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AF - 41971City of Fridley, inn BUILDING PE�IT \ N° 5811 na�: __� � °��...� �� , pvvner: ---° Builder Addnss � Addresa � �° �rLOCATI N ILDING � � �.y:�%JF. ��.� P Lot No. Sireet - �—�-�'-� .. �.�+ ,_. Lo Block Addition or Sub-Div�to�}^ �e��:.� !� _ �` a� Corner Lot Inaide Lot � Setback Sideyard —� Sewer IIevation — Fo�md&tion IIevation � � DESCRIPTION OF BUILDING T � � v� : . � -�� c� Front Depth Height Sq. F� Cu. F't. � t Depth � Height �.�� Sq. Ft Cu. F't Type oP Constructi ..r� Es� Cost ��„�� "��To be Completed In consideration of the issuance to me of a permit to construct tlie building described above, I agree to do the proposed work in accordance with the description above set Porth and ia compliance with all provisions oP ordinaaees of the dty oP Fridley. � �� " .- . In considerai3on oE the payme.nt of a fee of $' , permit fs hereby granted to � to constrtict ti�e building or addition as described above. This permit f� granted upon �he express condition that the person to whom it is granted and his agents, employees and worl�nen, in all work done in, around and upon said buflding, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarrliag location, construction� alteration, maintenance� repair and moving of bufl8inga within 'the dty limits aad thia permit may be revoked at any tune ugon vio any of the Prov3siona of said ordinanc:ea ,� .�°�.'.�1 �"`�` �. Building InsPector NOTICE: This permlt does aot coree t6e eoaclrueHoe, insta0atton Por wirieg, plumbing, gas 6eaHng, aewer er water. Bs wn to � the Bnildtn8 Inspsetor fo� +eparata permtla hr �6� items. v�.�.�.�K _ _- � /rw`'` 4 ,�� e,��. �- -�. ,APPLiCATION FOR BUILDING PERI+�T CZTY OF FRIDLEY, MINNESOTA � ,. . � � �� . . . 0`aner's Neme � �^ ' Builder r� r Address � _ , � ,�.� �.,�, —._.� , � . _ � � 'LOCATION OF BUILDING No: � � � � Str�et� � Part of.Lot . �_ ? . . . , . ,, � , .� , . , r ` Lot � - �� ock �� Addition or�Subdivision �° �� .� `9 � Corser Lot • Tne id2 L�bt i� ' Settiack �� ` � : Side-Ya�d� , , . , �� SEWrER EI,EVATION 'FOUP't�ATION �LEVATTON Applicant attach to this form Z'wo Certificates of Surveq of iot aad proposed building location drawn oa thesa Certificatea. .. DESCRIPTION OF.BUII,DING �. � � � . . . To b us ed '�as : r � _ . , - � . � Front 9 � ' Depth��leighC ', � � � Sq. Ft. �� "� ,� Cu. Ft. �� - � � � � ' �'ron�C ``�Depth ' Height __ � . , . . 'S�q. Ft. ' . .. Cu. Ft.�� _ , � .� �� Type o� Construction ?� ' Eetimaterd Coet �� %�� To be �ompleted . . " ,— , ,. � . , � . . � . �. rt � . � ' . . � . n _ � . . . . . .. The undersigned hereby makes application-for a permit for the`work hesein specified, agre�ing, t'b cio a�:l work` ia strict accordance caith' the City of �Fridley Ordinanices and rulin�s of the Dspartmeat of Bu�ildings, and hereby declares that all the fac�s and repreaentations„stated in thia application a�e true �nd correct. • ' , � . .. ��- �� -_ � ,�. �, . . .. � - . DATF � S�GNAT�RE " �- �` � ► (Schedule of Fee Coate can be found on the Reveree Sid�): ' /�``� � , sa � �^ B[TII�DTNG PERI�dIT FSE S(�iEDULL Sectioa 2. The Inspeetor of Buflditage shall, before iseuing any permit for the erection of any buildiag or strtucture, or for any additioa to e.nq exist- ing building or strucCure, or for arny alteratioas or repa�,rs to anq exi�ting building or s�cruc�ure, upon �pplicat�ion therefor, require the gaymeat by the appl3ca�t for such permit of fee� to the 8mount herein below set forth and ia the manaer herein provided to-wit: " 2.1. For any such permit for the erection of aay fire-proof building, other than a garage� warehouse, factory or grai.n elevator, or for the erection of any fire-proof addition� for sim3lar occupancy, to anq exieting buildiag ehall be aC the rate of $�,�,40 for e�ch one thousand cubic £eet, or fraction thereof, in such cubical coatenta. 2.2. b°or any such permit,for �he erection,of any iire-proof garagc;, warehouse, f�ctory or graia elevator, or for ttue erection of aay fire-proof addit3on, for aimilar occupaacy, to any existing building aha11 be at the �ate of $1.25 for esch ona thousaad cubic feet� classified as °'fireproof°' by Section 502 of the Miuneapolie Building Code. HOUSES 2.3. For anq such pes�t for the erection of any nea-fireproof building other than a gar�ge, warehouse, factory o� grain elevator, or �ny noa-fireproof addition, for similar occupaacy, to aay exiatiag building - permit $1.00 for each one thousand cubic feet. GARAGES 2.4. �'or any such permit for the erectivn of anq non-fireproof garage, warehouse, factory or grain elevator, ar for the erection of any non-fireproof addition, for eimiiar occupancy, to any existing building or for each such building or add3tioa - ainety centa ($0.90) for each one thouaand cubic feet or fraction thereof, ia ehe cubical conteats thexeof w3th a min�tmum of $4.00. For Che purpose of compu�iag fees fmr building permits, the cubical contents of any building or addition to a uaiform he3ght throughout by multiplying the �round area covered fram a point six (6) inches below the flaor line of tbe basemeat or cellar to .the aver�ge height of tha upper surface or to the average height of the roof eurface of the maia gable of a pftched roof. 2.5. For repairs or alterations to an exiating structure, the fee shall be at the r�te of $3.00 per each Five flundred Dollars ($500,00) or fraction tinereof in the cost of all proposed work. 2.6. In no ca�e shall the fee charged for any p�rn�it as set forth in Sectioa 2 be less than $4.Qp. .� .� _t. ^ � „ � �.� c�. C. ��o�u� a�noL �ssoecates, ��c. " LAND SURVEYORS Anoka, Minnesota CERTIFICAiE OF SdJRVEY: �DJ'vRalph N . Lunc �v .. � �� a h �� Z ON F �►�� _ �. � CJ� ° Telephone 421-6340 � E�Isli-11.7-2L� -- -_ -- -_ -. �_ _____ "� DENOTES � IRONS �5 � �� .t�1-4 ----- -_ - Lote '�9, P�� aind 1.�1, Biock �J Ftiverview H�i�hte Ad�3ltion Ar_oka Count�, Alinneeot� � i HE&EBY CERTiFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF THE ABOVE DESCP.IBEQ LAND, AND THE LOCATION OF ALL BUIlDINGS, THEREON, AND All Vl51BLE ENCROACHMENTS, IF ANY, FROM OR ON SAID LAND. AS SURVEYED BY ME THIS ..',Z,.� t;I„1,.. DAY OP ......... M.lII'CYl ........................................... A.D. 19...f°,2.. N. C. HOIUM AND ASSOCI�E5, II�CC� LAIdD SURVEYORS f� 3A��r ' ° .f`'� �r�t.., ,. 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W � � � � �� o�x S � � � b �o � ro b �� y � $ � , � � °' °' m � �C c� � � � c� � � � � m !�o �°�°'� �� °�°� �� ,�y ��`'�� "�� ', � W w �e � Ro � � w F°s �' r�r I O Q O O � �� g� �� ,� �.b � o � ., o � �: mo a�� - � p' ��" � � `+ a o : : o : . ��" e�, o . � $ ° : . � ° � : : 0 �' ° : : : � $ : � : � �> : : � : � : : � ::::: :::: Cn N N 00 OD O O O O O H! {fl {A {A" {f3 � o w y ��' � � C% n� � r� � o�y � zp� z I N "' y . � � hd � b z � � � :� d �� eb Fi � 0 �. � x R o 1 � � � � � � � � � � M' Cd � O � � O ,�j 0 � � � y N en ��rn w oo w cn cn eo � irn O O O O O O O O O fA 4A bi ifl fN 0 � I � . m � v'�", � �m �' ^' m � � p ►l �. �' � � n � � � �. . tn p� �. ro � g I � o , m � O �I 6\ � �� Rp. p. � '`Wa f] � y �y O C� hs ��'� � w�� p� � � d�� , �b a ��°� � � a�G� R O � ��y � � �� O�� pp��Q -�'iR��p �.� ao d '" � m `d �'O � � �. c� � C p~�N' � h � � �y �� o � � r. cD p. m ro I� �� D � D -b r � � • � � m � _ � m � C m �� 1 � f � � � . . • � . �O . �V� . � N � p �� a w M�/ � � � a . `� ' �• � \ � � � � ' �m � a � A 7e � � � V O � � �� 0�\ �, � ; y / " - -� ��-/Y%a7 0 �7— . Dd6 ° 9 ��'` � � L*i � �, C 1� l�'!' � F . � �` � � ' � � !�+ � 1�. ` �l'l,� + /' �/C"! d � �""� � /_- _ HEAT LOSS CALCLJLATIONS DEPARTMENT OF BUILDINGS �r �,a �,,� ,�'"` , MINN. Weatherstrips '��S.H.V.E, Construction No. Insulation Guide Windows Doors Reference Out.'Wall Int. Wall Geiling Roof Floor Kind How Applied � Yes—No I Yes—No 19_ ,>c �f'. ��, �x, ,� <<' Fl.� '�,��;�:. Room � Length ,�.:� - Width �= Height �� •� ,� ��, r. k,� Room Length °�--- Wid s• Height � Wiadows and Doors—Crackage and Area Windows and Doors—Crackage and Area �Yldth Helght No. o! Llneal tt. Area Wldth Height No. of Llneal ft. Area No. ot pane o[ pane Ilghte ot crack aq. ft. No. ot pane ot pane Ifghte of crack ea. ft. '; 1 i' � �.. �.9 ,L / c�d '•A ""� �, � ,7 Ir y. � � � � � �� '� G � ~•� /` . � Q Coef. Btu � �'�' � / . � j �� Coef. Btu Infiltratioa � f ,� ,�" /r ��' ,�,�"` Infiltration t�� D �'` � Glass � � �,� � � �' S`� �b Glass ' :� u� .:� ; � Exp. wall � : :d�° � � �'�'� Esp. wall � �.�? .t° � G'`�...,�' Net exp. wall y � r'r�` �!� Net eap. waU ,� �, ��' Int. wall �' Int. wall Ceilin8 s �= l� '1� ".r �� Floor ,�� '' 7'otal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. l.eader area F7.� ,''�� ,�' Room � Length � - Width ' � - Windows and Doors—Crackage and Area Wldth Height No. oL Llneal tt. Area No. ot pane ot psne ltghta o( crack eq. 1t. � :'� � �' +� `4- .�',�,'� �? • r Coef. Btu In6ltration ,�' ,� � � �► � t Glaaa � 3 � `� �?' ;c t� � Exp. wall �'�_ � �i �.' d' �+" Net exp. wall -- ' `' �� ,�° -� Int. wall � ° � Ceiling " � � � � Floor �+ 4y' � � Total Btu. °'� � ,� Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl. e� -,�';' Room � Length %� -- Width f�-y- Height� _ Windows aad Doors—Crackage and Area Wfdth Hetght No. oL Lineal tt. Area, No. ot Dane ot pane Ifghte ot crack eq, ft. I�i .�- 'G' ':.,�- � f: d e� f.O a 6�r �^� � s 3�3 -� �l .� �-= G`'� ,+��-, �`'�'�? �' �; ? Infiltratioa � j �' Glass P �'' � Exp. wall � ;t` � �'� NeE exp. wall '" Int. wall � Ceiling ,o/' *� -��::Y �' Floor '' � � � Total Btu. Required sq. ft. E.D.R. or aq. ins. W.A. Leader area +oef. Btu � � i�1�t� � v ,f ✓ trc� Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.l � � Room � Length � • Width � Windows and Doors—Crackage and Area Wldth Helght No. o! Llneal tt. Area Na of pane of pane llghte of crack eq. [t. / �- "/ 2- � �.. / ti' � i�. i k' / � = �� — In6ltration ,� � Glass Esp. wall ,� , s' �! �s Net esp. wall Int. wall Ceiling �;�' � � Floor 'fotal Btu. r�:. �.. �`u �' �` � �P�!�'° t1 ;� f � �' �' . �` ,!",`'�,' �� S � �� 7 Required aq. ft. E.D.R. or sq. ins. W.A. Leader area - ' Fl.� ��:.�, Room I Length ,'t --�- Width ,�? . Height � Windows and Doora—Crackage and Area Wtdth Helght No. of Lineal ft. Area No. o[ pane o[ pane Ilghte ot crack eQ. tt. '�� ` �� - � .7 l� � � � � ,�',� -� 0' � � 9 � Infiltration Glass Exp. wall � �;° � ,� ' c j' � Net eap. wall ` Int. wall � Ceiling tJ �' �•�' : �7" Floor :�_`��,_�,► Total Btu. � Coef. Btu � �� ! �� fG,�°� �� 1 1�1' i� � ��1, ,r' ! t" �- r-{,d° �- �S'P� !�".� Required sq. ft. E.D.R. or sq. ins. WA. Leader area % l. sus�ecr PER `NO. - City of Fridley 1325 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T • ;, COMMUNITY DEVELOPMENT DIV. CEIPT NO. � � i LV � �� r � � PROTECTIVE INSPECTION SEC. ' i� i � '---� �/°',,� CITY HALL FRIDLEV 55432 NUMBER REV. DATE PAGE- OP APPROVED BY L 812-560-3450 g10-F15 10-14-75 � � JOB ADDRESS 64 Fairm,ont Street N.E. t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 35-41 U Riverview Heights SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Arvid C. Haas 640 Fairmont Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. '$� 4 ARCHITECTORDESIGNER MAILADDRESS ZIP PHONE LICENSENO. 5 ENGINEER MAIL A�DRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING residential 7 CLASS OF WORK � NEW �I ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK xs�c construct a 28' x 24' detached garage 9 CHANaEOFUSEFROM TO STIPULATIONS 1. Provide frost footings SEPERA7E PERMITS REQUIRED �OR �Rl��, NEATINC, PLUM�ING AND SIG�Sr SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Wppd fr�e THIS PERMIT BECOMES NULL AND VOID IF W.ORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT 6%2 (�%2O ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT L� 9%2.$O 2.49 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHAF�GE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERPORMANCE OF CONSTRUCTION. ].Z . SO PLAN CHECKFEE TOTALFEE 14.99 `x SIGNKATUREOFCONTRACTORORAUTHORIZEDAGENT �onrE� � HEN PFiOPERLY VALIDATED THIS IS YOUR PERMITr � � �L� �� ' �'� a�� " / �� A� " SIGNATURE OF OWNE IIF OWNER BU I IDATEI BLDG. WSP DATE ApPLICATION FOR RESIDENTIAL,. ALTERATION, OR AllllITION BUILDING PERMIT CITY OF FRIDLEY, MINNLSOTA owrtsx's r�� : C�;rv ;�� c� a s suzLDEx: ADDRESS :lOT� [� �c�l ��rvl�e�yL2`. S%`.a.� ADDRESS : ' . NO ; . �o il C3 STREET : Fc�- � r �, � �. � . y'� N. L� : LOT : 3 t�_ �_BLOCK :�, k.� ADDITION ;_�� r U�� c�J N�-P. , a G� �` S CORNER LOT: INSIDE LOT:�_SETBACK: SIDEYA1tD: Applicant attach to this f-orm 1�ao Certificate�,of Survey of Lot and proposed building location drawn on these Certificaices. DESCRIPTION OF BUILDING To Be Used .As : ��- _ n ��7 / Front: Depth: v� Height: / � Square Feet • (J 7 � Cubic � Feet • � , � �- v • " .�_ Front• 'Depth: Height• Squaxe Feet; Cubic Feets �ipe of Constructiont��2�`� � Estima.ted Cost• $ '7-� ��•�� U � To Be Completed: � ��' ' The undexsigned hereby ma.kes applicativn for a perm3:t tor the work herein specified, agreeing to do all work i� st'rict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representaL-ions stated in this application �re true and correct. DATE : SIGAIATUI:E • . .(See Reverse Side For Additional xnformation.) 't'd3.�V�YjtC . ��0.1�'t F�1�G� . ��. � �% . � , . nz - `� _ . f , .� � � � . «, n,. - . � , � � m e , BUILDING PERMIT FEE� SCI�EllULE SECTION 2. The Inspector of Buildings shall, befvre issuing permits for the erection of any building or stxucture, or for any addition to any existing building or structure, ox for any alteration or repairs to any existing , building or structure., upon application therefore, require the payment by the . applicant for such permit of fees to the amount herein below s'et forth and in the manner herein provided to-wit: . UIVIFORM BUILDING CODE: Type 1, 2& 4-$2.-15 for each one thousand cubic feet, or fraction thereof, in such cuUical contents. Type 3& 5-$1.85 for each one thousand cubic feet. . ADDITIONAL INFORMATION For the purpose of computing fees for building permits, the cubical contents of �any building or addition, is determined by multiplying the ground area covexed fxom a point six (6) inches Uelow the floor line of the basement ox the cellar to the average heights of the upper surface�or �o the average.f �height of the roof surface of the main gable of a pitched roof._ For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in the cost of a11 proposed work. In no case.shall the fee charged fox any permit as.set forth in Section 2 be less than $5.00.. , VERIFICATION OF �O�INDATION NOTE: Permits for eonstruction will be issued a mina.mum of 24 hours from the time o� applicati.on, to allow for propex review of the proposed structure and of the construction site. . A Certified Su•rvey of the lot, showing the location of the foundativn, once it has been constructed, will be required befoxe proceedin� with the framing. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days pxior to the use or occuparrcy of any structure ior which a building permit has been issued; and said structure shall not be used or occupied until a Certi�icate of Occupancy has been issued. � ' ,� , � - - ...� . � , � H y �b o �q o �0 vz id 0 ly � � � e� � � m � �y �o ^7 �p t/j M � � �C �3 � ►� �i �p,�e r� a a� ro� C f! 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A ,v r � � � � n � � � cu • - - � �: � � N � . c�c-pc�o : .� 7 c��a�� ,.�. � � . � (�D fl9 ,-H 4D y O �D�� `^ �°�'a `;. aa � � � o � a � �. �. � p O � <' �+ � � N ""' � � 7 O � �•�n.�� "* � R Ll1 �y � c�'D � = R9 -Qi1 � A � ��o° ��.� m � � � � N � � . a�� o ��o -e fl? r. � � � � S . � � � � A fl1 `� O N�i 3C i �, a � c� C. � �, � 3 �p M � < `� -a � N � � � � � D "'� N � � flD A � � o r•: �o � y 7C' i � -a O � � � � D O si. � � � � IV � � � � � � � �1 G� D �s � n� u �, � +ve � ro�� `: � � '� � ..�.i• � � � n� �� Cy �'^, < � faD � � h � � OQ'�.�.0. �'=c � � � � � c �, r« � �rnw�o � � � � rt�v w �..i �t � N � � � � � � ,c�n o 0 0 0 � O O O O O ''°' ce � � �� O 1 � � ...� � � � � r CW � N 1 --1 � Q cfl � � � 1 a � 0 N co � � v � -n w --� � � -1 � o — C � a N � i» � 3 �;. �� ! � y � � � � � (i d n c� � 0 0 � _ � � n � � � C3. !n l�D ^ � �+ . �, a. m z " 6 �°^ _ � 0 � v � � 3 I D� o.s t*1 -�-_i A m � � O � � rn � � _-� Z O �� %� \�i '� � C r � 2 � C � fT'9 v � i � � �9 � n 2 m v C r- m O W � � 0 � .,� � cr��(� �s,Viaw`� .� -� �� C � 0 � �Zw � C81 N• v � �' m W D '� � � Z �� -° rn c� � O z 0 � y O � z ��y E �' > �� r+t .,.� �O ,� SO O� �� C7 .g �� O� v� ...� v O� �m Z '�-t � � �� -� o � O y � �< C7 � Z �� 0 z � \ � � � � O � L 0) � C Q1 � � O O O �� w COMMOIV !/ENT. VENT CONlVI�CTOR AND COMBU�TION �1@R VERIFICATION When realacin� an existina furance, the undersigned hereby verifies that the venting has been examined and is �ree from rust, deterioration, obstnsc�ions, and is securely supported and fir�stopped where required. Yes � No { The venting system is ptasticlPVC a�d meets al! cur��nt code� and man�facturer specifications including sizing, �ength, number of elbows and termi�ation. Yes �No () The undersigned atso verifies that 4he repfacement unit is a listed assera�bly and meets the current codes and manufaciurer's specifications. 'This do�s include AGA-GAfVIA Category+ ! Centr�l Fumace Ventina Tables for fara assisted and natural draft appliances. The existin�combustion air is sized and installed to meet the curr�nt �:odes and manuf�cturer's �pecfications. When reqvired to ia�sia9f � nevv com�us�i�n air. it will be sized and ins��llecf % meet the current c�des and manufac��eers s�oecifications. Yes (�No ( ) Yes {�No ( ) Yes (�No ( ) When installing a new ventina svster�n, the unde�signed hereby verifi�s that it is a listed assembly and meets the current codes and enanufacture�'s speciiications. This does include AGA-GAMA Category I Centrat Fuma� Venting Tables fo� fan assisted and natural draft appliances. Yes (�No {) Is the common vent and ven4 connectors sized and installed conectly a4ter an appliance has been removed from the common vent and vented separatefy as per curreni codes. Yes ( IVo () Appliance Tv�a� ane� SizelCommon Vent and 1/ent Connecto� Information Appliance #1 iype �1Y1�,�i.l �j� �iU Input �an Assisted or Nat Appliance #2 Type �TU Input �an Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Tota! �tu Inpu# Common Vent Type �ent Heigh4 Diam�ter inches Appliance #1 i/ent Connector Height `t Length fi Diameter in Type Appliance #2 Vent Connector H�igh# ft Length �t Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: Desc�ibe �I['.� a ' � " � � �i_ _ • �► i r" :.�[_: i � 1 ` � �� f '� �� _ �! _� 1 � 7�' . - . . i�� G ��I � �� r�/. - , --- _- - _ _ CIlYOF FRtDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSI'TY AVE. N.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 March 29, 2002 Mr. L,anier Bnunback 640 Fairmont Street NE Fridley, MN 55432 Re: r Final Inspection at 640 Fairmont Street NE Contractor: Dave's Appliance Heating & Air Dear Mr. Brumback: A mechanical permit was issued on Apri127, 2001 to install an air conditioner at your address. According to the 1991 Uniform Mechanical Code a final inspection shall be conducted on the work authorized by this permit. As of this date the inspection has not been requested. The permit fee that was paid covers the inspection to make sure the work was completed according to the Cales. We will keep your pernut open for another 30 days and if we do not hear from you within this time to set up the inspection, we will mark the permit "no inspection called for by homeowaer after notification" and take no further action. To set up the inspection or to have any questions answered, please conta.ct the Building Inspection Division at (763) 572-3604. Sincerely, DJ/mh SuBJECT City of Fridley AT THE TOP OF THE TWINS g � I L D I N G P E R M I T r � � � • COMMUNITY DEVELOPMENT DIV. � ; ,: ------; r � � PROTEETIVE INSPECTION SEC. � S �-"1 � CITY HALL FRIDLE� 55432 NUMBER aEV. �""'�'� �'� 612-571-3450 910-F15 JOB ADDRESS 640 Fairmont Street NE t LEGAL �OT NO. BLOCK TRACT OR ADDITION oescp. 39 , 40 , 41 U Riverview Heights 2 PROPERTY OWNER MAIL ADDRESS John Smith 640 Fairmont Street NE 3 CONTRACTOfl MAILADDRESS Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS 5 ENGINEER MAILADDRESS 8 USE OF BUILDING Residential 7 CLASS OP WORK � N� ❑ ADDITION ❑ ALTERATION 8 DESCRIBE WOHK Reraof Fiouse (17 5.quares) Tea,r-o�f 9 CHANOEOFUSEFROM TO 8/91 ZIP ZIP 21P PAGE OF � � 780-27 PHONE PHONE PHONE ' 21107 RECEIPT NO. �� G a� APPROYED BV SEE ATTACHED SHEET LICENSE NO. LICENSE NO. LICENSE NO. � REPAIR O MOVE O REMOVE STIPULATIONS Underlayment must cogiply with S.tate Building Code. PANCY SEPARATE PERMITS ARE REQUIRED POR ELECTRICAL, PLUMBING, HEATIN(3, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERtOD OF 120 DAYS AT ANV TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �- STA�LS AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $9OO WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITV TO VIOLATE OR CANCEL THE pERM1T FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- 23.00 STRUCTION OR THE PERFORMANCE Of CONSTFUCTION. $_ __ ^" SIGNAT EOF CTOROf�jTH IZ i GENT IDATEI WH ' ` g: = a Y_ -----� - --..._. .,..�..,.,.� ��inc � IDATE� BLO OUP OCCUPANCYLOAD CU. FT. )FFSTHEET PARKING IGARAGES SU RTAX $ . 50 SAC CHAfiGE �ire SC $.90 T TAL FEE /f/ 'S �E P�'C I� —/ I rtEw � � ADDN [ 1 �..'rER t l consa,iction Aadress: Legal Dec�iption: G CTTY OF FRIDLEY SINGLE FAMII.Y AND DUPLEXfiS R-1 AND R-2 Building Permit Application �'�D i � 1�� 27 � � - �-�" r S � � `/Q. `� � s �. (. . . '� l i . / I �/ C " Al /� / [' Owner Name & Address: -�/a /?1. L� �� "�) � 1 l� contractor: � c.cl"' . Effective 1/1/9l e) `� �� j��z _S Tel. # C� c� � Tel. � Address: � Attach to this application, a Certificate of Survey of the lot, with the propos�i construction drawn on it to scale. DESCRIPTION OF IIVIPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: � Length Width HgtlGround �. Ft. OTHER: I �% � �� — Corner Lot [] Inside Lot [] Ft. Yd Setback Side Yard Setbacks Type of Conshvction: Estimated Cost: $ �� —` Approx. Completion Date: Driveway Curb C�t Width Needed: _ Ft. + 6 Ft = DATE: G � — �"f , l APPLICANT: Permit Fee $ � � . �'C` Fire Surcharge $ � C� State Surcharge $ � L`" SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ TOTAL � °� `�� l � STIPULATIONS: �� Ft x $ _ $ fel. # G �� °� ? � � Fee Schedule on Reverse Side .001 of Permit Valuation (1/lOth9b) $.50/$1,000 Valuation ;6650 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] � BUII,DIN(3 PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for azty alteration or repair to any existing building or structure, upon application therefore, requure die payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE � $1 to a500 $SOl to $2,000 $2,001 to $25,000 �?.5,001 to $50,000 $50,001 to $100,000 $100,001 to $SOO,OilO $500,001 to �1,000,000 $1,000,001 and up i��l�,? a 15 (Minimum Fee is $15 plus surcharge) $15 for first 5500 plus �2 for each additional $100 or fraction thereof,i to and including $2,000 S45 for first $2,000 plus $9 for each additional $1,000 or fraction t�reof, to and including $25,000 $252 for f�tist $25,000 plus $6.50 for each addition�l $1,000 or fractiion thereof, to and � including $50,000 a414.50 for first $50,000 plus a4.50 for each additional $1,000 or fraction ihereof, to and including $100,000 �639.50 for fnst 5100,000 plus $3.50 for each additional $1,000 or fraction ihereof, to and including $500,000 $2039.50 for the first $500,000 plus $3 for each additional $1,000 or fraction thereof, to and including $1,000,000 $3539.50 for the first 51,000,000 plus $2 for �ch additional $1,000 or fraction thereof DRIVEVNAY DEPRESSION ESCROW (Concrete C�rb Slreets Only) Alternate "A": Removal and replaceme� of curb and gutter only - Driveway width plus 6 feet times $13.50. � Alt�nate °B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits foi' conshuction will be issued a minimum o� 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the locadon of the fowndation once it has it has been consl�ucted will be required before proceeding with the framing. � City of Fridley AT THE TOP OF TME TININS � � I L D i N G P E R M I T r � � � • COMMUNITY OEVEIOPMENT DIV. � � �: ----- r � � PROTECTIVE INSPECTION SEC. 1 . � �.--.� ��"'�.1 CITY MALL fRIOLE� 531�2 NUMBEa REv 612-571-3450 910-Ft 6 JOB ADDRESS 640 Fairmont 3treet NE t LEGAL �OT NO.3 � 38 BLOCK TRACT OR ADOITION oesca. 39,40,%+1 U Riverview Heigh 2 PROPERTY OWNER MAIL AOORES$ Lanier Boumback/Sandra Alto 640 Fairmont St 3 CONTRACTOR MAIL ADORESS Same a ARCNITECT OR DESIGNER MAIL AODRESS 5 ENGINEER MAIL AODiiESS 8 USE OF BUILDING Residential 3/7/O1 � / 21P ZIP 3i669 RE Io� or �OnnOVEO er / SEE ATTACNED SMEET 2942 IICENSE NO IICENSE NO. IICENSE NO 7 CLASS OF WOFiK ❑_ NEW O ADDITION O ALTERATION O REPAIR O MOVE O REMOVE % 6 DESCRIBE WORK Construct a 25'4" x 12' & 16' Deck (367 sf) 9 CHANC3E OF USE FROM STIPULATIONS See notatirnzs on plan. SEPARATE �� REQUIRED �OR: PLUMRBlNG� ANO �IG�� TO �R�VI �efore digging call fo� �� trti�ity �oca�i�� 4540002 REQU�R�� lf �.AV� TYPE OF CONS7. SEPARATE PEFiMITS ARE REQUIRED FOR ELECTFICAL, PIUMBING. MEATING. VENTILATING OF AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION 20NING AUTHORIZED IS N01 COMMENCED VYITHIN 80 OAYS. OR If CONSTRUCTION OR WORK IS SUSPENDED OR ABANOONEO FOR A PERIOO OF 120 DAYS AT ANY TIME AFTER WOpK IS COMMENCED. NO DWLG. UNITS I HEREBY CEFiTIfV THAT 1 MAVE READ AND EXAMINEO TNIS APPIICATION 1 AND KNOW TME SAME TO BE TRUE ANO COFiREC7. ALL PROVISIONS Of LAW$ VALUATION AND ORDINANCES GOVERNING THIS TVPE Of WORK WILI BE COMPLIEO WITM WHE7HER SPECIFIED NEREIN OR NOT. TNE GRANTING OF A PERMIT �4 y OOO OOES NOT PRESUME TO GIVE AUTNORITV TO VIOLATE OR CANCEL TNE pEqMITfEE PqOVISIONS Of ANY OTMER STATE OR LOCAL lAW REGULATING CON- @ STRUCTION OR THE PERFOHMANCE OF CONSTRUCTION 4'9.7.25 CON"AACTOpOp p� EOOGENT �DATE� v°'C �ww�ca.�c nw�u[w w�m oEA� �O�TE� ` `� OCCUPANCY STA�LS CU f T ' PARKING GARAGES � �2.�0 SAC CNARGE ire C $4.00 TOTA FEE $ 3.25 LOAO ��r��5 l Effective 1/1/2001 N� [] CITY OF FRIDLEY �/ �� (763) 572-3604 Bldg Insp ADDN [ ) ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: L o � Owner Name & Address: ��■r��e �� S�- � � i U�v v e� f' � P��' �_S' �rr / o Tel. # %(v.�-�1�'3 d �S�o�- Contractor. � tP� s�e% Ps' � MN LICENSE # Address: Tel. # LMNG AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft Length Width Height Sq. Ft Length i�� Width �-� / � HgUGround Sq. Ft. ...� % � % % � _ r. L s �—�rv�t �� `�lv �v' � Construction Type: Estimated Cost: $ . Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$ DATE: O� APPUCANT: �� G�s��► ��7�U Tel. # �� ' �� i'� CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Call (763) 572-3604 for Permit Fees if mailing in application $�� • aJ� Fee Schedule on Reverse Side $ J , �� .001 of Permit Valuation (1/10th%) $ � � � $.50/$1,000 Valuation $ $1150 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 [ ] $ ��, oi� ,� BUII.DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing pernuts for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: TOTAL VALUE $1 to $5� $501 to $2,000 $2,001 to $25,000 $25,�1 to $SO,QQO $50,001 to $1�,000 $100,001 to $500,000 $SQ0,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,�0 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,OQ0 plus $10.10 for each additional $1,0� or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.Q0 for each additional $1,000 or fraction thereof, to and including $1�,OU0 $993.75 for first $1(�,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $5�,000 $3,233.75 for the �irst $5�,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,0OO,OW $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. VERIFICATION OF FOUNDATION Pernvts for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the locatiorn of the foundation once it has it has been constructed will be required before proceeding with the framing. New Houses Onlv ��- � �. . c�o�ur� a�d �ssoecates, ��c. C .� CERTIFICATE OF SURVEY: �p�' Ralph N . Lunc �� .� � �� a h :s'� �. Q ,� . LAND SURVEYORS Anoka, Minnesota �R��N� F p` � � 0- cJ-�' ' Telephone 421-6340 F�1��-1] 7-24 � DENOTES IRONS � � �,�� , O �¢' '(r�•O �•� A�V Lote ?9, Lt0 t�nd 1�1, Block TJ Riverview iiei�hte Addltivn Ar_oka County, Minne�ote 1 HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF THE ABOVE DESCRIBED LAND, AND THE LOCATION OF All BUILDINGS, THEREON, AND ALL VISIBLE ENCROACHMENiS, IF ANY, FROM OR ON SAID LAND. AS SURVEYED BY ME THIS _Z.� t�l„ DAY OF ... p!.Q,iCYI ........................................... A.D. 19...�.z.• N. C. HOIUM AND ASSOCI�.ES, II�C� LAND SURVEYORS �;� f� � �T}f�..'�.� �., ...........................'...c..............�*.�..:......,.... ...........y..�...'.................................... , .... ,—_. ^ � r9 � II Q 6 � �-== � _.._. ; O�---- - � -- -- � � � _ ' ' O� .--.-_ = �� m � � �� )� � � �� V � � � 3 � � � � � m� � � _. ; � Z� �O\, � � � ��x � \ � � \ \ .. 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V � � �" � � � � �^� � � � �� sue�ecT P D:-- City of Fridley 3 3 0 8 6� , , AT THE TOP OF THE TWINS g � I L D I N G�� NO. r � � � • COMMUNITY DEVELOPMENT DIV. � ' ; V �"�� l � r � � PROTEC7IVE INSPECTION SEC. � � . � i.-_- A��'��,'� CITY FIALL FRIOLE� SS13i NUMBEN pEV DATE PAGE OF APPROVED BY L J` 763-571-3450 910-F 15 9/ 13 / 0 2 / / JOB ADDRESS 640 Fairmont Street NE t IEGAL ��T N0. BLOCK TRACT Oii ADDITION SEE ATTACMED oescR. 39,40,41 U. Riverview Hei hts SMEET 2 PROPERTY OWNER MAIL AODiiESS 21P PHONE Sandy Alto 640 Fairmont Street NE 763-783-2942 J CONTRACTOR MAIL AO�RESS 21P PHONE LICENSE NO Rite Way Water roofin 448 Lilac St Lino Lakes MN 5501 651-786- 550 4 AfiCh11TECT Op DESIGNEF MAIL AODRESS ZIP PMONE LICENSE NO. 5 ENGINEER MAIL AOORESS IIP PHONE LICENSE NO 8 USE OF BUIL�ING Residential 7 CLASS OF WORK O NEW O ADOITION X ALTERATION O REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Install interior basement drain tile s stem 9 CHANGE Of USE FFiOM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 o�f the 1997 Uniform Building Code. �� pec�ion Card� ill �� a11�� m�own�r To Po�t TYPE OF CONST. OCCUPANCV GROUP OCCUPANCY �OAO SEPARATE PERMITS ANE REOUIRED POF EIECTRICAL, PLUMBING, HEATING. VENTI�ATING Ofi AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHOR12EO IS NOT COMMENCED WITMIN 60 OAYS. OR If CONSTRUCTION OR WORK I$ SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OfFSTpEET PARKING 1 HEREBY CERTIFV THAT I MAVE READ ANO E%AMINED TMIS APPLICA710N 1 STA�LS GARAGES ANO KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS yp�UpTION SUR7AX AND ORDINANCES GOVERNING THIS TVPE OF WORK WILL BE COMPLIED WITM WHETHER SPECIFIED MEREIN OF NOT THE GRANTING OF A PERMIT �3�830 �1.92 OOES NOT PRESUME TO GIVE AUTMORITV TO VIOLATE OR CANCEL TME pEqMIT FEE SAC CMARGE PFOVISIONS OF ANY OTHER STATE Ofi LOCAL LAW REGULATING CON- @ STqUCiION OR THE PERFORMANCE Of CONSTRUCTION �97.25 Fire .5�.' y�3.83 PLAN CNEGK FEE TOTAI FEE City L se $ 3.00 S�GN4TUpE OF CON'AACTOp OA AUTMOQ�ZED OGENT iD�rE� EN OPE . LIDATED. IS IS V F PERMIT �i -G S�GanTUAE O� OWNEp��c OwNEABU��DEQ� iDATE� BLD �HS� ��°1E . � NEVN [ j ADDN [ ] ALTER °'6CCJ CITY OF FRIDLEY 6431 University Ave NE, Fridley, MN 55432 SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMITAPPLICATION Cohstruction Address: Co �O ��w.��r Sfire� � �� Legal Description: � C,u�,v� d4-; l� � Owner Name & Address: Contractor. Effecfive 1/1/2002 (763) 572�604 Bldg Insp i � > ' Tel. # i(o'3 -'� 83 -a?�i�-fa? MN LICENSE # Address: 448 Lilac Street, Lino Lakes MN 55014 Tel. # 651-786-0550 LNING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certficate of Survey of the lot, with the proposed co�struction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft Length Width Height Sq. Ft Length Width HgUGround Sq. Ft � . -��-� � � -�� Construction Type: �,i,,i -h�x Estimated Cost: $_ �830 •`� Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x$ _$ DATE: �� l APPLICAN : Tel. #� r Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card a�d we will call you for card number. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ ��- as � �� S� $ .� ��_ $ $ I� � $ $ � $ $ t c�3 .cs� // � Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 \/aluation $1200 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 [ ] STIPULATIONS: /� �L l '� ,. _ BUII..DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any e�sting building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to-wit: � '�� . , TOTAL ,dAI��1E� $1 to $5(� $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 $1,000,0� FEES � , , $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.(}0 for each additional$1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.(� for each additional $1,000 or fraction thereof, to and including•$100;000 $993.75 for first $100,�0 plus $5.60 for each additional $1,0(� or fraction thereof, to and including $500,000 $3,�33.75 for� the first $SOO;OOa plus $4.75 for ea.ch additional $1,000 or fraction thereof, to and including $1,000,00� $1,000,001 and up $5,608.75 for the fust $1,000,(�p plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) � � Removal and replacement of curb and gutter only - Driveway width plus 6 feef times $17.00. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the loca.tion of the foundation once it `has it has been constructed will be required before proceeding with the framing. New Houses Onlv �. , ,� Building Inspections 763-572-3604 DATE e''j s I % ° � / STI'E ADDRESS � THIS APPLICANT IS: PROPERTY OWNER/ TENANT � �fl�i �11 � : SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERMIT TYPE BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY Permit No.: Received By: YOURE.�.�D�S �� ,�(�.�.f{��K'� �'1�� c� M �� ❑ OWNER �CONTRACTOR STATE LICENSE #�O �f (o l / EXP DATE dS 5 �° ADDRESS: �5��_-`�/�/�� CITY PHONE � ' O *'E� FAX � .3 � SIlVGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAM[LY/NEW CONSTRUCfION STORIES t D BASEMENT FIAIISH ❑ R�F ❑ DECK 0 SIDING ❑ SWIMMING POOL 'rj�P�i Qj'i `1�70�{: ❑ NEW ADDITION ❑ MAINTENANCF/REPAIR REMODELING DESCRIBE WORK BEING DONE: '� ,�<`)C' ? � ��, � � SIZE OF IMPROVEMENT LENGTH 4%� ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES � ❑ HOUSE 8c GARAGE GARAGES PROPOSED SIZE: PROPOSED HEIGHT: ❑ ATTACHED GARAGE ❑ DETACHED GARAGE ❑ DRAIN TII.,E ❑ OTHER �A�,Mx�� i �!:!t!�' ��f �ASEMENT REMQDELING SUBMIT: i. Existing Floor Plazt 2. Proposed floor plan 3. List of struchual membecs to be used gIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCI�S SUBMTP: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. WINDOR'S 2. Two sets of construcrion plans IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS-DESCRIBE SIZE�F OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS � ALL FEES BASED ON VALUATION, INCLUDING THE COST OF Y.ABOR AND MATERtALS: 1 (USII�� THE_-1997 �Fd�..G FEE SCHEDULE�- TOTAL JOB VALUATION $ LQ, D�C� <� OCCUPANCY TYPE Permit Fee Plan Review Fire Surchazge Surcharge License Surchar�e SAC Chazge Curb Cut Escrow Erosion Cor►trol Park Fee Sewer Main Charge Total Due $,� See Back Page for Fee Schedule $ 65% of Building Pertttit Fee $�(o .(�p .001 times the total job valuation $ R. QQ .0005 x Permit Valuation Minunum $.50 $ '-j . () Q $5.00 (State Licensed Residential Contractors) $ $1675 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$21 =$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Noa Necessary ( ) $�/a/a /� Make checks payable 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 a.nd with the Minnesota Construction Codes; that I understand this is not a permit but only an applicatio for a pe 't d work is not to start without a pemut; that the work will be in accordance with the approved pIan in the c�se of all wo 'ch req ' view and approval of plans. 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Ccm�liance: Passes� �� Uaximurr� UA-34 _ `four Nome 1��,: 32��--> 5.�% L3�tfef�Til2n��.Code (U,A)`�� Flat or Sciasor Ttiss: Wood F�.16in. ac.: Vinyl, 2 Pane w/ �cav-E: Above-Grade,: Spding Glass Door. AA-WacrJ ,Jolst/1'russ Over OutSfde Air. Fumecs 1: Fw�d Hat Air {Non-Electrtcj: 90 AFUE Air Condittflner 1: Electric Cerihal Alr. 1 B SEER 91 44.0 44.0 7 218 19.0 19A 5 58 0.350 20 15 0.310 5 91 36.0 38.0 1 CompUance �tatemeM; The proposed build(ng design desc�bed here ia c�nsistent v�ith the bu{l�ng plans, spedflcatlons. and oiher cala�fions subdnfit� with 8�e Pemdt aPpAcatlort. The propased building has been deslArred to meet the 2000 Minnesota Energy Code requhemerde In REScheck Web and to comply with fhe mandal'ary requlq�ments l�ted fn fhe REScheck lnspedlon Chsck9st �•��M.iD�i �l:% )lY!+� (}I'..i✓�r r � •'� ✓.�PV •� - 4Ii •`,• Name-Title Sigciature �8 --•.__�Y..........__.______�.._____.-----�...._.._.._.�___....�_------__ __..__.._.___._._..__.___._._. ..__.,..._._..__._...._____..._...�.. _ Page 1 of 3 From: unknown Page: 3/3 Date: 4/18/20071:31:55 PM �� j��r�,� � C � F �� -----�i 7�� _S he��`� t�'� . _r � � ��i � ��..� "� Q(L5(, Pemut No.: � MECHANICAL ' $Ulldirig Received By: Inspections RESIDENTIAL APPLICATION � EY Da� ��: 7.63-572-3604 CIZ'y OF FRIDL / � YOUR E-MAIL ADDRESS S� h �r 1�-� �Cc c, f'�i C` c'_`i79CG2S7` ,`JE'� DATE�r SiTE ADDRESS ` r��:' i r ry� � s�'� f ��' THIS APPLICANT IS: PROPERTY OVVI�IER/ TENANT CONTRACTOR � OWNER �CONTRACfOR N,yr,�; L� ; p r a� �� S� n �P .� � r�r s� 6G� G/L ., � s�t �v �, �� -= �,�a r� � _ �A��L�� ADDRESS• %c'l! i) tL /�- o� J D — 7f'�—aly PHOISE: -� `_ ' �— _ COMPAI�TY NAME. . CONTAGT PERSON: SUBMIT A COPY OF STATE LICENSE # EXP DATE YOUR STATE ��y STATE � LICENSE VJTfH ADDRESS: APPLICATION PHO� FAX , � SINGLE FAMILY O'f W 0 FAA/IIL1' ❑ TOVJNHOUSE PERNIIT TYPE ` . TYPE OR R'ORK: o r�w ❑ x�Pi.acE�rrr �a�.�xa•now�onr�.. DETAII.ED DESCRIPTION OF WORK � � ri � P t� C� u Cf �' /°�- / PER MS 16B.665 the permit fee is a minimum of 515.00 or 5% of the total cost up to 5500.00, whichever is greater, for the improvement, installafion or replacement of a residential fixture, excluding the fixtures• iThis should reflect only the cnst of labor ) x.05= Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor �_ I�.� �pTAL FOR PROJECTS �lABOR EXCEF�S $SOQ. FEFS'� B�� ON $10.00 PER FDCfURE. EXCEPT ��NOTED. F�CfURE�: (II�1D NtJMBER OF EACH � MODEL: SIZEBTU Equipment Installed . MFG: MODEL: 5�� '' ---- MODEL: STZFJBTU MFG: GpS RAIJGFJOVEN S10.OD A/C $25.� FIREPLACE (GAS) $15.00 �qr GAS GRII.L $10.00 AIR TO AIlt EXCHANGFFdt $15 FIREPLACE (VJOOD) 535.00 GAS UNTf HTR $lO.OD _BOILER 535.00 . _FURNACE $35.00 pp�L HFATER $35.00 CHIMNEY LINER $10.U0 _ _GAS DRYER $10.00 �p,TOR $15.00 I�' DUL? WORK SIO.OD GAS PIPING $10.00 _. - ' ` .� .< r _..., � _.� ,. . ., � .._ _ . � ` ._ .. . . Permit Fee $ L' Numiser of fixtures @$10.00 x$10.00 = Surcharge $ .50 Number of fixlures @ $15.00 x $15.00 = $__ 'I'OTAL DiJE $ �• � Number of fixtures @ $25.00 x $25.00 = $ . Number of fixtures @ $35.OS�te Surcharge ° $ .50 Total = $ THIS IS AN APPLICATION FOR A PERMIT NOT VALID UN171- pROCESS� I hereby apply for a building permit and I ackn�oe �g of F idley and with�th MVinnesota �Conswction Codes; tha �I unde tand th s s con form a n c a w i t h t h e o r d i n a n c e s a n d c o d e s o f h' not a permit but only an applicati� for a permit and work is not to start without a pemni t; t ha t t he w o r k w i ll b e i n a c c o r d a n c e w i t h t h e approved plan in the case of all�ark which requiz�s review and approt�al of plans. ,•* > �'`� / C V�•.fA.lM DGfLf� DATE Y'a 3� c'�4�r/ _ ' , �` �j � PRiNt NAME `� C� t^. �i r �' ,_ � SIGNATURE OF APPLiCANT�''� � -✓��•� % ��a l� � � , � -T -- _. . yy=^�,�r� .. ... a ..... x.i�. • .�'n�ii�i�r.�'r�''�1.`�f�A"`t�'')f�`t'i�� '"1""`.sS�W,�i .-� __:_.::,�� City of Fridley Building Inspections Department . 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 F,4x• 763-502-4977 t- REQUIRED INFORMATION NEEDED TO PROCESS PERMIi ' S�- ; RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDtTIONS ❑ EXISTlAIG HOME ❑ MAKE-UP AIR � REQUIRED FOR NEW/EXISTtNG HOMES 1. Combustion Air (S� note be].ow) . a. Oil or solid fuel IMC Chapter 7 with NII�T �mendments b. Na1�ra1 Gas or Propane/IFGC Chapter 3 wath MN Amendments • 2, Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances TFGC Cha.pter S with MN Amendments b. Fuel other th.an gas IMC Chapter 8 with I�N Amendments REQUIRED FOR NE1N HOMES 4. Heat loss & cooling load per room a. Required on new constru.ction IMC 1346.0312 5. Ventilation . � a. per MN Energy Cod�e 7670 or 7672 6. Duct Design Per lMC 1346:0603.2 a. ACCA Manual D NOTE: Centerpoint Energ� Mechanical Code Guidelines sofiware m�y be u$ed for comb.ustion and make up ai� calculations �uilciuig �� ,.. , � :� �inspec�ions 763-572-3644 763-502-4977 FAX si'r� .auortESS �; �c7 THIS APPLICANT 1S: PROPERTY OWNER/ i TENANT I CUNTRACTUR SUBMIT A COPY OF YQUR STATE LICENSE AND CER7iFICATE OF INSURANCE 1'ROPERTY TYPE PERMIT TYP$ BUILDING RESIDENTIA.L APPLICATION CITY OF FRIDLEY �cr�ve �-t-ao�a ❑ OW1V�R STATE LICENSE � �wD�ss: � �'" Permit N Received By:� �rauRE-t�an.�nnRESS 'y,�e5 l�r.w�l�.�.�w;��:�.a ;r.��,�'�� LiJ�ONTRACfOR � II SINGLE PAMILY/N£W CONSTRUCTII � TWO FAIvIILYI�+IEW CONSTRUC7101� O 8A5EMENT FINISH G] RpOF 0 DEQC ❑ S!D[NG � A' SIZE STO�tIES TYPE OF WORK: I❑ NEW HOME COATSTRUC770N ��AELING D MADQTEL�IANCFIREPAIR DESCRIBE t40RK BEir1G DO?�:� r12..a�J I�a�� Y'OOt� t IM1 �j�St� LMi S�ZE OF �3+ilPAOVFdv1E]YT LETTQTH '7� � YYmTH ROOFDVG D EiOUSE QNLY NIJMEiER OF SQUARES O NOUSE & GARAGE GARAGES PROPOSID S[Z£: PROPOSQI HEIGHT: D ATTACY.ED GARAGE D DETACHED GARAGE D DRAIN TILE gd O'fHER �{'Y'l� � �s'►� lai �ASEMEN7' REMODEI.IN�i SUBMIT_ t. £xisting Floar Pimi 2. �roposed Qoor pfan 3. List of stru�fival memhers to be u�ed SIDING FOR NE9V CONSTRUCTIOIV RJCLUDD1Ci DECTCS, Q 1'myl OSoffrt ADbP170NS. & pORCHES SUBA9lT: 1. Si� Plan/Survey sl�wing tire existing smxedues ❑ Alumiaum O Trim and prop�ed pro�ect. O Other Cl Fascis Z. Two sefs of co�struction pla�is WDKM)OWS 3. F.nergy Calcotations 1N IX[S7`EVG OPEN[NG5 OYas QNo LOCATION OF w1NDpV4'S FOR V��[NDOWS — PROVtDQ U-VALI,JE AND OR �OR NE�Y OP�AIINGS-DESCRIBE SIZE OF MANU�ACTURE 5T[CKER ON W1A(DOW. OPENING CHANGES 8c TYPE OF WINDQW TO BE IlVSTALLED MJ:vIBER OF WlNDOVJS . A1.L. FTES ARE BASED ON VALUATION, INCLUD�I�TG THE COST OF LAEOR AND MATERYALS: /, S G� 1997 U.B.0 IrEE SCHEDZJLE) 'OTAL JOB VALLIA�'ION $ `°I � bCC`UPANCY TYPE Permit Fee Pian Re�view Fire Surcharge Surcharge License Surchazge SAC Charge Curb Cut Escrow Erosion Control Park Fee 5ewer Masn Chazge $ $ $ See Back Page for Eee Schedule 65°fo of Building Peamit Fee .UO] tunes the total job valuation .OU05 x Permit Valuation Minimum $.50 55.00 (State Licensed Residential Coatractors) $2100 per SAC Unit {Plans to MWCC for determinaEioa) ft+6ft= i�x$24=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement n�essary ( ) I��on Necessary ( ) Make checks payable to: City of Fridlev Attac THiS iS AN APPLICATI�TI FOR A PERMI't NOT VALID UNTII. PROCFSSEI? I hereby apply for a bu�ding permit and E acknowledge that tlxe information above is complete and accuiafie; that the work w�il] be in conformaace with tlte ordinances and codes of the City of Fridley and with the Minnesota. Construction Codes; that I understand this is not a permit but oaly an application fo: a perm.it and work is not to start wit}tout a permit on site; that the work will be in accordance with the approved plan in the case of work 'ch uires review and approval of plans. SIGNATURE OF APPLICANT PRINT NAME�$ M�S ��'+!S %y DaTE "'� " 0�"- i� Wd b£�Lti�ZL 060Z/OZ/ti �a��a S/4 :a6ed unnou�un :wo�� A'�� .� �- ��. S � _�� I s �` � • r�� `� - t�, � �W� �, , Na� Is � �— � ____� r�� 3� Q�c�ur �� -----�---, s' �a`______. � yt� I �-,, �3 �'a:+� ._,��_ �'��d�. -�,b �� . , � � . ti � � �� f �� L�A� �� d ►�, �a�.c�.s�1�� I�wc� �v j� o�r a"�'�.. �ov5� - .. � � � Co ��.-�.�- i��r �� _� ��'�s �"'"� 5i'4� +� j �w� � �,, . n��N 2r�� .r �� . i ��1�'� . �or � I �CC Cln 3 S�'%- Z�9 3EC R108.3.1 s, �,. Wd 9£��ti�Zl 060Z/OZ/b �83�a g/g :a6ed unnou�un :wa� �` ��6�� P�.��g',� s�"�' �..� Building Inspections 763-572-3604 763-502-4977 FAX DATE �- � SITE ADDRES � T'�IIS APPLICANf IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PERMTT TYPE TYPE OF WORK: MECHANICAL RESIDENTIAL APPLICATION CITY OF FRIDLEY EF�c� �-�-zoio YOUR E-MAIL ADDRESS ❑ OWNER OCONTRACTOR Permit No.: � 5C¢� Received By. Da d• ' �'� ��,,�,�.� �;'� � �°f" NAME: _ ✓rol ADDRFSS: Q� ��=tp ��°' �Aa ��- CITY t� �.�,��STA7'E IP� PHONE: � Gv'� � 7 �'� �— � ef � "�.^ COMPANY NAME:_ CONTACTPERSON: STATE LICENSE # EXP DATE ADDRESS: CITY STATE ZIP PHONE d SINGLE FAMILY �❑ TWO FAMILY � ❑ NEW ❑ REPLACEMENT DETAILED DESCRIl'TION OF WORK FAX O TOWNHOUSE L�ALTERATION/REMODEL FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) PROVIDE HEAT LOSS CALC'S PER MANUAL J 2006 ASHRAE HANDBOOK Equipment Installed MFG: MODEL: SIZEJBTIJ Iv(FG: MODEL: SIZEBTU MFG: MODEL: SIZEBTU A/C $25.00 _FIREPLACE (GAS) $15.00 GAS RANGE/OVEN $10.00 AIIt TO AIIt EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 ATEW GAS GRILL $10.00 BOILER $35.Q0 FURNACE $35.00 _GAS LRJIT H1R $10.00 �HIIVINEY LINER $10.00 GAS DRYIIt $10.00 L HEATER $35.00 UCT WORK $10.00 ' _GAS PIPING $10.00 r��ITILATOR $15.00 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; that the work will be in accordance with the approved plan in the case of all work which requires revie and approval of plans. SIGNATURE OF APPLICANT � OL,. )(i, ��.�, yt��,P �PRINT NAME �c� ,[a o°' 8' a.c �a,t � Q° v�DATE � l� 3� � APPROVAL INSPECTORS SIGNATURE __ DATE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 City of Fridley Residential Mechanical Application Page 2 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS o EXISTING HOME � MAKE-UP AIR REOUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propane/IFGC Chapt�r 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments MN Rule 1346 Sec. 501 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments 4. Heat loss & cooling load per room a. MN Rule 1322, Sec. N 1104.4.13 5. Ventilation a. Per MN Rule Chapter 1322. Sec. 1104 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. Building PLUMBING Inspections RESIDENTIAL APPLICATION 763-572-3604 CITY OF FRIDLEY 763-502-4977 FAX EFFECTIVE 1-1-2010 DATE �1 ' �. � " SITE ADDRESS �� THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACI'OR SUBMIT A COPY OF YOUR STATE LICENSE, BOND AND CERTIFICATE OF INSURANCE PERMIT TYPE YOUR E-MAIL ADDRESS 0 t�O �� 1 ❑ OWNER �CO NAME: ADDRESS: � PHONE: NAME: c � � ,` � � STATE LICENSE #�� STATE BOND # � ADDRESS: o( �� PHONE 1 � ; 1` �I 21 - �SINGLE FAMILY TYPE OF WORK: I ��' DESCRIPTION OF �.:��.�:r�� i�/1� ' .. � TWO FANIILY �REPLACEMENT � TOWNHOUSE o � ,. � _►,� _i� Permit N Received By:° � � Da �d:� � � EXP DATE EXP DATE „__P� � 'rE Zrn r FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOV�. MINIMUM FEE $35.50. � BATH SINK/LAV _FLOOR DRAINS SHOWER WATER PIPING � BATHTUB _ GAS PIPING (NEED CITY LIC) SWIMMING POOL _ WATER SOFTNER ($35) CLOTHES WASHER KITCHEN SINK � WATER CLOSET BACKFLOW PREV. ($IS) _ DISHWASHER _ LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION _ WATER METER _ OTf�R THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a plumbing 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 c se of all work which�ve�' •es �eview and approval of plans. SIGNATURE OF APPLICAN� i+ � RINT NAME DATE�� `�% City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 '�