PRE 2010 DOCSV ,+i Oav r
W,DESCRIPnON
OF &3UMDING
Front -L—
Depth j_, 4
Leight Stories ---./----Dianne o Construction
To be used as
6
Xafidari . &
To be complete ✓
Esti
77 Y
IV
ted. CojF
st 7
Permit is he
rebq granted to k a to
the building described in the above statement This permit is granted
upon the express condition that the person to whom it is granted, and his agents, employ,es and workmen, in all
the work done in, around and upon said building, or any part -thereof, shall, conform in all respects. to the ordi-
nances of Fridley, Wnn., regarding the construction, alteration, maintenance, repair rtd 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.
Inspector of Bpildings.
AGR NT AND SWORN STATEMENT
In'' consideration of the issue. and -delivery to me by the:- In^pector of Bi d1dings of Fridley of
the above permit, I herebv agree to do the proposed work in :accordance with the description
above set `forth and according to the provisions of the ordinances of 1'�ridle and, being first dzdy
sworn, I hereby state and say that the facts stated by ane and. contained ixi he above permit are,
true as therein stated. - �....
Subscribed and sworn to before, me at Fridley, Minnesota, than: .I
day o° _ _A.D. 19 1
City of Fridley, Minn.
BUILDING PERMIT N? 3153
Date: .................
Owner ........ ... ... .... Builder
Address � . ............. Address ..... � . �a . �:: ....-.......... � .... �.
`j 4 LOCA ION OIF BUILDING
No.�.. K .. Street .. :��F......:.. �.•. ....... Part of Lot ......... ....... . r.. .. .
Lot .......4. Block ................ Addition or Sub -Division .. %.4 .. �_?.. .. ^:. -
Corner Lot ............ Inside Lot ...V ...... Setback ............ Sideyard ...........................
DESCRIPTION OF BUILDING
T94e Used as:
ho
Front ... K . ® Deptho'
...�' . . � Height ...... 9 Sq. Ft. � �' � Cu. Ft.
'
p
. ' ..... Frpnt ....4.1. Depth .. � . � . rrHeight Sq. A. . �. c��:.P. Cu. Ft. ........
Type of Construction ..4�t WL-
... Est. Cost...�.46 �r.. ®�®.. To be Completed .. ..:. l:.... .
In consideration of the issuance to me of a permit to construct the building desribed 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.
,q a
00 f ,.
In consideration of the payment of a fee of $. �:; permit is hereby granted to :� ` ':' f
......................... 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, employee's 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.
BuildinLrAnsActor
NOTICE:
This permit does not cover the construction, Installation or alteration for wiring, plum , gas heating,
sewer or water. Be sure to see the Building Inspector for separate permits for these I a
SUBJECT
P
City of Fridley
®14854
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
R CEIPT NO.
1 • 16,:COMMUNITY DEVELOPMENT DIV.
------.
INSPECTION
r � PROTECTIVE SEC.
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
�•-•1 CITY HALL FRIDLEY 55432
�'J
---• 612-560-3450
910-F15
JOB ADDRESS
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
SHEET
2 PROPERTY OWNER MAILADDRESS ZIP PHONE
Allenr 0. Johnson 6448 Pierce N.E.
3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO.
Skyline Fence and Landscaping Co. Rt. 5 Box=-183 Buffalo Mn. 477-5558
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
❑ NEW ❑ ADDITION ❑ ALTERATION CR REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Re-roof
9 CHANGEOFUSEFROM TO
STIPULATIONS
1. Provide Preformed Valley
2. Builder agrees that this is the second roof only
License Fee - $35.00
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
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
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.
.50
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-
$7.50
STRUCTION OR THE RFORMANCE F CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
$43.00
NATURE OFC NT TOR ORAEDAGENT IDATEI
N PROPERLY VALIDATED THIS IS YOUR PERMIT
�'2
j bATIE
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE)
CITY OF f=RIDLEY
APPLICATIOtt FOR RESIDENTIAL BUILDING PEII14ITS
(WEW, ALTERATIONS, ADDITIONS, OR REPAIRS)
OWNER: LL�4 A., d. 0�/yf4�w BUILDER: �lyl ,G � Aw- 4L *—'L. "4
Address: / 101'eR e Ve Address: /� ��� /T2
I 4L -A4 Tel. No.
No. �j Street: �� EEC- E.
LOT: / BIACY.:/#6e ADDiT OP]: ��GfiGAsJ�3 QST..
CORNER LOT: INSIDE LOT: SETBACK: SIDEYARDS:
Applicant attach 'to this form T<vo Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
Front: Depth: Height:
Square Feet: Cubic Feet:
Front: Depth: Height:
Square Peet: Cubic Feet:
Type of Construction: Estimated Cost: $ LDOd.aU
To Be Completed:
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired $ $
(SEE REVERSE SIDE OF SHEET)
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 app1. tion
are true and correct. See reverse side for tional info on.
. � r
DATE. 6 SIGNATURE:
Stipulations:
C70 P. 1�
/r,,,.,..,P . sB
-Ta r f�3�
su9�Etr
NO.
City of Fridley
4 8 7
AT THE TOP OF THE TWINS
BUILDING
PERMIT (E!29
r
T NO.
COMMUNITY DEVELOPMENT DIV.
SEC.
r PROTECTIVE INSPECTION
1 � �
1 CITY HALL FRIDLEY 55492
I'J
NUMBERREv
DATE
PAGE OF
APPROVED BY
612-571-3450
910415
5/18/99
,OB ADDRESS 6448 Pierce Street NE
I LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
4
Moore Lake Highlands 1st
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Gene Gould
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Advanced Home Improvement 16400 Co. Rd. 81 Maple Grove
MN 55369 454-6720
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 &X REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and garage (20 S Tear -off
9 CHANGE OF USE FROM 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
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
$1714
$,86
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 F
FEE
Lice a $5.0
7AL
0.72
TURE OF CON' CTORORAUTHORIZEDAGENT IDATEI
HE PR
A D THIS I$ R P
IV.N,A
/
i I77
/ /�
GNAT RE OF OWNEROF OWNER BUILDERi IDATEI
OG oil SP
OAff
NEW[ ] Effective 5/10/99
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address: (� �-� �i'. r e.
Legal Description:
Owner Name & Address: &e" 'S A4 -e Tel. #
Contractor: % f �. �'� MN LICENSE #-20o i 7,2L-
Address:
,ZLAddress: / &fie ► c Tel. # 4l5' C/-6 ?e
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: r4LW, ��4�� Estimated Cost: $ 7 n
-7/'Y' &-e
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
DATE: � /S'( 1
APPLICANT: Tel. #
STIPULATIONS:
CITY USE ONLY
Permit Fee
$
Fee Schedule on Reverse Side
Fire Surcharge
$ 1, /
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$1050 per SAC Unit
License Surcharge
$ 5'.0 o
$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:
Building
MECHANICAL,
Permit No.:ZUU-D f
Inspections
RESIDENTIAL APPLICATION
Received By:
763-572-3604
CITY OF FRIDLEY
Datefi
Uv: , i ::
763-sot-4977 FAX
,
EFFECTIVE 7-1-2010
DATE 04 a YOUR E-MAIL ADDRESS
SITE ADDRESS (° V IN -- -
THIS APPLICANT IS: ❑ OWNER ❑CONTRACTOR
PROPERTY
NAME: i-ae , G & 1
OWNER/
ADDRESS: (-, Y ' G
��� I'jyy � CITY -iro�r %R�i. STATBANZIPc
TENANT
PHONE: J G,`3 J� > Ll - Cp9`� �I � � �
CONTRACTOR
COMPANY NAME: P j IA�'hr l&
SUBMIT A COPY OF
CONTACT PERSON
YOUR STATE
STATE LICENSE # EXP DATE
LICENSE WITH
ADDRESS: i502 L.QJa!' Ala CITY H/ I L,4STATE IP 53'30
APPLICATION
PHONE _ ao1 v d Z FAX
PERMIT TYPE
I VSINGLE FAMILY 0 TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK:
❑ NEW 0%EPLACEMENT ❑ ALTERATION/REMODEL
DETAILED DESCRIPTION OF WORK (=v r n di L ® U
FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW)
PROVIDE HEAT LOSS CALC'S PER MANUAL J 2006 ASHRAE HANDBOOK.
Equipment Installed MFG: L-vim Ani.0 MODEL: TC_ G ®:-Y5 t/ 1 SIZEBTU A L/ (! ® ®
—�
MFG: LJ AC Ott �' MODEL: 'T-C. G tj\ I SIZEBTU ® d
MFG: MODEL: SIZE/BTU
J_A/C $25.00 FIREPLACE (GAS) $15.00 GAS RANGEIOVEN $10.00
_AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00
BOILER $35.00 'FURNACE $35.00 _GAS UNIT HTR $10.00
CHIMNEY LINER $10.00 GAS DRYER $10.00 _POOL HEATER $35.00
DUCT WORK $10.00 GAS PIPING $10.00 - VENTILATOR $15.00
" #. �, yESp� }4^^r��`�a ��� "3`� i,:sf'. i� ��� � �}�� Gi ,.�•�`f °S� � � .,3. �>3 � � £�� `-_ 'Yi� r vA' 4� €. 4�-...
.
M 2 4n 'l 6 f �"� �� •otf ,. X`:.,H *F iE� I € 't i .g. � ''a ,� k �'� i 3 f •efr ✓moi Z v.ri �� " .N
�K k$s }$ �� � '� L�rf�v"'A��� YY �) '•i'rh �y`lh 3? Y L? �t •S? � � ).
6 • �- �t �"` k �.*• .ss •i y '� � s '* $`� r � .�� ,� z a a �" '�" `` , L E,:
� " '" A �v`S .£.: t'
e�' � � 3 � 1i 5 � `r R � "i e _ S� D •£a, �d^,� S Yv
�
?Y4� ,{£
'.
1 � 'K sc���. ^�� ¢� F '�'� y1: Y, 7, ' 'k P 1�i �� � o r6�.".x q�3 � ���i• E-��i". ' "'�` ry °�� �' � �i ,.
`=^. wY i" """ ? qO"� `i'. R3a
r C� X•SkEv? h� R}14o `M.-.fiJ
w
THIS IS AN APPLICATION FOR A PERMITNOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is
not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the
approved plan in the case of all wo wrequires review and approval of plans.
PRINTNAME vSIGNATURE OF APPLICANT
APPROVAL INSPECTORS SIGNA!i�RE DATE
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604 FAX: 763-502-4977
2
+Ar VA ��9-77
BuildIng MECHANICAL Permit No.; 00 lb
Inspections RESIDENTIAL APPLICATION Received By
763-572-3604 CITY OF k'�DLEY
763-502-4977 FAX
IWAX- VE 7-1-2010
narl•`. !?4641 / D YOUR h -MAIL ADDRESS
_
THIS APPLLCWI*IS: O OWNER rok
PROPERTY
NAME:
OWNER!
— _ -
TENANT
nnDRcss:• , L
---ilk f,,� crrY
PIIONH:—
COMPANY N Kline Corp.
CONTRACTOR
SUBMITA COPYOF
CONTACTPI QSA: Practical systems _..._. _ ....
YOUR s'rAn
SrATH I.I(li.' 43428 Shady 0qk ROad
LICENSE WITH
ADDRESS:, HOpkins, MN 5534.3 — -
7JP
APPLICATION
HONE 952_933-•1858 -' - - - - _STATfs
__ _
PERN UT TYPE
STN(" FAMILY O TWO FAMILY 13 TOWNHOUSt3
TYPE OF WORK
O NEW 6ItGPL4C EMENT 13 ALT$RAT10N/R&40DFL
DETAILED DESCRIP'I'TON OF WORK.
S
IMAS ARE BASED ON SLO.00 PER FIXTURE, EXCRPT VV=kI : NOTED. !'LX'1(IRFS: ON)DICATE TOTAL NUMBER OF EACH BLILOW)
PROVIDE HEAT LOSS CAI.I S IFER MANUgL J 2M ASHRAF. HANDBOOK.
&IdiphmtlMSlnllod MFG: L.t MAA& Ali �'p MODEM'r& l�}.
_SCP VftPj! Stwfiw oort)
MFCI: MODEL, srzurrIlu
MFG: MODEL $1ZFJ/BTU
_
_ A/C $25.00 F LACE (00) $15.00 RANGBIOVEN 510.00
,,,,_GAS
—AIR TO AIR L XCI'lANG1;FR $15 REPLACI, (WOOD) $35.00 NE,W UAS UPILL $10.00
_1 OIL41t $35.00 •NAGE $35.00 - GAS UNIT HTR 510.00
CHIMNGY LINER $IO.o0 S DRYER $10.00 KJOL IIJ_ATRA $.15,00
_DUCT WORK $10.00 _GAS PIPING 510.00 VRNTII.ATOR $15,00
.V
hM
f
bf% .
F.
. f.j.
- i
••!Ya: 't :yr'•
01 %KtiLt
TMS 1S AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROC' UM)
I hereby apply for a building permit and I aekalowledge that the information mbovc is complete and accurAe; that the work will be in
conformance with the ondinAnces and codes of the City of Fridley And with the Minnesota Construction Cwlm-, tbat I lm&g$UW this is
not a permit but only an application for a p rtnit And work is not to start Without a permit; that the work will be in accordance with the
approved plan ill the am of r ' UUMS review and approval of plans.
SIGNA'PURL OF APPLICANT PRINT NAMN —+ 1 DA'CL' q 6
APPk0VAJ, INSPECTORS SIGNA RL' DA 11 10Tj
TOR
• �� 1•l0 •-�'EtCXVAVMCflA "1'AL'
City of i{'ridley
' ding Ynspections Ylepartment
LL 1 niversity Avt?rtue NE, Fridley, I1/IlV 55432)
763-572-3604 FAX. 763-502-4977
,.,..Wd L V69:£ 01,0Z/9/6 :a31B0 Ll6 :868d umou)lun :wolf