PRE 2010 DOCSVillage of Fridley, Minn.
BUILDING PERIM
N? 680 Office of INSPECTOR OF BURMINGS
� �A9 i �� r.+.!' � i•w a Air .+�� y :.':�'S•4.�.° vq
Owner' J
Architect Fridley, Minn.,
Builder
LOCATION OF BUILDING
No. Street Part of Lot
09 ,F
Lot Block Addition or Sub -Division - `! '"' , ffi'' (A*
I DESCRIPTION OF BUILDING
Front Dq1)tli height Stories Manner of Constructio
a '..',K✓r:.. �..i :�r;'yL rlR�,gA,✓ �,%K"s' •_a''� �f c4`, �+%ws��
To be used as To be completes Estimated Cost
Permit is hereby grasped to ' ` L " ` a ' " `� io • `- :"
the building described in the above statement. This permit is granted
upon the express condition that the person to whom it is granted, and his agents, employees and workmen, in all
the work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordi-
nances of Fridley, Minn., 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. e^ "
A-41*�J_"�'I- Inspector of Buildings.
AGREEMENT AND SWORN STATEMENT
In consideration of the issue and delivery to me by the Inspector of Buildings of Fridley of
the above permit, I hereby agree to do the proposed work in accordance with the description
above set forth and according to the provisions of the ordinances of Fridley, and, being first duly
sworn, I hereby state and say that the facts stated by mid' anal caiiagned in the ,�,bg�ge p�e�mit are
true as therein stated. ;
+o-�`^''r
Subscribed and sworn to before me at Fridley, Minnesota, this V"`
A-V o f'" ______ _,A.D. 19 ;=� . _.�,c
City of Fridley, Minn.
BUILDING PERMIT Nq _ s o 6 J2
llw_-Ler: Builder
LOCATION O UILDING
No. Street P Lot
Lot ______ __ 81 —Addition or Sub- on
Corner Lot _Inside Lot — r aback Sideyard
Sewer Elevation — _ Folzmation Elevation
DESCRIPTION OF BUILDING
To
Front i Depth y�� Height Sq. Ft A41Cu. Ft
Depth AH ght . Sq. Ft. Cu. Ft
Type of Constructio Est. Co'FVW W 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 ail provisions of
ordiaanc�a of the city of Fridley.
In consideration of the payment of a fee of $ , 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 anyth
pari ereof, shall conform in all respects to the ordinances of
Fridley, Minn ota regarding location, construct%n, alteration, maintenance, repair and moving of buildings
within the city limits and this permit may be revoked at any time uponvikiea of any of the provisions of
_o06_o06%_said
ordinances. ` A .r' )
Building Inspector
NOTICE:
Thh► puna t don not emir the eoestruetiea, hWAMon for wMlo 'i hnuhing, gas heatleS sewn or webr. Be sun to we
the Building invemr Mr nperata penails for these ilea.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
Owner's Name alder
AddressZ�/p� -- G� (� �� i�l.�/ll� • Address
LOCATION OF BUILDING
No.' / Street Part of Lot—
Lot Block
otLotBlock Addition or Subdivision�(�-.f
Corner Lot P---_ Inside Lot Setback Side -Yard
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
To be used as:
DESCRIPTION OF BUILDING
Sq. Ft.
11 11,
DepthHeight �®
Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction Estimated Cost!'_Z,/W&
IV
To be Completed
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all Mork 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
(Schedule of Fee Costs can be found on the Reverse Side).
City of Fridley
SUBJECT
15 �74__
AT THE TOP OF THE TWINS
BUILDING P E R M I T
_
r
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
J
----�.� CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
L 612-571-3450
910-F15
4/21/80
JOB ADDRESS 1630 - 6631 Avenue N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION St _ SEE ATTACHED
DESCR.
Moore Lake Park lat ac3d:.. SHEET
2 PROPERTY OWNER MAILADDRESS ZIP PHONE
Richard Levine 1630 - 66'� Avenue N.E. 571-0341
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same / Sussel Co.
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
Construct a 28' x 24' Garage
9 CHANGE OF USE FROM TO
STIPULATIONS Provide a hard surface driveway.
SEPrRq�
PERMITS
HEAtIN�, pL�UeI�. REQUIRED
G ANSStG 'FOR WIRING#
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
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
$2.96
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$5,920
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMITFEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$26.88
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
$29.84
IDAT I
. WIHEN PROPER Y VALIDATED THIS IS YOUR PERMIT
)alMATUC90ZNTRACTORORAUTHORIZEDAGENT
ALV
TU IIF N R BUILDER) D
BLDG INSP ATE
ME
CITY OF FRIDLEY
APPLICA'riai FOR P?ESIDFNTIAL BUILDING PERMITS
(New, Alterations, Additions, or Repairs)
OWNER: L J ik 112-1
ADDRESS: C C
TEL NO: v7
STREET NO: d STREET:
LOT: l
BUILDER: �(!��^ elf
ADDRESS:
TEL NO:
Construction Location
C
BLOC:: 3 ADDITION: La 6:�P-4 /'x /
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. or
DESCRIPTIO14 OF CONSTRUCTION
Front: L Depth: LY Height:
Square Feet: L Cubic Feet:
Front:
Depth:
Height:
Square -Feet: Cubic Feet:
O -A
Type of Construction: ie a/ Estimated Cost: $
e
To Be Completed: 'RO
Alt. A Alt. B
Proposed Driveways 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 applicatign-f% true aiydt�-,ax - ct.
DATE: `r/Z/ / JV SIGNATURE::
Stipulations:
a�aq�
,
Ir
m
,�� t i '� t� � i � J•l �-rii,
CITY OF FRIDLEY INSPECTION DIVISION
6431 University Ave NE g
Fridley, MN 55432" APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572.3604 '11, +. REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
Residential
Furnace Shell and Duct Work, Burner
Also Replacement Furnace
(Side Vent'- Fill Out Back)
Gas Piping (Needed with new furnace,
but not replacement)
Gas Range
Gas Dryer
*Air Conditioning - All Sizes
All Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work U tO - 0-0
Commercial/Industrial
1.25% of Value of Appliance or Work
Effective On May 10, 1999
JOB ADDRESS
OWNER-11,w�C �i'�LQ.�I 1X(4 r
Rate TOTAL
BUILDING USED ASIWIhno\
$ 30.00 $_,_
ESTIMATED COST °� V PERMIT. NO.—
$10.00
O.$10.00 $
DESCRIPTION OF FURNACE AND OR BURNER
$ 10.00 $
No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air)
$ 10.00 $ Trade Name Size No.
BTU HP EDR
$ 25.00 $ Fuel Total Connected Load
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.
Burner Trade Name Size No.
$� BTU HP EDR
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 an
$ .50 rulings of the Building Division, and hereby declares that all the facts and
s ��® representations stated in this application are'true and correct.
CLAONF HTG. A, C ELECT., NG.
13562 CENTRAL AVE. F.R. 2.
HEATIN ANO "N 55304
Signed DATE 191-1'2 A q
Approved By Rough -In Date Final Da
Remarks:
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
—.r_EivC HTG. A. G ELECT., 's ;iC�.
1 t
562 CENTRALAVE. l.LE.
a NOKA 55304
CHIMNEY 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
O No
5.
Meets all current Code requirements for size
and total BTU's connected
Yes(
) . No
O -
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:
—.r_EivC HTG. A. G ELECT., 's ;iC�.
1 t
562 CENTRALAVE. l.LE.
a NOKA 55304
G7YOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (763) 571-3450 - FAX (763) 571-1287
October 17, 2001
Mr. Paul Dder
1630 66 1/2 Avenue NE
Fridley, MN 55432
Re: Final Inspection at 1630 66 1/2 Avenue NE
Contractor: Blaine Heating AC Electric Inc.
Dear Mr. Wer:
A mechanical permit was issued on December 21, 1999 to install a class B flue at your address.
According to section 305 (a) of the 1991 Uniform Mechanical Code, a final inspection shall be
conducted on the mechanical work 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 Mechanical 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.
SAVE J
Building
DJ/mh
1
SUBJECT -
PE
City of Fridley
30573
AT THE TOP OF THE TWINS
BUILDING PERMIT
�
RE
•_ COMMUNITY DEVELOPMENT DIV.
INSPECTION SEC.
-76 9
r � � PROTECTIVE
NUMBER
REV
DATE
PAGE OF
APPROVED By
i A ;;'� CITY HALL FRIDLEY 55432
--__
L J` 612-571-3450
910-F15
12/9/99
JOB ADDRESS 1630 66 1/2 Avenue NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
1
2
Moore Lake Park First Addition SHEET
2 PROPERTY OWNER MAIL ADORES$ ZIP
PHONE
Paul Ikier 1630 66 1/2 Avenue NE
571-4785
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Gary Nordstrom Construction 17235 Driscoll St NW, Ramsey, MN
55303 503-6648
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO
8832
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW O ADDITION 0 ALTERATION REPAIR
O MOVE O REMOVE
B DESCRIBE WORK
Reroof house & Garage (20 Sq) Tear-off
9 CHANGEOFUSEFROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
i
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
S0. 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 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
@
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$1,748
$.87
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.
Fir SC $1.75
TRUCTION OR THEpQERFORMANCE OF CONSTRUCTION
$63.-15
PLAN CHECK FEE
TOTAL EE
/►A���\}
Lice $5.
$ .77
ATU E OF CON'RACTOR OR AUT„OR4ED AGENT iDATEi
OREN P OP LIOATE
IS IS Yt ER
S-GNA TUBE OF OW NER. -F OWNER BUIIDE R� iDATE�
-SP 1 01
DA,E
1
NEW[ ] Effective 5/10/99
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address: —1 p�o �
Legal -Description: -
Owner Name & Address: Qp�,Q o Tel. # 5q Liq S 'Z�
Contractor: ��,� i is � �a� ck" nu 4 MN LICENSE # 'k9
Address:_ vo,��� l wa ,62 SSC- Z1 S�- kJQJ Tel. # 5n;5 ,• - D
Attach fo TiK application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF EMPROVEMENT
LIVING AREA:
Length Width
Height
Sq. Ft.
GARAGE AREA:
Length Width
Height
Sq. Ft.
DECK AREA:
Length Width
Hgt/Ground
Sq. Ft.
OTHER:
Qin .G, ems. � -t Cxm % .-o
r."10,
—T2��.C'r
Construction Type: Estimated Cost: $
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: � — APPLICANT: Tel.
e
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.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 [ J
9