PRE 2010 DOCSVillage of Fridley, Minn.
BUILDING PERMIT ° 1752
Date: ...0. .. -)—..?.-..'s` js.....
Owner....................................... Builder ...
Address...................................... Address ....5t1....'i,/.
LOCATION OF BUILDING
No. ��.'� Street....... ............................... Part of Lot ...... ......... .
Lot ..... /....... Block .... /�............ Addition or Sub -Division . .
Corner Lot ........... Inside Lot ....! .. Setback .. .... Sideyard ..... .�.. .... �. '� ..... .
DESCRIPTION OF BUILDING
To be Used , s
... s G
Front T.. �j Depth `S Height `.S Sq. Ft. Cu. Ft.
..................... Front ........ Depth ........ Height ........ Sq. Ft. ........ Cu. Ft. ........
Type of Construction Y...... Est. Cost .. S 51�...... 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 village of Fridley.
------------------------------------------ �1%
00
In consideration of the payment of a fee of 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, copstJ�uction, 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. le
..... ,.¢.I ..:V. . .... 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.
City ®f Fridley 879.01
Dept. of Bldgs. Phone 960-34M
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures
Future Connection Openings I ••��•� wua
e New Fixture, Old Openings
LecaRon 685 Ne. lUlonroe St.
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.
Fridley, Minn_ Oct. 60 1969 18_
Owner Da tri d (li 1 hewn
Kind of Building f rATne
Sewnri Used as rasgi annon
Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ...... ... .....
Future Fixture Opening ........ ....
New Fixture Old Opening ...... . ..
Catch Basin . .
Water heater (Up to 98,000 BTU) .... .
New Ground, Run Old $ldg.
Electric Water Heater
GAS FITTING FEES:
X $200
$
y�
S2
$
x $1.50
$
Y
g
$
x $3.00
V t3
x $3.25
O
C�9
e
I
•
N
WATER NTR.
GAS
ELEG
Base
lot
R6D1
ice
1
2nd
3rd
--
4th
_
--
Future Connection Openings I ••��•� wua
e New Fixture, Old Openings
LecaRon 685 Ne. lUlonroe St.
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.
Fridley, Minn_ Oct. 60 1969 18_
Owner Da tri d (li 1 hewn
Kind of Building f rATne
Sewnri Used as rasgi annon
Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ...... ... .....
Future Fixture Opening ........ ....
New Fixture Old Opening ...... . ..
Catch Basin . .
Water heater (Up to 98,000 BTU) .... .
New Ground, Run Old $ldg.
Electric Water Heater
GAS FITTING FEES:
X $200
$
X $1.50
$
x $1.50
$
x $3.25
$
x $3.00
$
x $3.25
$
_ $2.00
$
NO. RATE TOTAL
let 3 Fixtures ....... .................. x $2.00 $
Additional Fixtures . .................. —x$.75 $
Gas Range to 199,000 BTU .............. 1 x $5.00
REPAIRS & ALTERATIONS—Refer to Code
Description .............................................. .$
TOTAL FEE $ 3.00
To be completed about OCt. 11- 1969__
Estimated Cost, $ 10.00
Oldr-New. Building Permit No. Permit No. —
e
By
Business Ph a No -----7
t �W4
AV UiQ
FINAL ' �l L - bb F��i
53-81t-9915051' CRY 04 F70.
ay
•i1��.ilC:iil�?7 fort'�urr a��:�crv:;s ....
•—__„w,_„�.,_..._.,....�, Dopt. of Sldq=. Pho�no S:~J•3450
DESCRIPT1011 0: b'1011,r6585 -Monroe Street NE
Lo.:n t.'
Humbq?. !:'� Lnd L,ocr:lon of Fixtures .
s }{•a nx,—are. Old Ci�sr3rgs
PARTIAL RATE SCHEDULE
uc•wor
Cc:.:pcol
L IBItiG riXTUAE RATES:
K0. RATE
. TOTAL
I►'utT.ber Fixture: ................ ..._._._._..-
x $2.00.
s -..----
Future Fixture Opening e . • • • • • • • • • ----
x $1.50
S. _..---
1•ew Fixture Old Oypning. ••sea -re— .-----
x $1.50
i.--�--
C2tch basin ....................
x $3.25
$ -
tipster lfeater'L'p to 0.000 BTU). ... ------
=
•t
• NeW* Ground Run 013 Bldg....:.. •• - ------
x 11.25
Z
p
0
It
1AS :ZTTING FEES:
KO. R:+T-TOTAL
• 1st3Fixtures ••••••••••••••••" -----'--x$2.00
S -
k"1Uoaal Fixtures ...Does ......... '--•---•--
x S.75
$
Gas R.:::e to 193.000 BTU ........... -----
x $5•00
5
-IC.
8s:r
I
.
l�
I
on
lee
e
g--
Ing
3:d
�t•� �
^w
w.Il�Il1
f
�•.t�[7
s }{•a nx,—are. Old Ci�sr3rgs
PARTIAL RATE SCHEDULE
uc•wor
Cc:.:pcol
L IBItiG riXTUAE RATES:
K0. RATE
. TOTAL
I►'utT.ber Fixture: ................ ..._._._._..-
x $2.00.
s -..----
Future Fixture Opening e . • • • • • • • • • ----
x $1.50
S. _..---
1•ew Fixture Old Oypning. ••sea -re— .-----
x $1.50
i.--�--
C2tch basin ....................
x $3.25
$ -
tipster lfeater'L'p to 0.000 BTU). ... ------
x $3.00
S
• NeW* Ground Run 013 Bldg....:.. •• - ------
x 11.25
Sr---�--
E!►ctrie Yiates Y..stas... • .:.........�....�_
_ $2•CO
$
1AS :ZTTING FEES:
KO. R:+T-TOTAL
• 1st3Fixtures ••••••••••••••••" -----'--x$2.00
S -
k"1Uoaal Fixtures ...Does ......... '--•---•--
x S.75
$
Gas R.:::e to 193.000 BTU ........... -----
x $5•00
5
City of Fcid-lav
The undersigned hereby makes application for a permit for the, pork he
specified, asr acing to do all work !a strict accordance with the City O.-dEr.:
and ruling of the Daps:tr. nt of Builar'agr. and hereby declares that all the !
• and t-epreser-tations stated :a L':4s application are true and co.re-cV
I ridley, Mica 7-6-76
Owner — 19
Jeffery Hood
Kind of Building framA
Used as
7:14-76
To be completed about
' •
Estimated Cost. $ 10.00
Old—!PM. Building Permit No. , - — P•roit tio.
Sined •
By. MIMNFPAASCO
Busin= Phare NO -
ROUGH
.50 State Surcharge
ALTERATIONS—R&-Of to Code
.
.I�e:crl;.Uon ............... i ........ ,........«..... 5.50 .
TOTAL Feet 5--=—
i s
City of Fridley
sue.lEcr
NO.
iK.1i
4027
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
i.
• COMMUNITY DEVELOPMENT DIV.
RECEIPT � 3
r � � PROTECTIVE INSPECTION SEC.
[/�'
1 � �
CITY HALL FRIDLEY 55432
,•J
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
---• 612-560-3450
910-F15
4i25/77
JOB ADDRESS 6585 Monroe. Stre6t 'N. E.
1 LEGAL
LOT NO.
1
BLOCK
TRACT OR ADDITION SEE ATTACHED
Clover Leaf 2nd Addition SHEET
DESCR.
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Jeff Hood 6585 Monroe Street N.E.
3 -CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Sussel Como Avenue St. Paul
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
SAME
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
residential garage
7 CLASS OF WORK
X NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
construct new 24 x 24 detached garage.
9 CHANGE OF USE FROM TO
STIPULATIONS 30 DAY °
DIV.' REQUIRED FOR CURB
1. Provide a hard surface driveway.
REMOVAL AND REPLACEMENT
AT DRIVEWAY OPENINGS.
FOR V�tIRN a
PIRM ITS REQUIRES
SEp A-M SIGNS,
PLUMBING AND
NEAT 1NG,
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
frame
OCCUPANCY GROUP
OCCUPANCY LOAD
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
576
5,760
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
'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
$4,262,40
2.1.3
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-
23.04
STRUCTION 08 THE CAMANCE OF CONSTRUCTION.
Q
PLAN CHECK FEE
TOTALFEE
25.17
SIG ATUREOFC NTRACTORORAUTHORIZEDAGENT ,(DATE)
EN PROPS Y ALIDD TE HIS IS YOU ER7-7
iZZ2 T
`7t/
I BLDt INSP DATE
0 SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE(
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(NEW, ALTERATIONS, ADDITIONS, OR REPAIRS)
OWNER: aeFF G9 C) BUILDER: � J S S C.
Address: jp NeW leD IE Address: CO y'yy -A V E \ J L
Tel. No.: (o� T L) - I
No.: �2 S d Street: rn®V.) (ZOE, to
LOT: ` . BLOCK: ADDITION: y o e a
CORNER LOT: INSIDE LOT: A_ 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:
�c A9 -AC, Front: sy Depth: P- (-/ Height: /6
Square Feet: �/ Cubic Feet: %
Front: Depth: Height:
Square Feet: Cubic Feet:
Type of Construction:
Estimated Cost: $��a yv
To Be Completed: Alt. A 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 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. See reverse s
DATE: �- 2S, 7 7 SIGNATURE:
Stipulations:
�.0
I
O'E
BLAND COURf / d : 1 NA03 EAST NEBRASKA STREET
IS, MINNESOTA . 5539 „ < < <, , ti. 4 ALGONA, IOWA 50511
2) 559-4444 (515) 295-7259
SURVEY FOR: The Sussel Company
SURVEY OF: ] ,ot 1, C L,OVER�,EAF SECOND ADDITION,
• ic:cordin, j to the recorded plat
hereof, Anoka County, 11innesota.
124. Sr
__�________�1
Crushed FRo1k 'h N J
vJ
Z4
® \ t 00 h
V) Q
35.2!
x
124.50
f
y.+.
"o" Denotes Iron Monument Scale: 1" = 30
1 hereby certify +hat this survey, plan, sp'ecificat-ion or report was prepared by me or '
.-
¢.;. under my direct ;upervisier: and that I am a duly Registered Professional
Land Surveyor under the laws of the State of Minnesota.
,�•a;.
r
Date: Re No 10 A il 4, 19 -7 g. 535
_ _�' i-- _
r
Samuel .G. Parker
t�:u
suedEcr
PERMIT
City of Fridley
�17924
AT THE TOP OF THE TWINS
BUILDING PERMIT-"
r
RECEIPT NO
• COMMUNITY DEVELOPMENT DIV.
INSPECTION
tee,
r PROTECTIVE SEC.
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
•---�"'l.�
L 612-571-3450
910-F15
4/24/85
JOB ADDRESS 6585 Monroe Street N.E.
1 LEGAL
LOT NO.
1
BLOCK
TRACT OR ADDITION SEE ATTACHED
Clover Leaf 2nd Addition
DESCR.
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Fred Hood 6585 Monroe Street N.E. 574-1864
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
L. R. Tabor & Sons Inc. 4046 Central Avenue N.E. 788-9474
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
Finish Basement
9 CHANGE OF USE FROM TO
STIPULATIONS
Use treated bottom plates..
SEPARATE PERMTS REQUTRM FOR
V"IONG,
HF -4 -TING" PLUUSING
AND, SJOVS,
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
SQ. 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
$l3 000
$6.50
WI WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
D OT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
VISI0 OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
98.50
N R THE P ORMANCE OF CONSTRUCTION.$PLAN
\TRqCTI
CHECK FEE
TOTALFEE
�
$105.00
SIGNATURE OF CONT ACT R OR AUTHORIZED AGENT (DATE)EN
.
PROPERLY V DATED THIS IS YOUR PERMIT
"1 -"
BLDG INSP DAT
SIGNATURE OF OWNER 0F OWNER BUILDER) IDATEI
NEW
[
] City of Fridley Effective 4/1/84
ADDN.
[
] R-1 AND R-2
ALTER.
[
] Building Permit Application
Construction Address: 6 S :Rs- 6 EE
Legal Description:
Owner Name &Address: ��' 0 Tel.
Contractor: L , Q , 7/9 ° u2 Tel. # ied- —4
Address: 46, q C C C &)
Attach to this application, a Certificate of Survey of the
lot, With the proposed construction drawn on it to scale.
DESCRIPTION OF I"ROVEMENT
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 [ ]
Ft. Yd. Setback
Side Yard Setback
�-o
Type of Construction: �
�c->''`�
Estimated Cost:
s 134 6r�---
Approx. Completion Date:
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $ $
See Back Page for Explanation
DATE: 2 Y-, S APPLICANT: - Tel. # 7 -c? Y 7
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Sewer !lain Charge
CITY USE ONLY
Fee Schedule on Reverse Side
2% of Building Permit Fee
$•50/#1,000 Valuation
$425 per SAC Unit
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
R)J.W- '�� 'G7� eQg-�'
CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
RATE SCHEDULE
PLUMBING FIXTURE RATES:
U,
Id
r
RATE
a
Na
New Fixtures
$
5.00
v
Future Fixtures
Water
m
61
01�
$
m
E$4
9: 4
M
Q
4j
a
w
a
�
Heater
W N N
C
�
$
5.00
$
3
N
$
5.00
$
U
ami
5.00
$
Sump or Receiving Tank
En u
5
M
$
m
3
0 w°
7.00
g
31 m
4 9
81
V
8
o
1
$
10.00
$ 15,00
Gas Dryer
$
En
$
Back Flow Preventer Required.
Type
s
Ele.
)
$
5.00
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1% of Value of Fixture or
Appliance
$
Reinspection Fee $
1st
$ .50
($15.00)
TOTAL
FEE
$ , .c;n
1
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
$
5.00
$
Future Fixtures
$
3.50
$
Old Opening, New Fixture
$
1.50
$
Beer Dispenser
$
4.00
$
Blow Off Basin
$
5.00
$
Catch Basin
$
5.00
$
Rain Water Leader
$
5.00
$
Hydraulic Valve
$
5.00
$
Sump or Receiving Tank
$
5.00
$
Water Treating Appliance
$
7.00
$
Hot Water Heater
$
5.00
$
Gas Range
1
$
10.00
$ 15,00
Gas Dryer
$
10.00
$
Back Flow Preventer Required.
Type
Yes ( ) No
(
)
$
5.00
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1% of Value of Fixture or
Appliance
$
Reinspection Fee $
State Surcharge
$ .50
($15.00)
TOTAL
FEE
$ , .c;n
Effective Date May 1, T988
Job Address 6585 ME Monroe St. #574-1864
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 are true and correct
Fridley, Mn. 18 Jan 89 19
OWNER Jeffrey L Hood
KIND OF BUILDING Fr
USED AS Res
TO BE COMPLETED ABOUT 18 Jan 89
ESTIMATED COST 350, / (�
OLD 3L*Ift BUILDING PERMZng��j
PERMIT NOO. ;czz
Signed Byr Iwo _
Tel. No. Monwag c n 4349-53'a7
700
342 53:az700 W. Linden Avenue
P. 0. Box 1165
ROUGH INSP. Date Minneapolis, MN 55440-1165
FINAL INSP.
Date
r
APPROVAL FOR PERMIT
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00
PLUS THE $.50 STATE SURCHARGE
CITY OF FRIDLEY INSPECTION DIV.
Effective On January 1, 1991
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
JOB ADDRESS J7
RATE SCHEDULE
The undersigned hereby makes application for a permit for the work
Residential Rate TOTAL
herein specified agreeing to do all work in strict accordance with the
Furnace Shell and Duct Work, Burner -
city codes and ruling of the Building Division, and hereby declares
Also Replacement Furnace $ 20.00
that all the facts and representations stated in this application are
true and correct. ,1990)
Gas Piping (Needed with new furnace) $ 10.00 $
OWNER
Gas Range $ 10.00 $
BUILDING USED ASS
Gas Dryer $ 10.00 $
°g
ESTIMATED COST �.�'0 ::;PERMIT NO.
*Air Conditioning - All Sizes $ 10.00
DESCRIPTION OF FUR OR BURNER
All Others/Repairs & Alterations (LIST ON BACK)
1 % of Value of Appliance or Work $
No. of Heating Units_ Circle ( b m) (Hot Water) (Warm Air)
Trade Name 3v �� 'size No.eAr,,,"V®lee ." ;/14
Commercial/industrial
BTU HP _ EDR
1 % of Value of Appliance or Work $
Fuel .f,- w__n- Cofijnd t Load
yTotal
State Surcharge $ .50-
Burner Trade Name tiSize No.
TOTAL FEE
BTU HP EDR
OA.> I -11/1C,
HOME com
HEATING COMPANY •
MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION
PA,M,M�ari
REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00
Signed By -�' Tel No.4Z':�
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $30.00
Approved By Rough -In Date Final Date 1 y Z—
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
FILL OUT BACK SIDE FOR STACK VERIFICATION ON
REPLACEMENT FURNACE
Ll
CHIMNEY AND STACK VERIFICATION
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 (� No ( )
3. Has no foreign objects lodged within Yes (✓f No ( )
4. Is securely supported Yes No ( )
5. Meets all current Code requirements for
size and total BTU's connected Yes ( No ( )
6. Has total heating BTU's of
All other BTU's s{d-M-
TOTAL BTU's jp6 �I
Remarks
List Alterations Being Done:
NOMENEMCOM
14=.21ST AVE. NQ x'22 ftfvHEATING COMPANY � MMN OW
Signed By
Date
HOUSE ME4TMG TEST RECORD alk
DR
ADESS CG` uT. PLOOR CITY --wwRs
OCCUPANT OWNER
NEAT LOSS
J. -OAT% HT6►T.
SOLD 1Y ' y- e_& --INSTALLED 1Yc-a—
Ela.tttad nark 1r Os Sl
Llan y h t^r 'c, 7.,
TYPE OF NEAT dA FA Ht STEAM SPACE NTL. UNIT HTR. O' R
GAS DEGH CONVERSOOM
W►KE �'{ C' '�' J"`L� MXIE OF WRHEL
it>�ol tle+el
Seriel — Ira. 1TU Ratlwg
INPUT �� MKE OF FURNACE
Iril
-
THIMIT wt Plag coat Sia.
vVolvoH----SIZE�HOw!_
Lttait 13101116 HeedR"viat.r
Limit Sottiug Fib
rs Sit y'�a
Fan Setting OYesey Location yt � Ower.
Pilot Type 4 chess Csnsnuctlen -
Pilot Iraka 1''� Splllagal'vo rlA-
Pilot Wil S.is Be" ?_. tiring
Pilot Timing Or.It Top Tal-
L.W. Cut 00 Doan preswe Lighting Inst.
Presswe �s percent CO �o % am Tested -/pzj
lww CFH fa caa O= G.g.y Testing Q cJ+✓/
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w. /
SUBJECT
PERMIT NO.
City of Fridley
26149
AT THE TOP OF THE TWINS
BUILDING
PERMIT
---b
r
1 ,
_ COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
y - ----®3
r � �
F
NUMBER
REVDATE
PAGE OF
APPROVED BY
i CITY HALL FRIDLEv 55432
612-571-3450
910-F15
6/5/98
JOB ADDRESS 6585 Monroe Street NE
T LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
1
1
1 Clover Leaf 2nd
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
Jeffery/Linda Hood 6585 Monroe Street NE
574-1864
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO
Affordable Remodelers 4143 Washburn Ave, M ls., MN 55412
521-4797 20054435
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
Install patio door/kitchen sheetrock
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 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
$1.50
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$3,000
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL AW REGULATING CON-
$74.75
Fire SC $3.00
STRU ON OR THE PERFORMAN OF CONST CTION.
PLAN CHECK FEE
TOTAL FEE
License SC
$5.00
$84.25
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
HIS IS YOUR6ERMIT
]4eR��PEYLIDATED
)NSP
•
r ATE
SIGNATURE OF OWNER, IF OWNER BUILDER) IDATEI
w. /
1�1
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: S�
Legal Description:
Owner 1\
Contract
Address:
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Construction Type:
Effective 1/1/98 r
X Tel. # 5_7% '—ZgW �
MN LICENSE # R00 SyY3S.-
M x`112 Jel. # 6-;2,1 `1% 5�
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF EMPROVEMENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length
Driveway Curb Cut Width NPPAPrl
DATE: S_
Width
Ft -+(Ft=
Estimated Cost: $ '960C)
(Fee Schedule on Back)
Ft x $ = $
Permit Fee $ .�
Fire Surcharge $ -fid
State Surcharge $
SAC Charge $ _
License Surcharge $
Driveway Escrow $
Erosion Control $
Park Fee $
Sewer Main Charge $
TOTAL $
STIPULATIONS:
CITY USE ONLY
Tel.#
Fee Schedule on Reverse Side
.001 of Permit Valuation (1 / 10th %)
$.50/$1,000 Valuation
$1000 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 [ ]
1
SUBJECT
PERM
City of Fridley
2 8 08 0
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
SEC.
6 `L
� 16
j PROTECTIVE INSPECTION
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910415
10/2/98
JOB ADDRESS
6585 Monroe Street
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
1
1
Clover Leaf
- 2nd SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Jeff & Linda Hood
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Affordable Custom Homes Inc 680 63rd Ave
NE Fridley MN 55432 574-0729
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 and garage (22 Sq) Tear -off;
Install bow window
9 CHANGEOFUSEFROM
TO
STIPULATIONS
Underlayment must comply with the State Building Code.
Install smoke detectors to meet the State Building Code - in each sleeping
room and on each level of house.
SEPARATE PERMITS ARE REOUIREO FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAO
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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
3085
$1.54
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-
STRUCTIO THE PERFORM E OF CONSTRUCTION
$87.25
Fire SC $3.08
°?
PLAN CHECK FEE
TOTA EE
a
96 8
SI UAE OF CON' C OA OR AUTHORIZED AGENT I 40APt.
HEN ROP R VALIOAT D T IS IS YOUR PERMIT
/���
SNATURE OF UWNEROF OWNER BUILDERI IbAIE�
9l ipjD rjA1E
1
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [r SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: ���15 /V
Legal Description:,�1�.
Owner Name & Address: Z i>/, 179-e,d �_�k� ��� ��o Tel. #
Contractor:/,6V,_E MN LICENSE #��5 3l
Address: 6�E2 zV e 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/Ground Sq. Ft.
OTHER:
Construction Type: &� (%7k- 9,, it ,,, Itimated Cost:
(Fee Schedule on Bawl a®�j
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $
DATE: APPLICANT: Tel. #
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1000 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 [ ]
From: City of Fridley Tec 7637542908 Page. 4/4 Date: 4/16/2009 11:00:10 AM
Building PLUMBING
Inspections ! RESIDENTIAL L APPLICATION
76;-572-3604 CTTY OF FRIDILEY
763-502-4977 FAX EFFECTIVE 2-19-00
DATE 5p-7–vq
SITE ADDRESS V
HIS APPLICANT IS:
PROPERTY
OWNER/
TENANT
CONTRACTOR
SUBMIT A COPY OF
YOURSTATE
LICENSE, BOND AND
CERTIFICATE OF
INSURANCE
PERMIT TYPE
TYPE OF WORK:
YOUR E-MAIL ADDRESS
❑ OWNER
CONTRACTOI.
NAM LI: C®
SINK/LAV
DRAINS
ADDRESS: 0
�qO�D
/yWh'ile
sTL Ng
CITY
PHONE: �5-3.
– Q4
_BATHTUB
WASHER
_GAS
KITCHEN SINK
(
NAME:
BACKFLOW PREY. ('$15)
_CLOTHES
DISHWASHER
_
LAUNDRY TRAY
STATE LICENSE il
STATE BOND It
ADDRESS: 9W
I U/I
S -r NC *!54
CITY FWd t
�5+
/�1
FAX
�PHONE/""
J
� l SINGLE FAMILY
❑ TWO FAMILY
❑ TOWNHOUSE
❑ NEW
L REPLACEMENT
DETAILED DESCRIPTION OF WORK
Permit N
Received By:
AMPA
STAT
EXP DATE
EXP DATE
STATE "LIP S �;Z
qa
FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE
$35.50.
SINK/LAV
DRAINS
_ WATER PIPING
_BATH
_FLOOR
PIPING (NEED CITY LIC)
_SHOWER
POOL
—WATER SOFTNER ($35)
_BATHTUB
WASHER
_GAS
KITCHEN SINK
_SWIMMING
WATER CLOSET
BACKFLOW PREY. ('$15)
_CLOTHES
DISHWASHER
_
LAUNDRY TRAY
WATER HEATER ($35)
_
FOR IRRIGATION
_
_
WATER METER
OTHER
THIS 1S AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
I hereby apply for a plumbing 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
A�of��all work which requires review and approval >ofplans.
� � L
SIGNATURE OF APPLICANT c�Wl� (�//�/J/D� PRINT NAME /� t �Ic, I.LG?f%% DATE
City of of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977