AF - 36507City of Fridley, Minn.
6431 University Ave. N. E., Minneapolis, Minn. 55432
BUILDING PERMIT
Date: December 29, 1972
Owner: Richard._,_Miller__.Homes_______,___.___.._. Buiiaer _.______..�ANIE
Aaaress 1_6.0 0___R.i c_e____C re e k_ Ro ad . aaaress _._ SAME
LOCATION OF BUILDING
—�
" _ 119�3�
`--- _
No. ...C2.�._�.�---------------- Street .----B.T.11I'.�,�.1.�.----C.O.Llr.�.�....-----------.., Part of Lot ..____
Lot ...--.-.--..� ...................._. Block ------.----.------3--............---.-----.--.-.-----. Addition or Sub-Division ------.--..B.r.]..3.��.1E.._.---.---•.__._._ ___._.�.
Corner Lot _ ..................--------- Inside Lot .--.---.-----X----------------- Setback -•--•--�.�!------_ Sideyard _ l 2�
�e��XElevation .-�---.....----�-�.9-a �Q -----�------�----�-�--�----�- ................�---�--�---- �'���t�?��v3�t�db -�---- _..9.12...50,.1�1..' n�mi�?n _.._.._._.
Wye Top of Footing ,
DESCRIPTION OF BUILDING
To be Used as:
D W 2111 ri_�...---- .--.----- Front __31_.t _._ Depth --z-6- �--.__ Height .-- z ��--•-- Sq. Ft. 9 6 2 cu. Ft 19 , 2 4 0
G a r Sg 2..- -------....._.... Front .._? 1--�----• Depth __?_2..�...__ Height _..l O_�-----. Sq. Ft. ___4_62 _�. F� 4. 6 2 0
Type of construction _._Wo_o d_.___F r am e.._..___ Est. Cost .�_.�.�..Q.�..Q..Q Q.._.._..__.__.. To be Completed 2�➢� .7> > n P 1 9 7 3
Stipulations : Provide a hard surface driveway. Provide a verifying survey before
capping. Storm sewer escrow due of $264.00 when water meter is taken out.
WATER LOCATION: Stopbox 12' W. of Sewer. 99.7' N.E. of PP.
SEWER LOCATION: "Y" 3' North �f Manhole
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 oP
Ordinances of the city of Fridley.
__.-------...����_ ���-a-e�GU�'�
$13.28 State Surcharge
In consideration of the payment of a fee of $4_�..._�___.�_., permit is hereby granted to R i r h a r rl M i 1 1 a r H o me s
-...----.-..-.-..-_----.-----.- ...............................__ to construct the building or addition as described above. This permit is granted upoii
the express condition that the person to whom it is granted and his agents, employees and worlflnen, in all work
done in, around and upon said building, or any part thereof, shall confoxln in all respects •to the or8inaaces of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildiIIgs
vyithin the city limits and this permit may be revoked a t any time upon violation of any of the proviSions of said
oz'dinances.
� � ,,.�:, .�► ,• �. t- � ~ -���il�lrig Il]SpeCtOT
DARREL CLARIC
NOTICE:
This permit does not cover the construetion, instaflation for wiring, plumbing, gas heating, sewer or water. Be sun to sos
the Building Inspector for separafe permits for fhasa ifems.
., �
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�1F�'I,�CAT�QN �QR RESID�NT�AI�. AI.T�:N,ATI4N,
QR, AAAITT01� �UILDING P�RMIT
GiTY OF ��IAL��'� MINN�sOT�►
i�GlidRa � S 1�1AbJE : BUILDSA t C i-l4 D 1 LL �, d-�,.,,,,,, n M� ',5
ADARESS : ADDttESB: ila'a0 2�c� Ce�x �o�� Frr.�o��.y
„�._... � � � � r_�_.....
i143 �, �¢ � 3,� STRF�j'�,,,,, �/Z�. �....�rZ��`1'_�£�-_ �OUIL."1" .__,�
� t BLOCK t 3� AA�ITION t� 1=„„�,^r ,Q„I_2DA L� , .
�GO�IiNER LOT: �1�T$� I�0'�: ?CX . S$TBACRi � � SIDEYpRD: 1,�,. z-,� r�„�,
��i,�t i4�t�di tp �b�#t �+pq�t.�,,,ia Certificates of Suive� of LaX at�:d proposed
bai,idi�g �.+�cation dr� t�, �tes�e Caxtificates,
F�
��SCRI�TION OF BUII�AING
� � ti�md Aa :
��� l I � rr F�pt; r" Depti� ; Z� � Aeight : ZO �
squ�se F�e���., ��'�,; Cubi�c lP�t= , l� Z,4-(� „ , ._._._.
C Fra�C t 'Z-i ` Depth ; 22 � Hei.ght : /U'
� . . �
'8qua�a �'eet; 4 Co Z Cubic Feet i 4loZ0
�►!x� of �oamtr�tc�i.a�� ,,_ F��A.� �„ Eatis�ated Cos�: $ 3c��,�00�
�0 3M Qo��4�eds � —( �,3
�w���� �� u w u �w�.0 � ■
�ha Qmdev�r�i�aed hereby mak�a a�licativn gor, a pe�ai.t far the woxk bareia
#�i�l�ed# agxee�.ng tA do all, MRS1c in stt�.ct accordance with t�te G�ty o£
�'�,�d��p' Oz�d�.�,ances �nd sali�gs �� �e Def�artnten� Af Bui,�dinga, +�d heseby
i�AOlaYe�l � all �he �atcts a�d r��resanta�ione stated �u t.hie ap�,+I�,catiaa
�s �su,e a�d cv3cxect, .
�AT�i� �„�,� � ��.�¢.; 1�l7 Z� SI�NATIJRE s 1�-�L'�,":a'�1L � _� , .
�1#�N 1t�N��e Bf�de Fo= Add�Ri�ora�. Infos�qatiaa,)
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BUI�D�NG P�RMIT F�� S�H�➢ULE
�����pN �. The Inepectox pf $uildin$s s�all, befoxe issuing pennits for the
sx��tion o# any building ox s�ructure, ox for any addition to any �xisting
���1di�g ox stx�Gture, or f4� any alteration ox �epairs to any ex���ing
��;;.ii���.ng or stxuctuxe, upax� appli�ation theref�re, require the paym�en� by �he
2;y:a�a�i��t fox such per�nit of �ees �o the amounfi herein below set �orth a�d i.n
��� max�ne� h�xeire pz��vided �o-w�x s
UN]CFORM BUZLDING COAEt Type I�, 2& 4-$2.I5 for each rnne �housand cubic
,�ee�� p;C ��'ac�ion th�xeQ�, in su�b cubical cot��ez�ts. Type 3& S-$1�85 fox
sac� ons t�hvusand ��,b�.c fseC,
��p � T I4�IAi� � AiFO�MAT I ON
Fa� �te puxpoee of c�npuCin� feee for building permits, the cubical contents
oi any building or addition, ia detezmined by multiplyin� �he �round area
Qava�$d #7com a poiA� �ix (6i inc,hes below the floor line of the basement
� fib� Cellar Go the average heights of the upper surface or to the averag�A
�+S3,�t Q# �he xoof c►yrface o� �tte main �able pf a pitched xoo�.
��xapai� ox alte�ca�ions �o aa existin� st�tuxe, the f�e shal]. be a� Gh�
s��e o� $3.�i� �er +�atr�h five h�ndred dollax�s {$gOQ.Of}) �r fra,ction ehsxso� in
�r c+c�� o� all pra}�oa�d Wark.�
bt � �aa�e sha�l �he f+ae �ed foz a� pe�it as set forth �i.0 Seation 2 be
i�ppt t�a� $S . AU.
-.
V�R�F;�ATiQ�J 0� �ClUNpATION
DiG�; Ps7cat�.ts fox ��tt��kx�.t��.o� will be i.ssued a mi���m o�' �4 i�vurs �x�n the
t�e o� ap�2ica�ian, �c► a��aw �ox prapex rev�ew of khe proposati a�ru�tuxe atzd
��' �e �st�uction aite.
A����.fi� �ur��g n� the lc�t, ��in� the 2oeati.a�t Qi xh� faundatism, Q�ac� �.t
�a� i�a� �s�t�d� wiil he xequired before proceedin$ w�th the fr�i�g,
C�RTTF��A�'� AF Q��PAN�Y
A�li.�€��ic�t�t �crx a Ger��f3.s��e �►� Q�ccupa�cy ahal� bs mac�� �ea {1�) day� pxiox
tp �h�s r�se Dx' RCGt1pSIlGjI af �xty atrtxcture �ar which a� bui.ld�.n$ permit has besn
iss�ed; �td s�id s�rucku� �3�alI, �ot be used a� occtap�.ed until a Caxtificate
of Oc��upaa�ay #�a� baen �.ssued.
._
' �.•_ ��':�4' �I s'V�i .� :I.a.nl
M ' �.' • 11 :� 11 I I'r: • V
AunxFSS � r�c�w n�sc�uprrorT: �I 3� ���2� Ac� C�- 1�..�-r ��3 g� �Ea¢.o s�
owr�/oorr�cz Pvxc�s�: L��'-� ������-ro ►��
�NNS�ICPION L1ATE: I 2. - ZCi - � Z ADDITI(A1S: �c"� �_ 7-13?� 1
C,II�IFICATE OF OCCUPANC'Y ISSUID: YES ND LIATE
A. ZONIIJG A�CTION: ORDIl�NCE AA:
B. SPDCIAL USE PF.RMIT(S): #
C. LOT SP'LIT (S) : #
D. VACATION(S) : # ORDII�NCE I�U:
E. VARIANCES
APPF,ALS OONIl�SISSION: APPROVID DISAPPFK7VID LIATE 1�D. _
CITY OOUNCIL: APPRt3VFF� DISAPPR(7VID L1ATE I�A. _
F. FASF3�IIF�T1.5: REQ' D DF�T R�' D
Bike�way/walkway
Street right-of�way
Utility
Drainage
Alley
Other (Specify)
G. LICII�]SE S) (List) :
Date of Renewal:
H. STIPUI,ATIONS (List) : �� �� pA� pp�qp��
I. MISCEI�LANDOUS: - �
0
560-3450
l�t�t o �hid�e
� �
ANOKA tOUNTY
6431 UNIVERSITY AVENUE NE December,��, I972 FRIDLEY, MINNESOTA 55421
TO WHOM IT MAY CONCERN:
Whereas the City o, Fridley has issued a building permit to construct a
s truc ture a t �/,� ,(�L�Q. -? C(_C�,Ck' ;�,�
Whereas the permit is dated prior to January 1, 1973 and the City of
Fridley did not collect or receive any "Service Availability Charge".
Therefore if for any reason the Metropolitan Council and or the rletropo?itan
Sewer Board assess or bill the C ity of Fridley a Service Availability Charg2 for
this structure or sewer hook up, we the undersi�ned a�ree to and will pay the
City of Fridley for said charges.
Witness
%
T tle
�
Base
2nd
3rd
4th
.
�
�ity of Fridley �
�►PP�ica�ion �or Pl�g and Gat Fhfi�q Mn�it
Degt. of Bldys. Phon� 390-3490 --
DESCHIPTION OF WORlC �a� / � �� j� /l/.� �p�� //.r C � �� j�
Piumb�r, Kind and Loca!!on oi Fixlur�s �L- s ���5 �t �! �
Fu�tur� Coaa�elba Oy�ninqs
N�w Fixtutr, Old Op�ninps
PARTIAL RAT� SCHEDULE
FLIIMSING FIXTUAE AATE3: NO. R11TE TOTAL
Number F`ixtures . . . . . . . . . . . . . . . . � x a2.00 a . ��
�ture Fixture O��ening . . . . . . . . . . . x 31.50 E _-
New Fixture Old Opening . . . . . . . . . . . x a1.50 E,--
Catch Basin . . . . . . . . . . . . . . . . . . . . x a3.25 E
Water Heater (Up to 99,000 BTU) . . . . _,L x a3.00 : `3 `�
New Ground Run Old Bldg. . . . . . . . .
El�ctrlc Wat�r ii�at�r . . . . . . . . . . . . . . s
3A8 F'ITTING FEES: NO.
lst 3 Fixtures . • . • . • • . • . • . • . • . �
Additional PYutures . . . . . . ...... . . . .
Gas Ran�c to 199.000 BTU . . ... . . . . ..
REPAIAS A� ALTERA'IIO!(s--R�f�r !o Cod�
x �3.25 $
i2.00 i
R11'IE TOTAL
x 52.00 ; °l � � �
xi.76 i
x a5.00 i
Description . ... ... . . ..... . . ....... ..... . ............ f
Tarwi, r� ; a3 .s v
City of P�idley:
The undersigned hereby makes application tor a permit for thc work herei
specified, agreeing to do all work in strict accordance with the CitJ Otdinance
and ruling of the Department of Buildinga, and hereby declares that ali the tact
and representations stated in this application are true and correct
^ !'ridleY. Minn ��v� � � „ 19,(�
Owner ! C �}ffl��_m � � ��= �
Kind of Building ���=
Used as // ���1 ('�!�
To be completed about ���f ��
Estimated Cost, a / / C�' �
I�id�?Few��uilding Permit No. Psrmit No. d Q� �l
��;� - � . . �
Signed f��f'' v����'�
By fi• -
Business Phune No. ���� ' �rs'�
ROUGH
FINAL �1'`-// � %,��
Applicat%n �or Powt�r P[ants and H�aling. Coding. Yentilotions R�f�iq�nrtion and
Air Condi�ioning SXst��ns and De�ric�s
PARTI/�L RATE SCHEDULE
C:RliVT'd'Y WARM AIA: F.�►'!'� TO?AL
- �rnace ShelI dz Duct Work . . . . . . . . . . . . . . . . . . . . . . . . . . a1U.00 �
Replacement of E�rnace . . . . . . . . . ........ . . . .... .. . .. 6.00 ;
Repairs & Alterations—up to �500.00 . . . . . . . . . . . . . 6.00 � —
Repairs dc Alterations each add. �500.00 . . . . . . . . . . . . . . . 3.00 ;
1tECH. W1►RM ]1iIi
Furnace Shell & Durt Work to 190,000 BTU . . . . . . . . . . . . $10.00 ; 10 . 0 0
each add 60,000 BTfJ .................... .. . 3.W i
Replacement oi Ftirnace ............................. 6.00 �
Repairs dc Alterations�up to ;500.00 . . . . . . . . . . . . . . . . 6.00 S
Repairs & Alterations each add. =500.00 . . . . . . . . . . . . . . 3.00 ;
3TEAM or HOT WATER SYSTEM
F�mace Shev & Lines—to 4Q0 sq. ft. EDR Steam ... $1Q.00 �
F�rnace Shell & Line—to 640 sq. ft. EDR Hot Water . 10.00 �
Each add. 20Q sq. tt. EDR Steam . . . . . . . . . . . . . : . . . . . . 3.00 �__
Each add. 320 sq. ft. EDR Hot Water . . . . . . . . . . . . . 3.00 ;
OIL BIIRDiER—to 3 gal. per hour . . . . . . . . . . . . . . . . 6.00 a
over 3 gal. per hour—See Fee Schedule
GAS BIIRl�iER (up to 199,000 BTiJ) . . . . . . . . . . . . . . '. . . . . . . . . 6.0� s 5 . O O
over 199,000 BTfT See Fe� Schdulo
GAS FITTING FEEB: NO AATE TOTAL
lst 3 Fixtures . . . . . . . . . . . . 1 ,� �pp � 2 . 0 0
Additlonai Fiatures . ....... ....... z .76 i
Gas Range to 199,000 . . . . . . . . . . z: 6 O� ;
�a cownrrtoxn�a
Fl1N HEATING BYSTEl�t
VEIiTILATII�G SYS'!'E![
ALTERATIONB � AEPAIAS
ROU(3Fi
�u.'G�3^7�
Dspt. of Bldys. Phon� 880-3450
Loca�oa 6135 Briardale Court
� Ih
Fy
J
r�
�
City ot F�idley:
The undersigned hereby makes application for a permit for the work hereu
specifted, agreeing to do all work in strict accordance with the Gity Ordinanee:
and ruling of the Department of BuiIdings, and hereby declares that aIl the facts
and representations stated in this application are true and correct.
C)wner
Kind �! Building
Fiidley, Minn July 2� 1973 , IpF _
Richard Miller Homes
frame
��� �s _ residential _
To be completed about �� 3 0/ 7 3
Estimated Cost, $ 8 4 0. 0 0
�. �� `l t
OId—New. Building Permit No. Permit No. •-�
DF.SCAIPTIOI� OF WOA1C
HP'.ATING or POWER PLANTS-3team, Sot Water� Warm Air—No_ 1
Trade Name WESTINGHOUSE 3ize NoFGUB-13
Capacity 110 � 0 0 0 ���� B� �p
Total Connected Load 61 �.010 �d ��et �I a s
BURNEA — 1Yade Namp SAME AS ABOVE �u No
CapacitY &1. F't. E.D R- BTU HP.
� COPY OF HEAT LOSS ATTACHED.
8� FM Seh�dnt�
� .`� SURCHGE
zoTl�. �E � 17. 50 SALESMAN: John Borry
(REMARKS—OVER)
Si
B� Phone No
FRED VOGT 8c CO.
HEATING & AIR CONDITIONING
�460 fwrh�m Avw • 929•6767
� , / _� � I�ori. F.rk. Minn..w. ss42e
G��S��'�- ��y
� . . � . 5' . 1 .. . , , .. . _. _. , � ,s'�/'/�C��.�, • �
5
� 1 ')..-. � � � a .� .
_.I l cF ���.,-.0�,,�,, .t- �._�.. -
�►� �,oss cAU�n�norvs _ ^ . .�� vW ...� �.� � .. �
= � �`� � • ,..��
' .= Weatherstrips A•S• • Construction No. Insulation
� _ Guide �
j Wmdows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind
� Yes—No Yes—No 19_
� � Fl•�`i " yr,., ; _ Room Length . _ Width - ' Heighc - ! FI. - <: '
a Windows and Doors—Cracka e and Area I L � R�� I,
B Windows and Doors—Cc
� \ti'tdth Helght No. ot Linaal 1t. Area „ r Width Helght No
No. ot pane ot pane ilsht• ot crack �p. tt. �;� .,r No. o( pane o[ pane Ils
� " ,n ;r .,�-. <-� '��� ' ,��N - -
�„ � y� � -�
�; �. � `ti` .
Coef. Btu ,
Infiltration ,= ,.�..- =� � -;;, i., Inhltration
� Glaas , �� J l,..e
' G18ss
� Ex . wall % ,
; P ` "-t ` t:! ` � Exp. wall �i :� �
�� Net exp, wall - � •° � �
�,�' P � •'' ' . , � ' . Net ezp. wall
� Int. wall Int. •rall
Ceiling . E ' i:' � , �Ci,
� "'`�:1 e' a�--�.�- Ce��ing
� Floor _,.� Floor ';�'
� Tocal Btu. ` S � �
� ^ '`' ��� Total Btu.
� Required sq. h. E.D.R. or aq. ins. W.A. l.eader. area R ' d f E D R W Le d
How
� ..� � w�a�► �z_. . H«
e and Area
:.Ineat LL Araa
of crack w. tt.
Coef. Bcn
Cj _ �g �' � j( i �
_��c
���� T
�t, [l � �'
� F1•� .,/�� �`�� Room � l.ength / Width,/ �. Height �, �- .�
Windows and Doors—Crackage and Area
WidtA Hefaht No. ot Lineal tt. Are•
No. ot pans o[ Dana ifsht� ot eracic p. tt.
—'� .�i� �- /n `�----� �� � �.S 9_.., !!� �1
Coef
In6ltration � �.
Glass ^
�cp. wall i � �
Net e:p. wall �-; � n
�, ,
Int. wall
Ceiling -f- ,� f.
Floor
f„�.�
Total Btu.
Required sq. k. E.D.R. or sq. ina. W.A. Leader area
' Fl. �;,.= i'";:� Room Length /� Width /
Windows and Doors—Crackage and Area
Wldth H�I�At No. of Llneal tt. Area
(fo. � of pan� o[ pane 116ht• ot crack �p. it.
� �-'� C:' � C) / : �' / �:
Btu
'� ,
f �:. ;:�
L:? . ��
r
%';' �i `�
�� �;, :
�
4 �
/
�_
[eighc Y'--_'- �
Coef. Btu
Inhltration ' _
�,���
Gla�s / `, :�
F�cp. wall :;.% f; • . �
/ -i
Nec exp. wau .
_�- i_5� /
. Int. wall
Ceiling -; y _,
l� �_ r�� "„ �
t� loor _
Toca) Bcu. 4 Q ` . �
Required aq. ft. E.D.R. or . ins. W.A. Leader ares ��
/ FI. ,,xo �'; !=; Raam � Length e-� Width �' Height ���-
Windows and Doora---Crackage and Area
�� Wldth Hd;ht No. ot Lfneal tt. Arca
No. ot Dan• o( pane II�Qt• of crack sa. It. .
..*�-- � . !'�i � / " � _ .
Coef
Infiltration
�y'
GJaa� ^••
Exp. wall �,:_ �- t_F �-�_ i..�
Net exp. waU . � �
Int. wall
Ceiling --� : �' -, .
Floor
Total Btu. �
Required sq. ft. E.D.R. or �q. ins. W.A. L.eader area
Btu I' ^7 �
equrce aq. t. ... or aq. ms. .A. a er area
/ Fl.l `;.:�y�- Room I l.ength i'�? Width o
Windows and Doora—Cracicage and Area
wldtA Helght No. ot Lfneal [t. A�ea
No. ot Dane of D�ns ll�ht� o[ cracx p. [t.
';�l e . / "?.
�; �_-r� ;1. � � �: , � /1
� �
Infiltration
Glasa
Exp. wall �� �
Net exp. wall
Int. wall
Ceiling
Floor
;��_..
Total Btu. �� � �
Required aq. ft. E.D.R. or sq. ins. W.A. Leader area f
Y Fl.f � � Room I Length Width �, Height �%`�
Windows and Doora—Crackage and Area� � �
Wldth Helsht No. ot Lineal ft. Area -
No. o[ pane o[ Dane Il�ht• of crack p. tt.
�s 4�. CC� .. . ,, �.
_ c, �' � 4� -5 �
Coef. Btu :
Infiltration ,�� �
Glass Y �-rt^
�; C [.�,.,�i '
Exp. wall ;, • J ,
Net exp. wall �� .J
Int. wall
Ceiling � a
Floor �
�
Total Btu. �
Required sq. ft. E.D.R. or aq. ins. WA. L.eader arca /
„�-�, Fl.� �. Room I L.ength � a. Width �� j-Ieight �`�,"�'`�;
Windows and Doors—Crackage and Area s�
Wldth Hel�ht No. ot Llneal [t. Are� � ` '$
No. ot Dane o[ pan• Il�hb of nck �Q. tt. �� ;�
� � / i J� �. ��7 �7 k
A �;� - .. '� / j�} ,, YY,r, �
/ k''' �
��
Coef. Btu ,
Infiltration
Glass � `
.�} �,
Exp. wall :! � ' �
�`;•�.�_, .�,
Net exp. wall �� ., 7
Int. wall
Ceiling _
Floor - - ; ��
._ ' . ..,::�
Total Btu.
Required aq. ft. E.D.R. or sq. ins. WA. Leader arca
� ��.
_ ,
�......___ . �. . _. ._::�
� �
�EA'F L�S3 CALCEJE.ATIONS
.. Weatherstripa A.S.H.V. . Conetruction No.
Guide
�indowi I Doors Refereace Out. Wall Int. Wall C,eiling Roof Floor Kind
Yes—No Ye:—No 19_
,, 1= Fl.� _ Room Length ;�' Width Height FI.� Room � 1
� Windows'and Doors—Crackage and Area Windows and Doora--Cc
�Vidth Helg�t No. ot Ltneal [t. Area Wldth Helsdt Na
No.w ot pane ot pane lfghts ot crack �Q. tt. No. ot Da�s ot Dans 116
,. � , r � .. . ;' c'�e'�� . _ % �- '"? � �
Coef. Btu
lnfiltration ,�' ::�, � �,
Gla�s e' S �
Exp. wall `- ' � ' i
Net ezp. wall ,. ;, �
Int. wall
Ceiling ---
Floor --' '' ; � �.., �,� y
Total Btu. p�
Required sq. ft. E.D.R, or aq. ins. W.A. L.eader area /
,,% F7,� ' i-A ,Room � L.ength ,,�'<.�- Width f, Height -I
Windows and Doors—Crackage and Area
Wldtb Hefsht No. ot Lfneal [t. Area
No. of pan• ot Dans 11�At� ot erack W. ft. �
/ . � �-- � LJ � •:s / _ �' �
Coef. Btu
lnfiltration ,,:� / � �, ,
i
Glau :�!' .�;�} '�,
f.xp. wall ' ° ' i a
�
j Net exp. wall tir `,;, r r
' Int. wall
Ceiling -
Floor • f ,� � � °' � • �.� v
Tolal Btu.
� Required sq. ft. E.[�.R. or sq. ins. W.A. Leader area /
� Fl. Room Length Width Height
( Window� �nd Doors—Crackage and Area
� � Wldt H� �ht No. ot Llneal tt. Area
No. ot pae� ot pane I1s�t• o[ crack ap. tt, .
!; Coef. Btu
� Inhltration .
C,las•
Exp. waU
Net e:p. wajl
Int. wsll
Ceiling
Floor
: Total Btu.
f Required sq. ft. E.IS.R. or aq. ins. �i.A. i,,eacier area �
! �F1• Room � Length Width Height
� Windows pnd Doors---Crackage and Area
� Wldtq � Halsht No. of Llneal tt. Area
No. o[ yan� o[ pane 116��• o! erack �q. tt.
; Coef. Btu
4� 1n61tration
Glass
Exp. wall
Net exp. wap
Int. wall
Ceiling
Floor
Tota! Btu. '
Required sq. ft. E.D.R, or sq. ins. W.A. l.eader area
�. .
� ._
I
Infiltration
Glaaa
F�cp. wall
Net exp. wall
Int. • vall
Caiing
Flooz '
Total Btu.
lnsulation
How Applied
eagth Wideh
cicage aad Area
ot Llneai ft. Araa
t� ot cracic �C. tt.
a
Required aq. ft. E.D.R. or sq. in�. W.A. l.eadet area
Fl.! � Room f Length Width
Windows and Doors—Crac{�age and Area
�Wldth �Hel�ht No. ot �L1nea1 tt. Area
No. ot nana ot can� llrhts ot crccic w. !t
Infiltration
Glass
Exp. wall
Net e:p. wail
� Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. ED.R. or aq. ias. W.A. L.eader area
FI.� Room I Length Width
I Windows and Doors--Crackage and Ana • ,
�, Wldth Heleht No. ot Lineal [t. Area
I No. of yane ot Dane If6ht• ot cracic q. tQ
`f
�h1
Coef. Btu
Infiltration _
Glaaa
F�cp. wall
Net exp. wall
Int. wall
Ceiling
Floor
Totai Btu. • � '
Required sq. ft. E.�.R. or aq. ins. W.A. Leader arca
Fl•� Room I l.ength Width Heig}�t '
Windows and Doors—Crackage and Area
Width Hetsht T No. of Ltneal [4 Area
No. ot pnne o[ pane � lisht• ot cracic w• tt.
Coef. Btu
Infiltration
Glass
Eup. wall
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sQ. ins. WA. L.eader area
;�
HOUSE HEATING TEST RECORD
ADDRESS ����� r ' APT. FLOOR CITY SUBURB
OCCUPANT OWNER `"
HEAT LOSS DATE HTG. INST. GAS C0. METER BADGE #
SOLD BY �`� �� r l� �� INSTALLED BY =' '
Eleetrical Work By Gas Line By '
TYPE OF HEAT GA FA :' HW STEAM SPACE HTR. UNIT HTR. OTHER
,,,w„GAS DESIGN CONVERSION
MAKE MAKE OF BURNER
Model Model
�
Serial Max. BTU Rating �
INPUT �' -�•� •' -� �� '' MAKE OF FURNACE; �
Model
CONTROLS
THERMOSTAT '` s' Heat Plug Venr Size
Valve �'�J�� KIND OF LINER SIZE ' NONE
Limit +�' *" �` DrafT Hood RegulaTOr � ,
Limit Setting '- Filters Size Number
Fan Setting Chimney Location Inside �''� Outside
Pilot Type � Chimney Construction
Pilot Make -
Pilot Model Smoke Bomb Wiring
Pilot Timing �%�� ' Draft Test Tag '' '
L.W. Cut Off Door Prossure Lighting Inst.
Pressure '" Percent CO2 -� Date Tested ,-' -
Input CFH �' - Percent OZ �` �"` Company Testing r ��� '` ��
Stack Temp. �` Percent CO Name of Tester
Form 235
������ � ���a� �� � ►� ���� ��, �, ����°����, �������� �
� ��� �����:y��g ���e� �� ����
PARTI�� RATE SCi-����J��
a�a +Rrt v�rA��t ��a: xm'r� 'ro°4'N..
�lirnace S�etl 3c Duct V�ork . . �10.00 �
Replacement of Piirna� , s,pp $
Rcpairc & Aitcrations---up to ;500.00 g pp S
Repairs & Altc�ration� each add. 5500.Q4 . 3 W ;
1dSCii. WAR3�i i�IR .
il�rnace Shail dc L'uct Work to 130,b00 BTU
cac5 add. 60,000 BT'U . . .. . . .
RepLcrr.�cn4 a4 F�rnace
Repairs ae Alterations--up to =500.00
R.�pairs & Alteratfons eaeh add. =SOO.QO
El0 0o t
3.W i
6.00 =
e.00 i
3.00 f
STEAM or HOT W1►TER SY6TEBi
F�rnace Shetl Sc Lines--to 400 sq. it. F.DR Steam �20.40 S.
i�:rnace Shell & Line---to 640 sq. ft. EDR fiot Water 20.00 �,
Each add 20p sQ. ft. EnR Steam 3.(xl �
� Each add. 320 sq. ft. EDR Hot Wster 3.00 S
OIL BIIRNEP.—to 3 gal. per hour 6.Op s.
over 3 gal. per hour—See P'ee Schedule _
GAS BIIRIiER (up to 199,�Q BTU) 6.00 =
av�r 299,0�,0 BTL1 See FN Seh�dul•
G�i18 FITTING FEE3: Ii0 RATE T07AL
lst 3 F�xtures x� 200 E�
Additioaal F9xtures _ z .76 i-.—. —_
Gas Range �0 199.Off0 :a 6.0� i —
�IR CO2�DI?IOi4i�f�
FAR iiE.ii'I4ii� �Y�Bi�4
�TII.1E?ffiG a7�'i'�:ID�
J►i.TgRA7i�gQli � R�AI�S
x;.uc��
i'ni/a�+ u2 'vZ �v - % S
State Surcharge .50
i 1�--- fl-"n fl
SM pN BcL�d�'i
i
�T�y � � 10 . 5 0
I3a�4. of B��qES. Fhon� f,33-3l��
L�� 6135 Briardale Ct.
� 1
�,
Cfty oi �rtdley: '
The �lndersigned hereby makes application for a permlt for the wori Aere�iz
specified. agrecing to d�� all w�ork in strict accordance with the City Or-;,f�ant�=
and r���ing ot the Departmrnt ot �uildings, and hereby declmres that aIl the fac!¢
and representatiuns statrd in this application bre true and correet.
Fridley. M'snn 6-25-74 1� �
o.�ner Richard Miller Homes
K�nd of Auilding , frdIRe
�J�� a4 residential
To be completeci about,_ !-30-74
Estima?Pd Cas� S 572.00
Old—New. Building Pcrmit No. _—.__ _ p�rmit No. �/�/
�"'A'r::�&�YI�9'i IOi! OF W0�8
HE.ATING or POWER F'LANT�--Stesm, Aot Watcr, Warm ASr—No
Trade Name Size No
Capacity
TotaI Conr:ected
--_ Sq. P't. E.D.R BTU Hp
lsind o! 1R�e1
BURNER — Tlrade Name Size No
Cap<icity _ 3Q, !'t. E.DR S!'fJ �&F_
SL036 3 ton Westinghouse unit 1200 CFM
FRED VOGT & CO. Si� ,
NEATING & AIR COND9T�I�Os�a� c%tj2�' � // � ��t?
R;6d. Oe�l"i�m Av., $,�► �"l i
� � �� �impyota 55426
i
� IS$6at �-
SALESMAN: John V. Borry #4685B �aa�ea�ovtR!
SUBJECT
City of Fridley
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
� �
� �
� ' COMMUNITY DEVELOPMENT DIV.
' j ti.-------�
r � PROTECTIVE INSPECTION SEC.
�
� � �"'1 � CITY HALL FRIDLE� 55432 NUMBER
� ----�.' `.�
612-571-3450 910-F15
JOB ADDRESS
6135 Briardale Ct.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION
DESCR. '� 3 Briardale Add.
2 PROPERTY OWNE � � �MAIL ADDRESS
G�[,f %V C�,�% . L
Larry �. 6135 Briardale Ct.
3 CONTRACTOR MAILADDRESS
Owner
4 ARCHITECT OR DESIGNER MAIL ADDRESS
5 ENGINEER MAII ADDRESS
6 USE OF BUILDING
Residential
7 CLASS OF WORK
REV � DATE
Fridley
81
ZIP
55432
ZIP
ZIP
ZIP
PAGE OF
/ /
° 16284
_� SO �
APPROVED BV
SEEATTACHED
SHEET
PHONE
571-6617
PHONE LICENSE NO.
PHONE LICENSE NO.
PHONE LICENSE NO.
❑ NEW �7 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
� v Z7�
9 CHANGE QF USE FROM
TO
STIPULATIONS
See stipulations on letter dated #�j��]C8 7/13/81by Environmental Officer.
Location must be approved by N.S.P, as to proximity to power lines.
TYPEOFCONST. OCCUPANCY GROUP OCCUPANCYLOAD
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OFi CONSTRUCTION ZONING SO. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTtON
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R 1
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2�FOO.00
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $1 S.00
PLAN CHECK FEE
SI�JlyfURE OF CON'y:7ACTQR OR AU7H05E1ZEQ_,AGENT
IIF OWNER BUILDERI
IDATEI
f
7�- i 3 - �/
iDATEi
i `
�
OFFSTREET PARKING
IGARAGES
SURTAX
$1.30
SAC CHARGE
TOTALFEE
$19. 30
D THIS IS YOUR PERMIT
,% -/J -��
���rE
. - ._ _ . . . . __� . , . . . . _.�
CITY Of' f"ItIULCY
Af'f'l_ICl1'fIJ'd f0f; l;f:SIU[:ilTI/',�_ [3U]Lf)I;1G I'CfvlI'(S
(tJc►��, Al Ccr.�tions, /lcJd'itions�, or (;c�airs)
oi•r��cr�:
non�ESS: C� /3 � � �
rc� n;o: �1��, � �r�
LUILDLR: �;;f�r�'a" , .
n�nRess: -
TCL t�4: '
� Construction Location '
� /,, ..— r �.,�
• STItI�T PIO : lf/ ��� 7 STRE�:T: ,%'�wtc.�� Csf i-
L07': � BLOCf:: � ADDITION : Q rC��
Corner Lot: Inside Lot: -�C. SetbacY.: Sideyards:
Ap�licaz►t attach to L-his form t�ti�o Certificates of Survey of lot and
proposed building .location drawn on certificates to scale.
��� �� /� DESCRIPTIO�� Of CO(��STRUCTIOPd •
�� y`� � 1 , —
�,C
I'ront: �� Depth :
Square.Feets
A1bic Fcet:
Iieiqht:
r ront : Depth : H ei.ght:
Squar.e� I'eet: Glibic I'eet:
^ � '- �'�+ �' Q On ��-�__•
Type of Construction : �t�yL Esi:imat.ed Cos �:
. . �— -
Rb Be O�r,�pleted:
� � Alt. A Alt. B
Proposed Drive�•�ay Width If New Opening Is Desired: $� $
S�� Rc�VERSE SIDr. OF SiIEET
�Sie'undersigned hei'eby ma}:e� applicaticn for a pernlit fcr the �:ork herei.n specified,
ac�r.eeing to do ,all wor}: iTi sL-rict accardance t��itii the .Ci��� of Pridley Ordi�iances a�1d
xuling� oi the Del�aitme��i. of Biiildinqs, and hereby declares that all thc: iacts and
repre; en tati.ei�s statcd �� this �.pplication are true and correct.
/,� �
J r � �
D.1Tr : J�_��► ��L.{ I / S`. �� S I GN 71TU R'r: :��ivt��� �%1-K-t�"�.—. ..
_'�I :%
St:il,ul��tions : ,
;.�... � "� �� 4 U :. '
� ,, .
�' -_, G�t f � c..
-% ,_—`
/ / � ��
0
�
�
�
�
0
Fs111 LDII�lG t'E'(t(1JT FEt= SCfiF�nUt_t� � .
S1.:C'i'I01�3 2. 7.'liL 7n�.:>>ectc�r. of 13uilc'.ing ;,:}i;i).�, bcfor.r. �_:;suit�g pcnnits for t:he crr.cL•i.on
of t�iiy i�u�.J.�l:ii�ct or :,t:ruct:urc, o�- fo�: an}� adQi.i:i��n Lo at3y cr.i�Li»c� 1,uilQinc3 or �•tzucLur_e,
ci�- l:c.>r ��c;y cil.t.erltio» or. r.cl�air.s L� •any c.:i..:t:inc� 1�uiJ_di..�iq or str.ucturc, ut�c,n a}��pli.cati.oti
i}icr.�f.or.e, r.cquire tJic 1�aymer�L• }�y tlie apZ�].icant: fo2- sucl� per.m5.t• of fees to il�e arnount
}1CY_ti.Lt1 bc].oar set for.tli anQ 5.ii tlic mannc�: hcrcin proviciccl L-o-t•:at: .
1.1:t9 COI��:�I'I:UC'.CIOt�: Sing].e l.'amiJ.y 1lomes and Gar.ac{es: Y4.00/1,0�0 cut�i.e fecet:. .
3'T.�r;:�2 CII1:C1;: 25 i�er_cer►t: oi' l�u;.lcling }�ei7nit Lce.
U1t1:��EI•;11Y llL•'PP.c:55201•:: (ConcreL•c, C1irb Strcets Only) �•
' A]_t-ernat:� A: Itc:moval at�d replaccment of conezete cuxb and
+� gui.t-er only; Driveway �•iidth plus 6 fee� x$13. �0
1�l.ternate B: �moval and re��Iacem�•nt of concrete curb a�nd
• guL-ter and iiistall a 3 foot wide approach �.�ith ''
. 6 inch dcpth; Driveway a�idth plus G feet x$15..7�
• �DI i IO���L I �f=0R��1�1TI0I
For the puri�se of co�nputi.ng iees for building permits,_ the cubical co..tents of any
build�.r�g or addition, is detcr.:ni.i�ed by rnu1L-iplying ihe ground area covered fro:n a
point sir. (6) inches below the floor line of tlie basement or the cellar to tiie
average 2ieights of L-he �upper surface or L-o the average tieight of the roof. �urface
of i:.iie ;aain gable of a pitched roof. '
For. reFai.rs or alteratioas to an exista.nq structure, the fee shall be at the rate
of $3 .00 Per. each five hundred dollars �� ($500.00) er fraction ':1lereof in the cost
of all proposed wor.k. •
In �no case sha�.l the fee cliarye� fc�z any pennit as set iorth i_n Section 2 be less
than $7. SO plus $. 50 staie surcliarge. � -
_ VERIFICATIO�! OF FOUt�ID�1TI0fd
NOTE: Permits :or construction �,�ill be issued a minimur,t of 24 hours £rom U�e time
oi application to a).l.o�a for proper review of the proposed structure and oi' the
construction site. '
A Certificate of Survey of the lot, sho�aing the location of the foundation once it
has been cons�nicted ���ill be required before pr.ocecding e�ith the iraminq.
�RT I F I CATE OF ��GUPA(��CY � �
?�ppli.cation for a Certificate oi Occu��ancy shall be made ten (ZO) days prior �o the
u�:e or. OCCU�?3I1Cj� oi- any st-ructure for �ahich a 1,uilciing pern�it l:as been i.ssued; and
sciicl striict:u�e :�13�.�. IIOt }.)C used or. occupied L,ritil a Cert�_Fica�e oi' Occurzncy has
bcen �ssued.
, '
� . ' �
�
,
, t .
�
uly 14, 1981
CITY OF FRI�LEY
6431 UNIVERSITY AVENUE N.E., FRIDLEII, MINNESOTA 55432
Mr. Larry Poundstone
6135 Briardale Court N.E.
Fridley, Mn 55432
RE: Swimming Pool Construction at 6135 Briardale Court
Dear Mr. Poundstone:
TELEPHONE ( 612)571-3450
This letter is �o nake clear this department's requirements for the swimming
pool construction at the above address.
1. As indicated, one (1) skimmer approved 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 recomnends 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 residentail 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.
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 to
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 not be more than fo��r inches.
6. M automatic chlorinator should be provided a�ith a suitable test kit.
7. All electrical and plumbing installations shall be inspected and
approved by the City Inspection Department.
8. All overhead electrical lines must be a minimum of 10 feet horizontally
from the pool surface and 18 feet straight line distance from the waters
edge. An alternative is to bury said lines.
9. The pool fill spout must be protected by a vacuum breaker or air-gapped.
0
0
Mr. Larry Poundstone
July 14, 1981
Re: Swimming Pool Construction
10. Suitable safety equipment to include but not limited to a ring buoy
and rope that is 1 1/2 times the pool diameter, and shepherds crook
pole must be provided and maintained with the pool at all times.
Page 2
Furthermore, these-and any other requirements must meet the provi�ions�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..
STEVEN J. OLSON, R.S.
Environmental Officer
SJO/de
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21' x A8° 4629 -07 �340 ; 4;600 '12.100 - ' ':458 �bs.� -
24' x�18" • 4624-07 �'!48 -� 92,550 � b200 5601bs.
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sue�ecT PERM
City of Fridley 19854
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
f
i �
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� • COMMUNITY DEVELOPMENT DIV.
� � V_����� �
r � � PROTECTIVE INSPECTION SEC. 3 a f G//
1 �
i
' � �'��1 � CITY HALL FRIDLE� 55432 NUMBEA REV. DATE PAGE OF APPROVED 8�
: ��_��./ �.J
612-571-3450 910-F15 4/26/89 / /
JOB ADDRESS 6135 Briardale Court N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADOITION SEE ATTACHED
DESCR. % 3 Brairdale SHEET
2 PROPERTY OWNER MAI� ADDRESS ZIP PHONE
Larry Poundstone 6135 Briardale Court N.E. 571-6617
3 CONTRACTOR MAII ADDRESS ZIP PHONE LICENSE NO.
S ame
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE IICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
�1 NEW ❑ ADDITION ❑ ALTERATION O REPAIR ❑ MOVE ❑ REMOVE
B OESCRIBE WORK
Construct a 10' x 18' 'I'hree Season Porch with Windows
9 CHANGEOFUSEFROM TO
STIPULATIONS
, Porch can not be heated with gas or electric unless structure
meets the Minnesota Energy Code.
WARNING
SEPARATE PER�y� R��� �� digging catl �ocal utilities
�R. TEI.EPHONE - ELEC�RIC - GAS Ete.
WIRING, HEATING, }�i.UMg��� ,��� S�GN�, R�Q�«��? �
.� Y �. ,�� � r!
SEPARATE PERMITS AFE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIF CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WOFiK OR CONSTiiUCTION 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 TVPE OF WORK WILL BE COMPLIED $3 � 850 $1. 93
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 corv- 63.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $
P N CHECK FEE TOTAL FEE
$64.93
SiGNATUAEOFCONTRACTORORAUTMORIZEDAGENT �on7Ei WHEN PFOPERIY V .DATED THS IS YOUR P RMIT
$�iGNATURE OF OWNER iIF OWNER BU�LDEAi IDATEI BLDG iNSP ��pTE
� � ]
ADL1N �
�T� [ l
Construction Address:
Lagal Description:
I�l AND R-2
m, i� dir�g P�ermit Appl ication
� 3s ' l�
/1�,�� � ���= --= -- � — �'
Effective 5/1/88
/�'05�
Owner Name & Address : � ������ !v / 3 5 �el . # .5 �/ - � (/l �
Contractor: Ziel . # � �� -C°� � 7
•.. -
Attach to this application, a Cextificate of Survey of the
lot, with the pro�osed oonstruction drawn on it to scale.
�'SCRtIPZZO�i OF
LI�Ta1G ARF�1: Length Width H�eight Sq. Ft.
�,RAGE ARF�: Lex�gth Width Heic�t Sq. Ft.
DDCR ARF.�,: Ler�th Width Hgt/Ground Sq. Ft.
o�: .3 l6� �1� ���_ ll ��iJ�r�i,��\
���1 � � �t-- �- 3B sS.t��
Corner Lot [] Znside Lot [xJ Ft. Yd Setback Side Ya�i SetbacJcs
Type of C�nstruction: ��i�ri,� Estimated Cost: $ � � �
Approx. Cca��letion Date: � � �
Proposecl Drive�aay Width If New Opening Is Desired: Ft. $ $
, � Wid + 6' See Back Page
�: aI r����: �. # � ��-�c���
Permit Fee S% 3, W
State surrharge $ ( . C�, 3
SAC Charge $
Driveway Escrow $
Park Fee $
Sewer Main Ct�arge $
� $ ���3
s-rzx�orrs :
� 2 t.r�
� �.�.c ,
QTY OSE �II,Y
Fee Schedule on Reverse Side
$.50/$1,000 Valuation
$575 per SAC Unit
Alt. "A" or Alt. "B" AUove
Fee Determined bY �4��1
Agree�nent Neoessary [ ] Not Neoessary [ ]
38 Sz�
Ze��—
C�� �v; ��. I���o ����� �►� Z� q
(,w c.�s,6 S�rn�x�`��tx. ✓h,�ta� �,� ��-Gy �►�r� _
� ._
,
�5.� �
1�
��
�3 ,UO
:'1 � � � ' Ci'� � " :H" :��.1�� "
7Y�e Qzief Buildir�g Official shall, before issuir�g pennits for the ex+ec.-tion of any
building or stn�cture, or for ariy addition to any existi.r�g buildirg or structure, or
for any alteration or repair to ar�y existirg building or structure, upon application
therefore, require the payment by ti�e applicant for such pexmit of fee.s to the amauit
herein belvw set forth ar�d in the mannex herein provided to-wit:
TOTAI.� VALUE
$1 to $500
$501 to $2,000
S2,00i to S25,000
$25,001 to $50,000
$50,001 to $100,000
$100,001 to $500,000
i a�a.
$15 (Minim�m► Fee is $15 plus su�azge)
$15 for first $500 plus $2 for earh additional $100 or
fraction thereof, to ar�d includir�g $2, 000
$45 for first $2,000 plus $9 for each additional $1,000
or fraction ther�eof, to ar�d including $25, 000
$252 for first $25,000 plus $6.50 for each additional $1,000
or fraction thereof, to ar�d includir�g $50, 000
$414.50 for first $50,000 plus $4.50 for each additional
$1,000 or fraction thereof, to and including $100,000
$639.50 for first $100,000 plus $3.50 for each additional
$1,000 or fraction thereof, to ar�d includir�g $500,000
$500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$1,000,001 and up $3539.50 for the first $1,000,000 plus $2 for each additional
$1,000 or fraction thereof
�tIVL�iY D�:PRE�SI�1 ESCSiOW
(Concrete G1irb Streets On1Y)
Alternate "A" : R�emoval ar�d replaoeqnent of curb arxi gutter only - Drivearay width plus
6 feet times $13.50.
Alternate "B" : R,�naval ar�d replaoe�nent of curb ar�d guttex and install a 3 foot wide
approach with 6 ir�h depth - Driveway width plus 6 feet times $15.75.
� �+• �- v� r, • � -� u i� • �:
Permits for construction will be issued a mini�.un of 24 hours frcen the t�me of
application to allow for prc�per review of the prq�osed structure ar�d of the
construction site.
A Certificate of SuYVey of the lat, shvwing the location of the fau�dation onoe it has
it has been construct.ed will be required before proceeding with the framing.
- • +
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
�� ��
Effective On January 1, 1991
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
Residential
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace
Gas Piping (Needed with new furnace)
Gas Range
Gas Dryer
Rate TOTAL
$ 20.00 $
$ 10.00 $�
$ 10.00 $
$ �u.00 $
`Air Conditioning - All Sizes $ 10.00 $
All Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work $
Commercial/Industrial
1% of Value of Appliance or Work
State Surcharge
TOTALFEE
$
$ .50_
�� -�
`; .$��r�
MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $30.00
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
JOB ADDRESS C� I'�� � � I'� �% �� « I{- C�,�' .
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 ruling of the Building Division, and hereby declares
that all the facts and representations stated in this applicati9n are
true and correct. ;�/ �. � ,199�
.�
OWNER �GL (� (�'�1�� I �'��tt���� l�� E _
BUILDING USED AS f� � _' � � �� �`�/� �
ESTI MATED COST
PERMIT NO. i�/ ' � ' ���
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air)
Trade Name Size No.
BTU HP EDR
Fuel Total Connected Load
Burner Trade Name Size No.
BTU HP EDR
HEATING COMPANY -�Lt v'Vt�_S ��/ ; � I � /�-�1"-�,?_ f 1 ,�-�4, ' ����� '
� ,,
i , � ,, �_ �, ' � " _ �__
Signed By .,�� � �,� `y� Tel No. •� � � - ' -'
f`,� �!
Approved By ��� Rough-In Date �����Einal Date �_ ,�" G/.3
FILL OUT BACK SIDE FOR STACK VERIFICATION ON
REPLACEMENT FURNACE
CHIMNEY AND STACR 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 ()
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
Remarks
List Alterations Beinq Done:
�+ �- i � � CC �� �� ��( S � � r� � �.i , ��'►� �(. i 1� �t S � , �iv� Sc3-v Z� -d--
�
/ �� v� e r-- .
Burnsvlll� Heating & t'�/C, I���.
12481 Rhode Island Ave. S�.
HEATING COMPANY � Sava�P_ MN 55378-1122
8 -0005
Signed By ,"
�,
Date ` ��� ��,�
�lTY aF FRIDLEY IEdSPEGTIO�f Dllr
i43� Univers�ty Ave NE
�. =ridley, NIN �5432
m 7E3} 572-3604
m
�
�
�
�
�.a
3����n�- � I �S Js
� 14PPLlGATION FOR PLUMBING AND GAS FrTTING PERMIT
Efbec�ive On Jan 1, 2002
��. o ��►oc�
MARK NI1�tJRFl� {'lF FIXTI IRF� TCa l4E II�STA(_LEQ �N EAGH FLflQR � Lv . J��
'LUMBING FIXTUfiE I�RTES:
0
� de�rr Fixtunes
}Id Opertir�9, N�nr Fixture
3eer DESpenser
91a�nr C}fF Bas�n
�ch Ba�n
} iain Vltater Leader
A�umpfReceiving Tank
� VaterT�.*ating Ap�lianc�:
,� Vater Heater -�ledr[�
0
} Va�er Weater - Gasl4
~ �as i� C�`
U �
�
�as aryer'=
� k�ek Floa�v P�venter Requir� { jYes ( j Nc
� z�
iV 0. RATE TUTAI. J t}B �D DRESS CG I�� �� F� C� i4I � C�+
�
$ 7.00
$ 4_DO
$ 5.Q0
$ 7.tf0
� �.oa
$ 7.4t�
$ 7.�
$1Q_00
$ 7.00
�70.�Q
$ i G.Ou
�i10.00
$15.00
�
� :eir�n Fee $47.00JHr
�
.LL OTH�RS AND/OR REPAIRS A�lD AE.TERATIONS
� 9.59'0 of Va1ue of Fi�dur�e ar Ap�ance
N
�' $t� SUCChBf(�6
�
aa
��i. TQTAL F�
The imders+gned hereby malces a�ptication fiar a perrn� for the wark herein
spec�ied agre�ing to da ail va�tc in strict acoorc�ancs with the afy cades
and nali�gs of i�e �uiidirag Oivi�on, and he�y declar�s that all the facts
and re}�re5enta�ia�s sta#ed in ttris a�fcatian are true and �rec�.
/Yl��ch � ,2�oZ
Quuner �t � l�'� � i� � �. 1-ft �'�
Buil�ing EJs� As
� i 1 �
��a co� �-lo� ��T Na. � -� fi� /
�..��ra� eor�a� /�'l/�� Mec�,►q-rv� c.� I
SIGI�D 8Y ,
FAX # �
�,ov
�PR«� �Y
g .50
� ��- TEl P�. /- ° 7 2 2 Z
� - � �ti�
Raugh-In Date Final D�te ' ` �� ��
IJY RI IIMRIAI[�1GOS P�RMIT IS� �2iM.00 1J /C��
$ Z� ,� O �lJ$ THE �r5fl ST�4tTE SiJRCHARGE
:OMBUS710N AIR SHAE.L BE PROVIQED PER U(t�C SECTfOP1544(A) AND TABLE 8-A. COMM4lV V�+1T INFO ahl BA�fC SIDE
_
_
C[TYOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287
August 16, 2002
Mr. Ahmed Alfath
6135 Briardale Court NE
Fridley, MN 55432
Re: Final Inspection at 6135 Briardale Court NE
Contractor: Max Mechanical
Dear Mr. Alfath:
A plumbing permit was issued on March 13, 2002 to install a water heater at your address.
According to Section 4715.2800 of the State Plumbing Code, a final inspecdon shall be
conducted on the work authorized by this pernvt. As of this date the final inspection has
not been requested.
The pernvt fee that was paid covers the inspection to make sure the work was completed
according to the Codes. We will keep your pernvt open for another 30 days and if we do
not hear from you within this time to set up the inspection, we will mark the petmit "no
inspection called for by homeowner after notification" and take no further action.
To set up the inspection or to have any questions answered, please contact the Building
Inspection Division at (763) 572-3604.
Sincerely,
DJ/mh
Building
Inspections
763-572-3604
763-502-4977 FAX
DATE �I - f �� - � �
SITE ADDRESS
THIS APPLICANT IS:
MECHANICAL
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
EFFECTIVE 7-I-2010
Vl�l1):ioD�I:�il/:\1J�7:7mI.Y.v
❑ OWNER �CONTRACTOR
PROPERTY NAME: ��,-..r "c� /-I I��a f- 4�
OWNER/ ,�DRESS: 6l3 j ��-i ,;. r_ �,o! � �� ...:1 ti CITY F f. i 1�I e
TENANT
PHONE: �1 U�• J �°� .; 3� �
Permit No.:
Received By:�
Date �� . I I I
ATE M� ZIP s�yJ 1—
CONTRACTOR COMPANY NAME: i�. tv c v % r'l� � � l +- f
SUBMIT A COPY OF CONTACT PERSON: C�^ '' � r�,o P
YOUR STATE STATE LICENSE # EXP DATE
LICENSE WITH ,e,DDRESS: `�i �-`� G '" I�- �-, v`� • hl�� CITY 1- K•_. i�(.�. STATE t`f � ZIP .SS�/3 t�
APPLICATION pHONE '1 � 3 '7 S� n1 ��`i FAX
PERMIT TYPE
TYPE OF WORK: I� NEW
FAMILY ❑ TWO FAMILY
�EPLACEMENT
❑ TOWNHOUSE
❑ ALTERATION/REMODEL
DETAILED DESCRIPTION OF WORK _�;� s��, ( f (2z„� f J-�c� �..-, (— �� ��- C v���1 ��-<c����
FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW)
PROVIDE HEAT LOSS CALC'S PER MANUAL J 2006 ASHRAE HANDBOOK. ,�
Equipment Installed MFG: 12v �� MODEL: U'i N�;�;C"� ,i �! %- SI$E�S�'dJ � 1( �'��
MFG:
MODEL:
SIZEBTU
MFG: MODEL: SIZEBTU
A/C $25.00 FIREPLACE (GAS) $15.00 GAS RANGE/OVEN $10.00
AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 _NEW GAS GRILL $10.00
BOILER $35.00 FURNACE $35.00 GAS UNIT HTR $10.00
CHIMNEY LINER $10.00 GAS DRYER $10.00 POOL HEATER $35.00
DUCT VdORK $10 00 GAS PIPING $] 0.00 VENTILATOR $15.00
N�iinbzr of f�a�.ures � �I{t.0� � $2{i.0(} = �
Number of �tures �,v7 $i5.{�0 x $15.Oti = $
Number of f�xt�res a. ;�25.tiQ t x�25.00 =� a� `;: ��a,, : �.
_ . x _ �- - <�.
_ - �� � � ;� .
<l�u�ber of fi��t�es c�r �3S.OQ �; - . x�$3�.t�t3 �� � � � � �� - -
5tafe Surcharge = $ 5.00
(l'[INIMUlYi FEE �40.a0} Tota] _ $' ' �' �' `'�� �'�
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is compiete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is
not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the
approved plan in the case of all work which requires review and approval of plans.
SIGNATURE OF APPLICANT � Lti v- i J I2--:1 r�o �n PRINTNAME �, �. �1-��, �2_�-. DATE 7- I�-� l.1
APPROVAL INSPECTORS SIGNATURE
DATE
Cit,y of Fridley
�uilding �nspections I)e�aa-tment
6431 University Avenue NE, Fridley, MN 55432
763-572-3604 FAX: 763-502-4977
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