PRE 2010 DOCSCity of Fridley, Minn..
BUILDING PERMIT N® 4187
Date: P '
Owner:��..._.
...--------------.............. ........................... ....__.._..-•--------------.....__........... Builder
Address
Address
LOCATION OF BUILDING
No. _f..... Sheet .....__....... .. "'..."�..._.. ........---- ---------- _....f....... Part of Lot ....._........_..._.. ................
Lot 431K cg...` ........... ................. Addition or Sub -Division . -,r ,F ....... .._.. �...._.._. .._�._
CornerLot .......................... _...... .. Inside Lot .................... _......... ........ Setback ....................... ............. _.... Sideyard..... _............. _............. _............. _...................
_..
Sewer Elevation
Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
.. - .................. Front .............. Depth .................. .. Height ..................
......... ...P... ".SQ.
Ft......_..........._ Cu. Ft. .............
---
g _ �.' Depth c .`...� Height . 0..". ) Sq. Ft. �... - .. Cu. Ft.3.�
. Front
Type of Constru on ..........._ ......................_...................... Est. C .. ...."�" "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 found in mppliapce with all provisions of
ordinances of the city of Fridley. yv
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
within the city limits and this permit may be revoked at any time upon violation of 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 see
the Building Inspector for separate permits for these hems.
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 .......................... 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 $
each add. 60,000 BTU ....................... 2.00 $
Replacement of Furnace ............................. 5.00 $
Repairs & Alterations—up to $500.()o ................. 5.00 $
Repairs & Alterations each add. $500.00 .............. 2.50 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR Steam ......
8.00
$
x $1.50
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ...
8.00
$
8.00
Each add. 200 sq. ft. EDR Steam ......................
2.50
$
2,50
Each add. 320 sq. ft. EDR Hot Water ..................
2.50
$
See Fee Schedule
VENTILATING SYSTEM
OIL BURNER—to 3 gal. per hour ................
5.00
$
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to 400,000 BTU) ..... . . ........... ....
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 BEATING SYSTEM
See Fee Schedule
VENTILATING SYSTEM
ALTERATIONS & REPAIRS
TOTAL FEE
$
REMARKS:
10.50
Dept. of Bldgs. Phone SII 4-7470
Locaiian 6541 - 2nd Street N.E.
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, mi,,,,_ Oct 14, 1959 195—
Owner Drew Scherer - builder 195—
Kind of Building f r ame
Used as ap artme nt
To be completed about
Estimated Cost,
2500®00
Old—New. Building Permit No. _ new 17 Z/
DESCRIPTION OF WORN
195—
HEATING team, Hot Water, Warm Air—No
Trade Name American Standard Size NoG28D
Capacity----q4-o— Sq. Ft. E.D.R 126000 ne tTU H.P.
Total Connected Load 114,000 net Kind of Fue1gMr-
BURNER — Trade Name Size No
Capacity Sq. Ft. E.D.R BTU H.P.
Signed Backdahl w Olson
By®:
12-58 Business Phone No -TA 7-3779
City of Fridley
AT THE TOP OF THE TWINS
SUBJECT
BUILDING PERMIT
E
_ - 16 2 4 8
r
�
• _ COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
L 612-571-3450
CEIPT NO.
NUMBER
910-F15
REV.
DATE
6/18/81
PAGE OF
APPROVED BY
JOB ADDRESS 6541 - 2nd Street N.E.
1 LEGAL
DESCR. 1
LOT NO.
13,14
BLOCK
5
I TRACTOR ADDITION SEE ATTACHED
Rice Creek Plaza South_ SHEET
2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE
Darold Johnson 4216-7th Street N.E. 788-6795
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO,
6 USE OF BUILDING
Apartment
7 CLASS OF WORK
❑ NEW ❑ ADDITION Cj ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof structure
9 CHANGE QF USE FROM TO
STIPULATIONS
Roof can be 2nd but not 3rd roof. Install ridged galvanized valleys.
t.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
TYPE OF CONST.
Asphalt
OCCUPANCY GROUP
OCCUPANCY LOAD
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
ZONING
SQ. FT.
CU. FT.
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
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
VALUATION
$2,000
SURTAX
$1.00
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.
$12.00.
PLAN CHECK FEE
TOTALFEE
$13.00
OF CONTRACTOR ORA r 0R11ZEy^ibENT IDATEI
WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
X"SIGNATURE
SIGNATURE OF OWNER IIF OWAdE 'BUILDERI f (DATE)
BLDG INSP DAT'
1
CITY OF FRIDLEY
APPLICATIO!F'O[Z RESI1)[7NTIAL I3UILDIttG PEfL'fITS
(New, Alterations, Additions, or Repairs)
OWWER:2�a 40-& Z -
r
STREET NO: STREET:
LOT: ��, /A BLOCK:
BUILDER:
'�7 �:1.�...,� �-'moi ..�����I..- _✓.�...r( ..
ADDRESS:
—�
TEL NO:
Construction Location
Corner Lot: Inside Lot: I-(-<— Setback: Sideyards:
Ap-ilicant attach to this form two Certificates of Survey of lot and
proposed building location drawn on certificates to scale.
DESCRIPTION OF CONSTRUCTION
Front: Depth:
Square.Feet: Cubic Feet:
Front:
Depth:
Ii eight :
Height:
Square -Feet: Cubic feet: _
Type of Construction: - Estimated Cost: $ 4e06' O®
To Be Cbrapleted• �. r
Alt. A Alt. B
Proposed. Driveway width If New Opening Is Desired: $ $
SEE REVERSE SIDE. OF SHEET
Mie undersigned hereby makes application for a permit for the N:nrk' 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:
Stipulations :
S IGNATU M :
SUBJECT
-
P
City of Fridley
28345
AT THE TOP OF THE TWINS
BUILDING
PERMIT
RECEIPT N
�
`y _ COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
qq
r
�0
I 1 CITY HALL FRIDLEY 55432
I.J
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
10/21/98
JOB ADDRESS 6541 2nd Street NE
1 LEGAL
E5904 Of 1
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
Rice Creek la South
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Jim Johnson
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Ace Construction 6230323-3019
20001884
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 Zx REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof 5— lex 26 S Tear—off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
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
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
2228
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 TH ERFOR AN E OF TR;T�110,1'e74.75
Fire SC $2.23
PLAN CHECK FEE
TOTALFEE
License SC $5.00
1$83.09
SIGN A TURE OF ��. RAef1ff9-0kAfXTW0RIZEO AGENT DATe.
WHEN PROPERLY AALIDATED THIS IS YOUR PERMIT
BLDG M
- OA TE
S,GNATURE OF OWNERdF OWNER BUiLOERI tOATE,
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 ��
BUILDING PERMIT APPLICATION 340
ConstructionAddress: :F 12 d S i
1°
Legal Description:
Owner Name & Address: `� l w-`, Tel. #
Contractor: MN LICENSE
Address: Cg �� I- { 1•� v� F7fl ��t ce.d-- �-„-. 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 Sq. Ft.
GARAGE AREA:
Length
Width Height Sq. Ft.
DECK AREA:
Length
Width Hgt/Ground Sq. Ft.
OTHER:
Construction Type:
�-- v
-- Estimated Cost: $t����;
(Fee Schedule on Back)
Driveway Curb Cut Width Needed:
Ft. + b Ft = Ft x $ _ $
DATE: APPLICANT:
L
�, Tel. # 3d-gQv
CITY USE ONLY
Permit Fee
$
Fee Schedule on Reverse Side
Fire Surcharge
$ o?3
.001 of Permit Valuation (1/10th%)
State Surcharge
$ /, l/
$.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 [ ]
TOTAL
$ - 0
STIPULATIONS:
Building
$ `" . S
BUILDING
Plan Review
Permit No.: `L -
Inspections
Surcharge
RESIDENTIAL APPLICATION
(.0005) times the total job valuation — Minimum $.50
Received By:
763-572-3604
.001 x Permit Valuation (I/ 10%)
CITY OF FRIDLEY
$ �, &J—$5.00
Date Rec'd:
DATE„ / 2 — ` aS YOUR E-MAIL ADDRESS
$
srm ADDRESS IQ
Curb Cut Escrow
THIS APPLICANT IS:
O OWNER AkONTRACTOR
Erosion Control
PROPERTY OWNER/
NAME; 1 L117
Park Fee
ADDRESS / a`?��� CITY
Fee Determined by Engineering
TENANT
$
PHONE:
Total Due •
CONTRACTOR
NAME: 7Z, e /SbA--t �
STATE LICENSE 9C— EXP DATE
SUBMIT A COPY OF
YOUR STATE LICENSE
ADDRESS: 7342 EC) /C Cl � i/ ESTATE s —
WITH APPLICATION
PHONE l® 6 8v FAX / -�—/ VG Y
/ 7 %
PROPERTY TYPE
O SINGLE FAMILYINEW CONSTRUCTION SIZE
O TWO FAMILYMEW CONSTRUCTION STORIES
PERMIT TYPE
O ADDITION O GARAGEISHED O WINDOWS
O BASEMENT FINISH O ROOF O DRAIN TILE
O DECK O SIDING O OTHER
O SWIMMING POOL
TYPE OF WORK:
EW O ADDITION
=6kMANCIVREPAIR
O REMODELING
DESCRIBE WORK BEING DONE: Z622 -,( 'V,
SIZE OF IMPROVEMENT LENGTH WIDTH
HEIGHT S . Ft.
ROOFINGOUSE
ONLY
&
BASEMENT
REMODELING SUBMIT:
NUMBER OF SQUARES
HOUSE GARAGE
GARAGES
O ATTACHED GARAGE
1.
2.
Existing Floor Plan
Proposed floor plan
PROPOSED SIZE:O
DETACHED GARAGE
3.
List of structural members to be used
PROPOSED HEIGHT.
SID
g
FOR NEW CONSTRUCTION INCLUDING DECKS,
O Vinyl
OSotiit
ADDITIONS.
& PORCHES SUBMrr:
O Aluminum
ti O Trim
1.
Site PlawSurvey showing the existing structures
O Other
O Fascia
and proposed project.
2.
Two sets of construction plans
WINDOWS
M EXISTING OPENINGS OYes
ONo LOCATION OF WINDOWS
3.
Epergy Calculations
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
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)
TOTAL JOB VALUATION S OCCUPANCY TYPE
Permit Fee
$ `" . S
See Back Page for Fee Schedule
Plan Review
$
65% of Building Permit Fee
Surcharge
$ e
(.0005) times the total job valuation — Minimum $.50
Fire Surcharge
$ Ye)
.001 x Permit Valuation (I/ 10%)
License Surcharge
$ �, &J—$5.00
(State Licensed Residential Contractors)
SAC Charge
$
$1450 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
$
R + 6 ft = ft x $20 = $
Erosion Control
$
$450 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement necessary ( ) Non Necessary ( )
Total Due •
$
Make checks pavable to: Citv of Fridley Attach Stipulations
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,wh' `vires review and approval of plans. �?
SIGNATURE OF APPLICANT `9 ��- I'RINT NAMr(:!�