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AF - 38058SUBJECT • City of Fridley 2 5 41 1 AT THE TOP OF THE TWINS g U I L D i N G P E R M i T r � ` RECEIPT NO. � • COMMUNITY OEVELOPMENT OIV. r � V ' � PROTECTIVE INSPECTION SEC. � � 1 � � � �'�"1 � CITY HALL fRIDLE� 55132 NUMBER REY DATE PAGE OF APPROVED BV �""'� � �'' 612-571-3450 910-F15 8/25/97 � � JOB ADDRESS 185 Christenson Court NE t LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 33 2 Christenson Crossing SHEET 2 PROPEFiTY OWNER MAIL ADDfiESS 21P PNONE The Rottlund Co 2681 Long Lake Rd, Roseville MN 55113 638-0500 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS 21P PHONE LICENSE NO. 5 ENGINEER MAIL ADORESS IIP PMONE LfCENSE NO. 6 USE OF BUItDING Townhouse & Garage 7 CIASS OF WORK C� NEW ❑ ADDITION O ALTERATION O REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Construct a 26.33' x 30.33' Townhouse & a Garage 9 CHANGE OF USE FROM TO STIPULATIONS - See notations on plan. Paid $375.00 Park Fee. TYPE Of CONST. OCCUPANCY GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTqICAL, PLUMBING, HEATING, VENTILATING OR AIR CONOITIONING. THIS PERMIT BECOMES NULL AND VOIO IF WORK OR CONSTRUCTION ZONING SO, fT. CU. FT. AUTHORIZEO IS NOT COMMENCED WITHIN 80 DAYS, OR !F CONSTRUCTION OR WOpK IS SUSPENDED OR ABANDONEO FOR A PERI00 OF 120 OAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. OWLG. UNITS OFFSTREET PARKING I HEfiEBY CERTIFV TMAT 1 HAVE READ ANO EXAMINE� THIS APPLICATION 1 S7ALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yALUATION SURTAX AND OROINANCES GOVERNING THIS TVPE OF WORK WILL BE COMP�IEO �m�pgv�� WI7H WHE7HER SPECIFiEO HEREIN OR N07. THE GRANTING OF A PERMIT a}°J°'IIJ� DOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OR CANCEL THE pERMIT FEE SAC CMARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON• See 179 Christenson Court for Monies STRUCTION OR THE PEFFORMANCE OF CONSTRUCTION. �i PLAN CHECK FEE TOTA� FEE Si atuaEOFCON�R Oa AUTHOH�2EDAGENT �DATEi WHEN PROPERI ALiDATED 7HIS IS YpUR PERMIT / � SiCNA7UAE OF OWNEAiiF OWN BU�LDERi � iDATE� BLO �NSp �1tiTE �1 ' y Prepa id Plan C:hec�c :� Estirnated Cost $ Receipt # , CIT'Y OF kRIDLEY • • � I I �!' �I • : I►I 1. :� 1: : , BUII�Il�Y.' PECtMIT .alPPi.ICA'IION i,i:L`�.:��ve 3/1/96 . _ � , . . .. �. .t , .�.� � +�_ • • -•_ �- • • _� _i _ .� .r ]�:a �. �i�i� • - �.• - � � - • • •i . ��n _ 1 � • _!.. ,. ♦ ..� .�_. � � �• � � •� •.i- • • �� _ • - �.. - : f :r � G_� .� 1 �. u.�i -. • � . -- �.. — r � , � ',1 • I.� ► '—. � • � • • �• (` — s�• • � — • �— •— ►�' �"l/l ► �� . �, . ► � ► . I ' � �� - ; � � � • - ' - �_ /'� /I �� . � A ' . // - � ► � . ( BU17�DIl�G DIl�9.V5TCflVS Length �z �-Q'' Width �j2�-d" Height?��'.�.�, Sq. Ft.�_ # of Stories_� OFC. AR�,P,: L�ength Width Height Sq. Ft. WHSE ARF,F,: Length Width Height �q. Ft. OTf�R ARF,A: Length Width Height Sq. Ft . VALT�,TICH�T Sq. Ft ._�� x$ 5�i. 5� C�st/Sq. Ft .= va�uation $�2� s�. �. _�z� � � f �. � a c�stis�. �. = V�.�t�� $ z� q �� Sq. Ft . x$ Oost/Sq. Ft .= Valuation $ ) 'IC7I'AL VALUE Building vse'�E�I 17��1 f�L Construction 'I�pe��'� OccuPancY Group '� ��j Air Cbnditioning �Yes [] No Fire Protection Provided [] Yes �-No "fA+�}dH�ES Perforn�ance Bond Amount $ iJ � See Rev�rse for Schedule Received U Yes [] No Permi.t Fee $ Plari Check $ Fire Surchan3e $ State S�zrcharge $ SAC Chan3e $ Erosion Control $ Park Fee $ Spec. Assessments $ Driveway Escraw $ ZiOrTAL $ See Fee Schedule on Reverse Side In F�cess of Prepaid Amount - See Reverse Side .001 x Permit Valuation (1/lOth %) $.50/$1,000 Valuation (See Sched. for > $1 Million) $900 per SAC Unit (Plans to MWCC for detenninaCion) $450.00 Qonservation Plan Review Fee Detern«ined. By Ehgineer�ng Agreement Necessazy ❑ Not Necessazy [] feet x $13.50/foot i a $1 to 500 501 to 2,000 2,001 to 25,000 25,001 to 50,000 50,001 to 100,000 100,001 to 500,000 500,001 to 1,000,000 1,000,001 and up $1 to 2,000 2,001 to 25,000 25,001 'to 50,000 50, 001 to 100, 000 100,001 to 356,000 Over $356,000 BUILDING PERMIT FEE SCHEDULE $21 (Minimum Fee is $21 plus surcharge) $21 for lst $500 plus $2.75 for each addn'1 $100 or fraction, to and including $2,000 $62.25 for lst $2,000 plus $12.50 for each addn'1 $1,000 or fraction, to and including $25,000 $349.75 for lst $25,000 plus $9.00 for each addn'1 $1,000 or fraction, to and including $50,000 $574.75 for lst $SO,OOO plus $6.25 for each addn'1 $1,000 or fraction, to and including $100,000 . • $887.25 for lst $100,000 plus $5.00 for each addn'1 $1,000 or fraction, to and including $500,000 $2887.25 for the lst $500,000 plus $4.25 for each addn'1 $1,000 or fraction, to and including $1, 000, 000 , $5012.25 for the lst $1,000,000 plus $2.75 for each addn'1$1,Q00 or fraction PREPA,ID PLAN CHECK FEE SCHEDULE $29.25 $29.25 for lst $2,000 plus $5.85 for each addn'1$1,000 or fraction, to and including $25,000 • $163.80 for lst $25,000 plus $4.225 for each addn'1$1,000 or fraction, to and including $50,000 . $269.43 for lst�$50,000 plus $2.925 for each addn'1$1,000 or fraction, to and including $100,000 $415.68 for lst $100,000 plus $2.275 for each addn'1$1,U00 or fraction, ta and including $356,000 $1,000 (Balance due with issuance of building permit) PERFORMANCE BOND POLICIES When a building permit is issued for a commercial, industrial or a multiple dwelling residential project which requires outside improvements,a Performance Bond or a Letter of Credit shall be submitted to the City. The bond will cover all outside improvements, including but not limited to landscaping, irrigation, curbing, blacktopping, screening fences, lighting, and storm drainage systems. ralculation of bond amounts will be determined by the building permit values. The bond amount will be 3% of the building permit value up to a 2 million dollar project or a$60,000 bond. Actual amounts will be rounded to the nearest $100. The City reserves the right to require greater or lesser bond amounts based on unusual circumstances. Prajects with no outside improvements, generally will not require a bond. Bonds must remain open until the project is fully completed. All bonds will be held over one winter and through the next growing season to insure the survival of all landscape installations. The City will then inspect these properties in August of the year following the initxal planting. Bonds may then be released in October of that year if all improvements are satisfactorily completed. .. d „ ,� CITY OF FRIDLEY INSPECTION DIV. 6431 UniversRy Ave NE Fridley, MN 55432 572— 3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On January 1, 1998 G PLUMBING FIXTURE RATES NO. RATE TOTAL 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** �_ ��*• �;^;�-��lG...� � Gas Dryer** Back Flow Preventer Required (}Yes (} No Type $ �.o0 6, G� $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $� o.00 /'b, bv $� o.00 /O. D� $10.Q0 $15.00 JOB ADDRESS / �� 5�/�-+� cs � �CG� 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 Building Division, and hereby declares that all the facts and representations staied in this application are true and correct. Owner ,� Building Used As Estimated Cost PLUMBING COMPANY �/ ,� , 1998 � �i�� PERMIT NO. / �� I//c�C+✓fL✓i � � Reinspection Fee $42.00/Hr SIGNED BY _�� '��*'�'� TEI. N0. �o�' � ALL OTHERS AND/OR REPAIRS AND ALTERATION3 1.5% of Value of Fixture or Appliance �� G� ' Approved By Rough-ln Date Final Date� �(_ State Surcharge $ .50 MINIMUM FEE F R ANY PLUMBING GAS PERMIT IS �20.00 TOTAL FEE $_Lv�+�.r U PLUS THE 5.50 STATE SURCHARGE **COMBUS110N AIR SHALL BE PROVIDED PER UMG SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SQ INCHES. :: _ _ �" �. � _ �'�'��;i �.� �"! - • � �- HOIjSE HEATING TEST RECORD .k ; ; '. ---�:-- --- , ; ; � DD e § � �! ` � � "1 "" `� APT. FLOOR CITY �SUBURB OCCUPANT �� Y - '- - OWNER HEAT LOSS DAT TG. INST. � "` SOLD BY � INSTALLfD BY � E'�I�ctrieol Wor By " � � Gos Li�� Br ;i` TYP� OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER '` AS DESIGN CONVERSION MAKE MAKE OF BURNER Mod�l ,_.- Model r ;" S�r+ol Ma:. BTU Roting r (NPUT MAKE OF fURNACE Model CONTR0�5 , ' j� .� THERMOSTA�"F'�ir� H Jvy '�"_� Vent Size Volvs KIND OF L(NER SIZE� NONE LiMit � Droft Hood , r ,; � s9ulator //�#'T� � � Liinit S�tti�y _ Filters Size umber Fon 5ettinQ _ �� Chimnsy Location �(rtsidi Outsids Pilot Type Chimn�y Gonstruction Pilot �►loke Pilot Model � Smoke Bomb _ Wiring � Pilot Timing '� — Draft f Test Tay L.W. Cut Off ! rJ Door Pressuro Lighting Inst. 'l, ._-- , .� � Pressure ��resnt CO2 �� Dote Tssted -- input CFH Peresnt OZ Compony Testing , �f "; � Stoek Temp. ��3 : Peresnt CO Ncme of Testsr � � ` � / Form 235 '_ ta C,,, ` f , f ��. i, � CITY OF �AIpLEY INSPECTION OIV. 6A31 Univ�er�i� AVe N� Fridley, MN 55432 572 -3604 RA7E SCHEDUIE Residentia( `� �`L-- .0 !f iva On Ja��uary I, I 9JT APPUCATION FOR POWER PUINTS AND tiEATING, COOLING, VENTILATION, HEFRIGERATION ANO AIR CONOITIONING SYSTEMS ANO DEVICES Furnace Shel) and Duct Work, Burner - Also Reptacement Furnace (Side Vent - Fill Out @ack) Gas Piping (Needed wilh new (umacej Gas Aange Gas Dryer "Air Conditioning - All Sizes Rale $ 30.00 $ t0.00 $10.00 $ f 0.00 � 25.00 TUTAI $ I �3a . $��`� 3 $ $�j,�.� Al101he�slRepai�s 8 Alterations (UST ON 8AC{� - 1q of Value of App(iance or Wo�c - $ CommercialJlndustrial 1.25% ol Value o( Appliance or Work $ . ' � , • Slale Surcharge d� .� TOTAL FE� ��- �ps.� MINIMUM FEE FOR ANY HEATINGLOOLINGNENTIIATION REFRIGERATION/AIR CONDITIONING PERMIT IS �25 00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00JNr *Air Cond�ioners can not be placed in a side yard without writien permission irom adjoining property o►vner. � �: I$ 5 Chx ��5�nsc� C�#- Tlie undersiqned f�ereby makes appiication (or a permil (or Ihe work herein specitied agreeing to do ail work Irt st�icl accordance with the City Codes and rulings ot the 8ulldirtg Oiv�slon, and hereby decla�es t�at afl Ihe facts and representations stated in Ihis applicalion are irue and corre�ci`.� ' g � I � ', i �� r. _ . _ � ' r� BUIl.DING USE� AS ESTIi�tATE� COST � � � PERMIT N0. � f ..� � �^ �' DESCRIPTION OF FURNACE AND OR BURNER No, o( Heaiing Units � Circle One jSteam) (Hot Wa►er (Warm Air Trade ame �c31�V t�.�/ Size IVo. S$1� rj j— )� BTU �o HP EDA Fuel l Total Connecled t,oad 8umer Trade Nam"e Size No, BTU HP EDR HEATING OOMPMIY� r GL-�f j I(� �'�j( � Signed 8 ei No. ��' � � IplO App�oved By Rough-In Dale FILL OUT 6ACK SIDE FOR STACK VERIFICATION O�V aEpIACEMENT FURNACE FinalOate 7� �i