PRE 2010 DOCSCity ®f Fridley
sueJEcr PE
12324
AT THE TOP OF THE TWINS
BUILDING PER
r
r
ECEIPT NO.
• COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
1
o
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF APPROVED BY
612-560-3450
910-F15
9/20/73
JOB ADDRESS 6230 Stinson Boulevard N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
3
2
Silver Oaks Estates SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Thomas D Flynn 1909 -6th Avenue South, Anoka 421-7874
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGN ER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK EX NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBEWORK Construct a 24 X 40 Dwelling and a 29 x 24' Garage
9 CHANGE QF USE FROM TO
STIPULATIONS Provide a hard surface driveway. Provide a verifying survey before
capping. $401.25 Storm Sewer Escrow Collected.
SEWER and WATER LOCATION: There are no stubs into the lot just wyes
at 17, 65, and 115 feet south of manhole. Also wye at '34 and 82 feet
north of manhole. The water xa services are 18 feet west of sewer.
SEPERATE PERMITS REQUIRE® FOR WIRING.
I-IEATING, PLUMBING ANIS SIGNS.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
Wood Frame
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SQ. FT. 7250,
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
R-1
7680, 12,312
27,242
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.
$20295
10.15
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
51
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-
STRUC OR THE PERF ORMANC F COTRUCTION.
$51.00
$275.00
/PLAN
CHECK FEE
TOTAL FEE
73
vl�
1 �336,15
CONTRACTOR ORkAUTHORIZEDA NT (DATEY
WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
,�YGNATUREOF
SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE)
BLDG )NSP DATE
01
BUILDING PEW -41T 1 EE SCHEDULE
SECTION 2. The lnspect:)r of Biii.ldings shall, before issuing permits for the
erection of any building or structure, or for any addition to any existing
building or structure, or for ..Liiy Ateration or repairs to any existing
building or structure, upon application therefore, reqL,ire the payment by the
applicant for such permit of fees to th(- amount herein below set.forth and in
the manner herein provided to-kAL :
UNIFORM BUILDING CODE: Type. 1, 2 & 4 - $2.15 for each on(: thousand cubic
feet, or fraction thereof, in such cubical contents. Type 3 & 5 - $1.85 for
each one thousand cubic feet.
1-1 �,z2. t7SC9lA C`�6^
ants
O f�n'r\®le- . A l �® �-Oje Q 34 a 8Z Cie a
C o F- vr ce age
h S Cnt�e
18 �aeS�;
x
t
the
f in
2 be
NOTE] Permits .tor construction will be issued a minimum of 24 hours from the
time of application, to allow for proper review of the proposed structure and
of the construction site.
A Certified Survey of the lot, showing the location of the foundation, once it
has been constructed, will be required before proceeding with the framing.
CERTIFICATE 017 OCCUPANCY
Application for a Certiiicate o; Occupancy shall be made ten (10) days prior
to the use or occupancy of any structure for which a building permit has been
issued; and said structure shall not be used or occupied until a Certificate
of Occupancy has been issued.
0
APPLICATION FOR RLSIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CI'T'Y OF 1-1:IllLLY5 MINNESOTA
�Iq)
OWNER'S NAME: �5 ��( t/ A✓ BUILDER: 5 m� (��r1lc� �/V �s
ADDRESS: �C 9 � vim• Ss � Llfk{- ADDRESS:— -Sid
NO :. 2 STREET • _ 7f3 T/,n/sr AJ 7/
TOOT: 3 BLOCK: DDITION
• r
A
CORNER LOT: INSIDE LOT: V//SETBACK: SIDEYARD;
Applicant attach to this form Two Certificates of Suxvey of Lot and proposed
building location drawn on these Certificates. _
To Be Used As:
DESCRIPTION OF BUILDING
Front: '� Depth: Height: C;�p
Square Feet: Cubic Feet:
a' Front: Height:
Square Feet; Cubic Feet:
Type of Construction: Estimated Cost:
To Be Completed:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in stfict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that ill the facts and representations stated in this application
are true and currvct.
i
DATE: SIGNATURE:
(See Reverse Side For Additional Information.)
C
e '
lF 0 .r
t , Pis
.*
I.
.*
Application for Power Planes and HeatinS Cooling. Ventilation. a and
Air Condtioning Sydem and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR: RATE TOTAL
Furnace Shell & Duct Work ................ .. $10.00 $
Replacement of Furnace ..... ..... .. 6.00 $
Repairs & Alterations—up to $800.00 6.00 $
Repairs & Alterations each add. $500.00 3.00 $---.—
F—__.
`J H. 01
Furnace Shell & Duct Work to 120,000 BTU ... .. . ..$10.00 "'
each add. 60,000 BTU .................... .. 3.00 ;
Replacement of Furnace . .. .... 6.00
Repairs & Alterations—up to $500.00 6.00 $
Repairs & Alterations each add. $500.00 .... .. .... &00 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR Steam
$10.00
Furnace Shell & Line --to 640 sq. ft. EDR Kot Water
10.00
$_
Each add. 200 sq. ft. EDR Steam
3,00
Each add. 320 sq. ft. EDR Hot Water
3.00
$
OIL BURNER—to 3 gal. per hour 6,00 $ _
over 3 gal, per hour—See Fee Schedule
GASB (up to 150,000 BTU) ... . 5,00 $ d
over 109,000 VM See Fee Schedule
GAS F7TTING FEES. NO RAPE TOTAL
1st 3 Fixtures x$ 100
Additional Fixtures x .yg $
Gas Range to 199, x$ 500 $
AIR CONDITIONING
VENTILATING- FAN HEATING SYSTEM
ALTERATIONS & REPAIRS1
ROUGH
a
e
Be* Fee schadeb
TOTAL FEE $
(SURCHARGE x_050)
Dept. of Bldgs. Phone
6230 Stinson Blvd.
City of Fridley:
The undersigned hereby makes application for a permit for the wort herein
specified, agreeing to do all work in strict accordance with the City Ordinancet
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, Alinn- /2-- 1873
Owner Tom Flynn
Kind of Building __ Frame
Used as_ ---
To be completed about
Estimated Cost,
Old—NeZ Building Permit No. Permit No. 'T_9.Z651
DEBUMTION Or WORK
H A77NG or PO team, Hot Water, Warffi AiK-No- 1
Trade Name Singer Na GH 2104— sin 24
Capacity— Sq. F, E.D.R_ 10 0 , 0 0 0 BTU H.P
Total Connected load 50,524 FInd of Fuel Nat. Gas
BURNER — Trade Name Size No
Capacity Sq. Ft. EMM BTU
FINAL.
(REMARKS—OYER)
Sim Mill City Heating Co.
Budnew phone No 544-1501
'Alea there, T,Vps
klaw Ap
M wall FO t
mw$ rs Reicre-oce Wall,
ILI
ungth 'his
WiftdOwsta'ld Doom--trackagemnd Area
M42dotws and -XI—om—rimarave Jand Ana
Width —Wight N.. at Linetal It, Ar". -- tVlittll Eelgbt Ila. at Ana
ghts at crag 24. t. NO. of r, WF,
Of it lfgbca of craetz M
—JL0,
-Spw. IF—
I . a..
Infiltration A,& -
f.1 P Im
y T LOSS CAL Int ' DEPARTMIN7 OF BUILDMS
;'�a418esmapfptti �1 �� �jz �'+.:ra�.�a,:.gA:�r, �i�.
_� �ij l�aPrer.c FillVt. baa' 3:,nst�et� r.w.sl r,:3
le V39 .'
.� oom [ eftgth iclth �° —'d ewit� dam 1
Windows and Doom--Crat;kase -and Area � ,I- Wmd mi awl Doon__ Gs�,
—' LVBdth
Height No. of Ltneal tt. Aree ' --w et. Betght No
®. o g no of P ns tights at cr k a4• t. 1.. 4 of IDana of tan* Its
Infiltration
class
Not exp. wall
g0L wau
mfl
L•_
sq. fL LDA or sq. ins. W.A. Leader amat
M.
Lama �`fiieltla ffe�fl�t
Wltration
Glaw
FP. wall
Net exp. waH
Int. wall
Ceiling
Floor
i'otal Btu.
ICY
_ Wim
and Area
R,-,xited sq. ft. .R. or sq. nae. W.A. ceder atm I
F1.I Rom
Vmdwm mJ Doom 4
Width FYolg
Yeo of reties of t
anA Ana
a At_
IaY6lrtatiafa
cla"
Exp. wall
Net exp, waD
lat. wall
Ceiling
Floor
Total Btu.
Repired sq. ft. I DJD or el. bw W.A. Lea&r am
T ..- i�,.' ". Y'.:. ..may t t"•," til' A. � :I .
. 55
S
a ,
°
v
m
i5:62�
Permit No.
City of Frhr-',1ey
ILI
CITY HALL FR�I)L" U<R
04
/A
J'�
-
vwner. Address hone
Kind o-1 Building
Use
Plumbinj�, Fixture Rates: NO. RATE TOTAL
_4
Number Fixtures x �2.00 .06
Future Fixtures
New Fixture -Old Open. x �1.50
Ground Run Old Bldg. x �3.25
Elec. Water Heater x $2.00
SNISve
0.
.0,
Additional Fixtures
C14 t$
Gas Range -199,000 BTU x $5.00
;a HSVM
Repairs & Alterations
See
SuNis
Description: Code
State SaKEta
SIMI
HIVE
The undersigned hereby makes application for a permit
SIVNIHn
for the work herein specified, agreeing to do all work
in strict accordance with the City Ordinances and ruling
-the
U3.LWM
of Department of Buildings, and hereby declare that
all the facts and representations stated in this
application ar t Lie an correct.
4 C9
at re Da
6 t y /.�;dP".
ANOKA COUNTY
6431 UNIVERSITY AVENUE NE June 3, 1974
Cable Electric
5516 Industry Boulevard
Anoka, Minnesota 55303
Dear Sirs:
LE/mh
FRIDLEY, MINNESOTA 55421
Re: Electrical Permit Shortages
The following is due for the electrical work done at the following addresses;
254 Liberty Street N.E.
Permit Fee
$23.00
Paid
18.00
AMOUNT DUE
$ 5.00 `
6230 Stinson Boulevard
Service
$ 6.00
40-50 Out.
10.50
10-20 Soc.
4.00
Furnace
4.00
Disp.
3.00
Dish.
3.00
$30.50
Paid
16.00
AMOUNT DUE
$14.50
Please remit both shortages as soon as possible.
Thank you,
LEONARD EICHMILLER
Electrical Inspector
L�
CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE
TOTAL
Number Fixtures
(p x
$3.Q0
$
Future Fixture Opening
� 3 x
41
v
New Fixture, Old Opening
Water
$2.00
$
Catch Basin
x
$5.00
$
Water Heater - to 99,000 BTU
( x
$5.00
$
100,000 BTU to 199,000 BTU
m 3a
W
$
Water Softener
x
Heater
H
m
x
$5.00
$
Electric Water Heater
x'
-c
3
GAS FITTING FEES:
°M�°'c
M
N
1st 3 fixtures
�_ x
00
$
Additional Fixtures
x
W
I
x
m
o
°c
g
m ro
ro
°�
M
°'
y
+�
b .oi
►�
e
`�
a
s
►"qi
a w
.-i
w
O as
3
8
g*� x�.50
$ e�(•�
REINSPECTION FEE
0
as
lec
m
v
o
m
�
l'W4
f
1st
2nd
3rd
4th
(R) - Future Connection Opening
Connected with Sewer
(*) = New Fixture, Old Opening
Water
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE
TOTAL
Number Fixtures
(p x
$3.Q0
$
Future Fixture Opening
� 3 x
$2.00
$ (,,.® b
New Fixture, Old Opening
x
$2.00
$
Catch Basin
x
$5.00
$
Water Heater - to 99,000 BTU
( x
$5.00
$
100,000 BTU to 199,000 BTU
x
$10.00
$
Water Softener
x
$7.00
$
New Ground Run old Building
x
$5.00
$
Electric Water Heater
x'
$5.00
$
GAS FITTING FEES:
'$3.
1st 3 fixtures
�_ x
00
$
Additional Fixtures
x
$1.00
$
Gas Range to 199,000 BTU
x
$10.00
$
REPAIRS & ALTERATIONS
First $100.00
$5.00
$
each add. $100.00 or fraction
$2.00
$
State Surcharge
$
TOTAL FEE
g*� x�.50
$ e�(•�
REINSPECTION FEE
($10.00)
(�
r� � p
Job Address L 0 s f "& k' G tlj /S /� V 6
Department of Buildings
City of Fridley
Tel. #571-3450
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 Department of Buildings, and hereby declares that all
the facts and.representations stated in this application are true and correct
Fridley, Mn. , 19
I
OWNER _nk V,", 1 C
KIND OF BUILDING TER 6 %
USED AS
TO BE COMPLETED ABOUT
ESTIMATED COST
OL( B ILDING PERMIT NO.
Company
Signed By
Tel. No.v
PERMIT NO.
ROUGH INSP.
Date
FINAL INSP. 2-2 5, -7 7
Date
APPROVAL FOR PERMIT I;
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE
1
SUBJECT
P
City of Fridley
r 21142
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
' ,
RECEIP
6.
.......COMMUNITY DEVELOPMENT DIV.
L PROTECTIVE INSPECTION SEC.
�T
r
1
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
10/31/91
/ /
JOB ADDRESS 6230 Stinson Blvd NE
t LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
3
2
Silver Oaks. Estates SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Dick Hamann 6230 Stinson Blvd NE 571-1269
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Home Enhancers 8609 Lyndale Ave S #115, Bloomington MN 884-6106
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 ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 131 x 12'I.Porch Addition
9 CHANGE OF USE FROM TO
STIPULATIONS
See notations, on plan.
WA RON I it G
Note digging call for
all utility locations
454-0002
REQUIRES BY LAW
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
ZONING
SQ. FT.
CU. FT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
NO. DWLG. UNITS
OFFSTREET PARKING
ANY TIME AFTER WORK IS COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
STALLS GARAGES
VALUATION
SURTAX
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$3,550
$1.75
WITH WHETHER SPECIFIED EREIN OR NOT. THE GRANTING OF A PERMIT
PERMIT FEE
SAC CHARGE
TO IVE AUTH Y TO VIOLATE OR CANCEL THE
O R STATE OR LOCAL LAW REGULATING coN-
$63.00
Fire SC $3.50
E F RMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
ffSTROORT
68.25
SIGNATURE OF CONTRACT RORA HORIZED AGENT (DATEI(MliG
PROP RL ID TED T IS IS YOUR PERMIT
(9 i I�
SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI
INSP r)A7E
1
NEW ( ]
ADDN [ ] CITY OF FRIDLEY
ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Construction Address: �v Z- :5 0
Legal Description:
Owner Name
Contractor:
Address:
� "Od
GARAGE AREA:
DECK AREA:
Effective 1/1/91
_ Tel.
Tel. # 6�)> o�,
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length 3, width l Height
Length Width Height
Length Width Hgt/Ground
Sq. Ft.
Sq. Ft.
Sq. Ft.
OTHER:
Corner Lot [ ] Inside Lot [ Ft. Yd Setba k Side Yard Setbacks
Type of Construction:po r Estimated Cost: $�I�
Approx. Completion Date: �,- . t�— L -
MW m BM*)
Driveway Curb Cut Width Needed: Ft. + 6 F = Ft x $ = $
DATE: °� b 2-3 - % / APPLICANTel. # 6' / d&
CITY USE ONLY
Permit Fee $ G � C�O Fee Schedule on Reverse Side
Fire Surcharge $ `?�, 3-6 .001 of Permit Valuation (1 / 10th %)
State Surcharge $ a`� $.50/$1,000 Valuation
SAC Charge $ $650 per SAC Unit
Driveway Escrow $ Alt. "A" or Alt. "B" Above
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ]
TOTAL $etd
STIPULATIONS:
BUILDING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or structure,
or for any addition to any existing building or structure, or for any alteration or repair to any existing
building or structure, upon application therefore, require the payment by the applicant for such permit
of fees to the amount herein below set forth and in the manner herein provided to -wit:
TOTAL VALUE FEES
$1 to $500 $15 (Minimum Fee is $15 plus surcharge)
$501 to $2,000 $15 for first $500 plus $2 for each additional $100 or
fraction thereof, to and including $2,000
$2,001 to $25,000 $45 for first $2,000 plus $9 for each additional $1,000
or fraction thereof, to and including $25,000
$25,001 to $50,000 $252 for first $25,000 plus $6.50 for each additional $1,000
or fraction thereof, to and including $50,000
$50,001 to $100,000 $414.50 for first $50,000 plus $4.50 for each additional
$1,000 or fraction thereof, to and including $100,000
$100,001 to $500,000 $639.50 for first $100,000 plus $3.50 for each additional
$1,000 or fraction thereof, to and including $500,000
$500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$1,000,001 and up $3539.50 for the first $1,000,000 plus $2 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times
$13.50.
Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $15.75.
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to allow
for proper review of the proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the foundation once it has it has been
constructed will be required before proceeding with the framing.
W,
IS 4TH AVE, S.E. 500 W NWY 96
ST. CLCUO, MINN i 3 �L� S' PAUL 12, MiNN
251-7751�� T 484-3301
N
&
ASSOCIATES
Consulting Fng,nee«— Land Sursetors
lftill{ fT 1.',JD
3;4 OAK ST., SAUK CENTRE,M,NN. 35.'.3664
I hereby certify that this Certificate of Survey® Description Easement ❑ Plan ❑ or
Specification ❑ was prepared by me or under my direct supervision and that 1 am a
duly Registered Land Survey ®Professional Engineer [] under the laws of the
State o inneso a.
Reg. No.3-5-27 Date 'ZG /V5
�i
j V
I _ I �I
_
F
31W --
� Vii.— 37— Jt�.— —36.2— —J • 1
I
L OT 3, GgL OCP Z , S/L VI -e OAA- ESTATES
ANOA-A C04/NTY, MINNESOTA
r
00,
73 - 44w
¢74f - 66
SUBJECT
PERMIT NO.
City of Fridley
---21507
AT THE TOP OF THE TWINS
BUILDING P E M I T
RECEIPT NO
6 COMMUNITY DEVELOPMENT DIV.
L mems__�
r ; PROTECTIVE INSPECTION SEC.
I
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
8/20/92
JOB ADDRESS 6230 Stinson Boulevard NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
3
Z
Silver Oaks Estates SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Hamann 6230 Stinson Blvd NE
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Top Gun Roofing 9644 Ximines Ln, Maple Grove 425-1455 3388
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 � REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof Dwelling (23 Squares) Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
ZONING
SQ. FT.
CU. FT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
NO. DWLG. UNITS
OFFSTREET PARKING
ANY TIME AFTER WORK IS COMMENCED.
I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS GARAGES
VALUATION
SURTAX
AND KNOW THE SAME TO BE TRUE AND CO ECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TY F WORK WILL BE COMPLIED
$1,219
$e61
T THE GRANTING OF A PERMIT
WITH HETHER SPECI"STATE
PERMIT FEE
SAC CHARGE
DOES T PRESUME TO LATE OR CANCEL THE
PRO IS NS OF ANY CA AW REGULATING CON-
$31,00
Fire SC $1.22
ST C 1 NOR THE PS CTION.
PLAN CHECK FEE
TOTAL FEE
F _
License SC $5.00
$37.83
• S A RE OF N T RACT R AUTHO ZE GENT IDATEI
EN P P VA - A BD IS IS YOUR PERMIT
SiGNATURE OF WNERIIF OWNER BUILDERI IDATEI
LDG I SP DATE
NEW [ ) Effective 3/1/92
ADDN [ ] CITY OF FRIDLEY
ALTER [) SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Construction Address:
Legal Description: _
Owner Name
Contractor: C'
Address: ?6 t% Ll
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Y
,-? 3 ) 4 s� 0 f -k - ' Tel. #
MN LICENSE # 33 2 V
r �r0c)s , S /S-s—
�'G���-' �� � Tel. #
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.
Corner Lot [) Inside Lot [) Ft. Yd Setback _
Type of Construction: F�' ss
Approx. Completion Date: /
Hgt/Ground
Sq. Ft.
"9 A
Side Yard Setbacks
Estimated Cost: $ /tel f
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + b Ft = Ft x $ _ $
f '
DATE: _� / APPLICANT: Tei. #
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Park Fee
$ A.2
$
Sewer Main Charge $
TOTAL
STIPULATIONS:
C13:Y USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1 / 10th %)
$.50/$1,000 Valuation
$700 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
Fee Determined by Engineering
Agreement Necessary [ ) Not Necessary [ )
BUILDING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or structure,
or for any addition to any existing building or structure, or for any alteration or repair to any existing
building or structure, upon application therefore, require the payment . by . the applicant for such permit
of fees to the amount herein below set forth and in the manner herein provided to -wit:
TOTAL VALUE FEES
$1 to' $500 $15 (Minimum Fee is $15 plus surcharge)
$501 to $2,000 $15 for first $500 plus $2 for each additional $100 or
fraction thereof, to and including $2,000
$2,001 to $25,000 $45 for first $2,000 plus $9 for each additional $1,000
or fraction thereof, to and including $25,000
$25,001 to $50,000 $252 for first $25,000 plus $6.50 for each additional $1,000
or fraction thereof, to and including $50,000
$50,001 to $100,000 $414.50 for first $50,000 plus $4.50 for each additional
$1,000 or fraction thereof, to and including $100,000
$100,001 to $500,000 $639.50 for first $100,000 plus $3.50 for each additional
$1,000 or fraction thereof, to and including $500,000
$500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$1,000,001 and up $3539.50 for the first $1,000,000 plus $2 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times
$13.50.
Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 - feet times $15.75.
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to allow
for proper review of the proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the foundation once it has it has been
constructed will be required before proceeding with the framing.
r,)
SUBJECT
P
City of Fridley
29415
AT THE TOP OF THE TWINS
BUILDING�
PERMIT
RECEIPT NO.
` COMMUNITY DEVELOPMENT DIV.
L -___-_
SEC.
a ��
r - PROTECTIVE INSPECTION
I �
� CITY HALL FRIOLEV 55432NUMBER
REV
DATE
PAGE OF
APPROVED By
612-571-3450
910-F15
5/6/99
JOB ADDRESS 6230 Stinson Blvd NE
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
3
2
1 Silver Oaks Estates
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Mark Bernard 6230 Stinson Blvd NE
571-7260
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
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW K3 ADDITION ❑ ALTERATION ❑ REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Construct a 24' x 14' Garage Addition
9 CHANGE OF USE FROM TO
STIPULATIONS See notations on plan. Provide a hard surface driveway.
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 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
ZONING
SO. FT
CU FT
AUTHORIZED IS NOT COMMENCED WITHIN 80 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
6,384
$3.19
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-
124.75
Fi SC
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
`p6.38
PLAN CHECK F
TOT L EE
4.32
SIGNATUAE OF CON'Fi1C R OILAUTHORIZED AGE T IDATE)
H PFIA
VALID HIS IS YOUR PERMIT
-9
•
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S�GNATUgE OF OW NEA �iF OWNER BU4DEAi - iDATE)
B IS INSP
GATE
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NEW [ ] fective 1/1/99
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION /
ConstructionAddress: L/v� a ��•�/`� �� ��°'�
Legal Description:
Owner Name & Address: Tel.
Contractor: _��Z/% MN LICENSE #
Address: l®��� �i>'s �L Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
01 DESCRIPTION OF EUPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA Length a L Width Height Sq. Ft, APO
DECK AREA: Length Width Hgt/Ground Sq. Ft. =
4,? g -
OTHER:
Construction Type:
.Driveway Curb Cut Width Needed: Ft. + 6 Ft =
Estimated Cost: $
(Fee Schedule on Back)
Ft x $ = $
DATE: v0 `3 / APPLICANT: � Tel. #
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge $
STIPULATIONS:
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1050 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
7� 6- 0
BUILDING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for
any addition to any existing building or structure, or for any alteration or repair to any existing building or
structure; upon application therefore, require the payment by the applicant for such permit of fees to the amount
herein below set forth and in the manner herein provided to -wit:
TOTAL VALUE FEES
$1 to $500 $21 (Minimum Fee is $21 plus surcharge)
$501 to $2,000 $21 for first $500 plus $2.75 for each additional $100 or
fraction thereof, to and including $2,000
$2,001 to $25,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000
or fraction thereof, to and including $25,000
$25,001 to $50,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000
or fraction thereof, to and including $50,000
$50,001 to $100,000 $574.75 for first $50,000 plus $6.25 for each additional
$1,000 or fraction thereof, to and including $100,000
$100,001 to $500,000 $887.25 for first $100,000 plus $5.00 for each additional
$1,000 or fraction thereof, to and including $500,000
$500,001 to $1,000,000 $2887.25 for the first $500,000 plus $4.25 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$1,000,001 and up $5012.25 for the first $1,000,000 plus $2.75 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50.
Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $23.25.
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper
review of the proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed
will be required before proceeding with the framing.
; ix (ZN 0)
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8036 LYNDALE AVE. S., MINNEAPOLIS, MN 55420
► PHONE 612-881-8108 FAX 612-881-1636
.AUTHORIZED TECHNICAL DISTRIBUTOR,FOR
• COMPLIMOTOR
• DAEDAL
• DIGIPLAN
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Industrial Automation and Motion Control Solutions
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ST. CLOUD, MINN.
+� ST, PAUL 12, MINN.
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• 2Si-7T 61 �� ,.�� ��� 484-3301
ASSOCIATES•= .
Consulting Engineers — land urveTOTS
ST PAUL SAUK CFNIKF•-
ST CLOUD
— MINNFtOTA
1
314 OAK ST., SAUK CENTRE,MINN. 352.3664
.. I._hereby' certify that this Certificate of Survey® Description❑ Easement ❑ Plan ❑ or
„Spe.c�ification ❑ was prepared by me or under my direct supervision and that I am a
-=.duIy'tiyRegistered .Land Survey ® Professional Engineer ❑ under the laws of the
State"o Innes a.
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Reg. No3�Date G %
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LYNDALE AVE. S., MINNEAPOLIS, MN SS420
PHONE 612-881-8108 FAX 612-881-1636
• COMPUMOTOR
AUTHORIZED TECHNICAL DISTRIBUTOR FOR • DAEDAL
• DIGIPLAN
Industrial Auto nati.on*and Motion Control Solutions
d1���p 'in�
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Industrial Auto nati.on*and Motion Control Solutions
tlle'cclvC Jailuary 1, LUUJ
CITY OF FRIDLEY INSPECTION DIViSION
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, � `r
(763) 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
FAX (763) 571-1287
JOB ADDRESS &,;?; 30. 5 Q3 I J.
RATE SCHEDULE
Residential Rate
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace $ 30.00
(Side Vent - Fill Out Back)
Gas Piping (Needed with new furnace, $ 10.00
but not replacement)
Gas Range $ 10.00
Gas Dryer $ 10.00
-'Air Conditioning - All Sizes $ 25.00
411 Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work
ommercial/Industrial
1.25% of Value of Appliance or Work
State Surcharge
TOTAL FEE
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $250_0
PLUS THE $.50 STATE SURCHARGE e
REINSPECTION FEE $47.00/Hr
"Air Conditioners can not be placed in a side yard without
Nritten permission from adjoining property owner,.
$ .50
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 an
rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are true and correct.
DATE
TEL # _�� /���� e,�277
_ Final Date
FILLQUT- BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNAC&
OWNER �c1 I14�
TOTAL
11
BUILDING USED AS���
®-
ESTIMATED COST A60•GU
PERMIT N0.
�+r
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units Circle One
(Steam) (Hot Water)
(Warm Air)
$
Trade Name
Size No.
BTU HP
EDR
$
Fuel Total Connected
Load
Burner Trade Name A��� k
Size No.5�wre,"e X7-
$
BTU,��:o�� — HP
EDR
,,s jct l / /fie,,I ll� �z plL��� LlG s
$ .50
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 an
rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are true and correct.
DATE
TEL # _�� /���� e,�277
_ Final Date
FILLQUT- BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNAC&
THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE
APPLICATION WILL BE RETURNED
r,nM nN <2NT VEIN CCNNECTQ8 A DNlR ISTIQN AIR VERIFICATION
When mnlaning an ay* -.ting .ran _ _, the undersigned hereby verifies that the
venting has. been examined and is free from rust, deterioration, obstructions,
and is securely supported and firestopped where required. Yes No ( )
The venting system is plastic/PVC and meets all current codes and manufacturer
specifications including sizing, length, number of elbows and termination. Yes ( No ( )
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturer's specifications. This does
include AGA-GAMA Category I Central Furnace Venting Tables for fan
assisted and natural draft appliances. Yes () No ( )
The IJti��^n-Air. is sized and installed to meet the current codes
and manufacturer's specifications. Yes () No ( )
When required to Ing"ll a new r-nmhugghnn air- it will be sized and installed
to meet the current codes and manufacturer's specifications. Yes {) No ( )
ften Ingt2ifing n new vonting system, the undersigned hereby verifies that
it Is a listed assembly and meets the current codes and manufacturer's
specifications. This does include AGA-GAMA Category I Central Furnace
Venting Tables for fan assisted and natural draft appliances. Yes () No ( }
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented
separately as per current codes. Yes( )No(
)
AppliT nnn Upg and d 'Rize/Cnmmon Mont and Vent Connector Information
Appliance #1 Type BTU Input Fan Assisted or Nat
Appliance #2 Type BTU Input Fan Assisted or Nat
Appliance #3 Type BTU Input Fan Assisted or Nat
Total Appliances Total Btu Input
Common Vent Type Vent Height Diameter inches
Appliance #1 Vent Connector Height ft Length ft Diameter in Type
Appliance #2 Vent Connector Height ft Length ft Diameter in Type
Appliance #3 Vent Connector Height ft Length ft Diameter in Type M
HEATING CO:
Signed By: Date :