PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT N® 3256
r(I 12
Date: ......�l ....,. ;........................
.Owner ................ .. .. ...... Builder F y:... :.. i pf..'......... ...............
Address ...................................... Address .........................................
�/
� e �:;OCATIOI�I OF BUILDING
No.4 1 .. ...Street t+.� :; ..:.:.:.: ........?............ Part o_f, Lot . ...... ...........
D
Lot ....../ ..... Block .... ... ....... Addition or Sub -Division ��r�-!
�.� ,::
Corner Lot ............ Inside Lot ............ Setback ..-�...... Sideyard .;.��.'.... ..r.-: :......
DESCRIPTION OF BUILDING
To eUsed as:>
e:....... Front e, . Depth .... Height ... ... Sq. Ft. (.. ::'. �' Cu. Ft. '.
Irront .. •Depth ........ Height .. Sq. Ft. ....... Ft. .......
.....
I
Type of Construction .. � ��: �`.T.:. ... Tiist. Cost.. �:;�`:- '. To be Completed � ';,
.............
In consideration of the issuance to me of a permit to construct the building desribed 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.
at 6P V
In consideration of the payment of a fee of .....�
..., permit is hereby granted.. .... ..
......................... to construct the building or addition as described above. This p tis granted upon
the express condition that the person to whom it is granted and anis 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.
DMI �/-11
NOTICE:
Inspector
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.
City of Fridley, Minn.
BUILDING PERMIT N° 54=01)
Date: -'
ya , >
Owner: Builder -
Address _ _ __? __ _ _ Address
L70AI7 ILDING
Lot _ Block _Addition or Sub- i on
Corner Lot ____.4E� Inside Lot Sideyard
dation __ - - --
Sewer Elevation _ _ _ _ Fo Elevation .
DESCRIPTION OF BUILDING.
To ;fit
Front Depth Height - Sq. Ft. Cu. Ft. �, -
— Front Depth eight_ Sq. Ft. Cu.
Type of Construction _ Est. To be Completed
In consideration of the issuance to me of a permit to construct the building described above, I agree to do
the proposed work in accordance with the description above set forth and in compliance with all provisions of
grdinances of the city 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
w� city limits and this permit may be revoked at any t p� 1 tt�any of the provisions of said
y
Building Inspector
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
Owner I s
Name
Address
�� 12,9-sh1,yeieow
' Address
1Uo
LOCATION OF BUILDING
No. Street e-Jf-Xh IAG Jt® n1 lyk Part of Lot Mnq P.
J
Lot Block _ _ Addition or Subdivision �e Odar ViiALf
Corner Lot ^,,_Inside Lot Setback 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 used s:
Front__L6 ;)- Height
Sq. Ft. �.i �- Cu. Ft. i�
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction FW,90,,�, Estimated Cost 9�5-0
To be Completed ?® �14
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 &Ll the fapts-and re�rese tato s
stated in this application are true and correct. r
DAIS , / sIGNATURE U 14
(A Schedule of Fee Gosts can be found on the Reverse Side.)
City of
N? 8063
Fridley, t .i: .
BUHDING PERMIT
Date: June 28, 1965
owner: CUfford Caza Builder Nilsen Ericksonz Inc.
Address 6875 'Washington Street N. E. Address 7639 W. 14th Street
LOCATION OF BUILDING
No.6875 Street Washington Street N. EmsPart of Lot
Lot 4 _ Block 3Addition or Sub.Division Rice Creek Terrace, Plate 6
Corner Lot Inside Lot Setback Sideyard
Sewer IIevation Foundation Mevation
To be Used as:
Dwelling Front
Type of Construction
Front —
Frame
DESCRIPTION OF BUILDING
Depth Freight Sq. Ft. Cu. Ft
Depth Freight Sq. Ft Cu. Ft
Fst Cosh 13 o 500.00 To be Completed
Rebuild: Storm damage repair
In consideration of the issuance to me of a permit to construct the building described above I agree to do
the proposed work in accordance with the description above set forth and in compliance with ail provisions of
,,,=
of the city of Fridley.
wf EQ .
In consideration of the payment of a fee of $ 10.00 , permit is hereby granted to NilsenEriCkson, Inc.
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, Minnesotalocation, construction, alteration, maintenance, repair and moving of buildings
within the city limits and permit may be revoked at any time upon violation of any of the provisions o8 Za
ordinances.
Allen Jensen
i:,mT,I.MM
NOTICE:
Tills permit don not cower the construction, hoblinflon for rmkk& plumhin& ®m hsadne, sewer or wafer. Be sure to as
the Buildhe Inveftr for apm to permits for thea hems.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER" S NAME
..
. +_i? D_ (-,4 zABCiLDER
r
fl//� �� � �'alcKso,41
r�
ADDRESS_.�R'OsADDRESS,
i
Z , 4V,
..�....
LOCATION OF BUILDING
5treetQ'&VOCeoPart of Lot
.. �.r,
LOT
____�.IsOCR J ADDITION OR SUBDIVISION --_��
Corner Lot Inside LOT Setback Side -'Yard
...SEWR ELSVATi(M
FOUNDATION ELEVATION
Applicant attach to this form Tiro fCertificate� of Survey of Lot and proposed
building location drartn on these Cdit'if1Catesl
DESCRIPTION OF BUILDING
To be used as;
�✓ Front ( Deptk-2 e Height
Sq. Ft. Cu. Ft.
Front Depth Height
Sq; Ft. Cu. Ft.
Type of Cow tructio __,LQ Estimated Cost
To be completed___ /7_/ -6, S�
The undersigned hereby makes application for a permit for the work herein specified,
agreeing to do all work in strict accordance with the City of Fridley Ordinances
and rulings of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and correct.
(Schedule of Fee Costs can be found on the Reverse Side).
m
City of Fridley
SUBJECT
IT NO.
13776
AT THE TOP OF THE TWINS
��?
BUILDING PERMrT
EIPT NO.
COMMUNITY DEVELOPMENT DIV.
INSPECTION
�xx�r2rr '''%
�y
j PROTECTIVE SEC.
�/
1 . i
---n CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-560-3450
910-F15
I I
9/22/76
JOB ADDRESS 6875 Washington Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
4
3
Rice Creek Terrace Plat 6 SHEET
2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE
David Skjervold 6875 Washington Street N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
jaard Construction Co. Inc. 111 45th Avenue N.E.
Nedec
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
SAME
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
residential
7 CLASS OF WORK
❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
add 14' x 27' for family room, entry and storage
9 CHANGE OF USE FROM TO
STIPULATIONS
REQUiRE1D fOR WIN"
SE�'ERATE PMITS
Sly
PLtl NG- AND
ME,ATMCk
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
wood frame
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
378
7,560
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
$12,000
$
5.12
DO PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMITFEE
SAC CHARGE
P OVISIO OF ANY OTHER STATE OR LOCAL LAW REGULATING CON.
�TR
on
N OR THE PERFORM NC OF CONS UCTION.
37.80
PLAN CHECK FEE
TOTAL FEE
42.92
SIGNATURE OF CONTRACTOR OR AUTH IZED AGENT (DATE
WHEN P PERL V LIDATED�THIS IS PERS IT
y�✓7,�®
BLDG INSP DATE
SIGNATURE OF OWNER OF OWNER BUILDER) (DATE)
'N )
u�.
6ilT yr rKiULGT
APPLICATION FOR RESIDENTIAL ALTERATION,
ADDITION, OR REPAIR BUILDING PERMIT
OWNER'S NAME: +ten �}� :TgR v Q&D BUILDER: A1E,0F6AAr_A
ADDRESS: ��%S ��?SilttVf�;�� ��. ADDRESS: f RIPLEV, f i0i,ryE'.S" —;9
ll
68-7S-
NO:. 6 8 ^7 S- STREET : 0)1-)S to t N r `Tei N t� .
LOT: Al BLOCK: ADDITION: POB C F_ Oeegv E kens e 1 Pim-
CORNER LOT: Z INSIDE LOT: SETBACK: SIDEXARD:�
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION Or BUILDING
To Be Used As: FRYAILE/ k'Oe,,� a C- NTV-'y e 5-'Vert6E
t 1
Front: N ! Depth: Z 7 k Height:_ 9 Z®
Square Feet: `3�� ` Cubic Feet: - y% S%
Front: Depth: Height:
Square Feet; Cubic Feet:
Type of Construction: crc
Typ ���m� o Estimated Cost: $ p Z�v� .
To Be Completed: dou, ' 1; 19"76
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are true and correct.
DATE: .9 /T�_- / 7-C SIGNATURE:
(See Reverse Side For Additional Information,)
30, aq
�a9t
��� 22. � �
i
CITY OF FRIDLEY
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND
AIR CONDITIONING SYSTEMS AND DEVICES
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR:
Furnace Shell & Duct Work
Replace.ent of Furnace
Repairs & Alterations -up to $500.00
Repairs & Alterations each add. $500.00
MECHANICAL 1. AR?I AIR:
Furnace Shell & Duct Work to 100,000 BTL'
each add. 50,G00 BTU
Rezlacement of Furnace
Repairs & Alterations -up to $500.00
Re: --airs & Alterations each add. $500.00
STEk.\I OR HOT I ATFR SYSTLM:
Boiler & Lines up to 100,000 BTU
each ad,n. 50,000 BTU
Boiler only up to 100,000 BTU
each addn. 50,000 BTU
OIL BURNER- to 3 gal. per hour
each add. 3 gal. per hour
RATE
$12.00
7.00
7.00
4.00
$12.00
4.00
7.00
7.00
4.00
$12.00
4.00
7.00
6.00
$10.00
10.00
TOTAL Job Address
GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $ /Aej 6'
(over 199,999 B•;J see Fee Schedule) $
GAS FITTING FEES:
lst 3 Fixtures x $ 3.00 $ v
Additional Fixtures x $ 1.00 $
Gas Range to 199,000 BTU x $10.00 $
AIR CONDITIONI\G �I $
FAX HEATING SYSTEMS See Fee Schedule $
VENTILATING SYSTEMS $
ALTERATIONS $ REPAIRS_ $
State Surcharge $ .50
TOTAL FEE $f4w,'
ROUGH INSP.
Date
FINAL INSP.
Date
APPROVAL FOR PER%SIT a
REINSPECTION FEE
(.$10.00)
MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50
6875 Washington St. N.E.
Department of Buildings REPLACEMENT
City of Fridley
Tel. #571-3450`
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 Department of Buildings, and hereby declares that all the
facts and representations stated in this application are true and correct.
Fridley, Minn. le, / Z_ , 19%�
OWNER Bruce ' Nedegaard Bldrs .
KIND OF BUILDING Frame
USED AS
TO BE COMPLETED ABOUT
IP +
ESTI.MATED COST
� - NEW BUILDING PERMIT NO. PERMIT NO.
DESCRIPTION OF FURNACE/BURNER
HEATING or POWER PLANTS, Steam, Hot Water, Warm AirXNo. 1
Trade Name G12Q4-137 Size No. Lennox
Capacity sq. Ft. EDR 137 , 0 TU HP
Total Connected Load 62,582 Kind of Fuel Nat. Gas
BURNER - Trade Name
Capacity
Size No.
Sq. Ft. EDR _ BTU HP
Ccmpany Mill City Heating Co.
Signed By �ti ®✓� ` / '
+ Tel, No. 559-2500
a iw Room I L4ngth I Width Height
` diaduea and rs-�ra&age ikd Arek
Wridt Hel t No. of Lhneal ft. ea
r�J;, ee pa�ro of pans lights of enok W. It.
0
e� Coef. Btu
-�F,laltratiren � - tra � � a�
a�f~
z t�S9.fa
'Lxp wall L
Net exp. oral!
FIJ ' Room I Length Width
Windows and Doors-- ckage anew Area
Width I Height- I Me. of I Unami tt I Area
No. of Pans of pane llgbta I of crack M. ft.
uoe
Infiltration
+Mass
Exp. wall'
Net esp. wall
Int. wail
cuilirq . ,, C D Ceiling
- Irxoc q[�5 ��yy Floor
,..•)a:ap S]Cl9e - ./-`� a Total Btu.
„evt�ued sat: ft. E.D.R. or M!= ins. _
W.A. Leader area Required sq. ft. E.D.R. or w. lice. W.A. Leader arca
` kith M' Roo I Length Wldels ,! t
Room [ Leanwri
W 1
THeight
Windows and Delors--Crackaze and Area
�.�..�- 9JAatiu F8®lehe - 1,40, of neal It. Area -
t.Y .. Of J;L sae of Pa- nest ir6bta - of l�tk sq. Lt.
IW LOSS
DEPARTMENT OF
INSPE ION
Weadmnerapa
Btu
Construction No.
hsnlation
Geoids
Reference Out. Waq
Int. Wall Ceiling
Rgof
Floor
hind Haw.
s
19—
Room Length ? Width
zftHeight
F7.1 Rooms I Length Width Height
Windows and Doors—Cra ale and Area
Windows and Doors—Crackage and Ares
No.
Width HoIx No. of ' —Lineal ft. Aro&
I of pane of pane nights of crack W ft.
•��
Width Height 14o1 of Ltow ft. Arca
No. of 6ano of pane - lights of eq. Ct.
�
_L
�- �
216
Cod. lieu
Coef. Btu
Infiltration
Infiltration 7
-
CjasA
Class T /Og 0
Exp. all
Exp. wall 2 4- x
Met p, iAe
Net alp. wall
14 9 9
Ceding
C-Cilive Ward,.. 2 i 4 _410
Floor 22 10 '41-10 XG Ir3'1 to
t ?tu,
_
Total Btu.
ej . ft. F .R. or net. s. W .Lea area
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
a iw Room I L4ngth I Width Height
` diaduea and rs-�ra&age ikd Arek
Wridt Hel t No. of Lhneal ft. ea
r�J;, ee pa�ro of pans lights of enok W. It.
0
e� Coef. Btu
-�F,laltratiren � - tra � � a�
a�f~
z t�S9.fa
'Lxp wall L
Net exp. oral!
FIJ ' Room I Length Width
Windows and Doors-- ckage anew Area
Width I Height- I Me. of I Unami tt I Area
No. of Pans of pane llgbta I of crack M. ft.
uoe
Infiltration
+Mass
Exp. wall'
Net esp. wall
Int. wail
cuilirq . ,, C D Ceiling
- Irxoc q[�5 ��yy Floor
,..•)a:ap S]Cl9e - ./-`� a Total Btu.
„evt�ued sat: ft. E.D.R. or M!= ins. _
W.A. Leader area Required sq. ft. E.D.R. or w. lice. W.A. Leader arca
` kith M' Roo I Length Wldels ,! t
Room [ Leanwri
W 1
THeight
Windows and Delors--Crackaze and Area
�.�..�- 9JAatiu F8®lehe - 1,40, of neal It. Area -
t.Y .. Of J;L sae of Pa- nest ir6bta - of l�tk sq. Lt.
Coef.
Btu
%lass
F.Sp.. wall'a�
}«het emp. Wall
Cool.
Btu
,irry carr•. wrath
•��
fila°"��ll� �����
�
�_�
�- �
Windows and yrs—Crackage and Area
�rldth Helsbt a o1 —Uaml it. Area
No. oL Pane of Dam 1e ata Of crack in. tt.
Coef.
Btu
%lass
F.Sp.. wall'a�
}«het emp. Wall
�str r�4u. Total Btu.
ILi
E.[1.F: or.ins. W.A. Li r area
R#-quircd vq. ft. E.D.R. or sq. ins.VA. Usider area kKegtn�red eq. 1t.
SUBJECT -
O.
City of Fridley20113
AT THE TOP OF THE TWINS
BUILDING PERMIT
R
' '
• COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.®�
1 . �
1 / "1 CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910.F15
9/15/89
JOB ADDRESS 6875 Washington Street N.E.
1 LEGAL
LOT NO.
BLOCK
3
TRACTOR ADDITION SEE ATTACHED
Rice Creek Terrace Plat 6
DESCR.
4
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
David Skjervold 6875 Washington Street N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHO NSE NO.
BBA Ent. Inc./Roger Leffler 5750 Jefferson Street N.E., Fridley �E`/l-7f��
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
J NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 3V x 261 Detached Garage; RezQove Exis.tng 16r x 22.t Garage
9 CHANGE OF USE FROM TO
STIPULATIONS
See notations on plan, Providea hard surface driveway.
PERMITS REQUR ED FOR
SEPARATE AND SIGNS.
PLUMBING
WIRING, HEATING,
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
$ 13,684
$6.84
WITH WHETHER SPECIFIED HER OR NOT. THE GRANTING OF A PERMIT
D S T PRESUME TO ,GIVE A THORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
ROVISI NS OF ANY OTHER T E OR LOCAL LAW REGULATING CON-
$153.00
STRUCT ON OR THAW PER OR A CE OF CONSTRUCTION.
C . (CS_
, �S" n
PLAN CHECK FEE
TOTAL FEE
$159.84
I
--
SI NAT RE OF dO-<TRACIVROR u ORZE ENT )DATE) IWHEN
PROPERLY YALIDATED THIS IS YOUR PERMIT
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATEi
SLOG MSP r)ATE
NEW [ ]
ADCN [ ]
ALTS [ ]
R-1 AND R-2
Building Permit Application
construction Address: &S 7S' W.4S (-f r'tVG T79?j �- 0- F
Legal Description:
Effective 5/1/88
Owner Name & Address :
0 A Q ((� �
I< J CR
Tel. #
Contractor: (3 . A
, e lJ , . I k -r •
/ r2 o G 02 CLF G Fi/7�
Tel - # 5'i / - -7 i oS�j
Address:
r . 1,1E. ,,,,-/Z- M ou
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
nU3TION OF REMENT
r
ISVIlJ(' AREA: Z 6
length Width Height Sq. Ft. 36
GAPJM AREA: length ( '-0 Width 2 V-0 >, Height 9 ' Sq. Ft. 936 / s 6
DECK AREA: length Width Hgt/Groam-id Sq. Ft. 'i
9 3�
Corner Int [ ✓f Inside Lot [ ] Ft. Yd Setback 2 S - O' Side Yard tbacks
Type of Construction: WOOD Estimated cost:
Approx. Cmpletion Date:
Proposed Driveway Wic
HATE: 9-r- �r5
Permit Fee
$ /53, `�V
State Surcharge
SAC Charge
$
Driveway Escrow
$
Park Fee
$
Sewer Main Charge $
$
S'rIPUTATIONS:
See Hack Page
Tel. # 517t- ifa 5
Fee Schedule on Reverse Side
$.50/$1,000 Valuation
$575 per SAC Unit
Alt. "A" or Alt. "B" Above
Fee Determined by Emlineering
Agreement Necessary [ ] Not Necessary [ ]
pt- 6)RA#J GSE i�
Pr"
AC -r&0 ATL / 45
w o u t'* s+otut PPP"'
CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1993
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
572-3604
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
Stories
Urinal
Shower
Wash
Tray
Beer Dispenser
Floor
Draina��..
Auto.
Washer
s `•
a
# .a e �..i'.........
aterHeater
Gas Elec
Basement
Rain Water Leader
Sump/Receiving Tank
Water Treating Appliance
Water Heater —Electric
Floor 1
Gas Range
Gas Dryer
Back Flow Preventer' Required ( )Yes
() No
Type
or
Flo 2
Floor 3
Floor 4
PLUMBING FIXTURE RATES: NO. RATE TOTAL
New Fixtures
10(
Old Opening, New Fixture
3
Beer Dispenser
Blow Off Basin
Catch Basin
Rain Water Leader
Sump/Receiving Tank
Water Treating Appliance
Water Heater —Electric
Water Heater — Gas
Gas Range
Gas Dryer
Back Flow Preventer' Required ( )Yes
() No
Type
$ 7.00
$ 4:00 7
$ 5.00 .
$ 7.00
$ 7.00
$ 7.00
$ 7.00
$10.00
$. 7.00
$10.00
$10.00
$10.00
$5.00
Reinspection Fee $30.00
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1 % of Value of Fixture or Appliance
State Surcharge
TOTAL FEE
0
JOB ADDRESS
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.
5 — --> -zr- • 11993
Owner �� �`r C 4a
Building Used As
Estimated Cost ( 606PERMIT NO. % / 0
PLUMBING COMPANY fu�G-
SIGNED BY ?' O z����TEL N0.
Approved By t Rough—In Date Final Date
$ .50
w/ $ ---MINIMUM FEE FOR ANY PLUMBING GAS PERMIT IS 15.00
$ ��� PLUS THA $.50 STATE SURCHARGE
SUBJECT
PE
City of Fridley2
2 0 9 3
AT THE TOP OF THE TWINS
BUILDING PERMIT
RECEIP O.
COMMUNITY DEVELOPMENT DIV.
L
q
L
r PROTECTIVE INSPECTION SEC.
� ,
CITY HALL FRIDLEY 55432
�L.__.Jl•'
NUMBER
REV
DATE
E
APPROVED BY
��� 612-571-3450
910415
9/8/93T;�;
JOB ADDRESS 6875 Washington St NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
4
3
Rice Creek Terrace Plat 6 SHEET
2 PROPERTY OWNER MAILADDRESS ZIP PHONE
David Skjervold 6875 Washington St NE
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Heritage Builders. 9180 Davenport St NE, Blaine MN 784-0015 4314
a ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION L -X ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Bathroom Remodel? New Fixtures & New Window
9 CHANGE OF USE FROM TO
STIPULATIONS
See notations on plan,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
ZONING
SO. FT.
CU. FT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 80 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.
1 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
$ 4 Q00
$2..0D
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- '
SC $4,00
TRUCTIO THE PERFOR CE OF CONSTRUCTI N.
$63.00
.Fire
PLAN CHECK FEE
TOTAL FEE
'
License SC $5,00
$74,00
SIGNATURE OFC ACTOR ORAUTNORI2 GENT IDATEIyy
Op Y VALIDATED THIS IS YOUR PERMIT
BLDG -NSP DATE
SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI
NEW [ j Effective 5/26/93
ADDN [ ] CITY OF FRIDLEY
ALTER [ j SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Comtruction Address:
Legal Description:
Owner Name & Address: PW VIP 5 Sf- 40 AO',5 c SS Tel. #
Contractor: MN LICENSE # �1-3 l
Address: �! �e®�' < Sl �` _ ,��fJ%�= Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF EMPROVEMENT
LIVING AREA: Length
Width
Height
Sq. Ft.
GARAGE AREA: Length
Width
Height
Sq. Ft.
DECK AREA: Length
Width
Hgt/Ground
Sq. Ft.
,OTHER: T� o®.e-�
��i�r�6�E-�
�ci��
%�stT���s s�7/Lc-
$
Fee Determined by Engineering
$
Agreement Necessary [ ] Not Necessary [ j
Comer Lot [ j Inside Lot [ j
Type of Construction:
Approx. Completion Date: _
Ft. Yd Setback
Side Yard Setbacks
Estimated Cost: $ ��-
- - - (Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ =$
DATE: 93 APPLICANT: V(/` Tel. #
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
$ STIPULATIONS:
CITY USE ONLY
$
Fee Schedule on Reverse Side
$ > 06
.001 of Permit Valuation (1/10th%)
$ CaCC
$.50/$1,000 Valuation
$
$750 per SAC Unit
$ 5,00
$5.00 (State Licensed Residential Contractors)
$
Alt. "A" or Alt. "B" Above
$
Conservation Plan Review $450.00
$
Fee Determined by Engineering
$
Agreement Necessary [ ] Not Necessary [ j
$ STIPULATIONS:
SPC 4715 1380 ANTI—SCALD DEVICES
Showers or combination shower bath ,shall be
provided with a pressure balancinL ,or
thermostatic type anti scald type control valvc.
John Tavlor
m accordance wlth ANZWASSE standard
Eagan, MN 55122 10 16 — 79
REGMi2t4jPAqON. LOW WATER USE WATER CLOSETS
Effective January 1, 1993, in areas under the /Sk
jurisdiction of the Minnesota State Plumbing, Code.
all new (new construction, remodeling, or replacement) �� �� ,�y���� '
floor—mounted water closets installed must be 1.6 3 t�Q lav /W
g,� 11l,n or Less_ State Statute 326.37 Subd. 2. �Ii2► i cwt* i�� bi 1`E'C� �� �Qrd�r
WCAJ
� ® 1
r
`z 3.C.
t
AW) -+_K:AI.
__...._._ fi.3
ffj `�-L)P CONST. WASTES DAILY
ST{'AF IN AN APPROVED MANNER
This Pian Must
Be Maintained And
Accessible On The
Construction Site
is—
OF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287
December 30, 1998
David Skjervold
6875 Washington St NE
Fridley, MN 55432
Re: Construction Without Obtaining a Building Permit
(Deck at 6875 Washington St NE)
Dear Mr. Skjervold:
According to Section 106.1 of the 1994 Uniform Building Code as
adopted by the City of Fridley, no building or structure regulated
by this Code shall be erected, constructed, enlarged, altered,
repaired, moved, improved, removed, converted, or demolished unless
a separate permit for each building or structure has first been
obtained from the Building Official.
You have been notified of your need to obtain a building permit and
have failed to comply as of today's date. As a result, a special
investigation fee will now be added to the permit, equal to the
permit fee. The City of Fridley will give you 30 days in which to
comply before turning this matter over to the City Attorney for his
legal consideration.
Please contact me at 572-3603 if you have any questions on this
matter.
Sincerely,
klw
BY MIESCH
Building'Inspector
BR/bk
SUBjE&
PERMIT NO.
City of Fridley
28823
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
`
RECEIPT NO.
• COMMUNITY DEVELOPMENT DIV.
_____
PROTECTIVE INSPECTION SEC.
®®��
r i
1
NUMBER REv
DATE
PAGE OF
APPROVED BY
i CITY HALL FRIDLEV 55432
•••• �r-••,,j
612-571-3450
910-F15
1/7/99
JOB ADDRESS 6875 Was hin ton St NE
1 LEGALLOT
NO.
BLOCK TRACTOR ADDITION
SEE ATTACHED
DESCR.
4
3 Rice Creek Terrace Plat 6
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
David Skjervold571-1423
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
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW 7121 ADDITION ❑ ALTERATION O REPAIR O MOVE ❑ REMOVE
8 DESCRIBE WORK
6.5 x 3.1 landing on east side of house
9 CHANGE OF USE FROM TO
STIPULATIONS xxxxxxxxxwx See notations on plan.
Variance for side yard setback needed. Variance #98-36 approved by the City Council
on December 23, 1998. No stipulations.
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
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
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
$500
$.50
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHA E
PROVISIONS OF OTHER STATE OR LOCAL LAW REGULATI G CON-
STRUCTION qA'THj PERFORMANCE OF CONSTRUCTION
$21.00
Fire C $.50
PLAN CHECK FEE
TOTA FEE
4
. 0
S GNAT RE OF CSW TO OR 4UTMORIZ 0 NT IDATEi
EN O
V L I$ IS Y U RM
A94fN REOFOWNER0FOWNER8D R� $DATES
Bl0 NSP
FIAT
NEW [ ]
ADDN [ ]
ALTER [ J
'X ConstructionAddress:
Legal Description: _
X Owner Name & Address:,
XContractor:
Address:
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Effective 1/1/98
LIP� 0 p
_ 0
"I—�01. # if y—z4�2.;
MN LICENSE #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT.
Tel. #
LIVING AREA:
Length
Width
Height
Sq. Ft.
GARAGE AREA:
Length
Width
Height
Sq. Ft.
DECK AREA:
Length
Width
Hgt/Ground Sq. Pt.
OTHER:
/ .�GG��
Construction Type:
% /�/_` ��
Estimated Cost: $�,
L06
(Fee Schedule
on Back)
Driveway Curb Cut
Width Needed:
Ft.� =
a Ft,<;$ /—j
= $
DATE: OAPPLICANT:
Tel. # `-1-7,,/ -3
Permit Fee $ 42,1, 00 Fee Schedule on Reverse Side
Fire Surcharge $ .001 of Permit Valuation (1/10th%)
State Surcharge $ ;"U $.50/$1,000 Valuation
SAC Charge $ $1000 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 L
TOTAL $
STIPULATIONS: 1d1---23/11
Au
3 ff �' IX
y�,41
i
000, 00
l�
1(()C,
1(p
rt
CI Y OF
FRJ DLEY
FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (612) 571-3450 - FAX (612) 571-1287
APPEALS COMMISSION
ACTION TAKEN NOTICE
December 30, 1998
David and Leanne Skjervold
6875 Washington Street N.E.
Fridley, MN 55432
Dear Mr. and Mrs. Skjervold:
On December 23, 1998, the Fridley Appeals Commission officially approved your request for
variance, VAR #98-36, to increase the allowable encroachment into the side yard of a comer lot
from 3 feet to 5 feet 11 inches to allow the construction of an open deck and steps on Lot 4, Block
3, Rice Creek Terrace Plat 6, generally located at 6875 Washington Street N.E.
You have one year from the date of the Appeals Commission action to initiate construction. If
you cannot begin construction during this time, you must submit a letter requesting an
extension at least three weeks prior to the expiration date.
If you have any questions regarding the above action, please call me at 572-3593.
Sincerely, PJ 15V=
Paul Bolin
Planning Assistant
im-
Please review the above action, sign below, and return tto the City of Fridley
Planning Department by January 15, 1999. 1
��
Concur with act ken. -. e,-, /- z) 7-
a
Main ONke 784.6066
\lYOYROAN 6875 Highway No. 65 N. E
NOINSSRINO MinnaapolM. Minnesoh 55632
—IttC (Swth OHke 8906510
® • Land Pio—" � 1101 W11e, Road
Ciuit & Mwieipal Eng6uering � 9of! Testing � Land Sarueyint Bunnrille, Minnesota $5337
DAVIO '�)KJC-�2VOLC)
Certificate of Survey for
V/Ae,+,j IN(f TO W
670.0 _
M.S3
s � I •S'"faRY �i•2AtnG
N fo $15
r� J
V
sr
ILI� 1?•2
lk�
r(
u DgALt¢Z irort Motlurft t1.
! 1Lil�aQi11�! t�
1 hereby certify that this is a true and correct representation of a survey of the boundaries of 'the above
described land, and of the locationof al� buildings, hereon, and oil isible encroachments, if any, from or on
said land. Af surveyed by me this�day of C A.O. 19 !
' SU URBAN - ENGINEERING, INC.
Engineer,Survey�;s�,
by T - �P 1��r..a�£
M
(
T
r2
�x .
M.S3
s � I •S'"faRY �i•2AtnG
N fo $15
r� J
V
sr
ILI� 1?•2
lk�
r(
u DgALt¢Z irort Motlurft t1.
! 1Lil�aQi11�! t�
1 hereby certify that this is a true and correct representation of a survey of the boundaries of 'the above
described land, and of the locationof al� buildings, hereon, and oil isible encroachments, if any, from or on
said land. Af surveyed by me this�day of C A.O. 19 !
' SU URBAN - ENGINEERING, INC.
Engineer,Survey�;s�,
by T - �P 1��r..a�£
M
-_ . _ _ � � _ t, �l� i
�---� ---
_ _.
CA
SUBJECT
City of Fridley
3386'0
AT THE TOP OF THE TWINS
BUILDING PERMITE(-FT—cEIPT
f
E ,
NO.
COMMUNITY DEVELOPMENT DIV.
E L PROTECTIVE INSPECTION SEC.
r
1
E ,
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
' 763-571-3450
910-F15
9/8/03
JOB ADDRESS 6875 Washington Street NE
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
4
3
1 Rice Creek Terrace Plat 6
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
David Skervold 6875 Washington Street NE
763-571-1423
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Lloyd Hockaday Contractor 2544 Crestline Dr, White Bear Lake
MN 55110 20175032
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO.
651-777-5044
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR
X
❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Install egress window
9 CHANGEOFUSEFROM TO
STIPULATIONS
Install egress window to meet the State Building Code requirements.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
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
1
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
$1,700
$.85
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-
$60.10
Fire $1.70
STRUCTIO OR THE PERFORMANCE OF CONSTRUCTION
SC
LAN C CK FEE
TOTAL FEE
y �3
$62.65
SIGNAT EOFCON.RACTOR RAurHORiZEDAGENT iDATE
EN PROPERLY VALIDATED
D INSP
THIS IS OUYq-PER1 II
riLTE
S,GNATURE OF OWNER, -F OWNER BUILDERS $DATE,
CA
NEW [ ] CITY,OF FRIDLEY Effective 1/1/2003
ADDN [ j 6431 University ,Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R4 AND R-2 (763) 571-1287 Fax .r
BUILDING'PERMIT APPLICATION
Construction Address:
Legal Description:
Q� S dei^* Tel. #
Owner Name &Address: �—r---
Contractor. MN LICENSE # �27,Q) —(2)
2�/
A ,�,�-... �cr'� c -d /.oY.X°+`F'/.'1 11 � 6r1 _ t!/�L ltL1 �• ! �'� 4r' Tel. # �.,/ /" �7i ��T
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length Width
Sq. Ft.
Construction Type: T-, 1�timated Cost: $�����
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x
DATE: 6:2 APPLICANT: Tel. # -49:222MYV
Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-5714287 if using credit card and we will
call you for card number.
CITY USE ONLY -
Permit Fee
Fire Surcharge
State*Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1275 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
24" MIN. OPENING
MIN. WINDOW
5.7 SQ. FT.
DOUBLE -HUNG
, yam`\
20� MIN.. OPENING
op WIDTH
4ING MIN. WINDOW OPENING
5.7 SQ. FT.
CASEMENT /
NOTE:
5.7 SQUARE
FEET =
821 SQUARE INCHES WHEN
MULTIPLYING
WIDTH TIMES
HEIGHT
OF THE OPENING IN INCHES.
WINDOW ELEVATIONS
INDQWa WELL.
(CENTER ON DOUBLE —
} HUNG OR GLIDER
WINDOWS.) -6" MIN.
CLEARANCE TO SIDES
w A M1 a0
FOR WOOD WINDOWS; TYP. z
v i
EMENT WINDOW.
r NTAIN 9 SQ. FT. WHEN
,INDOW OPEN -. NOTE SHADE
1. EA. MIN.
B PARTIA N
"GUARDRAIL—TYPE" RAILING REQUIRED
IF NEAR PROPERTY LINE OR
SIDEWALK
II
I) (� GRADE LINE
6" MIN. GREATER DEPTH
REQUIRES LADDER
OR STEPS
a�
� 3'-0"
lo MIN.
n SECTION
BASEMENT EGRESS WINDOW SEc ON"3i .4
Building
MECHANICAL
Permit No.:
Inspections
RESIDENTIAL APPLICATI®N
Received By:
763-572-3604
CITY OF FRIDLEY
Dat
763-502v-4977 FAX
EFFECTIVE 1-1-08
r -/
DATE LA -2_'::)k-0'6 YOUR E-MAIL ADDRESS &4]Ne —C �Ci� 1 ��Gl t
STYE ADDRESS
� /
OWNER 2ONTRACTO
THIS APPLICANT IS: 11C1
PROPERTY
N
ITY(� i i STA
OWNER/N"ADDRES-Sy.
TENANT
PHONE: 1u' � `'
CONTRACTOR
COMPANY NAME
NOTE:
SEPARATE CITY
CONTACT PERSON:
STATE LICENQSE,,# EXP DATE 1 i
�i3�»�\�,�y` �� STATPY%
LICENSES ARE
REQUIRED FOR GAS
AND HVAC.
DRESS: CIT .
SUBMIT COPY OF BOND
PHONE- lSd'�'1. F r
AND INSURANCE
PERMIT TYPE
SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK•
❑ NEW Mi4ACEMENT ❑ ALTERATION/REMODEL
DETAILED DESCRIPTION OF WORK F �7"
\/`'
PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the
improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor }
OR
Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05 =
FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL
NUMBER OF EACH BELOW)
Equipment Installed MFG: MODEL: SIZE/BTU
MFG: MODEL: SIZE/BTU
MFG: MODEL: SIZE/BTU
1/A/C $25.00 FIREPLACE (GAS) $15.00 GAS RANGE/OVEN $10.00
AIR TO AIR EXCHANGEER $15 F PLACE (WOOD) $35.00 NEW GAS GRILL $10.00
_
$35.00 (JRNACE $35.00 _GAS UNIT HTR $10.00
_BOILER
LINER $10.00 DRYER $10.00 _POOL HEATER $35.00
_CHIMNEY _GAS
_DUCT WORK $10.00 _GAS PIPING $10.00 _VENTILATOR $15.00
PERMIT FEE PROJECTS FOR UNDER $500 PERMIT FEE FOR PROJECTS OVER $500
Permit Fee $ C4> Sa_'� Number of fixtures @ $10.00 x $10.00 = $
Surcharge $ 50 Number of fixtures @ $15.00 x $15.00 = $
TOTAL DUE $ OR Number of fixtures @ $25.00 x $25.00 = $
Number of fixtures @ $35.00 x $35.00 = $
State Surcharge = $ .50
MINIMUM $15.50 MINIMUM $15.50 Total = $
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
I hereby apply for a mechanical permit d I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances
and codes of the City of Fridley and 'th a ctio odes; that I understand this is not a permit but only an application for a permit and work is not to
start without a permit; that the work 1 in e a rov 1 the case of all work whic requires review a approval of plans.
jMM=,=ta jo
AL INTN TE
SIGNATURE OF APP fiw
/ _
APPROVED BY (�/ DA
PLEASE NOTE: SE TE PERMITS ARE REQUIRED FOR BUILDING, ELECTRICAL AND MECHANICAL° WQM
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604 FAX: 763-502-4977
Building
Permit Fee
BUILDING
LAI I C, 0 See Back Page for Fee Schedule
Permit NO.:Fo
6 It
Inspections
65% of Building Permit Fee
RESIDENTIAL APPLICATION
$
Received By:
763-572-3604
$
5 .0005 x Permit Valuation Minimum $.50
License Surcharge
dA 200
$5.00 (State Licensed Residential Contractors)
SAC Charge
CITY OF FRIDLEY
$1675 per SAC Unit (Plans to MWCC for determination)
Curb Curt Escrow
DATE08/12/09 YouRE-MAtLADDRESs estherd®probuiltam.com
srrEADDRESS 6875 Washington St NE
Erosion Control
THIS APPLICANT IS:
❑ OWNER ❑CONTRACTOR
Park Fee
PROPERTY OWNER/
NAE; Nick Francis
Sewer Main Charge
TENANT
ADDRESS: same as site CITY
STATE ZIP
$
PHONE:
CONTRACTOR
NAME: roBuilt erica
STATE LICENSE # BC -20356847 EXP DATE 03/10
2 211 litti Ave E 55199
SUBMIT A COPY OF
YOUR STATE LICENSE
ADDRESS: c Ty North
S 1® STATE_
WITH APPLICATION
PHONE 651-770-9315 FAX 651-770-0495
PROPERTY TYPE
❑ SINGLE FAMILYlNEW CONSTRUCTION SIZE
❑ TWO FAMILYMEW CONSTRUCTION STORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS
❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
❑ DECK ❑ SIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW ❑ ADDITION
❑ MAINTENANCENEPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE: Replacing 5 window,
SUE OF IMPROVEMENT LENGTH WIDTH
HEIGHT Sq. Ft.
ROQFING
❑ HOUSE ONLY
NUMBER OF SQUARES
O HOUSE & GARAGE
BASEMENT REMODELING SUBMIT:
GARAGES
13 ATTACHED GARAGE
I'
2.
Existing Floor Plan
Proposed floor plan
PROPOSED SIZE:
❑ DETACHED GARAGE
3.
List of sbuchaal members to be used
PROPOSED HEIGHT:
SIDING
FOR NEW CONSTRUCTION INCLUDING DECKS,
❑ Vinyl
0Soffit
ADDITIONS.
& PORCHES SUBMIT:
❑ Aluminum
❑ Trim
1.
Site Plan/Survey slowing the existing sttuctura
❑ Other
❑ Fascia
and proposed project,
2.
Two sets of construction plans
wnvnowS
IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS
3.
Energy Calculations
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
OPENING CHANGES &
5
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $ 1295 OCCUPANCY TYPE
Permit Fee
LAI I C, 0 See Back Page for Fee Schedule
Plan Review
$
65% of Building Permit Fee
Fire Surcharge
$
.001 times the total job valuation
Surcharge
$
5 .0005 x Permit Valuation Minimum $.50
License Surcharge
$
$5.00 (State Licensed Residential Contractors)
SAC Charge
$
$1675 per SAC Unit (Plans to MWCC for determination)
Curb Curt Escrow
$
ft + 6 ft = ft x $21= $
Erosion Control
$
$450 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement necessary ( ) Non Necessary ( }
Total Due
$
Make checks Mable to: of Fdok Attach N ulations
THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a
permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved
plan in the case of all work which requires review and approval of plans.
SIGNATURE OF APPLICANT- 60-d— f— PRS NAME Esther Dahl DATE—
08/12/09
- _ -
Building,
$
BUILDING
Plan Review
Permit No.: a-) a�
Inspections
Fire Surcharge
RESIDENTIAL APPLICATION
Received By:
763-572-3604
$
License Surcharge
$
SAC Charge
CITY OF FRIDLEY
Date 0
763-502-4977 FAX
$
Erosion Control
$
EFFECTIVE 1 -I -20I0
$
DATE � "- A(, - a6 I b YOUR E-MAIL ADDRESS
$
SITE ADDRESS &2 -7 5
N E
$
THIS APPLICANT IS:
❑ OWNER 0 ONTRACTOR
PROPERTY OWNER/
NAME: C k1^ a vt
TENANT
ADDRESS: A) ►—CITY
Ev 1 d Lf4 STATEM Y ZIP SLS 32—
PHONE: 651- r7 l & - 06/44
CONTRACTOR
NAME: 1 v1 L C.
SUBMIT A COPY OF
STATE LICENSE # a 66Co
YOUR STATE LICENSE
EXP DATE
AND CERTIFICATE OF
ADDRESS: v KL. - !V L
-CITY 61 Q t vl P STATER 1-Z253 3e-�
INSURANCE
PHONE 1 a l a FAX
❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE
3-- S-4 - a: ! S
PROPERTY TYPE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHED
❑ WINDOWS
❑ BASEMENT FINISH ❑ ROOF
❑ DECK ❑ SIDING
=TILE
®'ETHER
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW HOME CONSTRUCTION ❑ ADDITION
❑ MAINTENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE:_ Demo (7a t c,5(e A J J I + 16 v`
r VCs W e 1 '01 eA)l 1 h!5 w f�'� SfN LdCe oolr
SIZE OF IMPROVEMENT
LENGTH WIDTH
/A HEIGHT SQ FT O d
ROOFING
❑ HOUSE ONLY
NUMBER OF SQUARES
❑ HOUSE & GARAGE
BASEMENT REMODELING SUBMIT:
1. Existing Floor Plan
GARAGES
❑ ATTACHED GARAGE
2. Proposed floor plan
PROPOSED SIZE:
❑ DETACHED GARAGE
3. List of structural members to be used
PROPOSED HEIGHT:
SIDING
FOR NEW CONSTRUCTION INCLUDING DECKS,
❑ Vinyl
❑Soffit
ADDITIONS, & PORCHES SUBMIT:
❑ Aluminum
❑ Trim
1. Site Plan/Survey showing the existing structures
❑ Other
❑ Fascia
and proposed project
2. Two sets of construction plans
WINDOWS
3. Energy Calculations
IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS
FOR WINDOWS — PROVIDE U -VALUE AND
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
MANUFACTURE STICKER ON WINDOW.
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
. ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING THE 1997 U.B.0 FEE SCHEDULE)
COTAL JOB VALUATION $_ OCCUPANCY TYPE
Permit Fee
$
Plan Review
$
`_gyp(;'
Fire Surcharge
$
Surcharge
$
License Surcharge
$
SAC Charge
$
Curb Cut Escrow
$
Erosion Control
$
Park Fee
$
Sewer Main Charge
$
Total Due
$
,
See Back Page for Fee Schedule
65% of Building Permit Fee
.001 times the total job valuation
.0005 x Permit Valuation Minimum $.50
$5.00 (State Licensed Residential Contractors)
$2100 per SAC Unit (Plans to MWCC for determination)
—ft +6 ft= ftx$24=$
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checks Payable to: Citv of Fridlev Attach
THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a
permit but only an applica 'on for a permit and work is not to start without a permit on site; that the work will be in accordance with the
approved plan in the case f all work h requires review and approval of plans.
SIGNATURE OF APPLIC _PRINT Nannr�l/� wi eS �� tr i h Ci DATE—�()� 0
r
0
I