PRE 2010 DOCSCity of Fridley, -Minn.
BUILDING PERMIT N® 3895
Date: :... .. .............
Owner ....................................... Builder... .-
...... .
Address .......... ............ ........... Address � r%�.. ... ......
LOCATION OF BUILDING
No../ Street ....�!..�
.. ........... Part of t
Lot .. � ..... Block ..... ..... Addition or Sub -Division ,@6G: .........
.. Inside Lot ..,l........ Setback .4 .�..:.0.. Sideyard .. a
Corner Lot .............�1?............
DESCRIPTION OF BUILDING
To�jbe Used p
l� ... Front s :. ' Depth , # Height I " P y Sq. Ft. 1' :5!2 % Cu. Ft. (� .�
.................... Front ........ DepthHeight .. Sq. Ft. ........ Cu. Ft. ........
Type of Construction ................... Est. ..E► 'V/40 .. —.. To be Completed ...................
In consideration of the issuance to me of a permit to construct the bt}ilding desribed
the proposed work in accordance with the description above set forth fd rro fiance
ordinances of the city of Fridley.
to do
Ms of
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 with-
in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
NOTICE:
This permit does not cover the construction, Installation` or alteration for wiring, plumbing, gas heating,
L
sewer or water. Be sure to see the Building Inspector for separate permits for these items.
4'.
Owner# Name
Address
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEYs MINNESOTA
te:
Builder
zv
ss
LO ATTON OF BUILDING
No/ Li. Str6et Part of Lot
Lot, Block Addition or*Sub. Div. ,
Corner Lot —Inside Lot zy Set Back _6 rov
Applicatt-attach to this-fom-Certifiedte of 'Survey of Lot and propoised,
buildf-Ag-location.
DESCRIPTION OF BUILDING
To be used as
Front 7 Depth �2!/ ight.
V fD
Sq,
Cu. Ft.
Front Depth Height
Sq. Ft Cu. Ft.
Type of Constructi Estimated Cost 2C'
To be complete
The undersigned -hereby makes application for a permit for the work''
herein spedified,-..agreeing-to do :all work in' -strict accordance vith'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
Signature
(A Schedule of Fee Costs can be found on the Reverse Side)
od
y - AFPLICATION FOR PUJMBING AN'D GAs PITTING ('l.tt;I r
I
v 97-84-0416051 �_
14 �+
I -��r 41aCt c Job Address 1278 aJ OOd Lane
fleatt:r
r ; -
° 1 . i ti Z �.: , t C Department et 13-2L
c u , C ;- aac C1CY Gt [ H5Jrill y
Tel. 1-3.150 f
i Thd undoralgi ad h, reCy rr 1
akca ap icateor :.:.r a •.�rrctt t &
I F � -t' ttr:, ►+ock I,ecclr�
l 1 Specified agrccing Le do' all work in strict _cz3ar., a k-11L tl.+ City
and rulings of the G ;artment of B�cldln. l / Cc.dua
1 1 3s, rots , cz1arer. ct.at al I
t110 faqir n�ad rci,rus„rtaL{0na statod lr. ttiivis .;eatlev: ero [v40 and x.rt„c,i
` f_—r—i�,_i_ _�____ — - - Fr:dlu}•, :�:. 11-25-80 '
01-INER Roland C Lang
L_
+.I - l,.t,ate .C�nncctlor G.entr.
[ 3 C.:.•:r.ecccd with 5ewcr KItIO OF IIUILLIL'.i Frame
rre,. t ►At4ta, Old O[a ntr.7 Water Res
USED AS e
T TO BE COMPLCTEG "J ;Lj r 5-2-80 '
Fr,i L
► ESTIW%TLD CUSP 50.00
,.:111:r,:•' I l; �hli kATES tiu. RATE
TOTAL. .OLD - I1LV1 BUILGIAZ PEl,;-11 ' 11,
:r.•,.:. Cl tIA L..r C Fr..1.•a .,,�.
—
f�t.atr. F:/1tJIe G[.erin3
x $2.00 $ Z-mr-ny r
Z-rt.h 0aain —'
• x $5.00 $ stoned By
•vattr I{tate[ - to 97,000 bTU
1uv,,lOJ 61L Ca 1S C«0 8:U x $5.00 $ Tal, 11a>
x $10.00 $ _
orator s,ttenas x $7.00 $ _
view C.tt.und (tin Old b.rildlr►)
x $5.00 $ ROUGH I115P,
ilecLat,; 1+,tee Ile�tee __-_ x $5.00 $ DatJ
5 i-11 llt:G FEES; ',
FIML, IIISP,
:et 1 SI4lw6ei .
x $3.00 $ Da tat
x $1.00 $
W 1OOu 6IU hPHIUVAL, t'G11 FE1tni*r
x 510.00 $ '
ai'AIIt1 r A1.TERATIuNS
tr.�t )10u.Ju $5.00 $
t9_L aJJ. ;1J,..UO ur fricLlOn
52.00 $ MIIIIMU11 I'L'L' I:.tr 1.!'i 1•LUI:utU:.
FLUS ;.,D �:P.TC 6UkGu,I4C
- Slat® Suc.-tanzga $ .SG
v. C $ 8.00
}
♦ I
• .i
GTYOF
FRI DLEY
CIVIC CENTER • 6431 UNIVERSITY AVE N E . FRIDLEY. MINNESOTA 55432 • PHONE (612) 571.3450
November 7, 1984
Mr. Roland C. Lang
1278 Skywood Lane N.E.
Fridley, 14N 55421
Re: Raking Leaves and Yard Waste into the Street at 1278 Skywood Lane N.E.
Dear Mr. Lang:
It was brought to the City's attention and confirmed by an on-site
inspection on November 6, 1984, that you were raking the fallen leaves
from your yard into the street.
Section 113, Refuse, of the City Code, does not permit the disposal of any
yard waste on a City street. Therefore, at this time the City must require
that.you remove any leaves and other miscellaneous yard waste from the
gutter and street, immediately in front of your residence, and in the
future discontinue this practice.
A reinspection will be conducted on or about November 19, 1984 to determine
compliance with this letter. If any questions or problems result from this
letter, please feel free to call on me at 571-3450.
Sincerely,
� 6
STEVEN J. OLSON, R.S.
Environmental Officer
SJO/mh
Site Address
Use of Building
Contractor
City of Fridley
Code Enforcement Division
Ph. 571-3450
Nature of Work
Permit No
Date Issued
NOTICE
THIS BUILDING SHALL NOT BE OCCUPIED UNTIL THE FINAL INSPECTIONS HAVE BEEN MADE OR UNLESS
SPECIAL CONSIDERATION IS GIVEN BY THIS DEPARTMENT. THIS CARD SHALL BE AT THE BLDG.
SITE FROM PROJECT START TO FINISH.
APPROVALS
PLUMBING
HEATING
INSULATION (Installation)
FINALS INSPECTOR DATE
BUILDING
ELECTRICAL
PLUMBING
HEATING
CALL FOR ALL /NSPEcrlaw
Building
Inspections
7.63-572-3604
SITE ADDRESS _ /
THIS APPLICANT IS:
PROPERTY
OWNER/
TENANT
CONTRACTOR
SUBMIT A COPY OF
YOUR STATE
LICENSE WITH
APPLICATION
PERMIT TYPE
TYPE OF WORK:
MECHANICAL
]RESIDENTIAL APPLICATION
CITY OF FRIDLEY
YOUR E-MAIL ADDRESS
1%6F
0 OWNER *ONTRACTOR
ADDRESS: S/ 4216 ,� /� - CITY
PHONE: !2A3 -5.7
COMPANY NAME:_
CONTACT PERSON:
Cit`j Sheet Metal, Inc.
Main St. I.E., Shite 39
Permit No.:
Received By:
Date Rec'd:
STATE LICENSE IE Fridley, X402
ADDRESS: 1 75A-91-Eaac 17_ CXU4-22Ga STATE ZIP
PHONE
INGLE FAMILY 0 TWO FAMILY
0 NEW O<XPLACEMENT
DETAILED DESCRIPTION OF WORK
FAX
0 TOWNHOUSE
0 ALTERATION/REMODEL
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 =
FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL
NUMBER OF EACH BELOW) MODEL: //4 -0 7 &�"/' SIZE/BTU
Equipment Installed MFG: S12EBTU
MFG: MODEL: 5*Z.
MFG: h�LMODEL: SIZE/BTU
_FIREPLACE (GAS) $15.00. GAS RANGE/OVEN $10.00
A/C $25.00 NEW GAS GRILL $10.00
_AIR TO AIR EXCHANGEER $IS _FIREPLACE (WOOD) $35.00 GAS UNIT HTR $10.00
_BOILER $35.00 FURNACE $35.00
CHIMNEY LINER $10.00 _GAS DRYER $10.00 POOL HEATER 15. 00
_DUCT WORK $1000 _GAS PIPING $10.00
VENTILATOR $15:00
y,
Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $
Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $
TOTAL DUE $ Number of fixtures @ $25.00 x $25.00 = $
Number of fixtures @ $35.00 f x $35.00 = $
State Surcharge = $ .50
Total = $ O.r-O
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 all�-s o all work which requires
review and approval of plans. j D %/
SIGNATURE OF APPLICANT L I& PRINT NAME 4 d W 11 I1 SAI, DATE
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977
Iduliclin(Y
P U Nif Bpi
Ptrmic No.:
ins-oectolls
Nj rT" z�FTI_T C_A`J��OjN
SE)F 41,4�L I Ll _1
Received B7
"I Id I
763 - 5, 7-2-31604
7 63 5 0 7/ 7 F
_
CTIT YOF FRIDLE7Y
Dam
- _2 -1 IQ _,A_�'[
DATE_ YOUR E-,\,4AIL ADDRESS
SITZ: ADDRESS =1q_,j wo 0 LA
THIS APPLICANT IS: 0 0 wA R *ONTRACTOR
PROPERTY
NAME: T,"n 9ug_ty_
OVVNM
ADDRESS.- -0-19 S 0.4 LA jjt�' CITY �K&4 STATE 4LZIP _�2W
TENANT
PHONE: J� I��✓ l
CONTRACTOR
NAME: kly-w (Ai Lolwlmh�a
SUBMIT A COPY OF
YOUR STATE
STATE LICENSE #' DATE
LICENSE. BOND AND
STATE 13OND 9 =DATE-
CERTMCATE OF
ADDRESS:wy Vwft [t mt CITY STATE-&tZIP SS
INSURANCE
PHONE W FAX
'9r
PERMIT,.�SINGLE
TM
FAMILY 0 TWO FAMILY 0 TOWNHOUSE
TM OF WORM
ONEW f4WLACEM
•ENT
DETAILED DESCRIPTION OF WORK w4y In
greater, for the
PER MS 16B.665 the permit fee is a minimum of 515.00 or 5% of the total cost up to 5500.00, whichever is,
unprovemertt,installadon or replacement of a residential facture, excluding the fihares- '(This should reflect only the cost of labor)
Labor cost under $300 = $15.00. Labor cost between 5300 to $500 = cost of labor X.05 = 'plus -50 surcharge
OR
FOR PROJECTS WHERE LABOP,:EX=S 5500, = ARE BASED ON S10.00 PER.MM1RE, EXCEPT WHERE NO=. FDCTUES: qTDIqATETOtAL
NUMBER OF EACH BELOW). MINIMUM ME .515.50.
SI14KILAV WATERFIPING
—BATH _FLOORDRAINS —SHOWER
—BATH= GAS PIPING (N= CITY LIC) —SWIZVMINGPOOL ..—wATERsurNER(m)
CLOTHES WASHER XITCHIN SINK. — WATER CLOSET _3A=OW?REV. ($15)
—
_ LAUNDRY TRAY _LWATERHEATER, (S35) FOR IRRIGATION
__:DISHWASHER,
_'WATER METER OTEER.
WE 1051. 11mma"S. 14-M&URN. IMERWRO-M awmalm.
Permit Fee
Number of fixtures @ 310.00 x $10.00 = S
Surcharge .50
, S 15.00 x $15.00 = S
Number of fixtures (a
OR Number of fixtures @ S305.00 1 x $35.00 = S
TOTAL DUE S
S=e Surcharge= $ .50
(MINIMUM 515.50)
(MINIMUM 515.50) Total =S'a,*A-V
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
I hereby apply for a plumbing 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.
.RINTZIAME. DATE
SIGNATURE OF,-UPLICANT ffi& _0 7/1 "it) I - ,
PPROVED BY
-SENCTE: 3EFAF,_,"-TE--?E7,dV1lT FOR 3.UTEDlNGt:.ZLZ7!', =7 1('
3-ihidin-, 7nsoecrions Deaarnnenr
K,