PRE 2010 DOCSBUILDING PERMIT
VillageY of Fridley, Minn. N° 2991
Date .. ................ .................
0
Owner !!�....................... Builder ........... ... ........................
`2�F !/..........g. `��
Address ..... Address / ® ? ......,` mea
LOCATION OR BUILDING
0
No. ../.... Street ........ ..................... P of Lot ............
Lot .. /.......... Block .............. Addition or Sub -Division ........ ..
Corner Lot ............ Inside Lot ........... . Setback Sideyard /. of
DESCRIPTION OF BUILDING
To be Used as:
Front ........ Depth .. Height.4f.
Sq. Ft. 0 ,7� Cu. Ft. ........
y
. .. ....... Front ! ...... Depth ... Height ......... Sq. Ft. 9-3.6 Cu. Ft........ .
Type of Construction ....... Est Cost ...l. ®...` ... To be Completed .. '/7 ..............
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 village of Fridley.
.. .... ......... .C.. ......
A .
9
In consideration of the payment of a fee of $./S. , permit is hereb 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 village limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances. _ 1-1
Inspector
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.
City of Fridley, Minn. N° 8538
BURDING PERMIT
Owner: Emil Minard Builder !is -an Realty!is-a &C Home Builders
Address 6341 Quincy St. K.E. Address 519 - 10th St. N W., New Brighton
LOCATION OF BUILDING
No. 6341 Street Quincy Street N.E. part of Lot
Lot _ Block Addition or Sub -Division
corner Lot . _ Inside Lot _ _ Setback — Sideyard
Sewer Elevation Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
House ® S Front Depth Height Sq. Ft. Cu. Ft.
Front Depth Height Sq. Ft. Cu. Ft.
Type of construction Frame Est. Coat 2000 00 _ To be Completed
Repairs due to storm damage
In consideration of the issuance to me of a permit to constr the building described above I agree to do
the proposed work In accordance with the description above set o an ream fiance with ail provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of $ .10.00 permit is hereby granted to rj J awn Rent t�
Rome Bldrs,. 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 b iildinge
within the city limits and this permit may be revoked at any time upon violation of any of the Provisions of said
ordinance.
NOTICE
M permh don not corer the coustrucdon, hWaNdion for wkk*, phnnbin& on hodhm swot or water. Be aro to as
the Building Inspector for aperste pomil» for thea hemp.
'7
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
Y
OWNER'S BUILDER ,/Z k
ADDRESS �. ^-cid--� ADDRESS_��1
J LOCATION OF BUILDING
N0, 7�/ STREET PART OF LOT
LOT BLOCK ADDITION R SUBDIVISION
CORNER LOT INSIDE LOT SETBACK SIDE -YARD
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
To be used as;
DESCRIPTION OF BUILDING
Front Depth Height
Sq. Ft.
Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
1101
Type of Cons tructio a Estimated Cos '211 % � e __
To be completed _
.CA -r ---e- -C")
ThE undersignee Mree s—application for a permit for the work herd -in
specified, agreeing to� o 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.
DATEZj �r f
(Schedule of Fee Costs can be found on the Reverse Side).
r - r
CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1997
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
MINIMUM FEE FOR ANY HEATING/COOLICENTILATION
REFRIGERATION/AIR 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.
HEATING COMPANY
Signed By Tel No. y_2/ –c7oP
Approved By Rough–In Date Final Date
FILL OUT BACK SIDE FOR STACK VERIFICATION ON
REPLACEMENT FURNACE
N
JOB ADDRESS (.03'1V
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
$
representations stated in this application are true and correct.
(Side Vent – Fill Out Back)
_ % _ 1997
Gas Piping (Needed with new furnace)
$ 10.00
$
OWNER
Gas Range
$ 10.00
$
BUILDING USED AS
Gas Dryer
$ 10.00
$
_
ESTIMATED COST f 306 PERMIT NO. –2- .2–
*Air Conditioning – All Sizes
$ 25.00
$ %
DESCRIPTION OF FURNACE 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) (Warm Air)
Trade Name �wod 'f��. Size No.
Commercial/Industrial
BTU HP EDR �-
1.25% of Value of Appliance or Work
$ _
Fuel Total Connected Load
State Surcharge
$ .50
Burner Trade Name Size No.
TOTAL FEE
$ �
BTU HP EDR
MINIMUM FEE FOR ANY HEATING/COOLICENTILATION
REFRIGERATION/AIR 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.
HEATING COMPANY
Signed By Tel No. y_2/ –c7oP
Approved By Rough–In Date Final Date
FILL OUT BACK SIDE FOR STACK VERIFICATION ON
REPLACEMENT FURNACE
N
Remarks: .
HEATING CO:
Signed By:
Date:
CHEMMY 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
O
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
TOTAL BTU's
7.
Has a liner been provided for water heater
Yes (
)
No
( )
8.
Has combustion air been provided for water heater
Yes (
)
No
( )
Remarks: .
HEATING CO:
Signed By:
Date:
SUBJECT
City ®f Fridley
26850
AT THE TOP OF THE TWINS
BUILDING
E M I T
`
R CEIPT NO.
COMMUNITY DEVELOPMENT DIV.
1 v e PROTECTIVE INSPECTION SEC.(0
4/®
r 1 e
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
7/28/98
JOB ADDRESS
6341 Ouincv St NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
13
8
1 Christie Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Emile Menard 6341 Quincy St
571-3186
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Owner
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 ❑ ALTERATION C:k REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
eroof house and garageTear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
EEOMMOMMM
Underlayment must comply with State Building Code.
TYPE OF CONST,
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR t�LECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VO`D IF WORK OR CONSTRUCTION
ZONING
SO. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITH( 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDON D FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCE .
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 ORNNANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$1834
$.92
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE ORI LOCAL LAW REGULATING CON-
FireSC $1.83
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
$59.50
PLAN CHECK FEEX-25
FEE
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE,
HEN PROP R VAgITTHIS IS UR IT
5E_&
BL -NSP
MATE
SIGNATURE OF OWNER IIF OWNER BUILDERIl IDATEI
NEW [ ]
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
4
ConstructionAddress: �O' —3 ell C—j
Legal Description:
Owner Name & Address:
Contractor: 0/WV27--AA
Address:
Effective 1/1/98
�(-b p
Tel.
MN LICENSE #
Tel. #
Attach to this application, a Certificate of ey of the
lot, with the proposed construction drawn on it"" ale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground . Ft.
OTHER: r) is (3 �
pe
�
Construction Type:
Estimated Cost: $ / 03 <//
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: -5--APPLICANT: a Tel. #
CITY USE ONLY
TOTAL $ 6�' �'
S9- ��6
Permit Fee
$
Fee Schedule on Reverse Side
Fire Surcharge
$ =�
.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 $ 6�' �'
CITY OF FRIDLEY INSPECTION DIViSION
6431 University Ave NE
Fridley, MN 55432
572-3604
RATE SCHEDULE
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
Residential Rate TOTAL
Furnace Shell and Duct Work, Burner —
Also Replacement Furnace $ 30.00 $
(Side Vent — Fill Out Back)
Gas Piping (Needed with new urnace) $10.00 $
Gas Range $10.00 $
Gas Dryer $10.00 $
*Air Conditioning — All Sizes $ 25.00 $
All Others/Repairs & Alterations (LIST ON BACK)
1 % of Value of Appliance or Work $
Commercial/Industrial
1.25% of Value of Appliance or Work $
State Surcharge $ .50
TOTAL FEE
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR 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.
Effective On January 1.1 998
JOB ADDRESS.. LI n (,_
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 and
rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are true and correct.
/" — P 11998
BUILDING USED AS
ESTIMATED COST rr�� - � PERMIT NO.
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating nit Circle One (Steam) (Hot Water) (Warm Air)
Trade Name ex i Cr Size No.
BTUHP EDR
Fuel Total Connected Load
Burner Trade Name
BTU
HP
Size No.
EDR
HEATING COMPANY//'eco l , i� SE �e
Signed By, Tel No. 61"��'
Approved By Rough—In Date Final Date 1
FILL OUT BACKSIDE F R STACK VERIFICATION ON
REPLACEMENT FURNACE
Remarks: .
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
C 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
TOTAL BTU's
7.
Has a liner been provided for water heater
Yes ()
No ( )
8.
Has combustion air been provided for water heater
Yes ()
No ( )
Remarks: .
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
763) 572-3604 FAX: (763) 571-1287
ADDRESS : 6341 QUINCY ST NE
PIN : 143024410043
LEGAL DESC : CHRISTIE ADDITION
: LOT 13 BLOCK 8
PERMIT TYPE : BUILDING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : WINDOW/DOOR REPL
PERMIT O.: 2004-00763
DATE ISSUED: 05/21/2004
VALUATION : $ 11,674.00
NOTE: PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER R317
OF THE 2000 INTERNATIONAL RESIDENTIAL CODE. CAULK AND FLASH ALL EXTERIOR OPENINGS..
REPLACE 13 WINDOWS WITHIN EXISTING OPENINGS.
STATE LICENSED CONTRACTOR 0
APPLICANT
PELLA WINDOWS & DOORS (20165884)
15300 25 AVE N STE 1
PLYMOUTH, MN 55447
(763)745-1487
OWNER
MENARD EMIL J & EDNA A
6341 QUINCY ST NE
FRIDLEY, MN 55432
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of work
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or cancel the provisions of any other state or local law
regulating cons ction or the performance of construction.
Appli Date
Bldg Insp Da.
BUILDING PERMIT FEE 209.25
FIRE SURCHARGE 11.67
STATE SURCHARGE, VALUE 5.84
LICENSE SURCHARGE 5.00
TOTAL 231.76
PAID WITH CHECK # 35282
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
04/02/2004 M 13:21 FAX ELDER JONES 6" Z001/001
NEW [) CITY OF FRIDLEY Effective 4/1/2004
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: _
M
Owner Name & Address: Tel. #
Contractor..,,, PELLA WINDOWS & DOORS MN LICENSE;
Address: 15300 - 25TH AVE. N. STE. #100
PLYMOUTH, MN 55447 Tel.
763-745-1400 a Certificate of Survey of the
LICENSE # 20165884 Aruction 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:���4s� ! ;,
(111 W/; &0y, (\C) .
Construction Type: Estimated Cost: $_ I L L014 —
Privew`ay Curb Cut Width Needed: Ft + e Ft = Ft x
DATE: `9 nLo APPLICANT: Tel. gS-L0
Call (763) 672-3604 for Permit Fees if mailing in application. Fax to 763-671-1287 N using credit card and we will call
you for card number.
CITY USE ONLY -
Permit Fee $ Fee Schedule on Reverse Side
Plan Review $ 65% of Permit Fee
Fire Surcharge $ . (® .001 of Permit Valuation (1/10th%)
State Surcharge $ Sn �y $,50/$1,000 Valuation
SAC Charge $ $1350 per SAC Unit
License Surcharge $ $5.00 (State Licensed Residential Contractors)
Curb Cut 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: `�