PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT
Date: ......................................
Owner.......................................
Address ......................................
N° 3651
Builder
Address............................. I.............
LOCATION OF BUILDING
No. .. Street.. -.4 .. ...... Part of Lot .............. .............. .
Lot .. / � ..... Block ........ ....... Addition or Sub -Division ,�'4Q�.�/. ... .
Corner Lot ............ Inside Lot ............ Setback Sideyard .��........::.�:: ... .
DESCRIPTION OF BUILDING
Too Used
... Front ���'.°° b D�pth � Height /f� ®? Sq. F't./?? (�'.. Cu.
.. Front ../Y -?'Depth ;?f r._�Heiglit ��' t Sq. Ft. Cu. Ft., .�
Type of Construction ................... lget. Cost.Af� �_'77 ...... To be Completed .................. .
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 compliance v it . V / provisio of
ordinances of the city of Fridley. �/ \ %/
In consideration of the payment of a fee of $:o :., 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 with-
in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances. f
NOTICE:
This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating,
sewer or water. Be sure to see the Building Inspector for separate permits for these Items.
SUBJECT
P
City of Fridley
® 19139
AT THE TOP OF THE TWINS
BUILDING
PERMIT
_
r
RECEIPT N
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
9 7
1 . �
l j CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
--_•
L J` 612-571-3450
910-F15
8/28/87
JOB ADDRESS MT2 6781 Plaza Curve N. E.
1 LEGAL
LOT NO.
TRACTOR ADDITION
SEE ATTACHED
DESCR.
TBLOCK
13
4
Rice Creek Plaza South
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Dale Swanson 6781 Plaza. Curve N.E.
574-1969
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
American REmodeling 3700 Annapolis
Lane;Plymouth 553-0020
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 p REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reside
9 CHANGE OF USE FROM
TO
STIPULATIONS
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
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
$6,500
$3.25
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
PROVISIO NY OTHER TE OR LOCA AW REGULATING CON-
RUCON OR E RF A C O O CTION.
$62.50
LAN CHECKFEE
7
TOTALFEE
$65.75
G ATUREO CONTRACi OR AUTHORIZED AGENT (DATE)
� WHEN PROPERLY LI ATED THIS IS YOUR PERMIT
.g
5�-SKATE
SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI
BLDG INSP
NEW [ ] City of Fridley Effective 4/1/86
ADDN. f R-1 AND R-2
ALTER. [ ] Building Permit Application
Construction Address:
1/1//,
Legal Description: ---- G 4
Owner Name & Ad ess : efz'�— ��s��`r�� Tel. # S7�" ~ �/ �✓
Contractor: � ���'� 2- el s'�� Tel. # Sir -7- ��`�CS
Address
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
4-�
Y
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.
Corner Lot [ ] Inside Lotjt Ft. Yd. Setback Side Yard Setback
Type of Construction:
��r o P" Estimated Cost: $
Approx. Completion Date:
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $ $
See Back Page for Explanation
`off Tel.
DATE: ��� f�7 APPLICANT:
STIPULATIONS:
CITY
USE ONLY
Permit Fee
$
��`r�"
Fee Schedule on Reverse Side
Plan Check
$
25% of Building Permit Fee
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$ 525 per SAC Unit
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
� s-�
Agreement Necessary [ ] Not Necessary [ ]
TOTAL
$
STIPULATIONS:
State 'Surcharge
TOTAL FEE
s5 5.6D
_5#
MINIMUM FEE FOR ANY HEATING COOLINGNENTILATION
REFRIGERATIONIAIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
Burner Trade Name Size No.
BTU HP EDR
BLAINE HTQ. AIC & ELECT. INC.
13562 CENTRAL AVE. N.E.
HEATIOMPAN A OKA, MN 55304
Signed Tei No. 5l �a)U
Approved ByRough-In Date Final Date /2 4*-%`
FILL OUT BACK SIDE OR STACK VERIFICATION ON AA
REPLACEMENT FURNACE
CITY OF FRIDLEY INSPECTION DIV.
Effective On March 1, 1996
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER
PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND
AIR CONDITIONING
SYSTEMS AND DEVICES
JOB ADDRESS V.Yggi
,RATE SCHEDULE
The undersigned hereby makes application for a permit for the work herein
Residential
Rate
TOTAL
specified agreeing to do all work In strict accordance with the City Codes and
Furnace Shell and Duct Work, Burner —
rulings of the Building Division, and hereby declares that all the facts and
Also Replacement Furnace
$ 30.00
$ .b®
representations stated in this application are true and correct.
(Side Vent — Fill Out Back)
-- - 1996
Gas Piping (Needed with new furnace)
$10.00
$
f,�
OWNER tQ,[P A ®
Gas Range Zi.$10.00
$
BUILDING USED AS _d
Gas Dryer
$10.00
$
ESTIMATED COST PERMIT NO.
*Air Conditioning — All Sizes
$ 25.00
DESCRIPTION QF FURtIACE AND OR BURNER
All Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work
$
No. of Heating Units Circle One (Steam) (Hot Water)arm A
Trade Name Size No. �
,�5m t/
Commercial/Industrial
BTU HP EDR
1.25% of Value of Appliance or Work
$
Fuel W OLt G Total Connected Load
State 'Surcharge
TOTAL FEE
s5 5.6D
_5#
MINIMUM FEE FOR ANY HEATING COOLINGNENTILATION
REFRIGERATIONIAIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
Burner Trade Name Size No.
BTU HP EDR
BLAINE HTQ. AIC & ELECT. INC.
13562 CENTRAL AVE. N.E.
HEATIOMPAN A OKA, MN 55304
Signed Tei No. 5l �a)U
Approved ByRough-In Date Final Date /2 4*-%`
FILL OUT BACK SIDE OR STACK VERIFICATION ON AA
REPLACEMENT FURNACE
6 Has total heating BTU's of
All other BTU's �-/e
TOTAL BTU's
7. Has a liner been provided for water heater. Yes_4 No
8. Has combustion air been provided for water heater Yes ( No ( )
Remarks: _
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
CIIMNE HTr. A/C & ELECT. INC.
13562 CEN
R MN 55304N E.
CHIMNEY AND STACK VERIFICATION
The
undersigned hereby verifies that the existing chimney or stack:
1.
Has been carefully examined
Yes ( No ( )
2.
Is free from rust or deterioration
Yes /
No ( )
3.
Has no foreign objects lodged within
Yes
No ( )
4.
Is securely supported
Yes
No ( )
5.
Meets all current Code requirements for size
and total BTU's connected
Yes
No ( )
6 Has total heating BTU's of
All other BTU's �-/e
TOTAL BTU's
7. Has a liner been provided for water heater. Yes_4 No
8. Has combustion air been provided for water heater Yes ( No ( )
Remarks: _
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
CIIMNE HTr. A/C & ELECT. INC.
13562 CEN
R MN 55304N E.
b
SUBJECT
il
City of Fridley
1790724
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
RECEIPT NO.
• ------COMMUNITY DEVELOPMENT DIV.
� LV
INSPECTION SEC,
1199
r PROTECTIVE
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
l 612-571-3450
910-F15
3/17/99
JOB ADDRESS 6781 Plaza Curve NE
1 LEGAL
LOT N0.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
13
4
1 Rice Creek Plaza South
SHEET
2 PROPERTY OWNER MAIL ADORES$
ZIP PHONE
Dale Swanson 6781 Plaza Curve NE
574-1964
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
American Building Contractors Inc 12247
Nicollet Ave
S, Burnsville, MN 55337
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
707-6959 20141480
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION 52 REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House & Garage (25 Sq) Tear-off
9 CHANGEOFUSEFROM
TO
STIPULATIONS
Underlayment must comply with
the State Building
Code.
CONSTRUCTION WORK HOURS: 7:00 am to 9:00
pm, Monday thru Friday; 9:00 am to
9:00 pm on Saturday; No work on Sunday.
SEPARATE PERMITS ARE REOUIREO 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
I
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
$2,142
$1.07
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIV AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISION NY ER S ATE OR LOCAL LAW REGULATING CON-
T U NOR TH PERFORM NCE OF CONSTRUCTION
$74.75
Fire C $2.14
PLAN CHECK FEE/'TOTALrE
rA ai l
Lic C
5.00
$82.96
E)
S� NATURE OF CON' ACTO11ORA ORD AGENT DATEi
EN7PO'DPERQ
DATED IS I OUR P RMIT
SLOG N
T/6 tE
9GNATURE OF Ow NER," OWNEREf U'LDERI IDATE1
b
AUG -25-1998 09 16 FROM CITY OF FRIDLEY TO 7079925 P.01/02
L ' rrrective w/98
ADDN [ ] CITY OF FRMLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 -4W3(, f
BUILDING PERMIT APPLICATION ACottstructio?kb-23CUrVeP6\
uAddress: I E
Legal Description:
Owner Name & Address:
Contractor: a�
Address: Q
LIVING AREA:
GARAGE AREA:
DECK AREA:
s 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 HgtlGround Sq. Ft.
�, T...
Construction Type: Estimated Cost:
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: APPLICANT: 73 i m Tel. #
t
TOTAL $
STIPULATIONS:
CITY USE ONLY
Permit Fee
Fee Schedule on Reverse Side
Fire Surcharge
$ ,,? !
.001 of Permit Valuation (1/10th9o)
State Surcharge
$ 1,09
$.501$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$ 6-06
$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 j ]
TOTAL $
STIPULATIONS: