PRE 2010 DOCSSUBJECT
-
-PE .-
City of Fridley
18 69 6
AT THE TOP OF THE TWINS
BUILDING
PERMIT
_
r
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
TIIJ
r PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
j 612-571-3450
910-F15
10/14/86
JOB ADDRESS
612 ette Avenue N. E.
1 LEGAL
LOT NO. •
BLOCK,
TRACT OR ADDITION
SEE ATTACHED
DESCR.
38-41
D I
Riverview Heights
SHEET
2 PROPERTY OWNER MAILADDRESS
ZIP
PHONE
gggrcjp Olson
784-4968
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO.
United Siding
427-0569
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP
PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP
PHONE LICENSE NO.
6 USE OF BUILDING
R-1
7 CLASS OF WORK
❑ NEW ❑ ADDITION X ALTERATION ❑ REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Siding
9 CHANGEOFUSEFROM TO
STIPULATIONS
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR 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.
NO. DWLG. UNITS
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 WILL BE COMPLIED
$4,300
$2.15
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
50.50
STRUCTION R THE PERFORMANCE OF CONSTRUCTION.
m
PLAN CHECK FEE
TOTAL FEE
ul) ca
2.65
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI
WHEN PRO ERLY
E IS IS YOUR PERMIT
•
DATE
SIGNATURE OF OWNER 0F OWNER BUILDER) (DATE)
NEW [ ]
ADD1; . [ ]
ALTER. [%Q
Construclltion Addri
Legal Description
City of Fridley
FR -1 AND R-2
Building Permit Application
Effective 4/1/81
Owner Name i Address: v ��
Contractor: • �r` �� S�
r�
Tel. # --N4 -'A!Ek(.�r
Tel. f 4-272-c�Cc►
Address: (� r`^ ' N"%4-'
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width _ Height __ Sq. Ft.
GARAGE AREA: Length __ Width _ Height Sq. Ft.
DECK AREA: Length Width _ Hgt/Ground Sq. Ft.
OTHER:
Corner Lot [ ] Inside Lot [ ]
Ft. Yd. Setback Side Yard Setback
Type of Construction:
Estimated Cost:
Approx. Completion Date:
Alt. A Alt P
Proposed Driveway Width If New Opening Is Desired: $ ----- 8
e Back Page for Explanation
APPLITel. f���►DATE:
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Sewer Hain Charge
STIPULATIONS:
CITY USE ONLY
MFee Schedule on Reverse Side
r—� 25% of Building Permit Fee
$ e/� $.50/$1,000 Valuation
$475 per SAC Unit
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
BUILDING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of ary
building or structure, or for any addition to any existing building or structure, or
for any alteration or repair to any existing building or structure, upon application
herefore, require the payment by the applicant for such permit of fees to the amount
herein below set forth and in the manner herein provided to -wit: '
Total Valuation
Fees
$1.00 to $500.00
$10.00 (Minimue Fee is $15.00)
$501.00 to $2,000.00
$10.00 for the first $500 plus $1.50 for
each
additional $100 or fraction thereof, to and includinE
$2,000.
22,001.00 to $25,000.00
$32.50 for the first $2,000 plus $6.00 for
each
additional $1,000 or fraction thereof, to
and
including $25,000.
2250001.00 to $50,000.00
$170.50 for the first $25,000 plus $4.50 for
each
additional $1,000 or fraction thereof, to
and
including $50,000.
$50,001.00 to $100,000.00
$263.00 for the first $50,000 plus $3.00 for
each
additional $1,000 or fraction thereof, to
and
Including $100,000.
2100,001.00 and up
$433.00 for the first $100,000 plus $2.50 for
each
additional $1,000 or fraction thereof.
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Alternate "A": Recoval and replacement of curb and gutter only - Driveway width plus
6 feet time_ $13.50
Alternate "E": Per -oval and replaeecert of curb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $15.75
VERIFICATION OF FOUNDATION
Percits for construction will be issued a minimum of 24 hours froe the time of
application to alloy; for proper review of the proposed structure and of the
construction site.
A Certificate of Surrey of the lot, showing the location of the foundation once it
has been constructed will be required before proceed:rg with the framing.
.
City of Fridley
Application few Pk=Mng and Cv= Ruing Permit
Dept. of Bldgs. Phone 560-3450
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures
47
oF�
Number Fixtures ....... ..............
67
x $2.00
_
ii
z
x $1.50
Y
�i
2 N
C4
Catch Basin ...... ..................
w
?
•
•
WATER HTR.
GAS
E IEC.
$
3
a $2.00
$
m
VI
; F�
O LL
w C U
< 'S
C9 °�
O
G O
Base
1st
2nd
3rd
4th
• Future Connection Openings
Connected with
* New Fixture, Old Openings
I Sewer �
Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO. RATE .TOTAL
Number Fixtures ....... ..............
67
x $2.00
Future Fixture Opening ................
x $1.50
$
New Fixture Old Opening ..............
x $1.50
$
Catch Basin ...... ..................
.. x $3.25
$.
Water Heater (Up to 99,000 BTU) ......
x $3.00
$
New Ground Run Old Bldg. ............
x $3.25
$
Electric Water Heater
a $2.00
$
GAS FITTING FEES:
NO. RATE TOTAL
1st 3 Fixtures .......................... x $2.00 $
Additional Fixtures .................... x $ .75 $
Gas Range to 199,000 BTU .............. x $5.00 $
REPAIRS & ALTERATIONS—Refer to Code
Description . ...........................................$
TOTAL FEE $
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 fact
and representations stated in this application are true and correct.
Owner
Find of Building
Used as
To be completed about
Estimated Cost, $
Old—New. Building Permit No Permit N g
Signe.-'V
ROUGH
FINAL L" /
By
Business Phone No
aM 7-
° 4879
Original Permit for PLUMBING AND GAS FITTING
N.B. When work covered by this permit is ready, the Plumbing Ordinance requires that request for I Pt ,
inspection shall be phoned in to the plumbing Inspector, 560-3450 giving number of this permit.,
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures
City of Fridley
Stories
W W
o
3 U
�
Z
7
m
m F0•
m
m
z
N
m
�i
Y F
z Z
M O
O W
w
0
i
00 'Q
J E
LL O
r 0
d 4
U m
z M
Q O
C J
_m
X
an d
Q d
W
m z
Q d
WATER HTR.
GAS
ELEC.
Basement
1st
2nd
3rd
4th
Connected with Sewer -Cesspool Gas Piping for Openings
Permission is hereby granted to do the plumbing and
gas fitting in the building described in thi7statement hereto attached, upon the express condition that
the person to whom this permit is granted, and his agents, employees and workmen, in the plumbing
or gas fitting of said building shall conform in all respects to ordinances of the City of Fridley, and
this permit may be revoked at any time upon the violation of any of the provisions of said ordinances.
By Order Of The Inspector Of Buildings
Roughing in Inspection Date
Inspector.
Final Inspection Date
Inspector.
42 l AA -6-68-v
Owner&7�-�-
Location /
(find of Building
Used as
To be Completed .19—
Estimated
19_
Estimated Cost
Ol -1New. Building Permit No.
Inspector of Buildings.
52-84-S915-51
City of Fridley
Dept. of Rldys. Phone 360-3430
DESCRIPTION OF WORK 612 N E Lafayette St
Number. Kind and Location of Fixtures
PLUMBING FIXTURE RATES:
NO. RATE TOTAL
Number Fixtures
x $2.00
$
Future Fixture Opening
x $1.50
$
New Fixture Old Opening
o
$
Catch Basin ..
wArea Hrn.
$
Water Heater (Up to 99,000 BTU)
x $3.00
$
New Ground Run Old Bldg.
x $3.26
$
Electric Water Heater
: $2.00
(�y
0d
00
0
N
GAS
ELEC.
Base
$
Gas Range to 195,000 BTU ..............
1 x $5.00
$ 3.00
t Ga
1
y r
REPAIRS & ALTERATIONS—Refer to Code
Description ...............................
...........$
lst
TOTAL FEE
e
$ 8.00
ns G
ane
— -
--
-
--
—
2nd
-
3rd
4th
- -
- — —
° Future connection Openings
Connected with
-- —
'� 14917 Fixture. Old
I
ey ❑
Ca 8 ❑
PLUMBING FIXTURE RATES:
NO. RATE TOTAL
Number Fixtures
x $2.00
$
Future Fixture Opening
x $1.50
$
New Fixture Old Opening
x $1,50
$
Catch Basin ..
x $3.25
$
Water Heater (Up to 99,000 BTU)
x $3.00
$
New Ground Run Old Bldg.
x $3.26
$
Electric Water Heater
: $2.00
$
GAS FITTING FEES:
NO. RATE TOTAL
1st 3 Fixtures ..... .......
x $2.00
;
Additional Fixtures ..... ..............
x $ .,M
$
Gas Range to 195,000 BTU ..............
1 x $5.00
$ 3.00
Gas Dryer
1
5.00
REPAIRS & ALTERATIONS—Refer to Code
Description ...............................
...........$
TOTAL FEE
e
$ 8.00
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 fact
and representations stated in this application are true and correct.
Fridley, Minn 12-�0-69 19_
Owner Geo Olson
Kind of Building frame
Used as
To be completed about
res
12-15-69
Estimated Cost, $_ 10.00
Old—New. Building Permit No.
By_-_—M_"'460LIS GAS CO.
Business Phone No
ROUGH
FINAL
CITY OF FRIDLEY
Effective May 1, 1990
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND
AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
RESIDENTIAL RATE
Furnace Shell and Duct Work,
Burner (Also replacement furnace) $ 20.00
Gas Piping $ 10.00
(piping needed with new furnace)
Gas Range • $ 10.00
Gas Dryer $ 10.00
• Air Conditioning (all sizes) $ 10.00
All Others/Repairs and Alterations
11 of value of Appliance or Work
COMMERCIAL/INDUSTRIAL
11 of Value of Appliance or Work
State Surcharge
TOTAL FEE
Reinspection Fee ($15.00)
Rough Insp.
Date
Final Insp. 1-12
Date
Approval for Permit
$
$
S
s
$ 9�6)-
MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00
PLUS $.50 STATE SURCHARGE
*Air Conditioners can not be placed in !;&de yard without
written permission from adjoining rr-►gldx,r.
TOTAL
$ �• D�
$
.50
Job Address (X `
Department of Buildings, 6431 University Ave. N.E., Fridley, NN 55432
City of Fridley
Tel. #571-3450
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the City Codes
and rulings of the Department of Buildings, and hereby declares that all he
facts and representations stated in this application are true and correct.
Fridley, Minn. / d , 199/
OWNER
KIND OF BUILDING r
USED AS
TO BE COMPLETED ABOUT /}/7�'
ESTIMATED COST 2- 50D
OLD - NEW BUILDING PERMIT ND. PERMIT NO. &
S
DESCRIPTION OF FURNACE/BURNER
HEATING or POWER PLANTS, Slteam,' Not Water, Warm Air- No.
Trade Name I/L� l I �-�`" 1 Size No. L v
Capacity . (7(�C Sq. Ft. EDR BTU j()Q NP
Total Connected Load Kind of Fuel Q ��
BURNER - Trade Name Size No.
Capacity Sq. Ft. EDR BTU 1HP
company I LS, n?L,
Signed By
Tel. No. 4,; (a
Fill out back side for stack verification on replacement furnaces
CHIMNEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack;
1. Has been carefully examined Yes
1001V -
2. Is free from rust or deterioration Yes
3. Has no foreign objects lodged within Yes
4. Is securely supported Yes
5. Meets all current Code requirements for size and
total BTU connected Yes
6. Has Total heating BTUs of
All other BTU's
TOTAL
Rema rk s / /� �t G�2� /:1 G� goo- '
Company
Signed
Date"��
No ( )
No ( )
No ( )
No ( )
No ( )