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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT Date: ......... Owner: Builder Address Address TIO OF BUILDING No. /43-,Z Street Par of ........... Lot ... . .............. Block ........... .. .............. . ........... .. Addition or Sub -Di on Comer Lot ..... . .... .............. ....... Inside Lot ----------------------- Setback .. ................ Sideyard ... ... � 61- ****-,"%*,-",, Sewer Elevation .................................. ... . ....................... .. Foundation Elevation DESCRIPTION OF BUILDING We Used as, Front Depth Height g.6— Sq. Ft. Cu. Ft.; e .... .. . ... Front Depth K I ht Sq. Ft. cu. Ft / -Ii7 c on. To be Completed ................... ........ .... ................. ......... ...... Type of ... ..... Est. Cost/--Z!0101-14�7 CALM THIS PERMIT ft- Ijrf N 10 DOES NOT FIORIZE VIOLAT. OF EL N ANY sILDING 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 of the city of Fridley. 0 CP In consideration of the payment of a fee of jy&'. ......... permit is hereby granted to....._ ............._......._. . ................... . . to construct the building or addition as described above—This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform In all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, tjonre anmoving of buildings within the city limits and this permit may be revoked at any tbm 01 of ydof the provisions of said ordinances. Inspector NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, gas heating, sewer or wafer. Be sure to see the Building Inspector for separate permits for these Items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owners Name4 (3_ �A �, C 1�1►.`� Builder 0 L 5 o tq V L D 2R _,1.. 6. - �%s A V Address LOCATION OF BUILDING az No.Street� ��__,� Part of Lot Lot ® Block Addition or Sub.Div,, A 1,4 61 /„L- S Corner Lot, ,I side Lot Set Back 3 tS— Side -Yard 3 SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUnDING To be used as: :57 ➢ NVH 164 Front -� �,'.� Depth Height d Sq. Ft. 4.3 el --p Cu. Ft. ZQ_V6-® F� Front Depth Height. Sq. Ft. Cu. Ft. Type of Construction_C.�i,aclr.= gz Estimated Cost 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 Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representa- tions stated in this application are true and correct. DATE SIGNATURE (A Schedule of Fee costs can be found on the Reverse Side.) � I� City of Fridley Plunmbin and Gas Fitting Permit Application for 9 9 Dept. of Bldgs. Phone SU 4-7470 �e? DESCRIPTION OF WORK Number, Kind and Location of Fixtures Location - PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ ZAP, 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: NO. RATE TOTAL -_0 1st 3 Fixtures ..........................�x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description................................................$ TOTAL FEE 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. Fridley, 1Vfinn 2 19�� Owner Kind of Building " Used as To be completed about Estimated Cost, $ Old—New. Building Permit ROUGH ID - 7-4o FINAL 4a 2M 7-59 By---®� Business Phone x> Ztz �z O"°x t9 0 i • • WATER HTR. O<,..77 12 ` qn ae aZ o S < 3 �U' •d (�5 �U' O F N GAS ELEC. 3 U ai N 3 F C LL Base 1 1st % 2nd _ 3rd _ 4th • Future Connection Openings I Connected with Sewer � New Fixture, Old Openings Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ ZAP, 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: NO. RATE TOTAL -_0 1st 3 Fixtures ..........................�x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description................................................$ TOTAL FEE 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. Fridley, 1Vfinn 2 19�� Owner Kind of Building " Used as To be completed about Estimated Cost, $ Old—New. Building Permit ROUGH ID - 7-4o FINAL 4a 2M 7-59 By---®� Business Phone �V Application for Power Plants and Healing, Cooling, Ventilation, Reh igeration 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 $—f/ Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 each add. 80,000 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 $ Furnace Shell & Line—to 840 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 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 ALTERATIONS & REPAIRS TOTAL FEE $ REMARKS: Dept. of Bldgs. Phone SU 4-7470 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. owner Kind of Used as 195— 195— 195— To be completed about i� W 591JU Estimated Cost, $ 455a_1_!!51 ding Permit No. DESCRIPTION OF WORK HEATING ori arm Air—No— Trade Nam Size Noaf4�&� Capacity Sq. Ft. E.D.R BTU H.P. Total Connected Load �/ "e 9 Kind of Fuel ff!4 BURNER — Trade Name 1z Size No Capacity � Sq. Ft. E.D.R J GEO. S®_�hGU. & P. AIR-COND. 1001 Xenia Av. S. Minneapolis 16, Minn. Sign By .QW 11 Posr 1M-12-58 Business Phone Not HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MINNEAPOLIS. MINN. Weatherstrips A.S.H.V.E, Construction No. Insulation Guide Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes—No Yes—No 19- 1 Room l Length` A Width Height F1.1 - -- Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal f . Area No. of pane of pane Ilghts of crack sq. ft. Coef. I Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling s p Floor Total Btu. r ', Required sq. ft. E.D.R. or sq. ins. W.A. Leader area a' F1.1 - r Room ( Length ,,"e Width Height ' Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. P Coef. Btu Infiltration 3" fes. Glass ap Exp. wall Net exp. wall 4 Int. wall Coef. Btu Ceiling ', "' , �; c r 4 Floor J - Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area d Fl. ,/',° , �` Room J Length ,,' . Width Height Windows and Doors—Crackage and Area , Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Floor Za._., i Coef.1 Btu Infiltration Glass � ` `. ; ti..,� a . _ � •�. Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Windows and Doors—Crackage and Area fff�fff Width Height No. of Lineal 1t. Area No. of pane of pane lights of crack sq. ft. ap Coef. Btu Infiltration Coef. Btu Infiltration Exp. wall Glass Exp. wall Int. wall Exp. wall Floor Za._., �. Net exp. wall �' r �' Int. wall Floor Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area i F1.1 a,. > s: Room I Lensith s' Width i Heistht = , Windows and Doors—Crackage and Area fff�fff Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. ap Coef. Btu Infiltration r Glass Exp. wall Net exp. wall Exp. wall Int. wall Ceiling Floor Za._., �. Total Btu. ;>7 Required sq. ft. E.D.R. or sq. iris. W.A. Leader area a R-1 . Rnnm I Length .+ . Width Heistht . Windows and Doors—Crackage and Area a" Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. 1t. Coef. Btu Infiltration Glass a, Exp. wall Net exp. wall c Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area r D -s6 v s HEAT LOSS CALCULATIONS ' DEPARTMENT OF BUILDINGS MINNEAPOLIS, MINN. Weatherstrips A.S.H.V.E, Construction No. Insulation Guide WindowsI Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How. Applied Yes—No Yes—No 19— A FI.1 Room I Length / " - Width Height 1 t-- e- Room I Length 4 A Width 0' Height ®° Windows and Doors—Crackage and Area �9 Width Height No. of Lineal f . Area No. of pane of pane Ilghte of crack sq ft. i Coef. Btu Infiltration Coef. Coef. Btu Infiltration Net exp. wall :gr Int. wall +', = -,7 6 c, Glass Floor Exp. wall 4 -� Exp. wall Net exp. wall Net exp. wall Int. wall Int. wall F100I :A j d i' r., Ceiling r ✓ 7, -- Floor m '' L: Notal Btu. 13 ' 0 &. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane llghts of crack sq. ft. Coef. I 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 F1.1 Room I Length Width Windows and Doors—Crackage and Area Width Helght No. of Lineal ft. Area No. of pane of pane llghts of crack eq. ft. Coef.1 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 Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal fL Area No. of pane of pane llghts of crack sq• ft. i Coef. Btu Infiltration Coef. Btu Infiltration Net exp. wall Int. wall Glass Ceiling Floor Exp. wall 4 r Net exp. wall Int. wall Ceiling F100I :A j d i' r., r ✓ 7, -- Total Btu.' 1 Required sq. ft. E.D.R. or / sq. ins. W.A. Leader area , M.l Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack 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 F1.1 Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. fL Coef.1 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 .Na SUBJECT PERIV City of Fridley 3021 AT THE TOP OF THE TWINS P` BUILDING P E R M I T Ir � RECEIPT NO. • DEVELOPMENT DIV. .......COMMUNITY PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 L „ 763-571-3450 9t0 -F15 8/28/02 JOB ADDRESS 1338 53 Avenue NE 1 LEGALLOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 20 1 Marion Hills SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Marcita Cook 1338 53 Avenue NE 571-8216 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Sela Roofing & Remodeling 4100 Excelsior Blvd, St Louis Park, MN 55416 1050 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 612-823-8046 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION O ALTERATION Ej REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reroof House & garage (29 Sq) tear -off; Rebuild chimney from roofline upward 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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 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 $4,709 $2.35 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY THER STATE OR LOCAL LAW REGULATING CON- $111.25 Fire SC STRUCTI N OR THE OF ON $4.71 LERFORRANCE a PLAN CHECK FEE TOTAL FEE nse SC $5.00 $123.31 S�GN4TURE OF CONSRAf'TOR OA AUTHOR ED AGENT �OATEr WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT S,GNATURE OF OWNERIif OWNER BUILOERI iDATE, I INSo rj&TE .Na NEW [] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: SS F CA Legal Description: Effective 1/1/2001 (763) Owner Name & Address: Mo -'r Tel. # Contractor: SELA ROOFING & REMODELING MN LICENSE # /O! Address:r4100EXCELSIOR BLVD, Tel. # G LZ --SO 3 —�crp 6; . 69WIS LARK, MAI ID #0001050 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: OTHER: Length Hgt/Ground Sq. Ft Construction Type- A\�v 66-14 Estimated Cost: $ (2k\Cw+mu ®— Kam. azoo Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ $ DATE: Z-- APPLICANT: Tel. # CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee ///, cS'_$ Fire Surcharge 11,'7t $ State Surcharge.,2,39—$ SAC Charge $ License Surcharf Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL f d � 9/$ STIPULATIONS: Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1150 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 [ ] r 0 Building o � MECHANICAL Permit No.: o&�— 0 ®Ek Inspections C � RESIDENTIAL APPLICATION Received By: 7.63-572-3604 CITY OF FRIDLEY nate Recd: �6 DATE a k- c-- YOUR E-MAIL ADDRESS SITE ADDRESS 33 �G J 3 ►_\ y THIS APPLICANT IS: ❑ OWNER 11CONTRACTOR PROPERTY OWNER/ADDRESS: NAME: 0— " A C 0 C-' � -- cA���� STATE�ZIP �y5 X33 TENANT PHONE:_ 5 -I (" a l to CONTRACTOR COMPANY NAME: CENTERpOrNT ENERGY SUBMIT A COPY OF CONTACT PERSON: JOANN ZINKEN YOUR STATE LICENSE WITH STATE LICENSE # EXP DATE ADDRESS: 13562 CENTRAL. AVE NE CITY ANORA STATE MNzIP 55304 APPLICATION PHONE 763-757-6202 FAX 763-757-6701 PERART TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE ❑ NEW ❑ ALTERATION/REMODEL TYPE OF WORK: (`PREPLACEMENT DETAILED DESCRIPTION OF WORK C� Ip�o� �` P �-u r n ox-� e Q� C\ CA P 5 r CcaiJ 14 ion E r` PER MS 16B.665, the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor X.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) i SIZE/BTU Equipment Installed MFG: ar r , <or MODEL: ��Zv DO p SIZE/BTU MFG: u r r k MODEL: SIZE/BTU MFG: MODEL: _,A/C $25.00_FIREPLACE (GAS) $15.00 —GAS RANGEIOVEN $10.00 NEW GAS GRILL $10.00 AIR TO AIR EXCHANGEER $15 —FIREPLACE (WOOD) $35.00 $35.00 � $35.00 —GAS UNIT HTR $10.00 _BOILER •FURNACE CHIMNEY LINER $10.00 —GAS DRYER $10.00 POOL HEATER $35.00 VENTILATOR $15.00 DUCT WORK $10.00 GAS PIPING $10.00 Number of fixtures @ $10.00 x $10.00 = $ Permit Fee $ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $25.00 l x $25.00 = $ a s CSD Number of fixtures @ $35.00 l x $35.00 = $ State Surcharge = $ .50 Total = $ 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 codes of the City of Fridley and with the Minnesota -Construction Codes; that I understand this is conformance with the ordinances and not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. sl SIGNATURE OF APPLIC - PRINT NAME ROGER HOFMIN DATE (- c)(, , City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 T A'Xr. "ell rr%n Af%" 7 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEWIEXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or PropanoUGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. TMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction TMC 1346.0312 5. Ventilation a. Per MN Energy Code .7670 or 7672 6. Duct Design Per IMC 1346.0603.2 .a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make up air calculations