PRE 2010 DOCSCity of. Fridley, Minn.
BU11DING PERMIT
Date: ....-----.--_--------......................... .
Address
N® 4092
®� LOCA ON OF BUILDING
No..... _....... ...... Street _.._ I
._..:.....-------.._.. ----------Part of Lot ..---------...._..._.... a"1�...r�--..... Block -L ..................................... Addition or Sub -Division A!.C�L..... ..�. _... ........ -
® w `.
Corner Lot ...� ......................... Inside Loth...................................... Setback ....��,:d......-. �.......... Sideyar@d� ��.:.'.'.�................................. ............
if
Sewer Elevation .................. ................................................. Foundation Elevation .................... . 97 ........................... ........ _.... ...
09
DESCRIPTION OF BUILDING
To be Used as:
..--• ....... --... Front _.......-...--- Depth OPi� Height /..-----....._.. Sq. Ft. A!A_Cu. Ft....�'...�..�I
r c
....... ...... �� ._... Front ....? Depth .' Heighht�/Q...7r �, Sq. Ft. ..6- Cu. Ft. -0.0.
Type of Construction............................................................ Est. Cost.. /5..P/ f. .................... To be Completed ..................................................
/b
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. /fc_ y�
In consideration of the payment of a fee of $._...' permit is hereby granted
..... _..... ............... ........... __._..._.._..._........ 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 hems.
City of Fridley
Application for Plumbing and Gas Fitting Permit
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures
'�y
F in
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x m
Z
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x}
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In
O Z
6Z
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0
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6
B+
WATER HTR.
o2(�90
,3
F
N
GAS
ELEG
Base
1st
-
2nd
3rd
4th
i
T
° Future Connection Openings
Connected With
New Fixture, Old Openings
Bower
El
Cesspool i
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TdTAL
Number Fixtures ...................... x $1.50
Future Fixture Opening ................-- x 1.20 $ '
New Fixture Old Opening .............. x 1.0o $ '
Catch Basin ............................ x 3.25 $
Water Heater (Up to 200,000 BTU) ...... x 2.00 $ a
New Ground Run Old Bldg . ............ x 3.25 $
GAS FITTING FEES: NO. RATE TOTAL
1st 3 Fixtures .......................... ® x $1.50 $ ��
Additional Fixtures .................... x .5o $
Gas Range to 200,000 BTU .............. x 2.00 $
REPAIRS & ALTERATIONS—Refer to Code
Description ................................................$
TOTAL FM $
Dept. of Bldgs. Phone SU 4-7470
m
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, Mnn 0 , m4J
Owner19
Sind of Building'" 19
Useda3
To be completed about '
Estimated Cost, $
Old vY. uilding Permit No
-
Sig
Signed
By '
Business Phone
Connection Permit No . .............
SEP 15 1959 Rouah
444 V•
1 1 M-8-58
........................................
tom,
Water
Sewer
Meter Deposit
M."'ITY
8431 UNIVERSITY AVENUE N.B., FRIDLEY, MINNESOTA 5.5432
TELEPHONE 1612)571-3450
OBSTRUCTION:
Lot Block
Addition
C--, 6%7ei4ek-
h.-operty (Mier -Address
RE -CORD OF CONVINUMIONS:
2.
J.
4.
S.
G.
7.
f --
City of Fridley, Minn.
6431 University Ave. N. E'�., Minnnneapolis, Minn.
55432
INN i E . T
Date: _ •may 17.1972
Owner: Ea.stdark: Builder Stuart Construction CoMRa=
Address 67..511.x' laza Curve N.E. Address 109 Lowxy Am@nue
LOCATION F BUILDING
No. 6701_ Street Plaza Curve N.E. Part of Lot
Lot 8a Block 4 _ ___ Addition or Sub -Division Rice Creek Plaza South
Corner Lot __W _._.__ inside Lot — Setback Sideyard
Sewer Elevation
Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
Alterations Front Depth Height Sq. Ft. Cu. Ft.
Front Depth Height Sq. Ft. Cu. Ft
Type of Construction Est. Cost :
Frame $1,500._00 To be Completed Aug. 15, 1972
._.
In consideration ofthe issuance to me of a permit to construthe building described above, I agree to do
the proposed work in accordance with the description above set and in complian with all provisions of
Ordinances of the city of Fridley. J��•��
-- 75 -State Su.rahar2e
In consideration of the payment of a fee of $ 9.00 . ,'permit is hereby granted to S ua Cgnst. Co.
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
vy*thin the city limits and this permit may be revoked at any time upon violation of any of the provisions of sand
ordinances.
Bu" inspector
CIARENCE BEL SLE
NOTICE:
This permit does not cover the construction, Installation for wiring, plumbing, gas heating, sewer or water. Be sure to 8"
the Building Inspector for separate permits for these items.
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME
ADDRESS
LOT: BLOCK: tDITION:
CORNER LOT: INSIDE LOT: SETBACK:
SIDEYARD• W
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 A : F«
og nt: Depth: Height:
Square Feet: Cubic Feet:
Front: Depth: Height:
Square Feet; Cubic Feet:
�rrY
Type of Construction: Estimated Cost: kcwv
To Be Completed:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in sttict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that all the facts and represen
are true and cQrrecU.
DATE:
(See
R
9� U
q./74
SIGNATURE:
nal Informs.
�a�
SUBJECTCity
of of Fridley
22919
AT THE TOP OF THE TWINS
BUILDING PERM
f
RECEIPT IVOS
• COMMUNITY DEVELOPMENT DIV
______
r PROTECTIVE INSPECTION SEC.
37
1 CITY HALL FRIDLEY 55432
NUMBERREV
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
9/19/94
JOB ADDRESS 6701 Plaza Curve NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
7, Pt 8
4
1 Rice Creek Plaza South SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
James Tschida 6701 Plaza Curve NE 572-2157
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 WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK
Replace damaged sheetrock; other sheetrock and insulation
9 CHANGE OF USE FROM TO
STIPULATIONS
Provide smoke detectors adjacent to all sleeping areas and in
basement.
SEPARATE PERMIT'S REQUIRED FOR
WIRINGt HEATING, PLUMBING AND SIGNS.
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
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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$500
.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
Fire SC 50
PLAN CHECK FEE
TOTAL FEE
16.00
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
WHEN PAOPERLY ALIDATED THIS IS YOUR PERMIT
BLDPr INSP GATE
SIGNATURE OF OWNERUF OWNER BUILDERI IDATEI.
NEW
ADDN { ] CITY OF FRIDLEY
ALTER { ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Construction Address: 6.70 01o.2► 6 r-je- /J•E-.
Legal Description:
Effective 1/ 1/94
3-7
Owner Name & Address:.ie-
mcS 5c A%do,
Tel. # 5-7-2
Contractor: a r•
MN LICENSE #
Address:
Tel. #
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:
ee /AG�`�� �1,i 41"4 af)ee
�AedY�c+�_,
Corner Lot [ ] Inside Lot
Ft. Yd Setback ti-- Side Yard Setbacks
Type of Construction:,
Estimated Cost: $
Approx. Completion Date:
(Cost on Back)
Driveway Curb Cut Width
Needed: Ft. + 6 Ft = Ft x $
= $
DATE: APPLICANT:
Tel. #
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow.
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
CITE USE ONLY
$00 Fee Schedule on Reverse Side
$ . 5'"Q .001 of Permit Valuation (1 / 10th %)
$ sSID $.50/$1;000 Valuation
$ $800 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
STIPULATIONS-
-X4
TIPCULATIONS- �
August 14, 2001
To whom it may concern,
This letter is an acknowledgement of our understanding and agreement to the o"ers of
6711 Plaza Curve expanding their driveway to the property line between 6701 Plaza
Curve and 6711 Plaza Curve: Should you have any questions or further requirements
please call 763-572-2157.
Sincerely,
t
in. C, J. �
James and Debra Tschida
6701 Plaza Curve
Fridley, MN 55432
Commercial/Industrial
1.25% of Value of Appliance or Work
State Surcharge
TOTAL FEE
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $47.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner. L
$ 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 an
$ .50 rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are true and correct.
HEATING CO
Signed
FAX #
Approved By
DATE 3-21 `4--Z
Rough -In Date
FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE
Effective January 1, 2003
CITY OF FRIDLEY INSPECTION DIViSION
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND
HEATING, COOLING, VENTILATION,
(763) 572.3604 REFRIGERATION AND AIR CONDITIONING
SYSTEMS AND DEVICES
FAX (763) 571-1287
JOB ADDRESS 801 214ee- Z�r0---
RATE SCHEDULE
OWNER� ��°+�. _T;��e��
Residential
Rate
TOTAL
Furnace Shell and Duct Work, Burner .
BUILDING USED AS 1��4��`••s�
Also Replacement Furnace
$ 30.00
$
(Side Vent - Fill Out Back)
ESTIMATED COST PERMIT NO.
Gas Piping (Needed with new furnace,
$ 10.00
$
but not replacement)
DESCRIPTION OF FURNACE AND OR BURNER
Gas Range
$ 10.00
$
No. of Heating Units ! Circle One (Steam) (Hot Water) (Warm Air)
Gas Dryer /
/ou-
$ 10.00
$
Trade Name-G/®� �L-7�®e-�z� Size No.
BTU HP EDR
*Air Conditioning - All Sizes
$ 25.00
$
Fuel Total Connected Load
All Others/Repairs & Alterations (LIST ON BACK)
Burner Trade Name Size No.
1% of Value of Appliance or Work
$
BTU HP EDR
Commercial/Industrial
1.25% of Value of Appliance or Work
State Surcharge
TOTAL FEE
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $47.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner. L
$ 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 an
$ .50 rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are true and correct.
HEATING CO
Signed
FAX #
Approved By
DATE 3-21 `4--Z
Rough -In Date
FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE
THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE
APPLICATION WILL BE RETURNED
When eaplacing an axontingfurance, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions, Yes i No
and is securely supported and firestopped where required. ( ( )
The venting system is plasticlPVC and meets all current codes and manufacturer
specifications including sizing, length, number of elbows and termination. Yes () No( )
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturer's specifications. This does
include AGA-GAMA Category I Central Furnace Venting Tables for fan Yes () No( )
assisted and natural draft appliances.
The ayletina nomht in ion air is sized and installed to meet the current codes Yes O No( )
and manufacturer's specifications.
When required t0 jpetall a n w combustion air_ it will be sized and installed
to most the current codes and manufacturer's specifications. Yes () No ( )
When installing a venting nydem, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturers
specifications. This does include AGA-GAMA Category I Central Furnace
Venting Tables for fan assisted and natural draft appliances. Yes () No( )
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented Yes( )No(
)
separately as per current codes.
Anglia nce 'hone and Sim tcnmmnn Vent and Vent Conn
��+or Information
Appliance #1 Type BTU Input Fan Assisted or Nat
Appliance #2 Type BTU Input Fan Assisted or Nat
Appliance #3 Type BTU Input Fan Assisted or Nat
Total Appliances __ Total Btu Input
Common Vent Type Vent Height Diameterinches
Appliance #1 Vent Connector Height ft Length _ft Diameter in Type
Appliance #2 Vent Connector Heightft Length _ft Diameter in Type N
Appliance #3 Vent Connector Height ft Length ft Diameter _in Type
HEATING CO:
Signed By: Date:
Building
Inspections
763-572-3604
DATE 1 f '2.a [ t o
BUILDING
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
Permit No.:
YOUR E-MAIL ADDRESSt"-(d!rer—t C0*% .
SITE ADDRESS Co101 1P1a74 �rye N {=
THIS APPLICANT IS: ❑ OWNER IXCONTPACTOR
PROPERTY OWNER/
NAME: G tOCM l<uS ,Q_
TENANT
ADDRESS: Z' Ct CITY
STATE ZIP
PHONE:- Gis.1 — s Q
CONTRACTOR
NAME: Ccs
SUBMIT A COPY OF
STATE LICENSE # 2 O y�-{�C�(pi Z.. EXP DATE 1.IL)
YOUR STATE LICENSE
ADDRESS: _S lOO l %oCL N
CITY IN��STATITtZIP SS'qZ&
WITH APPLICATION
PHONE 7 FAX('7(03)$7q-W
q4
PROPERTY TYPE
❑ SINGLE AMILY/NEW CONSTRUCTION
SIZE
D TWO FAMILY/NEW CONSTRUCTION
STORMS
PERMIT TYPE
❑ADDITION ❑ GARAGE/SHED
UrWINDOWS
❑ BASEMENT FINISH ❑ ROOF
ff DRAW TILE
❑ DECK ❑ SIDING
❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW ❑ ADDITION
❑ MAINTENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE P10 q 1N`C `1 % XVXV 0w-)
e
SIZE OF IMPROVEMENT LENGTH
WIDTH
HEIGHT Sq. Ft.
Oli OFING
❑ HOUSE ONLY
NUMBER OF SQUARES
❑ HOUSE & GARAGE
BASEMENT
REMODELING SUBMIT:
GARAGES
❑ ATTACHED GARAGE
1.
Existing Floor Plan
PROPOSED SIZE:
❑ DETACHED GARAGE
2•
Proposed floor plan
PROPOSED HEIGHT:
3.
List of structural members to be used
SIDING
❑ Vinyl
FOR NEW CONSTRUCTION INCLUDING DECKS,
❑ Aluminum
❑Soffit
El Trim
ADDITIONS
1.
&PORCHES SUBMIT•
Site Plan/Survey showing the existing structures
❑�
❑ Fascia
and proposed project
mrmows
2.
Two sets of construction plans
IN EXISTING OPENINGS {Yes mo LOCATION OF WINDOWS
3.
Energy Calculations
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
OPENING CHANGES & p 411. -L?TYPE OF WINDOW TO BE INSTALLED
NUMBER OFWINDOWS
AT.T. UWVQ ADT. DAQLIT
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
ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING THE 1997 U.B.0 FEE SCHEDULE)
TION $ I %C%!J- - OCCUPANCY TYPE
$
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)
$1675 per SAC Unit (Plans to MWCC for determination)
ft+6ft= Rx$21=$
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checks payable to: City of Fridlev Attach
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 or 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 wh requi o review and approval of plans.
SIGNATURE OF APPLICANT �/1 PRINT NAME ? 1ZC i✓N DATE ALI Z G �In