PRE 2010 DOCSVillage ®f Fridley, N mnn..
WELDING PERIM
No
231 Office of INSPECTOR OF BUMDMGS
Owner
Architect Fridley, Minn.,^ "±
Budde r.,�°a_-,
11,5-0 LOCATION OF BUILDING
No. Street° r4__ ' Part of Lot
Lot Block Addition or Sub -Division
4, ) CRIP'TION OF BUILDING
Front Depth Height 1' F' " Stories Manner of Construction—
To
onstruction
To be used
To be completed Estimated Cost
Permit" is hereby granted to :44.00 f '``a .T— to
the building's '' ' described in the above statement. This perms
upon the express condition that the pe on to whom it is granted, and his agents, employees and wor
the work done in, around and upon said building, or any part thereof, shall conform in all respects
nances of Fridley, Minn., regarding the construction, alteration, maintenance, repair and moving
within the city limits, and this permit may be revoked at any time upon violation of any of the provi
ordinances.
�.�—Inspector
AGREEMFM AND SWORN STATMMNT
In consideration of the issue and delivery to me by the Inspector of Buildings of
the above permit, I hereby agree to do the proposed work in accordance with the
above set forth and according to the provisions of the ordinances of Fridley, and, bein
sworn, I hereby state and say that the facts stated by me and contained in the ab 97
true as therein stated. .
s
Subscribed and sworn to before me at Fridley, Minnesota,
day o .. , .D. 19-21L.
City of Fridley
AT THE TOP OF THE TWINS
SUBJECT
BUILDING PERMIT
P
-C-16 713
r
p
• _____ COMMUNITY DEVELOPMENT DIV.
r 1 PROTECTIVE INSPECTION SEC.
1 i i CITY HALL FRIDLEY 55432
612-571-3450
NUMBER
910-F15
REV.
DATE
8/9 82
PAGE OF
APPROVED BY
JOB ADDRESS 1150 Mississippi Street N.E.
1 LEGAL
LOT NO.
BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR.
Pt. 10
Parcel 52 Aud. Sub. #88 SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Russell Burries 1150 Mississippi Street N.E.
3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO.
Barkley Construction 1111-24th Avenue N.E. 789-5633
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 Ek ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Cover Trim & new gutters with Aluminwm
9 CHANGE OF USE FROM TO
STIPULATIONS
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.
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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$2,700
$1.35
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMITFEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
S UC_ TION OR THE P FORMANCE OF CONSTRUCTION.
$38.50
PLAN CHECK FEE
TOTAL FEE
� ''
$39.85
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGE T (DATE)
WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
BLDG INSP D E
SIGNATURE OF OWNER OF OWNER BUILDER) IDtTE
1i
CITY OF FRIDLEY Effective Aug. 1, 1981
APPLICATIM FOR RESIDENTIAL BUILDING PER4ITS
(New, Alterations, Additions, or Repairs)
OWNER: '� 0
ADDRESS:
TEL NO:
BUILDER:
ADDRESS: /li/ u, A'V
TEL 140:
Construction Location
. STR1IIrT NO: STREET:
IAT:_ / b BLOCK: ADDITION: ,�, , 8P
Corner Lot: Inside Lot: 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: Depth: Height:
Square.Feet: Cubic Feet:
Front:
Depth: Height:
Square Feet: Cubic Feet:
Type of Construction: &VS4AL 46'r-( �� � Estimated Cost: $ 07 %. O
"
'!b Be Oonpleted: ��q
Alt. A Alt. B
Proposed Driveray Width If New Opening Is Desired: $ $
SEE REVERSE SIDE OF SHEET
Mie 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 Delwirtment of Buildings, and hereby declares that all the facts and
representations stated in this application are true and correct.
DATE: % SIGNATURE:
Stipulations:
,_3y'.6
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572--3604
Effective On August 1, 1995
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS i� iSS i
New Fixtures
Old Opening, New Fixture
Beer Dispenser
Blow Off Basin
Catch Basin
Rain Water fader
Sump/Receiving Tank
Water Treating Appliance
Water Heater -Electric
Water Heater - Gas**
Gas Range**
Gas Dryer**
Back Flow Preventer Required.( )Yes () No
Type
$ 7.00
$ 4.00
$ 5.00
$ 7.00
$ 7.00
$ 7.00
$ 7.00
$10.00
$ 7,00
$1040
$10.00
$10.00
$15.00
Reinspection Fee $42.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or -Appliance
State Surcharge
TOTAL FEE
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.
4 2`a i--- 11995
Owner 3 ro 5 %1% ro
Building Used As 140 "%- e
Estimated Cost .�_9 ® PERMIT NO. �Ji / f- -c '-Z
PLUMBING COMPANY /i/o n/ - r t
SIGNED BY Z'/ te�eag 2�4\,�_-- TEL N0. (�W,?_ .S71 —.-az/ /
Approved By Rough -in Date Final Date
.50
MIN UM FEFJOR ANY PLUMBING GAS PERMIT IS
$� ' PLUS THE 5.50 STATE SURCHARGE
**COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SQ INCHES.
M��
Wash
floor
Auto.
F
Gas
(isc, :_ Water Heater
Stoniest
Shower
Tra
k' .
`
Drain
Ir Washer
, lJrina!'#.
,,'
;_
;.. :
�r
Range
" Gas Ekrc
Basement
5 !
Floor i
FloA
or2
Floor 3
'.!+H :.
0 ! rM'I�'
1 401
t•
MEMO
{
'���;F:
�AY'.��'i
LLr hTlh l..
it�
4:P
PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS i� iSS i
New Fixtures
Old Opening, New Fixture
Beer Dispenser
Blow Off Basin
Catch Basin
Rain Water fader
Sump/Receiving Tank
Water Treating Appliance
Water Heater -Electric
Water Heater - Gas**
Gas Range**
Gas Dryer**
Back Flow Preventer Required.( )Yes () No
Type
$ 7.00
$ 4.00
$ 5.00
$ 7.00
$ 7.00
$ 7.00
$ 7.00
$10.00
$ 7,00
$1040
$10.00
$10.00
$15.00
Reinspection Fee $42.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or -Appliance
State Surcharge
TOTAL FEE
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.
4 2`a i--- 11995
Owner 3 ro 5 %1% ro
Building Used As 140 "%- e
Estimated Cost .�_9 ® PERMIT NO. �Ji / f- -c '-Z
PLUMBING COMPANY /i/o n/ - r t
SIGNED BY Z'/ te�eag 2�4\,�_-- TEL N0. (�W,?_ .S71 —.-az/ /
Approved By Rough -in Date Final Date
.50
MIN UM FEFJOR ANY PLUMBING GAS PERMIT IS
$� ' PLUS THE 5.50 STATE SURCHARGE
**COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SQ INCHES.
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572-36044
Effective On August 1, 1995
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
Tom - �d7 TWT I I
Floor '_Catch Auto. Gas}` I Gaa i sc :{ VidaDsr fifer !
IAleter Ba#h Wash
Stories Ck>set Urinal 'Tub Shower Sink . � Tray Fatah.:: Drain Basin ` .Washer I. Ran Fust . Gas Else
.Basement
Floor 1
Floor 2 r i
Floor 3
Floor 4 i
7771,
PLUMBING FIXTURE RATES:
0
• • - ' ,��, ' %rte/.�,ll'�►�i�iii�i�/A!`1��1�J
New Fixtures
S 7.OD
The undersigned hereby makes application for a permit for the work herein
Old Opening, New Fixture
$ 4.00
specified agreeing to do ail worts in strict accordance with the city codes
Beer Dispenser
$ 5.00
and rulings of the Building Division, and hereby declares that all the facts
Slow Off Basin
$ 7.00
and representations slated in this application are true andAor _�
Catch Basin
$ 7.00
Rain Water Leader
$ 7.00
Sump/Recsiving Tank
$ 7.00
Water Treating Appliance
$`10.00
Owner S 7.2 '
Water Heater —Electric
$ 7.00
Water Heater — Cas**
$10:00 �j�„�[,�
Building Used As _ %i�-e S/
Gas Range**
$10.00
Gas Dryer*
$10.00
Estimated cost PERMIT NO.�
Back Flow i'raventer Required ( )Yes () No
�
Type
$15.00
PLUMBING COMPANY„ d`�.L�...r,�`���c�O`-�'�
Reinspection Fee $42.001Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
State Surcharge 501
TOTAL FEE
SIGNED
Approved By
NO. S:j_-��
Rough- In Date Final Date
PLUS THE I.50 STATE 3JR!9HARGE
**COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SO INCHES.
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572-3604
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTALLM C)N FACH FI nnR
Effective On March 1, 1996
PLUMBING FIXTURE RATES:
NO.
RATE TOTAL
New Fixtures
$ 7.00 2 oer
`
Old Opening, New Fixture
_-)4
$ 4.00
Beer Dispenser
$ 5.00
Blow Off Basin
$ 7.00
Catch Basin
$ 7.00
Rain Water Leader
$ 7.00
Sump/Receiving Tank
$ 7.00
Water Treating Appliance
$10.00
Water Heater —Electric
$ 7.00
Water Heater — Gas**
$10.00
Gas Range**
$10.00
Gas Dryer**
$10.00
Back Flow Preventer Required ( )Yes
() No
Type
$15.00
Reinspection Fee $42.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
State Surcharge $ .50
JOB ADDRESS_ /'PS® VA ( S S I S S/ �p 1
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 '¢q-7"f11t C
To t y _) o '1996
5 7a -
Building Used As ® 04-e
Estimated Cosh ®(X� PERMIT NO. d /
PLUMBING COMPANY_ S 4FLF
SIGNED BY
Approved By
TEL NO. 9 8.5-0
Rough—In Date �7—/O_?bFinal Date
mu��mum rGCrr-Vrt ANT YLUMtfI1VU/
TOTAL FEE $,A.S PLUS THE $.5o STATE SURCHARGE
**COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SQ INCHES.
CITY OF FRIDLEY INSPECTION DIV,
6431 University Ave NE
Fridley, MN 55432
572-3604•
RATE SCHEDULE
Residential
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVIdES
Furnace Shell and Duct Work, Burner —
Also Replacement Furnace
(Side Vent — Fill Out Back)
Gas Piping (Needed with new furnace)
Gas Range
7C Gas Dryer
*Air Conditioning — All Sizes
/-All Others/Repairs & Alterations (LIST ON BACK)
1 % of Valu, of Appliance or Work
Commercial/Industrial
1.25% of Value of Appliance or Work
Effective On March 1, 1996
JOB ADDRESS //S`0 1/4 / S S 1 S S / PP 1 SA • I1 -
State Surcharge
TOTAL FEE
MINIMUM FEE FOR ANY HEATINVC/COOLINGNENTILATION
REFRIGERATION/AIR CONyDITIONI14G PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
Burner Trade Name Size No,
BTU HP EDR
HEATING COMPANY S CC F
Signed By a4&el No.
Approved By Rough—In Date �)Ot,Y Final Date i
FILL OUT BACK SIDE R STACK VERIFICATION ON
REPLACEMENT FURNACE
The undersigned hereby makes application for a permit for the work herein
Rate
TOTAL
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
$ 30.00
$
representations stated In this application are true and correct,
$ 10.00
$
0
'Xt?Ly 10.-
OWNER 5-7) - SQ0S O
$ 10.00
$
BUILDING USED AS
$10,00
$
/:�•yC�
ESTIMATED COST .2 00 PERMIT NO, `: C,°
$ 25.00
$
DESCRIPTIO OF FURNACE AN12 OR BURNER
$
UQ
No, of Heating Units f Circle One (Steam) (Mot Water) t7 Air)
Trade Name CA P-9) L72 Size No.
BTU HP EDR
$
Fuel 6 AS Total Connected Load
State Surcharge
TOTAL FEE
MINIMUM FEE FOR ANY HEATINVC/COOLINGNENTILATION
REFRIGERATION/AIR CONyDITIONI14G PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
Burner Trade Name Size No,
BTU HP EDR
HEATING COMPANY S CC F
Signed By a4&el No.
Approved By Rough—In Date �)Ot,Y Final Date i
FILL OUT BACK SIDE R STACK VERIFICATION ON
REPLACEMENT FURNACE
CHIMNEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack:
1. Has been carefully examined
Yes ()
No ( )
2. Is free from rust or deterioration
Yes ()
No ( )
3. Has no foreign objects lodged within
Yes ()
No ( )
4. Is securely supported
Yes ()
No ( )
5. Meets all current Code requirements for size
and total BTU's connected Yes () No ( )
6 Has total heating BTU's of
All other BTU's
TOTAL BTU's
7. Has a liner been provided for water heater Yes ( ) No ( )
8. Has combustion air been provided for water heater Yes ( ) No ( )
Remarks: .
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
SUBJECT
PE
City of Fridley
2434 7
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
_
REC_IPT NO.
• _ COMMUNITY DEVELOPMENT DIV.
it �;
r ; PROTECTIVE INSPECTION SEC.
1 � �
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
7/10/96
JOB ADDRESS 1150 Mississippi Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
Pt 10
Auditor's Sub. #88
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
John Bernardson 1150 Mississippi St NE
572-8850
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION l ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Interior alterations for new kitchen
9 CHANGE OF USE FROM TO
STIPULATIONS
See notations on plan.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SQ. FT
CU. FT
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
@
$7,000
$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-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTALFEE
$135.25
ATUFCONTRACT ORAUTHORIZED NT (DATE)
WHEN PROPE VA LI TED THIS IS YOUR PERMIT
BLJOG INSP
MATE
/XWTATURE OF OWNER11F OWNER BUILDERI IDATEI
NEW [ ] Effective 3/1/96
ADDN [ ] CITY OF FRIDLEY
ALTER P( SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
ConstructionAddress:1/J50
Legal Description:
Owner Name & Address: � D }�/�% A6/2 }ZJ j4 P, OS Tel. # 5 7;Z8�
Contractor: S 67� ! MN LICENSE #
Address: Sd /7-? E 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
Height
Sq. Ft.
GARAGE AREA: Length
Width
Height
Sq. Ft.
DECK AREA: Length
Width
Hgt/Ground
Sq. Ft.
OTHER: %L kT-0P.
PE M D Na %04 Nuc)
t 6(Y
Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback
Side Yard Setbacks
Type of Construction:
Estimated Cost: $ —7) 000,
Approx. Completion Date:
(Cost on
Back)
Driveway Curb Cut Width Needed: F. + Ft =
Ft x $ _ $
DATE: 7-/0-96 APPLICANT:
c .
� �-- Tel. # S 7 _ �U
CITY USE ONLY
Permit Fee $ lyl¢ 7$ Fee Schedule on Reverse Side
Fire Surcharge $ 7,00
State Surcharge $ -31.5-0
SAC Charge
$
License Surcharge
$
Driveway Escrow
$
Erosion Control
$
Park Fee
$
Sewer Main Charge $
TOTAL $ 1357-�6i
STIPULATIONS:
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$900 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 [ ]
hZ
7s
Q3
lz,
7� T-
VA
rry
CITY OF FRIDLEY INSPECTION DIV.
Effective On March 1, 1996
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING
SYSTEMS AND DEVICES
JOB ADDRESS 1�I��?"'
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 —
rulings of the Building Division, and hereby declares that all the facts and
Also Replacement Furnace $ 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
Gas Range $ 10.00
$
BUILDING USED AS
Gas Dryer $ 10.00
$
*Air
ESTIMATED COST . 7;Za0'-- PERMIT NO. '
Conditioning — All Sizes $ 25.00
$
All Others/Repairs & Alterations (LIST ON BACK)
DESCRIPTION OF FURNACE ANQ R BURNER
1% of Value of Appliance or Work
$
No. of Heating VnIts Circle One (Steam) (Hot Water) (Warm Air)
Commercial/Industrial
Trade Name au5^ Size No.'s
BTU
1.25% of Value of Appliance or Work
$
HP EDR
Fuel Total Connected Load
State SurchargeSO
�-�
Burner Trade Name Size No.
BTU HP EDR
TOTAL FEE
MINIMUM FEE FOR ANY HEATING-0QLING8NENTILATIONCp0.
HEATING COMPANY
REFRIGERATION/AIR CONDITIONING PERMIT IS $26.00
Signed By Tel No.��^
PLUS THE $ 50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr
Approved By Rough—in Date Final Date
*Air Conditioners can not be placed in a side yard without
FILL OUT BACK SID OR STACK VERIFICATION ON
written permission from adjoining property owner.
REPLACEMENT FURNACE
. CFHMNEY AND STACK VERITICATION.
The undersigned hereby verifies that the existing chimney or stack:
1. Has been carefully examined Yes ()
No ( )
2. Is free from rust or deterioration Yes ()
No ( )
3. Has no foreign objects lodged within Yes ()
No ( )
4. Is securely supported Yes ()
No ( )
5. Meets all current Code requirements for size
and total BTU's connected Yes () No ( )
6 Has total heating BTU's of
All other BTU's
TOTAL BTU's
7. Has a liner been provided for water heater Yes ( ) No ( )
8. Has combustion air been provided for water heater Yes ( ) No ( )
Remarks: .
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
SUBJECT
City of Fridley
2726
AT THE TOP OF THE TWINS
BUILDING P E R
M I T
�
T NO.
COMMUNITY DEVELOPMENT DIV.
I L PROTECTIVE INSPECTION SEC.
r
NUMBER
DATE
PAGE OF
APPROVED 91
CITY HALL FRIDLEV 55432
.__.11.' �•�
612-571-3450
910-F15
7REV
8 18 198
JOB ADDRESS
1150 Missisli i Street NE
T LEGAL LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DescR. t.of 10
Parcel 520
Auditor's R Subdivision #88
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
John Bernardson572-8850
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO.
Right Way Roofing-
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 L REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and garage (27 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
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 1 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
$2251
$1.12
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
$74.75
Fire C. $2.25
PLAN CHECK FEE
TOTA EE
(off
Licen 5.0
8 .12
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE
EIV P PER LIDAT HIIS j1U ERM
BLDG NSP
Qom% SATE
SIGNATURE OF OWNER OF OWNER BUILDER] IDATEI
NEV ' - [ l Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress:
Legal Description:
Owner Name & Address: �Oh.n P-ATIOGArChnn Tel. # 5aZ,- S%SO
Contractor: MN LICENSE # t)pG 3ggq
Address: l2(7 (� E . [ S�_ �� VY� , YY11'1. ��u Z� Tel. # S!S3-f QC(
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:
T rel f n &
I, Ow\.a1. fu R.frD'f_ 2
Construction Type:
Estimated Cost: $
(Fee Schedule on Back)
Driveway Curb Cut Width Needed:
Ft. + 6 Ft = Ft x $ _ $
DATE:
APPLICANT:
P-rt�1� Tel. #
CITY USE ONLY
Permit Fee
$
�
Fee Schedule on Reverse Side
Fire Surcharge
$
�- �S
.001 of Permit Valuation (1 / 10th %)
State Surcharge
$
% /
$.50/$1,000 Valuation
SAC Charge
$
$1000 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:
CITY OF FRIDLEY INSPECTION DIViSION Effective On May 10, 1999
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
Residential
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace
(Side Vent - Fill Out Back)
Gas Piping (Needed with new furnace,
but not replacement)
Gas Range
Gas Dryer
*Air Conditioning - All Sizes
All Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work
Commercial/Industrial
1.25% of Value of Appliance or Work
State Surcharge
TOTAL FEE
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $47.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner'.
Burner Trade Name Size No.
$ BTU HP EDR
,+C>z1 "/ c- STS N C 5,?9V-,5 Y
$ 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 an
$ .50 rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are'true and correct.
SUPERIOR CO"STA a�
6121 42nd Avonae No.
Crystel, Pain SE422
HEATI NCp/�
Signed
Approved By / Rough -In Date
DATE :S=//—®3
S4�
Final Date 811 00
JOB ADDRESS 11,5D Hi 55(5910#
V7—
OWNER �I �tf, Q A'i2AS�•y
Rate
TOTAL
DW
BUILDING USED AS L -if'e"
$ 30.00
$
ESTIMATED COST a' -200D
ll
PERMIT NO. -
O.$10.00
$10.00
$
DESCRIPTION OF FURNACE AND OR BURNER
$ 10.00
$
No. of Heating Units Circle One
(Steam) (Hot Water) (Warm Air)
$ 10.00
$
Trade Name
Size No.
$ 25.00
F
$0
BTU HP EDR
Fuel Total Connected Load
State Surcharge
TOTAL FEE
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $47.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner'.
Burner Trade Name Size No.
$ BTU HP EDR
,+C>z1 "/ c- STS N C 5,?9V-,5 Y
$ 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 an
$ .50 rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are'true and correct.
SUPERIOR CO"STA a�
6121 42nd Avonae No.
Crystel, Pain SE422
HEATI NCp/�
Signed
Approved By / Rough -In Date
DATE :S=//—®3
S4�
Final Date 811 00
6 Has total heating BTU's of
All other BTU's
TOTAL BTU's
7. Has a liner been provided for water heater Yes ( ) No ( )
8. Has combustion air been provided for water heater Yes ( ) No ( )
Remarks:
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
CHDJNEY AND STACK VERIFICATION
The
undersigned hereby verifies that the existing chimney
or stack:
1.
Has been carefully examined
Yes (
) No ( )
2.
Is free from rust or deterioration
Yes ()
No ( )
3.
Has no foreign objects lodged within
Yes ()
No ( )
4.
Is securely supported
Yes (
) No ( )
5.
Meets all current Code requirements for size
and total BTU's connected
Yes ()
No ( )
6 Has total heating BTU's of
All other BTU's
TOTAL BTU's
7. Has a liner been provided for water heater Yes ( ) No ( )
8. Has combustion air been provided for water heater Yes ( ) No ( )
Remarks:
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
CIiYOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287
August 9, 2000
John Bernardson
1150 Mississippi St NE
Fridley, MN 55432
Re: Final Inspection at 1150 Mississippi St NE
Contractor: Superior Contractors, Inc.
Dear Mr. Bernardson:
A mechanical permit was issued on May 11, 2000 for the property located at
1150 Mississippi St NE for an air conditioning unit. According to Section 305(a) of
the 1991 Uniform Mechanical Code a final inspection shall be performed on the
mechanical system. As of this date no inspection has been called for.
You will be given thirty (30) days from receipt of this notice to respond. If we do
not hear from you, we will expire the permit and any inspections on this
installation will require a new permit.
Any questions can be addressed to myself at (763) 572-3603.
Sincerely,
DAVESEN
Buildi nspector
SUBJECT
City of Fridley3987
r/'-3
AT THE TOP OF THE TWINS
BUILDING
P E R M I T
r
`
NO.
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
r E
I � �
NUMBER
REv
DATE
PAGE OF
APPROVED By
CITY HALL FRIDLEY 55432
'
L 763-571-3450
910415
10/22/03
JOB ADDRESS 1150 Mississippi Street NE
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
Pt 10
1
1 Auditor's Subdivision #88 SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
John Bernardson 1150 Mississippi Street NE 763-572-8850
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Standard Construction Services 595 N Snelling Ave, St Paul, MN 55104 651-554-0388
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
20319453
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW O ADDITION .0 ALTERATION O REPAIR O MOVE O REMOVE
B DESCRIBE WORK
Kitchen & Bath Remodel
9 CHANGE OF USE FROM
TO
STIPULATIONS
See notations on plan.
R REBATE PERNl�iS
QUIRED FRIOR:
PLUMBINd AND SIR 3
1
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
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
@
$12.50
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$25 ,000
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.
Fire SC $25.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
$391.25
PLAN CHECK FEE
TOTALFEE
e e SC $5.00
1 $433.75
SIGNATUREOFCON'RACTOAORAUTHORIZED AGENT IDATEI
VVHEN PROPERLY VALIDATED THIS IS R PERM T
V
r'yYO
, j -)qJA, bl�� , V
L G INSP FIAtE
S-GNATURE OF OWNERof OWNE. IDATE,
NEW (] CITY OF FRIDLEY Effective 1/1/2003
ADDN (] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
6' :ce
Construction Address: U
Legal Description: S i - d
Owner Name & Address: IY�IAI'���%^d Tel. #
Contractor. o,Arrs (' cTrc..c-1 e14�: j -rtJ3 GL `� MN LICENSE #= r 4
Address: 45;-'
AA S�Ce) L/ Tel. # &131
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:
Construction Type:
c c - f b : Estimated Cost: $
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x
DATE: //)--I�- 0'5 APPLICANT: A&F\ L-1 k
ova, C-6 r< Tel.
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
$ - t Fee Schedule on Reverse Side
$ a j , .001 of Permit Valuation (1/10th%)
$ $.50/$1,000 Valuation
$ $1275 per SAC Unit
$ 00 $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 [ ]
TY OF FRIDLEY INSPECTION DIV.
31 University Ave NE
Idley. MN 55432
33) 572-3Gnd FAX n831671-1287
c
m
a
�D
D1
t0
N
v
""Now
Effective On Jan 1. 2003 0
r+
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
ru.� ti/,C�-r �%
m Reinspection Fee $47.00Mr SIGNED BY r. -!-� _� TEL N0.
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5°!0 of Value of Fixture or Appliance v ,U�
Approved Byy�Rough-ln Date �f%— ' v&al Date
State Svrctsup S ,50
i MINIMUM FEE FOR A Y PLUMBINGIGAS PERMIT 18 IM
TOTAL FEE PLUS THE X80 STATE SURCHARGE
0
COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 0-A. COMMON VENT INFO ON BACK SIDE
A
lu
CC
M
M
CC
0
Ln
m
4h
u1
0
t0
m
c - �
LUMBING FIXTURE RATES: NO.
RATE TOTAL
JOB ADDRESS /
ew Fixtures
$ 7.00
The undersigned hereby makes application far a permit for the work herein
Nd Opening, New Fixture
$ 4.00
specified agreeing to do all work in strict accordance with the city codes
•eer Dispenser
$ 5.00
and rulings of the Building Division, and hereby declares that all the facts
;low On Basin
$ 7.00
and representations stated in this application are true and correct.
:etch Basin
$ 7.00
�Q . 20 _j
lain Water Leader
$ 7.00
$ 7.00
iurnp/Receiving Tank
r
�� ►'� ��✓ h0.rcis 0-1--,
VaterTreatingAppliance
$10,00
Owner
U, Nater Heater -Electric
$ 7.00
} lister Neater - Gas"
$10.00
Building Used As
.�. 323 Range"
u was Dryer"
$10.00 /Ur ��l
$10.00
Estimated Cost PERMIT NO. j
10,
Sack Flow P[eventer Required ()Yes No
/ tj
l
TYPe
$15.00
PLUMBING COMPANY (
ru.� ti/,C�-r �%
m Reinspection Fee $47.00Mr SIGNED BY r. -!-� _� TEL N0.
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5°!0 of Value of Fixture or Appliance v ,U�
Approved Byy�Rough-ln Date �f%— ' v&al Date
State Svrctsup S ,50
i MINIMUM FEE FOR A Y PLUMBINGIGAS PERMIT 18 IM
TOTAL FEE PLUS THE X80 STATE SURCHARGE
0
COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 0-A. COMMON VENT INFO ON BACK SIDE
A
lu
CC
M
M
CC
0
Ln
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4h
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t0
m
Building MECHANICAL Permit No. -00
Inspections RESIDENTIAL APPLICATION Received B .
763-572-3604 C CITY OF FRIDLEY Da 'cRP %20
763-502-4977 FAX EFFECTIVE 2-19-09
DATE SETfY'; aS , o� pUq YOUR E-MAIL�ADDRESS
SITE ADDRESS ` M i 1 5� ,V
THIS APPLICANT IS: ❑ OWNER CONTRACTOR
PROPERTY NAME: O rl
++G[
OWNER/ ADDRESS: ��St� (Y1t�S\SS1�1 S�'VDCITY rr1CA STATEMNZIP��
TENANT PHONE:-7(.o'6"S� oZ • $$S O
CONTRACTOR COMPANY NAME: CENTERPOINT ENERGY
SUBMIT A COPY OF CONTACT PERSON: JOANN ZINKEN
YOUR STATE STATE LICENSE # BOND 22013346 EXP DATE -
LICENSE WITH ADDRESs:9320 EVERGREEN BLVD NW SUITE B cITYC00N RAPIDS STATE MN ZIP 55433
APPLICATION PHONE 763-757-6202 FAX 763-757-6701
PERMIT TYPE )C SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK: ❑ NEW PLACEMENT ❑ ALTERATION/REMODEL
DETAILED DESCRIPTION OF WORK
FEES ARE BASED ON $10.00 PER FIXTURE XCEPT WHERE NOTED. FIXTURES: INDICATE TOTAL NUMBER OF EACH BELOW)
Equipment Installed MFG: rr i er MODEL: S myc ogd SIZE/BT U _1106,Q�
MFG: MODEL: SIZEIBTU
MFG: MODEL: SIZE/BTU
A/C $25.00 _FIREPLACE (GAS) $15.00 _GAS RANGE/OVEN $10.00
AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00
_BOILER $35.00 TFURNACE $35.00 _GAS UNIT HTR $10.00
CHIMNEY LINER $10.00 _GAS DRYER $10.00 _POOL HEATER $35.00
_DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00
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 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; that the work will be in accordance with the
approved plan in the case all work Which r uirereview and approval of plans.
SIGNATURE OF APPLICAPT-I' �' 0 PRINT NAME ROGER HOFFHEI N DATE 9 o2
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604 FAX: 763-502-4977