PRE 2010 DOCS•
BUILDING PERMIT
Village of Fridley, Minn.
Datec�?k� 7 5.e .............................
Owner 1. ...�. .. .
Address 1 �. ® ....... .................
N° 2Q60
Builder ....1 ?0k'A....
Address ...... �. 9...... .
LOCATION OF BUILDING
No. 0. 0 0..... Street .. .. .......( .................. Part of Lot .......................
Lot ......../..p..... Block ...... ....... Addition or Sub -Division
Corner Lot ... 1�...... Inside Lot ............ Setback .. d�... Sideyard ......
DESCRIPTION OF BUILDING
T/o� be Used as: c,
. A'PL4.. Front ........ Depth .........Ieight r20. ?!r . Sq. Ft. !? �' Cu. Ft........ .
.................... Front ........ Depth ......ff...' Height ......... Sq. Ft......... Cu. Ft. ...,....
Type of Construction .FR 1�1 h1 !Z.. Est. Cost ../1044 ,0CJ ®........ To be Completed ....r:YJ.Q .......
In consideration of the issuance to me of a permit to construct
the proposed work in accordance with the description above set for
ordinances of the village of Fridley, f
Wing described above, I agree to do
in compliant th all provisions of
.. . .................
Ingponsidexation of the payment of a fee of $.-�c?permit is hereby grantq00 ...........
.. to Construct the building or addition as described above. This permit is granted upon
4express conditian 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, alteratio tenance, repair and moving of buildings with-
in the village limits and this permit may be revoked at a time up n violakn of any of the provisions of said
ordinances. . t, - - (. q
�I.. 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.
l APPLIGi�T10N FOR PUPIDING AND GAS FITTING Pl:tt'•1►T
' c u r I o, dater Job Addrass 1060 6h Ave.
k of r4 c •, �� 0. w• Ilea ter
n r4 FS
'a Ic cl C G r DeparUrent of boll.ilggs
• , o3 qH :21i I u u v n ul h City of PridlGy
Cpl to a i a" C; c, -. m x N a p
u .c c ,i s :lac Tel.
fl5)1-3.150
A!-- `I Thu undarsignod huret:y makes application f,:.r a crILIL fLr th.;, work herelr
.i�-- epnelfied e3rin
eey co do' all work in strict a,ccz•.1sra ,cwicl'. theoe:na
City C1
10 _ 6NIAve. I n and rulings of the Department of eoildtngs, arw racer; do larel. that all
e I—;—,—I-------------
the facLu mid r,:oruzaetatlonS Stated in t1116 ut,;,,1Cutlen cro t,uo and Curruce.
,a --- -- i--�•--ri—i--- -- --
Fridley, t•tn, 1-21-80
19
''',h i — -- cl•IrIER K,r_'alahkrls
IR) M I't,tu►e Comcc.Lion Gpenlrj Co ;t,ecLcd with SeMrer KIND OF UUILGIt1G frame
INew Flxtuta, Old Opantr.g I Nater
USED AS res.
TO BE COMPLETED T%L.; U r 1-31-80
PART 1 AL (u, i c SCI!L C
A ESTIMATED COST 110.00
,:l.u�ullNh I•IXTUIIL• RATES. ri0. RATE TOTAL.
OLD - tlEi•i UUILGINu" PF.i,t•fIl' t1J,
ItuS,Lcr t iAlures x $3.00
i' $
1NJLuta FlAture Opening x$2
.00 $ Company
}K �'� hew Fletate, Old Oper,l:,y x $2,00 $ -
iii -
Gtt.h basin x $5,00 $ Siqne'i By
'., NaLdt Raster - to 95,000 BTU x $5,00 $ 'Pal, No.
100, 000 BM Co 159, OG0 BTU x $10.00 $ -
`; Witar S..f Lener
� x 11.00 $
:11 View Gtuund R.,n Old Baildlrl x $5.00 $ ROUGH IIISP,
Electtla Nater 11eatmr x $5.00 $ Data
AS f11TING FEES;
!� FIHhL IIISP,
1st 1 t►rtuces x 53.00 $ Data
J+1,11 t Canal FL^ turas
x $1,00 S ,
l,r a It.11,•1n to 159, 000 BTU x $! 0.00 $ hPHIUVAL• t•'011 I•Elu•II r
"rtEPA110 4 ALTERATIONS
X100.00
ea.h e.1.1, pI30,u0 or fraction $2.00 $ MIIIIMUII I'LL Y',1% 1.IY PLUI:NG PEiirS v;I57.50
u1PLUS &,5C) SI1.TE 6URAIAIIGY
SLALa Surcharge ; •50
TOrAL ILL S
• A•
f J I,i.IIISI•L'CTIGII141
/ G /
SUBJECT
City of Fridley
31724
AT THE TOP OF THE TWINS
BUILDING
P E R
M I T
r
RECEIPT NO.
`� COMMUNITY DEVELOPMENT DIV.
______
r � � PROTECTIVE INSPECTION SEC.
572-36®4
/ �®00
1 . �
CITY HALL FRIDLEY 55432
NUMBER
REVFIs
DATE
PAGE OF
APPROVED BY
�
L 612-571-3450
91a
4/5/01
JOB ADDRESS 1060 64 Avenue NE
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
1
2
Moore Lake Highlands
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
Shattuk Properties
651-639-8999
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO
BEI Exterior Maintenance 405 W 60 St, Minneapolis, MN
55419 612-861-6243
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP
PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP
PHONE LICENSE NO
8 USE OF BUILDING
Apartment
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION IR REPAIR
0 MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof Apartment Building
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building
Code.
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 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
15
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,
$10,980
$5.49
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-
$195.25
Fire SC $10.98
TRU T OR THE PERFORMANCE F CONSTRUCTION
PLAN CHECK
TO L FEE
11.72
SIGNATURE OFCONTRACTOR ORAUTHORiZEDAGENT IDATEi
E P O
LY VALI
T TV I$ IS YO E MIT
BL
l
S-GNATURE OF OWNER.,F OWNER BUILDER. iDATE,
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NEW [ ] Effective 1/1/2001
ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp
ALTER {ad SINGLE FAMILY AND DUPLEXES R-1 AND R-2
I � ILDJ�06 JG I ER41Te- APPLICATION
Construction Address: rm 4 PL E lht4z A -P
Legal Description:
Owner Name & Address: 5H,+7T14 is i�r � E S Tel. # (&Sil) 6,39-9999
Contractor: 0 E -I- f; XTi�i' �� /�� I N - - MN LICENSE # -20 A'VII 3/
Address:'`�®� �.,�'. !n®�`-J S i 2t � /47 IAWVVM i s Tel. # �foi Bio/-�Z4�3
6�v 1-1l9
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:
Construction Type: IE,42-6ff Estimated Cost: $ > /®, 9 30.0®
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $
DATE:��i-OS �?� / APPLICANT: X41,- �ueLe� Tel. # (61
CITY USE ONLY -
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
Call (763) 572-3604 for Permit Fees if mailing in application
$ Z� Fee Schedule on Reverse Side
$ . %4W .001 of Permit Valuation (1/10th%)
$ S 4IT $.50/$1,000 Valuation
$ $1150 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 [ ]
S
STIPULATIONS:
Ile.�,�/
010
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572-3604
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
New Fixtures
$ 7.00
Old Opening, New Fixture
$ 4.00
Beer Dispenser
$ 5.00
Blow Off Basin
$ 7.00
Catch Basin
$ 7.00
Rain Water Leader J
$ 7.00
Sump/Receiving Tank
$ 7.00
Water Treating Appliance
$10.00
Water Heater —Electric
$ 7.00
Water Heater — Gas**
$10.00
Gas Range"
$10.00
Gas Dryer**
$16.00
Back Flow Preventer Required ( )Yes () No
Type
$15.00
Reinspection Fee $42.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
State Surcharge $ .50
TOTAL FEE $ C9�6. 0c)
Effective On January 1, 1999
POSED
GasMisc Water Heater
Range F�xt::« >: Gas Elec
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.
i,�F994•-
Owner
Building Used
Estimated Cost C�b PERMIT NO.
PLUMBING COMP NY McGuire & Sons
SIGNED BY Hopkins,1NNo. 3_ q ��
Approved By Rough—In Date Final De
c-7 C
MINIMUM FEE FO ANY PLUMBING GAS PERMIT IS $20.00
PLUS THE $.50 STATE SURCHARGE
' **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE_ 6—A. MINIMUM SIZE 9 SO INCHES.