PRE 2010 DOCSLot ,........:...R`B1aek .................. Addition or'Sub-Division .......n._. ..:.....................:.. I
Al-
0
City of Fridley, Minn.
WELDING PERMIT N° 3863
Date: .... .... ........—/.... `, .... .
J
Owner �. .. .... .. .. , :. ... .. ... Builder .. ..:............ ..................
Address .....r.. ......................... Address ....................................... ....
LOCATION OF BUILDING
No. .�i. 16! �.. Street ..: ........... Part of Lot ............ ............... .
Lot ............ Block .................. Addition or Sub -Division .......................................
Corner Lot ............ Inside Lot ............ Setback ............ Sideyard .....................
DESCRIPTION OF BUILDING
To be Ysed as:,y , 'V pp--
�....���.. Fromm®'10 Depth Height ��.. Sq. Ft. (.��.. Cu. F'ttl.
.................... Front ........ Depth........ t ........ Sq. Ft......... Cu. Ft..........
Type of Construction ................... 3 Cost...°. ...( .��. �To be Completed
...................
In consideration of the issuance to me of a permit to construct the building desribed 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 $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 with-
in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances. l
NOTICE:
This permit does not cover the construction, Installation or alteration for wiring, plumbing as heating,
sewer or water. Be sure to see the Building Inspector for saps, ale permits for these ItemYr
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
Owners. Name ' V r E 11 N ®4L I der S
Address. 6 060 ��� IV. Address g
LOCATION OF BUILDING
No,v Street __ _ __ Part of Lot �.._
Lot._ f Block. Addition or Sub. Div..
Corner Lot .Trside,Lot Set'Baok ;
Applicant attach to this form Certificate of'Survey of Lot and proposed
building location.
.,To• be used as '
1
_AGA P_
' Front a ®� Depth d� Height
Sq. Ft. CU. Ft•
Front Depth. Height
Sqo Ft. Cu. Ft.
Type of Construction 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 Ordinances ,and ruling of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are true and-correet.':
Date Signature
.:(A Schedule of Fee -Costs can be found on the Reverse Side)
w
SUBJECT
P
City of Fridley
14139
AT THE TOP OF THE TWINS
PERMIT
BUILDING
Ir? L
COMMUNITY DEVELOPMENT DIV.
�'
r PROTECTIVE INSPECTION SEC.
✓ "�+
1 �
= CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
812-580-3450
910-F15
6/7/77
JOB ADDRESS 6060 - 3rd Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
4,5
6
Hyde Park
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Julius Westphal 6060 - 3rd Street N.E.
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Brothers Construction 3531 - 170th Lane N.W.
753-1778
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 j] REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House
9 CHANGE QF USE FROM TO
STIPULATIONS
Install ridged galvanized valleys. New roof can be 2nd one but if it
is the 3rd, orae roof must be removed.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
Asphalt
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
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.
$500.00
$.50
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-
$7.50
STRUCT OR THE PERF M E OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
f
$8.00
SIGNATURE OF CONTRACTOR IZED AGENT IDATEI
PROP RLY VALIDAT D THIS IS YOUR PERMIT
::[:�HEN
BLDG INSP
�-
DATE
SIGNATURE OFOWNER (IF OWNER BUILDERI (DATE) --•
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(NEW, ALTERATIONS, ADDITIONS, OR REPAIRS)
OWNER: `-t��lf WC BUILDER: ,Ps�f%fes S ✓ s
a
Address: 6060 3 577' F- Address:
Tel. No. 26 3 J 7 29
No.: :/09 Street:
LOT: BLOCK: ADDITION: y2L / A XZ�
CORNER LOT: INSIDE LOT: 1)( SETBACK: SIDEYARDS:
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:
QO Lt�� Front: Depth: Height:
Square Feet: Cubic Feet:
Front: Depth: Height:
Square Feet: Imo,,,' Cubic Feet:
Type of Construction: Estimated Cost: $ J`—O 0,
To Be Completed:-,A,.A/:' , 1977 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
are true and correct. See reverse sid addition 1 ' form ion.
DATE: SIGNATURE:
-7--T
*!:� �Z�
Stipulations:
r' -F7" j
i
SUBJECIT
R
City of Fridley
'_j 5 2 8 0
AT THE TOP OF THE TWINS
T
BUILDING PERM
_
r
1
RECEIPT NO.
�
COMMUNITY DEVELOPMENT DIV.
INSPECTION SEC.
r3
r PROTECTIVE
CITY HALL FRIDLEY 55432
,•j
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
L 612-571-3450
910-F15
6/25/79
JOB ADDRESS 6060 - 3rd Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
4,5
6
Hyde Park SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Peter Hegan 6060 - 3rd Street N.E. 571-4173
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Stan's Aluminum Service 10933 Beard Avenue South 888-7614
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK
Install aluminum siding
9 CHANGE OF USE FROM TO
STIPULATIONS
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
SO. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN BO 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
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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$3,690
$1.84
DOES NOT PRESUME TO VE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
TATE OR LOCAL LAW REGULATING CON-
MANCE OF CONSTRUCT N.
$24.00
�
4E4
PLAN CHECK FEE
TOTAL FEE
$25.84
R AUTHORIZED AGENT (DATE)
WHEN PROPERLY IDATED THIS IS YOUR PERMIT
BLDG INSP FIAT
SIGNATURE OF OWNER 0F OWNER BUILDER) IDATEI
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(New, Alterations, Additions, or Repairs)
OWNER:
ADDRESS:
TEL NO: ZZ —
BUILDER: SMAS' 4&�/l/ WS—
ADDRESS: 1Qy'.�r
TEL N0: t&
O6 Construction Location
STREET NO: J I STREET: -sJCJt Q i
i
LOT: BLOCK: 4� ADDITION: C&
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_ Cubic Feet:
Front: Depth: Height:
Square Feet: Cubic Feet:
6
_�
Type of Construction: L!,�=�! Estimated Cost:
To Be Completed:
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 applicatio true d correct. �—
DATE: _7�; SIGNATURE:'
Stipulations:
SUBJECT
PE
City of Fridley
a 161.5 7
AT THE TOP OF THE TWINS
BUILDING PERMIT
RE O.
------- COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
1 . �
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
5/6/81
JOB ADDRESS 6060 - 3rd Street N.E.
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
4,5
6
Hyde Park SHEET
2 PROPERTY OWNER MAILADDRESS ZIP PHONE
Peter Hegna 6060 - 3rd Street N.E. 571-4173
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Dunnott Construction Co. 3258 Benjamin Street N.E. 788-1707
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 22' x 14' Screened Porch.
9 CHANGE OF USE FROM TO
STIPULATIONS
Can not be heated unless building envelope meets Energy Code.
8*01111909 call local utillbes
Ht'4�l PC�+►/rS
TELEPHONE - ELECTRIC - GAS Etc. yGI PW
REQUIRED BY LAW ��ll�lG a FQtjlptQ
F
op
livG,
SEPARATE PERMITS ARE REOUIRED 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 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 H E READ AND EXAMINED THIS APPLICATION
STALLS GARAGES
AND KNOW THE SAME TO B RUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVE ING THIS TYPE OF WORK WILL BE COMPLIED
$3.25
WITH WHETHE PE64F R O E GRANTING OF A PERMIT
$6,500
DOES NOT B UME GIV HORITY TO V ATE OR CANCEL THE
TERM ITFEE
SAC CHARGE
PROWSION 0 AN OTHER E OR LOC L LA REGULATING CON-
NONE
ST46CTIO O TH PERFO C OF CON RUCT N.
$39.00
PLAN CHECK FEE
TOTAL FEE
$9.75
$52.00
SIGNATURE OFCONTRAC R �UTHORIZEDAGENT (DATE)
WHEN+ PROPERLY VALIDATED THIS IS YOUR
PERMIT
BLDG )NSP 00E
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE)
CITY OF FRIDLEY .
APPLICATION FOR PESIDENTIAL BUILDING PER141TS
(New, Alterations, A(lditions, or Repairs)
OWNER: kc 4,UIA
ADDRESS: �Q�g 3 i- /� • C
TEL NO: �52Z-- qZ Z3
UUILDE:RZIrI COA)S�_ �G
ADDRESS: 'a
TEL ria: 1-707—
Construction Location '
STREET NO:z0k
STREET: 1-D
LOT: 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.
DESCRIPTIO14 OF CONSTRUCTION
Front: Depth: _ f Height: �-
Square. Feet_ — Cubic Feet:
Front: "Depth: Height:
Square -Feet: Cubic feet:
Type of Construction: ��OR1 r f_ Estimated Cost: $
Tb Be Oor,ipleted: S -
Alt. A Alt. B
Proposed.Driveway Width If New Opening Is Desired: $ $
SEE REVERSE SIDE OF SHEET .
'Me undersigned hereby makes applicati.cn for a permit for the work herein specified,
agreeing to do ,all work in strict accordance/r,
Cit of Fridley Ordinances and
rulings of the Department of Buildings��-a3rd-c - -r that all the facts and
representations stated in this applic, n aI rrect.
DATE: SIGNATURE:: _
Sti�nilations : � �� .
z :� C404 •
M
SUBJECT
-
P
City of Fridley
26456
AT THE TOP OF THE TWINS
BUILDING
PERMIT
i
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
v PROTECTIVE INSPECTION SEC.
r I i
1 ;
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
ti.__.Jl•' '•� 612-571-3450
910-F15
7/6/98
/ /
JOB ADDRESS 6060 3 Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
4,5
6
Hyde Park
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Juli Ann Hughes 6060 3 Street NE
571-4173
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.
8 USE OF BUILDING
Residential
7 CLASS OF WORK a�
❑ NEW ❑ ADDITION ❑ ALTERATION X REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK
Reroof House & Garage (26 Sq) Tear-off
9 CHANGE OF USE FROM
TO
STIPULATIONS
Underlayment must comply with
the State Building Code.
a
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
SO. 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. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
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
$2,168
$1.08
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-
$74.75
Fire SC $2.16
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
$77.99
it NA URE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
WHEN PROPER VALIDATED THIS IS YYOO/JUR PERM/II',
c
�J ^
//
6+SNAL611BEOF Ow E OF 0 IDATEI
BLJIG INSP
OATS
M
17
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
�l
ConstructionAddr ss:
Legal Description:
Owner Name & Address: L 1 h h 14 7/-p `i Z S
Effective 1/1/98
Tel. # S-7 / - / ZT—
Contractor: W /1% -2, r d 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 Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER: )c a 69
62Z $ _ -e Q, r L
e' l?
Construction Type: Estimated Cost: $°
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE:74 ` C ` g APPLICANT: Tel. 7—f
CITY USE ONLY
Permit Fee $ Fee Schedule on Reverse Side
Fire Surcharge $ , 1 (5- .001 of Permit Valuation (1/10th%)
State Surcharge $ r' $.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 $' r
STIPULATIONS:
sueaECT
PER
City of Fridley
2 7/14 5 8
AT THE TOP OF THE TWINS
BUILDING
PERMIT
1 ,
CEIPT NO.
COMMUNITY DEVELOPMENT DIV.
a.------
1 PROTECTIVE INSPECTION SEC.
�(/®
r
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15i
8 31
98
JOB ADDRESS
6060 3rd Street NE
t LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
4-5
6
Hyde Park
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
Julie
571-4173
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO.
D M Tranby Siding Co 9131 178th Ave NW Ramsey MN 55303
441-6399
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
Reside house
9 CHANGE OF USE FROM TO
STIPULATIONS
Call for building wrap insepction 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
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 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
6300
@
$3.15
DOES NOT PRESUME TO GI UTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVIS NS OF ANY ER TATE OR LOCAL LAW REGULATING CON-
TRUC I N OR FOR CE OF CONSTRUCTION.
$124.75
Fire SC $6.30
PLAN CHECK FEE
TOTA
/t
Licens S 5.00
"EE
.20
SIGNATOR OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
AOP
VALIDA HIS IS Y UR PERM
F ipgP
gaTE
SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI11
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: 0
Legal Description:
Owner Name & Address: Tel. # S %J 72
Contractor: syB 1( _� �� , �' `� MN LICENSE # '
Address: `71 pvCk' i�� �.�— 5' S �a � Tel. # _ �7/w _,o -5 9
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF EMPROVEMENT
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:
®r Estimated Cost: $
(Fee Schedule on Back)
Driveway Curb Cut Width Needed:
Ft. + 6 Ft = Ft x $ _ $
DATE: L-3 /APPLICANT:
✓ Tel.'
CITY USE ONLY
Permit Fee
$ �7 ��
Fee Schedule on Reverse Side
Fire Surcharge
$ �,.3Z�
.001 of Permit Valuation (1/10th%)
State Surcharge
$ /�^
$.50/$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$ nC�
$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 [ ]
13
TOTAL
$ o�C1
. STIPULATIONS:
SuBjECT
P IT NO.
City of Fridley
28894
AT THE TOP OF THE TWINS
BUILDING PERMIT
E
RECEIPT NO.
•
1 ______ COMMUNITY DEVELOPMENT DIV.
-
INSPECTION SEC.
��(/
V
f i PROTECTIVE
1 . .
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910415
2/4/99
JOB ADDRESS 6060 3 Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
4,5
6
Hyde Park
SHEET
2 PROPERTY OWNER "MAIL ADDRESS ZIP
PHONE
Juli Hughes 6060 3 Street NE
571-4173
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Steve Bodinski Construction 2215 135 Ln NW, Andover MN 55304 754-8917
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO
20019069
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION Q ALTERATION ❑ REPAIR
❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Basement bath remodel (sheetrock)
9 CHANGE OF USE FROM TO
STIPULATIONS
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 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
$2'000
@
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
W1.00
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•
$62.25
Fire S 2.00
STRUCTI R THE PERFO A E OF CONSTRUCTION
PLAN CHECK FEE
TOTAL F
7, e 1 ,
Lice n e $5.0
V012 5
SiGN4 TUBE OF CONTRACTOR OR AUTHORIZED AGENT IDATE.
ENROPE ALIpATED IS YOUR PER T
Bl iNSp
A � t
TlATE
SIGNATURE OF OW NEp O6 OWNER BUILDER, -,DATE,
NEW [ ]
ADDN [ ] CITY OF FRIDLEY
ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: 0 U `3,,�J ✓ ` 1 �
Legal Description:
Owner Name &A�lddress:
Contractor:
Address: ;?� 15 / 3 < T t
V
(70A5V
5- 5Cr
Effective 1/1/99
Tel. # W-;-3
MN LICENSE # �a6�1% l i
Tel. # YF -117
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:/�-/u a /C, Estimated Cost: cy-T
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: ' APPLICANT: C / Tel. # t- rr_A/;
TOTAL $ 49";5—
STIPULATIONS:
CITY USE ONLY
Permit Fee
$ .�, �.�
Fee Schedule on Reverse Side
Fire Surcharge
$ 1, z%6
.001 of Permit Valuation (1 / 10th %)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$1050 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 $ 49";5—
STIPULATIONS:
CITY OF FRIDLEY INSPECTION DIVISION
Er431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
Residential
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace
(Side Vent - Fill Out Back)
Gas Piping (Needed with new furnace,
but not replacement)
Gas Range
Gas Dryer
*Air Conditioning - All Sizes
All Others/Repairs & Alterations (LIST ON BACK)
1%, of Value of Appliance or Work
Commercial/ Industrial
1.25% of Value of Appliance ear Work
JOB ADD
Effective On January 1, 2000
Fv-'&55LPI
OWNER
Rate TOTAL
BUILDING USED AS
$ 30.00 $
ESTIMATED COSA��- C. PERMIT NO. I �'
$ 10.00 $ .
DESCRIPTION OF EURtib&E AND OR BURNER
$ 10.00 $
No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air)
$ 10.00 $ Trade Name ----._-__ _ Size No._
BTU_„_, _ HP � EDR
$ 25.00 ,UD f=uel.. __. _s. � —Total Connected
State Surcharge
TOTAL FEE
MINIMUM FEE FOR ANY HEATIN9/90OLiNG/VENTILATI914
REFRIGERATION/AIR rONDITIONING PER 1T IS $25.00
PIAS THE $.50 STATE SURCHARG
REINSPECTION FEE $47.00/Hr
Burner Trade Name Size No. __._..._..__
$ _ BTU. HP �_ ® EDR
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 art
$,54 rulings of the Building Division, and hereby declares that all tho facts and
represern ations stated in this appii(,atiot-r are true and correct.
$..
HI
Si
*Air Conditioners can not be placed in a side yard without Approved By/�v Rough -in Date .,_ Final D
written permission from adjoining property owner. - - - t
qd 1
L21(32,
COMMON VENT VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When replacing an existing furance, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions, Yes( ) No( )
and is securely supported and firestopped where required.
The venting system is plastic/PVC and meets all current codes and manufacturer
specifications including sizing, length, number of elbows and termination. Yes( No( )
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturer's specifications. This does
include AGA-GAMA Category I Central Furnace Venting Tables for fan Yes () No ( }
assisted and natural draft appliances.
The existing combustion air is sized and installed to meet the current codes Yes () No ( )
and manufacturer's specifications.
When required to install a new combustion air, it will be sized and installed Yes( No( )
To meet the current codes and manufacturer's specifications.
When installing a new venting system, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturer's
specifications. This does include AGA-GAMA Category i Central Furnace yes( No( )
Venting Tables for fan assisted and natural draft appliances.
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented Yes( ) No ( )
separately as per current codes.
Appliance Tvoe and SizelCommon Vent and Vent Connector information
Appliance #1 Type
BTU Input
J Pan Assisted or Nat
Fan Assisted or Nat
Appliance #2 Type
BTU input ,
BTU Input---
_--
Fan Assisted or Nat
Appliance #3 Type
Total Appliances
Total Btu Input
Common Vent Type
Vent Height
Diameter Inches
Appliance #1 Vent Connector Height
ft Length�
Dia ---in Type _
in Type
Appliance #2 Vent Connector Height
ft Length
ft Length
ft Diameter
ft Diameter in Type
Appliance #3 Vent Connector Height
ALTERATIONS: Describe
HEATING CO.
Signed By: ? Date,
CIlYOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287
February 11, 24002
Mr. Hughes
6060 3rd Street NE
Fridley, MN 55432
Re: Final Inspection at 6060 3rd Street NE
Contractor: Dave's Appliance Heating & Air Conditioning
Dear Mr. Hughes:
A mechanical permit was issued on June 19, 2000, to install an air conditioner at your address.
According to the 1991 Uniform Mechanical Code, a final inspection shall be conducted on the
work authorized by this permit. As of this date, no inspection has been called for.
The permit fee that was paid covers the inspection to make sure the work was completed
according to the Code. We will keep your permit open for another 30 days and if we do not hear
from you within this time to set up the inspection, we will mark the permit "no inspection called
for" and take no further action.
To set up the inspection or to have any questions answered, please contact the Building
Inspection Division at (763) 572-3604.
DJ/ls
5 q6 -qq 1 zv 3515b l q/'2_&R 1f
Building
MECHANICAL
Permit N621
Inspections
RESIDENTIAL APPLICATION
Received By:m
763-572-3604
Dat&6
CITY OF FRIDLEY
763-502-4977 FAX
EFFECTIVE 2-19-09
DATE 10 t Q 109 YOUR E-MAIL A)) RESS D Sb
SITE ADDRESSNo P 7d iu L
THIS APPLICANT IS: O WNER OCONTRACTOR
PROPERTY
NAME: b OYl
OWNER/
TENANT
ADDRESS: CITY STATE ZIP
G
PHONE: 1b" O
CONTRACTOR
COMPANY NAME: Z"-� UaA-4, —X4L C.
CONTACT PERSON:
SUBMIT A COPY OF
YOUR STATE
LICENSE WITH
STATE LICENSE # EXPDATEp�
(0 q 6(
ADDRE� z l d6 CITY STAlk/1 T
APPLICATION
PHONE �3 -:6 % -,5n LAO FAX4a3
PERMIT TYPE
JNGLE FAMILY O TWO FAMILY O TOWNHOUSE
TYPE OF WORK:
D NEW IREPLACEII"IT O ALTERATION/REMODEL
04
DETAILED DESCRIPTION OF WORK
FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW)
Equipment Installed MFG: MODEL: SIZE/BTU
�7v �1
/ ®/
MFG: MODEL:6 S11EITU
MFG: MODEL: SIZFJBTU
A/C $25.00 FIREPLACE (GAS) $15.00IRGAS RANGEIOVEN $10.00
AIR TO AIR EXCHANGEER $15 FEPLACE (WOOD) $35.00 NEW GAS GRILL $10.00
_BOILER $35.00 1 U -FURNACE $35.00 _GAS UNIT HTR $10.00
_CHIlVINEY LINER $10.00 _GAS DRYER $10.00 _POOL HEATER $35.00
DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00
Number of fixtures @ $10.00 x $10.00 = $
Number of fixtures @ $15.00 x $15.00 = $
Number of fixtures @ $25.00 x $25.00 = $
Number of fixtures @ $35.00 f x$35.00=$
State Surcharge = $ SO
FEE $35.50 Total = $
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 o ridley and with the Minnesota Construction Codes; that I understand this is
not a permit but only an ap oma permit and w out a permit; that the work will be in accordance with the
approved plan ' e o 1 work which requires ew d appr of plans. %��j�
SIGNATURE OF APPLICANT T A �_ ✓�""d�� �® IY"o
PLEASE NOTE: SEPARATE PERMITS ARE REQUIRED FOR BUILDING, ELECTRICAL AND MECHANICAL WORK
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604 FAX: 763-502-4977
Building
PLUMBING
Permit No.•;
InspectionsRESIDENTIAL
APPLICATION
Received�By
763-572-3604
CITY OF FRIDLEY
Date .
DATE YOUR E-MAIL ADDRESS
SITE ADDRESS au tt tu-i C5wt.%eA✓
THIS APPLICANT IS: ❑ OWNER XONTRACTI Brett Tollifson
3rd Street Northeast
PROPERTY6060
OWNER/ NFridley, MN 55432
ADDRESS:
TENANT 7635029344 -STATE ZIP
PHONE:
CONTRACTOR
NAME:
STATE LICENSE # SC% SG EXP DATE
SUBMIT A COPY OF
YOUR STATE
ADDREss wkelg CITY ,' rJ /r STATEEZIP s'syvp'
LICENSE WITH ,
PHONE %- MOB FAX 2
APPLICATION
PERMIT TYPE
ASINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK:
❑ NEW XREPLACEMENT
DETAILED DESCRIPTION OF WORK
PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00; whichever is greater, for the
improvement, installation or replacement of a residential fixture, excluding the fixtures. (This.shouldreflect only.the cost of labor )
Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor X.05 =
FO"ROJECTS WHERE LABOR EXCEEDS -$500, -FUS ARE BASED ON $10.00 PER FDCTURE,EXCEPT ViREWOTEi'-:FI3CT�3:.(INDIGATE TOTAL
NUMBER OF EACH BELOW)
. BATH SINKILAV _FLOOR DRAINS SHOWER _ WATER PIPING
—BATHTUB _ GAS PIPING (mEw crfyLie rrsk) SWIMMDNG POOL _ WATER SOFTNER ($35)
_ CLOTHES WASHER _ KITCHEN SINK^_ WATER CLOSET _ BACKFLOW PREV. ($15)
DISHWASHER -LAUNDRY TRAY TWATER HEATER ($35) FOR IRRIGATION
WATER METER OTHER
Permit Fee $
Number of fixtures @ $10.00 x $10.00 = $
Surcharge .50
Number of fixtures @ $15.00 x $15,00 = $
Number of fixtures @ $35.00 x $35.00 = $ 36.0c)
TOTAL DUE $
_,�_
State Surcharge = $�
Total = $ rz%
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 applic ' n 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 1 o uires review and approval of plan's.
Or / I /
SIGNATURE OF APPLICANT PRINT NAME Je A110,41op" DATE
t
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977
90