PRE 2010 DOCSs
City of 'Fridley, Minn.
6431 University Ave. N. E., Minneapolis, Minn. 55432
BUILDING PERMIT
Date: July 7. 1971
Owner: R. Leffler Builder ,James Gusa
Address _AZ00 P aza Curve Address Princeton, Minnesota
LOCATION OF BUILDING
No._ 1 �.__ _ street —66-'-. Way Part of Lot
Lot _ 10Block _ 3 Addition or Sub -Division Edgewater gardens
Corner Lot ___._.._ _ Inside Lot _ _ X Setback 35' _ Sideyard 5' & 10'
INUr Elevation __a35A_0_ r r Elevation 839-4 Min-
Wye
in-Wye Top of Footing
DESCRIPTION OF BUILDING
To be Used as:
Dwelling ___ Front 21 Depth 44 Height 20 Sq, Ft. 1144 Cu. Ft. 22.880
Garage __.____ Front 28 Depth 28 Height 10 Sq, Ft 756 Cu, Ft 7 0
Type of Construction — Frame Est. Cost To be Completed -10.11.171
Set garage slab elevation 18" above centerline of street.
Bard surface driveway
Verification survey required.
Sewer - 139' West of manhole at Ashton & 662 Way
Cookie Elev. - Approx. 837.5
Water - 149' West of manhole at Ashton & 662 Way
In consideration of the issuance to me of a permit to construct the building described above I agree tq do
the proposed work in accordance with the description above set forth and in compliance with ah provisions of
ordinances of the city of Fridley. in „ ,
In consideration of the payment of a fee of $ 57.00 , permit is hereby granted to .James Gusa
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 ordingnces of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildin—
W.
Rhin 1 _1ancese. city limits and this permit may be revoked at any time upon violation of any of the provisions ofiirdinsaid
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.
r�
t
APLICATION FOR RESIDENTIAL, ALTERATION,
M
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME: ALO U1.
ADDRESS: _ 4 -j o o (� �� , J•e r �ADDRESS-
NO:. 1 STREET: (A a -
LOT: 10 BLOCK: 3 ADDITION•�-
CORNER LOT: INSIDE LOT: SETBACK: a s� SIDEYARD: `S w
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
oTo�Be Used As:
Front: u t4
Depth: Height :
Square Feet: f f Cubic Feet:
Front: Depth: —Height: /D
Square Feet; Cubic Feet: 5 G
Type of Construction: A Estimated Cost: $ 6O
To Be Completed: O d — I1
F1VI59-r-P f�dl'Vc— /5-93 SES PT — itr X3,5 -v s, c, a S%��%f=
f3&cs,E/iait/r _ 7 6-0 Se? FT — -t 7- z 67 S,C , l
GtP
,,, 46 E , G 9 / S0 F7- — -f1 �/,'3 S- S, G, vim- C41
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in sttict 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: SIGNATURE
(See averse Side For Additional Infoion.)7
J �.,�' s -erg- ��
1 3, y 1
�/ - 7-0
4�
C2
L 0 T 1-0 B t -v r-
-JE' 0 IA/A T r _ JE'0GrIAiATr
/P.
}
WAYNE L RIDGE
Land Surveyor ,
1825 Second Avenue
ANOSA, 1UIl4E5-QT,& a=
GAS Q� KIS
'10,0"A
r<$ ` IieretiY certify tiiaf this cunrpv. nhri. •1nr
report 'was prepared by me or under my dirdci
'supervision and that I am a duly Registered
Land Surveyor under the laws of the State q�
Minnesota, 1�/ tie '
Rei No .Lt
-IFfor Pewer Pkmft and Heating. Cooling, Vengafte. Re/Eiger�atioe aed
Air Conditioning Sptew and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR: RATE TOTAL.
Furnace Shell & Duct Work .. $10.00 $
Replacement of Furnace .. 6.00 $
Repairs & Alterations—up to $500.00 6.00 $
Repairs & Alterations each add. $500.00 3.00 $—_ _
MECIFL WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ........ ..$10.00
each add. 60,000 BTU .................... 3.00
Replacement of Furnace 6.00 $
Repairs & Alterations --up to $5o0.00 6.00 R
Repairs & Alterations each add. $500.00 .... .. &00 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR Steam
$10.00
$.
Furnace Shell & Line --to 640 sq. ft. EDR Hot Water
10.00
$_
Each add. 200 sq. ft. EDR Steam
3.00
Each add. 320 sq. ft. EDR Hot Water
3,00
$
OIL BURNER—to 3 gal. per hour 6.00 $ —
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to 199.000 BTU) 5.00
over 199.000 BTU See Fee Sehedwe
GAS FITTING FEES: NO RATE TOTAL
1st 3 Fixtures x$ Zoo $ Uv
Additional Fixtures x .76 $
Gas Range to 199.000 =$ 5.00 $
AIR COIllDEITION1Il1a
FAN HEATING SYSTEM
VENTILATING SYSTEM
ALTERATIONS & REPAIRS
ROUGH
FINAL O "
Be* Fee Schedule
t
TOTAL FSE ;
(SURCHAR.]S a—.5v)
Dept. of Mdg& Phone 980-3490
Leediea< / °7 __L' �� Z fir , _ f P- o L kF ,-,
City of Fridley:
The undersigned hereby makes application for a permit for the work hereir
specified, agreeing to do all work in strict accordance with the City Ordinance:
and ruling of the Department of Buildings, and hereby declares that an the facts
and representations stated in this application are true and correct.
Fridley, Minn- 0 c -r i (> . I* 17J_
Owner z o rc-� rL C, . L E F P, C ;,
Kind of Building _ S' N b L t
Used as
To be completed about ___ — N i7 --) r
Estimated Cost, $__ 7 !E",
o o a
Old—New. Building Permit No. Permit No.__,5__6
DESCRIPTION OF WORK
HEATING or POWER Pi.AI TS—steam, Hot Water�jWarnn Air No
Trade Name Size Na_�C'if(Z c
Capacity Sq. Ft E.D.R- z s f o e a gTU�I.P
Total Connected Load Kind of Fuet C9 res
BURNER — Trade Name Size No
Capacity Sq. 1!'t. E.D.R BTU
Mr.
(REMARKS -OVER)
i
S�Z
By—
Business
yBum Phone lite _ 62 u — 6 1 u --J
DA cpM
'75-0 cfvn -
CITY OF FRIDLEY INSPECTION DIV.
Effective On March 1, 1996
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
JOB ADDRESS,,2 6 //L/
RATE SCHEDULE
The undersigned hereby makes application for a permit for the work herein
Re5sidentiai Rate
TOTAL specified agreeing to do all work in strict accordance with the City Codes and
a/Furnace Shell and Duct Work, Burner -
rulings of the Building Division, and hereby declares that all the facts and
Also Replacement Furnace $ 30.00
$. O� representations stated in this application are true and correct.
(Side Vent -Fill Out Back)
Gas Piping
� 1996
(Needed with new furnace) $ 10,00
$
OWNER --�7-
� A A). — �t
Gas Range $ 10.00
$
BUILDING USED AS
Gas Dryer $ 10.00
$
�ir Conditioning
,/
ESTIMATED COST 2�'®e PERMIT NO.
-All Sizes $ 25.00
All Others/Repairs & Alterations (LIST ON BACK)
DESCRIPTION OF FURNACE AND OR,BURNER
I% of Value of Appliance or Work
$ No, of Heating �,lnits Circle One (Steam) (Hot Water) (Warm Air)
Commercial/Industrial
Trade Name (cam- �, A �� Size No,
BTU®—� HP EDR
1.25% of Value of Appliance or Work
$ Fuel Total Connected Load
State Surcharge
.50 Burner Trade Name Size No.
TOTAL FEE
7, BTU HP EDR
��'
arp
H ati g and Air Conditioning
HEATING COMPANY 54 Cen ial Ave. NE
MINIMUM FEE FOR ANY HEATIN�COOLINGNENTILATION f" 554941
c612 5�2 cTel
REFRIGERATION/AIR CONDITIONING PERMIT IS 125.00
Signed B No.
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr
Approved By Rough -in Date Final pate
"Air Conditioners can not be placed In a side yard without
FILL OUT BACK SIDE R STACK VERIFICATION ON
written permission from adjoining property owner,
REPLACEMENT FURNACE
6 Has total heating BTU's of
All other BTU's
TOTAL BTU's
7.
CHIlV MY AND STACK VERIFICATION
Yes (
) No
The undersigned hereby verifies that the existing chimney or stack:
8.
Has combustion air been provided for water heater
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:
CIiYOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287
January 12, 1998
Mr. John Shelton
17 66 1/2 Way NE
Fridley, MN 55432
Re: Construction Without Obtaining a Building Permit
(Deck at 17 66 1/2 Way NE, Fridley, MN)
Dear Mr. Shelton:
According to Section 106.1 of the 1994 Uniform Building Code as
adopted by the City of Fridley, no building or structure regulated
by this Code shall be erected, constructed, enlarged, altered,
repaired, moved, improved, removed, converted, or demolished unless
a separate permit for each building or structure has first been
obtained from the Building Official.
You have been notified of your need to obtain a building permit and
have failed to comply as of today's date. As a result, a special
investigation fee will now be added to the permit, equal to the
permit fee. The City of Fridley will give you 30 days in which to
comply before turning this matter over to the City Attorney for his
legal consideration.
Please contact me at 572-3603 if you have any questions on this
matter.
Sincerely,
/X'Zy--/
BARRY RIESCH
Buil ing Inspector
BR/mh
SUBJECT
PE
City of Fridley
28579
THE TWINS
BUILDING PERMIT
77/
`�,�®
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
� 1
NUMBER
REV
DATE
PAGE OF
APPROVED BY
= CITY HALL FRIDLEY 55432
612-571-3450
910-F15
11/16/98
JOB ADDRESS 17 66 1/2 Wav NE
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
10
3
Edgewater Gardens
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
John Shelton
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Exterior Design Service 6391 Monroe St NE Fridley 55432 71-3220 3237
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 5k REPAIR
❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Reroof house and garage (25 Sq) Tear -off
9 CHANGEOFUSEFROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
214.2
$1.07
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
ROSI S OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
ON-
UVICT O O THE ERFORMANCE OF CONSTRUCTION
I
$74.75
Fire SC $2.14
PLAN CHECK FEE
TOTAL FEE
—`1rl-9e
U
Lice a SC $5.00.A
1$82.96
SIGNATUR OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
WHEN PROPERLY V (DATED THIS IS YOUR PERMIT
�_/
/ d
'I
IGNATURE OF OWNER,IF OWNER BUILDERi IDATEI
BI OG SD
QAfE
NE* [ ]
ADDN [ J
ALTER [ ]
ConstructionAddress:
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Legal Description:
Owner Name & Address:r �ti �j �j� ��o� Tel. #
Contractor: & If'
vv
MN LICENSE #
Effective 1/1/98
Address: 6.3/®yy� ��' 7` �'/, �; Tel. #
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:
est cs7
Construction Type: �;t r, Estimated Cost: $/
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
DATE: APPLICANT: ley Tel. #
CITY USE ONLY
Permit Fee $ ���%� Fee Schedule on Reverse Side
Fire Surcharge
$ V
.001 of Permit Valuation (1 / 10th %)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$ - 00
$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:
Building PLUMBING Permit No.: -Coo
Inspections RESIDENTIAL APPLICATION Received By: D
763-572-3604 D G&4AN 200
CITY OF FRIDLEY
DATE / h J YOUR E-MAIL ADDRESS
SITE ADDRESS / '7 6., /tel
THIS APPLICANT IS: ❑ OWNER CONTRACTOR
PROPERTY
NAME:_ K y fi H a
OWNER/
ADDRESS: 1-7 6- e, '12- "'.4 F �, J '
y CITY_ y STATE 4-1-)ZIP :SJ- '%3 �
TENANT
PHONE: 7/ 3 - � b 2 - / S -7
NAME:
CONTRACTOR
SUBMIT A COPY OF
STATE LICENSE # r 5 E Terry Overacker Plumbing, Inc
YOUR STATE
Main St
ADDRESS: 502E MaP
LICENSE WITH
PHONE FAX Anoka, MN 55303
APPLICATION
—
❑ SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
PERMIT TYPE
TYPE OF WORK:
❑ NEW ❑ REPLACEMENT
DETAILED DESCRIPTION OF WORK �' �-1 �'�% �°�✓ ;-�' /�-�� - .-P�—a�Gr_ r�-�, cP�� i ,��, '
PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the
improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor )
Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor X.05 =
FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL
NUMBER OF EACH BELOW)
_ BATH SINK/LAV _FLOOR DRAINS SHOWER WATER PIPING
_ _
BATHTUB _GAS PIPING (NEEDcn9/JCFjvsP) _ SWIMMING POOL WATER SOFTNER ($35)
_
CLOTHES WASHER —KITCHEN SINK _ WATER CLOSET BACKFLOW PREY. ($15)
_
DISHWASHER _ LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION
_ WATER METER —OTHER
M%MfiWKPRQJ~E' 1, ;FOIA,.. $500
PII u .FEE FO Fll`C} C ,OER' 507
Permit Fee $
Number of fixtures @ $10.00 x $10.00 = $
Surcharge .50
Number of fixtures @ $15.00 x $15.00 = $
Number of fixtures @ $35.00 x $35.00 = $
TOTAL DUE $
State Surcharge = $ .50
Total = $
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is
not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the
approved plan in the case of all work which requires review and approval of plans.
SIGNATURE OF APPLICANT PRINT NAMEZ/f C k . E iL v aJ E DATE �� 5 /J P
PMM FOR.I3 LI3MELECTRTCI U AMMEalM Wft
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977
,SP