PRE 2010 PERMITSCity of Fridley, Minn. N9 10329
BUILDING PERMIT
•
Date: _.........
Owner: Builder .... _._.._.Same._ ......................................... ..................................... ........ _.
Address
5019 1St Ave. S . .................-•--------••-----• .... Address _...--- Same ................... _................ _...._... _................ _
....._............._...---._...._....__.._...._._...._....._..._...........
•
•
LOCATION OF BUILDING
No. ----- --Ol ........ Street ..... ......... Central--`°'ve..._N........E,_.................................. Part of Lot ...
Lot ....._ .............__............... Block .---_....... ............................. ...... _. Addition or Sub -Division ------_----.._ ..........
.
Corner Lot ------------------•-......... Inside Lot ------------...............-------------- Setback ..... ........ -.......................... Sideyard
Sewer Elevation _.._ ...... _... _....... ................... _......_...._......._...._......._..__......_ Foundation Elevation _---_----_..
DESCRIPTION OF BUILDING
To be Used as:
__......__Re -Roof ............ Front .......... Depth .................._. Height ...................... Sq. Ft .._._.......__.._.. Cu. Ft.
........ _... .............................. __........ Front __._..._..._..._.. Depth . Height q. Ft. . Cu. Ft.
Type of Construction ............................. .................. .... _... Est. Cost ..........._._400.00----........ To be Completed ---------- _._........... _
In consideration of the issuance to me of a permit to corW&VM the b ' g described above, I agree to do
the proposed work in accordance with the description above et fo an compliance with all provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of $...._._...5.00 permit is hereby granted to.__..Ir-v— Carr
,........_..._.._ ............._ ._.__......... 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 revokedEtany time upon violati of the 1provisions of said
ordinances.
Clarence Belisle
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sun to see
the Building Inspector for separate permits for these hems.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER IS NAME_ ZU _ G��-..�BUILDER
ADDRESS (o( �%- AU i - ADDRESS
NO. STREET
LOT BLOCK
CORNER LOT
LOCATION OF BUILDING
ADDITION OR SUBDIVISION
INSIDE LOT SETBACK SIDEYARD
SEWER ELEVATION TOP OF FOOTING
Applicant attach to this form Two.Certificates of Survey of Lot and
proposed building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
16 0 tt) Ei� Front Depth Height
O'C1"•S Square feet Cubic Feet
Front Depth Height
Square feet Cubic Feet
Type of Construction Estimated Cos
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. /� /1
DATE ) / / O / (- 5e SIGNATURE :lD01M -V (AF AA/
(Schedule of Fee Costs can be found on the Reverse Side.)
«
/ Application for Power Plants and Heating. Cooling. Ventilation. Refrigeration and
G Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
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 ............................. 5.00 $
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. EDR 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
QU
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�����
Dept. of Bldgs. Phone SU 4-7470 _ �%
Location w 6,3 ��9�LC.fd.L_t-�+
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.
Fridley, Minn..N&&,t .6 , 19 6�'
Kind of Building
Used as "!
To be completed about
Estimated Cost, $ }
Old—New. Building Permit No. Permit No.
DESCRIPTION OF WORK
HEATING or POWER PLANTS—Steam, Hot Water arm Air No.
Trade Name Size No.
Capacity Sq. Ft. E.D.R. BTU H.P.
Total Connected Load -y�K�ind of Fuel
BURNER — Trade Name& Wdj&.'O .•'�+++.lx. Size No. -3 0 10
Capacity.
(REMARKS—OYER)
Sq. Ft. E.D.R.. o a B
H.P.
w
SignedT L(,�t _ #(A
c % (U,
B_ �gzak
42 2M Business Phone No -7-Y1 — , � 36
Minneaolis GAS Company
GAS SUPwLY AUTHORIZATION AUT H.=NO.
ADDRESS 6634 Central Ave N.H. DATE 8/8/69
CTOR
CUSTOMER Jensen Motel VILLAGE Fridley
Based on the information furnished in your survey, we have this date authorized the use and
supply of natural gas service for the customer and equipment located at the address indicated
below. Gas will be available when the gas service pipe and/or meter is installed.
INSTALLER Frank's Heating 8 Sheet Metal Co
CITY OR
ADDRESS 2531 Marshall St N.E. VILLAGE MP1S
Pt-MIDAAPMT
Make Ln Rlagt Fconamite
Firm Gas
X
Revision
Process
Space
Model 00
Steam
Heating
Gas Engine:
Input
Air
Rating 90 cih
Hot Water
Conditioning
Com r.
Input
Mechanical
Water
Set At 290 cfh
Warm Air
lHeatina
Air Cond.
Wiring
Direct Fired
Restaurant
Diagram
Make -Up Air
Equipment
Stand B
Heat
Power
Loss
IRe lacement
Incinerator
Generator
Main
Meter Pressure
P0�4;IS GAS COMPANY
Class
Svc
Other
-
Class /,-I--r�
Form 186RIV67 Survey Checked By , J. Christie Authorized Signature
Original
PERMIT for Power flants and Heafing. Cool
ing, Ventilation, Refrigeration and Air
Conditioning Systems and Devices
DESCRIPTION OF WORK
No. Of Heating Plants to be installed—altered—repaired
Make 4-2 , Size—lid-1
;
Oil fired—, Coal fared—; Gas fired—; Gas Authorization No.
Remarks
Approved by.
Findt Inspection Date , 19_
Inspector
q_ r_ ?.5-,3
Permit N° 4578
Fee $ 7 0 y
Office of the Inspector of Buildings
City of Fridley
City of Fridley, Minn. , 19
Owner JL (fir
Location L L 3 I
Kind of Building�y%�1,�
How Occupied /!G
Work to be Commenced
To be Completed rz-/S ,19_
Estimated Cost, $ a ---e - "')
Old -New, Building Permit
Permission is hereby granted toSCes - g�A� 7ka`Y to install--erect—use the material and devices described in the
above statement. This permit is granted upon the express condition that the person to whom it is granted, and his agents, employees and workmen, in all the work
done and materials used under this permit, and in the operation of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley
relating to or governing the work to be done and the operation of the devices herein named, and to the specifications set orth in the approved application for this
permit on file in the office of the Inspector of Buildings.
Inspector of Buildings
42 2M 11-67 v
r qqWCITY OF FRIDLEY INSPECTION DIV, Effective On January 1, 1993
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
JOB ADDRESS �Gh _ ?7"---4
RATE SCHEDULE
The undersigned hereby makes application for a permit for the work herein
Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and
Furnace Shelf and Duct Work, Burner – rulings of the Building Division, and hereby declares that all the facts and
Also Replacement Furnace 2 00. $ � UC: representations stated in this application are true and correct,
^` h
, 7— .3 199,
Gas Piping (Needed with new furnace) $10.00 $ A�
OWNER
Gas Range $ 10,00 $
BUILDING USED AS >✓ L
Gas Dryer $ 10.00 $
ESTIMATED COST fi D0 PERMIT NO,� 0,S-3
*Air
*Air Conditioning – Aft Sizes $ 10.00 $
DESgRIPTION OF FURNACE AND OR BURNER
All Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work $ No, of Heating nits Z Circle One (Steam) (Hot Water (Warm Air)
Trade. me )kms /''( Size No. /c-,
Commercial/industrial BTU V 0 44=) HP EDR
I% of Value of Appliance or Work $ Fuel Total Connected Load
State Surchargea0 Burner Trade Name Size No.
/ BTU HP EDA
TOTAL FEE $ ^/7 U C
HEATING COMPANY MINIMUM. FEE- FOR ANY HEAT] NG/COOLINGNENTIL.ATI ON
REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 Signed B�i.�"�
PLUS THE $.60STATE SURCHARGE
` rREINSPECTION FEE $30.00 Approved BY Rough–In Date Final Date
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner. FILL OUT BACK SIDE FOR STACK VERIFICATION ON
REPLACEMENT FURNACE
CHIMNEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack:
1. Has been carefully examined
Yes
No { )
2. Is free from rust or deterioration
Yes
No ( )
3. Has no foreign objects lodged within
Yes (
No ( )
4. Is securely supported
Yes &A
No ( )
5.
Meets all
current Code requirements
for
size and
total BTU's connected
Yes �} No ( )
6.
Has total
heating BTU's of
All other
BTU's
TOTAL BTU's
Remarks '09 ...
a7fe-9
List
Alterations Being Done:
'L—
%
/e tel-a2l
HEATING COMPANY
Signed By
Date
U I T Vt t-rilULCT IIVOrr-U IMV UIV.
6431 University Ave NE
Fridley, MN 55432
572-3604
r
R
CIMMAIVC VII Qdl IUQIy I, Iwwo
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
Reinspection Fee $30.00
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS_/
1 % of Value of Fixture or Appliance
State Surcharge $ .50
TOTAL FEE $t' ry�n
SIGNED BY i' r�� TEL N0.
Approved BY4 Rough—in Date Final Date �L
MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00
PLUS THE $.50 STATE SURCHARGE
PLUMBING FIXTURE RATES:
NO.
RATE TOTAL
JOB ADDRESS
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 Building 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
Rain Water Leader
$ 7.00
'j 199
Sump/Receiving Tank
$ 7.00
Water Treating Appliance
$10.00
Owner --Z,
Water Heater —Electric
$ 7.00
Water Heater — Gas
$10.00
Building Used As
Gas Range
$10.00
4�_ G}y
Gas Dryer
$10.00
Estimated Cost �.5 G O PERMIT NO.
Back Flow Preventer Required ( )Yes
T ype
O No
$5.00
!'
PLUMBING COMPANY�-
Reinspection Fee $30.00
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS_/
1 % of Value of Fixture or Appliance
State Surcharge $ .50
TOTAL FEE $t' ry�n
SIGNED BY i' r�� TEL N0.
Approved BY4 Rough—in Date Final Date �L
MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00
PLUS THE $.50 STATE SURCHARGE
BID SHEET
8:00 am
Faf-e-of bidding
Date bid due bac
NAME: Don Findell
ADDRESS: 6634 Central Ave. NE
Fridley, MN 55432
PHONE:571-0467
Projected start date
Date of completion
Inspector's Name
Contractor Signature
Name of Firm
Phone
Common Area, Laundry/Boiler Room
a. Repair vent pipe to water heater & vent water heater & furnace
separately.
$ b. Install water heater overflow pipe to 18" above floor. Vent
pipe must be replace due to hole in surface.
$ c. Install new doorknob to main laundry room door.
$ d. Increase the efficiency by either increasing the fan speed or
down sizing the firing rate. Also install cumbustion air.
8 e. Insulate attic to minimum of R-38. Make sure soffit ventilation
is open to attic to eliminate frost and ice dams.
Note:
$ b. All windows are to be checked and repaired to be in operable and
lockable condition.
$ c. Repair & fill all large indentions in driveway.
Unit #1
$ a. �stall hand sink in bathroom or directly outside bathroom door.
$ b. p�gtall mechanical ventilation in bathroom.,
$ !T c. Repair shower base and install proper material for shower wall.
$ .-fnstall new bathroom light fixture.
$ e. aCepl ace kitchen coutertop . ?; 0 w)
$ f. ,,install switch for light above kitchen sink.
Unit #2
$
nstall
hand sink in bathroom or
directly outside bathroom door.
S
. Install
mechanical ventilation in
bathroom.
$
C. epair
ceiling in bathroom..
$
d. pair
entrance door jamb (loose)'
$
e. Replace
kitchen countertop.
$
f. Replace
ceramic tiles where missing
in bathroom, replace shower
Mall base.
$
g.istall
new bathroom light fixture.
$
moi. Install
new doorknob and deadbolt
lock to furnace room door.
Unit #3
$--'—
a.L91stall
hand sink in bathroom or
directly outside bathroom door.
$
b. ~'Install
mechanical ventilation in
bathroom.
$
c. Repair
shower base (cracked) and
install proper material for
shower wall.
$ d. ---Bode exposed wiring behind stove.
$ e.--Tnstall switch for light above kitchen sink.
Unit #4
$ a. -'Install hand sink in bathroom or directly outside bathroom door. -
b. - nstall mechanical ventilation in bathroom.
$ c. .%pair walls and floor in bathroom.
$ d. -1�`e pair broken windows where needed.
$ e. -Replace torn carpet at kitchen.,
$ —�--Ifeipair shower base (cracked) and instalh proper material for
shower wall.
$ g.--Tn—stall switch for light above kitchen sink.
unit #5
$ a -install hand sink in bathroom or directly outside bathroom door.
$ Install mechanical ventilation in bathroom.
c../ Re air waste line on kitchen sink.
$ — 7-,1epair broken windows where needed.
$ e -.---Replace kitchen coutertop .
$ f.--]�eplace ceramic tile where missing on walls and base of shower.
Unit #6
$ a._ --Install hand sink in bathroom or directly outside bathroom door.
$ b. Install mechanical ventilation in bathroom.
$ c. Reair bathroom walls and floor as needed.
$ d. Re air broken windows where needed.
$ e. , Repair front door and jamb.
$ f..�pair or replace kitchen countertop. (circle which _to be done)
$ g. Replace missing ceramic tile on walls and base �Q�show
$ h,—Orn—stall new storm/screen door.
Unit #7
$ a ,,Stall hand sink in bathroom or directly outside bathroom door.
$ - nstall mecha t lation in bathroom.
$ C. Repair wall in bathroom .
$ E..,-Resheetrock, tape, sand & paint walls and ceiling in main room.
$ ems -Repair or replace kitchen countertop (circle which to be done)
$�-
L.,,Repair front storm door.
$gam. --Replace missing ceramic tile on walls and ower base.- `
.•,-Install switch for light above kitchen sink.
$ E --install new doorknob and deadbolt lock to furnace room door.
$1 i Install new vinyl to kitchen floor. $10.00 sq. yd. vinyl,
installation extra.
Unit #8
$ a .�-�astall hand sink in bathroom or directly outside bathroom door.
Install mechanical ventilation in bathroom.
$ c. ff'epatr water damage behind stove. �,,,..r h
$ d. Replace missing ceramice tile on walls a shower base.
$ h,r- =nstall new doorknob and deadbolt lock to furna oom door.
Unit #9
$ a.✓,�st�all hand sink in bathroom or directly outside bathroom door.
$ b.✓ �In�tall mechanical ventilation in bathroom.
$ c.-<" se ure loose toilet at floor.
$ d. vReplace kitchen countertop and wall behind sink.
$ e. Re a��ir/_rep amaged masonite walls in bathroom. Repair
shower � oor.
1k +
I.
[Snit do
$' a e/ Install hand sink in bathroom or directly outside bathroom door.
nstall mechanical ventilation in bathroom.
$ 1 C;, -Repair leaks at toilet tank valve.
Repair ceiling in main room.
$ e. Repair broken window as needed.
$ .v/Repair/replace kitchen countertop.
$ g., --,Install new door handle and repair door jamb adding latch plate.
$ h. Repair outlet/junction boxes which have pulled away from wall.
$ i.-✓� pair/replace masonite shower wall.
$ j.,/Install switch for light above kitchen sink.
$ T,,vinstall new doorknob and deadbolt lock to furnace room door.
$ TOTAL BID
BID GOOD FOR 90 DAYS FROM
This work write up describes the rehabilitation work to be performed on the
subject property. The contractor will be required to do all work in a
workman like manner in accordance with the building code and TECHNICAL
SPECIFICATIONS.
ca
SUBJECT
P
City of Fridley'
2 2 7 9 8
AT THE TOP OF THE TWINS
BUILDING PERMIT
Ir ,
RECEIPT NO.
• COMMUNITY DEVELOPMENT DIV.
r � PROTECTIVE INSPECTION SEC.
�
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
�.___!l: �•� 612-571-3450
910-F15
8/17/94
JOB ADDRESS
6634 Central Avenue NE U IT
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
4F
Auditor's Su SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Don Findell 6850 Siverts Lane NE 571-0467
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Motel
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION X REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Install lav, replace kitchen cabinets/counter/sink resheetrock kitchen vent ath
9 CHANGEOFUSEFROM TO
STIPULATIONS
Provide closer for door. Living and kitchen area- minimum of 5/8 inch
type X Gypsum board. Provide smoke detectors adjacent to all sleeping areas.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
ZONING
SO. FT.
CU. FT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
NO. DWLG. UNITS
OFFSTREET PARKING
ANY TIME AFTER WORK IS COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
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
$1,645
$.82
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-
$39.00
Fire SC $1.65
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
$25.35
$66.82
SIGN TUREOf�CCRR OR AUTHORIZED AGENT .,IDATEI
WH N RLY LIDAT THIS IS YOUR PERMIT
�� `
/
r
BLDG INSP BATE
NATUREOF OWNERIIF OWNE-" TE
ca
Prepaid Plan (heck $ Effective 1/1/94
Estimated Cost $ MY OF FROM
Receipt #
R 3, QUMME MAL & INDUSTRIAL
BURX94G PERMIT APPLICATION
Construction Address
Legal Description
owner & Addressd�
CONTRACTOR & ADDRESS it -If-AA A—' 'Pel.#
Architect & Address Rea. #
Engineer & Address
TYPE OF WORK [] New [] Addition alteration -Describe
4—'(7Z-rl Co¢{ (% a im, s roc . 4e r,K
Applicant Signature Tel # Date
BUUDIPG DIlNEWIC S
I"gth Width — Height Sq. Ft. D % # of Stories_
OFC. AREA: Length Width
WHSE AREA: Length Width
OTHM AREA: Length Width
Height Sq. Ft.
Height Sq. Ft.
Height Sq. Ft.
Sq. Ft. x$ Cost/Sq. Ft. = Valuation $ ) f�
Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) _ $ �q
Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) TCTAL VALUE
Building UseL517 Construction Type !`"400 (- Occupancy Group
Air Conditioning [ ] Yes PW Fire Protection Provided.
Performance Bond Amcxmt 4_, See Reverse for Schedule Received [ ]Yes [ ]No
Permit Fee $ See Fee Schedule on Reverse Side
Plan Check $ S ' 3 In Excess of Prepaid Amount - See Reverse Side
Fire Surcharge $ 5 .001 x Permit Valuation (1/10th % )
State Surcharge $ p� $.50/$1,000 Valuation (See Sched. for > $1 Million)
SAC Charge $ $800 per SAC Unit (Plans to NWCIC for determination)
Erosion Control $ $450.00 conservation Plan Review
Park Fee $ Fee Determined By Engineering
Spec. Assessments $ Agreement Necessary [] Not Necessary []
Driveway Escrow $ feet x $13.50/foot
'IDiI'AL
Fw 4 re- A-
(fwj
ck''TS
re-tv r r-t4�^l
........ ...
SUBJECT
�City
of Fridley
AT THE TOP OF THE TWINS
BUILDING PERMIT' -_-RECEIPT'
TO2*"9
2 7 9 9
�•
COMMUNITY DEVELOPMENT DIV.
_
r 1 PROTECTIVE INSPECTION SEC.
I
I
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910415
8/17/94
f
108 ADDRESS 6634 Central Avenue NE (UNIT #9
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
4F
Auditor's Sub. X621 SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Don Findell 6850 Siverts Lane NE, Fridley MN 55432 571-0467
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Motel
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION CXl REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Install lav, resheetrock kitchen, replace kitchen cabinets/counter/sink. vent bath
rep ace shower walls.
9 CHANGE OF USE FROM TO
STIPULATIONS
Provide smoke detectors adjacent to all sleeping areas. Provide
5/8 inch type X Gypsum board and provide closer for door.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
ZONING
SQ. FT.
CU. FT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
NO. DWLG. UNITS
OFFSTREET PARKING
ANY TIME AFTER WORK IS COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
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
$1,900
$.95
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-
$43.00
Fire SC $1.90
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
$27.95
$73.80
SIG ATURE OF CONTRACTOR OR AUTHORIZED AGENT MATE)
OPER Y V (DATED THIS IS YOUR PERMIT
XGI
SIGNATURE 0'F OWNER IIF OWNER BU LDERI IDATEI
BATE
Prepaid Plan Check $
Estimated Cast $
Receipt #
MY OF F tflX Y
R-3, OObIIVIERML & RMSMAL
Effective 1/1/94
Construction Address C( Y�- Zoning
Legal Description
Owner & Address ?J /� /� / !�< �G �L Tel. # �J/ry �� %
CSR & ADDRESS
Architect & Address
Engineer & Address •#
TYPE OF WORK [ ] New [ ] Addition Alteration -Describe
Applicant signatureTel # y�%� �6,Date
/ BUIIDD G DIM NSICHS
r
I,exigth Width T ?) Height Sq. Ft. ' # of Stories_Z
OFC. AREA: Length Width
height
Sq.
Ft.
WHSE AREA: Length Width
Height
Sq.
Ft.
0► BER AREA: Length Width
Height
Sq.
Ft.
VAILPMCK
Sq.
Ft.
x$
cost/Sq.
Ft. =
Valuation
$ )
�e
Sq.
Ft.
x $
Cost/Sq.
Ft. =
Valuation
$ ) - $
Sq.
Ft.
x $
Cost/Sq.
Ft. =
Valuation
$ ) TOPAZ VAIM
Building Use --- (% Construction Type Occupancy Group
Air Conditioning []Yes "NO Fire Protection Provided []Yes []No
Performance Band Amount-$ See Reverse for Schedule Received []Yes
[]No
Permit Fee $ -� oo See Fee Schedule on Reverse Side
Plan Check $�%< <% In Excess of Prepaid Amount - See Reverse Side
Fire Surcharge 'e'd .001 x Permit Valuation (1/10th %)
State Surcharge $ �? $.50/$1,000 Valuation (See Sched. for > $1 Million)
SAc Charge $ $800 per SAC Unit (Plans to NWCC for determination)
Erosion Control $ $450.00 conservation Plan Review
Park Fee $ Fee Determined By Engineering
Spec. Assessments $ Aclreement Necessary [] Not Necessary []
Driveway Escrow $ feet x $13.50/foot
i
- i-
4dc
I
M
SUBJECT
City of Fridley
AT THE TOP OF THE TWINS
BUILDING PERMITRECEIPT
2280 0
NO.
- �• COMMUNITY DEVELOPMENT DIV.
r I PROTECTIVE INSPECTION SEC.
vbl'
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
18/17/94
JOB ADDRESS 6634 Central Avenue NE UNIT #7
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
4F
I Aud. Sub. #21 SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Donald Findell 6850 Siverts Lane NE Fridley MN 5543Z 571-0467
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Motel
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION X REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Install lav, replace kitchen counter & sink, resheetrock kitchen and living room
and vent ath
9 CHANGE OF USE FROM TO
STIPULATIONS
Minimum of 5/8" type X Gypsum board. Provide closer on XXXXX door.
Provide smoke detectors adjacent to all sleeping areas.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
ZONING
SO. FT.
CU. FT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
NO. DWLG. UNITS
OFFSTREET PARKING
ANY TIME AFTER WORK IS COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$3,000
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-
$54.00
Fire SC $3.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
$35.10
$93.60
GN TURE OF ONCTOR0 UTHORIZEDAGENT (DATEi
WHEN ?,IQPERLY VALIDATED THIS IS YOUR PERMIT
y A7 �7 G
NATURE OF OWNER OF OWNER BUILDER) iDATEi
BLDG qA IE
M
Prepaid Plan Check $
Estimated Cost $
Receipt #
Cf1Y OF FRMtEYY
R-3, COMMERCIAL & ROXN UAL
construction Address 3 ` �L I2'- VA(
Effective 1/1/94
Legal Description
Owner & Address y Tel. # %/ -O `/ � %
CONTRACTOR & ADDRESS A-- Tel . #
Architect & Address -
--Reg-Engineer & Address
TYPE OF WORK
'[] Addition
Tel Date
Applicant Signature #
,,// BUIIDIM DIMEN SICtt�S
Length Width `i' Height Sq. Ft.� % # of Stories
OFC. AREA: Length Width
NM AREA: Length Width
O BER AREA: Length Width
VALUMC K
Dight Sq. Ft.
Height Sq. Ft.
Height Sq. Ft.
Sq.
Ft.
x $
Cost/Sq. Ft. =
Valuation
$ )
Sq.
Ft.
x $
Cost/Sq. Ft. =
Valuation
Sq.
Ft.
x $
Cost/Sq. Ft. =
Valuation
$ ) TOTAL VALUE
Building Use _ Construction Type��M � Occupancy Group
Air Conditioning []Yes ONo Fire Protection Prrnrid s
Performance Bond Amount -$ See Reverse for Schedule Received [ ] Yes
[]No
Permit Fee $ ,=;�T° See Fee Schedule on Reverse Side
Plan Check $� / In Excess of Prepaid Amount - See Reverse Side
Fire Surcharge $ .001 x Permit Valuation (1/10th %)
State Surcharge $ - $.50/$1,000 Valuation (See Sched. for > $1 Million)
SAC Charge $ $800 per SAC Unit (Plans to NWCC for determination)
Erosion Control $ $450.00 Conservation Plan Review
Park Fee $ Fee Determined By Engineering
Spec. Assessments $ Agreement Necessary [] Not Necessary []
Driveway Escrow $ feet x $13.50/foot
TOPAZ. $ � • �' � � ..;��
e' .s °
cv
N7
vj!
SUBJECT
PE.RM+T-fV$.
City of Fridley
92949
9
AT THE TOP OF THE TWINS
BUILDING PERMIT
f
NO.
�
' j L-------COMMUNITY DEVELOPMENT DIV.
n
1(
r � PROTECTIVE INSPECTION SEC.
I
t/J\
NUMBERREV
DATE
PAGE OF
APPROVED BY
E---1 CITY HALL FRIDLEY 55432
612-571-3450
910_F15
9/26/94
JOB ADDRESS 6634 Central Avenue NE (Unit ill )
1 LEGAL
LOT NO,
BLOCK
T RACT OR ADDITION
SEE ATTACHED
DESCR.
4F
Auditor's Subdivision 421
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Donald Findell 6850 Siverts Lane, Fridle MN 55432
571-0467
,
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO
6 USE OF BUILDING
Motel
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR
❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK
Resheetrock; replace kitchen cabinets & countertop
9 CHANGE OF USE FROM TO
STIPULATIONS
Provide smoke detectors adjacent to all sleeping areas.
TYPE OF CONST.
OCCUPANCY
GROUP
OCCUPANCYLOAD
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
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
$2,000
$1.00
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTALFEE
$48.00
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI,
WHEN PROPER VALIDATED THIS IS YOUR PERMIT
SIGNATURE OF OWNERIIF OWNER BUILDERI (DATE, !
BL INSP
Fla TE
Prepaid Plan Check $
Estimated Oost $
Receipt #
QIY OF FRmIEY
R-3, QOADdER(LAL & INDUSTRIAL
Effective 1/1/94
BUffJD ' PERMiT APPLICATION
Oonstruct4on Andress (v �; ` "- ill' -'1 %}- nt iz- zoning
Legal Description
Owner &Address t N it Z d r f n(� c �, c , /4"
t-,ACIJ LAI
CJONTRACPOR & ADDRESS
Architect & Address Req.#
Engineer & Address Reg.#
TYPE OF WORK j ] New [ ] Addition -pr-Alteration--Describe i� y1 ' �j c/t'r 4`/L
L_ f9 `Ij,/.CI .i!� > , Nr_
Applicant Signature r � 2 f 6""e!�7 Tel J. 3 N ' c 7/C; Date
G DIlICllLS
length 7 `T Width > Height 'Sq. Ft. '31? # of Stories
OFC. AREA: Length
Width
Height
Sq. Ft.
W -ISE AREA: Length
Width
Height
Sq. Ft.
OIHER. AREA: Length
Width
Height
Sq. Ft.
.
Yt]LwJALIC
Sq. Ft. x $
cost/Sq.
Ft. = Valuation $
)
Sq. Ft. x $
(bst/Sq.
Ft. = Valuation
Sq. Ft. x $
Oc)st/Sq.
Ft. = Valuation $
) 1 TAL VALUE
Building Use Construction Type CX:ct3pancY
Group
Air Omiditioning []Yes []No
Fire
Protection Provided []Yes
[]No
Performance Bond Amint -$-
See Reverse for Sdhedule�
Received 1 ]Yes `[ ]No
Permit Fee
See Fee Schedule on Reverse
Side
Plan Check $ In Excess of Prepaid Amoluit - See Reverse Side
Fire Surcharge $_� �.001 x Pexmit Valuation (1/10th %)
State Surcharge 09 $.50/$1,000 Valuation (See Sched. for > $1 Million)
SAC Charge $ $800 per SAC Unit (Plans to 1' KOC for determination)
Erosion Control $ $450.00 Conservation Plan Review
Park Fee $ Fee Determined By Engineering
Spec. Assessments $ Agreanent Necessary [] Not Necessary-[]
Driveway Escrow $ feet x $13.50/foot
Tam
• CSS
w-trc-�Y—
C9 G o 7-AL-
.- I w P,-, � —j �
15
SUBJECT
PERMIT NO.
City of Fridley
AT THE TOP OF THE TWINS
BUILDING
PERMIT
f
� l
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
I �
1
NUMBER
REV
DATE
PAGE OF
_
APPROVED By
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
9/26/94
JOB ADDRESS 6634 Central Avenue NE (Utility Room)
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
4F
Auditor's Subdivision #21
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
Donald Findell 6850 Siverts Lane NE, Fridley MN
55432
571-0467
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP
PHONE LICENSE NO
5 ENGINEER MAIL ADDRESS
ZIP
PHONE LICENSE NO
6 USE OF BUILDING
A Motel
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR
❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK
Install rated ceiling/floor sstem• create storage area above utility room
9 CHANGEOFUSEFROM TO
STIPULATIONS
See notations on plan.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
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
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
$1,200
.60
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-
$29.00
Fire
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
SC $1.20
PLAN CHECK FEE
TOTAL FEE
$18.85
$49.65
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI
WHEN PROPE RLA VALIDATED THIS IS YOUR PERMIT
SIGNATURE OF OWNER, IF OWNER BUILDER, (DATE,
EILDI INSP
r1ATE
Prepaid Plan Check Effective 1/1/94
Estimated Cost MY OF FRUXEY
Receipt #
R-3, COMMSRaAL & OMMMIAL
BLIHINNG PERMIT APPLICATION
Construction Address 10
Legal Description L .0 :5 (y
owner 6, Address71'_0 Yk
CONTRACIOR a ADDRESS Tel.
Architect & Address
Engineer & Address Reg.#
TYPE OF WORK [] New f] Addition Alteration -Describe IV "- d_�L3✓
&
%
Applicant Signature Tel # Date
0 BUIIDnG
Length Width Height Sq. Ft.Ca # Of Stories
OFC. AREA: Length Width
VME AREA: Length Width
OTHER AREA: Length Width
Height Sq. Ft.
Height Sq. Ft.
Height Sq. Ft.
Sq. Ft. x $
Cost/Sq.
Ft. = Valuation $
4&oo
Sq. Ft. x $_
Cost/Sq.
Ft. = Valuation $
$
Sq. Ft. - x $
Cost/Sq.
Ft. = Valuation
TOTAL VALUE
�57'
VVII"j 111/fv"(A&struction 'I
Group
Building Use
Type Occupancy
Air Con#tioning [ ]Yes #Wo
Fire
Protection Provided []YesTo
Performance Bond Amount
See Reverse for Schedule
Received [ ]Yes [ ]No
Permit Fee $ j q, See Fee Schedule on Reverse Side
Plan Check $ In Excess of Prepaid Amount - See Reverse Side
Fire Surcharge $ .001 x Permit Valuation (1/10th
State &=charge $ $.50/$1,000 Valuation (See Sched. for > $1 Million)
SAC Charge $ - $800 per SAC Unit (Plans to MWOC for determination)
Erosion Control $ _ $450.00 Conservation Plan Review
Park Fee $ Fee Determined By Engineering
Spec. Assessments $ _ Agreement Necessary [I Not Necessary
Driveway Escrow $ feet x $13.50/foot
IKYJIAL $ I
o
A
�J/4, -
G o \ 1
.r a
� r
I
13
c
z
T
�
- S\
Reinspection Fee $30.00
�./
ISIGNED BY _
/ l2 TEL N0. eo-� tf
e� f
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
�G
1 % of Value of Fixture or Appliance
` o
i
State Surcharge
$
Approved By
'�/
Rough—In Date Final Date
MINIMUM F
EE FOR ANY PLUMBING/GAS PERMIT IS
F �_j
$15.00
TOTAL FEE
PLUS THE
$.50 STATE SURCHARGE
s\(
SUBJECT
PERMIT NO: -
City of Fridley
23226
AT THE TOP OF THE TWINS
I III D I I i�
BUILDING
D C D� A I T
Ir
'
DV ` 'vv
r CR'v1
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
i✓ PROTECTIVE INSPECTION SEC.
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
3/15/95
JOB ADDRESS 6634 Central Avenue NE #4
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
4F
Auditor's Subdivision #21
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Donald Findell 6850 Siverts Lane NE, Fridley, MN 55432 571-0467
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Motel
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION $J REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Interior alterations to kitchen and bathroom
9 CHANGEOFUSEFROM TO
STIPULATIONS
Provide smoke detectors by bedroom. Provide
the minimum of 1 hour
separation between units.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
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 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
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
$ 3,580
$ 1.79
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$ 63.00
$3.58 Fire SC
STR - ION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTALFEE
U414f (ze�h—� 461
$
$ 68.37
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
WHEPj—PE1ZPERLY VALIDATED THIS IS YOUR PERMIT
.._.. ���
SIGNATURE OF OWNER OF OWNER BUILDERI (DATE, —0BLDG
IN
DATE
s\(
Prepaid Plan beck $
Estimated Cost $
Receipt #
construction Address G 7
Legal Description 4 0 T
C" OF FRIDIEY
R-3, QObOdERCIAL & MUSIRiAL
TYPE OF %K)RK [I New [ ] Addition
Effective 1/1/94
MOO
•
Alteration -Describe f
Applicant Signature
s BUI LOW DII415ICM
Length Width height Sq. Ft. # of Stories
OFC. AREA: Length
Width Height Sq. Ft.
UiSE AREA: Length
Width Height Sq. Ft.
OTHER AREA: , Length
_. Width .. Height Sq- Ft.
VATJ=CK
Sq. Ft. x $
Cost/Sq. Ft. = Valuation $ ) Q O
Sq. Ft. x $
post/Sq..Ft. = Valuation
Sq. Ft. x $
Cost/Sq- .Ft. ,= Valuation $ ) TOTAL VALUE
Building Use
_ Constniction Type occupancy Group
Air conditioning []Yes []No Fire Protection Provided []Yes []No
Performance Bond Amm
at;-$ ; , • See .Reverse for, Schedule, Received ; [ ]Yes [ ]No
Permit Fee
$ See Fee Schedule on Reverse Side
Plan (heck
$ In Excess of Prepaid Amount - See Reverse Side
Fire 9=charge
$ 3 S` .001 x Permit Valuation (1/10th %)
State &mvharge
$ i $.50/$1,000 Valuation (See Sched. for > $1 Million)
SAC Charge
$ $800 per SAC Unit (Plans to NWOC for dation)
Erosion control
$ $450.00 conservation Plan Review
Park Fee
$ Fee Determined By Engineering
Spec. Assessments
$ Agreement Necessary [] Not Necessary []
Driveway Escrow
$ feet x $13.50/foot
TOTAL
J
$ �,� =.L � j 2.�e.-t.?2�`�- •hj
j� {{i �1 1' *c ze A .. 1M--�' (
R L
SUBJECT
PERM7FidEi
City of Fridley
t"
2 3 2 2° 7.)
AT THE TOP OF THE TWINS
BUILDING
PERMIT
f
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
I
3/15/95
I
JOB ADDRESS 6634 Central Avenue NE #2
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
4F
Auditor's Subdivision #21 SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Donald Findell 6850 Siverts Lane NE, Fridley, MN 55432 571-0467
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
6 USE OF BUILDING
Motel
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION (K REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Interior alterations to kitchen and bathroom
9 CHANGEOFUSEFROM TO
STIPULATIONS
Provide smoke detectors by bedroom. Provide the minimum of 1 hour
separation between units.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
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
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
$ 2,690
$ 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-
STRUCTIONaERFORAANCK OF CONSTRUCTION
$ 54.00
$ 2.69 Fire SC
A�r
PLAN CHECK FEE
TOTAL FEE
,4 �,6
$
$ 58.04
SiGNA RE F CON"RACTOR OR AUTROR�2ED AGENT JDATEi
WH PER THIS IS YOUR PE�RMIT
_
VALIDATED
SiGNATUREOFOWNER iF OWNER BUILDERi iDATEi
BLDG
FATE
Prepaid Plan Check $
Estimated Cost $
Receipt #
Construction Address
Descri *on _ 40 !
of I ID' 1i I. I / '
1 Ili I 'D' kill ;."
� Iv
7/�
Effective 1/1/94
'
MIA ''
TYPE OF WaRK [] New [] Addition Alteration -Describe 5/fiLe�
Y- r 7-e—d C',A, i' U a nr / 4e /S i n (L . 'g ,
Applicant Signature ��%�`� - - Tel # 5-71-0((C? Date 3��s
BU11DING DIMENSIONS
Length Width Height Sq. Ft. # of Stories
OFC. AREAL: Length Width Height Sq. Ft.
WHSE AREA: Length Width Height Sq. Ft.
AREAL:CiTEM Len tlz Width Height Sq. Ft.
VAIUA CK
Sq. Ft. x$ ' Cost/Sq. Ft = Valuation $ )
Sq. Ft. x $ tbst/Sq...Ft. = Valuation
Sq. Ft. x $ ::Post/Sq- Ft. - Valuation $ ) TOTAL VALUE
Building Use Consttla�ction Type _uP'Y _
Air Conditioning (]Yes, []No Fire Protxc:tion Provided {]Yes []No
Performance Bond Amount.-$- See .Reyesse for. Schedule, Received [ ]Yes [ ]Nb
Permit Fee -'!'seei� Fee Schedule ai Reverse Side
Plan Check .. $ < in Excess. of Prepaid Amount - See Reverse Side
Fire Surcharge $ c) .001 x Permit Valuation (1/10th %)
State Suxrharge $ I;�_ $.50/$1.000 Valuation (See'Sched. for > $1 Million)
SAC -Char ge $ $800 per SAC Unit ( Plans to Nwog for detemuiation )
Erosion Control $ $450.00 Ponse nation Plan Review
Paris Fee $ Fee Determined By Engineering .
Spec. Assessments $ Agreement Necessary [ ] Not Necessary [ ]
Driveway Escrow $ feet x $13.50/foot
CLIM
SuBjECT
-
"PER
City of Fridley
8
AT THE TOP OF THE TWINS
BUILDING PERMIT
RECEIPT NO.
'r '
• COMMUNITY DEVELOPMENT DIV.
r I ti PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
3/15/95
JOB ADDRESS 6634 Central Avenue NE #10
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
(}F'
Auditors Subdivision 421
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Donald Findell 6850 Siverts Lane NE, Fridley, MN 55432
571-0467
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO.
6 USE OF BUILDING
Motel
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION IK REPAIR
❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Interior alterations to kitchen and bathroom
9 CHANGE OF USE FROM TO
STIPULATIONS
Provide smoke detectors by bedroom. Provide the minimum of 1 hour
separation between units.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
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 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
I STALLS
GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
2,575
$ 1.19
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$ 54.00
$ 2.38 Fire SC
STRU OR THE PERFORMANCE OF CONSTRUCTION
��
y`
PLAN CHECK FEE
TOTALFEE
ti ,e
$
$ 57.57
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
E�R/LL YY/` VALIDATED THIS IS YOUR PERMIT
I^JWHE
GC�.G.�e
n ��
SIGNATURE OF OWNERIIF OWNER BUILDER) IDATEI
B"D(;,;� P
r1ATE
CLIM
Prepaid Plan Check $
Estimated Cost $
Receipt #
MY OF FREMM
R-3, a(bMEMAL & MLLvnUAL
Effective 1/1/94
Construction Address 3 C�Zn �I / �;�.Zoning
legal Description 'Lj if /
Owner & Address f
CONTRACTOR & ADDRESS S d LA r--
Architect & Address Rea.#
Engineer & Address - Reg. #
Alteration describe /NF r
TYPE OF WORK [ ] New
'[] Addition
Applicant Signature �� I Z�el # Date " '
BUUD M mats
Length Width Dight Sq. Ft. # of Stories
Sq. Ft. x $ Dost/Sq. Ft. = Valuation
Sq. Ft. x $ Dost/Sq-.Ft. = Valuation
Sq. Ft. x $ Cost/Sq- Ft.:= Valuation • ,$ ) TOTAL VALUE
Building Use Oonstruiction Type - ' •.,;- Oec LTancy Group
Air Oondltion ng []Yes []No :Fine Protection Provided,[]Yes_ []No
Perforn�anoe Bond Amoumt See Reverse for;;ule; Received; []Yes []No
Permit Fee $ See Fee Schedule on Reverse Side
Plan Check $ cy in Emoess. of Prepaid Amount - See Reverse Side
Fire Surcharge $ .001 x Permit Valuation (1/10th )
State &xrcharge $ �`� $.50/$1,000 Valuation (See 'Sc hed. for > $1 Million)
SAC Charge $ $800 per SAC Unit (Plans to MqX for determination)
Erosion Control $ $450.00 Conservation Plan Review
Park Fee $ Fee Determined By Engineering
Spec. Assessments $ Agreement Necessary [] Not Necessary []
Driveway Escrow $ feet x $13.50/foot
Tom. s, Rukx;-r-& awak, ktAeAw Al A�
['
. v
SUBJECT
City of Fridley
23229
AT THE TOP OF THE TWINS
BUILDING PERMIT
-RFCSf IPT NO.
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
i
1 �
NUMBER
REV
DATE
PAGE OF
APPROVED BY
�--'1 CITY HALL FRIDLEY 55432
612-571-3450
910-F15
3/15/95
JOB ADDRESS 6634 Central Avenue NE #5
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
4F
I
I Auditor's Subdivision #21
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Donald Findell 6850 Siverts Lane NE, Fridley, MN 55432
571-0467
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO
6 USE OF BUILDING
Motel
7 CLASS OF WORK
❑ NEW ❑ ADDITION D ALTERATION M REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Interior alterations to kitchen and bathroom
9 CHANGE OF USE FROM TO
STIPULATIONS
Provide smoke detectors by bedroom. Provide the minimum of 1 hour
separation between units.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SQ. FT
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
I
STALLS
GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$ 1,760
$
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
.88
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-
$ 41.00
$ 1.76 Fire SC
STRU ON OR THE PERFORMANCE OF CONSTRUCTION
/
PLAN CHECK FEE
TOTAL FEE
,��
$
$ 43.64
SGNA URE OF CONTRACTOR OR AUTHORIZED AGENT IDATEi
O ERLY VALIDATED THIS IS YOUR PERMIT
`VWHEN
BLDG iNSP
DATE
SIGNATURE OF OWNER,1F OWNER BUILDERi IDATEi
. v
Prepaid Plan Check$
Estimated Cost $
Receipt #
MY OF FRIDIEY
R-3, M&MERCIAL & INDUSTRIAL
Construction Address 7' �f A/ /:--
Legal Description L f GQ Z /
Owner & Address �!� 7/_
CONTRAMM & ADDRESS 15 4-,Yk
Architect & Address Rett. #
Effective 1/1/94
e IiiIIII
e
Engineer & Address Reg.#
TYPE OF WORK [ ] New [ ] Addition . Fes- Alteration Describe
�- ►�.i' L- � (Tr-�f �B�C-O �rn� r �/ s �n�K l%�•nl T .� �i /_/ � -
Applicant Signature. Tel Date 3 /
Length
Width Height Sq. Ft. # of Stories
OFC. AREA: Lexqth
Width Height Sq. Ft.
WHSE AREA: Length
Width Height Sq. Ft.
OTHM AREA: Length
Width :._. .. _... Height. Sq. Ft.
VAMATIC K
Sq. Ft. x $
Cost/Sq. Ft = Valuation $ )
Sq. Ft. x $
C]ost/Sq... Ft. = Valuation $ ) _ $ 12 6p—
p—Sq.
Sq.Ft. x $
Cost/Sq. Ft. - Valuation ..$ ) TOTAL VALUE
Building Ilse
C)ons�n Type_ . .
Oocnipancy Grog
Air Conditioning []Yes []No Fire Protection Provided_[] Yes- []No
Performance Bond Amrxant-$ - See Reverse forScedule, Received; [ ]Yes [.]No
Permit Fee
$ ( See Fee Schedule on Reverse Side
Plan Check
$ In Excess- of. Prepaid Aim)unt - See Reverse Side . .
Fire Surcharge
$ 1.76 .001 x Permit valuation' (1/10th ':
State Surcharge
$.50/$1, -000 -Valuation (See 'Sched. for > $1 Million)
SAC 0mrge
$ $800 per SAC Unit (Plans to MCC for determination)
Erosion Control
$ $450.00 (nervation Plan Review
Park Fee
$ Fee Determined By Engineering .
Spec. Assessments
$ Agreement Necessary . [ ] Not Necessary [ ]
Driveway Escrow ,
$ feet x $1�j3.50�/yfocyt
TOII%L
/
$ 'Z C. �,. �.�t c�
�l , ,
i L a cat-- Gam" c�I
0
SUBJECT
'PE
City of Fridley
0 -3 2 Ot
AT THE TOP OF THE TWINS
BUILDING PERMIT
NO.
Ir?
` COMMUNITY DEVELOPMENT DIV
_______ .
�
r PROTECTIVE INSPECTION SEC.
Q/n
NUMBER
REV
GATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
3/15/95
JOB ADDRESS 6634 Central Avenue NE #6
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
4F
Auditor's Subdivision #21
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Donald Findell 6850 Siverts Lane NE, Fridley, MN 55432
571-0467
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO.
6 USE OF BUILDING
Motel
7 CLASS OF WORK
❑ NEW O ADDITION ❑ ALTERATION M REPAIR
O MOVE ❑ REMOVE
8 DESCRIBE WORK
Interior alterations to kitchen and bathroom
9 CHANGEOFUSEFROM TO
STIPULATIONS
Provide smoke detectors by bedroom. Provide the minimum
of 1 hour
separation between units.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
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
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
$ 2,160
$ 1.08
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$ 54.00
$ 2. 16 Fire SC
STR N OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTAL FEE
0
$
$ 57.24
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
WHEN-per'\,.P/�ERLY/'VALID�ATED
DG P
LINS
THIS IS YOUR PERMIT
PATE
SIGNATURE OF OWNER, IF OWNER BUILDERi IDATEI
0
prepaid Plan Check $
Estimated CoSt $
Receipt #
CITY OF MUD EY
R-3, COM11EirML & B41DUSiRiAL
Construction Address
Legal Description G % L4 F S G1 2 -
Effective 1/1/94
owner
owner & Addressof --b .� rlu f��� Tel. #
CON RACiCR & ADDRESS M - 'Pel . #
Architect & Address Rett. #
Engineer & Address - Req•#
TYPE OF WORK [ ] New [ ] Addition Alteration -Describe !/V
Applicant Signature. Te11,0(- Date �..ro_ t
BaELDMG DIMENSIONS
length Width Dight Sq. Ft. # of Stories
OFC. AREA: Length
Width Height Sq. Ft.
WHSE AREA: Length
Width Height Sq. Ft.
OTHER AREA: Length
Width ... Height Sq. Ft.
x�
VALEMZCN
Sq. Ft. x $
Cost/Sq. Ft _ ..Valuation $ )
Sq. Ft. x $
Cost/Sq.. Ft. = Valuation $ ) _ $�
Sq. Ft. x $Cost/Sq..Ft
- Valuation $ ) TdPAL VALZJE
Building Use
ootwUuCtlocl Occupancy Group
Air Conditioning []Yes []No Fire Protection, Provided,,[] Yes []No
Performance Bond Amount-$.. .. See Reverse for_;Schedule Reeceived J ]Yes :: (]NO
Permit Fee
$ = See Fee Sdzed e on Reverse Side
Plan Check
$ ..In Exoess.of. Prepaid Amount - See Reverse -side
Fire Surcharge
$ G .001 x Permit Valuation,(1/10th
State Surcharge
$ dg $.50/$1,-000 Valuation (See .Sched. for > $1 Million)
SAC Charge
$ $800 per SAC Unit (Plans to Mg0C for determination)
Erosion Control
$ $450.00 Conservation Plan Review
Park Fee
$ Fee Determined By Engineering .
Spec. Assessments
$ Agreement Necessary.[] Not Necessary []
Driveway Escrow
$ feet x $13.50/foot
tt' It
W
SUBJECT
RMITNO.
City of Fridley
,3 7 3�
AT THE TOP OF THE TWINS
BUILDING PER
i
r
EIPT NO.
�
COMMUNITY DEVELOPMENT DIV.
y
r PROTECTIVE INSPECTION SEC.
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
3/15/95
JOB ADDRESS 6634 Central Avenue NE #3
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
4F
Auditor's Subdivision #21
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Donald Findell 6850 Siverts Lane NE, Fridley, MN 55432
571-0467
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO
6 USE OF BUILDING
Motel
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION M REPAIR
❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Interior alterations to kitchen and bathroom
9 CHANGE OF USE FROM TO
STIPULATIONS
Provide smoke detectors by bedroom. Provide the minimum of 1 hour
separation between units.
TYPE OF CONST.
OCCUPANCY
GROUP
OCCUPANCYLOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SQ. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
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
$ 1,995
$ 1.00
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-
$
STR I OR THE PERFORMANCE OF CONSTRUCTION.
$45,00
2,00 Fire SC
.5,--
PLAN CHECK FEE
TOTAL FEE
"
Pie
$
$ 48.00
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT
PERLY VALIDATED THIS IS YOUR PERMIT
LiDATEi
64SIGNATURE
OF OWNER IIF OWNER BUILDER)
BLDG IN
DATE
W
Prepaid Pian Check $
Estimated Cost $
Receipt #
CITY OF FROXEY
Effective 1/1/94
construction Address
Legal Description L4 4b,Z
Owner & Address ,�
CON PAiC:IOR & ADDRESS S d'M (C- Tel.. #
Architect & Address Rea • #
Engineer & Address Req.#
TYPE OF WORK [ ] New [ ] Addition Alteration -Describe�N ST/rZ-C
Com'- l< < 1G /Tr-Ff�c0 Hnr/ s �K �! /�! /—"� • < pt'ooc.
u/ee, C'
Applicant Signature. �� Tel # a 1Datk _I_
Length Width Height Sq. Ft. # of Stories
Sq. Ft. x $
. Cost/Sq. Ft. _ ..Valuation $ )
Sq. Ft. x $
Oost/Sq...Ft. _ Valuation
Sq. Ft. x $
.Dost/Sq...Ft. - Valuation $" AL VAIITE
Building Use
Oonstnicfian Type ,= Group
Air Oon#tioning []Yes []NO Fire Protection Provided []Yes. []No
Performance Bond AmOUnt -$ :. - See Reverse for_ Schedule .: ., , Received.'- t ]Yes [ ]No
Permit Fee
$ I J • �� See Fee S liedule on Reverse Side
Plan Check
$ In Excess- of. Prepaid Amoamt - See Reverse Side
Fire Surcharge
$ n2 Da .001 x Permit Valuation (1/10th �)
State Surge
$ ! '00 $.50/$1,000 valuation (See `Sdjed. forr > $1 Million)
SAC Charge
$ $800 per SACUnit (Plans to MOC for determination)
Erosion Control
$ $450.00 CIMservation Plan Review
Park Fee
$ Fee Determined By RVineering .
Spec. Assessments $ Agremmt Necessary .[] Not Necessary []
Driveway Escrow .
$ feet x $13.,,5s0,,/�foot
TOTRL
�.�C�.�.:*•-moi �. ° ' � �.�c
1.I I T Ut• I-MIULtT IINOI'tl, IMV UIV.
6431 University Ave NE
Fridley, MN 55432
572-3604
trtective tun uanuary i, i yyu
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
PLUMBING FIXTURE RATES:
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
NO. RATE. TOTAL
G $ 7.00
$ 4.00
$ 5.00
'$7.00
$ 7.00
$,7.00
$ 7.00
$10.00
$ 7.00
$10.00
$10 00
JOB ADDRESS 4� 4� _3� 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.
Owner/J
Building Used As
Gas Dryer $10.00 Estimated Cost PERMIT NO, c
Back Flow Preventer Required ( )Yes () No 3
Type $5.00 f 14) LMBING COMPANY
Reinspection Fee $30.00 SIGNED BY ,t% r TEL N0, S�
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS Y
1 % of Value of Fixture or Appliance
Approved E6 Rough—In Date Final Date
State Surcharge 50
c}� MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00
TOTAL FEEjk Lj `-�" �O.S� PLUS THE $.50 STATE SURCHARGE
SUBJECT
NO.
City of Fridley
28238
TWINS
BUILDING
PERMIT
�2=3604
REC
• _ COMMUNITY DEVELOPMENT DIV.
7r
1 ; PROTECTIVE INSPECTION SEC.
FPO
!
.
CITY MALL FRIOLEV SS432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
10/14/98
JOB ADDRESS
6634 Central Avenue NE
1 LEGAL LOT NO. BLOCK
TRACT OR ADDITION
SEE ATTACHED
DEscR. 4F I
Auditor's Subdivision #21
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Donald Findell 6850 Siverts Ln NE Fridley MN 55432
571-0467
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Owner
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 x5j REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof xmH motel (41 Sq) Tear -off
9 CHANGEOFUSEFROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING, HEATING.
TYPE OF CONST
OCCUPANCY GROUP
OCCUPANCYLOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SQ. FT
CU FT
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
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
$3513
$1.76
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-
STR TION OR THE PERFORMANCE OF CONSTRUCTION
$87.25
Fire SC $3.51
PLAN CHECK FEE
TOTAL FEE
92.52
ATUAE OF N"RACTOR OR AUTHORIZED AGENT iDATE,
WHEN PROPERLYYALID TED THIS IS YOUR PERMIT
-oy-
S�GNATURE OF OW NERiii OWNER BUILDER, IDATEi
' BLD -'.NSo
gAtE
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY eln
ALTER [j(j SINGLE FAMILY Al
VD DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
116 ConstructionAddress: r y l of -91 - L t /a
Legal Description:
Owner Name & Address: bo
Contractor: 5:6 -1—% --
Address:
51vi!�i>4-N
D t-n'x Tel. #
MN LICENSE #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
Tel #
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Lengthy WHgt/Ground Sq. Ft.
OTHER: '7 l > 9 C L
idt (�
Construction Type:
C-g'e-0a
Driveway Curb Cut Width Needed: Ft. + 6 Ft
Estimated Cost: $ ��"� J 35-13
(Fee Schedule on Back)
Ft x $ = $
DATE: 10 APPLICANT: QItt-g2 tewt&t4- Tel.
TOTAL $ , 6 2
STIPULATIONS: `�
CITY USE ONLY
Permit Fee
$ CO) '7- �5�
Fee Schedule on Reverse Side
Fire Surcharge
$
.001 of Permit Valuation (1/10th%)
State Surcharge
$ % 9&
$.50/$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$ /-rl
$5.00 (State Licensed Residential Contractors)
Driveway Escrow
$
Alt. "A" or Alt. "B" Above
Erosion Control
$
$450.00 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement Necessary [ ] Not Necessary [ ]
TOTAL $ , 6 2
STIPULATIONS: `�