PRE 2010 DOCSn
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City ®f Fridley, Minn.
BUILDING PERMIT N° 6452
Date:
Owner: ® CZL Builder .�
Address - Address -_
LOCATION OF BUILDING
No. &2V / !Z Street'd¢_L a �,l,dEz Part of t
Lot �Block ---�- Addition or Sub-plyision,
Corner Lot - Inside Lot — �� Setback ideyard
Sewer Elevation _ __ ...... Foundation Elevation
DESCRIPTION OF BUILDING
To V as:
Front /Z Depth .2-A Height Sq. FL,9M Cu.
t Depth ght , Sq. Ft. ____ Cu. Ft.
Type of Construction ' -a_ Est. 4�- ---�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 fo and in compliant al�pro ons of
ordinances of the city of Fridley. t
In consideration of the payment of a fee of $�� , permit is hereby granted to—
to
o—
the express crondition that tperson to wwhom ibuilt ng or addition as described above. This permitwupon
e in,7:7dley,hin thiIIBIIcm
Building Inspector
NOTICE:
This permit doe: not cover the construction, lnstdiation for wiring, plumbing, nes heating, sewer or water. Be sore to see
the BWMbg Inspector for separde permit for these Rena.
� R i
OWNER'S NAME
ADDRESS a
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
LOCATION OF
No.C® G � Street, _
Lot .1d %1 //Block Addition or Subdivision^,
Corner Lot Insid Lot�etback Side4ard
SEWER ELEVATION - _- FOUNDATION ELEVATION
t of
Applicant attach to this form Two Certificates of Survey of Lot and proposed build-
ing location drawn on these Certificates.
DESCRIPTION OF BUILDING
To bf)used as:
�r
Front Depth c-2- U Height / c
Sq. Ft. Cu. Ft ® tJ
Front Depth Height,
Sq. Ft. Cu. Ft.
Type of Construct
io-— 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_ ��-�SIGNATURE
(Schedule of Fee Costs can be found on the Reverse Side).
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City vF Fridley
appOcatia+ for Pkmbbg mid Gm NO" ftmk
Dept. of Bldgs. Phone 9®04450
DESCRIPTION OF WORK Im:taa
Number, Kind and Location of Fixtures
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ................
x $2.00
$
Future Fixture Opening ............
x $1.50
$
New Fixture Old Opening ..........
x $1.50
$
Catch Basin ....................
x $3.25
$
Water Heater :Up to 98,000 BTU) . • • •
x $3.00
$
New Ground Run Old Bldg.........
x $3.25
$
Electric Water Beater .............
x $2.00
$
GAS FITTING FEES:
NO. RATE TOTAL
��M�■N���I�ri9■
■
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ................
x $2.00
$
Future Fixture Opening ............
x $1.50
$
New Fixture Old Opening ..........
x $1.50
$
Catch Basin ....................
x $3.25
$
Water Heater :Up to 98,000 BTU) . • • •
x $3.00
$
New Ground Run Old Bldg.........
x $3.25
$
Electric Water Beater .............
x $2.00
$
GAS FITTING FEES:
NO. RATE TOTAL
1st 3 Fixtures ............ • • • x $2.00 $
Additional Fixtures ................. x $ .75 $
Gas Range to 199,000 BTU .............. _ �— x $5.00 $
REPAIRS B ALTERATIONS—Refer to Code
Description ........................... , .......... « .....
TOTAL FEE If
(SURCHARGE $ -.50)
City of Fridley:
The .undersigned hereby makes application for a permit for the- work herei
specified, agreeing to do all work in strict accordance with the City Ordinance
and ruling of the Department of Buildings, and hereby declares that aR the fact
and representations stated In this application are true and correct
Fridley, Mjnn :S ay- y ) 7 19 7 Z
Owner �.,t C t.j e si
Kind of Building �, o -N e
Used as
To be completed about Z's a i Z
Estimated Cost, $
Old—New. Building Permit No. Permit No.
Signed
ROUGH
By -- -
Business Phune No
SUBJECT(PERMIT
NO.
City of Fridley
21901
AT THE TOP OF THE TWINS
BUILDING PERMIT
f
',
RECEI O.
i
� • COMMUNITY DEVELOPMENT DIV.
i ti:------�
PROTECTIVE INSPECTION SEC.
�CJ�
r � �
1 . �
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
6/11/93
JOB ADDRESS 6014 2!g Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
10,11
7
Hyde Park SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Charles Lynk 6014 - 21 Street NE 571^7803
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 O ALTERATION REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House. & Garage (24 Squares) Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with.the. State Building Code. Install smoke
detectors as per UBC1210 adjacent to all sleeping areas and in basement if not
already installed, Provide adequate attic ventilation.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REOUIRED 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 60 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.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
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
$1 296
$ s65
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
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-
$31,00
Fire SC $1.30
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
$32.95
SIGNATURE OF CONTRACTOR OR tfTHORIZEDAGENT (DATE)WH
LY DATED THIS IS YOUR PERMIT
01
i
SIGNATURE OF OVVNE I OV -DATE
INSP GATE
NEW [ ] Effective 5126/93
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Construction Address:
Legal Description: 1_lr-�-�t'� i-�-G� '� car
Owner Name & Address: �� 1 - L,® ►yam ���-n �� t=T-- Tel. #j /_ v)P!2 0 3
Contractor: 0 U0 93aiL' MN LICENSE #
Address: Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA: Length
GARAGE AREA: Length
DECK AREA: Length
OTHER: �.o
DESCRIPTION OF 11"ROVEMENT
Width Height Sq. Ft.
Width Height Sq. Ft.
Width Hgt/Ground Sq. Ft.
Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback,
Type of Construction:
Approx. Completion Date:
Driveway Curb Cut Width Needed: Ft. + 6 Ft =
Side Yard Setbacks
Estimated Cost: $
(Cost on Back)
Ft x $ _ $
DATE: APPLICANT: Tel. -?I ' S '7 I -% �s v
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
$ -31,00 Fee Schedule on Reveres Side
$ l , 3o .001 of Permit Valuation (1/10th%)
$S $.50/$1,000 Valuation
$ $750 per SAC Unit
$ $5.00 (State Licensed Residential Contractors)
$ Art. "A" or Alt. "B" Above
$ Conservation Plan Review $450.00
$ Fee Determined by Engineering
$ Agreement Necessary [ ] Not Necessary ( ]
$ STIPULATIONS:
SUBJECT
P
City of Fridley
27990
AT THE TOP OF THE TWINS
BUILDING
P E R M I T
`
RECEIPT NO.
` COMMUNITY DEVELOPMENT DIV.
y______
ClL
r PROTECTIVE INSPECTION SEC
1 �
NUMBER
REV
DATE
PAGE OF
APPROVED By
= CITY HALL FRIDLEY 55432
'6 612-571-3450
910-F15
9/28198
8
10B ADDRESS
6014 2 1/2 Street NE
I LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
10, 11
7
1Hvde Park
SHEET
2 PROPERTY OWNER MAIL ADORES$
ZIP PHONE
Charles Lynk571-7803
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 xxC REPAIR ❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Reroof garage (4 Sq) Tear -off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
SEPARATE PERMITS ARE REOUIRED 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 1 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
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
$21.00
Fire
PLAN CHECK FEE
TOT FEE
ILI
SIGNATURE OF CONTIkkORYWOR AUTWORIZED AGENT tDATE.
EN O
ALID THIS OUB P MIT
SIGNATURE OF OWNER�ic OWNER Bu40ERi iDATEI
9L Kim
OAtE
NEW [ J
ADDN [ J CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
�(ConstructionAddress:
!! ��Legal Description:
Effective 1/1/98
Owner Name & Address& ,, ... J_ �k G.'u i�Tb:k:St v -,,Tel. # c
Contractor: � �,P, �� MN LICENSE #
Address:
1 n W IV Lev: "41T
GARAGE AREA:
DECK AREA:
OTHER:
Construction Type:
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
Length Width
Length
Width
Driveway Curb Cut Width Needed: Ft. + 6 Ft =
Height
Height
Hgt/Ground
Tel. #
Sq. Ft.
Sq. Ft.
Sq. Ft.
Estimated Cost: $ L5w. on
(Fee Schedule on Back)
Ft x $ = $
x DATE: ej - Gj 1�; APPLICANT: Tel. #
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ C;2,2"00
CITY USE ONLY
Fee Schedule on Reverse Side
001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1000 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 [ ]
CITY OF FRIDLEY INSPECTION DIV.
Effective On August 1, 1995
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER
PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND
AIR CONDITIONING SYSTEMS AND DEVICES
�/�
JOB ADDRESS c)
RATE SCHEDULE
The undersigned hereby makes application for a permit for the work herein
Residential
Rate
TOTAL
specified agreeing to do all work in strict accordance with the City Codes and
Furnace Shell and Duct Work, Burner —
rulings of the Building Division, and hereby declares that all the facts and
Also Replacement Furnace
$ 30.00
$
representations stated in this application are true and correct.
(Side Vent — Fill Out Back)h�s"�
,1
Gas Piping (Needed with new furnace)
$ 10.00
$
OWNER
_Gas Range
$ 10.00
$
'
. BUILDING USED AS �®5,a ll: 0V
Gas Dryer
$ 10.Q0
$
N0.
ESTIMATED COST PERMIT
*Air Conditioning —All Sizes
$ 25.00
$
DESCRIPTION OF FURNACE AND OR BURNER
All Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work
$
No. of Heating Units _ Circle One (Steam) (Hot Water) (Warm Air)
Trade Name Size No.
Commercial/IndustrialBTU
HP EDR
1.25% of Value of Appliance or Work
r
$
Fuel' Total Connected Load
State Surcharge .50
TOTAL FEE $ , 2 �
MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
Burner Trade Name Size No.
BTU HP EDR
,mn/all
HEATING COMPANY iG,11,A 41 az,0
Signed By Tel No._��.�����✓���,
Approved By Rough—In Date Final Date
FILL OUT BACK SIDE FOR STACK VERIFICATION ON
REPLACEMENT FURNACE
Remarks:
r. .
List ALTERATIONS Being Done.
HEATING CO: Y
Signed By:
Date:
CHIMNEY AND SIACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack:
1.
Has been carefully examined
Yes (
) No ( )
2.
Is free from rust or deterioration
Yes ()
No ( )
3.
Has no foreign objects Dodged within
Yes ()
No ( )
4.
Is securely supported
Yes ()
No ( )
5.
Meets all current Code requirements for size
and total BTU's connected
Yes (
) No ( )
6
Has total heating BTU's of
All other BTU's
TOTAL BTU's
7.
Has a liner been provided for water heater
Yes ()
No ( )
8.
Has combustion air been provided for water heater
Yes ()
No ( )
Remarks:
r. .
List ALTERATIONS Being Done.
HEATING CO: Y
Signed By:
Date:
FAY Sama SBS'
QTY OF FRIDIEY, PUMM ►lYi
ADDRESS ALGID LEGAL DESCRIPTION: 16 D /54 o� � � �G� .oe,,�
OPMWOONTRACT Pte:
�NSTRU(TION L1ATE: ADDITIONS:
CERTIFICATE OF OCCUPANCY ISSUED: YES -ND -DME
A. ZONING ACTION: ORDINA14M NO:
B. SPECIAL USE PERMIT(S): #
C. IDT SPLIT(S): #
D. VACATION(S) :-WAal® O ? ORDIImCE m:
E. VARIANCES
APPEALS CX)MMISSION:
CITY COUNCIL:
F. EASEMENTS:
Bikeway/walkway
Street right-of-way
Utility
Drainage
Alley
Other (Specify)
G. LICENSE(S) (List):
APPROVED DISAPPROVED - DATE NO.
APPROVED DISAPPROVED DATE NO.
REQ'D DEPT REM
Date of Renewal:
H. STIPULATIONS (List): DATE REQUIRED DATE COMPLETED
I. MISCELLANEOUS: