PRE 2010 DOCSDate
Owner
Address
49 f*r.V .W .... ..... J .
. Builder ...........................................
........ I................................. Address .........................
SLATION Off' , BUILDING
No.... i 9� ... Street ... ...'`�rF
.................. Part of Lot .......................
...
.... Addition Or
Lot ... ...... .Block ..i/6... Sub -Division J�+1�AW ..a:!�':ief..............
Corner Lot ........... Inside 'Lot ............ Setback .... Sideyard iQ.+"`."........... .
DESCRIPTION OF BUILDING
To be Used as:
Front DepthA4*. . Height A$.R .... Sq. Ft......... Cu. Ft........ .
.................. Front ........ Depth, ........ Height ......... Sq. n ........ Cu. Ft........ .
Type of Constructic4-6�.. Est. cost ��
. .............. To be Completed ,�ir!!1��►:
-
li
II.
I�
i
r.
In consideratioz of the issuance to me of a permit ta' construct the building", described above, I agree to do
the proposed work accordance with the description abo`re set forth and in compliance with all provisions of
ordinances of the volage of Fridley.
in =iwndjiti
of the permit is hereby granted to
Payment o4 a fee of . ' ,
. to construct the buil or ad[tion as described above. This permit is granted upon
the .exp"that the person to whom it. is' granted and his agents, employees and workmen, in all work
done in, aroun&and upon said building, or'any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesotaregarding 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.
f
I
BUILDING PERMIT
Village of Fridley, Minn. N? 2586
Date *** -%f-"7 ......................
Owner!i ......... rP .aasf,+tr .............................
. ,'O%
Address -'l - . ......... Address .........................................
�! LOCATION OF BUILDING
r
No. a ..... Street ..ts.. ................... Part of Lot .......................
•
Lot .......,i', .. Block ../o ......... Addition or Sub -Division il.1iV
Corner Lot ....... .... Inside Lot ..j:.... Setba ck ```,.Sideyard/ �,
tOF
DESCRIPTION OF BUILDING
To be Used as:
Front Depth i * `S Height �t � rt ... Sq. Ft......... . Cu. Ft. ........
Front ........ Depth ........ Height ......... Sq. Ft......... Cu. Ft, ........
Type of Construction } Est. Cos J�f jojq..d!... . To be Completed
i
In consideration of the issuance to me of a permit to' construct the building described above, I agree to do
the proposed work la accordance with the description above set forth and in compliance with all provision§ of
ordinances of the age of Fridley.
,.. . .... .........• . ... I ...................
In co eratio of t1T payment of a fee of $. �j permit is hereby granted to .
• ` struct the buildinoi• addition as described above. This permit is anted. upon
the expre s conditio t e''. erson to whom it is granted and his agents, employees and workmen, work
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota egarding location, construction, alteration, maintenance, repair and moving of buildings with-
in the village limits land this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
. .. . Building Inspector
NOTICE:
This permit Les not cover the construction, installation or alteration for wiring, plumbing, gas heating,
sewer or water. I a sure to see the Building inspector for separate permits for these items.
f
City of Fridley, Miun..
BUILDING PERMIT
Owner: Earl H. Kellar guilder ___Same _
Address 570 - 57th Avenue N.E. Address
LOCATION OF BUILDING
No. 570 Street 57th Avenue N.E. part of Lot
Lot 14 Block 10 Addition or Sub -Division Donnays Lakeview Addn.
Corner Lot — Inside Lot _ _ _ _ x Setback —_ Sideyard
Sewer Elevation
Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
Garage Front 24 Depth 26 Height 10 Sq. Ft 624 Cu, Ft, 6240
Front Depth Height Sq. Ft. Cu. Ft.
Type of construction _.jFxa'me Est. Cost A25 00 I.—_ __.. To be completed 1111171
Maintain slab elevation so as to drain toward 57th Ave.
No garage drain to drain onto property to the rear
Hard surface driveway.
syoota
10888
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 $13_ QD_ , permit is hereby granted to Earl R- Kell a
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 anypart thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buff�n�
within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
NOTICE:
This pomp does not corer the construction, hutaMon for wiring, plumbing, gas heating, sewer or water. Be sun to seo
the Building Inspector for separate pwmUa for these Mama.
APLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME : � / % k / 1 � I/A BUILDER :
ADDRESS :- -,-,? 0 – y 1) c° ADDRESS •
NO • . S TREET : S %
LOT: BLOCK: ADDITION:
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:
Front • 02 Depth • �4o Height:
Square Feet:-- Co u Cubic Feet: 1!�; �2 !�
Front: Depth: Height:
Square Feet; Cubic Feet:
Type of Construction: Estimated Cost: $ Z 45�,'r�
To Be Completed:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in stt'ict 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: SIGNATURE:
(See Reverse Side For Additional Information.)
,?3.°
c ,a�te
ko� t2
53-84-5915.51
City of Fridley "
Application for Mmd&g and Gas NMI" rindt W
Dept. of Bldga. Phone 580-3450
DESCRIPTION OF WORK 570 N E
Number. Kind and Location of Fixtures Location 57Th Ave
•
..............
Future ConnacHm OpeningsI L'o + Now Fixture. Old Openings Sawn
Cesspool r]
PARTIAL RATE SCHEDULE
PLUMBING FIBTUAE RATES: NO. RATE TOTAL
Number Fixtures ................ x $2.00 $
Future Fixture Opening ........... x $1.50 $ -
New Fixture Old Opening .......... x $1.50 $
Catch Basin .................... x $3.25 $
Water Heater :Up to 99,000 BTU) .... x $3.00 $
New Ground Run Old Bldg. ....... .
Electric Water Heater ..............
GAS FITTING FEES:
1st 3 Fixtures ............... ,
Additional Fixtures ................ .
Gas Range to 199,000 BTU.. . ... . ... . -
REPAIRS A ALTERATIONS—Refer to Code
x $3.25 $
: $2.00 $
NO. RATE TOTAL
x $2.00 ;
x $ .75 $
1 x $5.00 $ 3.00
Description ......................................... .
SAL F= 8 3.00
City of FYidley:
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 11-27-70 l8�
Owner Earl Kellar
Kind of Building frame
Used as pas
To be completed about 12-2-70
Estimated Cost, $ 10.00
Old—New. Building Permit No. Permil No.7`
Si
gym.,
Business Phone 1Vo
ROUGH
SUBJECT
PER
City of Fridley
®13
AT THE TOP OF THE TWINS
BUILDING PERMIT
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION
r � � SEC.
1 )
� CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
812-580-3450
910-F15
10/27/75
JOB ADDRESS 570 - 57th Avenue N.E.
1 LEGAL
LOT N0.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
14
10
Donnay's Lakeside Manor SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Maureen Kellar 570 -. 57th Avenue N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
North Star Services 688 Hague Avenue, St. Paul
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 l ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Remodel dwelling
9 CHANGEOFUSEFROM TO
STIPULATIONS
Recommend installing fire detector (models are available to
Fridley residents at a reduced rate through the Chamber of
Commerce.
SEPERATE PERMItS RE(jUIREO FOR WIRING,
HEATING. PLI)A$BINQ ANp Sle ft
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
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
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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$800.00
.50
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.
$6.00
PLAN CHECK FEE
TOTAL FEE
$6.50
�IGNATURE 00 CUNTRXCTOR OR AUTHORIZED AGENT (D TE)WHEN
PROPERLY ALIIDDA�TED�TH)IS IS YOUR PERMIT/( •'
yIT
ll
BLDG. INSP I DAT
SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) I
-APPLICATION FOR RESI'DL'NTIA - ALTL'RATIO
OR ADDITION.BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAr1E : ,� re �-n 1iP%tom BUILDER: /I�� r��1 5�� v Se ✓vi z �.�
ADDRESS: ® S 7 NG,.r DDRESS :
'590 STREET. `S o th aA_J_C /u.
I.OT: / BLOCK: ie ADDITION: �(�dJNAV'S �A�s/6?� mAAJoe-
CORNER LOT: INSIDE LOT: SETBACK: SIDE YARD:
Applicant attach to this form Two Certificates. -,f Survey—of—Lot and.proposed
building location diiwn on these Certificates.
DESCRIPTION'OF BUILDING
_ Be Used As:
o43
Front: Depth:
Square Feet: Cubic.Feet:
Height:
• Front: Depth: Height:
Square Feet; Cubic Feet:
Type of Construction: moi- crn-e Estimated Cost: $ Dy, a o
,To Be Completed: (v>® ✓, 32 i9,7s,_
The undersigned hereby makes applicativn•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 herjeby
declares that all the facts and representations stated in this application
are true and correct.
• DATE: lig 7�' SIGNATURE:_ 0K�'x�A r
.(See Reverse Side For Additional Information.)' - Ser✓r lis
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4 JClo� tip doorwa
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eb®eta'ociL¢,�.d(3blydboat�dljo 3aa—"wo, o{n� . ail.age and. fish. 3e�a�ia� r+aE;dg► . icy; w
j?Stigfte `.PiinYr $& b�-65Liaa� by owner.S
`,
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ceiling rice• to ba'r texture spr :ay�8 by „nrth: ,*4 4r . _ s s , e� �t
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' a�3cr you,,for in%iiiimg up*;to an'�ujit' this procoeal •i� a �aei icer fcrtr�rd tO the ,
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'
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SUBJECT
PER
of Fridley
16 5 8 8
AT THE TOP OF THE TWINS
BUILDING PERM I T
rpCity
R
�
1 `y ______ COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATEPAGE
OF
APPROVED BY
L 612-571-3450
910-F15
5/19/82
�
JOB ADDRESS
570 - 57th. Avenue N.E.
1 LEGAL
LOT NO.
BLOCK
RACT OR ADDITION SEE ATTACHED
DESCR.
14
10
pDonnay'sLakeview Manor SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Earl Kellar 570 - 57th. Avenue N.E. 571-4569
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
W Construction 6012 Stillwater Boulevard Oakdale MN 55119 738-8647
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 DESCRIBE WORK
rnn.qt!mnt-_ a 9-03 x 401 Triaround Swimming Pnol (28,000 gallons)
9 CHANGE OF USE FROM TO
STIPULATIONS
See letter dated May 19, 1982 by Environmental Officer, for stipulations.
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
SQ. 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
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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$10,685
$5.34
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 -
RUCTION OR THE PERFORMA OF NSTRUCTION.
SR6- 50
PLAN CHECK FEE
TOTAL FEE
-� --�
$91.84
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
BLDG INSP n4T
SIGNATURE OF OWNER IIF OWNER BUILDERI (DATE)
CITY OF FRIDLCY Effective Aug. 1, 1981
APPLICATIM FOR RESIDENTIAL BUILDING PEMITS
(New, Alterations, Additions, or Repairs)
r'
OWNER: 4::: C e-
�C�L����
ADDRESS: .7' ,�'�
TEL NO:
BUILDER: Z
ADDRESS:'!2
TEL NO:
Construction Location
• STRMT NO: STREET:
IAT: %p BLOCK:. ADDITION:'weAlc
A' Z�"'����
Corner Lot: Inside Lot:, Setback: Sideyards:
Applicant attach to this form two Certificates of Survey of lot and
proposed building location drawn on certificates to scale.
DESCRIPTION OF CONSTRUCTION
y� �lW OLC---y ont: (- Depth: ' a�% Height:
Square Feet: _ Qibic Feet:
Front: Depth: Height:
Square. Feat: Cubic Feet:
Type of Construction: e /t6C - G%�r` L L it, �'L Z S f Estimated Cost: $ ��
9
710 Be Completed:
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired: $ $
SEE REVERSE SIDE OF SHEET .
Mie undersigned hereby masses 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: SIGNATURE:
Stipulations:
:
S' �
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432
.982
action
.lwater Boulevard
Oakdale, 1,27 55119
TELEPHONE ( 612)571-3450
Re: Swimming Pool Construction at 570 - 57th Avenue N.E., Fridley, MN
Dear Sirs: 4
This letter is to make clear this department's requirements for the swimming
pool construction at the above address.
1. As indicated, two (2) skimmers approved by the National Sanitation
Foundation will be provided.
2. As indicated, three (3) inlets of approved design for fresh and/or
repurified water will be provided.
3. As indicated, a main drain of approved construction will be provided.
4. The filter and pump shall be approved by the N.S.F. and be of
sufficient capacity to provide a minimum turnover of at least two (2)
times in 24 hours. This department recommends a turnover rate of
6 - 8 hours..
5. A deck of at least three (3) feet wide, measured from the pool waters
edge, shall be provided which extends completely around all private
residential pools. Above ground private residential pools may be
provided with decking of a minimum size of 4 feet by 4 feet at pool
entry points and provided that such decking has the approval of the City.
6. The diving area will be acceptable provided there is no overhead
obstruction.
7. Fencing or other effective means including but not limited to walls
or buildings, acceptable to the City, shall be provided to positively
control all access to public and private residential swimming pools.
Fencing shall meet the following criteria:
(a) The fencing shall prevent the entrance of children and be without
hand or foot holds that would enable a person to climb over it.
(b) The fencing shall be at least 6 feet high and entrances shall be
equipped with self-closing and self -latching gates capable of
being locked.
(c) Self-closing and self -latching devices shall be placed at the top
of the gate or otherwise inaccessible to small children.
(d) The opening between the bottom of the fence and the ground or
other surface shall be not more than four inches.
8. An automatic chlorinator should be provided with a suitable test kit.
9. All electrical and plumbing installations shall be inspected and
approved by the City Inspection Department.
W construction
May 19, 1982
Re: 570 - 57th Avenue N.E.
Page 2
10. All overhead electrical lines must be a min;;m,,,f, of 10 feet horizontally
from the pool surface and 18 feet straight line distance from the
waters edge. An alternative is to bury said lines.
11. The pool fill spout must be protected by a vacuum breaker or air -gapped.
12. Suitable safety equipment to include but not limited to a ring buoy
and rope that is 1l� times the pool diameter and shepherds crook pole
must be provided and maintained with the pool at all times:
Furthermore, these and any other requirements must meet the provisions of
the Fridley City Code, Section 115, Swimming Pools. The building permit is
approved contingent on final inspections and approval by the City.
If any questions or problems arise from this letter, please feel free to
contact me at 571-3450.
Sincerely,
0
S N J O N, R.S.
Environm Officer
SJO/mh
CC: Mr. Earl Kellar
570 - 57th Avenue N.E.
- - All
ONAI Ala -1
- - - N -7LS OGS►'
-- - - - _ _ 69,5 -/lam' •a►� ���� � nr37a'�'1,i � �a�� ',
- 11
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Y/�r7 •dOVd rots
CITY OF FRIDLEY
APPLICATION FOR PWMBING AND GAS FITTING PERMIT
.1
93
Ol
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.00 R
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ua
O .40
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Water
Heater
ec
lot
2nd
3rd
4th
4-i
i
i
(R) . Future Connection Opening
- New Fixture, Old Opening
Connected with Sewer
Water
RATE SCHEDULE
PLUMBING FIXTURE RATES: NO.
New Fixtures•
Future Fixtures
Old Opening, New Fixture
Beer Dispenser
Blow Off Basin
Catch Basin
Rain Water Leader
Hydraulic Valve
Sump or Receiving Tank
Water Treating Appliance
Hot Water Heater
Gas Range
Gas Dryer
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
It of Value of Fixture or Appliance
Reinspection Pea $
($15.00)
RATE
$ 5.00
g 3.50
S 1.50
S 4.00
S 5.00
$ 5.00
$ 5.00
$ 5.00
$ 5.00
$ 7.00
$ 5.00
$ 10.00
$ 10.00
State Surcharge
TOTAL FEE
TOTAL
S
bLtective Aug. i, i9t1i
Job Address S % O 5 % LL•�-L
Department of Buildings
City of Fridley
Tel. 9571-3450
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the City Codes
and rulings of the Department of Buildings, and hereby declares that all
the facts and representations stated in this application are true and correct
%%�� %,/ Q Fridley. Mn. - e/ . 19—?
OWNER S / \ X.�C.t��
KIND OF BUILDI �1L -
USED AS /�✓l
TO BE COMPLETED ABOUT t1" -
ESTIMATED COST _ 3 O o, 0 G
OLD - NEW BUILDING PERMIT NO. PERMIT NO. QQ
Company
Signed By G
Tel. No. S 7 - SG 9 y
ROUGH INSP.
Date
FINAL INSP.
Date
APPROVAL FOR PERMIT a /�
S '
$ .50
$ A0. MINIMUM FEACPK ANY PLUMBING PERMIT I $10.00
PLUS THE .50 S ATE SURCHARGE
CITY OF FRiDLEY Effective Date January 1, 1991
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND
AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
Furnace Shell and Duct Work,
Burner (Also replacement furnace)
Gas Piping
(piping needed with new furnace)
Gas Range
Gas Dryer
RATE TOTAL
$ 20.00
S
$ 10.00
S
$ 10.00
$
S 10.00
S
* Air Conditioning (all sizes) $ 10.00
All Others/Repairs and Alterations
18 of Value of Appliance or Work
COMMERCIAL/INDUSTRIAL
l% of Value of Appliance or Work
State Surcharge
4kr+`' � Nib
REINSPECTION FEE $30.00.
Rough Insp. W—
MINIMUM
DatFinal Insp.D tApproval for Permit FEE FOR ANY HEATING/COOLING/VENTING PERMIT
IS $15.00 PLUS THE $.50 STATE SURCHARGE
*Air Conditioners can not be placed in side yard without
written permission from adjoining neighbor.
Job Address 570 5-7)ti Ae /V
Building Inspection Div. 6431 University Ave NE Fridley MN 55432
Tel. No. 572-3604
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the City Codes
and rulings of the Department of Buildings, and hereby declares that all the
facts and representations stated in this application are true and correct.
Z' , 194
OWNER
KIND OF BUILDING S /J e.
USED AS
TO BE COMPLETED ABOUT+
ESTIMATED COST _ QO®r6./Ci
OLD - NEW BUILDING PERMIT NO. PERMIT NO. I
67
DESCRIPTION OF FURNACE/BURNER
HEATING or POWER PLANTS, Steam, Hot water, warm Air- No.
Trade Name Size No.
Capacity Sq. Ft. MR BTU NP
Total Connected Load Kind of Fuel
BURNER - Trade Name Size No.
Capacity Sq. Ft. EDR BTU /� � N\ HP
Company '4)
_/y�)q
�- q K-0 S
Signed By
Tel. No.
Fill out back side for stack verification on replacement furnaces
CHIMNEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack;
I. Has been carefully examined Yes (,)
2. Is free from rust or deterioration Yes ( )
3. Has no foreign objects lodged within Yes ( )
4. Is securely supported Yes ( )
5. Meets all current Code requirements for size and
total BTU connected Yes ( }
6. Has Total heating BTU's of
All other BTU's
TOTAL
Remarks a v e
0,4 !:/ ,-d 0l4c ®a
r -/, of ci Ct i 0e /a
No ( )
No ( )
No ( )
No ( )
No ( )
Company /�IOSS &�16: 9�- 11761:
D
Ile �
Signed By
Da to
g-'�S-�-o0
CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1997
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 01
572-3604
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
PLUMBING FIXTURE RATES:
New Fixtures
Old Opening, New Fixture
Beer Dispenser
Blow Off Basin
Catch Basin
Rain Water Leader
Sump/Receiving Tank
Water Treating Appliance
Water Heater –Electric
Water Heater – Gas**
NO. RATE TOTAL JOB ADDRESS 5706 7rr'l All. N5 E -
Gas Range** _
Gas Dryer** _
Back Flow Preventer Required ( )Yes () No
Type —
$ 7.00 The undersigned hereby makes application for a permit for the work herein
$ 4.00 specified agreeing to do all work in strict accordance with the city codes
$ 5.00 and rulings of the Building Division, and hereby declares that all the facts
$ 7.00 and -representations stated in this application are true and correct.
$ 7.00
$ 7.00
$ 7.00 o
$10.00 Owner _/� /�L/_ zm ze4,p�_ A/, s 7 / s0.Cct
$ 7.00
$10.00 Building Used As
$10.00
$10.00 Estimated Cost PERMIT NO.
$15.00
Reinspection Fee $42.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
State Surcharge $ .50
TOTAL FEE
PLUMBING COMPANY
SIGNED BY TEL N0. l
Approved By Rough–In Date Final Date
PLUS THE $.50 STATE SURCHARGE
**COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6–A. MINIMUM SIZE 9 SO INCHES.
CIIYOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287
September 25, 2000
Earl H. Kellar
570 57 Ave. NE
Fridley, MN 55432
Re: Final Inspection at 570 57 Ave. NE
Contractor: Mr. Rooter of Anoka Co.
Dear Mr. Kellar:
A plumbing permit was issued on April 7, 1998, for the above noted address,
to install a gas water heater. According to section 4715.2800 of the State
Plumbing Code, a final inspection shall be conducted on the plumbing authorized
by this permit. As of this date no inspection has been called for.
You will be given thirty (30) days from receipt of this notice to respond. If we do
not hear from you, we will expire the permit and any inspections on this
installation will require a new permit.
Any questions can be addressed to myself at (763) 572-3603.
Sincerely,
DAVEJENSEN
Building Inspector
Building
MECHANICAL
Permit No.: '%
Inspections
RESIDENTIAL APPLICATION
�10-d
Received B}-' %
763-572-3604
Datef CID: NOV 2 3 211
CITY OF FRIDLEY
763-502-4977 FAX
EFFECTIVE 7-1-2010
DATE 0-23- , d YOUR E-MAIL ADDRESS
srrE ADDRESS 5 p,
7d d� ✓ /V,, C
THIS APPLICANT IS: ❑ OWNER *ONTRACTOR
PROPERTY
NAME:Mar- eki
�-� Y STA zl
ADDRESS:::�2PS 7 �A)C I E CITY.1fr T)
OWNER/
TENANT
PHONE:74z 3 -:5 y/ q q
CONTRACTOR
COMPANY NAME: -r7'aod -e wl
CONTACT PERSON: k'1 Ch P-212 r� 15MsS' S T/'c-® RA
SUBMIT A COPY OF
YOUR STATE
STATE LICENSE # EXP DATE
LICENSE WITH
ADDRESS:��75X!2 /n%S! lBS- Xi E CITY 509 /' STATI MZIP C,
APPLICATION
pHONE �F - 1 FAX �&5 �� / 4_
PERMIT TYPE
kSINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK:
❑ NEW REPLACEMENT ❑ ALTERATION/REMODEL
DETAILED DESCRIPTION OF WORK r1& jrpq ,4c- C 1/1 d— 0/c CP&k!e--&,nc5T-
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: 94te 144 MODEL Z6 / 6C5 sizE/BTU
MFG: .q.e-eM MODEL%3e �Of g f7' D I SIZE/BTU a! pD8
MFG: MODEL: SIZEBTU
$25.00 _FIREPLACE (GAS) $15.00 _GAS RANGFJOVEN $10.00
AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 GAS GRILL $10.00
_NEW
_._BOILER $35.00 URNACE $35.00 _GAS UNIT HTR $10.00
_CHIMNEY LINER $10.00 _GAS DRYER $10.00 _POOL HEATER $35.00
DUCT WORK $10.00 _GAS PIPING $10.00 VENTILATOR $15.00
i�sttd0.
ik � i 1 3
77
6
h„
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 applicati f a pe it d work is not to start without a permit; that the work will be in accordance with the
approved plan in the case of al is r review and approval of plans.
SIGNATURE OF APPLICANT PRINT NAME Rc C v9 t2 S7 FA
APPROVAL INSPECTORS SIGNATURE DATE
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604 FAX: 763-502-4977
R
City of Fridley Residential Mechanical Application Page 2
REQUIRED INFORMATION NEEDED TO PROCESS PERMIT
RESIDENTIAL PERMIT APPLICATION HVAC
❑ NEW HOMES/ADDITIONS ❑ EXISTING HOME ❑ 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. N1104.4.13
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.