PRE 2010 DOCSFe
SUBJECT
PERM1499O
City of Fridley
'
AT THE TOP OF THE TWINS
BUILDING PERM I
ECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
1 I
1 /---1 CITY HALL FRIDLEY 55432
,'�
NUMBER
REV,
DATE
PAGE OF
APPROVED BY
l••-'� 612-560-3450
910-F15
10/26/78
JOB ADDRESS 1490 - 76th Avenue N. E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
1
1
Meadowmoor Terrace 2nd SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Garjac Construction Inc. 675 Highway #10, Blaine 784-6850
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS NE LICENSE NO.
EPERATE PERMITS REQUIRED FOR
6 USE OF BUILDING HEATING, PLUMBING AND SIGNS.
Residential
7 CLASS OF WORK
(j NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
CA lug T
Construct a 261 x 441 Dwelling and a 201 x 22.5' Garage 0
SAFETY CONTROL
DO NOT PLAIP,i7 Op P' rj.;
9 CHANGE OF USE FROM TO
1 I,t
STIPULATIONS Provide a hard surface driveway. Provide sod in the front and side
yards. Provide a verifying survey before capping. Footingso placed on
fill will require density tests.
SEWER LOCATION: (Approx. 101 Deep in Street - Arthur) 95.61 N. of M.H.
(Inv. 889.26) WYE ELEV: 889.92 TOP OF FOOTING: 892.92 Minimum
WATER LOCATION: 851 North of Manhole
DRIVEWAY DEPRESSION COST: N/A Recommended but not required.
OF FRIDLEY DOES NOT GUARANTEE 711E WARING
THE CITY
ACCURACY OF UTILITY LOCATIONS AND ELEVATIONS. Before digging call local
ufilrtlea
THIS DATA IS FOR INFORMATION PURPOSES ONLY AND TELEPHONE - ELECTRIC
-'GAS
PERSONS USING R SHOULD VERIFY THE INFORMATION Etc,
REQUIRED L
ON THE SITEAW
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
Frame
VENTILATING OR AIR CONDITIONING.
Wood
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
1254 + 536
30,440
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
R-1
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
$42,300
$21.15
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 L AL LAW REGULATING C N-
STRUCTIO OR THE PERFORMANCE OF STRUCTION.
6
$400+00
FEE
TOTALFEE
6NH.E
$573.35
SIGNATURE OF NTRACTOR OR AU HORIZED AGENT (DATN
P P L ALI TE THIS IS YOUR PERMIT
INSP DATE
SIGNATURE OF OWNER(IF OWNER BUILDER) (DATE).
Fe
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PO MITS
(NEW, ALTERATIONS, ADDITIONS, OR REPAIRS)
OWNER:'ff
Address: �i %S"./�'1 ' 134,
No. :�ILA6
LOT:
BUILDER:
Address:
// Tel. No.: -Ix (z?Q
Street:
BLOCK: ADDITION:
CORNER LOT: INSIDE LOT: SETBACK: SIDDYARDS:
Applicant attach 'to this form A.:o Certificates of Survey_of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As: 2(..4 4 q
Front*- 020 Nt 6-; Depth : Height : 747
Square Feet: 101a Cubic Feet: ZS O%2d
Zo )e ZZ -,
C04a. 'Front,- q k Z I. !r Depth: Height: Id
Square Feet: Cubic Feet: 45'3 to �
Type of Construction: rri. ft Estimated Cost: $ 4-1.3a d
To Be Completed: Alt. A Alt. B
Prdposed 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 silelfor additions information.
' a
DATE: SIGNATURE:
Stipulations: I# -j1.
Sprc� y 60- o (J
V) 3.35 '
J r
I
I Q 10
_
ZC. w 144
2ca S.S. 110
'_.dS4 x 8
10
01%oc4o.
taw-
-ZGJC44: i lye
70V G.S V. lit)
M SN l-L =
Asma
RAre E.
2o,c
531, WWI a =
S36o
Cu
3d
44a x
= ►Z.1 (. Rs�
�'�
s� S�•!'1. IL L y2t� 4
11. o01. o �
3 Iwo. ( y
4'L 3* s 'Z a
Llb0.�t1
S'7 3e
� A PtEH6°t CUISL UVATIO:J ;' r_4(;,j LUI11G PLRMIT APPLICATION
PLANNINr'. I' '" 0* f ffl DIIIART'.` "1111
t
CITY i.i f1I1411LSOTA
Thi:: �;upj;lumt nt i;. pruvided to ,;,licarit in ccmputing F;XTLRIOR EUVELOPL
AVErWIL "U'. FACTOR INt•OWIATION. : of, -,iati.n is required so the BUILCING a
01'PIC1AL can dutermins: taint r:ut;r .,,t comq.4y with the LNI'I:GY.00NSERVATI0N
DESIGN CRI'I'EPIA of tKe STATE BU1 !�c. ,archon 6000) . It is the APPLICANT'S
responsibility to accurately com, cs.: t a reflect the proper DESIG14 CRITERIA
in the Flans; submit product slAx i .r: • , if need�,d to support the "R" and "U"
factors used; and to assure const. :, i , per approved plans.
JOB LOCATION:
OWNER/CONTRACTOR:
ADDRESS:; PHONE:
A. Determine the Total Exposed tea �.rc a as follows:
1. 'dotal wall window area
2. Total door area
F 3: Total sliding glass door arf yQ
4. Total fireplace wall area
5. Total wall. framing area.(aver age 10%) y� /
6. 'Total. net wall 'area above floor (average 90%) 622
7. Total rim joist area 1�
Subtotal: Total exposed wall area above floor
S. Total foundation window area
x 9. Total net foundation area above grade f33
Subtotal: Totatl exposed foundation area
GRAND TOTAL EXPOSED WALL AREA / 9'74
B. Multiply the GRAND TOTAL EXPOSED WALL AREA X .17 Item I 5,
C. Determine the Total.Exposed.Roof/Ceiling Area as followss
10. Total skylight area Q
11. Total roof/ceiling framing area (10%) i. -J9
12. Total net insulated roof/ceiling area f/y'
GRAND TOTAL EXPOSED ROOF/CEILING AREA
D. Multiply the GRAND TOTAL EXPOSED ROOF/CEILING AREA X .05 m Item II )na"9 _
utrepy.
%torormat2on.
to, " -corrept am--acouraite;
and heroo
roa�dht s ��.'thp Ii f arma' tko, ki 'th,•rexpired'
, 4c AtiOn
401"
. . ...
4k,
z
UBU/1WAN
NO1N<tRN
IO _ - _ -
ppSy� rbc _
-r -
I•_—`--~_•.:. 6S ♦t
NIL.....,.•.. J..w,..Slafi
_- -- - -_ _-_
._ _c:_�
-^'-�-
Certificate of Survey
forte/�.%JC
--?T" Av
- r
I
S
1
1
,J14 LG ' = 30
- o �/(U/o�¢�l
u�/i /»c►�vme�i�
L® lt--8LOCK
a..rp. ,y. .. � .: c •-.e n --c a --•r: .�-•a.�e...... � es•.e• +G'. .ter t�.Aa Ca�
a:l`Ai►is� eiiitily"`/h.e N+i's'i•'i 1'rvi bnd 'eb►�aFf re'p'.iietiiatiow el o sur�iyol ►`�� �be�ndoriei e/ th0 o/eea
bNot-crib:il li,d,-and ol-The leiation--41-a 1 w[l&ngs shea*ae• -OMNI all r/91610 •naroachmenTs. if any, from or en nn
cold lend. At •Yrreyed by me this dey of A.0. IY:L;
VSUsti�tRll1►N, [NGINEIRING; INC.
1Np.Me'�e1 SYrr.eyers
CITY OF FRIDLEY
/APPLICATION FOR RESIDENTIAL BUILDING PEMITS
(NEW, ALTERATIoNs, ADDITIONS, OR. REPAIRS)
J-2?6. 937�lk
or A-
OWNER: BUILDER:
Address: Address:
Tel. No.: 7-8 12
No. I o Street: 2 6 /V r
LOT: BLOCK.: ADDITION:
CORNER LOT: INSIDE IAT: SETBACK.: SIDEYARDS:
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
j
DESCRIPTION OF BUILDING
To Be Used As:
Front: Depth: Height:
Square Feet: Cubic Feet:
'Front: Depth: Height:
• Square Feet: Cubic Feet:
Type of Construction: Estimated Cost: $
To Be Completed: Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired 1 % $ $
(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 representat' ns stated in this application
are true and correct. See reverse side f-prtdditional information.
DATE: SIGNATURE:
Stipulations: u
. oa
CITY OF FRIDLEY
• APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
.PARTIAL RATE SCHEDULE
a
NO.
RATE
TOTAL
a+
x
$3.00
v
x
$2.00
$
New Fixture, Old Opening
Water
o
$
�
a
H
a n
$5.00
Q
Water Heater - to 99,000 STC
rj $4
w
w
a
x
Heater
$
+�±
-4
02X
$7.00
pC�
Vew Ground Run Old Building
x
C
W
u
q
V
O
a
GAS FITTING FEES:
d
1st 3 fixtures
x
L
J 0
Additional Fixtures
x
-.4
$
X
x
S
$
•.�+
.�C
U
First $100.00
ai
u
each add. $100.00 or fraction
n
t
vi
owo
vim,
.
ed
Uga3
TOTAL FEE
8
. $ •��
O
as
lec
lst
I
l
2r.3
3rd
4 =.z
(F.) . Future Connection Opening
Copnected with Sewer
{�) - New Fixture, Old Opening
Water
.PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE
TOTAL
Nu=ber Fixtures
x
$3.00
Future Fixture Opening
x
$2.00
$
New Fixture, Old Opening
x
$2.00
$
�
a
Catch Basin
x
$5.00
$
Water Heater - to 99,000 STC
�T x
$5.00
$ j.C)0
100,000 BTU to 199,000 BTU
x
$10.00
$
Water Softener
x
$7.00
$
Vew Ground Run Old Building
x
$5.00
$
Electric Water Heater
x
$5.00
$
GAS FITTING FEES:
1st 3 fixtures
x
'$3.00
$ C30
Additional Fixtures
x
$1.00
$
Gas Range to 199,000 BTU
x
$10.00
$
REPAIRS & ALTERATIONS
First $100.00
$5.00
$
each add. $100.00 or fraction
$2.00
S
State Surcharge
$ .50
TOTAL FEE
. $ •��
REINSPECTION FEE
Job Address
Department of Buildings
City of Fridley
Tel. #571-3450
The undersigned hereby snakes 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 Department of Buildings, and hereby declares that all
the facts and representations stated in this application are true and correct
Fridley, Mn. - , 19 rJ�j
OWNER rr, fl- 1� �- C
KIND OF BUILDING / - fZ mi
USED AS
TO BE COMPLETED ABOUT
.' ESTIMATED COST ( O
OLD NSW B ILDING PERMIT 190. PERMIT NO.. /
Company t..! •S (2..r C Cell,
.
Signed By da;�
Tel. �ln®-
ROUGH INSP.
Date
0
FINAL INSP. , -
0 Date
APPROVAL FOR PERMIT d
MINIMUM FEE FOR ANY PLUMBING PERMIT S8 $7.50 p= $.SO STATE SORCHARGE
CITY OF FRIDLEY
APPLICATION FOR
POWER PLANTS AND HEATING,
COOLING, VENTILATION, REFRIGERATION AND
each add. 50,000 BTU
AIR
CONDITIONING SYSTEMS AND DEVICES
PARTIAL RATE SCHEDULE
7.00
$
Repairs & Alterations -up to $500.00
GRAVITY WARM AIR:
RATE
TOTAL
Job Address �y%® s.
Furnace Shell & Duct Work
$12.00
$
* Replacement of Furnace
7.00
$
each addn. 50,000 BTU
Repairs & Alterations -up to $500.00
7.00
$
Department of Buildings
Repairs & Alterations each add. $500.00
4.00
$
City of Fridley
OIL BURNER- to 3 gal. per hour
$10.00
$
Tel. #571-3450
MECHANICAL WARM AIR:
Furnace Stell & Duct Work to 100,000 BTU
$12.00
$��
each add. 50,000 BTU
4.00
$
*Replacement of Furnace
7.00
$
Repairs & Alterations -up to $500.00
7.00
$
Repairs & Alterations each add. $500.00
4.00
$
STUM OR HOT WATER SYSTEM:
Boiler & Lines up to 100,000 BTU
$12.00
$
each addn. 50,000 BTU
4.00
$
Boiler only up to 100,000 BTU
7.00
$
each addn. 50,000 BTU
6.00
$
OIL BURNER- to 3 gal. per hour
$10.00
$
each add. 3 gal. per hour
10.00
$
GAS BURNER- from 100,000 BTU to 199,999 BTU
$10.00
$
(over 199,999 BTU see Fee Schedule)
$ ---
GAS FITTING FEES:
1st 3 Fixtures x $ 3.00
Additional Fixtures x $ 1.00
Gas Range to 199,000 BTU X. $10.00
AIR CONDITIONING
FAN HEATING SYSTEMS See Fee Schedule
VENTILATING SYSTEMS
ALTERATIONS & REPAIRS
State Surcharge
TOTAL FEG
ROUGH INSP. REINSPECTION FEE
Date (.$10.00)
FINAL INSP. J-17/410
Date
APPROVAL FOR PERMIT
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 Department of Buildings, and hereby declares that all the
facts and representations stated in this application are true and correct.
OWNER���AL
KIND OF BUILDING
USED AS
TO BE COMPLETED
n Fridley, Minn.
a
NO.
PERMIT NO. �9 0
$' DESCRIPTION OF FURNACE/BURNER
$ HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. _
$ Trade NameSize No. / � zn
$ Capacity Sq. Ft. EDR BTU HP
$
$ .50 Total Connected Load Kind of Fuel
BURNER - Trade Name Size No.
Capacity Sq. Ft. EDR BTU HP
MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE
*Attached stack verification form
Ccmpany
Ono-Itionim- GO. / * :Z_
Signed By e
(iiilfe?5r -tVI'S �T 1. No. �� l �Z
CITY OF FRIDLEY
APPLICATION FOR
POWER PLANTS AND HEATING,
COOLING, VENTILATION,
REFRIGERATION AND
makes application for a permit for the work herein
AIR
CONDITIONING SYSTEMS AND DEVICES
$
PARTIAL RATE SCHEDULE
all work in strict accordance with the City Codes -
each add. 50,000 BTU
4.00
$
GRAVITY L1'ARM AIR:RATR
*Replacewe:t of Furnace
TOTAL,
,Tob Address � �/ 7
facts and representations stated in this application are true and correct.
Furnace Shell & Duct Work
$12,00
$
P.eplacerent of Furnace
7,00
¢
Fridley, Minn. / % , 19
Repairs & Alterations -up to $5Q0.00
7.00
$
Department of Bu#jxUnBs
Repairs & Alterations each add. $500,00
4.00
f12. PO
C;ty of Fridley
PND PF BUILDING "
each addn. 50,000 BTU
4.00
Tel. #571-3450
MECHANICAL WARM AIR:
The undersigned hereby
makes application for a permit for the work herein
Furnace Shell & Duct Work to 100,000 BTU
$12.00
$
specified agreeing to do
all work in strict accordance with the City Codes -
each add. 50,000 BTU
4.00
$
and rulings of the Department of Buildings, and 'hereby declares that all the
*Replacewe:t of Furnace
7.00
$
facts and representations stated in this application are true and correct.
Repairs & Alterations -up to $500.00
7,00
Repairs & Alterations each add. $500,00
4.00
¢
Fridley, Minn. / % , 19
STEV.1 OR F)T S ITER SYSTEM:
OLytbjER
Boiler & Lines up to 100,000 BTU
f12. PO
$
PND PF BUILDING "
each addn. 50,000 BTU
4.00
$
Boiler only up to 100,000 BTU
7.PA
AS
each addh. 50,000 BTU
fi•AA
$.
$F FOM'LETFL�Q
OIL BURNER- to 31P
gal. per hour
S1.q.gA
$
each add. 3 gal. per hour
1P.AQ
$
FS"rTW1 1PR C
GAS BURNER- from 100,000 BTU !.o 1SS,S1q #TA
$•1p.qq
$
PR - PgT�R:M• T MTT xo,. PER:•I�T N0. /(plp�
(over 199,999 BTU see Fee Sche4ule)
$.
GAS FITTING FEES:. /,
1st 3 Fixtures X
$ I,AA
$_
pESDR�P�$OI� PF FpRNACE/BURNER
A2. itional Fixtures 2C
$ ;:AA
$
Gas Range to 199,QQQ $TIJ xjA;QA
#?:P4TTHG R; BQYIS#I $±�FITAf
.91:P -41i, #LQt Y?4i:er{ Waxy} AL.r- No.
AIR CONDITIONING
FAN HEATING SYSTEMS
$
Tzade Name
Slze No.
See Fee Schedule
VENTILATING SYSTEMS
$
ALTERATIONS 4 REPAIRS
$
Capacity
Sq. Ft. EAR BTU KP
State Surcharge
TOTAL FEE
$ .50
Total Connected Load
Kind of Fuel
7
BURNER - Trade Name
Size No.
ROUGH INSP. REINSPECTION FEE
Capacity Sq.
Ft. EDR BTU HP
Date ($10.00)
Q
AIRFINAL
Company
INSP.
Date
Signed By 8419 CENTER DR. y
9648
APPROVAL FOR PERKIT
mum" t:rg, IdK
Tel. No.
SUBURBAN AIV
� 0NDITIONING CD., INCe
YS2,'I2:.v, FEE FOR ANY HEATING PERMIT IS $7.50
PLUS '$.50
STATE SURCHARM
8419 CENTER DR'.
*Attar -*r-3 stack verification form
MINNEAPOLIS, MM 8643
CI'T'Y OF F I LEY
6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432
TELEPHONE ( 612)571-3450
r 28, 1979
y D'Aigle
Garjac Construction Co.
675 Highway #10
Blaine, MN 55434
Re: Final Inspection at 1490 - 76th Avenue N.E.
Dear Mr. D'Aigle:
A final inspection was made on November 27, 1979 of the above address
and the following item was noted which must be completed before the'
structure can be finaled out;
Provide sod in the front and side yards'by June 15, 1980.
We will expect the above item.to be completed by the scheduled date
when a reinspection will be made to determine compliance. If you have
any questions on this item, please contact me at 571-3450.
Sincerely,
DARREL G. CLARK
Chief Building Official
DGC/mh
u
SUBJECT
PERMIT NO.
City of Fridley
21978
AT THE TOP OF THE TWINS
BUILDING PERMIT
i
#6• COMMUNITY DEVELOPMENT DIV.
-_----,
rL.:
PROTECTIVE INSPECTION SEC.
1 �
1 �
NUMBER
REV,
PAGE OF
APPROVED BY
`
1 "1 CITY HALL FRIDLEY 55432
j 612-571-3450
910-F15
JDATE
7/16/93
JOB ADDRESS 1490 - 76th Avenue NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
1
1
Meadowmoor Terrace 2nd SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Stephen Strangis 1490 - 76th Avenue NE 786-0771
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 x0 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 10 x 121. Three Season Porch. Addition and a 121 x 12' Deck; Remove
exi,s. :,ng decic (-Lot _x
9 CHANGE OF USE FROM TO
STIPULATIONS
See notations on plan.
WAIRA
Before digging call for
all utility locations
454-0002
REQUIRED BY LAW
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REOUIRED 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
1
STALLS GARAGES
VALUATION
SURTAX
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$6, 713, 52
$3.36
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
PERMIT FEE
SAC CHARGE
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$9p00
Fire SC $6.71
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
$100,07
S TURF FCONTRORAUT DAGENT ` (DATE)
. WH�PEALIDATED THIS IS YOUR PERMIT�`di/]'2
ice
iG T" E F OWNER cif OWN QLD Ri fDATE1
BLDG i ATP OFTE
u
NEW [ Effective 5/26/93
ADDN [ ] CITY OF FMLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Construction Address:
Legal Description:
Owner Name & Address: Tel. #
Contractor: 5 ----, MN LICENSE #
Address: / Zl'GS Tel. # Gia 2d- ,5771
Attach to this application, a Ca if mte of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF H"ROVEMENT
MMA: Length Width Height /0 Sq. Ft. %66 X 33.3/ _
GARAGE AREA: Length Width _ Height Sq. Ft.�'�'
DECK AREA: Length lc2 F� . Width Hgt/Ground _6Z,�L- Sq. Ft. IV�k' 7 %fin
OTHER: ��,� /2� l��
Corner Lot [j Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks
Type of Construction: aY /�K:-mAi, a Estimated Cost: $
Approx. Completion Date:
Driveway Curb Cut Width Needed: Ft. + 6 Ft =
(Cost on Back)
Ft x $ _ $
DATE: APPLICANT: Tel. # 9Wcva�
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
$ k, 'C0 Fee Schedule on Reverse Side
$ Ll 1 .001 of Permit Valuation (1/10th%)
$ $.50/$1,000 Valuation
$ $750 per SAC Unit
$ $5.00 (State Licensed Residential Contractors)
$ Alt. "A" or Alt. "B" Above
$ Conservation Plan Review $450.00
$ Fee Determined by Engineering
$ Agreement Necessary [ l Not Necessary [
$ STIPULATIONS:
Main pihle 571 6066
® UBURBAN 6875 H M 65 N.E.
®NDINBBRINQ — M,nneapolis. tis, Minnesota
sota 55432
INC.—
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nsville. Mmnesota 55337
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Mortgage Loan Survey for 4iP.�-
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This is a true and correct representation of a survey of the boundaries of the land above described and of the
location of all buildings, if any, thereon, and all visible encroachments,i
any, from or on said land. This survey is
made only in connection with a mortgage loan now being placed on tproperty and no liability is assumed
except to the holder of such mortgage or any other interest acquired the reason of such mortgage. It is
understood and agreed ng./monuments s have been ced for the p rp a of establishing lot lines or boundary
corners. Dated this �3 r -day of s / / A. D. 19,4 j
SUBUR A NGPI*RING, INC.
Engin rs Surveyors
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Not Published: All Rights Reserved
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City of Fridley
AT THE TOP OF THE TWINS
SUBJECT
BUILDING PERMIT
F;f782 5
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`� _ COMMUNITY DEVELOPMENT DIV.
r � ____-� P E 1V SEC.
1 = ,
CITY HALL FRIDLEY 55432
612-571-3450
REC IPT NO.
NUMBER
910-F15
REV
DATE
9/16/98
PAGE Of
APPROVED BY
JOB ADDRESS 1490 76th Ave NE
1 LEGAL
DESCR.
LOT NO. 1
I
BLOCK 1
TRACT OR ADDITION
Meadowmoor Terrace 2nd
SEE ATTACHED
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Steve Strangis
786-0771
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Best Siding Co 1310 154th Ave NE Ham Lake 55304
413-0500 2846
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO
e USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION Cj REPAIR
O MOVE O REMOVE
8 DESCRIBE WORK
Reside/Soffit & fascia
9 CHANGE OF USE FROM TO
STIPULATIONS
Reside - Call for building wrap inspection before covering.
Soffit/Fascia - Install soffit ventilation to meet the State Building Code.
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
AUTHORIZED IS NOT COMMENCED WITHIN 60 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
1 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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
VALUATION
$11 OOO.00
SURTAX
$5.50
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TME
PROVISIONS OF Y OTHER STATE OR LOCAL LAW REGULATING CON•
STRUCTI T PERFORMANCE OF NSTRUCTION
PERMIT FEE
$174.75
SAC CHARGE
Fire SC $11.00
PLAN CHECK FEE
Lice C $5.
TOT L FEE
$196.25
®
e`— x -r �
S�fNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE,
EN ROP VALID T
TPIS IS SUR PERM,
-_
SIGNATURE OF OWNER,IF OWNER BUILDER, IDATEI
SLOG INSP
r,AtE
NEW [ ]
ADDN [ ] CITY OF FRIDLEY
ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: d %y T � 4vp— /V 1,
Legal Description:
Effective 1/1/98
Owner Name & Address: 2 j" rq Vx. , S Tel. # 7�6 77 J
Contractor: MN LICENSE #
Address: f23 to ssYf= A� ✓UC 4A kc -5-530y/ Tel. # �i(3ysoc�
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:
0r -
Construction Type: Oe- S" � eSLA ` P -0-c 'stimated Cost: $ U dy
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
DATE:
Permit Fee
C-/(",- `6
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
. STIPULATIONS:
APPLICANT: Tel. # 3.
CITY USE ONLY
$ /*7'`/- 7S Fee Schedule on Reverse Side
$ /460 .001 of Permit Valuation (1/10th%)
$ $.50/$1,000 Valuation
$ $1000 per SAC Unit
$ L> U $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 [ ]
$ 19 x.025.
r
zu
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,
butpot replent)
Gas Range , Mmybte'�__
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
JOB AD
f`i
Effective On January 1, 2000
OWNER_'_--)_fZ-W
Rate TOTAL
BUILDING USED AS
$ 30.00 $ /
ESTIMATED COST PERMIT NO. -
$10.00
O.$10.00 $
DESCRIPTION OF FURNACE AND OR BURNER
$ 10.00 $
No. of Heating Units._ Circle One (Steam) (Hot Water) (Warm Air)
$ 10.00 $ Trade Name Size No.
BTU HP EDR
$ 25.00 $ Fuel Total Connected Load
Burner Trade Name Size No.
$ BTU HP EDR
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
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
Signed
DATE 71rT
Approved By Rough -In Date Final Date C9 - `61) L)
FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE
COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When replacing 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 plastictPVC 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 installing a new ventina 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:
Building
BUILDING
Permit No 30
Inspections
RESIDENTIAL APPLICATION
Received By- 14,
763-572-3604
CITY OF FRIDLEY
DaJEMUG 12 2008
763-502-4977 FAX
EFFECTIVE 1-1-08
DATE dv
YOUR E-MAIL ADDRESS
SITE ADDRESS 1090
tJ e S
THIS APPLICANT IS: ❑ OWNER CONTRACTOR
PROPERTY OWNER/
NAME: -_ �V '
'7 � � C\ CITY
L t, STATE/ JJZIP S
TENANTADDRESS:
a_10
PHONE: l7 7— (1
NAME: GV
ADDRESS:
CITY ci 0- STAT> I,) ZIP
CONTRACTOR
SUBMIT A COPY OF
PHONE 7 — FAX
7(, — - >ULI a
YOUR STATE LICENSE
6
STATE LICENSE #
EXP DATE
PROPERTY TYPE
INGLE FAMILY/NEW CONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS
❑ BASEMENT FINISH 1ROOF ❑
DRAIN TILE
❑ DECK ❑ SIDING ❑
OTHER
❑ SWIMMING POOL
TYPE OF WORK:NEW
HOME CONSTRUCTION ❑ ADDITION
%
e
MAINTENANC PAIR ❑ REMODELING
Q
DESCRIBE WORK BEING F.
SIZE OF IMPROVEMENT
7yy LENGTH 50 WIDTH
HEIGHT U SQ FT cA-0
ROOFING ❑ HOUSE ONLY
BASEMENT REMODELING SUBMIT:
NUMBER OF SQUARES
❑ HOUSE & GARAGE
I. Existing Floor Plan
GARAGES
❑ ATTACHED GARAGE
2. Proposed floor plan
PROPOSED SIZE:
❑ DETACHED GARAGE
3. List of structural members to be used.
PROPOSED HEIGHT:
FOR NEW CONSTRUCTION INCLUDING DECKS,
SIDING
❑ Vinyl
❑Soffit
ADDITIONS & PORCHES SUBMIT:
1. Site Plan/Survey showing the existing structures
❑ Aluminum
❑ Trim
and proposed project.
❑ Other
❑ Fascia
2. Two sets of construction plans
WINDOWS
3. Energy Calculations
IN EXISTING OPENINGS ❑Yes ONo LOCATION OF WINDOWS
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
I ll� SING THE 1997 UBC FEE SCHEDULE)
TOTAL JOB VALUATION $ "'tr OCCUPANCY TYPE
Permit Fee
Plan Review
Fire Surcharge
Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Total Due
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)
$1825 per SAC Unit (Plans to MWCC for determination)
ft+6ft= ftx$21 =$
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checks payable to: City of Fridley Attach
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 on site; that the work will be in accords Dce wi b
the 21 - roved plan in the case of all work which requires review and approval of plans.
SIGNATURE OF APPLICANT PRINT NAME 5/w j L- GY,j DATE r--hw
APPROVED BY DATE