PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT N°5 � 4 s
Date: _ G
Owner. 'Builder CX0 kz— A-4
Address Address
LOC ION OF ILD G
NO. 4 Street Part
-••-•••
Lot Block ___ Addition or Sub Division . .r
Corner Lot __ _ Inside Lot � Setback Sideyard
Sewer Elevation
Foundation Elevation
DESCRIPTION OF BUILDING
To .Used as•,, y��
Front ,.+ G Depth Height Sq. Ft. i Cu. Ft A;;�4 ' i
_o Depth Sq. Ft. __ Cu. Ft.
Type of Construction .. - ,r_ ._ Est. Cost',-' jj: . —.---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 forth and in compliance with all provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of $-""_' , 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
within the city limits and this permit may be revoked at any time upon violatiorL any of the provisions of said
ordinances. '0-% e► A
Inspector
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to ase
the Building Inspector for separate permits for these hems.
4
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
Owner I s -
Address zoo -lv Address
LOCATION OF BUILDING
No. Street ` c rg vPart of Lot
Lot _Block `i Addition or Subdivision �►� Al
Corner LotInside Lot Setb&ck f.L Side -Yard
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
DESCRIPTION OF BUILDING
To be used as:
Front�Depth Z4 Height
Sq. Ft. %e Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
Type of
To be Completed 1Z62ze --
ted Cost A9 4 0
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.
DATE Z- L/ f� SIGNATURE
(A Schedule of Fee Costa can be found on the Reverse Side.)
City of Fridley
Application for Plumbing and Gas F•rtting Penrdt
Dept. of Bldgs. Phone SII 4-1
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures Location_
Gi
G' �
�
_Z
S}
Z Z
x
4
Q Z
ztt44ll
Future Fixture Opening ................
J
O
Z
R
N
WATER HTR.
GAS
M.M
x
3.25
$
Water Heater (Up to 200,000 BTU)
......—X x
2.00
$ -
New Ground Run Old Bldg . ............
x
3.25
$
GAS FITTING FEES:
NO.
00
x
$1.50
$ /a:
1st 3 Fixtures ..........................
Additional Fixtures ....................
x
.50
$
Gas Range to 200,000 BTU ..............
x
2.00
$
Base
ist
2nd
_
3rd
4th
• Future Connection Openings
Connected withI
Sewer �
New Fixture, Old Openings
Cesspool El
moor
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE TOTAL
Number Fixtures ...............................
x
4
$1.50
Future Fixture Opening ................
x
1.20
$
New Fixture Old Opening ..............
x
1.00
$
Catch Basin ............................
x
3.25
$
Water Heater (Up to 200,000 BTU)
......—X x
2.00
$ -
New Ground Run Old Bldg . ............
x
3.25
$
GAS FITTING FEES:
NO.
RATE TOTAL
x
$1.50
$ /a:
1st 3 Fixtures ..........................
Additional Fixtures ....................
x
.50
$
Gas Range to 200,000 BTU ..............
x
2.00
$
REPAIRS & ALTERATIONS—Refer to Code
City of Fridley:
6
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;��z
and correct.
Fridley, Minn. / , 19�
Owner — —
Kind of Building
Used as
To be completed about
d�
Estimated Cost, $ /
Old ew Building Permit No ��� Permit No. 6
Signe
By � GQ%Is
Business Phone No 4V ` f'�'e -3 S 3,
ROUGH q -
FINAL
Description................................................$
TOTAL FTE 42 2M 7.59
s
Application for Power Plants and Heating, Cooling, Ventilation, Refrigeration and
r
Air Conditioning Sments and Devices
JI
C PARTIAL RATE SCHEDULE
GRAVITY WARM AIR:
Furnace Shell & Duct Work ..........................
Replacement of Furnace .............................
Repairs & Alterations—up to $500.00 ..................
Repairs & Alterations each add. $500.00 ...............
(,l<
MECH. WARM AIA
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 ..............
STEAM or NOT WATER SYSTEM
RATE
TOTAL
8.00
$
5.00
$
5.00
$
2.50
$
8.00
AIR CONDITIONING
2.00
$ _
5.00
$
5.00
$
2.50
$
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 BTU) ....................... 5.00 $
GAS FITTING FEES:
NO RATE TOT
1st 3 Fixtures ......................
x $1.50
$
Additional Fixtures .................
x .50
$
Gas Range to 200,000 BTU ...........
x 2.00
$
AIR CONDITIONING
$
FAN HEATING SYSTEM
See Fee Schedule
'0ENTILATING SYSTEM
i*LTERATIONS & REPAIRS
TOTAL FEE
$<�
REMARKS:
Dept. of Bldgs. Phone SD
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.
Owner 7)44,a . �
Kind of Building n
Used as
To be completed about
195-
95_
195-
195._
195—
195_
Estimated
Estimated Cost, $�
New. ding Permit No.
DESCRIPTION OF WORK
HEATING�*'r' = "T"°� c*Pam —'�-{ ' ; Warm Air—No -
Trade Names �2 -� , , y Size
Capacity Sq. Ft. E.D.R,,'�,, BTU H.P.
Total Connected Load Fi ZKind of Fuel
BURNER —Trade Name' �"A-->�//_ Size No / `";1
Capacity Sq. Ft. E. B H p
7 1003 XCn;El A S.
tel/
Minneapolis'
1 ,pilin.
S* ed _"s -M 511
E
11 POST IM -12-58 Business Phone 11J6
D-56
HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS NNNEAPOLIS, MINN.
A.S.H. . i
Weatherstrips Construction No. Insulation �
Guide
.Windows
Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How.Applied
Yes_No I _W; --No I
F1.1 Room I Lenath.-', Width Height 11 F1.1 Room I Length ,,,I Width A- Height
Windows and Doors—Crackage and Area
Ile
Width Height No. oP Lineal fi. Area
No. of pane of pane lights of crack sq, ft.
7
Width Height No of Lineal ft. Area
No. of gans, of pane lights of crack sq. ft.
Coef. Btu
Infiltration
Glass
Infiltration
Exp. wall
Glass
Net exp. wall
lExp. wall
Int. wall
Net exp. wall
Ceiling
4,
,Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
i' F1.1 Room I Length Width Height
Windows and Doors—Crackage and Area
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Width Height No. of Lineal ft. Area
,No. of pane of pane lights of crack sq. ft.
Windows and Doors—Crackage and Area
Width Height No of Lineal ft. Area
No. of gans, of pane lights of crack sq. ft.
Coef. Btu
Infiltration
Glass
Infiltration
Exp. wall
Glass
Net exp. wall
lExp. wall
Int. wall
Net exp. wall
Ceiling
4,
Floor
Total Btu.
E
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
M.HeightJ! Room I Length Width,,,�,,-- 't
Windows and Doors—Crackage and Area
Width Height No of Lineal ft. Area
No. of gans, of pane lights of crack sq. ft.
(Coef. 1 Btu
Infiltration
Coef. 1 Btu
Infiltration
Exp. wall
Glass
Net exp. wall
lExp. wall
Int. wall
Net exp. wall
Ceiling
Ceiling,
lw
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Windows and Doors—Crackage and Area
Width HeightNo of Lineal ft. Area
No. of pane of pane tights of crack sq. ft.
(Coef. 1 Btu
Infiltration
Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
Total
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Room I Length,`,:- Width
Height
Windows and Doom—Crackage and Area
I
Width Height I No. I Lineal ft. I Area
I f.. . I of Dane 11. ts of crack sq, t.
Coef. Btu
Infiltration Po
Glass
Exp. wall
Net exp. wall
Int. wall
Ceilingi;
Floor
Total'Siu.
Required sq. ft. E.D.R. or sq. iris. W.A. Leader area
Fl.["` 1 1 1- 'T ' -, ' Height --
Room I Length Width
Windows and Doors—Crackage and Area
Width Height
I No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
I I I I Coef. Btu
Infiltration
Glass
I.
Exp. wall
Net exp. wall
Int. wall
Ceiling,
Floor
Totat,Btu.
T -7 -
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
City ®f Fridley, jnn ,,/ 111 5 9
6431 University Ave. N. E., Minneapolis, Minn. 55432
G PERMIT
Date: _ August 27, 1971
Owner: Dennis Moore
Builder, Royal Alum Prod, Inc.
Address 200.81 Creek- Boulevard Address 526 -6th Avenue North
LOCATION OF BUILDING
No. 200._____, Street Rice Creek Boulevard Part of Lot
Lot _ _ ._ _ _ Block -- 4......._-.__ Addition or Sub -Division ..moi
Corner Lot ___ Inside Lot - Setback Sideyard
Sewer Elevation Foundation Elevation _.._
DESCRIPTION OF BUILDING
To be Used as:
Reside &,Soffit Front Depth Height Sq. Ft. Cu. Ft.
Type of Construction
Front Depth Height Sq. Ft. Cu. Ft.
Est. Cost ..$1' 883.0A To be Completed 1012 5 X71
In consideration of the issuance�thedoe,
ermittodwork in accordance ption abt annc of the city of Fridley._
I agree to
In coAoeration of the a Ronal Alum. Prod. Inc.
payment of a fee of $ 12 .D ,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 ordin4new 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.
i
G' tt
CLARENCE BELISLE OP
NOTICE:
This permit does not cover the construction, installation for whring, plumbing, gas heating, solver or water. Be sure to t
the Building inspector for separate permits for these items.
t
APPLICATION FOR RESIDENTIAL, ALTERATION, ,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER IS NAM:
ADDRESS: O G ' �� ADDRESS:
NO: • '210 C> STREET:j�['
LOT: 12 BLOCK: "[ ADDITION i'
CORNER LOT: INSIDE LOT: SETBACK:. SIDEYARD;
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:
S o F L / front : Depth: Height:
Square Feet: Cubic Feet:
Fronts Depth: height:
Square Feet; Cubic Feet: �y
Type of Construction ''4A
Estimated Cost: $,z d
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 representations stated in this application
are true and correct.
DATE: � � � C SIGNATURE •f
(See Reverse Side For Additional Information.)
City of Fridley
P .
SUBJECT ®. 1490
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
S
R NO.
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
���
NUMBER
REV.
DATE
PAGE OF APPROVED BY
' 1 CITY HALL FRIDLEY 55432
'*.J
--" 612-560-3450
910-F15
9/5/78
JOB ADDRESS 200 Rice Creek Boulevard
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
19
4
Rice Creek Plaza N. SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
P. .E1111-2 7
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHON LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
7 CLASS OF WORK'
CA NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Swimming Pool 16 X 32; 7' deep; 500 sq. ft. Deck 600 sq. ft.
9 CHANGE OF USE FROM TO
STIPULATIONS
SEPERATE PERMITS REQUIRED FOR WIRING
HI=ATIMG. Pt-1-1.18;1MG AND 'WrW;,
WARMING
adore digging call local utilities
THEPNONE - ELECTRIC - GAS Etc.
Licenc3 $35. 00
REQUIRED BY LAW
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
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,
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$5, Boo
2.90
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 CONS UCT ON.
6
PLAN CHECK FEE
TOTAL FEE
�-
$38.90
T
SIGNATURE OFCONTRAC OR OR AUTHORIZED AGENT )
WAN P OPERLY VALIDATED THIS IS YOUR PERMIT
- BLDG. INSP DATE
SIGNATURE OF OWNER 0 OWNER BUILDER) (DATE)
'CITY OF FRIDLEY
APPLICATION FOR RESMENTIAL BUILDING PEf2MITS
(NEW,, ALTERATIoNsj ADDITIONS, OR REPAIRS) °
OVINER: I-� / 1 ®O�C�s MILDER: P.T. E E
_ Address: �C� � i �l Address: ��`"di/7�� r'
0-0 Tel. No. 7M-.27
No.: Street:
LOT: BLOCK: ADDITION: C� 6 .
CORNER LOT: I14SIDE TAT: SETBACK: SIDBYARDS:
Applicant attach to this form Wo Certificates of Survey of Lot and proposed
• building location drawn on these Certificates.
DESCRIPTION OF BUILDING ,
To Be Used As:
A
Vd 0 ( Front: 302 Depth: ° 7V Height:
Square Feet:. Cubic Feet:
&Wk ijW 'Front: • Depth: Height:
Square Feet:' 6a Cubic Feet: Type of Construction: • Estimated Cost: $
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 application
are true d co-rect. 'See reverse side for additional informati n.
DATE: 00 SI
Stipulations: '
; I
cy
sn .F
F
T s` August 31, 1978
0431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432
PIE
2231 Cardinal Place
St. Paul, MN 55119
TELEPHONE ( 812)571-3450
Re: Swimming Pool Construction at 20.0 Rice Creek Boulevard N.E.
Dear Sirs:
This letter is to make clear this departments requirements for the swimming
pool construction at the above address.
1. As indicated, one (1) skimmer approved by the National Sanitation
Foundation will be provided.
2. As indicated, two (2) inlets of approved design for fresh and/or
repurified water will be provided.
3. The filter and pump shall be approved by the N.S.F. and be of
sufficient capacity to provide a minimum turnover of at least two (2)
times in 24 hours. This department recommends a turnover rate of
6-8 hours.
4. A deck of at least three (3) feet wide, measured frau the pool waters
edge, shall be provided which extends completely around all private
residential pools. Above ground private residential pools may be
provided with decking of a minimum size of 4 feet by 4 feet at pool
entry points and provided that such decking has the approval of the
City.
5. Fencing or other effective means including but not limited to walls
or buildings, acceptable to the City, shall be provided to positively
control all access to public and private residential swimming pools.
Fencing shall meet the following criteria:
(a) The fencing shall prevent 'the entrance of children and be without
hand or foot holds that would enable a person to climb over it.
(b) The fencing shall be at least 6 feet high and entrances shall be
equipped with self-closing and self -latching gates capable of
being locked.
(c) Self-closing and self -latching devices shall be placed at the top
of the gate or otherwise inaccessible to small children.
(d) The opening between the bottom of the fence and the ground or
other surface shall be not more than four inches.
6. An automatic chlorinator should be provided with a suitable test kit.
7. All electrical and plumbing installations shall be inspected and
approved by the City Inspection Department.
8. All electrical lines must be greater than 15 feet away from the pool
surface. An alternative is to bury said lines.
PIE
August 31, 1978 Page 2
9. The pool fill.spout must be air -gapped or protected by a vacuum breaker.
10. Suitable safety equipment to include but not limited to a ring buoy
and rope that is 1l� times the pool diameter, and shepherds crook pole
must be provided and maintained with the pool at all times.
Furthermore, these and any other requirements must meet the provisions of
the Fridley City Code, Section 115, Swimming Pools. The building permit
is approved contingent on final inspections and approval by the City.
If any questions or problems arise from this letter, please feel free to
contact me at 571-3450.
Sincerely,
ji;zv
STEVENO ON
Environmental Officer
SJO/mh
CC: Mr. Dennis Moore
200 Rice Creek Boulevard N.E.
SUBJECT
P
City of Fridley
2 6 51
AT THE TOP OF THE TWINS
�
BUILDING
U I L I G
EMIT
r
1 ,
e.s
RECEIPT N
______ COMMUNITY DEVELOPMENT DIV.
1 L PROTECTIVE INSPECTION SEC.
r
y
1 �
1 � �
l/
NUMBER
REV
DATE
7-8-98
PAGE OF
APPROVED BY
1 r---1 CITY HALL FRIDLEY 55432
612-571-3450
910-F15
JOB ADDRESS 200 Rice Creek Blvd
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
19
4
1 Rice Creek Plaza North Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Dennis Moore
574-1695
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Four Seasons Roofing & Remodeling, 7930 University Ave
Fridley, 55432 795A410
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
20138780
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE
8 D SCRIBE WORK
emove and replace roofing (18 Sq)
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with State Building Code.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
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
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
$ I 501
$.75
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-
$51.25
Fire SC $1.50
STTION R ERFORMANCE OF CONSTRUCTION.
7(.4,
PLAN CHECK FEE
TO FEE
"—
Licens C
$ 0//$58.50
--?S
SIGNATURE OF CO ACTOR OR AUTHORIZED AGENT IDATEI
EN R
- ^• g G INSP
V LID THIS IS YOUR PERM
qAT
SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI
NEW [ ]
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: d C e
Effective 1/1/98
Legal Description: qq
Owner Name & Address: ue n r\, < m nb c e gat 0 1 o c Cr„k el. #
Contractor: Foy 5 �� ��+ �o� o ria R pyo �I a n MN LICENSE #
Address: �� U n u g r-� -T ,� u Tel. # S
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF MOROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length®® Width Hgt/Ground Sq. Ft.
OTHER: I�,�mo ae,4pA/c e /$ � ®� ;S � A; A 5
Construction Type: Rerrooe. i ReolaceRaCk_a � Estimated Cost: $
(Fee Schedule, on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE:. -8 8 APPLICANT: 014M
Tel.
STIPULATIONS:
r
CITY USE ONLY
Permit Fee
$
-� S
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
$
STIPULATIONS:
r
Building
PLUMBING
Permit No.: No.:_"I-41 3
Inspections
RESIDENTIAL. APPLICATION
Received By:
763-572-3604CITY
OF FRIDLEY
Date -
DATE YOUR E-MAIL DRESS
SITE ADDRESS C
THIS APPLICANT IS: ❑ OWNER CTOR
PROPERTY
NAME:
ADDRESS: � t STAT IP J
TENANT
PHONE: r
CONTRACTOR
NAME: -
STATE LICENSE # EXP DATE
-
SUBMIT A COPY OF
YOUR STATE
ADDRESS: STA
LICENSE WITH
PHONE FAX
APPLICATION
GLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
PERMIT TYPE
O NEW QMKACEMENT
TYPE OF WORK:
DETAILED DESCRIPTION OF WORK
PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the
improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor )
Labor cost under $300 — $15.00: - Labor cost between $300 to $500 = cost of labor x.05 =
FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL
NUMBER OF EACH BELOW)
BATH SINK/LAV DRAINS SHOWER _ WA IPING
_ _FLOOR _
GAS PIPING �o cnymc�) SWUVIMING POOL TER SOFTNER ($35)
—BATHTUB _
CLOTHES WASHER KITCHEN SINK WATER CLOSET _ BACKFLOW PREY. ($15)
_ _
DISHWASHER LAUNDRY TRAY HEATER ($35) FOR IRRIGATION
_ _ _WATER
WATER METER OTHER
='
Permit Fee $
Number of fixtures @ $10.00 x $10.00 = $
Surcharge .50
Number of fixtures @ $15.00 x $15.00 =
Number of fixtures @ $35.00 x $35.00 = $
TOTAL DUE $
State Surcharge = $ 50
Total = $ 151,:2
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 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 al which r es eview and approval of plans
SIGNATURE OF APPLICANT PRINT NAME DATE
1,0101"
... .-_,
.,, _ _— _ r, -- _c. a 2.s . ,., _ __.. ,eb ............ ..<.m .. 6KR.
City of Fridley .11104
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977
V
I . ..
FEB -13-2009 01:20 PM STANDARD WATER CONTROL 763 537
itmuuing BUILDING
Inspections RESIDENTUL APPLICATION
763-572-3604 CI'T'Y OF FRIDLEY .
• : M1�U 717
M_1 7.Ma
CONnUCTOR NAME:
$UEWT A COPY OF STATE LICENSE
YOUR STATE LICENSE ADDRESS:
WITH APPLICATION munwv ;P
O BASEMM FINISH
in MCK
DESCRIBE WORD BEING
EXP DATE
O DRAW TILE
O OTHER
1882 P.02
Permit No.: gid® 64
Received By:
Date Recd: ;P
STATE_ZIP
f4tR.1fyW
N[IAM OF $Q•UA= O HOUSE & GrARAGI RASM TdRtufAiS�±I . M tar m�.Lr;;
� O ATMEM GARAM BASM=
Existing Flaar Plan
PROPOSM SIZE: ❑ XMTACHETI GARAGE 2• Pmposed floor plan
PROPOSED RMG7HT. I 'List of sV= t W members to be used
FOR NEW CONSTRUCTION INCLUDING DEM.
C7 Vutyl O&Aft t4 Tle5N anRr ra Rumm.
la Aluminum O Trim L site PI-ISinvey showms the existiaS e:4votsares
O Other ® Pastia and pralmwd pmJeaL
XREM 2. Two seta of construction plus
IN EMTJNG OPENINQS O'Yea ONo LOCATION OF WDMWS �. isut C,alculatiams
OR FOR NEV APEhil OS -DESCRIBE SIZE OF
OPENING CHANGE$ &
TYPE OF WDMW TO U INSTALLED NUA+) M OF VIDWWS
ALL FEES ARE BASTED ON VALUATION, IINCY UDING TFM COST OF LABOR AND MATEMALS:
(USINGTOTAL JOB VALUATI N s .'a� 4.4.17 907 C UE VDU
----_ - ff['CiPANt'Y T"V'1PT'
rermn r ee
y 9 oL.�
See .Back Page for Fee Schedule
Plan Review
_(o
$
650% of Building Permit Fee
Fire Surcharge e
$
1,
.001 times the total job valuation
Surhsrge
$
r 00
.0005 x Permit Valuation Mh9nwm $.50
License Surcharge
$
$5.00 (State Licensed Residential Contractors)
SAC Charge
$
$1550 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
$
_ #t + f R=_ R x $31= $
Emsica Control
$
$450 Conservation Plan Review
Park Fee
$
Fee Determined by Enginearing
Sewer Main Charge
$
Agreement neeossary ( ) Non XOcessary ( }
Total Due
$
®� ®
Make checks a $ble ta: C-* of Fridley Attach Stili oat:
THIS IS AN APPLICA7IG3+1 FOR A PM= -NOT VALID UNTR. PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will lie in
conformance with the ordirtuces and codes of the City of Fridley and with the Minnewta Construction Codes; that I understand this is :not a
permit but only an application for a permit and work is W to start without a permit; that the work will be in accordance wua the approved
pian in the case of all work vAch r r al of plans.
JUGNATURE OF AP$iIQWT
Buildinz
PIJUMBPiG
Permit No.VE�'
InspeutzonsRESID
,i'J TLAI PPLICATION
Received B763-5
i2 X604�'ITY
' , .. per,
Daz d�d
763-502-497/7 FAX
EFFECTIVE 1-118
�✓
DATE C7� YOUR E-MAIL ADDRESS I
SITE ADDRESS ZOv 1940? CU�(� lkjd N,6 !
THIS APPLICANT IS: ❑ OWNER ONTRACTOR
PROPERTY
NAME: NditiS Kb,*e-OWNEW
r ���f �!! p
ADDRESS:CVzf- '�lyUl M CITY Q✓1c1 �-w �Sj�3Z
_,2,0t2 _STATEZIP
PHONE: �i9�7' �� lr�S
CONTRACTOR
nn
NAME: Pte% Ut!!/ t'it @WK6 op,
SUBMIT A COPY OF
►
YOUR STATE
STATE LICENSE EXP DATE
LICENSE, BOND AND
STATE BOND # EXP DATE
CERTIFICATE OF
ADDRESS: 3340 h4 11 St 14 CITY r-yTdI/e . STAzip-5-242-
IPS 2INSURANCE.
INSURANCE
PHONE �ID�j��✓" �l�i� FAX. � �✓'��� Z?�
PERMIT TYPE
SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK:
❑ NEW REPLACEMENT
DETAILED DESCRIPTION OF WORK 14,ftPn. �f Ir�� N1 GT V�%d �A/ k41"�
PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the
improvement,, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor )
Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor X.05 = plus 50 surcharge
OR
FOR PROJECTS WHERE LABOREXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (DTDICATE TOTAL
NUMBER OF EACH BELOW). MINIMUM FEE $1550.
_ BATH SINK/LAV _FLOORDRAINS _WATERPIPING
_SLOWER
—BATHTUB _ GAS PIPING (NEED CITY LIC) _ SWIMMING POOL —WATER SO FTNER ($35)
_ CLOTHES WASHER _ KITCHEN SINK _ WATER CLOSET _ BACKFLOW PREV. ($15)
—DISHWASHER _ LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION
WATER METER OTHER
Permit Fee $
Number of fixtures @ $10.00 x $10.00 = $
Surcharze .50
Number of fixtures @ $15.00 x $15.00 = $
OR Number of fixtures @ $35.00 x $35.00 = $ 3
TOTAL DUE $
State Surcharge = $ 50
(MINIMUM $15.50)
(MINIMUM 515.50) Total = S
THIS IS AN APPLICATION FORA PERMIT -NOT VALID UNTIL PROCESSED
T hereby apply for a plumbing permit and I acknowledge that the information above is complete and accurate; that the work will be in i
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is I
not a permit but only an application for a permit and work is not to start without a permit on site; that the worl: will be in accordance
with the approved plan in the case ofallwork which requires review and approval of plans.
\PPROVGD BY u.,. ,.n... -)Aj
PLEASE i OTTL': AR TE:PERMITS'ARE RE -01=1) I~i. RBIRLDIIVG:..EL CTIZIC:IL. AND. ivtECT4ATTTCAL.
,'vnRl
C-1, i77 ')Z 4 r.".aIE°'�i
pili d-ing l oec.n.ons Menar-men-r
yL I _ niversi7, .4,venue ' JE. ridley:':
Ig
From: 763 263 8744 Page: 5/6 Date: 7/1/201011:17:34 AM
Building
BUILDING
Permit No. -9 'g 3
Inspections
RESIDENTIAL APPLICATION
Received Bar
763-572-3604
a See Back Page for Fee Schedule
CITY OF FRIDLEY
Date Recd:l L)
FAX
763-502-49FAX
Fire Surcharge
$
.001 times the total job valuation
Surcharge
EFFECTIVE I-1-2olo
.0005 x Permit Valuation Minimum $.50
DATE a (P -77C) 9' -- / Q YOUR E-MAIL ADDRESS Cu � f re (l
Grn SSG P oer l
SITE ADDRESS o?U 0 2,-e. e i, to P K - I ✓r3l
SAC Charge
THIS APPLICANT IS:
13 OWNER )HtONTRACTOR
Curb Cut Escrow
PROPERTY OWNER/
NAME: Ar'-f—
Erosion Control
ADDRESS: a O U c C,- ee K 9),,,a /J t= CITY
TE -M ZIP oq�g
TENANT
$
PHoNE: 2eJ-57Y- ! 5
Sewer Main Charge
CONTRACTOR
- iAmE L { e S
Total Due
SUBMIT A COPY OF
YOUR STATE LICENSE
STATE LICENSE # !� a re �1 — �Lo ' )N 1G �. EXP DATE
AND CERTWICATE OF
ADDRESS:IIqUJ +.tWt),el Su�:� �a CITY oD& STATE�ZIP SS��%
INSURANCE
PHONE (o -el, (0 3 - q Lo FAX 96
Ca - i
PROPERTY TYPE
❑ SINGLE FAMILYINEW CONSTRUCTION SIZE
O TWO FAWLY)NEW CONSTRUCTION STORIES
PERMIT TYPE
❑ ADDITION 0 GARAGE/SHED O WINDOWS
❑ BASEMENT FINISH D ROOF C] DRAIN TILE
IG DECK O SIDING JZOTHER C rOriCf~c�
�,e
[3SWRVIMINGPOOL
TYPE OF WORK-.
❑ NEW ROME CONSTRUCTION ❑ ADDITION
❑ MAINTENANCEIREPAIR Q REMODELING
DESCRIBE WORK BEING DONE:
SIZE OF IMPROVEMENT
LENGTH WIDTH HEIGHT SOFT
ROOFINC
❑ HORSE ONLY
BASEMENT
REMODELING SUBMIT;
NUMBER OF SQUARES
13 HOUSE & GARAGE
]. Existing Floor Platt
rARAGE:S
O ATTACHED GARAGE
2. Proposed floor plan
PROPOSED SIZE:
0 DETACHED GARAGE
3. List orstructural members to be used
PROPOSED HEIGHT:
SIDING
FOR NEW CONSTRUCTION INCLUDING DECKS,
E3 Vinyl
Vinyl
❑Sottlt
AODMONS A PO Cr4ES SUBMIT:
1. Site PlanfSurvey showing the existing struowres
❑ ntrm
❑ Trim
t.
and proposed project
El Otho
13 Fascia
2. Two sets of construction plans
WINDOWS
3. Energy Calculations
IN EXISTING OPENINGS GYes ❑No LOCATION OF WINDOWS
FOR WINDOWS - PROVIDE U -VALUE AND
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
MANUFACTURE STICKER ON WINDOW.
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $
O • d OCCUPANCY TYPE
Permit Fee
$
a See Back Page for Fee Schedule
Plan Review
$
65% of Building Permit Fee
Fire Surcharge
$
.001 times the total job valuation
Surcharge
$
.0005 x Permit Valuation Minimum $.50
License Surcharge
S
$5.00 (State Licensed Residential Contractors)
SAC Charge
$
$2100 per SAC Unit (Plans to VIWCC for determination)
Curb Cut Escrow
S
ft -I- 6 ft = ft x $24 = $
Erosion Control
S
$450 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement necessary ( ) Non Necessary ( )
Total Due
$
o Make checks vavable to: City of Fridley Attach Sti Mations
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
1 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 on site; that the work will be in accordance with the
approved plan in the case of all work which requires review and approval of plans.
SIGNATURE OF APPLICANT PRINT NAME L2 i t - O �No . DATE b -O` t - l
I PLEASE NOTE: SEPARATE PERMITS ARE REOUi1RED FOR PLUMBING, ELECTRICAL AND'_MEGI IANICAL WORK _�
O
M�
t -d
From: 763 263 8744 Page: 6/6 Date: 7/1/201011:17:34 AM
ZBZ 6-9ZtrZ96
J a jotle- � G -
M i+i 0 74
dZE:£0 0 L 0£ unr