PRE 2010 DOCSCity of Fridley, Mim.
BUILDING PERMIT N°5 7 2 3
Date:
Owner: Builder
Address __ _ Address
LOCATIO OF BUILDING
No. Street _ Part of t r
Addition or Sub-Divisio
Corner Lot Inside Lot Setback�Sl ard _
Sewer Elevation — Foundation Elevation
DESCRIPTION OF BUILDING
Toelk,
Used
g +`
Front - �- DepthCe Height Sq. Ft. "'' Cu. Ft:
Front DepthHeight Sq. Ft. Cu. Ft.
Type of nstruction Fast. Cos ... T 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 aid in compliance with all provisions of
ordinances of the city of Fridley. y
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 pion 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 tuneup n viola" of any of the provisions of said
he
".
Building Inspector
NOTICE:
This permit does not corer the construction, Installation for wiring, plumbing,. gas heating, sewer or water. Be sure to see
the Building Inspector for separate permits for them items.
4 -
M5 yam. r.r�r vy
' 1!/IM� �R. Y�IiC i ygyiAi_ ,q �' Y•
WT 2, BWCK 2 SYLVAN HSgLL($�'PLA'� 4
SURMY FORtKAW
n G 4 x
# ,r
1
• f
p 21
G I!fN,.,7
f 5fALAc: 1"S NOF
1
A,
- y�:_. ..........., .. __...........�...�_... rte.._
i' LEGAL DESCRIPTXONt Lot 20 Block 2, sylvan Hills Plat 4, City of
1
8ridley, Minnesota# Section l$, Township 30, RanP *4.
I hetreeby certify that this surrey was made wader IW dir**t rwupsr�
Iy¢ vision and that I m a duly authorised Registered Iand Surv+syer
nyder the liars of they State of Minnesota.
Dateds November 27, 1961 �
t_ r1906 LUDY
PT
� +` ,. F ,. • x max`
a
f�wfvu�IJi1..Yit'.� �tm...H'Lba. :i' j'f's .. .. i ... .r ...v,c. n. s...:.h,w ..W14v.. "Ye. .. inx.M �rxu #`F�1u�v M_ 53►Eir._+-t' {
Application for Power Plants and Heating. Cooling, Ventilation. Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR: RATE TOTAL
Furnace Shell & Duct Work .......................... 8.00 $
Replacement of Furnace ............................. 5.00 $
Repairs & Alterations—up to $500.00 .................. 5.00 $
Repairs & Alterations each add. $500.00 ............... 2.50 $
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $
each add. 60,000 BTU ....................... 2.00 $
Replacement of Furnace ............................. 5.00 $
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 $�
a 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 $s
GAS FITTING FEES:
NO RATE TOTAL
1st 3 Fixtures ......................
x $1.50
$
Additional Fixtures .................
x .50
$
Gas Prange to 200,000 BTU ...........
x 2.00
$
AIR CONDITIONING
$
FAN HEATING SYSTEM
See Fee Schedule
VENTILATING SYSTEM
$
ALTERATIONS & REPAIRS
TOTAL FEE
ROUGH
FINAL
Dept. of Bldgs. Phone SU 4-7470
City of Fridley:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City Ordinances
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and correct.
Fridley, Minn �� /` l � 19 dz l
Owner e "� ee�o z� -e—
Kind of Building 'Z2, --v q '
Used as
To be completed about
Estimated Cost, $
Old—New. Building Permit No. \'� A-3 Permit No.
DESCRIPTION OF WORK
HEATING or POWER PLANTS—Ste Hot Water, Warm Air—No
Trade Name �✓ v �� �'7 m Size No-
Capacity Sq. Ft. E.D.R�> BTU H.P.
Total Connected Load �J 7 ind of Fuel
BURNER — Trade Names �� �� Size No
Capacity Sq. Ft. E.D.R BTU H.P.
(REMARKS—OVER)
0" NA - AN P
42 ZM Business Phone No
AME /V 6-A
�_ [ADDRESS
H T G. `t N T R.
a
/
G
DATE
NAME 061,
J O B [ADDRESS
l EfQ�WAY
HEIGHT
FL.
I FL.
,ROOM LENGTH
WIDTH
WINDOWS AND DOORS-CRACKAGE AND AREA
HEIGHT
FL.
_2_,8,4;r// ROOM
LENGTH
WIDTH
EA
NO. WIDTH HEIGHT NO. OF LINEAL FT. RFT.
HEIGHT
WINDOWS AND DOORS-CRACKAGE AND AREA
NO WIDTH HEIGHT No. OF LINEAL FT AREA
_ LIGHTS OF CRACK SQ. FT
3 3 z
S
8 G
r/ J'�}-
WINDOWS AND DOORS-CRACKAGE AND AREA
NO. WIDTH HEIGHT NO. OF LINEAL FT. AREA
LIGHTS OF CRACK SQ. FT
2- 6
/ 2 3 Z /2-
TOTAL BTU.
I COEF.
BTU
COEF. BTU
INFILTRATION 3v
yQ
INFILTRATION L
yQ
'v
GLASS
s~tl
gU d
GLASS
G
J.00
c
EXP. WALL 3 a
/ O y
EXP. WALL G x rf
NET EXP. WALL
g `
O
gG 0
NET EXP. WALL
Al J.
/
7 2 O
CEILING i3
//70
CEILING
FLOOR
FLOOR
TOTAL BTU.
®
TOTAL BTU.
SSD O
FL.jr 10 J --ROOM I LENGTH
WIDTH
HEIGHT
FL.
l'1 ROOM
LENGTH
WIDTH
HEIGHT
WINDOWS AND DOORS-CRACKAGE AND AREA
4 �� J
(�
9
WINDOWS AND DOORS-CRACKAGE AND AREA
NO. WIDTH HEIGHT NO. OF LINEAL FT.
LIGHTS OF CRACK
AREA
SQ. FT.
S
�
NO. WIDTH HEIGHT NO. OF, LINEAL FT. AREA
LIGHTS OF CRACK SQ. FT.
3 .3d
COEF.
BTU.
COEF. BTU.
INFILTRATION
GLASS
EXP. WALL 2 V
NET EXP. WALL
CEILING
FLOOR
INFILTRATION
i6 (� GLASS
n EXP. WALL
' O NET EXP. WALL
to / L 3o CEILING gx Gy /d Ca�Q
FLOOR
TOTAL BTU.
a
Zi
TOTAL BTU.
Q
FL. 'Atb #3 ROOM
LENGTH WIDTH
HEIGHT
FL.
M'4- ROOM
LENGTH WIDTH
HEIGHT
WINDOWS AND DOORS-CRACKAGE AND AREA
L
WINDOWS AND DOORS-CRACKAGE AND AREA
OF1 LINEAL
N0. WIDTH HEIGHT L�GHTS
8S
EA
NO. WIDTH HEIGHT NO. OF LINEAL FT. RFT.
OF CRACK SQREFT.
LIGHTS OF CRACK SQ
TOTAL BTU.
INFILTRATION
GLASS p
EXP. WALL
Q
NET EXP.. WALL
CEILING
FLOOR
—i-i�
r
TOTAL BTU.
TOTAL BTU. HEAT LOSS
HEATING UNIT
z 3 3
COEF�j BTU. COEF. BTU.
to
a
INFILTRATION
•
Q d
GLASS
EXP. WALL
� Q
),06 8
NET EXP. WALL
10
CEILING y
FLOOR
C61 A
TOTAL BTU.
TOTAL E.D.R. STEAM TOTAL SQ. FT. H.W.
1 .r
x
r
Z
.S "D
I COEF.1 BTU.
ro
GLASS s/
EXP. WALL V x
.-
AME
[ADDRESS
GLASS
i f
DATE
NAME
J O B [ADDRESS
NET EXP. WALL
S, 3
H T G. O N T R.
�3
®
a
3
aw 7 .1
Q
FL.
i 'u.
ROOM
LENGTH
WIDTH
HEIGHT
FL.
ROOM
LENGTH
WIDTH
HEIGHT
WINDOWS AND DOORS-CRACKAGE AND AREA
WIl#joj -CRACKAGE AND AREA
t✓ J
N(YWIDTH HEIGHT NO. OF LINEAL FT
AREA
�s'
N0. IDT; HEIGHT NO. OF LINEAL FT.
AREA
f/
d
LIGHTS OF CRACK
SQ. FT.
FL.
LIGHTS OF CRACK
SQ. FT
WIDTH
HEIGHT
FL.
ROOM
LENGTH
WIDTH
WINDOWS&
NO. WIDTH
DO RS-CRACKAGE AND AREA
HEIGHT N0. OF LINEAL FT. AREA
LIGHTS OF CRACK S0. FT.
8 3
)
WINDOWS AND DOORS-CRACKAGE AND AREA
N0WIDTH HEIGHT - N0. OF LINEAL FT. AREA
. LIGHTS OF CRACK SQ.FT.
l 7
/�21
I
_G
COEF.1 BTU
COEF. BTU
INFILTRATION
G L
a D
INFILTRATION
Y O O
GLASS
L/j'
J-6 _1'6
GLASS
e.
3-4 .3®
EXP. WALL / X
....
s®
EXP. WALL 0l 0 E
NET EXP. WALL
,� /O �'®
NET EXP. WALLS %f °9/
374'0
% dl
CEILING /7 ,3
2 1/
/® l Q
G t*
(�
FLOOR
FLOOR
TOTAL BTU.
Q
TOTAL BTU.
FL.
/1)&
ROOM LENGTH
WIDTH
HEIGHT
FL. ROOM
LENGTH
WIDTH
HEIGHT
WINDOWS AND DOORS-CRACKAGE AND AREA
WIN AND DOORS-CRACKAGE AND AREA
NO. OF, LINEAL FT.
AREA
NO. OF LINEAL FT.
AREA
��
N0. WIDTH HEIGHT LIGHTS OF CRACK
SQ. FT.
N0. WIDTH HEIGHT LIGHTS OF CRACK
SQ. FT.
/ s' 4
/
e
s' 3 o
s
3 7
b6doe 20
2 /
COEF. BTU.
COEF. BTU.
INFILTkATIAN
Aj It
I
qibl Q
INFILTRATION ®
vo I / Ic 0 a
GLASS
EXP. WALL
x
r
Z
.S "D
I COEF.1 BTU.
ro
GLASS s/
EXP. WALL V x
NET EXP. WALL
INFILTRATION
GLASS
Q
NET EXP. WALL
S, 3
CEILING ?/
�3
®
a
3
aw 7 .1
Q
FLOOR
�`�
CEILING
FLOOR Alf 1/ )f
��
FLOOR
TOTAL BTU.
2s
TOTAL BTU.
d
TOTAL BTU.
FL.
sR00M LENGTH
WIDTH
HEIGHT
FL.
ROOM
LENGTH
WIDTH
WINDOWS&
NO. WIDTH
DO RS-CRACKAGE AND AREA
HEIGHT N0. OF LINEAL FT. AREA
LIGHTS OF CRACK S0. FT.
8 3
)
WINDOWS AND DOORS-CRACKAGE AND AREA
N0WIDTH HEIGHT - N0. OF LINEAL FT. AREA
. LIGHTS OF CRACK SQ.FT.
7 7f T
HEIGHT
,t q /QZ ZPL A,Q
TOTAL BTU. HEAT LOSS 67 TOTAL ttE.D.R. STEAM t TOTAL SQ. FT. H.W.
HEATING UNIT & 4J� ��P13 H,4s
COE KI
BTU.
I COEF.1 BTU.
INFILTRATION
Al,�'
INFILTRATION
GLASS
GLASS
EXP. WALL A :_.
%` / ��
EXP. WALL
NET EXP. WALL
Q
NET EXP. WALL
�`�
CEILING
FLOOR;
��
FLOOR
TOTAL BTU.
2s
TOTAL BTU.
,t q /QZ ZPL A,Q
TOTAL BTU. HEAT LOSS 67 TOTAL ttE.D.R. STEAM t TOTAL SQ. FT. H.W.
HEATING UNIT & 4J� ��P13 H,4s
City of Fridley
AppOcation for Plumbing and Gas Fitting Pemdt
Dept. of Bldgs. Phone SII 4-7470
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE TOTAL
Fixtures..................
Number Fixtures....
2 z
N
Y F
"!y
K N
Q Z_
Joy
_ a
~Z
O
New Fixture Old Opening ..............
N
w ? • • WATER HTR.
�Z a R N GAS ELEC
1.00
$
Catch Basin ...... .....................
x
3.25
$
Water Heater (Up to 200,000 BTU) ......
x
2.00
$
New Ground Run Old Bldg . ............
x
Lt0
$
GAS FITTING FEES:
NO.
RATE TOTAL
1st 3 Fixtures ..........................
x
$1.50
$
Additional Fixtures ....................
x
.50
$
Base
x
2.00
$
1st
2nd
3rd
4th
• Future Connection Openings
Connected wiith
I
Bower ❑
New .Fixture, Old Openings
Cesspool ❑
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE TOTAL
Fixtures..................
Number Fixtures....
x
$1.50
*_9 . O cJ
Future Fixture Opening ................
x
1.20
$—Z
New Fixture Old Opening ..............
x
1.00
$
Catch Basin ...... .....................
x
3.25
$
Water Heater (Up to 200,000 BTU) ......
x
2.00
$
New Ground Run Old Bldg . ............
x
3.25
$
GAS FITTING FEES:
NO.
RATE TOTAL
1st 3 Fixtures ..........................
x
$1.50
$
Additional Fixtures ....................
x
.50
$
Gas Range to 200,000 BTU ..............
x
2.00
$
REPAIRS & ALTERATIONS—Refer to Code
Description ................................................$
TOTAL FEE $ d
City of Fridley:
The undersigned hereby .makes application for a permit for the work hereat
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 facl
and representations stated in this application are true and correct.
Owner
Kind of Building
Used as
To be completed about
Estimated Cost, $
Old New)Building Permit No P it No. .2
414�-
Si
By
Business Phone o
ROUGH
FINAL
C�
..;—
City of Fridley
Apprcation for Plumbing and Gas Fitting Permit
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAJ�
Number Fixtures x $1.50 $�
Future Fixture Opening ................— !!e x 1.20 $
New Fixture Old Opening .............. x 1.00 $
Catch Basin ............................ x 3.25 $
Water Beater (Up to 200,000 BTU) ...... x 2.00 $"
New Ground Run Old Bldg . ............ x 3.25 $
GAS FITTING FEES:
1st 3 Fixtures .........................
Additional Fixtures ...................
Gas Range to 200,000 BTU .............
REPAIRS & ALTERATIONS—Refer to Code
NO. RATEz OTAL
-6-0— x $1.50 $
x .50 $
— x 2.00 $
Dept. of Bldgs. Phone SII 4-7470
Location "� G r' C !/!"y --- 6
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 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 � "Z 19 jam,
OwnerG.
Kind of Buildings
Used
To be completed about
Estimated Cost, $
Old—New. Building Permit No�2 Permit No.
Signe
By
Business Phone No, - -
Roucai / -J 0 - (02
FINAL
Description .............................................. $
TOTAL FEE o 42 2M .
3/000,
m�
w
3F
ca
c�'e
t�m
<3
U'd
7Z
USa
Z
�n
(70
,
F
+
N
WATER HTR.
GAS
ELEG
Base
147
A
1st
2nd
3rd
4th
• Future Connection Openings I
New .Fixture, Old Openings 11
Coanel with
Sewer �
Cesspool El
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAJ�
Number Fixtures x $1.50 $�
Future Fixture Opening ................— !!e x 1.20 $
New Fixture Old Opening .............. x 1.00 $
Catch Basin ............................ x 3.25 $
Water Beater (Up to 200,000 BTU) ...... x 2.00 $"
New Ground Run Old Bldg . ............ x 3.25 $
GAS FITTING FEES:
1st 3 Fixtures .........................
Additional Fixtures ...................
Gas Range to 200,000 BTU .............
REPAIRS & ALTERATIONS—Refer to Code
NO. RATEz OTAL
-6-0— x $1.50 $
x .50 $
— x 2.00 $
Dept. of Bldgs. Phone SII 4-7470
Location "� G r' C !/!"y --- 6
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 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 � "Z 19 jam,
OwnerG.
Kind of Buildings
Used
To be completed about
Estimated Cost, $
Old—New. Building Permit No�2 Permit No.
Signe
By
Business Phone No, - -
Roucai / -J 0 - (02
FINAL
Description .............................................. $
TOTAL FEE o 42 2M .
C;of FiQlay.
APplicc ia.n f'or'P umbing and Geis F°,isng PeMit • . _
Dept. o€ Btd„��x. �7Phone S_ .=•3.550 .
IDESCWT10N OF WORK •Lo=L'oa.�' �• �"w .
tittin ", K:sd aaa ioC ts#i a er of Ftxiu s•s
• Fvrizo Cc: - e:t:►•n ppcai :;s ...........__ Savor. d•
a ?{ser i 1:xturs. Old O.,,,oair.,a cesspeot
City of Fridley:
The undersigned hereby m2tkes application for a permit for the* arorlc he -e
specified, a,ree:ng to do all «crk :a strict accc lance wish the C:� C: he a(�
of Bu•:clings, and hereby declares L%Izt
andail he fa(
ruling of t�e Department
and
• and representations sta W Ln this Ep^,iic.Z:iGG are �try:'d true «cor: eit
Fridley, D:lnn `7--�� 7S 19.E
PARTIAL RATE SCHEDULE
:
IJ
110. R.`.TE
TOTAL :
MMU
S
Number Fixtures ................
wATIR w7R.
•
I w 1• I ,�
:`�
I
= I Z 'w
$"•�JN`�x/yq,
O
__--.—
v
K
GAS tu-C
j—�
x $3.25
S��-=�
Catc*i Basin ....................
_.._L1_-
.
' atcr Beater 'Up to 99,000 BTU) ...
'x C3•00
$ —
• .:e:+ Ground Run Old Bldg....:..::
0
_____— x $3..5
S—
E.'.ctr'.c ►Into: F.e :tor..............
.�
�— s $2.00
.
S
GAS nTZINC•FUSs
. No. RITE TOTAL
1st 3 Fixtures . . . . . 0 .. . . .. • • " • '
x $2.00
$
•
E3:e
{
_----
�
•
3rd
• Fvrizo Cc: - e:t:►•n ppcai :;s ...........__ Savor. d•
a ?{ser i 1:xturs. Old O.,,,oair.,a cesspeot
City of Fridley:
The undersigned hereby m2tkes application for a permit for the* arorlc he -e
specified, a,ree:ng to do all «crk :a strict accc lance wish the C:� C: he a(�
of Bu•:clings, and hereby declares L%Izt
andail he fa(
ruling of t�e Department
and
• and representations sta W Ln this Ep^,iic.Z:iGG are �try:'d true «cor: eit
Fridley, D:lnn `7--�� 7S 19.E
PARTIAL RATE SCHEDULE
:
>PL�iKSIH6 E:3�uRE 1�A'fgS:
110. R.`.TE
TOTAL :
x S2.G0
S
Number Fixtures ................
z $1.50?—
F`stu: a Fixture Opening .............
__--.—
New Fixture Ord Opening... • • • • • • •
----- — x $1.50
j—�
x $3.25
S��-=�
Catc*i Basin ....................
_.._L1_-
.
' atcr Beater 'Up to 99,000 BTU) ...
'x C3•00
$ —
• .:e:+ Ground Run Old Bldg....:..::
0
_____— x $3..5
S—
E.'.ctr'.c ►Into: F.e :tor..............
.�
�— s $2.00
.
S
GAS nTZINC•FUSs
. No. RITE TOTAL
1st 3 Fixtures . . . . . 0 .. . . .. • • " • '
x $2.00
$
•
x $ .75
.A.dd:tional Futures. ..............
_----
Oviner
Kind of
Used as .
To be completed about
4,yew
Estimated Cost, S _
Parait Xd. ���
Old—New. Building Permit
Signed
•
By i -
B•• sine= P::ure XO
ROUGH
rix �U
Gas R,=Za to 159.059 BTU ........... x 33.00 S
. SO State .s=Ch=ge
R�IktRs ac ALTaAJ►Tt®Ns-�sa�o C•i�. .. .
• TOT.+.I.7'i.Z a �.
SUBJECTT
N
City of Fridley
IT.® 12663
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
R ftE IPT NO
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
_706
t � ;t /'•'1 CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
L"•' ,�J 612-560-3450
910-F15
8/6/74
JOB ADDRESS
278 Mercury Drive N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
2
2
1 Sylvan Hills Plat 4 SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Mervin J. Herrmann 278 Mercury Drive
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
R. H. RomensConstruction-
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 IX REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK Fire Damage Repair to Garage
9 CHANGE OF USE FROM TO
STIPULATIONS
Contractor quarantees owner that deodorizing will be effective for
1 year
SEPERATE PERMIT'S REQ111-RE6 FOR WIRING,
HEATING, PLUMBING AND SIGNS.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
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
R-1
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.
$7500
3.75
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-
STRUCT N OR THE RFORMANCE OF CONSTRUCTION.
$45.00
PLAN CHECK FEE
TOTAL FEE
`°(V/J
$48.75
SIGN TU FCQN RACTTORORAUTHORIZED AGENT ID EI
�•�
WHEN/ P�ROPPE/RLY ATED THIS IS YOUR PERMIT
V I lsl Y l ® �.•t e4 A� 1 Y e
BLDG INSP DAT
SIGNATURE OF N (IF OWNER BUILDE 1 (DATE)
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME : , v; -BUILDER:
ADDRESS • 2 n ADDRESS:
NO:. STREET:
LOT: BLOCK: ADDITION: %L
J
CORNER LOT: INSIDE LOT: 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: stimated Cost:
To Be Completed: c�Q,
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in stiict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that all the facts and representations stated this application
are true and correct.
DATE • SIGNATURE:
(See everseidle For Additional Information
x",
4�70
suB'ECT
City of Fridley
rEIN`b.
AT THE TOP OF THE TWINS
BUILDING PERMIT
_16546
r
RE
• _____ COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
1 . �
CITY HALL FRIDLEY 55432
i----
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
�---n
L 612-571-3450
910-F15
14/28/82
JOB ADDRESS
278 Mercury Drive N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
2
2
1 Sylvan Hills Plat 4 SHEET
2 PROPERTY OWNER MAILADDRESS ZIP PHONE
Mervin Herrmann 278 Mercury Drive N.E. 571-1562
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Exterior Desicm Service 6391 Monroe Street N.E. 571-3220
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
NOT LI SED IN CITY).
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
7 CLASS OF WORK
❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reside Dwelling
9 CHANGE OF USE FROM TO
STIPULATIONS
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
Steel
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
$1,200
$.60
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-
$20.50
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
$21.10
SIGNATURE OF CONTRACTOR OR UTHORIZEDAGENT MATE)
WHEN PROPERLY VALIDATED THIS IS YOURq PERMIT
BLDG INSP O TE
SI NATURE OF OWNE IIF 0 NER BUILDERI IDATEI
CITY OF FRIDLEY Effective Aug. 1, 1981
APPLICATIM FOR RESIDENTIAL BUILDING PER14ITS
(HEm. Alterations, Additions, or Repairs)
OWNER: As-,2t�.��ti rQQ2/h�}�J,� BUILDER: �i i .a 1aA)
ADDRESS: �f� .�Q,1 dy�_ ADDRESS:
TEL NO: ,,f :,7 TEL NO: 6°7 / - 3y420
Construction Location
-STREET NO: STREET: aueweij tl
IAT: BLOCK: _ ADDITION: Lr� ftiLL5 LAT 'N
Corner Lot: Inside Lott Setback: Sideyards:
Applicant attach to this form two Certificates of Survey of lot and
proposed building location drawn on certificates to scale.
DESCRIPTION OF CONSTRUCTION
-�, Front:
Wtl-4 oil G, Square Feet:
Front:
Square -Feet:
Depth: Height:
Cubic Feet:
Depth: Height:
Cubic Feet:
Type of Construction: ' Estimated Cost: $ 2 00-C6
Rb Be Cbmpleted:
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired: $ $
SEE REVERSE SIDE OF SHEET .
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 :,-�� L, 2$, 174,-2 SIGNATURE:
Stipulations:
p
9
sue.iEtr
RMIT NO.
City of Fridley
29923
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
NO.
` - ______ COMMUNITY DEVELOPMENT DIV.
INSPECTION SEC.
I; - PROTECTIVE
1
"I CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
L 612-571-3450
9110415
7/22/99
JOB ADDRESS
278 Mercu Drive NE
LOT"BLORN-27
1 LEGAL $ 1
TRACT OR ADDITION
SEE ATTACHED
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Mervin eS71-1962
3 CONTRACTOR MAIL ADDRESS
Omner
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
Residential
7 CLASS OF WORK
O NEW DC ADDITION ❑ ALTERATION O REPAIR O MOVE O REMOVE
B DESCRIBE WORK
Construct a 141 x 241 shed
9 CHANGEOFUSEFROM TO
STIPULATIONS
Special Use Permit 498-12 approved 7/27/98
for a second accessory
building. See stipulations on approval letter.
See stipulations on plan
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
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
$1000
.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 COW
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
$38.75
FivQ SC $1.00
PLAN CHECK FEE
TOTFEE
.25
•SIGNATURE OF CO TRACTOA OR AUTHORIZED AGENT IDATEI
HE 11PROBEFIKY
VALIDAT THIS IS OUR R IT
a
12Dg
'
F
♦AE
-GN.N RICOwNERBUILDERI AT
NEW r ]
ADDN
ALTER
Effective 5/10/99
[ ] CITY OF FRIDLEY
[ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUELDING PERMIT APPLICATION
Construction Address:
Legal Description:
Owner Name & Address: Tel. #0 rr
Contractor: a_ ct , 6 MN LICENSE #
Address:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
Tel. #
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:
Construction Type: �.Lp zzeA Estimated Cost: $ �Q00. bD
Driveway Curb Cut Width Needed:
Ft. + 6 Ft = Ft x $
a
DATE: ?—!S ' APPLICANT: Tel. # -;L
CITY USE ONLY
�—!' } .
Permit Fee
$ je8 ?S
Fee Schedule on Reverse Side
Fire Surcharge
$ /, bb
.001 of Permit Valuation (1/10th%)
State Surcharge
$ 10,E V
$.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 $ b. o?111�
STIPULATIONS:
SUBJECT
P
City of Fridley
3 0 9 9 3
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
RECEIPT NO.
`� ______ COMMUNITY DEVELOPMENT DIV.
INSPECTION SEC.
PROTECTIVE
1 �
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
1 J\ 612-571-3450
910-F15
5/30/00
JOB ADDRESS 278 Mercury Drive NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
2
2
Sylvan Hills Plat 4
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
Mervin/Eveline Herrmann 278 Mercury Drive NE
763-571-1562
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP
PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP
PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW O ADDITION 0 ALTERATION GA REPAIR
0 MOVE 0 REMOVE
8 DESCRIBE WORK
Reroof House & Garage (29 Sq) 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 OWLG. 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
$2,535
$1.27
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-
$83.25
Fi SC $2.54
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
,e
PLAN CHECK FEE787.06
AL FEE
SIGNATURE OFCON TRACTOR OR AUTHORIZED AGENT iOATEj
HE PROP
VALI
D THIS IS Y UR ER ITS.
AS-GNATURE
6Sp
O47E
O� OWN ,i0WNER BU. IDATE,
NEW []
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address:
Legal Description:
Owner Name & Address:
Contractor:
rim
Effective 1/1/2000
(763) 572-3604 Bldg Insp
Tel. # S71 -!-S-4 7 -
MN
MN LICENSE #
Address: Tel. #
Attach to this application, a Certificate of Survey of the.
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width �7 Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft
DECK AREA: Length n Width Hgt/Ground Sq. Ft
OTHER: Qs-� e `I drAr? ,L/I ccv� -4q — e, o "'e c..VF
Construction Type: Estimated Cost: $ W15—is
Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ —=$
DATE: .S `3 0 -2-006 APPLICANT: 41 .r Tel. #
CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application
Permit Fee $ 63�S� Fee Schedule on Reverse Side
Fire Surcharge $ .001 of Permit Valuation (1/10th%)
State Surcharge $ /, 2 % $.50/$1,000 Valuation
SAC Charge $_$1 100 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 $ C� - ® 6
STIPULATIONS: