AF - 45425SUBJECT
��ty of Fr�aiey
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
i �
� �
� ; v __�� COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC.
� ` �"'1 � CITY HALL FRIDLEV 55432 NunnBEH
�""� � ,'� 612-580-3450
910-F15
JOB ADDRESS
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION
DESCR.
2 PROPERTY OWNER MAIL ADDRESS
Drake De�
3 CONTRACTOR
S�''
4 ARCHITECT OR DESIGNER
5 ENGINEER
8 USE OF BUILDING
resident
7 CLASS OF WORK
X
8 DESCRIBE WORK
House an�
9 CHANGEQFUSEFROM
REV
7226 Riverdale Road
MAIL ADDRESS
MAIL ADDRESS
MAIL ADDRESS
DATE PAGE OF
10-1-?4 / /
f��12'734
RECEIPT NO
/� � �
APPROVED BV
SEE ATTACHED
SHEET
ZIP PHONE
ZIP PHONE LICENSE NO.
ZIP PHONE LICENSE NO.
ZIP PHONE LICENSE NO.
NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
TO
e
STI PU LATION S
1. Provide a verification survey
2. Provide a haxd surface drive
Sewer Location: 102' East of M.H. (Inv. 842.93
Wye Elev. 844.56
Top of footing 847.75
Water Location:;, 11 ' East:�of sewer service
������,�11��.� P���;�v � ;�} ������,�E�i���t� FC�� y/fRIN�,
�-���,`���r;�, �'����r��l�"���� s�� �. a �
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TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING. OOCl f ic1IRG�
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION �����.1L1i1
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GHANTING OF A PERMIT �-91 21Z. OO
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. � �3C. OO
r�YG�NATL�E OF CONTRA�OR OR AUTH��fZE� AGENT 1
�" SI NATURE O OW R F OWNER BUILDERI " ID'ATET � I BLOG iNSP
s �
��
p CU FT.
84288�'6 � 800
6kFSTREET A G
IGARAGES
SURTAX
9.61
SAC CHARGE
300.00
TOTq�LF�- 61
34
D THIS IS YOUR ERMIT
�� � �� 7�
�
APpLICATION FOR RESIDENTIAL, ALTERATION,
OR AllDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER' S NAME :_ �cVlZ.41C� � 1�e� s BL'ILDER : � M�
; . �
ADDRESS : %�2�v r � Y. •s.P.�AI�� ��n _ ADDRESS : �Jbi�
r�o:. '��/�'' s�ET: �-1�a��
LOT: y�d �i� BLOCK: .1- ADDITION: �1VC�1z �JLW ��1C..�,�
CORNER LOT: INSIDE LOT: f�SETBACR: 3� SIDEYARD: «"�'�
Applicant attach to this form �fiao Certificates of Survey of Lot aad proposed
building location drawn on these Certificates.
HESCRIPTION OF BUILDING
To Be IIsed Ass
1"7'DCr"�. Front . ( �-d� 2�f Depth : � � Height : �-�
Square Feet: p�� � Cubic Feet: /��a
Cx�►-Q,�-�'r � Front : /� Depth : .2�i Height : % U
Square Feet; � � g Cubic Feet: �- $ � � �
Estima.ted CasC: $ % � ' �� � ��., � ���
, Z�rpe of Construction: �9 � ��_
To Be Completed: % /`7•� `
The untdersigned hereby makes applicatiaa for a permit for the work herein
specified, agreeing to do all work in st�cict accordance with the City of
Fridley Ordinances antl rulin.gs of the Department.of Buildings, aad hexeby
declares that all the facts and representations ated in this application
are true and correct.
DATE : � 1 9� SIGNAT[TRE • .
(See Reverse Side For Additional Information.)
^ ����.�,�'C,�l, HPP�UU�� l,�Ar�iH�v��_Ci� �L�C>�
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BUILDING PERMIT FEE SCHEDULE
SECTIOPI 2. The Inspector of Buildings shall, before issuing pexmits for the
erection of any building or structure, or for any addition to any existing
building or structure, or for any alteration or.repairs to any e.�cisting
buildi.ng 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:
LINIFORM BUILDING CODE: 1�pe 1, 2& 4-$2.T5 for each one thousand cubic
feet, or fraction thereof, in such cubical contents. �pe 3& 5-$1.85 for
each one thousand cubic feet: .
ADDITIONAL INFORMATION
For the purpose of camputing fees for building permits, the cubical contents
of any building or addition, is determined by multiplying the ground area
covered from a point six (6) inches below the floor line of the basement
or the cellar to the average heights of the upper surface or to the average:�
�height of the roof surface of the main gable of a pitched roof.
For repairs or alterations to an e�sisting structure, the fee shall be at the
rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in
the cost of all proposed work.
In no case shall the fee charged for aay permit as set forth in Section 2 be
less than $5.U0.
VERIFICATION OF FOUNDATION
NOTEe 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 tha construction site.
" A Certified Suxvey of the lot, showing the location of the foundation, once it
� has been constructed, will ba required before proceedin� with the framing.
�
�CERTIFICATE OF OCCUPANCY
Application for a CertificaCe of Occupancy shall be made ten (10) days prior
to the use or occupancy of any structure for which a building permit has been
issued; and said structure shall not be used or occupied until a Certifica.te
of Occupancy has been issued.
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B. H. BRADLEY
CiVlL EN(i1N�'iR AND SURYEYOR
8828 -24TN AVHtdUE 30UTH
MINNBAPOLIB. MINNBBQI'A �
724-2188
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CtVIt ENOIN�R ANO SURVEYOR
3828 - 26TH AVENUE SOUTH
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use � ,
st3c�te ost
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Plumbing Fixture Rates: N0. RATE TOTAL
�Number Fix turea � x $2.00 �
Future Fixtures � x $1.50 �9`-, ��
New Fixture-Old Open. � x $1.50
Catch Bastn x $3.25
Water Heater-99,000 BTU +� x $3.00 ��i��
Ground Run Old Bldg. x$3.25
Elec. Water Heater x $2.00
Gas Fitting Faes:
lst 3 Fixtures / x $2.00 �
Additional Fixtures x $ .75
Gas Range-199,000 BTU x $5.00
Repeira � Alterationa
See
Deacription: Code
State Surchart�e .50
TOTAL FEE $ ���
The undereigned hereby makes application for a permit
for Ghe woxk herein specified, agreeing to do all work
in strict acco�dance with the City Ordiaances and rulin
of the Department of $ui7.di.nge, and hereby declare that
a11�th� facts and repreaentations atated in this
applicat:ton are true and correct.
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City of Fridley
ar 7�I¢ TOP or rN[ Twu+Y
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r�-------� COMMyNIT� DEVE60PI�ENT OtY,
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(`.� `.J N�-bS0-aN0
53-81��-915.51
T
PLUMBIiVf, PERPIIT APPLICATIt�id
Job Address -- � .�' �-x loA � �
5l�8 N. E. Glencoe St�eet
ner Ad ress
Gordon Drake
Contractor A ress
�IfINNEGASC ✓�3 MqRQU
Kind of Building Use MPLS,
Frame Res.
Comp etion Date stimate ost
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Plumbing Fixture Rates: N0. RATE TOTAL
I�
! Number Fixtures x$2 . 00 �_
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Future Fixtures x $1.50
��
'' New Fixture-Old Open. x $1.50
i
f Catch Bastn x $3.25
I
i� Water Heater-99,000 BTU x$3.00
'I
, Ground Run Old Bldg. x$3.25
iElec. Water Heater x$2.00
i
� Gas Fitting Faes:
lst 3 Fixtures x $2.00
i -
' Additional Fixtures x $ .75
i ��
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Gas Range-199,000 BTU 1 x$5.00
Repeirs & Alterationa
See
Deacription; Code
State Surcharge �►ass �g"m ���'ch�rge ,50¢ .50
� To� �E $ 5 • 50
!The under�igned hereby makea application for a permit
for the work herein specified� agreeing to do all work
in strict acco�da,nce w ith the City Ordiaances and rulin�
of the Depaztment of �uildi.nge� and hereby declare that
a1l�the tacte and repxeeentationa atated in thie
c`�"'�'�f/ � an correct.
.
'Signatur Date
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���T L�� CAlCULA�°E06+�S � �PARTiYl�1T O� �t�1���Pti��
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Weadierstrips A.S. . Conatrrnct�n Na.
- Guide
s rs Reference Out. Wall Iat. R►�11 C.eil' Roof }�1 a �ind
' �s o Y o 19—
Fl.� 1/ m l.ength /�_Widch r��ei�ht FI.� i�er+ 1
Windowa and ra—�Crat�age and Ares Wiadowa and D�ors�r+
�Vldth He166t No. 4t Bdaeal tt. Areo Wldtn HelgEat No
No. ot Dg� o e lighte o! erack q. t¢. No. o p e ot
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In6ltration �' Q� Ynfiltratio� %
�'alaas �- � C�l�aam
F.�cp. wall � �acp. waDl �
Net e:a. wall J / e Net eap �va11 �°t
In� wall
Ceiliag
Floor
T@tal �tu.
�
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Itequired aq. f� E.D.R. or aq. iaa. �I.A. adee are�
FI.` /�'' m 0 l.efl�tle �'tdih eu
1�uj�awa aad D�re—�Craelcags aad �a
Wid h efR Na o Llnaal t6. Aees
Na ot oaee ot � �imhts ot eraoie sa.,1t.
C.�su
_.�,,;.r,.
�� �
i'11tt et�p. �
In..._�' �_
:. Ce�ina
Required a k. I
F1. �i+
Winc�+rs aad
wieeh �
Na of psn* e
G,laas
E,��a. wall :
Alat e�cp. waq
Int. wall
Ce�ing
I°loor
�
�
or aq. ins. W�i. der aroca
�m � L�nga6 V�I'ttlth �„
—Craeleage and Area
to�. �eu
Cei�ing � �,� �-�-
Floor
Toeal �tu.
i�eqeaired aq. ft. E.D.ti. or aq. ie�a. WA. �r aaes
F7.1 i Room I�.eogth G° �adeh e
Ro
1V'ucdowe a� i3oora-�rae�agt asd Area
�laeh Helsbe No. ot L1Rea1 t6. Arms
w.. ni nan. ef eane . IlrBte o[ aTYC4 �. I&
B� (_ _
laf�itracion .
'°��° � Glssa
�p. w8u ° ,�
Net e:p. waD
I�t. wall
� Ceiling �
Flooe
��
�.»��:: __
i�l����
�� ;: �,�
y Ia�6ltratioa
� Glaas
�° e�.,��u '�, �
Alet eap. waD
Int wa11
Ceilin��
� Floor
�I��'/` �� �
;�.�,,: ''�a+;�:� � � . � ' �.�;,
r
���•�
sq. inm. VVA. a�r area
W.
:racka�e and Aren
f;� +�.n.:�.,�• ' ��.�' �.
.�:s.�+-� ���.. x-'°rrt�?- � � . . __�
L
6'���i10 '1ir'��i� 'brf���.�f�a�J���� li��lYRi���� �� �5��9'91��N'��'R`r.:�� 4' �Bi'n.laa~Q �VYB�i�fi'aso_,^.
VVeatheratrips A.S.H.V. . I Construction No. Inaulaci��z
C,uide ^-""
' ows I Doors Reference I Out. �/all Int. Wall Ceil�ag Roof oor I�ind How Applsed
t'es No � Y No 19_— ° ' -= '
_-? , .
F],� . Length �•�Wirlth � �I-leight ;, � •Ft,� °�=�� . en L.ength ;�.%� 1Vidth �iei�he`Y�
Windows and Doors—Crackage and Area � Windows and Doors--Cracicage and Area r/�'
tVldth He�ght No. of Llneal tt. Area . �'fdth Height No. oI Llneal tt. Are�
d .��
No. r t Ca oS P e llB ts �f crack e9 tt. ' � I Na_ ot Gan ot pane tlBhte o[ ack e,f �>
�^-���� �: f , `�% _ Ij --� _� :o, , i d�- e � �
ls c9�J F �.� • ___� if i� _y__`�!-.l r P � � i,✓
Infiltration � �'" �° '�'� � � �
-.,
Glass � ^�? � � i
F�cp, wall
Nec e:p. wall �
Int. wall
Ceiling - --�°-�
Floor
Total Btu.
Required sq. ft. E.D.R. or eq. ina. W.A. Leader area
Fl,� Room � Leagth Width I-leight
Windows a� Dooro--Crackage and Area
Wid h Helght No. ot Llnea! [t. Area
No. o[ Dane ot Oane 11{hte of crack rq. fl.
��•"°w
.t . � e M�..� a" .
�88i `�°�
FSPe WB�I -
Net e:p. wall
Ine. wall
Ceiling
Floor
�'otal Btu.
Required sq. ft. E.D.R. or aq. ins. W.A. l.ea�r area
Fl. Room � Leag�h Widch
Windows and Doors—Cracl�age and Area
Width He1Bht No. ot Llneal tt. Area
No. ot oans ot Dane 11BAte ot crsck aq. it.
�
Inhltratioa
C.laas
Exp. wall
Net eap. waQ
Int. wall
Ceiling
Nloor
Total Btu.
�� �
� _ �%�e..��.;�.. �'�
_ �. � . _ . _�:_�:,�.. � ..
Dtu
Btu
I
1
1n61tration
Glaa� __T
Expo wall �� �-- �-°'' o'�, - ! �
Net eap. wall
Int. wall _
� � t '�' �
"� ," '�.�' !'?°'-.
J
--� Ceiling
Floor /• � �s
Total &u.
Required sq. f4. E.D.R. or aq. ina. W.A. Leader aeea
FI.I " Room I L•�a6th Width
Ro
Windows and Doors—Gaeltage and Atea
Wldth ilef�ht No. ot Llneal tt. Aroa
No. oY pane o[ Dan� ll�dts _ot crack aQ. tt,
�A�1�lC8:lOI1 �
�888
Esp. well
Net ezp. weil
dnt. wall
Ceiling
Floor
Toeal Btu.
Requued aq. f� E.D.R. or eq. ioia. W.A. Leader aaea
Fl.� Raom I L.eagth Widt6
Windowm and Doora--Cr�slcage aad Area
Width Aeleht No. o[ Llneal tt. Area
No. ot pane ot Dane 116hts ot crack ra. tf.
Bt{I
1n61taatioa
Glase
F.up. wall
Net ezp. wall
Int. wall
Ceiling �
Floor
Tota1 Bta.
R«�u+re��: !t. E.D.R. or sA. i�. wA. t.eader uea =��; -,
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70 6513651332 P.�� °
APR-04-2003 12�13 FROM CITY dF FRIDLEY ��
'rHE BELOW MUST B� FlLLED 9N Vd1-1�N REPLACiNG FUEL BURNMG APPtJANC�S OR THE
APpLICATtON Wt1.L BE R�TURN�D
� � � , .� . ,.�, � . : : � • . ��r < < . � � ,��: �� � r s��l
h�,�����•;�:,�•�.-.�...r - - —
wh�, �� w,a�r��9nea here�y ��s tn�t �,e
ven�ing has been �xamfned and is free from Cus� detedoration, tibs�c�ions,
and {s sewrely supporf�d �rtd flrestopped wher� requirad. Yes () No { i
7he ven�r�g system is pla�tic/PVC and rn�ets all c�rrerit t�odes and manufactur+�r
speafications induding si�ing, length, number of eibows and t�rmfia4an. Yes () ido ()
The undersYgned ek�o v��s that the repl�c�mertt unit is a listed a�sembly
and meets the ament �des and manufacturers speciflc�tions. This does
inr�ude AGA-G�W4 C�+9�ry I Ceniral Fumace Ver�ing Tab#e� for �an
�ssisted artd natural drafk appAances.
'fhe �.�aiC is si�ed �nd instaqed to meet �e current cades
and manuff�c�rer's sp�flcations.
When required to w11I be sizad �nd insfaded
� me�t ti�e currer� codes �nd manc�rer's spea��ations.
Y�s ( ) No ( )
Yes ( } No ( )
Yes ( ) Ido ( )
�- � the under�ign�! hereby veti�es thet
it is a�ted assembly and meets the current codes and manufact�uers
speaft,�iions. 'rhis does Incl�de ACiA�GAMA Cate9ary I Cen�ai Fu�nacQ
Ver�rtg Tables for i�t assisted and natur�l draft applianc�s. Y� () WQ ()
ls the aommor� vent and vent cx�nnector� sized and 'mstalied con�ct(y after
an �pplianc.� has been removed from the c�mmon v�nt and vented Yes No
separatety a� per currer�t co�es. () ()
��• . � M���,;v:=-�.�r.a�_Jr��,._.._�_ �� a . _ - �� _._� � - �1 . � � ' N. • � �11• u� : � • 1
Appl�nc� #17ype BTU Input „_ Fan �►ssi�ted or Ne�t �
qppli�nce #2 Type -- BTU lnput _____�r____ F�n Assisted or Nat �
q�p���� ��ypp �TU Input ___,_,_ Far► Assisfed or Nat _
7ota►1 Appliances � Tot� Btu Input �.
Cflmmon Vent Type V�r�t Heigh# ,.,,,,� Diameter inches
Appli�ance #7 Vent Connectar Height,_ft Length tt Diameter� Type _,
Apptifance #2 Veni Ccsnrtectar Hei�hht � ft Length ft Di�meter ^in T�Ipe ,i
Appl't�nce #3 Vent Corm�cr H�igh# ft Lengtf► _, ft Diameter �En TYPB �...
= y - � ��• � �.� . rl•,-
H�►TtNG CO: - -
s;�,sa �y: a� :
TOTRL P.02
�
_
CIIYOF
FR[DLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287
Apri120, 2004
Ms. Michele Dunlap
548 Glencoe Street NE
Fridley, MN 55432
Re: Final Inspection at 548 Glencoe Street NE
Contractor: H P Pipeworks
Dear Ms. Dunlap:
A plumbing permit was issued on July 28, 2003 to install a water heater at your address.
A final inspection on August 15, 2003 noted the following items which need to be
conected:
1. Provide combustion air to any fuel buming appliance.
2. Provide approved gas valve for water heater.
3. Provide minunum 3 screws per joint.
According to Section 4715.2800 of the State Plumbing Code, a final inspection shall be
conducted on the work authorized by this pemut. As of tliis date the reinspection has not
been requested.
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 take no further acrion.
To set up the inspection or to have any questions answered, please contact the Building
Inspection Division at (763) 572-3604.
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FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS
COMMON VENT. VENT CONNECTOR AND COMBUSTfON AIR VERIFICATION
When replacin� an existinct furnace, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions,
and is securely supported and flrestopped where required. Yes ( No ()
The venting system is plastic/PVC and meets all current codes and manufacturer
specfications 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 manufacturer's specifications. This does
include AGA-GAMA Category I Central Fumace Venting Tables for fan
assisted and natural draft appliances.
The existins� combustion air is sized and installed to meet the current codes
and manufacturer's spec�cations.
When required to install a new combustion air, it will be sized and installed
to meet the current codes and manufacturer's spec�cations.
Yes ( � No ( )
Yes (� No ( )
Yes ( ) No ( )
When insta�llih� a ne�t vet�tins� sv�tem, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturer's
spe�cations. 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 correctly after
an appliance has been removed from the common vent and vented
separately as per current codes.
No ( )
Yes (�,� No i )
Appliance Tvpe and Size/Common Vent and Vent Connector Inforrmation
Appliance #1 Type � �- BTU Input �O �O � � � � Fan Assisted or Nat �
Appliance #2 Type t,�T�'l.i ti-- �►V BTU Input 0 0� Fan Assisted or Nat n,A�
Appliance #3 Type BTU Input Fan Assisted or Nat
Total Appliances Tatal Btu Input �_ o�� _ _
Common Vent Type ���-n� � Vent Height a2S� Diameter �J inches
Appliance #1 Vent Connector Height � Sft Length � ft
Appliance #2 Vent Connector Height .3 ft Length �'' ft
Appliance #3 Vent Connector Height ft Length ft
ALTERATIONS: (Describel ���LC `� C-e.� ��
Diameter `f- in
Diameter �in
Diameter in
�- .�� �
Type ��%� 3�
Type � �
Type
HEATING CO: ���n,1 � ,�'n `['1"TG- � ��L-
Signed By: Date : �� � - � �