PRE 2010 DOCSCity of Fridley, Minn.
BUI1DING PERMIT
Date: ,r. ` ®"` of
Owner: _1-
1
Address
N° 695
Builder —
Address
C LO,pTlO OF B ING
No. , Street .O Part of t
Lot _ _ .__ Block _ _ Additi or Sub -Division,
Corner Lot —_ Inside Lot 1!!!t'Setback Sideyard
Sewer Elevation Foundation Elevation
DiSCRIPTION OF BUILDING
T be Us a , e)
Front ���.�._ Depth .��� Height .,i�'�' Sq. Ft. � Cu. F't.
Fran Depth Height Sq. Ft. Cu. Ft.
Type of ConstructionEst. Cost %�17—_.. 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 m 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 Emits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances. _ _ -,-%
�4�n-4 , Building Inspector
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas heating) sewer or water. Be sure to we
the Building Inspector for separate permits for these items.
a
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
owner's Name /..��! �.�ry i<_� xuilder_.alit<1
Address Address
L TION OF BUILDING
No. [o , ��� Street Part of Lot
Lot �� Block Addition or Subdivision
s
Corner Lot Inside Lot SetbackjSide-Yard / D
SW1ER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and
proposed building location.
To benused as:
DESCRIPTION OF BUILDING
Front l�=Depth Height 2=:a
Sq. Ft.. / � o
®s� l� Cu . Ft .
FrontDepth Height
Sq. Ft. Cu. Ft.
r. ® Z/
Type of Constructio n �� Estimated Cost�J�.�� _
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 ruling of the Department of Build-
ings, and hereby declares that all the facts and representations
stated in this application are true and correct.
E��� � h� : a{ • !moi /.� 'i _ °. r , ,.�i i��
(Schedule of Fee Costs can be found on the Reverse side).
ko
a •.Ili)
APPLICATION FOR HEATING OR POWER PLANT AND SPECIAL DEVICE PERMIT bV
PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone JU. 8.4614
e �2
GRAVITY WARM AIR: RATE TOTAL Location � ar� ��'
Furnace Shell & Duct Work ........................ 8.00 $ �1 l
Replacement of Furnace ............................. 4.00A� _
The undersigned hereby makes ap catio or a pe t for the k herein
Repairs & Alterations—up to $500.00 ........... 4.00 $ _ specified, agreeing to do all work in ac ante with the Pillage ces
Repairs & Alterations each add. $500.00 ............... 2.00 $ and ruling of the Department of B s, d hereby declares that all the facts
and representations statpa in this tion are true and correct.
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ........... 8.00 $
each add. 80,000 BTU ........................ 1.00 $
Replacement of Furnace ............................ 4.00 $
Repairs & Alterations—up to $500.00 ................. 4.00 $
Repairs & Alterations each add. $500.00 .............. 2.00 $ _
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 ......................
2.00
$
Each add. 320 sq. ft. EDR Hot Water ..................
2.00
$
OIL BURNER—to 3 gal. per hour ........................ 4.00 $
over 3 gal. per hours—See Fee Schedule _
GAS BURNER .................... > ..................... 4.00 $
GAS PIPING (Up to 5 Fixtures) :......................... 1.25 $.
AIR CONDITIONING 1
FAN HEATING SYSTEM j See Fee Schedule
VENTILATING SYSTEM ) $
REMARKS:
TOTAL FEE $
COwner �
Kind of Building -
Used as
To be completed about
J
195—
195-
195 --
Estimated Cost, -� _
\31 -
Old Building Permit No. �
DESCRIPTION OF WORK
HEATING or P PLANTS—Steam of Water, Warm Air—No _
Trade Nam Sim N o� '
Capacity q. Ft. E.D.R- ....Tr H. P.
Total Connected Load Kind of Fue
BURNER — Trade N1me Size No --
Caps.
o _
Capacity Sq. Ft. E.D.R BTU H. P.
1 t 1 2M-5-58
S
Business Phone
T 4,OSS CALCULATIONS 7DEPARIMENT OF BUILDINGS ROSEVILI
*Weatherstrips A.S.H.V.E. Construction No. Insulation
Guide
Windows Doors Reference Out. Wall I Int. Wall Ceiling Roof Floor Kind How Al
Yes—No I Yes—No '19T
F1.1 MW Room I Length" "Width . Height F1.1 Room I Lengthiiidth
Windows and Doors—Crackage anil Area '
'
Width Height No. of Lineal ft. Area
No. of vane of pane lights of crack sQ'. ft.
}f i
No. of Lineal ft. Area
lights of crack sq.. ft.
Coef. Btu
Coef. Btu
Infiltration
Glass
Exp. wall
Net exp. wall
-775
Int. wall
Btu
Ceiling
Floor
a
.Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
1 Fl.l Room I Lenath Width ,f Height
Windows and Door s—Crackage and Area
No.
Width Height No. of Lineal ft. Area
No. of pane of Dane lights 'of crack sq. ft.
No. of Lineal ft. Area
lights of crack sq.. ft.
Coef. Btu
Infiltration
✓
Glass
Coef.
Btu
Infiltration
a
Glass
Coef. Btu
Exp. wall
v''
Glass a
Net exp. wallI V4
-11
Vf0fl,
Int. wall
�.
<j
Ceiling
Floor
Windows and'Doors—Crackage and Area
No.
Width Height
of Dane of pano
No. of Lineal ft. Area
lights of crack sq.. ft.
Coef. Btu
Infiltration
✓
Glass
Exp. wall
Net exp. wall •'
Int. wall
Ceiling
Floor
Coef. Btu
Infiltration
v''
Glass a
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
4+
Total Btu. t'
Required sq. ft. E.D.R. or sq. ins. WA. Leader area
Jf R_1,k - Rmm l Lentrtlt Width sHeight
Windows, and Doors--Crackage and Area
Width Height No. of Lineal ft. Area
No eflaELof ne HsW of;rAqA s4
17
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
1T mBd)-1z ..i
,n}
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Fl.l'1 • Room I Length NO Yo,Width
Windows ai -d Doors--Crackage and Area
Infiltration
Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
Required sq& E.D.R. or sq. itis. W.A. Leader area
Length Width 77 Height
Windows and Doors—Crackage and Area
Width I Hefaht I No. of I Lineal it. I Area
Infiltration
Glass
Exp. wall
Net exp. wall
Int. wall
r�ft�g�
��AFAMVPIMV!-.' M�-,-
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
.t
City of Fridley
Appiication for Plumbing and Gas Fitfing Pernit
Dept. of Bldgs. Phone SU 4.7470
DESCRIPTION OF WORK 1,6-34 %P%r
Number, Kind and Location of Fixtures Location
y
3
in
7�
3F
rcp�Z
CLL
p w
LLO
m
°uf
3
C9 'd
w
U4a
Z
U' O
•
R
•
N
WATER HTR.
GAS
EIEC.
Base
(
E
Ist
►
l
1
1
2nd
3rd
4th
Future Connection Openings
New Fixture, Old Openings
cted
Connewith Sewer E]
Cesspool
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 $ 0 O
New Ground Run Old Bldg . ............ x 3.25 $
GAS FITTING FEES:
NO. RATE
1st 3 Fixtures .......................... ,G_ x $1.50
Additional Fixtures .................... x .50
Gas Range to 200,000 BTU .............. x 2.00
REPAIRS & ALTERATIONS—Refer to Code
TOTALS —
$
City of Fridley:
The undersigned hereby .makes application for a permit for the work here!
specified, agreeing to do all work in strict accordance with the City Ordinance
and ruling of the Department of Buildings, and hereby declares that all the fact
and representations stated in this application are true and correct.
Fridley, Minn.—,n ` %-�- -'I)-
Owner
Kind of Building
Used as
To be completed about
Estimated Cost, $
Old—New. Building Permit No � & Permit No. 0
Signe
BY -
Business Phone No SK
ROUGH W V
FINAL
e
Description ................................................$
TOTAL FEE $ 42 2M
11
City of Fridley, Minn.
BUILDING PERMIT
Date: OCTOBER 13, 1965
GARY L. ROGNRUD
Builder
SUSSEL GARAGE
Address 6536 McKinley St. N. E. Address 1840 Como Avenue
Fridley 32, Minnesoaa St. Paul, Minnesota
LOCATION OF BUILDING
No. 6536 Street McKinley St. N. E. Part of Lot
Lot 5 _ Block 2 Addition or Sub -Division ___Clark's Addition
Corner Lot — Inside Lot Setback __ _ Sideyard
Sewer Elevation Foundation Elevation
DESCRIPTION OF BUILDING
N° 8526
To be Used as:
Det. Garage Front 24 Depth 22 Height 10 Sq. Ft. 528 Cu. Ft. 5,280
Front Depth Height Sq. Ft. Cu. Ft.
Type of Construction Frame Est. Cost _ 1 584_ 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 rth and in compliance with a'R provisions of
ordinsno� of the city oP Fridley. ��� &
In consideration of the payment of a fee of 5.00 , permit is hereby granted to SUSSEL GARAGE
COMPANY 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 of any of the provisions of said
ordinances.
ALLEN G. JENSEN Building Inspector
NOTICE
Ibb pormb don no cmnr the senstrwom, huhq dw for wbb& phmbm9, gn heating, sewer or wrier. Be sure to ne
the Bu MI" hup mr for sepmft pmft for thus Nene.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME BUILDER r /� ✓ /�
ADDRESS. ADDRESS S4/,TC
LOCATION OF BUILDING
NO, STREET PART OF LOT
LOT �f BLOCK --7---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;
rf3 �n ,It e- Front ° Depth a Height y 4)
v
Sq. Ft. .�� �-- Cu. Ft. es�
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction ,--'t---L-/ 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 le — J -5 - 6 �7- SIGNATURE
(Schedule of Fee Costs can be found on the Reverse Side),.
SUBJECT
City of Fridley
3 0 216
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
�
RE
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
NUMBEh
PEW
DATE
PAGE OF
APPROVED By
CITY HALL FRIDLEY 55432
1
612-571-3450
910-F15
9/14/99
JOB ADDRESS 6536 Main Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
3-10
6
Rice Creek Plaza South Addition
SHEET
2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE
Stylmark, Inc.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
B.L. Dalsin Roofing 8824 Wentworth Ave. Bloomington 55420 884-5244
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO
6 USE OF BUILDING
Commercial
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION lC REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof, see spec., complete tea -r --off ' x 671)
9 CHANGE OF USE FROM TO
STIPULATIONS
See Install per manufacturer's specifications.
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 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
ISTALLS
GARAGES
AND KNOW THE SAME TO BE TRU2ANR
ANDALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING K WILL BECOMPLIED
WITH WHETHER SPECIFIED HERRANTING OF A PERMIT
70 000
35.00
DOES NOT PRESUME TO GIVE IOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHER SLAW REGULATING CON-
STRUCTIO THE PERFOR UCTION
%83,%5
Fl S
PLAN GHECK E
TOT EE
OF CON' CTOR OR AUTHORIZED AGENT (DATE.
HEN PR P ALIDA THA
/GNA1,URE
BLD S�
gATE
TE OF OWNER.IF OWNER BUILDER. iDATE,
Prepaid Plan Check $
Estimated Cost $
Receipt #
Effective 5/10/99
CITY OF FRIDLEY
R-3, COMMERCIAL & INDUSTRIAL \�
BUILDING PERMIT APPLICATION
ou
Construction Address (..v S 3(p /7,4 w S�/(/. r � 7onincr
Legal
Owner & Address s'j� /. (� �.,J Tel# �"
C0NTRACIbR & ADDRESS /3. G i v �� ulo�h� �� Tel# 61443`7-SZ*i
Architect Reg.# Engineer -�5�/� O Reg.#
BUILDING CONSTRUCTION
TYPE OF WORK [] New [] Addition Alteration -Describe
C'ONi1-�/w�F/f ji:�
OFC. AREA: Length
MM AREA: Length
OTHER AREA: Length
APPLICANT
Width
Width
Width
Height Sq. Ft.
Height Sq. Ft.
Height Sq. Ft.
Tel #
VALUATION
Sq. Ft.
x $
Cost/Sq. Ft. =
Valuation
Sq. Ft.
x $
Cost/Sq. Ft. =
Valuation
Sq. Ft.
x $
Cost/Sq. Ft. =
Valuation
Date
$ )
$ ) _ $ d� L
$ ) TOTAL VALUE
Building Use Construction Type Occupancy Group
Air Conditioning [] Yes [] No Fire Protection Provided [] Yes [] No
Performance Bond Amount $ See Reverse for Schedule Received []Yes []No
Permit Fee
Plan Check
$
Fire Surcharge
$ -'70- co
State Surcharge
SAC Charge
$
Erosion Control
$
Park Fee
$
Spec. Assessments $
Driveway Escrow $
TOTAL $ . `?S"
See Fee Schedule on Reverse Side
In Excess of Prepaid Amount - See Reverse Side
.001 x Permit Valuation (1/10th %)
$.50/$1,000 Valuation (See Sched.. for > $1 Million)
$1050 per SAC Unit (Plans to MVCC for determination)
$450.00 Conservation Plan Review
Fee Determined By Engineering
Agreement Necessary [] Not Necessary []
feet x $13.50/foot
ATTACH STIPULATIONS
From: 6514877513 Pale: 1/1 Date: 9/30/200910:38:23 AM
..ter .... .......... ..... .... ......
Building BUILDING Permit No.: lo
InspectionsRESIDENTIAL APPLICATION Received By:
763-572-3360604 CITY OF FRIDLEY Dat c
763-502-4977 FAX avree , %— o .. CO:•A.
YOUR E-MAIL ADDRESS
S17M ADDRESS � �5"' y Sa
THIS APPLICANT IS: OWNER MCONTRACTOR
TENANT
TB��i�1P
a.vn l KAP; l VK NAME:
SUBMIT A COPY OF
YOUR STATE LICENSE STATE LICENSE # EXP DATE
AND CERTIFICATE OF ADDRESS: ^^ _CITY �"` STATE ZIP^+
INSURANCE n,.--
LE FAMILYJNEW CONSTRUCTION
PAMILYINEW CONSTRUCTION
0 BASEMENT FINISH xROOF
O DECK 0 SIDING
TYPE OF WORK:
O NEW HOME CONSTRUCTION — - ~ �0 ADDITION
AWMANCEtREPAIR O REMODELING
DESCRIBE WORK BEING DON&:
to
SIZE OF IMPROVEMENT
LENOTA WI DTH
NUMBER
O MOUSE ONLY
F BARBS
HOUSE & GARAGE
G
PROPOSED SIZE:
la ATTACHED GARAGE
PROPOSED RFJGFIT;
0
DETACHED GARAGE
0 VW
0 AJtmtinum
O Odor
RN
IN EXtRnINO OPENINGS OYds ONo
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
OPENING CHANGBS &
NOTAL JOB VALi
Permit Fee
Plan Review
Fire Surcharge
Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
OSoffit
13 Trim
O Fascia
LOCATION OF WINDOWS
ON VALUATION, INCLUDING THE COST OF
. q RUMG THE 1"7 UJLC FEE SCHEDULE)
0 DRAIN TILE
0 OTHER
SASEMENTIZ�MODEL.iN(i gLBb"''''•
1. Etisting Floor Plan
2. Prop] floor plan
3. List of strtww l nwmbm to be used
FOR NEW CONSTRUCTION INCLUDING DEC".
1. Site Plan/Survey slmoWfag the existing sttuctures
and proposed project.
2. Two sets of oau=t=tion plans
3. Energy Calculations .
FOR WINDOWS - PROVIDE U -VALUE AND
MANUFACTURE STICKER ON WINDOW.
AND
See Back Page for Fee schedule
65% of Building Permit Fee
.001 times the total jab valuation
.0005 x Permit Valuation Minimum $.50
$5.00 (State Licensed Residential Contractors)
$2000 per SAC Unit (Plans to MWCC for determination)
—ft +6R= tIx$22=$
$450 Conservation Pian Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checks PRYable to: Citv of Fridlev At►nr l
THIS IS AN APPLICATION FOR A P15RMIT NOT VALID UNTIL PROCESSED
I hereby apply for a building pmnit and I a
conformance with the ordinances and codes of
permit but only an application for a pe;m4r�jw
approved plan in the case of all woWw-hialfred
SIGNATUREOF
G that the information above is complete and acouratc; that the work will be in
(i Fridley and with the Minnesota Construction Codes; that I understand this .is not a
not to start without a permit on site; that the work will be in accordance with the
W and approval of plants, /- j
PRINTNAME �.1 "kiC &X -, nATP 4F/&0/^9