PRE 2010 DOCSCity of ]Fridley, Minn.
BUIILDING PERMIT N°o o s
Date:
Owner: Builder
Address Address
OF G
No. _42—a— Street __! RU DI101Part of.40t
Lot + _ _ __ Block ____ _ _ _ Addition or Sub -Division !
Corner Lot ___ Inside Lot Setback Sideyard A0
Sewer Elevation Foundation Elevation
DESCRIPTION OF BUILDING
To hQ Used ,r
Front._ Depth n Height Sq. Ft. Cu. Ft.
From- DepthCoHeight _ Sq. Ft. �� Cu. Ft.
;;;of construction Fast.. CosTo 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 city of Fridley.
In consideration of the payment of a fee of $ Gl& , 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
within 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 for wiring, plumbing, gas heating, sewer or, water. Be sure to see
the Building Inspector,fbr separate permits for,these Items.
0 OW4 0 T
APPLICATION FOR BUILDING PERMIT'
CITY OF FRIDLEY, MINNESOTA
h,�nera Nang •
J a IV P4 ! 0A Builder J. A
Address - MlA� � Address H:2- �`
LOCATION OF BUILDING
No._ _ Street eaq PO 4 Q M.g.__Part of Lot
Lot � 7 Block Addition or Subdivision 6 r-
Nar�
Corner Lot Inside Lot Setback Side -Yard
SENA ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
DESCRIPTION OF BUILDING
I�Te. 44& Al&.W Mole-/ ��4. kar
=77
Crt
To be used as:
/,A
I
go.%_ I c4 Front�Depth 2-7 Height
Sq. Ft. /1. 0-0 Cu. Ft.
1 /
Front ��' DepthHeight
Sq. Ft. t P® Cu. Ft.
Type of Construction�-4_ Estimated Cost f
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 Ordinances and ruling of
the Department of Buildings, and hereby declares that, 1.1 the facts and representations
stated in this application are true and correct. ( I j 1 0,-
(A Schedule of Fee Costs can be found on the Reverse Side.)
Application for Power Pbnts and. Healing. Coating. Ventilation, .Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULEDept. of Bldgs. Phone SU 4-7470
r
GRAVITY WARM AIR: RATE TOTAL,
Furnace Shell & Duct Work .......................... 8.00 $
Replacement of Furnace 5.00 $
Repairs & Alterations—up to $500.00 .................. 5.00 $
Repairs & Alterations each add. $500.00 ............... 2.50 $
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $
each add. 60,000 BTU ........................ 2.00 $ _
Replacement of Furnace §.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 BTU) ....................... 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 -
ROUGH
FINAL
City of Fridley:
The undersigned hereby makes application for a permit for the work herein
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
and representations stated in this application are true and correct.
f1 Fridley, nn- 1.t'l J 1 /C�5 19
Owner
Kind of Build*
/_I _ n
Used as
To be completed about
/q6
c e
Estimated Cost, $ ��' �
Old—New. Building Permit No. '�4 G Permit No. J
DESCRIPTION OF WORK
HEATING or POWER PLANTS --Steam, of Wa , Warm Air No f
Trade Name—��� eh–�--Q% �'-� Size No Z–G /d u
Capacity Sq. Ft. E.D.R-. Z' V• Ly-v'4BTU H.P.
Total Connected Load /' G d ra Kind of Fuel-
BURNER — Trade Name Size No
Capacity Sq. Ft. E.D.R BTU H.P.
(REMARKS—OVER]
Signe C
By 46-3 C-NI'AGO AVE
MININEAPOLIS 7, MINNESOTA
) 4a 2M 7_59 Business Phone o
SUBJECT
P IT N1_8
of Fridl
-City
THE TOP OF THE TWINS
MAT
BUILDING IT
r
RECEIPT NO
•COMMUNITY DEVELOPMENT DIV.
•�
r PROTECTIVE INSPECTION SEC.
1 � �
CITY HALL FRIDLEY 55432
NUMBER
DATE
P E OF
APPROVED BY
612-571-3450
910-F15
TREV.
4/29/80
/
JOB ADDRESS 246 - 69th Place N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
7
3
1 Rice Creek Plaza North Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Richard Cameron 246 - 69th Place N.E. 571-2333
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.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
x x
8 DESCRIBE WORK
Remove existing 9' x 11' 3-season porch and construct a 101.x 19' 3-season
porch.
9 CHANGE QF USE FROM TO
STIPULATIONS
SEPERATE PERMITS REQUIRLD FOR WIRMis
HEATING. PLUMBING AND SIGNS
WAMS
86kre An" a# ww 0",
TEUPRONE- WK-W Ito,
REQUIRED BY LAW
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 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
1
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
$1,000
$.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-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
$7.50
PLAN CHECK FEE
TOT E
$1.88 It
$9.88
SIGNATURE CT RORAUTHORIZEDA T
WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
/(DATE)
6,_ ) `Jl/
LD'OFOR BG INSP SATE
i ATURI
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(New, Alterations, Additions, or Repairs)
ADDRESS:, (`
TEL NO:
GUILDER: `Sl M ck
ADDRESS:
TEL NO:
Construction Location
STR MT NO: cam/ STREET:
LOT: BLOCK: _ ADDITION: g
F�
Corner Lot: Inside Lot: Setback: Sideyards:
Applicant attach to this form two Certificates of Survey of lot and
proposed building location drawn on certificates to scale. `, , ,
MoUt, EX 14-%x1 AJQi 9 AC
DESCRIPTION OF CONSTRUCTION
�ed l� " , ��j Front: /0 , Depth: 9 Height:
Square Feet: Cubic Feet:
Front: Depth: Height:
Square - Feet: Cubic Feet:
Type of Construction: Estimated Cost:
7b Be Completed: /�j�.-� -fl
Alt. A Alt. B
Proposed. Driveway Width If New Opening Is Desired: $ $
SEE REVERSE SIDE OF SHEET
The undE:rsigned 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: S IGNATU M. :
Stipulations:
IVITY WARM
Furnace Shell
Replacement a
Repairs & Alte
Repairs & Alt(
;H. WARM Al
Furnace Shell
each
Replacement
Repairs & Alt
Repairs & Alt
.AM or HOT V
Furnace Shell
Furnace Shell
Each add. 200
Each add. 320
BURNER—to
over 1E,
S BURNER (up
S FITTING FE
1st 3 Fix,
Additional
Gas Rang(
.:t CONDITION]
N HEATING S
NTILATING S'
ZERATIONS &
3UGH
"iw. V
' :,-) 1 0 /1)/ -it B ,1
vow_)UJ)03
�yxo� C7�
IN,
--S
C.
`C
70
0
3
7D
(IS C)
G :5
01%
J7
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IN,
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SUBJECT
PIT
City of Fridley
c 18 8 68
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
• COMMUNITY DEVELOPMENT DIV.
INSPECTION SEC.
y
r PROTECTIVE
1 �
i CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
L 612-571-3450
910-F15
4/9/87
JOB ADDRESS 246 - 69th Place N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
7
3
Rice Creek Plaza North Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Dick Cameron 246 - 69th Place N.E.
571-2333
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Brett Johnson Remodeling 1400 Parview Lane, Col. Hgts 55421 572-0060
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
8 DESCRIBE WORK
Reside Dwelling-. soffits, fascia, gutters
9 CHANGEOFUSEFROM TO
STIPULATIONS
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
1
ISTALLS 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
$2,100
$1.05
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-
T CTION OR THE PERFORMANCE CONSTRUCTION.
$38.50
PLAN CHECK FEE
TOTALFEE
ob-$39.55
WALITII�.RIZEDAIENT
Si NATURE OF CONTRACTOR D TE
WHEN PROPERLY,4
LI DATED THIS IS YOUR PERMIT
/.
BLDG NSP
%9
fl E
SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEi
NEW
[ ]
City of Fridley Effective 4/1/8b
ADDN.
[ ]
R-1 AND R-2
ALTER.
[ ]
Building Permit Application
Construction Address:
Legal Description: 7 - k -3 C L -e k z�
Owner Name & Address: �'C C et ;nk r o `-x Tel. #
Contractor: .91-eTr lAa Tel. # S 72- -00(,-P
Address: / 0 Pa,-�Ck L 4 C'i4" a�`�c`� Ll' M ta ► - S 'f Z
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:
-
Corner Lot [ ]
Inside Lot [
] Ft. Yd. Setback
Side Yard
Setback
Type of Construction: -5±a2
s ' ��
Estimated
Cost: $
2100, O D
Approx. Completion Date:
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $ $
See Back Page for Explanation
% Tel. # 7 � - 0 0 c o
DATE: % APPLICANT:
CITY USE ONLY
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
Fee Schedule on Reverse Side
25$ of Building Permit Fee
$.50/$1,000 Valuation
$ 525 per SAC Unit
Fee Determined by Engineering
"-reement Necessary [ ] Not Necessary [ ]
sobs - 6o 7g
NEW [ ] CITY OF FRIDLEY Effective 4/1/2004
ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
Construction Address:
Legal Description:
Owner Name & Address: 4Y� Tel. #;7.1-3
Contractor: N LICENSE # / L Ad -77
Address:
SA 6o Ci Tel. # %G3���5�
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length Width Hgt/Ground Sq. Ft.
fif 7 9&
Construction Type: r
_
Estimated Cost:
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $
_ $
Xtd4 �' APPLICDATE: ANT: Tel. # �6� ✓� -�f /�
Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call
you for card number.
CITY USE ONLY -
Permit Fee
Plan Review
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
Fee Schedule on Reverse Side
65% of Permit Fee
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1350 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 [ ]
STIPULATIONS: