PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT N° _ o:2:1:)
Date: .
Omer: Builder _ _
Address A
LOCATION WILDING
No. Street _� P o Lot
P
Lot _Block di or Sub-Divisi , r
Corner Lot — Inside Lot — Setback -- Sideyard
Sewer Elevation Foundation Elevation
DESCRIPTION OF BUILDING
To Used
Front _=&Depth �►
Height Sq. Ft.,1�'=-= cn. naw
FS"_Depth ght Sq. Ft. _______r Cu. Ft.
Type of Construction IT
�Fst.Cl�, "" -" 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 21 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 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 ordinano2s of
Fridley, Minnesota regarding location, conatructfon, alteral3on, maintenance, pair and moving of buildings
within the city limits and this permit may be revoked at any time upon viola of any of the provisions of said
ordineao�.
NOTICE:
'lids psrmb don not cover the construction, imtaMon for wMhM plumbing, gas hoodug, sewer or waMr. as sun to see
the SulMing inspector for separate permhs for dwas Namm
a, y
APPLICATION FOR BUILDING PROUT
CITY OF FRIDIEY, IOTA
Owner's Name Builder
Address Address
LOCATION OF BUILDING
0
No. Street v Part of Lot
Lot i Block _?4 Addition or Subdivision dg,,�7z�Q
� o
Corner Lot� side Lot Setback .�� 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:
A, . D 6a ®D/ f i sfi ne„+1, Gal uvi s),+
Sq. Ft. Cu. Ft.
Front Depth might
Sq. Ft. Cu. Ft.
Type of Construction P 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 representatio
stated in this application are true and correct. Q`
DATE 7` y/ SIGNATURE,&'
(A Schedule of Fee Costs can be found on the Reverse Side.)
Ci idly
City of Fridley
Y
Application for Plumbing and Cv= Fitting Permit
Dept. of Bldgs. Phone SII 4.7470
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures 9 x $1.50 $ 13.50
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
$
2.00
New Ground Run Old Bldg . ............
x 3.25
$
Z+
�O
R
+
N
WATER HTR.
GAS
ELEG
1st 3 Fixtures ..........................
x $1.50
$_1.50
Additional Fixtures ....................
x .50
$
Gas Range to 200,000 BTU ..............
x 2.00
$
Base
]l
1
1
1
1
1st
1
].
1
1
1 is4osz
1
2nd
_
3rd
4th
• Future Connection Openings
Connected withI Sewer
New Fixture, Old Openings
Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures 9 x $1.50 $ 13.50
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
$
2.00
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 $ 17s OO
Location 194 — 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, Minn July 25 -- 19 62
Owner Paul Schwartz Const. Co.
Kind of Building Frame
Used as . Dwelling
To be completed about Nov. 1962
Estimated Cost, $ 800.00
Old—New. Building Permit No O oL Permit No
Business Phone No We 8 3589
ROUGH �? - 3 /" L Z—
FINAL
42 2M 7-59
Application for Power Plants and Heating, Cooling, Ventilation, .ReMpration 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 $
NECK. WARM AIR
�F
Furnace Shell & Duct Work to 120,000 BTU ............ 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. IDR 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 $ —
GAS FITTING FEES:
NO RATE TOTAL
1st 3 Fixturesv
......................
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 FEE
�®
#ROUGH
FINAL
Dept. of Bldgs. Phone SU. 4-7470
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.
Owner
Kind of Building
Used as X-11-11.
To be completed about
Estimated Cost, $
I
'HCl m
Old ew. Building Permit No. 61 G �' Permit No. oZ G
DESCRIPTION
DESCRIPTION OF WORK
HEATING or POWER _PLANTS -Steam, Hot Water, Vq.= '-No
Trade Name //G��J1'_ _ Size No zz e - Z) 10
Capacity Sq. Ft. E.D.R / BTU % 0 H.P.
Total Connected Load-- / Kind of Fue
BURNER — Trade Name Size No
Capacity Sq. Ft. E.D.R BTU H.P.
signer] FRED VOGT & CO-
B-
HEATING & AIR CONDITIONING
6530 West lake St. * WE. 9.6767
� _=42 2M 7_59 Business Phofi§ Nuis Park Mirsno•ota
(REMARKS—OVER)
C�
n
U
City of Fridley, Minn.
BUILDING PERMIT
Date: — June 213 1968
e13o!..-
No 9805
Owner: George Green Builder Inter City Builders
Address 194 63-1,- Way N. E. _ _ _ Address 2500 Murrg. Ave, . N. E.
LOCATION OF BUILDING
No. 194 - Street — 63-,� Way N E. � Part of Lot
Lot 8 Block 2 Addition or Sub -Division _Erickson River Manor
Corner Lot Inside Lot
Sewer Elevation
Setback Sideyard
Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
Garage Front —24' Depth 22 ' Height 8 ' Sq. Ft. 528 Cu, Ft. 4224
Front Depth Height — Sq. Ft. _ _ Cu. Ft.
Type of Construction Erg= Est. Cost —IUQO—O-(L--- To be Completed
In consideration of the issuance to me of a permit to construct the bVilding described above I agree to do
the proposed work in accordance with the description above set forth a -,V 4- compliance with aft provisions of
ordinances of the city of Fridley. 4 7
In consideration of the payment of a fee of $ 8.00 v ,permit is hereby granted to— Inter City
Builders 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 build
within the city limits and this permit may be revoked at any time upon violation of provisions of Bald
ordinances
NOTICE:
This permit does not ewer the eonstrneHon, hwhWan for wiring, Plumbing, gas heating, sewer or wabr. Be sure to as
the Building Inspector for mperah permits for these hems.
APPLICATION FOR BUILDING PERMIT
CITY OF .FRIDLEY, Mn=SOTA
OWNER'S. NAME --, �' ���' Bt1LDER� da/LGbeePS'
ADDRESS L- _ 6'.3.2 1' kr __.ADDI�E9S,d�,✓U�
LOCATION OF BUIi.DWG
SWET
LOT .: $LOUR _�� ADDITION OR SUBDM91ONZi'/ei/j',:%�,�A/ye
CORI ER LOT INSIDE LOT; �SETBACk 91-DEYARD
SEWER ELEVATION TOP OF FOOTING
Applicant,. attach to this form Two Certificates of Surtrer of:Lot and proposed
building -location drawn on,these Certificates-.,
DESCRIPTION OF -BUILDING .
To Be Used As:
--TD Front ---a' T Depth . Height
Square feet Cubic'Feet
.,.Front .:Depth Height
Square feet Cubic Feet
Type of Construction. Estimated Cost
To Be Completed__.z��
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 iii is application
are true and correct..
DATE ,/2 ,SIGNATURE
(Schedule of Fee Costs can be found on the Reverse Side).
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CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572-3604
Effective On January 1, 1993
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER
OF FIXTURES TO BE INSTALLED ON
EACH FLOOR
$ 7.00
.�.Urinal
$ 4A0
Beer Dispenser
Shower
Blow Off Basin
Wash
Tray
.
Drain
.Auto
Washer
..:.:::Gas
Range
Water Treating Appliance
WaterHeate
rFloor
Stories
Gas
ecp
EI
e
Bas me nt
$10.00
Gas Dryer
$10.00
Back Flow Preventer Required ( )Yes () No
Type
• $5.00
Floor 1
Floor 2
Floor 3
0
Flo r 4
PLUMBING FIXTURE RATES: NO.
nATE TOTAL
New fixtures ,
$ 7.00
Old Opening, New Fixture
$ 4A0
Beer Dispenser
$ 5.00
Blow Off Basin
$ 7.00
Catch Basin
$ 7.00
Rain Water Leader
$ 7.00
Sump/Receiving Tank
$ 7.00
Water Treating Appliance
$10.00
Water Heater —Electric
$7.0 0
Water Heater — Gas f
$10.00
Gas Range
$10.00
Gas Dryer
$10.00
Back Flow Preventer Required ( )Yes () No
Type
• $5.00
Reinspection Fee $30.00
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1 % of Value of Fixture or Appliance
State Surcharge $ .50
TOTAL FEE $ IS -4-0
JOB ADDRESS 19 y 4 3 *'1y W A y
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 Building Division, and hereby declares that all the facts
and representations stated in this application are true and correct.
I I IZ to , 1993
Owner G golz 6 A 6 a, 0'!
Building Used As 14 a m
Estimated Cost 3-� ° �u PERMIT NO.
PLUMBING COMPANY
SIGNED BY u1t TEL N0.
Approved By (`! Rough—In Date Final Date
MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 6�
PLUS THE $.50 STATE SURCHARGE
SUBJECTP
MIT NO.
City of Fridley
3 0 019
AT THE TOP OF THE TWINS
BUILDING
PERMIT
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
14 q4(O
1 . �
L "'�'� CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE Of
APPROVED BY
---•
L 612-571-3450
91 _F15
8/6/99
JOB ADDRESS
194 63 1 2 Ya NE
1 LEGAL
LOT NO,
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
8
1 2
1Fva Frickson River Mannr
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
George Green
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Richard Has574-9966
4051
a 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 ❑ ALTERATION X REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and garage 21 S Tear -off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
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
I
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
$1835
$.92
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
$66,20
of
Fir SC $1,84
e
PLAN CHECK FEE
TOT EE
f
Licen S
5. 0
3.96
SiGN4TURE OF CON T RACTOR O THORIZED AGENT TDATE.
HEN RO
LI THIS I$ R71W^
S-GNATURE OF OVVNERdF OWNER BUILDER) iDATE,
Bl iNSP
r)AIf
A s
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: / 63
Legal Description:
Owner Name & Address: (; E -o k -G F- G X -E F V Tel. #
Contractor: K', c L 4, 1 b AA Sf-` 146 S MN LICENSE # W 5
Address: 33 1 z �' o tz iZ,) � e -j `'rim F-- Tel. # S 7 `i _ 19 6" -C
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:
Construction Type:-rrA- 2 FF +iZe tc a Estimated Cost:
(Fee Schedule on
Back)
Driveway Curb Cut Width Needed:
Ft. + 6 Ft = Ft x $
_ $
DATE: 9L6 III 1 APPLICANT:
/
Tel. #
CITY USE ONLY
Permit Fee
$ ()
Fee Schedule on Reverse Side
Fire Surcharge
$ `/
.001 of Permit Valuation (1 / 10th %)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$ , C� C,),
$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
$ C �'
STIPULATIONS: