PRE 2010 DOCSCity of Fridley, Minae
BUILDING PERMIT 4 7
Date:
Owner: �.- -•. ::.... '.._._...:�:...��..._:`�i_._._ Builder
Address t Address
�, OCA,TI N OF BUILDING
No... A. �lY ... Street ._........ ......................... Part ot Lot 4zle_
Lot....... Block .:_._.:. . r!!.::..::------............... ..._.''_..._.....---- ..... -....
Addition or Sub-Ihvisio
Corner Lot ....._........._.......----...... Inside Lot ....-_.... f ._......_ Setback _----y„e!....___........... Sideyard _.._.... G..__ ....._...— .....
-------_...__
Sewer Elevation_..._...._--.------....._._----------_..._....____..- .................. _ Foundation Elevation
DESCRIPTION OF BUILDING
To Used as:
Front ....��.,�...°_. Depth .._�.:. .. Height .....' .. --
_ ... .. Sq. Ft. _..f✓...Y�i�Cu. Ft.
- .......... .... ..............:......... Front ....
_.........
...... Depth ....._................ Height ...................... Sq. Ft....................... Cu. Ft. -•--- .................
Type of Construction .........:.. :..r1 Est. Cost..... ._t--:.. - --•-•--- To be Completed .. ............ ....... _........................
THIS PERMIT DOES NOT AlUTHOREZE= VIOLAT-
ION OF ANY ".;-A i'r LA D C1_'NLN',.\NTS AND
ONS.
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 all provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of $-P.1_'""'"'"" ".... 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. z} 1? 14, ,=1
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 Items.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
Owners Name L�� ° 6 w 1,e / c Builder
Address 1j- C ess--
�1�
LOCATION OF BUILDING
No. �_ �� Street V � �/
.0 !�, port of Lot
Lot - 3 f j Z Block . a Addition or Sub.Div. E _�
Corner Lot Inside tiot Set Back L Side -Yard ,1.&'F�-
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
DESCRIPTION OF BUILDING
To be used as: -;xr
-`E
3 -- e^ 3
Front
Dept1%
Height
Sq. Ft. Cu. Ft.
Front Depth Height
Sq. 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 representa-
tions stated in this application are true and correct.
DATE SIGNATURE .�(1 �
(A Schedule of Fee costs can be found on the Reverse Side.)
AppReation for Power Plants and.Heating. Cooling, Ventilation, Refflgeralion 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 ATR
Furnace Shell & Duet Work to 120,000 BTU ............ 8.00 $ ✓
each 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. IDR Steam....... 8.00 $
Furnace Shell & Line—to 640 sq, ft. EDR Hot Water ... 8.00 $
Each add. 200 sq. ft. EDR Steam ...................... 2.50 $
Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $
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
$ t/
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
Dept. of Bldgs. Phone SU. 4-7470
Location (o B / s _
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.
Owner c. -vim
Kind of Building +�
Used as
To be completed about
Estimated Cost, $ ry��
Old New uilding Permit No.
Permit No.
DESCRIPTION OF WORK
HEATING or POWERPZ.ANTS--S aHot Wa �Warm NoI
Trade Nam Size No 00
Capacity Sq. Ft. E.D.R / 4 � BTU H.P.
Total Connected Load; Kind of Fuel X", G11
BURNER — Trade Name Size No
Capacity Sq. Ft. E.D.R BTU H.P.
A�ig�a
(REMARKS -OVER)
WELTER H EATI N Cit MO.'
4637 CHICAGO AVE.
M IBNyN •
4 z 2M 7_59 Business Phone No v Jr ' 4
•
City of Fridley, Mi
BUILDING PERMIT N® 6959
Date:
Owner: Builder - d -----
Address Address
� � BUILDING
No. Street__ P:944�
Lot Block _ Addition or Sub- on .
Corner Lot W Inside Lot %tback._._._.._._ Sideyard —
Sewer Elevation _.._ Foundation Elevation
DESCRIPTION OF BUILDING
T as:
Front Depth Height -e«-- Sq. Ft. cV -y��= Cu. Ft.
�
Fro Depth Height ___ �_ _ Sq. Ft. cu. Ft.
Type of Construction 1��� Est.��a� _ 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 sj forth and in compliance with all provisions of
ordinances of the city of Fridley. /% ' ` --71—
In consideration of the payment of a fee of $-4:= , 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 permit may be revoked at any tuneupon vio of any of the provisions of said
ordinances. m / 1
Building Inspector
NOTICE:
'Ibis permit den not cover the construction, hmt Won for whdng, pli mblao, on henthw sewer or water. Be aura to me
the Buddhig hnpector for separate permhs for them Items.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME BUILDER
ADDRESS (� 0 �/J-4 y�"h ,S/ ADDRESS
LOCATION OF BUILDING
No. ® / Street y-2�6- S1 Part of Lot
Lot Block Addition or Subdiv sion
Corner Lot Inside Lotback Side -Yard
SEWER ELEVATION F ATION ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed build-
ing location drawn on these Certificates.
DESCRIPTION OF BUILDING
To be used as:
�� Front Depth y Height
Sq. M. -5--.76 cu. Ft. 7
Front Depth Height
Sq. 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 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 -3 ^ 6 SIGNATURE
(Schedule of Fee Costs can be found on the Reverse Side).
-- , - 'r
97-84-b.16o51 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT '
Job Address 6041 - 4 %reet NE ,
,Department of Buildings .
City of Fridley
Tel. 0571-3450 '
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in otrict accordance with the City Codes
and rulings of tho Department of Buildings, and hereby declares that all
the facts and representations stated in this application are true and corre
Fridley, Mn, 5-4-79 , 19,_�
OWNER MORTER
KIND OF BUILDING frame
USED AS res. '
r
•
•
[n
•
30.00
.4
�,
Water
LUMING FIXTURE RATES;
•.�
RATE
TOTALOLD
a
h.
►.
O
N
h L
.i
pa,
G•
1
� x
HeateraQ0
$_�
�-
Future Fixture Opening
. x
$2.00
$ ��
Company
w'
�dcao
x
K
,
u
Catch Basin
'
�- x
$5.00
$
Signed By ,
.
-
__x
O
$
Tel. No.
1000000 BW to 199,000 BTU
�- x
$10.00
_�
$
rs V
Water Softener
, OD
.Nl
W
Vl'
A
a 94
. W
W
U IQ
R :'t
ROUGH INSP.,
,t7
O
a9
leC
Date
' '
•'
AS FITTING FEES:
'•
,
•
FINAL INSP.
Ist 3 fixtures
x'
' S3.00
$
Date
:
Additional Fixtures
_X
$1.00
$
Cas Aange to 199,000 BTU
�� x
$10.00
��
.$
APPROVAL FOR PERMIT
EPAIRS 6 ALTERATIONS
r
'
First $100.00
$5.00
$
••
each add. $100.00 or fraction
$2.00
$
MINIMUM FEE FOR ANY PLUMBING PERMIT 29
$7.50 pLU9 $.50 STATS SVpgWj LZ
State Surcharge
$ .5o
TOTAL FEE
S 8.00
'
a
R) --Future Connection Opening
Connected with Sewer
•) Hew Fixtura, Old Opening
Water
Job Address 6041 - 4 %reet NE ,
,Department of Buildings .
City of Fridley
Tel. 0571-3450 '
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in otrict accordance with the City Codes
and rulings of tho Department of Buildings, and hereby declares that all
the facts and representations stated in this application are true and corre
Fridley, Mn, 5-4-79 , 19,_�
OWNER MORTER
KIND OF BUILDING frame
USED AS res. '
r
•
TO BE COMPLETED ABOUT 5-11-79
PARTIAL RATE SCHEDULE
30.00
ESTIMATED COST
LUMING FIXTURE RATES;
NO. •
RATE
TOTALOLD
NEW BUILDING PERMIT.No's
PERMIT N0.'
R Amber Fixtures
� x
$3.00
$_�
�-
Future Fixture Opening
. x
$2.00
$ ��
Company
'
New fixture, old Opening
x
$2.00
Catch Basin
'
�- x
$5.00
$
Signed By ,
.
water Neater - to 99,000 BTV
__x
45.00
$
Tel. No.
1000000 BW to 199,000 BTU
�- x
$10.00
_�
$
Water Softener
x
$7,00
$
ttew Ground Run Old Building
-- x
$5.00
$
ROUGH INSP.,
Lleetric Water .Heater
.
x
$5.00
��
Date
' '
•'
AS FITTING FEES:
'•
,
•
FINAL INSP.
Ist 3 fixtures
x'
' S3.00
$
Date
:
Additional Fixtures
_X
$1.00
$
Cas Aange to 199,000 BTU
�� x
$10.00
��
.$
APPROVAL FOR PERMIT
EPAIRS 6 ALTERATIONS
'
First $100.00
$5.00
$
••
each add. $100.00 or fraction
$2.00
$
MINIMUM FEE FOR ANY PLUMBING PERMIT 29
$7.50 pLU9 $.50 STATS SVpgWj LZ
State Surcharge
$ .5o
TOTAL FEE
S 8.00
'
a
Sri
7
SUBJEtr
P NO.
City of Fridley
27956
AT THE TOP OF THE TWINS
BUILDING PERMIT
1 COMMUNITY DEVELOPMENT DIV.
' ♦ V ______
INSPECTION SEC.
�
r � PROTECTIVE
1 --"1 CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
j 612-571-3450
910-F15
9/24/98
JOB ADDRESS
6041 4th St NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
23,Si 24
3
Hyde Park
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Mary Ellen & Richard Mortek
571-1763
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Midwest Restoration & Construction 6319 Hwy 65 NE Fridley 55432 502-1082 5267
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
8 DESCRIBE WORK
Reroof house & garage (20SQ) 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 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
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
$1,714.00
@
86
WITH WHETHER SPECIFIED HEREIN OR NO THE GRANTING OF A PERMIT
`P •
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF AN HER STATE OR PSAL LAW REGULATING CON-
$56.75
ire SC
STRUCTION OR T FIFORMAN NSTRUC74QN
$1.71
PLAN CHECK FEE
TO AL FEE
Lic s SC $1.00
$64.32
U F ON' GENT I TEI
HEN PR VALID
D THIS I$ R I
BL G INSP
gLrE
S-GNATURE OF OWNERof OWNERSUILOERI IDA TEI
7
NEW
ADDN [ ] CITY OF FRIDLEY
ALTER [) SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: !nM I LI A
Legal Description:
Owner 1\
Contract
Address:
Effective 1/1/98
j''f 4(o
9 -
Tel. # _;7 I " M3
MN LICENSE #. ra2C, `%
Tel. # 502-10 2
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF EVIPROVEMENT
LIVING AREA:
Length
Width Height Sq. Ft.
GARAGE AREA:
Length
Width Height Sq. Ft.
DECK AREA:
Length
Width Hgt/�Groound Sq. Ft.
OTHER:
_
Construction Type:L.Wt Type:
.
Estimated Cost: $sem
(Fee Schedule on Back)
Driveway Curb Cut Width Needed:
Ft. + 6 Ft = Ft x $ = $
DATE: APPLICANT:
Tel. #
CITY USE ONLY
Permit Fee
$ .96 %S
Fee Schedule on Reverse Side
Fire Surcharge
$ 1,91
.001 of Permit Valuation (1/10th`)
State Surcharge
$ (a
$.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
STIPULATIONS: