PRE 2010 DOCSCity ®f Fridley, Minn..
B ING PERMIT
Date: March 22, 1966
Owner: Charles E. Johanson Builder Charles E. Johanson
Address Address 160 Hartman Circle
LOCATION OF BUILDING
No. 2 Street H &- Part of Lot
Lot _Block 2 Addition or Sub -Division . H01i.claa Hills' 201.
Corner Lot Lot Setback_ _ _ Sideyard� 10' — t
Sewer Elevation oa evation
�.L. C.
3 3,1 73®
8725
DESCRIPTION OF BUILDING
To be Used as: i I S7 .23 /1�O
House Front q Depth 281 Height 2Qr _ Sq. Ft. 1, 146 cul. Ft.22,928
Ga 32a ize Front _2Q ! .r Depth _ 221 ___ Height 3 0 1 Sq. Ft. h4Q cu. Ft. ) i ,bot)
Type of Construction Est. Cost __ , QOQ___ __ .____ To be Completed
�-S C17 47/e v
L6� A 7-( 6�J 6 U )B A ca iC-- 4> �c rel
In consideration of the issuance to me of _a permit to co the uil �glj
bed above I agree to" do
theproposedwork in accordance with the description abov set orth ce with ail provisions Of
ordinances of the city of Fridley. e
In consideration of the payment of a fee of $ 28.00 , permit i'rhereby granted to Charles E.
iig1 &?+ Aaatre , 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.
ALIEN G. JENSEN $iding Inspector
NOTIC&
Uh permit don not ewer the comfrue8on, huhileHon for wiring, phmmbing, on hen&## ower or wafer. Be am to n.
the Building ingmftr for opnab pmniM for then Henn.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
a,
OWNER'S NAME �% �� s� BUILDER
ADDRESS 16 ® ,AA ,�( ` 1i 6=_ -ADDRESS
LOCATION OF BUILDING
NO, STREET 4 PART OF LOT
LOT___3 BLOCK �, ADDITION OR SUBDIVISION er
CORNER LOT INSIDE LOT SETBACK 3 S ' SIDE YARD U -
SEWER ELEVATION FOUNDATION ELEVATION
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:
y - Front-�_Depth Height_ �
Sq. Ft. CU. .Ft.
Front P- I DepthHeight
Sq. Ft. 4K c/ d'- Cu. Ft. 45I L/ 0
Type of Construction Estimated Cost %0 L9 L?
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 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, r,
DATE -Z �E
� 41.5
(Schedule of Fee Costs can be found on the Reverse � e).
PERMIT for Power r1lants and Heating. Cool-
ing, ventilation. Refrigeration and Air
Conditioning Systems and Devices
DESCRIPTION OF WORK
No. o. N_eating Plants to be installed—altered—repaired
Make
Oil fired ; Coal fired—, Gas fired ; Gas Authorization No.
Remarks
Approved
Final Inspection Date , 19_
Inspector
Pere No
Fee $ 10,"
'
4565
Office of the Inspector of Buildings
City of Fridley
City of Minn. /2
Owner -ma'
je
Location
Kind of Building
How Occupied
Work to be Commenced ' 1 ,19-(a
To be Completed 9' 2, 4 ,19�
Estimated Cost, $ 1P7 5 -8 --
Inspector
-8 --
Old -New, Building Permit No.
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 condition thafffthe 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 spe set forth in the approved application for this
permit on file in the office of the Inspector of Buildings. ,
Inspector of Buildings
42 2M11 -67V
AGREEMENT
,r
owner of the property
located athave no objection to the
City allowing the construction of a orf✓`'� i to be
located at �' '� without the required
certificate of survey that the City ordinarily requires for all new
construction.
Signature
J
Address
tr,
Date
Witness
r�
City of Fridley
SUBJECT
PC-i
16-
o 4 7
AT THE TOP OF THE TWINS
BUIL®ING PERMIT
COMMUNITY DEVELOPMENT DIV.����PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
612-571-3450
RECEIPT NO.
NUMBER
910-F158/31/82JOB
REV.
DATE
PAGE OF
APPROVED BY
ADDRESS 412 Rice Creek Boulevard
LEGAL
DESCR.
LOT NO.
3
BLOCK
2
TRACT OR ADDITION1 SEE ATTACHED
Holliday Hills 2nd SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
J. Thomas 412 Rice Creek Boulevard N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Chas. Johanson Inc. 424 Rice Creek Boulevard, Fridley 571-8021
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 �l ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 16' x 9' Addition
9 CHANGE OF USE FROM TO
STIPULATIONS
Need survey release signed by neighbor to south.
#jW0
�ER�AT PfRhl17Sde a ��+ I�1 O�1 'FR G.tf1EN���G'PL1j"ING AND SITYPE
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
OF CONST.
Wood Frame
OCCUPANCY GROUP
OCCUPANCYLOAD
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION144
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS ATANY
ZONING
SQ. FT.
CU. FT.
TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
VALUATION
$5,200
SURTAX
$2.60
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHER STA E OR LOCAL LAW REGULATING CON-
TRUCTION.00R A.1 PERFORMAJt E OF CONSTRUCTION.
$56.50
PLAN CHECK FEE
$14.13$73.23
TOTALFEE
SIGNATURE OF CONTR Q'R OR AUTHORIZED AGENT tDATEI
WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
hnjoLdC{C�'. i 92--_SIGNATURE
OF OWNER IIF OWNER BUILDERI IDATEI
BLDG IN5P OAT
CITY OF FRIDLEY Effective Aug. 1, 1981
APPLICATION FOR RESIDENTIAL BUILDING PER4ITS
(thew, Alterations, Additions, or Repairs)
OWNER: V �flO/� ff�'
ADDRESS:
TEL NO:
BUILDER:
ADDRESS:
TEL 110: z-/
Construction Location
STRMT NO: STREET:r�: &<
LOT: BLOCK: ADDITION: �� n
Corner Lot: Inside Lot: Setback: Sideyards:
Applicant attach to this form two Certificates of Survey of lot and
proposed building location drawn on certificates to scale.
DESCRIPTION OF CONSTRUCTION
Front: %L' Depth: 9Height: Ap
Square. Feet: 1 Cubic Feet:
Front: Depth: Height:
Square -Feet: Cubic Feet:
Type of Construction: ofj R -A -en Estimated Cost: $
Rb Be Completed:
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired: $ $
SEE REVERaE SIDE OF SHEET
Mie 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 Delvirtment of Buildings, and hereby declares that all the facts and
representations stated in this application are true and corXect.
DATE:
SIGNATURE:
Stipulations:
QR. 5`. so U 1Co &.w , 'jam ,
Pe ! q. t�
T7' 2.t�
Building
BUILDING
Permit No.:. 4 `
Inspections
RESIDENTIAL APPLICATION
Received By:
763-572-3604
Da ,YAR 1 0
CITY OF FRIDLEY
1—
`c�O
DATE Y I fCCI-N 10
YOURE-MAIL ADDRESS (.�50#,T\aclo peo
DC ? - Corn
SITE ADDRESS y I Q�lv
GC G�(rC�.Y� �lud
THIS APPLICANT IS:
❑ OWNER
PROPERTY OWNER/
PP❑CONTRACTOR
NAME: r\ ` <S CrY--%
ADDRESS: CITY
STATE ZIP
TENANT
PHONE: r�-o�- s4 1 —4!>4-4
NAME:
Renewal By Andersen
CONTRACTOR
SUBMIT A COPY OF
STATE LICENSE # 1920 County Road "C" West
YOUR STATE LICENSE
ADDRESS: Roseville, MN 55113
STATE—ZIP—
TATEZIPWITH
WITHAPPLICATION
PHONE
❑ SINGLE FAMILY/NEi License #20130983
PROPERTY TYPE
❑ TWO FAMILY/NEW C 651-264-4777
❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS
PERMIT TYPE
❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
❑ DECK ❑ SIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW ❑ ADDITION
❑ MAINTENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE: to cy l In ae er ,e t -a ;
SIZE OF IMPROVEMENT LENGTH WIDTH
HEIGHT Sq. Ft.
ROOFING
❑ HOUSE ONLY
NUMBER OF SQUARES
❑ HOUSE & GARAGE
BASEMENT
REMODELING SUBMIT:
GARAGES
❑ ATTACHED GARAGE
1.
2•
Existing Floor Plan
Proposed floor plan
PROPOSED SIZE:
PROPOSED HEIGHT:
❑ DETACHED GARAGE
3.
List of structural members to be used
SIDING
FOR NEW CONSTRUCTION INCLUDING DECKS,
❑ Vinyl
❑Soffit
ADDITIONS_
& PORCHES SUBMIT:
❑ Aluminum
❑ Trim
1.
Site PhugSurvey showing the existing structure
❑ Other
❑ Fascia
and proposed project.
WINDOWS
2.
Two sets of construction plans
IN EXISTING OPENINGS ❑Yes []No LOCATION OF WINDOWS
3.
Energy Calculations
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $ 15t0, 6D OCCUPANCY TYPE
Permit Fee $ . Cid See Back Page for Fee Schedule
Plan Review $ 65% of Building Permit Fee
Fire Surcharge $ .001 times the total job valuation
Surcharge $ .0005 x Permit Valuation Minimum $.50
License Surcharge $ CRD $5.00 (State Licensed Residential Contractors)
SAC Charge $ $1550 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow $ ft + 6 ft = ft x $21 = $
Erosion Control $ $450 Conservation Plan Review
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( )
Total Due $ (0 ► . P � Make checks oavable to: Citv of Fridlev Attach Stiaulations
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be it
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not
permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approve(
plan in the case of all work wYch requires review and approval of plans. j�
SIGNATURE OF APPLICANT (,Y PRINT NAMES{ 1QdC% !�L_Y%SCN1f�7 DATE
It
CITY OF FRIDLEY INSPECTION DIViSION
5431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
763.572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
Residential
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace
(Side Vent . Fill Out Back)
Gas Piping (Needed with new furnace,
but not replacement)
Gas Range
Gas Dryer
*Air Conditioning • All Sizes
All Others/Repairs & Alterations (LIST ON BACK)
1%, of Value of Appliance or Work
Commercial/industrial.
1.257o of Value of Appliance or Work
Rate TOTAL
$ 30.00 $
$ 10.00 $
$ 10.00 $
$ 10.00 $
$ 25.00 $ �.�
State Surcharge
TOTAL FEE
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $47.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
$ .50
$195'&D
Effective On January 1, 2001
JOB ADDRESS `7 1 ;� C-ce 5--PP'k A U&
OWN
BUILDING USED AS
IJ
ESTIMATED COST : 6-0 PERMIT.NO. 146
DESCRIPTIQN OF FURNACE AND OR BURNER,
No. of Heating LAnits Circle One (Steam) (Hot Water)
Trade Na ie , L/ i Size No.: U64/-2
BTU HP EDR
FuelI. Com. Total Connected Load
Burner trade Name Size No.
BTU HP EDR
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the City Codes an
rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are true and correct.
DATE
HEATING CO
BLAINE3582 ENTRAL AVE..ECTE.
Signed �' TEL if
Approved By Rough In Date Final Date 2 J&®/
D COMBUSTION AIR VERIFICATION
COMMON VENT VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
!When replacing an existing furance, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions,
and is securely supported and firestopped where required. Yes'O No ( )
The venting system is plastic/PVC and meets all current codes and manufacturer
specifications including sizing, length, number of elbows and termination. Yes No ( )
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturer's specifications. This does
include AGA-GAMA Category I Central Furnace Venting Tables for fan
assisted and natural draft appliances. Yes No ( )
The existing combustion air is sized and installed to meet the current codes
and manufacturer's specifications.
Yes No ( )
When required to install a new combustion air, it will be sized and installed
to meet the current codes and manufacturer's specifications. Yes No ( }
When installing a new venting system, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturer's
specifications. This does include AGA-GAMA Category I Central Furnace
Venting Tables for fan assisted and natural draft appliances. Yes} No( )
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented
separately as per current codes. Yes ( No ( )
Appliance Tvpe and Size/Common Vent and Vent Connector Information
Appliance #1 Type -F� BTU Input 90,Mb Fan Assisted or Nat
Appliance #2 Type BTU Input Fan Assisted or Nat
Appliance #3 Type BTU Input_ Fan Assisted or Nat
Total Appliances Total Btu Input
Common Vent Type Vent Height Diameter inches
Appliance #1 Vent Connector Height ft Length ft Diameter in Type
Appliance #2 Vent Connector Height ft Length ft Diameter in Type
Appliance #3 Vent Connector Heightft Length ft Diameter in Type
ALTERATIONS: (Describe) -
BLAINE HTM ASC ELECT., INC.
13562 VENTRAL AVE. N.E.
HEATING CO:55304
Signed By: ems. Date