The URL can be used to link to this page

PRE 2010 DOCSri7 BUILDING PERMIT Village of Fridley, Minn. N° 2 R 4 5 Date .... r.. l.`3. �.................. . . Owner �� .. . ® ....... Builder Address,3.4� 1...... ........ Address LOCATION OF BUILDING No. J . Street ...0 aV�+� r, ...... Part of Lot ....................... Lot .... 1.5 ........ Block ....00 .......... Addition or Sub -Division .... .. ... .......... . Corner Lot ............ Inside Lot ... Setback 13S....... Sideyard �� .� .� ...... . DESCRIPTION OF BUILDING To be Used as: Front A &.. Depth O .Y ..height A Sq. Ft. 9.! Cu. Ft. ........ 10 .................... �eFront ........ Depth ........ Height ......... Sq. Ft......... Cu. Ft......... Type of Construction . P ....... Est. Cost .. / , A ...... 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 all- provisions of ordinances of the village of Fridley. o. ..... .. ... nsideration of the payment of a fee of $. '/A� permit is hereby granted to Z? ... . : iAl"? ......... 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, altera' aintenance, repair and moving of buildings with- in the village limits and this permit may be revoked at a time wpon viola of any of the provisions of said ordinances. .. .. .. .. Building Inspector NOTICE: 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. City of Fridley, Minn. BUELDING PERMIT Date: .. .......... .. ..................... PraOwner ° ..�.. . . Address if9 r w N® 3267 Builder ..........L .. ...... ................. Address............ .. ... .......... • LOCATION OF BUILDING No. Street - `. ' ..... P If Lot �% + w� ............. Lot ......:.... Block . ,..... ��D.......... Addition or Sub -Division Corner Lot ........... Inside Lot ............ Setback ............ Sideyard ........................... DESCRIPTION OF BUILDING To be Used as: fi.1 ` Fx ..... ..... ; ..... Front .. %; ... A . Depth ....... Height ........ Sq. Ft. ........ Cu. Ft = ......... pnt ......... Depth ........ Height .... Sq. Ft. ........ Cu. Ft. ........ Type of Construction . I :: ._.. at. cost.. �f! . � �........:... To be Completed ......... r _A_ In r 'r d , In consideration of the issuance to me of a permit to construct the building desribed 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. . r In consideration of the payment of a fee of $ . .... permit is hereby granted to �.� ` ....:: ................. I ...... . 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. ,..., �. Building Inspector < \G li -� it NOTICE: ^- , 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. 4 i9& � City of Fridley, Minn. N9 9690 BUILDING PERMIT owner: _Lee Walter Builder S Address X -F.. Address SE LOCATION OF BUILDING No. r361_— Street QuincyBT.R. -- Part of Lot Lot _ _ 15____ Block 8._ _ __ _ Addition or Sub -Division .__ _ Claris t1-0 Corner Lot — Inside Lot _ _ X Setback .—_ Sideyard Sewer Elevation — — Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Ratio Front 15? Depth 9 t Height —7-L— _ Sq. Ft. _ Cu. Ft. P4 Front Depth Height -- Sq. Ft. Cu. Ft. Type of Construction W-QQd Est. Cost 3 54 _— -$45D-- To be Completed J311 W 1, -19(18 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 a'll provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ 5 - On , permit is hereby granted to r.oe Tea i +ew 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 asci his agents, employees and workmen, in all work done in, around and upon said building, or any thereof, shall ooffiorm in all respects to the ordinances of Fridley, Minnesota regardinng location, construction, alteration, maintenaace, repair and moving of buildings Vwithin the city limits and this permit may be revoked at any time upon violation of aay of the provisions of said dinances. fl / �T �W NOTICE: This permit does not cover the construction, Installation for whing, plumbing, gas beetles, sower or water. Be sure to as the Building hugreetor for separate penis for these Hems. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, 14INIMSOTA OWNER'S NAME �CC BUILDER ADDRESS CD ✓ s� e _„/1% �= , _ .._ _ 7DtE5S _ . , ... _ -.-- ___-- L6CkIOX Ol-4MLpi,16 NO' STREET LOT ��_ .BLOC]t _ ' ` ' ADDITION OR SUBOIVI$I0i C CORI-MR LOT INSIDELOT ' % :_SETBAGK�SIDEYARD SEWER ELEVATION .r TOP OF FOOTING ` Applicant attach to this form Two Certificates of Survey of Lot-.and.proposed building location drawn on these Certtfigates.. DESCRIPTION OF .OUILDING.'� 'To Be Used As: Froiit„p1 S E Depth Height Square feet !Cubf c Feet C' �5 Front Dapth Height Square feet Cubic Feet Type of Construction Estimated Cost GV 93 sv -'/sc� To 11e'4dmpleted____/w'�.'�'r'`7� The undersigned hereby makes application for a permit for the work herein specified, agrgging to.do all work in strict accordance with the City of Fridley Ordinances and ruliAgs of the Department of Buildings, and hereby declares that all the facts and represenitations stated in this application are true and correct. DATE—, _ �,� /, SIGNATURE �ae (Sch dule of Fee Costs can be found on the Reverse Sade). Q. SUBJECT P NO. of Fridley �_ 15 fl AT THE TOP OF THE TWINS BUILDING PERMI rpCity RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 � = CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 5/7/80 / / JOB ADDRESS 6361 Quincy Street N.E. 1 LEGAL LOT NO. BLOCKTRACT OR ADDITION SEE ATTACHED DESCR. 15 8 I Christie Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Susan. Bornus 6361 Quincy Street N.E. 571-0349 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Edward Lott Previous Owner 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 j] ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling 9 CHANGE QF USE FROM TO STIPULATIONS Roof can be 2nd but not 3rd roof. Install ridged galvanized. valleys. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN BO DAYS, R IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PE IOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. I NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMIN D THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL ROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORWILL BE COMPLIED $650. 50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GR NTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOL TE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LA REGULATING CON- $7.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE _ $8.00 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WWH➢EN� PROPERL VALIDATED THIS IS YOUR PERMIT \, BLDG WSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) OWNER: A,". S" .� ADDRESS: f 3 fir. � BUILDER: ADDRESS: TEL NO: 7/- e _ y TEL NO: Construction Location STPEET NO: � j' 6� / STREET: ul Ae e �� r LOT: /fes BLOCK: ADDITION: 4iefli f rl i Corner Lot: Inside Lot:, Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building locations drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION F Z<C Front: Depth: Height: Squane.Feet: Cubic Feet: Front: Depth: Height: Square -Feet: Cubic Feet: Type of Construction: Estimated Cost: $� To Be Completed: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET .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: SZ17'Z_7_ d SIGNATURE: Stipulations: q.0 4AJ) -Z-�.0 04a mss. FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY. MN 55432 • (612) 571-3450 - FAX (612) 571-1287 November 4, 1994 George Paquin 6361 Quincy Street N.E. Fridley, MN 55432 RE: Property at 6361 Quincy Street N.E. Dear Mr. Paquin: This letter is to confirm the information which we discussed in our recent telephone conversation. At that time, I agreed to grant you an extension until March 1, 1995 to comply with the terms of my October 14, 1994 letter (copy enclosed). By the new compliance date, I expect that you will have improved the truck (662FDIT) to currently licensed/street operable status, or that it will be removed from view. I will reinspect the property shortly on or after March 1, 1995„ at which time full compliance is expected. Feel free to call me at 572-3595 if you have questions, or wish to discuss this matter further. Sincerely, Steven Barg Code Enforcement Officer SB:da CE -94-528 CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On January 1, 1993 APPLICA11ON FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 7.00 owerTray $ 4:00 Beer Dispenser $ 5.00 Fl Drain $ 7.00 Auto.��•` Washer �.'5``;`:`>�':Gas Range M� .` � Water Heate roorWash Stories ElecUrinal GasSh Basement asem nt Water Heater —Electric $ 7.00 Water Heater - Gas v $10.00 Gas Range $10.00 Gas Dryer $10.00 Back Flow Preventer Required ( )Yes () No Type $5.00 Floor 1 Fo I or 2 -------------------- 00 FI r 3 F loot 4 PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 7.00 Old Opening, New Fixture $ 4:00 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Water Heater —Electric $ 7.00 Water Heater - Gas v $10.00 Gas Range $10.00 Gas Dryer $10.00 Back Flow Preventer Required ( )Yes () No Type $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance M State Surcharge TOTAL FEE JOB ADDRESS 434p/ Quawey Sr- NL 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 and rulings of the Building Division, and hereby declares that all the facts and representations stated In this application are true and correct. 51' c • .199.9 Owner G (-- o PA cpo', Building Used As 14 0,-n f- ' Estimated Cost 15b.`o PERMIT NO. .,'' PLUMBING COMPANY 1', •►% s 4u.4L, r V PLu,mAiA14 Tfac- SIGNED BY TEL N0. 15"' /' o N s Y 15, of Approved By Rough—In Date Final Date $ ,50 $ (s•sv PLUS THE $.50 STATE SURCHARGE SUBJECT P City ®f Fridley 26652 AT THE TOP OF THE TWINS BUILDING PERMIT Ir? PT NO. COMMUNITY DEVELOPMENT DIV.d�f/ i VV r e � PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 L Jam+ 612-571-3450 910-F15 JOB ADDRESS 6361 Quincy St NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 15 8 Christie Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE George Paquin 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Solomon & Sons 12211 Olive St NW Coon Ra ids MN 55754-5875 20055664 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 O NEW ❑ ADDITION ❑ ALTERATION YO REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof(22 S) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED 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 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 1 HAVE READ AND EXAMINED THIS APPLICATION I 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 18 $.92 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROV S OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- S CTI OR THE PERFORMANCE OF CONSTRUCTIO11. $59.50 Fire SC $1.83 PLAN CHECK FEE L FEE License25 1z;7'. SIGNATURE OF CONT FACTOR OR AUTHOR12E0 AGENT IDATEI N RO VALI 0 THIS IS YOUR PER L G INSP ��AT SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI NEW [ l ADDN [ ] ALTER [ l ConstructionAddress: CITY.OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1/1/98 Legal Description: 0 Owner Name & Address: off ✓� Tel, # Contractor:�_MN LICENSE # Address:. /,Za // St.. A—) Tel.# - LIVING AREA: GARAGE AREA: ' DECK AREA: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. _. DESCRIPTION OF EWPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. -Ft. Length Width Hgt/Ground Sq. Ft. OTHER: �° Y, � A Construction Type ee �`� r5 rl Estimated Cost: $ ( (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: - /APPLICANT:% Tel, STIPULATIONS: CITY USE ONLY Permit Fee $ '�`I. `� Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ f �z $.50/$1,00 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 Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ J TOTAL $ �s STIPULATIONS: 06/24/1999 13:29 E H RENNER & SONS 4 5711287 (ij OJOUZ� NO.172 ®02 WELLOR ECIRINC LOCATION MINNESOTA DEPARTMENT OF HEALTH • Minnesota Well and Stang WELL AND BORING SEALING RECORD S"a"'Min H a Unique No. MllInBS018 Steltifsa. Cn8pl6! 903! of Wsa% Na .. (bets otm+v t not waml Townan N0. 1a971Qe 1110, Bmctkm No. I Fraaics 45m. 16 to I Date scam Dale Woa ar 8eru� Cesttlfuatea 24 19 mNE� jLM 08, 1999 N=WnCeo SY`W ROOM arFire NW"OW and OtIY of Well of 8" Lowtmn Isftwom 6361 Q ST. Depth Bowe S"fing 161, k. Orit$rret Deptn ? n Poston at wo or bona sir mh map of woo of DWI) IFEA(SI STATIC WATER LEVEk r»aOCRonypidtsGl'X. foGalion, $howing Pr omo N ;mwBAAvuer ❑ MoiRa4uller Goes, romb. and bul6ingz. N WE1118ow= f-9aeeurM ❑ Estlrweled .•l , •�•• L] ipfttef SWPIY WOO 0 Mara. Well ❑ Erw. Bare HOG, O Dther ; IL (�ebta+ ❑ e0atra fmtd -,ft w .Y. '"}" E CASINGTYP6(S) --. i �� t ❑ Pletae ®TGo ❑ Amor a �> .-;4- ( �, CASINO }. D1tVneler Ono Sat to avema We? Anrwalor apme Wd* t T 111 ner—Ntr hr, morn to 13' IL c3 Y.. eNa c3 y- ❑ w ® Unmown 1 �' In. Ilam be It. 0 Vee 0 No p Yee ❑ No 0 UaRearet Jr. fmm t0 It 0 Yes • ONO ❑ Yes ❑ No ® Uwwwn Prepeny ewaefc ewNInp QW= a tetfenre QW w8Q loseepn addre� MdIDBDBd etta9, A3491 QU:EMCT ST. scAk�NfOPEN HOLE RIOT,'sfy M 5543.2 Semenfrom 13, ro ��° n, OmNotefrom to n. oastAucetaws D R=WDrop Pipe ❑ ChM Vahists) ® Dods 0 RI 01,1000e7W.wtm TYpe W 00atnmltd m pmr1w ER9 MAN waG~' "sift.ddmft a &%mm etim yropany aw—lo imam-Irtd'im w abam. OOa uctimta fmaarad? O Vas Oft Dwaine PUMP Type mm ❑ Ramoued f1hict Praaent 0 Olhm 0966 WAL WiTeRIAL COLDA NIiRONE99 OF TROY P+ppyATION 0 not rorawn.Irta(eao eagnmradtan tiorrtap ham rwn ey adt ar Goring. MEWOD USE0 TO 9EAL ANNULAR SPACE BETWEEN 2 CASINGS. OA CASING AND BOAS 8=.* No Annular Space Exiate ❑ Annftf SPM CMINd Yn'th IMM16 pipe . ❑ Casing PerfarationlRemow Ifa, tram to IL 0 Podomted ® RamoraS m, from to A ®PeAtpoeed Type of w( mw .5 CLAY CY y 0 1 CUM $ STOM 3 GRAY IS 80 GRAS. ❑ Omer OAOUTIN® YtATERIAL(G) PORTLAND1 = mvir rg Material imm to PI. Yana page Imm to A, VMS 0epa In" to fL yva bw ham to R Tarte 0112140011680UIOCE IN 8111ALING OTHER WELLS AND 8tIMW to ICT FROM; 82NDJM {t'Fs tun u arre umtead wee m 0m+n0 a+ pent? ®YeeORd Har merttti PROISTmo C0>•Ts1ACTOR CERTtFtCATION 5-Lmmillm WATER MVEL IN ABOVE W=L: DATE WATM �L TAKm.- 091 21 aeaorrJenoe wlm Mlnne9ote RWea. CtWptOr 47351 Tho IniOmtadon oeNB6red kt IFm ram0rtia P hr o to the Gax MAP CODE E-73 SEALED K.. aY . �/NS rINC. 1015 'fit NerMB f.1L'aas+• o/Ae�teaml0o lice, if -1 Iffi,19 9 According to MN State Regulations in s's TwUXx1v/aEvrfa HOPPE t 10oAI H -15550 nrarnearPOgptsorr/erotab6prBOwe9 COPv 06%24/1999 13:29 E H RENNER & SONS 4 5711287 �l NO.1?2 1?01 W"OR eorme LOOT" MINNESOTA DEPARTMENT OF HEALTH MMina esotawall am BonnB WELL AND BORING SEALING RECORD Uf Wor'"o►a S►atut9a; Cnapter 1031.., orrbWW-sserm No ur3 NO, • MOO man►rtra►na 111 H 155 County N=16 TOMraallio No. Range Ne. Seerroe No. d" Iafr. -►.g.) m17At 16 is mrmsttoel area» Adsom w Fde"be# ants City of Wee of Bonito Loealk" 5:351 Q1%INCY ,T. Dare Smiiw D"M Before SaaUV �� ° PI. Dale Wd m Wftg COMMON Original 0"m 7 h Sean exaet loeeaon or a oomag Skesm map of well a baring in ewrw grid wo w. location. 21.w me oft" time, tau and ho0i w _ r ' ! E �• - - i'l N - -- --- - yet, ' r — ® 2 A 11:EMS1 Ingle Aquft ❑ IWt1drA®udeP STATIC WATER LEVEL . (ytaancurai ❑ E>nimatM 5 r 0. l bw 0 am wo wo m 1NELLMRING ( ANr Supply wall ❑ Mout. We t C3 Erw. Bore Note ❑ Caw CASM TYPE(S) D Pioatie ❑ Te® ❑ Omar C"aG Di�p1Q�y K 0 Dep1a $ s Sol In ow"28�PJI I APInY®IAP apnea W6240 ~94-P— M. rime Io vel. ®res Qf m, O Y9: 0 b ®unl vn m. Imm ' w IL ® res ❑ No C TIM ❑ N0 ® umem l Yea ❑ Na ❑ Yes ❑ No ® maewm mop"a nes 6361 QUINCY ST. FiID*Lj a 55632 SCEENlOPENKOLE �v 16, SMn IMM 10 IL Open Mote 118111 m It 0 CIIONS ❑ Haftomo Plpe ❑ Cho* valWa) ❑ Dabale ❑ Fig d'%o Ow'.11an Typo of 0baltuallam (011ila be) Obstrus one removed? ❑ Yaa ❑ No 0=49 OWNERS NAME SAM Waleoe.uro ateBNpAddree� d d dmr propary momra mtar000 111dmme above. PUMP Tyne wcm ❑ Remauad dkIm Pnoem p Onw ®��«+ ' MAT>8RU►1 NRRONESS OF FROM TO PORMAW011 NM kmwm.Altlleawa7anaao ten sawn pp rmnnoauoy vale of tiering. U0010 UNO TO SEAL ANNULAR VACE 8 7 CASINGS. ON CAM AMD ®ORE HOLE. I iYNO Annular 54mE ExI31e [] Arinu4v spate Wouled wlth vernis pipe ❑ Ckft PeRmailoniRemodal I11. ham to N. Cl Parkrated ❑ Reeloeed w Mem t8 IL ❑ PeflOfaed ❑ Removed Type d oelrmetm ❑ Omer SAW'S =Y GMY @ 15 CIAT It $ GRAVEL 44 101 OROUytNO MAUMAL{S POPMAW OradhlgMaWri1'6 al Pian to C H. Zmmb 1bs{te nom to e. ymda bx4p ham ` go R. yma► bw ham v __.m E vada bow tApU110� scum OF MY& DIFFMIrm IN SEALNG OWL= PRE* : 8 2M MM +LAS WArpp►Le � IN p0mv� W= . S d DATE WATM MOM 7°AXEX: 09/21/74^Tb161�1I ! C - %3 EALED According to MN State Regulations OTHER WVA S AND W MGB }} u end 1alused veil 01 barinp on tlroperty7 ❑ Yea 46 Now mamyf UCE NSE0 OR REGISTERED COMMACTOR CERV ATOM a eoaing �oae eealeo In moardnnee wbh Ltmneaen Rutac. Cdrapasr a796 T11e arteneae a+ mrmined Gr tNA rePeA la !nro m 01a BeeM1 or my klrolMeaga. y� a� a�f �{�/�a4 �y�/! 71016 {r �p L1aenAe aRoptsta�ia11 Na - a A Lomem H . 52502 Name or Peraen Sung Wag meal�jf —1% SUBJE& PERM O. City of Fridley 3 5 9 7 AT THE TOP OF THE TWINS BUILDING PERMIT r i `v _ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r : PROTECTIVE 1 . � ` CITY HALL FRIDLEY 554,2 ��;'� A NUM9ER NEV DATE PAGE OF APPROVED BY ... ,� L J� 612-571-3450 910-F15 12/18/00 JOB ADDRESS 6361 Quincy Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 15 8 1 Christie Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Melissa Cope/Wayne Bailey 6361 Quincy Street NE 763-502-0670 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Minnesota Rusco Inc 5558 Smetana Dr, Minnetonka, MN 55343 952-935-9669 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 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace 1 bow window within existing opening 9 CHANGEOFUSEFROM 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. p r i�� hloi'' : ""In Cards Will Be hififled To Hom'eownw,�L SEPARATE PERMITS ARE REOUIRED 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. OWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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 $3,556 $1.78 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- $97.25 Fire SC $3.56 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL EE Lice SC $5.0 7.59 SIGNATURE OF CONTRACTOROR AUTHORIZED AGENT IDATEI HE PR P L VALIDA D HIS IS YO R PIERMIT SIGNATURE OF OWNER nF OWNER BUILDER, IDATEI 9l ,NSP pAt a NEW [] ADDN [ ] CITY OF FRIDLEY ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: / ,lL6 / Legal Description: Effective 1/1/2000 612-572-3604 Bldg Insp Owner Name & Address: cv ` Tel. # 74� 5O?V -eOO Contractor: !W*80TA7n$C0' 10. MN LICENSE # ;/73 Address: 8 v@ Tel. # -905-9140 Minn to -Ake MN 55343 LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to 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 Length Width Hgt/Ground Sq. Ft Sq. Ft Construction Type: ,/ -47 _Estimated Cost: $ -54 „°e,�e�'- ��j Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ DATE: APPLICANT: Tel. # 9Nii. 966 -- -- -- CITY USE ONLY - Call (612) 572-3604 for Permit Fees if mailing In application Permit Fee $ ` . Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ ?�'7(' , $1100 per SAC Unit License Surcharge $ LOC $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: B- ;,ilding MECHANICAL Permit No.: Inspections RESIDENTIAL APPLICATION Rec 763-572-3604 CITY OF FRIDLEY Date Rec'd: DATE ®� ®��®g YOUR E-MAIL ADDRESS404l0P71e e 2 SITE ADDRESS l �� ✓�� THIS APPLICANT IS: ❑ OWNER ONTRACTOR PROPERTY NAME: v-. SE OWNER/ ADDRESS: Com/ 64e-0? \5��✓«rCITY STAT&A/AtI TENANT PHONE: CONTRACTOR COMPANY NAME: Z/_o CONTACT PERSON: A "'0heJ ®!L SUBMIT A COPY OF YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH ADDRESS -.J 2 1-59lC CITY 0 A. jI > STATAM. 0-1 APPLICATION PHONE '�9 X®® FAX 7 � A-® e, PERMIT TYPE PeSINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW REPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK,4!GQ- �� C/L r°° a- PER 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) Equipment Installed MFG: ,__ MODEL:)7P/ &X SIZE/BTU `ice O O �— MFG: MODEL: SIZE/BTU MFG: MODEL: SIZEIBTU $25.00 jFIREPLACE (GAS) $15.00 _GAS RANGE/OVEN $10.00 _A/C TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 _NEW GAS GRILL $10.00 _AIR $35.00 _FURNACE $35.00 _GAS UNIT HTR $10.00 _BOILER LINER $10.00 _GAS DRYER $10.00 _POOL HEATER $35.00 _CHIMNEY DUCT WORK $10.00 _GAS PIPING $10.00 VENTILATOR $15.00 PERMIT F1rE'PR(TECTS FOR UNDER $SOb''. ' PERMITFEE FDR PROJECTS':CER $SQO w -. , Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge $Q. .50 Number of fixtures @ $15./010 _� x $15.00 = $ /_!i, O® _TOTAL-LLIE - 9 _ .-_- - - _ - _1V U. I. VL AIUI . V 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. s SIGNATURE OF APPLICAN I4� '�®0� PRINT NAM01070 -1 �e �/&%i ��MDATE PLEASE NOTE; SEPARATE PERMITS ARE REQUIRED FOR BUILDING _ELECTRICAi AND MECHANICAL WORK' City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-5024977 City of Fridley Residential Mechanical Application Page 2 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 Propane/IFGC 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. -A:C.A-Mar udl:r --- --- - -- - --- - - NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make-up air calculations. RCALIX .JOR W -ME: JOB ADDRESS: .. % DATE. Heatin TD = 90 F +70 F indoor -20 F outside Coolin TD = 20 F +75 indoor +95 F outside HEAT LOSS HEAT GAIN SQ FT COEFF BTUH SQ FT COEFF BTUH 6" 5 3" Single . ._1.16 Y r 1 dbilF:, 2 Double 140 82 Q. N 611 23/19 33/24 3 Low E 3" 3" 40 4 r rtti 3 NE & NW 3„ 43/34 65/54 6 Other 1-1/2" 4 E & W 1 " 58/49 90/74 3.5 I 4,000 w '� SE & SW Blw grade Slab-arade 48/39 78/64 MAW 1.5 30/1 -in. Ft.®m # 600 S s,. 33/24 48/39 . • x ._ ®@ W F� # 300 12" 911 3 12" 1 6" 5 3" 8 911 2 7 10 - 611 3 3" 3" 1 4 r rtti 3 3„ ®e... 0" 6 1-1/2" 4 1 " 3.5 I Blw grade Slab-arade Iin.Ft. MAW 1.5 30/1 -in. Ft.®m # 600 s,. 2500 SUBTOTAL �� '�j SUBTOTAL INFILTRATION: Ti. �I�rat4r�r CF Fa�ci�arse fa�Cubi ff hcs� daedp 6Qit factor . e XL x W x H - Infiltration CFM NOTE: Additional heating infiltration load should be calculated only if house is loosley constructed pp � 0 1 a•._ 1 s!s /'e r"vC . -- - V Gjj L7 1rV 1�1 Inffftration Intfit. Gr Goer"r Bi i. H irn�i�r�ate r malt C�-�f 99 Sensible 22 Latent 24 Attic or crawl space 10% Attic or crawls ace 10% B0% Furnace divide b .75 90% Furnace divide b .85 95% Furnace divide by .90 FURNACE MODEL # 14 ` 4 (11 AIR COND. MODEL #