AF - 46424BUILDING PERMIT
Village of Fridley, Minn. N� 2 5 6 �
Date 1',+.�.... .1�,�., .�: �� . . . . . . . . . . . . . . . . . . . . . . . .
Owner,�.��°`V��� ......... Builder �;�^s"�:�i...��! .........................
...
Address ���. d �� ea� �'--r'e�f . .E�'r.,,,.C' :+1�G,�' Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
�::•
. LOCATION OF BU(LD►NG
No. , y�. �M1S:"r.`... Street . .�. . . ............ .. .. . Part of Lot ......... . .. .. .. .... .. .
��,} 7
Lot .....�� ...... Block ...�.......... Addition or Sub-Division .�,,��..y�..p.�.F,y�I��i�i�
,
Corner Lot . . . . . . . . . . . . Inside Lot . . . � . . . . . Setback . �:�:'��� Sideyard �/�tj.'��.' . . . . . . . . . . . . . . .
DESCRIPTION OF BUILDWG
To be Used as:
. ����J 1 . . Front . � }�. . . Depth . ��. . . Height . f.�. . . . Sq. Ft. .(r rf .�: Cu. Ft. . . . . . . . .
�/�'���'.. �.� ,� /� 4F
. .. .... ...... .... . . . F'ront . .. .. .. . Depth . .. .. .. . Height . .. .. . . .. Sq. Ft. . . . .. .. . Cu. Ft, . . . . . .. .
Type of Construction�� . . . Est Cost ��� �QQ . ��. . . . . . . . . To be Completed .�...�,e�ys.� . .
In eonsideratidn of the issuance to rne of a pernut to construct the building described above, I agree to do
the proposed work in accordance with the description above set forth and in compliance with all provisions of
ordinances of the village of Fridley.
...................................................
In consideration of the payment of a fee of $. .. �..., permit is hereby granted to ....�.� .�,r�. .. .. .
�` to construct the building`o�addition as described above. This permit is granted upon
s�ndllaon at the person to whom it is granted and his agents, employees and worlmien, in all work
done in, around and upon said building, or any part thereof, sha11 conform in all respects to the ordinances of
x'ridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with-
in the.village limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances. _ � /'1
�:�..���''�' . � .� �� . _ . - ,
�
NOTICE:
This pe�mit does not cover the construction, instaltation o� alteration for wiring, plumbing, gas heatPng,
sewer or water. Be sure to see the Building Inspeator for separate permtts for these items.
. � � �
City of Fridley, Minn.
BUILDING PERMIT N° t,'�� �� 4 7�r 5
,.r,. � f} I/
Date: .._1`._..... � �_� �._�`."�"�_LG..�.___..._...___..._
` � .-
..__....---- Builder -- � -- -.�:_
,� �' �
Owner: � .�-.� '?.r+,�...� _....::�..� ._�:.:..�..�:.
.
������.�-� � .�.________._..__..___. _
Address -- '� �..`� �.-._-��-,�. � ,'�'-�.'._..x_._ Address ........_.._........._......._..._._..._..._._.._._.:�._.�c_._.._.._.___..__.._.._..-
F �
�r —. � `�
,, �„ � LOC�ITION .OF BUILDING
1" r �4 �
No. .;.e�.--�.-�.,..e.---- Str�et _.�� �-- �.:__4.�`:_.�_...—_....__.--.._-•------.. Part of Lot --
� r' �
Lot ...._„i� �',� - . �._..._ Block ...--------. - =-. :......_......._........ Addition or Sub-Ixy,isio ::. ��.' � ��
Corner Lot ...-.-----•-----.--..--•---- Inside Lot ....._....i''"�_�.._......_. 8��lback ...�'� _f.:..�='��ideyar�
Sewer IIevation
IIevation
DESCRIPTION OF BUILDING
�-f -�=:�-��1!�'�1'�±-:�:�-�---,
i• ,
....._......,,�-........_..._ ............._.........---�--._.......
To i}� Us�d as•
�� ,� i! f ' ' � �
.,+ w,� �......_: ..��.��.. Front ._1:.:�_�.._-.. Depth .s�- f:.'_.. Height ��'�.�:'...._.. Sq. Ft _.� f.i�.: Cu. Ft '-/_�._''r `ftr��
..---- �, ._�...----......._. Fron� .....-----........_.. Depth ..._.. �eight ,:�� -:; Sq. F� ....._...:::_........ Cu. F't. ------....: ...__..
_. � ,� r .., ._,
Type of Construction �'� '-......:,L,!... Est. Cos£_...�.�...*�?^'��� .......... To be Completed ....._....._....-----_._...._... -- ---..
...�.. d..<:.. _::�
_` �-�- � ?
-;,t _ ,-. * _ _
• . .. - ,_ � '._ .. . . _. ��✓CFi _� J l�_+�a J-J
� :.. . � -_. .. .. . . n � — - _ . ^j �.� ..',iVEi"r.�ti7�NRY :�. 4"�Y�V .�i".
i�i�_� ..7 u d c�::i.a :�.� d�.��W�,�y_,
In consideration of the issuance to me of a permit to construct the building described above, I agree to do
the proposed woa�k in accordance with the description above set forth and in compliance with e11 Provisions of
ordinances oP the city of Fridley.
..�^--._._.___..___.__..._.. ..� _.__.�
. .. ..
��"'-''''� .., rmit is hereby granted to..-•-•-------•--•-•---_._..._......--•--••-• ----
In consideration of the payment of a fee of $��....._........._._. pe •- �•
_._ to construct the building or addition as described above. This permit is granted upon
the express condition~that the person to whom it is grented and his agents, employees and workmen, in all work
done in, around and upoh sa.id building, or any part thereof, shall conform in all resAects to the ordinances of
Fridley, Minnesota regazding location, construction, alteration, maintenance, repair and moving of buildings
within the aty Iimits and this permit may be revoked at any time upon violation oi�y of the provisions of said
ordinances. /'r"r �. �� f
_ �- ��...�-�� �r..��__ y::�..�a.. �` A,.�1iBuilding InsPector
NOTICE:
This permh does not covsr fhe eonstruetion, installation for wiring, plumbing, gas heaNng, aewer or water. Be sure to see
fhe Building Inspector for �epara�e permits for these itsms.
k � ..- -�
iJ "
��
4 ,�
� s ;. � - -
�
. . :�I
. � ' APPLiCATION FOR BiT.ELDING F�R�IIT
� C�ITY OF FRIDLEY, MINNESQTA
. . . . �: �� , :
�ers N�e �v �y � r ,�� �_� ��� � e:, � _- � ��.d�� �� �� � ,� � �� �� � �� c��, �
�.aaress . - �r �� l� � �v r.� �� � � i-� � ,�� �� . �aaress,� �,.+.
• . � . . ..LOCATION QF SUILD�NG . .
Noa��° ,
Street ���� Part of Lot ,
Lot _ � .. .Block _ �Q . ��d.dition o� Sub.Div:.. ��+r �r%�: �` ' �+ �
Cornex . Lot . Inside Lot �` � Back �' Side�-Yard� ��
S�;4TER ELEVATION ONDATION ELEVATION
�ppli^ant attach to this form Certificate of Survey of Lot and proposed build3ng
location,,. ; • , . .: ... � ' � _
. ` ..�D�SCR.YPfiYC11V OF BUILDIN�'
To i�e used as:
� i-1 � 9 i�- e. � Front �-� ��� Depth � �� t- Height •��'��.:.
�c�� Fto ��� - �Cu. F't. �5� �� �� , .. . .. . .. .
-�—.-
_ , �. ..
Front` Depth � � ' Height
S�� Ft. Cu. Ft,
�"'�/),q�'� � Estimated Cost �'6.'� � �
Type of Construction ,.
To be1 ��t5��eted` r�� �� f���� �, � , f, s�-+` � , � ---
� • .. _.
Tne un�.ersigned Yiereby ma�es applica-tion for''�. p,ermit for t�ae work herei.n specifi�,
a�reeing to do al1 work in strict accordance with t2ie City Ordina.nces and rul3ng of
the Papartnent of Buildings, and hereby declares tha.t all the facts and representa-
;ions� �sta�ed iri this application are �true a.nd correct.
��:� - �
; : � �. � . �s/�
D4TE `�- •2 � - � � SIGN�'PURE , � ���f .
(A Schedule o'f Fee costs'can be found on the Reverse Side.)., '
�
� . G �
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+
�
BtJILDING PERMIT FEE 5CHIDULE
Section 2. The Inspector of Buildings shall, before issuing any permit
for the erection of an�* bui�ding or structure, or for any addition to
any ex�:s�,3�ng:'building� or �tru�ture, or �or ang alterations .or repairs
to any .exi��t3ng building or structure, upon application t�erefor, require
the pa�ent by the applicant for such permit�of fees�to the amown�_herein
below set forth and in.the manne� herein�provided to-wit:,_ �•
2.,.1... ��-�'or°any such permit for, the erection of any fire-proof building, other
��.,. �-�- than a garage� ware�ouse, f'actory or grain eleva.tor, or for the erection of
a.n�r f3.�ep�oof addition, for..similar occupancy, to any existing bu�.lding
_.•- -� `��� shall be at the rat�...of' ��.1�0 �or each one thousa.nd �ub�c �feet, or fraction
thereof, in such cubical contenta. ..- �-� �
2.2. �� For- a.riy��`such permi.t for the erection- of any fireproof g�rage, -ware-
_.:. hous�, �factor� Qr, gTain .elevator; or� for the erection of-an� fireproof
�----'� "� addition, £or` similar occupancy� to� an�r. .exa:sting building shall be at the
... _rate� o�: ��7..25 for each one. thousand cubic feet, classified as "fireproof'�
.--- --'" "� by S�c�.�o�'.•502 0� the Minneapolis Building Code. '
� ..�,_. _ .. ..HOUSES ', � �
� . - - � , .
I---•-�•-'�'" ��� 2.3. ..k'or��any such permit for the erection of any non-fireproof buildir�g
, .�� other than a gaxage, waxehouse,: iactory or grain elevator, or any non-
� fireproof additioY�,=for similar occupancy, to any existing building.
Permit �1.00 for each one thousand cubic feet. -`�
GARAGES . ... . _ .
2./�, Ft�`r• any �such permit for the,..erection of any non-fi.reproof garage,
_T _.. �-�'warehouse, factory or grain elevator, or for th� erection of any non--
fireproof eddition, for �imilax occupancy�;�to any exiating buil.ding�or
for each such building.or addition. Ninety Cents.for each�one thousand
cubie •%e� � or� �f"ra.ction thereo£, in,_.the cubical contents thereof with °a �
__ . _. .-� . ....�minimum of �l�..00 . ' � . . • �
For the purpose..of.comput3ng��fees for building pex�mits the cubical contenta
of any build3ng.or addition to a uniform�he�:ght throughout.by.multiplyi;ng��
��the"'ground axea covered..i�om �,°point six (6) in�hes below the• floor_ lin,e:-of
�� the ba.semen.t -or �cellar to the average height of �he upper sur�faee o� to tk�� '
.. aeerage height of. the roof: siz�fa,c�_ of tYie main. gable of a pitched roof.
�'� Z�: �. j F�or..;repaixs .or alteratiQns ,to • an existing structure, the #'ee � s�a:t�" be
� � �: ' �' `• 'at the �rate �of �3.00 for• each' Five Hundred I�ollaxs (�500 .00 ) , or fraetion ;
-- �'thereof in the cost of all proposed work. �' - �
2.6. In no �ase �shali the fee charged for�any permit as set forth in
_ �_...Secti:bn�2~be less th�n $/�.00: ,
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���et3�. �e� �h�t�s . mu�t � t�ke�t c�re t�f m�� t&e t►� �e� dage�
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CHIlVINEY AND STACB VERIFICATION
The undersigned hereby verifies that the existing chi.mney or stack:
1. Has been carefully examined Yes () No ()
2.
3.
Is free from rust or deterioration
Has no foreign objects lodged within
4. Is securely supported
5. Meets all current Code requirements for size
and total BTU's connected
6 Has total heating BTU's of
All other BTU's
TOTAL BTU's
7. Has a liner been provided for water heater
8. Has combustion air been provided for water heater
Remarks:
List ALTERATIONS Bein� Done•
HEATING CO:
Signed By:
Date:
Yes()No()
Yes ( ) No ( )
Yes ( ) No ( )
Yes()No()
Yes()No()
Yes ( ) No ( )