AF - 47431City of Fridley, Minn.
BUILDING PERMIT N° 5'7 5 7
Date: _�.._'""'.�..�... .__.�...__._._.____
.._. _
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Owner: _ ._. Builder .._ ..._ .......�i�!.;rs�e.�,R....e._.__.._.___...__.____
Address....._..._........_._....__.___�........___........_... ..._..._..---...._.__--•--._.._ Address _.__..._.._....__......._._.
, L ATION UiL ING
No. ,� .�.... Street ..._ .�• .�.. ..../.... P of Lot _. .._..___.._..._.._.__._.. .._._.......�..
Lot ..----- •--...._.....__...._.. Bloc ....,,�....___....-------------.------ Addition or Sub-Divisi�n . _ •,��
/
Corner I.ot _.....�'��._.... Inside Lot --•--•----._....W..._....._..... Setback .�.�...__._.__._ Sideyard ._..,,� ....�.�t.•--....._._..........._._..,.
Sewer Elevation _.._......._._.._..._....__._..__._..__.------......_._._.._._._.._.._ Foundation IIevation
DESCRIPTION OF BUILDING
To Used
Front _��_.. Depth �.� Height �._.. Sq. F� �� Cu. F� j��E-��"'' �%
._... Front �'���Depth _.� Hei t__�l�.�Sq. Ft. .��..f�!_ __ Cu. Ft .,�.#1..��
. _ ..
7 ��y� .� ��_.
Type of nstxuction .._.._ _... Est. Cost .. .. . A
---.. ...._. To be om le _..._.._..___.__.._...._._.
,
In consideration of the issuance to me of a pernut 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 city of Fridley. .
•-� ._.___..�_...�..
In consideration of the payment of a fee of $_!S_ ..._..._...�.., permit is hereby graxrted to._._.
.,.._._........____�_._....._...__�.._..__._.. to construct the building or additian as described above. This pernut is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or ar�y part thereof, shall conform in all respects to the ordinancea of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildinga
within the city limits and this permit may be revoked a t any tune upon violaxio[t'Af any of the A��� of said
oTdinAriceS. ../"'1 /?/�i .r' 1
Building Inspecto�
NOTICE:
Thb p�rmtt dou not �owr 1h� eonsfrueeton, installafion fo� wirfn�, plumbiny. �as 6N8nq, s�war or watar. B� wn to sN
fh� Building In�p�ctor for sspsrats p�rmib for thu� iNms.
� . _ . _ , �4 • .,s_ ._ .r
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA . _
Owner' s Name� ��t-� ��/� � Bu iider �i��
.. �_
Addre$s Addres�23 l ��� �
. .�....�...._. .
LOCATI4N OF BUILDINCy
No. Cr- //
o .S street .!'o N Part o� ot _ .
.., .._.._ �_.....�.�.... L ��
Lot / Block �. Addit on or Subdivision�„
Corner Lot �. Inside Lot Setback �� Side-Yard
SEWER ELEVATION __ :P�,G,.O ,_,�,,,,�,_,,,_ FOUNDATION �LEVATIOM �„
Applicant attach to th is form CertiiEicate of Survey of Zot and
proposed buildiizg location.
DESCRiPTION OF BUILDING
Z�o be used as:
Front �Depth i Height �-- �
Sq . Ft ..,,,�-� Cti . Ft .
� ' Front-,��,�,-�--�Dep�h��-,�;eight � C�
_._._..._.
. Ft. Cu. Ft.
Type of Construction � E$timated Cost
To be c�ietaa _ _� l
.�. �, _..
The undersigned he(�by makea application for a perm3t for the work
herein specitied, agreeing to do all work in strict accordance with
the City of Fridley Ordinances and ruling of the Department of Huil,d-
ings, and hereby declares that a11 the facts and res ntations
stated in this ap lication are true and co e
DATE � 1 (.o v SIGNAT ..._�.. `
(Schedu].e of Fee Coets can be found on the Rev Sidej.
"�-- .... . . � •
.._ ; . .
Cifiy of Fridley
App�ic�atian for P'lumbing and Gas Fitfing Pern�
Dept. of Bldgs. Phone SU 4-7470
DESCAIPTION OF WORK �
Number, Kind and Locatioa of Fixtures Locatio
� NU' WATER HTR.
� N W W Z � �
��� �. xv, z,'Z x> zz � o? uz ox � c� z
I- m '� �� 3 O So, �' ��� Q a`� Z'2 a i N GAS ELEC.
� 3� a o� � vZi 3� o� �� e Sm <3 t�< c�� c�o
Base �
lst
2nd _
3rd
4th
, Conaected with
Future Coaaection Operungs I se�e! ❑
* Ne�w Fixture, Old Openfngs Cesspool �
PARTiAL RATE SCHEDULE
PLUMBING FIXTIIAE RATES: NO. RATE T�TAi.
Number Fixtures . . . . . . . . . . . . . . . . . . . . . . �— x $1.50 $ U , `v�
Future Fixture Opening . . . . . . . . . . . . . . . . �_ x 1.20 $ � , '� a
New Fixture Old Opening .............. x 1.00 $
Catch Basin .... . ..................... x 3.25 $
Water Heater (Up to 200,000 BTiT) ......—,� x 2.OQ $�SLU
New Ground Run Old Bldg . . . . . . . . . . . . . x 3.25 $
GAS FITTING FEES: NO. RATE TOTAL
lst 3 Fixtures ..........................� x $1.50 $ ����
Additional Fixtures .................... x .50 $
Gas Range to 200,000 BT[J . .. . . . . . . . . . .. x 2.00 �
REPAIRS 8c ALTERATIONS—Refer to Code
Description . . . . . . . . . $
....................................... D
TOTa9L FEL'' $
City of Fridley:
�
The undersigned hereby makes application for a permit for the work herei
specified, agreeing to do all work in strict accordance with the City OrdinancE
and ruling of the I3epartment of Buildings, and hereby declares that all the fact
and representations stated in this application are true and correct.
Fridley, 1Vlinn. � , 19 �_�
Owner �– �
Kind of Building
Used as
To be completed about —
Estimated Cost, $
Old New ilding Permit
ROUGH '� 30 � G Z
FINAL
az 4M
��
By�.�i
Business Phone
n
���
�
Application for Power Piants and Heafing, Cooling, Yentilation. Refrigerarion and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
,
GRAVITY WARM AIR: RATE TOTAL
Furnace Shell & Duct Work . . . . . . . . . . . . . . ... . . . . . . . . . . 8.00 �
Replacement of Furnace ............................. 5.00 $
Repairs & Alterations—up to $500.60 . . . . . . . . . . . . . . . . . . 5.00 $
Repairs & AIterations each add. $500.00 . . . . . . . . . . . . . . . 2.50 $
MECH. WARM AIR
Furnace Shell & Duet Work to 120,000 BT[T . . . . . . . . . . . .
each add. 60,000 BTU .......................
Replacement oP �iZrnace .............................
Repairs & Alterations—up to $500.Q0 . . . . . . . . . . . . . . . . .
Repairs & Alterations each add. $500.00 . . . . . . . . . . . . . .
8.00 $_1%%lLCL_
2.00 ;
5.00 $
5.00 $
2.50 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDft Steam ...... 8.00 $
F F�rnace Shell & Line—to 640 sq, ft. EDR Hot Water ... 8.00 $
j Each add. 200 sq. ft. EDR Steam . . . . . . . . . . . . . . . . . . . . . . 2.50 $
_� Each add. 320 sq, ft. EDR Hot Water . . . : . . . . : . . . . . . . . . 2.50 $
OIL BURNER—to 3 gal. per hour . . . . . . . . . . . . . . . . . . . . . . . 5.00 $
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to 400,000 BTU) . . . . . . . . . . . . . . . . . . . . . . . 5.00 $-� � C1�
GAS FITTING FEES: NO RATE TOTAL
lst 3 Fixtures ...................... —� x $1.50 $ ��
Additional Fixtures ................. x .50 $
Gas Range to 200,000 BTU . . . . . . . . . . . x 2.00 $
AIR CONDITIONING ¢
FAN HEATIIdG SYSTEM See Fee Schedule
VENTILATING SYSTEM �
ALTERATION3 8t REPAIRS TOTAL FEE ;'f���
ROUGH
FINAL
Depi. oi Bldgs. Phone SU 4-7470
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City of �idley:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City Ordinances
and ruling of the Department of Buiidings, and hereby declares that all the facts
and representations stated in this application are true and corr t.
� F'ridley, Minn. � , 1�?f
Owner ��-U i��i�'�
Kind of
Used as
To be completed about
Estimated Cost, $
OId-��. Building Fermit No. �
Permit
DESCRIPTION OF WORK
HEATING or POWER PI.ANTS�team, Hot Water, Warm Air—No.�_
Trade Name- �,.z%`�/�i����f Size No. ,�,�����Z'
Capacity Sq. F� E.D.R. BTLT H.P.
Total Connected Load �� `�"� � Kind of F�e r
/
BURNER — Trade Name Size No '✓ l/ �/
Capacity Sq. Ft. E.D.$% BTU , H.P.
SUBURBRN HEATII�G & SHEET METAL
8419 CENTER DRIVE� N�•
Signe MINNEAPOLIS 21,
$s
��+Z sM Business Phone No ,_
(REMARKS—OVER)
D46 az � ` F �
HEAT LOSS CALCULATlONS DEPARTMENT OF BUILDINGS
Weatherstrips A.S.H.V.E, Construction No. Insulation
Guide
Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind - M
—No I —No 19�_� ?i ---
FI.� ' Room � Length Width �,1�' Height � F1.� Room Leagth / W th
Windows a d Doors—Crackage and Area Windows and Doors--Crackage and Area
� tVldth Height No. ot Llneal ft. Area Width Helght No. ot Llaeal ft. Area
No. ot Dane of Dane lighte ot crack eq. ft. No. of Dane ot pane IlBhts o! craek �Q. tt.
7.� �� 3 u� v �,/ ��
FRIDLEY, MINN.
Coef. Btu
In6ltration
Glass � -' �n,
Exp. wal!
Net exp. wall
Int. wall
Ceiling �
Floor
Total Btu. 3
Required sq. ft. E.D.R. or sq. ins. W.A. L.eader area
FI.� ' m � Length � Width l/ Neight
Wmdows and Doors—Crackage and Area
Wldth Helght No. oI Lineal ft. Area
No. of Da�e o[ panff llshts ot crack sq. ft.
In6ltration
Glasa —
'�
Exp. wall
Net exp. wall �G
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Fl. Room � Length '' Widt Z<
Windows and Doors—Crackage and Area
Wld[h Hefght No. ot Llneal ft. Area
No. o[ yane ot pane Ilghb ot crack sv. [t.
lnfiltration
Glaaa
Ezp. wall
Net eap. wall
Int. wall
Ceiling
Floor
Z'otal Btu.
Coef.{ Btu
Required sq. ft. E.D.R. or aq. ina. W.A. Leader area
' Fl.l Room (1-ength � � Width <
Windows and Doora—Crackage and Area
Wldth Helght No. oi Lineal [t. Area
No. ot pane ot pane ll�hts ot crack sa. [t.
Bcu ^_�
Infiltration
� � Glasa
Exp. wall
ZZ' Net ezp. wall
Int. wall
����� Ceiling
Floor 1 �
� 'Total Btu.
Required sq. ft. E.D.R. or aq. ina. W.A. Leader area
� Fl.� Room I Lengt / Width l
Windowa and Doore—Crackage and Area
Width Hel[bt No. of Llneal tt. Are�
No. ot oans ot oaas Ilsht� o[ crack �a. tt.
Coef. Btu ^�
Infiltration �� , ,� Infiltration
Glaas � <j Glaas
Exp. wall
Net exp. wail
Int. wall
Ceiling
N loor
��� Tbtal Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. l.eader area
E�cp. wall
Net exp. wall
Int. wall
Ceilin
Floor
Total Btu.
Coef.l Btu
Required sq. ft. E.D.R. or sq. ins. WA. l.eader area
•
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City of Fridley, Minn.
BUILDING PERMIT
� : 1 � = ie
�-�����
1�� '7645
Ow►ner; �xLr,�f Roike Builder .B�;P�e � a CQ�trt�,ct�o�
Add�ess �t?� B�l�.��• Eixcle Fin�e Addrrss 1��� �tterant 3t. N. �T.
Cooa 8apids. P�eac�a 55b33
LOCATION OF BUILDING
Na 6___ �21..�._. Street � J8CICSCII S't • N. E. ._._ ..� Part of Lot
Lot ___��__ Block 3' ._�. Adaition or Sub-Division ���1�
Corner Iat � $ Ins�ide Lot Setback __._ Sideyard
3ewer IIevati�u ____�. � Foundatioa IIevatioa
DESCRIPTION OF BUILDING
To be Used as:
F'ront � Depth Height Sq. F't Cu. Ft
Front Depth I%ight Sq. Ft Cu. F�
Type of Construction �� F.�t. Cost �.sy-vs�e��Q.___.__ To be Campleted
3torm �amaga 8epair xebuild New Iic�e ca original fovndst3on
In co�si8erat[on o! the issuance to me of a permit to co�struct the buiiding d�escn'bed abave, I agree bo �
the propo�ed work in acxordance with the description above aet forth and in complianoe with atl �ons a!
o�nanoes o! the Mty of Frldley. ��
1,�� `evs'trr L:Gt� s���`-'"�-
In �ooaid�xatiou o! the P�Y�t of a fee of 3_..�i�� � Permit is hereby gi�anted *0 7 a; ne $�p,ds08
�.aine s Ccn3t. to c�struet tt►e builaing a� aaafti� as �Ibea atwve. This permit is srantea upan
the exprese c�►dition tt►at the Persox� to whom it is graated and his ageY►ta, �P�Y� and worl�en, in all wark
doue in, arotuid and upo� said buiidin8, �' �Y P� thereof, shali confo�m in all respects to the ordinaac� e!
��Y, Minnesota regaidfn� location, constructf�, alteratio� maintenano� repair and mavin8 of buil
wl�� dty limits and tlus p�mit may be revoked at aqy time upon violation of aqy � the Pnovisiae�s o��
A1�.621 �AIl8031 ��8' �
NOTIC�
This p.r.it de.. .a eowr dn roeanidte�, t�tadMte� tee w1eMa. n��a aa I�s. s.w.. er wM.r. �. sa. fo ...
t6� �ildip I��p�e�er for s�p�ealr p�its for fb� i1�ms.
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` APP'LICATIOIQ FOR BtTILDING PERMIT
, � CITY OF 'FRI'�EY, MiNN�SOTA _--
OWNEB' S , p� , � 'BUII.D$R t��6-kswb�..,�ir`''.
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_ _ P.�..,:� . . ..
ADDRE3S .2G�� -�[�I�Yi�;'i,.,,�� ADDRESS /�� = �
. � , � '� .. . � . .
. . . j .
, _ . , -_ LOCAZ"iO�N' OF BUILDI�iG " : . ` ` . : , ...,>;� .. �
: � . .. �_. T�, '
No. f� � •�� .. . ., I . 'Street���¢�'....»•.'�- ; ., Pat'� of La�t' .' �
�._ ,....�
LOT. 7_��LOCK����ADDxTION, OR, SUBDIYISION %%�� G.,,aL,
Corrier�t,ot�I�si�Te'�,D�� � SetbacYc . .Sid�-�ard ' �
��--�- �
. . . . . ,.. ,. . _
SBWER' ELEVATION , `FOtINDA�.''I0�"'8�$VATION �
Applicaat attach to this form Two Certificates of Survey Of �,ot and proposed
building location drawn on these Certificates. �-- -
. ; � . �ESCRiPTI0�1 OF�`Bt�'iLD`ING` _
� ,
_ . . ,,:, :�� � .
. T be used ae ; � �, . ., . • � , .. , .
�. . .. _�`s �tr�.
� i -- - _..
� - Sq. Ft. u. Ft. ._.
, _ , . , . :��-- . , f _ }
, . Frbnt Dept �_'_Be�ghf _ .
- . _ . • �q:� �'t: � - Cu.. '�t'... _ ..
...
: - ,-, :. , : . .._ : . :. • .. �;
Tqpe of Coustructiori '-� • EstimaCed Cost �
_ , , , � .. ��°`2�....�._ �.� . �� . . �;�.�..Q��?�_.r-�
` � . . ' . . . .. . I 1 . .. ' - r 4 '
��0 V� Cr��et� � � � 1�� ` / 1�' �: . � ,� . . .. � . . . . .. �.r_'
- � ..�..�+.��i�� � _ �G �•� � i . i . I . . r � r�� ', ��.w� � , . n�.�..� � i I , .
� . � � . ' . �, ' � .. � - . � ' . . . , � .. .. � � . � . . . �! . . .. .
The undersigne� itiere6y makes appl�c�tion `'fo'r` s permft `for Che wro`tk H�'reia �specified,
agreeing to da all work im.strict accordance with the City a� ;Fri�d�ey �s�linances
and rulings of the Department of� Bui�.d'ings, and` Hereby deala.are�� :that s t. �he facta
and representations atated fn thfs'�applic'ation are true and ��rrect.'`-
� ;� $ T� -
�i%s� : �
(Schedule of Fee Costs can be frnmd on the 8ever8e Side).
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sua�ecT ERMI .
City of Fridley _ 161`7 9
AT THE TOP OF THE TWINS g U I L D I N G P E R M I
f
� �
, � RECEIPT .
� • COMMUNITY DEVELOPMENT DIV.
� �L ------ D D�
r � � PROTECTIVE INSPECTION SEG a
i �
� � �'���1 � CITY HALL FRIDLEY 55432 NUMBER REV. � OATE PAGE OF APPROVED BV
� ----�: `.�
612-571-3450 9t0-F15 5/13/81 � �
JOB ADDRESS . 6G51 J'dC�CSOTI Street N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. % 3 Meadowlands ZriCI SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Gerald Drangeid 6651 Jackson Street N.E. 574-0121
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
$�L1e eaiw:.,_ _ ._._.__ .. ..
4 AfiCHITECT OH DESIGNER MAiL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADORESS ZIP PHONE LICENSENO.
6 USE OF BUI�DING
Residential
7 CLASS OF WQRK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK
Cbnstruct a 34' x 24' Gara e. and a 10' x 17 � Hreezewa
9 CHANGEOFUSEfROM TO
S�IPULATIONS
Provide a hard surface driveway. Variance approved
4/14/81 for a rear yard �X setback from 31.6 to 20' and reducing the
side yard setback.on a corner lot �ram 30 feet to 10 feet.
waR�N�
Before digging catl locai utilities �:,�-��RATE PEI�M"I'i�i�Q[JIR�� F4R WtRING,
TELEpHONE-�tECTRtC-GAS Etc. ����-�•����� j:rLUM6.1� ANO S1Gf.�.S.
REC�UIRED BY LAW
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS A7
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALIS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORFiECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHE7HER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERM17 tiS`� Fj3� 4. SZ
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 TNE PERFORMANCE OF CONSTRUCTION. 39.•44
PLAN CHECK FEE 707AL FEE
$44.26
si UREOFCO ACT R AUTHORIZEDAFENT IDATEI _ r,. .. HEN PROPER VALIDATED THIS IS VOUR PERMIT
!%
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iGNATUREOF OWNER If OWNER BU�LD � I ATEI B�DG iNSP DAi
� s���� wuL�.
�• in n� case shail the �ee char ed ror aYi
Section 2 be less � g Y permit as set forth in
� $4.00.
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CI7Y Of' 1'lti�LEY •
!�I'PLICl1�f I0;1 �Oft f,ESIt)t"i�1Til"t�_ UUl�D?�� a ('LEt,`��I7S
(Idet�r, Al l:eraLions, /lciditivi�s, or 4;ep�irs j
� (�t•lt�ER: �t,��� +� �2� e�� t3tlILDE:R: 5 " _ .
ADDRESS; G��"t 3A-t-I�-so� 5'F•N.£. ADDRCSS: �
�`EL t�0: S7� o� z-J iEL td0: '
� � Consi:ruction Location '
. sxz�� rio :� G S/ sz�r��.�c: �'A� ks� � S�{ . �J. �
z.o��: � BLOt� : 3 �nzTxo:� : m.a �� ��.. � S Z.� 1
Coxner Lot: X Insi.de LoL-: SetbacY.: � Sicleyards:
Ati�licant a�tach to i:liis form ��ti�p Certificates of S�.ixvey of lot and
proposed building �ocation dracan on certzficates to scale.
DFSCRIPTIOi� dl= C(3i�SS1'R�JCTIOP�
�4-/Zr�C�,�', I'ro;�t: ____ Depth: �� � Iieiqht: I�
, ;qua�e. k'ee�_ �'�(e Qlbic Eeet: $'j � . ..
; ������ Jr'ront: lp Depth: �'� He�ght: ��J��._
Squax.e� reet: � �Q Cubic reet: ��QG��
. �' �' j G.3 y., a�-r!
Type of Construction. �1�� Estimated Co �$ -�,uc��'�
' � — � / ' �,y Gr�
2b Be �r,�pleted: / „ I, ��+�" "
`���� �11t. A �t. B
` . -�
Pro�sed Draver�ay �•yidth It Pdew Openir�g Is Des:ired: `�� �� �� -,
.. S�� RC.VF_.RS=_•.' SYDr QF SIiEt:T .
�ii� unc�ersigned herc�i�= ma}:es appl.i�c�ticn for a permit fcr the t:nrk� hexei.n spec.i.fied,
ac�r.�cin� tU do ,all work ir� str.� c� �ccarclance �•�itli i.lze City c+f I?x'i.dley Ogdi.nat�ces ant.
r.t�lings of i.h� I�ej��1i: L.tllellt. oi Build.ings, c'lI1C� }1C:2"C}J�� declares tha� all tlie �acL� and
x�ak�re.ent�ita,oi�s state:cl :n i:his applicatian axe �rue and carrec�.
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City of Fridley "�'� � ,� ;^, 5
AT THE TOP OF THE TWINS B U I L D I N G P E R M I T �
r
� � ECEIPT N0.
� ` _���_ COMMUNITY DEVELOPMENT OIV. ��ff
r � L � PROTEGTIVE INSPECTION SEC. ��Ln
� � V
1 �
i
' � ����1 � CITV HALL� FRIDLE� 55432 NUMBER A£V OATE DAGE Uf APPROVED BV
�""�'� �'' 612-571-3450 910-F15 4/30/96 / /
JOB ADDRESS
6651 Jackson SCreet NE
t LEGAL �OT NO. BLOCK TRACT OR ADOITION SEE ATTACHEO
DESCR. � 3 Meadowlands 2nd Addition SHEE7
2 PROPERTY OWNER MAIL AODRESS Z�P PHONE
Paulette Dran eid 6651 Jackson Street NE
3 CONTRAC70R MAIL ADDRESS Z�P PHONE LICENSE NO
C& M Ha en Construction -
d ARCHITECT OR DESIGNER MAIL ADDRESS ZtP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW O ADDITION ❑ ALTERATION � REPAIR O MOVE O REMOVE
X
8 DESCRIBE WORK
Reroof House 25 S Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCV �OAD
SEPARATE PERMITS ARE FiEOUIRED FOR ELECTRICAL, PIUMBING, HEATING,
VENTILATING OR AIR CONDI710NING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. fT. CU. FT.
AUTHOfiIZED IS NOT COMMENCED WITHIN 60 DAVS, OR If CONSTpUCT10N
OR WOfiK IS SUSPENDED OR ABANOONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFfSTREET PARKING
I HEREBY CERTIfY THAT 1 HAVE REAO ANO EXAMINEO THIS APP�ICATION 1 STALLS GAHAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SUFTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPIIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT �2sOOO �1.00
DOES NO� PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE pEAMIT FEf SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL lAW REGULAT�NG CON-
T UCTION OR THE ERFORMANGE Of CONSTRUCTION. �62.25 Fire SC �L.00
) P � , ' ./ �% PLAN CHECKFEE TOTALFEE
�� "`"-� l� L�-3o-�JG License SC $5.00 $70.25
S�GNA F OFCON'RACTOAOAAJTHORIIEDA N7 IDATE� WHEN PqOPER VALIDATED THIS IS �OUR PERMIT
drl� r,r,� - 0
SiGNATUFlEOfOWNEAiiFOWNERBU�LDEAi� �DATE� BL �NSP f�FTE
NEW
ADDN
ALTER
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ConstructionAddress:
Legal Description:
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
_ �_
- � S � � � C! �Sc'��' �� �
A n .
Effective 3/ 1 /96
�=/9 �d
Owner Name & Address: � (o �f �� �, � - �1 � �' � Tel. # ��
Contractor: � ¢- yy�.t � �,�,� �d r��� , MN LICENSE # � { � Z
Address: 3 g .� Z � -�,.�d2 �i� • 7/1• ��. __ . � :�� ��-cs�Tel. # � 8g' o �l G (
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this application, a Certificate of S�.irvey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IlViPROVEMENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Lengt� �Vidth ; Hgt/Ground Sq. Ft.
�: ���> �c s�(..� s 1 i t� �� -
Corner Lot [] Inside Lot [] Ft. Yd Setbacic Side Yard Setbacks
Type of Construction: _ Estimated Cost: $ z�m o a
Approx. Completion Date: G-- /S �-- Ct (� '
(Cost on Back) �
. ..
Driveway G�rb C�t Width Needed. .}�� Ft. + 6 Ft = Ft x$ =$
DATE: 4� � t�- �� APPLICANT� � � - Tel. #�g� O 1`�
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
' v� �._.
CTTY USE ONLY
$(�� �� �` Fee Schedule on Reverse Side
$ �- C� C.% .001 of Permit Valuation (1/lOth%)
$ /. G' C�' $.50i$1,000 Valuation
$ � $900 per SAC Unit :: ,
$ 5 C'G� $5.00 (State Licensed Residential Contractors)
$ Alt. "A" or Alt. "B" Above �
$ $450.00 Conservation Plan Review
$ ' Fee Detennined by Engineering
$ Agreement Necessary " [ ) Not Necessary ( ]
. . ._ ..F�. ` . .
^ �`
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sue�ecr P .
City of Fridley 8200
, , ���_���E TW'NS gU ILDING PERMIT
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COMMUNITY OE�EIOPMENT DIV. � n� �
' � �.-�---- �
r � � PROTECTIVE INSPEC710N SEC. Q
1 � ;(-.__ �;����;'� CI7Y HALI FRIOIE� SS13Z NUMBER pEV O�TE OAGE OF APPROVED BY
t �� 612-571-3450 9t0-F15 10/13/98 � �
JOB ADbRESS 6651 Jackson Street NE
1 IEGAL l0T NO. BLOCK TRACT OR ADDITION SEE ATTACMED
oesca. 7 3 Meadowlands, 2nd Addition SHEET
2 PROPERTY OWNER MAIL AOORES$ 21P PMONE
Paulette Drangeid 574-0121
3 CONTRACTOR MAIL ADDRESS 21P pHONE UCENSE NO
Qwner
4 AqCHITECT OR DESIGNER MAIL A�DRESS ZIP PHONE LICENSE NO.
5 ENGtNEEfi MAIL AODfiE$S ZIP PMONE IICENSE NO
6 USE OF BUIIDING
Residentzal
� c�nss oF woaK
❑ NEW O ADOITION O ALTERATION � FIEPAIR O MOVE . O REMOVE
8 DESCRIBE WORK
Reroof garage and breezeway (16 S) Tear-off
9 CHANGEOFUSEFROM TO
STIPUTATIONS
Underlayment must comply with the State Building Code.
TVP OF CONST. OCCUPANCV GROUP OCCUPANCV LpAO
SEPAFATE PERMITS ARE REOUIREO FOR ELECTRICAL, PLUMBING, MEATING,
VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUCTION 10NING S�. fT CU fT.
AUTHOR12E0 IS NOT COMMENCED Wl7HIN 80 DAYS, OR If CONSTRUCTION
OR WORK IS SUSPENOED OR ABANOONEO fOR A PERIOD OF ITO OAYS A7 '
ANY TIME AFTER WORK IS COMMENCED. ' NO DWIG. UNITS OFfSTR�ET PARKING �
I HEREBY CERTIFV TMAT 1 MAVE REAO ANO EXAMIN�O THIS APP�ICATION STA�LS GARAGES
AND KNOW 7HE SAME TO 8E 761UE AND COFREC7. A�L PROVISIONS OF LAWS VAWATION SURTAX
AND OFlDINANCES GOVEqNING TMIS TVPE OF WQRK WILL @E COMP�IED
WIT►i WHETMER SPECIFIEO HEREIN OR NOT. TNE GRANTING OF A PERMIT 13]1 �.69
DOES NOT PRESUME TO GIVE AUTMORITY TO VIOIATE OR CAMCEL TNE pEqMITFEE SACCMARGE
PROVISIONS Of ANV OTMER STATE OR LOCAL LAW REGULATING CON-
STRVCTION OA 7ME PERfORMANCE OF CONSTRUCTION 45.75 1i2 .SC �1.3%
PLAN CNECK fEE TOTA� FEE
�d �3 9� 4�.si
5� sr OFCQN' ♦ 4UT1� iZED• N iOATE� WMEN PROPERL ALIOATED TMIS IS �OUR PERMtT
i — 4/
i � ��
S NaTUQE O� OwaEQ��� OWNEa BWIDER� iO�TE� . � � Bl �NS� � � � p41E
NEW
ADDN
ALTER
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CITY OF FRIDLEY
[] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �
BUILDING PERMIT APPLICATION �� �
_ �� �b
�( ConstructionAddress: � �ii S I � �-�1� S v /U ST /�/ � �
Legal Description:
�( Owner Name & Address: r i�-C/ L� T`f- r ,� �,9-�(/ (� � 1 p Tel. #.S7 ��U > 2 �
� Contractor: s� � � MN LICENSE #
Address: Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRII'TION OF IMPROVEMENT
Effective 1/1/98
LI�ING AREA:
GARAGE AREA:
DECK AREA:
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length Width Hgt/Ground Sq. Ft.
,%C OTHER: i�Gb � INC� G /���6 � �f— %S �. � � Z E G��4-- � �� �? `��
�3�� r�,4-��U�-�
Construction Type: � G r/ti � Estimated Cost: $_� �_cl.�
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
�DATE: APPLICANT: Tel. # �
CITY USE ONLY
Permit Fee $ .� %i Fee 5chedule on Reverse Side
Fire Surcharge $ 1• 3�I .001 of Permit Valuation (1/lOth%) �
State Surcharge $ $.50/$1,000 Valuation
SAC Charge $ $1000 per SAC Unit
License Surcharge $ $5.00 (State Licensed Residential Contractors)
Driveway Escrow $ Alt. "A" or Alt. "B" Above
Erosion Control $ $450.00 Conservation Plan Review
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ Agreement Necessary [] Not Necessary []
TOTAL
STIPULATIONS:
$ ! /- U �
� �� fl� �
Building
From: 9528814491 Page: 2/3 Date: 4/24/2007 10:57:41 AM
1VYECHt�NIC.A.�.. P��""t ��.:
Inspections ����NT�A� APPI.��.A���ON Receiv��. I���
763-57�-36a4 CIT�Y OF FR�I.��X �'a�
DATE ='� �-� �%� YC)L7R E-MAiL ADDRE55
SiT& ADARFSS � b 5� vi Q�� S�! r� S� .. N E
THI3 APPLiCANT T3:
owK��
TENANT
O aWNER �4NTRACTOR
PH0�1T; ��+7i' ��I ��O t�c�
COMPANY iJAME:
_�; d i sr�►�� �rn S S�L-
SUBMIT A COPY OF �TAGT PER90N: :% � i u vv enrn►vizn Hve.
YOUR STATE ST.A.TS I..iCENS£ � M inne�potis� I�6 r.5S�20
LICENSE WITH �p�FgS: (g�JZ) 8B'I�•gOQ�} C1TY _ S'PATE Z[P,
nPPL1CAT10N pH�� FnX
�',1tMYT TYPE SINCrLE FAM/J Y Q TWl7 FAMIL.Y O TOVVNHOUSE
.Z.x�� �k, W���: p rtSW �tEpLACEM,F.avT D ALTERATTONlREMODEL
DETAILED D�SCRiPTI4N OF WORK Q.Q.,p�Gt( z ��i0. C�W��,CAS � � � �� � �� � ' �
PER MS 16B.555 the permit fee is a m1n�l�uan ot' $iS.OQ or 5°le nf the total cost up to $500.00, whichovex is greater, for tho
improvement, insffi1[ation or replacemeRt of a residential fixtur�, exaluding the �xtuxes. (This should reflect only the cast of Iabor )
Labor cost under $30� _�15,00, Labor eost betwcen $300 ro�500 = cost of labor x-OS �
EOR PR07EGTS vV��iE LABOR k7CCF�s DS 530�, F55S ARE BASED pN 510.00 PBR FI7cNR.E, EXCEPT WHERE NOTED. F17C1'UFtL'3: (INDICATE TOTA�
NUMBER OF EACH BELOW} O U 0�7 I�'11)
Equiproerxfnstalled n�G:�_ MODEL��N�H���7(7 S�z�Htv 7
MFG� le.v►rlax MOD�T,: �G� SD.EBTU��I
MFG: MODEL: S1zT�'�'1! �_..r�
! A!C 525.00 _FiREPLAC6 (GAS} Si 5,an GAS RANGFJOVEN S10.a0
A1R TO AIR EXCFIANGF.FsR � I S FIRF.PL.ACF (WOOD) �35.a0 ,_NEW GAS GR1LL EI0.00
_HOiL,BR 535.00 1 FURNACE 535.00 _GAS 1JtJIT kTfR 516,(%1
CHIMNEY LINER R10,00 �GA.S DRi'�R S 10,00 _POOL HeA'CEIt 535.00
DUCT wORK S�o,oa �'*AS PiPlNG $10.00 vENTQ.ATOR S15.00
,..uwti........y�w. �.z�.acrr.nrr r.ren.:.� trr.vr_.i�x.'anexn ; " 1b17�d1L�i''% •�17�Lf' �..�'QSEiI� !�'C• �iVF�!;�'Shc
Suzcharge
TOTt#L DUE
Number of fixt�+res (�a $1 U-OQ _ x Ti10.00 =$
Number of fixtures @�] 5.00 � x$15.00 = S
Number of fixtures �$25A0 ± x 525.08 = S 2S- ttv
Numbcr of fixtares (al, $35.00 1 x�35.00 = S 35 • 0 4
State St�rcharga � ��
r�=a �.�a
THTS IS AN APPLTCATIO'N FOR A P$RMTT-NOT VALfD [JNTfL PROCFsS.SED
I hereby appty for a building permit and 1 acknowledge that the informatian above is compleet�ee and �ccurate; that the wotk will be in
conformance with the ordinancas and cndes of the City of Fddley and with the Minnesota Constructian Cod�s; that I undcrstand ehis is
not a permit but only an applicadion for a permit and wprk i4 nat to rtark without a permit,•' that the wark wi[1 be in axoedance with the
approved plan tn the k whieh reqair and roval of plans.
SIGNATUILE OF APALiCANT , NAME � /t(�MGt'S � • ��Pdf �Wf GCBATE �
_.,, �
City of Fridley
Suitding Inspectivns Departxnent
6431 University Avenue NE, Fridley, MN 55432
763-572-3G04
FAX: 763-SQ2-4977
r " From: 9528814491 Page: 3/3 Qate: 4I24l2007 10:57:42 AM
City of Fridley Rcs�dential Mechanical El,pplication Page 2
REQYTIRED INFORM.�TTON NEEDED TO �'ROCESS PEF,N�'�'
RESIDEN'�'�AL PERMIT AP��CATiO1V HVAC
❑ NEW �O�ES/t�DDITIONS '�X�S'TING HOME C] IVIAKE�UP A,IR
�
�auz�n FoR N�w��sz�av� �za�s
t. Combustion F1.ir (See n�te below)
a. Oil ar solid fuel �1V�C Chapter 7 with MN Arnen.dment�
b. Natural Gas or PKOpane/%FGC Chapter 3 with MN .Amendments
2. Make-up A,ix (See note below)
a. IMC Chapter 5 wAtb MN Amendtnents
3. Venting
a. Gas appliances TFGIC Chapter 5 with MN Amendments
b. Fuel other �ian gas INiC Chapter 8 with MN Amendments
YtEOUIItED F4R NEw �pMEs
4. Heat loss 8c cooling load per room
a. Required on new construction lMC 1346.0312
S, Ventilatior�
a. Per MN Ezter,gy Code 7570 or 7672
6. Duct Design Per IMC 1346.Ob03.�
a. ACCA Manual D
N!)'1'E: Centerpoint Energy Mecha�aaca� Code Guidetines software may be used for
eombustio� a�d no�ake-n� sir calculations.