PRE 2010 DOCSCity of Fridley, Minn.
BU11DING PERMIT N°5 6 9 9
Date:
R
Owner: Builder
Address _ .______ _ Address---
�` LOCATION,. �yF BUILDING
No. „ Street ,cam ,x -Part oft
Block ---- --ter _ ..__ Addition or Sub -Division j -
Coraer Lot _ _ Inside Lot . _ _ Setback qSideyard
Sewer Elevation _ _ ___ Foundation Elevation
DESCRIPTION OF BUILDING
T-6-64 Used 10 / 0*0 ,
Front __ Depth ' o Height ' Sq. Ft. Cu. Ft A
From _ Depth _ _ Ii ght Sq. Ft. Cu. Ft.
Type of ConstructionEsta , _. -`"i'o 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
rdiriances 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 violator of any of the provisions of said
ordinances. l � ,,� r ,
Building Inspector
NOTICE:
This permit does not cover the construction, Installation for wiring, .plumbing, gas heating, sewer or water. Be sure to no
the Building Inspector for separate permits for these items.
— _. *- A
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEYj MINNESOTA
Owner's Name Builder.
Address Address 11144�,J- ko,� J 1
S g( C) LOCATION OF BUILDING
No. a Street Part of Lot
L In5`t6
Lot Block V Addition or Subdivision7 lw�<
' ®` + f,F'
Corner Lot Inside Lot Setback 21-' �
SETTER 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 height
Sq. Ft. Cu. Ft.
FrontDepth Leight
Sq. Ft. CU. Ft.—
Type
tw
Type of Construction 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 ruling of the Department of Build-
ings, and hereby declares that all the facts and representations
stated in this application are true and correct. ( ,�
DATE SIGNATURE
(Schedule of Fee Costs can be found on the Reverse side).
City of Fridley
Application for Mmbing and Gas Fitting Permit
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ...................... x $1.50 $��0
Future Fixture Opening ................ x 1.20 $
New Fixture Old Opening .............. x 1.00 $
Catch Basin ...... x 3.25 $
Water Heater (Up to 200,000 BTU) ...... x 2.00 $�
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 $
REPAIRS & ALTERATIONS—Refer to Code
Description .............................................. $
TOTAL FEE $ � U
Dept. of Bldgs. Phone SII 4-7470
® �
City of Fridley:
The undersigned hereby .makes application for a permit for the work herel
specified, agreeing to do all work in strict accordance with the City Ordinance
and ruling of the Department of Buildings, and hereby declares that all the fact
and representations stated in this application are true and correct.
Owner
Kind of Building
Used as
To be completed about
Estimated Cost, $
ew uilding Permit Nov Permit No. ®�
Signe
By
Business Phone No
ROUGH 3 ~ 0 -4
FINAL
5
3
ad
12
n
7Y
3�
ou
Qp Z
OO 4a
a c
<
U
3
�a
U°d
U
0
?
`aa
Uo
F
N
WATER HTR.
GAS
ELEC.
Base
1st
2nd
3rd
4th
• Future Connection Openings
New Fixture, Old Openings
Connected with
Sewer
Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ...................... x $1.50 $��0
Future Fixture Opening ................ x 1.20 $
New Fixture Old Opening .............. x 1.00 $
Catch Basin ...... x 3.25 $
Water Heater (Up to 200,000 BTU) ...... x 2.00 $�
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 $
REPAIRS & ALTERATIONS—Refer to Code
Description .............................................. $
TOTAL FEE $ � U
Dept. of Bldgs. Phone SII 4-7470
® �
City of Fridley:
The undersigned hereby .makes application for a permit for the work herel
specified, agreeing to do all work in strict accordance with the City Ordinance
and ruling of the Department of Buildings, and hereby declares that all the fact
and representations stated in this application are true and correct.
Owner
Kind of Building
Used as
To be completed about
Estimated Cost, $
ew uilding Permit Nov Permit No. ®�
Signe
By
Business Phone No
ROUGH 3 ~ 0 -4
FINAL
5
a
Application for Power Plants and Heating. Cooling, Ventilation, .Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone 3U 4-7470
— o , a _ A // In A �7
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 ....... :.... 1. 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 ho�r ........................ 5.00 $
over 3 gal. per 1rour-See Fee Schedule
-
!-
GAS BURNER (up to 400,000 BTU) ....................... 5.00 $
GAS FITTING FEES:,
NO RATE
1st 3 Fixtures ......................
x $1.50
/TOTAL
$�
Additional Fixtures .................
x .50
$
Gas Range to 200,000 BTU ...........
x 2.00
$
AIR CONDITIONING
$
FAN HEATING SYSTEM
See Fee Schedule
VENTILATING SYSTEM
$
s�
ALTERATIONS & REPAIRS
TOTAL FEE
RQUGH
FINAL
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 A* 194A -
Owner
U
Kind of Buildings
Used as
To be completed about
Estimated Cost, $ ��� ----
Old -New. Building Permit No. ®�� Permit No.
DESCRIPTION OF WORK J
HEATING or POWER PLANTS -,Steam, Hot Water, Warm Air -No. -
Trade Name a - ��-=�s���e r% Size No 11'e,1V
Capacity. Sq. Ft. E.D.R 2 Z2 BTU H.P.
Total Connected Load Kind of Fue:
BURNER - Trade Name Size No
Capacity Sq. Ft. E.D.R BTU H.P.
(REMARKS—OVER)
By ere 2M 7-59 Business Phone No.
ii �'
D-36 7 9
HEAT LOSS CALCULATIONS 4 f
Weatherstrips
Windows D
Yes= -No e;�
® DEPARTMENT OF BUILDINGS
A.S.H.V.E, Construction No. Insul�on
Guide
Dc
(�ors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How. Applied
ml Length :? i 2 Width Heisht II J FlPp'�V19d Room l Lengths f `6 '`Width 12 s Height'"
Windows an
oors—Crackage and Area
Coef.
Width Height No. of Lineal ft. Area
No. of pane of pane llghte of crack ft. -
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
2-9
16
7k
Glass
Coef.1
Btu
Coef.1
Coef.
Btu
Infiltration
4S F
Glass
t
? .'
,
13
Glass
Ceiling
" "
Net exp. wall
<-Q
Exp. wall
3
G 6 0;3
Int. wall
461/0
Net exp. wall,
Ceiling
FI -I "_ t Room I Length J/ 7
Width / 4;
S
2 !� x
Int. wall
I /zr a
I
f o 7 f
o
Floor
Ceiling
3 07
f o
Floor
"t
+ 7
"Dotal Btu. ,° -•
Required sq. . E.D..�R. or sq. ins. W.A. Leader area �
® F1-1 ° "'A uh` -_ afi R.. I 1 PnbFh e� J Wl,4ih v"9 14,.;.ht r7 61
Yb i*nv
d
Windows anoorsCr—ackage and Area
I
Coef.
Width Height No. of Lineal ft. Area
No. of pane of pane llghte of crack ft. -
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
2-9
16
7k
Glass
Coef.1
Btu
Coef.1
I
Btu
Infiltration
4S F
Glass
t
? .'
3_0
I
Glass;
Ceiling
" "
Net exp. wall
<-Q
Exp. wall
3
G 6 0;3
Int. wall
461/0
Net exp. wall
Ceiling
FI -I "_ t Room I Length J/ 7
Width / 4;
Height
/ s" 40
Floor
Int. wall
I /zr a
I
f o 7 f
o
Floor
Ceiling
6
Floor,
"t
Total Btu. 1/00,f 6
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
RoomlLenzthql, Width f i ° Height .
Windows and Doors—Crackage and Area
I
Coef.
Width Height No. of Lineal ft. Area
No. of pane of pane llghte of crack ft. -
Esq.
16
7k
Glass
Coef.1
Btu
Infiltration
I
3
4S F
Glass
t
IPF
3_0
G 0
Exp. wall
Ceiling
" "
Net exp. wall
Floor
66
� 0
G 6 0;3
Int. wall
461/0
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Ceiling
FI -I "_ t Room I Length J/ 7
Width / 4;
Height
/ s" 40
Floor
Ceiling
I /zr a
I
f o 7 f
Total Btu.
't. F3 69 ria v -
Windows and Doors—Crackage and Area
Width .Height No. of Lfneal Yt. Area
No. of pane of pane lights of crack Area
II I I
I
Coef.
Btu
Infiltration /
16
7k
Glass
Coef.
Btu
Exp. wall
Infiltration
-?'
Net exp. wall
Glass
t
IPF
Int. wall
193-n
Exp. wall
Ceiling
" "
S' v
Floor
N
f .-s"
Total Btu.
461/0
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Ceiling
FI -I "_ t Room I Length J/ 7
Width / 4;
Height
Windows and�Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. - of pane of pane lights of crack sq.. ft.
z a' p
Coef.
Btu
Infiltration
Infiltration
-?'
11.7
Glass
S— -�? a
Glass
193-n
Exp. wall
L'I 0
Exp. wall
Net exp. wall
B
Int. wall
461/0
C)
Ceiling
/_v ej
�,,l
/ s" 40
Floor
Ceiling
I /zr a
I
f o 7 f
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
A 1:7.1 /? " .e. Roam I Length -7 2 Width Height I
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of,..pAaane lights of crack sq. ft.
Coef.
Btu
Infiltration
3
S— -�? a
Glass
L'I 0
Exp. wall
Net exp. wall
461/0
C)
Int. wall
Ceiling
o
Floor
4
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area II Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Application for Power Plants and Heating, Cooling, Ventilation, Rehigeration 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
VENTILATING SYSTEM
$
ALTERATIONS & REPAIRS
TOTAL FEE
ROUGH-
OUGH
FINAL-
FINAL
Dept. of Bldgs. Phone SII- 4-7470
X41. a��W"
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, 1yi,'nn/lam lg� `L
Owner
Kind of Building'''
Used as
To
To be completed about
G
Estimated Cost, $
Old—New. Building Permit No. t Permit No. j�j t0
DESCRIPTION rOF WORK
BEATING or POWER PLANTS—Steam, Hot Wa arm —No
Trade Nam Size No -
Capacity— — — - .
o
Capacity Sq. Ft. E.D.R el & BTU H.P.
Total Connected Load —4, ' z Kind of Fue:
BURNER — Trade Name Size No
Capacity Sq. Ft. E.D.R BTU H.P.
(REMARKS—OVER)
Signe
By
Business Phone'No-
4z 7M 7�-59
D-56 7 9
HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS 6,&AL ,d1 / MINNEAPOLIS, MINN.
HV
Weatherstrips A-E uiie,E, Construction No. Insulation
uide
Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied
Yes—No Yes—No 19—z I L" i
F1.1 Room I Length Width Height II / Fl_I snnir,%Roo-Width /` Height
Windows and Doors—Crackage and Area
' Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
Width Height No. of Lineal ft. Area
- No. of pane of pane lights of crack sq. ft.
Width Height No. of Lineal ft. Area
No. of Pa;L of pane lights of crack ft.
G �d 0
-11&1) aZ/ a
Coef.1 Btu
Infiltration
Btu
Coef.
Btu
Infiltration
Btu
Infiltration
/
r�
/ 9�
Glass
41-9
�Q
Glass
5-0
Ceiling
Exp. wall
—
Floor
�}
Exp. wall
Net exp. wall
/O
/7,5-0
Floor'
Net exp. wall
Int. wall
Ceiling
156)
/(
16670
Floor
Ceiling
Q
1 otal titu. /
Required sq. ft. E.D.R. or sq. ins.' W.A. Leader area
�//,�,;
% Fl.1 ,,n Room I Length,/'/ Width /2' Height
Windows a
' Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
3 /.Ila
Width Height No. of Lineal ft. Area
No. of Pa;L of pane lights of crack ft.
/sq.
/
-11&1) aZ/ a
Coef.1 Btu
Infiltration
Btu
Infiltrationr
Glass
Coef.
Btu
Infiltration
/
r�
Net exp. wall
Exp. wall —
41-9
�Q
Glass
Net exp. wall
Ceiling
/10
/
Floor
�}
Exp. wall
Ceiling
/O
/7,5-0
Floor'
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu. VQ
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
F1.1 Room I Length Width Height
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
3 /.Ila
`s / .
Coef.1 Btu
Infiltration
Btu
Infiltrationr
Glass
Oro
Exp. wall
/
r�
Net exp. wall
Exp. wall —
41-9
Int.. wall
Net exp. wall
Ceiling
/10
/
Floor
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
`s / .
Coef.
Btu
Infiltrationr
/
Glass
/
r�
Exp. wall —
41-9
Net exp. wall
/10
/
Int. wall
Ceiling
/O
/7,5-0
Floor'
Total Btu.
Required sq. P..E
FLI
Windows and 1
Width H
No. of pane of
I.R. or sq. ins. W.A. Leader area
Room I Length// -' Width/
ars—Crackage and Area
Infiltration 115/ ,//
Glass 60 -
Exp.
% 0Exp. wall
Net exp. wall 4TT /C /f/69
Int. wall
Ceiling 5- /Q 45V62
Floor /Q 7
Total Btu. J
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Fl.l A4W Room I Length ' j Width ' Height '
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
/ G /nf« 3 106-1
Coef.
Btu
Infiltration
/o
Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling
/Q
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
City ®f Fridley, Minn. N9 9423
BUILDING PERMIT
Date: _ August 28 1967
Owner: Lynn Melhus Builder
Address 5860 Washington St. N. E. Address
Same
Same
LOCATION OF BUILDING
No. 5860 Street ____ Washington St. N. E. part of Lot
Lot - 4 _ Block 2 Addition or Sub -Division — Lyadale Blders 7th Addn.
Corner Lot ._ Inside Lot Setback __ _ Sideyard
Sewer Elevation
To be Used as:
Foundation Elevation
DESCRIPTION OF BUILDING
Gaxage Front _ 16 '_ Depth 22' Height _ _ 1 Cdq. Ft Cu. Ft.
Front Depth Height Sq. Ft Cu. Ft
Type of Construction Frame Est. Cost _ $1000.00 _ 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 21 provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of $ 5.00 permit is hereby granted to Lynn Melhus
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 reg 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 Building Inspector
NOTICE:
This pem* does not cover the eomdruetion, butaftflon for whdng, plumbing, gas heating, sewer or water. Be sure to see
the Building Inspector for separate parmhs for these Items.
A.''j i:C.VY!..rZ3 FOR BUILDING :`°.M..:MIT
CIT Oi 1aNN' m.7 '-TA
OWNER'S NAME ��.�a Lam, 1i`:;�',I-DER �L
ADDRESS a �FL�. .�/ ADDRESS
LOCATION OF, BUILA%LiG
�7
170. �' G STREET -7A
� PART OF LOT
LOT ° BLOCK ADDITION OR SUBDwVTSION
-_ ---
CORNER LOT INSIDE LOT SETBACK ST.DE-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 Ad:
t� Front G Depth Height
Sq. Ft. Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
Type of ConstructionEstimated 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 representati stated in this application are true and correct.
DATE SIGNATURE,��1�� c
(Schedule of Fee Costs can be found on the Reverse Side).
City of Fridley
AT THE TOP OF THE TWINS
SUBJECT
BUILDING PERMIT
PERMIT -NO •_.,.
'"
13008
r
LL ______ COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC.
"1 CITY HALL FRIDLEY 55432
612-560-3450
RECO
�f
NUMBER
910-F15
REV.
DATE
-9-75
PAGE OF
APPROVED BY
JOB ADDRESS
5860 WASHINGTON STREET N.E. FRIDLEY MINNESOTA
1 LEGAL
LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR.
4 2 LY D B SHEET
2 PROPERTY OWNER MAILADDRESS ZIP PHONE
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE'NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
RE -ROOF
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ .ALTERATION EX REPAIR ❑ MOVE ❑ REMOVE
6 DESCRIBE WORK
RE -ROOF
9 CHANGE QF USE FROM TO
STIPULATIONS
SEPARATE PERMITS ARE REQUIRED 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
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
ZONING
SQ. FT.
CU. FT.
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
R-1
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
$800.00
.50
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 THEDERFORMANCE OF CONSTRUCTION.
$5.00
PLAN CHECK FEE
TOTAL FEE
5.50
SIGNATURE OF CCTR4CTOR OR AUTHORIZED AGENT (DATE)
WHEN PROPER VALID TE THIS IS YOUR PERMIT
JUNE 9. 1975
BLDG INSP DATE ••
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE)
APPLICATION FOR RESIDENTIAL$ ALTERATION,
OR ADDITION.BUILDLNG PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME : 9- L L. -S BUILDER: % L P d �.1 • `✓ d /�� �o ✓
ADDRESS: -,5 �`U ^ � SNo` �j r d,J ST- � ADDRESS: 2, J 3 cc .v s a� C- �IrOG /i0 b'
NO:. S -V L STREET: WA S 14
LOT: BLOCK: ADDITION:
CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD:.
Applicant attach this.form Tsvo..G.ertificates of $urve .of -Lot and..proposed
building location drawn on these Certificates:
To Be Used As:
DESCRIPTION OF BUILDING
Front: Depth: Height:
Square Feet:
Cubic.Feet•
Front: Depth: Height:
Square Feet; Cubic Feet:
Type of Construction: L' -12o " T Estimated Cost: $ rO 0
To Be Completed: F -6
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 • W< Z -a✓�
(See Reverse Side For Additional Information.)
6-3-8Li -416051
CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
PARTIAL RATE SCHEDULE
m
RATE
TOTAL
N:zber Fixtures
p
$
cat,.=e F: xture Opening
x $2.00
v
New Fixture, Old Opening
k
d
Catch Basin
Water
.;
o
c�
a
_ 0,000 B.J to 199,000 BTU
x $10.00
w
c•+
H
q
N Ground Ran Old Building
x $5.00
R
a
01
$
Iieater
a+
-1
n
t"
Additional Fixtures
F+
-4 ro
$4
x $T0.00
N
ro -
First $100.00
$5.00
$
•.a
.,
,:
State Surcharge
C
t7
TOTAL FSE
X :J
0
41
4 C
'-IJ
d.
ti
W
f�7
c c
3U
m+
$ x
a
s+ 0
C
.+
(0n
oro
ro
ro
+'
O
as
lec
1== I
ra
ge
re
1a
em
6t
)
F
oma
4 —t
= c`�:ture Connection Opening
Connected with Sewer
L(R)
(') = New Fixture, Old Opening
Water
PARTIAL RATE SCHEDULE
PLUMS- ING FIXTURE RATES: NO.
RATE
TOTAL
N:zber Fixtures
x $3.00
$
cat,.=e F: xture Opening
x $2.00
$
New Fixture, Old Opening
x $2.00
$
Catch Basin
x $5.00
$
:later Heater - to 99,000 BTU
x $5.00
$
_ 0,000 B.J to 199,000 BTU
x $10.00
$
water softener
x $7.00
$
N Ground Ran Old Building
x $5.00
$
electric Water Heater
x $5.00
$
G.,S FITTING FEES:
1st 3 fixtures
x $3.00
$
Additional Fixtures
x $1.00
$
Gas Range to 199,000 BTU
x $T0.00
$
REPAIRS & ALTERATIONS
First $100.00
$5.00
$
each add. $100:00 or fraction
$2.00
$
State Surcharge
$ .50
TOTAL FSE
$ 8,00
REINSPECTION FEE
($10.00)
Job Address 5860 NE Washington Street
Department of Buildings
City of Fridley
Tel. #571-3450
The undersigned hereby makes application for a permit for t.%e work herein
specified agreeing to do all work in strict accordance with the City Codes
and rulings of the Department of Buildings, and hereby declares that all
the facts and roprosentations stated in this application are true and correct
Fridley, Mn. 1-26-81 19
OWNER NELHUS
KIND OF BUILDING frame
USED AS res.
TO BE COI•'iPLETED ABOUT 2-2-81
ESTIMATED COST 50.00
OLD - NEW BUILDING PERN.IT NO. PERMIT NO. C�
zo
Company
6401, 'Qr4'6r7%o
Signed By [uINNWA290
Tel. No.
ROUGH INSP.
Date
FINAL INSP. /0
Date
APPROVAL FOR PERMIT
MINIMUM FEE FOR ANY PLUMBING PURI21T IS $7.50 PLUS $.50 STAs,Z SURM:ApZE
SUBJECT
City ®f Fridley
26699
AT THE TOP OF THE TWINS
BUILDING
`
IPT NO.
•COMMUNITY DEVELOPMENT DIV.
L --------PROTECTIVE INSPECTION SEC.
1lJ
112013 f� ��
NUMBER
REV
DATE
PAGE OF
APPROVED BY
i CITY HALL FRIDLEY 55432
612-571-3450
910-F15
17/16/98
JOB ADDRESS 5860 Washington St NE
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
4
2
Lyndale Builders 7th Addition
SHEET
2 PROPERTYOWNER MAIL ADORES$ ZIP
PHONE
Carol Weber
571-7582
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO.
Twin City Exteriors Co 9060 Zachary Ln.N #108-
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO.
2595
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION l] REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reside
9 CHANGE OF USE FROM TO
STIPULATIONS
Call for building wrap inspection before covering.
TYPE OF CONST.
OCCUPANCY GROUP
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
SO. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 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
ISTALLS
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
$3.00
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$6,000
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-
Fire SC $6.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
$112.25
PLAN CHECK FEE
TOTALFEE
License SC $5.0
$126.25
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
ZY WHEN PROPERLX 1,11ALIDATED THIS IS YOUR
BL G ]NSP
4a TE
S.GNATURE OF OWNER OF OWNER BUILDER] IDATEI
NEW � � Effective l/1/97
ADDN [ J CITY OF FRIDLEY
ALTER [ J SINGLEFAMILY AND DUPLEXES R-1 AND R-2 ��
BUILDING PERMIT APPLICATION
ConstructionAddress:
Legal Description:
Owner Name & Address: Tel. #-571-1
Contractor: 11A) C I TV X iMN LICENSE #��� .
Address:170(z) ;?AeHy42Y 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 Width Hgt/Ground Sq. Ft.
OTHER:
Construction Type:_ )q�:55 Estimated Cost: $
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x* $ _ $
DATE: — - APPLICANT: Tel. # 5547,37
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
CI'T'Y USE ONLY A0Z
$ Fee Schedule on Reverse Side,
$ . OD .001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation 91e
$ $950 per SAC Unit -�Z"
$ $5.00 (State Licensed Residential Contractors)
$ Alt. "A" or Alt. "B" Above
$ •$450.00 Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement Necessary [ ] Not Necessary [ ]
a5'
01
SUBJECT
-
PERMI Q---�
City of Fridley
28266
AT THE TOP OF THE TWINS
BUILDING
P E R BVI I T
r
DEVELOPMENT DIV.
.......COMMUNITY
j PROTECTIVE INSPECTION SEC.
NUMBED
REV
DATE
PAGE OF
APPROVED BY
I CITY HALL FRIDLEY 55432
612-571-3450
910415
10/15/98
JOB ADDRESS 5860 Washington Street NE
I LEGAL
LOT NO.
BLOCKTRACT
--
OR ADDITION
SEE ATTACHED
DESCR.
4
2
Lyndale Builders 7th Addition SHEET
2 PROPERTY OWNER MAIL ADORES$
ZIP PHONE
Carol Weber
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Ideal Roofing 1680 McAndrews Burnsville 55337 435-3061
ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION a REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and garage (23 Sq) Tear -off
9 CHANGEOFUSEFROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
TYPE OF CONST.
OCCUPANCY GROUP
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
SO. FT
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 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
ISTALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL 13E COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
1971
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHA GE
PROVISI NS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCT N OR THE ERFORMANCE OF CONSTRUCTION
62.2
41
PLAN CHECK FEE
TOTA F E
iGNATU OF CON' A TOR OR AUTHOp4ED AGENT (DATE.
N p
IS IS YOUR PERMIT
/� i •
SIGNATURE OF OW NERiif OWNER BWLDER, iOATEi
BLD -NSP
QAtE
01
NEW [ ]
ADDN [ ]
ALTER [ l
ConstructionAddress:
Legal Description:
Effective 1/1/98
CITY OF FRIDLEY SCD
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Owner Name & Address: C r U e - e r Tel. # 5; 17-/" 7
Contractor: @ MN LICENSE #
Address:�; c=� — [�! /�� ItJ T� Tel. #
6,
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: I -LA u Pl .? --,, )
Construction Type: rEstimated Cost: $�q4&K-'
111,71
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ ` = $
DATE: -JS-V APPLICANT: C ��4 -562�( Tel. #
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
(License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
20
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1000 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
F';
M
Zffettiva Jabuary 1, 2003
CITY QF 1714IDL0 I N$PECtION DlVi�ION
6431 University Ave NE
Frill.+, MN 55432 APKIcknoN FOO Of WtR KANt$ AN6 Hlalrii, �?OLI{VI�, V�fdTI�.pATlblV,
(763) 572-3604 RORIORA ION 11ND Alit 6ON61TIONIING SYStltMS MID 16EVit=
)P'AX (763) 571.12$7
Residantlal
Furnace Shell and duct Work, Burner -
Also Replacement Furnace
(Side Vent • Fill Out Back)
Gas Piping (Nesded with new furnace,
but not replacernent)
Gas Range
0
�-- Gas Oryer
'Air tondltionin4 • All Sizes
All Otl0ers' /Repairs & Alterationt (LIST ON BAdk)
1% of Value of Appliance or Work
?w Cgmrn�rclAlllrAsedell
1.250 of Value of Appliance at Work
r
u
State Surcharge
TOTAL I:EE
Vl�N1I1�11M 1F�E FOR ANY 14ATING/dq_O �,/jjEN-11LAT'I'ON
I T. 1E S9110-0,
50 A S R
M 1�INSPECTION FEE $47.00/Hr
*Air Conditioperl; can riot be placed in a sine yard without
® vritteh permission from adjoining property owner.
$ The undersigned hereby makes application fl r a 0erniit for the work Itdreiri
specified agreeing to do all work Iq strict acdordailce with the City Codes an
SO rulings of tha Buileiing Divisi6n, and hereby declares that all the facts and
repres0tatidrs stated in thit application are true and correct.
/ DATE
HEATING CO
Slgne�- � 9 d
FUS
Rough-ln Date final tato
JOB ADDRE$S SK
1�fl�p+. ark
OV�I L •���/rr TTS
Rate
$ 30.60
TOTAL
$.7P/
BUILDING USED A
r
ESTIMATED CO5t K --o
PERMIT IVt• a
�
$ 10.0
ESOIgDP1`� N IDF �� A ly ABB �DEIa
No. of Heating 4 is / Circle One (Steam) (Hot Water (liVarm Ai
$ 10.010
$
Trade me JQ. �Ji l
Size,14o.
Fuel _ r iA C Total Connected Load �®
136rner trade Name
Site M6
BTU HF,
_ Ol
State Surcharge
TOTAL I:EE
Vl�N1I1�11M 1F�E FOR ANY 14ATING/dq_O �,/jjEN-11LAT'I'ON
I T. 1E S9110-0,
50 A S R
M 1�INSPECTION FEE $47.00/Hr
*Air Conditioperl; can riot be placed in a sine yard without
® vritteh permission from adjoining property owner.
$ The undersigned hereby makes application fl r a 0erniit for the work Itdreiri
specified agreeing to do all work Iq strict acdordailce with the City Codes an
SO rulings of tha Buileiing Divisi6n, and hereby declares that all the facts and
repres0tatidrs stated in thit application are true and correct.
/ DATE
HEATING CO
Slgne�- � 9 d
FUS
Rough-ln Date final tato
FROM :City of Fridley FAX NO. :7635711287 Dec. 07 2005 12:13PM P2
Building
BUILDING
permit No.: O —
inspections . 1ESI,DENTIAL APPLICATION Received By:
763-572-3604,
t ,
CITY,OF FRIDLEY
Date Recd: 1�
PATE a
YO -Mall, ADDRE58
$ /, {.0005) times the total job valuation , Minlinum $,SO
SITS ADDRESSo
,001 x Permit Valuation (I /I no)
decree 3tuchurge
THIS APPLICANT IS: 0 OWNS
NTIiACTOR
$ $1430 per SAC Unit (Plans to MWCC for determination)
PROPERTY OWNER/ N
S ft + 6 it = it x $20 = S.
;rasion Control
TENANT AI►DREMS: =
TTY
STA7I
PHONE:
®
'otni_ Due ,
CONTRACTOR NAME:
2 "
SUBMIT A MPY OF STATE SIr N
. FJtP PAVE
`FOUR STATETE LICEhISIi ADDRESS'
CITY
STAT' ,k% �/�
WITH AP?1JC:A'n0X PHONE
FAX
PROPERTY TYP9
0 SINGLE FAMILY/NSW CONSTRUCTION SIZE
Q DKUAMILYNEWCONSTRUC'T'ION sIi)RIE5
PERMIT TYPE
d ADDITION
0 GARAGEISHED 0 WINDOWS
0 BASEMENT FINISH ROOF 0 DRAIN TILE
C7 pGC IC
SIDING 0 OTHER
0 SWIMMINO t.
TYPE OF WORK:
O NEW
❑ ADDITION
TENANCEIREPAIR to REMODELTNO
DESCRIBE WORK BEING DONE:
SIZE•OF WROVEMENT
LENGTH WIDTH
HEIGHT sq. Ft.
ROOEMSi ''
��
0 HOU34 ONLY
NUMBER OF SQUARES
XHOUSE & GARAGE BASEhOff—REMODELINGA
tIS BMfTt
GARA
PROPOSED SIZE:
O ATTACHED GARAOC 1.
0 DETACHED GARAGE 2.
Existing Floor Plan
Proposed floor plan
PROPOSED HEIGHT:
3-
List oromaturat mambas to be used
SIDES
FOR NEW CONSTRUCTION INCLUDING DECIV.
O Vinyl
l7So[GI AD_ M0NS._&.PORCHES
SUB=
O Aluminum L
O Trild - 1,
Site P1art/Surveyalrowiag the texts ng stnrctwol
17 Other
Q 1 ascla
and prop"M project.
"q -N
2.
Two sets ofoomftatlen piens
Int EXISTM OPENINGS OYrs DNo LOCATION OF WINDOws 3-
4mg' Cadoulati s
OR FOR NEW OPENIN(13-DF.3CMF, SM OF _ -
-
OPENING CRANOBS &
-^
rYP8 OF WINDOW TO DE INSTALLEI?
NUMBER OF WINDOWS
D^OMP Urs V1LL VA'A-AVlry ArVULUDING TME COST OF LABOR AND MATERIALS:
(USING THE 1997 U.%C FEE SCHEDULE)
TOTAL JOB VALUATIONS 3ef -,>7/07> OCCUPANCY TYPE
Permit l+ee
Back Page for Fec Schedule
Plan Review
$ _ _ --®-- 65% of Building Permit Fee
surcharge
$ /, {.0005) times the total job valuation , Minlinum $,SO
%ire Surcharge
,001 x Permit Valuation (I /I no)
decree 3tuchurge
$ $5.00 (State Licensed Residential Contractors)
)AC Charge
$ $1430 per SAC Unit (Plans to MWCC for determination)
curb Cut Escrow
S ft + 6 it = it x $20 = S.
;rasion Control
_
S 5430 Conservation Plan Review
lark Fee
g T� Fee Determined by Engineering
;ewer Main Charge
$ Agreement neoessary ( ) Non Necessary ( )
'otni_ Due ,
-s Make cheeks payable to: Ciiv or Pridtev Attach
THIS IS AN APPLICATION FOR A Pr--RMIT•NOT VALID UNTIL PROCESSED
hereby apply for a building permit and I acknowledge Wal the information above is complete and accurate; that the Work will be in
Dnibrrnance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a
anan i» the case ase oit but an applicatl for a permit and work is not to start without n permit; that the work will Ger ln' accordance with the approved
f gIl rk h h require e • i and a rovat ufplans.
GNATUSp, OF APPLICA r ►� a uc ,, . ,.,
0�