PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT N® 3601
Date:n......................................
Owner....................................... Builder s':. �`............ / .... �J.ZO........ .
Address...................................... Address .............................................
LOCATION OF BUILDING
No. �...... Street . .. ..•t ..... ..:..... Part of t ....:.. .. .. ..........
...
Lot ... ........ Block .................. Addition or Sub -Division
Corner Lot ............ Inside Lot ..%5... ..... Setbackyard ' .
,�F.'...... Side ................
DESCRIPTION OF BUILDING
To be Used as: - ( -1 r C , f
Front &.. Depth .. .... Height �7.. ` Sq. F't r�� Cu. Ft./V.�' . !
(� �.
.................... Front ........ Depth .... .. Height ........ Sq. Ft......... Cu, Ft.........
d'G
Type of Construction ................... sit. �.� f..`: �. To be Completed .................. .
In consideration of the issuance to me of a permit to construct the building desribed 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.
A -9k-
... �.At de� ..........
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 with-
in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
L'r . ........ Building Inspector
NOTICE:
This permit does not cover the construction, Installation or alteration for wiring, jUaffibing, gas heating,
sewer or water. Be sure to see the Building Inspector for separate permits for these Item& 1
Application for Power Plant's and Heating. Cooling, Ventilation, Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SII 4-7470
GRAVITY WARM AIR: RATE TOTAL Loca3i
Furnace Shell & Duct Work .......................... 8.00 $
Replacement of Furnace$ City of Fridley:
.................... 5.00
The undersigned hereby makes application for a permit for the work herein
Repairs & Alterations—up to $500.00 .................. 5.00 $ specified, agreeing to do all work in strict accordance with the City Ordinances
Repairs & Alterations each add. $500.00 ............... 2.50 $ 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, 1VLinn-
Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ .�
each add. 60,000 BTU ....................... 2.00 $
Owner. 195—
Replacement of Furnace ............................. 5.00 $ Kind of Building 195—
Repairs & Alterations—up to $500.00 ................. 5.00 $���,� ,.
Used as
Repairs & Alterations each add. $500.00 .............. 2.50 $
To be completed about
STEAM or HOT WATER SYSTEM � ✓� ��
Furnace Shell & Lines—to 400 sq. ft. IDR Steam ...... 8.00 $ Estimated Cost, $
Furnace Shell & Line—to 640 sq. ft. IDR Hot Water ... 8.00 $ –New. Building Permit No. O
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 $
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 .5o $
Gas Range to 200,000 BTU ........... x 2.00 $
AIR CONDITIONING $
FAN HEATING SYSTEM See Fee Schedule
VENTILATING SYSTEM $
ALTERATIONS & REPAIRS TOTAL FEE $
REMARKS:
HEATING or POWER PLANTS–Steam, Hot Water, Warm Air—No
Trade Size No
Capacity Sq. Ft. E.D.R BTU " �S a,� H.P.
Total Connected Load Iq 0" Kind of Fue
BURNER — Trade Name Size No
Capacity Sq. Ft. EM.R BTU H.P.
06/
Signed �/ �I�t�� `
11 POST iM-12-58 Business Phone No ' ✓��• ����
Ito
SUBJECT
PERMIT NO.
City of Fridley
2
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r;Frr
CEIPT
• COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
i
NUMBER
REV
DATE
PAGE OF
A O B♦
CITY HALL FRIDLEY 55432
�'' 612-571-3450
910-F15
JOB ADDRESS 6400 PIERCE ST NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
8
Moore Lake Highlands 1st
SHEET
DESCR.
2 PROPERTY OWNER MAIL ADDRESS
ALFRED KELLS 6400 PIERCE ST FRIDLEY MN 55432
ZIP PHONE
571-6532
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
REROOF TEAR -OFF (17 Sq)
9 CHANGE OF USE FROM TO
STIPULATIONS
UNDERLAYMENT MUST COMPLY WITH THE STATE BUILDING CODE.
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
STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
1,360
1.00
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-
43.00
FIRE SC 1.36
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
j' y!�`
PLAN CHECK FEE
TOTAL FEE
45.36
,l�
-'SIGNATURtOF CONTRACTOR OR AUTHORIZED AGENT IDATEi
d
WHEN PROP
L` V IDATED THIS IS YOUR PERMIT
�L 1zv
g G INSP
DATE
SiGNA7u RE OF OWNER,IF OWNER Bu4 DERI IDATEI
!A
SUBJECT
PERMIT NO.
City of Fridley
23702
AT THE TOP OF THE TWINS
BUILDING
PERMIT
-TIr CEIPT
• COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 5$432
NUMBER
REV
DATE
PAGE OF
A D BY
612-571-3450
910-F15
JOB ADDRESS 6400 PIERCE ST NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
8
Moore Lake highlands 1st
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
ALFRED KELLS 6400 PIERCE ST FRIDLEY MN 55432
571-6532
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 Jac REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
REROOF TEAR -OFF (17 Sq)
9 CHANGE OF USE FROM TO
STIPULATIONS
UNDERLAYMENT MUST COMPLY WITH THE STATE BUILDING CODE.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
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
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
1,360
1.00
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-
43.00
FIRE SC 1.36
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
�
7
PLAN CHECK FEE
TOTAL FEE
45.36
SiGNATU 'OF CONTRACTORORAUTHORIZEDAGENT (DATEi
WHEN PROP
L'Y V IDATED THIS IS YOUR PERMIT
8L G INSP
DATE
SIGNATURE OF OWNER tiF OWNER BUILDERi (DATE)
NEW [ ] Effective 8/1/95
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Construction Address:
Legal Description:
Owner Name &Address: y/- Tel. # -5--
Contractor: MN LICENSE #
Address: Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER:
Corner Lot [ ] Inside Lot [�]"
Type of Construction:
Approx. Completion Date:
Ft. Yd Setback
-e j` -5
Side Yard Setbacks
Estimated Cost: $ 136 to ,
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft; Ft x $ _ $
DATE: APPLICANT:
�' - , �� ��� i A �� �' Tel. # -5
/� � � _� � --
CITY USE ONLY
Permit Fee
$ 43.
Fee Schedule on Reverse Side
Fire Surcharge
$ 04
.001 of Permit Valuation (1/10th%)
State Surcharge
$11M '0�
T�
$.50/$1,000 Valuation
SAC Charge
$
$850 per SAC Unit
License Surcharge
$
$5.00 (State Licensed Residential Contractors)
Driveway Escrow
$ r
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 V( $
STIPULATIONS: C: