PRE 2010 DOCSI
City of Fridley
Applications fcw Pi mbing and Gas Fitting Perm*
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE
TOTAL
Number Fixtures ......................9
12
�'
z
Future Fixture Opening ................
8�<Z
x 1.20
O
j
�U'
w
t9
Z
ziii
•
& WATER HTR.
x 3.25
$
���
Z
x 2.00
$ Q 0
C�
u.c
GZ
V
<
ad
za
(�90
F
N GAS ELEG
Base
Z
x $1.50
$
Additional Fixtures ....................
x .50
$
Gas Range to 200,000 BTU ..............
x 2.00
$
1st
2nd
3rd
4th
* Future Connection Openings
Connected with
New Fixture, Old Openings
I
Sewer
Cesspool 0
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE
TOTAL
Number Fixtures ......................9
x $1.50
$
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) ......
Z
x 2.00
$ Q 0
New Ground Run Old Bldg . ............
x 3.25
$
GAS FITTING FEES:
NO.
RATE
TOTAL
1st 3 Fixtures ..........................
Z
x $1.50
$
Additional Fixtures ....................
x .50
$
Gas Range to 200,000 BTU ..............
x 2.00
$
REPAIRS & ALTERATIONS—Refer to Code
Description................................................$
TOTAL FEE $ 9 �) d
U'
DepL of Bldgs. Phone SII 4-7470
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_�19�
Owner�z��J�Fic�'.� 19—
Kind of Building r2 e� _ 19—
_ ll ,
Used as
To be completed about
Estimated Cost,
Old—New. Building Permit No d -Z,r
Sign � .��`•
By r '`
Business Phone No_ Z�4' •S�l BGS
//- S/-� / 61-� -
.1115p,11 POST 1M-12-58
iCaty of Fridley, Minn..
e
BUILDING PERMIT N° 7161.
Date:
Owner: �&A ate¢ Builder"' W
Address Address
LOCATIO F BUVIN
.._ Street of
Addition or Sub -Division _
Corner Lot Inside Lot �� Setbacks _ Sideyard
Sewer Elevation �?e n Elevation -E-�Z-2 • �-�
DESCRIPTION OF BUILDIN
T
use
_
Front Depth Height Sq. Ft. oeA 40 Cu. Ft. XeAv
rn
n Depth Height Sq. Ft. Cu. Ft. Y&O
Type of ction ' Est. o be Completed
In consideration of the issuance to me of a permit to constru ding above I agree to do
the proposed work in accordance with the description above se o Tian with a'll provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of $ 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 Bart thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
ori. city limits and this permit may be revoked at any n� vioiatiou of any of the provisions 7sala
NOTICE:
lhb permit don not cover the construddon, hatdlbtion for whdng, phmihing, gas boding, ewer or wdter. Be sure to see
the Building Inspector for nparate permits for thea Nems.
I
ju/
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, KDDWOTA
CLEMRON, INS.
owner's Name` Builder PTHERAL CONfiRACToa"
3619 Benjamin'ZIL 1-4. r
Address Address &nPapol►S 18, Minn.
LOCATIONJOP BUILDING
No. 'e�' Street �� , f�� Fart of Lot
r aGs
Lot ^ Block Addition or 5ubdivisio
f �
Corner Lot Inside Lot Setback � �Side-Yard
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
To be used as:
DESCRIPTION OF BUILDING
o / /
so. Ft. /o.s '?v - - - - Cu. Ft.
Sq. Ft. Cu. Ft
Type of Construction Estimated Cos
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 reprr ntations
stated in this application ape true and correct. �� A p %
DATE /� % SIGNA
(A Schedule of Fee Costs can be found on the Reverse Side.)
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 ........................... 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 $
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 $ ' —'
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
Dept. of Bldgs. Phone SU 4-7470
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.
F):jdley, Minn �I_'e, , o;2 3 , 19 k
rirrr*r���i%ice
Kind of Buildings
Used as
To be completed about
Estimated Cost, $
DESCRIPTION OF WORK
HEATING or WER PLANTS—Steam, Hot Wa , Warm,_, No /
Trade Nam , d Size No 0
Capacity Sq. Ft. E.D.R.BTU H.P.
Total Connected Load Z, Kind of Fuel
BURNER — Trade Name Size No
Capacity Sq. Ft. E.D.R BTU—
N.
TU
N. WELTER HEATING cn,
4637 CHICAGO AVE.
By
48 2M Business Phone No
(REMARKS -OVER) '
•
• City of Fridley
Application for Plumbing and Comas Mug Permit
Dept. of Bldgs. Phone SII 4-7470
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures Location��
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO. RATE TOTAL
Number Fixtures ......................
x $1.50
VI
Future Fixture Opening ................
x 1.20
Y F
o�
ugT�{
�i
O8C Z
u.0
Z
l�
O W
(9 •d
W
(�9�
aa'
?
(�90
F
N
WATER HTR.
GAS
ELEC.
Base
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
$
1st
2nd
3rd
4th
• Future Connection Openings
e New Fixture, Old Openings
I
Connected with
Sewer E]
Cesspool El
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO. RATE TOTAL
Number Fixtures ......................
x $1.50
�
$—L
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
$ 1-00
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 $ ��
City of Fridley:
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 all the facl
and representations stated in this application are true and correct.
�Fridley, Minn
�//
Owner
Kind of Building
Used as
To be completed about �/�-y%P ,•
Estimated Cost, 6, C) ® �
Old—New. Building Permit No
6 Permit No. _z
Signed
By
Business Ph No-
ROUGH q ✓ �O - p 4
FINAL
42 2M
SUBJECT
P
City of Fridley
27820
AT THE TOP OF THE TWINS
BUILDING PER
M
• -------COMMUNITY DEVELOPMENT DIV.
SC.
PROTaNRI30654532
�!
NUMBER
REv
DATE
PAGE OF
APPROVED By
CITY
612-571-3450
910-F15
9/16/98
JOB ADDRESS
7451 L ric Ln E
1 LEGAL
LOT NO. BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
5 5
1 Melody Manor, 2nd Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Harlan Mahowald
784-9022
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Town & Country Roofing 7910 12th Ave S Bloomington 55425
545-4233 20091282
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
O NEW O ADDITION ❑ ALTERATION Q REPAIR
❑ MOVE O REMOVE
8 DESCRIBE WORK
Reroof house & garage (23SQ) Tear -off
9 CHANGE OF USE FROM 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
$1,971.00
$.98
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-
$072.25
Fire SC $1.97
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
zla.�rz �� �� 9
PLAN CHECK FEE
License SC $5.
TO L FEE
$70.20
SIGNATURE OF CONTRACTOR OR AU1' ORIZED AGENT iDATEi
E jFPROJX Y VAL
A THIS IS R PERMI
/ f
S,GNATURE OF OVVNER i1F OWNER BUILDERi iDATEi
866G -NSP/--f/Ar
NEW [ ]
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress:
Y!p
Effective 1/1/98
Legal Description:
Owner Name &Address: CL co A � � ' � el. # % $
Contractor: / X MN LICENSE # 0 b 6 /a FQ
Address: / Dann, ✓t j� Los- Tel. #SLi
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF EWPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER:
U
Construction Type: Estimated Cost: $ �l
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
DATE:
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
CITY USE ONLY
Tel. #
67o?_ dr
Fee Schedule on Reverse Side
$ /. 97
.001 of Permit Valuation (1/10th%)
$ ®
$.50/$1,000 Valuation
$
$1000 per SAC Unit
$ DD
$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 [ ]
SUBJECT'
PERMIT NO.
City of Fridley
31��5
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
q
PROTECTIVE INSPECTION SEC.
Aj
��
1 �
=
1 "'1 CITY HALL FRIDLEY 55432
NUMPER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910415
7/11/00
JOB ADDRESS 7451 'Lyric Lane NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
5
5
Melody Manor, 2nd Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Harlon Mahowald 7451 Lyric Lane NE Fridley, MIV 55432 784-9022
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Owner
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 ❑X ADDITION. ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
16'x 13' Addition and 181 x 101 deck
9 CHANGE OF USE FROM TO
STIPULATIONS
For stipulations, see attached plans.
1
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
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 1 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
$14,910.40
$7.45
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-
$251.25
Fire SC $14.90
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK E
TOTALYEE
$P3.60
ATUR FCONCR ROR MORIZEDAG IOATEI
PROP
ALIDAT T IS IS YOUR PERMIT
SIGNATURE OF OWNERIIF OWNER SUILDERI IDATEI
DG INSP
rIA1E
NEW [) Effective 1/1/2000
ADDN CITY OF FRIDLEY (763) 672-3604 Bld Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION '
Construction Address: ME/ L r t c L I
Legal Description:L
.:) 1_0
Owner Name & Address: PAFID 0 M Ai j D &wL p Tel. # U Y o � 2�-
Contractor: 4n Vt ' 0 6 � — 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 I Width l 3 Height' Sq. Ft.
GARAGE AREA: Length Width Height #" Sq. Ft.
DECK AREA: LengthWidth 10 Hgt/Ground 1 r e Sq. Ft l
OTHER:
COZY ca 4W an IT /"?/814/40
Construction Type: PJ 6-r7'0 Estimated Cost: $_ 2- 6, 0 Z %_9 9/0 , 4-1/0
Driveway Curb Cut Width Needed: Ft. + 6,Ft = Ft x $ _ $
41
DATE: �'� %�� APPLICANT: Tel. #
CITY USE ONLY -
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
Call (763) 672-3604 for Permit Fees if mailing In application
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$ 7• ys $.50/$1,000 Valuation
$_$1 100 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 [ ]
$ a73, 6 o
N"
EXTERIOR ENVELOPE TEaUU4AL HSHI'TTANCE
F43LES FOR ENERGZV4ILT S 327
ICN ALTEPIULT= ZCZAUL
2MCAR §§ 1.6007 - 1.6008
(ADOPTS 1983 CABO MODEL =M= CODE BY REFERENCE)
Owner rw)
Site Address
Phone -?,d q 2 7---
contracmol�—
Building Classification: Type Al (Single Family & DWlex)
Type A2
(Reside ntial 3 stories
or less)
3 stories)
GENERAL =S7MMTI0K
1. Building Perimeter ft.
2. Wall height (g=o=d to top of top plate) '9 ft.
3. 1. x 2. (above), gross wall area -sq. ft.
4. Building dizwsirms V x (W) �-sq- ft. roof a
floor area.
5. Square foot area of rim joist - Flo"Oist + plate x perimeter
+ sq.- ft.
3.2
6. Doors - Areao U factor Model
- Area --247 'a factor ,0571
Model
Manufacturer
7. Windows: Manufacturer
Type U Factor size Area Sq. Ft. of Ea- No. of Units
13- Total. Sq. ft. Of window UUits
9- Fireplace area: Width x height +
Total Sq
Ft.
10. Exposed Foundation: Height x Perimeter_x £t.
11. Framing area - 10lk of gross wall area 16" o% or 8% of gross wall area 24" o/c.
IIA. Gross wall area
(3) ^ ���'(�
sq. ft.
Window areasq.
ft.
U windows
a A-
Rim Joist area
sq. ft.
U rim joist ' O II x A=
Door area
y V(�)
sq. ft_
U door area- i O G
U x A-
2. !1r
Fireplace area
sq. At.
U fireplace-
U x A-
.
Exposed Fdn. area ft.
U foundation- r Qle
U x A-
Framing area -' A; '9" sq. ft. U framing area= U x A-
Net wall area ft- U wall. 051 U x A --F;
Total - Must be less than or equal to (12) ............... U x A-
12. Gross wall area x 0.11 (A-1 single family and duplex)
(A-2 3 stories or less) Fill is "U" values
(Other buildings.3 stories or less) Based on -Degree Days
(All buildings over 3 stories) & Figure No. 4 in
A (IIA) /�e,9�f x U/CodeBTM Model Energy Code
•� 3, 9�
L3- . Ceiling framing area equals 10% � � ding area 16 b/c or 8% of ceiling area 24" o%.
L3A. Gross cei3.ing, area - (L) S27- Jr x (W) ��- _ /a sq. ft.
LM- Net ceiling area
U coiling x Aie� x a s a_ (p
Q gramincr z afe ` x
Q
3G. Totarl M r A..�---- .....►.............. be Tess than or equal to (I4)
Ceiling area (I= s a-=& (A -I single fa w.Uy- s duplex)
FILL iu "U" values
3 stories or less)Based CM Ewwjzve
---=(��
- _ r (attLer) .. .: f Days R 819-0
No. rs fa NO&,o-
Ima
Mwrqge
' .•,.� r A .. �w'::r T • � -• •. ��^•' � ': .;Lis+ •`•r�'.'o'x' : i .:,� v v �