PRE 2010 DOCSBUILDING PERMIT
Village of Fridley, Minn. No 2286
Date". `..........................
Owner...................
Address.lil. �`!'. ...
u
Build ................:..........
Address.........................
II
LOCATION OF BUILDING
No. .... �!....'; Street ........................... Part of D0f .......................
Lot ..... . .....1, Block ....�......... Addition or Sub -Division "�:." ......'..... . ................ .
Corner Lot ....... ... Inside Lot to ........ Setback .. Sideyard /40 ................
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DESCRIPTION OF BUILDING
To be Used as:
. .. .....' ... + Front *7'60 ... Depth .r.`V.. Height s . :� .. Sq. Ft......... Cu. Ft........ .
................... rll Front ........ Depth ........ Height ......... Sq. Ft......... Cu. Ft. .. . .
evd .
Type of ConstructiO4 .� .' : Est. Cost .. .!I� ........... To be Completed . !.... .......... .
In consideration
the proposed work ii
ordinances of the vil
f the issuance to me of a permit to construct the building described above, I agree to do
accordance with the description above set forth and in compliance with all provisions of
ge of Fridley.
.... ... .y,; , •.r •�
u
I� c eration f the payment of a fee of ......, permit is hereby granted to .......... .............
yin $.
. � .. to construct the buildingor addition as described above. This permit 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 t}pon 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 aid this permit may be revoked at any tim - upon
n viool of any of the provisions of said
ordinances. I!
I'
... ... 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.
I
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City of Fridley, Minn.
BUILDING PERMIT N® 7084
Date: !?– /� e.'/ (r
Owner: Builder
Address Address
L�F BUILDING
No. Sheet � � �___._.�— Part of Lot
Lot __ Block Addition or Sub-91yron
Corner Lot _ Inside Lot>r#back Sideyard
Sewer Elevation �— _ Fo tion Elevation
DESCRIPTION OF BUILDING
v as:
Front Depth Height Ztq Sq. Ft. Cu. Ft,
Front Depth of Height _ _ ____ Sq. Ft. cu. Ft
Type of Construction _ _ Fast. 14 _ -- 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. /% ' N _ , A rater
1 vi
In consideration of the payment of a fee of $ r�T , 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
ante city ]units and this permit may be revoked at any upon � olati" any of the provisions of said
NOTICE:
This pemdt doss not carer the condruction, Installation for whdng, Plumbing, gas heating, sewer or water. Be suns to no
the Building inspsstor for aparate permit for these items,
- APPLICATION FOR BUILDINC> P4M T
CITY OF FRIDLEY, MINNESOTA; T ,
OWNER'S NAME i�Qua1��� BUILDER
ADDRESS_.4 X13.2- Aide 41W7,ADDRESS Af S-9 Ce�-x» ca- ; .: cxk
LOCATION OF BUILDING,
No. Street ••-Part of ''Lot
Lot Block Addition or Subdivvision •
Corner Lot Inside Lot Setback Side -Yard.:
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form.Tw,o•Certificates of Survey of:.Lot and proposed build-
ing location drawn on these Certificates,.
To be used as:
DESCRIPTION OF BUILDING
_FrontZ) Depth_- - � ` .,_..Height.•..:
v.
Sq. Ft. Cu. Ft.
Front Depth Height
Ftp
Type of, Construction /fir-a.�,,� Estimated, -Cost / mory, m
-----------
.To be Completed 4
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 and correct.
DATE_40 oa. P- 8 r( i 4+ S
(Schedule of Fee Costs can be found on the Reverse Side).
SSD -S//4
LOT
NAME
SIZE
C/d� /,�/ /i��w o r t/f
d// X A 12
BLOCK
ADDRESS
VALUE cw
,6-0 9 07,pe.
ADD'N.
AREA
TYPE
le
WA
$1►
con �/u, f /'•
4
O 3
da / is �
/& •
S1 4
4
.00
/11vaS e
os.o.
vn off//, e;rro/c,771
SUBJECT
PE
City of Fridley
O
AT THE TOP OF THE TWINS
BUILDING P E R M I T
_1629-
rp
CEIPT N
' ___ COMMUNITY DEVELOPMENT DIV.
�.: - --.
PROTECTIVE INSPECTION SEC.
7 %-Z
3
1 �
i CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
i J\ 612-571-3450
910-F15
7/27/81
/
JOB ADDRESS 508 - 5312 Avenue N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
17
2
Temple Terrace SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Clyde Haworth 508 - 53h Avenue N.E. 560-5116
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Professional Roofing Services 7257 Yucca Lane, Maple Grove, MN 425-8233
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 Dwelling
9 CHANGE OF USE FROM TO
STIPULATIONS Roof can be second but not third roof. Install ridged galvanized
valleys.
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
]
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
$850
$.50WITH
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 ERFO09CPE OF CONST CTION.
PLAN CHECK FEE
TOTAL FEE
X A%r
$8.00
SIG4A TUREOFCO TRACTORORAUTHORIZED 13ENT IDATEI
WHEN PROPERLY ALIDATED THIS IS YOUR PERMIT
Q
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BLDG INSP GATE
SIGNATURE OF OWNER I IF OWNER BUILDER) IDATEI -
CITY OF FRIDLEY
APPLICATIM FOR RESIDENTIAL BUILDING PEW41TS
(New, Alterations, Additions„ or Rcpairs)
OWNER: I L
ADDRESS:
TEL NO:
BUI LDtR : ies
ADDRESS:
TEL 110:
Construction Location
• ST ' tiT NO: STREET: ...4ti.�...y4s � �����-
LOT:/7 BLOCK:_ ADDITION:
Corner Lot: Inside Lot: Setback.: Sideyards:
Applicant attach to this form two Certificates. of Survey of lot and
proposed building location drawn on certificates to scale.
DESCRIPTION OF CONSTRUCTION
Front: Depth: Height:
Square.Feet: Cubic Feet:
Front: Depth: Height:
Square - Feet: Cubic Feet:
Type of Construction: ,�S ,� %�rt�CaF f� IJ �' l- Estimated Cost: $ ���.
%b $e Oompleted: —
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired: $ $
SEE REVERSE SIDE OF SHEET .
9Sie 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 truq and correct. n
DATE: % Q2 - SIGNATUF.e::
Stipulations:
i
SUBJECT
PE T-XO-."�.
City of Fridley
r, .7
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
_ COMMUNITY DEVELOPMENT DIV.
I __
a. PROTECTIVE INSPECTION SEC.
I
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
9/3/98
10B ADDRESS
508 53 1/2 Avenue NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
17
2
iTemple Terrace 2nd
SHEET
2 PROPERTYOWNER MAIL ADDRESS
ZIP PHONE
#yKi Clyde Haworth
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Viking Home Improvement Co. 4832 2 1/2 St NE Mpls MN 55421
572-1820
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
[I NEW ❑ ADDITION ❑ ALTERATION ]a REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and garage 24 S Tear -off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SQ. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
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
$1.03
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$2056
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 $2.06
STRU ION OR THE PERFOMANCE OF NSTRUCTION.A/r/�Z"
PLAN CHECK FEE
TOTAL FEE
J L
License SC $5.00
$82.84
SIG ATUREOF O T ACTOR OR AUTHORIZED AGENT IDATEI
WHEN PROPER THIS IS YOUR PERMIT
i
Bl )NSP
eALIDATED -
�— 3�
MATE
SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI
NEW [' ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress:�Legal Description:
Description:
Owner N
Contract
Address:
& Address:
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Tel. #
MN LICENSE # LZ 7%,Z,
Tel. # .- 7 Z W2-0
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 Sq. Ft.
Length Width Height Sq. Ft.
Length Width Hgt/Ground Sq. Ft.
Construction Type: �� ¢�o Estimated Cost: $
Driveway Curb Cut Width Needed:
(Fee Schedule on Back)
Ft. + 6 Ft = Ft x $ = $
DATE: i �j APPLICANT: Tel. # -5�, Z �I2—�%
—'
CITY USE ONLY
STIPULATIONS:
Permit Fee
$ -�
Fee Schedule on Reverse Side
Fire Surcharge
$
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$.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 [ J Not Necessary [ ]
TOTAL
$ new
STIPULATIONS:
o�C9TY OF FRIDLEY INSPECTION DIViSION / ®' lob 0
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
(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
$ 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
*Air Conditioners can not be placed.in a side yard without
written permission from adjoining property owner.
Effective On May 10, 1999 or
JOB ADDRESS _, Oil P JOAF (.P. a - /!
OWNER
TOTAL AI67'Yjg�
BUILDING USED AS
ESTIMATED COST *S ,6 PERMIT NO. r17
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units Circle One (Steam) (Hot Water) arm Ai
$ Trade Name ' Size No.PwAo 5 -
BTU 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
$ 5Q rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are•true and correct.
$ 63 -.SD
HEATING CO k `G
Signed ad DATE 1011.6L41
D�
Approved By/6 Rough -In Date Final Date 3—(o-&3
J.
CHEVINEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or.stack:
1.
Has been carefully examined
Yes (WNo ( )
2.
a
Is free from rust or deterioration
Yes (L�rNo ( )
3.
Has no foreign objects lodged within.
Yes (V) No ( )
4.
Is securely supported
Yes. ( °-No ( )
5.
Meets all current Code requirements for size
BTU's
Yes ( LY No ( )
and total connected
6
Has total heating BTU's of 15� yy
All other BTU's
TOTAL BTU's �, P -OD
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:
Date:
k kG Lc2.
/e/10/d
CIlYOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287
March 7, 2003
Mr. Clyde Haworth
508 53 1/2 Avenue NE
Fridley, MN 55421
Re: Final Inspection at 508 53 1/2 Avenue NE
Contractor: Anderson Heating & Air Conditioning
Dear Mr. Haworth:
A mechanical permit was issued on October 12, 2001 to install a furnace and an air
conditioner at your address. According to the 1991 Uniform Mechanical Code a final
inspection shall be conducted on the work authorized by this permit. As of this date the
inspection has not been requested.
The permit fee that was paid covers the inspection to make sure the work was completed
according to the Codes. We will keep your permit open for another 30 days and if we do
not hear from you within this time to set up the inspection, we will mark the permit "no
inspection called for by homeowner after notification" and take no further action.
To set up the inspection or to have any questions answered, please contact the Building
Inspection Division at (763) 572-3604.
Sincerely,
DJ/mh