PRE 2010 DOCS0 City oFridley, FY, Minn.. •
e
BUILDING PERMIT N®
Date: -.. - -(.../ - -.... ..._...._.................
Owner:
Address
4352
Builder /i�t�r�+,. ate•--..... C"•' " •••...-••`•"-/ -
Address..................................................................................................................
CA 1 NN OF BUILDING
No. ...... ..� Street ....._......-.. _...._............s.... q._.. r .............................. Part of pot ............................................. ........._... ..... ._
45�Lot ........... /-.f..._.......... Block ......--------/ .............................. Addition or Sub -Division .._ �t�i(. n....... ----
CornerLot .................................... Inside Lot ................................. Setback .--............._................ ....................... Sideyard .................... _........................................... _...... -...
Sewer Elevation ................................... _............. ......................................... ............ Foundation Elevation
DESCRIPTION OF BUILDING
To
be Used �y
�•�r-......, ..............----.... Front ///�. Depth �(�g..'.. Height .....4Y._ e� Sq. Ft. CU. % Cu. Ft.it
/
L .. . ..._. Front t/'�.. ?,Depth a.-#Heightt ._l ..... Sq. Ft.....j.. /._.. Cu. Ft./(�. ...
Type of Cons ruction ........................... .................... .----------- Est. Cost..,Icy. .`.Z.13 .............. 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 fflrthd in compliance with all proxisions sof
ordinances of the cityof Fridley. / v —
In consideration of the payment of a fee of $..o!t'...._...... 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 th provisions of said
ordinances.
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.
6V-11
Application for Power Plants and Heaft, Cooling, Ventilation, Refrigeration and
Air Conditioning Systems and Devices r
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 $ 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. 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
GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ 5.00
GAS FITTING FEES: NO RATE TOTAL
1st 3 Fixtures ...................... x $1.50 $ 1.50
Additional Fixtures ................. x .5o $
Gas Range to 200,000 BTU ........... x 2.00 $
AIR CONDITIONING
FAN DATING SYSTEM
VENTILATING SYSTEM
ALTERATIONS & REPAIRS
I
REMARKS:
See Fee Schedule
TOTAL FEE $ 14.50
Dept. of Bldgs. Phone SII 4-747
00
1 I� 53 Ave. N. E.
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 nn_ November 5 195—?
Owner Swanstrom Company 195—
Kind of Building Frame 195—
Used as residence
To be completed about December 5, 1959
Estimated Cost, $ 400.00
Old—New. Building Permit No.�
DESCRIPTION OF WORK
HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No
Trade Name Waterman Waterbury Size No 3GL-112
Capacity Sq. Ft. E.D.R. 112M BTU H.P.
Total Connected Load 42,554 Kind of Fuel Gas
BURNER — Trade Name Size No
Capacity
11 POST IM -12-58
Sq. Ft. E.D.R BTU H.P.
Sign
Business Phone No, `'v /
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City of Fridley
Application for Plumbing and Gas Fitting Perndt
DepL of Bldgs. Phone SU 4-7470
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO. RATE TOTAL
Number Fixtures ......................
x $1.50
$
Future Fixture Opening ................
x 1.20
$
<
x 1.00
$
Z
�p
t
F
t
N
WATER HTR.
GAS
ELEG
W
3
$
GAS FITTING FEES:
NO. RATE TOTAL
x $1.50
o2
1st 3 Fixtures ..........................
S
Additional Fixtures ....................
d
$
Gas Range to 200,000 BTU ..............
x 2.00
$
Base
1st
2nd
_
3rd
4th
• Future Connection Openings
Connected wlth
Sewer
New Fixture, Old Openings
Cesspool
PARTIAL RATE SCHEDULE
REPAIRS & ALTERATIONS—Refer to Code
Description................................................$
TOTAL FEE $ —1A. J
v a -
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
Kind of Building
Used as
To be completed about
Estimated Cost, $
�—
O —New. uilding Permit No '71& permit No. 3
Signe
ROUGH MAR 4 1960
FINAL
42 2M 7-59
By
Business Phone No
19 -j x
PLUMBING FIXTURE RATES:
NO. RATE TOTAL
Number Fixtures ......................
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) ......—Z
x 2.00
$
New Ground Run Old Bldg . ............
x 3.25
$
GAS FITTING FEES:
NO. RATE TOTAL
x $1.50
1st 3 Fixtures ..........................
Additional Fixtures ....................
x .50
$
Gas Range to 200,000 BTU ..............
x 2.00
$
REPAIRS & ALTERATIONS—Refer to Code
Description................................................$
TOTAL FEE $ —1A. J
v a -
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
Kind of Building
Used as
To be completed about
Estimated Cost, $
�—
O —New. uilding Permit No '71& permit No. 3
Signe
ROUGH MAR 4 1960
FINAL
42 2M 7-59
By
Business Phone No
19 -j x
�y
Application for Power Pets and Heating. Cooling, Ventilation. Refrigeration and
3
r Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SII 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 $
MECIL WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............ 8.00
each add. 60,000 BTU ....................... 2.00
Replacement of Furnace ............................. 5.00
.pairs & Alterations—up to $500.00 ................. 5.00
Repairs & Alterations each add. $500.00 .............. 2.50
EAM 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
Each add. 200 sq. ft. EDR Steam ...................... 2.50
Each add. 320 sq. ft. EDR Hot Water .................. 2.50
Location /3 � a
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, 19$1
Owner 195_
Kind of Building 195—
Used as - t'
To be completed about
Estimated Cost,
Old—New. Building Permit No.
DESCRIPTION OF WORK
(VL BURNER—to 3 gal. per hour ........................ 5.00 $
over 3 gal. per hour—See Fee Schedule HEATING or POWER PLANTS --Ste Hot Water, Warm Air—No
GAS BURNER (up to 400,000 BTU) $ �� Trade Name (����3 moi-e_� a Size No� 0--).......... 5.00
P
ty
GAS FITTING FEES: NO RATE TOTAL CapaciSq. Ft. E.D.R BTU H.P.
1st 3 Fixtures x $1.50 $� Total Connected Load Z `� ��� Kind of Fuel
Additional Fixtures ................. x .50 $
BURNER —Trade Name Size No
Gas Range to 200,000 BTU ........... x 2.00 $
AYR CONDITIONING
Capacity Sq. Ft. E.D.R BTU H.P.
$
FAN HEATING SYSTEM See Fee Schedule ' 41
VENTILATING SYSTEM z \ IO
ALTERATIONS 8: REPAIRS TOTAL FEE $� eU �� Sign
REMARKS:i By
a
1 POST 1M-12-58 Business Phone No
HEAT LOSS : CAKULATIONS. DEPARTMEN'ir`-OF BUILDINGS
A.S.H.V.E;
Weatherstrips Construction No.
Guide
Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor
Yes—No I . 'Yes—go 19—
F 1. 1
9_Fl.1 ' Z i /,/ 7,7 - Room Length /7V// Width ®7o//e%I-Ieiaht A
Windows and Doors—Crackage and Area
......,.
'a
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
Windows and Doors—Crackage and Area
Width Height. No. of Lineal ft. Area
No. of pane of pane lights of e/raok sq. ft.
Width Height No. of Lineal ft. Area
No. of pane of pane lights of creek sq. ft.
fo ��
% 7
Btu
Coef.1
Btu
Infiltration
GlassOW
Coef.1
Btu
Infiltration
o
425
/® 44-0
:3 JS
Exp. wall
3 "
Glass
Exp. wall
Exp. wall
Exp. wall
®
Net exp. wall
Int. wall
Net exp. wall
Net exp. wall
Int. wall
Ceiling
Int. wall
/
6
Ceiling
Ceiling
Floor
Floor
Floor
Floor
,�' �0
Total Btu. V 6
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
m I 11, . 71_ n , - III " vr• 1.2 — -at r r r . W
..1 r .—a r ter- _% . "'.1 .......6.. - G
......,.
'a
...b... %J
Windows and Doors—Crackage and Area
Width Height. No. of Lineal ft. Area
No. of pane of pane lights of e/raok sq. ft.
Width Height No. of Lineal ft. Area
No. of pane of pane lights of creek sq. ft.
fo ��
% 7
Btu
Infiltration
Coef.
Coef.1
Coef.1
Btu
Infiltration
ef-�
e
o 1
3 "
Glass
Exp. wall
Exp. wall
Exp. wall
®
a
Net exp. wall
Net exp. wall
Int. wall
Int. wall
Int. wall
/
Ceiling
Ceiling
Ceiling
oP %
Floor
Floor
Floor
,�' �0
Total Btu.
Required sq. ft. E.D.R. or sq. ins. WA. leader area
Fl.
oom ( Length V //tWidth
o
lHeight.
Windows and Doors—Crackage and Area
Width Height. No. of Lineal ft. Area
No. of pane of pane lights of e/raok sq. ft.
Width Height No. of Lineal ft. Ares
No. ofpane of pane lights of crack sq. ft.
/� _LL f0
% 7
Btu
Infiltration
Coef.
Coef.1
Btu
Infiltration
% _1L
ef-�
e
Glass
L&
e
Exp. wall
Exp. wall
�f
/fid
Net exp. wall
Net exp. wall
Int. wall
Int. wall
Int. wall
/
Ceiling
Ceiling
/
oP %
Floor
Floor
.IV!
,�' �0
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. leader area
MINN.
Insulation
How Applied
Fl.)
Roam I Length, j ,' Width 40cFcF
Height J'
Windows and Doors—Crackage and Area
/ 0
Width Height. No. of Lineal ft. Area
No. of pane of pane lights of e/raok sq. ft.
/� .�
Coef.
Btu
Infiltration
Coef.
Btu
Infiltration
32—C,
gfv
ef-�
Glass
2-
L&
e
Exp. wall
Jp
�f
/fid
Net exp. wall
Int. wall
Int. wall
Ceiling
Int. wall
/
Ceiling
Floor
/
oP %
Floor
.IV!
Total Btu.
Required sq. ft. E.D.R. or so. ins. W.A. Leader area
V1 1 D___ 1 r ___►L t9, VII.A.I.
Windows and Doors—Craekage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
/ 0
Coef.
Btu
Infiltration
Infiltration
3xv
Glass
/o
-50
'5C iD
Exp. wall
f�
Exp. wall
Net exp. wall"
�f
/fid
Int. wall
Ceiling
Int. wall
/
/ e
Floor
Ceiling
Total Btu. d 7F cw
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
L1 I it R....... I I .....A. 67/ -Ce/ W;Ath el�r°. Waht AP'
Windows and Doors---Crackage and Area
Width, Height No. of Lineal ft. Area
No. of pane at II. lights of crack aq. ft.
T
Coef.
Btu
Infiltration
Glass
Exp. wall
�f
Net exp. wall
Int. wall
Ceiling
.IV!
Floor
Total Btu.
Required sq. 'ft. E:D.R. or sq. ins. W.A. Leader area
HEAT LOSS CIICULMONS . DEPARTMENT` OF . BUILDINGS
Weatherstrips A.S.KV.E. Construction No.
Guide
Windows' I Doors Reference Out. Wall Int. Wall Ceiling Roof Floor
Yes—No Yes—No 19—
F1.1 Room 1 Length %;3`,�P" Width f7_' zlieight II F7_I
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane _ lights of crack sq. it.
9
Coef.1 Btu
Infiltration
Coef. Btu
Infiltration
Glass
%
42 4—e
Exp. wall
Int. wall
Net exp. wall
Int. wall
Floor
j� ,13
Ceiling
/
Floor
1 otal Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
FLI Room I Length Width Height
Windows and Doors—Crackage and Area
width Height No. I of Lineal ft. Area
No. of pane of pane llghte of crack eq. 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
F1.1 Room I Length Width Height,
Windows and Doors—Cralckage and Area
Width Height No. of Lineal ft. Area
No. of pane o[ 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
Kind
Room I t
L4440E, M
Insulation
How
Width Height
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft Area
No. of pane of pane llghts of crack a,It.
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 area
Fl.l 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. 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
Fl.l 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. h. E.D.R. or sq. ins. W.A. Leader arta
MINNE SCoCi r �icilQy 53-84-S-915.51
1 pplicz&sfan for Pkriibing aid Gas Fslf u Permit
Dopa. of Bldg+. Phone 560.3450 .. .
DESCRIPTIO14 OF V1011M, 1326 N. -E. • 53rd. Ave.
Xu S?r, Kind aced Leer -tion of Fixtures
L- . rl ! _
�� �
to • l J
_
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y7 = � 2
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7
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N
�HA.Ea NM.
G: -S
El [4.
Barr
$—_�
Catch Basin .....:..............
x $3.25
$
;Water ).rooter 'Up to 99,000 BTU). • ..
x $3.00
$
1st
x $3.25
$
Electrie Water H•at•r... a .:........
a $2.00
S
21.1 FITTING FEES:
NO. RATE
TOTAL
1
lst3Fixtures •••..••••:•••••••••
2nd
$
Additional Fixtures` .......... ....
x $ .75
$
t
1
Gas Rmse to 199.000 BTU
x 55.00
s
5.00
..........•
3rd
4th
hL
• }'utuzs Conna`tica Opanlr.�a
* New Fixture, Old O-y.ani_rgs
PARTIAL RATE SCHEDULE
Savor
Ccaapool
:'L' kd IAIG FIXTURE RATES:
110. R.1TE
TOTAL
Number. Fl:::ures i ... • .. • ... • . s . s
x $2.00
$
,Future Fixture Opening ...........
x $1.50
S
_.
New Fixture Old Opening..........
x $1.50
$—_�
Catch Basin .....:..............
x $3.25
$
;Water ).rooter 'Up to 99,000 BTU). • ..
x $3.00
$
New Ground Run Old B:dg..:......
x $3.25
$
Electrie Water H•at•r... a .:........
a $2.00
S
21.1 FITTING FEES:
NO. RATE
TOTAL
lst3Fixtures •••..••••:•••••••••
x$2.00
$
Additional Fixtures` .......... ....
x $ .75
$
t
1
Gas Rmse to 199.000 BTU
x 55.00
s
5.00
..........•
City of Fridley:
11he undersigned hereby makes application for a permit for the work herel
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, Erin 11-6-75 19.
Owner Vernon Munsinger
Kind of Building Frame
Used as Res.
To be completed about 11=13-75
Estimated Cost. $ 10.00
Old—Building Permit No. P•rmt o._�
Signed .
. By lVi1NNEGASt;O - _..
Business Phone No
ROUGH
FINAL
FXAIR$ & ALTERATIONS—Roger to Code .50 State Surcharge
3 .Description ..... i .... ,...........................-.. �
TOTAL FEE s 5.50
Class �A" Surcharge .500
Z'� 6431 U141VERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432
TELEPHONE ( 612)571-3460
I
m
OBSTRUCTION:
Lot Block Addition
f,
�/Egj r-,
Property 0imer -.-',ddress
RE -CORD OF COM"�IJNJCATIONS:
1. 11717
2.
3.
4.
S.
G.
7.
City of Fridley
AT THE TOP OF THE TWINS
SUBJECT
BUILDING PERMIT
P N0.
i �
• COMMUNITY DEVELOPMENT DIV.
�..------.
r � � PROTECTIVE INSPECTION SEC.
1 ;
9 y� y
NUMBER
910-F15
REV:
DATE
2/26/79
PAGE OF
APPROVED BY
1 ---1 CITY HALL FRIDLEY 55432
�'--- ,`j 812-580-3450
JOB ADDRESS 1326 - 53rd Avenue N. E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
19
1
Marian Hills SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Vernon Monsinger 1326 - 53rd Avenue N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Rite Way Waterproofing 7337 Lake Drive Lino Lakes, MN 55014 786-0550
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
❑ NEW ❑ ADDITION ❑x ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Install drain the
4
9 CHANGE OF USE FROM TO
STIPULATIONS
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
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
Z
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.
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$3,437
$1.71
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.$21.00
�7PLAN
CHECK FEE
TOTALFEE
X O� 0 )
$22.71
IGNA OFCONTRACTOFfOR AUTHORIZED AGENT DATE)
WHEN PROPERLY'
VALIDATED THIS IS YOUR PERMIT
/
a -V
1 DATE
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) ,__.i
CITY OF (=RIDLEY
• APPLICATI011 roiR RGSIll(:NTIAL BUILDING PERMITS
(NEW, ALTERATIOn, ADDIT1014S, OR REPAIRS)
OWNER;' Allzw / • OnBUILDER:
Address: /c�G;�y� 1JJ,�'/� /�✓ Address: ,l���
Tel. No.:
No.: ���(o Street: Le ju )_
LOT: BLOCY.: ADDITION:
CORNER LOT: INSIDE LOT: SETBACK: SIDL•'YARDS: .
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: .
Front: Depth: Height:
Square Feet: Cubic Feet:
'Front: Depth: Height:
Square Feet: Cubic Feet:
Type of Construction: 2� Estimated Cost: $
To Be Completed: / Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired $ $
(SEI, IJUVERSE 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 n lings of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are true an correct. See reverse side for additional information.
DATE: V( a� SIC -NATURE:
Stipulations:
�� . 7 /
l.z. I i rid:11 EV
A `F`ICATIC11 FOR
P0'A"ER PLANTS A:'tib spa VG,
COOLING, VENTILATION,
REFRIGERATION AND
:1
s D•._,. Wcrk to 100,09C ElJ
$13.00
-;xC;',-NG SYS ENS ANT ._VZ CF -S
each add.
:�-� �n, , -
, A l ii L ! 1 � _. f ir.: _2 4 -.. L
4100
7. 00
S
$,, OO
GrVVITY 64AR'M AIR:
RATE TCT AL
Job Address /•b
/t/" zx-�'
11rna e Sh^_ll - Duct
$13.00 $
7.00
RePlacemsnt of :arnace^
7.00
7.00 $
Department of Buildings
4.00
Repairs s. Alterations -un to 9560.00
City of Fridley
S.ni'-'., :
Repairs & P.ity:-at_oas each add. $5C0.110
4.00 $
oilEr & Li: -ie:: -7
u_ to 100,000 BTO
$12.110
_•e' . ;1571-3430
'IEC?;:%YICAL :%AP -N!
AIR:
-,_race S_-71
s D•._,. Wcrk to 100,09C ElJ
$13.00
each add.
50.000 !-,T6
4100
7. 00
S
$,, OO
-" eDlacc,rez- of
R
.._. F. P
Dairiterei'c c --..-,,p to S500.00
7.00
Repairs t< r�J. ._Y..ric
.s •2c add. $50C.00
4.00
ST at, OR HJT
S.ni'-'., :
oilEr & Li: -ie:: -7
u_ to 100,000 BTO
$12.110
$
each a dn.
50 000 SW
4.00
$ -
Boiler only ja
to IC3,03C F,Tj
7.00
$
each addr_.
50.000 DTT;
G.00
$
OIL BURYER- to 3
gal. -j--r hour
-1C.0:-1
_
each ad.d.
3 gal. per 'your
111.00
GAS BURNER- £row..
no,000 _ 'U to 199:9:9 BTO
$=0.00
$
—_
/
(aver _799.999
BTU :,_e ,. ,._ Sc.:edule)
$
--
Additional F tnres
Gas Range tc »,OCU PTT,;
A1.R C 0%:'D1TIONING �}
FA:'d HEATING SYST-7NIS ___ ......edu_e
x , 3.00
x $ 1.00 4�
.- $10. CO $Y
V :YLI'_.AiING SYS.'.°"S \
ALTERATIQir'S & RErjiIRS
stag Surcharge
- ^nY<1L SEE
ROUGH INSP.
Date
ata
FOR PEM41T
RE_NSPECT=CN FEE
t$io.6o;
MNIMMYT Fizz; FCR AP> :'RATING PE2J/,='i IS 50
P;
=.ttached star,,;• verificat' ,,
it z :Ec•17,k
The undersigned hereby makes knplication for a permit for the -work herein
specified agreeing to do all work in strict accordance with the City Codes
an rulings of he Department of Buildings, and hereby declares that all the
facts and representaticns stated in t-iis application are true and correct.
Fridley, Minn.
P,INJ OF BUIL/DING.��A /���R V ;r r,4 L
TC BE COITLETED ABOUT EXr.S Z A) 6ABOUT �Xr.S Z AU 6
ESTIZAT_ED CGST
CLD - NEW BUILDING PERMIT NO. PERMIT NO.
DESCRIPTION 07 FURNACE/BURNER
HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- 140.
-AU-0 `" Tre.da 1,7eme (CAR g x E A sze I:,o. /W Gtao
S _
$ capa^i::y Sq. Ft. FDR BTU A00w a HP
$
5G_ ,tul Connected Load/� Kind of Fuel Nh-% g2h ._ S
r / 7 S-70 BUi,MR - Trade N=e C A S; 7-a No. /?O
Capacity Sg. Ft. EDP, 5TU HP
SURCM-PGE
Comp-,.-ty Q
"E A/C'De/
Signed 3y
(20'vox T Ze ui�s7 /o�S
Te-:. No. -
SUBJECT
P
City of Fridley
2 5 9 2 3
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
' ,
-RECEffiT"No.
COMMUNITY DEVELOPMENT DIV.
1 PROTECTIVE INSPECTION SEC.
r
F
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
j%1 612-571-3450
910415
4/10/98
JOB ADDRESS 1326 53 Avenue NE
1 LEGAL
LOT NO.
BLOCK TRACT OR ADDITION
SEE ATTACHED
DESCR.
19
1 Marian Hills
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
Munsinger 1326 53 Avenue NE
484-4921
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO.
Netko Dan Exteriors Inc 7118 Riverdale Rd, Brooklyn
Center MN 55430 566-3731
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP
PHONE LICENSE NO.
20060494
5 ENGINEER MAIL ADDRESS
ZIP
PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION jJ REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House (25 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 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
]
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
$2,085
SXMM$1.04
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/4$2.08
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
$74.75
PLAN CHECK FEE
TOTAL/Epf
Lice
$5 0
JW.87
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
N P P
LD P
2!�?a
I
WLIDATEIS Y /PEM T
JJ
BATE
SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI
NEW [ ]
$
Effective 1/1/98
ADDN [ ]
CITY OF FRIDLEY
$ o
ALTER [ ]
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Driveway Escrow
BUILDING PERMIT APPLICATION
Alt. "A" or Alt. "B" Above
ConstructionAddress:
oz <�o 's -s A /V C
$
Legal Description:
Park Fee
Owner Name & Address:
/`��/�s/�� ��
�>
Tel. #Q7`
Contractor:
® MN LICENSE #
Address:
DAN NETKO EXTERIORS
Tel. #
Attach to this appfa ]Z;. 4y of the
lot, with the proposed construction drawn on it to scaleP7118W0dCiGR0CKJ-M*,MN5W
KO EXTERIORS
DESCRIPTION OF IMPROVEMENT
20O494
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: ® Estimated Cost: $ RIP
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft.+ 6 = Ft x $ _ $
DATE:APPLICANT: Tel. # .�
CITY USE ONLY
Permit Fee Fee Schedule on Reverse Side ;2,5— Sq
Fire Surcharge $ ��,�� .001 of Permit Valuation (1/10th%)
State Surcharge $ i $.50/$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$ o
$5.00 (State Licensed Residential Contractors)
tr'
Driveway Escrow
$
Alt. "A" or Alt. "B" Above
Erosion Control
$
$450.00 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
J 10
Sewer Main Charge
$
Agreement Necessary [ ] Not Necessary [ ]
TOTAL
STIPULATIONS:
Building
BUILDING Cd�� U
Permit No.•
Ing Pections
RESIDENTIAL APPLICATION
Received By:
763-572-3604
CITY OF FRIDLEY
Date Rec'd: ®!���i
DATE %- \Lk- 0 b YOUR E-MAIL. ADDRESS LOCINIOV& fyWA. C o M
STPE ADDREss 12,a6 'S3ekAZ90
$
THIS APPLICANT IS:
WbWNER ❑CONTRACTOR
$
PROPERTY OWNER/
NAW: -Sded
$
TENANT
ADDRESS: 13a(v `v3W4 Ot CITY IlXey
STA ZIPSS-gB,
ft + 6 ft = ft x $21- $
PHONE:
$
CONTRACTOR
NAME:
$
STATE LICENSE # EXP DATE
Sewer Main Charge
SUBMIT A COPY OF
YOUR STATE LICENSE
ADDRESS: CITY
STATE ZIP
WITH APPLICATION
PHONE FAX
PROPERTY TYPE
❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE
GrADDITION ❑ GARAGE/SHED ErWINDOWS
❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
,
❑ DECK ❑ SIDING ❑ OTHER
❑ SW04NMG POOL
TYPE OF WORK:
❑ NEW ❑ ADDITION
❑ MAINTENANCE/REPAIR 0 REN40DELING
DESCRIBE WORK BEING DONE: b hFmn �! Cess w �o
SIZE OF IMPROVEMENT LENGTH WIDTH
HEIGHT Sq. Ft.
❑ HOUSE ONLY
NUMBER OF SQUARES
❑ HOUSE & GARAGE
BASEMENT REMODELING SUBMIT:
GARAGES
❑ ATTACHED GARAGE
1.
Existing Floor Plan
PROPOSED SIZE:
❑ DETACHED GARAGE
2.
3.
Proposed floor plan
List of structural members to be used
PROPOSED HEIGHT:
SIDING
FOR NEW CONSTRUCTION INCLUDING DECKS,
❑ Vinyl
❑Soffit
ADDITIONS.
& PORCHES SUBMIT:
❑ Aluminum
❑ Trim
1.
Site Plan/Survey showing the existing structures
❑ Other
❑ Fascia
and Imposed Irojec
W'INAOWS
2.
3.
Two sets of construction plans
Energy Calculations
IN EXISTING OPENINGS 0?es
ONo LOCATION OF WINDOWS
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED L2 M5r NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $ OCCUPANCY TYPE 4WP04trv, �kNm%�,
Permit Fee
$
W 3 See Back Page for Fee Schedule
Plan Review
$
5L(. I 65% of Building Permit Fee
Fire Surcharge
$
o . ® .001 times the total job valuation
Surcharge
$
01;t .0005 x Permit Valuation Minimum $.50
License Surcharge
$
$5.00 (State Licensed Residential Contractors)
SAC Charge
$
$1550 per SAC Unit (Plans to MWCC for determination)
Curb Curt Escrow
$
ft + 6 ft = ft x $21- $
Erosion Control
$
$450 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement necessary ( ) Non Necessary ( )
Total Due
$
1 0. L1 , Make checks payable to: City of Fridley Attach StlDulatlions
THIS IS AN APPLICATION FOR A PEiNUT 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 redWres r i, w d approval of plans. /1
SIGNATURE OF APPLICANT PRINT NAME�O C'nIDATE q' 1 +06
r
10
il
"- uW1O.
"�4w t4E '5~ �e 6" .6f., Omew AtiJ
�ag
w '",fits JOB COPY SMALL 8�
' AVAILABLE ON THE JOB
SITE FOR THE FRAMING
AND FINAL INSPECTIONS
,spy
q
Y ( ! 3
M ,y
f
r D
wu.c6
DEWED
R CODE
PLIANCE
n N.
:�m-�ees I &.� so des.