PRE 2010 DOCSApplication for Power Phuft and Heating. Cooling. Yentikdon, and
Air Conditioning Sytem and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIA: RATff TOTAL.
Furnace Shell & Duct Work ................ $10.00 $
Replacement of Furnace .... .. ..... 6.00 i_
Repairs & Alterations—up to $.500.00 6.00 $
Repairs & Alterations each add. $500.00 3.00 $--__
MEAL WARM AID
Furnace Shell & Duct Work to 120,000 BTU ........
..$10.00 $
each add. 60,000 BTII ....................
.. &00 ;
Repent of Furnace .. ... ..
.... 6.00
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 199,000 BTU) ... 600 $
over 198,000 BTU See Fee Schedule
GAS FITTING FEES: NO RATE TOTAL
1st 3 Fixtures .. . ..... x$ 200 $
Additional Fixtures x .75 IL -
Gas Range to 199.000 s$ 600 $
AIR CONDPRONDIti
FAN Hamm SYS?FJt
VENTLLATLNG SYBTEM
ALTERATIONS & REPAnW
ROUGH
FINAL 0O�-7 1/
,(SURCHARGE $_150)$_
Seo Fee SdIsdale
TOTAL FEE $�®
Dept. of B1dge. Phom 880.3490
City of Fridley:
The undersigned hereby makes application for a permit for the work hereir
specified, agreeing to do all work in strict accordance with the City Ordinances
and ruling of the Department of Buildings, and hereby declares that an the facts
and representations stated in this application are true and correct.
Fridley, Minn_ /e, " ':3 18�
Owner v°
� e
Kind of Building
Used as_--�-
To be completed about ___" 72,
Estimated Cost,
Old—New. Building Permit No. Permit No.
DESCBIPTION OF WORD
HRATLNG or POWER PLANTS---8team, Hot Water, Airy—No
Trade Nam C����; 2 4give No- 1-,2400
e
Capacity Sq. Ft, ED R- B
Hp.
Total Connected Loed Kind of Fuel 22 Cei L,' 2,z J
BURNER — Trade Name Size Ilio
Capacity Sq. Ft. E.D-R BTU Up
(UNAM—OVEM)
1
.
City of Fridley
4T THE TOP O? TME TW1"Q
rL'------COMMUNITY DEVEC.OrMENT CIY.
1 i PROTECTIVE 001,ECTlON KR
CITY MAI.. MOLRY 0608
53-8IS-s-915 51
i100ECT
PLUMBING PERMIT APPLICATION
il &'-2i3
Job Aaaress -
363 N. E. 66th. Ave.
Owner Address Phone
Nolan E. Johnson
Contractor Address Phone
-MINNEGASCO 733 MARQUE1 TE AVENUE
Kind of Building Use MINN,
Frame Res.
Completion Date lEstimaLedCost
C W
W
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5-10-7b
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CL
Gas Fitting Fees:
1st 3 Fixtures _ x $2.00 _
I -
Additional Fixtures x $ .75
I
iGas Range -199,000 BTU x $5.00
Repairs & Alterations See
Description: Install Gas Grill Code 5.00
IState Surcharge Class "An Surcharge .5&, .50
TOTAL FEE $ 5.50
!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 declare that
all'the facts and representations stated in this
application are true and 0orcorrect.
�
fi
�dam, .
Signa ut re P&RNFGA5`':'V Date ,
r
10.00
Plumbing Fixture Rates:
NO.
RATE TOTAL
Number Fixtures
x
$2.00 $
Future Fixtures
x
$1.50
New Fixture -Old Open.
x
$1.50
Catch Basin
x
$3.25 _
Water Heater -99,000 BTU
x
$3.00
Ground Run Old Bldg.
x
$3.25
Elec. Water Heater
x
$2.00
Gas Fitting Fees:
1st 3 Fixtures _ x $2.00 _
I -
Additional Fixtures x $ .75
I
iGas Range -199,000 BTU x $5.00
Repairs & Alterations See
Description: Install Gas Grill Code 5.00
IState Surcharge Class "An Surcharge .5&, .50
TOTAL FEE $ 5.50
!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 declare that
all'the facts and representations stated in this
application are true and 0orcorrect.
�
fi
�dam, .
Signa ut re P&RNFGA5`':'V Date ,
r
SUBJECT
City of Fridley
1.
P 12345
AT THE TOP OF THE TWINS
BUILDING P E R M:I T
r
PT N
COMMUNITY DEVELOPMENT DIV.
U.
e 1 PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
1---- J%"'p ,'� 612-560-3450
910-F15
10/9/73
JOB ADDRESS 363-66th Avenue N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
11
2
Rice Creek Terrace Plat 2 SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Malon Johnson 363-66th Avenue N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Salitros Roofing 5233 N.E. 6th Street
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING Residential
7 CLASS OF WORK ❑ NEW ❑ ADDITION CX ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK Re-roof Structure
9 CHANGE OF USE FROM TO
STIPULATIONS
SEPERATE ' PERMITS REQUIRED FOR WIRING;
HEATING, PLUMBING AND SIGNS.
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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$850.00
.50
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-
$6.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
$6.50
SIG ATUREOF Ny ACTOR OR AUT1Z GENT (DATE)
1
WHEN PROPERLY VA THIS IS )POUR PERMIT
C
r?
GNATURE F OWNERIIF O NER UILDERI (DATE)
BLDG INSP ATE
APPLICATION FOR RLSIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF 1-RJLILLY, \1INN1_SOTA
�l k��L'i
OWNF.it�S NAME. �� BUILDER: CiL "9�' ex
ADDRESS:,; �: � — � (o_ �,�' �� . YV . �- ADDRESS _:4
NO : • T S TREE 1: In /_c
Z.
7
LOT: L BLOCK: --I)— ADDITION:
CORNER LOT: INSIDE LOT: SETBACK: SI MARD;
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
To Be Used As:
DESCRIPTION OF BUILDING
Front: Depth: Height:
Square Feet: Cubic Feet:
Front: —Depth: Height:
Square Feet; Cubic Feet:
Type of Construction: Estimated Cost:_$
To Be Completed:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in stiict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that .ill the facts and representations stated in this application
are true and corrt-ct.
DATE: ) A SIGNATURE
(See Rev se Side For Additional Inform
00
SUBJECT
IT.
City of Fridley
� � g
F
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
RECEIPT NO.
� • COMMUNITY DEVELOPMENT DIV.
i Vy ......�
INSPECTION SEC.
r PROTECTIVE
d'
J�
1 ; �
/"'I CITY HALL FRIDLEY 55432
,
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
j1%,
j 612-571-3450
910-F15
3/22/85
JOB ADDRESS 363 - 66th Avenue N.E.
T LEGALLOT
NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
11
2
Rice Creek Terrace Plat 2 SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Nolan Johnson 363 - 66th Avenue N.E. 571-1458
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Master Craft Builders 4050 Washburn Avenue S., Mpls 927-7397
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 ALTERATION ❑ REPAIR 0 MOVE ❑ REMOVE
8 DESCRIBE WORK
Reside Dwelling
9 CHANGE OF USE FROM TO
STIPULATIONS
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
Wood
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
VALUATI0'642
SURTAX
AND ,ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$3r
$1.92
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
OVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
S UC R THE PERF RMANC F CONSTRUCTION.
$44.50
PLAN CHECK FEE
TOTALFEE
$46.42
SIGNATURE OF CON(4A TOROR AUTHORIZED AGENT IDATEI
WHEN PROPERLY LIDATED THIS IS YOUR PERMIT
r
BLDG INSP �aTL
SIGNATURE OF OWNER IIF OWNER BUILDER( (DATEI
NEW [ ] City of Fridley Effective 4/1/84
ADDN. [ ] �R-1 AND R-2
ALTER. Building Permit Application
Construction Addri
Legal Description
Owner Name &Address : Ale /rxk. 7�O h Sa a\ 3 %�(_5. Tel. # - !��(
V7 23-
Contractor: &A.5�ro- O'er A 1&t ���� Tel. #
Address: -1104n & s ct m� LA 'cui,_
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/_9Ground Sq. Ft.
OTHER: �' —' �r- a e x T s'1 -r"2 =n 41 h- Ti c` l I
Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback
Type of Construction: f� , Estimated Cost: $
Approx. Completion Date: -�
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $ $
See Back Page for Explanation
DATE: APPLICANT: el. #
CITY USE ONLY
Permit Fee $ '�' 5:p Fee Schedule on Reverse Side
Plan Check $ 25% of Building Permit Fee
State Surcharge $ �• �a $.50/$1,000 Valuation
SAC Charge $ $425 per SAC Unit
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $
Agreement Necessary [ ] Not Necessary [ ]
TOTAL $ 1
STIPULATIONS: 1
P / �a
rAw
FRTM017
IIX.EY
CIVIC CENTER • 6431 UNIVERSITY AVE. N.E., FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450
March 27, 1985
Master Craft Builders
4050 Washburn Avenue South
Minneapolis, MN 55410
Re: Reside Construction at 363 - 66th Avenue N.E., Fridley
Dear Sirs:
A final inspection was conducted on March 27, 1985 of the above construction
and it was noted that the caulking was missing around the top and east side
of the front window. We will expect this to be completed on or before
April 5, 1985 when a reinspection will be conducted to determine compliance.
If you have any questions on this matter, please feel free to contact me at
571-3450.
Sincerely,
DARREL G. CLARK
Chief Building Official
DGC/mh
CC: Mr. Nolan Johnson
363 - 66th Avenue N.E.
City of Fridley
AT THE TOP OF THE TWINS
SUBJECT
BUILDING
PERMIT
PERM -M6-.--<,
9 1-1
r
`
______ COMMUNITY DEVELOPMENT DIV.
r I v PROTECTIVE INSPECTION SEC
CITY HALL FRIDLEY 55432
,.j 612-571-3450
RECEIPT
NUMBER
910-F15
REV
DATE
9/1/95
PAGE OF
APPROVED BY
JOB ADDRESS 363 66 Avenue NE
1 LEGAL
DESCR.
LOT NO.
11
BLOCK
2
TRACT OR ADDITION
Rice Creek Terrace Plat 2
SEE ATTACHED
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
Noland Johnson 363 66 Avenue NE
571-1458
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO
Curtis Krabbenhoft Co 10540 6 St NE Blaine MN 55434
755-2519
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 ❑
ElNEW I --]ADDITION ❑ ALTERATION X REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House & Garage (19 Sq) 2nd Layer
9 CHANGE OF USE FROM TO
STIPULATIONS
Roofing can be the 2nd layer but not the
3rd.
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
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
ZONING
SO. FT.
CU. FT
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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$1,140
.57
DOES NO ESUME TO GIVE AUTHORITY TO VIOLATE OR CANC THE
PERMIT FEE
SAC CHARGE
PROVISI NS F ANY OTHER STAT OR LOCAL LAW GU I CON-
STRUC IR THE PERF E OF., O TRUCTI N
ON
$40.25
Fire SC. 1.14
PLAN CHECK FEE
TOTALFEE
License SC $5.00
$46.96
SIGNATURCOF C(W.15ACrOR OR AUTHORIZED AGENT IDATEI
HEN PROPERL VALIDATED THIS IS YOUR PERMIT
C
G
BLD )NSP
/
MATE
SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI -
NEW [ ] Effective 8/1/95
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2� 3
Building Permit Application
Construction Address: 66
Legal Description:
Owner N
Contracts
Address:
Tel. # SC"
MN LICENSE #��y�
Tel. # 7 S S 2-511,19-
DESCRIPTION
-S/�
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: Len Width Hgt/Ground Sq. Ft.
OTHER: %Z �O X66 �� - %-7 S 7 -
Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks
Type of Construction: Estimated Cost: $ / /P/G'
Approx. Completion Date: I n/
(Cost on Back)
Driveway Curb Cut Width Needed: Ftp 6 Ft = Ft x = $
DATE: / ¢,� APPLICANT: ��/ Tel. # % SS
Permit Fee
$ 1{�j . ;S
Fee Schedule on Reverse Side
Fire Surcharge
$ , /
.001 of Permit Valuation (1/10th%)
State Surcharge
$ �'%
$.50/$1,000 Valuation
SAC Charge
$
$850 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:
Building
Inspections
763-572-3604
SITE ADDRESS
BUILDING
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
TM APPLICANT IS: D OWMM
TENANT
SUBMIT A COPY OF STATE 110ENSE
YOUR STATE LICENSE ADDR1:ss:-J12�
WYM APPMATION I nwm_
OF
DESCRIBE WORK BEING
G
PROPOSED SI
-MOPOSBD WOHr:
3VfmF1
O AiumUnuat
O Odw _.
IN wasTwG opmGNGs Dices CIND
OR FOR NEW OPEAt GS -DESCRIBE SIZE OF
OPENING CHANGES & -- —
YOUR E.NAIL ADDRESSI IVL, C
MACTOR
.gin
�In3-5 911 15*
hg -A& . r i fl.Ct
F.Ji1' DATE
S' SDCD LI FAX c -;t 7
-31-0
0 DRAIN TILS
a OTIM
Reeeived By:
Date Recd:
11
s(o�1
Ft.
U jWV3z%nw.>x
-)kHOUSE & GARAGG 1. Exi Mg FIM Plain
D ATTACHED GARAGE . 2.soot plea
O L+ETACM GARAGE 3. List of st+vaearal mau6w to W used
FOR MVV CONSTRUCTION IIdaMMG DECKS.
OSOM &
I. Sita FWOSatvay showing Bye Cd$ftg ssnow=D TeintMor"aw
Z Two says oPocm► Pians
3. Entergy Calculmias
IACATION OF WMVDWS
MA'
issaw �,�„ ..,,......_.__ _
_ -
6 ,TM -1917 U B.0 FEE SCiEIEDULE)
(Uaf'II�i-
TOTAL JOB VALUATION S _ OCCUPANCY TYPE
Permit Fee $
di J See Back Page for Fee SdWdnle
Pian Review S5,
S
656/. of Building Permit Fee
(.0005) times the total job valuation - Mutimum S.50
Sllrcbarge
A01 x Permit Valuedion (1/100/)
Fire Surcharge $
$
�, l�-�� $5.00 (Stitt Licensed Residential CoanCWrs)
License Surcharge
$
.
S1450 per SAC Unix (Plans to MIWCC for determination)
SAC Cbarge
R + 6 ii: - R x $20 = $
Curb Cid Escrow $
$450 Consavadon Plan Review
Erosion Control S
Park Fee S
Fee wed by Engineering
Sewer Main Charge S
Agreement necessary ( ) Non Necessary
TRIS 13 AN APPLICATION FOR A PERMIT -NOT VALID UNML PROCESSM
I hereby apply for a buUdmg permit and I acknowledge that the information above is complete and acc nate; that the work will be in
confounance with the ordipanm 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 peamit 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 Val of plans. �%� /meq
SIGNATURE OF APPLICANT . PRIM NAME a' Y ► %I44 b e1I�- " ` C PATE