PRE 2010 DOCSCity of Fridley, Minn..
BUILDING PERMIT N° (5:6 81)
Date: `... "
6vmer• Builder
Address _ Address — ------ --
�r� O.OTI®111 OF LING
No. .: �1 Street` ._:.e Part f t —
Lot __ Block _ _ Addition or Sub- 'vision . _ x
Corner Lot ---- Inside Lot ___. _ Setback .' _ _ Sideyard
Sewer Elevation
Foundation Elevation
DESCRIPTION OF BUILDING
To *�' Used
Front —� DepthHeight Sq. Ft. Cu. Ft
Tr o t Depth ,*�Keight Sq. Ft _ _ Cu. Ft _
Type of Construction Est. Cost __ 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 ah 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, mkintenance, ,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.
.01W4
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
Owner's Name Builder l N akjf2 "
AddressAddress . Y-Lr� ,...� .
LOCATION OF BUILDING
No. ',S- �W Street Part of Lot
Lot / Block % Addition or SubdivisionL+)a:
P
Corner Lot Inside Lot Setback 3T" 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 aso�''""�
FrontDepth Height
sq. Ft. CU. Ft •
Front -----Depth ,Height,
Sq. Ft. Cu. Ft.
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.
-k DATEf�- SIGNATURE
(Schedule of Fee Costs can be found on the Reverse Side).
City of Fridley
Application for Plumbing and Gas Pitting Permit
Dept. of Bldgs. Phone SU 4-7470
DESCRIPTION OF WORK'" -
Number, Kind and Location of Fixtures Location
•''
r
WW
F
i U
TOTAL.
Number Fixtures ......................
x $1.50
N/�
,Y
�n
i y
Y Z
o
y
Qv� Z
�i O
Q Z
u
O W
6
�U' d
C9
�U' 4a
a
Z
�U' O
F
•
N
WATER HTR.
GAS
ELEG
Base
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
$
1st
z
2nd
3rd
4th
` Future Connection Openings I
New Fixture, Old Openings
Connected with
Sewer
Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO. RATE
TOTAL.
Number Fixtures ......................
x $1.50
$ 9 - V
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 $�
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 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.
r, Fridley, Minn 19
Owner
Kind of Building v
Used as
To be completed about
Estimated Cost, $
Ol New uilding Permit No� Permit No.
Signed.
By�"`�
Business Phone No
ROUGH
FINAL
Application for Power Punts and: Heating. Cooiingz Ventilation, Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR:
Furnace Shell & Duct Work ..........................
Replacement of Furnace .............................
Repairs & Alterations—up to $500.00 ..................
Repairs & Alterations each add. $500.00 ...............
RATE TOTAL,
8-00.-
5.00
.00-5.00 $
5.00 $
2.50 $
MECH. WARM AIR
Furnace Shell & Duct Work to 124,000 BTU ............
t each add. 60,00D,BTU .......................
:3placement 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 $
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $
Each add. 200 sq. ft. MR 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
�� -A&----
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
VENTYLATING SYSTEM
�
$��.
ALTERATIONS & REPAIRS
TOTAL FEE
ROUGH
FINAL
Dept. of Bldgs. Phone SII, 4-7470
Location�4 a
Alv/
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, 'nn —1� 19�
1
Owner
Kind of Building
Used as
To be completed about ��✓
'Estimated Cost, $ '
Old—New. Building Permit No. Permit No.
DESCRIPTION O(F WORK
HEATING or POWER PLANTS—Steam, licit Wate Warm —No
Trade Namo�`�!���L/ Size No
Capacity Sq. Ft. E.D.R BTU H.P.
Total Connected Load !I �, Kind of Fuel
BURNER — Trade Name Size No
Capacity Sq. Ft. E.D.R BTU H.P.
(REMARKS—OVER)
a
.QDp4Z 7M 7-59 Business Phone No.,
HEAT LOSS CALCULATIONS ! /�,r� ��,J�� DEPARTMENT OF BUILDINGS
Weatherstrips A.S.H.V.E. Construction No.
Guide
owsrs Reference Out. Wall Int. Wall Ceiling Roof Floor
Yes o I es No 19-- RP °
F1.11,le"d. /r "n .r:! Room I Length Oi2Y Width /—ZT' Heisht II -FIA « .>>. A
Windows acid Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pape lights of cr ck sq. ft.
Width Height No. of Lineal f . Area
No. of pane of pane lights- of crack sq. ft.
e
L'I
q N . ?/v /S—
Coef. Btu
Infiiltration
Coef.1
Btu
Coef.
Coef.
Btu
Infiltration
Exp. wall
/ i
A
Glass
Glass
FT
j
4 ,�,
Glass
".�'
,a'&92 `:`
R
Exp. wall
Axy
'
Exp. wall
e e
Net exp. wall
�
Int. wall
Net exp, wall
Int. wall
Ceiling
/'
my/
Int. wall
Al
3
Floor
Ceiling
.r
/°
af
49
Floor
Total Btu.
Required , .R. or sq. ins; W.A. Leader area
F1.1 � Al` Pi Room I Length P`,�1 Width .1- 0 Height r °
Windows and Doors—,Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pape lights of cr ck sq. ft.
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
R
Coef. Btu
Infiiltration
Coef.1
Btu
Infiltration
±-
Exp. wall
/ i
A
Glass
Glass
/3
_
b-0
".�'
,a'&92 `:`
R
Exp. wall
Axy
Net exp. wall
Net exp. wall
�
Int. wall
0't9
Int. wall
Ceiling
/'
my/
Ceiling
Al
3
Floor
.r
/°
Total Btu.
Required !*A. JI.DR. or sq. ins. W.A. Leader area
QOr
Windows and 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.
R
Coef. Btu
Infiiltration
Coef.1
Btu
'Infiltration
±-
Exp. wall
/ i
A
Glass
Net exp. wall/10
/3
_
b-0
Exp. wall
Ceiling
Floor
Net exp. wall
AV
�
Int. wall
Ceiling
/'
my/
Floor
Al
3
Total Btu.
sq. ft. E.D.R. or sq. ins. W.A. Leader area
N
=
Insulation
Kind How.
Reem I Length / � Width,/
Windows and 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 ft.
� AAsq.
�' Gj
Coef. Btu
Infiiltration
Coef.
Btu
Infiltration
±-
Exp. wall
/ i
A
Glass
Net exp. wall/10
��``-
_
Int. wall
Exp. wall
Ceiling
Floor
Net exp. wall
®`
Int. wall
Ceiling
/x fIr
my/
Floor
Al
3
Total Btu. 1/1
Required sq,: E. .R. or sq. ins. W.A. Leader area
I FI I Length - €" Width / 4 P` Heiali
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
.24
- p.,
Coef. Btu
Infiiltration
31
ze
Glass
±-
Exp. wall
61
Glass
Net exp. wall/10
��``-
_
Int. wall
Exp. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
M I .-,4 , QMM I t a ,..t, p _ w5a, Pv HP;ol,t -91
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
- p.,
Coef.
Btu
Infiltration
Glass
��``-
_
'i
Exp. wall
Net exp. wall"
®`
Int. wall
Ceiling
my/
Floor
Al
41.146;
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
City of Fridley
Application for Plumbing and Gas Fitting Permit
Dept. of Bldgs. Phone SII 4-7470
DESCRIPTION OF WORK �� �° 6 %`' �->�-�
Number. Kind and Location of Fixtures Location. ��
�i
RATE
TOTAL
Number Fixtures ......................
x
$1.50
M
Future Fixture Opening ................
w
?
•
•
WATER HTR.
1.00
$
Catch Basin ............................
x
3.25
$
Water Heater (Up to 200,000 BTU)
?�O
2.00
$ ;Q - 0 0
New Ground Run Old Bldg . ............
x
3.25
$
GAS FITTING FEES:
NO.
RATE TOTAL
F
N
GAS
ELEG
Additional Fixtures ....................
x
.50
$
Gas Range to 200,000 BTU ..............
x
2.00
$
Base
1st
1
2nd
_
3rd
4th
Future Connection Openings
Connected with
I
Sewer
New .Fixture, Old Openings
Cesspool El
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
RATE
TOTAL
Number Fixtures ......................
x
$1.50
$-,
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
$ ;Q - 0 0
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 $'� d
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 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.
Fridley, Nunn 19��
n f3_ Vn
Owner v ` --
Kind of Building
Used as
To be completed about— '�-P--
Estimated Cost, $
—M New uilding Permit No Permit No. .✓ d
a
Signe IF
By
Business Phone No
ROUGH
FINAL
City of Fridley
SUBJECT
PER
1.2748
AT THE TOP OF THE TWINS
BUILDING I L D I� I i� PERMIT
,
r?
v'vv
COMMUNITY DEVELOPMENT DIV.
L
INSPECTION
< lj
r t PROTECTIVE SEC.
t . �
CITY HALL FRIDLEY 55432
NUMBER
REV.DATE
PAGE OF
APPROVED BY
612-560-3450
910-F15
/9/7 4
JOB ADDRESS 5885 Washington Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
m 17
1
Lyndale Builders 7th Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Bruce Johnso n 566-5 Washington STreet N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
SAME
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Garage
--i-CLASS OF WORK fl
X NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
24 x 26 garage
9 CHANGE OF USE FROM TO
STIPULATIONS
1. Provide a hard surface driveway.
PERMITS RE WIRED FOR WIRING,
SEP ERATE
jjEATING, PLUMBING AND SIGNS#
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
wood frame
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
624
6,240
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
$3,307.20
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$1.65
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-
$12.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
$13.65
_ gSiGNATURE OF CON FACT OR OR AUTHORIZED AGENT (DATE)
WHEN PROP LY VA D YOUR PERMIT
�J
BLDG. INSP DATE
SIGNATURE OF O R(IF OWNER BUILDER) (DATE)
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME:.9 't_e .t To 111?1&0 / BUILDER:
ADDRESS: WA94 »Y4 �v 11/ A DDRES S:
J ,,C
NO:. f-_9ST STREET : �y� S -A/ I T a A( �V Al,,c
LOT :1 BLOCK: I ADDITION : 4 /y q1a4F b fres
CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD:
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:
9RR A 0 E Front: 6 Depth:— � � Height:
Square Feet:?VX & Cubic Feet:
Front: Depth: Height:
Square Feet; Cubic Feet:
Type of Construction: WA OC- xI C Estimated Cost:
To Be Completed: cJ—'7� o -
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: 7 SIGNATURE:
(See Reverse Side For Additional Information.)
/3°°,
u
SUBJECT
PER
City of Fridley
14815
AT THE TOP OF THE TWINS
BUILDING PERMIT
Ir ,
R
• COMMUNITY DEVELOPMENT DIV.
INSPECTION
,
a
�
r PROTECTIVE SEC.
CITY HALL FRIDLEY 55432
NUMBER
PAGE OF
- APPROVED BY
612-560-3450
910-F15
fR'EV.JDATE
7/20/78
JOB ADDRESS
5885 Washington Street N.E.
1 LEGAL
LOT NO,
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
17
1
1 L ndale Builders 7th SHEET
-T-PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Bruce Johnson 5885 Washington Street N.E. 574-9387
3 CONTRACTOR MAIL ADDRESS ZIP PHONE
LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE
LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE
LICENSE NO.
6 USE OF BUILDING
7 CLASS OF WORK
❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
orch9
Construct a screen porch-
9CHANGE OF USE FROM TO
STIPULATIONS
Provide section through drawing by July 25, 1978. Use roll type
roofing.
Same,.
SEPE TE PERM,ffS REQUIRED FOR WIRINGS divin: tall locg t� cj V
8410Tl
HEATING "PLUMBING AND SIGNS.`ELi:CIvjfv
.
BY
Inr-ID
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
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.
$9Q0.
$.5O
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMITFEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$7.50
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
ff
$8.00.
N TUBE OF CONTRAROR UTHORIZEDAGENT (DATE)RLY
VALIDATE THIS IS YOUR HEN PROP
BLDG. INSP DATE
I NATURE OF OWNE (IF VWNER BUILDER) (DATE)
u
.
CITY 01~ FRIDLEY
APPLICATION FOR RESMENTIAL BUILDING PEIZ14ITS
(NEW, ALTLRATM-4s, ADDITIONS, OR REPAIRS)
OWNER: ha Cr 13UILDEII:
Address::3 9 Address:
Tel. No.
5-0
No.: Street: ���v�►' ,
LOT. 'P BLOCY.: % ADDITION: ,
CORNER LOT: INSIDE IAT: SETBACK: SIDEYARDS:
Applicant attach to this form Wo Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
c7ttZ N Front: Depth: Height:
Square Feet: Cubic Feet:
Front: Depth: Height:
Square Feet: Cubic Feet:
Type of Construction: Estimated Cost: $
Tb Be Completed:
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired $ $
(SEE REVERSE SIDE OF SHEET)
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. See reverse side for additional information.
DATE: SIGNATURE:
63-84-879001 CITY OF FRIDLYY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
PARTIAL RATE SCHEDULE
PLU.NMING FIXTURE RATES: T0. RATE TOTAL
:r`.:-•ber Fixtures
Fuv.ire Fixture Cpening
New Fixture, Old Opening
Catch Basin
:later :eater - to 99,000 BTU
-3,000 BTU to 199,000 BTU
Water Softener
New Ground Ran Old Building
Electric water Heater
w`,S FITTING FEES:
1st 3 fixtures
Additional Fixtures
Cas Range to 199,000 BTU
REPAIRS $ ALTERATIONS
First $100.00
each add. $100.00 or fraction
x
$3.00
x
$2.00
x
$2.00
x
$5.00
X
$5.00
x
$10.00
x
$7.00
4
$5.00
Water
$5.00
c�
o,
►�+
c �s
N
4
N
+
ro $4
a
W
Heater
n
.0.a
r.
E+
+
X :.i
H
a
W
.0
a'
$4
N.
'
eNO
s,
N
N
N
1.
u'PCH
.i
ri
"
-1
.9
14o
O�
C
W
Ri ,J
U W
O t0
Q s
b
U'
C9
+�
O
dS
leC
-�=
1
d
er
2 :d
I
F4,3:1:'i
=1M
=rtune Connection Opening
Connected with Sewer
= New Fixture, Old Opening
L")
Water
PARTIAL RATE SCHEDULE
PLU.NMING FIXTURE RATES: T0. RATE TOTAL
:r`.:-•ber Fixtures
Fuv.ire Fixture Cpening
New Fixture, Old Opening
Catch Basin
:later :eater - to 99,000 BTU
-3,000 BTU to 199,000 BTU
Water Softener
New Ground Ran Old Building
Electric water Heater
w`,S FITTING FEES:
1st 3 fixtures
Additional Fixtures
Cas Range to 199,000 BTU
REPAIRS $ ALTERATIONS
First $100.00
each add. $100.00 or fraction
x
$3.00
x
$2.00
x
$2.00
x
$5.00
X
$5.00
x
$10.00
x
$7.00
x
$5.00
x
$5.00
x $3.00
x $1.00
x $10.00
State Surcharge
TOTAL FEE
REINSPECTION FEE
($10.00)
$5.00
$2.00
S
Joao Address 5885 NE Washington
Department of Buildings
City of Fridley
Tel. #571-.3450
The undersigned hereby makes application for a peewit for the 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 t -at all
the facts and representations stated in this application are true and correct
Fridley, Mn. 7-13-81 , 19
OWNER Z TEBOL
KIND OF BUILDING frame
USED AS res.
TO BE COMPLETED ABOUT 7-20-61
ESTIMATED COST 50,00
OLD - NEW BUILDING PERMIT NO. PERMIT NO.
Company,,
� _ z ajohmml=
Signed By RRINNEGASC0
Tel. No.
ROUGH INSP.
Date
FINAL MSP. 1 '1' - 7 1'-3
Date
APPROVAL FOR PERSIST
MINIMUM FEE FOR ANY PLUMBING PP.RMIT IS $7.50 PLUS $.50 STATE SURCHARGE
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572-3604
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
Water Bath Wash Drink Floor Catch i, Auto.
Stories Closet Urinal Tub :Shower Sink ;. Tray Fount . Drain Basin Washer
Basement!
Floor 1
Floor 2
Floor 3
Floor 4
PLUMBING FIXTURE RATES:
NO.
RATE TOTAL
New Fixtures
Gas Elec
$ 7.00
Old Opening, New Fixture
$ 4.00
Beer Dispenser
$ 5.00
Blow Off Basin
i
i
$ 7,00
Catch Basin
$ 7.00
Rain Water Leader
$ 7.00
Sump/Receiving Tank
$ 7,00
Water Treating Appliance
$10.00
Water Heater —Electric
$ 7.Q0
Water Heater — Gas**
$10.00
Gas Range**
$10.00
Gas Dryer**
$10.00
Back Flow Preventer Required ( )Yes
(} No
Type
$15.00
Reinspection Fee $42.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS a® 00
1.5% of Value of Fixture or Appliance
State Surcharge $ ,50
TOTAL FEE $j_09
Effective On January 1, 1997
Gas
Appl. I
I Gas
Range
Misc: ]Water
Fixt.';:';
Heater
Gas Elec
I
i
i
I
JOB ADDRESS 095 1G�//f/��d�
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 rulings of the Building Division, and hereby declares that all the facts
and representations stated in this application are true and correct.
_'1997
Owner
Building Used As
Estimated Cost PERMIT NO.
MR. ROOTER OF ANOKA COUNTY
PLUMBING COMPANYS� e"�
Ramsey, MN 55303
SIGNED BY TEL N0.
Approved By
421 -6198 -FAX
Rough—In Date Final Date�%�
MINIMUM FEE FSR ANY PLUMBING/
/ --An nrl"f vlT Ie. -.. - --
PLUS THE $.50 STATE SURCHARGE
**COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SO INCHES.
SUBJECT
PER
City of Fridley
2�i3
AT THE TOP OF THE TWINS
BUILDING PERMIT
i
RECEIPT NO.
_ COMMUNITY DEVELOPMENT DIV.
L PROTECTIVE INSPECTION SEC.
/ �®
-rLLI/OI
r
NUMBER
REV
GATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
9/15/98
JOB ADDRESS
5885 Wash in ton St NE
T LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
17
1
L dale Builders 7th Ad ition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
571-6476
Ren Ziebol
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO.
B & B Roofing 6760 Madison St Fridley_55432
571-0248 9042
4 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 Ea REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
xW Reroof house & garage (25SQ) Tear -off
9 CHANGE OF USE FROM 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
SQ. 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
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
$2,142.00
$1.07
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
PR ISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$74.75
Fire SC $2.14
R TION OR THE P RFORMAN OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL F E
&1& ,
Licens SC $5.0
$82.96
SIGN URE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
EN ROPE Y ALIDAT IS IS Y PERS IT
BLOIS INSP
r
GATE
S.GNATURE OF OWNER OF OWNER BUILDERI IDATEI-
NEW [ ]
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: SJK� C '5o yll(lo �� •�
Legal Description:
7105'X iii
Effective 1/1/98
Owner Name @& Address: /��a� Tel.
Contractor: ,UjZ MN LICENSE #
Address: Oji 7&G Tel. # 5-7�
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF EVIPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER:
'���Us�
Construction Typ4S 1151%/' -��'� Estimated Cost: $
Driveway Curb Cut Width Needed
c:;,? / 41IJ
(Fee Schedule on Back)
Ft. + 6 Ft = Ft x $ = $
DATE: APPLICANT: ��/� `/ �� %��G2 Tel. # S 71-zV ��
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge $ S7,06
Driveway Escrow $
Erosion Control $
Park Fee $
Sewer Main Charge $
TOTAL
. STIPULATIONS:
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 [ ]
CITY OF FRIDLEY INSPEC"t iON DIV.
6431 University Ave NE
Fridley, MN 55432
763-572-3604
Stories
Floor 1
Floor 2
Floor 3
Floor 4
PLUMBING FIXTURE RATES:
c
a'#o (
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
>.•�:... :Auto.
Wash :.:: Floor i
{w: <=;:€ y,/) -y. Washer
:,m. eh�u„a� #e:-, <y Trav ; ::><: ;:: Drain
NO. RATE TOTAL
New Fixtures
$ 7.00
Old Opening, New Fixture
$ 4.00
Beer Dispenser
$ 5.00
Blow Off Basin
$ 7.00
Catch Basin
$ 7.00
Rain Water Leader
$ 7.00
Sump/Receiving Tank
$ 7.00
Water Treating Appliance
$10.00
Water Heater -Electric
$ 7.00
Water Heater - Gas"
$10.00
Gas Range"
$10.00
Gas Dryer"
$10.00
Back Flow Preventer Required ( )Yes () No
Type
$15.00
Reinspection Fee $47.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
State Surcharge
TOTAL FEE
JOB
Effective On Jan 1, 2001
Heater
Elec
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 rulings of the Building Division, and hereby declares that all the facts
and representations stated in this application are true and correct.
1 I— ' , 20-02(
Owner f'111'r �N I
Building Used As < <✓�� �`�-�
Estimated Cost PERMIT NO.
PLUMBING COMPANY '9f,164 CeJ +kA,
SIGNED BY TEL N0.
4-12-60
y 9
Approved B Rou h -In Date Final Date b
COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A)AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE
COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When replacing an existing furance, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions,
and is securely supported and firestopped where required. Yes ( ) No ( )
The venting system is plastic/PVC and meets all current codes and manufacturer
specifications including sizing, length, number of elbows and termination. Yes ( ) No ( )
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturer's specifications. This does
Include AGA-GAMA Category I Central Furnace Venting Tables for fan
assisted and natural draft appliances. Yes ( ) No ( )
The existing combustion air is sized and installed to meet the current codes
and manufacturer's specifications. Yes () No ( )
When required to Install a new combustion air, it will be sized and installed
to meet the current codes and manufacturer's specifications. Yes () No ( )
When Installing a now venting system, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturer's
specifications. This does include AGA-GAMA Category I Central Furnace
Venting Tables for fan assisted and natural draft appliances. Yes () No ( )
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented
separately as per current codes. Yes( ) No ( )
Appliance Type and Size/Common Vent and Vent Connector Information
Appliance #1 Type BTU Input Fan Assisted or Nat
Appliance #2 Type BTU Input Fan Assisted or Nat
Appliance #3 Type BTU Input Fan Assisted or Nat
Total Appliances Total Btu Input
Common Vent Type Vent Height_. Diameter inches
Appliance #1 Vent Connector Height ft Length ft Diameter in Type
Appliance #2 Vent Connector Height ft Length ft Diameter in Type
Appliance #3 Vent Connector Height ft Length ft Diameter in Type
ALTERATIONS: (Describe)
HEATING CO:
Signed By: Date :
C
ejg,od— W
C[IYOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (763) 571-3450 - FAX (763) 571-1287
January 11, 2002
Mr. Kenneth Ziebol
5885 Washington St NE
Fridley, MN 55432
Re: Final Inspection at 5885 Washington St NE
Contractor: Shiloah Water Co.
Dear Mr. Ziebol:
A plumbing permit was issued on September 14, 2001 to install a water softener at
your address. According to Section 4715.2800 of the State Plumbing Code, a final
inspection shall be conducted on the work authorized by this permit. As of this date,
no final inspection has been called for.
The permit fee that was paid covers the inspection to make sure the work was
completed according to the Code. We will keep your permit open for another 30
days and if we do not hear from you within this time to set up the inspection, we will
mark the permit "no inspection called for" and take no further action.
To set up the inspection or to have any questions answered, please contact the
Building Inspection Division at (763) 572-3604.
Sincerely,
DJ/mh