PRE 2010 DOCS•
F -I
L
City of Fridley, Minn.
BUILDING PERMIT
N° 6890
L CAT ON OF BUILDING
No. StreetPart
Lot _ Block Addition or Sub -Division .
Corner Lot Inside Lot — Setback
Sewer Elevation
Foundation Elevation
DESCRIPTION OF BUILDING
T Used r
Front Depth —46— 'Height Sq. Ft c:u. Ft.Vie
Fro t - Lam!-- Depth xe�ght _�� Sq. Ft. Cu. Ft./
Type of ction Est. 1/� To be Completed
6,vtle dr - (5
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
d/',� comce with provisions of
ordinances of the city of Fridley.
E
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 dty limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
Building Inspector
NOTICE:
IMs pump don not oarer Ow construction, hwaiiation for whbe, phimbing, gn hating, ower or water. Be sun to sa
d- awhung MR -tor for -paste perm.: for these Items,
APPLICATION FOR BUILDING PEPT11T
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME BUILDER.01
AnDREss�.' �ADDREss 61r-:�Vj -
LOCATION
�
OF BUILDING
No. �® Street 7e) lw, � Part of Lot 3 -
w �
Lot Block Addition or Subdivision'�'�2
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 used as:
Front �� D.:i.th � � ®� Height. �
f� Sq. Ft. Cu. Ft.
Front e 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.
C( e /,//,V SIGNATURE_. (e P /�L4u� &,, °"` ` 6,
V f 1Reverse Side).
Schedule of Fee Costs can be found on the
City of Fridley
® y A
Application for Plumbing and Gas Fitting Perniff
Dept. of Bldgs. Phone SII 4-7470
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures Location
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE TOTAL
Number Fixtures ..............
6r'�i— x
$1.50
$ ra'-4 G!
Future Fixture Opening ................
x
1.20
$
New Fixture Old Opening ..............
x
1.00
00
Catch Basin .... .....................
x
WATER HTR.
GAS
ELEG
Z x
3
$ oC , y I
Y9
x
N
; N
O LL
NO.
LL O
U<=
x
U' `
U'
00,
x
.50
$
Gas Range to 200,000 BTU ..............
x
2.00
$
Base
1st
2nd
3rd
4th
• Future Connection Openings
���
* New Fixture, Old Openings I
Sewer
Cesspool ❑
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE TOTAL
Number Fixtures ..............
6r'�i— x
$1.50
$ ra'-4 G!
Future Fixture Opening ................
x
1.20
$
New Fixture Old Opening ..............
x
1.00
$
Catch Basin .... .....................
x
3.25
$
Water Heater (Up to 200,000 BT) ......
Z x
2.00
$ oC , y I
New Ground Run Old Bldg. ............
x
3.25
$
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
$
REPAIRS & ALTERATIONS—Refer to Code
Description ................................................$
TOTAL FEE $—
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 applicatio4 are true and correct.
car
Owner
Kind of Building
Used as
To be completed about
194
Estimated Cost, $
Old ew. uilding Permit No `" Pe it Na. Clo_
Signe
i
By
Business Phone No `420
ROUGH
FINAL
42
Application for Power Plants and Healing, Cooling, Ventilation, ReIFrigeration and
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 $ d
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. 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 $
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
Dept. of Bldgs. Phone SU 4-7470
70
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
Owner
Kind of Building �
Used as
To be completed about
Estimated Cost, $
Old New. 'lding Permit No. X-7 G C,% ® Permit No.
DESCRIPTION OF WORK
HEATING or POWER PLANTS --Steam, Hot Water, Warm Air—No
Trade Name Size No
Capacity Sq. Ft. E.D.R BTU H.P
Total Connected Load Kind of Fuel
BURNER — Trade Name Size No
Capacity Sq. Ft. E.D.R BTU H.P.
42
FINAL
(REMARKS—OVER)
Business Phone
`
SUBJECT
City of Fridley
8 524
572' FTMETWINS
?-,2
BUILDING
PERMIT19
r
RECEIPT
• COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
NUMBER
REV
GATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910415
11/4/98
JOB ADDRESS
50 70th av NE
1 LEGAL
LEGCR.
LOT NQ
BLOCK
TRACT OR ADDITION
SEE ATTACHED
E. 2f0 ft.O
1.2.3 &
T
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Leon Hinkel971-9136
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Town & Country Roofing 7
-
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
O NEW 0 ADDITION 0 ALTERATION JaK REPAIR 0 MOVE O REMOVE
B DESCRIBE WORK
Reroof house and garage (16.33 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
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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
1456
.73
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
$48.50
j
FirA SC $1.46
PLAN CHECK FEE
TOA FEE
`
kt-2
Lic
69
5lNATURE 0F CON'RACrOR OR AUTM RIZEO AGENT IOATEi
I
EN Pq
Ar
BLZG iNSP
V THIS?2SYOR PERMI
•
I �
r,crE
S-GNATURE OF OWNER,if OWNER BUiLOERi iDATE,
AUG -13-1998
...... L 1
ADDN [ ]
ALTER [ ]
ConstructionAddr
Legal Description:
Owner Name & Address:
Contractor• 1 c?10r\
Address: ?91D /„i"
08:42 FROM CITY OF FRIDLEY TO
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMT APPLICATION
8589320 P. 01/M
=LWUVC VIM
Jb
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Tel. # S'7!- ! /J
MN LICENSE # 20-b g / a kZ
S. ssq-Ll Tel.#,SyS- 4233
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IDdPROVEMENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length Width Hgt/Grou�nd Sq. Ft.
-- /10,33 S, /. 4AZ, `0
Construction Type: �& D & Estimated Cost: $ S -J�
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: '0 I /off r APPLICANT: Tel.
TOTAL $, '5y, 6q .
STIPULATIONS:
CITY USE ONLY
Permit Fee
$ , O
Fee Schedule on Reverse Side
Fire Surcharge
$,%
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$.501$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$ g `O -e
$5.00 (State Licensed Residential Contractors)
Driveway Escrow
$
Alt. "A" or Alt. "B" Above
Erosion Control
$
$450.00 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement Necessary [ ] Not Necessary [ ]
TOTAL $, '5y, 6q .
STIPULATIONS:
CITY OF FRIDLEY INSPECTION DIVISION1 iJEffective On January 1, 1t sss
6431 University Ave NE ` Lq�
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
r
JOB ADDRESS - �5 `" 7 W
RATE SCHEDULE 1-4 f�±� -
Residential
Furnace Shell and Duct Work, Burner -
Rate
TOTAL
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 Building Division, and hereby declares that all the facts and
Also Replacement Furnace
$ 30.00
$
representations stated in this application are true and correct.
(Side Vent - Fill Out Back)
g(Needed t le _t� ma
CXN`-
$10.00
$
/� _ �� X1998
OWNER �4-)A �e4
Gas Range
$10.00
$
BUILDING USED AS_
Gas Dryer
*Air Conditioning - All Sizes
$10,00
$ 25.00
$
$
ESTIMATED COST 4r PERMIT NO.
DESCRIPTION OF FURNACE AND OR BURNER
All Others/Repairs & Alterations (UST ON BACK)
1 % of Value of Appliance or Work
$
No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air)
Commercial/Industrial
Trade NamendAwSize No.
BTU HP EDR
1.25% of Value of Appliance or Work
$
Fuel Total Connected Load
State Surcharge
$ .50
Burner Trade Name Size No.
TOTAL FEE
I-
BTU HP EDR
HEATING COMPANY
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 Signed By <_Tel No. 5-9 / `-3 4
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr Approved By Rough -In Data/12- /3 Final Date
*Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE FOR STACK VERIFICATION ON
written permission from adjoining property owner. REPLACEMENT FURNACE
All other BTU's
TOTAL BTU's
7. Has a liner been provided for water heater
8. Has combustion air been provided for water heater
Remarks:
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
Yes
CHIMNEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack:
No
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 ( )
5.
Meets all current Code requirements for size
and total BTU's connected
Yes ()
No ( )
6
Has total heating BTU's of
All other BTU's
TOTAL BTU's
7. Has a liner been provided for water heater
8. Has combustion air been provided for water heater
Remarks:
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
Yes
No
Yes
No
r
SUBJECY
O.
City of Fridley
AT THE TOP OF THE TWINS
BUILDING
PERMIT
28737
r
RECEIP
COMMUNITY DEVELOPMENT DIV.
� PROTECTIVE INSPECTION SEC.
r �
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
l J` 612-571-3450
910415
12/11/98
JOB ADDRESS
50 70th av NE
1 LEGAL
LOT NO. BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
11,2,3 & 4 1 14
Cam Howard A
Hush's.S Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Leon Hinkel571-9136
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Owner
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE N0.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION fZk REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Fire damage repair
9 CHANGEOFUSEFROM
TO
STIPULATIONS
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OFCONST.
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 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
920
.50
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
$34.75 Al
Fie SC $.92
PLAN CHECK FEE
T A FEE
6 .17
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT ,DATE,
MEN PR VALI T THIS IS YOUR PERMIT
2
BL INS- DATE
S-GNATURE OF OWN RJF OWNER BUILDER, ,DATE,
r
NEW [ ]
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: 7 Wel Ef, ;n /g;
Legal Description:
Effective 1/1/98
Owner Name & Address: , I_lEo N hj f /y Ir LCL Tel. # .17 / 9/,?,W
Contractor: L ic Qg/_14 / AZ MN LICENSE #
Address:_ L..v A y Tel. # A-7 I q/ 3 G
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF I1%,iPROVEMENT
LIVING AREA:
Length
Width Height
Sq. Ft.
GARAGE AREA:
Length
Width Height
Sq. Ft.
DECK AREA:
Length
Width Hgt/Ground
Sq. Ft.
OTHER:
r—. JK
DA ,A'1 Af 19 )PA A
D�
Construction Type:
Estimated Cost: $ q
(Fee Schedule on Back)
Driveway Curb Cut Width Needed:
Ft. + 6 Ft = Ft x $ _ $
DATE:
APPLICANT:
Tel. #
CITY USE ONLY
Permit Fee
$
Fee Schedule on Reverse Side
Fire Surcharge
$
.001 of Permit Valuation (1/10th%)
State Surcharge
$��(�
$.50/$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$
$5.00 (State Licensed Residential Contractors)
Driveway Escrow
$
Alt. "A" or Alt. "B" Above
Erosion Control
$
$450.00 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement Necessary [ ] Not Necessary ( ]
TOTAL
$ El
. STIPULATIONS: