PRE 2010 DOCSSUBJECT
O.
of FridleyC"'14
6 12
AT THE TOP OF THE TWINS
BUILDING
PERMIT
RECEIPT NO.
Ir?City
1•
' _ COMMUNITY DEVELOPMENT DIV
a. _
PROTECTIVE INSPECTION SEC.
f�
r
"1 CITY HALL FRIDLEY 55432
NUMBERREV
DATE
PAGE OF
APPROVED BY
612-571-3450
910415
10/1/96
JOB ADDRESS 7473 Lakeside Road NE
1 LEGAL
LOT NO.
BLOCK
T RACT OR ADDITION
SEE ATTACHED
DESCR.
14
1
Dalberg Terrace
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Walter Johnson 11M 7473 Lakeside Road NE
784-2295
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION O ALTERATION REPAIR ❑ MOVE ❑ REMOVE
x❑
8 DESCRIBE WORK
Reroof House & Garage 21 SO 2nd Layer
9 CHANGE OF USE FROM TO
STIPULATIONS
Roofing can be the 2nd layer but not the
3rd.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
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 AT
ANY TIME AFTER WORK IS COMMENCED
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL 13E COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$1,312
$.66
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
$45.75
Fire SC $1.31
PLAN CHECK FEE
TOTAL FEE
$47.72
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
HEN PROPERLY ALIDATED THIS IS YOUR PERMIT
C✓y �7✓/W✓ys17�
� f�
BLDG )NSP
GATE
'I,/
SIGNATURE OF OWNER tI§ WNER BUILDER) IDATEI
NEW (] Effective 3/1/96
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 , I?
Building Permit Application �{
ConstructionAddress: 7,173
Legal Description: ,Lp
Owner Name &Address: Ida e a t,1J.tT�) � o /7 Tel. #
Contractor: MN LICENSE # -- -
Address: Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF D4PROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER: h
Comer Lot j ] Inside Lot [ J Ft. Yd Setback Side Yard Setbacks
Type of Construction: — Estimated Cost: $ . 31
Approx. Completion Date:
(Cost on` Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: APPLICANT: Tel. #_-7 S,
CITY USE ONLY
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ S . ')S Fee Schedule on Reverse Side
$ /,.3/ .001 of Permit Valuation (1/10th%)
$ �(r, $.50/$1,000 Valuation
$ $900 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 [ ]
$ '/ 2, 21)
City of Fridley, Minn. N9 9593
BUILDING PERMIT
Date: Jan. 16, 1968
Owner: --Dalberg
Blders .
Builder
Same
Address
1121 80th Ave. N E
Address
Same
LOCATION OF BUILDING
1107473 Street _._..Lakeside ---- - Part 0f Lot
Lot 14 Block 1 Addition or Sub -Division _—_ Dalberg Terrace
Corner Lot Inside Lot — X Setback 35 ' — Sideyard
Sewer Elevation _ 895.06 1 guiumara wwxmw 898-06
Top of Footing
DESCRIPTION OF BUILDING
To be Used as:
Dwelling_ Front -A01 Depth 24Height ._ 20' Sq. Ft 960 cu. Ft _19200
Garage Front 19' Depth _.._ 22' Height — 10' Sq. Ft. 418 Cu, Ft 4180
Type of Construction Frame Est Cost $14500 To be Completed
Sewer Location - 28' South of Manhole
Watef Location - 18' South of Manhole
In consideration of the issuance to me of a permit to construct the building described above I agree to do
the proposed work in accordance with the description above sot forth and inliance with a'll provisions of
ordinances of the city of Fridley.
Zeo' J Z
$100.00 Sewer Connection Charge
In consideration of the payment of a fee of $ 35 .00 permit is hereby granted t, Dalberg Blders .
the express condition that tthecensnc to whom ibuil� or addition as described above. This permit gran a ��
person granted and his agents, employees and en, in all
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 of buildings
within the city limits and this permit may be revoked at ' I u viola on of aay of a provisions of safd
ordinances.
Odficial
NOTICE:
Tho permit does not cover the construction, installation for whine, Plumbing, gas heating, sswar or water. Be wre to no
the Building Inspocter for separate permits for these hems.
APPLICATION FOR BUILDING PERMIT
CITY- Of - FRIDILEY1,. MINNESOTA
OWNER'S MAINE P171WE
ADDRESS ADDRESS &21
LOCATION OF BUILDING
NO. STREET
dP
LOT BLOCK 4. ADDITION OR SUBDIVISION .PA�"-kme�
CORNER LOT INSIDE*6r
-L SETBACK SIDEYARDL_
SEWER ELEVATION TOP OF FOOTING
Applicant attach to*this jormTwo Certificates of Survey of Lot and proposed
'building location "dr these. Certift"tes.
DESCRIPTION OF BUILDING
To Be Used As:
A
�,4,r/El- FrainV�2 Depth Height
Square feet Cubic Feet� 2
Fron Dt'
pth, Height
Squarefeet- Cubit Feet 0 0 0
Type of Construction E�h M Estimated Cosi"
To Be Completed A 2 -Z74,(
The undersigned hereby makes application -for a permit f6ithe work herein
specified, agreeing to do -'all work in.stiict4ccordaUce*with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that all the facts and representations stated In thl-i"a.pplication.
are true and correct.
DATE, -)--!:, S I SIGNATURE,
2�t4— 2 —&� - --- -
(Schedule
of iee, Costs c" be fouM on the Reveiiiei Side).
0 Oe'
O
�y
- V
BUILDING PERMIT FEE SCHEDULE
SECTION 2. The Inspector of Buildings shall before issuing permits for
the erection of any building or structure, o-- for any addition to any
existing structure or building, or for any ali_,�!.:ation or repairs to any
existing building or structure, upon application therefore, require the
the payment by the applicant for such permit of fees to the amount herein
below set forth and in the manner herin provided to -wit:
Uniform Building Code: Type 1, 2, & 4:- $1.75 for each one thousand cubic
feet, or fraction thereof, in such cubical contents. Type 3 & 5- $1.50 for
each one thousand cubic feet._.
For the purpose of ctamputing fees for building permits, the cubical
contents of any building or addition to a. uniform height throughout by
multiplying the ground area covered from a point six (6) inches below the floc
line of the basement or the ceilat* t6 the average height 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 as existing 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 any permit as set forth in Section 2 be
less than $5.00.
NSSSD Connection Charges based on location- Area 1 or 2.
V ` �
Application for Power Plants and Heating. Cooling, Ventilation. Refrigeration and
Air Conditioning Systems and Devices // ,
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR: RATE TOTAL
Furnace Shell & Duct Work ........................... $10.00 $
Replacement of Furnace ............................. 6.00 $
Repairs & Alterations—up to $500.00 .................. 6.00 $
Repairs & Alterations each add. $500.00 ............... 3.00 $
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............ $10.00
each add. 60,000 BTU ....................... 3.00
Replacement of Furnace ............................. 6.00
Repairs & Alterations—up to $500.00 6.00
Repairs & Alterations each add. $500.00 .............. 3.00
Dept. of Bldgs. Phone SM -3450
City of Fridley:
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 Buildings, and hereby declares that all the facts
and representations stated in this application are true and correct.
$ l� O
$ Owner
$ Kind of
$
$ Used a:
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $
Each add. 200 sq. ft. EDR Steam ..................... 3.00 $
Each add. 320 sq. ft. EDR Hot Water .................. 3.00 $
OIL BURNER—to 3 gal. per hour ........................ 6.00 $
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to 199,000 BTU) 5.00 $
over 199,000 BTU See Fee Schedule
GAS FITTING FEES: NO RATE TOTAL
1st 3 Fixtures ...................... x$ 2.00 $— cU
Additional Fixtures ................. x .75 $
Gas Range to 199,000 ........... x$ 5.00 $
AIR CONDITIONING
FAN HEATING SYSTEM
VENTILATING SYSTEM
ALTERATIONS & REPAIRS
ROUGH
FINAL
See Fee Schedule
$
TOTAL FEE $
To be completed about
Estimated Cost, $
Old uilding Permit No. 2 3 Permit No. -/0
DESCRIPTION OF WORK
HEATING or POWER PLANTS -Steam, Hot Water, Warm Air—No
Trade NameSize No_ 62- J'
Capacity Sq. Ft. E.D.R BTU®� H.P.
Total Connected Load0 00, C% Bind of Fuel
BURNER — Trade Name ' Size No
Capacity Sq. Ft. E.D.R BTU H.P.
(REMARKS-OVER)
Signetj
By SUB %419 CENTER DRIVE
Ph
Business VINV . _'_- POLIS, MINKEM_ --
I
DJC y`r. ,42
HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS
Weatherstrips A.S.H.V.E. Construction No.
Guide
WindowsI Doors Reference Out. Wall Int. Wall Ceiling Roof Floor
Yes—No Yes—No 19—
F1.1 Room I Length Width � Height II / Fl.l
Windows and Doors—Crackage and Area
C^L
Width Height No. of
No. of pane of pane lights
Lineal it. Area
of crack I sq. ft.
:2 dn0 -7-
/
+
1Coef-1 Btu
Infiltration j ,
ei
Glass
Exp. wall
Net exp. wall
Int. wall
U --
Ceiling
Floor
Coef. Btu
Infiltration
Exp. wall
Int. wall
an 6,011
Glass
Exp. wall
70
Floor
Int. wall
Net exp. wall
Ceiling
11t.0
Int. wall
Floor
Ceiling
D
Floor
1 otal mu. 573
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
F1.1 Room I Length Q' Width /,;)— Height S
Windows and Doors—Crackage and Area
C^L
Width Height No. of Lineal ft. Area
No. of pane ofpane liig�hts of erraaack sq. ft.
n- c
0 .
/
1Coef-1 Btu
Infiltration j ,
ei
Glass
Exp. wall
Net exp. wall
Int. wall
U --
Ceiling
Floor
•�
1 otal situ.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
F1.1 Room I Length K Width / 2 Height S�
Windows and Doors—Crackage and Area
C^L
Width Height No. of Lineal ft. Area
Noe of pane of pane lights of crack sq. it.
n- c
0 .
/
Coef. Btu
Infiltration
Infiltration
Glass
Exp. wall
•�
Net exp, wall
Exp. wall
Int. wall
Ceiling
70
Floor
Int. wall
l otal tftu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
FRIDLEY, MINN.
Insulation
Kind How Analied
Room I Length,/ > Width /--7—Heiaht
Windows and Doors—Crackage and Area
C^L
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
•
Coef. Btu
Infiltration , p
Infiltration
Glass
Exp. wall
•�
Net exp. wall
Exp. wall
Int. wall
Ceiling
D q
Floor
Int. wall
Total btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I
Fl.l Y --7,s/ . Room I Length -7 Width / --1-Heiaht
Windows and Doors—Crackage and Area
C^L
Width Height No. of Lineal ft. Area
No. of pane of pane llghte of crack sq. ft.
6 2 e
Coef. Btu
Coef. Btu
Infiltration
Glass
Glass
•�
SZE-
Exp. wall
y
Net exp. wall
"
'-
Int. wall
Ceiling
11t.0
llia G
Floor
l otal titu.
Required sq. ft. E.D.R. or sq. ins. WA. Leader :a::j -
-I rp ts.......1 r --- .L 01 _ W:a.t ) -% u_:_L. c..
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of panne of pane lights of crack sq. ft.
V f - - (/
Coef. Btu
Infiltration
Z�
Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
"
'-
i otal atu. —
Required sq. h. E.D.R. or sq, ins. WA. Leader area