PRE 2010 DOCSCity ®f Fridley, Minn.
BUILDING PERMIT
Date: "
Owner:
Address T
0
rN° 51'73
Builder
`-
Y
Address - --- -- -- -
LO TION F BUILDING a �" # r'
No. Street.` — r
7 4 '.�p
Lot _ __ Block Addition or Sub-D'vision k ' ' - `
Corner Lot _ Inside Lot _ Setback i Sideyard
Sewer Elevation Foundation Elevation __
DESCRIPTION OF BUILDING
To Used
Front" Depth Height Sq. Ft: Cu. Ft.
Front Depth _ ei hht _ Sq. Ft. Cu. Ft.
��� `
Type of Construction � Est. Cost w"_J~o be Completed
5
In consideration of the issuance to me of a permit to con truct 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
ordinances of the city of Fridley.
In consideration of the payment of a fee of $0.=—...—, 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
within the city limits and this permit may be revoked at any. time upon violatiopof any of the provisions of said
ordinances, ,►,
Building Inspector
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, ;gas heating, sewer or water. Be sure to sae
the Building Inspector for separate permits for these hems.
4 THIS PE' -IT DOES NOT AUTHORIZE VIOLAT-
ION OF t_Y PI��IVATE LAND COVENANTS ANP
BUILDING RESTRICTIONS. - - -
� t
Owners Name
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA'
Address Address
LOCATION OF BUILDING �e �,� %
b Lot /
Block . Addition or Sub.Div.
1
1-07
®/ a
MW
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 beAused as:
Front Di
Sq, Ft. Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
Type of ConstructioEstimated Cost
To be completed
The undersigned hereby Noakes 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 c ec
DA'T`E-,,,,., ,� SIGNATURE
(A Schedule of Fee costs can be found on the Reverse Sade.)
City of Fridley
Application for Plumbing and Comas Fitting Perndt
DepL of Bldgs. Phone SU 4-7470
DESCRIPTION OF WORK i� 6
Number, Kind and Location of Fixtures I'ocation
Ig
$
1.00
$
3.25
$
2.00
F
3.25
Z
Z
O W
Z
`
;
WATER HTR.
9
3
m
}
3�
Z
e0' R
rz�app
W
(�+ c
S
<
(�9 d-
t�9
(�9 0
R
N
GAS
F -c-
m
Base
1st
2nd
_
3rd
4th
• Future Connection Openings
Connected with
I
Sewer �
New .Fixture, Old Openings
Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE /TOTAL
Number Fixtures ........ .............. � x $1.50 $ / 4
Future Fixture Opening ................ x
New Fixture Old Opening .............. x
Catch Basin ............................ x
Water Beater (Up to 200,000 BTU) ...... `x
New Ground Run Old Bldg. ............ x
1.20
$
1.00
$
3.25
$
2.00
3.25
$
GAS FITTING FEES: NO. RATE TOTAL
1st 3 Fixtures .......................... x $1.50 $
Additional Fixtures .................... x .50 $
Gas Range to 200,000 BTU .............. x 2.00 $
REPAIRS & ALTERATIONS—Refer to Code
Description ..............................:.................$
TOTAL FEE ® 0
City of Fridley:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City Ordinances
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are trip and correct.
Fridley
r
Owner
Kind of Building
Used as
To be completed about
Estimated Cost, $
Old— oe-
Building Permit No Permit No.
Signe
By `
Business Phone No . 3
ROUGH 'q— A '-EP 4 %
FINAL
4 z 2M 749
G
Apphacrtion for Power Puts and Heating, Cooiinge Ventilation,Refrigeration and
Air Conditioning Systems and Devises
PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone ,SU, 4-7470
GRAVITY WARM AIR: RATE TOTAL, Locatf®n Coe-) r. ® 0°' 0 ®&y '
Furnace Shell & Duct Work .......................... 8.00 $
Replacement of Furnace ............................. 5.00
Repairs & Alterations—up to $500.00 .................. 5.00
Repairs & Alterations each add. $500.00 ............... 2.50
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............ 8.00
reach add 60,000 BTU ....................... 2.00
Replacement of Furnace ............................. .§.00
Repairs & Alterations up to $500.00 ... ............ 5.00
Repairs & Alterations each add. $500.00 ............... 2.50
STEAM or HOT WATER -SYSTEM
Furnace Shell & Lines ---to 400 sq. ft. EDR Steam ......
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water .. .
Each add. 200 sqi ft. Edi. Steam ......................
Each add. 320 -sq. ft. E]2i Hot Water ..................
OIL BURNER—to 3 gal. pl"our ........................
aver 3 gal. per=Your—See Fee Schedule
GAS BURNER (up to 400,00k.BT1n .......................
8.00
8.00
2.50
2.50
r0
5.00 $
5.00 $
GAS FITTING FEES: NO RATE TOTAL
1st 3 Fixtures x $1.50. $
Additional Fixtures . ................. x .50 $
Gas Range to 200,000 BTU ........ , .. x 2.00 $
AIR CONDITIONING $
FAN HEATING SYSTEM See Fee Schedule
VENTILATING SYSTEM $
ALTERATIONS & REPAIRS TOTAL FEE $
ROUGH
FINAL
City of Fridley:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City Ordinances
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and correct.
Fridley, Minn 2"P. G / 18 —
Owner (AJ 4el-L t.S 3 et o q,
Kind of Building Fe A
Used as Par
To be completed about
Estimated Cost, $ �� O
Old ew uilding Permit No. _ 7A Permit No.
r
DESCRIPTION OF WORK
HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No-
Trade Name Fe'y Size No / 8
Capacity Sq. Ft. E.D.R 4? BTU®,WP H.P.
Total Connected Load Kind of Fuel /v4r
BURNER — Trade NameIAIC L VA P O e r S gize No �
e No
.S
Capacity Sq. Ft. E.D.R BTU H.P.
(REMARKS—OVER)
Sign
4z 71M 7-59 Business Phone No- �l 0
Jot $9'
0 e.0 WOO P-
HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MINNEAPOLIS. MINN.
Weatherstrips A.S.H.V.E, Construction No. Insulation
Guide
Wi dows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How. Applied
No I e No 19— i1"aIS«'
F1.1 1... ac Room I Length L&A....� � Room 1 Length #� Width I f'i Height
Windows and Doors—Crackage and Area
�+
_
Width Height No. of Lineal f . Area.
q ft.
No. of pane of pane lights of crack sq.
p p 31ti
r '71w 66 0 as,,
Coef.
Coef.
Btu
Infiltration
Infiltration :
41
1 TR Q
Glasspma
Glass
0
Exp. wall K
7 -ru
Exp. wall
P
Net exp. wall.
Exp. wall 7
0
#why
Int. wall
Net exp, wall
Ceiling
II
Floor x st
Int. wall
r. 40
G
Total Btu. I 'I j2"- ` 7 -
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
I F'I.I AS' s olp 0 % ' Rnn,n I I ...nth ;dA 4 W;,Ith �% 14;ol,r
Windows and Doors—Crackage and Area
�+
Width Height No. of Lineal ft. Area
No. of pane pane lights of crack sq. ft.
aof
#
Hit:
Coef.
Coef.
Coef.
Btu
Infiltration :
Infiltration
� T
Glass
Glass
Glass
7 -ru
Exp. wall
P
,
Exp. wall 7
0
Net exp. wall+4
Int. wall'
+`
Net exp, wall
Net exp. wall
II
Int. wall
Int. wall
Ceiling
Ceiling
Floor
Floornl�
-
Total Btu. C$ 116 At
Required sq.
sq. ft. E.D.R. or sq. ins. W.A. Leader -area
in I aW' AIc R.. (% W;,4"h ,lfi1 uu;n{�► Y�
Windows "and Doors—Crackage and Area
-s
4
Width Height No. of. Lineal ft.:, Area
No. of pane of pane lights of crack sq. ft.
4 IR .t
Coef.
Coef.
Btu
Coef.
Btu
Infiltration
� T
Glass
460:0-
0Ex
if ;f�
Glass
7 -ru
Exp. wall
Net exp. wall
'
►
Exp. wall
Net exp. wall+4
Int. wall'
7 o
Net exp. wall
II
Floor 01'tl:'
Int. wall
Ceiling
Floornl�
-
Total Btu.
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
Coef.
Coef.
Btu
Infiltration+*
+4'�''a ,(6
� T
Glass
460:0-
0Ex
. wall
Exp.
5
7 -ru
Exp. wall
Net exp. wall
`,.
'
Net exp. wall+4
Int. wall'
7 o
Ceiling
Floor
Floor 01'tl:'
Total Btu.''.`
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
I RI.I QA4VJJt Room I Lenath Width Height ,
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. f
Coef.
Coef. Btu
Infiltration
i e "4110`' .
+4'�''a ,(6
Glass
460:0-
0Ex
. wall
Exp.
'
Net exp. wall
`,.
'
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A: Leader area
t F7;1 f W&; -Reem I Length /. Width + Height
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane ofpane lighta of crack sq. ft.
Coef.
Btu
Infiltration'
Glass
Exp. wall
'
Net exp. wall
`,.
..
Int. wall
Ceiling
Floor
Total Btu.
Required sq: ft. E.D.R. or sq. ins. W.A. Leader area II Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
,.r
th
wo to
UOe Awe
Btu
Infiltration
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
Ott` Z- i"
HEAT LOSS CALCULATIONS
DEPARTMENT OF BUILDINGS
Glass
MINNEAPOLIS, MINN.
Weatherstrips
A.S.H.V.E,
Net exp. wall,<
Construction No.
Net exp. wall
Int. wall
Insulation
g.
Guide
Floor �a q.
Exp. wall
Windows
Doors
Reference
Out. Wall Int. Wall Ce ding I Roof Floor
Kind
How. Applied
Ye_ .' No
l es No
19—
Int. wall
.R A
� A� � �'
c+� �
Fl I
R I L h J i„ W
W'd h ' h
L
W'd h PI— ' ht
.. sy i *— oom engt � 1 t d Helg t
Windows and Doors—Crackage and Area
Width Height No of Lineal f . Area
No.' of pane of pane lights of crack sq, ft..-_.,
'r "
Windows and Doors—Crackage and Area
1 t
Coef.
Btu
Infiltration
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
Ott` Z- i"
Glass,
Glass
'no
Exp. wall 1?
Coef.
Net exp. wall,<
Infiltration
Net exp. wall
Int. wall
Ceiling
g.
Ceiling
Floor �a q.
Exp. wall
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
'`
F1.1 Room I Length
Width
X lei
Height
Windows and Doors—Crackage and Area
1 t
Width Height No. of Lineal ft. Area
No. of pane of pane lighta of crack sq. ft.
Windows and Doors—Crackage and Area
i
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
Coef. Btu
Infiltration
Glass
Exp. wall
Coef.
Net exp. wall,<
Infiltration
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
F1.1 Room I Length Width Height
Windows and Doors—Crackage and Area
1 t
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
Windows and Doors—Crackage and Area
i
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
Coef. Btu
Infiltration
Glass
Exp. wall
Coef.
Net exp. wall
Infiltration
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Fl.1,W Room eng
1 t
V elg
Windows and Doors—Crackage and Area
i
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
Coef.
Btu
Infiltration
Glass
+k
Exp. wall
Net exp. wall
X lei
1
Int. wall
Ceiling
Floor - e * +
'Aje
&0
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
F1.1 Room I Length Width
Windows and Doors—Crackage and Area
Wldth Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
lAltration
Glass 5 4
Exp. wall
at :; x
Net exp. wall -
Int. wall
Ceiling*�
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. iris. W.A. Leader area
F1.1 Room I Length Width Height
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of,pane lighta of crack sq. ft.
Infiltration
Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Btu
City of Fridley, Minn..
BUR DING PERMIT
Date: July 14, 1969
Owners Gilbert E. Stenberg Builder Same
Address 6060 NQody Lane Address
Same
LOCATION OF BUILDING
No. 6060 Street Woody Lane ____ part of Lot
Lot —_2�__ Block 1 Addition or Sub -Division _ Girdler Terrace
Corner Lot — Inside Lot _ _ Setback -- Sideyard
Sewer Elevation Foundation Elevation
N° 10336
DESCRIPTION OF BUILDING
To be Used as:
Rear Ratio Front 5 ' Depth 19' Height 71 Sq. Ft. 475 CU. Ft.
Front Depth . _ _ Height . Sq. Ft. ._ _ Cu. Ft.
Type of Construction - Post &Beam Est. Cost _$800.00 _ To be Completed
In consideration of the issuance to me of a permit to cons ct the building described above, I agree to do
the proposed work in accordance with the description above orth :dad in compliance v�t� all provisions of
ordinances of the city of Fridley. ®p I s
In consideration of the payment of a fee of $ 6.00 , permit is he granted to Gilbert S tenbe
to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
g Inspector
.larence Belisle
NOTICE:
This penult doer not cover the construction, installation for wiring, plumbing, gas keatho sewer or water. Be sore to we
the Building Inspector for separate permits for these Items.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME
ADDRESS Q' ill Z --a ADDRESS
LOCATION OF BUILDING
N0. 016 C7 STREET
Z-C� 7A -e,
LOT BLOCK Z ADDITION OR SUBDIVISION4,1�'��e`���'��
CORNER LOT V
.INSIDE LOT SETBACK SIDEYARD
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:
7 '� Front 0,3' Depth Height _
Square feet 41%,r Cubic Feet
Front Depth Height
Square feet Cubic Feet
Type of Construction f i— 4&&7 4,/Estimated Cost R00
To Be Completed
Tae unaersignea hereby makes application for a permit for the work
herein specified, agreeing to do all work in strict accordance with the
City of Fridley OrdinaL,oes and rulings of the Department of Buildings,
and hereby declares that all the facts and representations stated in
this application are true and correct.
A
DATE SIGNATURE
I 0-2�v
.(Schedule of Fee Costs can be found on the Reverse Side.
,\
Effective Aug. 1, 1981
63-81416051 CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
New Fixtures•
Future Fixtures
Old Opening, New Fixture
Beer Dispenser
Blow Off Basin
Catch Basin
Rain Water Leader
Hydraulic Valve
Sump or Receiving Tank
Water Treating Appliance
Hot Water Heater
Gas Range
Gas Dryer
$
5.00
$
3.50
S
1.50
$
4.00
$
5.00
$
5.00
$
5.00
$
5.00
Water
m
a9
7.00
$
5.00
$
e
a
�
14
p,
w
Heater
$4
o
1
0
8
B0�
x
a
8
m
2
u
a
y
3
aw°
ai
w
t
o
lec
no -
1St
it
2nd
3rd
4th
(R) = Future Connection Opening
Connected with Sewer
= New Fixture, Old Opening
Water
RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
New Fixtures•
Future Fixtures
Old Opening, New Fixture
Beer Dispenser
Blow Off Basin
Catch Basin
Rain Water Leader
Hydraulic Valve
Sump or Receiving Tank
Water Treating Appliance
Hot Water Heater
Gas Range
Gas Dryer
$
5.00
$
3.50
S
1.50
$
4.00
$
5.00
$
5.00
$
5.00
$
5.00
$
5.00
$
7.00
$
5.00
$
10.00
$ 10.00
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
18 of Value of Fixture or Appliance $
Reinspection Fee $ State Surcharge $ .50
($15.00) TOTAL FEE $ 10.50
Job Address 6060 Woodv bane
Department of Buildings
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, Mn. 10-16-81 , 19
OWNER TOMCZYK
KIND OF BUILDING frame
USED AS r e S .
TO BE COMPLETED ABOUT 10-22-81
ESTIMATED COST 50.00
OLD - NEW BUILDING PERMIT NO. PERMIT NO.
ROUGH INSP.
Date
Company
Signed By
Tel. No.
FINAL INSP. 44-15-k'
Date
APPROVAL FOR PERMIT d,
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $10.00
PLUS THE $.50 STATE SURCHARGE
SUBJECT
PE
City of Fridley
NO 17 7 2 0
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
RECEIPT NO..
v _ COMMUNITY DEVELOPMENT DIV.
SEC.
j
r PROTECTIVE INSPECTION
``� CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
L J \ 612-571-3450
910-F15
9/14/84
JOB ADDRESS 6060 Woody Lane N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
10
2
Moore Lake Kills SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Tomcsyk 6060 Woody Lane N.E. 574-0446
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
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
lj NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 221 x 18' Garage
9 CHANGE OF USE FROM TO
STIPULATIONS
Special Use Permit for a second accessory building approved 12/83.
Provide a hard surface driveway.
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
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
1.
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
$4,439
$2.22
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-
$50.50
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
P N CHECKFEE
TOTALFEE
$52.72
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
WHEN PROPERLY V D ED THISIS YOUR PERMIT
SIGNATURE OF OWN (IF OWNER BUTA ERI IDATE)
BLDG INSP ATE
Prepaid Plan Check $
Estimated Cost $
Receipt #
Construction
Legal Description:
City Of Fridley
OTHER THAN R-1 AND R-2
Building Permit Application
Effective 4/1/84
Property Owner/Address: �..' Tel.f
Contractor/Address: Tel.
Architect/Address: -- Reg.
Engineer/Address: -- Reg•#
Type of Work [i4 New [ ] Addition [ ] Alteration
USE OF BUILDING:
APPLICANT SIGNATURE: a ' Tel.
BUILDING DIMENSIONS
Size of Structure de
Length Width 4,2 Height Sq. Ft. # of Stories
OFC. AREA: Length Width Height Sq. Ft.
WHSE. AREA: Length Width. Height Sq. Ft.
OTHER AREA: Length Width Height Sq. Ft.
VALUATION/6
Sq. Ft. r g X $ � �• Cost/Sq. Ft. = Valuation $ �� f f, ' )
Sq. Ft. X $ Cost/Sq. Ft. = Valuation $ ) _ $
Sq. Ft. X $ Cost/Sq. Ft. = Valuation $ ) Total
Type of Building Constructio`�' I ----,Occupancy Group Class. Zoning
Air Conditioned [ ]Yes [ ]No Fire Protection System [ ]Yes [ ]No. ._
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Sewer Main Charge
TOTAL
:�,
2�
See Fee Schedule on Reverse Side
In excess of Prepaid Plan Check -See Back Pg.
$.50/$1,000 Valuation (See Sched. for > $1 mil)
$425 per SAC Unit
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
STIPULATIONS:
1` � I
r T
01
SUBJECT
PERMIT
City of Fridley
8723
57Z=3�®4 THE TWINS
BUILDING
PERMIT '
RECEI
COMMUNITY DEVELOPMENT DIV.
`
f PROTECTIVE INSPECTION SEC.
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
L 612-571-3450
910-F15
12/8198
JOB ADDRESS 6060 Woody Lane NE
I LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
1
1 Moore Lake Hills
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Kazimierz Tomczyk
574-0446
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Advance Alum. Supply Inc. 7701 Main St NE Fridley 55432 571-3440 7983
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
e USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION 2k REPAIR ❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Reside house and garage
9 CHANGE OF USE FROM TO
STIPULATIONS
Call for building wrap inspection before covering.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SQ. FT
CU FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. '
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
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
00
$1.50
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-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
$74.75
Fire S $3.00
PLAN CHECK FEE
TOTAL FEE
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT iDATEi
WHEN PROPERLY ALIDATED THIS IS YOUR PERMIT
1
Bl G iNSo
DACE
S.GNATUREOF OWNERow OWNER BURDERI iDATEI
01
a 612 571 2260 ADUANCE ALUMINUM 01
'IfEW E t1vi I/148
ADDN [ ] CITY OF FREME1
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLIC ATION
ConstructionAddress: di 401Z- I'd V -V i Pq V
Legal Description: __
Owner Name & Address: �zI afketrr . "]/9iyr,?Am i/-
Contractor: 6,0U6^t,--fi vA004 i,&,e- MN LICENSE#,
Address: % AO Af . 5 7- Tel. #
Attach to this application, .a Certificate o� Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF I51PROV1FMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length � Width Height Sq. Ft.
DICK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER:
Construction Type a Estimated Cost: $ • , . 0o
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: 42--j-APPLICANT: °
CRY USE on
Permit Fee
$
7'V 7-6-
Fee Schedule on Reverse Side
Fire. Surcharge
$
3-00
.001 of Permit Valuation (It
State Surcharge
$
1 /
$.50/$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$
5,00
$5.00 (State Licensed Resid
Driveway Escrow
$
Alt. "A" or Alt. "B" Abov,
Erosion Control
S
$450.00 Conservation Plar
Park. Fee
$
Fee Determined by Enginf
Sewer Main Charge
$
Agreement Necessary ( )
TOTAL $ < , g 5
STIPULATIONS: y a , t CACIJ
0�4j
VI
I
_
suBJEdr
P
City of Fridley
29157
AT THE TOP OF THE TWINS
BUILDING PERMIT
`COMMUNITY DEVELOPMENT DIV.
- ------
r PROTECTIVE INSPECTION SEC
1 . �
NUMBER
REV
DATE
PAGE OF
APPROVED BY
1 1 CITY HALL FRIDLEY 55432
612-571-3450
91A-F15
4/7/99
JOB ADDRESS 6060 Woody Lane NE
I LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
10
2
Moore Lake Hills
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Kazimierz Tomczyk 6060 Woody Lane NE
574-0446
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
OTL Installations 16170 Hyland Ave, Lakeville, MN 55044
953-4141
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
O NEW Q ADDITION ❑ ALTERATION REPAIR
❑ MOVE 0 REMOVE
8 DESCRIBE WORK
Reroof House & Garage (28 Sq) Tear-off
9 CHANGEOFUSEFROM TO
STIPULATIONS
Underlayment must comply with the State Building
Code.
CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to
9:00 pm on Saturday; No work on Sunday
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
1 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 BE COMPLIED
$1.20
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$2,399
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
e
PLAN CHECK FEE
TOT E
Lice e $5 0
83.35
i ATURE 5F CON TRARORgUTMORIZ A 1ATEI
EN RO L VALIDA
THIS I$ YO PEI
:??
S-GNATURE OF OWNERoF OWNER BUILDER. iDATEI
- BLZ .NSP '
MATE
I
NEW [ ]
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress:
Legal Description: _
Effective 1/1/99
Owner Name & Address: e p e c G®Ao a1% Aa Tel.
Contractor.
.4.
'.� MN LICENSE # moo �► yi.��
Address: y � Tel. i�) 9krS
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
GARAGE AREA: Length Width Height
DECK AREA: Length Width Hgt/Ground
OTHER: -7�
Construction Type:
Driveway Curb Cut Width Needed: Ft. + 6 Ft =
Estimated Cost: $
Sq. Ft.
Sq. Ft.
Sq. Ft.
7q. "
(Fee Schedule -on Back)
Ft x $ = $
DATE: APPLICANT: Tel. # 9.!2 - y/ �f
CITY USE ONLY
Permit Fee
$
Fee Schedule on Reverse Side
Fire Surcharge
$ et&
.001 of Permit Valuation (1/10th%)
State Surcharge
$ �, tO
$.50/$1,000 Valuation
SAC Charge
$
$1050 per SAC Unit
License Surcharge
$ GD
$5.00 (State Licensed Residential ContractorsY
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
$ U J�
STIPULATIONS: