PRE 2010 DOCSCity of Fridley, Mm.
BUILDING T N? 5876
Date:
Owner: Builder _ _----
Address _ _ _ Address - -- - - — - --
BSO T
AUILDING
No. a aV'�rStreet __ Part -of Lot
Lot ._.._.._.__ Block _ Addition or Sub -Division+ --/
Corner Lot _ _ _ Inside Lot Setback _ _ Sideyard
i.
Sewer Elevation Foundation Elevation w
DESCRIPTION OF BUILDING
To Used
`y Front .»� nfol
Depth _ Height �� Sq. Ft. Cu. Ft.
Depth Refight ._ - q. 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 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 violation of any of the provisions of said
ordinances. _ A
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.
APPLICATION FOR BUILDING PCOUT
CITY OF FRIDIZY, MINNESOTA
Owner's Nam /,//a -/V a t /V ' Builder
Address -' 2O� AW, C -r -r && 5®- Address
HAXC /G, file," a
LOCATION OF BUILDING
7�
No. J � Street �(.S oY4 Part of Lot
Lot Block Addition or Subdivision �oa �i'od,�[ S'
Corner Lot Inside Lot Setback 3, Side -Yard %® "l5/Uor/T
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
To be used as:
DESCRIPTION OF BUILDING
K acf
Z6
r
Sq. Ft. ^ /3 d ?-- Cu. Ft. ;c .1 -3
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Constructions Estimated Cost fz.GTO-p-
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.)
A.
City of Fridley
App cation for PhmWng md Gas Ruing Perndt
DepL of Bldgs. Phone SII 4-7470
DESCRIPTION OF WORK
Number. Kind and Location of Fixtures Location
p
u
z
w
WATER "M
me
Base
1st
2nd
_
3rd
—
4th
Future Connection Openings
ConaecYed with
Sewer �
New Fixture. Old Openings
Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ......................— x $1.50 $'Z3
Future Fixture Opening ................ x 1.20 $
New Fixture Old Opening .............. x 1.00 $
Catch Basin ............................ x 3.25 $
Water Heater Rip to 200,000 BTU) ...... x 2.00 $
New Ground Run Old Bldg. ............ x 3.25 $
GAS FITTING FEES. NO. RATE TOTAL
1st 3 Fixtures .......................... Z x $1.50 $ .,� ✓�
Additional Fixtures .................... x .50 $
Gas Range to 200,000 BTU .............. x 2.00 $
REPAIRS & ALTERATIONS—Refer to Code
Description ................................................$
TOTAL FEE $
City of Fridley:
r
1K
The undersigned hereby .makes application for a permit for the work herein
specified, agreeing to do 411 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,
Owner 1
Kind of Building
Used as
To be completed about
Estimated Cost, $ syv
Old ew. uilding Permit No. Permit N
07�
Signe
-ROUGH—
ROUGH
FINAL—
FINAL
.Q100.42
dz SM 7-59.
Business Phone
Application for Power Plants and Healing, Cooling, Ventilation, .Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM 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 & Alterations each add. $500.00 ....... :......
RATE TOTAL
8.00 $
5.00 $
5.00 $
2.50 $
8.00
$
2.00
$
5.00
$
5.00
$
2.50
$
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—ta 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
c'9
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
Dept. of Bldgs. Phone SU. 4-7470
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 nn_ 19
Vwner
s'
rKind of Building
Used as
To be completed about
Estimated Cost, $
Old ew. uilding Permit No. � 6 Permit No. c')_ e G Cl
DESCRIPTION OF WORK
HEATING or POWER PLANTS --Ste Hot Water Warm Air—No_
Trade Name'��-� - Size No
Capacity 99® Sq. Ft. E.D.R BTU H.P.
Total Connected Load 9'1 440 ® Kind of Fu
BURNER — Trade Name Size No
Capacity Sq. Ft. E.D.R BTU H.P.
(REMARKS—OVER)
0
Signe
BIVy
•��w '.+4E 1M 7.59 Business Phone No r - �v 3 0'°. _3
COEF. BTU I COEF. BTU
INFILTRATION 4�/, I I °'?,
GLASS
EXP. WALL
NET EXP. WALL
CEILING
FLOOR
TOTAL
`
COEF.
BTU.
FL
I I
ROOM LENGTH
NAME �'
NAME
DATE
NAME
D ORS•CRACKAGE AND AREA
`H T G ,� C 0 N T R•
®
J B
AREA
SQ.. FT.
CEILING
o
EXP. WALL
ADDRES
10 ®le
®�.
FL.
EXP. WALL
NET EXP. WALL
CEILING
ROOM
LENGTH WIDTH HEIGHT
FL.
EXP. WALL
ROOM LENGTH
WIDTH
HEIGHT
WIN OWS AA
DOORS-CRACKAGE AND AREA
CEILING
WINDOWS AND DOORS-CRACKAGE AND AREA
NO. WIDTH HEIGHT N0. OF LINEAL FT.
L IVGHTS OF CRACK
AREA
SQ�./FT
NO. WIDTH HEIGHT N06OF LINEAL FT AREA
L I GHTS OF CRACK SQ.g FT
�r
COEF. BTU I COEF. BTU
INFILTRATION 4�/, I I °'?,
GLASS
EXP. WALL
NET EXP. WALL
CEILING
FLOOR
TOTAL
BTU.
COEF.
BTU.
FL
I I
ROOM LENGTH
WIDTH
WI
OWS AN
D ORS•CRACKAGE AND AREA
NO.
WIDTH
HEIGHT NO. OF LINEAL FT.
L I GHTS OF CRACK
AREA
SQ.. FT.
CEILING
o
EXP. WALL
IGHT
INFILTRATION
COEF.
BTU.
GLASS
I I
�®
BTU.
EXP. WALL
NET EXP. WALL
GLASS
CEILING
o
EXP. WALL
FLOOR
10 ®le
®�.
EXP. WALL
NET EXP. WALL
CEILING
�®
TOTAL BTU.
EXP. WALL
°
FL• M
LENGTH
WIDTH
CEILING
HEIGHT
WINDOWS AND DOORS•CRACKAGE AND AREA
N0. WIDTH I HEIGHT N0. OF LINEAL FT. AREA
LIGHTS OF CRACK SQ. FT.
COEF.
BTU.
I I
I I
I COEF.1
BTU.
INFILTRATION
INFILTRATION
GLASS
GLASS
o
EXP. WALL
GLASS
EXP. WALL e
EXP. WALL
NET EXP. WALL
CEILING
�®
_
EXP. WALL
CEILING
NET EXP. WALL
CEILING IAZ
CEILING
p�9
FLOOR
FLOOR
FLOOR�®
/-"®
OTAL fTU.
,/ may(%
1 `e /
TOTAL BTU
TOTAL BTU.
FL. ;
OOM LENGTH WIDTH
®+�
HEIGHT
FL.
✓ ROOM LENGTH, WIDTH
H
IGHT
WINDOWS AND
N0. I WIDTH I
ORS•CRACKAGE AO AREA
HEIGHT LOIGHTS OFNEAL CRACK FT.ISQ RE
T.
IOIGHTS
WINDOWS AND
N0. WIDTH
DOORS-CRACKAGE AND AREA
AEA
HEIGHT LA OF CRACK SO RFT.
COEF. BTU.
COEF.
BTU.
INFILTRATION
.INFILTRATION
`rGLASS
GLASS
aa 'o e
EXP. WALL
EXP. WALL e
NET EXP. WALL
`e
NET EXP. WALL
®
CEILING
CEILING IAZ
p�9
FLOOR
FLOOR
/-"®
OTAL fTU.
TOTAL BTU.
TOTAL BTU. HEAT
LOSS .� %
OTAL E.D.R. STE4M
TOTAL SO. FT. H.W.
HEATING UNIT
NAME r DATE [NAME
H T G C N T R' ADDRESS_J O B ADDRESS
FL. ROOM LENGTH ,� WIDTH /� HEIGHT FL. ROOM LENGTH WIDTH HEIGHT
WINDOWS AND DOORS-CRACKAGE AND AREA WINDOWS AND DOORS-CRACKAGE AND AREA
N0. WIDTH HEIGHT I No. OF LINEAL FT AREA N0. WIDTH HEIGHT N0. OF LINEAL FT. AREA
LIGHTS OF CRACK SQ. FT. LIGHTS OF CRACK SQ. FT
COEF.1
BTU
I I I I I COEF. BTU
INFILTRATION
COEF.1 BTU.
INFILTRATION
INFILTRATION
GLASS
INFILTRATION
GLASS
GLASS
EXP. WALL
GLASS
EXP. WALL
NET EXP. WALL
/'
NET EXP. WALL
CEILING
NET EXP. WALL
42
CEILING
FLOOR
NET EXP. WALL
��'
/®
®
FLOOR
® ®
CEILING
TOTAL BTU.
/ ®
®
TOTAL BTU.
FL.
ROOM LENGTH
WIDTH
I°®
HEIGHT,
FL. ROOM
LENGTH WIDTH HEIGHT
WINDOWS AND DOORS-CRACKAGE AND AREA
NO. WIDTH HEIGHT LO GHTS OIF E RACK SQR A
TOTAL BTU.
WINDOWS AND DOORS-CRACKAGE AND AREA
NO. WIDTH HEIGHT LIOGHTS OF CRACK SOR FT.
COEF.1
BTU.
COEF.1 BTU.
INFILTRATION
INFILTRATION
GLASS
GLASS
EXP. WALL
EXP. WALL
NET EXP. WALL
NET EXP. WALL
CEILING��
® ®
CEILING
FLOOR
/ ®
®
FLOOR
Q®
TOTAL BTU.
TOTAL BTU.
FL. ROOM
LENGTH
WIDTH
HEIGHT
FL.
ROOM LENGTH WIDTH
HEIGHT
WINDOWS AND DOORS-CRACKAGE AND AREA
NO. WIDTH HEIGHT NO. OF LINEAL FT. AREA
LIGHTS OF CRACK SO. FT.
WINDOWS AND
N0. WIDTH
DOORS-CRACKAGE AND AREA
HEIGHT N0. OF LINEAL FT. AREA
LIGHTS OF CRACK SO.FT.
COEF.
BTU.
COEF. BTU.
INFILTRATION
INFILTRATION
GLASS
GLASS
EXP. WALL
EXP. WALL
NET EXP. WALL
NET EXP. WALL
CEILING
CEILING
FLOOR
FLOOR
TOTAL BTU.
TOTAL BTU.
TOTAL BTU. HEAT LOSS
HEATING UNIT
TOTAL
E.D.R. STEAM
TOTAL SO. FT. H.W.
• NAME C� ' DATE NAME ff
r -T G ., -.0 N T RADDRESS "' J O B ADDRESS
FL ROOM L NGTH WIDTH HEIGHT FL. ROOM LENGTH WIDTH HEIGHT
WINDOWS AND DOORS-CRACKAGE AND AREA WINDOWS AND DOORS-CRACKAGE AND AREA
NO. WIDTH HEIGHT 140. OF LINEALFTI AREA NO. WIDTH HEIGHT N0. OF LINEAL FT. AREA
LIGHTS OF CRACK SO. FT LIGHTS OF CRACK S0. FT
✓ % G9 iQ � 9 wo
COEF. BTU
INFILTRATION
GLASS
EXP. WALL
NET EXP. WALL
CEILING
FLOOR
r OTAL fTU. S°
FL. ROOM LENGTH WIDTH HEIGHT
WINDOWS AND DOORS-CRACKAGE AND AREA
N0. WIDTH HEIGHT I NO. OF LINEAL FT. AREA
LIGHTS OF CRACK SO. FT.
INFILTRATION
GLASS
EXP. WALL
NET EXP. WALL
CEILING
FLOOR
I I I I I I COEF.I BTU
INFILTRATION
GLASS
EXP. WALL
NET EXP. WALL E'
CEILING
FLOOR
TOTAL BTU.
FL. ROOM LENGTH WIDTH HEIGHT
WINDOWS AND DOORS-CRACKAGE AND AREA
N0. WIDTH HEIGHT NO. OF LINEAL FT. AREA
LIGHTS OF CRACK S0. FT.
COEF.1 BTU. II 1 1 1 1 1 1COEF.1 BTU.
INFILTRATION
GLASS
EXP. WALL
NET EXP. WALL
CEILING
FLOOR
TOTAL BTU.
FL.1 ROOM LENGTH WIDTH HEIGHT FL.1 ROOM LENGTH WIDTH HEIGHT
WINDOWS AND DOORS-CRACKAGE AND AREA WINDOWS AND DOORS-CRACKAGE AND AREA
N0. I WIDTH I HEIGHT N0. OF LINEAL FT. AREA NO. WIDTH HEIGHT N0. OF LINEAL FT. AREA
LIGHTS OF CRACK S0. FT. LIGHTSI OF CRACK ISO. FT.
COEF. BTU.
INFILTRATION .INFILTRATION
GLASS GLASS
EXP. WALL EXP. WALL
NET EXP. WALL NET EXP. WALL
CEILING CEILING
FLOOR FLOOR
TOTAL BTU. TOTAL BTU.
TOTAL BTU. HEAT LOSS TOTAL E.D.R. STEAM
HEATING UNIT
TOTAL SQ. FT. H.W.
COEF.I BTU.
City of Fridley
Application for Plumbing and Oras Fitting Permit
s915.51
Dept. of Bldgs. Phone SII 4-7470
DESCRIPTION OF WORK Regis 5547
Number, Kind and Location of Fixtures Location i s Trl
9yU'
+4
m
C
3
2j N
��
12
?�
y'8C
z
o� u�
Z
u
az Z
UU
�jO
<3 U�•�
U12
Sn 00 O
R
N
WATER HTR.
GAS
ELEC
Base
1st
donn
vi
11tos
I&
1 1
2nd
-Ivvol
3rd
4th
• Future Connection Openings
e New Fixture, Old Openings
I
Connected with
Sewer
Cesspool E]
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
Number Fixtures ......................
Future Fixture Opening ................
New Fixture Old Opening ..............
Catch Basin ............................
Water Heater (Up to 200,000 BTU) ......
New Ground Run Old Bldg. ............
NO. RATE TOTAL
— x $1.50 $
x 1.20 $
— x 1.00 $
_ x 3.25 $
— x 2.00 $
— x 3.25 $
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 $
3 6.00
REPAIRS & ALTERATIONS—Refer to Code
Description ................................................$
TOTAL FEE $ 6.00
City of Fridley:
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 14 Sep 66 19_
Owner J W Parks
Kind of Building f r'
Used as res
To be completed about 19 Sep
Estimated Cost,
15®00
Old—New. Building Permit No
Signe �.
ROUGH
FINAL
42 2M
Business Phone No - - - -
SUBJECT
PE
City of Fridley
_
14223
AT THE TOP OF THE TWINS
PERMIT
r
BUILDING
ftcEIPT NO.
SIV.
i �y_� COMMUNITY DEVELOPMENT D
r i � PROTECTIVE INSPECTION SEC.
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-560-3450
910-F15
7/18/77
JOB ADDRESS 5547 Regis Trail NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
4
2 1
Parkview Oaks 1St Addition SHEET
2 PROPERTY OWNER MAILADDRESS ZIP PHONE
Robert Lee 5547 Regis Trail NE Fridley, MAT 55432
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Milton L. JohnsonCamparry, 2513 Central Avenue NE 781-9548
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Aluminum qirling ;;nrl Trim
7 CLASS OF WORK
❑ ❑ REMOVE
❑ NEW ADDITION ALTERATION ❑ REPAIR ❑ MOVE
8 DESCRIBE WORK
Same
9 CHANGE OF USE FROM TO
STIPULATIONS
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
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
$3 000.00
$1.50
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 ERFORMANCE OF CONSTRUCTION.
$18.00
A `"l
PLAN CHECK FEE
TOTAL FEE
&' h ��-- - e � � 7 �
$19.50
SIGNATURE OF CO RACTOR OR AUTHORIZED AGENT (DATE)
EN PR�PE VALIDATED THIS IS YOUR ER IT
BLDG. INSI TE
SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE)
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(NEW, ALTERATIONS, ADDITIONS, OR REPAIRS)
OWNER: BUILDER:
Address: °S� a` ��,� Address: s7 �� cow AVS Al&A
Tel. No.
No.: 7 Street: 7 -S �`�A
LOT: BLOCK: �, ADDITION: )0.1
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.
To Be Used As:
DESCRIPTION OF BUILDING
Front:
Square Feet:
Front:
Square Feet:
Depth: Height:
Cubic Feet:
Depth: Height:
Cubic Feet:
60
Type of Construction: Alp 1 5;9i:j f 9 it Estimated Cost: $ 3 o 0®.
To Be Completed:
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: 7-/F - 7 % SIGNATURE:
Stipulations: