PRE 2010 DOCS01
SUBJECT
PE
City of Fridley
I! - 17586
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
• COMMUNITY DEVELOPMENT DIV.
U-------,
f gI 0
r PROTECTIVE INSPECTION SEC.
,/O
i �;,, CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
------ 612-571-3450
910-F15
6/28/84
JOB ADDRESS 31 Osborne Way N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
3
1
1 Leigh Terrace SHEET
2 PROPERTY OWNER MAILADDRESS ZIP PHONE
EDJ Development, Inc. 3264 Rice Creek Terrace, New Brighton 55112
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same 636-2584
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 401 x 2V Dwelling and a 191-x 24' Garage
9 CHANGE OF USE FROM TO
STIPULATIONS provide a hard surface driveway. Provide sod in the front and side
yards. Provide City with verifying survey before capping.
WATER & SEWER LOCATIONS: Put in by developer.
j)Prib *.W? DD rot c/ LAbO .&A/lo' f -(o' f- aQ \
MVI A9 ag21mogzi //
'313 SWO - 01810313 - 3NOHd3131
4 t1RIt�lG.
S911101111ea01 110 OU132lp ajoj�0 PERMITS REQUIRED FOR
SEPERATE
JNINU M BEATING, PLUMO NG A.bID SIGNS
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 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
$47,350
$23.68
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-
ST UC N OR THE PERF RM OF CONSTRUCTION.
$274.00
$425.00
PLAN CHECK FEE
TOTAL FEE "/ 91 s
r
$ 68.50
Cl, nRi3.7
/SIIGNATUREOFC NTRACTOROFIA U ORIZEDA E (DATE)'
WHEN PROPERLY ALIDATE THIS IS YOUR PERMIT
BLDG INSP DA
SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE)
01
x
• CITY OF FItIDLCY Effective Aug. 1, 1981
,^,11
APPLICATIM FOR RESIDENTIAL BUILDING PERMITS
(New, Alterations. Additions, or Repairs)
OWNER:
ADDRESS: 3 to q ee,"Tz-- ,E'2
TEL 110:
BUILDER: :2Am e
ADDRESS:
TEL 110:
Construction Location
STREET NO: STREET: Q �s d O a@Aje kd A !(
LOT: BLOCK: — � -- ADDITION:
Corner Lot: %\ Inside Lot: Setback.: Sideyards: / % e-10
Applicant attach to this form two Certificates of Survey of lot and
proposed building location drawn on certificates to scale.
DESCRIPTION OF CONSTRUCTION
Front:
Square Feet:
Front:
Square Feet:
Depth: 52 ,�_ Height: /
Cubic Feet: 7,642
Depth: Height:
Cubic Teet: _
y'7,3o
Type of Corztruction: �fd��' Estimated Cost: S
Rb Be cbr-pleted: 00
Alt. A Alt. B
Proposed Drivm-iay Width If New Opening Is Desired: 14 J�
SEE PEVF.iLL' SIDE OF SHEET .
2be undersigned hereby makes applicaticn for a permit fcr the %:ork herein specified,
agreeing to do.all work in strict accordance with the City of Fridley Ordinances and
rulings of the Deixirtment. of Buildings, and hereby declares that all the facts and
representations stated in this application are true,"correct.
D,'TE: -//– / –'9 1 SIGNATUM :
Stipulations:
C
8, su ties
V3. 0TV
, %V.
lh*11-1028•18
r
1 csw p'lu - Ce VOY
C1�
1J6640 �1 C��rzcr� or Scj/2o�y
a" Cl-� CA--
�y,c oto �i�o k39c; 3�,�s/,od
41904 33v. CA/
FOF
RITMDLEY
CIVIC CENTER • 6431 UNIVERSITY AVE. N.E., FRIDLEY. MINNESOTA 55432 • PHONE (612) 571-3450
January 8, 1985
Mr. John Doyle
EDJ Development, Inc.
3264 Rice Creek Terrace
New Brighton, MN 55112
Re: Final Inspection at 31 Osborne Way N.E.
Dear Mr. Doyle:
A final inspection was made on January 2, 1985 of the above address and the
following items were noted which must be completed before the construction
can be finaled out:
1. Provide the City with a copy of the verifying survey, by February 1, 1985.
2. Post the address on the structure, by January 18, 1985.
3. Provide sod in the front and side yards, by June 1, 1985.
We will expect the above items to be completed by the scheduled dates when
reinspections will be made to determine compliance. If you have any questions
on these items, please feel free to contact me at 571-3450.
Sincerely,
A^ -0 j
DA G. CLARK
Chief Building Official
DGC/mh
CC; 31 Osborne Way N.E.
CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE
TOTAL
New Fixtures
'7
$ 5.00
$ 300
Future Fixtures
b
$ 3.50
$
Old Opening, New Fixture
a
$
Water
m
T
A
Blow Off Basin
0
$ 5.00
E
a C
yy
�j
0
ygro u
a
Gy
$
Hydraulic Valve
Heater
M
$
Sump or Receiving Tank
$ 5.00
$
x
1v
Gl
M
U a
dx
$ 5.00
U
Gas Range
m
$ 10.00
$
Gas Dryer
$ 10.00
$
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
It of Value of Fixture or
a
g
u
3
$ .50
Reinspection Fee $
lec
($15.00)
v
FEE
o�
a�
w°
o�
ao
Rt
lot
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
'7
$ 5.00
$ 300
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
$ 10.00
$
Gas Dryer
$ 10.00
$
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
It of Value of Fixture or
Appliance
$
State Surcharge
$ .50
Reinspection Fee $
($15.00)
TOTAL
FEE
60
$ S7.60
Effective Aug. 1, i9di
Job Address Z/ els o a aJ iL_ M. 4,VAY
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
�
li Fridley, Mn. rQ ' /' S , 1989
1e
OWNER 0 c1 C T7 a e- 77 dy�
KIND OF BUILDING IL
USED AS 1 LA- M_
TO BE COMPLETED ABOUT ( [
ESTIMATED COST 0U(-;
OLD ILDING PERMIT NO. PERMIT NO.
company E W- c i P
Signed By
Tel. No. 7.s S^ -3 Z 0
ROUGH INSP.
Date
FINAL INSP. l -7 -k
Date
APPROVAL FOR PERMIT G
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $10.00
PLUS THE $.50 STATE SURCHARGE
Effective Auq. 1, 1781
CITY OF FRIDLEY
APPLICATION FOR POWER PLANTS AND HEATING,
COOLING, VENTILATION, REFRIGERATION AND
AIR
CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
o /n�/�,
�� t-Ssl4®C^44
RESIDENTIAL
RATE
TOTAL
Job Address
Furnace Shell and Duct work,
Burner (Also replacement furnace) $
20.00
$ 7-0
Department of Buildings. 6431 University Ave. N.E., Fridley, NN 55432
City of Fridley
Gas Piping $
10.00
$ r)
Tel. 0571-3450
(piping needed with new furnace)
$
10.00
$
The undersigned hereby maked application for a permit for the work herein
Gas Range
specified agreeing to do all work in strict accordance with the City Codes
Gas Dryer $
10.00
$
and rulinqs of the Department of Buildings, and hereby declares that all the
facts and representations stated in this application is true and correct.
• Air Conditioning (all sizes) $
10.00
$
Fridley, Minn. il�®(J - �� . 19�`�
//
p�-
Eta 6�6&c-f'e)'
All Others/Repairs and Alterations
OWNER .rr AC2.
It of Value of Appliance or work
$
A/J,/
KIND OF BUILDING /�O P!A/ 1-i4
COMMERCIAL/INDUSTRIAL
USED AS A/®yrii 1
I• of Value of Appliance or work
$
TO BE COMPLETED ABOUT
ESTIMATED COST
State Surcharge
$ .50
PERMIT NO. PERMIT NO.
Tn'TAL !EE
$, L3 r�
OLD - NEW BUILDING
Reinspection Fee ($15.00)
$
DESCRIPTION OF FURNACE/BURNER
Rough Inep.
Date
Final Ins p. -I--a- 19
Date �,e
Approval for Permit ry�
MINIMUM FEE FOR ANY HEATING PERMIT IS $10.00
PLUS $.50 STATE SURCHARGE
Attach stack verification form with replacement furnace permits
*Air Conditioners can not be placed in %id,• yard without
written permission from adjoining neighbor.
HEATING or POWER
PLANTS, Steam, Hot Mater Man Ai No.
Trade Name Z:Yaa i%c �/�rr� size W. % 50:� G-0
Capacity 7:� Gvc' Sq. Ft. EDR BTU NP
Ag!
/
Total Connected load Kind of Fuel , � C?��
BURNER - Trade Name
Capacity Sq. Ft. EDP
Size No.
BTU HP
CompanyT<�O��ii
Siqned By
Tel. No. 7" S z 7
NEW [ ] CITY OF FRIDLEY
�2
ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
Construction Address:
Legal Description:
Owner Name & A
Contractor.
LIVING AREA:
GARAGE AREA:
Tel. #
MN LICENSE #
Tel. #
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
DECK AREA: Length . Width Hgt/Ground
OTHER:
Sq. Ft.
Sq. Ft
,gag
Construction Type: — Estimated Cost: $
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $
DATE:APPLICANT: Tel. #762'
Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 76-571-1287 If using credit card and we will call
you for card number.
Permit Fee
Plan Review
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
CITY USE ONLY -
Fee Schedule on Reverse Side
65% of Permit Fee
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1450 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:
Building
BUILDING
PermitNo.: 2,01 '0,
Inspections
RESIDENTIAL APPLICATION
Received By:
763-572-3604
CITY OF FRIDLEY
Date .-IAN
763-502-/4977 FAX
$ ✓
.0005 x Permit Valuation Minimum $.50
EFFECTIVE 1-1-2010
$
DATE A?�O
YOUR E-MAIL ADDRESS
$
0
SITE ADDRESS /
05
$
THIS APPLICANT IS:
W WNER ❑CONTRACTOR
$
PROPERTY OWNER/
NAME: "A41CAlel
$
ADDRESS: -� 1 0S P", ^�CITY,r Or
STATEMit/ZIP
TENANT
Agreement necessary ( ) Non Necessary ( )
PHONE: —71,,; -i577/. Z /57
$ -7 i?_
CONTRACTOR
NAME:
SUBMIT A COPY OF
YOUR STATE LICENSE
STATE LICENSE # EXP DATE
AND CERTIFICATE OF
ADDRESS: CITY
STATE ZIP
INSURANCE
PHONE FAX
PROPERTY TYPE
b -SINGLE FAMILY/NEW CONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGEISHED ❑ WINDOWS
❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
❑ DECK IS SIDING ❑ OTHER.
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW HOME CONSTRUCTION ❑ ADDITION
❑ MAINTENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE:
SIZE OF IMPROVEMENT
NGTH WIDTH HEIGHT SQ FT
ROOFING
❑ HOUSE ONLY
BASEMENT
REMODELING SUBMIT:
NUMBER OF SQUARES
❑ HOUSE & GARAGE
1.
Existing Floor Plan
GARAGES
❑ ATTACHED GARAGE
2.
Proposed floor plan
PROPOSED SIZE:
❑ DETACHED GARAGE
3.
List of structural members to be used
PROPOSED HEIGHT:
SIDING
FOR NEW CONSTRUCTION INCLUDING DECKS,
❑ Vinyl
[]Soffit
ADDITIONS. & PORCHES SUBMIT:
❑ Aluminum
❑ Trim
I .
Site Plan/Survey showing the existing structures
❑ Other
13 Fascia
and proposed project.
2.
Two sets of construction 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:
nn tr (USING THE 1997 U.B.0 FEE SCHEDULE)
Q
TOTAL JOB VALUATION S n OCCUPANCY TYPE
Permit Fee
$ /�JO/ C3%
See 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 = R x $22 = $
Erosion Control
$
$450 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement necessary ( ) Non Necessary ( )
Total Due
$ -7 i?_
Make checks navable to: Citv of Fridlev Attach Stiuulations
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 allp whl reuires ew and approval of plans,�j
SIGNATURE OF APPLICANT r '� PRINT NAME / �e �t�a/ ✓'I' /,V"( DATE`A< /C%