PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT
FrW
* , A
• _ .. rid
N°5516
Builder — —
Address
street
,T OFB ILDING
L
No.
Part of Lot04 A
Lot r.4..._..___ Block _ __ __ Addition or Sub-Divisio
Corner Lot _ Inside Lot Setback .. SideyardI
Sewer Elevation Foundation Elevation
DESCRIPTION OF BUILDING
To Used r
Front _ L Depth Height Sq. Ft. N,7 i Cu. Ft.
Front Depth. Height S Ft.J/1460 Cu. Ft. -f AW
P g +� q
Type of ction Est.C w" ! 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 compliance with all provisions of
ordinanoes of the city of Fridley.
In consideration of the payment of a fee of $ permit is hereby granted to
to construct the building. or addition as described above. Thispermit 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. A „ _.."
d•'+'°rw'� ��r.�/r'.J"`7'�'il���iirCC;L'!i ��1�
NOTICE:
This permit does not cover the construction, Installation for wiring, plumbing, gas heating, sewer or water. Be aur to we
the Building Inspector for separate permits for these items.
0 4
APPLICATION FOR BUILDING PERKIT
CITY OF FRIDLEYj MINNESOTA
AddressOwner's Name Builde
4 —qM""o
• •' -
LOCATION OF BUILDING
� �,� [� Q� �G
No•--�--{`- Street � Part of Lot
y
Lot Block 7' Addition or Subdl�s: on ,�
Corner LotInside Lot we-,"� Setbackm Side -Yard -,r--4 a
SEWER ELEVATION `� FOUNDATION ELEVATION ZZ j'
Applicant attach to this form Certificate of Survey of Lot and
proposed building location.
DESCRIPTION OF BUILDING a
be used as:
Frontes Depth V- :YI3eight'
Sqs Ft. Cu. Ft.
—
Front Depth Height
Cu. Ft.
Type of Construction' Estimated Cost /; Id
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 ruling of the Department of Build-
ings, and hereby declares that all the facts andre esentations
stated in his application are true and corr'e-t.�
DATE d/ kq / 6 r SIGNAT
(Schedule of Fee Costs can be found on the R&xeise Side).
�f
City of Fridley
Application for Plumbing and Gas sitting Permit
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures
i
�sq
ya
Y•.
x $1.50
d_
Future Fixture Opening ................
u�i�^
Z�z
,,i
a
pZ
iso
i<T3z
O
J
tWy
��
Ute'
z
�O
•
F
•
N
WATER HTR.
GAS
ELEC.
Base'
NO. RATE TOTAL
1st 3 Fixtures ..........................
Zx $1.50
��
Additional Fixtures ....................
x .50
$
Gas Range to 200,000 BTU ..............
1..
$
1st
2nd
3rd
4th
• Future Connection Openings I
New Fixture, Old Openings
Connected with
Sewer �
Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO. RATE TOTAL
Number Fixtures ......................
x $1.50
$ F
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) ......
x 2.00
$ s)C)
New Ground Run Old Bldg . ............
x 3.25
$
GAS FITTING FEES:
NO. RATE TOTAL
1st 3 Fixtures ..........................
Zx $1.50
��
Additional Fixtures ....................
x .50
$
Gas Range to 200,000 BTU ..............
x 2.00
$
REPAIRS & ALTERATIONS—Refer to Code
Description ................................................
TOTAL FEE
Dept. of Bldgs. Phone SII 4-7470
r-"- 9,3 0 6 P 9 - A,
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 a true and correct.
,,Fridley, Minn IL9 19/
Owner 0
Kind of Building
Used as
To be completed about
Estimated Cost, $
Old New uilding Permit
ROUGH 16 — 3 - & I
FINAL
42 2M
N
M
By
Business Phone
t
,\
Application for Power Plants and Heating, Cooling, VenfiWlon. Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR:
Furnace Shell & Duct Work ..........................
Replacement of Furnace .............................
Repairs & Alterations—up to $500.00 ..................
Repairs & Alterations each add. $500.00 ...............
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............
each add. 60,000 BTU .......................
Replacement of Furnace .............................
Repairs & Alterations—up to $500.00 .................
Repairs & Alterations each add. $500.00 ..............
RATE
TOTAL
8.00
$
5.00
$
5.00
$
2.50
$
8.00 $ c®
2.00
$
5.00
$
5.00
$
2.50
$
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR 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 $, m
GAS FITTING FEES: NO RATE TOTAL
1st 3 Fixtures ......................�_ x $1.50 $ 4-5-19
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 SU 4-7470
/
Location ,J ?® -,�
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 //��d 191
Owner Y 195—
Kind of
Used as
To be cc
195—
Estimated Cost, $
Old— Building Permit No.
DESCRIPTION OF WORK
HEATING or POWER PZ.ANTS—Steam, Hot Water, Warm Air—No-
Trade Nam Size X-�1�
Capacity Sq. Ft. E.D.R.��o44" BTU �JH.P.
Total Connected Load 2 73 Kind of Fuel iC.�sr/�.1�
BURNER — Trade Nam
Capacity Sq. Ft. BTU H.P.
SUBURBAN HEATING & SHEET METAL
8419 CENTER DRIVE N. E.
Si gal MINNEAPOLIS 21, MINN.
By
11 POST 1M-12-58 Business Phone No !ac>
Windows and Doors—Crackage and Area
,
Width Height No. of Lineal t . Area
No. of7paanne of pane lights of crack eq. ft.
�l �Y 6
tris^42
3
a
HEAT LOSS
CALCULATIONS
DEPARTMENT OF BUILDINGS
FRIDLEY, MINN.
Weatherstrips
Glass y
A.S.H.V.E.
Guide
C)Int.
Construction No.
Insulation
Windows
Doors
Reference
Out. Wall
Int. Wall Ceiling Roof Floor
Kin How Applied
No
I
No
1
p -
Y - g s—
F1.1
Room I Length./.?,' Width
Z.P-/ Height .?'/
11 .l FI_I
Ream I Length C// Heiaht.V-/
Windows and Doors—Crackage and Area
,
Width Height No. of Lineal t . Area
No. of7paanne of pane lights of crack eq. ft.
�l �Y 6
Width Height No. of Lineal ft. Area
No. of Dane of pane lights of crack eq. ft.
I
Coef. Btu
Infiltration
�p
Glass
j
Exp. wall
i
Glass y
Net exp. wall
C)Int.
wall
,
Ceiling
® O
Floor
I otal Btu. 1 J ) -/ A. -
Required
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
% F1 -1 R.,.,.., I 1 ...fh /r ) / W;AtL 4/ u.: -Lt fZ /
_... , - ---- ,_- -- - -
Windows and Doors—Crackage and Area
,
----� -
Width Height No. of Lineal ft. Area
No. of pane of pane Ilghts of crack sq, ft.
Width Height No. of Lineal ft. Area
No. of Dane of pane lights of crack eq. ft.
I
Coef.
Btu
Infiltration
�a
Infiltration
Glass y
-
/fid 2 --
Exp. wall
,
i
Net exp. wall
Exp. wall
Int. wall
Net exp. wall
Ceiling
/10
dS-•O
Floor
Total Btu.
Ceiling
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Fl. Room J Length / Width 7/
Height pl
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
Coef.1
Btu
Infiltration
3 A --
Glass Glass
7
Exp. wall
Net exp. wall
Int. wall
Ceiling 3 v
XTO
Floor
Tbtal Btu.
y
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Windows
'd Doors—Crackage and Area
Width Height No. of I Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
Width Height No. of Lineal ft. Area
No. of Dane of pane lights of crack eq. ft.
.2 O!
Coef.
Btu
Infiltration
ip
/fid 2 --
Glass Glass
,
Exp. wall
Exp. wall
Net exp. wall
6
.Z
Int. wall
Ceiling
00
Floor
Ceiling�-
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area44
c?
�m I Length z V Width,19/ Height l
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. tt
� 2� / 22. Les-,
'r.ro' 1 /x.
Infiltration
Glass yz
Exp. wall
Net exp. wall aZ,(
Int. wall
Ceiling .d
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. itis. W.A. Leader area
Fl.I Room I Length .,.3/ Width /1 / Heigh /
Windows and Doors—Crackage and Area
Width Height No. of I Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
2— 3z 3y
7— 7?
CoeL
Btu
Infiltration
3
y
Glass
Exp. wall
Net exp. waU/,a
Int. wall
Ceiling�-
Floor
! otal 15tu.
Required sq. ft. E.D.R. or so. ins. W.A. Leader area I /
SUBJECT
P
City of Fridley
- 15721
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
R IPT NO.
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
1 �
`
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
5/13/80
JOB ADDRESS 930 - 68th Avenue N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
1,2
2
Meadowlands 2nd Addition SHEET
2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE
Jean Blix 930 - 68th Avenue N.E. 571-9130
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.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑g ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Install 25 foot diameter swimming pool (above ground)
9 CHANGE OF USE FROM TO
STIPULATIONS
See stipulations on letter dated 5/2/80 by Environmental Officer.
SEPERATE PERMITS REQUIRED
FOR
HEATING, PLAN.8jjNG
A o t4&
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 BO 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
ISTALLS 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
$1.90
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$3,800
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.
$24.00
PLAN CHECK FEE
TOTAL FEE
$25.90.
SIG UR OF CONTRACTOR THORIZEDAGENT (DATE)
WHEN PROPERLY LIDATED THIS IS YOUR PERMIT
A
BLDG INSP DATE
StGVATURE OF OWNER IIF OWNER BUILD) IDATEI
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(New, Alterations, Additions, or Repairs)
4 ,
OWNER:
ADDRESS: 12,4e 645—
TEL
NO:
STREET NO: STREET:
LOT: Z BLOCK:
BUILDER: �G�✓�
ADDRESS:
TEL NO:
Construction Location Location
Dv'/tea /--
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.
DESCRIPTION OF CONSTRUCTION
G(/ Front:
S ane. Feet:
Front:
Square - Feet:
Depth:
Height:
Cubic Feet:
Depth: Height:
Cubic Feet:
• 00
Type of Construction: _ s�22 y�c/ Estimated Cost: $ _.KM
`lb Be Completed: ak kl �UV
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired: $ $
SEE REVERSE SIDE OF SHEET
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: 5 6;? — 9 SIGNATURE:
Stipulations:
�p
7
May 2, 1980
6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432
Ms. Jean Blix
930 - 68th Avenue N.E.
Fridley, MN 55432
TELEPHONE ( 612)571.3450
Re: Swimming Pool Construction at 930 - 68th Avenue N.E.
Dear Ms. Blix:
This letter is to make clear this department's requirements for the
swimming pool construction at the above address.
1. As indicated, one (1) skimmer of approved design by the National
Sanitation Foundation will be provided.
2. As indicated, one (1) inlet of approved design for fresh and/or
repurified water will be provided.
3. The filter and pump shall be approved by the N.S.F. and be of
.sufficient capacity to provide a minimum turnover of at least two
(2) times in 24 hours. This department recommends a turnover rate
of 6 - 8 hours.
4. A deck of at least three (3) feet wide, measured from the pool waters
edge, shall be provided which extends completely around all private
residential pools. Above ground private residential pools may be
provided with decking of a minimum size of 4 feet by 4 feet at pool
entry points and provided that such decking has the approval of the
City.
5. Fencing or other effective means including but not limited to walls
or buildings, acceptable to the City, shall be provided to positively
control all access to public and private residential swimming pools.
Fencing shall meet the following criteria:
(a) The fencing shall prevent the entrance of children and be without
hand or foot holds that would enable a person to climb over it.
(b) The fencing shall be at least 6 feet high and entrances shall be
equipped with self-closing and self -latching gates capable of
being locked.
(c) Self-closing and self -latching devices shall be placed at the top
of the gate or otherwise inaccessible to small children.
(d) The opening between the bottom of the fence and the ground or
other surface shall be not more than four inches.
6. An automatic chlorinator should be provided with a suitable test kit.
7. All electrical and plumbing installations shall be inspected and
approved by the City.Inspection Department.
8. All electrical lines must be greater than 15 feet away from the pool
surface. An alternative is to bury said lines.
9. The pool fill spout must be protected by a vacuum breaker or air -gapped.
Ms. Jean Blix
May 2, 1980
Re: Swimming Pool Construction Page 2
10. Suitable safety equipment to include but not limited to a ring buoy
and rope that is 1� times the pool diameter, and shepherds crook pole
must be provided and maintained with the pool at all times.
Furthermore, these and any other requirements must meet the provisions of
the Fridley City Code, Section 115, Swimming Pools. The building permit is
approved contingent on final inspections and approval by the City.
If any questions or problems arise from this letter, please feel free to
contact me at 571-3450.
Sincerely,
STBIJEN J. O ON R.S.
Environmenta Officer
SJO/mh
upper surface or to the average height of the roof surface of the maid
gable of a pitched roof.
2.5. For repairs or alterations to an existing structure, the fee
shall be at the rate of $3.00 per each Five Hundred Dollars ($500.00)
nr rani- i nn ,'-llaranr^ in 4-u- —41- ^4 =11 n,-nnnGed wnrlc
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suBjECT
PE
City of Fridley
29606
AT THE TOP OF THE TWINS
BUILDING
PERMIT
RECEIPT NO.
�
`v ______ COMMUNITY DEVELOPMENT DIV.
SEC.
r PROTECTIVE INSPECTION
3
-3
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BV
1 J\ 612-571-3450
910415
6/3/99
JOB ADDRESS 930 68th Avenue NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
2
2
1 Meadowlands 2nd Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Jean Blix
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Owner
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 O ALTERATION U REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Reroof house and garage (28 Sq) TL-ar-nff
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
OCCUPANCYLOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT
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
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
2447
$1.22
OOES 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
$83.25
Fire SC
PLAN CHECK FEE
TOTAL F
GNA URE OF CDN'RAGTDR OR NORiZE AGENT DATE
N OPE
ALIDAT
IS I$ UR P R
5 G 4TUAE 01 pW NEA ��F OWNER BUILDER, ATEA
BL �NSo
riatE
NEW [ ] - Effective 5/10/99
ADDN [ ] CITY OF FRIDLEY I�
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address:
Legal Description:
Owner Name & Address: �erQ�-h �� Tel. #
Contractor: a11d e,r-" MN LICENSE #
Address: Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF 111APROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER: J�J? i �� _�9° ��� �-^ o, -29 SO
U 1o U ' ' V
Construction Type: /Jew--� P,c9Estimated Cost: $
Driveway Curb Cut Width Needed:
Ft. + 6 Ft = Ft x $
=S
DATE: 4�5as APPLICANT: Tel. #
Permit Fee $ Cj -.25
Fire Surcharge
$LIE -
State Surcharge
$
SAC Charge
$
License Surcharge
$
Driveway Escrow
$
Erosion Control
$
Park Fee
$
Sewer Main Charge $
TOTAL
STIPULATIONS:
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1050 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]