PRE 2010 DOCSCity of Fridley, Minn.
BU11DING :PERMIT
Date:
Owner: Builder — _--
Address i7!0Address —
UILDINGLOCTION Street
Part o04-0
Lot
Lot *j _ Block WAdditlon or Sub-Divisio�
Corner Lot — Inside Lot Setback Sideyara ----
Sewer Elevation Foundation Elevation
DESCRIPTION OF BUILDING
Tr Used
r
r
Front Depth Height Sq. Ft. Cu. FtM�e
to __ _ Depthfight Sq. Ft. Cu. Ft.
Type of Construction Fit. Cisii �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. JI
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 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 vio�of any of the 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 Items.
4
APPLICATION FOR BUILDING PERM1'P
CITY OF FRIDIEY, MINNESOTA
Owner' a Name Builder `�--�/=�f
Address Address
LOCATION OF BUILDING
No. Street ,/a �, ` Part of Lot
Lot �� Block _�, Addition or Subdivisions
01
Corner Lot Inside Lot _ Setback= Side -Yard /_/
SEWIIi ELEVATION FOUNDATION ELEVATION i80
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
To be used as:
Type of
s
To be Completed
DESCRIPTION OF BUILDING
Sq. Ft. Cu. Ft.
FrontDepth Height
Sq. Ft. Cu. Ft.
ted Cost
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.
DAA SIGNATURE
(A Schedule of Fee Costs can be found on the Reverse Side.)
r
City of Fridley
Apprication for Plumbing and Gas Fitting Permit
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures
q
�
..
%
x•50
Number Fixtures ......................
x $1.50
aa�
leo
w
�j
Z
•
F
•
N
WATER HTR.
GAS
ELEG
$
Catch Basin ............................
x
��
$
?
;��..
p�
$ 2.04
New Ground Run Old Bldg. ............
aaZ o
U <3 �G
�O
$
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
$
Base
Ist
1
1
1
1
1 S Os
2nd
_
3rd
4th
• Future Connection Openings
Connected with
Sewer
New Fixture, Old Openings
Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE TOTAL
%
x•50
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) ......
x
2.00
$ 2.04
New Ground Run Old Bldg. ............
x
3.25
$
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 $ 14*00
DepL of Bldgs. Phone SII 4-7470
Location 159 — 6* Way
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, Mnn larch 20 91962
Owner Paul Schwartz Const, Co,
Kind of Building Frame
Used as Dwelling
To be completed about , my 1'1962
Estimated Cost, $ 800100
Old—New. Building Permit No Nd -7 , -2- '.rmit No.
signed;TAlig ® i1 SING A APPLIANCE CO.
By A4-- Lam.
Business Phone No We 8 89
ROUGH --// -`S 6 Z—
FINAL
42 2M 7-59
vi e6;.
4,1 y Application for Power Plants and Heating, Cooling, Ventilation, ReMgeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SU 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 $ 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 .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:
Location 159 - 631 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=26 19562
Owner Paul Schwartz Construction Co. 195—
Kind of Building Fr. 195—
Used as Res.
To be completed about 4-26-62
Estimated Cost, $ 459-00
Old—New. Building Permit No. - \ _%C�L
DESCRIPTION OF WORK
HEATING or POWER PLANTS Steam, Hot Water, Warm Air—No 1
Trade Name_ Westinghouse x_100
Size No
Capacity.
Total Connected
Sq. Ft. E.D.R BTU 100M H.P.
45,631
Kind of Fuel _
BURNER — Trade Name Size No
Capacity Sq. Ft. E.D.R BTU H.P.
Signed FRIED VOLT Co
By
6530 West Lake St.
11 POST 1M-12-58 Business Phone N$t_ Louie P ��'
Oak —.1fj
•
U
•
City of Fridley, Minn.
BUILDING PERMIT N® 7-186
Date:
Owner: - Builder -�----
Address Address
LOCATIONF BUILDING
No. Street ZJe _ — -.--.P---- Part of Lot
Lot --- Block Jilddition, or Sub- on
Corner Lot _ Inside Lot Setback Sideyard
Sewer Elevation —F dation Elevation
DESCRIPTION OF BUILDING
T as:
A Front Depth l�- Height J -j0— Sq. Ft. CII. Ft 744
t Depth f g®ht �_ r; u. Sq. Ft. CFt
Type of Construction Fst -�-� - Aa -To be Completed
In consideration of the issuance to me of a permit to c
the proposed work in accordance with the description above
ordinanoes of the city of Fridley.
In consideration of the payment of a fee of
permit is -hereby granted to
to do
as of
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 ordinanoEs of
Fridley, Minnesota reg location, constructaton, alteration, maiatenaace, repair and moving of buildings
w city limits ands permit may be revoked at any t� ponce olatloapf aay of the provisions of saidOrd
NOTICE:
Thh permh does not ewer tho construction, kmaWon for whfng, phmbtng, ga heattng, awar or wafer. Be sun to sae
tha Building Inspector for apartlu peraft for thea hams.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
LOCATION OF BUILDING
No.Street . Part, -,of Lot
Lot Block Addition ,orSubd v s
n.
�.
Corner Lot Inside Lot Setback ide 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 sed a
Front ® Depths 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 of Fridley Ordinances and
rulings ef;the Department of Buildings,.and hereby declares that all eche facts and
representations stated in this application 40jtrue anfd/correct,, _ ,
Schedule of Fee Costs can be found on
e Side).
R- ""T ,
SUBJECT
PERMi365
City of Fridley
®6
AT THE TOP OF THE TWINS
BUILDING
PERMIT
RECEIPT NO.
ii.y__ COMMUNITY DEVELOPMENT DIV.
76y3?
r � � PROTECTIVE INSPECTION SEC.
1 �
`
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
16-27-75
812-580-3450
910-F15
JOB ADDRESS
159 - 634 WAY N.E FRIDIZY,
1 LEGAL
LOT NO.
BLOCK TRACT OR ADDITION
SEE ATTACHED
DESCR.
5
1
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
4 ARCHITECT OR DESIGNER MAIL ADDRESS
IP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO.
6 USE OF BUILDING
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION gk REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
9 CHANGE OF USE FROM TO
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
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
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
$2,500
91-50
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHANGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
$15.00
PLAN CHECK FEE
TOTAL FEE
�-
E Z7 Z75
ti
1 $16.50
SIGNATURE OF CONTRACTOR OR AUT61OREED AGENT (DATEt
WHEN PROPE LIDATED THIS IS YOUR PERMIT
BLDG INSP
JUNE 27, 1975
DATE
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE)
R- ""T ,
-APPLICATION FOR RESI'DENTIAL., ALTERATION,
OR ADDITION.BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME: A UAL 4 W BUILDER: c %,4
r
ADDRESS: 15 9 6.3 A '4 ADDRESS :_ � 3 f ' . 0 01 _j °
NO:. l 5 c/ STREET: 6 3 <Z ®% At, m
LOT: BLOCK: / ADDITION: FLIA r=ed, -kgarr P-'vf e- MAAfoR
CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD:
Applicant attach to this form Trio Certificates. -if Survey.. of L-ot and _proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
Used As:
Front: Depth: Height:
Square Feet: Cubic.Feet:
Front Depth: Height:
Square Feet; Cubic Feet:
Type of Construction: A M • . S 41'*G Ale-' Estimated Cost:
To -Be Completed: 7s /7S ,
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 herp_by
declares that all the facts and representations stated in this application
are true and correct.
DATE: SIGNATURE:
(See Reverse Side For Additional Information.)'
Building
Inspections
7.63-572-3604
DATE / - a9 ^ 0
SITE ADDRESS I S 9
THIS APPLICANT IS:
PROPERTY
OWNER/
TENANT
AUCHANICAL
RESIDENTIAL APPLICATION
CITY OF PLEY -
YOUR E-MAIL ADDRESS
17 OWNER
Permit NO. C
Received By:
Date Ree' d: '�;)-
4/6
NAME: Z)OLO less 4. A t
ADDRESS: fl S 9 CITY l= =� 1 ` STATE r ZIP
O'StF3L
PHONE: `3 - S Z 4 - 9 `f 3 G
CONTRACTOR COMPANY
►.- I
SUBMIT A COPY OF CONTACT PERSON: On r t z
YOUR STATE STATE LICENSE 4 EXP DATE
LICENSE WITH ADDRESS: �oZ90 f-'i�+ A Ne CITY Fat o(� STATEN�zIP �
APPLICATION PHONE -14,3 - -7,S q - 0-) 1 19 FAX
PERMIT TYPE I
`&SINGLE FAMILY 13 TWO FAMILY 0 TOWNHOUSE
TYPE OF WORK: 0 NEW REPLACEMENT 0 ALTERATION/REMODEL
FETA MED DESCRIPTION OF WORK -z h S Alt a pfit'►- ct `'d ^t ��'a `-�'t e-" r AIR
PER MS 1613.665 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. FIX!IWM1 (INDICATE TOTAL
NUMBER OF EACH BELOW) MODEL: JSP 'v 6 010 0 SIZE/BTU le 0 a a
Equipment Installed a ,MFG: n fSIZEAPM
A � MFG: r+ -b MODEL: ! i. `d A e./ A n Zy SIZFJBTU
MFG: MODEL: GAS, RANGEIOVEN.$10.00
X A/C $25.00 _FIREPLACE FIREPLACE (GAS) $15.00. — GAS
GAS GRILL $10.00
AIR TO AIR EXCHANGEER $15 5j FURNACE $$3 00 D) $35.00 -GAS UNIT HTR $10.0D
BOILER $35.00 POOL HEATER $35.00
_CHIMNEY LINER $10.0D GAS DRYER $10.00
DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR 515.00
..�,< yam, . , �.m -.
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 _J�_ x $25.00 = $ S a
Number of fixtures @ $35.00 4 x $35.00 = $ 95. o b
State Surcharge = $ 4 .50
Total = $ (0 0. Sd
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.
SIGNATURE OF APPLICANT C PRIM NAME �r l S �_DATE (- Lq - O d
- City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977
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 PropaneUGC 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 & c:boling 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
NO'S'E: Centerpoint Energy Mechanical Code Guidelines software may be used for
combustion and make up air calculations
Building
BUILDING
Permit No.:
Inspections
RESIDENTIAL APPLICATION.
Received Bmir%o
763-572-3604
763-502-4977
CITY OF FRIDLEY
Da r
FAX
EFFECTSI-1-Oso
DATEYOUR
E-MAIL ADD
SITE ADDRESS /37
4 Z LU �.
THIS APPLICANT IS:
❑ OWNER CONTRA OR
PROPERTY OWNER/
NAME;
TENANT
ADDRESS:./S9 wa-v WE, CITY_
STATIO?�4ZIN
PHO 71)5 ,el— 9 3 eo
NAME:
CONTRACTOR
ADDRESS4
STpTI✓�//
SUBMIT A COPY OF
PHONE 61 ,9 �o S�� FAX
YOUR STAT$ LICENSE
STATE LICENSE # / `% �i
Q
EXP DATE
/
PROPERTY TYPE
,atiNGLE FAMILY N SIZE
❑ TWO FAMILYMEW CONSTRUCTION STORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHED 'WINDOWS
❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
❑ DECK ❑ SIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW HOME CONSTRUCTION ❑ ADDITION
$MAINTENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE
SIZE OF IMPROVEMENT
LENGTH WIDTH HEIGHT SO FT
ROOFING
❑ HOUSE ONLY
NUMBER OF SQUARES
❑HOUSE &GARAGE
BASEMENT
REMODELING SUBMIT;
GARAGES
13 ATTACHED GARAGE
1,
2.
Existing Floor Plan
Proposed floor plan
PROPOSED SIZE:
❑ DETACHED GARAGE
3.
List of structural members to be used
PROPOSED HEIGHT:
SIDING
FOR NEW CONSTRUCTION INCLUDING DECKS,
❑ Vinyl
❑Soffit
ADDITIONS.
& PORCHES SUBMIT:
❑ Aluminum
❑ Trim
1.
Site Plan/Survey showing the existing structures
❑ Other
❑ Fascia
and proposed project.
2.
Two sets of construction plans
WINDOWS
IN EXISTING OPENINGS Yes ❑NoON OF WINDUV,
3.
Energy Calculations
OR FOR NEW OPENINGS -DESCRIBE SIZE OF 1�ti(Aw AAs
OPENING CHANGES &
2
TYPE OFN WINDOW TO BE INSTALLED 3 NUMBER OF WINDOWS
AL -L Jvzk-b AM J$A5r ll ON VALUATION, INCLUDING TBE COST OF LABOR AND MATERIALS:
SING THE 1997 UBC FEE SCHEDULE)
TOTAL JOB VALUATION $ S �B�• OCCUPANCY TYPE
Permit Fee
Plan Review
Fire Surcharge
Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Total Due
See Back Page for Fee Schedule
65% of Building Permit Fee
.001 times the total job valuation
.0005 x Permit Valuation Minimum $.50
$5.00 (State Licensed Residential Contractors)
$1825 per SAC Unit (Plans to MWCC for determination)
ft+6ft= ftx$21=$
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
to:
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
Attach
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 wi the Minnesota Conduction Codes; understand this is not a permit but only an application for a permit and work is not to start without a
permit on situ; that tha work be in r e with the appmvad in the case of all work which requires('eco/ and ��f plan.
SIGNA O PL ANT PRINT NAME C/G{ SLI f p/ �'%') DATE Q• C