AF - 35640� �
BUILDING PERMIT
Village of Fridley, Minn. No
Date . r. . . . :/. � j . � �.��. . . . . . . .
Owner �. �.!�� `�� . . .
Addre .(0. . ���. . �!L�l'� . . . . . . . . . . . . .
Builder
Address
294�
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LOCATION OF BUILDING
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No. ": .��/ . .. . . . Street . . .��-�r:�� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Part of Lot%!az!!!!y / ,
�,.
Lot . . . . . . . . . . . . . . . . Block . . . . .Q'.�. . . . . . Addition or Sub-Division /CI�/rr. • � �t�.'�i�rr• `•'•`•` . . . . . . . .
/ i ff i M�� .
Corner Lot . . . . . . . . . . . . Inside Lot . v . . . . . . . . Setback . ��. . . . . . Sideyard Y. . . . . . . j.�J . ,,�Lif�'riw
To be Used as:
Type of Construction�
DE��R[PTION OF BUILDING
!f� f, � /
Front .�.�.�. Depth�.�:�.�'.Jiieight� Sq. Ft. �.�:5. Cu. Ft. ........
3;�f� /�7
Front / . . . . . Depth �. P� . . Height . . . . . . . . . Sq. Ft. .°? . ?. J . Cu. F't. • . . . . . . ,
� . . Est Cost . %. �r. .�,..s"' . . . . . . To be Completed . . . K . � :'.°''.`. .'�.�'. . .
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In consideration of the issuanee 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
c�rdinances of the village of Fridley.
..............................................
In consideration of the payment of a fee of $�4,��permit is hereby granted to �...�'I�lv.��: ......
.. to eonstruct the building or ad ditian as described above. ' permit i�s granted upon
the expreS� 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 af
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with-
in the village limits and this permit may be revoked at any time upon violationq� any of the provisions of said
ordinances. � �9 / /.I /
! Building Inspector
NOTICE:
t
This permit does not cover the construction, installatid� or alteration for wiring, plumbing, gas heating,
sewer or water. Be sure to see the Building Inspector for separate permits for these items.
- �- ��
Ci�y of Fridley
A�p�p�i�catian for Pl�nnbing cmd� Ga5 F'itting Permit
DepL of Bldgg. PY►ane SU 4-7470
DE3CRIPTION OF WORK � 7 7/ �
Number, Kind and Locatioa of Fixtures L��9" °'� ��
N N � Z WATER HTR.
��.� z N z ��,r zz 3 OQ �� �= a t� Z s +
� 3� ��� m � 3� o� N LLo $m a3 �a �� �O F N GAS eLEC.
Base �
ist
2nd
3rd
4th
• Future Consiection Openings CO��� �h
I Sewer
* i+dew Fixture, Old Openings ���1 �
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RA1`E TOTAL
��� ,�O
Number �tures . : . . . . . . . . . . . . . . . . . . . . � x $1.50 $`L.Z'�.
Future Fixture Opening . . . . . . . . . . . . . . . . x 1.20 $
New Fixture Old Opening .............. x 1.00 $
Catch Basin ............................ x 3.25 $
Water Heater (Up to 200,000 BTiJ) ......_.� x 2.00 $ � d�
New Ground Run Old Bldg . . . . . . . . . . . . . x 3.25 $
GAS FITTING FEES: NO. RATE TOTAL
lst 3 Fixtures . . . . . . . . .. . . . . . . . . . . .. . . . .--� x $1.50 $ / S O
Additional Fixtures .................... x .50 $
Gas Range to 200,000 BTiT . ............. x 2.00 ¢
REPAIRS Fc ALTERATIONS—Refer to Code
Description ................................................$
ToTAL FEE 4 D
City ot Fridley:
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The undersigned hereby makes application far a permit for the work herein
specified, agreeing to do all work itt strict accordance with the City Ordinances
and ruling of the I}epartment of Buildings, and hereby declares bhat all. the facts
and representations stated in this application are true and. corrcct.
n _ Fridley�.1 vZ � � 19-1 �
Owner
0
Kind of
�
Used as
0
To be completed about
� �.
Estimatea cost, $
Old—New. Building Permit No.12( �„jN , , �
19—
`iL�y�' ' 19—
BY���-� ,
Business Phone N
Connectian Permit No . .......................................................
11 1M-8-58
Water
Sewer
Meter Deposit
, . ,,
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CITY OF FRIDLEY
5?-BR�-�3 9001 APPLICATION FOR PWMBING AND �AS FITTING PEt�1IT
y �, a '� � k a� Water
A w[.,�, y p �a`�i p, w � Heater
� u .�+ E+' m H•�+ m s� H ro s+ a �
•.+ '.� U h C N X t� C! Y�1 .0 �� O� � �. V 01
li �J '^ � L •N C N �.�i 7 O S • J N iJ p1 N N N .�:
° != ° �, � ,y •a m ►+ o .c .-r ro m 7 ro ro a ro +�
�, r � � d q N a Q w y w c� a+ a r � � � o as • lec
_<
lst co _ne t r
I 2.:d
� 3z� j
a t.n �
(R) = fl�tuze Connection Opening Connected with Sewer
(*) _ :dew Fixture, Old Opening Water
PARTIAL RATE,SCHEDULE
PLU�IBII�'G FIXTURE RATES: N0. RATE TOTAL
hL.:.;er £ixtures
Ftiture Fititure Opening
t:ew Fixture, Old Opening
Catch 3�sin
Water Y.eater - to 99,000 STU
100;000 BTU to 199,000 BTU
F7ater Softener
Ne� Grour.d Run Old Building
Electric Water Heater -
GAS FITTI\G FEES: �
lst 3 fixtures
A3ditio�al Fix tures '
Gas Range to 199,000 BTU
REPAIRS $ ALTERATIONS
First S�00.00
each add. $100.00 or fraction
x 53.�0
X $2.00
x $2.00
x ss.00
x $ 5. 00
x 510. 00
' x $7. 00
x 55.00
x $5.00
$
S
S
S
S
$
S
$
S
x $3.00 $
x 51.00 S
x S7:0. 00 $
State Surcharge
TOTAL FEE
REINSPECTION FEE
($]0.00)
55.00 S
$2.00 $
$ .50
$ �s,oa
�
Job Address • 6331 Able Street AIE
,s Department af Buildings
City of Fridley
Te2. #572-3450
The undersiqned hereby makes application fo: a permit for the work hezein
specified aqreeinq to do all work in strict accordance with the City Codes
and rulings of the Departaaent of Buildings, and hereby declares that all
the facts and representations stated in this application are true ar.d correc
Fridley, kn. 11-10-76 , 19
OWNER PAUL ii�NDERSON
KIND OF BUILDING rame
USED AS r�'S.
TO BE COMPLETED ABOUT 1�--�-8-76
ESTIMATED COST 1'O.00
OLD - NEW BUILDING PERMIT N0. PERMIT N0. Y�
C��-�-°--
Company � 1 ^ /J� � �
- . i.G�>l��'-�G`;.-.
Signed By
GASCO
Tel. No.
ROUGH INSP.
Date
FINAL INSP. �� � F '� � �
Date
APPROVAL I�'OR PERMIT
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50
- � �� ' . _,
CITY OF FRIDLEY
Effective Date May 1, 1988
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VE M'ILATION, REFRIGERATION AND
AIR CONDITIONING SYSTEMS AND DEVICES
FATE SCHEDULE
�ESIDEI3TIAL
Furnace Shell and Duct Work,
Burner (Also replacement furnace)
Gas Piping
(piping needed with new furnace)
Gas Range
Gas Dryer
* Air Conditioning (all sizes�
All Others/Repairs and Alterations
1� o£ Value of Appliance or WorY.
COMMERCIAL/INDUSTRIAL
1$ of Value of Appliance or Work
Reinspection Fee
RATE TOTAL
$ 20.00 $
$ 10.00 $
$ 10.00 $
$ 10.00 $
$ lo.00 $ 10.00
$
$
State Surcharge $ .50
TOTAL FEE $ 15.50
(Sls.00) '� $
Rough Insp.
Date
Final Insp.
Date
Approval for Permit ��_
Job Aaaress 6331 Able St. NE
Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432
City of Fridley
Tel. #5�1-3450
The undersigned hereby makes application for a peztnit for the wark herein
specified agreeing to do all work in strict accordance with the City Cades
and rulings of the Department of Buildings, and hereby declares that all the
facts and representations stated in this application are true and correct.
Fridley, Minn. ,111ri2 2� lg �8
OWNER �anl Hendersen
KIND OF BUILDZNG Frame
USED AS Regdl2rit121
TO BE COMpI,ETED ABOUT
ESTIMATED COST y�IHOO.00
OLD - NEW BUILDING PERMIT NO. PERMIT NO. _�� �p►�.
DESCRIPTION OF FURNACE/BURNER
** INSTALLING ONE (1) CARRIER
38ES024 2 TON ATR CONDITIpNi�TiNC or POWER PLANTS, steam, xot water, warm Air- No.
Trade Name Size No.
MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00'
PLiJS $.50 STATE SURCHARGE
Attach stack verifiaation foun with. replacenent furnace pe�its
*Air Conditioners can not be placed in side yard without
written permission fraa adjoining neighbpr,
Capacity
1bta1 Connected Load
BURNER - Trade Name
Capacity
Sq. Ft. EDR BTU HP
Kind of Fuel
Size No.
Sq. Ft. EDR BTU HP
Company . Dependable Heati'ng and A/C
Signed By �`
Te1. xo. 757�5040
SuBJECT
City of Fridley
AT THE TOP OF TME TWINS g � I L D I N G P E R M I T
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� • COMMUNITY DEVELOPMENT DIV.
V PROTECTIVE INSPECTION SEC.
, 1 "" ,
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� = i"'1 � CITY HALL fRIDLE� 55432 NUMBER
�""'�� ,�J 612-571-3450 910-F15
J08 ADDRESS 6331 Able St NE
t LEGAL �OT NO. BLOCK TRACT OR ADDITION
oescR. 21 2 Moore Lake ]
2 PfiOPERTY OWNER MAIL ADDRESS
Paul Henderson Same
3 CONTRACTOR MAIL ADDRESS
Town & Country Roofing 9403 Minnesota Ln
4 ARCHITECT OR DESIGNER MAIL ADOFiESS
5 ENGINEER MAIL ADDRESS
REV. OATE PAGE OF
9/10/98 � �
lands
21P
27696
�"9� 3
APPROVEO BY
SEE ATTACHED
SHEET
PHONE
571-7305
PHONE LICENSE NO.
;-4��� �M91 �R9
PMONE LICENSE NO.
PHONE LICENSE NO.
6 USE OP BUILDING
Residential
7 CLASS OP WORK
❑ NEW O ADDITION O ALTERATION � REPAIR O MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house & garage (23SQ) Tear-off
9 CHANGE Of USE FROM
TO
ISTIPULATIONS
Underlayment must comply with the State ,Building Code.
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, �
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULI AND VO�D IF WORK OR CONSTRUCTION ZONING
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 OAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DN
I HEREBY CERTIfV THAT I HAVE READ AND EXAMINED THIS APPIICATION
AND KNOW THE SAME TO BE TRUE ANO CORFiECT. ALL PROVISIONS Of LAWS yq�UAT
AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL 8E COMPLIED
WITH WHETHER SPECIFIEO HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHOAITY TO VIOLATE OR CANCEL THE pERMIT
OCCUPANCV GROUP IOCCUPANCVlOAO
SO. FT. CU. FT.
UNITS
STALLS
$1,971.00
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $62.25
STRUCTION OF THE PERFORMANCE OF CONSTRUCTION,
PLAN CHECK FE
�G��,�-�( � S � � - / f�-- � License
SIGNATUAE OF CONtRAC OR OA AUT OAIZED AGENT IDATEI EN 1
SiGNATURE OF OWNEA i�F OWNER BUILDEAi IDATEI p� [; tic
FSTHEET PARKING
GARAGES
iHTAX � . 98
Fire SC $1.97
TOTALFEE
$5.00 / 70.20
��
f)A
AUG-13-1998
..�... � �
ADDN j ]
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_._ ._ - _. - ---- __ _ _
08�42 FROM CITY OF FRIDLEY TO
CTI'Y OF FRIDLEY
SINGLE FAMII,Y AND DUPLEXES ii i AND It_2
BUTL�ING PERMIT APPLICATION
8589320 P.01i02
r.�iex;uvr ti uya ' ^
�w
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ConsauctionAddress: �D 32� L �4�,�_ �,� �t
I.egal Description:
Owner Name & Address: �
��P�,rv�� Pu� �,ti, Tel. M c� `-(1 '" � �s6��
�--- --
Coutractor: � V► MN LICENSE �
Address: a/ � b� ��► r�n�2, �'-�� Tel. #� �(,�' L��-?�-
Z ;Y� ;
�►ctach co this application, a Ce�tiScate of Survey of the
loc, wich the pmposed coastruction drawn on it to scale.
LIVING AREA:
GARAGE AREA:
nECK AREA:
OTSER:
� �
Consuvction Type:
DESCRIY''Y'YON 4F ID�II'xpV'�;,MENT
Len�th _ width xeight sq. Ft.
--� __.._
�n8� • Widtb� _ Height Sq. Ft.
�g� Width � HgVGround Sq. Ft.
Driveway Curb Cut VilidEh Nced�;
DATE: � � � l �
Permit Fa
Fire Sum.harge
State Stu+charge
SAC Cbargc
License Surchazgc
Driveway F.scrow
Erosion Cont�rrol
Parlc Fee
S�wer Main Charge
roT,�.
• STIPULATIONS:
�� cost: $ �s� �9�1 � _
(Fee ScheduZe on Back)
F�. + 6 Ft s Ft Y S
=a
$ ��� �S
$ �
$
$
$ _ 4v0
$
$
$
$
$ �d2C�
�
_ _ I
y �. � v
Foe Sch�oduk on Reversc Sida
.001 of Permit Vaivation (1llOch9�)
$.SO/51,000 Valuuion
$1000 per SAC Unit
�S.QO (Statc L'uenscd R�sidential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Couservation Piau Revi�w
Fee Aet�ermined by En8�8
�� Noc�ssa�+ I J Not Nocessary I l
.. ►.
. HOUSE HEATING TEST RECORD
,+� � -� !, ,�•, I
ADDRESS Ct' < " ,-,� � Y�j�%f% ) � I"j-�'ir �
� � � A!'T. FLOOR ClTY �UBURB�
OCCtJPANT �'��v'- �' f�C'.:' ���r- <;Ci �i OWNER Sr��Y?��
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY �� �� � 7�t:r! /'"�"' .-%7"°1 � c
Electrical Work By Gas Line 8y ��°�"'�-'
TYPE OF HEAT GA FA ,��HW STEAM SPACE HTR. UNIT HTR. OTHER
� GAS DESlGN CONVERSION
MAKE ���/�'�^�' MAKE OF BURNER
Model '�i � �� �C� fv C-`l �` �-�- Model
' Serial (� E�-``� ���% Max. BTU Rating
INPtlT �T,• �'�� MAKE OF FURNACE
Model
CONTROLS _, j (
THERMOSTAT �`� ? H�y° t PI Vent Size
Valvs —�s �� ''�"x �"n>'n���(1 �+ KIND OF L1NER SIZE $_�_NONE
Limit Droft Hood " d �'� Rsgulutor
Limit Sefting Filters Size ��u�-✓iL� —Number
Fan Setting �P`/`�"'•`� e" Chimney Location Inside 7�^ ; Outside '
Pilot Type � vt+� himney Construction
Pilot Make
Pilot Model Smoke Bomb Wiring �
Pilot Timing `� ��'� Draft Test Tag �''
L.W. Cut Off Door Prossure Lighting Inst.
C
Proasuro �' � Percent CO2 � Date Tested � d ��'
� Percent O 5 Company Testing � �- - C''
Input CFH
Stack Temp. -��� Pereent CO2 �'s' �`++�- Name of Tester �`
Form 235