PRE 2010 PERMITSVillage of Fridley, PvTinn.
363
®fsce of INSPECTOR OF BUILDINGS
Owner �'• .df�°
Architect 16 _t('4 Frid?.ey, Minn.,
Builder
Q / OCATION OF BUILDING
No. vStreet YL — Part of Lot
Lot ` Block Addition or Sub -Division
DESCRIPTION OF E UILDING
Front , Depth � � I_ Height/ StoriesMann r of Construction -� A"!4 �—
'
To be used as To be completed , 1 `� Estimated Cost//.Ow "
Permit is hereby granted to F+G ? 40t, to
Y�
the building 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 in, around and upon said building, or any part thereof, shall conform in all respects to the ordi-
nances of Fridley, Minn., regarding the 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.
Xi'! l " 4)c"t p c 'G+t S Inspector of Buildings.
AGREEMENT ANT) SWORN STATEMENT
In consideration of the issue and delivery to i^ne by the Ii^pe:ctor of Buildings of Fridley of
the above permit, I hereby agree to do the proposed work, in accorcic.nce with the description
above set forth and according to the provisions of the ordinance" of Fridley, and, being first duly
sworn, I hereby state and say that the facts stated by me and contained in the above permit are
true as therein stated.
Subscribed and sworn to before me at Fridley, Minr_e� oE.a, this — —
day of A.D. 19`L4.
0
0
Village of Fridley, Minn.
BUILDING PERMIT
N° 757
Office of INSPECTOR OF BUILDINGS
Owner_
Architect Fridley, Minn., ` G ic-�
Builder
LOCATION OF BUILDING
No. Street J Part of
Block Addition or Sub -Division
DESCRIPTION OF BUILDING
Front DepthZ Height Stories__ Manner of Construction��-
��
To be used as r �` ' To be completed Estimated Cost y
i
Permit is hereby granted to
the building 1 a' — 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 in, around and upon said building, or any part thereof, shall conform in all respects to the ordi-
nances of Fridley, Minn., regarding the 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.
of Buildings.
AGREEMENT AND SWORN STATEMENT
In consideration of the issue and delivery to me by the Inspector of Buildings of Fridley of
the above permit, I hereby agree to do the proposed work in accordance with the description
above set forth and according to the provisions of the ordinances of Fridley, and, being first duly
sworn, I hereby state and say that the facts stated by me and contained in the above permit are
true as therein stated.
Subscribed and sworn to before me at Fridley, Minnesota, this
day of A.D. 19 —
City of Fridley, Minn.
BUILDING PERMIT N® 319'
Date: .. .... ......................
Owner VTr'... ..... �a
ilder ................ �!��K .............
AddressZ.0 . X7....... Vdress .............. . ........ .
LOC TION OF BUILDING
No. .f!.� ... Street . r.. :................ Part
Lot ..... 1. I .... Block ......./ .......... Addition or Sub -Division ...
Corner Lot ............ Inside Lot ..... Setback ............ Sideyard ...........................
DESCRIPTION OF BUILDING
o e Used as:
...... Front .. ..1... Depth ...... Height ..... t.. Sq. Ft. Cu. Ft. ........
....................ront ........ Depth .. Height,"W Sq. Ft. ....... Cu. Ft. ........
4
Type of Construction .4 .... Est. Cost. .(19. �.. �..�... To be Completed ....... .
4A. -AJ L,4 4
I
In cons eration of the issuance to me of a permit to construct the building desribed above, I agree to do
the propose 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 $. 10.&A 0 „ , permit is hereby granted tCA
.................. to construct the building or addition as described above. This it is antedIn
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with-
in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
w ,�
.. � ..... .. 013uilding Inspector
NOTICE:
4 This permit does not cover the construction, installation or alteration for wiring, plumbing, gas ating,
sewer or water. Be sure to see the Building Inspector for separate permits for these items.
I
CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND uAs FITTING PERMIT
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Water
Heater
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$
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$5.00
$
:iat__ He --ter - to 99,000 BTU
x
$5.00
$
100,CG0 B:J to 199,000 BTU
x
$10.00
$
Water Softener
x
$7.00
$
1st
x
$5.00
$ ��-
Elec--ic tater Heater
x
G"
$
G:.S r_..1\� FESS:
G
st 3 fixtures
x
$3.00
$
Additional Fixt=es
2nd
$1.00
$
Gas Ra:;ge to 199,000 BTU
x
$x:0.00
$
REPAIRS & ALTERATIONS
L
First $100.00
$5.00
$
each add. $100.00 or fraction
3rd
$
State Surcharge
$ ..5��0/�
TOTAL FEZ
$,£✓ �s°
<_h
(R) = :..t„re Connection Opening
Co.�.ected with Sewer
(*) = New F..- re, Old OpeningI
Water
PARTIAL RATE SCHEDULE
?Lii%13?:G FIXTURE RATES:
NO.
RATE
TOTAL
..vr.e= _ ix t,..res
x
$3.00
$
c LCre _ i_tture Coe: ing
x
$2.00
$
Ne'v . ixt..-e, Old Opening
x
$2.00
$
Cate::: Basin
x
$5.00
$
:iat__ He --ter - to 99,000 BTU
x
$5.00
$
100,CG0 B:J to 199,000 BTU
x
$10.00
$
Water Softener
x
$7.00
$
\ew Ground Fain Old Building
x
$5.00
$ ��-
Elec--ic tater Heater
x
$5.00
$
G:.S r_..1\� FESS:
st 3 fixtures
x
$3.00
$
Additional Fixt=es
x
$1.00
$
Gas Ra:;ge to 199,000 BTU
x
$x:0.00
$
REPAIRS & ALTERATIONS
First $100.00
$5.00
$
each add. $100.00 or fraction
$2.00
$
State Surcharge
$ ..5��0/�
TOTAL FEZ
$,£✓ �s°
REINSPECTION FEE
Job Address ��5 �• �iiJe 2 1` c=•
Department of Buildings
City of Fridley
Tel. #571-3450
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with to City Codes
and rulings of the Departnont of Buildings, and hereby declares t..st all
the facts and representations stated in this application are true and correct
Fridley, Mn. ,-1 - 2 !�z , 19�C
C:aNER j 0 AA, _-j 416 66 elm
KIND OF BUILDING
USED AS Q
TO BE COMPLETED ABOUT
ESTIMATED COST /
OLD - NEW BUILDING PER`:IT NO. PERMIT NO.
ROUGH INSP.
Date
Company `_J C� l� SC' 'ZI e, o
Signed By
Tel. No.
FriNAL INSP. (
Date
APPROVAL FOR PERMIT t
MINIMUM FEE FOR ANY PLUMBING PERMI IS $7.50 PLUS $.SO S^ T SUR--i.1RG
0
SUBJECTPE
-111
City of Fridley
o 18709
AT THE TOP OF THE TWINS
BUILDING
PERMIT
_
r
CEIPT NO
�
11 � ___���_ COMMUNITY DEVELOPMENT DIV.
rr
-7
PROTECTIVE INSPECTION SEC.
r , PROTECTIVE
CITY HALL FRIDLEY 55432
NUMBERDATE
REV
PAGE OF
APPROVED BY
612-571-3450
910-F15
10/17/86
JOB ADDRESS 6831 East River Road
1 LEGAL
LOT NO.BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
11
1
Ostman's 1st Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
John Jagger
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO.
Richard Hastings 6331 Riverview Terrace N.E.
574-9966
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP
PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP
PHONE LICENSE NO.
6 USE OF BUILDING
R-1
7 CLASS OF WORK
❑ NEW ❑ ADDITION EX ALTERATION ❑ REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof
9 CHANGE OF USE FROM TO
STIPULATIONS
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
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
$.50
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
MI FE
PERE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
$17,50
PLAN CHECK FEE
TOTALFEE
/o/I ;p
$18.00
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE
PE
Dgm
LY I AT
D THI IS YOtJ�P
7.
r``
SIGNATURE OF OWNER I IF OWNE R BUILDERI IDATEI
BLDG INSP
BATE
NES [ ] City of Fridley Effective 4/1/8c
ACD;:. [ ] R-1 AND R-2 j
ALTER. [ ] Building Permit Application
Construction Address: C. 6"", 7 -
Legal Description: Lot // 3Loct- 1 ���RniS /s7- /�r(d -
owner Name t Address:
T,o4N ATel.
Contractor: c-tl�' Ash tiL rS Tel. f s �l -9yG�
Address: ��� �7Ec -. 7`Fi� `
LIVING AREA:
r.eaer.F AREA:
DECK AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
lot, With the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width
Length
Length -
Height Sq. Ft.
Width Height Sq. Ft.
Width Hgt/Ground Sq. Ft.
Side Yard Setback
Ft. Yd. Setback
Corner Lot [ ] Inside Lot [ ] -
Type of Construction: 7? Estimated Cost: i
f70 �
Approx. Completion Date:
Alt. A Alt P
Proposed Driveway Width If New Opening Is Desired: $ - $
See Back Page for Explanation
DATE: l0 �6 d'6 APPLICANT:.
�� / Tel. # -57'
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Sewer !Bain Charge
TOTAL
ST.IPULATIONS:
►U
W
t
CITY USE ONLY
Fee Schedule on Reverse Side
25% of Building Permit Fee
$.50/$1,000 Valuation
$475 per SAC Unit
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
Iobt�,0v
'Sot),
SUBJECT
City of Fridley
;!=
AT THE TOP OF THE TWINS
BUILDING
PERMIT
RECEIPT NO.
i �• COMMUNITY DEVELOPMENT DIV.
_
1
7 b G
r i � PROTECTIVE INSPECTION SEC.
,;�,
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
F15
910-18/90
9/
JOB ADDRESS 6831 East River Road N.E.
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
1 LEGAL
11
1
Ostman T's lst Addition
SHEET
DESCR.
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
571-4144
John Jagger 6831 East River Road N.E.
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
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION [A REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reside Dwelling
9 CHANGE OF USE FROM TO
STIPULATIONS
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
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
1
STALLS
I 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
$3,600
$1.80
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-
$63.00
N/A
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PAN CHECK FEE
TOTALFEE
ire SC $3.60
$68.40
_
SIG TU OF CONTRA TO ORAUTHORIZEDAGENT (DATE)
HEN PROPERLY VALI TED THIS IS YOUR PERMIT
,
GNA URE OF OW RUF NE DE I IDATEI
BLDG INSP
ATE
NEW [ ] Effective 8/16/90
ADON [ ] R-1 AND R-2
ALTER [ ] Building Permit Application
Construction Address: E-
Legal Description: -w1/ /=-,q ��, , o•y
Owner Name & Address: -7C �,�r iL L� Tel •
Contractor: C�� 1- F Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA: Length Width Height Sq. Ft.
CMAM AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTMM:
Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yawl Setbacks
Type of Construction: Estinated Cost: $ -36t7)6 �-
Approx. Completion Date:
Proposed Driveway Width If New Opening Is Desired: Ft. $ $
idth + 6' See Back Page
DATE: 7� APPLICANT: Tel. # S 71-
C=
/CITY USE ONLY
Permit Fee $_ n
Fire Surcharge $ _3 . (n 0
State Surcharge $
SAC Charge $
Driveway Escrow $
Park Fee $
Sewer Main Charge $
TOTAL
STIPULATIONS:
Fee Schedule on Reverse Side
.001 x Permit Valuation (1/10th %)
$.50/$1,000 Valuation
$600 per SAC Unit
Alt. "A" or Alt. "B" Above
Fee Determined by Engineering
Amt Necessary [ ] Not Necessary [ ]
r
Building
BUILDING
Permit No.:� -
Inspections
RESIDENTIAL APPLICATION
Received By.
763-572-3604CITY
OF FRIDLEY
Date Recd:
DATE i �t/��
YOUR E-MAIL ADDRESS
ADDRESS
SITE ADDRESS
THIS APPLICANT IS:
ER ❑CONTRACTOR
PROPERTY OWNER/
NAME:
ADDRESS: CITY STATB"�rZIP �L/3Z
TENANT
PHONE: =—
CONTRACTOR
NAME: gGwic�--- -�
STATE LICENSE EXP DATE
SUBMIT A COPY OF
YOUR STATE LICENSE
ADDRESS: CITY
STATE ZIP
WITH APPLICATION
PHONE FAX
PROPERTY TYPE
INGLE FAMILY/NEW CONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS
❑ BASEMENT FINISH ROOF ❑ DRAIN TILE
❑ DECK SIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW ❑ ADDITION
❑ MAINTENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE: W -f{
2 S
SIZE OF IMPROVEMENT LENGTH WIDTH
HEIGHT Sq. Ft.
ROOFING -, v ❑ HOUSE ONLY
SUBMIT:
NUMBER OF SQUARES
❑ HOUSE & GARAGE
BASEMENT
REMODELING
GARAGES
❑ ATTACHED GARAGE
I.
2.
Existing Floor Plan
Proposed floor plan
PROPOSED SIZE:
r £# DETACHED GARAGE
3.
List of structural members to be used
PROPOSED HEIGHT:
SIDIN
G
`�
FOR NEW CONSTRUCTION INCLUDING DECKS,
inyl
soffit
'%/�L�
ADDITIONS.
& PORCHES SUBMIT:
❑ Aluminum
J;bTrim
1.
Site Plan/Survey showing the existing structures
❑ Other
.Fascia
and proposed project.
2.
Two sets of construction plans
WINDOWS
3.
Epergy Calculations
IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USINGHE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION S G 'SOCCUPANCY TYPE
Permit Fee $ �'� a 5 See Back Page for Fee Schedule
Plan Review $ 65% of Building Permit Fee
Surcharge $ (.0005) times the total job valuation - Minimum $.50
Fire Surcharge $ f , .001 x Permit Valuation (I/10%)
License Surcharge $ $5.00 (State Licensed Residential Contractors)
SAC Charge $ -' $1450 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow $ ft + 6 ft = ft x $20 = $
Erosion Control $ $450 Conservation Plan Review
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( )
Total Due $ lqe7_ Make checks"able to: City of Fridley Attach Stipulations
THIS 1S 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; that the work will be in accordance with the approved
plan in the case of all work which requires review and approval of plans.
SIGNATURE OF APPLICANT PRINT NAMEDATE