AF - 47705�
City of Fridley, Minn.
BUII.DING PERMIT
Date: . . /`� . . . .�4 . . 4. . . � �. . . . . . . . . . .
Owner.......................................
Address......................................
�
N° 3492
Builder... ..... .. ........... ..............
Address.............................................
LO�CATION OF BUILDING
No. . .!/. . d / . . Street . �f�?�J.'lr:�: ��� . . �%%. . . . . Part of Lot . . . . . . . . . . . .
Lot . . A. . . . . . . . B2ock . . . . . .� . . . . . . . . . . Addition or Sub-Division . . . . . . . . . . . . . . /. . . . . . . .
�•►� �„O�,
Corner Lot ... ..... Inside Lot ..�........ Setback �...... Sideyard .� ........................
DESCRIPTION OF BUILDING
To be Used as• �
/� // b i �%
� . . . . �ont ��: `?' Depth �`� .� � Height �7 �. v ` Sq. Ft. � � . ! Cu. Fk °.�. .� �0.��
................ ... Frox►t ........ Depth ........ Height ........ Sq. F't. ........ Cti. Ft. .......
1�pe of Construction ................... �et. Coat.... f..... ....... To be Completed ...................
o^r
/
In consideration of t'he issuance to me of a permit to constr
the proposed work in accordance with the description above se
ordinances of the city of Fridley.
.%�. . .
desribed above, I agree to do
�mpliance wit� all provisi�s of
, ..............................
In cansideration of the payment of a fee oP$.��..�..�'..., permit is hereby granted to ...................
......................... to construct the building or addition as described above. This perinit is granted upon
the express condition that the person to whom it ia gi�anted and his agents, employeee and worlunen, ia 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 city limfts and this permit may be revoked at any time upon violation of any of the provisions of said
rdinances. --
.t. ��i' �. . . . . . . Buildin� r
Insp�ect°
NOTICE:
This permit does not cover the construction� installa#ion or alteration for wiriny, plumbina, yas heating,
sewer or water. Be sura to aee the Building Inspector fo� separate permib to� these itema
3
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City of Fridley
,�, �T T11E TOP 0� TNE TM►IN�
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Pern�i.t No . �
PLUMn I iJG PERf 1 I T APPL I Ct�T I��id •
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�;scimatea cost ��r OD
� Plumbing Fixture Rates: N0. RATE TOTAL
I�
� ! Number Fixtures x $2. 00 ,Sy�_
I� Future Fixtures�
x $1.50
�
New Fixture-Old Open. x $1.50
� Catch� Basfn x $3.25
� .
Water Heater-99,Q00 BTU x $3.00
i
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� Ground Run Old Bldg. x$3.25
( Elec. Water Heater x $2:00
,j Gas Fitting Fees;
I --
1 lst 3 Fixtures x$2.00
i r
Additional Fixtures x $ .75
i
iGas Range-199,000 BT[1 x,55.00
� Repairs &-Alterations
ISee
� Description: Code
` State Surchar�e .50
,
i TOTAL FEE $ _ �S�
�The undersigned hereby makes appl�ication for a permit
'for the work herein specified, agreeing to do all work
in strict accordance with the City Ordinances and rulinF
of the Department of Buildinga, and hereby declare that
all�the facte and representationa atated in thia
application are trug and correct.
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SUBJECT _
City of Fridley �'
AT THE TOP OF THE TWINS g U I L D I N G P E R, T • 13480
r
� � RECEIPT NO.
� ; y _����_ COMMUNITY DEVELOPMENT DIV. ���
r � � PROTECTIVE INSPECTION SEC.
i__-_ � �/�";'� CITY HALL FRIDLE� 55432 NUMBER REV. DATE PAGE OF � APPROVED BV
i �� s� 2-5so-aa5o 910-F15 l /
4 2? ?6
108 ADDRESS
801 Kenneston Drive N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. $ 1 $;Cpp]{Vl@W Terrace SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Lar R. Nelson 801 Kenneston Drive N.E.
3 CONTRAC70R MAIIADDRESS Z�P PHONE LICENSENO.
5ame
4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE LICENSE NO.
5 ENGINEEFi MAILADDRESS ZIP PHONE LICENSENO.
6 USE OF BUILDING
7 CLASS OF WORK
❑ NEW ❑ ADDITION �J ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reside house and replace picture window and replace bathroom window
9 CHANGEQFUSEFROM TO
STIPULATIONS
SEPERATE PERMITS REQUiRED FOR WIRiNG,
NEATING, PLUMBING AND SIG�S.
SEPARATE PERMITS ARE REQUIRED fOR ELECTRICAL, PLUMBING, HEATING, TVPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING. WOOC� Frame
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R 1
ANY TIME AF7ER WORK tS COMMENCED. NO. DWLG. UNITS OFFSTREET PAFKING
I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES
AND KNOW THE SAME TO BE TFUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED yS$OO.00 . SO
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOIATE OR CANCEL THE pERMITFEE SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- �`S.00
STRUCTION Oii THE PERFOfiMANCE OF CONSTRUCTION. �
PLAN CHECK FEE TOTA� FEE
$5.5Q
SIGNA��tt1REOFCONiRACTORORAUTN RIZEDAGENT IDATEI WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT •
, �! a�- �� �,z k .� � _y-� -.� �, :'
SiGN F OWNERUF OWNER BUILDERI IDATEI BLDG. INSP DATE� �
APpLICATION FOR RESIDENTIAL, ALTERATION,
, OR AllllITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
UWNER' S NAME :��1iP�P.Y dl", /1/EL 5 D!V BUILDER: �r9/+?E'
ADDRESS : �at�/ Eit/N.q..s7-o� �ik; /j��'� ADDRESS : 'S,�M,�
NO:, $D/ STREET: /�,E'NN.9sTa� �OiP.
LOT : $' BLOCK : / ADDITION : �if�DO kY/E �v �iP�P,
CORNER LOT: INSIDE I,OT:_�_SETBACK: SIDEYARD:
Appl.icant attach to this form �ao Certificates of Suxvey of Lot a.-�d propo:.sd
building location drawn on these Certificates.
BESCRIPTION OF BUILDING
To Be Used As: .
I(�� /1�F �yp�SE Front : Depth : Height :
�f'���,1cE %��rri.Q� W.�vowSquare Feet: Cubic Feet:
�'E`'�,��E �r'y�'a°'� �N"e"�,ront : Depth : Height :
�-r
Square Feet; Cubic Feet:
. o, QQ. ?C�a-�-
�pe of Construction: /��S��NiT� Sioi�v�- Estimated Cost: Od 0�
To .Be Completecl: _�� y 3� /97�
The undersigned hereby makes applicativn for a permit for the work herein
specified, agreeing to do all work in stiict accordance with the City of
Fridley Ordinances and rulings o£ the Department of Buildings, and hereby
, declares that all the facts and representations stated in this application
are true and correct.
DATE : ,� �;�,� 7 . J��� SIGNATiTRE : '
(See Reverse Side For Additional Information.)
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SUBJECT P�RM . �
City of Fridley � 14045
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
�
� � ECEIPT NO.
� • COMMUNITY DEVELOPMENT DIV.
' j L �""'� � ��
� � � PROTECTIVE INSPECTION SEC.
1 �
�4 � /"'1 � CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE OF APPROVED BY
""'�' ��� 612-560-3450
910-F15 �� � �
JOB ADDRESS 801 IGe.nnaston Drive N. E.
1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. $ 1 Brookview Terrace SHEET
2 PROPERTY OWNER MAIL ADDRESS 21P PHONE
La.rry Nelson 801 Kennaston Drive N.E.
3 CONTRACTOR MAIL AODRESS ZIP PHONE LICENSE NO.
Sussel Company 1850 C�no Avenue, St. Paul 645-1330
4 ARCHITECT OR DESIGNER MAII ADDRESS 21P PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE IICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
� NEW ❑ AOOITION � ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 24' x 26' Deta.ched Ga.rage
9 CHANGE OF USE FROM TO
STIPULATIONS provide a hard surface driveway.
WARHiHG utitities
gefore diS�,i�B call loca� �
TELEPHONE-
E�,ECjR1C - Etc•
' �P RATE P R�QUIRED �Y �-p'�
S►E E ERMfTS REQUiRED FQ� WIR(MG,
H�AT1iVG, PLUMBiNG AND St6NS,
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONINCa. WOOCZFY'1IllA
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING SO. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERI00 OF 120 DAYS AT 624 6240
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 PROVIS�ONS OF LAWS VALUATION SURiAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $4�61'7 $2.30
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE
PROVISIONS OF ANY OTHE STATE OR LOCAL LAW REGULATING corv- 24-96
STRUCTION O THE PERFO ANCE OF C NS UCTION. $ •
! � PLAN CHECK FEE TOTAL FEE
� ' � '' S �� � '� -.. $27. 26
SIGNATUREOFCONi A ORAUTHORIZED GENT IDA7EI � WHEN PRO ERLY VALIDATED THIS IS YOUR PERMIT
� !'.., -�..♦� .
SiGNATURE Of OWNER UF OWNER BU�LDEFI IDATEI BLDG iN P DATf �
CITY OF FkID�EY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
�NEW, ALTERATIONS, P,DDITIONS, OR REPAIRS)
OT��ER: ��\G� Y�� �� Sp V� BUILDER: � U S S2� �J ,
Addres s : �0 � - �e � i� CI.S -�C� U �✓� Addres s : � p ,j U — �j"\rvlQ �--C}� • '
Te1. No. (9�S /33C'
No.: �C� � Street:
LOT: � . BIACK:
CORNER LOT: INSIDE IAT: � SLTBACK:
SIDEYARDS:
Applicant attach to this form �ao Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
l�Q� �qCC.✓CLCQ�Q Front: Z Depth: �� Height: �V
Square Feet: ---��-�-- Cubic Feet: �+o1�L�
Front: • Depth:
He ig ht :
Square Feet: Cubic Feet:
Type of Construction: � YZ� VVl � Estimated Cost: $ ���/�/, � a
7.b Be Completed: g��—�� Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired $ $
� (SEE F2EVERSE SIDE OF SHEET)
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildin s, and hereby
declares that all the facts and representations stated in h s appli io
are true and correct. See reverse si for itio 1 i ation
DATE : `� � r � � S I GNATURE : �QO C�� �Y,c.� � .�.��
Stipulations:
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CITY OF FRIDLEY
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND
AIR CONDITIONING SYSTEMS AND DEVICES
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR:
Furnace Shell & Duct Work
Replacement of F�rnace
Repairs & Alterations-up to $500.00
Repairs & Alterations each add. $500.00
MECHANICAL WAR�I AIR:
Furnace Shell & Duct Work to 1C0,000 BTU
each add. 50,000 BTU
Replacement of Furn ce--�
Repairs & Alterations-up to $500.00
Repairs & Alterations each add. $500.00
STEAri OR HOT WATER SYSTEM:
Boiler & Lines up to 100,000 BTU
each addn. 50,000 BTU
Boiler only up to 100,000 BTU
each addn. 50,000 BTU
OIL BURNER- to 3 gal. per hour
each add. 3 gal. per hour
GAS BURNE R- from 100,000 BTU to 199,999 BTU
(over 199,999 BTU see Fee Schedule)
RATE
$12.00
7.00
7.00
4.00
S
$
$
$
$12.00 $
4.00 $
7.00 $
7.00 $
4.00 $
$12.00 $
4.00 $
7.00 $
6.00 $
$10.00 $
10.00 $
$10.00 $
S
TOTAL
GAS FITTING FEES:
lst 3 Fixtures x$ 3.00 $
Additional Fixtures x $ 1.00 $
Gas Range to 199,000 BTU x$10.00 $
IR CONDITIONING � ��jQ�% � $
FAN EMS �r See Fee Schedule $
VENTILATING SYSTEMS $
ALTERATIONS F, REPAIRS_S $
State Surcharge $ .50
TOTAL FEE $
ROUGH INSP.
Date
FINAL INSP.
Date
APPROVAL FOR PERMIT '��
REINSPECTION FEE
($10.00)
MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50
. . . . .'I ,.� '// ,! /_ / r►i/t . �` . . �. �/
Department of Buildings
City of Fridley
Tel. #571-3450
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the City Cades
and rulings of the Department of Buildings, and hereby declares that all the
facts and representations stated in this application are true and correct.
Fridley, Minn. �/,j//�l(� d �J.U�i . lg/ �
OWNER l7 � �' '� D f/ �� _
KIND OF BUILDING /.( i" / / .�
�
USED AS
U
TO BE COMPLETED ABOUT
ESTIMATED COST
OLD - NEW BUILDING PERMIT NO. PERMIT N0. �''/dOG�'�
, DESCRIPTION OF FURNACE/BURNER
HEATING or POWER PLANTS, Steam, Iiot Water, arm Air- No.�/,Y��/
Trade Name (-��� ��� Size No. ��r�� O�v
Capacity Sq. Ft. EDR BTU �O���v flP
Total Connected Load
BURNER - Trade Name
Capacity Sq. Ft. EDR �
vl/1 /7 s
4��f�°
Company
Signed By
Tel . � .
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City of Fridley
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
;,
,�
• COMMUNITY DEVEIOPMENT DIV.
� � ti.----�� �
r � � PROTECTIVE INSPECTION SEC.
1 �
` --� ��"'��•� CITY HALL FRIDLEv 55432 NuMSER
`"' 612-571-3450 910-Ft 5
JOB ADDFESS g01 Kennaston Drive N.E.
1 LEGAL �OT NO. BLOCK TRACT OR ADDITION
DESCR. 8 1 Brookview Terrace
2 PROPERTY OWNER MAIL ADDRESS
Larry R. Nelson 801 Kennaston Drive N.E.
REV. � DATE VAGE OF
8/23/82 � �
3 CONTRACTOR
Same
4 ARCHITECT OR DESIGNER
5 ENGINEER
6 USE OF BUILDING
Residential
MAIL ADDRESS
MAIL ADDRESS
MAIL ADDRESS
ur
ZIP
ZIP
ZiP
16740
� `�3(�
APPROVED BV
SEE ATTACHED
SHEET
PHONE
574-1205
PHONE LICENSE NO.
PHONE LICENSE NO.
PHONE LICENSE NO.
- -- - -....
❑ NEW ❑ ADDITION �1 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Insta.11 Patio Door off Back of Dwelling
9 CHANGE OF USE FROM
TO
STIPULATIONS
Provide landing, steg or deck on the outside.
SEPERAT'E pERM17S RE�U1R�p _FpR
WA HFAi'���tG. PLilM81NQ ANO SIt�N,q ��
A��
Befort diggirt; c�i1 Iopi utilit�es
tEIEPHflNf • EIECTIttC - GAS E�.
�€a����fl BY ��
TYPE OF CONST.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATItVG OR AtR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING
AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTqUCTION
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 1
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $8cJQ
WITH WHETHER SPECIFIED HEREIN OF NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $16.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
S�GNATURE OF CONTRACTOR OA AUTHORIZED AGENT IDATEI
IIF OWNER BUI�DEAi IOATEI
OCCUPANGY GROUP
SQ.FT.
STALIS
OCCUPANCYLOAD
CU. FT.
OFFSTREET PARKING
GARAGES
SURTAX
$.50
SAC CHARGE
�K FEE TOTAL FEE
$16.50
iEN PROPER�Y VAIIDATED THIS IS YOUR PERMIT
f.�_ �.�Z3lA�
CITY OF FRIDLEY Effecti��e Aug. 1, 1981
APPLIGATIQJ FOft RESIDLI�TIA� 6U1LDIiiG PCIL'iITS
(Ne►�, Alterations, Additions, or Repairs)
O�Jf1ER: ��,�P,�y /� �v�"LSo� QUILOER: __________�-?i�-IV��; `
ADDf;ESS: _ g0/ F/✓�/.QSTo� 1/iS', /l�„�. AOD1tCSS:
TEL N0: _�%y- /�a S TEL t10:
Construction Location
• STRI�.TiT NO: �D� STItFET: p�/
LOT: � BLOQC : � ADAITZON : � T� c�i .
Corner Lot: Insic3e Lot: _�_ Setback: Sidcyards:
Ap�licar�t attach Lo this fozm two Certificates of Slirver of lot and
proposed building location drawn on certificates to scale.
DESCRIPTIOi�! OF COFJSTRUCTIO�i
o��u'�-� �����OD'2 Front: Depth: Heiqht:
Square. t`eet: Qibic Feet:
� Front: Depth: Hefght:
Squar.e FePt: Aabfc I''eet: '
� $5�,��
Rype of Cor,struction : Est�unated Costs S��i��� /�"�-
Rb Be Cbnpleted:
Alt. A Alt. B
Fropose8 Drivetieay Width If New Openinq Is Desired: �' $
_ , , SE� l�e.V. �RiE SIDE OF SHEET �
ZSie undersigned hereby make� application for a permit fcz the wo rk� herein specified,
agreeing to cb ,all Work ir, strict accordanec with the City of Tridley Ordinances and
ruling� of the DeZh�rtm�t of Duildings, and hereby declares that all the facts and
repr�sr�tatiens stated in this �pplication are true and correct.
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StipulatiQns:
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�59. 7 $"
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s�-�'�L1 S' ---
c�ty of Fridley
AT THE TOP Of TNE TWINS gU I L D I N G P E R M 1 T
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� ; y �_��� COMMUNITY OEVELOPMENT OIV.
r � � PROTECTIVE INSPECTION SEC.
i � .
� � �"'1 � CiTV MALL FRIDLE� SSIJ2 NuMeER pEv
�'""�"� �'' 612-571-3450
910-F15
J09 ADDRESS g01 Kennaston Driv e NE
t IEGA� �OT NO. BLOCK TRACT OR AODITION
oesca. g 1 Brookview Terrace
2 PROPERTY OWNER MAIL AODiiESS
Bob Painter 801 Kennaston Drive NE
J HV191I�qV 1 VI�
B&BRoofi
1 ARCFIITECT OR DESIGNER
5 ENGINEER
6 USE OF BUIIDING
Residential
MAIL ADDRESS
6760 Madison Street NE. Frid
MAI� A�OAESS
MA1l
O�TE P�GE O�
4/26/99 / /
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, MN 55432
ZIP �
2929 �
RECEIPT NO.
aa �7
•vvqOVEO 8r
SEE ATTACMED
SNEET
PHONE
572-9763
PHONE LICENSE NO
571-0248 9042
PMONE LICENSE NO.
PHONE LICENSE NO
O NEW ❑ ADDITION ❑ ALTERATION � REPAIR O MOVE O REMOVE
B UESCRIBE WORK
Reroof House & Garage (23 sq) Tear-off
9 CNANGE OF USE fROM
TO
STIPULATIONS
Underlayment must comply with the State Building G�de.
CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Fciday; 9:00 am to
9:00 pm on Saturday; No work on Sunday.
TYPE Of CONS
SEPARATE PERMITS ARE REOUIRED FOR EIECTRICAL, PLUM9ING, HEATING.
VENTILATING OR Alii CONDITIONING.
THIS PERMIT BECOMES NULL AND VOIO IF WOiiK OR CONSTRUCTION ZpNING
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION
OR WOAK IS SUSPENOED OR ABANDONEO FOR A PER100 Of 120 OAYS AT
ANV TIME AfTER WORK IS COMMENCE�. NO OWIG. U
I HEREBY CERTIFY THAT I MAVE FEAO ANO EXAMINEO TMIS APPLICATION 1
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALl PROVISIONS Of LAWS VALUATION
ANO OROINANCES GOVERNING iHiS TYPE OF WORK WI�L BE COMPItED
WITH W 7MER SPECIf1ED MEREIN Oii N07. THE GRANTING Of A PERMIT �1 �971
DOE NOT PqESUME TO GIVE AUTMORITV TO VIOLATE OR CANCEI THE pEqMIT FEE
PR ISIO OF ANY OTHER STATE OR IOCA� lAW REGULATING CON-
ST UCTI OR TME PERf MANCE OF ONST UCTION �GZ.ZS
` PLAN CNECK F
'Z� � � Licens
S�GNITU O� • ACTOQOpAUTwOp�ZEOAGEN� �DATE� / WMEN
i(
OCCUPANC''GROUP OCCUPANCYLOAO
SO. fT CU iT.
OfFSTFEE7 PARNING
STALLS IGARAGES
e SC $5�00
•t�wnc..e��wc••� �u��a � ' BLD$ �NS�
� _ � ..�
$.98
SACCNAFGE
Fire SC $1.97
TOTA�FEE
$70.20
D THIS IS �OUR PEAM�T
�"���T�9
NEW [ ] Effective 1 / 1 /99
ADDN [ ] CITY OF FRIDLEY
ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-i �
BUILDING PERMIT APPLICATION Q� /1
� �-
��� �.�
' _ � �'
ConstructionAddress: c � �'� .�� '� � /J / Z � �� /�� ,�� J ��-_
Legal Description: � �.S / �'% �"i� 7'�/'2�
Owner Name & Address: �C�,� �,/� ���i i 5'iZ Tel. #� 7� J��(a3
Contractor: ,� i� � ,��� � �1 lr -��/ .S MN LII :ENSE # �� %�'
��
Address: (o ��G> i�%�/%/ ��l .� � Tel. # �S 7/-0 � `��
LIVING AREA:
GARAGE AREA:
DECS AREA:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIP'rION OF IMPROVEMENT
Length Width Height _
Lengtti Width Height _
Length Width Hgt/Ground _
� 01'HER:
_ %� �� � � /9�/ �
r
Construction Type: '"/2r.�" tii`- Estimated Cost: $
Sq. Ft.
Sq. Ft.
Sq. Ft.
(Fee Schedule or, Back1
..Driveway C�rb C�zt Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: ��-z� APPLICANT: _ Tel. #�s'�/ o� y�
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
$
$
$ � �.
$
$ �
$
$
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/lOth%)
$.50/$1,000 Valuation
$1050 per SAC Unit
$5.00 (State Licensed Residential Contrac tors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ ' Agreement Necessary ( J Not Necessar3 �[]
TOTAL
STIPULATIONS:
r� ..=
CITY OF FRIDLEY INSf�ECTION DIViSION � �
6431 Urnvers�ty Ave NE
Fridiey, MN 55432 APPUCATtON FOR POWER PLANTS AND HEATING, COOLING, VENTILATION�
572•3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE '
Residential
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace
(Side Vent - FiI10ut Back)
Gas Piping (Needed with new furnace,
but not replacement)
Gas Range
Gas Dryer �
*Air Conditioning • All Sizes
All Others/Repairs & Alterations (LIST ON BACK)
lqo of Value of Appliance or Work
Commercial/Industrial
�" 1.25qa of Value of Appliance or Work '
Rate TOTAL
$ 30.00 $ . C►O
$ 10.00 $
$ ! 0.00
$ 10.00
$ 25.00
State Surcharge
. �OTAL FEE
. �'' ' . y � .
} ,t r •. R
� :::, .;;-•:�
MINIMUM FEE FOR ANY H�A71NG/COOLING/VENT{LATIQN
REFRIGERATI0NtA1R COIVDITtONING PERMIT �S $25.00
PLUS THE 5.50 STATE SURCHARGE �
REINSPECTLON FEE $47.00/Hr
�Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
Effective On May 10, 1999
�: ���� r) � � � �'
OWN
BUILDING USED AS /r'� C
L%
ESTIMATED COST I�i T�3 �� PERMIT N0. �� �
DESCRIPTIOId OF FURNACE AND OR BURNER
$
No. of Heating Units_� Circle One (Steam) (Hot Water) arm Air)
$ Trade Name_,�.,�AN � Size No =-� � .�
BTU 3'�, vo u HP EDR
$ Fuel�� Zu � r0�,� 7otal Connected Load
$
$
$ .50
$ �ySO
� Burner Trade Name Size No.
BTU HP EDR
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the City Codes an
rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are�true and correct.
HEATING CO.c�S .�. � __j�. �.,�� r�i � �� � ,�s�� r�,�< ���
- - - �� � ['� �
Signed � DATE ' +�
.� 1.
Approved B�� Rough-In Date Final Date �'��- �,i�
t
�HIlI�INEY AND..STACB VERIFICATION
The undersigned hereby verifies that the existing chimney or stack:
1. Has been carefully examined Yes (�No O
2. Is free from rust or deterioration .
3. Has no foreign objects lodged within
4.
5
�
7.
�
Is securely supported �
Meets all current Code requirements for size
and total BTU's connected
Has total heating BTU's of �, O p�
All other BTU's
TOTAL BTU's 3 S'. �
Has a liner been provided for water heater
Has combustion air been provided for water heater
Remarks:
List ALTERATIONS VBein Done:
Yes ( � No ( )
Yes ( �No ( )
Yes ( �!No ( )
Yes ( ,.)' No ( )
Yes(}No()
Yes ( ) No ( )
HEATING CO:
Signed By:
Date:
��_ ri -
c;ty of Fridley
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
� .
� �` ���� COMMUNITY OEVEIOPMENT OIV.
r � V � PROTECTIVE INSPECTION SEC.
' � �
� � �"'1 CITY HALL FiiIOLEV SSIJ2 NUMBER pEV
�""'��� ,�' 763-571-3450 910-F15
lOB AOORESS g01 Kennaston Drive NE
1 LEGAL LOT NO. BLOCK TRACT OR AODITION
DESCR. $ 1 Brookview Terrac
2 PqOPERTY OWNER MAiL ADDRESS
Robert Painter 801 Kennaston Drive NE
� CONTqACTOF MAIL ADDRESS
a ARCMITECT OR OESVGNER MAII AO�RESS
5 ENGINEER
USE OF BUILDING
Residential
MAtL AODiiESS
OATE PAGE OF
7/8/03 / /
PERMIT_�16:--
33676
FiECEIPT�IA:'
�3 7��
1PVqOVEO B��
SEE AT�ACHEO
SMEET
11P PMONE
763-572-9753
21P PHpNE LICENSE NO
76.3-574-9679 8618
ZtP PMONE IICENSE NO.
tlP pMONE LICENSE NO
-- — - -------
O NEW O ADDITION O ALTERATION � REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Replace a 12' x 8' Deck
9 CNANGE OF USE FROM
STIPULATIONS
See notations on plan.
TO
WARNI NG
Before digging call for
all uti�itY locations
454-0002
RE�uiR��, s� r Law
SEPARATE PERMITS ARE REOUIRED FOq EIECTHICA�, P�UMBING. MEATING,
VENTI�ATING OR AIR CONOITIONING.
THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUCTION 20NING
AUTHORIZED IS NOT COMMENCED WITMIN 60 DAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONEO FOR A PER100 OF 12p DAYS AT
ANV TIME AFTER WORK IS COMMENCED. NO OWIG. UNITS
I MEREBV CERTIfV THAT I HAVE READ ANO EXAMINEO THIS APPLICATION 1
ANO KNOW TME SAME TO BE 1RUE AND CORRECT. ALL PROVISIONS OF �AWS VALUATION
AND ORDINANCES GOV 7 TVP Of WORK WI
DCCUPANCIGROUP OCCUPANCVLOAO
SO. fT CU fT.
STALLS IGARAGES
ERNING MIS E LL BE COMPLIEO �1 � 124 �.56
WITM WHETNER SPECIFIEO MEREIN Ofi NOT. THE GRANTING Of A PERMIT
DOES NOT PRESUME TO GIVE AUTMORI7V TO VIOLATE OR CANCEL THE pEpM1T fEE SAC CMAFiGE
PROVISIONS Of ANY OTHER STATE OR LOCAL LAW REGULATING coN- �44.HS Fire SC �L.LZ
STqUCT10N OR TNE P�RfORMANCE Of CONSTFUCTION
w PIAN CHECK fEE TOTAL fEE
% �-(�.3 ' c se SC $5 .00 $51.53
S�GaaruQ �CON"FA(;TOQOQ4UTMOQ�ZED�GENT �O�rE� � WHEN PROPERIY VALIO��TED TNiS IS VOU PER IT
S�GNOTUAE O� O�NNEQ ��c OWNEA BUiLDEQ� iO�iE� � e nc �asv �i rt �
NEW
ADDN
ALTER
[] CITY OF FRIDLEY Effective 1/1/2003
[ j 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
[] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
Construction Address: �D/ ileylh�c sTO�v �� •
Legal Description:
Owner Name & Address: /'� o��'f � �^� r� 1'el. # 76 3- 5 �2 - Q7S3
Contractor: [� �'��� �H� � MN LICEP�SE # �618
Address: G�fs0 S�ui�'� �� • Tel. # T�3' s��� Q`�9
Attach to this application, a Certificate of Survey of th�;
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length / Z Width g HgUGround ao `" Sq. Ft. � 9- y�s "���
OTHER:
d. �S�l� � � %
Construction Type: ffeOL%4�'� Q���� Estimated Cost: $��)�� � ��y,��
Driveway Curb Cut Width Needed: Ft. + 6 Ft Ft x$ _$
t
)- 2 -v3 7�3 - .��y 9�
DATE: APPLICANT: _ Tel. # �
Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763di71-1287 if using credit card and we will
call you for card number.
CITY USE ONLY -
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
�_�L�
$ .1
$
$
$ � � �--
$
$
$
$
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1275 per SAC Unit
$5.00 (State Licensed Residential C;ontractors)
Alt. "A" or Alt. "B" Above
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [] Not Nec �ssary []
TOTAL $ : � I • � .�) STIPLILATIONS�
�
l .. .
' ���:� '/. �. �T.�.1��` '.'
SL�RVEY/NG d fNu/1JffRiNG CO. ,,,
I i
i �
(6t2) 545-5544 �'
10700 HWY. 55 WEST MINNEAPOIIS, MINNESOTA 5544t
i , '`; SURVEY �'OR: '!�h� S,�ssel Company ,
_;`.. SURVEY UF: ]�r>t �8, Block ]., BROOKVIr:6V .TERRRCE ADDITION,
� v' � according to the recorded plat tnereof,
,�; , , Anoka C:ounty, Minnesota;
, .t,,;: ` � � �
� . . .
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. ,... � : . ..
� �:;::• 81.00
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" � KENNA STON DRIVE � , wM"�'""" �;
. � . . . ,. � ' 'i'.N
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, � � �� . � " '1' � � S ,�S
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d' � ����k�yit,� q� ,}� yY,ir,r
" i . �i,�; ' �+�w
,;��' ?�i � I hereby certify tha; this survey, P�an, specification or rePort vras p�epared by me or , k a�`"7,� �
�� �'� f�r ��nder my direct supervision and that f am a duly Registered Professional ' �� � tl'
}Y =��, f��, ' . �' �< ���`
�� K,����.p } . Land Surveyor under ,he laws of the State of Minnesota. : ifrti� ; :�
�- �. �
�:. ty:`7 , } �: , • ; --� . ,�, r
. �
`° ��'1' ����n�.�X�G���.�: pate: April 25, 1977 Reg. No. 10535 �F,,, ,£��; M �.
�` K�� 5, Samuel G. Par. kc� Y- , t;. k�'+ �. A=
s • . � , � ;, , � �t ;
� � �' } � �. � � , r�+�, YF. r. a � .�.
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� y. ..:. �'� . ' . . �F'� 1���.ti'R� .
�..�...�. .., r...._ _ , 1 . . '.l ." � .'.1 f` �.j�'
���.�w.. .�....._...w-�..-�-..�+�.�.�.-.�..� ........�.�.�. ........�.�.._���...,..._.._�...�..... �..._ .. ......�. ..�.�. ..•+w�wa�ls�•'.dr w.....
� �
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"The RtGHT CN{?!CE #�r a!1 �our<Su►lc�ing Needs"
6480 SQUiRE DRI�'E FRIDLEY, MN. 55432 •(763} 574•9678 • LIC. NO. f�618
�
PROJECT INFO SHEET �
�
FOR DECK P�
��
OWNER: VERA & ROBERT PAINTER
801 KENNASTON DR
FRIDLEY, MN
55432
OWNER PH 763-572-9753
CONTRACTOR: JANSICK INC
LICENSE 8618
CONTACT PERSON: GARY JANSICK
PH 763-574-9679
MOBILE PHONE 612-701-4486
FAX 763-574-1330
5'
$� 1
�
�
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3
12'
4' WIDE STEPS
N
x
0
�
�
�
�
� \ �
9' '�
OPTIONAL
RAILING ON
THIS SIDE
AND STEP
ONLY
r �
DECK DETAIL FOR PAINTER
DECK
5/4 X 6 RADIUS EDGED CEDAR DECKING �OIST HANGERS BOTH �ND
I LEDGER
2X6 TREAT. JOIST LAGGED
EXISTING BEAM 6%C6 OUSE
FLASHING NEXT TO
2X10 RtM OR TWO S!4 X 6 CEDAR H E
GRIPPABLE RAIL
WHERE NECESSARY
34"-38
� �i�/• i
6X6 f
12"X42" DEEP
FOOTING
� �
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Building ,�i � MECHANICAL Permit No.: 6�c�� C� �-/
Inspections C� �+ SIDENTIAL APPLICATION Received By:
763-572-3604 CITY OF FRIDLEY R�e�.�:_
DATE 7(� � I O� YOUR E-Iv�AIL ADDRESS
SITE ADDRESS �C� 1�� ►r1 �'1 o...S n;nit.l,tl� N�
THIS APPLICANT IS: ❑ OWNER �7CONTRACTOR
PROPERTY N�:
OWNER/ pDDRESS:_�Q , �{ S'IL1�'1 D2 N� CITY (��l �'et,,� STATE ` ZIP,�'�
TENANT pHONE:'IO� " S� � � �S3
CONTRACTOR co�nrnr xaME: CENTERPOINT ENERGY
SUBMIT A COPY OF
CONTACT PERSON: JOANN Z INREN
YOUR STATE STATE LICENSE # EXP DATE
LICENSE WITH �D�s: 9320 EVERGREEN BLVD STE BrrY `�COOI�•"°RFiP.IDS sTa�MN ztP55433
APPLICATION PxoxE 763 — 757 -- 6202 FAx 763--757--6701
PERMIT TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK: � NEW �REPLACEMENT ❑ ALTERAITON/REMODEL
DETAILED DESCRIPTION OF WORK �
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. (This should reflect only the cost of labor )
Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS =
FOR PROJECTS WF�RE LABOR EXCEEDS 5500, FEES ARE BASED ON 510.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL
NUMBER OF EACH BELOVI�
Equipment Installed MFG: MODEL: L[ f}� [." 0 r}l� SIZEBTU o�i TD f�
MFG: MODEL: SIZFJBN
� MFG: MODEL: SIZEBTU
VA/C $25.00 _FIItEPLACE (GAS) S 15.00 ; GAS RANGFJOVEN S 10.00
AIR TO AIR EXCHANGEER S15 _FIREPLACE (WOOD) $35.00 _NEW GAS GRILL S10.00
BOII:ER $35.00 FURNACE $35.00 GAS UNTf HTR S 10.00
CHIlvINEY LINER S 10.00 GAS DRYER $10.00 POOL HEATER 535.00
DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR S 15.00
l�ermit Fee $ Number of fixtures @$10.00 x$10.00 =$
Surcharge $ .50 Number of fixtures @$15.00 x$15.00 = S
TOTAL DUE $ Number of fixtures @$25.00 � x$25.00 = S� `.�. G?�
Number of fixtures @$35.00 x a35.00 =$
State Surcharge = $ .50
Tota1= S �5 • 5�
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 application 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 case of all work which requires review and approval of plans.
SIGNATUREOFAPPLICANT �� �' � x� ROGER HOFFHETN DATE l`�-��''U 7
�
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 PERIVIIT APPLICATION HVAC
� NEW HOMES/ADDITION5 EXISTING HOME ❑ MAKE-UP AIR
REUUIRED FOR NEW/EXISTING HOMES
1. Combustion Air (See note below)
a. Oil or solid fuel IMC Chapter 7 with MN Amendments
b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments
2. Make-up Air (See note below)
a. IMC Chapter 5 with MN Am�ndments
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
a. ACCA Manual D
NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for
combustion and make-up air calculations.
�