AF - 42794;i !
City of Fridley, Minn.
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BUILDING PERMIT N� 7029
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oa►ner: _ _. ._.._ Eu3laer ... _. _ .___..__.._._..._..___.__ ._
Adclresa_..._.___._.�._._.._____. .._..._._.._....___...._._..._._.._._ Address ..—..._. __________ .....__....___.__.._...._...._._____._.
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No. _____.....__._._._.. Street � ._. . ...__ .. ...w.. _ .�(�..,r._._ Part o! t _._. __..._ ._.._
Y .._� _
Lot d__.C!' ���__ Block _�._._� _.._____......_. Addition or Sub-Divisi �•-••-••• c�� — !�
Corner Lot � Inside Lot �'!� Setback .�.� .._._._.._ Sideyard _..__._.�.�� �I
Sewer Elevatlas► — Foundati� Elevation
DESCRIPTION OF BUILDING
U�d �
FY+ont �� Depth ��Hei�t � Sq. Fk �� Ci�. FL ��,�-�!`
_. Depth _..__ eight .��_ Scl. Ft. _M_.�..�. Cu. F't _._
Type of Constsuction ._._ . .. � Es� �1..�.�_..��. To be Completed _..�._�...:._._._...__._._.
OUTSIDE AFPEAf��.f!CE GF TH"S �U�L�fi�!U '(;�T E� O+:
APPROVED YARIANCE iNITN OTH�Fi BUILGiI�GS ��'V ffij�
GLt;CK.
In coe�dderation o! the issuance to me of a permit to carisstruct the building descrlbed abave, I agree to do
tha propoeed work in scc:ordsnce with the d�scription above eet forth � compliance with all pro�viaions of
amdinanoea o� the city o! Fridley. .
In cansideration o! the payment of a!ee o! ��_� permit is hereby granted to_._..
to oonstruct the building or addition as described above. This permit is granted upon
the exPresa oondition that theperson to whom it is granted and his agents, employees and worl�en� in all work
done in, aroiuid and upoa safd building, or aqy gart thereof, shall oonforrn in all respects to the ordinsnoea a�
Fridley, Minneaota r�gardin� locatio� conatruchos�, aiteratio�, maintenance, repair snd mavin8 of buildinga
wn'o�� dty ]imfts and ttns permit may be revoked at aqy time upai viola� of any of the grovisioais oi sa�d
Building Inspecta�
NOTICE:
'�it p�ewM doa �e1 eewr fM ieeMroallo�, i�hllMke fer w4i��. P�W N� �Y. aw�r x wM�r. b� wn fo sN
16� lriWi� 6upKlor for � p� fe► t�� 11�.
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Lot'. 1(,� Y:l.t ,Block. �� . ��d�,fii�R�fo� Subd��riP�om,:,U� k?►1.!�.,. 1�I�,q�::E ,�� n p
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3Bii8R BI,E.V�iTION FOtJlQAATI0�1 BLBVATIO[t
Aggli.c�aa� ; �Ct��tt �o�,Qbia ,�o�R; �'K� �iA���:fi�at� o€ �Sc��,►v��t : ot ��t aa�d ,p�.opc»ed build-
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� DBSCRIPTION OF BUII.DIDiG ,
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To be uatd as:
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, ..: Front Dspth Height
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, . . , . $�1-� �t;. , , ,,w ,�.r:, ��f.�.,
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. Type of, �onstrucZ�.on� �'►R:�wt-_L� ; i � .Est�psC�ncl �lil� '� y°�ODQ :.o c�
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. To be Ccioo�plsted
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The underaigne$ hereby makea applicatio4; �ra�k;�� far the���atk �rai�. specified,
agreeing to do all work in etrict accordaace �rith tha Citq of Fridley Ordinances and
ruliags, ef;the-: D+�ar;tme�t;;4�,&��.d�8:, ,a�d�tbezsbY d�ll�t�s thz� �1 ,the facts and
represeatatiops� atated in th�s �applicatioa are t�s, /udd�.c.osrt�t: -
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DATB Y�v 'S I�
�Scbedule of Fee Coste can be found on the Severse Side).
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BUII.DING PBxMIT F8E SQiBDtJLE
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$re�tian 2. ?he '��+Et�c� o�' Buildiaga shall, before isauing aay permit for
, the erection of any building or atructure,_or for any additfon to any exist-
iag building or sts�'�i�e; 'ar foF any alteretions or repaira to ar�r existing
buildiag or sts�ucture, upon application therefor, require the payment bq the
applicaut for such permi.t of fees to the amownt hereia below set forth and
in the �anner hereia provided to-wit:
_ . _..._ . ... .
_.._ ..._... .. . ..�.._. ...___._ . _
2, 1_ For any such permit for the erectioa o.f any fire-proof building,_other
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�h�n ._8 8gr8Ses__w��ehsa��.?�. fat��r�-.ur_.graia,.nlevator,. or for. the erec�aY 'of
auy fire-proof addition, for similar occupaacq, to anq existing building
' ehall be at the rate of $1.40 for each one thousa� cubic feet. or fraction
thereof, in such cubical=-�COaC��e�: �
.. . _�;,_=`°F�►'r'a9JL..�uc�_pe�rqp:�,',C:EQ�__�h�...�z�ctfea o�. any #i=e-gxocf garage,_�war '' e,_
factory or grain elevetor, or for the erectfon of any fire-prooi addition,
for s,imilar occaps�c.�r; �� auy - exieEi�g- buildiag s.ha�l._be at the rate of $1.25
for each oae thousand cubic feet, clasaified as "fireproof" bq Sectioa 502 of
� the Mianeapot��� �'�u�8�. ��. �: , -
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HQUSBS ; ; < <_; : : • . - _
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= 2.3:==���B,c�r +�y•sucb p�t�ta�it"-f�r ����r��Efe�ia ai��atzy"�tigfr�proof iiuildirig othex
than a garage, wareh�se, factorq or=�ain`-e��ttiz,'or anq aon-fir�proof
additiaa, for similar occupancp, to any existiag buiiding - permit $1.�0 for
each oae thousand cubic feet.
GARAGB5
2_4.� For any such permit for the erectioa of any non-fireproof garage, .-
warehoua�e' � . ,
�..fsrcto�cy.. p�_8���,n e�exatos, c►r fo�i°�=the. erectioa -of sny ao�-#�eprdo�f
additias, €ar-similar occupaacy, te aay existing building or for each such
.._ __. buildin�, ar _addt�iou;�:-, n�.nety--ce��s_ �$Q.90�� f�3'r` each oae thausand cubic feet
or fraation thereof, in the cubical coutents thereof with a minimum of $4.00.-
__
For the purpose of camputiug fees for building permits, the cubical coatents
of any buildia�: o�.� $ddit�.pp tct �. yutit+ozm height throughout by multipl�ying the
ground area covered frem a poiat aix (6) inches below the floor line Qf the
basement qr ce��r �ta tlre avp��,g�_ heigbt o�_ tz'�e .eigper..surfa+ee �or to tiie :. --
average height of the r'of surface of the maiu gable of a pitched roof.
2.5. For repairs or alteratioas to an existing etructu�ce, the fee shall be
at the rate of $3.00 per each Fiva Hundred Doilars ($500.00) or fractioa
therecf . iai Eiw� � caat �f �� all � @�oPcsed � wbrk. '- ' = _ '
2.6; Zn �b +e� sha�,l�the ��_che9cged :for.ait�r'�ermi�=a� set forth in
Sectioa 2 be la��.a tiwa� ��: ;. . :_
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LAND SURVEYORS
' Anoka, Minnesota
CERTIFICATE OF SIJRVEY:
c103EPH �u1AC 1 ASZEK
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LOTS IO ANO II, BLOGK I
OAK GROVE AOOITION,
ANOKA COUNTY� MINNESOTA
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I HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESBJTATION Or A SURVEY OF TNE dOt�JDAkIES Of T4� AWVE
DESCRiBED LAND, AND THE IOCATION OF ALL BUILDINGS, TMEREON, AND ALL VISI6LE ENCROACHMBrTS, IP ANY, FROM OR ON SAID
LAND.
AS SURVEYED BY ME THIS .. �.. s T....... DAY OF ............. . M A Y ....................... A.D. 19...�I.S1;..
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N. C. HOIUM AND ASSOC�ES, IN LAND SURVEYORS
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City of Fridley, Minn.
BUILDING PERMIT
SEPTEI�ER 23, 1966
Date: _..____.�_.._.__._._..____________.
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Owner: RICHARD E. DIEHL _ Bu3lder _.._ KEITH DAI�.EN..__._..._._.._._....__.�.__..._._._._...
�� 6631 F��$� �1',BEF�N_E..___.�_._._ Address �.�.�+� Ttai n L�...Shn��_._...._...._.__..._
FRIl7LEY, MIPRESOTA 55432 Minneauolis. Minnesota
LOCATION OF BUILDING
663I FRIDI,EY STREET N.E. ..-----.._. Part of Lot ...__.._.___�_.._...._.._._�__._.._.r.__._
No. ._._....._._.._.._........ Street __.._._...__.___..__.__.._.._.____.._......___....._.._........_.
Lot ._ 10 Snd_._11Block _..�..__...�._.___---..._....__ Addition or Sub-Divisi� ._---.._4�_5�.�.QS.�1 'a.._..�._.__..�_.�
Corner Lot ___...__..._..._ Inside Lot ...____._...._....___._._.. Setback ..____._..._....___.._._ Sideyard _._._�.._.._..—_..____._.. .—..
Sewer Elevatiam _._....—._.._.__.._..._....._._��_�___..�.._.._._ Foundation IIevation
To be vsea as:
ATT. GARAGE ^ �t 20'
PORCH __.` Fr�t ? 0 �
Type of Consttruction _.._.. � .
DESCRIPTION OF BUILDING
Depth 22 � Height 10'.� Sq, �, 440 �, �, 4_, 400
Depth ? 0� Height 1 �� Sq. F't. _.��_ Gt�. F'L 4, 000
__.. E�k Cost �._� z5 00 ..00._..___ To be Completed .._._. _
FROST FOOTIftGS REQUIRED
In conaideration o! the issuanoe to me of a permit to co�struct the building described above, I agi+ee to do
thp ProPoQed work in acx;ordance with the description above set forth and in cwnpliance wlth all pravisions o!
ordinancea o! the dty of Fridley.
in camsideration of the payment of a!ee of �$• 00 ...._..__.., permit is hereby granted to RICHARD E_
DI� to c�struct the building or addition as deecribed above. Thispe rmit ia granted upost
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work.
dar►e in, around sud upoa� said building, or any part thereof, shall confarm in all reapects to the ordinsaces o�
Fridley, Minnesota regarding location, constructiaa, atteration, maintenance, repair and mavin8 of buil�ings
within the dty ]imits and this permit may be revoiced at any time upon violation of any o! the P�vieians of sa�d
orainanoea
CLAREIQCE BELISLE Buildina Inspecta�
NOTICE
ihis p�emM do�s nw eewr tla aessMueNa, t�uqpNien for wt.tsa Pw.�a�a oas t�..x��, s.wK er w.�... !� suh h sN
1h. eYtWLp �.rp.aor for ap.nf. p�ils for fl� B.na.
.. _ s .
APPLICATIO� FOR BVILDING PBRMIT
CITY OF FRID�LEY, M�NNB50�A
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OWNER'S.NAME $UILAE&� V �
ADDRESS b�o 3 ADDRBSS�� 7�l�l��'V� �� �OC('S
TION OF BUILDII� .
N0. 6631 .. s�$�r 1��� PART OF LOT
LOT /��/ BLOCK ADDITION OR SUBDIVISION C Z`�i A�'���-�
CORNER LOT INSIDE LOT SBTBACR SIDE-YAitD
SEWER ELEVATIOTT FODNDATIOR ELSDATI�
Applicant attach to this form Two Certificates of Survey of Lot and propoaed��
building location drawn on these Certificates. __�
DBSCRIPTION OF BUiLDING
To be ,usQd as ;
t� � ' a �
G0.t'c� c�O _ Front �� nepth a1a Height� ,
Sq. Ft. �� p. Cu. Ft. � Od
' 1
PO�S,�t� Front a.0 � " Depth ���,fleight g�(��?%X)
Sq. Ft. � QD Cu. Ft. 3aU0
� � dm
Type of Construction WOO ,�p_1 Estimated Coet 5��
---� --�--- - .
To be completed �� I O 31 �oFo S`f'I ,A�% � '
'�T_ T ,
The undereigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City of
Fridley Ordinances and rulings of the Department of.Buildings, and hereby
declares tha.t all the facts and representatious stated in this applicati,oa
are true and correct,
DATE_q� �
(Schedule of Fee Costs can be found on the Reverse Side).
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BIIILDING P$RMIT FEE SCEIEDZTLB
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SB_ GTiON 2. The Inspector of Buildings $hall,.,before iseuing aay permit for
tha erection of any buildiag :,�r° et�,rticti��e�, � or for any eddition ta eny eaisting
building or struc�ure, or for anq�alterations or repairs to any existiag
buildiag or et�a�ture� upan, applicat,ion: �t�hqCe$ore,; reqaire the parymt�nt by the
applican�.#d�. �ulh �imi��, o�_ fees' �ii the _ aa�b�t� h�eia� b�1�v s�G ��f�h and� in'
the manner t�erein prov�d�d �o�it; .
. :_
. _ .. . ..._ :
2� For a�y such permit fo'r�the erection of any fire-proof building,
othei thau a garage, warehouse, fac�orq or grain-elevator, or for the erection
of �eny fire•proof_,addition," for simil,�r xcupancy, 'to aity esieting buildin�,
sha11. be at. the rate c3f �1.44 #ar eac�c..bne�_�h�d c��,c' feet, .or fractid� --
.thereof, in such cubical conteats.
2.2 Far_any such permit for the erecti,an of any fire-propf;garage,,
warehouee,.-€�ctory or.grain eievator, or`for the erection of any fire»proof
addition, for similar oc�upancy, to any existing building shall be at the �.
rate of -$k��3; for each one tliousand `cubfc #eet, ciaasiffed as "Hreproof"
by Section ,5Q2 of,. the ;Minneapol�e. Bu�lding Code.
HOIISES ... .. �: .
2.3. For an.y,such permit,.for,..the ere�tion of .any non-fireproof
building other�than a garage, warehouse, factory oir"grain elevator, or
anq non-fireproof addition, for similar occupancy,`to any existing building - ,
permit $1.00 for each one thousand cubic feet.
GARAGES _.. _ ..-
_� . .
2.4.- Fbr any such permit #dr'ti�e erection of aay non-fireproof garage,
warehou��, factQ�cy dr�ra�a elevator, or for thQ.erection of any non-fire-prnof
adtl�l�o�; for�similar occapancq,- ta any eaisting�building or for each such`
building or �d��,t�.oa - ninety cents �A.Q4) for each one thousand cubic feet
or fraction th�reof, #n the cub3ca�--con"tdnts thereof with the minimunn of $4.00.
For the purpase of com�uting�feea'for bufldfng �ermits� the cubical contents
of any building or addition to a uni�o�m height t� ughout by multipl�ing the
grouad eres- covere� from a- point �i�c `($��'.`��4c�ies below the�� floor lit�e of the`
basement or cellar to the average h�ight of the upper surface or to the average
height of the roo� surface o,f the.main gable of a pi�ched roof..� .
2_5. For�=epaire or e�texations to an existing stxucture, th�. fee e:nall
be at the rate �$3:00� per each`'Five Hundred Dollars ($500.00� o�r i�ractivn
thereof in ttie'cost of alY proposed wo;k. '
2.6. . In no casp siiall t�he fee charged for any penuit as set forth in
Section 2 be i;ess th$n $4.00. ,.
,
_ .�.: . _
� - ,. _ . _ _ _ _
STORM REPAIR DAMA�GE FEES: ' ,
Residentiel; Eatimated Cost of work up to $S�t1,!!� - 55.�?�
Estimated Coat of work over .^,:'.- ::.`. �::� -;�;. ;,., �•0
Commercial; Estimatecj��pst of wo*?�. •���: :�, ";�"���'• `��� r�,��
Estimated .,ost of wui'•_t oz�ar ;;.:�i;t:.i��! - Y�i,• J
J
. • 1.' � a R • . �
`_ __ _ . �..... . . _.... .. . � . _ __._ ..-----
SUBJECT P .
City of Fridley + 16 5 3 2
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T �
r
; � RE .
• COMMUNITY DEVELOPMENT DIV. /�'
r � v � PROTECTIVE INSPECTION SEC. � G'-'1 �
� �
� , 1 I
� � ��°1 � CITY HALI FRIDLEV � 55432 NUMBER REV. DATE PAGE OF APPROVED BV
�'""'� � ,'� 612-571-3450 910-F15 4/21/$2 � /
JOB ADDRESS 6631 Fradle Street N.E.
�
1 IEGAL LOT NO. BIOCK TRACT OR ADDITION SEE A7TACHED
oescR. Lot 10-11 Block 1 Oak Grove Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 1 73
Russell L. Williams 6631 Fridley Street N.E. X��[X���i#
3 CONTF{A�IOR MAILAODRESS Z�P PHONE LICENSENO.
� rne
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
residential
7 CLASSOFWORK � NEW ❑ ADDITION ❑ ALTERATION L#' REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
re- roof
9 CHANGE OF USE FROM TO
STIPULATIONS
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE RE�UIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING. S h 1 ii � C
THIS PERMIT BECOMES NULL AND VOID If WORK OR CONSTRUCT�ON ZONING S�. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITH�N 60 DAYS, 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 GAfiAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVEFNING THIS TYPE OF WORK W�LL BE COMPLIED
WITH WHETHER SPECIFIEO HEREIN OR NOT. THE GRANTING OF A PERMIT � OOO .5�
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING C� yQ� ��. 5O
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. '�'�
PLAN CHECKFEE TOTALFEE
IO.UO
SIGNATUAEOFCONiRACTORORAUTMORIZEDAGENT 1DATE1 W N PROPE VA I A D �S IS YQUR �ERMIT
� • ' y�v� �,� � Y a 8
� ,u.e.e p p� ( � L
SiGNATUREOF�WNEAII OWNERBUiLDERi iDATE� LDG iNSP DatE
CITY OF FRIDLCY Effective Aug. 1, 1981
APPLICflTI�J FOt� RESIOL"i�TI/1i_ t3U1LDIf1G PCRf�IITS
(Ne►�, Alterations, AddiLions, or Repairs)
ONJNER: 1%1% �°. �j �'��
ADORESS: 6 �.
TEL NO: . �7/ '��%%�
• ST7tITT NO: � 6� � STItFET:
' I3UI LDER : O-�.�J-� � , ,
RDDRCSS:
TEL f�0:
Construction Location
IAT: . BLOIX : ADnI�ION :
Corner Lot: Insic3e Lot: Setback: Sid�yards:
Ap,�licant attach to this form two Certificates of S�rvey of lot and
proposed building �ocation drawn on certificates to scale.
DESCRIPTIOi�' OF COIJSTRUCTIOW
�� Front: Depth: Neiqht:
Square.Feet: Qibic Feet:
_ Front: Depth: Height:
Squar.e� Feet: Gvbic Feet:
��
Rype of Cor,struction: Estiunated Cost: $T_ddC�
Zb Be Wr.�pleted:
Alt. A Alt. 8
Proposed Drive«ay Width If New Openinq Is Desired: $� $
. SE� REVER;E SIDE OF SiiEET
ZSie undersigned hereby ma3:e� application for a permit for the ��ork herein specified,
agreeing to c3o .all work i.r► strict accorda,nec Y�ith the City of Fridley Ordinances Pazd
rulii�gs of tl�e DeZklrbnent of Builc3ings, and hereby declares that all tl�e facts and
represr�tatiens stated in this application are txue and correct.
D.�TL�: SIGNhTUItE :
Stipulations:
.,S�c� ` 1 �.'Sv
� �o
/�. a �
�,.
�
BUILDING PERMIT FEE SCHEDULE
The Inspector of buildinqs shall, before issuing permits for the
erection of any building or structnre, or for any addition to any
bxisting building or structure, or for any alteration or`repairs
to any existinq buildinq or structure, upon application therefore,
require the payment by the applicant f or such permit of fees to the
amount herein below set forth and in the manner herein provided to-wit:
TOTAL VAIdJATION
$1.00 to 5500.00
5501 b� $2,000
52,001 to $25,000
$25,001 to $50,000
$50,001 to $100,000
$100, 001 an�d up
FF.ES
$10.00 Minimum Fee $15.00 plus surcharge
$10.00 for the first $500 plus $1.50 for each
additional $100 or fraction thereof, to and
including 52,000
$32.50 for the first $2,000 plus $6.00 for each
additional $j.,000 or fraction thereof, to and
including $25,000
S170.50 for the fizst $25,000 plus S4.50 for
each additional $1,000 or fraction thereof, to
and includinq $50,000'
$283. 00 for the first $50, 000 plus $3. 00 for
each additional S1,000 or fraction thereof, to
and including $100,000
$443.00 for the first $100, 000 plus $2. 50 for
each additional $1,000 or fraction thereof
PLAN CHECK: 25 percent of buildinq pezmit fee
DRIVF�IAY DEPRESSION ESf�tOW: Concrete C�rb Streets Only
Alternate "A": Removeal and replace�nent of curb and gutter only
Driveway width plus 6 feet x$13.50
Alternate "B": Ranoval and replacement of curb and qutter and install a 3 foot
wide approach with 6 inch depth
Driveway width plus 6 feet x$15.75
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours froan 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, shawing the location of the founclation once it
has been constructed will be required before proceeding with.the framinq.
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CITY OF FRIDLEY TEL� 612-571-1287
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,�!-IE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE
' ' APPLICATION WILL BE RETURNED
(`ptislL�pl� <�I�T� ��I��T CnI�I�ECTQR Af�D �MB( ISTinit AIR VFRIFICATICYN
�� ��� an _Yicfin�,�p�, 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 y` No O
The venting system is plastic/PVC and meets all current codes and manufacturer
speafications 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
indude AGA-GAMA Category I Central Fumace Venting Tables for fan
assisted and natural draft appliances. Yes No ()
�1e PY G�1 �nr�t���tien a�r is sized and instalied to meet the cuRent codes
and manufacturer's specifications.
Wh8f1 t�@(�UI(Ed t0 �^�all a new _emhu_ctien air it will be sized and installed
to meet tiie current c�des and manufacturers��afic�ti�rts. - -
yy�� jp�p� a new ver�tinpyuC P-fll� the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturer's
speafications. 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 �
Yes ( ) No��
�
iFes o ( � -- - -- -
Yes o ( )
an appliance has been removed from the common venf and vented "
separately as per cunent codes. Yes ) No ()
�nli nc� T� e..d S'�p/ emmon �!en and �� n onnec+er Infermatinn
Appliance #1 Type ����� _ BTU Input ��y�� Fan Assisted o�hMt
Appliance #2 Type �����-�J �l�rt- BT'U �nPut � F�ed or Nat
Appliance #3 Type BTU Input Fan Assisted or Nat
Total Appliances �. Total Btu Input Ba�v►�
Common Vent Type ��'►^i �Fent Height /S � Diameter �S �• �c.qes
AppGance #1 Vent Connector Height 2 ft Length '� ft Diameter � in Type G
Appliance #2 Vent Connector Height -�ft Lengfh �—ft Diameter �in Type c
Appliance #3 Vent Connector Height ft Length ft Diameter in Type N
� 1 r • ► �,- . •;-
HEATING CO: �/� ��-- .
Signed By: Date : �-��3
�
. .
HEAT LOSS CALCULATfONS ����a �� �
_ �3 ` (,�-�� �;4. - ,
+ Weatherstrips A'S' ' Conitruction No. Insulation
Gui�e -
t,Uindows I Doors Refcrence Out. Wa11 Inc. Wnll C.eiling Roaf Floor Kind How Applied
�'es—No Yes—No 19_
� Fl.� � Room Length 3G Width i� Neight �j — i' FL� Room Length Width Height
W�ndows and Doors—Crackage and Area � Windows and Doors—Crackage and Arca
�Vldth Hel�ht No. of Llne�l [c. Area WI1th Hei�ht No. ot Llneal t[. wrea
No. o[ pane of pane Il�htr o[ crack •p. ft. No. of Dans o[ Dan• I1�hU ot crack �a. f[.
Coef. Btu
infiltration �� �S ��7��
is�ass g.S �c�o 'TU�✓
Exp. wall ��
Net exp. wall /9� 2 z l�p�,�
int. wa��
�eiling � /,7 -��
:I�or 3�fl �.r .3(c�/S�
:ota� Btu. �J? ��
�cquired sq. ft. E.D.R. or sq: ins. W.A. I.eader area
Fl•� Room � Length Width Height
Windows and Doors-�rackage and Area ,
Wtdth HN�ht Na.o[ � Llneal ft. Area
ti�. ot pane o( Dans Il�ht• o( orack _�a, tc, _ �
Coef. Btu
: nh�tration
C,laar
tzp. wa��
:`�ct cxp. wall
int. wall
��-iling
�loor
Total Btu.
?cquircd sq. ft. E.D.R. or iq_ ins. W.A. I.eader area
�1. -Room Length Width Height
ulindows and Doors---Crackagc and Area
wiacn }i�lrht xo. or Ltn�.i rc, wr�.
� of pans of Dane 11[hta oC craek ■0. t(.
Coef. Btu
' n6ltration
.�na:
�cp. wall
�tt ezp, wa��
nt. wa(�
:eiling
:oor
ota� �tu.
:cquired sq. ft. E.D.R. or sq. in3. W.A. L,eader area
r�� Room � Lcngth Width Hcight
=Y'�naows and Doors--Crackage and Area
R'.c•n H•1[�t No, o( Llneai ft. Are4
InSitration
Glass
Exp. wall
Net exp. wall �
Int. •rall
Ce��ing
Floor
Tota( Btu.
Requircd sq. ft. E.D.R. or sq. ins. W.A. Leader area
FI.I Room I Length Width
Windows and Doors---Cracicage and Area
R'Idch Hel�ht No. o[ Llneal ft. Area
No. of D��e of D��• II[ht• ot erac!c �Q. (t.
In6ltration
Glass
Exp. waI!
Net exp. wall
lnt. wall
Ceiling
Floor
Total Btu.
Rcquired sq. ft. ED.R. or sq. ins. W.A. I.eader area
Fl.� Room I L.ength Width
Windows and Doors—�racicage and Arca
Wldth Heleht No. of Llneal ft. Arca
No. ot D�*�a o[ p�na tl�hta of crack sc. [t.
Coef
Height
Bcu
I Coef. Btu
lnfiltration
C,�ass
Exp. wall
Net ezp. wa11
Int. wall
Ceiling
Floor
Total Btu.
Rcquired s4_ ft. E.D.R. or sq. ins. WA. L.eadcr arca
F1•� Room I Length Width Hcight
Windows and Doors--Crackage and Arca
R•iw•w ��_r.�. � .. . ..
►��a� pa�oa�
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OCGIJPANT OWNER
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FRtDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287
April 20, 2004
Mr. Jeff Hammond
6631 Fridley St NE
Fridley, MN 55432
Re: Final Insp�tion at 6631 Fridley St NE
Contractor: Vogt Heating & Air Conditioning
Dear Mr. Hammond:
A mechanical permit was issued on September 3, 2003 to install a fiimace at your
address. According to the 1991 Uniform Mechanical Code a final inspection shall be
conducted on the work authorized by this permit. As of tlus date the inspection has not
been requested.
The permit fee that was paid covers the inspection to make sure the work was completed
according to the Codes. We will keep your permit open for another 30 days and if we do
not hear from you within this time to set up the inspection, we will mark the permit "no
inspection called for by homeowner after notification" and the permit will be expired.
To set up the inspection or to have any questions answered, please contact the Building
Inspection Division at (763) 572-3604.
DJ/mh