PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT N? 5D4O
Date:
Owner: Builder 04111
Address Address
LOCATION., F UILDING
No. Street*'Part of Lot
Lot Block _ Addition or Sub -Division L _
Corner Lot —_ Inside Lot Setback..V,2 ___ Sideyard
Sewer Elevation
Foundation Elevation
DESCRIPTION OF BUILDING
To Used
s
Front G--- Depth Height Sq. FtCu. Ft %`1 900
Front Depth Ieight Sq. Ft Cu. Ft.
Type of Construction ,. = Est. Cost & • Z` 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 -$—/ .7 ' , 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 dty limits and this permit may be revoked at any time upon violation of any of the provisions of said
Building Inspector
NOTICE:
This permit does not cover the construction, installation for wkingi plumbing, gas heating, sewer or water. Be sure to see
the Building Inspector for separate permits for thea items
APPLICATION FOR BUILDING PEMW
CITY OF nnLEY, MINNESOTA
Owners Name 1 a�Ukoo
BuilderAddressW(fk a Address 's , 3 (3
LOCATION Oh BUILDING
No.:� t/Street ----Part of Lot
Lot 0 Block Addition or Sub.Div. �� I� c* o I s
—_.
Corner Lot= ide Lot Set Hack ,_ ____ Side-Yard.[r;—,,,_..
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
DESCRIPTION OF BUILDING
To b fused as:
m
Front Depth Height
Sq. Ft. le LV Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
"—LType of Construction Estimated Go, /�,,,,�„ e._.___
To be completed
The undersigned hereby makes application for a permit for the work herein specifibd,
agreeing to do all, work in strict accordance with the City Ordinances and ruling of
the Department of Bdildings, and hereby declares thjLt all s and representa-
tions stated in this application are true and co3 //%`
DATE � 7 1�r(_____ 3IGNAT�
(A Schedule of Fee costs can be
Application for Poorer Plants and. Heating, Cooling, Ventilation. .Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
Dept. of Bldgs. Phone SII. 4-7470
GRAVITY WARM AIR: RATE
TOTAL,
Localfon Pierce St. (Marion Hills)
I
Furnace Shell & Duct Work ..........................
8.00
$
City of Fridley:
Replacement of Furnace .............................
5.00
$
The undersigned hereby makes application for a permit for the work herein
Repairs & Alterations—up to $500.00 ..................
5.00
$
specified, agreeing to do all work in strict accordance with the City Ordinances
Repairs &Alterations each add. $500.00
2.50
$
and ruling of the Department of Buildings, and hereby declares that all the facts
...............
and representations stated in this application are true and correct.
MECH. WARM AIR
Fridley, Norm_ April 14 s 1961 , 19 —
Furnace Shell & Duct Work to 120,000 BTU OUtput..
8.00
$ 8.00,
11
owner B. Miller(Hobert dellen, eantr, i
.each add. 60,000 BTU ...._, ..................
2.00
$ _
Replacement of Furnace .
§.00
$
Kind of Building FraMe
Repairs & Alterations—up to $500.00 ... ............
5.00
$
Residence
Used as
Repairs & Alterations each add. $500.00 ..............
2.50
$
To be completed about 7-1-61
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR Steam.......
8.00
$
Estimated Cost, $
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ...
8.00
$
QW.—New. Building Permit No. \1-5-1 %` Permit No.
q Each add. 200 sq. ft. EDR Steam ......................
2.50
$
Each add. 320 sq. ft. EDR Hot Water ..................
2.50
$
.
DESCRIPTION OF WORE
t OIL BURNER—to 3 gal. per hour ................. ......
5.00
$
1
HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No
over 3 gal. per hour—See Fee Schedule
Trade Name Lennox Size No --G261-136
GAS BURNER (up to 400,000 BTU) .......................
5.00
$
Capacity Sq. Ft. E.D.R.136 - 000 BTU J-nbUt H.P.
GAS FITTING FEES: NO
RATE TOTAL
1st 3 Fixtures ...................... x
$1.50
$
Total Connected Load Kind of FTat. gas
uer �
Additional Fixtures ................. x
.50
$
BAR — Trade Name Size No
Gas Range to 200,000 BTU ........... x
2.00
$
Capacity Sq. Ft. E.D.R BTU H.P.
AIR CONDITIONING
FAN HEATING SYSTEM
VENTILATING SYSTEM
ALTERATIONS & REPAIRS
ROUGH
FINAL
$
See Fee Schedule
TOTAL FEE $ 8.00
(REMARKS -OVER)
Signe
By
4 2 1M r-59 Business Phone No
`/rs'/�� /�a� /'<Q%�%®%�1(�J / + L°/rC e / • ��C°%?L0�7�2 rI0f7�. /se �Q7-j�i
•..az ��/J�CD
HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS FRIDLEY MINN.
A.S.H.V.E, 11
Weatherstrips Guide Construction No. y Fwd � Insulation
Windows Doors Reference Out. Wall Int. Wall Ceiling Roof �—oor Kind How A plied
Yes No 1_7 's� No 19— 2- 5t 4- z A � C /T z e° 77 ,,' C—
/ FI.I / . 7). Room I Length z / Width Z a Height 9 II m I ►se. RoomI Length -,-I Width 0 Height e
Windows and Doors—Crackage and Area
, 3 �, (
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. f//t.
3 e % P -,o eek 2-0 Z1
(o -11, / ®, 6
e ,5
2
S /o
7j -,e
Coef.1 Btu
Infiltration
a
S J
3
Glass
3P
,Y6
�� S
Exp. wall z. l+ o K 9
p,=
n
Glass
Net exp. wall
x 5 e-
2-7
0 3
Int. wall
Net exp. wall
Exp. wall �,
-:p ¢
Ceilingf�
TT
/
Floor
Net exp. wall
A
5
-1 otal
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area-.'
F1.I jV, / / Room I Length / I Width K Height
Windows and Doors—Crackage and Area
, 3 �, (
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
3 e % P -,o eek 2-0 Z1
(o -11, / ®, 6
e ,5
2
S /o
Glass
Coef.1 Btu
Infiltration
a
/
� F
Glass
3P
2 /
�� S
Exp. wall G
p,=
s =
Glass
Net exp. wall
x 5 e-
2-7
10 Z
Int. wall
Net exp. wall
Exp. wall �,
-:p ¢
Ceiling
TT
/
Floor
Net exp. wall
A
Ceiling
1 otal btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
F1.1 i ,� ` I Room I Length) /_ Width I -3 Heiaht -�
Windows and Doors—Crackage and Area
, 3 �, (
/ 63
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
(o -11, / ®, 6
e ,5
2
S /o
Glass
Net exp. wall
z,
a
Coef.
-
Infiltration
3P
/
Glass
z
Glass
Exp. wall
x 5 e-
232
S
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pans lights of crack sq. ft.
Net exp. wall
Exp. wall �,
-:p ¢
�(�
�--®-
Net exp. wall
R uired sq. ft. E.D.R. or sq. ins. W.A. Leader area
Ceiling
_ Z(,,
J ®
--1, 0
Int. wall
E
�—
Ceiling
10
Floor
-09
.- -_.
Tbtal Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Windows and Doors—Crackage and Area
, 3 �, (
/ 63
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
z
Z 2'7 J
Exp. wan •,o 8 =
S /o
Glass
Net exp. wall
Coef.
Btu
Infiltration
-
S
3P
/
Glass
Floor
S -s "
-g-
Exp. wall
x 5 e-
232
Height �
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pans lights of crack sq. ft.
Net exp. wall
Floor�,
-L
Int. wall
4
R uired sq. ft. E.D.R. or sq. ins. W.A. Leader area
Ceiling
i �`
0 / /e
Floor
E
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Fl.l % Room I Length / Width ! % Height
Windows and Doors--Crackage and Area
ft.
IIIIIIKmEXAM WAL-Am fi��IV,�1
Infiltration
, 3 �, (
/ 63
Glass
S 3-�
Z 2'7 J
Exp. wan •,o 8 =
S /o
Glass
Net exp. wall
G
Int. wall
-
Ceiling
,O /y,
Floor
Int. wall
Total Btu.
Required sq. ft. E.Dora ins. W.A. Leader area
Q S
F1.1 O Length -
Width -10
Height �
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pans lights of crack sq. ft.
�.
Coef.
Btu
Infiltration
/ Z.
.3 P
S /o
Glass
/
x'
Exp. wall / 2 + x o
Net exp. wall
%
Int. wall
Ceiling
a ®
10
�.
Floor�,
,)
Tot
4
R uired sq. ft. E.D.R. or sq. ins. W.A. Leader area
Ir—
City of Fridley, Minn..
BUILDING PERMIT
Date: OCTOBER 5, 1965
K. W. FRANCIS
Builder STANLEY A. BURDA
34?ra
N° 8511
Address 2201 INCA LANE Address 4547 Birch Bend Lane
New Brighton, Minnesota White Bear, Minnesota
LOCATION OF BUILDING
No. 5210 Street Pierce St. N. E. Part of Lot
Lot __ Block
Corner Lot — Inside Lot
Sewer Elevation
Addition or Sub -Division
— Setback — Sideyard
Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as: REPAIRS AND REMODELING 0
Front Depth Height Sq. Ft. Cu. Ft.
Front Depth freight Sq. Ft. Cu. Ft.
Type of Construction Fast. Cost 1, 00-00 __ 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 Inacc accordance with the description above set forth and in compliance with ail provisions of
ordinances of the city of Fridley. _
In consideration of the payment of a fee of $ 12.00 ► permit is hereby granted to STANDLEY A.
BURDA 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 ia, around and upon said building, or say part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota ling location, conatruct[an alteration, maintenance, repair and moving of buildings
within the city limits � this permit may be revoked at any tune upon violation of any of the provisions of said
ordinances.
ALLEN G. JENSEN
Building Inspector
NOTICE
ihb permb docs riot emm the condmdbe, iristap Mw for wMh& Omblus, on hodh* sewer or wdw. Be ars to no
the Boiiding bgmtor for apmb pwmbs for thea h=%
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME H. 1. Francis BUILDER Stanley A, Burda
ADDRESS 2201 Inca Lane, New Brighton ADDRESS 4547 Birch Bend Lane, 14hite Bear
LOCATION OF BUILDING
NO, 5210 STREET Pierce PART OF LOT
LOT BLOCK ADDITION OR SUBDIVISION
CORNER LOT INSIDE LOT SETBACK SIDE YARD
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
To be used as; dwelling
DESCRIPTION OF BUILDING
Front Depth Height
Sq. Ft. Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
repairs abd
Type of Construction remodelling Estimated Cost $1800.00
1.
To be completed 30 days
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 SIGNATURE
(Schedule of Fee Costs can be found on the Reverse Side).
SUBJECT
ERMI
City of Fridley
2 2 2 0�4
AT THE TOP OF THE TWINS
BUILDING PERMIT
i •
RECEIPT
-------COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
�7 51
r
CITY HALL FRIDLEY 55432
NUMBER
REV
GATE
PAGE OF
APPROVED By
I'J 612-571-3450
9t0-F15
10/25/93
JOB ADDRESS 5210 Pierce Street NE
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
10
1
Marian Hills SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Richard Larson
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Midwest Restoration 1121 80 Ave NE, Mpls., MN 55432 784-2772 5267
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 ❑ ADDITION ❑ ALTERATION JJ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House (2nd Layerl
9 CHANGE OF USE FROM TO
STIPULATIONS Roofing can be the 2nd layer but not the 3rd. Install adequate attic
ventilation, Provide smoke detectors as per UBC 1210 adjacent to all sleeping areas
and in the basement,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
ZONING
SQ. FT.
CU. FT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
NO. DWLG. UNITS
OFFSTREET PARKING
ANY TIME AFTER WORK IS COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS GARAGES
VALUATION
SURTAX
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$2,10.0
$1`05
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
PERMIT FEE
SAC CHARGE
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$54. 00
Fire $C $2 10
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
,
PLAN CHECK FEE
TOTAL FEE
License SC $5.00
$62.15
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT MATE)
W pE VALIDATED THIS IS YOUR PERMIT
DATE _�
SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI
NEW [ ]
ADDN j ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND 'DUPLEXES R-1 AND R-2
Building Permit Application
Construction Addres
Legal Description:
Effective 5/26/93
�*37*
Owner Name & Address: 21f�c ��,®stj Tel.
Contractor: /%���s�.ST�'��v� MN LICENSE #7
Address: Tel_ #�Z7 —22.E 2
LIVING AREA: Length
GARAGE AREA: Length
DECK AREA: Length
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IAdROVEMENT
Width Height Sq. Ft.
Width Height Sq. Ft.
Width Hgt/Ground Sq. Ft.
Corner Lar [ ] Inside Lot [ ] Ft. Yd Setback
Type of Construction: ,r, -,,o<"
Approx. Completion Date:
Driveway Curb Cut Width Needed:
172�=-;-&
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
a iS
Ft. + 6 Ft =
Side Yazd Setbacks.
Estimated Cost: $/®Jl=� s
(Cost on Back)
IFt x $ _ $
Tel. -?�Z
a
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$750 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
Conservation Plan Review $450.00
Fee Determined by Engineering
Agreement Necessary j ] Not Necessary (j, ` l
STIPULATIONS: y
CITY'OF FRIDLEY INSPECTION DIViSION
.6431 University Ave NE
6I�Jd(
Effective On January 1, 200(
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572.3604
REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
JOB ADDRESS__.SoZ/� /"Ine
RATE SCHEDULE
OWNER A / /i A-12Ge i3126MI-7'
Residential Rate
TOTAL
Furnace Shell and Duct Work, Burner -
BUILDING USED AS Pwz u! 0) C.,
Also Replacement Furnace $ 30.00
$ J® ®0
(Side Vent - Fill Out Back)
Gas Piping
ESTIMATED COST Sod®� o� PERMIT NO. S�
(Needed with new furnace, $ 10.00
$
but not replacement)
Gas Range
DESCRIPTION OF FURNACE AND OR BURNER
$ 10.00
$
Gas Dryer $ 10.00
$
No. of HeatingUnits I Circle One Steam Hot Water Warm Ai
(Steam) ( )
Trade Name 1L Size No. Y-Aro
BTU kD, bHP °
*Air Conditioning - All Sizes $ 25.00
_
$
o EDR
Fuel Total Connected Load
All Others/Repairs & Alterations (LIST ON BACK)
Burner Trade Name Size No.
1% of Value of Appliance or Work
$
BTU HP
Commercial/Industrial
EDR
g~1 ert i+ f Cv 2 v/2 Vv /3 FL
1.25% of Value of Appliance or Work
$
The undersigned hereby makes application for a permit for the work herein
State Surcharge
$ .50
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
TOTAL FEE
$ � • ��
representations stated in this application are true and correct.
DATE
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING
HEATING CO t<
PERMIT iS $25 00
PLUS THE $.50 STATE SURCHARGE
Signed TEL
REINSPECTION FEE $47.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
Approved y Rough -In Date Final Dat
/, q to-���
FILL
OUT BACK SIDE R STACK VERIFICATION ON REPLACEMENT RNACE
y"'W J �eJiLQe✓� /fid 2L ,tom -
COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When replacina an existing furance, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions,
and is securely supported and firestopped where required. Yes N) No ( )
The venting system is plastic/PVC and meets all current codes and manufacturer
specifications including sizing, length, number of elbows and termination. Yes (P No(
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturers specifications. This does
include AGA-GAMA Category I Central Furnace Venting Tables for fan
assisted and natural draft appliances.
Yes ( No ( )
The existing combustion air is sized and installed to meet the current codes
and manufacturer's specifications.
Yes (�) No ( )
When required to install a new combustion air, it will be sized and installed
To meet the current codes and manufacture's specifications.
Yes No ( )
When installing a new venting system, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturer's
specifications. This does include AGA-GAMA Category I Central Furnace
Venting Tables for fan assisted and natural draft appliances. Yes ( No ( )
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented
separately as per current codes. Yes (4) No ( )
Appliance Type and Size/Common Vent and Vent Connector Information
Appliance #1 Type L c ta, � '� �' BTU Input Fan Assisted or
Appliance #2 Type F, i,\,t e BTU Input SQ c , an Assis d or Nat --PT/
Appliance #3 Type BTU Input Fan ssisted or Nat
Total Appliances Total Btu Input (,
Common Vent Type
Vent Height Diameter I inches
Appliance #1 Vent Connector Height ft Length ft Diameter in Type
Appliance #2 Vent Connector Height ft Length ft Diameter in Type
Appliance #3 Vent Connector Height ft Length ft Diameter in Type
FireplaceRiver City Fumace &
•-
HEATING CO: PIOQR
Signed By: Date:
S -1l -o I
CINOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287
March 29, 2002
Arthur & Marge Brault
5210 Pierce Street NE
Fridley, MN 55421
Re: Final Inspection at 5210 Pierce Street NE
Contractor: River City Sheet Metal
Dear Mr. Brault:
A mechanical permit was issued on May 3, 2001 to install a furnace and an air conditioner
at your address. According to the 1991 Uniform Mechanical Code a final inspection shall
be conducted on the work authorized by this permit. As of this date the inspection has not
been requested.
The permit fee that was paid covers the inspection to make sure the work was completed
according to the Codes. 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 mark the permit "no
inspection called for by homeowner after notification" and take no further action.
To set up the inspection or to have any questions answered, please contact the Building
Inspection Division at (763) 572-3604.
DJ/mh