PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT
Date: /Aw ` L
Owner: 6&4dBuilder —
Address _ _ Address
�i�'yC� TF,
T F BUILDING
No. Street �! Ld�,�� iR— — Part t
I.
Block Addition or Sub- ivi�nt;
Corner Lot _ �' Inside Lot Setback ideyard
Sewer Elevation — Foundation Elevation
DESCRIPTION OF BUILDING
TUse a • � �` / �
r Front' i Depth Height Sq. Ft. Cu. Ft aw-
Deptheight_ Sq. Ft. Cu. Ft.
Type of Construction fL — Est.. CmrTo be Completed
In consideration of the issuance to me of a permit to construct the building described above, I agree to do
the proposed work in accordance with the description above set forth and in compliance with all provisions of
ordinances of the city of Fridley.
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
withinthe city limits and this permit may be revoked at any �uppp viglat1% of any of the provisions of said
ordinances
Building Inspector
NOTICE
This permit does not cover the construction, Installation for whing, plumbing, gas heating, sewer or water. Be sure to as
the Building Inspector for separate permits for than than.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
Owners Name Builder_ `'•
Address
LOCATION OF BUILDING
No. !MT Street, s� : �� Part of Lot
t
Lot f Y Block.y Addition or Sub.Div. L
Corner Lot �% Inside Lot Set Baok jJLSide-Yard /,
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
DESCRIPTION OF BUILDING
To be used as:
Front Depth Height
Sq. Ft. Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction V 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 representa-
tions stated in this application are true and correct.
DATE (° (SIGNATURE d
(A Schedule of Fee costs can be found on the Reverse Side.)
City of Fridley
Appiication for Plumbing and Gas Fitting Permit
Dept. of Bldgs. Phone SU 4-7470
DESCRIPTION OF WORK Location �'��—
Number. Kind and Location of Fixtures
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE QTAL
/
Q •
Number Fixtures .............
x
Z
O W
Future Fixture Opening ................
(W9
Z
a
•
F
•
N
WATER HTR.
GAS
ELEC.
Catch Basin ...... .....................
x
3.25
$
Water Heater (Up to 200,000 BTU) ......Z
x
2.00
$
New Ground Run Old Bldg. ............
x
3.25
$
O
NO.
RATE TOTAL
1st 3 Fixtures ..........................
/ x
$1.50
$
Additional Fixtures ....................
x
.50
$
Gas Range to 200,000 BTU ..............
x
2.00
$
Base
%
1st
%
JL
2nd
3rd
4th
• Future Connection Openings
Connected with
I Sewer
New Fixture, Old Openings
Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE QTAL
/
Q •
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) ......Z
x
2.00
$
New Ground Run Old Bldg. ............
x
3.25
$
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
$
REPAIRS & ALTERATIONS—Refer to Code
Description ................................................$
TOTAL FE 0—/ 10
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 Ordinance
and ruling of the Department of Buildings, and hereby declares that all the fact
and representations stated in this application are t;*% and correct.
Owner
Kind of Building
Used as
To be completed about
Estimated Cost, $
Old—New. Building Permit No "Z P,
Signe
Business Phone No -4
ROUGH
FINAL
4z 2M
19:e�—%
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 $
.y
each add. 60,000 BTU ........................ 2.00 $ _
Replacement of Furnace ............................. 0.00
Repairs & Alterations—up to $500.00 ................. 5.00 $
Repairs & Alterations each add. $500.00 ... I .......... 2.50 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. IDR 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 fig'""" ¢' eL-
JIIV4-
$
FAN HEATING SYSTEM
See Fee Schedule
VENTILATING SYSTEM
$ _
ALTERATIONS & REPAIRS
TOTAL FEE
$ ��
ROUGH
FINAL
Dept. of Bldgs. Phone SII. 4-7470
�Alv—OUM
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 truce and correct.
Fridley,Minn—/ 19
®
Owner
Kind of Building -7 Ad ---Z
_.4 AA r
Used as CA
To be completed about
Estimated Cost,
®b'
Permit No.5"5 ' PermitNo.
DESCRIPTION OF WORK
HEATING or POWER PLAN J/ , Warm No
Trade Nam -9`V I" e n Size No IDDM
Capacity APT Sq. Ft. EM.R 861AT
BTU H.P.
Total Connected Load lO 'Z Kind of Fuer di .C1
BURNER — Trade Name Size No
Capacity Sq. Ft. E.D.R BTU H.P.
(REMARKS—OVER)
Sign . -
By
A-42 ZM 7.59 Business Phone No rr /0 r �d
n sfi t' 9
HEAT LOSS CALCULA
Weatherstrips II A.S
DEPARTMENT OF BUILDINGS MINNEAPOLIS, MINN.
Construction No. Insulation
Out. Wall Int. Wall Ceiling Roof Floor Kind How. Applied
Width Height i?" II is t —f/R.. I Length Width Height
q'
Windows and Doors—Crackage and Area
"U
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack eq, ft.
77 7
-n—filtration'
Coef. Btu
Coef.
Coef.
Btu
'
Glass
Infiltration
a
Glass
1
Exp. wall
�:
Glass
-m
Ceiling
Net exp. wall
Net exp. wall
=
Exp. wall
"" P
Int. wall
Net exp. wall
Ceiling
' :
/9
7o,
Floor
1 otal btu. ^"
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
FIS 'Room I Length. Width Height 1'" a
Windows and Doors—Crackoge and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lightscrack sq. ft.
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
77 7
Coef. Btu
Coef.
Btu
Coef.1
Btu
Infiltration
a
Glass
d
�:
Glass
-m
Ceiling
Net exp. wall
=
Exp. wall
"" P
Int. wall
Net exp. wall
"``
' :
/9
o°
Int. wall
Ceiling
,> A
Floor
Yom'
1 otal 13tu.L11-., ! v
- —_:
Required sgj!f E.D.R. or sq. ins. W.A. Leader area
J F1.1 Room ILength Width Height ~ `
Windows and Doors—Crackage `and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lightscrack sq. ft.
Width Height No. of Lineal ft. Area
No. of palke of pane lights of crack sq. ft.
77 7
Coef. Btu
Coef.
Btu
Infiltration'
Btu
f .
a
Glass
d
�:
Exp. wall
-m
Ceiling
Net exp. wall
Floor
Exp. wall
"" P
Int. wall
Ceiling
"``
Floor
r
21
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lightscrack sq. ft.
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
77 7
Coef. Btu
Coef.
Btu
Infiltration
Btu
f .
a
Glassy
Int. wall
Exp. wall
Ceiling
Net exp. wall
Floor
Exp. wall
"" P
Int. wall
Ceiling
"``
Floor
r
Int. wall
Total Btu. °
Required sq ft.. E.D.R. or sq. ins. W.A. Leader area
F1J',' ;> Room 1 Length /I' Width /.;X a Height'
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lightscrack sq. ft.
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack eq. ft.
77 7
Coef. Btu
Infiltration
Coef.
Btu
Infiltration
V
Net exp. wall`
Int. wall
Glass
Ceiling
Floor
Exp. wall
"" P
Net exp. wall
r
Int. wall
Ceiling
r:�•"
Floor
Yom'
Total Btu.x
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
A.1 Room I Length � � Width Heighu'
Windows and Doors—Crackag and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lightscrack sq. ft.
/of
Coef. Btu
Infiltration
�-
Glass
Exp. wall
4,);
V
Net exp. wall`
Int. wall
Ceiling
Floor
Total Btu. « I
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
City of Fridley, Minn.
BUILDING PERMIT N°59 77
Date: 4 ?--- 4 0
owner:� � Builder * -- ..
Address _ Address
LOCATION OF BUILDING
No. a, :Street. - Part of
Lot . B ck Addition or Sub -Division
Corner Lot _ Inside Lot 77k ideyard
Sewer Elevation oildation Elevation
DESCRIPTION OF BUILDING
Z*?!d
FrontDepth Height 1i02 Sq. Ft AW Cu. Ft
•o Depth Height Sq. Ft. Cu. Ft
Type of Construction Est Cost .,,/� 1—'—`�` To be Completed
In consideration of the issuance to me of a permit to construct the building described above, I agree to do
the proposed work in accordance with the description above set forth and in compliance with all provisions of
ordinances of the city of Fridley.
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 limits and this permit may be revoked at any tin upon violation oY any of the provisions of said
ordinances. ;, �9 .n, .
Building Inspector
NOTICE
This pamdt does not cover the construction, installation for wiring, ptuaablag, gas heating, newer or water. Be sun to we
the Building Inspector for separate pen its for these iteou.
4 r
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY# MINNESOTA
e
—S�
Owner's Name Builder
Address f . f Address
LOCATION OF BUILDING
NO. „y street _Part of Lot
Lot Block C;L Addition or Subdivisio
Corner Lot r/ inside Lot Setback Side -Yard
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and
proposed building location.
TO
DESCRIPTION OF BUILDING
C., Denth
sq. Ft. —cu. n. -el/"�Z6 d
FrontDepth 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 ruling of the Department of Build-
ings, and hereby declares that all the facts and representations
stated in this application are true and correct.
DA _ ���� �-� SIGNATURE �a � e �"
(Schedule of Fee Costs can be found on the Reverse Side).
SUBJECT
PERMIT NO.
City of Fridley
o 18083
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
REC .
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
17163 `7/
1
/ r7
---n CITY HALL FRIDLEY 55432
i
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
--_-
i 612-571-3450
910-F15
6/21/85
JOB ADDRESS 5897 - 7th Street N.E.
1 LEGAL
LOT NO.
BLOCK
TR ACT OR ADDITION
SEE ATTACHED
DESCR.
18
2
Lyndale Builders,
7th Addition SHEET
27 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Ralph N. Rich same571-5097
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.
6 USE OF BUILDING
7 CLASS OF WORK
❑ NEW )] ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
6 DESCRIBE WORK
Wood Frame Deck (9' x 12" and 181.x 101)
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.
Wood Frame
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
R-1
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
1'800. 00
90
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
TOTALFEE
$30.40
SI URE OF CONTRACT RO
VyHE PROPS L LID T THIS ISYOUR FERMI
JOR•IZ�EDJAGENT 9(DATEI
G INSP
DATE
SIGNATURE OF OWNER IIF OWNER BUILDER) IDATE)
NEW [ ] City of Fridley Effective 4/1/84
ADDN. [ ] �R-1 AND R-2
ALTER. [ 7 Building Permit Application
Construction Address: 7 7 S //
Legal Description: l� �;+ �U� -�G- 13 "-� �'�� 77 t �@(�
Owner Name
Contractor
Address
O r
k
. # S'7,/ 63 7
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:
DECK AREA:
OTHER:
Corner Lot [x
Length Width Height Sq. Ft.
Length --Z T Width Hgt/Ground Sq. Ft. V0
Inside Lot [ ] Ft. Yd. Setback Side Yard Setback
Type of Construction: to o G A ti.
Approx. Completion Date:
Estimated Cost: $
C�-1-8 .0 0 �00
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $ $
See Back Page for Explanation
DATE:
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
ON
APPLICANT: Tel. # �71�
CITY USE ONLY
$ . Fee Schedule on Reverse Side
$25% of Building Permit Fee
$ 96 $.50/$1,000 Valuation
$ $425 per SAC Unit
$ Fee Determined by Engineering
$
��j,l Agreement Necessary [ ] Not Necessary [ ]
$ If �6
�-�' I
o2'i
s%4�gQ"`
` rS
2 Z es
at
✓_
Y'
/S"
DECK RAILING
36" MIN. HEIGHT
6" MAX. SPACING
I F MO -TO a%j
3i r/
CD F G 20 U A'
L
lj�rt�J
CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1991
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
Residential
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace
Gas Piping (Needed with new.furnace)
Gas Range
Gas Dryer
Rate TOTAL
$ 20.00 $ C'� , 22
$ 10.00 $ Lo, t
—10
$ 10.00 $—
$10.00
$10.00 $
"Air Conditioning - All Sizes $10.00
All Others/Repairs & Alterations (LIST ON BACK)
1 % of Value of Appliance or Work $
CommerciaUlndustrial
1 % of Value of Appliance or Work $
State Surcharge $ .50
TOTAL FEE $-i �'
MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $30.00
"Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
JOB ADDRESS 5621,- --7=' ,%� X-! t"
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 ruling of the Building Division, and hereby declares
that all the facts and representations stated in this application are
true and correct. (9, -77 ,19
OWNER
BUILDING USED AS
ESTIMATED COST ,l -a-LE '': C'4" PERMIT NO.
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units l Circle One (S
Trade Name -30
BTU 4 yr HP
gam) (Hot Water) (Warm Air )
Size No. S
EDR
Fuel -j ,el- Total Connected Load
Burner Trade Name Size No.
BTU HP_ EDR
STANDARD HEM. AND AIR (ONDITIDNN[6I,'4.
410 WEST UXE E.:P.EET
HEATING COMPANY NI%.:EAFOLIS, L"A B 0 2995
PHONE
Signed By d I 7—` v Tel No.
Approved ByG_-2 Rough -In Date Final Date °2 3
FILL OUT BACK SIDE FOR STACK VERIFICATION ON
REPLACEMENT FURNACE
CHIMNEY 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
( )
No ( )
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
Remarks
List Alterations Being Done:
HEATING COMPANY
Signed By
Date
STANDARD HEATING & AIR CONDITIONING CO.
SERVING THE TWIN CITIES SINCE 1930
EAT LOSS CALCULATION FOR RICH
10192 CDS
---------------------------------------------------------------------
IRST
LENGTH 38 WIDTH
26
HEIGHT 8
---------------------------------------------------------------------
WINDOWS
& DOORS - CRACKAGE AND
AREA
WIDTH
HEIGHT NO. LIN FT
AREA
0. PANE
PANE LIGHTS CRACK
SQ FT
5 42
24 1 62.5
46.3
1 34
30 1 12.2
9.2
3 34
32 1 37.5
29.3
3 50
36 1 47.5
46.1
1 76
80 DD 45.3
84.4
1 36
80 D 19.3
20
COEFF
BTU 128 R.FT
NFILTRATION
................. 224.3
20
4486
LASS ..............................
235.3
48
11294.4
XP WALL ...........................
128
ET EXP WALL
........................
788.7
12
9464.401
ELOW GRADE......
8 ................
1024
5
5120
EILING .............................
988
10
9880
LOOR ...............................
988
2
1976
ENTILATION......
0 ................
0
0
0
OTAL BTU .................................................
42220.8
OTAL BTU OF
ALL ROOMS/FLOORS.......................................
42220.8
410 W. LAKE ST. 1072 PAYNE AVE.
MINNEAPOLIS, MN 55408-2998 ST. PAUL, MN 55101-3892
612/824-2656 EATING ANDAIRCONDITIONINGCO 612/772-2449
Serving The Twin Cities Siam /930-
ORSAT TEST RECORD
ADDRESS Wh CITY (1
OCCUPANT WNER
DATE HTG. INST. INSTALLED BY - y✓
GAS LINE BY
TYPE OF HEAT: GA FAHW STEAM SPACE HTR. UNIT HTR.
GAS DESIGN
MAKE MAKE
MODEL �. A) l k /4 6 ODEL
SERIAL_A -7z� MAX.
INPUT, MAKE
CONTROLS
MODEL
OF BURNER
OTHER
CONVERSION
THERMOSTAT "� HEAT PLUG VENT SIZE
VALVE ��_ KIND OF LINER , SIZE --'!5` NONE
LIMIT s DRAFT HOOD REGULATOR �—
LIMIT SETTING CHIMNEY CONSTRUCTION
FAN SETTING c� _ DRAFT TEST TAG,/ -
PILOT TYPE LIGHTING INST. Y
PILOT MAKE --
PILOT MODEL
PILOT TIMING_
PRESSURE PERCENT CO2 DATE
INPUT CFH —PERCENT 02 /Z
STACK TEMP. PERCENT CO- NAME
TESTED
OF TESTEP,
CITY OF FFUDLLY INSPECTION UV
6431 University Ave NL
Fridley, MN 55432
5!2-3604
Old C
beef
SumWi-,
—combu'.7
N
e -o
Rffecl v,:, On March 1, 1
91 IING PFR'',. r r0 -�
-TS 1 *7 *7 '57 ill &
I
- -Z. 3
;z 6 cl I
M 11713
k' p J-6 kl 4j --? 0 e3
L0
, , tj " , , I I - f ! . - - -
T NO.
SUBJECT
P I
City of Fridley
2 6 7 g
AT THE TOP OF THE TWINS
?
BUILDING PERMIT
:
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
r � �
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
7/23/98
JOB ADDRESS
5897 7th St NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
18
2
L ndale Builders 7th Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
Dean Bender
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO.
Wright Home Improvement Ln.
Plymouth MN 55442
_
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 ❑ ALTERATION REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and arae S Tear -off
9 CHANGE OF USE FROM
TO
STIPULATIONS
Underlayment must comply with
State Building Code.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING. HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
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
$1584
$.79
DOES NOT PRESUME TO GIVE AUTHORITY TO IOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONOF ANY OTHER STATE LOC LAW REGULATING CON-
Fire SC $1.58
STRUC ORT P ORMANCE FrCCOTRUCTION.
$51.25
PLAN CHECK FEE
TOTAL FEE
License SC $5.00
$58.62
SIGNATUREOF ON TRACTOR OR AU ENTIDATEI
WHEN PROPER ALID TED THIS IS YOUR PERMIT
_
.4. )NSP
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Zy
DATE
S)GNATURE OF OWNER OF OWNER BUILDER) (DATE)
T NO.
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 p
BUILDING PERMIT APPLICATION
i�
ConstructionAddress: 7 ���{G�
Legal Description:
Owner Name & Address: �(' t1 C' C ( Tel. #
Contractor: &n e MN LICENSE # o 0 OY.S-V
Address:S ` �� ���'�� 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:
Construction Type T'� o w wk Saul �'Aj(ff A-w� e 9 Estimated Cost: $I(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: 1 1 �D APPLICANT: Tel.
CITY USE ONLY
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee $
Sewer Main Charge
TOTAL
STIPULATIONS:
Fee Schedule on Reverse Side
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
Agreement Necessary [ ] Not Necessary [ ]