PRE 2010 DOCSBUILDING PERMIT
Village of Fridley, Minn. N° 2 Q 3 4
Date .................
P
Owner.................. Builder ....... ......................
Address ......................................... Address ....
LOCATION OF BUILDING
r
No. .. ,`i....... Street ..... �. .... ..... ..................... Part of Lot .......................
Lot .... /.9 ........ Block ........ r....... Addition or Sub -Division ... .... ...................
Corner Lot ............ Inside Lot ...t. �... Setback ............ Sideyard ..........................
DESCRIPTION OF BUILDING
To be Used as:
....... Front q.�.... Depth . aoZ... Height ......... Sq. Ft. 101;1,. Cu. Ft. ........
.................... Front ........ Depth ...`..... Height ......... Sq. Ft......... Cu. Ft.........
Type of Construction . ! .IZI .�.... Est. Cost .1.41 . �Pq ..'P? R...... To be Completed ... (Q. .......
In consideration of the issuance to me of a permit to construct the building described a , I agree to do
the proposed work in accordance with the description above set forth and in compliance all provisions of
ordinances of the village of Fridley.
...: ............. .............
eration of the payment of a fee of $. . 0, permit is hereby granted to .....�
?_nsida...... ..
�6 :":....... 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 village limits and this permit may be revoked at anyre ujnviol ionf 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.
aV
W / f '
City of Fridley, -Minn..
BUILDING PERMIT N° 3867
Date: ... ,.—/�✓J7..........
Owner ....................................... Builder :'c:®„orn�;0`.� ....:� v ..
Address...................................... Address .........®...................................
LOCATION OF BUILDING
No. a.l ".. .. Street ..`5. ....LL2:�.... �.'.�f�?........ Part of ........ ........... .
jj ..
Lot ... � :�.... Block .....,t ............ Addition or Sub -Di on .. ....
Corner Lot ............ Inside Lot .......... Setback ............ Si�........ .
DESCRIPTION OF
�� _ To be Used es:
J P /
�tS.
.... Front pr :�.V Depth F�. :: Height .4 . a Sq. Ft. Cu. Ft.
.................... Front ........ Depth ........// Height ........ Sq. Ft. ........ Cu. Ft. ........
Type of Construction ................... Est Cost...1.,5.42.4. .'..6777. To be Completed ...................
In consideration of the issuance to me of a permit to construct the building desribed 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. / --7 19,00
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.
Build*g' Inspector
NOTICE:
This permit does not cover the construction, InstallatM or alteration for wiring, plumbing, gas heating,
sewer or water. Be sure to see the Building Inspector for separate permits for these Items.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
'Owners Name/1, a _dylI Qy Builder ? e J . 61d
Address s /, �� Address _ 5�3 /Vo
LOCATION OF BUILDING ;
No. Street of Lot Ile 6
Lot 7 Block.. Addition or Sub. Div., o rP
Corner Lot Tnside Loty Set Back_
Applicant attach to this form Certificate of Survey of Lot and proposed
building•location.-
DESCRIPTION OF BUILDING
To be used as
d V CA' -e-- Front 0 Depth Height
`y.�i0 Cu Ft
Front Depth Height
Sq. Ft. Cu.. Ft.
Type .of Construction r'+ -��� Estimated Cost-�.�i
To be completed 4 �P— l V ..
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 true and correct.—
i
Date. r Signature
(A Schedule of Fee Costs can be found on the Reverse Side)
MINDER ENGINEERING CO.,INC.
ENGINEERS AND SURVEYORS
LAND GUIWEVING 80IL3 TESTING
CIVIL S& MUNICIP^L ENGINEERING I-A.M0 PLXMMlMe
6418-56TW AVENUE N.
MINNEAPOLIS X-F.MINN.
KE 7- SG37
cer-tiliclate
foe
s 3
.&10
, eX15T4�
75,0
cyoe
WE HEREBY CERTIFY THAT THIS IS lk TRUE AND CORRECT REPRESENTATION OF A. SURVEY OF THE BOUNDARIES OF THE
LAND ABOVE, DESCRIBED AND OFTHE LOCATION OF ALL BUILDIWr7S, IF ANY, THEREON, AND ALL VISIBLE EMCROMS�HMENT'
IF ANY, FROM OR ON SAID LAND. do,
ONY M
1INDER ENGINEERING CO., INC.
,DATED TKIS 'Ong kc. 1 J5 EMQIitms AND su"ayclLs
CITY OF FRIDLEY INSPECTION DIV. Effective On March 1, 1996
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVIdES
JOB ADDRESS 53
RATE SCHEDULE
The undersigned hereby makes application for a permit for the work herein
Residential Rate
�rnace Shell and Duct Work, Burner —
TOTAL
specified agreeing to do all work in strict accordance with the City Codes and
Also
rulings of the Building Division, and hereby declares that all the facts and
Replacement Furnace $ 30.00
$�'
representations stated in this application are true and correct.
(Side Vent — Fill Out Back)
Gas Piping
"
(Needed with new furnace) $10.00
$
,1996
OWNER
Gas Range $ 10.00
$
_
BUILDING ✓/,2
USED AS r�rs�`
Gas Dryer $10.00
$
ESTIMATED COST 2.700 PERMIT NO, ! %�
mfr Conditioning — All Sizes $ 25.00
$
All Others/Repairs & Alterations (LIST ON BACK)
DESCRIPTION OF FURNACE AND OR BURNER
1 % of Value of Appliance or Work
$
No, of Heating Units Circle One (Steam) (Hot Water) (Warm Air)
Commercial/Industrial
Trade Name rte,, �, � 41f-- Size No.
BTU -7SFPc7` HP ia EDR
1.25% of Value of Appliance or Work
$
Fuel Total Connected Load
State Surcharge
x,50
Burner Trade Name Size No.
TOTAL FEE
5��
BTU HI`4F EDP
p
o
MINIMUM FEE FOR ANY HEATING1�COOLI&G/VENTILATION
HEATING CO
612 72-,� 9
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
Signed Tel No.
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr
Approved By Rough—In Date Final Date
;�
"Air Conditioners can not be placed in a side yard without
written
FILL OUT BACK SIDE FOR STACK VERIFICATION ON /{� O
permission from adjoining property owner.
REPLACEMENT FURNACE '' °
List ALTERATIONS Beim Done:
HEATING CO:
Signed By:
Date:
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
O 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
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 Beim Done:
HEATING CO:
Signed By:
Date:
SUBJECT
City of Fridley
29687
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
RECEIPT NO.
� 1 v �_���_ COMMUNITY DEVELOPMENT DIV.
r E PROTECTIVE INSPECTION SEC.
3VJ
E �
j CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
6/15/99
,OB ADDRESS 549 53 1/2 Avenue NE
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
] ]
1
1 Temple Terrace 2nd
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Helen Martin
572-9220
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Northern Crest, Inc. 8245 Polk St NE Spring Lk Pk M 55432 792-9364 20098415
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE N0.
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW O ADDITION ❑ ALTERATION XX REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and garage 22 SO Tear -off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Cade.
SEPARATE PERMITS ARE REOUIRED 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 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
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
1923
96
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-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
69.25
PLAN CHECK FEE
TOTAL VIE
Li c e nsA,9Cj 5.0 0.77.1
SIGNATURE OF CON•RACTOR OR AUTHORIZED AGENT iDATEi
EN7P�0PWLI!0;AMTET ISVO R PERMIT
S-GNATURE OF OWNER OF OWNER BUiLDERI IOATE7
BIOG NSPOf
)ATE
dbW ` [ ] Effective 1/1/99
ADDN [ ] CITY OF F UDLEY ^
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: 54 9 - 5 3 1 j2 Ave . NE
.: •ZegaIDescriptioa: � - :- .
Owner Name &Address: Helen Martin Tel. # 5 7 2 - 9 2 2 0,
Contractor: Northern Crest, Inc. MN LICENSE# 20088415
Address: 8245 Polk St. NE Spring Lake Park, MN 55432 Tel.# 792-9364
Attach to this application, a Certificate of Survey of the 41
lot, with the pfpposed construction drawn on it to scale.
- LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
, Construction Type:
Tea
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length Width Hgt/Ground Sq. Ft.
Tear
off and re -shingle house and garage. 22 square.
Estimated Cost: $ 3 , 3 0 0.0 0
(Fee Schedule on Back)
Driveway Curb Cut Width Needed:
Ft. + 6 Ft = Ft k $ _ $
DATE: 6 -15 - 9 9
APPLICANT:
Tel. #792-9364
I
CITY USE ONLY
Fee
$�
Fee Schedule on Reverse Side
Fire Surcharge
$
.001 of Permit Valuation (1/10th%)
State Surcharge
$ to
$.50/$1,000 Valuation
SAC Charge
$
$1050 per SAC Unit
License Surcharge
$ 5,00
$5.00 (State Licensed Residential Contractors)
Dfiveway Escrow
$
Alta "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 $ 3
STIPULATIONS: