PRE 2010 DOCSCity of Fridley, Mian.. o
6431 University Ave. N. E., Minneapolis, Minn. 55432
BUHDING PERMIT
Zate: __ E'. May 14, 1971
Owner: -Buri e 11 E. _ Beek Builder S ame
Address --7542 Van Euren Street N.V. Address - Sams-
LOCATION
ame
LOCATION OF BUILDING
No - 7597 Street V.an _B» ren S fi_ rP P i- N.V. Part of Lot
Ut 1n Block 3. Addition or Sub -Division 3M Shaffer I s No. 1
Corner Lot — Inside inside Lot - X Setback Sideyard 14' & 61
Bower Elevation Foundation Elevation
To be Used as:
1)4aplling Front 41' Depth __-_28' Height 20'
Sq. Ft. 1_1428 cu. FL 28,56
_ rraraae Front ___22 ' _ Depth 24' Height 10' Sq. Ft. _ 528 cu. Ft. 5280 t
Type of Construction - lFr ame Est, Cost -,._S 1919 . QQO_To be Completed 3 ep t .1. 19 71
Fill in lot. See "No Objection" letter from Neighbor to the South.
Provide hard surface 11< drive. Provide verifying survey. Maintain minimum elevation
of 18" above centerline of street.
SEM LOCATION: 47' South of Manhole WATER LOCATION: 37' South of Manhole
Wye Elevation: 881.22°
In consideration of the issuance to me of a permit to construct the building described above, I agree to do
$he proposed work in accordance with the description aboveset orth and in compliance with provisions of
ordinances of the city of Fridley.
_ &OAZ,&
In consideration of the payment of a fee of $ 6 3 . OQ_ permit is hereby granted to Russell Beck
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
Iiiidley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
'ltbin the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
.— Building Inspector
AL D. BAGS
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to we
the Building Inspector for separate permits for these items.
A-
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME
jE,S,5 EA BUILDER vv\ E—
ADDRESS IIA LA ADDRESS S &Va
LOCATION OF BUILDING
NO.
41
LOT BLOCK ADDITION OR SUBDIVISION ,,Y�,��C,-gs
CORNER LOT INSIDE LOT__)( SETBACK SS' SIDBYARD
SEWER ELEVATION TOP OF FOOTING
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:
Qw-Front Depth Height JM,09.4
Square feet Cubic Feet ;?;g
Front Depth Height 1.i4dg.11
Square feet Cubic Feet �
Type of Construction Estimated Cost g000
To Be Completed 1921
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 declaxes that all the facts and representations stated in
this application are true and correct.
DATE ZI SIGNATURE.
.(Schedule of Fee Costs can be found on the Reverse Side,)
I A
BUILDING PERMIT .FEE SCE EDULE
SECTION'2. -The Inspector of Buildings shall, before issuing permits
for the erection of any building or structure; or for any`aadxxtion to any
existing structure or building, 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 - $1.75 for each one thousand
r—
cubic feet, or fraction thereof, in such cubical contents. Type 3 & 5 -
$1.50 for each one thousand cubic feet.
For the purpose of computing fees for building permits, the cubical
contents of any 'buildings `�r"°addition to a uniform hei$�it `th�ciughout �y
multiplying the ground area covered from a point six (6) inches below
the floor line of the basement or the cellar to the average height ofd
the upper surface or to the average height of the roof surface of the;;
main gable of a pitched roof.
k
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 k
fraction thereof in the cost of all proposed work. l
r.
In no case shall the fee charged for any permit as set forth in Section
2 be less than $5.00.
NSSSD Connection Charges based on location - Area 1 or 2,
0
r
PLUMBING FIXTURE PLATES:
NO. RATE
TOTAL
Number Fixtures
Z x $2.00
$
�
Future Fixture Opening
x $1.50
yy
5
,g7
x $1.50
$
Catch Basin ...
WATER HTR.
GAS
ELEC.
Base
lam_ x $3.00
$
3.00
New Ground Run Old Bldg.
x $3.25
$
Electric Water Beater
z $2.00
$
GAS FITTING FEES:
NO. RATE
TOTAL
1st 3 Fixtures ... . .........
----t-_ x $2.00
$--2? - C1
lot A
—x$.75
$
Gas Range to 195,000 BTU ...............
x $5.00
$
--
—
2nd
3rd
4th—
m Future connection openings Connected With
e Now Fixture, Old OpeningsCeSssewer ❑
I Poo ❑
PLUMBING FIXTURE PLATES:
NO. RATE
TOTAL
Number Fixtures
Z x $2.00
$
�
Future Fixture Opening
x $1.50
$
New Fixture Old Opening
x $1.50
$
Catch Basin ...
x $3.25
$
Water Heater (Up to 99,000 BTU)
lam_ x $3.00
$
3.00
New Ground Run Old Bldg.
x $3.25
$
Electric Water Beater
z $2.00
$
GAS FITTING FEES:
NO. RATE
TOTAL
1st 3 Fixtures ... . .........
----t-_ x $2.00
$--2? - C1
Additional Fixtures . ... ..............
—x$.75
$
Gas Range to 195,000 BTU ...............
x $5.00
$
REPAIRS & ALTERATIONS—Refer to Code
Description .... . ........................... .............$
TOTAL. FEE ' --0 6
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- Z401OV0 2 1914%1 o
9
Owner �-6AVr &R
Kind of Building 444VV
v
Used as _ o ae
To be completed about'Zer
Estimated Cost, $.. Ism
d01& --New. Building Permit No.—. _Permit No.
Signed
By -
Business Phone No -
o �2F,
ROUGH
egt gj � s e wA�ra ura.
Base
1st
2nd
3rd
r
• fu:" co nings wlt>s
•
Now FIX20M.Old appaings
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RAVES:
NO. RATE TOTAL
Number Fixtures ................
x $2.06
:
Future Fixture Opening .... ® .... • .
x $1.50
$
New Fixture Old Opening ..........
x $1.50
S
Catch Basin ................... •
x $3.25
=
Water Heater 'Up to 89.000 BTU) • •
x $3.00
$
New Ground Run Old Bldg.........
x $3.25
$
Electric Water Heater ..............
a $2.00
$
GAS FITTING FEES:
NO. RATE TOTAL
Fat 3 Fixtures ............... 2
x $2.00
$ 2.00
Additional F129tUM ................
x $ .7b
$ 6jm
Gat Range to 199,000 BTU ............
x $5.00
$
State Surcharge
$ .50
REPAMS�.is�ALTI® for to
_
Description O 0 0 0 0 . . O . . 0.. 0. . O.. 0 A. C . 0 . 0
•.. o . ./.�. O.. .
�.,.4.
TOTAL. FEE
City of rAdley:
The undersigned hereby makes application for a permit for the work herei,
speeffled, 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 Aug. 17, 1972
Oar Russell Deck
Kind of Building fraM
Used as residence
To be completed about Aug® 21, 1972
Estimated Cost, $ 204,6o '
OIX New. Building Permit No. Permit No.
Signed
By
Business Phune No
ROUGH
FINAL -7 �!
(1) gas grill & (1) lite-
C."
JUNE 30, 1995
CITY OF FRIDLEY
ATTN: WATER DEPARTMENT/BILLING
6431 UNIVERSITY AVE NE
FRIDLEY, MN 55432
TO WHOM IT MAY CONCERN:
WE HAVE PREVIOUSLY NOTIFIED YOU THAT WE HAVE A SUMP PUMP IN PLACE
NOW PUMPING GROUND WATER INTO THE SANITARY SEWER. WE UNDERSTAND
THAT THE "GRACE" PERIOD ALLOWED TO CORRECT THIS ACTION WILL EXPIRE
TODAY AND BEGINNING IN JULY, WE WILL BE SUBJECT TO A QUARTERLY FINE
OF $300. IN ORDER TO COMPLY WITH THE LAW, WE HAVE MADE REPEATED
PHONE CALLS TO THE PUBLIC WORKS DEPARTMENT AND EVEN TO THE CITY
ENGINEER FOR ASSISTANCE IN DETERMINING A WORKABLE SOLUTION TO OUR
SUMP PUMP PROBLEM. WE RESPECTFULLY REQUEST ADDITIONAL TIME TO WORK
OUT THIS MATTER AND PUT CORRECTIVE MEASURES IN PLACE THAT PLEASES
THE CITY, IS NOT A NUISANCE TO OUR NEIGHBORS AND WILL NOT POSE A
HEALTH RISK TO OUR TODDLER. BASED ON THE PROGRESS WE HAVE MADE TO
DATE, WE FEEL WE COULD BE IN COMPLIANCE NO LATER THAN AUGUST 1,
1995.
PLEASE CONSIDER OUR REQUEST FOR A ONE MONTH EXTENSION OF THE "GRACE"
PERIOD.
SINCERELY
DONALD AND KAREN BASSETT
7527 VAN BUREN ST NE
FRIDLEY, MN 55432
(612) 783-0226
SUBJECT
PE
City of Fridley
7 2 0 9
AT THE TOP OF THE TWINS
Q U I L ®I N G P E D
A A I T
' ,
D "'v1
RECEIPT NO.
I `
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
r � �
1 . �
NUMBER
REV
DATE
PAGE OF
APPROVED BY
,e� CITY HALL FRIDLEY 55432
L J` 612-571-3450
910-F15
18/17/98
JOB ADDRESS 7527 Van Buren Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
10
3
Shaffer's 1st Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Don & Raren Bassett
783-0226
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO.
Stephen Home Remodeling 22251 169 St Big Lake'MN 55309 262-0020 5743
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 N REPAIR
O MOVE O REMOVE
8 DESCRIBE WORK
Reroof house and garage (26 Sq) Tear -off; Reside house and garage
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with State Building Code.
Call for building wrap inspection 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
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
�r�Q $5,468
$2.73
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-
$112.25
Fire SC $5.46
TRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
r
/7
PLAN CHECK FEE
TOTAL F E
_ �9
License SC 5.00 jf
$125 4
SIGNATUREOF O RACTOR OR HORIZED AGENT IDATEI
P PER V [IDATED
/fj�!7 01
BLDgfl&SP
T S IS SUR PERMIT
SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI
NEW - [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: 2 Z?W gy-e,.7 -91
Legal Description:
Owner Name & Address: Day -f Tel. # r%� - 0':;)-P,g
Contractor:d�ff�i�� 4sa ��� �^G/n/�-- MN LICENSE # °7
Address: S;7-/ /6 �;' _S7�- Tel. # c:�?160 -d aa&
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
ccS
PFF
/7z;9,4 -Construction Type: ®�' Sff/r'O �vlr) Estimated Cost: $ 2 -610-
Z -
(Fee
(Fee Schedu� on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: Zj" 7 -'Pe APPLICANT: ja Tel. #,�26-o-o3P-6
CITY USE ONLY
Permit Fee $ / �� ��� Fee Schedule on Reverse Side
Fire Surcharge $ S-, 'q 4 .001 of Permit Valuation (1/10th%)
State Surcharge $�•%� $.50/$1,000 Valuation
SAC Charge $ $1000 per SAC Unit
License Surcharge $ S-.00 $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 $
4��'rae
STIPULATIONS:
BUILDING PERMIT FEE SCHEDULE
The Chief Building Oficial 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.
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
(763) 572-3604, FAX (763) 571-1287
Effective April 1, 2004
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
PLUMBING FIXTURE RATES:
New Fixtures
Old Opening, New Fixture
Beer Dispenser
Blow Off Basin
Catch Basin
Rain Water Leader
Sump/Receiving Tank
Water Treating Appliance
Water Heater -Electric
Water Heater - Gas**
Ii,%Ir Il[Qr_\4
_I
Gas Range**
Gas Dryer**
Back Flow Preventer Required( )Yes () No
Type
$10.00
$10.00
$10.00
$10.00
$10.00
$10.00
$10.00
$35.00
$35.00
$35.00
$10.00
$10.00
$15.00
Reinspection Fee $50.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.25% of Value of Fixture or Appliance
State Surcharge
$ .50
JOB ADDRESS S
The undersigned hereby makes application for a permit for the work Herein
specified agreeing to do all work in strict accordance with the citycodes
and rulings of the Building Division, and hereby declares that all the facts
and representations stated in this application are true and correct.
DATE: Ill 13 20
OWNER Kay -en i* Done.t lei 301 Ss�
BUILDING USED AS
ESTIMATED COST 2li VPERMIT NO
PLUMBING COMPANY tO
SIGNED BY t A TEL N0. bS l 3(0g i 3 l�U
Approved By
Rough -In Date
Final Date
MINIMUM FEE FOUR ANY PLUMBING/GAS PERMIT IS $15.00 or 5% OF COST
TOTAL FEE $ 0 �.&0 OF THE IMPROVEMENT WHICHEVER IS GREATER PLUS THE SURCHARGE.
COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. **PROVIDE COMMON VENT INFO ON BACK SIDE r
k)
FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS
COMMON VENT; VENT CONNECTOR AND COMBUSTIONAIR VERIFICATION
When replacing an existing fOrnace, 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 plastic/PVC and meets all current codes and manufacturer
specifications including sizing, length, number of elbows and termination. Yes
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 ( )
The existing combustion air is sized and installed to meet the current codes
and manufacturer's specifications. Yes ( )
When required to install a new combustion air, it will be sized and installed
to meet the current codes and manufacturer's specifications. Yes ( )
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 ( )
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 ( )
Appliance Type and Size/Common Vent and Vent Connector Information
Appliance #1 Type
BTU Input
Fan Assisted or Nat
Appliance #2 Type
BTU Input
Fan Assisted or Nat
Appliance #3 Type
BTU Input
Fan Assisted or Nat
Total Appliances
Total Btu Input
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
ALTERATIONS: (Describe)
HEATING CO:
Signed By: Date :
No( )
No( )
Me)
No( )
No( )
No( )