PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT
Date: y
Owner: f
Address
Builder
Address
�
� L�D�O OF WILDING_..
No. Street Part of
Lot , Block — Addition or Sub -Division
Corner Lot _ Inside Lot Setback — _ Sideyard _ � � �' Al AL.
Sewer Elevation Foundation Elevation
DESCRIPTION OF BUILDING
To f Used ' �,w yr / `"a o
.,.�.. Front Depth 'Height Sq. Ft. Cu. F't.
Fran Depth Height _ _ Sq. Ft. Cu. Ft.
Type of Construction Est. Cosi f°`""" 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 $ '=c— , 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, 11✓tlnnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
within the city limits and this permit may be revoked at any time upon violatio of any .of the provisions of said
ordinances.
ZY
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.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
Owners Name Builder,
Address
,kJ
I
LOCATION OF BUILDING
No. Street ��`' ' Part of Lot
Lot Block . Addition or Sub.Div.
Corner Lot Inside Lot Set Back,3L� Side -Yard
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
DESCRIPTION OF BUILDING
To be used as:
✓fes �'SJ �7
Front Degth Height
Sq. Ft. Cu. Ft.
Front 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 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.
ff
DATM ! b .3 I SIGNATURE W
(A Schedule of Fee costs can be found on the Reverse Side.)
N
Application for Power Pkmts and Healing, Coding, Ventilation, .Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR:
Furnace Shell & Duct Work ..........................
Replacement of Furnace .............................
Repairs & Alterations—up to $500.00 ..................
Repairs & Alterations each add. $500.00 ...............
MECH. WARM AIR
RATE TOTAL,
8.00 $
5.00 T
5.00 $
2.50 $
Furnace Shell & Duct Work to 120,000 BTU ............
each add. 80,000 BTU .... . ................. .
Replacement of Furnace .............................
Repairs & Alterations—up to $500.00 .... ............. .
Repairs & Alterations each add. $500.00 ...............
STEAM or HOT WATER SYSTEM
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 ......................
T Each add. 320 sq. ft. EDR Hot Water ..................
y
OIL BURNER—to 3 gal. per hour ........................
over 3 gal. per hour—See Fee Schedule
8.00
$- y
2.00 $
5.00 $
5.00 $
2.50 $
8.00
$
8.00
$
2.50
$
2.50
$
Gas Range to 200,000 BTU ...........
5.00
$
GAS BURNER (up to 400,000 BTU) ....................... 5.00 $
GAS FITTING FEES:
NO RATE TOTAL
1st 3 Fixtures ......................�_
x $1.50
$ 1,
Additional Fixtures .................
x .50
$
Gas Range to 200,000 BTU ...........
x 2.00
$
AIR CONDITIONING
$
FAN HEATING SYSTEM
See Fee Schedule
VENTILATING SYSTEM
$
ALTERATIONS & REPAIRS
TOTAL FEE
fr'5
ROUGH
FINAL
Dept. of Bldgs. Phone SO 4-7470
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.
Fridley, Mnn%D 19 4Z
Owner
Kind of Building A
A w
Used as
To be completed about
Estimated Cost, $
New. uilding Permit No. 0 Permit No._ �/
DESCRIPTION OF WORK
HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No
Trade Name���M� �1 �� C Size No opm = Z
Capacity Sq. Ft. E.D.R q C?Q "'l BTU H.P.
Total Connected Load 1: + �z,! Kind of Fue
BURNER —Trade Name Size
Capacity Sq. Ft. E.D.R BTU H.P.
(REMARKS—OVER)
Sigae
By
.<lam 42 2M 7-59 Business Phone No-
.42
T LOSS CALCULATIONS DEPARTMENT OF BUILDINGS FRIDLEY, MINN.
7wwoww
Weatherstrips A.S.H.V. E. Construction No. Insulation
Guide
n wso rs Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied
Yes No �Yes—o'19— �' '
Ar
Room Length Width Height Fl. Room Length / - Width /� ` Height
Windows and Doors—Crackage and Area
Width Height No. of Llneal tt Ares
No. of pane of pane Ilghte of crack eq. ft.
indows an Dors—Crackage and Area
Width Height No. of Llneal t . Area
No. of pane of pane Ilght of crack eq. ft. No.
Total Btu.
Require . E.D.R. or sq. ins. RSA: Leader area
/ F1.1 ,� r� Room I Length G7— Widt ,?° Height �
Windows and oors--Crackage and Area
&J 41,36
Width Height No. of Lineal ft. Area
No. of pane of p lights of crack eq. ft.
A20- . L".2
-,Zl9el D I&
Glass
Exp. wall
Room I Length Width
Height 1
/ .
Coef. Btu
Infiltration
In6ltratioa
Btu
'
Glass
Glass
Exp. wall
67
Exp. wall J/
Net exp. wall
/®
Exp. wall
Int. wall
Int. wall
Ceiling
Ceiling
Int. wall
1-0
/
Floor
p
Ceiling
Total Btu.
Require . E.D.R. or sq. ins. RSA: Leader area
/ F1.1 ,� r� Room I Length G7— Widt ,?° Height �
Windows and oors--Crackage and Area
&J 41,36
Width Height No. of Lineal ft. Area
No. of pane of p lights of crack eq. ft.
E.D.R. or sq. ins. W.A. Leader area
Glass
Exp. wall
Room I Length Width
Height 1
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane Ilghte, of crack sq. ft.
�® . 7 :977
Coef.
B
In6ltratioa
Btu
Infiltration
tg
Glass
Glass
Exp. wall
Exp. wall J/
Net exp. wall
/®
Exp. wall
Int. wall
Net exp. wall
Ceiling
®�
Int. wall
/G/
Tbtal Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
p
Ceiling
/a
Floor
Ceiling
LW/
1 otal Btu.
&J 41,36
Required sq -it.
E.D.R. or sq. ins. W.A. Leader area
Glass
Exp. wall
Room I Length Width
Height 1
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane Ilghte, of crack sq. ft.
�® . 7 :977
Int. wall
Coef.
Coef.1
Btu
Infiltration
/o 77
;—
Glass
Glass
Exp. wall
>D
Net exp. wall
/®
Exp. wall
Int. wall
Ceiling
Net exp. wall
Floor
/G/
Tbtal Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
p
Int. wall
Btu
Infiltration
Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
Required sq.D.R. or sq. ins. W.A. Leader area
41 W1,14 QFI. Room ( Length Width 5
Windows and Doors—Crackage and Area
Width Height No. of Llneal tt. Area
No. of pane of pane Ifahts of crack eq. ft.
Windows and Doors—Crackage and Area
Coef. Btu
Infiltration
Glass
Exp. wall
Net exp. wall
/ 49 /Q
Int. wall
Coef.
Ceiling
5�
/Q 149vQ
Floor
Total Btu.
/o 77
;—
Windows and Doors—Crackage and Area
Width Height No. of Lineal fL Area
No. of pane of "no lights of crack sq. ft
Coef.
Btu
Infiltration
Glass
>D
�trJD
Exp. wall
Net exp. wall
/e
p
Int. wall
Ceiling
ro
Floor
Total Btu.
Recpcired sq. ft. E.D.R. or sq. ins. W.A. Leader area
�4
City of Fridley
Application for Plumbing and Gas Fitting Pent
Dept. of Bldgs. Phone SII 4-7470
DESCRIPTION OF WORK Location O
Number, Kind and Location of Fixtures
IWATER
NO. RATE TOTAL
Number Fixtures ......................
— x $1.50
?_
Future Fixture Opening ................
x 1.20
Ytz
New Fixture Old Opening ..............
Q
Z
O
x 3.25
O
Z
•
•
HTR.
x 3.25
$
QQ_
'1' �j
NO. RATE TOTAL
ZyS
3
yZ0
O
Joya
O
{J
$
U'
U' a'
U' O
F
N
GAS
ELEC.
ai
ul
F-
LL
LL
G
Base
1st
2nd
3rd
4th
• Future Co mectiion Openings
Connected with
I
Sewer El
e New Fixture, Old Openings
Cesspool El
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO. RATE TOTAL
Number Fixtures ......................
— x $1.50
$ 0
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)
......� x 2.00
$ a U
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 $, �moi
City of Fridley:
The undersigned hereby makes application for a permit for the work heret
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 aaretrue and correct.
Fridley, Mnn �-� - r 19-55
Owner
Kind of Building
Used as
To be completed about
Estimated Cost, $
� G
OI Ne uilding Permit No Permit No.
Signe
By—
Business Phone No
ROUGH 1 I " 9 W
FINAL
42 2M
City of Fridley, Minn.. -1.2 0 4 5
6431 University Ave. N. E., Minneapolis, Minn. 55432
BUTLDING PERMIT
Date: _'February 26,_ 1973
Owner: T Terry Weglarz Builder Milton L. Johnson Co.
Address _107J _. Lymd a nr i vP N . F Address .:
2513 Central Avenue N.E .
LOCATION OF BUILDING
No. —1071 Street ____ Lynde Drive N.E. part of Lot
Lot _.._4-0__.. Block _...__.- Addition or Sub -Division __ :4 Buildarg sigh
Corner Lot ___._.__. _ _ Inside Lot _ Setback r Sideyard
Sewer Elevation
Foundation Elevation
DESCRIPTION OF BUI
To be Used as:
Re -side & Alum ._T ,tDepih Height Sq. Ft. Cu. Ft
Front — Depth Height Sq. Ft. Cu. FL
Type of Construction AlumiLium Est, Cost X500 .___ To be Completed 30 days
Stipulations: Caulk the butt ends.
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 ItQmlan/c7 with all prrsions of
ordinances of the city of Fridley. t /1_ �`
„ \ \_
/ J
Inconsideration of the payment of a fee of $_9_-00-, permit is her bey granted to Mi 1 t on L . Johnson C o .
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 ordingnew of
I�'ridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of building�
vpithin the city limits and this permit may be revoked at any time upon violation of any of the provisions of Baltl
ordinances.
8wuding Inspector
Darrel Clark
NOTICE:
This permit does not cover the construction, installation for whing, plumbing, gas heating, sewer or water. Be suns to no
the Building Inspector for separate permits for these items.
a
APLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
�NAME: lam/
OWNER S -�'� V /'� e�j -Z- BUILDER: � i 1,,1 0�' ^ v O /tel N d rl 00
ADDRESS : to — �` yPJ 01-- D R 1• ADDRESS : l.. �%A L A -
NO :. /0 Z /— STREET • 4— V^" D a / �
LOT: l * 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: Estimated Cost: $ /Z_JV
To Be Completed:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in sttict 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 • moi.
(See Reverse Side For Additional Information.)
AVS&WINS of Fridley
SuBjECT
BUILDING
PERMIT
ERMIT NO.
2 819 8
P
COMMUNITY DEVELOPMENT DIV.
f PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55132
L J` 612-571-3450
v��
NUMBER
910415
REV
DATE
10/13/98
PAGE OF
APPROVED BY
JOB ADDRESS
1071 L nde Drive
I LEGAL
DESCR.
LOT NO.
10
BLOCK
1
TRACT OR ADDITION
II,yndale-Builders. 6th Addition
SEE ATTACHED
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Terry We larz974-0340
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
D L Builders 1166 14th -
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
O NEW O ADDITION 0 ALTERATION 3a REPAIR 0 MOVE O REMOVE
8 DESCRIBE WORK
Reroof house 15 S Tear -off
9 CHANGEOFUSEFROM TO
STIPULATIONS
Underlayment must comply with the 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
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
ZONING
SO. FT
CU FT.
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 COMPLIED
VALUATION
SURTAX
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
1285
.64
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 0T E PERFORMANCE OF CONSTRUCTION
43.00
Fire SC 1.28
CPLAN
(0 /3 J=
CHECK FEE
License SC $5.00A
TOTAL FEE
1$49.92
SIGN TUR OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
WHEN PROPERLY UDATED THIS IS YOUR PERMIT
d
BLDG NSA
r &fz
MATE
S,GNATURE OF OWNER OF OWNER BUILDE DATE,
NEW [ ]
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: 10-1 l L\A'WA'
Legal Description:
Effective 1/1/98
Owner Name & Address: 1 V !�%k*v ?_ [ 0-1 t. L a 69kc Tel. # ' 7q - 03 q o
Contractor: 1� . `., . -�v" k r• Qng MN LICENSE # Z= q � z, (
Address:I \ LeLe t t -W-*, A,,) Sc _Tel. # 37 r-09So
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: f.7` _Sq
Construction Type: —1 b�; ( ;Z,eR_Ct;V Estimated Cost: $
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: /o• t3- qS APPLICANT: Tel. # 31t —OISO
Permit Fee $
Fire Surcharge
$ 42r
State Surcharge
$�
SAC Charge
$
License Surcharge
$ -5 • c�
Driveway Escrow
$
Erosion Control
$
Park Fee
$
Sewer Main Charge $
TOTAL
STIPULATIONS:
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1000 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]