Loading...
PRE 2010 DOCSVillage of Fridley, Himm. No 312 Office of INSPECTOR OF BUMI)INGS P Owner ~¢µ, Architects � Fridley, Minn., Builder LOCATION OF BUILDING No. Street °`y- �° Iq tom- Part of Lot Lot Block Addition or Sub -Division DESCRIPTIONOF BUILDING Front �r5 Depth � l r Height / Stories ( A Manner of Construction 7' �_' ' To be used as To be completed °'fJ"'4 ! Estimated _ VP� i J �� J !S� A _L. .,. a[i Permit is hereby granted to the building A�� described in the above statement. This permit is granted upon the express condition th� the personwhom is granted, and his agents, employees and workmen, in all the work done in, around and upon said building, or any pari thereof, shall conform in all respects to the ordi- nances of Fridley, Minn., regarding the 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. 1 _ Inspector of Buildings. AGREEMENT AND SWORN STATEMENT In consideration of the issue and delivery to me by the Inspector of Buildings of Fridley of the above permit, I hereby agree to do the proposed work in accordance with the description above set forth and according to the provisions of the ordinances of Fridley, and, being first duly sworn, I hereby state and say that the facts stated by me and contained in the above permit are true as therein stated. �- Subscribed and sworn to before me at Fridley, Minnesota, this day of A.D. 19:., City of Fridley, Minn. BUILDING PERMIT Date: June 2, 1965 Owner: David Reinholdson Builder Address 4130 Hain St. N. E. Address The Nelson Co. 7809 Bass Lake Rd. S 1001 fr. & rear of E 1851 fr. & rear of t Lot 4 LOCATION OF BUILDING No X30 Street Main Street N. E. Part of Lot Lot 4 Block Addition or Sub -Division Aud. Sub # 39 Corner Lot _ Inside Lot Setback Sideyard Sewer Elevation — Foundation Elevation To be Used as: Type of Construction DESCRIPTION OF BUILDING ,-�? S ?-- N? '7669 Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Est. Cost 31.00 To be Completed Storm Damage Repair In consideration of the issuance to me of a permit to construct th building the proposed work in accordance with the description above set forud in,cp ordinances of the city of Fridley. I agree to In consideration of the payment of a fee of 5-5,00- , permit is hereby granted to The Nelson Co. to construct the building or addition as described above. This permit is granted upon the express condition that the Zd one in, around and upon saidFridlyMinnesota lwithin the dty limitst may be revoked at any time upon violatton of any of the provisions of said ordinances. Allen Jensen Building Inspector NOTICE: This pnmh don no cavo the constrocdsn, leshgdtian for wkb& pinmbina, 0a ba lne, www or wdtw. Be sa» to as tba BaUdh* ledputor for apm to pwmhs for tbsa haus. Ak . . .,s APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY,7M%NNESOTTA OWNEW S ''BUILDER, ADDRESS 111 ADDRESS '7Z,6 d LOCATION OF BUILDING No. -� 0 Street Part of Lot LOT BLOCK ADDITION OR SUBDIVISION r: .C83'Y1ar Lot Inst d, L 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 BUItb3WG Tbc.be used as: Front Dept ` Height.' Sq. Ft.- Cu. Ft. Front Dept eight Sq, : Ft•. Cu. Ft'. d� Type of Construction Estimated Cosh To be .completed The undersigned hereby makes application for a permit for tate work herein specified, agreeing to do all work in strict accordance with the City_ of Fridley ordinances and.raultngs of the Department of'Buildings,,and' hereby declares that all the facts .and. represetitations 'stated in this application are_frue and correct. DATE ISIGMA (Schedule of Fee Costs can be found on the Reverse Side). APPLICATION FOR PWMBING AND GAS FITTING PERMIT 97-8b-879001 PARTIAL RATE SCHEDULE q PLUMBING FIXTURE RATES: NO. RATE q Nu: -.Ser Fixtures x $3.00 � Future Fixture Opening • x $2.00 $ water x $2.00 0 Catch Basin x $5.00 $ water Heater - to 99,000 BTU, x $5.00 $ 4jp x $10.00 $ water Softener Heater $7.90 $ New Ground Run Old Building x $5.00 $ Electric Water Heater - x $5.00 $ .1 44 .0 u let 3 fixtures x $3.00 $ p p M $ N x $30.00 $ REPAIRS 4 ALTERATIONS ep u e First $100.00 m pm S as 1@C V1 S �_ State Surcharge $ .50 N S a w In W W R O 1st r -D11 ce' sDa ce ea er 2nd 3rd 4th (R) 0 Future Connection Opening Connected with Sewer (•) - New Fixture, Old Opening water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Nu: -.Ser Fixtures x $3.00 $ Future Fixture Opening • x $2.00 $ Now Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 $ water Heater - to 99,000 BTU, x $5.00 $ 100;000 BTO to 199,000 BTU x $10.00 $ water Softener x $7.90 $ New Ground Run Old Building x $5.00 $ Electric Water Heater - x $5.00 $ GAS FITTING FEES: , let 3 fixtures x $3.00 $ Additional Fixtures x $1.00 $ .Gas Range to 1990000 BTU x $30.00 $ REPAIRS 4 ALTERATIONS First $100.00 $5.00 S each add. $100.00 or fraction $2.00 S �_ State Surcharge $ .50 TOTAL FEE REINSPECTION FEE ($]0.00) Job Address 1,130 NE MAIN -STREET •� Department of Buildings City of Fridley Tel. $571-3450 The undersigned hereby makes application fora permit for the work here specified agreeing -to do all work in strict accordance with the City Cod. and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and Co- Fridley, Mn. 3-8-77 , 19_ OWNER REMOLDSEN KIND OF BUILDING FRAME USED AS RES, TO BE COMPLETED ABOUT 3-16-77 ESTIMATED COST 10-00 OLD - NEW BUILDING PERMIT NO. PERMIT NO. / V- Compan7yvz)1� Signed By MINNEGASCO Tel. No. ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 Class "A" Surcharge .50¢ E SUBJECT PERM City of Fridley 41 AT THE TOP OF THE TWINS PERMIT ' BUILDING RECEIPT NO. i. 1 -------COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. NUMBER REV. DATE PAGE OF APPROVED BY / �••'1 CITY HALL FRIDLEY 55432 �••"'�'� �.J 612-560-3450 910-F15 7�5�77 JOB ADDRESS 4130 Main Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 Auditor's Subdivision #39 SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Dave Reinholdson 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Sun Deck 7 CLASS OF WORK ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Same 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 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 $200.00 .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. $7.50 PLAN CHECK FEE TOTALFEE $8.00 SIGNhT clog OR AU ORI GENT (DATE) WHEN PROPERL V L TH IS YOUR PERMIT ZOFXTR 4SIGNATURE / J OF OWNER IIF OWNER BUILDERI 1 ATEI INSP DATE E CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER:. ,fig pe AB/n Lags 12I Address:��� No.. L LOT: CORNER LOT: BUILDER: Address:. Tel. No.: Street: 2 BLOCK: ADDITION: INSIDE LOT: SETBACK: SIDEYARDS: 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: 0-3 Depth: /G / Height: .3 / �, A � Square Feet: Cubic Feet: Front: Depth: • Height: Square Feet: Cubic Feet: Type of Construction: 'S"yt//�� /,.J � Estimated Cost: $ �d d To Be Completed: Proposed Driveway Width If New Opening Is Desired Alt. A Alt. E (SEE REVERSE SIDE OF SHEET) The undersigned hereby makes application for a permit for the wort: 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. See reverse side for additional information. DATE: SIGNATURE: ��sAa �vJ Stipulations: /M! , J� .66 6166. CITY OF FRIDLEY d APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND ` AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE $ specified agreeing to do all work in strict accordance with the City Codes GRAVITY WARS! AIR: RATE TOTAL //�jj Job Address /-/,/ g6 Furnace Shell & Duct Work $12.00 7.00 $ * Replacement of Furnace 7.00 $ $ Repairs & Alterations -up to $500.00 7.00 $ Department of Buildings Repairs & Alterations each add. $500.00 4.00 $ City of Fridley Date ($10.00) OWNER 2)/9/9/ J /T C /�u Xo C Tel. #571-3450 MECHANICAL WARM AIR: GAS FITTING FEES: 1st 3 Fixtures x $ 3.00 Additional Fixtures x $ 1.00 $ $ DESCRIPTION OF FURNACE/BURNER The undersigned hereby makes application for a permit for the work herein Furnace Shell & Duct Work to 100,000 BTU $12.00 $ specified agreeing to do all work in strict accordance with the City Codes each add. 50,000 BTU 4.00 $ and rulings of the Department of Buildings, and hereby declares that all the *Replacement of Furnace 7.00 $ facts and representations stated in this application are true and correct. Repairs & Alterations -up to $500.00 7.00 $ / e9 Repairs & Alterations each add. $500.00 4.00 $ Fridley, Minn. ! STEAM OR HOT WATER SYSTEM: Date ($10.00) OWNER 2)/9/9/ J /T C /�u Xo C s ® d Boiler & Lines up to 100,000 BTU $12.00 $ KIND OF BUILDING 927 MINNEAPOLIS, MWN each addn. 50,000 BTU 4.00 $ APPROVAL FOR PERMIT �@`� Boiler only up to 100,000 BTU 7.00 $ USED AS MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE each addn. 50,000 BTU 6.00 $ TO BE COMPLETED ABOUT OIL BURNER- to 3 gal. per hour $10.00 $ each add. 3 gal. per hour 10.00 $ �oi ESTIMATED COST L_ GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $ 16 OLD - NEW BUILDING PERMIT NO. PERMIT NO. iD (over 199,999 BTU see Fee Schedule) GAS FITTING FEES: 1st 3 Fixtures x $ 3.00 Additional Fixtures x $ 1.00 $ $ DESCRIPTION OF FURNACE/BURNER Gas Range to 199,000 BTU X. $10.00 $ HEATING or POWER PLANTS, Steam, Warm A No. AIR CONDITIONING $ ""•�got -�Water, //- T ®i' Trade Name size No. I FAN HEATING SYSTEM See Fee $ C, Schedule VENTILATING SYSTEMS $ Capacity Sq. Ft. EDR BTU �� BP ALTERATIONS $ REPAIRS $ State Surcharge $ SO Total Connected Load11� / Kind of Fuel TOTAL FEE BURNER - Trade Name • Size No. ROUGH INSP. REINSPECTION FEE Capacity Sq. Ft. EDR BTU HP Date ($10.00) HEATINRN AND I�;PcASTINC. ' FINAL INSP.21 Company FRANKS rb.1 AREETONON Date MINNEAPOLIS, MWN 1' Signed By TELEPFONE 781-906 APPROVAL FOR PERMIT �@`� , Tel. No. MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE *Attached stack verification form SHEAT LOSS CA ajunoNs fI3. 46" DEPARTMENT Weatherstrips A Guide conatwtction Ni Windows Doors Reference Out. W&H Int. Wall Ceiling Yea—No– I Yes—.--'No--II 19— j FI -I Width AX Height S? II Windows and %,;",,--Crackage and Ana WidthH61'g'R4r2k No. of Na of paoe;;r. 116bts Lineal ft. Area of crack sq. ft. laelt AL .© ' r Coef. Btu Infiltration Glass Coef. Btu Exp. wall Net exp. wall Coef. Btu n6ltration Ceiling Floor Glass ,1 r4 ¢3 J 6 Exp. wall Exp. wall Net a _p. wall Inc. wall lot. wall Ceiling Ceiling 16 f IS)( a Floor Floor3® Total Btu. Required sq. ft. E,D,& or sq. ins. A. Lead area Fl.1Room Length q(i Height Windows and Dobrs--trackage nd Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack ep. ft. mel 3 0.0 laelt AL .© ' r Coef. Btu Infiltration Glass Coef. Btu Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. EDIL or sq. ins. -L !!!Ar area F1.I Room I Lenffth'AZ WW. Height Windows and Doors--Crackage and Are Width Height No. of Llnoal ft. Area No. of pane of pane llghto of crack ea. ft. —I�r lea -127 /5 Coef. Btu /I�nliltration W aK ,1 r4 ¢3 J 6 Exp. wall Net exp. wall lot. wall Ceiling 16 f IS)( a Floor3® e)X b'% Bli, Total Btu. I U, $ y -5– II Required sq. ft. B.D.R. or sq. ins. WA. Leader ana tj CITY OF FRIDLEY APPLICATION FOR HEATING REPLACEMENT CHIMNEY AND STACK VERIFICATION THIS FORM MUST ACCOMPANY STANDARD APPLICATION FOR HEATING PERMIT FORM. LOCATION Yf C 2 ` %% DATE ® Af, `, 7/9 OWNERd' ADDRESS fo5�� C The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined k 2. Is free from rust or deterioration 3. No foreign objects are lodged within 4. That it is securely supported 6 5. That it meets all current Code requirements for size and total BTU connected ok 6. Total Heating BTU �2, .5-&-t All Other BTU, TOTAL Z-�`f--�t3 �:T21 X-) L WE HEATING PERMIT # SIGNED Li nsee by FRANK'S HEA I IN U AIR CONDITIOWNG. INC. Address 3107 CAUFORNIA STREET NORTH EAST laiNgteapni vq _mragATe Gyn,1A TELEPHONE 781-9836 Telephone Fridley City License Fog t s s; or i I. SUBJECT City of Fridley VE 17931 AT THE TOP OF THE TWINS BUILDING PERMIT RE • _____ COMMUNITY DEVELOPMENT DIV. 1 mfr - r PROTECTIVE INSPECTION SEC. 1 � ` 1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY ".j 612-571-3450 910-F15 4/25/85 JOB ADDRESS 4130 Main Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. pt. 4 Aud. Sub. #39 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Marcile Reinholdson 4130 Main Street N.E. 788-4816 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. D & D Home Improvement Inc. 7401 Central Avenue N.E. 784-7543 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 0ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 32.x 20= Garage 9 CHANGE OF USE FROM TO STIPULATIONS provide a hard surface driveway. Maximum height is 14 feet. WARNO Before digging call local vyliqn TELEPHONE - ELECTRIC, CA,� 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 SQ. FT. , U. 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 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 $7,800 $3.'90 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE P OVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- ST UCTI OR THE PERFORMANCE OF CONSTRUCTION. $68.50 PLAN CHECK FEE TOTAL FEE $72.40 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPERLY LI DATED THIS IS YOUR 9ERMIT f BLDG INSP ATE SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI NEW P111 City of Fridley Effective 4/1/84 ADDN. [ ] R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address:f3 0���� ATF ��/ Legal Description: l'�" ®7�' LDS �GtQ//�oes ��✓� �� Owner Name a Address: /% -ZZC xel lzl ��9 i(/ - S�i�� — Tel. # Contractor: Tel. # Address: %17101 05-VIZAI:L 25k At A LIVING AREA: GARAGE AREA: DECK AREA: OTHER• Attach to this application, a Certificate of Survey of the lot, With the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Length 3-2-7 Length Width G40A aIII = 0)A 1'®1.40 Corner Lot [ ] Inside Lot " Ft. Yd. Setback Height Height //= &WR Hgt/Ground Sq. Ft. Sq. Ft. &0 Sq. Ft. Side Yard Setback Type of Construction: Al ®dEstimated Cost: $ i Approx. Completion Date: �'f�"� %gam 700 Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: 2� APPLICANT: OL, Ovw_ Tel. CITY USE ONLY Permit Fee $ e Fee Schedule on Reverse Side Plan Check $ 25% of Building Permit Fee State Surcharge $ ® $•50/$1,000 Valuation SAC Charge $ $425 per SAC Unit Park Fee $ Fee Determined by Engineering Sewer Main Charge $ &Mamm. .l Agreement Necessary [ ] Not Necessary [ ] TOTAL � (� AD T rANCE SURVFYING & ENGINEERING CO. April 9, 1985 Attention: Dan Olson D & D Home Improvement 7401 Central Avenue NE Fridley, MN 55432 (612) 474 -Ml 5300 HIGHWAY 101 SOUTH, MINNETONKA, MINNESOTA 55345 This is to certify that on April 8, 1985 the south line of : The South 100 feet front and rear of the East 185.00 feet front and rear of Lot 4, AUDITOR'S SUBDIVISION NO. 39 was surveyed by me and that I am a duly Registered Land Surveyor under the laws of the State of Minnesota. Sincerely, Advance Surve& Engineering Co. aTesH. Parker, President g. No."9'2 . 35 SUBJECT PERMI City of Fridley o 18115 AT THE TOP OF THE TWINS BUILDING PERMIT f RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r I . I CITY HALL FRIDLEY 55432 L NUMBERREV. DATE PAGE OF APPROVED BY J`" 612-571-3450 910415 7/17/85 JOB ADDRESS 4130 Main Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 1 Aud. Sub. #89 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE David Lee Reinholdson 4130 Main Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. D & D Home.Improvement 7401 Central Avenue N.E., Fridley 784-7543 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 Q ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Construct a 16' 6" x 24"61"' Porch. Addition to Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS e �q TF�EP110N!X1791g -SEPARATE PERMITS REQUIRED FOR E, kita�utilitia' ! �FQ( WIRING, HEATING, PLYING AND SIGNS j, RFD cAs£t� SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. wood Frame 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 356 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION I 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 $7r000 $3.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 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 - $62.50 RUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE 00�7Z- 5� $15.63 $81.63 SIGNATURE OF CONTR TOR OR AUTHORIZED AGENT (DATEI WHEN PROPER ]VLI DATED THIS IS YOUR PERMIT BLDG INSP OAT SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) NEW [ ] City of Fridley Effective 4/1/84 ADDN. [ ] �R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: Legal Description: Owner Name & Address: �R 11 �e e �' AA/a''S� Tel. # Contractor: U ►�v1 _/1 proI/e A4,Q %a'-/-%5 3 Address: /qol L oj,frct' ailP. Alc 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 OTHER: 3 L/ Width P®Roh ������ Hgt/Ground X ciY `6 Sq. Ft. q08- SLS ly. Corner Lot [ ] Inside Lot [�(] CA rn Ft. Yd. Setback Side Yard Setback /V Type of Construction: ek/ ��� Estimated Cost: $ � 7' 00 0 1 00 Approx. Completion Date: ' _�' ® Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: z' �s IF APPLICANT: A/,��� �- - Tel. 7f7-/ ✓ �� CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Plan Check $ 25% of Building Permit Fee State Surcharge $ s $.50/$1,000 Valuation SAC Charge $ ®' $425 per SAC Unit Park Fee $ Fee Determined by Engineering Sewer Main Charge $ � Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: IA LL-CLIve Auy. 1, 1'Jal CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDENTIAL RATE TOTAL Job Address 4130 Main St. NE Furnace Shell and Duct Work, Burner (Also replacement furnace) $ 20.00 $ Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley Gas Piping $ 10.00 $ Tel. #571-3450 (piping needed with new furnace) Gas Range $ 10.00 $ 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 Gas Dryer $ 10.00 $ and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. * Air Conditioning (all sizes) $ 10.00 $ Fridley, Minn 30 Nov 89 19_ All others/Repairs and Alterations 15.00 OWNER David Reinholdson #788-4816 1% of Value of Appliance or Work $ Replace Direct Vent Wall Htr. Y,IND OF BUILDING Fr COMMERCIAL/INDUSTRIAL USED AS Res 1% of Value of Appliance or Work $ TO BE COMPLETED ABOUT in Nov ESTIMATED COST 4S 0 State Surcharge $ .50 OLD - NWXBUILDING PERMIT NO. PERMIT NO./ �, 42 TOTAL FEE $ 15.50 Reinspection Fee ($15.00) SXX DESCRIPTION OF FURNACE/BURNER Rough Insp. HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Date Trade Name XDynavent Wall Htr size No. DNV 25GS Final Insp. Date Capacity Sq. Ft. EDR BTU 25.000bta Approval for Permit Total Connected Load Kind of Fuel -Rat gar, BURNER - Trade Name Size No. Capacity Sq. Ft. EDR ,.` BTU (4a ani MINIMUM FEE FOR ANY HEATING PERMIT IS $3.00 PLUS $.50 STATE SURCHARGE o Signed By Attach stack verification form with replacement furnace permits Tel. No. *Air Conditioners can not be placed in side yard withoutaSUV " s 700K Linden Avenue written permission from adjoining neighbor. P. 0. Box 1165 Minneapolis, MN 55440-1166 CITY OF FRIDLEY INSPECTION DIV. Effective On March 1, 1996 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTv'AND HEATING, COOLING, VE:N•rILATION, 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 — Also Replacement Furnace �; (C) rulings of the Building Division, and hereby declares that all the facts and $ 30.00 $ .. representations stated in this application are true and correct. (Side Vent —Fill Out Back) Gas Piping (Needed with new furnace) $ 10.00 $_ _-�_� ,1996 OWNER , SEsf'� �v��� �g$ � �gr6 Gas Range $ 10.00 $ BUILDING USED AS- Gas Dryer $ 10.00 $ ESTIMATED COST e��C2a PERMIT NO, *Air Conditioning — All Sizes $ 25.00 $ __/,--,? 171:SCRIPTIOtJ OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) 1%, of Value of Appliance or Work $ No, of Heating Units Circle One (Steam) (Hot Water (Warm AI Trade Name Size No, Commercial/Industrial BTU /Dz HP EDR 1.25% of Value of Appliance or Work $ Fuel_ Total Connected Load State Surcharge .50 Burner Trade Name Size No, TOTAL FEE • '.-, ��C�.=�' BTU HP EDR' , HEATING COMPANY -vP�� MINIMUM FEE FOR ANY HEhTING/COOLIIL49NENTILATION REFRIGERATION/AIR CONDITIONING HERMIT l:i25.00 Signed 8 �r Tel No. PLUS THE .50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr Approved ByRough—In Date Final Date 'Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE R STACK VERIFICATION ON written permission from adjoining property owner, REPLACEMENT FURNACE CEMSINEY 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 �4`No ( ) 3. Has no foreign objects lodged within Yes " ( ) 4. Is securely supported Yes "o ( ) S. Meets all current Code requirements for size and total BTU's connected Yes �J'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 k�4� RPMo A -- List ALTERATIONS Beim Done: HEATING CO: Signed By: Date: SUSiECT City of Fridley =2�9 AT THE TOP OF THE TWINS BUILDING PERMIT r3 lftEeewrwo- � ; fr _�____ COMMUNITY DEVELOPMENT DIV. i INSPECTION SEC. I PROTECTIVE ��� 1 � � CITY HALL FRIDLEY 55432 NUMBERDATE REv PAGE OF APPROVED BY 612-571-3450 910-F15 6/10/99 10B ADDRESS 4130 Main Street NE 1 LEGALLOT NO. Pt • 4 BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Auditor's Subdivision #R #39 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mrs. David L. Reinholdson 788-4816 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Reroof America Corp. 9508 L ndale Ave S Bloomington 0 888-8440 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 D NEW ❑ ADDITION O ALTERATION X91 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (25 S Tear -off 9 CHANGE OF USE FROM 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 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 $2185 $1.09 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 - $83.25 TR CTION OR THE P CE OF NSTRUCTION Fire SC 2.19 PLAN CHECK FEE TOTAL FEE Lic s $5.00 1$91.53 ATuR OF CONTRACTOR AUTHORIZED AGENT IDATEI WHEN ERLY LIDATED THIS IS TjOUR PET La BLD INSP G BATE $,GNATURE OF OWNEROF OWNER BUILOERI IDATEI .a . NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: En Owner Name & Address: f A/ v le"- Tel. # '7, f 9"— 2T/ (o Contractor: Jedlj f MN LICENSE # Z D/ Address: —v _ Tel. # is/,2 fg s"- S3' y cFo Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF BIPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. 6 Construction Type: �U �� �o s`f- Estimated Cost: $ C;'? l�S` Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ = f DATE: ;—/0-9 7 APPLICANT - �� Tel. # dI � �� �' 4 .cv t�, 0 O TOTAL STIPULATIONS: CITY USE ONLY Permit Fee $ �j. ,a� Fee Schedule on Reverse Side Fire Surcharge $ , l .001 of Permit Valuation (1/10th%) State Surcharge $ /. © $.50/$1,000 Valuation SAC Charge $ $1050 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 STIPULATIONS: Building PLUMBING Permit NO.: LA Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604CTI'Y � &AR 0 010 OF FRIDLEY DATE 1 I Z " C° YOUR E-MAIL ADDRESS SITE ADDRESS L GLI THIS APPLICANT IS: O OWNER %PcoNTRACTOR PROPERTY OVVNETENANT NAME: D&VI d Rein NOI r% CITY f� STATII14 KIZIP ADDRESS: PHONE: 1 6 3_38p) CONTRACTOR NAME. PM STATE LICENSE # 1-65-1 °. 0 EXP DATE 3670 Dodd Rd. CITY STATE ZIP SUBMIT A COPY OF YOUR STATE ADDRESS: LICENSE WITH PHONE Eagan, APPLICATION PERMIT TYPE SINGLE FAMILY 13 TWO FAMILY 13 TOWNHOUSE TYPE OF WORK: o NEW ,REPLACEMENT DETAILED DESCRIPTION OF woRK PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for th improvement, installation or replacement of a residential fixture, excluding the fix4ues. ( Phis should reflect only the cost of labor) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDIC TE TOTAL NUMBER OF EACH BELOW) —BATH SINK/IAV FLOOR DRAINS .—SHOWER _ WATER PIPING SO ($35) _ BATHTUB _ GAS PIPING (N= car ) _ SWIMMING POOL —WATER CLOTHES WASHER KITCHEN SINK CLOSET _ BACKFLOW PRE V. ($15) _ _ —WATER DISHWASHER LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATIO — — WATER=—OTHER _ PERMIT FEE PROJECTS FOR UNDER $500 PElRmrr FEE FOR PROJECTS ovai $500 Permit Fee $ OD Number of fixtures @ $10.00 x $10.00 = Surcharge .50 Number of fixtures @ $15.00 x $15.00 = TOTAL DUE $ -i!�j.430 Number of fixtures @ $35.00 x $35.00 = State Surcharge =50 Total = THIS Is AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the woi c. will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I underland this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordm ice with the approved plan in the case of all work which requires review and approval Of plans. 12 i SIGNATURE OF APPLICANT ! ATE <, ~FOR U PLEASE NOTE: SEPARA S BUILDING, ELECTRICAL AND MECHAl�TICAL ORK City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 vn763-572-3604'J� 32 V A . '7c') cnn A'7^1