PRE 2010 DOCSi
� O c
Vilage of Fridley, Minn.
II.nnvG PEII�II�
N° 755 l�u
Office of INSPECTOR OF BUHMINGS
L Fridley, Minn.,
L,OCATIO OF BUILDING
No, street Part of Lot
Lot # �� Block Addition or sub -Division
:I
DFISCRIPTION OF BUILDING
Front ,- Depth ,*" Height_" stories "yam `'" Manner of Construction L '*
To be used as � �' "'' ` r < = a � To be completed t' � r Estimated Cost
I
Permit is hereby granted tb`"`'"
the building—
upon the express condition that the person
the work done in, around and upon said
nances of Fridley, Minn., regarding the
within the city limits, and this permit m�
ordinances.
described in the above statement. This permit is granted
to whom it to granted, and his agents, employees and workmen, in all
building, or any part thereof, shall conform in all respects to the ordi-
onstruction, alteration, maintenance, repair and moving of buildings
V be revoked at any time upon violation of any of the provisions of said
AND SWORN STATEMENT
of Buildings.
In consideration of the issue and delivery to me by the Inspector of Buildings of Fridley of
the above permit, I hereby agree o do the proposed work in accordance with the description
above set forth and according to ' e provisions of the ordinances of Fridley, and, being first duly
sworn, I hereby state and say that, the facts stated by me and contained in the above permit are
true as therein stated.
Subscribed and sworn to before
day
9
ie at Fridley, Minz,;egFsot this
City of Fridley, Minn.
MELDING PERMIT N® 3239
Date: ... t:un..'51 ................
Owner':i"... ' ... Builder ....... ......................
Address °T.� t...5. .... ...... Address ................'
-�j LOCATION OF BUILDING
No.� S Street ... Part of Lot
Lot �P. �.� .�. Block ...../ � ....... Addition or Sub -Division ...
Corner Lot ............ Inside Lot .... Ao�.... Setback ............ Sideyard ...........................
DESCRIPTION OF BUILDING
To Us as: Q
47 Q
!... Front ..... �7• Depth ... . Height ... L Sq. Ft. 4 ..... Cu. Ft . f.... .
.................... ont ........ Depth ........ Height ..,...... Sq. Ft........ Cu. F't. ........
Type of Construction ... /1 .. M t. Cost.. . 2
.... To be Completed ✓: 77: r!� ..'..... .
Ole
., &04
gp
a
° P e A
o
In consideration of the issuance to me of a permit to construct the uilding desribed above, I a 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.
�% 00
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 with-
in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
:`:4Y..X-'44- 1}uilding Inspector
NOTICE:
This permit does not cover the construction, Installation or alteration for wirin mbing, gas heating,
sewer or water. Be sure to seethe Building Inspector for separate permits for Rema
City of Fridley, Minn.
BUILDING PERMIT
Date: —.
March 18, 1968
Owner: Fred Engler
Builder
Inter City Blders
Address 4663 Main St. N. E. Address 35 Hwy 10
LOCATION OF BUILDING
No. _ 4663 Street _ _ Main St, N. E. _ _ part of Lot
Lot 26 & 27_ Block 12 Addition or Sub -Division ._Plymouth Addn .
Corner Lot — Inside Lot _ _ Setback —_ Sideyard
Sewer Elevation
Foundation Elevation
DESCRIPTION OF BUILDING
N9 9638
To be Used as:
Garage Front 24' Depth 22' Height __10, Sq. Ft. 528 Cu. Ft. 5280
_ Front Depth Height Sq. Ft. Cu. Ft.
Type of Construction — Fraw Fst. Cost ^$1700.00 __ To be Completed 4/30/68
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 ja compliance with 21 provisions of
ordinances of the city of Fridley. 7 -f
-
In consideration of the payment of a fee of $ 8' 9d" , permit is hereby granted to Inter City Blders
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, orany part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alt non, main►ance, repair and moving of buildings
within the city limits and this permit may be revoked a 1 time up�b violati of any of the provisions of eafd
ordinances. t lG�
!/►�Building SVM&'-"
terl
NOTICE:
Me permit doss not cower tbs construction, lnstaliaHon ler whine, ping, ger boding, sewer or water. Be sun to see
the Building Inspector for separaro permits for these hens.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY,.MINNESOTA
OWNER'S NAME ; . j7O B?' 1DER�_ ea�Lcle �s
ADDRESSf- i(I _� _�Al
ARESS%�p.�5
LOCATION OF BUILDING
X10.
LOT� t.,�L 2_BLOCK /I ADDITION OR SUBDIVISION.
CORNER LOT INSIDE LOT 4_SETBACK SIDEYARD: :
SENER ELEVATIONTOP OF FOOTING m
Applicant attach to this form Two Certificates of Survep.of..Lot and proposed
building location drawn on these Certificates-.
'.:T)ESCRIPTION OF BUILDING
To. Be. Used .As
3 Front 2�� Depth Height /d
Square feet Cubic Feet 5��0
Front -Depth Height
Square feet Cubic Feet
Type of Construction / tom_ Estimated Cost �4%�
To Be Completed 7 — —
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—/"g— _SIGNATURE 9ze/ -
(Schedule of Fee Costs can be found . the Reverse Side).
CITY OF FRIDLEY
Effective Date May 1. 1988
APPLICATION FOR POWER PLANTS
AND HEATING,
COOLING, VENTILATION, REFRIGERATION AND
AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
Job Address
RESIDENTIAL
RATE
TOTAL
Furnace Shell and Duct Work,
Burner (Also replacement furnace)
$ 20.00
$
Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432
City of Fridley
Gas Piping
$ 10.00
$
Tel. #571-3450
(piping needed with new furnace)
Gas Range
$ 10.00
$
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the City Codes
Gas Dryer
$ 10.00
$
and rulings of the Department of Buildings, and hereby declares that all the
D�
facts and representations stated in this application are true and correct.
•
1 ✓ i 19�
Air Conditioning (all sizes)
$ 10.00
$)L
Fridley, Minn.
All Others/Repairs and Alterations
OWNER M;fJ F/'1& A0/'
10 of Value of Appliance or Work
$
FA— ILr
KIND OF BUILDING 10'1(1X,0 r'1:
COMMERCIAL/INDUSTRIAL
USED AS
li of Value of Appliance or Work
$
TO BE COMPLETED ABOUT
State Surcharge
TOTAL FEE
Reinspection Fee ($15.00)
Rough Insp.
Date
Final Insp.
Date
Approval for Permit
MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00-
PLUS
15.00PLUS $.50 STATE SURCHARGE
*Air Conditioners can not be placed in side yard without
written permission from adjoining neighbor.
ESTIMATED COST _J, UDI
OLD NEW BUILDING PERMIT NO. PERMIT NO. I �i
DESCRIPTION OF FURNACE/BURNER
HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No.
Trade Name Size No.
Capac Sq. Ft. ED BTU HP
Total Connected Load o Kind of Fuel
BURNER - Trade N Size No.
Capacit Sq. Ft. Ft'
BTU HP n^
Company n
Signed By
Tel. No.
Fill out back side for stack verification on replacement furnaces
CHIM14EY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack;
1.
Has been carefully examined
Yes (,)
No ( )
2.
Is free from rust or deterioration
Yes ( )
No ( )
3.
Has no foreign objects lodged within
Yes ( )
No ( )
4.
Is securely supported
Yes ( )
No ( )
5. Meets all current Code requirements for size and
total BTU connected Yes ( ) No ( )
6. Has Total heating BTU's of
All other BTU's
TOTAL
Rema rk s
Company
Signed By
Date
,rCITY OF FRIDLEY INSPECTION DIViSION
4 6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
Residential
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace
(Side Vent - Fill Out Back)
Gas Piping (Needed with new furnace,
but not replacement)
Gas Range
Gas Dryer
*Air Conditioning - All Sizes
All Others/Repairs & Alterations (LIST ON BACK)
1176 of Value of Appliance or Work
Commercial/Industrial
1.25% of Value of Appliance or Work
Rate
$ 30.00
$ 10.00
$ 10.00
$ 10.00
$ 25.00
State Surcharge
TOTAL FEE
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $ 50 STATE SURCHARGE
REINSPECTION FEE $47.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
TOTAL
$ .�0•b8
$ .50
$ 55. s0
JOB ADDRESS y 3 A
�ft,0
OWNER ' v, 4-nt. ✓
Effective On January 1, 2000
u
BUILDING USED AS Y'2. S I CLerLcP
ESTIMATED COST �I, 01 D _ PERMIT N0. �WF
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units Circle One (Steam) (Hot Water)arm Air
Trade Name c P Size No. 2 A.) 1-c
BTU 75-o o b HP EDR
Fuel f) a-+ Coca Total Connected Load
Burner Trade Name 7c� Size No. 5-0 6
BTU _45-0 4 HP EDR
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the City Codes an
rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are true and correct.
ER
"MUMAVE N.,0128
PLVMOLq'H, MN 55447
HEATING CO
DATE /l- as - O D
TEL # -7
Approved By4--- Rough In Date Final Date 9-0I
For: Montour
4663 Main Street, Fridley, MN
Notes:
5 DesigInformation .; .,
0
Weather: Minneapolis -St. Paul, MN, US
Winter Design Conditions Summer Design Conditions
Outside db -22 OF Outside db 91 OF
Inside db 70 OF Inside db 75 OF
Design TD 92 OF Design TD 16 OF
Daily range M
Relative humidity 50 %
Moisture difference 29 gr/Ib
Heating Summary
Building heat loss 66209 Btuh
Ventilation air 0 cfm
Ventilation air loss 0 Btuh
Design heat load 66209 Btuh
Infiltration
Method Simplified
Construction quality Average
Fireplaces 0
Area ft Z
Sensible Cooling Equipment Load Sizing
Structure
n0Cooling
Heating
Btuh
0
Volume (ft3)
10800 10800
Air changes/hour
1.2 0.5
Equiv. AVF (cfm)
216 90
Heating Equipment
Summary
Make
0.96
Trade
Total sens. equip. load
Sensible Cooling Equipment Load Sizing
Structure
20896
Btuh
Ventilation
0
Btuh
Design temperature swing
3.0
OF
Use mfg. data
n
Btuh
Rate/swing multiplier
0.96
Heating temp rise 0
Total sens. equip. load
20060
Btuh
Latent Cooling Equipment Load Sizing
Internal gains
1380
Btuh
Ventilation
0
Btuh
Infiltration
1759
Btuh
Total latent equip. load
3139
Btuh
Total equipment load 23199 Btuh
Make
Trade
Cooling Equipment Summary
Efficiency 80.0 AFUE
Efficiency 0.0 EER
Heating input 0
Btuh
Sensible cooling
0
Btuh
Heating output 0
Btuh
Latent cooling
0
Btuh
Heating temp rise 0
OF
Total cooling
0
Btuh
Actual heating fan 1117
cfm
Actual cooling fan
1117
cfm
Heating air flow factor 0.017
cfm/Btuh
Cooling air flow factor
0.053
cfm/Btuh
Space thermostat
Load sensible heat ratio
87
%
Printout certified by ACCA to meet all requirements of Manual J 7th Ed.
!!,�►�� Wrlgt htsc) Right -Suite ResidentialTM 5.0.28 RSR20001
2000 -Nov -27 13:42:58
fAZX C:\MyDocumerfts\WrightsoftHVACMoadl.rsr
Page 1
RIGHT -J WORKSHEET
0 Entire House
Home Energy Center
15200 25th Avenue North, Plymouth, MN 55447 Phone: 763.476.1990 Fax: 763.476.1143
Printout certified by ACCA to meet all requirements of Manual J 7th Ed.
wr�ghtsoFC Right -Suite Residential TM 5.0.28 RSR20001 2000 -Nov -27 13:42:58
Z K C:Wiy Documents\Wrightsoft HVACVoad1.rsr Page 1
MANUAL J: 7th Ed.
1
Name of room
Entire House
Montour
2
Length of exposed wall
120.0 ft
120.0 ft
3
Room dimensions
30.0 x 30.0 ft
4
Ceiings Condit Option
12.0 ftl d
12.0 ft heat/cool
TYPE OF
CST
HTM
Area
Load (Btuh)
Area
Load (Btuh)
Area
Area
EXPOSURE
NO.
Htg Clg
(ftp
Htg Clg
(ftl
Htg I Clg
Htg Clg
Htg CIg
5
Gross
a 12A
24.9
5.3
1440
""
*"'
1440
Exposed
b
0.0
0.0
0
••••
""'
0
walls and
c
0.0
0.0
0
"
`*"
0
partitions
d
0.0
0.0
0
""'
'*"
0
e
0.0
0.0
0
•.•.
•..:
0
.•**
•.••
•..
:."
•.••
•.•.
6
Windows and
a 2A
43.7
"
98
4283
*"*
98
4283
glass doors
b
0.0
"
0
0
'***
0
0
Heating
c
0.0
"
0
0
*'"
0
0
""
d
0.0
"
0
0
*'"
0
0
•:•.
e
0.0
"
0
0
'*"
0
0
f
0.0
"
0
0
""
0
0
7
Windows and
North
27.8
24
""
667
24
""
667
glass doors
NE/NW
0.0
0
""
0
0
`"`
0
Cooling
E/W
85.8
50
""
4290
50
"'*
4290
SE/SW
0.0
0
""
0
0
""
0
South
44.8
24
""
1075
24
""
1075
Horz
0.0
0
"'*
0
0
""
0
8
Other doors
a 10F
29.4
6.3
42
1236
263
42
1236
263
b
0.0
0.0
0
0
0
0
0
0
c
0.0
0.0
0
0
0
0
0
0
9
Net
a 12A
24.9
5.3
1300
32412
6905
1300
32412
6905
exposed
b
0.0
0.0
0
0
0
0
0
0
walls and
c
0.0
0.0
0
0
0
0
0
0
partitions
d
0.0
0.00
0
0
0
0
0
0
e
0.0
0.0
0
0
0
0
0
f
0.0
0.0
0
0
0
0
0
0
10
Ceilings
a 160
4.9
2.1
900
4388
1908
900
4388
1908
b
0.0
0.0
0
0
0
0
0
0
c
0.0
0.0
0
0
0
0
0
0
d
0.0
0.0
0
0
0
0
0
0
e
0.0
0.0
0
0
0
0
0
0
f
0.0
0.0
0
0
0
0
0
0
11
Floors
a 21A
2.2
0.0
900
1987
0
900
1987
0
(Note: room
b
0.0
0.0
0
0
0
0
0
0
perimeter
c
0.0
0.0
0
0
0
0
0
0
is displ.
d
0.0
0.0
0
0
0
0
0
0
for slab
a
0.0
0.0
0
0
0
0
0
0
floors)
f
1 0.0
0.0
0
0
0
0
0
0
12
Infiltration a
1 156
11.3
140
21903
15871
140
21903
1587
13
Subtotal loss=6+8..+11+12
'**`
66209
***`
"'*
66209
Less external heating
""
0
"'*
""
0
Less transfer
""
0
"**
""
0
14
Duct loss
0%
0
'""
00
0
*"'
o/
•.«*
o/
+•+*
15
Total loss = 13+14
""
66209
""`
""
66209
16
Int gains: People @ 300
6
"*`
1800
6
***'
1800
Appl. @ 1200
2
""
24CO
2
"`*
2400
17
Subtot RSH gain=7+8..+12+16
""
""
20896
""
""
20896
Less external cooling
""
""
0
"'*
""
0
Less transfer
""
**"
0
*"'
***`
0
18
Duct gain
0%
""
0
0°/
""
0
°/
19
Total RSH gain=(17+18)'PLF
1.00
`*"
20896
1.00
""
20896
20
Air required (cfm)
**"
1117
1117
1117
1117
Printout certified by ACCA to meet all requirements of Manual J 7th Ed.
wr�ghtsoFC Right -Suite Residential TM 5.0.28 RSR20001 2000 -Nov -27 13:42:58
Z K C:Wiy Documents\Wrightsoft HVACVoad1.rsr Page 1
G7YOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287
November 9, 2001
Mr. Troy Montour
4663 Main St NE
Fridley, MN 55421
Re: Final Inspection at 4663 Main St NE
Contractor: Home Energy Center
Dear Mr. Montour:
A mechanical permit was issued on December 6, 2000 to install a furnace and an air conditioner
at your address. According to section 305 (a) of the 1991 Uniform Mechanical Code, a final
inspection shall be conducted on the mechanical work authorized by this permit. As of this date,
no inspection has been called for.
The permit fee that was paid covers the inspections to make sure the work was completed
according to the Mechanical Code. We will keep your permit open for another 30 days and if we
do not hear from you within this time to set up the inspection, we will expire the permit and no
further action will be taken.
To set up the inspection or to have any questions answered, please contact the Building
Inspection Division at (763) 572-3604.
DJ/mh
8
SUBJECT
MIT NO.
City of Fridley
29522
AT THE TOP OF THE TWINS
BUILDING
P E R M I T
r
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
LV ------ ,
INSPECTION SEC.
/ )
r � PROTECTIVE
1 F
=
I.� CITY HALL FRIDLEY 55432
NUMBER
DATE
PAGE OF
APPROVED By
J` 612-571-3450
910415
IREV
5/21/99
10B ADDRESS 4663 Main Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
26, 27
12
1 Plymouth Addn.
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Elaine Engler
572-8980
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
American Bldg Contractors 12247 Nic ll t Ave S Burnsville
707-695() M169383
4 ARCHITECT OR DESIGNER MAIL ADDRESS 55337
ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW O ADDITION ❑ ALTERATION XX REPAIR O MOVE O REMOVE
B DESCRIBE WORK
Reroof house and garage (25 S 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
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
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
$2142
$1.07
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-
TR CT ON OR T E PERFORMANCE OF CONSTRUCTION
$83.25
PLAN CHECK E
TOT F E
SIGNATURE bF CON •RACTORORAUTHORIZED AGENT IDATEI
HE PRPA
VALI THIS IS Y UR PER
BL G INSv
I� ✓
pAtE
S,GNATURE OF OWNER,IF OWNER BUILDERi IDATEI
8
r�
•w
+.n+
w• iv rrtuo i vl I r ur MALIJtT IU
AMN
t)
MY OF FRML Y Vq
ALTER
f
I
SINGLE FA1VlMY AND PUPIM ES R-1 AND R-2
BUILDING PERMIT APPLICATION
CaastructionAddrw: to 41 r�. ,..� '5 i AJ.&
Legal Description:
7079925 P. 01/02
kmactive III/V8
Owner NamT
ress: L� : r- L T # .� -7- Sd .7-
Contractor: . C.® , . S MN LICENSE # 137
Address- 1 22. !: j •7 - - � _ 5,& 13 Tel. # -7 07 - 6 cr -S
Attach to this application, a Certificate of survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIP'T'ION OF IMPROVEMENT
LIMG AREA: Length Width _ Height � Sq, Ft.
GARAGE AREA: Leogth _ Width Height � Sq. Ft.
DECK AREA: Length Width Hgt/Cround Sq. Ft.
OTHER:
ConsMw4on T •��-� �2l .
ype. a �%' � � �.��� F.sima�d Cast:
(Fee $chedu3e on Back)
Driveway Curb Cut Width Needed: . + 6 Ft = Ft x $ a $
DATE: APPI.IC Tet. # �
CITY USE O y
Permit Fee S Fee Schedule on Reverse Sidc
Fire Surcharge $ o ! .001 of Permit Valuation (1/10th%)
State Surcharge $ 0 0 $.30/$1,000 Valuation
SAC Charge $ $1000 per SAC Unit
License Surcharge $ $5.00 -(State Licensed Residential Contractors)
Driveway Escrow $ Alt. "A" or Alt. "B" Above
Erosion Control $ $450.00 Conservation Ptan Review
Park Fee $ Fee Determined by EnSbmft
Sewer Main Charge $ Agreement Necessary [ j Not Necessary [ j
TOTAL $ _l ``l
. STIPULATIONS:
SUBJECT
PORMIT NO.
City of Fridley
32354
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
�
RECE
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910415
12/7/01
JOB ADDRESS
4663 Main St NE
1 LEGAL
LOT NO.
I
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
26_27
12
Pl
SHEET
2 PROPERTY OWNER MAIL ADDRESS
zip PHONE
Troy & Katie Montour, 4663 Main St., Fridley, MN 55421 763-571-3872
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Chuba Co, 19276 Vernon St NW, Elk River,
MN 55330 763-441-4488 1554
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
6 USE OF BUILDING
Dwelling
7 CLASS OF WORK
OX NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
B DESCRIBE WORK
New windows
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.
Caulking and flashing for all exterior openings.
Permit Inspection Cards
Will Be Mailed
To Homeowner To rest
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 SO 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
$10,400.00
$5.20
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-
$,195.25
$10.40 (Fire SO
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FE
TO"L FEE
$5.0 cense
1215.85
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
EN PRO Y VALIDAT THIS IS YOUR PERMIT
• //
ooe
-#LZG INSo qA Tt
SIGNATURE OF OWNERIIF OWNER BWLDERI IDATEI
DEC- 7-01 FRI 11:09 CHUBA CO 4415835 P.01
OCT -26-2001 13126 FROM CITY OP7TO
NEW ( I
ADDN ( j
ALTER („
Construction Address:
SINGLE p ..�`�11'Y
A]{li .� f AN'*- -OUK6E 09 R-1 AND R-2
BUILC 0 .. p'C*1 AF?01JOAT1ON
Z-1 4*3 ti-)' .-SY-.
7634415835 P.04/05
Efiective 1/1/2041
(763) 554604 Bldg Insp
Legal Descriptlon:
Owner Name & Address, 77i oY "k g -T, �ncai 6 ref. # �`� s'�r - 3 72
Y. Y
Contractor:_ Cr/
c4• MN LICENSE# a
• ..
(y,t �✓o�J ST N� i e: �v Tet. X743 �Yr—g
... �,. , • . r.,ly.g 1
Attach to this aIicatioi�
pp 1'A 0000*0:Of Survey of the
lot, with the proposed'0,*04 �l * `n' dt town on It to scale,
DesC�l(I F'Rt0NE1lAIwtV'r
LIVING AREA:
length Width.n^.'; 'Height Sq. Ft,
GARAGE AREA-,
LengthVYldth;,*;,^�, Sq. Ft.
pECK AREA:
length VVtdth :H gt/Oraund _ Sq, Fc
OTHER:
:.ponstructlon Type;
Gd1446k5 m ted Cost:
;Driveway Curb Cut Width Needed: � rt. •+ b ft
DATE; 1 �''" D f
APP61CAN7:!.Ir ;.'•�`�'' 7�3
CITY U399ON1Y -
Call (763) 573-3604 for.Pernilt i�'1f,,xhZON'in appliaatlon
.1
,hermit Fee
ScheWQ oi;everse Side
Pre Surcharge
$ Z ��' .001:0 0"t ygju�tion
State Surcharge
.(1f10th0/Q
$ _ $.501$1 d04. 'alias�fi -n
SAC Charge
Ocense Surcharge
$ G G $5,p� tt$. (e i i Residential Contractors)
riveway Escrow
•(at
$ Ait. "A' Or Al wW above
roslon Control
$ $�54.0?ns�'rvttn; Plan Review
Park Fee
Sewer Main Charge
$ Fee C1 rkY46 t5y.f~tlgineering _ '
$_Agreel :ti N'$kpr Not Necessary
TOTAL
��S . ��� �`�� `.: • , : �, � ,�� ��� �� � �� -
'
$TIPUTATIONs:
: i' ; � , - -Xg 4'YI-e1gpt
�� /C
Building
PLUMBING
Permit No.=q—c?0!5'W
Inspections
RESIDENTIAL APPLICATION
Received By:'�>
763-572-3604
CITY OF FRIDLEY
Date Rec'd:4 — «-Cq
DATE S 1/�
YOUR E-MAIL ADDRESS
SITE ADDRESS
THIS APPLICANT IS:
0111 /*ONTRACTOR Troy Montour
PROPERTY
NAME: 4663 Main Street Northeast
OWNER/
ADDRESS: Fridley, MN 55421
TATE ZIP
TENANT
PHONE: 7634439267
CONTRACTOR
NAME:
STATE LICENSE #--5 C% EXP DATE
SUBMIT A COPY OF
YOUR STATE
ADDRESS• 11,"e / CITY 'A �' ,r1 it
STATE ddA& $_Syyp'
LICENSE WITH ,
PHONE 7- 41033 FAX 2 — 117
APPLICATION
PERMIT TYPE
SINGLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE
TYPE OF WORK:
0 NEW XREPLACENIMNT
DETAILED DESCRIPTION OF WORK
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 $500 = cost of labor x.05 =
>•FOR -PROJECTS WHERE LABOR EXCEEDS$S00;FEESRRE BASED ON $10.00 PER FDCTURE, EXCEP I"WHERE'NUTEH :FIXI TIRES:. (INDICATE TOTAL
NUMBER OF EACH BELOW)
_ BATH SINK/LAV
_FLOOR DRAINS _ SHOWER
WATER PIPING
—BATHTUB
_ GAS PIPING (m=cur umst) SWIMMING POOL
_
_ WATER SOFTNER ($35)
_ CLOTHES WASHER
_ KITCHEN SINK WATER CLOSET
_ BACKFLOW PREV. ($15)
DISHWASHER
_-LAUNDRY TRAY LWATER HEATER ($35)
FOR IRRIGATION
_ WATER METER
—OTHER
Number of fixtures @ $10.00 x $10.00 = $
.50 Number of fixtures @ $15.00 x $15',00 = $
Number of fixtures @ $35.00 x $35.00 = $ 36'.00
State Surcharge = $ .50
Total = $ 35 -.To
THIS IS AN APPLICATION FOR A PERMrr-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 applic ' n 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 1 o w r uires review and approval of plant's. / [ % L� Q �y
SIGNATURE OF APPLICANT PRINT NAME JC_T A1dei160'1 DATE ` / 97 V
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977