PRE 2010 DOCSCity of Fridley, Minn.
6431 University Ave. N. E., Minneapolis, Minn. 55,132
BUDDING PERMIT
Bate: XKK December 29s 1972
ozz/CTI�
CftIIer, _ -Tampa R_ Liind Builder Same
,Address 7709 1nToodla. n Drive N.E. ,Address Same
LOCATION OF BUILDING
No Street 75th Avenue N.E. part of Lot
Lot-® Block Addition or Sub -Division _ Aud. Sub. #139,.-�
Corner Lot Inside Lot X Setback' Sideyard 176' & 200 +
AkW Elevation 883,48 V110"tidn'"""i /
Ze Ultuged and is not Top of Footing
extended to propert line
ffdCRIPTION OF BUILDING
To be Used as:
.Dwelling Front 26'
Depth 40'
Height 20'
Sq. Ft. 2545'
Ca, Ft. 25256 Q'
.Sage Front 26'
Depth 22'
Height 10'
Sq. Ft. 572'
Cu, Ft. 5, 720'
Type of Construction Wood Frame
Est. Cost
X531,441.60
To be Completed
March, 1973
Stipulations: Provide a hard surface driveway. Provide a verifying survey before
framing. -
WATER LOCATION: Must Be Tapped. (6" Main 43' N. of S. PL of 75th.)
SEWER. LOCATION: 26' E. of Manhole (Inv. 883.38)
SEPERATE PERMITS REQUIRED FOR WIRING.
In consideration of the issuance to me of a. permit to construct the .building described above, I agree to do
ft proposed work in accordance with the description above and in compliance with all provisions of
prdibances of the city of Fridley.
15.72 State Surcharge
In consideration of the payment of a fee of $ 47.29 —, permit is hereby granted to James Lund
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
Apector
DARREL CLARK
NOTICE: I
This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sun to no.
the building Inspector for separate permits for these hems.
{
APPLICATION FOR RESIDENTIAL, ALTERATIONS
OR ADDITION BUILDINO PERMIT
CITY Of FRIDLEYs MINNESOTA
OWM ISxm: BUILDER:
ADDRESS: ADM= S.-
VO4 0 - STR=4-- - Z�5 4 , "C4C
WT.;
CORM LOT: SETBACK; SIMARD:
Affjjr,=t attach Va CbU fo3m_Vo Certificates of Survey of Lot and proposed
$bulldftg Imat Lou drwn on these Certificates.
IYESCRIPTION OF BUILDING
To Be used Am:
vVWX1 Depth. -:g
swoxe Feet; Cubic Feet;
Frc�tt41Depth;
Height: '/61
Square Feet; Cubic Feet t
Tyfa Of Conetructions. Estimated Cost: $
7 -3
Mm undwoftned hereby makes applicaaaa for, a permit for the work herein
specified, agreeing ZP do all work in sttict accordance with the City of
Fet4ley orad w=es as4 icuttW of the Department of Buildings, mW hereby
4Walareo dWX all the facts and representations stated is this application
axe me =4 correct,
L -3 S XA
17ATS; 6112 ZG mms�
� - ,
(&A Reverse We For M 4 dWo=Inforoption.) ") �' A � /' )w
WILLIAM A. CARLSON, PRES. CERTIFICATE OF SURVEY
2324 WEST 110th STREET
888-2084
56431
a ARLsoa INC.
SURVEY FOR; a�
JAMES LUND CONSTRUCTION LAND SURVEYORS
Licensed, Insured & Bo.nded
M
I {
1
LEGAL DESCRIPTION: LOT 6, BLOCK 1, JIM LUND ACRES
WE HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION
OF A SURVEY OF THE BOUNDARIES OF THE LAND ABOVE—IYE`SCRIBED AND OF
THE LOCATION OF ALL BUILDINGS9 IF ANY' THEREON? AND ALL VISIBLE
ENCROACHMENTS9 IF ANY9 FROM OR ON SAID LANDV AS SURVEYED BY US
THIS 24TH DAY OF MARCH, 1973.
44
MINN. REGi.Y NO. 56'4 ,
7 7
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69 Cp4v6r.E:O)
/-2. 7' ff CE, 7- E - 96p,?- 38
GCSE TE e T/
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3v8�
?W -3_ -:?8
4.
i
AGREEMENT WITH THE CITY OF FRIDLEY
WHEREAS, I am the developer of a parcel of land to contain 7 lots
hereafter to be known as Jim Lund Acres,
WHEREAS, the City of Fridley has approved said plat for the
construction of single family dwellings,
WHEREAS, said plat has not been recorded to date and the City of
Fridley has granted only one building permit on said plat,
WHEREAS, I devise to start construction of additional single family
dwellings prior to filing the final plat at Anoka County,
NOW THEREFORE, I agree that if the City of Fridley will grant
additional permits not to exceed 4 in total, I will file said Jim Lund Acres
plat with Anoka County on or before April 9, 1973, and I understand that I
will not get a Certificate of Occupancy on any of the structures before the
plat filing and further that if this plat is not filed by April 10, 1973,
any construction in progress at that time will be "red tagged" and work will
cease to be done until I have filed the final plat with the County of Anoka.
r --I 04e�
ture
� /9 7"3
Date
Witness
0
Cify of Fridley
lr--110n for Mobbe wd Gas R"btq Pamb
Dapt of Bldgs, Phone So -34M Q
nEac>s1>rnoa or WORK f all
Number. Kind and L,ncathm of nxhklr" • �••�
PARTIAL RATE SCHEDULE
MVMBING rte RATES: NM RATE TOTAL
Number Fixtures ................ .��z s no i
FUtrue Fisisae thxaft .... :...... —3 x f 119 b_ S� S
New !resew Old Opening .......... r =1.9# Z
.............: 0 ..... x am
Rater 1%ater !Up to 99AM BART) .... / _ am i
New Gr+omkd Run Old BkW ... i
iiaebieWatar'Mosw ............. a
i Q
GAN FTMUM ME& M NA►T6 TOTAL a� �
lot 3 Fixtures ................ • • NUN 6
AddWand Fbdtan ............... s s ?a 8
Ces Range N IM00 BTt1.......... i SSM
State Surcharge $— .50
SWAM f ALTER&T1 is fait
TOTAL I= 6.. , n
City of r id1w-
The undersigned hereby makes apputcation for a permit for the work hersi-.
specified,. agrveinF to do all work In strict accordance with the (Qtr OsdtnancrF7
and ruling of the Department of Building. and hereby declares that an the task:-:
and representations stated to this application meow and correct
OWEMW
Kind of Build+nt
Used as
To be, completed about °
Estimated Cost. s
Ola �suildint Fle mit xo 1 1fe.
Application hw Power Pk Ms and HGOIhM Cooling. Ventilafte. Rahi10-ol - -In andd
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIB: MATE TOTAL
Furnace Shell & Duct Work $10.00 $
Replacement of Furnace ..... 6.00 $
Repairs & Alterations—up to $500.00 6.00
Repairs & Alterations each add. $500.00 3.00
MECB. WARM AIR
Furnace Shell &Dunt Work to 120,000 BTU ... .. .. $10.00 o
each add. 60,000 BTU .................... .. 3.00 ;
Replacement of Furnace 6.00 $
Repairs & Alterations -up to $500.00 6.00 $
Repairs & Alterations each add. $500.00 3.00 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. FZR Steam $10.00
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water 10.00 $_
Each add. 200 sq. ft. EDR Steam 5.00
Each add. 320 sq. ft. EDR Hot Water 3.00
OIL BURNER—to 3 gal. per hour 6.00 $_ —
over 3 gal. per hour—See Fee Schedule e+
GAS BURNER (up to 199,000 BTU) 5.00 $
over 199,000 BTU See Fee Schedule
GAS FITTING FEES:
NO RATE TOTAL
1st 3 Fixtures
x$ 200
$_Q2 00
Additional Fixtures
x .78
$
Gas Range to 199,000
a$ 5.00
$
AIR CONDITIONING
FAN HEATING SYSTEM
Sae Foe Schedule
VENTILATING SYSTEM
ALTERATIONS & REPAIRS
TOTAL FEE
Nov®x
(SURCHARGE
Dept. of Mdya. Picone 880-3490
12 T.4
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 Ordinance:
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and correct.
Fridley, Minn- ! �� 19
Owner
Kind of Building ._1s siL
Used as
To be completed about
C7 0
Estimated Cost, $___.`._...
Old New. uilding Permit No. Permit No.
DESCRIPTION OF WORK
BEATING or POWER PLANTS --Steam, Hot Water, Warns Air—Noo
Trade Name_ ��+-�'� Size N,09—,&. C)
Capacity Sq. Ft. EDR Q 000 BTU 2:_ Hy
Total Connected Load- VQ �z -5 Kind of pyo /syr
BURNER — Trade Na.ne Size No / o 0 . �00O�
Capaci Sq. Ft. E.D R- BTU
NLVI.
(REMARKS—OVER)
f
• ' 53-84-9915051 CRY 04 F idled
Amlic:-l'on for Plu"S c:',d G--15�CTmi9 ..
•Dopa. of Bldgs. Phone S:'�•3450
DESCAIPTIO11 OF V7011, M LoaLl1380• 7; Ave NE
Lnd Locr:ior of Fixtures
I
j Tt� MTI.
• City of Fridley.
WA
PARTIAL RATE SCHEDULE
P LNISI1fC FIXTMIX RATES:
NO. RATE
Iz
xS--
Number Fixtures ...•............. ---
-
F uture Fixture Opening • • • • • • • • • • • ----
x $1.50
Mfr
a
few Fixture Old Opening..•...... • • .------
x $1.50
C21chBasin.9••9.••••9......... _x$3.25
$ --
«'aler Heater 'L•p to 93.000 BTU) • • • • —.--
x $00
_N jig �.j
• few Ground Run Old B!dr. • ..: • ...
----- x ;1.25
S^-----
Eiactew Wat•r H&stat.....:.................__
r1S TITTING FEES:
KO. R3+7':. TOTAL
.
Bs:e
. Ist3Fixtures ••••••••••••••"•• ---
—x$ZOO
'
Addlticnal Fixtures ...............--------
x C.75
$
Cu R. -..:;e to 1x3.000 BTU ....... a 0 •. -.----
x $5.00
S -
Ir•• ( i�si;
11
r
1
3rd
LL
coZ.z_v. d vIth
• Fu~:. -o Gc`k.::a Crp:.n!r.:s Ec•wor 0
t Naw Fixture. Old 6esrir91 Cc=spwl Q
PARTIAL RATE SCHEDULE
P LNISI1fC FIXTMIX RATES:
NO. RATE
TOTAL
xS--
Number Fixtures ...•............. ---
-
F uture Fixture Opening • • • • • • • • • • • ----
x $1.50
S
_.
few Fixture Old Opening..•...... • • .------
x $1.50
C21chBasin.9••9.••••9......... _x$3.25
$ --
«'aler Heater 'L•p to 93.000 BTU) • • • • —.--
x $00
$
• few Ground Run Old B!dr. • ..: • ...
----- x ;1.25
S^-----
Eiactew Wat•r H&stat.....:.................__
r1S TITTING FEES:
KO. R3+7':. TOTAL
5
. Ist3Fixtures ••••••••••••••"•• ---
—x$ZOO
'
Addlticnal Fixtures ...............--------
x C.75
$
Cu R. -..:;e to 1x3.000 BTU ....... a 0 •. -.----
x $5.00
S -
The undersigned hereby makes application for a permit for the- work hi
specified, ag-. eeing to do all work is strict acco:Ca.^.ce with the Citi Q:dJr
and ruling of the Department of Build.,up. and hereby declares that all the
• and representations stated is _`:is appUcatioa are true and cored'
7-2-76 Ii
Fridley, Minn
Owner 11iehael d almz •
Kind of Building frame
res,
Used as
To be completed about 7-9-76
' 10.00
Estimated Cast. S
Old—NMnuilding Permit Na. P,.r�'t
SIZr. cd ,
MINNEGASCO _
• BY
Businc•..s Phone No -
• ROUGH
FIlAL
PS'? i:R3 k ALTERATIONS—P.afot Io Code
.50 State Surchax5e
•Ik�crlytfon•••••••••••••.•i•••...•••.••••.•.r.•..••� 5.50:s 4'Cjlji` .`Kr
TOTAL TIM S =—
SUBJECT
PE®14'797
City of Fridley
AT THE TOP OF THE TWINS
PERMIT
BUILDING
R IPT NO
• COMMUNITY DEVELOPMENT DIV.
) �------.
,.
r PROTECTIVE INSPECTION SEC.
�y
1 � �
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-560-3450
910-F15
7/10/78
JOB ADDRESS 1380 - 75th Avenue N.E.
1 LEGAL
LOT NO.
BLOCK
T OR ADDITION SEE ATTACHED
DESCR.
6
1
i -m Lund Acres SHEET
11C
2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE
Michael Jalma 1380 - 75th Avenue N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Aquarius Swimming Pool Co. 16900 Cedar Avenue South 432-1130
-7-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
j NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 31'6" by 1410" Swimming Pool
9 CHANGE QF USE FROM TO
STIMULATIONS
See stipulations as per Environmental Officer on letter dated
July 10, 1978.
SE"ERAj"i: PERMITS RE WAMG
�iEA�'11yG� PkVO ING AND SM WIR'NG, Before dim call lot&I uNlifes
SMS
MOON - ELECTRIC - 64 Ek
REQUIRED BY LA
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 1 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
$5,885
$2.94
WITH SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT
D S NOTFME. TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
P OVISIONNY OTH S TE OR LOCAL LAW REGULATING CON -$36.00
ST UCTIONE PERF MAN E OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
$38.94
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
/]
BLDG INSP DATE
SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(NEW, ALTERATIONS, ADDITIONS, OR REPAIRS)
OWNER:Mi0h.-ft-ad,
IALAA-
Address: / 39() 7 ICUs N�
No.: [ 590 Street:
LOT :
13UILDER: `1 S
Address:
Tel. No.:
BLOCK: ADDITION:
CORNER LOT: INSIDE LOT: 4— SETBACK: •SIDEYARDS:
Applicant attach "to this form '1\,7o Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
ront: Depth: Height:
Square Feet: L— Cubic Feet:
Front: Depth: Height:
Square Feet: Cubic Feet:_
Type of Construction:( stimated Cost: $
To Be Completed: Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired $ $
(SEE REVERSE 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/fo� additional .information.
Stipulations:
3 a:9�1
6431 UNIVERSITY AVENUE. N.E., FRIDLEY, MINNESOTA 55432
Mr. Paul Duea
Aquarius Swimming Pool Company
16900 Cedar Avenue South
Rosemount, MN 55068
TELEPHONE ( 612)571-3460
Re: Swimming Pool Construction at 1380 - 75th Avenue N.E.
Dear Mr. Duea:
This letter is to make clear this departments requirements for the swimming
pool construction at the above address.
1. As indicated, two (2) skimmers approved by the National Sanitation
Foundation will be provided.
2. As indicated, two (2) inlets of approved design for fresh and/or
repurifi.ed water will be provided.
3. As indicated, a main drain of approved construction will be provided.
4. The filter and pump shall be approved by the N.S.F. and be of
sufficient capacity to provide a minimum turnover of at least two (2)
times in 24 hours. This department recommends a turnover rate of
6-8 hours.
5. A deck of at least three (3) feet wide, measured from the pool waters
edge, shall be provided which extends completely around all private
residential pools. Above ground private residential pools may be
provided with decking of a minimum size of 4 feet by 4 feet at pool
entry points and provided that such decking has the approval of the
city.
The diving area will be acceptable provided there is no overhead
obstruction. ,
Fencing or other effective means including but not limited to walls
or buildings, acceptable to the City, shall be provided to positively
control all access to public and private residential swimming pools.
Fencing shall meet the following criteria:
(a) The fencing shall prevent the entrance of children and be without
hand or foot holds that would enable a person to climb over it.
(b) The fencing shall be at least 6 feet high and entrances shall be
equipped with self-closing and self -latching gates capable of
being locked.
(c) Self-closing and self -latching devices shall be placed at the top
of the gate or otherwise inaccessible to small children.
(d) The opening between the bottom of the fence and the ground or
other surface shall be not more than four inches.
8. An automatic chlorinator should be provided with a suitable test kit.
9. All electrical and plumbing installations shall be inspected and
approved by the City Inspection Department.
Aquarius Bwaming Pool :Company
July 19, 1.97E Page 2
20. All electrical lues must be greater than 15 feet avmy F the p=1
o=fac. An alternative i.s to b=y said lines.
23- The PO91 fill OWut Must he pmtected by a vam= b. -Baker.
22. Suitable Safety egLtipment t9 i.nlade lout not Muted to a zing buoy
a d rope that is l�i tip the pool di.,amter, and shephexds cxoDk pole
=ust he P�vlAad and naintained with the pool at sa.11 .
Fuxthe=are, tie and any other req�irements miwt meet the p--covisicms of
tom: 1'ridl.ey City Code, Section 115, ,Sw =dng P-wls. The bni lding mit
is a roved contingent on final inspections ana royal by the (city.
If any motions or problem arise frcn this letter, please feel free to
contact me at 571-3450.
sS.v=re1y,
"4vv.
SAN J. OWON
Environmental tat 9ffacer
SJ9/Mh
M Mr. Michael Jalma
1380 - 75th Avenue N.E.
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Z'r
SUBJECT
P
City of Fridley
2 8 612
THE TWINS
?-,�� ®
BUILDING ILDING
PERMIT
64
`r • COMMUNITY DEVELOPMENT DIV.
✓/�/�O'/„
PROTECTIVE INSPECTION SEC.
1 . i
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
j 612-571-3450
910-F15
11/19/98
JOB ADDRESS
1380 75th Avenue NE
T LEGALLOT
NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
6
1
1 Jim Lund Acres
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Mike Jalma786-5007
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Milton Johnson Co. 525 Lowry Ave N7R1-954R
20RI
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 (Rx REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and garage 18 S Tear -off; Fascia -cedar
9 CHANGEOFUSEFROM 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
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
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
2717
$1.35
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
$74.75
Fi SC 2.72
PLAN CHECK FEE
T TAL FEE
Z "9' 'f
Li s S $5.
83.82
SIGN A TORE OF CONTRACTOR OR AUTHORIZED AGENT ID TEI
E PR
JAL D THIS IS PI,,bA P IT
r
S.GNATURE OF OWNE R oF OWNER BUILOERI IDATEI
�
664DG Ir.SO
ITIATE
NEW . [.A ... Effective 1 / 1 /97
ADDN f ( 'CITY OF FRIDLEY
ALTER ( ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstcuctionAddress: 1380 75th Ave. N.E.
Legal Description:
Owner Name & Address: Mike Jalma (same) Tel. # �Rti-5007
Contractor: Milton Johnson Co MN LICENSE# 2083
Address: 525 Lowry Ave. N.E. Mpls. 55418 Tel. # 7R1-9-5-4g-
Attach
R1_A54gAttach 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:
. Tear off and re -roof house �S
and garage/ cedar fas -
g g / • /
Construction Type:
Estimated Cost: $
cedar rake boards (Fee Schedule on Back)
Driveway Curb Cut.Width Needed: Ft. + 6 Ft= Ft x $ $
DATE: // /mss.- APPLICANT: ` '',
.�-�Cf��- `�f �mel. 781-95'481
Permit Fee
Ire Surcharge
sate Surcharge
;AC Charge
.icense Surcharge
)riveway Escrow
:rosion Control
'ark Fee
ewer Main Charge
TOTAL
nPULATIONS:
$ %y %"'
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$950 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 [ ]
it
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
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
$ 30.00
$ 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.
/7Z, J/
Effective On January 1, 2001
JOB ADDRESS 13PO �.�� I&e-: A -1Z
OWNER .`de-- 11
TOTAL_`
BUILDING USED AS
E�
$ .50
$v '6-6
OS -5c-6 , MA) ��3��
ESTIMATED COST �� '� PERMIT NO. ! r
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Uni
Trade Name �f� -�-&tc> - �
BTU HP
Fuel Total Connected
m) (Hot Water) (Warm Air)
;e No.
Burner Trade Name Size No._
BTU HP ED
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.
DATE
HEATING CO f -`ll- e
Signed m �.U� �� TEL # 65 7 —6, 73 d
Approved By,4 Rough -In Date Final Date q_%/
IAND COMB STIOBACK SIDE �AIR VERIDFICAIN �IONVENT SIZE, VENT CONNECTORS I
COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When replacina an existina furance, 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. Yes () No () .
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturers specifications. This does
include AGA-GAMA Category I Central Furnace Venting Tables for fan
assisted and natural draft appliances. Yes () No ( )
The existina combustion air is sized and installed to meet the current codes
and manufacturer's specifications. Yes () No ( )
When required to install a new combustion air, it will be sized and installed
to meet the current codes and manufacturer's specifications. Yes () No ( )
When installing a new venting system, 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. Yes () No ( )
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( ) No ( )
Appliance Type and Size/Common Vent and Vent Connector Information
Appliance #1 Type BTU Input Fan Assisted or Nat
Appliance #2 Type BTU Input Fan Assisted or Nat
Appliance #3 Type BTU Input Fan Assisted or Nat
Total Appliances Total Btu Input
Common Vent Type Vent Height Diameter inches
Appliance #1 Vent Connector Height ft 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
ALTERATIONS: (Describe)
HEATING CO:
Signed By: Date
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572-3604
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMRFR OF FIXTI IRFR TO RF INRTAI I Fn nN 9=Af- 1 GI nno
Effective On Jan 1, 2000
PLUMBING FIXTURE RATES: NO.
RATE TOTAL
JOB ADDRESS 540YE i"s 61ZL)Ee
New Fixtures
$ 7.00
The undersigned hereby makes application for a permit for the work herein
Old Opening, New Fixture
$ 4.00
specified agreeing to do all work in strict accordance with the city. codes
Beer Dispenser
$ 5.00
and rulings of the fluilding Division, and hereby declares that all the facts
Blow Off Basin
$ 7.00
and representations stated in this application are true and correct.
Catch Basin
$ 7.00
JALMA, MICHAEL —7
Rain Water Leader
$ 7.00
1380 75TH AVENUE NORTHEAST 20,02
Sump/Receiving Tank
$ 7.00
FRIDLEY, MN 55432
Water Treating Appliance
$10.00
Owner_ (763) 786-5007
Water Heater -Electric
$ 7.00
Water Heater - Gas'* _�
$10.00
Building Used Asf=a,DEW ,
Gas Range**
Gas Dryer**
$10.00
$10.00
j
Estimated Cost PERMIT NO. / 0c�
Back Flow Preventer Required ( )Yes () No
Type
$15.00
PLUMBING COMPANY01s�'1�N( Z.Ur✓li5r*A1 Ci ��_
Reinspection Fee $47.00/Hr
SIGNED B '� ��.�,_ TEL N0. s� /Zyg
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS0�
1.5% of Value of Fixture orAppliance
"
Approved By Rough -In Date Final Da;��; / � 44
State Surcharge
$ .50
TOTAL FEE
$M550
MINIMUM FEE OR ANY PLUMBINGIGAS PERMIT IS S20.00
PLUS THE S.50 STATE SURCHARGE
COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A COMMON VENT INFO ON BACK SIDE
COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When reviacina an existing furance, 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. Yes( No ( )
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 () No ( )
The existing combustion air is sized and installed to meet the current codes
and manufacturer's specifications. Yes () No ( )
When required to install a new combustion air, it will be sized and installed
To meet the current codes and manufacturer's specifications. Yes () No ( )
When Installina a new venting system, 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. Yes () No ( )
Is the common vent and vent connectors sized and installed correctly after
an appliance -.bas been, -removed from the common vent and vented
separately as:;per current codes. Yes( )No(
Appliance Type and Size/Common Vent and Vent Connector Information
Appliance #1 Type BTU Input Fan Assisted or Nat'
Appliance #2 Type BTU Input Fan Assisted or Nat
Appliance #3 Type BTU Input Fan Assisted or Nat
Total Appliances . Total Btu Input
Common Vent Type Vent Height Diameter inches
Appliance #1 Vent Connector Height ft 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
ALTERATIONS: (Describe)
HEATING CO:
Signed By: Date:
PLUMBING
COMMERCIAL APPLICATION
11 City of Fridley 11
'0'�D
Permit Number
Received By
Date Received
DATE �— C " v YOUR E-MAIL ADDRESS
/
°"
'
SITE ADDRESS t�
TENANT
SUITE NO.
NAME
PROPERTY OWNER/
ADDRESS
o
TENANT
r—
�
BIV
CITY
STATE
ZIP
PHONE #
l
NAMES 2
LICENSE #eve
ADDRESS
CONTRACTOR
CITY 2
STATE l J.ZIP
=Q3
PHONE #
FAX
PERMIT TYPE
❑ INSTITUTIONAL
01-19ULTI-FAMILY
❑ SWIMMING POOL
❑ TOWNHOUSE
❑
COMMERCIALIINDUSTRIAL
❑ OTHER
TYPE OF WORK
❑ NEW
REPLACEMENT
❑ ALTJREMODEL
DETAILED DESCRIPTION OF WORK
FIXTURES: (INDICATE TOTAL NUMBER OF EACH)
FEES BASED ON $10 PER FIXTURE, EXCEPT WHERE NOTED
URINAL
CLOTHES WASH FLOOR DRAINS
RPZ VALVE/ ($15)
WATER HEATER ($35)
DISHWASHER GAS PIPING
BACKFLOW PREV.
WATER METER
DRINKING FOUNTAIN GREASE TRAP
ROOF DRAINS
WATER PIPING
FAUCET KITCHEN SINK
SHOWER
FLAMMABLE WASTE LAUNDRY TRAY
SLOP SINK
WATER SOFTENER ($35)
WATER CLOSET
TANK LAVATORY
SWIMMING POOL
Permit Fee $ ,35 . DU
Plan Review $
Surcharge $
Total Due $
Minimum: $35.00
$.50 on permits less than $1,000
Make Checks Payable to: City of Fridley
THIS IS AN APPLICATION FOR A PERMIT – NOT VALID UNTIL PROCESSED
I hereby apply for a plumbing 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. /4 _ — n
SIGNATURE OF APPLICANT
OF FRIDLEY COMMUNITY DEVELOPMENT DEPARTI
6431 UNIVERSITY AVENUE NE, FRIDLEY, MN 55432
(763) 572.3604
r
Building
See Back Page for Fee Schedule
BUILDING
Yermlt No.: `1
Inspections
.001 times the total job valuation
RESIDENTIAL APPLICATION
Rd
763-572-3604Q
$5.00 (State Licensed Residential Contractors)
CITY OF FRIDLE�Y-1
$1550 per SAC Unit (Plans to MWCC for determination)
DATE ���� CA 09
1
YOUR E-MAIL ADDRESS �SQ`�QQ�—
$
SITE ADDRESS I5J 6 O
-1
- T �J' �' " ?-
Fee Determined by Engineering
THIS APPLICANT IS:
❑ OWNER ❑CONTRACTOR
S 4 -I. -24
PROPERTY OWNER/
NAME: !��I& :;Y\YY-.O,—
ADDRESS: n CITY
STATE ZIP
TENANT
PHONE: -b -'91&P '
NAME: Renewal By Andersen
CONTRACTOR
SUBMIT A COPY OF
STATE LICENSE i3 1920 County Road "C" West
_
YOUR STATE LICENSE
ADDRESS: Roseville, N 55113 r
M
STATE ZIP
WITH APPLICATION
PHONE License #20130983
❑ SINGLE FAMILY/NE` 651-264-4777
PROPERTY TYPE
❑ TWO FAMILY/NEW C — --
13 ADDITION 13GARAGE/SHED ❑WINDOWS
PERMIT TYPE
❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
❑ DECK ❑ SIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW ❑ ADDITION
❑ MAINTENANCE/REPAIRQ ❑ REMODELING
n� "rSAC&A Ck%n IPA; �
. � Nj `, '
DESCRIBE WORK BEING
O A cS
DONET-Q
SIZE OF IMPROVEMENT LENGTH WIDTH
HEIGHT Sq. Ft.
ROOFING
❑ HOUSE ONLY
SUBMIT
NUMBER OF SQUARES
13 HOUSE & GARAGE
BASEMENT
REMODELING
Floor Plan
GARAGES
13 ATTACHED GARAGE
2.
P1. roposed floor plan
PROPOSED SIZE:
❑ DETACHED GARAGE
3.
List of structural members to be used
PROPOSED HEIGHT:
SIDING
FOR NEW CONSTRUCTION INCLUDING DECKS,
❑ Vinyl
❑ Aluminum
❑Soffit
❑ Trim
ADDITIONS
1.
& PORCHES SUBMIT:
Site Plan/Survey showing the existing structure
❑ Other
❑ Fascia
and proposed project.
2.
Two sets of construction plans
WINDOWS
3.
Energy Calculations
IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
• --"WAY C.
ALL FEES ARE BASED ON VALUATION, INCLUDING THE c ST OF LABOR AN U 1ViA i -N.—Las
(USING THE 1997 U.B.0 FEE SCHEDULE)
AL JOB V
Permit Fee
Plan Review
Fire Surcharge
Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Total Due
$ S
See Back Page for Fee Schedule
$
65% of Building Permit Fee
$
.001 times the total job valuation
$
.0005 x Permit Valuation Minimum $.50
$
$5.00 (State Licensed Residential Contractors)
$
$1550 per SAC Unit (Plans to MWCC for determination)
$
ft+6ft= ftx$21=$
$
$450 Conservation Plan Review
$
Fee Determined by Engineering
$
Agreement necessary ( ) Non Necessary ( )
S 4 -I. -24
Make checks sayable to: City of Fridley Attae
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
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not
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 approve
plan in the case of all work w h requires iew and approval of plans. y / 9
SIGNATURE OF APPLICANT G�� PRINT NAMEAMSC��R-v%Sr r� DA I * I `�