PRE 2010 DOCS53-81,-s-915.51 �� 4
City of Fridley
AT THR TOP OF THE TWINE
r � .
. PLUMBING PERMIT APPLICATIO14
tL------1 COMOVNITY DEVELOPMENT DIV,
!! ' PROTECTIVE NtOgCTI" DEPT.
WY HALL FRIOL CY 6002
,o .A 04-600-3400 Huma1t REV. DATE WE- E OF A OVID By
Job Address 7L
0 2 15 3 1 1 800
i/ - 7-9,5'A_1�
6230 N. E. Stinson Blvd.
Owner
Address
Tom Flynn construction ,
Phone
Contractorress
�UIINNEGASC®
Phone
7W f,AAfcGgUE�'�'E AV
Kind of Building
Use ALS., M I N N
Fr,ime
s.
Completion
Datestimate
Cost
5-16-71
10.00
Ij 'f Plumbing Fixture Rates: NO.
RATE TOTAL
Number Fixtures x
$2.00_
I
Future Fixtures x
$1.50
oval
I
( I i
I
New Fixture -old Open. x
$1.50
'1ddYl
I
I
(
®
; Catch Basin x
$3.25
8YD
j
.XLd
I ,I
!
Water Heater -99,000 BTU x
$3.00
•791WI
I
� I +
i
i
I I�
Ground Run Old Bldg, x
$3.25
sag,
'MNIVaI
I
I
I
I
�
I m
I
I Elec. Water Heater x
$2.00
«
_Gas Fitting Fees:
�O c
®Nlvaa
I
3 ,
a001d
!
•�
1st 3 Fixtures x
$2.00
----
0 y I
sa3MOF+5
I
I
I
I
I
1�.3
Additional Fixtures x$
.75
010
Cy
'1NflOd
Gas Range -199,000 BTU 7 x
$5.00 5.00
�VJ(,�
'(1
SAWl
NSYMI
I
I
sr
Repairs & Alterations
(
See
!
s""'s
I
I I
i I
Description: Code
I
iN181lYI
I (
I I
a3
_State Surcharge
.50
j
Class 'Am Surcharge ,50a,
men.Ii
I
TOTAL FEE
$ 5.50
I
I I
slrwlan
!The undersigned hereby makes application
for a permit
l
I I
I
I
for the work herein specified, agreeing
to do all work
olaso-I�
j
in strict accordance with the City Ordinances and ruling
ea>YM
I I
of the Department of Buildings, and hereby declare that
all°the facts and representations stated
in this
appl4 .� ion re true and correct.
B
'Signature '
Date
i/ - 7-9,5'A_1�
.
Number Fixtures
x
$2.00%$ �0.0 C
Future Fixtures
x
$1.50
New Fixture -Old Open.
x
$1.50
Catch Basin
x
$3.25
Water Heater -99,000 BTU
x
$3.00 3.o0
Ground Run Old Bldg.
x
$3.25
Elec. Water Heater
x
$2.00
Gas Fitting Fees:
1st 3 Fixtures x $2.00. (� 0
Additional Fixtures x $ .75
Gas Range -199,000 BTU x $5.00
Repairs & Alterations
Description:
State Surcharge .50
TOTAL FEE $ /SZ)
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 Tulin.*
of the Department of Buildings, and hereby declare that
all'the facts and representations stated in this
appl cation are true and correct.
City of Fridley
SUBJECTP
11
N
12464
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
• COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
RECEe%IPT
�® 7
r � �
t/
1
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-560-3450
910-F15
13/28/74
JOB ADDRESS 6250 Stinson Boulevard N.E.
1 LEGALLOT
NO.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
1
2
Silver Oaks Estates SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Tom Flynn Construction 1909 6th Avenue So., Anoka, Minnesota
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
M NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK Construct a 46' x 26' Dwelling and a 22' x 26' Garage
9 CHANGE OF USE FROM TO
STIPULATIONS Provide a verifying survey before capping. Provide a hard surface
driveway.
OCATIO 160' South of` Max.a-icu�6eee20' to property line,
sanitary lin '
Water stubb-d- o ro ex 1 ne; 40' southof sewer. -
SEPERATE PERMITS R Q�U ECS F—
OR �idlRl14�
9 —
HEATING, PLUMBING AND SIGNS.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
Wood 'Framm
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
R-1
19,144 (23,9
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
.1196
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.
24,876
12.44
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-
$45.00
300.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
,V
$357.44
SIGNATURE OF CONTRACT AUTHORIZED AGENT IDATEI
W EN PRO ER l V I AT THIS IS YOUR PERMIT
A
—ay--
$LDG. )NSP DATE
SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE)
!0 Tot)
APPLICATION FOR RLSIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
C:UYY OF I-RIDLLY, MINNESOTA
OWNER IS NAME.1 , 2;� ,VA",Z� BUILDER • G,��' «, S7// ,W %/0 Z
ADDRESS: (.�- �� 'ADDRESS
NO;.
:� ��� // �� h✓�/ .
NO ; .� T STREET: U� p
LOT: BLOCK: ADDITION:_j,
CORNER. LOT: INSIDE LOT: L/ SETBACK: SIDEYARD:
Applicant attach to this form Two Certificates of Survey of Lot and proposed
buildirig location drawn on these Certificates,
DESCRIPTION OF BUILDING
To Be Used As:
Front: Depth: �^ Height:
Square Feet: Cubic Feet:
Front:" % Depth: Height:
Square Feet; �' Cubic Feet:`
Type of Construction:l��s Estimated Cost $�/�, Ati
To Be Completed: / 517
r
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in st7ticL 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 c orrt-c t .
DATE: —25, % SIC: NATURE `r--yt`c
(See Reverse Side For Additional Information.)
z 7 TS
m` p
BUILDING I')JI ,1J'C FEE SCHEDULE
SECTION 2. The inspector of Biti.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 any :+iteration or repairs to any existing
building or structure, upon application therefore, require the payment by the
applicant for such permit of fees to th( amount herein below set forth and in
the manner here.i.n provided to -wit:
UNIFORM BUILDING CODE: Type 1, 2 & 4 -- $2.15 for each ons: thousand cubic
feet, or fraction thereof, in such cubical contents. Type 3 & 5 - $1.85 for
each one thousand cubic feet.
ADDITIONAL INFORMATION
For the purpose of computing fees for building permits, the cubical contents
of any building or addition, is determined by multiplying the ground area
covered from a point six (6) inches below the floor line of the basement
or the cellar to the average heights of the upper surface or to the average
height of the roof surface of the main gable of a pitched. roof.
For repairs or alterations to an existing structure, the fee shall be at the
rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in
the cost of all proposed work.
In no case shall the fee charged for, any permit as set forth in Section 2 be
loss than $5.00.
VERIFICATION OF FOUNDATION
NOTES 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 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 OF 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.
CERTIFICATE OF SURVEY
MILNER W. CARL EY & ASSOCIATES
CONSULTING LiVll F"d,-,!NFERS AND SURVEYORS
500W HVVY 016 184TH AVE S L
ST PAUL, MINN 551 1,' fi[ CLOUD MINN. 56301
4843301 2S11 ?751
1 hereby certify that this SL,rvey plan, or report was o,epared by me or under my direct supervision
and that I am a --) f t
-,duly Registered land �jrvy,�-,r under I -ie o,,, the Srate o+ Minnesota.
Re 1`4 0. D-J.e
of
ri
1_'f -17
33
fl,
SUPVEY FOR: Toni Flynn
1909 6th Avenue So.
Anoka, Mn. 55303
DESCRIPTION: Lot 1. Block 2,
SILVER OAK ESTATES,
Anoka County, Minnesota.
,�-l� b.03
L� --N M
e
4 �I 1 o -
17
G, _ Y OF FRIDLEY I 454
Application for Installation of Water and Sewer Service
This form to be completed before a tap is made to any existing water
or sewer line.
,
Lot ... -... j .... _ Block ---------------- ddi 'ons
Address .2 -!k®®
Plumber .,...i._... (!- -%_?
(this portion of form to be completed by person requesting tap)
CHARGES TO BE PAID BEFORE TAP IS MADE — WHERE
ASSESSMENT HAS NOT BEEN LEVIED AGAINST PROPERTY
Sewer Connection fee
*Street patch _..
Water Connection fee
Meter deposit
Materials used
*Street patch _._
$96.00
* Where applicable
The above applies for all regular residential size services
IF LATERAL ASSESSMENTS HAVE BEEN LEVIED AGAINST
THE PROPERTY, THERE WILL BE NO CHARGES OTHER THAN
CONNECTION PERMITS AND METER DEPOSIT
The City will furnish materials for water service and the plumber
will bill the City for sewer, not to exceed $3.00 a foot or a maximum
of $60.00.
ASSESSMENTS TO BE LEVIED
Water Lateral $.....__._..... _ ..
Credit for material" _...
Total assessment $-----------------..._ _.__....
Sewer Lateral $....._--------..._..-- ----.--
Credit for material 60.00
Total assessment
Clerk's
I hereby authorize the above tap
1st copy—Public Works Director of Public Works
Ayqp Scutba ftr Pmer Rcumhand H Lang® Al kflzm. Rob" a m
Air iml .poems amd Be 4d=
GRATM WARM AM:
MTC 'TOTAL.
mace Shell & Duct Work ... ...
.310.00
Replacement of Furnaee
6.(
Repairs & Alterations—up to $500.00
6.00 $
Repairs & Alterations each add. $500.00
300 $
IMCZL WARN AM
Furnace Shell & Duct Work to 120,000 BTU
each add. 60,000 VM ......
Replacement of Furnace
Repairs & Alterations—up to $500.00
Repairs &' Alterations each add. $500.00
STEAM or HOT WATER SYSTEB4
..$10.00 $
3.130 It
6.00
6.00 $
3.00 $
Furnace Shell & Lines—to 400 sq. ft. F.DR Stem 310.00 S.
Furnace Shall & Line to 640 sq. ft. EDR Not Water 10.E $.
Each add 200 sq. tt. EDR Steam
Each add. 320 sq. ft. EDR Hot Water 3.00 i
OIL T URNER—to 3 gal. per hour 6.00 $
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to M,090 BTU) 6.00
over 199,000 BTU See Fee Schedule
GATS FMING Fes: NO RATE TOTAL
1st 3 Fixtures ( xS zoo g :d 6
Additional PIxtures x .75 $_,
Gas Range to MADD x3 5,M $
AM COmmONm6iP
State Surcharge .50
�--
FAN MATMG BYSTMI See Fee schgdmh
AL Ti LIR& IO M11 & FXPAM TOTAL FM
171717,37M I
Lc 6250 Stinson Blvd.
City of 'medley:
The undersigned hereby makes application for a permit for the work hereW:
specified..agreeing to do all work in strict accordance with the City Ordinm=er
and ruling of the Department of Buildings, and hereby declares that -all the fad
and representations stated in this application are true and correct.
Fridley, Mann- "1
Owner Tom Flynn
Kind of Building Frame
Used as DWg
To be completed about
Estimated Cost:, S /
bid—NewXBuildingPermit No. _ Permit No. la
HEATING or PO team, Igot Watar. Warm tjr-XNo 1
Trade Name Singer S N®GB2105--124
Capacity_._.__. —_ :q. FL E.D.11_ 12 5.0 0 0 1 rrU ffP1
Total Connected Lid -5.6 , 7 33 mim of t MLt . QW
1TIURNM — Trade No Size Pio
Capaci Sq. Ft F -DM- BTU _
t AwMS–®vau8
�1 ��-Mill City Heating Co.
lit 544-1501
+^i°F v.Z���iti'6mi rl o8 Y �A.`S4. .j >,•�i tzoi.tuttiram No. _,w,•,o_.�.�f .^'•.' v.m .a� Ya GC c7 °�,, -.,
Gide � � ..-
ows rs l,Iclel��c
161. Length TJi&h eight __T_
'Windows and rs--Crackase and Area W.: slows m°
9'Jittth ltef611e %o. of Lineal tB. Area
%agotae of It hta ed cr VY
e � ,s7., i s� •` 1 gig.
Infiltration
Maas
Esp. wall
_ Net exp. wall
lot. wall
Ceiling
Floor
Total Btu.
Require a ft. E D.R. or sq. ins. W.A. ad
F1 Room Length
Windows ana Doom--Crackage and Area
lel hei`ht
N6.01 L/anal ft. E
ism e¢ Dams, of tffine lights , or eraew I a
Infiltration
Glaaa
Exp. well
Net exp. wall
Int. wall _
Ceiling
Floor
Total Btu.
RornttermL
Windows and
I
Infiltration
Glaaa
Earp. wall
Net exp. wall
Int. wall
Ceiling
Floor
area
or sq. ince W.A. Le der area
,m I Length Width
—Crackage and Area
No. 0Lineal ft. Area
Ilslhts4 of crack I sa. ft.
If
Infiltration
Claw
Emp. wall
Ne exp. wall
lot. wall
Ceiling
Floor
Total Btu.
Rcquired ft.
Fl.l
Windows
Infiltration
Glass
Exp. wall
Net exp. %
Int. wall
Total Btu.
Windows and I
width H,
Infiltration
Class
Fsp, wall
Net exp. wall
Int. wall
Ceiling
Floor
Totamu.
sq. iris. W.A. j xJer a:
I Lem idth
.rackage seed Area
Oe. of I Lineal ft. I AVIV-%
is of era eft.
ids. W.A. Leader a
Wh
Width
kage and Area
f Lincel ft. Area
s of crack I sq. ft,
Infiltration
Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
r
KImiAPO
l�ei�lrt
MOO Area
app, f ams
'era
Infiltration
Glass
Exp. wall
Net exp. wall
Int. wall
il*J
rf
Infiltration
Glass
Exp. wall
Net exp. wall
Int. wall
-
SUBJECT
PERMIT NO.
City of Fridley
1 P.T( 13001
AT THE TOP OF THE TWINS
I I L ®I N G D [DAA
PERMIT
I
r
BUILDING R'v,
V
RECEIPT
`L ______ COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
/�ey
1 "1 CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
""" 612-560-3450
910-F15
6/6/75
JOB ADDRESS
xM 250 Stinson Blvd.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
Silver Oaks KdEStates SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Tom Flynn 1909 6th Avenue South xxm Anoka
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
0"Anoka. Mn
4 ARCHITECT DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL'ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
SiAIRnf7j a]_
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK
Replacement pemit for burned home or inal permit #12,464
9 CHANGE QF USE FROM TO
STIPULATIONS
` :FERATE PERMITS REQUIRED FOR WIRIN Ch
HEATING, PLUMBING AND SIMS,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
frame
VENTILATING OR AIR CONDITIONING. wood
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
1,222
23, 920
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
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
$24,876.80
12.44
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-
$45.00
12,46.
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
Paid on Permit
PLAN CHECK FEE
TOTAL FEE
®_-
$57.44
SIGNATURE OF CONTRALTO R AUTHORIZED AGENT (DATE)
WHEN P OP RL VA T THIS 1S YOUR PERMIT
G INS DATE
SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE)
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER ' S NAME : BUILDER: ✓ �-�%
G
ADDRESS: 1/ e,z �� ��-�' ,• ADDRESS:
NO:. &24STREET:
LOT: BLOCK:
c2j
ADDITION
�� �l
CORNER LOT: INSIDE
LOT:
SETBACK:
SIDEYARD:
Id
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
ESCRIPTION OF BUILDING
To Used As:
Front: O Depth: Height:
Square Feet • Cubic Feet: Z l5G 1�
✓'�Front: Depth: Height:
Square Feet; �7� Cubic Feet: 4,/, 7-76
Type of Construction: Estimated Cost: $
To Be Completed
e
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 and correct.
DATE: SIGNATURE:
(See Reverse Side For Additional Information.)
N
BUILDING PERMIT FEE SCHEDULE
SECTION 2. The Inspector of Buildings 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 ox repairs 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:
UNIFORM BUILDING CODE: Type 1, 2 & 4 - $2.15 for each one thousand cubic
feet, or fraction thereof, in such cubical contents. Type 3 & 5 - $1.85 for
each one thousand cubic feet.
ADDITIONAL INFORMATION
For the purpose of computing fees for building permits, the cubical contents
of any building or addition, is determined by multiplying the ground area
covered from a point six (b) inches below the floor line of the basement
or the cellar to the average heights of the upper'surface or to the average:
height of the roof surface of the main gable of a pitched roof.
For repairs or alterations to an existing structure, the fee shall be at the
rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in
the cost of all proposed work.
In no case shall the fee charged for any permit as set forth in Section 2 be
less than $5.00.
VERIFICATION OF FOUNDATION
NOTE: 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 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 OF OCCUPANCY
Application for a Certificate of 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.
cation for Fewer Kwh and Heafq. Coding. Ven iiattons ReIr,raeioe aed
Air Condtttontng S"wa 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 $500.00 6.00 $_
-.—
Repairs & Alterations each add. $500.00 3.00 $—___.
MECIL WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ........ ..$10.00 $ /V- 0-0
each add. 60,000 BTU ............ I ....... 3.00 ;
Replacement of Furnace 6.00 $
Repairs & Alterations—up to $500.00 6.00 $
Repairs & Alterations each add. $500.00 3.00 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR Steam $10.00 $_
Furnace Shell & Line --to 640 sq. ft. EDR Hot Water 10.00 $_
Each add. 200 sq. ft. U.DR Steam xon
Zach add. 320 sq. ft. EDR Hot Water 3.00 $--
OIL BURNER—to 3 gal. per hour 6.06 $ —
over 3 gal. per hour -See Fee Schedule
GASB (up to 195,000 BTU) 0.00 $
over 199,000 BTU See Fee Schedule
GAS FITTING FEES. NO RATE TOTAL
1st 3 Fixtures x$ 200 $ Z 62 V
Additional Fixtures x .75 $
Gas Range to 199, x$ 800 $
RGUGH
FINAL
$
See Fee Schedule
$
TOTAL. FEE $
(SURCHARGE $—.50)
Dept. of Bldgs. Phone 580-3400
Low 6250 Stinson Blvd.
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
Kind of Building
Fridley, Minn 18
Tom Flynn
Frame
Used as - . ___ -..._. -_ . __D_W_9_ _- -.
To be completed about
Estimated Cost,
Old—NeWX Building Permit No
Permit No. 4 3 63
ON OF WORK
STING or PO team, Biot Water, Warm Air XNo 1
Trade Name Lennox Sim N G12Q3A-110
Capacity Sq. rL E.D.R 11110"_ BTU H.P.
Total Connected toad 56,733 Rind oY puel N a t. G a s
B — Trade NaEna Siwe No
Capacity Sq. ! t. E.D.R BTU I
(REMARKS—OYER)
Steed Mill City ' ating Co.
By—ld ' k-- -Al A&Zt,
Budnesa Phone No --:5 44-1501
m KA
tI��►i/t
rINSAMIAMM
Ric -
five
A ffte,10W ►'/Mims•/
SWAM. pi-imp7
7774
IS rAVM4A
EMWIT m"
L,k,fir
�Z
'
HEAVIOSS CALCULATIONS
DEPARTMENT
OF BUILDINGS FRIDLEY, Ml N®
Weatherstrips A.S.� •
Construction
No.
Insulation '
Roof Floor
Windows Doors Reference Out. Wall Int. Wall Ceiling
Kind How App lie
�No 19_.
EIm Length Width
Height
Fi.� oom Length Height '
Windows and Doors—Crackage and Area
Width Height No. of Lln•al f Area
No. of o e I lights of cra sq
Windows and Doors—Crachage and Area
I
Width Height No. of Lineal tt. Area
Ne. pan 1 ht of k . ft.
Vr
h-Atration
Infiltration
Class
Glass a
Exp. wall
Exp. wall
Net exp. wall17
Net exp. wall
Int. wa
Int. wall
Ceiling .... -
Ceiling
Floor
Floor
T 0.
Total Btu.
U* a sq. ft . or sq. ins. W.A. ader area -moo, RjGvy WOr
-Bojuired . E.D.R. or sq. ins. W.A. Leader area
Room Length Width
Height
gY
m I Length •M Width Height
Windows and Doors—Crackage and Area
Windows a Doors---Crackage and Area
ld S Hetght No of Lineal ft Ara
e • of e 1 • of tt
®
Width Hei o. f Lineal ft. Arta
Nom s is of ack sa. t b.
00
til
III6ltratim
Infiltration a
Glau pitGlass
�. wall
Exp. wall 7.
Not exp. wall
Net exp. wall
Int. wall
Int. wall
Ceiling
Ceiling
Floor
Floor
Total Btu.vw%Total
Btu.
Required sq. ft. E.D.R. or sq. bill. W.A. Leader area
it . R. .R. or sq. ins. W ader area
Fl. Room I Length ..•Width
Height
F1,1 Room I Length Width Height
Windows ana 13oors--Crackage and Area
Windows and Doors--Crackage and Area
Width H ht No. of Lineal t Area
of p o ns I'y.its of c c eq.
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
CAef. Btu-
mtration
%Infiltration
Glass
0
Glass
Exp. wall �.-
Exp. wall
Net exp. wall
exp. wall
Int. wall
JNet
Int. wall
Ceiling
Ceiling
Floor
---i;Qor
Total Btu.
T
ill. iris.
mired :q. R. E.D.R. or sq. ims.:WA. L,ea&r a»iza .
CH -1 of Frimley
AppliccaTcn for Plumbilig andm- N Hpr:g P4rmit
Dopt. of Bldas. Phone M-3450
DESCRIPTION Or W011r,-
Nuinbar. Kind and Locc3ion of Fixtures
V
J
Number Fixtures ................
g x v2,00
$ D®
Future Fixture Opening ...........
�
N
(. New Fixture Old Opening..........
o
f u
N
Y
e
a
WATf4 "TR.
GAS fLfC.
' j
J
• F
�
N
'i r
G `r
.. O
V �
�J•
::1
U f:'
U $
$
Gas Range to 199.000 BTU ...........
x $5.00
- �
�
Bast
Ist
2.^.d
_
3:d
4th
• Future ConaozSon Oponings ••"u`.`•`•"" •"„`•
Xsw Fi:rturv, Old Opoair z
PARTIAL RATE SCHEDULE
City of Fridley:
The undersigned hereby makes application for a permit for the- work herei
specified, aZreeing to do a1 work in strict accordance with the City 0- dinance
and ruling of the Department of Buildings, and hereby declares that all the fact
and representations stated in this application are true and correct
Fridley, &Finn L.& . I”
O!
Owner
Kind of Building
So -war ❑ Used as
Cesspool ❑
PLUMBING FIXTURE RATES:
NO. RATE TOTAL
Number Fixtures ................
g x v2,00
$ D®
Future Fixture Opening ...........
x $1.50
(. New Fixture Old Opening..........
x $1.50
Catch Basin ........... ........
x $3.25
$
Water Ilea ter 'L'p to 99.000 BTU)
x 53.G0
$
New Ground Run Old Bldg. ....•..:.
x $3.25
$ '
Electric Water H4atar........... ..
a $2.00
$
ZAS FITTING TEES:
NO. RATE TOTAL
1st 3 Fixtures ....... o .... • •
x $2.00
$
Additional Fixtures .. . . . ....... . . . .
x $ .75
$
Gas Range to 199.000 BTU ...........
x $5.00
To be completed about
Estimated Cost, $
OICNew. uilding Permit No. Parmit No.
Signe 49 4
BY _
Business Phone No 'Y 13 W— 2� Z 13
ROUGH
P.EPAMS & ALTERATIONS --Refer io Code .50 State Surcharge
Description..................................e
TOTAL
560-3450
@� ® �Cd�
ANOKA COUNTY
6431 UNIVERSITY AVENUE NE FRIDLEY, MINNESOTA 55421
August 6, 1975
')law✓Ltd 2. -.0"
-.�w"/ v`3—s-63
Re: Verifying Survey for
Gentlemen:
Please be•advised that of this date,.we have not received a verifying
survey for the above captioned house.
We would appreciate it very much if you would get this survey into
our office no later than September 1, 1975.
Thank you for your cooperation in -this matter.
Yours very truly,
DARREL CLARK
Community Development Administrator
DC/cs
FIRE DEPARTMENT MEMO
TO: BUILDING INSPECTION
ASSESSING
SUBJECT: FIRE DAMAGED STRUCTURE DATE: Jan. 19, 1981
FIRE HAS OCCURRED AT
6250 NE Stinson Blvd., Adam Narbut (574-1154)
(ADDRESS)
Jan. 18, 1981
(DATEFFR
FPB -6
SUBJECT
P
City of Fridley
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
______ COMMUNITY DEVELOPMENT DIV.
1 ~ PROTECTIVE INSPECTION SEC.
r
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
4/3/97
JOB ADDRESS 6 C�inson Boulevard NE
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
1
1 2 1
Silver Oaks
Estates
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Rossi 6250 Stinson Boulevard NE
571-1308
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Netko Exteriors 7118 Riverdale
566-3731 20060494
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
B DESCRIBE WORK
Reroof House (14 S Tear-off
9 CHANGE OF USE FROM
TO
STIPULATIONS
Underlayment must comply with
the 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
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
$1,155
@
$ 58
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 REGULAT G CON-
$40.25
Fire SC $1.16
STRUCTION OR THE PERFORMANCE OF ON TRUCTIO
PLAN CHECK FEE
TOTAL FEE
)LicepiXe
SC $5.00
$46.99
SIGNATURE OF CONTRACTOR OR AUTHORIZED A ENT IDATEI
PRO
Y VALID////TED THIS IS Y96R PE IT
B DG INSP
DATW L
SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI
NEW [ ] Effective 1/1/97
ADDN [ ] CITY OF FRIDLEY C
ALTER [ ] SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress:
Legal Description:
Owner Name& Address: ®'% Tel. # 6~
Contractor:
��j.® MN LICENSE #
� x
Address: 7%% '? %�/� � Tel. # J`�,�;,
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA:
Length
Width Height Sq. Ft.
GARAGE AREA:
Length
Width Height Sq: Ft.
DECK AREA:
Length
Width Hgt/Ground Sq. Ft.
OTHER:
Construction Type:
�'
�
� �� Estimated Cost: $
(Fee Schedule .= .back)
j c2�
Driveway Curb Cut
Width Needed:
Ft. + 6 Ft = Ft x
DATE: ' APPLICANT:
Tel. #,5 low
CITY USE ONLY
Permit Fee
$ 19®2
Fee Schedule on Reverse Side
Fire Surcharge
$ 1,16
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$.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
STIPULATIONS: 3� ��
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,(W.
$100,001 to $500,000 $887:251f0.Tj rst. $100,00 plus $5.00 fol each additional
$1,000 or fraction, thereof, -to -and inciudin$500,000 x ,
$500,001 to 1 000 000
$ , $2887 25 for the -Bid" 500,000 plus $4.2S, for each additional
.:'Fi11e��L 3i .d/IV Y h �yykJFlo
$1,000:,or fraction thereof, to and including k X000 }
1'�'
.$1 .000,001 and up $5012.25 for the first $1,000,000 plus $275 for each, additional
$1,000 or fraction thereof:
a
DRIVEWAY
rDEPRESSION,ESCROW
7(Concrete Curb .Streets, Only). _
Alternate "A": Removal and replacement of curb and gutter only Di
ivewayA 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 _widtli plus 6 feet times $15.75.
VERIFICATION OF FOUNDATION -
Permits for construction will be issued a mwimum of 241hours from the time of application oto allow for proper
review of the proposed structure and of the constriction site:
A Certificate of Survey of the lot, showing the Dation of the foundation once it has it has been constructed
will be required before proceeding with the framing.
CITY OF FRIDLEY INSPECTION
IN131 University Ave NE
Fridlgy, MN 55432
572.3604
RATE SCHEDULE
DIVISION
Effective On May 10, 1999
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
REFRIGERATION AND AIR CONDITIONING SYSTEMS A D DEVICES
JOB ADDRESS
Residential
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace
(Side Vent • Fill Out Back)
Gas Piping (Needed with new furnace,
but not replacement)
Gas Range
Gas Dryer
Rate
$ 30.00
$ 10.00
$ 10.00
$ 10.00
*Air Conditioning:- All Sizes $ 25.00
All Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work
Commercial/Industrial
1.25% of Value of Appliance or Work
State Surcharge
TOTAL FEE
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $47.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
4N i11 I '-_kMui3 W.0 0 CTMJMJ�'a ;M 0.
410 09 STREET
HEATING CO ''� 'Za n�a
Signed DATE i
Approved By Rough -In Date Final Date
- D10
/ FILL OUT BACKSIDE FO STACK VERIFICATION ON REPLACEMENT FURNACE
C- i"
.32
OWNER
TOTAL
3 l
BUILDING USED AS :.
a
ESTIMATED COST°�0 PERMIT N0.IN
$
ke
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units Circle One (Steam) (Hot Water) CA]r)
$
Trade Name Q Size No.
BTU fab, HP EDR
$
Fuel f.q,6Total Connected Load_
Burner Trade Name Size No. lilt
$
BTU HP EDR
$
The undersigned hereby makes application for a permit for the -work herein k
specified agreeing to do all work in strict accordance with the City Codes an
$ 50
rulings of the Building Division, and hereby declares that all the facts and ` Y
representations stated in this application are true and correct.
$
4N i11 I '-_kMui3 W.0 0 CTMJMJ�'a ;M 0.
410 09 STREET
HEATING CO ''� 'Za n�a
Signed DATE i
Approved By Rough -In Date Final Date
- D10
/ FILL OUT BACKSIDE FO STACK VERIFICATION ON REPLACEMENT FURNACE
C- i"
.32
CEMMY .AND STACK VERIFICATION
The undersigned hereby verifies that---th -.existing-chininey or stack: A
1. Has been carefully examined Yes O No ( )
2.
.Is free from rust or deterioration 6-
Yes O
No
( )
3.
Has no foreign objects lodged within
Yes(
) . No
( )
4.
-'Is securely: supported ,-_ .
Yes (.)
No
( )
5.
� ,Meets all- current : Code requirements for size
and total BTU's connected
Yes-(
No
( )
6
Has total heating BTU's of
All other BTU's
TOTAL BTU's
7.
Has a liner been provided for water heater
Yes (
No
( )
.8.
Has combustion air been provided for -water heater
Yes (
No
( )
Remarks:
HEATING CO:
GAS WORK ORDER -vo
1072 Payne Ave. STANDARD 410 W. Lake St.
St. Paul, MN 55101 Minneapolis, MN 55408
651/772-2449 b H EAT I N G O9 612/824-2656
& AIR CONDITIONING
A Blue Doi: Service Co. EQUIPMENT INFORMATION
LASTS FIRST M(,
ADDRESS ft�- /�2
CITY T ZIP `s
HM PH s7T WK PH
TECH L- -_.� _ DATE
TYP E
MAKE MODEL -AF- 1
SERIAL
INPUT 1,7U ,
ORSAT TEST RECORD
CO2 %
METERED INPUT &0 1 10) Cfh CHIMNEY TYPE � YL -
02 %
LIMIT SETTING �"� ° FLUE SIZE Z in.
CO z) %
PILOT OUTAGEP� ec CONNECTOR SIZE in.
NET STACK TEMP .
.- ° TOTAL CHIMNEY INPUT 0 btuh
GNOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287
June 29, 2001
Mr. Hal Rossi
6250 Stinson Blvd NE
Fridley, MN 55432
Re: Final Inspection at 6250 Stinson Blvd NE
Contractor: Standard Heating & Air Cond Co
Dear Mr. Rossi:
A mechanical permit was issued on August 3, 2000 to install a furnace at your address.
According to section 305 (a) of the 1991 Uniform Mechanical Code, a final inspection shall be
conducted on the mechanical work authorized by this permit. As of this date, no inspection has
been called for.
The permit fee that was paid covers the inspections to make sure the work was completed
according to the Mechanical Code. We will keep your permit open for another 30 days and if we
do not hear from you within this time to set up the inspection, we will expire the permit and no
further action will be taken.
To set up the inspection or to have any questions answered, please contact the Building
Inspection Division at (763) 572-3604.
Sincerely,
DJ/mh
T /
SUBJECT
City of Fridley
33111
AT THE TOP OF THE TWINS
B U
I L D I N G P E R M I T
It
RECEIPT
COMMUNITY DEVELOPMENT DIV-
O
7
j PROTECTIVE INSPECTION SEC
�
NUMBER
REV
DATE
PAGE OF
APPROVED BY
E 1 CITY HALL FRIDLEY 55432
"'"-11•� ,�' 763-571-3450
950-F15
9/24/02
JOB ADDRESS 6250 Stinson Blvd NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
1
2
Silver Oaks Estates SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Hal Rossi 6250 Stinson Blvd NE
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Beissel Window & Siding 1635 Oakdale Ave,
St Paul, MN 55118 651-451-6835
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO
6453
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW C ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE
8 DESCRIBE WORK
Construct an 8' x 9' Front Portico
9 CHANGEOFUSEFROM
TO
STIPULATIONS
See notations on plan.
WARNING
Bef®re digging
all utiii call f®r
tY locations
X5"002
EI LAW
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 1STALLS
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
$1,609
$ 80
WITH WHET R SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
.
DOES NO P ESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CH RGE
P S OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$6O.lO
Fir SC $1.61
STRUC ION TH& PERF MANCE OF CONSTRUCTION
PLAN CHECK FE
TOT L FEE
Licen S $5
67.51
SIGNATURE OF CON7RACT0 O AUTHORIZED AGENT iDATE,
ENR VALIDAfEj9 THIS LS.JOUR PE IT
S-GNATURE OF OW NiDATE,
BLD .NSR r�ArE
T /
NEW [ ]
ADDN [
ALTER [ ]
Construction Address:
Legal Description:
Owner Name &Ai
Contractor. Q ---1.55e
Address.-/& 3�
CITY OF FRIDLEY Effective 1/1/2002
6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
All
Tel. # _
MN LICENSE # c—' t- K --3
Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width Height Sq. Ft
GARAGE AREA: Length Width Height Sq. Ft
DECK AREA: Len th Width Hgt/Ground Sq. Ft�
OTHER: 41 P If
>G
enrN
Construction Type: Estimated Cost: $ - % (ffl09.
Driveway Curb Cut Width Neede Ft = Ft x $ _ $
DATE: f _0 -- APPLICANT Tel. #
Call (763) 572-3604 for Permit Fees if mailing in applica 'on or Fax to 763-571-1287 if using credit card and we will
call you for card number.
CITY USE ONLY -
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
$ (�0, /L/ Fee Schedule on Reverse Side
$ I , (/ .001 of Permit Valuation (1/10th%)
$ . 8 $.50/$1,000 Valuation
$ $1200 per SAC Unit
$ �5 '00 $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 [ ]
TOTAL $ 9, 61 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
$1 to $500
$501 to $2,000
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $100,000
$100,001 to $500,000
$500,001 to $1,000,000
FEES
$23.50
$23.50 for first $500 plus $3.05 for each additional $100 or
fraction thereof, to and including $2,000
$69.25 for first $2,000 plus $14.00 for each additional $1,000
or fraction thereof, to and including $25,000
$391.25 for first $25,000 plus $10.10 for each additional $1,000
or fraction thereof, to and including $50,000
$643.75 for first $50,000 plus $7.00 for each additional
$1,000 or fraction thereof, to and including $100,000
$993.75 for first $100,000 plus $5.60 for each additional
$1,000 or fraction thereof, to and including $500,000
$3,233.75 for the first $500,000 plus $4.75 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$1,000,001 and up $5,608.75 for the first $1,000,000 plus $3.15 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $17.00.
Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper
review of the proposed structure and of the construction site.
VERIFICATION OF FOUNDATION
A Certificate of Survey of the lot, showing the location of the existing foundation will be required before
proceeding with the framing. New Houses Only
CERTIFICATE OF SURVEY
M I LN ER W. CARLEY & ASSOCIATES
CONSULTING CIVIL ENGINEERS LAND SUFVEYORS.
500 W. HWY. 96 314 OAK ST. 18 4TH AVE. S.E.
ST. PAUL, MINN. 55112 SAUK CENTRE, MINN. 56378 ST. CLOUD, MINN. 56301
4843301 3523664 251 7751
I hereby certify that. this survey, plan, ,or report was prepared by me or under my direct supervision
and that I am a duly Registered Land Surveyor under the laws of the State of Minnesota.
Reg. No. %'. Date—
' REVIs6O MAY 7,1974 , HousE LocArloN
d
I
I� vl
I 1 I
25.8
1 � � � •sll
a �9; :• 1.7
z
N�
r)
N
33,
/." 30
SURVEY FOR: Tom Flynn
1909 6th Avenue So.
Anoka, Mn. 55303
DESCRIPTION: Lot 1, Block 2,
SILVER OAK ESTATES,
Anoka County, Minnesota.
BEISSEL
WI NDOW I SI DI NG Telephone (651) 451-6835
1635 Oakdale Avenue, West St. Paul, Minnesota 55118 Fax: (651) 451-0531
IV— r—\ Jti.,. .
vx
-�-% �o C &'�' b� Z�-h Xv \4 t, -c- xS
�--;�VrS 1 14-44, A'
Family Owned & Operated Since 1950
w"hEISSEL
r-r"jm
L -U
WINDON SIDING Telephone (651) 451-6835
1635 Oakdale Avenue, West St. Paul, Minnesota 55118 Fag: (651) 451-0531
WN
2) x )\.0"� . Z .
5a4t°4�kr
p
V-�St
D --s r C 4)\ -IC
Family Owned & Operated Since 1950
BEISSEL
WI ®® NSI INCA Telephone (651) 451-6835
1635 Oakdale Avenue, West St. Paul, Minnesota 55115 Fax: (651) 451-0531
-7b3-S��- 13�$
J#'j
'W -No -e %
)-x %a INo"
P A
"001 �ir / @
Family Owned & Operated Since 1950
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CITY OF FRIDLEY INSPECTION DIVISION
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
(763) 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
FAX (763) 571-1287
RATE SCHEDULE
Residential
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace
(Side Vent - Fill Out Back)
Gas Pipip . (Needed with new furnace,
ut not replacem,.gnt)
Gas Range��
Gas Dryer
*Air Conditioning - All Sizes
All Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work
Commercial/Industrial
1.25% of Value of Appliance or Work
Rate
$ 30.00
$ 10.00
$ 10.00
$ 10.00
$ 25.00
State Surcharge
TOTAL FEE
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $47.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining pr perty owner.
Effective January 1, 2003
JOB ADDRESS 6,s o SCS 5 4- k n 5, o n.
OWNER YA / REA55 i
TOTAL
BUILDING USED AS Bf'fder,c—
ESTIMATED COST �
PERMIT N0.
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units___L Circle One (Steam) (Hot Water)(Warm Air)
$ Trade Name l err n Wo Size No.
BTU '3D,yZy HP EDR
$ Fuel N 6 Total Connected Load
Burner Trade Name Size No.
$ BTU HP EDR
$ 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
$ .50 rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are true and correct.
DATE if
Allied Fkeside
dbaFRffi BHWM&Home
HEATING CO UmM42009M1
2M W. FabViewAM
R0SWA %MCNA=13
SigneTEL #
FAX #
6
Approved By Rough -In Date Final Date /�
THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE
APPLICATION WILL BE RETURNED
r-nMMnN VFNL VENT r-nNNFCIQR AND COMBUST nN AIR RIFICAT]nN
When raIna ,Ina an amosban ,ranee, 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 (1 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 PY -shi-nmhi isfinn air is sized and installed to meet the current codes
and manufacturer's specifications. Yes () No ( )
When required to ine+all a new cnmhu-sl inn ai ; it will be sized and installed
to most the current codes and manufacturer's specifications. Yes( ) No( )
When jpatallinn new venting sptem, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturer's
specifications. This does include AGA -LAMA 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(
)
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
All T RATIONS• Jnpc�e)
G e- ! 00 -s e r tle in
Ew e145 1,' -
HEATING CO: / e s i d e
Signed By: Date:
MPJ
SUBJECT.
City of Fridley
34058
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
`
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC
��� 67
1 �
NUMBER
REVDATE
PAGE OF
APPROVED BY
= I CITY HALL FRIDLEY 55432
763-571-3450
910-F15
12/18/03
JOB ADDRESS 6250 Stinson Blvd NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
1
2
1 Silver Oaks Estates
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Hal & Melodie Rossi 6250 Stinson Blvd NE
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Beissel Window & Siding 1635 Oakdale Ave W St Paul MN 55118 651-451-6835
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO.
6453
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
0 NEW 0 ADDITION 0 ALTERATION (] REPAIR
1�
0 MOVE 0 REMOVE
B DESCRIBE WORK
Replace windows within existing openings
9 CHANGE OF USE FROM TO
STIPULATIONS
Provide smoke detectors in all sleeping rooms and on all levels of the dwelling
per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all
exterior openings.
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
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
$7,300
$3.65
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT P ME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIO O ANY OTHER STATE OR LOCAL LAW REGULATING CON.
$153.25
Fire SC $7.30
S N E PEF�FO ANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTALFEE
'ce se SC $5.00
$169.20
SIGNATURE OF CONTRACTOROR UTHORIZED AGENT IDATEI
WHEN PROPERLY VALIDATED THIS IS R PE MIT
`YO
pA tE
S.GNATURE OF OWNER, -F OWNER BUILDER. IDATEI�VLIG-Nl-
MPJ
NEW [ ] CITY OF FRIDLEY Effective 1/1/2003
ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
ALTER [.� SINGLE FAMILY AND DUPLEXES R4 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
Construction Address:o?� ® J / ivj�SrrhJ���
Legal Description:
Owner Name & ddress: Iii a�/11 p,/°"a e_ AleeSS / Tel. #
Contractor.Z-1cz15T,edc'o sc ✓ MN LICENSE #
Address: / ,�o 52 mvS` / r Tel. # �Sj—
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
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.
Length Width HgUGround Sq. Ft.
r
Construction Type. Estimated Cost: $ r�Cv
Driveway Curb Cut Width Needed:Ft. = Ft x
c o
DATE: /r0 s�� APPLICANT: Tel. #
Call (763) 572-3604 for Permit Fees if mailing in application. ax to 763-571-1287 if using credit card and we will
call you for card number.
CITY USE ONLY -
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
$ t) Fee Schedule on Reverse Side
$ .001 of Permit Valuation (1/10th%)
$ �.� $.50/$1,000 Valuation
$ $1275 per SAC Unit
$
S-100 $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 [ ]
BUILDING PERNIIT 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
$1 to $500
$501 to $2,000
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $100,000
$100,001 to $500,000
$500,001 to $1,000,000
FEES
$23.50
$23.50 for first $500 plus $3.05 for each additional $100 or
fraction thereof, to and including $2,000
$69.25 for first $2,000 plus $14.00 for each additional $1,000
or fraction thereof, to and including $25,000
$391.25 for first $25,000 plus $10.10 for each additional $1,000
or fraction thereof, to and including $50,000
$643.75 for first $50,000 plus $7.00 for each additional
$1,000 or fraction thereof, to and including $100,000
$993.75 for first $100,000 plus $5.60 for each additional
$1,000 or fraction thereof, to and including $500,000
$3,233.75 for the first $500,000 plus $4.75 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$1,000,001 and up $5,608.75 for the first $1,000,000 plus $3.15 for each additional
$1,000 or fraction thereof
CURB CUT ESCROW
(Concrete Curb Streets Only)
Removal and replacement of curb and gutter only - driveway width plus 6 feet times $17.00.
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.
VERIFICATION OF FOUNDATION
A Certificate of Survey of the lot, showing the location of the existing foundation will be required before
proceeding with the framing. New Houses Onlv
11 Buildg, in
FIJUNIBING
Permit N,,o..O-k)bq
inspections
1 R.._ES51DE_TN7LAL AFRILICATIONT
Reccived Be:
-572-3 604
7633_
'F
0i
I
1`117
"'Y 0 FRIDLE
D
977 F.A.X
76)-502-4,/
�Y
EFFECTnTl 1-448
j,
DATE -2-5 -0 2! YOLK E-MAIL ADDRESS
SITE ADDRESS &2-G6 .12;� n Sm Aluel
THIS APPLICANT IS: El OWNER AONTRACTOR
i
PROPERTY
NAME:
OWNEW
M NjUNT
ADDRESS: CM STATE —ZIP —
PHONE:
CONTRACTOR
NAME:
SUBMIT COPY OF
YOUR STATE
STATE LICENSE EXP DATE
RWOF Gity Plumbing Co
LICENSE. BOND AND
STATE BOND 4., DATE
9290 Main St. N.E
CERTIFICATE OF
It, ow
ADDRESS: CITY STATE ZIP_
Rift,
INSURANCE
MN 55432
PHONE (763) 75®_-24 99 F,-�x F68) 754-29W FAX
PER5M TYPE
0 SINGLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE
0 NEW REPLACEMENT
ME OF WORM
DETAILED DESCRIPTION OF WORK _AA
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 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 5300 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: PTDICATE TOTAL
NUMBER OF EACH BELOW). MINIMUM FEE S15.50.
— BATH SINKILAV _FLOORDRAINS WATERPIPING
—SHOWER
—BATI= — GAS PIPING (NEED CITY LIC) SWIMMING POOL —WATER SOFTNER ($35)
CLOTHES WASHER Sm WATER CLOSET PREY. ($15)
_KITCHEN _BACKFLOW
DISHWASHER — LAUNDRY TRAY MYATER HEATER ($35) FOR IRRIGATION
WATER METER OTHER
Permit Fee
Number of fixtures @ $10.00 x $10.00 = $
Surcharge .50
Number of fixtures QS15.00 x $15.00 = $
OR Number of fhxtures @ $35.00 x $35.00 = $
TOTAL DUE $
–
State Surcharge = $ .50
(ME'umum 515.50)
(MINIMUM 515.50) Total =$ 35
THIS IS AN APPLICATION FORA 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 tile City of Fridley and with the Minnesota Construction Codes: that [ understand this is
not i permit but onivan application for a permit and work is not to start -withouta permit on site: that the' work will be in accordance
i NiTh Phe n-n-nrnvi-.H Til -nn in rile crne c)F n il work which r-nni iire-..q review ,1nfinnTirnvii nf niqn.q
IG 7RI*NT: I AN 4E�
LT
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PPPOvrD BY
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