PRE 2010 DOCSBUILDING PERMIT
Village of Fridley, Minn. N? 2920
7"
Date.....�.... . ...............
Owner 7
Builder
. Y
Address .....�1� l ..... ... .... Address / 7 ...........................
LOC TION OF BIJILDING
9
No. . ? �.®.... Street .:.. Part of Lot ......
Lot ......... Block..;`. ........ Addition or Sub -Division.............. .
D
Corner Lot ............ Inside Lot ... . Setback . � 7..... Sideyard X.®.`.? ...
DESCRIPTION OF BUILDING
To be Used s:
. ... FrontDepth height ......... Sq. Ft. Z .�✓ !t Cu. Ft. ........
.... Front ........ Depth ...:.... Height ......... Sq. Ft......... Cu. Ft. ...... .
Type of Construction .............. Est Cost ............. To be Completed ....... .
In consideration of the issuance to me of a permit to construct the building described above, I agree to do
the proposed work in accordance with the description above set folth and in compliance with all provisions of
ordinances of the village of Fridley.
..,�.. ..... ...... .... .....
In consideration of the payment of a fee of $,%.. , permit is hereby granted to ..... .. . .
to construct the building or addition as described above. This permit is granted upon
the .express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with-
in the village limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances. - 1.1
Inspector
NOTICE:
This permit does not cover the construction, installation or alteration for wiring, Z81
ing, gas heating,
sewer or water. Be sure to see the Building Inspector for separate permits for these I
a
75
Date:
Owner:
Address
City of Fridley, Minn.
BUILDING PERMIT
N° 4625
Builder.......................t .... �L----------- .......... .......... _..................... _.......
,Address _.....�.:_.....-- — ._..... -- ..._..- -
Pari
lvo.'.*.'_.... street LOCATO OFB�LDING o Io ......_.._..---___... ._ ............._._....
_............__
Lot ..... ..-------..... Block..............------_..........VAddition or Sub -Divi ioln
CornerLot ....:::.......................... Inside Lot ..... _............. .................. Setback .... a .................... Sideyard ....._11.......... ....._............. ....... ...................
I
Sewer Elevation....._............._............._......_...._......._...._......._..................._........ Foundation Elevation .. ..........................................
DESCRIPTION OF BUILDING
To be Used
asp
Front �}, . K Depth.-- Height +`° • . Sq. Ft.`- . Cu. Ft..
...... _.. _ .: .. ....... Font r� .-•... Depth ..... ? _. Height .. Sq. Ft.Cu. Ft.
Type of Construction ...?"°...... Est. Coss r `"'.........L. To be Completed ..... _............. _............. .................
In consideration of the issuance to me of a permit to construct theuilding 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.
,t,y
In consideration of the payment of a fee of $...*r"....:, permit isereby granted to. .... _.......... ............... ..._..................
...._..
_ ____. _.____..._..........._..__.__ to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
within the city limits and this permit may be revoked at any time upon vlolation.,40,any of the provisions of said
ordinances.
}
_ I pe
,.:�.�'�Bhilding Ins etor
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see
the Building Inspector for separate permits for these items.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA.
s
Owners Name
Address o
Address
.;
LOCATION OF BUILDING
No. Street Ahj-S4/A)C-i AJ Part of Lot d ��
Lot BlockAddition or Sub,Div R/cE CRE6-/c
Corner Lot Inside Lot,,,,,,, Set Back Side -Yard
SEWER ELEVATION FOUNDATION ELEVATION_„_,,__,_
Applicant attach to this form Certificate of Survey of Lot and proposed building
location..
DESCRIPTION OF BUILDING
To be�d�a�
o' R A C-�- Front I Depth iC Height_, a
Sq. Ft. % Cu. Ft, -O c
. Pa p- c !f Front jr Depth ® Height
Sq. Ft. t✓ Cu. Ft,
Type , of Construction h� Estimated Costs —
To be con
M
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 :57/// �® SIGNATURE
(A Schedule of Fee costs can be found on the Reverse Side.)
City of Fridley, Minn. N® 7761
BUHDING PERMIT :tr --2 V15�
Date: June 71 1965
owner: Ra A-hrene Builder E• Norberg
Address 6$40 Washinton N. E. Address 5501 No.
LOCATION OF BUILDING
No. 40 _ Street Washin on Street No E. Part of Lot
Lot 2 _ Block 2 Addition or Sub.Division Rice Creels Terraces Plat 1�
Corner Lot _ Inside Lot Setback Sideyard
Sewer Elevation Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
Front Depth Height Sq. Ft Cu. Ft
Front Depth Height Sq. Ft Cu. Ft
Type of Construction Est. cost 62,200AD_ _ To be Completed
Storm damage repair
In consideration of the issuance to me of a permit to construct the buildinghmrjbed above I agree to do
the proposed work in accordance with the description above set forth end pliance with adl provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of $IQ& , permit is hereby granted to E. lorberg
to construct the building or addition as described above. This permit is granted upon
the express condil3on 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, conatructTon, alteration, maintenance, repair and moving of buildings
within the dty ]units and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
Allen Jensen Building Inspector
NOTICES
Ibb pom* does not cover the coustrucdon, huff Merlon for wiring, phimbhtg, gas heoHng, sewer or water. Be sure to no
the Building Mgmter for separate pwwM for thea® hams.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S 'NAME BUILDER
ADDRESS /��� ADDRESS
LOCATION OF BUILDING
.No. Street Part of Loth®
L BLOCK ® ADDITION OR SUBDIVISION ,(/�
Corner Lot Inside LOT" Setback Side -Yard
SEWER ELE#ATION FO M ATION ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
To be used as:
DESCAIPTION OF BUILDING
Front Depth Height
Sq. Ft. Cu. Ft,
Front Depth �_iieight
Sq. Fte, Cu. Ft.
Type of Construction -av b Estimated Cos:CP
To be completed
The undersigned h6keby 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 iulings'of the`bepartment of Buildings, and hereby declares that all the facts
and representations stated ia•this application are true and correct.
DATE SIGNATURE
(Schedule of Fee Costs can be found on the Reverse Side).
Applicatim for
Pkmft
nd Heatln%
ration and
Poweri►ir oni ® S � Devices
��
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR: RATE TOTAL
Furnace Shell & Duct Work $10.00 $
Replacement of Furnace .... 6.00
Repairs & Alterations—up to $300.00 6,00 $
Repairs & Alterations each add. $500.00
3.00 $-- –
MECH. WARM AIA
Furnace Shell & Duct Work to 120,000 BTU ........ .. $10.00 $_
each add. 60,000 BTU .................... .. 3.00 8
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 --wee Fee Schedule
GAS BUR (up to M,0W BT) &00 $
over 199,000 BTU see Fee Schedule
GAS FITTING FEES. NO RATE TOTAL
1st 3 Fixtures x$ 7.0 $
Additional Fixtures x .75 $
Gas Range to 199, x$ 1300 $
ROUGH
FINAL Oy�
Soo Fee Ochodubg
TOTAL
Dept. of Bldg& Phone 8W -M
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 Ordinance*
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and correct.
Fridley, Minn_
Owner m
Kind of Building
Used as
To be completed about
Estimated Cost,
Old—New. Building Permit No.
Permit No. D 6
BU — TradeName Size No
(REMARKS -OYER)
SUBJECT
PERMIT NO
City of Fridley
54
AT THE TOP OF THE TWINS
P E R
M
i
BUILDING
RECEIPT NO
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
1 �
=
1 i"-'1 CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF APPROVED BY
%.J 612-560-3450
910-F15
6/10/77
JOB ADDRESS 6840 WasMA ton Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
2
2
Rice Creek Terrace Plat 4
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
Same
PHONE
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO.
Patio Village 3918 West. 49-1/2 St. Edina, DIN926-2771
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO.
6 USE OF BUILDING
Deck
7 CLASS OF WORK
❑ NEW CX ADDITION ❑ ALTERATION ❑ REPAIR
❑ MOVE ❑ REMOVE
S DESCRIBE WORK
Same
9 CHANGE OF USE FROM TO
STIPULATIONS
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
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
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
374
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
$1,950.00
.98
DOES NO RESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVIS N OF ANY OTHER STATE OR LOCAL LAW REGULATING CON -
STRU TI OR THE PERFORMANCE OF CONSTRUCTION.
11.70
PLAN CHECK FEE
TOTALFEE
< , /7
12.68
919fiATURE OF CONT ACTOR OR AUT RIZED AGENT (DA E)
W N O LY ALIDATED
THIS IS YOU 'PER IT
I
BLDG. INSP
Z Ad
DATE
SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE)
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(NEW, ALTERATIONS, ADDITIONS, OR REPAIRS)
OWNER: ®�_� BUILDER: L-L-JkC4
�.
Address: Q ,►a&J gi Address: /B XJ . 40 ' Z
Tel . No. J Z • % %/
No..
LOT:
Street:
BLOCK: ADDITION:
CORNER LOT: INSIDE LOT: SETBACK: SIDEYARDS:
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
��G
Front ��. Depth: Height: 2 Q
Square Feet: Cubic Feet:
Front: Depth: Height:
Square Feet:Cubic Feet:
Type of Construction: .' " pi;��
To Be Completed:
Estimated Cost: $ 1% S`�•yy
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired $ $
(SEE REVERSE SIDE OF SHEET)
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that all the facts and representat' s stated in this application
are true an71ol/7
orrect. See reverse side f dditio 1 fo ation.
/
DATE: `� SIGNATURE:
Stipulations: LIZ
"�V a A W
W�
SUBJECT
P
City ®f Fridley
2 219 9
AT THE TOP OF THE TWINS
BUILDING P E R M I T
� .
RECEIPT
t COMMUNITY DEVELOPMENT DIV.
I _
L PROTECTIVE INSPECTION SEC.
•��
r
I . ,
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
�"" �'� �'� 612-571-3450
910-F15
10/21/93
JOB ADDRESS 6840 Washington St NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
2
2
Rice Creek Terrace Plat 4 SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
John Shelton 6840 Washington Street NE
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
B & B Roofing Service 6760 Madison St NE, Fridley 571-0648 9042
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW O ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof Dwelling (25 Squares.) 2nd Layer
9 CHANGE OF USE FROM TO
STIPULATIONS
Roofing can be the 2nd layer but not the 3rd, Install adequate attic
ventilation. Provide smoke detectors as per UBC 1210 adjacent to all sleeping areas
and in basement.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
ZONING
SQ. FT.
CU. FT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 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
$2 000
$1,00
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
f
PERMIT FEE
SAC CHARGE
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$45.00
Fire SC $2.00
SCTIO OR THE PE�RMANCE OF CO STRUCTION.
PLAN CHECK FEE
TOTAL FEE
dvfi
License SC $5.00
$53,00
SI A UREO C NTRACTORORAUTHORI2 DAGENT (DATE)
W P VALIDATED THIS IS YOUR PERMIT
7-
DG QA
SiGNATURE OF OWNER (IF OWNER BUILDER) (DATEI
NEW [ ] Effective 5126193
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 X37 40
Building Permit Application
Construction Address:
Legal Description:
Owner Name &Address: Tel. #_57Z
Contractor: Ul e s-ei— MN LICENSE # yZ
Address: -627120 2V�=Ysj�0Tel.
LIVING AREA: Length
GARAGE AREA: Length
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
V� S
Width Height t
Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER:
Corner Lot [ ] Inside Lot { ] Ft. Yd Setback Side Yard Setbacks.
Type of Construction: Estimated Cost: $��
Approx. Completion Date:
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $
DATE: Zl 0 a.2
TOTAL $ STIPULATIONS:
Tel. # -5- Zl'–d 2,
CITES(� E ONLY
Permit Fee
$
`�'� Fee Schedule on Reverse Side
Fire Surcharge
$
.001 of Permit Valuation (1/10th%)
State Surcharge
$
<< $.50/$1,000 Valuation
SAC Charge
$
$750 per SAC Unit
License Surcharge
$
$5.00 (State Licensed Residential Contractors)
Driveway Escrow
$
Alt. "A" or Alt. "B" Above
Erosion Control
$
Conservation Plan Review $450.00
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement Necessary [ ] Not Necessary [ ]
TOTAL $ STIPULATIONS:
Tel. # -5- Zl'–d 2,
CITY OF FRIDLEY INSPECTION DIV. Effective On January 1,199y
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
JOB ADDRESS (� �!'�/4/457moy
RATE SCHEDULE
N; The undersigned hereby makes application for a permit for the work herein
Residential Rate TOTAL specified agreeing to do all work In strict accordance with the City Codes and
--Furnace Shell and Duct Work, Bumer - rulings of the Building Division, and hereby declares that all the facts and
Also Replacement Furnace $ 20.00 $ representations stated in this application are true and correct.
(Side Vent - Fill Out Back)
Gas Piping (Needed with new furnace) $10.00 $ j
OWNER � oV/✓lc.�` �)/�YJ
Gas Range $10.00 $
BUILDING USED AS -5114r
Gas Dryer $10.00 $
/ ESTIMATED COST ���� � PERMIT N0.
—V Air Conditioning - All Sizes $10.00 $-/o
DESCRIEIION OF FURNAGE_AN0 OR BURNER
All Others/Repadrs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work $ No. of Heatin=x;-4L'00*JC'e'6e
Circle One (Steam) (Hot Water)O�R)
Trade Name Size No.
Commercial/industrial BTU ®0 HP EDR
1% of Value of Appliance or Work $ Fuel Total Connected Load
State Surcharge X60 Burner Trade Name Size No.
TOTAL FEE �.0
BTU HP EDR
HEATING COMP 5i'4�x z/�V4 '� LC—
MINIMUM
FEE FOR ANY HEATING(COOLING VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $1S.00 Signed By Tel No.
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $30.00 Approved Rough -in Date Final Date
*Air Conditioners can not be laced in a side and without
p y
written permission from adjoining property owner. FILL OUT BACK SIDE FOR STACK VERIFICATION ON
REPLACEMENT FURNACE
NOTE: #1 through #8 required when using a side vent furnace.
CHUM AND STACK UJUEFICADON
The undersigned hereby verifies that the existing chimney or stack:
1. Has been carefully examined Yes {) No { )
2. Is free from rust or deterioration
3. Has no foreign objects lodged within
4. Is securely supported
5. Meets all current Code requirements for size
and total BTU's connected
6 Has total ideating BTU's of
All other BTU's
TOTAL BTU's
Yes( No ( )
Yes No
Yes No
Yes( ) No ( )
7. Has a liner been: provided for water heater Yes ( ) No ('
8. Has combustion air been provided for water heater Yes ( ) No (
Remarks:
)
)
•
1
List -ALTERATIONS Wag_Doae:
HEATING CO:
Signed By:
Date:
2
SUBJECT
RMIT NO.
City of Fridley
26910
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
�IPT
NO.
e • COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
��
r
E � �
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
1•'
612-571-3450
910415
7/30/98
JOB ADDRESS 6840 Washin ton St NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
2
2
1 Rice Creek Terrace Plat 4
SHEET
2 PROPERTY OWNER MAIL ADORES$
ZIP
PHONE
Dan Arnold
572-2143
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO.
Right Way Roofing 16475 45 Ave N Plymouth ME 55446
557-8678
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 O ALTERATION ER REPAIR
O MOVE O REMOVE
8 DESCRIBE WORK
Reroof house and garage 28 S Tear -off
8 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with 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
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
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 PERMIT1.17
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMITTEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
$74.75
Fire SC $2.33
PLAN CHECK FEE
TOTAL FEE
L
0
8
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
N P PERL VA
ATED THI $ YOUR PERMIT
_
BLD INSP
7, r
GATE
SIGNATURE OF OWNER -OF OWNER BUILDERI IDATEI
2
NEW [ l Effective 1/1/98
ADDN [ CITY OF FRWLEY
ALTER [ l SINGLE FAMILY AND DUPLEXES R -I AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: 6840 Washington -St NE
Legal Description:
Owner Name & Address: Dan Arnold Tel. # 572::2143
Contractor: Right Way Roof i ng MN LICENSE # 3 9 9 9
Address: 16475 45th Ave N Plymouth MN 55446 Tel. # 557-8678
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: Len idth HgtlGround . Sq. Ft.
OTHER:
Construction Type: single Family Home Estimated Cost: $ `�, , 3 3 , 01Q)
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft =
Ft x $ $
DATE: 7/28/98
APPLICANT:
Right Way Roofin el. # 557-8678
11107,
CITY USE 1NLY
Permit Fee
$ -19 . TS
Fee Schedule on Reverse Side
Fire Surcharge
$ :)—_
.001 of Permit Valuation (1110th%)
State Surcharge
$ 1 1
$.501$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$�� , o O '
$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 [ I ' Not Necessary [
TOTAL
$ 3 ,
STIPULATIONS:
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572-3604
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FI OOR
Effective On May 10, 1999
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**
Gas Range**
NO. RATE TOTAL
Gas Dryer** _
Back Flow Preventer Required ( )Yes () No
Type _
to
$ 7.00
$ 4.00
$ 5.00
$ 7.00
$ 7.00
$ 7.00
$ 7.00
$10.00
$ 7.00
$10.00
$10.00
$10.00
$15.00
Reinspection Fee $47.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance.��
State Surcharge $ .50
TOTAL FEE $
JOB ADDRESSrk
d`
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
and rulings of the Building Division, and hereby declares that all the facts
and representations stated in this application are true and correct.
,1999
Owner �l Y �L— Oeoc�<Je)
Building Used As 00C'Ll
Estimated Cost /7S --O
PLUMBING COMPANY
SIGNED B��
PERMIT NO.
Approved By
TEL N0. S^
Final Date
**COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SQ INCHES.
SuB.iEer
PERMIT NO.
City of Fridley
30252
AT THE TOP OF THE TWINS
BUILDING PERMIT
�
RECEIPT NO.
`� ______ COMMUNITY DEVELOPMENT DIV.
INSPECTION SEC.
r I PROTECTIVE
�
1 e �
� Q79 CJ
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED By
'j
L J` 612-571-3450
910-F15
9/21/99
108 ADDRESS
6840 Washington Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
2
2
Rice Creek Terrace Plat 4
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Mark Denard:o
571-1979
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Owner
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
D NEW O ADDITION IIS ALTERATION O REPAIR
O MOVE O REMOVE
8 DESCRIBE WORK
Finish basement 421 x 221 - New sheetrock existing walls
9 CHANGEOFUSEFROM TO
STIPULATIONS
Smoke detectors required in all sleeping rooms and on all levels of the house
SEPARATE PERMITS ARE REOUIREO 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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$1000
$.50
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHAR
E
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
.$378.75
Fire
$1.00
PLAN CHECK FEE
TOTA
If
.415
7SIGRETOFINTAACTOi�n RAiNORIZEOAGENT (DATE
AL
AT IS IS
P
Ana
BLD INS
.�v
FJAft
SIGN R (504"NrV<FO NER BUIIDERi IDA EJ
r a
NEW[ ] Effective 5/10/99
ADDN [ ] CITY OF FRIDLEY�,
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address: QASt4i &-w)
Legal Description:
Owner Name & Address: MAP -y- -DE1'jAaD(5 Tel. #
Contractor: MN LICENSE #
Address:
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Construction Type:
Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.-
DESCRIPTION
cale.
DESCRIPTION OF IMPROVEMENT
Length �ir� r Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length
F//V rs H
_ Width Hgt/Ground S . Ft.
1W
Estimated Cost: $ /, Mo
Driveway Curb Cut Width Needed:
Ft. + 6 Ft = Ft x $ _ $
DATE: %
APPLICANT:
Tel. # 6(.? - S?( -1777
CITY USE ONLY
Permit Fee
$
U•
Fee Schedule on Reverse Side
Fire Surcharge
$
X, ®G
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$1050 per SAC Unit
License Surcharge
$
$5.00 (State. Licensed Residential Contractors)
Driveway Escrow
$
Alt. "A" or Alt. "B" Above
Erosion Control
$
$450.00 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement Necessary [ ] Not Necessary [ ]
TOTAL $ 'd
STIPULATIONS: 5;, G� %Z ;E?' "- ALL