AF - 45166Date
Owner
Addres
BUILDING PERMIT
Village of Fridley, Mi.n.n. N� 2 311
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Builder . . . . r�� . . . . . �i►��'L��.�►.�^�,
Address . . . .,� :� s,r�: � , . . .
..:!��? ... �.��,.
1� 6G LOCATION OF BUILDING �`�
No. . �' . . . Street . . . ..�:��:�"�� . . . . . . . . . . . . . . . . . . . . . Part of Lot . . . . . . . . . . . . . . . . . . . . . . .
Lot ,� �� .�:� �.�Block . . . . . . . . . . . . . . . . Addition or Sub-Division '� . . .�. ^.�. : .�. . �. . .��. .q�,. . . . . . . . . . . . . . . .
♦ !
Corner Lot . .. ..!�!'�.` Inside Lot . .. .. . . .. . . . Setback .�"�. . .. . . . Sideyard . . � f,�' .. . . . . .. . . .. .. .. . . .
be Used as:
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DES�CRIPTION OF' BUILDING
. �
�, .
Front . �.� Depth�. �. . . Height . . ,�t�'; . Sq. Ft. . . . . . . . . Cu. Ft. . . . . . . . .
f� " ,
Front . � . .� . Depth . .''. . .'°.Z. Height . . . .. . . . . Sq. Ft. . . . . . . . . Cu. Ft,
� �4a � �� � ........
r �
�'1,�f.v�� . . . . . Est Cost . . . . . . . ,� �,�y� ��; '�. . : . To be Completed . . : . '�:'�, . . . . . . . . .
;.
In consfder�.tion of the 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 fortY} in compliance with yisions of
ordinances of the village of Fridley. '
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,. ; In co sideration of the payment of a fee of $.,��,QS! ., permit is hereby 'granted to �`� `
f��:'����:�►.... to construct the building or addition as described above. Tlus permit is granted upon
the express condition that the person to whom it is gra.nted and his agents, employees and worlunen, 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 with-
in the village limi4s and this permit may be revoked at any time upon violation of any of the provisions of said�
ordinances. � �
�,�;,r - � �
� . . �: . . � . .+. M .,,�'. . ' ding Inspector
'' - -
NOTICE:
This permit does not cover the construction, instailation or alteration for wining, plumbing, gas heattng�
sewer or water. Be su�e to see the Building Inspector for separate permits for ihese items.
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City of Fridley, Minn.
BUILDING PERMIT
�
Date: � �' ' � `: i
,� � ��
(' � � ,� ' '� .�
Owner: ,���,�� t'� � � /r� . �� ,
Address - �
�� �y'�
N° 7424
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Su9lder - �'% '` �'s� � %�. - � _ �
Addrese �-
LO TION OF�BUI, DING
No. �� � 8laeet ��=- i,.J��.=����art of Lot
Lot � __ Block�, Addition or Sub-Diviaion .�
� ��
Coraer Lot _�,� �Ineide Lot Setback s`,.1� /yZ�� Sideyard -;� �.��' °�. ?-�-- = s�
3ewer IIevation � Foundation IIevation
�
DESCRIPTION OF BUILDING
7� �
T sed �
,�
' �� � � �r �t ..,�` � nepr� � x��t .��� sq. Ft. ,, �a �'''f cu. r� < �� � '
r��� �� ____.— Front nEpth �: KefgY►t �.�� sq. Ft. ca. Ft.
1�►pe oP Conatruct4 ~�``„�.��-�� F�t. �`�f_�__ �'__ To be Completed
Itt considerat[on of the issuance to me of a permit to construct the building descxibed above I agree to do
the proposed work 9n accordance with the description above set P , and in compliance with af 1 proviafons oP
ordinaac� of the dty oP FrirIIey. � ,�
In conafderat[on of the payment of a fee oP � , permit 9s hereby granted to
to construct the bufldi�g or addition as d�crlbed above. Thispe rmit is granted upou
the express conditfon that the peraon to whom it fs greated and his agents, employees and workmen, in all work
done fn, around end upon safd building, or anypar� thereof, shall conform 3n all respects tfl the ordinancee of
FridleY, Minnesota regardln� location, conatruction, alteration, maintenance, r+epair aad moving of buil�]inp
within the dty liamits and Uus permit may be revoked at aqy time upo ola� o-g aay oE the P��ona of said
ordinan�. ��� ; ` //
Ina�et�r
^ NOTICEs
1h� psrmh dou aef eerar t6s coestrueHee, feuatWton /er wirte9. P��9. e� 6�& saiva er w�sr. 8� sun to a�
- t6a Bnildtne Inqneta� fe� apara� ��oe t6as k�ua.
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6��,�� HEATING HOUSE HEATING TEST RECORD
AIR CONDITIONING
AND ELECTRIC, INC.
ADDRESS �% s �'�. • APT. FLOOR CITY �C SUBURB
OCCUPANT tl � _� m . OWNER � �� �.
HEAT LOSS DATE HTG. ST. _�,:��° ��=��
SOLD BY " i � INSTALLED BY
Eiectrieal Work By ��' �, �. d\--'"�_,: Qae Uno By
TYPE OF HEAT GA FA �, HW STEAAA_ SPACE HTR._ UNR HTR. OTHER
�y„p GAS DESIGN CONVERSION
MAKE `t `` - n, �. MAKE OF BUANER
Model � � _ `�a , Model
Serial , g �1 � Max. BTU Rating
�NPUT � � AAAKE OF FURNACE
Model '
,/ �O so�s �., ` �
THERMOSTAT i^y �,/„�(� �< ^/,?� Heat Plug '` Ver►t Size
Valve i� � Lu� KIND OF UNER g�� � a NONE
LimR � Draft Hood S � r� F Regutator
Limit Setting 0�' � Fliters Size Number �_ A
Fan Setttng ' Chimnoy Locatlon Inside Outside
Pilot Type �� l, �..e Is �1 Chim�ey Construction ��� �,�
P(lot Make � �
Pilot Madel �� Smoke Bomb Wiring �
Pilot Tfmtng _ �� � � � �i , Draft Test Tag �% ,
L W. Cut Off �" Door Preasure LighUng Inst.
Pressure e� Percent CO, Date Tested � •
Input CFH ;��a'�_? Percent O, � Company Testing -�+2
Stack Temp. �a�' a�,� � Percent CO Name of Teater
Form 235
�� ,
INSPECTION REPORT
CITY OF FRIDLEY MINNESOTA
(763) 57?�360�4, � ,
ADDRESS
OWNER
BUILDER
DATE
IPT
DATE I %
�� i � �i
�7: �
REPORT
If no corrections are listed above, approval is hereby given to proceeds. You will be in
violation of the ordinance if you do not call for the proper inspections and make
corrections as called for.
ADDRESS
PIN
LEGAL DESC
PERNIIT TYPE
PROPERTY TYPE
CONSTRUCTION TYPE
CITY OF FRIDLEY
6431 iJNIVERSITY AVENUE NE
FRIDLEY, NIN 55432
572-36U4 FAX:
: 1660 GARDENA AVE NE
: 243024140021
: UNAVAII..ABLE
: LOT BLOCK
: BUII.,DING
: RESIDENTIAL
: RESIDING
571-1287
._ __:
PERNIIT N : 2004-01932
DATE ISSUED: 10/20/2004
VALUATION : $ 9,376.00
NOTE: PER R703, 2000 INTERNATIONAL RESIDENTIAL CODE, REQUIRES THAT A WEATI�R RESISTIVE BARRIER BE
PLACED OVER EXTERIOR SHEATHING TO PROTECT TI� INTERIOR WALL COVERING. EXCEPTIONS FOR THIS
PROVISION WOULD BE IF SHEATHING IS AN APPROVED WEATI�RPROOF PANEL OR WI�N THE SIDING IS AN
APPROVED WEA'TI�R BARRIER VINYL SIDING IS NOT A WEATI�RPROOF COVERING UNLESS TI�
MANUFACTURER STATES THIS IN TI�IR APPLICATION GUIDELINES. CALL FOR INSPECTION OF WRAP BEFORE
COVERING OR TAKE PICTURES. RESIDE HOUSE & GARAGE.
STATE LICENSED CONTRACTOR 1
APPLICANT
NEW IMAGE REMODELING (20204899)
3103 82 LANE NE
BLAINE, MN 55449-
(763)784-9797
,�Ii./�-' `I �1:7
GRANGER RICHARD K & MURIEL
1660 GARDENA AVE NE
FRIDLEY, MN 55432
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if constiuction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and l�ow the same to be true and correct. All
provisions of laws and ordinances governing this type of wor�
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or cancel the provisions of any other state or local law
regulating cons ction or the performance of construction.
App� � Date .
Bldg
BUII,DING PERNIIT FEE
FIRE SURCHARGE
STATE SURCHARGE, VALUE
LICENSE SURCHARGE
TOTAL
�
SEPARATE PERMITS REQUIItED FOR WORK OTHER THAN DESCRIBED ABOVE.
181.25
938
4.69
5.00
20032
NEW (] CITY OF FRIDLEY � 5 5� o Effective 4/1/2004
ADDN [] 6431 Universit}r Ave NE, Fridley, MN 55,432 (763) 572-3604 Bldg Insp
ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571^1287 F x )
BUILDING PERMIT APPLICATION (� . �/ ��
. � ��
Construction Address: /4 40 f�i4�O�EN.4 � �.
Legal Description:
Owner Name 8 Address: ✓Y�v�e.��c. C��r�t. e�� � 7� - oo� f�
ContractOr. ��� Irw�.c-� (��o���rc� MN LIC S#?�vao�BQq
Address:?.rst 3 �L "" L�! � $,v►tr� � �e3� 7�' �f - �T797
Attach to this application, a Certificate of Sunrey of the
tot, with the proposed oons4n�ction drawn on it to scale.
DESCRIPTION O� IMPROVEMENT
UVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Lengtl� Width HgUGround Sq. Ft
OTHER: 5 � O �wiL� — t•••�c d� Cy!l�il �..
- -- �
Construction Type:� ��D�ict�, Estimated Cost: $ 9 3?L
Driveway Curb Cut �dth Needed: F� + 6 Ft = Ft x$ _$
DATE: ,,,_(� APPLICANT: ��Q C��'r�
�ei.� ��� - ���-4�a�
Call (763) 572-3604 fo� Permit F�s if mailing in appllcation. Fax tc 763-571-128T if using credit c�rd and we will call
you for ca�rd nwnber.
Permit Fee
Plan Review
Fire Surcharge
Stabe Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
CITY USE ONLY -
$ 1 1.��`
$ '°`_.__'
$ ,�
$
$
$ �•OG�
$
�
$
�
� ��-��
Fee Schedule on Reverse Side _.m�,`, ;
65% of Permit Fee , ��
.001 of Permit Valuation (1/10th°!o) c
$.50/$1,000 Valuation � �
$1350 per SAC Unit �
$5.00 (State l�icensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Nec�ssary [] Not Necessary ( j
$TIPUL4TIONS•
oC� �
N�vV
ADdN
Al.TF�.
I� CI N C7� FRIDLSY
[ l 6431 Unh+ersity Ave N�, �rtt�ley, MN 55432
[ a SlNGL,E fiAMILY ANp DUR��S R-7 AND Fi 2
BUILDING PERMI� APPLICATlQN
Con5tnuetion Address:
i �J� �.' �r e�i /�
���� ����
�fective 1/7/20ty44
(7�j �r2-3�so4 eiaa �r�sp
(763) S71 1287 �ax
Legal Description; �
Owner Name & Addr�ss: +� �rc C��9�r► � Tei. '��,5`7�• 4d �a'
�a���' MN LIC�NSE # � '
Address S�LrA I��tN � Te� � v'/� - �.3 4
47+I10 �XG�4SIOR BLVD.
�l,A A�I�IFING $ R�MOD ������� a Cerl�cate of Survey oF the
4iUO EXC�SI�R BL ,� ��9sed cQnstn��ction dwawm an it to scale.
�'f. �OUIS pARFf, MN 554i6 p�gCR11�I'{ON dF IIUIPRQV�Nl�NT
1� �R0�01�
LMNG AREA: Len�#h �, Width ��� Height � Sq� Ft
GARAG� AREA: Length � Width � Height �. ._ sq. Ft.
D�CK AR�A: len5� � Width Hg�Ground � Sq. Ft �
OTHER:
��/
Cot�struction Type: �G �! � �o •+.� p � �
�stimated Cost: � C'�
btivew�y Gurb Cut V11id#h Needed: �. �t + 6 Ft � Ft x� _$
. �
,• .�
���• � � + ��ucANr: _ -� C'� ter. #'�.� � ��' C
Gal1(763) 57Z�6pq, for permit �ees if maiting in a�pplication. Fax to TG3-579-'l2g7 if using cr�dit c�� and we,will ��t!
you fiorr card number.
CITY US� ON�Y -
P�rmit Fee
Fire Surcharge
State Surcharge
SAC Ch�rge
License Surcharge
Curb Cut Escrow
Erosion Cor�trol
F'ark F�e
Sewer Main Gharge
�.��3. �s`
�
�
$ •��
� >•�
� , ��
$
��,�
$
$
-rarA�. s �
��. ��
— £�S'd •� —ZS9'Oh-L_... . . , ._
� 3 �,
Fee Schedule on Fieverse Side
,009 C►f Perrllit V�Illl�tio� (1/i�th%)
$.50!$�,000 Valuation
$135q per SAC Unit
$5.�0 (5tate Vicec�sed Residentia�! Contractors)
Alt. "A" or Alt. "B" Abo�e
$4�U.00 ��rtseNatior� �'lan F2eview
Fee Determined by Engineering -.r.
Agreement Necessary [] Nat Ne�ess�ary I�
sTipuu�-r�orvs•
1�
�
� �� . ��� � . ����°'
S3�kiS 9NI�00�1 ti�3S Wti6E : 8 S0� ' 9Z '�3Q
Building
Inspections
763-572-3604
763-502-4977 FAX
DATE �1�.I
SITE ADDRESS _
THIS APPLICANT IS:
PROPERTY
OWNER/
TENANT
MEC�IANICAL
RESIDENTIAL A,PPLICATION
���� �o CITY OF FRIDLEY
EFFECTIVE 2-19-09
ao�o
��e �
YOUR E-MAIL ADDRESS
� OWNER �iICONTRACTOR
1 Y 1l1 r��. \ � �('G�
1 C.o le C) (�' a.r c� e�n
-1�3 • S�?N - O6CD�'
N E.
e�
�crnr � r i �
Pernut No.:
Received
STATE MNZIP SS�I3?
CONTRACTOR coMpANYNA�E: CENTERPOINT ENERGY
SUBMIT A COPY OF CONTACT PERSON: JOANN ZINKEPI
YOUR STATE STATE LICENSE # BOND 22013346 EXP DATE �
LICENSEWITH �Dx�ss:9320 EVERGREEN BLYD NW SUITE B ci�C00N RAPIDS sTATEMN ZIP55433
APPLICATION pHONE 763-757-62�2 FAX 7�3-757-6701
PERMIT TYPE
TYPE OF WORK:
�$INGLE FAMILY ❑ TWO FAMILY
O NEW �kEPLACEMENT
❑ TOWNHOUSE
❑ ALTERATION/REMODEL
DETAILED DESCRIPTION OF WORK �v�6� a.�\ �{�,ep�ac ,� 1(,�� ,r e o,nc� ;� ip h,er
FEES ARE BASED ON S10.00 PER FIXTURF.,,,,T CEPT W RE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW)
Equipment Installed MFG: 1 MODEL: u��t,,,�j a�{ SIZE/BTU oi �Or1 ��i
�C $25.00
AIR TO AIR EXCHANGEER $ I S
_BOILER $35.00
_CHIMNEY LINER $10.00
_DUCT WORK $10.00
MFG: MODEL:
MFG: MODEL:
. _FIREPLACE (GAS) $15.00
_FIREPLACE (WOOD) $35.00
_FURNACE $35.00
_GAS DRYER $10.00
GAS PIPING $10.00
SIZEBTU
SIZEBTU
_GAS RANGE/OVEN $10.00
NEW GAS GRILL $10.00
_GAS UNIT HTR $10.00
_POOL HEATER $35.00
_VENTILATOR $15.00
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID 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 only an applica.tion 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 casnNe�all work whi h uire review� and approval of plans. .-
r `'�a � �� � '-rr�--° ROGER HOFFHEIN o
SIGNATURE OF APPLIC 'f`�1v� �_p�T N,qN(g DATE —1 ` � 3' I
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604 FAX: 763-502-4977
City of Fridley Residential Mechanical Application Page 2
REQUIRED INFORMATION NEEDED TO PROCESS PERMIT
RESIDENTIAL PERNIIT APPLICATION HVAC
� NEW HOMES/ADDITIONS �EXISTING HOME ❑ MAKE-UP AIR
REQUIItED FOR NEW/EXISTING HOMES
1. Combustion Air (See note below)
a. Oil or solid fuel �ME Cl�apt�r 7�vitirlbl�-Amendments
b. Natural Ga.s or Propane/IFGC Chapter 3 with MN Amendments
2: Make-up Air (See note below)
a. IMC Chapter 5 with MN Amendments
3 . V enting
a. Gas appliances IFGC Chapter 5 with MN Amendments
b. Fuel other than gas IMC Chapter 8 with MN Amendments
REQUIRED FOR NEW HOMES
4. Heat loss & cooling load per room
a. Required on new construction IMC 1346.0312
5. Ventilation
a. Per MN Energy Code 7670 or 7672
6_ D_ uct.Design_Per IMC_1346.0603,2
a. ACCA Manua.l D
NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for
combustion and make-up air calculations.