AF - 44491�
�
.
City of Fridley, Minn.
BUILDING PERMIT
Date: ___..r.:U13�._.�0._,;_____19�..._..�_
3ya�3
N° 8912
Owner: __G,_. H.,� STAFFORD �.._ Builder _._____ PARK . REGION_DEVE�,.Q..P�_S�.Q.._
Address _..._5125_..St,. Moritz Driye ._.___.._.._..._._._ Address _.�_.._....�.2�.�...High�nza�r_._.�8,---.
Minneapolis, Minnesota 55421 Minneapo 'G 78� Minn_cnta
LOCATION OF BUILDING
No. ____1510___.. street ._._...__BE1_�13E ��_._..__��....._..._..._-----._..._._. part of L,ot ._.._..___...__.._.....r __.
Lot ...._...._._13.__.__ Block ._.._._.._..__.2._..--•-•----- Addition or Sub-Divfsion ...._.._INNSBROOK,,,_STH AD.��.�I01�
Corner Lot ___...X...._...._ Inside Lot __.___.._.....___._..._._.. Setback ._.___._38 �__.._........ Sideyard ._..._.. 3.�_� -
Sewer Elevatia� ..___..___._..._..�__..._..�_.�----.._._..____._ Founda.tion IIevation
DESCRIPTION OF BUILDING
To be Used as:
_.I2�LI�....___.._.__ Front _..._5.�.._.� DePth _..._2,F�..._ Height ....._.._.__.._.. Sq. FL ___._.�._ Cu. FL .....�Z.,.�9 7
_����.._.._._....._..._..__ Front � 8_...__ Depth _.? 2� 6�� Height ._..__._.._._ Sq. F't. _.�..........._. Cu. FL _._.b.,5$ 0
Type of Construction _.____. FRA'M'F' _._.m_.__.. Es� Cost __.$27_�.11.QD....__..._..._.._ To be Completed _..._..._...—� —.
In conaideration of the issuance to me of a permit to construct the
th� proposed work in accordance with the d�scription above set forth a
ordinanoes o! the city of Frfdley. /
�~.
I �ee to do
��Favisions of
�r � �
In caaiaideration of the payment of a fee o! �_�.$...QQ ._..W_.., p(�it is hereby Sranted to— P� ��I�
DEVELOPMENT C0. to construct the building or addition as described above. Thiape rmit is �anted upoa
the expresa condition that the person to whom it is granted and hia agents, emPloyees and workmen, in all work
done in, around and upon said building, or anypart thereof, shall oontorm in all respects to the ordinancee o�
Fridley, Minnesota regardin$ location, constructfon� alteration, maintenance, repair and movin8 of buildin�
within the dty limits and ttvs perinit may be revoked at any time upan violation of any o! the D�visians o! sa�d
ordinanc�s.
CLARENCE BELISLE BuildinS I�upecta�
NOTICE:
ihit p�nah doa aof eewr fiw eenNroaltea, bulaqNien �e� wkin�. P�Y. �p ti��Y� snw�r er waNU N wa fe �
fh� WiWino in�p�else fe� NpMah p�nniM fer th� k�n.
.,> .
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDq,EY, MINNESOTA
OWNER' S NAME � /t G� BUILDER .,c �1L,Li--�-1 r°�' r fL�._`�l�
�
ADDRESS ,�'/� � �� ���.,��—annxESS �,�� ��' G��/r/ J�
LOCA7'ION OF BUILDING
N0. R�� /� STREE'r �,P n rr /< .� PART OF LOT
LOT %,`� BLOCK �, ADDIZ'ION OR SUBDIVISION �,.� ,s�y ,� a a/� S ��� �
�
CORNER LOT,�INSIDE LOT SETBACK_s� �S � SIDE-YARD /,S
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and propoaed
buf2ding location drawn on these Certificates.
To be used as•
DESCRIPTION OF BUILDING
�
� / , .� S �
_ � ,�G�s� r /�/ � C Front�Depth�Height 2 �/ -0 �► �
/ -� � �' � �� � =� '� ��s� `/` 7
Sq. Ft. 2 Cu. Ft.
� i� �
CC�r i/ �- �-r Front �� Depth � 2 GHeight / S
Sq. Ft.- � ��.�Gu• Ft• Qr�. � ,9-=
.�.__
Type of Construction_ ��j,� �.-� � Estimated Cost �,�d�, p�(�
To be completed_ � � / �
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do al]. work in strict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that a11 the facts and representations stated in this application
are true and correct.
DATE_ �/ ti �'1 -r' � U SIGNATURE
(Schedule of Fee Costs can be found on the Re rse Side).
��
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Application �or Power Plants and Heating, Cooling, Yentilation. Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR:
RATE
Furnace Shell & Duct Work . . . . . . . . . . . . . . ... . . . . . . . . . . 8.00
Replacement of Furnace . . . . . . . . . . . ... . . . .. . . . . .. . . . . 5.00
Repairs & Alterations--up to $500.60 . . . . . . . . . . . . . . . . . . 5.00
Repairs & Alterations each add. $500.00 . . . . . . . . . . . . . .. 2.5U
MECH. WARM AIR
TOT�
� �
�
$
$
Furnace Shell & Duct Work to 120,000 BTIT . . . . . . . . . . . . 8.00 $
each add. 60,000 BTU . . .. ...... ...... .. . . .. . 2.00 �
Repiacement of Furnace . . . .. . . . . . . . . . . . ... . ... .. . . . . 5.00 $
Repairs & Alterations—up to $500.00 . . . . . . . . . . . . . . . . . 5.00 $
�
�
Repairs & Alterations each add. $500.00 . . . . . . .. . . . . . . 2.50 $
3TEAM or HOT WATER SYS�'EM
y
Furnace Shell & Lines—ta 400 sq. ft. FDR Steam ...... 8.00 $
Fumace 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 BUR1vER—to 3 gal. per hour . . . . . . . . . . . . . . . . . . . . . . 5.00 $
over 3 gal. per hour—See Fee Schedule �
GAS BURNER (up to 400,000 BTU) . . . . . . . . . . . . . . . . . . . . . . . 5.00 $
GAS FITTING FEES: NO RATE TO L
lst 3 Fixtures ...................... 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
Location �.�/�� r77�,�2/�%: J�, �L7 '
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.
AU� 3 -1966
F`ridley, Minn. , 19 —
�T�� --� c_ /,�
�wner T.�,O � i�'i=�ii0 �c� .�i�1/• L f -
�--
Kind of Building f"..2 -
Used as s--�'� � �� " _
To be completed about ��j �� jC��
np
Estimated Cost, $ �� � U �
Old New. uiiding Permit No. — � a Permit No. � 7� v
DESCRIPTION OF WORK
HEATING , Warm Air—No.— � _
Trade Name , %���fi � Size No. �f �' �'�`->��
Capacity Sq. F't. E.D.R2� p`�`-�-% BTiJ H.P.
Total Connected Load � Kind o! �e1 �°��' =�
BURNER — Trade Name �/�-v-�� Size No. �L�'
Capacity Sq. Ft. E.D.R,1�� �� �� '��� H.P.
� VI�ING HBATING $ AI� COND. CQ
�'d , / f�S � � cooDiucs w�ls. e.
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(REMARKS-OVERJ
�[iNrTBApOLIS 24, iOL�Yi.
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By " �
�,= sM Business Phone No
D•S6 2 5 �,.."' F"'.� tJ � � 1 t 1�� _. ��� b z r� 3
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HEAT LOSS CALCULATIONS DEPARTMENT OF BiJlLDINGS MINNF.�►P01.iS. ,MiNN•
Weatherstrips A.S.H.V. . Construction No. Insulation
Guide
Windows Doors Reference Out. Wall Int. Wall C,eiling Roof F1oor Kind How Applied
Yes—No I Yes—No 19._
Fl.� ' y L; p;\j Room � Length �,,, Width j=� Height � Fl.� �'; � m Length Width Height
Windows and Doors—Crackage and Area ;A �� Windows and Doors—Crackage and Area
� �Vidth Height No. ot Lineal ft. Area Wldth Height �No. ot Lineal ft. Ares �
No. o[ pane ot pane Ilghta. of crack sq. tt. . No. ot Dane o[ pane ttBhts . of crack sq. tt. � .
' ` �.T
t'� 7:e1 }�� .. � �.. 6,i� t
,� �'.? '� ' - � � ,
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6
Coef. Btu Coef. Btu
Infiltration �. '�=c''' �-"� �; t;�� Infiltration �"'a.'` �'
Glass ` �, � ; ,», .
-. i ,.+ ;.r `
Glasa a .:
Exp. wall ...z �C� t"_ ' �r., Exp. wall ,.3 .� 1 � '�,i
Net exp. waU ' `� p r- `� Net eap. wall � L,..
Int. wall Int. wall
Ceiling Ceiling �,
.�
Floar ' Z. �..;.'. Floor %
Total Btu. '"'� `�� `:' ` Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. 'tna. W.A. l.eader area
r' Fl.� ' E; i}'� oom � Length �;; Width :~?..Fieight `� � Fl.� ' i,, �'�Room � Length Width Height .
;�
Windows and Doors—Crackage and Area Windows and Doora—Crackage and Area
. Width Helght No. ot Llneal ft. Area � Wldth Helght No. o( Lineal tt. Area .�
No. of pane ot pane ❑ghb of crack sQ. ft. � �
No. ot pane ot pane lights ; ot crack . ea. tt. .
.� �i � ry (' % . , i � � ~ •+: . . i � .
�
Coef. Bcu Coef. tu
In6ltration �` :, J � ` !` ' `'. � � In5ltration t #� �
Glasa ' � � `� �` � f� '�r �.3 Glass ��'S �` �.-
Exp. wall � �, ��, Exp. wall -
Net exp. wall 1" �:� i'=�:� 1�- Net exp. wall �
Int, wall Int. wall �-- . .
Ceiling Ceiling �
Floor `(+;, � Z,, � .`� , <.�, �.,t '7 Floor
Total Btu. 'fotal Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required aq. ft. E.D.R. or sq. ins. W.A. Leader area►
( Fl. `"� �t � oom � Length � • Width � .�;. Height � �.� �-_ �; ` '�: '' Room I Length / Width " Height
Windows and Doors—Crackage and Area Windowa and Doors—Crackage and Area
� W1dth Hetght No. ot L[neai ft. Area Width �Hei�ht No. ot Ltneal [t. Are�
No. ot pane ot pane SSghta ot crack sq. ft. No. of pane t pane Ughts ot crack sQ: tA
r. 1
� �Ij � � �� # � �
�_ _ i .� ��•, � �a- r � .
Btu
Inhltration � �� `"� �
Glaas `
Exp. wall �. i._ "� b t�...
Net exp. wall '� " '
1nt. wall
: Ceiling
� l� loor - "�,. r
;. �
,,�p ' Total Btu.
RequiTea sq. ft. E.D.R. or sq. ins. W.A. l.eader area
Infiltration
� Glasa
, Exp. wall i � iG. � �.
� Nec exp. wall
Int. wall
Ceiling �
Floor �
�s
��
r��
�
� } Total Btu. . '
T Required s4. ft. E.D.R. o� sq. ins W.A. Leader area
_ ;, . .. ,
D46 Z 5 • . « ,o,
HEAT LOSS CALCULATIONS DEPARTMENT OF SiJ1LDINCS MINNEAPOLtS. ,MINI�: �
Weatherstrips A.S.H.V. . Construction No. Insulation "
Guide
Windows Doors Reference Out. Wall Int. Wall Ceiling Roof F1oor Kind How Applied
Yes—No Yes—No 19_
` Fl.] _. Room � Length Width Height "� i�� FI.� ti.� Room Length Width Hei
Windows and Doors—Crackage and Area Windows and Doora—Crackage and Area
�Yidth Heig�t Na�.of Llneat ft. Area • � Width Height No. ol Llneal ft. Area
No. ot pane of pane IighCa ot crack eq. ft. No. of pane ot pane lighta of crack sa. Lt.
+'Y .� � t
� '� �"� .�' r:�,. l
Coef. Btu Coef.
Inhltration � ` j �-
L Infiltration
Glass � '� � C � �, � � Glass �
Fxp. wall "i.� F.�cp. wall t
Net exp. wall � '`
� Net exp. wall 2 G? �!
Int. wall Int. wall
Ceiling ) �( � �( •' % ; ` Ceiling ; �� �
Floor Floar
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Fl.� , �'' Room ( Length Width Hei
Windows and Doors--Crackage and Area
� Width Height No. o[ - Lineal It. prea
No. of pane ot Dsne lights of crack� eq. t.
E
Total Btu.
Btu
,� . Fl.i �'-� j� Room f 1-ength Width 1 Neight '
Windows and Doors—Crackagt and Area
Wtdth � Hefght No. o! Lfneal tt. Area �
No. ot uane oL.Dane lighte ot crack eq. [t.
Coef. Btu
Inhltration � � �. �� ^ Infiltration
Glasa r-` .
�,.� '-.,i Glass
Exp. wall t� �C. ' "'•� C�� Exp. wall �
Net exp. wall `? �''�- e-�'"�'�-• Net exp. wall
Int. wall Int. wall
Ceiling° ;�`� ! t ' y l:', Ceili g� ,
Floor Floar .
Total Btu. �
Required sq.- ft. E.D.R. or sq. ins. W.A. Leader area
Fl. ,�_,. Room � Length Width Hei
Windows and Doors—Crackage and Area
Wfdth Height No. ot Lineal.ft. Area
No. ot Dane ot pan_e Ilghfs o[ crack eq.1t. ��
Coef. Btu
1n61tration ; ;� `; �
Glass 4 �
Exp. wall Y•_ `� �J
Net exp. wall '
Int. wall
Ceiling � i
Floor
` Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. l.eader area
., � �
Total $tu.
Required aq. ft. E.D.R. or sq. ins. W.A. Leader area
FI.� Room I Length Width Height
Windowa and Doors—Crackage and Area
Wtdth He1Qht No. oL Lineal ft. Ares
No. of pane ot pane Ilghte of cracB sQ. tt. .
�
Infiltration
Glass
Exp. wali
Net exp. wall
Int. wail
Cei�ing
Floor
1'otal Btu.
Required s4. ft. E.D.R. or sq. ins. WA. Leader area
Btu
City of Fridley
r 4T THE TOP 0� TME TM�INY
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r rL-------. GOMwVNITV DEV[I..OIMENT DIV,
' � MoTECTrv� wt�CrpN p�rr,
�l � i �.__ i pTV ►u►LL ilUOLtY �M:
4._...1�.� `..� N�-��0�3N0
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Contractor
S
53-81� -s-915. 51
iwJEGT
1510 Berne Ro�d N. E.
Howard S. Padratzik
�VIINNEGASCO
of Building
Fr:�me
etion Date
5-9-71�
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�LUM� I �dr, PERf1 I T Q PPL I CAT I���d
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aureSS Yhone
788-1�03?
ress P one
e�,3� NAAkC�UEiTF AV�Nl1E
se MPLS., MINN.
Res.
�,s�ima�ea �.os�
20.00
Plumbing Fixture Rates: N0. RATE TOTAL
Number Fixtures x $2.00 �_
Future Fixtures x $1.50
New Fixture-Old Open. x $1.50
Catch Bastn x $3.25
Water Heater-99,000 BTU x $3.00
Ground Run Old Bldg. x$3.25
Elec. Water Heater x $2.00
G$s Fitting Fses;
lst 3 Fixtures
x $2.00
Additional Fixtures x $ .75
Gas Range-199,000 BT[T x $5.00
Repeirs & Alterations
See
i Description: 2-Gas Log� Code 10.00 I
( S tate Surcharge � �� �'' � � ��"�� . 50
I TOTAL FEE $ 10.50
�
iThe undersigned hereby makes application for a permit
�for the work herein specified, agreeing to do all work .
in strict accordanca w ith the City Ordinances and rulin
of the Department of Buildings, and hereby declare that
a11'the facts and representationa atated in thia
application are true and correct.
.�� _,_„�,,..,..� � � �.�.
,� .! .�� �w•��s� � �._ < .,.,. . .
'Signature ��:.�`�� 9n.�3"��, Date !
� �
/ � - y - � � ���-�-�
t
Y
sue�ECr PERM ,
City of Fridley ° 12432
' ` AT THE TOP OF THE TWINS g U I L D I N G P E R M I T RECEIP .
�
� • COMMUiJITY DEVELOPMENT DIV.
r � L � � PROTECTIVE INSPECTION SEC. .;� ����
i • �
�` ' /'��1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY
"�"� � ,�� 612-5603450
910-F15 2�8�7�F � �
JOB ADDRESS 1510 Berne Road N.E.
1 LEGA� LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 13 Z Innsbruck Sth Addition SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Howard Padratzik 1510 Berne Road N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE UCENSE N0.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAII ADDRESS ZIP PHONE UCENSE NO.
6 USEOFBUILDING Residential
7 CLASS OF WORK
� NEW � ADDITION �I ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK I'nSlll$t2 and sheetrock garage
9 CHANGE QF USE FROM TO
STIPULATIONS
6EPERATE PERMITS REQUIRED FOR WIRING, .
HEATING, PLUMBING AND SIGNS.
TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAD
SEPARATE PERMITS ARE REQUIFED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIA 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. N0. DWLG. UNI7S 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 WI�L BE COMPLIED $SOO.00 .SO
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 IOCAL LAW REGULATING CON- $5, OO
STRU TION OR THE PE FORMANC OF STRU TION.
PLAN CHECKFEE TOTALFEE
o� � � 7� $5. 50
SIGNATUREOFCONiRACTOROfiAUTHORIZEDAGE IonrEl WHEN PROPERLY VAIIDATED THIS IS YOUR PERMIT
„x '{
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SiGNATUREOFOWNERUFOWNERBUILDERI � IDATEI BIDG INSP DATE
aPPI,1CATI0N FOR RI;SII)ENTIAL, AL'Tf.:Itt�'I'I�}�`,
OR Ai)I)]"�'I�I�` HuII,I)INC; PERMIT
�; [`1'�' (_1F 1�!:l ULI:T', '•11 tiN}�Si�'j'�
-��;% �`%s,�-�/�
(?W�T�,It � S NAME : ���%�� R �R •
� �Q
,AADRESS :� IO yU�%�� �%� ADDRESS :
�0;:�'' D _ ST'REET: �,F�/1�i_� �!/
T�O�' ;�� aLOCK : � ADDITTON : �/ �Y-s /J�v f �f� U �`�
7'
CO�R LOT: —�S INSIAE 1�OT: SETBACK; SIDEYAFD;
A�plican� attach to this Lorm �ao Certificates of Suxvey of Lot and proposed
b�ti7,dirig location drawn on these Certificates, T
�ESGRIPTI�N OF BUILDING
To Be iJssd As ;
Front: Depth: Height:
Square Feet: Cubic Feet:
Front: llepth: Height:
Square Feet; Cubic Fee�:
, ! Gri
�.'ype p� Coz�st�uction: ��/11�5'U,Z,fi��J= Estima.ted Cost: $ V�� �C�,J�
�o Be Completed;
The un,cieXSigned heXeby makes applicativn for a permit for the work here3.t1,
specif�.ed, agxeeing to do a11 work in st=ict accoXdance with the City of
�'�idley Ordinances and rulings of the Uepartment oi Buildings, and hereby
d�scJ,ares that .�11 th� facts and representations stated in this application
ax� true, and �,.,rr� c t.
�j�" � �%��
D�TE . � �/ _ 7 � � r �; VAI JRE : //����'�Z " .r/ ,�
(�ee Reverse Side For Additional Tnformation.)
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S �S �
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sue�ecr PER .
City of Fridley . 12800
AT THE TOP OF THE TWINS B U I L D I�N G P E R M I T
r
; � CEIPT NO
� `L _ COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC. �� �C�C
� �
1 i '
( � �/'��; � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BY
�----�' •' 612-560-3450 s� o-F i 5 11,113,! 7 4 � �
JOB ADDRESS 1510 Berne ROad
1 IEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 13 2 InnsbroOk 5th Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
H.S. Podrotzik 1510 Berne Road N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHOME LlCENSE NO.
Finnish Sauna Builders dHYS 5738 Zane Avenue
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE IICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE Na.
6 USE OF BUILOING
residential
7 C�ASS OF WORK
❑ NEW ❑ ADDITION (� ALTEaATION ❑ REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
sauna alterations
9 CHANGE QF USE FROM TO
STIPULATIONS
1. Provide ventilation for bath & dressing room
s-r-r +- -- -; � � sr�'; ��,r�, ��Vi�•�►�'1 �'
������z�T� P�RP�i� ; ,� �.�=-'� ,�,,.
H�A��►iVG� PL��Bil�� ,���1� �tG#�S.
TYPE OF CONST. OCCUPANCY GFOUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, sauna
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING > SQ. 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 EXAM�NED THIS APPLICATION STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. A�L PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WIIL BE COMPUED $3 � OOO 1. SO
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- 18. OO
STRUCTION OR T�E PERFO ANCE OF CO�ON.
PLAN CHECKFEE TOTALFEE
� � 1��� ��— � 3 " $19 . 5 0
SIGNATUFE Q6� ON i RACTOR OF AUTHORIZED AGENT IoqTei , WH PROPERLY. VALIDAT D`THIS IS Y�PER'MIT .
� �� ,� � � � �,
SIGNATUREOFOWNERIIFOWNERBUILDEfi1 IDATEI BLDG INSP �A7E
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR AllllITiON BUILDIIv`G PERMIT
CITY OF FRIDLEY, MINNESOTA
� V1711YL.S�,.S lVL'1l'LC1 � •� � . 1� ' , _ . ; r��U 1LLl� � '� . � "\j a-'J \�J""J��,�y . �..�
'\ .. ��'�l�
ADDRESS : l �� � �� ��-�'�� , �� ADDRESS : � 7 -`-�j � '� �9�
. . � . . � � r . . . �. .
. . . F �� � � � � . . �
N0: l � , '.� $��+FSi: � , e' ,* r.. Iw.. ��
i _v f
LOT: BLOCK: ADDITION:
CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD:
Applicant attach to this form �ao Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
,
''' HESCRIPTION OF BUILDING
. To Be Used As•
`'� . ' _ ,'` � " � . �''�o�t : �. Depth : Height :
�..
Square Feet: Cubic Feet:
Front: Depth: Height:
Square Feet; Cubic Feet:
�
Type of Construction: ,�-Q-�.��—�1,�_�_Esti.ma.ted Cost: $ 3� ���
To Be Completed: j�_ � S_ �� �-
The undersigned hereby makes applicati�n for a percnit for the work herein
specified, agreeing to do all work in stiict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that all the facts and repxesentations stated in this application
are true and correct.
I\ , �
IIATE : l � ` � � ` '� � S IGNAT[JRE : ' � ' --4� � �9 " �
�'`,�°..;° ,�: r i.,.l._ �
{See Reverse Side For Additional Information.) �
: -,�+ y p <. •. ;'r �- u, �,= 1 �a �:.
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. �'a�°'�"'.t�9��3;W «'� �'c�$' �'�5?.^,.��a�@4� �:� � C� � av �i,�`� �i�'�`:�'� � •
Dep�t. of BDdqs. phons 380-3430 .•• -
D£3CYiIPTIOF7 OF WO3tIIt �;� j_� �� � •-�l�'�7 '-�_ ��
Numbsr, Kind and LxaSien oi Fixtu:es �
� � t (N'1 •� • WATE0. �+TR.
ffi N �. _ = N S�� � W Y
� 1 3� � S� i � �� u o� � � o I� �3 < 3 V Z U� U� � N WS FLEG ..
° ��������
. ■■■■■�'
• ������i
' ■��..■'
�■■■■■1
.• .r.
PARTIAL RAT� S�CHEDULE
Soaoz
Ccmapool
PLIIMBING FIXTURE RATES: NO. RATE TOTAL
Number Ftixtures . . . . . .. . . . .' . . � x �2.00 $ �� �� U .
:�ture flxture Opening . . . . . . . . . . . x 31.54 S _.
New Fixture Old Opening. ... .: .. .. . x a1.54 ;:__.
Catch Basin . . . . . . . . . . . : . . . . . . . . x �3.2� �
Water Heater :LTp to 99,000 BTU1. ..• x$3.00 $
New Ground Run Old Bldg. . . . .•. . •. . x �3.25 $
Elactrlc Wat�r H�at,�r . . . . . . . . . . . . . . : a2.04 S
�J15 FITTfNG FEEB: ri0. RJlTE TOTAL
lst 3 Fixtures . . • • • • • • • • • . • . • x 52.00 s .
Additional Fixtures . ... . . . ..... . . . . . x ; .75 s ,
Gaa Range to 199.000 BTU .. . ... . . . . ... , x a5.04 ;
CitY of F�ridley:
The undersigned hereby makes application for a permit for the vroric herei
specilied, agreeing to do all work in strict accordance with the Ci� OzdinanM
and ruling of the Department oY Buildings, and hereby declares that alI the fact
and representations stated in this appllcatiofl are true and carrect �
FY�idIey. Minn ` �� %`� � % Z , l9,
{ .
Owner �!'c �C ��''�� / � r
Kind af Building � � � �' `�
Used as f� � S' i C�L � r-� � 2
To be completed about � Z-� � y...,� �� -
�'�'/� � �
Estimated Cost, a —
Old ew. Building Permit No. P•:mit I3o. /`�"
Sigt�ed vv �_ J -
. By.1�i�yf'� S'�"a y P`�= �i . _.. -
Business Phune No- �� � �� �Q
ROUGH
FINAL � •
REpAIRS ic ALTERATTOltS--R.i•r to Cod• .50 State Surcharge
I. Descziption . . . . . . . . . . .. . . .. . ... . .... . . . ... . . .. . .... . ... . .;
TOT1►L 1�EE �-1� �
. '
�. .
SUBJECT ERMIT .
City of Fridley 13663
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T '
r
� � RECEIPT NO.
� ; y �_��� COMMUNITY DEVELOPMENT DIV.
1 � � PROTECTIVE INSPECTION SEC.
� �
'4 � /'��1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BY
`�'��� � ,•� 612-560-3450
910-Fi5 7 22 76 � �
JOB ADDRESS 1510 Berne Road N. E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. Z3 2 Innsbruck 5th Addition SHEET
2 PROPERTYOWNER MAILADDRESS 21P PHONE
Howard Padratzik 1510 Berne Road N.E.
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
Dimond Clear Pools Inc. 2580 North Clarence
4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS 21P PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
X NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 18' x 36' In round ol
9 CHANGE QF USE FROM TO
STIPULATIONS See letter dated July 22, 1976 from Environmental Officer with
stipulations
SEPERATE P�R�!!i'fS REQUlRE� ffla M�IRlNG,
NEATING, PLE��Sil� A� StGI�iS.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING. COIlCZ'et@�Vl yl
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTFUCTION ZONING SQ. 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. OWIG. UNITS OFFSTREET PARKING
I NEREBY 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 WILI BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �`%�600 $3.80
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 OR THE PERFO CE OF CONSTRU TION. y�4H.00
` ��(Fj PLAN CHECK FEE TOTAL FEE _
-!K� �,�� $51. $0
� SIGNATUREOFCONTRACTORORAUTHORIZEDAGENT IDarE� WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
' � � � � �r'� ��- 1— � �.? - �%� ,,
~ SiGNATURE OF OWNER IIF OWNEF BUILDERI IDATEI BLDG INSP �ATE
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CITY OF FRIDLEY
APPLICATION FOR R�SIDENTIAL ALTERATION,
ADDITION, OR REPAIR BUILDING PERMIT
OWNER' S NAME :�� �c1,Lt i2�7"� Cl/l�A �.�� I�BUILDERt��//�'! D�� l. G��9 �/ OQ�-S'�/(�'G°,
ADDRESS : ���Q�P'i/�jC�C�° ADDRESS : �j �� /Vd �G.�i��it/'Ct�
NO : . �5 J � S TREET : �,� � /t/ °t�
LOT: �,�_BLOCK: oZ ADDITION:_��s�iPd� /� ,�`-� �.��1G1.
CORNER LOT: � INSIDE LOT: SETBACK: SIDEYARD:
Applicant attach to this form Ztao Certificates of Suxvey of Lot and proposed
building location drawn on these Certificates.
BESCRIPTION OF BUILDING
To Be Used As : ,
�N�/QOU�d/ Do�Front•�v��6
Square Feet:
Depr
th: ' Height•
Cubic Feet•
Front: Depth: Height:
Square Feet; Cubic Feet:
�pe of Construction: �iV,�{ G 4�C�oavE�Pa2%�stimated Cost: $�(o O0
To Be Completed: � C?`7� �l v C��
The undersigned hereby makes applicati�n for a permit for the work herein
specified, agreeing to do all work in st`r.ict accordance with the City of
Fridley Oxdinances and rulings of the Department of Buildings, and hereby
declaxes that all the facts and representations stated in this application
are true and correct.
� - �/ �G� ,
DATE: � � � b SIGNATIJRE•
(See Reverse Side For Additional Information.)
� ��;��`, (�C;
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560-3�i50
�if o rid�e
� �
ANOKA COUNTY
6431 UNIVERSiTY AVENUE NE July 22o I976 FRFDLEY, MINNESOTA 55432
Mr. Rr�bert Dimond
Dimond Clear Pool Service
2580 No. Clarence
St. Paul, Mn. 55109
Rs: Swimming Poo1 Construction at 1510 Berne Road N.E.
Dear Mr. Dimond:
This letter is to make clear this departments requirements for the swimming•
pool construction at the above address.
l.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
As indicated, two (2) skimmers approved by the•National Sanitation
Foundation will be provided.
As indicated, four (4) inlets of approved design for fresh and/or
repurified water will be provided.
As indicated, a main drain of approved construction will be provided.
The filter and pump shall be approved by the N.S.F. and be of
sufficient capacity to.provide a minimum turnover rate of at least
two (2) times in 24 hours. This department recommends a turnover�rate
of 6-8 hours.
A deck of at least three (3) feet wide, measured from the pool water's
edge, shall be provided which extends completely arour..d all private
residential pools. Above ground private residential pools may be
provided with decking of a miriimum size of 4 feet by 4 feet at pool
entry points and provided that such decking has the approval of the City.
The diving area��.will be acceptable provided there is no overhead
obstruction.
A fence or other suitable barrier,a minimum of six (6) feet high;
that affords no external hand or foot holds and which is isnpenetrable
by toddlers, must be provided around the entire perimeter of the pool.
All gates and other accesses shall be equipped with self-closing and
self-latching devices which are capable of being locked.
An automatic chlorinator should be provided with a suitable test kit.
All electrical and plumbing installations shall be inspected and
approved by th� City Inspection Department.
All electrical lines must be 10-20 feet or more away from the pool
surface.
The poal fill spout must be air gapped or protected by a vacumn breaker.
.
� • Mr. Robert Dimond
July 22, 1976 Page 2
12. Suitable safety equipment to include but not limited to a ri.ng buoy
and rope that is 1� times the ,pool diameter, and shepards crook pole
must be provided and maintained with the pool at all times.
�rthermore, these and any other requirements must meet the provisions of
the Fridley City Code, Section 115, Swimming Pools. The building permit
is approved contingent on final inspections and approval by the City.
If any questions or problems arise from this letter, please feel free to
contact me at 571-3450, ext. 170.
Sincerely,
ST VEN J. OLSO
Enviromm �ta Officer
SJO/mh
CC: Mr. Howard Padratzik
1510 Berne Road N.E.
_ _ __ .
CITY OF FRIDLEY
APPLICATIO� FOP. PLUMBING AND GAS FITTiN� �ERNiIT
i �7 I ,'�i., �n � ro I U • k N �1Li:'r.Gi
� �-i •� 7�
u2 c� v A � C� �� c7 Q , a� � L�+ a Heater
v 1� �--� �+ t1� E�.�I :J N :n tv :1 0.�i. 3-i
1�-t C��.7 N C ,C � ?C � C G'�" 3 O U� O�. � U N
O O •� :� m C II u7 •.i � O O +� �+� cn N � N �
m � U a m w� �{ 3 o w c�r� I w �� � 3I � � I c�7 O as �le
lst �
2nd `
3rd � i I
4th � �
(R) = Future Connection Opening
(*) = hew Fixture, Old Cpening
Connected with
PARTIAL RATE SCHEDULE
PLU?�IBING FIXTURE RATES: N0.
Number Fixtures _
Future Fixture Opening
New Fixtnre, Old Opening _
Catch Basin
Wat.er Heater - to 99,000 BTU _
100,000 BTU to 199,000 BTU
Water Softener �S G,av �
*7ew Ground Run Old Building
Electric Wate� Heater
GAS r"ITTING FEES:
ist 3 fixtures
Additional Fix tures _
Gas Range to 199,000 BTU _
REPAIRS �, ALTEI2ATIONS
First $100.00
eacn add. $100.00 or fraction
RATE
x 53.00
x $2.00
x 52.00
x $5. 00
x $5.00
x $lo. 00
x $7.00
x $5.00
x $5.00
x $3,00
x $1.00
x $10.00
State Surcharge
TOTAL FEE
F
REIN5PECTION FEE
($10.00)
Ss.on
$2.00
Sewer
WntPS
TOTAL
$
$
$
$
$
$ .�cs,0c�
$
S
$
S
$
S
S
$
$ ,50
S ;1��Sc
Job Address �� -�%Z/!'u�-
Depa7-tment of Buildings
City of Fri3ley
Tel. $571-3450 '
The unde.:sianed hereby makes ap,plication for a permit for the work herein
specified agreeing to do all work in strict accordance with the City Coues
and rulings of the Department of Buildings, and hereby 3eclares that all
thE facts ann repre.sentations stated in this application are tn:e and correct
Fridley, Mn. , 19
OWNER 'tiC�'"'�-""'�(
KIND OF BUILDING ��---
USED AS �_�
TO BE COMPLETED F,BOUT
ESTIMATED COST _
OLD - NEW BUILDING PERMIT NO. PERyIT NO. (L`C_ %..}�'
Coznpany r���,C�u/N ��
Signed By ��/�'"
Tel. No. �� �— �se. � �
� •
ROUGH INSP.
Date
FINAL INSP. %�- y Z-� L,
Da�e
APPROVAL FOR PERMI'P �2CL�—
MINIMUM FEE FOR ANY PLUMF3ING PERMIT IS $7.50
�
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FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(612) 571-3450 • FAX (612) 571-1287
June 19, 1998
Resident
1510 Berne Road
Fridley, MN 55432
Dear Homeowner:
You recently had your driveway resurfaced and the City needs to contact the contractor
you used to complete this work. You may contact Ken Holmstrom or myself by calling
572-3566, Monday through Friday, between 7:00 a.m.-3:30 p.m., with the name and
telephone number of the contractor.
Thank you for your help regarding this matter.
Sincerely,
i �
�
Paul Lawrence,
Superintendent of Public Works
w
c: John Flora, Director of Public Works
Ken Holmstrom, Street Supervisor
sua�et� PERMIT N .
City of Fridley 7 8 9 6�
AT THE TOP OF TNE TWINS g � I L D I N G P E R M I T
f
; � RECEIPT .
� • COMMUNITY DEVELOPMENT OIV.
� ; V ����� � . �
f � � PR07EC71VE INS�ECTION SEC. -���
� �
`._--A,��'�� ;•� CITY NALL f RIOLE� SS132 NUMBEA REV O�TE VAGE OF APPROVEO 8�
L J� 9/21/98
612-571-3450 9t0-Ft5 � �
J08 ADDRESS 1510 Berne Rd NE
t LEGAL LOT NO. BLOCK TRACT Oii ADDITION SEE ATTACHED
DESCR. 13 2 Innsbruck 5th Addition s►+eer
2 PROPERTY OWNEF MAIL AODRESS ZIP PMONE
Theresa Menge & Lois Moses 572-2122
3 CONTRACTOR MAIL ADORESS 21P PNONE �ICENSE NO
DiamondExteriors 2700 Winter St NE Minneapolis 55413 379-5712 20126834
4 ARCMITECT OR DESIGNER MAIL AOOFESS 21P PHONE LICENSE NO.
5 ENGINEER MAIL ADDFiESS ZIP PMONE LICENSE NO
6 USE Of BUILDING
Residential
7 CIASS Of WORK
❑ NEW O ADDITION O ALTERATION (� REPAIR O MOVE O REMOVE
8 OESCRIBE WORK
Reroof house & garage (32SQ_) Tear-off
9 CHANGEOFUSEFROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
tYPEOFCONST. OCCUPANCVGROUP OCCUPANCVLOAD
SEPARATE PERMITS ARE fiEOUIRED FOR ELECTRICAL, PLUMBING, MEATING.
VENTI�ATING OR Alq CONOITIONING.
THIS PERMIT BECOMES NULL ANO VOIO IF WORK OR CONSTRUCTION 20NING S�. f1 CU iT.
AUTHORIZEO IS NOT COMMENCED WITHIN 60 DAYS. OR If CONSTRUCTION
OR WORK IS SUSPENDED OR ABANOONED fOR A PER100 OF 120 OAVS AT
ANV TIME AFTER WOFK IS COMMENCED. NO OWLG. UNITS OFFSTREET PARKING
I MEREBV CERTIFV THAT I MAVE READ ANO EXAMINEO TMIS APPLICATION STALLS GARAGES
ANO KNOW THE SAME TO BE TiiUE AND CORAECT. ALL PROVISIONS Of LAWS VAlUAT10N SURTAX
AND ORDINANCES GOVERNING THIS TVPE Of WORK WILL BE COMPLIED
WITH WHETHEA SPECIFIEO HEREIN OF NOT. TME GRANTING Of A pERM1T �2f 742.00 �1.3J
DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROVISIONS OF ANV OTHEFi STATE OR IOCAI LAW REGULATING CON• $74.75 �7�Y3��E 1Te SC �Z.7�F
STRUCTION OR THE PERfORMANCE Of CONSTfiUCT10N
PLAN CNECK fEE TOT � EE
Lice e SC $5 0 $83.86
$�GN�TU�7EO�CONCRACTOAOQ�UTHOA�ZEO�GEN1 iOATEi E PRO V VAUD �THIS IS RMIT
♦ D� , ♦
S�GNaiUAE O� OwaEp��F OwNEQBw�DER� iD�iE� B G�NSo � �i��E
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JUN-18-1998 15�44 FROM CITY OF FRIDLEY
�w j�
ADDN [ �
�-T� I J
TO
CTTY OF FRIDLEY
SINGY,E FA,M�Y AND DUPLEXES �t-1 AND R-2
BUILDING PERMIT Ap$LICATION
3795710 P.01i02
Effeciive 1!Il98
Z� 8� �
� Zti ^l
ConstxuctionAddress: 1 J�I 1� �i.�,, n
Legal Description: ��
Owner Name & Address: �'�j ,<#- `� �� S ji���___ Tel. # -,j� - 02 I aa-
Con�ractor: ,��Ql�� �-.�,os�i � S MN LICENSE #� j`j � a(� �
Address: o��DO 1 l � (,� i 1'_1-�1�� �s mN ss� i� Tel. # l a� 3 �7/�-
Attach to this application, a Certificate of Survey of the
Iot, with the proposed conscruction drawn om it to scale. �
LIVYN'G AREA:
GARAGE AREA:
DECK Al2EA:
02�ER:
DESCRIP�'ION OF IlVIPRQVEIVIENT
�n� Width Height
Le�gth Width Height
Length Width Hgt/Ground
a __ �4�.t.c_1')� � .e.� /l �}-�CvL.
Sq. Ft.
Sq. Ft.
Sq. Ft.
Construction Type: Q,�.,�,���/'� C,� Estima.ted Cost: $ _ w a i L% ^
(F'ee Schedu.� e on Back)
Driveway Curb C�it. Width Needed: Ft. + 6 Ft - Ft x$ _$
bATE: ���9� APPLICANT: �e,l/�1!YI017�/,��'�1''� Tel. # CQ('ot ' '�7�]' �� �� .
Permit Fee
Fire Surcharge
State Surcharge
SAC Cl�arge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAX,
STIPUL,A'Y'iONS:
�`� . CYTY USE ONLY
�tJ� .
$
$ a��l -�
$ �•�J�
$�„ .
$ � • T17�
$
$
$
$
$ `63�
' Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.SO/$�,000 Valuation
$100p per SAC Unit
$5.00 (State Licensed Residential Contxactors)
AIE. "A" or AIt. "B" Above
$450.00 Conservation Plan Review
Fee Aetermined by Engineering
Agreement Necessary [] Not Necessary [ J
, �
ClTY OF FRlDLEY lNSPECTION DiViSION ��
6431 iJniversity Ave NE
Fridley,'MN 55432 APPLICA'fION FUR POWER PLANTS �.ND HEATtNG, COOLINC, VENTILATION,
57, 2•3604 � REFRIGERATI4N AND AIR CONDITIONING SYSTEMS AND DEViCES
RATE SCHEDULE
Residential
Furnace Sh�II and Duct Work, Burner -
Also Replacement Furnace
(Side Vent • Fill Out Back)
Gas Piping (Needed with new furnace,
bufi not replacement)
Gas Range
Gas Dryer
*Air Conditioning - AI! �izes
A1! Others/Repairs & Alterations (LlST ON BAG�:)
1% of Val�ae of Appliance or Work
Gommerciaillndustraat
1.25% of ;'alue of Appliance or Work
Rate TOTAL
$ 30.00 $
$ 10.00 $
$ 10.00 $____
$ 10.00 $
$ 25.00 $�
$
$__ _
State Surcharge
TOTAL FE�
MINIMUM FEE FOR A1VY HEATING/COOLING/�ENTI1.ATiON
REFRIGERA710N/AIR CONDITIONING PERMiT 1S 5�5.00
pLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $47.00/Hr
*Air Conditioners can not be placed in a side yard without
written pefmission from adjoining property owrier.
�� .50
$� � �7�-1
•: ���• �l l ! �
OWN
Effec:ive On May 10, 1999
, g.R-''°
L
BUILDlNG USED AS�
ESTlMATED COST�I��� PERMiT NO.�� ��'
pESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units_ Ci�cle One (Steam) (Hot Water) (Warm Air;
Trade Name Size No.
BTU HP EDR
Fuel� _ Tota! Connec,eci Load
Bu�ner Trade Name Size No.
BTU HP EDR
The undersignec� heruby makes application far a p�;rmit for the work he; eii
specified agreeing tc� do ali work in strict acc�rdance witn the City Codes �
rulings of the Buildin� Division, and hereby deLlares that ali the facts and
representations stated in this application are�true and correct.
HEATI CO - ^1 �-�ll�
Sign DATE �-� '`i ��
Approved Sy�_ Rough-In Date Final Date �%Z�
CHIMNEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack:
1. Has been carefully examined Yes (.� No ()
2. Is free from rust or deterioration Yes {'S No ()
3. Has no foreign objects lodged within Yes (� No ()
4. Is securely supported Yes (�f No ()
5. Meets ali cunent Code. requirements for size .
and tctal BTU's connected Yes () No ()
6 Has total heating BTU's of
Ait other BTU's
TOTAL BTU's
7. Has a liner been provided for water heater Yes () No ()
8. Has combustion air been provided for w�ter heater Yes () No ()
Remarks:
List ALTERATIONS Being Done•
HEATING CO:
Signed By:
Date:
c •
.
-
_
C11YOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(612) 571-3450 • FAX (612) 571-1287
August 9, 2000
Theresa Menge
1510 Berne Rd NE
Fridley, MN �55421
Re: Final Inspection at 1510 Berne Rd NE
Contractor: Dave's Appliance Heating & Air, Inc.
Dear Ms. Menge:
A mechanical permit was issued on April 4, 2000 for the property located at
1510 Berne Rd NE for an air conditioning unit. According to Section 305(a) of the
1991 Uniform Mechanical Code a final inspection shall be performed on the
mechanical system. As of this date no inspection has been called for.
You will be given thirty (30) days from receipt of this notice to respond. If we do
not hear from you, we will expire the permit and any inspections on this
installation will require a new permit.
Any questions can be addressed to myself at (763) 572-3603.
Sincerely,
DA�E,d�NSEN
Build�inspector