PRE 2010 DOCSCity of Fridley, WIiim.
BUILDING PERMIT N° 5157
Date: .7 -/A _ 4
Owner: °_ __ Builder -_----. --
Address
FM-- ?1
L® TIO F BUILDING
No. Street. ___. _ Part of Lot
Lot _ ._ BlockAddition or Sub -Division
Sri t At
Corner Lot . _____.. Inside Lot _ _ Setback _ f ! _ _ Sideyard
Sewer Elevation Foundation Elevation _
DESCRIPTION OF BUILDING
To Used t
,"_
Front Depth Height sq., Ft: Cu. Ft.
Fgont Depth Height Sq. Ft. Cu. Ft.
Type of 4struction Est. st , .._, 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 $2 `" , 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, employlees 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, rept and moving of buildings
within the city limits and this permit may be revoked at any time upo violation bf y of the provisions of said
ordinances.
�� �� -
NOTICE:
This pormit 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.
Owner's
Address
No.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDIEY, MINNESOTA
LOCATION OF BUILDING
Street Part of Lot
Block Addition or Subdivisic °
Corner Lot Inside Lot `� Setback Side -Yard,
SEWER ELEVATION 9, c? „ „ FOUNDATION ELEVATION ® �„
Applicant at�, ch to tPi,s form. Certificate of Survey - of Lot and proposed &uiidiing
for ation:
To be used as;
Type of Cons
To be Completed
DESCRIPTION OF BUILDING
Height
Sq. Ft, Cu. Ft.
Front_Depth
Sq. Ft.® Gu. Ft.^4z�,,_
ted Cost 0 0 0
The undersigned hereby fakes 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 acts and representations
stated in this application are true and correct."R
DSIGNAT �.. .: ..
(A Schedule of Fee Costs can be found on the Reverse
E
Application for Power Hams and Hearing, Cooling, Ventilatian, Refdgeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR: RATE TOTAL
Furnace Shell & Duct Work .......................... 8.00 $
Replacement of Furnace ............................. 5.00 $
.Repairs & Alterations—up to $500.00 .................. 5.00 $
Repairs & Alterations each add. $500.00 ............... 2.50 $
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $
each add. 60,000 BTU ....................... 2.00 $
Replacement of Furnace ............................. 5.00 $
Repairs & Alterations—up to $500.00 ................. 5.00 $
Repairs & Alterations each add. $500.00 .............. 2.50 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. IDR Steam ...... 8.00 $
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $
Each add. 200 sq. ft. EDR Steam ...................... 2.50 $
Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $
OIL BURNER—to 3 gal. per hour ........................
5.00
$
over 3 gal. per hour—See
Fee Schedule
GAS BURNER (up to 400,000 BTU) .......................
5.00
$
GAS FITTING FEES:
NO RATE TOTAL
1st 3 Fixtures ......................�
x $1.50
$
Additional Fixtures .................
x .50
$
Gas Range to 200,000 BTU ...........
x 2.00
$
AIR CONDITIONING
$
FAN HEATING SYSTEM
See Fee Schedule
VENTILATING SYSTEM
ALTERATIONS & REPAIRS
TOTAL FEE
REMARKS:
e_
Dent. of Bldas. Phone SU 4-7470
City of Fridley:
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 representations stated in this application are true and correct.
Kind of Building 195—
e a
Used as
To be completed about 06 4Aof- —
Estimated Cast, $
10
Old ew uilding Permit No.
DESCRIPTION F WORK
HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No
Trade Nam Size No.���
Capacity Sq. Ft. E.D.R � BTU H.P.
Total Connected Loa Kind of Fuel
BURNER — Trade NamZ'"Z-
Size No-
Capacity Sq. Ft. E.D.R 1a?kZBTU H.P.
SUBURBAN HEATING & SHEET METAL
8419 CENTER DRIVE N. E.
Signed MINNEAPOLIS 24 MILAN
By
11 POST IM -12-58 Business Phone No-
-t
o-���i�
HEAT; LOSS CALCULATIONS
DEPARTMENT O� BrLDINGS
FRIDLEY, MINN.
Weatherstrips
A.S.H.V.E.
Guide
Reference
19=4
o�• Z � Rte'
Construction No.
Coef. Btu
Ceiling
Insulation
Windows
Doors
I No
Out. Wall Int. Wall Ce
Ceding Roof Floor
Glass
Exp. wall
Kin How Applied
—No
o—CG
Windows arA
Doors—Crackage and Area
Fl. L RoomiLengthAF Width
Height
FI.I
ngth / Height %
Windows ant Doors—Crackage and Area
y
Windows and Doors—Crackage
Width Height
No. of pane of pane
and Area
No. of Lineal ft. Area
lights of _crAck. eq. ft.
Width Height No. o[ Lineal ft. Area
No. \\ of Dane of pane/ lights of crack aq. ft.
Infiltration
d Doors—Crackage and Area
Glass
Exp. wall
2-/
��
Net exp. wall
o�• Z � Rte'
Int. wall
Coef. Btu
Ceiling
Infiltration
Floor
Btu
Total Btu.
Glass
Exp. wall
Required sq. ft. E.D.R/or . ins. W.A. Leader are
0z 0-ramm
Length Width
Windows arA
Doors—Crackage and Area
Width
No. of Dane
Height No. of Lineal ft. Area
of pane, llghts of crack
177
�.2
d Doors—Crackage and Area
2-/
��
Coef. Btu
o�• Z � Rte'
_
Coef. Btu
Infiltration
/
Btu
Infiltration
Glass
Exp. wall
All
IV 2.3,0
Net exp. wall
m
® p
Exp. wall
Inc. wall
Net exp. wall
Ceiling
Int. wall
Floor
Ceiling11KE
1142.
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
F1,1 Room I Length 1,3 / Width / Height,
dDoors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lightsof crack eq. ft.
/ I > 99 I
a
Height
"12 4111Windows
w
Coef.1 Btu :;. -
Coef. Btu
Infiltration
Glass
Exp. wall
Net exp. wall �gLzAe 140v
Int. wall
Ceiling -
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
FI r Room I Length f Width ' Height' f'/
Windows and Doors—Crackage and Area
Width Height No. of Lineal tt. Area
No. of pane of Dane Ilghte of crack eq. ft.
Y,
Coef. Btu
Tbtal Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. leader area
Net exp. wall
Int. wall
Ceiling —I/''Am m
Floormm�'
Total Btu.
Required sq. ft. 'E.D.R. or sq. ins. W.A. Leader area [ %,%o
Fl.l -7,�-Aw Room I Lenath 1191-1 Width /�71 Heights'/
Windows
d Doors—Crackage and Area
2-/
��
Width Height No. of Lineal ft. Area
No. of p ne of pane lights of crackk� eq. tL
o�• Z � Rte'
_
Coef.
Btu
Infiltration
Glass
® p
Exp. wall
Net exp. wall
Int. wall
Ceiling11KE
1142.
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
'
f V O
Width Helght No. of
No4 of pane of pane lights
2- 7
D 6 az
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
r
Coef.1 Btu
HEAT LOSS
CALCULATIONS
DEPARTMENT OF BUILDINGS
FRIDLEY, MINN.
Weatherstrips
Btu
A.S.H.V. E.
Guide
,
Construction No.
Insulation
Windows
Doors
Reference
Out. Wall
I Int. Wall Ceiling Roof Floor
Kin How Applied
No
I
No
19-
D—
I--- _ — -I
I'
Fl.
Room l Length k/ Width
Height
II -n FI_I _
Rmm I Len>:th / Ci 1-' /f,/ Height
Windows and Doors—Crackage and Area
f V O
Width Helght No. of
No4 of pane of pane lights
Lineal f . Area
of crack sq. ft.
r
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
r
Coef.1 Btu
Infiltration
oU
Glass
Exp. wall
Coef. Btu
Infiltration
Glass
Exp. wall
Btu
r.
r
,
Net exp. wall
Glass
Exp. wall
Net exp. wall
Int. wall
Int. wall
C�
Ceiling
Floor
Ceiling
Ap—
Floor
1 otal Btu. I
..
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
,�2 F1.1 Room I Length /,A / Width f...2 / Heights
Windows and Doors--Crackage and Area
.E' Koom I Length f/ f WIG
Width Haight No. of Lineal ft. Area
No. of pane of pane lights of crack sq, ft.
,
r
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
r
Coef.1 Btu
Infiltration
oU
Glass
Exp. wall
,P
Net exp. wall
Int. wall
Btu
Ceiling
Floor
,
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Fl. Room I Length. / Width�. Height /
Windows and Doors—Crackage and Area
Width Helght No. of Lineal ft. Area
No. of pane of pane. lights of crack ea. ft.
Coef.Btu
Infiltration o
Glass
Exp. wall
Net exp. wall W v
Inc. wall
Ceiling Ley
Floor
Tbtal Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Windows and Doors—Crackage and Area
.E' Koom I Length f/ f WIG
/dP'
Width Height No. of Lineal ft. Area
No. of pane of pane lighta of crack .q. ft.
r
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
r
Coef. Btu
=- Infiltration
Glass
Coef. "Btu
Coef.
Btu
Infiltration
,
Int. wall
Glass
Exp. wall
Net exp. wall
Int. wall
t�
C�
Ceiling
Floor
Total Btu.
sq. ft. E.D.Ei or& ins. W.A. Leader area � I
I.I
.E' Koom I Length f/ f WIG
rielgnr
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
-12 ,y
Coef. Btu
=- Infiltration
Glass
Coef. "Btu
Infiltration
Glass
Exp. wall
t
;
Net exp. wall
Int. wall
Int. wall
Ceiling
t�
Floor
Total Btu. 1/777
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
FI.I Room I Length Width Height
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
Coef. Btu
=- Infiltration
Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
Required sq. h. E.D.R. or so. ins. W.A. Leader area
SUBJECT
PERMIT NO.
City of Fridley
AT THE TOP OF THE TWINS
?ECEIPT
BUILDING PERMIT
r
1 ,
I
N
COMMUNITY DEVELOPMENT DIV.
i by
PROTECTIVE INSPECTION SEC.
n
� ry %�
r e
1 . �
(��f l0
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
9/11/98
JOB ADDRESS 6115 Wo dy Ln NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
6
3
Rxx1g Moore
Lake Hills
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
Dave Ran Same
571-1010
3 CONTRACTOR MtVDORESS
ZIP
PHONE LICENSE NO.
Whitetail Construction Monroe St NE Fridley
55432
571-3246 4062
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 ❑ ALTERATION Cj REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house & garage (22SQ) Tear-off
9 CHANGE OF USE FROM
TO
STIPULATIONS
Underlayment must comply with the State
Building Code.
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
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
I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION
ISTALLS
GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
$1,885.00
SURTAX
$.94
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
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-
$59.50
Fire
SC $1.88
STRUCTION OR THE PERFO MANCE OF CO TRUCTION.
PLAN CHECK FEE
TOTAL FEE
$62.32
SIGNATURE O CONTRACTOR OR AUTHORIZED AGENT IDATEI
ROPE LI AT IS IS
PE MIT
_
L EILQ9 INSP
G'
r
GATE
SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI I
NEW [ ]
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress:
Legal Description: lyd 0�-(-/-
'A)6"
Effective 1/1/98
Owner Name & Address: ae- to y4--0
— Tel. # �7 T 1,0/6
Contractor: (/(%� / ��� A� 6 �S/ ` MN LICENSE # - 906 -�'-
Address: 6 F�? O --171d/! A�r Sf ` Tel. # 5-7/` -W-W
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./ -70a
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER: V %j
00
Construction Type: (�f�i' o% ����' Estimated Cost: $
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: l j �� APPLICANT: Tel. # ;5�-��(
STIPULATIONS:
CITY USE ONLY
Permit Fee
$ .S
Fee Schedule on Reverse Side
Fire Surcharge
$ A 09
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$1000 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
$ �C
STIPULATIONS:
SUBJECT
City of Fridley
33312
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
IWZZIPT N
' `~ _____ - COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
q'3
r �
1 i �
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
763-571-3450
910-F15
1/7/03
10B ADDRESS 6115 Woody Lane NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
6
3
1 Moore Lake Hills SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Andy Asp, 6115 Woody Lane NE, Fridley, MN 55432 763-574-0439
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Quarve Contracting, Inc., 8427 Center Dr NE, Spring Lake Park, MN 55432 6016
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
763-785-1472
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
IN NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Siding, soffit & fascia, wraps, gutters
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 to 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 the application guidelines.
Call for inspection of wrap before covering.
Ventilation must meet State Building Code.
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
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
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
$16,732.00
$5.36
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-
$279.25
Fire SC $16.73
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTA EE
L6D
License .00
09.34
• SIGNATURE OF CONTRACTOR OR AUTNORIZEO AGENT iOATE.
E PR Y VALIDAT THIS IS YOUR PERMIT
OG iN5 44rE
S-GNATURE OF OWNER,iF OWNER BUILDER, (DATE,
NEW [ ]
ADDN []
ALTER [ ]
Construction Address:®�
Legal Description:
CITY:OF FRiDLEY:.
6431 University Ave NE, Fridley, MN 55432
SINGLE FAMILY AND DUPLEXES R-1 AND R -g
BUILDING PERMIT APPLICATION
Effective 1/1/2002
(763) 572-3604 Bldg Insp
Contractor.
Attach to this application, a Certificate of Surrey 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/Gmund Sq. Ft.
OTHER:
Construction Type I �'� (� f� Estimated Cost:
Driveway Curb Cut-Wid6Needed
DATE: �" �.O.Z APPLICANT,, b Tel.# (3 ° r rte"
Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will
call you for card number.
CITY. USE ONLY
Attach
Permit Fee
$
0%a5
Fee Schedule on Reverse Side
Fire Surcharge
$
2,001:-,ofPermit Valuation (1E1.0th%►)
State Surcharge
$
$.50/$1, 000Valuation
SAC Charge
$
$1200 per SAC Unit
License Surcharge
$
, '
$5.00 (State Licensed Residential Contractors)
Driveway Escrow
$
Alf 'W or Alt. "B" Above
Erosion Control
$
$450.00 Conservation Plan Review
Park Fee
$
-
1 Fee Determined by, Engineering
Sewer Main Charge
$
Agreement Necessary [ ] Not Necessary [
.. . e. i. .,
1
.. .... .d= ... 'e {..(ir:!",.A'. ?' �. F.. 3: 12. •_ :Yi .l. li.. f
TOTAL
$
qc1
0 /. 3
. STIPULATIONS.-'-
TIPULATIONS: