PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT N® 3860
Date: .:! -:... / : � -..
....................................... Builders„, V.,......... ...0.......
Address ...................................... Address
LOCATION OF BUILDING
�%% r
No. 13 9 0 ... Street . 41 17 4'. .......... Part of Jot ........ ....... ....... .
Lot ..... ®...... Block . a:;F... ............. Addition or Sub-]?ivisio ... .. r . ......
Corner Lot ............ Inside Lot . X ........ Setback J".'.' Sideyard.Z..�............. .
DESCRIPTION OF BUILDING
T Us !� J �/'�j n p�
.. .... ... Front : T .9� Depth �Ie :`. *Height/"... �� .. Sq. Ft. /40 !..�” Cu. F't./.� / t
Front ........ Depth ........ Height ej ... Sq. Ft. ........ Cu. Ft. ........
Type of Construction ................... Est. Cost../V?, 41. . r-
... 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 in compliance with all provisions of
ordinances of the city of Fridley.
!dam
In consideration of the payment of a fee of $.I;? 4. ...... 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,
sewer or water. Be sure to see the Building Inspector for separate permits for these items.
1. 4 t i
APPLICATION FOR BUILDING PERMIT
CITY.OF FRIDLEYp MINNESOTA
Owners Name Builder
Address Address
LOCATION OF.BUILDING
N01.22-6 Street _:.Part ,of Let
Lot Block Addition or Sub. Div.
Corner Lot side -Lot Set Back
Applicant attach to -this form Certificate of Survey of Lot and proposed
building'locatione
DESCRIPTION OF BUILDING
To be used.as.,.
Front 4,1,A! Depth ight
Sq. Ft. Cu. Ft.
Front Depth Height
Sq. Ft Cu.Ft.
Type of Construction Estimated Cost
To be completed
The under'signed hereby"pdkes a/Plicationfor 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 Buildingsp and hereby
declares" - that all.the facts and representations stated in this application
are true and correct.
Date r f Signature 1- Z"a—Z
(A Schedule of Fee Costs can be found on the Reverse Side)
61K
City of Fridley
Appiication for Plumbing and Gas Fitting Permit
Dept. of Bldgs. Phone SII 4-7470
DESCRIPTION OF WORK � –S 1C t _
Number. Kind and Location of Fixtures Location
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ............... x $1.50 $ 0
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 2.00 $ c
New Ground. Run Old Bldg . ............ x 3.25 $
GAS FITTING FEES: NO. RATE TOTAL
1st 3 Fixtures .......................... x $1.50
Additional Fixtures x .50 $
Gas Range to 200,000 BTU .............. x 2.00 $
REPAIRS & ALTERATIONS—Refer to Code
Description ................. .............................$
TOTAL FEF P 5,0'
City of Fridley:��
The undersigned hereby makes a0plication 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, Minn 19
J wasp
Owner 19
Kind of Building. 1-19—
Used
19_Used as Jam–)
To be completed about
Estimated Cost, $�
Old ' ewBuilding Permit No
Sign . w(k
By•
Business Phone
Connection Permit No. ....................................................
J U L 15 1959 ROUgh water
Sewer
ii 1nn-8-5e
Meter Deposit
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WATER HTR.
GAS
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Base
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1st
2nd
3rd
4th
° Future Co mection Openings
Connected with
e New Fixture, , Old Openings
Sewer
Cesspool El
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ............... x $1.50 $ 0
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 2.00 $ c
New Ground. Run Old Bldg . ............ x 3.25 $
GAS FITTING FEES: NO. RATE TOTAL
1st 3 Fixtures .......................... x $1.50
Additional Fixtures x .50 $
Gas Range to 200,000 BTU .............. x 2.00 $
REPAIRS & ALTERATIONS—Refer to Code
Description ................. .............................$
TOTAL FEF P 5,0'
City of Fridley:��
The undersigned hereby makes a0plication 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, Minn 19
J wasp
Owner 19
Kind of Building. 1-19—
Used
19_Used as Jam–)
To be completed about
Estimated Cost, $�
Old ' ewBuilding Permit No
Sign . w(k
By•
Business Phone
Connection Permit No. ....................................................
J U L 15 1959 ROUgh water
Sewer
ii 1nn-8-5e
Meter Deposit
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plea io suolslnoxd acts. ;o AUV ;o, uolnBioln uodn augj Aue ne Paaioeaa aq 8suz 1pivad sM puu snluzli A410 aql ul,
-tgl.m s3uWUnq ;o 2ulnouz pus apdoa 'aousuanuluuz 'uol;saalie 'uopanalsuoo `uo nsool ftTae2aa slosauullq '.alpha
;o saouuulpao atln on sloadsaa 117a ul uzao;uoo Uvgs ';oangj naed .Sue ao '2ulpnnq pies uodn pug punas 'ul ouop
Xaoea 11e ul 'uaugjoA& ptm saa.Solduza "slum$ slq. pus pa ttea3 sl n1 tuogm.on uosaad otg nstg uolnlpuoa ssaadxa atn
uodn Musa; sl npzuad slily •anogs paglaosap su uolnlPPg ao 8ulpilttq atin non tnstzoo on .. .. _ .
v . on palue z$- Agaxaq sl nluuad I,,, ..$ ;o eel a ;o naatudett aq4 ;o uopmaplsuoo ui
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op of aaa2e I anogs pagiasap 2ulpijnq aql lonxasuoo on nluzaad s ao auz ol aousnssl otp ;o uopejaplsuoo uI
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Rudy Johnson m
F. C. JACKSON
LAND SURVEYOR
REGISTERED UNDER LAWS OF *TATE OF MINNESOTA
LICENSED BY ORDINANCE OF CITY OF MINNEAPOLIS
118-29
Or. 1194
8616 EAST 55TH STREET PA. 4-4681
Surittpot'g iCtrtifccntc � 1
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28/ ,
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44
1 HEREBY CERTIFY THAT THE ABOVE IB A TRUE AND CORRECT PLAT OF A SURVEY` OF
Lot 4 of Subdivision of Lot 10
Auditcrls Subdivision No. 94
AS SURVEYED BY ME THIS 1st.-�-DAY--- Aug.
A'D' 19rJ8
SIGNE
F. C. J KSoN. MINNESOTA R ISTRATION. No. 3600
City of Fridley, Minn*
BUILDING PERMIT
Date: ....... ... 4�
. ......... .................................. Builder .,*# _.._._.Owner:10 ..... ....... ......
AddressAddress ----------------- ---- ------- . ....... . ........... - -- ------- ----------- ----- ----------------------
LOCATI N OF BUILDING '
No. Street v—x ..................... ............ . . Part of Loot ---•--------------------------- . .............. .........
J&
Lot ..................... Block ..... . ............. . ................................ Addition or Sub -Divas n ......
Comer Lot ...... ................... . ... Inside Lot ............ / ..... .................. Wbac
k
,A . Sideyard .......-.......................-..._......I.-..---.........
SewerElevation ..... .......................................... -------------- ------- -------------------- Fo4dation Elevation -... ............... . ............. . ............. ............ .......... ......................
DESCRIPTION OF BUILDING
To be Used as:
- Depth
,dQeA` 4�4 . ..... Front Height Sq. Ft. Cu. Ft.
.................. ... / . ....... . ............... Fro4 .................... . .. Depth .......... Height Sq. Ft......_................. Cu. Ft......_.................
�;Paq Est.
Type of Construction : Co... 31�,�� 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. Al
In consideration of the payment of a fee of A .... . ....(LE............. . 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 violation of any of the provisions of said
ordinances. -- - .01 1
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 items.
.QW4
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
Owner's Name . der
Address l - %0 ',�Address O
LOCATION OF BUILDING
No. a StreetP Part of Lot
Lot Block Addition or Subdivision=� c
Corner Lot Inside Lot �J tback rSide-Yard_
SEWER ELEVATION FOUNDATON ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
DESCRIPTION OF BUILDING
pT o be ubd6 s:
Type of
To be Completed
M,
Sq. Ft.Cu. Ft. S64( Q «
Fronts, DDepth Reight
Sq. Ft. Cu. Ft.
ted Cost 45 .r
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 representati
stated in this application are true and correct.
DAT��� 0 SIGNATURE
(A Schedule of Fee Costs can be found on the Reverse Side.) \ -Zt' --/� (-12,
1
ADDRESS/ 3
--S-a L VALUAlIOK_9�O
ADD.
................................................ . ............ . ............................ ............................................................................. . .............................................................................................
PrOperty line
..... . .. . ........ ............ ..................... ......
I-)
CITY OF FRIDLEY
Effective Date May 1. 1988
APPLICATION FOR POWER PLANTS AND HEATING,
COOLING, VENTILATION, REFRIGERATION AND
AIR
CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
RESIDENTIAL IRATE
TOTAL
Job Address /3
Furnace Shell and Duct Work,
Burner (Also replacement furnace) $
20.00
$A9, ® 0
Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432
City of Fridley
Gas Piping $
10.00
$
Tel. #571-3450
(piping needed with now furnace)
Gas Range $
10.00
$
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
Gas Dryer $
10.00
$
and rulings of the Department of Buildings, and hereby declares that all the
facts and representations stated in this application are true and correct.
• Air Conditioning (all sizes) $
10.00
$
FriQ.ey, Minn.
All Others/Repairs and Alterations
OWNER
10 of Value of Appliance or Work
$
KIND OF BUILDING
COMMERCIAL/INDUSTRIAL
USED ASS%
_r=
1• of Value of Appliance or Work
$
TO BE COMPLETED ABOUT
C'>
/(j
ESTIMATED COST /! 0
State Surcharge
$ .50
_
y i-3
(LD)- NEW BUILDING PERMIT NO. PERMIT NO.
TOTAL PER
$
Reinspection Fee ($15.00)
S 0j0
DESCRIPTION OF FURNACE/BURNER
Rough Insp.NO.
EATING r POWER PLANTS, Steam, Hot Water, rID /
Date
Final Insp.
Trade Name % Size No. .4,106-1<
Date
Capacity Sq. Ft. EDR'7$'e'/11' BTU HP
Approval for Permit
Total Connected Load L-K1nd of Fuel
BURNER - Trade Name Size No.
Capacity Sq. Ft. EDR BTU HP
MINIMUM FEE FOR ANY HEATING PERMIT IS
=15.00-
A A
Company
PLUS $.50 STATE SURCHARGE
Signed
y-�
Tel. No. -t-)7 —< (-/ 9 4
*kir Conditioners can not be placed in side yard without
written permission from adjoining neighbor.
Fill out back side for stack verification on replacement furnaces
CHIM14EY 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 connected Yes ( ) No ( )
6. Has Total heating BTU's of
All other BTU's Ga
TOTAL
Rema rk s
Company
Signed By
Da to
City of Fridley
AT THE TOP OF THE TWINS
SUBJECT
BUILDING
PERMIT
M
PER2 5 MIL=_
3
Ir
COMMUNITY DEVELOPMENT DIV
r PROTECTIVE INSPECTION SEC.
1 i
CITY HALL FRIDLEY 55432
612-571-3450
T NO.
NUMBER
910-F15
REV
DATE
6/17/97
PAGE OF
APPROVED BY
JOB ADDRESS 1370 Skywood Lane NE
1 LEGAL
DESCR.
LOT No.
4
BLOCK
2
TRACT OR ADDITION
Swanstrom Court
SEE ATTACHED
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
Mary Jo Rains 1370 Skywood Lane NE
572-0972
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
0 NEW 0 ADDITION 0 ALTERATION REPAIR
0 MOVE 0 REMOVE
B DESCRIBE WORK
Reroof House & Garage (23 Sq) Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
ZONING
SQ. FT.
CU. FT
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
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
VALUATION
$1,897
SURTAX
$.95
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 PER RMAN CONSTRUCTION
$59.50
re SC $1.90
�I►�
PLAN CHECK FEE
TIT L FEE
��
$62.35
SIGNATURE OF CONTF1k9,TOR OR AUTHORIZED AGENT IDATEI
�EP
8 G INSP
Y VALID
T THIS IS OUR/PERMIT
+
-17
VVV 111 gA7E
SIGNATURE OF OWNER IIF BUILDER) IDATEI
a
NEW [ ]
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
.BUILDING PERMIT APPLICATION
ConstructionAddress: 1 �-i0 moi
Effective 1/1/97
4�304�(o
Legal Description:% L46-
ES
Owner Name & Address: j' �� per,' NS Tel. # 5-7 2 - 09 -7 Z_
Contractor: Z�,q E MN LICENSE #
Address:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Tel. #
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Len Wid Hgt/Ground Sq. Ft.
OTHER:
v
Construction Type: RSIRN Estimated Cost: $
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $.
DATE: I `1 APPLICANT: �1 �� r Tel. # Si2 - 0�7
CITY USE ONLY
Permit Fee
$
Fee Schedule on Reverse Side
Fire Surcharge
$ 1, �/D
.001 of Permit Valuation (1/10th%)
State Surcharge
$�n��
$.50/$1,000 Valuation
SAC Charge
$
$950 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
$�j�, S
STIPULATIONS: