PRE 2010 DOCSCity of Fridley, Minn.
BUR DING PERMIT
Date: J .. ®... ./.. .. :�I .........
Owner .......................................
Address......................................
N® 3515
Builder . , .. ...6200—C!rl ................
Address ....
....................................
LOCATION OF BUILDING
No. .2. Y � ... Street ... ..i(.........:G .! ' ....... Part of Lot ......................... .......
Lot ..��...... Block ..... Z......... Addition or Sub -Division A6. .... .....
Corner Lot ............ Inside Lot A.......... Setback Sideyard /0. 1, . 0 ..................
DESCRIPTION OF BUILDING
To be Used as: L� •o
i/vJa o C
Front ,i. �' .?� t Depth r�.-� Height �.� n �. 4 Sq. Ft. Cu. Ft.
... Front ........ Depth ........ Height ........ Sq. Ft. ........ Cu. Ft. ........
Type of Construction ................... Net. Cost./V�i ..... To be Completed ...................
In consideration of the issuance to me of a permit to
the proposed work in accordance with the description ab
ordinances of the city of Fridley.
desribed above, I agree to do
ampliance with all provisions of
In consideration of the payment of a fee of $/ permit is hereby ted to
•� P Y gran :..................
......................... 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.
.. �... 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.
i
City of Fridley, Minn.
BUILDING PERMIT
Date: June 10, 1968
Owner: _ Lloyd Back Builder
Address _ _ 741 68th Ave. N. E. Address
NO. — 741 Street
Same
Same
LOCATION OF BUILDING
68th Ave. N. E. part of Lot
Lot __L4 ___ Block 2
Corner Lot .__
Sewer Elevation
Nog 788
Addition or Sub -Division Brookview Terrace
Inside Lot _. Setback
Sideyard
Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
Garage Front 26 ' Depth 24' Height 121 Sq, Ft. 624
Front Depth Height ._ Sq. Ft.
Type of Construction Frame Est. Cost __.. $1800.00 ---To be Completed
Cu. Ft. 7488
Cu. Ft.
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 aft provisions of
ordinances of the city of Fridley. _ i f _ A
In consideration of the payment of a fee of $ 11.23 , permit is hereby granted to._._. Lloyd Back
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
within the dty limits and this permit may be revoked at any time upon violation of any of the provisions of d
ordinances. .�.�
Official
Building
Dreher
• NOTICE:
This permit does not cover the construction, hustaMtion for wiring, plumbing, pat heating, sower or water. Be euro to no
the Building Inspector for separate permits for these hems.
Y
APPLICATION FOR BUILDING PERMIT
CITY OF FBIDLEY, MINNESOTA
OWNER' S NA1622dv,11rC�>� /� BUILDERS
ADD Ii Ss`L , `�� 7? . , .ADDRESS,`
LOCA:TI01+1 OF• BUILDVO
No. STREET . Ole, V
LOT .�_.. _ BLOCK .. ADDITION OR .SUBDIVISION
CORIMR, LOT INSIDE LOTX_SETBACK °SIDEYARD
SEWER ELEVATION TOP OF FOOTING
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building 1pcation dr."n on 'these Certificates.
t r
DESCRIPTION'OF BUILDING ;
To Be Used As:
Front Depth
Square feet Cubic Feet.
`f -
Square feet ( �-'�Cubic Feet
Type of Construction '- Estimated Cost f fo
To Be Completed
36— (.�o
P
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 _ `
�
_SIGDIATUREY
jr�yX /•�
(Schedule of
Fee Costs
can be found on the Reverse Side).
SUBJECT
PERMIT
City of Fridley
4619
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
Z
RCEIPT NO.
COMMUNITY DEVELOPMENT DIV.
;C
r PROTECTIVE INSPECTION SEC.
® �
1 • �
/"•t CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
"•"�'� ,'J 612-560-3450
910-F15
4/5/78
JOB ADDRESS 741 - 68th Avenue N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
14
2
1 Brookview Terrace SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Mewhorter 741 - 68th Avenue N.E.
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
6 DESCRIBE WORK
Reroof dwelling
9 CHANGE OF USE FROM TO
STIPULATIONS Roof can be second but not the third roof. Install ridged
galvanized valleys.
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
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
I
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.
$600
$•50
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-
$7.50
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
$8.00
SIGNATURE OF CONTRACT R OR AUTHORIZED AG NT (DATE))
WHEN PRO ERLY VALIDATED THIS IS YOUR PERMIT
SIG TORE OF OWNER IIF OWNER BUILDER) (DATE)
BLDG INSP TE
CITY 017 FRIDLEY'
APPLICATION FOR RESIDLNTIAL BUILDING PERMITS
(NEW, ALTLRATIns, ADDITIONS, OR REPAIRS)
OSdIJER: ! �� BUILDER: .
Address: �— to "O // Address:
Tel. No.:
No. Street:
r
LOT: BLOCK: �_ ADDITION: /� e �.�✓1�
CORNER LOT: INSIDE IOT: SETBACK: SIDEYARDS:
Applicant attach to this form 'JVa 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:
Dont: Depth: Height:
Squa- Feet: Cubic Feet:
Type of Construction: ,,A Estimated Cost: J�%tj
7b Be Completed: Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired $ $
(SEE RDVErSE 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 side for additional information.
DATE: 6<dA�1/ SIGNATURE:
Stipulations;
suoj'cr
E
City of Fridley
2701
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
I ,
NO.
• COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
119,35"
1 �
NUMBER
REV
DATE
PAGE OF
APPROVED BY
= CITY HALL FRIDLEY 55432
612-571-3450
910-F15
8/6/98
JOB ADDRESS 741 68 Ave NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
14
2
Brookview Terrace
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Greg Geer
572-8450
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Quality Contracting 11380 W. River Rd. Cham lin 55316
427-7733 7053
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 XX REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and garage (25 S) Tear -off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with 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
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
2085
$1.04
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-
STRUCTION THE PERF MANCE CONSTRUCTION.
74.75
Fire SC 2.08
he
PLAN CHECK FEE
TOTALFEE
License SC 5.00
82.87
51 ATUREOF':0' CTOFrOR AUTHORIZED AGENT (DATEI
WHEN PROPERLY IDATED THIS IS YOUR PER T
ELDG NSP
GATE
S,GNATURE OF OWNER 0F OWNER BUILDER) WATEI
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAINHLY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION ®�� `7
�4�
`� (�U-t
ConstructionAddress: ® ®/ (-C% � a .
Legal Description:
Owner Name & Address: -e e ✓ Tel. # ��� 9 9 15�- f�
Contractor: Quality Contracting MN LICENSE# 7035
Address: 11380 West River Road Tel. # 427-7733
II
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:
.�
License Surcharge
$ C
Construction Type:
Tear off and reroof
Estimated Cost: $
C)ob
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $_ $
DATE: APPLICANT:Tel. #
STIPULATIONS:
7
CITY USE ONLY
Permit Fee
$ < Fee Schedule on Reverse Side
Fire Surcharge
$ . U
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$ C
$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
$ ccs
STIPULATIONS:
7
CITY OF FRIDLEY INSPECTION DIViSION
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
(763) 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
FAX (763) 571-1287
RATE SCHEDULE
Residential
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace
(Side Vent - Fill Out Back)
Gas Piping (Needed with new furnace,
but not replacement)
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 $ 3o• 0 0
$ 10.00 $
$ 10.00 $
$ 10.00 $
$ 25.00 $
State Surcharge
TOTAL FEE
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.
$ .50
$ 55. SO
L•Ltective January 1, UUJ
JOB ADDRESS 7q( Gg 4/1 Ae- 7`)e
OWN
6r -e,
BUILDING USED AS _ re --s I J� 41 GaJ
ESTIMATED COST
Q
PERMIT NO. C�1
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units Circle One (Steam) (Hot Water)arm Air
Trade Name GooA rv% a r, Size No.
BTU loo Doo HP EDR
Fuel Total Connected Load
Burner Trade Name Size No.
BTU HP EDR
A_cs� IA-.Pl
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.
HEATING CO Sharp Htg & AC
Signed
FAX # 763-572-(Q64
DATE l0 ' oZ I/ - 0.3
TEL # 763-572-0459
Approved Bye Rough -In Date Final Date
THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE
APPLICATION WILL BE RETURNED
COMM VFNT_ VFNT r`C)RRFC'T�R AI�[� C'(�ti^E4lISTIr�N SIR VFRIFiC'ATIC�
When repta _ing an_F,Y` i n0 f►iranrP, 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.
YesNo( )
17��
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 4 No( )
The px.�istans _nmhi m inn air is sized and installed to meet the current codes
and manufacturer's specifications.
Yes () No ( )
When required to install a new rnmhuction it it will be sized and installed
to meet the current codes and manufacturers specifications.
Yes X No ( )
When installing a n �•, antin9,-sc;ytern 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.
Yes3YNo ( )
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 XNo( )
pnlianc T,ne and Ri /('emmnn Vent and Vont r.,..., ..t l
nformatinn
Appliance #1 Type r -n. BTU InputAssist
O000 ed r Nat
Appliance #2 Type BTU Input DoU a Fan Assisted o" la-��
Appliance #3 Type BTU Input Fan Assisted or Nat
Total Appliances —-- Total Btu Input
Common Vent Type C rs ^ Vent Height ���
9 Diameter inches
Appliance #1 Vent Connector Heightft 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
A[ TFRATIQ)
HEATING CO: har Ht & Ac
Signed By: