PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT --�l
(4683
Date:
Owner-
-4e. Builder ...................... ........ . ......
!tze-z . . .. ...............................
Address
Address ........ ......... . .
ION OF BUILDING
Ot IF ----------------
No. "t Street . . ........ .............. Part oft
.. ......... .. . . .........
Lot . ............... Block ...... ..... j ......... .... ------ ----- Addition or Sub- n
I D�jsp
Comer Lot ..... .................... . ........ Inside Lot ... .. . .. ....... .................... Setback ............................ Sideyai)t . .. . ................................. .... .........
Sewer Elevation ..... ........ .................. . ............. . .............. -------------- ..................... Foundation Elevation . .................................. ... ...... . .................... .............. .......
DESCRIPTION OF BUILDING,
To/* Used pse
Sq. Ft.
Depth t S.
Front Heigh Cu. Ft/`/*��"`
.... ............. . . .................................... ]Froq.............. Depth Hel ht .......... &.0 Sq. Ft... .................... Cu. Ft . ........................
Type of Construction Est. CO,rt ......... ........ To be Completed ............ .........................................
J:
CAUTION
THIS PMMIT 17)07;�N(")-V AUTHOr-dzE'MLAT-
ION OF ANY LAND COVENANTS AND
BUILDING RLSTRICTIONS.
In consideration of the issuance to me of a permit to construct the building described above, I agree to do
the proposed work in accordance with the description above set forth and in compliance with all provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of permit is hereby granted to....._ ............._. -- ..................... ...........
---- - - - ---- . ............................ ...................... to construct, the building or additiopt 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, plumhing, gas 'heating, Sewer or water. Be sure to sea
the Building Inspector for separate permits for these items.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
MW
'fow"ZooWl, IM
LOCATION OF BUILDING
No.
of Lot l®��
Lot ,� lock _,,._ s.'ZAddition or Sub,Div. Ae
Corner Lot Inside Lot t . BackSide-Yard
SEM ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
DESCRIPTION OF BUIIDING
To be used as:
Front a 0Depth � �
Sq. Ft. f Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft,
Type of Construction� � .a�r�.�,
Estimated Cost{d
To be
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 representa-
tions stated in this application are true and correct.
DATE- //.�11/� /'� /h /&0 SIGNATURE
(A Schedule of Fee costs can be found on the Reverse Side.)
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 existing 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 fireproof 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 fireproof garage, ware-
house, factory or grain elevator, or for the erection of any fireproof,
addition for similar occupancy, to any existing building shall be atthe
rate of 1.25 for each one thousand cubic feet, classified as "fireproof"
by Section 502 of the Minneapolis Building Code.
HOUSES
2.3. Fo% any such permit for the erection of any non -fireproof building
other than a garage, warehouse, factory or.grain elevator, or any noxa
fireproof addition, for similar occupancy, to any existing building.
Permit $1.00 for each one thousand cubic feet.
GAFAGES
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 building or addition. Ninety Cents 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 for each Five Hundred Dollars ($500.00)9 or fraction
thereof in the cost of all proposed work.
2.6. In no case shall the fee charged for any permit as set forth in
Section 2 be less than $4.00.
City of Fridley, Minn.
BUILDING PERMIT No (:5:3::4j
Date: _ '®'OZ
r"
Owner: _ Builder --
Address _ _ _ _ _ Address
TION OF BUJLP G
No. ZMIStreet *' __ ► � Part of Lot
Lot _ .__ Block Addition or Sub-Dividon _� •=- •—
Corner Lot _ Inside Lot -�Wback „"' Sideyard
Sewer Elevation _ _ FAndation Elevation _
DESCRIPTION OF BUILDING
" Front DepthSq. FtCu. Ft►'{+'
Fjco� _ DepthC'osw Hi- Sq. Ft„.:. Cu. Ft.
Type of Construction Fust. - --- To be Completed
In consideration of the issuance to me of a permit to construct the building described above, I agree to do
the proposed work in accordance with the description above set forth -and in compliance with all provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of $ ""�m , 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 tune upon violation any of the provisions of said
ordinances. e -`r
>7,/7.
Building Inspector
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas hosting, sewer or water..Be sure to see
the Building Inspector for separate permits for these items.
4
No.
of Lot
Lot Block Addition or Subdivision
Corner Lot Inside Lot back Side -Yard_____._ r,
SEWER ELEV.
ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
DESCRIPTION OF BUILDING
Front Depth Height
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 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. -'7
(A Schedule of Fee Costs can be found on the Reverse Side.)
ction 2. The Inspector of Buildings shall, before issuing any permit for the
erection of any building or structure, or for any addition to any existing build-
Ing 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 =neer 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 fireproof garage, warehouse,
factory or grain elevator, or for the erection of any fireproof addition, for
similar occupancy,, to any existing building shall be at the rate of $1.25 for,.
each one thousand cubic feet, classified as "fireprooftt,by Section 502 of the
Minneapolis Building Code.
HOUSES
2.3. For any such permit for the
than a garage, warehouse, factory
addition, for similar occupancy,
each one thousand cubic feet.
GARS
erection of any non -fireproof building other
or grain elevator, or any non -fireproof
to any existing building. Permit $1.00 for
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 building or addition.
Ninety Cents for each one thousand cubic feet or fraction thereof, in the cubical
contents thereof with a minimum of $I+.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 for each Five Hundred Dollars ($500.00), or fraction thereof in the
cost of all proposed work.
2.6. In no case shall the fee charged for any permit as set forth in Section 2 be
less than $L+.00.
Date: June 10, 1965
Owner: Lem Gardner gwcLx LeRoy Gardner
Address 7344 an Buren Street N. E. Address 7344 VanBuxren St. N. E.
LOCATION OF BUILDING
No. 731 Street Van Buren Stveet N. E. Part of Lot
Lot 12 _ Block 5 Addition or Sub -Division Shaffers # 1
Corner Lot Inside Lot Setback Sideyard " 1.
Sewer Elevation ____ Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
Garan Front Depth freight Sq. Ft. Cu. Ft.
Front Depth freight Sq. Ft. Cu. Ft.
Type of Construction Frame - Est. Cost. 91,392-00 _ To be Completed _
Storm damage repair
Garage
In consideration of the issuance to me of a permit to construct the building described above I agree to do
the proposed work in accordance with the description above set forth in compliance with a'll provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of $_5. 00 , permit is hereby granted to LeRoy Gardner
to construct the building or addition as described above. This permit is granted upon
within th
the express condition that the person to whom it is granted and his agents, employees an workmen, in all work.
done in, around and upon said building, or any � thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
e city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
en Jensen Building Inspector
NOTICE:
" permh does not cover the construction, hotalbMan for whdng, ph►mbhng, gas heatlng, rawer or water. Be sure to see
the Building iaspsator for separate perm6s for thea
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME 'zl,—L BUILDER
ADDRESS _/ d d. �'d�/ ADDRESS =�
LOCATION OF BUILDING
No. - Streeter Part of Lot
LOT BLOCK - ADDITION OR SUBDIVISION��
Corner Lot Inside LOT Setback —Side -Yard
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these C *e�*�f;^�•��-
9_
To be used as:
DESCRIPTION OF
Front Depth. 4 Height
c.
Sq. Ft. Cu. Ft.
Front Depth � —Height
Sq. Ft. Cu. Ft.
Type of Construction Estimated C
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.
B .o Yom- / N ;°/y//yU T'
(Schedule of Fee Costs can be found on the Reverse Side).
7
BDIhDING PERMIT FEE SCREDME '
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 existing build-
ing or structure, or for any alterations 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 mammer 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 for the 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
building or addition - ninety.cents.($0.90) for each one thousand cubic feet
or fraction thereof, in the cubical contents thereof with the 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 charged for any permit as set forth in
Section 2 be less than $4.00.
M . 1 .4
sueJEcr
PE NO. '
City of Fridley
14789BUILDING
AT THE TOP OF THE TWINS
PERMIT
r
RE IPT N
LL ______ COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-560-3450
910-F15
16/29/78
JOB ADDRESS 7344 Van Buren Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
12
5
Shaffer's Sub. #1 SHEET
-i—PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Clyde Hurt 7344 Van Buren Street N.E.
3 CONTRACTCR MAIL ADDRESS ZIP PHONE LICENSE NO.
Modern Insulation 10779 - 93rd Avenue North 425-8899
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
x
8 DESCRIBE WORK
3 Construct a 16' x 22' Addition onto Back of House
9 CHANGE OF USE FROM TO
STIPULATIONS
Builder agrees. to mail copy of truss design.
WAMG
Beare -lions cav local wi ttes
SEPT �PEAMITS REQUIRE "o ftR WIRTELEPHONE - ELECTPIC --GAS Etc.
F
t�tEA'fl�: p�,!!1�l81NG AND SIGNS.. • . REQUIRED BY, LAW',
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
Wood Frame
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
4929
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
R-1
352
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.
$81983
$4.49
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-
$19.71
NONE,
STRUCTION OR E PERFORMANCE OF C STRUCTION.
- y
PLAN CHECK FEE
TOTAL FEE
e-
$4.93
$29.13
S N UREOF CONTRACTOR OR THORIZE AGENT (DATE)
�.q 2q -7F
WHEN PROPERLY VALIDATED THIS IS YOUR PEEq/RMMIIT
BLDG WSP DATE
1IG ATLW8 OF'0w1 (IFO ER BUILDER) 0DATEI
-ENERGY CONSERVATION SUPPLEMENT TO BUILDING PERMIT APPLICATION
PLANNING AND INSPECTION DEPARTMENT
CITY OF FRIDLEY, MINNESOTA
This supplement is provided to assist the applicant in computing EXTERIOR ENVELOPE
AVERAGE "U" FACTOR INFORMATION. This information is required so the BUILDING
OFFICIAL can determine that submitted plans comply with the ENERGY CONSERVATION
DESIGN CRITERIA of the STATE BUILDING CODE (Section 6000). It is the APPLICANT'S
responsibility to accurately compute the data; reflect the proper DESIGN CRITERIA
in the plans; submit product specifications, if needed to support the "R" and "U"
factors used; and to assure construction is per approved plans.
JOB LOCATION:
OWNER/CONTRACTOR:
ADDRESS:
A. Determine the Total Exposed Wall Area as follows:
PHONE:
1.
Total
wall window area
2.
Total
door area
3.
Total
sliding glass door area
4.
Total
fireplace wall area
5.
Total
wall framing area (average .10 0)
FTS , �Z.." 2 2.
6.
Total
net wall area, above floor (average
90%)� �y„ ,
3
7.
Total
rim joist area
p l? Ga® 2"Al.
Subtotal: Total exposed wall area above
floor
8.
Total
foundation window area
0
9.
Total
net foundation area above grade
�� X
Subtotal: Total exposed foundation area
�� 14
GRAND
TOTAL EXPOSED WALL AREA
B. Multiply the GRAND TOTAL EXPOSED WALL AREA X .17 = Item I
C. Determine the Total Exposed Roof/Ceiling Area as follows:
10. Total skylight area
11. Total roof/ceiling framing area (10%) 2-/
12. Total net insulated roof/ceiling area
GRAND TOTAL EXPOSED ROOF/CEILING AREA g g Z
D. Multiply the GRAND TOTAL EXPOSED ROOF/CEILING AREA X .05 = Item II '✓.4y
E. Determine the "U" value of each segment (1-9) and multiply by the area as
follows:
1. X "U11 =
2. X "U" _
P 3. X "U" _
4. X "U"
5. X "U" _
6. X "U" _
7. X nU"
8. X "U" _
9. X "U" _
ADD 1-9 FOR TOTAL WALL SEGMENTS = ITEM III
F. Determine the "U" value of each segment (10-12) and multiply by the area as
follows:
10. X "U" _
11. X "U" _
12. X "U"
ADD 10-12 FOR TOTAL ROOF/CEILING SEGMENTS = ITEM IV
G. If Item -III is the same as,, or less than Item I, you have met the intent
of State Building Code 6006 (c) 2.
H. If Item IV is the same as,- or less than Item II, you have met the intent
of State Building Code 6006 (c) 1.
I. Add Item I + Item II =
J. Add Item III + Item IV =
K. If the sum of Items III and IV are less than Items I and II, you have met the
intent of the Code for total envelope system.
The undersigned, as applicant for a building permit, hereby affirms the above
information has been prepared and submitted by himself or under his direction,
hereby acknowledges the information to be correct and accurate; and hereby
presents the information with required plans in support of the building permit
application.
By: DATE:
CITY OF FRIDLEY .
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(WEw, ALTERATIONS, ADDITIONS, OR REPAIRS)
0111 ER: �� �.�� 13UILDEJI:
Address: ;L-q�i_n/;��„� Address: le:7;7 �p
• ��
Tel. No.: Z/.; > 5--
No. Street: ei�Al lgojCEil/
LOT: BLOcy': ADDITION]:
CORNER LOT: INSIDE IAT: S T13ACK: 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:
9
�Tsta Front: / Depth: Height:
/p%�'��_
Square Feet: - Cubic Feet: � ( �
Front: Depth:
Height:
Square Feet: _ Cubic Feet:
Sipe of Construction: ®. Z>Z> Estimated Cost: $
� s 9s3,ay
To I3e Completed: zs/ �� Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired $ $
(SIE 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 nili:ngs 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.
DATE: �/ e�� /�SIGNATURE:
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:
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-$14.50
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 $17.20
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 der 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.
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 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
been issued.
J
suaJEcr
City of Fridley
TPER—M-11-ND—
22597
ATTHE TOP OF THE TWINS
gUIL®IN PERMIT
r
N
� b COMMUNITY DEVELOPMENT DIV.
b1s _
IL
r PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
NUMBERDATE
REV.
PAGE OF
APPROVED BY
612-571-3450
910-F15
6/9/94
JOB ADDRESS 7344 VAN BUREN STREET NE
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
12
5
Schaffer's Subdivision #1 SHEET
2 PROPERTY OWNER ' MAIL ADDRESS ZIP PHONE
Clyde/Susan Hurt 7344 Van Buren Street NE 784-8371
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Twin City Exteriors Inc 9060 Zachary In N Ste 108, Maple Grove 55369 2535
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
425-4737
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION J3 REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reside Dwelling
9 CHANGE OF USE FROM TO
STIPULATIONS
Replacement of bedroom windows shall ,meet the minimum 5.7 sf of clear
openable area. Provide smoke detectors as per UBC 1210 adjacent to all sleeping
areas and in basement.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
ZONING
SO. FT.
CU. FT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
NO. DWLG. UNITS
OFFSTREET PARKING
ANY TIME AFTER WORK IS COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS GARAGES
VALUATION
SURTAX
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$6,810
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-
ffi SC $6.81
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
$90.00
H
PLAN CHECK FEE
TOTAL FEE
License SC $5.00
$105.22
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI
ERLV ALIDA THIS IS YOUfji P MITTSIGNATURE
.11 11 BREINSP DATE
OF OWNER IIF OWNER BUILDER) IDATEI
J
NEW [ I Effective 3/1/92
ADDN CITY OF FRIDLEY
ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Construction Address: 7 15-7-
Tmmaf
:,4
Contractor. --70`10 -0 /77Y MN LICENSE #
Address: 5�-v /0-,q 9,04-nzkday Tel. # :ZA5-:i�37-
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 HgyGround — Sq. Ft.
OTHER:
Comer Lot I j Inside Lot f j Ft. Yd Setback Side Yard Setbacks
Type of Construction: Estimated Cost: $ &V/0'
Approx. completion Date: Z -
(cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft Ft x $ = $
DATE: APPLICANT:
Tel. # j -J q za 7
Permit Fee
cc
$
Fire Surcharge
$ as/
State Surcharge
$
SAC Charge
$
License Surcharge
$
Driveway Escrow
$
Park Fee
$
Sewer Main Charge $
TOTAL
STIPULATIONS:
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.501$1,000 Valuation
$700 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A' or Alt. *B* Above
Fee Determined by Engineering
Agreement Necessary I I Not Necessary
SUBJECT
-
City of Fridley
27719
AT THE TOP OF THE TWINS
BUILDINGPERMIT
f
�g
COMMUNITY DEVELOPMENT DIV.
16 _ _
L PROTECTIVE INSPECTION SEC.
d ; ;
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
1`'
612-571-3450
910415
9/11/98
JOB ADDRESS 7344 Van Buren St NE
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
12
5
Schaffer's Subdivision No.l
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Clyde & Susan Hurt same
784-8371
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Twin City Exteriors Co 9060 Zachary Ln N #108 Maple Grove 59369
425-4717
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 :P REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reside - storm damage
9 CHANGE OF USE FROM TO
STIPULATIONS
Call for building wrap inspection before covering
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
I
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
$500'00
$.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-
$
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FE
Licens C $5 0
$27.00
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
ENP PI
TED $ IS YDIJ5 PERMIT
9L INSP
DATE
SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI
NEW [ j Effective 1/1/97
ADDN [ j CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION'�!'1
ConstructionAddress:
Legal Description:
Owner Name & Address:�,! s 1�- Tel. #
Contractor: sZ� C T`lX725, tt� 's MNLICENSE#����
Address: ID 6e) y > `/p R &E Ljt?L) 5Y34� Tel. # '` OZ 5 �/7,7_
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF UWPROVEMENT
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 on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
TWIN (3ft EWERIORS CO.
DATE: APPLICANT: SUITE 106 Tel. # 7o�s G% 7 3 7
MAPLE GROVE, MN 55369
CITY THERP 92ffX37
Permit Fee
$
Fee Schedule on Reverse Side
Fire Surcharge
$
.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 j ] Not Necessary [ ]
TOTAL
$ e
STIPULATIONS:
4
/I
SUBJECT
City of Fridley
33798
AT THE TOP OF THE TWINS
BUILDING
PERMiT
r
E EI
• COMMUNITY DEVELOPMENT DIV.
V------
r � PROTECTIVE INSPECTION SEC.
I
1 �
NUMBER
REV
DATE
PAGE OF
APP OVED B
I rII CITY HALL FRIDLEY 55432
�� "'j
763-571-3450
9t0-Ft5
8/
13/03
JOB ADDRESS 7344 Van Buren Street NE
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
12
5
1 Schaffer's Subdivision #1
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Clyde Hurt 7344 Van Buren Street NE
763-784-8371
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Midwest Roofing & Siding 313 Jefferson Hwy, Champlin,
MN 55316 763-427-9696
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
20010277
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
8 USE OF BUILDING
Renee€-ie�tse-���-Sq}-dee-e€- Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION 10 REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House (22 Sq) Tear -off
9 CHANGEOFUSEFROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
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 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
1 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
$2,547
$1.27
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 O ER STATE OR LOCAL LAW REGULATING CON.
$83.25
Fire SC $2.55
STRUCTION OR ME PE OR A CE OF CO STRU ON
PLAN CHECK FEE
TOTAL FEE
03
Licens $5.
92.07
SIGNATURE OF CONTRAC TOR OR OT.ORIZED AGE NT (DATE.
HEN PRO
Y VALI T THIS IS YOUR/ RMIT
.9t INS
FEAT
S-GNATURE OF OWNER, -F OWNER BUiLDERI 'DATE.
/I
NEW t CITY OF FRIDLEY Effective 1/7/2003
ADDN t ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
ALTER t I SINGLE FAMILY AND DUPLEXE-S R-1 mo R-2 (763) 57142.67 Fax
BUILDING PERMIT APPLICATION
Construction Address:
Legal Description: _
'A.1 ML4Ve.1
Owner Name & Address: df w r t Tel. �7Eo 3 icy F' 3 %/
Contractor: & Siding MN LICENSE # O C) ®/ ®� -7—
.
Address: 313 Jefferson Hwy. Tei. # fob .) 9
amp an, --
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA: Length Width � Height Sq. Ft.
GARAGE AREA- Length �® Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER: l`®o)�' -
T
Construction Type ) e� a�� � reroz x
� _ Estimated Cost $ CS15y7
Driveway Curb Cut Width Needed: -Ft. ¢ 6 Ft = Ft x $ = $
DATE: � � APPLICANT: �. ' cL� s 7 Tel. # �40 ,3 7 9(� ?�
Call (763) 572-3604 for Permit Flees If mailing in application. Fax to 7L%471-1287 It using credit card and we will
call you for card number.
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Paris Fee
Sewer Main Charge
TOTAL
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1275 per SAC unit
$5.00 (State Licensed Residential Contractors)
At "A" or Aft, 'B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ j Not Necessary [ I
Building PLUMBING Permit No.
Inspections RESIDENTIAL APPLICATION Received By:
763-572-3604 Date
CITY OF FRIDLEY
DATE 19 -0 YOUR E-MAIL ADDRESS
SITE ADDRESS -431/11
THIS APPLICANT IS: 0 OWNER DICONTRACTOR
PROPERTY
NAME: e� e
OWNER/
TENANT
�J�/� VC41 \ CITY lPl STATEN
ADDRESS: Nye
PHONE: aos --% � "p
-!8�
I
CONTRACTOR
NAME:
SUBIVIITA COPY OF
STATE LICENSE # Champion Ck t DATE �o�- ?a(-Ock
YOUR STATE
ADDRESS: 651 -1 64U CITY STATE ZIP
LAPPLICA ON ICENSE
PHONE 367-0 Dodd Rd. #100
Eagan,
MN 551 _1n9FAX
PERNM TYPE
C�SINGLE FAMILY 0 T VO FAMILY 0 TOWNHOUSE
r,4
TYPE OF WORK:
O NEW VREPLACEMENT
DETAILED DESCRIPTION OF WORK KP0. 1 C a_C
PER MS 16B.665 the permit fee is a minimum of $1&00 or 5% of the total cost up to 5500.00, whichever is greater, for
improvement, installation or replacement of a residential fixture, excluding the fixtures. (Ttiis should reflect only the cost of
labor )
Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05 =
FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FWrURE, EXCEPT WHERE NOTED. FIXTURES: (INDIC TE TOTAL
NUMBER OF EACH BELOW)
_ BATH SINI LAV DRAINS SHOWER WATER PIPING
_FLOOR _ _
_ BATHTUB _ GAS PIPING (nm caymcww) _ SWIMMING POOL _ WATER SOFTNE
($35)
_ CLOTHES WASHER _ KITCHEN SINK WATER CLOSET BACKFLOW PRE if. ($15)
_
DISHWASHER _ LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATIO
_ WATER METER —OTHER
PERMIT TEE PROJECTS FOR UNDER $500 PERMrr FEE FOR PROJECTS OVER
$500.
Permit Fee $ ---c Number of fixtures @ $10.00 x $10.00 =
Surcharge .50 Number of fixtures @ $15.00 x $15.00 =
TOTAL DUE $ . 0 Number of fixtures @ $35.00 x $35.00 =
State Surcbarge =
.50
Total =
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID TJWM PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the woz
i will be in
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I undeftand
this is
not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordw ice
with the
approved plan in the case of all work w 'ch re%ures review and approval of plans.
SIGNATURE OF APPLICANT F INT NAMEAwmez 0 UW DATE
01010,
PLEASE NOTE: ,SEPARA S ARE UIi2ED FOR BUILDING, ELECTRICAL AND MECHANICAL
WORK
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
'C A v. 7« GM An 7'7