PRE 2010 DOCS• City oFridley, F , Minn. •
BUILDING PERMIT N®
� ��
Date:............f//6�7
...-•--------------------------------------------_...----------••-----....---•--------.._..-------
Owner:
Address
4350
e
Builder .... ........... .._.. - -... .......
Address........ .............. _.............------........---••---...---._...-----....._......._......._......._..-..._......_ '
LO ...T..IOONJOF UILDING
No. .6R# Street �.......TI4........................
Part of Lot ................................... ... _......... _.�....._.............
_._
Lot ...._ ............... Block ....._... .__................................ Addition or Sub -Division _....................... ..... P � ••••••..••••• - - ..._.....
—10 * -
CornerLot ................ ............... Inside Lot.......... ................ Setback .................-.._....................... Sideyard®..........._...............---........................ _..........
Sewer Elevation ................................................... ...................... _............................. Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
�/
-- --.........._......�"'� ..- -.......... Front .... _....�.�.. � Depth �Height �Sq. Ft. Cu. Cu. Ft. �0..-�.7.
............................................................ Front ....................... Depth ............ _/ Hei ht .... _.. Sq. Ft. ........................ Cu. Ft.........................
Type of Construction ................._....... .............. Est. Col®........._...... 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 withall ovisions of
ordinances of the city of Fridley. r"_./
Y G- S. ,—�.a_
In consideration of the payment of a fee of$.../.._fJ.........�....... .., 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.
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 Builder -
Address" -- .,Address J 1
LOCATION DF.BUILDING
No. Street Part , of. Loot .
Lot Block_ ' . Addition or Sub.Div. C
Corner Lot _-Inside Lot -Z Set Back Side -Yard
SEWER ELEVATION®® FOUNDATION ELEVATION p
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
DESCRIPTION OF BUILDING
To be used as: J
Front Dept Height
—ia
Sq. Ft.4 Cu. Ft.
°Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction Estimated Cost
To be completed0.
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 stat/ed in this pplica.tion are true and correct
DATE C \' SIGNATURE
(A Sc6dule of Fee costs. can be found on the Reverse Side.)
Application for Power Plants and Heating. Cooling. Ventilation. Refrigeration 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 AIR
Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $
1 each add. 60,000 BTU ................... 2.00 $
Replacement of Furnace ............................. 5.00 $
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. EDR 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 $ <0
GAS FITTING FEES:
NO RATE TOTAL
1st 3 Fixtures ......................
x $1.50
$ U
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
$ l
Dept. of Bldgs. Phone SII 4-7470
/
Location t_4
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.
d y, Minn. � ' 2- �� 195-
/
Owner % I ��= �� 195_
Kind of Building
Used as
To be completed about
Estimated Cost. IL -
195—
Old—New. Building Permit No. Z l V a
DESCRIPTION OF WORK
HEATING or POWER PLANT$—Steam, Hot Water, Warm Air—No
Trade Name 7f1! Size No
Capacity Sq. Ft. E.D.R BTU 12 62 H.P.
Total Connected Load ? � !? �� Kind of Fue
BURNER — Trade Name Size No
Capacity Sq. It. E.D.R. BTU H.P.
REMARKS:
-4§110-11 POST 1M-12-58
9 Application for Poorer Plants and Heating. Cooling, Ventilation. Refrigeration and
Air Conditioning Systens and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR: RATE
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
Dept. of Bldgs. Phone SII 4-7470
TOTAL Location
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $
each add. 60,000 BTU ....................... 2.00 $
Replacement of Furnace ............................. 5.00 $
Repairs & Alterations—up to $500.00 ................. 5.00 $
Repairs & Alterations each add. $500.00 .............. 2.50 $
STEAM or HOT WATER SYSTEM
f Furnace Shell & Lines—to 400 sq. ft. EDR 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
$
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
$
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 tl e and correct.
k�idley, inn
I
Owner
Kind of Building '
Used as
To be completed about
Estimated Cost, ,--
Old—New. Building Permit No.
DESCRIPTION OF WORK
195-
195—
HEATING or POPWPR PLANTS—Steam, Hot Water, Warm Air—No
Trade Name
t �Size No_
Capacity (: `S. Ft. E.D.R BTU H.P.
Total Connected Load Kind of Fuel
BURNER — Trade Name Size No
Capacity Sq. It. E.D.R BTU H.P.
REMARKS:
11 POST 1M-12-58
nusmess rnone ivo
a I', I�0-6_ —T-Tz" S 1 ly v% S (fa 0 3 S -T Co.
NKAT L®BR CA LAMMS DIPARTM 61lllll.®INt3B IRRI®L�, AUNN.
WeodierstripaGuede Construction No. laeulatioa
sDms Reference Out. Wall Int. Wad Ceding I Roof Floor P1114 How
I9 1
Fl. Room length 19SWidtth I 6 Height S! v, Room IL.neg WAh I I 1i Hart
Windmn and Door` --trackage and Area
ea}
t tl
kith "eight No. of inoal ti. Area
e. or some of pane lights of crack vs. ft.
Z 3z
ii1
® L 36 6
.5o
Infiltratioe
Z
Coef. Btu
I arise
0
zoo 0
Glace
Inanition
Gsa
O
I 5
iwrwvu 19
Net exp. wall
19
to 19 1
lot. wall
1-1
IZZAItol
s
Ceding
0
ZZ BO
Floorz z $ (o
Taal Btu. e 9
Required sq. h. E.D.R. or sq. ins. W.A. Deader area
Fl.I Vvr. h i.,,1 Room I L.eturth 12. It Width I I I Hem R
Windows and Doors---Crackage and Area
f I = Height t'!5
i
13 L
Height Me. of meal fl. Area
No. of Paso of pan* light. of eraelt sv. tt.
4-
® L 36 6
.5o
Infiltratioe
Z
Glass
19Coef.
lobltratson-.16
4ol
Btu
Inanition
Gsa
Exp, wall
5o
*o
so
C,0 O
$1'.er'a
Ceiling
Floor
s
0
S .
O
Mat exp. wan '5
Lt. wall
Ceiling3
O
30
Floor
4
001
Teem ShL i 9188
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
tl. boom I Length n- Width
f I = Height t'!5
Wiadowt► and Doom--Crackage and Area
e7. a 2-4 3 Z. Z
Width e ght No. ofmeal ft. Area
1111411'.st M of peso Ilghto of snort p. ft.
sZ 4
Infiltratioe
Ces>¢. 9qt
Glass
Coef. B:u
lobltratson-.16
4ol
Glass I IL
`50
Exp, wall
Net a*. wall
Mal
Int. wan
I &1k
Ceiling
Floor
I q 0
Tod Btu.
Regarded sq. ft. E.D.R. er sq. ids. W.A. Leader area
Window and Deort—Cratka�e and Asea
tt
ti
Width Height Na AM&
Ne. of pa" of pane lights of *rest @W ft.
e7. a 2-4 3 Z. Z
Infiltratioe
Ces>¢. 9qt
Glass
og
EZP. wall
Nd exp. wall
1
lat. wall
Ceding t2 110
Mal
Floor Z.I
I &1k
Total Btu. 45501-11.
Required sq. ft. E.D.R. or sq. ins. W.A. LAader arae
A
F1.1 G K Reelus I Unath 11 ll:. ®its 9 S Eaiiiiii Itt
Windows and Doors- Gackaae and Ates
width Height No. of Limml ft. Aria
No. of Pane of pate 14rkto of *raeh sq. ft.
a4 z Zz
s ft
Infiltration Z440
Glass �.
1 Z
: Cts
Exp, wall
Net exp. wall
1
Int. wall
Ceiling
Mal
Floor Elii
I &1k
Total Btu.
Required sq. ft. E.D.R. or sq. itis. W.A. Lader astia
Fl. Room IWiA6
Window and Doom—Crackage and Area
A.ia
of 11 b of *resit. tt.1 11101 2401 -Z-1 j1d 118
Infiltration 14,
Glass
Exp. wan
Not exp. wan
lat. wall
Ceiling
Floor (�
Total Btu.
Required sq. ft. MIL or sq. ass. W.A. Ladder area
City of Fridley, Minn.
BUILDING PERMIT N° 51'72
Date:
s
Owner: Builder
Addressi , "` ' Address
�� �� O i N BUILDING
No. ti�Q`. StreetPr- �f Part of t
Lot ANKion on or Sub -Division 09
Corner Lot Inside Lot — back deyard _
Sewer Elevation Fo tion Elevation
DESCRIPTION OF BUILDING
To V
` Front Depth ! Height Sq. Ft.— Cu. Ft
Front Depth Helpt Sq. Ft. ._ _ Cu. Ft. _
Type of Construction ','+ Est. Co t ___ _ 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 to compliance with all provisions of
ordinances of the city of Fridley.
In consideration 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 ltmits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances. r•, .rl.l7 ' --1%
NOTICE:
This pennh does not cover the construction, installation for wki»gi,plumbing, gas ; heating, sewer or water. Be sure to we
the Buihling Inspector for separate permits for these items.
•
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
Owner's
ATION OF B ING
-
No. Street C� / � - �;. , - Part of Lot
Lot Block / Addition or Subdivision
7!!�=
Corner Lot ____,,,._Inside Lot � Setback Side- d
SEWER, ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
To be used as:
DESCRIPTION OF BUILDING
Front. W Depth L Height L�
Sq. Ft. J P Cu. Ft.
Front, Depth Dight
Sq. Ft. Cu. Ft.
Type of Construction Estimated Cost f �/
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 correct.
DATE ZZ SIGNATURE..� ✓h,�
(A Schedule of Fee Costs can be found on the Reverse Side.)
City of Fridley, Mian.. N° 7605
BUILDING PERMIT ,5�r2 S"Y
•
Date: June 1, 1965
Owner: James Bates Builder Glisan Realty & Home Bldtrs.
Address 6271 6th. Street N. E. Address 5119 10th St. N. W. New Brighton,
Minnesota
LOCATION OF BUILDING
No. 6221 Streed: 6th Street N. E. Part of Lot
Lot e _ Block 1 Addition or Sub -Division Mand, 2nd. Addition
Corner Lot _ Inside Lot + Setback Sideyard
Sewer Mevation — 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 Eat Cost $3o500.00 _ To be Completed
• Storm Damage Repair
•
In consideration of the issuance to me of a permit to construct uilding described above I agree to do
the proposed work in accordance with the description above set fo pliance wi provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of $ID.M, permit is hereby granted to Glisan Rea] -t9' &
Home Buld t rs . 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 ��gg location, construction, alteration, maintenance, repair and moving of buildings
within
he city limit zma permit may be revoked at any time upon violation of any of the provisions of said
NOTICE
Thb permit don not emu the eendnmd n, hutalldien for whhM phmbing, gas hatteg, sewer or water. Be sun to no
the Building bupster for apm to pwmhs for thea hems.
0
0000
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, HEMS OTA
OWNER'S BUILDER
ADDRESS_ RESS
LOCATION OF BUILDING
No. Street rt -of Lot_
,'i
LOT BLOCKADDITfON OR SUBDIVISION z, 4f
Corner Lot.Inside LOT Setback Side -Y rd
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 e u ad 88:�2e
Front Depth Height
Sq. Ft. Cu. Ft.
Front Dept T�^ 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.
FVa M-1, 1 DO
(Schedule qf Fee
Costs can be found on the Reverse Side
!;70
rI
r
CITY OF FRIDLEY
APPLICATION FOR
POWER PLANTS AND HEATING,
COOLING, VENTILATION, REFRIGERATION AND
.AIR
CONDITIONING SYSTEMS AND DEVICES
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR:
RATE
TOTAL
Job Address f
Furnace Shell & Duct Work
$12.00
$
Replacement of Furnace
7.00
$
Repairs & Alterations -up to $500.00
7.00
$
Department of Buildings
Repairs & Alterations each add. $500.00
4.00
$
City of Fridley
Tel. #571-3450
MECHANICAL WARM AIR:
The undersigned hereby makes application for a permit for the work herein
Furnace Shell & Duct Work to 100,000 BTU
$12.00
$
specified agreeing to do all work in strict accordance with the City Codes
each add. 50,000 BTU
4.00
$
and rulings of the Department of Buildings, and hereby declares that all the
Replacement of Furnace
7.00
$
facts and representations stated in this application are true and correct.
Repairs & Alterations -up to $500.00
7.00
$
19 !
Repairs & Alterations each add. $500.00
4.00
$
Fridley, Minn.
P
STEAM OR HOT WATER SYSTEM:
OWNER
Boiler & Lines up to 100,000 BTU
$12.00
$
KIND OF BUILDING J 17
each addn. 50,000 BTU
4.00
$
Boiler only up to 100,000 BTU
7.00
$
USED AS
each addn. 50,000 BTU
6.00
$
TO BE COMPLETED ABOUT
OIL BURNER- to 3,ga1. per hour
$10.00
$
each add. 3 gal. per hour
10.00
$
ES TED COST
GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00
$
OLD - BUILDING PERMIT NO. PERMIT NO.
(over 199,999 BTU see Fee Schedule)
$
GAS FITTING FEES:
e
1st 3 Fixtures
x $ 3.00
$
DESCRIPTION OF FURNACE/BURNE
Additional Fixtures
x $ 1.00
$
:?.
Gas Range to 199,000 BTU
x $10.00
$
HEATING or POWER PLANTS, Steam, Hot Water, Warm Ai
AIR CONDITIONING �L- —1
$ I, o
Trade Name Size No.
FAN HEATING SYSTEMS
$
VENTILATING SYSTEMS See Fee Schedule
Capacity Sq. Ft. EDR BTU
ALTERATIONS $ REPAIRS
$
State Surcharge
$ .50
Total Connected Load Kind of Fuel
?ISize
TOTAL FEE
$4LI—ITO
BURNER - Trade Name No.
ROUGH INSP. REINSPECTION FEE
Capacity Sq. Ft. EDR _ 6!wHTUP
9 o
Date ($10.00)
�19 Center oPIVA
FINAL INSP.
Companyrt .14'014@QFOA,
Date
Signed By
APPROVAL FOR PERMIT
Tel. No. �/ �� 'Z'0
MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE
SUBJECT
P
City of Fridley
G 188 56
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
�
REC
__���_ COMMUNITY DEVELOPMENT DIV.
INSPECTION SEC.
r PROTECTIVE
1 �
i S CITY HALL FRIDLEY 55432
"`j
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
4/3/87
JOB ADDRESS 6211 - 6th Street N.E.
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
8
1
Upland 2nd SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Jim Bates sante 571-1194
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
self
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 Phi ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof dwelling
9 CHANGE OF USE FROM TO
STIPULATIONS
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
SQ. 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
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
$600.00
$.5O
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
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.
PLAN CHECK FEE
TOTAL FEE
$15.50
SIGNATU OF CO RACTR ORIZED AGENT (DATE)
Nt OR OA
W EN PRO ER DA THIS IS YOUR PER AIT
LDG INSP BATE
SIGNA4nEOF OWNER IIF OWNER BUILDERI (DATE)
NEW [ ]
ADDN. [ ]
ALTER. [ ]
Construction Address:
Legal Description:_
Owner Name & Add;ess:
Contractor
Address:
City of Fridley
�R-1 AND R-2
Building Permit Application
C" 7 i - �wr__
q. k4l
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA: Length
GARAGE AREA: Length
DECK AREA: Length
OTHER:
Corner Lot [ ] Inside Lot [ ]
Type of Construction:
DESCRIPTION OF IMPROVEMENT
Effective 4/1/86
Tel. #
Tel. #
Width
Height
Sq.
Ft.
Width
Height
Sq.
Ft.
Width
Hgt/Ground
Sq.
Ft.
Ft. Yd. Setback Side Yard Setback
Estimated Cost: $ 6 (3 o -
Approx. Completion Date: � !�
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: IDi$ $
See Back Page for Explanation
DATE: '7 '�APPLICANT: ��~ Tel. #
CITY USE ONLY
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
Fee Schedule on Reverse Side
25% of Building Permit Fee
$.50/$1,000 Valuation
$ 525 per SAC Unit
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
SUBJECT
P
City of Fridley
2 3 1 5 6
AT THE TOP OF THE TWINS
BUILDING
PERMIT
RECEIPT NO.
• _ COMMUNITY DEVELOPMENT DIV
r PROTECTIVE INSPECTION SEC
NUMBER
REV
DATE
PAGE OF
APPROVED BY
1
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
1/4/95
JOB ADDRESS 6211 6 Street NE
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
8
1
Uplands 2nd Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
James/Rose Bates 6211 6 Street NE
571-1194
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
The Cities Home Improvement 6148 Olson Memorial Hwy,
Golden Valley 591-0332
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
55422-4919 591-0332 183
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION O ALTERATION? REPAIR ❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Reside Dwellin
9 CHANGE OF USE FROM TO
STIPULATIONS
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING
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
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
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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$7,900
$3.95
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-
Fire SC $7.90
STR CTION R THE PERFORMA E OF CONSTRUCTION
$99.00
PLAN CHECK FEE
TOTALFEE
�^License
SC
5.00
$115.85
SI NATURE OF CONTRACTOR OR AUTHORIZED AGENT ID EI
- WHEN PROP
LY V LIDATED THIS IS YOUR P RMIT
B G.INSP
P &5000,
40ATE
-
SIGNATURE OF OWNERIIF OWNER BUILDERI (DATE)
NEW [ ]
ADDN (] CITY OF FRIDLEY
ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
ConstructionAddress:
Legal Description:
Owner Name & Address:
Contractor:
Effective 1/1/94
c �ac- q Tel. #,
vn e n MN LICENSE # ff 3 /`'
c Tel. #
r
Attach to this application, a Certificate of Survey of the p
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:
Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks
Type of Construction: -7 7 00 0=
Estimated Cost: $
Approx. Completion Date:
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft n Ft x $ — $
DATE: [ S` APPLICANT:,'x Tel. #
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ S.00
$
Fee Schedule on Reverse Side
..001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$ 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 [ ]
CITY OF FRIDLEY INSPECTION DIVISION
6431 University Ave NE
Fridley, MN 55432
572-3604
RATE SCHEDULE
Residential
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
Furnace Shell and Duct Work, Burner —
Also Replacement Furnace
(Side Vent — Fill Out Back)
Gas Piping (Needed with new furnace)
Gas Range
Gas Dryer
*Air Conditioning — All Sizes
All Others/Repairs & Alterations (LIST ON BACK)
1 % of Value of Appliance or Work
Commercial/1 ndustrial
1.25% of Value of Appliance or Work
X4S
hC�►°rgoaLi
Rate TOTAL
$30.00 $ 30.00
$10.00 $
$10.00 $
$10.00 $
$ 25.00 $ , 01)
Effective On January 1, 1 9g
JOB ADDRESS_ [p,� ) I (B . ff. .
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 a and correct.
f ,1998
OWNER 3-/m 13a—&
BUILDING USED AS
ESTIMATED COST g��� PERMIT N0. /33 & Z"j
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units Circle One (St
Trade Name `Tru
BTU_ 75' arae HP
$ Fuel Total Connected Load
!am) (Hot Wate arm Air
Size No. n -T U77S
EDR
State Surcharge $ .50 Burner Trade Name
TOTAL FEE $ 55, -,;DBTU
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
Size No.
E
EDR
HEATING COMPANY Rr 1)ey e1W S�td CYl
Signed By Tel No. `75y c
Approved4SIDEFO
Rough—in Date Final Date
FILL OUT BACKTACKVERIFICATION ON
REPLACEMENT FURNACE
Remarks:
List ALTERATIONS in one:
HEATING CO:
Signed By:
Date:
CEMMMY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or
stack:
1.
Has been carefully examined
Yes K No ( )
2.
Is free from rust or deterioration
Yes (,-)No ( )
3.
Has no foreign objects lodged within
Yes
4.
Is securely supported .
Yes ( �To ( )
5.
Meets all current Code requirements for size
and total BTU's connected
Yes () No ( )
6
Has total heating BTU's of
All other BTU's
TOTAL BTU's
7.
Has a liner been provided for water heater
Yes
S.
Has combustion air been provided for water heater
Yes () No ( )
Remarks:
List ALTERATIONS in one:
HEATING CO:
Signed By:
Date:
SUBJECT
City of Fridley29250
AT THE TOP OF THE TWINS
BUILDING
PERMIT
i t
........ COMMUNITY DEVELOPMENT DIV.
>r
e
r � � PROTECTIVE INSPECTION SEC.
jJ
CITY HALL FRIDLEY 55432
NUMBER
REV
DATEPAGE
Oi
APPROVED BY
L 612-571-3450
910-F15
4/19/ 99
JOB ADDRESS 6211 6 Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DEscR.
g
1
1 Uplands 2nd Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Jim Bates 6211 6th Street NE
571-1194
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Hendricks Roofing & Remodeling 9737 James Ave S, Bloomington, MN 55431 881-7274
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
20032276
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
B USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW ❑ ADDITION O ALTERATION J3 REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Reroof House & Garage (26 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 REOUIRED 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
1 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
$2,228
$1 • 11
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-
$74.75
Fir SC $2.23
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOA FEE
Licen SC
$5. 0
$83.09
SIGNATURE OF CON TRACTOR OR AUT.OAIZEO AGENT IDATEi
WH N PR
Y VALI T THIS I$ R P
JA:
S-GN4TUAE OF OW NEA ,,F OWNER BWIDE Ni iOATE,lOG
INS0,
NEW [ J Effective 1 / 1 /98
ADDN [ L CITY OF FRIDLEY
ALTER f SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: I d Iy
Legal Description:
Owner Name & Address: 1 t k/yL _) Tel. # b y
Contractor: at dr I � c Ids A'6 ® -nej 4- &* .0 de I t n MN LICENSE % 4
Address: %7.3 7 T4" -h, -j ai-e Ii. ,S/MrAth2kn . eU t Tel. #//02- c / - 7cl%
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. l PD
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER:
0 v
Construction Type: IL L&A-- Estimated Cost: $ a
Q (Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 64t = Ft x $ = $
DATE: APPLIC d 4Z (k� PM
r -t , 1 41
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
CITY USE ONLY
Fee Schedule on Reverse Side
Tel. # M--�
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1000 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering rr
Agreement Necessary [ J Not Necessary [ ] J
C
L�:
CITY OF FRIDLEY PERMIT NO.: 2004-02131
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432 DATE ISSUED:
11/18/2004
763 572-3604 FAX: (763) 571-1287
ADDRESS : 62116 ST NE
PIN : 143024340041
LEGAL DESC : UPLAND 2ND ADD
: LOT 8 BLOCK 1
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDITION/ALTERATION
VALUATION : $ 0.00
NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC CHAPTER 6 AND TABLE 6-A
# ELEC WATER HEATERS 1
VALUE OF FIXTURE/APPLIANCE
0
# NEW FIXTURES (EXIST OPENINGS) 0
# GAS WATER HEATERS
0
# GAS DRYERS 0
# GAS RANGES
0
# OF NEW FIXTURES 0
VALUE (FOR MINIMUM CALC)
300
# WATER TRMT APPLIANCES 0
APPLICANT
PLBG PERMIT MINIMUM FEE
PLBG FIXTURES (NEW OPENINGS)
0.00
0.00
NORBLOM PLUMBING CO
2905 GARFIELD AVE S
PLBG FIXTURES (EXIST OPENINGS)
0.00
MINNEAPOLIS, MN 55408-2173
WATER TREATMENT APPLIANCE
0.00
(612) 827-4033
WATER HEATER - ELEC
35.00
WATER HEATER - GAS
0.00
GAS RANGE FEE
GAS DRYER FEE
PLBG REPAIR/ALTERATIONS
0.00
0.00
0.00
OWNER
BATES JAMES W & ROSE ANN
6211 6TH ST NE
STATE SURCHARGE, PLBG FLAT
0.50
FRIDLEY, MN 55432
TOTAL
35.50
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of work
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or cancel the provisions of any other state or local law
regulating construction the pe rf ance of construction.
Applicant Date
Bldg In Datq/
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
Building
$
BUILDING
Permit No.: "
Inspections
65% of Building Permit Fee
RESIDENTIAL APPLICATION
Received By:-A��
763-572-3604
Fire Surcharge
CITY OF FRIDLEY
Date Recd: --
DATE / S
YOUR E-MAIL ADDRESS
$5.00 (State Licensed Residential Contractors)
SAC Charge
$
$1450 per SAC Unit (Plans to MWCC for determination)
SITE ADDRES
$
R + 6 ft = ft x $20 = $
THIS APPLICANT IS:
❑ OWNER WONTRACTORt
$450 Conservation Plan Review
PROPERTY OWNER/
NAME:
Fee Determined by Engineering
ADDRESS: rl✓Z A 6)4l' 'b"ryV ie- CITY /
STAT$ ,'9&3Z
TENANT
Total Due
PHONE:
Make checks payable to: City of Fridley Attach Stipulations
CONTRACTOR
NAME:
STATE LICENSE # / EXP DATE
f��
lei STA!?IP��%
SUBMIT A COPY OF
YOUR STATE LICENSE
ADDRESS: CITY
WITH APPLICATION
PHONE FAX 2129 2,W
PROPERTY TYPE
INGLE FAMILY/NEW CONSTRUCTION SIZE
CONSTRUCTION
❑ TWO FAMII YMSTORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHED '1wINDOWS
BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
❑ DECK ❑ SIDING ❑ OTHER
❑ SWUVRVIING POOL
TYPE OF WORK:
❑ NEW ❑ ADDITION
MAI TTENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE:aP kt// f
SIZE OF IMPROVEMENT LENGTH WIDTH
HEIGHT Sq. Ft.
ROOFING
❑ HOUSE ONLY
NUMBER OF SQUARES
❑ HOUSE & GARAGE
BASEMENT REMODELING SUBMIT:
I. Existing Floor Plan
GARAGES
❑ ATTACHED GARAGE
2. Proposed floor plan
PROPOSED SIZE:
❑ 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
1. Site Plan/Survey showing the existing structures
❑ Other
❑ Fascia
and proposed project.
2. Two sets of construction plans
WINDOWS
IN EXISTING OPENINGS ❑Yes *0 LOCATION OF WINDOWS
3. Energy Calculations
OR FOR NEW OPENINGS-DESCRI13E SZP OFz_X
OPENING CHANGES &
Qff
TYPE OF WINDOW TO BE INSTALL 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 $ OCCUPANCY TYPE
2c�
Permit Fee
$
See Back Page for Fee Schedule
Plan Review
$
65% of Building Permit Fee
Surcharge
$
(.0005) times the total job valuation — Minimum $.50
Fire Surcharge
$
.001 x Permit Valuation (1/10%)
License Surcharge
$
$5.00 (State Licensed Residential Contractors)
SAC Charge
$
$1450 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
$
R + 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 City of Fridley and with the Minnesota Construction Codes; that I understand this is not a
permit but only an application 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 wrequjew and
val of plans.
SIGNATURE OF