PRE 2010 PERMITSCity of Fridley, Min.n.
BUILDING PERMIT N� �� 5_7 2 5'
Da�: ..,,1^' ..�...`"...... ".G.�...�.......... ----------------_..--.-..--.--�----.------..�.�.��
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Owner: ..... .... ...�....._... ......._.`..'..._.��..!_:'.�.-::-- .......................•-•---.............._.. Builder .. ... ..-•----./��i�'�'............._.._.... - - _.............----•�---
Address..--------�---.......---��------ ----�------------�------- ---•--- ----------------..._...----------.. Address
�
;— LQCATIO O� UILDIIdG
No. .�I� .��...�7..... Street --•---- •- ---/-. .. ... ........_..lF.......�.........�.�i....... Part of Lot ..........--�-� �----�-- ...-•-------- ---- -�-��• --�--......._..
Lot ---i..�.~ .............. Block --•---...........L.._.....---...........---- �-- .. Addition or Sub-Divisi n����"ZL.. '�� �
. .+ � ..-- �--....... .. -�-- - ! .. . .- -•• -- -
Corner Lot ...................---...... Inside Lot ...- �--......./�..._....... Setback .--.-`-•�-�--�-�--.......--�--- Sideyard ......---f...Q...---��-5--�- --....--
SewerElevation .-�------...---�--- .............. ..••--�- �--��---�--��--� -.........................._.._._... Foundation Elevation ....--�--...---.....-----.....- ....- � � �- -................_............ -..._.......-�--�--
DESCRIPTION OF BUILDING
To Use� •
_.. .�..b.�aGL�-4! .. .t Front �+..�.. DeAth ..�.�....��..../.... Fieight .�.... Sq. Ft. .!�,�►..�Z....�? Cu. Ft. .-.- --•-• G!
�
_..-----�------.._........_.._--- .................... Fro t•--�--•------••--••----...._Depth ....._.� eight ...-------..�q. Ft. _...._........--��---- Cu. F� .. .
..--�� --�----_..
Type of Construction ... ..�......�....�k�..?iQ .. Est. Cost ... ... ��.. r��, ................. To be Completed .--.--..........._.._..---.....-.--..---.....----•--..
In consideration of the issuance to me of a permit to construct the building described above, I agree to do
the proposed work in accordance with the description above set forth and in compliance with all provisions of
ordinances of the city of Fridley. �
In consideration of the payment of a fee of $...�:_ .____ ................... permit is hereby granted to....._......._...............__..._.._...___._
--..._ ............._............._......._......_.................. to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
within the city limits and this permit may be revoked a t any time upon violatioli of any of the provisions of said
ordinances. .,•� _ .. J
Building Inspector
NOTICE:
Thi: permit does nof eover the construefion, installation for wiring, plumbing, gas heafing, aswe� o� water. Bs sure fo sea
tha Building InspeNo� for separafe permifs for fhose items.
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HARVEY A. CARTWRIGHT
ANOKA COUNTY fURV[Yf
H[NN[/IN GOUNTY fURVE�S
MINNEA►OLIf lU11V[Y8
5410 PAI.M STREET N W
lUMfET 4-76'3S
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�NDUfT1��AL — JUDICIAL
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CITY IOTf — ►�ATTING
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C�TWRIGST & OLSON
LAND SURI EYURS
1�[G�ST[R�D UNDtI� LAW{ OF fTAT[ OR MINN[lOTA
I�CENf[O �Y ORDINANC[ OI CIT'/ Of MIMN(A►OLI•
324 PLVMOUTH BUILDtNG FEDERAL 8-9721
MENNEPIN AT SIXTH • MINNEAPOLIS 3. MINNESOTA
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CO'�SININQ THE R[COI�D! 0/
J. E. HILL. C�vi� ENOIN[[R
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C F. SANDHOFF
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CSTA�l11M[D I�W
JAMES NELSON
SURV[Y011
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REPI.IER - R�rurn YELLOW copy and reta�� WHITE copy. �' G
FOI�M �•�, MANURACTURaO •Y HOLD[N SUSINESS FORM�, E07 WAtHINGTON AVENUE, MINNEAPOLI3, MINNESOTA • FEDHRAL 9-02�1 �
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App�iccrtion for Pawer Plants and He�ing. Cooting. Ven#ilation� .Refrigeration and
Air Canditioning Systems and Device�s
PARTIAL RATE S�HEDULE
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.Q0 . . . . . . . . . . . . . .. 2.50 $
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTCT . . . . . . . . . . . .
each add. 60,000 BTLT . ...:........ ....... ...
Replacement of Furnace .............................
Repairs & Alterations—up to $500.00 . .. .. . . . . .. . . . . . .
Repairs & Alterations each add. $500.00 . . . . . . .: . . . . . .
8.OU $
2.00 �------- _.
5.00 $
5.00 $
2.50 $
3TEAM or HOT WATER SYSTEM
Furnace Shell & Lines--ta 400 sq. ft. EDR Steam ...... 8.00 $ �
Ftxrnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $��_
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Each add. 200 sq. ft. EDR Steam . . . . . . . . . . . . . . . . . . . . . 2.50 $ � ""
Each add. 320 sq. ft. EDR Hot Water . . . . . . . . . . . . . . . . . . 2.50
OIL BURI6ER—to 3 gal, per hour . . . . . . . . . . . . . . . . . . . . . 5.00 $
over 3 gal. per hour—See Fee Schedule —�
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GAS BURNER (up to 400,000 BTU) . . . . . . . . . . . . . . .. . . . . . . . 5.00 $
GAS FITTING FEES: NO RATE TOT�
lst 3 Fixtures �%fJ6�
...... 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
Depi. of Bldgs. Phone SU 4-7470
4 � T_Matinn �� / �
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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 declar s that all the facts
and representations stated in this application are true and co ect.
� Fridley, Minn. � , 19�Gy
Owner � �
Kind of Bu ding "�
Used as
�
f
To be complet98 about �/� �� v
Estimated Cost, $ ����
-_�
.,�--v� � � Q
Old—New. Building Permit No. "/� Permit No.
DESCRIPTION OF WORK
HEATING or POWER PL.ANTS-�team, Hot Water, Warm Air—No.
, �
Trade l�iame�✓'�� � � Size No.�`�-��
Capacity ��`-� Sq. Ft. E.D.R.�,Q���BTU H.P.
Total Connected Load�l�c% /id � Kind of Fue
� t
BURNER — Trade Name— � Size No. ��� 3� 3
Capacity Sq. Ft.
BTLT H.P.
���:�.�', ^ i��4 t ._ r`�,�'-s t �e., �
..%l�ttn¢ .S'p.�la�efe Signe � � �AI�:•
J�� �r. 7th ST. � i�rt. %-%ri7? .�j� "F,��l .;r aa.�in� ��ecia[iat6
By
(REMARKS—OVER)
�.�c,r.�.4z TM 7-59 Business Phone No.
SUB�ECT �\ .
City of Fridley 322� '
AT THE TOP OF THE TWINS g � I L D i N G P E R M I T
r
� � p� ��,� RECEIPT NO.
• COMMUNITY DEVELOPMENT DIV. i � � �
r � y � PROTECTIVE INSPECTION SEC. �� ������ �'�
' �-
l_-_. A,��"�;'� CITY NALL FRIOLEV SS�32 NUMBFR REV OATE P�GE OF APPROVE� B�
t '� 612-571-3450 9�0-Ft5 10/23/Ol / /
108 ADDRESS 6393 Highway 65 NE
t LEGAL LOT NO. BLOCK TRACT OR AD�ITION SEE ATTACHED
DESCR. IS 1 Moore Lake Highlands 3rd Addition SHEET
2 PROPERTY OWNER MAIL AODRESS 21P PHONE
EZIriC1UlS t
3 CONTRACTOR MAIL ADDRESS ZIP PMONE LICENSE NO
All American Roofing & Remodeling 4112 97 Lane NE, Blaine, MN 55432 763-786-6676
o ARCMITECT OR DESIGNER MAIL AD�RESS ZIP PHONE UCENSE NO
5 ENGINEER MAIL ADORESS ZIP PMONE LICENSE NO
6 USE OF BUILDING
7 Unit APARTMENT
7 CLASS OF WOFK
O NEW O ADDITION ❑ ALTERATION �7 REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
Reroof Building (40 Sq) Tear-off
9 CHANGEOFUSEFROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
TVPEOfCONST OCCUPANCVGROUP OCCUPANCVLOAD
SEPARA7E PERMITS ARE REOUIRED FOR ELECTFICAL, PLUMBING. MEATING.
VENTI�ATING OR AIR CONOITIONING
TMIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTfiUCT10N ZpNING SO. fT CU FT
AUTHORiZED IS NOT COMMENCED WITHIN fi0 DAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENOED OF ABANDONEO fOR A PERIO� Of 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED NO DWLG. UNITS O�FSTREET PARKING
I HEREBY CERTIFY THAT I HAVE REAO AND EXAMINEO THI$ APPLICATION � STA�LS GARAGES
AND KNOW THE SAME TO BE TRUE AND COFifiEC1 ALL PROVISIONS Of LAWS VA�UATION SURTAx
AND ORDINANCES GOVERNING THIS TVPE OF WORK WILI BE COMPLIED
WITH WNETHER SPECIfIED MEREIN Ofi NOT THE GRANTING OF A PEAMIT �4 � 288 $214
DOES NOT PRESUME TO GIVE AUTMORITY TO VIOIATE OR CANCEL THE pEqMIT fEE SAC CHAiiGE
PROVISIONS OF ANY OTHEFi STATE OR IOCAL LAW REGULATING CON-
ST UCTION OA TME PERfORMANCE OF CONSTRUCTION �111.25 Fire SC ��F.29
� � " � �O PLAN CHECK FEE TOTAI FEE
,3 j $117.68
S�GNAiUAEOFCON7F (;TOQOAAUTNOQ�2EDOGEN� IDATE� WHE PROPERIV VALIDATED THIS IS VOUR PERMIT
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S�GNntUAEO�OWHEQ�i�OwHEQBu��DER� iDA1E� � G �ti5o �+��E
FRIDLEY FIRE DEPARTMENT
FIRE PREVENTION BUREAU
NOTICE OF ORDINANCE VIOLATION
NAME DATE
ADDRESS
Notice is hereby given that you have violated Chapter
of the Code of the City of Fridley, as follows:
DAILY BURNING HOURS: (No
� burning between ihe hours of 8
P.M. to 12 NOON).
�_ NO APPROVED INCINERATOR.
INCINERATOR LESS THAN 15 FT.
3. From STRUCTURE.
OPEN BURNING WITHOUT A
4. PERM�T.
BURNING ON OR IN STREET, AL-
S• LEY, OR PUBLIC GROUND.
� ACCUMULATIONS OF WASTE MA-
TERIAL, GRA55, WEEDS, ETC.
REFER TO: BLDG, INSP. PLBG. d� HTG. ELEC. OTHER
You are hereby notified to Remedy the Conditions as stated above within
( Hours) (—_Days) from the date of service of this notice or show cause
why you should not be required so to do.
If at the expiration of this fime, the same conditions exist and no cause
aforesaid be shown, such furiher action will be taken as the law req�ires, includ-
ing Fines and/or Imprisonment.
By Order of the
CHIEF OF BUREAU
Robert D. Al�ricb, Deputy Fire Chief
Prepaid Plan Check $
Estimated Cost $
Receipt #
CITY OF FRIDLEY
R-3, CO1�IIriERCIAL & INDUSTRIAL
BUILDING PERMIT APPLICATION
Construction Address ��� �'j 3 �(� i y ��
Legal
Effective 1/1/2001
(763)572-3604
P,�'3�� �
Zoning
Owner & Address Tel# ( )
CONTRACTOR & ADDRESS �Q I I,�( !'�(E %��GC7��'1 %^p0�� y� S.{' r�/ ���_Tel# i��) 7�� –� rP %%
4�1/02 �i��'L��,� �r�;,�� � �n
Architect Reg.# Engineer Reg.#
TYPE OF WORK [] New
OFC. AREA: Length
WHSE AREA: Length
OTHER AREA: Length
APPLICANT
Sq. Ft
Sq. Ft
Sq. Ft
BUILDING CONSTRUCTION
[] Addition [] Alteration -Describe
o S�
Width
_ Width
Width
Tel #
Height
Height
Height
Sq. Ft.
Sq. Ft.
Sq. Ft.
Date
VALUATION
x $ Cost/Sq. Ft. = Valuation $ ) �
x $ Cost/Sq. Ft. = Valuation $ ) _ $�.�_� '�
x$ Cost/Sq. Ft. = Valuation $ ) TOTAL VALUE
Building Use Construction Type Occupancy Group
Air Conditioning []Yes []No Fire Protection Provided []Yes []No
Performance Bond Amount $ See Reverse for Schedule Received (]Yes []No
Permit Fee $ /�j O(�
Plan Check $
Fire Surcharge $�—��
State Surcharge $ 2� r y
SAC Charge $
Erosion Control $
Park Fee $
Spec. Assessments $
Driveway Escrow $
TOTAL $_
PERMIT FEES
See Fee Schedule on Reverse Side
In Excess of Prepaid Amount - See Reverse Side
.001 x Permit Valuation (1/lOth %)
$.50/$1,000 Valuation (See Sched. for > $1 Million}
$1150 per SAC Unit (Plans to MWCC for determination)
$450.00 Conservation Plan Review
Fee Determined By Engineering
Agreement Necessary [] Not Necessary []
feet x $15.50/foot
�
ATTACH STIPULATIONS
$1 to $500
$501 to $2,000
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $100,000
$100,001 to $500,000
$500,001 to $1,000,000
$1,000,001 and up
BUILDING PERMIT FEE SCHEDULE
$23.50 (Minimum Fee is $23.50 plus surcharge)
$23 .50 for 1 st $500 plus $3 .OS for each addn' 1$100 or
fraction, to and including $2,000
$69.25 for lst $2,000 plus $14.00 for each addn'1 $1,000 or
fraction, to and including $25,000
$391.25 for lst $25,000 plus $10.10 for each addn'1 $1,000 or
fraction, to and including $50,000
$643.75 for lst $50,000 plus $7.00 for each addn'1 $1,000 or
fraction, to and including $100,000
$993.75 for lst $100,000 plus $5.60 for each addn'1 $1,000 or
fraction, to and including $500,000
$3,233.75 for the lst $500,000 plus $4.75 for each addn'1
$1,000 or fraction, to and including $1,000,000
$5,608.75 for the lst $1,000,000 plus $3.15 for each addn'1
$1,000 or fraction
PREPAID PLAN CHECK FEE SCHEDULE
Per Minnesota Building Code - 65 % of building permit fee.
PERFORMANCE BOND POLICIES
When a building permit is issued for a commercial, industrial or a multiple dwelling
residential project which requires outside improvements, a Performance Bond or a Letter of
Credit shall be submitted to the City. The bond will cover all outside improvements, including
but not limited to landscaping, irrigation, curbing, blacktopping, screening fences, lighting,
water & sanitary sewer services, and storm drainage systems.
Calculation of bond amounts will be determined by the building permit values. The
bond amount will be 3% of the building permit value up to a 2 million dollar project or a
$60,000 bond. Actual amounts will be rounded to the nearest $100. The City reserves the right
to require greater or lesser bond amounts based on unusual circumstances. Projects with no
outside improvements, generally will not require a bond.
Bonds must remain open until the project is fully completed. Reproducible "as-built"
drawings of all exterior underground utilities must be submitted to the City Engineering Dept
before the project is considered complete and the bond released. All bonds will be held over
one winter and through the next growing season to insure the survival of all landscape
installations. The City will then inspect these properties in August of the year following the
initial planting. Bonds may then be released in October of that year if all improvements are
satisfactorily completed.