PRE 2010 DOCSSUBJECT
PERMIT
City of Fridley
1'73
AT THE TOP OF THE TWINS
BUILDING P E R M I T
r
�
CEIPT
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION
mss' �I
r SEC.
1
NUMBER
REV.
DATE/ -
PAGE - OF
APPROVED BY
=i
/--'1 i CITY HALL FRIDLEY - 55432
�•�_� %'j 612-560-3450
910-F1 5
I 6/8/ 73
JOB ADDRESS 6250 Riverview Terrace N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR. .
2
3
Al Rose Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
DeGardner Construction 7950 East River Road N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
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
X NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct 52' x 38' Dwelling and 22' x 22' Garage
9 CHANGE QF USE FROM TO
STIPULATIONS Provide a verifying survey before capping. Provide a hard surface
driveway. 2 x 10 joists (floor) 12" on center or select structural
WATER LOCATION: 25' N. of Manhole 16' South of Sewer Searvice
SEWER LOCATION: 41' North of Manhole
TOPOF FOOTING: 826.75 Minimum
REQUIRED FOR iRIN Oz
S'EPE RATIN PERMITS
pLUMB1NC ,ANIS SIGNS.
SEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
Wood Frame
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
R-1
1287
25' 700
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.
$240135
12.07
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME -TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHER STAT# OR LOCAL LAW REGULATING CON-
57.00
275.00
STRUCTI NOR TH ERFO AN OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
344.07
SIGNATOR OFCONT76TORORAUTHORIZEDAGENT (DATE)
7
VAL ATED TVIS IS YOU /p� PERMIT
(��WH�ENPROPERIY
1 /9 �., i
BLDG INS, W DAT
SIGNATURE OF OWNER OF OWNER BUILDER) - (DATE)
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S N90:1 C roa'4(��(_L/0S 'vBUILDER:
C�, a
ADDRESS : 1 ,'6 E/ P U e Y kJ, ADDRESS :
NO:. STREET: Pt
e Z—
LOT: BLOCK: ADDITION: / R c).3 C
CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD:
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:
57Z Front: 3 a' Depth: °
Hei ht°
g
Square Feet:
. Cubic Feet:
Front :�l�ep�th : Height:
-
, F
Square Feet;- Cubic Feet:
Type of Construction: Fy am le- Estimated Cost: $
To Be Completed: '
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in stiict 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 c rect.
0
DATE: SIGNATURE:
(See Reverse Side For Additional Information®)
W
J
1
r,r
City of PrWey
AppRadmi for P6mbbg and Gas Retig Fandt
Depc ed Bhdee. Phi,.► SO -34M
Number, Mail and t ocath m of F4xbw" LiL
N. ME
MM
WE SOMME!
-ROME, MEN MORIM!
1., 9 ,
ME SON MRIMAN.0 1001
PARTIAL RATE SCHEDULE
MMMUSING RA Tgz
BEA. RAT&
TOTAL
lfwwwr T''I7Ltutesss.r._a...•a..oc
$M.w S
/ ,,, . -, u
t .... m ......
$I" �:: ,5 4
law Fixture ON Op"Ift..........
ram t
Catc% BMW. .............:......
x
Water Reaw qTg to Rim ....
' I no
New Ground Rue Old BW .... a .. s
7C
-
E6vtvk R�� .............
!i�
Z
®■®-wP•
It6 RATZ
�gMap�y
TOTAL
tat; 3 Vmtwm ............ •
:cwt
Additional w...
Z�.ia
$! rps� �...........e
Gas Fzqp to 6 w o0WFU1' ®i KP a . s........
OL-
Sfatre Surcharge
° $
ye�.�g
IMSA & ALTERA iP Cam
RW
._
a ►..a w•• oo a►.w►.. es....oa w.a..o a.•a.
Vf JU6 Mw
"
City of Pitdbr.
The undersigned herdw makes application for a permit for the work herek�r.
specified. agreeing to do all .cork in strict accordance with the Q11 _ ft:'
and ruling of the Deparbwnt of Buddin^ and hereby declares that all the fast.-:
and representations stated in this application are true' and correct
,plan - n
Kind of Building
Used as
To be completed about
Estimated Cost. i
Okt--Mew. Building Prat No Pratt ltd F°� - -
Signed
,� ....
BY,..�-�
e
Application for Power Plants and Heating. Cooling, Ventilation, Reftigetation and
Air Conditioning Systems and Devices
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 $
MECH. WARM AIR
Furnace Shell & Duet Work to 120,000 BTU ............ 4 MO $�� a
each add. 60,000 BTU ....................... 2.00 $
Replacement of Furnace .............................. 5.00 $
Repairs & Alterations—up to $500.00 ................. 5.00 $
Repairs & Alterations each add. $500.60 .............. 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) ....................... 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
VENTILATING SYSTEM
ALTERATIONS & REPAIRS
ROUGH
See Fee Schedule _
TOTAL FEE $
Dept. of Bldgs. Phone SM -3480
C 0
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.
Owner
Kind of Building��
Used as
To be completed about Rev 461
Estimated Cost, $ j Z�V '`
Old— uilding Permit No. Permit No.,
DESCRIPTION OF WORK
I
HEATING or POWER PLANTS -Steam, Hot Water,arm Air No
' �®
Trade Nam � � ° � ��� • Size No. 'd111410
iyg
Capacity 4 r• 1Sq. Ft. E.D.R BTU 9�H.P.
Total Connected Loa � � Kind of Fuel_ r1 1
BURNER — Trade Name ��� Size
d�
Capacity Sq. Ft. E.D.R ,W BTU H.P.
(REMARKS -OVER)
Signed 4537 CHICAGO AVE
MRIMEAP_OLIS,e MIRNESOTA 55
4 z Business Phone No- ���
560-3450
City O �N�GLL6
ANOKA COUNTY
6431 UNIVERSITY AVENUE NE August 1, 1974 FRIDLEY, MIN ESOTA 55421
Knuth Electric
2107 - 71st Avenue North
Minneapolis, Minn. 55430
Re: Electrical Permit Shortage
Dear Sirs:
The following is due for the electrical work done at 6250 Riverview Terrace:
Permit Amount
$31.50
Amount Paid
25.75
AMOUNT PAID
$ 5.75
The above should be paid within 10 days of receipt of this letter.
Sincerely,
LEONARD EICHMILLER
Electrical Inspector
LE/mh
CITY OF FRIDLEY INSPECTION DIViSION
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
Residential
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace
S' t - Fill Out Back)
Gas Piping eeded with new furnace,
but apt replacement)
Gas Range///�//✓� �'G
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
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
Effective On May 10, 1999
JOB ADDRESS �� �� 91✓'�s�0/l % ������'�
e^� r
OWNER I EL
TOTAL
BUILDING USED ASA%
$ ESTIMATED COST®®— OG'® PERMIT NO. ` ®
DESCRIPTION OF FURNACE AND OR BURNER
$ No. of HeatingUnits Circle One Steam
(Steam) (Hot Water) (Warm Air)
$ Trade Name Size No.
BTU HP EDR
$ Fuel 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.
HEATING C
Signed DATE
ApprovedBy/fLiRough-In Date Final Date a �
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
CHIMNEY AND STACK VERIFICATION
The
undersigned hereby verifies that the existing chimney or
stack:
1:
Has been carefully examined
Yes ()
No ( )
2.
Is free from rust or deterioration
Yes ()
No ( )
3.
Has no foreign objects lodged within
Yes {)
No ( )
4.
Is securely supported
Yes ()
No ( )
5.
Meets all current Code requirements for size
and total BTU's connected
Yes ()
No ( )
5
Has total heating BTU's of
All other BTU's
TOTAL BTU's
7.
Has a liner been provided for water heater
Yes (
) No ( )
8.
Has combustion air been provided for water heater
Yes (
) No ( )
Remarks:
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date: