PRE 2010 DOCS0 City of Fridley, Minn
BUILDING PERMIT N° 4178
Date: .............�V�t- 31t 1959
............. _ - ......................
Owner:..... ........ ..._.................... Builder Lyndale Builders
Address ............. ............. ................. Address_3019 Lyndale _Avenue South
Minneapolis, Minnesota
LOCATION OF BUILDING
No. ...... r?61........ _........ Street ........... 5.4t$... Avenue N.----1�•............................. ._.............. Part of Lot.:..........................................................
Lot .17&17R Block ............. ........ 1 ......................... Addition or Sub -Division ..... _............ I+ ele...WA4ZA!e-t. L+th._�dd!11.
Corner Lot .................................... Inside Lot.........g.............. ! . f
.......... Setback....._....�r�._...................... Sideyard...-----........16.....---•---------•----_............._.._..._..
Sewer Elevation ..... . ........................................... _..................................................... Foundation Elevation
DESCRIPTION OF BUILDING
To be Used as:
-Wen .1- g_......._ .............. Front -----_..43_t.. Depth---.-2�.�.._.. Height ...._19 ...... Sq. Ft. 1,P.0-81 Cu. Ft.._;P:..539
............................................................ Front ........................ Depth ......... Height ........................ Sq. Ft. ..... _................. Cu. Ft.
Type of Construction ........... 'dame......... ..............
..... Est. Cost ............613229.................... To be Completed ....._...................
When applying for future building permits on this particular type of dwelling,
please refer to the Number of this Building Permit.
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.
`'ham ` �__._i
In consideration of the payment of a fee of $ AM .......... 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, 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. I
Building Inspector
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see
the Building Inspector for separate permits for these items.
4
AppiicaFtion for Power Plants and Heating. Cooling, Ventlaa ion. Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE DepL of Bldgs. Phone SU 4-7470
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
0�
$
each add. 60,000 BTU .......................
2.00
Additional Fixtures .................
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
VENTILATING SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR Steam ......
8.00
$
' Furnace Shell & Line—to 640 sq. ft. IDR 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
s�
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
ALTERATIONS & REPAIRS
TOTAL FEE
$�
REMARKS:
, (J C
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 Building
Used as
195-2
195-
195—
To be completed about J _-�3e '�o
0-0
Estimated Cost, $
Old—New. Building Permit No. /(
DESCRIPTION OF WORK
HEATING orP PLANTS—Steam, Ho Water,�No
Trade Name_ Size No 6w5lmo
Capacity Sq. Ft. E.D.R- 00 BTU H.P.
a� �
Total Connected Load 6/TGz Sind of Fue �� '
BURNER —Trade Name Size No
Capacity Sq. Ft. E.D.R BTU H.P.
-_) -
Sign�L�
By
11 POST 1M-12-58 Business Phone No- /�.�1�i 1 Wr4112
{ HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS
Weatherstrip A.S.H.V,E. Construction No.
Guide
Windows Paws Reference Out. Wall Int. Wall Ceiling Roof Floor
es Flo- I Y 19—..
__Room I Lenath—P)°.3"Width /__2" Heiaht.0 II
39
Windows and oors—Crackage and Area
Total Btu.
Width Weight No. of Lineal f . Area
No. of pane of pan lights of crack sq. ft.
qq
OGi p2 p2/�aqo�°�® -210
® CZ�0/ . /14-.71
J
°
®
.Z/ p
Coef.
Btu
Infiltration
a
Ceiling
/
s
�02�
Glass
"®�®
Total Btu.
Net exp. wall
Net exp. wall
Required sq. ft. E.D.RL o
Exp. wall
/ Fl.1 —kcom_j Length/,ff-
Width ,
Windows and Doors—Crackage and Area
Width Height
No. of pane of pane
No. of Lineal ft.
lights of crock
Net exp. wall
Ceiling
L-- / s�. Y
6/'�
Jd °
e� I]�
/ cf
O2✓ ./ , f
Int. wall
Int. wall
All/
46a 91
to
Ceiling
144
®®
Floor
Floor
Total Btu..
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Fl^negarRoom I Length 9 °� "Width /®
Windows anoors--Crackage and Ar!.3Ar.a.
a
Width Height No. of Lineal ft. No.ofpane ofpane lights of crank ft.
gCoefE Btu
//e
Infiltration
Total Btu.
Glass
s� s
®2
Exp. wall
Height
Net exp. wall
Btu
Infiltration
Int. wall
151
a
Ceiling
/
s
Floor
Exp. wall_
"®�®
Total Btu.
Net exp. wall
Net exp. wall
Required sq. ft. E.D.RL o
ins. W.A. Leader area
/ Fl.1 —kcom_j Length/,ff-
Width ,
Windows and Doors—Crackage and Area
Width Height
No. of pane of pane
No. of Lineal ft.
lights of crock
Area
sq. ft.
Ceiling
L-- / s�. Y
6/'�
Jd °
e� I]�
/ cf
O2✓ ./ , f
Floor
Infiltration /
Glass s
Exp. wall AP -0
Net exp. wall 6
s Int. wall
Ceiling /
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
�_,X 9.Y5T,G1 S
NIINNFAPOLIS. MINN.
Insulation
Kind How. Applied
o_ _ It -&L %W_ W;ath 14p;aht
Windows and Doors—Crackage and Area
Total Btu.
Width Height No. of Lineal ft. Area
No. of pane of pane lights of c ack sfl• ft.
s� s
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Height
Coef.1
Btu
Infiltration
Infiltration
151
a
Glass
/
Glass
Exp. wall
Coef.
Exp. wall_
"®�®
17V
Net exp. wall
Net exp. wall
64
®
0
Int. wall
Exp. wall
/
Ceiling
Ceiling
Net exp. wall
Floor
/
Floor
Int. wall
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
JMIV /',n _,.,7R.1 Len,rth//,1 Width JJ A Height
Windows and Doors—Crackage and Area
Total Btu.
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
n
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Height
F1.1,
Coef.
Btu
Infiltration
151
171
/
Glass
Exp. wall
Coef.
%
"®�®
17V
Net exp. wall
Glass
149
A7742
Int. wall
Exp. wall
/
Ceiling
Net exp. wall
�✓
/
Floor
Int. wall
All/
46a 91
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Total Btu.
n
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Height
F1.1,
m I Length /
Width /6? =Height
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. off pane of pane lights ooff crack SQ. ft. A td
Btu
,11je
Coef.
Btu
Infiltration �' -331p
17V
e)
Glass
'®
Exp. wall
/
Ael
Net exp. wall
�✓
/
Int. wall
to
Ceiling
144
Floor
Total Btu..
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
D-56 s
HEAT LOSS CALCULATIONS
DEPARTMENT OF BUILDINGS
Weatherstrips
A.S.H.V.E.
Guide
Reference
19_
Construction No.
Coef. Btu
Windows
Doors
I
Out. Wall Int. Wall Ceiling Roof Floor
Kind
Yes—No
Yes—No
Net exp. wall
TJ
IFl.Ioom I Length � Width
® Height77-1Fl.
,�
Room 1
Windows and Doors—Crackage and Area
Windows and
Doors—Cr
Width Height No. of Lineal f . Area
No�..ry of pane of pane lights of
Width
No. of pane
Height No
of pane lig
MINNEAPOLIS, MINK.
Insulation
How
'J /
and Area
Teal ft. Area
crack I sq. ft.
Glass
Exp. wall
Net exp. wall Id
Int. wall
Ceiling
Floor �®
Total Btu. Xj Total Btu. %
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Fl.jRoom 1 Length 14 ° Width ° Height Fl.l Room I Lensfth Width Height
Windows and Doors—Crackage and Area
crack eq®. ft.
Coef. Btu
Coef.
Btu
Infiltration
3
/ %
Glass
Net exp. wall
TJ
Exp. wall
Glass
Ceiling
Net exp. wall
Floor
Int. wall
Net exp. wall
Ceiling
Int. wall
Floor
MINNEAPOLIS, MINK.
Insulation
How
'J /
and Area
Teal ft. Area
crack I sq. ft.
Glass
Exp. wall
Net exp. wall Id
Int. wall
Ceiling
Floor �®
Total Btu. Xj Total Btu. %
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Fl.jRoom 1 Length 14 ° Width ° Height Fl.l Room I Lensfth Width Height
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack eq. ft.
Coef. Btu
Infiltration
Coef.
Btu
Infiltration
Infiltration
Net exp. wall
Glass
Inc. wall
Glass
Ceiling
Exp. wall
Floor
Exp. wall
Net exp. wall
Int. wall
Ceiling
Int. wall
�Q
Floor
Ceiling
--'
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. ofpanq ofpang light. of cr ck sq. ft.
Coef. Btu
Infiltration
Coef.1
Btu
Infiltration
Net exp. wall
Inc. wall
Glass
Ceiling
Floor
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
,
Total Btu. 1 15— /67—
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.
Coef. Btu
Infiltration
Glass
Exp. wall
Net exp. wall
Inc. wall
Ceiling
Floor
11 Total Btu.
Required sq. ft. E.D.R. or sq. his. 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 sq. ft.
Coef. Btu
Infiltration
Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
�1 Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
City of Fridley
Application for Plumbing and Gas Fitting Permit
Dept. of Bldgs. Phone SII 4-7470
DESCRIPTION OF WORK Location✓/`�� w� L
Number, Kind and Location of Fixtures
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO. RATE TOTAL
Number Fixtures ......................
x $1.50
$
Z
I
i
SUBJECT
PERMIT NO.
City of Fridley
12281
AT THE TOP OF THE TWINS
BUILDING PERM
r
RECEIPT NO.
1 L'•___•_ COMMUNITY DEVELOPMENT DIV.
I
1 PROTECTIVE INSPECTION SEC.
7
1 = i
1 •••1 CITY HALL FRIDLEY 55432
�'�
NUMBER
REV.DATE
8/16/73
PAGE OF
APPROVED BY
--•- 612-560-3450
910-F15
/
JOB ADDRESS 561 54th Avenue Northeast
1 LEGAL
LOT NO.
17A,17B
BLOCK
1
TRACTOR ADDITION SEE ATTACHED
Lyndale Builders 4th Addition SHEET
DESCR.
2 PROPERTY OWNER MAILADDRESS ZIP PHONE
Douglas Vatne 561 6 54th Avenue N.E.
3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO.
ussel Company 1850 Como Ave. St. Paul
4 ARCHITECT OR DESIGNER MAILADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO.
6 USE OF BUILDING
garage
-i-CLASS OF WORK XJ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct 22x24 garage
9 CHANGEOFUSEFROM TO
STIPULATIONS
1. Provide a hard surface driveway
2. Drain to the street
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
SO. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
528
5,280
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 PEI T
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL 120
ER IT EE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FE
TOTAL F$111.19
_z'j.-C-A- A,
SIGNATURE OF CONTRAC OR OR AkfTHOR12ED AGENT )DATE)
EN PROPERLY LI ATED THIS IS YOUR PERMIT
BLDG INSP A
SIGNATURE OF OWNER (IF,.OWNER BUILDER) (DATE)
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME:-
D u Sa j
0C1 0 e
BUILDER °
ADDRESS:_476/
- S q" -H
A,,e /V,_G.
ADDRESS:
19`S-0
00--te
.4,e ezw a
NO :. 661 STREET: S'_1 -r a
LOT: /7� /� BLOCK:
CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD:
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As: .b,_44_(_&QA
Front° -:" -�L_ Depth: P Height:
Square Feet: ��f Cubic Feet: 2 J -d
-Front: —Depth: Height:
Square Feet; Cubic Feet:
Type of Construction: Estimated Cost: _$
To Be Completed: io �� s
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in st$ict 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: / Gam) 3 SIGNATURE : __'�aor A -Z gt�e
T
(See Reverse Side For Additional Information.)
o � •
0l-�i
-'-*-B -H. BRADLEY
CIVIL MGtt=R AND SURVEYOR
3829 - 24TH AVENUE SOUTH
MOOMPOLIS. MENNCWrA 5MMI
724-2M
SUBJECT
IT
City of Fridley
o 19230
AT THE TOP OF THE TWINS
BUILDING
PERMIT
_
r
RECEIPT NO.
L'_ COMMUNITY DEVELOPMENT DIV.
5-;P-7
1 PROTECTIVE INSPECTION SEC.
al
1 �
;
CITY HALL FRIDLEY 55432
�.__.11.' '•�
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
10/7/87
JOB ADDRESS 561 - 54th Avenue N. E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
17A -17B
1
Lyndale Builders 4th Addition
SHEET
2 PROPERTY OWNER MAILADDRESS
ZIP
PHONE
Douglas Vatne 561 - 54th Avenue N.E.
572-9254
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO.
Milton L. Johnson Co. 2513 Central Ave N•E., Mpls.
55418
781-9548
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
Reside/Install new bay window
9 CHANGE OF USE FROM TO
STIPULATIONS
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 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
l
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
$10,000
$5.00
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-
STRUCTION OR THEP MANCE OF CONSTRUCTION.
$80. 50
PLAN CHECK FEE
TOTAL FEE
$85.50
SIGNATURE OF CONT A OR OA AU HORIZED AGENT (DATE)
WH EN PROPERLY VA
TED THIS IS YOUR PERMIT
_-
6 117JIQ
SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI
BLDG )NSP
OVITE
NEW [ ]
ADDN. [ ]
ALTER. I ]
Construction Address
City of Fridley
�R-1 AND R-2
Building Permit Application
_0 & o Ale.
Effective 4/1/86
Legal Description:
f\.l �- v4 �/%
Tel.
# '3s-
Owner Name & ddress.
c(
� �-�'
, \/ l' /i "j So 'J
el)l -
Tel .
� Z8% � 2
Contractor : ��-�
l �n77/t Ac ��� �l�r��
'`."`J
s4a
Address:
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: 6-6 r"d e d- �MA-Estimated Cost: $
NS�iF LL f�Erli6 f�, /0iw�jC C0
Approx. Completion Dater
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation
DATE: _ APPLICANT: �e Tel.
CITY USE ONLY
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
Fee Schedule on Reverse Side
25% of Building Permit Fee
$.50/$1,000 Valuation
$475 per SAC Unit
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
SUBJECT
PERMIT NO.
City of Fridley
27081
AT THE TOP OF THE TWINS
BUILDING
PERMIT
RECEIPT NO.
`y ______ COMMUNITY DEVELOPMENT DIV.®
PROTECTIVE INSPECTION SEC.
37
r
1 I
NUMBER
REV
DATE
PAGE OF
APPROVED BY
`
1 � CITY HALL FRIDLEV 55432
, -."J 612-571-3450
A",
910-F15
8/10/98
JOB ADDRESS 561 54 Ave NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
17A & 17B
I 1
Lyndale Builders 4th Additinn
SHEET
2 PROPERTYOWNER MAIL ADDRESS
ZIP
PHONE
Doug Vatne
572-9954
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE
LICENSE NO
Nutzmann Bros Const 736 1 Ave NW New Brighton 59119
628-0128
20043453
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
Reroof house and garage 21 S Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with State Building
Code.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT 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
$1751
.87
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING OON-
STRUCTION OR THE PER ORMANCE OF CONSTRUCTION.
$56.75
Fi SC
$1.75
PLAN CHECK FEE
TOT EE
P
Lice $5.
4.37
SIGNATU EOF ON.RACTORORAUT.6RIZEDAGENT IDATEI
HEN R
V LIDATHIS IS Y
V
R P R IT
_
BL INSP
r�ATE
SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION, 2��J
ConstructionAddress:�--
Legal Description:
Owner Name & Address: ���,� `�,��ic, Tel. #__57-7,,- -
Contractor: X47-Z—etiA.,' �� �,,,s MN LICENSE#��3cjS3
Address: Tel. # 6-
,-;2 F ,-01o3'3'
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER:
Construction Type: Estimated Cost:
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: ld �� APPLICANT: Tel.
CITY USE ONLY
Permit Fee
$ �Fee Schedule on Reverse Side
Fire Surcharge
$
�� %S
.001 of Permit Valuation (1/10th%)
State Surcharge
$
y%
$.50/$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$
CaCJ
$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 $V— 3
STIPULATIONS:
r
SUBJECT
R NO.
City of Fridley
33887
PAT THE TOP OF THE TWINS
BUILDING PERMIT(
r
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
/�
60A/&
r PROTECTIVE INSPECTION SEC.
E
1 . �
NUMBER
REV
GATE
PAGE OF
APPROVED er
CITY HALL FRIDLEY 55432
763-571-3450
910-F15
9/16/03
JOB ADDRESS 561 54 Avenue NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
17A & 17B
1
Lyndale Builders 4th Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Doug & Jancie Vante 561 54 Avenue NE
763-572-9254
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Renaissance Exteriors 2556 Hwy 10, Mounds View, MN 55116
763-780-2000
d ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO,
20220285
5 ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW ❑ ADDITION ❑ ALTERATION � REPAIR
O MOVE O REMOVE
B DESCRIBE WORK
Replace windows within existing openings
9 CHANGEOFUSEFROM TO
STIPULATIONS
Provide smoke detectors in all sleeping rooms and on all levels
of the dwelling
per Section 310.9.1.2 of the 1997 Uniform Building Code. Caulk
and flash all
exterior openings.
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
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
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
$8,800
$4.40
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS�ANYHER STATEOR LOCAL LA REGULATING CON•RUCTIO
MANCE OF CONS TION
$167.25
Fire SC $8.80
PLAN CHECK FEE
TOTALFEE
SC $5.00
$185.45
TUBE OF CON'RACTOA ORA t2RiZEO AGENT r TE,
EN Pq )PER VALIDATED THIS I YO RIPER IT
S.GNATURE OF OWNERJF OWNER BUiLOERi DATE-
BL G �NS�
r�ArE
NEW [ ] Effective 1/1/2001
ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address: S61 SY-i�7 Aue, M i& -
Legal
Legal Description:
Owner Name & Address:
Contractor:
Address:
�e
Tel. #
MN LICENSE #
Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER:
Construction Type: 46LAC4 '-C✓4c Estimated Cost: $�
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
/0
DATE. !LE
APPLICANT: �/� Tel. #
CITY USE ONLY -
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
Call (763) 572-3604 for Permit Fees if mailing in application
$ ��J Fee Schedule on Reverse Side
$ v. � ) .001 of Permit Valuation (1/10th%)
$ LZ VD $.50/$1,000 Valuation
$ $1150 per SAC Unit
$ 5,&)b $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 [ ]
ITY OF I-KIULEY INbkJl=L:IIJUN LAV.
.31 University Ave NE
idley, MN 55432
s3) 572-3604. FAX (763) 571-1287
FIXTURES TO BE IIVSTALLED ON EACH FLOOR
Washmw
Floor Auto. Gas x; =: Water treater
Stories Urinal Shower TrayDrain Washer Ran a Gas Elec
Basement Floor 1Floor2 _
Floor
- ••fix. F-x� :�-:atF. - : .'
Floor4 -
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT —�L
MARK NUMBER OF
.UMBING FIXTURE RATES: NO. RATE TOTAL JOB
:w Fo tures
$10.00
d Opening, New Fixture
$10.00
aer Dispenser
$10.00
ow Off Basin
$10.00
itch Basin
$10.00
3iin Water Leader
$10.00
imp/Receiving Tank
$10.00
ater Treating Appliance
$35.00
War Heater -Electric
$35.00
later Heater - Gas** �_
$35.00 �5®
as Range"
$10.00
as Dryer"
$10.00
ick Flow Preventer Required ( )Yes () No
Type
$15.00
:inspection Fee $50.40/Hr
-L OTHERS AND/OR REPAIRS AND ALTERATIONS
1.25% of Value of Fixture or Appliance
State Surcharge $ - 50
TOTAL FEE $ J5,5O
The undersigned hereby makes application for a permit for the worrherein
specified agreeing to do all work in strict accordance with the city codes
and rulings of the Building Division, and hereby declares that all the facts
and representations stated in this application are true and correct.
OWNER
BUILDING USED AS
ESTIMATED COST
PLUMBINCzCOMPANY
SIGNED
Approved By
DATE: I I ila�('y 1 .20_0 ____
PERMIT NO.
-
TEL No. �11o3T_l-itQR0
Rough -In Date Final Date
MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 or 5% OF COST
OF THE IMPROVEMENT WHICHEVER IS GREATER ON WORK LESS THAN $300
OMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. ""PROVIDE COMMQN VENT INFO ON BACK S1DE
3uilding
$' 1.' . 2 S
BUILDING
Permit No.:
nspections
$ C70
RESIDENTIAL APPLICATION
Received By:
763-572-3604CITY
$ cath
OF FRIDLEY
Date Recd:
)ATE /�I �O Leg
YOUR E-MAIL ADDRESS h �F - 012wC ��`'S IeJ�C�j
PTE ADDRESS
$
M APPLICANT IS:
❑ OWNER CONTRACTOR
Sewer Main Charge
PROPERTY OWNER/
NAME: S�D,A e:1 cl- Z/4 •--J klAfN k5
ADDRESS: S stw. AS `J CITY Q l STATI3/t,)7,IP� '
TENANT
PHONE: b(,3)
CONTRACTOR
NAME: V1 v Pf-K� i w ri
STATE LICENSE # 5L — 7-0(4 4? 7 .0 EXP DATE h^^ ,-1 O 7
- 6, (1 � 4 CITY l= P— so L-sc`7 STAIP S x`13 Z
SUBMIT A COPY OF
YOUR STATE LICENSE
ADDRESS: -If �Os'� �'
WITH APPLICATION
(
PHONE (470 -��c5 FAX 7 57(—`-f I (v18
PROPERTY TYPE
)2r—MOLE—FAMILY/NEW CONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS
❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
❑ DECK A SIDING ❑ OTHER
❑WDvII'MG POOL
TYPE OF WORK:
❑ NEW ❑ ADDITION
❑ MAINTENANCE/REPAIR AUMODELING
DESCRIBE WORK BEING DONE: JLkJ 1 DIE %Ae� S� C, ftl&lrgr:�
SIZE OF IMPROVEMENT LENGTH WIDTH
HEIGHT Sq. Ft.
ROOFING
❑ HOUSE ONLY
NUMBER OF SQUARES
❑ HOUSE & GARAGE
BASEMENT
REMODELING SUB -MIT:
1. Existing Floor Plan
GARAGES
13 ATTACHED GARAGE
Proposed floor plan
PROPOSED SIZE:
❑ DETACHED GARAGE
3. List of structural members to be used
3.
PROPOSED HEIGHT:
SIDING
FOR NEW CONSTRUCTION INCLUDING DECKS,
Vinyl
❑Soffit
ADDITIONS & PORCHES SUBMIT:
❑ Aluminum
❑ Trim
1. Site
Plan/Survey showing the existing structures
❑ Other
❑ Fascia
and proposed project
2. Two sets of construction plans
W'NDOW S
3. Energy Calculations
IN EXISTING OPENINGS ❑Yes ONo LOCATION OF WINDOWS
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
S:
(USING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $ 6, 000 . OCA OCCUPANCY TYPE
Permit Fee
$' 1.' . 2 S
Plan Review
$
Fire Surcharge
$ C70
Surcharge
$ of
License Surcharge
$ cath
SAC Charge
$
Curb Cut Escrow
$
Erosion Control
$
Park Fee
$
Sewer Main Charge
$
Due
See Back Page for Fee Schedule
65% of Building Permit Fee
.001 times the total job valuation
.0005 x Permit Valuation Minimum $.50
$5.00 (State Licensed Residential Contractors)
$1550 per SAC Unit (Plans to MWCC for determination)
ft+6ft= ftx$21=$
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checks savable to: City of Fridley Attach
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 ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is 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 r review and approval of plans.
SIGNATURE OF APPLICANT PRINT NAME Sa hc� VM DATE
Building
MECHANICAL
Permit No.: O)OQ -b [ I
Inspections
RESIDENTIAL APPLICATION
Received By:
763-572-3604
CITY OF FRIDLEY
Da 10V 12 2 E
763-502-4977 FAX
EFFECTIVE 1-1-08
DATE i I O O8 YOUR E-MAIL ADDRESS
SITE ADDRESS I 5L 4-, PLk JJE-
THIS APPLICANT IS: ❑ OWNER CONTRACTOR
PROPERTY
NAME: Dc:,"! ICS S -,
ADDRESS: CITY �/�1�.1��c l STATEAjdlp /
OWNER/
TENANT
PHONE: -7&3 .570 - 3 a sir �-
CONTRACTOR
COMPANY NAME:+ (249
CONTACT PERSON: -%O 1'1'l S-1 eL�0.✓
NOTE:
"
SEPARATE CITY
STATE LICENSE # EXP DATE
LICENSES ARE
REQUIRED FOR GAS
AND HVAC.
q ,�, "" �
ADDRESS: /-//176 FI 5-4 AUe- --d CITY �DO/C�c�.vl / t: c STATE YI /'IMP
SUBMIT COPY OF BOND
PHONE %l., 3 e1. -2(-1-Y_333 FAX
ANDINSURANCE
PERMIT TYPE
):PSINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK:
❑ NEW REPLACEMENT ❑ ALTERATION/REMODEL
17
DETAILED DESCRIPTION OF WORK 1<fJ21de .,.cr.�
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)
OR
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) ,J / �y/
Equipment Installed MFG: MODEL: U,� SIZE/BTU 60,000
MFG: 4�� MODEL: a A A!L_02,(/ SIZEBTU 2 -74 n ! 21/, coo
�/ MFG: MODEL: SIZEBTU
/� A/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
_FURNACE
_AIR
$35.00 $35.00 _GAS UNIT HTR $10.00
_BOILER
LINER $10.00 GAS DRYER $10.00 _POOL HEATER $35.00
_CHIMNEY
_DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00
PERMIT -FEE PROJECTS FOR�JNDER $500
` 4 , w a'PERWrFE FOR PROJECfS`O $500'
Permit Fee $ (910-00
Number of fixtures @ $10.00 x $10.00 = $
Surcharge $ .50
Number of fixtures @ $15.00 x $15.00 = $
TOTAL DUE $ 49) .,-,jam
OR Ntunber of fixtures @ $25.00 x $25.00 = $
Number of fixtures @ $35.00 x $35.00 = $
State Surcharge = $ .50
MINIMUM $15.50
MINIMUM $15.50 Total = $
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
I hereby apply for a mechanical permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances
and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is 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.
Ti) M j-kWo,, A
SIGNATURE OF APPLICANT PRINT NAME DATE
APPROVED BY DATE
'����' PLEASE NumE SEPARATE PERmrm An REoUiRED TOR B NG-,ELECTRICAL;AND`MECHANICALWORKs2
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604 FAX: 763-502-4977
City of Fridley Residential Mechanical Application Page 2
_REQUIRED INFORMATION NEEDED TO PROCESS PERMIT
RESIDENTIAL PERMIT APPLICATION HVAC
NEW HOMES/ADDITIONS EXISTING HOME MAKE-UP AIR
V
REQUIRED FOR NEW/EXISTING HOMES
1. Combustion Air (See note below)
a. Oil or solid fuel IMC Chapter 7 with MN Amendments
b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments
2. Make-up Air (See note below)
a. IMC 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 IMC 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.
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