PRE 2010 DOCSCity of Fridley, Minn..
BUILDING PERMIT
Date:
Owner: _ ..... ........... ................ .... Builder ......... ... ....::.:. ...:.:_. _ ......: .:..__...:....
Address................... --. _.......... .. ._ _ ._...._. ._ Address -.._.:.---•--. ............. ........ _... _............ ...:.._------- _:--- _-_.._......._.-----:I........
-
,LOW, ION F UILDING
� . ...... Street .._ �. _ _----- f Lot ._. _.
NO.... _..� r ......._.'_..._ ...._.. __...._......_....- ...._...
Lot ............. .......... Block +� .................... ddiiion or Sub -Division +�
a .... «
Corner Lot ......... .. .�
_..-•.--. Inside Lot ... ................. Setback ..._ .. ......... Sideyard _ .:.. °...
SewerElevation .... ................ .............. -............. --................... ............. ......... -........ Foundation Elevation ....... .............................
DESCRIPTION OF BUILDING
To be Used as-
. ._..._ Front a1
Depth ._:.cam:-_ Height .. ....:. :.Y. Sq. Ft. Cu. Ft.:.... _.
x f �y�
r�_.....:.. Front .... Depth ..:.... ,. Height �+? .. -. Sq. Ft. +-�P- Cu. Ft. .!0F40
Type o Construction.......................................................... Est. Cost... --/4__1.4..! ..............✓__...... To be Completed ..................................................
7 r y
-
;0N -
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 thea r
p yment of a fee of $:...:.?Aa
.....:............. 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 city limits and this permit may be revoked at any time upon violates of any of the provisions of said
ordinances. n Al / 6 I
Inspector
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see
the Building Inspector for separate permits for these items.
4
. e �
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
CLE
MRON' IM.
Owriers-Namel- Me 1'fo rd Builder GENERA,
2500 2-ana
Addre'ss' Ave.
Address umapolis 1P,
LOCATIONOF.BUILDING
No Street Wxo--Greak—TBx-r, Part of Lot.
Brookview Tei -race
Lot Block. Addition or Sub. DIV. Mrd. Adm
.Corner -.Lot ---Inside Lot' X Set Back.- .3.51
4pplicant.at , tach"to this form Certificate of Survey of Lot and'propo6ed.
building ding location.
DESCRIPTION OF BUILDING
To be -used as
Single D 'lling Front
wp Depth -24--&-2-Veight
Sq, Ft, 10711 Cu. Ft.
Att. Garde Front 211 1—Depth ._?o Height,
Sq. Cu. Ft..�
Type of Construction PrAme Estimated Cost
To be completed A Months
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
deel'Tes.that all the.facts and representations std this,app
are true and correct.
Date Signator
(A Schedule of Fee Costs can be found on the Reverse 4'e)-.1
Appocartim for Power Puts and Heating, Cooling., Ventilation, ReirigemO n and
Air Conditioning Systems and Devilces
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 ............................. §.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 $
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 See Fee Schedule
VENTILATING SYSTEM 4-4
ALTERATIONS & REPAIRS TOTAL FEE $
ROU6H
FWAL
Dept. of Bldgs,. /Phone SII. 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.
Owner
Kind of Building
Used as
19 (=:d
0
To be completed about
d�
Estimated Cost, $
Old New uilding Permit No.'s Permit No.
DESCRIPTION OF WORN
HEATING or PO,7ER PLANTS—Steam, Hot WaterWarm —No
G 7
Trade Na mp Size No `�
Capacity Sq. Ft,./E.D.R `� BTU H.P.
Total Connected Load T4& ` Kind of Fue
BURNER —Trade Name Size No
Capacity Sq. Ft. E.D.R BTU A.P.
(REMARKS—OVER)
RAY N. W E LTE R HEATING 00
Signed 4637 CHICAGO AVE.
By M1NN!:APr-1LIS 7 MINNEC;r.ITe
42 2M 7-59 Business Phone No r=1
C4, d 's
n.ss
HEAT 'LOSS CALCULATIONS DEPARTMENT OF BUILDINGS , W7
Weatherstrips A.S.H.V.E, Construction No.
Guide
MINN.
Insulation
Windows Doors Reference Out. Wall Int. Wall Ceiling Roof T Floor Kind How Applied
es—PVo I," No 19—
1 FI I Y . .Rr nm I Length I r� Width � �� � Hsi zht �' II � FM k:��, r Room � Length . r` Width Height
Windows and ^Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No4 of Dane of pane lights of crack ft.
p (�sq.
of pane
lights
I of crack
sq. ft.
Coef.
Btu
Infiltration
a
:
A?" 4z-
Glass;P
y'
Btu
wa
Exp. wall
7 Y 'y
a
;
Net exp. wall''
Glass
Int. wall
Exp. wall
Ceilingk
d ,9
� "�
ell
Floor�k'.r_
e"
lfis
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 1 0
FI.I / ��` R AL Room I Length // � Width `'a''`P Heiaht
Windows and Dors—Crackage and Area
Width Height No. of Lineal Lt. Area
No. of pane of pane lights ofcrackit.
yeyq.
of pane
lights
I of crack
sq. ft.
Coef.
Btu
Infiltration::;:
a
N,
Glass
y'
Btu
wa
Exp. wall
7 Y 'y
a
;
Net exp. wall
Glass
Int. wall
Exp. wall
Ceiling
d ,9
� "�
ell
Floor.'
e"
lfis
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
EE
of pane
lights
I of crack
sq. ft.
Coef.
Btu
Infiltration`
a
N,
Glass
'
Btu
wa
Exp. wall
7 Y 'y
a
;
Net exp. wall
Glass
Int. wall
Exp. wall
Ceiling
d ,9
� "�
= •
Floorjy
Total Btu.
Required sq. ft. -U-PL or sq. ins. W.A. Leader area I ./'
Windows and Doors—Crackage and Area
Width Height No. of I Lineal ft. Area
No. of pane of pane tights of cracksq. ft.
EE
of pane
lights
I of crack
sq. ft.
Coef.
Btu
Infiltration'
a
N,
Glasse.
'
Btu
wa
Exp. wallJ�
;
Net exp. wall
Glass
Int. wall
Exp. wall
Ceiling
�e .:
� "�
= •
Floor
Roo IT- th `� Width t�,` Height
Fl.l m ng 41.1-41
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane ofpane lights of crack eq. ft.
3; No. of pane
of pane
lights
I of crack
sq. ft.
Coef.
Btu
Infiltration
a
N,
Glass
Coef.
Btu
Infiltration
Exp. walla
;
Net exp. wall
Glass
Int. wall
Exp. wall
Ceiling ty 4-
�e .:
� "�
= •
Floor
Total Btu. 1 Vill
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
I R&w%vn I I .math , Width d° y Heisfht
Windows an r re—Crackage and Area
Width Height No. of Lineal ft. Area
3; No. of pane
of pane
lights
I of crack
sq. ft.
k.
A€
Coef.
Btu
Infiltration
;
Ai e
Glass
Exp. wall
Net exp. wall„�._'�"�
Int. wall
Ceiling
4>
Floor
Total Btu.
Reauired sa. ft. E.D.R. or so. ins. W.A. Leader area I
' -
SUBJECT -
-
city of Fridley,
29172
AT THE TOP OF THE TWINS
BUILDING
PERMIT
e
�
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
�-__. A ; /"';•� CITY HALL FRIDLEY U432
NUMBER
DEV
DATE
PAGE OF
APPROVED BY
,\ 612-571-3450
910-F15
4/12/99
JOB ADDRESS 840 Rice Creek Terrace NE
I LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
5
4
1 Brookview Terrace 3rd
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Joe Calabrese 840 Rice Creek Terrace NE
571-8132
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Dave Wiger Construction 901 Rice Creek Terrace NE,
Fridley, MN 55432 8392
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
572-8403
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
B USE OF BUILDING
Residential
7 CLASS OF WORK O NEW Q ADDITION 0 ALTERATION C. REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Reroof House & Garage (21 Sq) Tear -off
9 CHANGEOFUSEFROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday
thru Friday; 9:00 am to
9:00 pm on Saturday; No work on Sunday.
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 80 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
ISTALLS 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
$1,799
$.90
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 ANYTHER STATE OR LOCAL LAW REGULATING CON.
$56.75
Fir/SC $1.80
STRUC N OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOT L FEE
r;
Livens
$5. $64.45
SIGNATURE OF CAT RACTOR OR AUTHORIZE AGENT IDATErEN
OP
I THIS IS YO PIT
i
+� r
S,GNATURE OF OWNE A I If OWNER BUILOERI, IDATEI
BLO9f INSP
DATE
01,
NEW [ ] Effective 1/1/99
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMMY° AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
a�•'ai'ir��r��I't? �')i>�a ?;rr, .. p
,ConstrucdonAddress.
Legal Description:
Owner Name & Address: J®� Tel. # cam" 7
Contractor: P4 L)� - ,W— MN LICENSE
Address: ktclz- Tel. #
Attach to this application, a Certificate of Survey of the
lot, with.the.proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE .AREA: > Length _ Width Height 5q. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER: lel C� A �-- D f� �'
(s `/179
Construction Type:Estimated Cost: $
(Fee Schedule on Back)
Driveway Curb Cut: Width Needed: Ft. + 6 Ft = Ft.x . $ _ $
DATE: i:'� � , ij lw APPLICANT: U� //��� � Tel.. # ; �5– 7v? 4_11U' 3
CITY USE ONLY
Permit Fee
$ 6 6 . ` .S7
Fee Schedule on Reverse Side
Fire Surcharge
$ G
.001: of Permit Valuation (1/10th%)
State Surcharge
$ O
$.501$1,000 Valuation
SACthar e
$
$1050 per SAC Unit
kgs' 'air `
License Surcharge
' " ' S : DD
$ ,
$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
-tSeweriMains.Charge,;.,;$
'Agreement Necessary, [ ]. Not Necessary [ ]
lu
TOTAL awl I"
STIPULATIONS:
SUBJEtT
City of Fridley
30634'
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
T
1 `V ___ __ COMMUNITY DEVELOPMENT DIV.
� PROTECTIVE INSPECTION SEC.
r �
(.'
1 . i
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE ov.
AbanovEO BY
' 612-571-3450
910-F15
1/21/00
JOB ADDRESS 840 Rice Creek Terrace NE
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
5
4
Brookview Terrace 3rd SHEET
2 PROPERTY OWNER MAIL ADORES$
ZIP PHONE
Joe Calabrese 840 Rice Creek Terrace NE 571-8138
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Dave Wiger Construction 901 Rice Creek Terrace NE, Fridley, MN 55432 572-8403
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
8392
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct an 18' x 16' Living Area Addition
9 CHANGE OF USE FROM
TO
CALL MR MRAi
STI PULATIONStIno
See notations on plan.
�Q ��� ®�
V Wofl
jK
COMPLETION
COPY TO m
(AIREOWNEp
WARNIN
SEPARATE PERMS
Before digging call for
(REQUIRED FOR:
SII utility locations
A�®�SlG�S
454.000
PLUMBING
REQUIRED
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 80 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
SURTA
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$14,000
$7.6o
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISI NS OF ANY OTktER STATE OR LOCAL LAW REGULATING CON -
TRU 1 0 T PERFORMANCE OF CONSTRUCTION
$237.25
Firs C $14.00
PLAN CH�FEC
TOTALIF E
Licen$5.0
$ 63.25
S.GNA TORE OF N'RACTOR OR AUTHORIZED AGENT JOATE,
HEN PAOPERWFVLI DATED THI IS /Y ),PR PERMIT
-BL-6-G JNSP BATE
S.GNATURE OF OWNEROF OWNER BWLDERi iDATE.
NEW[ ] Effective 5/10/99
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION 'rp
liv
Construction Address: 5i;'Yw Ricz 0 f,t 7, -re wezr
Legal Description:
Owner Name & Address: 3bg W46egsAr Tel. # ,� 7 f -- �fc5
Contractor: N -w kil a4u MN LICENSE #
Address: 9�6 / 12"IFF c,F let tneje Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA:
Length Width l Height Sq. Ft.
GARAGE AREA:
Length
Width Height Sq. Ft.
DECK AREA:
Length
Width Hgt]Ground Sq. Ft.
OTHER:
Construction Type:
W(W 0 Abhff
Estimated Cost: $ M/01
Driveway Curb Cut
Width Needed:
Ft. + 6 Ft = Ft x $ _ $
DATE: Qcr
APPLICANT:
e �� Tel. #
CITY USE ONLY
Permit Fee
s�
$ oc, J
Fee Schedule on Reverse Side
Fire Surcharge
$_ f t 00
.001 of Permit Valuation (1/10th%)
State Surcharge
$ -7,00
$.50/$1,000 Valuation
SAC Charge
$
$1050 per SAC Unit
License Surcharge
$ 6,00
$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:
CITY OF FRIDLEY INSPECTION DIViSION Effective On January 1, 2000
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
JOB ADDRESS
RATE SCHEDULE
OWNER t q 49
Residential Rate TOTAL
Furnace Shell and Duct Work, Burner - BUILDING USED AS
Also Replacement Furnace $ 30.00 $
(Side Vent - Fill Out Back) ESTIMATED COST PERMIT NO.—
Gas Piping (Needed with new furnace, $ 10.00 $
but not replacement) DESCRIPTION OF FURNACE AND OR BURNER
Gas Range $ 10.00 $
No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air)
Gas Dryer $ 10.00 $ Trade Name Size No.
BTU HP EDR
*Air Conditioning - All Sizes $ 25.00 $ Fuel Total Connected Load
All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name Size No.
of Val of Applianc Wor $ BTU HP EDR
Commercial/Ifidustrial
1.25/0 o Value of Appliance or Wo $_ 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
e/Q State Surcharge $ .50 rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are true and correct.
TOTAL FEE $ ��
DATE �" OC)
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION HEATING CO
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE Signed 7f_'1 TEL #
REINSPECTION FEE $47.00/Hr
*Air Conditioners can not be placed in a side yard without Approved By Rough -In Date Final Date
written permission from adjoining property owner.