AF - 37002.�
�
Date
Owner
��
BUILDING PERMIT
^
Village of Fridley, Minn. No 2���
. ��.?.y�.1�iS$ .............
. . . . . .�. .. .. Builder .... ......................
.� .�.
Address .�.�.!. �.�..
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... Address .........................................
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LOCAT[ON O BUILDING
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No. . ./.�.�`� . . . . . . Street . . . . . . . . . . . . . . . . . . . . . Pax� of Lot � �� ��
� �����,��"'. ) l`;,� � � �
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Lot ..�%��........ Block ................ Addition or Sub-Division ....' . . _ .. -.. - :.—;..-.. .-;.—_
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Corner Lot . . . . . . . . . . . . Inside Lot . . . Setback . . . . . . . . . . . . Sideyard . . . . . � . . �,,, , , , ,
DES�RtPTION OF BUILDING
To be Used as:
. . . �.i%�.. �. Q,.. Front . � .� Depth a. �'f. . . Height . . . .. .. .. Sq. F't. . �� Cu. Ft. . . . . . . . .
. . . . . . . .. . . . . .. .. . . . Front . .. . . . . . Depth . . . . . . . . Height . . . . . . . . . Sq. Ft. . . . . . . . . Cu. Ft. . . . . . . . .
Type of Construction . �11, � �J71�. . Est Cost . .�, :s�� �: . f� Q . . . . . . To be Completed . .�. �n.d�, . . . . . .
�<
I� cor�sider�tian of tke issuanee to me of a permit to construct the building described above, I agree to do
the proposed work in accordance with the description above set forth and in compliance with all provisions of
orc�inances oi the village of Fridley.
ideration of the payment oE a fee of $.4%.%�°�, permit is hereby granted to ,,.,,,
.•••• .. to construct the build3ng or ad dition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and worlunen, in all work
done in, around ancl utpon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Mini�esot�, regarding location, construction, alteration, am nance, repair and moving of buildings with-
in the village limits �nd this permit may be revoked at any e upo violat on of e provisions of sa.id
ordinances.
_ . .�%�j.�. - . . . . . . . . . . . . . .�,��g ��r
_ y �
NOTICE: —
This permit does not cover the construction, instaliation or alteration for wiring, plumt
sewer or water. Be sure to aee the Bullding Inspe�tor fo� separate permtts for these items,
heating,
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HEAT LOSS CALCULATIONS �'� �_. �_ � DEPARTMENT OF BUILDINGS MINNEAPOLIS. NIIM°I.
Weatherstrips A.S.H.V.E. ��� Construction No. Insulation
Guide
Windows I �Do rs Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied
� No �—No 19— �a .�f��a_:= ' .Z'e+� /
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Fl.� ,�'�, Roo Length �r,� Width � Height �" Fl.� Room Length Width Height
Windows and Doors—Crackage and Area Windows and Doors---Crackage and Area
Wldth Hetght No. oY Llneal Yt. Area Wldth Het6ht No. oY Lineal Yt. Area
No. oP pane o[ pane Ilghts of creck aq. ft. No. ot pane ot pane Ilghte � of crack eq. tt.
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Inhltration Infiltration
Glass
Glass
Exp. wall • Egp. wall
Net exp. wall Net egp. wall
Int. wall _ InL wall . -_ _ .
Ceiling Ceiling -
Floor Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
-- - th Width Height
Windows and Doors—Crackage and Area -�---_�___
Wldth Helght No. ot Lineal ft. Area
No. oP pane o[ pane 1lghte of crack eq. ft.
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Net exp. wall
Int. wall
Ceiling
Floor
?otal Btu.
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—
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area �
oom
Windows and Doors—(
Wldth Height 1
No. of pane o[ pane 1
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Infiltration
Glass
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Net exp. wall
Int. wall
Ceiling
1� loor
Total Btu.
Width Height
and Area
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Windows and Doora—Crackage and Area
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Int. wall
Ceiling
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Total Btu. - - -- -
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Fl.� � Room I Length Width Height
Windows and Doors—Crackage and Area
Width Helght No. of Lineal tt. Area
No. of pane o[ pane lighte of crack eQ. [t
Inhltratioa
Glass
Eap. wall
Net exp. wall
Int. wall
Ceiling
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Z'otal Btu.
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sua�ecr PER
c�ty of Fridley � 41 �o`
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 OIV.
r � ~ � PROTECTIVE INSPECTION SEC. �� °�
i �
� � /"'1 � CITY HALL FRIDLEv SS4$2 NUMBER i1EV DATE PAGE OF APPROVED Bv
�"""� � ��' 612-571-3450 9�0-F15 10/17/96 / /
JOB ADDRESS 6725 Channel Road NE
t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
oescR. 4-R Second Revised Aud. Sub. �F21 SHEET
2 PROPERTV OWNER MAIL ADDRESS ZIP PHONE
Paul Vik 6725 Channel Road NE 571-7768
3 CONTRACTOR MAILADDf;ESS Z�P PHONE LICENSENO
D& D Home Im rovement Inc 7401 Central Ave NE, Fridle MN 55432 784-7543
4 AFiCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
4840
5 ENGINEER MAllAODRESS ZIP PHONE LICENSENO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION p ALTERATION � REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reside House
9 CHANGE OF USE FHOM TO
STIPULATIONS
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTHUCTION ZONING SO. FT CU. fT
AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WOHK IS SUSPENDED OR ABANDONED FOFi A PERI00 OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORREC7. ALL PROVISIONS OF LAWS VALUATION SUfiTAX
AND ORDINANCES GOVERNING THIS TYPE OF WOfiK WIIL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �L, 990 � 1. SO
DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCT OR THE PERFOR NCE OF CONSTRUCTION. �]�{. %rj Fire .5�,' �2.99
PLAN CHECK FEE T TAL FEE
`� ( Lic se C .00 $84.24
IG A UAEO ON'RACTOFlORAUTHOAIZEDAGENT DAT 1 Pfj LY VALID THIS IS YOUR PERMIT
�--� /�-� ' �
S�GNnTUAEOFOWNEA��FOWNERBU4DER� �DATE� LDG � � qpiE
NEW
ADDN
ALTER
C]
[l
[l
ConstructionAddress:
Legal Description:
Owner Name & Address:
Effective 3/1/96
C1TY OF FRIDLEY
SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2
Building Permit Application
. Tel. � �Z�r'l��t�
COntrdCtOi: D_& D Home Improvement . I nc MN LICENSE # a R 4 0
Address: 7401 Central Ave NE Fridley, MN 55432 Tel. # 784=7543
Attach to this application, a Certificate of Survey of the
� lot, with the proposed construction drawn on it to scale.
DES�RIPTION OF IlV�ROVEMENT
l
/ \
J
LIVING AREA: Length � Width Height Sq. Ft.
GARAGE AREA: Lengtti Width Height Sq. Ft.
DECB AREA: Length Width HgtlGmund Sq. Ft.
OTF�R:
Corner Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks
Type of Construction: ��� `,S'%q�%t/'q,=� Estunated Cost: $� 9qp �
Approx. Completion Date: /�/�D1/; �j , �q+��
.(Cost on Back)
Driveway Curb Cut Width Needed.: Ft. 6 Ft = Ft x$ _$
DATE: I� APPLICANT: py�, Tel. # 2Si�7S�
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ ` �r' �
$ �.
$ � . S�(
$
$ � . C�L'�
$
$
$
$
��� . �
CITY USE ONLY
Fee Schedule on Reverse Side
.� 1 of Permit Valuation (1 / l Oth %)
$.50/$1,000 Valuation
$900 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.� Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
SuBJECT
City of Fridley
AT THE TOP OF THE TWINS g � I L D I N G P E R M I T
i �
� �
� `y __���_ COMMUNITV DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC.
i._-.� ��"' �.� CITY HALL FRIDLE� SSA32 Nu�BER r+EV DnTE
L 612-571-3460 910-F15 9/8198
JOB ADDRESS 6725 Channel Road NE Fridley, MN
t LEGAL LOT NO. BLOCK TRACT OR ADDITION
oescR. 4-K (1020) Second Rev. Aud. Sub. ��'21
2 PROPERTY OWNER MAIL ADDRES$ ZIP
Paul R. Vik 6725 Channel Rd Fridley 55432
3 CONTRACTOR MAIL ADDRESS ZIP
Owner Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
0
5 ENGINEER MAtL ADDRESS ZIP
8 USE OF BUILDING
Residential
7 CLASS OF WOFiK
❑ NEW ❑ ADDITION ❑ ALTERATION �7 REPAIR
8 DESCRIBE WORK
Reroof house, (12 Squares), Tear-off
9 CHANOE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBINO, HEATING, TYPE OF CONST.
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL A'ND VOID IF WORK OR CONSTRUCTION 20NING
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTtON
OR WORK IS SUSPENDED OH ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WOAK IS COMMENCED. NO. DWLCa. UNITS
I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICATION
AND KNOW THE SAME TO 8E TRUE AND CORREC7. ALL PROVISIONS OF LAWS VALUATION
AND ORDINANCES GOVERNING THIS TVPE OF WOFK WILL BE COMPLIED �1028
WITH WHETHER SPECIFIED HEREIN OH NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERMIT FEE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. �37.SO
SIGNATUR CONTRACiORORA,U/T�NORIZEDAG�,NT IDATE�
� 'l� /\ ��� _/ tl /�
� �i,, 1 �J � ' Ci - 1�
T
STA�LS
PAGE OF
� �
27592 `�`
-�GE4RT fd0�: " _� �
�� 6 �
APPROVED BY
SEE ATTACHED
SHEET
PMONE
571-7768
PHONE LICENSE NO.
PHONE LICENSE NO.
PHONE IICENSE NO.
❑ MOVE O REMOVE
OUP OCCUPANCVLOAD
CU. FT.
iFFSTREET PARKING
IGARAGES
iURTAX
$.51
AC CHARGE
Fire SC $1.03
07 FEE
/ $39.04
THIS IS UR P MI
7 � �
f�eTE
NEw
ADDN
ALTER
[ l Effective 1/1/98
[ ] CITY OF FRIDLEY
[] SINGLE FAMII�Y AND DUPLEXES R-1 AND R-2 � CI �
M
BUILDING PERMIT APPLICATION . a� � �
o _ _ ,
��
ConstructionAddress :
Legal Description: _
Owner Name & Addr
Contractor: --���
Address: � 7 °�.�i'
LNING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Tel. #_ ���� ��_
MN LICENSE #
Attach to this application, a C�ftificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IlVIPROVEMENT
Length Width Height
Length Width Height
Length Width Hgt/Ground
�I�,�S� _
Tel. # .� �% �� �
Sq. Ft.
Sq. Ft.
Sq. Ft.
�� � �� ����
Construction Type: � y' ��,�,�—l�`jC Estunated Cost: $ �(3�� Ob
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: APPLICANT: Tel. #
CITY USE ONLY
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
$ ?$�b Fee Schedule on Reverse Side
$ �. d,� .001 of Permit Valuation (1/lOth%)
$ • $/ $.50/$1,000 Valuation
$ $1000 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 [ ]
TOTAL $ � !• �
STIPULATIONS: �
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 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 $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 thereof, to and including $2,000
$62.25 for first $2,000 plus $12.50 for each additional $1,000
or fraction thereof, to and including $25,000
$349.75 for first $25,OQ0 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.
Altemate "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.
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COMMON VENT. VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When realacina an existina furance, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions,
and is securely supported and firestopped where required. Yes () No ()
The venting system is plastic/PVC and meets all current codes and manufacturer
specifications including sizing, length, number of elbows and termination. 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 existina combustion air is sized and installed to meet the cuRent codes
and manufacturer's specifications.
When required to install a new combustion air, it will be sized and installed
To meet the current codes and manufacturer's specfications.
Yes()No()
Yes ( ) No ( )
Yes ( ) No ( )
When installing a new ventina svstem, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturer's
specifications. This does include AGA-GAMA Category I Central Fumace
Venting Tables for fan assisted and natural draft appliances. Yes () No ()
Is the common vent and vent connectors sized and installed coRectly after
an appliance has been removed from the common vent and vented
separately as per current codes. Yes () No ()
Appliance Tyae and Size/Common Vent and Vent Connector Information
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
ALTERATIONS: (Describe)
HEATING CO:
Signed By: Date :