PRE 2010 DOCSCity of Fridley, A ion.
BUILDING PERMIT N° C5475
Date:
Owner:
Address Address`
LO TION F BUILDING
No. ,_sr6treet _ �� ..,re Part o t
1170 r1WIAW 42V
Lot.__ Block _ _ _ Addition or Sub -Division —"Z
Corner Lot w Inside Lot — s!'— Setback -_ _ Sideyard �
Sewer Elevation — Foundation Elevation
DESCRIPTION OF BUILDING
T U
' Front Depth Height ' Sq. Ft:IA" Cu. rwizo
Front Dep:t:-C:r/
H 'ght Sq. Ft. _ Cu. Ft.
Type of Construction''�c "To be Completed
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 of $. , permit is hereby granted to
to construct the building or addition as described above. This permit is granted upon
the express condition 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 any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
within the city limits and this permit may be revoked at any time upon violat °et any of the provisions of said
ordinances.., y
Building Inspector
NOTICE:
This permit does not cover the construction, installation for whing, plumbing, gas heating, sewer or water. Be sure to we
the Building Inspector for separate permits for then Items.
4
APPLICATION FOR BUILDING PEATY
CITY OF FR.IDI,EY, MIl+]NFSOTA
Owners Name Builder L
Address Address J^ A U"`
LOCATION OF BUILDING
No. 1 0 Street L� D n�Part of Lot
e c�
Lot � Block. 3 Addition or Sub.Div.L
Corner Lot___, Inside Lot Set Back 3 Side -Yard
SEWER ELEVATION . FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
DESCRIPTION OF BUILDING
To be used as:
Front Depth Height
Sq. Ft. Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction Estimated Cost
_00 -
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 Ordinances and ruling of
the Department of Buildings, and hereby declares that all the facts and representa-
tions stated in this application are true and correct.
DATE -. ` ' Cd ! SIGNATURE
(A Schedule of Fee costs can be found on the Reverse Side.)
1
Appiication for Power Pkmts and.. Heating, Coding. Ventilation, -Reh igerand
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
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 $
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ d O
.each add. 60,000 BTU ....................... 2.00 $
Replacement of Furnace P.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. IDR 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 $ ` G
GAS FITTING FEES: NO RATE TOTAL
1st 3 Fixtures ........... x $1.50 $ 1
Additional Fixtures ................. x .50 $
Gas Range to 200,000 BTU ........... x 2.00 $
AIR CONDITIONING �P � a4'$
FAN HEATING SYSTEM See Fee Schedule
VENTILATING SYSTEM $
ALTERATIONS & REPAIRS TOTAL FEE $
ROUGH—
OUGH
FINAL—
FINAL
Dept.
Dept. of Bldgs. Phone SII. 4-7470
s'V i
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, 11 inn_
e „ , r
Owner
Kind of Building
Used as
To be completed about
11 • e0
Estimated Cost, $ .4-zla'
wd New. uilding Permit No.��'� Permit No. Z4
DESCRIPTION OF WORK
BEATING or POWER PLANTS--�Steatat arm Air No
Trade ize No 1&44 M
Capacity Sq. Ft. E.D.R AamBTU H.P.
Total Connected Load � Kind of Fuel
BURNER — Trade Name Size No
Capacity Sq. Ft. E.D.R BTU H.P.
(REMARKS -OVER)
gnPA �•
By
4 z 2M 7-59 Business Phone No. 4l5 i(:',
Btu
Glass
(®
.3 54570
4d6
V-36 79
AZI i
Net exp. wall
A / r,
HEAT LOSS CALCULATIONS
DEPARTMENT OF BUILDINGS
�.�,s�l MINNEAPOLIS. MINN.
Weatherstrips
A.S.H.V.E,
/
Construction No.
Floor
Total Btu.
Insulation
Guide
D.R. or sq. ins. W.A. Leader area
t
0 m It W7FPAV'A.......
I r ---.L % w:.7.1. / 7 f
Wle' doves
rs
Reference
Out. Wall
Int. Wall Ceiling
Roof Floor
Kind How. Applied
e No
I Yes No
19—
"
>i
OE Room I Length /_ Width
Height °
z Fl.
. Room I Length % —Width,. f Heig .
indows a oors—Crackage and Area
Windows and Doors—Crackage and Area
tVldth Height No. of Lineal f . Area
Width
Height No. of Lineal ft. Area
No. of pane of pane lights ofgcrack sq. ft.
No. of pane
of pane lll{ghta or c¶rack sq. ft.
A.c r,! ! 1. ,9/�
/ 1` �I
I <., J �l�H — e- fly
Btu
Glass
(®
.3 54570
Exp. wall
,,^^
Ll
AZI i
Net exp. wall
A / r,
1
Int. wall
77—
z%zf
Ceiling
/
Total Btu.
Floor
Total Btu.
Requir
D.R. or sq. ins. W.A. Leader area
t
0 m It W7FPAV'A.......
I r ---.L % w:.7.1. / 7 f
L]b:..l..
Win ows and Doors—Crackage and Area
Btu
Infiltration
Width Height No. of Lineal ft. Area
No. of pang of PaJk9 lig is of Spack sq. ft.
♦ � CJI
,,^^
Ll
AZI i
Exp. wall
Net exp. wall &T770
Coef.
Btu
Infiltration 5
77—
z%zf
Glass
Exp. wall
Net exp. wall
/
Total Btu.
Int. wall
Ceiling ;
t
Floor
d
Total Utu. '
Required s. D.R. or sq. ins. W.A. Leader area
P1 P 91
F1.1 ; Room I Length — Width
Windows and Doors—Crackage and Area
Width Helght No. of Lineal ft. Area
No, o,t p4 . of pane lights of crack sq. ft.
Coef.1
Btu
Infiltration
Y
Glass
Exp. wall
Net exp. wall &T770
/®
Int. wall
Infiltration
Ceiling /
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
z%zf
Glass
/
Btu
Infiltration / %::�T
Glass
Exp. wall /
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
Required sft. E.D. . or sq. ins. W.A. Leader area
M.l PP'- Room I Lenuth 71, Width l f Height,
Windows and Doors—Crackage and Area
/
Width Height No. of Lineal ft. Area
No. of Bane of pane lights of crack eq. ft.
4 t�•
Exp. wall
Net exp. wal
/®
Coef.1 Btu
Infiltration
Ceiling
z%zf
Glass
/
Total Btu.
Exp. wall
Net exp. wall
t
Int. wall
Ceiling
Floor
/77
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Fl.1 29FtZ Room I Length Width d
Windows and Doors—Crackag and Area
Width Height No. of Lineal ft. Area
No. of pane of pane I lights I of crack sq. ft.
Btu
Infiltration
/
Glass
Exp. wall
Net exp. wal
/®
Int. wall
Ceiling
Floor
-c
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
City of Fridley
Application for Plumbing and Gas Fitting Permit
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO. RATE
T��O''TAL
6
Number Fixtures ......................
x $1.50
s-5;'
pZ
�z
O"x�
a3
J
�U'
�U'
Z
�U'
•
R
•
N
WATER HTR.
GAS
ELEC.
$-2L- 6G U
New Ground Run Old Bldg . ............
x 3.25
$
GAS FITTING FEES:
NO. RATE TOTAL
o�
x $1.50
�c
t�
x .50
U�'
Gas Range to 200,000 BTU ..............
p
$
Base
1st
2nd
_
3rd
4th
• Future Connection Openings
Connected with
Sewer El
New Fixture, Old Openings
Cesspool El
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO. RATE
T��O''TAL
6
Number Fixtures ......................
x $1.50
s-5;'
Future Fixture Opening ................
x 1.20
$
New Fixture Old Opening ..............
x 1.00
$
Catch Basin ............................
x 3.25
$
Water Heater (Up to 200,000 BTU) ......
— x 2.00
$-2L- 6G U
New Ground Run Old Bldg . ............
x 3.25
$
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
$
REPAIRS & ALTERATIONS—Refer to Code
Description ................................................$ /!
TOTAL FEE $ V
Dept. of Bldgs. Phone SII
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 Ordinance
and ruling of the Department of Buildings, and hereby declares that all the faci
and representations stated in this application/Are true and correct.
Fridley, Minn 19_
Kind of
Used as
To be completed about
Estimated Cost, $ p G�
Old—New. Building Permit No P..%No. 4 /
Sign
By
Business Phone No
ROUGH
FINAL
Date:
Addres
(Aty of Fridley, Minn.
BUILDING PERMIT
Builder Cj
Address
el- 7
No .6712
LOC TIO F LDING
No. Street _ Part of Lot
or
Lot Block — Addition or S b- on
Corner Lot _ Inside Lot wetback _ Side d r �_
Sewer Elevation — _ F dation Elevation
DESCRIPTION OF BUILDING
To U Front Depth Height /--P— Sq. Ft., y� Cu. - - —r
n Depth Height _ _ Sq. Ft. Cu. Ft.
Type of Constructio '� Fit. __.... _..-�'Po be Completed
In consideration of the issuance to me of a permit to c
the proposed work in accordance with the description above
ordinances of the city of Fridley.
described above, I agree to do
reliance with all provisions of
a—
In consideration of the payment of a fee of $ , permit is hereby granted to
to construct the building or addition as described above. This permit is granted upon
the express condition 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 any thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota reg location, construction, alteration, maintenance and moving of buildings
within the dty ]units anad this permit may be revoked at any time upon vi tion of of the provisions of said
ordinances.
Building Inspector
NOTICE:
This psrmlt doss not cover tits construction, Installation for wbhm plumbing, ga heathm sewer or water. Be sora to see
the Building Inspector for separaM permits for than Nems.
CITY OF FRIDLEY PERMIT Io.: 2004-01672
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432 DATE ISSUED: 09/27/2004
572-36U4 YAX: (763) 571-IZ87
ADDRESS : 1030 LYNDE DR NE
PIN : 243024320044
LEGAL DESC : LYNDALE BUILDERS 6TH ADD
: LOT 5 BLOCK 3
PERMIT TYPE : BUILDING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : RESIDING
VALUATION : $ 6,500.00
NOTE: PER R703,2000 INTERNATIONAL RESIDENTIAL CODE, REQUIRES THAT A WEATHER RESISTIVE BARRIER BE
PLACED OVER EXTERIOR SHEATHING TO PROTECT THE INTERIOR WALL COVERING. EXCEPTIONS FOR THIS
PROVISION WOULD BE IF SHEATHING IS AN APPROVED WEATHERPROOF PANEL OR WHEN THE SIDING IS AN
APPROVED WEATHER BARRIER. VINYL SIDING IS NOT A WEATHERPROOF COVERING UNLESS THE
MANUFACTURER STATES THIS IN THEIR APPLICATION GUIDELINES. CALL FOR INSPECTION OF WRAP BEFORE
COVERING OR TAKE PICTURES. RESIDE HOUSE & GARAGE.
STATE LICENSED CONTRACTOR 1
APPLICANT
NORTHLAND HOME EXTERIORS INC
308 SW 15 ST
FOREST LAKE, MN 55025
OWNER
PRINCE WILLIAM E III
1030 LYNDE DR NE
FRIDLEY, MN 55432
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of worl
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or cancel the provision any other state or local law
regulating construc - n or 'formance of construc f on.
Angnlic g ��nate
Bldg
BUILDING PERMIT FEE
139.25
FIRE SURCHARGE
6.50
STATE SURCHARGE, VALUE
3.25
LICENSE SURCHARGE
5.00
TOTAL
154.00
PAID WITH CHECK # 2970
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
NEW [j
ADDN []
ALTER [ ]
Construction Address:
Legal Description:
CITY OF FRIDLEY
6431 University Ave NE, Fridley, MN 55432
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Effective 4/1/2004
(763) 572-3604 Bldg Insp
(763) 571-1287 Fax `
3L1k1j4 �
-* a0 -7a
Owner Name & Address: ?) rarer Tel. -4LG37� - p
Contractor. Z is 9� MN LICENSE #
Address: S(OK i u-1 Tel. #
LIVING AREA:
GARAGE AREA:
DECK AREA:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length Width T_ Hgt/Ground Sq. Ft.
OTHER:
Construction Type: ��'o�`�w Estimated Cost: $ c
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ —=$,
DATE: APPLICANT: 4)e -,6Z-91 Tel. # 6 12a I%v0?"%
Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call
you for card number.
CITY USE ONLY -
Permit Fee $ Fee Schedule on Reverse Side
Plan Review $ 65% of Permit Fee
Fire Surcharge $ .001 of Permit Valuation (1/10th%)
State Surcharge $ � .�� x$.50/$1,000 Valuation
SAC Charge $ _ $1350 per SAC Unit
License Surcharge ,$ �f) 0 $5.00 (State Licensed Residential Contractors)
Curb Cut Escrow $ Alt. "A" or Alt. "B" Above
Erosion Control $ $450.00 Conservation Plan Review
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ]
TOTAL $ / lzz� V, (110 STIPULATIONS:
MrAid
Building BUILDING Permit No.'l�
Inspections RESIDENTIAL APPLICATION.'
763-572-3604 CITY OF FRIDLEY n
f:
763-502-4977 FAX ate Rec d.
YOUR
Srm ADDRESS l 2 6
THIS APPLICANT IS: O
PROPERTY OWNER/
TENANT
CONTRACTOR
SUBMIT A COPY OF
YOUR STATE LICENSE
PROPERTY TYPE
PERNIIT TYPE
Oy_1D
PHONE
STATE
SINGLE FAMILYN
TWO FAMILYMEW CONSTRUCTION
O BASEMENT FDM O ROOF
❑ DECK I] SIDING
TYPE OF WORK:
O NEW HOME CONSTRUCTION O ADDITION
See Back Page for Fee Schedule
MWAINTENANCF"AIR ❑ REMODELING
DESCRIBE WORK BEING DONE:
SIM OF IMPROVEMENT
LENGTH WIDTH
ROOFING
13 HOUSE ONLY
NUMBER OF SQUARES
0 HOUSE & GARAGE
GARAGES
❑ ATTACHED GARAGE
PROPOSED SIZE:
❑ DETACHED GARAGE
PROPOSED HEI(3HT:
SIDING
O Vinyl
o Aluminum
❑ Other
WINDOWS
IN EXISTING OPENINGS OYes ONo
OR FOR NEW OPENINGS -DESCRIBE SIM OF
OPENING CHANGES &
TYPE OF. WINDOW TO BE INSTALLED
ALL FEES ARE BASED ON
'OTAL JOB VALI
Permit Fee
Plan Review
Fire Surcharge
Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
OSoB'it
❑ Trim
lJ Fascia
OF
h.v o iyri Unc; YXIS BUJ3EDULE)
y
EXP DATE
❑ DRAIN TILE
❑ OTHER
BASE-- REMODELING SUBMTP•
I. Existing Floor Plan
.1 Proposed Boor al mneplan
3. List ofI—ft rhtbera to be used
FOR NEW CONSTRUCTION INCLUDING DECKS
.ADDITIONS & PORCHRS cilRMrr
1. Site Phuh/Survey showing the existing structures
and Proposedproject.
2. Two sets of construction plans
3. Energy CalwWona
$
. X D . a-%-
See Back Page for Fee Schedule
$
65% of Building Permit Fee
$
.001 times the total job valuation
$
/-65-
.0005 x Permit Valuation Wmim= $.50
$
D b
-$5.00 (State Licensed Residential Contractors)
$
$1825 per SAC Unit (Plans to MWCC for determination)
$
ft+6ft= ftx$21=$
$
$450 Conservation Plan Review
$
Fee Determined by Engineering
$
Agreement necessary ( ) Non Necessary ( )
$
Make checks payable to: Clty of Fridley Attach
THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I admowvledge that the intbrmation above is complete and accurate; that the work will be in conformance with the or4fiwa ea and codes
of the City of Fridley and with the to Construction that I understand this is not a permit but only an application for a permit and work is not to alert without a
permit on site; that the work vnT ba in ce with plan in the case of all work whish review d o plans. /l
SIGNATURE OF APPLIC PRINT NAME ! DATE'/O . v
APPROVED BY _ I DATES/0Z