PRE 2010 DOCSCity of Fridley, Nihm.
BUILDING PERMIT N® 4 5 5 6 ' �
Date: .. _ . °.:..........._? _ _.. ..._......._...._..._._...._..
Owner:
................ Builder ......................... _._ - - -- - _. _.-...-.. _._.._..
_. _.
Address .' _.._ e Address ...
d! ......... ____ .......... ........ _.......
TION OF B`G
NoStet
art. Lo ... .............. ......... _.._
_.. p
Lot ....._............... Block ....._........: _............. _............._.. Addition or Sub -Division �*�
_ .....
CornerLot .................................... Inside Lot ...... ............... Setback f ::.........._........ Sidey .... ................... _........................... ._...........
Sewer Elevation .. ................................... __.................... ............ ... _................... Foundation Elevation
DESCRIPTION OF BUILDING
lbe. Used as
a...... Front .- --.. Depth .. :.. Height ... Sq. Ft..: ... Cu. Ft.
.... -.............. _.............. ....... _............. . Front ...... Depth Height Sq. Ft. ...... ......... ...._.. Cu. Ft.........................
Type of Construction . ._^ ..: . Est Cost. ...... ........ To be Completed ..............................................
THIS PERMIT DOES NOT AUTHORIZE VIOLAT-
ION OF ANY Pid 4AYE LAND COVENANTS AND
BUILDING RESTRICTIONS.
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. .r
In consideration of the payment of a fee of $
_.._.._......, 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 violationjof any of the provisions of said
ordinances. 11+ A
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 Nems.
4
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
LOCATION OF BUILDING
No. 773 Stree Part of Lot
Lot___, Block Addition or Sub,Div.
Corner Lot Inside Lot_Set Back Side -Yard
SEWER. ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
DESCRIPTION OF BUILDING
To be used as:
Z,j -a,-- V
Front DI
Sq. Ft. __.- Y: _� Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
Type of
To be
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 representa-
tions stated in thi application are true and corre t.
DATE - �� _ �' SIGNATURE
(A Schedule'of Fee costs can be found on the Rierse Side.)
9
BUILDING PERMIT FEE SCHEDULE
Section 2. The Inspector of Buildings shall, before issuing any permit'
for the erection of any building or structure, or for any addition to
any existing building or structure, or for any alterations or repairs
to any existing building or structure, upon application therefor, 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:
2.1. For any such permit for the erection of any fire -proof building, -other
than a garage, warehouse, factory or grain elevator, or for the erection of
any fireproof addition, for similar occupancy, to any existing building
shall be at the rate of $1.40 for each one thousand cubic feet, or fraction
thereof, in such cubical contents.
2.2. For any such permit for the erection of any fireproof garage, ware-
house, factory or grain elevator, or for the erection of any fireproof
addition, for similar occupancy, to any existing building shall be at the
rate of $1.25 for each one thousand cubic feet, classified as "fireproof"
by Section 502 of the Minneapolis Building Code.
HOUSES
2.3. For any such permit for the erection of any non -fireproof building
other than a garage, warehouse, factory or grain elevator, or any non -
fireproof addition, for similar occupancy, to any existing building.
Permit $1.00 for each one thousand cubic feet.
GARAGES
2.4. For any such permit for the erection of any non -fireproof garage,
warehouse, factory or grain elevator, or for the erection of any non -
fireproof addition, for similar occupancy, to any existing building or
for each such building or addition. Ninety Cents for each one thousand
cubic feet or fraction thereof, in the cubical contents thereof with a
minimum of $4.00.
For the purpose of computing fees for building permits the cubical contents
of any building or addition to a uniform height throughout by multiplying
the ground area covered from a point six.(6) inches below the floor line of
the basement or cellar to the average height of the upper surface or to the
average height of the roof surface of the main gable of a pitched roof.
2.5. For repairs or alterations to an existing structure, the fee shall be
at the rate of $3.00 for each Five Hundred Dollars ($500.00), or fraction
thereof in the cost of all proposed work.
2.6. In no case shall the fee charged for any permit as set forth in
Section 2 be less than $4..00.
01
ly. .
SUBJECT
PERM O.
City of Fridley
® 14'792
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
I
RECEI
• COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
991"V
t
t
DATE
PAGE OF
APPROVED BY
tl ! /"'1 CITY HALL FRIDLEY 55432
i----' ,'j 612-560-3450
INUMBERREV.
910-F15
6/30/78
JOB ADDRESS
7171 Van Ritran qf
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
2�
4
Shaffers Sub. #1 SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHON
John P. Derence same /
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Woodland Heights Builders Inc. 350.N.E.84.14-7,105
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PI -TONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
House
7 CLASS OF WORK
DA NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a Dwelling,
9 CHANGE OF USE FROM TO
STIPULATIONS
1.. Provide Combustion Air to The Furnace Area 5. Provide a hard surface drive
2. Provide exhaust fan in basement laundry area
3. Provide verifying survey by July 31.
4. Provide sod in front and side yard
WATER:10' N. of sewer service
Driveway depression cost: N7A
SEWER :(Approx. ll' deep in street)
79' N. of M.M. (N. Inv. 875.92) Wye elev. 876.54. Top of footing 879®54(min)
W/35' setback?
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
Wood Frame
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SQ. FT.
CU. FT.
60AYS
AUTHORIZD IS NOTSTRUCON
OR IFO1120
ES
2—
SUSP NCED DED ORAABANDONED FORWITHIN
OR WORK A PERIOD OF, DAYS AT
Jag .3
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
$2.7.44
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 PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
29
$612.68
SIGNATURE OFCONTRACTOR ORAUTHORIZED - E - (DATE)
ALIDATED THIS IS YOUR PERMIT
',�--WHEN/PV0PVLY
36
BLDG.'.MSP DATE
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE)
01
ly. .
CITY 01= FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(NEW, ALTERATIONS, ADDITIONS, OR REPAIRS)
OWNER;dl
—;
Address:
No. '229
LOT: _ 21
CORNER LOT:
BUILDER: r&A6 vl'�
Address:���
Tel. No. 3 U v •�
T
Street:
BLOCK: �
ADDITION:
INSIDE TAT:
/--------SETBACK:
y S TBACY.:
3 ,5
SIDEYARDS :
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
Front: �4q Depth:
Square Feet: 1234— C
Co-Av Front: & IS / IA)6 Depth:
• P
Height: 0 �
bic Feet: A
Height:
Square Feet: Cubic Feet:
Type of Construction: ` v�X�CQ_ ��� i Y� Estimated Cost: $
To Be Completed: 1710 ��® Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired $ $
(SEE REVERSE SIDE OF SHEET)
The undersigned herebl, 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. See reverse side for additional information.
DATE: SIGNATURE:
'2 1. /0 ,S
��•ev
8
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 fees to the amount
herein below set forth and in the manner herein provided to -wit:
NEW CONSTRUCTION: Single Family Homes and Garages: $4.00/1,000 cubic feet.
PLAN CHECK: 25 percent of building permit fee.
DRIVEWAY DEPRESSION: (Concrete Curb Streets Only)
Alternate A: Removal and replacement of concrete curb and
gutter only; Driveway width plus 6 feet x $14.50
Alternate B: Removal and replacement of concrete curb and
gutter and install a 3 foot wide approach with
6 inch depth; Driveway width plus 6 feet x $17.20
Was)- inw,
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 tier 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 $7.50 plus $.50 state surcharge.
NOTE: Permits for construction will be.issued a minimum of 24 hours from the time
of application to allow for proper review of the proposed structure and of the
construction site.
A Certificate of Survey of the lot, showing the location of the foundation once it
has been constructed will be required before proceeding with the framing.
_CERTIFICATE OF OCCUPANCY
Application for a Certificate of Occupancy shall be made ten'(10) days prior to the
use or occupancy of any structure for which a building permit has been issued; and
said structure shall not be used or occupied until a Certificate of Occupancy has
been issued.
r
civil
municipal
planning
environmental
land surveying
soil exploration
Denotes Iron Monument O
Scale ��2 0'
•
r
CIP
F®rAIIIIIIIIIIIIII
JOHN P. &RENCE
Lor 2/ - ,BLour `f'
SHAFFFR S SUBA/V/J1oN NUMBER I
AJV0XA COUNTY,
f 1"EsOrA
3S
I
4J
U4
—18032—
Q)
-/80.92--
180.70
s3 1,Dgy
'ss j4oy Gll " r- 1, 3 7/
,CCURAC-y O� IiiT r LOCATIONS AND ELEVATIC t1,,' -d,
THIS DATA IS FOR INFORMATION PURPOSES ONLY AN.-,
n,RSONS USING IT SHOULD VERIFY THE INEOI W(ION
L/riurr
EASVIENT
se%tt.
We hereby certify that this is a true and correct representation of a survey of the boundaries of the land described above
and of the location of all buildings thereon, and all visible encroachments, if any, from or on said land, that this survey was
prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of'the State
of Minnesota. As surveyed by me this 29� day of t/uNe , 19l$._.
COrwfflrg
t gne'e1"S
p.o. box j. osseo, minnesota 55369 ❑ (612) 425-2181 ldi� Slfied
by hc. E
5'098
File No. Book 64:70 Page Minnesota Registration No.
_
7 51
(1;7;7
��
$P-zt-f Ir
i
civil
municipal
planning
environmental
land surveying
soil exploration
. i.
Denotes Iron Mgnument O
Scale 1'-501
Certificate
For JOHN P. PERENCE
LOT 21 - Bi-octr f
SHAFFER S SUBD1v1jIaH NUMBER I
ANOKA COUNTY
fM1,YNESOTA
?3 7/
- � 1-51 Uriurr
EarfMEar
We hereby certify that this is a true and correct representation of a survey of the boundaries of the land described above
and of the location of all buildings thereon, and all visible encroachments, if any, from or on said land, that this survey was
prepared by me or under my direct supervision and that I am a duly Registered Land Surveyor under the laws of the State
of Minnesota. As surveyed by me this 29day of Jens , 19-.
Consuffing
engreers
p.o. box j. osseo, minnesota 55369 0 (612) 425-2181 dl /e ified
by -
f=ile No. .5� g Book tW Page l� Minnesota Registration No.
-ENERGY CONSERVATION SUPPLEMENT TO BUILDING PERMIT APPLICATION
PLANNING AND INSPECTION DEPARTMENT
CITY OF FRIDLEY, MINNESOTA
This supplement is provided to assist the applicant in computing EXTERIOR ENVELOPE
AVERAGE "U" FACTOR INFORMATION. This information is required so the BUILDING
OFFICIAL can determine that submitted plans comply with the ENERGY CONSERVATION
DESIGN CRITERIA of the STATE BUILDING CODE (Section 6000) It is the APPLICANT'S
responsibility to accurately compute the data; reflect the proper DESIG14 CRITERIA
in the plans; submit product specifications, if needed to support the "R" and "U"
factors used; and to assure construction is per approved plans.
JOB LOCATION:
OWNER/CONTRACTOR:
ADDRESS: t� �� ®
PHONE: ,� � ' 3 0
A. Determine the Total Exposed Wall Area as follows:
1. Total wall ��rea
2. Total qqx� .rea
`
3. Total sliding glass door area
4. Total fireplace wall area
a 2---
5. Total wall framing area (average .10%)
6. Total net wall area above floor(average 90%)
7. Total rim joist arealow
Q
Subtotal: Total exposed wall area above floor
e "' ra
8. Total foundation window area
9. Total net foundation area above grade
Subtotal: Total exposed foundation area
GRAND TOTAL EXPOSED WALL AREA
B. Multiply the GRAND TOTAL EXPOSED WALL AREA_
��7.- `
Item I
C. Determine the Total Exposed Roof/Ceiling Area as follows:
10. Total skylight area
11. Total roof/ceiling framing area (10%)
12. Total net insulated roof/ceiling area /1.51 Zr
GRAND TOTAL EXPOSED ROOF/CEILING AREA
D. Multiply the GRAND TOTAL EXPOSED ROOF/CEILING AREA X05 = Item II
(_
E. Determine the "U" value of each segment (1-9) and multiply by the area as ,
follows:
1. X fluff /56
-
2. X "U"
3. X "U"
4. X "U" _
5. g fluff _ r
7. X "U"
8. X "U" _
9. X "U" _
ADD 1-9 FOR TOTAL WALL SEGMENTS = ITEM III
F. Determine the "U" value of each segment_(10-12) and multiply by the area as
follows:
10. X "U" _
11. X "U" _
12. X "U" _
ADD 10-12 FOR TOTAL ROOF/CEILING SEGMENTS = ITEM IV
G. If Item III is the same as, or less than Item I, you have met the intent
of State Building Code 6006 (c) 2.
H. If Item IV is the same as, or less than Item II, you have met the intent
of State Building Code 6006 (c) 1.
I. Add Item I + Item II =
J. Add Item III + Item IV =
K. If the sum of Items III and IV are less than Items I and II, you have met the
intent of the Code for total envelope system.
The undersigned, as applicant for a building permit, hereby affirms the above
information has been prepared and submitted by himself or under his direction,
hereby acknowledges the information to be correct and accurate; and hereby
presents the information with required plans in support of the building permit
application.
By DATE:
C
J^
xy.M July 5, 1978
6431 UNIVERSITY AVENUE N.E., FRI®LEY, MINNESOTA 66432
TELEPHONE ( 812)571-3450
Mr. Peter 0. Weikleenget
Woodland Heights Builders Inc.
3350 N.E. 183rd Avenue
Wyoming, MN 55092
Re: Building Permit Stipulations for 7371 Van Buren Street N.E.
Dear Mr. Weikleenget:
I'm writing to inform you of an additional stipulation which should
have been added to your building permit .but was overlooked. A hard
surface driveway is required for all new residences in Fridley.
We've added the stipulation to the permit and enclosed a xerox copy
for your records. We apologize for this oversight and inconvenience.
Sincerely,
RON HOLDEN
Building Inspector
RH/mh
CITY OF FRIDLEY
APPLICATION FOR POWER PLANTS AND HEATING,
COOLING, VENTILATION, REFRIGERATION AND
.AIR
CONDITIONING SYSTEMS AND DEVICES
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR:
RATE
TOTAL
Job Address / 3 A
Furnace Shell & Duct Work
$12.00
$
Replacement of Furnace
7.00
$
Repairs & Alterations -up to $500.00
7.00
$
Department of Buildings
Repairs & Alterations each add. $500.00
4.00
$
City of Fridley
Tel. #571-3450
MECHANICAL WARM AIR:
'
The undersigned hereby makes application for a permit for the work herein
Furnace Shell & Duct Work to 100,000 BTU
$12.00
specified agreeing to do all work in strict accordance with the City Codes
each add. 50,000 BTU
4.00
$
and rulings of the Department of Buildings, and hereby declares that all the
Replacement of Furnace
7.00
$
facts and ropresg tations stated in this application are true and correct.
Repairs & Alterations -up to $500.00
Repairs & Alterations each add. $500.00
7.00
4.00
$
$
/
Fridley, Minn. &z-, /Z . 19
STEAM OR HOT WATER SYSTEM:
OWNS
Boiler & Lines up to 100,000 BTU
$12.00
$
KIND OF BUILDING
each addn. 50,000 BTU
4.00
S
Boiler only up to 100,000 BTU
7.00
$
USED AS
each addn. 50,000 BTU
6.00
$
TO BE COMPLETED ABOUT
OIL BURNER- to 3 gal. per hour
$10.00
$
7 r�
each add. 3 gal. per hour
10.00
$
ESTIMATED COST
GAS BURNER- from 100,000 BTU to 199,999 BTU
$10.00
$
VM - NEW BUILDING PERMIT NO. PERMIT NO.
(over 199,999 BTU see Fee Schedule)
$
GAS FITTING FEES:
1st 3 Fixtures x
$ 3.00
a
$ 3 -00 .
, DESCRIPTION OF FURNACE/BURNER
Additional Fixtures x
$ 1.00
$
Gas Range to 199,000 BTU x
$10.00•
$
BEATING or POWER P Warm Air- No.
AIR CONDITIONING ��
$ ko-0Trade
Name Size No.A /f re ` f'
FAN HEATING SYSTEMS
$
)
See Fee Schedule
VENTILATING SYSTEMS
$
Capacity Sq. Ft. EDR BTU Are, AHP
ALTERATIONS & REPAIRSJ
$
�
State Surcharge
$ .50
Total Connected Wad //A
i ® � Kind of Fuel
TOTAL FEE
$�
BURNER - Trade Name Size No.
ROUGH INSP. REINSPECTION FEE
Capacity Sq, Ft. EDR TU HP
Date ($10.00)
FINAL INSP. /8
,,,,,�
Company�;
Date
Signed By
APPROVAL FOR PERMIT
Tel. No. 544!�__34 �4 `-3�, ���
MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50
PLUS $.50
STATE SURCHARGE
r"'.r�r�s^e�s���Te�r�av��v:•e�x*.�a.::�n�A�4,��('%fi'i..gi"�.%"�`�^�w3'�+1�'+t..*''�:�a3�``.Ytx.��'Yar' '??. .sr rz' t;.r-.'t-9+3.��S',2�. v...t �,... x,J.e�eact�
HFAT LOSS CALCI TI4°}N3 ' f AIY OF BUIL.
a.. ��ttd�litr9lfi a .a a.rv.tJ.�. �rscetl®eeaa'a
_._ „�...... Chicle
f, lrandawa' Doors e��afefsriae iJs�t.laail lilt. a. Ceilisi�. Hoof Floor Kind i�'pg'is°.g
19
-Vt �� �F,1a. Pcoo Lac,�th '<ei�.`t� ety NeiQht �-ts jv FI.I y WO' at 1W�
Windows and ova—C(msksz* asv4 Area W;t,dowa avid Do•oras,�fsa:haia and Area
�� al Writ kv,w W1W1 /0 0( L,na@l .4 Age& Wldtk ¢,$ht No of InOel it: Aro®
' of PeAA mQ r@ae 14ah1@ of rPceti a ft too wf ®mno of @8N° uBht@ wA vvo¢tr ft
1 4� ®csor 19 @0
t�v,lf. Dt�
1w�aiteatioaa-- t
o b Irs�,trstioii S'cra
IGl�ae a Q ��oaa +
'too
dap: wall H� ESP. wall tIla
Pitt �s. vl1i fc exp: wall o 0
2 iitt. aPall Int. wail
..
Catal�nti 1�a ceilinga lflj2,iv ca
Floor
Total Ehu. -'Total a",ttu.
Required sq, tt. E•E.D.R.or 80. Ins. %7I.A. I,. rider &rOA Required seg., ft. E.D R. of BQ. ins. W.A. ipg
,CAdgr area
lacom f Un-th PM odic°th t i12i,-ht -o g }i.) . {� Fm to I I n tla «j :?Jtelth g t I a^i:qht 0--b
11'inotoiea and and AM Windovn arj eve—Cfaehare and Area
- 64 idsh. flrlc Atas ¢f l.tne¢i t6 1 Afaa6Y 18th H►i8/+t ?d o. mi - t.tarm( ttfa Afr@
1 O_�' 0f P.0 v10, Of $ON9 ItglatA y Or crath D P'D a't. /�..
FBo. 6( Bl@n@ of p8n4 113x110 or tr@ett sq ft
-7 10
_ C-04 Viamf. ! tta .
I(►altVi+tioei ' Mc atr infiltratibta �o n. Dao
ti�afi a v �.-� 6'0 . Glass
r"
r Exp. wdi 4 t o'I Exp. wall
'1id� iks;p •,'a�a+ll. '2449 ►o.a p Net exp. wall °� � �o yavb
Int. w0l
Cell,cs��°i 3 Ceiling a a� 10 70
f lir`. Floor
1 o Total Mu..,
a�eaored Sq. It, E.D.R. or sq. ins. VI.A. areae Rect-uimd so. ft. ED -11. of sq. iris. W.A. l.srsc°er aare�
llsTRoom 'L en ;t&1 N--,. t'i :$1 /d/ Hnt $_Fi.j .6��ta 1 T'.11.sasali /6t6 1a i~deitrht g -o
°,• ` ialelaaas land uni At= !_,ir,�kse� aw.d I�;vs rac f.e ,arab �rera
[ `' 6't•lth M¢lem ra O. 64 ft. Arra id idth io,gRi Poa vi Llweml t/ Area
r PDm
of �4o ao' of Pan® llp At¢ er rrcet r'7 4t. iV®; ar tamm of 9amo t4alltm 'at eraet, 4cq tr
4. • \ 1 9, —t7 to $ 1W, 7 a0 O a i. 'Yb 1 X10
GN
Loaf. 1L'tai C" to
(n�itr$t'last ;�o ga Infiltration - �a0 ywfs
�alaidb0 ao Uago
s Faip. wain.:,- 1 ii 1 0 Esp. wall `1 g
`'';•• "ouispr %poll 1 Net eszp. mall o p
w, wall". int-wali .
eilag1 (A.�® Ceiling{ W IQ d
w . f ltror' _ Fluor
mit Tau.
o u srs 'a h. E.[? R. Of Aq. ins. 'V.A., l a � tar aia® �s�,t:c�;l act. It. F -D.21 tsi �. isizf3 � t P�: I c^aa�► mrm�' .
4
7�5.Pf�iF�'��`tsd°3�wi�,,a :,"",t}/��. n�"9 i� ;;a i3ti... - ,. '+�.:: ;$�-,i,;.,}k4�,, u�,r�'�. ?�,c `>'. t.a'..�'',aht��^rr..Pix'�4✓'•'ta't�:a,}.�.;2�'S�`�%casS.^J�'r6e4r�+'.SS ..y�'�; Yu. rr ei�:l„+dar'
HFAT UM CALCULATION6
N Q
�a;arlherstrl s a'a.�.a�. .$,r
p. -Guide Con:¢irsociioti N
Qidtndaara " l:�nnrs I?kde�aegc¢ Clat: ��all ' Iait: ala?l Ceilii�}g
ST FI 4Y1: i3 p $343irb (Ler: ►g,' `eii 9% %S Height'
Windows and r®--Cr3_chv%e arty A a
NIJIh M"Iam iia at I Lanoat.t., 7-z—vva_-
rfa of Dana" so game - wInto of awed
• ,� �f o � ..: ,9 to 2'7
1 b
CM. f,.tat
Infiltration ado 'td4 ! b
Desi o2'i ,So. t�/3s
Net ecp. will
Int. %t911
Caalan� • � z -i o � ro zoo
Floor
Total Diu.
Required sq. ft. E.t� R- or' scl. Ins. WI .A. Leader `rarest
aND F1.1 A f,, w b Room i b -w th ' Apt Vi8th m n FI-2swEst c,—'—
W1 indows-and
a_'-
41indows`and l:f�m—CrACL,'"ad and Aron
.,
Na.
W1121h
of pane-
drolg Rt ida cf
of ran% IlQttt®
Linoal Pt.
at trach
Arca
a•a ft.-
V1:alftows and (loom- Crsa.Eia is a6od Area
c,
a s
-
Ea blt4
D10 la Pt
NO DB
a.igaat It,
�
'- Me
nP Dana
of Fan.
IlpPfa
nP free4 eq to -
e ,
_
Cw..L
!Slid
' lnbltr4tia3a
`8
to
19ao'
Irsgitr:dti6,� r
S�s�
Net esp. wall'
Casa aPa
�Q i
F—!SP. %wall tor, t'
Int. wall
Nd rap. -all ica
Asa o
Ceiling
Floor
Cedlrin
=1
Total Btu.
aa8o .
Required iq. ft. C.D.R. or* aq. e -is. W.A. Le r.'mr area
URI Bect'*3...R?6orfl I Lett oh :eq6 tdt,_:ah `. ta,. 14TC-11A 9--c'
WinJows and. ts-Crtci� r" and, Area
96't.11h Nalgat N%" ' Lit -eat ft: best
of Dana of Dane .3hto of crack. t7 It. -
C.tsel. h'tit
Id,€Ileraei6�
�laia
E&P. Wall 3 4�a��,. �
1101 Cap, wail.1® to
Int. c�alF
CeihnQ t
Rla�a
Tam &U. O .
est�efe i t. E.D.Rt or im.'Lit. t"d. A. I...:r, saa a1.2
r
Insulation� wa
o.
Flood Kind I44�v Appld«
1 iicl—i LentW a
V1:alftows and (loom- Crsa.Eia is a6od Area
c,
a s
-
Ea blt4
D10 la Pt
NO DB
a.igaat It,
�
'- Me
nP Dana
of Fan.
IlpPfa
nP free4 eq to -
e ,
I
Irsgitr:dti6,� r
S�s�
,Y
Casa aPa
�Q i
F—!SP. %wall tor, t'
Nd rap. -all ica
Asa o
Iasi. wail
Cedlrin
=1
Rear
Total Diu.
fty`t t;n1 E V
aterred sq. ft. D R. or to. ?1'�.J�. I,.:en&r area
a F1 .1 1 Una Ih Width im
L'Jirdowfa And and Area
' \` 4th.
Molaht
lNA Ol
Mneei ft
Area
' Mei - of Pana
of Dane
1 IIT.1ta
of frofti
eq ft
1
F3
ted.
lstts
Infiltrations-�
'
Exp'. wall 46 fLt,.oWIAfl
P�Iet elp., wall 8e
Int: will
Ceding _
Floor
` mal Heti.
t
6A
i'1tr4°I'taimcl tq. ft. EI.). a. or m ins. `II.Q. Lmc!er aPea
Viral% wrs aril and Area
7idtA da3ftht ria. 9d i,tnnat dt Aro® r!f
Imiea of ga+eo - tic.Ata oP efaett aq rf f,
i
611.E;t�
lnfiltratiota
Cdee;i
.
ESP. %grill
Ides cup. wall
9
Int. wall
Ceiling
Flts6r
ictal 04rs.
:...�
)k
'm=m, •, ..: ..� ..r. ..xv r.u.,
CITY OF FRIDLEY
• APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE
TOTAL
Number Fixtures
X
ro,
a
Future Fixture Opening
x
$2.00
:0
New Fixture, Old Opening
4�N
• 0.Ny
$
Water
Heater
m°N
s
6
Catch Basin
1
$5.00
$
«4
M
t
0
W
14
x
$10.00
$
Water Softener
x
$7.00
0
New Ground Run old Building
x
$5.00
$
X111
x
$5.00
uto
GAS FITTING FEES:
v
"$3.00
$
C
0
$1.00
$
Gas Range to 199,000 BTU
x
$10.00
E
p
iN
aV
t7
t�
O
as
lec
1st
2nd
3rd
4 to
(R) - Future Connection Opening
Connected with Sewer
(•) m New Fixture, Old Opening
Water
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE
TOTAL
Number Fixtures
X
$3.00
$ ,y?
Future Fixture Opening
x
$2.00
$
New Fixture, Old Opening
x
$2.00
$
Catch Basin
x
$5.00
$
Water Heater - to 99,000 BTC
x
$5.00
$ S •C��?
1000000 BTU to 199,000 BTU
x
$10.00
$
Water Softener
x
$7.00
$
New Ground Run old Building
x
$5.00
$
Electric Water Heater
x
$5.00
$
GAS FITTING FEES:
1st 3 fixtures
x
"$3.00
$
Additional Fixtures
x
$1.00
$
Gas Range to 199,000 BTU
x
$10.00
$
REPAIRS 4 ALTERATIONS
First $100.00 $5.00 $
each add. $100.00 or fraction $2.00 S
State Surcharge $ //.50
FE
TOTAL E $ ".S•
REINSPECTION FEE
(520.00)
Job Address
Department of Buildings
City of Fridley
Tel. #571-3450
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 Department of Buildings, and hereby declares that all
the facts and representations stated in this application are true and correct
Fridley, Mn. . o?� , 19 128,
OWNER I 1
KIND OF
USED AS
TO BE COMPLETED ABOUTy
ESTIMATED COST
OLD - W BU LDING PERMIT NO. PERMIT NO.
Company
Signed By '
Tel. No.
ROUGH INSP.
Date
FINAL INSP.
j Date
APPROVAL FOR PERMIT
MINIMUM FEE FOR ANY PLUMBING PERMIT I3 $7.50 PLUS $.50 STATE SURCHARGE
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432
TELEPHONE ( 612)571-3450
October 17, 1978
Mr. Peter Weikleenget
Woodland Heights Builders Inc.
3350 - 183rd Avenue N.E.
Wyoming, M 55092
Re: 7371 Van Buren Street N.E.
Dear Mr. Weikleenget:
On October 17, 1978 the City made a final inspection of the house now
being completed at 7371 Van Buren Street N.E. There are three items
of concern to us;
l.' We need a verifying survey indicating the actual location
of the house on the lot.
2. The combustion air duct to the furnace area must be extended
downward to within 12 inches of the floor or connected to
the cold air side of the furnace.
3. The two rooms now finished in the basement can not be used
,for sleeping purposes.
Please ccmplete items 1 and 2 by November 13, 1978. If you have any
questions on these items, please contact me at 571-3450.
Sincerely,
DARREL G. CUa
Community Development Administrator
DGC/mh
CC: Mr. John P. Derence
CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND .GAS FITTING PERMIT
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE
TOTAL
Number Fixtures
x
$3.00
$
Future Fixture Opening
x
$2.00
U
.New Fixture, Old Opening
x
a
$
Water
.ei+
Catch Basin
y
$5.00
$
cs
e
A
y
b S+
��,
w
$
Water Softener
Heater
$7.00
$
to
x
C
$
Electric water Heater
�
$5.00
$
GAS FITTING FEES:
COs
1st 3 fixtures
x
'$3.00
$
Additional Fixtures
0
j 0
$
Gas Range to 199,000 BTU
UI
.0
C.
N
REPAIRS $ ALTERATIONS
O
p
G
u
d� •
N
y
N
N
each add. $100.00 or fraction
m
el
U
D
w
w
3
Q w°
W
w
d'
U w
a r
c�
c�
O
as.
lec
H
Ist
2nd
3rd
4 th
(R) - Future Connection Opening
Connected with Sewer
(;) - New Fixture, Old Opening
Water
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE
TOTAL
Number Fixtures
x
$3.00
$
Future Fixture Opening
x
$2.00
$
.New Fixture, Old Opening
x
$2.00
$
Catch Basin
x
$5.00
$
Water Heater - to 99,000 BTU
x
$5.00
$
100,000 BTU to 199,000 BTU
x
$10.00
$
Water Softener
x
$7.00
$
New Ground Run Old Building
x
$5.00
$
Electric water Heater
x
$5.00
$
GAS FITTING FEES:
1st 3 fixtures
x
'$3.00
$
Additional Fixtures
x
$1.00
$
Gas Range to 199,000 BTU
x
$10.00
$
REPAIRS $ ALTERATIONS
First $100.00
$5.00
$
each add. $100.00 or fraction
$2.00
$
State Surcharge
$ .50
TOTAL FEE
$
REINSPECTION FEE
(S10.00)
Job Address /3 7/l
Department of Buildings
City of Fridley
Tel. #571-3450
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 Department of Buildings, and hereby declares that all
the facts and representations stated in this application are true and correct
Fridley, Mn. ® -�f �--- , l9
OWNER \ id�-
KIND OFUI ING
USED AS
TO BE COMPLETED ABOUT
_ESTIMATED COST
OLD - NEW BUILDING PERMIT NO. PERMIT NO.
6
Company
Signed By
Tel. No. _� f
e�
ROUGH INSP.
Date
e '
FINAL INSP.
Date
APPROVAL FOR PERMIT
MINIMUM FEE FOR ANY PLUMBING PERMIT 25 $7.50 PLUS $.SO STATE SQICML%=
CITY OF FRIOLEY
6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432
TELEPHONE ( 612)571-3450
January 25, 1979
Mr. Darius Anderson
.` D & D Anderson Heating & Plumbing
Route #2, Box 754
Cambridge, MN 55008
Re: 7371 Van Buren Street N.E., Fridley, Minnesota
Dear Mr. Anderson:
Registered Mail #508086
We were called to inspect the heating system which your company installed
at the above address. We did note that the system needs to be balanced.
We have tried to contact you by telephone but have been unable to reach
you. Would you please contact me at 571-3450 between the hours of 8:OOam
and 10:00am; 12:30pm and 1:OOpm; or 4:OOpm and 4:30pm, to discuss the
problems with this system.
We would appreciate your prompt attention to this matter.
Sincerely,
WILLIAM H. SANDIN
Plumbing -Heating Inspector
WHS/mh
CC: Mr. John Derence
7371 Van Buren Street N.E.
City of Fridley
SUBJECT
PERMI
G
9 7992
AT THE TOP OF THE TWINS
P,
D' III D I � I i� D [ D � A I T
r
DV L Ivv rLR'vt I
R"OTNO.
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC._[
CITY HALL FRIDLEY 55432
NUMBER
Wi7
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
5/21/85
JOB ADDRESS 7371 Van Buren Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
21
4
Shaffer's Sub. #1 SHEET
2 PROPERTY OWNER MAILADDRESS ZIP PHONE
William Woytasek 7371 Sian Buren Street N.E. 786-•9.188
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
❑ NEW Ej ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 22' x 141 Garage Addition
9 CHANGE QF USE FROM TO
STIPULATIONS
SEPAPATe P ER�1TS
WIRING,
�E RE lIl
,► '"�rd � "EA PLS P®i�
4 B'NG
� ANI) SIGN
S
4fl
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
Z,
QNING
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
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
$3 754
$1,88
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-
$44, 50
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
AN CHECK FEE
TOTAL FEE
$46.38
SIGNATUe`RE NT�RACTORORAUTHORIZED AGENT tDATE)
WHEN PROPER LI DATED THIS IS YOUR P RMIT
BLDG INSP DATIr
iGNATURE OF OWNER (IF OWNER B ERI (DATE)
NEW [ ] City of Fridley Effective 4/1/84
ADDN._ [ ] R-1 AND R-2
ALTER. [ ] Building Permit Application
Construction Address
Legal Description
13"Pt'g e 'tz'
Owner Name
& Address: L L `�
Tel.
# 265"- flAg
Contractor:
�^
Tel.
#
Address:
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
Sq.
Ft. o
DECK AREA:
Length
Width
Hgt/Ground
Sq.
Ft.
OTHER:
Corner Lot [ ]
Inside Lot [KI
Ft. Yd. Setback
Side
Yard
Setback
Type of Construction:ti�r�-�
Approx. Completion Date:
Proposed Driveway Width If New Opening Is Desired:
Estimated Cost: $ ft32:�
Z
Alt. A Alt B
See Back Page for Explanation
DATE: '�� 0' �� APPLICANT: Tel. # 79C ' �'/2�
CITY USE ONLY
Permit Fee $ '7'y,S� Fee Schedule on Reverse Side
Plan Check $ 25% of Building Permit Fee
State Surcharge $ U $•50/$1,000 Valuation
SAC Charge $ $425 per SAC Unit v
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 Valuation
Fees
$1.00 to $500.00 $10.00 (Minimum Fee is $15.00)
$501.00 to $2,000.00 $10.00 for the first $500 plus $1.50 for each
additional $100 or fraction thereof, to and including
$2,000.
$2,001.00 to $25,000.00 $32.50 for the first $2,000 plus $6.00 for each
additional $1,000 or fraction thereof, to and
including $25,000.
$25,001.00 to $50,000.00 $170.50 for the first $25,000 plus $4.50 for each
additional $1,000 or fraction thereof, to and
including $50,000.
$50,001.00 to $100,000.00 $283.00 for the first $50,000 plus $3.00 for each
additional $1,000 or fraction thereof, to and
including $100,000.
$100,001.00 and up $433.00 for the first $100,000 plus $2.50 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 $13.50
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 $15.75
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 been constructed will be required before proceeding with the framing.
.
civil
municipal
planning
environmental
land surveying
soil exploration
For.
Denotes Iron Monument O
Scale 1* -50'
i
f
Q)
UcL n 6� u,,,�
Certificate
0,
JOHN P PERENCE
Lo -r 21 — BLock `f' WIN
SHAFFER S YU8,01 wil oN NUMBER C
ANOKA COUNTY
MINNESOTA
INNESOTA /
V I
--
'--
1 t4 R
ti
,, r4� ♦J
Lt3. z
�3
v ♦ W �
;h
s.
/o 213 2
-- 6�•3 �`� -33.9 ,
t
�
•
1
UT/,.,Tr
Ij'� EiufneNr
We hereby certify that this is a true and correct representation of a survey of the boundaries of the land described above
nd of the location of all buildings thereon, and all visible encroachments, if any, from or on said land, that this survey was
Prepared by me or under my direct supervision and that I am a_duly Registered Land Surveyor under the laws of the State
of Minnesota. As surveyed by me this __ 291"' -- - day of %luxe ____ _, 19-78 ..
f/ovsE LacA7-ioq/, 09*f&sr LS, /97? ;" ,1 �7 a' ! 9
p.o. box j. osseo, minnesota 55369 (612) 425-2181
"9 G
F'Je No � "•� U - /. Book---5��_?—
Z
by
Page_._ —ZA0 Minnesota Registration No
F-ete, P -
DOS -2722 (9-85)
PZ -02722-02
l'� _/P -Y4
STATE OF MINNESOTA
DEPARTMENT OF HUMAN SERVICES
444 LAFAYETTE ROAD
ST. PAUL. MINNESOTA 55101
r®_8.86
Date
City of Fridley
Zoning Authority
6431 University AVe. N.E.
Street Address
Fridley, MN 55432
City State Zip Code
RE: ZONING NOTIFICAT-I�O/N OF APPLICATION FOR LICENSURE
Subject: �Y
N&ffie ofa Car Home Applicant
;7
Street Address
City a State Zip Code
Type of License:
Family Day Care
Group Family Day Care
Licensed Capacity (�
Phone No. 7s%-- 17/4f
This is to inform you that we are in receipt of an application for
licensure under Minnesota Rules, parts 9502.0300 to 9502.0445 (formerly
Rule 2), Family Day Care and Group Family Day Care Standards. Issuance of
this license is subject to compliance with the provisions of Minnesota
Statutes, Sections 245.781 to 245.812 and 252.28, subdivision 2, known as
the Public Welfare Licensing Act and the rules of the Department of Human
Services.
You should note that under Minnesota Statutes, Section 245.812, Subvision
3, a licensed day care facility serving 12 or fewer persons shall be
considered a permitted single family residential use of property for the
purposes of zoning. Subdivision 4 of the same section indicates that a
licensed day care facility serving from 13 through 16 persons shall be
considered a permitted multi -family residential use of property for
purposes of zoning.
If we do not hear from you within
will consider the above-mentioned
your local zoning code.
Sincerely,
Licensing Workdr
Street Address
30 days after receipt of this letter, we
day care home to be in compliance with
COMMUNITY HEALTH & SOCIAL
SERVICES DEPARTMENT
COUNTY OF ANOKA
COURTHOUSE, FOURTH FLOOR
Name o A ency Organization
City State Zip Code
AN EQUAL OPPORTUNITY EMPLOYER
suaJEcr
PERMI
City of Fraley
2 515 2
AT THE TOP OF THE TWINS
BUILDING
PERMIT
• COMMUNITY DEVELOPMENT DIV.
>r -----
�PROTECTIVE INSPECTION SEC.
q,
r �
NUM9EN
REv
DATE
PAGE OF
APPROVED By
CITY HALL FRIDLEY 55432
L 612-571-3450
910-F15
10/8/98
JOB ADDRESS
7371 Van Buren Street NE
I LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
21
4
ISchaffer's Sub. #1
SHEET
2 PROPERTY OWNER MAIL ADORES*
ZIP PHONE
William & JUdy Wo tasek
8
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
American Bldg Contr. Inc. 12233 Nicollet-
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 0 ADDITION ❑ ALTERATION Qx REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and garage 33 S Tear -off
9 CHANGEOFUSEFROM TO
STIPULATIONS
Underlayment must comply with the 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
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
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
$2828
$1.41
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 PERFORMANCE OF CONSTRUCTION
$74.75.
Fire/SC C 2.83
PLAN CHECK FE
TOTA FEE
Lice 8C
5.
8 .99
SIGNATURE OF CONTRACTOROR AUTHORIZED AGENT (DATE,
EN R P
9L INSP
VALIDAT HIS IS YOUR PERMIT
/
r,ATE
S-GNATURE OF OWNER SIF OWNER BUILDER, (DATE,
AUG -25-1998 09:16 FROM CITY OF FRIDLEY TO
�L J
ADDN [ ] CITY OF FMLEY
ALM[ l SINGLE FAMILY AND DUPLEXES R-1 ANDIt 2)qDn BUMDING PERMIT APPLICATION
ConstntctionAddress:
Legal Description: -
Owner Name Addre:
Contractor:
Address:
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
7079925 P.01/02
hrrectave 1/1/98
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIP'T'ION OF IMPROVEMENT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length Width Hgt/Ground Sq. Ft.
Construction Type: /2e7-120o1=Estimated Cost:
(Fee Schedule on Back) 3,
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE:APPLICANT: U T / O Tel.
STIPULATIONS:
CITY USE ONLY
Permit Fee
$ O •
Fee Schedule on Reverse Side
Fire Surcharge
$ '9-5
.001 of Permit Valuation (1/10th%,)
State Surcharge
$ f
$.50/$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$ 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
,.131
$
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 "23_11 �+
RATE SCHEDULE_
OWNER �� l J u �� �'i�Sc�_�,��
Residential Rate
TOTAL
Furnace Shell and Duct Work, Burner -
BUILDING USED AS
Also Replacement Furnace $ 30.00
$
,
(Side Vent - Fill Out Back)
ESTIMATED COST L4sco 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 NameCFX P- /97-:5 Size No.
BTU HP EDR
Air Conditioning - All Sizes $ 25.00
$
Fuel 0 o Total Connected Load
All Others/Repairs & Alterations (LIST ON BACK)
Burner Trade Name Size No.
1%Q of Value of Appliance or Work
BTU HP EDR
Commercial/Industrial
1.25°J of Value of Appliance or Work
$
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
State Surcharge
$ .50
rulings of the Building Division, and hereby declares that all the facts and
repr stated in this application are true and correct.
TOTAL FEE
$
dll& Fbu g CM
Lunt #Z0 ou DATE 9 - 0J
2700 IL NNIM k&
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
HEA��
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
Signed O"s 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.
COMMON VENT VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When replacing an existing furance, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions,
and is securely supported and firestopped where required. Yes {) No { )
The venting system is plastic/PVC and meets all current codes and manufacturer
specifications including sizing, length, number of elbows and termination. Yes () No ( )
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturer's specifications. This does
include AGA-GAMA Category I Central Furnace Venting Tables for fan
assisted and natural draft appliances. Yes () No ( )
The existing combustion air is sized and installed to meet the current codes
and manufacturer's specifications. Yes( ) No( )
When required to install a new combustion air, it will be sized and installed
To meet the current codes and manufacturer's specifications. Yes( ) No( )
When installing a new venting system, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturer's
specifications. This does include AGA-GAMA Category I Central Furnace
Venting Tables for fan assisted and natural draft appliances. Yes () No ( )
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented
separately as per current codes. Yes( )No(
)
Appliance Type and Size/Common Vent and Vent Connector Information
Appliance #1 Type BTU Input Fan At_trrt
Appliance #2 Type BTU Input Fan A '#°�rt
Appliance #3 Type BTU Input FanA foet a t
Total Appliances Total Btu Input
423
Common Vent Type
Vent Height Diameter inches
Appliance #1 Vent Connector Height ft Length ft Diameter in Type
Appliance #2 Vent Connector Height ft Length ft Diameter in Type
Appliance #3 Vent Connector Height ft Length ft Diameter in Type
ALTERATIONS: (Describe)
HEATING CQ
Signed By: Date
Building
BUILDING
Permit No.:
Inspections
RESIDENTIAL APPLICATION
Received By:
763-572-3604
CITY OF FRIDLEY
Da O
DATE O l� V
YOUR E-MAIL ADDRESS 1�50.'d@ a ennlr
De • Ccm�
SITE ADDRESS
$ DO
$5.00 (State Licensed Residential Contractors)
THIS APPLICANT IS:
O OWNER kaCONTRACTOR
$1550 per SAC Unit (Plans to MWCC for determination)
PROPERTY OWNER/
NAME: _XU93-S4 WN
ft + 6 ft = ft x $21 = $
ADDRESS: CITY
STATE ZIP
TENANT
Park Fee
PHONE:? -La 3 ° d /
NAME:
Renewal By Andersen
Fee Determined by Engineering
CONTRACTOR
SUBMIT A COPY OF
STATE LICENSE #_ 1920 County Road "C" West
Total Due
YOUR STATE LICENSE
ADDRESS: Roseville, N IN 55113 j
STATE ZIP
WITH APPLICATION
PHONE
License #20130983
❑ SINGLE FAMILY/NEI
651-264-47.77
PROPERTY TYPE
❑ TWO FAMILY/NEW G
❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS
PERMIT TYPE
❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
❑ DECK ❑ SIDING O OTHER
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW ❑ ADDITION
❑ MAINTENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE: p�0,-(•� [ CA rt\) i1 I l
SIZE OF IMPROVEMENT LENGTH WIDTH
HEIGHT Sq. Ft.
ROOFING
❑ HOUSE ONLY
NUMBER OF SQUARES
❑ HOUSE & GARAGE
BASEMENT
REMODELING SUBMIT:
GARAGES
O ATTACHED GARAGE
1.
Existing Floor Plan
PROPOSED SIZE:
O DETACHED GARAGE
2.
Proposed floor plan
PROPOSED HEIGHT:
3.
List of structural members to be used
SIDING
FOR NEW CONSTRUCTION INCLUDING DECKS,
O Vinyl
❑Soffit
ADDITIONS.
& PORCHES SUBMIT:
❑ Aluminum
❑ Trim
1.
Site Plan/Survey showing the existing structure
Cl Other
O Fascia
and proposed project.
WINDOWS
2.
Two sets of construction plans
IN EXISTING OPENINGS ❑Yes ONo LOCATION OF WINDOWS
3.
Energy Calculations
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING THE 1W U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION S 1-6 Sy — OCCUPANCY TYPE
Permit Fee
$ 5D 19
See Back Page for Fee Schedule
Plan Review
$_
65% of Building Permit Fee
Fire Surcharge
$ `�
.001 times the total job valuation
Surcharge
$ V6
.0005 x Permit Valuation Minimum $.50
License Surcharge
$ DO
$5.00 (State Licensed Residential Contractors)
SAC Charge
$
$1550 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
$
ft + 6 ft = ft x $21 = $
Erosion Control
$
$450 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement necessary ( ) Non Necessary ( )
Total Due
$
Make checks payable to: City of Fridley Attach Stipulations
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 it
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not .
permit but only an application f a permit and ork is not to start without a permit; that the work will be in accordance with the approves
plan in the case of all work whic r res revi and approval of p S.
SIGNATURE OF APPLICANT R AME&dat �y�'Sc� tf�7 DATE r1� v I&