PRE 2010 DOCSDate
ie
Owner
Address R7A' 4
BUILDING PERMIT
Village of Fridley, Minn.
n...............................
N° 2263
Builder
I�. Address .........................................
�! LOCATION OF BUILDING
No. ...... ?' . Street ................... Part of Lot .......................
Lot ....... :":'..... Block ....... !� .... Addition or Sub -Division
Corner Lot ...... ... Inside Lot ............ Setback +� .fir. Sideyard ..1 .4Ve.............
DESCRIPTION OF BUILDING
To be Used as:
. AW.. FrontDepth .... Height Sq. Ft......... Cu. Ft........ .
4 Front . I t° Depth A�(�... Height .. Sq. Ft......... Cu. Ft. ........
Type of Constructi In .............. Est. Cost To be Completed ...'.................
,re.,s.,9��'r��� �i►-+�' Ifo k
In considerati�� 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 41 age of Fridley. A
In consideratloo of the payment of a Pee of $:.` ... permit is hereby granted to'l;y.............
AA
to construct the building addition as described above. This permit is granted upon
e express cn9t the person to whom it is granted and his agents, employees and workmen, in all work
done in, around 4 upon said building, or any part thereof; shall conform in all respects to the ordinances of
Fridley, Minneso regarding location, construction, alteration, maintenance, repair and moving of buildings with-
in the village limi' and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
NOTICE: 11
This perml ' does not cover the construction, installatlon or alteration for wiring, plumbing, gas heating,
sewer or water Be sure to see the Building Inspector for separate permits for these Items.
• a
•
0
City of Fridley, Minn.
BUILDING PERMIT
Date: May 27, 1965
Owner: Ed. Sir, :ors)W Builder Harvey Peterson
Address 491 61st. Ave. N. E. Address 151 Glen Creek Rd
-:79/4� a
N? 7592
LOCATION OF BUILDING
No 491 Street 61st • Avenue X. E. Part of Lot
Lot 19 _ Block 1 Addition or Sub -Division - Upland@ t let. Addition
Corner Lot Inside Lot Setback Sideyard
Sewer Elevation
Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
Residence Front Depth Height Sq. Ft Cu. Ft
Front Depth Height Sq. Ft Cu. Ft
Type of Construction Frame Est. Cost (M.LO _.. To be Completed
Storm Damage Repair
Rebuild to Original
In consideration of the issuance to me of a permit to c
the proposed work in accordance with the description above
ordinances of the city of Fridley.
In consideration of the payment of a fee of $ 10.00
the building
h and In cc
I agree to do
provisions of
is Eby granted to Harvey Peterson
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
ordinancaL
NOTICE
Uh peewit den no effm the eons mdlon, instalWan fuer arhia& ping, gn baaHng, nwu or wNar. Be dna to M
tin Building Mve tar for up"&" pwm% for than Dom
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME F -P.. k 1.1
ADDRESS A/ c/i - C, i4j VP �� ADDRESS.4t t
-LOCATION OF BUILDING
No. 9'.—Street►' f/�� d, Part of Lot__
Lot Block Addition or Subdivision �,X__�!��
Corner Lot Inside Lot Setback Side Yard.
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Two Certificates of Survey of,Lot and proposed build-
ing location drawn on these Certificates.
DESCRIPTION OF BUILDING
To be used as���
Front. Depth Height
R
Sq. Ft. Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
Type of ConstructionEstimated Cost
To be Completed . Q :e_A_)= j Si
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 g;�&e and correct,,.,
DATE -S
(Schedule of Fee Costs can be found on the Reverse -Side).
CITY OF FRIDLEY INSPECTION DIV.
Effective On January 1, 1991
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING
SYSTEMS AND DEVICES
/ ,� /
tiq/ 1° 1 Af 4 V f /y 9
JOB ADDRESS
RATE SCHEDULE
The undersigned hereby makes application for a permit for the work
Residential Rate
TOTAL
herein specified agreeing to do all work in strict accordance with the
Furnace Shell and Duct Work, Burner -
city codes and ruling of the Building Division, and hereby declares
Also Replacement Furnace $ 20.00
®®
$-
that all the:facts and representations stated in this 11ppli tion are
true and correct. L ,19W
Gas Piping (Needed with new furnace) $10.00
$
5A
OWNER
Gas Range $10.00
$
J"-J
BUILDING USED AS
Gas Dryer $10.00
$
ESTIMATED COST PERMIT NO.
*Air Conditioning - All Sizes $10.00
$
DESCRIPTION OF FURNACE AND OR BURNER
All Others/Repairs & Alterations (LIST ON BACK)
1 % of Value of Appliance or Work
$
No. of Heating Units Circle One (Steam) (Hot Water) rm Airy
Trade Name &4P Size No.-
Commercial/Industrial
BTU ® _ HP EDR
1 % of Value of Appliance or Work
$
Fuel Total Connected Load
State Surcharge
$ .50_
Burner Trade Name Size No.
BTU HP EDR
TOTAL FEE
$
HEATING COMPANY ROYALTON HEATING & COOLING
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 Signed By BROOKLYN PARS
PLUS THE $.50 STATE SURCHARGE PHONE 424-8333
REINSPECTION FEE $30.00 Approved Bvk. Rough -in Date Final Date
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner. FILL OUT BACK SIDE FOR STACK VERIFICATION ON
REPLACEMENT FURNACE
CHIMNEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack:
1.
Has been carefully examined
Yes
(VK No
( )
2.
Is free from rust or deterioration
Yes
(UJ" No
( )
3.
Has no foreign objects lodged within
Yes
( ) No
4.
Is Is securely supported
Yes
(-.�X No
( )
5.
Meets all current Code requirements for
size and total BTU's connected
Yes
(4,"' No
( )
6.
Has total heating BTU's of �i)ID
All other BTU's �Du
TOTAL BTU's I ®®O
List Alterations Being Done:
HEATING COMPANY ROYALTON HEA NNO & eWUNO
4120 - 85TH AVt:NUr-
Signed By BR00y(LYN PARK, MN 55443
Date p�oNE 424-8333
HOUSE HEATING TEST RECORD
ADDRESS APT. FLOOR CITY SUBURB
OCCUPANTOWNER
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY
Electrical Work' By Gas Line By
TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN CONVERSION
MAKE � `� - MAKE OF BURNER
Model Model
1 V_
Serial i' �,. ' -! Max. BTU Rating
INPUT - - MAKE OF FURNACE
CONTROLS
THERMOSTAT '' �� Heat Plug °
Valve
Model
Vent Size t0 ,
KIND OF LINER—
SIZE NONE
Limit `' "' "
Draft Hood
Regulator
A
Limit Setting
Filters Size',
,Number
Fan Setting
Chimney Location
Inside Outside
Pilot Type _
Chimney Constriction
,":i�,
Pilot Make
Pilot Model
Smoke Bomb
Wiring
Pilot Timing
Draft
Test Tog a. `
L.W. Cut Off
Door Pressure
Lighting Inst.
Pressure =- Percent CO
Date Tested
I
9;.
Input CFH - Percent 02
Company Testing
I
Stack Temp. Percent CO
Name of Tester
-
Form 235
'p,i
HEAT LOBS CALCLSATIONS rip
Weathetdfhn AwS.KV.L
_
Windows Doets lutes m DNt a(rl! hre.'4
FM &—t -AT Lanith Width
tNSPECtION
.� ..
Calf.
eta
'
Exp, wan
•"
Net eap. wan
:Y
Int, wall
Ceiling
Floor
Total Btu.
•�+`�``�'`'
"�"
Required sq. It. E.D.R. of ^Y WA Lrgt1 t sten
F1.1 Room I LAftik Width
Sleight
'Windows and Doerr-�Zr+iwaitlttyt t1ft_lreti,. ,
p+
?la �f IYiM 1f Wur 1 pu t,
� to
Infiltration
1
Exp. wane]
Net exp. wall iL 42AI
Int. wall
Ceiling
Floor C
Total Btu.
Required sq. (!. E.D.R.. ` iiir., A. t.atllr t�Wtri
1
Fl. Room I L.ettgth Width > Height
Y�
Windows 46
a ��
ton. er r�iw arm",
Coef.
Stu
Infiltration
_
Clan
Exp. wan
Net exp. wall
Int. wall
Ceiling
`" t
Floor
Total Btu.
j
Requited sq. It. E.D.R. or rq. ben. WA. Lender ami
f
wall
Ltittlt�tiett
It. E.D.R. er !q. ins. WA. Leader ahrit
SUBJECT
City of Fridley
33482
AT THE TOP OF THE TWINS
BUILDING PERMIT
NO.
COMMUNITY DEVELOPMENT DIV.
v
^ /
1 PROTECTIVE INSPECTION SEC.^+Jo��/
r I ,
fJ
[;N;U;;M;BEF
pEV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
L j\ 763-571-3450
910-F15
4/30/03
JOB ADDRESS 491 61 Avenue NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
19
1
Upland 1st Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Minnesota Rusco Inc 5558 Smetana Dr, Minnetonka, MN 55343 952-935-9669
a ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
2173
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION O ALTERATION? REPAIR O MOVE ❑ REMOVE
8 DESCRIBE WORK
Replace 10 windows within existing openings
9 CHANGE OF USE FROM TO
STIPULATIONS
Provide smoke detectors in all sleeping rooms and on all levels of the dwelling
per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all
exterior openings.
Permit Inspection Cards
ill 136 fail
me Homeowner Toost
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
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
$6,105
$3.05
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING COW
$139.25
Fire SC $6.11
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTAL FEE
License SC $5.00
$153.41
SIGN A TURE OF CON TRACTOR OR AUTHORIZED AGENT iDATE,
HEN PROPERLY VALIOATEO THIS IS YO R EMIT
L G �NSo riA�E
S-GNATURE OF OWNER,if OWNER BUILDER. iDATE,
PAID APR P. 9 2003
NEW [ ] CITY OF FRIDLEY Effective 1/1/2003
ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
Construction Address:
Legal Description: 5F-• V
Owner Name && Addres^s�:�, Tel. #
Contractor.MN LICENSE#
Address: 5558 f p �V_AA- AUZ/1F-) t-1i2rAL.ri 553 `i3 Tel. # q5Z ' 935'
0+ q57- q.Ls • 9s�y
Attach to this application, a Certificate of Survey of t
lot, with the proposed construction drawn on it to scale.
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length
Width
Hgt/Ground Sq. Ft.
Con tructioVTe--'
Estimated Cost: $ 106. a o
Driveway Curb Cut Width Needed: Ft. + 6 Ft =Ft x $
DATE: IZW APPLICANT: (,!/� ' MIS Tel. #��•� •j��/
Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will
call you for card number.
CITY USE ONLY -
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,400 Valuation
$1275 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. 'W or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]