PRE 2010 DOCS•itMinn.
City of Fridley,
BUILDING PERMIT N® 4478
Dater
Owner:... - . ---- , �------------..._.... Builder Q ... . _.... ............... --....
Address---.._............._............._.........-----......_...._......._..._......._...._......._................. Address ..IJ........
TIO ,FF BUILDING i� Q�
No.-.�a._........ Street ....... (CP -..4 .o rLl'......t.i( ............................... Part t ........../........- �J........--....
Lot ........... ........................... Block ..... _....... ...... .... ..................... Addition or Sub -Division .Cc �
...................._.. Sideyard ..............._i�......�.
Corner Lot .........................._..._... ide Lot ._L............... Setback ......... .... -
Sewer Elevation .............. ,// ... _..... .......... Foundation Elevation ...... ..... v/ .. ...... -...... _............................ -............. ...
DESCRIPTION OF BUILDING
To a Us% . L� % /,J /
.. .......... Front ./......._. Depth .-..�...] .... Height .. .__... Sq. Ft. %1-.-.7.f_.. Cu. Ft., 4XJ_k
_..... 7ro............ Depth ..... Height .. _.. Sq. Ft.�o e.S� Cu. Ft. ..J1d�0
Type Construction ---- i Est. Co �� To be Completed ._.._ ............._..----......._......._...-....
/_
r.TA
ICT; OF �'XY PR;V/'; i -E L;�,aI D COVENAN o S AND
BUILDING RESTRICTIONS.
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. 1. A--)
In consideration of the payment of a fee of $.c9j ...., 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 Aolaa ''7 of any of the provisions of said
ordinances. — J7 it /
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
Application for Power Plants and Heating. Cooling, Ventilation. Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR: RATE TOTAL
Furnace Shell & Duct Work .......................... 8.00 $
Replacement of Furnace ............................. 5.00 $
Repairs & Alterations—up to $500.00 .................. 5.00 $
Repairs & Alterations each add. $500.00 ............... 2.50 $
MECIL WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $
each add. 60,000 BTU ....................... 2.00
Replacement of Furnace ............................. 5.00 $
Repairs & Alterations --up to $500.00 5.00 $
Repairs & Alterations each add. $500.00 .............. 2.50 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. IDR Steam ......
8.00
$
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ...
8.00
$
Each add. 200 sq. ft. EDR Steam ......................
2.50
$
Each add. 320 sq. ft. EDR Hot Water ..................
2.50
$
OIL BURNER to 3 gal. per hour
........................ 5.00 $
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to 400,000 BTL) ....................... 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
VENTILATING SYSTEM
ALTERATIONS & REPAIRS
REMARKS:
See Fee Schedule
TOTAL FEE $
Dept. of Bldgs. Phone SII 4-7470
LOCatlon 7 6 – 66 --"A- ,4, 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.
Fridley, Minn 220-4 —L24 Z fZ 194-K-4
Owner 195—
Kind of Building 195_
Used as
To be completed about �2 rnnc-A A 3
Estimated Cost, $ 5– 0 / , / 2Old—New. Building Permit No. `� `�
DESCRIPTION OF WORK
HEATING or POWER PLANTS—Steam, Hot Water, Warm Air -No
Trade Name Size No- 1) G 10 Y Q A c -
Capacity Sq. Ft. E.D.R.J 6 OJ 0 05 c� BTU H.P.
Total Connected Load ��d Kind of Fuel V") t . r
BURNER — Trade Name Size No
Capacity Sq. Ft. E.D.R BTU I H.P.
Siga
By i
11 POST 1M-12-58 Business Phone No- //
3 E.1 Qk F I.1 f• f. Im `3 ori.: !tl , ea YV u 1. w G
- - v r 4/ t y A-
HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS VILLAGE OF -P.
WEATHERSTRIPS 11
A.S.H.V.L
Guide
Reference
19—
TYPE OF CONSTRUCTION
11
INSULATION u'
Windows Doors
U No I es No
Out. Wan
Inf. Wal Ceiling
Roof
Floor
>� Kind
/�.s f
Ceiling
Wall
FpF� M � I
F�4 � c
I so I
' C `,
FL I e Room I Length Width 13 Height
Fl. I �j Room I Length Width Height
WINDOWS
and DObRS — CRACKAGE
and AREA
WINDOWS and DOORS — CRACKAGE and AREA
No.
Width
of pane
Height No. of
of pane lights
Lineal ft.
of crack
Area
sq. ft.
No.
Width Height
of pane of pane
No. of Lineal ft.
lights of crack
Area
sq, ft.
SP
q
-�
k°�0AA
Cl
2-6
Coef. Btu.
Coef.
Btu.
Infiltration Urso
InDos
- -
Exp. Wall
Exp. Wal
Glen
S?
5a a
Glen
1_5
S 6
77 �5 c
Net Exp. Wall
Net Esp. Wall
int. Well
Int. Wall
o �
7
76
4
Calling or Floor
7
72,
Catling or Floor
Total Btu. j"&1'3
Total Bfu.
Required sq. ft. E D. R. or sq. ins. W.A. Leader area
FL Room Lengfh Width ® Height
Required sq. f . ED. R. or sq. ins. W.A. Leader area
I FL Room Length /may' Width Height
WINDOWS and
DOORS — CRACKAGE and AREA
WINDOWS and DOORS
— CRACKAGE and AREA
Width
No. of pane
Heig No. of Lineal tt.
of pane lights of crack
Area
sq. ft.
Width Height
No. of pone
No. of
lights
Lineal ft.
of crack
Area
sq. ft.
q. -
� � .2—'A
0
jafpsne
'yy
Coef. Btu.
Coef. Btu.
Infiltration Doorsows
Infilfrafion Windows
,
Exp. Wall
Wall
elan
�J
�® L. %
Glass
�5 • 0 3:5_0!
Not Exp. Wall
Net Exp. Wall
-7
Int. Wan
Int Wql
Ceiling or Floor
0
Ceiling or Floor
7 G
Total Btu.
Total Btu.
Required sq. ft. L D. R. or sq. ins. W. A. Leader area
FL O j h Room r Length Width 14.19fit
Required sq. ft. ED. L or sq. ins. W.A. Leader area
FL I Room ( Length a Width Height .
WINDOWS and DOORS CRACKAGE and AREA
WINDOWS and DOORS — CRACKAGE and AREA
Width Height No. of Lineal it. Area
No. of pane of pane lights of crack sq. ft.
i
No.
Width Height No. of Lineal ft.
of pane of pace Ilghts of crack
Area
al. it.
Coat
Btu.
Coef. Btu.
Infiltration Windows
Door
�opInfiltration
Windows
Door
Exp. Wan
Exp. Wal
E6 E(5
Glass
1 0
elan
Net Exp. Well
dg
Net Exp. Wall
Int. Wall
Int. Well
.21
Ceiling or Floor
Q, P
Calling or Floor
1152-
n
Mel Btu.
Total Btu.
Required sq. ft. L D. L or sq. ins. W.A. Leader area
Required sq. ft E D. R. or sq. ins. W. A. Leader area
RT•400.6•5-8 GRAND TOTAL a
AT° 4934
Original Permif for PLUMBING AND GAS FI I G
N.B. When work covered by this permit is ready, the Plumbing Ordinance requires that request for Permit
inspection shall be phoned in to the plumbing Inspector, 560-3450 giving number of this permit., tFee
DESCRIPTION OF WOKS II
Number, Sind and Location of Fixtures
�i
Stories
K W
F.0
a A
3 u
J
Z
a
D
••-..•,
�_ m
4 7
m t-
0 z
m
6
m
to
Y
Z
m
N
m<
Q G
3 r-
Y F'
Z O
E O
a U.
W
O
S
y
K
O¢
J¢
1, a
2 to
F W
Q¢
o m
Z rc
a o
¢-1
%
f E
0 LL
< d
0¢
W
m Z
6 Q
e rc
WATER HTR.
GAS
ELEC.
Basement
1st
2nd
3rd
4th
Connected with Sewer -Cesspool Gas Piping for Openings
City of Fridley 2ZzI2,13 919
Location ° Z e G 4
Kind of Building
Used as
Permission is hereby granted to do the plumbing and To be Completed '19—
gas
19_gas fitting in the building described in the statement her attached, upon the express condition that
the person to whom this permit is granted, and his agents, employees and workmen, in the plumbing Estimated Cost $
or gas fitting of said building shall conform in all respects to ordinances of the City of Fridley, and
this permit may be revoked at any time upon the violation of any of the provisions of said ordinances.
By Order Of The Inspector Of Buildings Old -New. Building Permit No.
Roughing in Inspection
Inspector.
Final Inspection Date
Inspector.
P42 JM—"S-V
Inspector of Buildings.
r
U
tk-
City of Fridley V.
Dept. of Bldg*. Phone 960-3480
DESCRIPTION OF WORK
Number. Kind and Location of Fixtures 66
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures
Future Fixture Opening .... .... ......
New Fixture Old Opening ......... ..
Catch Basin ...
Water Heater (Up to 99,000 BTU) ......
New Ground Run Old Bldg. . ....
Electric Water Heater
GAS FITTING FEES:
x $2.00
$
X $1.50
$
X $1.50
$
x $3.25
$
X $3.00
$
WATER HTR.
N GAS EIEC.
$
_ $200
$
NO. RATE TOTAL
Base
ls't
- --
—
2nd
-
---
3rd
_
4ih
_
° Future conaecl3on OpeainQs
Connected with
e NOW Fixture, Old OpeningsI
❑
Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures
Future Fixture Opening .... .... ......
New Fixture Old Opening ......... ..
Catch Basin ...
Water Heater (Up to 99,000 BTU) ......
New Ground Run Old Bldg. . ....
Electric Water Heater
GAS FITTING FEES:
x $2.00
$
X $1.50
$
X $1.50
$
x $3.25
$
X $3.00
$
x $3.25
$
_ $200
$
NO. RATE TOTAL
1st 3 Fixtures .......................... x $200
Additional Fixtures . .......... , ....... —x$.75 $
Gas Range to 199,000 BTU .............. x $5.00 $
REPAIRS & ALTERATIONS—Refer to Code
Description ...............................................$
TOTAL FEE $
City of Fridley:
The undersigned hereby makes application for a permit for the work herei
specified, agreeing to do all work in strict accordance with the City Ordinance
and ruling of the Department of Buildings, and hereby declares that all the fact
and representations stated in this application are true and correct
Fridley, Minn
Owner
Kind of Building
Used as
To be completed about
Estimated Cost, $
Old—New. Building Permit No. Permit No. x/93 V
Signed
Business Phone No_ -�l� � b �%J
ROUGH
FINAL
City of Widley
Applicafto for Pkmddeg and Cr= Fbtkg renuh
Dept. of Bldgs. Phone 980-3450
DESCRIPTION OF WORK%
Number, Kind and Location of Fixtures I.00atios lv i
Ifin ' I lill I 1111�idjO leg, G IV a I< I(�9 �(�9 �(�9 V ! i N I AS HLEC
Base
lot
2nd
3rd
4th _
Fugue Connection Openings
New Fixture. Old Openings
PARTIAL RATE SCHEDULE
City of Fridley:
L
The undersigned hereby makes application for a permit for the work herei
specified, agreeing to do 411 work in strict accordance with the City Ordinance
and ruling of the Department of Buildings, and hereby declares that all the fact
and representations stated in this apAfcatban are t e and correct-
Y,
Owner /I
Kind of Building
Sewer ❑ Used as
Cesspool fl
PLUMBING FIXTURE RATES:
NO. RATE TOTAL
Number Fixtures
x $2.00
$
Future Fixture Opening
x $1.50
$ .
New Fixture Old Opening
x $1.50
$
Catch Basin
x $3.25
$
Water Heater (Up to 99,000 BTU)
x $3.00
$
New Ground Run Old Bldg.
x $3.25
$
Electric Water Heater
: $2.00
$
GAS FITTING FEES:
NO. RATE TOTAL
1st 3 Fixtures .....
x $2.00
$
Additional Fixtures .... ..............
x $ .75
$
Gas Range to 199,000 BTU ..............
x $5.00
$
REPAIRS A ALTERATIONS—Refer to Code
Description ................................ . .........
TOTAL FEE (? Ic—
To be completed about
Estimated Cost, $
Old—New. Building Permit No.—
ROUGH
FINAL
By -
Business Phone
Am N° 5194
Original Permit for PLUMBING AND GAS F ING 63LI- �
N.B. When work covered by this permit is ready, the Plumbing Ordinance requires that request for Perm
permit_.
inspection shall be phoned in to the plumbing Inspector, 560-3450 giving number of this Fee $11-0 y
DESCRIPTION OF WORK II
Number, Kind and Location of Fixtures
Stories
W
ao
U
m
4
z
�m
m H
Z
'm
Q
M
z
to
I'
3: t
zD
O
O t,
W
o
I
N
°o'Q
J K
LL p
Iz
Q Q
U m
zrc °X
4 0
M J f 4.
ma
Q 0.
O Q
W
mzo
Q Q
O K
WATER HTR.
6A8
ELEC.
Basement
1st
2nd
3rd
4th
Connected with SewerCesspool Gas Piping for Onings
Permission is hereby granted QV4to do the plumbing and
gas fitting in the building described in the statement hereto attached upon the express condition that
the person to whom this permit is granted, and his agents, employe and workmen, in the plumbing
or gas fitting of said building shall conform in all respects to ordinances of the City of Fridley, and
this permit may be revoked at any time upon the violation of any of the provisions of said ordinances.
By Order Of The Inspector Of Buildings
Roughing in Inspection Date
inspector.
Final Inspection Date
Inspector.
- 4z 1M—"9 -v
City of Fridley ,19-Q-0
Owner -
Location ,;)& - A111 -
Kind of Building .4-0,ag iZ-,
n
Used as
To be Completed ,19-0
Estimated Cost $9$-00
Old -New. Building Permit No.
Date
.r
Inspector of Buildings.
M MMGASCO
53-84-s-915.51
City of Fridley
Applice;,Pjn for Plu ling C:' -d x'05 EM'D.. POM?it
Dept. of Bldgs. Phone SFA -3450
DESCRIPTION OF VIORX 376 N. -E. 66th. Ave.
Number, Kind and Loca4on of Fixtures I'O�
� •;
�
z
S�
li
�
0 r
z.
in ;..
Zk
Dr
�
g= u=
!`S
�O'U�
O
7
�3 V
u
7
Va
N
Z
7
UV
v
w
WATr� NTII,
cAs
nrG
r
New Ground Run Old Bldg.......:.
x ',3.25
$
Electric Water Heater....... 0 ......
s $2.00
I
istill
Dner
1st3Fixtures ......••••••••••••
x$2.00
$
Additional Fixtures ..............
x 3 .75
$
Gas Range to 199.000 BTU ...........
x $5.00
6
t
_
Future Connoction Openings
Lower ]
New Fixture. Old Openings Cc"Pool C]
PARTIAL RATE SCHEDULE
MMBING FIXTURE RATES:
NO. RATE TOTAL
Number Fixtures ................
x 82.00
S
Future Fixture Opening ............
x $1.50
$ _.
New Fixture Old Opening..........
x $1.50
Catch Basin. Basin....................
x $3.25
$
Water Heater fUp to 99.000 BTU). • • •
x $3.00
$
New Ground Run Old Bldg.......:.
x ',3.25
$
Electric Water Heater....... 0 ......
s $2.00
3 -
LS FITTING FEES:
NO. RATE TOTAL
1st3Fixtures ......••••••••••••
x$2.00
$
Additional Fixtures ..............
x 3 .75
$
Gas Range to 199.000 BTU ...........
x $5.00
6
City of Fridley:
The undersigned hereby makes application for a permit for the- work herei
specified, agreeing to do all work in strict accordance with the City Ortimnee
and ruling of the Department of Buildings, and hereby declares that all the fact
and representations stated in this application are true and correct'
Fridley, Minn 4-18-75 1lI�
Owner Harold A. Ohlsson
Kind of Building Frame
Used as Res.
To be completed about 4-25-75
Estimated Cost, $ 10.00
Old-- Building Permit No. .rmi N
Signed
MINNEGASCQ
By -'
Business Phone No
ROUGH
FINAL
:PAIRS & ALTERATIONS—Refor to.So
ll�gpp .50 State Surcharge
.IiCicription • ......... w'MI`� V`1�� .�'�J.`M... • 5.00
TOTAL FEE i 5.50
Blass "Ae= 5iir.Chsrge X50¢ -
CITY OF FRIDLEY INSPECTION DIV. pfective On January 1. 1990
6431 University Ave NE 0.411
Fridley, MN 5543APPLI(,;e"IJM
ION FOR PLUBING AND GAS FITnNG PERMIT
2
572-3604
10 Bt: U n -N FACH FLOOR
J!A - .-- -7-- -
wolsf i Au G s 'Mise. Water Heater
i
Fixe Gas Elec
� u � 13 �
— V,
ID 0 ci -
�G
COMBUSTION i -.i. --;amu . Di::i0V1DF0 UMC SEC : ':�. :
-';-F q, sQ iNCHES.
1�3bb
SUBJECT
P
City of Fridley
2 6 7 0 8
AT THE TOP OF THE TWINS
BUILDING
PERMIT
RECEIPT NO.
___ __ COMMUNITY DEVELOPMENT DIV.
1.0I PROTECTIVE INSPECTION SEC.
r ;
q6
F
tiER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3450
10-F15
7/20/98
JOB ADDRESS
376 66 Ave NE
1 LEGAL
LOT NO. B O p
7 (except ) 3SHEET
TRACT OR ADDITION
I 'Creek
SEE ATTACHED
DESCR.
& all Lot
RiceTerrace Plat 2
2 PROPERTY OWNER MAIL ADDRESS
Eleanor Brandt
ZIP PHONE
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Richard Hastings 6331 Riverview Ter. Fridley MN 55432 574-9966 4051
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO.
8 USE OF BUILDING
esidential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION (A REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof (20 Sq) Tear -off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with State Building Code.
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 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
1668
$.83
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING COW
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
$54.00
Fire SC $1.66
PLAN CHECK FEE
TOTAL FEE
L0
License SC
5.
$61.49
SIGNATURE OF CONTRACTOR OR AUTHO IZED AGENT IDA EI
:WHEN PROPER)fy
4F a BOUG INSP
VALIDATED THIS IS YOUR PERMIT
o
DATE
SIGNATURE OF OWNER OF OWNER BUILDERI IOATEI
NEW [ ] Effective 1/1/98
ADDN [ ] CITY OF FRIDLEY s�
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 6 d
BUILDING PERMIT APPLICATIONS I
ConstructionAddress: 3 ? 4 6,9 'A A/. 1�7 .
Legal Description:
Owner Name & Address: EL,Eeec7,c j3(Z A", % Tel. #
Contractor: ,cA enc1-0 MN LICENSE # �/'c S !
Address: ti rtC�; � �-+� j �� Tel. # S 7 i 7
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:
m
Construction Type:
% A Z 4- Z e Rc o,—
Estimated Cost: $
(Fee Schedule
on Back)
Driveway Curb Cut
Width Needed: Ft. + 6 Ft =
Ft x $
= $
DATE: i 9 APPLICANT: Tel. # S? Y — i y e 6
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
CITY USE ONLY
$ �Z , U 0 Fee Schedule on Reverse Side
$ iv ( .001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1000 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 [ J
CITY OF FRIDLEY INSPECTION DIV. Effective On August 1, 1995
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
JOB ADDRESS ,3 ?(p - (o(o-66A1a-NE-
RATE SCHEDULE
The undersigned hereby makes application for a permit for the work herein
Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and
Furnace Shell and Duct Work, Burner - rulings of the Building Division, and hereby declares that all the facts and
Also Replacement Furnace $ 30.00 $� representations stated in this application are true and correct.
(Side Vent - Fill Out Back) _ 199$
Gas Piping (Needed with new furnace) $10.00 $
Gas Range $10,00 $
BUILDING USED AS �e�J
Gas Dryer $10.00 $ f
ST 7• PERMIT N0. /C
*Air Conditioning -All Sizes $ 25.00 $ ESTIMATED CO
All Others/Repairs &Alterations (LIST ONBACK) DESCRIPTION OF FURNACE AND OR BURNER
1 % of Value of Appliance or Work $ No. of Heatin Units Circle One (Steam) (Hot Water (Warm Air)
Trade Namjy �G0-�,, Size No.CA
Commercial/Industrial BTU 14F HP EDR
1.25% of Value of Appliance or Work $ Fuel1(%u�/tj / 1,Q t Total Connected Load
State Surcharge
TOTAL FEE
$ .50
s
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
t
Burner Trade Name Size No.
BTU HP EDR
Approved By Rough -In Date Final Date �7_ 21'IJ
FILL OUT BACK SIDE FO STACK VERIFICATION ON
REPLACEMENT FURNACE
Building
BUILDING
Permit No.: 1v0 -�
Inspections
RESIDENTIAL APPLICATION
Received By:
763-572-3604
CITY OF FRIDLEY
Date�j(�Q
763-502-4977 FAX
.5-0
.001 times the total job valuation
Surcharge
EFFECTIVE 1-1-08
5
DATE — YOUR E-MAIL ADDRESS
License Surcharge
SITE ADDRESS'/e-
e $1
$5.00 (State Licensed Residential Contractors)
SAC Charge
THIS APPLICANT IS: ❑ OWNER CONTRACTOR
PROPERTY OWNER/
NAME: I w -13 r,4-v`t—
$
��r7 �l� �✓e- V"'Z- CITY 'P1_ 110-1
STATE ZIP
TENAN'#'
$
ADDRESS: ) �
$450 Conservation Plan Review
Park Fee
PHONE:
Fee Determined by Engineering
NAME:
$
ADDRESS:POA ` CITY Aui i& sTATdffA ZIP CI
CONTRACTOR
SUBMIT A COPY OF
PHONE i) '1 —� 1 FAX
i
YOUR STATE LICENSE
STATE LICENSE # ? EXP DATE 09
PROPERTY TYPE
❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS
❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
❑ DECK ❑ SIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW HOME CONSTRUCTION ❑ ADDITION
❑ MAINTENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE:
SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT
ROOFING ❑ HOUSE ONLY
BASEMENT
REMODELING SUBMIT:
NUMBER OF SQUARES % �1� ❑ HOUSE & GARAGE
1, Existing Floor Plan
GARAGES ❑ ATTACHED GARAGE
2. Proposed floor plan
PROPOSED SIZE: ❑ DETACHED GARAGE
3. List of structural members to be used.
PROPOSED HEIGHT:
FOR NEW CONSTRUCTION INCLUDING DECKS,
SIDING
Vi nyl ❑Soffit
ADDITIONS & PORCHES SUBMIT:
I. Site
Plan/Survey showing the existing structures
❑ Aluminum ❑ Trim
and
proposed project.
❑ Other ❑ Fascia
2. Two sets of construction plans
WINDOWS
3. Energy Calculations
IN EXISTING OPENINGS ❑Yes ❑No 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:
(USING THE 1997 UBC FEE SCHEDULE)
TOTAL JOB VALUATION $_� -1-:11 12 5 W OCCUPANCY TYPE
Permit Fee
$
-
1,�a
See Back Page for Fee Schedule
Plan Review
$
r
65% of Building Permit Fee
Fire Surcharge
$
.5-0
.001 times the total job valuation
Surcharge
$
5
.0005 x Permit Valuation Minimum $.50
License Surcharge
$
e $1
$5.00 (State Licensed Residential Contractors)
SAC Charge
$
$1825 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
$
i
Make checks payable to: City of Fridley Attach Stipulations
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge thilt the info ion 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 Mmneso n cti at I understand this is not a permit but only an application for a permit and work is not to start without a
permit on site; that the work will be in ac d e i e case of all work which requ� r vi �nd,5pyroval of plans.
SIGNATURE OF APPLICAN PRINT NAME �l IOCAI y 444_ DATE
APPROVED BY DATE
Building
LOAD LIMIT
Permit No. rt)
Inspections
MODIFICATION APPLICATION
Received B
763-572-3604
CITY OF FRIDLEY
Da a 7 200
763-502-4977 fax
APPLICATION DATE: � O' YOUR E-MAIL ADDRESS:
THIS APPLICANT IS: HAULER ❑ PROPERTY OWNER
PROPERTY OWNER: i - V (e>, -, - -(-)c d✓�„o
JOB ADDRESS:
MATERIAL TO BE HAULED:
MATERIAL BEING HAULED BY:
DATES TO BE HAULED (UP TO 3 DAYS): f j
THIS PERMIT IS ISSUED TO ALLOW AN INCREASE OF AXLE WEIGHT FROM FOUR (4) TONS PER
AXEL TO (5) TONS PER AXEL OVER THE FOLLOWING DESIGNATED ROUTE:
lFIVE
4-7
sr Nva 69 6 Tk- 14oo-e &-�,ed r=. �b 3 Mo
NOTICE: This permit is valid only for vehicles enroute to construction address during the hours of 8:00 am to
5:00 pm. See Resolution #01-2004 and State Statute Section 169.87
PERMIT MUST BE IN VEHICLE WHILE HAULING ON ESTABLISHED ROUTE.
= I (OPERMIT FEE: $25.00
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
I hereby apply for a load limit modification 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. I understand this is not a permit but only an
application for a permit and hauling on restricted roads is not to start without a permit.
SIGNATURE OFrAPRi�ICANT ° $--- RINT NA C- C -11 -rd F ATE
APPROVED BY _ ° DATE -4 '7
COPIES GIVEN TO: ❑POLI ' ❑ENG EE G 19q
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977
S!
Building
BUILDING
Permit No.: 2Ab1-I (63
Inspections
RESIDENTIAL APPLICATION
Received By:
763-572-3604
CITY OF FRIDLEY
Date
763-502-4977 FAX
$
.0005 x Permit Valuation Minimum $.50
License Surcharge
EFFECTIVE 1-1-09
$5.00 (State Licensed Residential Contractors)
DATE — oUR E-MAIL ADDRESS
$
SITE ADDRESS 3
Curb Cut Escrow
THIS APPLICANT IS: WNER ❑CONTRACTOR
ft + 6 ft = ft x $22 = $
PROPERTY OW ER/
NAME: -J
$450 Conservation Plan Review
ADDRESS: 361 ' 10��� e, A ITY
STATE ip
TENANT
Sewer Main Charge
PHONE:
Agreement necessary ( ) Non Necessary ( )
CONTRACTOR
NAME:
Make checks payable to: City of Fridley Attach Stipulations
STATE LICENSE # EXP DATE
SUBMIT A COPY OF
YOUR STATE LICENSE
AND CERTIFICATE OF
ADDRESS: CITY
STATE ZIP
INSURANCE
PHONE FAX
PROPERTY TYPE
AS SINGLE FAMILY/NEW CONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHED WINDOWS
❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
❑ DECK ❑ SIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW HOME CONSTRUCTION ❑ ADDITION
MAINTENANCE/REPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE: raiD la eco LL'l V &W S
SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT
ROOFING ❑ HOUSE ONLY
BASEMENT
REMODELING SUBMIT:
NUMBER OF SQUARES ❑ HOUSE & GARAGE
1. Existing Floor Plan
GARAGES ❑ ATTACHED GARAGE
2. Proposed floor plan
PROPOSED SIZE: ❑ DETACHED GARAGE
3. List
of structural members to be used
PROPOSED HEIGHT:
FOR NEW CONSTRUCTION INCLUDING DECKS,
SIDING
ADDITIONS, & PORCHES SUBMIT:
❑ Vinyl ❑Soffit
1. Site Plan/Survey showing the existing structures
❑ Aluminum ❑ Trim
and proposed project.
❑ Other ❑ Fascia
2. Two sets of construction plans
WINDOWS
IN EXISTING OPENINGS XYes ON. LOCATION OF WINDOWS
3. Energy Calculations
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OEWINDOW TO BE INSTALLED 5W 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 VALUATION $ 2 9n0 _ _ OCCUPANCY TYPE
Permit Fee
$ 3 R'5
See Back Page for Fee Schedule
Plan Review
$
65% of Building Permit Fee
Fire Surcharge
$
.001 times the total job valuation
Surcharge
$
.0005 x Permit Valuation Minimum $.50
License Surcharge
$
$5.00 (State Licensed Residential Contractors)
SAC Charge
$
$2000 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
$
ft + 6 ft = ft x $22 = $
Erosion Control
$
$450 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement necessary ( ) Non Necessary ( )
Total Due
$
Make checks payable to: City of Fridley Attach Stipulations
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 on site; that the work will be in accordance with the
approved plan in the case of all work which requires review and approval of plans.
SIGNATURE OF APPLICANT- -�'�z'tMr� � I't Glsv► �f!�v� PRINT NAME -J&vq j � ar&&9 a VJ DATE—4 ! ®�
Building
BUILDING
Permit No.: -(
Inspections
RESIDENTIAL APPLICATION
Received By:
763-572-3604
CITY OF FRIDLEY
Date Rec'd: iA
763-502-4977 FAX
EFFECTIVE 1-1-09
AQr� �
��y�
DATE �1�
�/� YOUR E-MAIL ADDRESS
�D ra
i (V�_
— -rte
THIS APPLICANT IS:
OWNER ❑CONTRACTOR
PROPERTY OWNER/
NAME: Ls I✓ ni
J
ADDRESS: CITY �fi
STATE ZIP
TENANT
PHONE: G7
CONTRACTOR
NAME:
STATE LICENSE # EXP DATE
SUBMIT A COPY OF
YOUR STATE LICENSE
AND CERTIFICATE OF
ADDRESS: CITY
STATE ZIP
INSURANCE
PHONE FAX
PROPERTY TYPE
X SINGLE FAMILY/NEW CONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS
BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
DECK ❑ SIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW HOME CONSTRUCTION ❑ ADDITION
❑ MAINTENANCE/REPAIR ❑ REMODELING
it
j
DESCRIBE WORK BEING DONE:
SIZE OF IMPROVEMENT
LENGTH WIDTH HEIGHT20*VWr
S FT
ROOFING
❑ HOUSE ONLY
BASEMENT
REMODELING SUBMIT:
NUMBER OF SQUARES
❑ HOUSE & GARAGE
1, Existing Floor Plan
GARAGES
❑ ATTACHED GARAGE
2. Proposed floor plan
PROPOSED SIZE:
❑ DETACHED GARAGE
3. List
of structural members to be used
PROPOSED HEIGHT:
FOR NEW CONSTRUCTION INCLUDING DECKS,
SIDING
ADDITIONS.
& PORCHES SUBMIT:
❑ Vinyl
❑Soffit
1. Site Plan/Survey showing the existing structures
❑ Aluminum
❑ Trim
and proposed project.
13 Other
❑Fascia
2. Two sets of construction plans
WINDOWS
3. Energy Calculations
IN EXISTING OPENINGS ❑Yes ONo LOCATION OF WINDOWS
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
OPENING CHANGES &
TYPE OE 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 VALUATION S al 7 a � ck-4- OCCUPANCY TYPE
Permit Fee
Plan Review
Fire Surcharge
Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Total 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)
$2000 per SAC Unit (Plans to MWCC for determination)
R+6ft= ftx$22=$
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checks uavable 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 . of to start without a permit on site; that the work will be in accordance with the
approved plan in the case of all work which requires re iew and approval of plans. r ( /
SIGNATURE OF APPLICANT( AME � le SQATE M 1 /OS
�Des�gn :9��26 4,00:=.
¢ 'WR 412012l
* * * Take this sheet to the Building Materials desk to purchase your materials.
Ynu selected a 1 level deck with:
,ssure Treated Framing Material B&w. is a. sectim of the ralft style
options you have selected for your de
4 x 4 Framing Posts
514" x 6" Pressure Treated Deck Boards
Poured Footings 8" Tube 4' deep
Pre mjum Gold, Combo, Drive Screws
A
Galvanized Framing Fasteners
Handrail selections:
36" horizontal Hai.:raii Railing.
2" x2"x36"' Pressure Treated Sq. End Spindles
4"x4"x48" Pressure Treated Utop Notched Railing Posts
2"x4" Pressure Treated Hand Rail
sw�
Spindle placement is approx. 4" apart depending on
You may buy all the materials or any part at low cash and carry paces. Because of the wide variable in codes,
Menards cannot guarantee that materials listed will meet your code requirements. Check with your local municipality
for plan compliance and building permit. These plans are suggested designs and material lists only. Some items may va
from those pictured. We do not guarantee the completeness or prices of these structures. Tax, labor and delivery not me u ed.
Illustration"- .:rr::: �d to show general deck sit
Some options selected may not be shown for
Tjday's cost for materials estimated in thi
'The base price includes: 40 PSF deck live load, AC2 treated - horizontal 2z6
deck boards, 44 posts, W joists and beams, galvanized framing fasteners..
AC2 treated X Vertical handrail to joist without posts, and premium screws.
.7l
Post and Beam Dimension Sheet
Design# 91826
14'
Posts —
3'-6" 5'-6"
2' 3'
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4 826 fmmjP� 41201200
* * * Take this sheet to the Building Materials desk to purchaseeaur materials.
Level 1: 14' x 12'
:,„ _ .. 2' off the ground
Vertical Decking
i ui diI i1i a: I' I
2" x 12Joists
2 ft cantilever on joists
2 x 1211 Beams
2 ft cantilever on beams
40 PSF Deck Live Load
,,da� s cost for materials estimated in this design with options$1006.76
�
*the base price includes: 40 PSF deck live load, AC2 treated- horizontal 24 *(EASE price): $826.64
W boards, 4x4 posts, 2x8 joists and beams, galvanized framing fasteners,**If rchased today you save:
ACZ treated 36" Vertical handrail to joist without posts, and premium screws. Monthly BG Card Paymeni would be: 27
Joist Layout for Your Deck
The Scale is 1/4":1'
Design# 91826
joists to be on 16' centers.
Joists to be hung from the ledger with joist hangers.
Joists to be toe -nailed to beams with 3-1/2" (16d) galvanized nails.
Rini joists to be face -nailed to joists & ledgers with 3-112'(1 6d) galvanized nails.
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B -- --.
A
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_
B
Mark
Length
Description
_ Usage
A
1319"
8-2x12 Micropro Treated
Joist
R
13'10-1/2"
2-2x12 Micropro Treated
Rim joist
C
1119"
1-2x12 Micropro Treated
Ledger
D
12'
1-2x12 Micropro Treated
Rim joist
joists to be on 16' centers.
Joists to be hung from the ledger with joist hangers.
Joists to be toe -nailed to beams with 3-1/2" (16d) galvanized nails.
Rini joists to be face -nailed to joists & ledgers with 3-112'(1 6d) galvanized nails.
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0.
Beam Layout for Your Deck
The Scale is 114"T
Design# 91826
:I
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B
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Mark Lenn th
B 12'
Description _
2-2x12 Micropro Treated
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