PRE 2010 DOCSi
i'
BUILDING PERMIT
a
N? 2313
Village of Fridley, Minn.
A
Date
........ .. ... .......
Owner ...
Builder ,.
} ��?` .......
Address ;
�".` .� Address ... ....
LOCATION OF BUILDING;
No.. ....
Street . ?.w .Part of Lot ................
Lot ....O......
Block ... ..... Addition or Sub -Division 41,..4 ...... ....... .
Corner Lot ...
Inside Lot ....... Setback... Sideyard,''
3
DESCRIPTION :OF BUILDING
To be Used as:
a
. . .. ...
Front . Depth Height Sq. � Ft. .... Cu. Ft........ .
Front Depth . .:Heights Se s .. Sq. Ft.. ..... Cu. Ft.......: .
Type of Constructio,
I Est. Cost &0504 ........... ... To be Completed . I/ p.:t.X, .
In consideratior
it
of the issuance to me of a permit to construct the building described above, I agree to do
the proposed work '
i accordance with the description above set forth and in compliance with all provisions of
ordinances' of the vi
lage of Fridley.
........
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
Jexpress conditio
that the person to whomm 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
egarding location, construction, alteration, maintenance, repair and moving of buildings with-
in the village limits
d this permit may be revoked at any time upon violation of any of the provisions of said
ordinances:;
:' Building Inspector
...
NOTICE:
This permit loes
notoover.the construction, installation or alteration for wiring,, plumbing, gas heating,
sewer or water,
le sure to see the Building Inspector for separate permits for Ithese. Items.
F-"
City f Fridley, N[Inn.
BUILDING PERMIT N? .6718
Date:
t
Owner: Li der
Address . _ Address
LO TI TF B WINGNo.k�r/ Street _ Part of Lot
Lot _ Block Addition or S7 on
Corner Lot — Inside Lot I wetback �/ Sideyard w� ---
Sewer Elevation ____ Fun tion Elevation
DESCRIPTION OF BUILDING
U
Front — {—- - Depth Height j Sq. Ft. / Cu. FL
Depth t Sq. Ft. Cu. Ft.
Type of Construction Est. Cost _ 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 city of Fridley.
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 anyatio n of y of the provisions of said
ordinances // ��
NOTICE:
This permit does not cover the construction, Installation for wiring, plumbing, gas heating, quer or grater. Be ane to we
the Building Inspector for separate peraft for thea Renu.
SUBJECT
City of Fridley
q
AT THE TOP OF THE TWINS
BUILDING
PERMIT
R C, J P
Ir
1I-
_-___ COMMUNITY DEVELOPMENT DIV
PROTECTIVE INSPECTION SEC.
,(/1/
NUMBER
REV
DATEP
AGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
9/27/96
JOB ADDRESS 6381 Washington ST NE
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DEscR.
19
4
Christie Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
Dennis Bushnell 6381 Washington Street NE
571-3128
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 ❑ ADDITION ❑ ALTERATION X REPAIR
X
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House & Garage (19 Sq) 2nd Layer
9 CHANGE OF USE FROM TO
STIPULATIONS
Roofing can be the 2nd layer but not the 3rd.
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
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
$.59
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$1,187
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
TOTAL FEE
$42.03
SI�GNATUURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
HEN PROPERLY V&feDATED
THIS IS YOUR PERMITT
BLDG SP
nATE
SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI
NEW [ ] Effective 3/1/96
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
ConstructionAddress: ST- AV e-
Legal Description:
Owner Name & Address: 96 p tv i g Tt us m N ff-/( Tel. #
Contractor: Alo 9va MN LICENSE A
Address:
Attach to this application, a Certificate of 'Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Tel. #
5'7/-3/;tS
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER: S (fit WC(19�r ot oo
4
Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks '
Type of Construction: Estimated Cost: $
Approx. Completion Date: Z412715761
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: APPLICANT: Tel. # 15T 71 — 3l ay
STIPULATIONS:
J
CITY USE ONLY
Permit Fee
$
Fee Schedule on Reverse Side
Fire Surcharge
$
.001 of Permit Valuation (1/10th%)
State Surcharge
$.50/$1,000 Valuation
SAC Charge
$
$900 per SAC Unit
License Surcharge
$
$5.00 (State Licensed Residential Contractors)
Driveway Escrow
$
Alt. "A" or Alt. "B" Above
Erosion Control
$
$450.00 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement Necessary [ ] Not Necessary [ ]
TOTAL
$ T Q
STIPULATIONS:
J
NEW [ ] CITY OF FRIDLEY & �--C)®4g, ective 4/1/2004
ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax.
" BUILDING PERMIT APPLICATION
Construction Address: ( cul+
Legal Description:
Owner Name & Address: to, & hnc Ll , (a -;tM LJO[ � J$ 0L Tel. #���-
Contractor: torn 4 vLr L✓yry-w LO MN LICENSE # c�,00360 0
Address: IONU UbA40 Mdc— Cion 0), nnO 155w,-:�6 Tel. #'16-3 SU?,f3z-i9
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.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER:
Construction Type:E�'/1�'/lam. i(Y Irt(, _ Q 41 1 fhL;-) Estimated Cost:
Driveway Curb Cut Width Needed: FL + 6 Ft = Ft x $ _ $
DATE: . �3_ 05 APPLICANT: I r L I � 13. jb Tel. # I Co?, -7 3U
Call (763) 572-3604 for Permit Fees If mailing in application. Fax to 763-571-1287 if using credit card and we will call
you for card number.
Permit Fee
Plan Review
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
$ ; a5
CITY USE ONLY -
Fee Schedule on Reverse Side
65% of Permit Fee
.001. of. Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1350 per SAC Unit
$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 [ ]
TOTAL $ 6 STIPULATIONS:
Building
BUILDING
Permit No.:bc�S�C 1!�
Inspections
RESIDENTIAL APPLICATION
Received B
763-572-3604
CITY OF FRIDLEY
Date xec'a:
l
Zv�S YOUR E-MAIL ADDRESS 1.1,V Lo LA F,
DATE
V
��
SITE ADDRESS
THIS APPLICANT IS:
0 OWNER CONTRACTOR
PROPERTY OWNER/
NAME: �+
ADDRESS: CITY_ STATE ZIP
TENANT
PHONE:
CONTRACTOR
NAME: �� r t S r� �a u /t LC
STATE LICENSE C_-12-05DATE 3 OG
�� CITY,�%%G�'GA1� STATL ZIPjn�
SUBMIT ACOPY OF
YOUR STATE LICENSE
WITH APPLICATION
ADDRESS:
PHOq3 - 6 & — �1 I -6�'v FAX G^S - -3 0
PROPERTY TYPE
GL FAMILY W CONSTRUCTION SIZE
❑ TWO F 1 X/NEW CONSTRUCTION STORIES
PERMIT TYPE
D. ADDITION Ll UYARMUE/SHED 0 WINDOWS
ROOF O DRAIN TILE
0 BASEMENT FINISH
0 DECK 0 SIDING 0 OTHER
0 SWIMMING POOL
TYPE OF WORK:NEW
0 ADDITION
MAIN7ENANCE/REPAIR 0 REMODELING
DESCRIBE WORK. BEING DONE: P--Zf— Q'1='
SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft.
ROOFING 0 HOUSE ONLY
NUMBER OF SQUARES 0 HOUSE & GARAGE
BASEMENT REMODELING SUBMIT:
1. Existing Floor Plan
GARAGES2.
0 ATTACHED GARAGE
Proposed floor plan
PROPOSED SIZE:
0 DETACHED GARAGE
3. List of structural members to be used
PROPOSED HEIGHT:
FOR NEW CONSTRUCTION INCLUDING DECKS,
SIDING
0 Vinyl
DSoffit
0 Trim
,a DDI IONS_ & PORCHES SUBMIT
1. Site Plan/Survey showing the existing structures
0 Aluminum
D Other
0 Fascia
and proposed project.
2. Two sets of construction plans
AVINDOWS
3. Epergy Calculations
IN EXISTING OPENINGS DYes DNo LOCATION OF WINDOWS
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 OY LABUX AND MAI ZMAi.a:
SING T19 7 U.B.0 FEE SCHEDULE
TOTAL JOB VALUATION S'&;�& OCCUPANCY TYPE
Permit Fee See Back Page for Fee Schedule
Plan Review $ s 65% of Building Permit Fee
Surcharge - $ • w (.0005) times the total job valuation — Minimum $.50
Fire Surcharge $ �V, .001 x Permit Valuation (1/10%)
License Surcharge $ $5.00 (State Licensed Residential Contractors)
SAC Charge I , $ $1450 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow $ ft + 6 ft = 8 x $20 = $
Erosion Control _ $ $450 Conservation Plan Review
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( )
Total Due IF/ -t'f" --7$ 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 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 i6'accordance with the approved
plan in the case of all work wh equires r v and approval of plans.
SIGNATURE OF APPLICANT ZZ �RTT71�17kME ,KkUC_ 1 l (/Air/f DATE
Building MECHANICAL Permit No.: -62 d
Inspections RESIDENTIAL APPLICATION Received By:
7.63-572-3604 CITY OF LEY Date Recd:
DATE CJ ►/ ! �i YOUR E-MAIL ADDRESS
SITE ADDRESS / h
THIS APPLICANT IS: 0 OWNER CONTRACTOR
PROPERTY Nom; / Gr
OWNER/ ADDRESS: L1 WCithin9forl Jt cITY 1' 1 C�1 �%t7 _STA NzIP
TENANT PHONE: 74 L-571 - 31 ZK
CONTRACTOR COMPANY NAME:
River Cityurr»ce & Fire lac
SUBMIT A COPY OF CONTACT PERSON:
829U Main St. &EjAS
-
YOUR STATE STATE LICENSE # Fri ffey, I@ N 554 Ty STATE ZIP
LICENSE WITH ADDRESS:
APPLICATION PHONE (763) 754-219PAx Fax (763) 754 2gog
PERMIT TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK: O NEW r' E LACEIvIENT O'LTERATION/REMODEL
DETAILED
WORK
xn e'r
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 $5/00, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. F=TRES: ONDICATE TOTAL
NUMBER OF EACH BELOW) MFG: ti /ii i r l G Y MODEL:
_Ly W • 199 Y SIZE1BTU
Equipment Installed MODEL:
BTU
MFG: _
MFG: MODEL: SIZEIBTUG
.XA/C $25.00 _FIREPLACE (GAS) $15.00. GASAS 00
NEW GAS GRILL RANGE/OVEN N $$ 010.
AIR TO AIR EXCHANGEER $15 ASCE $3CE D) $35.00 GAS UNIT HTR $10.00
BOILER $35.00 00 POOL HEATER $35.00
CHMgEY LINER $10.00 _GAS DRYER $10.00
_
DUCT WORK $10.00 GAS PIPING $10 00 _VENTILATOR 515.00
firi'f�wi�:r'trP3c+�+li7�.19'..1.''.(1
5ir'.'vit`?97.NFGi`D3a.71taYY.►A:s.,ans4aq:rsr11
.i�5r....:.....+nsr. as; «cr: roe, -,,. ........,...._. ... .._,.,:—._.. ._..... ..-.
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 0 x $25.00 = $ �, • 00
Number of fixtures @ $35.00 x $35.00 = $
State Surcharge = $ 50
Total — $,%
THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Fridley and with the Minnesota -Construction Codes; that I understand this is
not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the
approved plan in the case of a k which ruires review and approval of plans. /'
g_ SIGNATURE OF APPLICANT PRINT NAME Y G G DATE j/' 1q _Du
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
7- A v. ?4'2_rn,)__44'77
REQUIRED INFORMATION NEEDED TO PROCESS PERMIT
RESIDENTIAL PERMIT APPLICATION HVAC
❑ NEW HOMES/ADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR
REQUIRED FOR NEW HOMES
1. Combustion Air (See note below)
a. Oil or solid feel TMC Chapter 7 with MN Amendments
b. Natural Gas or PropanoUGC 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 & with MN Amendments
REQUIRED FOR NEW HOMES
4. Heat loss & cooling load per room
a. Required on new construction TMC 1346.0312
5. Ventilation
a- Per MN Energy Code 7670 or 7672
6. Duct Design Per IMC 1346:0603.2
a. ACCA Manual D
NO'g: Centerpoint Energy Mechanical Code Guidelines software may be used for
combustion and snake up air calculations