PRE 2010 DOCSDate: MARCH 25, 1966
Owner:
tit , r W
Builder
Address Address
Fridley, Minnesota 55421
No 8735
SAM E. TEMPLIN
1251 Gardena Avenue N. E.
LOCATION OF BUILDING
No. 6184 Street STINSON BOULEVARD Part of Lot
Lot 2 _ Block 1 Addition or Sub -Division _ COCA'S AD
DT
Corner Lot _ Inside Lot X Setback 35 Sideyard 10 and 6
Sewer Mevationotu lion Elevation 1 1 �
DESCRIPTION OF BUILDING
To be Used as:
HOUSE Front 41 Depth 26 Height 20 Sq. Ft. 1,066 ca. Ft. 21,320
ATT. GARAGE Front 19 Depth 22 Height 10 Sq. Ft. 418 Cu. Ft. 4,180
Type of Construction FRAME Est Cost _... $16,500 To be Completed
1 n• d
IA),2 r �) 3 Su ,a -l-%® U ii ate �� B) �' S
In consideration of the issuance to me of a permit to construct' buil described above I agree to do
the proposed work is accordance with the description above set fo, Jnj6mpliance with provisions of
ordbaanoes of the city of Fridley.
In consideration of the payment of a fee of $ 26.00 , permit is hereby granted to SAM E. TEMPLIN
to constructthe 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, e city otalira �l it construction, bked at any time upon violation of the proand vissioOf ns of said
ordinaan�. city limits and
ALLEN G. JENSEN
Building Inspector
NOTIC6f
Sh psnatt don not sorer the aonsfteden, Installation for wMh& plumbing, gas hating, sewer w wafer. Be an to see
the Buihihm Inspector for separate pernft for dhese Naas.
APPLICATION FOR BUILDING pERNIT
CITY OF YRIDLEY, M 09 5OTA
OWNER'S NAME BUDDER '
ADDRESS ` ADDRESS,
�._ LOCAP
ON OF BUILDING
Y
N0. STREET s PART OF LOT
LOT BLOCKADDITION OR SUBDIVISION C3.--�
CORNER LOT INSIDE LOT-A—SETBACK .7 SIDE=YARD,
SEWER ELEVATION FOUNDATION ELEVATION
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;
•� Front _DepthHeight.�....�
S.q. Ft. 4 Ll a zla Cu. Ft
' Front ,Deptli$eigh.t
/
Sq. Ft. ��-�---Gu. Ft .
Type of Construction s-zt - Estimated Cost
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.
DATESIGNATURE—
(Schedule of Fee Costs can be,.found on the Reverse Side). j
l A
BUILDING PERMIT.FEE SCHEDULE
SECTION 2. The Inspector of Buildings shall, 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 therefore, 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 fire -proof addition, for similar occupancy, to any existing building,
shall be at the rate of $1.40 for each one thousand cubic feet, or fraction
thereof:, in such.cubical contents.
2.2 For any such permit for the erection of any fire -proof garage,
warehouse, factory or grain elevator, or for the erection of any fire -proof
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 -fireproof addition, for similar occupancy, to any existing building -
permit $1.00 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 -fire -proof
addition, for similar occupancy, to any existing building or for.each such
building or addition - ninety cents ($0.90) for each one thousand cubic feet
or fraction thereof, in the cubical contents thereof with the minimum of $4.00.
For the purpose 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 per each Five Hundred.Doilars ($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.
STORM REPAIR DAMAGE FEES;
Residential; Estimated
Cost
of work up to $500.00
$5.00
Estimated
Cost
of work -oyer fi4 .;,.°:`�
c' y r.., , .� 0
'" " `+
Commercial; Estimates'
,st
of work v
` Estimates,
ist
of work ua%,:r y500.uu
Y26_ _J t
Application for Power Plants and Heating. Cooling, Ventilation. ReiTigendion 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 $ 8.00
2.00
$ 0
5.00
$
5.00
$
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 $5.00_
GAS FITTING FEES: NO RATE TOTAL
1st 3 Fixtures ...................... x $1.50 $ 1*50
Additional Fixtures x .50 $
Gas Range to 200,000 BTU ........... x 2.00 $
AIR CONDITIONING $
FAN HEATING SYSTEM See Fee Schedule
VENTILATING SYSTEM $
ALTERATIONS & REPAIRS TOTAL FEE $14.5
ROUGH—
OUGH
FINAL—
FINAL
Dept.
Dept. of Bldgs. Phone SU 4-7470 / / �
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 ) (–- 19
Owner
Kind of Building frame
Used as dwg •
To be completed about � " / S_ A
Estimated Cost, $ b 4U . UU
Old—New. Building Permit No.
Permit No.�
DESCRIPTION OF WORK
HEATING or POWER PLANTS team, Hot Water, Warm Air No �-
Trade Name AF0 0 Size No AFH -100-D
'Capacity Sq. Ft. E.D.R �� AA BTU H.P.
Total Connected Load 37,674 Kind of Fuei Nat- Cr a n
BURNER — Trade Name Size No
Capacity Sq. Ft. E.D.R. BTU H.P.
(REMARKS -OVER)
Signed` N l
By Mill City Heating Go.
4z Business Phone No 5 4.1501
W -V
PP,
UA
VIA
f
MWTAM'
WVA' K-1 lwfLlp jr
WAt'
vjiLzclAp
LO Mo- 211
Ful In
ijiQ sq. ft: EDJL or sq. in. VA. L ea rea
.. r a
F Length ii
Wumims and Doors—Gackage ad Area
ME e. Arm
.a or =of er�et a. nz
Mtradon
GJa�
flet ems. gall
Int. wd
Ceiling
---poor
TOW &U.
Required eq. ft. ED.R. or aq. ins. W.A. Leader aaam
F1.1 ROM i Leh WUM -
Wnl&m aid a" Area
W. Wali
l'4et W*.
Iat. WaQ
TORI leu. -
Required sq. ft. E.D.R. or q. iik& W.A. Leader area
M-1 Ro I ltw" TiNkh
TOW am T®
Building
PLUMBING
Permit No.:
Inspections
RESIDENTIAL APPLICATION
Received By:
763-572-3604
CITY OF FRIDLEY
Date Rec'd:
YOUR E-MAIL ADDRESS
DATE IV" 0�p®c
p �y
SITE ADDRESS (P� O� X11 �srj V1 51 �CA
THIS APPLICANT IS: 0 OWNER 'WCONTRACTOR
PROPERTY
NAME: 1
OWNER/
cls
ADDRESS: CITY STATM ZIP fir►
TENANT
I
g_JCd.PY�r--op
PHONE:
CONTRACTOR
NAME: -An
SUBMIT A COPT' OF
STATE L EXP DATE I I t3 b
YOUR STATE
ADDRESS. CITY STATE - ZIP
i LICENSE WITH
PHONE
APPLICATION
PERMIT TYPE
INGLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE
;
TYPE OF WORK:
0 NEW REPLACEMENT
DETAILED DESCRIPTION OF WORK �� p
I
E
PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the
improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor )
Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor X.05 =
FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL
NUMBER OF EACH BELOW)
BATH SINK/LAV DRAINS _ SHOWER _WATER PIPING
_ `FLOOR
GAS PIPING (xm cm L✓CEA* _ SWIMMING POOL —WATER SOFTNER ($35)
—BATHTUB _
_ CLOTHES WASHER _ KITCHEN SINK —WATER CLOSET _BACKFLOW PREV. ($15)
DISHWASHER LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION
_
WATER METER _ OTHER
e !
�p� D f�(�
L E,l...i'EE' L. i\Vai.liti 1 t7�lai .,.�.1iN,�'4 U"'" a �., aru f, h,:t:.s F. y+.: NOR
Permit Fee $ `315 •vo Number of fixtures @ $10.00 x $10.00 = $
-
Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $
TOTAL DUE $ Number of fixtures @ $35.00 x $35.00 = $
_-15o
State Surcharge = $ .50
Total = $
THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is
not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the
approved plan in the case of all wok which requires review and approval of plans.
A Lmcs, PRINT NAME �� DATE ` - 23-0 6
SIGNATURE OF APPLICA1
"'
„TO—
City of Fridley
]Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977
URN
Building MECHANICAL Permit No.
Inspections RESIDENTIAL APPLICATION Received By.
7.63-572-3604 CITY OF FRIDLEY D
DATE 1-1 d - o
! YOUR E-MAIL ADDRESS
SITE ADDRESS
THIS APPLICANT IS:
.,%f
D OWNER CONTRACTOR
PROPERTY
NAME:
&tf T'%
CITY F12\0 (. STATE�ZIP-'S�
OWNER/
ADDRESS:
TENANT
PHONE:
CONTRACTOR
C°W Home Energy Center
SUBMIT A COPY OF
CONT 2415 Annapolis Lane N #170
'ATE
YOUR STATE
STATiplymouth MN 55441
CITY Plymouth STATE MN ZIP 55442
LICENSE WTTH
ADDP763476-1990 fax 763-476-1143
APPLICATION
PHON.
476 1143
SINGLE FAMILYD TWO FAMILY
D TOWNHOUSE
ApERMrrTYPE
DNEW)h REPLACEMENT D ALTERATIONIREMODEL
WORK:
DESCRIPTION OF WORK
PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the
improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor )
Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x .05 =
FOR PROJECTS WHERE LABOR EXCEEDS 55001 FEES ARE BASED ON $10.00 PER FMTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL
NUMBER OF EACH BELOW)�� MODEL: )II- SIZEBTU � 00
Equipment Installed MFG: '-7-"+-c+.-- SIZEBTU
MFG: , _ MODEL: ______-- SIZEBTU
MFG: MODEL:
A/C $25.00 _FIREPLACE (GAS) $15.00 _GAS RANG RILL $ $10.00
_AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 NEW GAS HTR $ 0.0 00
BOILER $35.00 ,FURNACE $35.00 GAS HE HTR $10.00
—_CHIMNEY LINER $10.00 _,GAS DRYER $10.00 POOL HEATER 15.00
00
DUCT WORK $10.00
—GAS PIPING $1000 VENTILATOR TOR $
Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $
Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $
TOTAL DUE $ Number of fixtures @ $25.00 x $25.00 = $
Number of fixtures @ $35.00 l x$35.00=$ 35•cu
State Surcharge = $
Total = $IWD
W_
THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Fridley and with the Minnesota -Construction Codes; that I understand this is
not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the
approved plan in the case of or which requires review and approval of plans. c
SIGNATURE OF APPLICANT PRINT NAME J J U!Qa &B?,Y DATE, % •L�DII
RPMMAMv
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX- 763-502-4977