AF - 38036Caty of Frid�O..ey, Minn.
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��[TILDING PE � N� 54i2
nate: _ "�"'.�� ,
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Owner. �"" � � Builder
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Address Address
f���� i� � u0`DO��
No. Street ..� P Lot �
Lat _ Bl _ A ditian or Sub-Divisi
Coraer Lot Ins�tde Lot Setback .��� Sideyard ��. �
Sewer IIevation � Foundai3on IIevation
DESCRIPTION OF BUILDING
To Used �
Front Depth �� Height � Sq• Fk ,��� Cu. �� ,�j
DePtY► Height _� Sq. Ft ,��t � Cu. Ft �Gr
Type of nstruction � �� F.st. ���, '�°o )x Completed
In consideration of the issuance to me of a permit to construct the building described above, I agree to do
the proposed work in accordance with the description above set forth and in compliance with all proviaions of
ordinances of the dty of Fridley.
. �
In conaideration of the payment of a fee of $�'^"`°� , permit is hereby granied to
to constrvet the buflding or addition as described above. Thia permit is granted upon
the expresa condition that the person to whom it is granted and his agents, employees and worlunen, in all work
done in, around and upon said building, or any part thereof, shall coffiorm ia all res�ets to the orclinanc�s of
Fridley, Minnesota regarding location, conatruciion, alteration, maintenance air and moving of buildinga
within the dty limits and this permit may be revaked at any time upon vio�tion of any of the provisiona of said
,qrd�nancea � � �
Building Inspector
NOflCE:
This permit does aot corer t6e COASfNCH00� testapalloe Mr wiring, plumbias, eae heaHee, sewe� or water. Be wre M ses
fhs Buildine lospedor ior aeparate permlis for theae hems.
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�PPLTCaTION FOR BUILDING PF�
CITY �' FRIDLEY, �OTg
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No
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LO�ATION OF BITILDIIJG
Carner Lat _,,;�_Ineide Lot Setback Side-Yard
SEWLR ELEV�TIOIV FOUND�TION ELEVATION .i � � �e �e_s�
�pplicant attach to this form Cert3ficate of Survey of Lot ead proposed buildi.ng
location.
To be used as:
�
�.._ .
To be Completed
DESGRIPTION �' HIIILDIAIG
1 � � � � c �.�A�d
� �. Ft. 1 � `\ Cu. Ft. �-% � �C�
Front � � Depth �--� Height �'j
s�. Ft. �� cu. �t. �9 � �
Coet � �t� A- CQ �
The urideraigned hereby makes application for a permit for the work herein specif3ed,
agreeing to do all work in strict accordance witb the City ardinanoes and ruling of
the De�rtment of Bui].d3ngs, a,nd hereby declares that all the facts and representations
stated in this appl3cation are true and correct.
na� Qn � 0 0�, I� I�1(� I szc,�tg� l� Q�C.�� ���� �,P )
(A Schedula�'of
Costs can be found on the Revat�se Side.)
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BIIILDIlVG PERNiIT FEE SCi�DIII�
Section 2. The Inspector of Buil.dings ahall, before issu3ng any parm3t for the
erection of any �ilding ar structure, or for any addition to any exiatit�g bv31d-
-ing-or structvre, ar �or any elterations or xegairs to any exiat3ng building or
structure, upon e,pplication therefor, requ3re the payment by the applicent for
such permit of fees to the amount here3n below aet forth and in the m�►ner herein
proe3ded to-w3t:
2.1. For any such permit for the erection of an�r fire-proof building, other than
a garage, warehouse� factory or grain elevator� or for the erection of ang fire-
praof add3tion, for s3milar occupaacy, to any exist3ng building sha7.l be at the
rate of �1.4A for ea.ch one thousand cubic feet, or fraction thereof, in such
cub3cal contents. � _
2.2. For any such permit for the erection of ang fireproof garage, warehouse, �
factorg or grain elevator, or for the erection of any f3reproof addition, for
aimilar occupancy, to-any existing building ahall be at the.rate of $1.25 for
each one thousand cub3c feet, classified as "fireproof" by Section 502 of the
Minneapolis Building Code.
HQIISES
2.3. For an�r such permit for the erect3.on of any non-f3reproof bu3.1d3ng other
tha.n a garage, warehouae, factory or grain elevator., or any nor�fireproof
addit3on, for s3mi].ar occupancy, to any existi.ng build3.ng. Permi't �"1.00 for
each one thousand cubic feet.
GARAGES
2.4. For any such permit for the erection of any norr-fireproof gerage, warehouse,
factory or gra3n elevator, or �or the erection of any norr-fireproaf addition, for
similar occupancy, to an� existing building or for ea.ch such building or addition.
Ninet9 Cents for ea.ch one thousand cubic feet or f°raction thereof, in the cubical
con�enta thereof with a minimum of $4.00.
For the purpose of computing fees for building permits the cubical coatenta of any
building or addition to a un3form height throughout by multi�ly3ng the ground area
covered from a point s3x (6) inches below the floor line of the basement or cellar
to the average height of the upper.surface or to the average haight af �he roof
surface of the main gable of a pitched roof.
2.5. For repa3rs or alterations to an ex3sting structure,�the fee shall be at the
rate of �3.00 for ea.ch Five Hundred Dollars ($500.00), or fraction thereof in the
co_st of al.l propoaed �rork, .
2.6. In no case she11 the fee charged for.any pea�mit as set forth in Section a'be
lesa ttia.n �4.00.
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MINDER. ENGINEERING�, CO.,INC.
ENGI NEERS AND SURVEYORS
LANO svRVEY�n�O $OIl.9 TESTINO
GIVII. 8�, MIJNIGIPAI. EfJO1NEERINO LANO PI.ANNINe
6418-56T" AVENUE N.
MINNEAPOLIS 2T, M4NN.
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WE HE6tEBY CERTI�Y iHRT TH15 IS A TRUE AND CORRECT REPRgSENTATION OF A�SURYEY OF THE BOUNOARIES OF THE
LIWD P+BOVE DESCRI[iEp ANO OF THE LOCATION OF AlL 0111LDINGS � IF A�1Y, iHEREON , AND AL1. VI516LE ENCROACHMENTS,
IF ANY� FROM ORON sa►o u�NV. MINDER ENGINEERtNG CO., INC.
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DATEP TXiS 6� D►�Y OF �� ✓-Ar r+_ A.o.��SJ ENGIN'E R�/ ANp SURVEY �
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CITYOF
FR[DLEY
FRIDLEY MUNICtPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(612) 571-3450 • FAX (612) 571-1287
April 16, 1991
Myrna Toivanen
97 Craig Way N.E.
Fridley, MN 55432
RE: First Notice of Noncompliance at 97 Craig Way N.E.
Dear Ms. Toivanen:
The City of Fridley has established a City Code for the purpose of
promoting a pleasant and attractive suburban environment. A recent
inspection of the property at 97 Craig Way N.E. revealed that not
all Code requirements are presently being met. Listed below are
items which do not comply with the City Code:
1. Discontinue outside storage
along east side of property.
area, please review the
composting.)
of brush and yard waste located
(If you wish to set up a compost
enclosed regulations regarding
Your prompt attention in correcting this situation would greatly
assist us in helping make Fridley a better place to live. An
inspection will be conducted on or about April 29, 1991, to
determine compliance.
If you have questions or would like to discuss this, please contact
me at 572-3595. Thank you for your cooperation!
Sincerely,
Steven Barg
Code Enforcement Officer
SB:ls
CE-91-96
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SUBJECT P_ �T NO.-"�
City of Fridley �` � 2 2 7 7$
�
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T��� --- -
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RECEIPT NO.
� �
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� � COMMUNITY DEVELOPMENT DIV.
' j y _ ��
r � � PROTECTIVE INSPECTION SEC. ��
1 = �
� /�"1 � CITY HAIL FRIDLE� 55432 NUMBER REV. DATE PAGE OF AVPHOVEO BY
�""'� � �'' 612-571-3450 910-F15 8/5/94 � �
JOB ADDRESS
97 Crai Wa NE
1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. � 1 Pearson's C SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Andrew Luciw 97 Crai Wa E 5 4- 3
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL AODRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION � REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Reroof House (24 Sq) Tear-off
9 CHANGEOFUSEFROM TO
STIPULATIONS
Underlayment must comply with the State Building Code. Provide smoke
detectors adjacent to all sleeping areas and in basement.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE RE�UIRED POIi ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WOHK OR CONSTHUCTION ZONING SQ. FT. CU. FT.
AUTHORI2ED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WOFiK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES
AND KNOW THE SAME TO BE TRUE ANO CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT �1sHOO �.90
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. ��FI.00 Fire SC �I.BO
PLAN CHECK FEE TOTAL FEE
$43.70
N TUFEOFCO TRACTORORAUTNORIZEDAGENT IDATEi WHEN PROPERIY VALIDATED THIS IS VOUR PERMIT
.-- � l� 1� 9i
SiGNAT RE OWNER UF OWNER BUILDER� �DAP i ° BLOG INSP 4aTE
NEW
ADDN
ALTER
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Construction Address:
Legal Description:
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
C� �f� ��
���1�
Effective 1/i/94
�� � Z
Owner Name & Address: ��1� ��✓ `��i �✓ Q 7 C�' �� 1��� Tel. # �% �'� �'/ �
Coniractor: �C� rrv� � MN LICENSE #
Address: Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the prc�posed consauction drawn on it ta scale.
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
DESCRIPTION OF II�IPROVEMENT
Length Width Height
Length Width Height
Length Width HgtlGround
������
Sq. Ft.
Sq. Ft.
Sq. Ft.
Corncr Lot [] Tnside Lot [] Ft. Yd Setback Side Yard Setbacks
Type of Con�bruction: Esbimated Cost: $ �� `"
Approx. Completion Date: �
(Cost oa Back)
Driveway Curb Cut Width Needed: Ft. Ft = Ft x� $ _$
DATE: !� � APPLICANT: '�`— Tel. # �7Y'� y�-�
- , USE ONLY
Petmit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Contral
Paric Fee
Sewer Main Charge
TOTAL
$�{�, �� Fee Sche�iule on Reverse Side
$ • � .001 of Permit Valuation (1110th%)
$ ° Q $.50/$1,000 Valuation
$ $800 per SAC Unit
$ $5.(� (State Licensed Residentiai Contractors)
$ Alt. "A" or Alt "B" Above
� $450.00 Conseivation Ptan Review
$ F� D�termin�tl by Engin�ring
$ Agrcemeirt Nec�ary L l Not Ne�;,essary I l
$ � �%�
STIPULATIONS: � � � � `
y � ��r�^ � `0� � ���A ��7 ���� �� �� , �
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I3U[LDING PERMIT FEE SCHEDULE
"i'he Ctiief �3uilding Otticial si�al(, t�efore issuing permits for the erection of any building or �tnucture,
or for any addition tc� any existing huilding or structure, or for any atteraiion or repair to any existing
buitding or structure, u�n aPp(ication therefore, require the payment by the applicant for such �ermit
c�f iu:s tc� ihc amoun[ i�crcin t�clow sct fc>rth and in the mannen c�rcin �rovidccl to-wiL-
"I'O"I'AL VAI_UE
$1 to $500
$501 to $2,Q00
. $2,0p1 to $25,000
$25;001 to $50,OOU -
$50,001 to $100,000
$i0Q,001 to $500,000
r-rr,s
$15 (Minimum Fce is $15 plus surcharge)
$15 for ficst $SOp ptus $2 for each additional $100 or
fracbion thereof, to and including $2,000 -
$45 for first $2,000 plus $g for each additional $1;000
or fr�ction thereof, to and including $25,000 �
$252 for first�$ZS,OOp pl�s $6_50 for each addifional $1;OOQ
or fraction th�reof, t�. and including $50,000 �-
$414_SO for firs� $SO,OOQ plUS $q._Sp for each additional
$1,000 or fraditon t�tereof, to .and including $100,000
$63950 for f�rst -$lOQ,OQO plus� �3_SO for each addifional- '
$1,000 or frac�ion thereo� to and including $500,000 -
$SOO,OOi to $1,000,(?00� - $2039.50 for d�e f�rst $5�,000 plus $3 for each additional
$1,000 or fraclion thereof, to and including $I,OOO,OI}0
$�,�04,001 and up
$353950 for the 5rst $I,OD0,000 plus $Z for each additional
$1,000 or fractioa thereof -
DRIYEWAY DEPRESSION ESCROW
(Concrete Gtirb Streets Only)
Attemate "A": Removai and replacement of curb and gutter ouly - Driveway width plus b feet times
� $13_S0.
Alternate "E3": Removal and repiacement of curb and gut� and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $15_75.
VCRtFICATION OF FOUIYDAT[ON
Permits for constzuction wit! be issued a minimum of 24 hours from the time oF a��lication to ailow .
for proper review of tfie proposeci structure and of the const�uction site_
A Certificate of Sucvey of the lot, showing the location of the founciatioa once it has it has l�ecn
constructcci will be rc;yuircxt before proceeding with the iram]ng_
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�.� 1,_ �1_�,.� . i.._�. . � . -- -i_ � _. �__ .i..�it . _i _�.i���
T�te UIItIeTS1gIlP� �j� VC��S �� C�7C1StlIIg C}lll��► Ot S�BCIC:
1. Has been carefuUy examined Yes () No ()
2. Is fr� from ntst or deterioration Yes () No ()
3. Has no foreign objects lodged within Yes () No ()
4.
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Is secureiy supported
Me� all current Code requirements for size
and totai BTL►'s connect+ed
Has total heating BTU's of
All other BTiJ's
TOTAL BTU's
7. Has a liner b�n p�ovide�d for wa.ter heater
8. Has combustioa air b�n provided for wat�er heater
Ye.s()No()
Yes ( ) Ptv . ( )
Yes ( ) No ( )
Yes ( ) No ( )
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Remarks:
1 �s A-�'� �o��g�
HEATING CO:
Signed By:
Date:
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MEMOl�:ANDUM
PLAN1vING DIVISION
DATE: March 19, 1997
TO: FILE
FROM: Michele McPherson, Planning Assistant
SUBJECT: Nonconforming Properties Adjacent to East River Road
As a result of Anoka County acquiring additional right-of-way for expansion of East
River Road, this property was rendered nonconforming. Please refer to the attached
chart which indicates the extent of the nonconformity.
MM:Is
M-97-137
EAST RIVER ROAD PROPERTIES AFFECTED BY ANOKA COUNTY RIGHT OF WAY
�4CQUISITION
ADDRESS EXISTING NEW REQUIRED SETBACK CONFORMING
USE SETBACK SETBACK SETBACK TYPE
7845 East 97.02 ft 89.1 ft 35 ft firont yard yes
River Road
apartments
Apartment 46 ft 38.28 ft 35 ft front yard yes
garage
321 79�' Ave. 53 ft 36.3 ft 35 ft front yard yes
apartment
7948 East 32.34 ft 97.49 ft 17.5 ft side comer yes
River Road
132 28.38 ft 27.06 ft 17.5 ft side comer yes
Stonybrook
7950 East 34.65 ft 28.7 ft 17.5 ft side comer yes
River Road
Garage north 24.75 ft 23.76 ft 35 ft front yard no, before and
of above after
8051 East 41.91 ft 30.36 ft 35 ft front yard no, after
River Road
305 Liberty 93.06 f# 72.93 ft 17.5 ft side comer yes
440 Ely Street 79.2ft 61.38 ft 17.5 ft side comer yes
8161 Fairmont 93.39 ft 65.01 ft 35 ft front yard yes �
Circle
450 Hugo 73.92 ft 43.89 ft 17.5 ft side comer yes
8191 East 71.28 ft 40.92 ft 35 ft front yard yes
River Road , _
500 Ironton.;: 55.11 ft . 31'.15 ft.' 35 ft�.: :� front yard . no, after
97 Craig Way 47.5 ft 23.1 ft , 35 ft�: �- frorrt yard - no. after
7680 East ` 37.95 ft 13.5 ft 17.5 ft side comer no, after
River Road 38.94 ft 23.76 ft� 35 ft front
119 Craig Way 63.69 ft 40.92 ft 17.5 ft side comer yes
50.82 36.3 ft 35 ft front
7942 East 49.5 ft 33.3 ft 35 ft front yard no, after
River Road '
8080 East 58.74 ft 33.9 ft 35 ft front yard no, after
River Road
8100 East 50.16 ft 50.16 ft 35 ft front yard yes
River Road � �
Laundromat 31.68 ft 1.65 ft 35 ft front yard no, after
499 Glencoe 38.28 ft 8.58 ft 35 ft front yard no, after
ADDRESS EXISTING NEW REQUIRED SETBACK CONFORMING
USE SETBACK SETBACK SETBACK TYPE
8164 East 43.56 ft 14.19ft 35 ft front yard no, after
River Road
8180 East 37.95 ft 8.58 ft 17.5 ft side comer no, after
River Road , , �
8182 East 38.28 ft 14.19 ft 17.5 ft side comer no, after
River Road
8184 East 38.28 ft 14.52 ft 35 ft front yard no, after
River Road
8200 East 34.98 ft 9.9 ft 17.5 ft side comer no, before and
River Road after
510 Janesville 38.61 ft 12.54 ft 17.5 ft side comer no, after
421/432 39.27 ft 8.58 ft 17.5 ft side comer no, after
Ironton
461 Hugo 33.66 ft 3.63 ft 17.5 ft side comer no, after
Street
8114 Fairmont 36.96 ft 8.58 ft 17.5 ft side comer no, after
Circle
8102 Fairmont 33.99 ft 5.61 ft 17.5 ft side comer no, before and
Circle 33.99 ft 17.16 ft 35 ft front after
8104 Fairmont 35.31 ft 26.73 ft 35 ft front no, after
Circle
8027 Fairmont 21.45 ft 9.9 ft 17.5 ft side comer no, after
Circle 46.53 ft 17.16 ft 35 ft front
7899 East 52.8 ft 33 ft 35 ft front no, after
River Road 0 ft 20 ft hardsurface
7663 East 64.35 ft 34.65 ft 35 ft front no, after
River Road
Fire Station ` ���j �� �� � 0 ft: ; 35 ft front no, before and
• ' after
7701 East 80.19 ft' 62.37 ft. 35 ft ftont yes
River Road �
8061 Ea�t 90.09 ft 78.54 ft 35 ft front yes
River Road
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CITY QF
FR(DLEY
FRIDLEY MUN1C(PAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(612) 571-3450 • FAX (612) 571-1287
April 10, 1997
David and Rita Padilla
670 Dover Street
Fridley, MN 55432
RE: First Notice of Noncompliance of Fridley City Code at 670 Dover Street
Dear Mr. and Mrs. Padilla:
The City of Fridley has established a City Code for the purpose of promoting a pleasant
and attractive suburban environment. A recent inspection of the property at 670 Dover
Street revealed that not all Code requirements are presently being met. Listed below is
an item which does not comply with the City Code:
• Fridley City Code requires that all solid waste must be kept in 32-gallon secured
containers stored in the side yard, rear yard, or garage. It has been reported to me
that your location is one of several that has containers in excess of 32 gallons in
size and/or missing secure lids. Please inspect your refuse containers and verify
that they are in compliance with these code requirements.
We unde'rstand that you may have been unaware of this requirement. Correcting this
situation will greatly assist us in helping make Fridley a better place to live. An
inspection will be conducted on or shortly after April 26, 1997. Please have your
property in compliance at that time.
If you have questions or would like to discuss your particular situation, please contact
me at 572-3595. Thank you for your cooperation!
Sincerely,
Kurt Jensen-Schneider
Code Enforcement Officer
KJS:Is . CE-97-96
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CHIlVII�TEy AND STACS VERIFICATION
The undersigned hereby verifies that the existing chimney or stack:
1. Has been carefiilly exaznined Yes (�) No ()
2, Is free from nist or deterioration
3. Has no foreign objects lodged within
4. Is securelY �PP�rt� �
5. Meets all current Code requirements for size
and total BTU's connected
6 Has total heating BTU's of
All other BTU's
Yes ( ) No ( )
Yes()No()
Yes()No()
Yes()No()
TOTAL BTLT's
7. Has a liner been provided for water heater Yes () No ()
8. Has combustion air been provided for water heater Yes () No {)
Remarks: .
List ALTERATIONS Bein� Done:
HEATING CO:
Signed By:
Date:
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FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS
COMMON VENT. VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When reulacina an existina furnace, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstn,ictions,
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 cuRent codes and manufacturer's specifications. This does
include AGA-GAMA Category I Central Fumace Venting Tables for fan
assisted and natural draft appliances.
_?h� existina combustion air is sized �nd_installed to meet the current codes
and manufacturers specifications.
When required to install a new combustion air, it will be sized and installed
to meet the current codes and manufacturers specific�tions.
Yes ( ) No ( )
Yes ( ) No ( )
Yes ( ) No ( )
When installina a new ventina svstem, the undersigned hereby verifies that
it is a listed assembly and meets the cuRent codes and manufacturer's
specifications. This does include AGA-GAMA Category I Central Fumace
Venting Tables for fan assisted and natural draft appliances. Yes ()
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.
No ( )
Yes ( ) No ( )
Appliance Tvpe 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• (Describel
HEATING CO:
Signed By: Date :
3uilding
rnspections
763��572=3604
BUILDING
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
�ATE � ` � � o �O YOUR E-MAIL ADDRESS
iITE ADDRESS
"HIS APPLICANT IS:
PROPERTY OWNER/
TENANT
CONTRACTOR
SUBMIT A COPY OF
YOUR STATE LICENSE
WITH APPLICATTON
� PROPERTY TYPE
PERMTT TYPE
TYPE OF WORK:
O OWNER OCONTRACTOR
N,v�: g- �,✓ �,���k �
anD�ss: �' 1 C�e,�+ � Lv � y ov �crrv ��'d 1e
PHONE: ��0 3 �� .� L`� � " � �i �J ai
Permit No.:
Received By: \
Date Rec'd• � ° � - �� �`=�
5'� �f 33-
STATE LICENSE # EXP DATE
ADDRESS: CiTY STATE ZIP
PHONE FAX
FANIILY/NEW CONSTRUCTION
❑ BASEMENT FINISH O R�F
❑ DECK �SIDING
O SWAqvIDQG
�
O DRAIN TILE
0 OTHER
DESCRIBE R�ORK BEING DONE:�F,u �) S i d, N ca
SIZE OF IlvIPROVEMENT LENGTH WIDTH _ HEIGHT Sq. Ft
NUMBER OF SQUARES _
GARAGES
PROPOSED STZE:
PROPOSED HEIGHT:
SIDIIVG
�❑ Afuminum
❑ Other
O HOUSE & GARAGE
❑ ATTACi�D GARAGE
O DETACI�D GARAGE
��
na�
ascia
R'WDOWS
IN E3QS'l7NG OPENINGS DYes �IVo LACATION OF WINDOWS
OR FOR NEW OPEMNGS-DESCRiBE SIZE OF
OPENWG CHANGES &
NUNBER OF
BASENtENT REMODEI..ING SUBMTf:
1. Existing Fi�r Plan
2. Proposed floor plan
3. List of strucwral members to be used
FOR NEW CONSTRUC170N INCLUDING DECKS,
ADDITIONS. & PORCHES SUBNIIT:
1. Site P1azJ3urvey showing d�e existing struc4ues
and proposed project
2. Two sets of construction plans
3. Eneigy Calculations
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING TI� 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $��U �`�' " OCCUPANCY TYPE
Permit Fee
Plan Review
Fire Surcharge
Surcharge
License Surchazge
SAC Chazge
Curb Cut Escrow
Erosion Control
Pazk Fee
Sewer Main Charge
Total Due
$ � S3. �
$
$ `"1,
$ �,'� .'1 �
$
$
$
$
$
$
See Back Page for Fee Schedule
65% of Building Permit Fee
.001 times the total job valuation
A005 x Permit Valuation Minimum $.50
$5.00 (State Licensed Residential Contractors)
$1550 per SAC Unit (Plans to MWCC for determination)
ft+6ft= ftx$21=$
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checks �avable to: Citv of Fridlev Attach
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acl�owledge that the information above is complete and accwate; that the work will be in
conformance with the ordinances and codes of the City of Fridle and with the Minnesota Construction Codes; that I understand this is not a
permit but only an application for a permit and work is not to s�'art without a permit; that the work will be in accordance with the approved
plan in the case of all r c h requires re iew and appr va1 of plans.
SIGNATURE OF APPLI ` - c���PRIN? NAME ` iy�✓ /7 � � r�l �.��C� DATE_ _� " % `� G
Page 2- Building Residentiai Application
��
BUII..DING PERMIT FEE SCHEDULE
The Chief Buildi.ng 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 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:
VERIFICATION OF FOUNDATION
Permits for construetion will be issued a minimum of 24 hours from the time of application to
a11ow for proper review of pmposed 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 framin.g. New Houses Onlv
City of Fridley
$uilding Inspections Department
6431 University Avenue NE
Fridley, MN 55432
763-572-3604
Fax: 763-502-4977
�
.:
�..i��F
FRtDLE.Y
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 � FAX (763) 571-1287
BUILDING PERMIT APPLICANT: PROPERTY OWNER
I, n� N��� yrrv�N sk i understand that the State of Minnesota
requir s that all residen ial building contractors, remodelers and roofers obtain a state
license unless they qualify for a specific exemption from the licensing requirements. As
the owner of the property at �°� C��; �, ��y N� , Fridley, I
am exempt from the state licensing requirement only if I am not building or improving
this property for purposes of resale. By signing this document, I attest to the fact that I
am improving this house for my own use and do not intend to sell it. I hereby claim to
be exempt from the state licensing requirements because I am not in the business of
building or remodeling on speculation or for resale and that the house for which I am
applying for this permit, isl the first residential structure I have built or improved in the
past 24 months. I also acknowledge that because I do not have a state license, I forFeit
any mechanic's lien rights to which I may otherwise have been entitled under Minn.
Stat. 514.01.
Furthermore, I acknowledge that I may be hiring independent contractors to perForm
certain aspects of the construction or improvement of this house and I understand that
some of these contractors may be required to be ficensed by the State of Minnesota. I
understand that unlicensed residential contracting, remodeling, and/or roofing activity is
a misdemeanor under Minnesota law, and that 1 would forFeit my rights to
reimbursement from the Contractor's Recovery Fund in the event that any contractors I
hire are unlicensed.
I have also been informed and acknowledge that by listing myself as the contractor for
this project, I alone will be responsible to the City of Fridley for compliance with all
applicable building codes and city ordinances in connection with the work being
perFormed on this property.
N me
Date �` �— 0 �
Building 1VI�. + CHANICAL Permit No.: j
Inspections R�+ SIDENTIAL APPLICATION Received By:
7. 63-572-3604 CITy OF F�LEY Date Rec'd: �' �
DATE d -- I e�i—��p �i _ YOUR E-MAIL ADDRESS
SITE ADDRESS �, CI�i r]'- L:%I� /��. -��i � S'Z,.°�I � Z.
THIS APPLICANT I5: O OWNER �ONTRACTOR �
PROPERTY NpME; L
OWNER/ ADDRESS: Sat�l'h�C.- C1TY STA ZIPS�.�Z
�N� pxorrE: �G3 —�'v�- —� 9��
CONTRACTOR COtv�P..�NNYN,s.Iv�� . " , `, ° ,-��' "� `a°, � " -
Y . ,� °° /�
CONTACT PERSON � ` '� � '� ��"� � !" S T11 d�
SUBMIT A COPY OF °'� �� '"�
YOUR STATE STATE LICENSE # �=�'s r�' �"3�_`��
LICENSE WTI'H ADDRESS: .-� �*��-r�� �� ��r� �.,-,�.� ��r�e �e.�'�5(Q� STATE ZIP
APPLICATION PHO� —�°� � � �' FAX
- - -- — - - , - -- -
PERNIIT TYPE �'�GLE FAIvIILY ❑ TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK: � �W �`°�I'p'CEMENT ❑'4LTERATION/REMODEL
DETAILED DESCRIPTTON OF WORK
PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to 5500.00, 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 $500 = cost of labor x.OS =
FOR PROJECTS WI�RE IABOR EXCEIDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXT[JRES: (II�iDICATE TOTAL
NUMBER OF EACH BELOV�
EquipmentInstalled . MFG: ��Q� MODEL: �� �%l/E�%%f�� SIZEJBTU
MFG: MODEL: SIZFJBTU
MFG: MODEL: SIZFJBTU
A/C 525.00 FIREPLACE (GAS) $15.Q0 . GAS RHNGFJOVEN 510.00
AIR TO AIR EXCHANGEER $IS _FIREPLACE (WOOD) 535.00 NEW GAS GRILL $10.00
_BOILER $35.00 ,�,FURNACE $35.00 _GAS UNff HTR $10.00
CF•IDv�iEY LINER $10.00 _GAS DRYER $10.00 POOL HEATER $35.00
DUCT WORK $10.00 GAS PIPING $10.00 VEI�Ta.ATOR $15.00
��'`��1�':{���.�,� _.. `�,f., ��,�. , , � � ..;�,;�����.; ��_ - �.� �� . ��A�:
. . __ . .. . .. �. ...
Permit 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$35.00 =$,� SDo
State Surcharge = $ .50
Tota1= $�
THIS IS AN APPLICATION FOR A PERM�T-NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is complete and accwate; that the work will be in
conformance with the ordinances and codes of the City of Fridley and with the Minnesota-Construction Codes; that I understand this is
not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the
approved plan in the case of all work which requires review and approval of plans.
SIGNATURE OF APPLJCANT �✓/ PR1NI' NAME /���1 S��T_DATE IU �I �°d �
.. .
. .�L��E:�'i� ' __: .Y.. .: . .... . :E��'S� A�t:E. 4i.?IR�3) �?PR�L�i�IN����� . ��,� : : .�.��"�?�<'�: �4:�
(.ity of N�ridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FA��: 763-502-4977
�.
REQUIRED INFORMATION NEEDED TO PROCESS PERMIT
RESIDENTIAL PERMIT APPLICATI�N HVAC �
❑ NEW HOMES/ADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR
REQUIRED FOR NEW/EXISTING HOMES
1. Combustion Air (See note below) .
� Oil or solid fue11MC Chapter 7 with MN Amendments
b. Nalural Gas or Propane/IFGC Chapter 3 with MN Amendments �
2. Make-up Air (See note below)
a. 1MC Chapter 5 with MN Amendments
3. Venting
a. Gas appliances 1FGC Chapter 5 with MN Amendm.ents
b. Fuel other than gas IlVIC Cha.Pter 8 with MN Am��ents
REQUIRED FOR NEW H�MES
4. Heat loss & cooli.ng load per room
a Required on new conslruction IMC 1346.0312
5. Ventilation . �
- — -- a. Per a6-7�- - - - -- -- - - - --- - -
6. Duct Design Per 1MC 134b:0603.2
a. ACCA Manual D
NOTE: Centerpoint Energ3� Mechanical Code Guidelines software may be used for
comb.ustion and make up air� calculations