P - 43651' Building
'I Inspections
' 763-572-3604
763-502-4977 FAX
BUILDING
C OMME RC�IAL�INDU S TRIAL
CITY OF FRIDLEY
EFFECTIVE 7-1-2010
DATE � 7. ��j ��� YOUR E-MAIL ADDRESS SV hY'ifS-�
SITE ADDRESS C� J'' _ �^,`�.��
TENANT r'L%Cc ���. P y� Suite N
PermitNo.:�-���� ��` �!..�
Received By;�'
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OWNER NAME: ��G. L 2- L't ,� � Ci' O�
ADDRESS: CITY STATE ZIP
ARCHITECT
* NOTE: CITY
LICENSE REQUIRED
COMI��IERCIAL,
INDUSTRIAL AND
MULTI FAMILY
PROPERTY TYPE
TYPE
PLEASE SUBMIT:
PHONE:
NAME: i��l S/`� �1 C9 e�% �Yl.�,dl�
ADDRESS: lD:S9 fP Li q T/�l .�'Zl. %�� CITY�'ifL�����ATE �/�IP �.��(,/
NAME: .? �i"C%��J"�, �? ,S - - —
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ADD S� � � t�. �'.t? L: v 1c2 :. _ .. �� „S1� lC�t��,� ���ATE: �/r�lP .�� �
P ._ �. j Z _ �'�� ` i7 �� � � FAX
❑ TOWNHOUSE �C] COMI��RCIAL/INDUSTRIAL ❑ INSTITUTIONAL
❑ MULTI-FAMILY
❑ ADDITION ❑ NEW CONSTRUCTION ❑ OTHER
�iREMODEL ❑ ROOF ❑ SWIMMING POOL
1. 4 SET SETS OF DRAWINGS 5. CONTRACTORS OR LICENSE 8. l SET-DIGITAL OR ELECTRONIC
2. SURVEY/SITE PLAN LICENSE APPLICATION PLAN
3. LANDSCAPE PLANS 6. SPECIAL INSPECTION SCHEDULE
4. ENERGY CALCS 7. PERFORMANCE BOND AMOUNT $
BUILDING TO BE USED AS: OFFICE sF WHS
TOTAL SIZE: STORIES FIRE PROTECT:
DESCRIPTION OF WORK � r� Ve�^
sF OTHER sF
(Y/N) AC(Y/N)
�c c�a�.^ �v�-��eti �s
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 wiil be in accordance with the
approved plan in the case of all work which requires review and approval of plans.
SIGNATURE OF APPLICANT :�Q L�f` , __ I�����.4�/PRINT NAME: V� Si Li �j �/'LLS vN`��TE: �/, vp .�G7
ALL 1�E9iARE BASED ON VALUATION
Sq. ft. x$ Cosdsq. ft. = Valuation $
Sq. ft. x$ Cost/sq. ft. = Valuation $
Sq. ft. x$ Cost/sq. ft. = Valuation $
TOTAL JOB VALUATION: $_ '" � S7� .°�- US '� OCCUPANCY,� _ l TYPE V-se�
Permit Fee
Plan Review
Fire Surcharge
Surcharge
SAC Charge
Erosion Control
Park Fee
Special Assessments
Total Due
�-����
$ r� 5, See Back Page for Fee Schedule
$ 65% of Building Permit Fee
$ .001 times the total job valuation
$ " b .0005 x Permit Valuation Minimum $5.00
$ $2100 per SAC Unit (Plans to MWCC for determination)
$ $450 Conservation Plan Review
$ � Fee Determined by Engineering
$ Agreement necessaty ( ) Non Necessary ( )
$ G� Gj Make checks payable to: City of Fridley Attach
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Date:
Address:
Projec�
Cont'ractor.
Fire Department Building
August 9, 2010
5290 - 3� Street, N.E.; Apts 202 - 204
Convert two one-bedroom apartrnents into one
Sunrise Contracdng, Inc.
SuGiect T�
�VE�
Dat���
� Fina
;1011 �
Contractor shall be familiar with this review doctunent and contents prior to inidation of work. The
conditions contained herein shall be considered as requirements for the proposed projec� A written
response or additional documents may be necessary and are due prior to initiation of the Final Inspection
and approval for issuance of the Certificate of Occupancy or Fire Departrnent permit completion. You may
contact the Office of the Fire Marshal at (763) 572-3621 for additional information.
1. Demolition and construction activities shall be governed by requirements of 2007 MSFC C�apter 14, Fire
SafetyDuring Demolition and Construction, and NFPA Standard 241 (2000), Standard for Safeguarding
Construction, Alteration, and Demolition Operations.
2. Provide inforn�ation concerning combustible interior #inish materiaLs used for this project. Interior finish
materia]s shall be classified as required by2007 MSFC Section 803 as to flame spread and smoke
development characteristics. Interior wall and ceiling finish shall have a flame spread index not greater than
that specified in 2007 MSFC Table 803.3 for the group of proposed occupancy and location of interior
finish. Please furnish product specification sheets listing tivs information.
3. The required fire-resistance rating of rated construction shall be maintained. Openings through rated
construction for the passage of wiriiig, sleeves, conduit, piping, etc. shall be protected by repair with
approved materials which maintains the rating of the construction damaged, altered, breeched or penetrated.
(2007 MSFC 703.1)
4. Single or multiple station smoke alartns shall be installed in dwelling units in accordance with 2007 MSFC
907.3.6.
5. If disconnection or repair of utilities in either unit is required, the work shall be performed by a certified
contractor after first having obtained a permit from the Cit�s Inspection Department.
6. Construction activities shall also be compliant with Fridley City Code Chapter 220, Residential Rental
Property Maintenance and Licensing Code.
7. Following completion of construction and approval of systems requ,iring Fire Department constniction
permits, the Fire Maxshal will participate in a Certificate of Occupancy inspection required prior to tenant
occupancy. Please notifyCityInspections or the Fire Marshal Office for that inspection.
Project Submittal Reviewed for Fire Code Compliance by Ra1ph Messer, Fire Marshal