PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT No 58
Date:
Owner: t
Builder Aroe It
Address _ Address
C Of ILDING
No. ' Street Part of tot
Lot R _ Block ° Addition or Sub -Division`_
Corner Lot — Inside Lot Setback ___ Sidey ' — —_
Sewer Elevation
Foundation Elevation
DESCRIPTION OF BUILDING
To sed as:
9:Ax LAW
Front Depth Height Sq. Ft. -- CCu. Ft. 1-40-0
Depthei t Sq. Ft. Cu. Ft.
Type of Construction =11=xx Est.. """' 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. jr
In consideration of the payment of a fee of $ , permit is hereby granted to
the ress
to construct the building or addition as described above. This permit is granted upon
expcondition 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
>♦`ridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
within the dty 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 for wl&g, plumbing, gas heating, sewer or water. Be sun to we
the Building Inspector for separate permits for these items.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
�,��
Owner's Name �.1„ra � - ''� �, �' Builder
Address Address
LOCATION OF BUILDING
No. V!l Street ;: 2— a /1• Part of Lot
Lot Block Addition or Subdivision
Corner Lot Inside Lot Setback 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.
DESCRIPTION OF BUILDING
To be used as:
Front Depth �. Height
Sq, Ft.
Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction a Estimated Cost,
l�
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 application
are true and -correct.
A
DATE SIGNATURE
(Schedule of Fee Costs can be found on the Reverse Side).
•
City of Fridley, Minn..
BUILDING PERMIT
Date: June &a 1965
AFI/&y
N? '7704
owner: r. D, Raker Builder American Builders,. Inc.
Address _ X09 57th Place N. E. Address 515 W- Brl adaY
LOCATION OF BUILDING
No. 4— street 57th Place N. B. Part of Lot
Lot 3 _ Block 4- Addition or Sub -Division City FieW
Corner Lot _ Inside Lot Setback Sideyard
Sewer Elevation Foundation Elevation
To be Used as:
Type of Construction
DESCRIPTION OF BUILDING
Front Depth Height Sq. Ft.
Front Depth Height Sq. Ft.
Estcost _. 30-00. -- To be Completed
• Storm Damage Repair
CJ
Cu. Ft.
Cu. Ft.
In consideration of the issuance to me of a permit to construct, -the building described hove I agree to do
the proposed work in accordance with the description above set fo and in oo ce th ail provisions of
ordinances of the city of Fridley.
y
In consideration of the payment of a fee of $ 10.00 , permit is hereby granted to Ameri eann B1d t rs . a
l9.a,__ to construct the building or addition as described above. This permit is granted upon
the express oandition that theSdone in, around and upon saiFridley, Minnesota regardingwithin the city limitsand thist may be revoked at any time upon violation of any of the provisions of said
ordinances.
Alen Jensen Building Inspector
NOTICE:
1kb permit den net cause the eenstrusden, hntalb m for whdn& plumbing, gas hem&& sewer w water. Be son to tee
the
WHO* insp*Mr for separab 1armhs for d ae hems.
APPLICATION FOR BUILDING PERMIT
.,. :. CITY OF FRIDLEY, MINNESOTA
OWNER' S NAME BUILDER
ADDRESS L4 Oct ADDRESS
LOCATION OF BUILDING
Street Part of Lot
e
LOT BLOCKADDITION OR SUBDIVISION
Corner"Lot'' Inside LOT Setback Side -Yard
SEWM ELEVATION ,. `FOUNDATION ELEVATION
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:
Front Depth Height
p
Sq. Ft'. Cu ft
e77
Faroiat' Dept Height
Sq. Ft. Cu. Ft.
Type of Construction Estimated Costa
To be completed '
The undersignedhe"ieby makes application for a permit for the work herein specified,
agreeing to do all.work,in.strict•accordance with the. City of Fridiey Ordinances
and rulings of the. Department of Buildings,'and hereby declares that.all the facts
and representations stated in this appli'oatibn are true and correct.
DATE SIGNATURE •```
(Schedule of Fee Costs can be found on the Reverse Side).
3�45Q�
.�� .� • 0 u
August 12, 1985
Dear City of Fridley,
We, the undersigned, hereby give our consent
for Roger and Janet Serdahl to pave their existing
driveway which is less than two feet from our
property line. This driveway is located at
409 NE 57th Place.
Sincerely,
Robert Amborn
Kathleen Amborn
405 NE 57th Place
Fridley, MN 55432
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
763) 572-3604 FAX: (763) 571-1287
ADDRESS 409 57 PL NE
PIN 233024240080
LEGAL DESC CITY VIEW
LOT 3 BLOCK 4
PERMIT TYPE BUILDING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDITION/ALTERATION
VALUATION : $ 5,000.00
PERMIT N .: 2004-01855 d
DATE ISSUED: 10/11/2004
NOTE: SEE NOTATIONS ON PLAN.
CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS.
PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER R317 OF THE
2000 INTERNATIONAL RESIDENTIAL CODE. INTERIOR ALTERATIONS PER APPROVED PLAN.
APPLICANT
i
SER5D GER W & JANET S
409 57 L NE
FRIDL , MN 55432
1111A
BRANDEN GREGORY
409 57TH PL NE
FRIDLEY, MN 55432
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of work
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or cancel the provisions of any other state or local law
regulating cofns ction opffie perf ance of construction.
ADDlicant ��r✓ mate !� "//�'
Bldg Insp.
BUILDING PERMIT FEE 111.25
PLAN CHECK FEE 72.31
FIRE SURCHARGE 5.00
STATE SURCHARGE, VALUE 2.50
TOTAL 191.06
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
NEW [) CITY OF FRIDLEY
� `�38q
ADDN [ J 6431 University Ave NE, Fridley, MN 55432
ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address:
q a q plae
Effective 4/1/2004
(763) 572-3604 Bldg Insp
(763) 571-12 7 Fax
�r;ct1e" c5'70<0Y �1c
Legal Description:
Owner Name & Address: `�� li��li C�rz �Gz D `� Tel. # /� - �0-/11-7
Contractor. 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
� r �
LIVING AREA: Length Width Height Sq. Ft. o l OD SR
GARAGE AREA: Length Width Height Sq. Ft
DECK AREA: Length 1 Width HgtJ/Grround Sq. Ft
OTHER: I'n ` f�Li c� {� 0t- �� i�ol n
Construction Type: &--M o j f e _ Estimated Cost: $ `"' � >-'2 C9
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ —=$
DATE: /62" APPLICANT: �j A%;C� u 7 IZZ�`ZD(LYTel. # &(2- - 0 -� l I
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
Plan Review
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
$ a5
$ 31
$ '5'0®
Fee Schedule on Reverse Side
65% of Permit Fee
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1350 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 [ ]
TOTAL $ STIPULATIONS:
in
14- �Y, � -sL -
0
0
l
ad3
.J
v
4.2
14- �Y, � -sL -
0
0
l
ad3
.J
v
-2
Cl -
2
V
I
�
v
-2
Cl -
2
V
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
572-3604 FAX: (763)571-1287
ADDRESS : 409 57 PL NE
PIN : 233024240080
LEGAL DESC : CITY VIEW
: LOT 3 BLOCK 4
PERMIT TYPE : ELECTRICAL
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDITION/ALTERATION
PERMIT NO.: 2004-01856
DATE ISSUED: 10/13/2004
VALUATION
NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL NEW CIRCUITS.
# INSPECTIONS 2
APPLICANT
BRANDEN GREGORY
409 57TH PL NE
FRIDLEY, MN 55432
OWNER
BRANDEN GREGORY
409 57TH PL NE
FRIDLEY, MN 55432
ELEC PERMIT FEE - MIN (RESI)
ELECTRIC FORM FEE
STATE SURCHARGE, ELEC FLAT
TOTAL
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of wort
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or cancel the provisions of any other state or local law
regulating construction or the performance of construction.
Applicant Date
Bldg Insp,
Date
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
40.00
1.00
0.50
41.50
CITY
OF FRIDLEY PERMIT N .�20001857
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432 DATE ISSUED: 10/11/2004
(763) 572-3604 FAX: (763) 571-1287
ADDRESS : 409 57 PL NE
PIN : 233024240080
LEGAL DESC : CITY VIEW
: LOT 3 BLOCK 4
PERMIT TYPE : PLUMBING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : ADDITION/ALTERATION
VALUATION : $ 300.00
NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC CHAPTER 6 AND TABLE 6-A. INSTALL THREE NEW
FIXTURES AND ONE WATER HEATER.
# ELEC WATER HEATERS 0
VALUE OF FIXTURE/APPLIANCE
0
# NEW FIXTURES (EXIST OPENINGS) 0
# GAS WATER HEATERS
0
# GAS DRYERS 0
# GAS RANGES
1
# OF NEW FIXTURES 3
VALUE (FOR MINIMUM CALC)
300
# WATER TRMT APPLIANCES 0
APPLICANT
PLBG PERMIT MINIMUM FEE
PLBG FIXTURES (NEW OPENINGS)
0.00
30.00
BRANDEN GREGORY
409 57TH PL NE
PLBG FIXTURES (EXIST OPENINGS)
0.00
FRIDLEY, MN 55432
WATER TREATMENT APPLIANCE
0.00
WATER HEATER - ELEC
0.00
WATER HEATER - GAS
0.00
GAS RANGE FEE
GAS DRYER FEE
PLBG REPAIR/ALTERATIONS
10.00
0.00
0.00
OWNER
BRANDEN GREGORY
409 57TH PL NE
STATE SURCHARGE, PLBG FLAT
0.50
FRIDLEY, MN 55432 -
TOTAL
40.50
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of work
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or cancel the provisions of any other state or local law
regulating cons ction or te pe f manc o onstruction.
0-41
Applicant Date 40-41--r-
Bldg
Bldg Insp Dam L
' SEPARATE PERMITS RE6UHdD FOR WORK OTHER THAN DESCRIBED ABOVE.
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
(763) 572-3604, FAX (763) 571-1287
'Pq c�
E ective April 1, 2004
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
PLUMBING FIXTURE RATES:
Old
NO.
RATE
TOTAL
New Fixtures
3
$10.00
_30-00
3®-
Old Opening, New Fixture
Beer Dispenser
Blow Off Basin
Catch Basin
Rain Water Leader
Sump/Receiving Tank
Water Treating Appliance
Water Heater -Electric
Water Heater - Gas**
Gas Range**
Gas Dryer**
Back Flow Preventer Required ( )Yes
Type
$10.00
$10.00
$10.00
$10.00
$10.00
$10.00
$35.00
$35.00
$35.00
$10.00
$10.00
No
$15.00
Reinspection Fee $50.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.25% of Value of Fixture or Appliance
State Surcharge
TOTAL FEE
$ .50
JOB
7 5�t- Plate. J � kv-L�
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.
DATE: �l/ , 20
OWNER_f'
BUILDING USED AS G+ W/LP'-
ESTIMATED COST 4� /000 PERMIT NO. ' O'!�/ - ® L r2
PLUMBING
SIGNED BY�i�
Approved By
Rough -In Date
TEL NO.
Final Date
MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 or 5% OF COST
$� OF THE IMPROVEMENT WHICHEVER IS GREATER ON WORK LESS THAN $300
COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. **PROVIDE COMMON VENT INFO ON BACK SIDE
FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS
COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When replacing an existing furnace, 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 (ty No ( }
The venting system is plastic/PVC and meets all current codes and manufacturer
specifications including sizing, length, number of elbows and terminatidn. 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 manufacturer's;
specifications. This does include AGA-GAMA Category I Central Fumice
V6nting Tables for fan assisted and natural draft appliances. Yes ) No( )
N 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
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:
Signed By: Date :