PRE 2010 DOCSCity of Fridley
SUBJECT
2AT
THE TOP OF THE TWINS
QI'II DING D[DA AIT�
UR
DvL I V rLR'v,I
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
�41�J 0s�
1 i � CITY HALL FRIDLEY 55432
,'�
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
`---- 612-560-3450
910-F15
3/17/75
JOB ADDRESS 1375 76th Avenue n . E.
1 LEGAL
LOT NO.
20
BLOCK
3
TRACT OR ADDITION SEE ATTACHED
Meadowmoor SHEET
DESCR.
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Dahlmeier Construction 8460 Cottagewood Terrace Mp1s-
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
7 CLASS OF WORK
X] NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Residence 44x24x20
Garage x x
9 CHANGE OF USE FROM TO
STIPULATIONS
I
1. Provide a hard surface driveway
2/ Provide a verification survey before framing
SEWER Served out of M.H. - Inv. 891.52) 46' N. of M.H. 27.3 east of
sewer main extended North (S 46' Point) WYE elev. 891.52
Top of footing 895.00 (Minimum)
WATER ABA 42.4 N. of M.H.
27.3 East of 42.4'
Sed aTE PEFmrrs PEQUtRED FOR WING,
HEATING, PLUMBING AND SIGNS,
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
wood frame
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
HS 3AIXX
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 W HER SPECIFIED IN OR NOT. THE GRANTING OF A PERMIT
$23,343.90
11.67
DOES OT PRESUME T GIVE UTHORITY TO VIOLATE OR CANCEL THE
PRO ISIO OJA THER SATE OR LOCAL LAW REGULATING C0149.
pf� MIT FEE
V�
SAC CHARGE
g8$51 325.00
ST CTI ORFORM CONSTRUCTION.
a
L��
PLAN CHECK FEE
TOTAL F385.67
RE OF CONTRACTOR OR O IZE GENT (DATE)
' PROPER V D THIS YOUR
7-7
BLDG INSP DATr
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE)
01
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAMEi,Mcf/`tO LOOVS% C°c) BUILDER: F
ADDRESS • c/ '� ADDRESS
-.)-
NO:. %3 %-'�' STREET: --
LOT: Q ® BLOCK: ADDITION:
CORNER LOT: INSIDE LOT: SIDEYARD:
- C�S
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
ToPnr.
Used As:
i
Front: Depth: v Height:
Square Feet: ID -5 - ( Cubic Feet:
Front: a Depth: ---?- Height: 4 '/ 0
Square
--Feet; __ Cubic Feet: e``1
Type of Construction: Estimated Cost:
To Be Completed:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in sttict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are true and correct.
DATE:'— 7 SIGNATURE:
(See Reverse Side For Additional Information.)S C! Imo' �,A ! �
w
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c. r«
-90 � . 's
soil, kit mi ENGINEERING, INC,-
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Inymeer-s Sur veyors
aff ammmeyr Sol? 414gt
NOR
14134
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LYN, 0 74- CS IRAN 01N0;rC9 9711-1,rY 4 DRAIMAder ZAMACNr,
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CMI,V" 4VWA
a bw mid wffvci m1ation
p r$word Ar V -y elk hwda*.f e& '06*w �
and #Imt&e a-w=hwta1j JnWAV eflAwd &d.,h JWwyed �f me &y
0 *kq
SUBURB" fN61NLCC,?IVO. INC.
scwt 4,9.
S r V"9P OVI-
A/. A
SFc.cJ r /Z�//lJ �XJ`F/L� � /V est/�/ A6 /,P.,
2y�F:�F7 /Oc
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City of Fridley -
Appficafin for Phmbkg and &n R"I" pwn*
Dept. of Bldgs. Phone -3490
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures
01 '�
x $200
$L2 e
X $1.50
$
x $1.50
$
x $3.25
$
x$3.00
$ 3,ab
x $3.25
$
_ $200
6
t
WATER HTR.
GAS
EIEC.
F
7
ra�
yZ
50
O
f
N
Base
(
I
1st
--
2nd -
3rd
4th
° Future Connection OpeningsConnected with
-- —
e New FixYuse, Old Openings I
Sewer
Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
Number Fixtures
Future Fixture Opening
New Fixture Old Opening
Catch Basin
Water Heater (Up to 99,000 BTU)
New Ground Run Old Bldg.
Electric Water Heater
GAS FITTING FEES:
1st 3 Fixtures ...... .. ....
NO. RATE TOTAL,
x $200
$L2 e
X $1.50
$
x $1.50
$
x $3.25
$
x$3.00
$ 3,ab
x $3.25
$
_ $200
$
NO. RATE TOTAL
I___ x $2.00 $__2 ' -0b
Additional Fixtures ..... .............. x $ .75 $
Gas Range to 199,000 BTU .............. x $5.00 $
REPAIRS & ALTERATIONS—Refer to Code
Description ................. $
...........
TOTAL FEE ��
Location-_ . ISS - '? 6
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 are true and correct.
Fridley, Minn- (ev ` 19Z
Owner
Kind of Buildingi�-e
Used as -
To be completed about
Estimated Cost, $
Old— eBuilding Permit No.— - _. — —Permit No. C
Signed
By-
Business Phone No
ROUGH
FINAL
Few- nb CT' Net 7tz'I dung, Var'Milean. will I r ' Md
Air es 5 airs and Boa=
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR:
Furnace Shell & Duet Work
Replacement of rurnare
Rrpairs & Alterations ---up to 4500.00
Repairs & Alterations each add. 5500.00
KZCH. WARM AIR
Flunace Shell & Duct Work to 130,000 BTU
each add. 60.000 BTU
Replacement of Furnace
Repairs & Alterations—up to $500.00
Repairs & Alterations each add. $500.00
$TEAM oz HOT WATER 13TSTEN
RATE TOTAL
$10.00
6.00 $
600 4
3W $
.$1000
$ r f
3.00
S
6.00
4
6.00
$
3.00
$
fisrnace Shell & Lines—to 400 sq. ft ?.DR Steam $10.44 S
Furnace Shell & Line ---to 640 sq. ft. EDR Hot Water 1000 E.
Each add M sq. ft. EPR Steam S Mt $
Each add. 320 sq. ft EDR Hot Water 3.00 $
OIL SUPPME—to 3 gaL per hour 6.00 $
over 3 gal. per hour --See Fee Schedule
GAS BURNER (up to 1.99,000 BTL) 6.00
over 199.000 FM See Fee Schedule
GAS FII rIIN1G FEES: NO RATE TOTAL
1st 3 natures x$ 200 $ �' 0y
Addjtionai Fixtures x .75
Gas Range to L .Mo xs &00 $
MAI. T
State Surcharge .50
Sys Fee schcdmk
p�
• SOTAL le z s�V
Dept. of Blagn. Phone MUM
Lar s. /3 ! -6-^ / V cZ_
City of Fridley:
The undersigned hereby makes application for a permit for the work herein•
specified agreeing to de all work in strict accordance with the City Ordinances
and ruling of the Depai tment of Buildings, and hereby declrxres that all the fads
and reprrrsentatiuns stated in this application are true and correct.
Owner
Kind of Building��✓�4-
Used as
To be completed about
Estimated Cost; $
Old—Nese. Building Permit No. _ ___ _ _ Permit No.
HEATING or POWER PL AMS --Stearn, Hot Water, Warm Air—No �1
Trade Name Size No_C/ IZ-03 4/0
Capacity_-._- _Sq. Ft. T.GD.R 0
OF
Total Connected Load— ��• /J ® 1$!nd of gt�l L'S
BURNER — Trade Mame Size N o
Copadty Sq. FL ED -R BTU ];3m1l;�_
(MMA 8—ovaet)
_—W-777171777 !1711!177�!Tn