PRE 2010 DOCSCity of Fridley, Minn..
BUILDING PERMIT No s
Date: .... `....... ___... _........ ....
_.
Owner•.. /
. � ... _.... Build ....... a _.
Address s s Addrewss
.CATION SOF BUILDING
No. .......:71:Street . .................... Part of Lot ..... ..................... ........
....... ...... .
.
Lot ...........:...... _........... Addition or Sub -Division
-....... Block ....._.. -`:- .._......_...-�4a�'� - -- - -
41
Corner Lot .......:.................. _........ Inside Lot . - ............. Setback ... W-10.-5 ... .................... Sideyard�.................. _............... ._..............
-
Sewer Elevation ................ __............ ____...._......._..__.......__..__....._....___._ Foundation Elevation
DESCRIPTION OF BUILDING
To )fie Used as:
Q` �
'�.'`�e . Depth .✓L86--- Height ._!,to.. Sq. Ft. �% Cu. Ft.� 1 ^r ,f�
Front _. ............_.-.�.:.�-�•
--..............-............._..:.................... Front ---- ................. Depth ................ Height ........................ Sq. Ft. ............. ........ Cu. Ft......................
Type of Construction .... o : '" ': ...... Est.----"....... 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 city of Fridley.
In consideration of the payment of a fee of permit is hereby
meted 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. ,e-1% 1#0 /
^143hilding 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 for separate permits for these hems.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY; MINNESOTA
Owners Name Builder�"'�..�
L
Address :_/ Address_ —
LOCATION OF BUILDING
No. f Street z4 a --Part of Lot_;
Lot Block __L.Addition or Sub.Div
Corner Lot Inside Lot _2� Set Back
Side -Yard
SLUM. ELEVATION FOUNDATION ELEVATION
Applicant atta h .to this form Certificate of Survey of Lot and proposed building
location.
DESCRIPTION OF BUXIDING
To be used as:
,l 0
Front Depth
Z
Sq. Ft. �O � Cu. Ft. 3 10
Front Depth Height
Sq. Ft. Cu. Ft, 4V__MiD
Type of Construction �sL��- -�! _ _ Estimated Cost X02. a o
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 Ordinances and ruling of
the Department of Buildings, and hereby declares that all the facts and representa-
tions stated in this application are true and cMrect., -�
ff as
DATE 7` To �o d SIGNATURE
(A Schedule of Fee costs can be found on the Reverse Side.)
-Ora
HARVEY A. CARTWRIGHT
ANOKA COUNTY SURVEYS
NENNEPIN'COUNTY SURVEYS
MINNEAPOLIS SURVEYS
8410 PALM STREET N. W.
SUNSET 4.7688
OWNER
INDUSTRIAL - JUDICIAL
BUSINESS - TOPOGRAPHICAL
CITY LOTS - PLATTING
NLike Gideo
cm & OLSON
LAND SURVEYORS
REGISTERED UNDER LAWS OF STATE OF MINNESOTA
LICENSED BY ORDINANCE OF CITY OF MINNEAPOLIS
326 PLYMOUTH BUILDING FEDERAL 8-8721
HENNEPIN AT SIXTH • MINNEAPOLIS 3. MINNESOTA
6urbepor's Certificate
- -- xaD - -
COMBINING THE RECORDS OF
J. E. HILL, CIVIL ENGINEER
ESTABLISHED 1BOE
C. F. SANDHOFF
CIVIL ENGINEER
ESTABLISHED MOS
JAMES NELSON
SURVEYOR
ESTABLISHED 1926
METROPOLITAN LAND
SURVEYORS, ESTABLISHED 1931
Invoice 20089
75 AVS N
I hereby certify that this is a true and correct plat of a. survey of Lot V,Block 1,
Gideols First Addition, Anoka County, Minnesota, as surveyed by me this 20th
day of May, 1958.
SIGNED t,.. I ,_ �'.�.
RTWR GHT AND OL90N
�/�
� ��
HARVEY A. CARTWRIGHT
ANOKA COUNTY SURVEYS
14ENNMN'COUNTY SURVEYS
MINNEAPOLIS SURVEYS
8410 PALM STREET N. W.
SUNSET 4-7685
OWNER
INDUSTRIAL - JUDICIAL
BUSINESS - TOPOGRAPHICAL
CITY LOTS - PLATTING
NLike Gideo
CARTWRSGw & OLSON
LAND SURVEYORS
REGISTERED UNDER LAWS OF STATE OF MINNESOTA
LICENSED BY ORDINANCE OF -CITY OF MINNEAPOLIS
326 PLYMOUTH BUILDING FEDERAL 8-8721
HENNEPIN AT SIXTH • MINNEAPOLIS 3. MINNESOTA
Ourbepor's Certiticatc
COMBINING THE RECORDS OF
J. E. HILL, CIVIL ENGINEER
ESTABLISHED 1896
C. F. SANDHOFF
CIVIL ENGINEER
ESTABLISHED 1908
JAMES. NELSON
SURVEYOR
ESTABLISHED 1988
METROPOLITAN LAND
SURVEYORS. ESTABLISHED 1981
Invoice 20089
75'" AVS
I hereby certify that this is a true and correct plat of a survey of Lot Y,Block 1,
Gideo's First Addition, Anoka County, Minnesota, as surveyed by me this 20th
day of May, 1958.
SIGNED 9'�1i`l_-d.•�lp.:- C
RTWR GHT AND OL90N
6A
City of Fridley
Application for Plumbing and Gas Fitting Permit
Dept. of Bldgs. Phone SII 4-7470
DESCRIPTION OF WORK A1,C
Number, Kind and Location of Fixtures
OGAS
NO.
RATE
x $1.50 $
TOTAL
Future Fixture Opening ................
x
1.20
$
H
= N
x
W
Z
•
WATER HTR.
x
ELEC
$
Water Heater (Up to 200,000 BTU) ......
x
2.00
$
New Ground Run Old Bldg. ............
eQ c
l7
<3
U°d
t9�a
C90
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
$
/
Base
1st
l
2nd
_
3rd
_
4th
• Future Connection Openings
Coaaected with
I
Sewer �
New Fixture, Old Openings
Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
Number Fixtures ......................
NO.
RATE
x $1.50 $
TOTAL
Future Fixture Opening ................
x
1.20
$
New Fixture Old Opening ..............
x
1.00
$
Catch Basin ... S a ".1'a ..10VAI P ..—Z
x
3.25
$
Water Heater (Up to 200,000 BTU) ......
x
2.00
$
New Ground Run Old Bldg. ............
x
3.25
$
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
$
REPAIRS & ALTERATIONS—Refer to Code
Description ................................................$ /
TOTAL FEE $�
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.
J U L 11 1�1 is_
Fridley, Minn
Owner /,Da /,DG
Kind of Building F
Used as y 40
To be completed about �/ go
Q
Estimated Cost, $
Old—New. Building Permit No '14!6 C?z Permit No.
signet®N®OPLUM13ING CO.
By—
Business
y Business Phone No.
ROUGH
FINAL-
4 a 1M 7.59
•
C�
City of Fridley, Minn.
BUR DING PERMIT
Date: June 16, 1965
oma; Audrian Stevenson B„H&X same
Address 1473 75th Ave. N.E. Address
LOCATION OF BUILDING
No. _ 147 _ Street 75th Aye.N.E. Part of Lot
Lot 4 Block 1 Addition or Sub -Division Gideo t S 1St,,
Corner Lot Inside Lot _ _ Setback Sideyard
Sewer Elevation Foundation Elevation
To be Used as:
Front
Front
Type of Construction
DESCRIPTION OF BUILDING
N° '7906
Depth Height Sq. Ft. Cu. Ft.
Depth Height Sq. FL Cu. Ft.
— Est. Cost _ 1,452_ _ To be Completed
Detached garage - new
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 aft provisions of
ordinances of the city of Fridley.
L
In consideration of the payment of a fee of S 5.00 , permit is hereby granted to Andrieyenscm
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, Minnesotalocation, 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.
. Allen Jensen Building Inspector
NOTICE:
M pomb doq.;aot aura the aonaboMOD, hwhAdim for Wkb& p1mbin0. an heating, sewer or crater. Be sura to aM
the BoOdine IMpeeteP for epa►ata pwimb for the" bona.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME A& Z* J filAri � �d�I � � �'�I BUILDER
ADDRESS_ /" 73'- �f'� r I ADDRESS
LOCATION OF BUILDING
=N� Streat 473 ' 7 Part. of Lot
LOT _^�LOCR ADDITION OR SUBDIVISION
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 �--
Sq. Ft.
Height �+
Cu. Ft.
Front Dept Height
Sq. Ft. Cu. Ft.
Type of Construction /�� Estimated Cost C./es--l-
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_ A S SIGNATURE
(Schedule of Fee Costs can be found on the Reverse Side).
s
r
53-84-s915.51
City of Fridley
Appicaf m for RundAng and Gas Fifbg Pam*
Dept. of Bidge. Phone 9®0-3450
DESCRIPTION OF WORE Location1473 "E. 75 Ave.
Number, Kind and Location of Fixtures
City of Fridley:
The .undersigned hereby makes application for a permit for the- work herei
specified, agreeing to do all work in strict accordance with the City Ordinance
and ruling of the Department of Buildings, and hereby declares that alit the fact
and representations stated in this application are true and correct
Fridley, Min, June 4 • 1971 , 19,
owner __`Iirgpil Islawt
Kind of Building f r -me
• Tature Connection Openings Bawer wamecwa wun
+ New Fixture. Old Openings Cesspool 0 Used as --residence
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ................ x $2.00 $
Future Fixture Opening ........... x $1.50 $--
New
-New Fixture Old Opening .......... x $1.50 $
Catch Basin ....................
x $3.25
811MMMMUMMMMMM110
Water Heater :Up to 99,000 BTU) ....
x $3.00
$
New Ground Run Old Bldg.........
x $3.25
$
Electric Water heater ..............
: $2.00
$
GAS FITTING FEES:
NO. RATE TOTAL
2,00
1st 3 Fixtures ............ • • • • • •
x $2.00
;
Additional Fixtures ..................
x $ .75
$
Gas Range to 199.000 BTU ... .....
x $5.00
$
install (1) gas grill
3.00
City of Fridley:
The .undersigned hereby makes application for a permit for the- work herei
specified, agreeing to do all work in strict accordance with the City Ordinance
and ruling of the Department of Buildings, and hereby declares that alit the fact
and representations stated in this application are true and correct
Fridley, Min, June 4 • 1971 , 19,
owner __`Iirgpil Islawt
Kind of Building f r -me
• Tature Connection Openings Bawer wamecwa wun
+ New Fixture. Old Openings Cesspool 0 Used as --residence
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ................ x $2.00 $
Future Fixture Opening ........... x $1.50 $--
New
-New Fixture Old Opening .......... x $1.50 $
Catch Basin ....................
x $3.25
$
Water Heater :Up to 99,000 BTU) ....
x $3.00
$
New Ground Run Old Bldg.........
x $3.25
$
Electric Water heater ..............
: $2.00
$
GAS FITTING FEES:
NO. RATE TOTAL
2,00
1st 3 Fixtures ............ • • • • • •
x $2.00
;
Additional Fixtures ..................
x $ .75
$
Gas Range to 199.000 BTU ... .....
x $5.00
$
install (1) gas grill
3.00
REPAIRS & ALTERATIONS—Refer to Code
Description ..............................................$
TOTAL FEE $ 5.00
To be completed about June 9. 1971
Estimated Cost, $ 10.00
O1dlr-New. Building Permit No. Permit No.
e ° IL 01c
By --
Business Phune No
ROUGii
FINAL /V
0
SUBJECT
P _
City of Fridley
AT THE TOP OF THE TWINS
BUILDING
PERMIT
28021
E 46_ COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
E S �
"I CITY HALL FRIDLEY 55432
"'j 612-571-3450
NUMBER
910-F15
REV
DATE
9/29/98
PAGE OF
APPROVED BY
JOB ADDRESS
1473 75th Avenue Ng
1 LEGAL
DESCR.
LOT NO.
4
BLOCK
1
TRACT OR ADDITION
iGideo.'s,-Iat Additfon
SEE ATTACHED
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Ken Zlu to
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Dave Berry Cont Corcoran MN 55374490-8698 9904
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
O NEW ❑ ADDITION ❑ ALTERATION x7 REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and garage 25 STear-off
9 CHANGEOFUSEFROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
SEPARATE PERMITS ARE REOUIRED 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
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 STATE OR LOCAL LAW REGULATING CON-
PERMIT FEE
SAC CHARGE
ION OR TH PERFORMANCE OF CONSTRUCTION
$74.75
Fire SC $2.14
— � &!L q -PLAN
'�9.X� .,41 _ ^fly
SIGNATURE OFC N:RACTOR OR AUTHORI ED AGENT IDATEI
CHECK FEE
Tce
TOTA FEE
EN OP
Y ALIDAT HIS IS
1�
BLD INS.'
"IT"
BATE
S,GNATURE OF OWNER � iF OWNER BUILDERi IOATEI
0
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: % U 7 Ts 14-v& y
Legal Description:
Owner Name & Address: /4&P 2- (-u P -FA Tel. #
Contractor: MN LICENSE #
Address: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:
a's 0'
Construction Type:
k&iZ : OPP Estimated Cost: $
(Fee Schedule on Back)
Driveway Curb Cut Width Needed:
Ft. + 6 Ft = Ft x $ _ $
DATE: - "9 S'
APPLICANT: y Tel. # L/dd
CITY USE ONLY
Permit Fee
$ S
Fee Schedule on Reverse Side
Fire Surcharge
$ �� %
.001 of Permit Valuation (1/10th%)
State Surcharge
$ % d %
$.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 [ ]
96
TOTAL
$-
STIPULATIONS:
Ci I Y vi- r`= iDLL-Y INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
(763) 572-3604, FAX (763) 571-1287
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
RAAPW NI IKARFR r)F FIXT1IRFS TO RIF INSTALLED ON EACH FLOOR
LhaL,ilwe U11 .1dii i, -,UU.i
PLUMBING FIXTURE RATES:
NO. RATE TOTAL
New Fixtures
Old Opening, New Fixture
Beer Dispenser
Blow Off Basin
Catch Basin
Rain Water Leader
Sump/Receiving Tank
Water Treating Appliance
Water Heater -Electric
Water Heater - Gas**
Gas Range**
Gas Dryer**
Back Flow Preventer Required ( )Yes () Nc
Type
$ 7.00
$ 4.00
$ 5.00
$ 7.00
$ 7.00
$ 7.00
$ 7.00
$10.00
$ 7.00
$10.00
$10.00
$10.00
$15.00
JOB ADDRESS f* 7 3 +�
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.
9l 11/0 3 ,20_
Owner J vq GOA3
Building Used As �Qi S
Estimated Cost —5ot, PERMIT NO. (�
PLUMBING COMPY f`C _-: --J 0 N 10 Gd A% 12'
Reinspection Fee $47.00/Hr SIGNED BY -
ALL
-ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliances �
Approved By
State Surcharge $ .50
MINIMUM
TOTAL FEE $' PLUS THE
6 _-'�
TEL N0. ,4..Y
Rough -In Date Final Date
COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE
THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE
APPLICATION WILL BE RETURNED
When renl,, acinn an Axestena f urs ante, 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 pY�%g r-nmhi istinn air is sized and installed to meet the current codes
and manufacturer's specifications. Yes( ) No( )
When required to install a naw rnmhnsfinn air. it will be sized and installed
to meet the current codes and manufacturer's specifications. Yes () No ( )
When installing a new venting cv_,,y ,tam, 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 #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
HEATING CO:
Signed By: Date :