PRE 2010 DOCS0 •
City of Fridley, Minn.
BUILDING PERMIT N® 3838
Date: ...�!.� _ ... .............
Owner......... .... .... ............ Builder .............................................
Address ..................... ............... Address .............................................
ATION OF BUILDING.
No. .. /..��%%'' �f.// ... Street .4 .!K-..ke&..�Part of Lot ...............................
Lot ............ Block .................. Addition or Sub -Division .......................................
Corner Lot ............ Inside Lot ............ Setback ............ Sideyard ...........................
DESCRIPTION OF BUILDING
To be Used as: ''04 A7-0
` T Front �J... Depth 'Height "Sq. E't. . .r Cu. Ft. 04fr
I n F
.: .. Front Depth Q Height Sq. Ft. �/ Cw It. /jjt.0.
Type of Construction ................... Est. Cost. ../024..��To be Completed ..............:....
In consideration of the issuance to me of a permit to construct the building desribed 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.
........... .....
1
0
In consideration of the payment of a fee of $.. ........., 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 with-
in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances. _
Building Inspector
NOTICE:
This permit'does not cover the construction, Installation or alteration for wiring, plumbing, gas heating,
sewer or water. Be sure to see the Building Inspector for separate permits for these Items.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
Owners - Name
Builder
Address zAddress
LOCATION OF BUILDING
No.7D1 Street Part of Lot
Lot __. _... 'Block.- Addition or Sub. Div.
Corner Lot Inside Lot Set Back
Applicant attach to this form Certificate of Survey of Lot and proposed
building location.
DESCRIPTION OF BUILDING
To, be used as
Front y , Depth Height
Sq. Ft. �a� Cu. Ft."i�__
Front .Depth _l_` —Height Y
Sq:`t l%ZCu. Ft.
Type of Construction ^-_- 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 Buildingso and hereby
..declares that all the facts and representations stated in this application
are true .arid correct.
Date �� �' % � � - Signature =._.
(A Schedule of Fee Costs can be found on the Reverse Side)
City of Fridley, Minn.
BUILDING PERMIT No 4 7 5 7
Date:
Owner:.---- _-.._..
� .._ .... � Builder ....._......__.._...___. _..a _.__._..._._._.._�_.._______�.
Address %"v W t Address
CATIONO B ILDING
No... ....._ Street ._ .............. Partg Lot ..... ........ _.._.._... _.._..__..._..._._
_ Addition or
Lot .....----<<'------.. Block .... ........ Sub -Division 1-11W .....�................
..._....:............ ......�......... •��.... z �.. �--�ti�
v"
CornerLot .................. ........_..._... Inside Lot _.__............._......._....---- Setback ................... ... ... ._............. Sideyard....._.�...._...........__............._...
Sewer Elevation ....._ ............._......._....___.__._._. _......... .. Foundation Elevation ............................................ n
DESCRIPTION OF BUILDING
To ed
100-4
Front ..:_.. Cu. F .._ -- ..
.......R.... .. -- - -•---1_... ......_.. Depth ..�...d ..._.. Height .....,�--.._.. Sq. Ft.
...._..............---- ---......_......._.............. Front .... -................ Depth ...................... Height ..... _........... ...... Sq. Ft....................... Cu. Ft. .................... _..
Type of Construction ........................... ....................... ........ Est. Cost ...._.:6 ......... ........ To be Completed ........ .......... ... ...........................
THISCAUTION
DOES NOT AUTHORIZE
'I
-� rHORIZE VIOLAT-
ION OF
ANY F,IVATE LAND COVENANTS AND
BUILDING Rt,T ICT10NS.
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.
In consideration of the payment of a fee of $..,.'.!"'.`_'..=_....., 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 timmupg7� olationany of the provisions of said
ordinances. ��'' JJ
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.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
p _
Owners Namel' y, OP 5 Builder
Address Address -
LOCATION OF BUILDING
No., t7 A Street 1 � � 17 Le .2V �� _ Part of Lot
Lot Block Addition or Sub.Div..
Corner Lot Inside Lot t Back 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 u ed as:
Y z 4 LIZ, Front D4
Sq. Ft. / Cu. Ft. ZZ
Front Depth Height
Sq. Ft. Cu. Ft,
Type of Construction 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 r eat.
DATE SIGNATURE
(A Schedule of Fee costs can be found on the Reverse Sid .)
Chy of Fridley
i L-V.IEcT
Permit No.
� AT TI�Q Tt?P OF THE TWINS
�`
j
PLUMBING PERM] APPLICATIG���
.
j b-------� COM1�NITY DEVEL01WENT DIV,
pnOTECTIVb 5M-,TCTIQN LIZ,
CITY HALL FRtIDWP V OC-:4R
Nui4 fli
Rgv. DATE
PAOE OFAPPROVED
BY
..«�!. •j Q'vl'j-D9®-3460
0- 1
0---2-115/73
1 1
800
Job Address
Ownel Address Phone
A� lL)Z-'�
Contractor Address Phone
Kind of Building
Use
Completion Date
Estimated—Cost
Plumbing Fi-,.9=ure Rates ; NO • RATE TOTAL
J I I I it
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Number Fixtures � x $2.00
—
Future Fixtures x $1.50
39SNY'J
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Nev Fixture-Old Open. x $1.50
U
Catch Basin x $3.25
Water_ Heater-99,000 BTU x $3.00
'DSIW)
1
Ground Run Old. Bldg. x $3.25
�,
•%Nlva�
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Elec. Water Heater x $2.00
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sralyvel
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Gas Fittin Fees:
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1st 3 Fixtures x 2.00
$
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,Additional Fixtures X$• 75
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Gas Range-199,000 BTU x $5.00
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Repairs & Alterations
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BxNlsl
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Description: Code
sN,SdaI
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State Surcharge .50
TOTAL FEE $
cent
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The undersigned hereby makes application for a permit
S,�wlanl
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for the work herein specified, agreeing to do all work
in strict accordance with the City Ordinances and ruling
513so,3
a31VA%
of the Department of Buildings, and hereby declare that
all the facts and representations stated in this
- —
application are true and correct.
8
,d
C1
13 ignature Date
Building
Inspections
7.63-572-3604
DATE
SITE ADDRESS
THIS APPLICANT IS:
PROPERTY
OWNER/
TENANT
MECHANICAL
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
yle"' YOUR E-MAIL ADDRESS
761 s�
O OWNER V,6NTRACTOR
C
ADDRESS: 76-1 �� CITY,
PHONE: C '.9— --SBLZ —Z -'l %
Permit No.:
Received BY:
Date Rec'd:
ATEAi/ZIP Sfi % J
CONTRACTOR COMPANY NAME:
CONTACT PERSON:
SUBMIT A COPY OF EXP DATE
YOUR STATE STATE LICENSE * l STATE ^-ZIP S�-y 3Z
LICENSE WITH ADDRESS: /6 7 /G 9lo�
APPLICATION PHONE % 3"7,2 - /S/� _ FAX 765 7-'
PERMIT TYPE
TYPE OF WORK: I O NEW
FAMILY ❑ TWO FAMILY
/ktEPLACEMENT
DETAILED DESCRIPTION OF WORK
O TOWNHOUSE
0 ALTERATION/REMODEL
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
fixtures. (This should reflect only the cost of labor )
improvement, installation or replacement of a residential fixture, excluding the
,. ,. :. citFn4:Rma s•�l,.Me..-.ti
-_:.e. r- ;........,.,. __......_. ._
Number of fixtures @ $10.00
x $10.00 = $
Labor cost under $300 = $15.00. Labor cost between $300 to $500 =cost of labor
x.05 =
FOR PROJECTS WHERE LABOR EXCEEDS $50D, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (MICATE TOTAL
NUMBER OF EACH BELOW) MODEL:
MFG:
SIZEIBTU
Equipment Installed
MFG: MODEL: �_
SIZE/BTU
MODEL:
C''
(GAS) $1$35
�A/C
SIZEIBTU
GAS RANGE/OVEN $10.00
525.00 _FIREPLACE
AIR TO AIR EXCHANGEER $15 ACE $3 00 LACE D) $35.00
NEW GAS GRILL $10.00
_GAS UNIT HTR $10.00
BOILER $35.00
—CHIMNEY LINER $10.00 GAS DRYER $10.00
_POOL HEATER $35.00
VEIdTTLATOR $1500
DUCT WORK $10.00 GAS PIPING $10.00
THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is
not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the
approved plan in the case of all work which uires review and approval of plans.
SIGNATURE OF APPLICANT PRINT NAME �A �e �G 4 DATE ��
City of Fridley
Building Inspections Department .
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977
.,. ..1's�"_%t;.4:77.$. 1Y9111iN7,r:V, Y.`0a"i:
$ �
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-_:.e. r- ;........,.,. __......_. ._
Number of fixtures @ $10.00
x $10.00 = $
Permit Fee
.
$ 50
Number of fixtures @ $15.00
x $15.00 = $
Surcharge
TOTAL DUE
$ 4600
Number of fixtures @ $25.00
x $25.00 = $
Number of fixtures @ $35.00
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
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 uires review and approval of plans.
SIGNATURE OF APPLICANT PRINT NAME �A �e �G 4 DATE ��
City of Fridley
Building Inspections Department .
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977
REQUIRED INFORMATION NEEDED TO PROCESS PERMIT
RESIDENTIAL PERMIT APPLICATION HVAC
❑ NEW HOMES/ADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR
REQUIRED FOR NEW/EXISTING HOMES
1. Combustion Air (See note below)
a. Oil or solid fue11MC Chapter 7 with MN Amendments
b. Natural Gas or propaneUGC Chapter 3 with MN Amendments
2. Make-up Air (See note below)
a. 1MC Chapter 5 with MN Amendments
3. Venting
a. Gas appliances 1FGC 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
NO'T'E: Centerpoint Energy Mechanical Code Guidelines software may be used for
combustion and make up air calculations