PRE 2010 DOCS*City of Fridley, Minn.*
BUILDING PERMIT S® 4497
Date:
Owner: Builder ...�..... .. ...!1 ......
i �a
.._...0.0- ...... �
Address....._............._......._...._-•--•---------_...--•--_.......__._....._...._......----..---•--.... Address. �.
LOCA OF BUILDING
No. --------•---�...... Street - -- � ....-- — ®-.....' .... - .....
...........
.....
Part of Lot............................................................... — —
Lo ... Block -----..... .�....... Addition or Sub-Divisiop............. ........................._..........---y---......-8............-----_......._..........-----•..
Corner.................................... Inside Lot ...............-......... Setback ... d................ Sideyard... ./.L:!..........................................._...........
Sewer Elevation ............................. ...... _............. _............................ ........................ Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
.......... Front .... Front Depth ...1..�...... Height .... Sq. Ft. .��y Cu. Ft..-'.��r
. Front . ........ Depth . -:73 V Height -/0.._ Sq. Ft. ,''� ��� cY Cu. F't. � .. �•-" .
Type of Construction .... ', y�!! '.. Est. Cos ...1...,.. 7... -.._.. To be Completed .............._......................_........
< Y u7NO� �
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 fo d compliant Ic provisions f
ordinances of the city of Fridley. v �,
In consideration of the payment of a fee of.f`l.C, 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. � / "7
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.
9 ff 0 7 tb 0%X�
l (S 1
City of Fridley 0��,,
A kation for PhimVing and Gas Rrtinq Permit
DepL of Bldgs. Phone SU 4-7470 (a1
DESCRIPTION OF WORK
Number. Kind and Location of Fixtures
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
�Number Fixtures ...................... x $1.50 $ %61 S'®
Future Fixture Opening ................ x 1.20 $ �/ d
New Fixture Old Opening .............. x 1.00 $
Catch Basin ............................ x 3.25 $
Water Heater (Up to 200,000 BTU) ...... x 2.00
New Ground Run Old Bldg . ............ x 3.25 $
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• $
REPAIRS & ALTERATIONS—Refer to Code
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 �T // 194 0
Owner �® /!� 19—
Kind of Building • , 19—
Used as 2 a -z 6–
To be completed about ,<� --p
Estimated Cost, $
Old New. wilding Permit No.
Sign
By
Business Phone No
Description $
TOTAL FEE $_& e} ® 11 POST IM -IQ -58
N
WATER HTR.
GAS
ELEG
V2
Base
1st
2nd
3rd
4th
• Future Connection OpeningsI
Connected with
New Fixture, Old Openings
Sewer
0
Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
�Number Fixtures ...................... x $1.50 $ %61 S'®
Future Fixture Opening ................ x 1.20 $ �/ d
New Fixture Old Opening .............. x 1.00 $
Catch Basin ............................ x 3.25 $
Water Heater (Up to 200,000 BTU) ...... x 2.00
New Ground Run Old Bldg . ............ x 3.25 $
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• $
REPAIRS & ALTERATIONS—Refer to Code
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 �T // 194 0
Owner �® /!� 19—
Kind of Building • , 19—
Used as 2 a -z 6–
To be completed about ,<� --p
Estimated Cost, $
Old New. wilding Permit No.
Sign
By
Business Phone No
Description $
TOTAL FEE $_& e} ® 11 POST IM -IQ -58
Application for Power Plants 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 $
N1ECH. WARM AIR
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. IDR 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 $ -r° 041
GAS FITTING FEES:
NO RATE TOTAL
1st 3 Fixtures ......................
oe 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:
Dept. of Bldgs. Phone SII 4-7470 p
Location ? ) p (as I&
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, iinn-
Owner U a �l 0 ) A r d I) 195—
Kind of Building
Used as
195—
To be completed abouts
Estimated Cost, $
Permit No.
DESCRIPTION OF WORK
HEATING or POWER PLANTS -Steam, Hot Water, arm Air, o /
Trade NamToWd N MIA f Size No -3-6 .#` // 2-1--
Capacity. Sq. Ft. E.D.R 9X rC BTU H.P.
Total Connected Load /a Kind of Fuel dl��
BURNER - Trade Nam"9 ,LhA.!-/1VAMR I�No- F-3C"N- 112w
Capacity Sq. Ft. E.D.R- BTU H.P.
Signed
OOIEDO-11 POST 1M-12-58 Business Ph e N %ffi kc.-�
1
Application 4�Or Power Pkmk and HouthiS Cooling, Yentilaflone RstEigeratlon and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR:
RATE TOTAL
Furnace Shell & Duct Work .................
.. $10.00 $
Replacement of Furnace ..
6.00 $
Repairs & Alterations—up to $.500.00
6.00 $
Repairs & Alterations each add. $500.00
3.00 $_ _
MECH. WARM AIA
Furnace Shell & Duct Work to 120,000 BTU ......
. .. $10.00 $
each add. 60,000 BTU ....................
.. 3.00 i
Replacement of Furnace
8.00 $
Repairs & Alterations—up to $500.00
6.00 $
Repairs & Alterations each add. $500.00
3,00 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR Steam
$10.00 $.
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water
10.00 $_
Each add. 200 sq. ft. EDR Steam
3.00
Each add. 320 sq. ft. EDR Hot Water
3.00 $_
OIL BURNER—to 3 gal. per hour 6.00 $ _
over 3 gal. per hour -See Fee Schedule
GAS BURNER (up to 188,000 BTU) 8.00 $
over 199,000 BTU See Fee Schedule
CTAS FITTING FEES: NO RATE TOTAL
1st 3 Fixtures x$ zoo $
Additional Fixtures x ,75 $
Gas Range to 198,000 x$ X5..00 $
AIR CQNDITIONIlIG � � Gil` , C,
FAN HEATING SYSTEM Sse Fes Schedule
VENTILATING SYSTEM
ALTERATIONS & REPAIRS TOTAL FEE S—
ROUGH
(SURCHARGE $
Dept. of Bldqs. Phone 860.3480
7/ 79 1 �5'k
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 Ordinance:
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and correct.
rriaiey, Hain 18
Owner l !�
Kind of Building
Used as
To be completed about lei ` —
/ p
Estimated Cost,
61dNew. Building Permit No.
Permit No.
DESCRIPTION OF
WORK
HEATING or POWER PLANTS—Stearn, Hot Water, Warm Air—No
Trade Name
Size No -
Capacity Sq. Ft E.D.R
BTU H.P.
Total Connected Load
Rind of Fuer
BURNER — Trade Name
Size No
Caped Sq. Ft E.D.R
BTU 31P.
(REMARKS—OVER)
Business 1�6o�e N�� L�! ® UJ ,
U -9
0
a
e
SUBJECT
P
City of Fridleyi-6-9
® ` 4 8
AT THE TOP OF THE TWINS
BUILDING PERMIT
rp
RECEIPT NO.
�
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
I I
`
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
3/21/83
JOB ADDRESS 71 - 6531 Way N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
13
5
Edgewater Gardens SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Michael Sichaek 71 - 65h Way N.E. 574-7387
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Milton L. Johnson Co. 2513 Central Avenue N.E. 781-9548
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 ❑X ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reside Dwelling
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
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
$1X900
$.95
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-
STRUCTION OR THE ERF ANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
0
$31.95
SIG ATUREOFCO AC OR AUTHORIZED AGENT (DATE)
_ WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
1> A 2
BLDG WSP D TE
SIGNATURE OF OWNE IIF OWNER BUILDER) (DATE)
CITY OF FRIDLEY
APPLICIITIO;d FOR RESIDENTIAL_ BUILDING PER14ITS
(Ikw, Alterations, Additions, or Repairs)
I CPA ff IS
ADDRESS: S - I/ VA iyc
TEL NO: S7 - 73 S �
STRICT NO: STREET:
BUILDER: �`/�� %�� !, .V0//iu sew
ADDRESS: r" e'q
TEL 1d0: � :1—(/
Construction Location '
LOT: SLOG:: ADDITION:
Corner Lot: Inside Lot-: Setback.: Sideyards: _
Applicant attach to this form two Certificates of Survey. of lot and
proposed building .Location drawn on certificates to scale.
DESCRIPTIO14 OF CONSTRUCTION
Front:
Squane - Feet:
Front:
Square - Feet:
Depth: Height:
Cubic Feet:
Depth: Height:
Cubic feet:
Type of Construction: I D Estimated Cost: $meq 0`'D
To Be Cbrapleted: - d
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired: $ $
SEE REVERSE SIDE OF SHEET
Mie. undersigned hereby makes application for a permit for the �:�ork 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 :n this application are true and orrect.
M',Tr : SIGNATURE:
Stipulations:
l•00
• .
�qs
SUBJECT
-
.�+E
City of Fridley
2 7 612
AT THE TOP OF THE TWINS
BUILDING PERMIT
`
RECEIPT NO.
_ COMMUNITY DEVELOPMENT DIV.
L PROTECTIVE INSPECTION SEC.
�;
r ;
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIOLEV 55432
612-571-3450
910-F15
9/8/98
JOB ADDRESS 71 NE 65j Way
I LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
13
5
Edgewater Gardens
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Mike Sichak 71 NE 651 Way 55432
574-7387
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO.
New Haven Construction 4208 83rd Ave N Brooklyn Park 55443
566-5225 20077950
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 ❑ ALTERATION Cj REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house & garage (23SQ) Tear -off
9 CHANGEOFUSEFROM 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
MOT.
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
$1,918.00
SURTAX
$.96
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
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
PROV SIONS OF ANY OTHER STATE OR LOCA LAW REGULATING CON-
$62.25
Fir SC $1.92
ST ION OR THE PERFORMANCE OF CO S UCTION.
PLAN CHECK FEE
TOTA FEE
--- --/I /I
Lice C $ 0
$70.13
SIGN UR F CONTRA OR OR AU HORIZED GENT IOATEI
lfo'orE4NR I
BL
A I$ I$ P IT2pSIGNATURE
DATE
OF OWNERIIF OWNER BUILDERI IDATEI
Aug 26 98 06:53a Kerri
566-7183 p.6
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R -Z r
BUILDING PERMIT APPLICATION
ConstructionAddress: /y?— e:01A /yd-- J
Legal Description:
Owner i
Contract
Address:
LIVING AREA:
GARAGE'AREA:
DECK AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length Width Hgt/Ground Sq. Ft.
Construction Type:I'le— 0n! )0 • Estimated Cost: $
(Fee Schedule on Back)
Ft x $ = $
Driveway Curb Cut Width Needed: Ft. + 6 Ft =
DATE: APPLICANT: TeL /t
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
CITY USE ONLY
$ Fee Schedule on Reverse Side
$ .001 of Permit Valuation (1/10th%)
$ $.50/$1,000 Valuation
$ $1000 per SAC Unit
$ 0 $5.00 (State Licensed Residential Contractors)
$ Alt. "A" or Alt. "B" Above
Sewer Main Charge $
TOTAL
STIPULATIONS:
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ J
/9115
CITY OF FRIDLEY INSPECTION DIV.�� Effective On August 1, 19%
6431 University Ave NE ;
Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
572-3604
MARK NUMRFR OF FIXTURES TO BE INSTAL IF'n ON FACH Fl nnR
Stories
!Ia�
1, Urinal
Shower
Wash
$ � Tray
u f loor
1: Drain
,Auto.
... , 'Washer
i' x t5 Gas
, _ 4 Ran
Water Heater
�rF 4h 4b }E, Gas Elec
Basement
i,",p$.
Floor 1
Floor 2
r7z. .,
Floor 3
zt
=
r31.
Floor 4
t a
_
r
PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS '71 4SX-1- (,tf 7 y — 3 g
New Fixtures
Old Opening, New Fixture
Beer Dispenser
Blow Off Basin
Catch Basin
Rain Water Leader
Sump/Receiving Tank
Water Treating Appliance
Water Heater —Electric
Water Heater — Gas**
Gas Range**
Gas Dryer**
Back Flow Preventer Required ( )Yes () No
Type
$ 7.00 The undersigned hereby makes application for a permit for the work herein
$ 4.00 specified agreeing to do all work In strict accordance with the city codes
$ 5.00 and rulings of the Building Division, and hereby declares that all the facts
$ 7.00 and representations stated in this application are true and correct.
$ 7.00
$ 7.00 /z/ 7/9 11995
$10.00 Owner. _ �d-�► o-hJ
$ 7.00
$101,00 ._ Building Used As
$10.00 ear
$10.00 Estimated Cost 56 6 - PERMIT NO.
$15.00 PLUMBING,, COMPAN,� A�cLd 4 � Sa �� � S B
Reinspection Fee $42.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance .2-0
State Surcharge
TOTAL FEE
50
f
SIGNED c/ TEL N0. a ` - ?.Z
Approved By Rough—In Date Final Date / r2li
MINIMUM FE FOR ANY PLUMRIMMIGAS PFRMIT 1S 19n nA
$ "d,Sd PLUS THE $.50 STATE SURCHARGE
"COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SO INCHES.