PRE 2010 DOCS♦4
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BUILDING PERMIT
j
!' N° 2324
Village of Fridley, Minn.
.e
Date•
/00
i� •
.... .. .. ........
Owner..�
Buildetser''" ". .........................
.... .... i�
Address,�
• I
. , rte.:!"!! 'Address
LOCATION OF BUILDING �!
No.,1 ......
+ ...
Street .. ...ry .... ..... ...... Part;bf
li
Lot .......................
Lot .. -T:.f
Block .... ......... Addition or Sub -Division
. ................ .
Corner Lot ............
Inside Lot ..�:....... Setback %Y Side
N
d s I :!...........
DESCRIPTION OF BUILDING
To be Used as:
Frond' . Depth .,t �. ,Height Sq.�
Ft......... Cu. Ft........ .
...................
Front ........ Depth � .......Height Sq.
.........
,jFt......... Cu. Ft........ .
Type of Constructloi
_ Iw
Fast. Cost . /A.4P M!........... To be 'Completed
In consideration
. SII
i
• �I
of the issuance to me of a permit to construct the building
Described above, I agree to do
the proposed work I
i accordance with the description above set forth and in coxpliance
with all provisions of
ordinances of the[age
of Fridley.
_ 11
�j
....................
......................
gt In const' on
of, the payment of a fee of $ .., tQ,,. s 'r........
/�r�' permit is hereby gran
c .
the express conditio
... o construct the building or addition as described abov¢. This permit Is granted upon
that the person to whom it is granted and his agents, empl gees and workmen, in all work
done in, around and
Fridley, Minnesota x
upon said building, or -any part thereof, shall conform in all respects to the ordinances of
Dgarding location, construction, alteration, maintenance, repaband moving of buildings with.
In the village limits
d this permit may be revoked at any time upon violation off+ any of the .provisions of said
ordinances.
Il
P. 1:. Building Inspector
NOTICE:
This permit c
oes not cover the construction, installation or alteration for wiring, plumbing, gas heating,
sewer or water. I
Is ;sure to see the Building inspector for separate permits for ego Items.
9779t,-4160 1 !'+PLICinTION FOR PUJMDING AN'D' GAS FITrII.1G PI.It'111'
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IaCd 1'I,t,lte, Old
41t'11 lIAbIII
NJLEI INALer - to 92,000 bm
Iu01000 BIU to 15 OJO BTU
WA1,11' S,.ttenor
Ilew Gruun.l Rln 014 Nuildlrq
iacctrlo 1lattr IIP®tsr
I r 1 10 I -EES 1
lat ► tI•ature8
R.t,lILIua.%I rl4tura®
t.sa Il.li,•lm to 199,000 blu
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rl;sI sIou.ou
00, UD or frac Ll on
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zt
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sr 1
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°1 I+Cd t letturg, Old Ohknlr,-3 Watar
�Ii���1tL fS11i�
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41t'11 lIAbIII
NJLEI INALer - to 92,000 bm
Iu01000 BIU to 15 OJO BTU
WA1,11' S,.ttenor
Ilew Gruun.l Rln 014 Nuildlrq
iacctrlo 1lattr IIP®tsr
I r 1 10 I -EES 1
lat ► tI•ature8
R.t,lILIua.%I rl4tura®
t.sa Il.li,•lm to 199,000 blu
LI',11 kti 4 ALtEKAT10NS
rl;sI sIou.ou
00, UD or frac Ll on
I.t
$
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x
§2.00
zt
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s. 2$
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;a
klater
Heator
lec
TOTAI.
§
x 3(.0.00 §
$5.00 g
$-2.00 i
SLALq 5urchor9c §
TCjrl.L CGL
job /address 6000 3 Street NE
DeparLment of ljoajip]r
City of Pridl.:y
Tel. 11571-3.150
The undorelgnad rcrthy rrakcu appllcaciar, f,r a ..nLIL r:.c Lh., work t•aralh
epdoltled agreLing LO do' all, work ir, Strict s: cr�scda 61 L1, tLl City Codud
and rulings of the Department, of8 u,dir.s,
th® faoLil n,td rclru� r:eaLlona SULod In Lhlb•'u 'ec�cy ,:e lore) ttet all
• "1'.'edC�tlGil 9f0 t11d® end J;,,I,iX,,
trial�y, r:r,. 3-11-80 is
CIINEr1 NA RT
KIND OF. DU%LDI11C frame ~
USED AS res,
TO "DE COMPLETED UL;ur 3-25-80
N ESTIMATLD COST _ )+0.00
OLD - IIEW UUILDIiiQ PLW11T Ila.
tympany
Stgned By
'Pal. Ila.
ROUGH I IISP ,
Data
FI114L 111sp.
Dates
APPROVAL V011 Pi:10114
MI111MUIi 1'L'L' I LA% lily l'LU1:u11lu PLIu1IF %S S1. SJ PLUS 3.50 :11.T(r 6U11C11A1tGr
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Effective On January 1, 1991
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
Residential
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace
Gas Piping (Needed with new furnace)
Gas Range
Gas Dryer
Rate TOTAL
$20.00
$ 10.00 $
$10.00 $
$10.00 $
ov
*Air Conditioning - All Sizes $ 10.00 $ /o
All Others/Repairs & Alterations (LIST ON BACK
1 % of Value of Appliance or Work $
Commercial/Industrial
1 % of Value of Appliance or Work $
State Surcharge $ .50_
TOTAL FEE
MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $30.00
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
JOB ADD
The undersigned hereby makes application for a permit for the work
herein specified agreeing to do all work in strict accordance with the
city codes and ruling of the Building Division, and hereby declares
that all the facts and representations stated in this applic ion are
true and correct. � ,1991
BUILDING USED
ESTIMATED COST 447l/ C/ PERMIT NO. PCCS_
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air)
Trade Name Size No.
BTU HP EDR
Fuel Total Connected Load
Burner Trade Name Size No.
BTU HP. EDR
HEATING COMPANY
Signed Tel No.
Approved B Rough -In Date Final Date 7--
FILL OUT BACK SIDE FOR STACK VERIFICATION ON
REPLACEMENT FURNACE
CHIMNEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack:
1.
Has been carefully examined
Yes
( )
No
( )
2.
Is free from rust or deterioration
Yes
( )
No
( )
3.
Has no foreign objects lodged within
Yes
( )
No
( )
4.
Is securely supported
Yes
( )
No
( )
5. Meets all current Code requirements for
size and total BTU's connected Yes ( ) No ( )
6. Has total heating BTU's of
All other BTU's
TOTAL BTU's
Remarks
List Alterations Being Done:
HEATING COMPANY
Signed By
Date
SUBJECT
PERMIT NO.
City of Fridley-'
74
AT THE TOP OF THE TWINS
BUILDING PERMIT
FR)
2 2
Ir
RECEIPT N
�• COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
NUMBER
REVDATE
PAGE OF
APPROVED B
CITY HALL FRIDLEY 55432
j
612-571-3450
910-F15
...
5/20/94
t
JOB ADDRESS 6000 3 Street NE
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
14,15
6
Hyde Park SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Frank Hart 6000 3 Street NE 571-4363
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
D & D Home Improvement Inc 7401 Central Ave NE Fridley 784-7543 4840
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 Cj REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof Dwelling (14 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.
ZONING
SO. FT.
CU. FT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
NO. DWLG. UNITS
OFFSTREET PARKING
ANY TIME AFTER WORK IS COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS GARAGES
VALUATION
SURTAX
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$1,050
•53
PERMIT FEE
SAC CHARGE
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIO F ANY OTHER STATE OR LOCAL LAW REGULATING CON-
OF CONSTRUCTION.
$27.00
Fire SC $1.05
STRUCTI O THE PERFORM NCE
PLAN CHECK FEE
TOTAL FEE
License SC $5.00
$33.58
-W E ROP LY ALIDAT HIS IS YOUR PERMIT
IGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI
r --Y)
G _
BLDG INSP OA
SIGNATURE OF OWNER,IF OWNER BUILDERI IDATEI
NEW [ ] Effective 5/26/93
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R -2j
Building Permit Application
Construction Address: 4�Kw 2d 157,-A0-1,
Legal Description:
Owner Name & Address:
Tel. # �`�,� f"
Contractor:
D
$ D Home Improvement, Inc
MN LICENSE
# 4840
Address:�
7401
Central Avenue N.E., Fridley, NN 55432
Tel. #
784-7543
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. R.
OTHER:
Corner Lot [ ] Inside Lot [ ] Ft Yd Setback Side Yard Setbacks
Type of Construction:` Sfi/2/0 Estimated Cost: $ /C) SZ-)
Approx. Completion Date:/tel` — `/ S
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = - Ft x $ _ $
Permit Fee $ "), UC' Fee Schedule on Reverse Sim
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
$ /,O,.> .001 of Permit Valuation (1/10th%)
$ $.50/$1,000 Valuation
$ $750 per SAC Unit
$ $5.00 (State Licensed Residential Contractors)
$ Alt. "A" or Alt. "B" Above
$ Conservation Plan Review $450.00
$ Fee Determined by Engineering
$ Agreement Necessary [ ] Not Necessary [ ]
STIPULATIONS:
r
SUBJECr
PERM
City of Fridley
30685
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
1 ,
o
COMMUNITY DEVELOPMENT DIV.
f,52
r 1 � PROTECTIVE INSPECTION SEC.
�
1 ; r
NUMBER
REv
DATE
vAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
910415
2/25/00
JOB ADDRESS 6000 3 Street NE'
T LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DEscR.
14,15
6
Hyde Park
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP
PHONE
Frank Hart 6000 3 Street NE
571-4363
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO
Panelcraft of MN Inc 3118 Snelling Ave S, Mpls., MN 55406
721-6628 2179
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 J7 REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reside House, Reroof House, Fascia, Trim
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
Call
for building wrap
inspection before covering.
SEPARATE PERMITS ARE REOUIRED 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
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 1 HAVE READ AND EXAMINED THIS APPLICATION
1 ISTALLS
GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
@
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$11,010
$5.50
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-
Fire SC $11.01
RUCTION V THE PERFORMAN&E OF CONSTRUCTION
$209.25
PLAN CHECK FEE
TOTAL F
::;��'olj
Lice C $5.00
$2 0.76
SIGNATURE 0(/CON- PAC TOR OR AUTHORIZED AGENT iDATQ,
EN ROPER LIDATEP TOS ISYOUR PERMIT
BLD ,NSP -
/��j
-��W
')-k
S-GNATURE OF OWNER.-F OWNER BUILDER, ,DATE,
NEW [ ] ;' Effective 1/1/99
ADDN [ ] CITY OF FRIDLEY
ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
l onstructionAddress:
Legal Description:
Owner Name &Address: LhTel. #,5 -
Contractor: ?/7dA-61 O-/% G17e--,� MN LICENSE# a/%g
Address:.3//8 AlAf 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:
Construction Type: -TEstimated Cost: ' /j f C�
• z- (Fee Schedule on Back)
) ,eway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
DATE: -� APPLICANT: a A Tel.
CITY USE ONLY
Permit Fee Fee Schedule on Reverse Side
Fire Surcharge $ .001 of Permit Valuation (1/10th%)
State Surcharge $ , h O $.50/$1,000 Valuation
SAC Charge $ $1050 per SAC Unit
License Surcharge $ 6-i dG $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 $��
STIPULATIONS:
FROM :City of Fridley
Building
Inspections
763-572.3604
SM ADl3a!M _.,,,
TM AMCANT IS;
OWN=
UNANT
SURIMT A COPY OF
YOUR STATE
LICENSH WITH
APPLICATION
PERMT TYPE
FAX NO. :7635711287 Dec. 05 2005 11: 34M P2
3rJ ECHAlt14AL
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
COhWANY NAME;,,
CONTACT PERSON:
STATE UCEN$E N_
TYPE OF WO]Ws 113 NEW
DETAIM
FAX
Y
13 TWO FAMILY O TOVDNROIJSE
O ALTMA710NA MODEL
Permit No.' U
Received By:�'
Dato Rac'd:
PER MS 16B.665 The pormh fee is a minlmom of $15.00 or 5"/0 of the total cost up to $500.00, whichever Is greater, for the
improvemen% installation or replacement of a residential tlxture, excluding the $xturea. ('519 should reflect only the cot of WW)
Labor cost udder $300 m $15.00. Labor cost between $300 to $500 - cost of labor X.05
FOR PROJECPS WJIF E LAEOR wWE;ms SM, Im ARE BASED ON $10.00 pMt FIHTURE, EXCBPT wwa NOT®. PI7CPtM: (INDICATS TOTAL
NilMM OF SACH BMX"
Byuipmmntl lleB MPti: MOI?EL: _ �,
SMWRTU
525.00 �� PN�IiP1.ACE (GAS) Sl $ MOriEt. � OAS RAI3WOVEN 10.00
MR TOAM OMNOUR SIS _::MJ PLACE (WOOD) 5335.00 t18W OCAS GRILL $10.00
__ion= SM.00 ;_,,,FURNACE $33.00 GAS UNT HTI1$10.00
CE AINEY LINSR 510.00 QAS DRYhR $10.00 _POM IMAM $35.00
Permit Fec $ Number of fixtures @ S10.00 X $10.00 Q S
$urclurgo .SO Number of ftraalres @ $15.00 - .` X $15.00
TOTAL DUE Number of fixtures Qa $25.00 x P5.00 = S
Number of fixtures $35.00 x $35.00 Q $
state Smmbarge s $ .SO
® Total - $
IS AN APPLICATION FOR A MRM T WT VAJ D UN'M PRaOCIMM
I hereby apply for a building permit and I acknowledge that the information shave is Mnplete and acotlretc, that the work will to In
conformance with the ordinances and codes ofth City of Fridley and with tFte 1Vlhnnesota Consht#art G1dec; that I undcd this is
not a permh but only an on fo a it d work is not to start wiWaut a permit; that the work will be in woordance with the
approved plan In the case o w approval of pl
SIf�tATURB OF APPLICANT PRINT NAJaaE DATi1
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, Nei 55432
763-572-3604
FAX: 763.5024977
FROM :City of Fridley FAX NO. :7635711.287 Dec. 05 2M 11:35AP1 P3
1•
REQUIRED INFORMATION NEEQED TO PROCESS PERMIT
RESIDENTIAL PERMIT APPLICATION HVAC
NEW HOMESIADDITIONS EXISTING HOME Q MALI= -UP AIR
1. fCombwdou Air (See note below)
a. Oil or solid fuel IMC Chapter 7 with MN Amcndtu1113
b. Natural Gas or PrapxQef GC Chaptr 3 with MN Amendments •
2. NUke-up ,Air (Sege nota below) .
ar IWC CbapUr 5 with NN Amendmmte
3. Vandug
a. (in appliaacea 7FGC C mr 5 with MST AmodmoU
b. Fuel other than gas XWC C.*ter 8 with MN AMCAdmeat
4. Beat loss & cooft load per room
a. Regt>l W on new conmedon WC 1346.0312
5. Ventwon
L Per NN Energy Cods 7670 or 7672
6. Duct sign Per ]MC 1346.0603.2
a. RCCA Maul D
NOTE.- Cep Wpoi t Energy Mechanical Code Guidelines software may be used for
combustion and make up air calculations