PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT N° '4990
Date:
Owner: Builder ..... _.............. _.........
_..
Address 0CPS __ Address
L CAy�N O UILDING
No.+s_... Street _ '�7_.-a__._ �it._..._..._ Part of Lot ...�...... �.__._ _... _.
,% .......... Block ....._............/_..4»+!1 r............ Addition or Sub-Divisio*11114V .... _..
Lot ----._�.... ... ( ..._.. _. t
Corner Lot ...._ . ............. ............... Inside Lot .---...'"' ......
...... Setback ....._ ............... Sideyard ....._ car - - .........
..........
...._._......
Sewer Elevation ....._......._._.---_...._..._ ..... _------ _--_---- ---- _...._------._....------.._ Foundation Elevation
DESCRIPTION OF BUILDING
To Used as: Leg"
,�'. .�qq
.. .... Front ..:. De th ems:... .._.. Height ....... Sq. Ft.;k'.�..�'��.4_.. Cu. Ft. 0
p
_ .............. .............. ........ -.............. Front .........----.......... Depth ....._... _.. Height ............. Sq. Ft. ............ ..- .. Cu. Ft. -----------._........
Type of Construction ...... .
���-.�:�1.L�. Est. Cost.../�..4.-�..W .............. 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 violation.pf any of the provisions of said
ordinances. %
1a64 i4V_ 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.
APPLICATION FOR BUILDING PERMIT
CITY`OF FRIDLEY, MINNESOTA
Owners Name,.,. --R x M Tuo _,_ Builder' B & M Ina
Address 3V -40th Ave 10 _ _ Address _. Safe
LOCATION -W BUILDING
No, 41ykreet �� y Part -of Lot �---
Lot� E Block /�- Addition or Sub,
Corner Lot Inside Lot Set Back
Applicant attach to :this form Certificate of Survey of Lot and proposed
building location.
DESCRIPTION OF BUILDING
To be used as • .,=:>
F`ron Depth Height
.___
Sq. Ft. Cu. Ft. a<
Front Depth NAight
Sq. Ft. Cu. Ft.
To be completed 77
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 qL1.1 the'facts'a,nd representations stated in this application
are true and correct,,
Date G °'L ,�. ° Signature
(A Schedule of Fee Costs can be found on the Reverse Side)
BUILDING PERMIT FEE SCHEDULE
Section 2. The Inspector of Buildings shall, before issuing any permit
for the erection of any building or structure, or for any addition to
any existing building or structure, or for any alterations or repairs to
any existing building or structure, upon application therefor, require
the payment by the applicant for such permit of fees to the amount
herein below set forth and in the manner herein provided to -wit:
2.1 For any such permit for the erection of any fireproof building,
other than a garage, warehouse,* factory or grain elevator, or for the
erection of any fireproof addition, for similar occupancy, to any
existing building shall be at the rate of $1.40 for each one thousand
cubic feet, or fra ction.thereof, in such cubical contents.
2.2 For any such permit.for,the erection of any fireproof garage, ware-
house, factory or grain elevator, or for the erection of any fireproof
addition for similar occupancy, to any existing building shall be at the
rate of J1.25 for each one thousand cubic feet, classified as "fireproof"
by Section 502 of the Minneapolis Building Code.
HOUSES
2.3 For any such permit for the erection of any non -fireproof building
other than a garage, warehouse, factory or grain elevator, or any
non -fireproof addition, for similar occupancy, to any existing building.
Permit $1.00 for each one thousand cubic feet.
GARAGES
2.4 For any such permit for the erection of any non -fireproof garage,
warehouse, factory or grain elevator, or for the erection of any non -
fireproof addition, for similar occupancy, to any existing building or
for each such building or addition. Ninety Cents for each one
thousand cubic feet or fraction thereof, in the cubical contents thereof
with a minimum of $4.00.
For the purpose of computing fees for building permits the cubical
contents of any building or addition to a uniform height throughout by
multiplying the ground area covered from a point six (6) indhes below
the floor line of the basement or cellar to the average height of the
upper surface or to the average height of the roof°surface of the main
gable of a pitched roof.
2.5 For repairs or alterations to an existing structure, the fee shall
be at the rate of $3.00 for each Five Hundred Dollars ($500.00), or
fraction thereof in the cost of all.proposed work.
2.6 In no case shall the fee charged for any permit as set forth in
Section 2 be less than $4.00.
o kI
b
Cify of Fridley
Application for Plumbing and Gas Fitting Permit --3 Z,
DGPL of Bldgs. Phone SII 4-7470
DESCRIPTION OF WORK Location— C0 ` S1 � �a
Number, Kind and Location of Fixtures
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE BATES: NO. RATE �'TOT_A-L-
Number Fixtures 1 4 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 BTU) ...... ^�_ x 2.00 $�
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 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 r true and correct.
Fridley, Alinn
Owner Y ; 19
Kind of Building 19—
Used as
To be completed about �Z
Estimated Cost, $�
Old NeW Building Permit No
Sign
By
Business Phone No
Connection Permit No. ......... ............................................_., .. .
Water
OL
Sew D , 0-12
Meter DepositD��i a-0
11 IM -8-58
WATER HTR.
M
In$m
GS
,�i1
a�
~�
a3
cid
U4c
c�0
F
N
GAs
ELEC.
Base
-.
1st
c�
2nd
3rd
4th
• Future Connection Openings
Connected with
New Fixture, Old Openings
Sewer
El
C El
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE BATES: NO. RATE �'TOT_A-L-
Number Fixtures 1 4 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 BTU) ...... ^�_ x 2.00 $�
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 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 r true and correct.
Fridley, Alinn
Owner Y ; 19
Kind of Building 19—
Used as
To be completed about �Z
Estimated Cost, $�
Old NeW Building Permit No
Sign
By
Business Phone No
Connection Permit No. ......... ............................................_., .. .
Water
OL
Sew D , 0-12
Meter DepositD��i a-0
11 IM -8-58
Yr
dt
d
1 ma
Am IJ
TV
OR
y
K
Pt
,
je
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SON
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OIL BURNER to 3 gal. per hour ........................ 5.00
$
over 3 gal. per hour --See Fee Schedule
GAS BURNER (up to 400,000; BTI) ....................... 5.00
$ ,/ ®' Q
GAS PIPING (Up to 3 Fixtures) .......................... 1.50
b Application for Power Plants and Heating,
Coaling, Ventilation, Refrigeration and
0' Air Conditioning Systems and Devices
$
PARTIAL RATE SCHEDULE
Dept. of Bldgs.
p �. Phone SII 4-7470
`
$
ALTERATIONS & REPAIRS TOTAL FEE
'
GRAVITY WARM AIR: RATE TOTAL
Lo - Mon
Furnace Shell & Duct Work .......................... 8.00 $
Replacement of Furnace ............................. 5.00 $
City of Fridley:
Repairs &Alterations—up to $500.00 ................. 5.00 $
The undersigned hereby makes application for a permit for the work herein
ed, agreeing to do all work in strict accordance with the City Ordinances
Repairs &Alterations each add. $500.00 ............... 2.50 $
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and/ correct.
MECH. WARM AIR•dley,
Inn-�� l •'f
, l a
Furnace Shell & Duct Work to 120,000 BTU ............ .00 "& • �J
each add. 60,000 BTU ....................... 2.00 $
Owner 9`"
195—
Replacement of Furnace ............................. 5.00 $
Kind of Buil
195_
Repairs & Alterations --up to $500.00 ................. 5.00 $
Repairs & Alterations each add. $500.00 .............. 2.50 $
Used as _W".' yj"=
To be completed about
STEAM or HOT WATER SYSTEM
m 4
r Furnace Shell & Lines—to 400 sq. ft. IDR Steam, ...... 8.00 $
Estimated Cost, $ ®d
Furnace Shell & Line—to 640 sq. ft. IDR Hot Water ... 8.00 $
,� Cy g
New. Building Permit No. _ �—�
Each add. 200 sq. ft. IDR Steam ...................... 2.50 $
Each add. 320 sq. ft. IDR Hot Water .................. 2.50 $
DESCRIPTION OF WORK
OIL BURNER to 3 gal. per hour ........................ 5.00
$
over 3 gal. per hour --See Fee Schedule
GAS BURNER (up to 400,000; BTI) ....................... 5.00
$ ,/ ®' Q
GAS PIPING (Up to 3 Fixtures) .......................... 1.50
$��_ d
(Add 50c each over 3)
AIR CONDITIONING
$
FAN HEATING SYSTEM See Fee Schedule
1
VENTILATING SYSTEM
$
ALTERATIONS & REPAIRS TOTAL FEE
'
REMARKS:
HEATING or POWER steam, Hot Water, Warm Air—No
Trade Name Size No 0 • O c
Capacity Sq. Ft. E.D.R ZO BTU H.P.
Total Connected Lon dd E9� � wl Tt � n of 1
BURNER — Trade Name Size
Capaci Sq. Ft. E.D.R BTU H.P.
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D S6 a z
HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS
Weatherstrips A.S.uid e .E. Construction No.
Guid
Windows ' Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind
Yes—No. Yes—No 19—
/ F1.1 .'t,r Room Lenath 9h Width f Height II Fl RoomI Length
Wi dows and Doors—Crackage and Area
o
Width Height No. of Lineal t . Area
No. of vane of pane lights of crack sq. ft.
Lineal ft. Area
of crack sq. ft.
aaJ i
Windows and Doors—Crackage and Area
X I
®e R
Coef. Btu
Infiltration
Coef.1 Btu
94-s41
Glass
Coef. Btu
Net exp. wall
Exp. wall_zo 4
Glass
Infiltration
Net exp. wall _ /.,L
/
®p
Int. wall
Glass
—
Ceiling
,S'
Net exp. wall
Floor 2,d X
X
i Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
/ Room I Lenath,.2.4 Width /-:?- Height
Wi dows 9nd Doors—Crackage and Area
1
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
Lineal ft. Area
of crack sq. ft.
aaJ i
Windows and Doors—Crackage and Area
X I
®e R
42
Rd
Coef.1 Btu
Infiltration
Exp. wall
Coef. Btu
Net exp. wall
91f
Glass
Infiltration
Ceiling
/
Floor
Exp. wall /a7�O X
Glass
—
,S'
Net exp. wall
Exp. wall
X
Ceiling
Int. wall
Net exp. wall
Floor
Ceiling
Int. wall
Floor gdx /A
Ceiling
x /d
o;?47
Wincfows and Doors—Crackage and Area
1
Width Height No. of Lineal ft. Area
No. of pane of Dane lights of crack sq. ft.
Lineal ft. Area
of crack sq. ft.
6
Windows and Doors—Crackage and Area
Coef. Btu
Infiltration
Glass
Ape
Exp. wall
Coef. Btu
Net exp. wall
Coef.
Int, wall
Infiltration
Ceiling
/
Floor
os3�
Total Btu. '1„ ly
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
FRIDLEY, MINN.
Insulation
How Amlied
r,_'_t_.
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 01
-7-FI-I _ '10, Room I Lenath /-jl Width /D - Height
Windows and Doors—Crackage and Area
1
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack eq. ft
Lineal ft. Area
of crack sq. ft.
6
Windows and Doors—Crackage and Area
Coef. Btu
Width Height No. of Lineal ft Area
No. of Dane of pane Ilghts of crack sq. ft.
Glass
Ape
Exp. wall d r
Coef. Btu
Net exp. wall
Coef.
Btu
Infiltration
Ceiling J( /D
/
Floor
os3�
Glass
—
,S'
4zo d
Exp. wall
X
Ceiling
Net exp. wall
Floor
Int. wall
Ceiling
x /d
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 01
-7-FI-I _ '10, Room I Lenath /-jl Width /D - Height
Windows and Doors—Crackage and Area
1
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack eq. ft
Lineal ft. Area
of crack sq. ft.
6
Coef. Btu
Infiltrationard
Glass
Ape
Exp. wall d r
Coef. Btu
Net exp. wall
Int. wall
Ceiling J( /D
Floor
Total Btu.
tcldl�
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
1 Fl.l Room I Length /o Width / % Height7—
Windows and Doors—Crackage and Area
/
/
Width Height No. of
No. of pane of pane lights
Lineal ft. Area
of crack sq. ft.
6
Coef. Btu
Infiltration
Glass
Exp. wall �O
Net exp. wall
—
Int. wall
Ceiling
Floor
Total Btu.
Required sq. h. E.D.R. or so. ins. W.A. Leader area
Ddb4
,az
HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS FRIDLEY, MINN.
Weatherstrips A.S.H.V.E. Construction No. Insulation
Guide
Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied
Yes—No Yes—No 19-
9 F1.1 A. v Room I Length /b Width /7 Height 09 � II F1.1 Room I Length Width Height
Windows and Doors—Crackage and Area
/n
Width Height No. of Lineal f . Area
No. of pane of Dane lights of crack sq. ft.
Coef.1 Btu
:Infiltration
Coef. Btu
Infiltration
Glass
Exp. wall
iz
p
Exp. wall
0 X7—
Int. wall
Net exp. wall
Floor
Int. wall
Ceiling
Floor
Total Btu. aa�3
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
F1.1 Room I Length Width Height
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
Coef.1 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
FI.1 Room I Length Width Heiaht
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
Coef.1 Btu
Infiltration
Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
1 btal Btu.
Required so. ft. E.D.R. or so. ins. WA. Leader area
Windows and Doors—Crackage and Area
Width Height No. of Lineal it. Area
No. of pane of pane lights of crack sq. ft.
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
F1.1 Room I LensA Width Height
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
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
F1.1 Rmm I Length Width Height
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pans lights of crack sq. ft.
Coef. Btu
Infiltration
Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or so. ins. W.A. Leader arra
3/ 3��
City of Fridley, NUnn. N° 8590
•
BUILDING PERMIT
Date: NOVEMBER 8, 1965
•
Owner: NELSON SHEPARD Builder SUSSEL GARAGES
Address 5346 – 6th St. N. E. Address 1850 Como Avenue
Fridley 21, Minnesota St. Paul, Minnesota
LOCATION OF BUILDING
No. 5346 Street— 6th St. N. E. 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: 13
Detached Garage Front 22 Depth 26 Height MM Sq. Ft. 572 Cu. Ft. 5,720
Front Depth Height Sq. Ft. Cu. Ft.
Type of Construction Frame Est. Cost _ $1,630.00__ To be Completed
In consideration of the issuance to me of a permit to c ct
the proposed work in accordance with the description above _ se fora
ordiaeaces of the city of Fridley. /,
t above I agree to do
with ail provisions of
In consideration of the payment of a fee of $ 6.00 , permit is hereby grantedto SUSSEL GARAGES
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 buildia�s
within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
ALLEN G. JENSEN Building Xnapector
NOTIC&
This pom* does not aowr the aondrudlon, hutallation for wbdng, plumbing, gn hating, w*w or water. Be an to eso
the Building bupsmr for apwaft parmlb for thea Baa.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME
ADDRESSiZ3q( ' - K� _��a� A
LOCATION OF BUILDING
=- No, Street Part of Lot
LOT K ADDITION OR SUBDIVISION
Corner Lot Inside LOT 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 used as;
FrontDepth, !;_2 Height
Sq. Ft. Cu. Ft.`;> ;,7- rl
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction
' Estimated Cost �O ���
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.
DATES SIGNATURE
-
(Schedule of Fee Costs can be found on the Reverse Side).
0 41
c --
LOT
NAME
SIZE
f
MWLSe.,N" W.
Z2,>cz G —
BLOCK
ADDRESS
VALUE
'55
co
ADO'N.
AREA
TYPE
L)
CZ
Ito
ILI cp—
El,
Dc"scv-- canlmm yrL-2L-L,4Nr
Lo t -r bA
p , I - 40
, r -m cl) &-m
97 -BL, -879001
CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PEWIT
PARTIAL RATE SCHEDULE
PLUMING FIXTURE RATES: N0. RATE TOTAL
Number Fixtures
Future Fixture Opening
New Fixture, Old Opening
Catch Basin
Water Heater - to 99,000 BTC
100,000 BTU to 199,000 BTC
Water Softener
New Ground Run Old Building
Electric Water Heater
GAS FITTING FEES:
lst 3 fixtures
Additional Fixtures
Gas Range to 199,000 BTC
REPAIRS $ ALTERATIONS
First $100.00
each add. $100.00 or fraction
x
$3.00
x
$2.00
x
$2.00
e
X
$5.00
X
u
X
$10.00
X
$7.00
Water
$5.00
e�
0
a
A
m
a
w
w
Heater
4
64 'o
S
Hti
t�y
49
5
a
S
m
u
5
ai
vi
w°
ai
w
ti oea
a
i5
o
as
lec
1st
dr.
er
nd
rar
ge
2nd
E4th
(P.) - Future Connection Opening
Connected with Sewer
M - New Fixture, Old Opening
Water
PARTIAL RATE SCHEDULE
PLUMING FIXTURE RATES: N0. RATE TOTAL
Number Fixtures
Future Fixture Opening
New Fixture, Old Opening
Catch Basin
Water Heater - to 99,000 BTC
100,000 BTU to 199,000 BTC
Water Softener
New Ground Run Old Building
Electric Water Heater
GAS FITTING FEES:
lst 3 fixtures
Additional Fixtures
Gas Range to 199,000 BTC
REPAIRS $ ALTERATIONS
First $100.00
each add. $100.00 or fraction
x
$3.00
x
$2.00
x
$2.00
X
$5.00
X
$5.00
X
$10.00
X
$7.00
x
$5.00
x
$5.00
x '$3.00
x $1.00
X $10.00
State Surcharge
TOTAL FEE
REINSPECTION FEE
($10.00)
$5.00
$2.00
Job Address 531 8 NE 6 `'tre'P t
Department of Buildings
City of Fridley
Tel. 5571-3450
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 Department of Buildings, and hereby declares that all
the facts and representations stated in this application are true and correct
Fridley, Mn. 9-22-78 , 19
OWNER RESI
KIND OF BUILDING frame
USED AS res.
TO BE COMPLETED ABOUT 9-29-78
ESTIMATED COST 20.00 / 7
OLD - NEW BUILDING PERMIT NO. PERMIT NO.
Company
Signed By _ nelninlE��T .e
Tel. No.
ROUGH INSP.
Date
' r
FINAL INSP.
Date
APPROVAL FOR PERMIT /46
MINIMUM FEE FOR ANY PLUMBING PERMIT I9 $7.50 pLUS $.SO STATE SURCBARM
CITY OF FRIDLEY INSPECTION DIVISION 9
6431 University Ave NE
Fridley, MN 55432... APPLICATION FOR POWER PLANTS AND HEATING, COOLING. VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
Residential -
Furnace Shell and Duct Work, Burner -
Also Replacement Fumace
(Side Vent -Fill Out:Back)
Gas Piping (Needed with new furnace)
Gas Range
Dryer -:
�• r Conditioning =M Sizes .
All Others/Repairs & Alterations (UST ON BACK)
1 % of Value of Appliance or Work
Commercial/Industrial
1.25% of Value of Appliance or Work
Rate TOTAL
$ 30.00 $
$10.00 $
$10.00 $
-s
$10.00 $
$ 25.00. $
JOB ADDRESS
Effective On January 1, 1998
J373 61-r N.0
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 7r1
BUILDING USED AS B„
ESTIMATED COST Y<SO o c� PERMIT NO. ( �
DESCRIPTION OF FURNACE AND OR BURNER
$ No. of Heating Units Circle One (Steam) ftt Water) (Warm Air)
Trade Name Size No.
BTU HP EDR
$ Fuel Total Connected Load
State Surcharge $ .50 Burner Trade Name
TOTAL FEE '' $50,s
MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION
REFRIGERATION, AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr
'Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
BTU
HP
Size No.
EDR
HEATING COMPANY C AZL J_L- �) a �, 1 L,CjVJ c,( > C,
Signed By e o Tel No. (40) 7F Y - 6 cD
Approved By Rough -In Date Final Date
FILL OUT BACKSIDE FOR ST K VERIFICATION ON
REPLACEMENT FURNACE
suBJEtT -
-
NO.
City of Fridley
7299 8 7
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
i
V
r PROTECTIVE INSPECTION SEC
2L /
79
1 � �
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910415
8/4/99
JOB ADDRESS
5346 - 5348 6th St e et NE
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
7 g
15
Hamilton's Ad . t0 Mechanicsville
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
John Yang
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Cedar Pointe Const. Inc. 2200 W 66th St Sts 182 Mpls
SSA29 789-7Q49
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 O ADDITION ❑ ALTERATION x® REPAIR O MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof duplex and garage (21 S 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 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
ISTALLS
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 GRA�NT OF A PERMIT
$1835
$.92
DOES NOT PRESUME T IVE AUTHORITY TO VIO CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF A E ST LOC AGULATING CON-
TRUCTION OR E N OF STRU 1 N
$66.20
Fire SC $1.84
PLAN CHECK FE
TOTA EE
Licen S $5.
$7 .96
,G TURE OF eONTRACTOR OR AUT110 ED AGENT (DATE,
EN RO
ALIDAT HIS IS UR�IT
S-GNATURE OF OWNER„F OWNER BUILDER, (DATE,
BLOC ,NSD
t
gAtE
NEW [ ] Effective 5/10/99
ADDN [ ] CITY OF FRIDLEY A
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION(f �� AA
Construction Address:
Legal Description: �f� F'� �,�`' • .�5 Z i
Owner Name & Address: ®"y Tel. # ti ? " -r%1 ' 2,91
Contractor: MN LICENSE # xA0fZ Z99'!9
Address: J�Tel��i'Z�%Y 7 9�i�
Attach to this application, a Certificate of Survey offtthe
lot, with the proposed construction drawn on it to scale.
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
DESCRIPTION OF IMPROVEMENT
Length Width Height
Length Width Height
Sq. Ft.
Sq. Ft.
Construction Type: Estimated Cost: $ Mi?s
J
Driveway Curb Cut Width Needed: Ft. + 6 Ft = F x $ _ $
DATE: y 9 49 APPLICANT:
T4 �� 9
CITY USE ONLY
Permit Fee
$ C .oA3
Fee Schedule on Reverse Side
Fire Surcharge
$ p
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$1050 per SAC Unit
License Surcharge
$ S-.00
$5.00 (State Licensed Residential Contractors)
Driveway Escrow
$
Alt. "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: