PRE 2010 DOCS0
Village of Fridley, Minn.
BULLRING PED'
NO 815 Office of INSPEMOR OF BUMDEMS
Owner h �;��-c
Architect FridleY, Minn. 19
A,
Builder
oz-/ LOCATION OF BUILDING
No. a _' Street " ` Part of Lot
Lot Block Addition or Sub -Divisions
DESCRIPTION OF BUILDING
Front Depth—::_Height Storied—Manner of Construction "
To be used as—� '`'' To be completed Estimated Cost
Permit is hereby granted to
the building described in the above statement. This permit is granted
upon the express col' clition that the person to whom it is granted, and his agents, employees and workmen, in all
the work done in, and and upon said building, or any part thereof, shall conform in all respects to the ordi-
nances of Fridley, *inn., regarding the 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.
�a
of Buildings.
III,
AGREEMENT AND SWORN STATEMENT
In consideration of the issue and delivery to me by the Inspector of Buildings of Fridley of
the above perms I hereby agree to do the proposed work in accordance with the description
above set forth .nd according to the provisions of the ordinances of Fridley, and, being first duly
sworn, I hereby state and say that the facts stated by me and contained in the above permit are
true as therein stated.
I -
Subscribed and sworn to before me at Fridley, Minnesota, this
day of r. A _D. 19..:
a_
f
11
i
I
I
1
1
SUBJECT`
City of Fridley
<07
4 97 9
AT THE TOP OF THE TWINS
BUILDING
PERMIT
Ir
'
RECEIPT NO.
� • _____ COMMUNITY DEVELOPMENT DIV.
� tV
PROTECTIVE INSPECTION SEC
17
r -
`
NUMBER
REV
G ATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
4/21/97
JOB ADDRESS 1051 64 Avenue NE
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
8
1
Moore Lake
Highlands
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
Robert Benson 1051 64 Avenue NE
571-6331
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO.
Master Remodeling Inc 32 10 Ave S, Hopkins
MN 55343
932-9311 20012916
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP
PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP
PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION D REPAIR
X
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House & Garage (26 Sq) Tear -off
9 CHANGE OF USE FROM
TO
STIPULATIONS
Underlayment must comply with the State Building Code.
TYPE OF CONST.
OCCUPANCY
GROUP
OCCUPANCYLOAD
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 GOVE NIN HIS TYPE OF WORK WILL BE COMPLIED
$2,145
$1.07
WITH WHETHER SPECIE D IN OR NOT. THE GRANTING OF A PERMIT
DOES NOT SUM TO IV AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
ON-
PROVISI S O Y H STATE OR LOCAL LAW REGULATING CON-
@@
Fire SC $2.15
STRUC I N E RMA F CONSTRUCTION
ST
$74.75
PLAN CHECK FEE
TOTALFEE
License SC $5.00
$82.97
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
HEN PROPER VALIDATED THIS IS YOUR PERMIT
/ / e�
&-14W
BLD -NSP
1-1—A1411
DATE
SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI
NEW [ ] Effective 1/1/97
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: �&
Legal Description:
Owner Name & Address: Tel # S % I –6332
Contractor:/�1�5��2 �erhv�.o/r i�rr - �✓ �' MN LIC
Address:
o20o 2- 9/(.o
Address:,4;-r J Z25Z —Tel. # —9 -7 Z – 93
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: 42(" S P
Construction Type: Estimated Cost: $ % 7
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft.- + 6 Ft = F $ _ $
DATE: - `,2-/ ' S7 APPLICANT:.�C Tel. # 93,,2
USE ONLY
Permit Fee
$ . %S�
Fee Schedule on Reverse Side
Fire Surcharge
$ /-S-
.001 of Permit Valuation (1/10th%)
State Surcharge
$ D �%
$.50/$1,000 Valuation
SAC Charge
$
$950 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:
CITY OF FRIDLEY INSPECTION DIV. , B w
6431 University Ave NE 1 '/4-00
Fridley, MN 55432 l
572-3604
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
Effective On Jan 1, 2000
MARK NUMBER OF
FIXTURES TO
BE INSTALLED ON EACH FLOOR
>::..
Urinal Shower
.
Tray
t4:f:<:Floor
:::: Drain
......Auto.
Washer
"
Gas
Ran a
Water HeaterWash
Stories
...€. ...f:
...............::.<..:..:..:....... Gas EIec
........
Basement
Floor 1
Floor 2
Floor 3
Floor 4
PLUMBING FIXTURE RATES: NO. RATE TOTAL
New Fixtures _
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 () No
$ 7.00
$ 4.00
$ 5.00
$ 7.00
$ 7.00
$ 7.00
$ 7.00
$10.00
$ 7.00
$10.00
$10.00
$10.00
Type $15.00
Reinspection Fee $47.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
State Surcharge S _50
TOTAL FEE $ a'2 °5C__.1)
JOB ADDRESS 6AOLt)
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.
SWENSON, WANDA
Owner_ 1051 64TH AVENUE NORTHEAST
FRIDLEY, MN 55432
(612)502-9018
Building
Estimated Cost PERMIT NO. 1029
PLUMBING COMPANY 211AAVrl��
SIGNED BY
Approved By
0
TEL
Rough -In Date Final
COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE
— �D_
COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When replacing an existing furance, 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 plasbc/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 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 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 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 :
Aw
CIIYOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287
October 17, 2001
Ms. Wanda Swenson
105164 Avenue NE
Fridley, MN 55432
Re: Final Inspection at 105164 Avenue NE
Contractor: Norblom Plumbing Co.
Dear Ms. Swenson:
A plumbing permit was issued on January 14, 2000 install a water heater at your address.
According to section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted
on the plumbing authorized by this permit. As of this date, no inspection has been called for.
The permit fee that was paid covers the inspections to make sure the work was completed
according to the Plumbing Code. We will keep your permit open for another 30 days and if we
do not hear from you within this time to set up the inspection, we will expire the permit and no
further action will be taken.
To set up the inspection, or to have any questions answered, please contact the Building
Inspection Division at (763) 572-3604.
DJ/mh
SUBJECT
PERMIT NO.
City of Fridley
32046
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
RECEIPT N
COMMUNITY DEVELOPMENT DIV.
672-3604
r E PROTECTIVE INSPECTION SEC.
1 �
NUMBER
REV
DATE
PAGE OF
APPROVED BY
E _ /--'1 CITY HALL FRIDLEY 55432
612-571-3450
910-F15
7/30/01
JOB ADDRESS 1051 64th Avenue
I LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DEscR.
g
1
Moore Lake Highlands
SHEET
2 PROPERTY OWNER MAIL ADORES$
ZIP PHONE
Charlie Carlson, 1051 64th Ave., Fridley, MN 55432
763-502-1002
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Charlie Carlson
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 ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
New Garage
9 CHANGE OF USE FROM TO
STIPULATIONS
See notations on plans.
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
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
ISTALLS
GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALU10
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$, 000.00
$2.50
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
TOTAL FEE
/
$118.95
IG u FCO •R .TO Op AUTHORIZED AGENT iDATE�
R
LY V ED THIS IS YOUR PERMIT
7-jo-el
C'21*1'611
S,GNATUREOF OWNER-6 OWNER BUILDER, TDATE1
8 DG iNSP
GATE
NEW I l Effective 1/1/2001
ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address:( �� a i�
Legal Description:
Owner Name & Address: Tel. #
Contractor. MN LICENSE #0-- &qZ e �S-1y�7 -9SC/
Address: 10 S I (oU" 00 )k. i
Attach to this application, a Certificate of Survey of the I( �I
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 rh Hgt/. ound Sq. Ft.
OTHER: /Q k zf`! ���"�rA 0.q -P
Construction Type: Estimated Cost: $ �;-I Coo
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $
DATE:
APPLICANT: Tel. #
CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application
Permit Fee $ j//, &6- Fee Schedule on Reverse Side
Fire Surcharge $ S , 00 .001 of Permit Valuation (1/10th%)
State Surcharge $ Q , S-0 $.50/$1,000 Valuation
SAC Charge $ $1150 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:
07/30101 MON 13:20 FAX 9524320689 LAMPERT APPLE`'ALLEY
I split
wykaDI-AINX-4 jJK!*UA11J]:Aj�
—Top Chord Lire Load
• Determined By Code
• Based On lase ,And Location
Top Chord Dead Load
• Determined By Weight Of Materials
I.e.: Plywood And Shingles
40 + i► + 10 -r ----
Bottom Chord Dead Load
• Determined By Weight Of Material
i.e. Gypsum Board On Ce1jjA
rteT - f ! _i►_. ' ' i_!
�—Top Chord Live Load
+ Determine] By Code Per Use
vTC!«p Chord Dead Load
+ Determined By weight Of Materials
40 + 110 + 5
Bottom Chord Dead Load
• Determined By Weight Of Materlals
i.e. Gypsum Board On Ceiling
(No insulation)
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Design # 15768
7/19/2001
*** Take this sheet to the Building Materials counter to purchase your materials. ***
You selected aarae With these options.
9 9 P
12' Wide X 20' Deep XIAW q / �11�k t
Sable roof w/ 5/12 pitch rafter construction.
24" gable/24" save overhangs.
1/2" Pine Plywood Roof Sheathing.
8" Pine Grooved Vertical Siding.
20 yr. Classic, Onyx Black Shingles.
Pine Soffit & fascia.
White Aluminum Regular Roof Edge.
Pine overhead door jamb.
Front View Back View D
® 00 0
Today's cost for materials estimated in this design: $1907.93
Base garage without options: $ 931.08
*The base price Includes: 0° Esve/0° Goble Overhangs, 2X4 Wall Studs,
7/16 OBS Roof Sheething, 20 yr. Fiberglass Classic - Onyx Blook Shingles,
Pine Fatale, Galvanized Regular Roof Edge, 8° Textured Vertical Hardboard Siding,
No Service Doors, No Overhead Doors, No Windows, or Any Other Options.