AF - 45659. ... � . , �� t��.
� �
Village of Fridley, Minn.
BUILDING PERMIT �� J�173
i�� , fs .-' � -.�.�— +..t� � �� ,
Date: ..�...:....,�...�.�`.:.:�: �..f..s?. :...... � ... �. ;
.
., . r_......._ . � .
Owner ...... � , S � �' . � ��ss'-�r1...- .�' � . � , �: _: r;.
� . � Hmlder . .... . t /t�
Addx•ess .t! (✓',v:.f...`? �4^:^�;-:^l•�3( � � � . ! ',
,���K�� Address . ..... ......... �.
I.�/ �r.�,tc, �K�jf4A'.� dJ,� . � � i :
�—y-�-�� �° L�CATION O BUILDIIVG � �
No. . . "r .`r.� Street �i ��' '7 �'u`-n'°- .:: �, .... Pazt of Lot �� �. .
..a..:�.: ........ ... . �
�:� . � . ..... � . /' :
Lot . . .': .. . . . Block . .. . . . . .. . . .. . . ... Ad ition or Sub-Division 5... ... ... � ... . �
�'�"��'.....,'... .,.. ... _.
Corner Lot ...........� Inside Lot .....L�... Setback ..�.:.�....... Sideyard ,;',,.. ?, ,,....`........
DESCRIPTtON OF HUILDING `
To be lised as: � � � � � ��
a� . .' ,/ .r�. . �,Sr ,. r ./ , , "I'
�.���.� .�.... Front ,i, �•'•.Depth ::� .Ii 31�Eight ,r.:+..:�""Sq. Ft � '�.. � Cu. Ft...
. � �.ir !'.'!r�: �. �. . . . . Front . . . .r. . . � Depth . . . .°�'. f � Height . . . . . . . . 3q. .Ft. . . ,�+F �:kr"'r Cu. FY' �� �� . . , , ',.
l_ _, ........
Type oF Construction Est. Cost !`� �'�'^� � ���
.................. :..... :.:....... To be Completed ......�„ '
In consideration of tlie 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 provisions of....
ordinances of the village of FY•idley, . � . ��
Tn consideration of the payment of a fee of $.�s.,�r..� � � �"" �� `
• ! � .., permit is hereby granted to �.` �"�''�'�'s'�^�--� '��.
r
...,..
• � � • • • • • • • • • • • • ... . . ..... to construct the buIlding or addition as described abwe. This. pexxnit is ted upon :
the express condition that the person �to whom it is granted and his agents, employees ,and wortQnen, � in all work � �
done in, around and upon said buIlding; or any py� {gereof, shall�.conform in all �respects to� the ordinanaes eg
Fridley, Minnesota regarding location, construction, altemtion, maintenance, xepair�and�,moving of�buildings wi}h_,
im tne village ]imits and this permit may be revoked at any -time upon � violation of any�. of the provisions . of said
ordinances. � . .;
� � � .:.'...-�r,Buil ' ��'` ' ��;
� :��if ,, � .
. ' Y' "" d111$ i71SF)8Ci0T
�
NOTICE: � � �
This permit daes not cover the construction, installation or alferation fo�Wviring, plumbing, gas heating,
sewer or water. Be sure to s- the Building Inspector fo� separate permifs ' these� items.
�7
�
.
City of Fridley, Minn.
BUILDING
, ..
PERMIT
�a��a,
N� 8703
Owner: _HsTVe� P�tersan _.^ Buuder _. Same
__._.._........._..__....._._._...._.._._.__� _�
� 151 Glen Cresk Road =._ pa� � __.._.._._.__._._ �
LOCATION OF BUILDING
Na 6672 � s� ., 3eventh Street N.E..--.,.....__ rart ot i.ot _.._....._.._—.__�_.�..—
Lot _.. �3 __ 81odc _.�__?_». Addition or Sub-Divlsioa .._�oe Crr�e_k Terrace..P.7,at_.�
Corner Lot ----..�_ Inslde Lot _._ X _ Setback _.....�..__,_.__ $ideyard �._.�__ _�...�.:.._—.�
3awer IIetatim
Foundatlon F.levatla�
RESCRIPTION OF BUILDING
To be u.ea es:
Dwell;n90 __..__ P7aa�t �� DeDth ?��_ HeiBbt . 15).! 3q. FG -1.Q�-._ Cu. Ft 14r�$Li
Att. c_az'..� _._ rro�s ?o! n�tn �?_! .__ �c _.._za.! : sQ. �t. _-4l�— cr�. Fc. �,.1�
xs� ot co�,.a,x�a� ...._.F.�� �c, c�,t ._..._�15,�0.�....._ zro � c«n�cea --___.:.—______
��udaeranoa ot me iesueaoe w me of a permlc co the bwla
��tunoes�M the d�• of FY�1�� wlth t6e deacrlDtlaa ebwe anfl in
agree w ao
provletom ot
ia caoddaatlm ot Ehe petyment oP a fee ot $—_-�L� � Perqus ie ha�ebY Sreate8 to._._-I38�3�,L' .--_._-
PetersoLi to 000struct the butlaing or aaalnon ee deacrlbed above. Tt,ispermi t is �antea upon
tice ex� eanditlar that the Per+o++ to whom it is B�ted and h1s agenh, emPloyeee end worlanee. Sn all work
aone m. arouna ena upoa .ata buuains. � 8aryert cnernor. ahau concorm tn all reepecs. to the oiainancee ur
FY'Id1eY� ASinneeots reH locatlam, consh�uctiao, elteratton, malntenance. rePelr aad movtn8 of buudia�s
w[�a�. dty limits md� permtt maY be revoked at a� tfine uP�++ violattoa oE eRY o4 the Drovlslons ot e4�d
�+: �a� :+�� _� � . ��.,�,,,
NOTICY:
iW pMwM �w �et �+we Nr e�nMMn. haHNMkn Ise wf�M�. �Iu�iinM �r h�, wwr �e wNa. M wn ts �
Ilr MN�YY 4p�oNf hr �rM� Pw�ib fer IAw� h�. .. .
OWNER'S NAt�
�
APPLICATIOA P'UR BUILDING PERMI�'
CITY OF FRIDLEY, MINNBSOTA
LOCATION OF
� � .S
��l.a..��
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- • � — { - — - - ---- OF LOT
L{)T �� BLOCK 3 ADDITiON OR SUBDIVISION,�.ti/ �� �� �� j I
CORNER LOT INSIDE
SEWLR EI,EVATION FOONDATION ELBVATION
Applicant attach to this forq� Two CertifiCates of Survey of Lot and propoaed
building location drawn on these Certificates.
To b
DSSCRIPTIOft OF B�
as; t �
�� ,,,�
_ r �a
'_` 1�Ieight
Sq. Ft. 1���� Cu, Ft. / D,� 8 D
Front �, /7 Depth �.� Heightj�
` Sq. Ft.��u, gt. D O
Type of Construction ��__1� Estimated Coet"�_TS ��� d —
To be completed
The undersigned hereby makea apglication for a permit for the work herein
apecified, agreeing to do all work in strict accordance with the City of
Fridley Ordinances a� rulings of the Department of Buildings, and hereby
declares that all the facts and repreaentation etated in this app2ication
are true and correct,
DATE SIGNATURE
(Schedul of ee Costs can be found on e Reve Si e),
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SUBJECT T NO�
� City of Fridley 21626
.
, ATTHETOPOF7HETWINS g�ILDING PERMIT o
� �` _��__ COMMUNITV DEVELOPMENT DN, � HD
� � PROTECTIVE INSPECTION SEC. �
r , �
�
i.-_. A�•"1,•J CITY MALL FflIDIE� 55032 NUMBEF REV D<iE PAGE OF ncvROYEO Br
Z �� 612-571-3450 970-F75 10/28/92 / /
JOB A�DRESS 151 Glen Creek Road NE
1 LEGAL �OTNO. BLOCK TRACTONADDITIDN SEEATTqCHED
oescrt. 9 1 Oak Creek Addition SHEE7
2 PROPERTVpWNER MAiLA�ORESS ZIP PNONE
Harvey Peterson 151 Glen Creek Road NE
3 CONTqACTOR MAILADORESS Z�P PNONE LICENSENO.
Stock Roofing Inc. 289 Liberty Street NE, Eridley 55432 780-3561 3112
d ARCMITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO.
5 ENGINEER MAIIADDFESS ZIP PMONE LICENSENO.
8 USE OF BUIL�ING �
Residential
7 CLASSOFWORK
❑ NEW ❑ AD�ITION ❑ ALTERATION �] REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
Reroof House (27 Sguares� Tear�o�f
9 CMANGEOFUSEFHOM TO
STIPULATIONS
Underlayment must comply with the State Buildinq Code.
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL. PLUMBMG. HEATING, TVPE OF CONST. OCCUPANCV GROU7 OCCUPANCV LOAD
VENTILATING OR AIP CONOITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WOPK OR CON3TRUCTION ZpNING SO.FT. CU.FT.
AUTHORIZEO IS NOT COMMENCEO WITHIN 6U OAYS, OR IF CONSTRUCT�ON
OR WOflK IS SUSPENDED OF ABANDONED FOR A PERI00 OF 120 DAYS AT
ANY 11ME AFTER WORK IS COMMENCED. � NO. pWLG. UNITS OFFSTPEET PARKING
I HEREBV CERTIFY THAT I HAVE READ AND EXAMINE� THIS APPLICATION 1 STALLS GARAGES
ANDKNOWiNESAMETOBETRUEANDCORRECT.A��PROVISION50FLAWS YALUATION SURTnX
AND ORDINANCES GOVERNING 7HI5 TYPE Of WORK WILL BE COMPLIED
WITH WNETHER SPECIFIED NEREIN OR NOT. THE GRANTING OF A PEfiM1T $1, 431 $. %Z
DOES NOT PRESUME TO G1VE AUTHORITY TO VIOLA7E OR CANCEL 7ME PERM�TFEE SACCHARGE
PROVISIONS OF ANV OTHER STATE OR LOCAL LAW REGULATING CON- � 3S.00 Fixe S.0 $1.43 �
STRUCTION OR TNE PERF ANCE.OF..QONSTRUCiION. +S
PLANCNECKFEE TOTnLFEE
�� - Lice se SC $5.0 $42.15
� SIGN/.LUREO�CONiFAGiOAORAUTMOARE�NGENT I�AiEi EN PR R V LI TED THIS IS YOUR PERMIT
ID - 2 8=�'�,
S�GNni�FEOiOwNEPtlFOK'NEPBU'�LOERi �DATEi ' BlD �NSP �eiE
NEW [ )
ADDN [ ]
ALTER[j
CITY OP FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Effective 3/1/92
Gonshvcdon Address: /S/ �/P,� �.e� e % �� I
L,egat Description;
Owner Name & Address: ���R /r � yi /�c �.��'v1--� Tel. Jf
Contra�tor. �j '�G�' �,�a�%� �''�r_ MN LICENSE �f DOD 3/�Z
AAdresc: ,� �% �i�f'��7�✓ �°5'� �i��,✓ _ _ Tet. k »d-,3s6/
LIVING AREA:
GARAGE AREA:
DSCK ARSA:
OTHER:
Attach to this applicati�, a CeRificate of Survey of the
lot, with the proposed construcdon drawn on it to scale.
DESCRiPT10N OF IMPROVEMBNT
Length Widttt Height Sq. Ft. _
I,ength Width Height Sq. Ft. _
/Width Hgt/Ground _ Sq. Ft. _
� AnnF ( ��ocF � o2�S��c- % �-�I l)�-�
Corner Lot (] Inside Lot [ Sr] Ft. Yd Setback _
Type of Coastruction: �e �ao��
Approx. Completion Date: svo� �, 199z
Side Yard Setbacks
Estimated Cost: $ �� �' — ��� °'° �'
�'��% "�
(Cost on Back)
Dtiveway Curb Cut Width Needed: _Ft. + 6 Ft =_Ft x$ _$
DATE: /�J YJ o�- APPLICANT: d���- ��� Tel. # �.�G- �SC/
�
�y�il,`L�1
Permit Fee � �� � Fee Sc6edule oa Reverse Side
Fire Surcharge S I. `� .001 of Permit Va(uation (1/lOth%)
State Surcharge $ 7�. $.501$1,000 Valuation
SAC Charge $ �'700 per SAC Unit
License Surcharge $ � b U' 55.00 (State Licensed Resiclential Contractors)
Driveway Escrow $ Alt. "A" or Alt. "B" Above
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ Agreement Necessary () Not Necessary []
TOTAL
STIPULATIONS:
$ �a. rS
C�
Building MECHANICAL Per�itrro.: �- � ,�o
a4 nspections RESIDENTIAL APPLICATION �f��������j
763-572-3604 CITY OF FRIDLEY Date Rec d.
nnrE l 1-'a.4 - 0"-7 YOUR &MAIL ADDRESS
srreaDnxess 151 (,' 1er, GeL.I� Road tJ�
THIS APPLICANT IS: ❑ OWNER i(]CONTRACI'OR �
PROPERTY xAME: �E i�°. s s0
OwNERI �nxess: lSl Cl,en Crcek ft� ctrY 'c11 STATE�M:NZIpSSU�
TENANT pHONE:1le3'S1 I� g�i o�3
CONTRACTOR co�axv Nnr�: CENTERPOINT SNERGY
SUBMIT A COPY OF
CONTACT PERSON: JOANN 7� INREN
YOUR S'IATE STATE LICENSE k EXP DATE
I.ICENSE WITH ,�Dxess: 9320 EVERGR$$N BLVD ST$ ��Tfy' �COCiN'��RI�PIDS STATEMN ZIPS$433
� APPLICATION pHONE 763 — 757 — G2O2 pqg 763-757--6701
PERMIT TYPE ��GLE FAMII.Y ❑'cw0 Fnnu[.Y ❑ TowtaxousE
TYPE OF WORK: � NEW 67iEPLACEM$NT ❑ ALTERAI'[ON/REMODEL
DETAILED DESCRIPTION OF W ORK Zv� 9� e� 1 �� �p p�. e txr �l A C�e
PER MS 16B.665 tt�e pemit fee is a mioimum of $15.00 or 5°/. ot the total cast up to $500.00, 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 = S 15.00. Labor cost between �300 to 5500 = cost of labor x.OS =
FOR PROJECTS Wf�.RE LABOR EICCEEDS $500, FEFS ARE BASED ON 510.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL
NUMBER OF EACH BELOV.� � �
Hquipmentinsfalled IufFG: 0.YY �Cr MODEL: �JC CT✓^�OqO SIZEIBTU Q�� 000
[�ffG: MODH.: ' - SiZFIBTU
MFG: MODII.: SIZFJB7V
A/C $25.OU FIREPLACE (GAS) S I5.00 :' GAS RANGFIOVEN SI0.00
AIR TO AIR EXCHANGEER S15 FIItEPLACE (WOO➢) 535.00 _NEW GAS GRILL 510.00
BOIGER 535.00 LFURNACE 535.00 GAS UNIT HT'R 310.00
� CHIMNEY LINER S I0.00 GAS DRYER $10.00 � � POOL HEAIER $35.00 . � . . .
DUCT WORK 510.00 GAS PIPING S I0.00 VENTII.ATOR $15.00
Permit Fee $ Number of fixtures Q$10.00 x$10.00 =$
Surcharge S .50 Number of fixtures @ S 15.00 x$15.00 = S
TOTAI, DUE $ Number of fixtures Q$25.00 x$25.00 =$
Number of fixtures Q 535.00 � x 535.00 =$ 35 •a5
. State Surchsrge = $ � .50
Tota1= $ .� . SO
THIS IS AN APPLICAT[ON FOR A PERMIT-NOT VALID UNTII. PROCESSED
I hereby apply for a building permit and I acknowledge that the infortnation above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City bf 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 pertnit; that the work will be in accordance with the
approved plan in the case of all work which requ'ues review and approval of plans.
SIGNATUREOFAPPL[CANT �. �' �� Npn�ROGBR HOFFHBIN DATE ��"O�g'��
City of P'ridley
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
REQUIl2ED INFORMATION NEEDED TO PROCESS PERMIT
RESIDENTIAL PERNIIT APPLICATION HVAC
❑ NEW HOMES/ADDITIONS �XISTING HOME ❑ MAKE-UP AIR
REOUIRED FOR NEW/EXISTING HOMES
1. Combustion Air (See note below)
-----a: -0i1 er-sc>�lid it�el IMG Chapter 7 wiYh MN Amecadments
b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments
2. Make-up Air (See note below)
a. IMC Chapter 5 with MN Amendments
3. Venting
a. Gas appliances IFGC Chapter 5 with MN Amendments
b. Fuel other than gas IMC Chapter 8 with MN Amendments
REOUIRED 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. Duct Design Per IMC 1346.0603.2
-- ------ --�:--�4G£�4-A�al-D--- .
NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for
combustion and make-up air calculations.