PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT
Date: ..
Owner ..��f...".�!: .."�`,�/�`:z"":: ...Builder
Address .. �. ..!/..�Yl.: // Address
N® 3450
pp-- %% ��yy LOCATION �O,F %B%UUIILLDING
Nd.�1r/.. Street _lfi�. ... ...... ..._.; .`'i. part of Lot .........................
Lot ............ block .................. Addition or Sub -Division .......................................
Corner Lot ............ Inside Lot X........ Setback ............ Sideyard ...........................
DESCRIPTION OF BUILDING
To be Used as: a
--r* Front . A. :,7 Depth : " Height l �.-.ri sq. F65RP. Cu. n3c;Z
.................... F,,r��ont ........ Depth ........ t�Height ........ Sq. Ft . ........ Cu. Ft. ........
Type of Construction ..1.� ..... Mgt Cost.....®............ To be Completed ...................
9
nsideration of the issuance to me of a permit to construct the building desribed above, I agree to do
a Oprored 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 $. Yo ..., permit is hereby granted to ...................
......................... to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said budding, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesotai regarding location, construction, alteration, maintenance, repair and moving of buildings with-
in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
......... Building Inspector
NOTICE: I
This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating,
sewer or water. Be sure to see the Building Inspector for separate permits for these Items.
0%%11._
SUBJECT
P
of Fridley
27 371
?City
AT THE TOP OF THE TWINS
BUILDING
P E R M I T
r
`
RECEIPT NO.
, _ COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.43
REV
GATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432NUMBER
ti ---- A.' '•� 612-571-3450
910-Ft5
8/24/98
108 ADDRESS
6381 Madison Street NE
1 LEGAL
LOT NO.
BLOCK TRACT OR ADDITION
SEE ATTACHED
DESCR.
19
6 Christie
SHEET
2 PROPERTY OWNER MAIL ADORES$
ZIP PHONE
John Munson571-9690
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Lloyds Hm Improvements Inc. 1012.42 1/2 Ave NE Col H t788-5602 000179
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 xR REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Cover 8 windows, main garage door trim remove and replace approx 30 ft. rake W. side
garage & approx 26 ft. rake N. Side garage with 2 sq. vertical steel siding.
9 CHANGE OF USE FROM TO
STIPULATIONS
Call for building wrap inspection before covering.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REOUIREO 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 I HAVE READ AND EXAMINED THIS APPLICATION
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
$500
.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-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
$21.00
Fire SC .50
PLAN CHECK FEE
License
5.
TOTAL FEE
7.00
IGNATURE OF CONTRACTOR OR AUTHORIZED Aj, T C IDATEI
C
EN ROP
ALIDA THIS I$ I PERM
1_
_
SIGNATURE OF OWNER IIF OWNER BUILDER, ,DATE,
BLD INSP
�TE
NEW` " O Effective 1/1/94
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �\
Building Permit Application
Construction Address: 4dW 6381 MADISON ST., NE
Legal Description:
Owner Name & Address: JOHN MUNSON 6381 MADISON ST., NE Tel. # 571-5690
Contractor: LLOYDS HOME IMPROVEMENTS, INC. MN LICENSE # 0001798
Address: 1012-42-2 AVCE. NE. COLUMBIA HEIGHTS, MN., 55421 Tel. #612-788-5602
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:
$
2 sq. VERTICAL STEEL
SIDING,COVER 8 WINDOWS,MAIN GARAGE DOORA TRIM
REMOVERMERb ffh gigo6Aaa E FT,,. RAKE WEST SIDE GARAGE & approx., 26 ft.
Comer Lot j) Inside Lot j ] Ft. Yd Setback Side Yard Setbacks
Type of Construction: Estimated Cost: $ Cha , e-" -OQ
Approx. Completion Date: SEPT. 1998
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x _ $
DATE: AUG.. 24, 199APPLICANT: /-1,, 11 Tel. #
TOTAL
STIPULATIONS:
S
CITY USE ONLY
Permit Fee
$ o 6
Fee Schedule on Reverse Side
Fire Surcharge
$ S -U
.001 of Permit Valuation (1/10th%)
State Surcharge
$ f_d
$.50/$1,000 Valuation
SAC Charge
$
$800 per SAC Unit
License Surcharge
$ �,U (�
$5.00 (State Licensed Residential Contractors)
Driveway 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
STIPULATIONS:
S
•
City of Fridley
SUBJECT
P
286 3
THE TWINS
BUILDING
PERMIT
RECEIP
E��TT��
LV�
COMMUNITY DEVELOPMENT DIV.
INSPECTION SEC.
/l�
PROTECTIVE
1
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910415
11/23/98
JOB ADDRESS
6381 Madison Street
1 LEGAL
LOT NO.BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
19
6
Christie
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Munson
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Richard Hastings 6331 Riverview e -974-9966
4051
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 W REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and garage (22 S Tear -off
9 CHANGEOFUSEFROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
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 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
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
1885
$.94
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
$59.50
Fire SC 1.88
PLAN CHECK FEE
TOTAL FEE
1$67.32/1
SIGNATURE OF CON 'RACTORORA mORiZEOAGENT iDATEi
EN ROPE Y (DATED THIS S YOU P RMIT
S-GNATURE OF OWNER,IF OWNER BUILDERS iOATEi
Bl G ioNSP
rjA TE
NEW [ ] Effective 1/1/98
ADDN [ J CITY OF FRIDLEY O
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: / AAAejs-
Legal Description:
Owner Name & Address: /V /V Tel. #
Contractor: ; C-46 2 ,tt C S MN LICENSE # T o S%
Address: 3 3 t R u�� jZ T� c2 Tel. # S'
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:Lid
-FF -FF -zt- � k- g a v F Estimated Cost: $
(Fee Schedule on Back)
Driveway Curb Cut Width Needed:
Ft. + 6 Ft = Ft x $ _ $
DATE: / Z 3 Z APPLICANT:
, Tel. #
CITY USE ONLY
Permit Fee
$ 5 9' S U
Fee Schedule on Reverse Side
Fire Surcharge
$ / °
. 001 of Permit Valuation (1 / 10th %)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$ 5,00
$5.00 (State Licensed Residential Contractors)
Driveway 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
STIPULATIONS:
$
Building
Inspections
763-572-3604
DATE___2__A4_6
A4.0
SITE ADDRESS 4 3r
THIS APPLICANT IS:
PROPERTY
OWNER/
TENANT
CONTRACTOR
SUBMIT A COPY OF
YOURSTATE
LICENSE WITH
APPLICATION
PERMIT TYPE
TYPE OF WORK:
MECHANICAL
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
YOUR E-MAIL ADDRESS
/v 40:'
0 OWNER jajJCONTRACTOR
PHONE:
COMPANY NAME: Aver City Sheet M,
CONTACT PERSON: 229a aLin St.
Permit No.: 96M - 01
Received By:
Date Rec'd:
'A
STATE LICENSE # Fhdley, MN"AWG
ADDRESS: (:,na) Ty, 7!99 Fax (763) ffl5*-2908 STATE ZIP,
PHONE
�INGLE FAMILY 0 TWO FAMILY
O NEW PkIdtPLACEMENT
DETAILED DESCRIPTION OF WORK
FAX
0 TOWNHOUSE
0 ALTERATION/REMODEL
1-azazi (*-/c-
5
MS 16B.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) jf ������ O�I�hZ SIZE
/BTU Installed MFG: Vis-- MODEL:SIZSIZE/BTU
BU
MFG: MODEL:
TU
MFG: MODEL: SIZEIBTU
FIREPLACE (GAS) $15.00 . _GAS RANGEJOVEN $10.00
A/C $25.00 — NEW GAS GRILL $10.00
_AIR TO AIR EXCHANGEER $15 —FIREPLACE (WOOD) $35.00 _GAS UNIT HTR $10.00
BOILER $35.00 —FURNACE $35.00
—_CHIMNEY LINER $10.00 GAS DRYER $10.00 POOL
$15.00
OOL HEATER $35.00
DUCT WORK $10.00 GAS PIPING $10.00
C.ar.�dsa.rasarw�5,wir,S`�cYn
Permit Fee $ Number of fixtures @ $10.00 x $10.00 =
Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $
TOTAL DUE $ Number of fixtures @ $25.00 / x $25.00 = $,&CdC3
Number of fixtures @ $35.00 x $35.00 = $
State Surcharge = $ .50
Total = $ mosso
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 work which requires review and approval of plans. q� ��[[ /
SIGNATURE OF APPLICANT &Io PRINT NAME DATE1' �'7-_46-
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977
REQUIRED INFORMATION NEEDED TO PROCESS PERMIT
RESIDENTIAL PERMIT APPLICATION HVAC
❑ NEW HOMES/ADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR
REQUIRED FOR NEW/EXISTING HOMES
1. Combustion Air (See note below)
a_ Oil or solid fuel IMC Chapter 7 with MN Amendments
b. Natural Gas or PropanOUGC Chapter 3 with MN Amendments
2. Make-up Air (See note below)
a. IMC Chapter 5 with MN Amendments
3. Venting
a. Gas appliances IFGC Chapter 5 with MN Amendments
b. Fuel other than gas IMC Chapter 8 with MN Amendments
REQUIRED FOR NEW HOMES
4. Heat loss & cooling load per room
a. Required on new construction IMC 1346.0312
5. Ventilation
a. Per MN Energy Code 7670 or 7672
6. Duct Design Per IMC 1346.0603.2
a. ACCA Manual D
NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for
combustion and make up air. calculations