PRE 2010 DOCSi
SUBJECT
P
City of Fridley
12064
AT THE TOP OF THE TWINS
BUILDING PERMIT
'
/
CEIPT NO.
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
• e�
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CITY HALL FRIDLEY 55432
IL'-" ,'J
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-560-3450
910-F15
.3/15/73
JOB ADDRESS 471 - 67th Avenue N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
3
4 1
Rice Creek Terrace Plat 3 SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Delmour Fenske 471 - 67th Avenue N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Fireside Builders, 5020 Minnetonka Boulevard
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Dwelling
7 CLASS OF WORK
❑ NEW ❑ ADDITION Ek ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Basement Finishing
8 CHANGEOFUSEFROM TO
STIPULATIONS
Call for inspection before wall cover up
SEPERATE PERMITS REQUIRED 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
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.
$2 OOO.00
$1.00
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-
$12.00
RUCTION.
STRUCTION OR THE0:7
PLAN CHECK FEE
TOTALFEE
xWj �(/-J,
13.00
SIGNATURE OF TRACTOR OR AUTH,01EDA•i T (DATE)
HEN�PROPERLY VALIDATE THSIS O�1R PERMIT
BLDG INSP DATE
SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI
i
-Aj�Y?17P
APPLICATION FOR RESIDENTIAL, ALTERATIONS
OR ADDITION BUILDINC PERMIT
CITY OF FRIDLEY, MINNESOTA
DWNBR'S NtE: ��;r� PLR ����'S/fes BUILM:
ADDRESS: ARMLESS:
T�PITION 1.
CORI+M LOT: DUDE LOT:, ^ SETBACKg SIDEYARD:
nkat attach to dzU fm=io Certificates of Sum of Lot and proposed
bulldfta 14matien drwn 4m I*ese Certificates„
To Be Us" As
DESCRIPTION OF BUILDING
Y Reight•
Square Feet; Cubic Feet;
Fronts Depth: Height:
Square Feet; Cubic Feet;
Tyfe of Constructioaj Cost: $ a., —
e . i
To So "14ted; J-- / - ? 3
The Undersigned hereby its a"licatinq fora pelt for the work herein
spealfie4 agreeing to do all, work in sttl.ct accordance with the City of
dl,ey litd$a=es aad Tam pf the Department of Buildings, mW bEereby
doclar+ev t all, the facts and representations stated is this application
axe true =4 correct
JY
(Ose Raawre Eike For Add#f anal In€orpation. ) -
' .eT�,ki' rT `•ani
/. U.0
'1
C)
City of Fridley
for Mmbbis Gad Sm Rig Pwadt
Dole. of Bldga. Phone NO -345D
DESCRIPTION OF WORK
Number. flied and Location ag Fixtul?" t "� �y„'a— A(71—
■moi
iME i�iiM MME NEON
PARTIAL RATE SCHEDULE
Number Fixtures ....... JOTAL
Future Fixture Opening ....:...... x $1.50 i
New Fixture Old Opening .......... x ;1.50 ;Catch Basin .............. s o .... x $3.25 ;Water Heater 'Up to 99.000 BTU) .... x ;3.00 f
New Ground Run Old Bldg......... x ;3.25 $
Electric WaWaterH•ater.............. a mo $GAS FITTING ff EES: NO. RATE TOTAL
lot 3 Fixtures ............... x $22.00 ;
Additional Fixtures ............... x $ .75
(las lunge to 199.000 BTU ............ x $5.00State Surcharge $ .50
REPAIRS &ALTERATIONS --hater to CodaDescription .............e ...........TOTAL FEEPLDMHING FIZTZTRE BATES: , .. • • • .. • xNO. RAT�� � %
City of Fridley:
The undersigned hereby makes application for a permit for the work herei,
specified, agreeing to do all work in strict accordance with the Qty Ordinance
and reeling of the Department of Building% and hereby declares that all the fact
and representations stated in this application are true and correct
Fridley. 11i / 19.L3
Owner
Yind of Building
�y:•�r�
To be completed about
Estimated -Cost. $ r� &2L
Old—N w. Building Permit N
Si
ROUGH
Phune
No. _�;8
FROM:
ARD N. SOBIECH
is Works Director MEMO NO. Ry 68
REPORT BY: 4/29/77
DATE 4/21/77
SUBJECT: Curb Settling at 471 67th Ave. (Mr. Fenske) 571-2861
See attached
Review & take appro-
priate action
Review & comment
Note & discuss with me
Work with
Rush, immediate action
desired
REMARKS:
Please review this problem & indicate what
corrective action is necessary.
Thanks.
ke reports, w/background
terial as complete as poss- COMMENTS:
le. Make interim report if
cessary.
DS /j
Art Olson and I reviewed the curb settling in front
of 471 - 67th Avenue. I have no idea why it settled
like this. I will make a Work Order to have it re -
Action completed, 'no paired when we start our concrete curb work.
further review needed
Further action necessary Work Order #2183 (4/26/77)
See attached letter
Interim report
DATE: 4-26-77
SIGNATURE E; v
Supt. of Public Works
SUBJECT
PERMIT NO.
City of Fridley
AT THE TOP OF THE TWINS
BUILDING PERMIT
22423
i •
RECEIPT N
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
1 . I
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910415
JOB ADDRESS
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
3
4
Rice Creek Terrace Plat 3 SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Delmour Fenske 471 67 Avenue NE 571-2861
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE N .
American Remodeling 3700 Annapolis Ln Ste 145993-0020 24Q6 ,
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE No.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE .
8 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW O ADDITION O ALTERATION Ox REPAIR O MOVE ❑ REMO E
8 DESCRIBE WORK
Replace windows
9 CHANGE OF USE FROM TO
STIPULATIONS
Egress windows must meet State Building Code.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOA?
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
ZONING
SO. FT.
CU. FT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
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 GARAGES
VALUATION
SURTAX
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$4,001
$2.00
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
PERMIT FEE
SAC CHARGE
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$72.00
Fire SC $4.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
License SC $5.00
$83.00
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
rPROPF RL ALI DATED THIS IS YOUR PERMIT•
/
SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI
BLDG I P DATE
NEW [ ] Effective 1/1/93
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Construction Address: x-1'1 % AU f -
Legal Description:
Owner Name & AddressTei. #.s?
Contracts
Address:
[CENSE #
Tel. # ,253 -o o Ao
Attach to this application, a Certificate of Survey or the
lot, with the proposed construction drawn on it to scale.
LIVING AREA: Length
GARAGE AREA: Length
DECK AREA: Length
OTHER:
DESCRIPTION OF IMPROVEMENT
Width
Width
Width
Corner Lot [ ] Inside Lot [ ]ll Ft. Yd Setback _
Type of Construction: I ala , )C"
Approx. Completion Date: 57- t a - -L L!
Height
Height
Hgt/Ground
Sq. Ft.
Sq. FL
Sq. Ft._
Side Yard Setbacks
Estimated Cost: /
Driveway Curb Cut width Needed: Ft. + 6 Ft = Ft x
S
(Cost on Back)
DATE: APPLICANT: � � Tel. # s 3 - of 2A
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$750 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ]
TOTAL $
STIPULATIONS:
SUBJECT
PERMIT NO.
City of Fridley2
8 516
AT THE TOP OF THE TWINS
PERMIT
572-3604
BUILDING
RECEIPT NO
COMMUNITY DEVELOPMENT DIV.
INSPECTION SEC.jL
r PROTECTIVE
NUMBER
REV
DATE
PAGE OF
APPROVED By
.."'1 CITY HALL FRIDLEY 55432
.. 612-571-3450
910415
11/4/98
108 ADDRESS
471 67th Avenue NE
1 LEGAL
LOT NO. BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
1 3
1 Rice Creek Terrace Plat 3
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Del Fenske
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Exterior Design Service 6391 Mo e571-3220
3237
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 O ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and garage 18 SO 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
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 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 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
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
ROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON.
RUC ION OR HE PERFORMANCE OF CONSTRUCTION
$51.25
rp
PLAN CHECK FEE
/
TOTAL E
- —
S nn
S _sfi
SIGNATURE CONTRACTOR OR AUTHORIZEO AGENT IDATEI
NP OPE LIDATE S IS YOUR ERMIT
SGN4 'URE OF OWNER JF OWNER SUILDERI IDATE,
INSP
r
PATE
NEW , [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY I
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2)
BUILDING PERMIT APPLICATION
ConstructionAddress:
%/ — i '--,z `%t/_ 4XVIeR ,
Legal Description:
Owner Name & Address: �--a& Z Tel. #
Contractor: 'e
Jai ���v MN LICENSE #
Address: �/ `�Pyra
5 -7/-
����`; ���� -OK Tel. # (5--71-
Attach
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:
Leng Width Hgt/Ground Sq. Ft.
OTHER:
J
Construction Type:
®Q? /� i` Estimated Cost: $
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft, x $ _ $
DATE: % /- y - 9 9 APPLICANT: Tel. #
CITY USE ONLY
Permit Fee
$ �,o�� Fee Schedule on Reverse Side
Fire Surcharge
$ % .001 of Permit Valuation (1/10th%)
State Surcharge
$ %% $.50/$1,000 Valuation
SAC Charge
$ $1000 per SAC Unit
License Surcharge
$ S QO $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:
$ D'z
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
`Effective On January 1, 1997
PLUMBING FIXTURE RATES:
NO. RATE TOTAL
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
$ 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**
$10.00
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 $4-0'S-61
JOBADDRESS
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.
Owner Df Imot, liL I=_stjst-p—
Building Used As_DWe_ 1-1_1' Al C,--
Estimated Cost ,-160 CV 6 PERMIT NO.
PLUMBING COMPANY- .S
PLUS THE $.50 STATE SURCHARGE
**COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SO INCHES.