PRE 2010 DOCSCity ®f f±ri.dley, 11,279
6431 University Ave. N. E., Minneapolis, Minn. 55432
INV' PERWr
Date: November 29„ 1971
Owner: Viewcon Incorporated guilder Same
Address 5901 Brooklyn Bou:tevard Address Same
No. -5,55.8..___._.. Street Waldeck Crossing Part of Lot
Lot __._4___.__.__._ Block 5 — _— Addition or Sub -Division ,.I=sbr_Uck North TownhouseSi- to .
Corner: Lot ___ inside Lot - X Setback w Sideyard
Sewer Elevation Foundation Elevation __.......
To be Used as: 748' Unit
ownhouse � � Front 2.41 Depth 31' Height 28 6 Sq. FL 1496' Co. Ft. 20-94 1
_jGazacre Front - 201 Depth _ 221+ Height _10' _ Sq. Ft. ' Cm Ft. 1400 f1...
Type of Construction Frame Fast. Cost $25_..4381 To be Completed June 1- 1972
Stipulation: Owner and Contractor to be responsible for elevations and drainage
for all structures. City shall be held blameless.
"C" Unit - Same as 5510 West Bavarian Pass.
In consideration of the issuance to me of a permit to constru buil des bed above, I agree to do
the proposed work in accordance with the description above set and in mplian wltk� all provisions of
ordinances of the city of Fridley. I\
In consideration of the payment of a fee of $ 00 , permit is hereby granted to View -con Incornorated
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
vyithin the city limits and .this permit may be revoked a t any time upon violation of any of the provisions of Said
ordinances.
Building Inspector
Hank Muhich
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to as
the Building Inspector for separate permits for these items.
J
4-5
LInli T
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAM: 111 tVe 0A1 I AIC BUILDER: t11,Ek16 0 A1 I dUC-
ADDRESS: 5 ga1,8&o /G -)1A) )�LcJ,6 ADDRZSS: ✓� O/�'cootaY tJ &L()6
NO: �°�` �` S TREET : Z®� R
LOT: BLOCK: ADDITION:Irr4e 5p�L/Lrt " ORT#rWVj1 g� SiT
CORNER LOT; INSIDE LOT:- SETBACK: SIDEYARD; -
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:
t/c�✓i�-'" �:�e! Front: Depth. i Height:
Square Cubic Feet: �7
Fronts ®I Depth; ;Z > Height:
Square Feet; Cubic Feet:
Type of Construction:Estimated Cost:
To Be Completed: V
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in sttict accordance with the City of
Fridley Ordinances and rulins of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are true and correct.
DATE: //—A 2 ' -7/ SIGNAm n:
(See Reverse Side For Additional Information.)
• �L ��r t ss... �ri N" �-g p. c" 5
S 1 j
4
I
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:
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 averagee
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 proceedina with the framiag.
CERTIFICATE OF OCCUPANCY
Application for a Certificate of Occupancy shall be made text (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.
City of Fridley
Applicofon for Phmhbq tmd Gas R"Ing
Dept. of Bldg& Phone 380-34M
DESCRIPTION OF WORK5' S' 7E
Number, Diad and Location of Ftxtusaa r ocmhak
Mir
ME, MEMO EM ME
IN INIMMENEMIN
MIEN No MIMMENNIN
ONE, NNW
OEM MEL
PARTIAL RATE SCHEDULE
PLQNSING FIXTURE RATES:
NO. RATE
TOTAL
Number Fixtures ................
Z;7— x $2.00
s—.2
/, y c
Future Fixture Opening .... a ......
'2" x $1.50
S
- 00
New Fixture Old Opening ..........
x $1.50
$
Catch Basin ....................
x $3.25
=
'
3 U o
Water Heater 'Up to 99.000 BTU) ....
x $3.00
$
`
New Ground Run Old Bldg.........
x $3.25
$
Electric Water Heater ..............
a $2.00
$
GAS FITTING FEES:
NO. RATE
TOTAL
tat 3 Fixtures • • • • • • . • • • • • • • • . • •
x $200
i
06
Additional F12dures ................
x $ .75
$
Gas Range to 199.000 BTU ............
x $5.00
6 -
State Surcharge
$
.50
REPAIRS & ALTERATIONS --Refer to Code
-
Description
TOTAL
6-3a . S -O
City of Fridley:
The undersigned hereby makes application for a permit for the work hemi,;
specified, agreeing to do an work in strict accordance with the City Ordinance
and ruling of the Department of Buildings. and hereby declares that all the fact
and representations stated in this application are true and correct
Fridley. Minn ,Z� -e--' ':;' ,19 Z4
Owner
Kind of Building �Ju�
Used as
To be completed about
i 141--�- -
Estimated Cost. $
Old—Cew-uilding Permit No. P•rmit No.
Signed
By
Business Phune No
ROUGH
FINAL 6``"
S
SUBJECT
Inn
City of Fridley
3 1035
9 AT THE TOP OF THE TWINS
BUILDING
PERMIT
`
RECEIPT NO.
' DEVELOPMENT DIV
COMMUNITY DEVELO.
r PROTECTIVE INSPECTION SEC.366
n
yI
1 i
NUMBER
REV
DATE
PAGE Of
APPROVED BY
`
CITY MALL FRIDLEY 55132
612-571-3450
910415
6/8/00
J013 ADDRESS
'5550.54.58.62,66.70 WADCROSSING
I LEGALLOT
NO.
BLOCK TRACT OR ADDITION
SEE ATTACHED
DESCR..
^-•1-6
5 Innsbruck. -North
Townhouse Site SHEET
2 PROPERTY OWNER MAIL AODRES$.
ZIP PHONE
Innsbruck Townhome Association
51-224-5482
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Ga-Tlock-French2301 E. 25th
St., Mp1s., MN 55406 612-722-7129
a ARCHITECT OR DESIGNER MAIL A DRESS
ZIP PHONE LICENSE NO.
00001423
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION R] REPAIR ❑ MOVE O REMOVE
8 ` DESCRIBE WORK
Reroof ..-.,Building
9 CHANGE OF,USE FROM
TO
STIPULATIONS
Underlayment must comply with the State Building Code.
permit 11118eecards
Will Be Malted
To Womeowoer To Post
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS. PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT
CU FT.
AUTHORIZED IS NOT COMMENCED WITHIN 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
V.
1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
6
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
$11,493.21
$5.74
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
$209.25
Fire SC $11.49
PLAN CHECK FEE
TOTAL FEE
1-01
226.48
t SIGNATURE OFCON•RACTORORAUTNORIZEDAGENT IDATEI
E N PROP ALIOA D THIS IS Y UR PERMIT
BLQtINSo OAtk
S-GNATURE OF OWNER,6 OWNER BUILOERI MATE,
0
J
SUBJECT
PERMIT NO.
Cit of Fridle-
y y
AT THE TOP OF THE TWINS
BUILDING
PERMIT
f
RECEIPT NO.
�
1 • COMMUNITY DEVELOPMENT DIV.
_
L PROTECTIVE INSPECTION SEC
r
I 1
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED By
612-571-3450
910-F15
9/9/94
JOB ADDRESS
5558 Waldeck Crossing NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
4
5
1 Innsbruck North Townhouse
Site
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO
Tabor
789-1902 20014248
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP
PHONE LICENSE NO
5 ENGINEER MAIL ADDRESS
ZIP
PHONE LICENSE NO
6 USE OF BUILDING
Residential Townhouse
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑x REPAIR
❑ MOVE ElREMOVE
8 DESCRIBE WORK
Reroof and Install gutters
9 CHANGE OF USE FROM 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
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
I
STALLS
GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$2,235.00
$1.12
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
$54.00
Fire SC $2.24
PLAN CHECK FEE
cense SC
$5.00
TOTAL FEE
62.36
�'z _��
SIGNATURE bF CONTRACTOR ORAUTHORIZED AGENT iDATEi
HE QP
LY V IDATED THIS IS YOUR PERMIT
BLDG )NSP
SIGNATURE OF OWNER )IF OWNER BUILDER) IDATEi
0
J
NEW [ i Effective 1 / l /94
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �
Building Permit Application
Construction Address: .5558•,- -Wal•dek grossing, Fridley
• Legal Description:
Owner Name & Address: Tel. #
Contractor: Tabor and -Sons ; Inc . MN LICENSE # Pending
Address'... 3716 -. St. Francis .Blvd... Anoka, 55303 ..Tel. .# .7.89-1902. .
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length* Width Height Sq: Ft.
Length Width Height Sq. Ft.
Length Width Hgt/Ground Sq. Ft.
Corner Lot ( ) Inside Lot ( ] Ft. Yd Setback
Type of Construction: roofing/gutters
Approx. Completion Date:
Side Yard Setbacks
Estimated Cost: $ 2235.00
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ - $
DATE: 9/2/94 APPLICANT: Tabor and Sons, Inc. Tel. #789-1902
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
CITY USE ONLY
$
$
Fee Schedule on Reverse Side
$
.001 of Permit Valuation (1/10th%)
$
$.50/$1,000 Valuation
$
$800 per SAC Unit
$ 5 • L
$5.00 (State Licensed Residential Contractors)
$
Alt. "A" or Alt. "B" Above
$
$450.00 Conservation Plan Review
$
Fee Determined by Engineering
$
Agreement Necessary [ J Not Necessary [ ]
Ld, 3�
nd r, �
BUILDING PERMIT FEE ;SCHEDU.(.9 .. .
Che Chief Building Official shall, before issuing permits for the erection of any building or structure,
or I - or ally addition to any CXlstlag building or structure, or for any alteration or repair to any existing
buifdiug, or structure, upon application therefore, require the payment by the applicant for such permit
of fccs to the amount herein below set forth and in the. manner herein provided to -wit:
TO'T'AL VALUE FEES
$ l to. $500 $15 (Minimum Fee is $15 plus surcharge) .
$501.-'. to' $2,000 $15 for 'first $S00 Pius $2 for each additional $I:t)0 or
fraction thereof, to and including $2,000 -
$2,001 to $25,000
$25ggI to $50,000
$50,001 to $100,000
$100,001 to $500,000
$500,001 to $1,000,000,
$1,000,001 and up
$45 foe first $2,000 plus $9 for each., additional. $1;000
or . fractiain thereof, to and including $25,000
$252 for first $25,000 pais $6.50 for each additioinal $1.000
or fraction thereof, to. and including $50,000
$414.50 for fust $50,000 plus $4.50 for each additional
.$1,000 or fraction thereof, to and including $100,000
$63950 for first -$100,000 plus -$3.50 for each additional
$1,000 or fraction thereof, to and including $500,000
$2039.50 for the fust $500,000 plus $3 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$3539.50 for the first $1,000,000 plus $2 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 collstruction will be issued a minimum of 24 hours from the time of application to allow
for Koper 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 leas l)cen
constructed will be required before proceeding with the framing-
SUBJE&
-
P O.
City of Fridley
3105A`
AT THE TOP OF THE TWINS
BUILDING PERMIT
r `
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
r
1
NUMPER
pEV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
L 612-571-3450
910415
6/13/00
JOB ADDRESS 5558 WALDECK CROSSING
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
4
5
1 INNSBRUCK
TOWNHOUSE SITE SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Donna Lindstrom 5558 Waldeck Crossing
763-5.71-6489
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Renewal By Andersen 350 - 73rd Ave. NE
File 763-502-4777
ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION O ALTERATION CX REPAIR ❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Replace 9 window inserts & 1 full
frame window with existing openings.
9 CHANGEOFUSEFROM
TO
STIPULATIONS
Provide smoke detectors in all sleeping rooms and on all levels of the dwelling
per Sec. 310.9.1.2 1977 Uniform Building
Cade.
Perot inspection cards
Will Be Flailed
To Homeowner To Post
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT
CU FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT 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
$9,642.00
$4.82
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-
$181.25
Fir SC $9.64
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK F
TOT F E
Lice a SC $5. 0
200.71
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATE,E
FOR P ALID E THIS I$ UR PERMIT
kj rc�113
.
S-GNATUAE 09 OWNERoF OWNER BUILDERi iDATE,
G INSP OA TE
NEW[ ] Effective 5/10/99
ADDN [ ] CI'T'Y OF FREDLEY
ALTER SINGLE FAAMY ANI) 'DUPLEXES R-1 AND R-2 1b
BUJLDING PERMIT APPLICATIONIJ
Construction Address:
Legal Description:
Owner Name & Address:-3M-fQ �� n�) Tel. #
Contractor:;
Address:
LIVING AREA:
GARAGE AREA:
DECK AREA:
51y; I D
Construction Type:
1
1_
RENEWAL BY ANDERSEN
350 -73RD AVE. NE
FRIDLEY, MN 55432
(612.) 502®4777
LICENSE #20130983
MN LICENSE #
Survey of the
on it to scale.
Tel. #
DES.. � :, ION OF IMPRO. IIT
Length Width Height Sq. Ft.
Length Width Height Sq. Ft.
Length Width Hgt/Ground Sq. Ft.
U
Estimated Cost: $
Driveway Curb Cut Width Needed: Ft. + 6 Ft = ° Ft x $ $
DATE: 1 -SUN -0-- D -D APPLICANT: Tei. # �S� agcy
CITY USE ONLY
Permit Fee $ �� . c� _ Fee Schedule on Reverse Side
Fire Surcharge $ 9 .001 of Permit Valuation (1/10th%)
State Surcharge $ q • s o $.50/$1,000 Valuation
SAC Charge $ $1050 per SAC Unit
License Surcharge $ '�).; U $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 Y/ /f'��i �+��i2'-'--/.rc� C/��✓
�lrn o,V %�Vdit",�, de--
���..
SUBJECT
PERM_
City of Fridley
2 6 7 8
AT THE TOP OF THE TWINS
BUILDING PERMIT
`
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
r I PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
�j
NUMBER
REV
DATE
16/10/02
PAGE OF
APPROVED BY
612-571-3450
910415
JOB ADDRESS 5550, 5554, 5558, 5562, 5560 & 5570 Waldeck Crossing
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
1 - 6
5
1 Innsbruck North Townhouse Site SHEET
2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE
Innsbruck Townhouses
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Columbus Exteriors 2131 111 Lane NW, Coon Rapids, MN 55433 612-363-7770 3509
A ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO
B USE OF BUILDING
Townhouse Building
7 CLASS OF WORK
O NEW O ADDITION O ALTERATION Lk REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
Reside Townhouse Building, Soffit/Fascia
9 CHANGE OF USE FROM TO
STIPULATIONS
Per Section 1402, 1997 Uniform Building Code, requires that a weather resistive
barrier be placed over exterior sheathing to protect the interior wall covering.
Exceptions for this provision would be if sheathing is an approved weatherproof
panel or when the siding is an approved weather barrier. Vinyl siding is not a
weatherproof covering unless the manufacturer states this in their-application
guidelines. Call for inspection of wrap before covering. Caulk and flash all
exterior openings. Install soffit ventilation to meet the State Building Code.
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING.
TYPE OF CONST
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
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
t
ANY TIME AFTER WORK IS COMMENCED
NO DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
6
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
$48,844
$24.42
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-
$633.65
Fire SC $48.84
STRUCN THE PERFORMANCE Of CONSTRUCTION
�
N
PLAN CHECK FEE
TO L FEE
Licen SC $5. 0
$711.91
SIGNATURE OF CONTRACTOR OR AUTMOF1QED AGENT iDATE.
HE PRO E Y VALIOAT DIS IS YOUR PERMIT
_
- .0 -z-
S-GNATURE OF OWNER..T OWNER BWLDERi iDATEI
ftr4 INSP GATE
Building
MECHANICAL
Permit No .
Inspections
RESIDENTIAL APPLICATION
Received By:
763-572-3604
CITY OF FRIDLEY
eY
763-502-4977 FAX
EFFECTIVE 1-1-2010
DATE S-6-16 Y R E-MAILE�-�ADDRESS
0J_C � `
SITE ADDRESS C e "e
THIS APPLICANT IS: ❑ OWNER IONTRACTQ
PROPERTY
NAME:
ADDRESS; CITY STATE ZIP
OWNER/
TENANT
PHONE:
CONTRACTOR
COMPANY NAME: t
CONTACT PERSON:
SUBMIT A COPY OF
STATE LICENSE #m i y EXP DATE
YOUR STATE
LICENSE WITH
ADDRESS:S096) (V hf IBJ t.a) CITY avLlwe, STA P
APPLICATION
PHONED ksel 4210) �ISZC FAX
PERMIT TYPE
[,SINGLE FAMILY 0 TWO FAMILY ❑ TOWNHOUSE
0 NEW *EPLACEMENT ❑ ALTERATION/REMODEL
TYPE OF WORK:
DETAILED DESCRIPTION OF WORK , t•ZD
FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW)
PROVIDE HEAT LOSS CALC'S PER MANUAL J 2006 ASHRAE HANDBOOK.
Equipment Installed MFG: MODEL: SIZEBTU
MFG: MODEL: SIZEBTU
MFG: MODEL: SIZE/BTU
$25.00 (GAS) $15.00 _GAS RANGE/OVEN $10.00
_A/C _FIREPLACE
TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 _NEW GAS GRILL $10.00
_AIR
BOILER $35.00 NACE $35.00 _GAS UNIT HTR $10.00
—_CHIMNEY
LINER $10.00 GAS DRYER $10.00 _POOL HEATER $35.00
DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00
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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 cAbof all work w�i ]ii requires eview and approval of plans.
SIGNATURE OF APPLI PT I PRINT NAME i la� r<C� 1 VC > TE S_
APPROVAL INSPECTORS SIGNATURE DATE
r.
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 MN Rule 1346 Sec. 501
3. Venting
a. Gas appliances IFGC Chapter 5 with MN Amendments
b. Fuel other than gas IMC Chapter 8 with MN Amendments
4. Heat loss & cooling load per room
a. MN Rule 1322, Sec. NI 104.4.13
5. Ventilation
a. Per MN Rule Chapter 1322. Sec. 1104
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.