PRE 2010 DOCS•
4
City of Fridley, Minn.
BUILDING PERMIT N° 6527
Date:
a �
Owner: __ Builder
Address Address
LO T ON O WILDING
No. Streeter Part o t
Lot —__ Block Adds or Sub -Division
Corner Lot _ Inside Lot Setback -- Sideyard _
Sewer Elevation _ __. _ r --.. Foundation Elevation
DESCRIPTION OF BUILDING
T U
Front Depth U �Height Sq. Ft. Cu. Ft.3
° nt Depth Height Sq. Ft. d�w Cu. Ft. law
o ConstructionEst. be Completed
Type
To
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 andmplianc with all provisions of
ordinances of the city of Fridley.
e
In consideration of the payment of a fee of $J-�—' =Pf 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, Psinnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
within
theces. city limits and this permit may be revoked at any up nfola o any of the provisions of said
ordinan_,I
Building Inspector
•
F
OlC�This permit doss not cover the construction, installation for whdng, plumbing, on heating, sewer or water. Be sure to see
e Buihihre h gmftr for separate permits for thus hams.
„• .
r F
x;14 }- •_ Y -
A G R' E,, M E NJ,, .
Date
the owner? of the
.3
_ `411ow xig described. property' �• :,. �*
4 + ddmlm
f, hereby agree to`pay in yobcii'
= to the Ct-ty of -Fridley to cover. -my ,proportionate
gharo of the utility ,.system; =_ or in lieu- thereof agre
to.have the City levy -an assessment against the
property described abbe to cover the cost o£ my
propdartionate share of the utility system as.providiA
in Section 2 of Ordinance No. 113, passed by._ the
Council of the City Of -:Fridley on. December 11, M- .:
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xt
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OWWER'S SIGNATURE
TAPPING PERMIT NO.
N 4 t
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C� d §
City of Fridley
Application for Plumbing and Gras Fitting Permit
Dept. of Bldgs. Phone SII 4-7470
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures Loca�f�
Oi
rn
x
1.20
$
New Fixture Old Opening ..............
x
1.00
Y
Catch Basin ............................
Z
Z
$
Water Heater (Up to 200,000 BTU) ......
w
?
•
•
WATER HTR.
GAS
ELEG
Base
tOTAAL
GAS FITTING FEES:
N01
RATE
1st 3 Fixtures ..........................
x $1.50
$
Additional Fixtures ....................
x
.50
$
Gas Range to 200,000 BTU ..............
1st
®C
$
2nd
3rd
4th
• Future Connection Openings I
e New Fixture, Old Openings I
I
Connected with
Sewer El
Cesspool El
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures `2- x $1.50 4z• ® C9
Future Fixture Opening ................
x
1.20
$
New Fixture Old Opening ..............
x
1.00
$
Catch Basin ............................
x
3.25
$
Water Heater (Up to 200,000 BTU) ......
x
2.00
$
New Ground Run Old Bldg. ............
x
3.25
$
tOTAAL
GAS FITTING FEES:
N01
RATE
1st 3 Fixtures ..........................
x $1.50
$
Additional Fixtures ....................
x
.50
$
Gas Range to 200,000 BTU ..............
x
2.00
$
REPAIRS & ALTERATIONS—Refer to Code
Description ................................................$
TOTAL FEE
City of Fridley:
1-1
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 feel
and representations stated in this applica#on�are true_and correct.
Fridley, Minn---
- J. -
Owner L" C
Kind of Building
Used as
To be completed about
19—
Estimated Cost, $
Old—New. Building Permit No Permit No. -.2, �l6
Signe
r
Bt n
y
Business Phone No
ROUGH / - j�-
FINAL
42 '2M
01
SUBJECT
RMIT NO
City of Fridley
o 19"5
AT THE TOP OF THE TWINS
BUILDING
PERMiT
r
RE
• COMMUNITY DEVELOPMENT DIV.
0 Y-5
r PROTECTIVE INSPECTION SEC.
'17
1 ; ,
I CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
L 612-571-3450
910-F15
4/6/88
JOB ADDRESS 114 - 116 62nd Way N. E.
t LEGAL
LOT NO.
BLOCK
TRA CT OR ADDITION
SEE ATTACHED
DESCR.
pt. 1 & 4
1
Schultze' Addition
SHEET
2 PROPERTY OWNER MAILADDRES$
ZIP PHONE
Fred Schultze 120 - 62nd Way N.E.
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Ron Williams Construction 600 Janesville Street, Fridley 784-6497
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 IR REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
proof Structure (35 Squares)
B CHANGE OF USE FROM TO
STIPULATIONS Roof can be the 2nd layer but not the 3rd. Miall ridgedBiK�i3I>IN
galvanized valleys.
SEPARATE PERMITS ARE REQUIRED 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
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
1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
Z
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
$1,750
$.87
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION$OR THE PERFORMANCE OF CONSTRUCTION.
AN CHECK FEE
TOTA$ FEE
��
30.37
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI
WHEN PROPERLY
V LIDATED XHIS IS YOUR PE/// MIT
INSP
F�E
SIGNATURE OF OWNER 0F OWNER BUILDERI (DATEI--g-LOG
01
NEW [ ] City of Fridley Effective 4/1/86
ADDN. [ ] f—R-1 AND R-2 j
ALTER. [ ] Building Permit Application
Construction Address:
Legal Description: /
Owner Name & Address : /ee G7 e S C 1j�U �� Tel. #
Contractor: D %f/C D ry s / Tel. # X6'9-6 y9�
Address: A/,--,9tj S% ��/ D �� y � .✓
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER: A' ( a5- SSI
Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback
Type of Construction: Estimated Cost: $ O
Approx. Completion Date: ��� �S 9
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $ $
See Back Page for Explanation
)ATE. ArtLICANT. Tel. #
CITY USE ONLY
Permit Fee $ % �SZJ Fee Schedule on Reverse Side
Plan Check $ 25$ of Building Permit Fee
State Surcharge $ % $.50/$1,000 Valuation
SAC Charge $ $ 550 per SAC Unit
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $
TOTAL $
Agreement Necessary [ ] Not Necessary [ ]
%
STIPULATIONS:
MAY -27-1993 02:27R-1 FPCIM WALSH T I TLE & PEAL ESTATE TO
9. Rights_ of tenants.
F
.Ins discloses the building is constructed on utility easements dedicated
to the public in plat. There are quit claim deeds from Northern States Power
Continued on next page
Commitment Schedule B - Section 2 Continued
Commitment Number: 03016221
5711287 P.02
Company and NZinneapoiis Gas Company but the rights of the public have never been
yacateci, proper vacation proceedings, as prescribed by Statute are req�tiared���---�'
Please call Walsh i"itle & lZetl Estate Services, Inc. at 835-3320 to schedule closing.
NOTE: AN OWNER'S pOLiCY ISSUED IN CONNECTION WITH THIS COMMITMENT WILL CONTAIN THE
FOLLOWING pRE-PRINTED EXCEPTIONS:
1. Rights or claims other than Insured in actual possession of any or all the property.
2. Unrecorded essentcnts, discrepancies or conflicts in boundary limes, shortage in area and encroachments
which an accurate and complete survey would disclose.
3. Unfihed mechanics' or materialmen's liens.
4 TOTAL P.02
s
SUBJECT
PE
City of Fridley
29153-1
AT THE TOP OF THE TWINS
BUILDING P E Q
M I T
r
"
1
RECEIPT NO.
1 COMMUNITY DEVELOPMENT DIV.
:�
_
r � � PROTECTIVE INSPECTION SEC.
1
NUMBER
REV
DATE
=GE OF
APPROVED BY
i 1 CITY HALL FRIDLEY 55432
"''
612-571-3450
910415
4/14/99
JOB ADDRESS 114-116 62 Way NE
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
pt 1,4
1
Schultz's Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Gary Knutson 6321 Riverview Ter NE, Fridley, MN 55432
571-2936
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Richard Hastings Contr 6331 Riverview Ter NE, Fridley, MN
55432 574-9966
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO
4051
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO
8 USE OF BUILDING
Duplex
7 CLASS OF WORK
O NEW O ADDITION O ALTERATION REPAIR
❑ MOVE O REMOVE
8 DESCRIBE WORK
Reroof Duplex (30 Sq) Tear -off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building
Code.
CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to
9:00 pm on Saturday; No work on Sunday.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
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
2
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 RE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$2,571
$1.29
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CMA GE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
Fire
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
/IC
PLAN CHECK FEE
TOT F E
.61
IGEOF OgACTOAu r.aIZEO AGENT IDATEI
EN O VA I
H $ I$ YO PERMIT
y--��
—SIGN
UA OF OWNEpO SUILDEiiI IDAiEI
BLO SP
T�A�t
s
NEW [ ] Effective 1/1/99
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress:
Legal Description: 2
Owner Name &Address: cc cJ V A.1 Tel. #
Contractor: Sof -R'C4 AR -6 '4St we S MN LICENSE #
Address: -Q31 ' ayj /? Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft.
Length
Length
�L q, 6' r
Width Height Sq. Ft.
Width _ Hgt/Ground Sq. Ft.
Construction Type: Estimated Cost: $ a . � I (90
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. � Ft = Ft.x $ = $
DATE: IY- 7.. %7 APPLICANT:
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License+ Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
Tel. # 57t/— a 7
$
Fee Schedule on Reverse Side
$2,677
.001. of Permit Valuation (1/10th%)
$ [ ��r'%
$.50/$1,000 Valuation
$
$1050 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 [ ]
$
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977
PLUMBING
Permit No.: w
Building
Inspections
RESIDENTIAL APPLICATION
Received By% -k__
763-572-3604
CITY OF FRIDLEY
'
763-502-°}4977 FAX
EFFECTIVE 1-1-2010
DATE ` YOU E-MAIL ADDRESS
SITE ADDRESS 1
THIS APPLICANT IS: ❑ OWNER ❑CON CTOR
PROPERTY
NAME: .^
OWNER/
ADDRESS: C3 `� CITY STATd7"_ZIP'-75
TENANT
PHONE:
CONTRACTOR
NAME:
STATE LICENSE # EXP DATE
SUBMIT A COPY OF
YOUR STATE
LICENSE, BOND AND
STATE BOND # EXP DATE
CERTIFICATE OF
ADDRESS: CITY STATE ZIP
INSURANCE
PHONE FAX
ji6INGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
PERMIT TYPE
TYPE OF WORK:
❑ NEW PLACEMENT
DETAILED DESCRIPTION OF WORK W ' 4 Jv`e-,
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 FLOOR DRAINS _ SHOWER _ WATER PIPING
_
BATHTUB GAS PIPING (NEED CITY LIC) SWIMMING POOL _ WATER SOFTNER ($35)
_ _ _
CLOTHES WASHER KITCHEN SINK _ WATER CLOSET _ BACKFLOW PREY. ($15)
_ _
DISHWASHER LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION
_
WATER METER —OTHER
yah
F +
D,kC
S
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 ordmanc d codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is
not a permit but only an app 1 on for a permit anwork is not to start without a permit on site; that the work will be in accordance
with the approved plan in th ease of all wok 6j requires.review and approva f plans.
" AA 4tr ✓
SIGNATURE OF APPLICANT,1PRINT NAME404 0' DATE
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977