PRE 2010 DOCSr:
BUILDING PERMIT
Village of Fridley, Minn. N° 2963
Y �(/ _
Date . (v/. .... . t� 1.r .l.`1.�. 9........... .
Owner. .. ..C1ri.� Builder . .
Address� 1�................... Address
AC
LOCATION OF BUILDING
ffC
No. ... W... Street ....... :.......................... Part of Lot ....... ... .
Lot 3........ Block .......I ........ Addition or Sub -Division .. �!!.. ...! ............... .
Corner Lot ............ Inside Lot .... ....... Setback .. .. Sideyard ..10.1.4V.,! ).............
DESCRIPTION OF BUILDING
To a Used as:
..... Front .. .7. Depth height Sq. Ft.. �� Cu. Ft. ........
IQ
.................... Front ........ Depth ........ Height ......... Sq. Ft......... Cu. Ft. ........
Type of Construction .rMPi:.M Mr. • Est. Cost ...1. 1.,.9 00. -g0 . 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 village of Fridley. ��---1
ANnsideration of the payment of a fee of $. A%�q$ermit is hereby gr to .... �►a%...........
....... to construct the building or addition as described ab ve. This permit is granted upon
ress 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 village 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, plumb g, gas heating,
sewer or water. Be sure to see the Building Inspector for separate permits for these items.
13
SUBJECT
PERMIT NO.
.
Cityof Fridley
®
AT THE TOP OF THE TWINS
BUILDING PERMIT
#2969
RECEIPT NO.
� `L ______ COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
1 � �
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
OF
APPROVED BY
612-560-3450
910-F15
5-28-75
F;A'GE
JOB ADDRESS
6160 - 7th, Street N.E. Fridley, Ninnesota
1 LEGAL
LOT NO.
BLOCK
TRA CT OR ADDITION SEE ATTACHED
DESCR.
13
1
UlAands. 1st Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Bob Barron, 160 - 7th StreetdMinnesota
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Sussel Garage company, 1850 Como St. Paul Minnesota
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residence
7 CLASS OF WORK
❑ NEW ❑X ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct Detached Garage 24 x 24 x 8
9 CHANGE OF USE FROM TO
STIPULATIONS WAKININO
Before digging call local utilifies
TELEPHONE - ELECTRIC - GAS Etc.
Provide Hard Surface Driveway
REQUIRED BY LAW
SEPERATE PERMITS ,REQUIRED FOR WIRING,
HEATING, PLUMBING ANOSIGNS.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
Frame
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
R-1
576
4,608
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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$4,262
$2.13
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-
STRUCTION4ORHE PERFORMANCE OF CONSTRUCTION.
$11.00
PLAN CHECK FEE
TOTALFEE
$13.13
CONTRACTOR ORAUTHOR EDAGENT (DATE)
WHEN PROPERLY Y.PLIDATED THIS IS YOUR PERMIT
t, ---J J Z- �- �7
5-28-75
BLDG )NSP OATE
SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI
13
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION.BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME :, L.6=�/ BUILDER:
ADDRESS: l CIO 7 CY %% £ . ADDRESS : li;� ��'
NO:. I (e STREET: / % U-,A'Z z - )9 - C
LOT: ) BLOCK: / ADDITION :�. 1-..e 141---
CORNER LOT: INSIDE LOT: V/ SETBACK: SIDEYARD:
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
To Be Used As:
DESCRIPTION OF BUILDING
Front: A C/ Depth: ;.I V Height:
Square Feet: � Cubic.Feet:
Front: Depth: Height:
Square Feet; Cubic Feet:
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 sttict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are true and correct.
DATE:5 -�€- 7S
SIGNATURE •
(See reverse Side For Additional Information.)
Lj
3.�
l
THE SUSSEL COMPANY
1850 Como Avenue
St. Paul, Minnesota 55108
612/645-0331
•Wermit by S l-
. egal Description
. Lot 13
�3'Bl k
XAdd'n ?AKA `=T Abb.
Talue �Z
ype Const. �'
Slab: ❑ In �By Sussel
❑ By Owner Approx.
2 STARTINGS POINTS ONLY
3'
S.P.L.
S. S. P. L.
R.P.L.
Alley
2 House
F. Street
Other
Square WithH:�'`r-
❑ Rods
,Mesh �--
-Sod Rem. - By'''- j -z' `
❑ 5 -Bag Mix
16 -Bag Mix
Tamping
No Tamp -
.in �F
AA.B.U. —
><p Grade Point
CONDUIT
.H. Dr. OffsetZ
S.D. Location -2-1
^
-c I IRV r)....o. mRv�l
Windows I IP_A�JC H
Existing garage: No
El Detached ❑Attached Yes ❑
Size of existing:-- x
Existing garage will be:
❑ Left as is
❑ Converted to L.S. - By owner
❑ Removed By: Owner ❑
Sussel ❑
Junk Must Be Removed By Owner
V(Secifxhe eovals by Sus-
seloq'ees, bushes, etc.
❑ Show approx. dist. garage to
house and all prop. lines
Stakes visible - ❑ Yes ❑ No
Survey available - ❑ Yes ❑ No
❑ Special instructions from
owner:
WORK ORDER
NAME rp°n!') PHONE$=
F-
JOB ADDRESS ::-S 1"LO 77 A �
BLDG CODE AREA f .Dc�,�'
SALESMAN--�'° ' - '"� CONTRACT DAT_g a—' ZE a -
FOR OFFICE USE ONLY
CONTRACTOR o��XIST JOB#
SUSSEL JOB # A?io97 CONTRACT # /— 2
M11
1;2q r
(cl"
. GV
2x6 Collar Ties
(4-2 running; in
each direction)
:x6 Wall Ties
(48" O.C.) —�
Name:
Address: 6 1D 7& SV /V
Bldg. Area :�/—Pe&g
Ridge
2x8 Hip Rafter
— 2x6 Jack Rafters
1x6 Tie Braces
4" Slab .9/Mesh .
Roof: Hip
Overhang:
2404 Seal Down Shingles
Rafters: 2x6 16" O.C. 24" O.0
Studs: 2x4 16" O.C. 24" O.C.
Wall Sheathing: -
Siding: �'/ � CiC.O1)Woo-l).
Overhead Door header: Double 2x12/,:vithout steel
plate and plywood filler.
u
1ornt`nA/In 0\\rr-N111r #-A In ITnnIII NAININIr—f-%-rA rrin- nIInNirIPI1)1F/I[-0':2jj
S., L
'7 17,
3644 Avzzxui: SOUTH
MlNNz;,.nL:s 7. MINN.
It
L. ZY kA Ad ;LI
LiJ
AddLtton. ,;y,
SUBJECT
PE
City of Fridley
1399
AT THE TOP OF THE TWINS
PERMIT
BUILDING
ECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
%
1 i �
NUMBER
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
IL
L"-'A f ,'J 612-560-3450
910-F15
774/13/77
JOB ADDRESS 6160 - 7th Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
13
1
1 Upland 1st Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Robert Barron 6160 - 7t1i Street N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW 11 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Patio Deck
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.
Wood Frame
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
R
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
I
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
5500.00
.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-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
7.550
PLAN CHECK FEE
TOTAL FEE
$8.00
SIGNATURE CONTRACTOR (DATE)
HEN R,O RL ALIDATED THIS IS YOUR RMM,IT
✓OF
�O°'RgAAUUTTHHOR.IZZEDDAGENT �.
\
BLDG IN P DAT
SICINATURE OF OWNER IIF OWNER BUILDER) (DATE)
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(NEW, ALTERATIONS, ADDITIONS, OR REPAIRS)
OWNER: Pa a rT 13,0 r I-'® r7 BUILDER:
Address: �p ®� �",oa Address:
Tel. No.
No.: �/0 Street: 7rh 5 77 41, 9 -
LOT:
-LOT: 1 BLOCK: / ADDITION:, " V-1 15r, �� p"
CORNER LOT: INSIDE LOT: SETBACK: SIDEYARDS:
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
PPT ► d DX d!c_
Front: Depth: Height:
Square Feet:
Cubic Feet:
Front: Depth: Height:
Square Feet:
Type of Construction:
To Be Completed:
Cubic Feet:
Estimated Cost: $ 5-00'
/Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired $ $
(SEE REVERSE SIDE OF SHEET)
• 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 anc& correct. See reverse side for additional information.
DATE: SIGNATURE:
Stipulations:
SUBJECT
RMTTIV '
City of Fridley
21595
AT THE TOP OF THE TWINS
BUILDING PERMIT
i �
ECEIPT
COMMUNITY DEVELOPMENT DIV.
L
r PROTECTIVE INSPECTION SEC.
I ,
CITY HALL FRIDLEY 55432
NUMBER
REV.GATE
PAGE OF
APPROVED BY
612-571-3450
910415
10/6/92
JOB ADDRESS 6160 7th Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
13
1
Upland lst Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Robert Barron 6160 - 7th Street NE 571-3655
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
The Cities Home 1maprovement Co, 6148 Olson Fiery, Golden Valley 591--0332 1839
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 J7 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Aluminum Trim on Windotnts.
9 CHANGEOFUSEFROM TO
STIPULATIONS
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
ZONING
SO. FT.
CU. FT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
NO. DWLG. UNITS
OFFSTREET PARKING
ANY TIME AFTER WORK IS COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS GARAGES
VALUATION
SURTAX
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$l,loo
$.55
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
PERMIT FEE
SAC CHARGE
DOES NOT PRESUME TO GIVE AU ORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF A OTHER ST EOR LOCAL LAW REGULATING CON-
$27.00
Fire SC $1.10
STRUCTIO R PERFO A E OF CONST CTION.
PLAN CHECK FEE
TOTAL FEE
®
License SC $5,00
$33.65
SIGNATURE OF CONT R TOR OR AUTHORIZED A ENT ((ATE)
HEN ROP Y ALID D HIS IS YOUR PERMIT
BLDG INSP BATE
SIGNATURE OF OWNER (IF OWNER BUILDER) IDATEI
,..,.. 0""0 i.:.I,ZI.'. tS J):.. v ).5: f25:tU::d.:.: n`t T:`CJCiC:)>4t1iHCLiiHSWSi'Nf25i52Hf25MJ5E9JHS24252H52 iSD,StH52HHvw.uwuvaaa)a>•auuan>uuuuuaaut>uua)uua .�,>mcvtwa
NEW [ ] Effective 3/1192
ADDN (] CITY OF FRIDLEY
ALTER [ j SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Construction Address: P 616
Legal Description:
Owner Name & Address: Tel. # ,S- %/ -?A-s-,
Contractor: j �,i� l�o�.� f� MN LICENSE # (jdyl��9
Address:
Tel. # 033 z
Attach to this applidtion, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: ' Length
Width Height
GARAGE AREA: Length
Width Height
DECK AREA: Length
Width Hgt/Ground
OTHER:
-- —
Corner Lot I ] Inside Lot [ ] Ft. Yd Setback _
Type of Construction: 4" ov► w j ��g6zds
Approx. Completion Date: 1 l i0
Driveway Curb Cut Width Needed: Ft. + b Ft =
Sq. Ft.
Sq. Ft. '
Sq. Ft.
Side Yard Setbacks
Estimated Cost: $
(Cost on .Sack)
Ft x $ = $
DATE: > b&19 2— APPLICANT: A/��/� 1����`i� Tel. #
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
CITY USE ONLY
$ 7 00 Fee Schedule on Reverse Side
$ 00 0 .001 of Permit Valuation (1/10th%)
$ �' $.50/$1,000 Valuation
$ $700 per SAC Unit
$ 5,00 $5.00 (State Licensed Residential Contractors)
$ Alt. "A" or Alt. "B" Above
$ Fee Determined by Engineering
$ Agreement Necessary [ ] Not Necessary [ ]
$ 33,�s
SUBJECT
PERT19
City of Fridley
26
AT THE TOP OF THE TWINS
BUILDING PERMIT
i
REMI P—T NO.
______ COMMUNITY DEVELOPMENT DIV.
I L -- PROTECTIVE INSPECTION SEC.
r
NUMBER
REV
DATE
PAGE Of
APPROVED B�
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
7/15/93
JOB ADDRESS 6160 7th Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
13
1
Upland lst SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Rob Barron 6160 7th. Street NE 571-3655
3 CONTRACTOR
MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNE
R MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER
MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
�I NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 15' x 19.4' Deck, Remove existing deck.
9 CHANGE OF USE FROM TO
STIPULATIONS
See ;notations on plan,
IOII,ARIG
Before digging call for
all Utility locations
454-0002
REQUIRED BY LAW
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
ZONING
SO. FT.
CU. FT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
NO. DWLG. UNITS
OFFSTREET PARKING
ANY TIME AFTER WORK IS COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS GARAGES
VALUATION
SURTAX
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$2258
$1.13
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
IF
PERMIT FEE
SAC CHARGE
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$54.00
Fire SC $2.26
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
$57.39
SIGNATURE OF
IIGNATU EOF CONTRACTOR OR AUTHORIZED AGENT (DATEIp�/
WH THIS IS YOUR PERMIT
-V
�RLIDATED
4a,TE
IS,GNATUREOFOWNERIIF OW N ER BUILDER) ID EI
'-BLDG INSP
U. LUIN1',. .:: i .�.. .... �.... ...........
ANJ Gf`i C.•"I A 'tJ:.C. 1'!J'f; 1T:G
3G44 TwLNTY-c—,xJNL• AV -Nuc -SOUTH
Vi\NZ:.?GL.., %. 1/.TNN.
• .... %G�oc'�E2T� C��Olz2o/11 I V ��a�a...���
B IOck 1
4-!-
a
�cS
a
33.0
1Q.95
133.0
A
JD15t,
Hd Ple, ri
ATtdc.
W&
WIth S/.4
13 4, tc T,
� *,er
4, S'll
2'x
3X6 led9ay'
t, L
*e.k "Ll gr"11-14
r '�k
e's'3e abb,>e5mA-A.
Ll
1
'0,7
J,xV W GONSL WA9rM DAILY
IN AN APPROVED MANNIR
9*QYE ALL REFUSE V41&T
This Plan Must
Be Maintained And
Accessible On The
Construction Site
Ihitr
Contrera
47, WWI
jols-r/
Holyl,gers
X8 tecigov,
+X4
PosT-
V 10
Sao m
0
i I
W
dS'
_ # _ j _ __v�� .�.'
SUBJECT
722086'
City of Fridley
AT THE TOP OF THE TWINS
BUILDING PERMIT
i �
R
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
r
i
NUMBER
REV
DATE
PAGE OF
APPROVED BY
= CITY HALL FRIDLEY 55432
612-571-3450
910-F15
8/27/93
JOB ADDRESS 6160 7 Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
13
1
1 Upland 1st SHEET
2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE
Bob Barron 6160 7th Street NE ._
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Classic Home Improvement 6012 Medicine Lake 522--0658
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
7353
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW X0 ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 12' x 51 Addition; Reroof (_17 Squares) Tear -off
9 CHANGE OF USE FROM TO
STIPULATIONS See notations on plan, Underlayment must comply with. the State
Building Code. Provide attic ventilation. Provide smoke detectors as per UBC 1210
adjacent to all sleeping areas and in basement.
WARNING
Before (090119 Cell for
all ofility W-360""
454-M2
REQUIRED BY LAW
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
VALUATION
SURTAX
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$6,2.58
$3, 13
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-
$90.00
Fire SC $6.26
TRUCTION OR HE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
�''%
License SC $5.00
$104.39.
p'SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI ,
WHE 1 PROP LY VALIDATED THIS IS YOUR PERMIT
_44SiGNATURE LDG INS V (POATE
OF OWNER IIF OWNER BUILDERI IDATEI
NEW [ ] Effective 5/26/93
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 4,30 1 L)
Building Permit Application
Construction Address:
Legal Description:
Owner Name & /Address: o c?/ n T� Tel. #
Contractor: �% L SS i a �� /i17 /Lc�G�- ZI e� ' r MN LICENSE #
Address: Tel. #��
Attach to this application, a Certificate of Survey of the `—
lot, with the proposed construction drawn on it to scale. �tC�
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length /� r Width Height / Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER: r4- T f A-/2 - l_) r -F n- [)Ola
Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback
Type of Construction:
Approx. Completion Date:
Driveway Curb Cut Width Needed: Ft. + 6,Ft =
f.
DATE: e11119-3. APPLICANT: r
Side Yard. acks
Estimated Cost: $ �-
(Cost on Back)
Ft x $ _ $
Tel. # -�y i - v6 -5- Y
CIS. ONLY
Permit Fee T $
Fee Schedule on Reverse Side
Fire Surcharge �`�
.001 of Permit Valuation (1/10th%)
State Surcharge c ",�. x'---_$.50/$1,000 Valuation
SAC Charge $
$750 per SAC Unit
License Surcharge 61
$5.00 (State Licensed Residential Contractors)
Driveway Escrow $
Aft. "A" or Alt. "B" Above
Erosion Control $
Conservation Plan Review $450.00
Park Fee $
Fee Determined by Engineering
Sewer Main Charge $
Agreement Necessary [ ] Not Necessary [ ]
TOTAL $ STIPULATIONS:
i
Tel. # -�y i - v6 -5- Y
FA
0
m
HMZ-- -1
r
V'y '1(7F7Q7(2Y-1
-71"V
:In,\' -"A',;' r.INQ0710-A-!.N--h%.L VtIOC
AV.*.'.):.MV-,' nNC:-,c,'
SUBJECT
P
City of Fridley
-
23011
AT THE TOP OF THE TWINS
B U I L D I N G
P E R M I T
Ir?R
E C
�• _ COMMUNITY DEVELOPMENT DIV.
~ PROTECTIVE INSPECTION SEC
/ , /,-,
-2
/yy��{
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
10/18/94
JOB ADDRESS 6160 7 Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
13
1
Upland 1st Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Bob Barron 6160 7 Street NE
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
D & D Home Improvement Inc. 7401 Central Ave NE. Fridley
55432 784-7543
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 X REPAIR ❑ MOVE ❑ REMOVE
xO
8 DESCRIBE WORK
Construct an Addition to Dwelling 12' x 5' and reroof house & garage 25 S
2nd Layer
9 CHANGEOFUSEFROM TO
STIPULATIONS
See notations on plan.
WARN[N6
SEPARATEpE
Before digging call for
PER" REQUIRLrp
WIRING
all Utility locations
H S ING, FOR
PL(jMBtN
454-0002
AND SIGNS
REQUIRED BY LAW
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
S0. 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
VALUATION
SURTAX
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
@@
786
$2.40
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
`P'4',
PERMIT FEE
SAC CHARGE
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$72.00
Fire SC $4.79
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
7KZ� ci_vA�
License SC
$5.00
$84.19
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI
WHEN PROPERL>IVALIDATED THIS IS YOUR PERMIT
M- BLD INSP
DATE
SIGNATURE OF OWNER IF OWNER BUILDER) IDATEI
NEW [ Effective 5/26M
ADDN CITY OF FRIDLEY
ALTER [ j SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2
Building Permit Application
CD65tri tion "A T�
Legal Description:
Owner Name & Address: Tel. # 5`7 1-3653
Contractor: D & D Home Improvement, Inc.. MN LICENSE # 4840
W
Address: 7401 Central Avenue N.E., Fridley, MN 55432 Tel. # 784-7543
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DBSCRfPTION
OF iMPROVffi M T
LPM0 AREA: Length. t ' Width Height Sq. Ft.
GAIlAGE AMA: Lenge Width Height Sq. FL
DECK AREA: Length Width Hgt/Graamd Sq. Ft.
OTHER: & w�n,,P _ _ QSe- qAA_ _4 -*--A - 0VA'14V
aS �7
Corner Lao [ ] Inside Lao Ft. Yd Se6a& Side Yard Setbacks
Type of Chan: %�� �4�gEstimated Cost: $ �. ?QP `�-
Approx. Completion Date•
(Cost on flack)
Driveway Curb ant VA th Needed: � Ft. + 6 Ft Ft x $ = S
DATE: ®4 e g :, APPLICANT � -11 Tel. # —75Y3
Permit Fee W� U 0$ Fee Schedule on Reverse Side
Fire Surcharge $ .001 of Permit Valuation (1/10th%)
State Surcharge .�.10$ S.50/$1,000 Valuation
SAC Charge $ VM per SAC Unit
License Surcharge $ ,$5.00 (State Licensed Residential Contractors)
Driveway Escrow $ Alt. "A" or Alt. "B" Above
Erosion Control $ Conservation Plan Review $450.00
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ Agreement Necessary [ j Not Necessary [
TOTAL $ STIPULATIONS: -
i
ONO
A -N
jv
A -N
jv
tp
Ll
Co
CITY OF.FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572-3604
R�►TE SCHEDULE
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
Residential
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 August 1, 1995
JOB ADDRESS (a M ® 16" '1ree
3/V L�
The undersigned hereby makes application for a permit for the work herein
Rate TOTAL 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
$ 30.00 $ representations stated in this application are truand orrect.
9 - ,1995
$ 10.00 $
OWNER & 6&L Sa r r® In
$ 10.00 $ ,
BUILDING USED AS�
$ 10.00 $
�7�
ESTIMATED COST PERMIT NO. ��C�G°
$ 25.00 $�5 � VC✓
DESCRIPTION OF FURNACE AND OR BURNER
State Surcharge
TOTAL FEE
$ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air)
Trade Name Size No.
BTU HP EDR
$ Fuel Total Connected Load
MINIMUM FEE FOR ANY HEATING/COOLIN GIVENTI_LATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr
Burner Trade Name Size No.
BTU HP EDR
HEATING
Signed.
Approved
ELAINE FITCL A1C & ELECT. INC.
13662 CENTRAL AVE. N.E.
ANOKA. MN 56304
Rough—In Date
*Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE FOR STACK VERIFICATION ON
written permission from adjoining property owner. REPLACEMENT FURNACE
CHIMNEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack:
i.
1.
Has been careff examined
Yes (
) No ( )
2.
FsU41i
Is free from A�64 deterioration
Yes ()
No ( )
3.
'Has no foreigq outs lodged within
Yes
O No .( )
4.
0;,� _
Is sec,%rely suliopited
Yes ()
No ( )
5.
Meets,.111 current Bode requirements for size
and t�ii .BTU's connected
Yes (
) No ( )
6
Has tal hating BTU's of
All of r.,WTU'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 ()
No ( )
Remarks:
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Dat41.e.
'
SUBJECT -
P O.
City of Fridley
2 8 895
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
T
rr
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
/
r
NUMBED
REV
GATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
2/4/99
JOB ADDRESS 6160 7 Street NE
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
13
1
Upland lst SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Marian Barron 6160 7 Street NE 571-3655
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
New Haven Construction 4208 83 Ave N, Brooklyn Park, MN 55443 566-5225 20077950
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO
B USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW Q ADDITION ❑ ALTERATION S REPAIR ❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Reroof House & Garage (23 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 REOUIRED FOR ELECTRICAL, PLUMBING. HEATING.
VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT
CU FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
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
$•98
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$1,971
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 $1.97
STRUCT N OF THE PERFORMANCE OF CO STRUC ION
$62.25
PLAN CHECK FEE
TOTAL EE
1--9'
License $5.00
A70.20
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT tOATEo
PR PER LIDAT T S IS YOUR PERMIT
BIOG So DATE
S-GNATURE OF OWNERpF OWNER BURDERL iDATE,
NEW [ ]
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: & 1& (�7 1261
Legal Description:
Owner 1\
Contracts
Address
Effective 1/1/99
Tel. #
MN LICENSE # D-067
Tel. # Q-1 o�-, j 1L
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF BIPROVEMENT
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:17CL� /Estimated Cost: $ Ow
(Fee Schedule on Back) 1 9 r
Driveway Curb Cut Width Needed: Ft"tFt x $ _ $
DATE: APPLICANT:%�--C Tel. #-3
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
CITY USE ONLY
$ Fee Schedule on Reverse Side
$ 57 .001 of Permit Valuation (1/10th%)
$ $.50/$1,000 Valuation
$ $1050 per SAC Unit
$ Sr. o 6 $5.00 (State Licensed Residential Contractors)
$ Alt. "A" or Alt. "B" Above
Park Fee $
Sewer Main Charge
TOTAL
STIPULATIONS:
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
Effective January 1, 2003
CITY OF FRIDLEY INSPECTION DIViSION
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
(763) 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
FAX (763) 571-1287 J4
JOB ADDRESS Z/&c %
RATE SCHEDULE
OWNER RQ_66-�l APWRONs
Residential
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace
(Side Vent - Fill Out Back)
Gas Piping (Needed with new furnace,
but not replacement)
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
Rate TOTAL
$ 30.00 $ ®®
$ 10.00
$ 10.00
$ 10.00
$ 25.00
State Surcharge
TOTAL FEE
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $47.00/Hr
BUILDING USED AS :Dtp.D 5�-`-' ""-
ESTIMATED COST
PERMIT NO.
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units Circle One (Steam) (Hot Water)�mA
$ Trade Name 6A'J?.et(VA1-- Size No.,1Y21-tV'A0
BTU (mo.,000 HP EDR
$ Fuel OA'4— 6-k:5' Total Connected Load
Burner Trade Name Size No.
$ BTU HP EDR
$ 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 an
$ .50 rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are true and correct.
DATE
b(LHEATING CO 0Q x- ,AO_TpR�
Signed
FAX #
TEL # %6-:5 --ES_Z'7—?V2
*Air Conditioners can not be placed in a side yard without Approved By Rough -In Date Final Date
written permission from adjoining property owner.
FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE
THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE
APPLICATION WILL BE RETURNED
When mpiacinn nn axicfin0 hiranra, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions,
and is securely supported and firestopped where required. Yes (-"�)No ( )
The venting system is plastic/PVC and meets all current codes and manufacturer
specifications including sizing, length, number of elbows and termination. Yes ( 1"No ( )
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-GAMA Category I Central Furnace Venting Tables for fan
assisted and natural draft appliances. Yes (<No ( )
The nxietin0 r-nmhi infinn air is sized and installed to meet the current codes
and manufacturers specifications. Yes( ) No( )
When required to Install a new enmhnstinn air. it will be sized and installed
to most the current codes and manufacturers specifications. Yes (-J'No ( )
When iostallinn a new venting system, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturer's
specifications. This does include AGA-GAMA Category I Central Furnace
Venting Tables for fan assisted and natural draft appliances. Yes (-I-N- o ( )
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented
separately as per current codes. Yes( )No(
)
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 ft 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
HEATING CO: '57 / Air
Signed By. Date:
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977
PLUMBING
Pernut No
Building
j Inspections
RESIDENTIAL APPLICATION
Received By
763-572-3604
CITY OF FRIDLEY
Date Rec'd:.
DATE YOUR E-MAIL ADDRESS
SITE ADDRESS 7' J - :
THIS APPLICANT IS: ❑ OWNER `CONTRACTOR
PROPERTY
NAME:
3,
OWNER/
ADDRESS: CITIO�f.1 STATEM&4IP .9.
I' TENANT
PH
CONTRACTOR
N n
ST PATE V D
SUBMIT A COPY OF
YOUR STATE
ADDRESS: CITY STATE ZIP
LICENSE WITH
p FA3P (�I" 3-`I
APPLICATION
PERMIT TYPE
'SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
O NEW PLACEMENT
TYPE OF WORK:
DETAILED DESCRIPTION OF WORK
i
PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the
improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor )
Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05 =
FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (rNDICATE TOTAL
NUMBER OF EACH BELOW)
SINK/LAV DRAINS _ SHOWER _ WATER PIPING
—BATH _FLOOR
PIPING (NEW aW LICA _SWIMMING POOL _WATER SOFTNER ($35)
—BATHTUB —GAS
CLOTHES WASHER _ KITCHEN SINK WATER CLOSET _BACKFLOW PREV. ($15)
DISHWASHER LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION
_
_ WATER METER OTHER
"H
PERMIT FEE PROJECTS, FQR„�T,i*li�Ti.�.�54Q�� �.:
�+y }_
S # r; `tK'`�'if .,�zL r ;z??' i�,,i. ,a:.�. A3' �, .r, ..: ,: «.. , tS`33„7:�r W�.1+L.71.v.�i
�� � .:, n� , ,„.. .
Number of fixtures @ $10.00 x $10.00 = $
Permit Fee $ 00
Surcharge .50
Number of fixtures @ $15.00 x $15.00 = $
Number of fixtures @ $35.00 x $35.00 = $
TOTAL DUE $ SU
State Surcharge = $ .50
Total = $
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
a 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
not permit
approved plan in the case of all Njorkrequires review and approval of plans. ,
(�which
SIGNATURE OF APPLICANT .b r�Q/I 1 PRINT NAME ^IIP fen DATE
117, W! ?� °
PLEASE NOTE; :EPA
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977