PRE 2010 DOCSCity of Fridley, Minn.
WELDING PERMIT
Date: ... ��. -!2. !.....................
Owner.......................................
Address ......................................
N® 3992
Builder ... .. .. ............4- ...
Address .............................................
LOCATION OF BUILDING
.7.
No. .XZ .. Street ®.fit.. ../
.
. . ....... Part of Lot ... .....o ........ ........ .
Lot .. l ..... Block .. �............ Addition or Sub -Division .. .. ......... ...., C, —�
Corner Lot ............ Inside Lot ............ Setback 0.. Sideyard l ®..............
DESCRIPTION OF BUILDING
To be Used as:
/� . ...... .. Front .. !.. Depth .- Height 1 .... Sq. Ft. 65�4-y Cu. Ft. 2r Q o.
.................... Front ........Depth ....may.. Heigh��t��........ Sq. Ft. ........ Cu. Ft. ........
Type of Construction ................' . Est. Cosh /A .,9.4k 7.:. ®O . To be Completed ...................
In consideration of the issuance to me of a permit to construct &bgribed above, I agree to do
the proposed work in accordance with the description above et foflance with all provisions of
ordinances of the city of Fridley.
�..........................
In consideration of the payment of a fee of $.N� ......, 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 with-
in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
6 . ...... � . �'���.... 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.
SUBJECT
City of Fridley
8226
j71
AT THE TOP OF THE TWINS
BUILDING PERMIT
• COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
P 1
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
10/1/85
JOB ADDRESS 741 Overton Drive N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
19
5 1
Brookvi ew Terrace Third SHEET
2 PROPERTY OWNER MAILADDRESS ZIP PHONE
Ken Solem 741 Overton Drive N.E. 571-5410
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Better Built Homes 16935 Chisholm Street Ham Lake 434-4620
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
7 CLASS OF WORK
�7 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Detached garage - 24' by 24'
9 CHANGEOFUSEFROM TO
STIPULATIONS
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
Wood Frame
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
$7,O•Z1.00
$3.51
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-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
C�
PLAN CHECK FEE TOTAFEE
x$72 .01
SIGNATURE OF CONT ROR ORIZED AGENT (DATE) .•
WHEN PROP RLY ALIDATED THIS IS YOUR PERMIT
� ®��
BLDG INSP nATE
SIGNATURE OF OWNER I I F OWNER BUILDERi (DATE)
AGREEME14T
b
owner of the property
located at V IF , have aro objection to the
City allowing the construction of a to be
located at . -2 q /- 0 0, e 9�� .p/) without the required
certificate of survey that the City ordinarily requires for all new
construction.
Witne s
Address
�-Z� ��
Date
NEW
[
] City of Fridley Effective 4/1/84
ADDN.
I
] R-1 AND R-2
ALTER.
[
] Building Permit Application
Construction Address: 1 1A \ V_z ` U \� IR) 1\ v A
Legal Description:
Owner Name & Address: `" \ Tel. #
Contractor: �\ t -� �OS Tel. #
Address:
LIVING AREA:
-GARAGE AREA:
DECK AREA:
OTHER:
Corner Lot [ ]
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 \
Length Width
Length Width
Height
Height
Hgt/Ground
Sq. Ft.
Sq. Ft. f
Sq. Ft.
Inside Lot [ ] Ft. Yd. Setback Side Yard Setback
Type of Construction:
® O '-Nz,� V—,�Estimated Cost:
Approx. Completion Date: �' cl `
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $ $
See Back Page for Explanation
DATE: APPLICANT• ��� Tel.
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Sewer Main Charge
1
�`
:a
CITY USE ONLY
Fee Schedule on Reverse Side
25% of Building Permit Fee
$•50/$1,000 Valuation
$425 per SAC Unit
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
TOTAL
STIPULATIONS: °3S' Ge' -NSA
I
Jand P/anniny J7Ohf 4s#iSt. Alf
Land Surveyiiy mmvxvpo/s ?l,
Sods Testiny ENGINEERING, INC. M1nrneso1,7
Civil & Municipal If S*mi4-6066
Enpeerny — Enyineers Surveyors --
certificate of su.eveT by RAS t brENZ)ON
-- / ie, rJ -
7 5,Z.1 —
ron
It-�1
N
t, +� '01 '
m
5 Bka e,, y,P, w T -RRA cE T 40, 17-101v
/ hu�eby cerh y Ilio% this is a true and aorrec f represwiatian of a survey e#x bwndories qC& m6arr d6cr4 ed lane, end
oFtYx /oca�ion o�'al1 bvtldinyrs , t/xreon , and a// risible mamchmenfs, frnn or &7 Amid /and. As wrveyed by me tlas _ doy
JU P A' SUB Ui28M ENGINEERING , INC.
L- ineers £r Surre ors
r
-.:7 -P ! _ 71 e—
It.o 41,33 91
C
4t 1
r� _t
-- / ie, rJ -
7 5,Z.1 —
ron
It-�1
N
t, +� '01 '
m
5 Bka e,, y,P, w T -RRA cE T 40, 17-101v
/ hu�eby cerh y Ilio% this is a true and aorrec f represwiatian of a survey e#x bwndories qC& m6arr d6cr4 ed lane, end
oFtYx /oca�ion o�'al1 bvtldinyrs , t/xreon , and a// risible mamchmenfs, frnn or &7 Amid /and. As wrveyed by me tlas _ doy
JU P A' SUB Ui28M ENGINEERING , INC.
L- ineers £r Surre ors
r
CITY OF FRIDLEY
Effective Date May 1, 1988
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND
AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE A
RESIDEKTLAL RATE TOTAL Job Address
Furnace Shell and Duct Work, n
Burner (Also replacement furnace) $ 20.00 $�> Department of Buildings, 6431 University Ave. N.E., Fridley, NN 55432
City of Fridley
Gas Piping $ 10.00 $ Tel. #571-3450
(piping needed with new furnace)
Gas Range $_10.00 $ 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
Gas Dryer $ 10.00 $ and rulings of the Department of Buildings, and hereby declares that all the
facts and representations stated in this applicati are true and correct.
• Air Conditioning (all sizes) $ 10.00 S Fridley, Minn.��
All Others/Repairs and Alterations OWNER 0-10A Ln U Q-1-6
It of Value of Appliance or Work $
KIND OF BUILDING
COMMERCIAL/INDUSTRIAL USED AS(Q - Cr- L L I C'�y
It of Value of Appliance or Work $ Ta BE COMPLETED ABOUT 1� '7 0
ESTIMATED COST �,Y L� C_� � r)( �
State Surcharge $ .50
OLD - NEW BUILDING PERMIT NO. PERMIT NO.
TOTAL FEE $W
Reinspection Fee ($15.00) $
DESCRIPTION OF FURNACE/BURNER
Rough Insp. HEATING or POWER PLANTS, Steam, Not Water, Warm Air -"Mo.
Date �//�` � t% Trade Name n �J J�p 1%U Sim iD -.� c�(�,� &ern 8%Lk-,
Final Insp.
Date Capacity - Sq. Ft. EDR BTU up `�
Nd
Approval for Permit Total Connected Load Cl Kind of Fuel —4) /`Y/ ( �9'!�S_
BURNER - Trade Name -` Size no.
Capacity Sq. Ft. EDR BTU HP
MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00- Company RMW� � AIR Mwimm"
PLUS $.50 STATE SURCHARGE AN Of ,I 909 ig.
Signed By
t nyAL,. , _., 17 -
Tel. No. y .Z Z7'
*Air Conditioners can not be laced in side
P Yard without .,,
written permission from adjoining neighbor.
Fill out back side for stack verificati on r p ac4 s
CHIM14EY 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 ( )
No ( )
4.
Is securely supported
Yes ( )
No ( )
5.
Meets all current Code requirements for size and
total BTU connected
Yes ( )
No ( )
6.
Has Total heating BTU's of
All other BTU's
TOTAL
Rema rk s
Company _
Signed By
Date
CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
RATE
SCHEDULE
PLUMBING FIXTURE RATES:
NO.
0
e�
RATE
4
Maw Fixtures
U
S
k
W
Futurs Fixtures
Wdter
S
3.50
a
Old Opening, Now Fixture
S
k
$
:ser Dispenser
S
gaW
$
:low Oft Basin
S
Neaterdw
S
Catch Basin
$
5.00
p
Rain Nater Leader
$
5.00
C
Hydraulic Valve
�
S
5.00
�.
Sump or Receiving Tank
S
64u.
$
Water Treating Appliance
$
7.00
$
Mot water Heater
H
C -A
41
Gas Range
C:
$
e
k+
S
10.00
$
Back Flow Preventer Required.
0
No (
14°14
Type
$
;as
'lec
in ,
1.
u
0
lot
2nd
3rd
4th
(R) - Future Connection Opening
Connected with Sewer
(6) - Now Fixture, Old Opening
Water
RATE
SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE
TOTAL
Maw Fixtures
S
5.00
S
Futurs Fixtures
S
3.50
S
Old Opening, Now Fixture
S
1.50
$
:ser Dispenser
S
4.00
$
:low Oft Basin
S
5.00
S
Catch Basin
$
5.00
S
Rain Nater Leader
$
5.00
S
Hydraulic Valve
S
5.00
$
Sump or Receiving Tank
S
5.00
$
Water Treating Appliance
$
7.00
$
Mot water Heater
r
$
5.00
$ C,
Gas Range
S
10.00
$
Gas Dryer
S
10.00
$
Back Flow Preventer Required.
Yes ( )
No (
)
Type
$
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
It of Value of Fixture or Appliance
Reinspection Fee $ State Surcharge
1$15.00) TOTAL FEE
Effective May 1, 1990
Job Address Z�z znw/ rc/q .
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. C' , 12 9(,:l
OWNER A 1 C + 4 tom/ 6CIJ LC !� ,rj XP
KIND OF BUILDING-514r[/E G7rG—� e -e-1
USED AS
To BE coMpLerED
ESTIMATED COST .3., %%
OLD - NEW BUILDING PERMIT NO. PERMIT NO.
Company •-%il !L' a dL� i CldfJ f S
Signed By
Tel. No.
ROUGH INSP.
Date
FINAL INSP. /0 -/? —Ft.
1-1
Date
APPROVAL FOR PERMIT
!1lNIH1J4 FVE FOR ANY PLUMBING PERMIT IS $15.00
PLUS THE $.50 STATE SURCHARGE
SUBJECT
City of Fridley
5=06
AT THE TOP OF THE TWINS
BUILDING
PERMIT
f
�
RECEIPT NO.
`v COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
+
I CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
F-;;7GE Oi
APPROVED BY
612-571-3450
910-F15
5/20/99
/
JOB ADDRESS
741 Overton Drive
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
19
5
Brookvi ew Terrace 3rd
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Robert Solem
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Shingle Creek Const. 8072 415th St Harris MN 55032
612-939-1116
ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
B USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW O ADDITION O ALTERATION REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Reroof house and garage (23 SO Tear -off
9 CHANGEOFUSEFROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST
OCCUPANCY GROUP
OCCUPANCYLOAD
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
1977t
$.98
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-
69.25
Fir SC $1.97
ST UCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOT LFEE
Licens 5.00
V,,7.20
SI NATUREL&CON:RACTORORAUTHORIZEDAGENT IOATEi
ENROP
V LIDA P THIS ISR PERVIT
B G -NSF'
gAiE
S-GNATURE OF OWNER OF OWNER BU4DERi IOATEi
NEW[ ] Effective 5/10/99
ADDN [ ] CITY OF FRIDLEY
ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERf APPLICATION 09
Construction Address: Ir -0
Legal Description:
Owner Name & Address: �O Q 2r"t So re vy� Tel. #
ontractor: Ce e (c C o MN LICENSE #_a- G o U 6 3 �'
Address: 'go F1 `/ (J -j � Sfi �J O C d r S /*Gl , _,�0 3.2 Tel. # K1,2 '5�3 2 -1116
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:
.—te A,- ®
F F 9 -e Rye-/ F �Gy S Le- 1
6,tf,* f -e-
Construction Type:
Driveway Curb Cut Width Needed: Ft. + 6 Ft =
Estimated Cost:
Ft x $
DATE: % S' APPLICANT:
�1 r yt u Tel. # 6 0 -7 3
CITY USE ONLY
Permit Fee
$
Fee Schedule on Reverse Side
Fire Surcharge
$
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$.50/$1,00 Valuation
SAC Charge
$
$1050 per SAC Unit
License Surcharge
$ 6
$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
STIPULATIONS: