PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT io S 4
Date: --�
Owner: "' Builder
Address Address —
LOC_ TION BUILDING
No. _ ,,- Street ��_ P Lot
Lot _ _ Block, Addition or Sub-Divisi _ �F
Corner Lot Inside Lot _ _ Setback `-'---__ _ Sideyard
Sewer Elevation Foundation Elevation
DESCRIPTION OF BUILDING
To Used �
Frontit 4 Depth Height ; Sq. Ft.' Cu. Ft
DepthHeight �� Sq. Ft Cu. Ft.
Type of Construction �� Est._CogJTo 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.
Inconsideration of the payment of a fee of $a jj`*_ , 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, constru on, 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. -10% , A
Building Inspector
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas heating, "war or water. Be sura to we
the Building Inspector for separate permits for these items.
4
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDIEY, MINNESOTA
Owner's Name Builder
Address
LOCATION OF BUILDING
No. ��/ Street Part f Lot
Lot Block t -,X Addition or Subdivisionop"�
Corner Lot Inside Lot Setback -3 J,-/ Ode -Yard /0
SEWER ELEVATION FOUNDATION ELEV.
Applicant attach to this form Certificate of Survey of Lot andprjoposed building
location.
To be used as:
Sq. Ft.
DESCRIPTION OF BUILDING
Depth_ _ _ Hei ht—/!e
Cu. !Ft.
Front Depth He
Sq. Ft. Cu. jFt.
Type of Construction Estimated
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 Ordinances and ruling of
the Department of Buildings, and hereby declares that all the facts and representations
stated in th s a plication are true and correct.
DATE:;2/ �v i SIGNATURE -"
(A Schedule of Fee Costs can be found on the Reverse Side.)
City of Fridley
Application for Plumbing and Gas Fitting Permit
DepL of Bldgs. Phone SU 4-7470
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE
Number Fixtures 7 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
New Ground Run Old Bldg. ............ x 3.25
TOTAL
$ 10.50
$
$ 2.00
GAS FITTING FEES: NO. RATE TOTAL
1st 3 Fixtures .......................... x $1.50 $ 1.50
Additional Fixtures .................... x .50 $
Gas Range to 200,000 BTU .............. x 2.00 $
REPAIRS & ALTERATIONS—Refer to Code
Description................................................$
TOTAL PKE $-14.00
Location 9AI Overton Drive
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.
is 61
Fridley, Minn May 23
Owner Paul Schwartz Const. Co.
Kind of Building Frame
Used as Dwe l l
To be completed about Sept. 1,1961
Estimated Cost, $ 800.00
s� f�
Old—New. Building Permit No Permit No.
Signed STAND PLUMBING & APPLIANCE CO
By 9 -
Business Phone No. � 8 3589
ROUGH
FINAL
ax 2M 7-59
j
z
Z
w
F
N
WATER HTR.
GAS
ELEC.
0
Base
l
1
l
1st
1
1
1
1
1Dipoal
2nd
_
3rd
—
4th
• Future Connection Openings
Connected with
Sewer)C]
New Fixture, Old Openings
Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE
Number Fixtures 7 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
New Ground Run Old Bldg. ............ x 3.25
TOTAL
$ 10.50
$
$ 2.00
GAS FITTING FEES: NO. RATE TOTAL
1st 3 Fixtures .......................... x $1.50 $ 1.50
Additional Fixtures .................... x .50 $
Gas Range to 200,000 BTU .............. x 2.00 $
REPAIRS & ALTERATIONS—Refer to Code
Description................................................$
TOTAL PKE $-14.00
Location 9AI Overton Drive
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.
is 61
Fridley, Minn May 23
Owner Paul Schwartz Const. Co.
Kind of Building Frame
Used as Dwe l l
To be completed about Sept. 1,1961
Estimated Cost, $ 800.00
s� f�
Old—New. Building Permit No Permit No.
Signed STAND PLUMBING & APPLIANCE CO
By 9 -
Business Phone No. � 8 3589
ROUGH
FINAL
ax 2M 7-59
Application for Power Plants andHung. Coding. VentiWon..Reh igeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SV. 4-7470
GRAVITY WARM AIR: RATE TOTAL,
Furnace Shell & Duct Work .......................... 8.00 $
Replacement of Furnace ............................. 5.00 $
Repairs & Alterations—up to $500.00 .................. 5.00 $
Repairs & Alterations each add. $500.00 ............... 2.50 $
NECK. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ 8.00
each add. 60,000 BTU 2.00
Replacement of Furnace ............................. 5.00 $
Repairs & Alterations—up to $500.00 .................. 5.00 $
Repairs & Alterations each add. $500.00 .............. 2.50 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR Steam.......
8.00
$
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ...
8.00
$
Each add. 200 sq. ft. EDR Steam ......................
2.50
$
Each add. 320 sq. ft. EDR Hot Water ..................
2.50
$
OIL BURNER—to 3 gal. per hour ........................ 5.00 $
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to 400,000 BTU) ............. $
.......... 5.00 5.00
GAS FITTING FEES: NO RATE 1 TC�.TAL
1st 3 Fixtures ...................... x $1.50 $ �ttJJ
Additional Fixtures ................. x .50 $
Gas Range to 200,000 BTU ........... x 2.00 $
AIR CONDITIONING $$
FAN HEATING SYSTEM See Fee Schedule
VENTILATING SYSTEM $
ALTERATIONS & REPAIRS TOTAL FEE $ 14-50
ROUGH Plan #R-1 On File
FINAL
Location 941 Overton Dr.
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, miinn 5-25-61 , 19 —
Owner Feel Snhw to GGnstmetien Company —
Kind of Building
Fro
Used as
Rea.
To be completed about 6-25--61
Estimated Cost, $
•00
Old—New. Building Permit No. 'r Permit No._z
DESCRIPTION OF WORT[
HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No
Trade Name .!!. @�1011Be Size NoMA-100
Capacity.
Total Connected
.Sq. Ft. E.D.R 100–M BTU H.P.
459631 Kind of Fuel Gas
BURNER —Trade Name Size No
Capacity Sq. Ft. E.D.R BTU S.P.
(REMARKS—OVER)
Signed
FRED VONT & =; . .
By
HEATING & AIR CONDITIONING
�Qg..42 ZM 7_59 Business Ply
St. Louis Pork, Minnesota
City of Fridley, Minn. N? 7660
BUILDING PERMIT
Date: June 2. 1965
Owner: Don Brimer Builder Cobb Inc z
Address 941 Overton Drive N. E. Address P. Q., Box 2647 Neer BnJ711tan
LOCATION OF BUILDING
No. A41 Street Overton Drive N. Be Part of Lot
Lot 16 Block 44; Addition or Sub -Division Srookyiew Terrace 2nd. Add.,
Corner Lot — Inside Lot Setback Sideyard
Sewer Elevation — Foundation Elevation
To be Used as:
Front
Front
Type of Construction
Storm Damage Repair
DESCRIPTION OF BUILDING
Depth Height Sq. Ft. Cu. Ft.
Depth Leight Sq. Ft. cu. Ft.
— Fast. Cost QOTo 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
ordinances of the city of Fridley.
above I
with a'11 ;
In consideration of the payment of a fee of $ 10.00 , permit is here, granted to Cobb Inc.
to construct the building or addition as described above. This permit is granted upon
thepresstion&trtyJEsperson to whom it is granted and his agents, eanployees and workmen, is all work
::Ld d dipermit may be revoked at any tia�►ee upon violation of any of the provisions of said
Allen Jensen Building Inspector
NOTICE:
fhb permit den eel nrw the condrudien, tnda0dim for wiring, plumbing, an headeg, sewer or water. Be sore to we
the Building mar fur Separate p -Aft for these items.
APPLICATION FOR14vING I PERMIT
CITY OF FRIDLEY=SOTA
OWNER'S NAME BUILDER
ADDRESS . %�� jca�j?�.i�< ADDRESS 5/j1-`
LOCATION OF BUILDING
No, Stilet Part of Lot.
Lot BlockAdditio»r or Subdivision _��i _ �s���J. .n1 cCr� ��
Corner Lot Inside Lot __.:$etas k Side -Yard
SEWER ELEVATIQN FOUNDATION ELEVATION
Applicant attach to this form, Two Certificates of.Survey of Lot and proposed build—
ing location drAwn on these Wtificates.
7
DESCRIPTION OF BUILDING
To be used as: f/
pront Depth Height ._
3q. Ft. Cu. Ft..
_ftont Depth Height
S.q. Ft. Cu. Ft.
Type of Construction �_Estimated Cost
�beEs;o�mpleted
The undersign& hereby makes application for a permit for the -work herein specified,
agreeing to do all work iii strict accordance with the City of Fridley Ordinances and,
rulings Of the Departmentof Buildings, and hereby declares that all the facts and
representations stated in this application are true and correct.
_tSchedule.of Fee Costs cen be found on the Reverse Side).
Date:
City of Fridley, Minn.
BUILDING PERMIT
17 October 19 66
k
Owner: _Donovan Brimer Builder Western Const. Co.
Address 941 Overton Drive NE _ Address 3017 Lyndale South
No. __241
Lot — 16
Corner Lot --
Sewer Elevation
To be Used as:
Street
. Block
LOCATION OF BUILDING
Overton Drive NE Part of Lot
4
Inside Lot
Addition or Sub-Divisio
— Setback —
6W3
9056
Brookview Terrane 2nd Add.
Sideyard
Foundation Elevation
DESCRIPTION OF BUILDING
Attached garage Front 21 Depth 24 Height —10 Sq. Ft.5�Cu. Ft. 5,040
Porch Front 21 Depth 10 Height — Sq. Ft. Cu. Ft.
Type of Construction Frame Est. Cost `°3p U __ To be Completed 90 days
Approved: See page 5 & 6, October 3, 1966 Council Minutes.
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 a'A provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of $ 7.00 , permit is hereby granted to Donovan
$rimer to construct the building or addition as described above. This permit is granted upon
the eyundEd
ess condition that the person to whom it is granted and his agents, employees and workmen, in all work
done aroupon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridl,MinnesregardiYg location, construction, alteration, maintenance, repair and moving of buildings
within the city ts and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances
CLARENCE BELISLE Building Inspector
NOTICE:
Uls permit don not cover the construction, huftWon for wiring, phnnhhrg, gas heding, sewer or water. Be arra to no
the Building Inspector for separate pormits for than hens.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
�BUILDER NAME > (
ADDRESS '1! %��c - z4 -c _z_ ADDRESS Ldd�,;!tie'
LOCATION OF BUILDING
NO, STREET PART OF LOT
LOT C, BLOCK ADDITION OR SUBDIVISION ? h 0,J k i9 A -CJ P +�-
CORNER LOT 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.
To be used as;
DESCRIPTION OF BUILDING
Front' / Depth Height- s
Sq. Ft. Cu. Ft.
,> "},r_ Front w' Depth
_Height
Sq. Ft. Cu. Ft.
Type of Construction d- �a_���< Estimated Cost
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.
r
DATE-�'�i,'� �� SIGNATURE �!L�� `�1"�s✓��
(S�hedule of Fee Costs can be found on the Reverse Side).
D AJ
h e.
hereb oj a survey qr1he boundaries cP /be abate dcxr;hed land, and
_q cerfily' lba� 6i� 1.5 a free Gndwrradre -escniofi�n o
/;,Ijorl o'all 1hercon, risible ei; mchnenIs , �rony " Porn W Sad Oftd A surveyed
byme flus _doh
SUB UP SAIV LrNC71NEEI?IN6 INC.
by
D-•:.�'.. F'�a��-•r;C^'� ls�rss.., �.s...p F.
D o�y. .+svi:a .... ... $'v:.•:t Fi 4;�ns �..:,i .s ..-.�"� ay�..:o�� v..�:+..,9 Uf 6....�..d.:.w z.;:�a.::� �,-:.ic.�,�.vr:-e :r�L
PARTIAL RATE SCHEDULE
GRAVITY WARM AM: HA Y m TV.?ALL
llhu'nzce Shell & D91ct Work ... ... ..... .. $10.00 �
Replacement of nrnace 6.00
Repairs & Alterations—up to 00.00 600 S
'Repairs & Alterations each add. S500.00 3'OU $
&MCI3. Wimal Ai
FLrnace Shell & L`uct Work to 1648000 BTU .. S10 00 g
en -ch add.. CO.004 BTU . ......... 3.W $
Replace—nent of Furnace 6.00
,Repairs & Alterations,—up to $S00.00 6.04 $
TL—Airs & Alteratior..s each add. M.00 3.00
STZA;$ or NOT LUTE. SYSTEM
Ftirrace Shell & Lines—to 400 sq. tt. F.DR Stearn SI0.00 S
Furnace Shell & Line- -to 640 sq. ft. EDR Hot Water 10.00 $,
Each add 200 sq. ft. EDR Steam 3.00 R
Each add. 320 sq. ft. EDR Hot Water 3.00 $
OIL BURNER—to 3 gal. per hour 6.00
over 3 gal. per hour—See lFee Schedule
GAZ BU3 NER (up to IM,000 BTU)
S.ta
g
o -3r !M3,000 BTU Soe reo Schedule
GPS FITTING FEES.
No RATE" 'T'O'TAL
1st 3 Fixtures
_ xS 100
S
Additional Fixtures
xt .75
Gas Range to 1M.CM
0 b.Co
S _
�,+�([��'� '��@+meq ,T� State Surc:haer[e
AIR
i
/]� .50
FAN Fee
Set. ..:yon'
V ru
T M
AL+�v"`Ti.tl��♦t V'iiii •Ydr?' 'Lw'
p g g
7_0T L
I- VM -
Dapt. 031 l-3pa. Phone rte", -UM
Pro
City of medley:
The undersigned hereby .makes application for a permit for the work here -e.
specified. agreeing to do all work in strict accordance with the City Ordixancev
and ruling of the Department of Buildings, and hereby decl=:s that all the f: er
and representations stated in this application are tr-.e and correct.
Pridley, Minn 1@
Owner . %M 1 1 `
Kind of Building✓�
To be completed about_ , `O
Estimated Cost, $ IMmom"
OLNew. Building Permit No. _ __ Pozmit No. � oU
HEA77NG or POWER P1,M `1' at%am, Hot Wates, Warm kis—lam
Trade Name S►,EZ No
-Capacity------ Sq. n E.D.R BTU- Sp
Total Connected Load mfr.§ of ru' 'I
BURNER — Trade Nmuae Size hro
Capicity Sq. FL E.D as B`a°v
• �1
jqe�d W
ta�ec+ras�-otraa)
2
65' 1./-6f
SUBJECT
P
City of Fridley
19233
AT THE TOP OF THE TWINS
BUILDING PERMIT
RECEIPT
`L _ COMMUNITY DEVELOPMENT DIV.
��
r PROTECTIVE INSPECTION SEC.
1 �
i
1 "1 CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
RAGE OF
APPROVED BY
612-571-3450
910-F15
10/7/87
JOB ADDRESS
941 Overton Drive N. E.
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
16
4
1 Brookview Terrace 2nd Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Wicht 941 Overton Drive N.E. 571-8635
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
D & D Home Improvement 7401 Central Avenue N.E., Fridley 784-7543
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 j] REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof Structure
9 CHANGE OF USE FROM TO
STIPULATIONS
Roof can be 2nd layer but not 3rd. Install ridged galvanized valleys.
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
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
l
ISTALLS 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
$1 100
$, 55
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-
$19.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PAN CHECK FEE
TOTAL FEE
$19.55
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
WHEN PROPERLY AL1 ATED THI IS YOUR PER T
SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI
BLDG )NSP
NEW [ ]
City of Fridley Effective 14/1/86
ADDN. [ ] R-1 AND R-2
ALTER. [ ] Building Permit Application
Construction Address: 7 I ® �e A)
Legal Description:
tCh� Tel. #
Owner Name & Address: -7
Contractor:
/Ml !/Yl �IeU U� Tel. # / %�_' 75
Address: i4oi C�N+P-61l
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:
Corner Lot [ ] Inside Lot Ft. Yd. Setback
Side Yard Setback
Type of Construction: Rt5k F1 Estimated Cost: $ 4
'�'��'� ar-�'
Approx. Completion Date:
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation
DATE: �� ' - APPLICANT: — 0-1&
Tel .
CITY USE ONLY
Permit Fee $ i— Fee Schedule on Reverse Side
Plan Check $ 25% of Building Permit Fee
State Surcharge $ S $.50/$1,000 Valuation
SAC Charge $ _ $ 525 per SAC Unit
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $
Agreement Necessary [ ] Not Necessary [ ]
TOTAL $ g ��
STIPULATIONS:
CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1998
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
572-3604
PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS 0
New Fixtures
$ 7.00
The undersigned hereby makes application for a perm it for the work herein
Old Opening, New Fixture
$ 4.00
specified agreeing to do all work in strict accordance with the city codes
Beer Dispenser
$ 5.00
and rulings of the Building Division, and hereby declares that all the facts
Blow Off Basin
$ 7.00
and representations stated in this application are true and correct.
Catch Basin
$ 7.00
Rain Water Leader
$ 7.00
, 1998
Sump/Receiving Tank
$ 7.00
Water Treating Appliance
$10.00
Owner
Water Heater —Electric
$ 7.00
Water Heater — Gas**
$10.00
Building Used As `� J��
Gas Range**
$10.00
Gas Dryer**
$10.00
Estimated Cost PERMIT NO.
ed es () No
Back Flow PreventerM6!�
Type 7&5
$15.00
PLUMBING COM Y 'W&
J
Reinspection Fee $42.00/Hr
SIGNED BY TEL N0.
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5°h of Value of Fixture or Appliance
Approved By jz Rough—In Date Final Date
State Surcharge
$ .50
MINIMUM FEE F R ANY PLUMBING GAS PERMIT IS $20.00
SV
TOTAL FEE
$ '20.,
PLUS THE $.50 STATE SURCHARGE
**COMBUSTION AIR SHALL BE PROVIDED
PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SQ INCHES.
SUBJECT
City of Fridley
FT2571
AT THE TOP OF THE TWINS
BUILDING PERMIT
RECEIPT NO.
• _ COMMUNITY DEVELOPMENT DIV.
INSPECTION SEC.
r � � PROTECTIVE
I . �
CITY HALL FRIDLEY 55432
NUMBERnEv
DATE
PAGE IF
APPROVED BY
612-571-3450
910-F15
5/8/02
10B ADDRESS 941 Overton Drive NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DEscR.
16
4
Brookview Terrace 2nd
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Robert Wicht 941 Overton Drive NE
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Fridley Roofing 830 W Main St ;+105, Anoka, MN 55303 763-780-6210 20269030
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
0 NEW O ADDITION O ALTERATION Ck REPAIR
0 MOVE O REMOVE
8 DESCRIBE WORK
Reroof House & Garage (24 Sq) Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
SEPARATE PERMITS ARE REOUIRED 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 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
@
$1,29
WITH WHETHER SPECIFIED HEREIN OR NOT. THE'GRANTING OF A PERMIT
$2,573
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-
$83.25
Fire SC $2.57
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHEC
TOTAL FEE
1Tic se C $5.
$92.11
1GNATURE OFC NTRACTOR OR AUTHORIZED AGENT f JbATEi
E PRO Y VALI
D, THIS IS YQJWR PERMIT
_
B OG IN50
l
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S-GNATURE OF OWNEROF OWNER BUILDERI [DATE,
NEW [ ] CITY OF FRIDLEY Effective 1/12002
ADDN (] 6431 University Ave NE, Fridley, MN 55432 (763) 572.3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R4 AND R-2
BUILDING PERMIT APPLICATION
Construction Address: 00 e'- -V 6 r\ Or- ,
-X
Legal Description: L_ \
Owner Name & Address: P-0 b e r 4- o fc k I Tel. # \
Contractor. F/-" o MN LICENSE # X,2 & 10.30
Address: 150 W SA 0- t 0 S— Tel. # Q) X0--6dal 0
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT C{S�
LIVING AREA: Length Width Height Sq. Ft
GARAGE AREA: Length Width Height Sq. Ft
DECK AREA: Length Width Hgt/Ground Sq. Ft
OTHER: S9
Construction Type: CC Estimated Cost: $ -v-3&-6r 2
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $
DATE: Aj�o APPLICANT: Tel.# �P%-otlD
Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 7631571-1287 if using credit card and we will
call you for card number.
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
CITY USE ONLY -
$ 8 3. c;�S
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*Engineedng
Agreement Necessary [ ] Not Necessary [ ]
TOTAL $ 92z. '// STIPULATIONS:
Building
BUILDING
Permit No.` 70164
Inspections
RESIDENTIAL APPLICATION
Received By:
763-572-3604
CITY OF FRIDLEY
Date Rec'd:-7 7.
763-502-4977 FAX
EFFECTIVE 1-1-08
DATE T 09
YOUR E-MAIL ADDRESS rAej+- WI'ic* a IAa5)y5
o Cry P1
SITE ADDRE S
DrIvt MEI_ P't ey MN -95432- -1541
THIS APPLICANT IS: XOWNER ❑CONTRACTOR
PROPERTY OWNER/
NAME: Rh�er+ rAIAA hi m'
q �y�`^
c
4
TENANT
ADDRESS: /4I O"n Dr IVC CITY
STATE�ZIP J
PHONE: — 71 8(a -„5
NAME:
ADDRESS: CITY
STATE ZIP
CONTRACTOR
SUBMIT A COPY OF
PHONE FAX
YOUR STATE LICENSE
STATE LICENSE # EXP DATE
PROPERTY TYPE
)W SINGLE FAMILY/NEW CONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS
❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
❑ DECK ❑ SIDING )(OTHER
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW HOME CONSTRUCTION ❑ ADDITION
❑ REMODELING
)If MAINTENANCEIREPA�IR��
p
DESCRIBE WORK BEING DONE: Revsye am 0��,�w'V I cP IXnniS lo mcageevon6ce.s
15 it
SIZE OF IMPROVEMENT
LENGTH IDT 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:
FOR NEW CONSTRUCTION INCLUDING DECKS,
SIDING
❑ Vinyl
❑Soffit
ADDITIONS. & PORCHES SUBMIT:
1. Site
Plan/Survey showing the existing structures
❑ Aluminum
(Other 0
❑ Trim
❑ Fascia
and proposed project
2. Two
sets of construction plans
WINDOWS
3. Energy Calculations
IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: INN
(USING THE 1997 UBC FEE SCHEDULE)
TOTAL JOB VALUATION $ I50 OCCUPANCY TYPE
Permit Fee $ See Back Page for Fee Schedule
Plan Review $ 65% of Building Permit Fee
Fire Surcharge $ .001 times the total job valuation
Surcharge $ g .0005 x Permit Valuation Minimum $.50
License Surcharge $ $5.00 (State Licensed Residential Contractors)
SAC Charge $ $1825 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow $ ft + 6 ft = ft x $21 = $
Erosion Control $ $450 Conservation Plan Review
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( )
Total Due $ P Make checks payable to: City of Fridley Attach Stipulations
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 wor 11 be in accor ith the p ed p n the case of all work which requires review and approval of plans.
SIGNATURE OF APPLIC T //yY�� PRINT NAME R1Jb� 0 j DATE 7
... • mire
rve'Ave _151901
Building
$
BUILDING
$ p 1 --
Permit No.:
Inspections
Surcharge
RESIDENTIAL APPLICATION
License Surcharge
Received By:
763-572-3604
$
CITY OF FRIDLEY
$
Date Rec'W d
DATE 1,t) UGC- I d
YOUR E-MAIL ADDRESS 1�50.'c�c�@
Q(��IT-DC• CnYY4
SITE ADDRESS 241
0\)4 4iDtN Q(�Lw o (V
Total Due
$
THIS APPLICANT IS:
❑ OWNER ❑CONTRACTOR
PROPERTY OWNER/
NAME: A0NDG(4! UO't O
ADDRESS: " CITY
STATE ZIP
TENANT
PHONE:
NAME:
Renewal By Andersen
CONTRACTOR
SUBMIT A COPY OF
STATE LICENSE #_ 1920 County Road "C° West
YOUR STATE LICENSE
ADDRESS: Roseville, MN 55113 t
STATE ZIP
WITH APPLICATION
PHONE License #20130983
❑ SINGLE FAMILY/NEI
651-264-4777
PROPERTY TYPE
❑ TWO FAMILY/NEW C
❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS
PERMIT TYPE
❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
❑ DECK ❑ SIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:13NEW
13ADDITION
❑ MAINTENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE:'R laCQ 10 (A A vvi,_ f� AA- Z�1 Un:A 4Ai fi
Q i '
SIZE OF IMPROVEMENT LENGTH WIDTH
HEIGHT Sq. Ft.
ROOFING
❑ HOUSE ONLY
NUMBER OF SQUARES
❑ HOUSE & GARAGE
BASEMENT
REMODELING SUBMIT:
GARAGES
❑ ATTACHED GARAGE
1.
2.
Existing Floor Plan
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
1.
Site Plan/Survey showing the existing structure
❑ Other
❑ Fascia
and proposed project.
WINDOWS
2.
Two sets of construction plans
IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS
3.
Energy Calculations
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
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 THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $ 19, 000 — OCCUPANCY TYPE
Permit Fee
$
Plan Review
$ p 1 --
Fire Surcharge
$ / O o
Surcharge
$ 9. e -'ID
License Surcharge
SAC Charge
$
Curb Cut Escrow
$
Erosion Control
$
Park Fee
$
Sewer Main Charge
$
Total Due
$
See Back Page for Fee Schedule
65% of Building Permit Fee
.001 times the total job valuation
.0005 x Permit Valuation Minimum $.50
$5.00 (State Licensed Residential Contractors)
$1550 per SAC Unit (Plans to MWCC for determination)
ft+6ft= ftx$21=$
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checks Davable to: Citv of Fridlev Attac
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
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not
permit but only an application f r a permit an ork is not to start without a permit; that the work will be in accordance with the approve
plan in the case of all work whi requires re a and approval of plans. J�o/�
SIGNATURE OF APPLICANT NT NAME/1 lt]�(�,R 1/�Sd1f�`� DATE