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PRE 2010 DOCSCity of Fridley, Mian.. BUILDING PERMIT N° Date:....._.._`' r... -..._._ —_.._........_.. Owner: _ "' ...G��?_. Builder -------- _._.... Address ... !-_ ,a .h. Address ......._..._!" _ .. _ _..._.. __._... LOCA ON OF BUILDING No.---lL?Street -.............. _........... Part -of -Lot ---._.._.._---.._.._ _..----._.._..._._..._..— Lot ............ Block ....._...... .... - ............. .................. Addition or Sub -Division . . _. __.......----...------•-- -.. ,I� r Corner Lot ........-...... Inside Lot .._ .................._............ Setback ..._.....:......_...._........ Sideyard ..... .......f� : ... - Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: ,t ..... t Front ............ Depth .-. r. A4 Height ....._ ... Sq. Ft. /M Cu. Ft. �.. " ... _........... ............ _....................... Front ...................... Depth ....._............ ••.. Height ............ - ... ....... Sq. Ft. .......... ............ Cu. Ft......................... Type of Construction ................... ............- ......... :... .......... Est '�'ZTo be Completed - - ..........._...........__. ion P•v� �° Cvv o0 ®F HNRES�F1�ilpNS. BU11-®\NG 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 violation of any of the provisions of said ordinances , � it j Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be su see the Building Inspector for separate permits for these items. APPLICATION FOR BUILDING PER)aT CITY OF FRIDLEY, MINNESOTA V10(alijJI • • _ — — _ �� - LOCATION OF BUILDING No. I'd 7v -_Street & `, Part of Lot Lot"r T k Block. » d' Addition or Sub.Div. 14 rd la Corner Lot_ 2, Inside Lot Set Back -j . Side -Yard Ag 1 17' ` SEWER ELEVATION FOUNDATION ELEVATION_ t Tir..2 Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: . ... �' �vr, J, vu Front 15Depths,, Sq Ft. .d L Gus Ft.__i.z zg,— Front Depth Height Sq. Ft. Gu. Ft• r Type of Construction me T „Estimated Goat- a= 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 A a A J -- SIGNATURE (A Schedule of Fee costs can be found on the Reverse Side.) City of Fridley Application for Plumbing, and Gas Pitting Permit DepL of Bldgs, Phone SU 4-7470 DESCRIPTION OF WORK Number, Kind and Location of Fixtures Location PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ ea -p 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 $ 52=tL New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL x $1.50 x .50 $ x 2.00 $ 1st 3 Fixtures ......................... Additional Fixtures .................... Gas Range to 200,000 BTU .............. 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 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 re true and correct. Fridley, Minn 19-6 Owner 19— Kind 9Kind of Building 19— Used as To be completed about /,"-2,f Estimated Cost, $ Old ew Building Permit No Sign By ✓. Business Phone No /.2 -e Connection Permit No . ....................................................... Water M C Sewer ;7e, 6<7 it IM -8-58 vx „ Meter Deposit 6 a m� m a 31- eLL N LLp $m a3 ea C�ga z as coo F N WATER HTR. GAS ELEC.3ti Base 1st 2ncl 3rd 4th • Future Connection Openings New Fixture, Old Openings Connected with Sewer El Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ ea -p 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 $ 52=tL New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL x $1.50 x .50 $ x 2.00 $ 1st 3 Fixtures ......................... Additional Fixtures .................... Gas Range to 200,000 BTU .............. 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 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 re true and correct. Fridley, Minn 19-6 Owner 19— Kind 9Kind of Building 19— Used as To be completed about /,"-2,f Estimated Cost, $ Old ew Building Permit No Sign By ✓. Business Phone No /.2 -e Connection Permit No . ....................................................... Water M C Sewer ;7e, 6<7 it IM -8-58 vx „ Meter Deposit 6 a Application for Power Pkmts and: Heating, Cooling, Ventilation, ReMgeration cmd 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 $ I 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 $ i� Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ 0& 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 DATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $ ROUGH— OUGH FINAL— FINAL Dept. Dept. of Bldgs. Phone SII. 4-7470 T —_.a_—'�'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 avid correct. Fridley, Owner== q�71 (Z'V6 if Kind of Building I _ Used as 4z l9Q 9 - To be completed about-_� Estimated Cost, $ Old'—New. lBuildina Permit No. ` Permit No. ,/f s DESCRIPTION OF WORK Z TI WER PLANTS --Steam, Hot Water�qVarm Air�No e ® Size No -4.0 '- Capaci`� "� S, -ij,R BTU H.P. Total Connected Loa' � Kind of Fuel BURNER — Trade Name Size No Capacity Sq. FL E.D.R BTU H.P. (REMARKS -OVER) . 4z za+ �.ss Business Phone No Compliments of Nort Central Public Service Go.; Windows and Doors-Crackage and Area ` p �e " No. ` HEAT LOSS CALCULATIONS &4 -'N DEPARTMENT bF BUMDINGs OW VILLAGE Weatherstrips A.Guide ILVX Reference P Construction No. v —L- Doo Out. W Int. Wall _ Cog Roof ( Floor Kind No I No # I Exp. wall , y� I Btu Exp. wall J FL I . V- Room I Length/ F� Width a -x Height Fl. I Room I Length Windows and Doors-Crackage and Area ` p �e No. No. Width Height No. of of pane of pane lights Lineal ft. Area of crack sq. ft. --.p I t � P 1 U v —L- L.� 6 Scg Coe:. Coef.1 Btu Infiltration Glass_ �� # Qy�o• Exp. wall , y� Infiltration Btu Exp. wall Net exp. wall. Glass Net exp. wall 4 4t C) Int. wall Int. Wall 41 7 t� Ceiling i �l 15 ® -. 4v Floor %' 9 Total Btu. -V Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area '1v Ij I [cJ Room I Length I;Z� Width I P Windows and Doors-Crackage and Area ` p �e No. Width Height No of of pane of pane lights Lineal ft. Area o4 oracle sq. ft. No. of Lineal ft lights of crack --.p !�L t � -4j:3--- l 'lo ,,ter �� ,, v CL A L.� 6 Scg Coe:. CoeL BW Infiltration �� 36 Coef. Glass Infiltration Btu Exp. wall //00 Glass Net exp. wall 4 4t C) Glass Int. Wall 41 7 t� Ceiling p ® -. Floor Ceiling %' 9 Total Btu. 5f Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Ceiling C r FL IS�.c�r Room I Length I `a- Width t i j Height I I Windows and Doors- Crackage and Area _ Width No. of pane Height of pane No. of Lineal ft lights of crack Area saq % t � -V Width NO. of pane Height No. of Lineal ft. of pane lights of crack Area Area ft. L.� 6 Scg Coe:. Btu Infiltration, Coef. Btu Infiltration Btu Infiltration //00 Glass se. 4 4t C) Glass Exp. wall 41 7 t� Int. wall Net exp. wall I Ceiling Int. wall Net exp. wall 5f Floor Ceiling Int. wall Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Floor Ceiling Total Btu. Insulation How Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area. (� 1 Fl I 1-n. KI R.nnm I T--noth C:o Width %' MAwht Windows andBoors-Crackage and Area _ rr 1411; Lineal ft. of crack i1G1S114 Windows and Doors--Crackage and Area _ Width NO. of pane Height No. of Lineal ft. of pane lights of crack Area Area ft. L.� 6 Scg Coe:. Btu Infiltration, ¢ a_ Glace Coef. Btu Infiltration Exp. Wall se. 4 4t C) Glass 7 t� Int. wall Exp. wall I Ceiling -101/0 Net exp. wall 5f Floor is Int. wall Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Ceiling Floor ° 9 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area. (� 1 Fl I 1-n. KI R.nnm I T--noth C:o Width %' MAwht Windows andBoors-Crackage and Area _ No. Width Height No. of Of pane of pane lights Lineal ft. of crack Area sq. ft. Coe:. Btu Infiltration, ¢ a_ Glace Exp. Wall Net exp. wall 7 t� Int. wall Ceiling -101/0 5f Floor 119-0 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FL I Room I Length Width Height Windows and Doors-Crackage and Area I Btu Infiitration Glass Exp. wall '1 Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. it E.D.R. or sq. ins. W.A. Leader area • 0 6 0 City of Fridley, Minn.. BUILDING PERMIT NA sss Date: 6 6 I Owner: Builder Address _. Address L ITV BUILDING No.�vr Street Part Lot__ Block Addition or Sub Corner Lot _ Inside Lot Setback Sid and _ Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To as: _ Front e.P*-A— Depth HeightSq. CU. Ft t Depth Height _ Sq. Ft. cu. Ft Type of Construction Fst o be completed In consideration of the issuance to me of a permit to construct the buildin escri above, I agree to do the proposed work in accordance with the description above rth comp ce th allprovisions 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 location, construction, alteration, maintenance, repair and moving of buildings within the city limits and permit may be revoked at any time upon violati�ln of any of the provisions of said ordinances. � _ � / 1 Building Inspector NOTICE. Ibis permit does not eover the construction, installation for VArlM plumbing, gas hating, sewer or water. Be sire to ars the Building Inspector for separate pencils for these items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA ADDRESS ADDRESS LOCATION OF BUILDING No.� Street art of Lot i Lot Block Addition or Subdivision Corner Lot Inside Lot Setback Side -Y rd 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 To b as: 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 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 (Schedule of Fee Costs can be foundon the Reverse Side). Application for Power Plants and Heating. Cooling. Ventilation, ReFrigermion 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 ............................. 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. MR, Steam ..... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. MR. Steam ...................... 2.50 $ Each add. 320 sq. ft. MR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule OO GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ GAS FITTING FEES: NO RATE T07 L 1st 3 Fixtures ...................... x $1.50 $ �V 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 Bldge. Phone 560-3450 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 true and correct. Fridley, 1VCnn lel 19c� Owner Kind of Building Used as To be completed about Estimated Cost, Building Permit No. Permit No � / DESCRIPTION OF WORK HEATING or POWER PI.ANTS—Steam, Hot Water, Warm Air—No Trade Name Size No Capacity Sq. Ft. E.D.R BTU— Total TU Total Connected LoamKind of Fu� BURNER — Trade Nam ize No �1✓�' Capacity �: Sq. Ft. E.D.R BTU H.P. (REMARKS—OVER) gn le. ._ s, i' Ciiy of Fridley S915.51 Appliceion for Plumbing and Sm Ming Permit Dept. of Bldgs. Phone 360-3450 DESCRIPTION OF WORK 6072 z 4 St. Number, Kind and Location of Fixtures Location -- I $ — x $1.50 $ — x $1.50 $ — x $3.25 Y at i to 5 ,p<L�i4 �jw 80 6 • F • WATER HTR. N GAS ELEC. _ z $2.00 $ NO. RATE TOTAL 00 Base Ist Re la elm la Re nee C ok to o 2nd 3rd 4th • Future Connection Openings Connected with e New Fixture, Old Openings I Sewer � cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... Future Fixture Opening ............... New Fixture Old Opening ............. Catch Basin ............................ Water Heater (Up to 99,000 BTU) ...... New Ground Run Old Bldg. ............ Electric Water Heater GAS FITTING FEES: — x $2.00 $ — x $1.50 $ — x $1.50 $ — x $3.25 $ — x $3.00 $ — x $3.25 $ _ z $2.00 $ NO. RATE TOTAL 1st 3 Fixtures .......................... x $2.00 $ Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. 1 x $5.00 $ 3.00 REPAIRS & ALTERATIONS—Refer to Code City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, Minn 3 Jun 68 19— Owner gy1aA Carrigan Kind of Building fP Used as res To be completed about 7 Jun Estimated Cost, $ 5• oo Old--XNX Building Permit No Permit No. Signe y i Pol Business Phone No, `4 ROUGH FINAL Description ..... _ ...... $ ........................ 3.00 TOTAL FEE $ 42 52-84-S-915.51 City of Fridley Application for Plumbing and Cas Wag Permit Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK 6074 N. E. 4th. Street Number. Kind and Location of Fixtures Location N $ — x $1.50 $ Z $ x $3.25 y 1- — x $3.00 sQ Z Z iii _ x $2.00 w �3�3 ? �n t90 • F • N WATER HTR. GAS ELEG Base lot 2nd 3rd 4th • Future Connection Openings Connected with New Fixture, Old Openings City of Fridley: The undersigned hereby .makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, Minn_ 6-11-68 19_ Owner Myline Carrigan Kind of Building Frame Sewer Used as Res Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ..................... Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin ............................ Water Heater (Up to 99,000 BTU) ...... New Ground Run Old Bldg . ............ Electric Vater Heater GAS FITTING FEES: x $2.00 $ — x $1.50 $ — x $1.50 $ x $3.25 $ — x $3.00 $ — x $3.25 $ _ x $2.00 $ NO. RATE TOTAL 1st 3 Fixtures .......................... x $2.00 $ Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. 1 x $5.00 $ 3.00 REPAIRS & ALTERATIONS—Refer to Code To be completed about 6-17-68 Estimated Cost, $ 5.00 YdML-New. Building Permit No Permit Signe ININN ' By Business Phone No ROUGH FINAL Description ................................................$ TOTAL FEE $ 3.00 4 z Utz of Fridley, Minn. Nr10783 _ BUR DING PERMIT Date: Auu.st 11, 1970 Owner: Mr. Mylan Corrigan Builder Milton L. Johnson Co. Address 6074 -4th Street N.E. Address 2513 Central Avenue N.E. LOCATION OF BUILDING No. 6074 Street_ 4th Street Part of Lot Lot --Block Corner Lot ;_ Inside Lot Sewer Elevation Addition or Sub -Division _._ Setback _ Sideyard Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Alumtnum Tri Front _ _ Depth Height Sq. Ft Cu. Ft. Front Depth _ Height _ _ Sq. Ft. Cu. Ft. Type of Construction Alum. Est Cost $574.00 _ 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 compliance with ill provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $—k- . uu , permit is hereby granted to Mil Lon Johnson Co . 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 of the provisions of said ordinances. =-1-44iing Inspector AL BAGS�Clx NOTICE: 1161s permit does not cover the construction, Installation for whine, plumbing, gas heating, sewer or water. Be sure to no the Building Impeder for separate permits for these Hems. • e� APLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME: 1 J 00 i'Ci A i�J BUILDER: 0 10 1, -TD �i � o , j 0 t) A) --k, 8 I 7�` �1 ADDRESS : -6 G'% 4- S ( • N {; ADDRESS: J / R 4 � NO:. STREET: LOT: BLOCK: ADDITION: CORNER LOT: INSIDE LOT: SETBACK: SIDEYA.RD: 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: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: 7 � I `K' - To � � nr1 � ( 2: -we Estimated Cost: $ � To Be Completed: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict 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:', d f / ' ' SIGNATURE : 1. 9-4, (See Reverse Side For Additional Information.) C/ C� Ov City of Fridley AppOcOloe for ftmblng tmed C"n R"I" hrodt DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $200 $ Future Fixture Opening ........... x $1.50 $-- New- New Fixture Old Opening .......... x $1.50 $ Catch Basin .................... x $3.25 $ Water Heater (Up to 99,000 BTU) . • . • x $3.00 $ �-I --'j New Ground Run Old Bldg......... x $3.25 $ Electric Water Heater .............. s $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures x $200 $ Additional Fixtures ................. x $ .75 $ Gas Range to 199,000 BTU ... ,.......... x $5.00 $ REPAIRS A ALTERATIONS—Refer to Code Description ........................................... — . 4 TOTAL FEE $ 3' .f `g Dept. of Bldgs. Phone 960-3450 Local bon. City o1 Fridley: The .undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling o1 the Department o1 Buildings, and hereby declares that a111 the tact and representations stated in this application are true and correct Fridley, Minn el 17 - :,z 1 1 192'�— Owner Kind of Building Used as C� To be completed about Estimated Cost, $ �� 5 ,-; " Old—New. Building Permit No. Permit No. S7AI Signed By Business Phone No ROUGH FINAL !•�- � - 7 S' QQQ ` 37 N pc �¢¢¢( td < y4 psi • • WATER MTR. _ GAS ELEC. Base 1st 2nd 3rd 4th • Futuro Connecdan Openiags Now Fixture, Old Openings Connected with Sewn ❑ Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $200 $ Future Fixture Opening ........... x $1.50 $-- New- New Fixture Old Opening .......... x $1.50 $ Catch Basin .................... x $3.25 $ Water Heater (Up to 99,000 BTU) . • . • x $3.00 $ �-I --'j New Ground Run Old Bldg......... x $3.25 $ Electric Water Heater .............. s $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures x $200 $ Additional Fixtures ................. x $ .75 $ Gas Range to 199,000 BTU ... ,.......... x $5.00 $ REPAIRS A ALTERATIONS—Refer to Code Description ........................................... — . 4 TOTAL FEE $ 3' .f `g Dept. of Bldgs. Phone 960-3450 Local bon. City o1 Fridley: The .undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling o1 the Department o1 Buildings, and hereby declares that a111 the tact and representations stated in this application are true and correct Fridley, Minn el 17 - :,z 1 1 192'�— Owner Kind of Building Used as C� To be completed about Estimated Cost, $ �� 5 ,-; " Old—New. Building Permit No. Permit No. S7AI Signed By Business Phone No ROUGH FINAL !•�- � - 7 S' 53-84-S-915.51 City of Fridley A 6@0for P aW Gas Ff l" ftm* - Dept. of Bldga. Phone M-3490 DESCRIPTION OF WORK 6074 N. E. 4th. Street Number, Kind and Location of Flxtum 111 I ISI * I cal. 118 . I� 1 !31 Base 1st 2nd *AM Mn. City of Fridley: s • p cAs ncc The undersigned hereby makes application for a permit for the work herei, specified, agreeing to do all work in strict accordance with the Qty Ordinance and ruling of the Department of Buildings. and hereby declares that all the fact and representations stated in this application are true and correct 1 Fridley, Mnn 5-�5-73 I9, Owner Mylan Carrigan Kind of Building Frame Sewerl Cess0 used as Res. To be completed about PARTIAL RATE SCHEDULE PLUMBING, FIXTURE RATES. NO. RATE TOTAL Number Fixtures ................ x $200 S Future Fixture Opening .... :...... x $1.50 $ New Fixture Olaf Opening .......... x $1.50 i Catch Basin ................... • x $3.25 S Water Beater (Up to 99,000 BTU) .... x $3.00 S New Ground Run Old Bldg. ........ x $3.25 $ Electrk Water Hmtoa.............. a 32.00 $ GAS FITTING FEES. NO. RATE TOTAL lot 3 Fixtures -23100 $ AdditiozW 1112ttum ................ -x$.76 $ On Mange to 10,000 BTU ............ 1 x $6.00 $ 5.00 State Surcharge $ .50 REPAIRS & ALTERATIONB- Rater to Ce& _ Description o ......... a. n. e .................... a ..... A TOTAL TEE 0 5.50 %a s "A" Siurcri3,-e $•�0-i Estimated Cost, $ 1� Old -49W Building Permit No. Permit No. S98j(1 Signe By Business Phone No ROUGH City of frW 6y APV for PWmbbq Md Gas RKbq Pwutk D— - al om or WORK Number, Kind sad i Denbo of fixbww ` PARTIAL RATE SCHEDULE P6VNMUi!G rurrom. R1lTE1z M06 RATS Tar" ifumbes Futures ................ s a m i rutore rmtme oproft ....1 ...... _x$1m Mew Fixture OU Optnbf .......... ::Lilt# _ Catch Bases .................. a. RIM Water tater !Up to ftm Bm.... � :-C= sf ` C New Grad Run Old BW ........ r xt.ZSi i�— noetsie W:hrBmom ............. s no t eff" FITTnm FEM_ » BAT6 TMAL 14 3 Fixtures • .. * • • z no 6 AddWond d. Fa. s ...... ► ........—a*-" { /fin Ram to i0W0 BTU ..........-zom 6 State Surcharge $ 50 F"AMS to Part D=aipdm• ►. ►a ee. .. ..i.....s..... I s............ TOTAL i '�I �a Dept. of Bldw Plan. SWUM City of MOW - The used hereby manes application for a permit for the work herd -w specified. agreeing to do an work in strict accordance with the Qty mammy and ruli" of the Department of Buildingand hereby declares that all the fad -- and representsUous stated in this applieation are Irae and correct Owner Kind of Used as To be completed abort Fstim3ted Cost. Old—New. Building Pre unit Wa Yoeasu Noy By- Fbriae�J e amommmm mmilm MEN MEN ow ME KNEEMEMINMEM101 EMEMEMEMMIM10 ................ PARTIAL RATE SCHEDULE P6VNMUi!G rurrom. R1lTE1z M06 RATS Tar" ifumbes Futures ................ s a m i rutore rmtme oproft ....1 ...... _x$1m Mew Fixture OU Optnbf .......... ::Lilt# _ Catch Bases .................. a. RIM Water tater !Up to ftm Bm.... � :-C= sf ` C New Grad Run Old BW ........ r xt.ZSi i�— noetsie W:hrBmom ............. s no t eff" FITTnm FEM_ » BAT6 TMAL 14 3 Fixtures • .. * • • z no 6 AddWond d. Fa. s ...... ► ........—a*-" { /fin Ram to i0W0 BTU ..........-zom 6 State Surcharge $ 50 F"AMS to Part D=aipdm• ►. ►a ee. .. ..i.....s..... I s............ TOTAL i '�I �a Dept. of Bldw Plan. SWUM City of MOW - The used hereby manes application for a permit for the work herd -w specified. agreeing to do an work in strict accordance with the Qty mammy and ruli" of the Department of Buildingand hereby declares that all the fad -- and representsUous stated in this applieation are Irae and correct Owner Kind of Used as To be completed abort Fstim3ted Cost. Old—New. Building Pre unit Wa Yoeasu Noy By- Fbriae�J e sueaEcr PER City of Fridley, 14'738 AT THE TOP OF THE TWINS PERMIT BUILDING REC COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. ©7 9 r , o'— { ` CITY HALL FRIDLEY 55432 �.J NUMBER REV. DATE PAGE OF APPROVED BY L""� 812-580-3450 910-F15 6/6/78 JOB ADDRESS - 4th Street N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1,2 4 Hyde Park SHEET -F-PROPERTY OWNER MAIL ADDRESS ZIP PHONE Church of St. William 6072 - 4th Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Andrew P. Gawel Contr. Inc. 2407 Washington Street N.E. 789-6116 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Parsonage 7 CLASS OF WORK ❑ NEW ❑ ADDITION] ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Remodel 9 CHANGE OF USE FROM TO STIPULATIONS SEPLRATE PERMITS REQUIRED FOR WIRING, HEATING, PLUMBING AND SIGNS. 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 SQ. 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, $12, OOO $6. 00 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- $72.00 STRUC ON OR THE PERFORMANC OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $78.00 SIGNATURE OF CONTRACTO OR AUTHORIZED AGENT (DATE) WHEN PROP RL1Y�-VynA,LII DATED THIS IS YO R PERMIT BLDG INSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) CITY OF FRIDLEY , APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: � ���'.� ®� �f, &.1-1/ �ir'I AUILDER: Address: tvl�7,9 e- Address: Tel. No.: - 140.: o. No. Street: LOT: / 13LOCK: ADDITION: zey e CORNER LOT: INSIDE LOT: SETBACK: SIDEYARDS: Applicant attach to this form 9\0o Certificate_ of Survey of Lot- and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: Front: Depth: Height: _ Square Feet: Cubic Feet: Front: Depth: Height: Square Feet:'.Cubic Feet: Type of Construction: Estimated Cost: , G To Be Completed: Alt. A — Alt. B Proposed Driveway Width If New Opening Is. Desired $ $ (SEE i2EVEF.SE SIDE OF SHEET) 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. See reverse sideY`0r additional info kation. on. /P DATE --77 SI Stipulations: U CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FI'T'TING PERMIT PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL N x $3.00 $ U x $2.00 mN flew Fixture, Old Opening Water $2.00 Le m 0 m Catch Basin srC u $5.00 $ .q q +� d a w 100,000 BTU to 199,000 STU w Heater $ J x $7.00 $ New Ground Run Old Building x $5.00 $ Electric Water Heater x $5.00 $ GAS FITTING FEES: Ist 3 fixtures x '$3.00 $ Additional Fixtures x $1.00 $ Gas Range to 199,000 STU x $70.00 $ REPAIRS & ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or fraetien $2.00 $ State Surcharge $ .50 TOTAL FEE $ REINSPECTION FEE ($10.00) lst 2nd 3rd 4 th (R) - Future Connection Opening Connected with Sewer M m New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Humber Fixtures_ x $3.00 $ Future Fixture Opening x $2.00 $ flew Fixture, Old Opening x $2.00 $ 0 Catch Basin x $5.00 $ Water Heater - to 99,000 STU x $5.00 $ 100,000 BTU to 199,000 STU x $10.00 $ Water Softener x $7.00 $ New Ground Run Old Building x $5.00 $ Electric Water Heater x $5.00 $ GAS FITTING FEES: Ist 3 fixtures x '$3.00 $ Additional Fixtures x $1.00 $ Gas Range to 199,000 STU x $70.00 $ REPAIRS & ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or fraetien $2.00 $ State Surcharge $ .50 TOTAL FEE $ REINSPECTION FEE ($10.00) Job Address Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes alplication for a permit for the work herein specified agreeing 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 correct Fridley, Mn. , 19 7® OWNER KIND OF BUILDING USED AS TO BE COMPLETED ABOUT ESTIMATED COST NEW BUILDING PERMIT NO. PERMIT NO. l0 /� r Company Signed By Tel. No. ROUGH INSP. Date FINAL INSP. ,j - .0 Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.SO PLUS $.SO STATE SURCHARGE CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND ,AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE 5 GRAVITY WARM AIR: RATE TOTAL Job Address iZ Furnace Shell & Duct Work $12.00 $ _ Replacement of Furnace 7.00 $_ Repairs &Alterations -up to $500.00 7.00 $ Department of Buildings Repairs & Alterations each add. $500.00 4.00 $ City of Fridley Tel. #571-3450 MECHANICAL WARM AIR: The undersigned hereby makes application for a permit for the work herein Furnace Shell & Duct Work to 100,000 BTU $12.00 $ specified agreeing to do all work in strict accordance with the City Cbdes each add. 50,000 BTU 4.00 $ and rulings of the Department of Buildings, and hereby declares that all the Replacement of Furnace 7.00 $__ facts and representations stated in this application are true and correct. Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ Minn.? , 19 STEAM OR HOT WATER SYSTEM: -+Fridley, OWNER �'d (�,�� yv (.� a IAZe CUt Boiler & Lines up to 100,000 BTU $12.00 $ KIND OF BUILDING�Q.,{Yy� each addn. 50,000 BTU 4.00 $j�e�/ e Boiler only up to 100,000 BTU 7.00 $ USED AS �f each addn. 50,000 BTU 6.00 $ TO BE COMPLETED ABOUT OIL BURNER- to 3 gal. per hour $10.00 $ each add. 3 gal. per hour 10.00 $ ESTIMATED COST GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $_ NEW BUILDING PERMIT NO. PERMIT NO. , (over 199,999 BTU see Fee Schedule) $ GAS FITTING FEES: 1st 3 Fixtures x $ 3.00 $_� DESCRIPTION OF FURNACE/BURNER Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x g $10.00, $ HEATING or POWER PLANTS, Steam, .Hot Water, Wa�Air- �Jo. AIR CONDITIONING $�_ Trade Name �� Size No. FAN HEATING SYSTEMS See Fee Schedule $ VENTILATING SYSTEMS $ capacity Sq. Ft. EDR BTU HP ALTERATIONS $ REPAIRS $ --�-7--- State Surcharge $� Total Connected Load Kind of Fuel TOTAL FEE $62,/� BURNER - Trade Name i Size No. .0 V ROUGH INSP. REINSPECTION FEE Capacity Sq. Ft. EDR BTU HP Date ($10.00) RAY K WELTER BEATING CQ. FINAL INSP. S',2 - / ^ Company 4637 Ehicau. AM Date Signed HYIIn@OpOITS, Mindnessota 55407 APPROVAL FOR PERMIT Tel. No.�� MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE q7 -8a,-879001 CITY OF FRIDLEY • APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE PL%1BING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $3.00 $ Future Fixture Opening x $2.00 $ ` New Fixture, Old Opening x $2.00 $ water Catch Basin x $5.00 $ Water Heater - to 99,000 BTC x $5.00 $ 100,000 BTU to 199,000 BTU x $10.00 $ ' Water Softener x $7.00 $ New Ground Run Old Building x $5.00 $ Heater x $5.00 $ GAS FITTING FEES: lst 3 fixtures x '$3.00 $ Additional Fixtures x $1.00 S Gas Range to 199,000 BTU x $10.00 S REPAIRS $ ALTERATIONS First $100.00 $5.00 4 a G $2.00 $ State Surcharge N •.1 s SA ($10.00) a u a M vi 3 a �e. w u w i� u� o as lec ai vii 14t r n 2nd 3rd 4 t7i (R) a Future Connection Opening Connected with Sewer (•) - New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PL%1BING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $3.00 $ Future Fixture Opening x $2.00 $ ` New Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 $ Water Heater - to 99,000 BTC x $5.00 $ 100,000 BTU to 199,000 BTU x $10.00 $ ' Water Softener x $7.00 $ New Ground Run Old Building x $5.00 $ Electric Water Heater x $5.00 $ GAS FITTING FEES: lst 3 fixtures x '$3.00 $ Additional Fixtures x $1.00 S Gas Range to 199,000 BTU x $10.00 S REPAIRS $ ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ State Surcharge $ .50 TOTAL FEE s REINSPECTION FEE ($10.00) Job Address 6074 NE 4 Street- 'Department treet'Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the wrk herein specified agreeing 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 correct Fridley, Mn. 9-25-78 , 19 OWNER ST. WILLIAM RECTORY KIND OF BUILDING frame USED As res e TO BE COMPLETED ABOUT 9-30-78 ESTIMATED COST 20.00 OLD - NEW BUILDING PERMIT NO. PERMIT yN/O Company Signed By . Tel. No. ROUGH INSP. Date FINAL INSP. 7 - Date Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SUFE 01 SUBJECT PER City of Fridley 15.4__ 7 0 AT THE TOP OF THE TWINS BUILDING PERMIT r R N • _____ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r PROTECTIVE NUMBER REV. DATE PAGE OF APPROVED BY ----1 CITY HALL FRIDLEY 55432 ' 612-571-3450 910-F15 9/19/79 JOB ADDRESSrd XRXXMIXXRM 6074 - 4th Street N.E. 1 LEGALLOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 9011A 1-2 $ 4 Hyde Park SHEET I 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE St. Williams Church 6120 - 5th Street N.E. 571-5600 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Twin City Insulation Co. 2310 Snelling Avenue, Mpls., MN 55404 721-2491 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Parsonage 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Reroof parsonage and garages 8 CHANGE OF USE FROM TO STIPULATIONS PERNO S REQUiRE.D AOR V4'R'NGL" SEF ERATE A1ND_ SIGNS. HEATING. pLU"BING TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, Asphatl 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 $1.32 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,650 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION R THE PERFORMANCE OF CONSTRUCTION. $18.00 PLAN CHECK FEE TOTAL FEE � $19.32 SIGNATURE OF CONTRAC OR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT BLDG INSP DATY SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI 01 CITY OF FRIDLEY - y ' + w APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions; or Repairs JDWNE R: C v 12 c b¢ a F �S� , W , c,c i ,a #q -ADDRESS: 6 t 10 iz, N 6 - TEL -NO:- - TEL-NO:- 571-5-600 1 a BUILDER: -1-w I N CL-rY 11,Ju c -4-Tl oL) Cu sss�0 y ADDRESS: 2.3 t o 5hi9-•d-1W8-- *V, A4104s TEL: NOi -7 Z = >041 / -Construction Location �o��_ -.STREET NO: STREET: � S � to IDT: _a BLOCK: 7 ADDITION: Corner Lot: Inside Lot: Setback: Sideyards: .Applicant attach to this form two Certificates of .Survey of lot and Troposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION ea o Front: Depth: Height: Square. Feet: Cubic Feet: Front: Depth: Height: Square - Feet: Cubic Feet: Type of Construction: Ans j7 64A -L fi Estimated Cost: $ L �b , o v' 'Rb Be Completed: W k Q 117 Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET -Mie 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 xepresentajtions stated in this application are true and correct. DATE: t f4 /"ty" SIGNATURE:.**FW i'V Cc't r!y S , Ce p ��y✓(�G�ic/ Stipulations: SuBjECT PERMIT NO. City of Fridley �6 AT THE TOP OF THE TWINS BUILDING PERMIT r R CEIPT NO. � • _ _ COMMUNITY DEVELOPMENT DIV PROTECTIVE INSPECTION SEC ^ r �� CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 3/24/95 JOB ADDRESS 6074 4 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 2 4 1 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE St Williams Parsonage 6074 4 Street NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. St Williams Church 6120 5 Street NE, Fridley MN 55432 571-5600 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Dwelling 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House (28 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 1 I 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 $1.05 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,100 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 PLAN CHECK FEE TOTALFEE $57.15 SIG�CNT O AU NORIZEDAGENT IDATEI WHENPROPE VALIDATED THIS IS YOUR PERMIT B G INSP GATFf- SI NER BUR DERI IDATEI NEW [ ] Effective 1/ 1/95 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (7 v Buildi g Permit p fication Construction Address: a 7 S �y Legal Description: �a � � �` 2 s'�/� G /� `{ �" c%e- Owner Name & Address: f C64"'��� �` G v v' c Tel. #—.,5- � o Contractor: // ® I UW /C. -rd` S MN LICENSE # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # LIVING AREA: Length Width Height Sq. Ft. �1 GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Len Width . Hgt/ \Ground Sq. Ft. OTHER: 1200 l rA� Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks llEstimated Cost: $ 6r6Type of Construction: �7 //V��C Approx. Completion Date: /o (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft Ft DATE: . - ,? e% 9S APPLICANT: Tel. # v CITY USE ONLY Permit Fee $ _5-1© 0 Fee Schedule on Reverse Side Fire Surcharge $ v� . /® .001 of Permit Valuation (1/10th%) State Surcharge $ /. ©� $.50/$1,000 Valuation SAC Charge $ $850 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Att. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS: 01 SUBJECT City of Fridley 9 AT THE TOP OF THE TWINS BUILDING PERMIT ZRP f_R r ' , . ` ____ _ COMMUNITY DEVELOPMENT DIV. �o��® r PROTECTIVE INSPECTION SEC. ■ NUMBER REV DATE PAGE OF APPROVED By -'--I CITY HALL FRIOLEV 55432 612-571-3450 910415 6/21/01 JOB ADDRESS 6074 4 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1,2 4 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Hoi/Thuy Nguyen 6074 4 Street NE 763-586-9642 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO ' Same 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 O NEW 0 ADDITION O ALTERATION] REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Sqj Reroof House & Garage (p/j 2nd Layer 9 CHANGEOFUSEFROM TO STIPULATIONS Roofing can be the 2nd layer but not the 3rd. 7/19/01: Owner error in calculating job value; Refunded overage of fees on 7/20/01. 190 �fP9a9y' SEPARATE PERMITS ARE REOUIREO FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPCY 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 1 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUA/TION SURTAX DORDINANCES GOVERNING I 11/101/ $510 VYIY-7 $ WITH T H WHETHER SPECIFIED HEREIN NOT. THE GRANTING OF AOPERMIO •5O DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE FANY OTHER STATE OR LOCAL LAW PROVISIOCON- EGULATING CON• 481111 $26..55 Fire SC VZ/ $.51 STRUCTION ORTHE PERFORMANCE OF CONSTRUCTION -7q PLAN CHECK FEE T TAL FEE $'� q $27.56 URE OFCON' CTOaOp 4UTMOpI1EO AGENT IDATE, PR PERLV L TED T IS Y R P MITE NNA OF Opp NEF+„F O E LDiDATE, BLDG Sp MATE 01 NEW [ ] Effective 1/1/2001 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & Address: +tJ " ° / .TT 6 =Aef�� Contractor m kh �1 Address: 6024 74 Y r +z Attach to l� F lot with th, LIVING AREA: Length �/ GARAGE AREA: Length a� / ' DECK AREA: Length OTHER: 3 , Construction Type: Driveway Curb Cut Width Needed: Ft + 6 F �. 30 DATE: G —d1 _ APPLICANT:CJ CITY USE ONLY - Call (763) 572-3604 for Permi C� Permit Fee✓ Fee Scht Fire Surcharged 3:'-:$ .001 of I State Surcharge)/�$ $.50/$1,C SAC Charge $ $1150 per, License Surcharge $ $5.00 (State .-Oluential Contractors) Driveway Escrow $ Alt. 'W or Alt. o Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL a,, P® $ STIPULATIONS: Building Inspections 763-572-3604 DATE SITE ADDRESS _ THIS APPLICANT IS: BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY Permit No.: c,�W& Received By: Date Recd: YOUR E-MAIL ADDRESS 1 LQ,O-WNER ❑CONTRACTOR a PROPERTY OWNER/ NAME: 1 1< G�-�L� C-- TENANT ADDRESS: Co U 4 { X1'1 . N�—:— CITY TATEIPpj PHONE: `7(0 �5 SSS G, CONTRACTOR NAME: STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY STATE—ZIP— TATEZIPWITH WITHAPPLICATION PHONE FAX PROPERTY TYPE XSINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH X ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ♦ LMAINTENANCE/REPAIR ❑ REMODELING ? / 1 DESCRIBE WORK BEING SIZE OF IMPROVEMENT NUMBER OF SQUARES _ GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl ❑ Aluminum ❑ Other ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE ❑Soffit ❑ Trim ❑ Fascia WINDOWS 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 V HEIGHT BASEMENT REMODELING SUBMIT: I. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used Ft. 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 3. Energy Calculations ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING T g.97 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION S 8 o0 OCCUPANCY TYPE Permit Fee Plan Review Surcharge Fire Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due See Back Page for Fee Schedule 65% of Building Permit Fee (.0005) times the total job valuation — Minimum $.50 .001 x Permit Valuation (1/10%) $5.00 (State Licensed Residential Contractors) $1450 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$20=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable to: City of Fridley Attach THIS IS AN APPLICATION 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 work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. I / r' SIGNATURE OF APPLICANT] � PRINT NAME ( 1' J-9`' Cj;IUDATE V 6V. Building zffdz BUILDING Permit Fee Permit No.: Inspections Plan Review RESIDENTIAL APPLICATION 65% of Building Permit Fee Received By: 763-572-3604 .001 times the total job valuation Surcharge $ �j .0005 x Permit Valuation Minimum $.50 License Surcharge $ IZO CITY OF FRIDLEY SAC Charge J Date Rec4 -I 763-502-4977 FAX Curb Cut Escrow $ ft + 6 ft = ft x $21 =$— $Erosion Erosion Control $ EFFECTIVE 1-1-09 Park Fee $ ^� DATE ' / - ©7 YOUR I ym 6 c SITE ADDRESS E-MAIL ADDRESS nV w 1 r lave . l..0 THIS APPLICANT IS: ❑ OyW�NER CONTRACTOR PROPERTY OWNER/ NAME: / TENANT ADDRESS: S rzr CITYSTATE_j ("IP S -T t13 Z PHONE:d- (o O Z Z CONTRACTOR NAME: S. M.A. e SUBMIT A COPY OF YOUR STATE NS STATE LICENSE #(� EXP DATE 3 -LVLT/ AND CERTIFICATE OF ADDRESS: 10764 Ul CITY & Y STATEL(/IAP_„ INSURANCE PHONE Jam-JC01 0 FAX ? 3 - Q Q PROPERTY TYPE VSINGLE FAMILYA SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES_ PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH >QROCIF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION MAINTENANCEMEPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: 're -r-0011 SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING-'2HOUSE ONLY NUMBER OF SQUARES HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim I. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia 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: _(UgNG THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ zffdz OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ / .001 times the total job valuation Surcharge $ �j .0005 x Permit Valuation Minimum $.50 License Surcharge $ IZO $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 =$— $Erosion Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ Make checks savable to: Citv of Fridlev Attach Stiaulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and c owledge that the information above is complete and accurate; that the work will be in conformance with the ordinances an c es he City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for rmi d work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of all hi equ•res review and approval of plan g. SIGNATURE OF APPLICANT PRINT NAMEG�//Gl/ L, J /Gl�� DATE 1 �' I PLEASE NOTE: SEPARA)rE PERMITS ARE REQUIRED FOR PLUMBING. ELECTRICAL AND MECHANICAL WORK I