PRE 2010 DOCSCity of Fridley, Minn..
BUILDING PERMIT
-�
Date: .....__ ....__..._.__..-------------•--.._..._._.._............._._.._...._............._..
Owner:
Address
N° 4001
Builder Aaw.._ ..... !i...... ......... 14_... ._..._..._ __ �._....
Address_............._............._...._......._................._.._..._.._..__.._.._......_.._._ _._
LOCATION OF BUILDING
No. .......... Street �. r1.� �!t.cFxt ... h-�.r..-�J ............... _.............. Part of Lot ...... ....... ........................... .... ........ .............
_..
Lot...........U....................... Block ..... ........ 6 .............. ................. Addition or Sub -Division .... --- . .... .. _.:'
Corner Lot .......................... _........ Inside Lot ....................................... Setback 1��r...�.....-....................... Sideyard....._----........._.-_D_.............................. ...
_..
Sewer Elevation ..... . ............. _............. .............. .............. _...................................... Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
............ Front'&*—._./_.. Depth �� Height /7... B.. Sq. Ft. /...®.4�Y. Cu. Ft. z ®_O
_.............._.....I......._.....I._........------ Front ...................... Depth .................� Height __.......---............. Sq. Ft....................... Cu. Ft.
Type of Construction............................................................ Est. Cost ...../. a��..� �...�e... ....... To be Completed .............. ...
-
In consideration of the issuance to me of a permit to construct the buildingcri bove, I agree to do
the proposed work in accordance with the description aboveforth and in Han th all provisions of
ordinances of the city of Fridley. ( l 1
In consideration of the payment of a fee of $ . ... D.O......, 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 an of the provisions of said
ordinances. __ sk _ . /
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.
City of Fridley, Minn.
BUILDING PERMIT
Dater
Address _
Builder °'
Address
N9 C934
L F , BUILDING
No.�� `= _Street---°�_Part Qtf Lot , _ _�F ._
Lot --Block
.—Addition or Sub
Corner Lot _ Inside Lot y A-00' zm back . Sideyard
Sewer Elevation _ Foundation Elevation
DESCRIPTION OF BUILDING
T rd
Front "
Depth"i%ight .+:� Sq. Ft. Cu. Ft
'ro
Depth Height Sq. Ft. Cu. Ft.
Type of Construciio,.�, Est. C�ilo 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 $ 74!t '° , permit is hereby granted to
to construct the building or addition as described above. This rmit is granted upon
the express condition that the person to whom it is granted and his agents, employees ancye=en, 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 -nay be revoked at any time upon violptiop of any of the provisions of said
ordinances.
Building Inspector
NOTICE
This permit does not cover the construction, installation for whing, plumbing, gas heating, sewer or water. Be sure to see
the Building Inspector for separate permits for these hems.
APPLICATION FOR BUILDING PERMIT
CITY OF FRRIDLEY# MINNESOTA
owner's Namlm !� Builder.
Address ��T U ' cLt'_4
i�®--�� Address
No
LOCATION OF
of
Lot Block ell Addition or
0
Lot
Subdivision`
Corner Lot Inside Lot �/� Setback Side -Yard
SM7ER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and
proposed building location.
DESCRIPTION OF BUILDING
To eu
&d as
Front Depth Height
Sq. Ft. �7` u Cu. Ft. e
FrontDepth ,Height
Sq. Ft. Cu. Ft.
Type of Construction Estimated Cost z�--r�
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 ruling of the Department of Build-
ings, and hereby declares that all the facts and representations
skated in this application are true and correct.
I 2LAI/ -- I/
DATE SIGNATURE
(Schedule of Fee Costs can be found on the Reverse Side).
r . W s . M
i
SUBJECT
City of Fridley
2117 0
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
1 1
� • COMMUNITY DEVELOPMENT DIV.
______
r I v PROTECTIVE INSPECTION SEC.��3�
1 �
I I
NUMBER
REV
DATE
PAGE OF
APPROVED BY
= CITY HALL FRIDLEY 55432
612-571-3450
910-Ft 5
12/9/91
JOB ADDRESS 740 Overton Drive NE
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
8
6
BrookvieW Terrace 3rd SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Don/Jan Nelson 740 Overton Drive NE 572--1068
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
(Existinq. Woodburning Stoyej Montgomery Hard Franklin Heater - Model VMT 21017R
9 CHANGEOFUSEFROM TO
STIPULATIONS
Install per City instructions,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
ZONING
SO. FT.
CU. FT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
NO. DWLG. UNITS
OFFSTREET PARKING
ANY TIME AFTER WORK IS COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
STALLS GARAGES
VALUATION
SURTAX
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$500
$.50
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
PERMIT FEE
SAC CHARGE
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$15,00
Z1% Fire SC $.50
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
$16.00
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
WHE PROPER��'S IS YOUR PERMIT
s -m
INSP DATE
SIGNATURE OF OWNER TIF OWNER BUILDERI IDATEI
i
NEW [ ]
ADDN [ ]
ALTER [ ]
Construction Address:
Legal Description:
Owner Name & Address:
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Effective 1/1/9l
I
Contractor: Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT ,6-'�
��
0 '0
LIVING AREA: Length Width
GARAGE AREA: Length Width
DECK AREA: Length Wi
OTHER: cvz�)- & P - i i o�
Corner Lot [ ] Inside Lot [) Ft. Yd Setback
Type of Construction:
Approx. Completion Date:
Height Sq. Ft.
Height Sq. Ft.
Hg�/t/ )Ground // ///_/ (�S/� q.'Ft.
M
11'vMT-o1/o / 7)R —
Side Yard Setbacks
Estimated Cost: 5� '
(CM a•*)
Driveway Curb Cut Width Needed: F . 6 Ft = Ft x $ = $
DATE: g / APPLICANT: Tel. # �57a -16 6?(I
�i6-'0�zy (4�
Permit Fee
$
'�;7 60
Fire Surcharge
$
IZ5-0
State Surcharge
$
60
SAC Charge
$
Driveway Escrow
$
Park Fee
$
Sewer Main Charge $
TOTAL
STIPULATIONS:
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/51,000 Valuation
$650 per SAC Unit
Alt. "A" or Alt. "B" Above
Fee Determined by Engineering
Agreement Necessary [ I Not Necessary I ]
I
FAA
a
SUBJECT
I
City of Fridley
PP-1945
AT THE TOP OF THE TWINS
BUILDING PERMI T
r
`
RECEIPT NO.
V ----� COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
(0 34-.R
j E
NUMBER
REV
DATE
PAGE OF
APPgOVEO By
CITY HALL FRIDLEY 55432
�j 612-571-3450
910415
9/23/98
JOB ADDRESS 740 Overton Dr NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
8
6
1 Brookview Terrace 3rd
SHEET
2 PROPERTY OWNER MAIL ADORES$ ZIP
PHONE
Donald & Janet Nelson 55432
572-1068
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Owner 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 O ADDITION ❑ ALTERATION REPAIR
❑ MOVE O REMOVE
8 DESCRIBE WORK
Siding replaced; Some roof repairs - minor/storm damage
9 CHANGEOFUSEFROM TO
STIPULATIONS
Reside - Call for building wrap inspection before covering.
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 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 K W THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND RD ANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED$2,389.00
$1.19
WITH ME MER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NO PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PR 10 S OF ANY OTHE TATE OR LOCAL LAW REGULATING CON-
ST I N OR T FO N F CONSTRUCTION
PLAN CHECK FEE
TOTAL F E
LI
$90.83
SIGNATURE OF CON' ACT R OR AUTHORIZED AGENT iDA
EN4MoPAEALIDAT
IS IS R PERM
'
SIGNATURE OF OWNER i iFOWNER BURG ER, 15ATE,
rT
NEW I N S 0
I
OJATE
FAA
a
NEW" `[ ]
ADDN [ ]
ALTER
ConstructionAddress :
Effective 1 / 1 /98
CITY OF FRIDLEY A�
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Legal Description:
Owner Name &Address: dl� CC- Tel # 5 72 -10,6,p
Contractor: j'a fg-el 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 IlVIPROVEMENT
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:
A
Driveway Curb Cut Width Needed:
DATE: APPLIC�
SO4 2 I CITY USE ONLY
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
. STIPULATIONS:
Iu C Estimated Cost: $
(Fee Schedule on Back)
L. + 6 Ft = Ft x $ = $
r
$ ,01 Fee Schedule on Reverse Side
$ �'2,Yooi of Permit Valuation (1/10th%)
$ %l $.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 [ ]
Tel. # 61-1A 7-L -/O6 r
tjJeL:LLVC ) . s ----
m
CITY OF FRIDLEY INSPECTION DIVISION
6431`University Ave NE
Fridley, MN 55432 APPLICATION FOR DOWER PLANTS AND HEATING, COOLING, VENTILATION,
(763) 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
FAX (763) 571-1287 JOB ADDRESS Z- b% C V n
RATE SCHEDULE OWNER !✓t G Y1 C'
Residential Rate TOTAL
Furnace Shell and Duct Work, Burner BUILDING USED AS
30.00 $.ss�
Also Replacement Furnace $ PERMIT NO.
(Side Vent = Fill Out Back) ESTIMATED COST
Gas Piping (Needed with new furnace, $ 10.00 $ DESCRIPTION QF FURNACE AND OR BURNER
but not replacement)
Gas Range $ 10.00 $ Hot Water)
jarm Air)
No. of Heating Units____- Circle One (Steam)
Dryer $ 10.00 $ Trade Name l Pl+'1'(ll� - Size No.
D
Gas ry BTU1SXaHP
*Air Conditioning -All Sizes $ 25.00
Fuel Burner Trade Name Total Connected Load
Size No.
All Others/Repairs & Alterations (LIST ON BACK) $ BTU HP EDR
1% of Value of Appliance or Work
Commercial/Industrial
1.25°'/0 of Value of Appliance or Work $ 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 an
State Surcharge $ .50.. rulings of the Building Division, and hereby declares that all the facts and
repre ntatiops stated in this application are true and correct.
TOTALFEE Zd
DATE
MINIMUM FEE FOR ANY HEATING COOLING/V NTILATION -Q 1
REFRIGERATION/AIR CQNDITIQNING PERMIT IS $25 00 l I
PLUS THE 3 50 STATE SURCHARGE THE�5)STATE SURCHARGE
REINSPECTION FEE $47.00/Hr
*Air Conditioners can not be, placed in a side yard without
written permission from adjoining property owner.
i (,U� Sign
C)/
lQ I Dcl
Approved By Rough In Date Final Date
EILL:OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE
THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE
APPLICATION WILL BE RETURNED
Wheni�flan amesfinQ furance, the undersigned hereby verifies that th*e
venting has been examined and Is free from rust, deterioration, obstructions, Yes �No
and is securely supported and firestopped where required.
The venting system is plasticJPVC and meets all current codes and manufacturer /
specifications inducting sizing, length, number of elbows and termination. Yes (�I NO ( )
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturer's specifications. This does
Include AGA-GAMA Category I Central Furnace Venting Tables for fan Yes (v/No (
assisted and natural draft appliances.
Theis sized and installed to meet the current codes
and manufacturer's spedfications. Yes WNo
When required to it will be siz and installs
to meet the current codes and manufacturer's spedfications.�l ns2)Na) d Yes (4140 ( )
When ingnSlliII , the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturer's
spedfications. This does include AGA-GAMA Category I Central Furnace Yes No
Venting Tables4or fan assisted and natural draft appliances. (� ( )
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented Yes (oto { )
separately as per current codes.
Appliance #1 Type BTU Inp Fan Assisted or Nat�'
Appliance #2 Type W ik� n t M-- BTU Input -fid Fan Assisted or Nat
Appliance #3 Type BTU Input Fan Assisted or Nat
Total Appliances,.,, _ Total BW Input
Common Vent Type C �VVent Height Diameter inches
Appliance #1 Vent Connector Height ft Length ft Diameter in Type
Appliance #2 Vent Connector Height ft Length ft Diameter _in Type
Appliance #3 Vent Connector Height ft Length ft Diameter in Type
t
HEATING CO: 1
Signed By:Date:
1w
CIiYOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (763) 571-3450 - FAX (763) 571-1287
June 2, 2004
Mr. Don Nelson
740 Overton Drive NE
Fridley, MN 55432
Re: Final Inspection at 740 Overton Drive NE
Contractor: Daves Appliance Heating & Air Cond
Dear Mr. Nelson:
A mechanical permit was issued on November 17, 2003 to install a furnace and air
conditioner at your address. According to the 1991 Uniform Mechanical Code a final
inspection shall be conducted on the work authorized by this permit. As of this date the
inspection has not been requested.
The permit fee that was paid covers the inspection to make sure the work was completed
according to the Codes. We will keep your permit open for another 30 days and if we do
not hear from you within this time to set up the inspection, we will mark the permit "no
inspection called for by homeowner after notification" and the permit will be expired.
To set up the inspection or to have any questions answered, please contact the Building
Inspection Division at (763) 572-3604.
Sincerely,
DJ/mh
NEW [ ] CITY OF FRIDLEY
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: °74O 0ue,.a..,. NE. , T::j
Legal Description:
Owner Name & Address:"'b n1g Iso A- Tel. # 76,? - S72 - /o fo
Contractor:"' µ- t MN LICENSE # 37- 4 Q
Address:�?o ( C smi g Tel. # 8
Attach to this application, a Certificate of Survey of the (a 97 -¢SS
lot, with the proposed construction drawn on it to 'scale.
LIVING AREA: Length
GARAGE AREA: Length
DECK AREA: Length
OTHER:
DESCRIPTION OF IMPROVEMENT
Width Height Sq. Ft.
Width Height Sq. Ft.
Width Hgt/Ground Sq. Ft
Construction Type:�do�.,f �`7 4 lb ` - Estimated Cost: s 3. ^rZ�3�ado
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ —=$
DATE: 5 Z APPLICANT: Tel. #4SS- SS S s—
Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call
you for card number.
CITY USE ONLY -
Permit Fee
Plan Review
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
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: