PRE 2010 DOCSR -
City of Fridley, Mian.
BUILDING PERMIT
Date:
Owner: ,� Builder
Address Of Address
L CATIO F BUILDING
r
No. Street _- — Part of .Lot
Lot _ Block — _ T ddition or Sub -Division
Corner Lot — Inside Lot Setback % _yet—_.___._._ Sideyard
Sewer Elevation - Foundation Elevation
DESCRIPTION OF BUILDING
To Used
.deFront � Depth Height .10 Sq. Ft ZOLU-0 Cu. Ft ,4&O'
Front _ Depth _ H ' t— _. Sq. Ft Cu. Ft
Type of Construction ��'�'�.—`, " • Est. Cost_~ 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 and in compliance with all provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of $A ,w , permit is hereby granted to
to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
within the city limits and this permit may be revoked at any time upon violation Rf any of the provisions of said
ordinances. .,rs -t / 8
NOTICE:
This permit does not cover the construction, Installation for wiring, plumbing, gas heating, sewer or water. Be sure to see
the Building Inspector for separate permits for these items
OfW4
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
Owner's Name Builder
Address Address
LOCATION OF BUILDING
No. l� ��/ Street Part of Lot
Lot / Block Addition or, Subdivision 4W
Corner Lot Inside Lot Setback -f�L Side -Yard /®
SEWER EIZVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
To be used as:
DESCRIPTION OF BUILDING
Height
Sq. Ft. Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
Type of ConstructionEstimated Cost
To be Completed
The undersigned hereby makes application for a permit for the work herein specified,
agreeing to do all work in strict accordance with the City 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 SIGNATURE ✓ - .-
(A Schedule of Fee Costs can be found on the Reverse Side.)
�0
Application for Power Plants and' Heating, Cooling, Ventilation, RefrIgo ation and
Air Conditioning System and Devices �o
_ j
TTII MIA -1.
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 $
Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ 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 $
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 $ 5.00
GAS FITTING FEES:
NO RATE TOTAL
1st 3 Fixtures .......... ...........
x $1.50
$ 195
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=
$ 14•x30
ROUGH
FINAL
Dept. of Bldgs. Phone SU. 4-7170
Location 6861 Oakley Drive
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, NLinn_ 3-1-61 , 19
Owner _Paul Sohyarts Coo.atrtiotion Co.
Kind of Building Fr •
Used as Rea
To be completed about 4-1-61
Estimated Cost, $ 450-0-00
Old—New. Building Permit No. Permit
DESCRIPTION OF WORK ) s
HEATING or POWER. PLANTS—.Steam, Hot Water, Warm Air—No I
Trade Name Westinghouse Size No GU&100
Capacity. Sq. Ft. E.D.R BTU limy H.P.
Total Connected Load 45, 631 Kind of FueL Gab
BURNER — Trade Name Size No
Capacity. Sq. Ft. E.D.R. BTU H.P.
(REMARKS—OVER)
Signed
By FRED VOGT & Co.
.4R-42 2M 7-59 Business PIfdilihTMG & AIR CONDITIONING
6530 West lake St. . WE. 9-6767
St, lama Park, Minnesota
City of Fridley, Minn.
BUILDING PERMIT NA s 2
Date:
Owner: Builder
Address Address
ZZ B ILDING
No. street �, Part of t
Lot,
, Block Addition or Sub -Division
Corner Lot — Inside Lot Aeetfo .-Wbaclk Sideyard P
Sewer Me`bation F04 ation Elevation
DESCRIPTION OF BUILDING
To as:
Front , Depth Height Sq. Ft. Cu. Ft. 4
Fr t Depth Height Sq. Ft. Cu. Ft.
Type of Construction'6d, _ _. Est. Cost �p� o 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 in compliance with all provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of - , permit is hereby grantedif
to
to construct the building or addition as described above. This t is granted upon
thei
xpress condition that the person to whom it is granted asci his agents, employees an workmen, in all work
donin, around and upon said building, or any �art�thereof, shall conform in all respects to the ordinances oP
ey, Minnesota reg ng location, construction, alteration, maintenance, repair asci moving of buildings
within the city ]units and this permit may be revoked at any time upviolation of any, of the Provisions of said
ordinances.
Building Inspector
NOTICE:
'Ibis permit doss not cover the conatrncHoo, butaMon for wbiag, pbmmbimg, gn fig, sewer or water. Be sura to as
the Building kapeeter for coparde permit for these Nems.
Owner's
Address 9 ri�
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
LOCATION OF BUILDING
S
No. I l street Part of Lot 1
Lot Block Addition or Subdivisio
Corner Lot Inside Lot Setback Side -Yard
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and
proposed building location.
DESCRIPTION OF BUILDING
To be used as:
Front 0 ® Depth - �— Height
Sq. Ft. ® Cu. Ft. yc,---
FrontDepth Height
Sq. Ft. Cu. Ft.
Type of Construction ' Estimated Cost �3
To be Completed C�
The undersigned hereby makes application for a permit for the work
herein specified, agreeing to do all work in strict accordance with
the City of Fridley Ordinances and ruling of the Department of Build-
ings, and hereby declares that all the facts and representations
stated in this application are true and correct.
DATE / / OR ')- — 6 -� SIGNATURE
(Schedule of Fee Costs can be found on the Reverse Side).
r � R
City of Fridley, Minn.
BUILDING PERMIT
Date: — May 16, 1967
Owner: u Larry Oman
Address 110 61st Ave. N.E .
Builder
Address
Leonard Dailey
N9 9243
8251 East River Road
LOCATION OF BUILDING
No. 6861 Street .— Oak&ey St. N.E . Part of Lot
Lot _ _ 19.._.___ Block 2 -- Addition or Sub -Division __ Brookview Terrace 2nd
Corner Lot —_ Inside Lot — x Setback Sideyard
Sewer Elevation Foundation Elevation
Over existing Basement DESCRIPTION OF BUILDING
To be Used as:
Dwellin& Front _ 44' Depth ._._24Height 12' Sq. Ft. 1100 Cu. Ft. 23,200
Garage Front 20'
Depth 22' Height 10' Sq. Ft. Cu. Ft.
Frame $12,000 Aug. 15 1967
Type of Construction —.. Est. Cost _._. ..�....__ __ 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 in compliance with provisions of
ordinances of the city of Fridley. � _ ( x2 _ / � %//
In consideration of the payment of a fee of $ 28.00 , permit is hereby granted t, Leonard
Dailey to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
CLARENCE BELISLE Building Boor
NOTICE:
This permit does not cover the construction, Installation for whine, plumbing, gas heating, sewer or water. Be sure to no
the Building Inspector for separate permits for these items.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME �fi���. BUILDER - ��
ADDRESS ,® /D / .� /iLci?, �IADDRESS
LOCATION OF BUILDING
NO. 61 —STREET -06– PART OF LOT
LOT //9 BLOCK 2 ADDITION OR SUBDIVISIOZ�� -
CORNER LOT INSIDE LOT SETBACK SIDE -YARD
SEWER ELEVATION TOP OFFOOTING
Applicant attach to this form,two certificates of survey of lot and proposed
building location drawn on these two certificates.
To be Used as:
DESCIPTION OF BUILDING
Front /%`r Depth
Height
Sq. Ft . 1 //BI Cu. Ft.
v
�cr, Front e Depth ° Height le,
j Sq. Ft. Cu. Ft.
Type of Constructions ������ Estimated Cost_/�?
To Be Completed
The undersigned hereby makes application for a permit for the work herein specified,
agreeing to do all work in strict accordance with the City of Fridley Ordinances
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and correct.
DATE An c SIGNATURE
(Schedule of Fee Costs can be found on the Reverse Side).
r
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City of Fridley
Application for Plumbing and Gas Ruing Pentdt
Dept. of Bldgs. Phone 560-3450
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures
I
NO. RATE TO JP
Number Fixtures ............ . .........
x $2.00 $
Future Fixture Opening ................
x $1.50 $
New Fixture Old Opening ..............
o�
a
8�
S
<3
(�yG
�§
0
�O
F
N
WATER HTR.
GAS
ELEc.
Base
% x $2.00 $ a?
Additional Fixtures ....................
x $ .75 $
Gas Range to 199,000 BTU ..............
x $5.00 $
1st
J
2nd
3rd
4th
• Future Connection Openings
New Fixture, Old Openings I
Connected with
Sewer
Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO. RATE TO JP
Number Fixtures ............ . .........
x $2.00 $
Future Fixture Opening ................
x $1.50 $
New Fixture Old Opening ..............
x $1.50 $
a
?" Catch Basin ............................
x $3.25 $0
Water -Heater (Up to 99,000 BTU) ......
O
x $3.00 $
New Ground Run Old Bldg. ............
x $3.25 $
Electric Water Heater
a $2.00 $
GAS FITTING FEES:
NO. RATE TOTAAL�
1st 3 Fixtures ..........................
% x $2.00 $ a?
Additional Fixtures ....................
x $ .75 $
Gas Range to 199,000 BTU ..............
x $5.00 $
REPAIRS & ALTERATIONS—Refer to Code
Description ......... $ /'
TOTAL FEE $�
City of Fridley:
05
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 application are true and correct.
Fridley, Minn _, 19662
Owner C- -W'!e �
Kind of
Used as
To be completed about
Estimated Cost, $
Oldew. uilding Permit No 2 Permit No. 4M U
Signed --
By�
Business Phone No
ROUGH
FINAL
42
U'
Application ftr Power Plunft and Ham Aga Cceling, VenFalaftim, e-jr1 o ®n and
Ace' Conditioning 5ystoms and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARD AIR:
Furnace Shell & Duct Work ..........................
Replacement of Furnace .............................
Repairs & Alterations—up to $500.00 ..................
Repairs & Alterations each add. $500.00 ...............
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............
each add. 60,000 BTU .......................
Replacement of Furnace .............................
Repairs & Alterations—up to $500.00 .................
Repairs & AIterations each add. $500.00 ..............
STEAM or HOT WATER SYSTEM
RATE TOTAL
$
410.C.0
ffs& $
6,00
$
6.00
la $
3.00
$
$10.00
3.00
$
6,00
Rfa $
6.00
ick $
3.00
Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $ $10.00
• Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... $ 1.0000
Each add. 200 sq. ft. EDR Steam ...................... $ 3000
Each add. 320 sq. ft. EDR Hot Water .................. $ 3000
OIL BURNER—to 3 gal. per hour ......... .............. $ 6.00
over 3 gal. per hour- fee Fee Schedule
GAS BUBURNER (u 199 000p to BTU) 5.00 $
GAS FITTING fiH: 199.s000 BTU NO RATE TOTAL
1st 3 Fixtures x $ $ $2.00
Additional Fixtures� 0........ x $ 75
Gas Range to " ............ x 2.00 $ $5000
AIR CONDITIONING
FAN HEATING SYSTEM
VENTILATING SYSTEM
ALTERATIONS & REPAIRS
ROUGH
FINAL
$
See Fee Schedule
TOTAL FEE $ 00
Dept. of Bldga. Phone 560-3450
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.
Owner
Kind of
Used as
To be completed about
Estima Cost,
Old e . Building Permit No. � Permit N
DESCRIPTION OF WORK
HEATING or PO NTS—Steam, Hot Water, Warm Air—No.
Trade Name � Size No f��
Capacity Sq. Ft. E.D.R BTU _ H.P.
Total Connected Load -36- _!�r 0_ C Kind of Fuel-
BURNER
ue BURNER — Trade Name Size No
Capacity Sq. Ft. E.D.R BTU — H.P.
(REMARKS-OVERI
Signe
�y 24119 CENTEL DRIVE
.< ,z Burin IIs one oII�EAP(IIS, MINNESOTA 55432
HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS
Weatherstrips A Guide Construction No. II
Windows Doors Reference I Out. Wall Int. Wap Ceiling I Roof I Floor
Yes—No I Y�—I o 19-
1
9o L-1 I o--_• ( ___.L Ot
Wi Bows and Doors—Crackage and Area
--Z--
l
Width Height No. of Lineal fL Area
No. or pane of pane lights or crack sq* rt.
. 97.0Zf
�L
10 t
L .
Coef.
Btu
Infiltration E
Infiltration
/1r,?v,
Glass
3
-?Q'3
Exp. wall 7
Exp. wall
i)
Net exp. wall
`O
0 /
Int. wall
Int. wall
Ceiling
Ceiling
1
Floor
Floor
Total Btu.
Kequfred sq. tL L.U.1L or sq. me. W.A. Leader area 1
I rm 1 0_ _ 1 I ---.IL WF!-I.r , — 1—[r -L.
...1 -
.—I --a— f ........
e,� .....p...
Windows and Doors—Crackage and Area
�L
Width Height No. of Lineal CL Area
No. of pane of pane lights of crack sq. fL
L .
Coef.1 Btu
Coef.1
Coef. Btu
Infiltration
Coef. Btu
Infiltration
3
/7,0
Glass
Exp. wall
i)
Exp. wall
90 ir
0
Net exp. wall
Int. wall
Int. wall
Ceiling
Floor
Ceiling
1
Total Btu.
Required sq. ft. E.D.R. or sq. ins. WJL Leader area
j FI_I R.. I [math ) /) Width % A Heiaht
Windows an
5;;n—Crackage and Area
Width Height No. of Lineal fL Area
No. of pane of pane lights of crack sq. ft.
Width Height No. of Lineal ft. Area
No6 of pans of pane lights of crack sq. fL
56 I G L 7.
Icy®
Coef.1 Btu
Coef.1
Coef. Btu
Infiltration
.
9) r?
Glace
/7,0
41d 4
Exp. wall
i)
Floor
Net exp. waU
0
Int. wall
Int. wall
Ceding
Ceiling
00
d 6'
Floor
Tbtal Btu.
Reauired so. ft. E.D.R. or sa. ins. W.A. Leader area
5TSAW—
VILLAGE OF BLAINE
Insulation
Kind I How Applied
"nath % ),,Width X Height
Windows -akin-JI-41 i -rackage and Area
--- ---
Width Height No. of Lineal fL Area
No. of pane of pane lights of crack sq. ft.
Width Height No. of Lineal IL Area
Na of pane of.pane lights or crack Ma. fL
>3 m
Icy®
Coef.1 Btu
Coef.1
Btu
Infiltration ?i
-20
9) r?
Glass
Net ev. waq
Int. wall
d
Fap. wall .44
1
Floor
Net exp. waq
0
Int. wall
Int. wall
Ceding
Ceiling
Floor
C)
Floor
Total Btu. IT
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
rw A 1 7)n--- 1 I -_—L J am, 11/:J.L / LJ_: -L.
■ ..1 4 J --
Windows and Doors—Crackage and Area
--- ---
Width Height No. of Lineal fL Area
No. of pane of pane lights of crack sq. ft.
3•
IAS"
Icy®
Coef.1 Btu
Infiltration
Infiltration
Glaze
: �
Exp. wall
.�
Net ev. waq
Int. wall
d
Ceiling
/0 0
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
i i•1_ Renin I "north & �- Width Height
Windows an& Doors—Crackage and Ana
Width Height No. of Lineal ft. Area
No. of pane of -pans lights ' of crack eq. fL
IAS"
Icy®
Coef. Btu
Infiltration
: �
Glass
.�
t
Exp. wall
Net exp. wall
v AM
Int. wall
Ceding
/O
Floor
Total. Btu. 00
Required sq. ft. E.D.R. or sq. iris. WA. Leader area
BROOKLYN PRINTING 6 ADV. CO.
Cit of Fridle
y y
SUBJECT
PE
®R 13094
AT THE TOP OF THE TWINS
BUILDING PERMIT
'
r
�
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
612-560-3450
RECEIPT
/
NUMBER
910-F15
REV.
DATE
7-17-75
PAGE OF
APPROVED BY
JOB ADDRESS 6861 OAKLEY DRIVE N.E. FRIDLEY MINNESOTA
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
19
2 1
BROOKVIEW TERRACE 2ND ADDITION SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
FRED KUNZE, 6861 OAKELY DRIVE N.E., FRIDLEY, MINNESOTA
3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO.
WESTLUND BROTHERS CONSTRUCTION 1823 SKY HIGH DRIVE NEW BRIGHTON
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
RESIDENCE
7 CLASS OF WORK
❑ NEW EkX ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK .
CONSTRUCT FAMILY ROOM 2014" x 16 x 8
9 CHANGEOFUSEFROM TO
STIPULATIONS
�� R�{iA1TS REQ UIRE� VOR SIRING.
S . SACI pN� SIGNS-
�> A� WARNING
Before' digging call local utilities
TELEPHONE-'ELECTRIC-GAS Etc.
REQUIRED BY LAW
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
FRAME
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
ZONING
SO. FT.
CU. FT.
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
R-1
320
3,840
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
ISTALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED.
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
VALUATION
$7,250
SURTAX
$3.63
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PERMIT FEE
$25.11
SAC CHA GE
LAN CHECK FEE
TOTALFEE
28.74
IGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
tj WHEN PROPERLY T IS IS YOUR PERMIT
JULY 17, 1975
BLDG. INSP DATE
SIGNATURE OF OWNER (IF OWNER BUILDERI (DATE)
�Gi ' `IV •
,4
' APPLICATION FOR RESI'DE'NTIAL., ALTERATION,
OR ADDITION.BUILDING PERMIT
CITY OF FRIDLEY,-htINNESOTA
OWNER'S NAME u IV7 F— BUILDER: 22 d -
ADDRESS • ADDRESS : 3 sey j 'ice
140:. x6r I STREET:— L Fc-
LOT:
c-LOT: BLOCK : '2— ADDITION: &q U 12 Lj
CORNER LOT: INSIDE LOT: SETBACK: _ SIDEYARD:
Applicant attach to this form, Two Certificates. ?f Surve of L-ot and .proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As : FA•Nt l 4®t%iliti
o
2- 6-- 4- rr Front • /6 , Depth : Height
Square Feet:—_3 Cubic . Feet : g d
• Front: Depth: Height-
Square Feet; Cubic Feet':
Type of Construction: ism f2� Estimated Cost: 0 1)
To Be Completed: 3 M cJ
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.
•L
DATE: � � �% � � �� SIGNATURE: •
•
• (See Reverse Side For Additional Information.)'
�a7o.� �.uv 4�5� r• �.�3 •
��
Land Plonnl'179 370 MVs i7
Iss, ptStNE.
lond Surveying hfinlwujv!ls A
Soils Te 5 h;�q ENGINEERING,'INC. Affimscla
cli'l/ Fr tiJunicpol
Eay�,eenhy
Enyineers Surveyors
t tj r,
ceat I Siciate of- 5 'O.Z r
z
/hereby cerhiry that n is a free cnd eorred -ep,-e5EnWion era survey 47he hwala,;es jr,*c aboye, &scf4ed Aand, orad
kcqAvo craw' tv,:Idjs , lr,5!Mcr, , 4,VOI1),fs 31e e1,,:Icqchme,71S T,rfn or *7 so;d land Rs Sur Vey ed yme ffiw.; day
A.O.an 12LL).
SUB U12BIW LNGINEERING, INC.
-crqr',Teers E-
yorY
Cck e—, i z
z
/hereby cerhiry that n is a free cnd eorred -ep,-e5EnWion era survey 47he hwala,;es jr,*c aboye, &scf4ed Aand, orad
kcqAvo craw' tv,:Idjs , lr,5!Mcr, , 4,VOI1),fs 31e e1,,:Icqchme,71S T,rfn or *7 so;d land Rs Sur Vey ed yme ffiw.; day
A.O.an 12LL).
SUB U12BIW LNGINEERING, INC.
-crqr',Teers E-
yorY
2�,� �l
��d
CITY OF FRIDLEY
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND
AIR CONDITIONING SYSTEMS AND DEVICES
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR:
. __..ace' S ell & Duct work
Reclace .ant of 1 srrace
Repairs & Alterations -up to $500.00
Repairs & Alterations each add. $500.00
MECHANICAL WARM AIR:
Furnace Shell & Duct Work to 100,000 BTL'
each add. 50,C00 BTU
Rea'acenent of Furnace
Repairs & Alterations -up to $500.00
Re:airs & Alterations each add. $500.00
STEa\! OR POT ti' AIT i:R SYS T LL%I :
RATE TOTAL Job Address � [�
$12.00 $
7.00 $
7.00 $ Department of Buildings
4.00 $ City of Fridley
Tel. #571-3450
The undersigned hereby makes application for a permit for the work herein
$12.00 $ specified agreeing to do all work in strict accordance with the City Codes
4.00 $ and rulings of the Department of Buildings, and hereby declares that all the
7.00 $ facts and representations stated in this application are true and correct.
7.00 $
4.00 $ Fridley, Minn. 6-16 , 19
OWNER T/ &-/-1 k C % & -;Z— e,
Boiler &Lines up to 100,000 BTU
$12.00
$
eazh ad..... 50, OCO BT..
4.00
$
Boiler only up to 100,000 BTU
7.00
$
each addn. 50,000 BTU
6.00
$
OIL BURNER- to 3 gal. per hour
$10.00
$
each add. 3 gal. per hour
10.00
$
GAS BURNER- from 100,000 BTU to 199,999
BTU $10.00
$
(over 199,99: BT:; see Fee Schedule)
$
GAS FITTING FEES:
1st 3 Fixtures
x $ 3.00
$
Additional Fixtures
x $ 1.00
$
Gas Range to 199,000 BTU
x $10.00
$
AIR CONDIT10NING
$ /01®®
FAN HEATING SYSTEMS See Fee Schedule
$
VENTILATING SYSTEMS
$
ALTERATIONS $ REPAIRS )
$
- State
Surcharge
$ .50
TOTAL FEE
$/YV
ROUGH INSP.
FINAL INSP.
Date
UPROVAL FOR PERMIT s�
REINSPECTION FEE
($10.00)
MI%IS:UM FEE FOR ANY HEATING PER'AIT IS $7.50
KIND OF
USED AS
TO BE COMPLETED ABOUT G _' --f
ESTIMATED COST • /%
OLD - NEW BUILDING PERMIT NO. PERMIT NO. /
DESCRIPTION OF FURNACE/BURNER
HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No.
Trade Name
Size No.
Capacity Sq. Ft. EDR BTU HP
Total Connected Load Kind of Fuel
BURNER - Trade Name Size No.
Capacity Sq. Ft. EDR BTU HP
company _34�
�i
s 6
Tel. X L
y i
SUBJECT
PERMIT
City of Fridley
948,
AT THE TOP OF THE TWINS
BUILDING PERMIT
RECE O.
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
r
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
6/30/93
JOB ADDRESS 6861 Oakley Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
19
2
Brockview Terrace 2nd SHEET
2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE
Wasgl Barysch 6861 Oakley Street NE 574-7489
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
D & D Home Improvement 7401 Central Avenue NE, Fridley 55432 .784--7543 4840
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 � REPAIR ❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Reroof House (18 Squares) 2nd Layer
9 CHANGEOFUSEFROM TO
STIPULATIONS
Underlayment must comply with.the. State Building Code. Provide adequate
attic ventilation, Install smoke detectors as per UB.0 1210, adjacent to all sleeping
areas and in basement,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
ZONING
SQ. FT.
CU. FT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
NO. DWLG. UNITS
OFFSTREET PARKING
ANY TIME AFTER WORK IS COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS GARAGES
VALUATION
SURTAX
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$972
$.50
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
PERMIT FEE
SAC CHARGE
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISI OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$25.00
Fire SC $.97
STRUC ION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
®�
License SC $5.00
$31.47
SIGNATURE OFC CTOR OR AU ZED AGENT (DATE$
PEjERRMMIIT
WH PE VALIDATED THIS IS YOUR PERMIT
_ �V `3
BLDG iNSP DATE
SIGNATURE OF OWNER (IF OWNER BUILDER$ (DATE$
NEW ]
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUP EXES R-1 AND R-2
Building Permit Application
� J
_4 i �.� —
Effective 5/26193
Legal Description:
Owner Name & Address:Tel. #�
Contractor: D & D Home Improvement, Inc. MN LICENSE # 4840
Address: 7401 Central Avenue N.E., Fridley, MN 55432 Tel. # 784-7543
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF 11"ROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length - Width Hgt/Cnound Sq. Ft.
Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks
Type of Construction: �ele- _ Estimated Cost: $ e?%c;2-,
Approx. Completion Date:
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
I
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$750 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
Conservation Plan Review $450.00
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ j
TOTAL $ `° STIPULATIONS:
SUBJECT
PERMIT NO.
City of Fridley
-
24127
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
NO.
` COMMUNITY DEVELOPMENT DIV.
L__ _
PROTECTIVE INSPECTION SEC
r
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED By
612-571-3450
9t0-Ft5
4/30/96
JOB ADDRESS 6861 Oakley Street NE
I LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
19
2
I Brookview Terrace 2nd
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Wasyl Bar sch 6861 Oakley Street NE
574-7489
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
D & D Home Improvement 7401 Central Ave NE Fridley
55432 784-7543 4840
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 O ALTERATION REPAIR ❑ MOVE ❑ REMOVE
g
8 DESCRIBE WORK
Reroof Garage (7 S 2nd Layer
9 CHANGE OF USE FROM TO
STIPULATIONS
Roofing can be the 2nd layer but not the 3rd.
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
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
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
$420
$.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
PROVISION OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$ 21.00
Fire $.42
STRUCTI N R THE PER RMANCE OF CONSTRUCTION.
.5�.'
PLAN CHECK FEE
TOTAL FEE
License SC
$5.00
$26.92
Si ATURE OF CONTRACTOR OR AUTHORIZED AGENT ATEi
W�pHE�N�P/ROP
LY_VALIDATED THIS IS YOUR PERM
mil ��
81,bG INSP
DATE
S,GNATURE OF OWNERIIF OWNER BUILDERI IDATEI
NEW Il
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
ConstructionAddress:
Legal Description:
Owner Name & Address:%fJcJ�i �i�¢j
Contractor: D & D Home Improvement, Inc
Address: 7401 Central Avenue NE, Fridley, DIN 5543
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Effective 3/1/96
A-11
Tel. # J Z!54—Z�4
MN LICENSE # 4 8 4 0
2 Tel. # 784-7543
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length Width Hgt/Ground Sq. Ft.
:orner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks
mss
'ype of Construction: �- 0 7� O� L ,LEstimated Cost: $
�pprox. Completion Date: .S7-!4-
(Cost on Back)
)riveway Cur Cu Width Needed: Ft. Ft = Ft x $ _ $
)ATE: APPLICANT: Tel. # 784-7543
'ermit Fee
,ire Surcharge
;tate Surcharge
;AC Charge
,icense Surcharge
)riveway Escrow
:rosion Control
'ark Fee
;ewer Main Charge
TOTAL
;TIPULATIONS:
CITY USE ONLY
$ �/. CSC)
Fee Schedule on Reverse Side
$ �/�
.001 of Permit Valuation (1 / 10th %)
$ D
$.50/$1,000 Valuation
$
$900 per SAC Unit
$ S. CSD
$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 [ ]
$ 9�
�- /6759
Alding
.spec ons
i3-572-3604
E ADDMS
4 APPUCWT IS:
TENANT
CITY OF FRIDLEY
IBUMDING
MSIDENTL4L "PLICATION
CITE OF FRIDLEY
Y/OUR E44AU. ADDRESST. JV 6-
SUBMTT A COPY OF STATE
'OUR STATE LICENSE ADDRI
WM APPLICA'MON I pHm
OF
►ESCRIBE WORK BEING
M
SWAM
W—NG
3 V'myl
3 AlmniMM
3 Orher
'W
W 00pVWGS Meg ONO
3R POP, NEW OP&MOS-DEKME SM OF
3
Plana Review
surcharge
Fire Surcharge
License Sege
SAC Marge
Curb Cut Escrow
Fxosion Control
Park Fee
Sewer Main Charge
Fj
SV DATE
■y.l�Sist
Q MAN TILE
❑ OTEi M
permit N0. - " I I
Received By;
Date Rec'd:
LENGTH WEDT14 MIGHT . Fc
1316UNSOMY RAS I N r, SIMMM
0 HOUSE & GARAGE 1 ESB kloal Pty
0 ATTAC W GARAGE 2 pio¢osed $oor P�
O DETACHED GARAGE 3. List vPss:nmral membxs m osal
POR NEW CONSMUCTIONINCLUMNO OEM -
[]soffit AnbDI i1f S"i & P��r.
L3 Trim 1 �PMjM SbVWme
I3 Fascia 2. Two sas of MAMObw PIM
3. Enew Catcviafioas
LOCATION OF WDWOWS
NUN BER OF WDWWS
VALUATIMN, aa,e. ••...,y +' --
(USING 7)K 1997 UAC FEE SCOEDTJLE)
See Back Page for Fee schwwe
65% of BuildingPernmit POO
(.0005) tioaes the total job valuation _ Minjown $.50
.001 x Permit Valuation (1/10%)
$5.00 (Sim Licensed Residential COW")
$1450 ger SAC Unit (Plans to MWCC far ddg=ination)
fi + 6 S = —___ ft x $20 = $
$450onservation Plana Review
Fee. Deta mined by En&eering
Agreement n %weary ( ) Non Necessary () Atta+
Make checks P$ ble to: Ci i of EdTV
TM IS AN APPLICAT1014 FOR A PERMTT NOT VAUD tJN'fTl-PR00555h0
a building permit and I acimowledge 'that the information above is complete and ac cwate; that the work will be m
I y ace, w for on Codes; that I wtderstand this is not a
conformarn with the ordi�aaticas and codes of the City of Fridley and with the Mioaoneshat the work
permit but only an application for a permit and work is not to start without a 't; t the work will be in accordance with the approved
cast of all work i�'�e� d approval of "MS- f
Plan. in the "�� /, �f/ O aFP _- -- )%yosI / a,/�/�ldvi kJ DATE _ 001P�®�
SIGNATURE.OF APPUCAM
r
uilding
BUILDING
Permit No.:
Inspections
RESIDENTIAL APPLICATION
Receive. By:
763-572-3604CITY
OF FRIDLEY
Date Rec'd:
Plan Review
/ aS K� ;;A
DATE
YOUR E-MAIL ADDRESS 4&5. /I e.* m-
ee /i.4 A/Jr .
SITE ADDRESS 40 NO t S a
Surcharge
THIS APPLICANT IS:
O OWNER ONTRACTOR
License Surcharge
PROPERTY OWNER/
NAME: WCL&V1�.9 q f
SAC Charge
TENANT
ADDRESS: 6& y�. CITY f' /`/���i
STATJV
$
PHONE:Z�iT
Erosion Control
CONTRACTOR
NAME: AVnigiricc. W `nl
Park Fee
STATE LICENSE # ®% i<' EXP DATE '3 !
Fee Determined by Engineering
SUBMIT A COPY OF
YOUR STATE LICENSE
ADDRESS1 W(( A100 U rloapgi t e< CITY
01aTA
WITH APPLICATION
PHONE 'Z — Fl3%$ FAX
PROPERTY TYPE
GLE FANMY/NEW CONSTRUCTION SIZE
O TWO FAMILY/NEW CONSTRUCTION STORIES
PERIVIIT TYPE
0 ADDITION O GARAGEISHED c40VINDOWS
D BASEMENT FINISH 0 ROOF D DRAINTILE
• DECK D SIDING D OTHER
D SWRANMG POOL
TYPE OF WORK:D
NEW 0 ADDITION
NANCE/REPAIR D REMODELING
DESCRIBE WORK BEING DONE: W snacxcas
SIZE OF IMPROVEMENT LENGTH WIDTH
HEIGHT Sq. Ft.
QOI2 F NGI
0 HOUSE ONLY
NUMBER OF SQUARES
O HOUSE & GARAGE
BASEMENT
REMODELING SUBMIT:
GARAGES
0 ATTACHED GARAGE
1.
Existing Floor Plan
PROPOSED SIZE:
0 DETACHED GARAGE
2.
3.
Proposed floor plan
List of structural members to be used
PROPOSED HEIGHT:
�IDIPiG
FOR NEW CONSTRUCTION INCLUDING DECKS,
D Vinyl
OSoffit
AD)aITIONS. & FORGES SUBMIT:
0 Aluminum
D Trim
1.
Site Plan/Survey shoeing the existing structures
0 Other
D Fascia
and proposed project.
WIIVDOWS
2.
3'
Two sets of construction plans
Energy Calo°latioas
IN TING
CATION OF WS Ls� 1 �J; M
FOR NEW OPENINGS -DESCRIBE SIZE OF !{
OPENING CHANGES &
, ` t 1
V f
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING
THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $
OCCUPANCY TYPE
Permit Fee
$
See Back Page for Fee Schedule
Plan Review
$
65% of Building Permit Fee
Fire Surcharge
$
.001 times the total job valuation
Surcharge
$ 3
.0005 x Permit Valuation Minimum $.50
License Surcharge
$ J!!C.
A r-, $5.00 (State Licensed Residential Contractors)
SAC Charge
$
$1550 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
$
ft + 6 ft = ft x $21 = $
Erosion Control
$
$450 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement necessary ( ) Non Necessary ( )
Total Dae
$ .
., Make cheeks Davabk to: City of Fridlev Attach Stipulations
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge that the information stove 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 of all work which requires review and approval of plans. /j 9
9'—AZ'O
SIGNATURE OF APPLICANT PRINT