PRE 2010 DOCSBUILDING PERMIT
u�
Village of Fridley, Minn. N° 2190
Date
'I
Owner�7,�?..... .................. Builder ...........................................
Address ... ........... Address
LOCATION �OF BUILDING
No.. � ,'+ � ....... Street "b :�.. $ +'l .. .. . 1 ...... Part of Lot .......................
i
Lot ...... . �! Block ... .......... Addition or Sub -Division .... .... ........ .
Corner Lot .. .... ... Inside Lot ............ Setback . " . ! Sideyard
DESCRIPTION OF BUILDING
To be Used as:
Front Depth ... Height ........ Sq. Ft...... .. Cu. Ft. ........
.., . - Front Depth 01.4a.. Height .... Sq. Ft......... Cu. Ft........ .
p-
Type of Construction) . Est, Cost �.f ..... ...... To be Completed/`
ompleted / ......:
In consideration of the issuance to me of a permit to construct the building described above, I agree to do'
the proposed work in gecordance with the description above set forth and in compliance with all provisions of
ordinances of the vill�ge of Fridley.
In consideration of the payment of a fee of $.. ..,. petmit is Hereby granted'to ........ ...............
•
I.. to construct the building or addition as described above. This permit .is granted upon
the express ,bmdition 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 th�,,� ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance,, repair and moving of buildings with-
in the village limits a this permit may be revoked_ at any timey1 on iolatio .:af any of the, provisions of said
ordinances.° ,� ,
NOTICE:
This permit do(
sewer or water. Be
Building Inspector
not cover the construction, installation or alteration for wiring, plumbing, gas heating,
ire to seethe Building inspector for separate permits for these items.
01
SUBJECT
IT NO.
City ®f Fridley
21759'
AT THE TOP OF THE TWINS
BUILDING PERMIT
',
RECEIPT N
_ COMMUNITY DEVELOPMENT DIV.
V
��
PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE Of
APPROVED BY
612-571-3450
910-1715
3/9/93
JOB ADDRESS 820 West Moore Lake Drive NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
7
1
Shorewood 2nd SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Earl Hoyne 820 West Moore Lake Drive NE 571-7335
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Coronado Stone 1634 Hwy 10, Spring Lake Park 55432 786^2341 7950
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION Ek ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Install a Heat N Glo, 6000 DVT, Gas Fireplace
9 CHANGE OF USE FROM TO
STIPULATIONS
Install per specifications of testing agency.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
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 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
I
STALLS GARAGES
VALUATION
SURTAX
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$2P20Q
$1.10
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
PERMIT FEE
SAC CHARGE
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$54.00
Fire SC $2.20
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
y�
$57.30
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
HEN ROP LY A T THIS IS YOUR PERMIT
_
ALbG INSP MATE
SIGNATURE OF OWNER 0F OWNER BUILDER) (DATE)
01
NEW [ ] Effective 1/1193
ADDN [ ] CITY OF FRIDLEY _Iro�
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Construction Address:
Legal Description:
Owner Name & Address: C � Tel. # .S` %i 73-3 S-
Contractor: c'— 0A 01V &J () s 7-6 f V MN LICENSE #00o P .6-®
Address: % �®� y � W .y %� �� �` G %�� Tel. # ��� �
Attach to this application, a Certificate of Survey o`T—the
lot, with the proposed construction drawn on it to scale.
LIVING AREA: Length
GARAGE AREA: Length
DECK AREA: Length
OTHER: r I
DESCRIPTION OF IMPROVEMENT
Width
Width
_ Width
/Iri /9-(f e-
Height Sq. Ft.
Height Sq. Ft.
WGround Sq. Ft.
Het97—Al C.40 � ®® C) ',0V — ,
Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Sgtbacks
Type of Construction: Estimated Cost: $ ®202
Approx. Completion Date:
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x-. $ = $
Permit Fee $
Fire Surcharge $
State Surcharge $
SAC Charge
License Surcharge $
Driveway Escrow $
Park Fee $
Sewer Main Charge $
TOTAL
STIPULATIONS:
CITY USE ONLY
Fee Schedule on Reverse Side
• 20 .001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$750 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572-3604
Residential
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace
Gas Piping (Needed with new furnace)
Gas Range
Gas Dryer
*Air Conditioning - All Sizes
All Others/Repairs & Afteratlons (LIST ON BACK)
1% of Value of Appliance or Work
Commercial/industrial
I% of Value of Appliance or Work
Effective On January 1, 1993
JOB ADDRESS �ot'G� �� %ire z�' 'e�lj' Arlt/�
The undersigned hereby makes application for a permit for the work herein
Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and
rulings of the Building Division, and hereby declares that all the facts and
$ 20.00 $ representations stated in this application are true and correct. /
,1993
$ 10.00
$ 10.00
$ 10.00
$10,00
State Surcharge
TOTAL FEE
OWNER
$
BUILDING USED AS
$
ESTIMATED COST ���� " PERMIT NO. /<_
DESCRIPTION OF FURNACE AND OR BURNER
$ No. of Heating Units Circle One (Steam) (Hot Water (Warm Air)
Trade Name!�r4>ori 7 C:j,/ / Size No.
BTU AZ HP EDR
$ Fuel A�,, f Total Connected Load
$ .50 Burner Trade Name e� Size No.
BTU HP EDR
$
HEATING COMPANY
MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS X15.00
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.
Signed Bye- cool Tel No. ✓/�',�
Approved By Rough -In Date Final Date S - )0-ci 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
(
)
No
( )
2.
Is free from rust or deterioration
Yes
(
)
No
( )
3.
Has no foreign objects lodged within
Yes
(
)
No
( )
4.
Is securely supported
Yes
(
)
No
5.
Meets all current Code requirements for
size and total BTU's connected
Yes
(
)
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
SUBJECT
PE
City of Fridley
2770 7
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
1 ,
NO.
------COMMUNITY DEVELOPMENT DIV.
~ PROTECTIVE INSPECTION SEC.
�
3 9
♦✓ I i
!
1 ; i
NUMBER
REV
DATE
PAGE OF
APPROVED BY
i 1w CITY HALL FRIDLEY 55432
��"',,�
.-_•
L J\ 612-571-3450
910-F15
9/11/98
JOB ADDRESS 820 W Moore Lake Dr
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
7
1
1 Shorewood - 2nd
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Affordable Family Homes Inc 12301 Central Ave NE Blaine
95434 754-2202
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
O NEW ❑ ADDITION ❑ ALTERATION REPAIR O MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house & garage (18SQ) Tear -off
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 REQUIREDFORELECTRICAL. 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
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
$1,542.00
$•77
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-
STRUCTION THE RFORMANCE OF ONSTRUCTION.
PLAN CHECK FEE
TOTAL F
/l -
Li s
SC $5.
$58.56
NATURED CO OR ORAUTHORtZEDAGENT tOATEt
N P P
I T D I$ IS V ERMIT0.
/00
BLD --NSP
�•
LATE
SIGNATURE OF OWNERpF OWNER BUILDER-- --DATE--
NEW [ J Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �j
BUILDING PERMIT APPLICATION � ��
ConstructionAddress: szo -�✓t�
Legal Description:% 3 S9ia
Owner Name & Address: Tel. #
Contractor: Al ckalhE L10 -91z -z 14w -f MN LICENSE
Address: Tel. #�`�-
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA: Length
GARAGE AREA: Length
DECK AREA: Length
OTHER:
DESCRIPTION OF IMPROVEMENT
I-
Width Height Sq. Ft.
Width Height Sq. Ft.
Width Hgt/Ground Sq. Ft.
C -1/ e c_
Construction Type: % €4e- a/9-- PEe00F Estimated Cost: $ J
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
DATE: Mel APPLICANT: Tel. #
CITY USE ONLY
TOTAL $ 'U �✓
. STIPULATIONS:
Permit Fee
$
Fee Schedule on Reverse Side
Fire Surcharge
$
.001 of Permit Valuation (1/10th%)
State Surcharge
$ s%
$.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 $ 'U �✓
. STIPULATIONS:
rat
0J
SUBJECT
City of Fridley
3 3 8 4 2'
AT THE TOP OF THE TWINS
BUILDING
P E R
M I T
`
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
1
NUMBER
REV
DATE
PAGE OF
APPROVED BY
1 CITY HALL FRIDLEY 55432
' 763-571-3450
910-F15
8/29/03
JOB ADDRESS 820 West Moore Lake Drive NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
7
1
Shorewood
2nd Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
Mary Hoyne 820 West Moore Lake Drive NE
763-571-7335
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO
Mastercraft Exteriors Inc 5976 Hobe Lane,
White Bear Township,
MN 55110 20172626
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP
PHONE LICENSE NO.
651-481-8120
5 ENGINEER MAIL ADDRESS
ZIP
PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW Ck ADDITION ❑ ALTERATION ❑ REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Remove and replace a 12' x 12' Deck
9 CHANGE OF USE FROM
TO
STIPULATIONS
See notations on plan.
SEPARATE PERMITS ARE REOUIgED 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 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
$1,391
$.69
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-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHE K FEE
TOTAL FEE
(A a. 0 - / r03
ce a SC $5.00
1 $58.03
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
EN PROPERLY VALIDATED THIS I UR P RMIT
SIGNATURE OF OWNER SIF OWNER BUILOERI IDATEI
IN
r)ATE
rat
0J
ZUL-28-20M 16! 32 FROM CITY OF FR I DLEY TO 6517629395 P-08/09
NEW [ ] CITY OF FRIDLEY Efff6ctive 1/1/2003
ADDN [ , 6431 University Ave RIE, Fridley, MN 115432 (763) 572-3604 Bldg Ins
ALTER SINGLE FAMILY AND DU R-1 AND R-2 (763) 67142111 F; -
BUILDING PERMIT APPLICATION
Legal rte, o..
Owner Name M Address:
Contrador.wo
w
LIVING AREA: Length Width Height Sq. Ft.
GARAGE Lenfo Wdlh Wght _ ._. -.- -- ... ___ Sq. R.
DECK ARM Lenqffi Ground 32 //Sq. Ft.
r
9 '
Dflvevay Curb CutTlidth Needed. ---FL + a Ft = --.,R x s,
DATE: 2 -aL-:Q 3�— APPLICANT..I��..Lc,�:= Tel. # 65L--�ZRLL�;1-0
Call (763) 67Z-6604 for Permit Felly V mailing In application. Fax to M-5714287 If easing credit card and we will
call you for number.
TOTAL
CITY USE ONLY -
Fee Schedule on Reverseid
-001 of Permt
..0 !00 Valuation
peI Unit
S,00 $6.00Licensed , Residential side r
Alt IINJ a B !' a,
$460.00 Conservation
Fee Determined by Engineering
AgreemeM_oa s
3ON
ULN-
MIMI=
-i - 1 DECK JOIST
PIZO*j
39" Off te round
the CP L*c
TAPERED BO
i
III �
r�
!i s
(III I I I IL I�IIII OIII�IiIlill 11 ,III `I I ffll� i I
I�cqvajnnIll, I
C
cm
V
N
CL
N,
0
Y
J
a m
m jj
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Date:
8/19/03
DECK DETAILS scale:
RIGHT ELEVATION II SCALE-1/2n=l '-0° 1!8'e1' -c
06699 NW '1B88 GIRM ®Al1Q WWI ®loow 'M oZ8
uBisea 43Rd Ia840M out 's1opam ue1ols;seW �oea eu�(oH � ao U1
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—�,�E p�s��i�� cotouw�;a L?c(�EG4o Z�4m-
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THIS JDB COPY SiTALL D
o 2
AVAILABLE ON T 4,
,E JOB ,-011 w
SITE FOR THEE AVIN-13 + 3'- 9 3/4" a
i° -%ND FINAL INSP CTIOiN,
C7
d- 1 Lo
1' 4"
81-011
12'-0"
mLo
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.49
�m
„ o
-� 6Qittj e I.- p
4 ow MS-
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Date:
FOOTING & FRAMING PLAN 5/4" Cedar Decking, 12" OC
2-2"x10" Treated Beams 8/19/03
IEJo? 6"x6" Tre d Po
• Scale:
hP�&�
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Mastercraft Exteriors, Inc
Mite Bear, MN 55110Michael Pach Design
ak--7,3 (C(
;ITY OF PRIDLEY BUILDING INSPECTION
v
9 3431 University Ave NE
9=ridley, MN 55432
L
763-5723604 FAX 763-571-1287
i
53
D
n RATE SCHEDULE
Residential
Furnace Shell and Duct Work, Burner &
also Replacement Furnace
Gas Piping (New Furnace, Fireplace, Insert)
Effective 4/1/2004
APPLICATION FOR POWER PLANTS AND HEATING, COOLING,' VENTILATION
REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
Fee Tota
$35.00 s-3
a.QD
$10.00 $
Gas Range $10.00
$
Gas Dryer $10.00
$
*Air Conditioning -All Sizes $25.00
$ 5, C
-2Uvd- U P Y,M M 6-0-2 `"'17Jq'L_
All Other Repairs or Alterations (List on Back)
>-
1% of Value of Appliance or Work
$
a
Minimum Fee $15.00 for Residential or 5% of cost of
Y
Improvement whichever is greater on work less than $300.00
5
Commercial/industriallinstitutional
t
1.25% of Value of Appliance or Work (List on Back)
$
Minimum Fee $35.00 for Commercial/industrial/insiitu ionai
YState
Surcharge
$ .50
TOTAL FEE
$too.
v
v
REINSPECTION FEE 550.00/HOUR
Iq
*Air Conditioners can not be placed in side yard without written approval
1� from adjoining property owner - copy to City
C,
N
FILL OUT BACKSIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE
cc
JOB ADDRESS EaO �� QrP
Owner s \ 740 �
Building Used As �; d -C2 nQ
A
ESTIMATED COST:�1�JQCD , CXR PERMIT NO
DESCRIPTION OF FURNACE AND BURNER
# of Heating Units Circle One (Steam) (Hot Waer)=(Warm
Trade Name Vo a l3 ek-- Q'7 Size o.
BTU `Z O DC7 HP EDR
Fuel �sTotai Connected Load
Burner Trade Name Size No.
BTU - _ HP EDR
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 Building Division, and hereby declares that all the facts
and representations stated in this application are true and correct.
CENTERPOINT ENERGY
HEATING CO13562 CENTRAL AVE NE BLAINE, MN 55304
Signed = Tel # 763-757-6202
FAX # 763-757-6701 Date
Approved by Rough -in Date Final Date
do,d Idlui
FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS
COMMON VENT VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When replacing an existing furnace, 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 (x) No( }
The venting system is plastic/PVC and meets all current codes and manufacturer
Yes No( )
specifications including sizing, length, number of elbows and termination.
(y)
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 combustliion air, 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 vermes that
it is a listed assembly and meets the current codes and manufacturer's
specifications. This does include AGA-GAMA Category I Central Furnace
Yes ( No ( )
Venting Tables for fan assisted and natural draft appliances.
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 �A, .v�� BTU Input Imo.®`0 Fan Assisted or Nat 4
Appliance #2 TypeBTU Input , i/®,,Fan Assisted or Nat
Appliance #3 Type BTU Input Fan Assisted or Nat
Total Appliances Taal Btu Input
P ®�
Common Vent Type Vent Height _2 Diameter e-1 inches
Appliance #1 Vent Connector Height
-..L-ft Length Y ft Diameter in Type e -
Appliance #2 Vent Connector Height ft Length ft Diameter in Type
Appliance #3 Vent Connector Height ft Length it Diameter in Type
ALTERATIONS• (Describe) Xai aem -6 1:2 L� ��� ���•s
HEATING CO:
Signed By:
CENTERPOINT ENERGY
13562 CENTRAL AVE NE BLAINE, MN 55304
®„ Date
R
FG11FF1 • H TPVICV.SL 01 A, 17G I NA A0 A= WON -1 <:;F : T T t?00E—LZ—Nc4H
PLUMBING
RESIDENTIAL APPLICATION
City of Fridley
Permit Number
Received By
Date Received
NOTE: IF PROPERTY IS NOT OWNERIOCCUPIED- A LICENSED CONTRACTOR MUST OBTAIN THE PERMIT.
DATE YOUR E-MAIL ADDRESS
SITE ADDRE S 11f,11 l 71 z 4L Qp- AJ&
THE APPLICANT IS: (CIRCLE ONE) OWNER CO TO
NAME �� �� in4gyp®
PROPERTY OWNER/
ADDRESS ) fnaY� ! k /J12TENANT
CITY STATE 6i) ZIPS
PHONE #
NAME LICENSE # 0�
ADDRESS ) /-4" /-2:2 I
CONTRACTOR
CITY STATE --2220 ZIP
PHONE # FAX# -o 7 W !� /
PERMIT TYPE
r
SINGLE FAMILY TWO FAMILY TOWNHOUSE
TYPE OF WORK
❑ NEW 4#REPLACEMENT
DETAILED DESCRIPTION OF WORK)YP�
FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED
FIXTURES: (INDICATE TOTAL NUMBER OF EACH)
BATH SINKILAV FLOOR DRAINS SHOWER WATER PIPING
BATHTUB GAS PIPING (Need City license) SWIMMING POOL WATER SOFTENER ($35)
CLOTHES WASHER KITCHEN SINK WATER CLOSET BACKFLOW PREY. ($15)
DISHWASHER LAUNDRY TRAY ,WATER HTR ($35) FOR IRRIGATION
WATER METER OTHER
Permit Fee $ �� MINIMUM: $15.00 or 5% of cost of the improvementwhichever Is
Plan Review $ greater on work less than $300
Surcharge $ .50
TOTAL DUE $ Make checks payable to: City of Fridley
THIS IS AN APPLICATION FOR A PERMIT — NOT VALID UNTIL PROCESSED
I hereby apply for a plumbing permit and I acknowledge that the information above is complete and accurate; that the work will be In conformance with
the ordinances and odes 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.
NAME OF APPLICANT ItDATE 7 Z6
Please type or print
SIGNATURE OF APPLICANT
y`�L�Eif� PERI�f �RO�R2R►1A I�i�tF�►C `�;7,6
h�T
YM.
CITY OF FRIDLEY COMMUNITY DEVELOPMENT DEPARTMENT
6431 UNIVESITY AVENUE NE, FRIDLEY, MN 55432
(763) 572-3604
Building
PLUMBING
Permit No.
Inspections
RESIDENTIAL APPLICATION
Received By— �)A_:
763-572-3604
CITY OF FRIDLEY
to x 'd:
763--502-4977. FAX
EFFECTIVE 2-19-09
j� 17 znf)Q
DATE -7'n/q YOUR E-MAIL ADDRESS
Vl`�f
�� P /�
$
SITE ADDRESS n e5 ///�&,re ✓ei
THIS APPLICANT IS: 0 OWNER OCONTRACTOR
PROPERTY
NAME:
OWNER/
ADDRESS: All i4lex r1 Ye Oke )5oz CITY rkT d STATE ZIP
All
TENANT
PHONE:_763 -alb s3 e/06
CONTRACTOR
NAME: j6rni aeujAJ)ir,
SUBMIT A COPY OF
YOUR STATE
STATE LICENSE #_ EXP DATE /b- -71 `
LICENSE, BOND AND
STATE BOND # DATE 13--3# 01
CERTIFICATE OF
,r_EXP
ADDRESS: �r e? �/� *i11✓E CITY 0117! t 6►,�cmdo� STATEM7 ZIP
INSURANCE
PHONE 71-9 ' 71� rS �9 FAX ?�j3 -76 i ` 6370
PERMIT TYPE
SINGLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE
TYPE OF WORK:
0 NEW REPLACEMENT
DETAILED DESCRIPTION OF WORK 04f6 eP s Ti r i TCHb-Pj fr.►1 [-— c - wa s h o,s
-ky,Closet— la�wfea (7*( ij
FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE
$35.50.
._ BATH SINK/LAV _FLOOR DRAINS SHOWER WATER PIPING
_ _
BATHTUB _ GAS PIPING (NEED CITY LIC) SWIMMING POOL WATER SOFTNER ($
_
_ CLOTHES WASHER / KITCHEN SINK WATER CLOSET BACKFLOW PREV. $I
_
DISHWASHER _ LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION
WATER METER OTHER
�rC
g�S» � i�" E'� f ', vhf c .✓ >» �s'`.✓ 5 A911 �, � T�id � y. Fyi� � rz a h v y 3.. ' [� hcE�v
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
I hereby apply for a plumbing 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 on site; that the work will be in accordance
with the approved plan in the casSAf, al which requires review and approval of plans.
work
SIGNATURE OF APPLICANT PRINT NAMEYtO//7 �%� j/ DATE 9// 7/01IN
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977
Building
BUILDING
Permit No.: 2W7 'O'L(
Inspections
RESIDENTIAL APPLICATION Received By:
763-572-3604
CITY OF FRIDLEY
Date OrT21 2a
763-502-4977 FAX
Fire Surcharge
$
EFFECTIVE 8-19-09
.001 times the total job valuation
DATE G --
YOUR E-MAIL ADDRESS .d Af wUd � q aL s Cdfto,,,
SITE ADDRESS
.0005 x Permit Valuation Minimum $.50
License Surcharge
THIS APPLICANT IS:
❑ OWNERCONTRACTOR
$5.00 (State Licensed Residential Contractors)
PROPERTY OWNER/
NAME: 42✓
TENANT
ADDRESS: -7 ® d �' 'mac
/
STATE ZIP �J �7,7
PHONE:
—;t
Erosion Control
CONTRACTOR
NAME: (.1m) I --FrT
-_Zz L
SUBMIT A COPY OF
STATE LICENSE # �% E DATE
YOUR STATE LICENSE
AND CERTIFICATE OF
ADDRESS:.—O c l if✓� CITY / e `dct 16 OL STATE ZIP
INSURANCE
,r�-
PHONE — FAX
'" Z I 3
PROPERTY TYPE
KSINGLE FAMILY/NEW CONSTRUCTION SIZE
$
l r
TWO FAMILY/NEW CONSTRUCTION STO ES
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHEDRADOWS
❑ BASEMENT FINISH 13ROOF ❑ IN TILE
❑ DECK ❑ SIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW HOME CONSTRUCTION ❑ ADDITION
❑ MAINTENANCEIREPAIR REMODELING
DESCRIBE WORK BEING DONE: a .
SIZE OF IMPROVEMENT
LENGTH WIDTH
HEIGHT SQ FT
ROOFING
NUMBER OF SQUARES
❑ HOUSE ONLY
13 HOUSE & GARAGE
BASEMENT REMODELING SUBMIT:
I. Existing Floor Plan
GARAGES
❑ ATTACHED GARAGE
2. Proposed floor plan
PROPOSED SIZE:
❑ DETACHED GARAGE
3. List of structural members to be used
PROPOSED HEIGHT:
IDING
FOR NEW CONSTRUCTION INCLUDING DECKS,
❑ Vinyl
❑Soffit
ADDITIONS. & PORCHES SUBMIT:
❑ Aluminum
❑ Trim
1. Site Plan/Survey showing the existing structures
❑ Other
❑ Fascia
and proposed project.
2. Two sets of construction plans
WINDOWS
3. Energy Calculations
IN EXISTING OPENINGS ❑Yes
MRqo LOCATION OF NDqWS
FOR WINDOWS — PROVIDE U -VALUE AND
OR FOR NEW OPENINGS -DESCRIBE
SIZE OF Bad i&
MANUFACTURE STICKER ON WINDOW.
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 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $ 2, 60® e 00 OCCUPANCY TYPE
Permit Fee
$
`.D -q'
See Back Page for Fee Schedule
Plan Review
$
4G.0
65% of Building Permit Fee
Fire Surcharge
$
2t,@r;7
.001 times the total job valuation
Surcharge
$
k.60
.0005 x Permit Valuation Minimum $.50
License Surcharge
$
6kLeb
$5.00 (State Licensed Residential Contractors)
SAC Charge
$
$2000 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
$
ft + 6 ft = ft x $22 = $
Erosion Control
$
$450 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement necessary ( ) Non Necessary ( )
Total Due
$
l r
Make checks vavable to: Citv of Fridlev 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 ermit d ork not to start without a permit on site; that the work will be in accordance with the
approved plan in the case o Il w hich ew and approval
SIGNATURE OF APPLICANT PRINT NAM ATE ® _c-710 "_
c r
rAi r-
A IC
Ei
CP GO
14 7<
Lr—
(A
E
a
—i -
CS
Cr
—i -
CS
.-f— J. %r*e I,
' NJ
rfa� 0 -101 lie
orl� AUX j
R
Page 1
LOUISIANA-PACIFIC CORPORATION / WOOD -E DESIGN 2009.2 10/14/09 12:29:56
WARNING
*** THIS DESIGN IS VALID FOR THE PROJECT NAMED BELOW (JOB ID) ONLY
*** WOOD -E DESIGN 2009.2 EXPIRES ON 12/31/2009. LP WILL MAKE AVAILABLE TO
ALL REGISTERED USERS AN UPDATED VERSION OF THE WOOD -E DESIGN SOFTWARE IN
THE CONTINUING EFFORT TO MAINTAIN COMPLIANCE WITH CHANGING BUILDING CODES,
INDUSTRY PRACTICES, CODE EVALUATION REPORTS AND/OR METHODS OF ANALYSIS.
COMPANY: SCHERER BROS. LUMBER
JOS ID:
STATE: MN CODE: IRC
PRODUCT: 2 -PLY 1-3/4" X 7-1/4" LP LVL 2950Nb-2.0E
DEPTH
7-1/4°
LENGTH
8.000 FT
PLY
2
LP LVL
2950Fb-2.0E
THICKNESS
1-3/4"
B.0001
DESIGN CRITERIA FOR COMBINATION ROOF AND FLOOR BEAM (UNFACTORED LOADS)
-------------------------
LIVE DEAD SAFE SPAN (L) SPAN (R) ALLOWABLE DEFLECTION
(PSF) (PSF) LOAD CARRIED CARRIED LOADING LIVE TOTAL
----- ----- ------------ -------- ------- ---------- ---------
FLOOR 40 17 NO 2.000' 0.000, TOP L/360 L/240
ROOF 42 17 4.000' 14.000` TOP
FLOOR SPAN CARRIED IS NOT CONTINUOUS. ROOF SPAN CARRIED IS NOT CONTINUOUS.
ALLOWABLE / WORKING STRESS DESIGN DATA DEFLECTION
----------- REACTION
------------------------------------------
MOMENT
SHEAR
LIVE LOAD
TOTAL LOAD
ACTUAL 2701
5174
2240
0.144
0.257
ALLOir1ABLE 5906
9167
5642
0.261
0.391
STRESS INDICES 0.457
0.564
0.397
L/653
L/366
LOAD CASE 4
4
4
4
4
**** THE REACTION, MOMENT AND SHEAR DATA ABOVE ARE BASED ON THE MAXIMUM
STRESS INDICES AND MAY NOT REFLECT THE ABSOLUTE MAXIMUM ACTUALS.
**** FOR DEFLECTION, L IS DEFINED AS THE DESIGN SPAN LENGTH OR
TWICE THE LENGTH FOR CANTILEVERS.
NOTES
CONNECTION
*** DESIGN ASSUMES COMPONENTS CARRIED ARE APPLIED TO TOP EDGE OF BEAM,
t�SL w munm LOAD IS DISTRIBUTED EQUALLY TO EACH PLY.
***ATTACH THE TWO PLIES WITH 2 ROWS OF 16d (3-1/2") NAILS AT
12" OC. STAGGER ROWS. NAILS CAN BE DRIVEN FROM ONE FACE OR
HALF FROM EACH FACE. NAILS MAY BE COMMON OR BOX NAILS
WITH A MINIMUM SHANK DIAMETER OF 0.131" 16d SINKERS (3-1/4")
MAY BE USED, BUT HALF MUST BE DRIVEN FROM EACH FACE.
*** COMPRESSION EDGE BRACING REQUIRED AT EACH END OF COMPONENT.
STRUCTURAL GEOMETRY
-------------------
SPAN 1
8.000,
TOTAL SPAN: 8.00 FT
INPUT LOADS
SHAPE
-----
TYPE
----
LOADING
-------
SOURCE
------
Wl W2
X1
X2
+UNIF
LIVE
TOP
ROOF
--------------------
378.0 PLF
--------
0.000'
--------
8.000'
+UNIF
DEAD
TOP
ROOF
153.0 PLF
0.000,
8.000'
+UNIF
DEAD
TOP
WALL
120.0 PLF
0.000'
8.000,
+UNIF
LIVE
TOP
FLOOR
40.0 PLF
0.000,
8.000'
+UNIF
DEAD
TOP
FLOOR
17.0 PLF
0.000,
8.000,
+UNIF
DEAD
TOP
FLOOR
7.3 PLF
0.000'
8.000'
+ INDICATES
LOAD IS
BASED ON SPAN CARRIED AND
INPUT
LIVE
OR DEAD LOAD PSF.
MAXIMUM SECTION FORCES: MOMENT = 5174 LB -FT SHEAR = 2240 LBS
MAXIMUM UNFACTORED UPPORT REACTIONS (LBS) USE THESE VALUES WHEN DESIGNING CONNECTORS
------------------------------------------------------------
BRG#1: 2701 BRG#2: 2701
REQUIRED BEARING SIZES (IN)
---------------------------
BRG#1: 2.25 BRG#2: 2.25
LIVE LOAD DEFLECTION TOTAL LOAD DEFLECTION
SPAN ACTUAL ALLOW. L/? ACTUAL ALLOW. L/?
---- ------ ------ ----- ------ ------ -----
1 0.144 0.261 653 0.257 0.391 366
**** FOR DEFLECTION, L IS DEFINED AS THE DESIGN SPAN LENGTH OR
TWICE THE LENGTH FOR CANTILEVERS.
MAXIMUM STRESS INDICES: MST = 0.564 VSI = 0.397 RSI = 0.457
SLENDERNESS RATIO = 2.07 LIMIT = 10.00
VERIFY YOUR INPUT TO AVOID DESIGN AND FABRICATION MISTAKES. YOU ARE SOLELY
RESPONSIBLE FOR ERRORS RESULTING FROM INCORRECT INPUT. THIS PROGRAM IS A DESIGN
TOOL AND SHOULD BE USED WITH EXTREME CARE THAT INPUT UNIFORM AND CONCENTRATED
LOADS ARE ACCURATE IN MAGNITUDE AND LOCATION. IF YOU HAVE ANY QUESTIONS OR
UNCERTAINTIES, PLEASE CONTACT LP.
THIS COMPONENT DESIGN IS SPECIFICALLY FOR LP ENGINEERED WOOD PRODUCTS.
USE OF THIS PROGRAM TO DESIGN ANYTHING OTHER THAN LP LVL, LP LSL, OR LPI -JOISTS
IS STRICTLY PROHIBITED. LP IS A TRADEMARK OF LOUISIANA-PACIFIC CORPORATION.
Page 1
LOUISIANA-PACIFIC CORPORATION / WOOD -E DESIGN 2009.2 10/14/09 12:29:31
WARNING
*** THIS DESIGN IS VALID FOR THE PROJECT NAMED BELOW (JOB ID) ONLY
*** WOOD -E DESIGN 2009.2 EXPIRES ON 12/31/2009. LP WILL MAKE AVAILABLE TO
ALL REGISTERED USERS AN UPDATED VERSION OF THE WOOD -E DESIGN SOFTWARE IN
THE CONTINUING EFFORT TO MAINTAIN COMPLIANCE WITH CHANGING BUILDING CODES,
INDUSTRY PRACTICES, CODE EVALUATION REPORTS AND/OR METHODS OF ANALYSIS.
COMPANY: SCEMRER BROS. LOMBER
JOB ID:
STATE: MN CODE: IRC
PRODUCT: 1 -PLY 1-3/4" R 9-1/2" LP LVL 2950Fb-2.03
DEPTH
9-1 j2"
LENGTH
8.000 FT
PLY
1
LP LVL
295OFb-2.OE 8.Qwl
TKCKNESS
1-3/4°
DESIGN CRITERIA FOR COMBINATION ROOF AND FLOOR BEAM (UNFACTORED LOADS)
---------------------------------------------------
LIVE DEAD SAFE SPAN (L) SPAN (R) ALLOWABLE DEFLECTION
(PSF) (PSF) LOAD CARRIED CARRIED LOADING LIVE TOTAL
----- ----- --------------------------- ---------- ---------
FLOOR 40 17 NO 2.000' 0.000' TOP L/360 L/240
ROOF 42 17 4.000' 14.000' TOP
FLOOR SPAN CARRIED IS NOT CONTINUOUS. ROOF SPAN CARRIED IS NOT CONTINUOUS.
ALLOWABLE / WORKING STRESS DESIGN DATA DEFLECTION
-----------
---------------------------------------------------------------
REACTION
b==
SONAR
LIVE LOAD
TOTAL LOAD
ACTUAL
2691
5155
2105
0.128
0.228
ALLOvumLE
2953
7637
3696
0.262
0.394
STRESS nmicES
0.911
0.675
0.569
L/735
L/413
LOAD CASE
4
4
4
4
4
**** THE REACTION, MOMENT AND SHEAR DATA ABOVE ARE BASED ON THE MAXIMUM
STRESS INDICES AND MAY NOT REFLECT THE ABSOLUTE MAXIMUM ACTUALS.
**** FOR DEFLECTION, L IS DEFINED AS THE DESIGN SPAN LENGTH OR
TWICE THE LENGTH FOR CANTILEVERS.
NOTES
*** COMPRESSION EDGE BRACING REQUIRED AT 76" O.C. OR LESS.
STRUCTURAL GEOMETRY
-------------------
SPAN 1
8.000'
TOTAL SPAN: 8.00 FT
INPUT LOADS
11