PRE 2010 DOCS0
City of Fridley, Minn.
•
WELDING PERMIT No 3 811
Date:....�1�.-.. .........
Owner ....................................... Builder .. .. � ..........
Address ...................................... Address .............................................
TION OF BUILDING
No. %. ��
�1 �.. Street ............. ...���.......... Part A Lot® ..... ............ ..... ...
Lot ..��%�...... Block ..A-�Z............ Addition or Sub -Division .... ��.
Corner Lot ............ Inside Lot . X ........ Setback Sideyard ®...:®............... .
DESCRIPTION OF BUILDING
To Used . ®y� ��
...... ...... Front ...... Depth s.. Height 11�.`.D sq. Ft `. a.0.. cu. Ft. %:�7 A
............. ...... Front ........ Depth........ Hpe�ight�/........ Sq. Ft. ........ Cu. Ft. ........
Type of Construction ................... Est. Cost. e1. �.iT .. o be Completed ..............:... .
In consideration of the issuance to me of a permit to construct the buildin desrlbed above, I agree to do
the proposed work in accordance with the description above set forth and compliance with all provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of$.�0....�`..,ppermit 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.
4n... g r
NOTICE:
This permit does not cover the construction, Installation pr alteration for wiring, plumbing, ga heating,
sewer or water. Be sure to see the Building Inspector fof'"separate permits for these items
APPLICATION FOR BUILDING PERMIT
CITY 4F FRIDLEY, MINNESOTA
Owners NBuilder ./� �✓�
-r..-_�,,
Address Address ����' -►�-Z— ,
•dLOCATION OF BUILDING
No G��® Street r Part of Lot
Lot. 4 Block or Sub. Div. 196
Corner Lot' Inside Lot S t Back
AppIicantattach to:this form Certificate of Survey of Let and proposed
buiiding`loca.tion.
DESCRIPTION OF BUILDING
To be used�as-
. Front 4eDepth � Aeight��-5....,..�
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 representations stated in this application
are true and rrecte
Dater Signature
A Schedule of Fee Costs can be found on the Reverse Side)
City of Fridley
Application for PlI tubing and Gas Fitting Permit
Dept. of Bldgs. Phone SII 4-7470
DESCRIPTION OF WORE
Number, Kind and Location of Fixtures Location
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
fu
Z
RATE TOTAL
Number Fixtures ......................
12
x '^
Z rL
hada
Z
Z
O=
,1
t9
Z
g
F
N
WATER KM
$
EHEC4..
x
3.25
$
Water Heater (Up to 200,000 BTI) ......
ti
3�
o�
in
New Ground Run Old Bldg . ............
t��
a3
�a
09
�O
GAS FITTING FEES:
GAS
RATE TOTAL
1st 3 Fixtures ...........................
x
$1.50
$ O
Additional Fixtures ....................
x
.50
$
Gas Range to 200,000 BTU ..............
x
2.00
$
Base
/
1st
2nd
3rd
4th
° Future Connection Openings
Connected with
New Fixture, Old Openings
Sewer E]
Cesspool E]
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE TOTAL
Number Fixtures ......................
x
$1.50
00
Future Fixture Opening ................
x
1.20
$
New Fixture Old Opening ..............
x
1.00
$
Catch Basin ............................
x
3.25
$
Water Heater (Up to 200,000 BTI) ......
x
2.00
c ® 0
New Ground Run Old Bldg . ............
x
3.25
$
GAS FITTING FEES:
NO.
RATE TOTAL
1st 3 Fixtures ...........................
x
$1.50
$ O
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 application are true and correct.
dley, 11 inn
Owner 19—
Kind
9Bind of Building - �'j�`! A , 19—
Used as r` Ct -•4
To be completed about
Estimated Cost, $
(!)(n ��
New. Building Permit No. 13-Pil
Signed,d ' .
By
B ess one No
Connection Permit No . .......................................................
APR 2 7 1959 Water
Sewer
11 1M -8-5e
Meter Deposit
City of Fridley, Minim..
1101 DING PERMIT
FAFA
60 W'A
f
N°88
Builder ---
Address
LO ION OF BUILDING
No. Street �. Part o t
Lot _ __ Block _ _ _ — Addition or Su
Corner Lot — Inside Lot —_ 9tCback T Sideyard
Sewer Elevation _ _ Foul9tion Elevation _—
DESCRIPTION .OF BUILDING
To U
Front Depth Height Sq. Ft 1 Cu. Ft.
on
Depth Height Sq. Ft. Cu. Ft.
Type of Construction Est. Cost" o be Completed —
In consideration of the issuance to me of L 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 $o , permit is hereby granted to—.
to constructthe 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 viola' ,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 fon separate permitsfor these items.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
Owner's Name TSTA % .&Y 4, -SEL//y Builder
Address (a T N Address
LOCATION OF BUILDING
No. 5 v Street 6 Part of Lot o rs,01-
Lot Block Addition or Subdivision
Corner Lot Inside Lot ✓ Setback ,/ Side -Yard .3
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 use _as,r---
Front 30 Depth a Height
Sq, Ft. Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction E/L ayu Estimated Cost
To be Completed /Z / - �
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 Ste` ? - ( a
(Schedule of Fee Costs can be found on the Reverse Side).
SUBJECT
City of Fridley
266 9 0
AT THE TOP OF THE TWINS
BUILDING
P E R
M l
PT NO.
COMMUNITY DEVELOPMENT DIV.
_
fr PROTECTIVE INSPECTION SEC.
r
NUMBER
REV
GATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEV 55432
%.j
612-571-3460
910-F15
7/20/98
10B ADDRESS 6150 6th St NE
1 LEGAL
LOT NO.
TRACT OR ADDITION
SEE ATTACHED
DESCR.
JBLOCK
14 2
1 Upland, 2nd Add.
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
Stanle A Selin
571-2085
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO.
Dale Bauer 8674 Greene Av S Cottage Grove MN 55016
459-5469 20023198
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 Rl REPAIR
O MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and garage (28 Sq) 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 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
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
$2335
$1.17
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING COW
ire SC $2.33
ST UCTION R THE P FORMANCE OF CONSTRUCTION.
$74.75
PLAN CHECK FEE
TOTAL FEE
/
V34tt'LlLicense
SC $5.00
083.25
NATURE OF C6NTRACTOR OA AUTHORIZED AGENT IDATEI
WHEN PROPEW VALIDATED THIS IS YOUR PERMIT
a SLAG INSP
FATE
SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 0
BUILDING PERMIT APPLICATION
ConstructionAddress:
Legal Description:
Owner Name & Address: �� 1 r -rl Tel. # -T71 XT -
Contractor: b 41 tf- LMLA I MN LICENSE # ,,qdo,�D2 19W
Address: 2r?V em't- Tel. # `9
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: Le Wi th Hgt/Ground Sq. Ft.
OTHER: f f'� ���
Construction Type: '" Estimated Cost: $
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
DATE: APPLICANT: �9� d �, Tel. # Y,' r9- -<EY
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
CITY USE ONLY
$/-/ S, Fee Schedule on Reverse Side
$ -. 3 .001 of Permit Valuation (1/10th%)
$ . / $.50/$1,000 Valuation
$ $1000 per SAC Unit
$ CSC $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 [ ]