PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT
Date:J .. '... w'
owner: Builder
Address __ _ _ _ __ _ Address
x ,, ACICATION. OF BUILDING
No. — fStreet J-- �r ! — Part of Lot
Lot __ __ _.. ._ Block, Addition or Sub -Dive �� .•"'_` ` — �J*
Corner Lot Inside Lot y�� Setback ` Sideyard e2
Sewer IIevation ___ Foundation Mevation
DESCRIPTION OF BUILDING
=UV If,� ,,
Front Depth Height Sq. Ft Cu. Ft.
Front Depth—
H t Sq. Ft Cu. Ft _
Type of Construction Fit.Ccs 'f 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 $_ , 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 violat►;f any of the provisions of said
ordinances r4 1
Building Inspector
NOTICE:
This permit does not cover the construction,. installation for wiring, plumbing, eat heating, sower or water. Be sure to as
the Buildh* hupector for separate permits for thus items,
V
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
Owners Name Builder,
Address
LOCATION OF BUILDING
No. S? 5 Street 7 Ste° AJC: Part of Lot
Lot Block "10 Addition or Sub.Div.
Corner Lot Inside Lott Back S� Side -Yard f� 1'7 t `
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
DESCRIPTION OF BUILDING
To be used as: _ r 41"73 L,
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 specifiedt
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 //' 7o k' SIGNATURE
(A Schedule of Fee costs can be found on the Reverse Side.)
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 $
MECIL 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
$
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
AN HEATING SYSTEM
VENTILATING SYSTEM
ALTERATIONS & REPAIRS
ROUGH
FINAL
—
6
See Fee Schedule
TOTAL FEE n =�
Dept. of Bldgs. Phone SII. 4-77470
Location ®���� �` �/ f/� ° �•
City ofdle
The signed 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.
AFridley, Minn_
Owner
Kind of Building
Used as /T -e-d-1 `
To be completed about
Estimated Cost, $
Old—New. Building Permit No. Permit No.
DESCRIPTION OF WORK
HEATING or POWER PLANTS -Steam, Hot Water, M��No a-ALe_-
Trade Name Size Nob �D® G
Capacity Sq. Ft. E.D.R-/-,D 000 BTU H.P.
Total Connected Load Kind of Fuel
BURNER — Trade Name Size No
Capacity Sq. Ft. E.D.R BTU H.P.
Signe
By
a z 2M �_s9 Business Phone No- � S-0 -1 f
(REMARKS -OVER)
Ddb
HEAT, LOSS CALCULATIONS-(�Ye DEPARTMENT OF BUILDINGS ANN•
Weatherstrips A.S.H.V.E. Construction No. Insulation
Guide
In ws I rs Reference Out. Wall llnt.Wall I Ceiling Roof Floor Kind How Applied
Ye a 19— —V I° I -e °° P=
+� Fl.Room Lenath / 2Width /.cRoom I Lenath ,44 Width Height eo'
Windows a
oors—Crackage and Area
Width Height No. oY Lineal ft. Area
No. of pane of panne lights of crack sq
widtheight No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
/ --7
7 le -'-J
/ 4f
c5'®
jr� /
/5� ,51
Coef.
Btu
Infiltration
3d
�✓
&A
S0-6
r/�
Glass
�•�®
7
rfe
R 3S'®
Exp. wall
Exp. wall
Net exp. wall
-;RS-6-
J 7
/Ol
Net exp. wall
Net exp. wall
0/'-f
/®
07/J;t-j
Int. wall
/)
/6
5? G
Floor
Ceiling
Ceiling
Floor
Floor
Total Btu. 0-/1/
Required . jf E.D.R. or sq. ins. W.A. Leader area
/ Fl. Room Length /7� Width 42 r Height �l
Windows and Doors—Crackage and Area
Width Height No. oY Lineal ft. Area
No. of pane of panne lights of crack sq
yft.
07 CJ / D. /
Coef.
Coef.1
Coef.1
Btu ,
Infiltration
X)
3d
// 7
&A
S0-6
Glass
O
�•�®
7
rfe
R 3S'®
Exp. wall
Net exp. wall
-;RS-6-
/
/Ol
Net exp. wall
Int. wall
Floor
Int. wall
/)
/6
5? G
Floor
Ceiling
7
Floor
Total Btu.
Required Aq.A E.D.R. or sq. ins. W.A. Leader area
/ F1.1 I Lenath _9 Width /a ° He; -ht 7s
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq, ft.
17.7 Q. 1
Coef.
Coef.1
Btu
Infiltration
,g?
X)
3d
// 7
Glass
S0-6
/3
O
�•�®
Exp. wall
Net exp. wall
7 9
Net exp. wall
/
/Ol
66,0
Int. wall
Floor
Ceiling
/)
/6
5? G
Floor
7
Total Btu.
squired sq. ft. E.D.R. or sq. ins. W.A. Leader area
Windows and Doors—Crackage and Area
Width Height No. oY Lineal Pt. Area
No. of pane of pane lights of crack sq. ft.
3-:l 6 07-4. o.
Coef.
Coef.
Btu
Infiltration
,g?
X)
3d
// 7
Glass
S0-6
/
5-0
�=5
Exp. wall
Net exp. wall
Qv-tl
Net exp. wall
/
06
J/ 6
Int. wall
Floor
Ceiling
17S16
/C
O76'®
Floor
7
,--2 a S
Total Btu.
Required !g'. ft. P.R. or sq. ins. W.A. Leader area
I F1.1 a i m I Lenath // ° Width Height f -'l
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
•jam � a� Os 9 s
Coef.
Coef.
Btu
Infiltration
.3 /
X)
x
%/ 'f
Glass
S0-6
/
5-0
5k5-0
Exp. wall
Net exp. wall
Qv-tl
Net exp. wall
/
06
J/ 6
Int. wall
Floor
Ceiling"
/C
/�-
Floor
O® 91f
Total Btu. Ss 1-6
Required sq. ft. E.D.R. or sq. iris. W.A. Leader area
/ Fl.l Y Room I Lenath 9'9 Width --�Y Height 42 -
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack eq. ft.
•jam � a� Os 9 s
Coef.
Btu
Infiltration
X)
Glass
®
-5�10
S0-6
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu. C12 ,S -111.i
ft. E.D.R. or sq. ins. W.A. Leader area ��
City of Fridley, Minn..
BUILDING PERMIT N® ss 3 7
Date:
Owner: �% lrrr�(Pl r. - y�G'
Builder _�� � -� �
Address Address
L TI N OF BUILDING
No.®®� Street I. _ ____.. P f Lot
Lot _ __ Block 9/ Addition or Sub onf�'°-1 .
Corner Lot .__ Inside Lot . _ §ptback Sideyard
Sewer Elevation ndation Elevation
DESCRIPTION OF BUILDING
To U
Front Lam` Depth J.-_ Height ZSq. Ft. Cu. Ft.3J
Front DepthHeight Sq. Ft. Cu. Ft.
Type of Construction 4V4111 Est. iCst l-�� U _ 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 $_ , 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 violatio of any of the provisions of said
ordinances. /
Building
NOTICE:
11his psrmh does not corer the conafrucdon, lashllatioe for wiring, plumbing, gas heating, sower or wafer. Be core to ms
the Building Inspector for separate pormits for those items.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, 1INNESOTA
Coma, a I S N
AD'.lP2SSJI
LOCATION OF BtrMDING
No.'s9s, % Street, Part Lo
Lct Block c-2-- Addition or Subdivision
Corner Lot Inside Lot_ Xj_Setback
Side -Yard
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed build-
ing location -drawn on these Certificates.
DESCRIPTION OF BUILDING
ight
Sq. Ft. 3f ;k. Cu. Ft. 35I -O
Front Depth Height,
Sq. Ft. Cu. Ft. /
Type of Construction _ �2�- 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 tryW/?and poXXect. �, n
MWZw.
(Schedule of Fee Costs can be found on the Reverse Side).
0
•
City of Fridley, Minn.
BUILDING PERMIT
Date: June 23, 1965
, I'a 7 7
N° 8000
Owner: Harold Weinrisch Buildr Brace Johnson Constr. Co.
Address 5957 4th Street N. E. Address 12841 Taylor St. N. E.
LOCATION OF BUILDING
No. 5957 Street 4th Street N. E. Part of Lot
Lot 18 _ Block 21 Addition or Sub.Division Bennett Palmer, Add,
Corner Lot Inside Lot Setback Sideyard
sewer Elevation _ Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
Dwel7.3 ng Front Depth Height Sq. Ft. Cu. Ft
Front Depth Freight Sq. n Cu. Ft.
Type of Construction Frame , Est. Cost _13 s 0W.00 To be Completed
is Storm damage repair
is
r
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 witha'll provisions of
ordinances of the city of Fridley. 0 a &-t
In consideration of the payment of a fee ofl$ 0.00 _____, permit is hereby granted to Bruce Johnson Const.
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, alteration, maintenance, repair and moving of bufldings
within
thecity limits � permit may be revoked at any time upon violation of any of the provisions
ordinances. of said
Men Jensen
NOTICE:
rob puma does no. eowr iia em"tmdbm, behllabe for wirtoo, pba6bg, Bes hodk , wwa or water. Be wrs to we
t6 su"Wo r for esparata paemNa hr dues h=&
w
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
�(2
OWNER'S NAME BUILDER
ADDRESS �' �i - At' At. E ADDRESS J!2
LOCATION OF BUILDING
Street Part of Lot
i'OT..__ _ ( R ADTiITON OR SUBDIVI9ION,&�s
Corner Lot Inside LOTSetback 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 used 'as:
Front_ �® I Depth, Q _6 -Height—P
I�
CST-
0rrN, hti Sq. Ft.� Cu. Ft.
\, Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction �. -� Estimated Cost lA 'Ona o ®
To be completed_ �� ddr s
i
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.
DA /_SIGNATURE
. ZL�
(Schedule of Fee Costs can be found on the Reverse Side).
Ir_
s r �
sueady
City of Fridley
=ir-7-
ATTHE TOP OF THE TWINS
BUILDING PERMIT
r
►v __�___ COMMUNITY DEVELOPMENT DIV.
INSPECTION SEC.
63��
r PROTECTIVE
E , ,
NUMBER
REV
DATE
PAGE O:
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910415
9/23/98
JOB ADDRESS 5957 4th St NE
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
18
2
Bennett Palmer
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Harold Weinreich
571-3024
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Kraemer Services 6220 167th Ave NW Ramsey 55303
969-3881 88030
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW O ADDITION O ALTERATION J REPAIR
O MOVE O REMOVE
B DESCRIBE WORK
Reroof house & garage (22SQ) Tear—off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
VENTILATING OR AIR CONDITIONING.
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
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
$1,885.00
$.94
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
PROSIONS OF ANY OTNE STATE OR LOCAL LAW REGULATING CON-
SC $1.88
ST C ON OR TME ERF RMANCE OF CONSTRUCTION
$59.50
re
3
PLAN CHECK F
Lic se SC11Z0
AL FEE
$67.32
SIGNATURE OF COOkTRACTOROA AUTHORIZED AGENT IDATEI
EN RD V
ED THIS IJ PER
��
_
S-GNATURE OF OWNEROF OWNER BUILDERI IDATE,
B G INS
'��
DATE
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY r
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 +�
BUILDING PERMIT APPLICATION
ConstructionAddress: S ci S -7 / S N C-- Fr --j leL, m v�
Legal Description:
Owner Name & Address: VLrdO DRi 21 h re t 4 w, -c- Tel. # 5-71 302.1
Contractor: Kee w er S -e r uz c e S MN LICENSE # &sU 36
Address: Co -a-4c Lo -i 4- Aoe- P tAj w,s cam, Tel. # �% 3
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: �C �� z S^a
Construction Type: PI -1 V-06 Ir Estimated Cost: $
L -f <Sd ® 0 o
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. Ft = Ft x $ _ $
DATE: 9 ;" APPLICANT: 4 oe Tel. # 9 6 3 1
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ � 1,3Z
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 [ J
Building BUILDING Permit No.: =P004�-006,
Inspections RESIDENTIAL APPLICATION Received By:
763-572-3604 CITY OF FRIDLEY Date Rec'd:
DATE 0� _ 42 CL
SITE ADDRESS :5!7 7 fi�
THIS APPLICANT IS: ❑ OWNER
PROPERTY OWNER/ NAME:_
TENANT ADDRESS:
CONTRACTOR
SUBMIT A COPY OF
YOUR STATE LICENSE
WITH APPLICATION
PROPERTY TYPE
PERMIT TYPE
TYPE OF WORK:
PHONE:
_ YOUR E-MAIL ADDRESS
`J-(—
kCONTRACTOR
7
L_ ti
TE[IUZIP s �9 3 ;�-
STATE LICENSE # oZ 3 �� C� _ EXP DATE
ADDRESS: `� �o nGi•'n S �/ / CITY /:1ne—� STATEWr ZIP �W
PHONE
❑ SINGLE FAMILY/NI
❑ TWO FAMILY/NEW
❑ ADDITION
❑ BASEMENT FINISH
❑ DECK
❑ NEW
❑ MAINTENANCEIRE
1kROOF
❑ SIDING
❑ SWIMM
'AIR ❑
DESCRIBE WORK BEING DONE:_ A a-(
SIZE OF IMPROVEMENT_
NUMBER OF SQUARES_
GARAGES
PROPOSED SIZE:
PROPOSED HEIGHT:
SIDING
❑ Vinyl
❑ Aluminum
❑ Other
FAX
SIZE
U WINDUWS
❑ DRAIN TILE
❑ OTHER
LENGTH WIDTH HEIGHT
❑ HOUSE ONLY
❑ HOUSE & GARAGE
❑ ATTACHED GARAGE
❑ DETACHED GARAGE
❑Soffit
❑ Trim
❑ Fascia
Ft.
BASEMENT REMODELING SUBMIT:
1. Existing Floor Plan
2. Proposed floor plan
3. List of structural members to be used
FOR NEW CONSTRUCTION INCLUDING DECKS,
ADDITIONS & PORCHES SUBMIT:
I . Site Plan/Survey showing the existing structures
and proposed project.
2. Two sets of construction plans
WINDOWS 3. Energy Calculations
IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $ OCCUPANCY TYPE
Permit Fee
$
See Back Page for Fee Schedule
Plan Review
$
65% of Building Permit Fee
Fire Surcharge
$
o
.001 times the total job valuation
Surcharge
$
.0005 x Permit Valuation Minimum $.50
License Surcharge
$
$5.00 (State Licensed Residential Contractors)
SAC Charge
$
$1550 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
$
ft + 6 ft = ft x $20 = $
Erosion Control
$
$450 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement necessary ( ) Non Necessary ( )
Total Due
r
%® /
Make checks payable to: City of Fridley Attach Stipulations
FOR A PERMIT -NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a
permit but only an application for a permit and wor is not to start without a permit; that the work will be in accordance with the approved
plan in the case of all work W equires revi d approval of plans.
SIGNATURE OF APPLICANT PRINTNAME—