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AF - 44039� City of Fridley, Minn. BUII�DING PERMIT Date: . . . � . . .�. . ^. �.�. . . . . . . . . . Owner........................................ Address...................................... . N° 3fi98 � Builder . � ................... /4��%:: - .-...... Address............................................. �Q(� �� L4�CATION OF BUILDING No. 4?. P. � . Street . .��"�sr. �� . . . . . . . Part of Lot . . . . . . . . . ��j Lot . . . �. . . . . . . Btock .� . . . . .. . . . . . . . Addition or Sub-Division ��fT'�i�,+�.�cv.!. . /.-f��?�s�. . . .q�`.!�`�L"�GR a c � �r Corner Lot . . . . . . . . . . . . Inside Lot . . . %�. . . . . . . Setback �� : a . . Sideyard . �� .:. � . . . . . . . . . . . . . . . . DESCRIPTION OF BU[LDING To be Us?��. .�!?f.� � q G, ,► / a �Q� � ... Front Depth ��:.� Fieight `7.'.� Sq. F't. l��. Cu. Ft. .��.��. O . . . . . . . . . . . . . . . . . . . . Front . . . . . . . . Depth . . . . Hei�� .� . . . . Sq. Ft. . . . . . . . . (,if. Ft. . . . . . . . . ljfpe of Construction . . . . . . . . . . . . . . . . . . . �t. Cost. ��j.fJ. . . . . . . . . . . . . To be Completed . . . . . . . . . . . . . . . . . . . In consideration of tihe issuance to me of a permit to construct the building desribed above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all prov3sions of ordinances of the city of Fridley. .� ................................................. In cansideration of the payment of a fee o! $ oC ./ ��., pernut 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 gi�anted and lzis agents, employees and worl�nen, 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 with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. �� '��d''�'i�'�' NOTICE: This permit does not cover the construction, (nstallation or alteration fo� wiring, pf�binp, gas heating, sewer or water. Be sure to see the Buildin9 Inspector for separate permtts for these items. • � . t �t'�� ; Applicatio� far Rawer Plants and He�ating. Coo�ing. Ventilatior�. Re�frigercrtion and Air Canditianing Systents and Devices ��' PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Wurk .......................... 8.00 Replacement of �arnace ............................. 5.00 Repairs & Alterations—up to $500.00 .................. 5.OQ Repairs & Alterations each add. $500.00 . . . . . . . . . . . . . . . 2.50 MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU . . . . . . . . . . . . 8.00 each add. 60,000 BTU ... ......... ...... ... .. 2.00 Replacement o! Furnace ............................. 5.Ob Repairs & Alterations—uP � $50Q.00 . .. . . . . . . . . . . . . . . 5.00 Repairs & Alterations each add. $500.00 . . . . . . . . . . . . . . 2.50 STEAM or HOT WATER SYSTEM F�rnace Shell & Lines—to 400 sq. it. EDA Steam ...... 8.00 Furnace S�hell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 Each add. 200 sq. ft. EDR Steam . . . . . . . . . . . . . . . . . . . . . . 2.50 Each add. 820 sq. ft. EDR Hot Water . . . . . . . . . . . . . . . . . . 2.50 � $ $ $ $ � � $ $ � $ $ $ $ OIL BURNER to 3 gal. per hour . . . . . . . . . . . . . . . . . . . . . . . . 5.00 � over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 HT'f� . . . . . . . . . . . . . . . . . . . . . . . 5.00 � � GAS PIPING (UP to 3 Fixtures) . . . . . . . . . . . . . . . . . . . . . . . . . . 1.50 $ v (Add 50c each over 8) AIR CONDITIO1�iING FAN HEATING $YSTESR VENTILATING SYSTEM ALTERATION$ & AEPAIRB AEMAA88s � � See Fee Schedule TOTAL FEE $�; --�� Depf. of Bldgs. Phong 3U �� City of Fridley: �v �c f� � The undersigned hereby makes application for a permit for the work herein specified, agreeing to da all work in strict accordance with the City Ordinances and ruling' of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, 1Vlinn �� 1 1 1T.•iZ , 195— Owner �/C / tr s�� /i" 5 � 195— Kind of Building y�" � 195_ Used as To be completed about � �� 11 ��9 o� Estimated Cost, $ �� " �—� C'1�-��+Few �uildin� Permit No. � m'7 b DESCRIPTION OF 1AOR$ HEATING o , Warm Air—No.� Trade Name l 6' �"/'� P t Size No��"�� l�' � Capacity Sq. Ft. E.D.R.�=,,,�.�-� BTLT H.P. Total Connected Loa� ��- G�7 Kind ot Fue BURNER — Trade Name�b/'/"/� � 3ize No �� p��// d ' Capacity Sq. Ft. E.D.R_4�7 • 1'"�� BTIT H.P. GEO. SEDGWICK HTG. & AIR-COND. CO 1001 Xenia Av. S. � ' G�� - /vlinneapolis 16, Minn. Sign Sy 11 pOS7 � M-8-58 Business pho No _ _ t Ctt� ... 37� �r �%' � A k� tl�4 IV �+� �IP'S • 1�:,�'l�l h /V� -" v'� �/`a� Villa e o f-8loomxi tan , HEAT L��S ►CALCULATIONS DEPAR'f'�� OF BUlLDI � I B � Weatherstrips A' V' • Conatruction No. �' .�atuittieil r Guide L�/indows I Doors Reference Out. Wall Int. Wall C.eiling Roof F7oor Kind- '�v Applie� .'' Yes—No Yes—No 19.` F7.� Room Length �',,,r{" Width Height FL� Eioom [:engeh �f�1th i#ei�h[ Wihdctws an Doors—Crackage and Area Win�wa and Dobn—Gr�ckage a Area " �Vidth Height No. oL Llneal it. Area �JJ � Width � N�ht �- Na 6t � 1 �' X!N No. ot pane ot pane liehu ot crack W tt. /(�% No. ot paae of Dsne li;ht� � ei'araak �9. t�. /� nJ''��j Y � / / ��I � I I'� `r+w�'! - 4 � 4� Coef. =` BtU i !u�i�l� . In5ltration Infiltration Crlaaa Glass £.xp. walf ,�" Esp. watl Net exp. wall Net exp. wall � lo�t�.�►11 � � �i% Int. waU _ Ceiling Ceiling Floor . Floor Total Btu. Tota! Required sq. ft. E.D.R. or aq. ina. W.A. Leader area Requaed aq. k. E.D.R. or p. itu. WA. l.eader ssfii Fl. � ,, Room Length Width I Height F7. Room (1.ta6th � N�'��th :. ' � 1�Vindows and Doora-Crackage and AreA windo�n and poon--Cara�k� d�d At� .:=� ' ' Wtdth Helght No. ot Lfneal Lt. Area Wldth Ntht a o! Lfeql !t. AI^N j No. ot pane o[ Dane Ifihb ot craok p. tt // �i , � Na ot y�a� ot pan� It�hts st encck . tt,:' `(T/--J � 7 � � � � � � 1 _' �. , Coef. Btu :F � , In6ltration Infiltration - Glaaa Glaas Exp. wall F.�cp. wall Net exp. wall Net ezp. wall =$ Int. wall Int. wall �' Ceiling Ceiling Floor Floor , Total u. Total u. Required aq. ft. �.D.R. or aq. ins. W.A. Lea�r ana R«�u�d w• ��d•� � s4 ��:.��l�� ' Fl Roam � Length Width % Heighc Fl.� Room 1 Len�tl► Width fie�t Windowa and Doora---Cracl�age aad Area Wu►dows and Doqrs—Crte ` aad A�+et '=' Wldth Heiiht No. ot Lina41 [t. Area ��] Idth ei�ht Na of Lt [f. Ah� Ieo. o[ D`n� o[ D= 116hb ot criCk � �q. ft. ( � �-., _ No. o! paa� ot p�w Ilshb ot e° � ,.^.R��ir�ir�� . . e_ %'. ' , ., . .'. � � . � . � .. . .. � .� ��. . � . .. �:.: . .. ; . .. . . . .. ' . Coef. Bcu Co�f � Infiltration Infiltration <" . : ` _�. Gla:a � Glsu - , - i.. , � Exp. wall / �: � , , Exp. wall ; � . , ; Net exp. wall ''`° Net ezp. wall "` ' _ � , Int. �ali -, Int. wall . - � , �� : Ceiling Ceiling kloor Floor _ . ,. Total B . .. Ta�el � _; � . : - ` Required u�. ft. E.D.R. or aq. iaa.1�..A. l.eadec area� Required sq. h. E.D.R. or sQ.. ias: �.A. �s �' �� 8.0. Z 18 �, � - . . � ,. � � � ,� � \ � / City of Fridley, Minn. BUILDING PERMIT N° 7 0 0 Date: .....�i1r�..�r..�!, .�,�.:��.._ ............._ a1i1.'- ......_...._.. Owner: uilder .. .: �... . ._ . r E Address ...,�t _.: .�..�. . . ..__ :......r ddress � ,.., ,. OC�TION � 1, ING No. �.� .-�i�..---. Street ��.. � .:�_��.... Part I.ot ......... .... . : ........ Slock _< --- •.- - - Addition or Su isi : Corner Lot . . ...._ . ................. Inside Lot ... ....� ...... Setbac :..:.. .: :... Sewer Elevation .................................................._.....----....�-------........------..............._ Foundation ti� ._.._ ._. ...,._..._.,_...._. �� ,,�ti� � � .._......-----••---•---•.:._.__.._...__...�...__ ., DESCRIPTION OF BUILD�MG � k#. To `�T "" �"µ ,�,, : • � �� .. .... .;-- --.;�.. Front �!�_ Depth _--��► Height .--.�_. Sq. Ft. Ca., FL ._ :..... ............. .:. _..... .....:.. .. Depth _... ;. ; ei ht . Sq. Ft ...--- --�- Cu. F� . ... . _ � � �.;.. ' 'Type of Const.�uction ,��j��.- -_ Est. . �. �� °-_-• To be Comgiet�ed ....---......_.__ _ �. ' � �� Ga t�Tro n� THIS PERP�� '�-'---- �T DOi��R;O7- AU7HORfZE VIOLAT- B'�J;' d`� �if'viY : .,1(L f_Aivp �OVENAtVTS AND . � . . � :�� `., ��!0�d�, In consideration of the issuance to me of a permit to construct the buflding describect abave, �I' �ee :�x'i''� the proposed war�k in accordance with the descripti� above set forth and in compliance with all �'•of ` ordinances of the citY of Fridley. �' - � In consideration of the payment ofi a fee of $ .............:..............� permit is hereby granted to.--.--••-•--------:..._...._.....�.....�.:�.�_ .....___........_._.....-•---- ........:....�......._.......---.:.. to const�uct the bnilding or addition a:s described abave: This permit fs granted ttpoa the express condition that the person to whom it is granted and his agents, employees and worlun�t, in ail work done in, around and upon said building, or any part thereof, shali conform in all reapects to the ordinaac� of Fridley, Minnesota regarding location, constructiox�, alteration, maintenance, repair at�d moving o! buildings within the city limits and.,this permit may be revoked at any ti of ti� prnvision6 � aaid oxdinances. - � � , .. ��+�n�! . . . � , ., -'-� ..k. . . •. �.. �.� ar � NOTfCE: - This psrmh does no1 eowr fhs wnsfrusfion. in�t+l�latia� fo� wiring, plumbiny. �yas heaf��. ssw�r or w�. E� aw� 1� �w ' fhe Building (nsp�efor fm separN� p�rmifs for fh�st ihms. `--�. , » • �. ." a�4 � . . . N:—.:�� r."'/ . \ APPLIC.�TION FOR HUILDSNG PERNiIT CITY OF FRIDLEY, MINNESOTA / � Owner s Name ` � �� ''�Z �- ��' `;,1'=�:_Builder i Addreas Address ..�..._ LOCATION OF BUILDING ,�� Paxt of Lot Nv. . ,-, �' Stree�,�j�'�,0�,�� / � c� ' � � . ' i�ot Block Addition or 5�.b.Div.��tl7�;�"�!'c.l�' LO� �� Corner Lot„�_Inside Taot v��' Set Ba.ck Side-Ysxd `� S�"WER ELEVATION FOU1dDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRiPTION OF BUILDING To be used as: �, .. � � i � ��-.�.�-- Front � l" n D� �,�t.�S cu. Ft. � r � � Sq. Ft. Cu. Ft. � � �� H�ieht eight � � � �_ �, `_...- Type of Construction Tstimated Cost ��' �' To be completed The undersigned hereby ma.kes application for a permit for the work herein specified, agreeing to do all work in strict accardance with the City Ordinances and ruling of the Department of Buil.dings, and hereby declares tha.t all the facts and repre�enta- tions sta.ted in this application are true and correct. DATE � — �-�� ' SIGNATURE �� ' l' �- �' �'f y (A Schedule of Fee costs can be found on the Reverse Side.) R .r � I . � y � • � • • • City of Fridley, Mi.nn. BUILDING PERMIT Date: __._�DECENIBER 23, 1965 Ov�ner: _._ VERNON POORE Builder _.__.._._._ S�, N° 8641 � ,� /�'�� % Address._.._.2288 County Road I_._._._____.._..__._._ Address ._._.._.__...._._.__ _.__....._.__.._._.._._.._._._��_r. New Brighton, Minnesota LOCATION OF BUILDING No. _ 6860._.__. Street ._._...._......BROOKVIEW DRIVE N:.E.,�...._...._......._..... Part a! Lot .___.._..._..._.._._..._..__._...._._.� Lot ....._..._.6.__....._.__ Block _.._......._._....._...... 2.._.._......._ Additioa or Sub-Divieio� ._.._..._ ..2ri�._�IIITION Corner Lot _.__.._........_._.._ Inside Lot _.._.._.?�._.�.__._ Setbeck __.....__._._.._._.___... Sideyard ___._....._._ �� Sewer Aevatian _.__...._._.._._____._._._...�._ _.._.._..___...._ Foundatiar► Elevatian . _..._..._....�___ � DESCRIPTION OP BUILDING To be Ueed as: DWELLING F'ront ___44._ Depth �7'_.& 25tieight .._.12�.._. Sq. F't. _.1,�,].88 Cu. Ft _x4�256 Det. _Garage._�_ Front .__16 Depth 18 ..__ Height ._.. ��_._.. Sq. F� _. 288 Cu. F't. _. 2... $$� Type oP Construction _._.._.._...,.,Fra.me.._...........__. Est. Coat ._..._$15_�.000. ......... To be Carnpleted _..:_.._._.._....�._._ In co�sideratton oP the issuance to me of a permit to construct the building described abave I agree to do the propoeed work in accordance wlth the descript�an above set lorth aad in compliance with a�l praviaions of ordinancea o! the city o! Fridley. � �� 1�� In ca�aideratioa oi the payment of a fee o! � 10. 00 .__......_.., perniit is hereby 8ranted to..._...�.�..�4.45�. ...._._,......._._.._.._...._.�- ___ to co�struct the buiidi�►g or addition as described above. Thispe rmit is granted up� the expre�s c�ondition that thepe rson to whom it fs granted aad his agents, emPloyeea and worl�►. itt all work done in, around and upou eaid building, or anypar� thereof, shall conform in all reapects to the ordinances a� Fridley, Minnesota regarding location, constructfon, alteration, maintenaace, repair and mavin8 of buildin�s withiu the dty llmits and ttds permit may be revoked at any time upa� violation of aqy o! the provLdo�s o� Baid ordinaacea ALLEN G. JENSEN 8�� NOTICEz iAM pMnh doa net eew� fM een�euaNee. MMdINMn fer w�eM�, plu�abino, �a Iu�Nn�, aw� er wN�r. M arn �e w 1�1� 111��11� �A��aIOF �O� N�N�N� �flp�M �Of I�NN �MIM. APPI,ICATION FOR BUILDING FERMIT CITY OF FRIDLEY, MINNESOTA � 1 � . . .�. �i�.� ' � ' � �� : �• d.L: ADDRESS__� ,��` � C�-�.��.. il�ti� 2 o�:r��,,.d►��DRESS ''�"'�'..,,"^' LOCATION OF BUILDING N0. �� STREET � Ai�T OF LOT LOT � BLOCK � ADDITION OR SUBDIVISI01� T_��'—�-��-��`' � CORNER LOT iNSIDE LQT_ L SETBACK SIDE-YARD `� �� ✓ SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as; To be completed i l �i ��SHeigh� / °Z � Cu. Ft ._'L_'7�_ �� C� )epth��Height�_d � Ft . �.� � � ° ,,u . Cos�/� Q d v --� 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 and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. _ �� ATE L��- .3 �_ SIGNATURE '? J Lh ��h., . � �1.� (Schedule of Fee Costs can be found on the Reverse Sidej. ._ _. � .. • � � U / � ` - . . -- .. - .. . . . - . - (i V�� City of Fridley �� Application for P`lambing and Gas Fitting Permit Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK Location t�� 'rc-G�t.�' `K ly'� � Number, Kind and LocaYion of Fixtures y � �{ � � W W Z � r WATER HTR, �� = x� �u1 � _> iz �d �z uzN ox � c� z ;(I j �� m �n 3� O� u=i �� U m < Ti U' < U' s U' O R N GAS EIEC. � Base lst t � 2nd 3rd 4th • Future Conaection Openings Connected with � 1 3ewer � * New Fixture, Old Openiags Cesspool � PARTIAL RATE SCHEDULE PLIIMBING FIXTURE RATES: Number Fixtures ...................... Future Fixture Opening ................ New Fixture Old Opening . . . . . . . . . . . . . Catch Basin . . . Water Iieater (Up to 200,000 BTU) . . . . . . New Ground Run Old Bldg. . . . . . . . . . . . . NO. RATE TOTAL _ x $1.50 $ _ x 1.20 $— _. x 1.00 $ _ x 3.25 $ � x 2.00 $ � x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL ist 3 Fixtures .......................... x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTiJ .............. x 2.00 � REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ [ c � � L) 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 application are true and correct. Fridley, Minn. � , 19� Owner (�Q�t,�r�t n'� `�- c'� `�- Kind of Building ,T � Used as �� Ta be compieted about ,,��—,��C fz_ — Estimated Cost, $ - , .. Old-1\Tew. Building Permit No. vy `�� f / Permit No. T�� J Signe �%u�d` " r �m' By Business Phone No. If 7� '��3,�— ROUGH I b " 3 ' � � FINAL dx , .r, Application for Power Plants and Heating. Cooling. Ventilation. Re�rigeral�iion and � Air Conditioning Systems ond Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: Furnace Shell & Duct Work . . . . . . . . . . . . . . ... . . . . . . . . . . Replacement of Furnace ............................. Repairs & Aiterations—up to $500.00 . . . . . . . . . . . . . . . . . . Repairs & Alterations each add. �500.00 . . . . . . . . . . . . . . . MECH. WARM AIR Furnace Shell & I1uct Work to 120,000 BTIT . . . . . . . . . . . . each add. 60,000 BT[T ....................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 . . . . . . . . . . . . . . . . . Repairs & Alterations each add. $500.00 . . . . . . . . . . . . . . STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ..... Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... Each add. 200 sq. ft. EDR Steam . . . . . . . . . . . . . . . . . . . . . . Each add. 320 sq. ft. EDR Hot Water . . . . . . . . . . . . . . . . . . OIL BURIVER—to 3 gal. per hour . . . . . . . . . . . . . . . . . . . . . . . over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) . . . . . . . . . . . . . . . . . . . . . . . *. . GAS FITTING FEES: �',-•' ' NO RATE TOTAL 8.00 $ 5.00 � 5.00 $ 2.50 $ 8.00 $ 2.00 � 5.00 $ 5.00 $ 2.50 $ 8.00 $�_ 8.00 $�_� 2.50 $ 2.50 $ 5.00 $ � Q � 5.00 $ RATE TOTAL lst 3 Fixtures ...................... x$1.50 $ l.S � Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU . . . . . . . . . . . x 2.OQ $ AIR CONDITIONING � FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $__T ALTERATIONS & REPAIRS TOTAL FEE $ +s � ROUGH FINAL Dept. of Bldgs. Phone 560-3450 . w r .t __,. � � l�' �(,' �� J 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. F�idley, Minn_ � n w. � � lg � Owner �{ � R/��`�—� �Q Kind of Building „/�� ! .f Used as �.--�' g� r.,,�-° - To be completed about 7,c t.�-�-+.�-a-t.^+. �� s v Estimated Cost, $—_ �� '� ��~ c . Old New. uilding Permit No. Permit No.�i /� DESCRIPTiON OF WORK HEATING or POWER PLANTS--,Steam, Hot Water, Wazm Air—No. `�� ' r � Trade N ame ��,��t,� /`� `'i �r' Size No. �- •SfI.?i�� /�� eao 21► Capacity %� Sq. F't. E.D.R. BTLT �� fi,P. Total Connected Load Kind o! Fue� BURNER — Trade Nam ��, � � ��'� '� Size No. ��Z.�� Capacity S Sq. E't. E.D.R BTU /�'� � 0� H.P. (REMARKS—OVER) �� <z Signe Business Phone No. � • • City of Fridley, Minn. BUILDING PERMIT Date: _.__._M�rch 31�_1967. Owner: _...Vernon Poore�.____._.._.__.._..._..._._.___._....� Same . Builder ....__._.._._.._.._ 6860 Brookview Dr . N. E. _ Address Address ...---.._..._......._.._.......__..__---._.__..._...._..._._..._....._.--•-----_...--•----......._. _ _.._..._...__._ N° 3�� 9� 91�3 LOCATION OF BUILDING No. ...._6860..._.-•----- Street ..._Brookview__Dr.,..._...�...----------•_---._.....---••---.---•-.-----... Part of I,ot •----_............___..._....___._.�_.._.._...__._. Lot ....._.._6_..._......._...._ Block ._._�..._......_.._...._......._...........__ Addition or Sub-Division _._Brookview Terrace._.2nd_Addn CornerLot ---- ............._........ Inside Lot ---••---•---x--••••--------------... Setback .--••---•------•-•-•-----•-.--._.... Sideyard ----...__.__..._..____....___...-----......._..._.._ SewerElevation .---_.._...__._..._.......----••----••--••---------....-------_ .............--....... Foundation Elevation ----.--------•---._..._....___...__.._...._._____.__.._...._.... DESCRIPTION OF BUILDING To be Used as: Tornado Permit. _ Front -•-•20•----_ Depth ..��........._. Height ..10----•-.-- Sq. F� _..440..._.. Cu. FL _.4,,400 ..._. ....._...___.____..__...._. ._ _.. �expired.. � � ._._. _._..__.._..__._.._..........._...._. Front __.____--•----_ Depth _..._...-•-•-----. Height ._---•--------•.---- Sq. Ft. ._.._..____.._. _.._._____. Garage $550.00 4/30/67 Zj�pe of Construction _..._......._.__.._.._.._......._...._.._.•--- Es� Cost ..........._....--------------_............._........ To be Completed ....._......_...__.__..._......____._ In consideration of the issuance to me of a permit to construct the building described above, i agree to do th� proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of FridleY• � , .�-7 In co�sideration of the payment of a fee of $...___ 5. 00 ��t � hereby grauted to.__� Vernon. ��,� Poore . to construct the buil ' ....._. .......__......_..___.....-•---__....._...__.. duig or addition as described above. This pexmit 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 o� Fridley, Minnesota regardfng location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this perinit may be revoked at any time upon violation of any of the provisions of said ordinancea Clarence Be�isle B�� NOTICE: This p�rmh do�s not eowr th� eonstruetion, in�tallation fo� wirin�, plumbing, �as h�alin�, s�w�r o� w�Nr. B� wn fo tN fh� Buildia� In��eto� for s�parab p�rmht fer 1h� fNms. r t OWNEB' S i3AME A.DP�,ZCATIO?1 I�OR BUILDING °EIiMIT CYZ"'Y OF FT.2iDLEY, MINi�IESOTA ADDRESS � � �' �' � �a-�%L�� ,u,�.� ✓ l . �: AD��.ESS LOCATION �F BUILDIATG N0. �,, � �C �` STREET I�L c-a r t��-�-� i� �� • PART OF LOT LOT ��' BLOCK �- ADDITION OR SUBDIVISION ��t�J2�c ��, �� ;�.��t ��, - �� < <�� CORNER LOT INSIDE LOT '�� SETBACK SIDE-YARD SEWER ELEVATION FOUNDATION ELEVATION Appiicant attach Co this form Two Certificates of Survey of Lot and proposed building location drawn on these Gertificates. To Be :Used A� ; O f' �.,r �y '`�, _ , r ,�' - j�' DESCRIPTION OF BUILDING � Front Z C� Depth Z- Z- Height �� Sq. Ft. `' '�� Cu. Ft. � �+� Front Depth Height Sq. FC. � _ Cu. Ft. ._ ,� � Type of Constructian •��t � ;C1��'� �`--� -'' Estimated Cost J��f� l' i To Be Completed �i - �� _ �� .. The undersigned hereby makes apglication for a permit for the work herein specified, agreeing to do alI work in sCrict accordance with the City of Fridley Ordinaaces and rulings of the Department of Buildings, and hereby declares that a11 the fasts end representations stated in this application are true and correct, %� , DATE SIGNA7.'URE ' f , . <.;� -�•..; �,•��: .s..r .'�;. .�- ��w,.._..�._._ (Schedule of Fee Costs can be found on the Reverse Side). � ===—„"`...--- � �� \ � � � 97-8?�-1,16o5Z CITY OF FRIDLrY � . APPLICQTION FOR PUIMBING AND GAS �I'iiING pERMIt � m u x• u Water e! n m � tb+ �..��i m a �a�+ n, w a' xeater y y .i e! E�.�r w m rd u p, .1 9 �! �+ C ,tl1�l �?�j .N � NQ .0 C F� � Q U 0�1 O O � tl tA C. N �e4i '� O Q � N J.1 N N N fll +� .-+ s+ �o ro »+ ro s+ o.e .-� rt�d 7 ro ro ro '� •as lec tn �� U a c0 Co Vf 3 A G, tn a. U o0 �t 3 � � c7 O ist gr' 1� 2nd 3rd a t� (R) = Future Connection Opening Connected with Sewer (•) = 2iew Fixturs, O�d Opening • Water PAR7IAL RATE SCHEDULE PLUh�ING FIXTURE Rf1TES: N0. RATE TOTAL Number Fixtures flzture Fixture Opening New Fixture. Old Openinq Catch Basin Water Heater - to 99,000 HTU 100,000 STU to 199,000 HTU water Sof tener New Ground f�n Old Buildinq Electric Water Heater GAS FITTING FEES: lst 3 fixtures Additional Ff�ctures Gas Fanqe to 199,000 BTU x $3.p0 x $2.00 x $2.00 � x SS.00 x $5.OU x $10.00 x $7,00 x $5.00 x $5.00 x '$3.00 x sl.oe x $L0.00 S S $ S S S S S S $ S 8 REPAIRS F, ALTERATIONS • First $100.00 $5.0� $ each add. $100.00 or fraction S2.00 $ State Surcharge $ .50 Tdraz. �e $ 8.00 . REINSPECTION FEE �� (510.�0) � Job Address 6860 Brookview �rive �� Department of Buildinqs City o£ Fridley Tel. #571-3450 T2�e undersigned hereby makes a�plication !or a peLmit !oY the �ork he�t� speciffed agreeing to do al1 work in strict accordaace with the City Codes and rulings of the Departmeat of Buildinqs, and hereby declazes that all the facts and representations stated in this application are true and oorrect Fridley, Mn. 8'2'78 , lg a�R NOEL KIND OF BUILDING frame USED AS r�-'S. ' TO BE COMPLETED A80UT l��7 8 ESTIMATED COST 20�� OLD - NEW BUILDING PERMIT NO. PERMIT NO. �/�� . Company -- " � '�`t`.l � %�� ''� '„`�` t�'�'- Signed By Mf ^'- -GA$CO Tel. No. ROUGH Zir•SP. Date FINAL INSP. �� .3 6 ' � � ' Date 1�PPR,OVAL FOR PERMIT !'�`-�+- MINIMUNt FEE FOR ANY PLUMBING PERMZT Z3 S%.50 pl,pg �t.50 STATB S�JRQIIslRGB sue�ecT PER . City of Fridley 213 4 2 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � . RECEIP . � � COMMUNlTY DEVELOPMENT DIV. r � ~ � PROTECTIVE INSPECTION SEC. � � � � � � � � /"�1 � CITV HALL FRIOLEY 55432 NUMBER REV. OATE PAGE OF APPROYED BY �""'�' �'' 612--571-3450 9�0-F15 5/18/92 � � JOB ADDRESS 6860 �rookview- D,��e NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 2 Brookview Terrace 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS Z�P PHONE Ed Noel 6860 B�ookvie�,�t Drive NE 571-�-4760 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADORESS ZIP PHONE UCENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Res:idential 7 CLASS OP WORK ❑ NEW O ADDITtON ❑ ALTERATION C� REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK � Reroa� Dwelling & Gaxage (_32 Sc�uaxe�l Te� Q,f� 9 CHANGE OF USE FROM TO STIPt1LATIONS Undexlaxment znust c�zrlpl� ozith the State Building Code, TYPE OF CONST. OCCUPANCV GROUP OCCUPANCY �OAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUCTION ZpNING S4. F7. CU. FT. AUTHOR12E0 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 ANO EXAMINEO THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORREC?. ALL PROVISIONS OF LAWS VALUATION SUFiTAX AN� ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIEO HEREIN OR NOT. THE GRANTING OF A PERMIT $1 � 560 $• 78 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE pERM�TFEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW FiEGUTATING CON- 3'�.00 Fire SC $1x56, STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $ PLAN CHECKfEE TOTAIFEE $39.34 S�GNATURE CO RACTO R AUTHORIZED AGENT IDATEI NfHE Q ERL V UD D 7HIS IS YOUR PERM17 / p � ' �j g � � � �. �'�rJ — %o� v � / SiGNATUREOF'OW Pi1FOWN RBUILDERI iDATEi BLDG WSP pATE NEW [ ] ADDN [ ] ALTER ( ] CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construcdon Address: loU � b d�loo,b v�.e c,c� �ii.r �, .sz Legal Description: Owner Name & Address: Contractor: Address: G1n� . r Effective 3/ 1192 Tel. # �'71-Y7(D MN LICENSE # Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed consbruction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height GARAGE AREA: Length Width Height DECK AREA: Length Width Hgt/Ground , OTHER: �-2� o_� .� �- ��e-no o Q � Z -g 4� Corner Lot [) Inside Lot [ J Ft. Yd Setback Type of Consauction: Approx. Completion Date: Driveway Curb Cut Width Needed: Ft. + b Ft = Sq. Ft. Sq. Ft. Sq. Ft. ^�f?o.u,�e. ;�_l7GZ/laa � Side Yard Setbacks Estimated Cost: $ �� (Cost on Back) Ft x $ _ $ DATE: � -T/ � J�� APPLICANT: �. o @ Tel. # ,� 7 1- y �(o � � �ITY USE ONLY Permit Fee $ .�� Fee Schedule on Reverse Side Fire Surcharge $ t j lp .001 of Permit Valuation (1 / 1 Uth %) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ --- $700 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Park Fee $ '' Fe� Determined by Engineerutg Sewer Main Ctiarge $ Agreement Necessary [ j Not Necessary [] TOTAL $�3 STIPULATIONS: , . - �- Building Inspections 763-572=3604 �ATE � '- -2-0 �- � ' 'II. ADDRESS �� I'HIS A.PPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERNIIT TYPE BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY ❑ OWNER PHOTIE: S %l — � '7 l O STATE LICENSE �t PHONE ADDRESS , Permit No.: Received By: Da��' c�( ATE�4%�.L tP, � / � EXP DATE � CITY STATE�IP -�� 3 Z� � 6 79 Fax ?� �—� 3 S� ^ � S� � 1 SIZE ❑ BASEMENT FINISH ❑ ROOF ❑ RAIN TILE ❑ DECK ❑ SIDING �.OTHER ❑ SWI1vIMING POOL \.�fit n . , i \ � TYPE OF WORK: � ��'�' _ _ � MAII� DESCRIBE WORK BEING DONE: SIZE OF IlvIPROVEMENT NUMBER OF SQUARES _ GARAGES PROPOS£D SIZE: PROPOSED HEIGHT: SIDIlVG ❑ Vinyl ❑ Aluminum ' ❑ Oti�er . WIiVDOWS IN EXISTING OPENINGS OYes ONo OR FOR NEW OPENINGS-DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED TH ❑ HOUSE ONi.Y ❑ HOUSE & GARAGE O ATI'ACHED GARAGE ❑ DETACHED GAR.AGE ❑Soffit ❑ 7'rim ❑ Fascia IACATION OF WINDOWS OF �WINDOWS HEIGHT BASEMENT REMODELING SUBMIT: I . Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used Ft. FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS. & PORCHES SUBMIT: I. 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 $_� ,{��p �� OCCUPANCY TYPE Pemut Fee Plan Review Fire Surcharge Surchazge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ 7. Ja � $ $ 3.,fii� S �_�t0 $ ,� : /}'£) $ $ $ $ $ - $ /b'7. -r'i 5 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: Citv oi Fridlev Attach THIS [S AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building pernut and I acknowledge that the information above is comptete 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 work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANT �� PRINT NAME TT q r r i C�o v� �' DATE g° ZO �� Building MECHANICA� Inspections RESIDENTIAL APPLICATIQN 763-572-3604 CITY OF FRIDLEY DA7'E �'.._...�-2'--�--- `^ r'�— %��a�3` � 7 YOUR E-MAIL ADDRESS SITE ADDRESS � TFiIS APPLtCANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PERMIT TYPE TYP� OF WORK: � OWNER �CONT'RACTOR ADDRESS:� Q� ��V'oa � v i E w�%'r —CITY Pxor�:�� - � `1 /- y/ 7� _ co�nrr�r xaME:.� Pernut No.� ? Received By:� Date Rec'd: 1 b l�� ATE,�ZIP � S �/ 3 � CONTACT PEILSON: a — STATE UCENSE � A EXP DATE / ADDRESS: d �6� `rJ �t'c7vf !�, _3' C1TY H�OF!' .! E STA7'EN7y ZIP,S��/ PHONE ��"3 - L/�'!7'a2�� FAX Ea3INGLE FAMILY O TWO FAMILY o r�w O REPLACEMENT DETAILED DESCRIPTION OF WORK � TOWNHOUSE �,�w+�nox�MODn. � PER MS t 6B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to 5500.00, wb.ichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of ]abor ) Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = FOR PROJECTS �RE 1ABOR EXCEEDS $500, FEES ARE BASED ON S 10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURFS: (II`IDICATE T�TAI- t�1UMBER OF EACH BELOV� MODEL: D11D36 Q'n 3 I SIZEBTU 3� Equipmentinstalled . . M��T� ��p'--,-.'�� — SIZB/gTU J��: MODEL: 5�� G: MODII,: A/C 525.00 ,�`IREP1-ACE (GAS) $I5.00 GAS RANGE/OVEN T10.00 —,4IR TO AIR EXCHANGEER 415 FIREPLACE (WOOD) 535.00 _NEW GAS GRILL $10.00 BOILER $35.00 - FURNACE $35.00 GAS UNTT HTR 510.00 CHIMNEY L1NER $10.00 AS DRYER 510.00 _POOL HEATETt $35.00 `DUC'I' WORK 510.00 �AS PIPTNG S10 00 VEN'TILA'TOR SI5.00 _— �•-s.��,�-„'x`��i�r'�s'�"a"3��'t�^�di Permit Fee Surcharge 'fOTAL DUE a?3:.,:.ix�.v,�.�.,.::,cx�ec. :a - -��..,�.; .,..F:..--�..: � :.,.:...,. _._ _ .... _ _ _ $ Number of fixtures @ $10.00 x $10.00 = $ .50 Number of fixtures @ $15.00 x $.I5.00 = $ $ Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ 50 Tota] _ $� � THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTII- 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 Codes; that I nnderstand 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 work which requir s revie d appro��al of plans. SIGNATURE OF APPLIC PR1NT NAME '��di*�� s%i.l • rer�c- l DATE �� %� ��O 7 City of Fridtey Building Inspections Department . 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 �.. REQUIRED lNFORMATION NEEDED TO PROCESS PERMIT RESfDENTtAL PERMfT APPL{CAT10N HVAC [] NEW HOMESIADDI�IONS �EXISTlNG HOME ❑ MAKE-UP AIR REQUIRED FOR I�tEW/EXISTING H�MES 1. Combustion Air (See note below) . � Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or PropaneflFGC Chapter 3 with MN A.mendments • z, Mak�up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venti.ng � Gas appliances IFGC Chapter S with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amen.dments RE(�UIRED FOR NEW HOMES 4. Heat loss & coolin.g load per room a. Required on new consttuction IMC 1346A312 5. Veniilation . a. Per MN Energy Code 7670 or 7672 6. Duct Design Per IlVIC 1346.0603.2 a.. AccA �,� D NOTE: Cenierpoint Energy Mechanical Code Guidelin.es software may be used for comb�ustion and make up ai� calculahons �