PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMITS
Date: +f - P - 6 , ,,,
Owner:.��., �z, Builder
Address Address —
LOC4TION F BUILDING
No. Street e<s.,tM;� Part o t
LotBlock Addition or Sub -Division
~1,+ le
Corner Lot "' _ Inside Lot _____ Setback -4 - Sideyard __./49— 0
Sewer Elevation — Foundation Elevation
DESCRIPTION OF BUILDING
To Used
Depth _ Height Sq. wlux Cu. Ft
Front Depth _�* Height Sq. Ft. Cu. Ft.
Type of coon �-- Est. Cost __ To be Completed
I
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 set forth and in compliance with all provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee oft , permit is hereby granted to—
to construct the building .or addition as described above. This permit is granted upon
the express crondition 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 anypart thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
within the dty limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
Building Inspector
NOTICE:
This permit does not cover the construction, installation for wiring, ,plumbing, Bae heating, sewer or water. Be sure to see
the Building Inspector for separate permits for these Items.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
l
Owner's Name VBuilders.� 4
Address Address
LOCATION OF BUILDTAG
No. ��� ! Street r Part of Lot
Lot BlockAddition or Subdivision
Corner Lot L--� Inside Lot Setback Side -Yard /.I__
SEWER ELEVATION FOUNDATION ELEVATION
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:
Front DepthHeight
S Ft a Cu. Ft • 02 ZZ 46
Front Depth Height Z42_
Sq, Ft. 9 ,� Cu. Ft.
Type of Construction Estimated Cost 7W/ 5.417
To be Completed
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 Buildings, and hereby
declares that all the facts and represent 1 �j / ns statg,�i in",happlication
are true and correct. ( /?
DATE-- �� SIGNATURE
(Schedule of Fee Costs can be found on the Reverse Side).
BUILDING PERMIT FEE SCHEDULE
Section 2. The Inspector of Buildings shall, before issuing any permit for
the erection of any building or structure, or for any addition to any exist-
ing building or structure, or for any alterations or repairs to any existing
building or structure, upon application therefor, require the payment by the
applicant for such permit of fees to the amount herein below set forth and
in the manner herein provided to -wit.,
2.1. For any such permit for the erection of any fire -proof building, other
than a garages warehouse, factory or grain elevator, or for the erection of
any fire -proof addition, for similar occupancy, to any existing building
shall be at the rate of'$1.40 for each one thousand cubic feet, or fraction
thereof, in such cubical contents.
2.2. For any such permit for the erection of any fire -proof garage, warehouse,
factory or grain elevator, or for the erection of any fire -proof addition,
for similar occupancy, to any existing building shall be at the rate of $1.25
for each one thousand cubic feet, classified as "fireproof1t by Section 502 of
the Minneapolis Building Code.
HOUSES
2.3. For any such permit for the erection of any non -fireproof building other
than a garage, warehouse, factory or grain elevator, or any non -fireproof
addition, for similar occupancy, to any existing building - permit $1.00 for
each one thousand cubic feet.
GARAGHS
2.4. For any such permit for the erection of any non -fireproof garage,
warehouse, factory or grain elevator, or for the erection of any non -fireproof
addition, for similar occupancy, to any existing building or for each such
building or addition - ninety cents ($0.90) for each one thousand cubic feet
or fraction thereof, in the cubical contents thereof with,a minimum of $4.00.
For the purpose of computing 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 floor line of the
basement or cellar to the average height of the upper surface or to the
average height of the roof surface of the main gable of a pitched roof.
2.5. For repairs or alterations to an existing structure, the feeshall be
at the rate of $3.00 per each Five Hundred Dollars ($500.00) or fraction
thereof in the cost of all proposed work.
2.6. In no case shall the fee charged for any permit as set forth in
Section 2 be less than $4.00.
Application for Power Plants and Healing, Cooling, Ventilation, Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SU 4-7470
GRAVITY WARM AIR: RATE TOTAL
Furnace Shell & Duct Work .......................... 8.00 $
Replacement of Furnace ............................. 5.00
Repairs & Alterations—up to $500.00 ........ . ......... 5.00 $
Repairs & Alterations each add. $500.00 ............... 2.50 $
NECK. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $
each add. 60,000 BTU ....................... 2.00 $
Replacement of Furnace ............................. 5.00 $
Repairs & Alterations—up to $500.00 ................. 5.00 $
Repairs & Alterations each add. $500.00 .............. 2.50 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR Steam ..... 8.00 $
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water .. 8.00 $
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 $ U 0
GAS FITTING FEES:'
NO RATE TOTAL
1st 3 Fixtures ......................
x $1.50
$
Additional Fixtures ................
x .50
$
Gas Range to 200,000 BTU ...........
x 2.00
$
AIR CONDITIONING
$
FAN HEATING SYSTEM
See Fee Schedule
VENTILATING SYSTEM
$
ALTERATIONS & REPAIRS
TOTAL FEE
ROUGH
FINAL
Location eJ ro / — /o ice•CA— rz�
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.
Fridley, Minn ,/�R— I X 19 4
Owner
Kind of Building
Used as
To be completed about
Estimated Cost, $ /
Old New. 1juilding Permit, No. �/ Permit No. �p d
DESCRIPTION OF WORK
HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No /
Trade Nama =-e;4,Cg;6ezLe Size No "f/
Capacity Sq. Ft. E.D.R BTU Z2 0 d d H.P.
Total Connected Load Kind of Fuel
BURNER — TrSize No
Capacity.
(REMARKS—OVER)
QQW 42 2M
Sq. Ft. E.D.R BTU H.P.
s-
By
Business Phone No
QW79 sob
HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MINNEAPOLIS. MINN.
Weatherstrips , A.S.H.V.E. Construction No. Insulation
Guide
WindowsDoors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How. Applied
Ye I No es No 19—
/ Room i Length 2 / Width /-V Height ? II / Fl.l %i Room I Length Width 9 Height 8
Windows a d Doors—Crackage and Area
Width Height No. of Lineal f . Area
No. of pane of pane lights of crack sq. ft.
19 zo
9 132
2,/ z® Z
Coef.
Btu
Coef.
Btu
Infiltration
Infiltration
Glass
6 7
3 5
2 S41
Glass
2 Y 3 Z
Glass
G /
6g
Z/ /'/
Exp. wall
6 8
-3 / Z Y
xro
73 j
®®
Net exp. wall/
:2 yt o
/,D
�Sd
1/6 1
.1 / a
Int. wall
Int. wall
Ceiling
/01
2- o
Floor
i 'G
Total Btu. I // / G
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 1
/ Fl.l,l-, Room I Length 2- / Width 9 Height r
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
/ ze 68 1O
Coef.
Btu
Infiltration
Coef.
Btu
Infiltration
Glass
1l
4 (r
PS -4
Exp. wall
2 Y 3 Z
Glass
Exp. wall
Net exp. wall
3 1
®®
6 8
-3 / Z Y
Exp. wall
73 j
®®
Ceiling
:2 yt o
/,D
�Sd
Net exp. wall
1? Q(,'
Ceiling
Int. wall
Ceiling
Floor
Total Btu. � 7" 1
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
/ Fi.l Z Room I Length 9 Width - Heiaht 9'
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of Dane lights of cracksq. ft.
A/
Coef.
Btu
Infiltration
/'/
3
SS' z
Glass
1l
4 (r
PS -4
Exp. wall
zl o
Exp. wall
Net exp. wall
3 1
®®
3 2-0
Int. wall
73 j
®®
Ceiling
if ,S
/,D
�Sd
Floor
1? Q(,'
Ceiling
Total Btu. I
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area•
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
2 e /6 Z- z 9 /7
Coef.
Btu
Infiltration
7-17
is
0! 02 -
Z,Glass
Glass
7
G d'
PS -4
Exp. wall
200
Exp. wall
Net exp. wall
/ g"
/ u
/ s'
Int. wall
73 j
®®
Ceiling
Int. wall
Floor
Ceiling
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
/ Fl.l a A pl Room I Lenath / y Width / / Height P
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
9 2— /
Coef.
Btu
Infiltration
.2- 9
39
/
Glass
/7
61
/®SG
Exp. wall
2 or,
Exp. wall
Net exp. wall
98
30
Int. wall
73 j
®®
Ceiling
Int. wall
Floor
Ceiling
Total Btu.5-42-9
Requ red sq. ft. E.D.R. or sq, ins. W.A. Leader area $'
/ RI .7 0 Room I Length /l Width /.n Height ,1
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of Dane of pane llghts of crack sq. ft
1/ Z 2 7 /S
Coef.
Btu
Infiltration
2-7
31<
/o z 6
Glass',
/S -
SExp.
Exp. wall
98
Net exp. wall
73 j
®®
7 3 0
Int. wall
Ceiling
Floor)
Total Btu. 15 C- 7
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area �` e
D46 79
P
HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MINNEAPOLIS, MINN.
Weatherstrips A.S.H.V.E. Construction No. Insulation k
Guide',
Windows Doors Reference' . Out. Wall Int. Wall Ceiling Roof Floor Kmd How. Applied
Yes—No I Yes—No 19_
F1.1 adaoom I Lenath4i`.3 Width 2 2. Height 7 II FI.I Room I Length Width Height
Windows and Doors—Crackage and Area
[ � �:._. � Tti:M
-
Width Height No. of Lineal f . Area
No. of pane of pane lights of crack sq. ft.
6 7 /A yf: 2.o
.-.�tr n SFr- . t �*' r. �':., r. •. !%
Coef. Btu
Infiltration
Coef.
Btu
Infiltration
4' S"
38
J 7,/.o
Glass
20
4f
/3440
Exp. wall
/ c+
Net exp. wall
J/
ry►
�+°
Ceiling
Floor
f fe-
V
3794f
Total Btu. ;?,57 v
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area;
F1.1 Room I Length Width Height
Windows and Doors—Crackage and Area
[ � �:._. � Tti:M
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack eq. ft.
y
.-.�tr n SFr- . t �*' r. �':., r. •. !%
Coef. Btu
Infiltration
Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Fl.l Room I Length Width Height
Windows and Doors—Crackage and Area
[ � �:._. � Tti:M
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
y
.-.�tr n SFr- . t �*' r. �':., r. •. !%
Coef.1 Btu
Infiltration
Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Windows and Doors—Crackage and Area
[ � �:._. � Tti:M
Width Height No. of Lineal ft. Area
No. of pane of Pane lights of crack sq. ft.
y
.-.�tr n SFr- . t �*' r. �':., r. •. !%
Coef. Btu
Infiltration
Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
RI_I Room I Length Width Height
Windows and Doors—Crackage and Area
[ � �:._. � Tti:M
Width Height No. of I Lineal ft. Area
No. of pane of pane lights of crack eq. ft.
y
.-.�tr n SFr- . t �*' r. �':., r. •. !%
Coef. Btu
Infiltration
Glass
Exp. wall
Net exp. wally
IIIc. Wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
FI.1 Room I L.enath Width Height
Windows and Doors—Crackage and Area
[ � �:._. � Tti:M
Width Height No. of Lineal ft. Area
No. of pane of.pane lights of crack sq. ft.
y
.-.�tr n SFr- . t �*' r. �':., r. •. !%
Coef. Btu
Infiltration
Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I '
SUBJECT
P E R
City of Fridley
° 1364
AT THE TOP OF THE TWINS
BUILDING
PERMIT
RECEIPT NO
i
• COMMUNITY DEVELOPMENT DIV.
.PROTECTIVE INSPECTION SEC.
/'--1 CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-560-3450
910-F15
7/16/76
JOB ADDRESS 6501 Lucia Lane N.E.
1 LEGAL
LOT NO.
BLOCK
CT OR ADDITION
SEE ATTACHED
DESCR.
8
2
rDon's2nd Addn.
SHEET
2 PROPERTYOWNER MAILADDRESS
ZIP PHONE
Emmett Raaen 6501 Lucia Lane N.E.
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Milton L. Johnson-Cp.
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 E:k ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Install patio awning with columns 181. x 10'
9 CHANGE OF USE FROM TO
STIPULATIONS
Area can not be heated unless structure envelope meets energy code.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
Aluminum
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
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
]-
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,
$700
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$.50
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-
$7.50
STRUCTION OR THE P FORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
$8.00
SIGNATURE OFC RACTOR OR AUTHORIZED AGENT (DATE)
N PROPERLY VALIDATED THIS IS YOUR PERMIT
�)z 9
BLDG IN SP
C.2 OLt- ?-/� -9L ,
DATE
SIG ATURE OF OWNER IIF OWNER BUILDERI (DATE)
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL ALTERATION,
ADDITION,. OR REPAIR BUILDING PERMIT
OWNER'S NAME : ESA err i(A A C nJ BUILDER: 76 o �,
ADDRESS :-6s-0 / h it e.` .4, A- N' ir ADDRESS: S�/ j CON -'lc' Avo
NO:-. 6S-0 / STREET: J_ r k e " '% ) I,-
LOT: BLOCK: ADDITION:
CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD:
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
To Be Used As:
DESCRIPTION OF BUILDING
Front: Depth:
Square Feet: Cubic Feet:
Front:
Height:
Depth: Height:
Square Feet; Cubic Feet:
n
00
Type of Construction: 44'ricd�l cw a 2 &3 _(H Estimated Cost: $ 7 ® d
e l
0-dIVim
To Be Completed:
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 Buildings, and hereby
declares that all the facts and representations stated in this application
are true and correct.
DATE: - /C _ Y G SIGNATURE • �
(See Reverse Side For Additional Information.)
JW
C e, oC,s s
SUBJECT
PERMIT NO.
City of Fridley
o 19 71
AT THE TOP OF THE TWINS
BUILDING
PERMIT
_
r
RECEIPT NO.
' COMMUNITY DEVELOPMENT DIV.
r,.'------I
-J7
r � � PROTECTIVE INSPECTION SEC.
l /'--1 CITY HALL FRIDLEY 55432
',j
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
I
10/12/88.
I
I
JOB ADDRESS 65 01 Lucia Lane N. E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
8
2 TDons
2nd
Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Lois Raaen 6501 Lucia Lane N. E.
571-0633
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Milton Johnson Co. 2513 Central Avenue N.E., Mpls. 55418 781-9548
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 Ek ALTERATION O REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Aluminum siding, Soffit, trim, fascia
9 CHANGEOFUSEFROM
TO
STIPULATIONS
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
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
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
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
$3,500
$1.75
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
Nsl
$64.75
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
BLDG INSP TE
SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI
Prepaid Plan Check $ Effective 5/1/88
Estimated Cost $ City Of Fridley
Receipt R-3, Q'X++A+ mcm' & INDUSTRIAL
Building Permit Application
Construction Address:_ 6501 Luc-ia Luc-;aLn, Zomig:
ill Description:
Property Owner & Address: Lois Raaen, Same as above 571-0633
M' ea olis MN 55541E. Tel.# 781-9548
ODNI}'tACPOR & Address: -Milton Johnson Co. 2 13 C ntrai Ave
Architect & Address: Reg. #
Engineer & Address: Reg.#
Type of Work [ ]New,
APPLICANT SIMMURE
Size of Structure
Length Width
OFC. AREA: Length
MME. AREA: Length
OTHER AREA: Length
trim
[ ] Addition [XicAlteration _ Aluminum siding, soffit, fascia &
USE OF BUILDING:
�,_Tel. # 781-9548 Date: 10/12/88
BUILDING DIMEMIONS
. Height Sq. Ft.
Width Height
Width Height
Width Height
# of Stories
Sq. Ft.
Sq. Ft.
Sq. Ft.
VALUATION
Sq. Ft. X $ CQSt/Sq. Ft. = Valuation $ )
Sq. Ft. X $ Cost/Sq. Ft. = Valuation $ ) $ 3,500.00
Sq. Ft. X $ Cost/Sq. Ft. = Valuation $ ) Total
Type of Const: OCcuP. Group: A/C [ ] Yes [ ] No Fire Prot. [ ]Yes [ JNo
Performance Bond Amount $ See Reverse for Schedule Reoeived [ ]Yes [ ]No.
Permit Fee $ d� See Fee Schedule on Reverse Side
Plan Check $ �� In excess of Prepaid Plan Check -See Back Pg.
State Surcharge $ $.50/$1,000 Valuation (See Sched. for > $1 mil)
SAC Charge $ $550 per SAC Unit
Park Fee $ Fee Determined by Engineering
Spec. Assessments $ Agreement Necessary [ ] Not Necessary [ l
Driveway Escrow $A&� feet at $13.50/foot
TOTAL $ st'soo
STIPULATIONS: 2 064"- 45100
.y
WORK SHEET
Lois Raaen
6501 Lucia Ln., Frid.
571-0633
9/26/88
CLIFF
1)
Siding: (COLOR: IMPERIAL BROWN)
A)
Cover the masonite siding on the house walls with an
aluminum foil breather base.
B)
Cover the aluminum foil with insulated Alcan's Vin -Al -
Wood woodgrain aluminum siding with a polyvinyl woodgrain
aluminum siding, panels insulated with a rigid 3/8" backer -
board with outside corners and window and door channels
to match.
2)
Eave Soffit and Fascia: (white)
A)
Cover the eave soffit and fascia boards on the house with
an Alcoa aluminum soffit and fascia system.
B)
Cut in the eave soffit vehted panels every 8 to 101.
3)
Windows and Doors: Aluminum coverall
A)
Cover tAe•casings, the jamb frame and the stops to the
garage door with white aluminum formed to fit.
B)
Cover a total of fourteen (14) window casings and sills
with white aluminum formed to fit.
C)
Cover the exterior casings on the front door.
D)
Cover the garage window casings and sill to the sash.
9
SUBJECT-N)P
IT NO.
City of Fridley
28314
AT THE TOP OF THE TWINS
BUILDING
PERMIT
i
R O.
�
`y _ COMMUNITY DEVELOPMENT DIV.
INSPECTION SEC.
-71
r PROTECTIVE
1 � �
NUMBER
NEV
DATE
PAGE OF
APPROVED BY
CITY HALL. FRIDLEY 55432
612-571-3450
910-F15
10/21/98
JOB ADDRESS 6501 Lucia Lane NE
I LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DEscR.
g
2
1 Don's 2nd Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Lois Raaen
571-0633
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Milton Johnson Co. 525 Lowry Ave NE M is 5541781-9548
2083
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 a REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and garage (21 Sq) Tear -off
8 CHANGEOFUSEFROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
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
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
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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
1799
$.90
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
$56.75
Fire SC $1.80
PLAN CHECK FEE
TOTAL FEE
License SC $5.0
1 $64.45
SIGNATURE OF CON'RACTOR OR AUTHORIZED AGENT IDATEI
WHEN PROPERLALIO TED THIS IS YOUR PERMIT
BLD INSP
C
GATE
SIGNATURE OF OWNER IIF OWNER BWLDERI IDATEI
NEW Ix 1, Effective 1/1/97
ADDN [ I 'CITY OF FRIDLEY
ALTER I I SI
NGLL+ FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: 6501 Lucia Lane
Legal Description:
Owner Name & Address: Lois Raaen (same) Tel. # 571-0633
Contractor: N ' _I ton Johnson Companv MN LICENSE # XKXK=iX 2 0 83
Address: 525 Lowry Ave. N.E., Mp1s. 55418 Tel.# 781-9548
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVE1%1EITT
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: Tear off and re -'roof Estimated Cost: $
house (21 sq.) (Fee Schedule on Back)
Driveway Curb Cut WidthNeeded• Ft. + 6 Ft = Ft x
DATE: APPLICANT:
may,:
"Z'��` Tel. # 781-9548
CITY USE ONLY
Permit Fee $ , °� Fee Schedule on Reverse Side
-sire Surcharge $ r - .001 of Permit Valuation (1/10th%)
state Surcharge $ Q $.50/$1,000 Valuation
iAC Charge $ $950 per SAC Unit
.icense Surcharge $', ®® $5.00 (State Licensed Residential Contractors)
)riveway Escrow $ Alt. "A" or Alt. "B" Above
3rosion Control $ $450.00 Conservation Plan Review
lark- Fee $ Fee Determined by Engineering .
ewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ]
TOTAL $ , 45
nPUI_ATIONS:
N
M
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572-3604
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
Effective On Jan Acod_
PLUMBING FIXTURE RATES:
New Fixtures
Old Opening, New Fixture
Beer Dispenser
Blow Off Basin
Catch Basin
Rain Water Leader
Sump/Receiving Tank
Water Treating Appliance
Water Heater —Electric
Water Heater — Gas**
Gas Range**
NO, RATE TOTAL JOB ADDRESS &C% f +�
Gas Dryer**
Back Flow Preventer Required( )Yes ( ) No
Type _
$7.00
The undersigned hereby makes application for a permit for the work herein
$ 4.00
specified agreeing to do all work in strict accordance with the city codes
$ 5.00
and rulings of the Building Division, and hereby declares that all the facts
$ 7.00
and representations stated in this application are true and correct.
$ 7.00
$ 7.00
453
$7.00
$10.00
Owners,
$ 7.00
$10.00
Building Used As
$10.00
$10.00
/
Estimated Cost PERMIT NO.
$15.00
Reinspection Fee $42.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
State Surcharge
TOTAL FEE
PLUMBING COMPANY / �C—%/' CX0 �-
SIGNED BY
G��6- TEL N0.
Approved By A Rough—In Date Final Dat
$ .50
MINIMUM FEE F R ANY PLUMBING GAS PERMIT 1 $ 02R04
$ �J �� PLUS THE $.50 STATE SURCHARGE
**COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SO INCHES.
SUBJECT
MIT NO.
City of Fridley
C33507
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
�
RECEIPT NO.
v �����_ COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
r 1
1 . �
NZ7MBEIi
REV
DATE
PAGE of
APPROVED BY
CITY HALL FRIOLEv 55132
L 763-571-3450
910-F 15
5/12103
JOB ADDRESS 6501 Lucia Lane NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
8
2
Don's 2nd Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Lois Raaen 6501 Lucia Lane NE
763-571-0633
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Renewal By Andersen 1920 Co Rd C 1
651-264-4777
ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO.
20130983
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑X REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Replace 11 windows and 1 storm door within existing openings
9 CHANGE OF USE FROM TO
STIPULATIONS
Provide smoke detectors in all sleeping rooms and on all levels of the dwelling
per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk and flash all
exterior openings.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING.
TYPE OF CONST
OCCUPANCY GROUP
OCCUPANCY LOAD
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 I 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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$14,160
$7.08
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
$251.25
Fire SC $14.16
PLAN CHECK FEE
TOTALFEE
Liciase SC $5.00
$277.49
SIGNATURE OF CON'RACTOR OR AUTHORIZED AGENT iOATE,
WHEN PROPERLY VALIDATED
BLO -NSP
THIS IS YOUR PERIT
f�tiE
S-GNATURE Of OVVNEROF OWNER BUILDER- MATES
NEW [ ] Effective 5/10/99
ADDN [ ] CITY OF FRIDLEY
ALTS [ l SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address:
Legal Description:
Owner Name &Address: t S` Tel. # -1U'3
Contractor:,. Wq� �u A�ars��� MN LICENSE # 0�01309�
Address: n a Cou.n ?goo d C. W�.5�: nScuct t rn� stis tl� Tel. # U51.16.411 -
Attach, to- .thin application, a, Ceriifieate, of Snrvey. of -the
lot, with the 'proposed tonstmetion drawltbn it to scale.
DESCR0I3N 60- II%fY-kOVENW.NT
LIVING AREA:
Length
Width Height
Sq. Ft.
GARAGE AREA:
Length
Width Height
Sq. Ft.
DECK AREA:
Length
Width Hgt/Ground
Sq. Ft.
OTHER:
�� l `
I�LJiCis
�(�4..� C��Y�:�� •
Construction Type:
u
`l Estimated Cost: $
Driveway Curb Cut Width Needed:
Ft. + 6 Ft = _ Ft x $_ _ $
DATE:
APPLICANT:
Tel. #_ gcja •3y,S • (odq �-
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$as1.as7
$ .Iu
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 [ ]
. - 0