PRE 2010 DOCSY Se
46 Village of Fridley, Minn.
BUILDING PERMIT � 0 1759
Date: .... f....................
Owner .......................................
Builder ...e....... ........ ........
Address ...................................... Address ... .�. .... . .... .-
r
LOCATION OF BUILDING
No. ... .�j..�... Street ....�p.� .. :�^.� L .................... Part of Lot ............. .......
Lot ..... ...... Block ..... r6 .......... Addition or Sub -Division . G .. Ci?��t
r
Corner Lot ... !� ..... Inside Lot ........... Setback ....... Sideyard .. .
DESCRIPTION OF BUILDING
g Ised s:
Front . r . Depth . Height . �.. `S Sq. Ft./ Cu. Ft.
.°`
..................... Front ........ Depth ........ Height .... Sq. Ft. ........ Cu. Ft. ........
Type of Construction �`rion-e........ Est. Cost . /............. 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 all provisions of
ordinances of the village of Fridley.
0 ��
In consideration of the payment of a fee of $. � d'.. �
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 9TAnted and his agents, employees and workmen, in all work
done in, around and upon said building, or any par ,,hereof, shall conform in all respects to the ordinances of
o ,
Fridley, Minnesota regarding location, constructialteration, maintenance, repair and moving of buildings with-
in the village limits and this permit may be rev ed at any time upon violation of any of the provisions of said
ordinances.
.......1 .... . Building Inspector
NOTICE:
This permit does not cover the construction, installation or alteration for wiring, plumbing, gas.heating,
sewer or water. Be sure to see the Building Inspector for separate permits for these items.
Application for Power Plants and Heating. Coding. Ventilation. Refrigeration and
Air Conditioning Systems and Devices
PARTIA)L RATE SCHEDULE Dept. of Bldgs. Phone SII 4-7470
GRAVITY WARM AIR: RATE TOTAL, Location
Furnace Shell & Duct Work .......................... 8.00 $
City of Fridley:
Replacement of Furnace ........ a....... 1........... 5.00 $
Repairs &Alterations—up to $500.00 5.00 The undersigned hereby makes application for a permit for the work herein
p • • • • • • • • • • • • • • . • • $ 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
Repairs' & Alterations each add. $500.00 ............... 2.50 $ and representations stated in this application are true and correct.
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $—
/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. IDR 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 BTL) .......................
5.00
$
GAS FITTING FEES: NO
RATE TOTAL
1st 3 Fixtures ...................... x
$1.50
$
Additional Fixtures ................. x
.50
$
Gas Range to 200,000 BTU ........... x
2.00
$
AIR CONDITIONING
$
FAN HEATING SYSTEM See Fee Schedule
VENTILATING SYSTEM
$
ALTERATIONS & REPAIRS TOTAL
FEE
$_
ROTIPH
FINAL
Y
Owner
Kind of Building 4
d'4
Used as
To be completed about
Estimated Cost, $
Old—New. Building Permit No. Z Permit No. / e
DESCRIPTION OF WORE g: JC .
54vet
HEATING or POWER PLANTS --.Steam, Hot Water, Warm Air—No
Trade Name_ /-L�-�L» �' Z �` 3 .' .— Size No a f C
Capacity. Sq. Ft. E.D.R BTU H.P.
Total Connected Loader "v'r Rind of Fuel
BURNER —Trade Name Size No
Capacity Sq. Ft. E.D.R BTU H.P.
(REMARKS—OVER)
a i 2M 7-59 Business Phone No
L
0
City of Fridley, Minn.
BURDING PERMIT
Date: OCTOBER 26, 1965
N°
Owner: ROY KCRM M Builder MOEN BUILDERS
Address 501 - 67th Avenue N. E. Address7940 - 59-1,- Avenue North
Fridley 32, Minnesota Minneapolis, Minnesota
ell
8564
LOCATION OF BUILDING
No. 501 Street — 67th Avenue N. E. „_,_,,,,, Part of Lot
Lot — 8 _- Block 6 Addition or Sub.Division ._....Rice CreekTexrace, Plat 4
Corner Lot , X Inside Lot — — Setback --- Sideyard
Sewer Elevation — Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
ATT. GARAGE Front 14 Depth 23 Height 10 Sq. Ft. 322 Cu. Ft. 3220
Front Depth _.._ Height — Sq. Ft. ._ _ Cu. Ft.
Type of Construction Frame Est. Cost _ $2,5pO_,.OQL 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 plane with 21 provisions of
di
ornances of the city of Fridley.
c
In consideration of the payment of a fee of 8 4.00 � permit is hereby granted to MOEN BUILDERS
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, roknaofyotheosib ding
city limits and this permit may construction,
a any time upon�o ti repair and
the prvi
ordinances.
sats
ALLEN G. JENSEN Building
Inspector
NOTICE
M peenit don not aowr the aondmcdon, hnhlldlee fey wMh& phnnbleg, on halloo, away or order. Be vim to as
the Ilnilding lugaator hr apude puns to for thea Nunn.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
P
ME OJ
S NAPfE BUILDER��'�-�
ADDRESS / (a 7 4DDRESS 07 7 Y10
LOCATION OF BUILDING
_ Street Part of Lot
ADDITION OR SUBDIVISION
Corner tot Inside LOT Setback —Side -Yard
-SEWER ELEVATION � FOMATIC& ELEVATION,
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
67
Sq. Ft. S -z— Z Cu. Ft.
Front Depth _Height
Sq. Ft. Cu. Ft.
Type of Construction ��,% Estimated Cost `_ S c
To be
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.
( �2-i— Z'
(Schedule of Fee Costs can be found on the Reverse Side).
COTe Cap-` F7,,,=,L7=Y
8431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432
TELEPHONE ( 612)571-3450
OBSTRUCTION:
77z --
Z., ---Ir -- ----
Lot Block Addition
, I
Property Om- ier-Address
RECORD OF CONMINIC-MONS:
2.
J.
4.
S.
6.
7.
CITY OF FRIDLEY INSPECTION ON. / J Effective On August 1, 1995
6431 University Ave NE ;,13 P
Fridley, MN 55432 dl
APPLICATION FOR PLUMBING AND GAS FITTING PERMITS
572-3604 Y
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
PLUMBING FIXTURE RATES: NO. RATE
New Fixtures
$ 7.00
Old Opening, New Fixture
$ 4.00
Beer Dispenser
$ 5.00
�
$ 7.00
Stories
Ct+t ;Urinal
';Showery
Tra
Drain
v..a �
! !r' Washer
1'y;il
Ran
Gas EI&c
Basemen
Basement
$ 7.00
F.
T
Gas Range**
3 i
ht
t4
s
Floor I
i•;,5
fi
h 11i�n,
k a
; i; ::
k3
Floor 2
7 3!
'
e .r r010
Floor 3
i -
Floor 4
PLUMBING FIXTURE RATES: NO. RATE
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 Prevents squired ( )Yes () No
9a
TOTAL JOB ADDRESS -m� O ( 6 7 71�7
Type _� $15.00
Reinspection Fee $42.00/Hr�
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fbdure or Appliance
State Surcharge .50
TOTAL FEE $�
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 -7;c 01
Building Used As
Estimated Cost g;rz�le PERMIT NO. i
4 _
PLUMBING COMPANY.��/�
SIGNED B �= . TEL N0. %
Approved By Rough—in Date Final Date A
MINIMUM FE FOR ANY PLUMBING/GAS PERMIT IS $2000
PLUS THE $.5o STATE SURCHARGE
**COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SQ INCHES.
SUBJECT
MIT NO.
City of Fridley
24971
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
RECEIPT NO.
� ` ______ COMMUNITY DEVELOPMENT DIV.
I v - PROTECTIVE INSPECTION SEC.
r
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
' 612-571-3450
910-F15
4/16/97
JOB ADDRESS 501 67 Avenue NE
1 LEGAL
LOT No.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
8
6
Rice Creek Terrace Plat
4 SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Roy Kirkham 501 67 Avenue NE
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 OX REPAIR ❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Reroof House & Garage (20 Sq) Tear -off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
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
1
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
$1,650
$.82
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-
$54.00
Fire SC $1.65
STRUCTION OR THE PERF MANCE OF CONSTRUCTION.
PLAN CHECK FEE
(TOTAL FEE
$56.47
SIGNATURE OF CONTRACyfiROR gg��TN RIZED AGENT IDA I
v
�0 f)A
E FOR
LY V 1 TED THIS IS YO R PERMIT
k,,t iD
6 - -
SIG ATURE OF OWNER IIF OWNER BUILDERI IDATEI
- BCj9G INSFr
TE
NEW ]
ADDN [ ]
ALTER ( ]
CITY OF FRIDLEY
SINGLE FA 1ILY AND DUPLEXES R-1' AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: _�- a ) b -) fi )/- A -6-
Leg al Description• /e Rrye <F V'i 4 6-14
Owner Name & Address:L�) / Tel. #_
Contractor: 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 IWROVFNWM
Tel. #
Effective l/ 1/97
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER: LC Q c�'' �' }i C. �-� S r ® S U P-YeS
670
Construction Type:
Estimated Cost: $ %
(Fee Schedule on Back)
Driveway Curb Cut Width Needed:
Ft. + 6 Ft = Ft x $ _ $
DATE:
APPLICANT:
�� V !� �✓\, Tel. #
gtlq�
CITY USE O
Permit Fee
$ J '`� CSC'
Fee Schedule on Reverse Side
Fire Surcharge
$
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$950 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 $�
STIPULATIONS:
Building
Permit Fee
BUILDING
/ See Back Page for Fee Schedule
Permit No --CO
Inspections
65% of Building Permit Fee
RESIDENTIAL APPLICATION
$
Received By:
763-572-3604
763-502-4977 FAX
CITY OF FRIDLEY
�,� .0005 x Permit Valuation Minimum $.50
n ppQ
�C- $5.00 (State Licensed Residential Contractors)
SAC Charge
$
By u U
Curb Cut Escrow
$
EFFECTIVE 1-1-08
Erosion Control
V
®®
DATE 4 --5 —0 ®{�Y.OUR
E-MAn, ADDRESS M 4 I I G CCI I O VOL Y10WeS o C®M
SITE ADDRESs �t� l G,
VPAlu 2 NIE. . F r A"
Sewer Main Charge
THIS APPLICANT IS: ❑ OWNER 'CONTRACTOR
Agreement necessary ( ) Non Necessary ( )
PROPERTY OWNER/
NAME: DahKLA10C111 JOIJ i
n Make checks uavable to: City of Fridley Attach Stiaulations
TENANT
ADDRESS: I 1 Ave. N.. E, CITY Erik
STATE&KzIP 5S 3Z
PHONE: 63 -57I 492.0
NAME: Q
1
ADDRESS: -70.5 Q 1 VCtr,) t ->+r + 5" t i'e Z CI1'Y5 Oh12t se+ STATEW T.ZIP
CONTRACTOR
SUBMIT A COPY OF
PHONE ' ( (,,1 2- G85 0069 FAX -7 15 Z41
2_14 7
YOUR STATE LICENSE2
10-73
``
— 31 — 09
STATE LICENSE # EXP DATE
J
PROPERTY TYPE
X SINGLE FAMII.Y/NEW CONSTRUCTION SIZE 1040
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS
larBASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
❑ SIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW HOME CONSTRUCTION ❑ ADDITION
❑ MAINTENANCE/REPAIR %REMODELING dei k_
DESCRIBE WORK BEING DONE: 6u -I ' neAi oQ c" a rear 6V kcrosa 1 1AS .Al c.- nem 01
SIZE OF IMPROVIIVIIIVT
LENGTH t WIDTH 12 a u HEIGHT 1 t S FT Z/��(
ROOFING
NUMBER OF SQUARES
❑ HOUSE ONLY
❑ HOUSE & GARAGE
BASEMENT REMODELING SUBMIT: u3 `rC I K
I Existing Floor Plan 131(�
7
GARAGES
❑ ATTACHED GARAGE
2.
Proposed floor plan
PROPOSED SIZE:
❑ DETACHED GARAGE
3.
List of structural members to be used
PROPOSEDHEIGHT:
SIDING
_^ �C
' S � �t
FORNEW CONSTRUCTION INCLUDING DECKS,
❑ Vinyl
_-;o
❑soffit C7, C'/ 0
ADDITIONS.
& PORCHES SUBMIT:
❑ Aluminum
❑ Trim
i .
Site Plan/Survey showing the existing structures
13Other
❑ Fascia "I ?"
and proposed project.
2.
Two sets of construction plans
WINDOWS
IN EXISTING OPENINGS ❑YesNo LQQCATION OF W 0
OR FOR NEW OPENINGS -DESCRIBE SIZE OF ta'(O yC $ i I oma► c�00(- Iv. nY
3. Energy Calculations
roa►M Ir lip
O -C C' faah%
g
-%X
tc�l
TYPOPENING�(,o�—p
O WINDOW TO BE INSTALLED PO (Cl rr®- I %%BER OF WINDOWS { pa+, O C40or
W 1 hClo W
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
S G THE 1997 UBC FEE SCHEDULE)
TOTAL JOB VALUATION $ OCCUPANCY TYPE
Permit Fee
$
/ See Back Page for Fee Schedule
Plan Review
$
65% of Building Permit Fee
Fire Surcharge
$
.001 times the total job valuation
Surcharge
$
�,� .0005 x Permit Valuation Minimum $.50
License Surcharge
�C- $5.00 (State Licensed Residential Contractors)
SAC Charge
$
$1825 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
$
ft + 6 ft = ft x $21 =$
Erosion Control
$
$450 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement necessary ( ) Non Necessary ( )
Total Due
$
n Make checks uavable to: City of Fridley Attach Stiaulations
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 acc:rn ue; that the work will be in conformance with the ordinances and codes
of the City of Fri 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 on site; float the k will be in rdance with the p ,v plan in the case of all work which requires review and approval of plans.
SIGNATURE OF AP CANT PRINT NAME M CX+f C ®J I 0 Q Q DATE - 5- 0
APPROVED BY DA Tof P®
PLEASE NOTE: SEIARAV )PERMITS ARE REQUIRED FOR PLUMBING, ELECTRICAL AND MECHANICAL WORK
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,501 Gi "" Ave, NE
I MQLEy1 MY j 55432
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