AF - 47597�
•
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City of Fridley, Minn.
BUILDING PERMIT
�� �� �
N° .?346
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Owner: __ . ' . q� Builder ----_..:.____.�...._..� ._..__��
Address._._......_....__._...�......_. ..�._._....___.___.___..._._._ Address
% .
LOCATI OF ILDING
No. � _ � _"_____. Street ..._.. ..._._... _.._.._._ ...._ _ ..._..........! ....._._..... Part f Lo _._...._._.__
�, �,.""���
Lot ..�9� �..__ Bl _� ._._._._..__ Addition or Sub-Division . _ �
. ♦ ,�
Corner Lot ____.._._......_ Inside Lot _.._._.._._._ .r.�!�etback .__�x.� ...._...__._ Sideyard __._..�..�%
Sewer Elevatiaai _..� ,�._.7 x_.�a.._ �3 V� _��
�.__._._..__...�..__..._._._.._� IIevation _.._.._
'� /' o r� Fai f/ A� G
DESCRIPTION OF BUILDING
To v�a f �
. _ Front ��' Depth _�1_$_` Height .�-�._.. Sq. Ft �..��P- Cu. F't�.l�,�=�Gt.�v
_.._._......._..._........_...._._....._ � nt ._._.._.._._.. Depth _..�_ H'eight .__ �� Sq. Fk _ Cu. F'�
Type of Constructio .. _.._... _.. ... .__._ Es� C�.�.�° ..,�.�.'� To be Coa�ipleted ....._
In ca�.sideration of the issuance to me of a permit to construct the building described above, I agree to do
th� proposed work in acaordance with the d�scription above set forth in c`omp ance with all pro�vlsfons oi
ordinances of the dty of Fridley. �
In ca�sfderatiaa� of the payment of a fee of $_��_..�...._.., permit is hereby granted to�
to construct the building or addition as described above. This permit is granted upo�
the express oondition that the person to whom it is granted and his agents, employees and workmen, in all wark
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordix►ances o�
FrldleY, Minnesota regarding location, construction, alteration, maintenance, repair and moving of bufldings
within the city limfts and this permrt may be revoked at ar�y time upa� violati�of any of the provisiona of said
ordinancea n /1 / I
Buildin8 Inspecta�
NOTICE:
lbis p�erok doa not eowr t1N eonsfrueNoe, i�1lNiou fe� �rUinW Pluwbh�W Y�s I�N1iny, s�wK er watK. /� ain to sN
fM suiWioy in�p�dor for s�puaN p�nnils for f6�a ihms.
City of Fridley SUBJECT PEORM13148
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T •
�
; � REC .
� � ..___ COMMUNITY DEVELOPMENT DIV. �� `
r � v � PROTECTIVE INSPECTION SEC. f�
1 � �
� � /"'1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BV
�'�-'�: `•J 612-560-3d50
910-F15 8-21-75 � �
JOB ADDRESS
631 JANESVILLE STREET N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. 8& 9 P RIVERVIEW HEIGHTS SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
JIM R. MATISON, 631 JAI�SVILLE ST. N.E., FRIDLEY, MINNESOTA
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
OWNER
4 ARCHITECT OF DESIGNER MAIL ADDRESS ZIP PHONE LICENS� NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENS� NO.
6 USE OF BUILOING
RESID
7 CLASS OF WORK
❑ NEW %� ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
� i
9 CHANGE OF USE FROM TO
STIPULATIONS
PROVIDE HARD SURFACED DRIVEWAY WAR��NG
Before digging cail locai utilities
TELEPHONE - ELECTRIC - GAS Etc.
REQUIRED BY LAW
SEPERA?E PERMiTS REQUIRED- �FOR I�IIR�NG,
HEATINC, PL�lMS.ING AND s3GNS.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAO
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING O'R AIR CONDITIONING. F'
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZON�NG 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 AT R_j. G� 2 "
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVEFiNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 1 HOO .gO
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $ZO.BO
PLAN CHECKFEE TOTALFEE
�i`�.i.%o
5iG rUREOFCON CTOROanur OR12EDAGENT IDATEI WHEN PFOPER ALIDATE THIS IS YOUR PERMIT
� � � 8-21-%5
N U WNERIIFOWNERBUILDERI ' 1 ATEI BLDG INSP �I1ATE
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' � ' ' . •A�'PL�C/lTION POR R�:SI'DL'NTI�1L., ALTL'IZt1TI0N,
w
OR AllllYTION. BUILDING P�RI�IIT
' CITY OF FRIllLEY, I�IINNESOTA • � � �
Oj�iN�R' S Nt1r1� :�'1 �1� �, l7i1 i4�� � a �tI suzLV�x : �'1 !�r �? .vV► � i 1� �..v �
N� . .
ADDRESS : �j � I '��iUL� S I/1LLt cST �DDI'.�SS :�pp�L � A.vr S vi a� c� s'T; �i/6.
. � . • .
'�� ^ �
N�. / S�ET• �l/�iU�`s �/(_,(�c.. c - � I � /�L -
- ZoT:�,�BZOCx: ADDITIdIv: � V �1` U�GW ���"�"TS
CORNER LOT: � INSIDE LOT:�_SETS�CK:__���' SIDL'YAI'.D:_�,�SzS�C%
0
Applican� attaci�. �o this for:r� Tcao. Certificates �f Survey .of Lot and _pxoposed .
buildino location c:�awn on these Cextificates. . '
0
�
0
v
� HESCRIPTION OF BtIILDING •
. . � �
To Be Used� As : .. � . .
/ �� p� / i
Cl� � �d R %- FxonC : � / Depth : � �l3 Height :_ �' ,
:• Square Feet: Cubic.FeeC:
Front; Depth: ' Height: .
.. . � Square Feet; � Cubic Feet: 2 / S,� ' - .
Type of�ConsCruction: _�,��t �s�imated Cost: $� p d �. '
�o Be CompleCed: � 7 J � � � •
The undersigned hereby makes applicatinn for a permit fo� the work herein
specifieei, abreeing to do all worlc in stxict accordance �aith the City of
Fxidley Ordinances and rulinss o� the Depar f Buildings, and pier�by .
declares that all the facts and represent ions st teci i iis applicaCion
are true and correct. �
� ' � /�. t,,, •�
DATE: _S / SIGNATtJRE • � . � W v
_(See �ev xse Sid'e For Additional Infonnat n.)� '
�• �' li .�.4.Ur/ — • f �. �C� � ' . .
1���',5��= g'���� � � ��.
. � � �1, � � � ' . . . . �
. .___--- . . .
., .
,
.
�
sue�ecr PER
c�ty of Fridley � ��,� � 2
AT TNE TOP OF THE TWINS g U I L D I N G P E R M I T
f
� �
� � /
� • COMMUNITY DEVELOPMENT DIV. (.�''r l
r � V � PROTECTIVE INSPECTION SEC. v
� �
� �
, � �'��1 � CITY HALL FRIDLE� SS43Z NUMBER AEV DATE PAGE Uf APPROVEO 8V
�"'"'�'� �'' 612-571-3450 9�0-Ft5 10/6/95 � �
lOB ADDRESS 631 Janesville STreet NE
t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. $,9 p Riverview Heights ACid1t10I1 _ SHEET
2 PROPEfiTY OWNER MAIL ADORESS ZIP PHONE
Kristen Harvey 631 Janesville Street NE 785-4932
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Minnesota Rusco Inc 7411 Washington Ave S, Edina MN 55439 942-0641 2173
a AFCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS Z�P PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW ❑ ADDITION O ALTERATION �1 REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Install replacement windows and bay window
9 CHANGE OP USE FROM TO
STIPULATIONS
Replacement bedroom windows must meet the State Egress Code.
TYPEOFCONST. OCCUPANCVGROUP OCCUPANCVLOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PIUMBING, 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 AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWIG. UNITS OfFSTREET PARKING
I HEREBY CERTIfV THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES
AND KNOW THE SAME TO 8E TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SUHTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 8846.00 �F.SO
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMITFEE SACCHARGE
PROVISIQNS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFOFMANCE OF CONSTRUCTION. ],/{9. ]S Fire SC 8.85
PLAN CHECKFEE TOTALFEE
L e 168.10
S�GNATUFIEOFCON�RACTOAORAUTHOA�ZEDAGENT �onrE� WHEN PROPERLY ALIDATED THIS IS YOUR PERMIT
L�/ - �a�2-9 �
SiGNnTURE OF OWNEA��F OWNER BUILDEAi �DATE� BL �NSP ��4tE
NEW ( ) ` ��
ADDN [ ]
CITY OF FRIDLEY
Effective 8/1/95
ALTER [oc] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit AppGcation : ��� c.� �
:,,-
�
Coastruc6onAddress: �;� i �/��A� � � �, <�f- 11�C— _
Legal Description:
Owner Name & Address : �K�'�` 1- ,►-�#�ct�r, (i� j�Ck�'--�- ��-! i � i� . rV . G Tel. #� `� �:;� �-4 Z�3�
Contract�or: '�l r� � r� v�� ��%C� �n�. � c _ MN LICENSE ����.�`1i�_
t--�
Address: `, i l l�G``4.; nq �,,. h � S- �d�,�,._, v►� � .� ���`� Tel. � � ( _ - -�
'—.�
Attach to tfiis application, a Certificate of Survey of the �
lot, with the proposed constivction drawn � it to scale.
�.�'VING AREA:
GARAGfi AREA:
DECg AREA:
OTHER:
DESCRIPTION OF IMPROV'EMENT
Length 'Width Height Sq. F�
Length - Width Height Sq. Ft -,
I.ength Width HgtlGr�ound Sq. Ft.
Q_ „/'_ 1 .. � � , i . e ."--d_ -.ia..__ e �a.... �
✓l...e�-C � �,.,�,�t �
Corner Lot [] Inside Lot [] Ft. Yd Setfiack Side Yud Setbacks
Type of Construction: Fstimatod Cost: S�8 � CQ ,� _
Approx. Completion Date: � I I���f °t S
(Cost on Backj
Driveway Curb C'�t Width Needed: Ft. + 6 Ft = Ft a S_�
DATE:
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Comrol
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
APPLICANT:
� ,l_ _
=s
_ Tel. #
�$ ��°I .� Fee Schedtile on Reverse Side
�_ u, $�`� .001 of Permit Valuation (1/1Om96)
$ � '�', � $.50/51,000 Valuation
$ �850 per SAC Unit
S r" :aa $5.00 (State Licensed Residential Conhactors)
$ l�t. "�i" �' ii�t. "B" �IbOVC
$ 5450.00 Conseivation Plan Review
S Fee Determined by Eng'me�riqg
S Agreement Necessaty I) Not Ne�y [)
s I (08, l� "
� . .
Q �� �
� �.
��
,
NEW
ADDN
ALTER
�� OS -- �b �
[� ] CITY OF �+RIDLEY $�
[] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
�
ConstructionAddress:
Legal Description: '�
]�ffective 1/1/99
o`Z �"C� �9
°Z
Owner Name & Address: � #_�� 3 ?ss-�i �a
Contractor: MN LIC SE # /� �
� ress: Remodelers, I�1C. � Tel. #1 �/ 7�'s �io�l��o
CuS�(!m 474 Apollo 4�e. a Certificate of Surve of the .
CR� Remodelers InAtca��.� t�����, y
� �ot, with the proposed construction drawn on it to scale.
474 Apollo Drive
Lino LakeS, MN 5so� 4 DESCRIPTION OI' IMPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. �t.
I2E�� ��^�: Lengtl: Width HgtlGround Sq, Ft.
OTHER:
i
Construction Type: stimated Cost: $ J� 3//0�, a°
• � ' (Fee Schedule on Back) , , . ,
Driveway Curb Cut Width Needed: �'� Ft. + 6 Ft = Ft x$ � � _$
.
, �
DATE; � / � 6 � APPLICANT: : o� . Tel. # 65'! 7� �� �o
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
�
CITY USE ONLY �
$__�� '�Fee Schedule on Reverse Side
$ l�j � I I .001 of Permit Valuation (1/lOth%)
$ �(�� $.50/$1,000'Valuation
$ $1050 per SAC Unit .
$ y $5.00 (State Licensed Residential Contractors)
$ Alt. "A" or Alt. "B" Above
$ $450.00 Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement Necessary [ ] Not Necessary [ ] .
� � -��
�
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�7
a cJ'�o'� e.� a l� �►� 2' ___
%i
NEW
ADDN'
ALTER
L. )
[l
��
�� � b� (a(/�--
)�ffective l./1/99
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: -
Legal Description:
Owner Name & Address: TdQfltJ/ 5 I1G�,J25 F�/ �_��'A�fs v�Ll� S�i--Tel. #�,�; 0%7-�2
Contractor: f u,57d»� R s»►eDQ� ��-s / N�. MN LICENSE #,$L' /� y8
Address: y�y �-�d LLv /�,,Q. L�nJd L4kf� ,�.J 5�v/� Tel. #��/— �q Z�vY�
' Attach to this application, a Certificate of Survey of the .
lot, with the proposed construction drawn on it to scale.
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length Width Hgt/Ground Sq. Ft.
Construction Type: Estimated Cost: $
,� • . (Fee Schedule on BackJ . .. ,
Driveway Curb Cut Width Neefled: ''� Ft. + 6 Ft = Ft x$ � _$
DA'TEi �' ..� � , ,:� '_ APPLICANT: _ . _ . . , : Tel. # ;� • . � .. .
I1 '
CITY USE ONLY �
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ Fee Schedule on Reverse Side
$ .001 of Permit Valuation (1/lOth%)
$ $.50/$1,000'Valuation
$ $1450 per SAC Unit �
$ $5.00 (State Licensed Residential Contractors)
$ Alt. "A" or Alt. "B" Above
$ $450.00 Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement'Necessary [ ] Not Necessary [ ]
$ a .. .. ; - �
Building
Inspections
763-572-3604
DATE�S.ITE ADDRESS
THiS APPLICANT IS:
PROPERTY
OWNER/
TENANT
CONTRACTOR
SUBMIT A COPY OF
YOUR STATE
LICENSE WITH
APPLICATION
PERNIIT TYPE
TYPE OF WORK:
MECHANICAL
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
YOUR E-�AjL ADDRESS
� OWNER
0
COMPANY NAME:_
CONTACT PERSON:
STATE LICENSE #_
PHONE
�SINGLE FAMTLY ❑ TWO FAMILY
❑ ��r ❑ REPLACEMENT
DETAILED DESCRIPTION OF WORK
FAX
Permit No.
Received By:�
Dat��d� AY
CITY STATE ZIP
,
_��:��I �� � j U
❑ TOWNHOUSE
�pLTERATION/REMODEL
PER MS 16B.665 the. permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00,: whichever is greater, for the
improvement, installation or replacement of a residential fixture, excluding the fixtures. (Th'is should refiect only the cost of labor )
Labor cost under $300 =$15.00.. Labor cost between $300 to $500 = cost of labor x.OS =
FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FiXTURESt (IIdDICATE TOTAL ,
NUMBER OF EACH BELOV� MODEL: 5���
Equipment Instailed . MF�T� SIZE/gTU
��: MODEL:
MFG: MODEL: SIZE/BTU
A/C $25.00 _FIREPLACE (GAS) S15.00 �GAS RANGE/OVEN 510.00
AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) 535.00 NEW GAS GRILL SI0.00
BOILER 535.00 _FURNACE $35.00 `GAS UN1'1' HTR $10.00 �
CHIMNEY LINER SI0.00 _GAS DRYER $] 0.40 _POOL HEATER $35.00
DUCT WORK 510.00 _GAS PIPING $10.00 VENTILATOR 515.00
_ . ___._.w...� -� _ , . �i'�
11��w�+'.��',�,�,�' � �._�'to�,��;w:�;s.,a,�i �,,,....�x e� �F��
Permrt Fee $ Number of fixtures @$10.00 x$10.00 =
Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $
TOTAL DLJE $��.� Number of fixtures @$25.00 x$25.00 =$
Number of fixtures @ $35.00 x $35.00 = $
State Surcharge = $ .50
Tota1= $
TI-IIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I aclaiowledge 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 application for a permit d work is not to start without a permit; that the work will be in accordance with the
approved plan in the case. of wor which requir review and appro��al of pl s. �
.� _ � j � ,�'_ �, J� _ �[ �h �.�
SIGTIATURE OF APPLICANT �' .�(�
PRINT
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977
�..
REQUIRED INFORMATION NEEDED TO PROCESS PERMIT
RESIDENTIAL PERMIT APPLICATION HVAC
❑ NEW HOMESIADDITIONS ❑ EXISTIMG HOME ❑ MAKE-UP AIR
REQUIRED FOR NEW/EXISTING HOMES
1. Combustion Air (See note below) .
a. Oil or solid fuel IMC Chapter 7 with MN Amen�ents
b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments
2. Make-up Air (See note below)
a. TMC Chapter 5 with MN Amendments
3. Venting
a. Gas appliances IFGC Chapter S with MN Amendments
b. Fuel other than gas IMC Chapter 8 witb MN Amendments
REQUIRED FOR NEW HOMES
4. Heat loss & cooling load per room
a. Required on new construction TMC 1346.0312
5. Ventilation .
a. Per MN En.ergy Code 7670 or 7672
6. Duct Design Per IMC 134b.0603.2
a. ACCA Manual D
,
NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for
combustion and make up air calculations