PRE 2010 DOCSCity of Fridley
SUBJECT
PE
13894
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
�
EIPT
• COMMUNITY DEVELOPMENT DIV.
�y-------�
�•-y , + • ao �5
r PROTECTIVE INSPECTION SEC.
UX'L_1J—'1C,y
1 = �
CITY HALL FRIDLEY 55432
,'�
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
"•'�''� 612-580-3450
910-F15
12/9/76
JOB ADDRESS 1559 61st Avenue N.E.
1 LEGALLOT
NO.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
4
4
Rice Creek Estates 2nd Addn. SHEET
2 PROPERTY OWNER MAILADDRESS ZIP PHONE
Richard Dobis
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Pine Tree Builders Inc. 8535 Central Avenue, Mpls. 784-6013
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 11 ADDITION El ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
R
8 DESCRIBE WORK
Construct a 45' x 31' Dwelling and a 21.5' x 24' Garage . —IMPORTANT-
SEPERATE PERMITS REQUIRED FCf WIRING, NOTIFY THE FRIDLEY
8 CHANGE OF USE FRODIVISION D SIGNS,
(^1 1,1177 REMOVAL AND REPLACE
STIPULATIONS Increase window::sizes in laundry and sewing rooms, or provide adequate
fans (see plan notation). Provide truss design. Provide a hard surface driveway
Provide sod in the front and side yards. Provide a verifying survey before Capp'
SEWER LOCATION: (Approx. 9' Deep) 23' East of Manhole (Inv. 945.54)
WYE.ELEV: 944.44
TOP OF FOOTING: 9.47.44 Minimum
WATER LOCATION: 9.9' West of Sewer Service
East of Hydrant WARNING
TO CRY OF FRIDW OW NOT. GVARAHM THE Before digging call loco! utilities
ACCURACY OF UMflY LOCAMONS AND ELEVAM>P : TELEPHONE - ELECTRIC - GAS Etc.
THIS DATA IS FOR INFORMMON PURPOSES ONLY ;4-.'
By LAW
PERSONS USING R SHOULD VERIFY THE WORMATION REQUIRED
ON THE SITE.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
Wood Frame
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 i.,
R-1
1252+506
29,568 Total
.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.
$19.46
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$38,915
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-
$115.27
$350.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTALFEE
$29.57
$517.30
SIGNXTURRE1 FCONTRACT RORAUTHORIZEDAGENT IWHEN
PROPERLY VALIDATED THIS IS YOUR PERMIT
BLDG 11 MATE
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE)
f
"R.
R8
ENT
IE
APPLICATION FOR RESIDENTIAL,'ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, [MINNESOTA
,n
OWNERS NAME:_Q-V,VtAV-t Do i01& BUILDER: 1p"! N (`- 7aErr- ��Eles
ADDRESS: 9 i A� e ADDRESS: �S ?� C N��2�4L !q UL
NO: STREET •
LOT: RLM:: ADDITION: 46FE 6PArk �•�f7f � _ _ Z,evvs�
CORNER LOT: INSIDE LOT:ETBACh: 3 5 SIDEYARD: /'Q-'`-
Applicant attach to this form Two Certificates of Survey of.Lot and proposed
building location drawn on these Certificates.
VI
D-SCRIPT10N OF BUILDING p,
A
To
�oyl� 0&,C-JL/A-S
He Used t; : /
�1 Front: Depth: Height:
- i�
Square Feet :Cubic reet : 96 �p( 1 Z-.
aAJL Front:- 2-1 • —Depth: Height: Z /
Square Feet; Cubic Feet:
Type of Construction: W @01) P-Pjt Estimated Cost: r
To Be Completed:.*
ompleted:
w
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict 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.
V' DATE: SIGNATURE:
(See Reverse Side For Additional Information.) $nAcLii! S
4 /2 C I A)
�6 P�v��ot �o� qac . I
96 eS4e a AI#6*—
.? -Add C)I'Ve
CITY OF BUILDING DEPARTMENT
EXTERIORS RAGE "U" COMPUTATION
(To be submitted with building permit application)
One or two family dwelling X Owner hzeAltr;? ;9b&Y
All other
Site address
Contractor Date_/ '-a - 7& Phone
LINEAL FT. OF
EXPOSED WALL J1z:V0- ft. above grade
TOTAL EXPOSED WAIT AREA SQ. FT.
OPAQUE WALL CONSTRUCTION: "" value x area
truce G Iwel FG /--//A -//J "U" , 0 7 x
Ile 6s?� �-'.A 2 U" . m G x
Detail reference �& w 3. "U" &4 • x
from /'r�,yC, t% ?G , "U" .47 x
attached sheets "U" x
"U" x
"U" x
"U" x
"U" x
WINDOWS: "U" value x area
Make do
type
"U" x
s q .
f t . 119,14 ::re,
"U" x
n
n
nUn x
n
n
Prfl���C 's "U" x
so.
ft,. Z4.ao //.2S
"U" x
n
n
"U" x
s q .
f t . /�t.� /off 2 /
(U) (A)
s q .
f t . 119,14 ::re,
(U) (A)
s
ft. 17,,0.��, aI 5L
(U)(A)
sq.
ft. 2 5 .14 . 07-
W) (A)
so.
ft,. Z4.ao //.2S
(U)(A)
sq.
ft. -
(U) (A)
sq.
ft.
(U) (A
sq.
ft.
(U (A)
sq.
ft.
(U) (A )
sq.
ft.
(U) (A )
sq.
ft. •
(U)(A)
sq.
ft.
(U) (A )
sq.
ft.
(U)(A)
sq.
ft. /.44./G /�./.�� .(U)
(A
sq.
ft. i
(U) (A
sq.
ft.
(U) (A
DOORS:
"U"
value x area
TOTAL AREA:
sq. ft.
Make do
type
"U"
x sq.
f t .
(U) (A )
7""U" - x
s q .
"U"
x sq.
ft.
(U) (A )
"
"
_ ✓r'� /�/or!/C f'S_ "U" _ ��
x sq.
ft.. / %..-ad_ PS
(U) (A )
n
n
"U"
x sq,
ft.
(U) (A )
TOTALS 2-D4 .7G Sq. ft. 44, o2(U) (A )
TOTAL (U) (A) VALUES �� . 0 e- - . �04 jo A JG .
DIVIDED BY TOTAL WALL AREA `ate/, 7e,
AVERAGE "U" .17 or less for 1 do 2 family dwellings
.22 or less for all other buildings
ROOF/CEILING:
TOTAL AREA:
sq. ft.
Detail reference "U" x
sq.
ft. (U) (A )
from AoZc
7""U" - x
s q .
f t . Me. y _ (U) (A )
attached sheets. ri' "U" -,0,45 x
sq.
ft. 291.o 35'. (U) (A )
Describe openings
"U" x
sq.
ft. (U)(A)
in roof.
"U" x
sq.
ft. (U) (A )
TOTALS
/3 %. 5 S q . f t . (U) (A )
TOTAL (U) (A) VALUES
g"�• = -. ®��
AVC. muw
DIVIDED BY TOTAL ROOF/
CEILING AREA
�3®.�
7!%S /�=r���`9+'T d�/, >i�i�•%f-.
AVERAGE "U" .05 for
ventilated roofs�'���°��''�
�,�d�iTi��n/T `U•
.10 for
all other construction,
i
WALL SECTION - '% fg/ZC•10 rW �M.G►fAA##4y-1_= Opr.v& PAGE
€. NOTE: USE 12% OF OPAQUE WALL AREA'FOR
FRAME CONSTRUCTION CONSTRUCTION (R) VALUE
1. Interior air film 0.68
9' 5. Alg o.✓.'to_ -j 1*
(0 6. Exterior air film 0.17
TOTAL (R)
FG; X11 'PLAN VIZrW flU,f= 1 /R= . /2'Y
FIG. #1 SECTION
1. Interior air film
0.68
2. 112 "GV,Iy. Oo.�.Co
3 ..�o1z" 4Kir f'
5 . MA jw4 iTi% TipiwJ6
6. Exterior air film
0.17
TOTAL (R)
"U"=1/R= . Oe,8
FIG. #1 X
COMB. ` "_(.12 X )+(.88
X
1. Interior air film 0„68
2 ./7/7F Z v%s- i v r. Mow
3. V'", Fi Z F1'i M 1oi ss J, u �S
4.237p2 '1 3014pq'� ryg 06
5. M '14,
6. Exterior air film 0.17
TOTAL (R) /
"U"- 1 /R=
s
1. Interior air film 0.68
2 s.
Ar. tr0
5.
6. Exterior air film 0.17
TOTAL G.
FTG i2 SECTION flU" (R) �B
=1/R= . /gl
k jor
. �G
FIG. #3 SECTION
F.:
1. Interior air film X68
2. qa QAor, /3ttc
3. Exterior air film 0.17
TOTAL (R) /• 3lev
f `
C AL SECTION- 2 �/°1� n h'�I,� s'r?i 410-cor Eyoilr PAGE
NOTE:'USE 122 OF OPAQUE WALL AREA FOR
FRAME CONSTRUCTION CONSTRUCTION (R) VALUE
FIG. #1/ -PLAN VIEW
FIG. #1,&SECTION
1.
Interior air film
0.68
2.
'/_o"a VIPyc►rgjCzp
. 4j3
3.
4 11 A.., & ;CrAfe
4 g
4. ay/3Z" � &ftyRr�
"04
5 -
Aaa--e AfOO'CK
• fj
6.
Exterior air film
0.17
4 4.2's/Ys " 6''a i[ rCj r4
TOTAL (R)
409
1 /R=
1.
Interior air film
0.68
2.
'/2 " G yA: /%p, Pgro
.46
3.
'/ 'a GCoVir 09/3gg-
SOU"= 1/R= . 06
4.2y'a If
5 . FAc fl�t'i cK
1. Interior air film
6.
Exterior air film
0.17
TOTAL (R)
/Q. 79
"U"=1/R=
FIG. #1l,
COMB. "U"=(.12 X . AN )+(.88 X , 41icri
1
1. Interior air film
-0.68
�- -_
-
2.0V0 iNs.
11.00
4 4.2's/Ys " 6''a i[ rCj r4
'. v
5. rIVIC.I.Cr XIC AC
-
6. Exterior air film
0.17
TOTAL (R)
/��/7
SOU"= 1/R= . 06
1. Interior air film
0.68
2. /
$'
4 4. ,g" G'orvc. aelc
a b 6. Exterior air film
0.17
TOTAL (R)
FIG. #2A -SECTION
+ G•7g'
���
• ��
�T n./ -M
FIG. #3 SECTION
1. Interior air film 0.68
4K iL
3. Exterior air film 0.17
TOTAL (R) /� drew
nU,+ =I/R= .64
=01
WALL SECTION
NOTE: USE 12% OF OPAQUE 'WALL AREA FOR� '�i/'1E' �� /.70/[ nfr'_
FRAME CONSTRUCTION CONSTRUCTION
FIG. #16PLAN VIEW
FIG. #16 SECTION
FIG. 03, SECTION
a
1,
2,
3.
4.
5.
6.
Interior air film
"U"= 1/R= .
s
1. Interior air film
2. 11z G yi? OpA;F, C
3..q--/2 All_00_4 Ii -Or
4 .Z1,32'r ealergferA_
5
-a,* G p 40,00,9
6. •Erb air film / Z��
TOTAL (R)
PAGE
(R) VALUE
0.68
!4G
. AM
. 63
78
_
"Un/R= , OIAS
FIG. #1 � 1w
COMB. "U' =(.12 X . X14 )+(.88
X . 449'
1. Interior air film
Q.68
2 . ,*,%.'
3. 2'' X%r .M �is*
,
4.8a"/ f" . r
5 . .. GsYP. oA/g4
.
6.S3w4 air
TOTAL (R)
"Ult= 1 /R= , god,
or
I. Interior air film
0.68
2 . 7/pia' W.
3 •J riga. Z"%
. as
4.d"G' Aja. 40�/c.
5.
6. m6absedfor air film
TOTAL (R)G.
�t
.fir . /¢� urns ./L
0
1. Interior air film 0.68:
2.
3. Exterior air film_ 0.17
TOTAL (R)
"U" =1/R=
WALL, SECTION -
NOTE: USE 12% OF OPAQUE WALL AREA FOR
FRAME CONSTRUCTION CONSTRUCTION
FIG. X61 PLAN VIEW
FIG. #1 SECTION
FIG. #2C -SECTION
FIG. #3 SECTION
PAGE
(R) VALUE
I. Interior air film 0.68
2,
3.
4.
5.
6. Exterior air film 0.1%
TOTAL ( R)
1/R=
1. Interior air film 0.68
2.
3.
4
5.
6. Exterior air film 0.17
TOTAL (R)
"U"=1/R=
FIG. #1
COMB. "U"=(.12 X
1. Interior air film 0.68
2.
3.
4.
5.
6. Exterior air film F0.17
TOTAL (R)
rluef= 1/R= 11
("�-►c 4 )* �v��ve�J
1. Interior air film 0.b8
2.
3.
4
5,
6. Exterior air film 0.17
TOTAL (R)
"U"=1/R=
I. Interior air film 0.68
2.
3. Exterior air film 0. -17 -
TOTAL
TOTAL (R)
"U" =1/R=
>T'
I
�`�'. s��
°�+�"• �::. 449
ir
film -
r✓
-
r
4) �6$
p
-411
.41 ^
Off' !'
TC
16
>T'
�`�'. s��
°�+�"• �::. 449
ir
film -
r✓
Off' !'
TC
47
61.
V
560-3450
Cit- 4 rale
Y
ANOKA COUNTY
6431 UNIVERSITY AVENUE NE December 15, 1976 FRIDLEY, MINNESOTA 55432
Mr. Ed Dropps
Pine Tree Builders, Inc.
8535 Central Avenue
Minneapolis, Mn. 55434
Re: 1559 - 61st Avenue N.E.
Dear Mr. Dropps:
We were called on December 14, 1976 to make a footing inspection at
1559 - 61st Avenue N.E. It was determined during the inspection that
the basement would be too low to flow the sanitary sewer service to
the City main by gravity. j„prZ)
Therefore, we suggest that you run the sewer service into the foundation
prior to capping the basement so that you could add courses of block if
you so desire.
If you have any questions on this matter, please feel free to contact
me at 571-3450.
Sincerely,
DARREL G. CLARK
Community Develop. --int Adm.
DGC/mh
CC: Engineering Dept.
CITY OF FRIDLEY
APPLICATION FOR
POWER PLANTS AND HEATING,
COOLING, VENTILATION, REFRIGERATION AND
AIR
CONDITIONING SYSTEMS AND DEVICES
PARTIAL RATE SCHEDULE
1 l
GRAVITY WARM AIR:
RATE
TOTAL
Job Address
Furnace Shell & Duct Work
$12.00
$
Replacement of Furnace
7.00
7.00
$
$
Department of Buildings
Repairs & Alterations -up to $500.00
4.00
$
City of Fridley
Repairs & Alterations each add. $500.00
Tel. #571-3450
MECHANICAL WARM AIR:
J11-
The undersigned hereby makes application for a permit for the work herein
Furnace Shell & Duct Work to 100,000 BTU
$12.00
$
specified agreeing to do all work in strict accordance with the City Codes
each add. 50,000 BTU
4.00
$
and rulings of the Department of Buildings, and hereby declares that all the
Replacement of Furnace
7.00
$
facts and representations stated in this application are true and correct.
Repairs & Alterations -up to $500.00
7.00
$
Repairs & Alterations each add. $500.00
4.00
$
_
ley, Minn. ,
?_oe—
STE41M OR HOT WATER SYSTEM:
OWNER —
Boiler & Lines up to 100,000 BTU
$12.00
$
KIND OF BUILDING
each addn. 50,000 BTU
4.00
$
Boiler only up to 100,000 BTU
7.00
$
USED AS
each addn. 50,000 BTU
6.00
$
TO BE COMPLETED ABOUT
OIL BURNER- to 3 gal. per hour
$10.00
$16) ,
each add. 3 gal. per hour
10.00
$
ESTIMATED COST
GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00
$
OLD - NEW BUILDING PERMIT NO. PERMIT NO. pig/
(over 199,999 BTU see Fee Schedule)
$
GAS FITTING FEES:
1st 3 Fixtures x $ 3.00
Additional Fixtures x $ 1.00
Gas Range to 199,000 BTU x $10.00
AIR CONDITIONING
FAN HEATING SYSTEMS See Fee Schedule
VENTILATING SYSTEMS —�
ALTERATIONS $ REPAIRS
State Surcharge
ROUGH INSP.
FINAL INSP.
TOTAL FEE
REINSPECTION FEE
Date (_$10.00)
Lia Ce Q
APPROVAL FOR PERMIT
MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50
DESCRIPTION OF FURNACE/BURNER
$ HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No.
$,�G� Trade Na�v�6 Size No.���®
$ Capacity Sq. Ft. EDR BTU-�/C�
$
$ .50 Total Connected Load 2,e Kind of Fuel
,3s-, S BURNER - Trade Name Size No.
Capacity Sq. Ft. EDR
Gen8pitiolling
1)g
Company Q! -'
055432
Signed By
Tel. No.
PW
CITY OF FRIDLE`r'
APPLICATION FOR PLUMBING AND GAS FITTING PEPoyiIT
Job Address /5J
:)oyartment of Buildings
City of Fridley
Tel. #571-3450
o e,
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 tn:e and correct
Fridley, Yr.. 6 19
01•INER��
KIND OF BUILDING
USED AS
TO BE CO:�.PLETED ABOUT
PARTIAL RATE SCHEDULE
ESTIMATED COST
� 6 E d
PLI:'•'ING FIXTURE RATES:
NO.
RATE
TOTAL
OLD - NEW BUILDING PERMIT NO.
PERMIT NO.
__�er ?irtes
9_ x
L
$ d2oo
t o
x
o
x
t:atcr
$
company
Fixture, Old Opening
y,
�..C.il
D
:j
Sicned By
Catch Basin
x
$5.00
✓. 2
:'t
r
`� p
hater :cater - to 99, C00 BTU
•r.
V:
$ 6.00
Tel. No. �
L
1CC,G�O B7j to 199,000 BTG
x
$10.00
$
hater Softener
x
$7.00
$
Gro -=.12 ?_:n Old Building
x
$5.00
:1cc
ROUGH INS?.
L
•.�
7
u :�i
.-�
.'i
Electric r:a_er Heater
x
$$5.00
.-.
J4
GAS "FITTING FEES:
Lr
FINAL 1NSP.
`
;a:;
�
Date
+ ..res
st 3 fixtures
x
$3.00
$
i+'.ditiOndl'F✓tures
r.
$1.00
$
APPROVAL FOR PERMIT
Gas Sunge to 199,000 BTL'
x
$10.00
$
REPAIRS $ ALTERATIONS
First L1c0.00
$5.00
$
each add. $100.00 or fraction
$2.00
$
MINIMUM, FEE FOR ANY
PLUMBING PERMIT IS
$7.50
State
Surcharge
2nd
TOTAL
FEE.
$ 3S-,
1 3rd
( (=) nuture Correction 02--a-1. ng
Connected with Sewer
(•; _ ..mow Fixture, Olc r -p ning
Watcr
Job Address /5J
:)oyartment of Buildings
City of Fridley
Tel. #571-3450
o e,
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in Strict accordance with the City Codes
and rulings of the Department of Buildings, and hereby declares that all
the facts and representations stated in this application are tn:e and correct
Fridley, Yr.. 6 19
01•INER��
KIND OF BUILDING
USED AS
($]0.00)
TO BE CO:�.PLETED ABOUT
PARTIAL RATE SCHEDULE
ESTIMATED COST
� 6 E d
PLI:'•'ING FIXTURE RATES:
NO.
RATE
TOTAL
OLD - NEW BUILDING PERMIT NO.
PERMIT NO.
__�er ?irtes
9_ x
$3.00
$ d2oo
Future Fixture Opening
x
$2.00
$
company
Fixture, Old Opening
r.
$2.00
$
Sicned By
Catch Basin
x
$5.00
$
2r�
`� p
hater :cater - to 99, C00 BTU
•r.
$5.00
$ 6.00
Tel. No. �
L
1CC,G�O B7j to 199,000 BTG
x
$10.00
$
hater Softener
x
$7.00
$
Gro -=.12 ?_:n Old Building
x
$5.00
$
ROUGH INS?.
Date
Electric r:a_er Heater
x
$$5.00
$
GAS "FITTING FEES:
FINAL 1NSP.
`
�
Date
+ ..res
st 3 fixtures
x
$3.00
$
i+'.ditiOndl'F✓tures
r.
$1.00
$
APPROVAL FOR PERMIT
Gas Sunge to 199,000 BTL'
x
$10.00
$
REPAIRS $ ALTERATIONS
First L1c0.00
$5.00
$
each add. $100.00 or fraction
$2.00
$
MINIMUM, FEE FOR ANY
PLUMBING PERMIT IS
$7.50
State
Surcharge
$ .50
TOTAL
FEE.
$ 3S-,
($]0.00)
6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432
TELEPHONE ( 812)571-3450
May 24, 1977
y
Pine Tree Builders, Inc.
2001 - 105th Avenue N.E.
Blaine, Mn. 55434
Re: Final Inspection at 1559 - 61st Avenue N.E.
Dear Sirs:
A final inspection was made on May 24, 1977 of the above address and the
following items were noted which must be completed before the structure
can be f inaled out:
1. Provide sod in the front and side yards by August 20, 1977.
2. Provide a hard surface driveway by August 20, 1977.
3. Provide two more support posts under deck beam by June 15, 1977.
4. Finish caulking exterior by June 15, 1977.
5. Finish deck steps by June 15, 1977.
6. Extend hearth with non-combustible masonry to within 12 inches of
each side of firebox by June 15, 1977.
We will expect the above items to be completed by the scheduled dates
when reinspections will be conducted to determine compliance. If you have
any questions on these items, please feel free to call on me at 571-3450.
Sincerer
z / -,
RON HOLDEN
Building Inspector
RH/mh
MEMO FOR FILE
MEMO DATE: June 28, 1977
MEMO FROM: Ron Holden, Building Inspector
REGARDING: Fireplace Dimensions at 1559 - 61st Avenue N.E.
The unique fireplace design of the upstairs fireplace at 1559 -61st
Avenue N.E. caused the hearth to be less than 12 inches on the side
from firebox to edge of hearth. But the raised hearth extends above
the firebox floor by about 3/4 inch and extends into the firebox
a full 3 inches. This would tend to help keep all firewood and
debris deeper into the firebox. The actual side of firebox to
edge of hearth is 8k inches. This fireplace is also piped to be
used as a gas log fireplace. In light of these items and the
fact that the only practical way to install a screen is on the inside
of the firebox, I feel that no additional hearth side dimension is
necessary at this time. A change in planned use or existing
construction may change the structural status of the particular
fireplace.
Z7,
RON HOLDEN
Building Inspector
,Fs
July 14, 1977
6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432
Mr. Ed Dropps
Pine Tree Builders, Inc.
2001 105th Avenue N.E.
Blaine, Mn. 55434
Re: Final Inspection at 1559— 61st Avenue N.E.
Dear Ed:
TELEPHONE ( 612)571-3450
On July 11, 1977 I made a recheck for final inspection at 1559 - 61st
Avenue N.E. with Mrs. Richard Dobis. The following items were noted
that should be handled as soon as possible:
1. Caulking over face brick in front; under rear deck adjacent to the
cantilevered floor joists; along rear sole plate of garage.
2. Repair water damaged ceiling in lower bedroom.
3. Finish off closet in lower bedroom unit.
I also discussed several items of concern with Mrs. Dobis. One was the
rough uncleaned surface of the blocks in the lower storage area. Another
was the newly exposed step cracks in the northeast corner of the storage
room. (I would suggest these cracks in the step be monitored "measured"
until all settlement has occurred and then be chipped out and re -grouted.)
Also, the five foot setback of this storage area makes it necessary to
treat it as a type "j" occupancy and to require a door closer on the door
leading from the basement to this storage area.
Mrs. Dobis was also concerned with the outside water faucet in the rear.
She is worried that it may freeze up. Please note that a frostproof
sillcock or inside shut-off is required on these faucets.
Mrs. Dobis inquired if an electrical outlet is required in the entry way.
Our electrical inspector informs me that an outlet is not required in a
hallway area.
If you have any questions on these items, please feel free to contact me
at 571-3450.
Sinc ly,
RON HOLDEN'
Building Inspector
CC: Mr. & Mrs. Richard Dobis
SUBJECT
PERM
City of Fridley
15 3 5
JR
AT THE TOP OF THE TWINS
BUILDING PERMIT
COMMUNITY DEVELOPMENT DIV.
SEC.
p�
r PROTECTIVE INSPECTION
CITY HALL FRIDLEY 55432
'•�
NUMBER
REV
DATE
PAGE OF
APPROVED BY
L_._.
612-571-3450
910-F15
9/9/92
JOB ADDRESS 1559 61st Avenue NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
4
4
Rice Creek Estates 2nd SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Herb Zimmerman 1559 61st Avenue NE 571-4831
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Division 7 Corp. 7600 Hwy #65 NE, Fridley 784-8385 00067
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 O ALTERATION j] REPAIR ❑ MOVE ❑ REMOVE
B . DESCRIBE WORK
Repair Foundation & Block. Wall
9 CHANGEOFUSEFROM TO
STIPULATIONS
Follow recommendations of Professional Engineering Consultants Inc.
report dated July 30, 1990,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
ZONING
SO. FT.
CU. FT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
NO. DWLG. UNITS
OFFSTREET PARKING
ANY TIME AFTER WORK IS COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
I
STALLS GARAGES
VALUATION
SURTAX
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$18,000
$9.00
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
PERMIT FEE
SAC CHARGE
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
$189.00
Fire 5C $18.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
License SC $5,00
$221.00
SIG TUREOF ON T CTORgRAUTHORIZEDAGENT IDATEI
WH P PERLY VALIDATED THIS IS YOUR PERMIT
BLDG INSP DATE
SiGNAT&RE OF OWNER OF WNER BUILDERI IDATEI
NEW. [ ] Effective 3/1/92
ADDN [ l CITY OF FRIDLEY
ALTER pq SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Construction Address: 1559-61st. AV NE. F R I D L EY , MN 55432
Legal Description: LOT 4, BLOCK 4 RICE CRPEK FSTATPS 2nj. ADDITION
Owner Name &Address: HERB Z IMMERMAN 1559-61st.
Contractor: DIVISION 3 RESTORATION b(yiS1ah0 9
Address: 7600 NE HWY 65 FRIDLEY,MN 55432
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Te 1. # 571-4831
MN LICENSE #_000G.-1
Tet. # 784-8345
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height
Length 24.0 Width 21.5 Height
Length Width Hgt/Ground
Corner Lot [ ] Inside Lot Dq Ft. Yd Setback _
Type of Construction: FOOTING $ BLOCK REPAIR
Approx. Completion Date: 30 SEPT 92
Driveway Curb Cut Width Needed: Ft. + 6 Ft =
DATE:
APPLICANT:
Sq. Ft.
Sq. Ft.
Sq. Ft.
Side Yard. Setbacks
Estimated Cost: $ 18,000-00
(Cost on Back)
Ft x $ = $
CITY USE ONLY
Permit Fee $ /8?, 0 9 Fee Schedule on � Reverse Side
Tel. #
Fire Surcharge $ 00 .001 of Permit Valuation (1/10th%)
State Surcharge $ $.50/$1,000 Valuation
SAC Charge $ $700 per SAC Unit
License Surcharge $ $5.00 (State Licensed Residential Contractors)
Driveway Escrow $ Alt. "A" or Alt. "B" Above
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ]
TOTAL
STIPULATIONS:
CERTIFICATE OF SURVEY
FOR: Pine Tree Builders. Inc.
158.59 -
0 0
�o \�.;=�U-Eiliiy s~ Draiha9e Easemet��
\ N
£NGR.
fy9n� THE 1=RIDLEY 6 s
R
O1VISIQ REGARDING CURB
RE(a�QVAL AND REPLACEMENT
EYV
AY OPENINGS- ws -
AT QRIY
° Demotes, iron monument
••w b (ooao
cwold� r
Fun, N
(1 ST AVE. NE
. 161L
Belote digging call Vocal uuf ftes
Etc.
TELEPHONE - ELECTRIC
REQUIRED BY LAW
Descriptions Lot 4, Block 4, RICE CREEK ESTATES
2ND ADDITION, Anoka County, Minnesota
Tiff 8€ Ff{PtE-y 64- , MJI GVARAMTZE C.
ACCURACY OF Lr:ILlTY LOCAT;CNS ANO E
TF11S DATA IS FOR INFOPMATION PL'£ L� ATICf1,,(tt)oo) Det,o }es eacts V1ng eleva•Vion f
P�n50\5 Cc 1'CS.S O.�iY. AN-. a-ssurned cicc4urt�
!NG IT .g4OULD VEk1FY T.4a IN
F
O
,;
1'lvty
I hereby certify that this is a true and correct representation of a survey of Job No.
_ _ the boundaries of the above described land and of the location of all buildings, -ice
r _:j.:,1'. 7 — GA&NIEL if any, thereon, and all visible encroachments, if any, from or on said land.
SND 'VEy0as INC- .. _..-.. Book `Page
Work Order #7459
INTRODUCTION
This report concerns our recent investigation of foundation wall and floor slab distress
at a single-family dwelling in Fridley, Minnesota. The structure at 1559 61st Ave NE, was
constructed more than ten years ago on the southern limits of a sand and gravel mining pit
which has since been reclaimed as a camunity park. since. Mr. and Mrs. Zimmerman
purchased the home they observed distress occurring in the structure.
Our firm was directed by Mrs. Zimmerman to observe the construction and identify several
problems with the building. We were requested to also explain the cause of these problems
and provide a general recommendation approach to repairing the difficulties.
LLGAA-21-3(011
Based on our experience and review of the construction, we have developed the following
conclusions:
1. The northeast portion of the foundation wall construction below the garage has settled
slightly and rotated outward as a result of consolidation of old fill material which
exists beneath the garage store roam. This old fill material was evidently placed in
an uncontrolled manner and has consolidated, with time. Likewise, the storeroom floor
slab which is also supported by the fill material has undergone subsidence as the fill
material densified.
2. Also contributing to the distress of the foundation wall and the storeroom floor slab
from fill material consolidation was the fact that the north portion of the storeroom
was used 'for holding several cords of firewood. Based on our observations, we
estimate that the floor loading in the wood storage area at the rear of the storeroom
approached 250 pounds per square foot. This would be higher then many warehouse floor
loadings.
3. The distress in the garage floor slab above the storeroom was in the form of cracking
and spalling. This cracking and spalling occurred as a result of water ponding at
this location. The water from vehicles could not drain out of the garage because the
foundation wall settlement beneath the structural slab resulted in a reverse grade on
the garage slab surface. This water then drained down into the storeroom and beneath
the storeroom slab, causing more consolidation of the sandy fill material beneath the
storeroom construction.
4. There has been some subsidence .of the east region of the downstairs family room and
fireplace construction adjoining the storeroom. This movement has been accompanied by
slight rotation of the east family room wall toward the east. At this point, the
lateral movement has been slight, but there is visible downward movement of the floor
slab near the fireplace. This movement is related to the fill consolidation beneath
the storeroom.
4 Page Two
5. We observed severe cupping of the shingles at several locations throughout the roof
construction of the home. This type of problem relates to considerable vapor
transmission through the roof construction. It is our belief that a high vapor load
has existed in the structure as a result of storage of the firewood materials, causing
the shingle distress. Our concern would be the condition of the roof decking
materials, particularly those on north facing portions of the roof near the cupping
areas. We did not have access to the attic region at the time of our investigative
work in order to review the decking materials.
RECOMMENDATIONS
The following recommendations would be appropriate:
1. Considering the soil conditions beneath the structure and the type of damage which has
occurred, this building would be a suitable candidate for concrete grout
solidification of the old fill system and lifting of the lower level slab
construction. Considering the configuration of the structure and the exterior grade
to the rear of the house, we recamond that solidification of the soil system first
be performed in the exterior backfill region of the rear foundation wall construction
in the storeroom and chimney area.
2. Chace the concrete pressure grouting work has been completed, we recomnend that the
cracking in the foundation wall construction be repaired by _chipping and
tuck -pointing. In addition, some of the block face shells will have to be replaced.
This work should be accompanied by the grouting of any cells which are opened during
the repair activities.
3. It is possible that some of the structural concrete panels serving as support for the
garage floor will have to be re -aligned and grouted. At that point, it would be
possible to do a localized repair of the floor slab construction, although replacement.
of the concrete topping is typically the process used for restoration of grade and
repair of the surface materials.
4. The shingle areas which show distress will have to be replaced shortly. Before this
work is done, we advise that the owner observe the roof decking from the attic area to
look for deteriorated decking. This will be identified by discoloration of decking
and weakness of the deck material, when pushed against from beneath or under foot
traffic from above.
We observed subsidence of the front concrete apron for the garage during our work at the
site. This apron should be replaced in the near future. our firm would be available for
consultation of supervision when the repair activities of the structure commence.
OBSERVATIONS
On June 4 and June 21, 1990, we visited the project and reviewed the construction. The
building is a single-family rambler with attached double car garage. The entire
structure, including the garage area has a lower level which typically is a walk -out to
the rear of the home.
The dwelling was positioned on a city lot in Fridley, Minnesota. The structure was set
at normal set -back frau 61st Ave NE and faced south toward a cul-de-sac area of the
street. The front lawn had a gentle slope downward toward the street. However, the
property graded downward toward the rear, commencing at approximately the front of the
building. At the rear of the structure, the exterior grade was approximately at walk -out
level but then also continued downward drr!;,atically toward the north and a community park
past the property.
1.
Page Three
` The structure had overall dimensions of approximately 65' by 32', but consisted of a
central gable running in the east -west direction, with two gables oriented in the
north -south direction, one at east end of the central portion of the home. The garage was
positioned as one of the end gables and measured approximately 22' by 24' at the east end
of the dwelling. The majority of the damage to the structure was in the rear or north
portion of the garage construction and in the family room area immediately west of the
garage. The garage consisted of pre -cast concrete floor plank with a concrete topping.
The structural plank sections were supported by the east and west concrete masonry block
walls beneath the garage, forming a storeroom for the home at basement level.
The storeroom was approximately 22' by 20' in plan dimension (interior) and immediately
east of the family roam of the home. The storeroom had a service door entering the family
roan, immediately south of the fireplace -.construction in the common wall between the
storeroom and family room. The storeroom also had an exterior door in the north or rear
wall. This door was approximately 13 1/2' from the northeast corner of the building. We
noted distress in the floor slab construction in the storeroom area affecting
approximately the north third of the room area. Cracking was visible in the floor slab
construction, and downward movement of the concrete slab had occurred. We estimated the
downward movement at over 1/2". Step cracking was also observed* in the east foundation
-
wall construction of the storeroom. It also appeared that the north foundation wall_ of
the storeroom had rotated outward slightly with the settlement of the slab.
The family roan was completely decorated, with sheetrock wall covering, carpeting on the
floor, and finished ceiling. We observed distress at the junction between the ceiling and
the wall construction. It appeared that the wall was moving slightly toward the east,
rotating with the storeroom movement. Cracking of the concrete floor beneath the
carpeting and downward movement of the northeast portion of the slab in the family roam
could be felt through the carpeting material. It was estimated that the displacnent was
1/4" to 1/29.
A soil test boring was put down immediately to the rear of the foundation wall
construction along the exterior backfill region. The boring was approximately 3 1/2' west
Of the northeast corner and within 18" of the wall. Here, we encountered approximately 2"
of topsoil with sod overlying 7 1/2' of old fill material and then natural soils. The
fill material consisted of brawn and dark brown silty sand with some intermixed clean sand
and a little gravel material. The old fill was estimated as medium density and did have
moisture. However, it was not saturated. Beneath the old fill material, we encountered a
brown silty sand (SM) of medium density and uniform consistency. Our boring was
terminated approximately 9 1/2' plus below the ground surface. No groundwater was
encountered in the soil test boring.
While at the site, we were shown the roof construction by Mrs. Zimmerman. We did not have
access to the roof construction at this time, nor did we have access to the attic. We
observed several areas on the south facing upper gable regions which had severely cupped
shingle materials. These areas were primary focused around the upper valleys of the
central east -west region of the home, where the two wings framed into the central region.
Cupping was most severe above the garage construction, with distressed shingles in an area
of approximately 10' square, centered on the upper valley. Additional cupping was
observed at the west valley, near a skylight above the front entry.
Page Four
DISCUSSION
At the present time, we did observe some distress in the garage floor slab. Some spalling
and cracking was noted in the east region toward the rear third point of the slab area.
Here, we observed material loss from the surface and apparent drainage of car melt water
or other tracked moisture toward the east wall and dawn -the wall (both exterior face and
interior face).
It is very important that the storeroom area be addressed in the near future, because this
damage will cause further deterioration of the garage slab above. At this point in time,
the structural concrete panels of the garagehavenot been damaged as a result of moisture
migration. However, it will only take time for the moisture to affect the steel
reinforcement in the structural panels, damaging them and reducing their capacity to hold
both dead and live loads.
PROFESSIONAL ENGINEERING CONSULTANTS, INC.
/BrianR. Dobie, P.E./
.
President
BRD/fm
CIlYOF
FRIDLEY
9RIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (612) 571-3450 • FaX (612) 571-1287
December 2 1994
Owner/Occupant
1559 - 61 st Avenue N.E.
Fridley, MN 55432
RE: Large Tree Branch Down Adjacent to Briardale Park
Dear Owner/Occupant:
Recently I received information from the City's Public Works Department regarding a large tree
branch down on property directly south of Briardale Park. Upon inspection, I observed this
problem, but was unable to determine whether the tree belonged to you or your neighbor.
Therefore, I am sending this letter to both'you and your neighbor requesting that you check into
this situation, and if the tree is your responsibility, please cut and remove this branch as soon as
possible.
Feel free to call me at 572-3595 if you have questions or wish to discuss this further. Thanks for
your cooperation.
Sincerely,
Steven Barg
Code Enforcement Officer
O
CE -94-569
SUBJECTERM
City of Fridley
n p 9 5
AT THE TOP OF THE TWINS
BUILDING
PERMIT
Ir
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
a. PROTECTIVE INSPECTION SEC
r
NUMBER
REV
DATE
PAGE OF
APPROVED By
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
5/27/97
JOB ADDRESS
1559 61 Avenue NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
4
4
1 Rice Creek Estates 2nd Addn SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Herb Zimmerman 1559 61 Avenue HE
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Thurs Roofing 5717 113 Ave N. Ch=lin MN 55316424-5624
9346
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 a REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House (26 Sq) 2nd Layer
9 CHANGE OF USE FROM TO
STIPULATIONS
Roofing can be the 2nd layer but not the 3rd.
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
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
$1 612
$.80
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 THE PERFORMANCE OF CONSTRUCTION
PLAN CHECAFE
OTALFEE
& e.7^�
LicenC
$1/. 0 0
$61.41
SI NATURE OF CONT RACTOR OR AUTHORIZED AGENT IDATEI
HEAPPLY
VA ATED THIS IS YOUR PERM
1 r �'
�']�
✓
B OG INS
/ -
DATE
SiGNATURE OF OWNERIIF OWNER BUILDERi iDATEi
NEW ( ] Effective 1 / 1 /97
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: j —1 S /
Legal Description:
Owner Name & Address: e 2 C w, w. r-404 14 Tel. #
Contractor: v MN LICENSE#S7f' VQ 3 /
Address: S7 17— I 3 Tel. # 4 Ag,s-6a V
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 gt/Ground Sq. Ft.
OTHER: f,. A-1- A A,,
Construction Type:_' �-.
E� e r i'c� � Estimated Cost: $ ���
(Fee Schedulele on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE:APPLICANT:, . ,�, Tel. #
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$950 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 [ ]
Building
AND MATERIALS:
BUILDING
Permit No.: - c0 3
Inspections
Permit Fee
RESIDENTIAL APPLICATION
Received By:
763-572=3604
$�r�
CITY OF FRIDLEY
65% of Building Permit Fee
Date Rec'd: 0--7
DATE 01
YOUR E-MAIL ADDRESS G./y171 fjam Z-
0 e d&tA
SITE ADDRESS L41W
$�,j
THIS APPLICANT IS:
❑ OWNER ONTRACT
$
PROPERTY OWNER/
NAME:
SAC Charge
TENANT
ADDRESS: CITY ae
STATE,4IPS-S%(Z
Curb Cut Escrow
PHONE: 5-7 V--1201
CONTRACTOR
NAME: e_
$
,,�C
STATE LICENSE # EXP DATE 3l aN
SUBMIT A COPY OF
YOUR STATE LICENSE
ADDRESS: CITY
s.'44, STATEZIP SSYs
WITH APPLICATION
PHONE 7(-3 —79_&/r-7 -7 a FAX L.A�i
$_
PROPERTY TYPE
CONSTRUCTION SIZE
Total Due
$p
13 TWO FAMIL.Y/NEW CONSTRUCTION STORIES
Make checks payable to: City of Fridley Attach Stipulations
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS
❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
❑ DECK ❑ SIDING W OTHER
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW ❑ ADDITIQN
❑ MAINTENANCEIREPAIR R4ZE ODELING
DESCRIBE WORK BEING DONE:
dc"" e �
SIZE OF IMPROVEMENT LENGTH WIDTH
HEI HT Sq. Ft.
ROOFING
❑ HOUSE ONLY
NUMBER OF SQUARES
❑ HOUSE & GARAGE
BASEMENT REMODELING SUBMIT:
GARAGES
❑ ATTACHED GARAGE
1.
Existing Floor Plan
PROPOSED SIZE:
❑ DETACHED GARAGE
2.
3.
Proposed floor plan
List of structural members to be used
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.
WINDOWS
2.
Two sets of construction plans
IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS
3.
Energy Calculations
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:
(USING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATIQN $%�� 5 ®®; OCCUPANCY TYPE
Permit Fee
See Back Page for Fee Schedule
Plan Review
$�r�
_
65% of Building Permit Fee
Fire Surcharge
$,
_
.001 times the total job valuation
Surcharge
$�,j
.0005 x Permit Valuation Minimum $.50
License Surcharge
$
va—,
_ $5.00 (State Licensed Residential Contractors)
SAC Charge
$
$1675 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
$
ft + 6 ft = ft x $21 = $
Erosion Control
$
$450 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$_
Agreement necessary ( ) Non Necessary ( )
Total Due
$p
q a�
Make checks payable to: City of Fridley Attach Stipulations
I hereby apply for a buik
conformance with the ordn
permit but only an applical
plan in the case of all work
SIGNATURE OF APPLICANT
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
rmit and I acknowledge that the information above is complete and accurate; that the work will be in
and code he City of Fridley and with the Minnesota Construction Codes; that I understand this is not a
-ape I -isnot to start without a permit; that the work will be in accordance with the approved
re it view and approval of plans.
GL PRINT NAME -e S (� . Q�1 DATE �y/d 1Civ /
Building
MECHANICAL,
Permit No.: - aI
Inspections
RESIDENTIAL APPLICATION
Received By:
763-572-3604
�c�P R 12 20
CITY OF FRIDLEY
DATE ., 0-7 YOUR E-MAIL ADDRESS
SITE ADDRESS t�
THIS APPLICANT IS: ❑ OWNER CONTRACTOR
PROPERTY
Nom:/�
ADDRESS: t���&-7 I oque -/ IITY F�� STATE�WIP
OWNER/
TENANT
-76o;3-/�
PHONE:
CONTRACTORCOMPANY
NAMEV7 Az
SUBMIT A COPY OF
CONTACT PERSON:
YOUR STATE
STATE LICENSE # EXP DATE
LICENSE WITH
y
ADDRESS30,f L' -Z) 1 k- -Nf .�� o� CITY�4Z2C���eSTATPWEP
APPLICATION
PHONE/ %p - Qal/J FA7_pc7_�
PERMIT TYPE
( 4INGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK:
❑ NEW REPLACEMENT ❑ ALTERATION/REMODEL
DETAILED DESCRIPTION OF WORK QT � I/
PER: MS 16B.665 ,the permit fee,is.a muojaigm of $15.100 or 5%u of the tott�l cosi up to $500.00, whichever is greater, for the '
nnprovement, installation or replacement of a residential fixture, excluding the fixtures. (Tbb 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)
Equipment Installed MFG: MODEL: SIZE/BTU
MFG: MODEL: SIZE/BTU
MFG: MODEL: SIZE/BTU
$25.00 _FIREPLACE (GAS) $15.00 GAS RANGE/OVEN $10.00
_A/C
AIR TO AIR EXCHANGEER $15REPLACE (WOOD) $35.00 NEW GAS GRILL $10.00
BOILER $35.00 FURNACE $35.00 _GAS UNIT HTR $10.00
LINER $10.00 DRYER $10.00 POOL HEATER $35.00
_CHIMNEY _GAS
_DUCT WORK $10.00 _GAS PIPING $10.00 _VENTILATOR $15.00
PERMIT FEE PROJECTS FOR UNDER $500 PERMIT FEE FOR PROJECTS OVER $500
Permit Fee $ .Ov
Number of fixtures @ $10.00 x $10.00 = $
Surcharge $ .50
Number of fixtures @ $15.00 x $15.00 = $
TOTAL DUE $
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 1, 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 k which review and approval of plans.
SIGNATURE OF LIC ;; PRINT NAME, I I (f�f drl- DATE 4—IQ "®
PLEAS : SEPARATE PERMITS ARE RE UERED FOR BUILDING, ELECTRICAL AND MECHANICAL WORK
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604