PRE 2010 DOCS0
City of Fridley, Minn.
BU LADING PERMIT N® 3855
Date:.../ . / .^ / „ ........ .
Owner......... Builder i �
..................................................................
Address ...................................... Address .............................................
L4OC T ON OFPUILDING
.ON Street ... .... ............4.. '......... Part of Lot.. ...... .. j. ....
Lot ... ..... Block ...v�............. Addition or Sub -Division ... . ..... .
Corner Lot ............ Inside Lot ............ Setback ............ Sideyard ...........................
DESCRIPTION OF BUILDING
To bg,Used t e�
��// .%�OC O
...../. Front ..��.� : P Depth c�.7..'� Height /� .� 5q. Ft. 9�.� . Cu.- Ft. / 1
.............. Front ........ Depth ..:..... Height ...'C.. Sq. Ft......... Cu. Ft.
Type of Construction ................ .Est. Cost.. /4.Pd. 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 an JA compliance with all provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of $. ! p... 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. B
Building Inspector
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 item&
Ci f Fridley
tY oe Y
Application for Plumbing and Gas Fiffing Permit
DepL of Bldgs. Phone SU 4-7470
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures Location
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ......................—� x $1.50
Future Fixture Opening ................ x 1.20 $
New Fixture Old Opening .............. x 1.00 $
Catch Basin ............................ x 3.25 $
Water Heater (Up to 200,000 BTU) ...... x 2.00
New Ground Run Old Bldg . ............ x 3.25 $
GAS FITTING FEES: NO. RATE TOTAL
1st 3 Fixtures .......................... ............... s $1.60 $�
Additional Fixtures .................... x .50 $
Gas Range to 200,000 BTU .............. x 2.00 $
REPAIRS & ALTERATIONS—Refer to Code
Description ................................................$
TOTAL FEE
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 applica ' on are true and correct.
Fridley 1Vlinn , - 19-1�17
Owner !T , 19
Kind of Building 19
Usedas
To be completed about
Estimated Cost, $ ®n
Old—New. Building Permit
r
Connection Permit No . .......................................................
11 IM -8-58
Water
Sewer
Meter Deposit
GV.i
H
a
Z
=
Y FL
;
a Z
$�
i Z
0=
*z
F
N
WATER HTR.
GAS
ELEC
uZ_i
3�
c0
N
$U
Q3
t�1°d
(�90
Base
1st
2nd
3rd
4th
• Future Connection Openings
Connected with
New Fixture, Old Openings
Sewer
Cesspool �
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ......................—� x $1.50
Future Fixture Opening ................ x 1.20 $
New Fixture Old Opening .............. x 1.00 $
Catch Basin ............................ x 3.25 $
Water Heater (Up to 200,000 BTU) ...... x 2.00
New Ground Run Old Bldg . ............ x 3.25 $
GAS FITTING FEES: NO. RATE TOTAL
1st 3 Fixtures .......................... ............... s $1.60 $�
Additional Fixtures .................... x .50 $
Gas Range to 200,000 BTU .............. x 2.00 $
REPAIRS & ALTERATIONS—Refer to Code
Description ................................................$
TOTAL FEE
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 applica ' on are true and correct.
Fridley 1Vlinn , - 19-1�17
Owner !T , 19
Kind of Building 19
Usedas
To be completed about
Estimated Cost, $ ®n
Old—New. Building Permit
r
Connection Permit No . .......................................................
11 IM -8-58
Water
Sewer
Meter Deposit
•
City of Fridley, Minn.
BUILDING PERMIT
Date: — OCTOBER 282 1966
Owner: _ SALVITOR MAGNOLO
Builder
R. E. OSTROM
No
9-y-
9070
Address _ 6130 • 6th Street N. E. _ Address 4857 Maryland Avenue North
Fridley, Minnesota 55421 Crystal, Minnesota
No. — 613 0 Street
16
Lot ___.
Corner Lot ---
Sewer Elevation
Block
LOCATION OF BUILDING
6TH STREET N. E. ____ part of Lot
_ 2 — Addition or Sub -Division . UPLANDS. 2ND ADDITION
Inside Lot — X Setback
Sideyard
Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
Ila= Front Depth Height Sq. Ft Cu. Ft
DET. GARAGE Front 24 Depth 22 Height — 7 Sq. Ft. 5 28 Cu. Ft 5,280
Type of Construction FRAME Est. Cost To be Completed
• GARAGE DRAWN IN ON SURVEY OF BUILDING PERMIT #3855
E
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 o and plian with til provisions of
ordinances of the city of Fridley. �
In consideration of the payment of a fee of $ 5.00 .., permit is hereby granted to R. E. OSTROM
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.
CLARENCE BELISLE
Building Inspector
NOTICE:
This permit doss not cover the construction, hutallailon for wiring, plumbing, gas heating, cower or water. Be sure to ao
the Building inspector for separate permih for these Items.
r
y'
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME
ADDRESS 6 / ? �j 2Z.e,. ADDRESS,
LOCATION OF BUILDING
NO, STREET PART OF LOT
LOT_ �/� BLOCK ADDITION OR SUBDIVISION�°•L
CORNER LOT INSIDE LOT `SETBACK % —01
' J�fflM-YARD
SEWER ELEVATION FOUNDATION ELEVATION
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;
Front Depth Height
Sq. Ft. Zb Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction / �0. M'r— . Estimated Cost o' c'6
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.
', 0 i
(Schedule of Fee Costs can be found on the Reverse Side).
3uilding
$ rl , o2S
BUILDING
$
Permit No.: ,
inspections
Surcharge
RESIDENTIAL APPLICATION
Received By:
763-572-3604Date
SAC Charge
CITY OF FRIDLEY
Rec'd: 3'�
)ATE
YOUR E-MAIL ADDRESS
$
;ITE ADDRESS
$
Sewer Main Charge
$
Total Due
$ l A I .9(
HIS APPLICANT IS:
❑ OWNER ❑CONTRACTOR
PROPERTY OWNER/
NAME:
S
ADDRESS: CPC 3 ® cc 2!z e
f
CITY /�!2 i� �( ��f STATE ZIP'
TENANT
PHONE:
CONTRACTOR
NAME:
STATE LICENSE # EXP DATE
SUBMIT A COPY OF
YOUR STATE LICENSE
ADDRESS:
CITY STATE—ZIP—
TATEZIPWITH
WITHAPPLICATION
PHONE FAX
PROPERTY TYPE
❑ SINGLE FAMILY/NEW CONSTRUCTION
SIZE
❑ TWO FAMILY/NEW CONSTRUCTION
STORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHED
❑ WINDOWS
❑ BASEMENT FINISH ❑ ROOF
❑ DRAIN TILE
❑ DECK ❑ SIDING
❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW ❑ ADDITION
❑ MAINTENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE:
SIZE OF IMPROVEMENT LENGTH
WIDTH HEIGHT Sq. Ft.
ROOFING ❑ HOUSE ONLY
NUMBER OF SQUARES Z
MOUSE & GARAGE
BASEMENT REMODELING SUBMIT:
GARAGES
❑ ATTACHED GARAGE
1. Existing Floor Plan
2. Proposed floor plan
PROPOSED SIZE:
-A DETACHED GARAGE
3. List of structural members to be used
PROPOSED HEIGHT:
SIDING
FOR NEW CONSTRUCTION INCLUDING DECKS,
❑ Vinyl
❑Soffit
ADDITIONS. & PORCHES SUBMIT:
❑ Aluminum
❑ Trim
I . 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 COST OF LABOR AND MATERIALS:
(USING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $ .-�C i (e OCCUPANCY TYPE
Permit Fee
$ rl , o2S
Plan Review
$
Fire Surcharge
$ b
Surcharge
$
License Surcharge
$
SAC Charge
$
Curb Cut Escrow
$
Erosion Control
$
Park Fee
$
Sewer Main Charge
$
Total Due
$ l A I .9(
See Back Page for Fee Schedule
65% of Building Permit Fee
.001 times the total job valuation
.0005 x Permit Valuation Minimum $.50
$5.00 (State Licensed Residential Contractors)
$1550 per SAC Unit (Plans to MWCC for determination)
ft+6ft= ftx$21=$
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checks Davable to: City of Fridley Attac
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
lations
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 requir review and approval of plans. ��,^^/n�
SIGNATURE OF APPLICANT i / � PRINT NAME 0 JM DATE D to
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287
BUILDING PERMIT APPLICANT: PROPERTY OWNER
I, 0 S C cq*�W �a 1-c da T5 understand that the State of Minnesota
requires that all residential building contractors, remodelers and roofers obtain a state
license unless they qualify for a specific e,2cpti frgm the licensing requirements. As
the owner of the property at � / 2i 6, k .5 Fridley,I
am exempt from the state licensing requirement only if I am not building or improving
this property for purposes of resale. By signing this document, I attest to the fact that I
am improving this house for my own use and do not intend to sell it. I hereby claim to
be exempt from the state licensing requirements because I am not in the business of
building or remodeling on speculation or for resale and that the house for which I am
applying for this permit, isl the first residential structure I have built or improved in the
past 24 months. I also acknowledge that because I do not have a state license, I forfeit
any mechanic's lien rights to which I may otherwise have been entitled under Minn.
Stat. 514.01.
Furthermore, I acknowledge that I may be hiring independent contractors to perform
certain aspects of the construction or improvement of this house and I -understand that
some of these contractors may be required to be licensed by the State of Minnesota. I
understand that unlicensed residential contracting, remodeling, and/or roofing activity is
a misdemeanor under Minnesota law, and that I would forfeit my rights to
reimbursement from the Contractor's Recovery Fund in the event that any contractors I
hire are unlicensed.
I have also been informed and acknowledge that by listing myself as the contractor for
this project, I alone will be responsible to the City of Fridley for compliance with all
applicable building codes and city ordinances in connection with the work being
performed on this property.
Name 4�- C -e --b-'2,z--eezc "
Date % — 7 r -- d 6
lding
PLUMBING
PermitNo.ections
F
RESIDENTIAL APPLICATION
Rec '
b 20 �
572-3604
CITY OF FRIDLEY
Date ec d:
763-502-4977 FAX
EFFECTIVE 1-1-08
�� YOUR E-MAILL ADDRESS
% �Gf��Y /� //L'
OWNER OCONTRACTOR
Nn
NAME:ADDRESS:
Gl 3� 7/-, CITY />�' Y STATE GIP SSS
(75(7 �`2
PHONE:
CONTRACTOR
NAME:
STATE LICENSE # EXP DATE
SUBMIT A COPY OF
YOUR STATE
LICENSE, BOND AND
STATE BOND # EXP DATE
CERTIFICATE OF
ADDRESS: CITY STATE ZIP
INSURANCE
. PHONE FAX
PERNIIT TYPE
0 SINGLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE
TYPE OF WORK:
0 NEW 0 REPLACEMENT
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 should reflect only the cost of labor )
Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05 = plus .50 surcharge
FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $100.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL
NUMBER OF EACH BELOW). MINIMUM FEE $15.50.
BATH SINKILAV DRAINS _ SHOWER _ WATER PIPING
_FLOOR
—BATH _ GAS PIPING (NEED CITY LIC) _ SWIMMING POOL _ WATER SOFTNER ($35)
SINK WATER CLOSET PREY. ($15)
_CLOTHES WASHER _KITCHEN _ _BACKFLOW
DISHWASHER LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION
— — WATER METER —OTHER
M,
MEN r
Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $
Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $
TOTAL DUE $ �_�. OR Number of fixtures @ $35.00 x $35.00 = $
State Surcharge = $ .50
INIMUM $15.50 (MINIMUM $15.50) Total = $
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
I hereby apply for a plumbing permit and I acknowledge that the information above is complete and accurate; that the work will be in
conformance withthe ordinances and codes of the City of Fridley and with the Minnesota Constriction 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 on site; that the work will be in accordance
with the approved plan in the case of all work ichrequires review and approval of plans.
DATE
SIGNATURE OF APPLICANT PRINTNAME�ri Cs� i/��%�wc
DATj� �S` O F
APPROVED BY
01 1
City of ]Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977
Building
BUILDING
Permit No.:JW
Inspections
RESIDENTIAL APPLICATION
Received By:
763-572-3604
CITY OF FRIDLEY
Date Rec'd:
4e
DATE "
YOUR E-MAIL ADDRESS
SITE ADDRESS U Q 1,4" N f -
THIS APPLICANT IS:
$DWNER ❑CONTRACTOR
PROPERTY OWNER/
NAME: d ry It- /b r.✓
TENANT
ADDRESS: 3Ce 3 W'C w e CITY
STATE151P S`S`S� T 2--
PHONE: CA t t A 40 -9 r A !s7
PHONE:
CONTRACTOR
NAME: M.d*L-
STATE LICENSE # EXP DATE
SUBMIT A COPY OF
YOUR STATE LICENSE
ADDRESS: CITY
STATE ZIP
WITH APPLICATION
PHONE FAX
PROPERTY TYPE
-ErSMGLE FAMILY/NEW CONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHED +B"WII�TDOWS
❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
❑ DECK 43'SMING ❑ OTHER
17 SWIMMING POOL
TYPE OF WORK:
❑ NEW ❑ ADDITION
.01GlAIN717ENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE: vL We4l �•�
SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft.
ROOFING
❑ HOUSE ONLY
NUMBER OF SQUARES
$HOUSE & GARAGE
BASEMENT REMODELING SUBMIT:
GARAGES
❑ ATTACHED GARAGE
1. Existing Floor Plan
2• Proposed floor plan
PROPOSED SIZE:
❑ DETACHED GARAGE
3. List of structural members to be used
PROPOSED HEIGHT:
SERI G
FOR NEW CONSTRUCTION INCLUDING DF,CKS,
-El-Vinyl
-Eftffit
ADDITIONS. & PORCHES SUBMIT:
❑ Aluminum
10-Tnin
1. Site Plan/Survey showing the existing structures
❑ Other
P Pgreia
and proposed project.
V✓DVDOR'S
2. Two sets of construction plans
�
IN EXISTING OPENINGS Ofes ❑No LOCATION O OWS
3. Energy Calculations
OR FOR NEW OPENINGS-DESCRIBE SIZE OF It
OPENING CHANGES & 7N
TYPE OF WINDOW TO BE INSTALLED
NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $ fVB d- 0 OCCUPANCY TYPE
Permit Fee
Plan Review
Fire Surcharge
Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
fJ�'N
See Back Page for Fee Schedule
65% of Building Permit Fee
.001 times the total job valuation
.0005 x Permit Valuation Minimum $.50
$5.00 (State Licensed Residential Contractors)
$1675 per SAC Unit (Plans to MWCC for determination)
ft+6ft= ftx$21=$
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checks savable to: City of Fridley Attach
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 f44 a pen 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 w r d approval of plans.
SIGNATURE OF APPLICANT PRINT NAME BNS` �^ ����✓^� DATE 7'�P /
Building
$ 13J5
BUILDING
Plan Review
Permit No.
Inspections
Fire Surcharge
RESIDENTIAL APPLICATION
.001 times the total job valuation
Received By:,
763-572-3604CITY
.0005 x Permit Valuation Minimum $.50
OF FRIDLEY
$
Date : J U L 0
DATE �'— /
/ YOUR E-MAIL ADDRESS
$1675 per SAC Unit (Plans to MWCC for determination)
SITE ADDRESS LD 1 3 ® Cp A)
$
THIS APPLICANT IS:
OWNER ❑CONTRACTOR
$
PROPERTY OWNER/
NAME: 98J'] 8e-8'J^J
$
TENANT
/-
ADDRESS: 41 vl I f'O 9 40 44" C E CITY�STATE�IP
'S�/? -0
Agreement necessary ( ) Non Necessary ( )
PHONE: CB 17- .2 [p 9 -gra Y`
$ IL411W,
CONTRACTOR
NAME: ®W
STATE LICENSE # EXP DATE
SUBMIT A COPY OF
YOUR STATE LICENSE
ADDRESS: CITY
STATE ZIP
WITH APPLICATION
PHONE FAX
PROPERTY TYPE
EMNGLE FAMILY/NEW CONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS
❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
ARMECK ❑ SIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:
W ❑ ADDITION
❑ MAINTENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE: X 12 ,ee&
SIZE OF IMPROVEMENT LENGTH WIDTH
HEIGHT Sq. FtA�2
ROOFING
❑ HOUSE ONLY
NUMBER OF SQUARES
❑ HOUSE & GARAGE
BASEMENT REMODELING SUBMIT:
GARAGES
❑ ATTACHED GARAGE
1.
2.
Existing Floor Plan
Proposed floor plan
PROPOSED SIZE:
❑ DETACHED GARAGE
3.
List of structural members to be used
PROPOSED HEIGHT:
SIDING
FOR NEW CONSTRUCTION INCLUDING DWKS.
❑ 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 COST OF LABOR AND MATERIALS:
(USTOTAL JOB VALUATION $ING THE 14—,-2-799'
�� E OCCUPANCY TYPE
Permit Fee
$ 13J5
See Back Page for Fee Schedule
Plan Review
$
65% of Building Permit Fee
Fire Surcharge
$
.001 times the total job valuation
Surcharge
$ 1.
.0005 x Permit Valuation Minimum $.50
License Surcharge
$
$5.00 (State Licensed Residential Contractors)
SAC Charge
$
$1675 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
$
ft + 6 ft = ft x $21 = $
Erosion Control
$
$450 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement necessary ( ) Non Necessary ( )
Total Due
$ IL411W,
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 City of Fridley and with the Minnesota Construction Codes; that I understand this is not a
permit but only an application ft a pe 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 ;Ovjr
sA and approval of plans.
SIGNATURE OF APPLICANT PRINT NAME AN k1A1V 4ey&✓PJ DATE -7--&—J-7
VL
Cl? ( -)u w - - -yy- ry T -
IL
•
MINDER ENGINEERING CO.,INC.
ENGINEERS AND SURVEYORS
LAND SURVEYING SOILS TESTING
CIVIL &. IVIVNICIPAL ENGINEERING LAND PLANNING
6418 -SGT" AVENUE N.
MINNEAPOLIS 77. MINN.
KE 7-' 3637
Cortificistfe
Ao RT1-1z-R1v LAA,' REALTY Ca -
V
'5'--"l /c- .-
16 2 -
WE KE;Xe5Y CERTIFY THAT THIS 15 A TRUE AND CORRECT REPIZESENTNTIOM Of; K SUP-YEY OF THE BOUNDARIES OF THE
LAND ABOVE DESCRIBED AND or- TKE LOCATION OF ALL BUILDINGS, IF AMY, THEREON, WO ALL VISIBLE ENCROACHMENTS,
IF ANY, FROM OR ON-SX10 LAN ID.
DER ENGINEERING CO., INC.
DATED.TH15- DP-I(dF AND su;tvsyops
by
v
'5'--"l /c- .-
16 2 -
WE KE;Xe5Y CERTIFY THAT THIS 15 A TRUE AND CORRECT REPIZESENTNTIOM Of; K SUP-YEY OF THE BOUNDARIES OF THE
LAND ABOVE DESCRIBED AND or- TKE LOCATION OF ALL BUILDINGS, IF AMY, THEREON, WO ALL VISIBLE ENCROACHMENTS,
IF ANY, FROM OR ON-SX10 LAN ID.
DER ENGINEERING CO., INC.
DATED.TH15- DP-I(dF AND su;tvsyops
by
KIM
. Design- #: 20012 �;� 7116/2009
* * * Take this sheet to the Building Materials desk to purchase your materials.
You selected a 1 level deck with: Below is a section of the railing style and
Pressure Treated Framing Material options you have selected for your deck.
6 x 6 ridMilly Posts
514' x 6" Pressure Treated'Deck Boards
Poured Footinc " Tube'
remium Gold Square Drive Screws
Galvanized Framing Fasteners
e
Handrail selections:
36" Vertical Handrail with Sweep Railing
2"x2"06" Pressure Treated Sq. End Spindles
4"x4"x48" Pressure Treated Utop Notched Railing Post
2"x6" Pressure Treated Hand Rail
Spindle placement is approx. 4" apart depending on style
You may buy all the materials or any part at low cash and ca7e
Because of the wide variable in codes,
Menards cannot guarantee that materials listed will meet your code requirements. Check with your local municipality
for plan compliance and building permit. These plans are suggested designs and material lists only. Some items may vary
from chose pictured. We do not guarantee the completeness or prices. of these structures. Tax, labor and delivery not included.
rWVay I l IU ivtcut by, 1 ` 14 ih l�. to, " r IJ IA._ _
3.+ tVw O'(A Y-\ 1 11 -
Illustration intended to show general deck size and shape.
Some options selected may not be.shown for picture clarity.
Today's cost fo in this design with options $1,221,87
*The base price clu 0 PSF de , AC2 treated • honz 12z6 *(BASE price
deck boards, 4 . s and beams, galvanized framing fast ers, ***If purchased toda e: 37.66"*
e drail to joist without posts, and re ' screws. ***Monthly Bl on would be: 34.31***
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Building
PLUMBING
Permit
Inspections
RESIDENTIAL APPLICATION
Received By: -
763-572-3604
CITY OF FRIDLEY
Date RREIO U 2 Z
763-502-4977 FAX
EFFECTIVE 2-19-09
DATEZO YOUR E-MAIL ADDRESS
SITE ADDRE S 6 /,30 6 73 AW 5T. N'
THIS APPLICANT IS: ❑ OWNER ONTRACTOR
PROPERTY
NAME:
OWNER/
TENANT
ADDRESS: CITY STATE ZIP
PHONE:
CONTRACTOR
NAME:�� %-Z � C j�r013//U C M)C
SUBMIT A COPY OF
/�&7
STATE LICENSE # (rJL�llJ�7' ft IL `JJ Z
YOUR STATE
EXP DATE O 2
LICENSE, BOND AND
STATE BOND # EXP DATE
CERTIFICATE OF
ADDRESS: S / ul VC CITY 6957—O STATE
7 6 ZIP S D �/
INSURANCE
PHONE 76S- 3_-0644 FAX
PERMIT TYPE
SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK:
❑ NEW PLACEMENT
DETAILED DESCRIPTION OF WORK�p��
FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE
$35.50.
2- BATH SINK/LAV I FLOOR DRAINS SHOWER WATER PIPING
_ _
2 -BATHTUB _ GAS PIPING (NEED CITY LIC) SWIMMING POOL WATER SOFTNER (r$I
_
CLOTHES WASHER KITCHEN SINK WATER CLOSET _ BACKFLOW PREV.
_ DISHWASHER I LAUNDRY TRAY -WATER HEATER ($35) FOR IRRIGATION
WATER METER -OTHER
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THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
I hereby apply for a plumbing 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 on site; that the work will be in accordance
with the approved plan in the case of all !��s review and approval f pl s.�+-7SIGNATURE OF APPLICANT ��PRINT NAME G �7 DATE / ZO Z4D1q
0. 8
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977
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Building
PLUMBING
Permit No.: ( W
Inspections
RESIDENTIAL APPLICATION
Received By
763-572-3604
CITY OF FRIDLEY
DatendAI1
h. 120
763-502-4977 FAX
I
EFFECTIVE 2-19-09
DATE -11-09 YOUR E-MAIL ADDRESS
SITE ADDRESS 6 tc?jO ST. NC—
THIS APPLICANT IS: ❑ OWNER ®CONTRACTOR
PROPERTY
R,00
NAME: ,00 k Q o LAD IU 'TW i N L' i itt-mor*l IAC-)
OWNER/
ADDRESS: �o I ?j O S -r, CITY -F 12 (DLCV STATE iM1NLIP
TENANT
PHONE:
CONTRACTOR
NAME:S`1bN� l� Q.eS. }7L� yM13 I A (a ( �
SUBMIT A COPY OF
YOUR STATE
STATE LICENSE # EXP DATE
LICENSE, BOND AND
STATE BOND # EXP DATE
CERTIFICATE OF
ADDRESS: CITY STATE ZIP
INSURANCE
PHONE FAX
PERMIT TYPE
07 INGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK:
❑ NEW WCPLACEMENT
DETAILED DESCRIPTION OF WORK eti L) n s urvsr1FOutte S e
U� l7t Pf�►2
FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER- OF EACH BELOW). MINIMUM FEE
$35.50.
_ BATH SINK/LAV F OR DRAINS PIPING
_SHOWER _WATER
BATHTUB _ GAS PIPING (NEED CITY LIC) _ SWIMMING POOL _ WATER SOFTNER ($M
CLOTHES WASHER KITCHEN SINK WATER CLOSET BACKFLOW PREY.
_ _ _ _
_ DISHWASHER — LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION
WATER METER OTHER
t£ e ,. a 1 k�~�"•. :. 5�p,5 Pr,°�si3 fl, z " * �w `s a ;
wiij l �• �°' 3rh'x��P�9Eh' 4 Y+.EF. _ S£`iT'` }`i '"
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^'sY. '' sd £ v"i4� i''3 *A`•F�K V.""� 'a'+`4��r' .
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED
I hereby apply for a plumbing 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 on site; that the work will be in accordance
with the approved plan in the case of equires review and approval
of pla s.'00 c,
SIGNATURE OF APPLICA PRINT NAME / `tel I /fes DATE 409
- �� ""
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977