Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
PRE 2010 DOCS
Date: .......... 1/0 — 7011.E =- Address Address City of Fridley, Minn.. BUILDING PERMIT N° 400'7 Builder A Address LOCA ION OF BUILDING �o- No. R-- ?-. z ....... Street ��? -PJ... __ ._.............__....../�.--- .-......._ Part of Lot ..----......_...._.._..__._.._.._..__._.._..._._ Lot..............1..---.....---....... Block ............................._................. Addition or Sub -Division _......_!V _..�.� ... .O ��..... Sideyard®-/ O-// - Corner Lot ..... ............................ Inside Lot .. 5etbacl ..- •--------------............. _ Sewer Elevation ....._ ............................ ._............................................................. _ Foundation Elevation DESCRIPTION OF BUILDING To be Used as: _? ✓G ........... Front Depths} ...-.�� Height] ................. Sq. Cu. Ft.z.®6.-z"66 ................... _............ ._................... .... Front ..............Depth ...........�.. Height ,,..... _................. Sq. Ft. ..... - ............. _. Cu. Ft. ............. _....... Type of Construction...................................................... Est. Cost .. y . 9 4->..`. e...0 e...... To be Completed ................. _............................... In consideration of the issuance to me of a permit to construct the the proposed work in accordance with the description above set forth a ordinances of the city of Fridley. above, I agree to do with all provisions of v In consideration of the payment of a fee of $...2°..®...., 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 of any of revisions of said ordinances. -�-4 " ' _ L Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to we the Building Inspector for separate permits for these items. 4 City of Fridley, Minn. BUILDING PERMIT Owner: CEatti n Builder Leonard Freund Address 6842 Monroe N. E. Address 33-30 Zenlum ane Lot No '7825 LOCATION OF BUILDING Na 6%2 street Monroe Street N. E. part of Lot Lot - 1 Block 7 Addition or Sub -Division Brookview Terrace, 3rd Add. Corner Lot.. Inside Lot Setback Sideyard Sewer Mevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Stucco Est. cost 666_ To be Completed Storm damage repair: Stucco 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 rth and in compliance w 21 provisions of ordinance of the city of Fridley. -� In consideration of the payment of a fee of $ 10. 00 , permit is hereby granted to-7--e- to om 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 limitand this permit may be revoked at any time upon violation of any of the provisions of said ordinances. Allen Jensen Building Mmspector NOTICE: TIS parch don not cora the eenc nwffoe, hatdiation for v ring, pinubmg, en hating, sower or meter. Be euro to we the sawing leder for separate pamib for thus hems. ti� APPLICATION FOR ING PERMIT, CITY OF FRIDiM &NNiSOTAI OWNER'S NAME BUILDER .. ADDRESSg�/� �%%D / (, li ADni(Ess 3 C0 � - X�C LOCATION OF BtMDING. No. Street Part of L.ot_^_____ LotBlock Additiow or Subdivisi Corner Lot Inside Lot .Setisw-*k Side -Yard SEWER ELEVATION FOUNDATION EUVATION Applicant attach to this form,.Two Certificates.of Survey of Lot and proposed build-- ing location drAwn on these Cattificates. 1b be used as: DESCRIPTION OF BtMDING Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Std. Ft. Cu. Ft. Type of Construction Estimated Cost ce;''�S , The undersigned hereby makes application for a permit for, the work herein specified, agreeing to coo all work ift strict accordance with the City of Fridley Ordinances and rulings Wf the Department? of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE- C Is - -11.1.4- le.of Fee Costs can be found on the Reverse Side). Q 33 3-7 S7-' City of Fridley, Minn. N° 8790 BUILDING PERMIT Date: APRIL 26, 1966 1 Owner: WILLIAM GATLIN Builder INTER CITY BUT[ DERS Address 6842 MONROE STREET N.E. Address 35 HIGHWAY #10 - FRIDLEY, MINNESOTA 55432 MINNEAPOLIS 33, MINNESOTA LOCATION OF BUILDING No. 6842 Street MONROE STREET N,E, part of Lot Lot 1 __ Block 7 Addition or Sub -Division BROOKVIEW TERRACE, 3RD ADDITION Corner Lot —___ X____ Inside Lot _ _ Setback of houSe_ Sideyard 9-91 Sewer Elevation ____ Foundation Elevation DESCRIPTION OF BUILDING To be Used as: DET. GARAGE Front 22 Dept 26 Height 10 Sq. F't, 572 Cu. Ft 5,720 Front Depth freight Sq. Ft. Cu. Ft. Type of Construction FRAME Est. Cost 1 800 _ 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 is appliance with 21 provisions of ordinances of the city of Fridley. In consideration of the payment of a fee oP6g , 00 —4, permit is hereby granted to IKER CM BU31DERS to construct the buiIM, or addition as described above. This permit is granted upon the express condition that to whom it is granted and his agents, employees and workmen, in all work the done in, around and upon building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, be ��alat any time upon violation off any of ttheeand prprovisions of�eaid ordinances.within of b city limits and this ALLEN G. JENSEN Building Inspector NOTICE: lbis puma don not emu tbs aondndhm, hwh9a8a for wWae, phnnbing, gas haftg, www or wdor. Bo an to m Na MUMS hapodu for apudo ponaib Por thus Hina. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, NIME80TA OWNER'S t>10 i L > a % �L i A/ BUILDER 1,11re- G'i `,�° 13uI[��rQ� ADDRESS °� �/�%®�/ 11®e ) ADDRESS /P LOCATION OF BUILDING NO. StREET e ® Mi2 e _PART OF LOT LOT_ ___/ BLOCK ADDITION OR SUBDIVISION CORNER LOTX _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 used as; �6 azz age Front Depth 6 Height Sq. Ft..%'� Cu. Ft. y Q Front Depth Height Sq. Ft.. Cu. Ft. Type of Construction �RPtu Estimated Coat /10o 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 7 - % 116 (Schedule of Fee Costs can be found on Reverse Side). SUBJECT P City of Fridley 26 9 8 2 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. ______ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 1 . � NUMBER REV DATE PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 ----� ��'�',•� L 612-571-3450 910-F15 8/4/98 JOB ADDRESS Monroe St NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 1 7 Brookview Terrace 3rd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John Hansen 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. D&B Home Improvement 4901 105th Ln NE Circle Pines 784-0922 7773 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 CX REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (19 S) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Buidling 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 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 I$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 $1584 $.79 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 PERFORMANC CONN. $51.25 $1.58 Fire SC c P PLAN CHECK FEE TOTAL FEE License SC $5.00 58.62 SIGNATURE OF CONT RACTOR OR AUTHO i IDATEI WHEN PROPERLY04 LIDATED THIS IS YOUR PERMIT BLD )NSP BATE SIGNATURE OF OWNER PF OWNER BUILDER) IDATEI NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress : Legal Description: Owner Name & Address: Contractor: Address: L4gr% Effective 1/1/98 LICENSE # TZ/3' 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 GARAGE AREA: Length Width Height DECK AREA: Len /Width Hgt/Ground OTHER: 1G� Sq. Ft. Sq. Ft. Sq. Ft. V v / - Construction Type: �� ® Estimated Cost: (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ c r DATE: APPLICANT: Tel. # TOTAL $ 1' STIPULATIONS: ''I CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ , �' .001 of Permit Valuation (1/10th k) State Surcharge $ G' $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ 7.0-0 $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 $ 1' STIPULATIONS: ''I CITY OF FRIDLEY INSPECTION DIVISION 1(J A Effective On January 1, 1998 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES State Surcharge TOTAL FEE , $`50 11W. -Ma MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr Burner Trade Name Size No. BTU HP EDR BLMNE With. AX ELECIN'NC. 13562 CEMFRAL HEATING PJ8,,, A�!®�° RANI Signed By Tel No. 1 S� ✓('0 Dao Approved By Rough -In Date Final Date *Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE FOR. ST K VERIFICATION ON written permission from adjoining property owner. REPLACEMENT FURNACE JOB ADDRESS LA H Z M D h ro-e t� R RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Fumace Shell and Duct Work, Burner - rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30.00 $ '60, CO representations stated in this application are true and correct. (Side Vent - Fill Out Back) to - a-7 ,1998 Gas Piping (Needed with new furnace) $10.00 $ OWNER Gas Range $10.00 $ BUILDING USED AS Gas Dryer $10.00 $ ESTIMATED COST PERMIT NO.� *Air Conditioning -.All Sizes $ 25.00 $ DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairt� &,Alterations (UST ON BACK) 1% of Value of Appliance or Work $ No. of Heating Wnits Circle One (Steam) (Hot Water) A�r) Trade Name Size No. Commercial/Indust'iah BTU 010 HP EDR 1.25% of Value of Appliance or Work $ Fuel Total Connected Load State Surcharge TOTAL FEE , $`50 11W. -Ma MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr Burner Trade Name Size No. BTU HP EDR BLMNE With. AX ELECIN'NC. 13562 CEMFRAL HEATING PJ8,,, A�!®�° RANI Signed By Tel No. 1 S� ✓('0 Dao Approved By Rough -In Date Final Date *Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE FOR. ST K VERIFICATION ON written permission from adjoining property owner. REPLACEMENT FURNACE Remarks: List ALTERATIONS Being Done: BLAINE WTO. AaC ELECT., INC. IS 2 CENTRAL AVE. N.E. HEATING CO: a WNOKA MN 55304 Signed By: Date: '25�1—(o,�-bD F; CHDJNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes ()6 No ( ) 2. Is free from rust or deterioration Yes (k No ( ) 3. Has no foreign objects lodged within Yes (�) No ( ) 4. Is securely supported Yes (Vy ) No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes ( No ( ) 6 Has total heating BTU's of 0 b D All other BTU's U 0, 0 O 0 TOTAL BTU's 7. Has a liner been provided for water heater Yes () No 8. Has combustion air been provided for water heater Yes (�) No ( ) Remarks: List ALTERATIONS Being Done: BLAINE WTO. AaC ELECT., INC. IS 2 CENTRAL AVE. N.E. HEATING CO: a WNOKA MN 55304 Signed By: Date: '25�1—(o,�-bD F; HEATING AIR CONDITIONING AND ELECTRIC, INC. ADDRESS rl i (Ya doh 11oe- St, AJ. E" Frt'J).e OCCUPANT- SBL_t I :v7 se, — t HEAT LOSS DATE HTG. INST. SOLD BY Electrical Work By Cwt TYPE OF HEAT GA FAX HW S SPACE HTR. GAS DESIGN u.t� Model ld G R if — ® ? E07/9 serial • i S -7vd-F INPUT �l Jam. goo 13 FAA THERMOSTAT Value H&j CONTROLS Heat Plug Limit S k el C® Limit setting_/ 7/2 Fan Setfina ;406'14 Pilot Type_ _ U_E Sur at.� Pilot Make 14 L--' Pilot Model — 4LIa PilotTimi D e. L.W. Cut Off O Pressure r Percent CO2 Co% Input CFH Percent O2 g°�0 Stack Temp. Percent CO Z� HOUSE HEATING TEST RECORD APT. _ OWNER FLOOR CITY SUBURB INSTALLED BYtewW— d' Gas Une By UNIT HTR. OTHER rr Vent Size _�G KIND OF LINER SIZE NONE Draft Hood Regulator Filters Size & x -25"X 1 Number / Chimney Location Inside Outside Chimney Construction Smoke Bomb Wiring . If5 Draft Test Teg Door Pressure Lighting Inst. c�fo' Date Tested Company Testing G Name of Tester X0 Pressure Percent CO2 Input CFH Percent 02 Stack Temp. Percent CO CITY OF FRIDLEY INSPECTION DIV 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND. GAS FITTING PERMIT PLUMBING FIXTURE RATES: NO. RATE New Fixtures $ 7.00 Old Opening, New Fixture $ 4.00 Beer Dispenser $ 5.00 Blow Off 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** $10.00 Back Flow Preventer Required ( )Yes () No Type $15.00 Effective On January 1, 1998 Gas4 Misc Water Heater Range Fixt - Gas Elec TOTAL JOB ADDRESS 110,2 /- -f Z�� . ' _ Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance LO -0 State Surcharge $ .50 TOTAL FEE R 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 and correct. ra , 1998 Owner W Building Used As '74/nm e__ Estimated Cost /r, n PERMIT NO. J-2 July zw A Met P16g. '+ Af., Aw. PLUMBING COMPANY 1501 - West iT0ffdc✓ay ED BY / SIGN'1� �€L N0. (� ��S Approved By `'S "� Rough -In Date Final DaO L/e MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20.00 lel PLUS THE $.50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SQ INCHES. City of Fridley®' SUBJECT AVER 31�24 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. � COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 6 1 � ` CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 6/6/00 JOB ADDRESS 6842 Monroe Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 7 Brookview Terrace 3rd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John Hansen 6842 Monroe Street NE 574-0047 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Custom Remodeler's Inc 474 Apollo Dr, Lino Lakes, MN 55014 651-784-2646 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 O ADDITION ❑ ALTERATION jJ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Replacement windows; soffit/fascia 9 CHANGE OF USE FROM 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. ph Permit IRSP8 1ft P eds ty II18 0 M,a�l a ed ''o ®mels;a;-1!Y 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 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 $7,575 $3.79 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- $153.25 Fi SC $7.58 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEEIT7 FEE Licen C $5,,._OV $169.62 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT iDATEi HER P VALI T T� IS IS V R P IT�,ryyA,�y 864G INSP gAtE VV SIGNATURE OF OWNEROF OWNER BUILDER, iDATE1 NEW [] ADDN [ ] ALTER [ ] Construction Address: Legal Description: _ Owner Name & Addre Contractor. `et Lkl'lli[CL•1 7 d3 GARAGE AREA: Effective 1/1/2000 CITY OF FRIDLEY (763) 572-3604 Bldg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION r.� 1htW1a k9& -lIA Tel. # "' J6 -7q ' Daq 1Ps . MN LICENSE # I % 22--- cI�C'�Y ] L f I.# 66'1 -?T4-964! 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 Sq. Ft Length Width Height Sq. Ft DECK AREA: Length Width Hgt/Ground Sq. Ft OTHER: Construction Type: 04 Estimated Cost: $ Driveway Curb Cut Width Needed: Ft + 6 Ft= Ft x $ DATE: D APPLICANT: Tel. # CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Call (763) 572-3604 for Permit Fees If mailing In application e Fee Schedule on Reverse Side $ X401 of Permit Valuation (1/10th%) $ $.50/$1,000 Valuation $_$1 100 per SAC Unit $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ (Q STIPULATIONS: /%`�lJ/damc�T l i •G� //�G� Receipt #53,57 Fee: $ /000 Effective November 3, 2000 CITY OF FREDLEY LAND ALTERATION PERMIT APPLICANT— Tel. #' Z" Address NAME x fJ Address NAME Address Tel. # Tel. # LEGAL DESCRIPTION OF PROPERTY Lot Block Addition DESCRIPTION OF LAND ALTERATION Value of Work: $ Starting Date: Completion Date: Source and Composition of Fill:, PURPOSE OF LAND ALTERATION ATTACHMENTS TO APPLICATION The following plans, drawings, calculations, bonds and/or statements may be required by the Public Works Department: [ ] Half -section map or sketch of property showing all adjacent property indicating the existing buildings and/or structures. Grading plan showing existing and proposed finished contours and evaluations. [ ] Drainage plan showing existing and proposed drainage structures, stabilization walls, retaining walls, cribbing, dams, or other protective items. [ ] Calculations for and approximate quantities of excavation and/or fill required. [ ] Signed statement from the property owner accepting responsibility for the operation and granting permission for land alteration/mining operation. [ ] Statement to be attached to deed advising of potential need for soil tests prior to any construction on lots where additional fill material has been placed. [ ] Rice Creek Watershed District Approval. [ ] Soil Borings Other IF oy PLS i� 6 vTTce-s 60 -O+e &kGZ i ORA ItJ 7-0 -rur AJO(LT H z514E OF 40025E. STIPULATIONS READ BEFORE SIGNING APPLICATION 1. A surety bond or certified check in the amount of $ ------ (5% of value of work to be completed) must be submitted after approval of application and prior to any work commencing. This bond or check is to ensure satisfactory performance and compliance with the below stated stipulations. The surety bond or check shall be kept active until the completion of work and/or expiration of permit and can only be released by written notification of the City after a satisfactory final inspection has been performed by the City. 2. All access and street frontage of the land alteration site must be controlled by a fence, a minimum of four (4) feet in height. All entrances must have gates that are capable of being locked. 3. Only rock, sand, gravel, dirt, or similar natural earth fill is permitted. No concrete, asphalt, or demolition wastes will be permitted as fill unless a demolition landfill permit is first obtained from Anoka County. 4. Operations shall be limited to daylight hours and shall not interfere with the health and safety of surrounding residents and the premises shall be maintained at all times so as not to create a nuisance. Stipulations Continued 5. Any explosives used must be done so in accordance with Chapter 212, subsections 212.07.5A, .5B, .5C, .5D, and .5F. of the Fridley City Code and any other applicable standards, e.g. Federal, State, Industrial, etc. 6. At the end of each season's operations and no later than the last day of December each year, the site is to be left in a neat and orderly condition, with maximum slopes of 2:1 with no overhang or vertical banks and with a level bottom. On the Friday of each work week, or when required by the City, material from this operation that is o to exist on City streets shall be cleaned to the City's satisfaction by the applicant. 8. Upon completion of land alteration operations, the land must be left according to the plans and contours submitted with this application and planted with suitable vegetation to prevent erosion. 9. Upon completion of land alteration operations or expiration of this permit, an inspection will be made by the City of the premises and adjoining streets. Any damage found to have been caused by these operations will be corrected by the applicant upon notification by the City. Property Owner's Signature Property Owner's Signature e Date: Date: Date: FOR CITY USE ONLY Recommended • •• •Val : D. Approved ]By: Date:— 7-09-023> PERNUT EXPIRATION DATE: I ;-7.2 1 3 LAND ALTERATION PLAN -CHECKING FEES 50 Cubic Yards or Less ....................................................... No Fee 51 to 100 Cubic Yards ....................................................... $ 23.50 101 to 1,000 Cubic Yards ..................................................... $ 35.00 1,001 to 10,000 Cubic Yards .................................................. $ 49.25 10,001 to 100,000 Cubic Yards ................................................. $ 49.25 for the first 10,000 cubic yards plus $24.50 for each additional 10,000 Cubic Yards or fraction thereof 100,001 to 200,000 Cubic Yards ............................................... $269.75 for the first 100,000 cubic yards plus $13.25 for each additional 10,000 cubic yards or fraction thereof 200,001 Cubic Yards or More .................................................. $402.25 for the first 200,000 cubic yards plus $7.25 for each additional 10,000 cubic yards or fraction thereof. LAND ALTERATION GRADING PERNUT FEES v/50 Cubic Yards or Less ....................................................... $ 40.00 51 to 100 Cubic Yards ........................................................ $ 47.50 101 to 1,000 Cubic Yards ..................................................... $ 47.50 for the first 100 cubic yards plus $10.50 for each additional 100 cubic yards or fraction thereof. 1,001 to 10,000 Cubic Yards ................................................... $167.00 for the first 1,000 cubic yards plus $9.00 for each additional 1,000 cubic yards or fraction thereof. 10,001 to 100,000 Cubic Yards ................................................. $273.00 for the first 10,000 cubic yards plus $40.50 for each additional 10,000 Cubic Yards or fraction thereof. 100,001 Cubic Yards or more .................................................. $662.50 for the first 100,000 cubic yards plus $22.50 for each additional 10,000 cubic yards or fraction thereof. 7 Sue�Ecr PER City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT 3 3 2 6 0 r �` ____ _ COMMUNITY DEVELOPMENT DIV. 1 v PROTECTIVE INSPECTION SEC. r E , CITY HALL FRIDLEY 55132 1 763-571-3450 X ` /vim•" NUMBER 910415 REV DATE 11 / 15 / 0 2 PAGE OF APPROVED BY JOB ADDRESS 6842 Monroe Street NE 1 LEGAL DESCR. LOT NO. 1 BLOCK 7 TRACT OR ADDITION 1 Brookview Terrace 3rd Addn SEE ATTACHED SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Terry Zabel 6842 Monroe Street NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 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 O NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK install basement egress window 9 CHANGEOFUSEFROM TO STIPULATIONS Window to meet the State Egress 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 AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION ZONING SO. FT CU FT OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO OWLG. 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 AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT VALUATION $500 SURTAX $ .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 TOTALFEE $24.50 SiGNAT CONTRACTOR OR AUTHORIZED AGENT IOATEr EN PROPERLY BL N F VALIDATED THIS IS Y UR PER IT (a% 1 ` v OArk S-GNATURE OW01hNI iDATE. 7 NEW (] CITY OF FRIDLEY Effective 1/1/2002 ADDN (J 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER (J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: �;' 8 �� Legal Description: i % SLGe- K�/�iw T �i �✓/� Owner Name & Address: Tel. # Contractor. 0 MN LICENSE # Address: 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: / �✓ S %�L /3� S �l / �� SS Construction Type: 41 ��/��? � Estimated Cost: $ 2q —jp4g � Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ DATE: ZAPPLICANT: Tel. # Call (763) 572-3604 for Permit Fees if mailing In application or Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 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 [ ] STIPULATIONS: 4 CITY OF FRIDLEY FIRE DEPARTM NT FIRE MARSHAL'S OFFICE DEPARTMENT OF FIRE PREVENTION NOTICE OF BUILDING FIRE To: Building Inspection Assessing Water Billing City Manager From: Ralph Messer, Fire Marshal Date: December 15, 2009 Subject: Fire Damaged Building Location of Fire: 6842 Monroe Strbet, N.E. Date of Fire: December 14, 2009; 1602 hours Other pertinent details: This fire in a detached, double vehicle garage occurred on Monday, December 14 at 1602 hours. First arriving firefighters found the structure and two vehicles in a fully involved condition. Firefighters from the automatic mutual aid departments of Spring Lake Park - Blaine -Mounds View, Columbia Heights and St. Anthony responded to assist us with this fire. Although the garage building and vehicles were destroyed by the fire, firefighters worked quickly to confine the fire to that property. Very minor damage was reported to the paint of a garage building located adjacent to the fire building The fire is under investigation by the State of Minnesota Fire Marshal Division and Fridley Fire Department investigators. We have been advised that a suspect is in custody for suspicion of second degree arson. If you have additional questions, please contact me at x3621. Thank you. Ralph Messer, Fire Marshal City of Fridley Fire Department INSPECTION REPORT CITY OF FRIDLEY MINNESOTA (763) 572-3604 PERMIT # OWNER BUILDER If no corrections are listed above, a violation of the ordinance if you do corrections as called for. L� z hereby given to proceed. You will be in I for the proper inspections and make From: City of Fridley To: 7634349348 Page: 414 Date: 2/8/2010 8:00:17 AM CITY OF FRIDLEY MOVING [ ] DEMO [ ] PERMIT APPLICATION 6431 University Ave NE (i Fridley MN 55432 ) f (763)572-3604 FAX (763)571-1287 REM MAR 0 2 2010 Job Address: G! y mo/� roe- tJ rz %1 Legal Description: Owner & Address: JAMMQ Rkift�Tel. # 596-- A9 q -5 - Contractor: T 14fusr coA, t�uzT+oA t Tel. #-7,&3-3Z6-6735- Address: 75R- Jget4Ave NF 144 )A ke, M fV 4L5" State License # a® 46 l 9.!;7 DESCRIPTION OF BUILDING HOUSE: Length Width Height Sq. Ft. Cu. Ft. GARAGE:Length Width_ Height Sq. Ft. E�� Cu. Ft. OTHER: Length Width Height Sq. Ft. Cu. Ft. Estimated Cost $ '75-0. ®t> Approx. Completion Date 3-1- 10 CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. CALL ALL Moving Route: APPROVALS) REQUIRED PRIOR TO ISSUANCE: MPGA: NOTIFICATION OF INTENT TO PERFORM A DEMOLITION ( ) YES ( ) NO 0 Water Bill Paid: Yes[ ] or Collect[$ ]Signature D Bldg Official Conditions 0 Engineering Conditions 0 Fire Marshal Conditions The undersigned hereby makes application for a permit to wreck(move the building described above, agreeing to do all work in strict accordance with the City Ordinances and rulings of the Building Division, and the State Code which requires any water well on the property to be sealed by a State licensed water well driller, and hereby declares that all facts and representations stated in this application are true and correct. AT i T% RA4"%T TW%W T @nfQ MUM TYnMT!• E"TTILTn A7RAl►T p_ Of AQ c[fAT T DIP 10WAA NWEt" T.DIMLS 01rM -15--10 Date Moving Wrecking Principle building into Fridley .... $300.0 For each 1,000 cubic feet or fraction......$1.25 Accessory building into Fridley ... $ 42.00 For structures which would be impractical to Through or within the City ...... $ 20.00 cube, the fee shall be based on the total cost Move a building out of City ...... $ 20.00 of wrecking at the rate of $6.00 for each $500.00 or fraction. PERMIT FEE: MINIMUM $20.00 Office Use Only: SAC -D form completed Effective 1/01/2010 From: City of Fridley To: 7634349348 Page: 2/4 Date: 218/2010 9:00:16 AM Building BUILDING (USING TIJE 1997 U.B.0 FEE SCHEDULE) Permit No.: 6 �ti, InspectionsRESIDENTIAL `I OCCUPANCY TYPE APPLICATION Received By: 763-572-3604 Plan Review CITY OF FRIDLEY Date Rec'd: 763-s5�02i4977 FAX $ .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 EFFECTIVE 1-1-2010 $ $5.00 (State Licensed Residential Contractors) DATE cis" t L [% YOUR E-MAIL ADDRESS !3A 61 eoS i Aram-e1� 14ruS AA �j til Sn <,o ain SITE ADDRESSi1'1 bit r© r`s fqE $ THIS APPLICANT IS: ❑ OWNER 'CONTRACTOR $ PROPERTY OWNER/ NAME $ TENANT ADDRESS: VE ITY STATE LIP Agreement necessary ( ) Non Necessary ( ) PHONE:'7163 -T (La ---7P${ 5 - $ CONTRACTOR NAME:3-o ry . 1(^ coAStructorN SUBMIT A COPY OF YOUR STATE LICENSE AND CERTIFICATE OF STATE LICENSE It Yes I B.S % ADDRESS: `)g® 1,I&l k OgUe N F EXP DATE CITY let STATE LIP, S_JtQ INSURANCE PHONE - -COQ 3 5 FAx - q - 3 L19 PROPERTY TYPE�[SINGLE FAM1LYMEW CONSTRUCTION SIZE:„� 3.69 TWO FAMILY/NEW CONSTRUCTION STOR ES__J__ PERMIT TYPE ❑ ADDITION $EGAIiAGEISHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCEIREPAIR O REMODELING DESCRIBE WORK BEING DONE: O ' tip a oAa exc2 SIZE OF IMPROVEMENT afiNLENGTH WIDTH HEIGHT SQ FT ROOFING NUMBER OFSQUARES ❑ HOUSE ONLY ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan GARAGM PROPOSED SIZE: b ❑ ATTACHED GARAGE WDETACHED GARAGE 2. Proposed floor plan 3. List ofstnictural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl OSoffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing stntctures ❑ Other ❑ Fascia and proposed project. 2. Two sets of constntction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS FOR WINDOWS - PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. 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 TIJE 1997 U.B.0 FEE SCHEDULE) !OTAL JOB VALUATION $ `I OCCUPANCY TYPE Permit Fee $ i C? i Sec 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 $ $2100 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $22 = $ Erosion Control $ $450 Conservation Plan Review 1� Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ « I ,Iii Make checks payable to: City of Fridley Attach Stipule 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 ordinanees 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 o 1 work=ch quires review and approval of plans, SIGNATURE OF APPLICAN A- PRINT NAME &MtS W. 4rVi(�ADATE�=�