PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT N® 4353
Date:
-
....._..�C..__._---•-----------•---•---•--._....._..�._..........-•----•---•-------
1*0
Owner: ..................... Builder
Address
F-Mre
`` _ �LOCAT N OF BUILDING
No. _..L.. ... ®.. Street .......................a...................... --------... Part o
L- Lot ---................-
ot .....- - ...... ......... Block ...------.....tee.........._ ................. Addition or Sub -Division_..
Comer Lot .................................... Inside Lot...(. i........ ... ................. Setback .J�'.................. Sideyard.-4'f..'-�---................................._...........
Sewer Elevation ................................... _........ ..... ....................... _.... ........................ Foundation Elevation
DESCRIPTION OF BUILDING
To be Used s:
r +� r .,
-_-------. .............. Front ---� Depth &.lm. _ Height /Y....�. Sq. Ft. Cu. Ft %
..................._...................................... Front ...................._.. Depth .................. Height ...........C� .. Sq. Ft. ..... _................. Cu. Ft.........................
Type of Construction...._...................-_.............................. Est. Coit.., _ ._._.............. To be Completed .................... ............... _........ ....
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 pr visions of
ordinances of the city of Fridley. �
In consideration of the payment of a fee of$.. ..............:.. permit is hereby granted
_..-.._._._.......... .......... .... ......_..._........ 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. I
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.
PERMIT for Power Plants and Heating, Cool.
ing, ventilation, Refrigeration and Air
Conditioning Systems and Devices
DESCRIPTION OF WORK
No. of Heating Plants to be installed--altered—repaired
Make ,
Oil fired—,* Coal Erred ; Gas fired ; Gas Authorization No.
Remarks
Approved
Final Inspection Date , 19_
, Inspector
Permit N° 4835
Fee $�®, ®C�
Office of the Inspector of Buildings
City of Fridley
City of Fridley, Minn., C,
Location 1-35-0
Kind of Building.��
How OccupiedaAza�_
Work to be Commenced ,19
To be Completed ,19_
Estimated Cost,
0 - uilding Permit No.
Permission is hereby granted toto install--erect—use the material and devices described in the
above statement. This permit is granted upon the express condi4 that the person to whom it granted, and his agents, employees and workmen, in all the work
done and materials used under this permit, and in the operation of 4he devices herein mentione hall 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 se for in the approved application for this
permit on fele in the office of the Inspector of Buildings. J • n��
.Q ir+.. Inspector of Buildings
.01�42 2MIWV
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 .......................... 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 ............
each add. 60,000 BTU .......................
Replacement of Furnace .............................
Repairs & Alterations—up to $500.00 .................
Repairs & Alterations each add. $500.00 ..............
8.00
$
2.00
$
5.00
$
5.00
$
2.50
$
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR Steam .. ... 8.00 $
a Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $
Each add. 200 sq. ft. EDR Steam ...................... 2.50 $
f 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 $g. 00
FAN HEATING SYSTEM See Fee Schedule
VENTILATING SYSTEM $
ALTERATIONS & REPAIRS ' / TOTAL FEE
M $
ROUGH �V C A, a l ,fel
FINAL
Dept. of Bldgs. Phone SU 4-7470
Location 1350 Skywood Lane
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, Mnin�� `� 1�
Owner Swanstrom Co.,Inc.
Kind of Building F r aem
Used as Dwg .
To be completed about
Estimated Cost, $
OM4-New.) Permit No. Permit No.
DESCRIPTION OF WORK
HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No
Trade Name Size No
Capacity Sq. Ft. E.D.R BTU H.P.
Total Connected Load Kind of Fuel
BURNER —Trade Name Size No
Capacity Sq. Ft. E.D.R BTU H.P.
(REMARKS -OVER)
Signa Mill City Heating Co.
By
.W42 Business Phone No- 5 4 4 —15 01
Flights
BODY T GADUP
NO. of
fl.;; 'r 1"MI
AF fulk
Ll nx
C"K
A C
t 8p -.1 Z 1:�;
-2�
t (quiet) No. Of PeoPle x 175
`T' Latent (active) No. of people x 450
EQUIPMENT HEAT GAINS
I.rjeL"c lights Watts x_3.4
Electic motors (total H.P.) x 2545 x Power Factor
0* Oth" electrical ea-ulomEpt
C. F. 11
2, Ulmilaneous heat gains
S. Nwallmneom hest gaLms_
TMAT GAIN
S. `lam' ALL HEAT GAIN (LATEM)
x 1000
0006
00".
E'. Sensible beat ratlo= Item 24 x 100 x 100
Item 24 + Item 25 %
T. Tempmturc- of air smu Dry bulb,
Wet bulb
B. Tell "; sumly= Item 24
1.1. [rmn d.b. — Item 27 d.b.]
CYX
Wet nu!b
C.FX. per persm=
C.F.K--°.
J. It 29 R.T.U. per CY.K=
B.T.U.
L*r hour
TOtal land = Item 24 + Item 25 + Item 30 1% —7 =
C]
hour
Toamp eau valent Cie ng kad— Item 31 o'74
1=
TOM
—44-4-" 1 -
0�4
umll' -"wt
Int
.4.
R
Flights
BODY T GADUP
NO. of
fl.;; 'r 1"MI
AF fulk
Ll nx
C"K
A C
t 8p -.1 Z 1:�;
-2�
t (quiet) No. Of PeoPle x 175
`T' Latent (active) No. of people x 450
EQUIPMENT HEAT GAINS
I.rjeL"c lights Watts x_3.4
Electic motors (total H.P.) x 2545 x Power Factor
0* Oth" electrical ea-ulomEpt
C. F. 11
2, Ulmilaneous heat gains
S. Nwallmneom hest gaLms_
TMAT GAIN
S. `lam' ALL HEAT GAIN (LATEM)
x 1000
0006
00".
E'. Sensible beat ratlo= Item 24 x 100 x 100
Item 24 + Item 25 %
T. Tempmturc- of air smu Dry bulb,
Wet bulb
B. Tell "; sumly= Item 24
1.1. [rmn d.b. — Item 27 d.b.]
CYX
RUT LOAD OF VENTILAT#WG AIR
C.FX. per persm=
C.F.K--°.
J. It 29 R.T.U. per CY.K=
B.T.U.
L*r hour
TOtal land = Item 24 + Item 25 + Item 30 1% —7 =
B.T.'J. per
hour
Toamp eau valent Cie ng kad— Item 31 o'74
1=
TOM
—44-4-" 1 -
0�4
40*, tov"W",
SUBJECT
PER 0.
City of Fridley
17 429
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
REC NO.
�
L v "_____ COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
J 3 ��
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
3/28/84
JOB ADDRESS 1350 Skywood Lane N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
7
2
Swanstrom Court SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
June Newhorter 1350 Skywood Lane N.E. 571-0266
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Milton L. Johnson Co. 2513 Central Avenue N.E. 781-9548
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 ❑ REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK
Aluminum Trim & Gutter
9 CHANGE OF USE FROM TO
STIPULATIONS
TYPE OF CONST.
OCCUPANCYGROUP
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
SQ. 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
$2,000
$1.00
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-
STRUCTION OR THE PERFOR NCE OF CONSTRUCTION.
$32.50
PLAN CHECK FEE
TOTALFEE
$33.50
SIGNATURE OF CONTRgCTOROR AUTHORIZED AGENT (DATE)
WHEN PROPER 41ALIDATED THIS IS YOUR PERMIT
/294/
BLDG INSP DAJE
SIGNATURE OF 0WNER0F OWNER BUILDERI IDATEI
CITY OF FItIDLCY Effective Aug. 1, 1981
'
APPLICATIO'1 FOR RESIDENTIAL BUILDING PLBMITS
(New, Alterations, Additions, or Repairs)
OWNER: T(,A)15 Jy�: x%17®dw'T 0 (�-
ADDRESS: 13M S 004, A J Zf
TEL NO: �'JI -b-
BUILDER: a ® L -07V J e mss® 1%) a
ADDRESS: a? S 13 Ceijrt,4L (des �,Jff-
TEL 110: -7J1 -fTv
Construction Location
STREET NO: � � STREET: y 0 0,6 k .,q A,) 6
LOT: BLOCK: ADDITION:
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.
Front:
DESCRIPTION OF CON'STPUCTION
Depth:
Height:
Square Feet: Cubic Feet:
Front: Depth: Height:
Square Feet: cubic feet:
7Vpe of Construction: 4it) 'n -1 � �- �!�-l��`p( Estimated Cost: S 0 0
'Ib Be Oar.pleted:
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired: $ $
SEI: PZVF.RSE SIDE OF SHEET
Mie undersigned hereby makes appliclticn for a permit fcr 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
representztions stated in this application are true and r ct.
3
DAM SIGNATUMP —
Stipulations:
4,30.Sb
33,��
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Effective On January 1, 1991
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATIO'A AND AIR CONDITIONING SYcTFUc eNn nFvir;:c
RATE SCHEDULE
Residential
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace
Gas Piping (NBeded with new furnace)
Gas Range
Gas Dryer
'Air Conditioning - All Sizes
JOB
The undersigned hereby makes application for a permit for the work
Rade TOTAL herein specified agreeing to do all work in strict accordance with the
city codes and ruling of the Building Division, and hereby declares
$ 20.,)0 $ e00 that all the facts and representations stated in this application re
true and correct. �f ,1991
$10.00 $ /I
$10.00 $ J
BUILDING USED AS
$ 10.00 $
ESTIMATED COST PERMIT NO.—I f
$ 10.00 $Jo- () 0
All Others/Repairs & Alterations (LIST ON BACK)
1 % of Value of Appliance or Work
Commerc lallindustrial
1 % of Value ofAppliance or Work
j Pj"rState Surcharge
sc>c) TOTAL FEE
DESCRIPTION OF FURNACE AND OR BURNER
$ No. of Heating U its Circle One (Steam) (Hot Water) ( arm Ir
Trade Names Size No. r
BTU HP EDR
$ Fuel Total Connected Load S -g
$ .50—
$-13L 50
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $30.00
"Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
Burner Trade Name Size No.
BTU HP EDR
HEATING COMPANY
�
Signed By '"
Approved By Rough -In Date Final Date/0 _3 (` �//
FILL OUT BACK SIDE FOR STACK VERIFICATION ON
REPLACEMENT FURNACE
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 ( )
6. Has total heating BTU's of
All other BTU's
TOTAL BTU's
Remarks
List Alterations Being Done:
HEATING COMPANY
Signed By
Date
SUBJE&
-
City of Fridley
11134
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
`
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
INSPECTION SEC
r e PROTECTIVE
1 = i
"1 CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE Oi
AVPROVED By
612-571-3450
910-F1
4/17/00
JOB ADDRESS 1350 Skywood Lane NE
1 LEGAL
LOT NO.
BLOCKTRACT
OR ADDITION
SEE ATTACHED
DESCR.
7
2
I j
Swanstrom Court
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
John/June Linder 1350 Skywood MY Lane NE
571-0266
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Tabor & Sons Roofing Inc 10547 Terrace Rd, Blaine, Mn 55434 789-1902
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 REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House & Garage (21 Sq) Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
SEPARATE PERMITS ARE REOUIRED 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 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
$1,835
$.92
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-
$66.20
Fre SC $1.84
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
FEE
�/
X_
I ai6wj.,-Ald'
Licens C $5.
7AL
$73.96
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
P 0Y VA ID ED THIS IS YOU PF I
',!J�PrHEJ
BLJIG INSv
T
TIAiE
$,GNATURE OF OINNER.IF OWNER BUILOERI IDATEI
NEW I l Effective 1/1/2000
ADDN [ ] CITY OF FRIDLEY (763) 672-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address: 3G �®
Legal Description:
Owner Name & Address _�c �A 6�.,z_ Tel. # S 7/- oZa
Contractor: c — MN LICENSE #9c/aZ /Y
Address: �O Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length p width Hg round Sq. Ft
OTHER: Zg-,� N,� 7Znda.= ".2 21 � ya
Construction Type: Estimated Cost: $ l S
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ —=$
DATE: �j - / -- 00 APPLICANT: � � i 1 Tel. # G oL
CITY USE ONLY - Call (7//63) 672-3604 for Permit Fees if mailing in application
Permit Fee Fee Schedule on Reverse Side
Fire Surcharge $ /. c`/ .001 of Permit Valuation (1/10th%)
State Surcharge $.50/$1,000 Valuation
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
$1100 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ]
TOTAL
STIPULATIONS:
$ %J'= �6