PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PEST N° 5762
Date:
Owner: Builder -
Address _ _ _ _ Address
L TI OF UILIDING
No., Street � � YO'--- Part Lot - -i
Block Ad 411 444YJ on or Sub -Division
Corner Lot ._ •----- Inside Lot __ Setback 1. Sideyard
Sewer Elevation
Foundation Elevation
DESCRIPTION OF BUILDING
To sed rr
r,
Front Depth Height d Sq. Ft„ Cu. Ft. t
nt Depth ght — Sq. Ft. Cu. Ft.
Type of Construction "WWI �--' Est. CoSt�""'°"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 forth and in compliance with all provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of $'� _ _ ., permit is hereby granted to
to construct the building or addition as described above. This permit is granted upon
the express condition that theperson-to whom it is granted and his agents, employees and • workmen, in all work
done in, around and 'upon sad 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 anyupon vio]ati3iF f any of the provisions of said
ordinances. � _ i
Building Inspector
NOTICE:
This permit does not cover the construction, Installation for wiring, plumbing, gas heating, sewer or water. Be sure to we
the Building Inspector for separate permits for these items.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
Owner's Name Builder
Address Address
LOCATION OF BUILDING
No.. Street Part of Lot
Lot ! Block_ Addition or Subdivision
Corner LotrInside Lot /Y Setback s� v Side -Yard /®
SEeTEEt ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
To be used as:
DESCRIPTION OF BUILDING
Deanth . � ll< "" Height
Sq. Ft. Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction Estimated Cost
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 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.
nemw :fit - 7— /,,— RTMATTYM 2-7 .
(A Schedule of Fee Costs can be found on the Reverse Side.)
City of Fridley
Application for Plumbing and Gas Fitting Permit /
Dept. of Bldgs. Phone SII 4.7470 `
DESCRIPTION OF WORN Location 194 — 63rd Way
Number. Kind and Location of Fixtures
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
ae
�_
Number Fixtures ......................
i
�
}
ZFZ
$
� z
aZ
O J t9
a
z
�
•
WATER HTR.
GAS
ELEC.
Water Heater (Up to 200,000 BTU) ......
x 2.00
$
New Ground Run Old Bldg . ............
x 3.25
$
Base
1
1
1
1
1
ist
1
1
1
1
1
Di pm al
2nd
_
3rd
—
4th
• Future Connection Openings
I
Connected with
sews:
New .Fixture, Old Openings
Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO. RATE
TOTAL
Number Fixtures ......................
9 x $1.50
$ 13e50
Future Fixture Opening ................
x 1.20
$
New Fixture Old Opening ..............
x 1.00
$
Catch Basin
x 3.25
$
............................
2.00
Water Heater (Up to 200,000 BTU) ......
x 2.00
$
New Ground Run Old Bldg . ............
x 3.25
$
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, March 6 19 62
owner Paul Schwartz Const. Co.
Kind of Building Frame
Used as Dwelling
To be completed about
June 1,1%2
Estimated Cost, $ 800.00
Old—New. Building Permit No. ���{{{pp�@��}��pp Permit No. � p7 pppe�
.Soigne STANDARD Y m�OG DING & �, PBSI�t1 CE CO-
B -
Business Phone No W@ S 3589
ROUGH 9 _ °? 6 4- -7—
FINAL
GAS FITTING FEES: NO. RATE TOTAL
1st 3 Fixtures .......................... x $1.50 $__1.50
Additional Fixtures x .50 $
Gas Range to 200,000 BTU .............. x 2.00 $
REPAIRS & ALTERATIONS—Refer to Code
Description................................................$
TOTAL FEE $ 17e00 ax tin► -ss
0 "•
Application for Power Pkn is and Heating, Cooling, Ventilation, Refrigeration and
Air Conditioning Systems and Devices
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 BTI) ......
................ 5.00
$ 59®Q
GAS FITTING FEES:
NO RATE TOTAL
1st 3 Fixtures ......................
x $1.50
$ 1.50
Additional Fixtures .................
x .50
$
Gas Range to 200,000 BTU ...........
x 2.00
$
AIR CONDITIONING
$
FAN HEATING SYSTEM
See Fee Schedule
VENTILATING SYSTEM
$
ALTERATIONS & REPAIRS
TOTAL FEE
$ 14.50
REMARKS:
4
Dept. of Bldgs. Phone SU 4-7470
Location 194 - 63rd Way 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, Minn.3-19 19 2
owner Paul Schwartz Construction Co_ 195
Kind of Building Pr 0 195—
Used as Re S .
To be completed about Q--19-62
Estimated Cost, $ 450.00
Old—New. Building Permit No. �'S� r✓
DESCRIPTION OF WORK
HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No 1
e
Trade Nam. Westinghouse Size No. GUE-100
Capacity Sq. Ft. E.D.R BTU 10" H.P.
Total Connected Load 45,631 Kind of FueI resin
BURNER — Trade Name Size No
Capacity Sq. Ft. E.D.R BTU H.P.
Signed FRcE VQGT
HEATING & AIR Cewn
By 6TiA-
6530 West Lake St. WE, 9.6i6i
alODD11 POST 1M-12-58 Business Phonc�}�T�
' n--- A
City of Fridley, Minn.
BUILDING PERMIT
Data: L"
N° _ 6288
- W. 540� ev_ Al FAM - e - W� — — MA —
Address
L ON. O'DING
No. Street -- I-..0° Vf-' part . t
Lot __ Block Ad oa or Sub-Divislon:I
Corner Lot _ Inside Lot Setback Sideyard
Sewer Elevation Foundation Elevation
DESCRIPTION OF BUILDING
To d
—� Front _ Depth Height i._ Sq. Ft.' Cu. Ft.
Fro Deptheight Sq. Ft. Cu. Ft.
MAO
Type of Construction Est.. Cost : To be Completed
In consideration of the issuance to me of a permit to construct the building described above I agree to do
-==work work in accordance with the description above set forth and in compliance with aJl provisions of
ordinances oY the city of Fridley.
In consideration of the payment of a fee of 3—:�—•"''— , permit is hereby granted t
thto construct the building or addition as described above. This Permit is granted upon
e 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 pert thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota reg location, construction, alteration, maintenance, repair and moving of buildings
within the dty limits ands permit may be revoked at any time upon violation of any of the provisions of said
Building Inspector
NOTICE:
M paM den net cover the centruction, butaWNon for vdrb& pl nnhing, gn hs"Mg, sscrer or crater. Be son to see
the Building Wgwdor for separate permits for dhese steam
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
Owners Name
Gerald Nordland
Builder
MILES CONSTRUCTION COMPANY
Address 194
63nd Way N.E. Fridley.
Address
4500 Lyndale Ave. No. Mpls. 12,
LOCATION OF BUILDING
No. 194 63nd Street Way N.E. Part of Lot
Lot 8 Block 3 Addition or Sub.Div. Eva Erickson, River Manor
Corner Lot Inside Lot_ Set Back Side -Yard ---
SEM ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
DESCRIPTION OF BUILDING
To be used as:
Garage Front 18 Depth 20 Height 71
Sq. Ft. Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction Frame Estimated Cost $1400.00
To be completed As soon as possible.
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 representa-
tions stated in this application are true and correct.
DATEJ" —
November 13, 1962 SIGNATURE
(A Schedule of Fee costs can be found on the Reverse Side.)
I�
City of Fridley, Minn. N9 9367
BUILDING PERMIT
Date: _ July 25, 1967
Owner: Jerry Nordlund Builder /i,- B- C _
Address 194 63rd Way N. Ell Address _13()R Main qt-- N F.
LOCATION OF BUILDING
No. 124 Street _.__ 63rd Way, N _ _ Part of Lot
Lot _ 8 Block 3 Addition or Sub -Division . EVA kqnn R iyP r Manor
Corner Lot —_ Inside Lot Setback Sideyard
Sewer Elevation ___ __ — Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
Blacktop Drive _ Front __ Depth _ Height —_ _ _ Sq. Ft. Cu. Ft
Front Depth Height Sq. Ft Cu. Ft.
Type of Construction Driveway Est Cost __.,$267700, __ 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 sit forth and ipliance with all provisions of
ordinances of the city of Fridley. // -�"
In consideration of the payment of a fee of $ 5e00 , permit is hereby granted to A.B . C.
Blacickop 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 ordinance=s of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildinas
within the city limits and this permit may be revoked at any time upon violation of any of the provisions d— &
ordinances.
CLUENCE BELISLE
Building Inopector
NOTICE:
Tbis permit does not cover the Construction, Installation for whiny, plumbing, gas heating, sewer or water. Be sure to see
the Building Inspector for separate permits for thea hems.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME BUILDER
ADDRESS % 9V - 3 � (Q /�� /�� � � ADDRESS /-?® / � ST'.
LOCATION OF BUILDING
NO. %ej y - STREET (s C CJ IV PART OF LOT
LOT____2 BLOCK ADDITION OR SUBDIVISION
CORNER LOT INSIDE LOT SETBACK SIDE -YARD
SEWER ELEVATION TOP OF FOOTING
Applicant attach to this form two certificates of survey of lot and proposed
building location drawn on these two certificates.
To be Used as:
DESCRIPTION OF BUILDING
- Front
Sq. Ft.
Front
Depth Height
Cu. Ft.
Depth
Height
Sq. Ft. Cu. Ft.
Type of Construction stimated Cost��
To Be Completed gel
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 ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and correct.
DATE SIGNATURE
(Schedule of Fee Costs can be found on the Reverse Side).
a
s
53 -8h -S-915.51
City of Fridley iuN[cT
AT THE TOP OP TH[ TWIN[
16. PLUMBING PERMIT APPLICATION
r'L'-.-".-. COMMWiITY pEV[I.ODMENT DIV,
'{ PROT[CTIV[ wM[CTION 09PT,
MY HALL FRID69Y iM[
44-500-3W Hums R R v. DATE P"E 0P • OV D 9Y
Job Address 0 12/15/73 1 1 800
19b N. E. 63rd. Way
" --'-
Aaaress Phone
Gerald
J. Nordlund 560-3022
Contractor
A ress
MIINNEGASC® ;133 MARQUETTE AVENUEne
Kind of Building
Use Mpts., MIN111.
Frame
Res.
Completion
Datestimate
3-25-7l�
Cost
10.00
Plumbing Fixture Rates: NO. RATE TOTAL
U1
i I II
=WW1
;�
1
W
Number Fixtures x $2.00
3" I
Future Fixtures x $1.50
sial
I I
I
New Fixture -Old Open. x $1.50
O
'1ddY
I
;
I
I
Catch Bastn x3.25
$
eve
!
I
Water Heater -99,000 BTU x $3.00
I
•]s�wl
I ( �
�
i
eaa,
I i
Ground Run Old Bldg. x $3.25
'MNIVaI
I I I
I II
"
m
—
Elec. Water Heater x $2.00
a
ONIOVS
!
H1V]31va
Gas Fitting Fees:
iO G
6NIYtl0
I I I
I
I
;3 °o
tlOO1�I
.�
i a
1st 3 Fixtures x 2.00
$
,Q �IsaaMOHS
j�
I I I
I
I
Additional Fixtures x$
.75
�b
'1Nfl0dl
( I I
I
I
WN1HO
i Gas Range -199,000 BTU 1 x $5.00 5.00
Iq
sAVai
HSrMI I
I I
,..
I
I Repairs & Alterations
See
s"N18I I
I I
I
Description: Code
SNISYSI
I I
State Surcharge Ctas"s'•ffi Aw 'Surcharge .50o
.50
sol I
I
I TOTAL FEE $ 5.50
HAVOThe
I
I I�
9 vNimnI
undersigned hereby makes application for a permit
for the work herein specified, agreeing to do all work .
6489012
in strict accordance with the City Ordinances and rulin
aatvM
I
of the Department of Buildings, and hereby declare that
all'the facts and representations stated in this
application are true and correct.
'Signature Yl MGA3�0 Date ,
sueJEcr
PERM
City of Fridley
� 0
AT THE TOP OF THE TWINS
BUILDING PERMIT
R CEIPT NO.
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
1 �
�
�l "1 CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-560-3450910-F15
5/4/77
JOB ADDRESS 194 - 63rd Way N. E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
8
3
Eva Erickson River Manor SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Gerald Nordlund 194 - 63rd Way N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Viking home Improvement 4832 - 23� Street N.E. 560-3794
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 Cj ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
- Cover soffit and fascia with aluminum and install combination windows
9 CHANGEOFUSEFROM TO
STIPULATIONS
SEPERATE PERMITS REQUIRED Fes►
V�IR�NG�
HEATING, PLUMBING AND SIGNS,
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 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
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.
$2,000
$1.00
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NdT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$12.00
STRUCTION R THE PERFO MANCE OF CONST CTION.
_
PLAN CHECK FEE
TOTALFEE
$13.00
SGNATU OF CON RA TOR ORAUTHORIZED AGENT (DATE)
WHEN PRO ERLY/VALIDATED THIS IS YOUR PER IT
d
40
BLDG 11SP �-%�� �`� DATE
SIGNATURE OF OWNER( IF OWNER BUILDER) (DATE)
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(NEW, ALTERATIONS, ADDITIONS, OR REPAIRS)
OWNER: .�Q% 4 C/� �/�✓�
Address: /'q— 63AI X C—
No.: Street:
BUILDER:
Address: e-1 32---2-4-S'7-Alb
Tel. No.: S -6a-3 7fy
LOT: BLOCK: ADDITION: ��/ C� f �^/ j�ivelI''w"A
���
CORNER LOT: INSIDE LOT: SETBACK: SIDEYARDS:
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
To Be Used As:
DESCRIPTION OF BUILDING
Front: Depth:
Square Feet: Cubic Feet:
Front:
Depth:
Height:
Height:
Square Feet: Cubic Feet:
(?rs 1--e -'Z 90 FF- T + F4se -A GU
Type of Construction: C/omb Estimated Cost: $
To Be Completed:
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired $ $
(SEE REVERSE 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 rulings of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are true and correct. See reverse side for additional information.
DATE: 7 7 SIGNATURE:
Stipulations:
/, 00
�t /�-fid
7
SUBJECT
P1rRMIT
City of Fridley
- 17026
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
RECEIP .
• ___ COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
`----� ��'-',•� CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
L 612-571-3450
910-F15
6/29/83
JOB ADDRESS 194 - 63rd Way N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
8
3
Eva Erickson River Manor SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Gerald J. Nordlund 194 - 63rd Way N.E. 571-2847
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Cons mint, a 1913"
9 CHANGE QF USE FROM TO
STIPULATIONS`
SEPERATE, PERMITS REQUIRED FQR ►IRINC.
ZING HEATING. PLUMStNG AND SIGNS.
Before digging cell local utilltieo
TELEPHONE - ELECTRIC • GM 1k,
REQUIRED BY- LA
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
$12,000
$6.00
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMITFEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$92.50
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
AN CHECK FEE
TOTAL FEE
$98.50
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
WHEN PROPERLY YnIDATED THIS IS YOUR PERMIT
600 -Wil' 'nj
SIG ATURE OF OWNER II M UILDERI IDATEI
BLDG INSP SATE
7
CITY OF FItIDLCY Effective Aug. 1, 1981
APPLICATI94 FOR RESIDENTIAL BUILDING PER14ITS
(New, Alterations, Additions, or Repairs)
OWNER: elf t}t-0 J, A(&ktll alit C/ BUILDER:
ADDRESS: 1 ��-� 3� '!�/� ADDRESS:
TEL NO: �T 7 (- 2 TEL NO:
STREET NO: t �4
Construction Location
�
STREET: a 3 ``"7 " (/Y C"W
LOT: BLOCK: ADDITION: gln& gt4a-x��
Corner Lot: Inside Lot: Setback: Sideyards:
Ap,plicant attach to this form two Certificates of Survey of lot and
proposed building location drawn on certificates to scale.
DESCRIPTION OF CONSTRUCTION
_ Front: �� �� Depth: �. Height: CZ4/ u
Square Feet: Cubic Feet:
Front: V
uare Feert:--11 Cubic Feet:
Type of Construction:
Depth: Height:
7b Be ODripleted:
Estimated Cost:
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired: $ $
SEE FEVERSE SIDE OF SHEET .
1lie undersigned hereby makes application for a permit for the t:,ork herein specified,
agreeing to do.all work in strict accordance with the City of Fridley Ordinances and
rulings of the De1xirtment of Buildings, and hereby declares that all the facts and
representations stated in this application are true and correct.
D: TE: L laq SIGNATURE:
Stimulations:
P,,J 92 -SV
M G'. PUP
W C44E16'
IMER,
1
�LI
T
_ ..��. rfGNEN Fa.•LVht'�A��• ..
,....-- • .� ,.;�
�
_
-apt . �- � .:.
�
I
_
kA
ON
SUBJECT
N0.
City of Fridley
_ 17568
AT THE TOP OF THE TWINS
BUILDING PERMIT
CEIPT NO.
• ______ COMMUNITY DEVELOPMENT DIV.
v
r PROTECTIVE INSPECTION SEC.
1 i
i CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
L 612-571-3450
910-F15
16/20/84
/
JOB ADDRESS
194 - 63rd Way N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
8
3
Eva Erickson River Manor SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Gerald Nordlund 194 - 63rd Way N.E. 571-2847
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof dwelling
9 CHANGE OF USE FROM TO
STIPULATIONS
Roof can be 2nd layer but not 3rd. Install ridged galvanized valleys.
where necessary.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
Asphalt
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
$650
$• 50
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
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-
$15.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
$15.50
SIGNATURE OF CONTRACTOR OR UTHORIZEDAGENT DATE)
� , 6P
WHEN PROPERLY LIDATED THIS IS YOUR PERMIT
BLDG WSP DATE
SiATURE OF OW NERI OW BUILDERI I TE) �e
ON
NEW [ ] City of Fridley Effective 4/1/84
ADDN. [A FR -1 AND R-2
ALTER. [ ] Building Permit Application
Construction Addri
Legal Description:
Tomer Name & Address: Tel. #
• • "SAM
Address:
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:
Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback
Type of Construction: or, Estimated Cost: $
Approx. Completion Date:
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $ $
See Back Page for Explanation
DATE: r APPLICANT: '� Tel. 5-71
CITY SE ONLY
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS•
Fee Schedule on Reverse Side
25% of Building Permit Fee
$.50/$1,000 Valuation
$425 per SAC Unit
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
ow
CITY OF FRIDLEY
Effective Date May 1, 1988
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND
AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
'RESIDENTIAL
RATE
TOTAL
Furnace Shell and Duct Work,
�,
Burner (Also replacement furnace)
$
2.0.00
$
Gas Piping
$
10.00
$
(piping needed with new furnace)
Gas Range
$
10.00
$
Gas Dryer
$
10.00
$
* Air Conditioning (all sizes) $ 10.00 $
All Others/Repairs and Alterations
1% of Value of Appliance or Work $
COMMERCIAL/INDUSTRIAL
1% of Value of Appliance or Work $
State Surcharge $ .50
TOTAL FEE $�
Reinspection Fee ($15.00) $
Rough Insp.
Date
Final Insp. 3-30 -??
Date
Approval for Permit
Job Address
Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432
City of Fridley
Tel. #571-3450
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. r�
Fridley, Minn. / , 19�/
OWNER
KIND OF BUILDING
USED AS
TO BE COMPLETED ABOUT J ��
ESTIMATED COST
OLD - NEW BUILDING PERMIT NO. PERMIT NO.
DESCRIPTION OF FURNACE/BURNER
HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No.
Trade Name Size No. 44%�� --"-
Capacity Sq. Ft. EDR BTU HP
Total Connected Load Kind of Fuel
BURNER - Trade Name Size No.
Capacity Sq. Ft. EDR BTU HP
MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00, Company 1--.6r
PLUS $.50 STATE SURCHARGE
Signed By
Tel. No.
*Air Conditioners can not be placed in side yard without
written permission from adjoining neighbor.
Fill out back side for stack verification on replacement furnaces
y
CHIMNEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack;
1.
Has been carefully examined
Yes
No ( )
2.
Is free from rust or deterioration
Yes
,(f
No ( )
3.
Has no foreign objects lodged within
Yes
(V
No ( )
4.
Is securely supported
Yes
kJ
No ( )
5. Meets all current Code requirements for size and
total BTU connected Yes ( No ( )
6. Has Total heating BTU's of� ems'
All other BTU's®,
TOTAL
Rema rk s
Company
Signed By
100,
Date
CITY OF FRIDLEY INSPECTION DIV.
Effective On August 1, 1995
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, /-
572-3604 REFRIGERATION AND AIR
CONDITIONING SYSTEMS AND DEVICES
JOB ADDRESS 19 LA 63rci 1t�t3�� �•�..�
RATE SCHEDULE
-'
The undersigned hereby makes application for a permit for the work herein
Residential Rate
TOTAL
specified agreeing to do all work in strict accordance with the City Codes and
Furnace Shell and Duct Work, Burner -
rulings of the Building Division, and hereby declares that all the facts and
Also Replacement Furnace $ 30.00
$
representations stated in this application are true and correct.
(Side Vent - Fill Out Back)
-,2 -5 .1995
Gas Piping (Needed with new furnace) $ 10.00
$
OWNER I vd
c� PA r)
Gas Range $ 10.00
$
BUILDING USED AS @
Gas Dryer $10.00
$
7
ESTIMATED COST jWO 00 PERMIT NO. C
*Air Conditioning - All Sizes $ 25.00
$
(�rqa,n+- 563W1-0;.Y
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) ONarm Air)
Trade Name Size No.
Commercial/Industrial
BTU HP EDR
1.25% of Value of Appliance or Work
$
Fuel Total Connected Load
State Surcharge
$.50
Burner Trade Name Size No.
BTU HP EDR
TOTAL FEE
$
BLAINE HTQ. A/C &(ELECT. INC.
182 CENTRAL AVE. N.E.
HEATING C MPAN UN S&M
MINIMUM FEE FOR ANY HEATING/COOLIMWENTI_LATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25_00
Signed. Tel No. -1!5 '1- Q. ;1�c
PLUS THE $.50 STATE SURCHARGE
FEE
Rough-In Date Final Date
Approved By*FOR
REINSPECTION $42.00/Hr
*Air Conditioners can not be placed in a side yard without
FILL OUT BACK DE STACK VERIFICATION ON
written permission from adjoining property owner.
REPLACEMENT FURNACE
CHIMNEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack:
1. Has been caXdfully examined Yes ( ) No ( )
1 ass O.Zi
�u'
2. Is free from -auk, or deterioration Yes ( ) No ( )
3. Has qg- objects lodged within Yes () No .( )
4. Is sea'ely sorted Yes ( ) No ( )
5. MeeA 11 curre Code requirements for size
and tal BTU's connected Yes ( ) No ( )
6 Has totalbeffine BTU's of
All oer BTU's
TOVC-79TU's
7. Has a liner been provided for water heater
8. Has combustion air been provided for water heater
Remarks:
List ALTERATIONS Beim Done:
HEATING CO:
Signed By:
Date:
Yes () No ( )
Yes ( ) No ( )
CIIYOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (612) 571-3450 - FAX (612) 571-1287
December 30, 1998
Gerald Nordlund
194 63rd Way NE.
Fridley, MN 55432
Re: Construction Without Obtaining a Building Permit
(Reroof at 194 63rd Way NE)
Dear Mr. Nordlund:
According to Section 106.1 of the 1994 Uniform Building Code as
adopted by the City of Fridley, no building or structure regulated
by this Code shall be erected, constructed, enlarged, altered,
repaired, moved, improved, removed, converted, or demolished unless
a separate permit for each building or structure has first been
obtained from the Building Official.
You have been notified of your need to obtain a building permit and
have failed to comply as of today's date. As a result, a special
investigation fee will now be added to the permit, equal to the
permit fee. The City of Fridley will give you 30 days in which to
comply before turning this matter over to the City Attorney for his
legal consideration.
Please contact me at 572-3603 if you have any questions on this
matter.
Sincerely,
Au&"�/J, //a L�
BARRYAIESCII-
Building Inspector
BR/bk
SUBJECT
P
City of Fridley
AT THE TOP OF THE TWINS
BUILDING PERMIT
�; 572wXM
RECEIPT NO.
� • ITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
®/
1
NUMBER
REV
DATE
PAGE OF
APPROVED By
i �'�' �•� CITY HALL FRIDLEY 55432
_-_.�;
L 612-571-3450
910415
1/13/99
JOB ADDRESS 194 63 WAY NE
I LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
g
3
Eva Erickson River Manor SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Gerry Nordlund 194 63 Way NE
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Lodermeier Construction 1625 Hwy 10, Spring Lake Park MN 55434 737-2327
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 O ADDITION Cj ALTERATION O REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Reroof House (16 Sq) Tear-off
9 CHANGEOFUSEFROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAO
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 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
$1,371
�.69
@IFO
WITH WHETHER SP FHEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRES ME GIVE RUTH RITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS 0 AN I HE S LOCAL LAW REGULATING CON-
$45.75 $45.75 IF
Fire SC $1.37
STRUCTION O T P RF C OF CONSTRUCTION
PLAN CHECK FEE
er $5 nn
TOTAL FEE
moiee o,
--5fL- S�d
NATURE OF 'RA TOR OR AUTHORIZED AGENT rTEAMEN
PROPERLY V GATED THIS IS YOUR PERMIT
I
Z49dL—
_4/1
e •BLDG So f/Ai
SIGNATURE OFOWNER,'F OWNER BWLDERi iOATE.
NEW [ ] Effective 1/l/99
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress :
Legal Description:
Owner Name & Address: Tel. #
Contractor:Z6-x-11� �e'-Zw ez b MN LICENSE #
Address: Tel. # 2 32 e? 32.
r
Attach to this application, a Cervi—ate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF EMPROVEMENT
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: $ A/
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft *1 Ft x $ = $
DATE: APPLI0
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
CITY USE ONLY
$ Y'5-- % 5 Fee Schedule on Reverse Side
$ .001 of Permit Valuation (1/10th%)
$ $.50/$1,000 Valuation
$ $1050 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 [ ]
$ Js 5-6
Tel. # 37 c v,
17
- � V
,i1
Building Gw)
MECHANICAL
Permit NO.*
Inspections
RESIDENTIAL APPLICATION
Received By:
763-572-3604
CITY OF FRIDLEY
Dn'
A —0l
DATE - - YOUR.IL ADDRESS
SITE ADDRESS / 9 `' �/43T �j
THIS APPLICANT IS: ❑ OWNER f KNTRACTOR
PROPERTY
NAME: -f0 hn D 1.5 0 4 !A -r1
OWN
IPTS �.3
ADDRESS: LA (03'=iAg CITY STATE Z�T
PHONE: Z(9 32` OpU T
CONTRACTOR
COMPANY NAME: CENTERPOINT ENERGY
CONTACT PERSON: JOANN ? INKEN
SUBMIT A COPY OF
YOUR STATE
STATE LICENSE # EXP DATE
LICENSE WITH
ADDRESS: 9320 EVERGREEN BLVD STE HrrY ''COON' -RAPIDS sTATEMN zIP55433
APPLICATION
PHONE 763 — 757 -- 6202 FAX 763-757--6701
PERMIT TYPE
SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK:
❑ NEW REPLACEMENT ❑ ALTERATION/REMODEL
DETAILED DESCRIPTION OF WORK min 4,, �Lr—rUkd
PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the
improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor )
Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor X.05 =
FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL
NUMBER OF EACH BELOW)
Equipment Installed MFG: �ulyt,d MODEL: Udru,. —6(e SIZED C00
MFG: MODEL: SIZEBTU
MFG: MODEL: SIZE/BTU
$25.00 FIREPLACE (GAS) $15.00 _GAS RANGEIOVEN $10.00
_A/C
TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00
_AIR
$35.00 ,FURNACE $35.00 _GAS UNIT HTR $10.00
_BOILER
CHIMNEY LINER $10.00 DRYER $10.00 POOL HEATER $35.00
_GAS
_DUCT WORK $10.00 _GAS PIPING $10.00 _VENTILATOR $15.00
PERMIT FEE PROJECTS FOR UNDER $500 `
PERMIT FEE FOR PROJECTS OVER $500:
Permit Fee $
Number of fixtures @ $10.00 x $10.00 = $
Surcharge $ .50
Number of fixtures @ $15.00 x $15.00 = $
TOTAL DUE $
Number of fixtures @ $25.00 x $25.00 = $
Number of fixtures @ $35.00 x $35.00 = $ 3S,dO
State Surcharge = $ .50
Total = $ 3S,5C:)
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is
not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the
approved plan in the case of all work which requires review and approval of plans.
O
SIGNATURE OF APPLIC� NAME ROGER HOFFHE IN DATE 0-Z
PLEASE NOTE. SEPARATE PERMITS ARE RE UMED FOR BUILDING, ELECTRICAL AND MECHANICAL WORK
City of Fridley
Building Inspections' Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977
City of Fridley Residential Mechanical Application Page 2
REQUIRED INFORMATION NEEDED TO PROCESS PERMIT
RESIDENTIAL PERMIT APPLICATION HVAC
❑ NEW HOMES/ADDITIONS STING 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
3. Venting
a. Gas appliances IFGC Chapter 5 with MN Amendments
b. Fuel other than gas IMC Chapter 8 with MN Amendments
REQUIRED FOR NEW HOMES
4. Heat loss & cooling load per room
a. Required on new construction IMC 1346.0312
5. Ventilation
a. Per MN Energy Code 7670 or 7672
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.