PRE 2010 DOCSCity of Fridley, Mian.. 1098
EURDING PERMIT
Date: April 23, 1971
Owner: Fran Aberle Builder S@me
Address 7421 Van Buren Street N.E. Address Same
LOCATION OF BUILDING
No.._._7421 Street Van Buren Street N.E. Part of Lot
Lot _ _ 25 ___ Block 4Addition or Sub -Division . ska � s As it ditto
Corner Lot — Inside Lot
Sewer Elevation
Setback —_ Sideyard
Foundation Elevation
To be Used as: 6 18 12
pWelling Front 24 Depth 39 Height 20 Sq. Ft. 1044 Cu. Ft.-ZQj-Q1-6
Garage Front 22 Depth Z2 Height 10 Sq. Ft. _ 484 Cu. Ft. 4840
Type of Construction Frame Fist. Cost _ _ `1.7.aX00 __ To be Completed — 4-19-72
Hard surface drive required. Provide verifying survey. 5/8 " subfloor. No
Walkout without City Eng. Approval.
Easement given to City.
In consideration of the issuance to me of a permit to construct the building d cr'bed above, I agree to do
the proposed work in accordance with the description above_ forth and in mp ce with all provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of -$ 20___ _., permit is hereby granted to. Francis Aher-Le
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.
`�,, -,j,, Z
uiiding Inepecior
MUHICH
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas heating, sower or wafer. Be ane to sec
the Building Inspector for separate permits for these items.
O
APLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
I
OWNER'S NAM:
/ e, '411741"�e'4 BUILDER:
ADDRESS Oagn d4eew j ADDRESS
%
NO:. STREET: J.
LOT: BLOCK: ADDITION:
CORNER LOT:_ INSIDE LOT: —SETBACK: SIDEYARD:
a
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:
Front: Depth:_ Height:
Square Feet:
Cubic Feet:
Front: D4th: Height: /NJ
Square Feet; Cubic Feet:
Type of Construction: Estimated Cost: $ /ZL6-0Cj - e9d
To Be Completed:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in sttict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are true and correct.
DATE :' 7 SIGNATURE :/ /
.. L� A4919349:--
(See Re'verse,Side For Additional information.)
V
-4
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 - $1.85 for
each one thousand cubic feet.
ADDITIONAL INFORMATION
For the purpose of computing fees for building permits, the cubical contents
of any building or addition, is determined by multiplying the ground area
covered from a point six (6) inches below the floor line of the basement
or the cellar to the average heights of the upper surface or to the average.*
height of the roof surface of the main gable of a pitched roof.
For repairs or alterations to an existing structure, the fee shall be at the
rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in
the cost of all proposed work.
In no case shall the fee charged for any permit as set forth in Section 2 be
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 Odcupancy has been issued.
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 ..........................$10.00
Replacement of Furnace ............................. 6.00 $
Repairs & Alterations—up to $500.00 .................. 6.00 $
Repairs & Alterations each add. $500.00 ............... 3.00 $
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $
each add. 60,000 BTU ....................... 3.00 $
Replacement of Furnace ............................. 6.00 $
Repairs & Alterations—up to $500.00 ................. 6.00 $
Repairs & Alterations each add. $500.00 .............. 3.00 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $
Each add. 200 sq. ft. EDR Steam ...................... 3.00 $
Each add. 320 sq. ft. EDR Hot Water ............. .... 3.00 $
OIL BURNER—to 3 gal. per hour ........................
6.00
$
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to 199,000 BTU) .......................
5.00
$ s cm
over 199,000 BTU See Fee Schedule
GAS FITTING FEES:
NO RATE TOTAL
1st 3 Fixtures .... ................
x$ 2.00
$ ciao
Additional Fixtures .................
x .75
$
Gas Range to 199,000 ...........
x$ 5.00
$
AIR CONDITIONING
$
FAN HEATING SYSTEM See Fee Schedule
VENTILATING SYSTEM
$
ALTERATIONS & REPAIRS
TOTAL FEE
$ •
ROUGH
FINAL 9 12' 7Z
Dept. of Bldgs. Phone 560-3450
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 are true and co
.4'F
/I Fridley, Mian o , O � 19
Owner
Kind of
Used a:
To be completed about ® fit f ® �
Estimated Cost, $ (®►
00Old New. wilding Permit No. Permit No._4X95;
ib)*1000 4-y
HEATING or POM PLANTS -Steam, Hot Water,arm Air No
s
Trade N Size No
Capacity Sq. Ft. E.D.R "f® TU H.P.
Total Connected Load 611,6ZKind of Fuel
BURNER — Trade Name Size No
Capacity Sq. Ft. E.D.R BTU H.P.
Signeit — A
By
GEO. SE 6WI& HTG. & AlK-COM
aa Business Ph"®1NgW fpm AV- S.
Minneapolis 16, Winn-
(REMARKS—OVER) U. 54611
. jeS. 'se4wiC4
HEAT LOSS CALCULATIONS BEATING &AIR CONDITIONING CO. MINNEAPOLIS, MINK.
WeatheAtrips A' ' V' Construction No. Insulation
Guide
Windows I
Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied
Yes—No Tes—No I 19_.__ i
Le h W dth -Wei ht ' F1 %/� Room Length Width Height
."1• /�
Room ngt f7
_
Width Height
ti .. of pane of pane
Windows and Doors—Crackage
and Area
\4'tdth
Height
Ko. of Lineal it.
Area j
No. of pane
o[ Dane
IlRhta nt creek
sq. ft.
Coef. Btu
Infiltration
7
_ it
Cotf.1 Btu
Infiltration Z -L Z. '
Class Y3 Z
Exp. wall
Net ,xp. wall
Int. wall
Ceiling
Floor li
Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
F1_I nvAYw-s i boom I Length /A Width �� Height
Windows and Doors—Crackage and Area
_
Width Height
ti .. of pane of pane
No. of Lineal rt. Area
lights of crack eq. ft.
r, ® 6
Coef. Btu
Infiltration c%
Z
Glass Z.91Zoo
Exp. wall
Net exp. wall
Z
Coef. Btu
Infiltration
Ceiling X N
Floor
Glass
Exp. wall 7-71i"G '
Earp. wall
Net exp. wall
2211
1
Net exp. wall
Int. wall
/;771
67y 3
int. wall
Ceiling
Ceiling
f=loor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
FI. Room JLength Width
Windows and Doors--Crackage and Area
R'ldth Height No. of Lineal It. Area
;r e. of pane of pane lights of crack eq. ft.
Btu
Infiltration I
Exp. wall G
Net exp. wall
int. wall
Ceiling C,L2_
Ftn�r
Total Btu.
Ren, --iced sq. ft. E.D.R. or sq. ins. W.A. Leader area
I
Windows and Doo rs--Crackage and Area
Width Height No. of Lineal It. Area
No. of pane of pane lights of crack eq. fl.
Width Height No. of Lineal rt. Area
No. of pane of pane lights or crack aq. Lt.
®Z2
Coef. Btu
Infiltration c%
Z
Glass Z.91Zoo
Exp. wall
Net exp. wall
Z
Inc. wall
�e
Ceiling X N
Floor
Total Btu. I&
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
9 CI 1
07,-
,6- Q...,... I I nnarth // Width /"f Height j�
YWindows and Doors—Crackage and Area
Width Height No. or Lineal rt. Area
No. of pane of pane lights of track sq. ft.
Width Height No. of Lineal rt. Area
No. of pane of pane lights or crack aq. Lt.
®Z2
Coef. Btu
Infiltration
Coef.1
fftu
Infiltration
Z
✓
�e
Glass
Ceiling b
Floor
Exp. wall 7-71i"G '
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. iris. W.A. Leader area
B m f L-1%4, 7– RMM I t one th s, Width A Heitht l
• "I J-1 11 1—
Windows and Doors--Crackage and Area
Width Height No. or Lineal rt. Area
No. of pane of pane lights of track sq. ft.
®Z2
Coef. Btu
Infiltration
Glass
M) /S:Lf—c)
Exp. wall
Net exp. wall
Int. wall
Ceiling b
Floor
Total Btu. 6
Required sq. ft. E.D.R. or sq, ins. W.A. Leader area
i i'
Cid of ri idl .y l�
Applicailan for plumbling and Gas FIRMag Pamit
Dept. of Bldgs. Phone 560-3450
DESCRIPTION OF WORK 7 ya1
Number, Kind and Location of Fixtures Location [ f
• Future Connection OpeningsI c.onnecxea vnin Sewer
* New Fixture, Old Openings Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ...................... x $ '®00
Future Fixture Opening x• S c7 $1.50
New Fixture Old Opening ............... x 6E& $ $1.50
Catch Basin .... ..................... x 3.25 $
Water Heater (Up to gTU) ...... Z_ x $—!23-' d ' $3-00
New Ground Run Old Bldg. x 3.25 $
City of Fridley:
The undersigned hereby snakes 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 19? I
7
Owner -/�
Kind of Building,L1./4-Zs6..I
Used as�+,
To be completed about q 3 b ` % /
Estimated Cost, $ / z- 4 0
Old—New. Building Permit No Permit No.
ROUGH
Electric Watch Heater $2®00 FINAL,
GAS FITTING FEES: NO. RATE TOTAL
1st 3 Fixtures .......................... x $19ft $--22. —0c' $2 000
Additional Fixtures ....................
Gas Range to $nTU ..............
REPAIRS & ALTERATIONS—Refer to Code
x 382X$ 075
x Vic $ $5000
Description ............................................... $—
TOTAL FEE $ C�l, 56 QDW42
Signed
By
Business Phone No-
O
W
<�O;d
1/�
Z
_
Y Z
yi
pC' Z
= Z
W
o�
W
1!2
t9
� a
F
N
WATER HTR.
GAs M.C.
�'
7
tl
tl
N
�. L-
O LL
N
tJL D
<�
6'
0 O
Base
1st
2nd
3rd
4th
--1—
--
• Future Connection OpeningsI c.onnecxea vnin Sewer
* New Fixture, Old Openings Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ...................... x $ '®00
Future Fixture Opening x• S c7 $1.50
New Fixture Old Opening ............... x 6E& $ $1.50
Catch Basin .... ..................... x 3.25 $
Water Heater (Up to gTU) ...... Z_ x $—!23-' d ' $3-00
New Ground Run Old Bldg. x 3.25 $
City of Fridley:
The undersigned hereby snakes 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 19? I
7
Owner -/�
Kind of Building,L1./4-Zs6..I
Used as�+,
To be completed about q 3 b ` % /
Estimated Cost, $ / z- 4 0
Old—New. Building Permit No Permit No.
ROUGH
Electric Watch Heater $2®00 FINAL,
GAS FITTING FEES: NO. RATE TOTAL
1st 3 Fixtures .......................... x $19ft $--22. —0c' $2 000
Additional Fixtures ....................
Gas Range to $nTU ..............
REPAIRS & ALTERATIONS—Refer to Code
x 382X$ 075
x Vic $ $5000
Description ............................................... $—
TOTAL FEE $ C�l, 56 QDW42
Signed
By
Business Phone No-
Aw. • -
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Effective On January 1, 1991
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
Residential
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace
Gas Piping (Needed with new furnace)
Gas Range
Gas Dryer
*Air Conditioning - All Sizes
All Others/Repairs & Alterations (LIST ON BACK)
1 % of Value of Appliance or Work
CommerciaVlndustrial
1 % of Value of Appliance or Work
State Surcharge
TOTAL FEE
$ No. of Heating 1p its / Circle One (Steam) (Hot Water arm Ai
Trade Name U ki A -0A Size No. 7,10
BTU `� 42 9700 HP 'EDR
$ Fuel /u 4t t Total Connected Load !/ & !7--L-
H�M!
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $30.00
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
Burner Trade Name Size No.
BTU HP EDR
HEATING COMPANY R&ALTON HEATIN®& WWNO
Signed By BROOKLYN PA%eMNo 5443
X
l
Approved By -GKF
� Rough -In Date Final Date \�
FILL OUT BACK SIDE FOR STACK VERIFICATION ON
REPLACEMENT FURNACE
JOB ADDRESS '7 q a t I / g� b �a r e�aa AV f- !� '
The undersigned hereby makes application for a permit for the work
Rate
TOTAL
herein specified agreeing to do all work in strict accordance with the
city codes and ruling of the Building Division, and hereby declares
$ 20.00
$01-0^
that all the facts and representations stated in this ap li tion are
true and correct. ,/ 'L- ,1991
$ 10.00
$
OWNER
$10.00
$
BUILDING USED AS W e- d
$10.00
$
ESTIMATED COST PERMIT NO.
$10.00
$
DESCRIPTION OF FURNACE AND OR BURNER
All Others/Repairs & Alterations (LIST ON BACK)
1 % of Value of Appliance or Work
CommerciaVlndustrial
1 % of Value of Appliance or Work
State Surcharge
TOTAL FEE
$ No. of Heating 1p its / Circle One (Steam) (Hot Water arm Ai
Trade Name U ki A -0A Size No. 7,10
BTU `� 42 9700 HP 'EDR
$ Fuel /u 4t t Total Connected Load !/ & !7--L-
H�M!
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $30.00
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
Burner Trade Name Size No.
BTU HP EDR
HEATING COMPANY R&ALTON HEATIN®& WWNO
Signed By BROOKLYN PA%eMNo 5443
X
l
Approved By -GKF
� Rough -In Date Final Date \�
FILL OUT BACK SIDE FOR STACK VERIFICATION ON
REPLACEMENT FURNACE
CHIMNEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack:
1. Has been carefully examined Yes (,,,,*"No ( )
2. Is free from rust or deterioration Yes (,)---"No ( )
3. Has no foreign objects lodged within Yes (._) No (l�hert
4. Is securely supported Yes (,K' No ( )
5. Meets all current Code requirements for
size and total BTU's connected Yes ( ) No ( )
6. Has total heating BTU's of
All other BTU's 40 000
TOTAL BTU's `� 000
Remarks
0 P v c
List Alterations Being Done:
FievAUM HE0146 & 66Ou
HEATING COMPANY 4120 - 85TH AVENUE N. �.
Signed By BROOKLYN PARK, MN 55443
Date
- • w
ADDRESS
HOUSE HEATING TEST RECORD
-APT.—FLOOR—CITY SUBURB
OCCUPANT
---
OWNER
HEAT LOSS
-DATE HTG. INST.
SOLD BY
- INSTALLED BY
Electrical Work' By
Gas Line By
TYPE OF HEAT
GA FA HW
STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN
CONVERSION
MAKE
MAKE OF BURNER
Model
-
Model
Serial
—
Max. BTU Rating
INPUT
-
MAKE OF FURNACE -
Model
CONTROLS
THERMOSTAT
—Heat Plug
Vent Size -----� ---
Volvo
KIND OF LINER -.- SIZE—NONE
Limit
-
Draft Hood Regulator - -
Limit Setting
- Filters Size Number
Fan Setting
- -- Chimney Location Inside Outside
Pilot Type
-
Chimney Construction
Pilot Make
Pilot Model
Smoke Bomb _ Wiring
Pilot Timing
Draft Test Tag
L.W. Cut Off
Door Pressure. Lighting Inns
Pressure
Percent CO2
Date Tested --
Input CFH
Percent 02
Company Testing
Stook Temp.
Percent CO
---- Name of Tester
Foran 235
SUBJECT
City of Fridley
l
2 4 92
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
' ,
o
• COMMUNITY DEVELOPMENT DIV.
—/
PROTECTIVE INSPECTION SEC.
q3
NUMBED
REV
DATE
PAGE OF
APPROVED By
CITY HALL FRIDLEY 55432
612-571-3450
91 0 -F15
11/2Z98
108 ADDRESS
7421 Van Buren Street NE
I LEGAL
-I
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DEscR.
ILOTNO
25
4
1 Shaffer's 1st Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Matt Johnson
780-3858
3 CONTRACTOR MAIL ADDRESS 416-4804
ZIP PHONE LICENSE NO
Midwest Siding & Roofing 18979 Gladstone Blvd Maple Grove 1 20010277
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
O NEW 0 ADDITION O ALTERATION Qx REPAIR O MOVE 0 REMOVE
B DESCRIBE WORK
Reroof house and garage 2 Tear -off
9 CHANGEOFUSEFROM TO
STIPULATIONS
Underlayment.must comply with the State Building Code.
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
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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
2228
1.11
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 -
TION OR THE PERFORMANCE OF CONSTRUCTION
$74.75
Fire SC 2.23
PLAN CHECK FEE
PTOTAL FE
5.00
$83.
SIGN A TUBE OF CONTRACTOR OR AUTHORIZE O AGENT iOATEi
P PER' IDATED IS YOUR PERMIT
-[DATE.
t../.SP
r�
4�
SIGNATURE OF OW NEA IIF OWNER BUILDER.
DATE
NEW [ ] Effective 1/1/98
ADDN [ J CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION y ��
ConstructionAddress: z.y .
Legal Description:
Owner Name & Address: r 1/�rt Jo` ; v� Tel. # .2cf® 3&-5-6
Contractor: 11A't'1A ' sr n i, MN LICENSE # ca® / od i
Address:/ i;'i 131V-1,1 19te„t /.e Tel. # Vle. -/P0 3v
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: �P__
Construction Type:,1/ 5 Estimated Cost: $ �'�C",
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $
DATE: I % ;,T J S APPLICANT:
1
CITY USE ONLY
Permit Fee
$
Fee Schedule on Reverse Side
Fire Surcharge
$
.001 of Permit Valuation 0 / 10th %)
State Surcharge
$ J l r
$.50/$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$ S7
$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:
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
$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.
ITY OF FRIDLEY INSPECTION DIVISION Effective On January t, 2001
$31 University Ave NE
Idley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
53.572.3604 REF'RIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
asidential
-urriace Shen and Duct Work, Bwner
Uso Replacement Furnace
(Side Vent • Fill Out Back)
Sas Piping (Needed with new furnace,
but not replacement)
"as Mange
ias Dryer
1AA AnnQFte 7 4z I '11A.,, ` U �c 5-T N`- C
OWN Ef� �� �� J 0 V4
$10.00
kir Conditioning • All Sizes S 25.OD
�v v� C> f)f'-\ L02 -L1 T Z a Tv
tli Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work
)mmarcial/Industrial
..25% of Value of Appliance or Work
State Surcharge
TOTAL FEE
LT'r ,T ; �T ,s- ..
:INSPECTION FEE $47.00/Hr
Ir Conditioners can not be placed in a side yard without
'Itten permission from adjoining property owner.
No. of Heating Units Circle One (Steam) (Hat Water) (Warm Air)
Trade Name Size No.
STU HP EDR
FuelTotal Connected Load
Burner Trade dame Size No.
BTI- HP EDR
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work In strict accordance with the City Coda an
rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are true and correct.
^r ac
Signed ,I� a ,
CITY OF FRIDLEY PERMIT O.: 2004-01246
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432 DATE ISSUED: 08/03/2004
763) 572-3604 FAX: (763) 571-1287
ADDRESS : 7421 VAN BUREN ST NE
PIN : 113024140081
LEGAL DESC : SHAFFERS SUB NO 1
: LOT 25 BLOCK 4
PERMIT TYPE : BUILDING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : RESIDING
VALUATION : $ 11,800.00
NOTE: PER R703,2000 INTERNATIONAL RESIDENTIAL 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 OR TAKE PICTURES. RESIDE HOUSE & GARAGE; REPLACE PATIO DOOR.
STATE LICENSED CONTRACTOR 1
APPLICANT
R & M ASSOCIATES'
3482 AUGER AVE
WHITE BEAR LAKE, MN 55110
1 J�
JOHNSON MATTHEW C & DAWN J
7421 VAN BUREN ST NE
FRIDLEY, MN 55432
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application 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 does not presume to give authority to
violate or cancel the provisions of any other state or local law
regulamg ion tl performance of construction.
Applicant_ DateG°�
i
BUILDING PERMIT FEE 209.25
FIRE SURCHARGE 11.80
STATE SURCHARGE, VALUE 5.90
LICENSE SURCHARGE 5.00
TOTAL 231.95
SEPARATE PERMITS REQUIRED FOR WORK O'T'HER THAN DESCRIBED ABOVE.
NEW [)
ADDN []
ALTER [ ]
CITY OF FRIDLEY RLi (1
6431 University Ave NE, Fridley, MN 55432
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION % I� �I
UC- 4
Effective 4/1/2004
(763) 572-3604 Bldg Insp
(763) 571-1287 Fax
Construction Address: 7 1 - J A - �
Legal Description:
Owner Name & Ac
Contractor.
LIVING AREA:
GARAGE AREA:
DECK AREA:
3s: dv nJ Tel. # 71.3
14SSdVA ` & MN LICENSE # Zl3 9f f)
vn £r u� o �� �l Tel. # 4�r ' 7�® ��Z=Z,
Attach to this application, a Certificate of Survey of the
U, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft
Length Width Hgt/Ground Sq. Ft
QTHER:
Construction Type: Estimated ,st: $
%`41�
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x
DATE: ® f APPLICANT: Tel. #��
Call (763) 572-3604 for Permit Fees if mailing inpplication. Fax to 763-571-1287 if using credit card and we will call
you for card number.
CITY USE ONLY -
Permit Fee
Plan Review
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Fee Schedule on Reverse Side
65% of Permit Fee
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1350 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ J
TOTAL 1 $ o 9S� STIPULATIONS:
$UILDING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any
additidn 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 fust $1,000,000 plus $3.15 for each additional
$1,000 or fraction thereof
CURB CUT ESCROW
(Concrete Curb Streets Only)
Removal and replacement of curb and gutter only - driveway width plus 6 feet, times the annually determined
rate
Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper
review of the proposed structure and of the construction site.
VERIFICATION OF FOUNDATION
A Certificate of Survey of the lot, showing the location of the existing foundation will be required before
proceeding with the framing. New Houses Only
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
CURB CUT ESCROW
(Concrete Curb Streets Only)
Removal and replacement of curb and gutter only - driveway width plus 6 feet, times the annually determined
rate
Permits for construction will -be issued a minimum of 24 hours from the time of application to allow for proper
review of the proposed structure and of the construction site.
VERIFICATION OF FOUNDATION
A Certificate of Survey of the lot, showing the location of the existing foundation will be required before
proceeding with the framing. New Houses Only
NEW [ ] CITY OF FRIDLEY � `"�`��
ADDN 6431 University Ave NE, Fridley, MN 55432
ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address: 7 � 2. t c -,N � v �
Legal Description:
Effective 4/1/2004
(763)572-36 4 Bldg Insp
(763) 571-12 Fax
Tel. #
MN LICENSE #`
Tel. # -7 b3
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 lot idth 12- P Hgt/Ground Sq. Ft t Z�
OTHER:
Construction Type: Estimated Cost: $
Driveway Curb Cut Wdth Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: r APPLICANT: 2�&= Tel. # q �Z/ -%09y
Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call
you for card number.
CITY USE ONLY -
Permit Fee
Plan Review
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Fee Schedule on Reverse Side
65% of Permit Fee
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1350 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ J
TOTAL $ 0 1 .2ySTIPULATIONS:
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
572-3604 t'AX: (763) 571-1287
ADDRESS : 7421 VAN BUREN ST NE
PIN : 113024140081
LEGAL DESC : SHAFFERS SUB NO 1
: LOT 25 BLOCK 4
PERMIT TYPE : BUILDING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DECK
PERMITO.: 2004-01360
DATE ISSUED: 2004:)
VALUATION : $ 1,534.00
NOTE: SEE NO'T'ATIONS ON PLAN.
CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. CONSTRUCT A 10'X 12' DECK.
STATE LICENSED CONTRACTOR 1
APPLICANT
DEMARS MIKE CONSTRUCTION (6614)
8401 166 CIR NW
RAMSEY, MN 55303
OWNER
JOHNSON MATTHEW C & DAWN J
7421 VAN BUREN ST NE
FRIDLEY, MN 55432
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of worl
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or cancel th ro ' ' ns of any other state or local law
regi' oe performance of consgucti�on.
Bldg
BUILDING PERMIT FEE 57.05
PLAN CHECK FEE 37.08
FIRE SURCHARGE 1.53
STATE SURCHARGE, VALUE 0.76
LICENSE SURCHARGE 5.00
TOTAL 101.42
PAID WITH CHECK # 6924
Oi>i ruXr-L i u r iuuru i 0 i 1uuv LL.��.luiaLL r�uv v i:.
- 711
f .
V eo �3 u cro
ol
cem,
;`�,� I ti �'U��rl ��� a, iy �'
41
`�1��, seal 4ref
df
THIS JOB COPY SHALL BE
AVAILABLE ON THE JOB
SITE FOR THE FRAMING
AND FINAL INSPECTIONS
9i
6n 3- X17,
1 "1 , ujA
1 s WA em
;2woc�j vi7 Ilk V4
14"
REVIEWED
FOR CODE
T ' k
Phone: GReenuiood 3-8352
ARLEIGH C. SMITH
Registered Professional Engineer. and Land.Surveyor
2030 East Wayzata Boulevard Wayzata, Minnesota
' PLAT OF. SURVEY
e 'Y
OF PROPERTY OF F^ 1p' rA &I A B E JZ. 1. � l � _. -3*
� �� X f � � 7�o,�i °�► �% � / 4
N described as follows• L O T' as 8 L G 1< 4- S T. PAW L, 55'J 12 ,
Scale: 1 inch—feet. i
�r
DP AJNA6c GASE.+4clp T'
6 e
3a. b
. / G
s y .' •
O
j�i '�j •j
� �., �`_ � ^ _ � `= ' / g 1. S$' •;
fi �4,
1
.tt CERTIFI TE OF LO"TION OF, .BUILDING CERTIFICATE OF SURVEY
.�r het�e' . ' 'that 'v 19 I I hereby certify that o
7. rm19 I
. j �'
de a survey.of the Pe11111� locati of the building surveyed the, property described above`'�and that the
u the'`above described propety $nd that the location above plat is a correct representation of said survey.
'Mid.bu>iding''ls correctly.shown aoti the hove plat. 4
CITY OF FRIDLEY PERMIT NO.: 2004-01382
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432 DATE ISSUED: 08/19/2004
572-3604 if'AX: ( 763) 571-1287
ADDRESS
: 7421 VAN BUREN ST NE
PIN
: 113024140081
LEGAL DESC
: SHAFFERS SUB NO 1
: LOT 25 BLOCK 4
PERMIT TYPE
: ELECTRICAL
PROPERTY TYPE
: RESIDENTIAL
CONSTRUCTION TYPE
: ADDITION/ALTERATION
VALUATION
NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL KITCHEN AND
BATH CIRCUITS.
# INSPECTIONS 1
APPLICANT
RIVARD ELECTRIC CO INC
7087 PROGRESS RD
CENTERVILLE, MN 55038-8730
(651)426-2444
JOHNSON MATTHEW C & DAWN J
7421 VAN BUREN ST NE
FRIDLEY, MN 55432
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of worl
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or cancel the provisions of any other state or local law
regulating construction or the performance of construction.
Applicant Date
Bldg Insp Date
ELEC PERMIT FEE - MIN (REST) 20.00
STATE SURCHARGE, ELEC FLAT 0.50
TOTAL 20.50
PAID WITH CHECK # 28956
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
4q*