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PRE 2010 DOCS• • • I-ty of Fridley, Minn. BUILDING PERMIT N® 6775 Date: �?—s a —6 '-sr eza--X-e=� Address 9 Address O ION OF BUILDING No. t ' Street ° .e P t a Lot _ Block Addition or Sub -Division .0Corner Lot Inside Lot Setback , _ Sideyard _ Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING T Used i Front Depth Height Sq. Ft. Cu. Ft. 16' Fro Depth Height�� Sq. Ft. Cu. Ft. Type of Construction _ Est. _ zero be Completed In consideration of the issuance to me of a permit to c Yete build work in accordance with the description abov set and in the city of Fridley to do ns of 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 F hin the dty ]imita�sn�this permit may be revoked at any time upon violation of any of the provisions of said inances _ r�i Building Inspector NOTICE: fhb permH does not corer the eenstroeHoe, hataiiatien for whing, phunhing, gas heating, sewer or water. Be cors to as Hn BuihUng hrspestor for soperato permhs for these Nems. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER ° S PIAMEW BUILDER ADDRESS GjG.�o •�,rmt �® � ADDRESS LOCATION OF BUILDING No. �j/i� ,�, ,� _A&d Street s Part of Lot T. Lot Block Addition or Subdivision - y► -ice Corner Lot Inside Lot—A.—Setback 5 0' _Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed build- ing location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as: -?e "fit ;P,5 2 g' ` e" z-: Front 44 _-J Depth 2 Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Estimated Cost ,/ Z ooa 4 To be Completed G% 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_`- `�- Ca _ S ZGNATLIRE /f (Srhedule of Fee Costs can be found on the Reverse Side). a� City of Fridley, Bib m.. zX9 10383 BUILDING PERMIT • Date: Aug. 2$ 1969 Owner; Mr. Charles D. HoweBd� Same Address 4560 3rd St N E. Address Same • • LOCATION OF BUILDING No. 4560 street 3rd Street N. E . _ _ part of Lot Lot 2 Block 1 ___. Addition or Sub_Division . Plymouth Addition Corner Lot _ Inside Lot — X Setback 35' _ Sideyard -- Sewer Elevation ___ — Foundation Elevation To be Used as: Car Port Type of Construction DESCRIPTION OF BUILDING Front _.._17.6 'Depth 181 Height 10 r Sq. Ft. Cu. Ft Front Depth Height Sq. Ft. Cu. Ft Est. Cost 00, 00 _ To be Completed Nov. 1. 1969 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 ah provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ 5-00 ., permit is hereby granted to Charles Howe 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 violation of any of the provisions of said ordinances. Building Inspector Hank F. Muhich C 4o, -r co 7, c p C',4 Pc lfe Lf NOTICE: M perm(t doss not cover the construction, installation for wiring, phunbh+g, gas hosting, sower or water. Be sure to see the Building Inspector for separate permits for these home. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER Is NAME��? ADDRESS �1�&Q ��%� /f//^ ADDRESS LOCATION OF BUILDING LOT BLOCK 1 ADDITION OR SUBDIVISION'_ f CORNER LOT INSIDE LOT it SETBACKAJ: &EIRDEYARD SEWER ELEVATION TOP OF FOOTING 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: 0 hk Pogg % Front % 7 o,S— Depth x- Height J' Square feet Cubic Feet Front Depth Height Square feet Cubic Feet Estimated Cost -'0 0.,= Type of Construction 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 e?,i'f' (SchedulVof Fee Costs can be found on the Reverse Side.) A o .t b q 5 G r 112 SUBJECT City of Fridley o i 5 6 6 AT THE TOP OF THE TWINS BUILDING P E R r , EIPT •COMMUN ( VV ......, ITY DEVELOPMENT DIV. 1 r 1 PROTECTIVE INSPECTION SEC. 7'��� 1 i � 16 V CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 14/14/80 JOB ADDRESS 4560 - 3rd Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 1 Rearr. Of Blks. 13,14,15, Plymouth SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Charles Howe 4560 - 3rd Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Milton L. Johnson Co. 2513 Central Avenue N.E. 781-9548 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 ElNEW ❑ ADDITION S ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE ❑ 8 DESCRIBE WORK Install aluminum trim 9 CHANGE OF USE FROM TO STIPULATIONS 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 $.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $997.00 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 PERFORMANCE OF CONSTRUCTION. $7.5Q PLAN CHECK FEE TOTAL FEE $8.00 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI WHEN PROPERLY VALIDATED THIS IS PERMIT Itq�/ �Y/O/UR -/4-6® BLDG INSP GATE SIGNATURE OF OWNER 0F OWNER BUILDER( (DATE) 112 CITY OF FRIDLEY APPLICA'T'ION FOR RESIDENTIAL BUILDING PER11ITS (flew, Alterations, Additions, or Repairs) OWNER: to 6' ADDRESS:S� r• TEL NO: BUILDER: ADDRESS: o'S/3 TEL NO: % f Construction Location STREET NO: S -(n STREET: '3 LOT: BLOCK: % ADDITION: &AU - of L<S m(Y_� 4 Corner Lot: Inside Lot: Setback: Sideyard$: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION Front: Squane.Feet: Depth: Cubic Feet: Front: Depth: Square -Feet: Cubic Feet: Height: Height: Type of Construction: ��il/� '� Estimated Cost: $ To Be Cbmpleted: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET 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: Stipulations: SUBJECT PE City of Fridley 15991 AT AT THE TOP OF THE TWINS BUILDING PER M _ RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. � I � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L J� 612-571-3450 910-F15 10/30/an JOB ADDRESS 4560 - 3rd Street N.E. 1 LEGAL LOT NO. BLOCK RACT OR ADDITION SEE ATTACHED DESCR. 2 1 �'Rearr.of Blks. 13,14,15, Plymowth SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Charles Howe 4560 - 3rd Street N.E. 560-7226 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Mr. Repair All 3900 - 52nd Avenue North 937-1240 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 ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Add wall to back of carport 9 CHANGE OF USE FROM TO STIPULATIONS Contractor is not licensed to do work in Fridley. SEPERATE PERMIT REQUIRED FOR MRING, HEATING, PLUMBING AND SIGNS, Before digging call Iml 010i' § TELEPHONE - ELEWIC x 6A§ Ek; RECAUIRED BY LAW 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $400 $.50 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- $7.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $8.00 ZIURE OF CONTRACTOR ORS ORiZ AGENT Z(D WHEN PROPERLY A� THIS IS YOUR PERMIT BI IG INSP I 0A E. GNATURE OF 01NER IIF OWNER BUILDERI "AT EI CITY OF FRIDLEY APPLICATIM FOR IICSI[)17TIAi_ (3UILDIIIG PER14ITS (NewAlterations, /additions, or Repairs) .- , A/0 ADDRESS: 2 y �� TEL NO: S o`? 2 BUILDER:/'�1%e��lzl ADDRESS: 3_P610 TEL 1.40: J-3 % =/02 3z6 .Construction Location START NO: STREET: LOT: c� BLOCK: ADDITION: 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 CONSTP.UCTION ®� Froat: Depth: height: ��- rdTsare. Feet: Cubic Feet: Front: Depth: Height: Square -Feet: Cubic feet: Type of Construction: 1.�� Estimated Cost: $ To $e Completed: � ih Cl-\� Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET The undersigned hereby makes application for a permit for the %.nrk* 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. DANTE: �jp l� C� SICNATUrq: �p `? Stipulations: MR. REPAIRAtt 3900 52nd Ave. No. • Minneapolis, MN 55429 • 537-1240 T, tff- A.'e. ON# If -)All C, �CIG1-o ed Is /"--3 cI-F►RpAiGE f60(le GoA)'c1PL-?C !Lr onb 4 ,P,6 y y vpLiF7 /a7� ��s's MoAeL c/3W Cb�u�e�J��►5L= up L I FT :5'63o t-,ia `S "YOU NAME IT — I'LL FIX IT" Effective Auq. 1. 19"1 CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE .4 USIDENiTIAL RATE TOTAL Job Address �Cc�s�� 5r:nZ- s / [/, e= Furnace Shell and Duct fork, i� Burner IAleo replacement furnace) 20.00 $ Department of Buildings, 6411i University Ave. N.E.. Fridley, KN SSU2 S /�_ City or Fridley Gas Piping//"�'�10.00 $ Tel. 1571-150 (piping needed with new furnace) Gas Range $ 10.00 $ The undersiqned hereby maked application for a permit for the work herein specified agreeinq to do all work In strict accordance with the City Codes Gas Dryer $ 10.00 $ and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. •Air Conditioning (all sizes) $ 10.00 S Fridley. Kinn. 7 1 � All Others/Repairs and Alterations OWNER 1s of Value of Appliance or Mork S KIND OF BUILDING CONMERCIAL/INDUSTRIAL USED AS = �,g, 42- 10 of Value of Appliance or Mork S TO BE COMPLETED ABOUT ESTIMATED COST 2 4� State Surcharge $ .50 OLD -NEW BUILDING PERMIT N0. PERMIT NO. ,G Tom >rn $ Reinspection Fee ($15.00) $ - DESCRIPTION OF FURNACL/BURNER Rough Inap. Date Pinel Inap. 3-31-96 ate Approval for Pera+it� Advanced Heating & Air Conditioning, Ing p 7805 Beech St. RE ' Minneapolis, MN 55432 �� (61U 5714881 MINIMUM FEE FO9111R-IfFATING PERMIT IS $10.00 PLUS $.50 STATE SURCHARGE Attach stack verification tors with replacasent furnace permits *Air Conditioners can not Iwo• placed in •:tda• yard without written pi-rstssion frau adjoining nruttdanr. /10000V HEATING or POWER PLANTS. Sts". Not Nater, Neem Air- No. Trade Name A_ aims No. /I�'�/� Capacity Sq. Ft. EDA BTU HP Total Connected load Kind of Fuel BURNER - Trade Name �' Size No. Capacity Sq. Ft. EDP BTU HP tsuvaaced HeaSrig & Air Conditioning, Inc, Company 7805 MEN St. N.E. 0 Signed By %Iliinneapolic W 56432 Tei ;, No. (612) 571-4881 NEW [ ] Effective 5/1/88 ADD& [ ] R-1 AND R-2 ALTER [ ] Building Permit Application Construction Address: Legal Description: /-Gr / .a? Z 4L of P/2 "?e If Owner Name & Address: (� /j�%,�% / % y= &Tk3.1 C i7` 0 &C-; Te1. Contractor: 3 e Tel. # Attach to this application, a Certificate of Survey -of the lot, with the proposed construction drawn on it to scale. LIVIM AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: �7 Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Z,�JOo n Estimated Cost: $ Od 0 Approx. Completion Date: Proposed Driveway Width If New Opening Is Desired: Ft. $ - $ Width + 6' See Back Page DATE: o?$ APPLITel. # Permit Fee $ State Surcharge $ SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ $ STIPULATIONS: CITY USE LIMY Fee Schedule on Reverse Side $.50/$1,000 Valuation $575 per SAC Unit Alt. "A" or Alt. 'B" Above Fee Determined by Engineering Agreement Necessary ,k ] Not Necessary [] a � b - AbAI4 y r — j C11�C dye I� � stn LTJ it �' m �� 7, 6�, t,-nT4---zd SUBJECT P MIT City of Fridley 3 2 4 2 7 AT THE TOP OF THE TWINS BUILDING PERMIT E . N0. DEVELOPMENT DIV. v ------COMMUNITY f PROTECTIVE INSPECTION SEC. co -17 I NUMBER qEv DATE PAGE OF APPROVED BY ; CITY HALL FRIDLEY 53432 L 612-571-3450 910-F15 2/14/02 JOB ADDRESS 4560 3rd Street NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 1 Re -Arrangement of Blocks 12, 14, 15 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Brian & Shirley Tangren, 4560 3rd St NE, Fridley, MN 554=21 763-571-4523 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Brian & Shirley Tangren (same as above) a ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Dwelling 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION Cj REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Re -roof house (tear -off) 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with 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 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 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 $1,822.00 @ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $ . 91 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- $66.20 Fire STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $1.82 SC PLAN CHECK FEE TOTAL FEE -11 $ 8.93 SfCJ4ATURE OF CONTRqCTOR OR AUTHORIZED AGENT IDATEI PROPEV VAeLIOAT THIS IS YOUR PERMIT *S.GNATURE *E OG INS MATE OF RiIF OWNE BUI�DE RI IDATEI NEW [ ] CITY OF FRIDLEY Effective 1/1/2002 ADDN [ J 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: J6 60 T14 1 /Z7) S'T C7— NE Legal Description: Owner Name & Address: 6121 A n/ v S &( I (LLQ y TA- N 62 i; 0 ah v� Tel. # Contractor. MN LICENSE # 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: Length Width �Hygt/Ground Sq. Ft OTHER: Cr -cog tAUuse 00 SF Construction Type: Estimated Cost: $ Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ —=$ DATE: APPLICANT: v\ u- j a -' v1 Tel. # 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. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 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 [ ] C TOTAL $ � . STIPULATIONS: Building MECHANICAL Permit No.:/79t t 2[20 Inspections RESIDENTIAL APPLICATION Received By:✓` 763-572-3604 CITY OF FRIDLEY ROES2��9 ' 763-502-4977 FAX I EFFECTIVE 2-19-09 DATE t _ . _ 1 YOUR E-MAIL ADDRESS SITE ADDRESS THIS APPLICANT IS OWNER/ TENANT SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION ❑ OWNER COMPANY NAME: CONTACT PERSON: ST BROADWAY STATE LICENSE # 5 _ .saa rGAf3e% PHONE FAX I PERMIT TYPE I JSINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: I ❑ NEW .REPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK TE ZIP FEES ARE BASED ON $10.00 PER FIXTURNOTED. FIXTURES: 1?IC T �O AL UMBER OF EACH B ¢ Equipment Installed MFGlzw MODEL: �05 SIZE/BTU (d _A/C $25.00 _AIR TO AIR EXCHANGEER $15 BOILER $35.00 _CHIMNEY LINER $10.00 DUCT WORK $10.00 MFG: MODEL: MFG: MODEL: _FIREPLACE (GAS) $15.00 FIREPLACE (WOOD) $35.00 FURNACE $35.00 GAS DRYER $10.00 GAS PIPING $10.00 SIZE/BTU SIZEBTU _GAS RANGEIOVEN $10.00 NEW GAS GRILL $10.00 _GAS UNIT HTR $10.00 _POOL HEATER $35.00 VENTILATOR $15.00 THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work hick�requt es eview and approval of plans. SIGNATURE OF APPLICANT ` /1� 11aA es / PRINT NAME �S t 1 Iese DATID t C 1 8 2 gg City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building MECHANICAL Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: 763-502-4977 FAX CL'CL`!.--I ,� YOUR E-MAIL ADDRESS SITE ADDRESS THIS APPLICANT IS: ❑ OWNER ❑CONTRACTOR PROPERTY NAME: O,I E AENRT ADDRESS: ° CONTRACTOR COMPANY NAME: SUBMIT A COPY OF CONTACT PERSON: YOUR STATE STATE LICENSE # EXP ATE LICENSE WITH ADDRESS: APPLICATION $35.00 NEW GAS GRILL $10.00 PHONE FAX PERMIT TYPE (❑ SINGLE FAMILY RTWO FAMILY TYPE OF WORK: I ❑ NEW ❑ I DETAILED DESCRIPTION OF WORK FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT Equipment Installed MFG: MFG: MFG: j _A/C $25.00 AIR TO AIR EXCHANGEER $15 BOILER $35.00 _CHIMNEY LINER $10.00 DUCT WORK $10.00 FIREPLACE (GAS) $1 FIREPLACE (WOOD) FURNACE $35.00 GAS DRYER $10.00 GAS PIPING $10.00 ❑ TOWNHOUSE ❑ ALTERATION/REMODEL STATE ZIP, TE ZIP FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) MODEL: SIZEIBTU MODEL: SIZEIBTU MODEL: SIZE/BTU 00 _GAS RANGE/OVEN $10.00 $35.00 NEW GAS GRILL $10.00 _GAS UNIT HTR $10.00 HEATER $35.00 _POOL VENTILATOR $15.00 City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 HOUSE HEATING TEST RECORD ADDRESS u ' (Y APT. FLOOR Ciro l >I RB OCCUPANT OWNER }HEAT LOSS DATE HTG. INST. SOLD BY INSTALLED BY swulcel work By Gas inns By TYPE OF BEAT GA FA Rw STEAM SPACE HTR. UNIT HTR. aTHER GAS ESIGN MODEL SERIAL MAKE OF BURNER MODEL MAG BTU RATING MAKE OF FURNACE INPUT MODEL VALUE LIMIT _ WVIT SETTING FAN SETTING _ PILOT TYPE — PILOT MAKE PILOT MODEL PILOT TIMING, L.W. CUT OFF, PRESSURE INPUT CFH STACK TEMP. FORM 2W CONTROLS HEAT PLUG PERCENT CO2 S� PERCENT 42 a PERCENT CO CONVERSION VENT SIZE o2 it P v C 'o KIND OF LINER V SIZE " NONE DRAFT H D _ REGULATOR FILTERS ZH= JC x S IUIVBER CHIIVN ATION INSIDE � OUTBID CHIMNEY CONSTRUCTIONi _ G'y ROC4 SMOKE BOMB WIRING Sa1c' DRAFT TEST TAG DOOR PRESSURE DATE TESTED d COMPANY TESTiN© � � NAIVE OF TESTER Building BUILDING Permit No.: - 6 � Inspections RESIDENTIAL APPLICATION Received By: Q} b 763-572-3604 CITY OF FRIDLEYe9,RPd:2 7 763-502-4977 FAX EFFECTIVE 1-1-2010 DATE I 0 d E-MAIL ADDRESS SITE ADDRESS _ %I7�9O pYOUR 3rZD 97' /J THIS APPLICANT IS: ❑ OWNERONTRACTOR^ PROPERTY OWNER/ NAME: aa'. 1 0 120 �'II 1 A� ADDRESS: t/nO S06 0- N G; CITY FM40 -,--Y STATEA4/'J ZIP TENANT PHONE: 71-3' 5-71 . 4S2_3 CONTRACTOR NAME: + 09'-'-400t—t"VC_ SUBMIT A CO E YOUR STATE LICENSE STATE LICENSE # eb,K "30 L/ q Z. 2 EXP DATE AND CERTIFICATE OF ADDRESS:7 2s" n V C'-rb &4 q- 10-7-, P. CITY ?O FU a tib✓ STATEkt!!ZIP S511 "3 INSURANCE PHONE Glz o yA2, � 3 &'39 A14 PROPERTY TYPESINGLE FAMILY/NEW CONSTRUCTION SIZE CI TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION GARAGEISHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION❑ ADDITION ❑ MAINTENANCEIREPAIR REMODELING/� DESCRIBE WORK BEING DONE: (3 sir t_D (& %AJ )y 251b A1rr 4*4wP 974, �'� ,, u SIZE OF IMPROVEMENT �'� Z S LENGTH 2-S' WIDTH (I? HEIGHT 1'2 fr- SQ FT ROOFING O HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE I. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE , �,n �rr /1 2. Proposed floor plan PROPOSED SIZE: q O i?' l,rw -0 750 ❑ DETACHED GARAGE A 1i 3. List of structural members to be used PROPOSED HEIGHT: -L2--Fr. . FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING ❑ DINVin X ❑Soffit ADDITIONS_ & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures 11 Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS FOR WINDOWS — PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZE OF 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 , ,HE 1997 U.B . F yE SCHEDULE) TOTAL JOB VALUATION $ � fib, 000 , i( t K OCCUPANCY TYPE Permit Fee $ �,'( `� See Back Pag6 for Fee Schedule Plan Review $ , a 65% of Building Permit Fee Fire Surcharge $ (0 . .001 times the total job valuation Surcharge $ 16 140 .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2100 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $24 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ i In Make checks vavable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANT �� PRINT NAMEDATE ®t 1 1 c3 Garage slab -on -grade by others #6 vertical bars @ 18" o.c. placed 2" from high grade wall face #4 continuous horizontal bars @ 24" o.c. typ, bend around corners or provide matching hooks/dowels extending @ least 36" each way at all horizontal bars (12" embed Into existing wall) 10" nominal thick concrete wall #4 x 2'-6" long bars @ 18" . o.c. placed 2" below top of footing (4#4 continuous horizontal bars as shown ��M 0 LAW ` Scope of Work: Structural requirements per 2007 Minnesota State Building Code/20061BC for cast -on -place concrete foundation wall at thi rear of a garage at unbalanced grade. Means and methods of construction, including all other non-structural Code requirements, are to be by others. Concrete compressive strength is to 3000 psi at 28 days. Rebar is to be grade 60 for #6 bars and grade 40 for #4 bars. Bar splices are to be at least 48 bar diameters. Garage fill Is to be sand with an effective active lateral pressure of 30 psf. c_ E 6 Framing & anchor bolts by others NOTE: Overall Inside wall length Is approximately 20'. At contractor's option, an 8" thick x 3'-0" long buttress hooked into wall as noted w/ (2)#5 vertical bars at end of buttress hooked 12" into 3' wide footing. Locate buttress no more than 13' from Inside wall face of outside corner. #6 x 6'-8" hooks (5'-8" vertical leg & 1'-0" hook) @ 12" o.c. placed 3" above bottom of footing & 2" from high grade wall face I hereby certify that this plan was prepared by me and that I am a duly licensed professional engineer under the laws of the state of Minnesota. ,_� C"9 '—, e! ��� aig Oswell, PE (MN #42341)10-5-10 Oswell Engineering and Consulting, L.L.C. 9 9 9 1901 E Hennepin Ave, #201 wi Site Address: 4560 3rd Street NE, Fridley, MN Minneapolis, MN 55413 _.. Project # 10.067 Phone: 612-720-4639 Client Name: MJ Lorenz Concrete & Masonry Fax: 612-888-2966 Description: Rear Garage Wall (NOT TO SCALE) www.oswellec.com a ISSUED FOR REVIEW Page: S1 of: S1$: ' �i Outside Elevation Extent of header (two braced wall segments) Extent of header (one braced wall -9—rd) 2' to 1 B' (finished width)–�— Anchor bolt per R403.1.6 Typ. Figure 5. APA Narrow Wall Bracing Method detail. Figure 6. The APA Narrow Wall Bracing Method allows for braced wall segments as narrow as 16 inches. ndation per code Side Elevation d' =filler 16d sinker nails in 2 rows @3'o.c. 1000 Ib header - to -jack -stud strap on both sides of opening No. LLSTA.24) 3/a' min. thickness wood structural panel sheathing Not to scale 16 -inch APA narrow wall segment has been shown through testing to perform as effectively as a 24 -inch segment. Get the Straight Skinny Computer-aided design (CAD) details of APA s Narrow Wall Bracing Method can be downloaded free of charge from www apacadorg. Available in DWF, DXF and DWG formats, they include options for bracing narrow walls on continuous foundations, over crawl space and basement foundations, and on second and third floors. For additional information on various narrow wall bracing construction methods and technical data, visit APA's web site, www apawood. org/bracing. Finally, always be certain to check with your local build- ing department for design requirements specific -to your community. Zeno Martin, P.E., is a staff engineer for APA — The Engineered Wood Association. Frank E. Woeste, Ph.D., P.E., is Professor Emeritus at Virginia Tech University, Blacksburg, and a wood construction and engineering consultant. Questions, comments and suggestions for future "Wood Bits" are welcome and may be sent to Dr. Woeste via e-mail at fwoeste@vt.edu. August 2005 Building Safety Joumal 9 Fasten sheathir to header with Top plate ad common nails in 3' grid continuity is pattern as shown and 7 o.c. in required per all framing (studs and sills) typ. R602.3.2 1000 Ib header -to -jack -stud strap on both sides of opening (Install on backside as shown on No. LSTA24) ht heigMin. Side Elevation, W. (2) 2x4 typ. Braced wag If panel splice is needed it shag segment per R602.10.5 omtr within 24' of mid -height. Blocking is not required. No. of Min. width based on 6:1 jack studs height to width ratio: For per table I exomple:16' min. for B' height R502.5(182) I Min. 2'z2°x3/16" plate washer Anchor bolt per R403.1.6 Typ. Figure 5. APA Narrow Wall Bracing Method detail. Figure 6. The APA Narrow Wall Bracing Method allows for braced wall segments as narrow as 16 inches. ndation per code Side Elevation d' =filler 16d sinker nails in 2 rows @3'o.c. 1000 Ib header - to -jack -stud strap on both sides of opening No. LLSTA.24) 3/a' min. thickness wood structural panel sheathing Not to scale 16 -inch APA narrow wall segment has been shown through testing to perform as effectively as a 24 -inch segment. Get the Straight Skinny Computer-aided design (CAD) details of APA s Narrow Wall Bracing Method can be downloaded free of charge from www apacadorg. Available in DWF, DXF and DWG formats, they include options for bracing narrow walls on continuous foundations, over crawl space and basement foundations, and on second and third floors. For additional information on various narrow wall bracing construction methods and technical data, visit APA's web site, www apawood. org/bracing. Finally, always be certain to check with your local build- ing department for design requirements specific -to your community. Zeno Martin, P.E., is a staff engineer for APA — The Engineered Wood Association. Frank E. Woeste, Ph.D., P.E., is Professor Emeritus at Virginia Tech University, Blacksburg, and a wood construction and engineering consultant. Questions, comments and suggestions for future "Wood Bits" are welcome and may be sent to Dr. Woeste via e-mail at fwoeste@vt.edu. August 2005 Building Safety Joumal 9 IDesigned to anchor wood framing to poured concrete foundations. Materials: See chart Finish: G90 galvanizing Codes: NER 505 nstallation: • Use all specified fasteners. See Product Notes, page 10. • Bending the strap horizontally 900 to facilitate wall placement may cause conc ete behind the embedded strap to break away at the top edge (spalling). If the spall is " or less from the top edge of the concrete, no load reduction is necessary. If the sp I is between 1"and 4", the allowable load is 0.90 of the published chart load. • When installing on lumber less than 31/2" wide, wood splitting may occur.To red e splitting, use 10d x.1 1,oi2'' nails or fill every other hole with 16d common nails. Redu allowable loads in accordance with code requirements. • Straps are to be installed at the edge of concrete. Install prior to pour by nailing to form. Drive temporary nails through lowest two nail holes into form. Concrete level should reach embedment line; minimum embedment depths are listed in chart. • Do not rely on these straps to secure concrete sections together between cold joints; take other measures to transfer the load. If there is a cold joint between slab and foundation, the minimum embedment must be made into the foundation. Fastening opportunities may be reduced because the slab pour level may be higher than some nail holes. Using fewer fasteners will reduce allowable loads. Reduce allowable load by the code capacity for each fastener not installed. • Allowable loads based on a minimum concrete compressive strength of 2,500 psi at 28 days, with one #4 horizontal rebar in the shear cone. Rebar should be a minimum length of 2x embedment depth plus 12" (see chart for exceptions in comer Installations). • Where fewer fasteners are used in the structural wood member, reduce loads according to the code. • There may be an increase in the amount of deflection if the strap is installed on the outside of the sheathing, versus directly to the framing members. For more information, visit USP's Web Site www.USPConnWors.com/techbulletins.htmi and reference HPAHD/STAD Strap Anchors Installed Over Shear Wall Diaphram Shearing document. • Strap may be bent one complete cycle to aid installation. Embedmei Ili HPAHD' Embedment `�" line Embedm H2 d D PAHD42 HPAHD22 2P 1-800-328-5934 • www.USPconnectors.com Figure 1 2x embedment length + 12" Min. In6tall (1) rebar length `' #4 rebar in shear cone Typical HPAHD22 single pour edge Installation Figure 2 Inetall (1) #4 rebar in 7: 12" Min. shear coney rebar 30" Min. rebar length 112" Min. from corner Typical HPAHD22. single pour corner and endwall Installation Figure 3 Typical HPAHD22 single pour rim joist Installation continued on next page USP2141.091 nor FOR BRIAN TANGREN I HEREBY CERTIFY THAT THIS SURVEY.-F;RiVR,REPORT VAS PREPARED BY ME OR UNDER MY DIRECT S ON AND THAT I Y LICENSED LAND SUR TOR THE STAVE OF MIN ESOTA Randy L. Kurth. L`l�S.*-No. 20270 Russell J. Kurth. L . No. 16113 A )MV. ifcme- r ® iii, � i CERTIFICATE OF SURVEY tMEASUREMENTS SHOWN IN FEET AND DECIMALS OF A FOOT) 0 20 SCALE IN FEET KL RTH S(RVEYIG, 4002 JEFFERSON ST. N COLLASA HEIGHTS. W4 (763) 768-9769 FAX (163) DATE 4 1 z4 10-2- 0 = IRON MONUMENT • = SPIKE SET �= EXISTING ELEVATION F= C)AA)M LtMIlem FGW.j� 833.2 LOT 2, BLOCK 1 REARRANGEMENT OF BLOC PLYMOUTH ADDITION ANOKA COUNTY. MINNESOTA P.JK*\GCD'%TANG 1• 20' 4-23-02 > V-1- 5 F