PRE 2010 DOCSCity of Fridley, Mim.
BUILDING PERMIT
Date: July 23, 196 9
Owner:
Charles Johanson
Builder
Same
Address 580 69th Ave. N. E. Address Same
Fridley Same
No. 545 Street
LOCATION OF BUILDING
Rice Creek Blvd. part of Lot
Lot ._.._4 Block .2 Addition or Sub -Division . Holiday Hills
Corner Lot Inside Lot X Setback 55' _ _ Sideyard _... 15 ' 30'
Sewer Elevation 27.26 831.51
Top of Footing
DESCRIPTION OF BUILDING
To be Used as:
Dwelling Front 152 t Depth 26 Height 20' Sq. Ft. 1352 Cu. Ft. 27,040
Front Depth _ _ Height Sq. Ft. Cu. Ft.
Type of Construction Frame Est. Cost —, 22 000.00 _ To be Completed
Q8/» �
No 10347
SEWER LOCATION - 47' S. W. of Manhole
WATER LOCATION 9 37' S. W. of Manhole
In consideration of the issuance to me of a permit to construct the buildingdes above, I agree to do
the proposed work in accordance with the description above set forth pnd in co: de;F 7th all provisions of
ordinances of the city of Fridley. Z? / -, i
In consideration of the payment of a fee of $ _,sem_., permit is hereby granted to Charles He
Johanson 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 tune upon violation of any of the provisions of said
ordinances.
or
qLarence Belisle
NOTICE:
Thb permit does not cover the construction, installation for whbe, plumbing, gas beating, sewer or water. Be sore to see
the Building inspector for separate permits for these items.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME -90ARLESX—JONAbismi mc. BUILDER CHARLES E. JOHANSON INC.
6h A -19—E. '
580 69th Avenue N. E. 580 9tvenue
ADDRESS Fridley, Minnesota 55432
ADDRESS F[idleg, bdianespta 55432
LOCATION OF BUILDING
NO. STREET
LOT BLOCK ADDITION OR SUBDIVISION
CORNER LOT INSIDE LOT4_SETBACK SIMARD 3
SEWER ELEVATION TOP OF FOOTING
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 Depth Height,
Square feet Z -3,;:r -z Cubic Feet
Front Depth Height
Square feet Cubic Feet
Type of Construction Cost L - 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 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.
DATE —SIGNATURE
.(Schedule of Fee Costs can be found on the Reverse Sid
Original
PERMIT for Power Wants and Heating, Cool-
ing, Ventilation. Refrigeration and /fir
Conditioning Systems and Devices
DESCRIPTION OF WORK
No. of_ l Heating Plants 0-1 / to be'nstalle ltered—repaired
Make Q-A W- A 2
Oil fired—,- Coal fired ; Gas ftred ; Gas Authorization No.
Remarks
Approved by.
Final Inspection
19_
Inspector
63 VS''
Permit N° _ - 480 8
Fee $ 12.00
Office of the Inspector of Buildings
City of Fridley
City of Fridley, Minn. ®! , 19_
Owner �1 l. ee2i
Location 's -kis f�C_j--) N e 2 /z
Kind of Building -9�U 1'I U
How Occupied 1-1,1 Z It.
Work to be Commenced—, 19—
To be Completed ,19_
Estimated Cost, $ - d -d
Old -New, Building Permit No.
Permission is hereby granted to_.;" , - t�ei(' to install—erect—use the material and devices described in the
above statement. This permit is granted upon the express condition 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 specifications set rth in the approved application for this
permit on file in the office of the Inspector of Buildings.
Inspector of Buildings
42 2M11 -67V
G
Is
N
O
F%
N
WATER HTR.
GAS
ELEG
Base
2nd
-
nth
--
-
---
— —
PLUMBING FIXTURE RATES:
Number Fixtures
Future Fixture Opening
New Fixture Old Opening
Catch Basin .
NO. RATE TOTAL
x $2.00 $ 0
o�3 °
x $1.50 $
x $1.60 $
x $3.25 $
Water Heater (Up to 99,000 BTU) j x $3.00 $ 3 &U
New Ground Run Old Bldg. x $3,2 $
Electric Water heater $2.00 J -
GAS FITTING FEES: NO. RATE TOTAL
1st 3 Fixtures ..... x $2.00 $
Additional Fixtures ..... x $ .75 $
Gas Range to 199,000 BTU ............... x $5.00 $
REPAIRS S ALTERATIONS—Refer to Cote
Description................. ................ . ...........$
001
TOTAL FSE $ 2, 6—
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, Nunn- 19
OwnerA
Kind of Building _��
Used as
To be completed about A)" ( 5
Estimated Cost, $ r/
Old—New. Building Permit No.— 77 Permit No.®fid
Signed. - ��—
1�OUC3FI V
FINAL A)
By-- --.
Business Phone No_ 7S"'" h�7 9J--
N? 5028
Original Permit for FLUMING AND GAS FITTING
N.B. When work covered by this permit is ready, the Plumbing Ordinance requires that request for Feet �,
inspection shall be phoned in to the plumbing Inspector, 560-3450 giving number of this permit.,
DESCRIPTION OF WORK I)
Number, Bind and Location of Fixturt es
Stories
a
Q o z
3. U
m
® f
to
2
a
m
m
z
0
= M
a s
� F
Y Z
z
O LL
W
c
to
C z
p 'a�
LL p
x Z
tQ 'a
U�
�,
a M
R' 0j
m x
f 4
p ap,
O Q
m
m zoz
O p;
WATER HTR.
6A6
ELEC.
Basement
j
ist
2,
2nd
3rd
4th
I
I
I_F1
I
I
Connected with Sewer -Cesspool Gas Piping for Openings
Permission is hereby granted DU : to do the plumbing and
gas fitting in the building described in the statement hereto ak6hed, upon the express condition that
the person to whom this permit is granted, and his agents, employees and workmen, in the plumbing
or gas fitting of said building shall conform in all respects to ordinances of the City of Fridley, and
this permit may be revoked at any time upon the violation of any of the provisions of said ordinances.
By Order Of The Inspector Of Buildings
Roughing in Inspection Date
Inspector.
Final Inspection
Inspector.
42 JM_"9_V
City of Fridley '-" "" 0 ® ,19 _!�iy
Owner
Location S4�5'
Kind of Building 't:�&&_i'sz-�
Used as
To be Completed lQo'd 1,19 � oio'
Estimated Cost
Old -New. Building Permit No. ®3 q:7
o
Inspector of Buildings.
Application for Power Plants and Heating. Cooling, Ventilation. Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR: RATE TOTAL
Furnace Shell & Duct Work ........................... $10.00 $
Replacement of Furnace ............................. 6.00 $
Repairs & Alterations—up to $500.00 .................. 6.00 $
Repairs & Alterations each add. $500.00 ............... 3.00 $
NECK. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ Z40,0
each add. 60,000 BTU ....................... 3.00 $
Replacement of Furnace ............................. 6.00 $
Repairs & Alterations—up to $500.00 ................. 6.00 $
Repairs & Alterations each add. $500.00 .............. 3.00 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $
Each add. 200 sq. ft. EDR Steam ...................... 3.00 $
Each add. 320 sq. ft. EDR Hot Water ............. .... 3.00 $
OIL BURNER—to 3 gal. per hour ........................ 6.00 $
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to 199,000 BTU) ....... 5.00 $
over 199,000 BTU See Fee Schedule
GAS FITTING FEES: NO RATE TOTAL
1st 3 Fixtures ...................... x$ 2.00 $
Additional Fixtures ................. x .75 $
Gas Range to 199,000 ........... x$ 5.00 $
AIR CONDITIONING
FAN HEATING SYSTEM
VENTILATING SYSTEM
ALTERATIONS & REPAIRS
ROUGH
FINAL
$
See Fee Schedule
TOTAL FEE $ ` ?- &
Dept. of Bldgs. Phone 560-3450
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.
01- 616
Fridley, Minn 19 0
Owner
Kind of Building
Used as
To be completed about
Estimated Cost, $ /.-),
New. Building Permit No. Permit No. X/6� /
DESCRIPTION OF WORK
HEATING or POWER PLANTS -Steam, Hot Water, Warm Air—No
Trade N Size No l es 6 /A
Capacity Sq. Ft. E. R- 196, eV 0 BTU___KH.P,
Ij
Total Connected Load -4-711 SO 0 Kind of Fuo -
BURNER —Trade Name 4 16x3 Size No
Capacity Sq. Ft. E.D.R BTU H.P.
(REMARKS --OVER)
Slaned
eQJj).4P Business ,on -
IVY
Original
PERMIT for Power Ranh and Heating. Cool-
ing. ventilation. Refrigeration and Air
Conditioning Systems and Devices
DESCRIPTION OF WORK
No. o. I Heating Plants Waknj a,4�u to b nsialled ltered—repaired
Make , Sixe
Oil fired—, Coal fired ; Gas fired X ; Gas Authorization No.
Approved
Final Inspection
19_
Inspector
Permit N ® 4675
Fee $ ?• 00
Office of the Inspector of Buildings
City of Fridley
City of Fridley, Minn.,4 , 19-2-4
Owner &k
Location -524S'' &ILL 7d"
Kind of Buildin %AA// / d
How Occupied
Work to be Commenced ,19_
To be Completed—, 19
Estimated Cost, $ 625-6-06
ql --New, Building Permit No.
Permission is hereby granted to • YY16-L A 2� -to install—erect—use the material and devices described in the
above statement. This permit is granted upon the express condition 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 specifications set forth in the approved application for this
permit on file in the office of the Inspector of Buildings. I-) cil, ��®B�� Inspector of Buildings
az 2M 11-87 V
City of Fridley
Application for Plumbing and Gas Ming Permit 53-84-s915.51
Dept. of Bldga. Phone 860-3480
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures Location 545 Rice Creek Blvd. NE.
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO. RATE TOTAL
Number Fixtures ......................
x $2.00
$
Future Fixture Opening ................
S �
3�
O
New Fixture Old Opening ..............
8�
Q� ?Oj
S
Catch Basin ............................
x $3.25
S¢
�O
F
N
WATER HTR.
GAS
ELEG
Base
x $2.00
$
GAS FITTING FEES:
NO. RATE TOTAL
1st 3 Fixtures ..........................
3 — x $2.00
Additional Fixtures ....................
x $ .75
$
Gas Range to 199,000 BTU ..............
x $5.00
$—
install (1) gas grill &
(2) liter
9.00
REPAIRS & ALTERATIONS—Refer to Code
1st
2nd
3rd
4th
• Future Connection Openings
* New Fixture, Old Openings
I
Connected with
Sewer �
Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO. RATE TOTAL
Number Fixtures ......................
x $2.00
$
Future Fixture Opening ................
x $1.50
$
New Fixture Old Opening ..............
x $1.50
$
Catch Basin ............................
x $3.25
$
Water Heater (Up to 99,000 BTU)
...... x $3.00
$
New Ground Run Old Bldg . ............
x $3.25
$
Electric Water Heater
x $2.00
$
GAS FITTING FEES:
NO. RATE TOTAL
1st 3 Fixtures ..........................
3 — x $2.00
Additional Fixtures ....................
x $ .75
$
Gas Range to 199,000 BTU ..............
x $5.00
$—
install (1) gas grill &
(2) liter
9.00
REPAIRS & ALTERATIONS—Refer to Code
Description ................................................$
TOTAL FEE $ 11.00
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, >ylinn_ June 29: 197® , 19—
Owner Gbar3.es Jobangon
Kind of Building fraMe
Used as residence
To be completed about Jul�r 3s, 1970
Estimated Cost, $ 30-00
Old$New. Building Permit No Permit No.
ROUGH
FINAL ` ;? q ` 7 o
gt--r Mall
Cify of Fridley
ApplicaHw for Nombing and Gas 1114"1" Pam*
Dept. of Bldgs. Phone S$0-3430
DESCRIPTION OF WORK 545 Rice Creek Blvd
Number, Kind and Location of Fixtures
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ................ x $2.00 $
Future Fixture Opening ............ x $1.50 $
New Fixture Old Opening .......... x $1.50 $
Catch Basin ..................... x $3.25 $
Water Heater :Up to 99,000 BTU) • • • • x $3.00 $
New Ground Run Old Bldg......... x $3.25 $
Electric Water Heater .............. x $2.00 4
GAS FITTING FEES: NO. RATE TOTAL
1st 3 Fixtures ............ • ... x $2.00 $
Additional Fixtures .................. x $ .76 $
Gas Range to 199,000 BTU ...... ®......... 1 x $6.00 $ B.00
REPAIRS & ALTERATIONS—Refer to Code
Description ............................................ $
TOTAL M $ 3, on
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, IYlinn 7-9-70 19®
Owner Charles Johnson
Kind of Building frame
Used as X!@s
To be completed about 7-14-70
Estimated Cost, $
Old—New. Building Permit N Pe t No.
SigBY
ned.
Business Phone I I
ROUGH
a7
Y
ZZz
N
6 Z
N
Z®
WATER $M.
•
eett
/ N GAS ELEC.
Base
1st
�-
2nd
3rd
4th
® —Futuro Coaeoctlon Openings
Concocted with
o Fixture, Old Openings
BawerNee® ❑
Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ................ x $2.00 $
Future Fixture Opening ............ x $1.50 $
New Fixture Old Opening .......... x $1.50 $
Catch Basin ..................... x $3.25 $
Water Heater :Up to 99,000 BTU) • • • • x $3.00 $
New Ground Run Old Bldg......... x $3.25 $
Electric Water Heater .............. x $2.00 4
GAS FITTING FEES: NO. RATE TOTAL
1st 3 Fixtures ............ • ... x $2.00 $
Additional Fixtures .................. x $ .76 $
Gas Range to 199,000 BTU ...... ®......... 1 x $6.00 $ B.00
REPAIRS & ALTERATIONS—Refer to Code
Description ............................................ $
TOTAL M $ 3, on
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, IYlinn 7-9-70 19®
Owner Charles Johnson
Kind of Building frame
Used as X!@s
To be completed about 7-14-70
Estimated Cost, $
Old—New. Building Permit N Pe t No.
SigBY
ned.
Business Phone I I
ROUGH
Application for Power Plants and Heating, Cooling. Ventilation. Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone 560.3450
GRAVITY WARM AIR: RATE TOTAL Location 'c 7' �' —
Furnace Shell & Duct Work ..........................$10.00
$
Replacement of Furnace .............................
6.00 $
Repairs & Alterations—up to $500.00 ..................
6.00 $
Repairs & Alterations each add. $500.00 ...............
3.00 $
MECM WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $
each add. 60,000 BTU ....................... 3.00 $
Replacement of Furnace ............................. 6.00 $
Repairs & Alterations—up to $500.00 ................. 6.00 $
Repairs & Alterations each add. $500.00 .............. 3.00 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $
Each add. 200 sq. ft. EDR Steam ...................... 3.00 $
Each add. 320 sq. ft. EDR Hot Water .................. 3.00 $
OIL BURNER—to 3 gal. per hour ........................ 6.00 $
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to 199,000 BTL) .......................
5.00
$
over 199,000 BTU See Fee Schedule
GAS FITTING FEES:
NO RATE
TOTAL
1st 3 Fixtures
x$ 200
Additional Fixtures .................
x .75
$
Gas Range to 199,000 ...........
x$ 5.00
$
AIR CONDITIONING
FAN HEATING SYSTEM See Fee
I
Schedule
VENTILATING SYSTEM
$
ALTERATIONS & REPAIRS
TOTAL FEE
$
ROUGH
FINAL 6 4 ® 71
City of Fridley:
The undersigned hereby makes application for a permit for the work hereir
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 1 y 19 Zb
Owner
v
Kind of Building
R
Used as
To be completed about
Estimated Cost, $ Com'
Old—New. Building Permit No. Permit No.�
DESCRIPTION OF WORK
HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No
Trade Name " Size No C'g 3( 00
Capacity Sq. Ft. E.D.R. BTU H.P.
Total Connected Load Kind of Fuel _r::
BURNER —Trade Name Size No
Capacity Sq. Ft. E.D.R BTU H.P.
(REMARKS—OVER)
Signed _'"f
By.
as Business Phone Ngo' `� �f
CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PE*tT
Department of Buildings
City of Fridley
Tel. #571-3450
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
and rulings of the Department of Buildings, and hereby declares that all
the facts and representations stated in this application are true and correct
Fridley. Mn. %.�_Z , 19
OWNER &—)I\-
KIND
—)1
KIND OF BUILDING
USED AS
TO BE COMPLETED ABOUT
PARTIAL RATE SCHEDULE
ESTIMATED COST
e
NO.
Water
TOTAL
OLD - NEW BUILDING PERMIT NO. PERMIT NO.
Number Fixtures
x
$3.00
0®
-c+ 4
x
$2.00
m
row
i�
w
$2.00
Heater
m
®
4'M
Catch Basin
x
$5.00
$
Water Heater - to 99,000 BTU
x14
$5.00
$
Tel. No. ���
100,000 BTU to 199,000 BTU
x
$10.00
$
Water Softener
x
$7.00
$
New Ground Run Old Building
x
$5.00
$
ROUGH INSP.
Electric Water Heater
x
$5.00
$
Date `
'
vii
v
o
M
FINAL INSP. ' 7• 2 ` '2r
of
3
a w°
$
u
me
a'
0
$
o
as
lec
$
APPROVAL FOR PERMIT i
REPAIRS & ALTERATIONS
First $100.00
$5.00
$
each add. $100.00 or fraction
$2.00
$
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 pLUS $.50 STATE SURCHARGE
State Surcharge
$ .50
TOTAL FEE
$�
1st
2nd
3rd
4th
(R) - Future Connection Opening
Connected with Sewer
(*) - New Fixture, Old Opening
Water
Department of Buildings
City of Fridley
Tel. #571-3450
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
and rulings of the Department of Buildings, and hereby declares that all
the facts and representations stated in this application are true and correct
Fridley. Mn. %.�_Z , 19
OWNER &—)I\-
KIND
—)1
KIND OF BUILDING
USED AS
REINSPECTION FEE
($10.00)
TO BE COMPLETED ABOUT
PARTIAL RATE SCHEDULE
ESTIMATED COST
PLUMBING FIXTURE RATES:
NO.
RATE
TOTAL
OLD - NEW BUILDING PERMIT NO. PERMIT NO.
Number Fixtures
x
$3.00
0®
Future Fixture Opening
x
$2.00
$
Company
New Fixture, Old Opening
x
$2.00
$
®
Signed By
Catch Basin
x
$5.00
$
Water Heater - to 99,000 BTU
x
$5.00
$
Tel. No. ���
100,000 BTU to 199,000 BTU
x
$10.00
$
Water Softener
x
$7.00
$
New Ground Run Old Building
x
$5.00
$
ROUGH INSP.
Electric Water Heater
x
$5.00
$
Date `
'
GAS FITTING FEES:
•
FINAL INSP. ' 7• 2 ` '2r
1st 3 fixtures
x
'$3.00
$
' Date
Additional Fixtures
x
$1.00
$
Gas Range to 199,000 BTU
x
$10.00
$
APPROVAL FOR PERMIT i
REPAIRS & ALTERATIONS
First $100.00
$5.00
$
each add. $100.00 or fraction
$2.00
$
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 pLUS $.50 STATE SURCHARGE
State Surcharge
$ .50
TOTAL FEE
$�
REINSPECTION FEE
($10.00)
City of Fridley
SUBJECT
1441
-21r
AT THE TOP OF THE TWINS
BUILDING
P E R W T
' `
R EIPT No.
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
1 . ,
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATEPAGE
OF
APPROVED BY
612-560-3450
910-F15
10/12/77
JOB ADDRESS 545 Rice Creek Boulevard N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
4
2
Holiday Hills Addn.
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
R. P. Hagelin 545 Rice Creek Boulevard N.E.
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Ron Tauer Builders, Inc. 16331 Azurite St. N.W., Anoka 421-7157
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW Ij ADDITION ❑ AtTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 24' x 30' Addition to House
9 CHANGE OF USE FROM TO
STIPULATIONS
WARNIN
SEPERATE PERMIT,$ REQUIRED
digging c�l� �,�.a; IES,;= a.
FOR WIRING
TELEPHONE ' Ea €C',"RK'; - A - ,'
I,
HEATING, r L.I- MBINO AND SIGNS,
REQUIRED SY L VY
i
I�
SEPARATE PERMITS ARE REQUIRED FOR ELEC
RICAL, PLUMBING, HEATING,
TYPE OF CONST.
.Wood Frame
OCCUPANCY GROUP
OCCUPANCY LOAD
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
1
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.
$22,060
$11.03
WITH WHETHER SPECIFIED HEREIN OR NOT.
HE 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.
$57.60
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
�(
PLAN CHECK FEE
TOTALFEE
$14 .
$83.03
SIGNATURE OF CtVRACTOR OR AUTHORIZED AGENT
(DATE1
Wh'I P P'RLY LIDATED THIS IS YOUR PERMIT
,.. BLDG. INS
OATE
SIGNATURE OF OWNER (IF OWNER BUILDERI
(DATE)
' CITY OF FRIDLEY
APPLICATI8N FOR RESIDENTIAL BUILDING PERMITS
(NEW, ALITERATIONS, ADDITIONS, OR REPAIRS)
OW14ER: BUILDER:
®y
Address: � q Address :� 3
Tel.. No. n
No.: Street:
LOT: BLOCK: ADDITION:
CORNER LOT: INSIDE LOT: ->< SBTBACK: SIDEXARDS:
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:
Frond,:
C;y` Depth: 361 Height:
Square Feet: ;120
Cubic Feet: / dU
If
Fronts Depth: Height:
SquarO Feet: , Cubic Feet:
Type of Construction: �: ' ' Estimated Cost: $ Q
To Be Completed: l u) 44- 'V ,z
Alt. A Al B
Proposed Driveway Width If New Opening Is Desired $ $
(SEE REVERSE SIDE OF SHEET)
The undersigned hereby mares 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: SIGNATURE: r
Stipulations:
�, 63
GRAvrff WARM AM:
RATE TOTAL
Furnace Shell & Duet Work .. ... .
..... .. $10.00 $-
Replacement of Furnace
6.00 $
Repairs & Alterations—up to $500.00
6.00 fi
Repairs & Alterations each add. $500.00
300 $
MEM VIAM AM
3% rnace Shell & Duct Work to 220,000 BTU
. each add. 60,000 B°1'tT . .........
RePlacemmt of Furnace
Repairs & Alterations—up to $500.00
Repairs & Alterations each add. $500.00
STEAM or NOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. FMR Steam Q10.00 $
Furnace SheU & Line—to 640 sq. ft. EDR Hot Water 10.00 $.
Each add. 200 sq. ft. EDR Steam xon $,
Each add. 320 sq. ft. EDR Hot Water 3.00 $__._______m_
OIL Ei RNER—to 3 gaL per hour 6.00 S.
over 3 gal. per hour --See Fee Schedule
l0•C)O 0
GAS BUR (up to Mow BTU) s� �o'
over 199,048 BW See Foo Schedule
GAS FIT ING nORATE TOTAL U
ist 3 Fixtures $aJ 3`0
Additional Fixtures $ .76 $__.
Gas Range to 5.29,0W x$ 6.00 $
State Surcharge .50
low F63 seboamb
TOTJW► Fm
9
....�,.� �_w 1 _.
City of Fridley:
The undersigned hereby makes application for a permit for the work here&
specified, ,agreeing to do all work in strict accordance with the City Ouncer
and ruling of the Department of Buildings, and hereby declares that all the fad
and representations stated in this application are true and correct.
(hvYler a ��
Kind of Building
Used as .
To be completed a
Estimated Cosr, $
Fridley, Man'
Old—New. Building Permit No. _ Permit No.
e)erfi rM t fj;'y" 0,';q4
Trade Name ��_ZiJw,
sin No 0
Total Connected Load 0- /z 63110 Xf-A of F'uZLAS"'dA_,-
BURNM — Trade Nome Size
R/Dll r,
/ -"
i 1 /�0/�l%L
rrom the desk of
NASIM QURESIII
CITY MANAGER'S OFFICE
MEMORANDUM DS -512
Grading Next to Bob Barnette's House
The City has issued a -permit for an addition to the house north of Bob Barnette's
house. See what we can do to get the property owner to grade the back and side
yards to minimize the drainage impact on the house south of this property.
Thank you for ,your assistance.
NMQ/ph
8/16/78
Darrel
Please note above & take appropriate
C
action.
Thanks. DS/i
E
10
SUBJECT
PER IT NO.
City of Fridley
3 2 4 0 0
AT THE TOP OF THE TWINS
B u
i L D I N G PERMIT
i
IR60154P444(r
f��J
•?
Ly ----�_ COMMUNITY DEVELOPMENT DIV.
P
f � � ROTECTIVE INSPECTION SEC.
� ( _
!Ay
I /"'1 - CITY HALL FRIOLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
•�' 612-571-3450
910-F15
1/22/02
JOB ADDRESS 545 Rice Creek Blvd NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
4
2
Holiday Hills SHEET
2 PROPERTY OWNER MAIL ADORES$
ZIP PHONE
John Haine, 545 Rice Creek Blvd, Fridley,
MN 55432 763-572-2271
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Standard Water Control, 5337 Lakeland Ave
N, Crystal, MN 55429 763-537-4849 1522
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
6 USE OF BUILDING
Dwelling
7 CLASS OF WORK
x❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Drain the system
9 CHANGE OF USE FROM
TO
STIPULATIONS
Permit IsaoflCards
119 Be Mailed
ToHomeowner Oo rost
SEPARATE PERMITS ARE REOUIREO FOR ELECTRICAL. PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
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 A7
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
$3,230.00
$1.62
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-
$97.25
$3..q Fire SC
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TO AL EE
$5.00 L se
V07.
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEP
EN OP VALI T THIS IS YOUR PERMIT
�
S-GNATURE OF OWNEAoF OWNER BUILDER. DATE+�—
BLD -NSP gATE
10
FROG
FAX NO. : 7635371882 Jan. 22 2002 10:02PM P2
JAN -21-1998 11:17 FROM CITY OF FRIDLEY TO 5371882 P.91i02
1tir.vv L J hrrective 1/1198
ADDN () CITY OF FRIDLEY
ALTER () SINGLE FAMILY. AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress:
.6-L4 c�t C Q
Legal Description: I
Owner Name & Address: ►^ 4A Tel. #
Contractor:._ a MN LICENSE #
Addrem:� % 1 a�r Ue, L AA Tel.
Attach to this application, a Certificate of Survey of the
Iot, with the proposed construction drawn on it to scale.
DESCRIPTION • OF MPROVENGENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width HgtJGround Sq. Ft.
OTHER:
Construction Type: Lr 'n4% r Estimated Cost: $ 3 ,
(Pee Schedule. -on Back)
Driveway Curb Cut Width Needed: Pt. + 6 Ft = _Ft.x $ = $
DATE: % le9,_2 APPLICANT: Tei.
CITY USE ONLY_
Permit Fee
$ `� ��
Pee Schedule on Reverse Side
Dire Surcharge
$
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$ 0 0
$5.00 (State Licensed Residential Contractors)
Driveway Escrow
$
Alt. "A" or Alt. "$" Above
Erosion Control
$
$450.00 Conservation Plan. Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement Necessary [ ] Not Necessary [ j
TOTAL
, STIPULATIONS:
$ ? /0
CITY OF FRIDLEY INSPECTION DIVISION
6431 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
1.25% of Value of Appliance or Work
Rate
$ 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
Effective On January 1, 2002
JOB ADDRESS J` V, -T'
OWNER`r+e-
TOTAL
BUILDING USED AS
ESTIMATED COST®®• PERMIT N0. L
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating nits Circle One (Steam) (Hot Water) (Warm Air)
$ Trade Name_&2y_,Size No.
BTU HP EDR
$ Fuel A 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
$ .50 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 /(`y �� �_ale-
Signed TEL #��"��' /
FAX #
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
FIL
Approved By Rough -In Date Final Date
THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE
APPLICATION WILL BE RETURNED
rnMMnN VENT' VFNT 3NN CTnR AND OMMIRMN AIR WRIFICATInN
When re In acing an axintina gran _ _, 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 (1 No ( )
The venting system is plasticlPVC 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 a iding r_nmbtct_inn air is sized and installed to meet the current codes
and manufacturer's specifications. Yes () No ( )
When required to ince}all a new cnmhuntinn air, it will be sized and installed
to meet the current codes and manufacturer's specifications. Yes () No ( )
When installing a now 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 #1 Type
BTU Input
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 Height
ft Length
ft Diameter in Type —
HEATING CO:
Signed By: Date