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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N° 5 6 4 4 Date: Owner: Address _ ____ A ress _ L ION BUILDING NO. '' `,� street'. �......_. Part{I.ot Lot -- __ Block _ _ _,_ ___ w _ Addition or Sub-Divisn a; Comer Lot ---- Inside Lot �.. � __ Setback—.. - Sideyard __AJO Sewer Elevation _ -- Foundation Elevation DESCRIPTION OF BUILDING To Used Front Depth Height �' Sq. Ft. Cu. Ft. Front 2�4'- Depth Height Sq. Ft. Cu. Ft. 49 TypeC6 "Ila of nstruction Estit o be Complefed __ _ 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 $ -. z , 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 regard:n� 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, _ Building Inspector NOTICE: This permit does not cover the constriction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for'seperets permits for these items. 4 Owner' a Address APPLICATION FOR BUILDING PO IT CITY OF FRIDLEY, MINNESOTA CATION OF BUILDING No. Street tart of Lot Lot Block Addition or P... Subdivision �� r, a, T��.a -tit Corner Lot Inside Lot Setback Side -Yard 12 SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. To be used as: DESCRIPTION OF BUILDING 2 r Sq. Ft. Cu. Ft. f FrontDepth L ight Sq. Ft. Cu. Ft. Type of Construction Estimated Cost To be Completed .14 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. FWM (A Schedule of Fee Costs can be found on the Reverse Side.) 'r ,p� / 10 Application for Power Plants and Heating. Coating, Ventilation, Refrigeration 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 & Duct Work to 120,000 BTU ............ 8.00 each add. 60,000 BTU ....................... 2.00 Replacement of Furnace ............................. 5.00 Repairs & Alterations—up to $500.00 ................. 5.00 Repairs & Alterations each add. $500.00 .............. 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) ....................... 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 VENTILATYNG SYSTEM it �� ALTERATIONS & REPAIRS TOTAL FEE REMARKS: Dept. of Bldgs. Phone SII 4-7470 Location Z 3 Z - S _:cl 7 7, /f /_/, /_ �,l n E - 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. e c - Z 191 0 Owner /' e C ®:a e ��j e G: 195— Kind of Building t' S O 6' �/ ��� 195— Used as To be completed about 2 - Estimated Estimated Cost, $ !F 6") Old Building Permit No. DESCRIPTION OF WORN HEATING or POWER PLANTS—Steam, Hot Wa , Warm —No Trade NSize No. -S'4 -12 D Capacity Z Sq. Ft. E.D.RH,P. Total Connected LoadKind of Fuel BURNER —Trade a—e Size No 7a Capacity-L-2--cSq. Ft. E.D.R.- R'i`TT H.P. Si -01110011 POST IM -12-58 Business Phone No ,\ City of Fridley Application for Plumbing and Cas Fitting Permit DepL of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK -�_ Number, Kind and Location of Fixtures LC �+ d' RATE TOTAL Number Fixtures ......... . .... .....� u, $1.50 F �a . y Oz T N w x w 0 O Z z Catch Basin......... .................... x WATER HTR. GAs ELEC. ,� 3Ci $ 00 New Ground Run Old Bldg . ............ x 3.25 �4n O cu GAS FITTING FEES: �qa ~� S� �a �z �a F N .50 $ Gas Range to 200,000 BTU..............—,� m�F m N 3� m ac cgm a3 Oa c�� CSO Base E 1st % 2nd 3rd 4th • Future Connection Openings Connected With New Fixture, Old Openings Sewer ki 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 BTL) ...... x 2.00 $ 00 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 $— 6 REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE �— d q City of FYidley: 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, Mnn , 19 Owner 4VV44j/' 4 , 19— Kind of Building 19— Used as Al 14qtnf To be completed about % "- Estimated Cost, $ Old NewBuilding Permit No —, o„M SPO Connection Permit No. o (T61/41 Water / 0 - 6 ( a Sewer 11 IM -8-58 Meter Deposit City of Fridley SUBJECT P IT 132'7'7 AT THE TOP OF THE TWINS B III BUILDING ®I N G D C D PERMIT A A I T , I ______ COMMUNITY DEVELOPMENT DIV. L PROTECTIVE INSPECTION i� F1,-T- 5 r SEC. 1 = i NUMBER REV. DATE 10-24-75 PAGE OF APPROVED BY "1 CITY HALL FRIDLEY 55432 IL.... A't '�� 612-660-3450 910-F15 JOB ADDRESS 232 Satel l i to Lane N.E. J LEGAL DESCR. LOT NO. 5 BLOCK 1 TRACT OR ADDITION 1t Sylvan Hillis 714 SEE ATTACHED SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Fridley Covenant Church 232 Satellite Lane N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Men of the church 6390 University Avenue S.E. 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. SAM E 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION Ck ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK basement bedroom 9 CHANGE OF USE FROM TO STIPULATIONS 1.. Install escape window 2. Provide a fire alarm. SEPERATE PERMITS REQUIRED; E . R WIRING, HEATING, PLUMBING AND SIGHS.' SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. frame CCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 80.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 TALLS IGARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIEDQ $700. 50 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- 5.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. . PLAN CHECK FEE TOTALFEE &/"/Ll a �21� 5.50 SIGNO NTRACTOR ORATHORIZED AGENT (DATE) EN PROPERLY VI ATED THI IS YOUR PBER�MI// BLDG. )NSP ` DATE SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) / L/ 1W -APPLICATION FOR RESI'DE'NTIAL., ALTERATION, OR ADDITION.BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA ' �UER : �1 Q r C , OWNER S NAME . ' �- i /� �©V �' I/l a � �l I _��� C' ' - d /P-1 ADDRESS : �5 ae / / ll �fRS: GIeGE/yC r NO:. ,9,3a— ' STREET : T� �'7-�'� o - ADDITION : S C/C� tJ � •.y ?7 � . �J s �`�. LOT: S BLOCK • �_ _ �I --- CORNER LOT: INSIDE LOT:SETBACK: SIDEYARD: Applicant attach to this for.m Two Certificates. -if Survey.. of Lot and.proposed building location drawn on these Certificates. DESCRIPTION'OF BUILDING s . To Be Used As: 6ff P Rz (i Front: /0-j- Depth : -- Height Square Feet: Cubic.Feet: • Front: Depth: Height: Square Feet; Cubic Feet: - Type of Construction: Frt Ain R.� Estimated Cost: $ ��.0 C),o � To. Be Completed: v 2`jjJJ' Thes l�nd'ersi ned hereby makes application -fora permit for the work herein specified, agreeing to do all work in stxict 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: .(See Reverse Side For Additional Information.)' (�J 1NOV�J Rock. -:s,vv �- Ft r u- - ��''`'���a_. �°�•nq� •-A*,..^�� »•�-sem �;. .lea rQ�;�,T..-r�'2... .,.�'ti.�.,y R�'�o,..�+�;,.r.4� ,te S .�. 8 a.v d� •e`.aai a``0 �`�fC'atw O v ..�.dG.c� a.aa•� G�v,:e:-t4avu +ai5+aty' '�tieo� ��S'. OR's: eF .�,�,�+ ,�,�,�g # �` v �e �a aSaadS�a ��• .tt�,:�s'�r�ica5b�r� @"se:�� bs���y ate, ` ^' �' . `_ S' r ."'.ai an a wd nC'vuj&GL�.��ar� o�aau PARTIAL RATE SCHEDULE GRAVM WAP -14 AM ItA'M TOTAL F..: -mace Stell & Duct Woer. $10.00 Replscemcnt of F urnare 6.00 $ Pepairs & Aitcrat.ons- up to $500.00 .600 $ Repairs fa AitPratirns each add. $5500.00 3W $ Furnace Shell & Duct Work to 120,0410 BTU gI0 $ etch add. 6moo BTU 3.uU b Wacm. m, of rurnace 6.00 $ Repairs & Alterations --up to $500.00 6.00 Repairs & Alterations each add. $500.00 3.00 $ i''TEAM•or HOT WATER SYSTEM Furnace Shell do Lines— to 400 sq. ft MR. Steam 320!30 $ F-urnace Shell & Line -to 660 sq ft. EDR Hot Water 1000 S. Each Add 200 sq.. ft. EDR Steam a Each add. 320 sq. ft EDR Hot Pater 3.00 S OIL SUTINZE-to 3 gal. per hour 6.00 5.�„ over 3 gal, per hour -See Fee Schedule GAS BUTTER (up to 199,0W BTU) over 153.030 B IV S" Fee Schedule GAS FITTING FEES. 1st 3 nxtures Additional Flrtures Gas Rar..ge t5 298.000 AM Cil. X : s�OxIr.Qr 1rAN 2=1 A71.0 SYSTn AL L-.' :AT7%-1 +3 & r� P.R,. n 6.00 $ Dapt. of B1dsm r horw 6' O-= c City o4 Fridley: The .ndersigned hereby makes application for a permit for the work herein spectiied agrc- ing to de all work ,n strict accordance with the City Ord:aance= and ruling of the Department of iiuildings., and hereby declares that arl the fcu and repr-�sentatiuns stated in this application are true and correct. n+vner k 1" 1 Kind of E Used as Fridley. Mian To be completer) about P l S Estimated Cost; S e-�`/l Old -New. Building Permit. No. _.__ __ Permit No. 6566 D .r_4CR3P'YiON OF WOMTKI FiEA77NG or POWER P'LANT_11_ Stessn, Hot Water. Warne Air -No Trade Name Size No— Capacity__ __ Sq. Ft. E.D.R BTU N.P Total Connected I.rod FLtnd of F.Uel BURNER - 7rw4e Nam Size No Cspaci Sq. FL E.D -RBTU) (=Aaacs-orae) Sir , 67 no RATE TOTAL xb 200 S x .7a $__. s$ 5.00 S State Surcharge .50 Too Foca schoda4,,� e "I JTAL r=, . j Ll �t Dapt. of B1dsm r horw 6' O-= c City o4 Fridley: The .ndersigned hereby makes application for a permit for the work herein spectiied agrc- ing to de all work ,n strict accordance with the City Ord:aance= and ruling of the Department of iiuildings., and hereby declares that arl the fcu and repr-�sentatiuns stated in this application are true and correct. n+vner k 1" 1 Kind of E Used as Fridley. Mian To be completer) about P l S Estimated Cost; S e-�`/l Old -New. Building Permit. No. _.__ __ Permit No. 6566 D .r_4CR3P'YiON OF WOMTKI FiEA77NG or POWER P'LANT_11_ Stessn, Hot Water. Warne Air -No Trade Name Size No— Capacity__ __ Sq. Ft. E.D.R BTU N.P Total Connected I.rod FLtnd of F.Uel BURNER - 7rw4e Nam Size No Cspaci Sq. FL E.D -RBTU) (=Aaacs-orae) Sir , 67 /&-I- V-5 SUBJECT P City of Fridley 22152 AT THE TOP OF THE TWINS BUILDING PERMIT COMMUNITY DEVELOPMENT DIV. v _ PROTECTIVE INSPECTION SEC. l f 3� � -D, NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 L 612-571-3450 910-F15 10/1/93 JOB ADDRESS 232 Sat0_llite Lane NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 1 Sylvan Hills Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Fridley Covenant Church Parsonage 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Woods Construction Co. 7728 Knollwood Dr, Mounds View 55112 786-2321 873 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 J1 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling (23 Sq,$) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code, Provide adequate attic ventilation. Provide smoke detectors as per UBC 210 adjacent to all sleeping areas and in basement. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $3,390 $1,70 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $63.00 Fire SC $3.39. STRUCTION OR THE PERFORMA E OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE License SC $5.00 $73.09 SIGNATURE OF CONTRA OR AUTHORIZED AGENT IDATEI W THIS I gPEALIDATED SIGNATURE OF OWNER I IF OWNER BUILDERI IDATEI BLDG INSP GATE o wt /&-I- V-5 NEW [ 1 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: Legal Description: Owner Name & Address: Contractor: Address: LIVING AREA: Length GARAGE AREA: Length DECK AREA: Length OTHER: Effective 5126193 Tel. # MN LICENSE # Tel. # 7S16 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT' Width Height Sq. Ft. Width Height Sq. Ft. Width Hgt/Ground Sq. Ft. Corner Lot [ j Inside Lot [) Ft_ Yd Setback Type of Construction: Approx. Completion Date: Driveway Curb Cut Width Needed: Ft. + 6 Ft = Side Yard Setbacks Estimated Cost: $ 3 -9 qN9 (Cost on Back) Ft x $ = $ DATE -,APPLICANT: Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge $ $ Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.501$1,00 Valuation $750 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above Conservation Plan Review $450.00 Fee Determined by Engineering Agreement Necessary [ j Not Necessary [ TOTAL $ 3 ® STIPULATIONS: i