PRE 1986 - ORIG DWELLING•
0 1 0
City of Fridley, Minn.
BUILDING PERMIT N® 6571
Date:
zeOwner: �&JBuilder
Address Address
IOOF -UPa
No. Street — Part of Lot
Lot ---- Block Addition or Sub -Division
Corner Lot ._ Inside Lot _ �Setback _ Sideyard _ f
Sewer Elevation — -- Foundation Elevation
DESCRIPTION OF BUILDING
�%
��,�e•(- Front Depth � Height .��Cu.Sq. Ft. ��!�`� CFL !r�
Front Depth _ Height Sq. Ft. Cu. Ft.
Type of Construction Ir Fat. Cost "—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 set JerW and in compliance with all provisions of
ordinances of the city of Fridley.
1,0-9 k
In consideration of the payment of a fee of $-T ---- , 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 anypari thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of limits buildings
within the city mits and this permit may be revoked at any time upon viola�ie any of the provisions of said
ordinances.
• NOTICE:
ihb permit does not cover the construction, hataWan for vdrhi& plumbing, gas hedhi& sewer or water. Be ams to no
the Bulhihtg Impeeter for separate permits for these steam.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA / 06
0WIM, WS NAME �� BUILDER
ADDRESS f �S� �G� ee-z� - �% � ADDRESS
LOCATION OF BUILDING
No. Street � Part of Lot . ZZ
Lot Block Addition or Subdivision�����.
Corner Lot Inside Lot 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 i as:
` Front Depth A� Height
Sq. Ft. Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
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 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 ..� �� — •� SIGNATURE
(Schedule of Fee Costs can be found on the Reverse Side).
Application for Power Plains and Heating. Cooling. Ventilation. Reftigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR:
RATE TOTAL
Furnace Shell & Duct Work ..........................
S.00 $
Replacement of Furnace
Estimated Cost,
.............................
5.00 $
Repairs & Alterations—up to $500.00
w /
Old New. Building permit No. Permit No. -��`��
..................
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 ............................. 5.00 $ a
Repairs & Alterations—up to $500.00 ................. 5.00 $
Repairs & Alterations each add. $500.00 .............. 2.50 $
STEAM or HOT WATER SYSTEM
Dept. of Bldgs. Phone 560_3450
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 trued correc�
Fridley, Minn _Z7v — 19
Owner Q, -2 _
Kind of Building
j
Used as
To be completed about
Furnace Shell &Lines—to 400 sq. ft, IDR Steam
�v
......
Furnace Shell & Line—to 640 sq, ft. IDR Hot Water
8.00
$
Estimated Cost,
...
Each add. 200 sq. ft. EDR Steam .....................
•
8.00
2.50
$
$
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Old New. Building permit No. Permit No. -��`��
Each add. 320 sq. ft. EDR Hot Water ..................
2.50
$
OIL BURNER—to 3per , hour al ........................
g
5.00
$
DESCRIPTION OF WORK
over 3 gal. per hour—See Fee Schedule
HEATING or POWER PLANTS—Steam, Hot Water,
Warm Air No
GAS BURNER (ug to 400,000 BTU) .......................
5.00
$-IrQ
Trade NSize No _ '
GAS FITTING FEES: NO
RATE TOTAL
_0
A.P.
Capacityam �� Sq, Ft, E.D.R
1st 3 Fixtures ......................
n
Total connected Load � �i Kind of Fue
Additional Fixtures ............... x
.5500
$
�_
Gas Range to 200,000 BTU ........... x
2.00
$
BURNER — Trade Nam _ Size No
-_
AIR CONDITIONING
�
Capaci'ty --- _ Sq. Ft. EMR BTU H.P.
��-� _
FAN HEATING SYSTEM See Fee Schedule
VENTILATING SYSTEM
ALTERATIONS & REPAIRS TOTAL
FEE
Signe1iZ
ROUGH
By r
9/®,9
42 Business Phone No-
FINAL
(REMARKS -OVER)
SUBJECT
PERM)C18
City of Fridley
MOVING
715
AT THE TOP OF THE TWINS
�: P E R
M I T
RECEIPT NO.
I
COMMUNITY DEVELOPMENT DIV.
A //
r PROTECTIVE INSPECTION SEC.
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
IL/"'1,� CITY HALL FRIDLEY 55432
--_-�
L . 612-571-3450
910-F15
10/20/86
JOB ADDRESS 1358 - 66th Avenue N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
Pt. 14
Aud. Sub. #10
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Brickner Builders 6199 Heather Place N.E.
574-9871
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO.
Dale Movers Inc. 7816 Central Avenue N.E., Fridley
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO,
6 USE OF BUILDING
Dwelling
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR
3,p MOVE ❑ REMOVE
8 DESCRIBE WORK
Move Dwelling out of City
9 CHANGE OF USE FROM TO
STIPULATIONS
House Moved summer of 1986. SAC credit given to Permit #18714
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
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
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
DOES NOT PRESU E TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS Y OTHER TATE OR LOCAL LAW REGULATING CON-
$15. On
T UCTIO E PERFOR OFC ST RUCTION.
PLAN CHECK FEE
TOTAL FEE
$15.00
NATURE OF CON A T OR AUTITORIZE0 AGENT (DATE)
WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
+^
BLDG )NSP
O
11
DATE
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE)
Effective Aug. 1, 1981
City of Fridley
f�ILCT
Permit No.
IST TML TO► OF TML Two$
MOVING PERMIT APPLICATION
Receipt To.
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rL-_����_, COMrtIMtTt OL1RL0/MEMT On►.
� i p10TLCTIVL N�CTION OLR
�����•/ �� �-�i0��M0
M1a�1
04TL
L OR
�Mt10vED dr
910-F21
0 1_2115/73
1 1
800
Property Owner Address ��Q one
/13S�8 61&t_
L®f�2s �
Present
Lot No
Block No
Tract or Addition
Legal
To Be
Moved To
—
overress Phone License No.
a L A, 0,J
Expecte a nor Thru Fr y
Estimated ost
Type f Building
$
tn��
Routing
Approved By:
Utilities to be Notified and nate Services Mi s -c mnected
mils. Gas Co. T.S.P. Northwestern Hell Tel. Co.
Engr, Dept. Cust. Bus. Ofc. Bus. Ofc.
372-4850 330-554Q 332-4112
Date Date Date
Moving Fees: Moving Principle Building Into Fridley S 80.00
!loving Accessory Building Into Fridley S 20.00
Moving through, within or out of City S 15. GO
No State surcharge on Moving Pemits
Approved By Water & Sewer Department:
-All Bills Are Paid Services Are Disconnected
The -undersigned hereby makes application for a permit to move the building
described above, agreeing to do all work in strict accordance with the City
Ordinances and rulings of the Department of Buildings, and hereby declares that
all facts and representations stated in this application are true and correct.
Contractor
Date
4w- -