PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT N® 4093
Date: ............ ._...._............._..........._.....---....._._....�
....---•-----•-------------•-----•-----
Owner: ...............•---•------------•--.. Builder_.:���.+1....�..p��'
Address..... .............. - ....... - - .._.. ------------- . ....................... Address ........ ---•--•................. - - -.... _.__.
LOCATION QF BUILDING
No..... Q.._........ Street ....._. .... _. ._...------- --- ------ ............. Part of Lot .................................
Lot .............. ........ Block ------. ........................... Addition or Sub -Division e,,u........... ............. ...... -..... - ....... _. _.
r •• o a
Corner Lot ....... 3.S.7 ................... Inside Lot ....._................................ Setback ...................... Side
yard .'�
� yard .......--.........................
Sewer Elevation ................................... .............. _.... ................................. -.............. Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
/
.. .................... Front , .:. �� f Depth A� 6 Height /.....(..` Sq. Ft. Cu. Ft.
l... ...._..
A?
I 4 f 7 t a / �/
` = ... Front lsa�...`...� Depth .��.` Heig t �(�...' ® Sq. Ft. -7_6..f. Cu. Ft. R.6_! -_-'d
Type of Construction............................................................ Est. Cost ...... /�. /
To 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 forp and in compliance with all provisions of
ordinances of the city of Fridley. "Lj A 1-1
In consideration of the payment of a fee of $..v...f.7......._.......-permit is hepZy 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 any of the provisions of said
ordinances.
Building 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.
4 .0
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
Owners Nam ® Builder CLEM JOHNSON. & SON
•
2500 R
Address _ _ _ _ Address MF1S. 1S, MINI
LOCATION OF BUILDING
Nb. Street
-Part of Lot
Lot` Block.. Addition or Sub. Div:,�i'a9'�
Corner Lot Inside Lot _ Set Back
•'•Applicant attach to this form Certificate of"Survey of Lot and proposed -
'building location.
DESCRIPTION OF BUILDING
To be used as
'Front :Depth Height.,
.... Sq. Ft. Cu. Ft.
Front _... Depth Height
,..-Sq* Ft'. Cu. Ft.
Type of Construction Estimated .Costor
To be completed'a Ad_4f_'_i
The undersigned hereby makes -application for a permit for the work
..herein specified, agreeing to do all work in strict' accordance with the
City Ordindnces and ruling of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are true and c rec
Date Signat �
(A Schedule of Fee Costs can be found on the Reverse! ides
11 -
' Application for Power Plants and Heating, Cooling, Ventilation, Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SII 4-7470
GRAVITY WARM AIR:
Furnace Shell & Duct Work ..........................
Replacement of Furnace .............................
Repairs & Alterations—up to $500.00 ..................
Repairs & Alterations each add. $500.00 ...............
MECIL WARM ATA
Furnace Shell & Duct Work to 120,000 BTU ............
each add. 60,000 BTU .......................
Replacement of Furnace .............................
Repairs & Alterations—up to $500.00 .................
Repairs & Alterations each add. $500.00 ..............
RATE TOTAL
8.00 $
5.00 $
5.00 $
2.50 $
8.00
$
2.00
x $1.50
5.00
$
5.00
$
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 BTI) ....................... 5.00 $ -6
GAS FITTING FEES:
NO RATE TOTAL
1st 3 Fixtures ......................
x $1.50
$ t .67
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
$�
REMARKS:
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, Minn. 01 % s 195
Owner (Ra I 19
Kindof Building 195—
Used as 1(f, �%�.��
To be completed about
Estimated Cost,
Permit No. �e"
DESCRIPTION OF WORK
HEATING or POWER —Steam, Hot Water. Warm Air—No
Trade NamSize No
Capacity. Sq. Ft. E.D.R BTU /as U O b H P
d
Total Connected Load Kind of Fuel- ••
BURNER — Trade Name Size No
Capacity Sq. Ft. E D.R BTU H.P.
Signe
11 POST IM -12-58 Business Phone No
Date:
May 25, 1965
City of Fridley, Minn.
BUILDING PEST
Owner: R. H. Hildebrandt
Builder
N° '7535
Alan Construction Inc.
Address 998 Overton Drive, Fridley Address 4850 Zachary Lane, Mpls., Kinn.
LOCATION OF BUILDING
No. 998 street Overton Drive N. E. Part of Lot
Lot - 5 _ Block 5 Addition or Sub -Division Dr20-12dew TerraC8
Corner Lot _—
Sewer Elevation
To be Used as:
Inside Lot Setback
Front
Front
Type of Construction
Storm Die Repair
Sideyard
Foundation Elevation
DESCRIPTION OF BUILDING
Depth Height Sq. Ft.
Depth Height Sq. Ft.
__._ Est. Cost 00.00 _ To be Completed
Cu. Ft.
cu. Ft.
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 afl provisions of
ordinances of the city of Fridley. 4� p
In consideration of the payment of a fee of E lO•00 , permit is hereby granted t 1 an Confit. Inc
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 11m1ts and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
NOTICE:
Ibb permit don net emu the eondrueHm, hunllatien for wbhkg, plumbing, gas hsatb& rawer or wafer. Be sura to sae
the suildbg Inspector for sepmft peraft for than inure.
I
APPLICATION FOR BUC- ING PERMIT
CITY OF FRIDLEYyWERNESOTA
OWNER'S NAME R. H. Hildebrandt,_ BUILDER Alan Construction Inc.
ADDRESS .998 Overton Drive, Fridley .ADD1tESS 4850 Zadbary lane, Minneapolis
'z LOCATION OF BdVDTW.
No, Street Part of Lot.
Lot_ Block Addit.ibir or Subdivision 01-4�
Corner Lot Inside Lot __,.,$etisack Side Yard
SEWER ELEVATIQN FOUNDATION ELEVATION
Applicant attach to this form, Two Certificates of Survey of Lot and proposed build-
ing; location driva on these Cet'tificates.
DESCRIPTION OF BtJILDING
To be used As:
-'ronC Depth Height
Sq. Ft. Cu. Ft.
Front Depth Height,
Sq. Ft. Cu- Ft.
Type of Construction __Remodel & repair Estimated Cost ,$3,,900.00
--To--be _Compl.et ed
The undersigned hereby makes application for a permit for the work herein specified,
agreeing to coo 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.
jchile of Fee Costs can be found on thk/Reverse Side).
ti . .
City of Fridley, Mian.. 10799
BUILDING PERMIT
Date: August 21, 1970
Owner. Ralph Hildebrandt Builder Same
Address 998 Overton Drive Address Same
LOCATION OF BUILDING
No. 998 Street _ Overton Drive N.E. ___ part of Lot
Lot ___5 -- Block 5Addition or Sub -Division oo�yit, w xarrgCe 2nd Addition
Corner Lot — X Inside Lot _ _ Setback
Sewer Elevation
Sideyard
Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
Addition to Garage Front 12' Depth 22' Height 10' Sq. Ft. 264' Cu. Ft. 2640'
Front Depth _ _ Height Sq. Ft. Cu. Ft.
Type of Construction Frame . Est. Cost _ To be Completed Oct- 15, 1970
In consideration of the issuant i to me of a permit to constmot the building described above I agree to do
the proposed work in accordance with the description abov%o in p ail provisi of
ordinances of the city of Fridley.
In consideration of the payment of a fee of $--L- .QO_ _ _, permit is hereby granted to Ra 1 ph Hi 1 debrandt
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 thhee city limits and this permit may be revoked at any time upon violation of any of the provisions of said
NOTICE.
This permit don not cover the construction, Installation for wiring, Plumbing, gas heating, sower or water. Be ams to as
the Building Inspector for separate permits for these Mmm
APLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME:�j
/ L 17E BRWvrLDER:
-SAP" e
ADDRESS:_/1ZzAUe/f—k19
��iyC
ADDRESS:
NO :. _f d STREET:
LOT: (� BLOCK:
CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD:
it
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As: '4
Front: 2 Depth: 02 Height:/ / (�
Square Feet: Cubic Feet: o<(o
Front: Depth: Height:
Square Feet; Cubic Feet:
/ �
Type of Construction: Estimated Cost: $ Xr0 D, O
To Be Completed:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in stfict 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.
DATE: SIGMA
(See Reverse Side For Additional Information.)
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SUBJECT
City of Fridley
R28954
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
�
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
INSPECTION SEC.
PROTECTIVE
1 . �
L ,.� CITY HALL FRIDLEY 55132
NUMBER
REVDATE
PAGE O:
APPROVED BY
L 612-571-3450
910-F15
3/1/99
JOB ADDRESS 998 Overton Drive NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
5
5
Brookview Terrace 2nd
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Mike Jansen 998 Overton Drive NE
427-7733
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Quality Contracting 11380 W River Rd, Champlin, MN 55316
427-7733 7035
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
O NEW ❑ ADDITION ❑ ALTERATION REPAIR
❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Reroof House & Garage (22 Sq) 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
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
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
$1885
$.94
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 O HE PERFORMANCE Of ONSTRUCTION
PLAN CHECK FEE
TO AL FEE
di
/S%GNWATURE
Lice s $5
67.32
OF �ON'aACTOA OR AUTHORIZED AGENT DAT
ACH'EN R P V L
,NS
D TJ'IIS IS UR PERS
rjAq
S,GNATURE OF OWNER,,F OWNER BUILDER, ,DATE,
0
NEW [ ] Effective 1/1/99
ADDN [ ] CITY OF FRIDLEY
ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
G ,[
ConstructionAddress: / g o ofy' I a V4 --
Legal Description:
Owner Name & Address: %2'l 1'<C To c.` Z f S'75�� 7S'7b Tel. # q--7-7733
Contractor: � , l ct K- MN LICENSE # %03
Address: I % ( c) ,-a V _k& Tel. # e% 7- 2 7f S
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:
Construction Type: TIM y F ve, IPDA aa?gS'�Estimated Cost: $
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE:) 1Z7APPLICANT:LA� Tel. #— 7 3
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee $
Sewer Main Charge $
TOTAL
STIPULATIONS:
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1050 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 [ ]
$ Cf -I 2S
BUILDING
$
Permit
Building
Inspections
$
RESIDENTIAL APPLICATION
$ S
Receiv
763-572-3604
$1550 per SAC Unit (Plans to MWCC for determinati , )
CITY OF FRIDLEY
ft+6ft= ftx$21 =$
Date R
DATE
OUR E-MAIL ADDRESS
Fee Determined by Engineering
SITE ADDRESS % g
✓��' h ��
$ t
Matte checks payable to: City of Fridley Alt ch
THIS APPLICANT 13:
❑ OWNER ONTRACTOR
PROPERTY OWNER/
NAME: i` Q, CU7,5 e/I
ADDRESS: CITY
ST
TENANT
PHONE:
CONTRACTOR
NAME: ,` Jai rgonLf u
STATE LICENSE #�2 n tae/ VEXP DATE S -J10 A i
SUBMIT A COPY OF
ADDRESS:6-tP /% i%%omari`d �'. /V. CITY
YOUR STATE LICENSE
WITH APPLICATION
PHONE IPS/ 9. FAX 105/ �' F?
PROPERTY TYPE
❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
PERmirr TYPE
❑ ADDITION ❑ ARAGE/SHED ❑ WINDOWS
❑ DRAINTILE
❑ BASEMENT FINISH OOF
❑ DECK ❑ SIDING ❑OTHER
❑ SWIMMING POOL
TYPE OF WORK:❑
❑ DTfION
MUNTENANCEtREPAIR. ODELING
DESCRIBE WORK BEIN
DONE: VCS v B �� -,.,d vee-
e`SIZE
SIZEOF 110%OVEMEN'T LENGTH WIDTH
HEIGHT
ROO)FIPiG ❑ HOUSE ONLY
NUMBER OF SQUARES ❑ HOUSE & GARAGE
�
BASFM
T REMODELI
1.
Existing Floor J
GARAGES
❑ ATTACHED GARAGE
2.
Proposed floor
PROPOSED SIZE:
❑ DETACHED GARAGE
3.
List of structun
PROPOSED HEIGHT:
SIDING
FORNEW CONSTRUCT
❑ Vinyl
❑Soffit
❑ Trim
ADDITIONS
& PORCHE
I.
Site Plan/Surve
❑ Aluminum
❑ Other
❑ Fascia
and proposed p
2.
Two sets of cot
WM-OWS
3.
Energy Calcula
IN EXISTING OPENINGS ❑Yes [IN, LOCATION OF WINDOWS
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
AJ..L.kkk:aAKi>✓• 1fA.l.LV ulr vAl.,uailtvi�, u.�,i,utv.u.v x,...J.,.,�� �,...,.�,....._.�...�
(USING THE 1947 U.B.0 FEE SCHEDULE)
TOTAL JOB V.
Permit Fee
Plan Review
Fire Surcharge
Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Total Due
J By:
c d:
E ZIP
- I
TATF i�- 10 —1
Sa. Ft
SUBMIT:
it
,;a
i • tembers to be used
Q INCLUDING DECKS,
howing the existing structures
xt.
uction plans
i is
11 S:
JATION $ 5 c) J (o,0Q- OCCUPANCY TYPE
$ Cf -I 2S
See Back Page for Fee Schedule
$
65% of Building Permit Fee
$
.001 times the total job valuation
$
.0005 x Permit Valuation Minimum $.50
$ S
$5.00 (State Licensed Residential Contractors)
-QQ
$
$1550 per SAC Unit (Plans to MWCC for determinati , )
$
ft+6ft= ftx$21 =$
$
$450 Conservation Plan Review
$
Fee Determined by Engineering
$
Agreement necessary ( ) Non Necessary ( )
$ t
Matte checks payable to: City of Fridley Alt ch
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; iat the work will be in
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; the', understand this is not a
permit but only an application fo a permit d work is not to start without a permit; that the work will be in acct „ lance with the approved
plan in the case of all work w reqYe!r7t'7/),,,approval of plansSIGNATURE OF APPLIC 2s0 PRINT NAME fes% �//�I LZ/ DATE