PRE 2010 DOCSCity of Fridley, Minns
BUILDING PERMIT N° 49'72
Date: .t°. `""'. '�..._ _. .._..._.._..._..
Owner: ... _.... _ _ . Builder ....._........... __._.___._.._.....___._......._.___._..._..__._..__..............
Address .... _..._...__..._._ _.._... _�._... _ _ _ _-___ __. ..... Address _............ w... '''L�1.. _......___.._...__.__.
�+ LO OF BUILDING
No. .67f__1 . Street .__q
i... �'r ...t__.i.1,..1._........................... Part of Lot ..... ........ _.._...._
Lot ...._�%...
............. Block ................ _............. .... Addition or Sub-Divis�m _
Corner Lot ......................._........ Inside Lot.....--1✓�--..._...... l r
..--- Setback...�,.1'.�„!._....... _............ Sideyard .................
Sewer Elevation ............. .......................... .............. _...................... ............... _ Foundation Elevation
DESCRIPTION OF BUILDING
To Used as:
�` �--
Front -,?'..
Dept;r.. _.. Height ....... Sq. Ft. I'- ff?wt
Cu. Ft. Cdr
...._ .............._............._......._.........
Type of Construction
Fron .............
----.....,'
Depth ............... ight .............c'. Sq. Ft.......................
.... �..s.e._'�"''lo be Completed ....._...........__
........ Est. Cost......... - --t�
Cu. Ft. ..... _.................
............._- _........
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$G ' ''' ..';"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; upo, violation of`pny of the provisions of said
ordinances d` '/I d'''
Building Inspector
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to we
the Building Inspector for separate permits for these items.
APPLICATION FOR BUILDING PEWW
CITY OF FRIDLEY, MMMOTA
Owners Name Builder
Address
LOCATION OF BUILDING
`V 1 -
No. Streetq Part of Lots
Lot Block_, Addition or Sub.Div._
Corner Lot_____Inside Lotk::-:�Set Back - ! Side -Yard. l l Ok �--
SEM ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
To be used as:
DESCRIPTION OF BUILDING
S�.0-.2' :C� y 13-v
Front Depth 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 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 correct./
DATE. J ' �' a -
L` SIGNATURE- prt-
(A Schedule of Fee costs can be found on the Reverse Side.)
City of Fridley
App ication for Plumbing mid C7= Fitting Porn*
Dept. of Bldgs. Phone SII 4-747loczrz
(
DESCRIPTION OF WORN'/Gi��
Number, Kind and Location of Fixtures Location
ion
K
Z�N
Y Z
2 aT�0j
8 0
J
�U'
Z
/
R
N
WATER HTR.
GAS
ELEC
,�.
p �
S �
<
(�9 0
Base
1st
2nd
_
3rd
—
4th
• Future Connection Openings
Connected with
Sewer �
New Fixture, Old Openings
Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE T)ST�ALL e
Number Fixtures...................... x $1.50
Future Fixture Opening ................ — x 1.20 $
New Fixture Old Opening .............. x 1.00 $
Catch Basin ............................ x
Water Heater (Up to 200,000 BTU) ...... x
New Ground Run Old Bldg . ............ x
3.25 $
2.00 $9��
3.25 $
GAS FITTING FEES: NO. RATE TOTAL_
1st 3 Fixtures .......................... x $1.50 $' d
Additional Fixtures .................... x .50 $
Gas Range to 200,000 BTU .............. x 2.00 $
REPAIRS & ALTERATIONS—Refer to Code
Description................................................$
TOTAL FEE �C
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.
Kind of Building
r
Used as
Estimated Cost, $
Old—New. Building Permit
To be completed about
ROUGH
FINAL
a a 2M 7-59
Business Phone
Application for Power Plants and. Heating. Cooling, Ventilation, .Refrigeration 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 ............................. §.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
$
PIL 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
$2!�
Additional Fixtures .................
x .50
$
Gas Range to 200,000 BTU ...........
x 2.00
$
JR CONDITIONING
N HEATING SYSTEM
NTILATING SYSTEM
TERATIONS & REPAIRS
i
FINAL
$
See Fee Schedule
TOTAL FEE
Dept. of Bldgs. Phone SU. 4-7470
Location -��.3 - / %4 •
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- - 19 �40
Owner
Kind of Building
Used as
To be completed about
Estimated Cost, $ '6-06-
Old—New. Building Permit No. Permit No._/0 ��
DESCRIPTION OF WORK
HEATING or POWER PLANTS-�S--2etea'm�, Hot Ater, arm Air No// 07'�'�—
Trade Name— - - - Size No- rI✓' l0 0 C
Capacity Sq. Ft. E.D.R /0 ® 012® BTU H.P.
Total Connected Load Kind of Fuel A
BURNER — Trade Name Size No
Capacity Sq. Ft. E.D.ft STU H.P.
(REMARKS -OVER)
, AMR, � � - M-0
By
.�g 4z rM 7_59 Business Phone No
ar
o
HEAT LOSS CALCULATIONS ,SoA,,v DEPARTMENT OF BUILDINGS = N�►PO
Weatherstrips A.S.H.V.E, Construction No. Insulation
Guide
dows D rs Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied
Y I e 19—
Fl. Room I Length :�;/ ¢ Width Height Fl. Room I Length, Xlk Width ® H
Windows and Doors—Crackage VT�-ad
Width Height No. oY Li
No. of pane of pane lights of
Windows an oors—Crackage and Area
Width eight No. of Lineal f . Area
No. ofpaneo/�f pane lights or
crack eq. ft.
Ory
Total Btu.
Required pq. ft. E.D.R. or sq. ins. W.A. Leader area
/ FlA, oom I Length/Width /�/ Height Pi
Window
nd D
rackage and Area
Glass
fig
/ D�
- ® ��t/v -gel � O °
161-117
p
,
X
•G
/7-1
Coef. Btu
Infiltration
Coef.1
Btu
7'
'400
Glass
Ceiling
%
.6 0
Exp. wall
!jC
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
j
—73-60-
Net exp. wall
Coef.
Btu
Infiltration
Int. wall
Net exp. wall
Ceiling
80
Int. wall
&d
,g® 7,6
Floor
30
4/9
Total Btu.
Required pq. ft. E.D.R. or sq. ins. W.A. Leader area
/ FlA, oom I Length/Width /�/ Height Pi
Window
nd D
rackage and Area
Glass
Fl. Room I Length Width 9
Width Height No. of Lineal ft. Area
No. of pane of pane Ilghte of crack sq. ft.
� If gyp%
p
,
X
Btu
Infiltration
14 9-sz
Glass
Coef.1
Btu
Infiltration
Int. wall
-10
Ceiling
.��®
Glass
Total Btu.
!jC
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Room I Length %? Width X,54—e Height
—73-60-
Exp. wall
Coef.
Btu
Infiltration
,9 % 1 1.6?1/17'r
Net exp. wall
80
Int. wall
Ceiling
Floor
Total Btu.
IZ44&6
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Glass
Fl. Room I Length Width 9
Height,?/
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane Il.gthte of crack sq. ft.
JVCoef.
191,014
Btu
Infiltration
14 9-sz
Glass
416
Exp. wall
Net exp. wall �®
Ceiling
Int. wall
-10
Ceiling
Floor
Required M ft.
Total Btu.
!jC
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Room I Length %? Width X,54—e Height
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
Total Btu.
Btu
Infiltration
1,5off
/ A`
Glass
19 IAVV
19-6-0
Exp. wall
191,014
Net exp. wall
Int. wall
/0"
/46w®
Ceiling
-10
Floor
Total Btu.
424011 --
Required M ft.
.D.R. or sq. ins. W.A. Leader area
Windows and Doors--Crackage and Area
Width Height No. of Lineal ft. Area
No. ofp{ane otpane Ilghte of crackgg elq�. tt.
M.l
Room I Length %? Width X,54—e Height
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
Total Btu.
Coef.
Btu
Infiltration
,9 % 1 1.6?1/17'r
Glass
-/-sv
Exp. wall
Coef.
Btu
Net exp. wall
191,014
Int. wall
Ceiling
/0"
/46w®
Floor
Total Btu..
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
FI.L2=
Room I Length %5 Width
Height Y-�'
Windows and Doors--Crackage and Area
Width Height No. of Lineal ft. Area
No. ofp{ane otpane Ilghte of crackgg elq�. tt.
Floor
Coef.
Btu
Infiltration
Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
City of Fridley, Minn.
BUILDING PERMIT N° s114
Date:
Owner:' ", der
Address Address
LOM OF BUILDING
NO. S'ireet 466— Part* t
Lot Addition. or Sub-Nivislan
Corner Lot _ " . Inside Lot AWOO joback �"' a deyard
Sewer Elevation Fo tion Elevation
DESCRIPTION OF BUILDING
To UAed as:
VEALoq Front Depth Height , Sq. Ft.' Cu. Ft. V
Front Depth . < eight Sq. Ft. Cu. Ft,.
Type of Construction ''– Est. Co 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 all provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of $_-f , 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 lavation, 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. 'A
Building Inspector
NOTICE:
This pm& den set eewr the comtrvctien, hutaftgon for v Mk& ph mbing, gas hoe&& sewer or rnMr. Be son to sae
the 5WM i" Inspector for ppwata parmhs for than hams.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
Owner's Name a e%pz�
Address J'% 3,3 �/�f �, Address 79� -j' Pelle f 6&e,.j
LOCATION OF BUILDING
No..�
J3�3 �/�S'�%%��' Street �s
/, %���
Part of Lotf�r
Lot
Block Addition or
Subdivision
Corner Lot
Inside Lot k - 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.
DESCRIPTION OF BUILDING
To be ,�sd as :
GNva Fronti Depth ' z Height iZ
Sq. Ft.-, 3' Z Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction i -,#,W t--- 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 rulings of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are true and correct. /?
DATE S-"'' Z 9 — e `Z--- SIGNA
(Schedule of Fee Costs can be found on the Reverse Side).
0
Date:
Mw 25, 1965
City of Fridley, Minn..
BUILDING PERMIT
N° .7518
Owner: $• A. lovl ien Builder Modern Garage Builders & Cont. Co.
Address 5933 AM St. N. E. Adm 240 ILdale Ave. So.
LOCATION OF BUILDING
No. Street Part of Lot
Lot 15 —Block 2 Addition or Sub -Division Iftnett Palmer Add.
Corner Lot _ Inside Lot Setback Sideyard
Sewer Elevation
Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
Dara Front Depth Height Sq. Ft. Cu. Ft.
Front Depth Height Sq. Ft. Cu. Ft.
Type of Constructione Est. Cost 040-Q�_ To be Completed
Storm Dmage, Repair
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 a ve set forth and In- compliance with all provisions of
ordinances of the city of Fridley. J
In consideration of the payment of a fee of $ 10•Bragea
is hereby granted toModern G
Bld t 8 Const. 60 • 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, Minnesotalocation, construction, alteration, maintenance, repair and moving of building
limits s
within the city mits permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
NOTICES
Yhb Penna d0ft not Cover the Cenatrudba, hratallaMoe for wddag, phmbing, gas heathM sewer or water. Be urs to see
tis Building luster for separate permhe for thea hems.
APPLICATION FOR BUILDING PERMIT
.CITY OF 'FRIDLEY, MIIMSOTA .3 o
OWNER ' S' NAME ro ,r F �.m r BUILDER' ` N ;'e ' „ ,'`ti C e r 4L R
ADDRESS_ 4 f ADDRESS_ ;U,-
LOCATION OF BUILDING "
No.. Straet Part of Lot
LOT ,O BLOCK ADDITION OR, SUBDIVISION A, . ems,,,
Corner Lot.ths ide: LOI!'Setback Side,:Yerd
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot -and proposed
building - lotetion drawn on these Certificates.
DESCRIPTION OF BUILDING'
To be used as!
Fronttiepth, -2—Height_
Sq. FC. Cu. ,Ft .
Front Depth Height''
Sq. 'Ft. cue -Ft. q
Type of Construction_ _,. Estimated Cost 1)
To be •completed
The undersigned hereby makes application for a permit for the work herein specified,
agreeing to do all work in stri.t.accordance with the City of Fridley Ordinances
and rulings of•the Department QI.Buildiaigs, and hereby declares.that all'the facts
and representations 'stated in this Applicatt"ion are true -and correct.
DATE j=f4/2
(Schedule of Fee Costs`can be.found on theR se Side).
SUBJECT
PERMI
City of Fridley
12681
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
�
R
j -y -�COMMUNITY DEVELOPMENT DIV.
r i PROTECTIVE INSPECTION SEC..
�
--? fifib?�
' '
i r--->< CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
�---- �'� 612-560-3450
910-F15
8/19/74
/
JOB AD'603 4th Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
15
2
1 bennett palmer addition SHEET
2 PROPERTYOWNER MAILADDRESS ZIP PHONE
Gerald Hollom 5933 4t1i Street N.E. -,576 23
3 CONTRACTOR MAILADDRESS 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
Addition to garage
7 CLASS OF WORK
❑ NEW Ek ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
8' x221
9 CHANGE OF USE FROM TO
STIPULATIONS
S'EPERATE PERMITS REQUIRED FOR
'WIRING
HEATING, PLUMBING AND--SIGn
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
frame
VENTILATING OR AIR CONDITIONING.
wood
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
1,760
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
176
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 BECOMPLIED
$1,000
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF APERMIT
.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-
6.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
$6.50
SIGNATURE OFCONTRACTO OR AUTHORIZED AGENT (DATE)
UHEPROPERLY VALID E THI I YOy1R PERMIT
NSPr)ATE
SIGNATURE OF OWNER OF OWNER BUILDER) - (DATE)
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAE: /,//�Q (� �� r-f'.C�n�/l/ —BUILDER:—
ADDRES S : 5-9 3 3 1/ -7/- �' - ADDRESS:
?if
NO:. S_%33 STREET
LOT: !-5 BLOCK: 1-Z ADDITION:
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.
To Be Used As:
DESCRIPTION OF BUILDING
Front : $ Depth: Height: /U '
Square Feet: Cubic Feet:
Front: Depth:
Height:
Square �Feet; Cubic Feet:
Type of Construction: �'%� �/ d
Typ � � /'✓.nc�� Estimated Cost: $ ��®� _
To Be Completed: 'e57 'f'l /
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in stiict 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: 17Z SIGNATURE:
(See Reverse Side For Additional Information.)
`qr
rs••�•.•. F'?•. --.M QRS et ? ,. ,. • �p�..,x �y %n..!�"`•;•.t i � eA R. rr �.•*T-"''�r+�y �+.
i•`sY �i74o vi Y.v$i d •aJts Vv fa . ..42a �4a ��.5 Cc ..rr: '.rte �OrD'.�W4.k_'�0 i�.•wc..+c.r.: C�u/t�a ...r.i.�WYlwii ttiv.:i 11�br��
/�0.���f•'rR„� (pwe�re.'T Vd .Y+I�(�+ e� �rBp J1r•��+rt11� -
l�S�$
Pr .ZTIAL ;ATE SCHEDULE
GRAVM WAR -14 AIM: 1'ir: a TOTAL
Fl.r-=2er Sl -.ell & Duct words ... 710.00 �
Replsceme^.t of F`srrtsre 6.00 $
Pepairs & Ancrat.ons- up to $500.00 •600 $
Repairs & Alterations each add. 5500.00 3 W $
XZML WARM AIR
11:rrace S_hcll & Duct Wnrk to 130,000 BTU Z1000 sem_
e -.-.:h add. 40.000 BTU
RepJKXMn=^. of ilun.ace 6.00 $
Rr-pairs & Alte-atiors—up to $500.00 6.00 $ -
Repnf s Zr Alterations each add. $500.00 3.00 $
STEAM•ex HOT WAIt"A SYSTMd
P_Tmace Shell S Lines-- to 4?0 sq. tt MR. Stemn :10.00 S
Furnac? Shell & Line- --to 640 sq it. EDR Hot Water I000 S.
Each add :00 sq.. h EDR Seam R rAl $
Each add. 320 sq.'ft EDR Hot Water 3.00 S
OIL BURN-2.R—to 3 gal. per hour 6.00 S
over 3 gal. per hour --See ree Schedule
G:kS BURNER (up to 1-c-9.000 BTU) 5.00
over M?.OX BTU S" Fie Uhedvlo
GAS F Mea Li..5: :10 • RATr. TOTAL
Is% 3 Fixtures zo 200 S
Additional Futures __ x .75
Cas Rangy A 19.9.000 xS 5.(* S
AIR CC7,Z:'r10X13:Gr
RLs:i'J:TivY,3 3 &gPJAUMS
R=H
rM-1.1.L __-L 7 _
State Surcharge .50
Sao Foe Scb& 10
i V i Lain. L' ;
Dopt. of 01'0..., s, ?hono wo-=
L=24=
t.
City of Fridley:
The mclers*gr d hereby makes application for a perr-It for the work *_erd:'
specified aEr�x.ng to do all work in strict accordance with the City Ordir_&yce:
and rvting of the Department of Buildings, and hereby declares that all the full
and repr-.sentatiuns stated in this application are true and correct.
Fridley. RZinn—
c?wrer
Kind of Building
Used wt
To be completed about
.Estimated Cos;, S
New. Building Permit No. -_ ._ Permit No. •
or WONT
HEATING or PO.M•R FILANT'S Stewn. Sct Water, W&, -m Air—No��
Trade Name Size No- ar_-4 Pik/
Capacityr -_.:2,_r__ Sq. TL E.D.R BTU M?
Total Connected Lo.:d Sdnd of r=l
BURNER — Trvde Nam,, SL -e Ida
Car4ci - sq. FL E.D-R BTU 100
tRxraaaxa-oxcal
SUBJECT
RMIT.
City of Fridley
2 7 012
AT THE TOP OF THE TWINS
BUILDING
PERMIT
`
RECEIPT NO.
V ------COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
r
I . �
NUMBER
REV
GATE
PAGE OF
APPROVED BY
i A �/'�';,, CITY HALL FRIDLEY 55432
--•. d` 612-571-3450
910415
8/3/98
JOB ADDRESS 5933 4 St NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
10
4
1 Bonny Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Jean Moffet
574-1232
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Midwest Roofing, Siding, & Windows 18979 Gladstone Blvd Maple Grove 55311
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
416-4804 20010277
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION )M REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and garage (26 S) Tear -off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with State Building Code.
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
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
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
216$
$1.08
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 THE PERFORMANCE OF CONSTRUCTION.
74.75
Fire SC 2.16
PLAN CHECK FEE
TOTAL FEE
License SC $5.0
$82.99
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
WHEN
/�PPRROOPERLY
Yr
E. Sp
LIDATED THIS IS V UR PERMIT
L f��7
OA TE
SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI
SEP -25-1997 14®5
NEW [ l
ADMIN'
ALTER [ �
ConsUucfionAddress:
I&SW Desedption:
Owwr Nam & Address -
M* 11 �•
CITY OF FRIDLEY
CITY OF EtXI Lpv
SINGLE FAMILY AND DUPLEX$ R -X AND R-2
BUILDING PERWr ApP%XCATIUN
Lo
� t� � � '♦ r♦ �.�+ a �.'�♦ w�tr a i♦ , �
612 571 1297 P.01/02
Eff-'Ctivc 1/1/97
Td. # j
TeJ_ # --"0(p--YRQ q--
DESCRIVrXON OF &WROWND&Iff
L VXNG AREA: LePg& Width Refit Sq. Ft.
GARAGE AREA: P ath vd& � Hei& � Sq. Ft.
DECK ,q .---------
'4VVicitb � �tlCround. Sq. Ft
3TMiL
S
v8er
�. l' 4Wmatad Cog $ f,06
dvewa
(Fee Schedule curt Back)
� C Chit ii W& Nebieil: "� - • Vit: i pt _ .. ,• $ : , f.. e _
4,Tj&
�1 APPLcANr..
, m
unkPft 7'1.75Pec s,�on JWvww s
-aide
s� 0., 16 _ .001 of Permk v (urtoth%)
$.___.. $ $-5w!$1,000 'vah d.
C Charge $S. 0(� $950 per SAC Uh
em Surcharge $ $5.00 (Sake racMsed RiesidwtW C gmc tm)
veway Ewrow $ AIL "Aa er Alt. "$" Above
$ion CAntroI $ .$450.00 CommrvaWn Flan Review
k Fee $ by imm
rke
'er Ni n charge $- Agmement Nary Not No=mary► [ �
r0TAL C, C,
'ULATiONS:
C�
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572-3604
o
PLUMBING FIXTURE RATES:
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
Wash Dank Floor CatcfY Auto.
Shower SmK' Tray Fount Drain Basin Washer
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
Typ:O
$15.00
Reinspection Fee $42.00/Hr
ALL OTHERS ANO/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
State Surcharge $ .50
TOTAL FEE $ TO
G
Effective On January 1, 1999
Gas Misc Water Heater
Range Fixt.. Gas Elec
JOB ADDRESS__ ��� �� y
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.
Owner
Buildinc Used As
00
Estimated Cost �r� •PERMIT NO.
SIGNED
Approved By
Rough—In Date
PLUS THE $.50 STATE SURCHARGE
Final Date /Ooh
"COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SO INCHES.
Building
Inspections
763-572-3604
763-502-4977 FAX
From: 7637834566 Page: 212 Date: 11/4/2010 3:29:59 PM
MECHANICAL 7-M
it
Al'PLICATION R=xvea By:r r
CITY OF FRIDLEY Dat&M: N, 0 V 09 0
J)A'M 11/4/10 YOt1R E-Iv1AIL ADDiZESS
s1TEADDUSS 5933 4th $t
THIS APPLICANT IS: 17 OWNER WONTRACrOR
sericksongihearterickson.com
••"`JW"`j= NAME: Jeanne Moffat
UWi4m ADDRESS: 5933 4th St ,
TENANT CrIY Fridley .STATEzrn 55432
PHONE -
JL NLM%
HONE:
ami JL %JRL COMPANY
SUBMIT A COPY OF CONTACT PERSON:
YOUR STATE S'TATF, LICENSE # EXP DATE
LICENSE WTPH ADDRESS: 1471 92nd Ln NE cITY Fridley „STATE MNZII►55449
APPLICATION PRONE 763-793-4545 CrIT
PAX 76 3 - 6
PMNUT TYPE DINGLE FAMMY • 0 TWO FAbMY 17 TOWNHOUSE
TYPE OF WORK; . d NEW ffRBPLACEMENT 0 ALTERATIONMMODEL
DETAILED DESCRIPTION OF WORK Replace furnace
FEES ARE BASED ON $1o.00 PER MTURE, EXCXPT WHRRE NOTED. FIXT'UREsa
(INDICATE TOTAL
PROVWX HEAT LOSS CALCIS PER MANUAL J 2M ASHRAE HANDBOOK.
NUMBER OF TACH BELOW)
°i�°�I �
MFG: Axrflo MODEL: CGT'895060
SUMMTU We 000
MFG= MODEL
SIZElBTU
AIC $25.00
MFG: MODEL:
° CE (GAS) $15.00
SIZWOTU
A� TO AIR EXCHANGEER $IS
—FSI
FIREPLACE (WOOD) $35.00
GAS RANGE/OVEN $10.00
�� $35.00
�:E $ 00
NEW OAS ()RILL $10.00
CHU-94EY LTNER S10.00
-GAS D R $
DRYER $1
_GAS UNIT' HM $10.00
DUCT WORK 510.00_
_GAS
GAS $10.00
FOOL AEATER $35.00
.00
_VENTILATOR $15.00
THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED - -
I hereby aPPIY for a building permit and I aclmowledge that the information above is complete mid accurate; that the work will be in
conforn>aticc with the ordinaa� and �eb of the City of Fridley and with the MMAesota Construction Codes; that I understand this is
not a permit but only an applicati fora and Work is not to start without a perAxit; that the work will be in accardanco with the
approved plan in the rase of a� w�cli review and approval of plans.
SIGNATURE OF APPLICANT
(I—
V City of Fridley
Building Inspections Department
6431 University Avenue Nit, Fridley, UN 55432
763-572-3604 FAX: 763-5024977
N