PRE 2010 DOCSCity of Fridley, Minn.
G PERMIT
N° 4361
Date:
Owner: Builder ....._....._.�`
Address .._......__.._ __ _._._..__.._.. _ __ ._ Address ....... _.......
_.._.._.__...._._.._.__.._..__..__..._..__.___....._.._.._.._.__......
LOCATION OF BUILDING
No....=" --=-r.._......_.._... Street ..._............._.. _...... Part of Lot ......
Lot..... . ...................... _........ Block ..... _............ .............. _................. Addition or Sub -Division .................................
Corner Lot ..... . ................... _........ Inside Lot ..... ....................... _........ Setback ..... _............. _............. _........ Sideyard
Sewer Elevation _...__... .......................... _ _ _...._......._...._..._.._.----.._._ Foundation Elevation
DESCRIPTION OF BUILDING
To be Use3r,as:
7 f --'Cy�,e/�� - ... ar f
--�---....:.�':-•-------•---.. .._ Front ...._ � _�.r Depth
% ,/�
P C� P ` lgh ! Vr ` f..
,..----•-----.__iei t �...._............._..
Sq r r
coni Ft. �....._.�:..
� f
Ca Fi..__............._..
.... ...............
--....................._Front ...................... Depth
...................... Height ........................
Sq. Ft.......................
Cu. Ft. ..... _.................
Type of Construction
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 abovese s rth and in .compliance with all p '
ordinances 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. 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.
Building Inspector
NOTICE:
This permit does not cover the construction, Installation for wiring, plumbing, gas heating, sewer or water. Be sure to see
the Building Inspector for separate permits -for these Items.
61
i
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
Builder i r:'
Owners Name � -
Address �'� ,, Addreas,//�%:!��i% 1G� Ale
LOCATION -OF BUILDING
No. Street Part of Lot
Lot Blodt Addition or Sub.D#*,
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.
DESCRIPTI016 OF BUILDING
To be used as:
Front Depth Z,?Height
Sq. Ft.`
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction Z!2��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 Ordinances and ruling of
the Department of Buildings, and hereby declares that all the facts -and representa-
tions stated in this application are true and cor�ect,
DATE //-,,� ,�L --�'`� SIGNATURE�/�
(A Schedule of Fee costs can be found on the Reverse Side.)
City of Fridley
Application for Phrmbing mid Gas lifting Permit
Dept. of Bldgs. Phone 560-3450
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures Location 3 ��
N
3
$
Y5t
F�
$
— x $3.25
$
ou.�c
$
x$326
<
U
5
<
�°d
elm
�d
?
�O
•
R
•
N
WATER HTR.
GAS
ELEG
Base
1st
2nd
3rd
4th
• Ff. Conaection Opeaiags
* New Fixture, Old Openings
I
Can" led with
Sewer
Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
Number Fixtures ......................
Future Fixture Opening ................
New Fixture Old Opening ..............
Catch Basin ............................
Water Beater (Up to 99,000 BTU) .....
New Ground Run Old Bldg. ...........
Electric Water Heater
GAS FITTING FEES:
1st 3 Fixtures ...... ..................
Additional Fixtures ....................
Gas Range to 199,000 BTU ..............
REPAIRS & ALTERATIONS—Refer to Code
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 is this application are true and correct.
l Fridley, M nn 4` " �® 19_
Owner
Kind of Building
/ Used as
To be completed about s�®�
Estimated Cost, $
NO. RATE TOTAL
—x$2.00 $
— x $1.60
$
— x $1.50
$
— x $3.25
$
— x $3.00
$
x$326
$ J^��
x $2.00 $
NO. RATE TOTAL
x $2.00 $
x$.75 $
x $5.00 $
Old—New. Building Permit No Permit No.
Signed4P-
By
Business Phone No.
ROUGH ,
FINAL LY&
Description ................. ..............................$ _
TOTAL FEE $ �-s az
City of Fridley
AT THE TOP OF THE TWINS
sue�Ecr
BUILDING PERMIT
PERMIT
N .7
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
1 � �
CITY HALL FRIDLEY 55432
612-560-3450
RE IPT NO.
��
NUMBER
910-F15
REV.
DATE
8/15/73.
PAGE OF
APPROVED BY
10B ADDRESS 1350 - 69th Avenue N.E.
1 LEGAL
DESCR. •
LOT NO.
20
BLOCK
TRACTOR ADDITION SEE ATTACHED
Auditor's Subdivision #10 SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Darrell Bacon 1350 - 69th Avenue N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Royal Aluminum IM Products Inc 526 6th Avenue North
7-ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USEOFBUILDING Residential
7 CLASS OF WORK
❑ NEW CX, ADDITION N ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBEWORK Construct a 26' x 12' Addition Lo back of dwelling.
9 CHANGE OF USE FROM TO
STIPULATIONS
REQUIRED FOR ��RIiUGI
SEPERATE PERMITS REQUIRED
PLUMBING AND SIGNS-
"E
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, 'TYPE
VENTILATING OR AIR CONDITIONING.
OF CONST.
Wood f'''rame
OCCUPANCY GROUP
OCCUPANCY LOAD
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ZONING
R-1
SQ. FT.
312
CU. FT.
3744
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
I
STALLS GARAGES
AND KNOW THE SAMETO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
VALUATION
$5,500
SURTAX
2.75
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CA CEI THE 'PERMIT
FEE
SAC CHARGE
PROVISIONS OF Y OTHER STATE OR LOCAL LAW ULATIN CON-
STRUC E PERF ANCE F CO TI
$13.00
/s
PLAN CHECK FEE
TOTAL FEE
$15.75
SI TUBE FCONTR CTORORAUTHORIZED GENT (DAT
- WHEN PROPERLY VALI ED THIS IS YOUR
BLDG )NSP MTE�q
SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE)
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER' S NAME �°J �, BUILDER
ADDRESS : 135_0 ADDRESS
NO:. S^ V STREET:_ (2 %
,A
LOT: BLOCK: ADDITION•
CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD:
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates,
DESCRIPTION OF BUILDI G
To Be Used As:
Front• Depth: Height:
Square Feet • 6 �� Cubic Feet:
a 1�L"' -+
Depth: Height:
Square Feet; Cubic Feet:
eN
Type of Construction: p iTz�y Estimated Cost:
C2�
r�L $
To Be Completed: cf < / s_ �` -, z, J ,
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in stfict 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; c rrect,
DATE: / ` _3�> SIGNATURE:
(See Reverse Side For Additional Information.)
i
Zoot
s tee
1A+ �• 1111.
1 to F=l_.r.- HF-_ - '-- --- -' - --- ---':,."� j" ? I' 'I�, -;-- r 1---, `- - "� "t�� ;-:#`--k`- �`-.,-(=may F j�
t
J �
-FT
L_
Zoot
s tee
1A+ �• 1111.
1 to F=l_.r.- HF-_ - '-- --- -' - --- ---':,."� j" ? I' 'I�, -;-- r 1---, `- - "� "t�� ;-:#`--k`- �`-.,-(=may F j�
t
J �
-FT
' ROYAL ALUMINUM PRODUCTS, INC.
526 - 6th AVE. NO.
MINNEAPOLIS, MINNESOTA 55411
332-5591
8-'
barrel W. Bacon
SOLD 1350 69th five. N. E.
To Minneapolis, Minn. 55432
INVOICE Jkl
Ir�
NO.
INVOICE
DATE
SHIPPED
• TO
..■- _ n ►SAL L--80%
1, •
8216
Y ,w
OUR ORDER NO
'-73
YOUR ORDER NO
1
SALESMAN
Freier
TERMS
S mo. FBA lst� Fed• &
SHIPPED VIAPPD.
L
OR COLL
QUANTITY
DESCRIPTION
PRICE
AMOUNT
Build an addition size 121 x 26t x 121
Hip roof 1/2" plywood for the roof sheathing 2?????????
One Foot eaves E
Footings 42" below grade approx 2 blocks above ground
Kitchen floor level in new room
2 x 4 stud walls 16" o.o.
Reinstall owners window.
Divide addition for two a roams as per drawing
Frame for closet and door
Install one mull, double -hung windows 30" x 20/20
Install two singles 30 x 20% in the bedroom as per drawing
Al-,zm. combination windows for these 4 units
Open arch from kitchen to new addition approx. 714"
Use 3/4' 4tx8f BILTRITE for sheathing
Cover sheathing with owners 30# felt that he has on hand
Owner to finish the inside and outside of the new addition
Owner to do electric, heating and painting.
Royal to deliver only all negessary 1/2" sheetrock
1 flush hollow core 246" x 618 1,
1 bi-fold flush mahogany door for the closet
all mahogany trim and hardwgre for the for the new doors
and vindows
and as necessary in the new roam
We are to insulate the foundation with 1" styrofoam.
Deliver only 3 1/2"'fibreglass insulation for the walls and
6" fibreglass for the ceilings
PRINTED BY GRAYARC CO.. INC.. BROOKLYN. N.Y. 11232
City of Fridley
SUBJECTE
O.
1433
AT THE TOP OF THE TWINS
PERMIT
r
`
BUILDING
ECEIPT NO
r `L ------ COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
�a
1 �
`
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-560-3450
910-F15
8/3/77
JOB ADDRESS 1350 - 69th Avenue N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
20
Aud• Sub. #10
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Darrel W. Bacon 1350 - 69t1i Avenue N.E.
3 CONTRACTOR MAILADDRESS
ZIP PHONE LICENSE NO.
Swanson Const. Inc. 466-83rd Avenue N.E., Mpls.
786-5552
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO,
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO.
B USE OF BUILDING
Residential
7 CLASS OF WORK
Cj NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 24' x 301 Garage
9 CHANGE OF USE FROM TO
'STIPULATIONS
Provide a hard surface driveway within one year. Maintain a 17�j'
setback from Sieverts Lane ff&p" L.N . ,
WARNING
SEPERATE PERMITS REQUIRED
QUIRED EOR WIRING, Before diping'call local utilities
HEATING, PLUMBING AND SIGNS,
TELEPMONE - ELECTRIC - GAS Etc.
REQUIRED BY LACI
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
WOOd Frame
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
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
$5, 212
$2.66
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-
$28 80
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
$31.46
S GOTUFII OF CONT IACWAUT H _ZEsD_AG-EN,T (DATE)
., WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
BLDG INSP
8
DATE
ATURE OF OWNER IIF OWNER BUILDER) DATE)
I
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(NEW, ALTERATIONS, ADDITIONS,.OR REPAIRS)
OWNER: �/���f £L �cz�G o BUILDER:
y
Address: �S'� !s (csc�: Address:
Tel. No.
No.: �3S® Street:SS^�32—
. LOT: -2 BLOCK: ADDITION:
CORNER LOT:y INSIDE IAT: SETBACK: SIDEYARDS:
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:
�`j`s?fit
Front:
a2 �%
r
Depth: - Height: �o
Square
Feet:
Cubic Feet:
Frdnt:
Square Feet:
Type of Construction: 141° o,p
Depth: Height:
Cubic Feet:
Estimated Cost: $�
To Be Completed: 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 representati s stated in this application
are true and correct. See reverse side f dditional information.
or—
DATE:��y rrST" SIGNATURE:
Stipulations:
a�. $
ROM ``
'
-rK
3 y�
10
c4MAP)e4- te
w��r�tN
r
� aR
r
CITY OF FRIDLEY
Effective Date May 1, 1988
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND
AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
RESIDENTIAL ` RATE TOTAL
Furnace Shell and Duct Work,
Burner (Also replacement furnace)
Gas Piping
(piping needed with new furnace)
Gas Range
Gas Dryer
* Air Conditioning (all sizes)
All Others/Repairs and Alterations
18 of Value of Appliance or Work
COMMERCIAL/INDUSTRIAL
18 of Value of Appliance or Work
$ 20.00
$
$
$ 10.00
$
$ 10.00
$
$ 10.00
$
10.00
State Surcharge $ .50
TOTAL FEE $
Reinspection Fee ($15.00) $
Rough Insp.
Date
Final Insp.
Date
Approval for Permit
MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00
PLUS $.50 STATE SURCHARGE
*Air Conditioners can not be placed in side yard without
written permission from adjoining neighbor.
Job Address �Z 5 ne
Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432
City of Fridley
Tel. #571-3450
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the City Codes
and rulings of the Department of Buildings, and hereby declares that all the
facts and representations stated in this application are true and correct.
Fridley, Minn.
OWNER
KIND OF BUILDING�J ,
USED AS /r o S�
TO BE COMPLETED ABOUT
ESTIMATED COST � /
OLD - NEW BUILDING PERMIT NO. PERMIT NO. 16 So2
DESCRIPTION OF FURNACE/BURNER
HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No.
Trade Name ,4;i -e G, Size No. --o /119
Capacity Sq. Ft. EDR BTU rZ-' HP
Total Connected Load Kind of Fuel 45"1 !�z'
BURNER - Trade Name
Size No.
Capacity Sq. Ft. EDR BTU HP
Company
Signed By '7- 4:172,,-2-4-9e-,_-
Tel. No. 4f2 %'.26 rZ,
Fill out back side for stack verification on replacement furnaces
CHIM14EY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack;
1.
Has been carefully examined
Yes ( )
No
2.
Is free from rust or deterioration
Yes ( )
No
3.
Has no foreign objects lodged within
Yes ( )
No
4.
Is securely supported
Yes ( )
No
S.
MeC%S all current Code i`egiili`'CiilClllandS fUi size a�
total BTU connected
Yes ( )
No
6.
Has Total heating BTU's of
All other BTU's
TOTAL
Rema rk s
Company
Signed By
Date