PRE 2010 DOCSpity ®f Fridley, °
PERMITBUILDING N® 6805
Date:
IfZ�owner: Builder
Address Address
LOCATI O��NG
No. Street
Lot __ Block i Addition or Sub -Division .
� � � �g
Corner Lot Inside Lot Setback –�- _ Sideyard r
Sewer Elevation ____ — Foundation Elevation
DESCRIPTION OF BUILDING
ToV /�' .
Front Depth �� Height Sq. Ft:� Cu.
Depth eight �� Sq. Ft.uo � Cu. F't.�Y�
Type o Construction Est. � T 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 sem, forth and in Hance with a& provisions of
ordinances of the city of Fridley. / I – ���
In consideration of the payment of a fee of $ '�, permit is hereby granted to
to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Minnesota nnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
within the city limits and this permit may be revoked at any time uponvidian of any of the provisions of said
ordinances. / �l
Building Inspector
NOTICE:
fids permit does not cover the construction, lutalintion for Whing, plumbing, gas beating, sewer or water. Be sure to we
'tie Building Inspector for seperafe permifs for these trona.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNE, P� ° S NAME BUILDER `�4��� I
Y Zra.�
ADDRESS ADDRESS ,��,O
LOCATION OF r9IN
No. j Street Part. of Lot
Lot Block Addition or Subdivision,=if+*t�,�.
Corner Lot Inside Lot ��Setback �•r Side -Yard
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed build-
ing location drawn on these Certificates.
To be used as:
DESCRIPTION OF BUILDING
Front Depth Height
Sq. Ft. Cu. Ft.
FrontDepth Height,
Sq. Ft. Cu. Ft.
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 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.
DAZE_ ,!!�,��— 4v � S IG'NATITRE
(Schedule of Fee,Costs can be found on the Revgrse Side).
c
BUILDING PERMIT FEE SCHEDULE
Section 2. The Inspector of Buildings shall, before issuing any permit for
the erection of any building or structure, or for any addition to any exist-
ing building or structure, or for any alterations or repairs to any existing
building or structure, upon application therefor, 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:
2.1. For any such permit for the erection of any fire -proof building, other
than a garage, warehouse, factory or grain elevator, or for the erection of
any fire -proof addition, for similar occupancy, to any existing building
shall be at the rate of $1.40 for each one thousand cubic feet, or fraction
thereof, in such cubical contents.
2.2. For any such permit for the erection of any fire -proof garage, warehouse,
factory or grain elevator, or forthe erection of any fire -proof addition,
for similar occupancy, to any existing building shall be at the rate of $1.25
for each one thousand cubic feet, classified as "fireproof" by Section 502 of
the Minneapolis Building Code,
HOUSES
2.3. For any such permit for the erection of any non -fireproof building other
than a garage, warehouse, factory or grain elevator, or any non -fireproof
addition, for similar occupancy, to any existing building - permit $1.00 for
each one thousand cubic feet. .
GARAGES
2.4. For any such permit for the erection of any non -fireproof garage,
warehouse, factory or grain elevator, or for the erection of any non -fireproof
addition, for similar occupancy, to any existing building or for each such
"ilding or addition - ninety cents ($0.90) for each one thousand cubic feet
or fraction thereof, in the cubical contents.thereof with a minimum of $4.00.
For the purpose of computing fees for building permits, the cubical contents
of any building or addition to a uniform height throughout by multiplying the
ground area covered from a point six (6) inches below the floor line of the
basement or cellar to the average height of the upper surface or to the
average height of the roof surface of the main gable of a pitched roof.
2.5. 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.
2.6. In no case shall the.fee .chargod for any permit as set forth in
Section 2 be less than $4_00.
Land Planing(4a&tr6u17L 0875-,gOway 'k'S AI.
Land Surweyry Minneatao/s9P,
Soils TestingENGINEERING, I N C. A/�infx a
Civil & MunkOl SYW 4-6066
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En9itteerin9 ---
Enylleers Sur veyors —
certificate of SU*VeV for ANDE-95OU 94,4�4'---r
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/ b�seby cer hrly* fhat ** S'a hwe and �cf represedetim 00 surrey qC#x b vender ies o('fbe o6ore d word /and, mad
/ocvfionLo// rldrnJc s, llrereon, arnd o1/ risible t�ru�vochmenfs , r�'ar . �rnni or wAtid lmrd. As surveyed lq me flits _ d�f
A.D. 19'. SUBURBAN ENGINEERING, INC.
ErlQinears fr Surl,, yors
City of Fridley
Application for Plumbing and Gas Fitting Permit
Dept. of Bldgs. Phone SU 4-7
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures Location
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WATER HTR.
GAS
EIEC
3
19 1
�n
O�
S m
3
G
(�5
(�'J O
Base
1st
2nd
3rd
4th
• Future Connection Openings
Connected with
* New Fixture, Old Openings
Sewer E]
Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures 6 x $1.50 $
Future Fixture Opening x 1.20 $ U
New Fixture Old Opening .............. x 1.00 $
Catch Basin ............................ x 3.25 $
Water Heater (Up to 200,000 BTU) ......—y� x 2.00 $ �� a
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 FEE
City of Fridley:
The undersigned hereby makes application for a permit for the work herei
specified, agreeing to do all work in strict accordance with the City Ordinance
and ruling of the Department of Buildings, and hereby declares that all the fact
and representations stated in this applicatiop are true and correct.
s'"% FridlkA AU in & 19
Owner
Kind of Building
Used as — &
To be completed about
Estimate
Ol —New ding Permit No Per �t No.
ROUGH F L' ;� " `� 3
FINAL
4 2 '21111
Business Phone No ----ZeCeteC-4 —
Application for Power Plants and Healing. Cooling. Ventilation. Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR: RATE TOTAL
Furnace Shell & Duct Work ......................... 8.00 $
Replacement of Furnace ............................. 5.00 $
Repairs & Alterations—up to $500.00 .................. 5.00 $
Repairs & Alterations each add. $500.00 ............... 2.50 $
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $�
each add. 60,000 BTU ....................... 2.00 $
Replacement of Furnace 5.00 $
Repairs & Alterations—up to $500.00 ................. 5.00 $
Repairs & Alterations each add. $500.00 .............. 2.50 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR Steam 8.00 $
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water .. 8.00 $
Each add. 200 sq. ft. EDR Steam ...................... 2.50 $
Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $
OIL BURNER—to 3 gal. per hour ........................ 5.00 $
a over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to 400,000 BTU) ....................... 5.00 $
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
$
AIR CONDITIONING
$
FAN HEATING SYSTEM
See Fee. -.Schedule
VENTILATING SYSTEM
ALTERATIONS & REPAIRS
TOTAL FEE
$
ROUGH
FINAL
Dept. of Bl4V6 Phone SU
r
City of Fridley:
Nz
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 ansa correct. f
Kind of Building 9
Used as
To be completed about
Estimated Cost, $
Ol New. uilding Permit No. �� Permit No.��
HEATING 0W
Trade Nam
Capacity
Total Connected LB
BURNER — Trade
(REMARKS -OVER)
DESCRIPTION OF WORK
N, 7_�S—i2d
Sq. Ft. E.D.R BTU H.P.
3 Kiel of I
No- Z.:/ .7–� / CS
Sq. Ft. E.D.R BTU H.P.
By
&W42 2M Business Phone O
G -
Permit Fee $ `f
APPLICATION FOR MECHANICAL WARM AIR HEATING PERMIT
No. P .........................
Date of issuance ------------------------------------------------------- 196...... Location-.-��'�-'� � ' S�G:.
."t-Xtnn .,---..®..`.1...--------••-------, 196.,3
Inspector of Buildings
The undersi,_%ned hereby makes application for a permit for the installation, alteration or repair of
a heatin_9, air conditi.onin¢ or ventilatin_ system, device or equipment, as herein specified, a-greein-9 to do
all such work in strict a-ccordance with the City Ordinances and rulin-ss of the Department of Inspections
and the specifications set forth in this application as approved and filed in the Department of Inspections.
Owner .... .6;4..�_r.. ..dddress of Owner ......... -------------------------------- .-----------------------
How occupied... Kind o Buildin /��
••----------------•-----•--•--•-•-
Work to be started... ®--`.------------------------- 196.:x. Work to be completed...&::.2................., 1963-.
o E>
Estimated Cost `A�-----------------------------------Old — .New Buildinff Permit .No ------ --...-----------...--------........---
DESCRIPTION OF WORK
Note: Insert the word install, add, alter, or repair, according to which is to be done. Under "Romarks," itemize removals, if any, and
alterations to equipment.
............................Mechanical Warm Air Heating Plants—Furnaces ------------------------ ...----------------------------------------
�r
Make .....
Connected load.-:-.�_._09--.o9.3--7 ----- 1 Te t... - ? ..._.Capacity
Air Conditioning System: Summer — Winter'— .411 rear; --------------•--------------.----------------------------------------------------------
Afake....................................................................................•-•-•- -- Capacity -------------------- _------------------ CIM .................... ............
Ventilating System: Make -------------------
Remarks:--
Approved------------------
D-20 4-420.1
--------- Capacity .-----
---•--. Cfm......................
------------------------------ RANK'S'NFAfi%Ni; -----------------------------------
.----------------------------AND-. SHK _. M TAL ---------------------------------
2505 MMSI3NJ.SUM
S$-ened-----•------------------------••---------
By.
196.-----.lIddress--------------------------------------------------------------------------
Inspeetor.
Telephone.'/.r!l- l -q,�;..
--
HEAT LOSS CALCULATIONS DEPARTMENT OF INSPECTIONS MINNEAPOLIS, MINN.
Weatherstrips A.S.H.V.E. Construction No. Insulation
Guide
WindowsI Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied
Yes—No Yes—No 19—
FI.1 Room I Length Width Height II Fl.l Room I Length Width Height
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
Coef. Btu
Infiltration
Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
F1.1 Room ( Length Width Height
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack aq• ft.
Btu
Infiltration
Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Fl.l Room I Length Width Height
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane Ilghts of crack eq. ft.
Coef. Btu
Infiltration
Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
Coef. Btu
Infiltration
Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
F1.1 Room I Length Width Height
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane Height light. of crack sq. ft.
Infiltration
Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. his. W.A. Leader area
F1.1 Room I Length Width Height
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
Coef. Btu
Infiltration
Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or so. ins. W.A. Leader arra
r►
API GAS BURN PEST
Permit No. M .........
-------
Location _-•-. `.���... ®.:."'} .. .- .•...-..• •-
inn., -----•--•r ------•--•----------•---•-------,
Donald A. Erickson Inspector of 8ufildingss
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all such work In strict accordance with the City 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.
Owner...4�..614 ...',
Kind of Building..--t.t..,ll -..-.Used as----
To be begun about--- �2�::............... ---•-•--•-••-----•----•--•-•--
Jam- ®------------------------------------------------
To be completed about. 19
m
Estimated Cost,®•.--•-�-----..----•-•---••---•--------
Old -New Building Application No ....... '-:---.-•.•-.-.----•--•--•--•--------•••---•----.•...............
Electrical Permit
or WORD
No. of burners to be installed.. ...... , �-:...•..............................................................
altered............................... ...................i... repaired................ .....................................
Conversion....... ..... ....:Gas Unit..�.......................................................
TradeNome ..-.....{.. r...............................................................
SizeNo.... ...(......J�......:.1®:®..............Btu Input ...... 110.0 ... I ....k..........................
Gassupply piping to be Installed........ a..? C..................................................................feet
Type of heating Plant, atemn—hot water warm air; Connected load ...��.. ..�.
Btu. Proposed vent flue size',, (Dfam, in Inches)......... ..•........... Chin meey flue dimen-
sions ........................................... i:! ....................i...... Authorization No ..... 9.1l..r......
Remarks (Specify any removal, or nature of any alterations)............................................
....................................................i', ................ .......................................................I................
......................................................................."fRi4
................................................. ,...ZEATIN
T
y ........ T .... Z5 MARMALL S
Inspectedby....................c..... ...........Date approved .............................................. 19........
c.ss +css s
B
NAME DATE:
BUSINESS 1
OPERATOR: TEL. #
4
On this date, the health authority made an investigation of the subject facility.
The deficiencies noted at this time and the necessary corrective measures are
given below. If you have any questions concerning this matter, please feel free
to call on us at our offices (City Hall, 6431 University Avenue N.E., Fridley)
Telephone No. 560-3450, Ex. 41.
Received. by 1 -
0
Health authority
01�
SUBJECT
of Fridley
rECity
12189
AT THE TOP OF THE TWINS
BUILDING PER T
r
CEIPT NO.
�
• _______ COMMUNITY DEVELOPMENT DIV.
r I L PROTECTIVE INSPECTION SEC.
I �
1 . �
14"'1 CITY HALL FRIDLEY 55432
NUMBER
DATE
PAGE OF
APPROVED BY
"•"'� 612-560-3450
910-F15-7—v--1
6/18/73
JOB ADDRESS 6530 Stinson Boulevard N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
5
3
1 Moore Lake Park Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Gary Larson 6530 Stinson Boulevard N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same-
ame4
4ARCHITECT 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
CX NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct 16' x 32' Swimming Pool
9 CHANGE QF USE FROM TO
STIPULATIONS See Health Inspector's memo dated June 13, 1973
u
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
Steel
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SQ. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
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.
$3a 850
1,93
WITH WHETHER SPECIFIED HER NOT. THE GRANTING OF A PERMIT
DOE- NOT PRESUME TO C44E UTHO ITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PRO"I I NS OF ANY OT ER S TE O LOCAL LAW REGULATING CON-
$23.10
STR N OR THE PE FOR AN E OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
$25.03
1 OF ONTRACTOR ORA OINIZEDAGENT )DATE)
o'
WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE)
BLDG INSP DATE
01�
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAM 9-5a,�L_BUILDER._
ADDRESS *Z-5.
?E) S> - ADDRESS. --
NO:. STREET:
LOT: - '7:�' BLOCK: :a> ADDITION:
CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD:
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates. —
DE CRIPTION OF BUAL
To Be se As
-Front: Depth. Height:
Square Feet: Cubic Feet:
-Front: —Depth: Height:
Square Feet; —Cubic Feet:
Type of Construction:
To Be Completed:
,Estimated Cost;
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in attict accordance with the City of
Fridley Ordinances and rulings of the DeparL,-ment of Buildings, and hereby
declares that all the facts and representations stated in this application
are true and correct. 7 _ —
0
DATE: A -Q
SIGNATURE:
(See Reverse Side For Additional Information.)
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 or 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 - $1.55 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
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.
Land Planning �li �6p75 ll, bmy $C5 AIE.
LondSurvet 7y �`� K
+ Minrva�vlsn,
Soils TestingENGINEERING. C. GJinnesola
Civil 6 Municipal ' SUnsef 4-6066
i
Engineering --- Engineers Sur veyors
Mortgage Loam Survey for
Its
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P
This " true vnd correcI represen117¢i0r" oro sarveV ef,"he hm ndorrrs aj'lhe land oboes *4-ibedundo�"hWecv inn sfa# uiidir qs,
'any, #67o7, vnd all visible �acr�r�irrren¢s , j� arsr , f��m an said grid. Tn'5jVrvey Is magi° c�111� �I iM�:PCIlOf1 Ni�} ci 17tor{fie i t?sfi7 t74�d
' 667y Roca w lbe properly and n0 habrll� is assumed excepf k 6e ha/der ofsurh xwrjje w anq Aer /nferesf aamir' °d by r`i re7w u1
5LAh xffl e. His rmavrsfcrd andagreed no manurnpni`s hove .Aeen paced/,;- &e mrjaw a(estgb/sb#Y7r /of kX5 X'- VWcorners. ,
j
SUBURBAN ENG,'NEERIMG, INC.
Owed fhrs " dad %__ r � - A,01.9 .
q ; Engineers and Surveyors
by ' t`---- -- -- ----
'i _
Plan Review of Private Pool For
6530 Stinson Boulevard N.R.
The following items need consideration]
I. Provide a minimum of a 4 foot fence around yard or pool with s
Self -Closing and a self latching ate.
2. 1 assume the pool will have one skimmer, one main drain: and probably
two inlets. Incomplete plans on pool.
3. No cross section drawings on pool to show configuration and diving
board installation.
4. No overhead electrical wiring 4 at least 10 to 15 !Feet from edge of
pool. .
3. Pump# skimmers and filter must be N.S.F. approved. No evidence of
N.$.P. approval.
6. Provide depth markings on both sides of pool at shallow$ transition
points and deep and.
7. Turnover must be at least once every 12 hours at recommended filtration
rates.
S. Electrical moat be approved by the Electrical Inspector.
9. Provide a back-flow preventer on water line to outside spigot used to
fill pool. Must be located inaidacMouse on water line.
Plans were difficult to review because of the lack of specifications and
drawings.
Approved subject to above comments.
June 13, 1973
HARVEY J. Y.O
HEALTH INSPECTOR
.. d
.
1.
sueJEcr
PERMIT
City of Fridley
®_ 17959
AT THE TOP OF THE TWINS
BUILDING PERMIT
R N0.
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
t
t
i CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE Of
APPROVED BY
j
L 612-571-3450
910-F15
5/8/85
JOB ADDRESS 6530 39MMM Stinson Boulevard N. 1E.
1 LEGAL
LOT NO.
TRACTOR ADDITION
SEE ATTACHED
DESCR.
TBLOCK
5
3
Moore Lake Park 1st Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Steven Christen 6530 Stinson Boulevard N.E.
574-0547
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
Reroof Dwelling
7 CLASS OF WORK
❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof Dwelling
9 CHANGE OF USE FROM TO
STIPULATIONS `
Roof can be the 2nd layer but not the 3rd. Install ridged galvan+.ked
valleys.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SQ. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
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
$600
$� r,0
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
FANY OTHER STATE OR LOCAL LAW EGULATING CON-
PROVISIOCON-
$15.00
STRUCTION ORTHE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
$15.50
NAT E RACTO RAUTHORIZEDAGENT IDATEI
WHEN PROP RLY
IS YOUR PER IT
BLDG INSP
=DATED
s,
ATE
,GS-ATURE ER IIFO ER WLDERI (DATE)
NEW [ ] City of Fridley Effective 4/1/84
ADDN. [ ] R-1 AND R-2
ALTER. [ ] Building Permit Application
Construction Address
Legal Description: �o � � -
Owner Fame & Address:
Tel. #
Contractor: 24/01 0 ----Tel. # e �
Address: �S-
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:
Corner Lot [ J Inside Lot [ ] Ft. Yd. Setback Side Yard Setback
Type of Construction: _" 1"� /i � �'!°✓ �� Estimated Cost: $ )�
Approx. Completion Date:
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $
See Back Page for Explanation
�— _1__1*' 17
DATE: �vv�APPLICANT: _Z_ 110 '� Tel. #
CITY USE ONLY
Permit Fee $ d v Fee Schedule on Reverse Side
Plan Check $ 25% of Building Permit Fee
State Surcharge $ $.50/$1,000 Valuation
SAC Charge $ $425 per SAC Unit
Park Fee $ Fee Determined by Engineering
Sever Main Charge $
Agreement Necessary [ ] Not Necessary[ ]
TOTAL $
STIPULATIONS:
M
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 Valuation Fees
$1.00 to $500.00 $10.00 (Minimum Fee is $15.00)
$501.00 to $2,000.00 $10.00 for the first $500 plus $1.50 for each
additional $100 or fraction thereof, to and including
$2,000.
$2,001.00 to $25,000.00 $32.50 for the first $2,000 plus $6.00 for each
additional $1,000 or fraction thereof, to and
including $25,000.
$25,001.00 to $50,000.00 $170.50 for the first $25,000 plus $4.50 for each
additional $1,000 or fraction thereof, to and
including $50,000.
$50,001.00 to $100,000.00 $283.00 for the first $50,000 plus $3.00 for each
additional $1,000 or fraction thereof, to and
including $100,000.
$100,001.00 and up $433.00 for the first $100,000 plus $2.50 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 been constructed will be required before proceeding with the framing.
A
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE I
Fridley, MN 55432 L APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
572-3604
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
Effective On January 1, 1999
PLUMBING FIXTURE RATES:
NO. RATE TOTAL
New Fixtures
$ 7.00
Old Opening, New Fixture
$ 4.00
Beer Dispenser
$ 5.00
Blow Off Basin
$ 7.00
Catch Basin
$ 7.00
Rain Water Leader
$ 7.00
Sump/Receiving Tank
$ 7.00
Water Treating Appliance
$10.00
Water Heater –Electric
$ 7.00
Water Heater – Gas** $10.00
Gas Range** $10.00
Gas Dryer** $10.00
Back Flow Preventer Required ( )Yes () No
Type $15.00
Reinspection Fee $42.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
State Surcharge $ .50
TOTAL FEE $, S -D
JOB ADDRESS X5`38 oyer-� �ly
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 Building Division, and hereby declares that all the facts
and representations stated in this application are true and correct.
, 1999
Owner
i
Building Used As
Estimated Cost PERMIT NO. 1.2 S_S (,51
PLUMBING CO
SIGNED
Approved By
Rough–In Date
PLUS THE $.50 STATE SURCHARGE
TEL NO.(.e;�2 - �W-YQD
Final Date —_
rC (p12564
MIT IS $20.00 JC��
**COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6–A. MINIMUM SIZE 9 SQ INCHES.
CIIYOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287
June 29, 2001
Ms. Tracy Sublett
6530 Stinson Blvd NE
Fridley, MN 55432
Re: Final Inspection at 6530 Stinson Blvd NE
Contractor: Soderlin Plumbing & Heating
Dear Ms. Sublett: -
A plumbing permit was issued on May 10, 1999 to install a water heater at your address.
According to section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted
on the plumbing 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 Plumbing 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 expired 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,
D NSEN
BuildVg Inspector
DJ/mh
SUBJECT
N
City of Fridley
"3 2 6 4
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
O
COMMUNITY DEVELOPMENT DIV.
� PROTECTIVE INSPECTION SEC.
9
r 1
CITY HALL FRIDLEY 55432
NuMBER
REV
GATE
PAGE OF
APPROVED BY
L J` 612-571-3450
910415
5/29/02
JOB ADDRESS 6530 Stinson Boulevard NE
1 LEGALLOT
NO.
BLOCK '
TRACT OR ADDITION SEE ATTACHED
DESCR.
5
3
Moore Lake Park 1st Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Tracy Sublett 6530 Stinson Boulevard NE 763-574-1698
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Northstar Home Improvement Inc 4972 Lincoln Dr, Mpls., MN 55436-1071 5336
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO
952-929-1888
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION J] REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House & Garage (23 Sq) Tear-off; Reside House & Garage
9 CHANGE OF USE FROM TO
STIPULATIONS
Per Section 1402, 1997 Uniform. Building Code, requires that a weather resistive
barrier be placed over exterior sheathing to protect the interior wall covering.
Exceptions for this provision would be if sheathing is an approved weatherproof
panel or when the siding is an approved weather barrier. Vinyl siding is not a
weatherproof covering unless the manufacturer states this in their application
guidelines. Call for inspection of wrap before covering. Caulk and flash all
exterior openings. Underlayment must comply with the State Building Code.
Permit inspection Cards
Will Be M011ed
SEPARATE PERMITS ARE REOUI C L, BING, 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
CLL 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
@
$6.58
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$13,165
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-
$237.25
Fire SC $13.16
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTAL FEE
Lic e SC t5.
V $261.99
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
HE P Y VA D ED THISISO R RMIT
09 0
8 G INS rIAtE
SIGNATURE OF OwNER,IF OWNER BUILDER. IDATEI
05/28/2002 10:58 9529208992 NORTHSTAR HOME IMPRO PAGE 01
NEW (] CITY OF FRIDLEY
ADDN [ ] 6431 University Ave NE, Fridley, MN 55432
ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address: _ 0 53D 4// 15
Legal Description:
Effective 1/1/2002
(763) 572-3604 Bldg Insp
gpr,c ,A ?(o3- 5' 71- /,2 �'7
Owner Name & Address: 6 L -LF -r Tel. # 76 3 S glfe
Contractor: tiomeimplOWns"I Me. MN LICENSE* 533 4
Address: Northsta=imalw fba B&C Tel. #
LIVING AREA:
GARAGE AREA
DECK AREA:
OTHER:
Construction
ion, a Certificate of Survey of the
construction drawn on it to scale.
9�9 /'SCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft
Length Width Height Sq. Ft.
Hgt/Ground Sq. Ft
Sq- /FQ_'-r
v. F__f',S°IDtr - -
__ Estimated Cast:
Driveway Curb Cut Width Needed: Ft. * 6 Ft = Ft x $ =$
DATE: ' &-"0--• APPLICANT: Tel.#
Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763571-1287 if using credit card and we will
call you for card number.
_ CITY USE ONLY -
d2S
Permit Fee 6 � $ Fee Schedule on Reverse Side
Fire Surcharge/3 °14$ .001 of Permit Valuation (1/10th%)
State Surcharge�,Z$ $.50/$1,000 Valuation
SAC Charge $^ _-. $1200 per SAC Unit
License Surcharge $ D D $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:
9�
®/���