PRE 2010 DOCS•
0 • 26-31)
City of FricUey, Minn.
BUILDING PERMIT N° s 51 s
Date:
�9 6
Owner: Builder -----
Address Address — --_ —
LOCATION OF BUILDING
No. Street _ _ — P of Lot
Lot __ Block Y Addition or Sub -Division .
Corner Lot _ Inside Lot _ _ ff Setback I�
Sewer Elevation
Foundation Elevation
ESCRIPTION OF BUILDING
To sed ��,�
Front � Depth Height -�. SSoq. F't. Com. Ft.
Front Depth H ght _ e Ft. �� cu. Ft. W
Type of ction Fst. C ---
In
o 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 comp ' ce with a'll pr ons of
ordinances of the city of Fridley. ] /I _��1 / f
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 pari thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota location, construction, alteration, maintenance, repair and moving of buildings
within city limits and permit may be revoked at any time upon violation of any of the provisions of said
Building Inspector
• NOTICE
M permit does not emr the construction, hutaiiation for wiring, phnabing, gn hearing, sewer or wafer. Be sora to we
the geilding inspedter for separate permits for these items.
,5 .
ADDRESS
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
LOCATION OF BUILDING
No. (FJ%9 Street �/ '2-/�L,'' Part of Lot
Lot Block % Addition or Subdivision Z1��d
Corner Lot Inside Lot l/ Setback Side Yard
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed build-
ing location drawn on these Certificates.
DESCRIPTION OF BUILDING
To be used as:
�s . Front �'%r ��r Depth `/ Height
Sq. Ft. Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction �--2.� Estimated Cost A �/, ® ®
_ z
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 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.
DATE ;3 SIGNATURE
(Schedule of Fee Costs can be found on the Reverse Side).
d'
Application for Power Plants and. Heating. Cooling, Ventilation, ,Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SII 4-7470
GRAVITY WARM AIR: RATE TOTAL , Location
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
$
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............
8.00
each add. 60,000 BTU .......................
2.00
$ _
Replacement of Furnace .............................
.F#.00
$
Repairs & Alterations—up to $500.00 .... o ............
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 Fixtures ...................... x
$1.50
$ 65
Additional Fixtures ................. x
.50
$
r ' Gas Range to 200,000 BTU ........... x
2.00
$
AIR CONDITIONING
$
FAN HEATING SYSTEM See Fee Schedule
VENTILATING SYSTEM
$ _
i
r_ ALTERATIONS & REPAIRS TOTAL
FEE
c�
\.7 -
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- / ' , 19�
'
Owner v �4".f'��
Kind of BuildingV/
Used as r
To be completed abo
Estimated Cost, $
Old New. uilding Permit No. W Permit No. 10 VI31
DESCRIPTION OF WORN
HEATING or POWER PLANTS --Steam, Hot Water, Warm Air—No
Trade Name Size No 4106
47
Capacity Sq. Ft. E.D.R ® Q� BTU H.P.
Total Connected Load ? -1 E 93 Sind of rue
BURNER — Trade Name Size No �® 6,
Capacity Sq. Ft. E.D.ft �f�r BTU H.P.
(REMARKS—OVER)
Signed
By G s�
42 2M 7-59 Business Phone No -sq Its 0 9
T D-56
42
,MEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS
Weatherstrips A.S.H.V.E. Construction No.
Guide
Windows I Doors Reference Out. Wall Int. Wall Ceiling of Floor
Yes—No Yes—No 19_
FLS Room i Length .V. Width 1,? Height Z Iff Fl_I,1< W,4 Rn
Windows Xd
Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack eq. ft.
Width Height No. of Lineal A . Area
No. of pane of pane lights of crack sq. ft.
i
02
�r
6 Orr
Coef.
/
Coef.1
JCoef.j
Btu
Infiltration
Glass
,2k2,73
61
6 ®
1320
Glass
3 20
R
3 S
(�
Exp. wall
Exp. wallNet
Int. wall
"
7
Net exp. wall
Inc. wall
exp. wall
J
Tq YT
. Floor
/
.662
Int. wall
1/0
i 7®
J;L
0 q o
Floor
Ceiling
it 70
7
/
Q7
Floor
`/
1 otal Btu.1 62
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
I 17.1 &*I- Rnn,n 1 1 ...,.+h 1-7 WAA. 1A U.; -1k& d
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack eq. ft.
d 7
i
�r
6 Orr
Coef.
/
Coef.1
Btu
Infiltration
g q
Glass
/ -ac Cy
61
6
Glass
1 76
3 20
R
3 S
(�
Exp. wall
(j
Int. wall
"
7
Net exp. wall
Inc. wall
20
J
Tq YT
. Floor
old
Ceiling
o
1/0
i 7®
J;L
0 q o
Floor
V
it 70
7
/
-1-otal 13tu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
P F1.1', Room I Length ! A Width 1 2 Height
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane Ilghts of crack sq. it.
�� ao
Coef.
Btu
Infiltration
J
e5
g q
Glass
/ -ac Cy
61
6
Exp. wall
1 76
3 20
Exp. wall
Net exp. wall
(�
1
(j
Int. wall
"
7
Ceging
20
J
Tq YT
. Floor
old
Ceiling
o
1 t*l 13tu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Y
FRIDLEY, MINN.
Insulation
Kind How
Length 10 Width /.a- Height 9--
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft Area
No. of�pjane of pane lights o1 crack eq. tt.
OC
Coef.
Btu
Infiltration
R t
G®
1240
Glassp`i
/ -ac Cy
61
/ 9 a 0
Exp. wall
1 76
3 20
Exp. wall
Net exp. wall
/ & ,v
1
Int. wall
j
7
Ceiling
j %ate
12,
Tq YT
Floor
Ceiling
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
i
1 171.1 S_IAI AttJ Room I Length 1 o Width 1 i Height R1
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
7
Coef.
Coef.
Btu
Infiltration
,
L, 5 o
to'
/ -ac Cy
Glass
A t
3 20
Exp. wall
Net exp. wall
Int. wall
/ & ,v
1
Net exp. wall
j
7
Int. wall
7
`1 ``
Ceiling
1/0
f :L
/,7;? O
Floor
V
7 `7 0
Total Btu.
Required sq. ft. E.D.R. or sq. itis. W.A. Leader area
T
F119. -r-A Rtlom I Length 7 Width l- Height R'
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pans lights of crack sq. ft.
7
Coef.
Btu
Infiltration
7
&o
L, 5 o
Glass
S'S
Exp. wall
Net exp. wall
Int. wall
q
1
Ceiling
j
7
Floor
5 `
7
1 otal litu.
Required sq. ft. E.D.R. or sq. ins. WA. Leader area
a ct , 9.3 57
•
E
Date:
July 2, 1965
John Anderson
City of Fridley, Minn.
BUILDING PERMIT
Builder
Harold Julien
- ::? y 2. = -S -0
N° 8109
Address 831 66th Avenue N. E. Address 1975 Bronson Drive Mpls., 32'
LOCATION OF BUILDING
No. 831 Street 66th Ave. N. E. Part of Lot
Lot 6 _ Block 1 Addition or Sub -Division Meadowlands
Corner Lot _ Inside Lot Setback __ _ Sideyard
Sewer Elevation Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
Dwelling Front Depth Height — Sq. Ft Cu. Ft
Att. Garage Front Depth Height Sq. Ft Cu. Ft
Type of Construction Frame rat. Cost — $14,5 To be Completed
Dwelling: Att. Garage
In consideration of the issuance to me of a permit to construct the
the he ty offaccordance with the description above set,/North a
ordi=
I agree to do
,provisions of
In consideration of the payment of a fee of 25 -OD , permit is hereby granted to H. Julien
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= thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construct 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.
Allen Jensen Building Inspector
NOTICE:
This psnmh den sot cover the conshusdon, hstandion for Whiny, piumbbg, 8n heather, ewer or wader. Be sure to ae
the Butidtua hapnter for span to permhs for thea hems.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME BUILDER
ADDRESS — ,< - i-- _ADDRESS 17
LOCATION OF BUILDING
N0. STREET
LOT BLOCK ADDITION OR SUBDIVISION
CORNER LOT INSIDE LOT SETBACK
OF LOT
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;
t C%Depth : > Height D
Ft. / O Cu. Ft.
f
':2- Depth_��Height_
Sq. Ft._ Cu. Ft.
Type of Construction �stimated Cost / ` O
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 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,
DATE__
Schedule of Fee Costs can be found on the w Reverse/ Sidd�.
`V
SUBJECT
City of Fridley
2 7 7 3 2
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
RECE
• COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
f � �
NUMBER
REV
DATE
9/11/98
PAGE OF
APPROVED BY
1 CITY HALL FRIDLEY 55432
612-571-3450
910415
JOB ADDRESS 831 66th Ave NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
6
1
Meadowlands
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
John Anderson Same
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Richard Hastings 6331 Riverview Terrace 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.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW 0 ADDITION 0 ALTERATION j] REPAIR
0 MOVE O REMOVE
8 DESCRIBE WORK
Reroof house & garage (21SQ) 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 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 1 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
$1,799.00
$ 90
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 PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL F E
Q✓,,f�� /r
�Hf�wd -
License 5.00A
$64.45
SIGNATURE OF CONTRACTOR OR AUT ORIZED AGENT 10 TEI
N P PER
BLD I SP
DATE T II O P
BATE
SIGNATURE OF OWNERI IF OWNER BUILDERI IDATEI
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 ,��j�'
BUILDING PERMIT APPLICATION /�
ConstructionAddress: A alq E�
Legal Description:
Owner Name & Address: 'I_®4 ,xf 4 NV'eFA s' Tel. #
Contractor: IR r c4 & Z t> 4 -5-r1 •A� C MN LICENSE # S
Address: G k- U t T Tel. #
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:
l �� k e FF Estimated Cost: $ M949
(Fee Schedule on Back)
Driveway Curb Cut
Width Needed:
Ft. + 6 Ft = Ft x $ _ $
DATE: (( ,7 eC APPLICANT:
- Tel. #
CITY USE ONLY
Permit Fee
//
$ (o- �%S�
Fee Schedule on Reverse Side
Fire Surcharge
$
.001 of Permit Valuation (1/10th%)
State Surcharge
$ 90
$.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:
A PP
Building
PLUMBING
Permit No.:
Inspections
RESIDENTIAL APPLICATION
Received By:
763-572-3604CITY
OF FRIDLEY
Date Recd:
DATE C1 YOUR E-MAIL ADDRESS
SITE ADDRESS as_ GwrrG✓
THIS APPLICANT IS:
❑ OWNER **TRACTOR
Martha Anderson
NAME:
831 66th Avenue Northeast .ATE
PROPERTY
OWNER/
TENANT
ADDRESS. ZIP
Fridley, MN 55432
PHONE:
NAME: l
CONTRACTOR
STATE LICENSE #� _ EXP DATE Z �/ Co
�—
SUBMIT A COPY OF
YOUR STATE
CITY ! STATE A�) ZIP Od
ADDREs : 2 20ri I
LICENSE WITH
PHONE 1Z 7- D FAX
APPLICATION
-
PERMIT TYPE
SINGLE FAMILY ❑ TWO FAMILY - ❑ TOWNHOUSE
TYPE OF WORK:
0 NEW REPLACEMENT
DETAILED DESCRIPTION OF WORK &061-t_ &Ia%t/ letaACr
PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00,: whichever is greater, for the
improvement, installation or replacement of a residential fixture, excluding the fixtures. (This.shouldreflect only.the cost of labor)
Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor X.05 =
FORPROJECTS WHERE LABOR EXCEEDS $500 FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT;WBERE NGTED :FDT4MESi,.(INDICATE TOTAL
NUMBER OF EACH BELOW)
BATH SINK/LAV DRAINS _ SHOWER _ WATER PIPING
_ _FLOOR
GAS PIPING (sEo cr7Ltmm) _ SWIMMING POOL _ WATER SOFTNER ($35)
—BATHTUB _
CLOTHES WASHERKITCHEN SINK _ WATER CLOSET _ BACKFLOW PREV. ($15)
_ _ _.LAUNDRY TRAY j WATER HEATER ($35) FOR IRRIGATION
_DISHWASHER
_ WATER METER —OTHER
01
MR
Number of fixtures @ $10.00 x $10.00 = $
Permit Fee $ 3X_ 00
_
Surcharge .50
Number of fixtures @ $15.00 x $15.00 = $
Number of fixtures @ $35.00 x $35.00 _ $
TOTAL DUE $ 1_. �"O
State Surcharge = $ .50
Total = $
THIS IS 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 I understand this is
not a permit but only an ap 'cation for a permit and work is not to start without a permit; that the work will be in accordance with the
approved plan in the case o 1 work whic requires review and approval of plans.
C j '-
SIGNATURE OF APPLIC PRINT NAME jd-f 116 10 %eV1 ZZ��
—DATE
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-5024977
City of Fridley
Application for Plumbing and Gas Ming Permit
Dept. of Bldgs. Phone SII 4-7470 /� p
DESCRIPTION OF WORK Location—
I-
ocation
Number, Kind and Location of Fixtures
p0
x 3.25
Water Heater (Up to 200,000 BTU) ......
v x 2.00
New Ground Run Old Bldg. ............
o
GAS FITTING FEES:
zz
1st 3 Fixtures ...... ...................
n
(a
�g
� �
0
W
� O
•
F
•
N
WATER HTR.
GAS
EIEC.
Base
{
t
3
t
Ist
�.
2nd
3rd
4th
• Future Connection Openings
New Fixture, Old Openings
Connected with
Sewer
Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: -NO. RATE
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) ......
v x 2.00
New Ground Run Old Bldg. ............
x 3.25
GAS FITTING FEES:
NO RATE
1st 3 Fixtures ...... ...................
x $1.50
Additional Fixtures ....................
x .50
Gas Range to 200,000 BTU ..............
x 2.00
REPAIRS & ALTERATIONS—Refer to Code
OTAL
$ sd,0
TOTAL
City of Fridley:
The undersigned hereby makes application for a permit for the work herei
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 fact
and representations stated in this application are true and cgjWect.
Fridley,
Owner
Kind of
Used as
To be completed about
19 C-3
C
Estimated Cost, $
Old -(S Building Permit No _Permit No.
Signe
By
Business Phone No
ROUGH
FINAL
Description ................................................$
TOTAL FEE $�!6 �1 42 2M
Original-0
PERMIT for Power lants and Heating, Cool=
ing, Ventilation, Refrigeration and Air
Conditioning Systems and Devices
DESCRIPTION OF WORK
No. of N_eating Plants to be installed—altered—repaired
Make
Oil fired—,- Coal fired—, Gas fired—; Gas Authorization No.
Remarks Uh
Approved
Final Inspection
19_
Inspector
Pest
Fee N° 4550
$�� ' �'
Office of the Inspector of Buildings
City of Fridley
City of Fjrridley, j Minn., l , 19
Owner
Location
Kind of Building---=U���'�
How Occupied
Work to be Commenced & `
To be Completed ,19
Estimated Cost,
Old -New, Building Permit No.
Permission is hereby granted to `'�'� ' to install—erect—use the material and devices described in the
above statement. This permit is granted upon the exprondition that the person to whom it is granted, and his agents, employees and workmen, in all the work
done and materials used under this permit, and in the opera ' n of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley
relating to or governing the work to be done and the operation of the devices herein named, and to the specifi tons set forth in the approved application for this
permit on file in the office of the Inspector of Buildings. ,
– , Inspector of Buildings
42 2M11 -67v