PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT
i
Builder
N? (W
%TJO 0 UILDING
No. Street 10
160 0 4r_77 -W _dr—_—._. Part of t
Lot Block Addition or Sub-Divislon,
-V 0V
Comer Lot __ Inside Lot Setback SIdeyard
Sewer Elevation Foundation Elevation
DESCRIPTION OF BUILDING
.Front Depth Height Sq. Ft. Cu. rj3ojv
Front Depth 1401jot Sq. Ft. Cu. Ft.
Type oConsfmction'�'-� Est. .,To be CompletL
dt
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, *t forth and In compliance with 21 provisions of
ordinances of the city of Fridley.
In consideration of the payment of a fee of V ?=—_ —, permit is hereby granted to
to construct the building or addition as described above. This permit is granted upon
the express condition that the eer
b2a, to whom. it is granted and his agents, emp ees and workmen, in all work.
d
done in, around and upon sai building, or an art thereof, conform in employees
construction,
= to the ordinances of
Fridley, Minnesota regarding location, consl on, alteration, midntenance repair moving of buildings
within the city limits and this permit may be revoked at an Upo of any of the provisions of said
ordinances. �A � � "I
Building Inspector
NOTICE:
Uh pern* don not emer the condrudlon, kdagatkn for wMh& p%mblng, gn h"ftg, nvrer or wafer. Be wro to 9"
the Bu'Mh* WqWftr for sepmft pmn& for *me ft"M
0 •
Application for Power Plants and Healing, Cooling, Ventilation. Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR:
RATE
TOTAL
Furnace Shell & Duct Work ...........................
8.00
$
Replacement of Furnace .............................
5.00
$
Repairs & Alterations—up to $500.00 ..................
5.00
$
Repairs & Alterations each add. $500.00 ...............
2.50
$
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $
each add. 60,000 BTU ....................... 2.00 $
Replacement of Furnace ............................. 5.00 $
Repairs & Alterations—up to $500.00 ................. 5.00 $
Repairs & Alterations each add. $500.00 .............. 2.50 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR Steam ..... 8.00 $
I Furnace Shell & Line—to 640 sq. ft. EDR Hot Water .. 8.00 $
Each add. 200 sq. ft. EDR Steam ...................... 2.50 $
' Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $
OIL BURNER—to 3 gal. per hour 5.00 $
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to 400,000 BTU) ....................... 5.00 $
GAS FITTING FEES: NO RATE TOTAL
1st 3 Fixtures x $1.50 $ �.
Additional Fixtures ............... x .50 $
Gas Range to 200,000 BTU ........... x 2.00 $
AIR CONDITIONING $
FAN HEATING SYSTEM See Fee Schedule
VENTILATING SYSTEM $ �O
ALTERATIONS & REPAIRS TOTAL FEE $
ROUGH
FINAL
Dept. of Bldgs. Phone SU 4-7470
�a4a -/4 �!�-L
City of Fridley:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City Ordinances
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and correct.
Fjr�dley, Minn- ��,e_A • o,V I , 19 (_�
Owner
Kind of Building
a _AAA
Used as
To be completed about
!9�
Estimated Cost, $
Old ew,i Building Permit No. Permit No. ,� �J
DESCRIPTION "OF WORK
BEATING or PO FIS—Steam, Hot Wa , Warm Air—No-.y
7
Trade Name f e L_dA_ Size No �"� -
Capacity Sq. Ft. E.D.R °-f-d BTU H.P.
Total Connected Load 24 4 Kind of Fuel _S� ego/
BURNER — Trade Name Size No
Capacity Sq. Ft. E.D.R BTU H.P.
(REMARKS—OVER)
. RAY N.WELTER HEATING CO.
Signed
4637 CHICA .
By--MINNE-AIR011Bs 7- MINNF-SOTA
A2 9M Business Phone No�"�- o
Compliments of North Central Public Service Co.,
HEAT LOSER CALCULATIONS TOWN
DEPARTMENT OF BUILDINGS VILLAGE
ell
Weatherstrips II A:G�� I Construction No. II Insulation
` Windows Doors Reference Out. Wall I Int. Wall I Ceiling I Roof I Floor Kind How Applied
Fl. 1,R, JOA Room I Lengthif"' Width 4- Height
Windows
and Doors—Crackage
and Area
Width Height No. of Lineal ft. Area
of pane of pane lights of crack sq. ft.
No.
Width Height
p of p)apne
No. of
lights
Lineal ft.
of crack
Area
sq. ft.
No. oY
lights
tpoff�
No.
Coef.
Btu
Infiltration'
�O ' 4
Glass�t
!r7 o5
Exp. wall
Pew
Z 2.3�i
Net exp. wall
l
Btu
Int. wall
Coef.1 Btu
Infiltration
'71 49
Floor
5
Gass
7
15VO
Exp. wall a 'xr
+4'''4'
and
Net exp, wall
Int. wall
a
and Area
�/ 3
Ceiling
Width
of pane
Height
of pane
Floor
Linealft
of crack
Area
sq. ft.
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Fl. I AOp d Room I LengthA 11 Width ge Height ice'
Windows and Doors—Crackage and Area
w
No.
Width Height No. of Lineal ft. Area
of pane of pane lights of crack sq. ft.
Width Height No. of
of pane of pane lights
Lineal Yt.
of crack
Area
sq. ft.
width
of pane
.'ije Ir
No. oY
lights
No.
Coef.
Btu
Infiltration'
�O ' 4
Glass�t
!r7 o5
Exp. wall
Pew
Z 2.3�i
Net exp. wall
l
Btu
Int. wall
Ceiling .0 Ar 4P P
``
'71 49
Floor
Coef.
4140
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
V
Fl. I N Room I Length y Widthjf4 ` Height
Windows
and
Doors—Crackage
a
and Area
No.
Width
of pane
Height
of pane
No. of
lights
Linealft
of crack
Area
sq. ft.
a
Int. wall
Net exp. Wall
2..
ox
01
Int. wall
Ceiling
.r ft/
Ceiling
G r s
Floor
Floor
/�
�►
�' ,,? y
colt Btu
Infiltrations
7
Glass
Exp. wall ;• ,�°
Net exp. wall
Int. wall
Ceiling+ / a
Floor
Total Btu.
f Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
II W A I S 'Woo ffs 4 "np f/
r t/., Room I Length do Width YL/`,Height —&
Windows and Doors—Crackage and Area
w
.. a..
No.
Width Height No. of
of pane of pane lights
Lineal Yt.
of crack
Area
sq. ft.
width
of pane
.'ije Ir
No. oY
lights
No.
3
+x'03
A
�O ' 4
-x
!r7 o5
Pew
Z 2.3�i
Coef.
Btu
Infiltration
3 P
.00" :76
Glass
Coef.
Btu
All
V
o
Exp. wall oe
Jr- 9 r
p
Glass
Net exp. wall
d%
7 2 -
Net exp. wall
/v
a
Int. wall
Net exp. Wall
Int, wall
Int. wall
Ceiling
.r ft/
Ceiling
G r s
Floor
Floor
/�
�►
�' ,,? y
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
&—, % a T1 I T _ JFJ Y [Tr—,
F
w
.. a..
—
and Area
Windows aM
Doors—Crackage
width
of pane
and Area
No. oY
lights
Lineal
of crack
No.
Width Height
Of pane of pane
No. of
lights
Lineal ft. Area
of crack sq. ft.
�O ' 4
-x
!r7 o5
Pew
Z 2.3�i
Coef.
Btu
Infiltration
Coef.
Btu
Infiltration
Jr- 9 r
Glass
Exp
Exp. wall d
Glass
w?,
d%
7 2 -
Net exp. wall
g 31/0
Net exp. Wall
Int, wall
Int. wall
Ceiling
G r s
S/r!
Floor
Floor
Total Btu..
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
FL I Room I Length Width Height
Windows and
Doors—Crackage
and Area
No,
width
of pane
Height
of pane
No. oY
lights
Lineal
of crack
Area
sq. ft.
Coef.
Btu
Infiltration
Glass
Exp. wall
Net exp. Wall
Int. wall
Ceiling
Floor
Total Btu..
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area i
f
City of Fridley
Application for Plwnbing and Cas Ming Permit
Dept. of Bldgs. Phone SII 4-7470
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures Location(� �•I�
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
�j ®U
Number Fixtures ....... .............. — x $1.50 $
Future Fixture Opening ................ x 1.20 $
New Fixture Old Opening .............. x 1.00 $
Catch Basin ...... x 3.25 $
Water Heater (Up to 200,000 BTU) ...... x 2.00 $___�
New Ground Run Old Bldg. ............ x 3.25 $
GAS FITTING FEES:
1st 3 Fixtures ..........................
Additional Fixtures ....................
Gas Range to 200,000 BTU ..............
REPAIRS & ALTERATIONS—Refer to Code
NO. RATE TOTAL
—X$1.50 $ gar
— x .50 $�-
- x 2.00 $.��
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 facl
and representations stated in this application are true and correct.
Fridley,
Owner ' , 1 ,
Kind of Building
Used as
To be completed about
19 63
Estimated Cost, $
Old—New. Building Permit No 1'
Signe '
By
Business Phone No -
ROU GH
o
ROUGH 3 - 2-� - �, 3
FINAL
Description .............................................. $
TOTAL FEE$ ,a S ` az aM
O ?
Oi.G
� _Z
C�
�jO g
<
J
(�9°1
�jwU'
(�'�d
Z
(�90
•
F
•
N
WATER HTR.
GAS
ELEG
Base
Ist
2nd
3rd
4th
• Future Connection Openings
e New Fixture, Old Openings I
Connected with
Sewer
Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
�j ®U
Number Fixtures ....... .............. — x $1.50 $
Future Fixture Opening ................ x 1.20 $
New Fixture Old Opening .............. x 1.00 $
Catch Basin ...... x 3.25 $
Water Heater (Up to 200,000 BTU) ...... x 2.00 $___�
New Ground Run Old Bldg. ............ x 3.25 $
GAS FITTING FEES:
1st 3 Fixtures ..........................
Additional Fixtures ....................
Gas Range to 200,000 BTU ..............
REPAIRS & ALTERATIONS—Refer to Code
NO. RATE TOTAL
—X$1.50 $ gar
— x .50 $�-
- x 2.00 $.��
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 facl
and representations stated in this application are true and correct.
Fridley,
Owner ' , 1 ,
Kind of Building
Used as
To be completed about
19 63
Estimated Cost, $
Old—New. Building Permit No 1'
Signe '
By
Business Phone No -
ROU GH
o
ROUGH 3 - 2-� - �, 3
FINAL
Description .............................................. $
TOTAL FEE$ ,a S ` az aM
suBiEtT
PERMIT N
City of Fridley
12 �49
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
_____
III PROTECTIVE INSPECTION SEC.
_`
14 5�-
NUMBER
REV
DATE
PAGE OF
APPROVED BY
��"' �'� CITY HALL FRIDLEY 55432
i1,
----�
612-571-3450
910415
7/26/00
JOB ADDRESS 6262-64 NE 5th Street
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
2
1
Sandy Terrace
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Doug Finch 6262-64 NE 5th St.
x2R*3E
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
J$N Contracting 2554 Crosstown Blvd NE Ham Lake MN 55304 (763) 434-6373 7569
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
O NEW O ADDITION O ALTERATION 83 REPAIR
O MOVE O REMOVE
8 DESCRIBE WORK
Roof layover (2nd layer) 20 sq
9 CHANGE OF USE FROM TO
STIPULATIONS
Roofing can be 2nd layer, but not 3rd layer.
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
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
2
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
$1,313.00
$.66
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SA CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON -
TION U TION OR THE PERFORMANCE OF TION
50.955 50.95 I
F re SC $1.31
PLAN CHECK FEE
TAL FEE
Licen C $5.0
7$108.87
�GNnruREOF�ON'aACTOROpAUTHOQiZEDAGENT iOATE�
H PRO Y VA
A ED THIS S YOUR P RMI
S-GNOTURE OF OWNEPOF OWNER BUILDER, IOrr E.
B D NSA
r�itE
NEW [ ] Effective 1/1/2000
ADDN [ ] CITY OF FRIDLEY (763) 672-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address: Z �oZ� �i�. ,�%V-6e-
Legal Description:
Owner Name & Address: ,O®vim-hG Te1. # � - %fie
Contractor: w G MN LICENSE #
Address:�S OM5`off Arwel. #(/k,� :6(-T -6273
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/53round Sq. Ft
OTHER: PP'9-;;!!� ro —7n;�ZL 14;� 2C�V-
")C)5 ^ . 10
Construction Type: Estimated Cost: $fid 1.3(3
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ —=$
DATE: i -2-,r,;, ,20vz9APPLICANT: T -7 D �1�`� Tel. # X3 / 73
CITY USE ONLY - Call (76�-3�PFermit Fees if mailing in application
Permit Fee $--Q0 � s- Fee Schedule on Reverse Side
Fire Surcharge $ %. ( .001 of Permit Valuation (1/10th%)
State Surcharge $ $.50/$1,000 Valuation
SAC Charge $ $1100 per SAC Unit
License Surcharge $ C) $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 [ ]
C�
TOTAL $
STIPULATIONS: