PRE 2010 DOCSCity of Fridley
SUBJECT
PE O.
® 142
AT THE TOP OF THE TWINS
BUILDING
PERM I T .
r
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
ti.
r PROTECTIVE INSPECTION SEC.��
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
�•"' ,'1 612-560-3450
910-F15
7/14/77
10B ADDRESS 1581-83 73rd Avenue N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
3
2
DeLeier Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Donald Leier 519 -3rd Avenue N.W., New Brighton,
Mn.
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Leier Construction Same
633-4335
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO.
3Q ,@Ali NOTICE TO CITY E
6 USE OF BUILDING
DIN: fUIRED FOR CU
Residential
7 CLASS OF WORK
X NEW ❑ ADDITION [I ALTERATION ElREXf
D& Ay El8
Al
DESCRIBE WORK
Construct a 44' x 24' Double Bun alow and a 26' x
23' Garage
pF 'A"�E t RMiTS R YUM Fri WIRfNC.
Se
9 CHANGE OF UPLUMBINGAND-IMNS•TO
STIPULATIONS Provide sod in the front and side yards.
Provide a verifying survey
before capping. Provide a hard surface driveway.
Provide copy of truss
design to City. Increase garage size to provide minimum 600 square feet of
floor space.
SEWER LOCATION: (Approx. 16' Deep W/0 Existing 6'
Riser) 149' W. of Manhole
(Inv. 887.12) WYE ELEV: May not be extended to property line - expose service
to establish. top of footing elevation.
WATER LOCATION: MUST BE TAPPED 12" CIP Watermain
5' to 8' South of south line
of lot.
DRIVEWAY DEPRESSION COST: Alt. "A" 16' + 6' x $11.75 = $258.50a asHGi
Or IEY SOU WO► GQAkWW I
Accu = r�
fsca di �inR tali local iittil
,�ctr .1 :1caG►ttow .>+� UWAftoNS.
r- 4 DATA IS' °fOR 31Nf04MAT10N
- ELECTRIC,.- 64 E
fK'a�sas, -oki AM,
TELEPHORE
>:.:Y;� N5 USING .rt- a�OULD vaA
1�. Tits .�-o+UaAnora
t�IR�� �Y LII
Ni
SEPARATE PERMITS XRE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST.
OCCUPANCY GROUP OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING. Wood Frame
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING
SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION R-2
1114 + 610 27, 916 Total
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 2
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 $35, 815
$17.91
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- $111.66
$750.00
STRUCTIO THE PERFORM CE OF CONSTRUCTION.
a PLAN CHECK FEE TOTAL FEE
7 $ 27.92 $907.49
SIG U EOFC NTR CTOR RAUTHORIZEDAGENT (DAT) WHEN PROPERLY
VALIDATED THIS IS YOUR PERMIT
J'.�(,
/rte'✓ -i
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) BLDG )NSP
DATE
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CITY OF FRIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS.
(NEW, ALTERATIONS, ADDITIONS, OR REPAIRS)
OWIIER: BUILDER: LEI cc J� a� o A J
Address: 5�C( NJ P.
tk®) Address:.6/9 �&(
i3e� b'kGVt \C Q Tel. No.: 6 4 {s2
No.:Street: /a�nCQ L�C�1i�► fL ,Q
LOT: BLOCK: ADDITION: y &D.P j r/ t! 4)
CORNER LOT: INSIDE LOT: SETBACK: SIDEYARDS: 4
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
O
DESCRIPTION OF BUILDING
To Be Used_As:
-Front: 44 P_j_Depth: Height:
Square Feet: �� Cubic Feet:Aq `Z 0
Front: Depth: Iieight.
Square Feet: 6�CuCbic Feet: 40 /d
Type of Construction: Z Estimated Cost: $_ah
c� .s �
To Be Completed: IC ��j� 'l �� �/J • '�
® AltVAAlt. B
Proposed Driveway Width If New Opening Is Desired t 1 $
16 +- , A // 75 (SEE REVERSE SIDE OF SHEET)
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City of
XFridley 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: See reverse side for additional) information.
DATE: SIGNATURE: Off.
Stipulations: 7� //J. h
3.
,4-^ OkAk 2
A
FAMIOR ENVELOPE AVERAGE OUR COMPUTATION
OWAER PIAN NO, �J L
SITE ADDRESS
PHONE
Determine working square footage of each
u
1. Total exposed wall area.....sq.ft. x 5
2. Total roof/ceiling areae •000. sq.ft. x
3. Total floor/cant. area... ... • sq.ft. x
Total exposed wall area above floor
a• Total wall window area........o•oo..o.....o.• Z14P 4G
be Total door area••...•...•se.o...eo.........•o
o. Total sliding glass door area.000..00.000....
do Total fireplace wall area..o•o.000000.o..000.
®o Total wall framing area (average 10%)000.•o..
f. Total net wall area above floor.000.00.oeoo..
go Total rim joist areao.....o..o®...o.00000000..
Total exposed foundation area to &
a
h. Total foundation window area•o..o...00•.o.•0: ®..®
i. Total net foundation area above grade.....00
Determine OUR value of each wall segment
a. x "II"
b. x "II"
cx "II"
.
40
d.
x
nun
e .
x
"II"
f •
x
Run
g.
x
"II"
h.®
i.
x
x
"II"
"U"
�s
4.•...o.......00.o.o.......o..o...o.. Total
If item #4 is the same as, or less than item #19 you have met6
the intent of SBC 6006(o)2.
.
. . .
Total exposed wan area above floor = gon PI AS—)
a. Total wall window area .........................
b. Total door area ................................
o. Total sliding glass door are8..................
d. Total fireplace wall area.. ....................
e. Total wall framing area average 100.0 ........
f. Total net wall area above floor ................
g. Total rim joist area.00009000000000000000000
Total exposed foundation area =
h. Total foundation window area ...................
i. Total net foundation area above grade..........
Determine "U" value of each wall segment.
a. X "U" _
b.. 8 2 X "U"
c. X "u" _
d. X "U" _
e,
4(A X Or
f. INs8 X"u"
g, X "U" _
i. X "u" _
Subtotal
4 < J•
Total exposed roof/ceiling area 11'3 (.v
J. Total skylight area....,.........e.......a...............
ke Total roof/ceiling framing area (aver, (.10016"o/c)e.r..
(.062,'24"o/c)...
1* Total net insulated roof/ceiling areao*.000000*.*.....•
Determine "U" value for each roof/ceiling segment
io x "Un s
k• 771 x "U" _
1 • ZQ&5 x "U" 7� =
5••••ese••oee,••,eeo.ee••,eee,eoeeoeees,.sseeo..o.• Total = 4 s Z
If total of #5 is the same as, or less than #2, you have met the
intent of SBC 6OO6(c)'1.
Total exposed floor/cant. area
m. Total floor/cant, framing area (average *10%).400060804
n0 Total net insured floor cant* area,.,o,.o,*,o,.,00.o.o
Determine "U" value for each floor/cant. segment
Me- x "U" _
n, x "U" ffi
6•••000eo6ee,6e6e6,s6.6e6se0oe*.••o000640060.e6e0oe Total =
If total of #6 is the name as, or less than #39 you have met the
intent of SBC 6006(0)3.
ALTMWATE BUILDING ENVELOPE DESIGN
To utilize the total envelope system method, the values established
by the sum of items #49 $5 and $6 shall &d be greater than the sum
of items #11, #2 and #30
Prepa
Date
CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
PARTIAL RATE
SCHEDULE
N
NO.
RATE
N•i:Wer Fixtures
m
$3.00
Future Fixture Opening
x
o
New Fixture, Old Opening
%
m
Catch Basin
Water
$5.00
water Heater - to 99,000 BTU
Z x
$5.00
100,0J0 BTU to 199,000 BTU
x
$10.00
r.
G
x
$7.00
New Ground Run Old Building
J
$5.00
Electric Water Heater
0
$5.00
0
N
u
0
$4
a
O1
A
p,
W
Heater
v
.,
�+u
,
-+
M
y
c
ou
N
.+ r3
$4
v
u
a
cAOO
m W
0.
a
$+
O
O
+�
N
O
O
B N
I w
N
N
w
d
+J
-
u
u
m
ro
m
rd
m
-A
v�
ro
3
N o
Q w
c
ua
w
(aro
U m
o ro
•x
Idco
0
X
c�
o
as
lec
2
2
Z
2—
Z
1st
L
2nd
3rd
4th
(R) = Future Connection Opening
Connected with Sewer
(*) = ::ew Fixture, Old Opening
Water
PARTIAL RATE
SCHEDULE
FLUMEI`iG FIXTUi(Fi RATES:
NO.
RATE
N•i:Wer Fixtures
/o� x
$3.00
Future Fixture Opening
x
$2.00
New Fixture, Old Opening
x
$2.00
Catch Basin
x
$5.00
water Heater - to 99,000 BTU
Z x
$5.00
100,0J0 BTU to 199,000 BTU
x
$10.00
Water Softaner
x
$7.00
New Ground Run Old Building
x
$5.00
Electric Water Heater
x
$5.00
GAS FITTING FEES:
1st 3 fixtures
Additicnal Fixtures
Gas Ra: -ye to 199,000 BTU
REPAIRS $ ALTERITIONS
First 5100.00
each aol. $100.03 or fraction
x ' $3.00
X $1.00
- x $10.00
$5.00
$2.00
State Surcharge
TOTAL FEE
REINSPECTION FEE
($10.00)
TOTAL
$
Job Address _ 16—el
Department of Buildings
City of Fridley
Tel. #571-3450
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the City Codes
and rulings of the Department of Buildings, and hereby declares that all
the facts and representations stated in this application are true and correct
C.O. Mn. �+ �� — , 19 7 7
OWNER 4 Lc -1 C4 rg-11 J % C.- O .
KIND OF BUILDING
USED AS
TO BE COMPLETED ABOUT
ESTIMATED COST
OLD NEW UILDING PERMIT NO. PERMIT NO.
Company �[
Signed By G
Tel. No.
ROUGH INSP.
Date
FINAL INSP. %
' Date
APPROVAL FOR PERMIT
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE
w
CITY OF FRIDLEY 3�3 Effective Date May 1, 1988
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND
AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
RESIDENTIAL RATE TOTAL
Furnace Shell and Duct Work,
Burner (Also replacement furnace)
Gas Piping
(piping needed with new furnace)
Gas Range
Gas Dryer
* Air Conditioning (all sizes) 4 $ 10.00
All Others/Repairs and Alterations
1% of Value of Appliance or Work
$ 20.00 $
$ 10.00 $
$ 10.00 $
$ 10.00 $
COMMERCIAL/INDUSTRIAL
18 of Value of Appliance or Work
State Surcharge
TOTAL FEE
Reinspection Fee ($15.00)
Rough Insp.
Date
Final Insp.
Date
Approval for Permit
MINIMUM FEE FOR ANY HEATING PERMIT IS $15-00-
PLUS
15.00PLUS $.50 STATE SURCHARGE
*Air Conditioners can not be placed in side yard without
written permission from adjoining neighbor.
"%�,�li i
L,
Q j
Job Address 681 1 3-4 , 0, E,
Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432
City of Fridley
Tel. #571-3450
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the City Codes
and rulings of the Department of Buildings, and hereby declares that all the
facts and representations stated in this application are true and correct.
KIND C
Fridley, Minn. i� , 19
USED AS
TO BE COMPLETED ABOUT
dC7
ESTIMATED COST r� WQ ,
OLD - NEW BUILDING PERMIT NO. PERMIT NO. D
DESCRIPTION OF FURNACE/BURNER
HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No.
Trade Name Size No.
Capacity Sq. Ft. EDR BTU HP
Total Connected Load Kind of Fuel
BURNER - Trade Name Size No.
Capacity Sq. Ft. EDR BTU -' / HP /
Company AYo/^o, T/� ��Ll)(, F
Signed By / i left / v
Tel. No. (�
Fill out back side for stack verification on replacement furnaces
CHIM14EY 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 connected
Yes ( )
No ( )
6. Has Total heating BTU's of
All other BTU's
TOTAL
Rema rk s
Company
Signed By
Date
SUBJECT
City of Fridley
26854
AT THE TOP OF THE TWINS
BUILDING
PERMIT
RE
COMMUNITY DEVELOPMENT DIV.
� � V
PROTECTIVE INSPECTION SEC.
LT/
��
r
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
jk j 612-571-3450
910415
7/28/98
JOB ADDRESS
1581 73 Ave
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
3
2
DeLeier Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
M. Gary Muske781-1340
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
David Hursh• Hursh Land Co
980-8401 20090414
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO.
8 USE OF BUILDING
Residential Duplex
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION IN REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE&O
Reroof �tval�s-Ee and garage (21 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
$1751
.87
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-
STRU TION T PEFjFJOFjJ�ANCE OF CONSTRUCTION.
$56.75
Fire SC 1.75
i91
�Q� (��G�Jr',%cC JL/
PLAN CHECK FEE
License SC $5.00
TOTAL FEE
1$64.37
SIGNATURE OF TRACTOFIORAUTHORiZED, GENT ATEi
—X,�HEN PROPERLY
V ATED THIS IS YOUR PERMIT
% �7
/ r>r�`f/
BLDG I SP
c �G
OA rL
_
S.G ATURE OF OWI ER OF OWNE 1 BUILDERI DATES
NEW [ ]
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICA- ION
ConstructionAddress:
in
Effective 1/1/98
X10
Legal Description:
Owner Name Address: Tel. # W&1(3 SSU
Contractor: MN LICENSE #,Z® %®
Address: A577.1 Tel. #!moi -
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:
Construction Type: 1 Estimated Cost: $
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: APPLICANT: Tel. # 7?1—l�y�
CITY USE ONLY
Permit Fee $ r S Fee Schedule on Reverse Side
Fire Surcharge $ % .001 of Permit Valuation (1/10th%)
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
$ $.50/$1,000 Valuation
$ $1000 per SAC Unit
$ . O $5.00 (State Licensed Residential Contractors)
$ Alt. "A" or Alt. "B" Above
$ �2 f-/ D d-)
$450.00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
MECHANICAL
permit No.: 2V2200
Building
Inspections
RESIDENTIAL APPLICATION
Received By:763-572-3604
D °PE
CITY OF FRIDLEY
DATE L YOUR E- L ADDRESS
SITE ADDRESS
THIS APPLICANT IS: ❑ OWNER CONTRACTQR
PROPERTY
OWNER/
NAME:
STA,' ZIP��
TENANT
ADDRESS:
.�5
PHONE:
CONTRACTOR
COMPANY NAME;
SUBMIT A COPY OF,
_
CONTACT PERSC� .. 410 WEST LAKE STB;:F:T
MN 55408
?kj*
YOUR STATE
STATE LICENSE #
STATE ZIP
LICENSE WITH
ADDRESS:
APPLICATION
P31NE FAX
PERMIT TYPE
SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK:
❑ NEw XREPLACEWMNT 0 ALTERATIONIREMODEL
DETAILED DESCRIPTION OF WORK
PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the
improvement, installation or replacement of a residential fixture, excluding the fixtures.. (This should reflect only the cost of labor)
Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x .05 -
FOR PROJECTS WHERE LABOR EXCEEDS $500 ARE BAS D ON $10.00 PER FDCTURE, EXCEPT WHERE NOTED. FLXTURES:: ((IINDICC,A�TEE TOTAL
NUMBER OF EACH BELOW)
MODEL:i SIZE/BTU.
Equipment Installed MFG.
MFG: MODEL: SIZE/BTU
MFG: MODEL: S=BTU
A/C $25.00 FIREPLACE (GAS) $15.00 GAS RANGE/OVEN $10.00
NEW GAS GRILL $10.00
AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00
—BOILER $35.00RNACE $35.00 GAS UNIT HTR $10.00
.DRYER
CHIMNEY LINER $10.00 GAS$10.00 POOL ABATER $35.00
VENTILATOR $15.00
DUCT WORK $10.00 GAS PIPING $10.00
Permit Fee $
Number of fixtures @ $10.00 x $10.00 = $
Surcharge $ .50
Number of fixtures @ $15.00 x $15.00= $
Number of fixtures @ $25.00 x $25.00 = $
TOTAL DUE $
fixtures @ $35.00x $35.00 = $
Number of
State Surcharge = $ 50
Total = $
THIS IS AN APPLICATION FOR A PERMITNOT 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
Minnesota Construction Codes; that �I understand this is
conformance with the ordinances and codes o City of Fridley and with the
is not to start without a permit; that the work will be in accordance with the
not a permit but only an aP n r a an work
approved plan in the of hich s view and approval of alans.
�»a
ATE l l o
SIGNATURE OF APPLI
REQUIRED INFORMATION NEEDED TO PROCESS PERMIT
RESIDENTIAL PERMIT APPLICATION HVAC
❑ NEW HOMESIADDITIONS EXISTING HOME ❑ MAKE-UP AIR
REQUIRED FOR NEW/EXISTINR, 01 �5
1. Combustion Air (See note belotsv)� j' y
a. Oil or solid fuel IMC Chapter 7 with MN Amendments
b. Natural Gas or PropaneUGC Chapter 3 with MN Amendments
2. Make-up Air (See note below)
a. IMC Chapter 5 with MN Amendments
3. Venting
a. Gas appliances 1FGC Chapter 5 with MN Amendments
b. Fuel other than gas IMC Chapter 8 with MN Amendments
REQUIRED FOR NEW HOMES
4. Heat loss & cooling load per room
a. Required on new construction IMC 1346.0312
5. Ventilation
a. Per MN Energy Code 7670 or 7672
6. Duct Design Per IMC 1346..0603.2
a. ACCA Manual D
NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for
combustion and make up air calculations