PRE 2010 DOCSDate,���
Owner!;'/.4",
Address ..01 1/
BUILDING PERMIT
Village of Fridley, Minn. N° 2275
Builder............................................
... ff ..........
ZAddress ...............................
LOCATION OF BUILDING
No. .. ...... f . Street. !':... ..+i iii .......... Part of Lot .......................
Lot ...... /40 Block ......'f........ Addition or Sub -Division ..a'`?W- 0 ... lZ' .1 f ... Y 4..... .
Corner Lot ....... .... Inside Lot ... ..... Setback . &.".'•.'h Sideyard eV, -r-: .............
DESCRIPTION OF BUILDING
To be Used as:
ri
IVDepth Front !... De `� .Height .. • F��.:. . � . P � • • g Sq. Ft......... Cu. Ft.........
..... Front .... Depth . �: Height ... Sq. Ft...... Cu. Ft........ .
• ,/�••
Type of Constructio x:: ax:.. Est. Cost /! '+rt.. .......... To be Completed .. Aip..Wo--46'= ..........
In consideration of the issuance to me of a permit to bonstruct 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 village of Fridley.
In consideration of the payment of a fee of $. r%f. permit is hereby granted to s. t.(�'��''T'
:�'A:t•!......... to construct the building or addition as described above. This permit is graflted 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 x' garding location, construction, alteration, maintenance, repair and moving of buildings with-
in the village limits A-nd this permit may be revoked at any time upon violation of any of the provisions of said
ordinances. ,�r�'1.r► --
y4 :� v':+�'a.-f.... Building Inspector
NOTICE: !'
This permit does not cover the construction, installation or alteration for wiring, plumbing, gas heating,
sewer or water. Be sure,to see the Building Inspector for separate permits for these Items.
i
NEW [ ] City of Fridley Effective 4/1/84
ADDN. [ ] R-1 AND R-2 �,��-Ff
ALTER. [ ] Building Permit Application
Construction Address: 'U8 - 6,
Legal Description:
Owner Name & Address: Tel. #
Contractor: Tel. #
Address
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA: Length
GARAGE AREA: Length
DECK AREA: Length
OTHER:
Corner Lot [ ] Inside Lot [ ]
Type of Construction:
Approx. Completion Date:
DESCRIPTION OF IMPROVEMENT
Width
Width
Width
Ft. Yd. Setback
Height
Height
Hgt/Ground
Sq. Ft.
Sq. Ft.
Sq. Ft.
Side Yard Setback
Estimated Cost: $
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $ /08,66 $
See Back Page for Explanation
DATE: �O APPLICANT: �� OY�j�yo 1h /brio 11 0 Tel. # Jai/ -/6.3L
CITY USE ONLY
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Sewer Main Charge
STIPULATIONS:
Fee Schedule on Reverse Side
25% of Building Permit Fee
$.50/$1,000 Valuation
$425 per SAC Unit
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
SUBJECT
P IT
City of Fridley
18765
AT THE TOP OF THE TWINS
BUILDING
PERMIT
_
Ir ,
RECEIPT NO.
• --•---- COMMUNITY DEVELOPMENT DIV.
w
INSPECTION SEC.
r � � PROTECTIVE
1 � �
L CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
.•-•/'•',,J
L •�` 612-571-3450
910-F15
12/16/86
/ /
JOB ADDRESS 508 - 67th Avenue N.E.
1 LEGAL
LOT NO.
TRACT OR ADDITION
SEE ATTACHED
DESCR.
TBLOCK
10
7
Rice Creek Terrace Plat
4 SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Wallace Froehle 508 - 67th Avenue N.E.
571-1635
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
AMRE 3700 Annapolis Lane, Minneapolis, PIN 55441
553-0020
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 16' x 16' Deck
9 CHANGE OF USE FROM TO
STIPULATIONS Use all treated wood. Deck joist must go back to sill plate at
house cantilever unless there is an existing beam under
house rafters.
SEPARATE PERMITS REQUIRED FOR
WQnailIN
WIRING, HEATING,
PLUMBING AND SIGNS.
Before digging call local utilities
TELEPHONE - ELECTRIC - GAS Etc
REQUIRED BY LAW
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 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 ISTALLS
GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$.80
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$1,600
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.
$26.50
PLAN CHECK FEE
TOTALFEE
Q A —,t–>&
$33.93
GNATURE OF qF49RAMTOR OR AUTHORIZED AGENT (DATE)
WHEN PROPERLY
A T I IS YOUR PERMIT
^ 6
SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEIINjp
nATE
NEW [ ]
ADDN. [ ]
ALTER. [ ]
Construction Address:
Legal Description:_.
Owner Name & Address:
Contractor
Address
City of Fridley
�R-1 AND R-2
Building Permit Application
F
Effective 4/1/86
Tel. # 5 2
Z6
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA:
Length
Width
Height
Sq.
Ft.
GARAGE AREA:
Length
Width
Height
Sq.
Ft.
DECK AREA:
Length
Width
Hgt/Ground %
Sq.
Ft.
OTHER:
Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback
Type of Construction: DQG V, Estimated Cost: $
Approx. Completion Date: -\ —'9 (--p
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $ $
See Back Page for Explanation
DATE: 1 \.- g z--, APPLICANT: Tel. #, s 53 �
CITY USE ONLY
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Sewer Main Charge
TOTAL
z
Fee Schedule on Reverse Side
25% of Building Permit Fee
$.50/$1,000 Valuation
$475 per SAC Unit
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
(000
.5 0 c) — /0.(50
Customer Name: W-ALLIReA 'qeaafiat_` Date:
Address: BOA 1421 A%36 N.6. _, Couiftr A AAQm
WOOD---
contractor M Noa: 439 - i S65 Customer PL. Na.: br-11- 0415
IJECKS—
Dcclt Siu 6$ 1( 16 - - Sq. Pt.-Q-rQlr__seaP
- -
Deck Elevation: j$�' Railing Type--3'a° t 6"� Ste; ys; ea
-AltRB DECK C011PAN11
-- _ --
3700 Ampolls Lane
Permit Nnntlfer: Aggaavaln
Plymouth. SAN 55"1
-
- - -_
Ib
--
�► SPD
-
�
i oro
Q.
-
At
_-
APPROVED FOR
--
/
pounds per BQIIaie :itot with
-
Post sPaciag at one post every
12' Projection with one post-
every V parallel to house.
--- - - --- -
_--
TABLE OF CONTENTS
Cover Pg: Dech Floor Plan
-- - - --- -
`
Py. l: Typical Elevation
Pg. 2: Mule Details
- - --
Pg. 3: Module Installation
Pat-Lo
Pg. 4: Beam Cross section
-
4 00 Q.
PD. S: Beam Installation
-
Pg, 6: Plate Attachment
Pg. 7: Footer & Post Details
Pg. 8: stairway Details
- - --
Pg. 9: Railing Details
--- -
Fg. 10: Cover Page For Design
- -
Specifications
Pg. 1.1 To 2.1: Design Specdi-
DESIONERPJ
cations
-
DECKS
FiATENTS PENDIAI6
L pwaBu mjs System.. t9as
SPODT85
R DESDECKS W
�il'.r//'�
BY � MME DD IECI COMPANY um�m
A Sears Authorized Contractor
Addendum to Contract
Customer Name: Tr—O C HC 16 Date: �2age:�—
Job Address: �` (�7"' ►��IF' �-
Job Ph.• C2J — IL -i' H19 Work Ph.:_51/'23L1: Her Work Ph.:
Deck Specifications:
The deck is to ba eet long and is to project out & Beet. The deck is to be supported by—JE—posts
and 16 ooters. The footers are to be set 30 to 39 inches below grade surface. The deck's understructure Is to be
200 and 2x4 laminated beams which will consist of a house plate, front plate, girder beams, side bands,and cross
joists. Each beam Is to have galvanized stress plates pressed in at both ends and one centered. The understructure
beams are to be set with the crown side up. The house plate is to be fastened to the house using 3/8 inch by 4 inch and
3/8 Inch by 8 inch zinc plated lag bolts. The 41"%e�99 are two be spaced 24" on center and the 8" lege are to be spaced 48"
on center. The decking pattern is to be the �J_[3Lt�.type. The 2x4 decking boards are to be spaced with a 1/8
Inch to 1/4 Inch drainage gap between boards. All lumber Is to be 100%presssuretreated, number one grade. SEARS
BEST WOOD which carries a forty year non -prorated warranty against damage by termites, rot and decay.
Railing Speclflcaaons:
TRADITIONAL: Poste and post supporta are to be 2x4, fitted and bolted with 3/8 Inch lag bolts. Railing cap is to
be 38 Inches above the deck floor. Bottom rail late be 1 1/2 Inches from deck floor. Railing pickets are to be 2x2
and are spaced approx. 4 1/2 inches.
_ CROSSSUCK: Posts and post supports are to be 2x4, fitted and bolted with 3/8 inch lag bolts. Railing cap Is to
be 38 Inches above the deck floor. Bottom rail is to be 21 /2 Inches above the deck floor. The two middle rails are
to be centered between the top and bottom rails. Railing cross braces are to be 1x4.
_ FULLVIEW: Posts and poet supports are to be 20, fitted and bolted with 3/8 inch lag bolts. Railing cap Is tobe3a
Inches above the deck floor. Bottom rail is to be 21/2 Inches above the deck floor. The two middle rails are to be
centered between the top and bottom rails.
_ CONTEMPORARY: Posts and post supports are to be 2x4, fitted and bolted with 3/8 inch lag bolts. Railing cap is
to be 38 Inches above the deck floor. Railing pickets are to be 2x2 mitered with a 49 degree cut on top and bottom
of each picket and are spaced approx. 41/2 Inches. The bottom rail Is to be 1 1/2 Inches above the deck floor.
LOWBOY. Posts and post supports are to be 2x4, fitted and bolted with 3/8 inch lag bolts. The railing cap is to be
22 Inches above the deck floor. The bottom rail Is to be 1 1/2 inches above the deck floor.
Lowboy Fullview Style Is to have two 20 plates.
Lowboy Traditional Style is to have traditional style picket spaced approx. 4 1/2" apart.
_ Lowboy Contemporary Style Is to have contemporary style picket spaced approx. 4 1/2" apart.
DECORATIVE: Posts and post supporta are to be 20, fitted and bolted with 3/8 inch lag bolts. Railing cap Is 2x4
end Is 38 inches above the deck floor. Reil slats are to be made 1x8. The bottom rail plate is to be a 20 and is 1112
Inches above the deck floor.
Decorative Type A: Hand cut decorative designed 1x9 slate. A B C D
Decorative Type 8: Hand cut decorative designed US slats. y
_ Decorative Tye C: Hand cut decorative designed 1 x8 slate.
_ Decorative Type D: Straight cut slate 1x8 with 1/2 Inch apace between.
PRIVACY: Poste and post supports are to be 2x4, fitted and bolted with 3/8 Inch lag bolts. Railing cap is to be 8
Feet above the deck floor. Horizontal top, middle and bottom ledger stripe to be 2x4.
_ 1x9 Traditional Privacy rail with straight cut slats attached to the top and bottom plates. Slate are to be spaced
approx. 1/2 Inch apart.
2x2 Traditional Privacy rail with straight cut pickets attached to the lop and bottom plates. Pickets are to be
spaced approx. 2 Inches apart.
1x8 Contemporary Privacy rail with straight cut slats attached to the top rail plates and to the face o1 the
understructure perimeter. Slats are to be spaced approx. 1/2 inches apart
T 2x2 Contemporary Privacy rail with mitered cut pickets attached to the top rail plates and to the face of the
understructure perimeter. Pickets are to be spaced approx. 2 Inches apart.
StairMign=20
dlny And Walkway Soeelsca9ons
STAIRWAY: The stairway support stringers are to be 2x10'e. The rise per step Is to De 8 inches and
thata to be 91/4lnches wldp. Each tread le to be supported by a 2x2 mlteredcheet.The railing is tf consist
_ te, two center rails, top roll end rail cap. As appropriate, a stairway pad 48 inches (391nches forC3 feat
) by 18 1/2 Inches will ba set at the base of the atelre. Stelnvays over 9 feet In elevation are to Da
by 2 additional 2x4 support poets placed mid -way in the atelre along with 1/4 wind bracing.
EL STAIRCASE: Staircase Is to consist of laminated plywood stringers 41eet on center. There are ts.
treads (B i/2" rise with 141/2" tread) eonaisGng 012x8 perimalerapron end three recessed ^azo slate.,
The total width of staircases are to be
SINGLE STEPDOWN PADS: The rise for�the stepdown pad Is to be •31/2" .91/2" .8" .other. The
length of the stepdown pad Is to be � . Stepdown pads are to consist of perimeter apron with three
recessed 20 elate. Total tread size is to be 14 1/2".
CORNER STAIRCASE: Staircase istoset against acorner wing ondock. Staircase istoconsist of2z10stringers
_ with a US kick board at the base of each tread. The rise per tread is to bell inches end the tread Is to beg inches.
LANDING: The landing Is to be supported by.—posts) and footer(s). The understructure, decking and
railing Is to be the some as specified in the deck and railing sections.
WALKWAY: The walkway size Is to be feet long and is to project out 4 feet. The walkway Is to be
connected to the main deck and Is to be supported by footers. The understructure, decking. and railing is
to be the same as specified in the deck and railing sections. ACtDT85
Designer Deck Addendum Coltipued
Customer Name: 90 - It ►- C Date: age:
Deck Acceaeerlas: (Check as appropriate and Indicate size)
_Cantilever package —On Ground tree box (N.C.) —Beam Trellis
_Corner Wings mailing Beck Bench _Window Trellis
_—Piakab on Stair rails _Open Back Bench _(Wldth_proj._)
_Gab (Style:_) --Picnic Table —Open Weave U S.
_Corner Planter Box mall Table _Lattice Underskirt
_-Rectangular Planter Box un Trellis Closed Panel U S.
--ftilmount Planter Box ---(Width:---Projection: _) —Post Gussets
Free Standlna Deck and or Landing: Elevation:
--Extra Post (a) and Footer (a) Feet of Extra Raping
Custom Cueing Work:
_Ut11Ity Meter Notching w/cover _Modules to be custom cut
—Utllity Meter Notching wo/cover ---Modules out around tree
_Custom Sizing (No. of Mod. Dub—) --lallings
_Custom Fill In (Sq. Ft.:-----) —Other
Tear Out and Excavation Contractor to Haul away: Yes • No
�i*move Existing Wood Deck --Repair Masonry/Conerete/Flash
WIdn1----Proj- rlev—
save Awnings. Roof. o< Excavation (Moura:
--Remove Existing Concrete Stepa/Landlnp other.
Width_Pro►..Wtw._
'NOTE If after the old structure (i.e., old deck, concrete stoop, etc.) Is taken down and any unforeseen damage
Is discovered such ea rotten wood, cracked or chipped masonery/bricks, and/or other structural work that must
be repaired before the new deck can be Installed, there will be additional chargee made. t c= )
'NOTE: If the relocation of utility fines, meters, etc. is necessary the customer agrees to be responsible for the
additional costs. (Customer Initial)
Special Instructions and Dim ram of Deck: (Include location of house, size of deck, elevation, and location of all
accessories anp obstroctlons)
Elevation ► b }r a m t -.
Horizontal Starting Sterling Point (HSP) N.ynz; -
Vertical Starting Point (VSP)
ru�LDt 1 I I
, I — 3`a 4 7I�4iO a7 a On �C
C
�„gziy,v/o 1 to
PH D
' Pnrzr+ I�a�op. `(SP
Building Pe Y •� - o- - - -.- - - (Customer In1Ur1) Jurisdiction
Witnesses: •— --
L� 177 Owner. f •r /� . �, r� l
Date: ( Owner.
Directions to Job: (Give Main Cross Streets)
Aetorss
M
CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1991
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES YK
JOB ADDRESS �-,=- rJ
RATE SCHEDULE
The ;mdersigned hereby makes application for a permit for the work
Residential Rite TOTAL herein specified agreeing to do all work in strict accordance with the
Furnace Shell and Duct Work, Burner - city codes and ruling of the Building Division, and hereby declares
Also Replacement Furnace $20.)0 $ that all the facts and representations stated in this application are
'%, true and correct. ' Z -75 ,1991
Gas Piping (Niseded with new furnace) $ 10.00 $
OWNER
Gas Range $ 10.00 $
BUILDING USED AS
Gas Dryer $10.00 $
ESTIMATED COST PERMIT NO.
"Air Conditioning - All Sizes $ 10.00 $
All Others/Repairs & Alterations (LIST ON BACK)
1 % of Value of Appliance or Work $
Commercial/industrial
1 % of Value of Appliance or Work $
State Surcharge $ .50—
TOTAL FEE(LATI�10
31COOLINGIVEN
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $30.00
"Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air)
Trade Name Size' No.
BTU HP `EDR
Fuel Total Connected Load
Burner Trade Name SizeNo.
BTU HP EDR
HEATING COMPANY
Signed By 644 CIA' tel No. -75 `�7
-4 ZOO
Approved Bye,4//- Rough -In Date Final Date l 30 -
FILL OUT ACK SIDE FOR STACK VERIFICATION ON
REPLACEMENT FURNACE
CHIMNEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack:
1.
Has been carefully examined
Yes
( )
No ( )
2.
Is free from rust or deterioration
Yes
( )
No ( )
3.
Has no foreign objects lodged within
Yes
( )
No ( )
4.
Is securely supported
Yes
( )
No ( )
5. Meets all current Code requirements for
size and total BTU's connected Yes ( ) No ( )
6. Has total heating BTU's of
All other BTU's
TOTAL BTU's
Remarks
List Alterations Being Done;
R
HEATING COMPANY
Signed By
Date
SUBJECT
O.
City of Fridley
e�I�OW755__
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
1 ,
R
16 _ COMMUNITY DEVELOPMENT DIV.
�,: - ----
r � � PROTECTIVE INSPECTION SEC.
i /---1 CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
�j 612-571-3450
910-F15
4/9/91
JOB ADDRESS 5508 - 67th Avenue NE
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
10
7
Rice Creek 'Terrace Plat 4 SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Wallace Froehle 508 - 67th Avenue NE 571-1635
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.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
ka NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 12t x 184 Shed.
9 CHANGE OF USE FROM TO
STIPULATIONS
Shed must be.securely anchored to ground by either a foundation or
anchor ties,
TYPE OF CONST.
OCCUPANCY
GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
ZONING
S
. FT.
CU. FT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 80 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
ST
LLS 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
$875
$.50
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-
$23.00
Fire SC $.87
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLA CK FEE
TOTAL FEE
nl-
$24.37
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IOATEI
VtlHEN ROPE LY L A THIS IS YOUR PER IT
4�.�.IIATURE�
OF OWNER IIF OW BUILDER) IDATEI
g� INSP DATE
NEW Effective 1/1/91
ADM [ ] R-1 AND R-2
ALTER [ ] Building Permit Application
Construction Address: 7 4'S' (0 7 /i.."- �5.-� / o L % � ryn ry
Legal Description: 4 a T /a Q L 7 R/ c E
Owner Nam & ATess: U ),4z_ _ AC Tel.
:� /!r- E .
�W N
Tel. #
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVnia AIM: length Width Height Sq. Ft.
GRRAGE AREA: length Width Height Sq. Ft.
DDCR AREA: Length Width Hgt/Gro nd, Sq. Ft.
07HER: >Qg'
Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard -Setbacks
Type of Construction: Estimated Cost:
Approx. Completion Date:
Proposed Driveway Width If New Opening Is Desired: Ft. $ S
Width + 6' See Back Page
DATE: 11-�- °9 APPIZCANT: C�� �-f Tet. # Z 3 �jr--
Permit Fee $ -3 . Q�)
Fire Surcharge $ 7
State Surcharge $ s�
SAC Charge $
Driveway Escrow $
Park Fee $
Sewer Main Charge $
700 $
STIPULATIMS:
CITY USEY
Fee Schedule on Reverse Side
.001 x Permit Valuation (1/10th �)
$.50/$1,000 Valuation
$650 per SAC Unit
Alt. "A" or Alt. "B" Above
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
0
_0�,
BIP41MEHEATING
AIR CONDITIONING HOUSE HEATING TEST RECORD
%AND ELECTRIC.
INC.
ADDRESS—5 t/ C APT. FLOOR CITY SUBURB`
OCCUPANT OWNER
HEAT E DATE HTG. INST.
SOLD BYINSTALLED BY �CS IU VA V% ii'\
Electrical Work By % Gas Una By
TYPE OF HEAT GA FA >g HW STEAM_ SPACE HTR._ UNIT HTR._ OTHER
S DESIGN CONVERSION
MAKE 1 a to MAKE OF BURNER
Model ® Model
Serial Max. BTU Rating
INPUT MAKE OF FURNACE
THERMOSTAT
Valve --W—k
Limit
Limit Setting
Fan Setting
Pilot Type
Pilot Make _
Model
S 411
Heat Plug rr Vent Size
KIND OF LINER SIZE NONE
Draft Hood Regulator
Filters Size Number
Chimney Location Inside Outside
Chimney Construction
Pilot Model Smoke Bomb Wiring
Pilot Timing Draft Test Tag
L. W. Cut Off Door Pressure Lighting Inst.
Pressure 3—T Percent CO, Date Tested
Input CFH Percent O, ®° Company Testing l l�1 P
Stack Temp. `3 % Percent CO (� Name of Tester
Form 235
CITY OF FRIDLEY INSPECTION DIV.
Effective On January 1, 1993
6431 Unlversityi Ave NE
' Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES)
JOB ADDRESS 5(b 697L it u e ° 1\) k
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 $ 20.00
$®° b
representatioris stated in this application are true and correct.
,1993
Gas Piping (Needed with new furnace) $10.00
$
`_
��l
OWNER
-
Gas Range $10.00
$
BUILDING USED AS h® Yn
Gas Dryer $10.00
$
ESTIMATED COSTPERMIT NO.
*Air Conditioning - AD Sizes $10.00
$
•
DESCRIPTION OF FURN6„CE AND OR BURNER
All Others/Repairs & Alterations (LIST ON BACK)
I% of Value of Appliance or Work
$
No, of Heating Units Circle One (Steam) (Hot Water) (Warm Air)
Trade Name R � n A-17- Size No, 73 i SC AV ®� o
Commercial/Industrial
BTU f,64G6-b HP EDR
1% of Value of Appliance or Work
$
Fuels Total Connected Load -5 3, (rf,'(%
State Surcharge
$ 50
Burner Trade Name. Size No.
BTU HP EDR
TOTAL FEE
S_ 50
BLAME HTG, A/C & E° '=rT. INS.
13562 CENTRAL AVE. N.E.
HEATING COMPANY ANOKA 4
MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION
j�`J '
M
REFRIGERATION/AIR CONDITIONING PERMIT IS 615.00
Signed By Tei No.
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $30.00
Approved By7� Rough -in Date ' Final Date
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
FILL OUT BACK SIDE FOR STACKVERIFI, �110N ON
REPLACEMENT FURNACE
0
sue.iEet
ITN
City of Fridley
2807 0
AT THE TOP OF THE TWINS
BUILDING
PERMIT
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
CITY HALL FRIOLEY 55132
NUMBER
REv
DATE
PAGE OF
APPROVED BY
l J` 612-571-3450
910-FIS
1
10/1/98
JOB ADDRESS 508 67th Avenue NE
1 LEGAL
LOT NO.
BLOCK TRACT OR ADDITION
SEE ATTACHED
DESCR.
10
7 Rice Creek Terrace Plat 4
SHEET
2 PROPERTY OWNER MAIL ADORES$
ZIP PHONE
Wally Froehle
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Dale Cole Construction 6452 Bluebird Cir. Maple Grove
55369 559-2045 6907
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW O ADDITION O ALTERATION REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Reroof house and garage (23 S Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
SEPARATE PERMITS ARE REOUIREO 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 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
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
1971
$.98
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 O E F MA OF CONSTRUCTION
62,25
ire 1.97
PLAN CHECK FEE
TOTAL
Lice C
5.00
7 .20
SIGNATURE Of CON'RACTOR OR AUTHORIZED AGENT iDATEi
P PE 110AT IS IS YY07R PERMIT
S-GNATURE Of OWNER OF OWNER BWLOERi iDATE.
BIOG NSA
DATE
0
NEW [ ]
ADDN [ ]
ALTER [ ]
CITY OF FRIDLEY
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: J 0 ?1
Effective 1/1/98
Legal Description:�� (,
Owner Name & Address: Tel. #
Contractor: )91�'t - (f el, k C 6 /v, rF MN LICENSE # �� 7
Address: q',,- f 1'k, -5S34hel. #
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
GARAGE AREA:
Length Width
DECK AREA:
OTHER:
Length Width
_ Height Sq. Ft.
_ Height Sq. Ft.
Hgt/Ground Sq. Ft.
S�; %tJ1-D/'�
Construction Type: Estimated Estimated Cost: $ 6 6 l q %
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
DATE: /� -/ - � F APPLICANT: y� 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
$ 6,2. d S Fee Schedule on Reverse Side
.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 [ ]
11
SuBJEGT
E
City of Fridley
28382
THE TWINS
57Z-3604
BUILDING
PERMIT
RECEIPT NO
`
`v _ ____ COMMUNITY DEVELOPMENT DIV.
INSPECTION SEC.
r PROTECTIVE
1 �
= CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED By
612-571-3450
910415
10/22/98
JOB ADDRESS
508 67th Avenue NE
1 LEGAL
LOT NO, BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
10 7
1 Rice Creek Terrace at 4
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Wallace Froehle
571-1635
3 CONTRACTOR MAIL ADDRESS
425-4737
ZIP PHONE LICENSE NO
Twin City Exteriors Co I99369-40141
2939
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW 0 ADDITION 0 ALTERATION Mc REPAIR 0 MOVE 0 REMOVE
8 DESCRIBE WORK
Fascia
9 CHANGEOFUSEFROM
TO
STIPULATIONS
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
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
ISTALLS
GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
1500
.75
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
$48.50
Fir SC $1.50
PLAN CHECK FEE
TO TA F E
Licens C 5.00
.50
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
NOP
ALIDAT
IS IS YOUR PERMIT
O�
+
SIGNATURE Of OWNER OF OWNER BUILDERI IDATEI
BLO INS
- TlAfE
11
NEW, [ ] Effective 1/1/97
ADDN �[ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress:
� a
Legal Description:
Owner Name & Address: hi i --A"� ,c,L,L Tel. #-
Contractor: MN LICENSE #
Address: 4 &.?Tel. # 6/a
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF EMPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER:
Construction Type:P:�'S o / q- Estimated Cost: $ / S-®®
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
v J
DATE: (9- / - O APPLICANT: Tel. # �Id 5-4?27
SV CITY USE ONLY
Permit Fee $ 1? Fee Schedule on Reverse Side
Fire Surcharge $ f sd .001 of Permit Valuation (1/10th%)
State Surcharge $ �� $.50/$1,000 Valuation
SAC Charge $ $950 per SAC Unit
License Surcharge $ 67� CC-) $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 Neces
TOTAL $
FJ `,
7,5b-
TI
��
TI
S PULATIONS:
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572-3604
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTALLFD ON FACH FI OOR
Effective On Jan 1, 2000
® � 2' •~ ® a -Sk
®
�
gR
� •�•
z .^.:SQ'
, �R
ri�.C�i�
? �®
_�
PLUMBING FIXTURE RATES:
New Fixtures
Old Opening, New Fixture
Beer Dispenser.
Blow Off Basin
Catch Basin
Rain Water Leader
Sump/Receiving Tank
Water Treating Appliance
Water Heater -Electric
Water Heater - Gas'*
Gas Range'*
11116111111111111 W14
Gas Dryer'*
Back Flow Preventer Required ( )Yes () No
Type
$ 7.00
$ 4.00
$ 5.00
$ 7.00
$ 7.00
$ 7.00
$ 7.00
$10.00
$ 7.00
$10.00
$10.00
$10.00
$15.00
Reinspection Fee $47.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
State Surcharge
TOTAL FEE
�;_68 &/? 94jec XJL
TOTAL JOB ADDRESSfMXC O"s 6L301E 12_
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 fluilding Division, and hereby declares that all the facts
,and representations stntM in this true and correct.
FALK, TANIA/KENNETH � ®�
508 67TH AVENUE NORTHEAST 20
FRIDLEY, MN 55432 —
(763)502-7691
Owner _
Building Used As �e'6I1)4g.kY cz
Estimated Cost �_ PERMIT NO.
_l�
PLUMBING COMPANY 01�loJL.� L (111?G'aiAJ
SIGNED BY TEL N0. Z` Z
Approved By _Z�2ough-In Date Final Date
$ .50
MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20 00
$M-5510 PLUS THE 5.50 STATE SURCHARGE
COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE
COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When replacing an existing furance, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions,
and is securely supported and firestopped where required. Yes () No ( )
The venting:, system is, plastic/PVC and meets all current codes and manufacturer
specifications .including sizing, length, number of elbows and termination. Yes( ).No(.
)
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturer's specifications. This dries
include AGA-GAMA Category I Central Furnace Venting Tables for fan
assisted and natural draft appliances. Yes () No ( )
The existina combustion air is sized and installed to meet the current codes
and manufacturer's specifications. Yes () No ( )
When required to install a new combustion air, it will be sized and installed
To meet the current codes and manufacturer's specifications. Yes () No ( )
When installina a new venting system, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturer's
specifications. This does include AGA-GAMA Category I Central Furnace
Venting Tables for fan assisted and natural draft appliances. Yes () No ( )
Is the common vent and vent connec.:ors sired and installed cora: ctly after
an appliance.has been -removed from the common vent and vented
separately as';per current codes. Yes( )No(
)
Appliance Type and Size/Common Vent and Vent Connector Information
Appliance #1 Type
BTU Input
Fan Assisted or Nat
Appliance#2 Type
BTU Input
Fan Assisted or Nat
Appliance #3 Type
BTU Input
Fan ,assisted or Nat
Total Appliances
Total Btu Input
Common Vent Type
Vent Height
DiarS eter inches
Appliance #1 Vent Connector Height
ft Length
ft Diameter in Type
Appliance #2 Vent Connector Height
ft Length
ft Diameter in Type
Appliance 03 Vent Connector Height
ft Length
ft Diameter in Type
ALTERATIONS: (Describe)
HEATING Cb:
Signed By: Date :