PRE 2010 DOCSF
Village of Fridley, Minn. \ "
BUILDING PERMIT
Date:
OwnerG.f.. ..%. .... :.. .; ..... Builder ....
Address ! ./ .<...:.. ..�......... .... Address ..U.. !• ..� !4 e�y22�i ... ..
OCATION OF BUILDING
Street /P ... . ...................... Part of Lot'W
f.. ..• t t
Lot Block ... .......... Addition or Sub -Division .
ffl_,A"
Corner Lot ........... Inside Lot ........... Setback..... Sideyar
DESCRIPTION OF BUILDING
To be Used as:
Front ... Depth ®� . Height 0 Sq. Ft. �fD . Cu. Ft. ........
. ....... Front ��! ` Depth .°? °� . Height a� Sq. Ft. . f. �. Cu. Ft. ........
/Type of Construction ... Est. Cost ,.fx:...... 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 abovefor I and �Jcompliance with all provisions of
ordinances of the village of Fridley. � �� Z', _ �/
In consideration of the payment of a fee of $.,1�K......, 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 with-
in the village limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
.. uilding Inspector
NOTICE:
This permit does not cover the construction, installation •or'alteration for wiring, plumbs g, gas heating,
sewer or water. Be sure to see the Building Inspector for separate permits for these items.
City of Fridley, Mian..
•
BUILDING PERMIT
Date: June 17, 1965
Elmer J. Pleas
5917 6th St. N.E e
Builder A.G. Olson
Address 126 Carol TAme
Paul
LOCATION OF BUILDING
No. 5917 Street 6th St. N,E. Part of Lot
Lot 14 _ Block 5 Addition or Sub -Division _ Bgnny Adde
Corner Lot Inside Lot Setback _ _ Sideyard
Sewer Elevation _ Foundation Elevation
To be Used as:
Front
Front
Type of Construction
• Repair Storm Damage
•
DESCRIPTION OF BUILDING
�r 3
N° '7914
Depth Height Sq. Ft. Cu. Ft.
Depth Height Sq. Ft. Cu. Ft.
____ Est. Cost _ 3s785,51 To be Completed
In consideration of the issuance to me of a permit to construct a buil g descri above I agree to do
the proposed work in accordance with the description above set fo th a'll pr of
ordinano� of the city of Fridley.
In consideration of the payment of a fee of $ 1'O•00 , permit is hereby granted to A•G• 018on
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.
Allen Jensant Building inspector
NOTICE:
'lids peemh does not cover the censtwatlon, hula[Wen for vArht& phmbine, Bn heating, sewer or water. Be wee to see
tM Building kqm ter for spm to penadb for thea Item.
D
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME ZI'17Z``P"
ADDRESS57 / 7 to g ��P
LOCATION OF BUILDING
No. Street Part of Lot
LOT BLOCK 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.
To be used as:
DESCRIPTION OF BUILDING
Front Depth Height
Sq. Ft. Cu. Ft.,
Front Depth Height'.
Sq.` Ft. Cu. Ft.
Type of Construction ,,Q, estimated Cos
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
(Schedu a of Fee Costs can be
0
found on the Reverse Side).
A pMkmlbn for Power Phos and Walk% Coof m Ven ilmdonR Rehisertftn and
Air Conditioning Systems and Devic
PARTIAL BATE SCHEDULE
GRAVITY WARM AIR:
RATE TOTAL
Furnace Shell & Duct Work ...........................
$10.06 $
Replacement of Furnace .............................
6.00 $
Repairs & Alterations—up to $500.00 ............'
..... 6.00 $
Repairs & Alterations each add. $500.00 ...............
3.00 $
Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $
each add. 60,000 BTU ....................... 3.00 $
Replacement of Furnace ............................. 6.00 $
Repairs & Alterations --up to $500.00 6.00 $
Repairs & Alterations each add. $500.00 .............. 3.00 $
STEAM or HOT WATER SYSTEM
Furnace Shell & lines—to 400 sq. ft. EDR Steam....
.$10.00 $
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ..
10.00 $
Each add. 200 sq. ft. EDR Steam ......................
&00, $
Each add. 320 sq. ft. EDR Rot Water . . . ........ ...
3.00
OIL BURNER to 3 gal. per hour . . . ' ... ...... ..... 6.00 $
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to 199,000 BTL) .............. '....... 8.00 $
over 199,000 BTU See. Fee Schedule
GAS FITTING FEES: NO RATE TOTAL
1st 3 Fixtures x$ 200 $
Additional Fixtures . x .75 $
Gas Range to 199,000 ........... sa 5A0 $
AIR COPDITIONING
FAN HEATING SYSTEM See Fee Schedule
VENTILATING SYSTEM
ALTERATIONS do REPAIRS TOTAL FEE
ROUGH
S—
Dept. of BIdgs. Phone 880-3490
LowiHoa 9 7 0 -z .
bl
City of Fridley:
The undersigned hereby make application for a permit for the work hereic
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 j__ -�( 1&
Owner to --- r,�ti
Kind of Building
Used as
To be completed about
—7/
o c�
Estimated Cost, $L/lc z4C
New. Building Permit No. Permit No. 7
DESCRIPTION OF WORK
HEATING or POWER PLANTS --Steam, Not Water, Warm Air—N
Trade Name Size No
Capacity Sq. Ft. E.D.R BTU H.P.
Total Connected Load Kind of Fuel
BURNER — Trade Name- Size NQ
Capacity Sq. Irt. E.DR- BTU H.P.
(REMARKS -OYER)
7
SUBJECT
PERMIT
City of Fridley
1'71
AT THE TOP OF THE TWINS
BUILDING PERMIT
Ir?�
CEIPT
L'--__� COMMUNITY DEVELOPMENT DIV.
INSPECTION
r 1 PROTECTIVE SEC.
1 � �
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-560-3450
910-F15
16/7/73
JOB ADDRESS 5917 - 5th Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
6
1
Bennett Palmer Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Ernest Walters 5917 - 5th Street N.E.
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.
6 USE OF BUILDING Residential
7 CLASS OF WORK
NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBEWORK Construct 26' X 24' Garage
9 CHANGE OF USE FROM TO
STIPULATIONS Provide a hard surface driveway.
SEPERATE PERMITS REQUIRED FOR MIRING,
HEATING, PW'MBING AND SIGNS.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
Wood Frame
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONINGl
SO. FT.
CU. T
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
K6140
R
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
1 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.
$ q 826.7.E
1.41
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
a�a
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.
$12.00
PLAN CHECK FEE
TOTAL FEE
-IfUNATUR_O 3
13.41
*-AGENT
SI NATURE OF CONTRACTOR ORAUTHORIZED AGENT (Dg Et
WHEN PROPERLY VAL ATED TFlIS IS YOUR PERMIT
C
SIGNATURE OF OWNER (IF OWNER BUILDER) (DATEI
BLDG. INSP DAT
7
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME : Zi' N e -L 4 //Ie4JILDER • S ,.-Y rr C -
ADDRESS: fo� s ;�- ADDRESS: 1
NO:. % STREET:
LOT: BLOCK • f ADDITION • .& A# .0-o9,1,a
CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD:
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
;: C Front : , Depth ® Height:_ ®
Square Feet: Z -7, Cubic Feet •
Front: Depth: Height:
Square Feet; Cubic Feet:
Type of Construction: J jam ® . Estimated Cost:_
To Be Completed:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in stgict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are true and correct.
a
DATE: _ SIGNATURE: Al
(See Reverse Side For Additional Informa$on.)&
6
L �-- owner of the property located at
%aveMno objection to the City
&Bowing the construction of a to be located at
Without the required certificate of survey
that the City ordinarily requires for all new construction.
2,
Sgn;,
d
d c�'
Address
itaess to
Building
MECHANICAL
Permit No. "1
Inspections
RESIDENTIAL APPLICATION
Received By:
763-572-3604
CITY OF FRIDLEY
D 'bJ ty gm
763-502-4977 FAX
EFFECTIVE 1-I-2010
DATE(0-19 " l D YOUR E-MAIL ADDRESS
SrrE ADDRESS %)i S1 :Q
THIS APPLICANT IS: ❑ OWNER CONTRACTOR
PROPERTY
NAME:
OWNER/
ADDRESS: CITY STATE ZIP
TENANT
PHONE:
CONTRACTOR
COMPANY NAME:
SUBMIT A COPY OF
CONTACT PERSON: �a.D
STATE LIC NSE #7 EXP DATE
YOUR STATE
LICENSE WITH
ADDRESS 5 5 (�`a- VIJ iii QJ CITY Pizue— STAT11,OX—ZIP a
APPLICATION
PHONE �� ���d FAX
PERMIT TYPE
SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK:
❑ NEW REPLACEMENT ❑ ALTERATION/REMODEL
DETAILED DESCRIPTION OF WORK
FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW)
PROVIDE HEAT LOSS CALC'S PER MANUAL J 2006 ASHRAE HANDBOOK
Equipment Installed MFG: MODEL: SIZE/BTU
MFG: \ MODEL: MoC C 6-j SIZE/BTU tCIJ,C,C J
MFG: Co -'Y' MODEL q SIZEBTU ecl
AJC $25.00 _FIREPLACE (GAS) $15.00 _GAS RANGEIOVEN $10.00
_AIR TO AIR EXCHANGEER $IS FIREPLACE (WOOD) $35.00 _NEW GAS GRILL $10.00
BOILER $35.00 f..PURNACE $35.00 UNIT HTR $10.00
_GAS
_CHIMNEY LINER $10.00 _GAS DRYER $10.00 _POOL HEATER $35.00
DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00
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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 c e f all work w b requir revi and approval of plans.
SIGNATURE OF APPLICA PRINT NAME
APPROVAL INSPECTORSSIGNATURE DATE
ANN., r
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604 FAX: 763-502-4977
City of Fridley Residential Mechanical Application Page 2
REQUIRED INFORMATION NEEDED TO PROCESS PERMIT
RESIDENTIAL PERMIT APPLICATION HVAC
0 NEW HOMES/ADDITIONS 0 EXISTING HOME 0 MAKE-UP AIR
REQUIRED FOR NEW/EXISTING HOMES
1. Combustion Air (See note below)
a. Oil or solid fuel IMC Chapter 7 with MN Amendments
b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments
2. Make-up Air (See note below)
a. IMC Chapter 5 with MN Amendments MN Rule 1346 Sec. 501
3. Venting
a. Gas appliances IFGC Chapter 5 with MN Amendments
b. Fuel other than gas IMC Chapter 8 with MN Amendments
4. Heat loss & cooling load per room
a. MN Rule 1322, Sec. NI 104.4.13
5. Ventilation
a. Per MN Rule Chapter 1322. Sec. 1104
6. Duct Design Per IMC 1346.0603.2
a. ACCA Manual D
NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for
combustion and make-up air calculations.
Building PLUMBING Permit No.:
Inspections RESIDENTIAL APPLICATION Received By:
763-572-3604 CITY OF FRIDLEY to
763-502-4977 FAX 2
EFFECTIVE 7-1-2010
�p
DATE %I141Ili YOUR E-MAIL ADDRESS
SITE ADDRESS 6 S C
THIS APPLICANT IS: ❑ OWNER ONTRACTOR
PROPERTY
NAME: 9d& 44 ts
71
ADDRESS: ,-1 Us S�' LJ CITY STA ZIP5�w
R
EN EKI
TENANT
PHONE: �4-14-L` 0SV1
CONTRACTOR
NAME: 6 yu, plikwki'm
SUBMIT A COPY OF
YOUR STATE
STATE LICENSE # EXP DATE
LICENSE, BOND AND
STATE BOND EXP DATE
CERTIFICATE OF
®#
ADDRESS: E ?KV Mu_yid Sf IV r M CITY fn �I STATEN SS �L
INSURANCE
'�J
PHONE J ` ��{ FAX
PERpAH TYPE
kINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK:
❑ NEW *PLACEMENT
DETAILED DESCRIPTION OF WORK
FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE
$35.50.
BATH SINK/LAV DRAINS SHOWER _ WATERPIPING
_ _FLOOR _
GAS PIPING (NEED CITY LIC) SW 6vflNG POOL _ WATER SOFTNER ($35)
—BATHTUB _ _
CLOTHES WASHER KITCHEN SINK _ WATER CLOSET _ BACKFLOW PREV. ($15)
_ _
DISHWASHER LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION
_
WATER METER —OTHER
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THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED
I hereby apply for a plumbing 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 on site; that the work will be in accordance
with the approved plan in the 1 wo hlch requires review and approvalrof_plans. R,
SIGNATURE OF APPLICANT `� PRINT NAME "/ j4=CG DATE l/J
APPROVAL INSPECTORS SIGNATURE
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977