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PRE 2010 DOCSCity of Fridley, Minn. BUILDING I N? 69 18 i Date: Address Address LO ION F BUILDING No. ,5:25X� Street _Yz' Part of Lot Lot _ _Z Block Addition or Sub -Division Corner Lot — Inside Lot Setback —_ Sideyard Sewer Mevation Z!6 / / -2 Foundation Mevation Z e,9 DESCRIPTION OF BUILDING To Used s Front Depth Height _ _Sq. Ft Cu. Ft f�..Z.rT .f Front - Depth Height .P® WSq. Ft cu. Ft. Type of ction Est. 5� 7 o be Completed In consideration of the issuance to me of a permit to construct the building described above,I agree to do the proposed work in accordance with the description above set rth and in compliance ori - allprovisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $�� , permit is hereby granted to to construct the building or addition as described above. This permit is granted upon the express condition that the pe3on 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 of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. I.-,-% ee o'l Building Inspector NOTICE: Ob permh dose not cover the eonshmMon, hrstailation for wiring, phmrbbrg, gas heating, sewer or orator. Be sone to no the Boihihrg Inspector for separate permits for these Nems. _ 1 s APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME BUILDER ADDRESS ADDRESS LOCATION OF BUILDING No. -s -�� Street ,4 a P part of Lot Lot Block Addition or Subdivision���li��_ Corner Lot Inside Lot Setback Side Yard SEWER ELEVATION d®® 4, a d' M3= ELEVATION 10 rn y ! 8V -tC f OF f©®TIM(, Applicant attach to this form Two Certificates of Survey of Lot and proposed build- ing location drawn on these Certificates. DESCRIPTION OF BUILDING To -be used as: Front Depth I _Height _ Sq. Ft. Cu. Ft. Front J j- Depth Height % Sq. Ft. Cu. Ft. Type of Construction Estimated Cost To be Completed 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. ., DATE (schedule of Fee Costs can be found on the Reverse Side). City of Fridley Application for Plumbing and Comas Fitting Permit DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin .... ....................... x 3.25 $ Water Heater (Up to 200,000 BTU) ...... f -**'— x 2.00 $ New Ground Run Old Bldg. ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description .................$ – TOTAL FEE S Dept. of Bldgs. Phone SII 4--oPP7��47700� /t1� 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- r 19 Owner 6b emote A4-0" Kind of Building — QNI . oldl Used as To be completed about Estimated Cost, $ O1 —New. . ding Permit ROUGH 3 1 _ 1-e T FINAL 42 I a4 3 � SFS ? ?d� 3R yE1?�i o� SQ S <3 � w �� ? �p • F • N WATER HTR. GAs ELEG Base 1st 2nd 3rd 4th • Future Connection Openings New Fixture, Old Openings I Connected with Sewer Cesspool Ej PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin .... ....................... x 3.25 $ Water Heater (Up to 200,000 BTU) ...... f -**'— x 2.00 $ New Ground Run Old Bldg. ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description .................$ – TOTAL FEE S Dept. of Bldgs. Phone SII 4--oPP7��47700� /t1� 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- r 19 Owner 6b emote A4-0" Kind of Building — QNI . oldl Used as To be completed about Estimated Cost, $ O1 —New. . ding Permit ROUGH 3 1 _ 1-e T FINAL 42 I City of Fridley, Minn.. N9 9673 BUILDING PERMIT Date: __April 18, 1968 owner: Frederick Christensen Builder Same _ Address 5 25 0 Lincoln St. N. E. Address Same LOCATION OF BUILDING No. 5250 Street Lincoln St. N. E. �— part of Lot Lot — 1 __ Block 2 _____ Addition or Sub.Division .._._.._ Marion Hills Corner Lot w Inside Lot _.. x Setback -- Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Porch Front _ _ 15 5 Depth 10' Height _ 71 Sq. Ft. Cu. Ft Front Depth Height .— Sq. Ft. Cu. Ft. Type of Construction Frame Est. Cost . 1890.00 __ To be Completed Mai' 150 1968 In consideration of the issuance to me of a permit to construct the building des above I agree to do the proposed work in accordance with the description abovand in compli ce th ail ons of ordinances of the city of Fridley. MO In consideration of the payment of a fee of $ 12.00 , permit is hereby granted to Frederick Christensen to construct the building or addition as described above. This permit 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 of Fridley, regarding location, construction, alteration, maintenance, repair and moving of buildings within thhee city limits and this permit may be revoked at any time upon v o A af-,gT of thj provisions of said ordinan Official JRWM terl NOTICE: We penult does not cover the construction, Inshgetion for wiring, plumbing, gas heating, sewer or water. Be ams to ase the Building Inspector for separate permhs for these toms. Ixr Df� O't i '.i :. •' • is .. r .dIPFLYCAT 0W: F6k- BUADISQ , PERMIT' i CITY'OF 'FR. =Y, MU4NESOTA OWNER'S NAME ' " &/I. E *BUILDER — S ji ADDIESS P- O A IAJ ADDRESS LOCATION OF BUILDING - NO. STREET; A ,:... LOT__"_ • :•.BLOCK _ APPITION OR Si BbIVISION CORYiER LOTS 7.NSIDE 'LOT.. X SETBAbK SIDEYARb SEWER ELEVATION.... TOP OF FOOTING'` • •' ' Applicant dttach .tb this:"+form Two, Cer< plate§ of '.Survey of tot and proposed building location drawn on these 6ertificates. r s•• -DESCRIPTION OF BUILDING To Be Used Ass DfP�.h Froat �✓ Jr �' Depth %� Height Square feet Cubic Feet - Front Depth Height Square feet Cubic Feet /1 Type of Construction _,Estimated Costd-d— To Be Completed 9,4V 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. DATE SIGNATURE—P ./fid (Schedule of Fee Costs can be found on the Reverse Side). TP 12 r e -d - I CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Effective On January 1, 1991 Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATIOA AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace J4_5 co 6 Gas Piping ( ea Gas Range Gas Dryer 'Air Conditioning - All Sizes Rete TOTAL $ 20.10 $ $10.00 $ $10.00 $ $10.00 $ $ 10.00 $ All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work CommerciaUlndustrial 1 % of Value of Appliance or Work State Surcharge TOTAL FEE PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 JOB ADDRESS_-�� Zr��Z11 -Sr �/�✓ The .mdersigned hereby makes application for a permit for the work herein specified agreeing to do all work In strict accordance with the city codes and ruling of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. 11991 __1W/ 7�L Com/ BUILDING USED ASL_ ESTIMATED COST !,D- 00 PERMIT NO. / DESCRIPTION OF FURNACE AND OR BURNER CZ -V45 CZx;;. . $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. BTU HP EDR $ Fuel Total Connected Load $ .50 $ Ise, a6 "Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Burner Trade Name Size No. BTU HP EDR HEATING COMPANY Signed By Tel No. Approved By Rough -In Date Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATIO�i 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 ( ) No ( ) 3. Has no foreign objects lodged within Yes ( ) No ( ) 4. Is securely supported Yes ( ) No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes ( ) No ( ) 6. Has total heating BTU's of All other BTU's TOTAL BTU's Remarks List Alterations Being Done: HEATING COMPANY Signed By Date A4 CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PLUMBING FIXTURE RATES: RATE SCHEDULE NO. RATE TOTAL New Fixtures Future Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain water Leader Hydraulic Valve Sump or Receiving Tank Water Treating Appliance Hot Water Heater Gas Range Gas Dryer Back Flow Preventer Required. Type S 5.00 $ 3.50 $ 1.50 $ 4.00 S 5.00 S 5.00 $ 5.00 S 5.00 S 5.00 S 7.00 $ 5.00 $ 10.00 $ 10.00 Yes ( ) No ( ) _ $ 5.00 $ ALL OTHERS AND/OR REPAIRS AND ALTERATIONS It of Value of Fixture or Appliance Reinspection Fee $ ($15.00) State Surcharge TOTAL FEE $ 15. Old $ .50 S /5, ,; -D Effective Date May 1, 1988 Job Address ,•..?(�?%%J / /'U Department of Buildings City of Fridley Tel. 0571-3450 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 the facts and representations stated in this application are true and correct 1 Fridley, Mn. ��C��i 19 _f -- OWNER 1 � L Z f� T L J Lti)i�.J ) / I i/ KIND OF BUILDING USED AS TO BE COMPLETED ABOUT�� 0 ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. a r _ Company Uzi lie. Signed BY f� Tel. No. `t(,�P�^ ROUGH INSP. Date FINAL INSP. Date L APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE rn ? m u x w Water d •-us 4 9 a E [ .M Q e N N Heater N m ni r� 3 u a u m N oe g 10 (n 41.ec (aI� m s -4i M ro -+ p M O .r to 407 0 0 N rn u a co m S o w m w U m 3: u ti o 3a. .lec Ran - 1st 2nd 3rd 4 th (R) - Future Connection Opening Connected with Sewer (•) - New Fixture, Old Opening Water PLUMBING FIXTURE RATES: RATE SCHEDULE NO. RATE TOTAL New Fixtures Future Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain water Leader Hydraulic Valve Sump or Receiving Tank Water Treating Appliance Hot Water Heater Gas Range Gas Dryer Back Flow Preventer Required. Type S 5.00 $ 3.50 $ 1.50 $ 4.00 S 5.00 S 5.00 $ 5.00 S 5.00 S 5.00 S 7.00 $ 5.00 $ 10.00 $ 10.00 Yes ( ) No ( ) _ $ 5.00 $ ALL OTHERS AND/OR REPAIRS AND ALTERATIONS It of Value of Fixture or Appliance Reinspection Fee $ ($15.00) State Surcharge TOTAL FEE $ 15. Old $ .50 S /5, ,; -D Effective Date May 1, 1988 Job Address ,•..?(�?%%J / /'U Department of Buildings City of Fridley Tel. 0571-3450 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 the facts and representations stated in this application are true and correct 1 Fridley, Mn. ��C��i 19 _f -- OWNER 1 � L Z f� T L J Lti)i�.J ) / I i/ KIND OF BUILDING USED AS TO BE COMPLETED ABOUT�� 0 ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. a r _ Company Uzi lie. Signed BY f� Tel. No. `t(,�P�^ ROUGH INSP. Date FINAL INSP. Date L APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Stories Basement Floor 1 Floor 2 Floor 3 Floor 4 PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater —Electric Water Heater - Gas** Gas Range** APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Urinal TubJ Shower NO. RATE TOTAL $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 Gas Dryer** $10.00 Back Flow Pr venter Required ( )Yes () No Type -7e,-57 $15.00 /"inSC 0 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge $ .50 TOTAL FEE $ X,.10 Wash€5xink I Floor Catcj Auto. Fount Tray Drain 1 Washer 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 Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. , 1997 Owner Building Used As Estimated Cost ��3 00 PERMIT NO. PLUMBING COMPANY SIGNED BY TEL N0. �✓�` ✓2 ��� Approved By Rough—In Date Final Date �`lo MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20.00 . PLUS THE $.50 STATE SURCHARGE **COMBUS110N AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SQ INCHES. City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 MECHANICAL Permit No.:XIC9 Building Inspections RESIDENTIAL APPLICATION Received By 763-572-3604 CITY OF FRIDLEY ,D AIA 13 200 763-502-4977 FAX EFFECTIVE 1-1-08 DATE —ShDrrYOUR E-MAIL ADDRESS SITE ADDRESS ��R S O 5 4- 1V Air THIS APPLICANT IS: ❑ OWNER $CONTRACTOR PROPERTY NAME: jref �Z S S� L t ^Lal -� /V . ez CITY /'rI :ofd STATE M•1 ZIP ys ��f OWNER/ADDRESS: TENANT PHONE: 74.7.57)_ f Fl o 7 CONTRACTOR COMPANY NAME: 1 NOTE: SEPARATE CITY is CONTACT PERSON: db— R We ' 11;=� STATE LICENSE # Uceme =lam EXP DATE 2M N. Fakvbw An. LICENSES ARE REQUIRED FOR GAS AND HVAC. Roe19, MN $5113 CITY STATE ZIP ADDRESS: ev11 SUBMIT COPY OF BOND PHONE FAX ANDINSURANCE PERMIT TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: XNEW ❑ REPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK )^_51A baa ser Z t PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) OR Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) ,a Equipment Installed MFG: d a •. �v MODEL: - d - '�' SIZE/BTU �0, PVt> MFG: MODEL: SIZEBTU MFG: MODEL: SIZE/BTU A/C $25.00 FIREPLACE (GAS) $15.00 _GAS RANGE/OVEN $10.00 TO AIR EXCHANGEER $15 (WOOD) $35.00 _NEW GAS GRILL $10.00 _AIR _FIREPLACE $35.00 $35.00 _GAS UNIT HTR $10.00 _BOILER _FURNACE CHIMNEY LINER $10.00 DRYER $10.00 POOL HEATER $35.00 _GAS VENTILATOR 15.0 DUCT WORK $10 00GAS PIPING $10 00 V 0 rj{y+.t., _ -'". "n axe k�`„✓ '� Lr� ...,.,. .ei Permit Fee $ _x Number of fixtures @ $10.00 x $10.00 = $ Surcharge $ 50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE. OR Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 MINIMUM $15.50 MINIMUM $15.50 Total = $ THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a mechanical 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 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 �e i.-, F ri � f.. r _ DATE '� �- O APPROVED BY DATE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977