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PRE 2010 DOCS
City of Fridley, Mian. BUILDING PERMIT N® (4:s�69) Date: Owner: ....,._±,�° __.._.._ .._.._ Builder ...._._ _ ►°�!?___ _. �____ Address ..... .......... _............ _....__...._..__..._._ _ _ .._ Address ff LO TION O BUILDING No... ..�!�......_ Street a.f.......... _..._ Part ofLot ._.._......._-.�...._.._.._..._...._.....__...._.------_....__. Lot .. .. Block _. ..... Addition or Sub -Division .._... _ ..... ....... o' Corner Lot .......�'............... Inside Lot .................................... Setback .-__..._--_............. Sideyard ....._�,tt�_............ Sewer Elevation -----.._..._...._.._.......____..._. ............ ........... _..... .......... _._ Foundation Elevation ............................. _._...... _...................... DESCRIPTION OF BUILDING TLoU sed as • I _..... Front ..Z__.Z_._.. Depth -01 Height ..AO._.. Sq. Ft.. .z -1v Cu. Ft. // 12— _............... _............. _... .......... ..... Fon ................... Depth ....._......... at. Height ........... Sq. Ft _----------------- --- Cu. Ft. ...... ...... ...... of Construc Est. Cos _._. tion ........ �' ........ ....... To be Completed :.... .......... ....... ......... ................. Type ?? ,E�-�: +' 6<... CAU110N THIS PERMNT 0073 NOT AUTHORIZE VIOLAT ION OF ANY i',- ; L L&; 0 COVENANTS AND 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 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 viol�atio� of any of the provisions of said .ordinances. r°'-1 A I Building Inspector 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 hems. 4 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA CLE0=V, Owners Name De Blauw BuildexGENEM.'CONTRACTORS n Xve,. Address _ _.__ _ Address T)djaneapoHs 18, Mina. LOCATION OF BUILDING No:6 Street dve�toXi.� _._ Part of Dot Brookview Terrace.. Lot _27— Block - Addition••or Sub.' Div. 3rd._ Add, Corner Lot X _Inside Lot Set Back 35 Applicant attach to this form Certificate of Survey of Lot and.proposed building location. DESCRIPTION OF BUILDING To be used as Si n gl a DwA c l i n g Front+_ Depth P11 I Height 91 sq. Ft. lo76 Cu. Ft. Front .Depth Height Sq. Ft. Cu. Ft. Type of Construction F+'rsms Estimated Cost To be completed h Mnntha 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 Via.&Q' , Signatur (A Schedule of Fee Costs can be found on the Reverse", -Side) Application for Power Plants and Healing. Cooling, Ventilation, .Re%igeral'ion tind Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SV 4-7470 GRAVITY WARM AIR: RATE TOTAL, Location �4 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 $ each add. 60,000 BTU ..... . .................. 2.00 $ Replacement of Furnace ............................. §.00 $ Repairs & Alterations—up to $500.00 ................ 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam....... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE ROUGH FINAL City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn 19�oa1 Owner (✓r��. C/ Kind of Building Used as To be completed about /- 00 Estimated Cost, $ Ir. d \1 OldNew. uilding Permit No. '501-6 67— r' Permit No. (� DESCRIPTION OF WORK HEATING or PO PLANTS—Steam, Hot Wa , WarmNo Trade Name X-6cza-e., Size No 4 Capacity S . Ft. E.D.R_ 5_4 d-�' BTU H.P. Total Connected Load I.F / Sind of Fue A BURNER —Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS—OVER) RAY N.WELTER HEATING C® Signed 4637 CHICAGO AVE. MINNEAPOLIS 7, MINNESOTA ' 4E Z% 7.59 Business Phone No. 4`r, 6 PIP 7 City of Fridley, Minn. BUILDING PERMIT N® 6664 o • / Builder" Address LOC 90 NU 9f,B ILDING No. Street 11 Part Lot Lot __ Block Addition or Sub -Division - Corner Lot Inside Lot Setback ® —_ Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING as: 0!7 UL Front ° 1_ Depthd Height _ LG _ Sq. Ft. 62� CU. Fta' Depth eight Sq. Ft. _ _ Cu. Ft. Type of Construction Fst. __ "��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 all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $7- _ _ , permit is hereby granted to— to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at anyupy+iolat;pa'o'$ any of the provisions of said ordinances. �l 6�� // ) /� Inspector NOTICE" ibls permit does not cower the construction, Inda0tlion for Wig, plumbing, gas boding, .aver or water. Be sure to no the Building Inspector for soparate permits for these hens. Address APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA °LOCATION OF BUILDING No. Street'; y �� Z_r Part of Lot Lot -- Block � Addition or Subdivision�1���a,a, �✓ Corner Lot Inside Lot Setback Side -Yard P SEWER ELEVATION FOUNDATION ELEVATION 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 1 C^ Depth `�` Height /d Sq. Ft. " _. ' Cu. Ft._ _ Front Depth Height Sq, Ft. Cu. Ft. Type of Construction �,� Eat3mated st 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 rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE 4- `' �{° J SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). W 6� 6 City, of Fridley, Mian.. 1 1 5 9 8 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT Pate: August 15. 1972 per: _ Roger Plessel Builder Same ,Address 861 Overton Drive N.E. Address Same LOCATION OF BUILDING No 861 Street Overton Drive N.E. part of Lot Lot 27 Block 5 Addition or sub -Division Brookview Terrace 3rd Addition Corner Lot X Inside Lot Setback Sewer Elevation To be Used as: Sideyard Foundation Elevation DESCRIPTION OF BUILDING Garage Front 21.5Depth 22' Height 10 t Sq. Ft. _473 Cu. Ft. _ 4,730 Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Wood Frame FatCost .._. a 142_ To be Completed __ ' "" Stipulation: Provide a hard surface drive. In consideration of the issuance to me of a permit to construct ding described hove, I agree to do the proposed work in accordant with the description above set fortht�m coR pp�'ance69th all provisions of ordinances of the city of Fridley. / / // I Su In consideration of the payment of a fee of $--2 - 00 , 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 resgects •to the ordinances of Fridley, Minnesota. regarding location, construction, alteration, maintenance, repair and moving of buildings dty limits -and this permit may be revoked at any time upon violation of any of the provisions of Said ARFhGE BELISLE NOTICE: This permit does not cover the construction, installation for wiring, plumbing, Bas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these hems. APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER, I S NAME s � �� l l SSFC BUILDER • s a w ADDRESS: c l� / �ii '2 ADDRESS : e STREET: e LOT ;7 BLOCK: 5 ADDITION: ace- CORNER LOT:y INSIDE LOT: SETBACK: SIDEYARDi ,Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: C"3 C� � Front: ���� Depth: Height • „ Square Feet: Cubic Feet:,�° ie iw a Front: Depth: Height; Square Feet; Cubic Feet: Type of Construction:Estimated Cost: i i ie iseefmg To Be Completed: 1222 The undersigned hereby makes application for a permit for the.wQrk heroin specified, agreeing to do all work in sttict accordance with the city 9f Fridley Ordinances and rulings of the Department of Buildings, and 'hereby declares that all the facts and representations stated in this appligotion are true and correct. DATE: / SIGNATURE: / (See Reverse Side For Additional Information.) aa##,, -t `�"".` y-Y�--'moi .. u i�'6 t s J, } �� ''?., «a, aH . 1, ; H " {° v�%,!"• LI `t d " r ..> .tic., s t pnc t,'�y y�C a K�L `e "a..> *° lZL.. '�' y, t .. ; w t' „ as r, ..,., yn'. q''. 91 F f '' 4+ Y .;« t^ �. tr1 �a is a ,1•' 1 '• �• `; I Y Y -pa • . r f,rS'v. t&� ' .." . .••i'' •, aC + X• / .. i 1 - e: ' , 11 3� d 7 R. f �Z . • 7.`i r, wt . tr t � . 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''?ay .F� a 'a ti, a R h '" , p 1' t"t a R: G f!'J`V 4 , . , 'w r ; F 4 / 1 y $�a T , J n �1 Cl�y�'j"�I tY w A°•."il /'"%!1 J. .n4r:} :.,.P l rt «+n,r"� ! •S✓L •:Y •,/') t7„Nv-...'t bl 4Mtf '� 1�.'t'.` iL,�7 P'vY_a'r,,R �`',e f'. 7 ;i 11 , 4 ¢ r 9l . t o a - i' , .' �`,aq 3 ., v; t y.,. , ,� i , _t. "f 9 1a , ,. Q w �`tiR a 7 . - 1- a �.,I •y�, t4, { ,: , . efy �r/aha uW, y. t a ,L .t �' !. V t a � i .. " I ;, v i b r' :> b fl, t , a ° Q' �Y//1�i.71 y ry a d 1 i T"� J a I i►I f' y 4 pp a l_, " 5i t "f `' `r6e&ubto�f� 1 w, i i. t� ! ` a.a t *t . <,w i "h+ 6 ! % w ' w , r,, 1'+#.77 t. +- .; 11 jlyaf. KY f a'. 1 A7 :;{ R' `r pr #/ w1.' . ( c �M, 1, . :I Sa,•fi •L at�111�' 4 ,.�,w ±,�,1 ^ , eta , aO ,*• l • V }'' !I: :1✓ a•IJ' 7 (� :+ !, b+'' �7 U I yam, % �� �Ll-'a S` ii J.' Pik ���` .ta i.z.0tr Y1 ry• a ;� A `. ' "'J.. r , I y �F �� d. y9 lys . .y, +. `� i. W" , y '.595,..:. P# ` r. t .Y` �� s+f �y .toy,.} ],�, V M h ,1,a�k, �», _. d� fir; l' h, v �tti y> +r Y r + r -¢ r- f &a„ v>;7,.c+1<>J ; .NKK ... �'.'S..^R<'s 9d-dAf.,fbpa&t 'i°, a. {st !.< . .ix- >er' kt a -�.; `ts' aR s -ti . ° i t . I �* b;. ae Wv&•:'i > r r 4'_ ,a p�, a "� City of Fridley SUBJECT 14'708 AT THE TOP OF THE TWINS BUILDING PERM RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 5/17/78 JOB ADDRESS 8,61 Overton Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 27 5 Brookview Terrace 3rd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Roger Plessel 861 Overton Drive N.E. 571-2941 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 ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 29' x 24' Addition to House 9 CHANGE OF USE FROM TO "STIPULATIONS Increase center girder to 4-2" x 8". Adjust for headroom as shown on plan. Double window size in smallest bedroom. WARNING Before digging cell local utilitles- TELEPNONE -ELECTRIC -GAS Etc - SEPERATE PERMITS REQUIRED FOR WlRU HEATING, REQUIRED BY LAWHEATING, PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, Wood Frame 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 696 8353 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. $17 76O 88 $8 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- $33.41 NONE STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE 8.35 $50.64 SIG UREZCON ACTOR 0- A T ORIZEDA E T (DATE)2A PRO ERLY-/�VALIDATED THIS IS YOUR PERMIT _ __,,WHEN b-vJ 6 •• �l l/B DC7 SI TU 1 1 1 ATE, L�DG IN�S`PDATE M OTAPER: Address CITY Of: FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS GIEW, ALTERATImis, ADDITIONS, OR REPAIRS) No. ,&' z Street: BUILDER: Address: , Tel. I10.: LOT: ,127 BLOCY.' _ ADDITION: Q10 COMER LOT: INSIDE LOT: SETBACK: SIDEYARDS: Applicaht attach 'to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used S. o"').) 0 kf)jjc, Front: '1199 Depth: `,` Height: Z Square Feet: _( Cubic Feet: 3 Front: Depth: Height: Square Feet: _ Cubic Feet: Type of Construction: �fl f° A%LdC To Bp Completed: _V 1 9 7 9 Estimated Cost: $ 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 V specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and ruLbigs of the Dcnartment of Buildings, and hereby declares that all the facts and representations stated in this application are trueend correct. See reverse side £or Icditiol. information. = 9� I DATE: stipulations; Af11lft� 31' yi P' A ��:. 8.35 aye CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $3.00 $ Future Fixture Opening x $2.00 $ New Fixture, Old Opening x $2.00 $ Water A e Catch Basin y $5.00 $ C •.4 H C $ 1j a w $ Water Softener Heater $7.00 Le vi x $5.00 $ Electric Water Heater x $5.00 $ GAS FITTING FEES: 1st 3 fixtures x '$3.00 $ o x $1.00 q Gas Range to 199,000 BTU x 3 gO xX u $5.00 $ each add. $100.00 or fraction $2.00 $ State Surcharge $ .50 In 4j FEE 0)o.i REINSPECTION FEE u D m 4 oy oCw -1 u aa > 0 as lec• 1st 2nd 3rd 4 th (R) @ Future Connection Opening Connected with Sewer M - New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $3.00 $ Future Fixture Opening x $2.00 $ New Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 $ Water Heater - to 99,000 BTU x $5.00 $ 100,000 BTU to 199,000 BTU x $10.00 $ Water Softener x $7.00 $ New Ground Run Old Building x $5.00 $ Electric Water Heater x $5.00 $ GAS FITTING FEES: 1st 3 fixtures x '$3.00 $ Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ REPAIRS & ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ State Surcharge $ .50 'TOTAL • FEE $ REINSPECTION FEE (510.00) Job Address Department of Buildings City of Fridley Tel. #571-3450 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 Department of Buildings, and hereby declares that all the facts and representations stated in this appli�at�on are tr�e and �eycorrect > J �, Fr�� Mn. � , 19� OWNER KIND OF BUILDING USED AS TO BE COMPLETED ABOUT ESTIMATED COSTS OLD - NEW BUILDING PERMIT NO. PERMIT NO. / �(:1 Company ' Signed By Tel. No. ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 pLUS $.50 STATE SMCMU GE CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND $ .AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE $ x $ 3.00 $ $12.00 $ 4.00 QAX����7/ GRAVITY WARM AIR: RATE TOTAL Job Address Furnace Shell & Duct Work $12.00 $ Replacement of Furnace Repairs & Alterations -up to $500.00 7.00 7.00 $ $ Department of Buildings Repairs & Alterations each add. $500.00 4.00 $ City of Fridley Tel. #571-3450 MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTU 1-1;/ each add. 50,000 BTU acement of Furnace vtepairs & Alterations -up to $500.00 Repairs & Alterations each add. $500.00 STEAM OR HOT WATER SYSTEM: Boiler & Lines up to 100,000 BTU each addn. 50,000 BTU Boiler only up to 100,000 BTU each addn. 50,000 BTU OIL BURNER- to 3 gal. per hour each add. 3 gal. per hour GAS BURNER- from 100,000 BTU to 199,999 BTU (over 199,999 BTU see Fee Schedule) GAS FITTING FEES: 1st 3 Fixtures Additional Fixtures Gas Range to 199,000 BTU AIR CONDITIONING FAN HEATING SYSTEMS See Fee Schedule VENTILATING SYSTEMS ALTERATIONS $ REPAIRS ROUGH INSP. FINAL INSP. Date APPROVAL FOR PERMIT $12.00 $ 4.00 $ 7.00 7.00 $ $ 4.00 $ x $ 3.00 $ $12.00 $ 4.00 $ 7.00 $ 6.00 $ $10.00 $ 10.00 $ $10.00 $ x $ 3.00 $ x $ 1.00 $ x $10.00 $ State Surcharge TOTAL FEE REINSPECTION FEE ($10.00) MINIMUM FEE FOR ANY HEATING PEkMIT IS $7.50 PLUS $.50 STATE SURCHARGE The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Cedes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn. _ ,tAA± X , 19 2X .= RIND OF BUILDING USED AS TO BE COMPLETED ABOUT `7 6a- — -? 3 ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam,,Hot Water, Warm Air- CNo. Trade Name a"4- Size No. 7 % o u'G/0 Capacity Sq. Ft. EDR BTU HP Total Connected Load Kind of Fuel BURNER - Trade Name' Size No. Capacity Sq. Ft. EDR n, BTU ► a HP Company Signed By Tel. No. �% 7 CITY OF FRIDLEY Effective Date May 1, 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDENTIAL Furnace Shell and Duct Work, Burner (Also replacement furnace) Gas Piping (piping needed with new furnace) Gas Range Gas Dryer * Air Conditioning (all sizes) All Others/Repairs and Alterations 1% of Value of Appliance or Work COMMERCIAL/INDUSTRIAL 1% of Value of Appliance or Work RATE TOTAL $ 20.00 $ $ 10.00 $ $ 10.00 $ $ 10.00 $ $ 10.00 $A State Surcharge TOTAL FEE Reinspection Fee ($15.00) Rough Insp. Date Final Insp. Date 4� Approval for Permit MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00 PLUS $.50 STATE SURCHARGE *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. $ .50 Job Address �?(�` 0 yerkh tori V r - Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley Tel. #571-3450 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. OWNER /� ^ Fridley, Minn. 19�B �\L KIND OF BUILDI USED AS rlles TO BE COMPLETED ABOUT ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. 9 qs-3 DESCRIPTION OF FURNACE */1, HEATING or POWER PLANTS, Steam, Hot Water, r- No. Trade Name d Size No. 5b -)&T636 Capacity Q2 6 Sq. Ft. EDR BTU HP Total Connected Load Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Company / Signed By 40 A,&" I Tel. No. Fill out back side for stack verification on replacement furnaces CHIM14EY 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 connected Yes ( ) No ( ) 6. Has Total heating BTU's of All other BTU's TOTAL Rema rk s Company _ Signed By Date 01 SUBJECT City of Fridley e�21573___ AT THE TOP OF THE TWINS BUILDING PERMIT i R E C O. _ COMMUNITY DEVELOPMENT DIV. fr PROTECTIVE INSPECTION SEC. r NUMBER REV GATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 ti..__1l.' '•� 612-571-3450 910-F15 9/28/92 JOB ADDRESS 861 Pandora Drive NE " 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 27 4 Hrookview Terrace 3rd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mike Hart 861 Pandora Drive NE 571=1203 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. D & D Home Improvement Inc. 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 ❑ ALTERATION J7 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House (18 Squares) 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. 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. OWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 $954 $-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 PROVISIONS O NY OTHER STATE OR LOCAL LAW REGULATING CON- $25.00 Fire SC $.95 STRUCTION O PERFORMANQ9 OF CONSTRUCTION. T PLAN CHECK FEE TOTAL FEE License SC $5.00 $31.45 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IOATEI HE PRO LY A , DAT THIS IS YOUR PERMIT _A BLDG INSP DATE SIGNATURE OF OWNER 0F OWNER BUILDERI IDATEI 01 NEW [ ] Effective 3/1/92 ADDN [ ] CITY OF FRIDLEY ALTER[ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: t �ltiaBd® �` e Legal Description: Owner Name & Address: 177%Ae- Tel. # �5— 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. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF ff"ROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: 3Ak 4Ve4 Estimated Cost: $ QCY Approx. Completion Date: al®ii. /a l qu- (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: APPLICANT: ��— Tel. # (CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ �%.5 .001 of Permit Valuation (1/10th%) State Surcharge $ ��� $.50/$1,000 Valuation SAC Charge $ $700 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS: 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 DEVICES Furnace Shell and Duct Work, Burner – Also Replacement Furnace (Side Vent – Fill Out Back) Gas Piping (Needed with new furnace) 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 Rate $ 30.00 $10.00 $10.00 $10.00 $ 25.00 State Surcharge TOTAL FEE Effective On January 1, 1997 JOB ADDRESS (o, 0WAD" jy-t vt" The undersigned hereby makes application for a permit for the work herein 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 $ representations stated in this application are true and correct. I – ,1997 OWNER MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr BUILDING USED AS d w ESTIMATED COST % ��� O� PERM(Zft. .„ qt, �.r DESCRIPTION OF FURNACE AND 0IRd3URN15I- No, of Heating Units / Circle One (Steam) (Hot Water) arm Al Trade Name 0FV—Size No. BTU � - HP EDR Fuel MOLf Total Connected Load Burner Trade Name Size No. BTU HP EDR . HEATING COMPANY Q, ��� _he, e Signed By Tel No. Approved By Rough–In Date *Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE FOR STACK VERIFICATION ON written permission from adjoining property owner. REPLACEMENT FURNACE Final Date CEQAINEY 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 ()0' No ( ) 3. Has no foreign objects lodged within 4. Is securely supported 5. Meets all current Code requirements for size and total BTU's connected 6 Has total heating BTU's of 6D U All other BTU's 40 1 (5-0 D TOTAL BTU's Z� 7. Has a liner been provided. for water heater 8. Has combustion air been provided for water heater Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: BLAINE HT©, AIC ELECT., INC. 13582 CENTRAL AVE. N.E. Yes No ( ) Yes (yJ No (. } Yes 0 No ( ) Yes ( ) No (uj. Yes." No ( )