PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT N° 3956
Date: ... .. ...5 .........
46"*
/dL�0/4
Owner....................................... Builder ........... ...............
Address ...................................... Address .............................................
G� LOCATION OF BUILDING
No. .l. �... Street .../....G ..e Part
//ofaa��Lot ............................... ,/�
Lot . ? ....... Block ...... �.......... Addition or Sub -Division 1Ie�rP ........... �:i-.�7 -'�"u
Corner Lot ............ Inside Lot ............ Setback ............ Sideyard ...........................
DESCRIPTION OF BUILDING
T be sed as: c
P -v AW
4 0 /
.. .
. °� ... Front . n 0 Depth � t?. � Height Sq. Ft. 0 Cu. Ft.
..................... Front ......... Depth ........ Height ...... Sq. Ft. ........ Cu. Ft. ........
kl
Type of Construction ................... Est. Cost... .1A •.94. m be Completed ...................
In consideration of the issuance to me of a permit to construct the uilding desribed above I agree to do
the proposed work in accordance with the description above set fo and in compliance wi pro of
ordinances of the city of Fridley.
..... .. 0 .. .................
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 with-
in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
Building Inspector
NOTICE:
This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating,
sewer or water. Be sure to see the Building Inspector for separate permits for these Items.
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SUBJECT
City of Fridley2
613 3
AT THE TOP OF THE TWINS
BUILDING PERMIT'/(1-
`
RECEIPT NO.
_ _ COMMUNITY DEVELOPMENT DIV.
L
�
PROTECTIVE INSPECTION SEC.
1 i
1 . �
NUMBER
REV
DATE
PAGE OF
APPROVED BY
`
CITY HALL FRIDLEY 55432
��"',•�
L---- J` 612-571-3450
910415
6/3/98
JOB ADDRESS 173 49 Avenue NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
2
1
Carlson's Summit Manor South Addn SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Carolyn Dreyer 173 49 Avenue NE
572-8796
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 ❑.. ALTERATION ❑ REPAIR ❑ MOVE [IREMOVE
X
8 DESCRIBE WORK
Remove existing deck; Rebuild 24' x 14' Deck
9 CHANGE OF USE FROM
TO
STIPULATIONS
See notations on plan.
R%U nap
AK1Tflsj1qg
Before digging call for
al1 utility locations
454-0002
REQUIRED BY LAIN
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
$3,013 $1.51
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 T AL FEE
$91.77
'SIGNATURE RAUTHORIZED AGENT � IDATEI �
HEINYPR Y VALI A •THIS IS YOUR PERMIT
BLD INSP DATE
SIGNATURE OWNER OF OWNER BUI D RI IDATEI
NEW
ADDN
ALTER
Construc
Legal De
Owner 1\
Contract
Address:
L•
[l
[ ] CITY OF FRIDLEY
[ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Effective 1/1/98
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF E%IPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: LenWidth < Hgt/Ground __,?/ Sq. Ft.
OTHER: r6rJ�OZi� (S I d �� 'D
Construction Type: J/ C� Estimated Cost: $ '30d
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
DATE: � — -5 _ T'�
APPLICANT: J Tel. # ��i ��71
CITY USE ONLY
Permit Fee
$ .Z
Fee Schedule on Reverse Side
Fire Surcharge
$ . 0
.001 of Permit Valuation (1/10th%)
State Surcharge
$ 1.51
$.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
$ %
STIPULATIONS:
1S— _- —
Oraind l ?and Wi
-- --- - � -. ___ __.
•tint faramint
__ ___ _.
14
__ _. — _
!
_ -- _ 75 — — J
L
6
5
4
3
2 Lj
O
d0.2
125
jt.t
..�..0�.2�
jt.t
e
M:
NI
die
149
1613
IRILff
1S
75
75
76
75
N.E.• .
AVENUE 5
t alq cv.- kif - that the nbuve i3 a Bumf -Of LiAm LTM` (1) thmi-C.h
k 'L?uu tl). moi+ .L;-, I' ; •:L':•;• -►T 1•ANO;. �;CU7.t'i1:ti'I�::� Auhka County. J/inoer�ota� .
Lae the. lodution of the rouser on mLid lots,
urveyed by Lie. thin . 5th dsof March I9515 A. D.
! ir,a•.soza iiorintration ho.251i11
'Tie Home Depot #2802, 5650 MAIN ST., N.E., FRIDLEY, MN 55432,'
Wed'lay 13 12:49:11 1998
The materials in this deck will cost $1585.65
File saved as: c:\cgdesign\dacks\5728796a.DEK
3D View
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Si9wltic
e Depot #2802, 5650 MAIN ST., N.E., FRIDLEY, MN 55432,
ay 13 12:49:11 1998
e saved as: c:\cgdesign\decks\5728796a.DEK
eck Dimensions for Deck 1
�',V1
I�Vvu 11D
10' 4F' 3' 10' 8
Deck—j 9(
�5
U�
y�y
--- -- 1� /
7— e�OL evA / M�
0
Joist Spacing = 16 in. o.c.
Railpost Spacing = 96 in. (.c., Baluster Spacing = 3 in., Toe Spacing = 3 in., Railing Height =
Stair 1: Rise = 8 in., Rur. = 11 in.
-
SUBJECT
City of Fridley
31792
AT THE TOP OF THE TWINS
BUILDING
PERMIT
i
• COMMUNITY DEVELOPMENT DIV.
r � PROTECTIVE INSPECTION SEC.
572-3604
�
6736 /
CITY HALL FRIDLEY 55432
NUMBER
REv
GATE
OF
APPROVED BY
612-571-3450
910415
5/3/01
FPAGE
JOB ADDRESS 173 49 Avenue NE
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DIE
2
1
Carlson's
Summit Manor South Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Carolyn NXPM Dreyer 173 49 Avenue NE 763-572-8796
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 D ADDITION O ALTERATION O REPAIR D MOVE - O REMOVE
8 DESCRIBE WORK
Construct a 5.6' x 11' Deck
9 CHANGEOFUSEFROM
TO
STIPULATIONS
See notations on plan.
WAR IVINGS
RERA-M PERMITS
R QUIRED
�efoPe di
FOR:
Agin
all utility 9 call for
�Y docations
454.0002
P�UMBIWd AND Si
6
By
AW
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL. PLUMBING. HEATING,
TYPE OF CO ST.
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
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
$665
$
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
•50
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TME
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$29.60
Fir SC $
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
.66
PLAN CHECK FEE
TO A FEE
.76
$I ATUAE Or COWAACT R AUTHORIZED AGENT IDATEI
MEN R P RPE MIT
VALIDAZDHIS IS YY�r)A
�� 4
C mil 7
/
f�S.GNA
LURE O� OWNE A.Ii O NER BUILOE RI IDATEI
INSP tE
NEW []
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
7/7
Construction Address:/
Legal Description:
Owner Name & Address:
Contractor.
Effective 1/1/2001
(763) 572-3604 Bldg Insp
Tel. # 765—:5
MN LICENSE #
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 d
OTHER:
64'501 Flo ��
Construction Type: th&-O-v 6-d W06c� Estimated Cost: $
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ —=$
DATE: 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:
Call (763) 572-3604 for Permit Fees If mailing In application
Fee Schedule on Reverse Side
$ (o .001 of Permit Valuation (1/10th%)
$5 (� $.50/$1,000 Valuation
$ $1150 per SAC Unit
$ $5.00 (State Licensed Residential Contractors)
"A" or Alt. "B" Above
$ $450.00 Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement Necessary [ ] Not Necessary [ ]
r
"PLAN APPROVED`
SUBJECT TO FIELD
��
• — _ is _._ --- —
On�ind I ?end Wi
-- --- –73-- --.. _.
'till f�t�r'»in�
__ _7S _ _.
f
__ _. — _
15 I
I
_ _. _ 73 _ _ J
7- --1
6 '•
5
4
3
2 ��
o
oAd
0
0.
2
`N
-ii f
Ao-
ii I r c�
2.2
x j r,4�02
149 »
161
173
Fa
god
%S
5
77
/7 i
i 75
AVENUE �jU
N.E. .
that thl. nbuve is a aartry-uf LeA.4 Unr• (1) ti►rtiaa-h "iytnea
r:'this {1). .:i+E;L:G;I�: •:L''•��T 1•:iti�J�: ;;CU:tI A!A:177k; , Aanka Countys Jfinvenota, .
1.1j; tht: lodattion of tho houses on maid loths
urveyed by u*. thin .25th ►lay of March 19r5 A, D.
..ibnod,
!• tr�;i..9�ta Iie�iatratl�p ho.?5b11 �
0
l[
aoold OJOY p o
But�3 a Moi S ��o� aQ� to �' a1* 30
...,vnol a0 $ _-„nns 42sod -.,too 10, si `aa
I
/ ��,'�� 3/s(p
CITY OF FRIDLEY INSPECTION DIViSION .��D l ��( C��S/�D Ch�r��.l ��� Effective On January 1, 2001
6431 University Ave NE����
Fridley, MN 55432 APPLICATION FOR POWER PLA�AND HEATINp/
G, COOLING, VENTILATION,
763-572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
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%u of Value of Appliance or Work
Rate TOTAL
$ 30.00 $
$ 10.00 $
$ 10.00 $
$ 10.00 $
$ 25.00 $' CZE
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
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
$ .50
JOB ADDRESS /7,
OWNE
BUILDING USED AS LAO— G_Z n
ESTIMATED COST PERMIT NO.
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heatin Units Circle One (Steam) (Hot Water) karm Ai
Trade NSize No. '?a 9e
BTU ��i &4, HP EDR
Fuel 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
rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are true and correct.
DATE g?/7k l
HEATING CO
Signed0' . TEL # 74,P--3
I)S
Approved By A Rough -In Date Final Date
BACKSIDE MUST PE FILLED IN ON VENT SIZE, VENT CONNECTORS
AND COMBUSTION AIR VERIFICATION
COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When replacing an existing furance, 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 () 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 existing combustion air is sized and installed to meet the current codes
and manufacturer's specifications. Yes () No ( )
When required to install a new combustion air, it will be sized and installed
to meet the current codes and manufacturer's specifications. Yes () No ( )
When installing a new venting system, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturers
specifications. This does include AGA-GAMA Category I Central Furnace
Venting Tables for fan assisted and natural draft appliances. Yes () No ( )
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 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 I 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
ALTERATIONS: (Describe)
HEATING CO: I
Signed By: Date
SUBJECT
NO.
City of Fridley
0 1
3579
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
-fttVVT NO.
E •
• _ COMMUNITY DEVELOPMENT DIV.
fr ..... ,
/®
Jt/
f � PROTECTIVE INSPECTION SEC.
3 1 (iJ
E
NUMBER
REV
DATE 6/6/03
PAGE OF
APPROVED By
CITY HALL FRIDLEY 55432
763-571-3450
910-F15
slow
JOB ADDRESS 173 49 Avenue NE
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
2
1
1 Carlson's Summit Manor South Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Carolyn Dreyer 173 49 Avenue NE
763-572-8796
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
T CLASS OF WORK
❑
O NEW ❑ ADDITION X ALTERATION ❑ REPAIR ❑ MOVE O REMOVE
A
8 DESCRIBE WORK
Install egress window within existing basement openings
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
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
$500
@
$
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
.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 $
STRU N OR THE PERFORMANCE OF CONSTRUCTION
.50
PLAN CH ECK FEE
TOTAL FEE
Y/
$24.50
SIGNATURE O CON-RACTOR OR AUT RIZEO AGENT iDATEi
"HENPROPERLY VALIDATED THIS IS Y R PE MIT
0�
S-GNATURE OF OWNER-I[ OWNERBUILDERI IDATE,
8VOG -NSP
T,A E
NEW [ ] CITY OF FRIDLEY Effective 1/1/2003
ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
I
Construction Address: / `� 3 ��V
Ik-
Legal Description:
Owner Name & Address: C_7a `vh /re4eY' Tel. # '%� 57Z
Contractor. �i ,;a a V' 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
4
Sq. Ft.
DECK AREA: Length Width
Hgt/Ground
Sq. Ft.
OTHER: ;,Asda tI oas e -W - nct
e�r�e 5 vkAo � 0
W) n -k
®
®f �/A X
Construction Type: u.�'J6c� Fd`&y1 a
Estimated Cost: $
: dd a
''�
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: Of) APPLICANT:aaadll�DTel. # /% 5--5 7<1 -
�
Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will
call you for card number.
CITY USE ONLY -
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
$ '�1. 3L/
TOTAL $ C� ���
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1275 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 [ ]