PRE 2010 DOCSCity of Fridley, Minn.
BIIITLDING PE T
t /I / r '0'j
�® 3195
Date: 0.. ..........................
Owner ....................................... Builder ...`°1 f4!!- 007 -Ss . ...... .."
Address...................................... Address ... ... .............................ell ....
LOCATION OF BUILDING
Street......... .... ........ . e..... Part o Lot ......... ....
Lot .... ... Block ...... %� ....... Addition or Sub -Division .. ... . .
Corner Lot ............ Inside Lot ............ Setback ............ ideyard ...............
To be Used as:
W... .......
w ^
Front
Depth .1.%A. Height ....
Sq. Ft. /110.0./Cu. Ft. ........
....................
Type of Construction
Kront ........
...
Depth ..... H ight
Est. Cost.: �'f.®�.....
Sq. Ft. ....... Cu, Ft. ........
To be Completed .� ..a....... .
In consideration of the issuance to me of a permit to construct the building
the proposed work in accordance with the description above set fo d in c
ordinances of the city of Fridley.
:• :.--a ILL 0 V
In consideration of`the payment of a fee of permit is hereby granted
above, I agree to do
with all provisions of
......................... 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 allwork
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 with-
in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
k
_ ...... ,(.`. ._.. 13wt1ding�lOOpector
NOTICE:
This permit does not cover the construction, Installation or alteration for wiring, pl g, gas heating,
sewer or water. Be sure to see the Building Inspector for separate permits for these ms.
r
P
Application for Power Plants and Heating, Cuing, Ventilation. Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR: BATE 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. 00,000 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 & Ling—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 (u to 400,000 BTU) .......................
.29 6 , - gdv® �rJ
5.00
-7, at
GAS PIPIN (U to 3 Fixtures) ..........................
1.50
(Add 50c each over 3)
5q. Ft. H.P.
AIR CONDITIONING
FAN HEATING SYSTEM
VENTILATING SYSTEM
ALTERATIONS & REPAIRS
►,
BL74AMKS.
See Fee Schedule
$
TOTAL FEE $ 0
Dept. of Bldgs. Phone SII 4-7479
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, min^ T , 195-
owner
Kind of Building
Used as
195—
195—
To be completed about W
Estimated Cast,
ew. B ding Permit No. 9
-56
DESCRIPTION OF WORK
HEATING or-B6WE
ester, Warm Air—No—
Trade Ni
Size No C
Capacity
5q. Ft. H.P.
Total Connected Loa
®, -Z9 V Kind of Fuel-
ue
BURNER — Trade Name
BURNER
�Size
Capacity
5q. Ft. ED, R/�--,�_ BTU H.P.
J-
l9 v°
1001
� 6
.�►��d�Gi, tai _ F.
Sign
By
11 POST 1M -8-S8
Business Phone No
City of Fridley, 31inn.
BUILDING PERMIT N® "66-
Date: ' w
Owner: ...... _t _. Builder ......................_..._ _._._....____....._.._.._..__.._...
i
Address,. _.WeAt.' �W Address _... _ __ ..:... .............................
LOTIO. Off.J DII
.
No. .. Street - art of _..__...... ..... __.... _..................
_...
,l
Lot ........ ,C . ..:........... Block ---•---•---... ... _ _....._ ..... Addition or Sub-Divisi _. .... . ::. :......_. �,
Corner Lot .......................... _........ Inside Lot ... ............ ........... _........ Setback ....
eyard-•----.......q..._............._............._...........
Sewer Elevation....._............._............._......_....._......._...._............._............._........ Foundation Elevation _.................. _.............
DESCRIPTION OF BUILDING
To )L7sed as:
Al Front �/ Height iAY
-- -.. Depth ........ g ..: -- Sq. Ft. � , ._ .. Cu. Ft.
1...... Fran Depth .. fightZ&�p ..
" Sq. Fk - Cu.
TyM of onstruction . ..:.. Est. Cost.......,0
7f._......_........ 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 provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of, '
� ----- 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 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 ofany of the provisions of said
ordinances. ', A0
:.fit. , r�..:: .�d wilding 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.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
Owner s Name
Address'_
LOCATION OF BUILDING
No. & 2.
of Lot
Lot ,,10 Block � Addition or Sub.Div.
Corner Lot Inside Lot__)� Set Back Side -Yard
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
DESCRIPTION OF BUILDING
To be used as:
Front Depth / Z/,&. Height,`. / a
Sq. Ft. Cu. Ft.
r
,,q. Int. Gu. Ft.
ruction Estimated Cost f®0, o c�
Type of Construction-
To
onst
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 Ordinances and ruling of
the Department of Buildings, and hereby declares that all the facts and representa-
tions stated in this application are true and correct.
DATE% SIGNATURE
(A chedule of Fee costs can be found on the Reverse Side.)
Section 2. The Inspector of Buildings shallp before issuing any permit
for the erection of any building or structure, or for any addition to
any existing building or structure, or for any alterations or repairs
to any existing building or structure, upon application therefor, require
the payment by the applicant for such permit of fees to the amount herein
below set forth and in the manner herein provided to -wit:
2.1. For any such permit for the erection of any fire -proof building, other
than a garage, warehouse, factory or grain elevator, or for the erection of,
any fireproof addition, for similar occupancy, to any existing building
shall be at the rate of $1.440 for each one thousand cubic feet, or fraction
thereof, in such cubical contents.
2.2. For any such permit for the erection of any fireproof garage, ware-
house, factory or grain elevator, or for the erection of any fireproof
addition, for similar occupancy, to any existing building shall be at'the
rate of $1.25 for each one thousand cubic feet, classified as "fireproof"
by Section 502 of the Minneapolis Building Code.
HOUSES
2.3. For any such permit for the erection of any non -fireproof building
other than a garage, warehouse, factory or grain elevator, or any non
fir proof addition, for similar occupancy, to any existing building.
Permit 61.00 for each one thousand cubic feet.
GARAGES
2./4. For any such permit for the erection of any non -fireproof garage,
warehouse, factory or grain elevator, or for the erection of any non -
fireproof addition, for similar occupancy, to any existing building or
for each such building or addition. Ninety Cents for each one thousand
cubic feet or fraction thereof, in the cubical contents thereof with a
minimum of $/4.00.
For the p°:7pose of computing fees for building permits the cubical contents
of any building or addition to a uniform height throughout by multiplying
the ground area covered from a point six (6) inches below the floor line of
the basement or cellar to the average height of the upper surface or to the
average height of the roof surface of the main gable of a pitched roof.
2.5. For repairs or alterations to an existing structure, the fee shall be
at the rate of $3.00 for each Five Hundred Dollars ($500.00), or fraction
thereof in the cost of all proposed work.
2.6. In no case shall the fee charged for any permit as set forth in
Section 2 be less than $4.00.
CITY OF FRIDLEY INSPECTION DIV.
Effective On January 1, 1991
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND. HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
JOB ADDRESS
RATE SCHEDULE
The undersigned hereby makes application for a permit for the work
Residential Rate
TOTAL
herein specified agreeing to do all work in strict accordance with the
Furnace Shell and Duct Work, Burner -
®�,
city codes and ruling of the Building Division, and hereby declares
Also Replacement Furnace $ 20.00
$_
that all the facts and representations stated in this application are
true and correct..
Gas Piping (Needed with new furnace) $ 10.00
$
_7 ,, I
OWNER 1 1 vv"-
Gas Range $ 10.00
$
BUILDING USED AS
Gas Dryer $ 10.00
$
ESTIMATED COST PERMIT NO.
*Air Conditioning - All Sizes $ 10.00
$_/0_
DESCRIPTION OF FURNACE AND OR BURNER
All Others/Repairs & Alterations (LIST ON BACK)
?y
1 % of Value of App lance or Work �,
`
$
No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air)
A, , CI'LA0V 975
Trade Name /_Sx; 01x Size No.
Commercial/Industrial
BTU HP EDR
1 % of Value of Appliance or Work
$
Fuel Total Connected Load
State Surcharge
$ .50_
Burner Trade Name Size No.
BTU HP EDR
TOTAL FEE
$ 33Zj
HEATING COMPANY 9CJC)-'eJ
MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00
Signed B IoL Tel No.
PLUS THE $.50 STATE SURCHARGE
_
50 '�L C>00
REINSPECTION FEE $30.00
Approved By Rough-In Date Final Date
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner. 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
�--
SUBJECT
City ®f Fridley
2 7 016 ,
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
`
RECEIP O.
• COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
63.3
r I
1 r
NUMBER
REV
DATE.
PAGE OF
APPROVED BY
= CITY HALL FRIDLEY 55432
612-571-3450
910-F15
8/6/98
JOB ADDRESS Starlite
6231 -Start Blvd
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
10
3
1 Sylvan Hills Plat 3
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Wallace Searle
571-3355
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO.
Premium Roofing 6680 Lucia Ln #11 Fridley 55432
571-3973 20097688
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 XX REPAIR
O MOVE O REMOVE
8 DESCRIBE WORK
Reroof house and garage (27 Sq) Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Undelayment must comply with State Building Code.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING. HEATING,
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
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
2251
$1.12
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 PERFORMANCE OF CONSTRUCTION.
$74.75
Fire SC $2.25
PLAN CHECK FEE
TOTAL FEE
®
Licen a SC
2
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEr
HEN PROPERLY V
ATED THIS IZYQ PERMIT
G
BLDG NSP
MATE
SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION a ��
ConstructionAddress: J M& /C# r z /%z
Legal Description: ��& 0,1::7/-- jL
Owner Name &Address: l:VAL Tel. # s`7/-33�
Contractor: MN LICENSE #
Address: �� �� C��_�-4- L•v �� I !)(_C`� it/ s�Lf, Tel. # s 7/ --?17 73
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
Width Hgt/Ground Sq. Ft.
OTHER:
Construction Type:o/:G
/A)f
Estimated Cost: $
(Fee Schedule, on Back)
Driveway Curb Cut Width Needed:
Ft. + 6 Ft = Ft x $ _ $
DATE: '5-475�;F- APPLICANT:
ee7iE'l� Tel. # S%/ -5q7;
CITY USE ONLY
Permit Fee
$ ?L . '`��
Fee Schedule on Reverse Side
Fire Surcharge
$ -
.001 of Permit Valuation (1 / 10th %)
State Surcharge
$ /. l
$.50/$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$
$5.00 (State Licensed Residential Contractors)
Driveway Escrow
$
Alt. "A" or Alt. "B" Above
Erosion Control
$
$450.00 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement Necessary [ ] Not Necessary [ ]
TOTAL
$ `ty
STIPULATIONS:
BUILDING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or structure, 01' l of
any addition to any existing building or structure, or for any alteration or repair to any existing build -Ing or
structure, upon application therefore, require the payment by the applicant for such permit of fees to the araci.nqt
herein below set forth and in the manner herein provided to -wit:
TOTAL VALUE FEES
$1 to $500 $21 (Minimum Fee is $21 plus surcharge)
$501 to $2,000 $21 for first $500 plus $2.75 for each additional $100 or
fraction thereof, to and including $2,000
$2,001 to $25,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000
or fraction thereof, to and including $25,000
$25,001 to $50,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000
or fraction thereof, to and including $50,000
$50,001 to $100,000 $574.75 for first $50,000 plus $6.25 for each additional
$1,000 or fraction thereof, to and including $100,000
$100,001 to $500,000 $887.25 for first $100,000 plus $5.00 for each additional
$1,000 or fraction thereof, to and including $500,000
$500,001 to $1,000,000 $2887.25 for the first $500,000 plus $4.25 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$1,000,001 and up $5012.25 for the first $1,000,000 plus $2.75 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50.
Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $15.75.
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper
review of the proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the foundation once it has it has been comstmcted
will be required before proceeding with the framing.
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 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
Resi of--�
ur�Suct Worx, Burner -
Alsurnace
Gas Piping (Needed with new furnace)
Gas Range
Rate TOTAL
$ 20.00 $
$ 10.00 $
$ 10.00 $
Gas Dryer $10.00 $
*Air Conditioning -
Sizes $ 10.00 $
$II Others/Repairs & Alterations (LIST ON BACK)
1 % of Value of Appliance or Work $
CommerciaUlndustrial
1 % of Value of Appliance or Work $
State Surcharge $ .50—
TOTAL FEE $
MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION
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.
JOB
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 ruling of the Building Division, and hereby declares
that all the facts and representations stated in thi an li i
true and correct.
I. 1 _ A tl
OWN
v
BUILDING USED AS G
ESTIMATED COST4�31:)� PERMIT NO.
I
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units I Circlee ( eg� (Hot Wate (Warm Air)
Trade Name �iti� i4re�IV0.
BTU--' , M HP_2,EDR
Fuell Total Corhected Load
Burner Trade Name Size No.
BTU HP EDR
HEATINGCOMP ':'lucn Valley �diC. � Au Cd
1 es roar
Crystal, MN 55429
Signed By , ne
C r C `.
Approved By Rough -in Dat® Final Date M_/
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 ( )
Y
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 JJ
All other BTU's
TOTAL BTU's
Remarks
List Alterations Being Done:
V