PRE 2010 PERMITSVillage of Fridley, Minn.
N? 485
Office of INSPECTOR OF BUILDINGS
Own -or Cet_{1.1
Architect 1Saj& GG
Builder sadi ,
Fridley, Minn., ': /A"164+► , 19&
LOCA T LGN OF BUILDING
No. 106013S Street r ! V F"a'k, Part of Lot f r}
Lot / ` Block Addition or Sub -Division 6iT1'",,y
DESCr.It T I0i3 OF BUILDING
Front Depth Heights Stories_- /_ Manner of ConstructionZ4_t4� To be used as ,.4'aA To be completed � �_ Estimated Cost
V
Permit is hereby granted to 0-11444 4,14.
i
the building Qa;/ djw jw" c ' described in the above statement. This permit is granted
upon the express condition that the p rson 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, altcration, 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.
XKwe Q4UG t4+_ .,Inspector Inspector of Buildings.
AGREEMENT AND SWORN STATEMENT
In consideration of the issue and delivery to nye by the Ru,,pecto of Buildings of Fridley of
the above permit, I hereby agree to do the proposed worl� :n accordance w- i the description
above set forth and according to the provisions of the or Iimmnces of Fridley, and, being first duly
sworn, I hereby state and say that the facts stated by me and contained in e above penrit are
true as therein stated.
Subscribed and sworn to before me at Fridley, Mffinesota, this;
day of �+�' � A .D. 1q_&.-
City of Fridley
Application for Plumbing and Gas Fitting Permit
Dept. of Bldgs. Phone SU 4-7470
DESCRIPTION OF WORK
Number, Kind and Location of Fix! es Location C2
Q1
F
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VY
=2LL
ZR„
Os<
UQm
Ute'
•
WATER HTR.
Z<
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< a
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OG�
cooW
F
N
GAS
ELEC.O
m+'
3U
5
r
m
_
Base
F
1st
2nd
3rd
4th
Future Connection Openings I %lux"Lla"W" WAL"
Sewer �
* New Fixture, Old Openings Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
Number Fixtures ...... ...... .......
Future Fixture Opening ..............
New Fixture Old Opening .... .... ... .
Catch Basin . .
Water Heater (Up to 200,000 BTU) ......
New Ground Run Old Bldg. . . .
NO. RATE TOTAL
x $1.50 $
x 1.20 $
x 1.00 $
x 3.25 $
x 2.00 $
x 3.25 $
GAS FITTING FEES: NO. RATE TOTAL
1st 3 Fixtures .. X$1.50 $ c�J
Additional Fixtures x .50 $
Gas Range to 200,000 BTU .... ......... x 2.00 $
REPAIRS & ALTERATIONS—Refer to Code
Description . .. ... ................... $
TOTAL FEE $
City of Fridley:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City Ordinances
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and correct.
Fridley, Mjpn. C-, __ er' — , 19_6z>
Owner w
Kind of Building
Used as
To be completed about
Estimated Cost, $
Old�,.� Building Permit No.—
o. Perm' No. /// C'
Signed —
By
Business Phone No.—
ROUGH
o.
ROUGH
FINAL
4 z 2M 7-59
Application for Power Plants and Heating. Cooling, Ventilation. Refrigeration and
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 $ ✓ 0G
GAS FITTING FEES: NO RATE TOTAL
1st 3 Fixtures ..................... x $1.50 $ 2 00
Additional Fixtures x .50 $
Gas Range to 200,000 BTU x 2.00 $
AIR CONDITIONING
FAN HEATING SYSTEM
VENTILATING SYSTEM
ALTERATIONS & REPAIRS
ROUGH
FINAL
See Fee Schedule
TOTAL FEE $/Z So
Dept. of Bldgs. Phone 560-3450
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 a= true and correct.
rl
Fridley, N�inn.nC��� 19�
Owner
Kind of Building
Used as
To be completed about`
Estimated Cost, $ Tod
Ol New. Building Permit No. Permit No. _��5�?
DESCRIPTION OF WORK
HEATING or POWR PLANTS—Steam, Hot Water, Warm Air—No.
Trade Name- Size No./Bo
Capacity 910,, 400 Sq. Ft. E.D.R. BTU H.P.
Total Connected Load O s �— Kind of Fuel ��
BURNER — Trade N
Size No.
Capacity Sq. Ft. E.D.R. BTU H.P.
Signe
By
�t s 42 Business Phone
(REMARKS -OVER)
i
+532
SUBJECT
MIT w0.
City of Fridley
27210
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
R T NO.
• COMMUNITY DEVELOPMENT DIV.
_____
r PROTECTIVE INSPECTION SEC.
46
NUMBER
REV
GATE
PAGE OF
APPROVED B�
1 ' /'""1 CITY HALL FRIDLEY 55432
A', 1'j 612-571-3450
910-F15
:kx 8/17/98
JOB ADDRESS
6835 East River Road
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
12
1
10stman's First Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
William Thompson
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO
Cornerstone Building & Remodeling 17334 Butternut St NW Andover MN 55304 413-2383 200
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 jk REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house ]Kg� garage 22 S Tear -off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with 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
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
183
.92
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 O THE/// PERFORMANCE OF CONSTRUCTION
$59.50
Fire SC 1. 83
PLAN CHECK FEE
TOTAL EE
License 5.00
.25
SIGNATURE OF CONT FACTOR OR AUTHOR DAGENT IDATEi
N P P
BLDG ASP
R LIDATD
HIS IS�LQUR PERMIT
"SJ r
FATE
SIGNATURE OF OWNER (IF OWNER BUILDER) IDATEi
i
+532
NEW
ADDN [ ]
ALTER [ ]
ConstructionAddress
Legal Description:
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
oR3S
Owner Name & Address:
Address:
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
FA
Effective 1/ 1/98
,,X, Tel. #
_MN LI ENSE #
S� Tel. #
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 Height Sq. Ft.
Length Width Height Sq. Ft.
Lepgth Width Hgt/Ground Sq. Ft.
/o
Construction Type: Estimated Cost: / U
(Fee Schedud on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: APPLICANT: Tel. #
Vlf
STIPULATIONS:
CITY USE ONLY
Permit Fee
$
Sg- S�
Fee Schedule on Reverse Side
Fire Surcharge
$
I. U3
.001 of Permit Valuation (1/10th%)
State Surcharge
$
9,�-
$.50/$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$
00
$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
$r�-
STIPULATIONS:
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
763) 572-3604 FAX: (763) 571-1287
ADDRESS 6835 E RIVER RD NE
PIN 153024120016
LEGAL DESC OSTMANS 1 ST ADD
LOT 12 BLOCK 1
PERMIT TYPE BUILDING
PROPERTY TYPE RESIDENTIAL
CONSTRUCTION TYPE ADDITION/ALTERATION
VALUATION : S 5,000.00
NOTE: INSTALL SOFFIT VENTILATION TO MEET THE STATE BUILDING CODE.
STATE LICENSED CONTRACTOR 1
APPLICANT
CITIES HOME IMP CO INC (20076414)
640 MENDELSSOHN AVE N
GOLDEN VALLEY, MN 55427
OWNER
THOMPSON WILLIAM B
6835 E RIVER RD NE
FRIDLEY, MN 55432
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of worts
will be complied with whether specified herein or not. The
granting of a permit does of presume to give authority to
violate or Cance he prov tons of any other state or local law
regulating cons ctio erformance of construc on.
Applicantt, -DateNj
-S
Bldg Insp D�
PERMIT NO.: 2004-00767
DATE ISSUED: 05/24/2004
BUILDING PERMIT FEE
111.25
FIRE SURCHARGE
5.00
STATE SURCHARGE, VALUE
2.50
LICENSE SURCHARGE
5.00
TOTAL
123.75
PAID WITH CHECK # 28360
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
NEW [ J
ADDN []
ALTER [ J
Construction Address: _
Legal Description:
Owner Name & Address:
Contractor. )_ I i PS j
Address: (mvv
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
CITY OF FRIDLEY tLf'�� Effective 4/1/2004
6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION ce? -M
�.�Ooq . /
(�J //x•11 Tel. #
MN L I C E N S E # `l1 Y
V6t � '`- Tel. # `;; 0 3
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 Height Sq. Ft.
Length Width Height Sq. Ft.
Length Width Hgt/Ground Sq. Ft.
Construction Type: 7��'� / �7 �f-f � Estimated Cost: $ S
SA, ac 1.4
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x = $
DATE: ;7 � d C APPLICANT: Tel. #
Call (763) 572-3604 for Permit Fees if mailing " application. Fax to 763-571-1287 if using credit card and we will call
you for card number.
CITY USE ONLY -
Permit Fee $ _ l S Fee Schedule on Reverse Side
Plan Review $ 65% of Permit Fee
Fire Surcharge $ L C? .001 of Permit Valuation (1/10th%)
State Surcharge $ $.50/$1,000 Valuation
SAC Charge $ $1350 per SAC Unit
License Surcharge .$ . c)() $5.00 (State Licensed Residential Contractors)
Curb Cut 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 $ �'� •� / STIPULATIONS: