PRE 2010 DOCSDate: Raw-
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Owner:
Address
City of Fridley, Mian.
BUILDING PERMIT
er
Builder
Address
LOCATION BUILDING
No. MF,�C Street _ _ __. Part f Lot
,
r
Lot _Bl ____ _, Addition or ub-Diviside —0on
Corner Lot Inside Lot _ Setback1 _ _ Sideyard _!
Sewer Elevation Foundation Elevation
DESCRIPTION OF BUILDING
ToAe Used
Front Depth Height/ Sq. Ft. Cu.
Fro Y Depth He' i Sq. Ft. _ cu. F't.
TMZof Construction = *'�F.- �'-w= — Est. be Comple ted ___
i.
Jr'
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
prdinances of the city of Fridley.
In consideration of the payment of a fee of $4 , 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 respecits 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. �1 - -` � }-3
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 Items.
LM
APPLICATION FOR BUIIDING PMOW
CITY OF FRIDIEY, MINNESOTA
Owner's Name ¢��'i/�'� Builder���%r
Address Address e
LOCATION OF BUILDING
No. Street ::7- � ° / L � Part of Lot p
Lot ��' Block Addition or Subdivision
Corner Lot „Inside Lot Setback Side-Yard____Z
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:
y l
Front Depth _ Height
/��<o�✓ a � j Sq. Ft. /`�/� Cu. Ft.
Front Depth'Height
Sq. Ft. Cu. Ft.
Type of Constructions Estimated Cost
To be Completed 65-
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.�'
��iz�T�
DATE
(A Schedule of Fee
can be found on the Reverse Side.)
Application for Power Plants and Healing. Coding, Ventilation..Reh igm at""s and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR: RATE TOTAL,
11
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 $
r
4/
Dept. of Bldgs. Phone SII. 4-7470
Locaflon 7
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.
MECH. WARM AIR
Fridley, 19
Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ �
each ad Owner
d. 60,000 BTU ... �, .................. 2.00 $ _
Replacement of Furnace #.00 $ Kind of Building
Repairs & Alterations—up to $500.00
............... 5.00 $ r`�,.<
Used as
Repairs &Alterations each add. $500.00 2.50 $�
l�
STEAM or HOT WATER SYSTEM To be completed about
Furnace Shell & Lines—to 400 sq. ft. IDR Steam, ...... 8.00 $ Estimated Cost, $
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00$ ra
Ord—lew -BuNSilding Permit No. � / permit No.
Each add. 200 sq. ft. EDR Steam ...................... 2.50 $
Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ DESCRIPTION OF WORK
OIL BURNER—to 3 gal. per hour ........................ 5.00 $
HEATING or POWER PL team, Hot Water, Warm Air—No�
over 3 gal. per hour—See Fee Schedule
Trade Name- Size No- Ot;�' INK' O
GAS BURNER (up to 400,000 BTL) ....................... 5.00 $
GAS FITTING FEES: NO RATE TOTAL 414--4 Capacity �oo Sq. Ft. E.D.R BTU H.P.
1st 3 Fixtures ..............:....... s $1.50 $ Total Connected Load asKind of Fuel
Additional Fixtures ................. x .50 $
BURNER —Trade Name � �-� � , .Size No
Gas Range to 200,000 BTU ........... x 2.00 $
Capacity Sq. Ft. E.D.R BTU H.P.
AIR CONDITIONING $
FAN HEATING SYSTEM See Fee Schedule
VENTILATING SYSTEM $
ALTERATIONS & REPAIRS TOTAL FEE $ Signed
a By
ROUGH-` �%,
4E9 `'GQ�� BLVD. f ' ' � iS 6 ID11MPd.
� 4 2M Business Phone No- LLA
FINAL ~
(REMARKS—OVER)
City of Fridley
AT THE TOP OF THE TWINS
SUBJECT
BUILDING PERMIT
PERM 1 NQ===
1172
a•
11RECEIPT
L-------� COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
1 . �
"t—A" _ /---1 CITY HALL FRIDLEY 55432
%.j 612-560-3450910-F15
NO
NUMBER
REV.
DATE
10/20/78
PAGE OF
APPROVED BY
JOB ADDRESS 7885 Pearson Way N.E.
1 LEGAL
DESCR.
LOT NO.
18
BLOCK
2
TRACT OR ADDITION SEE ATTACHED
earson's Craigway Estates 2nd SHEET
2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE
Marvin L. Anderson 7885 Pearson Way N.E. 571-7694
3 CONTRACTOR MAILADDRESS 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
XXX Install Franklin Stove
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
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
$150
$.50
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
$7.50
PLAN CHECK FEE
TOTALFEE
$8.00
EOFCONTRACTOR ORAUTHO - E T (DATE)
WHEN PROPERL LIDATED THIS IS YOUR PERMIT
ZSMINATU"'E
OF OWNER II OWNE UILDERI IDgF 1
BLDG INSP DAT
CITY OF FRIllLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(NEW, ALTERATIONS, ADDITIONS, OR REPAIRS)
owI2ERa,s /fllr/a�< i�sA�/ BUILDER:
Address: 7 5� /J /1S A/ � -'Address: ,
(0 Tel. No.
No. Street:
LOT: %e .BLOCK:
ADDITION : G11®l — (
CORNER LOT: INSIDE LOT: - SETBACK: SIDEYARDS:
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:
Front: Depth: • Height:
Square Feet: Cubic Feet:
'Front: Depth: Height:
Square Feet: Cubic Feet:
e,Type of Construction: ) `6r it, <e_ Estimated Cost: $
To Be Completed:j1i1 /�-%� Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired $ $
(SEE REVERSE SIDE OF SHEET)
The undersigned hereby makes application for a permit for the work herein'
specified, agreeing to do all work. in strict accordance with the .City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are true and correct. See reverse side for additional information.
DATE: /D Q i SIGNATURE
Stipulations: �_(� • ,
�, 0 0