PRE 2010 DOCSCity of Fridley
SUBJECT
r?15i55-
AT THE TOP OF THE TWINS
P,
-BUILDING PERMIT,
r
_•_•__� COMMUNITY DEVELOPMENT DIV.
r . PROTECTIVE INSPECTION SEC.
r ,
0--1 CITY HALL FRIDLEY 55432
L"•'� ,'J 612-560-3450
RECEIPT NO.
�
S
NUMBER
910-F15
REV,
DATE
4/30/79
PAGE OF
APPROVED BY
JOB ADDRESS 390 - 67th Avenue N.E.
1 LEGAL
DESCR.
LOT NO.
5
BLOCK
5
TR ACT OR ADDITION SEE ATTACHED
Rice Creek Terrace Plat 3 SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Grant Olson 390 - 67th. Avenue N.E. 571-7138
3 CONTRACTOR MAILADDRESS 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 j] ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof structure
9 CHANGE OF USE FROM TO
STIPULATIONS
Roof can be second but not third roof. Install ridged galvanized
valleys.
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
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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF AO PERMIT
$500
$.50
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-
STR CTION R THE:VPERFQRMAN E OF CONSTRUCTION.
$7.50
PLAN CHECK FEE
TOTALFEE
B '
���-��+�------
$8.00
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
T
WHEN PROPERLY VALIDATEDIS IS YOUR PERMIT
r
BLDG INSP DATE
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE)
CITY OF FRIDLEY ,
APPLICATI01'� FOR RESIDE
NTIAL BUILDING PERMITS
(NEIN, ALTERATIONS, ADDITIONS,' OR REPAIRS)
OWNER: � �� �' � BUILDER:
Address: _ �� Address:
Tel. No.:
No.: cl ! O Street: `® �'� ��
10-0 F LOT: BL06K: ADDITION: 7JM-1
MOwWmAM
CORNER LOT: INSIDE LOT: SETBACK: SIDEYARDS:
Applicant attach 'to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
Front: Depth: Height:
Square Feet: Cubic Feet:
Front: Depth: Height:
Square Feet: Cubic Feet:
Type of Construction: Estimated Cost: $ ,' 1-7e,
'!b Be Completed: Q!:5 / — / 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. See reverse siae�for,as]ditional in ozMation.
DATE: ` C� - 7 SIGNATURE:
Stipulations:
11
SUBJECT
City of Fridley
- 5 31
AT THE TOP OF THE TWINS
BUILDING PERMIT
_
i �
• _____ COMMUNITY DEVELOPMENT DIV.
i L -
r PROTECT IVE INSPECTION SEC.
4/J
1 �
1 �
I CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
j, 612-571-3450
910-F15
10/26/79
JOB ADDRESS 390 - 67th Avenue N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
rj
5
Rice Creek Terrace Plat 3 SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Grant Olson 390 - 67th Avenue N.E. 571-7138
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
3 Id
9 CHANGEOFUSEFROM TO
STIPULATIONS provide a hard surface driveway.
SEPERATE PERi1�lIT43 REQUIRED FOR
WIRING,,
t'\•\FING, PLUMBING AND SIGNS.
V, A1;
Before digging all
GAS
Eallocal
T�yELryEP�i01�Eq��+ LAW
�� 13Y
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
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
$1,200 + $6,026
$3.56
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-
$37.80
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
$$ $41.36
SIGN RE OFCONTR To N IZEDAGENT (DATE)
� WHEN PROPERLY Vgle}p ED T YOUR PERMIT
/7
BLDG WSP ATE
I NATURE OF OWN EA IIFO ER BUILDERI IDATEI
OWNER: s
ADDRESS:
TEL NO:
-STREET NO:
LOT: �J
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(New, Alterations, Additions, or Repairs) ,
x �2 BUILDER: ,
ADDRESS: 7O
TEL NO:
STREE
BLOCK:
Construction Location
Corner Lot: Inside Lot: Setback: Sideyards:
9
Applicant attach to this form two Certificates of Survey of lot and
proposed building location drawn on certificates to scale.
DESCRIPTION OF CONSTRUCTION
Front: go Depth: Height:
Square.Feet: Cubic Feet:
/ fue�__ Front: ` Depth: Height:
Square - Feet: Cubic Feet:
�C) C �
Type of Construction: Com/ Estimated Cost: $
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 applic
DATE:a — SIGNATURE:
Stipulations:
q t, �Aaa
e �,
YS URBAN
Main Office 571-6085
6875 Highway No. 65 N.E.
N a t N s s RING
Minneapolis, Minnesota 55432
tac.
South Office 890.6510
(1ud & Munk+pal Engineering • .Sod Testing
• Land Surveying •Land Plavung
1101 Cliff Road
Burnsville, Minnesota 55337
Certificate
of Survey
for 40^' rJT"
Cj0J4Vgp rJ
40-1-11-0,
. A -j ori ego
tj.v.
c�
—7'5.v PLe.-r
—115. U iM$Ay_
C�
N
/`
� � 1 • h -r • h Nl'r46,1�7tt
O
nI
hxW 11
6
5• L)T1NTY EAtiEM*P&r
t
1� � •�� M F Ab..
'BS.t� �PbAT
0. 00000T6+7 ► for MW?jV"6WT X24-m'w V- 025r '
r
&
OflPTIA
L-,p'f ;5, tje,--we...►c
fees is ar. -r�1Qtep'�40 fl?.X-;ofeurvey
��,,-�a�o. LdVrTY)
I hereby certify that this is a orae and correct representatiof the boundaries of the above
described land, and of the location of all buildings, thereon, able antras ants, if any, from or an
sold land. As surveyed by me this!=day of itib • susuit lingin �,' Surveyors
A1 b�
l
'
SUBJECT
City of Fridley
2 84 91
AT THE TOP OF THE TWINS
BUILDING
PERMIT (-RECS"'TV0.
COMMUNITY DEVELOPMENT DIV.
INSPECTION SEC.
r PROTECTIVE
i A ; ;'� CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
L --_. J` 612-571-3450
910-F15
11/2/98
JOB ADDRESS 390 67th Avenue NE
I LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
5
5
Rice Creek Terrace Plat 3
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Grant Olson
571-7138
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Erick Kallerup Constr. 7400 1st Ave S Richfield 55423
798-1647 7591
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 9R REPAIR ❑ MOVE O REMOVE
B DESCRIBE WORK
Reroof house and garage (28 Sq) Tear -off
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
ISTALLS
GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WQRK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
2399
$1.20
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•
STRUCTIO OR THE PERFORMANCE OF CONSTRUCTION
74.75
FinSC $2.40
PLAN CHECK FEE
TO L FEE
Lice
5
3.35
SIGNATURE OF CON'RACTOR OR AUTHORIZED AGENT f, IOAT I
ENRO
BLDG INSP JF
VALI THIS IS YOY P5YMIT
DATE
S-GNATURE OF OWNER,1F OWNER BURDERi 'DATE'
011
NEW [ ]
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
-N ConstructionAddress: �h
Legal Description:
Effective 1/1/98
Owner Name & Address:; / A� 21S (f Tel. # �5 7 l — ?l
Contractor:I CJ4 A'i ' G v
�(� J� � �r�' /' �� MN LICENSE # 75-
Address: 7 % � /y -r X vC , - Tel. # '-7" y * —
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
GARAGE AREA:
Length
Width
Height
DECK AREA:
Length
Width
Hgt/Ground
OTHER:
K r'
Sq. Ft.
Sq. Ft.
Sq. Ft.
S/"W=
Construction Type: _ G n �' UZ %� Estimated Cost: $ `
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: 1/0a A�' APPLICANT: Tel. #701
Permit Fee $ • %L
Fire Surcharge
$ �O
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
$1000 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 [ ]
CIlYOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287
October 17, 2001
Mr. Grant Olson
390 67 Avenue NE
Fridley, MN 55432
Re: Final Inspection at 390 67 Avenue NE
Contractor: Blaine Heating AC Electric Inc.
Dear Mr. Olson:
A mechanical permit was issued on June 13, 2000 to install an air conditioner 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.
DJ/mh
CITY OF FRIDLEY INSPECTION DIViSION
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 39 0
RATE SCHEDULE
Residential Rate TOTAL
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace 1 $ 30.00 $
(Side Vent - Fill 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 $ Zc'_-� To
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 $ .50
TOTAL FEE $2&_12
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $47,00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from :adjoining property owner.
Effective On January 1, 2000
Aw
OWNERS -T e✓
BUILDING USED A$
ESTIMATED COST PER IT NO.
i
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
F�
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
rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are true and correct.
DATE
HEATING COA(AiliE
9�4—(o
Signed TEL #An
—1-`
Approved
Rough -In Date Final
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 plastic/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 manufacturers 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 installina 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 :
Building
MECHANICAL
Permit N
Inspections
RESIDENTIAL APPLICATION
Received By
763-572-3604
CITY OF FRIDLEY
' eMAP 2 8-2ngg
DATE LZ t9 0 6 YOUR E-MAIL ADDRESS
SITE ADDRESS ® 62±k-7 L1
THIS APPLICANT IS: ❑ OWNER keCONTRACTOR
PROPERTY
NAME:
-M X �af, ��lCITY –O STATEei�LIP�Z
ADDRESS: 329 6 �` ��
NNS
TO
PHONE:
CONTRACTOR
COMPANY NAME:
CONTACT PERSON: HEAT!.'O 8 C000NG rJV0 MAIC'
SUBMIT A COPY OF
�u Co.
YOUR STATE
STATE LICENSE #
v -J��
LICENSE WrFH
V..
ADDRESS: (7644=677—PITY STATE ZIP
APPLICATION
PHONE FAX
PERK UT TYPE
SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK:
❑ NEW REPLACEMENT ❑ ALTERATION/REMODEL
DETAILED DESCRIPTION OF WORK RITR-A C7 r,4 i2 JJ A CS V
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) ��V�-
Equipment Installed MFG: �7MODEL: -3`; 0 A AV 03C & O SIZE/BTU (o�—
MFG: MODEL: SIZE/BTU
MFG: MODEL: SIZE/BTU
A/C $25.00 _FIREPLACE (GAS) $15.00 _GAS RANGE/OVEN $10.00
AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00
$35.00 FURNACE $35.00 —GAS UNIT HTR $10.00
_BOILER
LINER $10.00 DRYER $10.00 POOL HEATER $35.00
_CHIMNEY _GAS
DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00
171-50"a—M-11-71 Wp NOWN
Permit Fee $
Number of fixtures @ $10.00 x $10.00 = $
Surcharge $ .50
Number of fixtures @ $15.00 x $15.00 = $
TOTAL DUE $
Number of fixtures @ $25.00 x $25.00 = $
Number of fixtures @ $35.00 x $35.00 = $
State Surcharge = $ .50
Total = $_Z
THIS IS AN APPLICATION FOR A PERMITNOT 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 a City of Fridley and with the Minnesota-Construction Codes; that I understand this is
not a permit but only an applicati fora rt and wor is not to start without a permit; that the work will be in accordance with the
approved plan in the case of w w r quires e i and approval of plans.
SIGNATURE OF APPLICANT PRINT NAME 0-60f lboV FLAk DATE 3b-L �!g
�(._ t E s ..: TPEI!vIlT,SN ARF UII�EDtBL 151I*i�:E.L+,OWEN
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
r. A V. 7c7 [nn An77
=1