PRE 2010 DOCSSUBJECT
ERMIT N0.
City of Fridley
0 1.9493
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
RECEIPT NO.
•_____ COMMUNITY DEVELOPMENT DIV.
i 16 fr -
��
r PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
52588
JOB ADDRESS 6340 - 7th Street N.E.
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
13
1
Alice Wall Addition SHEET
2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE
Rodney Billman, Inc. 151 Silver Lake Road, New Brighton, MN 55112 633-0536
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
X0 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 46' x 28' Dwelling (approx.); a 26' x 24' Garage;a 2
SEPARATE PE Before digging call,, focal: utilitiet
�- , •e.
TELEPHONE TMI. u\ I I •i �.
9 CHADE'O'RZ7¢'F�FRO'P"''�T��'`i�� AND TO
STIPULATIONS provide a hard surface driveway. Provide sod in the front and side yards.
Provide City with copy of verifying survey before capping. Dwelling can not be
used as a two family dwelling unit - Lower level may not be occupied by other than
family members of the upstairs. Minimum walkout elevation is 851.0 feet above sea
level. top of hydrant at 7th Street & Bennett Drive is 852.87'
SEWER LOCATION: 122' S. of M.H. in Blvd. Wye Elev: 944.52 TOP OF FOOTING: 848.00
Minimum
WATER LOCATION: 68.2' N.W. cE M.H. in Street - Near South line of Lot 13.
DW Escrow: 16' + 6' = 22' x $13.50 = $297.00
THE CITY OF FRIDLEY DOES
NOT GUARANTEE THE
ACCURACY OF UTILITY LOCATIONS
AND ELEVATIONS,
THIS DATA IS FOR INFORMATION
PURP
AND PERSONS USING OSES ONLY
VERM SEPARATE PERMITS ARE R IRTMFoQXTRICAL, PLUMBING, HEATI
1(fLF�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
R-1
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I 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
$95 500
$47.75
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME T GIVE AUTHORITY TO VIOLATE OR CANCEL THE
'0
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY THER STATE LOCAL LAW REGULA ING CON-
VER
$621.50
$550.00
STRUCTIO THENC CONSTRUCTION.
AN CHECK FEE
TOTAL FEE
54 S
N/A
$1,219.25. + DW
SIGNATURE O CONTRACTOR OR AUTHORIZED AGENT
HEN PROPERLY^ LI DATED THIS IS YOUR PERMITp
7'
s'qGT
BLDG INSP E
SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI
N0.411-18 BK.
.x HAR.,R;Y,S. JOHNSON COMPANIES"L INC.-
'001 WEST 79TH•STMEET 1
.' SWOMINGTON. MINNESOTA 66420 1.x10 •{
•' PHONE 16121 664-5341 ,� 1 120.01
j
CERTIFICATE OF 'SURVEY A''_"
FoR:7:."roL31.7wAL . s
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e7URVE`(. C THe6oUNDLVLiE S t9�. � Q�'t�� = _--- - " - _ - !"89•59 33 w
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of NovF-misli :� 19"1S.`SS-VOILID• NOT PURPORT k 01
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MF-"'Vz, IF Ax*C..-. - -- rte; -�:� S NpT GUAR�`N 059.33-• «
,'p 0MLEY pCAT1UN8 AND EL L 0.01 - 0 3
OF UTILITY PORPf
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NFORMATION IJL12
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NEW City of Fridley
AMN �13 R-1 AND R-2
ALTER [ ]
Building Permit Application
Effective 5/1/88
Construction Address: 6340 - 7th Stzeet N.F.. 97.idCer! &*we4ota
legal Description: bt 13, gt0c/e 1, RU" WaU lgddA,
Owner Name & Address: 114 -own - git)-%ah Pa4t"e4-dhip Tel. # 633 - 0536
Contractor: R0&1. git&m• �,Zc. Tel. # 633 - 0536
Address: _151 Si tv" .Cake goad New lad gh ton, Miowe4ota, 55112 /
-
Attach to this application, a Certificate of Survey of the
lot, with the proposoed construction drawn on it to scale.
•• •• r • r • • D. iDq on
Width �_� Height �, /;j4�t9q. Ft. 13
Width 2— Height 9q. Ft. - I-�
Width Hgt /Ground Sq. Ft.
4 /4��
Oorner Lot [ ] Inside Lot fJ Ft. Yd Setback Side Yard Setbacks .4f .:1
Type of Construction: Estimated Cost:
Approx. Completion Date: -xV���
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired: 1(o @9a to $
Width + 6' See Back Page
' Radney git&an„ 94c.
DATE: - z 3 ,f f APPLIC20T: Tel. #
CITY USE �Y
Permit Flee 5 &aao — l E1ee Schedule on Reverse Side
State Surcharge 5 LD,'i S' $.50/51,000 Valuation
SAC Charge 5Sga L $550 per SAC Unit
Driveway Escrow 5 VIn- 06 Alt. "A" or Alt. 'B" Above
Park Flee 5 Flee Determined by Engineering
Sewer Main Charge $ Agreement Necessary I ] Not Neoessary I ]
TOTAL 5 I SI(�, -S
STI K LATIONS:
cwj 13o-,�
MA`y AjVr
-T(.-JO FAOnILY
"'6(2'
U01 Lia
w \ \ L 4 M rt M (S ®C- `T"% () is
C1 m I IJ UJ,A�-V- O -U T 57 1/ SQ �j Is
OC t -V Ov �: `i' s W
97
3, 09 2 1(� i c�2 , 2-q — -
134q
s 9??
- - -- Co >( ! �'
G�
---- - - 4 S-) sbo
4 A q.910
r
II EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
OWNER l��tows-t - 13.i:%Gxavt Paatne�ritzi p
SITE ADDRESS 6 34 0 - 7th Stteet N. C. 9,t d y, M.imR4ota
I! CONTRACTOR Ro 1y , '/W- DATE S - 23 -88—PHONE 633 - 0536
Determine working square footage of each.
• J
1. Total exposed wall area .��o G� sq'. " ft. x ,�_
2. Total roof/ceiling area . . . &o sq. ft, x s' = _ 3.00
Total exposed wall area above floor=�tL-Sz
a. Total wall window area .......................... 1-:5-0-
b.
s'ob. Tctal door area.
c. Total sliding glass door area .. . .......... • ..... .^ o
d. Total fireplace wall area ........................
e. Total wall framing area (average 10/) ........... /i o
f. Total net wall area above floor ................ 2Q 7-
g. g. Total rim joist area.............................i4-o
towe't twet
Total exposed 19MIM00W.4area
/. 96tat do opt a -tea o
Total t0000tgV6 cAG window area. �ptqeA 14ueA . , • • . , , .. G�q
f„ Total net foundation area above grade...........
k. 9o.ta.G watt J tam a2ea (ave-tage 10%) 5D
Determine "U" value of each wall segment.
V 11
C.
b.
60 X
"u "
r
i
i d.
--~ D ` X
nUq
e.
//D X
flute
f.
�e4i2- X
flu 81
g.
1 1 n X
flu If
flu It
null
147
Yo X
flu of
3. ......................:........Total
= /3,02.
-2-
If item #3 on previous page is the same as, or less than item #1,
you have met the intent of SBC 6006(c)2.
Total exposed roof/ceiling area =
J. Total skylight area........................I.. .� n
k. Total roof/ceiling framing area (average 10%) 4 �
1. Total net insulated roof/ceiling area........
Determine "U" value for each roof/ceiling segment.
j. o — X IOU _. O — _ — O --
X IOU11
4, ................ I, .......... Total 44
If total of #4 above is the same as, or less than #2, ydu have met
the intent of SBC 6006 (c) 1.
Alternate Building Envelope Dest_gn
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. .-R r/. J'-/- +2 ,ZL ,lep, h -�/- Z V. 5-6
3. , /.93, 0 2- +4. .. I a .. -17# (o!o
CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
PLUMBING FIXTURE RATES:
RATE SCHEDULE
NO.
New Fixtures
Future Fixtures
Old Opening, New Fixture
Beer Dispenser
Blow off Basin
Catch Basin
Rain Water Leader
Hydraulic Valve
Sump or Receiving Tank
Water Treating Appliance
Hot Water Heater
Gas Range
Gas Dryer
Back Flow Preventer Required. . . Yes ( )
Type
RATE
$ 5.00
$ 3.50
$ 1.50
$ 4.00
$ 5.00
$ 5.00
$ 5.00
$ 5.00
$ 5.00
$ 7.00
$ 5.00
$ 10.00
$ 10.00
No ( )
$ 5.00 $
Effective Date May 1, 1988
Job Address '� 3 7 o �Ugt
Department of Buildings
City of Fridley
Tel. #571-3450
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 rulings of the Department of Buildings, and hereby declares that all
the facts and representations stated in this application are true and correct
Fridley, Mn.
A r
OWNER
KIND 0
USED AS
TO BE COMPLETED ABOUT �7 _ G —e&
ESTIMATED COST
OLD NEW B ILDING PERMIT NO. PERMIT NO. /00
Company
Signed `7�/(� -
Tel. No. .2j4
/ U L , /e rA
ROUGH INSP.
Date
FINAL INSP.
Date
APPROVAL FOR PERMIT
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS MINIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00
1% of value of Fixture or Appliance $ PLUS THE $.50 STATE SURCHARGE
Reinspection Fee
State Surcharge $ .50
$
TOTAL FEE $ S6.00
o
>,
m
Cdo
k
m
Water
ani
49
.WI
ro
E
�1 ,d
m
O
e
Heater
14
W
P45
M
b
C
3
$4
c
Gro
eC
pZ
ooi
.cdi
xxe
x
q
0
ti
i5
ani
N
rnroei
.��
U
5
PO
W
S
a w
y
u OD
3
0
S
o
lec
1st
2nd
3rd
4th
(R) = Future Connection Opening
Connected with Sewer
(*) = New Fixture, old Opening
Water
PLUMBING FIXTURE RATES:
RATE SCHEDULE
NO.
New Fixtures
Future Fixtures
Old Opening, New Fixture
Beer Dispenser
Blow off Basin
Catch Basin
Rain Water Leader
Hydraulic Valve
Sump or Receiving Tank
Water Treating Appliance
Hot Water Heater
Gas Range
Gas Dryer
Back Flow Preventer Required. . . Yes ( )
Type
RATE
$ 5.00
$ 3.50
$ 1.50
$ 4.00
$ 5.00
$ 5.00
$ 5.00
$ 5.00
$ 5.00
$ 7.00
$ 5.00
$ 10.00
$ 10.00
No ( )
$ 5.00 $
Effective Date May 1, 1988
Job Address '� 3 7 o �Ugt
Department of Buildings
City of Fridley
Tel. #571-3450
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 rulings of the Department of Buildings, and hereby declares that all
the facts and representations stated in this application are true and correct
Fridley, Mn.
A r
OWNER
KIND 0
USED AS
TO BE COMPLETED ABOUT �7 _ G —e&
ESTIMATED COST
OLD NEW B ILDING PERMIT NO. PERMIT NO. /00
Company
Signed `7�/(� -
Tel. No. .2j4
/ U L , /e rA
ROUGH INSP.
Date
FINAL INSP.
Date
APPROVAL FOR PERMIT
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS MINIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00
1% of value of Fixture or Appliance $ PLUS THE $.50 STATE SURCHARGE
Reinspection Fee
State Surcharge $ .50
$
TOTAL FEE $ S6.00
CITY OF FRIDLEY
Effective Date May 1, 1988
APPLICATION FOR FONER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND
AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
RESIDENTIAL ` RATE
Furnace Shell and Duct Work,
Burner (Also replacement furnace) $ 20.OG
Gas Piping $10.00
(piping needed with new furnace)
Gas Range $ 10.00
Gas Dryer $ 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
State Surcharge
TOTAL FEE
Reinspection Fee ($15.00)
Rough Insp.
Date
Final Insp.
Date
Approval for Permit 4,191
MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00,
PLUS $.50 STATE SURCHARGE
*Air Conditioners can not be placed in side yard without
written permission from adjoining neighbor.
TOTAL
$ r
Job Address �,
Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432
City of Fridley
Tel. #571-3450
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 rulings of the Department of Buildings, and hereby declares that all the
facts and representations stated in this application are true Jand correct.
Fridley, Minn.
OWNER
KIND OF BUILDING
USED A
TO BE COMPLETED ABOUT
'Z 4dn a ✓ u
ESTIMATED COST
e59,
OLD
OLD-UILDING PERMIT NO. PERMIT NO.
DESCRIPTION OF FURNACE/BURNER
HEATING or POWER
PLANTS, Steam, Hot Water, Fm Ai.r No..,,���
Trade Name //� ���� Size No. 4y4owt
Capacity Sq. Ft. EDR BTU HP
�v
Total Connected Load Kind of Fuel /> /
BURNER - Trade Name Ak- Size No. �rG1/®�G�/
Capacity Sq. Ft. EDR BTU (1>0� HP
a
Company l
v
Signed By
Tel. No. Ed S%[
Fill out back side for stack verification on replacement furnaces
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 connected
Yes ( )
No ( )
6. Has Total beating BTU's of
All other BTU's
TOTAL
Rema rk s
Company
Signed By
Date
V Net exp. wall
Int. waU
Ceiling -1 x Ica I 11 a. .(o 1 4 0
Floor
Total Btu. SO -1
Required sq. h. EDJL or sq. ins. WA. Leader area
Ar 11.1 g e Room I Length 1 co Width 11 Height $.
Windows and Doors-�Craekage and Area
wase 1Hetabt o et M-1 ft. Ana
rie et vane et Dans 3tsbtt of eraek p. tt
aI a4 1 340 1 1 1 11.5 g.0
Windows
n-�Crackage and Area
Coef.
&u
�afiltratioa
A OQS4-71
Ceiling (c x 10 60 (�
10 8 -
Glass
1(0
Total Btu.
(a
Exp. wag I I�� `\ S,
kr
� I
I c r Fl_I nt - � - _ Raaaa I L enwh 10 Width t n
He"t R'
'Net esp. wap
o0
4.5
900
Iat. wall
wet exp. wap
Coef.
..,Ceiling • ( 1<
1"7
Iiat. wag
3 Ev
Windows
n-�Crackage and Area
Net exp. wan (o x 4s 4.
a 1 to
Int. wan
I
Ceiling (c x 10 60 (�
' 1 to
1♦M 4 AZ h q h
i stfl K %i0r e 1A Room1 Leagth I D ---'Width l O I leisht
Total Btu.
3 a
Required sq. k E.D.R. or sq. ins. WA. Leader area
I c r Fl_I nt - � - _ Raaaa I L enwh 10 Width t n
He"t R'
Windows
n-�Crackage and Area
win Sdg t a of r faeal ft. Ara
Ne. Ot as et Dane Ughte of crack p. ft.
b' -o•
'Tow Bin. �
y4Required sq. tt. ED.R. or sq. ins. WA. Leader area
wired sq. ft. E.DR of sq. ins. WA. tm&r area
i �• iilRs�e Room Length 1 W 1
i stfl K %i0r e 1A Room1 Leagth I D ---'Width l O I leisht
Windows and DOOri—CraGkage and Area
betration
3 a-
1 D O
Glass
y 0
y 8 I a
Exp. wan 1 o x 10
too
wet exp. wap
Coef.
Cod :�,
Iiat. wag
-7 I p g l
4 8 l fa 8
h0tratioa a 3
1 loll
Ceiling 10
LIB - h 8
lOp
.jD
Floor
Flet e�...atl a o
4. tQ
a floor
_
.."Total Btu. Btu. 33'R
'Tow Bin. �
y4Required sq. tt. ED.R. or sq. ins. WA. Leader area
wired sq. ft. E.DR of sq. ins. WA. tm&r area
i �• iilRs�e Room Length 1 W 1
i stfl K %i0r e 1A Room1 Leagth I D ---'Width l O I leisht
Windows and DOOri—CraGkage and Area
Windows and Doors- Craekige and Aica
Width Selaht Atte. of Unto tt Asea
�'; ate of vane et sane ltsxte at eraet +a• tt
bite et st Dani bu et amok sIdth of 14200 EL q. ft
a4 36
Coef.
Cod :�,
infiltration a 3
Clan Ito
-7 I p g l
4 8 l fa 8
h0tratioa a 3
1 loll
�� 16
LIB - h 8
wag t 3 15 x g' ;)DA
E.V wag o-t%O x 8'
Flet e�...atl a o
4. tQ
�. w.n
w.►
wan
:',�1t.orag
§,-
pia 1
3wAS
(o "'9 0
Ging D x Ao
Floor
Ili iTdneh rrAv%
50
Total Btu. 3 4 g
Total Btu. 3�t)
Reauired so. k. E.D.R. or so. ins. WA. Leader area
Reauired aa. h. E.D.R. ar an. int. WJ►_ Liader ...�
1 . J
lat. wall
,ire ;aQ 1�ce � • 590
Floor a t{ pic 4 36 3 13 O$
Total Btu. • Ca 3 (o '.1
Requiredsq. h. E.D.R. or sq. ins. WA. Leader area
;�..:,Fl.li•..T_ Cel Room Uumh 1(o Width %0 Wmht S'
Windows and Doom—Crackage and Area
Width Height No. of Uuml ft. Area
Na of was at pum lights of crack sq. ft.
Width " Height No. of Lineal tt. Area
No. of pane of pane ,Nghte of crack so. ft.
.� a au � r 1►.s g.
0481 fL Area
of Crack on. ft.
4 3(o I
-
Infiltration
Coef.
Btu
Infiltration
a
1
I D V
Glass
1
4 8
-1 (p 8
Esp. wall 1(0 + 10
a 08
+ 1
4
a5(o
Net exp. wall
►q a_
4.5
fo
Int. wall
Lit. wan
Ceding
'ALM ;:,
e
Floor 1(a x 1 O
Ito O
4 S3 O•
Total &u. 1 3 E '9
Required sq. ft. E.D.R. or sq. ins. WA Leader area
' . _ JR -1 c_ a e 1 Ream I ll nmtl6 11. O/idth 1 LL Herbs Q '
Wmdows and Doom--Craekage and Area
Width Height No. of Uuml ft. Area
Na of was at pum lights of crack sq. ft.
width Height No. of rJaeal tt. Area
No. et pane of pane lights of crack p. it.
as 3 (p 11. .0
0481 fL Area
of Crack on. ft.
4 3(o I
Coef. mu
Infiltration
Cod.
Btu
Infiltration
Esp. wall
k4 1
1 O I
Ga
I Co
8
'l is 8
Exp. wall I (o -t %4 x 8'
;L4 O
+ 1
4
a5(o
Net elle. wall
a.
, 5
\ 6 0
Int. wan
Lit. wan
"-",:Ceding
'ALM ;:,
e
door (o x 1
b-7
Total Btu.
Required sq. ft. E.D.R. or sq. ins. WA Leader area
IN= eXP. wall l9 X IS 4 *6 11-b 1- % W
Int. wall
6111114 -% 1x A 400
Floor (s X 11 (9 (v 3 19 8
Total Btu. 81
Required sq. ft. E.D.R. or sq. ins. WA Leader area
0.tw.,rFU LAuv,e\a 4 Room I Lea dh in Width L% Heisht 9'
Windows and Doors— iaekage and Area
Width Height No. of Uuml ft. Area
Na of was at pum lights of crack sq. ft.
W101111 Height No
No, of page Of pane lights
0481 fL Area
of Crack on. ft.
4 3(o I
Coef. mu
Infiltration
Glass
Esp. wall
Net ow. wall l u x so
14.5 260
Int. wall
Ceiling
417 1 A
Floor 10 x
+ 1
Total all. (9 O.
Required sq. ft. E.D.R. or sq. ins. WA Leader area
1 s r f7. L', u : n s Room I Length 1'1 Width 1 'S Height R'
'Windows
and Area
W101111 Height No
No, of page Of pane lights
0481 fL Area
of Crack on. ft.
4 3(o I
11. rd•D
Coef. Btu
Infiltration
417 1 A
Glassa
Exp.wall 1
+ 1
4
a5(o
11
Net exp. wall
a 3
1
Lit. wan
'ALM ;:,
e
6
total utu. I q
Res l;red sq. ft. E.D.R. af�l, ins. WA Leader area
14
CITY OF FRIDLEY Effective Date May 1, 1988
APPLICATION FOR PO4ER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND
AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
RESIDENTIAL RATE TOTAL Job Address 6/ '_
Furnace Shell and Duct Work,
Burner (Also replacement furnace) $ 20.00 $
Gas Piping $ 10.00 S
(piping needed with new furnace)
Gas Range $ 10.00 $
Gas Dryer $ 10.00 $
• Air Conditioning (all sizes) $ 10.00 $ ILI
All Others/Repairs and Alterations
18 of Value of Appliance or Work $
COMMERCIAL/INDUSTRIAL
lb of Value of Appliance or Work $
State Surcharge $ .50
TOTAL FEE $
Reinspection Fee ($15.00) $ l5•;W
Rough Insp.
Date
Final Insp.
Date
Approval for Permit
MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00
PLUS $.50 STATE SURCHARGE
*Air Conditioners can not be placed in side yard without
written permission from adjoining neighbor.
Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432
City of Fridley
Tel. #571-3450
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 rulings of the Department of Buildings, and hereby declares that all the
facts and representations stated in this application are true and correct.
Fr ey, Minn. P/7 . 19 C:*
OWNER (Zoxle l ' i / �✓
KIND OF BUILDING
USED AS �C L
TO BE COMPLETED ABOUT
ESTIMATED COST
OLD - ILDING PERMIT NO. PERMIT NO. ! 2(c
P4 i,
DESCRIPTION OF FURNAC
ER
/Al0
HEATING or POWER PLANTS/, Steam, Hot Water,�X - NO.. '7
Trade Name /V�+� Size No.
Capacity T,Ll Sq. Ft. EDR BTU HP
Total Connected Load Kind of Fuel
BURNER - Trade Name
Capacity Sq. Ft. EDR
Comp
Sign
Tel.
Size No.
Fill out back side for stack verification on replacement furnaces
CHIM14EY 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 connected
Yes ( )
No ( )
6.
Has Total heating BTU's of
All other BTU's
TOTAL
Rema rk s
Company
Signed By
Date
FA
oil
SUBJECT
city of Fridley
d28083
AT THE TOP OF THE TWINS
g U I L D i N G
P E R M I T
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
INSPECTION SEC
f PROTECTIVE
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED By
612-571-3450
910-F15
10/2/98
JOB ADDRESS 6340 7th Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
13
1
1 Alice Wall Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Chris Penn
571-2598
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Owner
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 REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house and garage (30 S Tear -off; Reside house
and garage
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
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 80 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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
3971
$1.99
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
$87.25
Fie SC $3.97
PLAN CHECK FEE
TO AL FEE
.21
SIGNA , OTC-RACTOR OR AUTHORIZED AGENT IDATEI
HE PAY
VALID T THIS is YYP PAF// IT
•
�V
S - U OFO NERof OWNER BUILDER. IDATEI
9L INSo
I
gAtE
FA
oil
NEW
[ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress:
Legal Description:
Owner Name & Address: Ct'(us ��pv Tel. # (,V/Z-S7/ - 2� r7o
Contractor: i3k'
MN LICENSE #
Address: N k 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: Lengtth� t
WiHgt/Ground Sq. Ft.
OTHER: 71 v � J ,
Construction Type: Estimated Cost: $
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
DATE: /O—off _ 9e APPLICANT: Tel. #
TOTAL
STIPULATIONS:
s952/
CITY USE ONLY
Permit Fee
$ /,
Fee Schedule on Reverse Side
Fire Surcharge
$ 3- `%
.001 of Permit Valuation (1/10th%)
State Surcharge
$ �,�
$.50/$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$
$5.00 (State Licensed Residential Contractors)
Driveway Escrow
$
Alt. "A" or Alt. "B" Above
Erosion Control
$
$450.00 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement Necessary [ ] Not Necessary [ ]
TOTAL
STIPULATIONS:
s952/
SUBJECT
PER
City of Fridley
0199
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
INSPECTION SEC.
PROTECTIVE
6
1 � i
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
L J\ 612-571-3450
910415
9/10/99
JOB ADDRESS 6340 7th Street NE
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
13
1
1 Alice Wall Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Chris Penn
571-2598
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Owner
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 R)x ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construction of a 394 Sq.- Ft. Deck
9 CHANGEOFUSEFROM TO
STIPULATIONS
See stipulations on plan
Before dIgginq call for
all utilay locations
455.0002
REQUIRED BY LAPD
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 80 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
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
3700
$1.85
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
$97.25
Fire SC 3.70
PLAN CHECK FEE
TOTAL FEE
.80
SIGNAT E NTRACTORORAUTHORIZEDAGENT .DATE,
EN PRO
ALIDATE IS IS R PERMIT OT
el INSo
.
'P' E
S.ATURE OF OWNER,IF OWNER BUILDER. .GATE.
NEW[ ] Effective 5/10/99
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FA 11LY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address: �Z 4-o �j
Legal Description:L.o7 l3,i
Owner Name & Address: CO Fr'� N Tel. #&1Z 571 Z �S �
Contractor: 0—�J V -J R_ iL-
Address:
MN LICENSE #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Tel. #
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft. 16 /
DECK AREA: Length Width / Z Hgt/Ground Sq. Ft. 3s ll16
'
OTHER: X c o - .39�k
Construction Type: TR"7r i> CF Z', Estimated Cost: $
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: APPLICANT: Tel. #_S7( Z 23
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
$ 7o
$ X
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1050 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
$ $450.00 Conservation Plan Review
Park Fee $
Sewer Main Charge
TOTAL
STIPULATIONS:
i
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
16
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