PRE 2010 DOCSDate: e
Owner: Builder
Address Address
N? 7195
LO ON O�LDING
No. Street P of Lot
- ------
Lot _ _ __ Block Addition or Sub -Division .
Corner Lot Inside Lot "� Setback > ® __ _ Sideyard Z0�
Sewer Elevation ® 0. - Elevation
r' -'r W FvoT/Mr,
DESCRIPTION OF BUILDING
T U
1.
V -Front Depth Height Sq. Ft. Cu. Ft. r
=..,
Depth Height Sq. Ft. Cu. Ft.
Type of ci on Est. Co _ __ To be Completed
In consideration of the issuance to me of a permit to construct uil ' described above I agree to do
the proposed work in accordance with the description above set forpliance vq a'll provisions of
ordinances of the city of Fridley. I
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 coffiorm in all respects to the ordinances of
Fridley, Minnesota reg gg location, construct�Ton, alteration, maintenance, repair and moving of buildffigs
within the city limits aad�this permit may be revoked at any time upas violation of say of the provisions of said
ordiaanc�s. _
Building Inspector
NOTICE:
This permit does not cover the construction, histadatioe for wiring, phnahing, gas heating, sewer or water. Be sure to on
the Building Inspector for separate permits for these items.
OWNER'S
APPLICATION FOR BUILDING PERMIT
CITY ,OF FRIDLEY, MINNESOTA',
ADDRESS
,..ADDRESS % -Lerf � � � �-a�.- it
LOCATION OF BUILDING
No, Street,
� � �(�
Lot Block Addition or Subdivision';''"
Corner lot 1_ Inside Lot0---Setback Sida Yard.
SEWER ELEVATION FOUNDATION ELEVATION
Applicant aptach to. this. _form Two Certificates of. Survey of Lot -.and .proposed. build-
ing location drawn on these Certificates..
DESCRIPTION OF BUILDING u
be used as:
Front .3® i- Devth
Cu. Ft.
- _Fronit Depth Height
Sq. Ft. Cu. Ft.�
Type of Construction Estimated Coat
To be Completed
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 farts and
representations stated in this application 9e true end correct.
jSchedule of Fee Costs can be found on the Reverse Side).
City ®f Fridley,
LffATIQ& B ILDI G
No. Street - P o Lot
Lot _ __ Block Addition or Sub-Divisio���
Corner Lot _ Inside Lot _ _ 'f Setback __ _ Sigeyard
t
In consideration of the issue to me of a permit to construct'l building described above, I agree to do
the proposed work in accordance th the description above set forth and in compliance with all provisions of
ordinances of the city of Fridley.
X
In consideration of the payment of a fee of $ , permit is hereby granted to
to construct the building or addition as descobed above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees ana 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. m A "-I
Building Inspector
NOTICE:
Ibis pennh doss not corer the coestrection, hwaDation for whdng, phrmbing, on heaftg, sewer or water. Be sure to we
the BuihBng iespester for separate pwmh for than items.
OWNER ° S
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
ADDRESS ADDRESS
LOCATION OF BUILDING
No.!-� Street Part of Lo
Lot Block1__ Addition or Subd -vision *Xjw�=
or
Corner Lot Inside Lot A-- Setback Side -Yard / l
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed build-
ing location drawn on these Certificates.
DESCRIPTION OF BUILDING
Depth Height
-
t /�. Cu. Ft.
Depth g.1,Height
t.- � � cu. Ft. � G�
Type of Constructio Estimated Cooj�jt
ti
To be Completed
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 le SIGNATURE
(Schedule of Fee Costs can be found on the Reverse Side).
Application for Power Plants and Heating, 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 $
NECK. 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 $
over 199,000 BTU See Fee Schedule
GAS FITTING FEES: NO RATE TOTAL
1st 3 Fixtures ......................� x$ 2.00 $��" v
Additional Fixtures ................. x .75 $
Gas Range to 199,000 ........... x$ 5.00 $
AIR CONDITIONING
FAN HEATING SYSTEM
VENTILATING SYSTEM
ALTERATIONS & REPAIRS
ROUGH-
OUGH
FINAL—
FINAL
See
See Fee Schedule
$
TOTAL FEE $
Dept. of Bldgs. Phone 560-3450
0
City of Fridley:
The undersigned hereby makes application for a permit for the work hereix
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 -ue, true and correct.
Fridley,
Owner
Kind of Building
Used as
To be completed about
Estimated Cost, $ 42M Gd o
Ol New. Building Permit No. Permit No.i
DESCRIPTION OF WORK
19
HEATING or POW7,R PLANTS --Steam, Hot Water, Warm Air—No
Trade Nam Size No --e—E',245—
Capacity
-/ ',245Capacity Sq. Ft. MD.R BTU ���, � -Hzp.
Total Connected Loa Kind of Fue zza
BURNER — Trade Name Size No
Capacity Sq. Ft. E.D.R BTU H.P.
(REMARKS—OVER)
a �
CQID.42 Business Phone . j
Original
PERMIT for Power Tants and Heating. Cool-
ing, ventilation, Refrigeration and Air
Conditioning Systems and Devices
DESCRIPTION OF WORK
No. of Heating Plants to be installed—altered—repaired
Make ,Size ' �P
Oil fired—, Coal fired—, Gas fired L!!:::; Gas Authorization No
Remarks
Approved by.
Final Inspection Date , 19._
Inspector
Permit N° 4368
Fee $
Office of the Inspector of Buildings
City of Fridley
City of Fridley, Minn. , 19-!0
Owner
Location o o
Kind of Buildings-�
How Occupied
Work to be Commenced ,19--e-9
To be Completed 9-2_ 0194
Estimated Cost, $ •
Old -New, Building Permit No.
Permission is hereby granted �' k --e i to install—erect—use the material and devices described in the
above statement. This permit is granted ubodJ the express condition that the pers n to whom it is granted, and his agents, employees and workmen, in all the work
done and materials used under this permit, and in the operation of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley
relating to or governing the work to be done and the operation of the devices herein named, and to the specift. ations set forth in the approved application for this
permit on file in the office of the Inspector of Buildings.
Inspector of Buildings
.01�42 sM 11-67 v
PI
SUBJECT
PEA'
City of Fridley
o 15 3.0 9
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
REC
• _____ COMMUNITY DEVELOPMENT DIV.
o PROTECTIVE INSPECTION SEC.
1(0.7-72
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
7/2/79
JOB ADDRESS 6040 Woody Lane N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
1
1
Meloland Lakeview
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Walter Lindeman 6040 Woody Lane N.E.
571-0220
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS
i
ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a deck. (360 square feet)
9 CHANGE OF USE FROM TO
STIPULATIONS
SEPERATE PERMITS REQUIRED FOR w1faN(�
H°ERTIIVGt PLUMBING AND SIGNS,
r .
WARNW
WOM dh*g calf local util'iieg
TELEPHONE . ELECTWC • US Eh.
REQUIRED By LAW
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
Wood
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
$1,300
$.65
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-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
$9.00
PLAN CHECK FEE
TOTALFEE
$9.65
S N TURF FCONTRACT OR_4,UTH RIZEDAGENT (DATE)
WHEN PROPERL VALIDATED THIS IS YOUR PERMIT
�
I''
w .
ll
a1
SIGNATURE OF OWN (IF OWNER BUILDER) (DATE)
BLDG INSP
10ATE1
PI
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(New, Alterations, Additions, or Repairs)
IrWNER:t o�TEL NO:
LOT:
STREET:
BUILDER:
ADDRESS:
TEL NO:
Construction Location
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 certificates to scale.
DESCRIPTION OF CONSTRUCTION
_ Front: Depth: Height:
Square.Feet: j Q Cubic Feet:
Front:
Square Feet:
Depth: Height:
Cubic Feet:
Type of Construction: V47 Estimated Cost: $ 1.3 oy
To Be Oc)mpleted:
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
representations stated in this application re true and correct.
a
DATE: Z SIGNATURE:
Stipulations:
gyp/%�Q1 • -. •
' - -
SUBJECT
City of Fridley
320 7
AT THE TOP OF THE TWINS
BUILDING PERMIT
:iiiNO.
' • _--__ COMMUNITY DEVELOPMENT DIV.
SEC-
572-3�
�i
^f
r i � PROTECTIVE INSPECTION
1 i CITY HALL FRIOLEV 55132
' 1''
NUMBER
NEV
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
8/16/01
JOB ADDRESS 6040 Woody Lane NE
I LEGAL
LOT NO.
BLOCK
TRACT OR AbDIT10N
SEE ATTACHED
DESCR.
1
1
Meloland Lakeview SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Walter Lindeman 6040 Woody Lane NE
763-571-0220
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Seal Guard Systems 3770 Dunlap Ave N, Arden Hills, MN 55112 651-481-7888
d ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO
20093688
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION) REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Replace one window within existing opening
9 CHANGEOFUSEFROM
TO
STIPULATIONS
Provide smoke detectors in all sleeping rooms and on all levels of the
dwelling per Section 310.9.1.2 of the 1997
Uniform Building Code. Caulk
and flash all exterior openings.
IAffmit Inspection Cards
Will Be Mailed
To Homeowner Tn Post
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 80 DAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO OWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
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 RE COMPLIED
@
$
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$1,000
•50
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-
Fie SC $1.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
$38.75
PLAN CHECK FEE
TO AL FEE
Licens $5.0
$45.25
SIGNATURE OF CONTRACTOR OR AUTHORiZEO AGENT IDATE,
EN rROPJRVALIDITEPTHIS ISSYYOUR
RPPER IT
SIGNATURE Of OWNER OF OWNER BUILD.ERi iOATEi
NSP GATE
NEW [ ] z.; Effective 1/1/2001
ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp -
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION -
I%,onstruction Addresstoo LkoC)OLLA,_ Lc' e
Legal 7espription:
Owner Name & AdTress: J,, -Y- ftP f Ll Tel. 2-) 49-�V'
Contractor. cA Go c ur -A Q � MN LICENSE #
Address3-)-)b ���' !� Tel. # ty ':3I f ��
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft
Length Width Height Sq. Ft.
Length Width Hgt/Ground Sq. Ft
/ 00
Construction Type: Estimated Cost: $
iveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ =$
DATE: `� APPLICANT:-AhCTel. #SSI "� I1313
CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application
Permit Fee $ c3t�. `%� Fee Schedule on Reverse Side
Fire Surcharge $ /00 .001 of Permit Valuation (1/10th%)
State Surcharge $ S -D $.50/$1,000 Valuation
SAC Charge $ $1150 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 $ `
STIPULATIONS:��,
01