PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT N° (:506
Date:
Owner: �� �._ Builder
AddressAddress
TION OF BUILDING
No. !�f„� Street _ 1, '6*
P, , f Lot _
Lot _ _ — _ _ Block _ _ _ Addition or Sub -Division
Ss�
Corner Lot _ Inside Lot Setback Sideyard
Sewer Elevation ..._ Foundation Elevation
DESCRIPTION OF BUILDING
To
Used•
Front Depth eX Height .���..� Sq. Ft.�W"rCu.
Fro t . Depth H t Sq. Ft. Cu. Ft.
of C etion ' p' Est. � ' 1'o be Completed
Type ,or ''! P
4
In consideration of the issuance to me of a permit to construct the building described above, I agree to do
ordin noes od work f the In of fey with the description above set forth and in compliance with all provisions of
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 t� upon la, ce<ff ny of the provisions of said
an
Building Inspector
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sore to we
the Building Inspector for separate permits for these hems.
4
APPLICATION FOR BUILDING PER?W
CITY OF FRIDIEY, KMNESOTA
OO,rner Is Name Builder,
Address �/I 7 I��S `i Svc Address,
J 0 4 V 4 6 /44, -
LOCATION OF BUILDING
No. 7'3 "'? ® Street 1—'qj-1L 14w -e-- _ Part of Lot
Lot Block Addition or Subdivision
Corner Lot Inside Lot Setback Side -Yard /
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
To be used as:
Q—
DESCRIPTION OF BUILDING
Denth J'
Sq. Ft. 1)-19 Cu. Ft.
rent 2 y Denth Heiaht
Sq. Ft. 7 113
Cu. Ft.
cue
Type of Construction &A fi < 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 tDdl the facts and re ntations
stated in this application are true and correct.
DATE G y-� l� SIGNATUM A/—V
(A Schedule of Fee Cos can be found on the Rever)
Application for Power Plants and:. Heating, Coding, Ventilation..Reh igeration cmd
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SII. 4-7470
A
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 $ ✓
each add. 60,000 BTU 2.00 $
Replacement of Furnace .............................. §.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
1st 3 Fixtures ....... x $1.50 $
Additional Fixtures ................. x .50 $
Gas Range to 200,000 BTU ........... x 2.Oa $
AIR CONDITIONING $
FAN HEATING SYSTEM See Fee Schedule
VENTILATING SYSTEM _ $$
ALTERATIONS & REPAIRS TOTAL FEE
ROUGH
FINAL
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 applicationtrue a"V,nd correct.
r �
Fridiey.., Mnn !_ °( . 191'e
Owner
Kind of
Used a:
To be completed about 4 ,y
Estimated Cost, $''
Old New. Building Permit No. Permit No. V �®
DESCRIPTION OF WORK /
HEATING or P WER PLANTS— Ste Hot Wa Warm Air,—No
Trade Nam -r2�� Size No_
Capacity Sq. Ft. E.D.R 1 &—"—BTU H.P.
Total Connected. Load —O Kind of Fuel
BURNER — Trade Name Size No
Capacity Sq. Ft. E.D.R BTU H.P.
(REMARKS -OVER)
RAY W77LTER HEATING C
Signed
4037 CHICAE30 AVE.
ByMINNESUIN
t�42 7M 7-39 Business Phone No ,��'
City of Fridley
AppicaoFl ion for Plumbing and Gas Fitting Pemdit
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures
%
NO. RATE
TOTAL
x $1.50
$Z 0
8
"Z
Future Fixture Opening ................
x 1.20
$
New Fixture Old Opening ..............
x 1.00
WATER HTR.
GASg
IEC.
$
Water Heater (Up to 200,000 BTU) ......
x 2.00
$ CA - O
o2
x 3.25
$
V
NO. RATE TOTAL
1st 3 Fixtures ..........................
x $1.50
$ /1115
Additional Fixtures ....................
x .50
$
Gas Range to 200,000 BTU ..............
x 2.00
$
Base l
1st
/
%
2nd
_
3rd
—
4th
• Future Connection Openings
Connected with
Sewer �
New Fixture, Old Openings
Cesspool
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 applicatjsu, are true and correct.
19.6.,"
Owner
Kind of
® Used as
PLUMBING FIXTURE RATES:
NO. RATE
TOTAL
x $1.50
$Z 0
Number Fixtures ......................
"Z
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
$ CA - O
New Ground Run Old Bldg. ............
x 3.25
$
GAS FITTING FEES:
NO. RATE TOTAL
1st 3 Fixtures ..........................
x $1.50
$ /1115
Additional Fixtures ....................
x .50
$
Gas Range to 200,000 BTU ..............
x 2.00
$
REPAIRS & ALTERATIONS—Refer to Code
Description ................................................$
TOTAL FEE $�O
To be completed about
Estimated Cost,
Old—New. Building Permit
ROUGH J-1 7-101
FINAL
42 2M 7-59
Business Phone
Application for Power Plants and Heating, Cooling, Ventilation. Refrigeration and
Air Conditioning Systems and Devices pj
PARTIAL RATE SCHEDULE Dept. of Bldqs. Phone SM -3450
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
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 ..........
RATE TOTAL
... $10.00 $
... 6.00 $
... 6.00 $
3.00 $
...$10.00
$—
... 3.00
$
. 6.00
$
6.00
$
3.00
$
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR Steam .. .. $10.00
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00
Each add. 200 sq. ft. EDR Steam .................. ... 3.00
Each add. 320 sq. ft. EDR Hot Water .............. ... 3.00
OIL BURNER—to 3 gal. per hour ....................
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to 199,000 BTU)
.......................
over 199,000 BTU See Fee Schedule
6.00 $
® C9
5.00 $, E,_
GAS FITTING FEES: NO RATE TOTAL
1st 3 Fixtures x$ 2.00 $ 00
Additional Fixtures ................. x .75 $
Gas Range to 199,000 ........... x$ 5.00 $
AIR CONDITIONING .$
FAN HEATING SYSTEM See Fee Schedule
VENTILATING SYSTEM $�L
ALTERATIONS & REPAIRS TOTAL FEE $
ROUGH ,,�(�
FINAL d -b
LocaYton 7370 h,,9,y e /V, f s
City of Fridley:
The undersigned hereby makes application for a permit for the work hereir.
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, Minn v ! 3 19 C-2
Owner /�o li- /2 F.S T L.
Kind of Building e
Used as F'eq (�•
To be completed about d e
ov
Estimated Cost, $ 3o,,j
Ogj1 —New. Building Permit No. Permit No.
DESCRIPTION OF WORK
HEATING or POWER PLANTS -Steam, Hot Water, Warm Air—No
Trade Name Si Z° G e a2 Size No. S F A S— a—
Capacity Sq. Ft. E.D.R BTU P57eo e> H.P.
Total Connected Load Kind of Fuel
-
BURNER — Trade Name Size No
Capacitq Sq. Ft. E.D.R BTU H.P.
(REMARKS—OVER)
Signed Si f G L P lc m ,'.U.0 e- s U T
_ a
4E Business Phone No
Oriemal
PERMIT for Power Rants and Ideating. Cool-
ing. Ventilation. Refrigeration and Air
Conditioning Systems and Devices
DESCRIPTION OF WORK
No. of / Heating Plants Warm oj_t> to be nstalled , tered—repaired
Make _!2 1 d C_ LL 4$ , Size 2�F -1
Oil fired ; Coal fired ; Gas fired ✓ ; Gas Authorization No.
Remarks
Approved
Final Inspection Date , 19_
Inspector
Permit N° 4624
Fee $ 7
Office of the Inspector of Buildings
City of Fridley
City of Fridley, Minn. /1)0 t/ /e , 19A
Owner (Ali L & u Q, E S 11 -
Location ® L -\t K I Cti LA N E_
Kind of Building
How Occupied A W & L Lt 0 Q,
Work to be Commenced—, 19
To be Completed �,, ,19 k9 -
Estimated Cost, $ -360-00
Old- ew, Building Permit No.
Permission is hereby granted to — _ to install—erect—use the material and devices described in the
above statement. This permit is granted upon the expOess condition that the person to whom it is granted, and his agents, employees and workmen, in all the work
done and materials used under this permit, and in the operation of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley
relating to or governing the work to be done and the operation of the devices herein named, and to the specifications set fo th in the approved application for this
permit on file in the office of the Inspector of Buildings.
l� , Inspector of Buildings
.011�42 2M 11.67 V
Original �
PERMIT for Power Prants n s and Heating, Cool-
ing. Ventilation. Refrigeration and Air
Conditioning Systems and Devices
DESCRIPTION OF WORK
No. of/y >leating Plants to be installed—altered—repaired
Make _� d "A , Size e- I /n -. 3 d
Oil fred ; Coal fired—, Gas feed—; Cas Authorization No.
Remarks
Approved
Final Inspection Date , 19_
Inspector
Permit N° 4780
Fes $ J�0O
Office of the Inspector of Buildings
City of Fridley
City of Fridley, Minn. , 19�u
Owner L U U— L l fLAYYJ G. ALt-,'
Location %% -C2
Kind of Building _ ✓1'/�'1��
How Occupied �W
Work to be Commenced—, 19_
To be Completed—, 19
Estimated Cost, $ Z OO, O -D
Old ew, Building Permit
Permission is hereby granted to to install—erect—use the material and devices described in the
above statement. This permit is granted upon the express condition that the person t whom it is granted, and his agents, employees and workmen, in all the work
done and materials used under this permit, and in the operation of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley
relating to or governing the work to be done and the operation of the devices herein named, and to the specifications,,set forth in the approved application for this
permit on file in the office of the Inspector of Buildings.
• gyp/ !b J6 42 2M11 -67V 44-1 , Inspector of Buildings
53-84-s-915.51
Oily *f Fridley
Apocaff" for PkmM" and Gas Whig Famb
a ac. ed tee•. Fh=. seams
PARTIAL RATE SCHEDULE
Fi.®it MG nXTUM MAYM NO. "M TOM
INW&W IIIb " ................
n
.... ® ......
1%vtow�y�
It
�et�I�'�
NowW!� Vii Oprnift ..........
! •
6 PU%....... i ......
_ am
WSW K*Nter'Up tto" B�[T1... O
: MM �
N���'G, Run wYmwBw ........ •
-XIS./0
not"iwater ............. •
Q�
6 a •
bt i li:ttmes ............... , ..
1 z no = 2,00
•
Addkkmd 7hdww .......... 1 .. 1♦
z o m
an nwo to mew wm ..........
-zaa
State Surcharge
$ .50
►Ass a a cww
(1)� Gas. Grill
�� 3.00
.Install. �.......
'l1aPAL I= 9 5.50
a� 7370 Lyric Lane
Cit: of hither:
Kind of Bufldh—W Frame
and as Res, _
To W conrlsted .bout 6/10/73
Estimated Cost„ t 10.00
oax4ma.. auiwins P,.-.dt
SUBJECT
P T
City of Fridley
� -17121
1
AT THE TOP OF THE TWINS q
BUILDING PERMIT.11160
r
R EIPT
`
• COMMUNITY DEVELOPMENT DIV.
r 1 PROTECTIVE INSPECTION SEC.
1 ,
1 ,
`
1 ----I CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
5/9/83
JOB ADDRESS 7370 Lyric Lane N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
4
4
Melody Manor SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Wilbur J. Ertl 7370 Lyric mane N.E. 784-2567
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.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reside, Reroof Dwelling, Replace brick front
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
SO. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$7,000
$3.50
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.
$62.50
PLAN CHECK FEE
TOTALFEE
$66.00
SIGNATURE OF CONTRA �t�jROR �1THORIZED AGENT (D
WHEN PROPE Y VALIDATED THIS IS YOUR PERMIT
ROwA r�./
BLDG INSP t)A E
S' NATURE OF OW ER IIF OWNER BUILDER) IDATEI
CITY OF FRIDLEY
Effective Aug. 1, 1961
APPLICATION F014 RESIDENTIAL BUILDING PERMITS
(New. Alterations, Additions. or Repairs)
CWHER: 1 � 13 G/ IT, 1-14'1? TL
ADDP.ESS: _�� %lJ 1-41e "eC_ All-wF-
TEL 110: ;7�� — S'
BUILDER:
ADDRESS:
TEL NO:
Construction Location
. STRMT NO: -75r70 STTdMT: i C A/+IV r
LOT: _ 'IAOC: 11DDITZON:
Corner Lot: mala] Lot: Setback: Sid yards:
Applicant attach to this form two Certificates of Survey of lot and
proposed building location drawn on certificates to scale.
OESCRIPTIOR OF MMSTRUCTION
c Front: Depth: Height:
�— square Faets Cubic Feet:
`SiA Front: Depth: Leight:
�pL Square Feet: cubic Peet:
Type of Mrstruction: ALLC n . Estimated Cost: —_ 17666
Tb Be Cbr-pleted:
Alt. A Alt. 8
Proposed Drive+ay Width If New Opening Is Desired:
SEE MVERSE SIDE OF SHEET
2be undersigned hereby ma);es application for a permit for the %-*rk herein specified,
agreeing to do ,all work in strict accordance with the City of Fridley Ordinances eiid
rulings of the Dep►artsnent of Buildings, and hereby declares that all the facts and
representations stated in this application are true and correct. ® ,
U'%TE: - 9-13 SICNATME:a As
,f
stipulations:
66z.Z�'(.)
-o y
01
suBIEcr
PERMI
City of Fridley
Pi 1.71.6 6
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
R
LL ------ COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
1
1 CITY HALL FRIDLEY 55432
,.j
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
5/26/83
JOB ADDRESS 7370 Lyric Lane N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
4
4
Melody Manor SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
WILBUR ERTL 7370 Lyric Lane N.E. 784-2567
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.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
a
❑ NEW ❑ ADDITION X ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Replace 4' kitchen window with 5 foot bay window
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
$.50
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$600
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-
$15.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
$15.50
ATURE OF CONT OR RIZEDAGENT IDATEI
WHEN PROPERLY V IDATED THIS IS YOUR PERMIT
AzX s a Ge.?
S
SIGNATURE OF O R IIF OWNER BUILDER) IDATEI
BLDG IN SP OAT
01
CITY Of FRIDLEY Effective Aug. 1, 1961
APPLICATIO'i F014 RESIDENTIAL BUILDHIG PEMITS
(Rew. Alterations. Additions, or Repairs)
OWNER:�1�1 /LCi ��1� T. r� T= BUILDER: '
ADDRESS: 7370 Ll'/?/ C L V k/4 • ADDRESS:
TEL M0: 1/- s G 7 TEL NO:
Construction location
- STRJST NO: 73-70 STJUMT: L/ X/ e- L 14 tiE
LOT: _ BL M t �= ADDITZM: M C L o/ y AJA Ivo R
Corner Lot: Insiac Lot: Setback.: Sideyards:
Applicant attach to this fom two Certificates of Survey of lot and
proposed building location drawn on certificates to scale.
DESCRIPTIOR OF WNSTRUCTIOH
f?EPLAcE 4�f K/TC,4,t// w/AID 0w
W �THt 5/3'j Front: Depth: Height:
Square Faet: Cubic Feet:
Front: Depth: Height:
Square Fest: Cubic Peet:
Rype of Cbrstruction: WOOD FRAME Estimated Cost: : to 00
9b Be mr.-pleted:
Alt. A Alt. 8
Proposed Drive+ay Width If New Opening Is Desired: _ ' $
SEI: MVER;E SIDE OF SHEET
Zile undersigned here a+akes a lication for a -
S by PP permit icz the %-mrk herein specified,
agreeing to do ,all work bi strict accord3nce with the City of Fridley Ordi»ances and
zuli»gs of the Deivirtment of Duildings, and hereby declares that all the facts and
sepresentatiens stated in this application are true and correct.
--(Q .
OATE:�� 618 3 Sicwswic:
Stipulations:
(i^ /j. 00
-�r-x , SO
CITY OF FRIDLEY INSPECTION DIV.
Effective On January 1, 1997
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 7376 ca' 'iC_ Ct icy
RATE SCHEDULE
—Z
The undersigned hereby makes application for a permit forthe 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 $ 30.00
$ —M -U)
representations stated in this application are true and correct.
(Side Vent — Fill Out Back)
1997
Gas Piping (Needed with new furnace) $10.00
$
OWNER w AA �:i .� % L ...2,5:6 i
Gas Range $10.00
$
BUILDING USED AS
Gas Dryer $10.00
$
ESTIMATED COST _9,&) PERMIT NO.
*Air Conditioning — All Sizes $ 25.00
$
DESCRIPTION OF FURNACE AND OR BURNER
All Others/Repairs & Alterations (LIST ON BACK)
1 % of Value of Appliance or Work
$
No. of Heating Unit Circle One (Steam) (Hot Wate (Wa�Air
Trade Name ;�_ a X Size No. .2/3 _ 75�
Commercial/Industrial
BTU 75 d HP EDR
1.25% of Value of Appliance or Work
$
Fuel Total Connected Load
State Surcharge
$ .50
Burner Trade Name Size No.
TOTAL FEE
$ �� �
BTU HP EDR
SUBURBAN AIR
HEATING COMPANY
8419 CENTER DRIVE � uMN 554MMINIMUM
FEE FOR ANY HEATING/COOLINGNENTILATION
---""
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
Signed By(:—L1iiu Tel No. � 4 — (o/y
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr
Approved By Rough—In Date Final Date
*Air Conditioners can not be placed in a side yard without
FILL OUT BACK SIDE F R STACK VERIFICATION ON
written permission from adjoining property owner.
REPLACEMENT FURNA E
CHIMNEY 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: .
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
SUBJECT
PERMIT NO.
City of Fridley
27558
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
r
L
• COMMUNITY DEVELOPMENT DIV.
V «----'
r PROTECTIVE INSPECTION SEC.
� �
NUMBERREV
GATE
PAGE OF
APPROVED BY
1 CITY HALL FRIDLEY 55432
612-571-3450
910-F15f'
9/3/98
10B ADDRESS
7370 L ric Lane NE
I LEGALLOT
NO.
BLOCK TRACTOR ADDITION
SEE ATTACHED
DESCR.
4
4 Melody Manor
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Wilbur Ertl784-2567
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Minnesota Exteriors Inc. POB -493-5500
9877
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 ❑ ALTERATION mg REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reside
9 CHANGE OF USE FROM TO
STIPULATIONS
Call for building wrap inspection before covering.
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 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$6075
$3.35
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.
$124.75
Fire SC $6.07
PLAN CHECK FEE
TOTAL F
Licens C
5.0
1 .17
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI
E PROP
ALIDAT IS I U =
SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI
BIOG INSp
GATE
NEW [ ]
ADDN [ ] -
ALTER []
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
ConstructionAddress: 7j ;76
Effective 3/1/96
60
13
Legal Description: v
Owner Name & Address: � -6 Tel. # 76�-RY,,O
Contractor: j%%/1J MN LICENSE # AQ92( f
Address: kad 0A��Gh V kd c/ �/�� t�)J'fe,o Tel. # JW> -TI/ V
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA: Length
GARAGE AREA: Length
DECK AREA: Length
OTHER:
DESCRIPTION OF EVIPROVEMENT
Width
Height
Width
Height
Width
Hgt/Ground
Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks
Sq. Ft.
Sq. Ft.
Sq. Ft.
Type of Construction: eele/ Estimated Cost:
Approx. Completion Date:
(Cost on Back)
Driveway uirh Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: / APPLICANT: i' n ;i�% Tela #
TOTAL $ 59 - / 7
STIPULATIONS:
CITY USE ONLY
Permit Fee
$ �75
Fee Schedule on Reverse Side
Fire Surcharge
$ O 7
.001 of Permit Valuation (1/10th%)
State Surcharge
$ 3 -S'
$.50/$1,000 Valuation
SAC Charge
$
$900 per SAC Unit
License Surcharge
$ S&'7 -D
$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 $ 59 - / 7
STIPULATIONS: