PRE 2010 DOCS*City oFridley, F , inn. 0
BU11 DING PERMIT �®
Date:....._..!_..... - 1......... _..,._.......----._ .................
Owner:
Address
43'78
Builder.r,....
- - - - ....._._..._....._......
Address.....
--............................-.............._..............._...._......._......._......._......._......._._..
010 OF BUILDING
t;2 /_o.... Street . - -........
- ...._............. Part of Lot .............. .......... ........ ..........
.._.._--......._.._
Lot...............�................ Block ............. ...... .:::.:Z ...................... . Addition or Sub -Division...................... ...... -............. -.....
Comer Lot ..... is_...._ ................. Inside Lot .......................... __......... Setback `_ .......... Sideyard ACI.-. c
Sewer Elevation..................................................----...............................................--- Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
. ........... e .................... Front .-.�/m'�....-'® Depth Height �1...."® Sq. Ft. /0..Q...Z'Cu. Ft. ....�....__..
l..�... ..................... .. ..... Front .1..�.".Af Depth ® .'._ Height /®..`....p Sq. Ft. .3..Q..1 Cu. Ft. o3..0 _0
Type of Co traction _.._. .......................... Est. Co1,...��'r.._fio be Completed......................................................
In consideration of the issuance to me of a permit to construct the building . ed above, I agree to do
the proposed work in accordance with the description above se and in ce with all provisions of
ordinances of the city of Fridley.
,?�......._........... _............_......_...... _...... ....... ........_...._..........._.
In consideration of the payment of a fee of $.-.J., 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. ��
�!T-��----..-_ .------,---- ...��!���._...----. Building Inspector
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see •
the Building Inspector for separate permits for these items.
City of Fridley
Application for Plambing and Gas Fdfing Permit
Dept. of Bldgs. Phone SII 4-7470
DESCRIPTION OF WORK �4
Number, Kind and Location of Fixtures Location '
�j
NO.
$,ATE
TOTAL
Number Fixtures ......................--77---
FF
Zj
I
Qy w
V Z
o
= �n
~z
O<
d
�0
?
�n
•
P
•
N
WATER HTR.
GAS
EIEC.
$
Catch Basin ............................
x
3.25
$
c�
c��3
$ o
d
New Ground Run Old Bldg. ............
(90
x
3.25
$
GAS FITTING FEES:
NO.
RATE TOTAL
1st 3 Fixtures ..........................
%
x
$1.50
$� U
Additional Fixtures ....................
x
.50
$
Gas Range to 200,000 BTU ..............
x
2.00
$
Base
1st
2nd
_
3rd
_
4th
• Future Connection Openings
Conceded with
Sewer �
New Fixture, Old Openings J
1
Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
$,ATE
TOTAL
Number Fixtures ......................--77---
x
$1.50
$ / 6. --'5
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) ......—Z
x
2.00
$ o
New Ground Run Old Bldg. ............
x
3.25
$
GAS FITTING FEES:
NO.
RATE TOTAL
1st 3 Fixtures ..........................
%
x
$1.50
$� U
Additional Fixtures ....................
x
.50
$
Gas Range to 200,000 BTU ..............
x
2.00
$
REPAIRS & ALTERATIONS—Refer to Code
Description ........... $
TOTAL FEE $Z C!
City of Fridley:
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.
Fridley,
Owner «�
Kind of Building
I
Used as i
To be completed about
r
Estimated Cost, $
Olqe3jewding Permit No it No.
Signe
By
Business Phone No -7
ROUGH
FINAL
42 2M 7-59
19L0
/X AppUcation for Power Pests and Heating. CooUng, Ventilation, Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR: RATE TOTAL
Furnace Shell & Duct Work .......................... 8.00 $
Replacement of Furnace ............................. 5.00 $
Repairs & Alterations—up to $500.00 .................. 5.00 $
Repairs & Alterations each add. $500.00 ............... 2.50 $
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ 220-2
each add. 60,000 BTU ....................... 2.00 $
Replacement of Furnace 5.00 $
Repairs & Alterations—up to $500.00 5.00 $
Repairs & Alterations each: add. $500.00 .............. 2.50 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $
Each add. 200 sq. ft. EDR Steam ...................... 2.50 $
Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $
OIL BURNER—to 3 gal. per hour ......................... 5.00 $
-- over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ -! CAD
GAS FITTING FEES: NO RATE TOTAL
1st 3 Fixtures ...................... � x $1.50 $ f®�
Additional Fixtures x .50 $
Gas Range to 200,000 BTU ........... x 2.00 $
AIR CONDITIONING $
FAN DATING SYSTEM See Fee Schedule
VENTILATING SYSTEM $
ALTERATIONS & REPAIRS TOTAL FEE $
Dept. of Bldgs. Phone SU 4-7470
Location 9/c — (�i //�� z
G
City of Fridley:
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.
Fridley, Minn � 4 18 �
Owner �—f% F 185—
Kind of Building s Z� �-' 195—
Used as
To be completed about���'�
Estimated Cost, $
Old--�ding Permit No. ,3�-3 7
JI
DESCRIPTION OF WORK
HEATING or POWERR PLANTS -Steam, Hot Water, Warm Air—No�
Trade Name��/1�� v . ii�u�i ti Size L
Capacity. Sq. Ft. E.D.R Gi dc e -1E BTU H.P.
Total Connected Load 3/� ��' �% i / Kind of Fuel-� �
BURNER — Trade Name(�i �°�- �� ���z /� Size No �/e li ,r _ 2—
Capacity Sq. Ft. E.D.R G G d "-'� BTU H.P.
SUBURBAII HEATING & SHEET METAL
8419 CENTER DRIVE N. E.
MINNEAPOLIS 24 MIN&
Byl%
11 POST IM -12-58 Business Phone No_ SU `7'j��
I
g/0 I31�tle)
' FEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS , MINN.
Weatherstrips A.S.H.d.. Construction No. Insulation
Guide
Windows 11 Aoors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied
No �No 19
/ FVRoom I Lenizth /� / Width Z-71 HeiKht -9i Room Length i 3�` dWidt6 ,��/ Height '/
Windows aig
Doors—Crackage and Area
Glass /,� S
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
Width Height No. of Lineal ft. Area
No. of panne of pane lights of crack sq. ft.
oee
Net exp. wall 0
Int. gall
Coef. Btu
Ceiling
Coef.
Coef.
Btu
Coef.
Btu
Infiltration
Exp. wall
Exp. wall
Glass
Net exp. wall'
Int. wall
Glass
Exp. wall
Net exp. wall
3
Exp. wall
Ceiling
p
$
Int. wall
Net exp. wall
Floor
Ceiling
Ceiling
Floor
Q
=2 d
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I ;—,A/ MLfiu I i ann61. 9 / / VV;,4a . /y / 14aiaftit C/
Windows and Doors—Crackage and Area
Glass /,� S
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
3a /geg 5-,e,
oee
Net exp. wall 0
Int. gall
Coef. Btu
Ceiling
Coef.
Coef.
Btu
Infiltration
-"e
SS
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Exp. wall
Exp. wall
Glass
Net exp. wall'
Int. wall
3
Exp. wall
Ceiling
Ceiling
Net exp. wall
Floor
Int. wall
Ceiling
Q
=2 d
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
F1.1 Room I Length 3 ` Width ,
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Asea
No. of pano of pane llghte of crack sq. ft.
Btu
Infiltration ,20
Glass /,� S
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. it.
Exp. wall ® p
Net exp. wall 0
Int. gall
Coef. Btu
Ceiling
Coef.
Floor
Infiltration
Glass
Total Btu.
-"e
SS
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Exp. wall
Wiaadows and Doors—Crackage and Area
Width Height No. ofLineal ft. Area
No. of pane of pane lights of crack sq. ft.
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. it.
2—df' i
Coef. Btu
Coef.
Coef.
Btu
Infiltration
Glass
2-3a
-"e
SS
?1L
Exp. wall
Exp. wall
Net exp. wall'
Int. wall
Int. wall
Ceiling
Ceiling
Floor
Floor
Total Btu. SS'
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
a I:I_I /)::? — Rmtst I L.enath /-3 / Widthc'/ HeiahtS</
Windows and Doors^Crackage and Area
Width Height No. ofLineal ft. Area
No. of pane of pane lights of crack sq. ft.
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
2—df' i
Coef. Btu
Coef.
Btu
Glass
Exp. wall
P
j
/Infiltration
Wass v
-5-
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu. 1. C
Required sq. ft. E.D.R. or sq. ilas. WA. Leader area
P....... I I.r.,t h 9/ Width --,I/ 14eis:ht 5P/
Windows and Doors—Crackage and Area
Width Height No. ofLineal ft. Area
No. of pane of pane lights of crack sq. ft.
? v
Coef. Btu
Infiltration
Glass
Exp. wall
Net exp. wall
C✓ s -
Int. wall
Ceiling 3
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I J./
City of Fridley
1
AT THE TOP 0' TME TWINS
ti•
r tU-------COMMUNITY DEVELOPMENT DIV,
i P110TECTIVE INMIECTIQN KK,
CRY HALL F1UOLgV SHS
OX -500-3150
ob Address
53 -81j -.S-915.51
iUO'JEC.T
810 N. E. 66th. Ave.
PLUMBING PERMIT APPLICATION
s
Wayne E. Ek Sr. 560-3225
Contractor MINNEGASCO Address Phone
.733 MARQUME AVENUE
Kind of Building Use MPLS., MINN,
Frame Res.
Completion
Date
Estimated Cost
3-18-74
10.00
_ Plumbing Fixture Rates: NO. RATE TOTAL
i I
Fljlffl
I
� 1 W
W
I
— I-- -
Number Fixtures x $2.00 Ste_
3 "
I
i
I Future Fixtures x $1.50
00
I (twi.
I I
"ONval
sY0
I
New Fixture -Old Open. x $1.50
•,ddYl
I I
? Catch Bastn x $3.25
CYo
Water Heater -99,000 BTU x $3.00
eaa,—II'
Ground Run Old Bldg. x $3.25
'MNIYaI
I I I I II
m
Elec. Water Heater x $2.00
BNIBYBI
i
,
M, Ho1Y�l
i G
� I I W
Gas Fitting Fees:
--
�P4 0 BNIYac
I I
I I
o 3a aooIJ
•�
tea+
w'
1st 3 Fixtures x $2.00
�-. —�—
O eaaMOM
I
,s
oI
I I I
Additional Fixtures
x $ .75
to
I I I I
I141Nnod
;110�INlaal
I� Gas Range -199,000 BTU x $5.00
of
fI
sAvai
4kgii NSYMI
,Q.,
I I I
I
III Repairs & Alterations
W
{ See j
s"N18I
I I I
I Description: Install Dryer Code 5.00 I
a�
.NISYYI
I I I I
1
State Surcharge Glass mAm Surcharge .50 .50
I I
TOTAL FEE $ 5.50
N1Y9I
I I I!
"Y"ItlOI
!The undersigned hereby makes application for a permit
I , I
for the work herein specified, agreeing to do all work
.aeso,�
.
in strict accordance with the City Ordinances and rulin
tl71YM
I I
of the Department of Buildings, and hereby declare that
all'the facts and representations stated in this
application armee true and correct.
A
r►�
•f.✓� 3-11-74
'Signature W1WWtW9r10 Date
CITY OF FRIDLEY
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND
.AIR CONDITIONING SYSTEMS AND DEVICES
PARTIAL RATE SCHEDULE '
GRAVITY WARM AIR: RATE TOTAL
Furnace Shell & Duct Work $12.00 $
Replacement of Furnace 7.00 $
Repairs & Alterations -up to $500.00 7.00 $
Repairs & Alterations each add. $500.00 4.00 $
MECHANICAL WARM AIR:
Furnace Shell & Duct Work to 100,000 BTU $12.00 $
each add. 50,000 BTU 4.00 $
Replacement of Furnace 7.00 $
Repairs & Alterations -up to $500.00 7.00 $
Repairs & Alterations each add. $500.00 4.00 $
STEAM OR HOT WATER SYSTEM:
Boiler & Lines up to 100,000 BTU $12.00
each addn. 50,000 BTU 4.00
Boiler only up to 100,000 BTU 7.00
each addn. 50,000 BTU 6.00
OIL BURNER- to 3 gal, per hour $10.00
each add. 3 gal. per hour 10.00
GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00
(over 199,999 BTU see Fee Schedule)
GAS FITTING FEES:
1st 3 Fixtures x $ 3.00
Additional Fixtures x $ 1.00
Gas Range to 199,000 BTU x $10.00
AIR CONDITIONING
FAN HEATING SYSTEM
Sgee Fee Sc edule
VENTILATING SYSTEMS
ALTERATIONS $ REPAIRS
State Surcharge
TOTAL FEE
ROUGH INSP.
FINAL INSP.
REINSPECTION FEE
Date ($10.00)
APPROVAL FOR PERMIT
$V
S
S
$
$
.50
$141'f,
" 6
MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE
Job Address
Department of Buildings
City of Fridley
Tel. #571-3450
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 Department of Buildings, and hereby declares that all the
facts and representations stated in this application are true and correct.
j Fridley, Minn. , _4 �! , , 19
OWNER
KIND OF BUILDING
USED AS
TO BE COMPLETED ABOUT
ESTIMATED COST
�OLD- BUILDING PERMIT NO. PERMIT NO.
DESCRIPTION OF FURNACE/BURNER
HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No.
Trade Name
Capacity
Total Connected Load
BURNER - Trade Name
Size No.
Sq. Ft. EDR _BTU HP
Kind of Fuel _
Capacity Sq. Ft. EDR
Company
Signed B
Tel. No.
Size No.
SUBJECT
PE
City of Fridley
577' 3
AT THE TOP OF THE TWINS
BUILDING PERM l
i �
rry _ COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
9�7�
/
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
L 612-571-3450
910-F15
5/14/80
JOB ADDRESS 810 - 66th Avenue N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
7
2
1 EN Meadowlands Addn. SHEET
2 PROPERTY OWNER MAILADDRESS ZIP PHONE
Wayne Ek 810 - 66th Avenue N. E. 571-3225
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Western Construction 5353 Wayzata Boulevard546-3385 -
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
8 DESCRIBE WORK
Construct a t 3c 241 Detached r�aracje
9 CHANGE OF USE FROM TO
STIPULATIONS provide a hard surface driveway. Job will be red-tagged unless
permit is taken out to convert existing attached garage to non-garage area.
PERMITS REQUIRED FOR W1RtNG,
'E.PERATE
WARNING
PLUMBING AND SIGNS WARNIilfti�
EATING,
Before digging cat focal ut
TELEPHONE • ELECTRIC s W Eton
REQUIRED BY LAW
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
$5,074
$2.54
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-
$23.04
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
$25.58
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) ` --�
WHEN PROPERLY DATED THIS IS YOUR PERMIT
TALI
BLDG INSP DATE
SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(New, Alterations, Additions, or Repairs)
OWNER•^ BUILDER: -�/ @� ��►��
ADDRESS: S/0 66 ADDRESS-: 5�3 Les�4zu<�
TEL NO: TEL NO: -5-`f6:239'cZ
Construction Location
STREET NO: �� STREET: LCA C� � e'7`G�,�-./� =
LOT: � BLOCK: D-1 ADDITION:
i
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
oqeE Front: Depth: L' Height:
Square.Feet_ Cubic Feet:
Front: Depth: Height:
Square - Feet: Cubic Feet:
Type of Construction: DL74" Estimated Cost: $
%b Be Completed:
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired: $ $
SEE REVERSE SIDE OF SHEET •
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: �� �� 0 SIGNATURE: _
Stipulations: Lj �t %1r •� ,� l l; SCA/ ,}
•�r
Land Planning J70 Mssts*sy' p All
I
land Sur vey,ny Allnfwqlvlls 21,
Solls Te5t,,*q
'q ENGINEERING, INC.
Ovd 6-MU1716POI SlImel -1-066
En Enyineers Sur veyor5
cempti-ficate of sumve C_
CA
(A
i -Y
4�yl
-7
/hereby cerfiry that this is a true and correct representation era survey eche boundaries o�'lhe abere v6cr4ediiind, 0
of Ar locokca #fall bQd1;Y75 , thereon , arldoll risible oxm,76menis , r,rjny. from or on said land. As survc�byme Axi-,
A.D. l3jP.
SUB URBAN ENGINEERING , INC.
trYincers Fl- Surreqons
F ROOF BRACING7-T-- E-
/
? X8 RIDGE BOARD
2X6TIES
: --`_
/\X / 2 X 4 GABLE STUDS 16" O C
! 1
I I !RAFTERS 16" 0 C � \ )
\ /
I � III I 1X4BRACE I / / �/� � •�r % ! �I II I
DOUBLE 2x 12 OVER IfEAD
DOOR HEADER WITH LAMINATION �I
2X 4IDOl.I i IIFT
1 I
\ I 6l .TOP PLATF \ i
DOUBLE DOOR l!.►DS
2 X 4 STUDS 16'O C I i
(I16
CORNERi cl
I
WESTERN CONSTRUCTION CO.
TREATED 2 X 4 SINGLE BOTTOM PLATE FRONT BOTTOM PLATE
-5353 WAYZATI OI�tVARD
MINNEAPOLIS, SMI H: V 55409
PI
sue�Ecr
PERM
City of Fridley
157- 24
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
�
ECEIP
• _____ COMMUNITY DEVELOPMENT DIV.
INSPECTION SEC.
�V
r PROTECTIVE
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
L 612-571-3450
910-F15
15/14/80
JOB ADDRESS 810 - 66th Avenue N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
7
2
Meadowlands SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Wayne Ek 810 - 66th Avenue N.E. 571-3225
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
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 ❑ REPAIR ❑ MOVE ❑ REMOVE
x
8 DESCRIBE WORK
Remove existinci garacre door and replace
9 CHANGE OF USE FROM TO
STIPULATIONS
SEPERATE PERMITS REQUIRED FOR WIRIKC4
HEATING, PLUMBING AND SIGNS.
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
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
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
$200
$.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-
$7.50
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
$8.00
SI NATURE OF CONTRACTTHORI Z4A_tNT (DATE)
WHEN PROPERLY LIDATED THIS IS YOUR PERMIT
�
SIGN. URE OF OWNER IIF OWNER BUILDER)IDA EI
BLDG WSP DATE
PI
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(New, Alterations, Additions, or Repairs)
OWNER:4z46"Z'4y�L
ADDRESS:
TEL NO:
BUILDER:
ADDRESS:
TEL NO:
Construction Location
STREET NO: �AO STREET: � 6 (/L1r'-Q_
LOT: /� BLOCK:
ADDITION: L
,�
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.
n DESCRIPTION OF CONSTRUCTION
Front:
�p'square. Feet:
Front:
Square -Feet:
Type of Construction:
Depth: Height:
Cubic Feet:
Depth: Height:
Cubic Feet:
Estimated Cost: U ��
To Be Completed:
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired: $
SEE REVERSE SIDE OF SHEET..
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: S / (,/) SIGNATURE: 1� P_
Stipulations:
S-# C>'C
0
SUBJECTIT
NO.
City of Fridley
16204-
AT THE TOP OF THE TWINS
BUILDING PER M
r
r
RECEIP
COMMUNITY DEVELOPMENT DIV.
``
r PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
5/26/81
JOB ADDRESS 810 - 66th Avenue N. E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
7
2 1
Meadowlands Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Wayne Ek 810 - 66th -Avenue N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Richard Hastings 6331 Riverview Terrace N.E. 574-9966
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 JJ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Install soffits and gutters
9 CHANGE OF USE FROM TO
STIPULATIONS
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 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
STALLS I 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
$1,200:
$.60
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-
$9.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
$9.60
_ /
"
- j°(�-d �,
• SIGNATURE OF CONTRACTOR OR AUTjqbRIZEDAGENT (DATE)
WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
Z� ,
I MATE
SIGNATURE OF OWNER IIF OWNER BUILDERI (DATE)
0
CITY OF FRIDLEY
APPLICATIa-1 FOR R(:SIDI -TIAL BUILDING PERMITS
(New, Alterations, Additions, or Repairs)
OWNER: b.,%el-,,
o=e 6r
ADDRESS:
TEL NO:
DUI LDF R
ADDRESS: 63 3
TEL NO: S ? (r•-- g 9� G �
Construction Location s
STRL• T NO: 9/0 STREET:
s
LOT: BLOCK: Z ADDITION: MEQ LA-trQS ,4dd•�
Corner Lot: Inside Lot: Setback.: Sideyards:
Ap-ilicant attach to this form two Certificates of Survey of lot and
proposed building .location drawn on certificates to scale.
DESCRIPTIO14 OF CONSTRUCTION
front:
Square.Feet:
• Front:
Square -Feet:
Depth:
Cubic Feet:
Height:
Depth: Height:
Cubic feet:
Type of . Construction: So ff ' 7- �c 7`- F�� Estimated Cost: $
-r
To $e Oorapleted: e' z/
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired: $ $
SEE REVERSE SIDE OF SHEET .
Mie undersigned hereby makes application for a permit for the %:nrk' 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.
D'WE: S �0 SIGNATUBE:
Stipulations:
I
01
SUBJECT
PERMIT NO.
City of Fridley
17 6 3 8
AT THE TOP OF THE TWINS
BUILDING PERMIT
rp
R PT
• COMMUNITY DEVELOPMENT DIV.
'V -.----
SEC.
r � PROTECTIVE INSPECTION
1 �
i CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
8/1/84
/
JOB ADDRESS 810 - 66th Avenue N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
7
2
Meadowlands SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Wayne Ek 810 - 66th Avenue N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Richard Hastings Contr. 6331 Riverview Terrace N.E. 574-9966
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
Reroof House
9 CHANGE OF USE FROM TO
STIPULATIONS
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 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
$1,100
$.55
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 -
$19.00
RUCTION OR THE PERFORMANCE OF CONSTRUCTION.
LAN CHECK FEE
TOTAL FEE
A�7� �/
$19.55
SIGNATURE OF CONTRACTOR OR UTHORIZED AGENT DAT 1
WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
I 1 TE
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE)
01
NEW [ ]
City of Fridley
Effective 4/1/64
ADDN. [ ]
�R-1 AND R-2
$
ALTER. [ ]
Building Permit Application
Plan Check
$
��� 6 T4 Ayc AfE.
2% of Building Permit Fee
Construction Address:
$
SS
Legal Description:
SAC Charge
$
Owner Name 6 Address:
/ y,��- Ek 8/0 6674 Avd KC
—
Tel. #
+
r A- k' 0
h�as?�+ �6 S
Tel . # -s
Contractor: c.G+
$
33 (
e v�
Address:
Agreement Necessary [ ] Not Necessary
TOTAL
Attach to
this application, a Certificate of Survey
of the
lot, With
the proposed construction drawn on it to
scale.
DESCRIPTION OF IMPROVEMENT
AREA: Length
Width Height
Sq. Ft.
,LIVING
GARAGE AREA: Length
_ Width _ Height
Sq. Ft.
DECK AREA: Length
Width Hgt/Ground
Sq. Ft.
OTHER:
Corner Lot [ ] Inside
[ ] Ft. Yd. Setback _ Side
Yard Setback
pLot
Type of Construction: 1��2oog j4oK Estimated
Cost: $ /l o d o n
Approx. Completion Date:
A CIA 1)4
Alt. A Alt B
Proposed Driveway Width
If New Opening Is Desired: See Back Page for Explanation
DATE:
S i APPLICANT: Tel. #
STIPULATIONS•
CITY
USE ONLY
Permit Fee
$
/ �% O U
Fee Schedule on Reverse Side
Plan Check
$
2% of Building Permit Fee
State Surcharge
$
SS
$•50/$1,000 Valuation
SAC Charge
$
$425 per SAC Unit '
Park Fee
$
Fee Determined by Engineering
Sever Main Charge
$
[ ]
Agreement Necessary [ ] Not Necessary
TOTAL
$
/ �, S �
STIPULATIONS•
CITY OF FRIDLEY INSPECTION DIViSION Effective On January 1 1998
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEV
ICES
JOB ADDRESS 1U
RATE SCHEDULE
The undersigned hereby makes application for a permit for the work herein
Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and
Furnace Shell and Duct Work, Burner - rulings of the Building Division, and hereby declares that all the facts and
Also Replacement Furnace $ 30.00 $ representations stated in this application are true and correct.
(Side Vent - Fill Out Back) 1 2-. '1998
Gas Piping (Needed with new furnace) $10.00 $ f
OWNER Ile
Gas Range $10,00 $
BUILDING USED AS �/RIc/4—
Gas Dryer $10.00 $ Or
ESTIMATED COST PERMIT NO. 13
_.,-.-=*,AirConditioning - All Sizes $ 25.00 $�-
DESCRIPTION OF FURNACE AND OR BURNER
All Others/Repairs & Alterations (LIST ON BACK)
I% of Value of Appliance or Work $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air)
Trade Name Size No.
Commercial/Industrial BTU HP EDR
1.25% of Value of Appliance or Work $ Fuel Total Connected Load
State Surcharge
TOTAL FEE
$ .50
$ ' f' SZ�
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr
Burner Trade Name
BTU
HEATING
Signed
Approved By
Size No.
HP EDR
Rough -in Date
Tel
*Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE FOR STACK VERIFICATION ON
written permission from adjoining property owner. REPLACEMENT FURNACE
L
6 Has total heating BTU's of
All other BTU's
TOTAL BTU's
7. Has a liner been provided for water heater Yes ( ) No ( )
8. Has combustion air been provided for water heater Yes ( ) No ( )
Remarks: .
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
CH MEY AND STACK VERIFICATION
The
undersigned hereby verifies that the existing chimney or stack:
1.
Has been carefully examined
Yes ()
No
( )
2.
Is free from rust or deterioration
Yes ()
No
( )
-3.
Has no foreign objects lodged within
Yes ()
No
( )
4.
Is securely supported .
Yes ()
No
( )
5.
Meets all current Code requirements for size
and total BTU's connected
Yes ()
No
( )
6 Has total heating BTU's of
All other BTU's
TOTAL BTU's
7. Has a liner been provided for water heater Yes ( ) No ( )
8. Has combustion air been provided for water heater Yes ( ) No ( )
Remarks: .
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
City of Fridley
AT THE TOP OF THE TWINS
SUBJECT
BUILDING
PERMIT
IT NO.
727277
r
� • COMMUNITY DEVELOPMENT DIV.
� w ------
r � PROTECTIVE INSPECTION SEC.
---1 CITY HALL FRIDLEY 55432
612-571-3450
RECEIPT N
c�
NUMBER
910415
REV
DATE
8/18/98
PAGE OF
APPROVED By
JOB ADDRESS
810 66th Avenue NE
1 LEGAL
DESCR,
LOT NO.
7
BLOCK
2
TRACT OR ADDITION
1 Meadowlands
SEE ATTACHED
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Mark Blake
571-8254
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Owner
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 2a REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and garage (30 S) Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
SEPARATE PERMITS ARE REOUIRED 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
AUTHORIZED IS NOT COMMENCED WITHIN BO DAYS, OR IF CONSTRUCTION
ZONING
SO. FT.
CU. FT.
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
STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
VALUATION
SURTAX
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
2502
$1.25
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
PERMIT FEE
SAC CHARGE
ST�MANCE OF CONSTRUCTION.
$74.75
F re
PLAN CHECK FEE
TAL FEE
Z78.50
S NATURE 091CONTRAMF& OR AUTHORIZED AGENT IDATt1
A.
kff/4EN�PR
Y VA D ED THIS IS � IT
SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI
BP
QA14
NSW [ l
ADDN [ ]
ALTER [ ]
Effective 1/1/98
CITY OF FRIDLEY
SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2 V 07
BUILDING PERMIT APPLICATION v 6o
xConstructionAddress: R 1 0
-NE
Legal Description:
X Owner Name & Addre s: -I>a'r-L b 10'Ve g 10 W° k e, A)� Tel. #
Contractor: 5 C MN LICENSE #
Address:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMIENT
LIVING AREA: Length Width
GARAGE AREA: Length Width
DECK AREA: Length Width
-XOTHER: V 2 C'O 4 � O sq
Tel. #
Height Sq. Ft.
Height Sq. Ft.
Hgt/Ground Sq. Ft.
Construction Type: Estimated Cost: $ Z -!�-o Z- - d d
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: 1 V1O APPLICANT: Tel. #-!5 7
- �a
CITY USE ONLY
Permit Fee
i
$ t,(.75
Fee Schedule on Reverse Side
Fire Surcharge
$ 2. Sp
.001 of Permit Valuation (1/10th%)
State Surcharge
$ / . Z 5'
$.501$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
$ 7 g • s/�
STIPULATIONS:
7
SUBJECT
NO.
City of Fridley
32509
AT THE TOP OF THE TWINS
g U I L D i
P E R M I T
r
RECEIPT N
• COMMUNITY DEVELOPMENT DIV.
r ��
r � � PROTECTIVE INSPECTION SEC.
1 . ,
AL w "' �.� CITY HALL FRIDLEY 55432
NUMBER
REV
OAT
PAGE OF
APPROVED BY
--__ ;
1 J` 612-571-3450
910-Fl
4/16/02
Joe ADDRESS 810 66 Avenue NE
I LEGALLOT
NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
7
2
Meadowlands
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Mark Blake 810 66 Avenue NE
763-571-8254
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Custom Home Remodeling 4517 5 St NE, Columbia Heights,
MN 55421 763-574-9769
ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
20317269
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
Replace windows within existing openings
9 CHANGEOFUSEFROM TO
STIPULATIONS
Provide smoke detectors in all sleeping rooms and on all levels of the dwelling
per Section 310.9.1.2 of the 1997 Uniform Building Code.
SEPARATE PERMITS ARE REOUIRED 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
I
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
@
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$6,000
$3.00
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-
$6.00
STRUC ION OR THE ERF09MANCE OF CONSTRUCTION
$125.25
Fire SC
Lwl�-- t //PLAN
('
CHECK FEE
TOTA EE
d t U l 2,
License
$5. 0
39.25
SIGNATURE OF JDATE,N
P PE ALIDATED MIS IS YOU PERMIT
eEr,6
S,GNATURE OF OWNER iiF OWNER BU4DER1 MATE,
f gATE
7
NEW [) CITY OF FRIDLEY Effective 1/12002
ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572.3604 Bldg Insp
ALTER () SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address:
Legal Description:
Owner Name & Address: H �,1\ �121�� � l r � C-�i ,�J � �-'� Tel. # '7 �,J _-S
Contractor. & � s fiE, ,L � � ��� k ►� i� � i ��� ' �` MN LICENSE # L C1 &V
Address: 4/S/7 t, C'� l i ��;,� r�� f�� = Tel. #
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft
Length Width Height Sq. Ft
Length Wdth Hgt/Ground Sq. Ft
Construction Type: i�l✓ , .� z-° i'�- !-'CSL r - �t Estimated Cost: $
6noC') '-
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $
DATE: / c' �° APPLICANT: k:e Ltu d �� =�y�+� Tel. # �� /- �Z
Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will
call you for card number.
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
CITY USE ONLY -
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1200 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 [ ]
TOTAL $ 39 z STIPULATIONS:
SUBJECT
RM
City of Fridley
32552
AT THE TOP OF THE TWINS
BUILDING PERMIT
'
RECEI
'
COMMUNITY DEVELOPMENT DIV.
►v
__���_
r PROTECTIVE INSPECTION SEC.
/
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE Of
APPROVED BY
L J` 612-571-3450
910 -Fl
5/1/02
JOB ADDRESS 810 66 Avenue NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
1 7
2
Meadowlands
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Mark Blake 810 66 Avenue NE
763-571-8254
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO
e USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Install brick front on attached garage, house,and 4 feet.o>n detached garage
Install replacement ron s oop
9 CHANGEOFUSEFROM TO
STIPULATIONS
See notations on plan.
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 1 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
$5,000
$2.50
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TME
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON.
$111.25
Fire SC $5.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK F
TOTAL FEE
/I
$ .75
A
D�E
_
EN P/OPER IDATE ISI Y PE IOW
o:7 A,TOR AUTHORIZED AGENT
MM
NER,iF OWNER BUILDER. 151TE,
SLOG N5�
��A 1E
NEW [ ] CITY OF FRIDLEY
ADDN [ ] 6431 University Ave NE, Fridley, MN 55432
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address: I d b b /�V r? !v F_ \
Legal Description:
Owner Name & Address:
572-3604 Bldg
Tel. # :763• 7.�0, s'� �1. ��0. 5061
MN LICENSE #
Address: Tel. #
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft
Length Width Hgt/Ground Sq. Ft
tA
I'ptl� 6 -%do P. e%��1 9Q(� Q 6riGL- / AP!` -w-"
Construction Type: LOe-PA �::rrroa M2 Estimated Cost: $ .�®eft
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $
DATE: 0'7- APPLICANT: b Tel. # 76 3,.57. b -s
Call (763) 572.3604 for Permit Fees if mailing In application or Fax to 763-571-1287 if using credit card and we will
call you for card number.
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
$ S-'Oo
$��
CITY USE ONLY -
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1200 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 [ ]
TOTAL $ % /8 . ?s- STIPULATIONS:
9
e�
•
m =
I
I
Ira,
r� �gae
lk
CAM,
safes itNµ
Y.
.,r
_x 8
h
1
x t/'
_
v=
— s.n
Ex`
f�
a�
-4
mot
'�`.,�.yM•'F, i _ �-��i��� :� S�'a � ie
i
f
_
Y
I
Ira,
r� �gae
lk
CAM,
safes itNµ
Y.
.,r
_x 8
h
1
x t/'
_
v=
— s.n
Ex`
f�
a�
-4
mot
'�`.,�.yM•'F, i _ �-��i��� :� S�'a � ie
�;i i Y OF FRIDLEY INSPECTION DIViSION
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
(763) 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
Residential
Rate
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace
$ 30.00
(Side Vent - FRI Out•Back)
Gas Piping (Needed,with :new furnace,
$ 10.00
but not replacement)
Gas Range -
$ 10.00
Gas Dryer
$ 10.00
*Air Conditioning - All Sizes
$ 25.00
All Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work
Commercial/Industrial'
1.25% of Value of Appliance or Work
State Surcharge
TOTAL FEE
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $47.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
Effective On January 1, 2002
JOB ADDRESS SIO Q le nL
TOTAL_OWNER act. ��cLkr�
. "
BUILDING USED AS �e sz
ESTIMATED COST ��— PERMIT NO.
$ ; rsv.
DESCRIPTION OF FURNACE AND OR BURNER
$
No. of Heating Units Circle One (Steam] (Hot Water) (Warm Air)
$ Trade Name Size No.
BTU -HP EDR
$ Fuel Total Connected Load
Burner Trade Name Size No.
$ BTU HP EDR
$ :50.
$e::1K- S
T,he:undersigned hereby makes application for a :permit for the work herein
specified agreeing to do all work in strict accordance with the City Codes an
rulings of the Building Division, and hereby declares that all. the facts and
representations stated in this application are true and correct.
HEATING CO
Signed42
FAX #
Approved By,
DATE
Rough -In Date
_ Final `Date 1� --/1-C A
DGvd �'/�S /<l�'CJ � ��•� T�
jeg: Z