PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT
Date: ..... ._...... ..7.�... ._..--------- __...._------_------...._....--
Owner:
Address
N? 4058
LOC"ION F BUILDING
No. 6..?.6. � Street. ......................_...------.... Part of Lot ..... .............. .......
_
Lot ....._...Jr/ .................... Block ........... Addition or Sub -Division .. -.- .....-.....- .......�...-....-- -- -- --
Corner Lot .................................... Inside Lot .............---...................... Setback 4.6.................. _........ Sideyard......----. .................................
Sewer Elevation .................... _....................... -... _-.......................................... _........ Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
� D/
'q.....---------...-_ .............. .......... Front _. Depth / ........_.. Height / ....�f� Sq. Ft. � s Cu. Ft. zZ.
X�. ................. Front &vie. Depth 2A_ .40' Height ®._�� Sq. Ft..... Cu. Ft. .....
,�.�- %r
Type of Construction............................................................ Est. Cose/-*"*(&.�-2r..e..:a. A.. To be Completed ...... ............. _ ...................... - ........
In consideration of the issuance to me of a permit to construct t e building described above, I agree to do
the proposed work in accordance with the description above set fort and in coance with all provisions of
ordinances of the city of Fridley.
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, 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 the provisions of said
ordinances. l
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 these items.
4
City of Fridley
Application for Pimbing and Gas Fitting Permit
Dept. of Bldgs. Phone SII 4-7470
DESCRIPTION OF WORK Location 60 /� A"
Number, Kind and Location of Fixtures (� Q , / !� /
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Fx'�'
is
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fT3
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WATER HTR.
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DLL
O Sa
5 1
3
� Oa,
Oad4a
n
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F
N
GAS
ELEG
,n
w
LLC
Base
1st
2nd
3rd
4th
' Future Connection Openings
Connected with
New Fixture, Old Openings
I
Sewer �
Cesspool ❑
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ...................... x $1.50 $
Future Fixture Opening ................ x 1.20 $
New Fixture Old Opening .............. x 1.00 $
Catch Basin ............................ x 3.25 $
Water Heater (Up to 200,000 BTU) ......--� x 2.00 $ 2`
New Ground Run Old Bldg . ............ x 3.25 $
GAS FITTING FEES:
1st 3 Fixtures ..........................
Additional Fixtures ....................
Gas Range to 200,000 BTU ..............
REPAIRS & ALTERATIONS—Refer to Code
NO. RATE TOTAL
— x $1.50 $ Z.
— x .50 $
— x 2.00 $
Description ................................................$
TOTAL FEE $
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 are true and correct.
// Fridley, AUnn "T a � 19_
Owner �re I A 19—
Kind of Building /91Z2 19
Usedas
To be completed about
Estimated Cost, $
Old—New. Building Permit No
Signe oN®CN PLUMBING Co.
13 d G
Business Phone No
6561 q 130 Rou6h
5
!7
it POST 1M-12-58
SUBJECT
City of Fridley
(76212
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
o
COMMUNITY DEVELOPMENT DIV.
_
r PROTECTIVE INSPECTION SEC.
NUMBER
REV
DATE
PAGE OF
APPROVED B
CITY HALL FRIDLEY 55432
612-571-3450
910415
6 / 1198
JOB ADDRESS 6860 Oakley Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
7
3
Brookview Terrace 2nd
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Rodney Miller 6860 Oakley Street NE
571-5003
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 Lj REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
XX M Reroof House & Garage (25 Sq) Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
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
$2,08.5
$1.04
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-
$74.75
Fire SC $2.08
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
$77.87
SI TUR OF CONTRACTOR AUTHOQ� A N IDATEi
WHPROPEFF
B G IrygP
VALIDATED THIS IS YO R PERMIT
` OA TE
SIGNATURE OF O NER q OWNER BUIL DERE IDATE)
NEW [ l
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:
Effective 1/l/98
Tel. # 6-` 71 52v,=�3
MN LICENSE #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF E%IPROVEMENT
Tel. #
LIVING AREA: Length y Width 2, ,S Height
GARAGE AREA: Length Width f "� Height
DECK AREA: Length Width Hgt/Ground
OTHER: &. 1�0 ` ✓ <f 11/ /,.'
Construction Type:
Sq. Ft.
Sq. Ft.
Sq. Ft.
? () o ��
Estimated Cost: $ 0
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: Z// ' APPLICANT: ; y� Tel. #
TOTAL $ - S
STIPULATIONS:
CITY USE ONLY
Permit Fee
�j
$ ! �T
Fee Schedule on Reverse Side
Fire Surcharge
$ e,:�_ OA
.001 of Permit Valuation (1/10th%)
State Surcharge
$ d
$.50/$1,000 Valuation
SAC Charge
$
$1000 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 $ - S
STIPULATIONS: