PRE 2010 DOCS• CitY oFridley, FY, Minn.
e
BUILDING PERMITS? 4396
Date: / — f / -
Owner: ..... ..................... ............. -...................... ......... _........... _........... _.................... Builder ... ?......
....... .......•---•---- -..........._._.........._._....—__....
Address..---- ........... .................................... _........... _ _..__.......... .................. Address _..... .......- .....42...-__.._....._
LOCATION OF BUILDING
No. ..... _ .._ Street ....._...... .�....--/_f....... ............ .............. Part of Lot ...... ............. -
Lot .....�...6..--c2..7Block ..... Z .................................. Addition or Sub -Division......... - - - - -
CornerLot .................................... Inside Lot ..................................... Setback ...... ............. ......................... Sideyard...... .............. ............................ -............. - ... _......
Sewer Elevation.....-................................................................................................. Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
y
.. n ........ ----.......... Front Depth ..1.....: �i� Height .- Sq. Ft.._f.... -_0 Cu. Ft. 1.-P.Y0
............ ...... ...................................... Front ....................... Depth ........... // H�eIghh�t �/....... Sq. Ft......................... Cu. Ft. ......................
Type of Construction.......................................................... Est. Col /l�.�! ..v Pd......T o 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 compliancq� with all provisions o
ordinances of the city of Fridley., i� `"
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 violation of any provisions of said
ordinances. .i _ 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.
4 .
1
City of Fridley
Application for Plumbing and Gas Fating Pernsit
Dept. of Bldgs. Phone SII 4-7470
DESCRIPTION OF WORK Location C)
Number. Kind and Location of Fixtures
I0
yy
RATE
TOTAL
Z_I
i
$1.50
ZZ
Future Fixture Opening ................
0: .3
8J�
�}Z
�-
O
J
�qdq
te`Z
2
`�a
+
•
N I-GAS
WATER HTR.
3.25
ELEC.
Water Heater (Up to 200,000 BTI) ......
x
2.00
$ -J/
New Ground Run Old Bldg. ............
x
3.25
zip
F
Base
1st
2nd
_
3rd
4th
• Future Co mection Openings
Connected with
Sewer �
New Fixture, Old Openings
Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
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 BTI) ......
x
2.00
$ -J/
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 411 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 2AC� 19—.0
,�
Owner Z",4�1
Kind of Building
Used as
To be completed about
Estimated Cost, $
,53 New. Building Permit No Permit No. 1 0&4
Signe )4
By
Business Pho No
ROUGH APR 2 5 1960 a)
FINAL
42 2M 7-$9
1�
M
Application for Power'Pkmts and.Heating. Coding. Ventftflon..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 ............................. x.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
FAN HEATING SYSTEM
VENTILATING SYSTEM
ALTERATIONS & REPAIRS
ROUGH
FINAL
See Fee Schedule
TOTAL FEE $
Dept. of Bldgs. Phone SII. 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, Minn- 19
Owner
Kind of Building
Used as t�
To be completed about® v
Estimated Cost, $
Old Ne .=Building Permit No. '� � � Permit No.
DESCRIPTION OF WORK
HEATING or POWER team, Hot Water, Warm Air—No
Trade Name �' .�z � Size No � / i r o
Capacity / o 0 �� Sq.
Ft. E.D.R —�o��� �, BTU H.P.
Total Connected Load Kind of Fuel
BURNER. —Trade Name's Size No
Capacity Sq. Ft. E.D.R. BTU H.P.
(REMARKS—OVER)
Signe e'
By j
az YM 7 -ss Bukne'ss"r'Phoi1�'�rf� i' O -;S 16, fioiJJ,
n.
....—,. va• way. .. ••...1
CITY OF FRIDLEY
{APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND
AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
RESIDEt;TIAL RATE
Furnace Shell and Duct Work,
Burner (ALSO replacement furnace) $ 20.00
Gas Piping $ 10.00
(piping needed with now furnace)
Gas Range $ 10.00
Gas Dryer $ 10.00
• Air Conditioning (all sizes) S 10.00
All Others/Repairs and Alterations
It of Value of Appliance or Work
COMMERCIAL/INDUSTRIAL
IS of value of Appliance or 10ork
State Surcharge
TOTAL !EE
Reinspection Foe (515.00)
Rough Inep.
Date
Final Insp.
Date
Approval for Permit
MINIMUM FEE FOR ANY HEATING PERMIT IS $10.00
PLUS $.50 STATE SURCHARGE
TOTAL
$ as • t3
S
Attach stack verification fors with replacment furnace permits
*Air Conditioners can not (r• placed in •ad.• yard without
written pvrmisslon from adtouunq nnnlld..,r.
Job Address t p io ` J�
Department of Buildinq% 6411 university Ave. N.E.. Fridley, HN 55172
City of Fridley
Tel. 1571-3450
The undersigned hereby wake/ application for a permit for the work herein
specified agreeinq to do all work in strict accordance with the City Codes
and rulings of the Department of Buildings. and hereby declares that all the
facts and representations stated In this application are true and correctp.�
` Fridley. Minn.
OWNER -
KIND or suiun G �7C'atn@
USED AS
TO BE COMPLETED ABOUT
o�
ESTIMATED COST '3, dnC
OLD - NEN BUILDING PERMIT MD. PERMIT NO.
DEScrurriow or FuwAeWsuRNER
HEATING or POWER PLANTS. Steae, Not Nater, Wars Air - No
rZ
S
Trade Now �� t'lQC also No.
Capacity D' `Tom Sq. Ft. CDR _ BTU (') HP
Total Connected load Rind of Fuel
BURNER - Trade Nass
Capacity Sq. Ft. EDP BTU NP
Company
Siq
BUM&
P
City of Fridley
30395
AT THE TOP OF THE TWINS
BUILDING
PERMIT
`
RECEIPT NO.
`L DEVELOPMENT DIV.
-------COMMUNITY
f PROTECTIVE INSPECTION SEC.
/Z1
NUMBED
pEv
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 53432
L 612-571-3450
910-F15
10/13/99
JOB ADDRESS 6061 4th Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
26,27
3
Hyde Park
SHEET
2 PROPERTY OWNER MAIL ADORES$
ZIP PHONE
Joe Brae
574-1925
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Sela Roofing 4 Rem Inc 4100 Excelsior
-
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 XM REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and garage (20 Sq) 'fear-off
9 CHANGEOFUSEFROM 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 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
$1748
$.87
DOES NOT PRES E TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF Y OTHER -STATE OR LOCAL LAW REGULATING CON-
$63.155
Fire $1.755
STRUCTI R H F A E OF CONSTRUCTION
AC
U
PLAN CHECK FEETOTAL
Licens C $5.0
EE
$7 .77
SIGNA URE OF CONTRACTOR OR AUTMQRQED AGENT ID E,
N ROPE ALIDAT IS IS UR PER
G V �/
RCNSP'01
S,GNOTURE OF OWNER„F OWNER BUILDER, (DATE,
l�tE
NEW [ ] - Effective 5/10/99
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATIONe-- �p
Construction Address: 0 j
Legal Description:
Owner Name & Address: %J -e 6 Aa GV Tel. # 5-7 -f— 17--2-5--
Contractor: gpoFING & REMODEL'NC,,, NC MN LICENSE
Address: c,„ T A� ARI{, MN 55416 Tel. #
�OR"
Attacl�3o gs 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:
Construction Type: 4eft 1,'P �G ��''� Es
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x = $
DATE:
/0-12
i- 9 q
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
APPLICANT: d��� Tel. # $12. - O F6-
a
$ 5,n0
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1050 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 [ ]