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PRE 2010 DOCS
I' /\I V 0 III_ �i 'village of Fridley, Minn. I I BUHMINYG PERMIT Office of INSPECTOR OF BUILDINGS V J �.lsaar F- — III kf Owner Architect Fridley, Minn.- Build inn. Build LOCATION OF BUILDING No,::� Streets -g . �<-2-2— : Part of Lot Lot Block Addition or Sub -Division DESCRIPTION OF BUILDING Front "P e='/I u Depth_ Height Stories Manner of Construction Tb be used as —'''"_ To be completed . -Estimated Cost Permit is hereby ted .toed tofii4F; _ _ ..�. the building 6 described in the above statement. This permit is granted upon the express c�ndition that the person to whom it is granted, and his agents, employees and workmen, in all the work done in, ;around and upon said building, or any part thereof, shall conform in all respects to the ordi- nances of Fridley, I Minn., regarding the construction, alteration, maintenance, repair and moving of buildings within the city limas, and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. � Inspector of Buildings. AGREEMENT AND SWORN STATEMENT In consideration of the issue and delivery to me by the Inspector of Buildings of Fridley of the above permit, I hereby agree to do the. proposed work in accordance with the description above set forth and according to the provisions of the ordinances of 'Fridley, and, being first duly sworn, I hereby[ state and say that the facts stated by me and contained in the above permit are true as therein tated. I� Subscribed ar d sworn to before me at Fridley, Minnesota, :this " ,� �o-�'�'- rw D. 19 _ day of `: �.�-- � A.D. -:�. if1i SII i, II 11 5 5 .e of 5flMOR OF IG 'l l ®Wne Architect Vrid'_cy, Niinu„ ' ► 18 r Biulder LOCATION OF BUILDING, e 1 � Lot No. street Fart, of Lot :; Block Addition or Sub -Division = �l l; ront3� De h F3eight Sories_ Manner of Consir�zction°'► To be used .0-i ti To be completed B Estimated Cost - Permit is hereby granted the building' - described In the .a'bov'e` s�atezx+ent. This permit is granted upon the express c the work done in,around ndition t the person to whom it is granted, and his agents, employees and workmen, in all an 1, upon said building, or any part thereof; shall conform in allrespects to the ordi- nances of Vridley,, *inn., re arding the, Ponstructicn, alteration, mainenanceand .moving • of buildings within the city ts, and th.s, permitmay be revoked t any time upon viola Z' of any of the provisions of said ordinances. F " e �+ +dInspector of Buildings. in consider tion of , e issue and delivery to me by the i,� pect6r of Buildings of diet' of the " above pe t i hent' agree to do the proposed word ' ��a acefIrdanee vp- the description above set ;forth and according to the ns of the.ordwlucea oaf Frid ey, aid, being first duly sworn, i hereb Mate an say that tyle facts stated "b zee xld "cons led the above pei-.it are true as therein s a tated. �'� 1, 1 Vt Subscribed sworn® before me at Fridley, MThm.eso % thistow day_ of z- ,. City of Fridley, Minn. BUILDING PERMIT X® 4090 Owner: ._ .._.... ....._...._------------- _---- Builder . - -- - -........_....__...._......_....------- --- _.--------- _._..._.._.._.... __... Address Address CAT 10 ILDING No...(�...(.......... Street s./.._z -----._........... . __...- ----- ---it - Part of Lot --- - -..........._......._...._....._... Lot .......... ................. Block .................... ........................ Addition or Sub -Division ...........................---......./'.-.. .... CornerLot ............... ............ ........ Inside Lot... ------------------ Setback ..... ............... ................ ........ Sideyard..... _............. .............. _ .......... ..................... -- SewerElevation ................................... _............. _............. _.............. ....... _.............. Foundation Elevation _ ................... ............................. .............................. ............ DESCRIPTION OF BUILDING To be Used as: --- ••--_--.. .......................... Front d _......... DepthO ...6 HeightSq. Ft. Cu. F't 1�. . .................. .... _....................... Front .................... Depth .................. Height ..................... Sq. Ft......................... Cu. Ft.... ............... Type of Construction............................................................ Est. Cost ....................................................... To be Completed In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set Pffltil and in co�mpli w®ith6 all provisions of ordinances of the city of Fridley. 7� F N�^o0 _._..._...._... - ._......__............._._._........_..._._...._......._..._..._........_......._...- In consideration of thea P yment of a fee of $---------------------_.........., permit is hereby granted to ..... _............. _......................... ..........--_-- ..... __..... ..... ............... ....................... _........ to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. 4 City of Fridley Application for Plumbing and Gas Fitting Porn* Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK Number, Kind and Location of Fixtures Location f�%jJJ Q7 1rn 3 Y9 aH ul 3 F- Y O LL z Z LL C �z V m O G 3 J(9 G G W Ci K U0' z z U O r WATER HTR. GAS ELEG Base 1st 2nd 3rd 4th • Future Connection Openings e New Fixture, Old Openings I Connected with Sewer E] Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTTa Number Fixtures .............. x $1.50 $10 � Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin .... ....................... x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: 1st 3 Fixtures .............. ........... Additional Fixtures .................... Gas Range to 200,000 BTU .............. REPAIRS & ALTERATIONS—Refer to Code NO. RATE TOTAL x $1.50 $ x .50 $ x 2.00 $ 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 application are true and correct. Fridley, Minn .—/ Owner Kind of Building Used as To be completed about Estimated Cost, $ �t , (_0ld4New. Building Permit No—, ('/ Permit No. Signed �� Business Phone No 9 ROUGH FINAL 17— Description ................................................$ TOTAL FEE $ az Application for Power Plants and Heating, Cooling,, Ventilation. ReMgeration 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 $1-5-10 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 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ GAS FITTING FEES: NO RATE T AL 1st 3 Fixtures ......................�— x $1.50 $� Additional Fixtures x .50 $ Gas Range to 200,000 $TU ........... x 2.00 $ AIR CONDITIONING t// FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL See Fee Schedule TOTAL FEE 3 29 f' y Dept. of Bldgs. Phone M-3450 - 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 a and correct. Fridley, Minn- 1 Owner e1 A Kind of Building Used as t To be completed about Estimated Cost, $ Ze g1w. Building Permit No. Permit No DESCRIPTION OF WORK HEATING or /P'O/ ER � team, Hot Water, Warm Air—No— Trade Namelo�[� /�Y✓F�- Size No Capacity Sq. Ft. E.D.R BTU HP r Total Connected Load Kind of Fuel BURNER — Trade Na— Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS -OVER) SUBJECT PERMI City of Fridley ® 174 AT THE TOP OF THE TWINS BUILDING PERMIT • r CEIPT NO. • COMMUNITY DEVELOPMENT DIV. i may---..._, � PROTECTIVE INSPECTION SEC. �. ---1 ! CITY HALL FRIDLEY 55432 ,'J NUMBER REV. DATE PAGE OF APPROVED BY "-' 612-560-3450 910-F15 15/4/79 JOB ADDRESS 6610 Stinson Boulevard N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. ¢ 2 Moore Lake Park lst SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Donald Mowery 6610 Stinson.'Boulevard N.E. 571-0977 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 ❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof structure 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be second but not third roof. Install ridged galvanized valleys. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Asphalt 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 1.20 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. $700 $.50 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- SUM $7.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $8.00 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY VALI TED�TH�IS�IS�jYOUR PERMIT BLDG INSP DATE SIGNATURE OF OWNJER OF OWNER BUILDER) (DATE) CITY OF FRIDLEY , APPLICATIOti FOR RESIDENTIAL BUILDING PERMITS ' (NEW, ALTERATIONS, ADDITIONS,' OR REPAIRS) OWNER: I O dJ a9 t ) CJ F n` � BUILDER: Address: l O 1 S- O tQ Address: Tel. No. No.: Street: LOT: _i• BLOCK: ADDITION: lC�o�� ����. ?Jete e- CORNER LOT: INSIDE LOT: SETBACK: SIDEYARDS: Applicant attach *to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: QF VZop r .-!©taSE Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: • Square Feet: Cubic Feet: Type of Construction: 0C9 t S P)4 P1 (- 7 Estimated Cost: $ , g� To Be Completed: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) 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. See reverse side for additional information. PATE: 4 , ANI cow, 9 9 SIGNATURE: 1 lit. . Stipulations: o on 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, ar 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: NEW CONSTRUCTION: Single Family Homes and Garages: $4.00/1,000 cubic feet. PLAN CHECK: 25 percent of building permit fee. DRIVEWAY DEPRESSION: (Concrete Curb Streets Only) Alternate A: Removal and replacement of concrete curb and gutter only; Driveway width plus 6 feet x $A5.75 Alternate B: Removal and replacement of concrete curb and gutter and install a 3 foot wide approach with 6 inch depth; Driveway width plus 6 feet x $17.85 ► 6 i ' MN 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 tipper 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 $7.50 plus $.50 state surcharge. SIN 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 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. 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 r been issued. " yam, STATE OF MINNESOTA DEPARTMENT OF HEALTH ®n` 5- (5 ,`k ABANDONED WELL. RECORD 1. LOCATION OF YELL• MINNESOTA UNIQUE WELL NO. H In (leave blank if not known) County Name Thip Name Township Numb Range Number Section No. Fraction 4. WELL DEPTH (completed) Date sealed gjFDLEY N E k 4 o k 30 or 24C --w- 13 NESWNE 35 ft• S MAY— ®5 1'99 Numerical Street Address and City of Well Location or Distance from Road S. GRIL IMG METHOD (if known) Intersection Cable tool 40 Reverse 70 Driven IO[:Dug 6610 STINSON BLVD. N.E. 20 Hol low Rod So Air BD Bored 110 Showexact location of well 3Q Rotary 60 Jetted g0 Power Auger (in section grid with *X.) N Sketch map of well location 6. OBSTRUCTIONS N k, U.11 b t ted Y N W MEMO 70 Air Conditioning 110 2. PROPERTY OWNER'S NAME DON Mailing Address if different than adSTINSOIJd abveBLVD. so 6 �t� NE MAWERY FRIDLEY, MN. 55432 2Q Galy. Sp Welded NONE 30 Plastic 60 Stainless Steel $ 1n, to 3fd ff. HARDNESS OF 3. FORMATION LOG COLOR FORMATION FROM TO If not known, indicate formation log from new well or nearby well, e o s ruc 0 as o (i% 9 Obstructions removed a E3 No If obstructions cannot be ® removed, contact MDH E before sealing. T i K,w 7. USE k ,,g. '�� Domestic 40 Monitoring BD Heat Loop 2E3 Irrigation U Public go Industry Il 30 Test Well 6[3 Municipal 100 Commercial — 1 met& - 70 Air Conditioning 110 2. PROPERTY OWNER'S NAME DON Mailing Address if different than adSTINSOIJd abveBLVD. 8. CAS NG(S) ���/// Biack Threaded 70 6 �t� NE MAWERY FRIDLEY, MN. 55432 2Q Galy. Sp Welded 30 Plastic 60 Stainless Steel $ 1n, to 3fd ff. HARDNESS OF 3. FORMATION LOG COLOR FORMATION FROM TO If not known, indicate formation log from new well or nearby well, in. to ft. SAND BROW • 0 20 g. SCREEN Screened well from 30 ft. to 35 ft. (If known) CLAY BROW 20 60 Open Hole from _ ft. to ft. FINE SAND GRAY 60 190 10. STATBC WATER LEVEL )�RY ft.below 0 above SHAKOPEE DOLO . PINK 190 215 land IAace Date Measured 5 — 5 — 9 2 JORDON SANDST. GRAY 215 235 11. WELLHEAD COMPLETION 10 Pitless Adapter 40 Found Buried Basement offset 'n F3 Well Pit, 16. REMARKS. ELEVATION, SOURCE OF DATA CASINGS REMOVED, CASINGS PERFORATED, ETC. 12. GROUTING INFORMATION 2 BAGS Neat Cement 20 Bentonite 30 GEOLOGY WAS TAKEN FROM THE WELL AT: CENTRAL AVE . & MISSISSIPPI ST. , FRIDLEY PORTLAND 3 Grout, material from to_ . Eu. yds WATER LEVEL IN THE ABOVE WELL: 45' NEAT GROUT DATE WATER LEVEL WAS TAKEN: 3-22-46 13. NEAREST SOURCES 0 CONTAMINATION E+ 50 feet direction CITY SEWERtype Well disinfected before sealing? 121fves 14. PUMP 0 Removed Not Present Type: 10 Submersible 3Q L.S. Turbine SD Reciprocating Jet 40 Centrifugal 60 15. EXISTING WELLS (Please sketch locations of abandoned and MAY5 active wells in marks section or on back.) Other unused well(s) on property? 0 Yes 2fNo Abandoned: [( Permanent 0 Temporary t ealed 17. WATER WELL CONTRACTORS CERTIFICATION This well was sealed under my jurisdiction and this report Is true to the best of my knowledge and belief. According to MN State Regulations RENNER & SONS INC . 71015 Licensee Licensee Business Name License No. 1 Add VE 55330 427-6100 Signed Date 5-6-92 STEVE D Date — — Name of Driller OFFICIAL ABANDONED WELL RECORD (May be used for Property Transfer) ZJMPC "7: FILE wrrg DSSD KEVIN H O P P E SUBJECT TT City of Fridley AT THE TOP OF THE TWINS BUILDING P E R M I T 28739 r NO. � `V �____ COMMUNITY DEVELOPMENT DIV. -� PROTECTIVE INSPECTION SEC yo r NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 L J` 612-571-3450 910415 12/11/98 10B ADDRESS 6610 Stinson Blvd NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DEscR. 4 2 Moore Lake Park 1st Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Steven Upton 571-8364 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO B USE OF BUILDING Residential 7 CLASS OF WORK 0 NEW D ADDITION O ALTERATION j; REPAIR 0 MOVE O REMOVE 8 DESCRIBE WORK Reroof house and garage (23 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL. PLUMBING, HEATING. TYPE OFCONST. 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 1971 $.98 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $62.25 Fire SC $1.97 PLAN CHECK FEE TOTAL FEE SiIGNATURE OF CONTRACTOR OR AUTMORiZEO AGENT iOATEj A 1$65.20 WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT SIGNATURE OF OWNERof OWNERS ODER, iDATE, BLDG A qV- pA 1E a NEW [ ] ADDN [ ] ALTER [ ConstructionAddress: Legal Description: Effective 1/1/98 CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �J� Q R1► NOMMMVAM Owner Name & Address: , ,�--t`�r��, �l _ ),� �j Tel. Contractor: MN LICENSE # Address: 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: Length Width Hgt/Ground Sq. Ft. OTHER: v2 �:, o � ted,, e i- �' a Construction Type: Estimated Cost: $ f` Q'71 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: / 2 - t � -J V APPLICANT: : o �!_ Tel. # 57 71 CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ A 99 .001 of Permit Valuation (1/10th%) State Surcharge $ 93 $.50/$1,000 Valuation SAC Charge $ $1000 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: s Sa 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 $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. 1 SUBJECT City of Fridley 31593 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEI T A`60. COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r PROTECTIVE CITY HALL FRIDLEY 55492 �.___1l: �•� NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 12/11/00 JOB ADDRESS 6610 Stinson Boulevard NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 2 Moore Lake Park 1st Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Steven Upton 6610 Stinson Blvd NE 763-571-8364 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Mon -Ray Inc 801 Boone Ave N, Golden Valley, MN 55427 546-8625 0005111 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 O ADDITION O ALTERATION K3 REPAIR O MOVE O REMOVE B DESCRIBE WORK Replace 12 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. 18� 1011 Cub permit 111,5 ill a® M811136 ro Post ® 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 $3.30 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $6,600 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- $139.25 Firy SC $6.60 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOT 2 FEE Licen C $51.0 $154.15 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI H PROP VALIDATE .HIS IS YOUR PE5MIT ff��•"" !!O//6/tE S,GNATURE OF OWNER dF OWNER BUILDERI IDATEI BLPG INSP 1 NEW[ l Effective 5/10/99 ADMT: CITY OF FRiDLEY ALTER ,r`� SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 6610 STINSON BOULEVARD NE Legal Description: Owner Name & Address: STEVEN UPTON 6610 Stinson Blvd NE Contractor: MON-RAY, INC 801 Boone Ave. No. Tel. # MN LICENSE # Address: -Golden Valley, MN 55427 Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF iMPROVEMLNT 763-571-8364 0005111 546-8625 LrMG AREA: Length Width Height Sq. Ft. GARAGE AREA: LeAgth Width Height Sq. Ft. D CB AREA: Length width Hgt/Ground Sq. Ft. OTFIER: REPLACE (12) WINDOWS INTO EXISTING OPENINGS Construction Type: Residential Estimated Cost: $ 6,600.00 Driveway Curb Cut Width Needed: Ft. + 6 Ft - Ft a $ _ $ DATE: APPLICANT: Tei. # 546-8625 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee . Sewer Main Charge $ 139.25 $ 6.60 $ 3.30 $ 5.00 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 Ucensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ J Not Necessary [ TOTAL $ 154.15 W/_Z1 STIPULATIONS: F-0/Z0'd .22,689PS 0i A3-1QIHJ d0 AII0 WMU 6£:60 6662-LT-Nnf £0'd 7d.101 BUILDING PERMIT FEE SCHEDULE w 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 buildang 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 $1,000,001 and up $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 $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) .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 tames $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the tante of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. 20/20 1 d , LL689t'G 01 ATM I dd dO Ai 13 WONJ 62:60 666 T -L T-Nnf SUBJECT IT City of Fridley 3 i 12 AT THE TOP OF THE TWINS BUILDING PERMIT i O �• _ COMMUNITY DEVELOPMENT DIV. L «�« � PROTECTIVE INSPECTION SEC. - �7� r � CITY HALL FRIDLEY 55432 L NUMBER REV DATE 5/11/01 PAGE OF APWOVE&BY 612-571-3450 910-F15 JOB ADDRESS 6610 Stinson Blvd NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 2 Moore Lake Park lst Addition SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Steven Upton 6610 Stinson Blvd NE 763-571-8364 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 ❑ NEW ❑ ADDITION ❑ ALTERATION CR REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reside House 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. 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 $1,500 $.75 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. $ 54.00 Fire SC $1.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTALF E $5y. 25 SE OF CON'AACTOA OR AUTHORIZED AGENT iDATE, HENROPE (DATED T IS IS YOUR PERMIT r /� P S.GNATURE OF OWNER .6 OWNEA WILDER, IOATE) BL -NSP BATE NEW [ ] Effective 1/1/2001 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 6� 10 'GT t N S-o 1� L"- Legal Description: Owner Name & Address: S-iCVr-fj -9, L))9-i 0J " 5(!C-AA9,pvQ-- Tel. # 762,,--57/- 1?3&-( Contractor: MN LICENSE # Address: Tel. # 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 Length Width Height Sq. Ft. Hgt/Ground Sq. Ft. Construction Type:V (N �( -5 k V kv� Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ =$ DATE: 54 ,10 ( APPLICANT: Tei.# CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application STIPULATIONS: Permit Fee $ ��"�= UU Fee Schedule on Reverse Side - — Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1150 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 [ ] 69 TOTAL $ _ 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 $23.50 $501 to $2,000 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $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) 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. New Houses Only 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 RATE SCHEDULE 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 Dryers Q �- !:I ' J 'e P4__ *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 Effective On January 1, 2002 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 $ 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 HEATING CO Signed FAX # *Air Conditioners can not be placed in a side yard without Approved By/Cl, Rough -In Date written permission from adjoining property owner. �� 'Pa� A) g5jlvr 0Sgev TEL # Final Date JOB ADDRESS P6/0 OWNER S-'� ve. 0 Rate TOTAL / / Q BUILDING USEDAS �c�•� $ 30.00 $ ESTIMATED COST PERMIT NO.— O.$10.00 $10.00 $ DESCRIPTION OF FURNACE AND OR BURNER $ 10.00 $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) $ 10.00 $ Trade Name . fir; Size No. �� oc el BTU HP EDR $ 25.00 $ Fuel Total Connected Load Burner Trade Name Size No. $ BTU HP EDR 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 $ 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 HEATING CO Signed FAX # *Air Conditioners can not be placed in a side yard without Approved By/Cl, Rough -In Date written permission from adjoining property owner. �� 'Pa� A) g5jlvr 0Sgev TEL # Final Date THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED C`QMMQN VFNT� VFNT rnNNFCIQR AND MME1 IRTInN AIR VFR1FIrAT1t N When raplatjnn an existing ,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 plastictPVC 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-GAIIAA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes( No( ) The axisti cnmhtistinn air is sized and installed to meet the current codes and manufacturers specifications. -Yes( ) No( ) When required to install a new nomhunfinn air it will be sized and installed to meet the current codes and manufacturers specifications. Yes (). No ( ) When jp-4alljpaia new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturers 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( ) Appliance Tyne and Sim /Cnmmnn Vent and Vent Connector InMrmatinn Appliance #1 Type Appliance #2 Type Appliance #3 Type Total Appliances — BTU Input _ BTU Input _ BTU Input Total Btu Input Fan Assisted or Nat Fan Assisted or Nat Fan Assisted or Nat 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 HEATING CO: Signed By: Date: