PRE 2010 DOCSCity of Fridley, Minn. No 8944
BUILDING PERMIT
Date: JULY 28, 1966
Owner: JAMES R. HENTGES Builder DAILEY HOMES INC.
Address _ _4 6_1 - 24 Street N. E. Address $S10 Central AYgmue X • E
Fridley, Minnesota 55421 Minneauolis, Minnesota
LOCATION OF BUILDING
No. 4561 - Street 2� Strett K. 9 _ part of Lot
Lot 13 _ Block 1 Addition or Sub.Division . Re -Arrangement of Blocks 13 ,14,15,
Corner.Lot _ - Inside Lot -._. X Setback 35' ._ Sideyard Pl�. 4uth Addition
Sewer Elevation Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
DWELLING Front 46'112"Depth 25' 1 Height 20 Sq, Ft. 1,150 Cu, Ft 23,000
Front Depth Leight Sq. Ft. - Cu. Ft.
Type of Construction FRAME Est. Cost _ 15 000--- 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 21 provisions of
ordinancsea of the city of Fridley. A .4
In consideration of the payment of a fee of $ 23.00 permit is hereby granted to DAILEY HOMES, INC.
to construct the building or addition as described above. This rmit is granted ups
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 re location, conatruct%n, alteration, mnainteaance, repair sad movlug of buildings
within the city limits and permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
CL,ARENCE BELISLE Building Inspector
NOTICE:
'fhb p"O don not .over the candrueHee, hutaliatloa for vrhina, phnnhtng, on heating, waver or crater. Bo arra to sera
the Bonding hopaatar for separate pmft for these hum
APPLICATION FOR BUILDING PERMIT
-CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME BUILDER
ADDRESS �42 Z,� ADDRESS �<16
LOCATION OF BUILDING
N0. _ �' STREET �� PART OF LOT
LOT_ % BLOCK f ADDITION OR SUBDIVISION
CORNER LOT INSIDE LOT_ f / SETBACK 3SIDE-YARD
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Two Certificates of Survey of`Lot and proposed
building location drawn on these Certificates.
To be used as;
DESCRIPTION OF BUILDING
Front ��%�/Z Depth% gTieightJFE5 :;,10
Sq. Ft. //15'(2 Cu. Ft. --'-�--3, a
Front Depth Height
Sq. Ft. Cu. Ftt�.((
Type of Construction "11/ A�q Estimated Cost%/- 0 p 0 / 6 0
To be completed
The 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 correct.
DATE
(Sc edule of Fee Costs can be
o
found on the Reverse Side).
�f
-Application for Power Plants and Heating, Cooling. Ventilation. Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SU 4-7470
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 ............
each add. 60,000 BTU .......................
Replacement of Furnace .............................
Repairs & Alterations—up to $500.00 .................
Repairs & Alterations each add. $500.00 ..............
8.00 $
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.
2.00 $ Owner _
5.00 $ Kind of
5.00 $
Used as
2.50 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR Steam ..... 8.00 $
1, 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
ROUGH
Fridley, 112'inn /J ®�`19"
To be completed about
Estimated Cost, $
Old ew. Building Permit No. G Permit No. 71 E
DESCRIPTION OF WORK
HEATING or POW3M PLANTS --Steam, Hot Water, Warm Air—No
Trade Nam Size No /11
Capacity �° Sq. Ft. E.D.R BTU ® Hy
Total Connected Load C9 ��'� Kind of Fue
BURNER —Trade Name Size No
Capacity Sq. F't E.D.R BTU H.P
, m <2
FINAL
(REMARKS -OVER)
Signe
By 8419 CENTER DRIVE
MINNEAPOLIS 32, MINNESOTA
Business Phone No
D•56
HEAT LOSS
CALCULATIONS
DEPARTMENT OF BUILDINGS
el
FRIDLIKY, MINN.
Weatherstrips
Coef.
A.S.H.V.E. i
Guide
Reference
19—
Infiltration
Construction No.
Insulation A
Windows(
Doors
Out. Wall Int. Wall Ceiling Roof Floor
Kind How Applied
Yes—No
Yes—No
�_
i
F0 G .` tE..::, x
Room, -Length Width
,%� Height
F1.1 >
Room Length Width Height'
Windows and Doors—Crackage and Area
Width Height No. of Lineal f . Area
No. of pane of pane lights of crack sq. ft.
Width Height
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
Coef.
to
Infiltration
Coef.
Btu
Coef.
Glass
Btu
Infiltrationf
i
Exp. wall
�_
i
Net exp. wall
Net exp. wall
Glass"
yo
0
Int. wall
Ceiling'
Exp. wall
Net exp. wall
Ceiling
Floor
Int. wall
e
Floor
lint. wall
Windows and, Doors--Crackage and Area
Width Height
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
No. of pane of pane
llghte of crack sq. ft.
Coef.
Coef.
Btu
Coef.
Coef.
Btu
Infiltrationf
i
Coef.
Btu
Infiltration
Net exp. wall
Glass .`
Glass"
Int. wail
Exp. wall
Exp. wall
Ceiling'
Exp. wall
Net exp. wall
Net exp. wall
Floor
Int. wall
Total Btu.
Net exp. Vill'�
Int. wall
lint. wall
Ceiling
Floor
e0
v
Floor
Total Btu. Total Btu. 1/
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
le
F1.1 '� . F Room I Length Width Height' H,I _, m I Length ?, Width Height
Windows and Doors—Crackage and Area
Width Height
No. of Lineal ft. Area
No. of pane of pane
llghte of crack sq. ft.
Coef.
Coef.
Btu
Coef.
Btu
Infiltration
Glass
i
Coef.
Btu
Infiltration
Net exp. wall
s
Glass"
Int. wail
Exp. wall
Exp. wall
Ceiling'
Ceiling
Net exp. wall
Net exp. wall
Floor
Int. wall
Total Btu.
Ceiling
Floor
Total Btu.
/ 0 Ir a''a ,, _ a 7 °14/:,.t -, 14 tl___t. Iv
W ndows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane 11 to o; crack sq. ft.
Width Height No. of Lineal ft. Area
No. of pane of Dane lights of crack sq. Rt.
IRV en
Coef.
Coef.
Btu
Coef.
Btu
Infiltration
Glass
i
c% i
Exp. wall
Glass
Net exp. wall
s
-,
Int. wail
Exp. wall
Ceiling'
Ceiling
Net exp. wall
Floor
Total Btu.
lint. wall
Ceiling
e0
v
Floor
Tbtal Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
�A
Windows and Doors--Crackage and -Area
Width Height No. of Lineal ft. Area
No. of pane of pane 11 to o; crack sq. ft.
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
IRV en
Coef.
Coef.
Btu
Infiltration
_)�
</
Glass
i
c% i
Exp. wall
Net exp. wall
Net exp: wall
) 0
Int. wail
Int. wall
Ceiling'
Ceiling
Floor
Floor
Total Btu.
Total Btu. 7
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
FI.L� t rA� . Room I Lenxtth -, Width o f Height
indows anCOmm—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane 11 to o; crack sq. ft.
IRV en
Coef.
Btu
Infil ration
W
Glass ��
,6
Exp. wall
Net exp. wall
Int. wail
Ceiling'
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. WA. [Leader area
�=
- 0
SUBJECT PERM ..
City of Fridley
1261'7
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
�
N0.
• COMMUNITY DEVELOPMENT DIV.
jRECEIPT
r PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
�`�
NUMBER
REV.
DATE
PAGE OF APPROVED BY
"-'� 612-560-3450
910-F15
JOB ADDRESS 4561 - 21-2 STreet N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
13
1
1 Rearrangement of Bls. 13,14,15, YyA Plym6kNE
2 PROPERTY OWNER MAILADDRESS ZIP PHONE
James Hent es 4561 - 22� Street N.E.
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
7 CLASS OF WORK
C( NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a detached garage 24' x 24'
9 CHANGE OF USE FROM TO
STIPULATIONS
Provide a hard surface driveway
SEPERATE PERIAI TS REQUIRED FOR WRING,
HEATING, PLUMBING AND SIQNS.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
Wood Frame
ZONING
SQ. FT.
CU. FT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
576
5760
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
R-1
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
]
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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$3,052.80
1.52
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-
STRUCT ON OR THE PERFORMANCE OF CONSTRUCTION.
$11.00
PLAN CHECK FEE
TOTAL FEE
A -& - / &&14.-�$12.52
SIGNATURE OF CONTRACTOR OR THO RIZE AGENT (DATE)
WHEN PROPERLY V IDA D THIS -1 YOUR PERMIT
BLDG INSP DAT
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE)
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAM: —BUILDER:v 5 s�
ADDRESS: 1z_ iL CR ADDRESS : ! 8sd o F4 — ZT-f OL"J"
NO:. STREET : ST-'
LOT: 1`3 BLOCK: / ADDITION:
CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD:.
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As: 1).Q- 0-cJ—i�
Front: )4 Depth: Height:
Square Feet:Cubic Feet
Front: Depth:
Square Feet;
Cubic Feet:
Height:
Type of Construction: e— Estimated Cost: $
To Be Completed: �� �4-Gi -S
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in stgict 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 correct.
DATE: j a-4 7 -5/ SIGNATURE:
\13 I 4kx
(See Reverse Side For Additional Information.)
.. -110°,
SUBJECT
City of Fridley
IC
1
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV
.
r I PROTECTIVE INSPECTION SEC
L1079
r
' I CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910415
9/4/96
JOB ADDRESS 4561 2 1/2 Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
13
1
Rearrangement of Plymouth Blocks 13,14,15 SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
James Hentges 4561 2 1/2 Street NE
572-7978
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 p REPAIR
11��
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House & Garage (28 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
$.87
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$1,736
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-
$56.75
Fire SC $1.74
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
$59.36
S ATURE OF CONTRACTOR OR AUTHOR Z D AGE T IDATEI
HEN PROPERL �LIDATED THIS IS YOUR PERMIT
4
&/"
gtD INSP
'0 y
DATE
' 1 Si AT E O OWNER i F OWNER BUILDER) 4L(DATEi
NEW [ ]
ADDN [ ]
ALTER []
ConstructionAddress:
Legal Description:
Owner Name & Address:
Contractor:
Address:��
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Effective 3/1/96
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application V6 7
Q
fi►''' N
MN LICENSE #
4
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF MIPROVEMENT
Length Width Height
Length Width Height
Length A p Width Hgt/Ground
Comer Lot [ ] Inside Lot [ ]
Type of Construction:
Approx. Completion Date: _
5-%2_ -"/ 7Z>-
MN
lY
Tel. # ,�-72- 2 271
Sq. Ft.
Sq. Ft.
Sq. Ft.
Ft. Yd Setback Side Yard. Setbacks
Estimated Cost: $ `7 3
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x = $
DATE: �'� eG—� APPLICANT: Tel. # 6-72 , 797t
,ell 101'
CITY USE ONLY
Permit Fee $ , ` Fee Schedule on Reverse Side
Fire Surcharge $, 1. L .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
STIPULATIONS:
CITY OF FRIDLEY INSPECTION DIViSION
61431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
(763) 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
Residential
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace.
(Side Vent - Fill Out Back)
Gas Piping (Needed with new furnace,
but not replacement)
Gas Range
Gas Dryer
*Air Conditioning - All Sizes
All Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work
Commercial/Industrial
1.25% of Value of Appliance or Work
Rate TOTAL
$ 30.00 $ `6
$ 10.00 $
$ 10.00 $
$ 10.00
$ 25.00
State Surcharge
TOTAL FEE
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $47.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
JOB ADDRESS `T S U I Z h, J, I
OWNER UAV i l,kS fi I��I��PS
BUILDING USED AS RM/l/V6
Effective On January 1, 2002
ESTIMATED COST PERMIT NO. ' . 0
DESCRIPTION OF FURNACE AND OR BURNER'
No. of Heatingnits ) Circle One (Steam) (Hot Water) ' ',Warm Air)
Trade Name _ ;�.V IV ( fl Size No.
BT 0U HP EDR
Fuel Total 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 an
rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are true and correct.
FLAINE HTG. A/C DATELECT., INC.
13562 CENTRAL AVE. N.E
HEATING CO ANOKA. MN ssana
Signed r�%ep-- TEL
FAX
i c
Approved By Rough -In Date Final Date. (8-9-0;1-
THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE
APPLICATION WILL BE RETURNED
When rre la _ing an existing furance, 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 ( No ( )
The venting system is plastic/PVC and meets all current codes and manufacturer
specifications including sizing, length, number of elbows and termination.
Yes ( No( )
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 romhustion air,itwill be sized and installed
to meet the current codes and manufacturer's specifications.
Yes ( No( )
e
When installing a new venting %ystem, the undersigned hereby verifies that
it 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 ( )
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 6 No ( )
Appliance Type and Size/Common Vent and Vent Connector Information
Appliance #1 Type BTU Input(� Fan Assisted or Nat
Appliance #2 Type BTU Input Fan Assisted or
Nat
Appliance #3 Type BTU Input Fan Assisted or
Nat
Total Appliances Total Btu Input
Common Vent Type Vent Height Diameter
inches
Appliance #1 Vent Connector Height ft Length ft Diameter in .Type
Appliance #2 Vent Connector Height ft Length ft Diameter in ' Type
Appliance #3 Vent Connector Height ft Length ft Diameter in Type
ALTERATIONS- (nesrribel 41I U N"
RAL AVE.
HEATING CO: ' A OKA. NAE! 55 04N.r
Signed By: Date