AF - 47606City of Fridley, Minn.
BUILDING PERMIT
N° 6129
Date: _._..,�`'..sr�..�__...1��..�'"'� _.___
� �
, ..e�� . ._�____.r...._....�._�.__�.�
Owner: -.��p��— �--- .� Builder _ _.
Address _..._....._:..._.____________.. _.____._.__._____.._.._.__.._ Addre�e .....__.._
No. ..�jQ_..�..L�..... Street
Lot �� ���' � Block
Corner Lot _.__.._...._.._..._.. Inside Lot
Sewer Elevati�
.
Setback w � ___.._�._ Sideysrd __..� .�._.w..._.
Foundation Elevation
y
DESCRIPTION OP BUILDING
To Used � ,'r
_ Front � DePth ���.. Height ..�Y Sq. F't. ���Cu. FL ��1�
R_.. ....___ Depth H' 'ght ,� Sq. Ft. �,�..�i Gti. F'� .��
<� .
Zj�pe of truction _ ._.. Est.~C��s� ....�� __.._....._ o be Completed _.._...__._.w
" �� _'_`
In consideration oP the issuanoe to me of a permit to construct the building described abave, 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.
�
In cozisfderation of the payment of a fee of � _..._._...._.., permit is hereby granted to�
�._�......_._.._..�._.......__..�_.___ to eonstruct the building or addition as described above. This permit is granted up�
the express condition that the person to whom it is granted and his 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 o�
Frldley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
within the city ]imits and this permit ma,y be revoked at any tin�e upoz� violaYiQn of any of the provisions of said
ordinances. r l w w ��
Buildin8 Inspecta�
NOTICE:
This p�endt doa nw eowr tiw eonsfrue�ioo. ta�t�flNten fer vrlr�. 'Wmbino. !�s M�Nn�, � or rraf�u !� sun to a�
th� SuiWiag In�pKfo� for a�puafr p�noih for 1h�» h�as.
.. . .. � �
, w� �
APPLICATION FOR BUTLDING PERMIT
CITY OF FRIDLEY, MINNESOTA
Owner's Name Build�r �
Address Address
LOCATION O1N BUILDING
No. Street Part of Lot
Lot Block Addition or Subdivisioa
Corner Lot Inside Lot 5etback - Side-Yard
SEWSR ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Two Certificates of Snrvey of Lot and proposed
buildfng location drawn on these Certificates.
DESCRIPTION OF BUILDING
�To`be used as:
Front---�Lt � --Depth�Height � �
Sq. Ft. Cu. Ft.
Front Depth�_',� �Height j %� .
Sq, Ft. Cu. Ft.
Type of Construction EstimaCed Cost
To be Completed
The undersigned he"reby.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
declarea that all the facts and representations stated in this application
are true and correct.
' ,
DATS SIGNATURE • r
(Schedule of Fee Coets can be found on the Reverse Side).
_ .. " � � _ „ -
City of Fridley
Apprica�ion #or P'lumbing cmd Gas Fitting Pernut
Dept. of Bldgs. Phone SU 4-7470
DESCRIPTION OF WORK � S/_ Q_
Number, Kiad and Location of Fixtures Location L�
�� I � I~ m I Z I Z I� � I� �( ; I� � S� I< 3IU' c IU' n IU' O I F I N I G STER ELEC.
V`� � a
3� � �� afi VI 3 F- C LL � LL O
Base
lst ` % �
2nd _
3rd
4th
• Future Conaectioa Openings
* New Fixtuse, Oid Openiags
PARTIAL RATE SCHEDULE
Sewer �
Cesspool j'j
PLIIMBING FIXTURE RATES: NO. RA'1"E TOTAL
Number Fixtures .. ... .. .... . ... .. ... . . 6 x $1.50 $ � C�
Future Fixture Opening ................ x 1.20 $
New Fixture Old Opeffing . . . . . . . . . . . . . . x 1.00 $
Catch Basin ..... ...................... x 3.25 $
Water Heater (Up to 200,000 BTin . . . . . . —�_ x 2.04 $ � , O G
New Ground Run Old Bldg. . . . . . . . . . . . . x 3.25 $
GAS FITTING FEEB: NO. RATE TOTAL
lst 3 Fixtures ..........................� x $1.50 � / `3 �
Additional F'ixtures .... . ..... ........ . . x .50 �
Gas Range to 200,000 BTU .............. x 2.00 �
REPAIRS & ALTERATIONS—Refer !o Code
Description ................................................$
TOTAL FEE �
City of Eiidley:
0
I/ L
6 �
�
�
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.
' ley, Minn. ��� �� , i� L—`
� /� ,
Owner C.X.�C /���.�. !�
Kind of Building
Used as
To be completed about
Estimated Cost, $
Old ew.' uilding Permit No. �� 2 � Permit No. °� �O
Signed `<`���+�
By �/.�.� D_ �•i•—�-
Business Phone No-
ROUC3H � � I � l� �
FIN
42 '�
,�►PPfication f�or P�wer Plants and. He�iin9. Coding, Ventilation, .Refrigerce�ion dnd
Air Conditioning Systems aryd Devices
PARTIAL RATE S�HEDULE
GRAVITY WARM AIR: RATE TOTAL .
Furnace Shell & Duct Work . . . . . . . . . . . . . . . . . . . . . . . . . . 8.00 $
Replacement of Furnace .............'............... 5.00 �
Repairs & Alterations--up to $50Q.00 . . . . . . . . . . . . . . . . . . 5.00 $
Repairs & Alterations each add. �500.00 . . . . . . . . . . . . . . . 2.50 $
MECH. WARM AIR
Furnace,Shell & Duct Work to 120,000 BTIT . . . . . . . . . . . .
, each add. 60,000 BTU . . . . . . . . . . . . . . . . . . . . . . .
Replacement of Furnace .............................
Repairs & Alterations-up to $500.00 . . . ., . . . . . . . . . . . .
Repairs & Alterations each add. $500.00 . .. . . . .: .. .. . .
3TEAM or HOT WA1'ER $YSTEM
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 Iiot Water . . . . . . . . . . . . . . . . . .
�
OI � BURNER-to 3 gal, per hour . . . . . . . . . . . . . . . . . . . . . . . .
over 3 gal. per hour-See Fee Schedule
8.00 $ � �' �'
2.00 � .Y�__
�.00 $
5.00 $
2.50 $
8.00 $
8.00 $
2.50 $
2.50 $
5.00 $
GAS BURNER (up to 400,000 BTLT) . . . . . . . . . . . . . . . . . . . . . . . 5.00 $ �Q Q
GAS FITTING FEES: NO RATE TOTAL
lst 3 F�xtures ...................... x$1.5d $ �� S o
Additional Fixtures ................. x .50 $
Gas Range to 200,000 BTCT . . . . . . . . . . . x 2.00 $
AIR CONDITIONING �
FAN HEATING SYSTEM See Fae Schedule
VENTILATING SYSTEM �
ALTERATIONS & REPlIIRS TOTAL F$E � f� SG7 •
ROUGH
l'r INAL
Depi. of Bldgs. Phoae SU
I I
�
�I
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 Ordinance�
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. � -�-� �- � , 19 �`2--
Owner
Kind oi
,
Used as '�-`�-�p�-�4"
To be completed about ��-' f�� �"'
Estimated Cost, $ � l �� ` p �
Old-New. Building Permit No. � "L' Permit No.
DESCRIPTION OF WORK
HEATING or POWEft PLANTS-Steam, Hot Wate Warm Air No.
Trade Nama�� �w_ C,u-��-c�Cc..�,-.• �. ,-. _ Size NoT%����' C' !3 '�
Capacity l�� M Sq. Ft. E.D.R. BTU H.P.
Total Connected Load � 7���o � Kind of Fue
BUR.NER - Trade Name Size No
Capacity.
(REMARKS-OVER)
�� 4 z 4M 7-39
Sq. F`t. E.D.R. BTIJ H.P.
Si
sy
/IRRECTION Nf�►TIN6 COMPANY, �NC.
AIli. 50. • TA� ii2t!►
Busine�
��� � 3� � � �� � l0 0
� � - /- � � �, 9
HE�1T LOSS CULATIONS DEPARTMENT OF BUILDINGS MINIVEAPOLIS. MINN•
Weatherstrips A•S.H.V.E, Construction No. Insulation
Guide
Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof F1oor Kind How Applied
Yes—No Yes—No 19_
� Fl.� v� � Room � Length �/ Width % Z Height iybFl.� Room Length Width Height�
Windows Doors—Crackage and Area Windows and Doors—Crackage and Area
tYidth Height No. ol Llneal ft. Area Width Height No. ot Lineal ft. Area
No. ot pane of Dane lights o[ crack aq. ft. No. ot pane o[ Dane ltghte ot crack eq. tt.
o � 2 0 /'� � o r
f�� .� �i 2 � 9 / S
3`
Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
� a y. � ♦ /
�, � „�j ,��-� / Coef. Btu
' yo l5f�vo
G� � ,st� 1 / � C�
/I�o I �d�a
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Fl.� Room ( Length � �'j' Width %�
Windows and Doors—Crackage and Area
Width Height No. ot Lineal It. A[ea
No. of pane ot pane IiBhta ot crack ap• tt.
°%' � � / !�
� '�- h" � �- 3 a- �
�
Coef. Btu
In6ltration �,�{ S/D 2 ,� (' p
Glasa �`i5 f"b � �C9
Exp. wall / �
Net exp, wall /7/ / o � 7/ o
Int. wall
Ceiling
Floor � /�r- � o 0
Total Btu. p
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
� 1. �'�,�2�%% Room � Length � Width �'� Height
Windows and Doors—Crackage and Area
Width Height No. of Lineal tt. Area
No. of pane o[ pane Ilghta o[ crack eq. ft.
/ �7 C �in �i % �O ��
In6ltration
Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
Coef. Btu
'�O fo fl Q
�o S'.S�
iol �io
d8' I �� I/��- o
ft. E.D.R. or sq. ins. W.A. L.eader area
` Coef. Btu
In6ltration � � Yo / � o a
Glaas ,S`?� �'1 �O
Exp. wall 9
Net exp. wall �
Int. wall
Ceiling
Floor l /�
Total Btu.
Required sq. ft. E.D.R. or aq. ins. W.A. Leader area
� Fl.�-` oom ( Length � Width %r
Windows and Doors—Crackage and Area
Width Hetght No. ot Lineal It. Aree
No. of Dane of pane IfBhta ot crack eq. tt.
�-. � '� �'(o '� � o /�'
In5ltration
Glass
Exp. wall
Net eap. wall
Int. wall
Ceiling
Floor
Total Btu.
0
5�� S �'
/%�%7� ` •
��
�� �
�uired aq. ft. E.D.R. or sq. ins. W.A. Leader area
Fl.� ,�_�-�u Room I L.ength �— Width �''
Windows and Doors—Crackage and Area
Width Hetght No. of Lfneal (t. �Area
No. of pane ot.pane Iighte ot crack sa. tt.
� �sr i� -v • v �'
I
In6ltration
Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
r
/ /J' S'
.3'a o S
Coef. Btu
yo .�' � a
� � Y�
S �
S��' /U S/�''a
,�� /5 � S�v
���
Required sq. ft. E.D.R. or sq. ins. WA. Leader area
-��._j .t � �� ��-
City of Fridley, Minn. 1�T° 9 3 8 6
BUILDING PERMIT
• Date: _._.___..�_ �ug�ust 8, 1967_��.�
u
pwner; __._Larry Harris _ _________ Builder _..___.Same
Address _.__..� 651 _Jansville NE . _.�..__.._._.._...__._ Address _._._ ..
LOCATION OF BUILDING
No. .._6 S 1._...__._ Street __..._.......__.�ans vi 11 e_._...__�.. __ _. __.___.._ Part oi Lot ....._.._.�
12 13 14g P •• • Riverview Heights
Lot _._........x..�_. �._ lock _._.___._.__..__......_..._. __. Addit�on or Sub-Ihvision ._._.___J.. _._._.
Corner Lot ___---_......__._ Inside Lot __.___.._..�__.._... Setback ._�_._.__._..__._._ Sideyard
Sewer Elevatiaai ____.�._..._.___.._._.._.._.._.._ _._._.._._ Foundation IIevation
DESCRIPTION OF BUILDING
To be Used as:
Finish Baseme 20' 24' 7' 480
_.._.._._..___�w__......_......_ �ront _.____.._ Depth ._..____� Height .__.._._..�. Sq. F't. � Cu. FL
_._._�..__..._. .__..__ Front __...__.._._ Depth _..___._..__ Height _.__.____ Sq. Ft _. Cu. Fk
Paneling & Floor $250.00 1/1/68
Type of Construction ___._._..._... __._..�_.. F�s� C�t ___._.._.....__..._.._.....__.._.._ To be C�pleted ._._
In consideration of the issuance to me of a permit to construct the building described above I agree to do
th� proposed work in accordance with the descripti� above set forth and in cbmpliance wlth a�l pro�viaions o[
ordinanoes of the city of Fridley. �;; �,j ,�
� � •-r � l.`�/� � JC J`�o\'u' M.. ��
In co�sideratfon of the payment of a fee of �.._ 5.00 _._..� ��t is hereby gisnted to Larry
Harris to construct the building or addition as described above. This permit is granted upoa�
the �express condition that the person to whom it is granted and his agents, employees and worlQnen, in all work.
done in, around and upon safd building, or atty part thereof, shall conform in all reapects to the ordinancee o�
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving o! buildin�s
within the city limits and this permit may be revoked a t ar�y time upon violation of any of the proviaio�ns of said
ordinanoes.
� RRNC'� B�•I� Building Inspecta�
i
NOTICE:
This p�emit do�s net eewe ilM eonstru�lion, inshll�Nee fer �vidno. PWmbin�, ou hwNeo, aw�r er waMr. !� wr� h s»
• f6� BuiWieB Ie�pK1e� fer s�nN p�emhs for fh�a h�ms.
. .. —�
OWNER'S
ADDRESS
A�?"�.,XC:� �'�.('1:� � �:t 3T1�i,D ���G °� s iT
Cs.'� O:a i�Ltu:�:���, ri�I�:iES^vTA
- ; _ _
��- ,_ -
_ _ _, . . _..
_ _ L�JCA�'i0N C�F BUTLDIP�G . _ _
_ , _ _ __ .
NO.�_ ) STREET . C�W1Jl�: �_ PART 0� LOT
LOT��BLOGK � AD�ITTON Oft SUBD"sVISION� • ��'w. � ,,,�_�"�_
. . . .. . . . "�'r.�--�-
�/
CQ�tNER LOT INSIDE LOT :SETBACK SIDE-YARD
SEWER ELEVATIQN FOUNDATIflN �L$VATION
Applicant attach to this form Two Certificates of�Survey of Lot and grogosed
building Zocation drawn on these Certificates.
- : DESCRIFTI0�1 OF BUILDING� . :. ,
. ., _ . _.
. „ . . .
To Be Us ed A� : -: �. _ ,: -. �: = : : .-� : _
,/�.iv�'v� ;�,yt'L4�r•� Front ��'� Depth� Height 7 i
.
Sq. Ft. ��� Cu. Ft. ,�� �.� _.._..._. _ -
��
Front • Depth _ fleigh[
: , Sq. Ft. Cu. Ft .
, �: Jrf , ; -
Type of Constructi C� � �'1 ,� '� � Estimated Cast p���
�
To Be Completed J��1 L�' _ . . -. _: . : _
The undersigned hereby makes appiication for a permit for the work herein specified,
agreeing to do all work in strict accordance with the City of Frid?ey Ordinances
and rulings af the Department of Buiidir_gs, and hereby declares thzt all the facts
and represeata�ions st2ted in this app�.i.cation are true and correct.
DATE ry SIGNATURE � `� �,
�---� —
(Schedale of Fee Costs can be found on the Reverse Side).
5 `�
�:
� �
� �
�__
s�e�ecT PERMIT NO. ��
City of Fridley �� i� � J�
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r -
; � RECEIPT NO.
� `L__ COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC. �� � �
i �
� �
� � �""1 � CITY HALL fFiIOLE� 55432 NUMBER REV DaTE vnGE oF APPFOVED BV
�""'�'� ,'� 612-571-3450 910-Ft5 8/29/94 � �
�oe nooRess 651 Janesville Street NE
t LEGAL �OT NO. BLOCK TRACT OFi ADDITION SEE A7TACHED
�ESCa. 12-14 P Riverview Heights SHEET
2 PFOPERTV OWNER MAIL ADORESS 21P PHONE
Larry/Elaine Harris 651 Janesville Street NE 786-3888
3 CONTRACTOR MAI� ADDRESS Z�P PHONE IICENSE NO
Same
4 ARCHITECT OR DESIGNER MAIL ADORESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PMONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLA�SS OF WORK
❑ NEW ❑ ADDITION O ALTERATION ❑ REPAIR O MOVE O REMOVE
X
8 DESCRIBE WOfiK
Reroof House & Gara e(20 S uares) Tear-off
9 CHANGEOFUSEFROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
SEPARATE PERMITS ARE REOUIRED FOfi ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULI ANO VOID If WORK OR CONSTpUCTION ZONING SO. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 OAYS, OR IF CONSTRUCTION
OF WORK iS SUSPENOED OF ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AF7ER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTfiEET PARKING
I HERE9Y CERTIFY THA7 I HAVE READ AND EXAMINEO THIS APPLICATION 1 STALIS GARAGES
AND KNOW THE SAME TO 8E TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIEO
WITH WHETHER SPECIFIED HEREIN OR NOT. 7HE GRANTING OF A PERMIT �1�SOO �.%S
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUC710N. $35.0� Fire SC �1.5�
P�AN CHECK FEE TOTAL FEE
37.25
SiG � PEOF C ORORAUTNORIZEDAGENT IDATEi W �Y V IOATED THIS IS YOU PERMIT
� B�.�Jy�l -- ^ Q
S� NATU OFpyyNEAiIFOWNEABUI�OEF�i IOATEI �OG �N r�FTE
NEW
ADDN
ALTER
[)
[l
{j
ConstrucdonAddress:
CITY OF FRIDLEY
SINGLE FAMII.Y AND DITPLEXES R-1 AND R-2
Building Permit Application
/ � �ss V i L L� /L/�
Legal Description: L�^ i S ��, /
Effective 1 / i /94
�_5 _5 �5 �
�
Owner Name & Address: L,4��y � �L�> >v � }��r'� z��' Tel. # `� �'G ,.38�8��
Contractor: � w1t� L=� �'L MN LICENSE #
Address:
LIYING AREA:
GARAGE AREA:
DECK AREA:
OTHEIt:
Tel. �
Attach to this application, a Certificate of Survey of the
lot, with the proposed consrivction drawn on it to scale.
DESCRIPTION OF IIvIPROVEMENT
Length Width Height Sq. Ft.
Length Widt�t Height Sq. F�
Len Width Hgt/Gro�nd Sq. Ft.
� ' �' o v r� ��0. � � .� U �1�,�'_.S�'
st�?d�f
Corner Lot [) Ynside Lot [) Ft. Yd Setback
Type of Construction:
Approx. Completi:on Date:
Side Yazd Setbacks
Fstimat�d Cast: $ /SZ�
(Cost on Back)
Driveway Ctiut Width Nceded: Ft. + t= Ft x =$
DATE: o� � APPLICANT: �ti Tel. # � �� =3 �' S'� �
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Controt
Patk Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ °S.�O
$ � ��
$ , �S_
$
$
$
$
$
$
$�� a�
� 1! `! ��l--
Fee Schedule on Reve�se Side
.001 of Permit Valaation (1! l Oth %)
$.50/�1,000 Valuation
$800 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Ptan Review
Fee Determined by Eogineering
Agreement Necessary [ J Not Nac�r�' []