PRE 2010 DOCSVillage, of Fridley, Man..
BUILDING PEBRM
N?
Office of INSPFMOR OF BU"l i�l'QS
Owner
Architect
Fridley, Minn. 19 "" o
Builderk
LOCATION OF B JILDING
Lot
No:
StreetP o�
Lot .0
Block Addition or Sub -Division
DESCRIPTION OF BUILDING
Front ` Dept
Height "'0 Stories Manner °of Construction "
I�-
�� "
To be used as
To be completed ,A�`� Estimated, Cost a�
T ,ky4f.
'�{':.� to-°�i3 M�..y�p+h 'cr �� Y»1.' ',+af'8,"pq,'r"
Permit is hereby g
to
*,
IIted
the buildino
described in the above statement. TbA permit is granted
upon the express eon
tion that th rson to whom it is granted, and his agents, employees and workmen, in all
the work clone in, a
and and upon said building, or any part thereof; shall conform in all respects to the ordi-
nances of Fridley,
regarding the construction, alteration, maintenance, repair and moving of buildings
within the city limi
and this permit maybe revoked at any time upon violation of any of the provisions of said
ordinances:
Inspector of Buildings.
AGREE1 MMT AND SWORN STATEMENT
In considerati'
n of the issue and delivery to me by the Inspector of Buildings of Fridley of
the above permit,.
11 hereby agree to do the proposed work in accordance with the description
above set fortha�'
according to the provisions of the ordinances of Fridley, and, being first duly
sworn, I hereby s
to and say that the facts stated by me and contained in the above permit are
true a therein sta
Subscribed andworn
to before me at Fridley, Minnesota, +11i ,
ici
day
;JV;4
1' '
City of Fridley, Minn.
WELDING PERMIT N® 3664
Date: ..� ..........................
Owner J ........ Builder ...............
......... .. .......... ......... .........
Address....................................... Address .............................................
LOCATION OF BUILDING
No. '9,5(01 ... Street ... of I., ...............................
Lot ............ Block .................. Addition or Sub -Division .......................................
Corner Lot ............ Inside Lot .A ........ Setback ............ Sideyard ...........................
DESCRIPTION OF BUILDING
o U as:
. "r.. Front ecf'.:a�. Depth. �: Height q Sq. 47 .. Cu. FL -.1. 0
.................... Front ........ Depth ........ Height ........ Sq. Ft. ........ Cu. Ft. ........
Type of Construction ................... list. Cost..................... To be Completed ...................
In consideration of the issuance to me of a permit to construct the building desribed above, I agreeto do
the. proposed work in accordance with the description above set forth and in comp'li provisions of
ordinances of the city of Fridley. ®�""'�� i
In consideration of the payment of a fee of $... A ........ 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 with-
in 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 or alteration for wiring, plumbing, gas heating,
sewer or water. Be sure to see the Building Inspector for separate permits for these Items.
APPLICATION FOR. BUILDING PERMIT
0 `1
CITY OF FRIDLEY, MINNESOTA
e
Owners Name n Builder elo
Addres. Address
LOCATION OF BUILDING
No. Street Port of Lot..
Lot T Block Addition or Sub. Div.
Cornier Lot Inside Lot Set Back -
Applicant attach to this form Certificate of Survey of Lot and proposed
building location.
DESCRIPTION OF BUILDING
To be used as
Front. Depth Height '
Sq. Ft. quo - Ft,
.Front Depth _.___,_..Height.
Sq. Ft. ^*---------
Type of Construct— Estimated Cost ..�..��...:.
To be completed .. P
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-Buildingso and hereby
declares that all the fgcts and representations stated in this application
are true and correct.
Date Signature
tI
M Schedule of Fee Costs can be found on the Reverse Side)
BUILDING PERMITFEE 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 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 fireproof 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. Q.f• $1..140 for each one thousand
cubic feet, or fra ction 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 at'tho
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
uildingother 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 ...
2,14 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,7su.ch .,building or -addition. . Ninety Cents for I each one
thousand cubic feet or fraction thereof, in the cubical contents thereof
with a minimum of $/.x.00.
For the purpose of computing fees for building permits the cubical.
conteuts•ofrany building or addition to a uniform height throughout by'
multiplying the ground -area. covered from a point.six. 6) indhes 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 a.s set forth_ n
Section 2 be less' than , $14.00'.
suerFCT
PER ..-
City ®f Fridley
AT THE TOP OF THE TWINS
BUILDING
C''31027'
PERMIT
r?
_
`y -__ __ COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
` Jla�
/�Ci�/
d
1
NUMBER
REV
DATE
PAGE OF
APPROVED BY
i
' /"'1 CITY HALL FRIDLEY 55432
�'' 612-571-3450
910418
6 7
00
JOB ADDRESS 7361 VAN BUREN ST. NE
I LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
20
4
Shaffer's Subdivision No. 1 SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Alan Becklin 7361 Van Buren St. NE Fridley, MN 55421 763-784-2317
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Premier Home Enhancers 9707 10th Ave. No. Plymouth, MN 55441 763-513-0110 2006330
a 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 0 MOVE 0 REMOVE
B DESCRIBE WORK
Reroof House F Garage Reside House & Garage
9 CHANGEOFUSEFROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
.Call for Building 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
1
1 HEREBY CERTIFY THAT 1 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
$6248.00
83.12
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
Fire SC $6.25
STR CTION HE PERFORMANCE OF CONSTRUCTION
PLAN CHECNFE
TOTALFEE
J /
4_1��Lice
$5 V00/$
3.62
SIGNATUREOFCONTRACTORO Aur AGENT (DATE,
0 E LIDATED IS IS Y UR PERMIT
*WN
SIGNATURE OF OWNERiF OWNER BUILDER, iDATEi
SP
ILA TE
JUN -25-1998 11:56 FROM CITY OF FRIDLEY TO 5130078 F.03/04
tv h w 1 1 Ettective V1198
ADDN [ ] CITY OF FRIDLE'Y
ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION p ��
ConstmctionAddress: FTS i t f*
Legal Description:
Owner Name & Address: l -) Ct_S (j�)I;� el. # `7 - Z31
Contractor. hV , r , MN LICENSE #
Address:. �t v�- , Tel. €1 -7 b�)- 611 b
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. Pt.
DECK AREA: Length Le:ngth Width Hgt/Ground Sq.'Ft.
DTAER: �N ln-ic_ f) 6f(
'onstruction Type: ]Estimated Cost: •S�l)
(Fee Schedule on Back) 7 U
iriveway Club Cut Width Needed: Ft. + 6 Ft = Fix $ ' _ $
IA,TE; APPLICANT: Tel. !� �1 �'� (�j ' Otto
ermit Fee
ire Surcharge
tate Surcharge
AC Charge
icense Surcharge
1riveway Escrow
rosion Control
CU -Y—_- -U-$—E �3NLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1000 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$ $450.00 Conservation Plan Review
ark Fee $ Fee Detenmried by Engineering
ewer Maul Charge $ Agreement Necessary t ] Not Necessary [
0. 11010
n PULATIONS:
$ vs --3' Ln
CITY OF FReLEY INSPECTION DIViSION Effective On January 1, 2000
6431 University Ave NE
Fridley, MN 554-32. APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
JOB ADDRESS ��
RATE SCHEDULE
OWN
�\ bc C_V) � �6
Residential Rate TOTAL
Furnace Shell and Duct Work, Burner - -� BUILDING USED
Also Replacement Furnace $ 30.00 .
(Side Vent - Fill Out Back) ESTIMATED COST PERMIT NOJ-f/
Gas Piping (Needed with new furnace, $ 10.00 $
but not replacement) DESCRIPTIQN OF FURNACE AND OR BURNER
Gas Range $ 10.00 $
No. of Heatin Units I Circle One (Steam) (Hot Water) Narm Air)
Gas Dryer $ 10.00 $ Trade NameI Size Nor
cr- BTU qC~ tC-:' HP EDR
�
*Air Conditioning - All Sizes $ 25.00 $� � Fuel 024-LVa-k qq-1 Total Connected Load
All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name Size No.
1% of Value of Appliance or Work $ BTU HP EDR
CS
Commercial/Industrial
1.25% of Value of Appliance or Work $ 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
State Surcharge $ .50 rulings of the Building Division, and hereby declares that all the facts and
TOTAL FEE
' /j� representations stated in this application are true and orrect.
$
DATE
DEPMABLE INDOOR AIR QUALITY, ix
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION Hf f'?V6 RAPIDS BOULEVARD � _a rlanr1
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 COON RAPIDS. NTN 5543
PLUS THE $.50 STATE SURCHARGE Signed `1�� _► �1—' �`'�
REINSPECTION FEE $47.00/Hr
*Air Conditioners can not be placed in a side yard without Approved By'04 Rough -In Date Final Date Z
written permission from adjoining property owner.
COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When replacing an existing furance, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions,
a9d is securely supported and firestopped where required. Yes o No( )
I
The venting system is plastic/PVC and meets all current codes and manufacturer
specifications including sizing, length, number of elbows and termination. -Ye
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturer's specifications. This does
include AGA-GAMA Category I Central Furnace Venting Tables for fan
assisted and natural draft appliances. Yes §c) No ( )
The existing combustion air is sized and installed to meet the current codes
and manufacturer's specifications. )
When required to install a new combustion air, it will be sized and installed
To meet the current codes and manufacturer's specifications. Yes OC) No ( )
When installing a new venting system, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturer's
specifications. This does include AGA-GAMA Category I Central Furnace
Venting Tables for fan assisted and natural draft appliances. Yes OC) 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 (6 No ( )
Appliance Type and Size/Common Vent and Vent Connector Information
Appliance #1 Type
Appliance #2 Type
Appliance #3 Type
Total Appliances
Common Vent Type
_ BTU Input
_ BTU Input
_ BTU Input
Total Btu Input
Fan Assisted or Nat
Fan Assisted or Nat
Fan Assisted or Nat
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
ALTERATIONS: (Describe)
Al LJ re -0 M 4 M
HEATING •
Signed - y,
t,