PRE 2010 DOCSn
City of Fridley, Minn.
BUILDING PERMIT N® 3625
Date: ... �../ u..... .... .. .
YOwner....................................... Builder ..................
Address ...................................... Address .............................................
LOCATION OF BUILDING
/� �/ f
No. .l 3 . ®.. Street .... . .� �. �Pt `.o....... Part of Lot .............
. ...... ......... ...... .
Lot ..3...... Block .... 47........... Addition or Sub -Division .. ... ... ... .... .
Corner Lot ............ Inside Lot ...A ....... Setback�� :�. Sideyard ................
DESCRIPTION OF BUILDING
To Used � % , 1,
/ -
.. Front .� Depth err. : Height ,l. �'� Sq. Ft. �6.0.. Cu. F't.Yiv
07
.................... Front ........ Depth ........ ppHeight ........ Sq. Ft......... Cu. Ft.........
Type of Construction 420%op"........ lint. cost. .p.. ..... To be Completed ...................
In consideration of the issuance to me of a permit to construct the buil g desribed above, I agree to do
the proposed work in accordance with the description above set forth an n compliance with all provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of $.,1 r ., permit is hereby granted to ...................
......................... to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with-
in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances. _
.... Building Inspector
NOTICE:
This permit does not cover the construction, installation or alteration for wiring, plumbing, gas heating,
sewer or water. Be sure to see the Building Inspector for separate permits for these Items.
City of Fridley, Minn.
BUILDING PERMIT W(:52 8 o `a�
Date: -.-
Owner:'- –j Builder _ 1057
— —
Address — Address — —
TION OF BUILDING
No. ' Street C Part of Lot —
Lot __ Block Addition or Sub-Division,Vez.�
Corner Lot Inside Lot i '�IlEback Sideyard
Sewer Elevation Fo dation Elevation
DESCRIPTION OF BUILDING
To e Ujed as:
Front Depth` #ieight Sq. Ft. Cu. Ft..i,';�V
Y on . Depth --r Height Sq. Ft. Cu. Ft.
Type of Construction Fst. Cli$t�' �, 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. ley
In consideration of the payment of a fee of $ X' , 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
within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances ,,., ,r
Building Inspector
NOTICES
'his permit does not cover the construction, installation Por wiring, plumbing, gas heating, sewer or water. Be sere to we
the Building Inspector for separate permits for these Items.
4 .
rp
APPLICATION FOR BUILDING PROUT
CITY OF FRIDIEY, MINNESOTA
Owner to Name
Builder
L
Address
XV0
&Address
LOCATION OF BUILDING
No. Street Part of Lot
Lot Block Addition or Subdivision
Corner Lot Inside Lot Setback Side -Yard
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
To be used as:_
Type of
To be Completed
DESCRIPTION OF BUILDING
A-/ 7r-/ //- ccs 5 X �L
DeAth 2 ------Height
Sq. Ft. y V U Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
ted Cost 7 -076
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.
DATE �/� -0 / SIGNATURE h
(A Schedule of Fee Costs can be found on the Reverse Side.)
SUBJECT
PERMIT
City of Fridley
® 1720
AT THE TOP OF THE TWINS
BUILDING P E R M I T
i
R'SELL
�
' COMMUNITY DEVELOPMENT DIV.
t
i
r i PROTECTIVE INSPECTION SEC.
/05�
1 t
i CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
I 8/18/83
I
10B ADDRESS 740 - 63rd Avenue N.E.
1 LEGAL
LOT NO.BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
5
9
Christie Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Chuck Hoberg 740 - 63rd Avenue N.E. 571-6327
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK
Construct a 16' x 20' Addition to back of garage
9 CHANGE OF USE FROM TO
STIPULATIONS
Provide a hard surface driveway.
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
SQ. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 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
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
$3,417
$1.71
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
PROVISIOANY OTHER STATE OR LOCAL CON-
$44.50
STON ORTHE PERFORMANCE CE OF CONSTRUCTION.
STRUCTION
PLAN CHECK FEE
TOTALFEE
$46.21
SIG U EOF ACTOR H RIZ AGENT DATE
WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
N REOF OWNE IIF OWNER E I t ATE)
QATE
CITY OF F(tIDLEY ; Effective Aug. 1, 1981
APPLICATI94 FOR RESIDtNTIAL BUILDING PEW41TS
(New, Alterations, Additions, or Repairs)
OWNER: -e--
ADDRESS:
TEL NO: 6—ZZ g! ---3z-7
BUILDER:
sl�m
ADDRESS:
TEL NO:
Construction Location I
STREET NO: STREET:
LOT: BLOCK: ._� ADDITION:„(rS
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
(�A-eA&F AhJ Front:
Square Feet:��
Depth: ao Height: /a
Cubic Feet: '3ao Q
Front: Depth: Height:
Square Feet: Cubic Feet:
Type of Construction: � - Estimated Cost: $
To Be Completed:
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired: $ S
SEE PEVERSE SIDE OF SHEET
Mie undersigned hereby makes application for a permit for the %:,ork herein specified,
agreeing to do.all work in strict accordance with the City of Fridley Ordinances and
rulings of the De1xirtment of Buildings, and hereby declares that all the facts and
representations stated in this application are, true and correct.
DATE:
V1 7/,r-2#-3 SIGNATUr A ��_,
Stimulations:
�� A.4
or qJ0
HARVEY A. CARTWRIGHT
ANOKA COUNTY SURVEYS
HENNEPIN COUNTY SURVEYS
MINNEAPOLIS SURVEYS
0410 PALM STREET
SUN9eT 0.00"
owwtR
INDUSTRIAL — JUDICIAL
BUSINESS — TOPOGRAPHICAL
CITY LOTS - PLATTING
Thomas S. Silvis
;7/4/0�1
M
-4704
,'
CMTWMGHT & OLSON
LA" S UR VR YORS
REGISTERED UNDER LAWS OF STATE OF MINNESOTA
LICENSED DY ORDINANCE OF CITY OF MINNEAPOLIS
345 PLYMOUTH BUILDING FEDERAL 8-9721
Barbm"'o 6crtitkm
- 63 " AVE. N.E.
jr- 0
/If 4
,re_feIvP/7r'"
80
N.o ALLE"Y
COMBINING THE RECORDS OF
J. E HILL, CIVIL ENGINEER
WTASWNm /9M
C. F. SANDHOFF
GVIL ENGINEER
J{T"L="9D 1909
JAMES NELSON
SURVEYOR
YTADWNm 1010
METROPOLITAN LAND
SURVEYORS. 80TA91.I0Hm 1901
Invoice 19395
660/70 J
I bepeby certify that this is a true and correct plat of a survey of
Lot 3, Block 92 Christie Addition, Anoka -County, Minnesota, as surveyed
by me this 8th day of January, 1958. �-
SUBJECT
City of Fridley
(_
2 6
AT THE TOP OF THE TWINS
BUILDING
PERMIT
i
.445
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
______
r I ~ PROTECTIVE INSPECTION SEC.
1y9�
t
NUMBER
REV
DATE
PAGE Of
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-FIS
7/6/98
JOB ADDRESS 740 63 Avenue NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION,
SEE ATTACHED
DESCR.
5
9
Christie Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
Charles Hoberg 740 63 Avenue NE
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE
LICENSE NO.
Richard Hastings Contr 6331 Riverview Terrace 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
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR
❑ MOVE O REMOVE
8 DESCRIBE WORK
Reroof House & Garage (24 Sq) Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL. PLUMBING. HEATING,
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
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
$2,001
$1.00
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.
PLAN CHECK FEE
TALFEE
Lice ns SC
$5 0
7$82.75
SIGNATURE OF CON)TRACTOR OR HORIZEO AGENT IDATEI
HE P
Y VAL
A ED THIS IS YOUR PERMI
SAG INSP
MATE
S.GNATURE OF OWNER,IF OWNER BUILDERI IDATEI
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION�jl/ �t
ConstructionAddress: 7,10 xi `-E
Legal Description:
Owner Name & Address: C 4 A R L t P- c Tel. #
Contractor: c11 i�'� Q� ��'; t �� MN LICENSE # 3
Address: K J 3 t L c �T r2 C—: Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF BOROVEMENT
LIVING AREA:
Length
Width Height Sq. Ft.
GARAGE AREA:
Length
Width Height Sq. Ft.
DECK AREA:
Length
Width Hgt/Ground Sq. Ft.
OTHER:
'
uS 1:-:- `4- 7 R
Construction Type: TEAR-
o F (_
*R 2 vC° F Estimated Cost: $ CZ00
(Fee Schedule on Back)
Driveway Curb Cut Width Needed:
Ft. + 6 Ft = Ft x $ _ $
DATE: r
APPLICANT;�� Tel. #
CITY USE ONLY
Permit Fee
$
Fee Schedule on Reverse Side
Fire Surcharge
$
.001 of Permit Valuation (1/10th%)
State Surcharge
V
/,D®
$.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
$
C�-
STIPULATIONS:
�,i Y'f ur r"iDLEY INSPECT ION DIV.
6431 University Ave NE
Fridley, MN 55432
(763) 572-3604, FAX (763) 571-1287
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
I_rlcL[YY c�
L � it I Jl . . , _.,. J,_:.
PLUMBING FIXTURE RATES: NO.
RATE
TOTAL
JOB ADDRESS'S! VQ 01c-4 Ant /VI (El
New Fixtures
$ 7.00
The undersigned hereby makes application for a permit for the work herein
Old Opening, New Fixture
$ 4.00
specified agreeing to do all work in strict accordance with the city codes
Beer Dispenser
$ 5.00
and rulings of the Building Division, and hereby declares that all the facts
Blow Off Basin
$ 7.00
and representations stated in this application are true and correct.
Catch Basin
$ 7.00
?
Rain Water Leader
$ 7.00
, 20 03
Sump/Receiving Tank
$ 7.00
Water Treating Appliance
$10.00
Owner �'��� ��QS ,(�v_ 4e.e.4-
Water Heater -Electric
$ 7.00
A4,e// �1lr
Water Heater - Gas"*
$10.00
';-0 O'k)
Building Used As
Gas Range"
$10.00
�r 1
Cost PERMIT NO. `
Gas Dryer**
$10.00
Estimated
Back Flow Preventer Required ( )Yes () No
Type
$15.00
OMPANY
PLUMBING COMPANY-
Reinspection Fee $47.00/Hr
Reinspection
SIGNED BY�__4TEL N0.1763�5��3
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
'Aon
Approved By Rough -In Date Final Date
State Surcharge
$ .50
MINIMUM FEE FOR ANY PLUMBINGIGAS PERMIT IS $20.00
TOTAL FEE
$ ';A0, rU
PLUS THE $.50 STATE SURCHARGE
COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE
THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE
APPLICATION WILL BE RETURNED
COMMON VENT, VFNT CnNNFC_=TnR AND COMRIISTInN AIR VFRIFICAnm
When repla _inn an PAstong furanre, 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 () No ( )
The venting system is plastic/PVC and meets all current codes and manufacturer
specifications including sizing, length, number of elbows and termination. Yes () No ( )
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturers specifications. This does
include AGA-GAMA Category I Central Furnace Venting Tables for fan
assisted and natural draft appliances. Yes( ) No( )
The Px� i0 _nmh ,stien air is sized and installed to meet the current codes
and manufacturer's specifications. Yes( ) No( )
When required to install a new rnmhurtenn air. it will be sized and installed
to meet the current codes and manufacturer's specifications. Yes () No ( )
When installing a new ventina nystam, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturers
specifications. This does include AGA-GAMA Category I Central Furnace
Venting Tables for fan assisted and natural draft appliances. Yes( ) No( )
Is 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 #1 Type
BTU Input Fan Assisted or Nat
Appliance #2 Type
BTU Input Fan Assisted or Nat
Appliance #3 Type
RTU 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
HEATING CO:
Signed By. Date :