PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT N 6094
Date: `
owner: Bail
Address Address
L'6c LDING
No. 52,
y Part t
Lot _ Block — Addition or Sub -Division
Corner Lot _ Inside Lot — Setback Sideyard
Sewer Elevation _ ____ _ Foundation Elevation
DESCRIPTION OF BUILDING
T)q UsePA.90CC: Depth Height Sq. FtDepth freight Sq. Ft . 4` Ft
of eti ""'%ibe Completed
Tyke afro � Fit �.�� r
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
ordinanctas oP the city of Fridley.
In consideration of the payment of a fee of$C� , 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 and moving of buildings
within the city limits and this permit may be revoked at any timed anon any of the provisions of said
ordinances. ..�""' At
NOTICE:
'Ihb pemdt don not cover the sondndton, huta9dion for v rbg, -ph mbing, ga hea8ng, ewer or gator. Be sun M as
the Bulming Mqw ter for apm tr pwmhs for thea hens.
APPLICATION FOR BUILDING PERMIT
CITY OF.FRIDLEY, MINNESOTA
Owner ° s Namej_ rh .J,:�z3e�Builder
Address`; !� / �.� Address
LOCATION(OF BUILDING
No. ��Street_�,� Part of Lot
Lot Block_Addition or Subdivision
Corner Lot Inside Lot -,X _Setback_ _Side -Yard A3
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:
DESCRIPTION OF BUILDING
Front Depth Height
Sq, Ft, Cu. Ft.
Front 5—<D Depth Height
Sq. Ft. Cu. Ft.
Type of Construction Estimated Cost
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 of
Fridley Ordinances and rulings.of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are trnc A"A nnrrnrt
FITFi
(Schedule of Fee Costs can be found on the Reverse Side).
City of Fridley
Application for Plumbing and Gas Fitting Permit
Dept. of Bldgs. Phone SU 4-7470
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures Location
W
NO.
RATE TOTAL
Number Fixtures ......................
x
12
Say
ZF��
x
88
$
New Fixture Old Opening ..............
x
!2
t9
Z
� O
e
F
i
N
WATER HTR.
GAS
ELEC.
Base
2.00
$
New Ground Run Old Bldg . ............
x
3.25
$
GAS FITTING FEES:
NO.
RATE TOTAL
1st 3 Fixtures ..........................
x
$1.50
Additional Fixtures ....................
x
.50
1st
Gas Range to 200,000 BTU ..............
x
I
I
2nd
3rd
4th
• Future Connection Openings
e New Fixture, Old Openings I
Connected with
Sewer
Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE TOTAL
Number Fixtures ......................
x
$1.50
$ !q,
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
$
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:
I
The undersigned hereby makes application for a permit for the work herei
specified, agreeing to do ail 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 Minapplicati n are true and correct.
/Fridley, n_ �/0 191.)—
Owner
9 `.)—
Owner U
Kind of Building
Used as
To be completed about
Estimated Cost, $
OlNe uilding Permit No a Pe�it
Business Phone
ROUGH 9 — / z — 4 z—
FINAL
az 2M
Application for Power Plants and Healing. Cooling. Ventilation. Re iigeration 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 80,000 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 $ 15-10-19
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
VENTILATING SYSTEM
ALTERATIONS & REPAIRS
ROUGH
FINAL
See Fee Schedule
TOTAL FEE '®
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.
Fridley,
Owner
Kind of Building
Used as
To be completed about
Estimated Cost,
Old—.4G,Building Permit No.
r
« Permit No.
DESCRIPTION OF WORK
HEATING or POWE —Steam, Hot Water, Warm Air—No�
Trade Nam Size No -
Capacity Sq. Ft. E.D.R de BTU—f� H.P.
Total Connected Load -304 �, y Kind of Fue112ZA ✓.4:L-**'
BURNER —Trade Name
o Size No,
Capacity Sq. Ft. E D.R BTU H.P.
(REMARKS -OVER)
SUBG E," a E[ATIN'G & SHEET METAL
8419 CENTER DRIVE N. E.
Signed MINN €Anna 1C% n1-; -Ift..
By- e®�
<z 7M Business Phone No- .Sa.-I-2g;A®o
Ddb a z
HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS
Weatherstrips A.S.H.V.E. Construction No.
Guide
Windows I Doors Reference Out. Wall Int. Wall I Ceiling Roof Floor n
—No —Noo-
F1.1 Room I Length Width / Height / Fl Room
Doors--4
Height ]
No. of Dane of Wane I
Windows a dDoors—Crackage and Area Windows and Doors
Width Height No. of Lineal ft. Area
No. of pane of
1 Dial Btu. I Q
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I2
Fl.� .� ,i,,, Dom ( Lenath -2.,* o Width `4/ Height
Windows and Doors—Crackage and Area
Room I Le /
Dane lights
of crack eq. tt.
z
,
,6
lv
Width Height No. of Li eat ft. Area
No. of pane of pane lights of rack sq. ft.
Coef.1 Btu
Coef.1 Btu
Infiltration
Coef.1 Btu
Infiltration
o y
Glass
9.27
Glass
S
c.40
Exp. wall
Int. wall
Net exp. wall
VAI,
D -Roo ap
Int. wall
Floor
Aa Z4 L
Ceiling
Net exp. wall
p 2 ,p
Floor
Int. wall
: O
1 Dial Btu. I Q
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I2
Fl.� .� ,i,,, Dom ( Lenath -2.,* o Width `4/ Height
Windows and Doors—Crackage and Area
Room I Le /
Width Height I No. of Lineal ft. Area
No. of pane of pane lights of crack eq. ft.
2CA-ir
v ,
AL— p
lv
Width Height No. of Li eat ft. Area
No. of pane of pane lights of rack sq. ft.
Coef.1 Btu
Coef.1 Btu
Infiltration
of
o y
Glass
Exp. wall
y
Exp. wall
c.40
-2,0L
4ek
Int. wall
Net exp, wall
VAI,
/0
Int. wall
Floor
Aa Z4 L
Ceiling
Net exp. wall
Floor
Int. wall
: O
1 otal Btu.
Required sq. ft. E.D.R. or sq. ins. WA. Leader are-;a
Fl , Dom I are�Length / .3 / Width7/HeI�
indows and Doors—Crackage and Area
Room I Le /
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
2� .6
Y % .
8.
lv
Width Height No. of Li eat ft. Area
No. of pane of pane lights of rack sq. ft.
Coef.1 Btu
Infiltration
j j
Glass
Coef. Btu
Infiltration
Exp. wall
p
Net exp. wall•
c.40
-2,0L
4ek
Int. wall
Exp. wall
Ceiling
Net exp. wall
Floor
Aa Z4 L
Tbtal Btu.
ft. E.D.R. or sq. ins. W.A. Leader area
.3/1 k :L- A
FRIDLEY, MINN,
Insulation
ekage and Area
ofLl sal ft Ar
to of crack sq.
Coef. Btu
Infiltration p 1i
Glass Z
Exp. wall
Net exp. wall
Int. waU
Ceiling
Floor
Total Btu. .�
Required sq. ft. E.D.R. or sq. ins. A. Leader area
F7_I YaRnnrft I Length e-1/ Width �// Heiaht jP /
Windows and Doors—Crackage and Area
Room I Le /
Width Height No. of Lf eal ft.
No. of pane of pane lights of crack
Area
sq. ft.
Y % .
8.
lv
Width Height No. of Li eat ft. Area
No. of pane of pane lights of rack sq. ft.
70 A[z o
Coef. Btu
Infiltration
y
Infiltration
Glass
c.40
-2,0L
4ek
-
Exp. wall
33
Net exp. wall
Aa Z4 L
Int. wall
Net exp. wall
Ceiling
Int. wall
: O
Floor
Ceiling
Total Btu.
Required sq. ft. E.D.R. or sq. ins. A. Leader area i���
F1.1
Room I Le /
Width
/ Heigh ' /
Widows and Doors—Crackage and Area
Width Height No. of Li eat ft. Area
No. of pane of pane lights of rack sq. ft.
70 A[z o
Coef.
Btu
Infiltration
c.40
Glass
33
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
rotal Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area /�
SUBJECT
JkITMIT NO. .
City of Fridley
272 7 8
AT THE TOP OF THE TWINS
BUILDING
PERM l
f
�
NO.
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
�s
r 1
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
8/19/98
JOB ADDRESS
6549 Pierce Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
11
1
Don's 2nd Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS,
ZIP PHONE
Gregory & Deanna Martin
571-4991
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
PTL Contracting 2526 N. Ferry St. Anoka MN 55303
323-7400 5294
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 kbc
REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and garage (22 Sq) Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
SEPARATE PERMITS ARE REOUIREO 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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
1834
.92
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 ERFORMANCE OF CONSTRUCTION.
$59.50
Fire SC 1.83
`f
PLAN CHECK FEE
TOTAL FEE
�i
Li nse SC
$5.00
1 $67.25
SI ATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
WHEN PRO ER ATED THIS IS
PERMIT
B OG INSP
—VALI
d/`
;Yr
ryATE
S.GNATURE OF OWNERIIF OWNER BUILDERI IDATEI
NEW" ( ]
ADDN [ ] CITY OF FRIDLEY
ALTER j ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Construction Address: J6
Legal Description:
Owner Name & Address:
Contractor:
Address:
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Effective 8/1/95
l�
6�P
Tel. # —
__ MN LICENSE # oZ
j_ -Tel. #
Attach ho this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION .OF IMPROVEMENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length Width Hgt/Ground Sq. Ft.
Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback SSyide[ �aYar $setbacks / Q
Type of Construction: 2U 5 D • 1Q-�� �Estiniated Cost: $ _ G C.�� _
Approx. Completion Date:
(Cost on Back)
Driveway Curb CutWidthNeeded: Ft + 6 Ft = x $ _ $
DATE: �� ��1� _ APPLICANT: Tel. #3.x 3 -7 YOD
i
CITY USE ONLY
Permit Fee
$
Fee Schedule on Reverse Side
Fire Surcharge
$ % .
.001 of Permit Valuation (1/10th%)
State Surcharge
$ 67R
$.50/$1,000 Valuation
SAC Charge
$
$850 per SAC Unit
License Surcharge
$ S__06
$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 MECHANICAL Permit No.:
Inspections RESIDENTIAL APPLICATI®N Received By:
7.63-572-3604 CITY OF FRIDLEY Date REM-
DATE
E-
DATE (, - Z ( - o -7 YOUR E-MAIL ADDRESS
SITE ADDRESS C L S� a E if,,- / c./
THIS APPLICANT IS: 0 OWNER )1CONTRACTOR .
PROPERTY
OWNER/
TENANT
CONTRACTOR
SUBMIT A COPY OF
YOUR STATE
LICENSE WITTI
APPLICATION
NAME:
ADDRESS: tv5'Lt7rr NCITY �jQiL7/f.C. STATEt±6jZIPS)�!3$
Coe
PHONE: 7 63 - a 6 9- i 3 Xy
COMPANY NAME:.N
CONTACT PERSON:.
STATE LICENSE I{_
ADDRESS:
PHONE 743
S E-. IV C
- .0 9 11 FAX
EXP DATE
ATEA 1N ZIPS q3 '--
PERMIT
PERNII.T TYPE SINGLE FAMILY O TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK: o NEW )PLACEMENT 0 ALTERATION/REMODEL
DETAILED DESCRIPTION OF WORK 1 n s" (I 1 p/ c c K �-�►� F'CA M n A t L C'
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 $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL
NUMBER OF EACH BELOW) MODEL: SIZEIBTU
Equipment Installed MFG: B IV
MFG: MODEL: SISIZFZEJBTU
MFG: MODEL:
A/C $25.00 _FIREPLACE (GAS) $15.00 . GAS RANGE/OVEN $10.00
— AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00
OILER IRE 1FURNACE $35.00 _GAS UNIT HTR $10.00
_CHIMNEY LINER $10.00 GAS DRYER $10.00 POOL HEATER $35.00
_B
DUCT WORK $10.00 GAS PIPING $10.00 —VENTILATOR $15.00
07
Permit Fee $ to Q Number of fixtures @ $10.00 x $10.00 =
Surcharge Number of fixtures @ $15.00 x $15.00 = $
TOTAL DUE $ o. !d Number of fixtures @ $25.00 x $25.00 = $
Number of fixtures @ $35.00 x $35.00 = $
State Surcharge = $ .50
Total = $
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-. 2
SIGNATURE OF APPLICANT Ck-�I•o "'Z PRIM NAME ff ri J ' ik P p DATE-`--
City
TE`
City of ]Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977
t�
REQUIRED INFORMATION NEEDED TO PROCESS PERMIT
RESIDENTIAL PERMIT APPLICATION HVAC
❑ NEW HOMES/ADDITIONS EXISTING HOME ❑ MAKE-UP AIR
REQUIRED FOR NEWIEXISTING HOMES
1. Combustion Air (See note below)
a. Oil or solid fuel IMC Chapter 7 with MN Amendments
b. Natural Gas or Propan&UGC 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. RCCA Manual D
NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for
combustion and make up air calculations