PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT
z
owner: A 0 OdA Builder
Address Address
N9_6026
10 � BUI 1 G
No., . Street `PW=W- A of Lot
Lot _ _ __ Block Addition or Sub -Division
Corner Lot _ Inside Lot Setback ,, �,_ Sideyard _
Sewer Elevation
Foundation Elevation
DESCRIPTION OF BUILDING
To U ' I , dR'WOO,
Front Depth4 *-0; 1 Leight Sq. Ft. Cu. F>
�,..El t Depth Height � Sq. Ft. Cu. Ft.
Type o cti Fit. i-'Lwa b 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 ail provisions of
ordinances of the dty of Fridley. I
In consideration of the payment of a fee of: permit is hereby granted to
to constrict the. building or addition -aa described •above: This permit is granted upon
the e71n
ress condition that the person to whom it is granted and his _agents, e�rip�oyees and workmen4, in all work
doneFridl, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
within the dty ]imits and this permit may be revoked at any pon violatio 0 of the provisions of said
ordinances.
..-
NonCE:
Ibb pwmb don not emu the eondnm9ot, hrsta(latiee for whdas, pb mbk& on hafts, awn or wafer. Be sun to ne
the &Mft ingmacr for spam% pwaft for thea bems.
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City of Fridley
Application for Plumbing and Gas %ting Permit
Dept. of Bldgs. Phone SU 4-7470
DESCRIPTION OF WORK
Number. Kind and Location of Fixtures
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ......................-9 x $1.50 $ -3`0
Future Fixture Opening ................
New Fixture Old Opening ..............
Catch Basin ...... .....................
Water heater (Up to 200,000 BTU) ......
New Ground Run Old Bldg. ............
x 1.20
3
x 1.00
m
,��
x 3.25
12
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Z
c�
x 3.25
84
< ZjO
5
<
6
I�9 •�
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W
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0
N
WATER HTR.
GAS
ELEC.
Base
Ist
2nd
3rd
4th
• Future Connection Openings
* New Fixture, Old Openings
I
Connected with
Sewer �
Cesspool El
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ......................-9 x $1.50 $ -3`0
Future Fixture Opening ................
New Fixture Old Opening ..............
Catch Basin ...... .....................
Water heater (Up to 200,000 BTU) ......
New Ground Run Old Bldg. ............
x 1.20
$
x 1.00
$
x 3.25
$
x 2.00
$
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:
0 0r l/ z'> r
61
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 fact
and representations stated in this application are true and correct.
Fridley,
Owner E�-. -7
Kind of Building
Used as
To be completed about
19f Z
Estimated Cost, $
Old—New. Building Permit No 4 vZ Permit No. `� N
Signe
By
Business Phone No
ROUGH 9-.23-6 Z,
FINAL
422tA
City of Fridley
Application for Plumbing and Gas F'ini'ng Permit
Dept. of Bldgs. Phone SII 4-7470
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures Location o
07
I
u<i >
Z
C Z
Z
�j ,I1Yi
W
=1•
0
R
•
N
WATER HTR.
GAS
ELEG
Base
1st
2nd
3rd
4th
• Future Coaaeetion Openings
New Fixture, Old Openings I
Connected with
Sewer
Cesspool []
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
Number Fixtures ......................
Future Fixture Opening ................
New Fixture Old Opening ..............
Catch Basin ...... .....................
Water Heater (Up to 200,000 BTU) ......
New Ground Run Old Bldg . ............
NO. RATE TOTAL
x $1.50 $
x 1.20 $
X 1.00 $
x 3.25 $
x 2.00 $
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 $ 5 -�
City of Fridley:
I-
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, *R,__ �e4 a- P,--9� -
Owner
Kind of Building
Used as
To be completed about
Estimated Cost, $
Old—New. Building Permit No /4 0 Permit No.
Signe
By
Business Phone No
ROUGH
FINAL
42 2M
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 f?'�
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 .... I ...... x 2.00 $
AIR CONDITIONING $
FAN HEATING SYSTEM See Fee Schedule
VENTILATING SYSTEM $
ALTERATIONS & REPAIRS TOTAL FEE $
ROUGH
FINAL
Dept. of Bldgs. Phone SII 4-7470
%.3 /W ;W
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_ 49�� 9 - � y 19 0 .9
Owner
Kind of Building P
Used as
To be completed about
I
Estimated Cost, $ r /
Old—New. Building Permit No. e� tj Permit No. o-�- O d Ca
DESCRIPTION OF WORK
HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No
Trade Name—7/4->-" Size No_ G 5?3�4 -
Capacity Sq. Ft. E.D.ft BTU H.P.
Total Connected Load Kind'of Fuel
BURNER — Trade Name Size No
Capacity Sq. Ft. E.D.R BTU H.P.
(REMARKS -OVER)
Signe
By
2M Business Phone No
r
HEAT LOSS CALCULATIONS BURMAN COMPANY
r.�
Weatherstrips Guide
Construction No. Insulation
Windows I Doors Reference ' Out. Wall Int. Wall Ceiling Roof Floor, Kind How Applied
Yes—No Yes --No 1 19—
F1.1 Room I Length %&Width I A Height fr FI.1 M Room I Length & 'j Width O'zjkizht
Windows and Doors—Crackage and Area
/7'
170
Width Height No. of Lineal ft. Area
No. of pane of pane iights of crack sq. ft.
V
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft—
Coef.1
Coef.
Btu
Infiltration
Btu
Infiltration
gie 0
Glass
+c
C°°' 0Exp•
wau
•P
Exp. wall
Net exp. wall
Net exp. wall
L 0
k7o
2,0
Int. wall
Floor
Floor
1
..
Ceil.'>'3
Ceil.
2s`
Q
r e
1 otal btu.
Required sq. ft. E.D.R. or sq. ins. WA. Leader area
Windows and Doors--Crackage and Area
�� r
Width Height No. of Lineal ft. Area
No. of of pane lights of crack sq, ft.
ppane
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft—
Coef.1
Btu
Infiltration 33
Coef.1
Btu
Infiltration
c/o 1
7ZO
Glass'®
�516 0
Floor 3
•P
Exp. wall
Net exp. wall
27
L 0
k7o
Int. wall
Floor
Net exp. will
r
Ceil.'>'3
/ O
X6 ay
Int. wall to
Iota[ Btu. 1 3�r
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
F1.1 !_ Room I Length Width 9 Height
Windows and Doors—Crackage and Area
�� r
Width Height No. of Lineal ft. Area
No. of of pane lights of crack sq, ft.
ppane
Z 2-
Coef.1
Btu
Infiltration 33
00 1
13to
Glass
,%
Exp. wall
Net exp. wall
Int. wall
{�
�516 0
Floor 3
•P
Ceil.
/p
1300
Total Btu. 0 el"e- .3
Kequired sq. ft. EVIL or sq. Ins. W.A. Leader area 1 Y
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack eq: ft.
A.
Coef. Btu
Infiltration V(' 1200
Glass 2
Exp. wall
Net exp. wall /
Int. wall
Floor
Cell. 10 - zy-yo _
Total Btu.
Required sq. f L E.D.R. or sq. ins. W.A. Leader area
FIJ Room I Lensth V Width V Heieht
Windows and Doors—Crackage and Area
�� r
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ffL
Coef.4
Btu
Infiltration
,%
-Oo—
�516 0
Glass'
Exp. wall
Net exp. will
&
/ O
X6 ay
Int. wall to
Floor
Ceil.
V
10L
A v o
Fl.) Room I Length Width Height
Windows and Doors—Crackage and Area'®
Width Height No. of Lineal M Area
No. of pane ormane lights of crack sq. ft. N
Coef. Btu
Infiltration 6 1/01 ZOO
Glass A o j 0 A 6
Exp. wall
Net exp. wall
Int. wall
Floor
Ceil:
Total Btu.�s!*"�
Reglured sq. ft. E.D.R., OTsq. ins. W.A. Leader area
Seaekol
HEAT LOSS CALCULATIONS BURMAN COMPANY
Weatherstrips Guide Construction No. Insulation
Windows Doors Reference ' Out. Wall Int. Wall I Ceiling I Roof. Floor bind How Applied
Yes—No I Yes—No 19—
F1.1
9Fl.1 A'.-- #'%;.,d Room Length / FC—/Width ft Height srII 107 FI_I _ Room I Lenirth 9 Width 1,.. Heilrht 5;�
Windows and Doors—Crackage and Area
T-
/
71
width Height No. of Lineal ft. Area
No. or pane of pane lights of crack sq. ft.
Z.4 y
g
i'r 6.A
Btu
" y°'
a
V-7 d
Coe£
Btu
Infiltration,
01 74<0
Exp. wall
616
q6
d y o
Glass
/0 z z�
Int. wall
Floor
Floor
Exp. waR
Net exp. wall
j
Ceil.
TO o9ea-1.
IVI
Al Z
Int. wall
Net exp. will
s .
s.
Ceil.
'f
Floor
Int. wall
�` d
.•
Ceil.
Floor
/ t9
/610
-1 otal Btu. I j 0, 0
Required sq. ft. E.D.R. or sq. ins. WA. Leader area
RE -1 t" ;zr-zzvRoom I Lenisth ? e. - Width 7'V._ Height 2'
Windows andDoors--Crackage and Area
T-
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
d .:C-
t ..
9
•
g
Coef.
Btu
Coef.1 Btu
Infiltration
V-7 d
qo 1 1,3 & to
Glass
5-
01 74<0
Exp. wall
616
Net exp. wall
Net exp. wall
0:
/0 z z�
Int. wall
Floor
Floor
s
j
Ceil.
TO o9ea-1.
Total Btu.�-
Required sq. ft. E.D.R. or sq. lns.lil.A. Leader area
Total Btu.
7 V -14 -
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
TF7.1 r.7Room I Length -1 -2 Width lHeight V
Windows and Doors—Crackage and Arear
6•
A6
/f
�W. .
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
Width. Height ,No. of Lineal ft. Area
No. of pane of pane lights of crack sq: ft.
t ..
9
•
g
Coef.
Btu
Infiltration /
qo
V-7 d
Glass
Coef.
V
Exp. wall ��-
Glass�e�
/' 7
Net exp. wall
0:
Int. wall
Floor
L°
d
Ceil. +�
...
TO o9ea-1.
Total Btu.�-
Required sq. ft. E.D.R. or sq. lns.lil.A. Leader area
Windows and Doors—Crackage and Area
d Doors—Crackage and Area
Width. Height ,No. of Lineal ft. Area
No. of pane of pane lights of crack sq: ft.
13 7.w
g
Coef.
Btu
Infiltration
Coef.
V
z o
Glass�e�
/' 7
.Exp. wall
Glass
Net exp. wall
"'p
d
Exp. wall
Int. wall 0,34
TO o9ea-1.
Floor
Net exp. will
s .
s.
Ceil.
'f
d a
Int. wall
Total Btu. f ` �7
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
1-� F1.1 Room I Lensth -4 V Width / C: Height S -
Windows
d Doors—Crackage and Area
rJ �•'
l
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack I sq, ft.
g
Coef.
Btu
Infiltration
/' 7
4
Glass
"'p
Exp. wall
o s, j?
TO o9ea-1.
Net exp. will
s .
s.
rd
d a
Int. wall
Floor
L.
zldo
Total Btu. d
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 I
Width Height Na of Lineal ft
No.
o of pane of.pane lights of crack
Infiltration
Glass
Exp. wall
Net exp. wall
Int. wall
Floor
Ceil:
Total Btu.
Required sq. ft. E.D.R., or sq. ins. W.A. Leader: area
Btu
City of Fridley, Minn. N° 8003
BUILDING PERMIT
Date: June 23, 1965
owner: nr_ pate Sakamoto Builder Belair Corp.
Address 7398 Melody Drive N. E. Address 2925 Pentagon Drive Mpls.,5418
LOCATION OF BUILDING
Na 7398 stmt Melody Drive N. E., Part of Iot
Lot 4 Block 4 Addition or sub-Divlstou Melody Manor, 2nd Addition
Corner Lot Inside Lot setback Sideyard
Sewer Elevation Foundation Elevation
To be Used as:
Dwelling Front
Front
Type of Construction
Storm damage repair
DESCRIPTION OF BUILDING
Depth Height Sq. Ft. Cu. Ft.
Depth Height Sq. Ft. Cu. Ft.
Est, Cost Over $500.00 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 ail provisions of
ordinances of the city of Fridley. / / 7 IL, 162 All _
In consideration of the payment of a fee of $ 10,QQ permit is hereby granted to Belau Corp.
to construct the building or addition as described above. This permit is granted upon
the expre� condition that the person to whom it is granted and his agents, employees workmen, is all work
-done in, around and upon said building, or anypart thereof shaII conform in aII respects to the ordinances of
Fridley, Minnesota glocation, oamst� alter�tton. maintenance. repab and moving of buildings
wlordinance�s. dty ]imits� permit may be revoked at anq tiaae upon violatimt of atp► the provisions of said
Allen Jensen Building Lmspector
NOTICE
Iblf pormh dm rM wvm do CondnWas, haftMon fw wbb& plmnbb & on badng, orwa or vMAW. Be n M m
tW SWAM MqmOP- lee ap- to panto ler db hmm
�, s
v
APPLICATION FOR Ma -1
ING PERMIT
CITY OF FRIDLEYt NNES�?TA
OWNER'S NAME �I� o E ! A !c A Imo! oT0 BUILDER %F E L ri
ADDRESS l� ADDRESS -Z_ 9 2-5' _70 H TA 6 0 A4, Q
6-4 ►
LOCATION OF BDING
No. % 39 r Mei-eyy_ a , Street Part of Lot.
Lot Block Addition or.Subdivision
Corner Lot Inside Lot _. ^: etlsa"-k Side -Yard
SEWER ELEVATION FOUNDATION ELEVATION.
Applicant attach to this form, Two Certificates of, Survey of Lot and proposed build-
ing location dtswn on these Cattificates
Teo be used as:
DESCRIPTION OF BUILDING
r
Front Depth Height
Sq. Ft. Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction 's Estimated Cost
_._To -.be -Computed — 6 C
The undersigned hereby makes application for a permit for the work hereinspecified,
agreeing to coo all work ift 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.'
6—Z -I 6S,--
J`Schednle of Fee Casts can be found on the Reverse Side).
r A
& - . 0
Building
BUILDING
Permit NO.: Gb��
Inspections
RESIDENTIAL APPLICATION
Received By:
763-572-3604
CITY OF FRIDLEY
Date Recd:
DATE
YOUR E-MAIL ADDRESS
SITE ADDRESS
i
THIS APPLICANT IS: O'OWNER
❑CONTRACTOR
PROPERTY OWNER/
NAM E: ;� <�
ADDRESS -2f
10f & P iZ
CITY � , , �e STATE�<�IP 2
TENANT
PHONE::1
CONTRACTOR
NAME:
STATE LICENSE #
EXP DATE
SUBMIT A COPY OF
YOUR STATE LICENSE
ADDRESS:
CITY STATE ZIP
WITH APPLICATION
pg
FAX
PROPERTY TYPE
ffSINGLE FAMILY/NEW CONSTRUCTION
SIZE
❑ TWO FAMILY/NEW CONSTRUCTION
STORIES
PERMIT TYPE
❑ ADDITION
❑ GARAGE/SHED
❑ WINDOWS
❑ BASEMENT FINISH ROOF
❑ DRAIN TILE
❑ DECK
❑ SIDING
❑ OTHER
❑ SWRA ING POOL
TYPE OF WORK:
❑ ADDITION
❑ MAINTENAN
P ❑ REMOD ING
DESCRIBE WORK BEING DONE:
e "D U -r
i -
SIZE OF IMPROVEMENT
LENGTH
'WIDTH HEIGHT Sq. IAR50
ROOFING fi,�1
NUMBER OF SQUARES
❑ HOUSE ONLY
MOUSE & GARAGE
BASEMENT REMODELING SUBMIT:
/
1. Existing Floor Plan
GARAGES ,
❑ ATTACHED GARAGE
2. Proposed floor plan
PROPOSED SIZE:
❑ DETACHED GARAGE
3. List of structural members to be used
PROPOSED HEIGHT:
SIDING
FOR NEW CONSTRUCTION INCLUDING DECKS,
❑ Vinyl
❑Soffit
ADDITIONS. & PORCHES SUBMIT:
❑ Aluminum
❑ Trim
1. Site Plan/Survey showing the existing structures
❑ Other
❑ Fascia
and proposed project.
2. Two sets of construction plans
WINDOWS
3. Energy Calculations
IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED
NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $ OCCUPANCY TYPE
Permit Fee
Plan Review
Surcharge
Fire Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Total Due
See Back Page for Fee Schedule
65% of Building Permit Fee
(.0005) times the total job valuation —Minimum $.50
.001 x Permit Valuation (1/10%)
$5.00 (State Licensed Residential Contractors)
$1450 per SAC Unit (Plans to MWCC for determination)
—ft +6 ft= ftx$20=$
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checks payable to: City of Fridley Attach
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 hiich requires/review and approval of plans. 0
SIGNATURE OF APPLICANT rWAAVo? 111;0% PRINT NAME&I A - DATE__/
o,730 0-2,60
ck:2/05
rm