AF - 36576City of Fridley, Minn.
6431 University Ave. N. E., Minneapolis, Minn. 55432
BUILDING PERMIT
Date: - Dec????bea- 27 a 1972
p��; _$i�,��d Miller Homes g�der Same
�d�� 1600 Rice Creek Roady_Fridley�_ Address _...Same _� ___...___._._...._.._..__.__._._.
� 11914 -
\
LOCATION OF BUILDING
No. 1650 Street _.._Briardale__�iiE Road N.E-'-------.--------------- Part of Lot ..._._......_...__._.__._._..._..,,
Lot 1 Biock _...___.3 ._..._....._._.__.... Addition or Sub-Division ._._ Briardale Addition
Corner Lot .� _ Inside Lot �__.Xr.�_..�_ Setback ----_.___35.'_._.__._---_ Sideyard ......_5.�__&__l� �__.___�_�
�� IIevatian 2QZ..fi.Z---- �o�(���(t/�dnl �d�i'16� ---_..2i 0_x_�.7..._.M�.n imum _._�....__
Wye Top of Footing
DESCRIPTION OF BUILDING
To be Used as: 1056'
_DwPlling Front _!±�'_._. Depth �2!+'_ Height ...._.20�.__ Sq. Ft. __._960'___ �. F�, 24 686 Total
._ _�.___
�gf' _._.__._ Front 19 �$�� Depth 22 �._ Hei�ht .._.--10-�---• Sq. Ft. .-----_.433_'. Cu. Ft. 4 330'
----._..�........_
Type of Constxuction �_T^I.00d_,.Frame �, Est, Cost ...�30�749__.._._,._.____.____. To be Completed _._June� _1973 r
Stipula.tions; Provide a hard surface driveway. Provide a verifying survey before
capping. Patio walkout is 8" ab�ve garage floor, elevation to be set to provide
drainage for rear dining room windows.
WATER LOCATION: Stop box 36' East of Hydrant. 41 feet S.E. of Ma.nhole
SEWER LOCATION: 8' & West of Manhole
In consideration of the issuance to me of a permit to construct the building described above, I agree to do
'ibe proposed work in accordance with the deseription above set forth and in compliance with all provisions oE
Ordinances of the city of Fridley. .
�ks�s:��L.�'��_C--�,�
15.37 � tate Surcharge
In consideration of the payment of a fee of $�.8g.._.—.__., permit is hereby granted to_._.$icharr� Mi 1 1 ar gomes
to construct the building or addition as described above. This permit is granted upoii
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work'"
done in, around and upon said building, or any part thereof, shall conform in all respects •to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
yyithin the city limits and this permit may be revoked a t any time upon violation of any of the provisions of said
ordinances.
��'�'�"� ����2�'/�___� Building InspectOr
DARREL CLAR.K
;I NOTICE:
This psrmit does nof cover the construefion, installation for wiring, plumbing, gas heafing, sewer or water, Bs sur� to sp
ths Building Inspecto� for separafe permifs for these itemz.
e
�
►a.+d rio�R,„o s/�("// ��Ill �� •�rs H�wAJr PN. �i N.l.
ldnd iv►v�y�n9 t • • ( M�nn�opolif,
s,��. T.►���! (' !� (!If'Pll1� � ��il�'. M�„�. ss�si
��v�l E�qin����n� � �� f�l�'I�ow• l��-�0�•
Mun�c�pal E�yinee.�nq En�ineere ic Surveyorn Ar�o Cod� 612
t i f i c at e o f S u r v e f or ?i�-�+'�'V �Yf iL� C-� /70�'�1�+5
C�r Y
,��
l �
NOR�'N
BR/ARDAL� RDAD N.E
R-161JQ c )��7 —
- ---C._._
,O
� -p^ /
;
i o_ , "�_
� ►� �Nrn.�Q
Q 0 U
.,o-,�
,�8 '�E
��
I
,a�
�`TI2St►7I I O I N�'
I'
1 1 '° s �o
�
. .�-r- �
, r �a_ �. . . 5
N.� .� � .� � �r � ��. n
-15.00 ,
�� I 3� I DA l.E
� � C �y
� �Qnoiti tron monum�nt �.n0 Cl OV11
I- -- --� ��no�t� �rou�o�a t U�i�i�V EagQmQn�
� � 1►�reb� c�.�ily ti�af 1hi• i• e�r�• onJ �tN�ft� r����n�etien e/ r wr��r •1 �h• bev�d�ri�s �( �b• s�o�•
d��cribed lond, on� •f tA� i�cetio� �1 •II ►�ildi s, th�.��n, and all visibl• �nc�oocArn�wt�, ii o�, /��T M M
ssid lawd. A� tu�w�y�� br r�t Il�i► roy of �� qc�f j A.D. 10?L_
1►nc�, _ � � � ie�
. .:�cnic�, ��
SURU��AN EN�i1NEi�INO, INC.
Enyin�o►f SYr��r�It
b�: � c Q �� i�- i,.—�,----
G
n
5�=w�����
,� ,� �
� �ij �=_ > �� G r-_ ;; �.�,. ,-
,�� rL�_�i �%�7 ��
/
-f-� �� o r= r�� o-= r�,� �, �r� �,�,, ,, �� j/. c� / a,� 7
,
S l-_- i� ✓' r F- ��� �� I I. S (iV (= 5 Y. a� ��- o N 3 ��
j l�� �, p �' .�� ,:� - � D �� 7CJ
� t ,, r ' �- ',
3 G � (� /-� 5 �
�li' S, c. G�=
� r- �-� y ��.
�,� , �.
, 1 .
AP���C�TIQ� FQ� RESIpE�T�A�, A�T�R,ATIQN,
QR ADpITTON B�ILDING P�RNjIT
GITY OF F�I���Y� MINN�SOT�
UW�iFR' S NAME : BLTILDER :, icNA K'� � i i1�% i�( OM ES
w •
ADDRESS : Aa�tESS : /(d� � i�E C�iZEF�L � �"�9�, ��.iDL�/
� 3�,,,l�� � S'iR��i l� (c'_ i�i2 �.� 1L K,Od �
,.....,_ .^ .,,. .
Lc�r; BLOCK; � AAA�TZONs �r2 iA 12 �/�-L�
.... .
�R LOT : �N� � LO'� :, �C X , S ETBACK i 3 5� S I DEYpRD : S� (� ±
��i�� �#.�c}� to th� �+QSat�i,o Certificates of Suzvey of Lot az�d proppaed
�ii+��g �acatifln dr#� va #�e�+e �ertificates � —
fl�SCRIPT�ON OF $UIL�ING
� �� ii��d ,4� :
�w���;�� �_ �� I�+th: Z.4� AeiBht: Z��
/�-J �-
sqv�a�ce a���; 9� o cu�� ��ec: f�- � y, �-��� iv���
��(-2.4t�� �rca��: /�`l`� / Depth; 2Z.� Hei.ghtt �tD�
�. ,
�qua�e �'eet; c/ � Cubic Feet: ��7 5��.�C?
�T vv (�
�►#�a o� �onstruc�i�A� ��fK� Estiaated Cost • �-'>��� %/�/',
$ ,,,,(�8
�c� �+ �l��.�t�cls ,�4--�—�3
. �
7�►et u�td+ar�pigxted hereby a�alces ap�lica�ivit €or, a per�ni.t for the wo;k hsreit�
•pe�l,�ied, agxeain$ tp do a�L T�Q3rk in sttict accordance with �tte C�.ty of
F�'l.dl�y' t�xd�asices �4 �[uli�a �f the Depar4�nen* of Bu��din�a, � he�reby
��.az+e� ��, a�l �h� �acts �t r��resentations s�ated i� �his appli,catian
�� �rue a�d caxrec�, .
1�A,'�Fa; e c 2l I� 7�. S�GNATGT�E : �.�lcaR� ���?�+�G�'�lc'.
�. .. �
��fo �+�v�;.� S�.d� Fo� Add#.R�,onal Infos�ation,> ? . . �; ; �,. ,�
� � f"
;
.l��z.< <� �ti� � ��.��� �� ��� �� � r'� � �t-��' ' , � � �� � � c� �� ,Q.t..�� . S
�
? u? ,(..�. �� G`� -(-� d�' '� ,�. �E R, LI'v � �t.'1 .C.�f9' �.�+�""
��
� .�'�v �ee> ,Q-�-� � �% �� � '� Cl.t�'La. •
-! -�� t^�'L l�-� G�-��"t'`'-yl �.�t'-r'� ) ,�-��� ,- %', ��-�"�-� ='-� �
� , l; �
�UI�AIN� P�RMIT F�� S�H�pULE
���T�QN �. 'i'he Inepecto� pf auildings s�al�, befoxe �asuing perniit� for the
ex���ion of a�y building oX s�ructure, ox for any addition to any s�isting
��i1di�,g ox struGture, ox fo� any alteration or xe�airs to any exi��ing
��1�i�ing or stzuct�re, upo� �ppl��ation therefore, require the payme�t by the
�:�,? i��t fpr such per�mit o� fses Lro the amount herein below set fprth ari;d �.n
��� man�ex hexein px�QVided �a-wit:
UI+IIFORM BU�LIIING CODE; Type 1� 2& 4-$2.I5 �or each oxte thous�nd cubic
,����, p� fxaction thexeof, in suah eubical con�ents. �pe 3& 5-$�.�85 fox�
e�ac.la one, �k�ousand �ub�c feet.
A�D�TI�I�AL INF��MAT�ON
Fo� tkte QuxgASe of Campu�img fees for building permits, the cubical contents
of any building or addition, i8 dete�rmined by mul�iply�.n� the �raund area
$aq,e�Ceci ��cNm a poi�t� s�x (f�) inches below the floor line of the basement
p� t.�e Ce3-la� to the average heights of the upper surface or tp the averag�-
�i,gt#t �f �e �oo� �u�face a� the mai� gable c�f a pi�.ched xoo�,
���irs ox al���ca�ioms �u an. existin� stn�.tuxe, t3ie f�e shall be a;� the
���e fl# $3.�� �x e�t+�h five hµRdred dollars ($�OO�OQ) wr fra�Cion th�r�of in
t„}�� co�� o� all prc�pc�sed wo�k�
�� caise sha�l Ch� fee cha���d fox amy pex�it as set forth �.n Saation 2 be
3.�is t,.�an $5.04,
�
V�R����AT�QN �� ���7NAA'iION
�IG�1 Psxmits �ox ��ts��tct�o� will be issued a tsi.�i�mum of �4 hvurs f�am the
.�� o� ap�licaticsr►, �o �t2�ow �ox pra�rez review of the pxapo��c� s�ru�ture �id
p� �e �stxuction Si�e.
' �����.�.�i:pd Su�t�'ey o� fi.he �-a�, �x�ing t� locat�.a�, of Ith� foundatiott, Qz:c+� �.�
�a,� ix�� �o�s��t�d„ will b�e �ec�uired be€ore proceedin�, wi�h th� �r�i�g,
C�R�TFICA'i� QF O��iJPAN�Y
A��li�a�ian �¢x a�e���.�i�at..e a� Occupancy ahall bs mada �en (1Q) day� pxi.ox
to �h� �se px accupa�� af �ny atrtxcture �ar which a, build,�.ng pernti,t has been
issued; �d s�id s�ruGKtt�e i�ha11, �ot be used aa occup3ed until a Certificate
o� Q�a�upaz�cy ha� been �.ssu�d.
C
560-3450
l�c�t o ��i d �e
� �
ANOKA COUNTY
6431 UNIVERSITY AVENUE NE December°�1, 1972 FRIDLEY, MINNESOTA 55421
TO WHOM IT MAY CONCERN:
Whereas the City of Fridley has is ued a building permit to construct a
structure at /�,S" ,�/1����2�c> �QG/.
Whereas the permit is dated prior to January 1, 1973 and tfie City of
Fridley did not collect or receive any "Service Availability Charge".
Therefore if for any reason the Metropolitan Counc'1 and or the rletropo?itan
Sewer Board assess or bill the City af Fridley a Servica Availability Charoz for
this structure or sewer hook up, we the undersi�ned a�ree to and will pay the
City of Fridley for said charges.
���
Witness
T tle
0
�
City of Fridley
r •, T►,� ToP o� TNE rwu+a
; �.
r �'L"--'--� COMwUNtT� DEVi1,.0/MENT DIV,
� � � rROTICTIVR rl�/iCTWN O<►T,
�l 1 r"'� i pTl� MALI iRi�Ri ���Q
4.�_.1`.� ..! N3' �s0' 3N0
53-81 -879. ol
iu��[GT
Job Address
1650 N. �'. �ri�.rdale Ave.
ner
q Gerow
Contractor
Kind of Building
Tr3me
omp etion Date
;-15-?!�
I � I W I I I i I I I
WI I I
a _,,
'� �� I � i j--- �
I ' iI
I ; � ( ; i i �
a�Nra � � � i I
s�� I i II
I � I I � I
'lddYl � I --I —� �I
av� I I � �
�x�� I � II
'751NI I I I � II
— II
i •saoi �
� j �I
•enNival I I I I
� � -- �,
�
�
�
•U
a
�
a I SNISYBI I i � I
� %� H�lY�� � I I � I �
I yy
� aa i:. I �
� sNivaal I I I I � C�
0
G tl001�
o �
O•o I saa,woHsl ` f I I I �
oa� ► I I �
b 'ltinoel I ( I I
PC'O �Niaa I I
� .a
pq sevall I I I I �
(,�� H$VM —
z °H"�sl I I I I I �
�
d
�
s
�
�
iNIfY�
�ani
Mtva
airNirn
Y71YM
� � � � • �
0
�l � eFl eo �v
/C� - 3�' - >�� ,;�� �--1�-
��
t,
I!
II
I
1!
�
PLl1MnIiJ� PERf1IT QPPLICI�TI,�i1
1
ress
adress pr
�3� NIAFcQUE i TF AV�NUE
se � MPLS., MINN.
ftes.
one
��� �
l�;stimatea (;ost
20.00
Plumbing Fixture Rates: N0. RATE TOTAL
Number Fixtures x $2.00 �_
Future Fixtures x $1.50
New Fixture-Old Open. x $1.50
Catch Bastn x $3.25
Water Heater-99,000 BTU x $3.00
Ground Run Old Bldg. x$3.25
Elec. Water Heater x $2,00
Gas Fitting Fees: j
i
� lst 3 Fixtures x $2.00
� Additional Fixtures x $ .75
j Gas Range-199,000 BT[7 x$5.00 !
i �Repairs & Alterations
IDescription; `�onnect Range & �ode 10.00 I
�
� State Surcharge Class �`A��`' Surci�ar"e ���.. .50
i
I TOTAL FEE $ 10.50
I
!The undersigned hereby makes application for a permit
'for the work herein specified, agreeing to do all work
in strict accordance with the City Qrdinancea and ruling
of the Department of Buildinga, and hereby declare that
all'the facta and representationa stated in this
application. �r r,p and co�r ect
+:../ l.Rf,:�� p� �z�,•,►� �
'Sienature ' nare !
.
t
.
III
7
RICMAAD MLL.LER INC.
i; ` •
� � �. � . � : . .
� . s_ .. . . . .. . .
�- inlX- i4 Li - . .
:IMAGINEERS
June 20, 1973
Fridley City Council
City of Fridley
6431 University Avenue N.E.
Fridley, Minnesota
Gentlemen:
0
I would like to request a 90 day extension on 17 building permits for the
following addresses. These houses are all located in Briardale Subdivision.
1616 Rice Creek Road 1650 Briardale Road
' 1620 Rice Cr�ek F;oad 6151 6enjamin S�reet
1605 Woodside Court 6141 Benjamin Street
1619 Woodside Court 6131 BenJ amin Street
1629 Woodside Court 1601 61st Avenue N.E.
1603 Briardale Road 1611 61st Avenue N.E.
1613 Briardale Road 1621 �lst Avenue N.E.
, 1623 Briardale Road ���� ��st Avenue N:E:
Iam requesting this extension as there was a lengthly delay in originally
processing these permits and at the time I felt this would not create a
problem. However, there is now a�hortage of ready mix concret2 and concrete
blocks and many of the builders have been put on certain rations of these
materials. Tf�erefore, it appears that an extension will be necessary.
I hope that you have had an opportunity to drive through Briardale. I am
personally very proud of the houses we have built here and I hope that you
feel they are a credi� to the community.
Thank you for your consideration.
• Si nr�"�e yy ,
;�i�hard N. Miller
:cs
. , L
. 786-1600
16Q0 RICE CREEK ROAD, MINNEAPOLIS, MINNESOTA 55432, AREA COQE 612-�.8�
r
♦
..
� � ; � .
.,� '� °'J�� ` � i
I
App�cation 4�a''ow�r Ploitfs and HtaMng, Cooling, Yentilation� R�ig�ral�ion aed
Air Conditioning SrstNns and Devic�s
PARTIAL RATE SCHEDULE
GRi! V*TY WARM AIR: �� ?��,
lh�raace Shell & Iwct Work . . . . . a10.00 �
Replacement of F1�rnace . . 6.� �
Repairs & Alterations--np to =500.00 g.pp ;___ _ ___
Repairs d� Alterations each add. =500.00 , g.pp �_ ___ _____
MECH. WAR� AIR
FLrnace Shell dt Duct Work to 170,000 BT[J .. ..$10.00 ; 10 . 0 0
each add. 60,000 BTU . . . . . . . . . . . . . . . . . . . 3. W i
RepLcemeat of F1�rnace 6.00 ;
Repairs d� Alterations--up to ;500.00 g,pp =
Repairs & Alteratioas each add. =500.00 3.00 i
STEAM or HOT WATER SYSTEM
F�rnace Shev & Lines—to 400 sq. tt. F.DR Stesm t20.00 $_____.—_
FLrnace Shell & Line--to 640 sq. ft. EDR Hot Water 20.00 a_.
Each add. 200 sq. ft. EDR Steam $,0O �... _._ ___ _
Each add. 320 sq. ft. EDR Hot Water 3.pp = -
OIL BIIRNER—to 3 gal. per hour
over 3 gal, per hour�ee Fee Schedule
GAS BURNER tup to 199,000 BTU)
over 199,000 BT[J See F�. Se}udul�
GAS FITTING FEEB:
lst 3 FSxtures
Additional F3atures
Gas Range to 199,000
1UA COlIDITi0I�I11G
FAN HEATII(G BYSTPJ!
vExriLAnxc aYSr�t
ALTERATIOIfa � REPAIRS
xoUaH
�rru, 9��3-�5
6.OU S --
b.00 s 5. 0 �
NO AJ►TE T07AL
- Xa 20o a 2. 0 0
_ x .76 i
- :i 6.0� _ —
i17.00
.-.—__
s« F« s`�a�. .—TO aurcharge
�
rozaz. � ;� � 7,50
SALESP�I: John Borry #4620B
heat loss attachec'.
D�nt. oE Hldys. Phon. S60_349p
L�� 1650 Bri� r_dale R�l.
� �
�
City oi il�ldley:
The undersi�ed hereby makes appllcation for a permit for the worlc hereir
specified, agreeing to do all work in strict accordance with the City Ordinance:
and ruling of the Depar�tment of Buildings, and hereby declares that aIl tbe facts
and representations stated in this application are true and cortect.
�idley, Mian 3- 5- 7 4 lg _
Richarc'. M � ller Fiomes —�
Owner _ -
Kind of Buildin f rame
g ---
rJsea as ___ _r_eSldential_
4-30-74
To he completed about ____.______
Estimated Cost, �_ 10 8 2. � � ._ ___
Old—New. Building Permit No. _ p•rmit No._ ���%_
DFSCAIPTIOIf OF WOR][
HEATING or POWLB PLAN'15--.Steam, i%t Water, Warm Air—No
Trade Name �"�estinghouse FGUB-110P
Size No
1
Capacity= M
Sq. Ft. E.D.R BTU gp
Total connectea Load 6 5, 8 4 7 �� oi 1�'ue�
HURNER — Trade Natne same 3S above �u No
Capa«ty
(RfMARKS—OVER)
Sq. �'t. EDR g� R,p
S�, ' �G�
Bs rl��B V r' , i;
�IEATING & AIR CONDI �ri��"� '.
BL15�I1lSS p�10i1! NO 3'�Rn ��rFum Ave. • 929-670'
f j, [pujt Parly Mmnesota 55025
. • � ,� �/ . / ,/� li ...
*; � . � ,..... . ..�.m.....� ._.-., . .,,.o,,,,� � //T�'',*�f'.!_:�. � -�.�--C-�S..-' � - .
� r � �'Y i�f, � � ..
�fFAT LdS3 CALCtJLATlON9 � �"'� � :1 ° . , , , </- ,,'' h .`;_� k• �.��« ,
,�
Weatherserips i4' •••� Con�tructioa No. ' Insulation �
Guide
Windows I Doon Reference Out. Wall Int. Wnll Ceiling Roof F7oor Kind How AE
� Yea— o es— 0 19_
�.. Fl•� �� . � ;� Room Length ,,� Width G" Height � °z F(.� ,-� " .,t ;h, Room Length /,r Width /'
Windows and Doors—Crackage and Area Windows arid Doors—Crackage nad Area
� �Vldth Helsht No. ot Llneal tt. Are� i.f3 Wtdth Hel�ht No. ot Linul tt. Ana
, No. ot pane ot Dane II�At• ot czack �q, tt. � p-� �' No. o[ pane ot Dane Ifsht• ot cnek �C. t[.
�, i r � /�-,
��' � � c- � j �:.i J �;� ` .:�; S
� � ; �,
�
__ Coef. Btu Ca
In6ltratioa �.,� � ��
�
Glase j ;' f'� �._
Exp. wall ,�.,�L'
Net exp. wa11 ,• � � y..
Int. wall
: Ceiling - l�r Z '
Floor -
Total Bcu. � ::� l � ,y. '
Required �q. ft. E.D.R, or aq, in�. W.A. L.eader area
�' Fl.� '�-;';:=-,(' i�! Room � Leo�tb Width f Height ��' �---
Windowt end Doors-�Craokese and Area ,
Wfdth Hel�ht No, q Llneal ft. Area �
No. ot Dan• ot D�ne Il�ht� ot crack �p. ft.
,.��. :: :^,, �� � / � r ! / /_
Coef. Btu
In6ltration = �' �. ; 5 S'1
Glaas � � -,� +'. e°�
F.�cp. wall ,;.�:� ' �G p
Net exp. wAll M
Int. wall
Ceiling -f / � ;�'
Floor
Total Btu.
Required :q, ft. E.D.R. or a. ins. W.A. I.eader area
Fl. /?., �;;_. �. "., . Room l.ength �:± Width e�,
Windowa and Doors—C�ack�ge and Area
Wldth H�I�ht Nq, ot:.., :.Ltneal [t. Area
No. ot Dans of D�ne ItsKt• ot crack sq. [t.
: 4 .
%' ' �- ;� I
.. . � ,.,. ,
� � � � � Coef. Btu
In(�Itration ��t ,_,_- _ � �, . .
Glas� .
Eup. wsll ;�'�� �
Net e:p. wall 'r: ;-,
Int. wall
Ceiling _.;t. ; .. ,�;t_,
Floor _...._ .
�
�otal Btu. "` �
' Required sq. fc. E.D.R. oT sq. ins. W.A. l.eader area
° Fl. � . '% Room ( LengFh ' ! Width �•
Windows and Doors—�rackege and Area
Wldth Hal��t ..�jo.-ot -Llmeai ft. � Arca
No. o[ Dan• of Dans !� ht� ot crack �Q. tt.
� " �'✓ `_� �
Infiltration - ?-"�"
,� �
Glass . ' �i
Exp. waU �
- Net e:p. wall ^
Int. waU
- Ceiling -.�c a) -: r./ !
Floor
Tota) Btu.
Required sq. ft. E.D.R. or �q. ins. W.A. L.eader are
Coef
' 't
.° �, ""
_:-,
�.
,,
t�'�
�
Infiltration
Glaas
Exp. wall /d �
Net exp. wall
Int. �rall
Ce��i�g
Floor
Total Btu.
�
G�
Required aq. ft. E.D.R. or aq. ina. W.A. Leader area
� Fl.l -�:•„o.-; „�; Room I Length Width '
Window� and Doors—Crac�age and Area
Wldth Hel�ht No. of Lineal Lt. Area
No. ot Dans o[ D�ns ll�ht• ot crack �a. [t.
� _, �. •� l� 1.1. � .� G�
_ _1 I
Inhltration � (
Glaas
Exp. wall ~.`" f
Net exp. wall
Int. wall -%-% . -.--_
Ceili'ng .,�' !�� j
Floor
Total Btu.
. ....,... � ,,..
Btu
/
_ t1g � �
1 ��
� ��'
3�
J �,
7�
/�^�, r� .
Required aq. ft. ED.R. or sq. ina. W.A. L.eader area /
Fl.� 7, .�_�_ - Room ( Length /(> Width / U Height �'�
Windows and Doors---Crackage and Area
' Wldth Hel�ht No. of L1ne�l tt.. Ar�a -� - -
No. ot Dane ot yane tl�ht• of rack �Q. !t. f,
_ , r
c:-t � � � ir _1 f "at ' /�, . . ..
.! � �- c ,.� _ �' . ., o �
ti .. .
Coef. Btu
Infiltration ,!� �r• �
Glaa� - - �- � r .
Exp. wall .;r' S ' �
Net ezp. wall ,- �
Int. wall
Ceiling - ,j ,, _
F�o01' r �" � j 4''-Lj '
Tota) $tu. : ; ,
Required sq. ft. E.D.R. or :q. ins. W.A. Leader area /
F7.� ',�.1, .... ,-�, . Room I Length / '::' Width / Height,^' �:
Windows and Doora—Crackage and Area
� Wldth Helsht No. oL Lineal [t. Aret . .,j:�
No. ��of pane ot pane Il�ht• ot crack �Q. tQ � .�.,�.
- ��' -- - ' ,� ` - U ;F
: a�,
Btu _ _ Coef.
�':�Infiltration 6;z- •
., _ _ ,. .
'f �^,�,7 , Glass y,- � �
� P /
Exp. wall ' ,�
�S� Net exp. wall �
Int. wall
�� , ,J +� Ceiling
Floor f �
., —�•- �? G
�7� ,E' �`. Total $tu.
° Required sq. ft. E.D.R. or sq. ins. �1�k. L.eader area %
Btu .
;J
,J
4:t : �
.
HEAT LbS3 CALCtnA�I0N9
Weaiheratrips Guide � �nstruction No.
Windows I Doora Reference Out. Well Int. Wall Ceiling Roof Floor
Yes—No Yes—No 19_
Fl.� , ; :•t - ;';,,,..,�oom Length ,�� �' Width ,� �' Height �.�
Windows and Doors—Crackage and Area Windows and C
�. �Vldth He1QAt No. ot Llneal It. Area Wldth He
No. ot psne ot D�n• light• of crack �Q. tt. No. o[ pans o[ �
,�. f;= "' 1 r� -
. _:.�r �'x .., : . � t ��' i �_
Coef. Bta
Inbltration ��,�. r�
Glaas `; //_ �",
.. _:
Exp. wall ,, ' d
Net eap, wall
Int. wall
Ceiling '
lp (� .
Floor _
: Totat Btu.
: Req;:�red aq. ft. E.D.R. or aq. ins. W.A. Leader area
F7.�..,.,�, ' Room ( L.ength / / Width -rj
Wittdowe a►.;# Doors---Crackage and Area
Idth He.-ht No. ot Lfneal ft. Area
No. ot psn• ot pane Ifshu of crack sa. ft.
.-,
H�;ghc�;� ��
Coef. Btu
InhltrattOp �7 ��_ /� �^ „ .
Glaas s"�
�
E:p. wall ,�,? ' ;�-<f� ` �
Net exp. �val) � �°;,_
Int. wa11
Ceiling �' '
J
Floor
Total Bro. L
Required �q, ft. E.D.R. or sq. ins. W.A. l.eader area /
1 FI. %"'1,.� � Room Lengch ;., Width.! =5 . He
Windowt and Doors—Ctackage and Area
.� Wl { H�I�At No. ot Llneal tt. Are•
� No. nf Dbn• ot pans Il�hb ot crack �q. [t.
4- �!-*v ! ;^ / S''4 it �
Y' �
! 5 `',�
Coef, Bcu
Infiltretion „��" :�'; � � -
Glaas �,
Eup. wAU =� ' (-'a • c�
Net esp, wall � '
�.�. F-.
Int. wall
Ceiling 1 � ��� .,
'-;j
Floor
Total Btu� '
) � � .:�
Required aq. ft. E.D.�t. or �q. ins. W.A. L,eader area T—
n'', FI. �-; , ; r� Room � Length r' �� Width -? ,.: Height �' �;
Wind�ws and'Doors—Crackage and Area ,
ICth Hel[ht No, ot Lineal [t. Area
No. ot pans o[ pans Il�ht• ot crack �q. tt.
'� r — �� � :L..' !!� G'� � �"� � �
. 1' � E µlr�a`. � '
� - . . �,' ....
Coef. Btu
In6ltration i ��; ;�., ,:� , ,� �r�
Glaa� l��n .
� �s.., ) �
Exp. wall .. � , '�.',, � � � -
_�_�
Net exp. wall j F.:; '�'
f= - U '
Int. waU �';!, � �' , �-
Ceiling
Floor --' =,' ;j �; „�° ,;, ;; (,�
Total Btu. �
Required aq. ft. E.D.R. or aq. ins. W.A. l.eader area
. �
�:,., _ ,
I
Infiitration
Glass
Exp. wall
Net ezp. wall
Int. • rall
Ce��irig
Floor
Total Btu.
�
Kind
Room Lenf
ors—Crack�
.
Insulation ' � •
How Appl;ec
w�a�h
e and Area
:.la�at !L Ar�•
ot crack �0. tt.
Required sq. ft. E.D.R. or sq. ina. W.A. Leader area
FI.I Room I L.ength Width
Windows and Doors—Cractiage and Area
r Wldth Hel`ht � No. oL Lfn�tl tt. Are•
No. � of nans of nans Ifrht� ot crack �c. ft.
.�—
In6ltration
Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
Required aq. ft. E.D.R. or aq. ina. W.A. Leader ares
FI.� Room I Length Width
Windowa and Doors—Crackage and Area
Wtdth Heleht No. ot Linaal It. Ar�a
No. ot Dane ot vane Iliht• ot cr�ck �a. !t.
Btu
He�ght
.�
P
, ,��
Coef. Btu
Infiltration
Glass
Exp. wall
Net ezp. wall
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. WA. l.eader area
� F7.� Room I L.ength Width Height
Windows and Doors—Crackage and Area
Width Heleht No, ot Llneal tt. Ara•
No. � ot yane of pane Il�hb ot crack W. t0. � �' ��!;
� ;1
_��
! Coef. Btu
Infiltration �
Glass
Exp. wall
Net exp. wall '
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. WA. Leader area
_ _
U'
Ci4y of �idley �
�►PPlication for Plu�nbieg and Gas Fh�q hn�it
Dapt. of Bldqs. Phon� S60•3�90 -
DESCRIPTION OF WOR1C L�� /% JC'�-f /2��������-. ���
Ydumb�r, Kind and Loca!!on oi Fixlur�s <« L� ��
N
a � Y
� !;� � s� � � �� o�
Base / / � P
Ist
2nd
3rd
4th
• Fv�tur� Coaa�clbs O�niaps
* ti�w Fixtur�, Oid Op�ain�s
� I� � I V i I� � I6 � Il! a� IV O I / I N I G STE� KTEC.
S�w�s �
�� n
PARTIAL RAT� SCHEDULE
PLVMSING FIXTURE RATE3: NO. AATE TOTAL
Number Fixtures . . . . . . . . . . . . . . . . � x a2.00 E . U �
F��ture Fixture Opening . . . . . . . . . . . x a1.50 S -.
New Fixture Old Opening. ....... .. . x E1.50 E_--_
Catch Basin . . . . . . . . . . . . . . . . . . . . x a3.25 S
Water Heater 'C,'p to 99,000 BTU1. ••• � x 53.00 S • v�
New Ground Run Old Bldg. . . . . . . . . x �3.25 $
Electrk Wat�s H�atar . . . . . . . . . . . . . . s E2.00 =
:.AS FITTING FEE$: NO. RATE TOTAL
lst 3 Fixtures . . . . . . . . . . • . . . . • _�— x 52.00 ; °'?• D �
Additional Fixtures . ... . . . ..... . . . . . x = .?b ;--
Gas Ran�e to 199,000 BTU . . ... . . . . .. x �F.00 i
REPAIRS � ALTERATIOIfb--A�l�r to Cod�
DescripUon . . . . . . . . . . . .. . .. . . .... . .... . . . .. . ..... _
TO'PAL !'EE ; °Z�' �
City of FYidley:
The undersigned hereby makes application for a permit for the vrork herei
specified, agreeing to do all work in strict accordance with the Cits Qrdinance
and niliag of the Department oi Buildings, and hereby declues that ali the tact
and representations stated in this appllcation are true and corcect
P'ridleY. Minn �.�'1 /��i �/� %7 „ 19_J
owner %�iG'J'?��'i/i'l% �/II�G�=�
Kind ot Building � ��� ��%
Used as t�G✓ %= �� <�'�
To be completed about ���%� � /
l ��c� ; C��
Estimated Cost, a
Aid--New. Buitding PPrmit No. Psrmit No.
Signed 1 %� /'�i�/-� � �,�U��%31�G �t �
gy �i�::� Z�'/c"��� /_1`• ,^ G�'�r - - -�
susiness Phune No. -S 6�"" ys � C'
ROUGH
FINAL ,� �� �`�'
53-81_� -S-915. 51
�ity of Fridley
�,��?���:��:o �� ��°:�,� �d �� � 8"�� ����
Aept. of BldQs. Phon� 5�90-3490 �- -
DE3CRIPTION OF WORR 1E50 N. F„ Briardale Road
Idumbar, Kind and Location oi Fixtures ���°° --
N �� � t�} f� �
� .I3 a � S F � � � � o �
Base
ln In
2nd
3rd
4th _,
• Fuxuz� Conn�clioa Op+ainqs
t !�I•w Fixlur�, Old O�nings
N
� t N �
Z N
��` Z O Z gZ
� O IV �<� () � U a U V
Gr
WATEN MI1.
� �
f N GAS FLEC.
S�w�r �
���� �
PARTIAL RAT� SCHEOULE
PLIIMSING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures . . . . . . . . . . . . . . . . x $2.00 5
Ftiture FSxture Opening . . . . . . . . . . . x �1.50 S—_.
New Fixture Old Opening. . . . . : . . . . x $1.50 �.____
Catch Basin . . . . . . . . . . . . . . . . . . . . x 33.25 a
Water Heater '.Up to 99,000 BTU1 ...• x 33.00 a
New Ground Run Old Bldg. . . . . . . . . x $3.25 $
Elsctric Wat�r H�at�r. . . . . . . . . . . . s $2.00 s
:.AS FITTING FEEB: NO. R11TE TOTAL
Ist3Fixtures •.•.•••••••••••••• xS2.00 ;
Additional P'ixtures . . . . . . ..... . . . . . x = .7b :
Gas Range to 199.000 BTU ...... ...... � z a5.00 6
City oi Fridley:
The undersigned hereby makes application tor a permit tor thc Rork herei
specified, agreeing to do all work in strict accordance with the CiL,j Ordinancr
and ruling of the Department of Buildings, and hereby declares that alI the tacl
and representations stated in this applicatiofl are true and conect
6 -17 -?1,
FYidley, Minn 19_
Owner �l. Joe Gerou
Kind ot Building Frame
Res.
Used as
To be completed about 6-2Z�–��i
Estimated Cost, a 10.00
Old--�4+%�WC3�3uitding Permit No. P�rmit No. �� be� '1
., , r,,� ,,..,..4 � ,r-=�
Signed ,�.�����:��_ �� • *�,
gy *�'i�"Ix��r `�"�' - -
Business Phune No
ROUOFi
FINAL � - � � � �=
REPAIRS tc 11LTER11T10N8—R•!•r to Cod .50 State Surcharge
Install G�s �rill 5.00
Description . . . . . . . . . . .. . . . . . . . .... . . . . .. . . . . ... . ... ., ._
� mr�►i. � : 5. 50 �
Cidss `�'�?� �uri;iaar�e .�u
e��, � ��a�ay _
. A��li�c�*��� ��a� Plcr���ts� �� �� �°,���� P�����
Aept. of Bld�t. Phon� 5�0-3
DESCAIPTI027 O; VJOI;:: • � ✓�
Numbar, Kin3 and Locetiea o1 Ftxlures I'O��
U WATF4 �r■. City o1 �-idley:
a'r^ J' N � ? • •
o I; /75 � s� � � I� � z� � g�'< � 5� 7� 7�;7 � r N c�s ncc. The undersigned hereby makes aDplication tor a permit tor th� vrork heni
( J > N �; . O w r � V < 3 � U U n � U
__� • specified, agreein; to do a1 work in strict accordance with the Cit� Ordinana
Bsse __ and ruling of Lhe Departr:�sent of Building, and hereby declares that aIl the faci
-- and representations siated in this applicatien are true and correct
1 st --- / �/ ��
2nd Fr.dlev, Miun , 19_
3rd
4:h
• Fvhu• Coanoc:.5oa �ni.�sgs
� N�w Fixturo, OId Op�ainqs
-�� �-- ��'�
,-
J !�
witfi
P�RTIAL R,47E S�HcDULE
S�ss�r �
Ccsapool (–j
Owner
Kind of Building
Used as
To be completed��out
Estimated Cost,� ��-' � �✓��
Old—New. Buiiding Permit No. P�rmit No. �� ��� ��
FLIIMBING FIXTUR£ R11TE5: YtO. AATE TOTAL �
Number Ftixtures . . . . . . . . . . . . . . . . x $2.00 $ Signed
v
Ftiture FSxture O�;cning . . .. . . . . . . . x 31.50 S—_. By �
New Fixture Old Opening.... .: .. .. . x 51.50 E_--..-- Busin��ss P'hur:e No ��-� _`S`� ���
Catch Bas�n . . . . . . . . . . . . . . . . . . . . x 53.25 S
Watcr Iieater '.l.'p to 59,000 BTU� .••• x 53.00 S •
tiew Ground Run Old 82dg. ........ x�3.25 $ ROUGH ,
El�ctric �Vat�r H�atas. . . . . . . . . . . . s $2.00 S
FINAL � � l' % �
�AS FITTI2iG F£E3: NO. RA'I'E TQT71L
!st 3 Fixtures . . . • • • • . • • • • • . • • . • x 52.00 ; �
Additional F'Ixtures .. . . . .. . .. .... x 3 .75 = .
Gaa R:.n�e to 199.000 BTU ..,.. ..... . x 35.00 4
_� �- O O
R�EPAIRS k ALTERA A1�3—Aa!•r !o Cod• .50 State Surcharge
. DeErription . . . . . . . . . . .. . . . . . . . ... . . . ... . . . . ... . ... . � ��
� Tarwi. � a •� f `5 � �
0
/
HOUSE HEATING TEST RECORD
1 .%r t% � �' , ,. , •
ADDRESS �, �����-/r .."��_�'� � APT. FLOOR CITY SUBURB-�
OCCUPANT � �� � OWNER
HEAT LOSS DAT H G INST. GAS C0. METER BADCs� #
SOLD BY �. �'l1'�_ INSTALLED BY -••� �t %r!-�
Eleetrieal ork By Gas Line By �==.r�'1-'K.�
TYPE OF HEAT GA FA �` HW STEAM SPACE HTR.
, � GAS DE IGN
MAKE . �, - � MAKE OF BURNER _
Model �
''� �` Model
Serial �" � �, Max. BTU Rating —
INPUT I! �. MAKE OF FURNACE
Model
CONTROLS
THERMOSi� _���eat Plug
Va Ive �� �lI�.BLI,c� /� - t�„� f�
Limit J�.j��.r��
Limit Setting � �� fl
Fan $etting �� � "� �L�
Pilot TYpe / �,,,Z�6�
Pilot Make � �„��`
UNIT HTR. OTHER
CONVERSION
�r
Vent Size , :
KIND OF LIN,�R_C,. " � "� SIZE�—NONE
Draff Hood � 1' -�' �� �'��� Regularor
Fi Iters Size Number
Chimney Loeation Inside �- Outside
Chimney Construction � �°�'t� �� F��
Pilot Model Smoke Bomb Wiring
Pilot Timing �� ��� Draft � Test Tag
L.W. Cut Off Door Pressure Lighting Inst. {`'
Pressure ��—Percent CO2 W� Date Tested l` �,_
Input CFH �� Percent 02 Company Testing
Staek Temp. �� (g �—Percent CO Name of Tester
Form 235
sus�ECT PERMiT AiL�--
City of Fridley �� 15 9 2
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r � RECEIP O.
� • COMMUNITY DEVELOPMENT DIV.
' ; L'�'���-, /'�
r � � PFOTECTIVE INSPECTION SEC. ���
� �
' A� ����1 � CITY HALL FRIDLE� 5S43Z NUMBER REV. DATE PAGE OF APPf70VED BY
` ��.'J �.i �.J
612-571-3450 910-F15 9/9/80 � �
JOB ADDRESS 1650 Briardale Road N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 1 3 Briardale Addition SHEET
2 PROPERTY OWNER MAI� ADDRESS ZIP PHONE
Joe Gerow 1650 Briardale Road N.E.
3 CONTFACTOR MAILADDRESS ZIP PHONE LICENSENO.
Sundown Properties 4509 Hei hts Drive 571-8979
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PNONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK
Construct a 10' x 24' Second Stor Room Addit'on ' '
9 CHANGEOFUSEFROM TO
STIPULATIONS
SEP�RA� PEi�M�TS #�EQti�tEi� �,p� 1�ItR1N4
H�A�'JN�, �'l.�J�VIi4i� �1�'fl S��S
i�►A�RNI�tG
8etere d�gging c��� ��� util�ties
tElEPMONE • EtECT�tC . GAS Etc.
REQUlRED gY �w
TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAD
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 DAVS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ]_ STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OF NOT. THE GRANTING OF A PERMIT S�-4� OOO $4.OS
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHAfiGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OFi THE PERFORM NCE OF CONSTRUCTION. $SZ.00 NONE
' �� � PLAN CHECK FEE TOTAL FEE
i % l-- ���'/-l�% % � ,�� � $12. 75 67 .83
GNni aEOFCONt nCroaoaAUTHOaizEOncENT �oa7E� * WHEN PROPERLY VALIDATED THIS IS VOUR PERMIT
�' ��_C X ��Q_2..�� � ��
SiGNaTUREOfOWNERUFOWNEROUiIDER� iDATE� �BLDG iti5p �FTE
_ t
i
C1Tl` 0�= �=iZIDLEY • �
APPI_IC;/1'I�IO'•! FOiZ Rf=SIDE.i'�TI/tL �UILDIi�G PERi�T�rS
� (�de��r, F�l Ler��tion�, IlC1CIltlUllS, or Repairs)
� /,� A � ;
G;��I3rR: _��- ,���� �UILDER: ��C��� �(i �G
, ; �
AU�RESS: �� .� � � �_� �%I-, IIDDRCSS: ������ /��� �� _
TEL i�0: TEL (�0: ,S� ��� �%r � %
STit��' NO: �� J �� STREf:�:
Construction Location
L_�
P
��� � � � t
L07': % BLOG�:: �� I�DDITIOI3 : -�� I� I f�rt d� l%� �_ �-, �� � IJ
Corner Lot: Inside Lot: � Setback: Sideyards: _
I�pplicant at�ach to tliis form tcao Certificates of Survey of lot and
pro�sed building location dra��*n on certificates to scale.
DESCRIPTIO�� OF C�i�1STRUCTIOfJ �
-- --- �
� ������y � I'ront: �a � Trpth: � �J�'J
%'G�� � � ��G% �i �''t- q _ �
,� S uar.e Feet - o`� y� C1�bic Feet:
/� // � G- /l /
k ��,�� !� / � � Front: �`� Depth: �� `
i� '
���� f/ L� � Squai-e r'eet: � Cubic Peet: _
'� �fs
Fieight:
� �
I� �
J
H eight:
i�Tpe of Construciion: ��r� /``"��d "�� Estimated Cost: $/% ����
. • �`
2b Be Cbr,�pleted: _ �V l,G� � ����
� Alt. A R1t. B
- �
Pro�sed Drive�•�ay �did.th If Pdew Opening Is Desired: $ $
SE� �wV-ERSF' SiDE OF SHEET
�ile und�sicned he�_eby ma}�e� apg��_c�t�_cn for a pern�it f.cr the t:�rl: he.rein specified,
agreei_ng to c�� .all. work in strxct accordance �•�ith tl:e City of T'ridley Ordiiiances aiid
rulirlg� of tlle Departnter.t. of 731iildisigs, and hereby declUres that all tlie tacts and
repr_esencai�i.ons statE�c1 �� this upplicatian are true and •orrecL-.
i
�� _ � J � `l /�`��i�� � �-�� ��l-C�
D,�TE: � SIGNI1TUFtL : .
St:ipulations:
�.X2o = $o x 8.81 _ 7�J $�
/a �l a � � �t�u �0 3�i .2 -7 chl �1. �N
1�1y�� "`
����
��
.
�.���' �- . S/. v d .
. �� '�a. ��
. �Y " `/. o�
3
��'� (._rcrti'���
. ______-----------'"'�
. � /U�- �-�
�ul�.vt�l� t'Ef�f�1J r r-t:� >c�irnut �
S7:C;'.i'IOId ?.. 7.'1�� 7:»•:cpccto�' of )3uilGir,cJr, �:hril.l., bcforc �.;st.�9.�ig Z�ca�niL-� for i.he crcci..i.on
c>f �xny l�uiJ_c1:i.r,cJ ar ��i_�-uct:urc, or. fc�r �in�� adci�.t:i��n �:o a►iy cr,i�ti>>c� Luilcling OL S'L'Y.'tIC:tw:e,
cix' i:oz� ur��y ci.l.t.crr.it�ion or r_cZ���i.r•:; t�o •��.ny c�:a.r;L"lIIC( }JU).�.C�I.Jl j or. sL-r.uctul-c, L1J�GJ7 ar�J�li.cat:i.o�i
Llzc.:���f.�or�c, r.equirc th�� L�r►ymci,t. }�y tlic ar�Z�7.i.can!: ioz- such }�er.mi.L- oi' fec:� Lo tl�e arn�unt-
hcr_i�.in be].oe� seL for.Ui atic� S_u tlic �nanricz hcrein p�:ovicica to-t�rit: •
J13:19 COI�:��1'I:UC7.'IOI1: Sing].e 1'ami.].y Ilomes and Gar.ac�es: ;:4.00/]_,OO�J cubic fect.. •
P7,1�`v Cli):C1:: ?.�> ���icerit: af- btu.l�liny }?ermii� fee.
UIZIVI:I•'111' lll:l'Ri:SStOi•:: (Concretc, Curb Strccts Only) �
' A].i:eriiai.e A: 1tc'_IllOVc71. at�d re��Iacement or concrete cur.b and
quL-L-er only; Driv�way �•tic2tii plus 6 feet x 1:�,$�75
R1.L-ernate B_ Removal and r_eplacement of cancrete curb and
. � gutter and install a 3 f:ooi� �•�ide approach �aiL-h �'
' , 6 inch depth; Driveway width plus 6 feet �: $17.85
� � .�_i r o�in�. r r`►r= r��r�l o�
J.�or the purp�se of compui:ing fees for_ building permits, i.11e cubi_caJ_ co::tents of any
bua_ld�..ng or addi�ion, is deter.mined by rnultip_lyalig i:he ground area covered f-ro:n a
, pai.�i� si>: (G) inches below the flool- ).ine of the basement or th� cellar to t2ie
aver.agc heights of the upper_ surface or to the average heiqht of the rco.` �urface
oi i�he ;�ain gabte of a pitched roo�.
�'vr. re��-�i.rs or alterations t�o an existing sti--uctur_e, tne fee shall be a_t the xata
o� $3 . 00 x�er. each fivc l�undrect dollars �� ($500.00) or fraction L-her�af in t}ie cost
of all praposed wor.Y. .
I�i �no` case s}ia�.l ih� fee cliarc3ec'. for any penn5.t as set forth �.n Section 2 be less
than $7.50 plus $.50 state suxcharge. •
RrFrc��rzov oF r-au;�n����or�
0
NOTE: Per:na.ts ror constz-ucL-ion ���ill be issued a minimu.�n uL- 24 hours f-rom tlie tim�
oi appli.cation to �].l_ow for proper rcview of the proposed structure and o� the .
construction si.te.
� Certificate of SuiveJ of tlie lot, sho�,�ing the location of t2ie foundation oilce a.t
lias been coi�s�nict:ed �.Till be r�quired before pr.oceedirlq �ai.th the �.:aminq.
�=PiTIFI�TE OF O�CUPA��CY
' I�I?plication for a Certificat:c ot Occupzncy shall be mad� ten (10) ciays prior t.o the
use or occugancy of any sL-L-ucture for �ahich a kiuilci_i_ng permit l.as been zssued; and
�air.t struct_u.re ;�131�_ ]10C L)C used oi- occt�picd tui�i.� a Ceri�i.ficate o� OccuZ�:incy }�as `
bcen �ssuc.ci.
0
.�
� .
. �
, �, � .
�. � � �
JI "
r� � M
���
�� _
.,, � i � ��
r e+ c �
� � � � .� � a
�� `�I n ��xv� u s+
"' n c o: •�. 7� 'o 0
�I�f ; �I���� �
v � :�
='=i I 4 I {
-:•"'- y , f p�
�
.-=� i ' I � i
�=. ` I � i I I
CITY OF FRIJLEY
�i?PLICATIOy FOR �LilN31NG /1ND uAS FITTIN6 PET�MIT
� x v Water Job Ad3ress /(O�./ �✓ /i�/17�V�/�
� '� u, � tieater I
�I = c�i � c� s+ Departr.ient of Euildings
� �:�I � �u� N � �n � City uf Pridley
v � � � � '-�'�, � p as 'lec Tel. #571-3450
�, ({? _: �=1=e Corlec:ioa O: eair.a � Coanected with
�� (*i = .��� ?ixture, Old Ope�ing
Pk°TIAL RATE SCHEDULE
?L'J�:3I\G �ZXTL'RE R,�TES: A'0. RATE
,
...._ ;� Fi: �..res x S3. �0
..._� _ c i.x _..re Coen:r.g x $2. OG
:��:: :?x��se, Old Opening x $2.00
�:�.. 3:__.. x $5.00
::��__ :es___ - to 99,000 BTU x 55.00
_.,,,,'JG� B:J to 199,000 STU x $10.00
S+ate: So: te: �r x $7. 00
::ex G=o�-fl �.:a Old builc'�'�r.g x $S.GO
�iectric nate� Y.eater x 55.00
G�S : ? ;TI\G FE�S:
lst 3 .`ixtares x $3.00
;,,a.3i�°cza2 Fir.tures x 51..00
Gss �v:.ge :0 159,00� E'i^J x $10.0�
:sr?a:RS € �LTER.aTIOXs
Firs �$1:i0. GO SS. 0a
ea�: �fld. Sj00.00 or fraction 52.00
State Surcharqe
TOTA:. Fi:E
Se�aer
Water
TOTAL
5��2 � d O
S
$
S
S
S
S
S
S
S
S
S
S��
S
$ .50
S �G
The undersi.qned hereby nakes apolicatioa for a oe^it for t:e wozk ::er�z
specif.ied agreeing to do all work in strict accosflance w_th the Ci:y Co�es
and rulings of the Depart:.ent of Buildir.gs, and here5y declares t`at a12
thc facL:� and reproscntations stated in t:�is applicatioa azc true ar.d ccrz�:L
Fridley, Mn. L.C%// . � , 14�
0'aN�R
XIND OF BliIL7ING Vv O d C/ ,�Qir�► �'�
:JSE� AS
TO BE COt�iE:ED ABOU'P �1% �� � � / ��
ESTIMAT�D COST �DQ� ��
OL - NEW BUILDING PERvIT N0. 2ER:dZT NO. �'�
Company /� G � ! �'i, � i ►'t��
Signed By 1�!3.�'� �-w� - C� �
Tel. 2CO. c� Co � ^ d�3 "'1
ROL'G:i INSP.
Date
FINAL IhSP. �� ` `'� ' �f ''
Date
APPRQVAL FOR PER"�ZT ��l'��E�
1tIN3MUM FEE FOR 7aP7Y PLUN.BZNG P�R"!IT IS S7-50 pL7S $.50 STA:E SU.^k^'.-L1R.r,�
�
:
a^Witi°?AC�iG� rE� ' -�
ir•, --
��T
Building BUILDING Permit No.^ C� --� /
Inspections RESIDENTIAL APPLICATION Received By: �
763-572-3604 CITY OF FRIDLEY vate Rec'd: �� �' �<<�
763-502-4977 FAX EFFECTIVE I-I-2010
DATE l�7C T % J v���� U YOUR E-MAIL ADDRESS
SITEADDRESS // S�� ;�/��E'�(_��/li� i,�inP.�y ��%
THIS APPLICANT IS: ❑ OWNER �CONTRACTOR
PROPERTY OWNER/ NAME: ��T 17�]n/ , Ii -7 ./
TENANT ADDRESS: /�OS(� %�JLin,��jaqL� CITY �2/ j.X�y STATE„M/V ZIP TJ .3c�
PHONE: � / � �l� �,� C%L��
CONTRACTOR NAME: 7 ' �X �tl� d/�s 1:�i/C�
SUBMIT A COPY OF STATE LICENSE # v'��D �%U , EXP DATE D,3 '�I '��'-�%I
YOUR STATE LICENSE �-�
AND CERTIFICATE OF ADDRESS: ;��SD iv i! % r� J�v` N. E CITY /I �l1,Dp i:�C;iL'' STATE '�'1+ ZIP S_�`i
INSURANCE PHONE � �o� � �" FAX
PROPERTY TYPE � SINGLE FAMILY/NEW CONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE � ADDITION ❑ GARAGE/SHED ❑ WINDOWS
❑ BASEMENT FINISH �ROOF ❑ DRAIN TILE
❑ DECK ❑ SIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION
�MAINTENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE: �� !?� �S%�UC'%L%.�� -' /7%aIiIET) �/-1,e%1 �
SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT S FT
ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT:
NUMBER OF SQUARES � �HOUSE & GARAGE 1. Existing Floor Plan
GARAGES �ATTACHED GARAGE 2. Proposed floor plan
PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used
PROPOSED HEIGHT:
SIDING FOR NEW CONSTRUCTION INCLUDING DECKS,
❑ Vinyl OSoffit ADDITIONS & PORCHES SUBMIT:
❑ Aluminum ❑ Trim 1• Site Plan/Survey showing the existing structures
❑ Other ❑ Fascia and proposed project.
2. Two sets of construction plans
WINDOWS 3. Energy Calculations
IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF W[NDOWS FOR WINDOWS - PROVIDE U-VALUE AND
OR FOR NEW OPENINGS-DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW.
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATIUN, INCLUll1NG "1'HN: CU5'1' UN' LAKUK ANll MA 1 r:K1ALJ:
(USING THE 1997 U.B.0 FEE SCHEDULE)
'OTAL JOB VALUATION $ OCCUPANCY TYPE
Permit Fee $ ,�� See Back Page for Fee Schedule
Plan Review $ 65% of Building Permit Fee
Fire Surcharge $ ; .00I times the total job valuation
Surcharge $ — .0005 x Permit Valuation Minimum $.50
License Surcharge $ �, c:�> $5.00 (State Licensed Residential Contractors)
SAC Charge $ $2100 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow $ ft+ 6 ft= ft x$24 =$
Erosion Control $ $450 Conservation Plan Review
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ Agreement necessary () Non Necessary ()
Total Due $ //>> , j� Make checks payable to: City of Fridley Attach
THIS [S AN APPLICATION FOR A PERMIT-NOT VAL[D UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge 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 on(y an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the
approved plan in the case of all whi h requ�re eview and approval of plans.
SIGNATtJRE OF APPLICA T �/u�i��,l`G y' PRINT NAME=�� �/?E/�, �''�� DATE �� ��y "�-���
MECHANICAL WORK
Page 2- Building Residential Application
BUILDING 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 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 FEES
$1 to $500 $23.50 (Minimum Fee is $23.50 plus surcharge)
$501 to $2,000 $23,50 for 151$500 plus $3.05 for each additional $]00 or fraction, to and
includin $2,000
$2,001 to $25,000 $69.25 for 1$` $2,000 plus $14 for each additional $I,000 or fraction, to and
includin $$25,000
$25,001 to $50,000 $391.25 for 1�` $25,000 plus $10.10 for each additional $1,000 or fraction,
to and includin $50,000
$50,001 to $100,000 $643.75 for 1S` $50,000 plus $7 for each additional $],000 or fraction to and
includin $100,000
$100,001 to $500,000 $993.75 for 151$100,000 plus $5.60 for each additional $1,000 or fraction to
and includin $500,000
$500,001 to $1,000,000 $3,233.75 for the IS` $500,000 plus $4.75 for each additional $1,000 or
fraction to and includin $1,000,000
$1,000,001 and up $5,608.75 for the ls` $I,000,000 plus $3.15 for each additional $1,000 or
fraction
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 proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the existing foundation will be
required before proceeding with the framing. New Houses Onlv
City of Fridley
Building Inspections Department
6431 University Avenue NE
Fridley, MN 55432
763-572-3604
Fax: 763-502-4977