PRE 2010 DOCSVillage of Fridley, Minn.
BUILDING PIERMIT ° 1800
17
Date: ,�./�1 .......
Owner.......... Builder ..............................................
Address...................................... Address .............................................
d.LOC�TION OF ,BUILDING
No. !./..°'7 ... Street ..................... .... PaZOM�
Lot .....11X .... Block ............. Additi n or Sub -Division .
Corner Lot ........... Inside Lot ...... Setback Sideyard .0 .......................
DESCRIPTION OF BUILDING
be Used as: 1
.... '•f `�
... Front .... DepthQ.� f ... Height / .. Sq. Ft. ........ Cu. Ft. ........
.............. ...... ront ........ Depstt.hCost. ...... Height ........ Sq. Ft. ........ Cu. Ft. ........
Type of Construction .. ... ...��(:. . e .3 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.
In consideration of the payment of a fee of $. /4., permit is hereby granted to. .. ..........
....... to construct the building or addition as described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
done in, around and upon said building, or any part thereof &'all conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, altytion, maintenance, repair and moving of buildings with-
in the village limits and this pe It may be revok at any time upon violation of any of the provisions of said
ordinances.
(.. ..*0$hrA./...(.�' ...... 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, Minm N? 123
•.
Date: July 6, 1965
Owner: Maynard K. Haffiriond Builder Maynard K. Hammond
Address 7517 University Avenue N. E. Address 7517 University Ave. N. E*
Eel Me-T—W-1111 P11 z
No. 75
17 Street Ute -verity Avenue N. E. Part of Lot
Lot i5 _ Block 2' Addition or Sub -Division . Osborne Manor
Corner Lot Inside Lot X Setback Sideyard
Sewer Elevation ___ Foundation Elevation
To be Used as:
New Dett, Garage Front 20 Depth Z2 _ height _10 _ Sq. Ft. W40 Cu. Ft.
Front Depth Freight Sq. Ft. Cu. Ft.
Type of Construction Frame Est. Cost To be Completed
New Det. Garage
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 descriptionNAbove set forth and in compliance with ail provisions of
ordinances of the city of Frldley. A < I /
In consideration of the payment of a fee of $-4L--00 permit is hereby granted to X- K. HaMmOnd
to construct the building or addition as` -described above. This permit is granted upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work.
done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
within the city limits and this permit may be revoked at any time upon violation of any of the Provisions of said
ordinanc aL
Allen Jensen Building Inspector
NOTICE:
'this permit does not oaroer do eondrneMon, hwawen for WkIng, phmbing, on 6 or water. Be to we
the Bufldfno kdpector for aeparato perm for #hero Rens
APPLICATION FOR B ^ IPTG PERMIT
CITY OF FRIDLEYi NNESOTA
LOCATION OF SING
No, /7 _f��yr,�-/%<�l sttee.t Part of Lot .
Lot_ �6 Block Addition= or Subdivii9ican
G-
Corner.Lot Inside Lot V...z;Setb'v--k Side -Yard
SETAER ELEVATIQN FOUNDATION ELgVAtION
Appl,icant.attach to thin form, Two Certificates of Survey of Lot.and proposed build-
ing location drAwn on these Certificates.
)"L�� DESCRIPTION OF B$ILDING
To�be' used a$���_�
� l - �J� Front 6 Depth #ieight %
Sq. Ft. �� CU. Ft.
4
. Front Depth Height
Sq, Ft. Cu. Ft.
Type of Conseruction__ _ . L�.._ Estimated' Cost ���
--To-.be S.ossp�;eted
The undersigned hereby makes application for a permit for the work herein specified,
agreeing to do all work is strict accordance with the City of Fridley Ordinances and
rulings 01f the Department" of Buildings, and hereby declares that.all the facts and
representations stated in this application,ayre true and correct.
jScbedul of Fee Costs can be found on the Reverse Side).
+.. • . + e
Al
ll 0
. �.w` 4}. .ltd ��Y•', . ' •'• F
BVILDIRG PERMIT FEE SC VLE •
Settion 2. The Inspector of Buildings shall, before issuAng any permit for
the erection of any building or struo,tpre, 4oi • for any add;Ltilp to any exist-
ing building or structure, or for, auy alterattOAot'op:.repairb to any existing
buildiog or structure, upon applicatf,6o t4erefor, require the pa ant by the
applicant for such permit of fees -to :the 'amount ,herein. -below. set iorth...aad
in the manner herein provided to -wits
2.1. For any ouch permit for the arag,tiori-ofi`any fire prnof bufldipg, other
tAcn a garages warehouse, factory. Qr• for the erestlon of
any fire -prof addition, fox sia}ilar`;aiicpaacyth any exis. tipg builcg
shall be at the rate of $1.40. for aach. Pa.e thousand pubic feet, or • fra"ion
,,,-.,:thereof, in such cubical contents.''; ... , . .
2j. For any such 'permit fa•.,kbe: erection of any fire -proof gi�raae. = ►-�•�- '
factory or grain elevator, or f - the erection of any £j&-p�i
for similar occupancy.,_ to any existing bmilding shall -be at tie
one .thousand cubic .fee-tA-,•alas sifled .as' °1fireproof11 by. S,
the Mi =menpo7;. L ..BufidU Goch,.::', 4tW -t; '
2,3:. - Fdr any such permit for the erection of anynon-firepToof� building at
than a garage, warehouse, factory or, grain elevator, or any non• -fireproof
addition, for Simi dr ocCupahoy, to any eiciatidg'buildlAg - permit $19=60 for
each one thousand •cabld, feet•.
GARAGES
For any such permit for the erection of any non -fireproof garage,
warehouse,.factory•:or grain elevator, or for the erection of any non -fire
addi.ttoa, -€or-similar occupancy, to any existing building dt for each such
_`� _�• �boilding
pr,addition - ninety cents ($0.90) for each one thousand cubic feet
or fxattion thereof, in the cubical• contents thereof with a minimum of $400Q.,
For the purpose of computing fees for building permits, the.cubical coutentAr
of any building or addition to a uniform height throu`h(iUt
.ground area Covered.from a point six (6) inches below'the floor In e of-he�_
basement or cellar to the average height of the'upper surface or to the �r
average height of the repo£ surface of the maiA gable of a pitched roof.
For repairs or alterations to an exist
• at the rate of 3 00 stsuctut�. �' gee shall .be•.:--
$ per each Five ggndred. Dollar..s .($50&.1W Qic 31raction
thereof in the. cos'o€ o1lTproposed work,
'.
2.66 In no case shall the
fe4 £`
rged,; f"r 4! nY permfk: ^b set f eth ' in
Section 2 be. less thea _ .pQ
' F
J 7
51
.
City of Fridley
AT THE TOP OF TME TWINS
L-------COanwNITY DEVE NT OIV,
PROTECTIVR Vd4ftCT10N 0VT,
1
1 CITY MAIL FRID1.4V 1164$
�.o `.J 614'650-ENp
53-8i, -s•-915.51
iup'JEGT
PLUMBING PERMIT APPLICATION
J,
joD Aaaress
7517 N. E. University Ave.
Owner
Address A• L. Hoeschin Pone
Contractor
IINNEGASCO
AddreY33MARQUE-, -ie AVENUE Phone
Kind of Building
Use Wks,
Frame
Res.
Completion
Datestimate
Cost
x-23-7�
10.00
u v
, I it
Plumbing Fixture Rates: NO. RATE TOTAL
11
W
-- --'
Number Fixtures x $2.00
Future Fixtures x $1.50
Brol
l I I
' New Fixture -Old Open. x $1.50
O
l
! Catch Basin x $3.25
Ero
f r
I
i
_
Water Heater -99,000 BTU x $3.00
•aelw
'
�
I
I
Ground Run Old Bldg. x $3.25
saa,
j
MNlral
I I
I�
.,
I Elec. Water Heater x $2.00
�
8N18rH�
,«
HDIVai
�
l !
w
Gas Fitting Fees:
;o v
sNlvao
I
l
l
o
aooldl
a
lst 3 Fixtures x $2.00
Pq
Q V
1p .3
1683A%OHSl
I I
I
(
I
i Additional Fixtures x $
.75
IRtI
'1Nftodl
Jq
MNlaa
I
l Gas Range -199,000 BTU x $5.00
q�
HB1YMI
I
I
I
i Repairs & Alterations
9�NI8I
I
I
I I
j
See j
Description: Gas Grill Code 5.00 I
SNIBrBIS
I
I I
a3
State Surcharge - � .50
®
Clasp A 'Surcharge .50,
Ben''
I
I
FEE $ 5.50
KLYe
I
IITOTAL
!The
undersigned hereby makes application for a permit
8•IrNlanl
F
for the work herein specified, agreeing to do all work
in strict accordance with the City Ordinances and Tulin
of the Department of Buildings, and hereby declare that
all'the facts and representations stated in this
application are true and correct.
-Signature Date
susdEcr
of Fridley
AT THE TOP OF THE TWINS
BUILDING PERMIT
PRMCity
rCOMMUNITY
DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
1 �
`
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-560-3450
910-F15
9/11/75
JOB ADDRESS 7517 University Avenue N.E.
1 LEGALLOT
NO.
BLOCK
TRA CT OR ADDITION SEE ATTACHED
DESCR.
15
2
Osborne Manor Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Al Hoeschen 7517 University Avenue-N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
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 Ek NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 10' x 12' Storage Shed in back yard
9 CHANGE OF USE FROM TO
STIPULATIONS
,FFI RATS PERMITS RE���.UIRED FOR WIFZING
HEEATINGg PLUMBING' AND SIGN&
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
Wood Frame
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. DWLG. 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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$200.00
.50
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$5.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE ,
$5.50
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
wu
SIGNATURE OF OWNER IIF OWNER BUILDERI (DATE)
- BLDG INSP D TE
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER IS, NAME: BUILDER: e5ge
ADDRESS : �L /�, ADDRESS
67
NO:. �7��� STREET: /"_
LOT: %.S BLOCK: ADDITION:
CORNER LOT: INSIDE LOT: t`_- SETBACK: SIDEYARD:
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates, w
To Be Used As:
i
DESCRIPTION OF BUILDING
Front: L J r Depth: / ( Height :
Square Feet: Cubic 'Feet: _
Front: Depth: Height:
Square Feet;/ Cubic Feet:
Type of Construction:�Estimated Cost:
To Be Completed:
The undersigned hereby makes applicatian for a permit for the work herein
specified, agreeing to do all work in stxict 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 :_1e�'/�(—
(See Reverse Side For Additional Information.)
1-7
,5-; (ju
BUILDING PERMIT FEE SCHEDULE
'SECTION 2. The Inspector of Buildings shall, before issuing permits for the
erection of any building or structure, or for any addition to any existing
building or structure, or for any alteration or repairs to any existing
building or structure, upon application therefore, require the payment by the
applicant for such permit of feesto the amount herein below set forth and in
the manner herein provided, to -wits
UNIFORM BUILDING CODE: Type 1, 2 & 4 - $2.15 for each one thousand cubic
feet, or fraction thereof, in such cubical contents. Type 3 & 5 - $1.85 for
each one thousand cubic feet.
ADDITIONAL INFORMATION
For the purpose -of computing fees for building permits, the cubical contents
of any building or addition, is determined by.multiplying the ground area
covered from a point six (6) inches below the floor line of the basement
or the cellar to the average heights of the upper surface or to the average
-height of the roof surface of 'the main gable of a pitched roof.
For repairs or alterations to an"existing structure, the fee shall be at the
rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in
.the cost of all proposed work.
In no case shall the fee charged for any permit as set forth in Section 2 be
less than $5.00. "
VERIFICATION OF FOUNDATION
NOTE: Permits for construction will be issued a minimum of 24 hours from the
time of application, to allow for proper review of the proposed structure and
of the construction site.
A Certified Survey of the lot, showing the location of the foundation, once it
has been constructed, will be required before proceeding with the framing.
CERTIFICATE OF OCCUPANCY
Application for a Certificate of Occupancy shall be made ten (10) days prior
to the use or occupancy of any structure for which a building permit has been
issued; and said structure shall not be used or occupied until a Certificate
of -Occupancy has.been issued.
HOUSE HEATING TEST
ADDRESS APT.
OCCUPANT OWNER.
HEAT LOSS f%A'r= HTG. INST.
SOLD BY INSTALLED BY
Electrical Work* By ty Gas Line By
TYPE OF HEAT GA — FAJ,, HW —STEAM —SPACE HTR. —UNIT HTR. —OTHER
GAS DESIGN CONVERSION
MAKE MAKE OF BURNER
Model
Model
Soria I Max. BTU Rating
INPUT MAKE OF FURNACE
RECORD
-FLOOR —CITY —SUBURB
Model
CONTROLS
,
THERMOSTAT Heat Plug T?rVent Size
Volvo KIND OF LINER SIZENONE77
Limit'` -A Draft Hood Regulator
Limit Setting 2 Filters Size Number
Fan Setting
Pilot Type
Pilot Make
Pilot Model
Pilot Timing
L.W. Cut Off
Chimney Location — Inside Outside
Chimney Construction,;-�, "!
Smoke Bomb Wiring
Draft ::1 —Test Tog
Door Pressure Lighting Inst.
Pressure— Percent C .0
2 Date Tested
_ �2, , _.,Z _ - L 1 6 ,_ , A, t
Input CFH Percent 02 Company Testing I I? �
Stack Temp. —Percent CO Name of Tester
Form 235
CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1991
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 ADD
aivers/b gVe /,J 1-�
RATE SCHEDULE
The undersigned hereby makes application for a permit for the work
Residential
Rate
TOTAL
herein specified agreeing to do all work in strict accordance with the
Furnace Shell and Duct Work, Burner -
��
city codes and ruling of the Building Division, and hereby declares
Also Replacement Furnace
$ 20.00
$
that all the facts and representations stated in this ti n are
1pfil
true and correct. / ,1991
Gas Piping (Needed with new.furnace)
$ 10.00
$
1G!
OWNER (,e l°°-9
Gas Range
$ 10.00
$
BUILDING USED AS &C'..
Gas Dryer
$10.00$
ESTIMATED COST® 0_9 PERMIT NO.
"Air Conditioning - All Sizes $10.00 $
All Others/Repairs & Alterations (LIST ON BACK)
1 % of Value of Appliance or Work $
Commercial/Industrial
1 % of Value of Appliance or Work $
State Surcharge $ .50-
TOTAL FEE $
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $30.00
"Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units Circle One (Steam) (Hot Water) arm Air
Trade Name Size No. ?�
BTU -) ( 0 Q HP EDR
Fuel IU 4t Total Connected Load
Burner Zrade Name Size No.
BTU HP EDR
HEATING COMPA Y
Signed By No.
Approved By Rough -In Date Final Date Q ZZ e l
FILL OUT BACK SIDE FOR STACK VERIFICATION ON
REPLACEMENT FURNACE
CHIMNEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack:
1. Has been carefully examined Yes (j�No ( )
2. Is free from rust or deterioration Yes (4 No ( )
3. Has no foreign objects lodged within Yes ( ) No (V( J-A`".e 1'
I -®f'
4. Is securely supported.. Yes No ( )
5. Meets all current Code requirements for
size and total BTU's connected Yes (.,u --No ( )
6. Has total heating BTU's of
All other BTU's
TOTAL BTU's
Remarks
List Alterations Being Done:
HEATING COMPANY
Signed By
Date
V® 000
Y0000
SUBJECT
P
City of Fridley(/""'
AT THE TOP OF THE TWINS
BUILDING
PERMIT
P
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
e PROTECTIVE INSPECTION SEC.
r
/��
i o �
CITY HALL FRIDLEV 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
L 612-571-3450
s10415
3/29/99
JOB ADDRESS
7517 University Avenue NE
1 LEGAL
LOT N0.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
15
2
I Osborne Manor
SHEET
2 PROPERTY OWNER MAIL ADORES$
ZIP PHONE
Gary Waddick 7517 University Avenue NE
784-2198
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Ea leview Construction Inc 2937 174 Ln NW Andover MN 55304 753-5469
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO
20076043
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW 0 ADDITION 0 ALTERATION D REPAIR O MOVE 0 REMOVE
X
8 DESCRIBE WORK
Reroof House & Garage (24 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
OCCUPANCYLOAD
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
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
@@
$2,056
1.03
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
74.75
Fire S6$ 2.06
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
/,?1L
PLAN CHECK FEE
TOTAL F E
,?12--,
e SC
$
2.84
NATURE OF CON"RACTDR OR AUTHORIZED AGENT IDAT i
HEN ROP
ALIDAT T IS V R PERMIT 9
S.GNATURE OF OWNERIIF OWNER BUILDER, IDATEI
9 INSP
- OAtE
NEW [ ]
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress:
Legal Description:
Effective 1/1/99
Owner Name & Address: ao % Tel. # 7W-
Contractor: a1 MN LICENSE #'
Address: 2--13 7 1 7 9"a 646-z 9- Tel. # 7S-36 1
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF EM PROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER:
4
Construction Type: ./-2� Estimated Cost: $
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: 3 APPLICANT: 'C—^ Tel. # -7�-3 - S-116-7
CITY USE ONLY
Permit Fee
$ -7"1,7V'
Fee Schedule on Reverse Side
Fire Surcharge
$ Z. 0 6
.001 of Permit Valuation (1/10th%)
State Surcharge
$ 1-03
$.501$1,000 Valuation
SAC Charge
$
$1050 per SAC Unit
License Surcharge
$ • ®d
$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 PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for
any addition to any existing building or structure, or for any alteration or repair to any existing building or
structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount
herein below set forth and in the manner herein provided to -wit:
TOTAL VALUE FEES
$1 to $500 $21 (Minimum Fee is $21 plus surcharge)
$501 to $2,000 $21 for first $500 plus $2.75 for each additional $100 or
fraction thereof, to and including $2,000
$2,001 to $25,000 $62:25 for first;.$2,000 plus $12.50 for each additional $1,000
or fraction thereof, to and including $25,000
$25,001 to $50,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000
or fraction thereof, to and including $50,000
$50,001 to $100,000 $574.75 for first $50,000 plus $6.25 for each additional
$1,000 or fraction thereof, to and including $100,000
$100,001 to $500,000 $887.25 for first $100,000 plus $5.00 for each additional
$1,000 or fraction thereof, to and including $500,000
$500,001 to $1,000,000 $2887.25 for the first $500,000 plus $4.25 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$1,000,001 and up $5012.25 for the first $1,000,000 plus $2.75 for each additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $
Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $��. - �� ��
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper
review of the proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed
will be required before proceeding with the framing.
SUBJECT
city of Fridley
d735
00
AT THE TOP OF THE TWINS
BUILDING
PERMIT
`
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
r
1 ; e
CITY HALL FRIDLEY 55432
�j
NUMBED
REV
DATE
PAGE Of
APPROVED BY
763-571-3450
910-F15
5/28/03
JOB ADDRESS 7517 University Avenue NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
15
2
Osborne Manor SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Gerald Waddick 7517 University Avenue NE 763-784-2198
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Sussel Corp 654 Transfer Rd, St Paul, MN 55114 651-645-0331 1934
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
�1 NEW O ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 50' x 20' Garage
9 CHANGE OF USE FROM
TO
STIPULATIONS
Provide a hard surface driveway. See notations on plan.
WARmn
SEPARATE ERm
819fOro dlggBng call
�
REQUIRED FROR:
®11
all utility
locations
WIRING HUMS,
o
KMNINB
AND
IBow LAW
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
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
1 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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$22,110
$11.06
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON.
Fire SC $22.11
R CTION OR THE PERF RMANCE OF CONSTRUCTION
$363.25
PLAN CH CK FEE
TOTAL FEE
��
ie e SC $5.00
$401.42
SIGNATURE OF CON RACTOR O Au MOR ZED AGENT DAT
HEN PROPERLY VALIDATED THIS IS YQ R PER ,IT
e
0
N �� f
S,GNATURE OF OWNERaF OWNER BIPLDERi eDATEi
NEW CITY OF FRIDLEY
ADDN [ ] 6431 University Ave NE, Fridley, MN 55432
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address: _757
Effective 1/1/2003
(763) 572-3604 Bldg sp
(763) 571-1287
Legal Description:
Owner Name & Address: ® ®t )< 7:51 L.AM) :k k0ma -2dW-) -P4`���
Contractor a I s 4z- <f�6 rsy MN LICENSE #
Address: F o��- a2 � "� ye-_ t Tel.
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 :M�O Width f Height Sq. Ft. % 4f)'
Length Width Hgt/Ground Sq. Ft.
Construction Type: Estimated Cost: $ - G
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: APPLICANT: Tel. #, �° )
Call (763) 572-3604 for Permit Fees if mailing in application. ax to 763-571-1287 if using credit card and we will
call you for card number.
CITY USE ONLY -
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
$ '3( Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$ Imo( $.50/$1,000 Valuation
$ $1275 per SAC Unit
$ QQ $5.00 (State Licensed Residential Contractors)
$ Alt. "A" or Alt. "B" Above
$ $450.00 Conservation Plan Review
$ Fee Determined by Engineering
$ Agreement Necessary [ ] Not Necessary [ ]
$ STIPULATIONS-
BUILDING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any
addition to any existing building or structure, or for any alteration or repair to any existing building or structure,
upon application therefore, require the payment by the applicant for such permit of fees to the amount herein
below set forth and in the manner herein provided to -wit:
TOTAL VALUE
$1 to $500
$501 to $2,000
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $100,000
$100,001 to $500,000
$500,001 to $1,000,000
FEES
$23.50
$23.50 for first $500 plus $3.05 for each additional $100 or
fraction thereof, to and including $2,000
$69.25 for first $2,000 plus $14.00 for each additional $1,000
or fraction thereof, to and including $25,000
$391.25 for first $25,000 plus $10.10 for each additional $1,000
or fraction thereof, to and including $50,000
$643.75 for first $50,000 plus $7.00 for each additional
$1,000 or fraction thereof, to and including $100,000
$993.75 for first $100,000 plus $5.60 for each additional
$1,000 or fraction thereof, to and including $500,000
$3,233.75 for the first $500,000 plus $4.75 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$1,000,001 and up $5,608.75 for the first $1,000,000 plus $3.15 for each additional
$1,000 or fraction thereof
CURB CUT ESCROW
(Concrete Curb Streets Only)
Removal and replacement of curb and gutter only - driveway width plus 6 feet times $17.00.
Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper
review of the proposed structure and of the construction site.
VERIFICATION OF FOUNDATION
A Certificate of Survey of the lot, showing the location of the existing foundation will be required before
proceeding with the framing. New Houses Only
#3443
Mr. Gerald Waddick
7517 University Ave. NE
Fridley, MN 55432
H763-784-2198 612-349-2980
J
Permit by
Legal Descriptio —
20x50 Det. Allbilt W/Conc.
Lot
Blk
03 BUILDING OFFICIAL REVIEW AND
Add'n
AUTHORIZATION REQUIRED PRIOR T
Value
LrMj& Fit'j166LT AT
T.ype:Const.
e
ek
SLAB: —
❑ By SUSSE L
❑ By Owner Approx. _..
13 in i x
2 -STARTING POINTS ONLY
S.P T
Y —r-
S.S P.L.` ;
R.P.L.
Alley i_ s ! 3 1 A
House
F. Streetit
Other
❑Square With –1 r—g - -
O Sod Rem. - BY I
OA.B.U.
❑ ®Grade Point�
L4�.i3--------- i, ! !
ocks: �Y Owner y Sussei j J --
OWtr.proof: ❑Sy Own. OBy Sus.
,..
❑ Backfill: OBy Own. OBy Sussel._.--
"aintain 8' Total Wall Height L
Including Blocks OR !
0 Maintain 8' Wall Height on {—r.
TOp r .
81ock ize t op nurse) -. - -
?*
Wall er than 8'
THIS J08'
DAVAILAB. i
❑ SITE F 0RIkiE-T
AND FINAL iPfSiPry -
--
Existing garage: Nom—�i
O Detached D Attached Yes.4
Size of existing: x
Existing garage will be: r .�
O Left as is
O Converted to L.S. - By owner —'
O Removed By: Owner D -�
Sussel $L.
? a
Junk Must He Removed Sy Owner ! _ 1
Stakes visible - --Yes O No
Survey available - O Yes O No
OSpecial instructions from
Cement man
ACCESS
® Good a Fair ❑ Poor '
PI lRCb1ASER'S INITIALS:
12
ROOF: GABLE REVERSE GABLE HIP
EAVE OVERHANG:
RAKE OVERHANG:
SEAL DOWN SHINGLES WITH PLYWOOD OR
WAFERBOARD ROOF SHEATHING AND 15 LB. FELT.
Roof Sheathing
Seal Down Shingles
Manufactured Trusses / 2" x 4" Dby-rdPla
Top Plate
NOTE: _
1) Roof approved by Minnesota State Building Dept. as meeting Minnesota State
Code Requirements of 40# snow load.
2j Hip roofs consist of 2" x 6" rafters, 2" x 6" cross ties 48" O.C., 2" x 8"
hip rafters. 24' spans and greater are trussed.
RAFTERS: Trusses @ 24" O.C.
STUDS: 2" x 4" 16" O.C.
WALL SHEATHING: -414,
SIDING: Vi K F
OVERHEAD DOOR HEADER: Double 2" x 12" or 2 - Micro -rams x
2"x 4" studs 0
2"x6"
Treated Bottom Plate
Sill Sealer
1 Row 6" Concrete Blocks —
4-
It 1 6
Trim
1"x4"
Sub Fascia
Fascia
3/4" Cove
x 4" Studs
'*—Siding /A
i'° °Ole
1/2" x 7" Anchor Bolt
w/Re-Bar Tie
To Slab
2" x 4" Treated Bottom
_.._. -_ ..... _.. .. - I:- . -- : Above Grade
8"
16
NOT PLAN'
-4 ......
-4-
-.
Mr. Gerald Waddick/ 4
7517 University Ave. NE
-4
Fridley, MN 55432
-4
H763-784-2198 612-349-2980
CITY
LEGAL DESCRIPTION
LOT:
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ADDITION:
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LOT SIZE:
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HOUSE SIZE:
- / " D SQ. FT.
CROSS STREETS:
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Building
PLUMBING
Permit No.:
In
Inspections
RESIDENTIAL APPLICATION
Received By:
763-572-3604
CITY OF FRIDLEY
Date Ree'd:
DATE `� YOUR E-MAIL ADDRESS
SITE ADDRESS / L4AJ i d E A S ®7'Y E
,4%2
THIS APPLICANT IS: ❑ OWNER *ONTRACTOR
PROPERTY
NAME: G F_ 2146 6 44jq 4 /7 a c It
OWNER/
ADDRESS: 9? LlA A d,94.(e r CITY
TENANT
PHONE: `� � � - -7 � � � � 991
CONTRACTOR
NAME:
STATE LICENSE # 51 -e -4 6° >vt EXP DATE
C salla 141& f P&- STATF/u-/ZIP`�'�y3 Z
SUBMIT A COPY OF
YOUR STATE
ADDRESS: 1, IS TV 14W $e I a CITYJ;64
LICENSE WITH
PHONE 7(s'3 g-? X F P Pu FAX -763
APPLICATION
PERMITTYPE
TINGLE FAMILY ❑TWO FAMILY ❑TOWNHOUSE
PLACEMENT
TYPE OF WORK:
0 NEW
DETAILED DESCRIPTION OF WORKgA
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)
BATH SINK/LAV FLOOR DRAINS _ SHOWER _WATER PIPING
_
GAS PIPING amen cn7 rcEA" _ SWIMMING POOL —WATER SOFTNER ($35)
—BATHTUB _
_CLOTHES WASHER _KITCHEN SINK WATER CLOSET _BACKFLOW PREV. ($15)
DISHWASHER _ LAUNDRY TRAY TWATER HEATER ($35) FOR IRRIGATION
WATER METER —OTHER
_
it..
Permit Fee $
Number of fixtures @ $10.00 x $10.00 = $
Surcharge .50
Number of fixtures @ $15.00 x $15.00 = $
Number of fixtures @ $35.00 x $35.00 = $
TOTAL DUE $_
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.
SIGNATURE OF APPLICANT PRINT NAME lA d t , 16 4 J A J 6 DATE a 6
City of Fridley
]Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977
AUG -17-2006 14:05 DONNELLY DO' 'S:IN
NEW j ] CITY OF FRIDLEY
ADDN j ] 6431 L civ etsity Ave NF, Fridley. MN 55432
ALTER j 2 SINGLE I: Ali ILY AND DUPLE)ES R-1 AND R-2
BCS IL 1)1.'J(3 PERMIT APPLICATION
Construction Address:
Legal Description:
Owner Name & Address:
Contractor.
612 721 2791 P.02/03
Effective 1111AU06
(763) 572 ' 694 F31d9 Insp
(763) 571-14B7 Fax
AttaCh o t -f s ,3poI Bi.t►i>rl-Certificate of Survey--o.-Ft-he
lot, with the propo,: as r:onstruction drawn on it to scale.
DE;? CPUPTION OF JARMOVEMENT
LIVING ARFJtt: Length W Vi .. Height sq. Ft.
GARAGE AREA: Length UV9t _. Height --- Sq. Ft- _
DECK AREA, Length _ W i jt _ HgtlCrowrd _ Sq. FL
OTHER:
Construction Type: �( re r (. -J: �. -a �� ti atb�fC' S V
Driveway Curb Cut Width Needed- Ft + i I Flt Pt x $
DATE: l �a APPUCANT: f )QJ,;) �'l2 Stut��.c Tel, # � x-71. -qZ+
Call (763) 572-3604`for Permit Fees if mailing 'rri appl icai ion. Fax to 763 -57i -T287 it using credit card and we will
call you for card number_
hermit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fere
Sewer Main Change
TOTAL
g 9 a2.'?S�
C111 U.:,IE ONLY -
Fi. ,e S it edule on Reverse Side
.0 31 of Permit Valuation (1/10th%)
$. 5011,OOD Valuation
$12-75 per SAC Unit
W; .00 j State Limns -sed Residential Contractors)
All • ",a" or All. " S" Above
VI 5011D Conservation Plan Review
Fr. -- IX..-termined by Erlgheeft
A4; rearnent Necessary [ j Not Necessary
Dato-. jtjWW7 JUERY.OW PM
From: City of Fridley To: 763-78MM Mage: 213
MECHANICAL pem.it No.:-,
Building Rewived By:
SIDE,]
U'l _F1 APPLICATION
Inspwfions RESIDENTIAL DateRecV_
W
04
r763-572-36 CITY OF FRIDLEY
DATE_\ YOUR h-MAM AW
SITE ADDRESS
TMS APPLICANT IS
OVVNEW
TENANT
cONTRACTOR
SUPIMIT A COPY of
YOUR STATE
LICENSE WITH
APPLICATION
STATE LICHNSE 8 EX? DATE ---------
crry
KS WOLF.
FAMILY 0 TWO FAMILY 0TOWNHOWE
DNEW REPLACEMENT G ALTERATION/REMODEL
otmal
PER MS 1613.665 the permit fee is a minimum of Sj&og or 5% of the total cad up to SM.00, whichever is greater, for the
improvement installation ear replacement of arevidential fixtim excluding the fixtures. (This should reflect only the cost of labor)
Labor cost under $300 = $15.00. Labor coat between $300 to $500 = cost of labor X.05 -
foRPROJECTS WHERE LABORMICERDS 5500. RES ARE BASED ON 510.00 M FDaUW.EX(XPT WHME MMM. FUMMM, MMICATETOTAL
NUMM OF EACH BELOW} SEWJM.--
EqukmM InO" .-. M0DW_Cn,0WA_.
MFM
AdOD194 smvm--
MFG. MODEL, SOW=
V A/C 525.00 FIREPLACE (GAS) Si 5.00—GAS RANGE10VEN $10-00
—Allt TO AIREXCHANGMS13 DqRMLACH (WOW) $35.00 NEW OAS GRILL $1010
—,Bonju $35.00 70MACE $35.00 —OAS UNIT HTR 510.00
—CHIMNEY LINER S10.00 ___GAS DRYER $10.00 —POOL HUTERS35.0
7DUCT WORK 510.00 —OAS PWINUSID-00 VtWnLATOR 313-00
-Numbeer of fixtures $10.00 x $1 0.01D =
Permit Fee $,_�O�Lm
Surcharge Number of fixtures 515.W X $15.00 -
TOTAL DUE s, oo.6*0 Number of fixtim (a) $25.00 x $7.5.00 -
Number of fi3aurev @ $35.00 X $35-00 = $
State Surcharge $A_0
Total
THIS 19 AN APPLICATION FOR A PWMff-WQT VALID MML PROCE&UD
I h=by apply for a building parrait and I acknowledge Una the information above is complete and accura* dud the work will be in
conformance with the ordinances and codes of Ow City of Fridley and with the lAinnesoto Construefion Codes; that T understand this A
not a permit but only
am M11 1 -cation for a permit and work is not to start without a permit; that the work will be in accordance with the
aWovedplaninthe cas f Workw] Lrequims, xeview and approval of plos.
slmunlm Or APPLICA PRIWr NAME DATE
City of Fridley
Buililing Inspectkm Depmill
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977
M
ck- k oT t ok
Building
MECHANICAL
Permit No.: U
Inspections
RESIDENTIAL APPLICATION
Received By: 41
763-572-3604
CITY OF FRIDLEY
DATE � . �� ®�%� YOUR E-MAIL ADDRESS
SITE ADDRESS S \ l-LKiy^e.4,
THIS APPLICANT IS: ❑ OWNER JVCONTRACTOR
PROPERTY
NAME: coey-a- C' A ` cr 4
OWNER/
1
ADDRESS: `1S (� v��r 9er5 �V CITY ti le, STATE
TENANT
PHONE:`18Lj > ;. tCk Y
CONTRACTOR
COMPANY NAME: CENTERPOINT ENERGY
CONTACT PERSON: JOANN Z INKEN
SUBMIT A COPY OF
YOUR STATE
STATE LICENSE # EXP DATE
LICENSE WITH
ADDRESS: 9320 EVERGREEN BLVD STE BrrY'"GOON'"RAP.IDS sTATEMNziP55433
APPLICATION
PHONE 763 — 757 -- 6202 FAX 763-757--6701
PERMIT TYPE
)rSINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK:
❑ NEW )@�tEPLACEMENT ❑ ALTERATION/REMODEL
11
DETAILED DESCRIPTION OF WORK Air- rrd i �e
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) �- ^ �
Equipment Installed MFG: 1�, MODEL:�� ®eZ SIZE/BTU V9
MFG: MODEL: SIZEBTU
MFG: MODEL: SIZEBTU
$25.00 FIREPLACE (GAS) $15.00 _GAS RANGE✓OVEN $10.00
TO AIR EXCHANGEER $15 (WOOD) $35.00 _NEW GAS GRILL $10.00
_AIR _FIREPLACE
$35.00 FURNACE $35.00 _GAS UNIT HTR $10.00
_BOILER
CHIMNEY LINER $10.00 _GAS DRYER $10.00 _POOL HEATER $35.00
_DUCT WORK $10.00 _GAS PIPING $10.00 _VENTILATOR $15.00
PERMIT FEE PROJECTS FOR UNDER $500'
PERMIT FEE FOR PROJECTS OVER Wa
Permit Fee $
Number of fixtures @ $10.00 x $10.00= $
Surcharge $ .50
Number of fixtures @ $15.00 x $15.00 = $
TOTAL DUE $
Number of fixtures @ $25.00 _� x $25.00 = $
Number of fixtures @ $35.00 x $35.00 = $
State Surcharge = $ .50
Total = $ aS, SO
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.
p
SIGNATURE OF APPLICANT �eA_ NAME ROGER HOFFHEIN DATE
PLEASE NOTE.' SEPARATE PERMITS ARE REQUIRED FOR BUILDING, ELECTRICAL AND MECHANICAL WORK -
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977
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. ACCA Manual D
NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for
combustion and make-up air calculations.