PRE 2010 DOCSa
Date ..
Owner
BUILDING PERMIT
Village of Fridley, Minn. N? 2013
♦ Builder ... - 0"'! .......................
Address.........j ...............................
No. . p.� .....
Lot............
Corner Lot /....... .
To be Used as:
Type of Construction
In consideration
the proposed work in
ordinances of the viII
1
In consideration t
•`'' — t
01he express tion
done in, around and i
Fridley, Minnesota re
In the village limits a
ordinances.
NOTICE:
This permit
sewer or water.
Address.........................................
LOCATION OF BUILDING
Street#_—,(17 .1 .............................. Part of Lot .......................
Block ..... '�,,,......... Addition or Sub -Division r) .........
.. Inside Lot ............ Setback Z-%frFh w. Sideyard ., C�. �aldl,• ....• • • • • • • • •
DESCRIPTION OF BUILDING
Front . &/j/ . Depth .. Height l Sq. Ft......... Cu. Ft........ .
Front Vit ,,... Depth a W q .. Height Sq. Ft......... Cu. Ft........ .
•��#� Est. Cost `....�.,...... To be Completed ...................
if 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 i9F gomplivA with all p visions of
,ge of Fridley. A ze, z A � _
Lif
the payment of a fee of
/a/.., permit is hereby granted to .er .....
.. to construct the building or addition as described above. Thisrmit Is grqfited upon
hat the person to whom it is granted and his agents, employees and workmen, in all work
pon said building, or any part thereof, shall conform in all respects to the ordinances of
;arding location, construction, alteration, maintenance, repair and moving of buildings with-
,. this permit may be revoked at any time upon violation of any of the provisions of said
•,:"�,'':.°`�G„�.. Building Inspector
3 not cover the construction, Installation or alteration for wiring, plumbing, gas heating,
sure to see the Building Inspector for separate permits for these Items.
0
City of Fridleyo
SUBJECT
- 17466'
AT THE TOP OF THE TWINS
BUILDING
PERMIT
RECEI
L
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
/
�
i1 i
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
___-� ,�
L 612-571-3450
910-F15
4/18/84
F/
JOB ADDRESS 6710 - 4th. Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
7
2
Rice Creek
Terrace Plat 3
SHEET
2 PROPERTY OWNER MAIL ADDRESS
!� ZIP
�
PHONE
(4
V a` pWcI
(-
/-
3 CONTRACTORMAIL ADDRESS
ZIP
PHONE LICENSE O.
rt► cz_
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP
PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP
PHONE LICENSE NO.
6 USE OF BUILDkNNG
vv
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION YREPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
rlti.A Roof--
9 CHANGE QF USE FROM TO
STIPULATIONS
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,^
VENTILATING OR AIR CONDITIONING.
-S
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
nn
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
00
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
601101
IS-0
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-
�y
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
I S.: cc o
I JATUREOFCONTRACTOR;LR AUTHORIZED AGENT (DATE)
W N PROPE LY A
IS YOUR PERMIT
/
WHIS
SIGNATURE OF OWNER II NER BU LDERI IDATEI771M
INSP
DATE
NEW [ ]
ADDN. [ ]
ALTER. [ ]
Construction Address
Legal Description:_
City of Fridley
�R-1 AND R-2
Building Permit Application
7/0 .
I
Effective 4/1/84
Tel. #
Property 'O�me r?-�y
Tel. #
Contractor:
Address:
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: _R'i%,� C1 _0Q r- 2 tip `2i10r—
Corner Lot [ ] InsideLot [ ] Ft. Yd. Setback _ Side Yard Setback
s
Type of Construction: ,`CL_ " Estimated Cost: $ (0 Co • 0 Q
Approx. Completion Date:
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation
DATE: ��a�� APPLICANT: Tel. #
CITY USE ONLY
Permit Fee $ Fee Schedule on Reverse Side
Plan Check $ 25% of, Building Permit Fee
State Surcharge $ .'�V $.50/$1,000 Valuation
SAC Charge $ $425 per SAC Unit
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $
Agreement Necessary [ ] Not Necessary [ ]
TOTAL $
STIPULATIONS:
$5fC*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 On January 1, 1998
PLUMBING FIXTURE RATES: NO. RATE TOTAL
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** _L
Gas Range**
Gas Dryer**
Back Flow Preventer Required ( )Yes () No
Type
$ 7.00
$ 4.00
$ 5.00
$ 7.00
$ 7.00
$ 7.00
$ 7.00
$10.00
$ 7.00
$10.00_
$10.00
$10.00
$15.00
Reinspection Fee $42.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
State Surcharge $ .50
TOTAL FEE $Z0'<0
JOB ADDRESS (QkO V'r�' S- -C-ec-� }J E
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.
9-1
/ '1998
Owner p C i D V) M A v K5
Building Used As
Estimated Cost 00 PERMIT NO. ea( j Jy
PLUMBING COMPANY YWc 6 iw j ,e 5
SIGNED BYTEL N0.
2V
Approved By A Y,_.4_ Rough—in Date Final Date
PLUS THE
**COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SO INCHES.
r0i
SUBJECT
"
City of Fridley
28590
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
RECEIPT N
COMMUNITY DEVELOPMENT DIV.
� � PROTECTIVE INSPECTION SEC.
f
NUMBER
pEv
DATE
PAGE OF
AvvnOVED By
CITY HALL FRIDLEY 55432
1 612-571-3450
910415
11/16/98
JOB ADDRESS
6710 4th Street KE
I LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
7
2
1 Rice Creek Terrace--Plat
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Orin Marks571-4464
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Seal Guard Systems 9199 Cantrnl Avg NF Maine SS434 717-
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 Rx REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and garage (17 Sq) Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
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
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
1456
.73
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
$48.50
Fir C. $1.46
PLAN CHECK FEE
TOT F E
Lice, S
.69
SIGNATURE OF CONTRACTOR OR AUTMORI2ED AGENT (DATE,
EN RIC
W
V IDA grHIS IS YOUFPER
1
S-GNATURE OF OWNER.,F OWNER BUILDER, IDATEI
L INSF'
KATE
ALM SINGLE FA AMY AND:DUP1, R-1 AND R-2
-
APP%dCA1TON
Sf N46
'�;.
Legal Description.
Owner Name & Address:
.6-1tI
u rkS 67 6 qM 6IV
Tel-
Contractor. Seal G
aa r& ,
y 5 mN LICENSE # cQ80 3& 9$
Address: I99 C.fnira.l A-V?
NF. Bla_int, 5%:y)
Tel.# 91rl— or760
Attach to this
application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION
OF 51PROVEMENT
I1V1\i 1G AREA:
Length
Width Height
Sq. Ft. --
GARAGE AREA:
Length
Width Height
Sq. FL
DECK AREA:
OTHER:
Length
Width Hgt/Ground
Sq. Ft.
Construction Type:
Estimated Cost: $
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x S = $
DATE: ll APPLICANT: Tel.
CITY USE ONLY
Permit Fee $ ,�b Fee Schedule on Reverse Side
Fire Surcharge $ 14 446 .001 of Permit Valuation (1/10th%)
State Surcharge $ `7� $.50/$1,000 Valuation
SAC Marge $ - ._ $1000 per SAC Unit
License Surcharge $ , 0-0 $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 S.5.6. bq
srIPvuTIoxs: _._
SUBJECT
City of Fridley 2 9410
AT THE TOP OF THE TWINS BUILDING PERMIT
� RECEIPT
`V -------COMMUNITY DEVELOPMENT DIV.
f PROTECTIVE INSPECTION SEC.
1 i �
1 1 CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY
612-571-3450 910415 5/6/99
JOB ADDRESS 6710 4 Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
ZONING
AUTHORIZED IS NOT COMMENCED WITHIN 50 DAYS. OR IF CONSTRUCTION
SEE ATTACHED
DES CR.
7
ANY TIME AFTER WORK IS COMMENCED.
2
1 Rice Creek Terrace Plat
3
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
SHEET
2 PROPERTY OWNER
MAIL ADDRESS
ZIP
PHONE
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
Orin Marks 6710
4 Street NE
STRUCTION O THE PERFORMANCE OF CONSTRUCTION
$56.75
3 CONTRACTOR
MAIL ADDRESS
ZIP
PHONE
LICENSE NO
Four Season Roofing
& Remodeling 7930 University Ave
NE,
Fridley, MN 55432
4 ARCHITECT OR DESIGNER
MAIL ADDRESS
ZIP
PHONE
LICENSE NO.
795-9410
20138780
5 ENGINEER
MAIL ADDRESS
ZIP
PHONE
LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION Cj REPAIR ❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Reroof House & Garage (21 Sq) Tear -off
9 CHANGEOFUSEFROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to
9:00 pm on Saturday; No work on Sunday.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
AUTHORIZED IS NOT COMMENCED WITHIN 50 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
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$1,799
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION O THE PERFORMANCE OF CONSTRUCTION
$56.75
PLAN CHECK F
OCCUPANCY GROUP IOCCUPANCYLOAD
STALLS
6 L:( Lic C $5
SIGNATU13E OF CONTRACTOR OR AUTHOR( ED AGENT IDATE, i .0,ufi.ciff 00^089
JDATEI �`.
A
OFFSTREET PARKING
(GARAGES
SURTAX
$.86
SAC CHARGE
Fire SC $1.71
TOTA E
$64.32
ViQ ' " is —'f —/ s
NEW [ ] Effective l/ 1/99
ADDN [ ] CITY OF FRIDLEY
AMII.Y AND DUPLREXES 1 AND R-2
ALTER [ ] SINGLE F - �
BUILDING PERMIT APPLICATION
ConstructionAddress: C:2/ D
Legal Description:
Owner Name & Address: Q f i o'J L(311 -*51 Tel. #
Contractor: L j2 6 jA s ®pjS Po ®F j p G R r hA,� oto -Cyn"' -MN LICENSE #
Address: T7 � 3a iNO -. N . E. Tel. # 6 10 -?45 -Q q/0_
�
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF BIPROVEMENT
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: Estimated Cost: $ 1292
(Fee Schedule on Back)
.Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
DATE: 3-;1(,, APPLICANT: Tel. # I .-a - 7
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ S, o v
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1050 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 [ ]
l uildilig
PLUMBING
PernlitNo.: lX?7 7
Inspections
RESIDENTIAL APPLICATION
Received BY:
763-57f
2 -?604
ID
CITY OF FRLEY•
T
Dat '11 RL
OATS l 0.- Le - 0 l YOLK E-MAILL�•
-A�DDDRESSSITE ADDRESS tF,7/r)
THIS APPLICANT 1S: ❑ OWNER CONTRgCTO.R
-CYT
PROPERTY NAME.
OWNER/ ADDRESS -... ,_... CITY ...,^ - STATEL1P
TENANT -
PHONE,
--- -
CONTRACTOR ; NAnRE
__._.•.. _ �...
}
SPATE LICENSER M E DATB�- 5 (-•,Q'T
SUBMIT A COPY OF '
t CITY,�S STATE 6&�-r _37 �%
YOUR STATE ADDRESS: Owe 1-30 �Q�
LIC'E'NSE WTTFi PHONE _ � FAX_
APPLICATION' `r
]PERMIT TYPESINGLE FA.�9I.Y E3TWO FAMILY 13TOWNHOUSE
TYPE OF WORK:
Q NEW �RPLACMNIEN_r
DETAILED DESCRIPTION OF WORK .(..Q mQ�2C..
PER MS 16B.665 the permit fee is a minimum of 515.00 or 5% of the total cost up to $500.00, whichever is grr=. ter, for the
improvement, installation or replacement ora residential fbaure, excluding the fixtures. (This should reflect only the cost of labor)
Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor X.05 =
FOR FROJFM'S WHERE LABOR EXCEEDS $500, FEES ARE BASED ON �10.W PFA F1X71;RE, EXCEPT WHERE ?VOTED. FIXTURES: (MICATE TOTAL.
NVMER OF EACH BELOW)
�- BATH SINK/LAV FLOORDRAINS SHOWER WATER MING
BATHTUB — GAS PIPING P&W CIIYUCEWO _ SWRAW NG POOL` WATER SOFPNER ($35)
-._
l LO:'I IIS WASHER KITCHEN SINK WATER CLOSET BACKFLOW ?REV. ($15)
_
DISHWASHER _ LAUNDRY TRAY - WATER rmATER (535) FOR IRRIGATION
_
WATER METER OT1113ft
tI -
Permit Fee . too Number of fixtures (a), $10.00 `x $10.00 = $
Surcharge A.-. -^ .50 Number of fixtures aa) $15.00_j x $15.00 = S/ 0
TOTAL DUE $ Number cif fixtures a@i. $35.00 x $35.00 = S
State Surcharge = $ 5
__ . _ ....._. ..... _ ... _ Total = $
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
1 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 Conmetion Codes; that 1 understand this is
not a permit but only an appl3p6W 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 oase Il • rk w • requires review and approval of plans.
SIGNATURE OFAPPJ.IC PRINT NAME 1'y�,�aflA( DATE_..' -
( 1 M
rTAN WE a
City of Fridley
Building Inspectimis Department
6431 University Avenue NTE, Fridley, MN 55432
763-572-3604
fAX 763-502-4977
07
Ed WdOS20 9002 02 'hpW z8ZTT4S9:9L: 'ON Xdd Ra1p1ad fo h;T0: W08A