PRE 2010 DOCSCity of Fridley, Mm.
BUILDING PERMIT
Date:
Owner:
Address
Builder -?
s�
Address......::
LOCATION OF UIL NG
,_.. a4 -
No..... Street .... ....... �...... ...f....... Part of Ifot _ _.. _...
Lot .......
'` ............... Block ..... ............... ...�..............._........ Addition or Sub -Division �, �xl'o
4��r _ Corner Lot ................................._. Inside Lot ....................................... Setback ..t..�,j _....................... Sideyard . ...._...".._.�1.............................
Sewer Elevation ................. ............................... .._............. _...................................... Foundation Elevation
DESCRIPTION OF BUILDING
To Used
J �
_-. ...... Frond- . .. Depth `. Height !.NJ.. _. Sq. Ft. {..._r Cu. Ft / .,1`y�rf
--_.x.. ' -- L..... Front . ....:V Depth a .. Height e� Sq. Ft. ->�'�...�.�., Cu. Ft. a. T4s'
Type o nstruction � Est. Cost-.!7./.,Ft'°.9-+t,�. ..__...... To be Completed ..... .............. _........ ..... _.................
Tr 'T tir
..` Cdr V_A UTH0RlE VIOLAT-
ION OF ANY PRIVATE LAND COVEN'0, 'I A
BUiL'OiNO RESM 7ioilS.
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. .'n .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 items.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
Owners Name Builder --: =--°
Address -Address•-
LOCATION OF BUILDING
No. _ Street 112Ayo C, ' /�Pert of Lot
Addition or Sub.Div.
Lot ,�? Block . _
Corner Lot Inside Lot & FSet Back 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:
Frontes Depth__
Sq. Ft. �J.�Cu. Ft.
Sq. Ft. Cu, Ft,
Type of
To be
ted Cost .� c��....._
The undersigned hereby makes application for a permit for the work herein specified,
agreeing to do a11, work in strict accordance with the City Ordinances and ruling of
the Department of Buildings, and hereby declares that all the facts and representa-
tions stated in this application are true and correct.
DATE SIGNATURE --
(A 5(.dule of Fee costs can be found on the Reverse Side.)
4 ®,
Application for Power Plants and Heating, Coming, Ventilation, Refrigeration and
i
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. 80,000 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—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 SURFER (up to 400,000 BTU) ....................... 5.00 $ Z
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
NTILATING SYSTEM
ALTERATIONS & REPAIRS TOTAL FEE $ '
REMARKS:
Dept. of Bldgs. Phone SII 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.
medley, Winn SEP 2 8 1960 y 195 -
Owner
Kind of Building
Used as
To be completed about °' NOV 8 1960
oa
Estimated Cost, $_4. - �J
195—
195—
HEATING�or Warm Air—No
Trade Nam Size No_,f- 7 -
Capacity Sq. Ft. E. �'G BTU H.P.
Total Connected Loa Kind of rue
BURNER —Trade Nam Size No 7
Capacity Sq. Ft. EM.R �' -) TU H.P.
p EO. SEDC ICK HTG. & AIR -CORD. CO
1001 Xenia Av. S.
Minneapolis 16, Minn.
Sign
jU
By
11 POST IM -12-58 Business Phone�o
e
e
D-56 Y
HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MINNEAPOLIS.
11
Weatherstrips A.S.H.V.E. Construction No. Insulation
Guide
W I How. Applied
'Windows Doors Reference 6;t. �Wall Int. Wall Ceiling Roof Floor Kind
Yes 11
,i -:�-,No ��'Ye�—No 19—
L Width-,/ Height
/"/ -E Width Height e " m -�V ,3 Room i LengthFl.1 Room I Lengthy
Windows and Doors—Crackage
and Area
Width Height No of Lineal ft. Area
to of crack
Na of pane of pane lights sq. ft.
Width Height No. of Lineal ft, Area
No. of pane of pane lights of crack sq. f
Width Height N f Lineal ft.Area
No. of pane Of pane lights ofofcrack sq. ft.
Coef.
Coef. 1
Coef.
Btu
Infiltration
',tv
Glass
Glass
Class
Glass
Tle'!
Exp. wall
2—
V 11I
Exp. wall
Exp. wall
Net exp. wall
e
Net exp. wall
Net exp. wall
kl""
" P
77
1 7 7
-,40
Int. wall
Int. wall
-7-
7 C7
7;�,, I ;V1
Floor
Ceiling
Ceiling
0=
L4M,0
Floor
Floor
Total Btu. L
Required sq. ft. E.D.R. or sq. is. W.A. Leader area
e F1.1 Room I Length Width Height e-5—
Windows and Doors—Crackage and Area
Width Height No of Lineal ft. Area
to of crack
Na of pane of pane lights sq. ft.
Width Height No. of Lineal ft, Area
No. of pane of pane lights of crack sq. f
0, IF
Coef.
Coef. 1
Btu
Infiltration
',tv
Glass
Glass
Class
Tle'!
Exp. wall
2—
V 11I
Exp. wall
Net exp. wall
e
Net exp. wall
Int. wall
kl""
" P
77
1 7 7
-,40
Int. wall
-7-
7 C7
7;�,, I ;V1
Floor
Ceiling
0=
L4M,0
Floor
Total Btu. L�
—Required sq. ft. E.D.R. or sq. ins. W.A. Leader area L/
-t FIA Rnnm li-enath Width,," 14eiaht
Windows and Doors—Crackage and Area
Width Height No of Lineal ft. Area
to of crack
Na of pane of pane lights sq. ft.
Width Height No. of Lineal ft. Area
No, of pane of Pape lights of crack sq. ft.
0, IF
Coef.
1 Btu
Infiltration
Infiltration
' -
Glass
Glass
Glass
Tle'!
Exp. wall
2—
Exp. wall
Net exp. wall
e
vy�,
Int. wall
kl""
" P
77
1 7 7
-,40
Ceiling
-7-
7 C7
7;�,, I ;V1
Floor
0=
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Windows and Doors—C:racka;e' and Area
Width Height No of Lineal ft. Area
to of crack
Na of pane of pane lights sq. ft.
Width Height No. of Lineal ft. Area
No. of pane of pane lights. of crack sq. ft.
-7—
Coef.
..Btu
Infiltration
Infiltration
' -
2L
Glass
Glass
Tle'!
V C-01
Exp. wall
Net exp. wall
kl""
" P
77
1 7 7
Int. wall
Ceiling
Floor
Total B6.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
1 FII 79!;Wow. Room lLength "*- WidtHei' ht
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft* Area
No. of pant) of pane lights of cracksq. ft.
Width Height No. of Lineal ft. Area
No. of pane of pane lights. of crack sq. ft.
Coef.
Coef.
to
Infiltration
' -
2L
Glass
Glass
4 14 7,
Exp. wall
Net exp. wall
77
V
Int. wall
Ceiling 77
Floor"t
Total Btu. 7
Required sq. ft. ED.R. or sq. ins. W.A. Leader area
F1.1 e.,M-77 Room lLength /6 Width /0 Height
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft* Area
No. of pant) of pane lights of cracksq. ft.
Coef.
Btu
Infiltration
5r cv,
Glass
Exp. wall
Net exp. wall
77
V
Int. wall
Ceiling X
Floor"
Total Btu. I
i
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
City of Fridley
Application for Plumbing and Comas Fitting Permit
Dept. of Bldgs. Phone SU 4-7470
DESCRIPTION OF WORK CY
Number, Kind and Location of Fixtures Location
�
�
� ~
�
� �
� �
O
�
V,
Z �
•
WATER HTR.
~
Z0a
R
N
GAS
ELEC.
n
Base
r
1st
2nd
_
3rd
4th
' Future Connection Openings
Connected with
I
Sewer E]
New Fixture, Old Openings
Cesspool E]
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures
.............. �' x $1.50 $
Future Fixture Opening ................ x 1.20 $
New Fixture Old Opening .............. x 1.00 $
Catch Basin ............................ x 3.25 $
Water Heater (Up to 200,000 BTU) ...... x 2.00 $ 00 O
New Ground Run Old Bldg . ............ 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 $
REPAIRS & ALTERATIONS—Refer to Code
Description ...............................................$
TOTAL FEE 1 1e
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,
Owner -1 ��° A-' �
Kind of Buildings-�-1
Used as
To be completed about --W - . / 4/ 41 a
19_ —
Estimated Cost, $
Old—New. Building Permit No Permit No.lz3c
Signer L L�,��s.Ccr�®'
ROUGH
FINAL
d2 2M 7-54
Business Phone
Application for Power Plants and. Heating, Cooling. Ventilation, .Refrigera"ion and
Air Conditioning Systems and Devices
a
PARTIAL RATE SCHEDULE
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 $
NECK. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ......... 8.00 $
each add. 60,000 BTU 2.00 $
Replacement of Furnace ............................. . y§.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) ........ I ..............
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
T`I
T
FAN HEATING SYSTEM See Fee Schedule
VENTILATING SYSTEM
$�y
ALTERATIONS & REPAIRS TOTAL FEE
ROUGH
FINAL
Dept. of Bldgs. Phone SU. 4-7470
�0C�
Location —�cllz�?c A45"
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 —
Owner
Kind of Building
Used as
To be completed about
Estimated Cost,
}Permit No. 0
ld New. Building Permit No.
DESCRIPTION OF WORK
HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No
Trade Name Size No.
Capacity Sq. Ft. E.D.R BTU H.P.
Total Connected Load Kind of Fuel
BURNER — Trade Name . Size No
Capacity Sq. Ft. E.D.R BTU H.P.
(REMARKS—OVER)
Signed
By.
4 a 2M 7-59 Business Phone No
��
f
�,
�
0
�
��
��
��'
J
1
�
Q
\J
PERMIT for Power PTants and Heafing. Cool-
ing. Ventilation. Refrigeration and Air
Conditioning Systems and Devices
DESCRIPTION OF WORK
No. of Pleating Plants to be installed—altered—repaired
Make ,Size ;
Oil fired ; Coal fired—, Gas fired ; Gas Authorization No.
Remarks
Approved
Final Inspection
19_
Inspector
Permit N° - 4387
Fee $ / ® . a-�
Office of the Inspector of Buildings
City of Fridley
City of Fridley, Minn. e, , 19e'2
Owner
Adg�
Location
Kind of Building--�'"'Lx�
How Occupied
Work to be Commenced a - t ,1911
To be Completed___; - � ,19-14
Estimated Cost,
Old -New, Building Permit N
Permission is hereby granted to to install—erect—use the material and devices described in the
above statement. This permit is granted upon the express c4dition that the person to whom it is granted, and his agents, employees and workmen, in all the work
done and materials used under this permit, and in the operation of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley
relating to or governing the work to be done and the operation of the devices herein named, and to the speci ations set forth in the approved application for this
permit on file in the office of the Inspector of Buildings.
, Inspector of Buildings
az 2M 11-67 V
I/
SUBJECT
'PERMIT NO.
City of Fridley
2 7 6
AT THE TOP OF THE TWINS
BUILDING E R
M I T
I ?
RECEIPT NO.
_ COMMUNITY DEVELOPMENT DIV.
~
B
PROTECTIVE INSPECTION SEC.
NUMBER '
REV
DATE
PAGE OF
APPROVED B Y
_ /---1 CITY HALL FRIDLEY 55432
C
-"--� J 612-571-3450
910-F15
9/9%98
JOB ADDRESS 206 Rice CReek Blvd
1 LEGALLOT
NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
18
4
I Rice Creek Plaza North Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Carol Blair Same
571-1791
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Advanced Home Improvements 1701 78 Ave N o
-4445 20017269
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 91 REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and gaxg garage (20SQ) Tear -off
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
$1,714.00
$.86
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-
$56.75
Fire SC $1.71
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TO EE
Licens C $5.
$64.32
SIGNATURE OF CONTRAQ+ OR OR AUTHORIZED AGENT IDATEI
mprVALIDAT
13 G INSP
D HIS I$ R
ryATE
SIGNATUREOF OWNERIIF OWNERBUILDERI IDATEI
I/
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY .AND DUPLEXES R-1 AND R-2 f _
BUILDING PERMIT APPLICATION I��
ConstructionAddress: C f ee k- 6 Wd .
Legal Description:
Owner Name & Address: CL -0) 9 1 P, i Tel. # 5-7) "- 1-7 c I
Contractor: Pt 4 y flfq CCC ( Jo � e -7-rV'P iso Vena eiv `f5 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:
Kecoo-�
Hz)")Se 140d. GpkrARe '�a Sove�lfeS
TeRr
bj�f
Construction Type:
Estimated Cost: $ 121V -
(Fee Schedule on Back)
Driveway Curb Cut Width Needed:
Ft. + 6 Ft = Ft x $ _ $
DATE: C? -C?- 9 S
APPLICANT:
/f Tel. # 3 S y qV ys
CITY USE ONLY
Permit Fee
$
i`
�. '%S�
Fee Schedule on Reverse Side
Fire Surcharge
$ /, /
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$
$5.00 (State Licensed Residential Contractors)
Driveway Escrow
$
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
$
I1'IoY•k"M