PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT
Date:
Owner: .._"-.....1......._., , ....__..._....
Address..—
Builder
Address ........ _.......
....._....--
LOCATIO14 OF BUILDING
rts .,..._
Street __ rc....,_..:__....__......... _............. _.............. Paof Lot
Lot .�.�.�.� Block ----- ----- ,%..-------- ------------------ Addition or Sub-Division
Corner Lot ....._...._ _........ Inside Lot ..... _..................... _........ Setback ....: Y;; .: ,, ............ _........ Sideyard....._..t'_..,�......,._. ...'
Sewer Elevation
Foundation Elevation
DESCRIPTION OF BUILDING
To Used as:
1
�
..... ..:�'. '�..:�,�..^.
...... Front __.'_�'�...�. .. Depth .._ ..., ..__ Height ...._.. Sq. Ft., Cu. Cu. Ft. oa*1,'---..�
.. Front Depth .............. .._`, He'ght .................... _.I Sq. Ft. ...__............ _. Cu. Ft.........................
Type of Construction Est. cost....e!�Y. .:.._�'��t-�L�...'" To be Completed ....._ .............................................
THIS PERP:Pli-i DOE PJ,J.J.' AUTHORIZE VIOLAT-
Ir"�,�I...L_;-"J4D COVEN, -".NTS AND
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.
a �,;,....;...
In consideration of the payment of a fee of $... _........ ._......... , permit is hereby granted to. .... ... ,.... _..._:.._.._..._....... ..... _.......
..
._............ to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon add building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, -repair and moving of buildings
within the city limits and this permit may be revoked at any timon violatio of any of the provisions of said
ordinances. ./i� .ra•
Building Inspector
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gaoheating, sewer or water. Be sure to see
the Building Inspector for separate permits for these items.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
Owners Name %e_ Builder 99'/n
Address Address
LOCATION OF BUILDING
No.Street S14 S �� Part of Lot
Lot,2'9 Block [ (._,_. „ Addition or Sub.Div, —We a,,,_u I ?aeve 110,0
C 4-4-6 -
Corner Lot Inside Lot., ___._Set Back Side -Yard
SEWER ELEVATION FOUNDATION
Applicant attach to this form Certificate of Survey of Lot and proposed 'buildin$
location. '
DESCRIPTION OF BUILDING
To be used as:
Front ` Depth He3ght�---
. F ���, ? . Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction )-C--p 90Q g Estimated Cost 1,4f
To be completed %p C�
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. A
DATE SIGNATURE
(A Schedule of Fee costs can be found on the Reverse Side,)
. �4
City of Fridley, Minn.
BUILDING PERMIT
Date:
�C ,
Owner: ._ _ � • ,�.'..•.� _..`...__ ..._.....__ Builder �
Address Address
�, 1.0;107/0,FBUILDING
No. , . . Street, ._.. �e.._._ `r� ._.._.W2./ ....._...._......_. Part Loth .._...... .. _ _
Lot _ Block % .. Addition or Sub-D,�vi�ion .��.--,►1'
.. .
Corner Lot .._....-.:'�^"^.."_� .. Inside Lot ...---•--_-----•----.__..---... �tback ._......�::e��.�_-.'.. Sideyard
Sewer Elevation _.._..._------------ Fou dation Elevation r
DESCRIPTION OF BUILDING
.4u
p He ght Sq. „ �-
,/✓ y`
• ....y., .: Front . _ De th ` _. �'f?__ Cu. Ft.
.00
:. ...................:..:... Front _.. .. --.. Depth Co
......._.. Sq. Ft...... .., Cu. Ft....._..,'
of Construction ............................. To be Completed ................. ... .... ............. ............
Type "Est. Co�eelght
_`-..._..._.
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
wit nanchi
e. city limits and this permit may be revoked at any time - Upon siiolatio f any of the provisions of said
// s
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 hems.
APPLICATION FOR BUILDING PEDUT
CITY OF FRIDLEY, KMWMTA
Owners Name Builder—,45
Address
�Address.
LOCATION OF BUILDING
No. 311 S Street t of Lot
Loth 3; - Block. / Addition or Sub.Div.
Corner Lot'Inside Lot Set Back Side -Yard 6
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
DESCRIPTION OF BUILDING
To b use I BALL,
Front �% Depth_,Aae � Height
Sq. Ft. Cu. Ft.,2
NJ 0
Sq. Ft. Cu. Ft.
Type of Construction-:2aAgewc_ _,______Estimated Cost '4f
To be
The undersigned hereby makes applReation 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 t all the eta and represen -
tions stated, in this application are true .ate !e -s x. �s�,�r
�M��
4
(A Schedule of Fee costs can be found on"-4hk *verse Side.)
MR
1
0,�/�
Application for Power Plants and Heating. Cooling, Ventila ion..Re#rigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SU. 4-7470
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 ...... ................ 1. 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 & Lines -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 See Fee Schedule
VENTILATING SYSTEM AT ®� ,
ALTERATIONS & REPAIRS TOTAL FEE
ROUGH
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, M. �� 0�, :, 1962
Owner
Kind o'i
Used as
To be completed about
Estimated Cost, $ AXE
Old-Agew Building Permit No.eZ6eZZ Permit N..Id
DESCRIPTION OF WORK
HEATING or POWER. PLANTS—Steam,�Wa��Warnt Air—No- a -d
s
Trade Name -4- '0 A -i Size No_
Capaci4 ® ® 4 Sq. Ft. E.D.R BTU H.P.
Total Connected Load- 7e. ® Kind of Fuel
BURNER — Trade Name Size No
Capacity Sq. Ft. E.D.R BTU H.P.
Y 42 2M 7-59 Business Phone
FINAL ry
(REMARKS -OVER)` a""a.a,l,-.I_ & / �
!!Lv i i
0 j /C
Application for Power Plants and Heating. Cooling. Ventilation, .Refrigeration tind
Air Conditioning Systens and Devices
PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SII, 4-7470
,
GRAVITY WARM AIR:
Furnace Shell & Duct Work ..........................
Replacement of Furnace .............................
Repairs & Alterations—up to $500.00 ..................
Repairs & Alterations each add. $500.00 ...............
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............
reach add. 60,000 BTU ........................
Replacement of Furnace .............................
Repairs & Alterations—up to $500.00 ... :.. .............
Repairs & Alterations each add. $500.00 ..............
STEAM or HOT WATER SYSTEM
RATE TOTAL,
8.00 $
5.00 $
5.00 $
2.50 $
8.00
$
2.00
$
§.00
$
5.00
$
2.50
$
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
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-
Owner 03,
Kind of Building
Used as a
To be completed about
Estimated Cost, $
•1i'16 Permit No. f C!
Permit No.
DESCRIPTION OF WORK
HEATING or POWER PLANTS -Steam, Hot Water, Warm Air—No
01
GAS BURNER (up to 400,000 BTU) .................p�.L.... 5.00 $ Q Trade
—
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
See Fee Schedule
VENTILATING SYSTEM
$
ALTERATIONS & REPAIRS
TOTAL FEE
$ L d O
ROUGH
FINAL
Capacity.
Size
Sq. Ft. E.D.R BTU H.P.
Total Connected Load Kind of Fuer
BURNER — Trade Name IffeSize No
Capacity. Sq. Ft. E.D.R BTU H.P.
(REMARKS–OVER)
-Q 42 2M 7-59 Business Phone No
City of Fridley
AT THE TOP OF THE TWINS
f
SUBJECT
BUILDING PERMIT
'
2 0 614
1 7
_ COMMUNITY DEVELOPMENT DIV.
v PROTECTIVE INSPECTION SEC. ";
r
/1 CITY HALL FRIDLEY 55432
�""'�'If ,'4 612-571-3450
NUMBER
910 -Fl S
REV.
DATE
10/4/90
PAGE OF
/ /
APPROVED BY
JOB ADDRESS 5381-83 6th. Street N.E.
1 LEGAL
DESCR.
LOT NO.
29,30
BLOCK
16
TRACT OR ADDITION SEE ATTACHED
Hamilton's Addn. to Mechanicsville SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Gliadon 7131 Riverview Terrace N.E. 572-0253
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Lindstrom Cleaning & Construction 9621 - 10th.Avenue N., Plymouth 544-8761
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Duplex
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION Ek REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Fire Repair to both units..
9 CHANGE OF USE FROM TO
STIPULATIONS
Provide smoke detectors on both.levels.
SEPARATE PERMITS REQUIRE® FOR
W I R 1 N G, HE- A TI NG, F' B t'M 3 ! N G AN'D SIGNS.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
VENTILATING OR AIR CONDITIONING.
ZONING
SQ. FT.
CU. FT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
NO. DWLG. UNITS
OFFSTREET PARKING
ANY TIME AFTER WORK IS COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
2
STALLS GARAGES
VALUATION
SURTAX
AND KNOW THE S ME TO B RUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANC GI NG THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER PECIFIE HEREIN OR NOT. THE GRANTING OF A PERMIT
$ 35 0.00
$17.50
PERMIT FEE
SAC CHARGE
DOES NOT PR UME TO INAUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS,4F ANY O ER STATE OR LOCAL LAW REGULATING CON-
TRU TIO O TH P ORMANCE OF CONSTRUCTION.
le.
$317` 00
PLAN CHECK FEE
,Fire SC $35,00
TOTAL FEE
$369.50
SIGNATURE OF CONI ACTOR OR AUTHORIZED AGENT )D TEi
WHE ROPERLY fA TE HIS IS YOUR PERMIT
L gam/
BLDG IbAP DATE�-
SIGNATURE OF OWNER OF OWNER BUILDER) )DATEI
NEW [ ] Effective 8/16/90
ADEN [ ] R-1 AND R-2
ALTER [ ] Building Permit Application
Construction Address: 5381 & 5383 6th Street N.E,
Legal Description:
a%.3o-� CSC' �l� . ' 04AMt c.i-z�,'s
/
DA) • /--I) I%ge0V_,1
Owner Name & Address:
Gliadon
7131 Riverview Terrace N.E.
Tel.
# 572-0253
(actor: Lindstrom Cleaning & Construction 9621 - 10th Avenue Nirel. # 544-8761
Plymouth
Address •
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIM G AREA: Length Width Height Sq. Ft.
G RAGE AREA: length Width Height Sq. Ft.
DBM AREA: Length Width Hgt/Ground Sq. Ft.
Off: Fire Reg4ir to both units
Corner Lot [ ] Inside Lot [ ]
Type of Construction:
Approx. Completion Date:
Ft. Yd Setback Side Yard Setbacks
Estimated Cost: $. 35,000
Proposed Driveway Width If New Opening
DATE: amlV APPLICANT:
Penait Fee $ 170
Fine Surcharge
State Surcharge $ III -SO
SAC Criarge $
Driveway Escrow $
Park Fee $
Sewer Main Charge $
Ft. $ $
Width + 6' See Back Page
Tel. # r/
CITY USE ONLY
Fee Schedule on Reverse Side
.001 x Permit Valuation (1/10th �)
$.50/$1,000 Valuation
$600 per SAC Unit
Alt. "A" or Alt. "B" Above
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
`,6S, coo
oad 2S2,00
�Ox 4,61) (Da.®o
317,E
CITY OF FRI DLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
RATE
SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE
TOTAL
New Fisturse
g 5.00
S
Future Fixtures
K
d
$
Mdter
$ 1.50
$
Beer Dispenser
a
S 4.00
$
a s
.
b
m,
w
a
w
$
Rain Nater Leader
Heater
$ 5.00
$
Hydraulic Valve
$ 5.00
$
Sump or Receiving Tank
$ 5.00
$
Mater Treating Appliance
$ 7.00
$
not Mater. Heater
$ 5.00
S
Gas Range
$ 10.00
S
Gas Dryer
$ 10.00
o
g
Yes ( ) No
( )
Type
S 5.00
S
a
oria
c w
w
u
z
o
;as
'lec
usi
U
li
in
o�
3
ci
lit
2nd
1
3rd
4th
(R) - Future Connection Opening
Connected with Sewer
(•) - New Fixture, Old Opening
Mater
RATE
SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE
TOTAL
New Fisturse
g 5.00
S
Future Fixtures
S 3.50
$
Old Opening, New Fixture
$ 1.50
$
Beer Dispenser
S 4.00
$
Blow Off Basin
$ 5.00
$
Catch Basin
$ 5.00
$
Rain Nater Leader
$ 5.00
$
Hydraulic Valve
$ 5.00
$
Sump or Receiving Tank
$ 5.00
$
Mater Treating Appliance
$ 7.00
$
not Mater. Heater
$ 5.00
S
Gas Range
$ 10.00
S
Gas Dryer
$ 10.00
$
Back Flow Preventer Required. . .
Yes ( ) No
( )
Type
S 5.00
S
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
It of Value of Fixture or Appliance 5
State Surcharge S .50
Iwin.pectlon Fee $ �^ C
1515.00) TOTAL FEE S /d, Lb
Effective May 1, 1990
Job Address,/ ✓ v / �./ w (�G/� �/
Department of Buildings
City of Fridley
Tel. 1571-3450
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 appp>liZ7(-
are true and correct
Fridley, Mn. v , l an
KIND OF BUILDING
USED AS
TO BE COMPLETED ABOUT
ESTIMATED COST
�OLD BUILDING PERMIT NO. PERMIT NO.
Company
Signed
Tel. No.
ROUGH INSP.
Date
FINAL INSP. -7—
Date
APPROVAL FOR PERMIT
PlININUM FEE FOR ANY PLUMBING PERMIT IS $15.00
PLUS THE S.50 ST%TE SURCHARGE