PRE 2010 DOCS•
City of Fridley, Minn.
BUILDING PERMIT N® 3566
Date: ..P �? .............
Owner ........ Builder .: ..... ....................
Address...................................... Address .............................................
LOCATION OF BUILDING
No. ,1. �.Y.. Street .......... Part of Lot ............. ............ .
Lot .... ...... Black ...... .......... Addition or Sub -Division ....... A -01 K .......
ti
Corner Lot ............ Inside Lot ..A ....... Setback `s... Sideyard .. lQ . - a ............... .
DESCRIPTION OF BUILDING
To be Used : / �j p�
. /��.... Front .... Depth 4? :.�. Height .��:.®.' Sq. Ft. 1440. Cu. Ft .. o . % 0
.................... Front ........ Depth .... .. H//e��ight ........ Sq. Ft......... Cu. Ft. ........
Type of Construction ................... Wt. Cosft. ,� y1.6 -3.777= To be Completed ....................
In consideration of the issuance to me of a permit to construct a building de ed above, I agree to do
the proposed work in accordance with the description above set fo an complifince th provisions of
ordinances of the city of Fridley.
.X... ...... ... ........ ............
0�
In consideration of the payment of a fee of $ . ........ permit is hereb 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.
. o Building Inspector
A
NOTICE:
This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating,
sewer or water. Be sure to see the Building Inspector for separate permits for these Items.
City of Fridley, Minn..
BUILDING PERMIT N° jos
Date: `" ' {'. ---a•.
Owner -:Builder
AdAddress
LO I N F BUILDING
No. t-4-0 Street _ Part of Lot
Lot__ Block _ __ Addition or Sub -Di n `�
Corner Lot w_ Inside Lot ;4mack ideyard '
Sewer Elevation ____ F dation Elevation — r
DESCRIPTION OF BUILDING
TOA
., 0, Front - � Depth Height Sq. Ft. Cu. Ft._______
Fro n Depth ght Sq. Ft. Cu. Ft.
Type of Construction Est. Cost 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 forth and in compliance with all provisions of
ordinances of the city, of Fridley.
Inconsideration 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 o 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 items.
is .0004 0
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDIEY, MINNESOTA
Owner's Name Builder
Address �� S/� �%� Address
A•--;�-
LOCATIO OF LDING
No. l Street Part of Lot
Lot/ Block _,,,' Addition or Subdivision
Corner Lot Inside Lot Setback Side -Yard
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
DESCRIPTION OF BUILDING
Te hA used as:
Type of
Sq. Ft. 5'` u -- Cu. Ft. _ ��
Front Depth Height.
Ft.
To be Completed
Cu. Ft.
ted Cost
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. _ A
oil
(A Schedule of Fee Costs can be found on the Reverse Side.),,<,1&1,4"
1+i
=W1-;Z1F4449
City of Fridley, Mian.
BUILDING PERMIT N° 7484
Date: 21, 1965
Owner: John D. Gritti Builder McAa S?a...._____
Address 5916th St. K.E. Address 830 grand ,MR
LOCATION OF BUILDING
No. 5916 Street 6th St. N.E. Part of Lot
Lot —_ _1____ ___ Block Addition or Sub -Division .fAlt Palmer
Corner Lot _ Inside Lot r Setback —_ Sideyard
Sewer Elevation — Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
Front Depth Height _ Sq. Ft Cu. Ft
Front Depth Height Sq. Ft Cu. Ft.
Type of Construction Est. Cost — mow_ To be Completed
Repair storm damage
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 aft provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of $ 1e00 , permit is hereby granted to Giertsen GO•
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 an workmen, its 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.
NOTICE:
%b pwmb dost not corer the eonatraofion, InsWbfion for whfng, phanbing, gn heating, www or water. Be tore to as
the Building kqm for for separate permits for thea hens.
A.PiT.IrJ,Tl(.)N FOR BUILDIN'= PEP^.MIT
CITY OF r'x IDLEY. Mit NESOTA
OWNER'S NAME =r", -� "� r BUILDER ` � � �= � <�° � f ev �e?
ADDRESS �_/� �� ���r ' -R ADDRESS t`�-F�_°
LOCATION OF BUILDING
No. Street y�—Part of Lot
Lot Block Addition or Subdivision
Corner Lot Inside Lot Setback Side Yard •
SEWER ELEVATION FOUNLATION ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed build-
ing location drawn on these Certificates.
�SCR�ON 0'' ' UILDIA?C
To bus as:
Front ;,1,2pth '- Height`
Sq. Ft. Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction �,� �c ���,� / Estimated Cost
To be Completed
a
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 4
,Schedule of Fee Costs can be found on the Reverse Side).
•
Date: Ju X 20, 1965
JOHN D. GRITTI
City of Fridley, Minn.
BUILDING PERMIT
Builder GORCO C0NST.
Address 5916 — 6th ST. N.E. Address
Fridley,, Minnesota
LOCATION OF BUILDING
No. 5216 Street 6TH STREET N.E. Part of Lot
Lot _ Block Addition or Sub -Division .
Corner Lot _ Inside Lot Setback o house Sideyard 30e
Sewer Mention Foundation Mention
N? 8234
DESCRIPTION OF BUILDING
To be Used as:
D. Garage Front 20 Depth 20 Height 10 Sq. Ft. 400 CU. Ft W 000
Front Depth Height Sq. Ft. Ca. n
Type of Construction Est. Cost 1 650.00 To be Completed
• REBUIDL ON ORIGINAL SLAB DUE TO STORK DAMAGE
REQUEST SIDE YARD VARIANCE OF AFPROXIKATEL 6" TO REBUILD GARAGE ON ORIGINAL SLAB
APPROVED BY COUNCIL ON JULY 19, 1965
In consideration of the issuance to me of a permit to '�
the proposed work in accordance with the description above
ordinances of the city of Fridley.
agree to
In consideration of the payment of a fee of $_ 5 *QQ-, permit is hereby granted to JOHN D. MITT!
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 rega location, construction, alteration, maintenance, repair and moving of buildings
within
the city limii uns permit may be revoked at any time upon violation of any of the provisions of said
ALLEN G. JENSEN Building insBedw
NOTICE
M par& den net sowr the sonslmatim, Imtallallen for vApb& plmbbg► on hating, sewer or water. Be sme to we
the Building hopeeter far sepmft pmft for these Nene.
du' '
1�\ ���
d /\
APPLICATION FOR BUILDING PERMIT
�4
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME ./�'�'%� f %� WBUILDER
ADDRESS ADDRESS
LOCATION OF BUILDING
NO* - � � STREET � N �' �� ' � � ,�� PART OF LOT
LOT BLOCK ADDITION.OR.SUBDIVISION
CORNER LOT INSIDE LOT SETBACK e ;SIDE YARD
�G
SEWER ELEVATION ./® FOUNDATION'ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Cert-ficates.
r%DESCRIPTION OF BUILDING
o u dd as:
FrontDepth%Height
Sq. Ft. Cu. Ft. -
Front Depth Height
Sq. Ft. Cu. Ft. P,
Type of Construction Estimated Cost ,/ ,/)`��
To be completed
The undersigned hereby makes application fora 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. 0
DATE_ SIGNATURE
(Schedule of Fee Costs can'be found on the Reverse Side).
YlA y
CONTRACT
„�QptDED MINNEAPOLIS OFFICE
3384 Brownlow Ave. GORCO CONSTRUCTION CO.
INSURED 929-7868
"Twin Cities Leading Garage Builders"
4ORCO CONSTRUCTION CO., hereinafter called the CONTRACTOR is directed to
make the following improvements to the Property of:
CONCRETE L
TRACTOR
EAST
PHONE
3
SOUTH
( )MESH
SLAB & APRON: MESH
JNAME
,
(ADDRESS .
CITY
'BILLING
EAST
WEST
(ADDRESS
SOUTH
STATE
GENERAL SPECIFICATIONS
TRIMNGS:
( j �{�I�•
3 CHALET
( ) JCALLOP
RETAINING WALL :
?
OXED N
WIDTH,
SIZE:GAR; ATTACHED
ENDSDETACHED ( 1)
CANOPY
PORCH OPEN
SIDE;
ASPHALT
,SIZE: ENCLOSED
EAVES )
OPEN
FACIA WIDTH:
STUD STUD
SIDEWALL
( ) CRAFTEX (( ) PLYWOOD
CENTERS: :' HEIGHT:
SHEATHING
( ) INSUL ITE :( ) SHIPLAP
RAFTERS:- _ RAFTER
GABLE (s
) SAME AS SIDEWALL WIDTH
CENTEROOF RS. PITCH:
END
V.
SOUTH
MATERIAL (
JOINT
REDWOOD DPINE
REDWOOD IAGONAL
GABLE ( )I REVERSE GABLE
STYLE ,:( ) HIP ( ) BUTTERFLY
FRONT ONLY_( ) FRONT & REAR.
EXTERIOR ( ) DROP ( ) INSULITE
ALUMINUM
EXPOSURE
SIDING ( ) LAP ( ) MASONITE SH PLAP& FELT
WEST
PLOWED ( ) NATURAL ( ) FACTORY PRE -DIP COLOR EXPOSURE
SHAKES: ) PRIMED ( ) ASPHALT r
SMOOTH ( ) NATURAL ( j ASBESTOS COLOR -EXPOSURE
SHINGLE ( ) PRIMED ( ) STUCCO
OVERHEAD
DOORS WOOD ( ) ( ) 8x6" TIP UP ( ) Bx7 ROLL UP Vis) 16x7 ROLL UP
METAL ( ) ( ) 8x66 ROLL UP ( ) 9.7 ROLL UP `�( ) 16x6° ROLL UP
( ) 9x6° ROLL UP ( ) 10x7 ROLL UP ( ) 15x6° ROLL UP
FIBERGLASS( ) ( ) 10x66 ROLL UP ( ) 15x7 ROLL UP ;( ) GLASS ( ) PLAIN
WINDOWS
3 9xl2.4 LITEx12 2 LITE ( ; S xRANCH LITE }( ) SERVICE DOOR
18
( SHUTT RANCH
( )GLASS ( )PLAIN
ROOF
SHINGLES
ROOFING
COLOR:
( ) LOCK TAB j8, ROLL
PAPER
( ) PITCH GRAVELFELT
NOTE:
i I IF ROOF COLOR IS DISCONTINUED
I MATCH WILL BE CLOSE AS POSSIBLE.
235 LB.
180 LB.
CONCRETE
SPECIFICATIONS
CONCRETE L
TRACTOR
EAST
WEST
NORTH
SOUTH
( )MESH
SLAB & APRON: MESH
EXCAVATION
FORM
HAND
EAST
WEST
NORTH
SOUTH
PILL:
EXCAVATION:
CONCRETE ( )'WIRE
RETAINING WALL :
EAST
WEST
NORTH
SOUTH
DRIVEWAY: MESH
ASPHALT
FROST
EAST
WEST
NORTH
SOUTH
DRIVEWAY: •.
FOOTINGS:
CONCRETE ( ) WIRE
TRENCH
EAST
WEST
NORTH
SOUTH
PATIO SLAB MESH
FOOTINGS:
LAWN
= BLOCKS
EAST
WEST
NORTH
SOUTH
WALK:
UNDER SLAB
RAMP CURB
DEEP CONCRETE
EAST
WEST
NORTH
SOUTH
CROSS WALK:
POUR:
CONCRETE
BLOCKS
EAST
WEST
NORTH
SOUTH
STEPS
OVER SLABS:
NOTE: UNLESS SPECIFIED IN CONTRACT GARAGES ARE UNPAINTED
N
S
ST. PAUL OFFICE
1083 Arcade St.
771-1146
19
01 LEDGER: #
F
F JOB CARD: #
c RATING: #
E
BANK: #
u
E PRODUCTION: #
COMPLETED. #
ADDITIONAL INFORMATION
0
INSTRUCTION
JOB TO BE COMMENCED:
JOB TO BE FINISHED:
INSTALL CONDUIT HOLE:
WATERPROOF AND BACKFILL:
For The Sum Of P _' DOLLARS
Which will be paid as follows:
Amount.......... �
Cl Cash Upon Completion: 1.
❑ 90 Day Plan: @ % Interest. Down Payment.... $
❑ 3 Pay Plan: 1/3 on Completion, 1/3 30 Days, 1/3 60 Days. 4
Balance...........
[� FHA: 12 24 36 48 60 Month Plan:
Payments ........ $
❑ Conventional 5 Year -Month Delayed Payment Plan: Per Mo.
Accepted as specified:
NOTE:
X Building permit will be obtained
by the contractor and billed to the
PURCHASER purchaser at its actual cosh upon
" completion of the job.
�1
X See terms and conditions of contract
GORCO SALES REPRESENTATIVE on reverse side hereof.
J
0
COMMONS
-,
the work Is hereinafter designated as the "contractor" W the person for whom the work Is done is r
desl1�1=9L===
tA
The rights and be covered by the terms of this contract. The owner hereby' eftUftm that he
Is
y== Mat he fit understands them; that said cortbactor not responsible nor
=. W contained this agreement un' so= be reduced In writing,
oo'�
The owner shall pay to the contractor additional compensation over and above on reasonable value of any changes
ordered in the =k said owner which require additional labor or material for the p=.trM"Xt=f. and the contractor need not perform
Such additional unle the same we ordered In writing..
4. The owner, recognizing the expenses Involved in salesman's coromisslous, advertlaft. committing of labor and equipment to perform
the late utton this contract the owner derides to cancel the same. said owner shall pay to
=6c" hereby stlixt and agree that U utter exec of
In the 15% the
the tor liquidated damages sum of of contract prim
6
5. Any material de4v bred by the contractor - the job which proves to beneneces$ary for construction under this agreement and is Um%—
tore excessive material, shall remain the property of the cartraetor. The owner agrees not to do any act which will prevent said excess material
accesdble 7be conUraietor'agrees that he villi remove said excessive material from, the
cout-M for
=.
=tbd7
ca f within this contract.
(�
Contractor shall not be liable for delays, loss or == by ddla% weather conditions delay In obtaining material, government
regulations or other so* conditions beyond control of
T. contract Is subject to approval and acceptance of the office manager of the Gorc* Construction Co., the owners credit, and the avail-
ability of a Building Permit.
WARRANTY
A- Building materials guaranteed for one year from date of eonotruetton.
B. Workmanship guaranteed for one year in= date of construction.
C. Doors and door Paris guaranteed for one year from date of Installation.
D. Operation of doors guaranteed for 90 days from date of installation.
K Roofing materials guaranteed for 5 years from date of construction.
PROVISIONS
L Cement work Including footings, block work, retaining walls slabs, driveways, curbs, walks and
aprons is here certified to be of high quality in both material and workmanship ...... warranty does not
cover damage to concrete work from ground settling, frost heave municipal road salts or other conditions
beyond our control.)
2. Goren ConstrUction Co. shall not be held liable for damages to existing driveways, walks, approaches.
and god, where said damage results from delivery of equipment or material.
3. Unless otherwise epoeffied, concrete -dab. shall have a normal build-up of 4 inch of exposed
concrete showmg above exi" duo grade. The contractor will allow an additional 4 inches, at no extra cost,
to pmsh for error in estimating true grade. Purchaser agrees topayto the contractor, based an reason-
able value. the cost of additional fill and concrete (if needed) to bring Ash height to true grade.
y
SUBJECT
P
City of Fridley
26 7 5 4
AT THE TOP OF THE TWINS
BUILDING PERMIT
�
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
r F
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910415
7/22/98
JOB ADDRESS 5916 6th St NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
1
1
1 Bennett Palmer
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
John Gritti
571-2704
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO.
Four Seasons Roofing & Remodeling LLC 7930 Uhiversity AVE NE
Fridley 795-941n
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO.
20138780
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION M REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof 20 S Tear -off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with 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 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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$1668
.83
SUMTO VIOLATE OR CANCEL THE
DOES NOT PRESUM ToEV/~
PERMIT FEE
SAC CHARGE
PROVISIONS OFROCAL LAW REGULATING CON-
Fire SC $1.66
STRUCTIONOR PERFORNSTRUCTION.
$54.00
PLAN CHECK FEE
TOTAL FEE
uez(_ �r2 ?�
License SC $5.00
$61.49
SIGN TURE OF CONTRACTOR OR AU ORIZED AGENT IDA I
WHEN PROPERLY LIDATED THIS IS YO���jjjR P�MIT
e��
orifi e
BLOCOFINSP
J!/
GATE
_
SIGNATURE OF OWNER OF OWNERBUILDER1 IDATEI
NEW [ ]
ADDN [ ]
ALTER [ ]
Co nstructionAddress:
Effective 1/1/98
Legal Description:
Owner Name & Address: Jo, h h -1 v-; ++; Tel; #i 0
Contractor: re) U r :S f -a o n'S o d IQe vn (� �a tr MN LICENSE # e I %DC7
Address: IM 3 d U n [ U eX� :61 U /LIE. a ► d I –'q_ Tel. #
Attach to this` �application�; a Certificate of Survey of the .
lot, with'the'"proposed construction drawn on *it: to scale.
_ DESCRIPTION, OF M1PROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width . Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER:
` t
Construction Type: o e, f- �I Estimated Cost: $ �6®
(Fee Schedule on Back),
Driveway Curb Cut Width Needed: Ft.: + 6 Ft = Ft x $ _ $
� � is at .. .�r• �.i
Tel:' #�140
• 1.
1
IWO, USE ONLY
., wA✓.' ¢.i.e i �'!� 'APfe.r
SINGLE FAM14,X•AND DUPLEXES R-1 AND R-1
.�
BUILDING "PERMIT APP4CATION
M1
3 �'y"•r t�. w ;7,a� .
Permit Fee
• ` +1�„�37 'J'?d�;,t,�t 1i}} x ak �.�e��'; l ` .. ! ..' i 5, ;;�' i'A't �{,x
, ;..; c Io};
Fire Surcharge
$ :001 'of.Perinit`Valuation (1/10th%)
Legal Description:
Owner Name & Address: Jo, h h -1 v-; ++; Tel; #i 0
Contractor: re) U r :S f -a o n'S o d IQe vn (� �a tr MN LICENSE # e I %DC7
Address: IM 3 d U n [ U eX� :61 U /LIE. a ► d I –'q_ Tel. #
Attach to this` �application�; a Certificate of Survey of the .
lot, with'the'"proposed construction drawn on *it: to scale.
_ DESCRIPTION, OF M1PROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width . Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER:
` t
Construction Type: o e, f- �I Estimated Cost: $ �6®
(Fee Schedule on Back),
Driveway Curb Cut Width Needed: Ft.: + 6 Ft = Ft x $ _ $
� � is at .. .�r• �.i
Tel:' #�140
• 1.
1
IWO, USE ONLY
., wA✓.' ¢.i.e i �'!� 'APfe.r
A
.�
} t mN•-'..•^�p.�•aNitsA,i r.. :.., t :.'�:, t °
M1
3 �'y"•r t�. w ;7,a� .
Permit Fee
. ...a ,'•
40
$`71 ' < Fee Schedule. on Reverse Side
;
Fire Surcharge
$ :001 'of.Perinit`Valuation (1/10th%)
State Surcharge
$-3 .I :1.50!$1;000Valuation
.
SAC Charge.$
;, < !000:pet SAC Unit,
� �
__ � , ,„• �}} + �� qqyy ,?� i 7i
N , n��¢ffi$±fh�41r
'.j, Residential Contrtra�,;)byy,^dye
License Surcharge
$ tNk4t J ^ $�.00 (State: Licensed
fi
Driveway Escrow
+,#► f°' �A-" sor Alt', "B"' Above " ; :..
$ Al
't � yi �
r
,
Y A! t4 J
t
'.�yL...+i• -
� F
Dari: Fee
a�N i � "'� t..1. .. �
�.., .. t�q" $ 0 1 i. f'� .� :
$ : '.Fey Determined by Engineering
, p
Sewer Main Charge
Necessary [• ] ...Not. Necessaryi
_• � -Ff
TOTAL,— ..
tt ii
Aylf�:rFv Ji �t.!t. ..• ..
�t pp�� y,�
itl 4F :Za Jr(e,1YA.���W�!`Z ��,�±���.j��.-'�
c J.f.s Pi6
PP
��FIiINi
•
f
Building
Inspections
763-572-3604
DATE a6
SITE ADDRESS '
THIS APPLICANT IS:
BUILDING
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
x'9/6
YOUR E-MAIL DRESS
❑ OWNER PKONTRACTOR
Permit No.: '
Received ByjWas
Date Rec'd: /—%Cr_D,&
PROPERTY OWNER/
NAME:)
hyl V f
Plan Review
$
—Sq/6 CITY
r°C/! STAIP-3�
TENANT
.001 times the total job valuation
ADDRESS:
-��"��•
.0005 x Permit Valuation Minimum $.50
License Surcharge
PHONE:
% } — > 1?%S�
i
CONTRACTOR
NAME:
e_ - J/deys
$
ft + 6 ft = ft x $20 = $
`1-1Ze_
STATE LICENSE # EXP DATE
3i D�i
SUBMIT A COPY OF
Park Fee
�/
CITY4�I-� STATIC_
YOUR STATE LICENSE
ADDRESS:
„�-�
Total Due
WITH APPLICATION
PHONE " ��� �j FAX
IXSINGLE FAMILY/NEW CONSTRUCTION SIZE
PROPERTY TYPE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE
❑ ADDITION
❑ GARAGE/SHED
❑ WINDOWS
❑ BASEMENT FINISHROOF
❑ DRAIN TILE
❑ DECK
❑ SIDING
❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:NEW
❑ ADDITION
❑ MAINTENANCEIR,,EE�PAIR ❑ REMODELING
DESCRIBE WORK BEING DONE:
'�%a e—
HEIGHT Sq. Ft.
SIZE OF IMPROVEMENT
LENGTH WIDTH
ROOFING M -HOUSE ONLY
NUMBER OF SQUARES %
❑ HOUSE & GARAGE
BASEMENT REMODELING SUBMIT:
1. Existing Floor Plan
GARAGES
❑ ATTACHED GARAGE
2.Proposed floor plan
PROPOSED SIZE:
❑ DETACHED GARAGE
3. List of structural members to be used
3.
PROPOSED HEIGHT:
SIDING
FOR NEW CONSTRUCTION INCLUDING DECKS,
❑ Vinyl
❑Soffit
ADDITIONS & PORCHES SUBMIT:
❑ Aluminum
❑ Trim
1. Site Plan/Survey showing the existing structures
❑ Other
❑ Fascia
and proposed project.
2. Two sets of construction plans
WINDOWS
3. Energy Calculations
IN EXISTING OPENINGS ❑Yes ❑No
LOCATION OF WINDOWS
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 COSI' OF LA O AND MAI E K U A LJ:
(USING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $ 2�'D `ou OCCUPANCY TYPE
Permit Fee
$ `
See Back Page for Fee Schedule
Plan Review
$
65% of Building Permit Fee
Fire Surcharge
$
.001 times the total job valuation
Surcharge
$
.0005 x Permit Valuation Minimum $.50
License Surcharge
$
$5.00 (State Licensed Residential Contractors)
SAC Charge
$
$1550 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
$
ft + 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 payable to: City 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 Ci idley and with the Minnesota Construction Codes; that I understand this is not a
permit but only an application for a �uires
and �ai5p"Ioval
to start without a permit; that the work will be in accordance with the approved
plan in the case of all work vi of plans.
0
SIGNATURE OF APPLICANT PRINT NAME �" / dy� o `2A— DATE /Z/
Building
Inspections
7.63-572-3604
SITE ADDRESS
THIS APPLICANT IS:
PROPERTY
OWNER/
TENANT
CONTRACTOR
SUBMIT A COPY OF
YOUR STATE
LICENSE WITH
APPLICATION
PERYHT TYPE
TYPE OF WORK:
MECHANICAL
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
E-MAIL ADDRESS
d OWNER ❑CONTRACTOR
PHONE: � �1- Iq0 - g g l 5
COMPANY NAME:
CONTACT PERSON: _
STATE LICENSE #_
ADDRESS:- -9 �l
PHONE -7 to3
SINGLE FAMILY
❑ NEW
Permit No. �6
Received By:
Date Rec'd: Z[ �
'A
EXP DATECITY
STATIA�ZIP-�v
�t cur v
E C�Z FAX Ll
❑ TWO FAMILY ❑ TOWNHOUSE
erAMRnTT ❑ ALTERATION/REMODEL
DETAILED DESCRIPPON F WORK L
� Oe -L-_) C:'I C1o, SS C
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 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 PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: ONDICATE TOTAL
NUMBER OF EACH BELOW) MODEL: SIZE/BTU
Equipment Installed MFG: SIZE/BTU
MFG: MODEL:
MFG: MODEL: SIZE/BTU
A/C $25.00 _FIREPLACE (GAS) $15.00 GAS RANGEIOVEN $10.00
_AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00
BOILER $35.00 _FURNACE $35.00 _GAS UNIT HTR $10.00
2>R.94EY LINER $10.00 _GAS DRYER $10.00 _POOL HEATER S35.00
DUCT WORK $10.00 GAS PIPING $10.00 _VENTILATOR $15.00
Permit Fee $ Number of fixtures @ $10.00 x $10.00 =
Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $
TOTAL DUE $ Number of fixtures @ $25.00 x $25.00 = $
Number of fixtures @ $35.00 x $35.00 = $
State Surcharge = $ .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 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 e f k ' h requires review and approval of plants.
SIGNATURE OF APPLICANT PRINT NAME `_tel �ii DATE -'C
City of Fridley
Building Inspections Department .
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977
REQUIRED INFORMATION NEEDED TO PROCESS PERMIT
RESIDENTIAL PERMIT APPLICATION HVAC
❑ NEW HOMES/ADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR
REQUIRED FOR NEWIEXISTING HOMES
1. Combustion Air (See note below)
a. Oil or solid fuel IMC Chapter 7 with MN Amendments
b. Natural Gas or propaneUGC Chapter 3 with MN Amendments
2. Make-up Air (See note below)
& IMC Chapter 5 with MN Amendments
3. Venting
a. Gas appliances IFGC Chapter 5 with MN Amendments
b. Fuel other than gas IMC Chapter 8 with MN Amendments
REQUIRED FOR NEW HOMES
4. Heat loss & cooling load per room
a. Required on new construction IMC 1346.0312
5. Ventilation
a. Per MN Energy Code 7670 or 7672
6. Duct Design Per 1MC 1346.0603.2
a. ACCA Manual D
NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for
combustion and make up air calculations
Permit Fee $ 02 MINIMUM: $15.00 or 5% of cost of tate improvement -whichever is
Plan Review $ greater on work Jess than $300
Surcharge $ .50
TOTAL DUE $ 3S •J 0 Make checks payable to: City of Fridley
I rns is AN APFLIGATION FORA PERMIT- NOT VALID UNTIL PROCESSED
I hereby apply for a plumb)ng permit and i acknowledge that the information above is oomptete and accurate that the work will be in conformance with
the ordinances and wase of tits Gbr of Fridley and with the lAnnesots 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 which
requires review and approval of lana.
NAME OF APPLICANT f 16 /,1` DATE
Please typWor print
SIGNATURE OF APPLICANT
TOTAL P.01
PLUMBING
PermitN bw
RESIDENTIAL APPLICATION
Received y
City ®f Fridley
R 2
07
NOTE: IF PROPERTY IS NOT OWNERIOCCUPIM A LICENSED CONTRACTOR MUST OBTAIN THE PERMIT.
DATE (i ' eS ' ®� YOUR E-MAIL ADDRESS
SITE ADDRESS 4 �` Gf4 S� A -i
THE APPLICANT IS: (CIRCLE ONE) OWNER CONTRACTOR
NAME fO6n GiQi ��t
PROPERTY OWNER/
TENANT V ADDRESS 14 tVk & AJ c
CITY r'c iol STATE til 0 ZIP S"T �3
PHONE a :Zr,3 • &7 a
'K1deSef'�NAME WLICENSE #
CONTRACTOR
ADDRESS j• I
Crry STATE ILII I4
PHONE 020" 5�-i- Zi q;I
PERMITTYPE
X
SINGLE FAMILY TWO FAMILY TOWNHOUSE
TYPE OF WORK
13 NEW )d REPLACEMENT
nn
DETAILED DESCRIPTION OF WORK --F-n,%44 (I ei 4(6-LL'Y e.ri � W L
FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED
FIXTURES: (INDICATE TOTAL NUMBER OF EACH)
!lArN SINKMV FLOOR DRAINS SHOWER __-_WATERPIPING
G
BATHTUB GAS PIPING (Need Ctiy License) ;nV MINING POOL WATER SOFTENER (435)
CLOTHE.$ WASHER KITCHEN SINK WATER CLOSET BACKFLOW PREV. ($1S)
DISHWASHER iAUNDRY TRAY 2—<-WATra t HTR (w FOR IRRIGATION
WATER MGTER OTHER
Permit Fee $ 02 MINIMUM: $15.00 or 5% of cost of tate improvement -whichever is
Plan Review $ greater on work Jess than $300
Surcharge $ .50
TOTAL DUE $ 3S •J 0 Make checks payable to: City of Fridley
I rns is AN APFLIGATION FORA PERMIT- NOT VALID UNTIL PROCESSED
I hereby apply for a plumb)ng permit and i acknowledge that the information above is oomptete and accurate that the work will be in conformance with
the ordinances and wase of tits Gbr of Fridley and with the lAnnesots 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 which
requires review and approval of lana.
NAME OF APPLICANT f 16 /,1` DATE
Please typWor print
SIGNATURE OF APPLICANT
TOTAL P.01
Building AUCHANICA.L Permit No.:
Inspections RESIDENTIAL APPLICATION Received By:
7.63-572-3604CIT OF FRIDLEY ��L
DATE I !i ' q - V -7
YOUR E-MAIL ADDRESS
sITE ADDRESS _ 16
('-'` - N) a
THIS APPLICANT IS:
0 OWNER ,S�CONTRACTOR
PROPERTY
NAME: 'T0 �, n
STATEH%%ZIPcSdg(3L
OWNER/
ADDRESS�%16 �e4"� lS• iV� CTTY�iQ/r]/mac
TENANT
571- -1 7 04
PHONE:aL-R -
COMPANY NAME: Za U L /
CONTRACTOR
CONTACT PERSON: 0-1 its a�
SUBMIT A COPY OF
YOUR STATE
STATE LICENSE # EXP DATE
Z>PbS43 Z
LICENSE WITH
ADDRESS: 9a 4 i -la l�► s�. �E CITY ,fa,'�-I �_ STATEMtj
APPLICATION
PHONE -163- Z S 4• a I Q FAX
PERYffT TYPE SINGLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE
TYPE OF WORK: 0 NEW �d REPLACEMENT 0 ALTERATION/REMODEL
DETAILED DESCRIPTION OF WORK jC&S-lo-1 t A d Olt, AL` -
PER MS 1613.665 the permit fee is a minimum of 515.00 or 5% of the total cost up to 5500.00, whichever is greater, for the
improvement, installation or replacement of a residential fixture, 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 PROJECTS WHERE LABOR EXCEEDS SSW, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (MICATE TOTAL
NUMBER OF EACH BELOW)SIMTU
Equipment Installed MFG: V MODEL: 11izPLI_,07 EAtj(EP- SIZ,FJB,TU 10�
MFG: MODEL:
MFG: MODEL: SIZEBTU
FIREPLACE (GAS)
A/C $25.00 _ $15.00. _GAS RANGE/OVEN $10.00
_AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00
BOILER $35.00 FFURNACE $35.00 _GAS UNIT HTR $10.00
—-DUCT
LINER $10.00 GAS DRYER $10.00 POOL HEATER $35.00
DUCT WORK $10.00 GAS PIPING $10.00 T—VVENTILATOR $15.00
._�'., : +� -�r,9!ti:.�t,...wawa.ra...-.-.,^►�,-,a..m..,. ..,K. .... - ::.o...... -...._-......:.. _.-.... _. ----. _
Permit Fee $ J`. Number of fixtures @ $10.00 x $10.00= $
Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $
TOTAL DUE $ 'N. So Number of fixtures @ $25.00 x $25.00 = $
Number of fixtures @ $35.00 x $35.00 = $ U00
State Surcharge = $ .50
Total = $ 3s Su
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 which requires review and approval of plans. /
SIGNATURE OF APPLICANT 0-k. 1. b G K j7M PRINT NAME �'is �� ,h _DATE I b �7
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FALX: 763-502-4977
REQUIRED INFORMATION NEEDED TO PROCESS PERMIT
RESIDENTIAL PERMIT APPLICATION HVAC
❑ NEW HOMES/ADDITIONS EXISTING HOME ❑ MAKE-UP AIR
REQUIRED FOR NEWIEXISTING HOMES
1. Combustion Air (See note below)
a. Oil or solid fuel IMC Chapter 7 with MN Amendments
b. Natural Gas or Pmpan&UGC Chapter 3 with MN Amendments
2. Make-up Air (See note below)
a. IMC Chapter 5 with MN Amendments
3. Venting
a_ Gas appliances IFGC Chapter 5 with MN Amendments
b. Fuel other than gas TMC Chapter 8 with MN Amendments
REQUIRED FOR NEW HOMES
4. Heat loss & cooling load per room
a_ Required on new construction IMC 1346.0312
5. Ventilation
a. Per MN Energy Code 7670 or 7672
6. Duct Design. Per IMC 1346:0603.2
a. ACCA Manual D
NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for
combustion and make up air calculations