PRE 2010 DOCSDate
BUILDING PERMIT
Village of Fridley, Minn. N° 2359
���......! ................
Owner II!hfr Builder ...........................................
.. ..� I .
Address !?`v� ... ...... a. 0 ---f .: $ ....... Address
LOCATION OF BUILDING
No. . 6/sV :... Street 1.;'... ..................... Part of Lot .......................
Lot ... &...... .�. Block
................ Addition or Sub -Division ..F. l� .' .....
Corner Lot ....... { .... Inside Lot ...v ..... Setback 44'�' . Sideyard .`!�.� �.............
To be Used as:
DESCRIPTION OF BUILDING
Front 444!... Depth .... Height A !1� 0... Sq. Ft. 1144 Cu. Ft........ .
.................. Front ........ Depth ..... rHeight ......... Sq. Ft......... Cu. Ft .
el
Type of Construed* ... Est. Cost t!��'T�.....�......... To be Completed ..� Er •
In consideratio'' of the issuance to me of a permit to construct the building described above, I agree to do
the proposed work accordance with the description above set forth and in compliance with all provisions of
ordinances of the Ilage of Fridley.
C payment of a fee of $ , permit is hereby granted to ....Jor ....... �............
.. to construct the building or addition as described above. This permit is granted upon
.e.express conditi! n that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around an 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 village limits and this permit may be revoked at any time upo vio1� n of any of the provisions of said
ordinances. 11 �' ,�', 1,, "
... Building Inspector
NOTICE:
This perml 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.
0
0
•
is
City of Fridley, Minn.
BUILDING PERMIT N° 6863
--oe
Address
&9 LO jl N PUILDING
pM
No. Street _ Part of Lot
Lot ._ _ __ Block Addition or Sub on
Corner Lot _ Inside Lot Setback -- _ _— Sideyard __ !!!C v
Sewer Elevation M__._ _ Foundation Elevation
DESCRIPTION OF BUILDING
To as:
Front Depth ��_`_'r Height _ Sq. Ft. ��r_ll
fie Cu. Ft _
t Depth® eight �� Sq• �..�,c..� Cu. Ft. /..L53P
Type of ConstructioEst. _ ��To be Completed
In consideration of the issuance to me of a permit to construct buildin described above I agree to do
the proposed work in accordance with the description above set fo and plian a'll provisions of
ordiaanc�a 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 oondition that the person to whom it is granted and his agents, employees and workmen, in all work
�n,ey,win the dty limits and this permit may be revoked at any time upon viglation of any of the provisions of said
ordinances
• NOTICE
Thb pennN does not corer the construction, hwtaiidien hr whine, phimbine, gas headne, sewer or wrier. Be sun to see
the Bulhih* Inspector for separab permhs for thus Nene.
City of Fridley, Minn.
BUILDING PERMIT N° 7477
Date: ____ 21, n65
owner: Art Blaisdell Builder Q & M Construction
Address Q30 M_ St. Nt& Address 3452 �lont An -a N.
LOCATION OF BUILDING
No. 6130 street_ 7th St. N.E. — Part of Lot
Lot — 16 Block 1_ Addition or Sub -Division . _ U -R=d
Corner Lot — Inside Lot Setback _____ Sideyard
Sewer Elevation — 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 _ _ Est. cost — 9v ----- To be Completed
Repair damage
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 t forth d om th all provisions of
ordinanosa of the city of Fridley. 7-:0„
In consideration of the payment of a fee of $ _ , permit is hereby granted to. _ G & X
Contraction 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 asci his agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall coffiorm in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair asci moving of buildings
within the city limits and this permit may be revoked at any time upon violation of aay of the provisions of said
ordinances
Building Inspector
NOTICE:
Thh penuh does not cover the constructlon, hufaMen for wlring, phunbing, gas heating, sewer or water. Be aro to see
the Building hapeeter for sopareN parades for these hems.
APPLICATION FOR ING PERMIT
CITU OF FRIDUIk'6 tMSOTA
OWNER'S NAME
ADDRESS /3 -4 ADDRESS
LOCATION OF Bt DING
No, Street Part of Lot. -
Lot p Block Additiow or Subd1visiou _
Corner LotInside Lot _SeM k Side Yard
SEWER ELEVATIQN
FOUNDATION ELFFA°1'I(M
Applic4pt attach to this form, Two Certificates of Survey of Lot and proposed'buildv.-
ing location 0Awn ort these Cattificates.
DESCRIPTION OF BOWING
To be used as:
7
ofat De
�s j�p
Sq. Ft. Cu. Ft.
_Front Depth Height
:Sq. Ft. Cu. Ftp
Type of Construction _ Estimated Cosar
6`V, &0
--To-bo-
The
. To-beThe undersigned hereby makes application for a permit for the work herein specified,
agreeing.to.do_..all work iri strict accordance with the City of Fridley Ordinances_ and..
rulings Of the Department of Buildings, and hereby declares that all the facts and
repreaentatipas stated in this .applicatiaki are ,.true. -and correct'.
_Ochedula.of Fee Costs can be found on the
Side).
0
53-84-s-915-51
CNy of Fridley
hr P*m"q md C"m RHbkg Pwmk
Dept. ®t Bldgm. Thom 980-3M
Dmoclup'now OF WnRX
2
Install Grill
J
PARTIAL RATE SCHEDULE
F'r TES. E. 0 RATE TOYAL
F4XI'L.v-, . � . .... • — X sloe t—
rluturz rL2-Wm "penins .. , b . o < < , � — X M." 3—
New FWvie Olt" feeing...... - , , , — 1 $1.50 S—
catch Baq@p ............ ....... . x $3.25 $—
WCer Hester W to ft.= BTU) 33.00 S
New Ground Run Old Bldg. ........ x $3.25 S—
EleLtrk Water Keeiter .............. a wo $—
CA$ FI MNG FEES; NO. RATE TOTAL
lot 3 Fixtures .................. — z $100 $
A"tional Fixtures ............... x $ .75 S—
On Range to IM.000 BTU U. . ... . . . . ... x $5.00 6
• State Surcharge .50.
11"AMS & ALTERATIONS —a"m to QM9
Description .......... TPPJW-�- 5,00--
TmALym 6 5*50
h. Street
civ of yv�&oy'
7
4-4-73
Arthur J. Blaisdell
Mind of STAIding Frame
Used as Res.
To be completed qh"�wQ 4-11-73
F-Mimated
X4qjPLewg; P�,N0*
. nuild�nnnit pe ---
N . 7, ,
Sirnd
BY MASCO
Business Phwae
0�as';
.,P.r. '� '31C r3�?'a 5 I
PARTIAL RATP SCHEDULE
• To be completed about �.�.
'Estimated Cost, S 7
Old A`ew. Building Permit No.—
nvxittm <F[7CiruKE P,,ATzs-. NO. RATE TOTAL
•. Signeai
Number Fixtures ............. • • •-----.—
x Moo
$
ciy • 4 mai
---- x $1.50
$
Application for plumbInq and Gets M ink Permit :. .. .
_
Dept. of 131d:s. Phor%* r�M.3SS0
S -
Catch Basin .....................
•••----�--
W a:er Neater 'Up to `9-3.000 BTV1....
. �ISCWT1Ots AP WORK
' Lo�i1 -- -
•
- NewCrcurd Run Old Bldg.. .:....
tQuenbar, Kind aced ll.sca#iaa atr Fi�s'�st�4i
• , - ,
E'.t:s:z IC.-ar F."tar............
2.00
$
Nv
City of Fridley: _
1�
.;'.• i' - : ,,
i
? y { C I _ i
.n
!i
•
7
S
x .
wArta Mra.
6 Y ..
p N EtFG The undersigrcd hereby makes appllCatlOn for 2 permit for L.�SC vOrY 1:t:i
the Ci;Y C;.'::.aai
5 S"< ' S
= !
• S
o .
3 u 2 u . `u
i
�,
c'In to do as «crk la attic; acct �a..ce kl:h
specifi-d, are • s
L*.e. fa
• and ruling of the Department of Bu • c�s, , and hereby declares L'sst all
B3.r
I
and representations states apr:icatica ::•e true r.'x.' eer=ect
f
I
—
S':
Fridley,
=••V
(
Ovrner
3_d I
(
iy�
I
I
Kind of Building�����
•
a r- 4-
Swag. 1J' Used as -
4 Xaw i i--h:rv.
Old Opoa:r,s
ce"Po4 c,
PARTIAL RATP SCHEDULE
• To be completed about �.�.
'Estimated Cost, S 7
Old A`ew. Building Permit No.—
nvxittm <F[7CiruKE P,,ATzs-. NO. RATE TOTAL
•. Signeai
Number Fixtures ............. • • •-----.—
x Moo
$
' Flutu-e Fixture Opening ... • • • • • • •.•
---- x $1.50
$
.New Fixture Old Op►nirg..... ..
x $1.50
x53.25
S -
Catch Basin .....................
d�
•••----�--
W a:er Neater 'Up to `9-3.000 BTV1....
x $3
$—° - '
•
- NewCrcurd Run Old Bldg.. .:....
� x 53.25
`
E'.t:s:z IC.-ar F."tar............
2.00
$
GAS nTTWC•MSS
x0. RnT'E TOTAL
2st3Fixtures ..... ••••••••••"
-- x$2.00
' $
•
x $ .75
,Addit:oaal Fixtures. ....:......... ._--�•--
159 000 B—L U .......... .------
x $5.04
' S------
RO'JOFi •
as
. 50 State ,Surcharge
�pJ►� t9- 1�Li�8$ATt4Ng--l�ioa.t+o Cmd�. .: '
. DescafPiSon .....:.....................: ......... �_ _.- -. .
- - TOT A-V; T..z ' .
CITY OF FRIDLEY
APPLICATION FOR
POWER PLANTS AND HEATING,
COOLING, VENTILATION, REFRIGERATION AND
AIR
CONDITIONING SYSTEMS AND DEVICES
PARTIAL RATE SCHEDULE
GRAVITY IiARNI AIR:
RATE
TOTAL
Job Address 6130 - 7th Street N. E.
F. _..ace Snell s Duct work
$12.00
$
ie -lace. -.ant of Furnace
7.00
7.00
$
$
Department of Buildings
Repairs & Alterations -up to $500.00
4.00
$
City of Fridley
Repairs & Alterations each add. $500.00
Tel. x{571-3450
-MECIUNIC aL I:ARM :SIR:
The undersigned hereby makes application for a permit for the work sereL
$12.00
$
specified agreeing to do all work in strict accordance with the City Codes
rsr^acs , & Duct Mork to OOi ,C00 BTU
add
4.00
$
and rulings of the Department of Buildings, and hereby declares that all the
eachh add. 50,000 B;;J
7.00
$
facts and representations stated in this application are true and correct.
Pe lace.:.ent of Furnace
Repairs & Alterations -up to $500.00
7.00
$
Fridley, Minn.October 11, , 19 6
Re, airs S Alterations each add. $500.00
4.00
$
OWNER Arthur J. Blaisdell
STE-IM OR HOT t'i:;Tt:R SYSMM:
Boiler a :fines ::o to 100,030 BTJ
00
$
KIND OF BUILDING Frame
each addi. 53,000 BTL'
4.00
7.00
$
$
USED AS Dwelling
Boiler only up to 100,000 BTU
each ad dn. 50,000 BTU
6.00
$
TO BE COMPLETED ABOUT November 11,1976
OIL BURNER- to 3' gal. per hour
$10.00
10.00
$
$
ESTIMATED COST
each add. 3 gal. per hour
on
GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00
$
OLD - NEW BUILDING PERMIT NO. PERMIT ti0. 7_
' (over 199,999 B -J see Fee Schedule)
$
GAS FITTING FEES:
ist 3 Fixtures x' $ 3.00 $
Additional Futures x $ 1.00 $
Gas Range to 199,000 BTU x $10.00 $
AIR CONDITIONING $ 10.00
FAN HATING SYSTEMS See Fee Schedule $
VENT Ii-ATING SYST.HMS ` $
ALTF2+TIONS $ REPAIRS_ J $
State Surcharge $ .50
Lennox Air Conditioner TOTAL FEE $ 10.50
Model HS9-261 -'2 Tons - 800 CFM
Mul-H INSF. REI' JSPECTION FEE
Date (� (.510.00)
FL1F ISSP. 2- � - 20
Date
APPRr1AL FOR PER.+:IT o^ ,J
:v"-nD-U4 FEE FOR A::X i!E.ATING P=XIT IS $7.50
DESCRIPTION OF FURNACE/BURNER
HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No.
Trade Name
Size No.
Capacity Sq. Ft. EDR BTU HF
Total Connected Load Kind of Fuel
BURNER - Trade Name Size No.
.Capacity Sq. Ft. EDR BTU HP _
.
Company Kleve Heating & Air Cond. Inc.
Signed By 1 an. Oil s .
. Tel. No. 941-4211 -
7
suadEcr
PE17
City of Fridley
6 9 9-
AT THE TOP OF THE TWINS
BUILDING PERMIT
rp
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
�"'1 CITY HALL FRIDLEY 55432
NUMBER
REV,
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
9/5/84
JOB ADDRESS 6130 - 7th Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
16
1 U
land lst Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Arthur Blaisdell 6130 - 7th Street N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Twin City Sash 2641 Louisiana Avenue South 927-6534
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 ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reside Dwelling
9 CHANGE OF USE FROM TO
STIPULATIONS
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
vinyl
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
1 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
$5,000
$2.50
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-
$50.50
TR CTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
—�
$53.00
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)WHEN
PRO ERLY VALIDATE THIS IS YOUR PERMIT
�4
BLDG WSP A�A
SIGNATURE OF OWNER OF OWNER BUILDER) (DATE)
7
NEW
ADDN.
[
[
]
]
City of Fridley Effective 4/1/84
�R-1 AND R-2
ALTER.
[
]
Building Permit Application
Construction Address:
Legal Description• (�� i > � �61..i�• / (�. L.OfcJO /� �
Owner Nairne & Address: fi `��..5 J 62 A 4- Tel. #
Contractor: T�cl/-zl c i IDX S /`a fit -1A at SAC /I !rel. #
Address: 4 & U / s / A JV k, _1907 --
Attach
90
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
GARAGE AREA: Length
DECK AREA: Le
OTHER: S
Width Height Sq. Ft.
Width _ Height Sq. Ft.
Width Hgt/Ground Sq. Ft.
Lt
Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback
Type of Construction: Estimated Cost: $ DSU
Approx. Completion Date:
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation
DATE: - 5� �� APPLICANT: /`Y -`' ..��-est-® Tel. # �3-S�G3
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
CITY USE ONLY
$ Fee Schedule on Reverse Side
$ 25% of Building Permit Fee
$ $.50/$1,000 Valuation
$ $425 per SAC Unit '
$ Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
Sa°O(2
e
COMMERCIAL/INDUSTRIAL
1% of Value of Appliance or Work $
State Surcharge $ .50
TOTAL FEE $ • e�®
►reinspection Fee ($15.00) $
Rough Insp.
/ Date
Final Insp.
Date
Approval for Permit !/
MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00 -
PLUS $.50 STATE SURCHARGE
*Air Conditioners can not be placed in side yard without
written permission from adjoining neighbor.
USED AS
TO BE COMPLETED ABOUT
ESTIMATED COST eC sI
OLD - NEW BUILDING PERMIT NO. PERMIT NO.
DESCRIPTION OF FURNACE/BURNER
HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No.
Trade Name .G'�Y w''� Size No. "52 / q 'o 3— 6 -
Capacity
Capacity Sq. Ft. EDR BTU HP
Total Connected Load Kind of Fuel
BURNER - Trade Name Size No.
Capacity Sq. Ft. EDR BTU HP
Company
Signed By rP�
Q . a
Tel. No. h .'-"'^ 8 AIR CONDDMOraril u
d"' J VV AVE 80.
LiNNIAM MN 55420
Fill out back side for stack verification on rwent furnaces
CITY OF
FRIDLEY Effective Date may 1, 1988
APPLICATION FOR POWER PLANTS AND HEATING,
COOLING, VENTILATION, REFRIGERATION AND
AIR
CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
/ ! 2 ,fes /�
Job Address 6 P 7� 1C1� /l
RESIDENTIAL
RATE
TOTAL
Furnace Shell and Duct Work,
Burner (Also replacement furnace)
$ 20.00
$
Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432
City of Fridley -
Gas Piping
$ 10.00
$ /®,®®
Tel. #571-3450
(piping needed with new furnace)
Gas Range
$ 10.00
$
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
Gas Dryer
$ 10.00
$
and rulings of the Department of Buildings, and hereby declares that all the
facts and representations stated in this application are true and correct.
• Air Conditioning (all sizes)
$ 10.00
$
Fridley, Minn. //— 19�/
All Others/Repairs and Alterations
OWNER Aoo� &6,69 � ,'
li of Value of Appliance or Work
S
KIND OF BUILDING i%�
COMMERCIAL/INDUSTRIAL
1% of Value of Appliance or Work $
State Surcharge $ .50
TOTAL FEE $ • e�®
►reinspection Fee ($15.00) $
Rough Insp.
/ Date
Final Insp.
Date
Approval for Permit !/
MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00 -
PLUS $.50 STATE SURCHARGE
*Air Conditioners can not be placed in side yard without
written permission from adjoining neighbor.
USED AS
TO BE COMPLETED ABOUT
ESTIMATED COST eC sI
OLD - NEW BUILDING PERMIT NO. PERMIT NO.
DESCRIPTION OF FURNACE/BURNER
HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No.
Trade Name .G'�Y w''� Size No. "52 / q 'o 3— 6 -
Capacity
Capacity Sq. Ft. EDR BTU HP
Total Connected Load Kind of Fuel
BURNER - Trade Name Size No.
Capacity Sq. Ft. EDR BTU HP
Company
Signed By rP�
Q . a
Tel. No. h .'-"'^ 8 AIR CONDDMOraril u
d"' J VV AVE 80.
LiNNIAM MN 55420
Fill out back side for stack verification on rwent furnaces
01,
SUBJECT
City of Fridley
2 6 5 8
AT THE TOP OF THE TWINS
r
BUILDING P E R M I T
O/ I
_ COMMUNITY DEVELOPMENT DIV.
L PROTECTIVE INSPECTION SEC.
I ,
NUMBER
REV
DATEPAGE
OF
APPROVED BY
� CITY HALL FRIDLEY 55432
612-571-3450
910-F15
7-13-98
fid;
JOB ADDRESS
6130 7TH ST NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
16
1IJI?T.A"
SHEET
IST
2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE
Arthur J. Blaisdell 6130 7th St NE 571-2964
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
Residential
7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ILI REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Re -roof and re -side
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
MOT.
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
$2,718
$ 1.36
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-
$74,75
Fire SC $2.M
STRUCTION OR THE PERFORMA F CONSTRUCTION.
PLAN CHECK FEE
TOTAL
�.�
$78.83
SIGNATURE OF CO ACTOR OR Ai
'PR ALL,,IDAZTEIS IS YOUR PERMIT
LOG I -NJ DATE
SIGNATURE OF OWNER0F OWNER BUILOERi iDATEt
01,
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY n
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 QQ "J pp
BUILDING PERMIT APPLICATION
7A1
ConstructionAddress:
Legal Description:
Owner Name & Address: do // Tel. # S7/ L,2 ee`�Zz
Contractor:
Address:
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
MN LICENSE #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height
Length Width Height
Length Width Hgt/Ground
Tel. #
Sq. Ft.
Sq. Ft.
Sq. Ft.
: l /!Oc�—
Construction Type: 4— tY�'� di � o Estimated Cost: $
(Fee Schedule, ��
on Bac1 6V
Driveway Curb Cut Width Needed: Ft. + b Ft = Ft x $ _ $
DATE: 57—/ 3— jr APPLICANT: _ Tela #
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
.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 [ ]
-4. 1 .
SUBJECT
PE
City of Fridley
28603
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
` DEVELOPMENT DIV.
� ______ COMMUNITY
INSPECTION SEC.
�� �y�
r PROTECTIVE
UY
E
NUMBER
REV
DATE
PAGE OF
APPROVED BY
_
CITY HALL FRIDLEY 53432
It""�" �''
612-571-3450
910415
11
17/98
JOB ADDRESS
6130 7th Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
16
1
O land - 1st
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Axlxx Arthur Blaisdell
571-2964
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Mon -Ray Inc. 8224 Olson Memorial %ry. Golden Vly 55427
546-8625 5111
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
O NEW O ADDITION �Oc ALTERATION O REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Install (1) bow window
9 CHANGE OF USE FROM TO
STIPULATIONS
Install smoke detectors to meet the State Building Code -
in each sleeping
room and on each level of house.
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 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
I 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
3361
$1.68
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
$87.25
Fire SC $3.36
PLAN CHECK FEE
TOTAL FEE
License SC 15-00-
(�
77.2[�7
SIGNATURE OF CON•RACTOROR AUTHORIZED AGENT IDATEi
WHEN PROPERLY
BLDG iNS�
LIDATED THIS IS YOU PERMIT
�� tE
SIGNATURE OF OWNER.,F OWNER BUILDER, iDATEI
NM- - ( 1
APDN (I
ALTER ( 1
REMODEL X
Construction Address:
Legal Description:
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
6130 7th Street NE
Effective 8/1/95
Owner Name & Address: ARTHUR BL'AISDEL'L Address - SAME Tel. # 571-2964
Contractor: MON-RAY INC — MN LICENSE # n�n5111
Address: 89.2.4 n1 son Memorj,al HW Gal- A„ Val i 7 --MR 5-5427 Tel. # 546-8625
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length Width Hgt/Ground Sq. Ft.
Corner Lot [ ] Inside Lot [ ] Ft. Yd
Type of Construction: Sing 1 e Fam i 1
Approx. Completion Date:
Driveway Curb Cut Width
T A TC .
INSTALL (1) BOW WINDOW
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
Side Yard Setbacks
Estimated Cost: $'��� nn
(Cost on Back)
Ft. 6 Ft = x $ _ $
V -r: Tel. #
CITY USE ONLY
$ 87.25 Fee Schedule on Reverse Side
$ 3.36 .001 of Permit Valuation (1/10th%)
$ 1.68 $.50/$1,000 Valuation
$ $850 per SAC Unit
$ 5.00 $5.00 (State Licensed Residential Contractors)
$ Alt. "A" or Alt. "B" Above
$ $450.00 Conservation Pian Review
$ Fee Determined by Engineering
$ Agreement Necessary [ ] Not Necessary [ ]
546-8625
TOTAL $ 97.29
STIPULATIONS:�5?/
'A;7^1'0