PRE 2010 DOCS•
•
City of Fridley, Minn.
BUILDING PERMIT N® 3147
Date: ..' �.Igr-. S ....................... .
Owner ��::4t Builder iA/!... .
Address a:1 f .... .. 1. ..t'..% s Address .............................................
LOCATION OF BUIL®INC
No.,5 . .P.... Street .....i! .................. Part oUot ...................
Lot .... �� ..... Block .6; ........... Addition or Sub -Division
Corner Lot ............ Inside Lot ... t*:�...... Setback ............ Sideyard ..........................
DESCRIPTION OF BUILDING
To be Used as: ' 9
... rb't_q 4s ..... Front .. Depth '. Height .... Sq. Ft./.1 7 :�e Cu. Ft.
.................... nt Depth ........ Height ........ Sq. Ft. .... .. .. Ft. ..0.....
Type of Construction 9— t kI„.:..... Est. Cost. /,57.V,p'®r . 4'. To be Completed .. 6. PIV., .....
(P_11�, *L %I I
In consideration of the issuance to me of a permit to construct a building desribed above, I agree to do -�
the proposed work in accordance with the description above set __I_ and in c ance with all provisions of
ordinances of the city of Fridley.
i
In consideration of the payment of a fee of $. q:......, permit is hereby granted to d.YIA, �-A-
......................... 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.
NOTICE:
This permit does not cover the construction, Installation or alteration for wiring, pl , gas heating,
sewer or water. Be sure to see the Building Inspector for separate permits for thep ems.
City of Fridley, Minn.
BUILDING PERMIT N® 3633
Date: ..?4.:..1....... 6—.?.....
;;7
Owner ....................................... Builder .....................................
Address ...................................... Address .............................................
T ON OF BUILDING
No. i".. Street ......1 ........ ......... .......... Partg Lot ........ ........ .............
q '
Lot ...... .. Block ....j�............ Addition or Sub -Division .. .. ... ..... .
... Setback .� Sid �.:..� ..... .
Corner Lot ............ Inside Lot ....... ........
DESCRIPTION OF BUILDING
To Used -
0
-` �Qd7 � ®��Y
.. .. ... ... Front . � .. Depth'. �. ... Height �/ . ��. Sq. Ft......... Cu. F't. ... .
........ ......... Front ........ Depth ... .. Height ........ Sq. Ft. ........ Cu. Ft.........
Type of Construction ..................ildat To be Completed ................
In consideration of the issuance to me of a permit to construct they building described above, I agree to do
the proposed work in accordance with the description above set fo and in camp with all provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of $. 9� .. 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. lr
/l;/Lr/ i 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.
`a City of Fridley
A kation for Plumbing and Gas F'*Hn Permit
Pim 4 �
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures
�i
ut
Yz
zp
w
Pio
$�
<i
�' od
(94a
6
ea
U' O
F
N
WATER HTR.
GAS
E LEG
Base
1St
i
f
2nd
3rd
4th
• Future Connection Openings
New Fixture, Old Openings
Connected with
Sewer El
Cesspool El
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 $ L
New Ground Run Old Bldg . ............ x 3.25 $
GAS FITTING FEES: NO. RATE TOTAL
1st 3 Fixtures .......................... x $1.50 • S'�
Additional Fixtures .................... x .50 $
Gas Range to 200,000 BTU .............. x 2.00 $
REPAIRS & ALTERATIONS—Refer to Code
Description ................................................$ �1
TOTAL. FEE ,$ EL ST
Dept. of Bldgs. Phone SII 4-7470
Location��/ — %
Sd
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.
Fridley, inn T -14 -r" ?Pl 1955 19
Owner l 19
Kind of Building��e 119—
Used as Lill) e
To be completed about
Estimated Cost, $
Old—New. Building Permit No-
Sign LONDON PLUMBING CO.
Business Phone No
Connection Permit No . .......................................................
c)--5'�-U1
11 1M-8-58
Water ��—
Sewer / S
Meter Deposit
City of Fridley, Ninn. N° 7646
BUILDING PERMIT
•
Date: June 2, 1965
is
is
Owner: Myron Smith Builder Leonard Freund
Address 509_ 7th Street N. E. Address 3330 B ZenoJam No. _ _ Mpls s,! Ki me
LOCATION OF BUILDING
No. 5830 Street 7th. Street N. E. Part of Lot
Lot 5 _ Block 6 Addition or Sub -Division Bonney Addition
Corner Lot _ Inside Lot Setback Sideyard
Sewer Elevation
To be Used as:
Type of Construction
Foundation Elevation
DESCRIPTION OF BUILDING
Front Depth Height Sq. Ft Cu. Ft
Front Depth Height Sq. Ft Cu. Ft
Storm Damage Repair
Est Cost — $245.0-0 .1� To be Completed
In consideration of the issuance to me of a permit to construct the building described above I agree to do
Mo
proposed work in accordance with the description above set forth and in compliance with 21 provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of $-51.W , permit is hereby granted to Leonard Freund
to construct the building or addition as described above. This permit is granted upon
the express condition that the p to whom it is granted and his agents, employees an workmen, in all work
dome in, around and upon said person
or any p� thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding kxation, construction, alteration, maintenance, repair and moving of build�ng�
within the city limits and this permit nay be revoked at any tone upon violation of any of the provisions of said
ordinances.
kien Jensen Building Inspector
NOTICE:
Ub pumb den m# cove dw confr Ngw, tuaih w for whdng, phmblnfb gas beats, ower or wafer. Be a- to m
the Boihih>a Mgmtor for apwafe pwmift for there Umm
APPLICATION FOR 4.TNG PEM11T
CITY OF FRIDLBYt NNESOTA
OWNER'S NAME /// G0,e� e `.
ADDRESS`. Ari „ -- ✓, f%:, ADDRESS
LOCATION OF BING
No.. Street Part
�ofp/ L/ot
Lot_ _Block Additions or Subdivi�ian !" .
..._._
Corner Lot Inside tot_ _:_Aet,V"k Side -Yard
SEWER ELE'VATIQN FOUNDATION ELEVATION
Applicant attach to thi* fo=:Two Certificates of. Survey of Lot and proposed build-
ing location drive oft these Certificates.
DESCRIPTION OF BUILDING
Tia be used as:
d
Prone Depth. Beight
Sq. Ft. Cu. Ft..
r ,Front Depth
Height,
Sq. Ft. Cu. Ft.
Type of Construction _ -�.� Estimated Cost t_ _
The undersigned hereby makes application for a permit,for the work herein specified,
agreeing to coo all work it! 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.
DATIk 16 -S
Schedule_of Fee Costs can be found on the Reverse Side).
SUBJECT
PERMIT N
City of Fridley
o 58'
AT THE TOP OF THE TWINS
BUILDING
PERMIT
L3
r
RECEI
• COMMUNITY DEVELOPMENT DIV.
INSPECTION SEC.
°^7
r � � PROTECTIVE
1 �
i CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910415
3/28/88
JOB ADDRESS
5830 - 7th Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
5
6
I Bonny Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
Myron Leo Smith Jr. same
571-1945
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO.
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP
PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP
PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
JJ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK 171
Construct a x 14' shed in the rear yard.
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 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
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
$1,000.00
$ .50
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
P VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STR CTION OR THE PERFORMANCE OF CONSTRUCTION.
$17.50.
PLAN CHECK FEE
TOTALFEE
$18.00
GNATURE OF CONT AC OR OR A T RI GENT (DATE) z� -•
HEN PROPE LY
PA EDT IS Y
V�7
SiGN URE OFOWNERIIFOWNER BUILDER) MATE)
BLDG INSP
GATE
NEW [ ] City of Fridley Effective 4/1/86
ADDN. [ ] R-1 AND R-2
ALTER. [ ] Building Permit Application
Construction Address: S?50 `7-tK S F njC
Legal Description:
Owner Name & Address: Y 0..0 IV Lo 0 S M Mi T2_ Tel. # �%/ - vs,
Contractor: IV 0 &-C- Tel. #
Address:
Attach to this application, a Certificate of Survey of the
lot., with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA:
Length
Width
Height Sq.
Ft.
GARAGE AREA:
Length
Width
Height Sq.
Ft.
DECK AREA:
OTHER:
Length
C409 17,
Width
Hgt/Ground Sq.
Ft.
O'l
3 '
Corner Lot [ ]
Inside Lot
[ ] Ft. Yd. Setback
Side Yard
Setback
y'
Type of Construction: Estimated Cost: $ %® ® n s 6' Q_
Approx. Completion Date:
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $ $
S Back Page for Explanation
DATE: e� - e%� APPLICANT: Tel.
CITY USE ONLY
Permit Fee $ 7.
Plan Check $ _
State Surcharge $
SAC Charge $
Park Fee $
Sewer Main Charge $
TOTAL C�' U U
STIPULATIONS:
Fee Schedule on Reverse Side
25% of Building Permit Fee
$.50/$1,000 Valuation
$ 5,50 per SAC Unit
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
/0 ri 0
SC) 6 , 10.00
'5f��9
CITY DFFRDLEYINSPECTION DIV.'
Effective C>nMarch 1.1gg6
6431University Ave NE
Fridley, Mw55432
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
572_3604
MARK NUMBER OFFIXTURES TOBEINSTALLED ONEACH FLOOR
as
Stories
Urinal
u:
Shower
T ray
F '0", * U* h t:
Drain Washer
A PL��;*:-�ii��i�
Range F*.ikt
Gas Elec
Floor 2
Floor 3
Floor 4
FLHKME PEGGY
5830 7TH STREET t-lORTHEHST
PLUMBING FIXTURE RATES:
NO.
RATE
TOTAL JOB ADDRESS- FA|DLEY , 55432
.
H572 -171O W 543-3427
New Fixtures
$7.00
The undersigned hereby makes application for apermit for the work herein
LU
Old Opening, New Fixture
$4.00
specified agreeing todoall work instrict accordance with the city codes
6
0-0
Beer Dispenser
$5.00
and rulings ofthe Building Division, and hereby declares that aUthe facts
�� co��
Slow Off Basin
__-
��.�o
and representations in are and oon�c1
.
a:
Catch Basin
$7.00
�2
*u
Rain VVotorLeader
$7.00
/� .1986 �� gL R�
Gump/ReuwivingTank
$7.00
_
VVotnrTre��ingAppliance
$10.00
Owner
Water Heater -Electric
$7.00
COO
10 z
Water Heater - Gmo^+
/
$10.00
Building Used Ao
zmm «mz�
Gas Range"
*10.00
ww
Gas Dryer**
*10.00
Estimated PERMIT NO.
�o
Back Flow Prevmntor Required ( )Yes
Type
( ) No
$15.00
PLUKAB|NGCqMPA, NY ()P5 U V4 Al Ai � �0
Reinspection Fee *42.0011Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
State Surcharge
TOTAL FEE
SIGNED BY
Approved By Rough -In Date
$ .50
MINIMUM FEE FOR ANY PLUMBING
$10 PLUS THE $.50 STATE SURCHARGE
Final Date
"COMBUSTION AIR SHALL BEPROVDEOP TABLE A^ M NIMUMQIZE 9 SQ INCHES.
Is
SUBJECT
/
MtT=N40 - .�-`
City of Fridley
AT THE TOP OF THE TWINS
BUILDING PERMIT
2647 7
�
r
REQ N0.
COMMUNITY DEVELOPMENT DIV.
���"•�
_
PROTECTIVE INSPECTION SEC.
t�
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
j 612-571-3450
910415
7/7/98
JOB ADDRESS 5830 7 Street NE
1 LEGAL
LOT N0.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
5
6
Bonny Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Peggy Flakne 5830 7 Street NE
572-1710
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO.
Four Season Roofing & Remodeling LLC 7930 University Ave
NE, Fridley, MN 55432
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO.
795-9410 20128780
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION Cj REPAIR
❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Reroof House (18 Sq) Tear -off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT 1 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
$1.501
$.75
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•
$51.25
Fire SC $1.50
CT N OR THE PERFORMANCE OF CONSTRUCTION.
®���
PLAN CHECK FEE
TOT EE
78
License$5.
58.50
SIGNATURE OF ONTRA(VR OR AUTHORIZED AGENT IDATEI
ROP THIS I$ UR PER
��FEN6N(l
'
SIGNATURE OF OWNER 16 OWNER BUILDERI IDATEI
BL INS"
DATE
NEW [ ] Effective 1 / 1 /98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 f,90 �
BUILDING PERMIT APPLICATION
ConstructionAddress: 58 -1 -So & E, _7A Is _ '
Legal Description: p
Owner Name & Address: P [ Tel. # l_(PO) 5-11 -17/6
Contractor: Ser 0%64.1 L.L. L . MN LICENSE # olo t`3 1 W
6 Ur,oersJ, A� N E Tel. GtZ Address:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER: R e Dq r z R ®0g IS a
Construction Type: R:em®ue' �egkc LUIC Estimated Cost: $ 3-7(,,a
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
DATE:. D7'�IU APPLICANT:
A
- Tel.
i®( 735-7 VLO
CITY USE ONLY
Permit Fee
$/�,%i
Fee Schedule on Reverse Side
Fire Surcharge
$ / o
.001 of Permit Valuation (1/10th%)
State Surcharge
$ a
$.50/$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$ �
$5.00 (State Licensed Residential Contractors)
Driveway Escrow
$
Alt. "A" or Alt. "B" Above
Erosion Control
$
$450.00 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement Necessary [ ] Not Necessary [ ]
TOTAL
$50
STIPULATIONS:
. . a
C
SUBJECT
P NO.
City of Fridley
30998
AT THE TOP OF THE TWINS
BUILDING
PERMIT
RE IPT NO.
• _ COMMUNITY DEVELOPMENT DIV.
VV �....
r � � PROTECTIVE INSPECTION SEC.33
q41
1 �
= CITY HALL FRIDLEY 55432
NUMBERREV
DATE
PAGE OF
APPROVED BY
612-571-3450
910415
5/30/00
JOB ADDRESS 5830 7 Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
5
6
Bonny Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
Margaret/Ross Flakne 5830 7 Street NE
763-572-1710
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP
PHONE LICENSE NO
5 ENGINEER MAIL ADDRESS
ZIP
PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION O ALTERATION REPAIR
❑ MOVE O REMOVE
8 DESCRIBE WORK
Replace one living room window within same opening
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
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
$500
.50
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.
@
$23.50
Fire SC $.50
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOT L FEE
-.411
- /
4.50
SIGNATURE OF CON'A TORO. AUT ORiZED AGENT iDATE,
M F=
EN ROPE ALIO D THIS IS Y UR PER IT
v-�3�-1�Ip
s- �o - v
BL NSP
qA TE
SSGN4 R OF OWNERdF OWNER BUWLDERI iDATEi
C
NEW [ ] Effective 1/1/2000
ADDN [ ] CITY OF FRIDLEY (763) 572.3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �1D
BUILDING PERMIT APPLICATION o�
Construction Address: s a d u �- `� Q S TyP e � L
Legal Description:
Owner Name & Address:
Contractor:
�- � �0 s S Fta (C 0 -e-
Tel.# M- 511-1[116
MN LICENSE #
Address: Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width Height Sq. Ft
GARAGE AREA: Length Width Height Sq. Ft
DECK AREA: Length Width Hgt/Ground Sq. Ft
OTHER: (,t / I iU' d IAJ - L Iy I YI 4 g0 0 lvt
Construction Type: LL)1 A) b b W s Estimated Cost: $ S O 0• b 4
Driveway Curb Cut Width Needed: AFt + 6 Ft = Ft x $ _ $
DATE: 9-3D"00 APPLICANT: `� Tel. # 7 6 5- S 1 l "t 1oI
/O
CITY USE ONLY -
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
Call (763) 572-3604 for Permit Fees if mailing in application
$ Fee Schedule on Reverse Side
$ .001 of Permit Valuation (1/10th%)
$ S50 $.50/$1,000 Valuation
A
$1100 per SAC Unit
License Surcharge $ $5.00 (State Licensed Residential Contractors)
Driveway Escrow $ Alt. "A" or Alt. "B" Above
Erosion Control $ $450.00 Conservation Plan Review
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $
111191 �111
STIPULATIONS:
$
Agreement Necessary [ ] Not Necessary [ ]
Lam- Al) t��
CITY OF FRID NSPECTION 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/Industrial
1.25% of Value of Appliance or Work
Effective On January 1, 1998
JOB ADDRESSrji?)('}
State Surcharge $ .50 Burner Trade Name
TOTAL FEE $!J:)
MINIMUM FEE FOR ANY HEATING/COOUNGP/ENTILATION
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.
BTU HP
EDR
HEATING COMPAN II y—
Signed By Tel No. (D j
Approved ByA6 Rough—In DateFinal Date
FILL OUT BACK SIDE FQJ STACK VERIFICATION ON
REPLACEMENT FURNACE
The undersigned hereby makes application for a permit for the work herein
Rate
TOTAL
specked 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
$ 30.00
$
representations stated in this application are true and correct.
,199$
$10.00
$
OWNER
$10.00
$
BUILDING USED AS
$10.00
$
/
ESTIMATED COST PERMIT NO. / 35—
$ 25.00
$
DESCRIPTION OF FURNACE AND OR BURNER
$
No. of Heating Units Circle One (Steam) (Hot Water) arm Air
Trade Nam 'fr�yti-E— Size No.
BTU _�O,( "Y HP EDR
$
Fuel Total Connected Load
State Surcharge $ .50 Burner Trade Name
TOTAL FEE $!J:)
MINIMUM FEE FOR ANY HEATING/COOUNGP/ENTILATION
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.
BTU HP
EDR
HEATING COMPAN II y—
Signed By Tel No. (D j
Approved ByA6 Rough—In DateFinal Date
FILL OUT BACK SIDE FQJ STACK VERIFICATION ON
REPLACEMENT FURNACE
Remarks: -
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date: F
CEDINEY AND STACK VERIFICATION
The
undersigned hereby verifies that the existing chimney or
stack:
1.
Has been carefully examined
Yes) No
( )
2.
Is free from rust or deterioration
Yes No
( )
3.
Has no foreign objects lodged within
Yes () No
4.
Is securely supported .
Yes ( 4No
( )
5.
Meets all current Code requirements for size
and total BTU's counected
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 () No
8.
Has combustion air been provided for water heater
Yes (Vj"'No
( )
Remarks: -
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date: F
CITY OF FRIDLEY BUILDING INSPECTION
6431 University Ave NE
Fridley, MN 55432
763-572-3604 FAX 763-5711287
RATE SCHEDULE
Residential
Furnace Shell and Duct Work, Burner &
also Replacement Furnace
Gas Piping (New Furnace, Fireplace, Insert)
Gas Range
Gas Dryer
*Air Conditioning - All Sizes
All Other Repairs or Alterations (List on Back)
1% of Value of Appliance or Work
Minimum Fee $15.00 for Residential or 5% of cost of
Improvement whichever is greater
Effective 4/1/2004
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION
REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
Fee Total
$35.00
$
$10.00
$
$10.00
$
$10.00
$
$25.00
$ , W
Commercial/Industrial/Institutional
1.25% of Value of Appliance or Work (List on Back) $
Minimum Fee $35.00 for Commercial/Industrial/institutional
State Surcharge $ 19D
TOTAL FEE �u
REINSPECTION FEE $50.00/HOUR
*Air Conditioners can not be placed in side yard without written approval
from adjoining property owner - copy to City
JOB ADDRESS
Ownerc`�'1
1� \ c
Building Used As � \ts\6
ESTIMATED COST 3��,CO PERMIT NO
# of Heating Units i Circle One (Steam) (Hot Water)a Air) )
Trade Name Size No.
BTU HP EDR
Fuel Total Connected Load
Burner Trade Name
BTU
HP
Size No.
EDR
The undersigned hereby makes application for a permit for the work herein
specked agreeing to do all work in strict accordance with the City Codes
and rulings of the Building Division, and hereby declares that all the facts
and representations stated in this application are true and correct.
FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE
Approved by 'Rough -in Date Final Date
FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS
" COMMON VENT VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When replacing an existing furnace, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions,
Yes {) No ( )
and is securely supported and firestopped where required.
The venting system is plastic/PVC and meets all current codes and manufacturer
Yes ( ) No ( )
specifications including sizing, length, number of elbows and termination.
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturer's specifications. This does
include AGA GANJA Category I Central Furnace Venting Tables for fan
Yes () No( }
assisted and natural draft appliances.
The existing combustion air is sized and installed to meet the current codes
Yes {) No( }
and manufacturers specifications.
When required to Install a new combustion air, it will be sized and installed
Yes () No ( )
to meet the current codes and manufacturer's specifications.
When installing a new venting system, the undersigned hereby verifies that
the current codes and manufacturers
it is a listed assembly and meets
specifications. This does include AGA-GAMA Category I Central Furnace
Yes () No( }
Venting Tables for fan assisted and natural draft appliances.
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented Yes () No( }
separately as per current codes.
Appliance Type and Size/Common Vent and Vent Connector Information
Appliance #1 Type BTU Input Fan Assisted or Nat
Appliance #2 Type BTU Input Fan Assisted or Nat
Appliance #3 Type BTU Input Fan Assisted or Nat
Total Appliances Total Btu Input
Common Vent Type
Vent Height Diameter inches
Appliance #1 Vent Connector Height = Length
ft Diameter in Type _
Appliance #2 Vent Connector Height ft Length = ft Diameter In Type
Appliance #3 Vent Connector Height ft Length ____._ft Diameter in Type
ALTERATIONS: Describe n n n
HEATING
Signed By.
A
Building
$
BUILDING
PermitNo.: ai� �T
Inspections
RESIDENTIAL APPLICATION
Received By:
763-572-3604
(.0005) times the total job valuation — Minimum $.50
CITY OF FRIDLEY
Date Rec'd:
DATE -�,!
Y�O/UR E-MAIL ADDRESS
$
SITE ADDRESS
�, N C
$
THIS APPLICANT IS: ❑ OWNER
JdCONTRACTOR
$
PROPERTY OWNER/
NAME: S,F
$
$450 Conservation Plan Review
ADDRESS:
CITY
STATE ZIP
TENANT
$
PHONE:
Total Due
$
CONTRACTOR
NAME:
STATE LICENSE #
ADDRESS:170
dEXP DATE
N� C1>/�it A(ok�. CITY STATE IP,_
SUBMIT A COPY OF
YOUR STATE LICENSE
WITH APPLICATION
PHONE f - -7A FAX
MINGLE FAMILY/NEW CONSTRUCTION SIZE
PROPERTY TYPE
❑ 0FAMIL /NEW CONSTRUCTION STORIES
PERMIT TYPE
❑ ADDITION
❑ GARAGE/SHED ❑ WINDOWS
❑ BASEMENT FINISH OROOF ❑ DRAIN TILE
❑ DECK
SIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW
❑ ADDITION
❑ MAINTENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE:
goer 6 He 1) /t�i D B+e,a - :S I'D
14 C
SIZE OF IMPROVEMENT
LENGTH WIDTH
HEIGHT Sq. Ft.
ROOFING
NUMBER OF SQUARES 3
❑ HOUSE ONLY
$ HOUSE & GARAGE
BASEMENT REMODELING SUBMIT:
GARAGES
❑ ATTACHED GARAGE
1. Existing Floor Plan
2. Proposed floor plan
PROPOSED SIZE:
[3DETACHED 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
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:
TOTAL JOB VALUATION (USING THE 199�1�E OCCUPANCY TYPE
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
$
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 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 hic re evie d approval of plans.
SIGNATURE OF APPLIC PRINT NAME105r i,05 C&11 e��i�A•TE
(
Building
BUILDING
Permit No ""-'
Inspections
RESIDENTIAL APPLICATION
Received By:
763-572-3604
CITY OF FRIDLEYe�e
SUBMIT A COPY N
YOUR STATE LICENSE
DATE 10/02/10 YOUR E-MAIL ADDRESS estherd@windowworldmn.com
SITE ADDRESS 5 8 3 0 7th St NE
THIS APPLICANT IS: ❑ OWNER ❑CONTRACTOR
PROPERTYOWNER/I NAME: Adil Hassan
TENANT ADDRESS: same as site CITY STATE_ZIP
CONTRACTOR
NAME:ProBuilt America
Permit Fee
$ 4
STATELICENSE# BC -20356847
EXP DATE U.3/ 12 /
$
65% of Building Permit Fee
SUBMIT A COPY N
YOUR STATE LICENSE
ADDRESS: � L 11 11 t n Ave 1,
CITY North Sip STATE ZIP 5516
WITH APPLICATION
PHONE 651-770-931S FAX
6 51- 7 7 0- 0 4 9 5
License Surcharge
PROPERTY TYPE
❑ SINGLE FAMILY/NEW CONSTRUCTION
SIZE
$
$1675 per SAC Unit (Plans to MWCC for determination)
❑ TWO FAMILYINEW CONSTRUCTION
STORIES
ft + 6 ft = ft x $21 = $
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHED
❑ WINDOWS
Park Fee
$
❑ BASEMENT FINISH ❑ ROOF
❑ DRAIN TILE
$
Agreement necessary ( ) Non Necessary ( )
❑ DECK ❑ SIDING
❑ OTHER
Make checks payable to: City of Fridley Attach
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW ❑ ADDITION
❑ MAINTENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE: Replacinq 1 window,
SIZE OF RVIPROVEMENT 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 ❑No LOCATION OF WINDOWS 3. Energy Calculations
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
OPENING CHANGES & 1
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 VALUA110N $ G y ti
OCCUPANCY 1 YPE
Permit Fee
$ 4
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
$
$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
$ (
Make checks payable 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 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 OF da . PRINT NAME Esther Dahl DATE 10/2/10