PRE 2010 DOCSCity of Fridley
suedEcr
PERMIT NO
® 14'785
AT THE TOP GIF THE 7WWS
BUILDING
PERMIT
�
i' `
R EIPT NO.
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
�
1 � �
C=J
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-560-3450
910-F15
6/28/78
JOB ADDRESS 170 Liberty Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
41,42
5
.Spring Brook
Park SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Chris H. Brown 170 Liberty Street
N.E. 780-1375
3 CONTRACTOR MAILADDRESS
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
Res iden tial
7 CLASS OF WORK
jl NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 22' x 26' Garage
9 CHANGE OF USE FROM
TO
STIPULATIONS
Provide a hard surface driveway.
Before Qi �r Call total utilities
'MOMS • ELECTRIC - GAS Etc.
REQUIRED RY LAW
PA TI P"'WiHG a��v►�Lb FOR
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
Wood Fr e
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
5720
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
572
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
TALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$4,141.28
$2.07
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMITFEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$22.88
NONE
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
$24.95
SIG//N"�/,�(/�U/�,rE],O/,F,CO TR CT RAUTHORIZEDAGENT (DATE) �J
WHEN PROPERLY V LIDATED THIS IS YOUR PERMIT
BLDG INSP DATE
SIGNATURE OFOWNER IIF WNERBUILDER) (DATE) p
• CITY OF (=RIDLEY ,
'
APPLICATION FOR RESIDENTIAL hUILDING PEIZ14ITS
(NEW, ALTERATI011S, ADDITIONS; OR REPAIRS)
O1ti11);R:
C'h ris IJ r0 c,) Y" BUILDI7311: Sa oie f
Address: 1'70 YOE L t6f"h S f- Address:
Tel. No.: 7e)0 -13%-j- •.
too. /70 Street: Liber -I -y
LOT: 1I HLOCY.: ADDITION:
CORNER LOT: INSIDE IAT: X SETBACK:
Applicant attach 'to this form 11Wo Certificates of Surve
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
o
G0.t'a Front: v� 2 Depth:
Square Feet: 57'L/ Cubic Feet:
Front:
Depth.-
Square
epth:
SIDEYARDS:
of Lot and proposed
/6
Height:7-9�art r06�
Height:
Square feet: Cubic Feet:
Type of Construction: bLx► �e Estimated Cost. y
0144 00 0 4/ 13
To Be Completed: oV G� 7L _ Alt. A Alt. B
Proposed Driveway 11idth If New Opening Is Desired $ $
(SEE REVERSE SIDE OF SHEET)
The undersigned hereby makes application for a permit for the work herein
specified, agroeing.t.o do all work in strict accordance with the City of
Fridley Ordinances and rulings of the Dcpartment of 1.uildings, and hereby -
declares that all the facts and representations stated in this application .
are true .uld correct. See reverse side fadditional info --nation.
]&
DATE: SIGNATURE: "
Stipulations:
�� �0
BUILDING PERMIT FEE SCHEDULE .
SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection
of uiy building or structure, or for any addition to any existing building or structure,
or for any alteration or repairs to any existing building or structure, upon'applicatio..
therefore, require the paym`nt by the applicant- for such permit of.fees to the amount
herein below set forth and in the manner herein provided to -wit:
NEW CONSTRUCTION: Single ramily Homes and Garages: $4.00/1,000 cubic feet.
PL.T+N CIiECK: 25 percent of building permit fee.
DRIVEE]AY DEPRESSION: (Concrete Curb Streets Only)
Alternate A: Removal and replacement of concrete curb and
gutter only; Driveway width plus 6 feet x $14.50
Alternate B: Removal and replacement of concrete curb and
gutter and install a 3 foot.wide approach with
6 inch depth; Driveway width plus 6 feet x $17.20
DDITIONAL INFORMATION
For the purpose of computing 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 lire 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 ::Iain gable of a pitched roof.
For re)airs or alterations to an existing structure, the fee shall be at the rate
of $3.00 1jer eaci: five hundred dollars ($500.00) or fraction thereof in the cost
of all. prof osed work.
In no rase shall the fee charged for any permit as set forth in Section 2 be less
than $ %.;0 Pius $.50 state s.J_charge.
YE F I CATI ON OF FOUNDATION
NOTE: 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 the
cclistruction site.
A Certificate of Survey of the lot, sho;•,ing the location of the foundation once it
has been constructed will be required before proceeding with the framing.
CERTIFICATE OF OCCUPANCY
Application for a Certificate 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 Certificate of Occupancy has
been issued.
B. H. BRADLEY
CIVIL ENGINEER AND SURVEYOR
3828 - 26TH AVENUE SOUTH
-MINNEAPOLIQ• MINNESOTA 4610!
724-2169
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B H: BRADLEY
CVILENdIFIM MD SURVE1fOR %"i�� j� -f o r►.
Pen
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9848=26TH AVENUESOUTti MS
- MpVNRAPOI:IB� WVB9CTA M='
5203 .
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72.4-219D�,�'.
ST
SUBJECTPE
City of Fridley
o 17 3 2
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
REC
Ly ______ COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
Pi -7r
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
11/7/83
JOB ADDRESS 170 Liberty street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
41,42
5
Spring Brook Park Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Chris Brown 170 Liberty Street N.E. 780-1375
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Clyde Brown 10175 - 94th Avenue North, Osseo 425-4077
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION QA ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Masonry chi=ey for wood burner
9 CHANGE QF USE FROM TO
STIPULATIONS
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
Masonry
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 BE COMPLIED
$500
$.50
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
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-
$15.00
STRUCTION OR THE PERFORMANCE OF CONSTRUZTION.
PLAN CHECK FEE
TOTAL FEE
$15.50
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)WHEN
PROPERLY V DATED THIS IS YOUR PE/ER{/MIT%%%///���
BLDG )NSP �ATf� E
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE)
CITY OF FItIDLCY Effective Aug. 1, 1981
'
APPLICATIM FOR RESIDENTIAL BUILDII:G PERMITS
(Rev, Alterations, Additions, or Repairs)
[ ,�
0WHER: .:��r� � row— . BUILDER: v LJ- VA
ADDRESS: 1"?o ADDRESS: --g6� %wo 0X5 I10
TEL k0: -I ,�� TEL 110: 4o,5L L1o77
Construction Location
STRIST NO: 1 ® STREET:
LOT: BLOCK: ADDITION:
Corner Lot: Inside Lot: Setback.: Sideyards:
Applicant attach to this form two Certificates of Survey of lot and
proposed building location drawn on certificates to scale.
DESCRIPTIOR OF C01•lSTPUCTION
Front: Depth: Height:
Square Feet: Cubic Feet:
Front: Depth: Height:
Square Feet: Cubic Teet: _
• I�®iSGC't r� ®�
Type of Construction:V1 ( ood, blArN1�i� Estimated Cost: S 500
f�1
r�
4b Be Cbr-pleted: V `10
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired: $ $
SEE FEVF.R.;L' SIDE OF SHEET
9i:e undersigned hereby makes application for a permit fcr the %:ork herein specified,
agreeing to do.all work in strict accordance with the City of Fridley Ordinances and
rulings of the Delkirtment. of Buildings, and hereby declares that all the facts and
represen Lations stated in this application a,re57 true and correct.
D. TE: It— % 3 smwuur. :
Stipulations:
��� v
11ND 11 tU L.1A 1114 ,JIN 11 L ti4 1I:I1;�l�1�
STOVE DIMENSIONS
Bulletin Number 9 I! 1
This bulletin contains information on chimneys and hearths,
information on clearances to combustible materials with recom-
mendations for reducing those clearances safely, and scaled
drawings of all the stoves including the dimensions necessary
for planning your installation.
CHIMNEYS
You may connect your stove either to a tile lined masonry
chimney or to a Class A "all fuel" prefabricated metal chimney.
If you use a prefabricated chimney, make sure your choice is
listed for solid fuels by a nationally recognized testing laboratory
such as Ul, (Underwriters -Laboratories, Inc. ). Detailed installa-
IF YOU MV,5T REDV6C `(Oug PIPE U
131ZE, yo IT HERE
TILE
NO DAMPER NECkfY5ARy
LIMrtR
00
.3 SNcETA4EIAL S�t2EW5 SF,GuRE
'INII`4g
D
W44 PIPE JOINT, 2 SK-5THETAI_
5(RbW9 AT FULL COLLAR •
FLU54
W1T
LINER
MIN. F�
iRAPd51T ION fRoi�l
r
MAL To ROUND
0:111 DF-FIANT Q
VIbILANr
I/
r�� �w��
T 4 1'2 "MIN, OC41AF7T
AFFIAN-
VIVItANT=`t 1`4 MIN,
n5owTE =941f3 MIN.
`
S
U
o
N STI".
HEMTt4
o
a
CLEANOUT
Ila"
tion instructions for a prefab chimney are available from its
manufacturer. We recommend an 8" diameter flue for the
Defiant and Vigilant and a 6" diameter flue for the Resolute.
If you use a masonry chimney, the flue tile must measure at
least g" x 8" for all three stoves.
Our stoves may be installed in most fireplaces whose chimneys
have a tile -lined flue. For further information on fireplace
installations and on our Short Legs Package to reduce flue
collar height, send for Bulletin No. 10 "Fireplace Installations."
The best location for a chimney is in the interior of the house.
In this location, the chimney will liberate some of its warmth
to the house and yet will retain enough heat to produce a
strong chimney draft. Most exterior chimneys or fireplace
.chimneys, when properly sized, will work almost as well. For
optimum performance the chimney height from floor level to
the top of the chimney should be at least 16 feet.
HEARTH CONSTRUCTION
Our stoves have been tested to UL 1482 standards by an inde-
pendent testing laboratory to establish the thickness and type
of floor protection. It was determined during these strict tests
that 2 sheets of l/a" asbestos cementboard covered by 1 sheet
of 24 gauge galvanized sheetmetal would be required for hearth
protection. In order to give you a greater variety of hearth
materials, we have designed a Bottom Heat Shield that we sell
as an accessory. (See "Vermont Castings Woodburning Stoves
& Accessories".) Should you purchase and install the optional
Bottom Heat Shield, your hearth protection should consist of 7
sheet of 1,4" asbestos cementboard, or the following equivalents:
a. 1 inch tit stone, concrete, brick, tile, stucco plaster, or any
combination 'of these materials to make a 1 inch insulating
hearth.
b. 1 layer common brick, mortared.
c. 1 sheet of ",4 inch asbestos cementboard covered with any
noncombustible material that pleases your eye.
Bricks or tiles Arlt be mortared to prevent the possibility of a
loose ember lodging between them.
HEAR7Fi5��E
l'
FIGURE 1. THIMBLE HEIGHT FOR TOP EXITING STOVES Our stoves have generous ash hearths with protective lips, but
Allow enough clearance between stove and non- even so some coals are bound to escape from time to time. We
combustible wall for adequate convection -4" to 6".1 recemmend that your hearth extend 12" beyond the back and
% Vewgaftn. Rehign ®d
Air CendMmkq Sys oW D*vkn
PARTIAL RATE SCHEDULE
GRAVrff WARM AIR; RAIZ TOTAL
Furnace Shell & Duct Work ... ... .:10.00
Replacement of Furnace 6.00
Repairs do Alterations—up to X00.00 6.00 S_ -. __ _
Repairs & Alterations each add. $500.00 300 $---.
MZCH WARM AM
[7 4)
Furnace Shell & Duct Work to 190,000 BTO 110-00 a
each add. 60,000 BTU . - ....... 3.W i
Replacement of Furnace 6.00 I --
Repairs & Alterations—up to 5500.00 6.00 �—
Repairs & Alterations each add. $5W.00 &W >� —
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. PMR Steam
$10.00
$
Furnace Shell & lane—to 640 sq. ft. EDR Hot Water 10.00
Each add. 200 sq. ft. EDR Steam
3.00Each
add. 320 sq. ft. EDR Hot Water
3.00
OIL XURNER—to 3 gal, per hour
6.00
over 3 gal. per hour --See Fee Schedule
GAS BVRR`ER (up to 199,000 BTU)
t� e�
over 199,000 BTU Sae Fee Schedule
GAS FITTING FEES.
NO RATE TOTAL
Ist 3 Fixtures
x$ 200
Additional Fixtures
x ,75
$--
Gas Range to 199.0
X$ &001
$
AIR CONDITIOIRI> [a
FAA REA20M STXT= Fw Sebodule
6..�_
STWI'1G[
ALTEHATiOiI� t F"Amn
TOTJLL F=
Dept. of BldgL Phony 800-M
IV
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 Ordinates
and ruling of the Department of Buildings, and hereby declares that ail the fact&
and representations stated in this application are true and correct.
�c Fridley, M3nn--ZLg2�_ " _/
t�wrter — L- Z�1 4,7 Z /tel �-c t.�
Kind of B7U,,-
Used as z
To be completed about - _ __
J Cd
Estimated Cott, $ /_
Old New Building Permit No. __ permit No. 6J960
DFMC AEMON OF WORK
HF 77N or POWER PLANTS Steam, Not Water. WAj;7-No- Z'
Trade Name Stu Ne_ 2 2 -
Capacity ------
-Capacity---- — Sq. Ft. EDB- cG�i Cy v BTU Hp,_
Total Connected Load �% % X3nd of Fete
BURNER — Trade Nang She Nn_
Capadty ft PL ILD -IL BTV >il_
B1 _
Btdms Phar me % S�
In
SUBJECT
P R 0.
City of Fridley
IT
12821
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
�
R
COMMUNITY DEVELOPMENT DIV.
r L PROTECTIVE INSPECTION SEC.
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-560-3450
9t0-F15
11/25/74
JOB ADDRESS 170 Liberty street N.E.
A LEGALLOT
NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
41, 42
5 1
Spring Brook Park A-dition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
North Metro Construction 5203 Central Avenue N.E., Mpls. 080 t1
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
-T-CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION O REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK
Construct a 261 x 28' Dwelling d no crarage
9 CHANGE QF USE FROM TO
STIPULATIONS Provide a verifying survey before capping.
SEWER LOCATION: 45' West of manhole (Inv. 850.47)
Wye Elev: 850.25
Top of footings 853.25 Minimum
WATER LOCATION: 10.1' East of sewer service.
SEPERATE PERMITS REQUIRED FOR WIRING,
HEATING, PLUMBING AND SIGNS.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
Wood 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 .
1008
20,160
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
R-1
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
Z
ISTALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED.
10.53
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$21,067
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-
$38.00
`300.00
STRUCT Q,N OR THE PERFORMANCE OF CONST TION.
PLAN CHECK FEE
TOTALFEE
SIGNATURE OF CONTRAtTOOOR AUTHORIZED AGENT (DATE)
WHEN PROPERLY VALIDAT HIS IS YOUR PERMIT
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE)
BLDG. INSP DATE
In
is r P, 11^t f
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME : f(, orl-A 11cP �/� "5- a, 5W,1-11 -e_
ADDRESS: ��-U e�7L�a 1,4w,
ACAfADDRESS : 5e vy��
l���SJ �i i /�v/ - ✓��"/fes /
NO:. r 7.�' STREET:
LOT: BLOCK: -Z ADDITION:aJ,�/
If
CORNER LOT: INSIDE LOT: SETBACK: 3 ,�;_ ` S I DEYARD : AW.?
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
�'� ✓ /�S /r'll��Front • ��d Depth • Height :4
Square Feet: ® Cubic Feet:
Front: Depth: Height:
Square Feet; Cubic Feet:
Type of Construction: lry_)W wl Estimated,Cost: $
To Be Completed: ��.5 b f o
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in sttict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are .true and correct.
DATE: �/ -7 L SIGNATURE :
(See Reverse Side For Additional Information.)
I. I' f ►.®43
/
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a �
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C�'1 G tf T' 1a e / iu 2or
77f / /� ® �'! ivy Sew
e
City of Fridley
Application for Phmdgng and im Fbtkg Permit
Dept. of Bldgs. Phone 560-3
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures
O
<
Number Fixtures ................ -
LZ x $2.00
$
Z
r
$ _
New Fixture Old Opening .......... .
x $1.50
$
Catch Basin ....................
x $3.25
N
7
N
WATER MTII.
GAS
[LEC.
Bay
New Ground Run Old Bldg.........
x $3.25
$
Electric Water Heater ..............
a $2.00
$
GAS FITTING FEES:p ,
: r '— •t'r':t
t
1st 3 Fixtures
x$200
;
Additional 311aturee ..... .........
x $ .75
$
Gas Range to 199,000 BTU ... ,............
x $5.00
$
1st
2nd
3rd
4th
• Futuro Connection Openings
* New Fixture. Old Openings
Conned" with
Sewer
Cesspool �
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO. RATE TOTAL
Number Fixtures ................ -
LZ x $2.00
$
Future Fixture Opening ...........
x $1.50
$ _
New Fixture Old Opening .......... .
x $1.50
$
Catch Basin ....................
x $3.25
$
Water Heater (Up to 99.000 BTU)... .
x $3.00
$
New Ground Run Old Bldg.........
x $3.25
$
Electric Water Heater ..............
a $2.00
$
GAS FITTING FEES:p ,
: r '— •t'r':t
NO. RATE TOTAL
1st 3 Fixtures
x$200
;
Additional 311aturee ..... .........
x $ .75
$
Gas Range to 199,000 BTU ... ,............
x $5.00
$
REPAIRS & ALTERATIONS—Refer to Code
Description .............................................. 4
TOTAL FEES
City of Fridley:
14
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 Department of Buildings, and hereby declares that aR the fact
and representations stated in this application are true and correct
Fridley. Minn ® c; d; 3 -1 iiL/
Owner
Kind of Building
Used as
Ci"f
To be completed about % l
Estimated Cost, $ �,_� d
Old--1��T w) Building Permit No. Permit No.
Signed
zip
By --- -
Business Phone No - �� -7 9 A
ROUGH
J,''j / 4. /V"' 1 fs I. .� d °t�� t" rpt ! e r • e- p i
60
HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS VILLAGE OF BROOKLYN PARK
Guide
G
Weatherstrips A. ue E, Construction No.
Guide � Insulation
WindowsI Doors Reference Out. Wall Int. Wall Ceiling Roof Floor I Kind How Applied
Ye>—No Yes—No 19_
Rc>•norn I Length /j Width V HeightIFI. I Room Len Height
I L� g 4..1th Width
Windows and Doors—Crackage
and Area
II kt>t of crack area
� sq. 1t.
Wfath
No. of pane
Height
of pane
No. of
lights
Linea) ft.
of crack
Area
aa. ft.
Coef.1
Btu
Infiltration
�b
21p
2• t
Qasa
Exp. wall 0'1L'f A 0*
2Ank
Z�+
Glass
/ 0
Net exp. wall
Exp. wap
X
Exp.wall
_int. wap
Net exp. wall
Coef.I Btu
Infiltration 3 va
Glass D
_Exp. wall 3 0 X
Net exp. wall A
Int. wall
Veiling
Floor
Total Btu.
Required sq. ft. ED.R. or sq. ins. W.A. Leader area
/ F1•1 oom I Length j3 Width / t/ Height .0
Windows and Doors--Crackage and Area
of pini
II kt>t of crack area
� sq. 1t.
Wid h Height No. o[ Lineal ft. Area
Nom�.yy off pane of pane lights o[ crack sq. tt.
C;1 OIL to 2
yi,
Coef.1
Btu
Infiltration
�b
Glass
2• t
Qasa
Exp. wall 0'1L'f A 0*
2Ank
Z�+
Glass
/ 0
Net exp. wall
Exp. wap
X
Exp.wall
_int. wap
Net exp. wall
Ceiling /3 x 1 y
Int. wall
2zs-
Floor at
/y
Ceiling
w
a v981 otY.
Required sq. h. E.D.R. or
F1.1 Room
Windows and Doon-4
ins. W.A. Leader area
and Area
_ To.
of pan*
of pini
II kt>t of crack area
� sq. 1t.
Width Height No. or Lineal ft. Area
No. of pane of pane lights of crack ea. ft.
10
yi,
Coef.
Btu
Infiltration
Glass
2• t
y
Class
Glass
/`
Z
Exp. wap
X
Exp.wall
Net exp. wall
Net exp. wall
Int. wall
2zs-
Exp. wall
Ceiling
Ceiling
w
Zia
Floor
rp
/r
1Z
PfKI'
Total Btu.
/210
Floor
�t
Required sq. ft. E.D.R or sq. ins."WA. Leader area
Windows and Doors—Crackage and Area
Width Height No. or Lineal ft. Area
No. of pane of pane lights of crack ea. ft.
A/2, Z
1iii,
Coef.
si iit
Btu
71d O
Infiltration 20
Glass
L
/p
3-2.
Glass
Exp. wall
,Ye
1/0
LExp.
Exp.wall
Net exp. wall
Zkv—
Net exp, wall
Int. wall
2zs-
Exp. wall
Int. wall
Ceiling
ry I y
.76
/@
�►00
Floor
"
�p
/210
Floor
i otai tstu.
Required sq. ft. E.D.R. or sq. iris. W.A. Leader area
FI.I 8,ecl Room I Length Ca Width /) Al Height P
Windows and Doors—Craekage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack eq. ft.
A/2, Z
1iii,
ICoef.1
Btu
Infiltration
Infiltration
L
!Z
Glass
39
/6
S"ZF32—
LExp.
Exp.wall
,3, ,�
Zkv—
Net exp, wall
2zs-
Exp. wall
Int. wall
Ceiling
X Bg
22-
/V
/210
Floor
�t
/22d
r otal atu.
Required sq. ft. E.D.R. or sq. itis. W.A. Leader area
F1.1 16, �1�,✓ Room I Length /,I,_ Width /L Height p
Windows and Doors—Crackage and Area
width Height No. of Lineal ft. Area
NO. o[ pane o[ pane lights o[ crack sq. ft.
I �- �- /F
1iii,
Coef.
Btu
Infiltration
39
Glass
2zs-
Exp. wall
�j
Net exp. wall
/*
Int. wall
Ceiling 3T
7 /
/b
?-/GO
Floor
rt
z
7
A vast ottt.
Required sq. ft. E.D.R. or aq. ins. WA Leader arra
/'�� W�''N-A
SUBJECT
P _
City of Fridley
___
2 6 55 6
AT THE TOP OF THE TWINS
BUILDING PERMIT
Ir
RECEIPT NO.
06.
fr ----- COMMUNITY DEVELOPMENT DIV.��
PROTECTIVE INSPECTION SEC.
r
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910415
5/14/98
JOB ADDRESS 170 Liberty Street NE
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
41,42
5
Springbrook
Park Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
Chris Brown 170 Liberty Street NE
780-1375
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.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION _❑ REPAIR
X
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House & Garage 20 S Tear-off
9 CHANGE OF USE FROM
TO
STIPULATIONS
Underlayment must comply with
the State Building Code.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 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 1 HAVE READ AND EXAMINED THIS APPLICATION
1
ISTALLS
GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$1,668
$.83
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
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-
$54.00
Fire SC $1.66
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
$56.49
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI
dr-,�
WHEN PROPERLY VALIDATED
A SLOG INSP
THIS IS YOUR PERMIT
BATE
SiNATURE OF OWNER OF OWNS BUILDER) IDATEI
/'�� W�''N-A
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY 0�
ALTER [ ] SINGLE FAMII.Y AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: Z 1-7d %Y / /_g E 7 1/ �T
Legal Description:
Owner Name & Address: CQ�/�l s �/ /�� ,,9 40 N Tel. # 7Z®—
Contractor: � 0 A/ E2 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 EVIPROVEMENT
LIVING AREA:
Length
Width Height Sq. Ft.
GARAGE AREA:
Length
Width Height Sq. Ft.
DECK AREA:
Length
Width Hgt/Ground Sq. Ft.
OTHER:
D
+1 Od re Tdc' ®F�
Construction Type:
Estimated Cost: $ % Wo�
(Fee Schedule on Back)
Driveway Curb Cut Width Needed:
Ft. + 6 Ft = Ft x $ _ $
DATE: APPLICANT:
Tel. #
CITE USE ONLY
Permit Fee
$ ti ` . 00
Fee Schedule on Reverse Side
Fire Surcharge
$
.001 of Permit Valuation (1/10th%)
tate Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
.icense Surcharge
$
$5.00 (State Licensed Residential Contractors)
Driveway Escrow
$
Alt. "A" or Alt. "B" Above
R-rosion Control
$
$450.00 Conservation Plan Review
?ark Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement Necessary [ ] Not Necessary [ ]
TOTAL
:STIPULATIONS:
- . 0
NEW[ ] Effective 5/10/99
ADDN [ ] CITY OF FRIDLEY Q
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �},D
BUILDING PERMIT APPLICATION ,ULA
Construction Address: 74) �� ��5�_�j�
Legal Description:
Owner Name & Address: eArts- mldre-gs Tel. #—i7- 7 13 0 137.5"
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 IMPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER:
Construction Type:
Estimated Cost: $
1,�2 (
Driveway Curb Cut Width Needed: Ft. + 6 Ft Ft x $_
DATE: APPLICANT: r� Tel. #
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
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1050 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 [ ]
Building
PLUMBING
Permit No.:
Inspections
RESIDENTIAL APPLICATION
Received By:
763-572-3604
CITY OF FRIDLEY
DATE YOUR E-MAIL ADDRESS
SITE ADDRESS 5Y
THIS APPLICANT IS: ❑ OWNER TRCONTRACTOR
PROPERTY
NAME: �d
OWNER/
ADDRESS: S/` CITY STATE ZIP
TENANT
jj
74j - 7li-t)
PHONE: — 7S�
CONTRACTOR
NAME: e S
STATE LICENSE # ���� EXP DATE l2
SUBMIT A COPY OF
YOUR STATE
ADDRESS: `< a� r%��_ !/t/i,) CITY (fe,lz STATEeO4 ZIPS /,-
LICENSE WITH
PHONE .� FAX
APPLICATION
PERMIT TYPE
AfSINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK:
❑ NEW Ap REPLACEMENT
DETAILED DESCRIPTION OF WORK 4a i_J, �>
PER MS 1613.665 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.05 =
FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL
NUMBER OF EACH BELOW)
_ BATH SINK/LAV _FLOOR DRAINS _ SHOWER WATER PIPING
_
—BATHTUB —GAS PIPING (Nr:ia) c ira u� �:n��:) _ SWIMMING POOL WATER SOFTNER ($35)
_
—CLOTHES WASHER _ KITCHEN SINK _ WATER CLOSET BACKFLOW PREY. ($15)
_
_ DISHWASHER _ LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION
_ WATER METER OTHER
+� Ur
Permit Fee $
Number of fixtures @ $10.00 x $10.00 = $
Surcharge .50
Number of fixtures @ $15.00 x $15.00 = $
Number of fixtures @ $35.00 x $35.00 = $
TOTAL DUE $ /.5
State Surcharge = $ .50
Total = $
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 wok which requires review and approval of plans.
ns
SIGNATURE OF APPLICANT CK
PRINT NAME /sr DATE
OW
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604-
FAX:
63-572-3604FAX: 763-502-4977