PRE 2010 DOCSCity of Fridley, Minn.
BUIU)ING PERMIT N° 5225
Date: d i=
f
Owner: Builder _ _
Address
Address
LOCATION BUILDING
No. Street — P4S1eyard
- -- r
Lot _ _ _ .__ Block clition or Sub-IDiv�ision
corner Lot Inside Lot _ _ Setback _ _
Sewer Elevation
Foundation Elevation
DESCRIPTION OF BUILDING
T Used '
Front Depth Height Sq. Ft/jd
Fron Depth Height Sq. Ft. Cu. Ft. -
TyM of Construction Est. C ZIP!) z 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 m 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�olationof any of the provisions of said
ordinances. __
441L Building Inspector
NOTICE:
This permit don not cover the construction, installation for whing, plumbing, use heating, sower or water. Be sure to see
the Building Inspector for separate permits for these items.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
Address Address k- Cje4
LOCATION M BUILDING
No. Street Part of Lot
Lot 7 ock Addition or Subdivision
; 6=2�-- -
Corner Lot Inside Lot Setback 3.f Side -Yard,_ 2_—_L _
SEWER ELEVATION FOUNDATION' E VATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
To be used as:
DESCRIPTION OF BUILDING
Dept _24= ight
Sq. Ft. k6 S- h Cu. Ft.
Sq. Ft. S--?- Ou. Ft.
Type of Construction LEstimated Cost �� U a Z , 0,0
To be.Completed az
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.
DATE L— % fr f SIGNATURE
(A Schedule of Fee Costs can be found on the Reverse de.
BUILDING PERMIT FEE SCHEDUIE
Section 2. The Inspector of Buildings shall, before issuing any permit for the
erection of any building or structure, or for any addition to any existing build-
ing or structure, or for any alterations or repairs to any existing building or
structure, upon application therefor, require the payment by the applicant for
such permit of fees to the amount herein below set forth and in the manner herein
provided to -wit:
2.1. For any such permit for the erection of any fire -proof building, other than
a garage, warehouse, factory or grain elevator, or for the erection of any fire-
proof addition, for similar occupancy, to any existing building shall be at the
rate of $1.40 for each one thousand cubic feet, or fraction thereof, in such
cubical contents.
2.2. For any such permit for the erection of any fireproof garage, warehouse,
factory or grain elevator, or for the erection of any fireproof addition, for
similar occupancy, to any existing building shall be at the rate of $1.25 for
each one thousand cubic feet, classified as "fireproof" by Section 502 of the
Minneapolis Building Code.
HOUSES
2.3. For any such permit for the erection of any non -fireproof building other
than a garage, warehouse, factory or grain elevator, or any non -fireproof
addition, for similar occupancy, to any existing building. Permit $1..00 for
each one thousand cubic feet.
GARAGES
2./+. For any such permit for the erection of any non -fireproof garage, warehouse,
factory or grain elevator, or for the erection of any non -fireproof addition, for
similar occupancy, to any existing building or for each such building or addition.
Ninety Cents for each one thousand cubic feet or fraction thereof, in the cubical
contents thereof with a minimum of $/+.00.
For the purpose of computing fees for building permits the cubical contents of any
building or addition to a uniform height throughout by multiplying the ground area
covered from a point six (6) inches below the floor line of the basement or cellar
to the average height of the upper surface or to the average height of the roof
surface of the main gable of a pitched roof.
2.5. For repairs or alterations to an existing structure, the fee shall be at the
rate of $3.00 for each Five Hundred Dollars ($500.00), or fraction thereof in the
cost of all proposed work.
2.6. In no case shall the fee charged for any permit as set forth in Section 2 be
less than $/+.00.
City of Fridley, Minn. N° 10598
BUILDING PERMIT
Date: —April 7, 1970
Owner: Frank Lieb 1 Builder Same
Address _ _222_ ercuU Drive N.E. Address Same
LOCATION OF BUILDING
No. 222 Street Mercury Drive N.E. part of Lot
Lot 7 Block 2 Addition or Sub -Division Sylvan Hills
Corner Lot — Inside Lot Setback Sideyard
Sewer Elevation
To be Used as:
Foundation Elevation
DESCRIPTION OF BUILDING
H - R,a ,5 RMAn t Front _ _ Depth Height Sq. Ft. Cu. Ft.
Front Depth Height _ _ Sq. Ft. __ _ Cu. Ft.
Type of Construction Sheetrock Est. Cost 400.00 _ To be completed Nov. 30, 1970
Install sheetrock to finish basement room -outside wall.
In consideration of the issuance to me of a permit to construct the building described above, I agree to do
the proposed work in accordance with the description above set forth and in compliance with all provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of $ 5.00 , permit is hereby granted to Mrs. Frank Liebl
to construct the building or addition as described above. This permit is granted upon
the ress condition that the person to whom it is granted and his agents, employees and workmen, in all work
donaround and upon said building, or any part thereof, shall conform in all respects to the ordinauces of
,A:1p,
y,hin thinancxs.
Building Inspector
NOTICE
This permit doss not corer the construction, tnatatlatten for wiring, pkmbing, gas heating, sewer or water. so sero to see
the Buihiieg Inspeeter for separate perp ft for these items.
J
APLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S . NAME : L , --� –BUILDER:
ADDRESS: DRESS:
f
r
NO:. 2;2 a STREET: ���� . g �
LOT: BLOCK: ADDITION:,
/ z -rte_'
CORNER LOT: INSIDE LOT: –3 -& SETBACK: SIDEYARD:,_„_
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
To Be Used As:
DESCRIPTION OF BUILDING
Front: Depth: Height:
Square Feet: Cubic Feet:
Front: Depth: Height:
Square Feet; —Cubic Feet:
Type of Construction: Aryl/ � Wtimated Cost: $r-�)
To Be Completed:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in sttict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are true and correct.
DATE: T 2/ 2 0 SIGNATURE:
(See Reverse Side For Additional Information.)
l
r
r
BUILDING PERMIT FEE SCHEDULE
SECTION 2. The Inspector'of Buildings shall, before Issuing permits for the
erection of any building or structure, or for any addition to any existing
building or structure, or for any alteration or repairs to any existing
building or structure, upon application therefore, require the payment'by the
applicant for such permit of fees to the amount herein below set forth and in
the manner herein provided to -wit:
UNIFORK BUILDING CODE: Type 1, 2 & 4 - $2.15 for each one thousand cubic
feet, or fraction thereof, in such cubical contents. Type 3 & 5 - $1.85 for
each one thousand cubic feet.
ADDITIONAL INFORMATION
For the purpose of computing fees.for building permits, the cubical contents
of any building or addition, is determined by multiplying the ground area
covered from a point six (6) inches below than floor line of the basement
ow the cellar to the average heights of the upper surface or to the'averaga.►
height of the roof surface of the main gable of a pitched roof.
For repairs or alterations to an existing structure, the fee shall be at the
rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in
the cost of all proposed work.
In no case shall the fee charged for any permit as set forth in Section 2 be
less than $5.00.
VARIFICATION OF FOUNDATION
NOTE: ,Permits for construction will be issued a minimum of 24 hours from the
tine of application, to allow for proper review of the proposed structure and
of the construction site.
A Certified Survey of the lot, showing the location of the foundation, once it
hm._been constructed, will be required before proceeding with the framing.
CERTIFICATE OF OCCUPANCY
Application for a Certificate of Occupancy ahall be made ten (10) days prior
to the use or occupancy of any structure for which a building permit has been
Issued; and said structure shall not be used or occupied until a Certificate
of &66pancy has been issued.
Application for Pourer Puts and Heating. Coding. Ventilation, Rehigerdtion and
Air Conditioning Systems and Devices
` PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SU, 4-7470
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 S1.hell & 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 2.00 $
$
AIR CONDITIONING $
FAN HEATING SYSTEM See Fee Schedule
VENTILATING SYSTEM
ALTERATIONS & REPAIRS TOTAL FF,,E
ROUGH—
OUGH
FINAL—
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 application are true and correct.
AUG 06 = 196
e., Fridley, 1yt)�. � 19 —
Owner
Kind of Building
Used as
To be completed about
Estimated
Estimated Cost, $s��� �—
Wj&ew7uilding Permit No. 'I- jr� c�–� Permit No.
DESCRIPTION OF WORK
HEATING
11, Warm Air—No„
Trade Nam
a Size NojS�
Capacity
Sq. Ft. E.D.R BTU H.P.
Total Connected Load
Kind of Fuel
BURNER — Trade Nam
""+"�� Size , io
Capacity
Sq. Ft. E.D. DO ->V% BTU H.P.
GEO. SEDGW K HTG. & AIR-COND. CO
7D ���`
1001 Xenia AV. S.
Minneapolis 16, Minn.
Signed 4 0911
By ��
4z zM 7-59
Business Phone o
(REMARKS -OVER)
HEAT LOSS CALCULATION SUMMARY SHEET
Owner or OfXISITNI-
I
- rContractor1�1 OL Address ��
Heat Loss Total B.T.U. Infiltration Total B.T.U. F6
Less 1/2 infiltration B.T.U. X factor (Input
C (Output
Total 9 7 / x 1.56
Type of Warm Air System: Gravity Forced Air
Type of Fuel Gas Oil Coal
Furnace Size No. % .�—/ B.T.U. ( Input /�
kDAtPLt—
No. of Copies By Date
t
97
Glass
4
D•J6 v v
of pane
Net exp. wall
/ 4//i
HEAT LOSS CALCULATIONS
DEPARTMENT OF BUILDINGS
MINNEAPOLIS. MINN.
Weatherstrips
A.S.H.V.E.
Construction No.
Insulation
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane ilghta of crack sq. ft.
Guide
Coef.
Btu
Infiltration
Windows
Doors
Reference
Out. Wall
Int. Wall Ceiling
Roof Floor
Kind T How. Applied
Yes—No
I Yes—No
19_
F1.1 ZYM Room I Length 17 Width
Height
Windows and Doors—Crackage and Area
Width Helght No. of Lineal ft. Area
No. of Dane of pane lights of crack eq. ft.
/ - /A
F1.1 / V Room I Lengt Width
Height
Fj.j-;r-/,&4D
Room I Length Width Height
Windows and Doors—Crackage and Area
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. . Area
No. of pane of pane lights of crack sq. ft.
Width
No. of pane
Height No. of Lineal ft Area
of pane Ilghto of crack eq. ft.
rZ
Coef.l Btu
Infiltration ,�9z
97
Glass
7
Exp. wall
of pane
Net exp. wall
/ 4//i
Int. wall
1/
Ceiling
Floor /
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Fl.jRoom ( Length I Cl Width dZ-.-Height
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane ilghta of crack sq. ft.
Coef.
Btu
Infiltration
Glass
Exp. wall
/
Net exp. wall
Int. wall
Ceiling
Floor /5611
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
F1.1 ZYM Room I Length 17 Width
Height
Windows and Doors—Crackage and Area
Width Helght No. of Lineal ft. Area
No. of Dane of pane lights of crack eq. ft.
/ - /A
Coef.
Btu
Infiltration -3
7
Glass
of pane
Exp. wall
/ 4//i
Net exp. wall
Int. wall
1/
Ceiling
Floor ZAl
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
lCoef.1 Btu
Infiltration 1301 1 /1 _54D_
Glass
Exp, wall 2 -
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Fl. Room I Length / Width // Height AN
Windows and Doors—Crackage and Area
Width I Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
Coef. Btu
Infiltration / Z/O
Glass
Exp. wall .'�
Net exp. wall
Int. wall
Ceiling 'N
Floor...—
Total
loorTotal Btu.
y?
Required sq. ft. E.D.R. or sq. iris. W.A. Leader area
/ F1.1 ,OOrRoom I Length 110 rOWidth / Height
Windows and Doors—Crackage and Area
Width
Height
No. of Lineal it. A
No. of pane
of pane
lights of cr�a/cJk eq
/ 4//i
/6
1/
Coef.1 Btu
Infiltration 1 /-7 /„ 4
Glass
Exp. wall /0 )C"
Net exp. wall 1/0
Int. wall
Ceiling
Floor
Total Btu. `J
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
N° 4821
F
Original Permit f®r U SING A GAS FITTING
N.B. When work covered by this permit is ready, the Plumbing Ordinance requires that request for Permit J.
inspection shall be phoned in to the plumbing Inspector, 560-3450 giving number of this permit., Fee
DESCRIPTION OF WORK
Number, Siad and Location of Fixtures /
m
City of Fridley
m
� W Q .... .,� � x r w ¢ m = m W
Stories
F
'Q J
U
M
n
Q�
m F
Q
m
Z
C
Z O
Q K Z O
?i F O LL
O
x
pJ
O Q
J K
LL p
F N
Q Q
U M
Z a
Q o
K J
_U K
E LL
Vi y
Q d
O Q
W Z
Q a
a¢
WATER HTR.
6A8
ELEC.
Basement
ist
x
2nd
3rd.
4th
Connected with
Gas Piping for Openings
Permission is hereby granted `S'' to do the plumbing and
gas fitting in the building described in the statement hbeto attached, upon the express condition that
the person to whom this permit is granted, and his agents, employees and workmen, in the plumbing
or gas fitting of said building shall conform in all respects to ordinances of the City of Fridley, and
this permit may be revoked at any time upon the violation of any of the provisions of said ordinances.
By Order Of The Inspector Of Buildings
Roughing in Inspection Date
Inspector.
Final Inspection Date
Inspector.
tsa—e-ss-v
Locations
Kind of Building
Used as /�� f� G
To be Completed , 19_
Estimated Cost $ % G Y • 0--.)
Old -New. Building Permit
Date
Inspector of Buildings.
City of Fridley
Application for Plumbing and Gas Fitting Permit
Dept. of Bldgs. Phone 560-3450
DESCRIPTION OF WORK 7 ,
Number, Kind and Location of Fixtures Location
y
3
N
F
Z Z O W
WATER
Z
,
`
HTR.�Ju�6
t9Sn
(90
F
N
GAS
ELEC
Base
1st
2nd
3rd
4th
• Future Connection Openings
Connected wi3h
* New Fixture, Old Openings
I Sewer ❑
Cesspool E]
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures .....................
Future Fixture Opening ...............
New Fixture Old Opening .............
Catch Basin ... .......................
Water Heater (Up to 99,000 BTU) .....
New Ground Run Old Bldg. ...........
Electric Water Heater
GAS FITTING FEES:
x $2.00 $
x $1.50 $
x $1.50 $
x $3.25 $
o�
x $3.00 $ 3
x $3.25 $
s $2.00 $
NO. RATE TOTAL
1st 3 Fixtures . ........................ x $2.00 $
Additional Fixtures .................... x $ .75 $
Gas Range to 199,000 BTU .............. x $5.00 $
REPAIRS & ALTERATIONS—Refer to Code
City of Fridley:
The undersigned hereby .makes application for a permit for the work herei
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 ap cation are true and correct.
Fri y, Minn 19�
Owner
Kind of Building r�---
Used as
To be completed about
Estimated Cost, $
Old—New. Building Permit No Permit No. "T Owl
Signe
By
Business Phone No
ROUGH
FINAL
Description ................. ..............................$
D �
TOTAL FEE a z
A'pRi ften for Power Piafs and Heating, Cooling, Yediiation® Reft1gov +ion and ,
Air Conditioning Sptenw -and Derives
PARTIAL RATE SCHEDULE
GRAVETS WARM AIR:
RATE TOTAL
Furnace Shell & Duct Work ...........................$10.00
$
Replacement of Furnace .............................
6.00 #
Repairs & Alterations—up to $500.00 .................
6.00 $
Repairs & Alterations each add. $500.00 ...............
3.00 $
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............$10.00 $
each add 60.000 BTU ....................... 3.00 $
Replacement of Furnace ............................. 6.00 -$
Repairs
$Repairs & Alterations—up to $500.00 ................. 6.00 $
Repairs & Alterations each add. $500.00 .............. 9.00 $
STEAM or HOT WATER SYSTEM
Furnace Shell & tins --to 400 sq. ft. EDR Steam .... .$10.00 $
Fumace Shell & Line—to 640 sq. ft. EDR Hot Water .. 10:00 $
Each add. 200 sq ft. EDR Steam ...................... 8.00 ' $
Each add. 320 sq. ft. IDR Hot Water _ .... .... ... 3.00 $
OIL BURNER --to 3 gaL per hour ..... ` ... ...... ..... 6.00 $
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to 189.000 BTU) ......................... 6.00 $
over 199,000 BTU See. Fee Schedule ;
GAS FITTING PEES: NO RATE TOTAL
1st 3 Fixtures x$ 200 $
Additional Fixtures x .76 $—
Gas Range to 199.000 ...... zE &W $
AIR CONDITiONII[G #
FAN HEATING SYSTEM See Fee Schedab
VENTILATING SYSTEM #
ALTERATIONS & REPAY 7 TAL FEB
ROUGH
FINAL
Dept. of B1dgL Phone 8604M
City of Fridley:
The undersigned hereby makes application for a permit for the work hereit
specified, agreeing to do all work in strict accordance with the City Ordinances
and ruling of the Department of Buildings, and hereby declares that atl the facts
and representations stated in this application are true and correct.
Fri y, Minn_ ' 9 ,. 1W! L
O
To be completed about 71
�v
Estimated Cost, $-o}'Z%�
:OiNew_
Building Permit No. Permit No. �r
DESCA ION OF WORK
HEATING or POWER PLANTS --Steam, Hot Water. Warm Air—No-
Trade Name Size No
(.fu►.KS-oV112)
By
Business Phone
r
SUBJECT
ity of Fridley
2 Al
T18
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
RECEIPT NO.
� • COMMUNITY DEVELOPMENT DIV
PROTECTIVE INSPECTION SEC.
r
CITY HALL FRIDLEY 55432
NUMBER
REV
DA TE
PAGE OF
APPROVED BY
612-571-3450
910-F15
2/16195
JOB ADDRESS 222 Mercury Drive NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
7
2
1 Sylvan Hills Plat 4 SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Dave/Margaret Schlee 222 Mercury Drive NE
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Midwest Restoration 1628 Hwy 10, Spring Lake Park MN 55432 784-2772 5267
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 ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Repair fire damage to basement and upstairs bath
9 CHANGE OF USE FROM TO
STIPULATIONS
Provide smoke detectors adjacent to all sleeping areas.
'SEPARATE PERMITS EUIRED FOR
WIRING, HEATING, PLUMBING AND SIGNS.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
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 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
1
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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$20,000
$10.00
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF NY OTHER STATE R LOCAL LAW REGULATING CON-
T UCTION OR HE PERF TRUCTION
$207,00
Fire Sc $20.00
PLAN CHECK FEE
TOTAL FEE
r
License SC $5.00
$242.00
-- IGNATURE CONT CT OR AUTHORIZED AGENT TEI
WHEN PROPE Y VALIDATED THIS IS YOUR PERMIT
BL G INSP )ATE
SIGNATURE OF OWNER OF OWNER BUILDER) (DATEi
NEW [ ] Effective 1/ 1/95
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY, AND DUPLEXES R-1 AND R-2
Building Permit Application / (�
Construction Address: 4,?oR -z dL=
Legal Description: L o j ,fie o? S V L i J `
Owner Name & Address: Tel. #
Contractor:'/�j�Gy�l MN LICENSE #
Address: /����/u'�� /� �/'ra'-ti>� �� �aa2�! Tel. # 'ev1������
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER: �' S f7� iT �
Corner Lot [ ] Inside [ ] Ft. Yd Setback Side Yard Setbacks
Type of Construction:%uc�r) % r7�� C_ Estimated Cost: $
Approx. Completion Date:
(Cost on Back)
Driveway Cub Cut Width Needed: Ft. + 6 = Ft = $
DATE: APP Tel. #
CITY USE ONLY
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ Fee Schedule on Reverse Side
$ s .001 of Permit Valuation (1/10th%)
$ i . M $.50/$1,000 Valuation
$ $850 per SAC Unit
$ ,�5 ,. $5.00 (State Licensed Residential Contractors)
$ Alt. "A" or Alt. "B" Above
$ $450.0 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary ( ] Not Necessary ( ]
Z. ��s.,P',.t°�aeg
f 4.F �.,.
BUILDING PERMIT FEE SCHEDULE
The Chief Building Official shall, lx;fore issuing permits for the erection of any building or structure,
or for any addition to any existing building or structure, or for any alteration or repair to any existing;
building or structure, upon application therefore, require the payment by the applicant for such permit
of fees to the amount herein below set fMili and in the manner herein provided to -wit:
TOTAL VALIIE FEI:S
$1 to $500 $15 (Minimum Fee is $15 plus surcharge)
$501 to $2,000 $15 for first $500 plus $2 for each additional $100 or
fraction thereof, to and including $2,000 -
$2,001 to $25,000 $45 for first $2,000 plus $9 for -each additional $1;000
or fraction thereof, to and including $25,000
$25;001 to $50,000 $252 for first $25,000 plus $6.50 for each additional $1;000
or fraction thereof, to. and including $50,000
$50,001 to $100,000 $414.50 for first $50,00(} plus $450 for each additional
.$1,000 or fraction thereof, to and including $100,000
$100,001 to $500,000 $639-0 for first '$100,000 plus- $3.50 for each additional•
$1,000 or fraction thereof, to and including -$500,000
$500,001 to $1,000,000- - $2039.50 for the first $500,000 plus $3 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$1,000,001 and up $3539.50 for the first $1,000,000 plus $2 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times
$13.50_
Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $15.75_
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to allow
for proper review of the proposed structure and of the construction site_
A Certificate of Survey of the lot, showing the location of the foundation once it has it has been
constricted will be required befOre proceeding with the framing.
k. l I T Ur t-MIULtT nvartV I IUN UIV.
6431 University Ave NE
Fridley, MN 55432
572-3604
tnecuve Un uanuary i, iy9j
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
PLUMBING FIXTURE RATES: NO
New Fixtures ✓_
Old Opening, New Fixture
Beer Dispenser
Blow Off Basin
Catch Basin
Rain Water Leader
Sump/Receiving Tank
Water Treating Appliance
Water Heater —Electric
Water Heater — Gas
Gas Range
Gas Dryer
Back Flow Preventer Required ( )Yes () No
Type
RATE. TOTAL
$ 7.00 GY'
$ 4.00
$ 5.00
$ 7.00
$ 7.00
$.7.00
$ 7.00
$10.00
$ 7.00
$10.00
$10.00
$10.00
$5.00
Reinspection Fee $30.00
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1 % of Value of Fixture or Appliance
State Surcharge $ .50
TOTAL FEE $�`2_Z)
JOB ADDRESS_�7i
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 Building Division, and hereby declares that all the facts
and representations stated in this application are true and correct.
Owner
Building Used As 6CC' 111 �+ '
Estimated Cost 219'U PERMIT NO.>
PLUMBING COMPANY_ pLUVVl611�� X 11 V�
SIGNED BY
Approved
Rough—In Date
TEL N0. S � (' Pj
� nal Date
MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00
PLUS THE $.50 STATE SURCHARGE
Urinal
Wash
Sower Tray
•�•��i'`�`•�iii>`•ii
F o0
I r
Drain
.x..
Aut 0 �
'
G as
R a neh
�
'Ga
Water Heater
ElecsWasher
Basement
Floor 1
Floor 2
FI o 3
or
Flo 4
or
PLUMBING FIXTURE RATES: NO
New Fixtures ✓_
Old Opening, New Fixture
Beer Dispenser
Blow Off Basin
Catch Basin
Rain Water Leader
Sump/Receiving Tank
Water Treating Appliance
Water Heater —Electric
Water Heater — Gas
Gas Range
Gas Dryer
Back Flow Preventer Required ( )Yes () No
Type
RATE. TOTAL
$ 7.00 GY'
$ 4.00
$ 5.00
$ 7.00
$ 7.00
$.7.00
$ 7.00
$10.00
$ 7.00
$10.00
$10.00
$10.00
$5.00
Reinspection Fee $30.00
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1 % of Value of Fixture or Appliance
State Surcharge $ .50
TOTAL FEE $�`2_Z)
JOB ADDRESS_�7i
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 Building Division, and hereby declares that all the facts
and representations stated in this application are true and correct.
Owner
Building Used As 6CC' 111 �+ '
Estimated Cost 219'U PERMIT NO.>
PLUMBING COMPANY_ pLUVVl611�� X 11 V�
SIGNED BY
Approved
Rough—In Date
TEL N0. S � (' Pj
� nal Date
MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00
PLUS THE $.50 STATE SURCHARGE
'
SUBJECT
City of Fridley
28972
AT THE TOP OF THE TWINS
?
BUILDING
PERMIT
R NO.
: COMMUNITY DEVELOPMENT DIV.
INSPECTION SEC.
/1 �-2�
j PROTECTIVE
1 . �
NUMBER
pEV
GATE
PAGE OF
APPROVED BY
i CITY HALL FRIDLEY SS1�2
--•.� •�
L 612-571-3450
910-F/5
3/3/99
JOB ADDRESS
222 Mercury Drive NE
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
7
2
I Sylvan Hills Plat 4
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
David Schlee 222 Mercury Drive NE
571-0267
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO
New Haven Construction 4208 83 Ave N,
Brooklyn Park, MN
55443 566-5225
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP
PHONE LICENSE NO.
20077950
5 ENGINEER MAIL ADDRESS
ZIP
PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR
❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Reroof House & Garage (22 Sq) Tear-off
9 CHANGE OF USE FROM
TO
STIPULATIONS
Underlayment must comply with
the State Building Code.
SEPARATE PERMITS ARE REOUIRED 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
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
@
$1,885
$.94
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
AC CHARG
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTAL EE
Lice $5.
67.32
IGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
EN P OP ALIDAT
IS I�U RMI
BL INSo -
fIATE
g6ATUeRE OF OWN�IER NE BU ILOERI IDATEI
v v
s
Mar 02 99 02:55p
NEW [ ]
ADDN [ ]
ALTER [ ]
Kerri
566-7183
CITY OF FRMLEY
SINGLE FAMILY AND DUPLEXES R 1 AND
p.2
Effective 1/1/99
R-2
BUILDING PERMIT APPLICATION f �?,,,
ConstructionAddress.
Legal Description: " /��
Owner Name & Address: .U�G� �.L.�� Tel. # 571- dad%
Contractor: '04110 -1za OzIZJ � / MN LICENSE #�0 7-7 9S O
Address: I 834P gglz Z /V a- % Tel. # �,SCo !o -Sr7a Sf
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF 1WROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER:
Construction Type: �iF-2�� Estimated Cost: $ ,
(Fee Schedule on ack)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: i `7 APPLIC Tel. S�
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
s
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1050 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 [ J
To Whom it may concern:
We agree to allowing Bruce Falink widen his driveway to the dimensions as stated below. We
understand that it is closer then 3 feet to the property line, but we do not feel that is an issue.
Widen feet to the east and feet to the west.
David and Margie Schlee
22'ZMercury Dr Ne
Fridley, Mn 55432
Bruce Falink &4,A.Ct
212 Mercury Dr NE
Fridley, Mn 55432
NEW
ADDN
ALTER
[ j CITY OF FRIDLEY Effective 1/1/2003
[ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
[ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
Construction Address:
Legal Description
Owner Name & A
Contractor:
3d)
Address: 56-8Y3 Tel. # 95Z • 935' 4&&?
ka+
q�z g35 9s�y
Attach to this application, a Certificate of Survey of thfa
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: ength Width Hgt/Ground Sq. Ft.
OTHER: N 0_ X) LL6 L/%�
J-0bl-
Construction Type:
Estimated Cost: $ s , 0
/i%�-�l o� �
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ Gj/r,,
DATE: 5/Z.31 APPLICANT: � & Tel. #9S%5- /(lam
Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will
call you for card number.
CITY USE ONLY -
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
$ X105 5
$ is aib
$ 1 -UD
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.5b/$1,000 Valuation
$1275 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 [ ]
07,-d'd ie s,. 1..e, I
City of Fridley Building Inspections Dept Ph: 763-572-3604 FAX: 763-571-1287
6431 University Ave NE
Fridley MN 55432 Mechanical Permit # aCO7-66�to`j
Commercial Application
City of Fridley
Date Site Address: dooo /V s oras -q„ ► v
Theapplicant is: cirice one Owner Contractor Arc hitect/En ineer
Property Owner. Fc, >• (I I Su 5 -0
Address: & aa -0 A/ )E I w �T M &ovv .
City: L� ; ry State: hl N Tip: 5'S–`f3;)—
Phone:
)—
Phone: Cell: Fax:
Contractor Information
Company Name: --.gem 5 plum h , a."'4
Contact Person: ' k
Address: l U 4 4L
City: �- , ni�
istate: N Tip:ZUD 7
Phone: V�d-� SGI� Cello V 7S -V- 9-,'70Z) Far. 6 VI-aa1- 9877
Email: MN Bond# & Exp Date S O0
Permit Type (circle one): Mufti -family Commercial Institutional Condo building
Industrial building Swimming pool Other.
Type of Work circle one): New Replacement Afteration/Remodei
D_ailed Description of work le– 0 kv– t o/d yr, 150
Fll, � 14 11.9 Ie -Zs %ham+ r
Equipment Install -1)MFG: Aa Model: 131x3 X 2. ® SizeBTU:_a, ®o.
MFG: Model: SizeBTU:
MFG: Model: Size/BTU:
Please check all that apply: _Dud Work _Roof Top Unit (RTU)
A/C _Furnace Refrigeration
Boiler _Gas Dryer k–SteamMot Water Heat
Class I Hood , ,Gas Piping Wmming Pool
Class 11 Hood _Gas Unit Heater Temporary Heat
Commercial Kitchen Pool Heater other
All fees are based on valuation, including the cost of labor and materials:
Total Job Valuation: $—/S-2, 4?W. V -0 -
Permit Fee $ (1.25% of Job Valuation / Minimum fee $35.00)
Surcharge $ 76.40 Valuation X .0005
Total Due U0194.40 Make deck Payable to City of Fridley
11118 w an application Tor a permit not valid until processed
I hereby apply for a mechanical pemUt and I admowledge that the Information above is complete and
acauate, that the work will be In conformance with the ordinances and codes of the City of Fridley and
with the Minnesota Construction Codes: that I understand this is not a permit but only an application
for a permit and work Is not to start without a permit; lbet the work will be in accordance with the
Signature of Applic
Approval Inspector
review and approval of plans.
Date:
-----Bate: -fes
Please Note: Separate permits are required for Building, Plumbing, and Electrical work
Revised 6/14/2005
&I A < � 1'."' i
City of Fridley Building Inspections Dept Ph: 763-572-3604 FAX: 763-571-1287
6431 University Ave NE
Fridley MN 55432 Mechanical Permit #
Commercial Application
City of Fridley
tppll`cant is: (c
sty Owner-
ms:
Site Address: 69 000
w &s+ m rye..
State: Al _ Zip: S-5-432-
P
Uw- N -r , State: Tp't N ZIP:_ S"S`/O 7
Phone:! S/-� -� Sbl� Cell:,6sl- A100 Fax. 6 -al a'Z - 7.? 77
Email: MN Bond# & Exp Date69S(,,W06
Permit Type (circle one): Multi-familyCommercial Institutional Condo building 91314, 7
Industrial building Swimming pool
Of
iW
Other.
entF Afteration/Remodel
.• l � � �.�1,`5 ,°tiA � 80� l'a'p o i �. `r`
e., -,s .._ L. - I_ '
/) MFG: Model: H A / a o
Size/BTU: /o T,o»
MFG: Model:
SizeBTU:
Please check all that apply: _Duct Work
�C Roof Top Unit (RTU)
_-� _Furnace
_Refrigeration
,,Boiler Gas Dryer
XSteamA•I®t Water Heat
� Class I Hood ,,•Gas Piping
bintimming-Pool
" _Class II Hood Gas Unit Heater
Temporary Heat
Commercial ICltc hen Pool Heater
Other
' All fees are based on valuation. includina the cost of lahnr nnrf mafariala
Fee
Due
Signature of
Total Job Valuation: $_Z
0-0 (1.25% of Job Va
�U& Valuation X.0005
o, -7F
n / Minimum fee $35.00)
;P-g�n / -9 � . / m Make check payable to City of Fridlev
This Is an application for a permit- not valid until processed
I hereby ep* for a mecharu%W perrnit and I acknowledge that the i baba ion above is eomptete and
ac=a* that the work wfll be In coMonrrence with the crOwnces and codes of the City of Fdd* and
with the Minnesota Construction Codes; that I understand this Is not a peen* but ony an applicadon
for a pernd and work Is not to start without a permit t #W the work wip be In accordance wfth the
approved plan in.gAe o.,�a [Awrk,�i 'm rlduires review and awroval of pians_
Approval Inspector
Please Note: Separate permits are required for Building, Plumbing, and Electrical work
Revised 6/14/2005
APPLICATION # 07 - inn
CITY OF FRIDLEY
2007 LOAD LIMIT MODIFICATION PERMIT
JOB ADDRESS: �2-Z-� <«`� `Z DATE: 4 - s - Q'-7
MATERIAL TO BE HAULED: CO NC (L5 -TL DEB P 1 s
BEING HAULED BY:
PERMIT REQUESTED BY:
DATES OF DELIVERY: q — Q - O (Up To 3 Days)
THIS PERMIT IS ISSUED TO ALLOW AN INCREASE OF AXLE WEIGHT FROM FOUR (4) TONS PER
AXLE TO FIVE (5) TONS PER AXLE OVER THE FOLLOWING DESIGNATED ROUTE:
NOTICE: This permit is valid only for vehicles enroute to construction address during the hours of 8:00 am to
5:00 pm.
See Resolution # 01-2004 and State Statute Section 169.8
of Applicant
PERMIT FEE: $25.00
RECEIPT # e C
ISSUED BY:
Copies Given To Police [ ] & Engineering [ ]