AF - 36518City of Fridley, Minn.
6431 University Ave. N. E., Minneapolis, Minn. 55432
BUILDING PERMIT
Date: _- necemher 29, _1_9_72
p��: Richard Miller HOmes W B�deT »�. SAME
,�d�s 1600_Rice Creek Road Address SAME
11934
LOCATION OF BUILDING
No. 6155 street �_ Briardale Court
._..---•--•-----...-•-•--�•--•------•---...._---�--� ................�------... Part of Lot •----------------------•---•-------•--
LOt - 5 Biock —T 3.�.._.__.__._. Addition or Sub-Division .__.__ B T 1 a P.CL 1 I. @� _�`�
Corner Lot .� __ Inside Lot ..w____.�...__-------.--. Setback ------....-3-5--�----.-----.... Sideyard -5-!-.---a11d_10 �._._......________
���c EIevatian .._.__ 909 .18 ____��_4_�_.__ 3�oiuY�� Elevation __..�..�_912 ..18 . Minimum
�Jp[ve Top of Footing � V�
DESCRIPTION OF BUILDING
To be vsea as:
Dw e 11 i ng __ Front ? 6_' ___ �p� 4 4'�
G a r a� e .__...._ Front ? 4� Depth ?? '
Zj�pe of Construction W o o d_._. F r am e.�.___ Est. Cost _. �
Height
Hei�ht
32,943
20'
1��
Sq. Ft. ---1--,..144 cu. Ft 2 2_�8 8 0
Sq. Ft. ---.---.-.-.52..8 Cu. F� __5_.,.2.$0
To be completed Jun.e _ 19 7 3��
STIPULAT • Provide a hard surface driveway. Provide a verifying survey before
capping. Storm sewer escrow of $305.19 is due when water meter is taken out.
WATER LOCATION: Stopbox 10' S. of Sewer. SEWER LOCATION: "Y" 55' N. of Manhole
In consideration of the issuance to me of a permit to construct the building described above, I agree to do
'�he proposed work in accordance with the desCTiption above set forth and in compliance with all provisions oP
Ordinances of the city of Fridley. `C�-CA'" -
._....—.� ._---
-- l�, 4.7 �tata �i�rc-hargP „
In consideration of the payment of a fee of 5 3. 0 0 • R i c h a r d M i 11 e r
$^ _�_._., pernut is hereby granted to_.__._.._........_.__..__
to construct the building or addition as described above. This permit is granted upozi
the expressTcondition 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 build'ulg8
yyithin the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
oz�dinances.
f .
`` _ _ �� L_t�.�ildif�g Inspector
DA�F12E�`�,����
NOTICE:
I Thi: permit does not cover the construetion, installation for wiring, plumbing, gas heating, sawer o� water. Be sun fo sw
', ths $uilding Inspector for separate permifs fo� these items,
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SUl�URSAN ENGit�JEERING, INC.
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ABPI��C.�TIQIy Ft?I2 �tfi�IpE�IT'T�0.�. AI,TPN,ATI(}N,
Q� ADAIT�aN BUZLI�IIV� P�RMIT
�ITY oF ��I�I���'� MINN�sOTA�
OWN�B' S NA'1�iE t BUILDER: Ki-14i2D �IL(,�� %�O�l/l ��5
ADDRES S: ADIIRES S s.�2C� (2�� �j�`.'�1 �I�Y
2I�.;,� (n�SS s�E�T:�„ 'B�IAf?'DAL� �'�, U�T ,_ ,
z�err: S �LOC�: 3 .����zorr: Br��,��D,�,�
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CQRN�R LOT : �l+i� �A� LO'� : X X, S ETBACR i S� S I DEYARD : S � IO (
��.3,� ��aci� �a� ��+pa�.,�i„a Certificates of SuYVey of Lc►t and propp�ed
lxniid�g �acatiflti d�C#� on t�ese �ertificates,
���CRIPT�ON OF BUIi.DING
�o �� i3s�d A� :
�ue� � � vt G �i 2C� � �+ti� : �' $e�$ht ; � i
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S�u�re Fsa�;„ � I 4�- cubie ��et; ZZ�',�j� �
C�.4 j�,,4C� � Fr�t : Z4 � Depth ; ZZ` Height :(O �
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Squar�e �'�et; 52� Cubic �eett 52�0
3�1'�et of �omstn�,c�i+o�; � �,�� Estia�a�ed Cost: $ '��, �
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�c� � �l+�t�d: �., .�e'°) -7�
�� u��x�igx�ed hereby makes ap�licatirnt for, a pe��t for th� wo�k hsrein
spe�i�iecl, agxeein� �a do a1.I Wv�c 1n �Ctict accoxdance with the G�.ty af
��1� t��d�.T���'s �d �u1i�a �Pf �e Aepartmen� qf Bu��din�s, � hezeby
d+�lax+e.� �� a�l �ha #acts aq�d ���resantatione stated i� �his ap�l�cation
aat��a ��'ue a,�n�d cv�rec t, .
�1,T�',,, 'D�c. L� I�' 2 ��GNATURE: �t.c�rd �'�"
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��� �i�e�0e 5�.� Fo� �ldd�t�.ana1 Iniostq�ation.)
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BUILUING P�RMMIT F�� S�H�DUI,E
�����Q�I �. The Inepecto� pf �uildings sk►all., befoxe �asui�ng permits for the
exe���.on o� a�y building Qx s�ructure, or for any addition to any sxistiz�g
���.lding ox struG�ure, ox f47� any alteration or re�airs to any exi�sting
��.�ii��in� or stxucture, upon appli,�ation therefore, require the Payme�n� �y �he
a��liG�t fpx such permit o� fees tro the amount herein below set fpr�h 4'�d i.n
�h� ma�ne� hexeir� px'4i�ided Go�w�t:
UNIFOR�I BU�LDING CODE� �pe 1�, 2& 4- $2.15 �or each one thous�trtd cubic
fe�t, ��' fx�action the7reo�, in such cubical con�ents . �pe 3& 5-$�. � 85 �ox^
�a� one thausand ,��b�.c feet„
1i�D i T I0�1AL � NFO�MAT � ON
Fo� th�: �uxpABe of �cnnpuCing �ees for building permits, the cubical contents
of any building or addition, i8 determined by mui�iply�.n� the ground area
�ay,e,�� #�om a poi�t� �i.x (6? inehes below the f1QOr line of the basement
A� �e ���lar �a the average heights of the upper surface or to the average-
#�igt�t �a� �hs xoo� �,�face o� the main gabl� c�f a piGched xoo�,
�x�r �a�i�rs ox alt��a�ions to an existin� structure, �}►e f�e shalJ. be a� the
x'at� fl£ $3.�fl �e�r �t�h five h�Adred dollax� ($�OO.DU) � fraction Ch�r�of in
�� co�� v� all prvpQaed wo�k*
��o catae sha�1 ��� fee c�apC��d fox a� pex�it as set far�h �.n Sa�tion 2 be
l.�pt t.#�an $� . #).
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V�R����ATiQN OF �ULINAAi'ION
�lQ�s I'erm�ts fp�r �atts�xua��.an will be i.ssued a a��niu�m o� �4 hours fxam the
t;i�Ae of app�.icati.on, �a �I�aw �ox Pra�ex review of khe pzoposed atru�tuxe ,�d
�� �e �st�uction &i�e.
� C��i�iaRd �ui�ey v� �he ir��� �#o�ing ti�t� �.oeat�a�, of kh� :Eaundatia�, ouc+� �.�
�a� b�,� �o�st�.�t�d�, wil� b� �'equ�.red before proceedin�; with tks frapniag.
C��tT'�F��A'�£ QF Q��i�PAN�Y
A�pp�.i�,���.�t fa� a Ge���i.�is��e �►� Occupancy ehal� b� mac�a tex� (1�) t�ay� pziox
to �h� �ts� �x 4ccupar�y a� �ny st�zcture fax which a build�.n$ pern�i� has been
issuec�; �td sa,id s��GGux'e �'�a2�, �ot be used a� occup3ed until a C�rtifi.cate
of O��upaz��y ha� bee� �.�etied.
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560-3450
l�c't o ��id�e
� �
ANOKA COUNTY
6431 UNIVERSITY AVENUE NE December��, 1972 FRIDLEY, MINNESOTA 55421
TO WHOM IT MAY CONCERN:
Whereas thg City of Fridley has issued a building permit to construct a
structure at (o%S� ,l�-�� (�,�CQC� �� �'.Q) .
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 bletropo?itan
Sewer Board assess or bill the City of Fridley a Sarvics Availability Charga for
this structure or sewer hook up, we the undersiQned aQree to and will pav the
City of Fridley f�r said charges.
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Witness
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T tle
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- - - -
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�ity of Fridley '�
APP�ication � Pl�q and Gas Fi�ii�q hn�it
Dapt. of Bldqs. Phon• 5�0-3�90 --
DESCRIPT'ION OF WORIC ���� �e�l f�� n� �'� �G'd��
Numb�r, Kiad at�d Localioa oi Fixtures ���°d - 1 ���� y
�
�� � � p � `� � Z�? � �"_ �"y= o� � :-
3 7 S� � vi ;� uo �� clS�i �3 �� ua U$
Base
lrt /
2nd
3rd
�th
• Fuxur� CoaaKtba Op�ninqs
+ N�w Fixtur�, Old Op�niz►qs
PARTIAL RATE SCHEDULE
WATEM M�.
. •
/ N GAS ELEC.
s....: p
�r�� n
PLUMSING FIXTURE AATES: NO. RATE TOTAL
Number Fixtures . . . . . . . . . . . . . . . . � � x 32.00 ;' , �l-'��
�ture Ftixture O�>ening . . • . . . . . . . .
New Fixture Old Opening . . . . . . . . . .
x a1.50 E -
X ai.so a�__
Catch Basin . . . . . . . . . . . . . . . . . . . . x a3.25 a
Water Heater '.Up to 99,000 BTU) . . . . �_ x a3.00 = °` ' " "
New Ground Run Old Bldg. . . . . . . . . x �3.25 $
Ei�ctrtc W�t�r H�at�s . . . . . . . . . . . . . . s :2.00 =
:.1.3 FITTING FEEB: NO. RA1'E TOTAL
1st3Fixtures ••••••••••••••• • _—._L—:S2.00 ; � �
Additional Fiutures . . . . . . ..... . . . . . x = .7b i
Gas Range to 195.000 BTU ...... ...... x a5.00 R
��
REPAIRS 1� ALTERATIOIfs---R�i�s !o Cod�
Description ....... ........ ........ ..................5
TO�PAL. !'EE ; "'?5 �" �
City of Fridley:
The undersigned hereby makes application for a permit for the vsork herei
specified, agreeing to do all work in strict accordance with the Cits Qrdinance
and ruling of the Department of Buildings, and hereby declares that al� the tacl
and representations stated in this appllcatiga are true and correct
PYidley,
Owner /� � C'����
l�
19L%
...
Kind of Building ��/���/`
usea � �G�C�C'C %�-.�
To be completed about ��� /
Estimated Cost, a / / �'`�" �
j]id� New. Bui2ding Permit No. Permit No. 0� i(D
Signed /� � �U �� ��
gy .� �
Business Phune No. — �J
ROUGH
£INlIL �" "
A�plication �or Powa� P[anls and NeaNng. Coding� Yentitation� Re�f�ig�ralioe and
Air Conditioning SYst��ns and De�ric�s
PAR�I/�tL RATE SCI-IEDULE
�RAV*_'rY WARM AIR: A1►9'!R TOY!l.E.
Furnace ShelI & Duct Work . . . . . . . . . . . . . . . . . . . . . . . . . . a10.00 �
RepIacement of F�rnaee ............................. 6.00 ;
Repairs & Alterations—up ta a500.00 . . . . . . . . . . . . . . . 6.00 3 ---
Repairs dc Alterations each add. #500.00 . . . . . . . . . . . . . 3.00 ;
at�cx. w�s nrn
Furnace Shell da Duct Work to 1�0,000 BTU . . . . . . . . . . . , a10.00 ; 10, 00
each add. 60.000 $TU . . .. .... .. .. . . . . .. . . . . . 3.11U �
Repiacement of F�rnace .._ .......................... 6.00 ;
Repairs da Alterations�up to #500.tl0 . . . . . . . . . . . . . . . . . 6.00 �
Repairs & Alterations each add. ;500.00 . . . . . . . . . . . . . . $.00 s
STEAM or HOT WXTER SYSTEM
Etirnace SheII & i.ines—to 400 sq. ft. EDB Steam ... .$1Q.00 �
Furnace Shell & Lin�to 640 sq. ft. EDR Hot Water . 10.00 �
Each add. 200 aq. it. EDR Steam . . . . . . . . . . . . 3.00 �._ _
Each add. 320 sq. it. EDR Hot Water . . . . . . . . . . . . . 3.00 ;
OIL BURNER—to 3 gal. per hour . . . . . . . . . . . . . . . . . 6.00 �
over 3 gal. per hour�ee Fee Schedule
GAS BORl�ER (up to 199,000 BTLA . . . . . . . ' . . . . . . 6.0� � 5.00
over 199,000 BT[J See F« Scludul�
GAS FI1'TING FEEB: li0 R]►TE TOTAL
lst 3 Fixtures . . . . . . . .. . . . . ..... . . 1 xE 200 E 2.00
Additional Fiatnres . ............... : .76 ;
Gas Range to 199.000 . . . . . . . . . . :i 6.0� ;
Ain co�nrrioxn�a
FAN HEATING SYSTEli[
VENTILATIlfG SYSTEl�
ALTERATIONB t REPAIRS
� ROU(3H
� -Fnau. ff - / z - 7 �,/
Dspt. of Bld9s. Phos►� 580-3450
LOCi11ea 61SS Bl'11iY18I.A i�i0112'�'i
�4
City oi �idley:
The undersigned hereby makes application for a permit for the work hereir.
specified, agreeing to do all work in strict accordance with the City Ordinance:
and ruling of the Department of BuiIdings, and hereby declares that aI} the facts
and representations stated in this application are true and conect. �
�idley, n2�nn Ma.Y 23. 1973 ,, 1& _
owner Rd. Miller Fi�tes
�a �r sui�a�ng frame
�Se� �� _ residential _
To be completed about 6/30/?3
Estimated Cost, � 575.00
Oid—New. Building Permit No. Pernnit I3o. �%i ��
DffiCRIPTION OF WORK
HEATING or POWER PZ.AN15—Steam, Hot Water, Warm Air—No 1
Trade Name ���X Size No G11Q3-110
Capacity 88.000 Sq. Ft. E.D.B BT(T H.P.
Total Connected Load 55,101 � of �,,,�i Gas
BURNER — 7Ysde Namp �� A�� Siu No
Capacity 3q. 1R. E.D.R BTU AP.
� COPY OF HEAT LOSS ATTACHED.
s« F« set�.an�. SAIESMAN s John Borry
� .5o SURCHGE
ror� Fte i 17 - 5o s
tB
Bs
hEATING & AIR CONDITIONING
B178iRlSS ! �� �� �w- • 929•6761
�, E,ouiu Park� Minn�sola 55425
(tEMARKS—OVER)
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Weatheratrips A.S.N.V.E, Conatruction No. Insulation
_ Guide
Windows � Doors Re#erence Qut. Wall Int. Wall Ceiling Roof Floor Kind How Applied
Yes—No Yes—I�do 19,
��` Fl.� ,, ,,:: • �,_ Room � Length '�'% . Wadth ,.-/ l; Height ;i � - / Fl.�',� f r,.�-,. - ..� , Room Length / Width / ..?-- Hei�ht � ;�
Windows and Daors—Crackage and Area � �Jindows and Doors--Crackage and Area
Nidth HelBnt No. of Lfneal tt. Area � Wldth Hetght No. ot Lineal tC. Area
No. ot pane ct Dane ifghta ot crack ery. tt. �� No. o! D%ne o[ Dane Ifghte et crack eQ. tt. �
% ' 1�bt i 1 ! F, �r
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�� ,�p. �`H
Coef. Bcu " Coef. Btu
Inhltration ° � �` � """' � ? ��, � , �.
�' InEtltration :;! � '
UlasS ,�',�' ;: �''+ Wciss %� sJ r^• �? f:F=..�,i �:
Exp. wall ' � �m �'j Exp. wall =; r� � -.��.�
Net exp. wall �'., : - ,-� ;�, . / Ncc exp. wall »a :;, fF,� �;� ,"�' � �
Int. wall Int. •aall
'� Ceilin ,.��; ,� , � . -, � u�- f i�^, x
r g _ �:, - Ce�,mg -J.. °,• _ _ r r'' r �
� Floor _-..----- `""" Fbor
�J Tocal Btu. :' / °�� `:� Total Btu. �� � �
Required sq. ft. �.D�.i. or sq. ins. W.A. Leader area Required sq. fGs E.D.R. or sq. ins. W.A. Leader area !
; ' Fl.� /;� , '.,,% Room � L.ength � -. Width �,:- � Height :;° j Fl.l ;r' ;' ^ Room I I.en�th �,��J Width ^°�' Height °'f'_
;� Wia�dows and �o�rs—�racka�e and Area Windows and Doors—Crackage and Area
� Width Het$hi No. ot Ltneal It. Are� Width Hetght No. oL Lineai tt. Area
�' � No. of �ana ot �aie I1�h4a o[ crnc4c eq. tt. �
� � . . No. a! pane ot Dane llghts ot crec4 aQ. tt.
`_ i � �l:'' ��{ � _ , . i � .j � f' }'t' .) f �° °'� /
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J F^"_ F/ �„ .. .-f. ,�ea: . r
ili-
fl '
`� .
'! Coef. �eu Coef. �tu
�� Infiltration 4 -; �" Infiltration f, ' ;�',,. _ �`Y^ ' �? i,.,
aj , •
Glasa l;.�' �=;�' �.,••, , Glass i ^, ` �. ..�<'��
�� Exp. wall - «� /', Exp. wall � �,�"' � -
°# Net exp, wall �•�r �� �• -3 "�� � Net exg. wall �� :� �/� .�r r� s `�
�;. _
� Int. wall g Int. wall
�� , Ceilin8 J..;� ' ;; ` ::� "': ; :� , Ceiling ,r.``-•' f. � ��;�' ;' � �"` �
,� Ffoor -- F(oor �
� Total �tu. . � �' �+ '��� �otal Btu. .:.� �;� f �`�'
� Required sq. ft. E.D.Py. ar sq. ine. W.A. I,eader area ' Requised sq. ft. E.D.R. or sq. ins. W.A. Leader area �
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� � Fi. ,�' ; ..,� = .. ... i��m � Leng.� Y:� � � �Jideh / :'! . Hei�ht ,! �:' /�� ` � ,/ �;. Fl � �;= -: .. '- ,,.� Room 1 Length �' �,:. �lidth .!«: ; Hei�ht c''; -
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��1 ; HOUSE HEATING TEST RECORD
ADDRESS �� ` ,:'��%F-•�t� �'r.^ : ' � �`" APT. FLOOR � CITY ��SUBURB
OCCUPANT y �`� OWNER %
HEAT LOSS DATE HTC�.t„INST. GAS C0. METER BADGE ,�
SOLD BY � �=' ,r'' `;'"�"� k' s�� ' INSTALLED BY �; � , ' '�,. -� r '"�
Electrical Work By � Gas Line By j�' r+` ''
TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER
GAS DESIGN CONVERSION
MAKE r���'''f,'%'w��°`�'�;" MAKE OF BURNER
Model s±: ,��' � /�' : Model f
Sxial Max. BTU Rating �
INPUT ,��'�' ��� MAKE OF FURNACE
Model
� CONTROLS �,
THERMOSTAT,��`+ , Heaf Plug Vent Size �0'
VOIYe 1-" -�'' �•���'� KIND OF LINER ��-�'�'' �`� SIZE f� NOPIE
Limit � j"�'t Droft Hood ����'�' Regularor ��%"�r'`� `�''�`
Limit Setting ��"'�� Filters Size Number
Fan Setting �-�'�° `"'''`°'�°°% Chimney Location Inside �°� Outside
� � �.
Pilot Type �� � Chimney Construction �' "= �" ,���' ,
Pilot Make � �✓"��`'���
Pilot Model �""` Smoke Bomb Wiring ��i
Pilot Timing �- �- '`�'� Draft �� Test Tag �� F
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L.W. Cut Off Door Prossure Lighting Inst �j„� �
Prossure � • '� Percent CO2 �' � Date Tested � � r '
Input CFH 1 fC+ Pereent OZ �' � Company Tesrc.,�l�. �� ' �� rf,' �l� 7�
Stack Temp.=� �� Percent CO v-� Name of Tester ,,���;� �
Form 235
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sue�ECT PE IT NO.—'
City of Fridley o 18585
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T �
r
' ` RECEIPT NO.
� �
� • COMMUNITY DEVELOPMENT DIV.
i � " " -�
r � L � PFOTECTIVE INSPECTION SEC. j��/�'J/
1 � �
� � /"'1 � CITY HALL FRIDLE`/ 55432 NUMBER REV DATE PAGE Of APPROVED BY
�----�•• •�� 612-571-3450 9t0-F15 g�g�86 / /
JOB ADDRESS 6155 Briardale Court N. E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. S 3 Briardale Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Jack Mugan 6155 Briardale Court N.E.
3 CONTRACTOR MAILADORESS ZIP PHONE LICENSENO.
S& S Construction 9161 Dunlap Avenue, Lexington, M[J 55014 784-5499
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE IICENSENO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW X AODITION ❑ ALTERATION ❑ REPAIR O MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 12' x 15' Three Season Porch and a 6' x 15' Deck
9 CHANGE OF USE FROM TO
STIPULATIONS
Install fire alarms in existing house. Windows within 12 inches of
a door must be safety glass. Area can not be heated with fossil fuel.
WARNING
Before digging cail local utili#�e
SEPARATE PERMaTS RE�LiIR�� Ffl�t ��l�P����-��E�T��C.��
WIRING, HEATIN�, #��.��5��� A�fl 5���iS. REQUiRED BY 1,A
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAO
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 PERI00 OF 120 DAYS A7
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEFEBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORFECT. 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 $3,950 S1•97
DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $44.,�0
/ PLAN CHECKFEE TOTALFEE
�'Li g° $ " ��, 11.13 $57.61
SIGNATUR OFCONTRACTOAOFlAUTHOF7IZEDAGENT iDn7Ei HEN PR P L V L TED THIS IS YOUR PERMIT
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S�GNA7URE Of OWNERiiF OWNER BUILOER� �DATEi BLDG iNSP �� �1aiE
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(�t��i�w �/ �1� b�rildin�y if �wy� �A�i�M� �nd oll •�fi►1� ��o�clw���t►� i� e�y� �r�(n or �n wiA 1and. fi�is furvr� b
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M � Iw�iM f3 3�►v� • '
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City of Fridley Effective 4/1/8�
ADDN . [ � �R-1 AI�JD R-2
pLTER. I 7 Building Permit Application
�- --
Construction Address: � � � � � � � +^ �, � � � —
Legal Description: �� �" � ������^ � '3� L�r �`'f ��`�`� . -
Owner Name & Address : --� •� �- ' � '� • � Tel . #
. L _�`/C,�!
Contractor: S L� � C,,., s�, L c_��c.a _ Tel. #�7�5 1
�� _
Address: �>l( I 4� Yl �r A�� �.e-�'��,-� � ���L �Sc,l�1
Attach to this application, a Certificate of Survey of the
lot, �ith the proposed construction draran on it to scale.
�� �U� DESCRIPTIOH OF-IMPROPEMENT
. Length 1�� Width 15 Height Sq. Ft. � �
GARAGE AREA: Length Width Height Sq. Ft.
DECR AREA: Length
�� Width I �� Hgt/Ground `l (�;�`Sq. Ft. �_
_—
OTHER : ^ , � L �� "�U . �
��3�X 18 R � L 3, ��`�.�� ��C' �`3� L�.�,�
Corner Lot [] Inside Lot [] Ft. Yd. Setback Side Yard Setback
�'�,�,< Estimated Cost: $ � ��`'
Type of Construction: , ���--� �� ^ C
�� ���.�
Approx. Completion Date: d- i�� �� �'�
Alt. A Alt B
Proposed DriveWay Width If New Opening Is Desired: See Back Page for Explanation
DATE: ���_ �, ��: APPLICANT: �2 -�l -���' —� Tel. � %� `I -S � % %
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Se�er Main Charge
TOTAL
STIPULATIONS: !-�,�J
r��
�
c�
CITY DSE ONLY
� _� •�
� � 1 � �3
s � `� �
$ �—'
$ �
� ��
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��
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Fee Schedule on Reverse Side
25� of Building Permit Fee
$.5fll�1,000 Valuation
��d75 per SAC Unit
Fee fJetermined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
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BIIILDING PERAiIT FEE SCIiEDIILE
The Chief Building Official shall, before issuing permits for the erection of any
building or structure, or for any addition to any existing building or structure, or
for any alteration or repair to any existing building or structure, upon applicatio n
therefore, require the payment by the applicant for such permit of fees to the amount
herein beloW set forth and in the manner herein provided to-xit: �
Total Daluation
�1.00 to 5500.00
�501.00 to $2,000.00
$2,001.00 to $25,000.00
i25,001.00 to $50,000.00
a5o,00i.00 to 3�00,000.00
�100,001.00 and up
Fees
$10.00 (Minimum Fee is �15.00)
$10.00 for the first �500 plus �1.50 for each
additional �100 or fraction thereof, to and including
�2,000.
�32•50 for the first �2,000 plus $6.00 for each
additional $1,000 or fraction thereof, to and
including 325,000.
$170.50 for the first
additional �1,000 or
including �50,000.
�283.00 for the first
additional $ 1 , 000 or
including �100,000.
�25,000 plus �4.50 for each
fraction thereof, to and
�50,000 plus $3.00 for each
fraction thereof, to and
�u33•00 for the first �100,000 plus �2.50 for each
additional �1,000 or fraction thereof.
DRZVENAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus
6 feet times $13.50
Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide
approach xith 6 inch depth - Driveuay Width plus 6 feet times $15.75
VERIFICATION OF FOUNDATION
Permits for construction �ill be issued a minimum of 2�► hours from the time of
application to allow for prop�r reviec� of the propos�eci structure and of the
construction site.
A Certificate of Survey of the lot, sho�ing the location of the foundation anee it
has been constructed �ill be required before proceeding with the framing.
.
sus�ecr PER
City of Fridley 18677 �
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
� � RECEIPT NO.
� • COMMUNITY DEVELOPMENT DIV.
� ��; -^---�
r j � PROTECTIVE INSPECTION SEC. 0%a yO �
, ' /'��1 � CITY HALL FRIDLE� 55432 NUMBER fiEV OATE PAGE OF APPROVED BY
�'""'"��� ,�� 612-571-3450 910-F15 / /
10186
JOB ADDRESS
6155 Briardale Court N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. S 3 Bri�rdale Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS 21P PHONE
Jack Mu an 6155 Briardale Court N.E.
3 CONTRACTOR MAILADDRESS Z�P PHONE LICENSENO
S& S Construction 9161 Dunla Avenue Lexin ton MN 55014 784-5499
4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE LICENSE NO
5 ENGINEER MAI� AODRESS ZIP PHONE UCENSE NO.
6 USE OF BUILDING
R sidential
7 CLASS OF WORK
❑ NEW ❑ ADDITION a ALTERATION O REPAIR ❑ MOVE O REMOVE
X
8 DESCRIBE WORK
Construct Class "A" Chimney �or stove
9 CHANGEOFUSEFROM TO
STIPULATIONS
TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAD
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING,
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
ANV TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTFEET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �- STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND COFiRECT. 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 S1�OOO yS.SO
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMiT FEE SAC CHAAGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
ST CTION OR THE PERFORMANCE OF CONSTFUCTION. $1%. SO
s!/��� PLAN CHECK FEE TOTAL FEE
(��,'� � �� •. $18.00
SiGNai. O CONTRACTOAORAUTHOAIZEDAGENT �DATEi ~� WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
_ ° . „ � ��r ,___ �c' � I� —
S�GNnTURE OF OWNERiiF OWNER BUiLDERi �DATEi BLDG iNSP ' nc � E
N£� �� City of Fridley Effective 4/1/8c
A�Dl; . I � �R-1 AtiD R-2 �
pLTER. � 7 Building Permit Application
Construction Address: ���5� � r� � +� � �F �
Legal Description: �
O�.+nez Npme t Address :
L-� c3Gr rl _ TCl. �
' � Tel . � 7 �fy •�`��i
Contractor: � ��S �'p� 5 �r�� � '• '� -
Address: �I/�/ �un) �o /�'�I� �r,��,�-�,-� Mc�J `�5�1�-i _
Attach to this application, a Certificate of Survey of the
lot� With the proposed construction draWn on it to scale.
DESCRIPTIOR OF IHPROQEl4Eh"T
LIVING AREA: Length 1Jidth _ Height Sq. Ft.
GARAGE AREA: Length Width __ Height Sq. Ft.
DECR AREA: Length iiidth _ Hgt/Ground Sq. FL.
OT H._--
Corner Lot [ ] Inside Lot [ �
Ft. 7d. Setback Side Yard SetDack
Type of Construction: �-�'� �r''°1 ��1� Esti�ated Cost: i
/W� dv�
Approx. Completion Date: i �►'1„n'��
Alt. A Alt P
Propose� DriveWa�• �idth If Ne� Opening Is Desired: � �
See Back Page for Explanaticn
� APPLICAI�T • .- ���'T,T� • �C �':� c�c�,'��,n Tel . 0 � �y"Sy y 9
D�TE: •
Percit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Sever Hain Charge
TOTI►L
STIPU:.RTI02;S:
CITY
� � � c �`�
� �_
S
.�
:
�
�
: �/�/�
OSE ONLY
Fee Schedule on Reverse Side
25� of Building Persit Fee
�.50/�1,000 Valuation
�u75 Per SAC Unit
Fee Determ�ned by Engineering
Agreemer,t Necessary [ ] Not Necessary [ )
,...
6�v�
���_ f�,o�
� X J�J�' �� �
���s°
BDILDING PERliIT FEE SCHEDIILE
The Chief Building Official ahall, before is�uing permits for the erection of ar.y
Duilding or structure, or for any addition to any existing Duilding or structure, or
for any alteration or repair to any existing building or structure, upon application
tt.erefore, require the payment Dy the applicant for auch permit of fees to the amour.t
herein DeloW set forth and in the manner herein provided to-Wit: '
Total oaluation
=1.00 to �500.00
�501.00 to �2,000.00
52,001.00 to S25,0�0.00
i2:,001.00 to �50,000.00
�SG,G�1.00 to 5100,000.00
2100,001.00 and up
Fee�
�10.00 (Minimu� Fee is �15.00)
�10.00 for the first �500 plus �1.50 for each
additioaal �100 or fraction thereof� to and includinE
�2,000.
�32•50 for the first �2,000 plus �6.00 for each
additional �1�000 or fractior. thereof, to and
including �25�000.
�170.50 for the first
additional �1 � 000 or
including �50,000.
�2E3.00 for the first
additional � 1 , 000 or
includinE �100,000.
�25�000 plus �4.50 for each
fraction thereof, to and
�50,000 plus �3.00 for each
fraction thereof, Lo ar.d
�u33.00 for the first �100,000 plus �2.50 for each
ad�itional ;1,000 or fraction thereof.
DRIViiiAY DEPRESSION ESCROM
(Concrete CurD Streets Only)
Alternate "h": Re�oval and replacement of curD anC gutter or.ly - DriveWay Width plu�
6 feet times �13.50
�lternzte "E": Re�oval and reFlace�er.t of curb and gutter znd in�tall a 3 foot Wi�e
aFproaci: r:ith 6 inch derth - Driveua}• width plus 6 iEEL times 515.75
YERIFICATION OF FOUNDATION
Fercits fo^ ccnstruction will De issued a air.i¢u� c'' 2u hours froe thE time c''
2FF=ication te a'_lou for proper review of the propose� structure and o.` trc
construction site.
A Certificate of SLrvey o!' the lot, shoWing tGe ]oc2ticr.� of tre foundatior, once it
i�as� Deen eonstructed xill be requir�� Defore procee�:r:� �itt: the framing.
sue�ecr PERMI
c�ty of Fridley � g g S 2
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
� �
� � •
� • COMMUNITY DEVEIOPMENT DIV.
i ty_�'���'
r � � PROTECTIVE INSPECTION SEC. 3�� y�
�
' � /'��1 � CITY HALL FRIDLEV SS43Z NUMBER REV. DATE PAGE OF APPROVED BV
� •--•�•. ..�
612-571-3450 910-F15 7/6/89 / /
JOB AODRESS 6155 Briardale Court N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADOITION SEE ATTACHED
oESCa. 5 3 Briardale Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Mugan 6155 Briardale Court N.E. 571^0003
3 CONTRACTOR MAIL ADDRESS Z�P PHONE LICENSE NO.
D& D Home Improvement Inc. 7401 Central Avenue N.E., Fridley 55432 784�7543
4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE LICENSE NO.
5 ENGINEER MAII ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION C� REPAIR ❑ MOVE � REMOVE
8 DESCRIBE WORK
Reshingle House (19 Squaxes) 2nd Layer
9 CHANGE OF USE FROM TO
STIPULATIONS
Roof can be 2nd layer but not 3rd. Install ridged galvanized valleys.
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING 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
ANV TIME AFTER WORK IS COMMENCED. NO. DW�G. 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 WI�� BE COMPLIED $95O $•r��
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $2rj.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
LAN CHECK FEE TOTAL FEE
. ' $25,50.
SIGNATUREOFCONTRACTORORAUTHORIZEDAGENT IDATEI WHEN PROPERLY 1 ATED THIS IS VOUR P RMIT
�.c.��' /����m �7 � �°�
SIG A UREOFOWNERiIFOWNERBUILD Ri IDATEI BLDG INS� r).c E
� [l
�� [ ]
ALTE�2 �j�]
i-
R-1 AND R-2
Building Pezmit Application
Construction Address : � � � �7 ����' i �� �� Gl � �C- �- � -
Legal Description:
Effective 5/1/88
Owner Name & Address: �i t� dk � Tel. # ' - d�
c-
Contractor: ���i> (-4�1s j'� � r'r� ��v'�c� U� �/�� v� � �/1 r ' Tel. # �L _ ��
���5: ?��� � c�f�� �-��� /��� � ��G ,
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
� �+• • • � �• •,� � a� �a�
LIVIlJG AREA: Iength Width
GARAGE AREA: Ierigth Width
DEQt AREA: Length Width
O�R:
Height
Height
Hgt/Ground
Sq. Ft.
Sq. Ft.
Sq. Ft.
Corner Ir�t [] Inside Ipt � Ft. Yd SetbacJc Side Yard Setbacks
,ti� 1
Type of Construction: �;r's{,����E' .- � �<�cr=� J��a Est�mated Cost: $ q��.`'�
Approx. Campletion Date: F�( - �� -��
Proposed Driveway Width If New Opening Is Desired: Ft. $ $
, Width + 6' See Back Page
�, � �) [�,
L�ATE: = � � ��� APPLICANT: %�.,�„�� Lu��"�� Tel. # %�v ( '7J�� �
Fermit Fee $ � � . C: U
State Surcharge $ SZ
SAC Charge $
Driveway Escrow $
Park Fee $
sewer rZain Charge $
To�r�
STIPUTATIONS:
$ �� S�
CITY USE �II.�Y
Fee Schedule on Reverse Side
$.50/$1,000 Valuation
$575 per SAC Unit
Alt. "A" or Alt. "B" Abave
Fee �etermined by Engineering
P,grec�ne.nt Nec�sssary [ ] Not Nec:essazy [ ]
m
C(TY OF FRIDLEY .�
��'U1 C� �
U
APPLICATIOM FOR PONER PLANTS AND NEATING, COOIING, VENTIlAt10M, REFRIGERATION AND
AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCNEDULE
tLSIDEliTL1L
�urnace Shell and Duct Nork,
Bucn�[ (1►lso r�pl�ewnt turnscsl
Ga• Pipinq
(piping n�tl�d vlth nw� [urtie�)
Ga• tlenqe
G�• Dryfr
• Air Conditioninq (all �ise�)
All Other�/Rep�tr• and Al�erations
1� of Value o! Appliance or Mork
COMMERCIAL/INDUSTRIAL
1• of V�lu� oL Appli�nca or Mork
t�Te �ro•r�c.
S 20. 00 S
S 10.00 S�i
S 10. 00 S
S 10.00 $
S 10.00 S
s
S
Stata Surcharqe
TO?11L !EE
Aei��p�ction !'e� (515.001
Rough In�p.
Date
Pinal In�p. /� `'�
ate
1lpprovsl for P�rwit �
MINIMUM FEE FOR ANY HEATINC PERMIT IS 510.00
PLUS 5.50 STATE SURCIiARGE
S .SO
S��
S
Attsch at�ck veri[ication fo[� vith roplec�nont furnace {��cnics
•Air Cnndit�oncrs can n�t bo placcd in •:�d�• yard vitfaut
wrttt�n p�rnistiion [r�sn adt����+tny �r�qlilx.r.
o.�ri��vi• nuy. i� �-�e1
J�b Addreve ��,�.1 �rf L�.�ni �( l � �
Departwent of Suildlnqs 61)1 unlverslty 1Nr�. N.C., Ftldl�y, MN SS�)2
City o( Frldley
Tel. •571-)ISO
The underslqned hereby wk�! appllc�tlon [or • pec*it for tM wrk h�r�Jn
��xci[led aqreeinq to do all wrk in •trfet �ccord�nc� vith th� Cttr Cbd�•
end rul�nq+ ot the DeperUnent ot suildlnq�, •nd Aerebr d�cl�ra• that •11 tl��
t�cta and represent�tlons � uted In tht• applic�tlon •r• �ru� � corr�et.
rridl�y. IU nn. , 19�
pINER
Kiao 0
useo �s
�ro sc cor+rurco �►sarr
ESTIMJITED COST
OLD ' NE11 BUII�2NG PEPMII NO. PEINIT NO. � i�+-� ``N
oesc�v�rtoN op'rua��►ce/soisica
NFJ►TING or POMER PU1NT5, St�u , Mot M�t�r, IMr A![- No.
7tade Newe 81e� No.
��paclty Sq. Ft. EDR 5111 Nt
Total Con�ecied Lo�d Klnd oi hf�l
BURNER - Tr�de Na�e Stse No.
Cepacity Sq. Ft. EOR e1V NP
Can�p�ny � �^"="'�."�i /vt-�/��G� � �..Q�'sC�� %�-���
Si7ned B� �-�!-�J��� ���-�-!��?
r�t. ►+�. %%-o,/�C'�
s�e�ecr p
City of Fridley 2 9 315
AT THE TOP OF TME TWINS g U I L D I N G P E R M I T / �
r
; � RECEIPT NO.
� • COMMUNITV DEVELOPMENT DIV.
, �,.------ . � 3 y �
r � � PROTECTIVE INSPECTION SEC.
�
1 . �
i__-_�; �"' �•� CITY NALL FFIOLE� SS132 NUMBEi1 AEV O�TE v�GE O� •vnqpvEO Br
L 612-571-3450 9t0-F�5 4/27/99 � �
JOB AODRESS
6155 Briardale Court NE
t IEGAL �OT NO. BLOCK TRACT OF AODITION SEE ATTACHEO
DESCR. S 3 Briardale Addition SHEET
2 PROPERTY OWNER MAIL AODRESS 21P PHONE
Jack Mu aii 6155 Briardale Court NE 571-0003
3 CONTRACTOR MAIL ADDRESS ZIP PMONE LICENSE NO
Suburban Exteriors 9701 Penn ave S STE ��107, Bloomington, MN 55431
4 ARCHITECT OR DESIGNER MAIL ADORESS ZIP PHONE LICENSE NO.
881-8232 4289
5 ENGINEER MAIL ADDRESS ZIP PMONE LICENSE NO
6 USE OF BUILOING
Residential
7 CLASS OF WORK
O NEW O ADDITION ❑ ALTERATION � REPAIR O MOVE O REMOVE
8 DESCRIBE WOf;K
Reroof House & Garage (28 Sq) Tear-off
9 CHANGEOfUSEFROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to
9:00 pm on Saturday; No work on Sunday.
TYPEOFCONST OCCUPANCVGROUP OCCUPANCVIOAD
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL. PIUMBING. MEATING,
VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NUII ANO VOIO IF WORK OR CONSTRUCTION LONING SQ. FT CU FT
AUTHORI2ED IS NOT COMMENCE� WITHIN 60 DAYS. OR IF CONSTRUCTION
Oli WORK IS SUSPENOED OR ABANOONED fOR A PERIOD OP 120 DAVS AT
ANV TIME AFTER WORK IS COMMENCED NO DWLG. UNITS OfFSTREET PARKING
I HEREBV CERTIFV THAT I HAVE REAO AND E7(AMINEO TMIS APPLICATION 1 STAl�S GARAGES
ANO KNOW TME SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yq�UATION SURTAX
AND OROINANCES GOVERNING THIS TVPE OF WOqK WILL BE COMPLIED
WiTH WHETMER SPECIFIEO HEREIN OR NOT THE GRANTING OF A pERMIT �2,399 �1 .2O
DOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OR CANCEL THE pEqMtT FEE SAC CHAFGE
PROVISIONS OF ANY OTHEFi STATE Ofi LOCAL LAW REGULATING CON- @74.�5 Fire SC �2.�FO
STRUCTION OF THE PERFORMANCE OF CONSTRUCTION W
�//n ,„ �^ ^�` n� 1 PLAN CHECK FEE TAL FEE
��V I(� L r Li SC .00 $83.35
S�GNITUAE O� CON'PA(;TOQ OR AUTriOR�2E0 4GENT �D�TE� yyH p LV V I TED THIS IS R P R IT
1
r� ,
S�GtiatuAEO�OWtiEp���OwHEABw�DEAi iDATE� -' �pG i o r�crE
NEW
ADDN
ALTER
[l
[ �1'
ConstructionAddress:
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
�
C� /�s"s
Effective 1/1/99
����'��
� �� g`�� 3s
Q�� ��1
Legal Description: /� Q r G' -�� t� ✓' e� ��� f
Owner Name & Address: � C� (%1 G Q Q,►� Tel. #�v ,Srl —S �i/ -bc�ct3
Contractor: S� b� r b�- n k k f' e r � o r s MN LICENSE #� o� �S �
Address: C� /O l l `"�'-1'1 D� � ✓ � � �� #i C� � Tel. # � / � - $"�/ - �a �
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVE,MENT
Length Width Height
Length Width Height
Length Width Hgt/Ground
Sq. Ft.
Sq. Ft.
Sq. Ft.
Construction Type: � dd -� � n� Estimated Cost: $ a��
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
�� �1 Q
DATE: �/ -a � -`�� APPLICANT: � �l-�'� � � Tel. # � I � -�S� 1-��3�
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ �t,�S"
$ �•��
$ �,��
$
$ S � ��
$
$
$
$
�
$ 3��5
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit V aluation (1 / l Oth %)
$.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 [ ]
R'
BUII.DING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for
any addition to any existing building or structure, or for any alteration or repair to any existing building or
structure, upon appl'ication therefore, require the payment by the applicant for such permit of fees to the amount
herein below set forth and in the manner herein provided to-wit}
TOTAL VALUE
$1 �o $500
$501 to $2,000
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $100,000
$100,001 to $500,000
$500,001 to $1,000,000
$1,000,001 and up
FEES
$21 (Minimum Fee is $21 plus surcharge)
$21 for first $500 plus $2.75 for each additional $100 or
fraction therevi, to and including $2,000
$�2.25 f�r first $2,QO�J p�us $12.SQ for each ad�itional $1,000
or fraction thereof, to and including $25,000
$349.75 for �rst $25,000 plus $9.00 for each additional $1,000
or fraction thereof, to and including $50,000
$574.75 for first $50,000 plus $6.25 for each additional
$1,000 or fraction thereof, to and including $100,000
$887.25 for first $100,000 plus $5.00 for each additional
$1,000 or fraction thereof, to and including $500,000
$2887.25 for the first $500,000 plus $4.25 for each additional
$1, 000 or fraction thereof, to and including $1, 000, 000
$5012.25 for the frst $1,000,000 plus $2.75 for each additional
$1, 000 or fraction thereof
DRIVEWAY DFPRES5ION ESCROW
(Concrete Curb Streets Only)
Alternate "A" : Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50.
Alternate "B" : Removal and replacement of curb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $15.75.
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper
review of the proposed structure and of the construction site. .
A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed
will be required before proceeding with the framing. .
�
�
l
;ITYOF FRfDLEY INSPECTION DIViSlON �✓1�� � ��S �S
� Elfective On Janua 1 2000
i43I University Ave NE ry'
' 'ridley, Mf� 55432 APPLECATION FOR POWER PiANTS AND HEATING, COOUNG, VENTILATION,
763) 572-3604 REFRIGERA710N ANd A{R CONDITIONING SYSTEMS AND DEVlCES
RATE SC EDULE ��$ pDDRESS � D I''�� _;� �(��(�_�, ��_'� -
OWN ER ��1_ C�` rn �(1
tesidential Rate TO7AL � ���^
furnace Sheif and Duc't Work, Burner � `�� BUILDIiYG USED AS
Also Replacement Furnace $ 30.0� $� /����
{Side Vent • Fill Cut Back) EST1�v1ATF0 COST � J� _?ERMIT N0.
Gas °iping (1Veeded with �ew furnace, $ 1(}.UO $
but not replacement) bESC IPT10N OF FUR�IACE AND OA BURNER
Gas Rang� $ 1Q.Q0 $_�._.._._---
Gas Dryer
�Air Conditianing • All Sizes
AI! Others/Repairs & Alterations (LiST QN [iACK;
1.% of Value af Applia�ce or tA�ork
:ors�merciaf /tndustrial
1.25% of Value of Appliattc� ur ltirork
No. of �tcating Units_ , Circis One (Sieam) (Hoi Water) {Warm rlir)
$ 's0.00 $ _ 7rade Name _�_. __ Size No.
BTU_��._._ �_ HP __. EDR,___ _.
$ 25.00 $_ __ ruei�_.______�_ _,� Tota! Cornected �oad �
State Surcharge
TOTAL FEE
t,���iNiUhi FEE FOR A�IY i1EdTING/COOf�iNt�iVEiv"fi' iiul�
IEFR) ERATI N/�R CONDlTIONING PERN�IT iS $2� en
'LUS THE $.30 STA7E SURCHARGE
;EINSPECTION FEE $47 00/Hr
Air Conditioners can not be placed in a side yard without
rritten perrnission from adjoining property owner.
$___�
�_
�_----�
���
Burner Tr��de f�ame____._ . Size No._
8Ti1 __. HP ^ .. EDR
The an�ersigned hereby �nakes applicatior �or a permii tor the work herein
specified agreeing to do ali v,ror� in stricfi accordance wfth the City Codes an
ru;ings of !ha Buildir.g Division, and hereby d�ciares that alf the facls and
representations sta;ed �n this applicat+on are true and correci.
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COMMON V�NT 1/�NT CQNNECTOR AND COMBUSTION AtR VERIFICATtON
When re (acin an existin� furance, the undetsigned itereby v2YifieS t�at the
venting has been examined and is fcee frem Nst. deterioration, obstrudions,
and is securely supporteci and firestopped where required. Yes (.�Nv O
The venting system is piasii�;/PVC and meets ai1 cu�rent codes and manufacturer
specifications including sizing, fe�gth, number of elbows and termination. Yes (►�No ()
The undersigned afso verifies t��at the replacement ��n►t is a listed assembly
and meets the currertt oodes ar�d rrtanufacturers specifications. This does
inctude AGA-GAMA Category S Central Fumace Venting Tables for fan
assisted and natural draft appli�nces.
The existin combnstion air is sized and irtstalled to meet the current Cod@S
and manufacturer's specific�tions.
V1R�en reguired to �nsta}! a new combustion air. it will be sized a�d instailed
To mQet the current codes anc! manvfacturers specif�cations.
Yes{�No( )
Yes (�No ( )
Yes (.�No ( )
When installing a new verrti�qs stem, t#;e undersigned hereby venf�es that
it is a listed assembiy and meets the cuRent codes and manufacturers
specifications. This does indude AGA-GAMA Category ( Ceniral Fumace
Ventsng Tables for fan assisted and natura) drait applEances. Yes (�No (�
Is the common vent and ver�t connectors sized anc! instal#ed correctly after
an appliance has been removed f�om ihe ;ammon vent and vented
separately as per cuRent cocies. Yes �o (}
Appliance l'y� and SizelCommon Vent and Vent Conrtector Information
Appliance #1 Type �,��1 Q— BTU Input �(��'an Assisted or Nat
AppEiance #2 Type � E�TU Input �an Assisted or Nat
Apptiance #3 Type � BTU [nput Fan Assisted or Nat
Total Appliances ,s 7otal Btu tnput
Common Vent Type �_ Vent Height Diameter inches
Appliance #'i Vent ConneCtoi' N�ighf � ft Length ft Diameter in Type
Appliance �2 Vent Connectoi• Neight ft Length �t Diameter in Type
Appliance #3 Vent Connector Height ft Length _�t Diameter____�,_ in Type
AL7�RAT[ONS: l Describe)
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HEATING
Signed By�
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FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERS[TY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287
August 23, 2002
Mr. Jack Mugan
6155 Briardale Court NE
Fridley, MN 55432
Re: Final Inspection at 6155 Briardale Court NE
Contractor: Daves Appliance Heating & Air Cond
Dear Mr. Mugan:
A mechanical peimit was issued on September 17, 2001 to install a furnace at your address.
According to the 1991 Uniform Mechanical Code a final inspection shall be conducted on
the work authorized by this pernut. As of this date the inspection has not been requested.
The permit 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 pernut "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.
Y�
,i
DA E,!JENSEN
B ' d�g Inspector
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