vent - Fill Out Back)
Gas Piping (Needed with new furnace,
but not replacement)
Gas Range
Gas Dryer
*Air Conditioning - All Sizes
All Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work
Commercial/Industrial
1.25% of Value of Appliance or Work
Rate
$ 30.00
$ 10.00
$ 10.00
$ 10.00
$ 25.00
State Surcharge
TOTAL FEE
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $47.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
Effective On May 10, 1999
77-7771a
HEATING
Approved By Rough -In Date Final Date
FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE
JOB ADDRESS,510 I�.ISS1 1 � l ME
OWNERP���
TOTAL
BUILDING USED AS
ESTIMATED COST 15M.DO PERMIT NO.
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units_ Circle One (Steam) (Hot Water)arm Air)
$
Trade NameRIAl Size No.M dV% 10
BTU I U).0M _HP EDR
$
Fuel fl \i Total Connected Load
Burner Trade Name Size Q.
$
BTU HP
$
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
$ .50
rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are'true and correct.
$ D
AR tKff. NNC.
77-7771a
HEATING
Approved By Rough -In Date Final Date
FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE
The undersigned hereby verifies that the existing chimney or stack:
1.
Has been carefully examined
Yes
No ( )
2.
Is free from rust or deterioration
Yes (x)
No ( )
3.
Has no foreign objects lodged within
Yes O
No qc)
4.
Is securely supported
Yes (X)
No ( )
5.
Meets all current Code requirements for size
and total BTU's connected Yes W No ( )
6 Has total heating BTU's of /f0, �® D
All other BTU's 3 Z< 620
TOTAL BTU's / 3�
7. Has a liner been provided for water heater Yes (79 No ( )
8. Has combustion air been provided for water heater Yes (o) No ( )
Remarks:
List ALTERATIONS Being�Done:-
DEPENDABLE INDOOR AIR QUALITY, INC.
2619 COON RAPIDS BOULEVARD
COON RAPIDS MN 55433
HEATING CO: (612) 757-;
Signed By:
Date:
Building BUILDING
Inspections RESIDENTIAL APPLICATION
763-572-3604 CITY OF FRIDLEY
DATE — Q 4 YOUR E-MAIL ADDRESS
SITEADDRESS S.o mlSSi sS�`®�� Sf /vf fjiXey Jit" 5'5*5°3 2,
Permit No.:
Received By:
Date Rec'd: —�
THIS APPLICANT IS:
J$OWNER
❑CONTRACTOR
Plan Review
$ ---
PROPERTY OWNER/
NAME::Syael
Ae&-S%a &IOyule5
.001 times the total job valuation
ADDRESS: P a
y,` S 5; 5 5r`�%J_ 1 It
tk CITY 'Y I` �,-
STATEn&IP Ss`/3 2
TENANT
$5.00 (State Licensed Residential Contractors)
PHONE d 3)s
% ),2 ,9 61
$1550 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
CONTRACTOR
NAME:
Erosion Control
$
$450 Conservation Plan Review
STATE LICENSE #
L
EXP DATE
Sewer Main Charge
SUBMIT A COPY OF
YOUR STATE LICENSE
ADDRESS:
$ %
CITY
STATE ZIP
WITH APPLICATION
PHONE FAX
SINGLE FAMILY/NEW CONSTRUCTION
t
SIZE
PROPERTY TYPE
TWO FAMILYINEW CONSTRUCTION
STORIES
PERMIT TYPE
❑ ADDITION
❑ GARAGEISHED
❑ WINDOWS
❑ BASEMENT FINISH X ROOF
❑ DRAIN TILE
❑ DECK
❑ SIDING
❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW ❑ ADDITION
m {
D
❑ MAINTENANCE/REPAIR
❑ REMODELING
!�
DESCRIBE WORK BEING DONE:
HEIGHT Sq. Ft.
SIZE OF IMPROVEMENT
LENGTH
WIDTH
ROOFING ❑ HOUSE ONLY
NUMBER OF SQUARES J1
❑ HOUSE & GARAGE
BASEMENT REMODELING SUBMIT:
1.
Existing Floor Plan
GARAGES
❑ ATTACHED GARAGE
2.
Proposed floor plan
PROPOSED SIZE:
19 DETACHED GARAGE
3.
List of structural members to be used
PROPOSED HEIGHT:
SIDING
FOR NEW CONSTRUCTION INCLUDING DECKS,
❑ Vinyl
❑Soffit
ADDITIONS & PORCHES SUBMIT:
❑ Aluminum
❑ Trim
1.
Site Plan/Survey showing the existing structures
❑ Other
❑ Fascia
and proposed project.
2.
Two sets of construction plans
WINDOWS
3.
Energy Calculations
IN EXISTING OPENINGS ❑Yes
❑No LOCATION OF WINDOWS
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $ /9y2 OCCUPANCY TYPE
Permit Fee
$ 0 A0
See Back Page for Fee Schedule
Plan Review
$ ---
65% of Building Permit Fee
Fire Surcharge
$ '
.001 times the total job valuation
Surcharge
$ ,
.0005 x Permit Valuation Minimum $.50
License Surcharge
$
$5.00 (State Licensed Residential Contractors)
SAC Charge
$
$1550 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
$
ft + 6 ft = ft x $20 = $
Erosion Control
$
$450 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement necessary ( ) Non Necessary ( )
Total Due
$ %
Make checks payable to: City of Fridley Attach Stipulations
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a
permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved
plan in the case of all work which requires review and approval of plans.
SIGNATURE OF APPLICANT PRINT NAME DATE