PRE 2010 DOCS* 40 2 717
City of Fridley, Minn.
BUILDING PERMIT S° 4 4 9 5
Date:
0
Owner: _...._....---...-.............----------------------------................._...--- - Builder C 41E ?0 j...... ... ....:...... _..._�_....
`
Address ............................................... ---------- _...._...._._........
_.... ........... Address >� L�.:..'.1_.�r._?2....' `2...,/�o.�e.......
L N F BUILDING
No. ��--..L........ Street _.. �... � ..-_.t._�.... �.-� �i......--------..... Part of Lot ................... .........
Lot....._./... -../w:............... Block ............. ........... —,................ . Addition or Sub -Division .......................................-- -----.--.........._............._.._....------.._..----------
Corner Lot .................................... Inside Lot ................... ....... Setback.._�-3..s..--------............ Sideyard-...._.../...............................---------------.....
Sewer Elevation ..... . ............................ _............. _..................................................... Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as • t
Depth .6...... Height _..... Sq. Ft...1....., Cu. Ft
Front ..._ T --• =/ ... .
............ i.............. Front ......... Depth _.......- eight ........... Sq. Ft. .... Cu. Ft..J_...
le
e'
Type o Construction ..._ ...... Est. Cosmo S.S�........... To be Completed .................... ...........
n
In consideration of the issuance to me of a permit to con/tthelding des abov I ee to do
the proposed work in accordance with the description above etin i with al rovisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of
$:......:.................... .. permit is hereby gr d 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. '-1-)'-, � s' /
Building Inspector
NOTICE:
S This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see
dhe Building Inspector for separate permits for these items.
Application for Power Plants and. Heating, Cooling, Ventilation, Refrigeration tind
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 $
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $
.each add. 60,000 BTU ....................... 2.00 $
Replacement of Furnace .............................. .§.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. 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 $
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 $
ROUGH
FINAL
Dept. of Bldgs.
/Phone SII, 4-7470
Location / -67"�
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.
;dt
_Fry, Minn L g 19 4--oOwner�c��e d
Kind of Building
Used as
To be completed abouty
Estimated Cost, $ 6
Old Ne Building Permit No. 7 Permit No.
DESCRIPTION OF WORK
HEATING or P WER PZ.ANTS--Steam, Hot W , Warm Aires No
ell /I
Trade Name— l72'LL /c -Q-1 �' �� C'r e-�-1 Size No
Capacity Sq. Ft. E.D.R T ``�� BTU ,+ H.P.
Total Connected Load `� Kind of Fuel
BURNER — Trade Name . Size No
Capacity Sq. Ft. E.D.R BTU H.P.
(REMARKS -OVER)
RAY N. WELTER HEATING CC
4637 CHICAGO AVE.
SignMINNEAPOLIS
By •L� c�_
4 Z Business Phone No
/ U City of Fridley
Application for Pi mbmg and Gas Fitting, PenWt
Dept. of Bldgs. Phone SII 4-7470_
DESCRIPTION OF WORK
Number, Sind and Location of Fixtures Location Lam® I
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE FATES:
NO.
RATE TOTAL
Number Fixtures ......................
ff
b
x $1.50
e --o
Future Fixture Opening ................
x 1.20
$ �� L/ 0
New Fixture Old Opening ..............
x 1.00
$
F
N
WATER HTR.
GAS
ELEC
x 2.00
$ '
New Ground Run Old Bldg . ............
x 3.25
$
GAS FITTING FEES:
NO.
RATE TOTAL
1st 3 Fixtures ..........................
�o
$ /' 5-D
Base
1st
/
2nd
3rd
4th
• Future Co Lneciion Openings
Connected with
New Fixture, Old Openings
I
Sewer Eq
Cesspool El
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE FATES:
NO.
RATE TOTAL
Number Fixtures ......................
ff
b
x $1.50
e --o
Future Fixture Opening ................
x 1.20
$ �� L/ 0
New Fixture Old Opening ..............
x 1.00
$
Catch Basin ............................
x 3.25
$
Water Heater (Up to 200,000 BTL) ......
x 2.00
$ '
New Ground Run Old Bldg . ............
x 3.25
$
GAS FITTING FEES:
NO.
RATE TOTAL
1st 3 Fixtures ..........................
x $1.50
$ /' 5-D
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, Mjnn_ �� —y 19 & O
Owner 19—
Kind
9Kind of Building 19—
Used as - d
To be completed about 7// a
Estimated Cost, $
/ ew
Ol Building Permit No
signedWGa% �a
By GVH l0'�
Business Phone
Connection Permit No . .......................................................
JUN 6 1960 � h (i R , Water
61
Sewer
Description ................................................$
TOTAL FEE $ / ,% 11 i M-8-58
Meter Deposit
SUBJECT
PE
City of Fridley
o_ 18394
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
RECEIPT NO.
• COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
1
i CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
----"'1 ,�
L 612-571-3450
910415
4/21/86
10B ADDRESS 751 - 68th Avenue N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
is
2
Brookview Terrace NXEX
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Larry Kantor 751 - 68th Avenue N.E.
571-2648
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Same
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 j7 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof Dwelling
9 CHANGE OF USE FROM TO
STIPULATIONS
Roof can be the 2nd layer but not the 3rd.
Install ridged Xx galvanized
valleys.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
Asphalt
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
$800
$' S0
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.
$15.00
PLAN CHECK FEE
TOTALFEE
$15.50
SIGNAT EOFCONTRACTORORAUTHO IZEDA ENT IDATEI
WHEN PROPERLY LI DATED THIS IS YOUR PERMIT
BLDG INSP
GATE
iGNATURE OF ERIIF OWN R UILDERI IDATEI
NEW [ ] City of Fridley
ADDN. [ ] 1 R-1 AND R-2 j
ALTER. [ 7 Building Permit Application
Construction Address: ?6_l l0 0 T V c �y"e
Legal Description: 4o7-15 E (n e r Z- L,c
Owner Name & Address
Contractor
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.
Length
Length
Length
ovF
DESCRIPTION OF IMPROVEMENT
Width
Width
Width
Height
Height
Hgt/Ground
Effective 4/1/86
Tel. #
Sq. Ft.
Sq. Ft.
Sq. Ft.
Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback
�� D
Type of Construction: Estimated Cost: $
Approx. Completion Date:
Proposed Driveway Width If New Opening Is Desired:
Alt. A Alt B
See Back Page for Explanation
DATE: J ^ Z APPLICANT. Tel. #
CITY USE ONLY
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
Fee Schedule on Reverse Side
25% of Building Permit Fee
$.50/$1,000 Valuation
$475 per SAC Unit
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]