PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT N° 5313
Date:
pwner;F t Builder
Address _ _ _ Address'
YLCA�TeN OF BUILDING
No. Street Pare f t
Lot .__ Block Addition or Sub-Divisi"�r�,
F"
Corner Lot Inside Lot Setback{ ideyard ,r
Sewer Elevation — Foundation Elevation
DESCRIPTION OF BUILDING
°°
To Used age
cid
>i r Front f! Depth Height _ `:._ Sq. Ft.,e-Cu..°'
Front Depth _ Might Sq. Ft. Cu. Ft.
Type of Construction ;` ,.. 4- * Est. 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
ordinancs;s of the city of Fridley. I
In consideration of the payment of a fee of $ e, i" , 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 time upon violation o any of the provisions of said
ordinances.
v
le- ,
..s ' �'$uilding Inspector
NOTICE:
This permh does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to no
the Building Inspector for separate permits for these hems.
OM04
_. 'r
APPLICATION FOR BUILDING FE MIT
CITY OF FRID%EY1 MINNESOTA
Owner's Name Builder
Address
LOCATION OF BUILDING
No. j / v Street Part of Lot
Lot Blocky Addition or Subdivision �. . v! ai \
Corner Lot Inside Lot Setback J` f Side,Yard / y
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
To be used as:
bE�CRIPTION OF BUILDING
Front,.Depth 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 representations
stated in this application are true and correct.
SIGNATURE
(A Schedule of Fee Costs can be found on the Reverse Side.)
City of Fridley
Application for Plumbing and Gas Fitting Permit o
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures
y
NO. RATE
TOTAL
Z
12
S GG
Z
LL'
^
o� Z
in
E4
�jQ
-j�i
W
Z
Z
New Fixture Old Opening ..............
N
WATER HTR.
GAS
ELEC.
$
Water Heater (Up to 200,000 BTU) ......
x 2.00
$� +—
p���
x 3.25
$
QQ?
GAS FITTING FEES:
NO. RATE TOTAL
.0
.O
R
Additional Fixtures ....................
x .50
$
m
x 2.00
$
REPAIRS & ALTERATIONS—Refer to Code
Description ................................................$
Id.
TOTAL FEE
$- —
I
Base
1st
r
2nd
_
3rd
_
4th
• Future Connection Openings I
Connected with
Sewer 0
New Fixture, Old Openings I
IJ
Cesspool 0
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO. RATE
TOTAL
9.
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) ......
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 ................................................$
Id.
TOTAL FEE
$- —
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 applicatiop-mN true and correct.
Kind of Building
Used as
To be completed about
Estimated Cost, $
Ol New Building Permit
ROUGH L ' f- 6
FINAL
a z 2M 7-59
By--.eC/O�lG
Business Phone
19 dl
4
Applicarion icor Power Punts and: Hearing, Cooling, Ventilation, .Ree igeration 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 ............
each add. 60,000 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 ......................
Each add. 320 sq. ft. EDR Hot Water ..................
i -
OIL BURNER—to 3 gal. per hour ........................
over 3 gal. per hour—See Fee Schedule
8.00
$
2.00
$ _
C.00
$
5.00
$
2.50
$
8.00
$
8.00
$
2.50
$
2.50
$
5.00 $
GAS BURNER (up to 400,000 BTU) ......... I ............. 5.00 $><
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 $
AIR CONDITIONING $
FAN HEATING SYSTEM See Fee Schedule
VENTILATING SYSTEM $
ALTERATIONS & REPAIRS TOTAL FEE
ROUGH
FINAL
Dept. of Bldgs. Phone SU, 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.
Owner
Kind of Building
Used as
Fridley, Minn-
Owner
nn
e
To be completed about � e
Estimated Cost, $ -5—
40 ---New. Building Permit No. ��� —3 permit No. 5—
ti
DESCRIPTION OF WORK
HEATING or POWFA PLANTS—,Steam, Hot
Trade Name �'' a Size No
/O0 G
Capacity Sq. Ft. E.D.R- AnO BTU H.P.
Total Connected Load Kind of Fuel
BURNER —Trade Name Size No
Capacity Sc
(REMARKS—OVER)
P_C-a 2 2M 7-59
Business Phone
D-56 OrMW79
-HUT LOSS CALCULATIONS DEPARTMENT, OF BUILDINGS
Weatherstrips A.S.H.V.EI Construction No.
Guide
n ows o s Reference Out. Wall JInt.WalI I Ceiling Roof Floor
Ye 19—
F1.1 s v w'ssi• Room Length�?f ° Width /4eHeiaht ,P/ II F1.1
pIr
Windows and Doors—Crackage and Area
Btu
Infiltration
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
-aorQ o��®
44".
® �® per:✓,4/ /671 /10
Net exp. wall 2 /®
O
Int. wall
Coef.1
Coef.
Btu
Infiltration
Glass
Total Btu.
.3f
O
Glass
j/9
Glass
/9
Net exp. wall
Net
//d
Exp. wall
-!5,p
�®
Exp. wall
Net exp. wall
/®�®
Net exp. wall
/®
.-5! O �®
Int. wall
->* 6
Int. wall
Ceiling
Qafl
IV
Ceiling
FloorI-qwx/-Is-(-z
%7,
/®
Floor
Total Btu.
Required ft. •E. .R. or sq. ins. W.A. Leader area
Fl.1 k9y VN Room I Lenath !7 ®Width /®? Height Js,
Windows and Doors—Crackage and Area
Btu
Infiltration
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
Glass
44".
Exp. wall 92
Net exp. wall 2 /®
O
Int. wall
Coef.1
Btu
Infiltration
Floor
Glass
Total Btu.
.3f
O
Glass
-7--
/9
Net exp. wall
Net
//d
Exp. wall
1AA66
Int. wall
Net exp. wall
/®�®
/®
.-5! O �®
Int. wall
->* 6
Ceiling
Qafl
IV
a IPJ
FloorI-qwx/-Is-(-z
%7,
/®
Total Btu.
Required ft. E.D.R. or sq. ins. W.A. Leader area
Fl. Room I Length f' Width /,:�?
Windows and Doors—Crackage and Area
Wldth Height No. of Lineal ft. Area
No. of pane of pa. Il^ghte oL{c/racksq. ft.
/ --T,/CSP D G'V� / -1 / VQJ
JCoef.j
Btu
Infiltration
�
Glass
44".
Exp. wall 92
Net exp. wall 2 /®
O
Int. wall
Infiltration
Ceiling 77 /®
Infiltration
Floor
Glass
Total Btu.
.3f
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Exp. wall
-7--
�=O=MINN.
Insulation
Kind How. Applied
om I Length 'kWidth /P' Height e
Windows and Doors—Crackage and Area
Width I Height No. of Lineal ft. Area
No. of pane of pane lights, of crack sq. ft.
30, /
Coef.
Btu
Infiltration
31
Infiltration
Glass
.3f
If
Exp. wall
-7--
/9
Net exp. wall
Net
//d
Exp. wall
1AA66
Int. wall
Ceiling
/®�®
Floor
Int. wall
->* 6
Total Btu. 1 0 145
Required s . M.D.R. or sq. ins. W.A. Leader area
f FLI Room I Length //' Width , Height,?"
Windows and Doors--Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane iights of crack sq. ft.
30, /
Coef.
Btu
Coef.
Btu
Infiltration
Glass
.3f
If
Glass
/9
11-19
�95 0
Exp. wall
10
Int. wall
Net exp. wall
/®�®
Floor
Int. wall
->* 6
Ceiling
Floor
%7,
/®
Total Btu. I
Required sq. ft. E.D.R. or sq. iris. W.A. Leader area
Fl_I Rnnm I L.enath 5;" & Width Heisfht,f-/
Windows and Doors—Crackage and Area
Width Height No. oL Lineal ft. Area
No. ofpane Of Pane lights of crack_sq. ft.
Coef.
Btu
Infiltration
L -7,41-::r,®
Glass
I
Exp. wall
Net exp. wall
le
10
Int. wall
Ceiling
/®�®
Floor
7 1
->* 6
,BTQtal Btu. 141-5,&0!";
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
City of Fridley, Minn.
BUILDING PERMIT N® 7206
Date: 9
r 7
a�
Owner: __�� Builder
Address Address
LO TI B ILDING
No. Street > Part of Lot
Lot _ Block Addition or Sub- on —
Corner Lot — Inside Lot Setback , Sideyard
Sewer Elevation _ _ Foutdation Elevation
DESCRIPTION OF BUILDING
To sed as: Y,6/
F't. it c 7 ,W
� Front Depth Height C..�
! .-_ Sq. Ft. Cu. /
x Depth Height _ _ �_ Sq. Ft. Cu. Ft.
Type of Construction Fst. Cost_ -� 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 f rth and in pliance with ail 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 reg location, construction, alteration, maintenance, repair and moving of buildings
within the city limits and th permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
NOTICE:
Uls permit does not corer the construction, htstallation for whfng, phimbtng, ga heating, :ewer or water. Be an to no
the Building hm pector for sepwab permits for these Items.
57, #ee°
APPLXCATION FOR BUILDING PERMIT
CITX.OF FRIDLEY, 14INNESOTA;
OWNERS NAME Z
ADDRESS:/140;kta h I�
1 n
ADDRESS'. L,442 10 Y, P4 ... .3
LOCATION OF .BUII.DING
No. �� Street111744r- Fart. of Lot
Lot Block Additioo or Subdivision,
Corner lot' Inside Lot _3etback Side -Yard.:. `3
SEWER ELEVATION FOUNDATION ELEVATION
Applicant_attach.to this form Two Certificates of Survey•of Lot and proposed -build-
ing locatioin.drawn on these Certificates.
DESCRIPTION OF BUILDING
To be used as.:
Front... . , Depth :- Height
Sq. Ft. Cu. Ft, -� 3 2
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction Lll-z� Estimated Cost
To be Completed
The undersigned hereby makes application.for a permi.t.for the work herein.specified,
agreeing to do all work in strict accordance with the City of Fridley Ordinances and
rulings cif the Department of Buildings, and hereby.declares that all the facts and
representations stated in this application are true and correct.
��.m
,(Schedule of Fee Costs can be found on the Reverse Side).
January 12, 1978
8431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 66432
Mr. Roy Clem Graczyk
1120 Lynde Drive N.E.
Fridley, Mn. 55432
TELEPHONE ( 812)671-3460
Re: Junked Street Inoperable Vehicle Stored at 1120 Lynde Drive N.E.
Dear Mr. Graczyk:
It was confirmed by an on site inspection on January 11, 1978 that you
were maintaining a 1963 Plymouth, License OR 2866, on the above
listed property in a junked street inoperable condition.
Chapter 123 of the Fridley City Code requires that all vehicles in
the City be currently licensed and in a street operable condition.
An alternative is to store said vehicles within a building or at an
approved location, e.g. a licensed junk yard.
Therefore, the City must require you to remove said vehicle from
your property or bring it into compliance with the City Codes by
either licensing and putting the vehicle in a street operable
condition, placing it within the confines of a building, or removing
it to an approved location.
A reinspection will be conducted on or about ten (10) days from the
date of this letter to determine compliance. We are confident in
your cooperation and desire to make Fridley a better community to
live in. If any questions or problems result from this letter, please
contact me at 571-3450.
Failure to abate said violation may result in this matter being
turned over to the City Prosecutor for his legal consideration.
Sincerely,
STEVEf J. OLS N
Environmental Officer
SJO/mh
SUBJECT
PER NO.
City of Fridley
® 16 6i-if
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
RECEIPT NO.
�v ______ COMMUNITY DEVELOPMENT DIV.
INSPECTION
r i PROTECTIVE SEC.
����
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
4/11/83
JOB ADDRESS 1120 Lynde Drive N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
6
2
Lyndale HIMR&M Builders 6th SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Sandra Graczyk 1120 Lynde Drive N.E. 574-0451
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Leo 0. Sanders Contr. 7813 Jackson Street N.E. 786-2860
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 1 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Install drain tile
9 CHANGE OF USE FROM TO
STIPULATIONS
Electrical extension cords can not be used as part of the power source to the
pump.
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
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 1 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
$1.15
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$2,300
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISION OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTIO OR THE PERF MANCE OF CONSTRUCTION.
$38.50
PLAN CHECK FEE
TOTAL FEE
$39.65
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
WHEN PROPER VALIDATED THIS IS YOUR ERMInnT
Ci
SLOG I D TE
SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEt
CITY OF FRIDLEY Effective Aug. 1, 1961
APPLICATIC14 FOR RESIDENTIAL BUILDING PERMITS
(Hew& Alterations. Additions or Repairs)
OWNER: -Ja.�ia
ADDRESS: , f o �,7,Lg h
TEL NO: 5-7 y -- a yL
• STR=T NO: STREET:
LOT:
BUILDER:
ADDRESS:...?
TEL NO: _ Z e-/ -.-2
Construction Location
BLOCK: ADDITION:
Corner Lot: Inside Lot: Setback: Sideyards:
Applicant attach to this form two Certificates of Survey of lot and
proposed building location drawn on certificates to scale.
DESCRIPTIOR OF CONSTRUCTION
Front: Depth: Height:
Square Feets Qibic Feet:
Front: Depth: Height:
Square Feet: Cubic Feet:
Type of Construction: X12 ../� Estimated Cost: S tVre, :�'---
Tb Be Cbripleted:
Alt. A Alt. 8
Proposed Driveway Width If New Opening Is Desired: $ $
SEE REVERSE SIDE OF SHEET
Tile undersigned hereby makes application for a permit for the vork herein specified,
agreeing to do,all Work In strict accordance with the City of Fridley Ordinances and
rulings of the Delkirtment of buildings, and hereby declares that all the facts and
representations stated in this application ale true and correct,
Dr1TE: � ll-' 8`3 SIGNATURE: �/ �?0 - ,
stipulations:
CITY OF FRIDLEY
Effective Date May 1, 1988
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND
AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
RESIDENTIAL
RATE
TOTAL
Furnace Shell and Duct Work,
nsp.
Burner (Also replacement furnace)
$ 20.00
$
Gas Piping
$ 10.00
$
(piping needed with new furnace)
CARRIER 38TGO24 2 ton
Trade Name
Gas Range
$ 10.00
$
Gas Dryer
$ 10.00
$
* Air Conditioning (all sizes)
$ 10.00
$ 10.00
All Others/Repairs and Alterations
1% of Value of Appliance or Work
$
COMMERCIAL/INDUSTRIAL
1% of Value of Appliance or Work $
State Surcharge $ .50
TOTAL M $15.50
Reinspection Fee ($15.00) $
Job Address 1120 Lynde Drive
Department of Buildings, 6431 University Ave. N.E., Fridley, MN 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 the
facts and representations stated in this application are true and correct.
Fridley, Minn. July 5 19 89
OWNER Dave Anderson
KIND OF BUILDING Frame
USED AS Residential
TO BE COMPLETED ABOUT _
ESTIMATED COST 1100.00
OLD - NEW BUILDING PERMIT NO.
PERMIT NO.
MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00
PLUS $.50 STATE SURCHARGE
Attach stack verification form with replacement furnace permits
*Air Conditioners can not be placed. in side yard without
written permission from adjoining neighbor.
BURNER - Trade Name Size No.
Capacity Sq. Ft. EDR BTUHP
Company C(�qIp,,� iXQ (('(�1�^(`a
Signed By �1 lh l(�CLa,( � a Ca
Tel. No.
DESCRIPTION
OF FURNACE/BURNER
nsp.
Date
"INSTALLING ONE (1)
HEATING or POWER PLANTS,
Steam, Hot Water, warm Air- No.
Final Insp. "� %>
CARRIER 38TGO24 2 ton
Trade Name
Size No.
Date,
AIR CONDITIONER
�.-
Capacity
Sq. Ft. EDR BTU HP
Approval for Permit
Total Connected Load
Kind of Fuel
MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00
PLUS $.50 STATE SURCHARGE
Attach stack verification form with replacement furnace permits
*Air Conditioners can not be placed. in side yard without
written permission from adjoining neighbor.
BURNER - Trade Name Size No.
Capacity Sq. Ft. EDR BTUHP
Company C(�qIp,,� iXQ (('(�1�^(`a
Signed By �1 lh l(�CLa,( � a Ca
Tel. No.
City of Fridley
AT THE TOP OF THE TWINS
SUBJECT
BUILDING
PERMIT
IT NO.
2 713 6
_ COMMUNITY DEVELOPMENT DIV.
� PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
612-571-3450
NO.
NUMBER
910415
REV
DATE
8/12/98
PAGE OF
APPROVED BY
JOB ADDRESS
1120 L nde Dr
1 LEGAL
DESCR.
LOT NO.
6
BLOCK
2
TRACT OR ADDITION SEE ATTACHED
Lyndale Builders 6th Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Jainarane Deora J
574-1855
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
'Rmir Seasons Roofing And Remodeling 7930 Unimersity Ave
E Fridley 795-9410
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
20138780
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION BR REPAIR O MOVE ❑ REMOVE
S DESCRIBE WORK
Reroof house and garage (25 S) Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comly with State Buildling 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 60 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. OWLG. UNITS
OFFSTREET PARKING
1 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
2085
$1.04
DOES NOT P SUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS AN OTHER ATE OR LOCAL LAW REGULATING CON-
STRUC 10 R THE P RF R NCE OF CONSTRUCTION.
$74.75
Fire SC $2.08
✓�`
PLAN CHECK FEETOT
L cen
5.
FEE
.87
SIGNATURE OF CONTR TOR OR AUTHORIZED AGENT IDATEIN
P OP
BlD INSP
ALID T THIS IS URYPM
r
f)A TE
SIGNATURE OF OWNER SIF OWNER BUILDERI IDATEI
I /
[ Effective 1/1/98
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
".i-structionAddress: a o �L4 n C1d-e �-
__ Description:
Naine & Address:
_TA- 1 ria -r& n.a. ra.I Tel. #
_ actor: Fou ir S e yxgws Pa -C �l� ��.�� �� „ � LLC MN LICENSE #_
79 0 d"( u'e rs�-�cs PrLd l-rc,� Tel. # 7q5— 9q1U
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
AREA: Length . ' Width Height Sq. Ft.
:. 4.Lrzv ; AREA: Length Width Height Sq. Ft.
D l -'K AREA: Length p Width Hgt/Ground(7 �` Sq. Ft.
/�
OS� e �iT Jk r,,a/eS
u tion Type �iQ,VVI.GIf AQ V_ eEstimated Cost: $ e2 G q"5-, o a
(Fee Schedule on Back)
Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
t &-qg APPLICANT: Tel. #
• ._.:rch.ir��
Surcharge
.<: Charge
License Surcharge
ay Escrow
iun Control
-7 cL 7,z
2. :0 - <(
$ 1, a t4 .
Main Charge $
f0TAL
�'_'1 i' ULATIONS:
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 [ ]
suejEtr
PERM,-
City of Fridley
3 i 746
AT THE TOP OF THE TWINS
BUILDING PERMIT
COMMUNITY DEVELOPMENT DIV.
572-3604
_
L-----,
r PROTECTIVE INSPECTION SEC.
�
E . ,
CITY HALL FRIDLEY 53432
NUMBER
REV
DATE
PAGE OF
AVPROVEO Y
L 612-571-3450
s�aF�S
4/17/01
JOB ADDRESS 1120 Lynde Drive NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
6
2
Lyndale Builders 6th Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Jainaraine Deoraj 1120 Lynde Drive NE
763-574-1855
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Same
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
Ck NEW ❑ ADDITION ❑ ALTERATION 1 REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 20' x 15' Detached Deck; Reside T161604 Garage
9 CHANGE OF USE FROM TO
STIPULATIONS
See notations on plan.
"NG
Before digging call fog.
all utility locations
4%0002
REFFY'"UNHIRED BY LAW
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
]
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
$1.80
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$3,600
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
4'
PLAN CHECK FEE
TOTAL FEE
102.65
IDATEI
S NATURE OFCONTRACTORO AUTHa:�
HE PROP VALIDAT
THIS IS YO PERMIT
. � 1.
\/-&GVATURE
OA-44fil-
II G INS
DATE
OF OWNER IIF OWNER BU Epi IDATEI
-1
NEW [ ]
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address: J i yhy E JR.
Legal Description: O /.5
Owner Name & Address:iY a4 ZA/"�
Contractor:
Effective 1/1/2001
(763) 572-3604 Bldg Insp
�d CJ6�
Tel. # 763
MN LICENSE #
Address: Tel. #
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 2, Height .71 Sq. Ft. G
DECK AREA: Length Width / Hgt/Ground Sq. Ft.O 3 ��
OTHER:
Construction Type: Estimated Cost: $ C7
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: Q!2 'OW -2w1 APPLICANT: / M40 et '',rc.� / Tel. # 7�.3
CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application
Permit Fee $ Jr Fee Schedule on Reverse Side
Fire Surcharge $ 3 , (D 0 .001 of Permit Valuation (1/10th%)
State Surcharge $ I , E�n $.50/$1,000 Valuation
SAC Charge $ $1150 per SAC Unit
License Surcharge $ $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 $ oa -46
STIPULATIONS:
16401 #4 H 90-759-7)
CITY OF FRIDLEY INSPECTION DIViSION Effective On January 1, 2002
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
(763) 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES �r
JOB ADDRESS 11AQ LU NC
RATE SCHEDULE
OWN ER�OIIYIOI!iO�A m
Residential Rate TOTAL Re�
Furnace Shell and Duct Work, Burner - BUILDING USED AS
Also Replacement Furnace $30.00 s 30.00
(Side Vent- Fill Out Back) ESTIMATED COST ILAS. CC PERMIT NO. AS 390?
Gas Piping (Needed with new furnace, $ 10.00 $
but not replacement) DESCRIPTION OF FURNACE AND OR BURNER
Gas Range $ 10.00 $
No. of Heating Units I Circle One (Steam) (Hot Water(Warm Air)
Gas Dryer $ 10.00 $ Trade Nameslont lMl Size No. VAT9(0
BTU_ qQ lL HP EDR
*Air Conditioning - All Sizes $ 25.00 $ Fuel 1�-4-Q Total Connected Load
All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name Size No.
1% of Value of Appliance or Work $ BTU HP EDR
Commercial/Industrial
1.25% of Value of Appliance or Work $ 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 an
State Surcharge $ .50 rulings of the Building Division, and hereby declares that all the facts and
TOTAL FEE $ 30-5Drepresentations stated in this application are true and correct.
®EP DATE h -h -Q
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION HEAD'��RAP.'."'SR®U �� ZINC
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 1 '
PLUS THE $.50 STATE SURCHARGE Signed i9bEL #
REINSPECTION FEE $47.00/Hr FAX # 2nE>--75-7 - 5-2 51
*Air Conditioners can not be placed in a side yard without Approved By Rough -In Date Final Date
written permission from adjoining property owner.
THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE
APPLICATION WILL BE RETURNED
When raIn acing an existing furance, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions,
and is securely supported and firestopped where required. Yesk No ( )
The venting system is plastic/PVC and meets all current codes and manufacturer
specifications including sizing, length, number of elbows and termination. Yes () No
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and`inanufacturers specifications. This does
include AGA-GAMA Category I Central Furnace Venting Tables for fan
assisted and natural draft appliances. Yes No( )
The avostina comb ,stien air is,,sized and installed to meet the current codes
and manufacturers specifications; Yes No ( )
When required to install a new ccm6ussnn air. it will be sized and installed
to meet the current codes and manufacturers specifications. Yes No ( )
When inc alling.a new venting nyStem, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturers
specifications. This does include AGA-GAMA Category I Central Furnace
Venting Tables for fan assisted and natural draft appliances. Yes (?4 No ( )
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented
separately as per current codes. YesANo ( )
Appliance Type and Size/common Vent and Vent Cnnnectnr Infonfna ion
Appliance #1 Type ?,yiae.0 BTU Input an As ' or Nat
Appliance #2 Type BTU Input Fan Assisted or Nat
Appliance #3 Type BTU Input Fan Assisted or Nat
Total Appliances Total Btu Input
Common Vent Type Vent Height Diameter inches
Appliance #1 Vent Connector Height ft Length ft Diameter in Type
Appliance #2 Vent Connector Height ft Length ft Diameter in Type
Appliance #3 Vent Connector Height ft Length ft Diameter in Type
HEATING CO:
Signed By: Date :