PRE 2010 DOCSs
i
City of Fridley, Minn.
BUILDING PERMIT N® 4 4 9 9
Date: ...._..._V -&-a- - ------ - -----------------...._.
Owner: Builder -......
Address�•
--...__..........._......__.._..-............ Address ........_���-..., ...._:.. :... ..�
r L TIO OF"11D.G
No.... ...... Street _Part--- •------•- -............_ -
Lot ......-..1 ................... Block - - f ............................... Addition or Sub-Divisio � .._. ... ....... �.. .. _.�
Corner Lot ................ .................... Inside Lot .._....... � ........_... Setback .......��............... Sideyard .-- ............a....................- .........
SewerElevation .................... _............................ -................................................ ..... Foundation Elevation .................................................... ................ .................. ........
DESCRIPTION OF BUILDING
To Used s
Front - .. Depth .......� ..._.. Height ....0 Sq. Ft./_.....\....� Cu. Ft.
-........ ront ...1-- .... Depth .. He ht ... .
Sq. Ft.Cu. Ft..- ...
...
Type o Construction............�.-�..d...%d°'�..�,�... Est. Cost fes.$... ..o�......._ _..
To be Completed .................... .............. - ....... .........
—" 7 R _ ,.T,
f
In consideration of the issuance to me of a permit to cons the building described above, I agree to do
the proposed work in accordance with the description above se fort and in compliance v� provisions of
ordinances of the city of Fridley.
..
In consideration of the payment of a fee of $., ......._ ...., per 't 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 on violation any of the provisions of said
ordinances. 9
............................ 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.
4
t
Application for Power Pkints and_ Heeling, Cooling, Ventilation. ,Reh igeraHon oad
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR: RATE . TOTAL,
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 $
MECH. WARM AIR
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
1 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
$
L
ROUGH
FINAL
Dept. of Bldg& Phone SU, 4-7470
Location
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. j
Fri ley, Minn.
Owner
Kind of Bu .l�yling�--���
Used as
To be completed about
Estimated Cost, $- S7
a
Ol New uilding Permit No. Permit No.
t
DESCRIPTION OF WORK
HEATING orP '?VER PLANTS—Steam, Hot
.��Wa �WarmAir o %
Trade Name 'f_P_ '- i� T�J Size No�
Capacity Sq. Ft. E.D.R k BTU H.P.
Total Connected Load T `� `p Kind of Fue
BURNER — Trade Name . Size No
Capacity.
(REMARKS—OVER)
a z 2M 7-59
Sq. Ft. E.D.R BTU H.P.
PAY N. WELTER HEATING C
4637 CHICAGO AVE.
MINNEAPOLIS ?, MINNESOTA
Signed
By
Business Phone
HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS" MINN.
Weatherstrips A.S.H.V.E. Construction No. )insulation
Guide
WindowI Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How. Applied
eY s—No Yes—No 19____ 1 1 1 1
F1.1 i Room Length Width S Height I Fl.) Room I Length d Width Height ,, "S
Windows and Doors—Crackage and Area .
Coe£ Btu
Width He No. of Lineal t . Area
No. - of pane of pane lights of crack sq. ft.
d�, , 'v
Net exp. wall
tote.
Infiltration
Glass
,,Exp. wallZ,2, 26116
Infiltration
Glass
Net exp.; wall
Int. wall
Exp. wall/A
=Ceiling .
9
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
F1.1W Room I Length Width Height
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
NO. of pane of pane lights of crack sq. ft.
Coef. Btu
infiltration
Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
''Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
I FM. �, � . Room I Length 1 ,Width #&_ Height ,
Windows and Doors—Crackage and Area
Room I Length
Width Height No. of Lineal ft. Area
No. of pane of pane lights. of crack eq. ft.
a �
Net exp. wall
/0 43e;)
Coe£ Btu
Infiltration
Glass
Ceiling,
Exp. wall/A
Net exp. wall
9
Int. wall
Ceiling
l! loor -
Tbtal Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane, lights of crack eq. ft.
AO 40 t a r
JCoef.j Btu
Infiltration I 11r I LOX
Glass
Room I Length
Exp. wall.
Net exp. wall
/0 43e;)
Int. wall
Width
Ceiling,
Area
Floor
9
Total Btu.
Required sq. #t. E.D.R. or sq. ins. W.A. Leader area
Fl.l Bggg..
Room I Length
Width
.
j
Windows and Doors--Crackage and Area
Width
Height No. of Lineal ft.
Area
No. of pane
of pane lights of crack
sq. ft.
Infiltration
Total Btu.
Required sq. ft. E.D.R. or sq. itis. W.A. Leader area
FLVI AA P - 00m I Lengdoo Width O
Windows and Doors--Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of -pane lights of crack sq. ft-,,
Ing .1 s+a
80
0
C
Infiltration 11
Glass. 4
Exp. waU �t 10.* .
Net exp. wall
Btu
Int. wall
Ceiling ' -
Floor
Total Btu.
ft. E.D.R. or sq. ins. W.A. Leader area
a
City of Fridley
Application for Plumbing and Gas Fitting Permit
Dept. of Bldgs. Phone SU 70
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures
O <
NO.
`�
Z
��
°� x $1.50
$ /-0-0-0
qa
x
1.20
�a
New Fixture Old Opening ..............
(9
Z
`Za
R
N
WATER HTR.
GAS
ELEG
iCi
Water Heater (Up to 200,000 BTU) ......
2.00
3�
z p
oLL
x
�0
S
3
t�°d
0
(70
1st 3 Fixtures ..........................
x
$1.50
-7 a
$
Additional Fixtures ....................
x
m
$
Gas Range to 200,000 BTU ..............
x
2.00
$
Base
1st
1
/
2nd
_
3rd
4th
• Future Connection Openings
Connected with
Sewer
New .Fixture, Old Openings
Cesspool Ej
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE
TOTAL
Number Fixtures ......................
°� x $1.50
$ /-0-0-0
Future Fixture Opening ................
x
1.20
$ o
New Fixture Old Opening ..............
x
1.00
$
Catch Basin ............................
x
3.25
$
Water Heater (Up to 200,000 BTU) ......
x
2.00
$ a
New Ground Run Old Bldg . ............
x
3.25
$
GAS FITTING FEES:
NO.
RATE
TOTAL
1st 3 Fixtures ..........................
x
$1.50
-7 a
$
Additional Fixtures ....................
x
.50
$
Gas Range to 200,000 BTU ..............
x
2.00
$
REPAIRS & ALTERATIONS—Refer to Code
Description .......... $
TOTAL FEE $�
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 ander correct.
19
Owner
Used as
To be completed about _
Estimated Cost, $
Old—New. Building Permit Permit No -4
d�
4
Signe
By
Business Phone No —
ROUGH APR 2 9 1960
FINAL
dz 2M 7-39
OF
City of FridleySUBJECT
26956
AT THE TOP OF THE TWINS
BUILDINGPERMIT
r
�
REC T NO.
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.®
r
NUMBER
REV
DATE
PAGE OF
APPROVED BY
"1 CITY HALL FRIDLEY 55432
612-571-3450
910-F15
8/3/98
JOB ADDRESS 289 Rice Creek Blvd
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
21
3
1 Rice Creek
Plaza North Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Ronald Simmons
571-8525
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Midwest Siding & Roofiniz 18979 Gladstone Blvd
Maple Grove 55321 416-
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
20010277
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION fJ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and garage 26 S Tear-off
9 CHANGE OF USE FROM
TO
STIPULATIONS
Underlayment must comply with.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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
216$
$1.08
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-
ST CTI N OR THE PERFORMANCE OF CONSTRUCTION.
$74.75
Fire SC $2.16
m - ��
PLAN CHECK FEE
TOTA EE
Licens2.
SIGNATURE OF CONT RACTOR OR AUTHORIZED AGENT IDATEI
P PER LIDATE HIS IS Y UJRPRM
� r
BLDG NSP DATE
SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI
OF
NEW [ ]
ADDN [ ]
ALTER [ ]
ConstructionAddress:
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
r((- ccte� ��J
Effective 1/1/98
Legal Description:
Owner Name & Address: PV -'0n4 �� S�. s' AFI�l�- — Tel. # 521 - SS;k5'
Contractor: M%41 -s I- Ao MN LICENSE #,?-0®/®d-
Address:jk%�� 61-,4 ��lcrc�C, /X-®� �i✓u-� , �J l Tel. # V16 s ��
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF EMPROVEMENT
Length Width Height
Length Width Height
Length Width Hgt/Ground
e- IIc � --�(.' 5
Sq. Ft.
Sq. Ft.
Sq. Ft.
Construction Type: -0r-r, 112C " /pa --4- Estimated Cost: $ 3,
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: 3 APPLICANT: z� L� Tel. # t/16 "VkV `I`
. STIPULATIONS:
CITY USE ONLY
Per ait Fee
i
$ L . %
Fee Schedule on Reverse Side
Fire Surcharge
$ iG
.001 of Permit Valuation (1/10th%)
State Surcharge
$ /08
$.50/$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$ 66
$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
$
. STIPULATIONS: