PRE 2010 DOCSCity of Fridley, Mian..
BUILDING PERMIT
Date:
o
,t
Owner: _...�.........� .:�'�.... ..._ .._. :: W.'.L�i .Builder
Address ...._...._._.. _ ._._...._.. Address
N° 992
ff /� LO` TION F BUILDING -r- _.
No. . ! _._. Street _._��--� A ..--•---•-•-----._.... Part of„1of
Lot.......- ......... BIock ..... _.._._� .._......_--. Addition or Sub -Division
Corner Lot ..... - ......... .......... _........ Inside Lot .---- �i� ....... _....... Setback ....._.. .._... _.._... Sideyard _... ... ........................................
Sewer Elevation__._.....__...._._..._—..---_•-------•-----_._..____..._ _....---_... Foundation Elevation _...._ .......... _..... __.._._._.....---._.__.__............ .........
_.
DESCRIPTION OF BUILDING
To Used %
° ......._ . ....... Front --_ Depth 40;�)W /Height ... ...... Sq. Ft. 11� * Cu. Fi l_.+
_............._.....:... Front .. - -.. Depth ................. eight ....._. Sq. Ft. ...................... Cu. Ft. .................
Type of Construction Est. Co L � � .�-...- ... . To 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 forth and in compliance with all provisions 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 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, Minnesota regarding location, construction, alteration, maintenance, repair,and moving of buildings
within the city limits and this permit may be revoked at any 'turtle -upon, olation ofI . y of the provisions of said
ordinances. .+� 7
Building Inspector
NOTICE:
This permit does not cover the. construction, , installation for wiring, plumbing, gas heating, sewer or water. Be sure to see
the Building Inspector for separate permits for these items.
' 4 _
I
APPLICATION FOR BUILDING PZFWT
CITY OF FRIDLEY, MINNESOTA
Owners Name Builder
1,, 1AA _L 1 ✓d n
Address
LOCATION OF BUILDING
IV
No. j0 q Street Part of Lot
�--
Lot �� _ Block.,„_ Addition or Sub.Div.
I/
Corner Lot -,_„Inside Lot Set Back '.� g' Side -Yard M "`f
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
DESCRIPTION OF BUILDING
To be used ass j"�
- - Froat Depth gZ f., 0 „Height"�._.,._,._
Sq. Ft.
Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction Estimated Cost P,0,59
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 Ordinances and ruling of
the Department of Buildings, and hereby declares that all the facts and representa-
tions stated in this application are true and correct.
DATE PI r ,• - �` SIGNATURE
(A Schedule of Fee costs can be found on the Reverse Side.)
I
City of Fridley
Application for Plumbing and Gas Fitting Penna
Dept. of Bldgs. Phone SU 4-1
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures
�+
°C
Future Fixture Opening ................
x 1.20
s_i
New Fixture Old Opening ..............
x
Zz
Catch Basin ............................
O
w
0O
x 2.00
m
O
Z
z
,
F
N
WATER HTR.
GAS
ELEC.
NO. RATE TOTAL
$1.50 $ / •�
Additional Fixtures ....................
x .50
$
Gas Range to 200,000 BTU ..............
x 2.00
$
aaz
�O
Base
I
1st
'
2nd
_
3rd
4th
• Future Coaaection Openings
Connected with Sewer
New Fixture, Old Openings
Cesspool E]
PARTIAL RATE SCHEDULE
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.
Owne e2V „
Kind of Building Q
®' Used as
C
To be completed about
PLUMBING FIXTURE RATES:
Number Fixtures ......................
NO. RATE TOTAL
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) ......L
x 2.00
$ y
New Ground Run Old Bldg . ............
x 3.25
$
GAS FITTING FEES:
1st 3 Fixtures ..........................-----,/x
NO. RATE TOTAL
$1.50 $ / •�
Additional Fixtures ....................
x .50
$
Gas Range to 200,000 BTU ..............
x 2.00
$
REPAIRS & ALTERATIONS—Refer to Code
Description................................................$,y
TOTAL FEE $X6?
19--,g(— C
Estimated Cost, $
Old—New. Building Permit No Permit
Sign v
By
Business Phone No—j�
ROUGH /,2 —,2 ® to ® °
FINAL
42 2M 7-59
c -
' p�g.,+y 4T..�r-n �aiq ».•1,•.�e �...-,!t,.� /.. �f tt �`-..�!.�—.� �,�^�, ...� i� l�'?,.-r. t.T L�n,•�'�� .. •,n�Y... \c.s��
.^aY � iia,v�:rr.d'i �� ��srci�w u •....ezr`i".Ji� G•cw..•r,...,e�'' �d'w�+o:at+gip �ii^..G3::v'.a.bav�y :':�...:L�wa4.St�ab�
��-s �r.. j� r�I...�C.^/3 �°.,.�y'r•R.i.....n �....s° t''.`n•r ;. r.+
a4'3 `�ar�:.a:tV:..st•� ai6JiC:aLG., ..:5::.$ la>iv•KSRo'v:0
PARTIAL RATE SCS-= DELLE
GRAM I I WARM AM: RAM TOTAL
Ir`:^_ace Shell & Duca Work
Rep'zcerment of a srnare 6.00 9
F.rpa:--- It Alter at.ons- u} to S50O.U0 600 S
ReFai-s & Aitrrations each add. 5504.04 3 W S
2CZC.rL Ti AaM AM
Furnace S.':cli & Luc•t Worst to 130,000 BTU
cam: add. t0•C•'YJ VIM
of c ur=ce
J'tr+„3i 3 & Alte aticr:---up to $500.00
F_;Asirs & Alieratdow each add. $500.00
STLY.M c F01 WA i LR $Y3
:`_:..ac- She:l & Lines --to 440,0 sq. ft F.DR Stean
Flunace Shell ti Line -•to 640 3q ft. EDR Hot Water
Each add 200 sq. fl EDR Steam
Each add. 320 sq. 1t EDR Hot Rater
OIL BUEN-ZF.—to 3 gal. per hour
over 3 gal. per hour—See See Schedule
GAS BiT?h"ER (Lp to MOCO BTU)
over IS3.0-00 STI U See Fee Schedule
GA3 FITLINC rZES: • No ?.ATE TOTAL
X•o 2.00 S
x .75
2$5.00 S
State Surcharge .50
Fr'00 Fw �tl� dZla
.510 00
$
3.t1U
5
6.00
5
6.00
S
3.00
$
V0.00
'a •
2000
S.
S rA
$
3.00
$
6.Oa
S.
&00 5
Ist 3 Fixtures
Additional F mutes
Cas Range W 299.00G
AM 0^_:76iM0rIrG--
SYS s I
ROU0i3
Vvpt. Of 21%g4. ?:tioya E'X-um
City of Friday:
. The undersigned hereby makes application for a prrr.:lt for the work herds
specified aprcrirg to do all work in strict accordance with the City O di z.cev
and ruting•of the Depa:tment of 13u:1dines, and hereby declares t2hit.a21 the fad:
and reprrspntaduns stated in this applicationare true and correct.
Fridley. Minn-
Owner
inn
Owner
Kind of Building
Used a!!
To be completes about _10- i®g 26
Estimated Cos;, $
OI New. Building Permit No. _.__ __ Permit No. 61L %S
D Cn3r"TIQii OF W03M
HEATING or PO+ -R FI.ANTS.— Hot 'Water. Waren A,Sr—Ivo
Trade Name'z3_ Size No- /4)v
Capacity 6,2.�� 1 .^ Sq. YL F.D.R B: YT Bp
Total Connected Lc4xd_ Kind cf rLel
BURNER — 7Y& -;,e Nam Size No
Cap*city SQ. Yea. E.D R BTU
. e Sr
+r B
36
tR MARX,4 6VIR2
- .--------- WORKSHEET-14EAT LOSS n
Mall
I lelamt� cif ltcx►m1 2 3 4
_ E6y IRE HOUSE _.
3 Running Ft Exposed Wall �Q ,
Ceiling Height, T't, � «.
Roam Compn,sn Direetions
_ ;„
l"onsf. " Art+a r, Arm Area Area Area Araap�
or Rtuh or. Rtuh or, I3tnh or lJtuh or $�� or t
ryrr– ®P �RPOSUR� No. IITM Length Lpngth IA nRt Length Length Length
6 Gross a17
Walls d Ir {. 5 r • At '- !•.tet J r
Partitions
7 Windo Y" M d •u —
t
Mori C
g Net ;k a
Exposed li,
walls and
walls '�tT �• � �f .t, i IL., t�, A: tY' d ti`5 � �k 7.+ °.
-
Partitions d ; :! .e y .`•. d+ .
°.
4' tid
9 Cold r °th
Ceiiing b'. a. –
10 Cold. ;;aP a–
Floors'
1 lnfiltrotiort ib , 4 F " �.'7 ' 't . 1
Length Of ` 4' �`r �• ��
Crack c r
42 Sub Total Btuh Loss d
3 Reserve Capacity if Desired £ ' ` , ..•
- 1, rFront G
Windowj,°
's
Doo gt
Doors
d e
id ,
Exp(isb 4't
Walla and c _
Mirtitlons tl
'r iVirttti'c'eili,ag3 3 � � s— ,
_ s
7 lVarm I'laom
• N lcifilhratiott
-� anc�es 1200 3 _
®i g,=;19{l,lo Rtuh Gain — -- 6r/L� b 1 --
1 Total Btuh Cnin 1.3
Btuh foi Air Quantities
r,`
� Tr
Application for Power Plants and*.Heating, Cooling, Ventilation, .Rehigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR: RATE TOTAL,
Furnace Shell & Duct Work .......................... 8.00 $
Replacement of Furnace ............................. 5.00 $
Repairs & Alterations—up to $500.00 .................. 5.00 $
Repairs & Alterations each add. $500.00 ............... 2.50 $
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ x
each add. 60,000 BTU ........................ 2.00 $ _
Replacement of Furnace ............................. .0.00 $
Repairs & Alterations—up to $500.00 5.00 $
Repairs & Alterations each add. $500.00 .............. 2.50 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR Steam....... 8.00 $
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $
Each add. 200 sq. ft. EDR Steam ...................... 2.50 $
Each add. 320 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 BTU) ....................... 5.00 $—
GAS FITTING FEES: • NO RATE TOTAL
X $ $
1st 3 Fixtures ...................... x 1.50
Additional Fixtures ................. x .50 $
S Gas Range to 200,000 BTU ........... x 2.00 $
AIR CONDITIONING
FAN HEATING SYSTEM See Fee Schedule.
VENTILATING SYSTEM $
ALTERATIONS & REPAIRS TOTAL \\\ $ c S6
RO�GH
FINAL
Dept. of Bldgs. Phone I SII. 4-7470
i.nnn4inn /® d1j a:"-,�
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.
Owner
Kind of Building G /
Used as °
To be completed about—
�-
Estimated Cost, $
Old—New. Building Permit No.
DESCRIPTION OF WORK
BEATING or POW194 PLANTS—Steam, Hot W arm Air o- �
f �
Trade Nam Size No �n 66
Capacity Sq. Ft. E.D.R&Q ®®C) BTU H.P.
Total Connected Load Kind of rue
BURNER — Trade Name Size No
Capacity Sq. Ft. E.D.R BTU H.P.
Sign C
By f
42 h.M 7.59 Business Phone No
(REMARKS -OVER)
Windows a
Doors—Crackage and Area
WidthHeight No. of Lineal ft. Area
No. of pane of pane lights of crack eq. ft.
HEAT LOSS CALL
ONS
DEPARTMENT OF BUILDINGS
f� ®f-*.zq
Weatherstrips
A.S.H.V.E,
Guide
Btu
Construction No.
Btu
Insulation
in`rlows
rs
Reference
Out. Wall
Int. Wall Ceiling Roof Floor
Glass
Kind How. Applied
es
I
19—
&sr
4•-
f AT Len.th1 Width
. -v e Heiaht 9' II
J �
Room I I _th "Ir Width o�f Heightf,
Windows a
Doors—Crackage and Area
WidthHeight No. of Lineal ft. Area
No. of pane of pane lights of crack eq. ft.
Width Height No. of Lineal Y . Area
No. of pan of pane lights of crack sq. ft.
® � f 7' A
t PV Ile
f� ®f-*.zq
Coef.1
Btu
®zz
Btu
Coef.
Btu
Infiltration
OFA@
fv
Glass
&
f 7.2 ,,
Glass
Net exp. wall
Exp. wall
4•-
Net exp. wall
Exp. wall
Net exp. wall
I f to
Int. wall
Floor
Net exp. wall
Inc. wall
AR s
C,
Floor
Int. wall
07
/elf, VIP
Floor
Ceiling
;"O ?I.
Floor
1 otal Btu.
Required�s.l'ft..RsR. or sg. ins. W.A. Leader area
/F1.1 it '` A�Room I Lenath /Y J Width Height �
Windowsffand Doors--Crackage and Area
Doors—Craekage and Area
WidthHeight No. of Lineal ft. Area
No. of pane of pane lights of crack eq. ft.
/ is ®a
11-7/
Coef.1
Btu
JCoef.j
Btu
Infiltration
Glass
OFA@
Glass
Glass
1
'a
Net exp. wall
Exp. wall
Int. wall
Net exp. wall
Net exp. wall
I f to
Int. wall
Floor
'PO
Inc. wall
AR s
C,
Floor
Ceiling,
07
/elf, VIP
Floor
;"O ?I.
Total Btu. I Z4!V* 6
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
d FI.I C J,v.Room ILenath s"� Width oc9f Heiaht Pf
Windows and Doors—Crackage and Area
Doors—Craekage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
Width Height No. of Lineal ft. Area
Noe of pane of pane lights of crack sq. ft.
Coef.1
Btu
Infiltration
Btu
Infiltration
Glass
Glass
Glass
Exp. wall
1
'a
Net exp. wall
"
Int. wall
Net exp. wall
Ceiling
I f to
Int. wall
Floor
//Zee
Ceiling"'
AR s
Total Btu,
Required
I
sq. ft. E.D.R. or sq. ins. W.A. Leader area
Windows and Doors--Crackage and Area
Doors—Craekage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack eq. ft.
Width Height No. of Lineal ft. Area
Noe of pane of pane lights of crack sq. ft.
Coef.
Btu
Infiltration
Btu
Infiltration
Glass'9�
Glass
Glass
Exp. wall
1
'a
Net exp. wall
Int. wall
Net exp. wall
Ceiling
I f to
Int. wall
Floor
Ceiling"'
AR s
Total Btu.
Required jq.. ft.R. or sq. ins. W.A. Leader area
UZ
/ F1.1 ''AP".t'-. 9P Room I Length Width Height '
Windows an
Doors—Craekage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
Width Height No. of Lineal ft. Area
Noe of pane of pane lights of crack sq. ft.
Coef.
Coef.
Btu
Infiltration
Glass
Glass
'a
Exp. wall
Net exp. wall
Net exp. wall
01
I f to
Int. wall
Ceiling"'
Ceiling.�
C,
Floor
Floor
07
/elf, VIP
Total Btu.
Required sq. ft. E.D.R. or sq. iris. W.A. Leader area
/ F1.1 1 Ati Room I Length 91 Width f2 Heiaht .?
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
Coef.
Btu
Infiltration�–
Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling"'
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
City of Fridley, Minn. N° 8809
BUILDING PERMIT
Date: XIM MAY 5, 1966
Owner: CHARLES A. BECRERLEG Builder SAME
Address 1041 Lynde Drive N. E. Address
Fridley, Minnesota 55421
LOCATION OF BUILDING
No. 1041 Stmt Lynde Drive N. E. Part of Lot
Lot 13 _ Block 1 Addition or Sub -Division Lyndale Builders, 6th Addu.
Corner Lot — Inside Lot X Setback of house Sideyard _ 16''_'
Sewer Mevation _ Foundation Mevation
DESCRIPTION OF BUILDING
To be Used as:
Det. Garage Front 22 Depth 24 Height 10 Sq. Ft. 528 Cu, Ft. 5,280
Front Depth Height Sq. Ft. Cu. Ft.
Type of Construction Frame Est. Coat _ 200_TobeCompleted
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 forth and in compliance with aft provisions of
nant�s of the city of Fridley.
In consideration of the payment of a fee of $ 5 .00 , permit is hereby granted t, CHARLES A.
BECREXXG to construct the building or addition as described above. This permit is granted upon
the express condition that the peon to whom it is granted and his agents, employees an workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in aII respects to the ordinances of
Fridley, Minnesota ardfng location, construction, alteration, maintenance, repair and moving of buildings
within the dty limitsaand this permit may be revoked at aqy time upon violation of say of the provisions of said
orrlinancs3s.
ALLEN G. JENSEN Bwldiag
Inspector
NOTIC&
M pomb don sot sever the osedmdbn, butatiatios for wbiso, ph mbiso, on bndso, sewer or water. Be euro to see
the buildWs hopoator for separate pwmha hr dbsee ftw&
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAMEC/o a _BUILDER OWE ,? er
ADDRESS /0 ADDRESS
LOCA OF BUILDING
N0. �� STREET PART OF LOT
IAT BLOCK ADDITION OR SUBDIVISION
CORNER LOT INSIDE LOT 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;
ed ear Front 111 Depth{ Height 4d
Sq., Ft. Cu. Ft.
Front Depths 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 c = S— d SIGNATURE
_ZZ,/
(Schedule of Fee Costs can be found on the Reverse Side).
17,II
-f--
City of Fridley
suedEcr
PE NO'.
® 1235
AT THE TOP OF THE TWINS
B 1 I L D I N G D[ D� A I T
BUILDING PERMIT
r
`U -- COMMUNITY DEVELOPMENT DIV.
r �� PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
L ' ".j 612-660-3450
V
RECEIPT NO.
�1, t/
NUMBER
910-F15
REV.
DATE
10/15/73
PAGE OF
APPROVED BY
JOB ADDRESS 1041 Lynde Drive N.E.
1 LEGAL
DESCR.
LOT NO.
13
BLOCK
1
TRACT OR ADDITION SEE ATTACHED
Lyndale Builders 6th SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Charles Beckerleg 1041 Lynde Drive N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Milton L. Johnson Company 2513 Central Avenue
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION tj ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK Install aluminum trim
9 CHANGE OF USE FROM TO
STIPULATIONS
SEPERATE PERMITS REQUIRED FOR VYIRINam
HEATING, PLUMBING AND SIGNS.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
TYPE OF CONST.
Trim
OCCUPANCY GROUP
OCCUPANCY LOAD
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
ZONING
SO. FT.
CU. FT.
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
R-1
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED,
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
VALUATION
950.00
SURTAX
.50
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHE TATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERF RM NC F CONSTRUCTION.
6.00
PLAN CHECK FEE
TOTALFEE
7,3
$6.50
SIGN TORE OF CONTRAC RORAUTHORIZEDAGENT (DATE)
WHEN PROPERLY VALIDATED HISIS YOUR PERMIT
d
BLDG )NSP DATE
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE)
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAM: A IZ L e $ LG K e e l !9 rj BUILDER ° 1 ° l `/ C2_0
0
ADDRESS :_J b 4 4 y,j p e /� > N6- ADDRESS: ,_13
NO:. STREET:
LOT:— BLOCK: ADDITION-
CORNER LOT: INSIDE LOT: SETBACK:_ SIDEYARD:
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
To Be Used As:
DESCRIPTION OF BUILDING
Front: Depth: Height:
Square Feet: Cubic Feet:
Front: Depth: Height:
Square Feet; Cubic Feet:
Type of Construction:�� c ��
Estimated Cost;_,S �7S O -
To Be Completed:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in stt*ict 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.
0.
DATE: d - 1 7--� SIGNATURE:
(See Reverse Side For Additional Information.)
City of Fridley
SUBJECT
PERMIT. _"
° 13116
AT THE TOP OF THE TWINS
BUILDING PERMIT
i
`
�y--- COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
612-560-3450
RECEIP O.
NUMBER
910-F15
REV.
DATE
7/30/75
PAGE OF
APPROVED BY
JOB ADDRESS
1041 L nde Drive
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
13
1
SHEET
L ndale Builders 6th Addition
2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE
Charles Beckerleg 1041 Lynde Drive
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Milton Johnson -
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
7 CLASS OF WORK
❑ NEW Jwaf ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
re -siding
9 CHANGE OF USE FROM TO
STIPULATIONS
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
re -siding
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SQ. 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
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIEDf�
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
VALUATION
/ �®
SURTAX
v+�j���
a N
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERM E
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
'7'
PLAN CHECK FEE
TOTAL
SIGNATUREOFC WIRACTORORAUTHORIZEDAGENT (DATE)
HEN PROPERLY VALIDATED THIS IS YOUR PERMIT
BLDG. INSP - AYE
SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE)
•APPLICATION FOR RESI'DE'NTIAL., ALTERATION,
OR ADDITION.BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S ME • 444Ae S _PCA BUILDER: � � i -t ®J
ADDRESS: P4 �2 ADDRESS:
STREET:
LOT: BLOCK: iADDITION:
CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD:
Applicant attach to this form Tc'io Certificates.. -if Survey•of Lot and.propos•ed
building location drawn. on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
Front: Depth: Height:
Square Feet: Cubic.Feet:
Front:' Depth:. Height:
Square Feet; Cubic Feet:
• " Type of Construction: .41a SI pe Estimated Cost: $ I , S -d .
-
TO - Be Completed:
The undersigned hereby makes application fora permit for the work herein
specified, agreeing to do all work in stiict 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: 3
- ' SIGNATURE: -
(See reverse Side For Additional Information.)'
• • ��
17S' J .. • • . • • • •
�■
SUBJECT
I
City of Fridley
15 6 5 9
AT THE TOP OF THE TWINS
B U I L D I N G
P E R
M I T
ECE
• COMMUNITY DEVELOPMENT DIV.
A
r PROTECTIVE INSPECTION SEC.
70
'
---`•� CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
----�
L 612-571-3450
910-F15
4/14/80
JOB ADDRESS 1041 Lynde Drive N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
13
1
Lyndale Builders 6th
SHEET
2 PROPERTY OWNER MAILADDRESS
ZIP
PHONE
Charles Reckerleg 1041 Lynde Drive N.E.
571-1860
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO.
Milton L. Johnson Co. 2513 Central Avenue N.E.
781-9548
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP
PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP
PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑x ALTERATION ❑ REPAIR
❑ MOVE ElREMOVE
8 DESCRIBE WORK
Reroof structure
9 CHANGE OF USE FROM TO
STIPULATIONS
TYPE OF CONST,
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SQ. 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
1
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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$2,000
$1.00
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-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
$12.00
PLAN CHECK FEE
TOTALFEE
$13.00
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
WHEN PROPERLY V (DATED THIS IS YOUR PERMIT
SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI
BLDG )NSP
DATE
CITY OF FRIDLEY
APPI_JCA'I'IGid FOR RESIDENTIAL BUILDING PERMITS
(blew, Alterations, Additions*, or Repairs)
OWNER: CH,4 RLe S CK 41 e -
ADDRESS: 6� L
o
l E
�/ �� Q
TEL NO:
GUILDER:
.s
ADDRESS:
—IC,
TEL NO:
S -
Construction Location
STRIs , T NO:') /� ') f' � `� .
LOT: BLOCK: �T ADDITION: � N t) 4LL=: ( L) LtCS 74
Corner Lot: Inside Lot: Setback: Sideyards:
Applicant attach to this form two Certificates of Surrey of lot and
proposed building location drawn on certificates to scale.
DESCRIPTION OF CONSTRUCTION
Front:
Square Feet:
Front:
Square Feet:
Type of Construction:
Depth:
Cubic Feet:
Height:
Depth: Height:
Cubic Feet:
Estimated Cost: $ c,2
7b Be Oampleted:
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired: $ •_ $
SEE REVERSE SIDE OF SHEET
The undersigned hereby makes application for a permit for the vpork 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 declahat all the facts and
representations stated in this application are true and Zrc ecp.)
DATE: V _I 7 1� to SIGN11TUi,E
Stipulations:
CITY OF FRIDLEY INSPECTION DIV.
Effective On January 1,199Y
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND
AIR CONDITIONING SYSTEMS AND DEVICES
JOB ADDRESS
,RATE SCHEDULE
The undersigned hereby makes application for a permit for the work herein
Residential Rate
TOTAL
specified agreeing to do all work In strict accordance with the City Codes and
Furnace Shell and Duct Work, Burner -
rulings of the Building Division, and hereby declares that all the facts and
Also Replacement Furnace $ 20.00
$
representations stated In this application are true and/correct.
(Side Vent - Fill Out Back)
Gas Piping (Needed with new furnace) $10.00
$
��^' �C 1<
OWNER � C' c- e-
Gas Range $10.00
fi
BUILDING USED AS —�
Gas Dryer $10.00
$
ESTIMATED COST PERMIT N0. /r
Air Conditioning -Ali Sizes $10.00
$ .•�U
�
OF FURNACE AND OR BURNER
All Others/Repairs & Alterations (LIST ON BACK)
QgSCRIPTION
1% of Value of Appliance or Work
$
No. of Heating Units Circle One (Steam) (Hot Water) (Wane Air)
Trade Name Size No.
Commercial/Industrial
BTU HP EDR
1 % of Value of Appliance or Work
$
Fuel Total Connected Load
State Surcharge
50
Bumer Trade Name Size No.
TOTAL FEES
BTU HP ��_ EDR
Heating and Air Conditioning
4854 Central Ave. NE
MINIMUM FEE FOR ANY HOUNGNENTILATION --'\
HEATINGtop Q%hpklei Heiahts. MN 55421
.11` (612) 572-0459
REINSPECTION FEE $30.00
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
Signed By ` 1/ V Tel No.
TV, V
Approved By Rough -In DateFinal Date^
V I- . 4L
FILL OUT BACK SIDE\FOR STACK VERIFICATION ON
REPLACEMENT FURNACE
X,
NOTE: #1 through #8 required when using a side vent furnace.
CIDY AND STACK VERIFICATION
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
7. Has a liner been provided for water heater Yes ( ) No ( )
8. Has combustion air been provided for water heater Yes ( ) No ( )
Remarks:
HEATING CO:
Signed By:
Date:
SUBJECT
O.
City of Fridley
2 6 913
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
-ReevprNO.
• COMMUNITY DEVELOPMENT DIV.
INSPECTION SEC.
r PROTECTIVE
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910415
7/30/98
JOB ADDRESS
1041 L nde Dr
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
13
1
1 L ndale Builders 6th Addn.
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Dan He strand
571-9200
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
D L Builders 1166 14 Av SE M is 55414 378-0950
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION CI REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and garage S Tear -off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with State Building Code.
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 80 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
ISTALLS
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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
2502
$1.25
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-
ST CTION OR TH ERFORMANCE OF CONSTRUCTION.74.75
Fire SC 2.50
PLAN CHECK FEE
TOT
7.3a .cog
[$80
$5.00/f
SIGNATUR 10NTRACTOR OR AUTHORIZED AGENT IDATEi
_
EN PROPE V LIDATE
INSP
S IS YOUR PERMIT
r
ryATE
SIGNATURE OF OWNER 0F OWNER BUILDERI IDATEIG
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION �Ck,A ^L.�
ConstructionAddress:
Legal Description:
Owner Name & Address: 'bAN Tel. #s-7 (72t b
Contractor: v, ; / MN LICENSE # 2 �9to'Z t
Address • (p — Tel. # 3 7$-0990
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF ZIPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Wi th Hgt/Ground Sq. Ft.
OTHER: F
Construction Type: 0�4 (2 ! Estimated Cost: $ —
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: 7 3o • 418 APPLICANT: Tel. # 37LOS'D
icus E ONLY
Permit Fee
$ i
Fee Schedule on Reverse Side
Fire Surcharge
$ S O
.001 of Permit Valuation (1/10th%)
State Surcharge
$ 4 �-�� $.50/$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$ s 06)
$5.00 (State Licensed Residential Contractors)
Driveway Escrow
$
Alt. "A" or Alt. "B" Above
Erosion Control
$
$450.00 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement Necessary [ ] Not Necessary [ ]
TOTAL $ 83, -S-D
STIPULATIONS: