PRE 2010 DOCSCity of Fridley, Mm.
BUILDING PERMIT N° 410
Date:..��
Owner: Builder
Address _ ___ _ __ Address —-------------
L F BUILDING
.,...
No. street __.� Part of
Lot Block Addition or Sub -Division .
Corner Lot _. Inside. Lot __ t" __ Setback , _ _ _Sid yard
Sewer Elevation ___ _ _ Foundation Elevation
DESCRIPTION OF BUILDING
To
e 70
Front Depth Height 4:_�' Sq. Ft. Cu. Ft.
Fro----._--- Depth _. gl ___ Sq. Ft. Cu. Ft.
Type of Construction _r____ 'Esi. Cost `Tbe 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
iLhe express condition that the person to whom it is granted and his agents, employees and workmen, in all work
cone 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 u n vi9 of any of the provisions of said
ordinances.
- 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.
APPLICATION FOR ::HUIMING PERMIT
CITY OF FRIDL&, MINNESOTA
, a I ql� I P . W�dqe—w.:;/r
Address
e
LOCATION OF BUILDING
No. Street a t of Lot
Lot ,ZaQV �Block er Addition or Subdivision
Corner Lot _Inside Lot Setback1� Side -Yard
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
To be wed as
DESCRIPTION OF BUILDING
Sq. Ft. Cu. Ft.�.�.t��__._Z
Front Depth Height
Sq. Ft. Cu. Ft.
e�
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 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. s2
(A Schedule of Fee Costs can be found on the Reverse Side.)
n j Q 8����
Application for Power Pkmts and Heading, Cooling, VentiWon..Rehigera ion and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SII 4-7470
GRAVITY WARM AIR: RATE TOTAL, LocaYon �✓1 �"
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
/ L'
GAS BURNER (up to 400,000 BTU) .......................
5.00
$ ✓
GAS FITTING FEES:
NO RATE TOTAL
1st 3- Fixtures ......................
x $1.50
P (�
$
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
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
J"
Fridley, Minn—19 r
Owner X– -� A= �L
Kind of Building
Used as /--/ �� /
01
To be completed about
Estimated Cost, $�
Old—New. Building Permit No. �� Permit No. 16202—
DESCRIPTION
6202—
DESCRIPTION OF WORK
HEATING or POWER. PLANTS --Steam, Hot Water, Warm Air—No
Trade Name/ Size No-/
Capacity. l O Sq. Ft. E D.ft w BTU && 6 . � Z) dH.P.
Total Connected Load �2 3 z'_ J �' Kind of Fuel
BURNER —Trade Name Size No
Capacity Sq. Ft. EM.R BTU H.P.
(REMARKS—OVER)
Signed
By_ia--4de=r.
42 zM 7_59 Business Phone No. `� % —7 t/- a t2_
City of Fridley
Apprcatian for Plumbing and Cas Fitting Permit
DESCRIPTION OF WORK
Number. Kind and Location of Fixtures
y�
NZz
12
�!c
Q�Jz
iT3Z
O
J
t9
NU'
Z
v
N
WATER HTR.
GAS
ELEG
'F
3
o
�- �.
•d-
O
F
m
Base
ist
2
-L
;L
2nd
2-
3rd 3rd
_
4th
• Future Connection Openings
Connected with
Sewer
e New Fixture. Old Openings
Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE
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
New Ground Run Old Bldg. ............ x 3.25
Dept. of Bldgs. Phone SII 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 A U G 15 1961 19
—
Owner 0 -S "'o !& / CAS
Kind of Building'
Used as ® `'tel
To be completed about z � - /_ G
Estimated Cost, $
Old—New. Building Permit No� Permit No.
TOTAL signekONDON PLUMBING CO-
$
TOTAL
$ By
$ Business Phone No
$
$
$ ROUGH 0 /
FINAL
GAS FITTING FEES: NO. RATE TOTAL
�
1st 3 Fixtures .......................... x $1.50 $--/- __5V
Additional Fixtures .................... x .50 $
Gas Range to 200,000 BTU .............. x 2.00 $
� I
REPAIRS & ALTERATIONS—Refer to Code
Description................................................
TOTAL FEE $
..161).42 2M 749
CITY OF FRIDLEY
�—s7cx
Effective Date May 1, 1988
APPLICATION FOR POWER PLANTS AND HEATING,
COOLING, VENTILATION, REFRIGERATION AND o
AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
Job Address �/ �� A/ �.
RESIDENTIAL RATE
TOTAL
Furnace Shell and Duct Work,
Burner (Also replacement furnace) $ 20.00
$20, 00
Department of Buildings, 6431 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
facts and representations stated in this application are true and correct.
� " � G 199t
* Air Conditioning (all sizes) $ 10.00
$
Fridley, Minn.
All Others/Repairs and Alterations
OWNER 6adb Te✓✓H ZI'Wa ®ems
1% of Value of Appliance or Work
$
®��
W
RIND OF BUILDING kf
COMMERCIAL/INDUSTRIAL
USED AS
18 of Value of Appliance or Work
$
TO BE COMPLETED ABOUT
900
ESTIMATED COST .;� ,
State Surcharge
$ .50
FEE
$��'.� ®
OLD - NEW BUILDING PERMIT NO. PERMIT NO.
TOTAL
Reinspection Fee ($15.00)
$
DESCRIPTION OF FURNACE/BURNER
Rough Insp.
HEATING or POWER PLANTS, Steam, Hot Water Warm Air- No.
Date
Name cR®w� Size No. 6 '
Final Insp.
Date
Trade
Capacity Sq. Ft. EDR BTU 6Z000 HP
Approval for Permit
Total Connected Load Kind of Fuel
/ 9
Size No.
L i
BURNER - Trade Name
Capacity Sq. Ft. EDR BTU HP
'�
1,?Yf�
MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00,
Company 9�� ,i
PLUS $.50 STATE SURCHARGE
Signed By ap
Tel. No.53rz-06G-7
*Air Conditioners can not be placed in side yard without
written permission from adjoining neighbor.
Fill out back side for stack verification on replacement furnaces
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 connected
Yes ( )
No ( )
6.
Has Total heating BTU's of
All other BTU's
TOTAL
Rema rk s
0
Company
Signed By
Date
01
SuBjECr
MIT NO.
of Fridley
2 4 Q ,
AT THE TOP OF THE TWINS
BUILDING
PERMIT
RECEIPT NO.
Ir?City
_ COMMUNITY DEVELOPMENT DIV.
L PROTECTIVE INSPECTION SEC
176
r ;
'i '
NUMBER
REV
DATE
PAGE OF
APPROVED By
a"'1 CITY HALL FRIDLEY 55432
�'"" 1.j 612-571-3450
910-F15
4/12/96
JOB ADDRESS 5820 2 1/2 Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
10,11
23
1 Hyde Park
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Jerry McNurlin 5936 2 Street NE
571-0874
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Saltzman Construction 4205 Raleigh Ave S St Louis Park 55416 928-0592
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5732
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO.
6 USE OF BUILDING
4 Plex Apartment
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Replace windows
9 CHANGE OF USE FROM TO
STIPULATIONS
Sleeping area replacement windows must meet the State Egress Code.
Smoke detectors to be installed per State Building Code 1210.
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
4
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
$11, lOO
$5.55
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
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$157.25
Fire SC $11.10
UCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTAL FEE
y
fj✓w ot-
$203.90
SIGNA URE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI
WHEN PROPERLY A�,IDATED THIS IS YOUR PERMIT
BLD INSP
nn
4ATE
SIGNATURE OF OWNER( IF OWNER BUILDERI (DATE)
01
Prepaid Plan Check $
Estimated Cost $
Receipt #
M,1ADL I 1
R3, Ca M ERCIAL & PAIA'1RiAL
BURD1% FERAW APPidCATION
Effective 3/1/96
0m,
Construction Address
5 62 ®
A' /
Zoning
Legal Description
Ler r / o. d-
' + 13 V 4'
14 �"n L ✓�f� •+- �C_
owner & Address '�r
%e �`
;_a> r� , eV �s j t
" �o y.�,ddb Tel . # .S' ;P/ �i
CICU RACPOR & ADDRESS
Length
eo- ..0 f . �oo
Tel. # t
Architect & Address
.,' � Lees
l�� rt� � J3
All f Reg .#
Engineer & Address
VALTJATICN
Reg.#
TYPE OF WORK [] New [] Addition [] Alteration -Describe
Applicant Signature �(� Tel #� '/-�'��� Date�Z - ®,;? - �7 e
_ ,I
Width
Height Sq. Ft. # of Stories
OFC. AREA:
Length
Width
Height
Sq.
Ft.
WHSE AREA:
Length
Width
Height
Sq.
Ft.
OTBER.AREA:
Length
Width
Height
Sq.
Ft.
VALTJATICN
Sq. Ft.
x $
Cost/Sq.
Ft. = Valuation $
)
Sq. Ft.
x $
Cost/Sq.
Ft. = Valuation $
)
_ $
Sq. Ft.
x $
Cost/Sq.
Ft. = Valuation $
)
TOTAL VALUE
Building Use
Construction Type Occupancy Group
Air Conditioning U Yes
[] No Fire
Protection Provided U Yes
[] No
Performance Bond Amount
$
See Reverse for Schedule
Received []Yes []No
Permit Fee
Plan Check
Fire Surcharge
State Surcharge
SAC Charge
Erosion Control
Park Fee
S
Spec. Assessments $
Driveway Escrow $
'DOTAL 9b
See Fee Schedule on Reverse Side
In Excess of Prepaid Amount - See Reverse Side
.001 x Permit Valuation (1/10th %)
$.50/$1,000 Valuation (See Sched. for > $1 Million)
$900 per SAC Unit (Plans to MWCC for determination)
$450.00 Conservation Plan Review
Fee Determined By Engineering
Agreement Necessary U Not Necessary
feet x $13.50/foot