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249 o fcce of WSFFCT01% OF BUR DINGS
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Architect Fridley, Minn.
Builder
LOCATION OF BUILDING
"Part of Lot
No. � `.''� Street ,�`/'�•.,�
Lot Block Addition or Sub -Division
DESCRIPTION OF BUILDING
Front Depth Height Stories Manner of Construction__T
63--e-A- �-'�-16 To be completed )�'r` --,. -1 / Estimated Cost r�� P
To be used ash
Permit is hereby granted to `n ` ,� �"�� �" - —19" % - '" -
the buildin4• described in the above statement. This permit is grani
upon the e- g ss condition thatpt a person t whom it is granted, and his agents, employees and workmen, in
the work do� in, around and upon said tiding, or any part thereof, shall conform in all respects to the or
nances of Fridley, Minn., regarding the construction, alteration, maintenance, repair and moving of buildir
within the city limits, and this permit may be revoked at any time upon violation of any of the provisions of a
ordinances.
41d°' Spector of Buiidin
AGREEMENT AND SWORN STATEMENT
In consideration of the issue and delivery to me by the Inspector of Buildings of Fridley
the above permit, I hereby agree to do the proposed work in accordance with the descripti
above set forth and according to the provisions of the ordinances of Fridley, and, being first di
sworn, I hereby state and say that the facts stated by me and contained in the above permit
true as therein stated.
Subscribed and sworn to before me at Fridley,
day of "'"; A .D. 19!E1
�j
Minnesota, ;chis
53 -e4 -S-915.51
City of Fridley
APplicalks for Phmbbg and Gan RttMg Pam*
Dept. of Bldgs. Phone 980-M
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures
• future Connection Openings sewer
* New Fixture. Old Openings Cesspool ❑
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.........
x $3.25
$
Electric Water Heater ..............
s $2.00
$
GAS FITTING FEES:
NO. RATE TOTAL
1st 3 Fixtures ............ • • •
x $2.00
;-
Additional Fixtures ..................
x $ .75
$
Gas Range to 199,000 BT'U... ,..........
1 x $5.00
6 5.00
iiiiiiii::iiiMMENNEMEMMEMEMON
---
• future Connection Openings sewer
* New Fixture. Old Openings Cesspool ❑
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.........
x $3.25
$
Electric Water Heater ..............
s $2.00
$
GAS FITTING FEES:
NO. RATE TOTAL
1st 3 Fixtures ............ • • •
x $2.00
;-
Additional Fixtures ..................
x $ .75
$
Gas Range to 199,000 BT'U... ,..........
1 x $5.00
6 5.00
REPAIRS A ALTERATIONS—Refer to Cod*
Description............................................
TOTAL FEE = 5.00
TANSOM 1010 N. E. Mississippi Street
City o1 Fridley:
The undersigned hereby makes application for a permit for the 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 alit the fact
and representations stated in this application are true and correct
Fridley, Minn 6-14-71 18,
Owner Eugene R. Lindstrom
Kind of Building Frame
Res,
Used as
To be completed about 6-21-71
Estimated Cost, $ 10.00
OIMNew. Building Permit No. AV
�nallo�
Signed
By
Business Phone No
ROUGH
FINAL '7–
Description
L
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 $
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
'0G
GAS BURNER (up to 199,000 BTU) ....................... 5.00 $ 6
over 199,000 BTU See Fee Schedule
GAS FITTING FEES: NO RATE TOTAL
1st 3 Fixtures x$ 200 $ b
Additional Fixtures x .75 $
Gas Range to 199,000 ........... x$ 5.00 $
AIR CONDITIONING
FAN HEATING SYSTEM
VENTILATING SYSTEM
ALTERATIONS & REPAIRS
ROUGH
e
FINAL
^�1
$
See Fee Schedule
TOTAL FEE $
Dept. of Bldgs. Phone 560-3480
City of Fridley:
The undersigned hereby makes application for a permit for the work herein,
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 O,re true ,and correct.
Owner
Kind of Building
1l4 -r
r
Used as
To be completed about _3� Q
Estimated Cost, $
Old—New. Building Permit No. Permit No.
DESCRIPTION OF WORK
HEATING or OWER PLANTS—Steam, Hot Water, Warm Air—No
4
Trade Name Size No
f
Capacity Sq. Ft. E.D.R BTU P.
Total Connected Load Kind of Fuel
BURNER — Trade Name Size No
Capacity Sq. Ft. E.D.R BTU H.P.
Signe
By �j
Business Phone No
(REMARKS -OVER)
SUBJECT
Pfiag,T NO.
City of Fridley
16334
AT THE TOP OF THE TWINS
BUILDING PER M I T
_
r
ECEIPT NO.
�
• COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.337
7�
1
{CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
8/7/81
JOB ADDRESS 1010 Mississippi Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
5
1
Moore Lake Highlands. SHEET
2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE
Eugene LundstrQm 1010 Mississippi Street n.E. 571-4361
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
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 ❑ ADDITION fgl ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Install steel siding on dwelling
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
STALLS I 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
$4,000
$2.00
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-
$44.50
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
$46.50
GNATURE OF CONTRACTOR OR ORIZED AGENT I D/AT1
,WlRtN PROPERLY, VALIDATED THIS IS YOUR PERMIT
BLDG INSP 0 TE
SIGNATLff OF OWNER IIF OWNER BUILDERI DAT 1
CITY OF FRIDLEY Effective Aug. 1, 1981
APPLICATIM FOR RESIDENTIAL BUILDING PER14ITS
(New, Alterations, Additions, or Repairs)
OWNER: SBUILDER:rl
ADDRESS: h/0 x�, , ADDRESS:
TEL NO: � Z/ -- - - TEL NO:
Construction Location
STREET NO: 0 /0 STREET:
LOT: :J BLOCK: _
Corner Lot:Inside Lot: Setback.: Sideyards:
Applicant attach to this form two Certificates of Survey of lot and
proposed building location drawn on certificates to scale.
DESCRIPTION OF CONSTRUCTION
Front: Depth: Height:
Square.Feet:
Cubic Feet:
Front: Depth: Height:
Square - Feet: Cubic Feet:
Type of Construction: �� �, Estimated Cost: $ ego
Zb Be Oorapleted:
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired: $ $
SEE FSVERSE SIDE OF SHEET
The undersigned hereby makes application for a permit for the cork -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
representa`t'ons�stated in this applicatio re true and corr c
ta
DATE: �// �J SIGNATUM: zz I_Zj4e_-L_x
Stipulations:
qq s-z��
�_n
i
E
SUBJECT-=;25�
City of Fridley
AT THETOP OF THE TWINS
BUILDI N G P E R M I T
r
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
1 �
NUMBER
REV
DATE
PAGE OF
APPROVED BY
= 1 CITY HALL FRIDLEY 55432
j 612-571-3450
910-F15
5/2/02
10B ADDRESS 1010 Mississippi Street NE
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
5
1
1 Moore Lake Highlands SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Gene Lindstrom 1010 Mississippi Street NE 763-571-4361
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Wellington Windows 3938 Meadowbrook Rd, St Louis Park, MN 55426 952-933-6300
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
City Licens
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW O ADDITION O ALTERATION .0 REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Replace two windows within existing openings
9 CHANGEOFUSEFROM TO
STIPULATIONS
Provide smoke detectors in all sleeping rooms and on all levels of the dwelling
per Section 310.9.1.2 of the 1997 Uniform Building Code.
Permit Inspection Cards
Will Be Nailed
To on To Post
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
@
$1.07
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$2,142
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-
$83.25
Fire SC $2.14
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTALFEE
City L e se
$ .46
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATE,
EN OPE ALIDATEO�j IS IS YOUR PERMIT
� J
$-GNATURE OF OWNER ��F OWNER BU�I DERi iDATE�
BLD NSP - ISA rt
E
CITY OF FRIDLEY Effective 1/1/2002
6431 University Ave NE R-3, COMMERCIAL & INDUSTRIAL
Fridley, MN 55432 BUILDING PERMIT APPLICATION
(763) 572-3604
CONSTRUCTION ADDRESS_
legal
Owner & Addres
11 1 f -xiO lAv,
CONTRACTOR & ADORE
Architect
TYPE OF WORK [] New
Zoning
G ,lam
Tel# (72) 5V 4vl361
Tel# (15P) G 'G c -a
SrKl. 14AI 5V%&
, Reg.# Engineer Reg.#
BUILDING CONSTRUCTION
[]'Addition [] Alteration-Oescrib
OFC. AREA:
Length
Width-
Height
Sq.
Ft.
WHSE AREA:
Length
Width
Height
Sq.
Ft.
OTHER AREA:
Length
Width
Height
Sq.
Ft.
�
Sn "2 ' G'Td0oate3G�a
//
APPLICANT
Tel
# L
:...
_VALUATION
Sq. Ft.
x $
Cost/Sq:
-Ft
=
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
_(USING THE 1997 UBC FEE SCHEDULE)
TOTAL JOB VALUATION
Permit Fee
Plan Review
Fire Surcharge
Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Total Due
ANCY _ TYPE
See Back Page for Fee Schedule
65% of Building Permit Fee
.001 times the total job valuation
.0005 x Permit Valuation Minimum $.50
$5.00 (State Licensed Residential Contractors)
$1825 per SAC Unit (Plans to MWCC for determination)
ft+6ft= ftx$21=$
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checks va-vable to: City of Fridley Attach
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 on site; 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 L If► n'E' �t>, GIS2,•19c) DATE
APPROVED BY L-�� _ __ DATE
BUILDING
Permit No.: &g
Building
[nspections
RESIDENTIAL APPLICATION
Received By:
763-572-3604
CITY OF FRIDLEY
Date Rec'd: 1)
763-502-4977 FAX
EFFECTIVE 1-1-08
DATE \1 �' — G
YOURE-MAIL ADDRESS
SITE ADDRESS 10 / 43 ai I
11
S 5 1 S 5
THIS APPLICANT -IS—'. ❑ OWNER ❑CONTRACTOR
PROPERTY OWNER/
NAME:
TENANT
ADDRESS: ) 3 / ® M 1 SS 1 55 / P D t CITY �r STATBi� ZIP
z
PHONE:
NAME: 5L✓ S r W �=
ip
ADDRESS: Sra y. a. I b4 S 5 w" 6 51 CITY
,n\ I n t-. , STATEVV�\ ZIP S SA.
CONTRACTOR
SUBMIT A COPY OF
PHONE L� I a - �_ o C, / t FAX
YOUR STATE LICENSESTATE
LICENSE # b S"`I S- H 2 � EXP DATE
PROPERTY TYPE
INGLE FAMILY/NEW CONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS
❑ BASEMENT FINISH OOF [IDRAIN TILE
❑ DECK IDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW HOME CONSTRUCTION ❑ ADDITION
❑ MAINTENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE:
SIZE OF IMPROVEMENT
LENGTH WIDTH HEIGHT SQ FT
ROOFING
❑ HOUSE ONLY
S
BASEMENT REMODELING SUBMIT:
NUMBER OF SQUARES O SHOUSE & GARAGE
1.
Existing Floor Plan
GARAGES
❑ ATTACHED GARAGE
2.
Proposed floor plan
PROPOSED SIZE:_
n1 DETACHED GARAGE
3.
List of structural members to be used.
PROPOSED HEIGHT:
FOR NEW CONSTRUCTION INCLUDING DECKS,
SIDING I ' p
inyl It
❑Soffit
ADDITIONS. & PORCHES SUBMIT:
I .
Site Plan/Survey showing the existing structures
❑ Aluminum r, IS
b t' f]
❑ Trim
❑ Fascia
and proposed project
❑ Other
2.
Two sets of construction plans
WINDOWS
3.
Energy Calculations
IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS
a
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 UBC FEE SCHEDULE)
TOTAL JOB VALUATION
Permit Fee
Plan Review
Fire Surcharge
Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Total Due
ANCY _ TYPE
See Back Page for Fee Schedule
65% of Building Permit Fee
.001 times the total job valuation
.0005 x Permit Valuation Minimum $.50
$5.00 (State Licensed Residential Contractors)
$1825 per SAC Unit (Plans to MWCC for determination)
ft+6ft= ftx$21=$
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checks va-vable to: City of Fridley Attach
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 on site; 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 L If► n'E' �t>, GIS2,•19c) DATE
APPROVED BY L-�� _ __ DATE