PRE 2010 DOCS0
0
City of Fridley, Minn.
BUILDING PERMIT N® 3681
Date: .. �..../ ..` . .........
Owner ....................................... Builder .. �1 7.
Address ...................................... Address .............................................
LOCATION OF BUILDING
No. ... Street ... �!!..,........... ... Part of Lot ............. .
Lot ..... �%..... Block ...... ..... Addition or Sub -Division &.V..6 ... .. ��
Corner Lot ............ Inside Lot ............ Setback ............ Sideyard ...........................
DESCRIPTION OF BUILDING
To be Used as: e ,
Depth Height / ,y'. a Sq. Ft /�! �j�v / �G
.. .... Front ...... ...
�P ... Cu. F't.. ...r..
..... Front .01?'Depth AV. Height ..��` Sq. Ft. Cu. Ft.
Type of Cons ction ................... hist. Cost..................... To be Completed ...................
In consideration of the issuance to me of a permit to construct the building desribed 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 city of Fridley.
..V ............... �........^:" .....
In consideration of the payment of a fee of $.� ..�.�,permit is hereby granted to ...................
......................... to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with-
in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
..ri ... Building Inspector
NOTICE:
This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating,
sewer or water. Be sure to see the Building Inspector for separate permits for these items.
G
•
•
•
Date: - Ju - 193, 1965
City of Fridley, Minn. N° 8219
BUILDING PERMIT
Builder
GERALD GLENN CORPORATION
Address Address 1202 Hathaway Inane
Fridley, Minnesota
LOCATION OF BUILDING
No. 611 Street 67th Avenue N. E. Part of Lot
Lot 9 Block 5 Addition or Sub.Division RC. Terrace Plat 6
Corner Lot _ Inside Lot _ _ Setback Sideyard
Sewer Elevation — Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
Front Depth Height Sq. Ft. Cu. Ft.
Front Depth Height Sq. Ft. Cu. Ft.
Type of Construction Est.Cost 00000 __ To be Completed
tZEBUIP FROM CAP UP — DUE TO STORM DAMAGE
In consideration of the issuance to me of a permit to construct the building described above I agree to do
the proposed work in accordance with the description above set forth and in com ce with ail provisions of
o1$inaaces oP the city of Fridley. a �
In consideration of the payment of a fee of1$ 0.00 , permit is hereby granted to GEP" GIM
to construct the building or addition as described above. This permit is grantecT`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 location, construction, alteration, maintenance, repair and moving of building
wiorthi nthe city limitsand this permit may be revoked at any time upon violation of any of the provisions of said
AMEN G. JENSEN Building Inspector
NOTICE9
M permit den not ema the ceeshuetien, huftMen ter WkIns phtmbtne, gas heating, aww or water•. Be ams to ere
the Boildlog r for operate Wmbs for d wn liens.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME 0C �Q L BUILDER R ,� f
ADDRESS _ADDRESS 04, M ,+Lg �� L4Y�k.
LOCATION OF BUILDING
N0. STREET `7 ' 1' es, PART OF LOT
LOT BLOCK �r ADDITION OR SUBDIVISION41
CORNER LOT 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
Front Depth Height
Sq. Ft. Cu. Ft.
Front
Depth Height
Sq. Ft. Cu. Ft.
Type of Construction Estimated Cost 1p
f L/r o
To be completed
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.
DATE SIGNATURE ro
(Schedute of Fee Costs can be found on the Reverse Side).
Lti �
I
� � y hr
v
...It
CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1997
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 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)
Gas Range
Gas Dryer
*Air Conditioning — All Sizes
All Others/Repairs & Alterations (LIST ON BACK
1 % of Value of Appliance or Work
Commercial/Industrial
1.25% of Value of Appliance or Work
Rate TOTAL
$ 30.00 $ v
$ 10.00 $
$10.00 $
$10.00 $ /
$ 25.00 $ !/
State Surcharge
TOTAL FEE
JOB ADDRESS 1 // C � Q��� C�
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.
1997
OWNER ��L d/
BUILDINGUSEDAS
00,g,5
ESTIMATED COST A, 30 U PERMIT NO.
DESCRIPTION OF FURNACE AND OR BURNER
$ No. of Heating Units Circle One (Steam) (Hot Water) arm Air
Trade Name ���� / /-,, Size No.
BTU" HP HP EDR
$ Fuel �/% J' Total Connected Load
$ 50 Burner Trade Name Size No.
BTU HP EDR
HEATING COMPANY
MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
Tel No, —C_11
Approved By Rough—In Date
FILL OUT BACK SIDE dOR STACK VERIFICATION ON
REPLACEMENT FURNACE
Final Date )
Remarks: .
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
CH Aff*4EY AND STACK VERIFICATION
The
undersigned hereby verifies that the -existing chimney or
stack:
1.
Has been carefully examined
Yes (PI""'No
(
)
2.
Is free from rust or deterioration
Yes (tom No
(
)
3.
Has no foreign objects lodged within
Yes( ) No
(
4.
Is securely supported
Yes (dNo
(
)
5.
Meets all current Code requirements for size
and total BTU's connected
Yes 0-�'No
(
)
6
Has total heating BTU's of f P �'
All other BTU's ,
TOTAL BTU's
7.
Has a liner been provided for water heater
Yes (Go
(
)
8.
Has combustion air been provided for water heater
Yes ( No
(
)
Remarks: .
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
SUBJE16T
P
City of Fridley
AT THE TOP OF THE TWINS
BUILDING
PERMIT
28254
r
it ... COMMUNITY DEVELOPMENT DIV.
I � PROTECTIVE INSPECTION SEC.
�'� CITY HALL FRIDLEY 55432
L 612-571-3450
NUMBER
910-F15
REV
DATE
10/14/98
PAGE OF
APPROVED By
JOB ADDRESS
611 67th Avenue NE
T LEGAL
DESCR.
LOT NO.
9
BLOCK
5
TRACT OR ADDITION
Rice Creek Terrace
SEE ATTACHED
SHEET
2 PROPERTY OWNER MAIL ADORES$
ZIP
PHONE
HarleyJacobs
571-8299
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO
Nutzmann Bros Const 736
-
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 ❑ ADDITION ❑ ALTERATION Px REPAIR
O MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and arae 25 S Tear-off
8 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING,
TYPEOF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION
ZONING
SO. FT
CU FT.
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
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
VALUATION
SURTAX
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$2142
1,07
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER TATE OR LOCAL LAW REGULATI Co
PERMIT FEE
SACC ARGE
STRUCTION OR THE PERFO ANCE OF CONSTRUCTION
74.75
Fi e SC $2.14
PLAN CHECK FEE
Li s
5/d
FEE
96
;V.
SIGNATURE OF 'FIACTOA OR AUT040RIZEO AGENT • EI
EN R
BLD IN SO
V LI
THIS IS YOUR2PERMITs'
"AT
S,GNATURE OF OWNEROF OWNER BUILDER, 10ATEI
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: 6111
Legal Description:
Owner Name & Address:�- �, A1t)r Tel. #
Contractor: /( _�i��,y �a l�� / ,.�,— MN LICENSE
Address: r �`i/�i /%/i� 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:
Construction Type: �iy, , Estimated Cost: $ �S
' (Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
. r
DATE: D%' APPLICANT: Tel. # -C
TOTAL
STIPULATIONS:
CITY USE ONLY
Permit Fee
$ 7� + ��
Fee Schedule on Reverse Side
Fire Surcharge
$
.001 of Permit Valuation (1/10th%)
State Surcharge
$ Z D7
$.50/$1,000 Valuation
SAC Charge
$
$1000 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 BUILDING Permit No.:
Inspections RESIDENTIAL APPLICATION Received By:
763-572-3604 CITY OF FRIDLEY Date Rec'd:
DA
SITE ADDRESSTHIS APPLICANT IS: ❑ OWNER []CONTRACTOR
PROPERTY OWNER/
NAME: / Sa
/'� - `
1997 U.B.0 FEE SCHEDULE)
TENANT
ADDRESS: !
v
cITY l2;,� 1 L°Sl STATE& ti543Z
See Back Page for Fee Schedule
PHONE: 7 43 —05-Z1
-'Q 169
65% of Building Permit Fee
CONTRACTOR
NAME:
(.0005) times the total job valuation — Minimum $.50
Fire Surcharge
STATE LICENSE #�lfk-
�i EXP DATE
License Surcharge
SUBMIT A COPY OF
$5.00 (State Licensed Residential Contractors)
SAC Charge
CITY STATE ZIP
YOUR STATE LICENSE
ADDRESS:
$
ft + 6 ft = ft x $20 = $
WITH APPLICATION
PHONE
FAX
Park Fee
PROPERTY TYPE
❑ SINGLE FAMILY/NEW CONSTRUCTION
SIZE
$
❑ TWO FAMILY/NEW CONSTRUCTION
STORIES
PERMIT TYPE
❑ ADDITION
ZLGARAGE/SHED
WINDOWS
❑ BASEMENT FINISH
.0 ROOF
❑ DRAIN TILE
❑ DECK
KSIDING
❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:
o
o Mfw ITENANc
REMODELINGM
DESCRIBE WORK BEING
SIZE OF IMPROVEMENT
OF SQUARES
GARAGES
PROPOSED SIZE:
PROPOSED HEIGHT:
SIDING
❑ Vinyl
❑ Aluminum
❑ Other
WINDOWS
IN EXISTING OPENINGS ❑Yes ❑No
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED
LENGTH
❑ HOUSE ONLY
OUSE & GARAGE
❑ ATTACHED GARAGE
❑ DETACHED GARAGE
❑Soffit
❑ Trim
❑ Fascia
LOCATION OF WINDOWS
NUMBER OF
X
)kc Gt)k
1E
HEIGHT
1. Existing Floor Plan
2. Proposed floor plan
3. List of structural members to be used
Ft.
FOR NEW CONSTRUCTION INCLUDING DECKS,
ADDITIONS. & PORCHES SUBMIT:
1. Site Plan/Survey showing the existing structures
and proposed project
2. Two sets of construction plans
3. Energy Calculations
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING THE
1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $
OCCUPANCY TYPE
Permit Fee
$
See Back Page for Fee Schedule
Plan Review
$
65% of Building Permit Fee
Surcharge
$ 2_19n_
(.0005) times the total job valuation — Minimum $.50
Fire Surcharge
$ j,
O 0 .001 x Permit Valuation (1/10%)
License Surcharge
$
$5.00 (State Licensed Residential Contractors)
SAC Charge
$
$1450 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
$
ft + 6 ft = ft x $20 = $
Erosion Control
$
$450 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement necessary ( ) Non Necessary ( )
Total Due
$
Make checks payable to: City of Fridley Attach Stipulations
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 ZIA2, S AD X'i IL$ Y� JLPRINT NAME DATE I l _ of