AF - 44899. �
� , Appficc�rion for Pawer PMnts and He�a�ing. Co�oling. Ventilation, .Refrigera�ion amd
Air Canditioning Systems and Device�s
PARTtAL RATE S�HEDULE
GRAVITY WARM AIR: RATE TOTAL ,
Furnace Shell & Duct Work . . . . . . . . . . . . . . . . . . . . . . . . . . 8.00 $
Replacement of Furnace ............................. 5.00 �
Repairs & Alterations—up to $50Q.U0 . . . . . . . . . . . . . . . . . . 5.00 $
Repairs & Alteratians each add. $500.Q0 . . . . . . . . . . . . . . . 2.50 $
MECH. WARM AIR
Furnace,Shell & Duct Work ta 12Q,000 BTU . . . . . . . . . . . .
each add. 60,000 BTi7 ....r ..................
Replacement of Furnace .............................
Repairs & Alterations—up to $500.00 . . , :-. . . . . . . . . . . . .
R.epairs & Alterations each add. $500.00 . . . . . ..: . . . . . .
8.00 $
2.00 S___._�----
�.00 $
5.00 $
2.50 $
$TEAM ox HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $
Furnace She11 & I,ine—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 BUR1�iER—to 3 gal. per hour . . . . . . . . . . . . . . . . . . . . . . . . 5.00 $
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to 400,000 BTII) . . . . . . . . . . . . . . . . . . . . . . . 5.00 $ -�i �
GAS FITTING FEES: NO RATE TOTAL
Ist 3 Fixtures ...................... x$1.50 $ !• ra
Additional Fixtures . ............... x .50 $
Gas Range to 200,000 BTU . . . . . . . . . . . x 2.00 $
AIR CONDITIONING �
FAN HEATING SYSTEM See Fee Schedule
VENTILATING SYSTEM $
ALTERATIONS 8c REPAIR3 TOTAL F$E $�- � d
ROUGH
FINAL
Dept. cf Hldgs. Phorie SU l-7470
/ �
. , � � 'r �� i
City of Fridley:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to da aIl 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. � Z , 19C�Z
Owner �-�.�C� * _ + l�a�-+�� .
Kind of Buildin/g�
l 1 n �
Used as
To be completed about
/ , � Q !e �
Estimated Cost, $ � °t-'v�
O—New Building Perxnit No. ���� ��eImit No.
DESCRIPTION OF WORK
HEATIN or POWER PI,ANTS�Steam, Hot Wate arm —No.—.�—
ade Nam�� eu-+t-� Size No. � 6��/'o-e '� Z
Capacity �«--o �� Sq. Ft. E.D.R. BTU Ii.P.
Total Connected Load �� ��� Kind of Fue
BURNER — Trade Name Size No.
Capacity Sq. Ft. E.D.R. BTU H.P.
(REMARKS—OVER)
Sign
By
�;;�.QZ 4M 7-59 Business Phone No. �-Z- ��`�
�
C�
Date:
�r.es �
l�.J
City of Fridley, Minn.
�
BUILDING PERMIT N� 6 6 5 2
�j�.s��
_.�'-�.: ��.�1��.._.. ( . �_..._._._.__._.____._._
.. ,
............_..._.._.._..___...._.......
C'"r'T�',� _ .:........_.�:����. . <" .::' - Builder _.. ..._._._ .: .. .:.....:.....__....._....._.
Address....._.._.__...._.._..._.___.._.._..._._..._._._.._._ ................ ..._...._...._.......---_ Address
���� � L CATI OF BUILDING
.
No. .._._............_..._._. Street ....._...... .. ._.. ....._...�.,�%�,r.-•------..._ P of Lot -----...._ ..._._.__._..___....._._.._....�
. ..... .••--
��1� 1�... Block ._..._.._k� -• • ---•-----..........._. Addition or Sub-Division .. .�__.. � _.._.. _ �_...__.._.___.._..._
Lot ..._ ._ .... . ..... - •-
, "' / ` �
Corner Lot ....._...�...._.. Inside Lot ----._......_...........__.........._ Setback .._ '._.�....----•-•.---....... Sideyard .---......_.!�-..___..�„�.'._.._._.__...r..
Sewer Elevatia� _._.._.._._._.___....__..__..._......_._..__._._.._.._..__......_ Foundation Elevation
� DESCRIPT{ON OF BUILDING
T U :
..._.._ . . _._... .__ Front _...l..%�_...Q �.. Depth � •-.�__ Height � �_.. Sq. F� ��.�.G
...��..,�..,..._.. Depth � �r�.... . Height . _ . .g�
_. .. ..__ .. ....._ .j� � ,�.. �� Sq. F�
,j-/ +� . . ._ ..
Type of nstxuction ......_ - ��r.!L�_....._.. Est. Cost .... .�...:�.�!.._"'�.'.�o be Completed ....._
Cu.
Cu.
FL _ ... �
F� �.. ...��
In cansideration of the issuance to me of a permit to construct the building described above, I agree to do
th� propased work in accordance with the description above set d in pliance with all provisions of
ordinances oY the city of Fridley. ,
�-• " --
J
In consfderation of the payment of a fee of $..���...._.....'�.._.., pe�rmit is hereby granted to._.___.__T ._._.____
..,.__.__..__....._.._ .............._....._.___. 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
8one 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, maintenan ' and moving of buildings
within the dty limits and this permit may be revoked at any�e,�xpq�► �' atio of any of the provisions of said
ordinances. // /1
Building Inspector
� NOTICE: �
'Ihis p�rmit do�s not �ovsr M�s eonstruetioe, ie�talHiHon for wirino. Plun�bino. oas h�atin�, »wK or wat�r. B� wn to sN
th� BuiWing Insp�etor for s�p�rat� p�emirs fo� fh� ibms.
OWNEP.' S NAME
ADDRESS
APPLICATION FOR BUILDING PERMIT
�---:------- -
CITY OF FRIDLEY, MINNESOTA
BUILDER�f,�,t S A � �"i' .� �t► �! �l.��� �t
ADDRESS �,�'„-:�S'� L�(,�/�I/G:3' 3% tf�'.�-
LOCATION OF BUILDING
No. _.. : Street �✓i'�5;',,� .5'T: Part o# Lot
I,ot. �'�1 �,�.�." Block � Addition or Subdivision T}��� G.�d�,�=. �.�,�i I-i�.�-
Corner� Lot ✓ Inside Lot Setback ��,�5'� Side-Yard /� �'�` �� �
5EWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form,Two.Certific,ates of Survey of Lot and proposed build-
ing locatfon drawn on these Certificates.
DESCRZPTION OF BtTILDING
To be used as:
S.�%ir a��° �a��:zz� wF- Front �•' DepCh.�'c�, "���° i��'J� Height � D
Sq. l�t. ,,���� Cu. Ft. � ��. �%1`�-�
Front Depth Height
Sq, Ft. Cu, Ft.
Type of Construction �,���,��_^ , Estimated Cost /�, d`x,��7
—T-r--
To be Completed f� t,,,�' ���0� �
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 an3
rulings of the Department of Buildings, and hereby declares that all the facts and
representations stated in this application are true and correct.
DATE _•�,,i�-,� o'��, '��.� �.SZC,NATIIRE �,., _ '��,
�- -
(schedule of Fee Costs can be foun�, �n.tl�e Reverse Side).
, , . .- � � . . . �
�
/
� {
Applica�ion for Power Plants and Hedting. Cooling, Ventila#ion, Refrigeration and
Air Conditioning Systems ond 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. �50Q.00 . . . . . . . . . . . . . . . 2.50 $
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU . . . . . . . . . . . .
each add. 6U,000 BTU .................... ...
Replacement of Furnace .............................
Repairs & Alterations—up to $500.00 .. . . . . . . . . . . . . . . .
t
� Repairs & Alterations each add. $500.00 ..............
8.00 $ ' �'�
2.00 �
5.00 $
5.00 $
2.50 $
S'�EAM or HOT WA1'ER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. FDR 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 BURI�ER—to 3 gal. per hour . . . . . .. . . . . . . . . 5.00 $
over 3 gal. per hour--See Fee Schedule
GAS BURNER (up to 40Q000 BTU) . . . . . . . . . . . . . . . . . . . . . . . 5.00 $ � "`�'�
GAS FITTING FEES: NO RATE TOTAL
lst 3 Fixtures .:.... ............... x $1.50 $�—
Additional Fixtures . ............... x .50 $
Gas Range to 200,000 $TU . . . . . . . . . . . x 2.00 $
AIR CONDITIONING �
FAN HEATING SYSTEM See Fee Schsdule
VENTILATING $YSTEM $
ALTERATIONS & REPAIRS TOTAL FEE ��
�• 4�-a
ROUGH
FINAL
Dept. of Bldgs. Phoae SU 4•7470
� � � r r � �t/ � /
�
City of Fridley:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do ail 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, 1Vlinn. �� � 'Y , 19 �3
, _ /
Owner
Kind of Building
Used as
To be c�
n�-.e
Estimated Cost, $
Old New uilding Permit No. ���^ �—permit No. �- `°
- DESCRIPTION OF WORK
HEATING POWER PLANTS—Steam, Hot Wa r, Warm —No.�
���
Trade Name .L�,rJ �–"`�'�= �� �! !"�'--='� = Size Nc���% � � `��
�_.__
Capacity �� Sq. Ft. E.D.R. BTtT H.P.
Total Connected Load �� ��� Kind of Fue C
�. -
BURNER - Trade Name Size No.
Capacity.
,
(REMARKS—OVER�
a��'�caz 2M
Sq. F`t. E.D.R. BTiJ ii,P.
Signe
ERFECTlON NfA11NG eICOMPANY, INC,
sy
Busines��� �� � �
� �ma _ � �� 3��
-t HEAT LOSS CALCUL.ATIONS DEPARTMENT OF INSPECTIONS MlNNEAPOLi5. MINN.
Weatherstrips A.S.H.V. . Construction Na Inaulation
'�^� Guide
�" indowa Doors Reference Out. Wall Int. Wall Ceiling Roof F7oor Kind How Applied
Yes—No Yes—No 19�
Room Length Width Height .� Room Leagth o Width' 1 o Height
Windows an oors—Crackage and Area Windows and Doora—Cracl�age aad Area
� � Nidth eight � No. ot Lineal ft. Area W(dth HeiBht No. ot � Ltasal �It.��, .Aret � �� �
No. ot pane o[ pane Ifghta of crack eq. ft. No. ot pane of pane Ilghte ot craek -��Q: tt. � . .-�� �� �
3 °' � 3G �
� �-- / -
� �
Coef. Btu `` Coef:� Bttt
Infiltration
Glass 3
Exp. wall
Net exp. wall
Int. wall
Ceiling f!
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
�1.� Room � Length � S� Width
Windows and Doors—Crackage and Area
Wldth Height No. o[ Lineat ft. Aret
No. ot Dane ol pane liBhts ot crack w. tt.
;ig:
h,
Coef. Btu
Infiltration p p ri�'U
Glaaa �"' �'e b •
Eap. wall
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
Required sq. f .D.R. or sq. ina. W.A. Leader area
. Room � Length � o Width '
Windows and Doors—Crackage and Area
Width Hefght No. ot Lfneal tt. Ares
No. of�yane ot pane ilghte � ot crack sq. [t.
v
i �.,P /'G �, ��t ,P
1n61tration � � �o ,
Glaas
Exp. wall
Nec exp. wa11 _ 6
Int. wall
Ceiling %jQ %
}� loor
Total Btu.
Required aq. ft. E.D.R. or sq. ins. W.A. Leader area
C�F�71
Btu
/b a
�
�
� T�d
IIn6ltration
Glasa
Exp. waU -
Net exp. wall
� Int. wall
,�
.� .
Floor
Total Btu. 3 8'a
Required aq. ft. E.D.R. or eq. in:. W.A. Leatkr area
.I Room ( Length Wic�h / o #ieight �
Windows and Doors—Crackagt and Area
i Width Hetght No. o! Llawt ft. k�bs
No. of psne O! pan� 1l�hU ot craek sq. it. '
'�
Infiltration �e� 3"7�p
Glaas
Exp. wall
Net exp. wall O
Int. wall
Ceiling :Q / �A 3"� �
Floar
Total Btu. i�s"a
r' � - �
No.
�
Infiltration
ft. �.n.R. or �,. ms. w.a. � � �
,�� Room I Length /q Widt!► O
snd Doora—Cracl�age and Area
Heieht No. of Llneal tA Ar�t
ot Paae tl6hb oL ¢rac�C ���. N1. !t. �. ..
s�� .� _ , / i �- r►
Glaaa - _ ___
Exp. wall
�
�
�
���o :.
���'�
Net exp. wall � p `
Int. wall
Cei�ing � / .� ""� �
Floor �"
Total Btu. � Q� '
' Required sq. ft. E.D.R. or sq. ina. WA. Lxadet atra '.
._. ,
_ ___-- , _
r�.
,.�
�
Permit Fee � .... . .. .......... '
APPLICATION FOR MECHANICAL WARM AIR HEATING RERMIT � '�I
No. P, .. . ....-- -
Date of issuccnee--------•---•---------. , 196_...__ Looation ................
�linneccpoli�, Jrlinit.,--•---•-•• . ......... ......... ........, X96...._.
Inspector of Buildin�s
The undersi�ned hereby mcckes application for c� permit for the in,stccLlrztio�t, dlterutie�n � rq�dtir bf
c� heatir��, ai,r corcdi,tionin�' or ventilatin�s system, device or equipment, cis he�•ein spteet fied, a�eei�,�` to do
call sz�eh zr�ork ir� strut caeeordcinee with the City Ordir�cirtees arul. rulin�s of the Dep�zrimen,t vf It�pe�iiort.�
ancl tli,e speei fieutions set fcrth in this ceppliecction a�.s cLpproz�eel and �'iled ire tjze Dn,partmertt of Ira��aeo�zoit,s.
Ourner..--•-•-•-•--•-•--•-••--------• ..............................•••--•--•---•....._..---....Rddre.ss of Ownsr.......---..._---•--••---...
Kinclof Buildin�'---�•--------------------------------•-•-----------•-------•----..How occunied..----•-•-------•--...--•---.._.__....__.:_..-----...
Work to be started--------------------------------------•-----------, 196.----- Work to be completed---------....._._..----•-•--•-•-----•-•-, 196._..._
Estimated G"ost �`----••-••-.••-••••••----•-------•----•-----••-------•----•.._.Old — New Baeildira� Permit No._..--•--• .....................:............. '
DESCRIPTION OF WORK
Note: Inasrt the word install, add, alter, or npair, aaording to which is to be done. Undsr "RNnorks,:' itemi:e �emaw4, # tas�� and
alMrations to squipment
----•----•---• ..................................Meahanical Warm Air Heating Plants—Furnaces •----.......---•------------• -�----•_ --:...... ..:......_
J�fake...--� ...............•--•--•-- --•--•-----•-•--•---------...-----------•-----....----.....-------•--•---....Size ...._..--•----•-•----.......-•----•- ----�-••- ----._... -------•-•
Connectec� load----------------------------•--•--•---------•--..._..-----•----•-•---------------•-•---.....Capacity .._...._._..-•-----•-•-------------.._.....-•----•----.....:....
Air Cond'itioning System: Summer — Winter —.flll YecLr,----------•---•----.....---••--•--------•----•------------------------------------------
rYlccke•---•••-•--•-•-.•-••.----------•--•----•---•-• ......................•--•-------•-••-•-•--- •-Capacity---•---.......----•------••-.._........Cj'm..._... _......:. ......_._
Ventilating System: .Make.......----•--• ...................•------------•-••-•-------------CapacitiJ•-------------••-----------�... Cfm....-----•---•--••--....._..._.
Remarks:................................................................••--.._..-----•--• -----._....__.._._....---.......-•--•-----------•----...._.__...._...:._.......__..................
Si�'ned..-•----------•------- ---....-----� ....... . ... .. .
By- --------------------•----•---...--•---•---•-------...----•--....-----••---... .,....__
.gpproved-------------------•-----------•--•-------....__...-----------------, 196--.... .qddres8._..:....__...---•---...--------••---••----•--.. _::._.... ...--•--•-
�---------•---• ......................•----------------------------------------•----------------------- Telephone----------•--------------••-----:_......:...---•----.............---
Irtape�stor.
---...-----�-----------------••---------• •-------------------�--•---------------•-----------------.._...-------•-----------•-•-•----....--•------•------------------•-----------...._...__..,._...--•--•--•-
. i- - .�. � � .. .
o-xo ��� �
City of Fridley
Applic�ation for P"lumbing and Cms Fitting Permit
U ".
�
/
DESCRIPTION OF WORK
Number, Kind and Locatiaa of Fixtures
f � Z = Z � _ } Z =
� � UI y �
< � � � � z � � � p
3c� � �F� � in 3�- o�
Base
lst % %
2nd
3rd
4th
• Futuss Conaect€on Openings
* New Fixiure. Old Openings
c�
C
� � Z U Z O S J U' Z
� go �� <3 c`�� �� �o
�
PARTIAL RATE SCHEDULE
WATER HTR.
• •
F N GAS ELEC.
3ewer �
cesspool n
PLIIMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures . . . . . . . . . . . . . . . . . . . . . . � x $1.50 $�/ D �
Future Fixture Opening ................ —� x 1.20 $�
New Fixture Old Opening . . . . . . . . . . . . . . x 1.00 $
Catch Basin .... .......... x
Water Heater (Up to 200,000 BTLT) ......� x
New Ground Run Old Bldg . . . . . . . . . . . . . x
3.25 $
2.00 $ � � �
3.25 $
GA3 FITTING FEES: NO. RATE TOTAL
lst 3 Fixtures ..........................�— x$1.50 $ 1�- d
Additional Fixtures .................... x .50 $
Gas Range to 200,000 BTU ... .. ....... .. x 2.00 �
REPAIRS 8c ALTERATIONS—Refes !o Code
Description ................................................$
TOTAL FEE $-_�s�
Depl, oi Bldgs. Phone $U 4-7470
Location �� �� � ���.�n1%� �e C .
City of Fridley:
The undersigned hereby makes application for a permit for the work herei
specified, agreeing to do all work in strict accordance with the City Ordinance
and ruling of the Department of Buildings, and hereby declares that all the facl
and representations stated in this applicatio are true and correct.
Fridley, Minn V � , 19�
�O � � - • �
Owner � ;��t-����
Kind of Building
Used as
To be completed about
Estimated Cost, $
Old New. uilding Permit No. �� J�'Z" Permit No. ��'Z�(O
�
Signe
By
Business une No.
ROUGH ' � "�
FINAL
az 2M
Basc
lrt
tnd
'rd
4th
s
53-a�-s-915.5�-
Cify � ftidlsy .
I1pplica�ion � Pla�ab�g aod C�at C�q P�
a�c. � aw�.. r�.�. seas�o .. .
DESCUPttott Of wOluc 6600 Anoka St. NE
Nwab�r. Kisd �ad Locatioa ot FfxtutN ~ ' r.....�.
�' w�rni �•t�.
�`s� 3 i� � �-�»i�� ��. � ���i3� �� �� �� o� . N c�s «cc.
Fut�» Co�elba O�ainqr
N�w fl�dnr�. Old O�de►ya
5....s
�
PARTIAL RATE SCHEDULE
pLONBiNG Fi2TURE RATES: !r0. MTE TOTAL
Niunber Fixtufes . . . . . . . . . . . . . . . . x i�.� i
PLturc Fixture O��ening . . . . . . . . . . . x =1.50 =._...
New Fixture Olc9 Opening . . . . . . . . . . x :1.50 =
Calch Bastn . . . . . . . . . . . . . . . . . . . . x f3.25 i
Water Heater :Up to 99,000 BTU► •••• x 33.00 i
New Ground Run Old Bld�. . . . . . . . . : f3.25 i
Fd�etaic W�t�r iLat� . . . . . . . . . . . . . . : j't,Op :
GA3 FiTTING FEEB: NO. RJ1TE TOTAL
lst a Fixtuta . . . . . . . . . . . . . . . . . 2 : �,pp = 2 • o0
wddltlonal �Uctue+a . . . . . . . ... . . . . . : i .�6 i
�ia� R�a�e to 199.000 B'1'tJ . .... . . . .... : f6.0� � -
State Surcharge $_ .50
AEPJ►IRS � 11LTEA�?IOUi—R�tn fo Ced�
���� �Install .(1) �Gas Lite .and .Grill . � .. � 6.00
ro►rN. �as � 8 . �Q
Cid ot Zlridla�r:
The uadersi�ned hetehy makes �pplication tor a permit tor tAe worlc T�erei:
specilfed. a�reeit� Lo do aII w►ork in strict accordance with the Qt,� Ordinana
aad ruliaa of tAe DepartmenL of Buildfngs. and Aereby declarea that all Lhe tsM`
� and tepreaentaUons stated fa this appUcattoo ue true aad correct
�ak,. �� JUN 5 1973 .,»_
��r Joan L. Klopeer �
Kind o! Buildia� Frame
U� � Res.
7'o be rnmpleted about 6l10/Z3
Estimated Cost, s 7-0.00
Ol� New. IIuilding Prrmit No. P•rmit No. 7 `�
s��ea^��`'y- D_�' � ����._
i
gy e�t1 NEGASCQ
Husinest Phvae No ,
-r �
' _
�
� ��
f ;' '�.�
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8431 UNlYER�(TY AVGNUE N.E., .FRIDLEY, NlINNES07A 55432
Y[LEPNONE ( 612)5Tt•'sA50
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OBSTRUC'I'ION:
/ %� r H� f!ErT�S�
',, �',,:, l':�'l� .'J t) �7 �i J}. �''�i ' r�,,; . . �..� �
Lot Block Addition
���° � - .ST� �2 G �.S
Praperfiy Oc,��er-.',dare �s
'%� �* N{
=� �l1 ,� t� ��`3
RECORD OF G0�11II;�IC4Ti0�tS.
l. 6 /6 �7 �`
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2.
3.
4.
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6.
7.
GITYOFFRldLEY1tJSP�CTi;:-.''; �
6�3i Universi'y Ava h�":
F�4dle}�. �
57�-- :�`
w��ater � _�Bath�
_, , +;;l:�set:: U-inal iub;:
-----
�asement
Floor 3
Flccr 2
Floar 3 �
.�:.:.__�—�:
_ _ "; ::� Wash
Shower Si:�k :: Tray
i
�� F,00� -r--- �__._. _ !- --- -----
--1----
PLUMBt�lG F1X�'LtRE S�ATES: NO, RA7E TrJ3AL.
; hiew Fixtures S 7.00
� �`- � ald O nin New Fixture �`���4
, cA� : P� 9 �
� `•� _ Beer Dispe�rser $ 5.�0
, �
� � - Blaw Of` Basin � �.o�
, �-
� r- ; ' S 7.44
� �r, � Catch Basin
� $ 7AC�
; c•a � Rain Water teader
� � Surnpf�e�eivinC Tank � �•��
� •• Water Treating Ap�liance 530,00
� � .
!-�' "�ter Heater -Electric � �•��
3ter Neater - Gas $10.00 �
�s �ange S1 �.44
�s �ryer -�14.4a
,+� Flow Pre�ve�ter �equired ( )Yes { } f��J
� z �5, 00
��
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rteinspection Fee 530.U0
ALL OTHERS AfYDJOR REPAIRS ANb ALTERATI�[�
1�6 of Va1ue oi Fir.�ure o� xp�. ;, �:-_� �_._.---.
�idrf' j'we.. ��_f;�,r�
TOTAL FEE
a _ ��F
�I��
Gr:�nn, rloor
�'�unt,. "< Drai�
. > 1
:�,u;�; ;.: Auto. i.�as ::::� Gas
�sin �.�Washer 'AHp ; . Ran
, _. I:
� '?n ,fanuary 1, 5993
� � ��
5C. j �,'�� ^°z•r I-�81iPf
t; . Elec
� I
.
,�aa �o�R�ss lJ��� �V� ��.�� _
The urtdersigned hereby malces application fa� s. permd �or the work here�n
specif+ed agreeing ta da a11 wark in strict accordance with the city oodes
and rulings of the Buiftfing Division, and hereby declares that a11 the facts
anc! reareserrtations s#ated in this app����ation are true and corre�t.
�/
_ � ;_J(�
Owr�er �J _.._� ��^
Building Used As ____ ,T____
�
�. -:_ ��� � // �� �
, » �,
RYAN PLUMBING & H�EATING
811 UNIVERSiTY AVEP�!1E
ST: PAJL, MINIV�SOTA 55104
224-477�
� �����
� . _. �
_ - G���/
ItJ1�,4UM FF:E FJR t'�N�'�'_.f'Ll)h�[3i�rIG`[i;�S PEI�l�S1T IS �15Pfl0
PLUS THE $�50 STAiE SURCF-tARGE
sua�ECT PER IT NO.
City of Fridley �" 17 4 4 4
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T �
f
' ' RE
� � •
i
• COMMUtJITY DEVELOPMEN7 DIV.
' j y- -
r i � PROTECTIVE INSPECTION SEC. /�.. ��/
� � /'��1 � CITY HALL FRIDLEv 55432 NUMBER REV. DATE PAGE OF APPROVED BV �
� ----�.' `.�
612-571-3450 910-F15 4/5/84 � /
JOB ADDRESS 6600 Anoka Street N. E.
1 IEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
oesca. 14,15 3 Oak Grove Additian SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Christopher Finney 6600 Anoka 5treet N.E. 574-1018
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 ❑.REPAIR ❑ MOVE O REMOVE
X
8 DESCRIBE WORK
r o
9 CHANGE QF USE FROM TO
STIPULATIONS
Roof can b.e 2nd layer but not 3rd, Install ridged galvanized
valleys wh.ere necess.ary.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY �OAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING. ASp�131t
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING SO. FT. CU. FT.
AUTHORIZEO IS NOT COMMENCEO WITHIN 6� DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWIG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINEO 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 �`]_�2SO $.63
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- $22�00
STRUCTION Ofi THE PERFORMANCE OF CONSTRUCTION.
LAN CHECK FEE TOTAL FEE
$22. 63
GNAT�IREOFCON CT ORAU� ORIZEDAGENT IDATEI WHEN PROPERLV I ATED THIS IS YOUR PERMIT
� ��u�.o-���j �L-i � /�p � �
SiGNATURE Of OWNER UF OWNEF BUILDERi 10 TEI BLDG iNSP �pT
N� [] ��. ��v� City of Fridley Effeetive 4/1l84
ADDN. [� R-t A�D R-2
yLTER. [ 7 Building Permit Applieation
Construction Address: � � O n �`- �' �`�
Legal Deseription: ���� �`�� �� .�..�.? � ��-�- �����'�-� � � ��^ '
Cb.c.t,� o ��..tc '�- V�o..v.��„ �� r.+��. �.
Propertq Owner/Address: loe o� ����o.. C��tr��" Tel. # s� �' �O'g
Contractor: ��-1 �n � _ _ Tel. #
Address•
Attaeh to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to seale.
DESCRIPTION OF IMPR09EMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA:
DECH AREA:
oTxER:
Corner Lot [ �
Length Width Height Sq. Ft.
Length Width HgtlGround Sq. Ft.
e C'ots.s'c �
Inside Lot [� Ft. Yd. Setback Side Yard Setback
Type of Construction: ��
Approx. Completion Date:
Estimated Cost: $ ia5o•08
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $ $
See Baek Page for Explanation
DATE: S �
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
SeWer Main Charge
TOTAL
STIPULATIONS:
� �� 5 `��—l0I£�
APPLICANT: Tel. #
CITY IISE ONLY
$ ��. O� Fee Schedule on Reverse Side
$ 25� of Building Permit Fee
$ °� 3 �.50/$1,000 Valuation
a �425 per SAC Unit
$ Fee Determined by Engineering
$
�� �3 Agreement Necessary [ ] Not Necessary [ ]
$
. _ „
Building BUILDING Permit No.:-�'7 - dl�3a �
Inspections RESIDENTIAL APPLICATION Received By: �-'
763-572-3604 CITY OF FRIDLEY Date xec'd: �l `► �� �
DATE � � � '
SITE ADDRESS �
THIS APPLICANT IS:
PROPERTY OWNER/
TENANT
CONTRACTOR
YOUR E-MAIL ADDRESS
❑ OWNER
N,vvtE: J �l h iV (' �x .t F{ ��
ADDRESS: �O - %�,?O t_7 A-aA{' f�
PHONE:��,7 - � 5'I � 75�� y
; �i� f
CITY C�K��� �����dS STATFlI�[LIPS`S//,,Z
SUBMIT A COPY OF STATE LICENSE #;,tC) j�,S L�ij � EXP DATE � U%
YOUR STATE LICENSE ADDRESS;v2�j� ��c, �� (1 r',t �`G.� �1.� CITY �if/ ril C'� �STATE�IZIP ,S D s�-
WITH APPLICATION pHONE �G� /_� - `'i l� / � ,-a� r? c �r'. Fax /, S / - ,� 7 % � �/� 9
PROPERTY TYPE
PERMIT TYPE
TYPE OF WORK:
❑ TWO FAMILY/NEW
❑ BASEMENT FINISH
❑ DECK
❑ NEW
❑ MAINTENANCE/REPAIR
DESCRIBE WORK BEING DONE: r+Q��50 �
SIZE OF IMPROVEMENT
ROOFING /,��- �,�� �
NUMBER OF SQUARES
GARAGES
PROPOSEDSIZE: � 2��U
PROPOSED HEIGHT:
SIDING
,�Vinyl
� Aluminum '
❑ Other
WINDOWS
IN EXISTING OPENINGS DYes ONo
OR FOR NEW OPENINGS-DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED _
❑ GARAGE/SHED
�tOOF
,� SIDING
❑ SWIMMING POOL
❑ ADDITION
,I�ytEMODELING
.�, �2,� � .' d �
❑ DRAIN TILE
❑ OTHER
LENGTH WIDTH HEIGHT
�HOUSE & GARAGE
�ATTACHED GARAGE
❑ DETACHED GARAGE
�Soffit
�Trim
Fascia
LOCATION OF WINDOWS
BASEMENT REMODELING SUBMIT:
1. Existing Floor Plan
2. Proposed floor p{an
3. List of structural members to be used
Ft.
FOR NEW CONSTRUCTION INCLUD[NG DECKS,
ADDITIONS. & PORCHES SUBMIT:
l. Site Plan/Survey showing the existing structures
and proposed project.
2. Two sets of construction plans
3. Energy Calculations
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $��(o � OCCUPANCY TYPE
Permit Fee $ � l l, �-�r"" See Back Page for Fee Schedule
Plan Review $ 65% of Building Permit Fee
Fire Surcharge $ �, y� .001 times the total job valuation
Surcharge $ �, a. � .0005 x Permit Valuation Minimum $.50
License Surcharge $ �j , p� $5.00 (State Licensed Residential Gontractors)
SAC Charge $ $1675 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Total Due
$ ft+68= ftx$21=$
$ $450 Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement necessary ( ) Non Necessary ( )
$ ( � 5 Make checks payable to: City of Fridley Attach
THIS IS 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 Cades; 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 whic require r ie and approv - f plans.
SIGNATURE OF APPLJCANT PRINT NAME ��%/ � �/� ��DATE �` ���� l
Building BUILDIN ermit No.: �
Inspections RESIDENTIAL APPLICATION Received By� AR O
763 572-3604 CITY OF FRIDLEY Dat��ctM 9
DATE 03/26/07 YOURE-MA[LADDRESS estherdCprobuiltam. com
SITE ADDRESS 6 6 0 0 Anoka S t
THIS APPLICANT IS: ❑ OWNER ❑CONTRACTOR �—� �� M C�L !
1 �
PROPERTY OWNERf NAME; John Varhol C'vQ, c� �- ��i�>-Ci%
TENANT ADDRESS: s ame a s s i t e cirY sTaTE zir
PxorrE: 612) 799-7594
CONTRACTOR NAME: PY'OBUllt America
STATELICENSE# BC-20356847 EXPDATE U.i/ UtS
SUBMIT A COPY OF � L 11 11 L ri AV 2� 5 5 lb
YOUR STATE LICENSE �DRESS: ciTY North S� sTarE_z[r
W ITH APPLICATION rxorrE 6 51- 7 7 0- 5 5 7 0 FAx 6 51- 7 7 0- 0 4 9 5
PROPERTY TYPE � S�GLE FAMILY/NEW CONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCT[ON 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
DESCRIBEWORKBEINGDONE: Replacinq 7 window, not chanqinq sizes
SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT S. Ft.
ROOFING ❑ HOUSE ONLY
NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT:
GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan
PROPOSED SIZE: ❑ DETACHED GARAGE 2. Proposed floor plan
PROPOSED HEIGHT: 3. List of shuctural members to be used
SIDING FOR NEW CONSTRUCTION INCLUDING DECKS,
❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT:
❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures
❑ Other ❑ Fascia and proposed project.
WINDOWS 2. Two sets of conshuction plans
IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations
OR FOR NEW OPENINGS-DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS 2
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING THE 199'7 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $ 15 2 6 OCCUPANCY TYPE
Permit Fee
Plan Review
Fire Surcharge
Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Total Due
$
$
� r' /n
c
$ �'���
$
$
$
$
See Back Page for Fee Schedule
65% of Building Permit Fee
.001 times the total job valuation
.0005 x Permit Valuation Minimum $.50
$5.00 (State Licensed Residential Contractors)
$1675 per SAC Unit (Plans to MWCC for determination)
ft+6ft= ftx$21=$
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary (
Make checks pavable to: City of Fridley
THIS IS AN APPL[CATION FOR A PERMIT-NOT VALID UNTIL PROCESSED
Attach
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 wark will be in accordance with the approved
plan in the case of all work which requires review and avnroval of nlans.
SIGNATURE OF APPLICANT
�...h--
PRINTNAME EStY12Y' Dahl
03/26/07