PRE 2010 DOCSCity of Fridley, Minae
BUILDING PERMIT®
4667
Date: .....__ `" __... _._....__._._...__
Owner: ,..... .. ..... .... -.............. Builder .............: .. ..
� _ .:...._ ...:�_....
Address_. r. w` Address ........... ...................................... _.__........_._......._.._..._::....._......._......._.......
OC O BUILDING
No... --- 1-- Street _._' .. _� .... ' {:fie......_
._....... -
._ _,,. ...�° ........... .... _' Part Lot �. -- -
Lot ::...:.:.............. Block ...--_- ............. _................. Addition or Sub -Division
Corner Lot ._..:..._............ Inside Lot .... --- --- ._........ Setback :':.:: .............. Sideyard...:..-Y:.....--....................... .......
Sewer Elevation ..... .......... ...._....................._....._............._............._.................._... Foundation Elevation
DESCRIPTION OF BUILDING
To Used as
.. r" ----... . ...... .. Front _ � . Depth ...._.. Height ... ..:. ..__ Sq. Ft., .+, :.. Cu. F'i. !`: °
...................._.
of Construction .... rot f Depth ....._: � Heigh ................ - Sq. Ft..,:..: :..... Cu. Ft. ..............
_....:..
...........
Type -. ....... Est. Cost_:... C .. e � ' o be Completed .............. ...... ........... ....................
T -IIS
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 any time upon violan of any of the provisions of said
+e
ordinances. t,
6
i
..-: ' k.;: Building 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 Items.
4
APPLICATION FOR BUILDING PERM.� �®N, ING°
CITY OF FRIDLEY, MINNESOTA
Zed Ave. Pop Aa
2500 ►pc�lis 18 -Wave
Owners Name _. _ Gate s Builder
Address _ _. Address �.
LOCATION OF.BUILDING..
o Street 2nd St. ,
No: �� ._ Part , of Lot
Rice Creek Plaza,
ti<
L6t* .2_1_ Block Addition or Sub. Div. South,, Addition
Corner Lot Inside Lot -- Set Back 351
r
Applicant attach to this form Certificate of'Survey of r6t and proposed
-building location.
DESCRIPTION OF BUILDING
To be used as
Front 451 Depths e Height 81
FtCu. Ft.
Front Depth Height--*
Sti `Ft. Cu. Ft•
-:.1ype'of Construction Frame Estimated Cost L6400_
To be completed h ginnthn
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 a4licat
are true and correct.
Date 6Z81 60 Signatul," 0 ",_ �
JA Schedule of Fee Costs can be found on the Reverse,Side)
Applcaflw for Power Plants and. Heating, Cooling. Ventilation .Rem 'oe 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 §.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. EDR 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 $ Ll --
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 $ �o
ROUGH
FINAL
Dept. of Bld/gs. Phone SII. 4j-7470 �A
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 application7v Ze. and correct.
Fridley,19'
Owner __ �/� `r✓c
Kind of Building
Used as
To be completed about
n -a
Estimated Cost, $ v,5 -o u
Old New Building Permit No.
a
Permit No. _/- 6 Q i
DESCRIPTION OF WORK
HEATING or POWER PLANTS -,Ste Hot Wa , WarmAir—No
Trade Name Size No. 7,T
Capacity Sq. Ft. E.D.R._ 400 BTU H.P.
Total Connected Load 9o> if Kind of Fuel s
BURNER — Trade Name Size No
Capacity Sq. It. E.D.R BTU H.P.
(REMARKS -OVER)
RAY N. WELTER HEATING CO.
Signed 4637 CHICAGO AVE.
MINNEAPOLIS 7, MINNESOTA
w By
42 2M 7-59 Business Phone No -,/e ✓ ' ���
CITY OF FRIDL EY
APPLICATION FOR POWER PLANTS AND HEATING,
COOLING, VENTILATION, REFRIGERATION AND
AIR
CONDITIONING SYSTE14S AND DEVICES
PARTIAL RATE SCHEDULE
GRR'VITY WARIM AIR:
RATE
TOTAL
Job Address L701 - J "d SL _ /V• CJ
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 i'iARINI 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
*Replacanent of Furnace
7.00
$
facts and representations stated in this application zrre true and correct.
Repairs & Alterations -un to $500.00
Repairs & Alterations
7.00
4.00
$
$
_
-
each add. $500.00
Fridley, Minn. , 19
SMAM OR FST WATER, SYSTEM:
3oiler & Lines up to 100,000 BTU
$12.00
$
KIND OF BUILDING _ T
each addn. 50,000 BTU
4.00
$
Buller only up to 100,000 BTU
7.00
$
USED AS
each addn. 50,000 BTU
6.00
$
QQ'',r�
TO BE COMPLETED ABOUT �� - ® 46
OIL BURNER- to 3 gal. per hour
$10.00
$
�t�no f-
�:ach.add. 3 gal. per hour
10.00
$
ESTIMATED COST 5
E
GAS BURNER- from 100,000 BTU to 199,999 BTU
$10.00
$
OLD - NEW BUILDING PERMIT NO. PER.+SII' NO.
(over 199,999 BTU see Fee Schedule)
$
GAS FITTING .PEES:
1st 3 F±xtures x
$ 3.00'
$
DESCRIUTION OF FGRI4P.CE/HUfiiJER
Az2ditio nal Fixtures x
$ 1.00
$
Gas Range to 199,000 BTU x
$10.00
$
HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No.
AIR CONDITIONING
FAN HEATING SYSTEMS�
Trade Name Size No.
See Fee Schedule
ENTILATING SYSTEMS
$
AT.TTERATIO,NS & REPAIRS
$
Capacity Sq. Ft. EDRBTU HP
State Surcharge
_
$ .50
Total Connected Load Kind of Fuel
TOTAL FEE
$
BURNER - Trade Name Size No.
ROUGH INSP. REINSPECTION FEE
Capacity Sq. Bt. EDR BTU HP
Date ($10.00)
FINAL INSP. ?—/ �p 4l
Company
-
Date
Signed By T
APPROVAL FOR PMMIT
Tal. No.
MINIMUM FEE FOR ANY HEATING PERMIT S=$7.50'AT
SURCHARGE
*Attached stack verification form
SUBJECT
City of Fridley
li
p
AT THE TOP OF THE TWINS
BUILDING P E R M I T
rp
ECEIPT NO.
• COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
%J
� �
i ,
1 CITY HALL FRIDLEY 55432
It.... A, '''
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
3/18/80
JOB ADDRESS 6701 - 2nd Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
23
3
Rice Creek Plaza South SHEET
2 PROPERTY OWNER MAILADDRESS ZIP PHONE
Wm. Gates 6701 - 2nd Street N.E. 571-2198
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Donald Bostrom Construction Co., Inc. 1218 - 153rd Lane N.E.
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
434-5986
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW O ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
X
6 DESCRIBE WORK
Construct a 14' x 22' Addition to back of House
9 CHANGE OF USE FROM TO
STIPULATIONS
SEPERATE
EATING, P � �a`�:�.�;� �`VIRING$ �Igbori��
� A���4� � �eFO's
���rar�
��Pt
cx� �C�py�f�lV��u���17C�yr
Ql�'%�ll'1e9
GAS SCh
D
, ,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANIV 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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$9,400
$4.70
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.
$57.00
NONE
PLAN CHECK FEE
TOTALFEE.
Ed
$14.25
75 95
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
WHEN PROPERLY LIDATED THIS IS YOUR PERMIT
BLDG WSP DAT
SIGNATURE OF OWNER IIF OWNER BUILDER) )DATE)
CITY OF FRIDLEY
APPLICATION FOR RESIDLNTIAL BUILDING PERMITS
Setback:
Sideyards:
(New, Alterations, Additions, or
Repairs)
Certificates of
Survey of lot and
OWNER:C Gl + F BUILDER:
;7*
f^�Z�s•a�G
DESCRIPTION OF
d
ADDRESS: '1 C, I ADDRESS:
W- 45
Ze?be
Front:,—l—</ `-6i
f4am
0
MI h h 6-s-3 ez�
TEL NO: �`� � — � i � � TEL NO:
337 <l
,7
y 1
Construction Location
STREET NO: lei G' 1 STREET: �(C ( ��✓�
LOT:.� BLOCK: ADDITION. C Ge L',k 67.jCG
Corner Lot: Inside Lot:
Setback:
Sideyards:
Applicant attach to this form two
Certificates of
Survey of lot and
proposed building location drawn on certificates
to scale.
DESCRIPTION OF
d
CONSTRUCTION
Front:,—l—</ `-6i
Depth:
C Height:
/
Square.Feet: Cubic Feet:
Front:
Depth:
Height:
Square - Feet:
Cubic Feet:
r
Type of Construction: r l4 d'
Estimated
Cost: $e=
L(�(:� _
To Be Completed:
Alt. A
Alt. B
Proposed Driveway Width If New Opening Is
Desired:
$
$
SEE REVERSE SIDE
OF SHEET .
9ilie undersigned hereby 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- rrect.
," i
DATE: � � I�, f ! SIGNATURE:
7
Stipulations:
?49W 4. ,
c� vii ,a
Pavi C4 e 14.2
I=
V
Ar
PytT Lv," gq1I pip
Iraun`puo/
-,'tql ivy", hqd-,r?y I
13
f
Ji7
51w.7 -p'
N I ® I 142
V
�Ututjvm puoT
,'.Y
R4
i
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 DESIGN 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: 7 C _ 7' re e AE
OWNER/CONTRACTOR:
ADDRESS:
A. Determine the Total Exposed Wall Area as follows:
PHONE:
1. Total wall window area
2. Total door area
3. Total sliding glass door area
4. Total fireplace wall area
5. Total wall framing area(average.10%)
6. Total net wall area above floor(average 900)
7. Total rim joist area
Subtotal: Total exposed wall area above floor
8. Total foundation window area L40 p
9. Total net foundation area above grade
Subtotal: Total exposed foundation area
GRAND TOTAL EXPOSED WALL AREA
I
0
/� (/_ y5 6
B. Multiply the GRAND TOTAL EXPOSED WALL AREA X .17 =
C. Determine the Total Exposed Roof/Ceiling Area as follows:
)00
Item I,
10. Total skylight area
11. Total roof/ceiling framing area (10%) 3'
12. Total net insulated roof/ceiling area
GRAND TOTAL EXPOSED ROOF/CEILING AREA
D. Multiply the GRAND TOTAL EXPOSED ROOF/CEILING AREA X .05 - Item II`?_
4
s
E. Determine the "U" value of each segment (1-9) and multiply by the area as
follows:
1. x $full _
2. , x "U" -
3 . ( �) X you" r✓ ---.. ��'
4. x fluff _
5 . A;x touts 9D _ 'L�_10 �
," 4�
6. cj e x "use 07-5
= .tlg18. x gluey
a
9. 70 x „u"� � q - a?,4o
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. I x "u" _
11. I° x "U" _
12. i a� c x .oUt1 d _ p�gc
/ •`f ��
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. 1 1 ,:. UC)
1 CSU 119,
I. Add Item I ;, + Item II 44�
d
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: /�L`'/l� DATE:L�
W
Effective Aug. 1. 1991
CITY OF FRIDLEY
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND
AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
\ESIDENTIAL
RATE TOTAL
Furnace Shell and Duct work.
Burner (Also replacement furnace)
$
20_i00
$
Gas Piping
$.10.00
$
(piping needed with new furnace)
Gas Range
$
10.00
$
Gas Dryer
$_
10.00
$
• Air Conditioning (all sizes)
$
10.00
$
All others/Repairs and Alterations
11 of Value of Appliance or work
$
COMMERCIAL/INDUSTRIAL
It of Value of Appliance or Work S
State Surcharge S .50
TOTAL FEE $ 0116 15b
Reinspection Fee 0I S.00) $
Rough Insp.
Date
Final Insp. IIs 7
- Date
Approval for Permit
MINIMUM FEE FOR ANY HEATING PERMIT IS $10.00
PLUS $.50 STATE SURCHARGE
Attach stack verification fo m with replacement furnace permits
*Air Conditioners can net be placed in side yard without
written permission from adjoining neighbor.
Job Address (0 910 1 1P S� • '" G
Department of Buildings, 6431 University Ave. U.S., Fridley. MH SS432
City of Fridley
Tel. 0571-3450
The undersigned hereby waked application for a permit for the work herein
specified agreeing to do all work in strict accordance with the City Cedes
and rulings of the Department of Buildings, and hereby declares that all the
facts and representations stated in this application are true and correct.
OWNER
KIND C
Fridley. Minn. ) 6 )Al . 1910
USED AS
70 BE COMPLETED ABOUT I C)
ESTIMATED COST
OLD - Midi BUILDING PERMIT N0. PERMIT NO.
DESCRIPTION OF FURNACE/BURNER
HEATING or POWER PLANTS. Steam, Not Mater Mar•Ai - No.�
Trade Name ' J fi f ail ,1 site Mo. 3 5d d a,4U lo
Capacity Sq. Ft. EDR STU HP
Total Connected Load Rind of Feel • �"f�
BURNER - Trade Name Size No.
Capacity Sq. Ft. CDR STU HP
o�
e
SUBJECT
P-EfalT NO.
City of Fridley
2
AT THE TOP OF THE TWINS
BUILDING PERMIT
f
EIPT NO.
COMMUNITY DEVELOPMENT DIV.
L
q�j
r PROTECTIVE INSPECTION SEC
,
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
990-F15
4/29/97
JOB ADDRESS 6701 2ND STREET NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
23
3
1 Rice Creek Plaza South Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
William Gates 6701 2nd Street NE
767-7500
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO.
Same (Mail receipt to 10515 Redwood St NW, Coon Rapids, MN
55433)
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
I] NEW ❑ ADDITION ❑ ALTERATION REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reside House
9 CHANGE OF USE FROM TO
STIPULATIONS
Install building wrap and have inspection of same
unless
manufacturer's specifications state it is not required.
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
$2,240
$1.12
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-
$74.75
Fire SC $2.24
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTAL FEE
$78.11
%ATUREOFCO%ACORAUTHORIZEDAGENT IDATEI
WHEN PROPERLY (DATED THIS IS Y�IT
&L
_ BLD iNSP
OA TE i
1
S GNATURE OF OWER BUILDER( (DAT EI
o�
e
NEW [ ] Effective 1/1/97
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: }'Y c -"i 1— �-4ck 12�\ C4
Legal Description:
Owner Name & Address: Tel. #
Contractor: /(� �/� ��- �� ����o �� L MN LICENSE #
Address: �/2 � ���� Tel. # _
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: Y-� ",
Construction Type:
Estimated Cost: $ 2--1- t{ 6
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: APPLICANT: 1, #�o� — p
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
$950 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 [ ]
SUBJECT
PER .
City of Fridley
7 2 71
AT THE TOP OF THE TWINS
P,
B U I L ®I N G
E R
M I T
f
I
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
o ,
NUMBERDATE
PAGE OF
APPROVED BV
�1 CITY HALL FRIDLEY 55432
tis___ 0 �'' 612-571-3450
910-F15=8/18/98
JOB ADDRESS
6701 2nd Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
23
3
Rice Creek Plaza South Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
Judy Johnson572-8027
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO.
Bo's Construction 2218 22nd Ave, S. Xpliq MN 99404
7ng-5017
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP
PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP
PHONE LICENSE NO.
6 USE OF BUILDING
Resident a
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR
❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Reroof house and garage (24 Sq) 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 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
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
$2001
$1.00
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 PERF MANCE OF CONSTRUCTION.
$74.75
Fire SC
$2.00
s�
PLAN CHECK FEE
TAL FEE
®/
Lice $'5
0
Y$82.75
SIGNATUR CO 'RA TOR OR AUTHORIZED AGENT IDATEI
HE P
V
ED THIS IS
UR P IT
BW6G INS
Zb D
i+
MATE
SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI
NEW .0 � ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: 7J 4) 5� . N
Legal Description:
Owner Name & Address: _ 1) oe 1040,500 Tel. # 77.'� _ wU a
Contractor: 60 S CC9� �, f -vKc `116, -i MN LICENSE # G / c) C
Address: . (� ` - S /�4'0 [S Y® `-( Tel. # 70- -50 37
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF E%IPROVEMENT
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: �� �'���� Estimated Cost: $�'®C�/
(Fee Schedule on Back)
Driveway Curb Cut Width Needed:
Ft. + 6 Ft = Ft x $ _ $
DATE: APPLICANT:
Tel. #
CITY USE ONLY
Permit Fee $ �S�
Fee Schedule on Reverse Side
Fire Surcharge $ 00
.001 of Permit Valuation (1/10th%)
State Surcharge $ /, Q Q
$.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 $ e> ,
STIPULATIONS:
SUBJECT
P NO.
City of Fridley
2 7 9 4 6
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
O -7
E
rr- ------COMMUNITY DEVELOPMENT DIV.
INSPECTION SEC.
l - PROTECTIVE
l/fes
1 i i
NUMBER
REV
DATE
PAGE OF
APPROVED BY
' 1"'I CITY HALL FRIDLEY 55432
IL'"""1 ,''
,
612-571-3450
910-F15
9/23/98
JOB ADDRESS 6701 2nd St NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
23
3
Rice Creek Plaza, South Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Judy Johnson 55432
572-8027
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Owner Same
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 REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Replace boards & rail on deck (15' x 4'); Replace siding on front
of house
9 CHANGEOFUSEFROM TO
STIPULATIONS
Reside - Call for building wrap inspection before covering.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
S0. 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
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
$1,000.00
$.50
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-
$34.75
Fire SC $1.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTAL E
$36.25
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT /meg/ IRATE,
EN ROPE ALIDAT
IS IS R PERMI
P
NAT!2 E OF OW ERBF OWNER BUILDER, IDATEI
LO INSP
rOCTE
NEW [ ] Effective 1/1/98
ADDN [ J CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION /IL
ConstructionAddress: Lj `Z®\ a j\a SA -
Legal Description:
Owner Name & Address: ���
W 161 (%N&N
c���S� 55c13,.,\ Tel. #
Contractor:
_MYLICENSE #
Address:
Tel. #
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:
Lengthrj
1 Width! Hgt/Ground Sq. Ft.
OTHER:
-°-eg �060'k,s cW`a Kcal,
Construction Type:
Estimated Cost: $ o GO —00 --
(Fee Schedule on Back)
Driveway Curb Cut Width Needed:
Ft. + 6 Ft = Ft x $ _ $
DATE: qc�3t"_APPLICANT:
�.�a Tel. # .5 `7
CITY USE ONLY
Permit Fee
$ 3%'
Fee Schedule on Reverse Side
Fire Surcharge
$ %
.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 [ ]
la Z
TOTAL
$
STIPULATIONS:
Building
MECHANICAL
Permit No.: 4
Inspections
RESIDENTIAL APPLICATION
Received By:
763-572-3604
CITY OF FRIDLEY
Date
763-502-4977 FAX
EFFECTIVE 2-19-09
DATE 2- ® 7 YOUR E-MAIL ADDRESS %1 �ES�IS e/n
SITE ADDRESS V I G_Rji 7)T- AJC C
�T/
THIS APPLICANT IS: ❑ OWNER 0CMTRACTOR
PROPERTY
NAME: , J C
OWNER/
ADDRESS: �C)1 Z Aj Q -3 (' 6 CITY E a I U e W STATE&Lell`
`N
PHONE: '7 to 3 x-005- ( 3j 4
CONTRACTOR
COMPANY NAME: 16 COM 7- S S
CONTACT PERSON: f V
SUBMIT A COPY OF
YOUR STATE
STATE LICENSE # EXP DATE
LICENSE WITH
` Q
6 STATW"A_1ZIP t)
ADDRESS: �Z E ) ✓ %Z Ji CITY NXA
APPLICATION
FAX
PHONE
PERMIT TYPE
INGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK:
❑ NEW LACEMENT ❑ ALTERATION/REMODEL
DETAILED DESCRIPTION OF WORK U ce_
FEES ARE BASED ON $10.00 PER FIXTURE, XCEPT WHERE NOTED. FIXTURES: INDICATE TOTAL NUMBER OF EACH BELOW)
'714&0Q974
Equipment Installed MFG: -e v b MOD�jEL::. / V -- 3co a o 71 SIZE/BTU
MFG: Nil; MOI /— 6 YZ-30 SIZEBTU Zet, 0 ct) 1-14
MFG: MODEL: SIZE/BTU
A/C $25.00 _FIREPLACE (GAS) $15.00 _GAS RANGE/OVEN $10.00
AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 _NEW GAS GRILL $10.00
$35.00 FURNACE $35.00 _GAS UNIT HTR $10.00
_BOILER
CHIMNEY LINER $10.00 _GAS DRYER $10.00 _POOL HEATER $35.00
_DUCT WORK $10:00 GAS PIPING $10.00 VENTILATOR $15.00
v
�C
614 "' � .. x
��/ i....
yz
52
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 Ci of Fridley and with the Minnesota Construction Codes; that I understand this is
not a permit but only an application pe an w r is not to start without a permit; that the work will be in accordance with the
approved plan in the case of all wor w 'ch re uires r w and approval of plans.
j/� ( '/�
SIGNATURE OF APPLICANT PRINT NAME (5 4 lAll (� U&S b N DATE
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604 FAX: 763-502-4977
J
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
3. Venting
a. Gas appliances IFGC Chapter 5 with MN Amendments
b. Fuel other than gas IMC Chapter 8 with MN Amendments
REQUIRED FOR NEW HOMES
4. Heat loss & cooling load per room
a. Required on new construction IMC 1346.0312
5. Ventilation
a. Per MN Energy Code 7670 or 7672
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.