PRE 2010 DOCSVillage of Fridley, Minn.
BUILDING PERMINo
T
b Date:.. ........................
Owner.......................................
Address......................................
1814
v
Builder
���'.!�;
10. . .................
Address.............................................
LOCATION OF BUILDING
No. . (®.. ®.... Street ... :_r. ./...:l ...................... Part of Lot ......... ....... .
Lot .... �...... Block .....7. .......... Addition or Sub -Division
33 0
Corner Lot ........... Inside Lot ..K7.. Setback Side yard ... ......................
DESCRIPTION OF BUILDING
To be Used as:
v. ...... Front d... Depth. Height Sq. Ft. ........ Cu. Ft. ........
..................... Front ........ Depth ........ Height ........ Sq. Ft. ........ Cu. Ft. ........
r3 fJ
Type of Construction ....... Est. Cost ...... 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 village of Fridley.
400
In consideration of the payment of a fee of $. %-!�, permit is hereby granted to
9
......................... 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 any time upon violation of any of the provisions of said
ordinances.
l:✓> ..................�...... Building Inspector
NOTICE:
This permit does not cover the cknii4dic4tion, installation or alteration for wiring, plumbing, gas heating,
sewer or water. Be sure to see the Building Inspector for separate permits for these Items.
•
?jty of Fridley, Minn..
BUILDING PERMIT N® 68-0-2
Date:
Owaer: 2710LIBuilder
Address
Address
_®® LOCATjON OF BUILDING
No.WO ��—D-
Street -_ _ry_ _ ....__ __ P f Lot
Lot �__ ____ Block Addition or Sub -Di on
Corner Lot _ Inside Lot _ _ — ._..__-469etbac&dation=Elevation Sideyard
Sewer Elevation ___ , — F
DESCRIPTION OF BUILDING
T as:
Front � Depth Height ., Sq. Ft. i�! Cu. Ft. zP
Fro Depth ght Sq. Ft. Cu. Ft.
Type of Construction _ 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.
d
In consideration of the payment of a fee of $'3 , 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, Miimesota reg lavation, construction, alteration, maintenance, repair and moving of buildings
within the dty limits and permit may be revoked at any time upon violation of any of the provisions of said
ordinances
Building Inspector
• NOTICE:
ibb psrnit doss not cover the construction, huumen for whdng, phrnhing, on heating, $war or water. Be acre to we
the BuNhio Inspector for separaM pwinifs for thus henm
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER ° S NAME �,.,,1 BUILDER
ADDRESS (� efP? .Sze, ei ADDRESS
(>-7V
LOCATION OF BUILDING )
No.Street Part of Lot
Lot
Block Addition or Subdivision ,m
Corner Lot Inside Lot r/ Setback Side Yard
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed build-
ing location drawn on these Certificates.
DESCRIPTION OF BUILDING
To be used as;
Front Depth Height L f
L
Sq. Ft. Cu. Ft.®
Type
Front Depth Height,
Sq. Ft-; CU. Ft.
of Construction - Estimated Cost
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.
DATE/ /�__ StcNATI1RE )i ?s+.�� . 4��, �,• ���i
(Sehedule of Fee Costs can be found on the Reverse Side).
. ♦ r Is I . N
City ®f Fridley, Minn.
BUILDING PERMIT
•
Date:
Jane 15, 1965
E.K. Benson
N? '7884
Builder Finnish s Sams, 81drs a Inc,
Address ____&0 58th Ave. N.E. Address 5738 Zane Ave. No.
LOCATION OF BUILDING
No. 640 street 58th Avenue 1N.E. Part of Lot
Lot 5 _ Block 7 Addition or Sub -Division . Lakevj%y ar
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. Cu. Ft
Front Depth Height Sq. Ft. Cu. Ft
Est Cost —_ Maw___ To be Completed
• Repair Storm Damage
•
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 forth and Compliance th ns of
ordinances of the city of Fridley. I Y,
In consideration of the payment of a fee of 10, 00 , permit is hereby granted to wi nni ai, Cn3Ma
Bldrs. Inc* 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
within the city 1lmita and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
NOTICE
This perm@ does net corer the construction, b otallelen for wtrleg, plumbing, gas heathen awar or weer. Be sun to as
tiro Building hupa mr for apmft porous for these (tams.
City of Fridley
Application for Plumbing and Cvm Putting Permit 52-84-879.01
Dept. of Bldgs. Phone 560-3450
DESCRIPTION OF WORK Location 640 hjE • 5g Ave.
Number, Kind and Location of Fixtures
N I
C
3
�
Y
o�
C Z
8�
Z
F
�n
w
�Z
?
coo
•
•
WATER HTR.
GAS
ELEG
Base
1st
2nd
3rd
4th
• Future Connection Openings
New Fixture, Old Openings I
Connected with
Sewer
Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ......................
Future Fixture Opening ................
New Fixture Old Opening ..............
Catch Basin ............................
Water Heater (Up to 99,000 BTU) ......
New Ground Run Old Bldg . ............
Electric Water Heater
GAS FITTING FEES:
lot 3 Fixtures ...... 1
Additional Fixtures ...................
Gas Range to 199,000 BTU ..............
REPAIRS & ALTERATIONS—Refer to Code
City of Fridley:
The undersigned hereby makes application for a permit for the work herei
specified, agreeing to do all work in strict accordance with the City Ordinance
and ruling of the Department of Buildings, and hereby declares that all the fact
and representations stated in this application are true and correct.
Fridley, Minn July 8, 1970 119—
Owner
19_
Owner Occupant
Kind of Building f rame
Used as residence
To be completed about Ju1Y 10 s 1970
Estimated Cost, $ 10.00
Old xNew. Building Permit No Permit No.
— x $2.00 $ e
,a
— x $1.50 $ B e
— x $1.50 $ Business Ph 0---
- x $3.25
—x$3.25 $,
— x $3 $ MINNEAPOLIS GA
— x $3.25 $ ROUGH
_ z $2.00 $ FINAL / 1 "l J-7
7
NO. RATE TOTAL
— x $2.00 $ 2.00 move meter in to out
—x$.75 $
— x $5.00 $
Description ..............................$
TOTAL FEE $ 2.00 az
CITY OF FRIDLEY
APPLICATION FOR
POWER PLANTS AND HEATING,
COOLING, VENTILATION, REFRIGERATION AND
$
AIR
CONDITIONING SYSTEMS AND DEVICES
PARTIAL RATE SCHEDULE
$
$10.00
$
GRAVITY WARM AIR:
RATE
TOTAL
Job Address
Furnace Shell & Duct Work
$12.00
$
Replacement of Furnace
7.00
7.00
$
$
Department of Buildings
Repairs & Alterations -up to $500.00
4.00
$
City of Fridley
Repairs & Alterations each add. $500.00
Tel. #571-3450
MECHANICAL WARM AIR:
Furnace Shell & Duct Work to 100,000 BTU
a d. 50,000 BTU
lacement of Furnace
Repairs & Alterations -up to $500.00
Repairs & Alterations each add. $500.00
STEAM OR HOT WATER SYSTEM:
Boiler & Lines up to 100,000 BTU
each addn. 50,000 BTU
Boiler only up to 100,000 BTU
each addn. 50,000 BTU
OIL BURNER- to 3 gal. per hour
each add. 3 gal. per hour
GAS BURNER- from 100,000 BTU to 199,999 BTU
(over 199,999 BTU see Fee Schedule)
The undersigned hereby makes application for a permit for the work herein
$12.00 $ specified agreeing to do all work in strict accordance with the City Codes
4.00 $ and rulings of the Department of Buildings, and hereby declares that all the
7.00 $ facts and representations stated in this application are true and correct.
7.00 $
4.00 $ Fridley, /g
M�i�nn� , 1�
9
OWNER 1 u (1 L 6� f• H 1 (/ U
$12.00
$
4.00
$
7.00
$
6.00
$
$10.00
$
10.00
$
$10.00
$ .00
$
GAS FITTING FEES:
1st 3 Fixtures x $ 3.00 $ J, CD
Additional Fixtures x $ 1.00 $
Gas Range to 199,000 BTU x $10.00 r�77 $
AIR CONDITIONING 2-C�26� —% fc.$ 10.00
FAi 7S ee Fee Schedule $
VENTILATING SYSTEMS l $
ALTERATIONS $ REPAIRS_ J $
Stare Surcharge $ .50
TOTAL FEE O. YD
ROUGH INSP. REINSPECTION FEE
Date ($10.00)
FINAL INSP.
ivace
APPROVAL FOR PERMIT
MINIMUM FEE FOR,ANY HEATING PERMIT IS $7.50
KIND OF
USED AS
TO BE COMPLETED ABOUT
ESTIMATED COST Y .4( [ I )„( ) .
OLD - NEW BUILDING PERMIT NO.
DESCRIPTION OF FURNACE/BURNER n
HEATING or POWER PLANTS, Steam, Hot Water, 0Wa=rmAi- No. 022L/Trade Name r�a/7.SizNo. $^�-�-
Capacity Sq. Ft. EDR BTU HP
Total Connected Load :.i.nd of Fuel
BURNER - Trade Name
Size No.
Capacity Sq. Ft. EDR BTU d Jip
WJonw
Company
awl / 1Signed By
..�,�
Fridley, MIN 55432
572-360-1
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
PLUMBING FIXTURE RATES: NO. RATE TOTAL
New Fixtures
Old Opening, New Fixture
Beer Dispenser
Blow Off Basin
Gatch Basin
Rain Water Leader
Sump/Receiving Tank
Vater Treating Appliance
Vater Heater -Electric
'Yater Heater - Gas'*
Gas Range"
Gas Dryer"
Back Flow Preventer Required t )Yes No
Type
$ 7.00
$ 4.00
$ 5.00
$ 7.00
$ 7.00
$ 7.00
$ 7.00
$10.00
$ 7.00
$10.00 i
$10.00
$10.00
$15.00
Reinspection Fee $47.00/Hr
ALL OTHERS ANDfOR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
State Surcharge
TOTAL FEE S r
ADB ADDRESS ova Ep ,4 /z N4
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 E /<, BO.✓s 0.✓
Buiiding Used As fes•"'T
Estimated Cost 3.4 S. D vi PERMIT IVO.
PLUMBING COMPANY �E�Z,�' � ✓`'✓'�,2.� C.re � r� /�G ��y
SIGNED BY ✓_ P'�,-- TEL N0.?
Approved By Rough -in hate Final Date
"COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SQ INCHES.
Building
BUILDING
Permit No.: c -61-7 q
Inspections
RESIDENTIAL APPLICATION
Received By:
763-572-3604
CITY OF FRIDLEY
Dat& &:®CT 21. 2008
763-502-4977 FAX
EFFECTIVE 1-1-08
DATE a L Or YOUR E-MAIL ADDRESS
SITE ADDRESS 6 `C ` O 5T� k, VF=
THIS APPLICANT IS: ❑ OWNER CONTRACTOR
PROPERTY OWNER/
NAME D 1307 !Y/
ADDRESS: x{17 S8 `fh A CITY FlZ C Ck � STATE_NY ZIP— l
TENANT
PHONE:
CONTRACTOR
NAME: Cc
ADDRESS: (Z'33 I l2 i Ly L CITY C
tL STATE kA/9IPSY,&
SUBMIT A COPY OF
PHONE j 7 4 — % f FAX
YOUR STATE LICENSE
STATE LICENSE # !VD -EXP DATE
PROPERTY TYPE
K51NGLE FAMILY/NEW CONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS
❑ BASEMENT FINISH WROOF ❑ DRAIN TILE
❑ DECK ❑ SIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW HOME CONSTRUCTION ❑ ADDITION
❑ MAINTENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE: TO -A 7Z a F r 40415-E -A- `i A, ft
SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT
ROOFING -c ❑ HOUSE ONLY
BASEMENT
REMODELING SUBMIT:
NUMBER OF SQUARES�i% ❑ HOUSE & GARAGE
1. Existing Floor Plan
GARAGES ❑ ATTACHED GARAGE
2. Proposed floor plan
PROPOSED SIZE: ❑ DETACHED GARAGE
3. List
of structural members to be used.
PROPOSED HEIGHT:
FOR NEW CONSTRUCTION INCLUDING DECKS,
SIDING
ADDITIONS. & PORCHES SUBMIT:
❑ Vinyl ❑Soffit
l . Site Plan/Survey showing the existing structures
❑ Aluminum ❑ Trim
and proposed project.
❑ Other ❑ Fascia
2. Two sets of construction plans
WINDOWS
3. Energy Calculations
IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
FUSING THE 1997 UBC FEE SCHEDULE)
TOTAL JOB VALUATION $ 0 OCCUPANCY TYPE
Permit Fee
Plan Review
Fire Surcharge
Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Total Due
$ GV) ° 6
$
$ L
See Back Page for Fee Schedule
65% of Building Permit Fee
.001 times the total job valuation
.0005 x Permit Valuation Minimum $.50
$5.00 (State Licensed Residential Contractors)
$1825 per SAC Unit (Plans to MWCC for determination)
ft+6ft= ftx$21=$
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checks payable to: City of Fridley Attach
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 1 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 ap oved plan in the case of all work which requires review and approval of plans.
SIGNATURE OF APPLICANT PRINT NAME DATE 04- t
APPROVED BY DATE