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City of Fridley, Minn. BUILDING PERMIT N° 4524 X Date: Owner: p�' ��"'?•-`ax?. �._ Builder Address Address LOCATION OF BUILDING Street:.pp�_ _ .................. Part o Lot ...__......._...._...__..._. .- .._...___..._......._...._._ Lot ^... ......... Block .... _.........:i�............._..._..........: Addition or Sub -Division � .. .. _ ;.. ..._. . Inside Lot ....._...:........._. e �i----��--......----.------_.._...... Corner Lot ..... _...........................--...-...... Setback...-•---..':�-*1.......---_........ Sideyard ..... .... .,�----- -- Sewer Elevation ... _...... ................................ -._........._...._.___.•------..__...... Foundation Elevation DESCRIPTION OF BUILDING To be Used as; , 4fV°^ "- ....... Front Depth Height /L9.- Sq. Ft. / A,µyCu. Ft. �.�'95Z ................................. - ............ o Height .............. ...._.. Sq. Ft....................... Cu. Ft. ..................... Type of Construction ....". -" �$,�'r�� Est. 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 forth and in compliance with all provisions of ordinances of the city of Fridley. .................. In consideration of the payment of a fee ofi �r^1 ' $�:�.5%.._....?............. 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 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 "'0 'i 1 Building Inspector NOTICE: This permit does not corer the construction, Installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these hems. • 4 0 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA • - _� mss: V ME - . LOCATION OF BUILDING No. fez Street„6�� r. Part of Lot Lot Block___L.- Addition or Sub.Div.� Corner Lot -Inside Lot set Back - Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. �_3;�, �DESCRIPTION OF BUILDING To be used as: ��� J Front _ _, Depth._2,J/ Height, _. 121 - Sq. Sq. Ft. % Yl� Cu. Ft. l ieKy Sq. Ft. Front Depth Height Cu. Ft. Type of Construction Estimated Cost 1, 55r. n To be 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 Buildinga, and hereby declares that all the facts and representa- tions stated in this application are true and correct. DATE -1- I/ 40 - SIGNATURE (A Schedule of Fee costs can be found on the Reverse Side.) City of Fridley Application for Plumbing and Gas Fitting Penin DESCRIPTION OF wORx Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES:O. I �. TOTAL Number Fixtures ...................... x $1.50 $ • Q 09 Y f: x N o a uhf x w $ • • WATER HTR. $0 Water Heater (Up to 200,000 BTU) 00 go $ , �� x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL !3 O?z x $1.50 GAS EIEC x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ Base ,at 2nd _ 3rd 4th • Future Connection Openings Connected with Sewer ❑ New Fixture, Old Openings Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES:O. RATE TOTAL Number Fixtures ...................... x $1.50 $ • Q 09 Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $0 Water Heater (Up to 200,000 BTU) ...... x 2.00 $ , New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL � 1st 3 Fixtures .......................... x $1.50 $--A Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Dept. of Bldgs. Phone SII 4-7470 .// '00 en, 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, Mj n �7 h 19zQ Owner Kind of Building X41 � Used as To be completed about Estimated Cost, Old -6 Building Permit No Permit No Signed n By Business PhoneNo e— ROUGH °S MAY 16 1960 FINAL - 0 Description ................... TOTAL FEE $ ��• �� 42 2M 7-59 L o� I Apwication for Power Plants and Heating, Cooling, Ventilation, Refrigeration and bW Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SII 4-7470 �A ' GRAVITY WARM A: RATE TOTAL Locatio I IR -_ Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ City of Fridley: The undersigned hereby makes application for a permit for the work herein Repairs & Alterations—up to $500.00 .................. 5.00 $ 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 Repairs &Alterations each add. $500.00 ............... 2.50 $ and representations stated in this application are true and correct. 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 $ 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. EBR 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 $ 6 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 REMARKS: Owner Kind of Used as To be completed about Estimated' Cost, $ Old—/l�TegV�. Building Permit No. 7` � r 195_ 195- 195— DESCRIPTION OF WORK HEATING orP PILAN'!'S—Steam, Hot Water,Air o Trade Nam Size N _ Capacity Sq. Ft. E.D.R.AAL-2 BTU H.P. Total Connected Loa ® Kind of Fue BURNER — Trade Name Size No Capacity. Sq. Ft. E.D.R BTU H.P. By. 11 POST IM -12-58 Business Phont No- 61 19C- 7 % :1- i 3 D -±s *qv1-79 HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS —Ge LIS MINK. Weatherstrips A.S.H.V.E. Construction No. Insulation Kind How Applied Guide Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Yes—No I Yes—No 19_ , R.1i.j Rmm I Length 4TO Width /1E Height II o FI_I f. mei Rmm l Length l -.4-Width f sn Heiaht _I - --� v . r - - ------ 1 ----D--- Com/ -• ----- Windows and Doors—Crackage and Area ----°--- Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Z & 1/ 31 1 Windows and Doors—Crackage and Area Width HeightNo. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef.1 Btu. Infiltration2L24r Coef. Btu <® ry Glass Coef.1 Btu 1 Boo Exp. wall O 193 ' Net exp. wall L / (® 1® 1WO Int. wall 1 p Net exp. wall Int. wall Ceiling Int. wall 10TO O Floor t® aowl Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area _ F1.1 Room I Length QF Width Height Windows and Doors—Crackage and Area Width HeightNo. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration 1 Coef.1 Btu Infiltration 1 Boo Glass O Glass 193 ' 1'1, L Exp. wall 'L - 10 Log p 1 p Net exp. wall Int. wall Int. wall Int. wall LO -4- t® Ceiling Floor -'q. 10 Floor to q. eti Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl. Room ( Length / 2 Width Windows and Doors—Crackage and Area Width Helght No. of Lineal ft. Area No. of Dane of pane lights of crack I ea. ft. Btu Infiltration IL 50 Glass 40 Exp, wall i?y L Net exp. wall Int. wall Ceiling I Qp* q"\o i 1 10 1- 10 Floor 1 *:,:S6 Total Btu. ` Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Windows and Doors—Crackage and Area Height Width Height No. of Lineal ft. Area No. of pa of Dane lights ofC%ck sq. ft. Coef. Btu Infiltration 1 <,,Q qOO 1 Boo Glass 3 14- 193 ' 1'1, Exp. wall V- ® 'L - 10 Log p 1 p Net exp. wall Int. wall Ceiling Int. wall LO -4- t® C Floor Ceiling I 4—,LL ® (q O to IR -00 Floor I t4La 1 8 / Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 G-Sc,�) Room I Length 1/ idth Windows and Doors—Crackage and Area Height Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft`. Coef. Btu Btu InfiltrationGlass 1 <,,Q qOO Glass Exp. wall VICOef. 3 %-L, So Exp. wall Net exp. wall Net exp. wall - 10 Log p 1 p t 6x Int. wall Ceiling Ceiling 11 t 6-x LO -4- t® C Floor 110is 1 81 9 S -L Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area >1_I Rmm I Length I-,1Width M Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration 1 <,,Q qOO Glass Exp. wall 1(, %-L, So hap- LICL Net exp. wall - 10 Log p Int. wall Ceiling tooC Floor A a Total Btu. Requlrid sq'.. ft. E.D.R. or sq. ins. W.A. Leader area SUBJECT R PER City of Fridley � AT THE TOP OF THE TWINS BUILDING PERMIT Ir RECEIPT NO. � • COMMUNITY DEVELOPMENT DIV. y------- PROTECTIVE INSPECTION SEC. r 1 F NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 �'' 612-571-3450 910-F15 10/12j95 JOB ADDRESS 241 69 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 1 Rice Creek Plaza North Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ron Carlson 241 69 Avenue NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Richard Hastings Contr 6331 Riverview Ter NE, Fridley 55432 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 ❑ NEW ❑ ADDITION ❑ ALTERATION ( REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House (20 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 $1,600 .80 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 $51.25 Fire SC $1.60 PLAN CHECK FEE TOTALFEE r Z APE License SC $5.00 1 $58.65 SIGNATURE OF CONT RACTOR OR AUTH0IZED AGENT IDAT I WHEN PROP LY VALIDATED THIS IS YOUR PERMIT DG INSP DATE E SIGNATURE OF OWNER OF OWNER BUILDERI IDATEIkif NEW (] Effective 8/1/95 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: 7 7X 19y6% Legal Description: Owner Name & Address: F o,M' CA 4L S o � Tel. # Contractor: c ALP i n�G S _ MN LICENSE #�bS Address: 9 3 3 / vLa� v c�J 7JZ Tel. # 5-j 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: Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: o FF-+ K o k o c F Estimated Cost: $ © o n Approx. Completion Date: �/ /rs�i S C—�> p se . (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 1 Q Z S APPLICANT: Tel. # S 7 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ 51,2� $ A �o 101- 41 -)o '65, CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $850 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 [ ) SuBjECT PCAMIT NO. City of Fridley 30483 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. ____ - COMMUNITY DEVELOPMENT DIV. V INSPECTION SEC. I PROTECTIVE C 1 � = CITY HALL FRIDLEY 55432 NUMBED REV DATE PAGE OF APPROVED Br ' 612-571-3450 910-F/5 11/5/99 JOB ADDRESS 241 69th Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 1 1 Rice Creek Plaza, North Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ron Carlson 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Richard Hastings Contr. 6331 Riverview Ter. NE Fridley 55432 574-9966 4051 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 ❑ ALTERATION 1C REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house 19 S 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 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 1661 $.83 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 $60.10 Fire SC $1.66 f/ PLAN CHECK FEETOTAL License 5.001$6/59 FEE SIGNATURE OF CON'AACTOA OR At#HORIZED AGENT ,DATE. EN eROP ALIOAT HIS I$ YOU P? "T BL ,NSp - 771 riATE S-GNATURE OF OWNER „F OWNER BUILDER, IDA TE, NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION 00 �c Construction Address: Z q% 6 `I rA A J� N Legal Description: Owner Name & Address: lzolv C/-! R s Tel. # Contractor: ?,, L c4 A k v MN LICENSE # Address: j/ ,;�,` v E cZ v ; E 2 Tel. # 5'7 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF BIPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: 5� Construction Type: 1EA e- v FF -F 1Z e o F Estimated Cost: $ l �� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: f S p APPLICANT: c Tel. # Permit Fee Fire Surcharge 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 [ ]