PRE 2010 DOCSCity of Fridley, 1Vtbm.
BUILDING PERMIT N°5 9 9 6
Date:
Owner: Build --
Address Address —
r. LO NI� OF BUILDING
No. Street 041. — Part' _ Lot
y
Lot _ j Block _ Addition or Sub vion' LPF r
�
Corner Lot , Inside Lot — Setback ov._ _— Sideyard
Sewer Elevation Foundation Elevation
DESCRIPTION OF BUILDING
To Used as.
t Depth, , Height Sq. Ft, Cu. Ft
TonDepth ei ht�•..�..-._ Sq. Ft _ _ Cu. Ft.Type of NW - Est Ca To be Completed
In consideration of the issuance to me of a permit to construct the building described above, I agree to do
the proposed work in accordance with the description above set forth and in compliance with all provisions of
ordinances oY the city of Fridley.
In consideration of the payment of a fee of $:, , permit is hereby granted to—
to
o
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. .-. A
Building Inspector
NOTICE:
This permit ,does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure -to we
the Building Inspector for separate permits for these hems
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
Owner's Name Builder
Address �✓�/ �/` v L r L/ Address
LOCATION OF BUILDING
r(
No. �JStreet `} Part of Lot
Lot ��_ Block Addition or Subdivision as k"17,4 111dne4'
Corner Lot Inside Lot Setback_, Side -Yard
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and
proposed building location.
DESCRIPTION OF BUILDING
To be used as:
Front_,Z�Depth Height
Sq. Ft. Cu. Ft.
Front DepthHeight
Sq. Ft. Cu. Ft.
Type of Construction 7 Estimated Cost ?0®' '07'�
'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 ruling of the Department of Build-
ings, and hereby declares that all the facts and representations
stated in this application are true and correct.
DATE I - SIGWATURE
(Schedule of Fee Costs can be found on the Reverse Side).
•
•
•
,3d---)6�/
City of Fridley, Minn. IIT® 8386
BUILDING PERMIT
Date: AUGUST 19 1965
Owner: JOSEPH E. ELLEFSON Builder DREW SCHERER
Address 7573 - 4th St. N E Address
Fridley 32, Minnesota
LOCATION OF BUILDING
No. 7573 Street 4th Street N E Part of Lot
Lot 20 Block 1 Addition or Sub -Division nSRnRKE MANOR
Corner Lot — X — Inside Lot Setback Sideyard
Sewer Elevation ___ Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
nET. QAC' RA F. Front _22 Depth 24 Height —LQ__ Sq. Ft. _5 -8 Ca Ft. 5,280
Type of Construction
Front Depth Height Sq. Ft. Cu. Ft.
Est Cost _ $1, 5 84.00 To be Completed
In moderation of the issuance to me of a permit to the b g described above I agree to do
the proposed work in accordance with the description above t f and com ante with aII provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of $ 5.00 , permit is hereby granted to DREW SCHERE
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�Sth permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
ALLEN G. JENSEN Building Inspector
NOTICE
'It>ae pumb don not sewn tho construction, installation for wiring, plumbing, gas heating, sewn or water. Be suer to ne
the Building Wgmftr for separate permits for than Mems.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
L�
OWNER'S NAME des Z�:/! -SP/;7 BUILDER
ADDRESS�'/V� rC- a ADDRESS
LOCATIONOF BUILDING
NO. 013 STREET PART OF LOT
LOT ® BLOCK ADDITION OR SUBDIVISION a- Xa> 17,-
CORNER LOT�A_INSIDE LOT SETBACK SIDE YARD
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To be use/d� as ;x .�
( � P— a G Front Depth_2,.�ZHeight 6
Sq. Ft. Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction_ _ _`/-d M r Estimated Cost 4
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
(Sch
52-84-S915-51
City of Fridley
Appkadm for Flumbbg wd Sm Rt Femdt
Dept. of Ridge. Phone 880-3450
DESCRIPTION OF WORK
Number. Kind and Location of Raptures Location 7573 N E lith St
k'uzwe connection Openings I �x.a Iran
Now Mxih re, Old Openings
City of Fridley:
The undersigned hereby makes application for a permit for the work herei
specified, agreeing to do all work in strict accordance with the City Ordinance
and ruling of the Department of Buildings, and hereby declares that all the fact
and representations stated in this application are true and correct.
Fridley, Minn 11-18-69
19_
Owner Joe Ellefson
Kind of Building fraw
Sewer 0 Used as
cesspool f-1
PARTIAL RATE
N
PLUMBING FIXTURE RATES:
NO. RATE TOTAL
12
x $2.00
$
Future Fixture Opening
le 1
5
01
3�
g
m
=
!2 O
e
B
N
WATER MTR.
GAS
ELEC.
Base
x $3,25
$
Electric Water Heater
a $2.00
$
GAS FITTING FEES:
NO. RATE TOTAL
1st 3 Fixtures ...... . .... . .......
x $2.00
$
Additional Fixtures ..... ..............
x $ .75
-
Gas Range to 198,000 BTU ..............
1 x $5.00
$-3-00
--
lst-
2nd
-
----
3rd
-
---
4th
-
- -
-
— —
k'uzwe connection Openings I �x.a Iran
Now Mxih re, Old Openings
City of Fridley:
The undersigned hereby makes application for a permit for the work herei
specified, agreeing to do all work in strict accordance with the City Ordinance
and ruling of the Department of Buildings, and hereby declares that all the fact
and representations stated in this application are true and correct.
Fridley, Minn 11-18-69
19_
Owner Joe Ellefson
Kind of Building fraw
Sewer 0 Used as
cesspool f-1
PARTIAL RATE
SCHEDULE
PLUMBING FIXTURE RATES:
NO. RATE TOTAL
Number Fixtures
x $2.00
$
Future Fixture Opening
x $1.50
$_.
New Fixture Old Opening
x $1.50
$
Catch Basin ..
x $3,25
$
Water Heater (Up to 99,000 BTU)
x $3.00
$
New Ground Run Old Bldg.
x $3,25
$
Electric Water Heater
a $2.00
$
GAS FITTING FEES:
NO. RATE TOTAL
1st 3 Fixtures ...... . .... . .......
x $2.00
$
Additional Fixtures ..... ..............
x $ .75
$
Gas Range to 198,000 BTU ..............
1 x $5.00
$-3-00
REPAIRS & ALTERATIONS—Refer to Code
Description ................. ................ ...........a
TOTAL FEE ¢ 3 - 00
res
To be completed about 11—�3-69
Estimated Cost, $ 10.00
Old—New. Building Permit No. �Peit it .
Signed _
By_- APIN MIS GAS CO.
Business Phone No
ROUGH
FINAL
SUBJECT
PE.
City of Fridley
® 1341'7+
AT THE TOP OF THE TWINS
t
BUILDING PERMIT
�0 „&
,
• COMMUNITY DEVELOPMENT DIV.
�y---''--�
r PROTECTIVE INSPECTION SEC.
,✓ice(,(
1 �
`
"1 CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
�•--- �`J 612-560-3450
910-F15
3/23/76
JOB ADDRESS 7573 4th Street N.E.
1 LEGAL
LOT NO.
20
BLOCK
T 1
CT OR ADDITION SEE ATTACHED
TRAOsborne
DESCR.
Manor SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Jean Davis 7573 4th Street N.E.
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 ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Install fireplace & beam ceiling & windows
9 CHANGE OF USE FROM TO
STIPULATIONS
Call for inspection of mor and footings before starting work.
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
156
1566-3
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
$700.00
• 50
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER TATE OR LOCAL LAW REGULATING CON-
STRU OR THE PERFO AICEOF CONSTRUCTION.
5.00
PLAN CHECK FEE
TOTAL FEE
5.50
SIGNATURE OF C)JIFRACTORORAUTHORIZEDAGENT /MATE)
WHEN PROPERLY VA DA ED THIS IS YOUR PER
BLDG INSP DATE
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE)
• •n1'!'L1(.AL1UlY I'UIt JtL:J11J1;AIAIt1L.I t\LALl%rk%Aw&.1
OR AUDITION•BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA :
01MER' S NAxE ; eA,. PA Ol • BUILDER:
AAA1tES5 • ,.S oi*ADDRESS :
STREET: y "
LOT : BLOCK:— / ADDITION : 01- C9,�� I�� /) ]TWO I L
CORhTER LOT: INSIDE LOT:, SETBACK: _ SIMARD: '
attach to this foram J%io Certificates if Survey.of L-ot and.proposed
Applicant • '
building location di -Awn on these Certificates.
DESCRIPTION'OF BUILDING
•To Be Used Aso70
..
vFront J Depth: Heig t • -
Square Feet: Cubic. Feet:
Front— Depth: Height:
Square Feet; Cubic Feet:
Type of Construction: Estimated Cost:_$W
To Be Completed:
The undersigned hereby makes application -for a permit for the work herein
specified, agreeing to do all work in stxict 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. Z 7 G SIGNATUI'.E • -Q CdL'�_ !�1
See Aeverse Side For Additional Information.),
e
z. a
Page 1 of 4
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
OWNER: �� A ,,,) Cl 4 �B S
SITE ADDRESS: Z 7,J
CONTRACTOR: � ,
DATE A' ,PA
PHONE: / ,?6 IFS -Y
(,-/.9/
Determine working square footage of each
e9,
1. Total exposed wall area...... Q� sq. ft. x .17 =
2. Toal roof/ceiling area ...... sq. ft. x .05 =
Total exposed wall area above floor
s
41-
a. Total wall window area........ ): ' f°'"004 .(A.043rQS°AOJ
b. Total door area ...................��Q ..� !�.icit, r.�asd� ,l,-ST•a•m• e� .5�
(,,-c. Total sliding glass door area ......................... AJA IF
d. Total fireplace wall area ............................ J"Z,4 AA
e. Total wall framing area (average 10%) ..................
L -,f. Total rim joist area ..................................
g. wall area above floor ..........................
h. wall area above floor........ ................
i. wall area above floor.. .........................
j. wall area above floor ..........................
Total exposed foundation area =
jos z3
k. Total foundation window area ........................... Bud}
1. Total net foundation area above grade .................,�
A
Determine "U" value of each wall segment
(e.g. window, door, each separate wall section)
a.
X
"U"
i �j _
�`i •
b.
ly
X
Ifull
3� _
.a �• 3
c.
-
Z9
d.
7 �- �•
X
"U"
h
e.
f .
y
X
-'U"
g,
X
bull
_
h.
X
"U"
i.
X
"U"
_
j.
X
glut$
_
k.
X
"U"
-
1.
X
"U"
3 . ............................. Total
D
if item #3 is the same as,.
or less than item #1, you
have met the intent of
S13C 6006 (c) 2.
a Exterior Envelope Average "U" Computation
Total exposed roof/ceiling area = '4700
Page 2 of 4
m. Total skylight area AA
n. Total roof/ceiling framing area (average 10%)... Z O® Q
o. Total net insulated roof/ceiling area........... ®� e� �D'�vs�a��•N+
Determine "U" value for each roof/ceiling segment
M. X "U" _
n. X "U" _
o. X "U" _
4 ........................... Total =
If total of #4 is the same as, or less than #2, you have met the intent of
SBC 6006 (c) 1.
Alternate Building Envelope Design
To utilize the total envelope system method, the values established by the sum of
items #3 and #4 shall not be greater than the sum of items #1 and #2.
1. + 2. _
3. + 4. _
F
WALL SECTIONS
NOTE: Use 10% of opaque wall area for
frame construction
FIG. #I1 TOPVIEW OF
FRAP4E WALL
4
F -.SG. #13
Page 3 of 4
Construction
1. Interior air film
R -Value
0.68
2.
',/A WkLI
A&A& 4�
/m L F-
3.
2.
4.
°1SA�a
3•
6
5.
°�� ,� 41AJ-r-
4.
/, �eG
6.
Exterior air film
5.
0.17
1.
Interior air film
Total
-/O
9. y
0.68
2.
/, L 2-
3.
3.
A,
4.
x,06
5.
/. �✓c
6.
Exterior air film
0.17
Total
1, Interior air film 0.68
Q
3.
4.
5.
6. Exterior air film 0.17
Total
Total
t a ` t r
ner-
/� (r " `.
6 ! I11
10
FIG,. 414 /!( � t� t • ' � C� � r (//
Y, i��. • rte. / �� •
NOTr: Indicate type, "R" value, depth and
placement of insulation.
:J
1.
Interior
air film 0.68
2.
3•
4.
5.
6.
Exterior
air film 0.17
Total
t a ` t r
ner-
/� (r " `.
6 ! I11
10
FIG,. 414 /!( � t� t • ' � C� � r (//
Y, i��. • rte. / �� •
NOTr: Indicate type, "R" value, depth and
placement of insulation.
B!
• ROOr/CEILING
3
4
%--
Vented Heat flow
1 up
FIG. #15
's!a � T t,+. i .` � � . � C � _'!1 : ��� ,,: c'1P.�R'' a_r �. �i f'.l'n, 4••Gr-. fi, rn 1 ..
}:eat flocs up ; Vented•
- FIG. #k6
• l+iUtti'-VL'hTry .
�• � �
Hent
flow up
PIG. 47
Page 4 of 4
Construction R -Value
l: Interior air film 0.61
2.
3.
4. Exterior air film (still) 0.61
Total
1. Interior air film 0.61
2.
3.
4. Exterior air film (still) 0.61
Total
1. Inside air film 0.61
2.
3.
4.
5. Outside air film
0.17
Total
Note: Use additional sheets if more space is
needed for details and calculations
d
� � �, ��
�� r
P]
SUBJECT
PERMIT
City of Fridley
.14286
AT THE TOP OF THE TWINS
BUILDING PER M
CEIPT NO.
16
• COMMUNITY DEVELOPMENT DIV.
o
D9J�
r PROTECTIVE INSPECTION SEC.
d
1 �
1
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-560-3450
910-F15
18/12/77
JOB ADDRESS
7573 4th Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
2O
1
1 Osborne Manor SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Thomas Jones same
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
AQaarius Pool Co.
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
ftimm ng p=1
7 CLASS OF WORK
NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
9 CHANGE OF USE FROM TO
STIPULATIONS
1. As per letter dated 8/12/1977, and plot plan submitted WARn1
Before digging call loc,�l utilii.
TELEPHONE - ELEIU a,�, , GAS f
EQUIME-D PYA"'
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
Wood & vina
1
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
$ 5837.00
$ 2.91
DOES NOT PESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVIS%0 OF ANY OTHER MTE OR LOCAL LAW REGULATING CON-
STRUC N OR THE PERFOR AN E OF CONSTRUCTION.
$ 36.00
PLAN CHECK FEE
TOTAL FEE
3S•91
SIGNATURE OF CONTRACT R OR AUTHORIZED AGENTDATE
WHEN I -ROPER Y VALI ATED THIS IS YOUR PER
BLDG INSP DATE
SIGNATURE OF OWNER IIF OWNER BUILDER) .ID El. °
P]
CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
(NEW, ALTERATIONS, ADDITIONS, OR REPAIRS)
OWNER: C3 � - �'1 e . ...._ BUILDER: �c7
r ��,,�����,,��
Address: 3 % YUl� - ..�(�= Address: cew& r S
Tel. No. eZ -'s S / (7 (�
No.: street:
•
LOT: d -- BLACK: - _ _� .. ADDITION:�S
CORNER LOT: - -.--- INSIDE LOT: S^TBACK: ___ SIDEYARDS: -- -
Applicant attach 'to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
bESCRIPTION OF BUILDING
To Be Used As:
!LFront•
�7
--
Depth:
: �� r — - -
Height: �Z
Square
Feet: __ _.___._
... --_ Cubic Feet:
- - -----
--- - ----- -- Front:
-- -
Depth:
Height:
Square
Feet:
_ _- Cubic Feet:
Type of Construction: (1�fJc
-i{°t
y f -' Estimated Cost: $
To Be Completed: - _- . _ __
__-- -- . - .-- . _-_
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. See reverse side for additional information.
DATE: C� 1'-' ""^ SIGNATURE:
Stipulations:
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6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432
1977
t Druce
sol Company
16900 Cedar Avenue South
Rosemount, Mn.•
TELEPHONE ( 612)571-3450
Re: Swimming Pool Construction at 7573 - 4th Street N.E.
Dear Mr. Druce:
1�� PA&
55 33
a/ , -71,7
This letter is to make clear this department requirements for the swimming
pool construction at the above address.
U11
1. As indicated, one (1) skimmer approved by the National Sanitation
` u -Foundation will be provided.
2.� As indicated, two (2) inlets of approved design for fresh and/or
repurified water will be provided.
3. As indicated, a main drain of approved construction will be provided.
4. The filter and pump shall be approved by the N.S.F. and be of
by'�'sufficient capacity to provide a minimum turnover of at least two (2)
times in 24 hours. This department recommends a turnover rate of
6-8 hours.
S. A deck of at least three (3) feet wide, measured from the pool water's
edge, shall be provided which extends completely around all private
residential pools. Above ground private residential pools may be
provided with decking of a minimum size of 4 feet by 4 feet at pool
entry points and provided that such decking has the approval of the
City.
6. The diving area will be acceptable provided there is no overhead
obstruction.'
7:. Fencing or other effective means including but not limited to walls
,�p or buildings, acceptable to the City, shall be`provided to positively
control all access to -public and private residential swimming pools.
Fencing shall meet the following criteria:
(a) The fencing shall prevent the entrance of children and be without
hand or foot holds that would enable a person to climb over it.
(b) The fencing shall be at least 6 feet high and entrances shall be
equipped with self-closing and self -latching gates capable of
being locked.
(c) Self-closing and self -latching devices shall be placed at the top
of the gate or otherwise inaccessible to small children.
(d) The opening between the bottom of the fence and the ground or
other surface shall be not more than four inches.
8. An automatic chlorinator should be provided with a suitable test kit.
t
Mr. Kenneth Druce
Aquarius Pool Company
August 12,-1977
Pag e 2
9. All electrical and plumbing installations shall be inspected and
approved by the City Inspection Department.
10. All electrical lines must be 10-20 feet or more away from the pool
surface.
Yu
apool fill spout must be air gapped or protected by a vacuum
aker.
table safety equipment to include but not limited to a ring buoy
and rope that is 1,� times the pool diameter, and shepherds crook pole
must be provided and maintained with the pool at all.times.
Furthermore, these and any other requirements must meet the provisions of
the Fridley City Code, Section 115, Swimming Pools. The building permit
is approved contingent on final inspections and approval by the City.
If any questions or problems arise from this letter, please feel free to
contact me at 571-3450, ext. 170.
Sincerely,
STEVEN J. OLSON
Environmental Officer
SJO/mh
CC: Mr. Thomas Jones
7573 - 4th Street N.E.
AQUARIUS SOUTH
16900 Cedar Avenue South
Rosemount, M N 55068
(612) 432-1130
COMPLETE POOL SPECIALISTS • COMPUTERIZED WATER ANALYSIS • ACCESSORIES
POOL CAPACITY
TURNOVER/day
FLOW RATE
SPECIFIC FLOW
NOTES
16000 gallons
2=12 hrs (rax)
1583 GPH=26.38 GPM
8.4o GPM/SQ. FT.
RI -RATE SAND FILTER, NSF #50561, MIN. 1/3 HP SELF PRIMING
PUMP, MARLOW, 11 H14 EG -A2
MEMBER
rj
i=
NATIONAL
SWIMMING POOL
INSTITUTE
AQUARIUS NORTH
3555 Highway No. 61
White Bear Lake, MN
(612) 483-5995
BUSTER
CRABBE
POOLS
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SUBJECT
P IT No: -
City of Fridley
4
AT THE TOP OF THE TWINS
BUILDING PERMIT
Cjg260
RECEIPT NO.
t `y _ COMMUNITY DEVELOPMENT DIV.
INSPECTION
r PROTECTIVE SEC.
��
L1 ` i
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
.---� ,�
L 612-571-3450
910-F15
10/30/87
JOB ADDRESS 7573 - 4th. Street N.E,
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
20
1
Osborne Manor SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Dick's Fire & Storm 864 - lgth Avenue S..E., Mpls. 55414 378=2880
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
B USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION Cj REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Fire Damage Repair
9 CHANGE OF USE FROM TO
,TIPULATIONS provide smoke detectors on both levels. Provide egress windows in
bedrooms. Provide new header into room addition
SEPARATE PERMITS REQUIRED FOR
WIRRP NG, I-6 � T1�.9G, PLUMBING AND SIGNS.
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 BO 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
$40,000
$20.00
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-
SNUC ONTHE PERFORMAN OF CONSTRUCTION.
$238.00
/ /J w r�
V ZCYR
LAN CHECK FEE
TOTAL FEE
$258.00
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
WHEN PROPERLY V DATED THIS IS YOUR PERMIT
♦ . .
r / W
BLDG INSP FIATE
SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI
NEW [ ] City of Fridley Effective 4/1/86
ADDN. [ ] R-1 AND R-2
ALTER. [ ] Building Permit Application
Construction Address:
Legal Description: L C3 % -2- G- �� o y C)I
Owner Name & Address: 73 C-1 -F1,4 4 Tel. #
Contractor: Tel. #
Address • 9L. y ^ /5 L--,.- _ `; v
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:
Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback
Type of Construction: (Z-(-(3�,�� i�J�/ten- L Estimated Cost: $
Approx. Completion Date:
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $ $
See Back Page for Explanation
DATE: . I C/
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
L41�)' �' -, 4
APPLICANT: 11 Tel.
CITY USE ONLY
$ ou Fee Schedule on Reverse Side
$ 25% of Building Permit Fee
$ a®oc.1U $.50/$1,000 Valuation
$ $ 525 per SAC Unit
$ Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
$
kuc
3.oc)
it r ,�-'-- .
760OL/
ao mss
.?31?00
CITY OF FRIDLEY
Effective Date May 1, 1988
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRI RATION AND
AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
RESIDENTIAL
Furnace Shell and Duct Work,
Burner' (Also replacement furnace)
Gas Piping
(piping needed with new furnace)
Gas Range
Gas Dryer
RATE TOTAL, Job Address — 7573 44St . NE
$ 20.00
$ '10.00
$ 10.00
$ 10.00
* Air Conditioning (all sizes) $ 10.00
All Others/Repairs and Alterations
1% of Value of Appliance or Work
COMMERCIAL/INDUSTRIAL
1% of Value of Appliance or Work
$ Department of Buildings, 6431 h iversity Ave. N.E., Fridley, MN 55432
City of Fridley
$ Tel. #571-3450.
$ The undersigned hereby maketiapplication for a permit for the work herein
specified agreeing to do all %rk in strict accordance with the City Codes
$ and rulings of the Departmentf Buildings, and hereby declares that all the
facts and representations staid in this application are true and correct.
$ 10.00
Frdley, Minn. August 2 , 19 89
$ OWNER Tom & Jean Jone
KIND OF BUILDING Frame
USED AS Residential
$ TO BE COMPLETED ABOUT
State Surcharge $ .50 ESTIMATED COST $1800.00
TOTAL FEE OLD - NEW BUILDING PERMIT NO. _ PERMIT NO. lt�b
Reinspection Fee ($15.00) $
Rough Insp.
Date
Final Insp.
a e
Approval for Permit
"INSTALLING ONE (1) CARRIER DESCRIPTIOI OF FURNACE/BURNER
38TKO24 2 TON AIR HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No.
CONDITONER
Trade Name Size No.
MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00,
PLUS $.50 STATE SURCHARGE
Attach stack verification fora with. replacement furnace permits
*Air Conditioners can not be placed in side yard without
written permission from adjoining neighbor.
Capacity
Total Connected Load
BURNER - Trade Name
Sq. Ft. EDR
BTU
Kind of Fuel
Size No.
HP
Capacity Sq. Ft. EDR BTU HP
Company , Dependable Heating and A/C
Signed By ghocan /n mCe L\
Tel. No. 757-5040
SUBJECT
City of Fridley
3 3 � 4
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
RECEIPT NO.
� • COMMUNITY DEVELOPMENT DIV.
v I PROTECTIVE INSPECTION SEC
I ��
r � r
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
P AGE OF
APPROVED By
612-571-3450
910-F15
5/2/95
JOB ADDRESS 7573 4 Street NE
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
20
I 1
Osborne Manor
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Tom Jones 7573 4 Street NE
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
DuAll Service 636 39 Ave NE Minnea of
788-9411 8
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
D
ElElNEW ADDITION El ALTERATION X REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Fire Damage Repairs
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
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
$40,000
$20.00
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
$349.50
Fire SC $40.00
/
PLAN CHECK FEE
TOTALFEE
License SC $5.00
$414.50
SIGN u OF COf&fRACTORORAUTHORIZEDAGENT IDATEI
WHEN PROPERLY LI DATED THIS IS YOUR PERMIT
9 Y.
BL INSP
�J
/ 100f 4 l`I
f FiArt
SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI
NEW [ ] Effective 1/ 1/95
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2����
Building Permit Application
-Construction Address: eg
Legal Description:
..Owner Name .'& Address: 03'�ne s Tela #..
.V .MNLICENSE, #7Contractor:s.
Address: 0- ilJ Tel. # `l'Y 1/
.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. A.'
OTHER:i
Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks
Type of Construction: Awa m, Estimated Cost: $ y0, Od D
Approx. Completion Date:
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: = /-Oj' $ APPLICANT: Tel. #-7,M— 9' q f
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$
$ / '50
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1 / 10th %)
$.50/$1,00 Valuation
$850 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 ( ]
QuAll Service Contractors
636 39th Avenue N.E.
Minneapolis, MN 55421
(612) 788-9411
(612) 788-8007
04/10/95
Client: Tom & Jean Jones
Address: 7573 4 Th Street N E.
Fridley 55432,
Property Addr: Same
Contact: Republic Insurance
Address: 7200 France Avenue S.129
Edina, AN 55435
Estimate: JONES
Res. Ph: (612)897-3509
6 22
6`/ 7-� j/
DuAll Service Contractors
Tom & Jean Jones
Room: Miscellaneous
04/10/95 Page:2
DESCRIPTION
-------------------------------------------------------------------------------------------
!RUTS
LxWxH:
REMOVE REPLACE
TOTAL
Taxes, insurance, permits &
1
EA
@
350.00=
350.00
fees (per bid) APPROX.
Walls
218 SF Ceiling
783
SF Wails & Ceiling
Dumpster load - Large
2
EA
@
475.00+
950.00
Clean & deodorize ductwork
1
EA
@
204.20=
204.20
system - hot or cold air
IRlITS
REMOVE
REPLACE
TOTAL
Soot seal ductwork system
1
EA
@
203.18=
203.18
Final clean up
8
HR
@
22.50=
180.00
Clean with pressure/chemical
1
EA
@
385.75=
385.75
spray - exterior siding as
Seal truss system
necessary
0.57=
124.26v
Seal stud wall for
odor control
Clean storm door assembly
1
EA
@
18.75=
18.75
R&R Storm door assembly - High
1
EA
@
8.60+ 201.27=
209.87
grade
-------------------------------------------------------------------------------------------
Room Total: Miscellaneous 2,501.75
Room: LIVING ROOM
LxWxH:
1617" x 12'7" x
810"
Subroo® 1: Closet
LxWxH:
3'8" x 216" x
810"
566 SF
Walls
218 SF Ceiling
783
SF Wails & Ceiling
218 SF
Floor
28 SY Flooring
70
LF Floor Perimeter
162 SF
Long Wall
121 SF Short Wall
70
LF Ceil. Perimeter
DESCRIPTION
-------------------------------------------------------------------------------------------
IRlITS
REMOVE
REPLACE
TOTAL
R&R 5/8" drywall -
hung, taped,
218 SF @
0.13+
0.96=
237.62
floated, ready for paint
R&R 1/2" drywall -
hung, taped,
566 SF @
0.13+
0.88-
571.66
floated, ready for paint
Seal truss system
218 SF @
0.57=
124.26v
Seal stud wall for
odor control
566 SF @
0.35=
198.10V
DuAll Service Contractors
Tom & Jean Jones
04/10/95
Page:3
Continued
-
LIVING
ROOM
DESCRIPTION
-------------------------------------------------------------------------------------------
!NITS
REMOVE
REPLACE
TOTAL
R&R Blown -in insulation - 12"
218
SF
@
0.46+
0.66=
244.16
depth - R38
R&R Batt insulation - 4" - R13
283
SF
@
0.16+
0.39=
155.65
R&R 110 volt wiring run, box
12
EA
@
2.46+
28.21=
368.04
and plug or switch
Phone, TV, or speaker outlet -
1
EA
@
7.77=
7.77
Detach & reset
R&R Thermostat - High grade
I
EA
@
2.46+
110.33=
112.79
R&R Heat/AC register
2
EA
@
0.62+
14.72=
30.68
R&R Cold air return cover
1
EA
@
3.07+
22.22=
25.29
R&R Specialty wood window unit,
1
EA
@
26.88+
1,760.23=
11787.11--
24 - 32 sf
Paint/finish wood window (per
6
EA
@
16.79=
100.74
side)
R&R Exterior door compl. Trim
1
EA
@
13.53+
686.89=
700.42
& Locks
R&R Interior door - oak veneer
1
EA
@
6.21+
145.67=
151.88
- oak veneer jamb & casing
Stain and finish door, jam and
2
EA
@
29.98=
59.96
casing (per side)
R&R Door lockset - interior
1
EA
@
3.07+
23.52=
26.59
R&R Closet package (shelf, rod,
4
LF
@
2.22+
11.44=
54.64
jam and casing)
R&R Baseboard - 2 1/4" hardwood
70
LF
@
0.18+
1.79=
137.90
Stain & finish baseboard
70
LF
@
0.54=.
37.80
R&R Acoustic ceiling (popcorn)
218
SF
@
0.60=
130.80
texture - heavy
Seal/prime the walls & ceiling
783
SF
@
0.19=
148.77
- one coat
DuAll Service Contractors
Tom & .lean Jones 04/10/95 Page:4
Continued - LIVING ROOM
DESCRIPTION UNITS REMOVE REPLACE TOTAL
-------------------------------------------------------------------------------------------
Seal underiayment for odor 218 SF @ 0.23= 50.14
control
-------------------------------------------------------------------------------------------
Room Total: LIVING ROOM 5,462.77
Room: Stairs
@
1.24=
LxWxH:
8120 X 217• X 810'
@
172 SF Malls
21 SF Ceiling
193
SF Walls & Ceiling
0.23=
21 SF Floor
3 SY Flooring
22
LF Floor Perimeter
101 SF Long Wall
65 SF Long Wall
21 SF Short Wall
22
LF Ceil. Perimeter
DESCRIPTION
tNiITS
UNITS
ROM
REPLACE TOTAL
-------------------------------------------------------------------------------------_------
R&R 110 volt
wiring run, box
3 EA @
2.46+
28.21= 92.01
and plug or
switch
Clean stair stringer
Seal/prime the surface area -
one coat
Seal underlayment for odor
control
30 LF
@
1.24=
37.20
100 SF
@
0.19=
19.00
21 SF
@
0.23=
4.83
-------------------------------------------------------------------------------------------
Room Total: Stairs 153.04
Room: Kitchen
LxWxH:
12'8` x 1210" x
8'0"
395 SF Walls
152 SF Ceiling
547
SF Walls & Ceiling
152 SF Floor
19 SY Flooring
49
LF Floor Perimeter
101 SF Long Wall
96 SF Short Wall
49
LF Ceii. Perimeter
DESCRIPTION
tNiITS
REMOVE
REPLACE
TOTAL
-------------------------------------------------------------------------------------------
R&R 5/8" drywall - hung, taped,
152 SF @
0.13+
0.96=
165.68
floated, ready for paint
R&R 1/2" drywall - hung, taped,
300.2 SF @
0.13+
0.91=
312.21
floated, ready for paint
Seal truss system
152 SF @
0.57=
86.64v
Seal stud wail for odor control
300.2 SF @
0.35=
105.07t -
R&R Blown -in insu.1ation - 12"
152 SF @
0.46+
0.66=
170.24
depth - R38
DuAti Service Contractors
Tom & Jean Jones
04/10/95
Page:5
Continued
- Kitchen
DESCRIPTION
!KNITS
REMOVE
REPLACE
TOTAL
-------------------------------------------------------------------------------------------
R&R Batt insulation - 4" - R13
98.75
SF
@
0.16+
0.39=
54.31
R&R 110 volt wiring run, box
10
EA
@
2.46+
28.21=
306.70
and plug or switch
R&R Ground -fault
1
EA
@
2.19+
30.96=
33.15
circuit -interrupter (GFI)
outlet
R&R Fluorescent - two tube - 4'
2
EA
@
6.15+
64.67=
141.64
- fixture w/lens
R&R Heat/AC register
1
EA
@
0.62+
14.72=
15.34
R&R Cabinetry - upper (wall)
20
LF
@
3.07+
68.39=
V1,429.20
units
R&R Cabinetry - lower (base)
17
LF
@
3.07+
76.89=
1,359.32
units
R&R Cabinetry - full height unit
2
LF
@
3.70+
150.04=
307.48
R&R Countertop - post formed
22
LF.
@
1.75+
19.67=
471.24
Formica
R&R Sink - double
1
EA
@
7.38+
191.55=
198.93
R&R Sink faucet
1
EA
@
6.15+
76.09=
82.24
R&R Garbage disposal
1
EA
@
11.06+
125.48=
136.54
R&R Wood window - casement, 12
1
EA
@
22.14+
455.46=
477.60
- 23 sf
Paint/finish wood window (per
2
EA
@
16.79=
33.58
side)
Acoustic ceiling (popcorn)
152
SF
@
0.60=
91.20
texture - heavy
Seal/prime the walls & ceiling
547
SF
@
0.19=
103.93
- one coat
R&R Underlayment - 1/4"
152
SF
@
0.25+
1.00=
190.00
lauan/mahagany plywood
DuAll Service Contractors
Tom & Jean Jones
04/10/95 Page:6
Continued
- Kitchen
DESCRIPTION
UNITS
REMOVE
REPLACE
TOTAL
-------------------------------------------------------------------------------------------
Seal underlayment for odor
152
SF
@
0.23=
34.96
control
Baseboard - 2 1/4"
24.5
LF
@
1.97=
48.27
Stain & finish baseboard
24.5
LF
@
0.54=
13.23
-------------------------------------------------------------------------------------------
Room Total: Kitchen
6,368.70
Room: Dinning Room
LxVxH:
1410' x 12'8" x
810"
427 SF Walls
177 SF Ceiling
604
SF Walls & Ceiling
177 SF Floor
23 SY Flooring
53
LF Floor Perimeter
112 SF Long Wall
101 SF Short
Wall
53
LF Ceil. Perimeter
DESCRIPTION!
UNITS
REMOVE
REPLACE
TOTAL
-------------------------------------------------------------------------------------------
R&R 5/8" drywall - hung, taped,
177
SF
@
0.13+
0.96=
192.93
floated, ready for paint
R&R 1/2" drywall - hung, taped,
324.52
SF
@
0.13+
0.88=
327.77
floated, ready for paint
Seal truss system
177
SF
@
0.57=
100.89
Seal stud wall for odor control
324.52
SF
@
0.35=
113.58
R&R Blown -in insulation - 12"
177
SF
@
0.46+
0.66=
198.24
depth - R38
R&R Batt insulation - 4" - R13
128.1
SF
@
0.16+
0.39=
70.46
R&R 110 volt wiring run, box
6
EA
@
2.46+
28.21=
184.02
and plug or switch
R&R Heat/AC register
2
EA
@
0.62+
14.72=
30.68
R&R Cold air return cover
1
EA
@
3.07+
22.22=
25.29
R&R French double door set -
1
EA
@
-32.73+
1,208.58=
1,241.31-1
stain grade jamb & casing
Stain & finish door - French
2
EA
@
50.27=
100.54
(per side)
DuAll Service Contractors
Tom & Jean Jones
SF @
0.46+
LXWXH:
04/10/95
Page:7
296 SF
Continued
- Dinning
Room
SF Wails & Ceiling
EA @
DESCRIPTION
UNITS
11 SY Flooring
REMOVE
REPLACE
TOTAL
-------------------------------------------------------------------------------------------
R&R Door lockset & deadbolt
- 1
£A
@ 3.70+
77.54=
81.24
exterior
UNITS
REMOVE
REPLACE
TOTAL
R&R Baseboard - 2 1/4"
39.75
LF
@ 0.18+
1.79=
78.31
Stain & finish baseboard
39.75
LF
@
0.54=
21.47
Acoustic ceiling (popcorn)
177
SF
@
0.60=
106.20
texture - heavy
Seal truss system
Seal/prime part of the walls
& 513.4
SF
@
0.19=
97.55
ceiling - one coat
0.35=
103.60'/
Seal underlayment for odor
177
SF
@
0.23=
40.71
control
-------------------------------------------------------------------------------------------
Room Total: Dinning Room 3,011.19
Room: Office
SF @
0.46+
LXWXH:
1016" x 8'0" x
8'O"
296 SF
Walls
84 SF Ceiling
380
SF Wails & Ceiling
EA @
84 SF
Floor
11 SY Flooring
37
LF Floor Perimeter
0.62+
84 SF
Long Wali
64 SF Short Wall
37
LF Ceil. Perimeter
DESCRIPTION
UNITS
REMOVE
REPLACE
TOTAL
-------------------------------------------------------------------------------------------
R&R 5/8" drywall -
hung, taped,
84 SF @
0.13+
0.96=
91.56
floated, ready for paint
R&R 1/2" drywall -
hung, taped,
296 SF @
0.13+
0.88=
298.96
floated, ready for paint
Seal truss system
84 SF @
0.57=
47.88f
Seal stud wall for
odor control
296 SF @
0.35=
103.60'/
R&R Blown -in insulation - 12"
depth - R38
R&R Batt insulation - 4" - R13
R&R 110 volt wiring run, box
and plug or switch
R&R Heat/AC register
84
SF @
0.46+
0.66=
94.08
148
SF .@
0.16+
0.39-
81.40
7
EA @
2.46+
28.21=
214.69
I
£A @
0.62+
14.72=
15.34
DuAll Service Contractors
Tom & Jean Jones
Formula: PK:12111'9181211215'8
I
04/10/95
Page:B
168 SF Ceiling
Continued
- Office
141 SF
Floor
DESCRIPTION
UNITS
LF Floor Perimeter
REMOVE
REPLACE
TOTAL
--------------------------------------------------------------------------------------
R&R Cold air return cover
I
EA
@
3.07+
22.22=
-----
25.29
R&R Wood window - casement, 12
2
EA
@
22.14+
455.46=
955.20
- 23 sf
floated, ready for paint
R&R 1/2" drywall -
Paint/finish wood window (per
8
EA
@
505.00
16.79=
134.32
side)
Seal truss system
168 SF @
R&R French double door set -
1
EA
@
32.73+
1,208.58=
1,241.31t-
,241.316stain
staingrade jamb & casing
Paint door - French double door
2
EA
@
40.61=
81.22
set (per side)
R&R Door lockset - interior
I
EA
@
3.07+
23.52=
26.59
R&R Baseboard - 2 1/4" hardwood
37
LF
@
0.18+
1.79=
72.89
Stain & finish baseboard
37
LF
@
0.54=
19.98
Acoustic ceiling (popcorn) 84 SF @ 0.60= 50.40
texture - heavy
Sea]/prime the walls & ceiling 380 SF @ 0.19= 72.20
- one coat
Seal underlayment for odor 84 SF @ 0.23= 19.32
control
-------------------------------------------------------------------------------------------
Room Total: Office 3,646.23
Root: Family Room
Formula: PK:12111'9181211215'8
I
500 SF
Walls
168 SF Ceiling
668
SF Walls Ceiling
141 SF
Floor
19 SY Flooring
48
LF Floor Perimeter
0 SF
Long Wall
0 SF Short Wall
51
LF Ceil. Perimeter
DESCRIPTION
UNITS
REMOVE
REPLACE
TOTAL
-------------------------------------------------------------------------------------------
R&R 5/8" drywall -
hung, taped,
168 SF @
0.13+
0.96=
183.12
floated, ready for paint
R&R 1/2" drywall -
hung, taped,
500 SF @
0.13+
0.88=
505.00
floated, ready for paint
Seal truss system
168 SF @
0.57-
95.76-,
DuAll Service Contractors
Tom & Jean Jones
04/10/95
Page:9
Continued
-Family
Room
DESCRIPTION
-------------------------------------------------------------------------------------------
LNLITS
REMOVE
REPLACE
TOTAL
Seal stud wall for odor control
500
SF
@
0.35=
175.001,
R&R Blown -in insulation - 12"
168
SF
@
0.46+
0.66=
188.16
depth - R38
R&R Batt insulation - 4" - R13
375
SF
@
0.16+
0.39=
206.25
R&R 110 volt wiring run, box
10
EA
@
2.46+
28.21=
306.70
and plug or switch
Phone, TV, or speaker outlet -
2
EA
@
7.77=
15.54
Detach & reset
R&R Heat/AC register
1
EA
@
0.62+
14.72=
15.34
R&R Wood window - casement, 12
3
EA
@
22.14+
455.46=
1,432.80
- 23 sf
Paint/finish wood window (per
6
EA
@
16.79=
100.74
side)
R&R Exterior door - Comp
I
EA
@
13.53+
275.57=
289.10
R&R Door lockset & deadbolt -
I
EA
@
3.70+
77.54=
81.24
exterior - High grade
R&R Door opening trim (jamb &
1
EA
@
3.27+
73.63=
76.90
casing) - Extra large opening
Stain & finish door/window trim
2
EA
@
15.96=
31.92
& jamb (per side)
R&R Trim board - 1" x 8" -
12
LF
@
0.25+
12.35=
151.20
installed
R&R Baseboard - 2 1/4" hardwood
48
LF
@
0.18+
1.79=
94.56
Stain & finish baseboard
48
LF
@
0.54=
25.92
Acoustic ceiling (popcorn)
168
SF
@
0.44=
73.92
texture
Seal/prime the walls & ceiling
668 SF
@
0.19=
126.92
- one coat
DuAll Service Contractors
Tom & Jean Jones 04/10/95 Page:10
Continued - Family Room
DESCRIPTION UNITS REMOVE REPLACE TOTAL
-------------------------------------------------------------------------------------------
Seal underlayment for odor 141 SF @ 0.23= 32.43
control
-------------------------------------------------------------------------------------------
Room Total: family Room 4,208.52
Room: Master Bedroom
LxVxH:
13'0' x 10180 x
810'
Subroom l: Offset
LxW:
3'4' x 2'0' x
810'
Subroom 2: Closet
LxWxH:
1216" x 2'2' x
810'
699 SF Walls
173 SF Ceiling
871
SF Walls & Ceiling
173 SF Floor
22 SY Flooring
87
LF Floor Perimeter
231 SF Long Wall.
118 SF Short Mall
87
LF Ceil. Perimeter
DESCRIPTION
-------------------------------------------------------------------------------------------
UNITS
REMOVE
REPLACE
TOTAL
R&R 5/8" drywall - hung, taped,
173
SF
@
0.13+
0.96=
188.57
floated, ready for paint
R&R 1/2" drywall - hung, taped,
699
SF
@
0.13+
0.88=
705.99
floated, ready for paint
Seal truss system
173
SF
@
0.57=
98.616
Seal stud wall for odor control
699
SF
@
0.35=
244.65
R&R Blown -in insulation - 12"
173
SF
@
0.46+
0.66=
193.76
depth - R38
R&R Batt insulation - 4" - R13
384.45
SF
@
0.16+
0.39=
211.45
R&R 110 volt wiring run, box
8
EA
@
2.46+
28.21=
245.36
and plug or switch
R&R Heat/AC register
2
EA
@
0.62+
14.12=
30.68
R&R Cold air return cover
1
EA
@
3.07+
22.22=
25.29
R&R Interior door - oak veneer
1
EA
@
6.21+
145.67=
151.88
- oak veneer jamb & casing
Stain and finish door, jamb and
2
EA
@
29.98=
59.96
casing (per side)
R&R Door lockset - interior
1
EA
@
3.07+
23.52=
26.59
DuAll Service Contractors
Tom & Jean Jones
LxWxH: 10'00 x 510" x
8'0"
04/10/95
Page:11
Continued
- Master
Bedroom
Walls
57 SF Ceiling
DESCRIPTION
tMITS
57 SF
Floor
REMOVE
REPLACE
TOTAL
-------------------------------------------------------------------------------------------
R&R Wood window - casement, 12
2
EA
@
22.14+
455.46=
955.20
-23sf
^, Pr
REMOVE REPLACE
TOTAL
-------------------------------------------------------------------------------------------
R&R 5/8" drywall -
hung, taped,
57 SF @
0.13+ 0.96=
z' i • , -�
Paint/finish wood window (per
4
EA
@
16.79=
67.16
side)
57 SF @
0.57=
32.49
R&R Baseboard - 2 1/4" hardwood
87
LF
@
0.18+
1.79=
171.39
Stain & finish baseboard
87
LF
@
0.54=
46.98
Acoustic ceiling (popcorn)
173
SF
@
0.44-
76.12
texture
R&R Attic entrance cover and
1
EA
@
3.29+
56.87=
60.16
trim
Seal/prime the wails & ceiling
871
SF
@
0.19=
165.49
- one coat
R&R Sifold door set
2
EA
@
8.15+
143.45=
303.20
Paint door - bifold set (per 4 EA @ 15.09= 60.36
side)
R&R Closet package (shelf, rod, 20 LF @ 2.22+ 11.44= 273.20
Jamb and casing)
Seal underlayment for odor 173 SF @ 0.23= 39.79
control
-------------------------------------------------------------------------------------------
Room Total: Master Bedroom 4,401.84
Roues: Bath
LxWxH: 10'00 x 510" x
8'0"
Subroom 1: Closet
LxWxH: 3'6" x 210" x
8'0"
328 SF
Walls
57 SF Ceiling
385 SF Walls & Ceiling
57 SF
Floor
17 SY Flooring
41 LF Floor Perimeter
108 SF
Long Wall
56 SF Short Wall
41 LF Ceil. Perimetr=
DESCRIPTION
tMITS
REMOVE REPLACE
TOTAL
-------------------------------------------------------------------------------------------
R&R 5/8" drywall -
hung, taped,
57 SF @
0.13+ 0.96=
62.13
floated, ready for
paint
Seal truss system
57 SF @
0.57=
32.49
DuAll Service Contractors
Tom & Jean Jones
04/10/95
Page:12
Continued
-
Bath
DESCRIPTION
INIITS
REMOVE
REPLACE
TOTAL
-------------------------------------------------------------------------------------------
R&R Blown -in insulation - 12"
57
SF
@
0.46+
0.66=
63.84
depth - R38
R&R 1/2" drywall - hung, taped,
32.8
SF
@
0.13+
0.88=
33.12
floated, ready for paint
R&R Batt insulation - 4" - R13
49.2
SF
@
0.16+
0.39=
27.06
R&R 110 volt wiring run, box
5
EA
@
2.46+
28.21=
153.35
and plug or switch
R&R Ground -fault
1
EA
@
2.19+
30.96=
33.15
circuit -interrupter (GFI)
outlet
R&R Exhaust fan
1
EA
@
4.92+
82.09=
87.01
R&R Light fixture
1
EA
@
3.07+
32.96=
36.03
R&R Neat/AC register
1
EA
@
0.62+
14.72=
15.34
moor - oak veneer
Z
EA
@
6.21+
145.67=
303.76
- UaK veneer Jamb & cas i r:o
Stain and finish door, jamb and
4
EA
@
29.98=
119.92
casing (per side)
R&R Door lockset - interior
2
EA
@
3.04+
23.57=
53.22
Clean cabinetry - lower -
3
LF
@
6.50=
19.50
inside and out
Stain & finish cabinetry -
3
LF
@
.26.17=
78.51
inside and out
- cultured marble sink
I
LF
@
22.50=
22.50
R&R Sink faucet
i
EA
@
6.15+
76.09=
82.24
Toilet - Detach & reset
1
FA
0
�iA.SR=
5A, R
Clean toilet
1
EA
@
22.50=
22.50
Clean whirl Dool tub
1
EA
@
65.00=
65.00
Service tub if necessary
1
EA
@
DuAll Service Contractors
Tom & Jean Jones
LxMxH: 31'00 x 2310" x
7'0'
04/10/95
Page:13
Continued
- Bath
DESCRIPTION
-------------------------------------------------------------------------------------------
UNITS
713 SF Ceiling
1,469 SF Walls & Ceiling
REMOVE REPLACE
TOTAL
R&R Tub/shower faucet
1
EA
@
6.15+ 125.30=
131.45
Clean ceramic tile
207
SF
@
0.30=
62.10
Regrout the
207
SF
@
1.27=
262.89
R&R Bath accessory
3
EA
@
1.47+ 21.63=
69.30
_-__. _' =et package (shelf,
I
EA
@
13.42=
13.42
god, jamb & casing)
Clean mirror
9
SF
@
1.00=
9.00
Acoustic ceiling (popcorn)
57
SF
@
0.44=
25.08
texture
Seal/prime part of the walls &
192.5
SF
@
0.19-
36.58
ceiling - one coat
Seal framing for odor control
185
SF
@
0.40=
74.00
-------------------------------------------------------------------------------------------
Room Total: Bath 2,054.07
Basement�-
Room: Family Room
LxMxH: 31'00 x 2310" x
7'0'
Subroom 1: Offset
Subroom 2: Mechanical Roo7,
756 SF Walls
713 SF Ceiling
1,469 SF Walls & Ceiling
713 SF Floor
91 SY Flooring
108 LF Floor Perimeter
217 SF Long Wall
161 SF Short Wall
108 LF Ceil. Periwet.£r-
DESCRIPTION
-------------------------------------------------------------------------------------------
UNITS
REMOVE REPLACE
TOTAL
1_an floor or roof joist system
713 SF @
0.34=
242.42
'lean the wails
756 SF @
0.12=
90.72
'._:lean light fixture
7 EA @
3.86=
27.02
s:lean window, 3 - 9 SF
2 EA @
3.74=
7.48
:•o^f joist system 713 SF @ 0.61= 434.93 "
DuAll Service Contractors
Tom & Jean Jones
04/10/95
Page:14
Continued
- Family
Room
DESCRIPTION
UNITS
REMOVE
REPLACE
TOTAL
-------------------------------------------------------------------------------------------
Clean tub
1
EA
@
7.65=
7.65
Clean bar
1
EA
@
22.50=
22.50
Clean door (per side)
2
EA
@
2.69=
5.38
Clean furnace - forced air
1
EA
@
18.30=
18.30
Clean water heater
1
EA
@
8.64=
8.64
Clean water softener
I
En
@
13.94=
13.94
an part of the
YFloor
142.72
00
@
0.12=
17.13
-------------------------------------------------------------------------------------------
Room Total: Family Room 896.11
Area Total: Basement 896.11
-------------------------=---� --=--=------------------------------------------------------
Line Item Subtotal: 32.704.2
DuAll Service Contractors
Tont & Jean Jones 04/10/95 Page:15
Susmary
Total Line Items 32,704.22
Overhead @ 10% x 32,704.22 3,270.42
Profit @ 10% x 32,704.22 31270.42
Material Tax @ 6.5% x 15,053.64 978.49
Grand Total $40,223.55
roo==_=cc==cc
Grand Total Areas:
4,139 SF Walls 1,763 SF Ceiling 5,900 SF Wall -
1,736 St= Noor 223 SY f=looring 515 Lr" Floor Perimeter
1,080 SF Long Mall 738 SF Shore. 1"N111
N'
ADDRESS
PIN
LEGAL DESC
PERMIT TYPE
PROPERTY TYPE
CONSTRUCTION TYPE
CITY OF FRWLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
(763) 572-3604 FAX: (763) 5714287
REPRINTED ON 11/22/2004
7573 4 ST NE
113024210028
OSBORNE MANOR
LOT 20 BLOCK 1
BUILDING
COMMERCIAL
ACCESSORY BLDG
VALUATION : $ 10,910.00
NOTE: SEE NOTATIONS ON PLAN.
CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS.
STATE LICENSED CONTRACTOR I
PERMIT NO.: 200402102
DATE ISSUED: 11/22/2004
APPLICANT BUILDING PERMIT FEE
JONES JEAN D PLAN CHECK FEE
7573 4TH ST NE FIRE SURCHARGE
FRIDLEY, MN 55432 STATE SURCHARGE, VALUE
LICENSE SURCHARGE
TOTAL
PAID WITH CHECK # 7000
OWNER
JONES JEAN D
7573 4TH ST NE
FRIDLEY, MN 55432
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of wort
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or cancel the provisions of a other state or local law
regulating construction or the perf rmance of construction.
Applicant Date '
Bldg
SEPARATE PERMITS I(EQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
195.25
126.91
10.91
5.45
5.00
343.52
B
NEW (] CITY OF FRIDLEY Effective 4/1/2004
ADDN (] I� 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
ALTER [ ] ,; �� ' SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
"1
Construction Address: i -7 3 S 4 �Yr c4 �� y, �Nl,•f s S � 3 a -
Legal Description:
Owner Name & Address: C Flo`' �� -S Tel. # q o
Contractor.
A ko �,A S L4 ^% l o o m s MN LICENSE
Address: 14 C 0"" 1y Tel. # I(f 3 -7 go 38"o
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height Sq. Ft.
00
Length Width Height Sq
Length WidthHgt/Ground , t.
_ Sq. F
,� a
� r4& 4 (4m Estimated Cost: $
Construction Type: � 1 r
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: ® APPLICANT: Tel. # ` 3 3.8 0
Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call
you for card number.
CITY USE ONLY -
Permit Fee
Plan Review
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Fee Schedule on Reverse Side
65% of Permit Fee
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1350 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 [ ]
TOTAL $ 3 STIPULATIONS:
Oct 07 04 04:28p
Oct 06 04 12:39p
SKETCH ESttm
Ozzie a Bill
Ozzie L Bill
763-780-9382 p.l
HAW yi
ADOFEW -75..73 y f s
f; _')
r
' fC 7 r
y
vfgati
-4
m
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3Uilding '161BUILDING Permit No.:
Inspections �� RESIDENTIAL APPLICATION Received By:,QP,�'Z
763-572-3604 CITY OF FRIDLEY Date Rec'd:-0 7
)ATE 9 1 of-.// U 7
;ITE ADDRESS 76 7 `3 4 �
1ZIIS APPLICANT IS: ❑ OWNER
YOUR E-MAIL ADDRESS
PROPERTY OWNER/
NAME: eg
TENANT
ADDRESS: '7`2`713 —T1/-�S'j �V F
CITY % G STA
Permit Fee
p
PHONE: /L4'/'%Ut���`7J"1®
5 See Back Page for Fee Schedule
CONTRACTOR
NAME: gzyw!'r
65% of Building Permit Fee
SUBMIT A COPY OF
STATE LICENSE # -
EXP DATE �J/�J� A
-�
YOUR STATE LICENSE
ADORES: t bit NI tou %ive '
CITY nbSTAT)ivl IP 6S4-26
WITH APPLICATION
PHO�'�JZ 717' lLpl�j FAX
-
PROPERTY TYPE
❑ SINGLE FAMILYINEW CONSTRUCTION
SIZE
Curb Cut Escrow
❑ TWO FAMILY/NEW CONSTRUCTION
STORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHED
WINDOWS
Park Fee
O BASEMENT FINISH ❑ ROOF
❑ DRAIN TILE
Sewer Main Charge
❑ DECK ❑ SIDING
❑ OTHER
Total Due
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW ❑ ADDITION
❑ MAINTENANCE MPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE:
`i t 5 .
SIZE OF IMPROVEMENT
SQUARES
GARAGES
PROPOSED SIZE:
PROPOSED HEIGHT:
SIDING
❑ Vinyl .
❑ Aluminum
❑ Other
WINDOWS '
IN EXISTING OPENINGSYes [No
OR FOR NEW OPENINGS- ESCRIBE SIZE OF
OPENING CHANGES & OU
TYPE OF WINDOW TO BE INSTALLED
LENGTH WIDTH HEIGHT J Sq. Ft.
❑ HOUSE ONLY
❑ HOUSE & GARAGE
❑ ATTACHED GARAGE
❑ DETACHED GARAGE
❑Soffit
❑ Trim
❑ Fascia
LOCATION OF WINDOWS
OF
BASEMENT REMODELING SUBMIT:
1. Existing Floor Plan
2. Proposed floor plan
3. List of structural members to be used
FOR NEW CONSTRUCTION INCLUDING DECKS,
ADDITIONS. & PORCHES SUBMIT:
I. Site Plan/Survey showing the existing structure!
and proposed project
2. Two sets of construction plans
3. Energy Calculations
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR
AND MATERIALS:
FEE
(USING 7�2�
TOTAL JOB VALUATION 'ev OCCUPANCY TYPE
Permit Fee
$__Jjd
5 See Back Page for Fee Schedule
Plan Review
$
65% of Building Permit Fee
Fire Surcharge
.001 times the total job valuation
Surcharge
$
•7j, j>& • .0005 x Permit Valuation Minimum $.50
License Surcharge
$
rj , e-0 $5.00 (State Licensed Residential Contractors)
SAC Charge
$
$1550 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
$
ft + 6 ft = ft x $21= $
Erosion Control
$
$450 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement necessary ( ) Non Necessary ( )
Total Due
$
Make checks payable 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 it
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not
permit but only an applicati for a permit and work is not to start without a permit; that the work will be in accordance with the approves
plan in the case of all work hi re ire view and approval of plans.
SIGNATURE OF APPLICANT T NAME V im/ VG /LGI %I & DATE
CITY OF FRIDLEY I MOVING [ ] DEMORMIT APPLICATION
6431 University Ave NE
Fridley MN 55432 -�K'DEH0
(763)572-3604 FAX (763)571-1287
7-5-7.3 % S
F
Job Address:
Legal Description:
Owner & Address: T�/i•L0 j f---er
Tel . # `7e�-,? 7Sv (ff O
Contractor: Z_ob /4 C. %2_�C_
Tel. C, -I q%o q9Y(.
Address:�jCr 7 ('�j� %% S
State
License #
®����
DESCRIPTION OF BUILDING
HOUSE: Length Width
Height Sq.
Ft.
Cu. Ft.
GARAGE:Length Width
Height Sq.
Ft.
Cu. Ft.
OTHER: Length Width
Height Sq.
Ft.
Cu. Ft.
o&
Estimated Cost $ Approx. Completion Date . /c) G
CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. CALL ALL
UTILITIES FOR DISCONNECTS BEFORE WRECKING MOVING STRUCTURE.
Moving Route:
APPROVAL(S) REQUIRED PRIOR TO ISSUANCE:
❑
Bldg Official Conditions
Engineering Conditions
Fire Marshal Conditions
❑ Water Bill Paid: Yes[ ] or Collect [$
]Signature
The. undersigned hereby makes application for a permit to wreck/move the building described above, agreeing to do all work in strict
accordance with the City Ordinances and rulings of the Building Division, and the State Code which requires any water well on the
property to be sealed by a State licensed water well driller, and hereby declares that all facts and representations stated in this application
are true and correct.
ALL DEMOLITON DEBRIS, INCLUDING FOUNDATION & SLAB. SHALL BE REMOVED FROM SITE.
7/--/a 7
Date ienature
Moving Wrecking
Principle building into Fridley .... $300.00 For each 1,000 cubic feet or fraction...... $1.25
Accessory building into Fridley ... $ 42.00 For structures which would be impractical -to
Through or within the City ...... $ 20.00 cube, the fee shall be based on the total cost
Move a building out of City ...... $ 20.00 of wrecking at the rate of $6.00 for each $500.00
or fraction.
PERMIT FEE: MINIMUM $20.00
Office Use Only: SAC -D form completed Effective 3/29/07
Building
MECHANICAL Permit No. -a 1 S
Inspections
RESIDENTIAL APPLICATION Received By
763-572-3604
'� Q 2009
CITY OF FRIDLEY
763-502-4977 FAX
EFFECTIVE 2-19-09
DATE 10-30-09 YOUR E-MAIL ADDRESS dave@davesheatingandair.com
SITE ADDRESS 7573 4th ST NE
THIS APPLICANT IS: ❑ OWNER y/ ONTRACTOR
PROPERTY NAME: JEAN JONES
OWNER/ ADDRESS: 7573 4TH ST NE CITY FRIDLEY STATE MN ZIP 55432
TENANT PHONE: 763-780-1890
CONTRACTOR
COMPANY NAME: DAVE'S HEATING, AIR R ELECTRIC
CONTACT PERSON: AMY MADVIG
SUBMIT A COPY OF
YOUR STATE
STATE LICENSE # EXP DATE
LICENSE WITH
ADDRESS: 1601 37TH AVE NE CTTy COLUMBIA HEIGHTS STATE MN ZIP 55421
APPLICATION
PHONE 763-781-6901 FAX 763-789-8605
PERMIT TYPE
WINGLE FAMI.Y ❑ TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK:
❑ NEW
OEPLACEMENT
❑ ALTERATION/REMODEL
DETAILED DESCRIPTION OF WORK REPLACE CENTRAL AIR WITH LENNOX CENTRAL AIR M#XC13-024-230
FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW)
Equipment Installed MFG: MODEL: SIZE/BTU
MFG: MODEL: SIZE/BTU
MFG: MODEL: SIZEBTU
✓ C $25.00 FIREPLACE (GAS) $15.00 _GAS RANGE/OVEN $10.00
TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00
_
$35.00 ACE $35.00 _GAS UNIT HTR $10.00
_BOILER
LINER $10.00 AS DRYER $10.00 _POOL HEATER $35.00
_CHIMNEY _
DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00
Number of fixtures @ $10.00 x $10.00 = $
Number of fixtures @ $15.00 x $15.00 = $
Number of fixtures @ $25.00 1 x $25.00 = $ 25.00
Number of fixtures @ $35.00 x $35.00 = $
State Surcharge = $ .50
(MINIMUM FEE $35.50 Total = $35.50
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 ord' ces and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is
not a permit but only an ppon 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 cas of work which requires review and approval of pl s.
SIGNATURE OF APPLICAN"OkcVa PRINT NAMETE
PLEASE NOTE: SEPARATE PE S ARE RE FOR BUILDING, ELECTRICAL AND MECHANICAL WORK
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604 FAX: 763-502-4977