PRE 2010 DOCSr>
BUILDING PERMIT
Village of Fridley, Minn. N° 2401
'I
Date..........................
Owner"` 1 ..�.....:1' ,; Builder . «.T-''`"" ..........................
Address W .: .. - "*`.. Address ............................ .
LOCATION OF BUILDING
No. !1Street Y' ...................... Part of Lot
Lot Jd:: Jf .. Block .......... Addition or Sub -Division .. Rev ..... .......... .
++�.... ... Inside Lot ........ Setback +s:....... Sideyard fid ...............
Corner Lot ...
To be Used as:
Type of
In consideration
the proposed work i
ordinances of the vi
DESCRIPTION OF BUILDING
Front A114... Depth...'.. Height ......... Sq. Ft. '........ Cu.. Ft. ........
Front ... .. Depth ........ Height ......... Sq. Ft......... Cu. Ft........ .
i :.. Est Cos.................. To be CompletedL ..................
of the issuance to me of a permit to construct the building described above, I agree to do
accordance with the description above set forth and in compliance with all provisions of
ge of Fridley.
-yC •�"+z•xUw+-.,,.��.. .�. .;..c.-ys an .�-ate+»^^ - ....
In cons' on f. the payment of a fee of $. / permit is hereby granted t . jlo. .. r:. • :
...
4M� ... to construct the building or addition as described above: This permit is granted upon
fte/fxptess 'conditionthat the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and ipon 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 i nd this permit may be revoked at any time upon violatio f any of the provisions of said
ordinances.
Inspector
NOTICE:
This permit does not cover the �onstruetion, 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 ®f Fridley, Mian..
BUILDING PERMIT
Date: JULY 25, 1666
DONALD D. DORTUNE
Builder SAME
Address 6 009 - 2nd St. N. E. Address
Fridley, Minnesota 55421
LOCATION OF BUILDING
No. 6009 Street 2nd St, N. E. Part of Lot
Lot 1,8 and 19 Block 7 Addition or Sub -Division _ HYDE P Ru
Corner Lot _ Inside Lot Setback __ Sideyard
Sewer Elevation — Foundation Elevation
X? 8938
DESCRIPTION OF BUILDING
To be Used as:
ATT, GARAGE Front 16 Depth 28 Height 10 Sq. Ft 448 CtL Ft. 4, 480
Front Depth Height Sq. Ft. Cu. Ft.
Type of Construction "AA Est. Cost — $1, 000 _ 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 a�l provisions of
ordinances of the city of Fridley.
a—
In consideration of the payment of a fee of $ 5.00 permit is hereby granted to— DONALD D.
FORTUNE to construct the building or addition as described above. This permit is granted upon
the express crondition 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 dty ]imits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
CLAR.ENCE BELISLE
Building Inspector
NOTICE
'fhb pormlt don not cover the construction, instaWon for wkleg, plumbing, gn hadag, awrer or water. Be sore to as
the BUM* Inspector for Separate penffhs for thea hem
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME ID o vi cv C �, �c R 7 4 ri'�,' BUILDER S' O-rj-7 C-1
ADDRESS 6 0 0 T- `= S T R T f C --ADDRESS
LOCATION OF BUILDING
N0. STREET PART OF LOT
LOT " F4 / I BLOCK ADDITION OR SUBDIVISION � / I% de Ps q
CORNER LOT INSIDE LOT SETBACK SIDE -YARD
SEWER ELEVATION FOUNDATION ELEVATION
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:
a
T i a_ C_ e Front /6 Depth Height / ® F T
Sq. Ft. t Cu. Ft. -T-t-a
Front Depth Height
Sq(. Ft. Cu. Ft.
Type of Construction F_/Q P� N a Estimated Cost
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:::Z
e�K SIGNATURE
O�'��rDr-
(Schedule
of Fee
Costs can be found on
the Reverse
Side).
SUBJECT
P
City of Fridley
12919
AT THE TOP OF THE TWINS
BUILDING PERMIT
RECEIPT NO.
• COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
r
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
�•"' ��� 612-560-3450
910-F15
4/28/75
JOB ADDRESS 6009 - 2nd Street N.E.
1 LEGALLOT
NO.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
18,19
7
Hyde Park SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Donald Fortune 6009 - 2nd Street N.E.
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
❑ NEW] ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 16' x 12' Deck
9 CHANGE OF USE FROM TO
STIPULATIONS
SEPERATE PERMITS REQUIRED FDR .WING,
BEATING, PLUMBING AND SIGNS.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
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 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.
$300.00
.50
WITH HETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOE OT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PRO I IONS OF ANY OTHER S ATE OR LOCAL LAW REGULATING C N-
$5.00
STF TION OR THE P CE CONSTRUCTION.
e
(�
PLAN CHECK FEE
TOTAL FEE
$5.50
'' SIGNATURE bF CON A OR 4RAUTHORIZEDAGENTID EI
WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
—
-j;-)a'vw Ce'G=A1j x'—
BLDG INSP - DAIE
SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE)
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME: g,..,': �,;,_) ® T\ tC1VC-BUILDER:
ADDRESS: C> I ADDRESS:
NO : C6 _ STREET:
LOT: BLOCK: ADDITION:
CORNER LOT: INSIDE LOT: %� SETBACK: SIDEYARD:
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:
j�)(?C_ � Front:
H
Depth: r '2-- Height:
Square Feet: Cubic Feet:
Front:
Depth:
Height:
Square Feet; Cubic Feet:
Type of Construction: kmor Estimated Cost: $ CA. 10d
To Be Completed: (,-�� J�
J
The undersigned hereby makes applicatian for a permit for the work herein
specified, agreeing to do all work in stkict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that all the facts and representatio_stated in this application
are true and correct.
DATE: 5 SIGNATURE•
r
(See Reverse Side For Additional Information.)
sue�ecT
MIT NO.
City of Fridley
27057
AT THE TOP OF THE TWINS
BUILDING PERMIT
RECEIPT NO.
r
`
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
r i �
'
NUMBER
REV
DATE
PAGE OF
APPROVED BY
1 CITY HALL FRIDLEY 55432
612-571-3450
910-F15
8/7/98
JOB ADDRESS 6009 2 St
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
18-19
7
Hyde Park
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Donald D. Fortune 6009 2nd St NE
574-9214
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
❑ NEW ❑ ADDITION ❑ ALTERATION C REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and garage 25 S Tear-off;.reside west side garage
and house
9 CHANGE OF USE FROM TO
STIPULATION S
Underlayment must comply with State Building Code.
Call for building wrap inspection before covering.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT 1 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
1.04
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.Z5
Fire SIC $2.08
PLAN CHECK FEE
TOTAL FEE
$77.8
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
WHEN PROPER ALID TED THIS IS U RMIT
LPG INSP
DATE
SIGNATURE OF OW IIF OWNERBUILDER) IDATEI
NEW [ ]
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: 6 0O 9l S 7 • f C.
Effective l/1/
xs98
'A
v�i
�o a
Legal Description:
Owner Name & Address: mon! Fa rz.7-cf J Tel. # 5-79"-
Contractor: -e- 12 MN LICENSE #
Address:
Tel. #
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: Width Hgt/Ground _
OTHER: .S = gs %
Construction Type:
Driveway Curb Cut Width Needed: Ft. + 6 Ft =
2S-,5
Sq. Ft.
Sq. Ft.
Sq. Ft.
Est ima ed Cost: $ �Z Q q s
(Fee Schedule, on Back)
Ft $ _$-
DATE: �� APPLICANT: Tel. #
CITY USE ONLY
Permit Fee $ .75' Fee Schedule on Reverse Side
Fire Surcharge $ , C3 .001 of Permit Valuation (1/10th%)
State Surcharge $ ' . c7 $.501$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 [ ]
TOTAL $
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 FLOOR
Effective 04J1-1999(
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**
NO. RATE TOTAL
Gas Range**
Gas Dryer**
Back Flow Preventer Required ( )Yes () No
$ 7.00
$ 4.00
$ 5.00
$ 7.00
$ 7.00
$ 7.00
$ 7.00
$10.00
$ 7.00
$10.00
$10.00
$10.00
Type $15.00
Reinspection Fee $42.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance let, -OV
State Surcharge $ .50
TOTAL FEE $ e
JOB ADDRESS (®O `P 2-%%d/ 5- IV dr,
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.
Owner C,/ ZE C.4 '
Building Used As y 4 d a ---47
Estimated Cost % p -a./ PERMIT NO.
PLUMBINGCOMPANY , _moi ��,1 P40&
SIGNED BY TEL NO.
Approved By Rough—In Date Final Date
S THE $.50 ISTA
"COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SGS INCHES.
Building BUILDING Permit No
Inspections RESIDENTIAL APPLICATION Received By:
763-572-3604 CITY OF FRIDLEY Date Recd:
DATE YOUR E-MAIL ADDRESS
SITE ADDRESS ( BQ iVP 5 /(.
THIS APPLICANT IS: JrOWNER ❑CONTRACTOR'
PROPERTY OWNER/ NAME: �)o "1 a. 1 R�'t Ua�
TENANT ADDRESS: Ca ® 01 -)-y�1- S -t 1V
PHONE: ! 6 Z 714 9.?— / ';/
CONTRACTOR
SUBMIT A COPY OF
YOUR STATE LICENSE
WITH APPLICATION
PROPERTY TYPE
PERMIT TYPE
TYPE OF WORK:
NAME:
STAT$
FAX
❑ SINGLE FAMILY/NEW CONSTRUCTION
❑ TWO FAMILY/NEW CONSTRUCTION
❑ ADDITION
❑ GARAGE/SI
❑ BASEMENT FINISH
❑ ROOF
❑ DECK
;9 SIDING
❑ SWIMMING
❑ NEW
❑ ADDITION
`WMATNTFNAN('FIREPAIR
❑ REMODELI
DESCRIBE WORK BEING DONE:
SIZE OF IMPROVEMENT
NUMBER OF SQUARES
GARAGES
PROPOSED SIZE:
PROPOSED HEIGHT:
SIDING
❑ Vinyl
❑ Aluminum
❑ Other
CITY 4z��
EXP DATE
SIZE
❑ WINDOWS
❑ DRAIN TILE
❑ OTHER
SS- y3-7—
STATE ZIP
L � (�' a b \".--) W t�. 11-2- 7 ( —1 B
LENGTH WIDTH HEIGHT Sq. Ft.
❑ HOUSE ONLY
❑ HOUSE & GARAGE
trATTACHED GARAGE
❑ DETACHED GARAGE
❑Soffit
❑ Trim
❑ Fascia
WINDOWS
IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
OPENING CHANGES &
BASEMENT REMODELING SUBMIT:
1. Existing Floor Plan
2. Proposed floor plan
3. List of structural members to be used
FOR NEW CONSTRUCTION INCLUDING DECKS,
ADDITIONS & PORCHES SUBMIT:
1. Site Plan/Survey showing the existing structures
and proposed project.
2. Two sets of construction plans
3. Energy Calculations
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS I
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS.
(USING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $ � OCCUPANCY TYPE
Permit Fee
Plan Review
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)
$1550 per SAC Unit (Plans to MWCC for determination)
ft+6ft= ftx$20=$
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checks savable to: City of Fridley 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 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 w 'ch require ew and approval of plans.
SIGNATURE OF APPLICANT �'' PRINTNAME�e.i`lam�� �/�� DATE