PRE 2010 DOCSVMage of Frloiyq'MIW016
RUELDINGdP
NO.,-4S4,,r
Office of INSPEOTOR of BUILDINGS
JT
Ownsr
r
''_,
. Arch4tect '�
_ Frid_ey, Pd3nn., �,r�; �9`
Builder
L 3GATION OF BUILDING
I
No.
I Street. Part of Lot
r
Lot/a
Block , .._ Addition or Sub-Division
X DUSCIIIPMON QF IBUILDI NG
Front Dep
_ Height Stories ITanner of Construction
• Estimated Co��a�
To be used as
o be corhpleted
II,
Y
F 6:
�
Permit is hereby:
to
the building-
4described in the above statement. This permit is granted
upon the.express
tho-`work• florae in,
`dltion that the person to whom it is. granted, and itis: agents, employees and workmen, in all
round esicd` upon sa4id:'btSlding, dr an " part thereof, shall ,�confor� in all respects to the ordi-
repair of, buildings '
' nannces of ;Fridley,
Within the. city
1�Etnn.;` regarding the construotion, ,fa eration, ns intenanc and Moving
ts, and this permit a4ay be revoked a.t any time upon. violation of arty of the provisions cif said
ordinances.
`,,,� + s ► . , in for of Buildings. _
Al.
J
I, I
AG EMffM AND SWoRNi 99TATEMMT
In consider,tion
of the 'Wue and delivery, tq� me by the In-.-pe orr of 'Buildings, of Fridley of
the : above pe
above set; forth
set,
t, I }hereby agree to do the prdPosed work in accordance with the description
and��.ccording to tine provisions i,of the ordinances of Fridley, and, being first duly
sworn, I
stat,' and ,easy, that the facts stated by roe and contained in the above permit are
'true- as t"aerein
ted. I
_.I 1.:
Subscribed
--
d sworn to bef ore me at Fridley,, Minnesota, thus01
ti
el
' 1•S'a
da o
y
,I�.
Kr _
I
4
53-84-s-915.51
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE EXTES: NO. RATE TOTAL
Number Fixtures ................ x $2.00 $
Future Fixture Claming ........... x $1.50 i -
New Fixture Olaf ming .......... x $1.50 $
Catch Basin .................... x $3.25 f
Water Heater (Up to 99,000 BTU) .. • • x $3.00 i
New Ground Stun Old Bldg......... x $3.25 $
Electric Water Rester .............. a 1200 $
GAS FITTING FEES; NO. RATE TOTAL
lat 3 Fixtures ............ • • • • • _Z3100 $
Additional Fixtures ...... x $ .75 $
Gas Range to 199.000 BTU ............ x $5.00 $
State Surcharge $ .50
REPAn4i4 A ALTERATIONb—Rates f• Codo -
�� . .,Install Gas Light.•... ..« 5.00
TOTAL FSE 1 5.50
..W SW&3rg0 $'50
Cog
Estimated Cost, $ 10.00
Old --Building Permit No.��J-�'���'�'' Permit No.� /
Signe
By MINNEGASM
Business Phune No
City of
Fridley
App9cWm for Pkmbbg and Gtr RW" t
Dept. of Bldga. Phone 380 -UW
DESCRIPTION OF WORE
55 N. a. 66th. Way
Number, kind
and I.ocaBon of nxxtufts
r11
t
iv
1
•
•
WATP •m.
City of Fridley:
here!,
Olt
®
a
GAS
IM
The undersigned hereby makes application for a permit for the work
specified, agreeing to do all work in strict accordance with the City Ordinance
Base
and ruling of the Department of Buildings. and hereby declares that all the tact
and representations stated in this application are true and correct
ts<
ns
al G s i t
5-3-73
2nd
Fridley. Mira , to -
9._3rd
—
Edmund H. Groskreutz
3rd
Owner
4th
Kind of Building Frame
•Future Cwmacdon Opedns
wFth
Sewer
Res,
C Now nAiiaw. Old
Q
Used as
5-10-73
To be completed about
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE EXTES: NO. RATE TOTAL
Number Fixtures ................ x $2.00 $
Future Fixture Claming ........... x $1.50 i -
New Fixture Olaf ming .......... x $1.50 $
Catch Basin .................... x $3.25 f
Water Heater (Up to 99,000 BTU) .. • • x $3.00 i
New Ground Stun Old Bldg......... x $3.25 $
Electric Water Rester .............. a 1200 $
GAS FITTING FEES; NO. RATE TOTAL
lat 3 Fixtures ............ • • • • • _Z3100 $
Additional Fixtures ...... x $ .75 $
Gas Range to 199.000 BTU ............ x $5.00 $
State Surcharge $ .50
REPAn4i4 A ALTERATIONb—Rates f• Codo -
�� . .,Install Gas Light.•... ..« 5.00
TOTAL FSE 1 5.50
..W SW&3rg0 $'50
Cog
Estimated Cost, $ 10.00
Old --Building Permit No.��J-�'���'�'' Permit No.� /
Signe
By MINNEGASM
Business Phune No
LJ
SUBJECT
City of Fridley
Mo.
AT THE TOP OF THE TWINS
BUILDING PERMIT
i
U. COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
1 �
/
i CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
16/26/81
JOB ADDRESS 355 - 66th. Avenue N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
15
2
Rice Creel{ Terrace Plat 2 SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Lovell McGregor 355 - 66th Avenue N.E. 571-1816
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO,
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION O ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK
Reside bre.ezewa and add atio door.
9 CHANGE OF USE FROM TO
STIPULATIONS
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
$15Q
$.5O
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 CHECK FEE
TOTALFEE
$8. QO
NATURE R CTORO R AUTIJORIZEDAGENT (DATE)
WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
BLDG INSP DATE
-SPN REO OWNER MIF OW E BUILD! IDATEI
LJ
CITY OF FRIDLEY
APPLICATIUN FOR RESID[iNTIAL BUILDING PERMITS
(New, Alterations, Additions, or Repairs)
BUILDER:
T
ADDRESS: OF 4ALf
ADDRESS: r ,
TEL 1.10:
Construction Location
STREET NO: �S� STREET: - w
LOT: BLOCK: ADDITION:
Corner Lot: Inside Lot: Setback.: Sideyards:
Applicant attach to this form two Certificates of Survey of lot and
proposed building location drawn on certificates to scale.
DESCRIPTION OF CONSTRUCTION
Depth: Height:
Cubic Feet:
Front: Depth: Height:
Square - Feet: Cubic Feet:
Type of Construction: Estimated Cost: $
To $e Oortpleted:
Alt. A Alt. B
Proposed Driveway Width If New Opening Is Desired: $ $
SEE REVERSE SIDE OF SHEET .
Mie undersigned hereby makes application for a permit for the %:,ork*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.
DATE:! !� SIGNATURE:
Stipulations:
/7
�o�� _, +
10
s
SUBJECT
PER.M�-
City of Fridley
$ �%
AT THE TOP OF THE TWINS
f
BUILDING
u. WO
PERMIT
RECEIPT NO.
• _ COMMUNITY DEVELOPMENT DIV
v
r ;PROTECTIVE INSPECTION SEC
�7
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF APPROVED BY
' 612-571-3450
910_F15
I 9/13/94
F
JOB ADDRESS 355 66 Avenue NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
15
2
Rice CReek Terrace Plat 2 SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Lowell McGregor 355 66 Avenue NE
571-1016
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ADDITION O ALTERATION O REPAIR O MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 12' x 8' Breezeway between house & garage.
9 CHANGE OF USE FROM TO
STIPULATIONS
See notations on plan. Frost footings must be installed under garage
if not existing.
WARNING
Before digging call for
all utility locations
454-0002
REQUIRED BY LAW
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
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
$2,131.50
$1.07
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-
Fire SC $2.13
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
$54.00
PLAN CHECK FEE
TOTAL FEE
$57.20
SIGNATURE OF CONT RACTOR OR AUTHORIZED AGENT MATEI
WHEN
Y VALIDATED THIS IS YOUR PERMIT
S'G ATURE OF OWN R "F OWNER BUILDER' IDA EI •'
BLDG 'NSP
DATE
10
s
i
NRW [ J Effective .1/1/94
CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXESR-1 AND R-2
Building Permit Applicati6nj�j�%�
Construction Address: 35-5-- (c` AVE /V c ;—
Legal Description: 2 9'F e g Ls) o-.,- 10 Q 7 -j—La N -- -
Owner Name & Address:!�c✓a GC/�!�'�'�`t •�X. ��'•�"1'' Tel. # S' 7 / —/ A
Contractor: MN LICENSE #
Address:
LIVING AREA:
GARAGE AREA:
DECK AREA:
OTHER:
Attach to this application, a Certificate of Survey of the
lo't, with the proposed construction drawn on it to scale.
1)15SCRIPTION OF IMPROVEMENT
Length /.2 Width R_
Length Width
Length Width
Height
Height
Hgt/Ground
Tel: #
Sq. Ft.
Sq. Ft.
Sq. Ft.
Corner Lot MrInside Lot [ ] Ft. Yd Setback Side Yard Setbacks -, /,2
p]
Type of Construction: _ G✓®y '7.'� �r'•4 , Estimated Cost: $ z,
Approx. Completion Date: ' c� �ti od S� ,
_-r
( Cost on Back) •^
ti
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: APPLICANT: �p treo� L L MI e���eg0 e 'Tel. #. S ��� ��
CITY USE ONLY
Permit Fee $ �Y• 6 Fee Schedule on Rexerse Side
Fire Surcharge $ --2. ( r� .001 of Permit Valuation (1/10th%)
State Surcharge $ 9 - 2)c7 $.50/$1,000 Valuation
SAC Charge $ $800 per SAC Unit
license Surcharge $ $5.00 (State Licensed Residential Contractors)
PFiyeway Escrow $ Alt. "A" or Alt. "B" Above
f
Erosion Control $ $450.00 Conservation Plan Review
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ Agreement Necessary [ J Not Necessary ( ]
TOTAL $ b
STIPULATIONS: ,
11
Ilk
L 10 I
- I o
X20 30P1/
�!-
*ie., .yo r✓ �D
i 3y�sT .
N % w 44 4--
bt
2C`r c2LG1i2 / 0�
/ / O y.
Ss��vG
c ` _ i•--
It
I
SUBJECT
RtRMIT NO.
'
City of Fridley28697
AT THE TOP OF THE TWINS
P
BUILDING
PERMIT
4�ur ®3604
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
INSPECTION SEC
r k PROTECTIVE
1 �
NUMBER
REv
DATIE
PAGE OF
APPROVED BY
i CITY HALL FRIOLEY 53132
j 612-571-3450
910415
1 /2/98
JOB ADDRESS
355 66th Avenue
I LEGAL
LOT NO. BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
15 2
lRice
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Lowell McGregor
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Exterior Design S
-
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 Qx REPAIR ❑ MOVE ❑ REMOVE
S DESCRIBE WORK
Reroof house and garage (25 Sq) Tear -off
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
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
$2142
$1.07
SUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
ANY OTHE STATE OR LOCAL LAW REGULATING CON-
USNOT
TE RFO MANCE OF CONSTRUCTION
F' SC $2.14
PLAN CHECK F
7TVTA FEE
GNATURE OF CON RACTOR OR AUTHORIZED AGENT iOATE,
2-96
HE PR
qKT5G ,N$
Y VA 1��, THIS IS YOUR P RMIT
U •ZAI� I
TIAIk
,GN TORE OF OWNER ,F OWNER BUILDER, (DATE,
I
NEW 1 [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION a �a a I
ConstructionAddress:
Legal Description:
Owner Name & Address: L ti��e� c �� �l �� cry Tel. #
Contractor: l 7��,- ,'�;� / ���� "57 MN LICENSE #
Address: •j �o /!'������>t f .moo Tel. # :3 �d �.��
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: Len�h Width Hgt/Ground Sq. Ft.
OTHER: / S � �� t hoc �)
Construction Type: E���f ®"� j Estimated Cost: $
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: t. + "1 Ft = Ft x $ = $
r
DATE: %� ,:P – � � APPLICANT:
Tel. 2/
STIPULATIONS:
Permit Fee
$ /-7,
Fee Schedule on Reverse Side
Fire Surcharge
$ l
.001 of Permit Valuation (1/10th%)
State Surcharge
$ . QQ
$.50/$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$ d
$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
$ < 96
STIPULATIONS:
01,
sueJEcr
P
City of Fridley
33812
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
RECEIPT NO.
� `COMMUNITY DEVELOPMENT DIV.
y------
I�
r PROTECTIVE INSPECTION SEC.
1 �
NUMBER
REV
DATEPAGE
OF
APPROVED BY
= 1 CITY HALL FRIDLEY 55432
1'j
763-571-3450
910415
8 / 18/03
JOB ADDRESS 355 66 Avenue NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
15
2
Rice Creek Terrace Plat 2
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Lowell McGregor 355 66 Avenue NE
763-571-1016
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
B USE OF BUILDING
Residential
7 CLASS OF WORK
C NEW O ADDITION O ALTERATION ❑ REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Construct a 14.5', 8 sided, Gazebo
9 CHANGE OF USE FROM TO
STIPULATIONS
See notations on plan.
SEPARATE PERMITS ARE REOUIREO 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
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
$2,500
$1.25
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
`P
P CHECK FEE
TOTAL FEE
$87.00
SIC TUREOFCON'RACTORORRAUTH ENT iDATE
N PROPERLY
B -hSP
VALIDATED THIS I Y UR RMI
E
S-GNATURE OF OWNEAOF OWNER BUILDER- (DATE-
01,
NEW [ CITY OF FRIDLEY Effective 1/1/2003
ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
Construction Address: - 5 -
Legal Description: /e,�l 'S77 D r It,*-- o x/ Q' _
Owner Name & Address: �Dw�GC l�Ll��.�cc�►6 a�o Tel. # ?G �� 5 i�—�G
Contractor. S~ / o� MN LICENSE #
Address: 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: ( .4 2A -l3 () / y. S y
Construction Type: Estimated Cost: $
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
7F
DATE: D 3 APPLICANT: �mw�� �t�G •e -"r Tel. # 5 7/
Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will
call you for card number.
CITY USE ONLY -
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL $
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1275 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 [ ]
4-
zI
- oILJ
.`9
Square Post Anchor Assembly
f
Single Rafter
Central Spine & Ball Cap Assembl
Decorative
Ball Cap
Stair Assembly Detail
Stairs - Rise / Run
— Run—
r„e'
Rise
x^
i' a ow 01
_ ,= ,• _;;%'' 2x12 Stair Stringer
Square
Rafter / Post Assembly
Roofing Felt
Rafter Tie
Shingles
•1
Rafter
4x4
Post Metal Drip
Edge
soffit
Octagon Gazebo Outside Ledger S
_ :Post Hole Lavout
Square Gazebo Outside Ledger &
Post Hole Layout
Gazebo Construction Sequence Overview,
Octagon Gazeb�*Jolst Layout 26( Q
& Brldaina
N6
Anchor Bolt Installation
Square Gazebo Joist Layout
em
�= Outside Ledgers --►
Post Holes
Cardboard Form
Into Wet
Gazebo Construction Sequence Overview,
Octagon Gazeb�*Jolst Layout 26( Q
& Brldaina
N6
Anchor Bolt Installation
Square Gazebo Joist Layout
em
Insert J -Bolt
Cardboard Form
Into Wet
(Sono Tube)
Concrete ,
ur :: :.-
a
lb
L�
IQ,
Z
CITY OF FRIDLEY
- 6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
ADDRESS
PIN
LEGAL DESC
PERMIT TYPE
PROPERTY TYPE
CONSTRUCTION TYPE
572-3604 FAX: (763) 571-1287
REPRINTED ON 1/12/2006
: 355 66 AVE NE
: 143024240025
: UNAVAILABLE
: LOT BLOCK
: HEATING
: RESIDENTIAL
: X ALTERATION
NOTE: REPLACE FURNACE
#FURNACES 1
APPLICANT
DEPENDABLE INDOOR AIR QUALITY
2619 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433
(763) 757-5040
OWNER
MCGREGOR LOWELL D & PAULINE
355 66TH AVE NE
FRIDLEY, MN 55432
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of worl
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or cancel the provisions of any other state or local law
regulating construction or the performance of construction.
Applicant Date
Bldg Insp Date
PERMIT NO.: 2006-00048
DATE ISSUED: 01/05/2006
FURNACE SHELL/DUCT WORK 35.00
STATE SURCHARGE, MECH FLAT 0.50
TOTAL 35.50
PAID WITH CHECK # 71739
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
(fl 1I. �sl
Building
hispecti®ns
763-572-3604
DATE /dS
SITE ADDRESS
THIS APPLICANT IS:
PROPERTY
OWNER/
TENANT
CONTRACTOR
3uBMrf A COPY OF
YOUR STATE
LICENSE WITH
APPLICATION
PERNUT TYPE
TYPE OF WORK:
MECHANICAL
SIDI+ NTUL APPLICATION Received By:
Cf,Y OF LEY Date Recd:
s
)� YOUR E-MAIL ADDRESS
COMPANY NAME: DEPENDABLE -114DOWK
CONTACT PERSON:
STATE LICENSE O ,
FAMILY 0 TWO FAMILY
ARD
0 TOWNHOUSE
O NEW PLACEMENT 0 ALTERATION/REMODEL
DETAILED DESCRIPTION OF WORK
STATE ZIP,
PER AHS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total oast up to $500.00, whichever is greater, for the
installation or replacement of a residential fixture, excluding the fixtures. (This
should reflect only the cost of labor )
improvement,
Number of fixtures @ $25'00
Labor cost under $300 = $15-00. Labor cost between $300 to $500 = cost of labor
X.05 =
ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FDtTURES: (INDICATE TOTAL
FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES
MAABBR OF EACH KELOW) MODEL:
MFG:
S1ZEaBTU
Equipment 1ffiWIed
MFG: MODEL:
SIZFAITU
MFG: MODEL:
FIREPLACE (GAS) $15.00
SIZEIBTU
GAS RANGEIOVEN 510.00
CS25.0D
AAIR 25.00 AIR IXCHANGEER $15 FIREPLACE (WOOD) $35.00.
NEW GAS GRILL 510.00
UNIT HTR $10.00
FURNACE 535.00
YL1NER GAS DRYER $10.00
_GAS
POOL HEATER $35.00
$10.00
CHIMNEDUCT WORK SIQ0 GAS PIPING 510.00
VENTfI,ATOR $15.00
Permit Fee
Surcharge
TOTAL DUE
Number of fixtures @ $10.00
x $10.00 = $
Number of fixtures @ $15.00
x $15.00 = S
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 es of the City of Fridley and with the Minnesota Construction Codes; that I understand this is
not a permit but only an appli 1 9k a permit and work -is not to tart without a permit; that the work will be in accorL
dance /with the
approved plan in the case of al o which regse iew and aal of plans n I . _,1 ► n .-�./i�L—
SIGNATURE OF
City of Fridley
Building Inspections Department
64-11 T Iniversity Avenue NE. Fridley, MN 55432
REQUIRED INFORMATION NEEDED TO PRM;tti�i rt:MMI s
RESIDENTIAL PERMIT APPLICATION HVAC
Y
F] NEW HOMES/ADDITIONS ❑ E}CISTiNG HOME ` ❑ MAICE7W
rz<<:
REQUIRED FOR NEWIEXISTING HOMES
1. Combustion Air (See note below)
a. Oil or solid fuel WC Chapter 7 with MN Amendments
- b.. Natural Gas -or Propane/lFGC Chapter.3 with MN' Amendments
2. Make-up Air (See note below)
a. IMC Chapter 5 with MN Amendments
4. Heat loss & cooling load per room
a_ Required on new construction IMC 1346.0312
S. Ventilation .
a_ per MN Energy Code 7670 or 7672
6. Duct Design Per IMC 1346.0603.2
a.. RCCA Manual D
MOTE: Centerpoint Enemy Mechanical Cade Guidelines software may be used for
TWORKSHEF-T
r ruse
CenterPolnt EneM Minnega$ca
� r _ _ _ .. .mom. ..-.......,�u wwwn ea,......- e[m sr.�.5��v Pav GG0.(dftlL99�9 / • �1s.__�
Pritltfsut GordW RCCA to nwet au MqUiFOMSMS of Manual J 7th Ed.
%AoFW"rs„�16� � Ripfit-£fieReaWentiM6.6.17 RKR31967 2005 aeo2D 13't4 02
Aft c; HVACIM oe &n 1% trtdley.rsr F s
LMUAt J. 7th Ed.
1
Wsma of rmm
Entire Hbuse
130.0 A
sMsotp pause
130.0 E
P
Lengtls Of exposed xbll
x 40.0 11
8
4
R04m dlrtsenerat�
Ceibgs CANWW OR*M
8.0 ft d
.25.0
8.0 ft heeULib01
TYPE OF CS7 tITm
AM Load (( 1)
Arm Load (61
H4C19
A�
my Gig
AM
Htg a9
EXPOSME NO. HNC{p
(°i mw C19
01')
5
lsress a 124 8.3 2.3
1040
b 14A 40.9 9.3
300 "" ''^°
390
1va115 aw c 15A 11.3 0.0
°"'
0.0
....
puss d 0.0 0
0
„R,, ,,..
«,.
a 146 13.2 2.0
0
0 ....
f 158 0.8 0.0
, w.
8
v*%IcA B end a 2A 43.7 "
160 81982
`""
'go 80920 .•..
glddor3 b 3D 33.2
ass
0 0
`""
0
0
,«.
.«.
Hal" a 7D 95.2 '°
0 0
0
d 0.0
A 0 --y
0 0
e 0.0 "'
0 0 ""
0 0
t 0.0
0 0 ""'
0 0
7
wwwams and
Narfh
32.6
'A
° ^*
1304
40
..«
gqoagg doaati
Goorsrtll
MEMW
EM
0.0
90.6
0
80
°"
""'
0
7248
0
so
°"'"
""
0
7248
SEtS'W
0.0
0
""'
0
0
""
0
Sys
49.8
40
°'°°
1964
40
"'°
1084
8
O*wdoor#
a IN 29.4
82
42
106
344
42
1236
344
b 0.0
0.0
0
0
0
0
0
0
C 0.0
OA
0
0
0
0
a
0
9
Net
a 12C 8.3
2.3
899
8939
1911
838
f1839
1931
exposed
b t4A 40.9
9.3
390
18299
3840
390
19298
3840
WWis mw
c 15A 11.5
0.0
0
0
0
0
0
0
0
0
4
0
0
pis
d O.O
e 148 13.a
O.0
2.6
0
0
0
0
0
0
f 168 8.B
0.0
0
0
0
0
0
a
_
to
C6ipngS
a 180 8.1
3.8
t000
8090
3816
100D
8098
3818
b O.A
o0
0
0
o
U
a
0
c 00
0.0
0
0
0
0
0
0
d 0.0
0.0
0
0
0
0
0
0
e 0.0
0.0
0
0
0
0
0
0
r
11
Fbm
a 21,A 22
0.0
1000
2209
0
1000
0
(mate:,mol
b 228 37.7
00
0
0
0
0
0
0
G
0
0
0
park**
a a 0
0.0
0
0
0
0
0
0
0
0
Wgpl.
for Mab
d 0.0
a 0 a
0.0
0.0
b
0
0
0
0
0
flOn�)
1 0 0
0.0
0
0
0
0
0
0
12
Mftrabm a 68.0 90
202
134W
1913
202
15493
1613
13
SumMI ipes�+ir..+11 *12
""
57283
..,.
�..
„n.
,i2 m
....
..�.
..a
+.»
a.o+
Lem exWmg hMM
"»
0
0
L� himwer
0
....
....
-..*
Has" rediid6uffm
>••
b
•••
""
•`•+
0
0
•••-
°""
-•+•
...�
14
16
Duct
TotW lass = 13*14
0
°""
0
6720
""
01%
'""
57283
....
....
n..
+s
int. owns; P 0 300
4
-1200
-
4
�
12W
1200
"
...
t,
Atl. a 12W
SutAatRSH 718..+,2¢18
1
-
1200
24282
1
°**°
«••
24262
,.,®
...�
..«
.«.
}•»
.,�,
•�••
....
Less SnD
..+,
.�.
D
0
16
19
Dust
Toted RSH Ma;tl7+18) PLr
114282
0
1.00
""
w.
24 2
1288
'"'"
20
Airra*(Ghr)
1298
1299
1209
Pritltfsut GordW RCCA to nwet au MqUiFOMSMS of Manual J 7th Ed.
%AoFW"rs„�16� � Ripfit-£fieReaWentiM6.6.17 RKR31967 2005 aeo2D 13't4 02
Aft c; HVACIM oe &n 1% trtdley.rsr F s