AF - 36563City of Fridley, Minn.
6431 University Ave. N. E., Minneapolis, Minn. 55432
BUILDING PERMIT
��;_ December 29, 1972
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Owner: R i c- h a r cl M i 1 1 P r.�j�l.�_ Builder _.__._--_�...s��E._._..-------------_..._..._.....___._.._
�d�g 1600 Rice Creek Road SAME ,
___.�r..._. ____._..._�,.___.____. Address _.__._...._...._.__._....__...._..._-----._.._ ......................_._----------.--.._._..._
LOCATION OF BUILDING
Na 16 0 8 street _� B r i a_r d a 1 e_Ro a d...__.-------------------------------- Part of i,ot _----.---
15 3 • Briardale
Lot Block ._..__._._.._..___...._._.._.____ Addition or Sub-Division ....._.._____.�._._.._._...._..._._._.__..._..�..._____
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Corner Lot .._.,_._...._._.__ Inside Lot _�_..._X ._.__._._._. Setback ---.._3_5._..._......._.....--.--• Sideyard .--5-------_ari_�1 �.._._.._....._._
�$�� IIevation _____._9 Q.6�.Z Q�...._. _�tX�'�t�i Elevation .._..____ 9 09,._7 0._. Min imum,.._______.��
�e Top of Footing
DESCRIPTION OF BUILDING
To be Usea as:
Dw e 11 i n� .___ Front 4 9_.'_. . DePtx� ? 6�..._.. Height .._?_�_�...._.. Sq. Ft. _l �_z.� 4 Cu. Ft ---Z 5, 4 8 0
G a r a g e _...... .. Front 19...:...._ _?? �._ Height 1_� '_._ ,_.---._41.g cu. Ft. 4 18 0
_� Depth ..___ _ Sq. Ft. __._._..�.�
Type of Construction �I.Q.II.�.._F._ra.IIl�..__ Est. Cost .�..�..,.Q �._4_,�_._..__.._._. To be Completed ._June_.__19 7 3
STIPULATIONS: Provide a hard surface driveway. Provi e a veri ying survey e ore
capping. Storm sewer escrow of $272.10 is due when water meter is taken out.
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SEPER.`'1 I f�^ P�rE'rt�, �!I,TC+ ,��'�UIRED �^R �v�R►rvr,
WATER LOCATION: Stopbox 11.5' E. �'�Er��aia��.•.S�WER ZOCA��ON2 :"�'S��• 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 description above set forth and �omp 'ance with all provisions oP
Ordinances of the city of Fridley. ✓/, /`�
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��-y6�i,�2- `��L..
$14.54 State Surcharge
In consideration of the payment of a fee of $�..:.�_�._._.., permit is hereby granted to R i Ch a T Cl M i 11 e r
._..__.._.�_..._._._......._...._._ to constxuct the building or addition as described above. This permit is granted upori
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof, shall conform in all respects •to the ordinances oE
Fridley, Minnesota regarding location, construction, ' n, mainte ce, repair and moving of buildings
yYithin the city limits and this permit may be rev at any ' e up 'o " n o any of the provisions of said
ordfiiances.
— Building Inspector
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NOTICE:
This permit does not cover the construction, installafion for wiring, plumbing, gas heating, sewe� or water. Bs sun to sa�
ths Building Inspector for separafe psrmits for these items.
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APLICATION FOR RESIDENTIAL, ALTERATION,
OR AllDITiON BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME: BUILDER: '�1GN�k'p �Ii�2 �„t,�
ADDRESS : ADDRESS :/(� �,'►c�- CR�EI_ f2ta4D� ��.tot�y
NO:. I�D�3 STREET: �J�ZiAQD�L� �O/�D
LOT : CS BLOCK: 3 ADDITION : �121 A 2D�4L�
CORNER LOT: INSIDE LOT: .k� SETBACK: 3�� SIDEYARD: S� /O�
Applicant attach to this form Ztao Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
�ESCRIPTIUN OF BUILDING
To Be Used As:
��t�i��n� Front:_ 49° Depth: �� � Hei ht: C��
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Square Feet: 12-7� Cubic Feet: ZS�-�('�
G.�4�,4GE Front: ��I � Depth: ZZ' Height: /��
Square Feet; ¢I g Cubic Feet:_ �i ��D
T�pe of Construction: FQ/�ME Esti.mated Cost: $ 3p, OQO
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To Be Completed: (4—(-73 �1 `
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The undersigned hereby makes applicativn for a permit for the work herein
specified, agreeing to do all work in stiict 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 : ��_� • L� , / �7L ,, S IGNATURE • �-^ �.� � % ��..�:C�_.1--C��
(See Reverse Side For
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Additional Information.)
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BUILDING PERMIT FEE SCHEDULE
SECTION 2. The Inspector of Buildings 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 repairs to any existing
building or structure, upon application 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:
UDTIFORM BUILDING CODE: Type 1, 2& 4-$2.15 for each one thousand cubic
feet, or fraction thereof, in such cubical contents. Type 3& 5-$1.85 for
each one thousand cubic feet.
ADDITIONAL INFORMATION
For the purpose of computing fees for building pennits, the cubical contents
of any building or addition, is determined by multiplying the ground area
covered from a point six (6) inches below the floor line of the basement
or the cellar to the average heights of the upper surface or to the average�
height of the roof surface of the main gable of a pitched roof.
For repairs or alterations to an existing structure, the fee shall be at the
rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in
the cost of all proposed work.
In no case shall the fee charged for any permit as set forth in Section 2 be
less than $5.00.
VERIFICATION OF FOUNDATION
NOTE: 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 Certified Survey of the lot, showing the location of the foundation, once it
has been constructed, will be required before proceedint� with the framing.
CERTIFICATE OF OCCUPANCY
Application for a Certificate of Occupancy shall be made ten (10) days prior
to the use or occupancy of any structure for which a building permit has been
issued; and said structure shall not be used or occupied until a Certificate
of Occupancy has been issued. •
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So�l� T�s1�nq
Civ�l E�q�Me.�ne
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16�0 R{CE CR"eEK ROAD / MIN�:EAPOLIS, MINNESOTA ' 32 / AREA CODE 612 / 786•1600
o December 11, 1974
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f :.oc City of Fridley
(i 6431 Univers�ty Avenue N.E.
�? Frid7ey, Minnesota 55432
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Re: Building Permits for: 1616 Rice Creek Road „J�b13 Briardale
Road, 1633 Briardale Road, 1G08 Briardale Road, 6181 Benjamin
Street, 6141 Benjamin Street and 1G31 61st Avenue N.E.
Gent1emen,
Please consider this letter to be my request for the placing on the
agenda for the December 16, 1974 Council h1eeting of the matte�� of
extension of the building permits I have previously secured w:th
reference to the above subject properties.
I am requesting that the City of Fridley permit me to comple�..� the
construction on the above properties based on the fact that tney
were validly obtained in good faith and the fact that I have commenced
construction at all properties. I feel that to charge me an additionai
fee for building permits a5ain on these same properties would be an
un�Fair and discriminatory practice and would not meet either the spirit
or the letter of the applicable law. We have always tried to cooperate
to the fullest with the City of Fridley and I hope that you agree that
our worfc has been a credit to the community.
Thank you for your courtesy, cooperation and attention. �
Sincerely,
Ri cfiard N. Mi 11 er
RNM:cs
cc: Darrel G. Clark �
Virgil Herrick
IVasim Qureshi
Dic[c Sobiech
Vic�or P. Seiler, Attorney
SUBJECT :�.. �
CitY of Fridle � �
AT THE TOP OF THE TWINS� O 12841
; ` BU ILDING PERMIT RECEIPTNO. �
� ' COMMUNITY DEVELOPMENT DIV. �
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r i � PROTECTIVE INSPECTION SEG ���_ ��
�4 ' /"�1 � CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF APPROVED BV
""'� � �'� 612-560-3450
910-F15 12 20 74 � �
JOB ADDRESS
1608 Briardale Road N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 1S 3 Briardale Addition SHEE7
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Richard Miller Homes 1600 Rice Creek Road
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 USEOF BUILDING
Resid ntial
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 OESCRIBE WORK
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9 CHANGEQFUSEFROM TO
STIPULATIONS Original permit #11,950 issued 12/29/72 is VOIDED. Storm sewer escrow
of $272.10 is due when the water meter is taken out. Provide a hard surface drive ay
Provide a verifying survey before capping. Provide P.C. alarm, e�cape windows in
the ba�ait bedrooms and a closer on the door to the garage as shown on the plans
WATER LOCATION: Stopbox 11.5' east of sewer
SEWER LOCATION: "Y" 45' west of manhole
Owner agrees to pay sewer charge if sewer board fails to waive fee.
S�;-���Al � F'�r��:�i7� Ft��l':'�t�;�.0 't' 'i�, ,�`..
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TYPEOFCONST. OCCUPANCY GROUP OCCUPANCYLOAD
SEPARATE PERMITS AFE REQUIRED FOR ELECTRICAL, PIUMBING, HEATING,
VENTILATING OR AIR CONDITIONING. WOOC�{ Z'
THIS PEFMIT 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 R�1 1196 ZH 184 Tota
ANY TIME AFTER WOFK 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 GOVEFNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT P SUME TO GIVE AUTHORITY TO VtOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROVISIONS O ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION;O TH PERF MANCE OF CONSTRUCTION.
;`, � PLAN CHECK FEE TOTAL FEE
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siG aEOFCONTRACTOROR HORIZEDAGENT IDATEI HEN PR P AU TED THIS IS YOUR PERMIT
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SiGNATURE OF OWNERIIF OWNER BUILDERI IDATEI BLDG iNS �ATE
AP.PLICATION FOR RESIDENTIAL, ALTERATION;
OR AllDITiON BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
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CI.YiTt�Z /i1��TE12, iS T1�KF�
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OWNER' S NAME :�'i c3����/ �r /r/,�Z�=. BUILDER: s2/�'r-1 ///���-� // v�i, F':
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ADDRES S : _ //: i%c� �' i? t . �� • .c'r' � /��'//� ADDRES S :
NO• ��U `�� STREET• /.'•� i : .y��� �-f f�t"�, - - /,
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LOT: �'7 BLOCK: �; ADDITION: Yl- �._�� _!/ � % -r'�.
CORNER LQT: INSIDE LOT: )( SETBACK: S-S � SIDEYARD: �`� / U�
Applicant attach to this form �ao Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
BESCRIPTION OF BUILDING
' To Be Used As;
��v�-!� �� �,� Front:_ `�� Depth: ��'_ � ;� Height: �%
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Square Feet:�_�+ �.. ��Cubic Feet: T,�-f--� -? ( �
� � � - t -�; �' . Front • ^�' ";J Depth : ""? ^-� Height : f L�
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Square Feet ; � • � � "� Cubic Feet : ���� L-f `°
Type of Construction: %"� �..� .�. Estimated Cost: $ �,`>' , %� =
To Be Completed: ��� % 5
, � ,
The undersigned hereby ma.kes applicativn for a permit for the work herein
specified, agreeing to do all work in stiict 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.
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DATE: � c� �� � � �y� SIGNATITRE: / �` � - C�� ��__ - ___
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(See Reverse Side For Additional Information.) �� l '�r� �..
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BUILDING PERMIT FEE SCHEDULE
SECTION 2. The Inspector of Buildings 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 repairs to any existing
building or structure, upon application 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:
i1rTIFORM BUILDING CODE: �pe 1, 2& 4-$2.15 for each one thousand cubic
feet, or fraction thereof, in such cubical contents. Type 3& 5-$1.85 for
each one thousand cubic feet.
ADDITIONAL INFORMATION
For the purpose of computing fees for building permits, the cubical contents
of any building or addition, is determined by multiplying the ground area
covered from a point six (6) inches below the floor line of the basement
or the cellar to the average heights of the upper surface or to the average �
height of the roof surface of the main gable of a pitched roof.
For repairs or alterations to an existing structure, the fee shall be at the
rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in
the cost of all proposed work.
In no case shall the fee charged for any permit as set forth in Section 2 be
less than $5.00.
VERIFICATION OF FOUNDATION
NOTE: Permits for construction will be issued a minimum of 24 hours fram the
ti.me of application, to allow for proper review of the proposed structure and
of the construction site. .
A Certified Survey of the lot, showing the location of the foundation, once it
has been constructed, will be required before proceedin� with the framing.
CERTIFICATE OF OCCUPANCY
Application for a Certificate of Occupancy shall be made ten (10) days prior
to the use or occupancy of any structure for which a building permit has been
issued; and said structure shall not be used or occup3ed until a Certificate
of Occupancy has been issued.
. . _ __ -�
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land Pla�ning s�*�r�!(.�l�I C875 Nighway No.65 N.E.
� Minneapolis �
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Soilti Tesling � �f
Civil Enginee.ing Tclephono 784-6066
M�nicipal Engineering Engineers & Surveyors A.�o Code 612
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Cer
tificate of Survey for ic��fa•clV ��'l��� G� G�M�.=S
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1 h�.ok�y certify �ha� this i o�rve and �torretl representotion of a svrvey of the boundories of � �he above
dsscribed land, ond of the locolion o� ol� bvitdin s, thareon, and all visible encroochments� if any, from o• on
sald land. As s�rveyed by nie fhis duy of ��c�T_<<1 � A.D. 19?Z-.
n l SUBUR�AN ENGINEERING, 1NC.
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____ �j January 13, 1975
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Darrell Clark
City of Fridley
6431 University Avenue N.E.
Fridley, riinnesota 55432
Dear Mr. Clark:
This is in reference to the seven (7) uncampleted homes in Rich-
ard Miller's Briardale Addition.
Based on the fact that these seven (7} uncompleted homes have
been hooked up to the City's sewer system, and that the build-
ing permits for these homes were granted in December, 1972 and
the City has extended these permits with a state sur-charge fee
only, it is our opinion that the SAC charge is not applicable.
Should you desire any additional in.formation, please advise.
Sincerely,
thony C. G rre
Comptrol.ler
ACG:jm
cc: Richard Miller Home
1600 Rice Creek Road
Fridley, MN 55432
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ANQKA COUyTY
6431 UNIVERS; ��`t AVENUE NE January 14, 1975 FRIDLEY, MINN�SOTA 55432
Richard r1i11er Homes
1600 Rice Creek P.oad I3.E.
Fridley, Minnesota 55�32
Re: 6]_41 Benjamin St., 61.F31 Benjamin St.,
v�608 Briardal� Rd., :L613 Briardale Rd,,
1633 Briardale Rd., 1616 Rice Creek Rd.,
and 1631 - 61st Avenue
Dear Mr. Miller:
Please be advised that we have received a letter £rom t.he I4etropolitan
Sewer Board dated January 13, 1975 that advises us that they are not going to
require the City of Fridley to pay the SAC charge on the above addressed homes.
We are still holding and will issue to you the permits for 1631-61st Avenue,
1616 Rice Creek Road, 16I3 Briardale Road and 1633 Briardale Road at a cost of
$60.60 which covers the State Surcharge.
If you have any questions on this matter, please feel tr.ee to call me at
560-3450.
Sincerely,
DARREL G. CLARK
Community Development Adm.
DGC/mh
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�o� <��. 2� �,� ��:����� � ��� � ��:.� � �� ��.� �`�, ��:► ��m �°�� � :�F`;��a. ��� �.��-�,��� ��
. � �: -��-.� ,�-.,r.� �, ,
.�� �
� ��,� �* ,.g
� ��`��'src�s�ean� ,a6�+ �t-:a5ci�+ �i �� ��'���i
P�RTlAL R�TE 5��:��J�.�
aR�►vmf wa� x�: �s� io�u..
F1u�nace S}:et1 � Durt F�ork . . . =10.00 ;
Rrplacement of �rnart g.pp �
� Repai.-s & Altcrations---up to $500.00 � pp S
Rr_pai*s & Alterations each add. t500.Q0 . 3 W �
I�ZCx. �J�?9 aliR
iltrnace Shell & Durt Work to I30,000 BTU
�arh ada. 60.000 �T'U . . . . . . .
RepLcemmt oi Flirnace
Repaira & Alterations—up to $500.00
Repairs � Alteratior.s eaeh add. SSOO.QO
. S10 00 i /l� . i�U
3.W i
6.00 f
6.00 �
3.00 j
STEAM oi HOi W!►'%ER SYSTEM
F�rr.ace Shet1 Sc Lines—to 400 sQ. ii F.DR Steam ?10.�J0 S
F�rnace Shell & Line--to 64G sq. ft. EDR Fiot Water I0.00 3.
Each add 200 aq. tt. EnR S?eam � Ofl �_
Each add. 320 sq. ft EDR Hot Water 3.00 �
OIL BIIAPoER—to 3 gal. per hour g.pp �.�M
over 3 gal. per hour—See lree Schedule
G11S aII'riii'�R (up to 1J�,CA10 BTU) b.00 = 5.� r.�
ar; r 299,000 BTL) Soe F» Sch�dul•
GA3 FITTINC �F�,: 1�0 RATE T07AL
lst 3 Flxtures XE 2pp g . 1�
Additionai Fiztures — x .7b t--. —__
Gas Range tb 2�9.OfD0 E� 6.pp f
����. o� sa��. �� e^:�-��
L�� 1608 Briardale Rd.
� ��
Ctty of �`rlciley:
The »nc�ersiqned hereby makes apptication for a permit !or the wor9c Aereir
s�ecified agr�•eing to do all v��ora in strict accor�ance with the Ci2y Or:iiaar.eef=
�nd ni�ir.� of the Depar?m�nt of I�uildin,^,s, a.-:d hereby declares thmt aIt tbR facit
and reuresPntaYiuns statrd in this applicatiun are true a�d corTeCt.
�idley, Naian 3-20-75 lp �_
�,�,npr Richard Miller Homes
Kind or B�ita�ng , frame �
(j,$p� ac rP C 7 (�P?'f [`R
To be completed about_ 4-15-75
GO -
Estimated CosL, a ��1�"�
Old—New. Buiiding Permit No. _—_ _ Pormit No. _ ����
Ba���P�i��! O� Wa�;
F�ATTNG or POWEii FL.A1�Z�'.r—�tra:n, Fdot Watas, Warm .yr—No �
T�'ade xame Lennox s�e xo G12Q3-110
Capacity 110M __ � p�, E.D.R BTU gp
TotaI Connected i.osd 5 6, 7 2 5 �� oi 1R�et g as
�Uxr�x — Ty,�a� �ta�p same as above .
Siu l�o
State Suxcharge .50 CaD�city �g. Ft. E.D.x BTU g�
�IR CQ .�'°3a ITi�za�����
FAI� iii.1'a"3T3Ci �`�'s3'i"".�! l4�se Fs� �c�sda2s /i� ��) U ,�'. '�J'iC� Jl —� 11(�G 7�
�ILI'tYffi4`i SYiyYi:M � I � S �j � ( I
ALT�AATiO?i8 t AEFAI;tffi tOY�II. � 3 Z-, .�n �ter�.i
' FRED VOGT & CO.
HEATING & AIR COND4TIONING i y_ � � �/�,�
��a� .3260 Gor6am Avea 929-6767 � ����"''` � � �`� � .
John `%• Borry $t, Loul; Parka �I1lnnesota 55426
� r a�ca�r IQd_ l
F��il6 �� — � _ � C-.� . .
I�M�►catf—OVtR)
f � . ___ � ,� 1 � �,��: - �I
• `�...,,,,r`1 �� .........»_._.._......V._.�.__..,./`
j �,' !�.F.�►T L059 CAt�CL1lATtOtVS
�:,;;' Weatherstrips A Guide Con�truction No.
;:, Windows Doors Rcfe�ence Out. Wall Int. Wall C,eiling Roof
Yes—No I Yes—No 19._
, ;
, fr �.
/�'::- t.. �r i -_.., f'� - —� ._..!
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�
��%i �.y • ,,. r. ',� ,�
� (,� . ,r . _ +� ., .s^'„
Insulation
Floor Kind How
,'�:; . Fl.� .j��;.,,..c�-- Room Len4th - Width � Height ?!- FI.� t,�C� Room � L.ength �'.,2..Width
Windowe and Doors—Crackage and Area Windows and Doors—Crackage and Area
�' tV�dth He�snt No. ot Ltneal tt. Are• Wldth Helsht No. ot Llns�l tt. Area
No. ot vane of D�na II�At• ot crack �Q. tt. � p No. ot Dan• of Dan• Iltht• of a�cl[ �0- ![.
� F.
� �� J, �! .r - � ) / '�
�.
Coef. Beu Coef
lnbltratioii / �-rr-rJ In6ltration � ' '"� -•
Glaaa Glass
Exp. wall ` .sf S ' C��
.�``�.. G7[p. WO�� � r r ..
:'-_ . Net exp. wall r`r �� Net exp. waU ,^
'' Int. wall �-"
>x; " Int. •aall
`� ` Ceiling ¢ C' �;i" "> � -.
Ce�ung _
•�J �
,;, FI'�of
�;. Floor ,�....
7'otal Btu. .2 2 1% Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. L.eader area I Required sq. ft. E.D.R. or eq. ina. W.A. Leader area
FI.� Room � Length �%' Width � Height ��-
'� F'I.I _,,� Room I L.ength ° Widtty/
Windows and Doon---Craekage and Area � Windows and Doors—Crackage and Area
wldth Hel�ht No. ot Lfneal tt. Are• a'Idth Hel6ht No. of L1ne�l tt. Are•
� No. ot Dane of p�n• 11�1�u o[ cr�ck p. [t.
. /
Coef
In6ltration
G1aa• �,Cs
Eip. wall ��3 ' „� —
Net exp. wall � � "f
Int. wall
;,; �ei��ng � .::�- c,
Floor
Totsl Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. L.eader area
Fl. -�j+ Room L.ength r,— Width/,Z.
Windows and Doors—Craekage and Area
wiacn H.i�nc No. or L1n�sl tt. Area
No. ot yans et ptn� IISAt� ot crack �p. tt.
� �-+-' .�n / 1.-:� I /C
Btu
Coef.l Btu
Irtfi�tration � s _!, �
Glas� .-- r•
Eup. wsll / �/t? �w
Net ezp. wall ^ - ' "�
Jnt. wAll
Cei�ing .�; � � � r' "
`(j..
Floor
Total Btu.
Required �q. ft. E.D.R. or �q. in�. W.A. L.eader area
} �I.I '}? , " � Room � Length Width . � !+.
Windows and Doors—Crackage and Area
F1'Idtn Hal�ht No. ot Llneal [t. AreR
"!a. at pans o[ �an� II�Ats �i crrck �O. El.
f, ��` L�ir C.a / _ J�' /�'
lnfittration
Glas�
Eup. wal) '�� `'
.�.
Net e:p. wall
[nt. wall
Cei�ing -� w Z�..
Floor
Tota! Btu.
Required sq. ft. E.I
� -,
G! r� :o
Coef. Btu
.; -z ', .�
/ � `'.,� '.,�
� �.
�
. �
�---
, !` � ;;
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.r
r
or �q. in�. W.A. L,eader area /
�'
Height
Btu
�� � �/ .`�
% �
? eia t c�-�
No. ot D��e o[ D�ne Il�ht� ot cracA sp. tt.
� "? � �a / ( ��j'�,% /,
� L 1 4�.�
��
In5ltration r'' ,
Glass � j �S �'°� �4'
Exp. wall / a ,
Net exp. wall � � 7 ,;L „
Int. wall
Ceiling �,,�� k,''" �% Lj/'
Floor / .�j� � �� t'
Total Btu.
Required sq. ft. EQ.R. or sq. ins. QV.A. l.eader a�ea
Fl.) "� ' •Room I LenQth Width r'" Height '� V-
Windowe and Doors—Cracicage and Ares
Wldth Het�ht No. o[ Lln�al !t. Area
No. et Dane ot Dane UrhU oL crack w. tt. �
I Coef. Btu
lnfiltration
Glase •
Exp. wall ^- •i •
Net eap. wall � �+
Int. wall
Ceilinq . � �. ,? .
Floor • f ~ �
Total Btu. -, ; ��*�-�f
Requi�ed sq. ft. E.D.R. or sp. in:. WA. Lesde� aroa �
/ Fl.� � ` �/ Room I L.ength � - ' Width .' �� Height �"_-
Windowa and Doors—Crackage and Area
R'!�th Helsht No. a4 I.Ineal tt. A�•s , �
No. o[ Dan• ot Dans Il�ht• u[ erack p tt. �
�r-_. ..r+ed;. f1.3 /°� r � � Q -a
Coef. Btu
Infiltration rj �:• —; � ..
Glass -�
� •,::� . ;
Exp. wall � " ° ., -
Net exp. wall � �� -
Int. wall
Ceiling ` ;, `� � �
Floor t � � - �
, ^ ��
�� .,
Total Btu. �
Required sq. ft. E.D.R. or sq. ins. WA. l.eader arca
. y� . . . . : } p
� � � �� . �
t., � . . . . .. . � ' , � . . � .
;��•;
4fAT LOS3 CAL�ClJ1.AT10NS
Y,_
.� �'` ` Weatherstrips A• ' ' Construction No.
' Guide
i°:';;. Window� I Doon Refuence Out. Wall tnt. Wall Ceiling Roof
�'" : Ya—No Ya—No 19_
,
F1oor
- �� � . . . . . . .��
.
In�ulation �
Kind How Applied
;�` Fl.� „M�. _... �, Room Length / _ Width /. Height °-' FL� Room � Length Width
; ,�,
� WindtSws and Doors—Crackage and Area Windows and Doors—Crackage and Area
�.-.� - tt'idth Heignt No. ot Llneal tt. Aro• W�dth He1Q�t No. o[ L�n�al tl. Aro�
. No. ot psne o! Dane U�hts af crack �Q. [t. � No. ot Dana of Dan• 116ht• ot crack �O. tt.
� .. �- � _ ,:�,� ,� � �
� ,� � n� ��..
�a
f j �:�� �
lnhltration ( ,c _ �' - �
C,la�s `� �' ;...
Exp. wall ,. ' :;.y
; � :: Net exp. wall ~7 .� ,•� .
Int. wall � < <_ ��, �
' Ce�hng
Fl �or s �. � r'' ,�
��
7ota1 Btu. g� ,2 v
Requircd sq. ft. E.D.R. or sq. ina. W.A. Leader area
, Fl.� ! !�-, Room � Length ¢... Width /� , Height �; ' ?i
Windows and Doo►s—Crackage and Area
.
WlAth Hel�l�t No. oF Llneal ft. Are•
No. �f Dane of D��e lf�ht� o! cr�ck �Q. tt.
�:;;.�:; D / '� •
In6(tration ,�
Glaa� �
Exp. wall ' •-1e. ---,,,. i)�''
Net ezp. wall r' �
Int. wal�
Ceiling
� Floor -�r-
Tpcal Bc�.
Required sq. ft. E.D.R. or aq. ins. W.A. Leader are
E7. `� r` � ftoom Length '.;; Width
Windows and�'Doors—Crackage and Area
Wldth H�I�ht No. ot Llneal [t. wrea
''� Ne. of pan• of pan• 11[ht� ot c•ck �Q. (t.
t:
. � �i. �., �i'� !i . �
� / :! r . � . . '�o-.:.�. .. i" r �� � � . iv �..
Coef.l Btu
� ;
..,... ` /
;�' ;;, � ,�..
� �
a /
� �
�., eig t �-- ?..__.
COtf
1n61tration :.' f
Glas� �' � S
Exp. wall "" c� ' �.-,�.r_--e. _ `� �' U
Net exp. wall � � y_ -7
Int. wall
Cei�ing
Floor �;, �-�'j, � ,
Totnl Btu.
Required sq. ft. E.D.R. or sq. in�. W.A. Leader aree
F1. Room � Length Width
Windowe and Doorr—Crackage and Area
t�'Idth H�ISrt No. Ot Ltn�el (t. Are�
No._ ot pane ot y�e� � If�ht• ot cr�ck �o. tt.
Btu
' h'' 2
f';9
H��gh�
Coef. Beu
�n�i�tration
Glus
Exp. wal)
Ne! exp. wall
Int. wall
Ceiling
}loor
7'otsl Btu.
Requ�red sq. ft. E.D.R. or aq. ins. W.A. Leader area
r
� Coef.
In6ltration
Glaes
Exp. wall
Net exp. wall
Int. •�all
Ce��ing
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader sres
�Fi.l Room I Length Width
Windows and Doors—Cracicage and Area
aCldth �Hel�ht No. ot Llneai ft. Are•
No. ot pane of Dane Ilsht• ot crac9 �a. tt.
In6ltration
Glass
Exp. wall
Net exp. wall
lnt. wall
Cei�ing
Floor
Tocal Bcu.
Re�uired sq. ft. ED.R. or sq. ins. �1.A. Leader aren
FI.� Room � L.ength Widt6
Windows and Doors--Crac�age and Aren
� Wldth Hel�ht r No. ot Lln��l [t� Area
No. ot pane ot Dan• � 11[ht• ot cr�ck �a. !t.
Neight
r
Btu
He;ght
Coef.l Btu
In6ltration
Glass '
Exp. wal)
Net exp. wall
Int. wall
Ceiling .
Floor
�Total Btu.
Required sq. ft. E.D.R. or sQ. ins. WA. L.eader arca
Fl.� Room I Length Width
Windows and Doors---Cracicage and Area
Wldtn Hel�ht No. ot Llneal tt. Are•
No. o[ p�ne ot Dane 11[ht• o! crack �c. tt. I
Height
Coef. Btu
Infiltration
Glas� '
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. WA. Leade� arca
_ ..__ - --- -- __ _ ------ -.
-- --- __. _ .---- _ _
. �c�'Y . � . . � : , - .'--- ------ - _ _ _ . '�
��
. . _ C/ " �
' ��4y �F ��dl�y .
. ,�'��n�,9��,,.r�xW�3 ¢�� ��4°..�:�s.� �.,�:.;� � w �"►��4;�:� �'���^.�3
I?apt. of BldQa. Phons 560-345� r "' '
DE5Ci1IPTIOfd OF �V�DRR �� � / � ��;���� / �L� �G'���
2dumbar, Kind and LocaSfcA o4 Fi:c2uses �a���" '
p �` N
4� �
e �3 � i
__�
Basc
lst �
2nd �
s�l�l�l��l��
11z
3rd
4th _
• �'uxuro ConaacYioa Op�nings
� N�w Fixiurs, Old O►,»nings
* N
N h � �
.� _
o�y Z
� 6n1�3 <3 u� o� o$
PARTIAL RAT� S�HEDULE
WATEN 1lTR.
� 0
► N GAS fIEC.
Sosser �
���� �
pLQMBII�G FIXTURE RATES: NO. RA'TL� TOTAL
Number Fixtutes . . . . . . . .. . . . . . . . . / -' x 52.00 $ � `1• G �)
Future Ftixture Ojmning .. . .. .. . . . .
New Fixture Old Opening . . . . . : . . . .
x a1.54 S
x 31.50 ;_.__.
Catch Basin . . . . . . . . . . . : . . . . . . . . x 53.25 �
Water Heater ;Up to 99,000 BTU1. ..• � x$3.00 $ J ���
New Ground Run Old Bidg. ... . x�.3.25 $
Electric Wat�r Hsatas. . . . . . . . . . . . s 52.00 S
�J13 FITTING FEEB: NO. RATE TOTAL
lst 3 Fixtures . . . . . . • • • • • . . . . , . �_ x S2.00 = C �
Additional Fixtures . ... . . . ..... . . . . . x y :75 a .
Gas Range to 199.000 BTU .. .... ....... , x 35.00 S
City of Fridley:
The undersigned hereby makes application for a permit for th� vrork herei
specified, agreeing to do all work in strict accordance with the Cit,T Ordinance
and ruling o1 the Department of Buildings, and hereby dec3ares that atI the tact
and represeritatioas stated in this applicatlofl are true and correct'
� FYidley, Minn �`��/� C/�4 �� , l9Ls—
Owner %i /C�T �,�i� r�l`��/,-r/L -
�
Kind o1 Building „/ ' '��� —
vsea as /�C��=L��d�l��
!�'���'% � �;
To be completed about
�t `_-`�
Estimated Cost, � � ��� ' ~
� c�
62d—New. Building PPrmit No. ,� � P.zmtt No. ��� �_ �
Signed � � G4�''��/'�C �: /�:
sy . - � . . �.`�°'-`--
Businrss Phune No ��� — �5���
ROUO'ri
FINAL � - Z Z - 7 ,5" .
� REPAIR3 3c AL?ER.ilT10N8—Reioz !o Code . 50 State Surcharqe
. Desrription . . . . . . . . . . . . .. . ... . .... . . . ... . . .. . ... . ... . .S
� 1
TOTAL FEE _ �- %. �Z • � �
560-3450
cY f o Y���e
� �
ANOKA COUNTY
6431 UNIVERSITY AVENUE NE November 14, 1975 FRIDLEY, MINNESOTA 55432
Richard Miller Homes
1600 Rice Creek Roacl
Fridley, Mn. 55432 /
�
Re: Final Inspections at 1608 Bri.a�dale an�d� �616 Rice Creek Roaa
Dear Sirs:
Final inspections were made on November 13, 197� of the above addxesses..
The following items were noted and znust be completec3 before the two
structures can be finaled out:
:L608 Briardale Rpad
1� Install. handrail on winding stair.
2. Gomplete firewall near fror�t of ga�aqe�
3� Repai�° roaf sh�atla�:ng_.c�n .gax �.�;� rac�f �
��: }�r�v�:�c�e �. ��ri,���.n� :Y.�z.�r:ve�*.
1616 Rice Creek Rr�ad
1. Install handrail on stair froa� basement to garage.
2. Provide a verifying surveye
We will expect all of the above items to be completed by December l, 1975. If
any problems arise that will preverit you fram comp],eting these items by that
time, please contact us.
Reinspections will be conducted on or about DecemY,er 1, 1975 to determine
compliance.
Sincerely,
r
C ��
�� ��
DARREL G. CLARK
Community Development Adm.
DGC/mh
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572— 3604
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOI�
Effective On March 1, 1996
�, � �, l
PLUMBING FIXTURE RATES:
New Fixtures
Old Opening, New Fixture
Beer Dispenser
Blow Off Basin
Catch Basin
Rain Water Leader
Sump/Receiving Tank
Water Treating Appliance
Water Heater —Electric
Water Heater — Gas**
NO. FiATE TOTAL
�
Gas Range** _
Gas Dryer** _
Back Flow Preventer Required ()Yes () No
Type _
$ 7.00
$ 4.00
$ 5.00
$ 7.00
$ 7.00
$ �.00
$ 7.00
$, o.00
$ 7.00
$10.00
$10.00
$10.00
$15.00
Reinspection Fee $42.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS �) �J t�
1.5% of Value of Fixture or Appliance
State Surcharge
TOTAL FEE
$ .50
�J
n n
JOB ADDRESS �C�C�� ,�, �r; ,Ct �J �I� �.� �C�L
T
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work ir strict accordance with the city codes
and rulings of the Building Division, and hereby declares that all the facts
and representations stated in this application are true and correct.
S" S
Owner
� iy� �
�� - �3�/�
Building Used As C.v Q !�'t� _
� �a , 1 � � �� —
Estimated Cost �[�G� PERMIT NO. �, /�
PLUMBING COMPANY� , G �
_ __... _...� � �
SIGNED BY ` -�J � TEL No. � �- ��� �
�� �
Approved By Rough—In Date
MINIMUM FEE R ANY PLIIMBIN�
PLUS THE $.50 STATE SURC;HARGE
Final Date
PERMI
**COMBUS110N AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SGl INCH S. �e�) %l�
\ �
� '��p� -�%�sPr�,t �v
�� rw� � x 6 �
s�e.,ecr IT NO.
City of Fridley 2 9 7 2 4
AT THE TOP OF TNE TWINS g � I L D i N G P E R M I T
r
; � RECEIPT NO.
� � __�_ COMMUNITV DEVELOPMENT OIV. ��� �
r � � � PROTECTIVE INSPECTION SEC.
1 ' �'��1 � CITY NALL FRIDLE� 55��2 NUMBER pEV DATE PAGE OF APPROVEO BY
�""�" �'' 612-571-3450 910-F15 6/21/99 � /
JOB ADDRESS 1608 Bri ardal e Road NE
1 LEGAL LOT NO. BLOCK TRACT OF ADDITION SEE ATTACMED
DESCR. 15 3 Bri ardal e Addi ti on SHEET
2 PROPERTY OWNEF MAIL ADDRESS ZIP PHONE
Cliff Thelen 572-0348
J CONTRACTOR MAII ADORESS ZIP PHONE LICENSE NO
Solomon & Sons 12211 Olive St NW C -
< AFCHITECT OR DESIGNER MAIL ADORESS ZIP PHONE LICENSE N0
5 ENGINEER MAIL AODRESS ZIP PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CIASS OF WORK
❑ NEW ❑ ADDITION O ALTERATIQN � REPAIR O MOVE O REMOVE
8 �ESCRIBE WORK
Reroof house and ara e 26 S Tear-off
9 CHANGEOFUSEFROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
TYPEOFCONST OCCUPANCYGROUP OCCUPANCrLOAD
SEPARATE PERMITS ARE REOUIRED fOR ELECTRICAL, PLUMBtNG, HEATING.
VENTI�ATING OR AIR CONDITIONING
THIS PERMIT BECOMES NUII AND VOIO IF WORK OF CONSTRUCTtON ZONING SO FT CU FT
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAVS. Oii If CONSTRUCTION
OR WORK IS SUSPENDED OR ABANOONED FOR A PERIOD Of 120 OAYS AT
ANV TIME AFTER WpRK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING
I HEREBV CERTIFV THAT I MAVE READ AND EXAMINED THIS APPLICATION STA��S GAfiAGES
ANO KNOW THE SAME TO BE TRUE AND CORRECi ALL PiiOVISIONS Of LAWS VALUATION SUf;TAX
ANO ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPlIEO
WITH WHETHER SPECIfIEO MEREIN OA NOT THE GRANTING OF A PERMIT 22%2 1. 1L�
DOES NOT PRESUME TO GIVE AUTMORITY TO VIOIATE OR CANCEL THE pERMIT fEE SAC CHARGE
PROVISIONS OF ANY OTHEFi STATE OR LOCAL LAW REGULATING CON•
STRU N OR TME PERfORMANCE OF CONSTRUCTION
PLAN CHECK FEE TOTA� FEE
$91.66
S�GNAfURE OF CON"AACTQF OR 4UTHQii1zED �GENT �D�iEi WHEN PqOPEpIV LIOATED THIS IS V UR PERMIT
�� �� �,
S�GNiTU�7EO�OWNEA��FOWNEQBU�IOEQ� �OA/E� Bl �NS� �1��f
NEW [ ] '
ADDN
ALTER
Effective 5/10/99
� l CITY OF FRIDLEY
[] SINGLE FAMII,Y AND DUPLEXES R-1 AND R-2
BUII.,DING PERMIT APPLICATION
Construction Address:
I,egal Description:
�
�
�a
�� �
� ��
�
Owner Name & Address: L • � � � h�° ��2�1.� Tei. # ,� %o� "I�.��i�
Contractor: �� � �� /,�t{l,� � tiS MN LICENSE #, �(' � �,S �,Ej ��
Address: �� t � � i �V� `� _ �i(%� i� � 55 �1�� Tel. # �„� ``%".����
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Length
Length
Length
DESCRIPTION OF IlVIPROVEMENT
Width
Width
Width
Height
Height
Hgt/Ground
Sq. Ft.
Sq. Ft.
Sq. Ft.
� �-6 � �-, . �--
Construction Type: Estimated Cost: $ ��%�
�
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ �
/ / �
DATE: `� ( � APPLIC , � Tel. #
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPiJLATIONS:
,
$ v� �5
� ���
� /, ry
$
$ � ,Oo
$
$
$
$
$ , �b
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.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 [ ]
�
BUII.DING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing pernuts 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 st�ct�re,
upon application 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 to $S00
$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
$23.50
$23.50 for first $500 plus $3.05 for each additional $100 or
fraction thereof, to and including $2,000
$69.25 for first $2,000 plus $14.00 for each additional $1,000
or fraction thereof, to and including $25,000
$391.25 for first $25,000 plus $10.10 for each additional $1,000
or fraction thereof, to and including $50,000
$643.75 for first $50,000 plus $7.00 for each additional
$1,000 or fraction thereof, to and including $100,000
$993.75 for first $100,000 plus $5.60 for each additional
$1,000 or fraction thereof, to and including $500,000
$3,233.75 for the first $500,000 plus $4.75 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$5,608.75 for the first $1,000,000 plus $3.15 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 f�et times $15.50.
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 $23.25.
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of applicatior� �o allo� �or gr��er
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 ����x �or�ir���:��� ����11
be required before proceeding with the framing.
f;
�
CITY OF FRIDLEY INSPECTION DIViSION Effective On January l, 2002
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
(763) 572•3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
JOB ADDRESSf�-L� 1�� .wr d�c�.l /�
RATE SCHEDULE ,%� ,�/
OWNER � � �-f" / ���.����
Residential
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace
(Side Vent - Fill Out Back)
Gas Piping (Needed with new furnace,
but not replacement)
Gas Range
Gas Dryer �
(�- i^�- .i �'"��
*Air Conditioning - All Sizes
All Others/Repairs & Alterations (LIST ON BACK)
1% of Vatue of Appliance or Work
Commercial/Industrial
1.25% of Value of Appliance or Work
Rate TOTAL `/
BUILDING USED AS ���•d�:��
$ 30.00
$ 10.00
$ 10.00
$ 10.00
$ 25.00
State Surcharge
$ ; . - _ _.
ESTIMATED COST a�"�'°� PERMIT N0. /.._ .�`_�
$
DESCR�PTION OF FURNACE AND OR BURNER
$
No. of Heatin Units � Circle One (Steam) (Hot Water) (Warm Air)
$ Trade Name �ti�.-w /',:c. ` ��"�'�-�� Size No.
��:� BTU HP EDR
$ Fuel �- Total Connected Load
Burner Trade Name Size No.
$ BTU HP EDR
$ 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 an
$ .50 rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are true and correct.
TOTAL FEE $.�S ��'u
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $47.00/Hr
*Air Conditioners can not be placed in a side yard without /�
written permission from adjoining property owner. �w:.l �d •
�� �% �orn�� FI
t" � .-GS�
�r L'e, .?d• �'�
�SS� /�7�r%• S`�'6�
HEATING CO/ %f'�<�
Signed
FAX #
Approved By�� Rough-In Date
DATE �1—� U �-
TEL # �'.5�� G.�� � .l.s�'o�
�
� �J
Final Date ! .� � �>,�
THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE
APPLICATION WILL BE RETURNED
�p�e�np� t�tiT*��niT n�ti _TQR ND CnMBIISTI�N AIR VFRIFICATInN
When ►p ��Q an _xictin��rance, the undersigned hereby venfies that the
venting has been examined and is free from rust, deterioration, obstructions,
and is securely supported and firestopped where required. Yes ( i No ()
The venting system is plastiGPVC and meets all current codes and manufacturer
specifications including sizing, length, number of elbows and teRnination. Yes (► No ()
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturers specifications. This does
include AGA-GAMA Category I Central Fumace Venting Tables for fan
assisted and natural draft appliances.
The PYi� i rnme�st�on air is sized and installed to meet the current codes
and manufacturers specifications.
Wher1 required to �►+�tall a new cembuetien air, it will be sized and installed
to meet the current codes and manufacturer's specifications.
When ip5talWlp a n_w �� _nting�yc Pm, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufactu�ers
specifications. This does include AGA-GAMA Category I Central Fumace
Venting Tables for fan assisted and natural draft appliances.
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented
separately as per cuRent codes.
Yes ( ) No ( )
Yes ( ) No ( )
Yes ( ) No ( )
Yes()No()
Yes( )No( )
! � • . � • ' . � • " • 1� 11 • � ' � . � � ' � � � 1 ' M • • • �11 . • �
Appliance #1 Type BTU Input Fan Assisted or Nat
Appliance #2 Type BTU Input Fan Assisted or Nat
Appliance #3 Type BTU Input Fan Assisted or Nat
Total Appliances Total Btu Input
Common Vent Type Vent Height Diameter inches
Appliance #1 Vent Connector Height ft Length ft Diameter in Type
Appliance #2 Vent Connector Height ft Length ft Diameter in Type
Appliance #3 Vent Connector Height ft Length ft Diameter in Type �
� : � •► �- �.-
HEATING CO:
Signed By: Date : �'J
s�e�ec. P `
c;ty of Fridley 33187
AT TME TOP Of THE TWINS g U I L D I N G P E R M I T
r
� � RECEIPT NO.
� ` COMMUNITV OEVELOPMENT DIV. (%
r � V • � PROTECTIVE INSPECTION SEC. �0;� �
� �
( � ��'�1 � CITV MALL FRIOIE� SS�3� NUMBEA NEV DATE PAGE OF AVPROVEO BY
�"""��� ��' 763-571-3450 9t0-F�5 10/18/02 � �
�oe nooaess 1608 Briardaie Road NE
1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHEO
oesca. 15 3 Briarda�e Addition SHEET
2 PROPERTY OWNER MAIL AODRESS ZIV PMONE
Cli�f/Wend� Thelen 1608 Briarda�e Road NE 572-0348
J CONTRACTOR MAIL ADORESS ZIP PHONE LICENSE NO
Wir�dow Lite Home �mprovement 8400 89 Ave N STE 460, Brook?yn Parlc, �I 55445
4 ARCMITECT OH DESIGNER MAIL AOORESS ZIP PHONE �ICENSE NO
763-425-2227 20039258
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDiTION C� ALTERATION O REPAIR p MOVE O REMOVE
8 DESCR18E WOFK
insta?1 oae garder. window with�r. ea�st�ng oper.�rg
9 CHANGEOFUSEFROM TO
STIPULATIONS
Prov�de smoke detectors i: a1� s�eeping rooms and or ai� levels �� the dwe�l�r.g
per Sectioa 3I0.9.1.2 of �he 1997 Uniform 3ui�dir.g Code. C«uik and flash a1i
e�terior openi�gs.
TVPE OF CONST OCCUPANCV GROUP OCCUPANCV LOAO
SEPARATE PERMITS ARE FEOUIRED FOfi ELECTFICAL. PLUMBING. HEATING,
VENTILATING OR AIR CONDITIONING
TNIS PERMIT BECOMES NULL ANO VOID IF WORK Ofi CONSTRUCTION ZONING SO FT CU FT
AUTHORIZED IS NOT COMMENCED WITMIN 60 OAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOF A PERIOD OF 120 OAVS AT
ANV TIME AFTER WORK IS COMMENCED NO OWLG. UNITS OfFSTREET PARKING
i
I HEREBY CERTIfY THAT I MAVE AEAO ANO El(AMINEO THIS APPLICATION 1 STAL�S GAFAGES
AN� KNOW THE SAME TO BE TRUE AND CORRECT. ALl PROVISIONS Of LAWS VAlUAT10N SURTAX
AND OROINANCES GOVERNING THIS TYPE Of WORK WILI BE COMPLIED
WITH WHETMER SPECIFIED MEREIN OR NOT THE GRANTiNG OF A PERMIT �2 � 8'S2 �1 .43
DOES NOT PRESUME TO GIVE AUTr+OqITV TO VIOLATE OA CANCEL THE pEqMIT FEE SAC CHARGE
PROVISION ANY OTHER S OR LOCAL LAW REGULATING CON- Q @
STRU N O HE �ERF AN Of CONSTFUCTION `Y83.25 Fir2 SC. y�2.85
�- P�AN CHECK FEE TpTA� FEE
� ����Z Licer�se $5 0 9� .53
$�GNATU�7EO�C0 �peCTOQOAOUTtiOA�2E0�GENT �D�iE� HE PRO V VALIOAT D THIS I$ VOUR P RMIT
/� �
S�Gtin7uaE O� OwNEp ��� OwrvEp Bu�LOEA� �DA7E� ,ti r,� r
NEW
' . ADDN
ALTER
t � � E DaCo �`�Co � � � �
I 1 . " - C� OF �tm�Y - ° ��� =
[] 3INGLE FAMII.Y AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Effective 1/1/99
;� ����
�'� - � � _.;
�; �, ��„�'..���.
�_ . _ _ . : ., _ � .._
f� ConstructionAddress: ��� 8 �� l aC' c� � e �•
,�. _ , . _
r
Legal Description:
Owner Name & Address: C� ��� �- �u�,(� ��'12� ��%�. Tel. #��'7� - l� 5��
Contractor: 1 MN LICENSE #�CO,���-�� �
Address:��Q7 - 8`j � G.J-e • IJ. 5u.,��(t 5��ov � B�o�i�n ��� k- `>YJ'� �5��/S Tel. #`�S�v�-� "7
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA:
GARAGE AREA:
DECK AREA: ""
OTHER:
DESCRIPTION O�, Il�IPROVEMENT
Length Width Height
Length Width Height
Length Width Hgt/Ground
Sq. Ft.
Sq. Ft.
Sq. Ft.
� f�%Gi�/1 � b
Construction Type: Estimated Cost: $��
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: � U � 3 -Oa APPLICANT: %�l �`�� /l,0 Tel. #�9'� " �3 l 3
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ � 3�5
$ a $5
$ l y3
$
$ �°�
$
$
$
$
$ �
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.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 [ ]
�..�� . . ., ., _
� �.� ..' , � £' : . �
. ,� . y:
... .
= � BITII.DING PERMIT FEE SCHEDULE ; � - :. �. •
_ .. . . _.�.
. ,�c�.*{ ; - , �,"�`,�.
The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for
any addidon to any existing building or structure, or for any alteration or repair to any existing build.ing or
structure, upoa applicatioa 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: � �=>xt�n � a�:�Sg �����x�`�-
,r�: . .
..Vi'{���i�PY A.
� •..� �
- TOTAL VALUE _ . FEES
.� . .
__. _ ,.: ��•f -...
$1 to $500 . _ , . . $21 (Minimum Fee is $21 plus surcharge) �,: .�. ;,-¢. �.::
_ . .. .. t � ..._ , v..1r:..4..�1,....,.n .
� � $SQ1 to $2,000 � �`�"�� $21 for first $500 Ius $2.75 for each additional $100 or '� R�'���'
P - -- -
�'��� �`}' fraction thereof, to and including $2,000
,
$2,001 to $25,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000
or fraction thereof, to and including $25,000
$25,001 to $50,000
.�f .
$50,001 to $100,000
$100,001 to $500,000
$500,001 to $1,000,000
$1,000,001 and up
$349.75 for first $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 first $1,000,000 plus $2.75 for each additional
$1,000 or fraction thereof
DRIVEWAY 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 with 6 inch depth - Driveway width plus 6 feet times $15.75.
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper
review of the proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed
will be required before proceeding with the framing.
Building MECHANICAL Pe�mitrlo.: - , � -'� "%
Inspections RESIDENTIAL APPLICATION Received By: :
763-572-�604 , CIT�' OF FRIDLEY nate Rec'd:
DATE��
SITE ADDRESS _
THIS APPLICANT IS
PROPERTY
OWNER/
TEN ANT
CONTRACTOR
SUBMIT A COPY OF
YOUR STATE
LICENSE WITH
APPLICATION
PERMIT TYPE
TYPE OF WORK:
❑ OWNER CONTRACTOK
N�: 1 e �
fwD�ss: O c�
PHONE: � L �i �% �."' O � �.
COMPANY
CONTACT
410
ZIP
MiNN�$��, MN 55408
STATE LICENSE # 2•824 �
ADDRESS: STATE ZIP,
?I-IONE
�SINGLE FAMILY ❑ TWO FAMILY
❑ t•1EW �tEPLACEMENT
DETAILED DESCRIPTION OF WORK
FAX �
❑ TOWNHOUSE
❑ ALTERA7ION/REMODEL
PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the
improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor )
Labor cost under $300 =$15.00. Labor cost between $300 to $S00 = cost of labor x.OS =
FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT RE NOTED. FIXTURES: (INDIC�AIT�E TOTAL
NUMBER OF EACH BELOWj ,,�e,�%� ��,}f� SIZEBTU ���
Equipment Installed MFG: _4 "J-��-L MODE :
MFG: MODEL: SIZFJBTU
�G: MODEL: SIZEJBTU
_A/C $25.00 _FIREPI.ACE (GAS) $15.00 GAS RANGFJOVEN $10.00
AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 _NEW GAS GRILL 510.00
_BOILER $35.00 �FURNACE $35.00 _GAS LR1IT HTR 510.00
CHIMNEY L1NER $10.00 GAS DRYER 510.00 _POOL HEATER $35.00
DUCT WORK $10.00 GAS PIPING $1000 _VENTII.ATOR $15 00
_ � �
� ,�4.'a;� �"�, ��.�rm' � _.. ... .W. ._ . . .., . v-e-x- .., F.: -. �, �� �
Permrt Fee $ Number of fixtures @$10.00 x$10.00 =
Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 ° $
TOTAL DUE $ Number of fixtures @$25.00 x$25.00 =$
Number of fixtures @ $35.00 � x $35.00 = $�.�a�
State Surcharge = $ .50
Total = $=-tS.�c
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I aclrnowledge that the information above is complete 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 app ' for a pe rt brk is not to start without a permit; that the work will be in accor ance with the
approved plan in the case all w r ich req ues re iew and approval of ans. �
SIGNATURE
OF APPLICANT N �M� ATE �
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977
REQUIRED INFORMATION NEEDED TO PROCESS PERMIT
RESIDENTIAL PERMIT APPLICATfON HVAC
❑ NEW HOMESlADDITIONS EXIST(NG HOME ❑ MAKF-UP AIR
REQUIRED FOR NEW/EXISTING HOMES . :
1. Combustion Air (See note belovvj
a. Oil or solid fuel IMC Chapter 7 with MN Amendments
b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments
2. Make-up Air (See note below)
a. IMC Chapter 5 with MN Amendments
3. Venting
a.. Gas appliances IFGC Chapter 5 with MN Amendments
b. Fuel other than gas IMC Chapter 8 with MN Amendments
REQUIRED FOR NEW HOMES
4. Heat loss & cooli.ng load per room
a.. Required on new construction ]MC 1346.0312
5. Ventilation
a. rer 2�T £i�ergy Code 7570 or 7672
6. Duct Design Per IMC 1346.0603.2
a. ACCA Manual D
NOTE: Centerpoi.nt Energy Mechanical Code Guidelines software may be used for
combustion and make up air calculations