PRE 2010 DOCSJ
0
City of Fridley, Minn.
.7
BUILDING PERMIT N® 3407
Date: ............ ..!.. .... ......
Owner....................................... Builder /C/. ... .............
Address...................................... Address .............................................
LOCATION OF BUILDING
No. Street .........l ...... ...................... Part of Lot .............................
..... ......
Lot ... Block ...-3 ........... Addition or Sub -Division af*= . .. h....
Corner Lot .. ........ Inside Lot ............ Setback s .' .. Sideyard n.................
DESCRIPTION OF BUILDING
To be Used as: g 9
.... Front. �,' �.% Depth ;��.: (o Height /.f.'7�. Sq. >• t/O S' `�,' Cu. F �.�/ S
U
.................... Front ........ Depth ........Height .� ... Sq. Ft. ........ Ca Ft. ........
Type of Construction ................... Ilst. Cost A.—I .. ... 7=. To be Completed ....... ......... .
In consideration of the issuance to me of a permit to construct the building desribed above, I agree to do
the proposed work in accordance with the description above set forth in co�p�iance with,&U provisions of
ordinances of the city of Fridley. _/ �C� /,
. `yr:
../. .� :�.. .. ................
In consideration of the payment of a fee of $17.1.x...., 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 city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
awl
NOTICE:
This permit does not cover the construction, Installatlan nr dtBratlon fodwiring, plumbing, gas heating,
sewer or water. Be sure to see the Bullding Inspector for separate permits for these Items.
'5 9 x0r,9
City of Fridley, Minn. M 9522
BUILDING PERMIT
• Date: Oct. 25, 1967
0
•
per• john Swider Builder Andrew Gawe7�Const,,, Co,
Address _ _ — — Address 2407 Washington St. N. E.
LOCATION OF BUILDING
No. 6878 __._ Street — 7 th S t . N. E . _ — _ Part of Lot
Lot _ 25 ..._._.__ Block 3 Addition or Sub -Division .—Rice Creek Terrace, Plat 7
Corner Lot _ ____ Inside Lot — Setback
Sewer Elevation
Sideyard
Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
Dwelling on exists 41:6" Depth 271611 Height 22
basement
Fro t D +11H i t
Type of Construction
M% --
-k' _ _ e gh —
Frame Est. Cost _ $13, 000
10' Sq. Ft. 1123 Cu. Ft. 11232
Sq. Ft. _ _ Cu. Ft.
To be Completed
In consideration of the issuance to me of a permit to cons et the building described above I agree to do
the proposed work in accordance with the description above forth and in complian with ;h provisions of
ordinances of the city of Fridley. -
In consideration of the payment of a fee of $___17._20_, permit is hereby granted to—drew Gawel
Const. 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.
CLARENCE BELISLE
Building Inspector
NOTICE:
This permit does not cover the construction, installition for wiring, plumbing, gee heating, sewer or water. Be sure to ase
the Building Inspector for separate permits for these hems.
APPLICATION FOR BUILDING
CITY OF F RIDLEY, MINNESOTA
OWNER'S NAME � BUILDER i.JL
ADDRESS ADMIESS k
LOCATION Or BUILDING
NO. � STREET � � '.� ! ' PART OF LOT m..
L0K FLOCK ADDITION OR SUBDIVISION
CORNER LOT o_INSIDE LOT SETBACK 'SIDE�YAIt
SEWER LLEVATIOl FOURMAl°ION ELEVATION
Applicant attach to this form Two Certificates of Surrey of Lot and proposed
building location drax-m on these Certificates.
-DESCRIPTION OF BUILDIFIC
To Be Used
_ Front Depth Height
Cu. Ft.
� Frolk Depth _ Height— �
Sq. Ft. Cu. Ft.
Type of Construction Estimated Cost,
To Be Completed..-µ
The undersigned hereby makes application for a permit for the work herein specified,
agreeing to do all work in stria: 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.
DATESSi�:NATUPE��-,
.�
(Schedule of Fee Costs can be found oa the Reverse Side).
l
jk
Application for Power Plants and Healing. Cooling. Ventilation. Refrigeration and
. Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR:
RATE
TOTAL
Furnace Shell & Duct Work ..........................$10.00
$
Replacement of Furnace .............................
6.00
$
Repairs & Alterations—up to $500.00 ..................
6.00
$
Repairs & Alterations each add. $500.00 ...............
3.00
$
MECH. WARM AIR
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
$
v Furnace Shell & Line—to 640 sq. ft. EDR Hot Water
... 10.00
$
Each add. 200 sq. ft. EDR Steam ......................
3.00
$
i Each add. 320 sq. ft. EDR Hot 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 BTU) .......................
5.00
$
over 199,000 BTU See Fee Schedule
GAS FITTING FEES: -4qO RATE TOT
1st 3 Fixtures ......................
x$ 2.00
$
Additional Fixtures .................
x .75
$
Gas Range to 199,000 ...........
x$ 5.00
$
AIR CONDITIONING
FAN HEATING SYSTEM
VENTILATING SYSTEM
ALTERATIONS & REPAIRS
ROUGH
FINAL
See Fee Schedule
TOTAL FEE $ / c
Dept. of Bldgs. Phone 560-3450
City of Fridley:
The undersigned hereby makes application for a permit for the work hereiL
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- Ol/ Ae , 1�
Owner
Kind of BuildingFaI�
Used as
To be completed about
/I " / 191/1 i
Estimated Cost, $ /
Old–"uilding Permit No. rS Permit No. ^�C)/ �5
DESCRIPTION OF WORK
7��
HEATING or PO team, Hot Water arm AirL' o
Trade Nam `44%' Size No_;
Capacity Sq. Ft. E.D.R BTU H.P.
Total Connected Load of Fue
BURNER —Trade Name E Size No
Capacity Sq. Ft. E.D.R BTU H.P.
(REMARKS -OVER)
Signet] i�. WELTER HEATING CO.
4637 CHICAGO AVE.
By -WINNE—APD-1-20 7. MIw(NESOTA
<x Business Phone No.
r.
C
Infiltratic
;,Qass
7:11 g
wall
Ceiling
r
7 ty
'Total Btu.,
sq. ins. W.A. Leader area
5,
)F BUILDINGS
IIIatolatton
Roof Floor KiIId How Applied
Room I Length -JJ O—Width Height
Windows and boom—Crackage and Area
No. 09
Width Height Lineal ft. Area is
No. of pan$ of pane lights of crack -sq. ft.
JL-2-a
2=
CoBin
d.1'
Infiltration W-20 0 z
Glass 3
&P. wall et
Not exp. wan --76
Int. wall
Ceding
Floor
Total Btu.
Required sq. ft. FE.D.R.or sq. ins -,W-& Leader area
n-1 g"Z- IL 'ROOM I Length Width '-7 Height- !
Windom and Doors--Cracl;age and Area
Width Height No.0 Maw ft. Area
No. of pane or pans lights of crack sq. ft.
Coef. Btu
Infiltration
Glass
j
Emp. wA77 1 1
U,< /t)
Net exp. wallrp
-
Int. wall
Ceiling, zo >,- -;z EIS � a
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. I.Pulder area
Room 1Length rO— Width /0 GHeigh
a Dara--Cracltage and Area
0. Lineal Ira
Width I Height ft.
No. at Pane of Pass lights of crack
1.2
Btu
&-C4 Infiltration
7
Glass
Exp. wall
Net esp. wall
Int. wall
Ceiling
Floor
Total Btu
Required
■
sq. ft. E.D.R. or sq. ins. W.A. Leader area
x
wTUSS CALCULATIONS
DEPARDEM
Construction No
Guide
Reference
DqR-ro,
Out. Wall
Int. Wall Ceiling
o
19—
",67 Room I Length e/&Width
TlieWt F
Windows and Doors—Crackage and Area
N f Lineal ft. Area
Width Height %ats of crack
of pane of pane I., ti.
q
7 777-11
Coef.1 Btu,
Infift Itio n
I T 11'd
7
y„Falp: wall
elto. Wall
-S- 0
Fl 00
-
72
.:Tonal Btu.
Required sq.- ft. F.D.R. or sq. ins. WA. Leader area
N , Ee4 Room I Length Tt- i: Vidth
Height
,,,Windows'and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
ofpaneof pane lights of crack eq. It.
dw
Coef. Btu
-.1lifilft -
oktiou
Glass20
wall
41` Net exp. wall
,.:Jnt. wall
::Floor , >
Total Btu.
Req sq'. ft. F-D.R. or sq. ins. W.A. Leader area uired
W. Fl -1 Kt .. Rom I LLenA 77
- I
;r eight
r
in n Be an Area
Ideh Helaht No, oL Lineal t Area
k,No of pane at pane lights of crack 04. IL
L
r.
C
Infiltratic
;,Qass
7:11 g
wall
Ceiling
r
7 ty
'Total Btu.,
sq. ins. W.A. Leader area
5,
)F BUILDINGS
IIIatolatton
Roof Floor KiIId How Applied
Room I Length -JJ O—Width Height
Windows and boom—Crackage and Area
No. 09
Width Height Lineal ft. Area is
No. of pan$ of pane lights of crack -sq. ft.
JL-2-a
2=
CoBin
d.1'
Infiltration W-20 0 z
Glass 3
&P. wall et
Not exp. wan --76
Int. wall
Ceding
Floor
Total Btu.
Required sq. ft. FE.D.R.or sq. ins -,W-& Leader area
n-1 g"Z- IL 'ROOM I Length Width '-7 Height- !
Windom and Doors--Cracl;age and Area
Width Height No.0 Maw ft. Area
No. of pane or pans lights of crack sq. ft.
Coef. Btu
Infiltration
Glass
j
Emp. wA77 1 1
U,< /t)
Net exp. wallrp
-
Int. wall
Ceiling, zo >,- -;z EIS � a
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. I.Pulder area
Room 1Length rO— Width /0 GHeigh
a Dara--Cracltage and Area
0. Lineal Ira
Width I Height ft.
No. at Pane of Pass lights of crack
1.2
Btu
&-C4 Infiltration
7
Glass
Exp. wall
Net esp. wall
Int. wall
Ceiling
Floor
Total Btu
Required
■
sq. ft. E.D.R. or sq. ins. W.A. Leader area
x
it HOUSE HEATING TEST RECORD
ADDRESS .�� 2,5,25! APT. 00 C TY SUBURB
OCCUPANT OWNER
HEAT LOSS DATE HTG. INST. GAS CO. METER ADG #
SOLD BY - INSTALLED BY
Electrical Work By Gas Line By
TYPE OF HEAT GA_ FA HW STEAM SPACE HTR. _
iGES�
MAKE MAKE OF BURNER _
Model �� I ge�/'®.5��!!'�i�2� Model
Serial �� ���� �Max. BTU Rating —
INPUT MAKE OF FURNACE
Model
CONTROLS
THERMOSTAT 4 iC 0%00�-H eat Plug
Valve
Limit
Limit Setting 1 &40" Filters
Fan Setting J' Chimney
Pilot Type Chimney
Pilot Make
Pilot Model �'-
Pilot Timing
UNIT HTR. OTHER
CONVERSION
a
Vent Size
KIND OF LINE SIZE 49C
k NONE
Draft Hood , Regularor
L.W. Cut Off, �i
Pressure -� � p Psi� t,C�Op� I� —S Date Tested q�/
Input CFH - -P RX �2- A, �,�Company Testing
Stack Temp. �.�'�o Percent CO ®C t Name of Tester
Size Number
Location Inside �� Outside
Construction
Smoke Bomb Wiring
Draft ®A Test Tag ✓
oor Pressure_ Lighting Inst.
Form 235
.%"l° ey,
0/0 w nor
C/o -se-
Jr
se
Application for Power Plants and Heating, Cooling, Ventilation, Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR: RATE TOTAL
Furnace Shell & Duct Work .......................... $10.00 $
Replacement of Furnace ............................. 6.00 $
Repairs & Alterations—up to $500.00 .................. 6.00 $
Repairs & Alterations each add. $500.00 ............... 3.00 $
MECH. WARM AIR
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 ...................... 3.00 $
Each add. 320 sq. ft. EDR Hot 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 BTU) .......................
5.00
$ 10• &t
over 199,000 BTU See Fee Schedule
GAS FITTING FEES:
NO RATE TOTAL
1st 3 Fixtures ......................
x$ 2.00
$
Additional Fixtures .................
x .75
$
Gas Range to 199,000 ...........
x$ 5.00
$
AIR CONDITIONING
$
FAN HEATING SYSTEM See Fee Schedule
VENTILATING SYSTEM
$
ALTERATIONS & REPAIRS
TOTAL FEE
$
ROUGH
FINAL
Dept. of Bldgs. Phone 560-3490
Ic
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 applin'Z'n2''2
are true and correct.
�-, I Fridley, Mwz Wid
Owner
Kind of
Used as
To be completed about ,t° , 147
Estimated Cost, $ -
New. Building Permit No. Permit No.�5
DESCRIPTION OF WORK
HEATING or POWER PLANTS -Steam, Hot Water, Warm Air—No__z
Trade Name �—"
Size N �
Capacity Sq. Ft. E.D.R BTU H.P.
Total Connected Load /_1�-I� Kind of Fue
BURNER — Trade Name 4 le_� Size No
Capacity Sq. Ft. E.D.R BTU H.P.
! Sigae
By
/Business Phone No. 45 -5
(REMARKS -OVER)
City of Fridley
Application for Plumbing and Cas Fitting Permit
Dept. of Bldgs. Phone 560-3450
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures Location 0
ef '2Y
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO. RATE
TOTAL
Number Fixtures ......................
•
x $2.00
$
o®
l �.
Future Fixture Opening ................
x $1.50
$
New Fixture Old Opening ..............
x $1.50
$
?
•
•
N
WATER HTR.
GAS
ELEG
3
® G
��
x $3.00
$
3�
o�
x $3.25
tic
tS
3
U°1
c9Sa
0o'
GAS FITTING FEES:
NO. RATE
TOTAL
1st 3 Fixtures ..........................
x $2.00
$
eyC)
Additional Fixtures ....................
x $ .75
$
Gas Range to 199,000 BTU ..............
x $5.00
$
Base
%
1st
t
2nd
3rd
4th
• Future Connection Openings
Connected with
* New Fixture, Old Openings I
Sewer El
Cesspool El
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO. RATE
TOTAL
Number Fixtures ......................
•
x $2.00
$
o®
l �.
Future Fixture Opening ................
x $1.50
$
New Fixture Old Opening ..............
x $1.50
$
Catch Basin ............................
x $3.25
$
® G
Water heater (Up to 99,000 BTC) ......
x $3.00
$
New Ground Run Old Bldg. ............
x $3.25
$
Electric Water Heater
a $2,00
$
GAS FITTING FEES:
NO. RATE
TOTAL
1st 3 Fixtures ..........................
x $2.00
$
eyC)
Additional Fixtures ....................
x $ .75
$
Gas Range to 199,000 BTU ..............
x $5.00
$
REPAIRS & ALTERATION a er to Code
Description ................................................$
O �
TOTAL FEE(�
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 19 6
Owner—�
Kind of Building
Used as
To be completed about
Estimated Cost, $
cis 2 �
Old New. uilding Permit No -- Permit No.
Signe
By
Business Phone No
ROUGH
FINAL
42
52-84—S915.51
City of Fridley
Application for Plumbing and Gas Fitting Permit
Dept. of Bldgs. Phone 960-3450
DESCRIPTION OF WORK 6878 N E 7th St
Number, Kind and Location of Fixtures Location
y
3t}
x $1.50
��
x $1.50
$
3�
Y
cu.
x $3.00
K Z
h
V
<
(�9 •�
w
Z
�O
•
F
•
N
WATER HTR.
GAS
ELEC.
Base
Ist
1
2nd
3rd
4th
• Future Connection Openings
e New Fixture, Old Openings I
Connected with
Sewer ❑
Cesspool El
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:
1st 3 Fixtures .........................
x $2.00
$
x $1.50
$
x $1.50
$
x $3.25
$
x $3.00
$
x $3.25
$
a $2.00
$
NO. RATE TOTAL
Additional Fixtures ....................
Gas Range to 199,000 BTU .............
REPAIRS & ALTERATIONS—Refer to Code
— x $2.00 $
—x$.75 $
1 x $5.00
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 1-29-68 19_
Owner Andrew Gavel Const
Kind of Building frame
Used as res
To be completed about 2-3-68
Estimated Cost, $ 10.00
Old—New. Building Permit N Permit No.
O
By
Business Phone No
ROUGH
Description ..............................................$
TOTAL FXE $ 100 42
City of Fridley, Minn.
BUILDING PERMIT
•
Date: April 11 , 1969
E
•
John Swider
Builder Same
,Address687$ 7th Street N.E. Address Same
REC # 46632
N? 10184
&-ir- Yee, rp3,)--
LOCATION OF BUILDING
Na 6878 Street _7th .Street N.E. Part of Lot
Lot _ _25___ Block 3—_____ Addition or Sub -Division . Ri QP rrpok mPrr _ Pl a.+ 7
Corner Lot — X _ __ _ Inside Lot Setback 17.r',,' __ Sideyard
Sewer Elevation _. Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
- Ga rte ge Front _ _24 _ Depth _ 22— Height 10 _ _ Sq. Ft. 52 8.n Cu. Ft
Front Depth Height Sq. Ft. Cu. Ft.
Type of Construction Est Cost $1,Ann _ __ To be Completed 94—
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 Z provisions of
ordinaaoes of the city of Fridley.
In consideration of the payment of a fee of $ 8,Q0 ., 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
ordinance&
CLARENCE BELISLE
NOTICE.
%1a psnalt does not cover the constrnctioe, installation for wiring, phrmhing, gse heating, ewer or water. Be cure to as
the Building inspector for separate permits for thea hens.
J
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNM Is NAME ,,,.jam _ �� BUILDER
ADDRESS •%P -2 'tz ADDRESS • .
LOCATION OF BUILDING
NO. (� � % STREET 9 ST• IV,. .
LOT .BLOCK - ADDITION OR SUBDIVISION 4 Gc�
CORNER LOT / '' „ R INSIDE LOT SETBACK S
SEWER ELEVATION TOP OF FOOTING
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:.
njt.'^ Front Depth ;L Z- Height / 0
Square feet , , ' Cubic Feet y
Front Depth Height
Square feet Cubic Feet
Type of Construction Estimated Costs 160 0
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 A,,,,, ../�/, b iSIGNATURE
.(Schedule of Fee Costs can be found on the Reverse Side.)
BUILDING P=T'FEE SCHEDULE
SECTION 2. The Inspector of Buildings shall, before issuing Permits
for the erection of any building or structure, or for any addition to any
existing structure or building, or.for any alteration or repairs to any
existing building or structure, upon application therefore, 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:
Uniform Building Code: Type 1, 2, & 4 - $1.75 for each one thousand
cubic feet, or -fraction thereof, in such cubical contents. Type 3 & 5 -
$1.50 for each one thousand cubic feet.
For the purpose of computing fees for building permits, the cubical
contents of •anysb�ildimg-M-additiotl-"t'o-a uniform height-throughout'by `
multiplying the ground area covered from a point six (6) inches below
the floor line of the basement or the 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.
For repairs or alterations to an existing structure, the fee shall be
at the rate of $3.00 per each five hundred dollars ($500.00) or
fraction thereof in the cost of all proposed work.
In no case shall the fee charged for any permit as set forth in Section
2 be less than $5.00.
NSSSD Connection Charges based on location - Area 1 or 2.
is* I - 0 .1 .
y
is* I - 0 .1 .
THE JOHN J. RYAN CO.
$CAL$:' 1 INCH-_3 fl aEET 1602
ENUE, 5T, PAUL 55104 TELEPHONE, 646.6888
�. �1
OF PROPERTY10 T'o^ttislr�v+
LOCAr16 6873 h Street Northeast, Fridl
DESCRIBED AS FOLLOWS w BZOoI� t
�� R�CG+ Cy+.ar�1� Tciics"r= p A't' h Ant7� �Q9flHdtg +
d.
a
i.
LOT 25 o
Z3.z.
p Ar
Alo ddres,g.' ..!
_
2.4 S.
f
lip. a
7 TM: ST N'E
,CERTIFICATE OF .LOCATION OF BUILDING
CERTIFICATE OF SURVEY
I hereby certify that on _NOV, 10
I made a survey of tl:e location of the bufldin I hereby certify that on 19
above described property and that the locationof-said I surveyed the property described above and that the above
buildin-(s) is correctly . lat
8 on shown the .
fp plat is a correct represon of said survey. '
�' --1nf.)N -P.
SUBJECT
REffl frti6-._,
City of Fridley
26475
AT THE TOP OF THE TWINS
BUILDING PERMIT
f
f
SPT iV�
Z
COMMUNITY DEVELOPMENT DIV.
tr """""_
r PROTECTIVE INSPECTION SEC.
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
7/7/98
JOB ADDRESS 6878 7 Street NE
1 LEGAL
LOT NO.
BLOCK TRACT OR ADDITION
SEE ATTACHED
DESCR.I
25
3 Rice CReek Terrace Plat 7
i
SHEET
-_
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Jack Swider 6878 7 Street NE
571-4541
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO.
Tabor & Sons 3716 St Francis Blvd, Anoka, MN 55303
789-1902 20014248
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
0 MOVE O REMOVE
8 DESCRIBE WORK
Reroof House & Garage (24 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
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 1 HAVE READ AND EXAMINED THIS APPLICATION
1
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
$1.00
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$2,001
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-
Fire SC $2.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
$74.75
PLAN CHECK FEE
TOT L FEE
License $5.0
82.75
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
NR P VALID
8l OR, INSP
THIS IS�RMI�;J'j/j
GATE ��[/
SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: &F7 Y -7" ST sv P -/r -sem
Legal Description: &(-F- c;,icJ Fe fro o if ��✓Se � �� 9� ®g � z
Owner Name & Address :5 Tel. # 5 %%— c/ S `//
Contractor: -11Z 6oe" C Sa MN LICENSE # Zco / `/Z 9T
Address: -7) T r r; ✓S v 12 Tel. # '2X5-� / 7® Z -
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF UAPROVEMENT
LIVING AREA:
Length
Width Height Sq. Ft.
GARAGE AREA:
Length
Width Height Sq. Ft.
DECK AREA:
Length
Width Hgt/Ground Sq. Ft.
OTHER:4-el-
oo
Construction Type:
Estimated Cost: $ l
(Fee Schedule. on Back)
Driveway Curb Cut
Width Needed:
Ft. + 6 Ft = Ft x $ _ $
DATE: ��
APPLICANT:
'� Tel. #
CITY USE ONLY
Permit Fee
$ . %S�
Fee Schedule on Reverse Side
Fire Surcharge
$ < ('
.001 of Permit Valuation (1 / 10th %)
State Surcharge
$ %` d ®
$.50/$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$
$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
$�S
STIPULATIONS:
r , a,
01
SUBJECT
WFMIT N
City of Fridley
AT THE TOP OF THE TWINS
BUILDING
d32165
PERMIT
ECEIP
_ COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC.
1 . �
CITY HALL FRIDLEY 55/$2
NUMBER
REV
DATE
PAGE OF
APPROVED BY
L 612-571-3450
910 415
9/14/01
JOB ADDRESS 6878 7 Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
25
3
Rice Creek Terrace Plat 7 SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
John Swider 6878 7 Street NE
571-4541
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Same
a ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW j7 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct an 18' x 12' Deck
9 CHANGE OF USE FROM
TO
STIPULATIONS
See notations on plan.
SEPARATE PERMIT
WA KOM ' N G
REQUIRED FOR:
Before digging call for
WIRINGHEATING
all utility locations
PLUMRINd AND SIG H �
4540002
EW. BY LAW
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
1 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 GRANTING OF A PERMIT
2 484
$1.24
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
$83.25
Fire SC $2.48
PLAN CHECK F
TOTAL FEE
$8/.97
SIGN uREOF -Ra ORORAUTHORIZED AGENT iDATE.
EN PE LIDAT IS IS Y UR PERM JT
)4%2-O
UR WN RoFOWNERBU1LOM iDATEi
BLOC NSP q
01
1"I�o/ )WI
WPOE'Offect#e NEW [ ] 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: k�tP �?T—' s"r. 4/6-
Legal Description: Lc 99 '� 13lock y3 Ric e Crc.-t k 7e.YYa a j,:;�r '7 „®k -j 0-r
Owner Name & Address: Tel. # 57 / y TL/ J
Contractor: MN LICENSE #
Address: Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft
OTHER:
Construction Type: �C-/� Estimated Cost: $`7r
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: 64I1PPLICANT: Tel. # 5-71 y 591
CITY USE ONLY -
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
Call (763) 572-3604 for Permit Fees if mailing in application
$ i oD6— Fee Schedule on Reverse Side
$ 8 .001 of Permit Valuation (1/10th%
$ $.50/$1,000 Valuation
$ $1150 per SAC Unit
$ $5.00 (State Licensed Residential Contractors)
$ Alt. "A" or Alt. "B" Above
$ $450.00 Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement Necessary [ ] Not Necessary [ ]
4AN APPROFIELD E D
SmECT TO
INECTION
7
d2X qx=
<�211
Ov
mpg
o
2 x S - izfr-'� -SSP
2,r k pl-r-9-0.5
i
OWIVT 1
[/J
M
Z
2x8" l syP
x
0-r:nr
9y
6
9
5-
2
v CITY OF ERIDLEY BUILDING INSPECTION
53 3431 University Ave NE
9 ?ridiey, MN 55432
L
763-5723604 FAX 763-5711287
9
D
n RATE SCHEDULE
Residential
Furnace Shell and Duct Work, Burner &
also Replacement Furnace
Gas Piping (New Furnace, Fireplace, Insert)
D Gas Range
Gas Dryer
10
Effective 4/1/2004
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION
REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
Fee Tota
$35.00 $S _Z) U
$10.00 $
$10.00 $
*Air Conditioning -All Sizes $25.00 $
All Other Repairs or Alterations (List on Back)
r 1% of Value of Appliance or Work $
a Minimum Fee $15.00 for Residential or 5% of cost of
Y Improvement whichever is greater on work less than $300.00
L
5 Commerciallindustriallinstitutional
} 1.25% of Value of Appliance or Work (List on Back)
Minimum Fee $35.00 for Commercial/industriaVinstitutional
State Surcharge
TOTAL FEE
1
$--;50
r; REINSPECTION FEE $50.00/HOUR
M *Air Conditioners can not be placed in side yard without written approval
N from adjoining property owner - copy to City
0
FILL OUT BACKSIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE
cc
JOB ADDRESS Ca% -13 S� �
owner--JC'y' -e
Building Used As R'P_S � d -e yl 0 -e—
ESTIMATED COST � 32 Q -- 00 PERMIT NO
DESCRIPTION OF FURNACE AND BURNER
# of Heating Units l _ Circle One (Steam) (Hot Wate (WarmAir)
Trade Name k�-u u A l� 'Vo Z k -Oto Size No.
BTU HP EDR
Fuel Ma Cods Total Connected Load
Sumer Trade Name
BTU
HP
Size No.
EDR
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 tn,e and correct.
CENTERPOINT ENERGY
HEATING CO. 13562 CENTRAL AVE NE BLAINE, MN 55304
Signed
- Tel # 763-757-6202
FAX N'763-757-6701 Date
Approved by Rough -in Date Final Date
FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS
COMMON VENT VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When replacing an existing furnace, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions,
and is securely supported and firestopped where required. Yes ()9 No( )
The venting system is plastic/PVC and meets all current codes and manufacturer
specifications including sizing, length, number of elbows and termination. Yes (
No( )
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturer's specifications. This does
include AGA-GAMA Category I Central Furnace Venting Tables for fan
assisted and natural draft appliances. Yes (
No ( )
The existing combustion air is sized and installed to meet the current erodes
and manufacturer's specifications. Yes (1
No ( )
When required to install a new combustion air, it will be sized and installed
to meet the current codes and manufacturer's specifications. Yes �)
No ( )
When installinq a new venting system the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturer's
specifications. This does include AGA -LAMA Category I Central Furnace
Yes (
No( )
Venting Tables for fan assisted and natural draft appliances.
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented
separately as per current codes. Yes
No ( )
Appliance Type and Size/Common Vent and Vent Connector Information
Appliance #1 TypeBTU Input (ub.wso Fan Assisted or Nat
, o
Appliance #2 Type BTU Input y vFan Assisted or Nat
Appliance #3 Type BTU Input Fan Assisted or Nat
Total Appliances Total Btu Input
Common Vent Type C/- /-3 Vent Height AS o Diameter -5 / ' inches
Appliance #1 Vent Connector Height __LLft Length 3 ft Diameter ^in Type
Appliance #2 Vent Connector Height ft Length ft Diameter in Type
Appliance #3 Vent Connector Height ft Length ft Diameter in Type
CENTERPOINT ENERGY
HEATING CO: 13562 CENTRAL AVE NE BLAINE, MN 55304
Signed By: 12- _ Date
?O/FP ' H TOJ.q� SL Ol ABIG 1 Jd A0 AM WON -4 q?: T T bOO?-LE-Nc4H
Building PLUMBING Permit No.. 0 I U_
Inspections RESIDENTIAL APPLICATION Received By:
763-572-3604 CITY OF FRIDLEY Did E
763-502-4977 FAX EFFECTIVE 7-1-2010
DATE 09/23/10 YOUR E-MAIL ADDRESS wnelson@larsonplumbing.com
SITE ADDRESS 6878 7th St NE
THIS APPLICANT IS:
PROPERTY
OWNER/
TENANT
CONTRACTOR
SUBMIT A COPY OF
YOUR STATE
LICENSE, BOND AND
CERTIFICATE OF
INSURANCE
I W Aim-111AD4 0
TYPE OF WORK:
❑ OWNER &ON-MACTOR
NAME:....--_Joh.n and_Donna....Swider.................................... ...... __._..........._................... ..__....................._.................................................__.........._.._.....................
ADDRESS: 6878 7th St NE CITY Fridley sTATE MMP 55432
PHONE: 763-571-4541
NAME: Larson Plumbing Inc
STATE LICENSE H
DATE
STATE BOND k. EXP DATE
ADDRESS: 3095 162nd Lane NW CITY Andover STATE MN zip 55304
PHONE 763-427-7680 FAX 763427-9448
Q SINGLE FAMILY O TWO FAMILY ❑ TOWNHOUSE
❑ NEW XREPLACEMENT
DETAILED DESCRIPTION OF WORK Water Heater Replacement
FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MLNDVIUM FEE
$35.50.
BATH SINK/LAV
DRAINS
SHOWER
_ WATER PIPING
_
BATHTUB
_FLOOR
GAS PIPING (NEED CITY LIC)
_
SWIMMING POOL
_ WATER SOITNER ($35)
_
CLOTHES WASHER
_
KITCHEN SINK
_
WATER CLOSET
BACKFLOW PREV. ($15)
DISHWASHER
LAUNDRY TRAY
_
WATER HEATER ($35)
FOR IRRIGATION
—
— WATER METER
OTHER
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 application fo permit an work is not to start without
gqafpermit
�on site; that the work will be in accordance
with the approved pl ca e f hic requir eW and appr v ICf1ala lYlaloniski DATE 09/23/10
SIGNATURE OF APPLI
APPROVAI. INSPECTORS SIGNATURE
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-5024977
10