PRE 2010 DOCSCity of Fridley, Minn.
BU LDING PES N® 3446
Date: . ! ..�. a �..... .. !�—gK ..........
Owner ....................................... Builder ......... .............................
Address ...................................... Address 2!4 ..............
LOCATION OF BUILDING
No. Street ...��. ..a�... ��..®, /..! ....... Part of Lot .......... ............... �`�
Lot .... ? ..... Block ...R ............ Addition or Sub -Division . C. ... ... !7... .
�
r
Corner Lot ............ Inside Lot .. X ....... Setback -.7A : ® ... Sid yard .. `� ...� .................
DESCRIPTION OF BUILDING
To be Used as:
Front ..Y 6.T.0 Depth ....... ® Height .� . ®'Sq. Ft. /0-3 Cu. Ft.
........ ......... Front ........ Depth ........Height ........ Sq. Ft. ........ Cu. Ft. ........
of Construction ................... list Cost.
Type ... . /.Y, . CT . f�'b 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.
In -+consideration of the payment of a fee o -Fs -1. / .. S
....., permit is hereby granted to ...................
......................... to construct the building or addition as described above. Tbis 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.
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.
Application for Power Punts and Heating. Coaling, Ventilation, Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR:
Furnace Shell & Duct Work ..........................
Replacement of Furnace .............................
Repairs & Alterations—up to $500.00 ..................
Repairs & Alterations each add. $500.00 ...............
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............
each add. 60,000 BTU .......................
Replacement of Furnace .............................
Repairs & Alterations—up to $500.00 .................
Repairs & Alterations each add. $500.00 ..............
STEAM or HOT WATER SYSTEM
RATE TOTAL
8.00 $
5.00 $
5.00 $
2.50 $
8.00 $_
2.00 S
5.00 $
5.00 $
2.50 $
Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $
Each add. 200 sq. ft. EDR Steam ...................... 2.50 $
Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $
OIL BURNER --to 3 gal. per hour 5.00 $
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to 400,000 BTU) ....................... 5.00 $
GAS FITTING FEES: NO RATE TOTAL
1st 3 Fixtures ...................... x $1.50 $
Additional Fixtures ................. x .5o $
Gas Range to 200,000 BTU ........... x 2.00 $
AIR CONDITIONING
FAN HEATING SYSTEM
VENTILATING SYSTEM
ALTERATIONS & REPAIRS
REMARKS:
See Fee Schedule
TOTAL FEE $--��
Dept. of Bldgs. Phone SII 4-7470
Location�
City of Fridley:
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.
Fridley, Minn �q 195—
Owner AAM /� il'�// � A? �J)e 195—
Kind of Building %�%li /1/� 195—
Used as ,0
To be completed about
Estimated Cost, $
Old New. uilding Permit No. 19:�
DESCRIPTION OF WORK
HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No
Trade Name 'e e9JVAE Size No
Capacity Sq. Ft. E.D.R BTU /o (5 A/k H.P.
Total Connected Load 3 7.? Ira Kind of Fuer
BURNER — Trade Name Size No
Capacity.
Sq. Ft. E.D.R BTU H.P.
Sign�t���'}
By
11 POST 1M-12-58 Bus' Phone No- ��
•
•
City of Fridley, Minn.
BUR DING PERMIT
Date: July 9, 1965
Owner: Richard Stawski Builder
Address 588 5304 & 39 Ave. N. E. Address
Same
.2'&
N? 8162
LOCATION OF BUILDING
No.8. 5 8 Street 5A. Avenue N. S- Part of Lot
Lot 7 —Block 2 Addition or Sub -Division Tempo Terrace, 2nd Add.
Corner Lot _ Inside Lot Setback Sideyard
Sewer Elevation Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
New D. Garage
Front 241 Depth U221 Height 3tg. 101
sq. r -t 19' 528 Cu FL 5280
Front Depth Height Sq. Ft Cu. Ft
Type of Construction Frame Est cost $1584-00 To be Completed
New D. Garage
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 ffith a'!1 provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of $ •00 , permit is hereby granted to R. Stawski
to construct the building or addition as described above. This permit is granted upon
the express condition that the peon to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any pmt thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota location, may be ctioked aalteration, time upon vio maintenance,
n of anyyoof the provisions oofof "said
within the city limits and thU permit
ordinanoea
Aller: Jensen Building Inspector
NOTICE:
7hk pumb don not eewr the dondrud im, Mdamon for wkhm plumbing, gn hendn& sewer or wdw. Be wre to ao
ti» Building bqm ter for aperete pormha for thea bona.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S
ADDRESS_ I ADDRESS
LOCATION OF BUILDING
_ f
No, �lI G - �S �� !��Street Part of Lots
LOT Z BLOCK ADDITION OR SUBDIVISION
Corner Lot Inside LOT_,.,:.-fSetback Side -Yard .
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
jj DESCRIPTION OF BUILDING
To be used as:
Front Depth _ rIBright ,16
Sq. Ft. Cu. Ft. ._� �-
-Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction Estimated Cost _-5
To be completed
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 applicationypre true and correct.
DATE �� y/ �� SIGNATURE _ //I ,r-
(Schedule of Fee Costs can be found on the Reverse Side).
. , r
Cii'i of r-, idlay
Alarlia-atlan for Plu=:1,3 woo G'�-'s
Dop't. of BIdga, Phona M -3M
DESCRIPTIOII OF VIOlAr' Locat:oa. r;AA 531 Ave. NY-
Nua►SsT, i:i;•d a.•+d Lece:loa of Fixtvras
_ City of Mdley:
R = o a WAir4 Wyk.
Z ? ` g ' i� ;' < 7 7 < 7 " ► ►+ ws nrc, The undersigned hereby makes application for a permit to t`:r work
N ii S ? ` : o w 3 * u u • to
specified, ag;eeinS to do all work in strict acco.-dance with the Cit,7 O ---d
I
a^d ruling of the D�:pa:tt"•e.It of }rullr.'=Z:. and hereby declares fat a:I
B3:a
n
2.ir -•_
3:d
{ •y •cd with
Cccrts. .
• Ft;:.•o Cc:.:a;.,ca C-:.c:r.:a uraaz
s Kao Fixturo. Old 07421nP ecZ'pool ❑
PARTIAL RATE- SCHEDULE
Lr'�tBltiG fl;CTJ; E RATES: ,
NO. RATE . TOTAL
x $2.0.3.
$
Number Fixture:....... • • • • • • • • •—....--.-
Future Fixture Opening • • • • • •'• • • • • ------
.
.•---
%ew Fixture Old Opening • ••• • • •' • • • • •---"
--' x-•----
x $3.25
$ -
Catch Basin . • .... • . • ...........-._--�•
Water heater 'Up to 99.000 BTU) • • • • ------
x 53.00
$
few Ground Run 0ld Bldg.:. • ••• •'• •--------
x .1.2
S
ii.ctetc Via tar H&&Ur. .:..:.........�.�
s 5?•�
S
NO. R:+:`:. TOTAL
jAS FITTING FEES:
• Ist3Fixtures ••••�••••••••••'•'----'—x$2.00
x $ .75
S .
Ad-Mu4nal Fixtures ..:......... 0 • •--------
G:s R.- :;r to 199.000 BTU • ....... • •.--�r--�--�'
x $5.i 0
L------
• , and repr esentatlons stated in Lhis appUcat:on are true ar.d eo: --4-
B
,
iYidley, Man 7-19-76
`tichard Stawski
Owner
Kind of Building frame
Uj%cd as
' •'
To be completed about 7-2b-76
10.00
Estimated Cost. S
Old—ZJM Building Permit
• Siznc
• By
Business Phjrc No -
ROUGH .^
FIYAL•�
.SO State Surcharge .
is XL:i:RATIONS--P.eler !o Cods
.Ik=d;%1on•'•.•.••.•••••..i.......................
5.50 Iasi
F=�-
• • . T YrAL F 5.- --
97 -8L -G16051 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
✓.
w
w
• PARTIAL RATE SCHEDULE
ESTIMATED COST 10.00
PLUMBING FIXTURE RATES: NO.
Water
Hooter
RATE
TOTAL
OLD - NEW BUILDING PERMIT N0. PEli!'!IT NO.
•
x
$3.00
H
Future Fixture Opening • ---
)i
$2.00
$ ---"'
Company -
N MASCO
Now Fixture, Old Opening __
x
$2.00
$ __-
Signed By'
Catch Basin.
G
:J 'A°
$ __
y
+7
a
'
N
$
Tel. No.
°
.ij a
N N
fly
a
a
x
as
zlec
u
o
m
$
H
x
Q
w
ti
R
��47
$5.00
$
o
GAS FITTING FEES: ,'
FINhL INSP.
Date
1st 3 fixtures
Additional Fixtures ��
x
x
$3.00
$1.00
$
$
FOR PERMIT
.Gas Range to 199,000 BTU
x
$10.00
g
APPROVAL
REPAIRS 6 ALTERATIONS
'
First $100.00
each add. $100.00 or fraction
$5.00
$2.00
$
$
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50
State Surcharge.
$ .50
'
.
TOTAL FEE
$ 0 .
Ast
REINSPEMPION !SFE
,
• J
2ad
3rd
4 th
(R) a Future Connection opening
Connected with Sewer
(�) - low Fixture, Old Opening
Water
Job Address
588. 532 Ave. NE -
,� Department of Buildings
City of Fridley
Tel. 0571-34SO
The undersigned hereby makes application lora permit for the work he'
specified agreeing -to do all work in strict accordance with the City Coy
and rulings of the Department of Buildings, and hereby declares that al;
the facts and representations stated in this application are true and a
Fridley, Min. 7-7-77 19_
OWNER RICHARD STAWSU
KIND OF BUILDING frame
USED AS r 8 -
COMPLETED ABOUT 7-11-77
.
• PARTIAL RATE SCHEDULE
ESTIMATED COST 10.00
PLUMBING FIXTURE RATES: NO.
RATE
TOTAL
OLD - NEW BUILDING PERMIT N0. PEli!'!IT NO.
Abhor Fixtures
x
$3.00
$
Future Fixture Opening • ---
)i
$2.00
$ ---"'
Company -
N MASCO
Now Fixture, Old Opening __
x
$2.00
$ __-
Signed By'
Catch Basin.
x
$5.00
$ __
k Water Heater - to 99,000 BTU,
x
$5.00
$
Tel. No.
100400 BTU to 199,000 BTU
x
$10.00
$
Water Softener
x
$7.90
$
New Grourd-Run Old Building
x
$5.00
$
ROUGH INSP.
�
^_
Data ,
Electric Water Heater -X
$5.00
$
GAS FITTING FEES: ,'
FINhL INSP.
Date
1st 3 fixtures
Additional Fixtures ��
x
x
$3.00
$1.00
$
$
FOR PERMIT
.Gas Range to 199,000 BTU
x
$10.00
g
APPROVAL
REPAIRS 6 ALTERATIONS
'
First $100.00
each add. $100.00 or fraction
$5.00
$2.00
$
$
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50
State Surcharge.
$ .50
'
.
TOTAL FEE
$ 0 .
` lass "A" Surcharge .50¢
REINSPEMPION !SFE
,
City of Fridley
SUBJECT
PE
V 9.6214
AT THE TOP OF THE TWINS
BUILDING P E R M I T
_
i �
• _____ COMMUNITY DEVELOPMENT DIV.
INSPECTION SEC.
r PROTECTIVE
O4
1 = �
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
L 612-571-3450
910-F15
16/1/81
JOB ADDRESS 588 - 531� Avenue N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
7
2
Temple Terrace SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Richard Stawski Sr. 588 - 531� Avenue N.E. 560-5497
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 J7 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 24' x 24' Addition to Dwelling
9 CHANGE OF USE FROM TO
STIPULATIONS
Before digging call local utilities
TELEPHONE - ELECTRIC - GAS Etc.
cru; ISR ALL < 1NSPECTI0f. REQUIRED BY LAW
ffii�al f tions of ail ! toad a
PERMIITS REQUIRED FOR "1101 ll
SEPERATE
MtjMNG. PLUMBING AND SIGN'S.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
mood Frame
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
576
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
$23,150
$11.58
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
pERM1T FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
NONE
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
$141.00
PLAN CHECK FEE
TOTAL FEE
$ 35.25
$187.83
SIGNATUREOF CpO�NTRA ROR AUTHORIZEDA NT (DATE)
WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
Y
-tng
BLDG INSP DATE
SIGNATURE OF OWNER 0F OWNER BUILDERI (DATE)
CITY OF rRIDLEY
APPLICATIO;1
FOR RESiUi-1lTIAL BUILDING PERIliTS
(New, Al aerations, Additions, or Repairs)
'
OWNER:� (���✓�°WS',,�'� BUILDER.
ADDRESS. ��'� — �3 �- ,z ADDRESS:
TEL X10: SZ Cf-'�S-�� `7 TEL UP:
f
Construction Location
STREET NO: STREET: � 3 l/L
LOT: 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: pC Depth: Height:
Squane.Feet: 5 6 Cubic Feet:
• Front: Depth: Height:
Square - Peet: Cubic Feet:
��y� a3,�rSv 3, So
Type of Construction: j I Estimated Cost: $ C�
To $e (orapleted: .
Alt. A Alt. B
Proposed .Driveway Width If New Opening Is Desired: $ $
SEE REVERS: SIDE OF SHEET .
The undersigned hereby makes application for a permit for the %nrk'herein specified,
agreeing to to,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 :si this applica* ^^ 4-r --^.,a ------4-
DATE.:
^^'-
DATE.: - -)- � �-/ SICNATurE:
Stipulations;
• P.
g .e„soma
Y. ` = 141.08
11. � •
r
MINDM ENGINE ING CO. JNC.
ENGINEERS AND SURVEYORS
"MD SURVEYING SOILS TESTING
CIVIL G& MUNICIPAL ENGINEERING LAND PLANNING
6418-SGTH AVENUE N.
MINNEAPOLIS -TZ. MINN.
KE 7- SG37
for: -
1
SO —5— 3 %2_
Ilk! —e
I
.7ro.-
A/. If.
3 6, 2 7 jr, 41
X,
o
WE HEREDY CERTIFY THAT THIS 15 A TRUE AND CORRECT REpFtEsEt4-rKnom OF K SURVEY OF THE BOUNDARIES OF THE
LAND ABOVE DESCRIBED AND OF THE LOCATION OF ALL BUILDINGS, IF ANY, THEREON , AND ALL VISIBLE ENCROACHMENTS,
IF ANY, FROM OR ON SMD LAND. MINDER ENGINEERING CO., INC.
muco THIS _MY,* EMG%M`SF_Q-$ AND svQvr.,eog-s
ss'
3Z3
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
-RESIDENTIAL
RATE
TOTAL
Furnace Shell and Duct Work,
Burner (Also replacement furnace)
$ 20.00
$
Gas Piping
$ 10.00
$
(piping needed with new furnace)
Gas Range
$ 10.00
$
Gas mac/�j�
$ 10.00
$ lG , U
�yy
• Air Conditioning (all0aizes)
$ 10.00
$ Amme
All Others/Repairs and Alterations
de,
li of Value of Appliance or Work SliO
$ '37 0 C)
0;,., C,J
COMMERCIAL/INDUSTRIIAL
li of Value of Appliance or Work
$
State Surcharge S .50
TOTAL FEE $
Reinspection Fee ($15.00)
Rough Insp.
Dat
Final Insp.
ate
Approval for Permit
MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00•
PLUS $.50 STATE SURCHARGE
*kir Conditioners can not be placed in side yard without
written permission from adjoining neighbor.
Job Address
Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432
City of Fridley
Tel. #571-3450
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
and rulings of the Department of Buildings, and hereby declares that all the
facts and representations stated in this application are true and correct.
,. Fridley, Minn.
OWNER ��
KIND OF BUILDING
USED AS
TO BE COMPLETED ABOUT
ESTIMATED COST
OLD - NEW BUILDING PERMIT NO. PERMIT NO. 111-%3
DESCRIPTION OF FURNACE/BURNER
HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No.
Trade Name
Capacity Sq. Ft. EDR
Total Connected Load
BURNER - Trade Name
Size No.
BTU HP
Kind of Fuel
Size No.
Capacity Sq. Ft. EDR BTU HP
IQs%
Company
Signed By
Tel. No. 7 -r7 91
Fill out back side for stack verification on replacement furnaces
CHIM14EY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack;
I.
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 ( )
No ( )
5.
Meets all current Code requirements fur size and
total BTU connected
Yes ( )
No ( )
6.
Has Total heating BTU's of
All other BTU's
TOTAL
Rema rk s
Company
Signed By '
Date
�...� .-��---�-_._..�,s-w�r..�--�.T--_�..•-. e.. .�. .-..----..,.��.. - -�..-<.---. . ".�•��- - "-.'_-,-- . � 's,.m.-".m��..e-.�.-F ..r ,mal„*�^:. �.�.q.-
SUBJECT
PERM
City of Fridley
210
r AT THE TOP OF THE TWINS
BUILDING PERMIT
r12
-3'93-3
_ COMMUNITY DEVELOPMENT DIV.
fr
r ; PROTECTIVE INSPECTION SEC.
i A CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
��'�';-J
--••
L J` 612-571-3450
910415
10/29/93
JOB ADDRESS 588 531� Avenue NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
7
2
Temple Terrace 2nd SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Richard/Bernie Stawski 588 5311 Avenue NE 572-9015
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
434-5888 5126
Pine Ridge Construction 2735 196th Aye NE, Cedar MN
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 Ck REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reside Douse & Garage
9 CHANGE OF USE FROM TO
STIPULATIONS Provide adequate attic ventilation. Provide smoke detectors as per UBC
1210 adjacent to all sleeping areas and in basement.
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
$7,000
$3.50
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
PERMIT FEE
SACCHARGE
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$90,Q0
Fire SC $7.00
STRUCTION OR E P/— RMA E OF CONSTRUCTION,
PLAN CHECK FEE
TOTAL FEE
G % 9
License SC $5.00
$105.50
\) SIGNATURE OF CONTRACTOR ORA ORI2ED AGENT IDAT 1
WH PER ALIDATED THIS IS PERMIT
/YOUR
_
G INSP DATE
SIGNATURE 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 39 -3 3
Building Permit Application
Construction Address: 55 /1 1- ue /✓1�7
Legal Description: % A/c Leo le c2'` N
Owner Name BcpAddress: c�,f+ F1i��p r,,,; �►'�t�slc O Tel. # �"1D - o/S—
Contractor: I Plue cx MN LICENSE # 0 ®o37/. ;�
Address: 3 OC-/`� nJ Tel. # Z13- �s 8
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA: Length Width
GARAGE AREA: Length Width
DECK AREA: Length Width
OTHER:
Corner Lot [ ) Inside Lot [ j Ft_ Yd Setback
Type of Construction: - s�4 /-l��
Approx. Completion Date: /g p 0 - N o ue�,ee4
Height
Height
Hgt/Ground
Sq. Ft.
Sq. Ft.
Sq. Ft.
Side Yard Setbacks
Estimated Cost: $ '7 07V vv
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: `I- `� 19 jAPPLICANT: Tel. # /-/ 3 i - 5 -53- &-,3
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
$ C , C& Fee Schedule on Reverse Side
$ 9, OCA .001 of Permit Valuation (1/10th%)
$ 3, $.50/$1,000 Valuation
$ $750 per SAC Unit
$ C 0 $5.00 (State Licensed Residential Contractors)
$ Alt. "A" or Alt. "B" Above
$ Conservation Plan Review $450.00
$ Fee Determined by Engineering
$ Agreement Necessary [ ] Not Nary [ )
TOTAL $ �� y STIPULATIONS:
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572-3604
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
Effective On January 1, 1998
PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS SSS s r/� A'V2�-
New Fixtures
$ 7.00
Old Opening, New Fixture
$ 4.00
Beer Dispenser
$ 5.00
Blow Off Basin
$ 7.00
Catch Basin
$ 7.00
Rain Water Leader
$ 7.00
Sump/Receiving Tank
$ 7.00
Water Treating Appliance
$10.00
Water Heater —Electric
$ 7.00
Water Heater — Gas**
$10.00.
Gas Range*"
$10.00
Gas Dryer**
$10.00
Back Flow Preventer Required ( )Yes () No
Type $15.00
i
IC'Qsl G•,fa i � J,N S � Si P/Wl
Reinspection Fee $42.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
State Surcharge $ .50
TOTAL FEE $_'�(): SZ
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
and rulings of the Building Division, and hereby declares that all the facts
and representations stated in this application are true and correct.
Owner
O
Ir
9+ 7 , 1998
Building Used As Si 47-e-,-75
Estimated Cost DDp � PERMIT NO.
vp C2 PLUMBING COA
SIGNED BY t :O( Z TEL N0.
Approved By & Rough—In Date Final Date
MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20.00
PLUS THE $.50 STATE SURCHARGE
**COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SQ INCHES.
SUBJECT
II
City of Fridley
6 7 21
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r?
O
i LV ____ COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
r .1
1
NUMBER
REV
DATE
PAGE OF
APPROVED BY
iI
I"'1 CITY HALL FRIDLEY 55432
� 01 %.j
612-571-3450
910-F15
7/21/98
10B ADDRESS
588 53rd 112 Ave NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
7
2
1 Temple Terrace 2nd
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
Richard Stawski
572-9015
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO.
Pleasant Valley Homes 243 Revere Lane Cham lin MN 55316
-20131520
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 O ALTERATION 0 REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and Rarage 28 SO Tear -off
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 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. OWLG. UNITS
OFFSTREET PARKING
1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
xx 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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
2335
$1.16
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIO OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUC O OR THE PERFORMA E F CONSTRUCTION.
74.75
Fire SC 2.33
CJ
Ve 91.21
PLAN CHECK FEE
TOTAL FEE
70
License SC
5.00
83.24
SIGNATURE OF CONTRA VOR AUTHORIZED AGENT/'DATE I
WHEN PROPERLYYALIDATED THIS IS YOUR PERMIT
BL" INSP
pA TE
S,GNATURE OF OWNER SIF OWNER BUILDERI IDATEI
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER `J SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION 1
_ 74�/U0
ConstructionAddress: : V2- tq')
Legal Description:
Owner Name & Address: -Kce aj sTawS Tel. # 57Z^
Contractor: eo-S P07T Ua Ye a Lem 2 s MN LICENSE # Z D/ 3
T
Address: 2 � f,3 eu� e e 0t-�-u �/i'1� �S 3 �� Tel. # 70� �/3 y
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF E%IPROVEMENT
LIVING AREA: Length Width Height
GARAGE AREA: Length Width Height
DECK AREA: Length Width Hgt/Ground
OTHER: ZF lero e
Sq. Ft.
Sq. Ft.
Sq. Ft.
a
Construction Type:��®Cr� Estimated Cost: $ 9030 �6��
(Fee Schedule on Back) 3S
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: u l i 4AA
Z APPLICANT: Tel. # 7d t-
TOTAL
STIPULATIONS:
CITY USE ONLY
Permit Fee
$ l S
Fee Schedule on Reverse Side
Fire Surcharge
$ 3
.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 [ ] Not Necessary [ ]
TOTAL
STIPULATIONS:
CITY OF FRIDLEY INSPECTION DIViSION
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 $Z.5.00
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
I
JOB ADDRESS
OWNER R'%CMAq_V S+A W5kt1
TOTAL
BUILDING USED AS
$ 3 d. oo
ESTIMATED COST AS 00 W) PERMIT NO.
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units 1 Circle One (Steam) (Hot Water) �armAir
$ Trade Name T �.w��o atO.rJ Size No. Yy T 6m o"l s - E C
BTU 75'_ rner, 194LL HP EDR
$ a 5. bn Fuel W G f u2A L r AS 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.
River City Sheet Metal, Inc.
9929 Bluebird St. NN
HEATING CO Coon Rapids, MN 55433
(61 7542999 Fax (312) 754-2905
Signed DATE
Approved By Rough -In Date Final 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 () No ( )
5.
0
Meets all current Code requirements for size
and total BTU's connected
Has total heating BTU's of
All other BTU's
TOTAL BTU's
7. Has a liner been provided for water heater
8. Has combustion air been provided for water heater
Remarks:
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
Yes ( ) No ( )
Yes () No ( )
Yes O No ( )
Building MECHANICAL Permit NO.:
Inspections RESIDENTIAL APPLICATION Received By:
763-572-3604 Date Rec'd:j o
CITY OF FRIDLEY
763-502-4977 FAX
EFFECTIVE 2-19-M
DATE 3130 YOUR E-MAIL ADDRESS
SITE ADDRESS p
THIS APPLICANT IS: 0 OWNER ACONTRACTOR
PROPERTY
NAME:er n i e.OVVNES-I-a n•S(c ;
ADDRESS: Siff $ L d v e CITY�;�/020 STATFOWNZIP�2 I
TENANT
qe ��
/
PHONE: 7�1s7P- /O1 S
CONTRACTOR
COMPANY NAME:
SUBMIT A COPY OF
CONTACT PERSON: dha Fireside Hearth & Home
STATE LICENSE # EXP DATE License 20512060
- N. Fairview Ave.
YOUR STATE
LICENSE WITH
2700
ADDRESS: CfWseville MN 55113 STATE 21P
APPLICATION
561
651/6331561
PHONE FAX
PERMIT TYPE
*SINGLE FAMILY 0 TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK:
❑ REPLACEMENT O ALTERATION/REMODEL
DETAILED DESCRIPTION OF WORK r!1 a 11 %s mac+ c r r �+ Za s hn e
FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW)
EgWjnnerrt Installed MFG: MODEL: SIZEMTU
MFG: MODEL: SIZEBTU
MFG: MODEL: SIZE/BTU
A/C $25.00I ACE (GAS) $15.00 GAS RANGE/OVEN $10.00
AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00
_BOILER $35.00 _FURNACE $35.00 _GAS UNIT HTR $10.00
LINER $10.00 GAS DRYER $10.00 HEATER $35.00
_CHIMNEY _POOL
DUCT WORK $10.00 LGAS PIPING $10.00 VENTILATOR $15.00
Number of fixtures @ $10.00 r x $10.00 = $ g."W
Number of fixtures @ $15.00 1 x $15.00 = $ S• t'o
Number of fixtures @ $25.00 x $25.00 = $
Number of fixtures @ $35.00 x $35.00 = $
State Surcharge = $ .50
MPaMUM FEE $3550 Total = $ 3 s• ��
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
not a permit 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
approved plan in the case of allworkwhich requires review and approval of planes.
SIGNATURE OF APPLICANT PRINT NAME /CC✓/ it �,r ,S b f C DATE3,66li
PLEASE NOTE: SEPARATE PERMITS ARE RE U1RED FOR BUILDING, ELECTRICAL AND MECHANICAL WORK
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604 FAX: 763-502-4977
Building PLUMBING Permit No.:'e--U ~�
Inspections RESIDENTIAL APPLICATION Received By:��
763-572-3604
CITY OF F LEY Date Rec'd: - � --1
763-502-3604 FAX
EFFECTIVE 7-1-2010
DATE ('! YOUR E-MAIL ADDRESS
SITE ADDRESS t
THIS APPLICANT IS: ❑ OWNER ONTRACTOR
PROPERTY
NAME: 9L7414d if A— 117 SfqmLi
OWNER/
ADDRESS: �5j J% IR+C jdr CITY V STATE ZIP5s
TENANT
s�
PHONE: �'10 3-.5'�Z- �D P,5
CONTRACTOR
NAME:
SUBMIT A COPY OF
YOUR STATE
STATE LICENSE # EXP DATE
LICENSE, BOND AND
STATE BOND # EXP DATE
CERTIFICATE OF
/�it-AV
V/. {, IN
ADDRESS: am uin C �54 CITY STATE_14AZIP"2
t
INSURANCE
PHONE
PERNIIT TYPE
A!INGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK:
❑ NEW 0KREPLACEMENT
DETAILED DESCRIPTION OF WORK
FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE
$35.50.
BATH SINK/LAV _ WATERPIPING
_ _FLOORDRAINS —SHOWER
GAS PIPING (NEED CITY LIC) _ SWIMMING POOL —WATER SOFTNER ($35)
—BATHTUB _
CLOTHES WASHER KITCHEN SINK _ WATER CLOSET _ BACKFLOW PREV. ($15)
_ _
DISHWASHER _ LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION
_
_ WATER METER —OTHER
-." "„ rii
P
�.Ei§113}{E�ifi3 s.s.E !,.--,.uk�l 3€ !�?v,
�:x 3i;33
i3x
i333I�iF3iil�d`}'31'7D
4 � z
a a A
4
'i 1 r € 3. , i! € , , a 3 Ir i ' Ev a 1 31 it �
d4 § E� e I 3 �I 1 s lv
�`
i'.i, 2� f 3di 3,3 �� (•cul ��3! l��
{,
3 ,,,, �.€ 3
CSI 1 iJ4 3 €�� ,E3�j3�331
.. F,
3 3 € }
�i�3
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
I hereby apply for a plumbing 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
not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance
with the approved plan in the �' a of 117P hick requires review and approVv 0 pland
Z
SIGNATURE OF APPLICANT c, PRINT NAME /lb/ "4ly�DATE 0 6 L
APPROVAL INSPECTORS SIGNATURE
L _-
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-5024977
q3