PRE 2010 DOCS0
City of Fridley, Minn.
BUILDING PERMIT No 4202
Date: ---._.. So'l'mber...93....19X29_..._.-..-.._.._...-----------_----
Owner:....._....._.................... Builder ......._ANDREW. E. HOffiJ_............._.._........._.._.._
_.........................................._. ........._............._.
Address ....._............._......._. _. .............. _._.._._.._..... _................ Address _1000 _.Lincoln Terrace N. E.
Minneapolis, Minnesota
LOCATION OF BUILDING
No. ...... ... 41..-. ....... -........ Street ...........6511-._Way-X,B.._................ ...... .................................... Part of Lot ------------._...._............._.. ...................
Lot ....16A.._4.._B..... Block ...... ................ 3 ............. .......... Addition or Sub -Division ....._.......EdgewgteK _Gardens......_...._.. _---.--
Corner Lot ................................... Inside Lot .............. g. ...... .......... Setback .......... 3.9'...................... Sideyard ..... _............. 1.2.1 .................................
SewerElevation .................................... ............. ...... --............................................ Foundation Elevation ................................... _.............. ............. _............. ... _......... --
DESCRIPTION OF BUILDING
To be Used as:
D6J8113.n ..................... Front -----_..36-1--.
Depth 2516" Height .....191._..
Sq. Ft. 9.10 ..........
Cu. Ft _17.A
.......... age. .... _........ .............. Front
Depth .......?.t.._.. Height ......�.0_�......
Sq. Ft 3�...........
Cu. Ft......_,.369
Type of Construction-FTame................................
Est. Cost ........$1.gsng.............
._....... . 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 s_4 forth and in compliance with a provisions of
ordinances of the city of Fridley. ?
............. _..-_
In consideration of the payment of a fee of $......g-•QQ.......... 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 violation of 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 wafer. Be sure to see
the Building Inspector for separate permits for these items.
City of Fridley
Application for Plumbing and bas Fitting Permit
Dept. of Bldgs. Phone SII 4-7470
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures L'o�BOn
m
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL.
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) ...... L— x 2.00 $ 1410-1
New Ground Run Old Bldg. x 3.25 $
GAS FITTING FEES: NO.
1st 3 Fixtures .......................... i
RATE
x $1.50
Additional Fixtures .................... x .50
Gas Range to 200,000 BTU .............. x 2.00
REPAIRS & ALTERATIONS—Refer to Code
TOTAL
$
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 �4a n fid /0 , 19 6-0.
Owner
Kind of Building
To be completed about
Estimated Cost, $ c�
Old ew. uilding Permit No 66 = G oL— Permit No. / /G
b/
Signed G
ROUGH
FINAL
Description................................................$
TOTAL FMQED.42 2M 7-89
By
Business Phone No
i2
=
Y
y N
Z
O
Z
O
w
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•
•
WATER HTR.
!0
3iJ
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3�
o�
o
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�3
1
n
t�°d
z
t9�a
a
coo
P
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GAS
ELE
ELEC.
Base
1st
/
I
2nd
_
3rd
4th
• Future Connection Openings
Connected with
I
Sewer
New Fixture, Old Openings
Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL.
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) ...... L— x 2.00 $ 1410-1
New Ground Run Old Bldg. x 3.25 $
GAS FITTING FEES: NO.
1st 3 Fixtures .......................... i
RATE
x $1.50
Additional Fixtures .................... x .50
Gas Range to 200,000 BTU .............. x 2.00
REPAIRS & ALTERATIONS—Refer to Code
TOTAL
$
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 �4a n fid /0 , 19 6-0.
Owner
Kind of Building
To be completed about
Estimated Cost, $ c�
Old ew. uilding Permit No 66 = G oL— Permit No. / /G
b/
Signed G
ROUGH
FINAL
Description................................................$
TOTAL FMQED.42 2M 7-89
By
Business Phone No
�'� 11 61�
Application for Power Plants and Heating. Cooling. Ventilation. Refrigeration and
Air Conditioning Systenns 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 $
MECIL WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............
each add. 60,000 BTU .......................
` Replacement of Furnace .............................
Repairs & Alterations—up to $500.00 .................
Repairs & Alterations each add. $500.00 ..............
8.00 $
Dept. of Bldgs. Phone SII 4-7470
--- -- ,/1 4�(
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.
8.00 $ Owner
5.00 $ Kind of
5.00 $
2.50 $ Used ae
HOT WATER SYSTEM
Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $
r .. ._ . •ill & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $
Each add. 200 sq. A. EDR Steam ...................... 2.50 $
Each add. 320 sq. ft. Z%T)R 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 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 FEE $!-_
REMARKS:
To be completed about
Estimated Cost
Old—New. Building Permit No. G'
DESCRIPTION OF WORK
HEATING or POWER PLANTS—Stgova, not Water, Warm Air—No
Trade Nam Size No -DL
Capacity S . Ft. E.D.R BTU )6 6 17" H.P.
Total Connected Load9-7 �� Kind of Fuel
BURNER — Trade Name Size No
Capacity Sq. Ft. E.D.R BTU H.P.
InSltntios
Net exp. wall
Iat. wall
Ceiling
Floor
Total Btu.
sq. h. E.D.R. or sq. ins. WA Leader area
Lente WkM
IF eadews and Door*—Crackave acid Area
Net amp. wall O
IOL wad
Ceiling
Floor
TOW Btu.
Required sq. ft. E.D.R. or sq. ins. wA. Leader area
Roo® Lerma - width
Wiadaws and Doom—Craeltar and Area --
Infiltralioo I
Glass
Emp. wab
Net exp. wall
IM. Wali
Ceiling
Flow
Total mss.
Requipri sq. ft. E.D.R. or sq. ins.
RT -(2400)-12-57
.10 (��„ /
�20� 1e51tradoa
G.i..' 4 Glass
/q S: I Exp, wall
IY,88 Net exp. wall
Int. wall
1<D4 -o1. ceiling
18 34v o Floor
Total Btu.
j Required sq. ft. E.D.R. or so. ins. W.A. Irader era
F1 Room I l.e�tlt �Vidtlt
Windows and Doom --Crake and Area
Idt Ne ne
No. et paws er yahe of ere" I DO- rt.
�
—1
—low
Infiltration
HEAT L.CSS CALCUTATIONS
Glass
DE TIS
SuamI[VC.S OSEVILI.E, MINN.
_
weat}erstrips
Net exp, wall
Construction N& Ingdatima
Guide
Refs
out. wall
Int. lflaU Ce
Roof Floor / Kind How
ws rs
I
fe
F1.
I
M Lenm
� �
$
/
I I i
Z Wid&
J
Windows and rt--Craci�aae anal Area
Windows and
aekaia an Area
Width H•1sAt •- a•a Ae..
�•. sr vawe •f we Ilebt• of crack rt.
Idt ole t
• ttgl ft.
Ar"
No.
of Pane •t:M•
11 kte of crack
• rt.
24
.Z 3Z-
azz
Z
! 3
Cod. Btu
i
a _
4
t4C4ef.
Btu
- -- -
InSltntios
Net exp. wall
Iat. wall
Ceiling
Floor
Total Btu.
sq. h. E.D.R. or sq. ins. WA Leader area
Lente WkM
IF eadews and Door*—Crackave acid Area
Net amp. wall O
IOL wad
Ceiling
Floor
TOW Btu.
Required sq. ft. E.D.R. or sq. ins. wA. Leader area
Roo® Lerma - width
Wiadaws and Doom—Craeltar and Area --
Infiltralioo I
Glass
Emp. wab
Net exp. wall
IM. Wali
Ceiling
Flow
Total mss.
Requipri sq. ft. E.D.R. or sq. ins.
RT -(2400)-12-57
.10 (��„ /
�20� 1e51tradoa
G.i..' 4 Glass
/q S: I Exp, wall
IY,88 Net exp. wall
Int. wall
1<D4 -o1. ceiling
18 34v o Floor
Total Btu.
j Required sq. ft. E.D.R. or so. ins. W.A. Irader era
F1 Room I l.e�tlt �Vidtlt
Windows and Doom --Crake and Area
Idt Ne ne
No. et paws er yahe of ere" I DO- rt.
�
—1
—low
Infiltration
Glass
Exp. wall
Net exp, wall
Int. wall
Ceiling
i.«
Total Btu.
Uff5±m
Required sq. ft. E.D.R. or sq. ins. W.A. Leader arae
Fl. Roo>n 1 Len�tlt / / �Ilidt6 Neidlt
Windows and Doore--Crackago and Arca
lA Na •. et 1AIMM 9t. Arae
me. et pass of pew• IIet+1• e[ eraack N• L !
Ca Idea
Infiltration 112
SUBJECT
City of Fridley
_
28668
AT THE TOP OF THE TWINS
BUILDING
PERM-1
r
RECEIPT N�
,572-
_ _ M NITV DEVELOPMENT DIV.
r y PROTECTIVE INSPECTION SEC.
1 ; i
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
11/30/98
JOB ADDRESS
41 65 1 2 Way NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
116A & B
5
1 Edgewater Gardens
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Ruth Vance
574-7418
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Ace Construction 6230 218th Ave NE Flk Rivpr 9SInI
121-Iniq
d 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 QK REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and garage 26 SO 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
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
$222-9
t1_11
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CMA
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTAL E
Lic C 5.
8 9
ATURE CONTRACTOR OR AUTHORIZED AGE NTV IDATEI
ENP OP
g
D IS YO E IT
I
r)&T(
S-GNATURE OF OWNER,-F OWNER BUILDER, IDATEI
NEW . - [ ]
ADDN [ ]
ALTER [ ]
ConstructionAddress:
Legal Description:
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Owner Name & Address R 2 V ci VA `� Tel. #
Contractor:
Address:
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
MN LICENSE #
Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Effective 1/1/98
4
Length Width Height Sq. Ft. _
Length Width Height Sq. Ft. _
Length Width Hgt/Ground Sq. Ft. _
eZ ( -, �;- - _ / El -m - (i a--,
v ,
Construction Type: �`r Estimated Cost: $
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ =$
DATE: I `- �>�- APPLICANT: el. #
STIPULATIONS:
CITY USE ONLY
Permit Fee
$
Fee Schedule on Reverse Side
Fire Surcharge
$
.001 of Permit Valuation (1 / 10th %)
State Surcharge
$ /, / /
$.501$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$ 6 0
$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
$ C9& (�
STIPULATIONS: