PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT No4695 ' '
Date: ' = C.– �—
Owner: _.._._..�1� �_:.��.�" __._._.__ Builder -•_--��,...__�..�F�-�.::� `°
Address _..._____••�t_11 _.._ _ _ .___. ..__.� _ ____ ._ Address. f -e.
,,. LOC TION � BUILDING
_ .
No. Street -....._. Jo
Lot ...-,F }'�� ------ Block -_+.... ........................ .... Addition or Sub -Division �� t� . ?` °, ..�- ' � ✓ � _' y� _ � r�:.' '"G�t�
Corner Lot ..... .................... _........ Inside Lot ...----#� - ----------------- Setback ... �, :-t:_ .._....:__...___.... Sideyard ....___. t' ?:... _... _................... ....
._.___.
Sewer Elevation
Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as
_ r ......._.. ' .._.. fs. ....... Front ._._ Depth ;. -- Height ` '._.. Sq. Ft.Cu. Ft.
_... --..... Front Depth ....'�.. Height ,P'r�_. Sq. Ft. ..�, Cu. Ft......
of Construction ............ ` ,. ,g,.,.µ "Est. Cost.,/.....,. , _ ,...._........ To be Completed ....._ ............._..._._.............._-
r -A � STI N
THIS PERMIT-," Fj P'!C)T gUTHORIZE VIOLAT
ION OF ANY Pi:I'MTE LAND COVENANTS AND
SUILi ,,i"JG RESTRICTIONS.
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 $.-; w -;;r . w""'-..., 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 timgApon 14olation of any of the provisions of said
ordinances.
Building Inspector
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, Baa heating, sewer or water. Be sure to see
the Building Inspector for separate permits for these hems.
4
APPLICATION FOR BUILDING PERMIT
CITY OF FR.IDLEY, MINNESOTA
Owners Nam_ a Builder
Address Address
LOCATION OF BUILDING
No. �// Street _ -Part of Lot
LotBlock RZ.Addition or Sub.Div. /7��v.�
Corner Lot Inside Lot Set: Back _� , Side -Yard
SEWER. ELEVATION ;Z� FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
DESCRIPTION OF BUILDING
To be used as: c/
�. -��� e Front -7 Depth 0e,'✓, J Height
Sq. Ft. Cu. Ft.
eyQ� FrontDepth % Height
Sq. Ft. Cu. Ft.
Type of Construction _ Estimated Cost
i 1 -
:r
M
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 representa-
tions stated in this application are true and correct,
DATE /� / 7 6-1 SIGNATURE�-1-
(A Schedule of Fee costs can be found on the Reverse Side.)
8915.51
City of Fridley
Applicaii®n for Pk=Mng and (vas Fhtkg p
Dept. of Bldgs. Phone SM -3480
DESCRIPTION OF WORK
Number. Kind and Location of Fixtures
��rr��ss
gg
5
c �gQ
OF
a`
d
$
�,
Z
o
�c `a
5O
x $1.50
yuj��
Catch Basin ... ... ... .......
•
I
•
N
WATER HTR,
GAS
ELEC.
Base
x $3.25
$
Electric Water Heater
: $2.00
$
GAS FITTING FEES:
NO. RATE TOTAL
1st 3 Fixtures ..........................
I x $2.00
; 2.00
Additional Fixtures . ..................
x $ .75
$
Gas Range to 199,000 BTU ..............
x $5.00
loo
instll lite ;� grill
6.00
Li
®
G3 i
2nd
3rd
--
4th
_
° Futuro Connection Openings
* Now Fixture, Old OpeningsSewer
Connected with
I Cesspool El
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO. RATE TOTAL
Number Fixtures ...
x $200
$
Future Fixture Opening .... ... ......
x $1.50
$
New Fixture Old Opening .....
x $1.50
$
Catch Basin ... ... ... .......
x $3.25
$
Water Heater (Up to 98,000 BTU) ......
x $3.00
$
New Ground Run Old Bldg.
x $3.25
$
Electric Water Heater
: $2.00
$
GAS FITTING FEES:
NO. RATE TOTAL
1st 3 Fixtures ..........................
I x $2.00
; 2.00
Additional Fixtures . ..................
x $ .75
$
Gas Range to 199,000 BTU ..............
x $5.00
$
instll lite ;� grill
6.00
REPAIRS & ALTERATIONS—Refer to Code
Description ..............................................$
TOTAL FEE $ 8.00
981 Overton Drive (Ftridley)
City of Fridley:
The undersigned hereby makes application for a permit for the work herei
specified, agreeing to do all work in strict accordance with the City Ordinance
and ruling of the Department of Buildings, and hereby declares that all the fact ,
and representations stated in this application are true and correct.
Fridley, Minn Qat. 20. 1969
Owner _Louis Co Nlarsehall
Kind of Building f reme
Used as res i rl en n e
To be completed about Cat 2h., 1969
Estimated Cost, $ 20.00
OIdK-New. Building Permit No. Per '
Si e
By FAPOLIS GAS W.
Business Phone No .�
ROUGH
FINAL / G
4fSr Power Plants and Healft Cooling, Vemilattne Repigeration and
Air Conditioning Sydenni and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIB: RATE TOTAL
Furnace Shell & Duct Work $10.00 $
Replacement of Furnace .... . 6.00
Repairs & Alterations—up to $500.00 6.00 $
Repairs & Alterations each add. $500.00 3.00 $___ _
MECIL WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ........
..$10.00 $
each add. 60,000 BTU ....................
.. 3.0o i
Replacement of Furnace
.... 6.00 $
Repairs & Alterationsr—up to $500.00
6.00 $
Repairs & Alterations each add. $500.00
3.00 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR Steam $10.00 $.
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water 10.00
Each add. 200 sq. ft. EDR Steam 8.00
Each add. 320 sq. ft. IDR Hot Water 3,00 $—
OIL BURNER—to 3 gal. per hour 6.00 $ _
over 3 gal. per hour --See Fee Schedule
GAS BURNER (up to 199,000 BTU) ... &00 $
over 199,000 BTU See Fee Schedule
GAS FITTING FEES: NO RATE TOTAL
1st 3 Fixtures .. . ..... x$ 7.00 $
Additional Fixtures x .75 $
Gas Range to 199,000 _$ &00 $
AIR COFDI'I'Ji m i n a ave"z 2
HE$�
FAN HEATING SYSTEM Sae Fee Schedule
VENTILATING SYSTEM
ALTERATIONS k REPAIRS TOTAL FEE -�0
ROUGH
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 corr'ecL
Fridley,
/Mdinn_ A �,/��
Owner 10LU S 1L/cLvy 7a0
Kind of Building -
Used as -
To be completed about __ 73
Estimated Cost, $_/ � 00--
Building
0Building Permit No. Permit No.
DFaCAIP1ZOF OF WORK
BEATING or POWER PLANTS--4tean4
Hot Water, Warm "—No
Trade Name
Size Ne -
Capacity
Sq. Ft. EDA_ BTU H.P._
Total Connected Load
JUnd of Fuel
BURNER — Trade Name
Size No
Cepecit7
Sq. P't. ED R BTU Hl$
(UNARKf—OVER)
sueJEcr
City of Fridley
C6:0
AT THE TOP OF THE TWINS
BUILDING
PERMIT11
r
-------- COMMUNITY DEVELOPMENT DIV.
INSPECTION SEC.
Qor ��
r 1 � PROTECTIVE
�
i1 i
��"'1;,� CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
•-_-�
L 612-571-3450
910-F15
5/29/86
JOB ADDRESS 981 Overton Drive N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
14
4
Brookview Terrace 2nd
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Louis Marshall 981 Overton Drive N.E.
571-0251
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 Ij ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof Dwelling
9 CHANGE OF USE FROM TO
STIPULATIONS
Roof can be the 2nd layer but not the 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 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
1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$800
$.50
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.
$15.00
PLAN CHECK FEE
TOTAL FEE
$15.50
SIG TURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI
., WHEN PROPERLY VA DAT D THIS IS YOUR PERM T
B D INSP
044E
SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI
NEW [ J City of Fridley Effective 4/1/86
ADDN. [ ] L R-1 AND R-2 j
ALTER. [ ] Building Permit Application
Construction Address: 7 C,?
Legal Description
Owner Name & Address
Tel. # -S7/
Contractor:_ l) -Tel.
Address: cC
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: / �w 'eDo,--
Corner Lot [ ] Inside Lot [� Ft. Yd. Setback
Type of Construction:
Approx. Completion Date:
Side Yard Setback
Estimated Cost: $ AJ O6r ay
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $ $
See Back Page for Explanation
DATE: APPLICANT:
CITY
Permit Fee $ r�
Plan Check $ r
State Surcharge $
SAC Charge $
Park Fee $
Sewer Main Charge $ i
TOTAL $ J j
STIPULATIONS:
Tel. #
USE ONLY
Fee Schedule on Reverse Side
25$ of Building Permit Fee
$.50/$1,000 Valuation
$475 per SAC Unit
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
0
SUBJEET
P
City of Fridley
27961
AT THE TOP OF THE TWINS
BUILDING
PERMIT
'IR
Ir?
`
ECE PT NO.
`� ______ COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
(/®
NUMBER
REV
DATE
2255
PAGE OF
APPROVED BY
"'1 CITY HALL FRIDLEY '55432
A,
' 612-571-3450
910-F15
9/9/98
JOB ADDRESS
981 Overton Drive NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
14
4
lBrookview Terrace 2nd
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Louis Marshall Jr.
571-0251
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Owner
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
❑ NEW ❑ ADDITION ❑ ALTERATION Jk REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
Replace window
9 CHANGE OF USE FROM TO
STIPULATIONS
Install smoke detectors to meet the State Building Code -
in each sleeping
ro m and on each level of house.
SEPAATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTI ATING 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 W(DRK 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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
3500
$1.75
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVI IONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON.
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
$87.25
Fire S 3.50
PLAN CHECK FEE
TOTAL F
4z9
.50
IGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
PR E IO TED I$ IS P
S}GNATUR E OF OWNERIIF OWNER BUILDER, �r IDATE,
BILOG SP
TSA �E
0
DESCRIPTION OF IMPROVEMENT
AREA: Length Width Height Sq. Ft.
sE AREA: Length Width Height Sq. Ft.
AREA: Length Width Hgt/Ground Sq. Ft.
:tion Type: IV 141 /)a Estimated Cost: $
(Fee Schedule on Back)
v Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
DATE:
J
APPLICANT: A� Tel. # S7/. — ®aS/
CITY USE ONLY
Permit Fee
NEW
[ ]
Fire Surcharge
Effective 1/1/98
AD
DN [ ]
CITY OF FRIDLEY
$.50/$1,000 Valuation
ALTER
[ ]
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
License Surcharge
$
$5.00 (State Licensed Residential Contractors)
BUILDING PERMIT APPLICATION
$
Alt. "A" or Alt. "B" Above
Erosion Control
$
$450.00 Conservation Plan Review
Co
$
701 OW�r7-a,41 1,9,c W1
Sewer Main Charge
$
tructionAddress:
TOTAL
$
Leg
1 Description:
Ow
er Name & Address:
.0 � 0411-< j jM;1--1/� L ,ToC, Tel. # Ile
Coi
tractor: ' aG w" MN LICENSE #
Ad
ress:
Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
AREA: Length Width Height Sq. Ft.
sE AREA: Length Width Height Sq. Ft.
AREA: Length Width Hgt/Ground Sq. Ft.
:tion Type: IV 141 /)a Estimated Cost: $
(Fee Schedule on Back)
v Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
DATE:
J
APPLICANT: A� Tel. # S7/. — ®aS/
. STIPULATIONS:
CITY USE ONLY
Permit Fee
$ CO,2 9.-2S—
Fee Schedule on Reverse Side
Fire Surcharge
$ 2. -SZ)
.001 of Permit Valuation (1/10th %)
State Surcharge
$�
$.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
$
. STIPULATIONS:
su9JEcr
NO.
City of Fridley
33229
AT THE TOP OF THE TWINS
BUILDING
PERMIT
f
16_ COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
r � �
1
NUMBER
REV
DATE
PAGE OF APPROVED BY
i CITY HALL FRIDLEY 55432
�.j
763-571-3450
910-F15
11/1/02
JOB ADDRESS 981 Overton Drive NE
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
14
4 1
Brookview Terrace 2nd SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Rite Way Waterproofing 448 Lilac St, Lino
Lakes MN 55014 651-786-0550
a 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
install interior basement drain tiles stem
9 CHANGE OF USE FROM
TO
STIPULATIONS
Provide smoke detectors in all sleeping rooms and on all levels of the dwelling
per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all
exterior openings.
Pllf" InSPOCtiOn Wds
ill Be mailed
To ® o nero est
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
SO. FT
CU FT
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION
ORWORK 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
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
$3,700
$1.85
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
PLAN CHECK FEE
TOTAL FEE
City L nse
J402.80
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT iDATEi
HE PR Y VALIDATE THIS IS YOUR PERMIT
� r
G -14SJfOArE
S-GNATURE OF OWNER��F OWNER BUILDER.. �DATEi
NEW [ ] CITY OF FRIDLEY Effective 1/1/2002
ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address:
Legal Description: T,,,. ;-eA of R�Gc k7ra U/N 4; 1, �14
Owner Name & Address: 019 tAkL*4-, '\�)r Tel. # rl(,3- S-71- 0:)5
Contractor Rite -Way Waterproofing MN LICENSE#
Address: 448 Lilac Street, Lino Lakes MN 55014 Tel.# 651-786-0550
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: Tntari nr RaspmPnt Drain Tilt- Systc-m
Construction Type: _Qt4i):4-7 »a, Estimated Cost: $ 3-7CO- °o
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ji
_ $
DATE: APPLICq NT Tel .# �7';L>d ..
Call (763) 572-3604 for Permit Fees If mailing in application or ax to 763-571-1287 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
$ -7 29
$ 3.7®
$ Ids
CITY USE ONLY -
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'Engineering
Agreement Necessary [ ] Not Necessary [ ]
TOTAL $ LOQ -70 STIPULATIONS:
l
SUBJECT
PE
City of Fridley3
3 4 61
AT THE TOP OF THE TWINS
BUILDING
PERMIT
T NO.
COMMUNITY DEVELOPMENT DIV.
_____
r � � PROTECTIVE INSPECTION SEC.
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
763-571-3450
910-F15
4/23/03
JOB ADDRESS 981 Overton Drive NE
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
14
4
1 Brookview Terrace 2nd
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Louis Marshall 981 Overton Drive NE
763-571-0251
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 WORN
❑ NEW ❑ ADDITION ( ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Install basement egress window
9 CHANGEOFUSEFROM TO
STIPULATIONS
Window to meet State egress 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 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
1
I HEREBY CERTIFY THAT 1 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
$1,000
$.50
WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TME
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$38.75
Fire SC $1.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTAL FEE
$40.25
S�GNAT RE OF CONTRACT j))�R OR AUTHORIZEDGENT IIDAATE.
HEN PROPERLY VALIDATED THIS IS YOUR PERMIT
Z
JA
Bl G i
MATE
S.GNATURE OF OWNEROF OWNER BUILDERS I IDATEi
NEW [ ] CITY OF FRIDLEY Effective 1/1/2003
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 & Address: ����5 v % Z Zl— Tel. #
Contractor. MN LICENSE #
Address: Tel. #
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
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 Sq. Ft.
Length Width Hgt/Ground Sq. Ft.
v cio
Construction Type: Estimated Cost:
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: l` ate`y3 APPLICANT: Tel. #
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.
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
3& 9S
CITY USE ONLY -
$ yo a s'
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1275 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
2 01e 9 ' CITY OF FRIDLEY
3uxlding
;nspechons
763-572-3604
MA
'ITE ADDMS.,_
-�U$ APPLICANT W.
PROPERTY O'%
TENANT
SUBMIT A COPY OF
YOUR STATE LICENSE
WITH APPLICA'T'ION
PROPERTY TYPE
PERMIT TXPE
TYPE OF WORK;
BUMMING Permit No.:-,
RESIODENTIAL APPLICATION TION Received By:
CITY OF FREDLL+ Y Date Reed:_
YOURE-MAIL
D OWNM )(00NTR.#=OR
ADDRESS: Crry STATE 71P
DESCRIBE WORK BEING
SITE
SQUARES.
SIDING
O vinyl
0 Alumimrat
(3 Other..
WINDOWS
INE)aS'iW0OPENINGS OYes []No
OR FOR NEW OF24INGS-DESCRMZ SIM OF
OPR41NO C1kANGES do
TYPE OF WINDOW TO BE INSTALLED
3q 3q TOTAL JOB v',
Permit Fee
Plan Review
Surcharge
Fire Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Contol
Park Fee
Sewer Main Charge
r &E ,--
LENGTH
O HOUSE OMY
0 HOUSE B GARAGE -
0 ATTACHED CrARAGE
D DETACHED GARAGE
OSoffit
0 Trim
O Fascia
LOCATION OF WINDOWS
17UT) _t } + iITr'�
ALUATION,
4G THE COS,[' OF I
FEE SCAMULE)
' OCCOPANCx
Ft.
DAV,MMU RZKQ=&Q SUBN91'
1. Existing Floor Pian
2 Proposed floor play
3. List of muatural members to be viced
FOR NEW CONSTRUCTION INCLUDING DECKS.
ADDITION&
1. Site PlWSurvey showin the MiStIM structures
and proposed pmjut
2. Two sets Of aOn*uCtion PIM
3. Pnew Calautat OM
$
See Back Pape for Fee Schedule
$
65% of Building Permit Fee
$
(.0005) bones the total job valuation — Minimum $.50
$ 3.
.001 x Permit Valuation (1/100/0)
$ S .
WORM
$
• r
$
R+68= ftx$20=$
$
$450 Cmservation Plan Review
VA
]Fee Determined by En&eering
$
Agreement uecessaty ( ) Nan Necessary ( )
S l n ,- l _ 1
Make checks payable to: City of Fridley Attar
■:• ala 1 i.Y
�`■-r,
..-�� �
■ 1
■ �rr •
DESCRIBE WORK BEING
SITE
SQUARES.
SIDING
O vinyl
0 Alumimrat
(3 Other..
WINDOWS
INE)aS'iW0OPENINGS OYes []No
OR FOR NEW OF24INGS-DESCRMZ SIM OF
OPR41NO C1kANGES do
TYPE OF WINDOW TO BE INSTALLED
3q 3q TOTAL JOB v',
Permit Fee
Plan Review
Surcharge
Fire Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Contol
Park Fee
Sewer Main Charge
r &E ,--
LENGTH
O HOUSE OMY
0 HOUSE B GARAGE -
0 ATTACHED CrARAGE
D DETACHED GARAGE
OSoffit
0 Trim
O Fascia
LOCATION OF WINDOWS
17UT) _t } + iITr'�
ALUATION,
4G THE COS,[' OF I
FEE SCAMULE)
' OCCOPANCx
Ft.
DAV,MMU RZKQ=&Q SUBN91'
1. Existing Floor Pian
2 Proposed floor play
3. List of muatural members to be viced
FOR NEW CONSTRUCTION INCLUDING DECKS.
ADDITION&
1. Site PlWSurvey showin the MiStIM structures
and proposed pmjut
2. Two sets Of aOn*uCtion PIM
3. Pnew Calautat OM
$
See Back Pape for Fee Schedule
$
65% of Building Permit Fee
$
(.0005) bones the total job valuation — Minimum $.50
$ 3.
.001 x Permit Valuation (1/100/0)
$ S .
$5.00 (State Licensed Residential Contactors)
$
$1450 per SAC unit (Plans to MWCC for determination)
$
R+68= ftx$20=$
$
$450 Cmservation Plan Review
S
]Fee Determined by En&eering
$
Agreement uecessaty ( ) Nan Necessary ( )
S l n ,- l _ 1
Make checks payable to: City of Fridley Attar
TRIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCBSSh`I7
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 Mhmesota Construction Codes; that I understand this is not a
permit but only an application fo it mand work is not to start without a t; that the work will be In accordance with the approved
plan in the case of all work cluitres d approval of plans. a.� �w10 DATE 7 G
SIGNATURE OF APPLICANT PRINT NAME
Building
$ ' Ob
BUILDING
Plan Review
Permit No.:
Inspections
Fire Surcharge
RESIDENTIAL APPLICATION
Received By:
763-572-3604
$ , '75—
CITY OF FRIDLEY
Date Ree 'd:
763-502-4977 FAX
EFFECTIVE 1-1-08
SAC Charge
$
DATE %4 _ — ®� YOUR E-MAIL ADDRESS
Curb Cut Escrow
SITE ADDRESS 9�Z
ft + 6 ft = ft x $21 = $
Erosion Control
$
$450 Conservation Plan Review
Park Fee
THIS APPLICANT IS: JLOWNER ❑CONTRACTOR
Fee Determined by Engineering
PROPERTY OWNER/
NAME: 2ar!
Agreement necessary ( ) Non Necessary ( )
TENANT
ADDRESS: F4!�l ODM % !M CITY
��/DLA �STATEA�ZIP Z
PHONE:
NAME:
CONTRACTOR
ADDRESS:
CITY STATE ZIP
SUBMIT A COPY OF
PHONE
FAX
YOUR STATE LICENSE
STATE LICENSE #
EXP DATE
PROPERTY TYPE
K SINGLE FAMILY/NEW CONSTRUCTION
SIZE
❑ TWO FAMILY/NEW CONSTRUCTION
STORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHED
❑ WINDOWS
❑ BASEMENT FINISH ❑ ROOF
❑ DRAIN TILE
V
XDECK ❑ SIDING
XOTHER
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW HOME CONSTRUCTION ❑ ADDITION
❑ MAINTENANCE/REPAIR PEMODELING
DESCRIBE WORK BEING DONE:
SIZE OF IMPROVEMENT
LENGTH 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:
FOR NEW CONSTRUCTION INCLUDING DECKS,
SIDING
ADDITIONS. & PORCHES SUBMIT:
❑ Vinyl
❑Soffit
I . Site Plan/Survey showing the existing structures
❑ Aluminum
❑ Trim
and proposed project.
❑ Other
❑ Fascia
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 Nu►TERIALS:
(USING THE 1997 UBC FEE SCHEDULE)
TOTAL JOB VALUATION $ OCCUPANCY TYPE
Permit Fee
$ ' Ob
See Back Page for Fee Schedule
Plan Review
$ '' 0
65% of Building Permit Fee
Fire Surcharge
$
.001 times the total job valuation
Surcharge
$ , '75—
.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
$ , ,
Make checks payable to: City of Fridley Attach Sti ulations
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 all work which requires review and approval of plans.
SIGNATURELICANT PRINT NAME DATE
APPROVED BY DATE
Building
MECHANICAL
Permit No.: -fJ4
Inspections
RESIDENTIAL APPLICATION
Received By:
763-572-3604
CITY OF FRIDLEY
Date: AUC 1$
763-502-4977 FAX
EFFECTIVE 1-1-08
DATE YT'IaJOT YOUR E-MAIL. ADDRESS
SITE ADDRESS s/ er,@ i a♦ [� .
THIS APPLICANT IS: ❑ OWNER JVCONTRACTOR
PROPERTY
NAME: L• a tmf M A R y M A R S A I//
OWNER/
TENANT
l
ADDRESS: 911 ® Via h;e Af. TATE A 'tZIP_FM Z
PHONE: 763 - ED - CI Z S l
CONTRACTOR
COMPANY NAME: 14/9A k f-/ AA64 yyael A v O A o 4 Ge�✓P xo�•-!;4 o WC
SEPARATE CITY
CONTACT PERSON: XP / I y /VI 410AF
STATE LICENSE # EXP DATE
LICENSES ARE
REQUIRED FOR GAS
AND HVAC.
ADDRESS: 4 2 V 0 j_ 4 K? C Ar✓o A yr /t%s CITY. t/�
�/2 O.4j!:r ✓ t04414'STATEM/4LIP SS*VI
SUBMIT COPY OF BOND
PHONE 7(03- S9% - 0667 FAX
ANDINSURANCE
PERMIT TYPE
C9 SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK:
❑ NEW &REPLACEMENT ❑ ALTERATION/REMODEL
DETAILED DESCRIPTION OF WORK X4 ,WAV1 (A iyn/aA A' 4A4l 4. lJU—%A4A
PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the
improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor )
OR
Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05 =
FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL
NUMBER OF EACH BELOW) y
Equipment Installed MFG: L41j'sox MODEL: V/ 71 tIPPA d 0 7o SIZE/BTU -/0,, o o
MFG: MODEL: SIZE/BTU
MFG: MODEL: SIZEBTU
_A/C $25.00 _FIREPLACE (GAS) $15.00 GAS RANGE/OVEN $10.00
_AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00
NEW
_BOILER $35.00 FURNACE $35.00 UNIT HTR $10.00
_CHIMNEY LINER $10.00 _GAS DRYER $10.00 HEATER $35.00
_POOL
_DUCT WORK $10.00 GAS PIPING $10.00 _VENTILATOR $15.00
PERMIT FEE PmEars,FQR UND $' FEEFOR PROJECTS'; OVER $500
Permit Fee $
Number of fixtures @ $10.00 x $10.00 = $
Surcharge $ .50
Number of fixtures @ $15.00 x $15.00 = $
TOTAL DUE $
OR Number of fixtures @ $25.00 x $25.00 = $
Number of fixtures @ $35.00 J: x $35.00 = $
State urcharge = $ .50
MINIMUM $1
b MINIMUM $1 . otal = $
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
I hereby apply for a mechanical 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; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans.
SIGNATURE OF APPLICANT PRINT NAME Ke )/I- A R 5 /j DATE a /) Oaj
APPROVED BY DATE
PLEASE NOTE". -SE LARAXTE17ER %T.ARE::.:. f T1YtEI3 F(}R B[ i%bl r; R CAL AND MECHANICAL WORK ,
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604 FAX: 763-502-4977