PRE 2010 DOCS,.
Date:
Owner:
Address - —
City of Fridley, Minn.
BUILDING PERMIT
N9 5352
I . '007
Builder
Address -- —
®CATION OF BUILDING
No. Street Part of Lot _
Lot — __ Block Ad on or Sub -Division
if
Corner Lot ._ Inside Lot _.__-4ie Setback Sideyard —4
Sewer Elevation __. _ _ Foundation Elevation ...._
DESCRIPTION OF BUILDING
To a Used ,�,/` ,.
Front Depth J� Heights" Sq. Ft.�,,�.Li*�' Cu. Ft. �!
in Depth Height Sq. Ft. cu. Ft.
Type of Construction Est. lrlfflAt '' 3 ""�T 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
prdinances 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 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�on�vilation'o 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 we
the Building Inspector for separate permits for these hems.
4 0
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
Owner's Name Builder
Address Address
LOCATION OF BUILDING
No. At Street_ 6-4 / Part of Lot
Lot % Block ` Addition or Subdivision i
Corner Lot Inside Lot Setback36: Side -Yard /'0 P
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
To be used as:
DESCRIPTION OF BUILDING
0
Sq. Ft.
Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
Type of ConstructionEstimated 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. -a ^ "V-
(A Schedule of Fee Costs can be found on the Reverse Side.)
Application dor Power Plants and Heating, Cooling, Ventilation, .Re#rigeration �d
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 $
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
$ —
•
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 FF,E
$ 14.50
ROUGH
k FINAL
Dept. of Bldgs. Phone SII. 4-7470
Location 183 – 63jr 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 6-29-61 19
Owner Fe]L11bnhWsX.!ta C truGti (m on -
Fr.
Kind of Building
Used as Res.
To be completed about 7-29-61
Estimated Cost, $ 4;510 *VAVA
Old—,Neter. Building Permit No. '^� Permit No. r&152)
DESCRIPTION OF WORD
HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No
Trade Name Westinghouse Size Np--En100
Capacity. Sq. Ft. E.D.R 100H BTU H.P.
Total Connected Load -459631 Kind of Fuel GaS
BURNER — Trade Name Size No
Capacity Sq. Ft. E.D.R BTU H.P.
Plan R-1
(REMARKS -OVER)
Signers
By !">h!9'1 VOGIF & CC)
q�42 2M 7.59 Business )!l%T# $AIR CONDITIONING
6530 Went take St.. WE. 9-6767
St. Louis Pork, Minnesota
City of Fridley
Application for Plumbing and Gas Fitting Perndit
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
Number Fixtures .............. .......
Future Fixture Opening ................
New Fixture Old Opening ..............
Catch Basin ............................
NO. RATE TOTAL
7 x $1.50 $ 10.50
x 1.20 $
x 1.00 $
x 3.25 $
Water Beater (Up to 200,000 BTU) ...... x 2.00 $ 2.00
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 $ 1.00
Dept. of Bldgs. Phone SII 4-7470
Location 183 — 632 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, Minn June 28 19 61
Owner Paul Schwartz Const, Co
Kind of Building Frame
Used as Dwelling
To be completed about Oct. 1261
Estimated Cost, $ 800.00 /
Old—New. Building Permit No" Permit No.
Signed STANDARD- D dt�D APPU M"r
By
Business Phone No
lle 8 3589
ROUGH 7' / —
FINAL (/
42 2M 7-49
Z
•
•
WATER HTR.
CSO
F
N
GAS
ELEG
Base
1
1
1
1st
1
1
1
1
1Dipoal
2nd
_
3rd
_
4th
• Future Coanect%a Openings I
Connected with
Sewer
New Fixture, Old Openings
Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
Number Fixtures .............. .......
Future Fixture Opening ................
New Fixture Old Opening ..............
Catch Basin ............................
NO. RATE TOTAL
7 x $1.50 $ 10.50
x 1.20 $
x 1.00 $
x 3.25 $
Water Beater (Up to 200,000 BTU) ...... x 2.00 $ 2.00
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 $ 1.00
Dept. of Bldgs. Phone SII 4-7470
Location 183 — 632 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, Minn June 28 19 61
Owner Paul Schwartz Const, Co
Kind of Building Frame
Used as Dwelling
To be completed about Oct. 1261
Estimated Cost, $ 800.00 /
Old—New. Building Permit No" Permit No.
Signed STANDARD- D dt�D APPU M"r
By
Business Phone No
lle 8 3589
ROUGH 7' / —
FINAL (/
42 2M 7-49
City of Fridley, Minn.
BUILDING PERMIT N° 6049
CATION 4JFIPLDING
No. Street _. _l609 Part o
ZWL - -0 1
Lot Siock 13on or Sub:T
Corner Lot _ Inside Lot -aback Sideyard
Sewer Elevation W.Antion Elevation
DESCRIPTION OF BUILDINW
T
Front Depth Height Sq. Ft. , Cu. F't.
_
Fro _ Depth Height Sq. Ft. Cu. Ft.
Type of Construction Eas 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 ail provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of
permit is hereby granted to
the
to construct the building or addition as described above. This permit is granted upon
express condition that the person to whom it is granted and hfs agents, employees and workmen, in all work
done in, around and upon said building, or any pari thereof, shaII cenform in aII respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, tenance, and moving of buildings
within the dty limits and this permit may be revoked at auy u vlo oa of of the Provisions of said
ordinances. wi
NOTICE: }
This pormb don net cover the construction, huotellelion ter wiring, plumbing, gas heating, saver or wHer. Be sane to see
the Buihiing Inspector for np.rde permits for than hens.
1- " .
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
Owner's Name j&A W , 446044- Builder /M�
Address ARL W , A -?L±1;/
LOCATION OF BUILDING
No. y4PJ Street 6 8% W d:U N 4r Part of
Lot 7 BlockAddition or Subdivision c i
Corner Lot Inside Lot Setback ✓ Side -Yard
SEWER ELEVATION FOUNDATION ELEVATION
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:
p%tR C kccl Qftc Front 2 Depth ,Z HeightF / d
Type of Construction
T
To be Completed 00,
Sq. Ft. 14® Cu. Ft.
Front Depth Height
Sq. Ft.
fL__
Cu. Ft.
timated 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 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. i
(Schedule of Fee Costs can be found on the Reverse Side).
" . -. or 0 0
SUBJECT
Pf9MIT NO.
City of Fridley
2 8 4 8 5
AT THE TOP OF THE TWINS
BUILDING
PERMIT
�
RECEIPT N
COMMUNITY DEVELOPMENT DIV.
INSPECTION SEC.
r PROTECTIVE
E ,
�L��
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
L J` 612-571-3450
9104 5
10/30/98
JOB ADDRESS 183 63 1/2 Way NE
1 LEGALLOT
N0.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
7
1
Eva Erickson $River Manor
SHEET
2 PROPERTY OWNER MAIL ADORES$
ZIP PHONE
Robert Masuda
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Richard Hastings Contr. 6331 Riverview Ter NE Fridley
55432-4846 574-9966 4051
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 O ALTERATION R REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
Reroof house and garage (21 Sq) Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING.
VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT
CU FT.
AUTHORIZED IS NOT COMMENCED WITHIN 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
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
$1799
$.90
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
H R
SAC CGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
$56.75
Fir C $1.80
PLAN CHECK F
TOTA F E
L e
5 0
$6 45
SIGNATURE OFCON'RACTORORAUT RiZEDAGENT 9 i0A E,
HEN(PR
A IDAT D IS IS YOUR PERMIT
S,GNATURE OF OWNERSIF OWNER BwLDERJ IDATEi
EILD19 It
QATE
V
r
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: 15 3
Legal Description:
Owner Name & Address: Tel. #
Contractor: 4 ; xz o /dA �—�;'� � MN LICENSE # �71e) 5
Address: G 3 i2-- Tel. #. 51 y'
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
STIPULATIONS:
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:
S
Construction Type:-J-�i-w,,E
4F/4" _4 ?- PEstimated Cost: $
(Fee Schedule on Back)
Driveway Curb Cut Width Needed:
Ft. + 6 Ft = Ft x $ _ $
DATE: APPLICANT:
�Z, �.j�j �-- Tel. # 15? V
CITY USE ONLY
ll
Permit Fee
$ J S
Fee Schedule on Reverse Side
Fire Surcharge
$ k 80
.001 of Permit Valuation (1/10th%)
State Surcharge
$ ®
$.50/$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$
$5.00 (State Licensed Residential Contractors)
Driveway Escrow
$
Alt. "A" or Alt. "B" Above
Erosion Control
$
$450.00 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement Necessary [ ] Not Necessary [ ]
TOTAL
$
STIPULATIONS:
From: City of Fridley To: 6128252303 Page: 4/5 Date: 8/10/2009 4:00:44 PM
Building MECHANICAL Permit No.: t
Inspections ,RESIDENTIAL APPLICATION Received By:
763-572-3604 CITY OF FRIDLEY Date 3 P
763 -50g2 -497x7, �JFAX EFFECTIVE 2-19-09
DATEL�lj y AY��
�-MAIL ADDRESS
SITE ADDRESS �S G — G � q /�/
THIS APPLICANT IS: ❑ OWNER iWeNTRACTOR
PROPERTY NAME: �^� . S
OWNER/
N ER/ANT ADDRESSS:1 is _ a� �r��` '1TY 7 STATE IP ! S
PHONE: / 193- 5&!/ - a 413 8
CONTRACTOR
SUBMIT A COPY OF
YOUR STATE
LICENSE WITH
APPLICATION
PERMIT TYPE
COMPANY NAME:
CONTACT PERSON:
STATE LICENSE it
PHONE L /;(- i
K,%N/GLE FAMILY
TYPE OF WORK: 113 NEW I
DETAILED DESCRIPTION OF WORK
i 3 V�:XP DATE ��� '/V , I
eill04) /If VC--,�. CITY STATE�l21P
W. *1 FAX J�ldl °al 3-3
❑ TWO FAMILY ❑ TOWNHOUSE
❑ ALTERATION/REMODEL
FEES ARE BASED ON $10.00 PER FIXTURE, E C 'PT W RE NOTED. FIXTURES: (INDICATE -1 NUMBER OF EACH BELOW)
Equipment InstalledAliL
kAja� MFG: g MODEL:. rgog � SIZE/BTU a/
d(f/jj��MFG: />J& MODEL: o2 7T134_j4 SILE/BTU'19'aw- .14
MFG: MODEL: SIZE/BTU
VA/C $25.00
_AIR TO AIR EXCHANGEER $15
_BOILER $35.00
_CHIMNEY LINER$10.00
DUCT WORK $10.00
FIREPLACE ('GAS) $15.00
REPLACE ('WOOD) $35.00
I/ FURNACE $35.00
_GAS DRY ER $10.00
GAS PIPING $10.00
_GAS RANGE/OVEN $10.00
_NEW GAS GRILL $10.00
_CAS UNIT HTR $10.00
_POOL HEATER $35.00
VENTILATOR $15.00
THIS 1S 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 1 understand this i5
not a pen -nit but only an application for omit 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 =ich v' d approval of plans.
Gr g�ll-
SIGNATURE OFAPPLICANT PRINT NAME I �Li �L( e �C/l2 a' DATE
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604 FAX: 763-502-4977