PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT N° 513 3
Date: r
Owner: r r•� Builder _
Address Address —
LOCATION
OF BUILDING
No.j Street Part of Lot
Lot _ Block Addition or Sub -Division . 4 Corner Lot Lot _ - Inside Lot Setback ____ Sideyard
Sewer Elevation— Foundation Elevation .
DESCRIPTION OF BUILDING
To Used
r Front Depth Height Sq. Ft.� Cu. >!'t.
Front Depth! Height Sq. Ft. Cu. Ft.
Type of ction .- Est. Cost STT '�" ; � �' "To be Completed
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 city of Fridley.
In consideration of the payment of a fee of ..w,---- ., 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
within the city limits and this permit may be revoked at any time upon violation} any of the provisions of said
ordinances. .mr'► .R ' r`
�- 9- �3r x : � Building Inspector
�'
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 thews items.
APPLICATION. FOR BU31DING PERMIT
CITY OF FRIDIEY, MINNESOTA
Address 16 e
No.
LOCATION OF BUILDING
of Lot
Lot Block Addition or Subdivision
Corner Lot Inside.Lot Setback—jk� Side -Yard;
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
To be used as:
DESCRIPTION OF BUILDING
Front Depth Height
Sq. Ft. 1 Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction Estimated Cost Aloca, rm
To be Completed
The undersigned hereby makes ajollica.tion 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 representation
stated in this application are true and correct. /17 ,
DME SIGNATURE,
(A Schedule of Fee Costs can be found on the Reverse Side.)
. ..
L. Reported by;
4. Name of Violator;
7. Nature of Complaint:
H E A.L T"H C'O M P L A I N T
CITY OF FRIDLEY. MINNESOTA
2. Address:
S. Address;
S. Complaint received by: 9. Complaint Referred to:
11. Report of Action Taken- (Specify date of action)
12. Report Made by:
3. Pbow No.
6. Pbone No. IN.
LA
Ll
. Date
3. Date
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Original Permit for FEUMBING AND GAS FITTING
N.B. When work covered by this permit is ready, the Plumbing Ordinance requires that request for
inspection shall be phoned in to the plumbing Inspector, 560-3450 giving number of this permit.,
Number. Bind and Location of Fixtures
Stories
m
E W
F O
Q
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J
Z
m
m I-
z
m
m
Z
z
m
t' W
O r Z' O
Q E O M
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O Z
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U 0
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m
f Y.
10 OJ,
O Q
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0) z
O
WATER HTR.
GAS
ELEC.
Basement
1st
2nd
3rd
4th
Connected with Sewer -Cesspool Gas Piping for Openings
Permission is hereby granted to do the plumbing and
gas fitting in the building described in the statement hereto attached, Apon the express condition that
the person to whom this permit is granted, and his agents, employees and workmen, in the plumbing
or gas fitting of said building shall conform in all respects to ordinances of the City of Fridley, and
this permit may be revoked at any time upon the violation of any of the provisions of said ordinances.
By Order Of The Inspector Of Buildings
Roughing in Inspection Date
Inspector.
Final Inspection Date
N? 5221
s 4-112- s—
Permit
Fee $ -9,60
City of Fridley 1141 }7 am 19 ,192
Location 4&-6/ /2t.Qal e�
Kind of Building SA411:2.��
Used as
To be Completed A16116 /Yr F e-
Estimated Cost $ 111S7,06
Old ew. Building Permit No.
Date
Inspector. Inspector of Buildings.
4Z JM --6.69.V
City ®f Fridley
Applicaffm for PhEdAng ted G= Off" Femdt
Dept. of Bldgs. Phone SW -3450
DESCRIPTION OF WORK / 3 (' `
Number. Kind and Location of Fixtures
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO. RATE TOTAL
Number Fixtures
x $200
$
Future Fixture Opening
x $1.50
-
,
11
e
•
WATER N".Pei!7
x $3,25
$
Water Heater (Up to 99,000 BTU)
x $3.00
$
S
x $3,25
$
OI
� l ` � '. n4
(� O
I
N
GAS
ELEC.
Base
Additional Fixtures .... ..............
x $ .,M
$
Gas Range to 199,000 BTU ..............
x $5.00
$
1st
-
--
—
2nd
_
3rd
- --
4th
_
• Future Connection Openings Connected with
sew°r ❑
* New Fixture, Old Openings I
Cesspool ❑
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO. RATE TOTAL
Number Fixtures
x $200
$
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
= $2.00
$,
GAS FITTING FEES:
NO. RATE TOTAL
1st 3 Fixtures ..... ....
x $200
$
Additional Fixtures .... ..............
x $ .,M
$
Gas Range to 199,000 BTU ..............
x $5.00
$
REPAIRS & ALTERATIONS—Refer to Code
Description.... ............................ ...........
TOTAL FEE ��
City of 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 all the fact
and representations stated in this application are true and correct.
Owner
r
Kind of Building _
Used as
To be completed about
Es ' ated Cost, $
(�;—New. Building Permit No._ _Permit N��
Sign �,
By-
Business
y Business Phone No L-"
ROUGH
FINAL
wr
City of Fridley
4T THE TOP OF THE TWIN$
r t L-------- COMMV"ITT DEVELOPMENT DIV,
�t PROTECTIVE INEI►ECTHMI KPT,
CM HALL FRIDL9V EMIT
s
• 53-8b-5-915.51
=UDIAECT
PLUMBING, PERMIT APPLICATION
1361 N. E. Mississippi Street
:11
Address
_P one
Newton L. Larson
784-1982
Contractor
MINNEGASCO Address
Phone
RQUETTE AVENUE
Kind of Building33
Use MpLS,, MINN.
Frame
Res.
Completion
Date
Estimated Cost
11-8-73
�I
Plumbing Fixture Rates: N0.
RATE TOTAL
I W
--i
�1$
! Number Fixtures x
$2.00_
Future Fixtures x
$1.50
89SYDI
�
I,
'!
I
I �
New Fixture -Old Open. x
$1.50
',ddYl
I
�
Catch Basin x
$3.25
SYD
!
I
Water Heater -99,000 BTU x
$3.00
'DSIV
I
I
I
!
Ground Run Old Bldg. x
$3.25
'SN01
'MNIV&
I m
Elec. Water Heater x
$2.00
s"revel
. ! o
~
tlDivDl
I
I
�
I I
w
f
,
I Gas Fitting Fees:
ow
0
eNrvaa
I
I
I
�
I
�
3
ww
o,do
1st 3 Fixtures x
$2.00
i� Ctlll 610MONS
Io,3
I
I
I`
f
I
Additional Fixtures x$
I� d
•iNnoel
I
.75
O
HNlac
(
(
I
I
i Gas Range -199, 000 BTU 1 x
$5.00 5.00
IV1 (
q
SAtlNlI
NSrM
� Repairs &Alterations
I
See
SS"IS
I I
�
I
I Description: Code I
a�
SNISVSI
I I
I
I
State Surcharge 014�s "AvSurcharge .5;p .50
I
I
I TOTAL FEE
$ 5.50
tuvel
l
I
I
S,rNlanl
!
!The undersigned hereby makes application
for a permit
I I
I
for the work herein specifiedo agreeing
to do all work
.iaSo,D
in strict accordance with the City Ordinances and rulin
tl,1�M
I
of the Department of Buildings, and hereby declare that
all'the facts and representations stated
in this
application are true and correct.
g
c�
cv�a
'Signature I�IfIrA[.c�
Date
V
SuBjECT
PE
City of Fridley
7 ®7
AT THE TOP OF THE TWINS
BUILDING
PERMIT
f
RECEI
• ______ COMMUNITY DEVELOPMENT DIV.
1 v i PROTECTIVE INSPECTION SEC.
r
--"S CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
J�" 1'j 612-571-3450
910-F15
10/12/95
JOB ADDRESS 1361 Mississippi St NE
1 LEGALLOT
NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
Pt 13
Revised Aud. Sub. #10
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Johnny/Jill Mason 1361 Mississippi St NE
571-7779
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
Reroof House & Garage (18 Sq) Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
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
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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$1,440
.72
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
$48.50
Fire SC $1.44
PLAN CHECK FEE
TOTALFEE
50.66
SIGN TUREOFC O A H IZ T IDATEI
WHEN PROPEW7_VALIDATED THIS IS YOUR PERMIT
� 9l INSP
F)ATI
IF NATURE OF OWNER OF OWNER BUILDER) ;DATE)
V
....... ... ........ , ..... ... ....... .. .. ,... ,................ ....... rite
NEW
ADDN [ ] CITY OF FRIDLEY
ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
3& r W :5-4. r
Construction Address: il J's ( Do 1
Legal Description:
Effective 8/1/95
Owner Name & Address: y) n �-:Yi b� Tel.
Contractor: et. _ MN LICENSE #
Address: / j oz 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 Wid Hgt/Ground Sq. Ft.
OTHER:
C
Comer Lot [ ] Inside
Lot [ ] Ft. Setback Side Yard Setbacks
Type of Construction:
nnYd
04� Estimated Cost: $
Approx. Completion Date:
(Cost on Back)
Driveway Curb Cut Width Needed:
Ft 1t = Ft x $ _ $
DATE: �D� ('�'� APPLICANT:
i Tel. #-,:�V%%%
ITYI MR ONLY
Permit Fee
$
Fee Schedule on Reverse Side
Fire Surcharge
$
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$850 per SAC Unit
License Surcharge
$
$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:
$ 5-0.6, (�
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SUBJECT
City of Fridley
5 7 2
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
r
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910415
12/9/97
JOB ADDRESS 1361 Mississippi Street
NE
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
Pt 13
Revised Auditor's Sub. #10 SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Johnny Mason 1361 Mississippi Street NE
571-7779
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.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION] ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Replace upper & lower cupboards, sheetrock, window
in kitchen
9 CHANGE OF USE FROM TO
STIPULATIONS
Install smoke detectors to meet the State
Building Code.
SEPARATE PERMITS REQUIRED FOR
WIRING, NEATiNG, PLUMBING AND SIGN,
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
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
@
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$3,000
$1.50
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-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTAL FEE
$79.25
AG IDATEI
SIG OFCONT �a ORA H ;01
WHEN ALIDATED THIS IS YOURPERMIT
�PROPER
Si NATURE OF OWNER OF OWNER SUILDERI IDA_TET
BL G INSP
GATE
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NEW ( Effective 1/1/97
ADDN ( ) CITY OF FRIDLEY
ALTER ( SINGLE FAMILY AND DUPLEXES R -I AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress:
Legal Description: '
Owner Name & Address- 36� a n U Masoy Tel. # Jam% l - 7 77 !j
Contractor: S MN LICENSE #
Address:-- �I ----�- � ! I �S r ss" p�f/ Tel #
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.
DESCRIPTION OF IMPROVEMENT
Length Width Height
Length Width Height
Length Width Hgt/Ground
Sq. Ft.
Sq. Ft.
Sq. Ft.
)-env
�C�4�
�-
�id ou�� Ir
���_����
Estimated Cost.
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
c
DATE: 1 % t APPLICANT: Tel # % %
CITY USE ONLY
Permit Fee Fee Schedule on Reverse Side
'Fire Surcharge $ 3.00 .001 of Permit Valuation (1/10th%)
State Surcharge $ $.50/$1,000 Valuation
SAC Charge $ $950 per SAC Unit
License Surcharge $ $5.00 (State Licensed Residential Contractors)
Driveway Escrow $ Alt. "A" or Alt. "B" Above
rosion Control $ -$450.00 Conservation Pian Review
.'ark Fee $ Fee Determined by Engineering
Sewer Main Charge $ Agreement Necessary [ ] Not Necessary ( ]
TOTAL $ ,�
'iTIPULA'nOiNiS: