PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT N° 4 E2O)
Date: __/.
Owner: _.>�� .__ r', Builder ................
Address �� � �. s *f� -Ae Address
Pff
,�N/ OF BUILDING
No.--.�... Street ____ ..._- - t_......_............_......._..._ Part Lot,._.._.._.___ _.._.. _._.._.._ ,_..{
Lot .....- �-------..-------- Block _....- Addition or Sub -Division ...�` �-�-�=�1�? .............. �.......
CornerLot ........... .........._........ Inside Lot .... .............................. Setback ...�._............. _........ Sideyard .....4&.................._............._...........
Sewer Elevation
To be Used ash
Foundation Elevation
DESCRIPTION OF BUILDING
. -.. Depth .. ..._.. Height Sq. Ft. .1, 77,f Cu. Ft...r� _,A9
................................................. Fron 3�......_...........---.. Depth ................ `Height ....._�..v._.. Sq. Ft. ................... _ Cu. Ft.
Type of Construction ......�4ZP........ Est. To be Completed ---------_..._...
CAUTION
THIS PERMIT DOES NOT AUTHORIZE VIOLAT-
ION OF ANY PR—y E 'LAND
COVENANTS AND
BUILDING RESTRICTIONS.
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. A
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 viola. n of any of the provisions of said
ordinances.10 1 t
_ — 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.
0
4
APPLICATION FOR BUILDING PERMIT
CITY. OF FRIDLEY, MINNESOTA
Owners Name Arvid E. Carlson & Son, Inc. Builder Arvid 1. Carlson & Son, Inc.
Address 3200 France Avenue South
1'lidiR®Y7.�iV 117 J.v,
France Avenue South
apolis 1 , Minnesota
LOCATION OF BUILDING
No. - „1 LJ► !:�%/� Street ae� Part of Lot
Lot 3 Block
2 Addition
or Sub.Div. Carlson) s Summit
Manor Annex
Corner Lot Inside Lot=
t Back 3S'
Side -Yard 47'-4" &
471-4"
SEWER ELEVATION 81 below basement floor FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
DESCRIPTION OF BUILDING
To be used as:
Apartment.Dwellings Front ,72.._..._.! epth. 2 Height 23
Sq. Ft. 2,772 Cu. Ft. 76.000
Front Depth Height
Sq. Ft. Cu. Ft,
Type of Construction Frame & Brick Veneer _ _ Estimated Cost $60.000.00
To be completed November. 1960 -
The undersigned hereby makes application for a permit for the work herein specified,
agreeing to do all work in strict accordance wit the City Ordinances and ruling of
the Department of Buildings, and hereby declares that all the facts and representa-
tions stated'in this application are true and c tact.
DATE May 11, 1960 SIGNATME
es en
(A Schedule of Fee costs can be found on the Reverse Side.)
0
•
Application for Power Plants and Heating. Cooling, Ventilation..Refriigeration 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 ............ &00 $
,r
each add. 60,000 BTU ....................... .................. 2.00 $
Replacement of Furnace ............................. §.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. IDR Steam....... 8.00 $
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Da
Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ _
Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ d
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 SU. 4-7470
Location
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,
Fridley,
Kind of Building
Used as
To be completed about
18"
Estimated Cost, $
"�%
Oldew Building Permit No. � �'® Permit o.
DESCRIPTION OF WORK
BEATING or POWER PLANTS --Steam, Hot Water, Warm Air—No
Trade Name /'� Size No-
Capacity
o Capacity Sq. Ft. EM.R BTU H.P.
Total Connected Load Kind of Fu
BURNER — Trade Name �� ✓� Size No
Capacity Sq. Ft. E.D.R BTU H.P
(REMARKS -OVER)
Signe P
By
as 2M 7-59 Business Phone No--
City, of Fridley
AT THE TOP OF THE TWINS
SUBJECT
BUILDING
14
PERMIT
PER NO.
18623
r
_ COMMUNITY DEVELOPMENT DIV
tr PROTECTIVE INSPECTION SEC
r
CITY HALL FRIDLEY 55432
612-571-3450
CEIPT N
NUMBER
910415
REV
DATE
9/2/86
PAGE OF
APPROVED BY
JOB ADDRESS 5200 - 5291 3rd Street N.E.
1 LEGAL
DESCR.
LOT NO.
Various 1-
BLOCK TRACT OR ADDITION SEE ATTACHED
, Bl. 2 & -6, Bl. 1, Carlson's Summit Manor Annex SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Bigos Properties
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Twin City STorm Sash Qo. 2641 Louisiana Avenue South, Mpls. 55426 927-6534
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
6 USE OF BUILDING
Apartments (8 Buildings)
7 CLASS OF WORK
G NEW ❑ ADDITION GA ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Replace windows
9 CHANGEOFUSEFROM TO
STIPULATIONS
SEPARATE PERMITS ARE REGUIRED 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
SO. FT
CU FT
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
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTJNG OF A PERMIT
VALUATION
$100,000
SURTAX
$50.00
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-
TR CTION OR THE PERFORMANCE5, OF///pp pppp''NSTRUCTION
$433.00
/J
PLAN CHECK FEE
TOTAL FEE
. :'
$483.00
SIGNATURE OF CON'RACTCP OR AJTHORIZED AGENT iDATE,
WHEN PROPERLY ALIDATED THIS IS YOU R�E IT
r
_ 1 1
B. "NSD
ArE
S•GNATJRE CF ^'.HER F OV.NER 8,;-,-'E- DATE
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572-3604 `
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
Effective On May 10, 1999
NW
MARK NUMBER OF FIXTURES TO
BE INSTALLED
ON EACH FLOOR
Urinal
Was
Shower Tray
`�`�#:::. :1� 33r
�:
�.?�<. ...
Floor
Drain
>s Auto. -: Gas
. . n e
� Washer `: :. Ra
:::.
[ •'- Water Heater
t r
Stories
�Qi��
•:itiY.j} Gas EI
.:..,<.:::. . Ga ec
Basement
Floor 1
Floor 2
----------------
Floor 3
Floor 4
E-11-1,11,11,11.
j
PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS
New Fixtures
Old Opening, New Fixture
Beer Dispenser
Blow Off Basin
Catch Basin
Rain Water Leader
Sump/Receiving Tank
Water Treating Appliance
Water Heater -Electric
Water Heater - Gas*`
Gas Range**
Gas Dryer**
Back Flow Preventer Required ( )Yes () No
Type
$ 7.00
$ 4.00
$ 5.00
$ 7.00
$ 7.00
$ 7.00
$ 7.00
$10.00
$ 7.00
$10.00
$10.00
$10.00
$15.00
Reinspection Fee $47.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
State Surcharge $ .50
TOTAL FEE $'25-'C_-' 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.
�j_' 12---, 1999
Owner
Building Used As�►
Estimated Cost
PLUMBING CC
SIGNED BY p
Approved By L
NO.
Final Date
**COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SQ INCHES.