PRE 2010 DOCSit; LA0
City of Fridley, Minn. N9' 9064
BUILDING PERMIT
Date: OCTOBER 24, 1966
owner: DONALD SMIERUD Builder MELBY CONSTRUCTION, INC.
Address 6231 TRINITY DRIVE N.E. Address 5700 TWIN LAKE TERRACE
FRIDLEY, MINNESOTA 55421 MINNEAPOLIS, MINNESOTA
LOCATION OF BUILDING
NO. 6 231 street TRINITY DRIVE N.. E . _ ---- Part of Lot
Lot — 19 _ Block 2 _— Addition or Sub -Division . SYLVAN HILLS, PLAT 3
Corner Lot — Inside Lot X Setback --- Sideyard _
Sewer Elevation __ _ _ _ — Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
REMODEL RSTCHEl,ront _ Depth Height _ Sq. Ft. Cu. Ft.
& BATH Front Depth _ _ Height _ _ Sq. Ft. Cu. Ft.
Type of Construction Est. Cost _,�.000.00�__ To be Completed
In consideration of the issuance to me of a permit to cons ct the building described above I agree to do
the proposed work in accordance with the description above set orth and in compliance with ah provisions of
ordinances of the city of Fridley. r.o? _ _ "
In consideration of the payment of a fee of $ 7.00 , permit is hereby granted to MELBY
CO STRUCTION CO. 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.
CLARENCE BELISLE
NOTICE:
'This pormii dose 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 hens.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
I -
OWNER ' S NAME !l_ L- v\ eL I � ��e ,� e-� �=„a .e �- 6 �_ �6 BUILDER ca 0,
ADDRESS ADDRESS
LOCATION OF BUILDING
NO, STREETPART OF LOT
LOT BLOCK ADDITION OR SUBDIVISION
CORNER LOT INSIDE LOT SETBACK 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.
To be used as:
DESCRIPTION OF BUILDING
Front Depth Height
Sq. Ft. I Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
(�
Type of Construction \�' m o ,�c.Lc- Estimated Cost 4�
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.,
DATE SIGNATURE C—
(Schedule of Fee Costs can be found on the Reverse Side),
BUILDING PERMIT FEE SCHEDULE
SECTION 2, The Inspector of Buildings shall, before issuing any permit for
the erection of any building or structure, of 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.-#'ees to the .amount herein below set forth and in
the manner herein provided to-witi
2.1. For any such permit for the erection of any fire -proof building,
other than a garage, warehouse,_.fadtoryr 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 oue thousand cubie.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 !1fi.reproof01.
by Section 502 of the Minneapolis Building Code.
SOUSES
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 Dollars ($500.00)or fra.ctio4
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 6,500.00
- $5.00
Estimated
Cost
of work over 4_i'JQ.� 0
- $!C.00
Commercial; Estima.tee
ost
of wo ri,. ug �,o Y_,on %o
- sir 'o
Estimate:.
.est
of work over $_ 00.00
- $G► 3 - . .
Z' IIJ2 3 CITY OF FRIDLEY Effective Date May 1, 1988
APPLICATION FOR POWER PLANTS AND HEATING,
COOLING, VENTILATION, REFRIGERATION AND
AIR
CONDITIONING SYSTEMS AND DEVICES _
RATE SCHEDULE
.RESIDENTIAL RATE
TOTAL
Job Address ( / ����Fi7e o
bf
Furnace Shell and Duct Work,
9
Department Building., 6431
Burner (Also replacement furnace) $ 20.00
$ ACU .b®
of University Ave. N.E., Fridley, MN 55432
City of Fridley
Gas Piping $ 10.00
$
Tel. #571-3450
(piping needed with new furnace)
Gas Range $ 10.00
$
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
Gas Dryer $ 10.00
$
and rulings of the Department of Buildings, and hereby declares that all the
f�.f IcI
facts and representations stated in this application are true and correct.
t A1r�C ndl It oning (all sizes) $ 10.00
$ h ,190
Fridley, Minn. c , 19J�
All Others/Repairs and Alterations
OWNER 'Al"do 1*'
18 of Value of Appliance or Work
$
KIND OF BUILDING
COMMERCIAL/INDUSTRIAL
USED AS
1% of Value of Appliance or Work
$
TO BE COMPLETED ABOUT ®�
o
ESTIMATED COST �M-5 6
State Surcharge
$ .50
OLD - NEW BUILDING PERMIT NO. PERMIT NO.
TOTAL FEE
$l/': mSCJ
keinspection Fee ($15.00)
$
DESCRIPTION OF FURNACE/BURNER
Rough Insp. d
Date HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. 1
Final Insp.
Trade Name �_�� Size No.
Date I
Capacity Sq. Ft. EDR BTU HP
Approval for Permit
Total Connected Load , J, �/� Kind of Fuel
BURNER - Trade Name Size No.
Capacity Sq. Ft. CDR BTU HP
MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00 Compan
PLUS $.50 STATE SURCHARGE��
Signed By
Tel. Na. r— UJ
*Air Conditioners can not be placed in side yard without �1�",�I�dG Fc Aid
written permission from adjoining neighbor.
8910VllCNTVVO �-1 r
/f® OAJ6 Fill out back side for stack verification on repr�iLd c) 1 fiFrri3'ces
y SEDGWICK HEATING & AIR CONDITIONING CO.
,HOUSE HEATING TEST RECORD
ADDRESS 6 14 CITY^
OCCUPANT OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY-
Electrical
Y Electrical Work By > y�'ra fid' Gas Line By"I
TYPE OF HEAT GA_ FA_ HW_ STEAM SPACE HTR. UNIT HTR. OTHER
_GAS DESIGN CONVERSION
MAKE MAKE OF BURNER
Model _ Model
Serial d "' '=� Max. BTU Rating -
INPUT �`� t= 'rMAKE OF FURNACE
Model
CONTROLS
THERMOSTAT '�°'' i"�" Heat Plug
Valve'
.Limit -
Limit Setting
Fan Setting
Pilot Type
Pilot Make !,C j b i h
Pilot Model _
g _ 4 ��
Pilot Timing � � `� �
L,W. Cut Off
Pressure + " Percent CO2
Input CFH Percent O j AL1
Stack Temp���� ��' �� Percent CO2 r
Form 235
sn
Vent Size '
KIND OF LINER SIZE NONE
Draft Hood a'., -aL = Regulator
Filters Size (Number �
Chimney Location Inside °' Outside
Chimney Construction - - C_ E P`
Smoke Bomb
Draft
Door Pressure
Wiring
.Test Tag
•Lighting Inst._
o s -
Date Tested
Company Testing
Name of Tester i V1,11, I ul L
CITY OF FRIDLEY
APPLICATION FOR -HEADING REPLACEMENT
i
CHIMNEY AND STACK VERIFICATION
THIS FORM MUST ACCOMPANY STANDARD APPLICATION FOR HEATING PERMIT FORM,
LOCATION Ga®Z� o ���,� DATE
OWNER AL ,� ADDRESS
The undersigned hereby verifies that the existing chimney or stack:
1. Has been carefully examined o�
2. Is free from rust or deterioration
3. No foreign objects are lodged within
4. That it is securely supported
5. That it meets all current Code requirements
for size and total BTU connected
6. Total Heat i ng BTU ,
All Other. BTU '-�®, Dy U
TOTAL (� v
REMARKS
HEATING PERMIT #
ZIGNED
f i
Licensee
by
Address HEATNG
— �en*�{IgI-W77ttr-n�yr�,i,���
t;.f���I71
Telephone
Fridley City License #
it