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AF - 36438� , . 0 �P�S9cce�s�co� ��p Pc��Qr �re : �t'� �s�� 3c��:�� Co��a�, �lec:t��c��ao�� L3��as;e�':►v:� �:�d ..�i� �o��a�ioc�a�g �ys��s a�a� Qevc�e�s PART�AL RATE SCHEDULE GRAVITY WARM AIR: Furnace Shell & Duct Wori . . . . . . . . . . . . . . . , . . . . . . . . . . Replacement of Furnace .._,,,,,,,,,,,,,,,,,,,,,,,,,, Repairs & Alterations—up to $500.Q0 . . . . . . . . . . . . . . . . . . Repairs & Alterations each sdd. $500.00 . . . . . .. . . . . : . .. MECFi. WARM AIR Furnace Shell & Duct Work i�o 1?A,000 BT(T . . : . . , . , . . , each add. 60,000 BTiT ,,,,,,,,,,,,,,,,,,,,,,, Replacement of Ft�rnace .__..........� ................ Repairs & Alterations—up to $500.00 . . . . . . . . . . . . . . . . . Repairs & Alterations each add. $500.00 . ..... . .. . .. . STEAM or HOT WATER SYSTEK Furnace Shell & Lines—to 400 sq. ft. ED$ Steam ..,... Furnace Shell & Line—to 64Q sq. it. EDR Aot Water ... Each add. 200 sq. ft. EDR Sbeam . . . . . . . . . . . . . . . . . . . Each add. 320 sq. ft. EDR Hoi Water . . . . . . . . . . . . . . . . . . OIL BURIvER—to 3 gal. per honr . . . . .... . . .. over 3 gal, per hour—,6ee Fee Schedule � 199 000 � GAS BURNER (Up to �B� . . , , . . , , , , . , GAS FITTING ��:5• 199, 000 BTU AATE TOT11L � S �10.00 �u�c s 6,00 �c a b,00 � a 3.00 � � 1 O . r� o �10.00 � � 3.00 �c � 6.00 � $ 6.00 3� a 3.00 � � � $1�.00 �� io.00 � $ 3000 � $ �•� � $ 6.00 5.00 $ S. O m • NO RATE TOTAL lst 3 Fixtures . . . . . . . . . . . . . . . . . . . . . . g $� $��• �2 �� Additional Fixt� es X �� ?5 Gas Range to ��1V ........ ... .. x 2.00 $ • �s000 AIR CONDITIONING � �____ FAN HEATING SYSTEM See Fee Schedula � VENTILATING SYSTEM �'-- ALTERATIONS & REPAIRS TOTAL FEE ;'� T�'�' 1�• O O ROUGH FINAL <,, . ,. , . , ,5 ��; . �,�� '' x' * � {� g w �� ---- .�� ," � y�:;, Dept. of Bldqs. Phone 560-3450 LocBtiOn ��J Z.� pJ�. �..IJ`, �'D • • f,� � , �if/ i • City oi Fr3diey: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do alt work in strict accord3nce with the City Ordinances and ruling of the Departmcnt of Buildings, and hereby declares that all the facts and representations stated in this application are.true and correct. Fcidley, Minn_ N OV • ZC� � 19 � Owner G►C � TL.4�. �A G N V CC..o Kind o! Building �"� 0 J S� : Used as � '� l 0�� C�s � To be completed about � A � . , � �� (D � � Estimated Cost, $_ gm� � Old—New. Building Permit No. Permit Na '�� { q DESCRIPTION OF WORB HEATING or POWER PI.ANZS�Steam, got Water, Wazm�air, r10 � Trade Ivam � Size No Capacity Sq. Ft,. E.D.R_ 1Z0. m m a g� H.P. Total Connected Load 7 V 1 Z.C� ¢J'i'� Kind oi Ftie� G� S BURNER — T'rade Nam Size No Capacitq Sq. P't. E.D.R BTtT ii.P. (REMARKS-OVER� qs,�• - . s;gr,ed `� il.�..�... 2. i!� ._ $y �i� � R., c�+J � 1J c. Business Phoae No—�33 � � � �J�t � 6eec�. pqa.vucco �-?EA� LOSS CALCULATIONS DEPARTh1ENT OF' BUILDINGS 's"L y�� n� R J � I ��.'cL �. e '" �Veathcrstrip`s -�• �•S.H.V.E. Construction No. Insulation s Guide ��ir.dows � Doors Refcrence Oui. Wall Int. Wail Ceiling Roof floor Kind How A��iied es1^h'a cs No _ 19� �p,�_ fil.( ��, : ti Roo:n � Length Width Height F1.� � d, �.y, z Room L.ength Wid:h Height �Vindows and Doors—Crackage and Area Windows and Doors—Cracka�e and Area �YWtA HNgAt Sho. ot Lloeal tt. Are• � Wldlh HeiaAt No. o[ Llncal ft. ArOa No. of Dane of Dane IiRhta o( tiack nQ. tt. � No. ot Dzne ot Dnne IIRht• ot craek ed. It. � In(titration G!ass Exp. wali 1�`ci exp. wall Int, wall Ccilir.g Floor lotai Btu. 7'b �'v Cocf. 8tu /9 Z 2 , �G �/O Y I 5d ti Required sq. ft. E.D.R, or sq. ins. W.A. C.eader area F7•1 u� Room � Length Wiu'th • Windows and D�ors—Crackage and Area Wldth 2te1`ht No. of Llneal tt. Area Na• ot Dane of fi��o IfRrt• ot eraok �p. tt. � In :ltration Cfass �.p. wall Nci cxp. wa1l �S' �` 2. ight ■�� a� �,ei�ing �f o 9 % c' O Floor ,k: � 9 � � b Cotal Btu. ,� S, �0 �-_ �eguired sq. ft. E.D.R. or sq. ins. W.A. I.eader area _ F1•� ,B�}, . Q,-,, , Room � Length Width Nei�ht Windows and Doors--C:ackage and �,:ra , �O. �KWth Height No. o[ Llneal tt. Ares O! oane n[ ninw 11«Ar. ..r..��.. __ ._ � n�ltra2ion ,lass :xn. wa�} �et ex�, wail nc, wali :ri{ing �ioor �otal Etu. �eguircd sq, ft. E.D.R. or sq. ins. W.A. Leader area � � Q �/ t� 3 il I Coef. Btu In�ltration 3 8- � y 7 Z p Glass ' Z� J'a 1 Sl Exp. wall / y2 14rY exp. wail / L y 9' ! y? S� I�t. wall CeiEinB / s�a % / 2 `.G Floor ' � 0 9 � � ` Totai Btu. �„ � �� - Required sq. ft. E.D.R. or sq. ins. W.A. Leader azea Fl.l �c1 Q,.,, � Room I I.ength Width Height �Jindows and Doors--Crackage and Arta WIGth Helgrtt No. ot Llneal [[. Aree No. ot Da�e ot pnne llghte ot crack ap. tt. inhltration • �4, � y g S ' Glasa �o ,50 /f� 0 d Exp. wall / � I�let cr.?. wall �p � 9 � � Ir,t. wall Ceiling / 7 9 "c�f S � Floo� 8'£r P 79 Z ' Total Ecu. 5/� 5✓ Required sq. ft. E.D.R. or sq. ins. W..4. I.eader area � �•� � �.�,.., Room I i.ength Width �Height - Windaws a d Daors—Crackage and Area f Wtdth HeI�T�t No. ot Line�l tt. Atca � No. ot pnne ot D�ne IIRhu ot crack �c, tt. Coef.� Btu Infihration � y ! 2 2 2 _ Class 9Z �S o n O Exp. wail .y�o Nct exp. wall '�g S�O o �� ad i �`..�i= �/G 9C 3 U p Ceiling +�.� ti ,s S' � / o-�o 's` .` r t P C o G�e„ � il.,.a.a � « �� Totai Btu. i.'Y` �j ZZ. . Rtquired :q, ft. E.D.R. or sQ, ins. VVA. (.e�dtr area � ' � G�orpa. poq.vORQeo fiEAT LOSS CALCULATIONS DEi'ARTh1ENT OF BUILDINGS ��'' Z q �«" �`� --- _ F�rd L� " `;�cathcrstrip"s ' �� •S.H.V.E. Construction No. Insulation Guide r \t ir.dows Doors Rcfercnce Out. �Jal! Int. �/ail Ceiling Roof F1oor Kind How _ e•` No c —No !9� � !FI•r ,• �L,, „� Roo:n � Length Width Height Fl.� ,q „y��- Raom [.ength Width �Vindows and poors—Crackage and Area Windows and Doozs—Cracka�e aad Area �Vldtn HNght No, ot Llneai tt. Area � Wldth HelsAt No. of Llncal 1t. ArBa No. of pane ot vane lights ot cr�ck nQ. tt. No. o[ pans of pane �IRht• ot craek aa. tt. Coef. Btu Infiltration 24 iq -CC 9 S' Glass �/ -o ` S .'a�Q F�p. wa11 � ll's�C� I``ct exp. wall : � � ry � �, � �`�' J e"e r� n�G �/ O 9'C� �w= c ��? Cciling � �� r �, � Floor Total Btu. . - _ �.:rr`i�, Required sq. ft. E.D.R. or sq. ins. W.A. L.eader area �•1 �'�! ,�,, Room� Length Width ' Height Windows and Daors—Cracicage and Area Wldth Iielert No. o[ Llneal tt, Area Sva. oi psne ot p�ne IIRAu ot enck �q, tt. � Ini:ltration Glass Exp. wall Nei ezp. wall I ,t. wal! � Ceiling f�loor Fotal Btu. 2 � CO�f. �Qll , 9 �.. % � i! ; �equired sq. fi. E.G.R. or sq. ins. W.A. I.eader area Fi.� rc, �,� ,� Room �Length Width Windows and. Doors—C:ackage and �'i:�a wlJth Helg�t No. of Lineal tc. f Area �o• a� oane o[ D�ne Itghu o[ craek i eq. ft. � n:l�tratian ;lass ;xn. wa�! '+et ex?, wail :ei{�b°i�'"� il �� 'loor �1�� . �� Et �� d sq. ft. E.D.R. or sq. ins. W.A. Leader area � �;'' � K ' 3 ;3 Hei�ht B�U '� s/ �: n ;/ d G7 t 2 �/ � C� U �� e� �� , I Coef. Btu In�ltration 9 L Jy / 7 s"G CJass ' Q� O p,3 y 6 C, E�cp. wa1! Nre exp. wa3l �J' �2 3 3S` d � WoLC. (,ti.Low cada. S!v ,.ti 2 S��j`(> Ceiling �' Ftoor ' /ao�' L Z 0 / (� ` Total Btu. ! 3 S �, I2equired sq, fi. E.D.R, or so. ins. W.A. I,eader area Fl.l Room ( I.ength Wid:h ::'e;ght Windo�vs and Doors—Crackage ar.d Arta Wldtn Helght No. oL Llneal (t. Aroa � No. ot Do�e ot pane )lghts ot crack sQ. tt. Infiltration • Glasa Eap. wall Net cr.�. wail Int. wail Ceiling Floor Tatal L'tu. Required sq. ft. E.D.R, or sq. ins, i31..4. Leadet area l�l.i Room l I.ength Width Windows and Doors—Crsckage an� Area Wldth Hel�ht No. ol LlrteaJ tc. Arca No. of pane ot D��e HRhu of erack .o_ te_ •H��ghc :u COtf.� BIu Infiftration Cfass Exp. wall Net exp. wall . Ini, wall Cciling Floor � � Tota! Bcu. � . Requircd sq. ff. E.D.R, or sa, ins. VV,A, L,eacirr area i ' � • � City of Fridley, Min.n. BUILDING PERMIT Date: _.._.. Oct ;y 2,� 1968 N'� 9960 Owner: ._.._...��,s��g�-.�.a.-�1�II.SZS2.__.__.._._.._.____.._.....� Builder _..�._.._...._.._�..SLdn�y_...��..1�,n3a�4......_...._.....____..._..�..._...._ Address....._._.__.._._..----._.._.___.__...._..__..._...__..__..._......_-----...._.----. . Address 151 Silver__ Lake Road ,5�,9 tOCATION OP BUILDING Berne Road .... Part of Lot _.._.•--._....._._.._.._.._..._...._...._... No. ••---�....---- Street ....-----•-•-----_._---_..._._.._------.._._.__..-----._.___..-�-- .............---•�-•--- � .,..____23___ 1 Innsbruck 5th Addn. ...---•----._ Block ._.._...--------•-------••------.._..------•-•-- Addition or Sub-Divfsian .-----.._.._._..___.___..__._._._.___._.._..__...._._._......._._ Corner Lot .---._.-----.....--•---- Inside Lot ----•-••----X----•-----------..... Setback ._._.....35._�---.._._...-•--- Sideyard .__.�.._._..._..____.�...._._.._.�._.._._._ �'��x�� 9 8 7 . 71 . --. �a ---..__.._._g3fi...71.._..__._______..._.. Sewer Elevation ...__......_.._......._....__......_--•�-••----...._....__.-----...--------- - Top of Footing DESCRIPTION OF BUILDING To be Used as: __......._._Dwellin.g..._.._ Front _35'.._..._ Depth _..._ 26.'.-- Height .._._..._20'. Sq. Ft __.1752 Cu. Ft _ 35 , 040 ....._._........___._ ....................._........ Front __.__...._--- Depth _____._...__ Height ..---_....---..._.__ Sq. Ft. _.._....._...._ Cu. F't. _._ Type of Construction ..------Frame ..._...-------......__.. Est. Cost ....��.._.._.27..-=-O.Q.Q........_...-•--- To be Coanpleted __._..___._..._....___.__._.._. SEWER LOCATION - 11' South of Manhole (Location at property line-10.5' from stop box) WATER I,OCATION - Approx. right angle from manhole along sewer Iine. In consideration of the issuance to me of a permit to construct the building described above, I agree to do th� proposed work in accordance with the description above set fo and in compliance with all provisions of ordinances of the city of Fridley. _ __._._ �� -�- o� In co�sideration of the payment of a fee of $...._......53 ..00 • Rodney Billman, Inc . .._-._.., per�ut fs hereby grauted to.� — ....._...,......._.__._.._......._...._._..__......_ to construct the building or addition as described above. This permit is granted upoa the express condition that ihe person to whom it is granted and his agents, emgloyees and workmen, in all work. done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances ofi Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and movIng of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of sa�d ordinances. �-' BuildinBInspecto� Clar nce Belisle ��S NOTICE: ihis perenit dws not eowr th� eonstrueNon, JAf}�IIiHOA fer wielny, plumbtnp, oas 6�Nfn9, s�w�� er wNK. d� wn h tN th� Building Insp�efo� fo� s�pant� pKmits for 1h� inms. � � `��/ t _ ., APPLICATION FOR BUILDING PERMIT CIfiY OF FRIDFLEY, MINNESOTA OWNER' S NAME ' � � BUILDER i`/ � ADDRESS ADDRESS /�/ �� i�r_ �x�� _ /�� "�L_ LOCATZON OF BUILDING N0, l.. ,� ,�. STREET Lj -= ,.� �,, r �.._ ,�J PART OF LOT LOT "�y� � BLOCK - I ADDITION OR SUBDIVISION '�-�iG �'��'�`' CORNER LOT INSIDE LOT !� SETBACK_,� SIDE-YARD _ SEWER ELEVATION FOUNDATIQN'ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as ; � �j _ �----" � - Front 3.S' Depth �� Height -� ,^ Sq. Ft.��J�7i Cu. Ft. -=, �.J ;'�5 Front Depth Height _ Sq. Ft. Cu. Ft. �, Type of Construction��_�., Estimated Cos� '` a�=� ' _ � To be completed _ Z , �: ; � ; `> . The undersigned hereby makea application for a permit for the work herein specified, agreeing to do,all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts nd representations stated in this application are true and correct., G�� `�� `��_�/�� DATE !.�2' -� SIGNATURE L-� w � R--z— - � C--� (Schedule of Fee Costs can be found on h everse Side). t � f .. 1 • �� 1 � f l � � , r .f i / r �� , �...4 ^+'. � j w � BUILDING PER�IIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before ieauing any permit for the e�ection of any bui].ding or structure, or £or any addition to any existing building or structure, or for any alterations or repairs to any existing building or structure, upon application Cherefore, require the payment by the applicant for such peraait of €ees,to the �aount herein below set forth and in the manner herein provided to-wit; 2` 1: For any such permit for the erection of any fire-proof building, othe= than a garage, warehouse, factory or grain elevator, or for the erection of any fire-proof addition, for eimilar occupancy, to any existing building, shall be at the rate of $1.40 for each one thousand cubic feet, or fraction thereof, in such cubical contents. 2.2 For any such permit for the erection of any fire-pr4of garage, warehouse, factory or grain elevator, or for the erection of any fire»proof addition, for similar occupancy, to a�.y .exis.ting building shall be at the rate of $1.25 for each one thousand cubic feet, claasified as "fireproof" by Section 502 of the Minneapolis Building Code. HOIISES 2.3. For any such permit for tha erection of any non-fireproof building, other than a garage, warehouse, factory flr grain elevator, or any non-fireproof addition,. for similar occupancy, to any exiating building � permit $1,00 for each one thousand cubic feet. GARAGES 2.4. For any such permit for the erection of any non-ffreproof garage, warehouse, factory or grain.elevator, or for the erection of any non-fire-prnof addition, for similar occugancy, to any existing building or for each such building or addition - ninetp cents ($0.90) for each one thous_and cubic�feeC � or fitaction thereof, in the cubical contents thereof with.the minimwtt of $4.00. For the purpose of co�nputing fees for building parmits, the cubical contents of any building or addition to a uniform height throughout by multiplying the ground area covered from a point six (6) inches balow the floar line of the basement or cellar to the average hefght of tha upper aurf��e or to the average height of the roof surface of the main gable of a pitched roof. 2,�5., For repairs or alterations to an existing stru�ttire, the fee sha11 be at the.rate of $3.00 per each Five h�1r.zred Dollars ($5UO.Ci�) or fraction thereof in the cost of all proposed wo•rk. 2.6. In no case sh�ll the fee charged for any permit as set forth in Section 2 be less than $4:�0. ST�RM REPAIR DAMAGE T�F,S: . Residen�ial: Estimated Cost of work up to $50Q.00 -$5.90 Estin�ied-Cost of work over $�3��C�� - y�;.U.00 Co�nerc ia1; . A �;^ Estim.ate st of work up-to� y��?'i'�00 -$1 Estimate�sC of work ovar $500.04 - $2� , � . . �� r � �� 3 � Base �� City of Fridtey � �� ,.,.-- APPtk�ation �or P�ing and Gas R�q pern�it Dspt. of B2dqR. Phons 560-3450 DESCRIPTION OF WORK _�� Numb�r, Kind aad Loeatioa oi Fixi�cres I.oeat�ns /� 2 � � � FI � I��IO �� I�CISif <�.IU' ��(`Y��U' Vi II NIG STER NTRC. ��■�� _L__ 4th ��__i_L..L.� �L�L�_ _J—L_�� _� _ � ' i'uluz� Coan�ction Op�nings I Cona�ctd with * New Fixlnrr, Old Op�nings S�wsr (� _ Cssapool � PARTIAL RATE SCHEDULE PLIIMBING FI%TURE RATE3: NO. AATE TOTAL Number Fixtures �? x$2.00 $ 2�/, oG F�ature FYxture Opening _ � x$1,5p $ 3�� G New Fixture Old Opening x$1.50 � _ Catch Basin x a325 $ Water Heater (Up ta 99,000 BTU) x$3.00 $ New Ground Run Old Bldg. � x$3.25 $ IIectric Watsr H�atu z$2.00 i 2. Q 1/ GAS FITTING FEEB: NO. RaTE TOTAL lst 3 Fixtures . x g2,pp �i, Additional Fixtures . . . . . . . . . . . . x a .75 � Gaa Range ta 195�000 BTU . . . . . . . . . . . . . x �5.00 R REPAIRS # ALTERATIOIfB—R�f�r to Cod� Deacription .... .. ................ . ...........� TO'TAL FEE 2 0 d Cl� O� '��ef: The undersigned hereby makes appllcation for a permit for the work herei specified, a�eeing to do all work in strict accordatue with the City Ordinance and ruling o! the Department o! Buildings� and hereby declares that alI the fact and representations stated in this application are true and correct FridleY, Minn�'� " % � � '� S 19_ � Owner Kind of Building n / Used as To be completed about �� _ / / � � Estimated Cost, � _ Old— ew Building Permit No.— ... �� n Permit No. �' /�� Signed __ ��L. �!- BY- --i�-� Business Phune No � � �7 ROU(3H FINAL �� Permit for 1'�.UMBING AND GAS �TrTiNG N.B. When work covered by this permit is ready, the Flumbing Ordinance requires that request for inspection shail be phoned in to the plumbing Inepector, 560-34s�0 giving number of this permit., � � .SiAP1C8 f p Z t=- d 3 v � m Basement 18t 2nd ` 3rd air.��,nar a ava� vr vr vasa Number. Biad and Locatian of Fixtures m( Y I e( z� Z Q m m 3 r�- o u�. CL 2 U x o Z czi Z � ui O O U m R� $ ILL l9 � W WATER HTR. Q Q V, � GAS 'ELEC. Cannected with Sewer-Ces�spoal Gas Piping for Qpenings d Permission is hereby granted � � to do the plumbing and gas f�tiing in the building described in the stat ment hereto attached, upon the express condition ihat the person to whom this permit is granted, and his agents, employees and workmen, in the plumbing or gas fitting of said building ahall conform in all respects to ordinances of the City of Fridiey, and this permit may be revoked at any time upon t)ae violation of any o f the provisions ot said ordinances. By 4rder Of The Inspector Of Buildings Roughing in Inspection Date - Inspector. Finallnspeetion Date Inspector. 4z 1M-6.69-Y � n N° 5069 �-o 0 4� s' Permit Fee $ �_�I, City of Fridley ��%��A �i�[ � ,19�i 1 �21712CT -�"� �� . C'�-�� /�.�.i.C�' J FiOCCLtlA1t _ 1 a� o� � ,�.LC_� _,� [ C 1 t r.� 5�,�_ Kind of Building �/LCt ��n�_.r' -' Used as ��)._a��_c'-,. To be Completed , 19, Estimated Cost $ �� Id- Vew. Building Permit Na. i �G�---C �r Inspector of Buildinga. City of Fridley �►PPlica�ion fa� Piwnbieq and Gas Rtii�q hn� - 52-8i,-s915.5z Dept. of Bldq�. Phon� Se0-34S0 DESCatPTION OF WORlc 15�9 jnj. Berne Circle NumMr, Kind and Loc�!!on oi Fixturea L��O° 4� I�{ N � � N I �� Z � I3 � S � � � � � o �r __� Base lst 2nd 3rd 4th ( � � � � � � ' Fux�us Conu�et�oa Op�nin�s + i�i�w Fixtur�, Otd Op�aiay� � I�°IV al<�JU�' �Il�loilV S� �J N�GAS7ENMEC. S�w�s ('w�apool PARTlAL RAT� 5CHEOULE PLIIMBING FIXTURE RATE3: NO. R11TE TOTAL Number Fixtures . . . . . . . . . . . . . . . . x a2.00 $ �ture flxture O��ening . . . . . . . . . . . x El•50 a -- New Fixtute Old Operung . . . . . . . . . . . x a1.50 3,.-- Catch Basin . . . . . . . . . . . . . . . . . . . . x a3.25 ; Water Heater ;Up to 99,000 BTU1 ••.• x�3.00 : New Ground Run Old Bldg. . . . . . . . . x a3.25 $ El�ctric Wattr iI�at�r . . . . . . . . . . . . . . : :200 = GAS FITTING FEEB: NO. RATE TOTAL lat 3 Fixtures . . . . . . . . . . . . . . . . . 1 x s200 = 2.00 Additional Flutures . . . . . . . .... . . . . . x = .75 s Gas Ran�e to 199.000 BTU . . .... . . . . .. x �6.00 i install (1) �as grill 3.� REPAIRS ac ALTEAATI01(�—R�iss to Cod� Description . . , . . . . . . . .. . . . . . . . .... . . . ... . . .. . ... . ... . ; mr,u, � = 5.00 City of F�idley: The undersigned hereby makes application for a permit for the aror& herei specified, agreeing to do all work in strict accordance with the Ci4s Qrdinance and niling of the Department of Buildings, and hereby declares that a1g the tacl and representations stated ia this appHcation are true and correct P'ridley, Minn.�� .,, 19_ Owner Geo. Pagnucco Kind of Building frame Used as residnce To be completed about May Ii�. 1971 Estimated Cost, a 1�1� Old xlJew. Building Permit No. PsrmitNo. �� ROUGH �x�w °I - `� - ? / •. I - �: - � N�� , ' � .I , �'/ / Cify of Fridley � �►PPlicafion �or Plun�bing a�d Gas R� p�nnit Dept. of Bldq�. Phone 360-3450 i DESCSIPTION OF WORK / `� ^ q� ��,�� Number, Kind aad Locati,on of Fixtures I-ocati�n J �'y`` � ' �j �^ � � U' WATER HTR. O�� x �y�?� Zi � pz �i pW z • • !� '� S� a Z 1 0� '� �� 5� S� 7� 7� 7 0 ► N G�5 ��ec. �� u, ;� o�, �.o t3 t� t7� c�0 Base lst 2nd 3rd 4th ' Fular� Coaa�clba Op�nin�s � N�w Fixlur�. Old Op�aiaSs PARTIAL RATE SCHEDULE S�w�r � Gsspool ('j PLIIMBING FI%TURE RATES: NO. AATE TOTAL Number Fixtures x $2.00 $ F�ture F`ixture Opening _ x $1.50 $ _. New Fixture Old Opening x�1.50 � Catch Basin x $3.25 $ Water Heater (Up to 99,000 BTU) .. X$3,pp g New Ground ftun Old Bldg. _ x$3,�5 $ IIectric Watu H�at�r : $2,00 s GAS FITTING FEEB: NO. RPiTE TOTAL lst 3 Fixtures . . . . x �2.00 � Additional Fixtures . . . . . . . . . . . . . . . . . . x S .76 $ Gaa Range to 199.000 BTU . . . . . . . . . . . . . x a5.00 I� REpAIRS � ALTERI►TIOI�--R�f�r to Cod� Description .... ................... ..........: TO'PAL FEE ; � ' C�`Ci City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling o! the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, Minn � ! � , l9� a l � .� Owner - �:� _ Kind of Building Used as To be completed about Estimated Cost, � n Old—New. Building Permit No._ . Permit No. ..5 �. 1�� _ � Signed _ _ ��r_ .. � _ k�, ,.�,,,.�„Ay By_ . Business Phune o. � � � � .% � � � ROUC3Fi FINAL � �-' � f C sue�ecr P c,cy of Fridley � � � � � AT THE TOP Of THE TWINS g U I L D I N G P E R M I T f i � R �E1FT1Qb. � • COMMUNITY DEVELOPMENT OIV. � �L_��' ' . r � � PfiOTECTIVE INSPECTION SEC. �� _ , � r"�1 � CITY HALL FRIOLE� 55432 NUMBEA REV DA7f �AGE OF APPROVED BY �'""�� ,�� 612-571-3450 910-F15 9/6/94 � � �oe ,nooaESS 1529 Berne Circle West (City Records- 1529 Berne Road NE) 1 LEGAL �OT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCH. 23 1 Innsbruck 5th Addition SHEET 2 PROPEFTY OWNER MAIL ADDRESS ZIP PHONE Don Rockwell 1529 Berne Circle West 3 CONTRAC70F MAIL ADDRESS Z�P PHONE LICENSE NO Minnesota Exteriors 8600 Jefferson H, Osseo, MN 55369 291-5514 2877 4 AfiCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE IICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE UCENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADOITION p ALTERATION q, REPAIR ❑ MOVE ❑ REMOVE 1S 8 DESCRIBE WORK Soffit & Fascia 9 CHANGEOFUSEFROM TO STIPULATIONS Install ventilation to meet the State Building Code. TYPEOFCONST. OCCUPANCYGROUP OCCUPANCYLOAD 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. AU7HORIZED IS N07 COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANOONED FOFi A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEf7EBY CERTIFY THAT i HAVE READ AND EXAMlNED 7HIS APPLICA710N ], STAIIS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND OROINANCES GOVERNING THIS TYPE Of WOFiK WILL 8E COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT � 1� 76O �. 88 DOES NOT PfiESUME TO GIVE AU7HORtTV TO VIOLATE OR CANCEI 7HE pEqM17 fEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OA LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION ��}],.00 Fire SC �l.%6 PLAN CHECKFEE TOTALFEE License SC $5.00 $48.64 S�GNATUAEOFCON7RACTOROAAUTMORIZEDAGENT iDATEi WHEN PAOPE Y VALIDATED THIS IS YOUR PERMIT - ` q--��'Y SiGNATUF7EOFOWNEA�iFOWNEABU�LDEF�� iOATE� - Bl �NSP f�4TE rrEw �iDDN ` AL'TFR tl � Construction Address: Legal Description: Effe�tive 5I26/93 CITY OF FRiDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 ��p, Building Permit Application � Uwner Name & Address: �� `�� o2� �� .�f � • Tel. # Comractor: �I � MN LICENSE ��%% Address: c�C/� c�� ,��1� �S�_ Tel. # �_�� LIVING AREA: Length GARAGE AREA: Length DECK AREA: Leng�th OTHER: lCtxach to this applicat�on, a Certificate of Survey of the lot, with the proposed construction drawn on it to scaie. DESCRIPTiON OF IMPROVEMENT Width Width Width Corner Lot ( j Inside Lot [] Ft. Yd Setback ti Type o€ Conshuction: �� cc Approx. Completion Date: - Height Height Hgt/Grouad Sq. Ft. Sq. Ft. Sq. Ft. Side Yard Setbacks Estimated Cost: $ �7�6 � � (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ —$ � DATE: � � APPLICANT: , � �C�' Tel. # �9� ��/ �` Permit Fee Fire Surcharge State Surcharge SAC Charge License 5archarge Driveway Escrvw Erosion Control Patk Fee Sewer Main Charge TUTAL � ��I� �'�' � /, �7 (� �� c�c' � $ �� . �'� C $ $ $ $ '��' �� ,�� L� ��0�6.�0 �� Fee Schedule an Reverse Side .001 of Permit Valuation (1/lOth`�) $.50/$1,000 Valuation $750 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above Conservation Plan Review $450.00 Fee Determined by Engineering Agreemeat Necessary [ J Not Necessary [] STIPULATIONS: • , . .. � ��L � � � ,��1 q-b' BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any buiiding 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 $500 $SOl to $2,000 $2,001 to $25,000 FEES $15 (Minimum Fee is $15 plus surcharge) $15 for first $500 plus $2 for each additional $100 or fiaction thereof, to and including $2,000 $45 for first $2,000 plus $9 for each additional $1;000 or fr�,ction thereof, to and including $25,000 $25;001 to $50,000 - $252 for first� $25,000 p��s $6.50 for each additional $1,000 � or fraction thereof, to and including $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $I,U00,001 and up $414.50 for first $SO,OOQ plus $4.50 for each additional $1,000 or fraction thereof, to and including $100,000 $639.50 for first $100,000 plus $3.50 for each additional $1,000 or fraction thereof, to and including $500,000 $2039.50 for the fust $SW,000 plus $3 for each additionat $1,Q00 or fraction thereof, to and including $1,000,000 $3539.SQ for the first $1,000,000 plus $2 for each addi6onal $1,000 or fraction thereof � DRIYEWAY DEPRESSION ESCROW �Concret:� Curb Streets On1y) Alternate "A" : Removal and repla,cement of curb and gutter only - Ihiveway width plus 6 feet times $13.50. Altemate "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 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 const�uction site. A Certificate vf Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. ... . City of Fridley AT TNE TOP Of THE TWINS r � . � � � • COMMUNITY DEVELOPMENT DIV. r � � � PROTECTIVE INSPECTION SEC. i � � �"'1 � CITY MAIL FRIDIEV 55�J2 �.'_.�,• •', 612--571-3450 SuBJECT BU ILDING PERMiT NUMBER REV DA7E VAGE O� 910-F15 5/23/00 / / �oe nooaess 1529 Berne Circle West NE t LEGAL �OT NO. BIOCK TRACT OR ADDITION oesca. 23 1 Innsbruck 5th Addition 2 PROPEfiTV OWNER MAIL AODRESS ,PE IT NO. T 0972 RECEIPT NO. �� AOPROVED 8Y SEE ATTACHED SHEET Don Rockwell 1529 Berne Circle West NE 763-571-2112 3 CONTRACTOR MAIL ADDRESS ZIP PMONE LICENSE NO TimberCraft Enterprises PO Box 120388, New Brighton, MN 55112 633-8611 2624 4 ARCNITECT OR DESIGNER MAIL AODFESS IIP PMONE LICENSE NO 5 ENGINEER 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW MAII AODF O ADDITION ❑ ALTERATION 8 DESCRIBE WORK Reroof House & Garage (28 Sq) Tear-off 9 CHANGEOFUSEfROM TO 21P PHONE LICENSE NO G�7 REPAIR O MOVE O REMOVE STIPULATIONS t3nderlayment must comply with the State Building Code. - - - -- -- A A E PERM�TS nqE REOUiREO fOR ELECTRiCAL. PIUMBING. HEATING, VENTILATING OR Alq CONDITIONING TMIS PERMIT BECOMES NULI AND VOID If WORK OR CONSTRUCTION ZONING AUTHORIZEO IS NOT COMMENCEO WITHIN 60 OAVS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 �AVS A7 ANY TIME AFTER WORK IS COMMENCED. NO OWLG. UNITS � MEAEBV CEATIFY THAT I HAVE READ AND E%AMINEO THIS APPLIGA710N 1 AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION AND OR0INANCES GOVERNING THIS TYVE Of WORK WILL BE COMPLIED $2,447 WITH WfiETHEq SPECIf1ED HEREIN OR NOT. TME GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORI7V TO VIOLATE OR CANCEL THE pEFMIT FEE PAOYISIONS ANV OT ER STATE OR LOCA� LAW REGULAIING CON• $83 . ZS STRUCTI T M NCE OF CONSTRUCTION PLAN CNECK fEE 4� '�� 2� Q-'� Licens C Si N4TUpEOF ON�AA(;TOAONAUTHOQ�LEDAGENT �O iE� EN P( S�GNaiUAE OF OwaEQ�� OWN£A BU4Dfii� iO.�TE� o� nr. eo fT STA��S $5.00. NCV lOAO CU FT. OFfS7HEET PARKING IGAAAGES �1.22 4C CNARGE Fire SC $2.45 �i} L FEE 11�91.92 �� N � ( ] Effective 1 /1 /2000 ADDN [] CITY OF FRIDLEY (763) 572�604 Bldg Insp ALTER [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION � ,�' '� �� v /� � Construction Address: %-� � �' ly.i°�/� ��.'� - �U . Legal Description: Owner Name & Address: Contractor: ✓G , �� Address: • U - � LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Tel. # � �63- 5` �/ 2// � , MN LICENSE # �,h �. �f � l � Tel. # bS( � �� - �b l / 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 Width Hgt/Ground � Sq. Ft , � �Z D D � �h P��J`C� Ss . / �A�' ` i " V Construction Type: %'� Estimated Cost: $ �7 7/ 1'� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: :5 Z 3 6 �� APPLICANT: Tel. # CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ 8,�-�S Fee Schedule on Reverse Side Fire Surcharge $ �'yS .001 of Permit Valuation (1/10th%) State Surcharge $ /,� � $.50/$1,000 Valuation SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ $1100 per SAC Unit $ - � v $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above E� $450.00 Consenration Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] � / �- , � "� BUII�DING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing pemuts 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 e�sting 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 $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $10U,001 to $500,000 $500,001 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 $2Y000 $69.25 for first $2,000 plus $14.00 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 $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additionai $1,000 or fraction thereof, to and including $SOU,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fracdon thereof DRIVEWAY DEPRESSION ESCROW (Concrete C�ub 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 Permits for construction will be issued a minimum of 24 hours from the time of application to all�w for proper review of the proposed structure and of the construction site. A Certiiicate of Survey of the lot, showing the location of the foundation once it has it has been coristructed will be required before proceeding with the framing. New Houses Onlv "� _ , ,:�:�': ,, � � ,�iTY OF� FRIpLEY INSPECTION DIViSIOf� � 5433. Universi#y Ave NE �, @-r�diey� idlh� 55a32 APPi.ICATION FOR �OWER ALAN7S AND HEATING, Ct�L11MtG, V£NTILATION, �;763) 572•36Q4 REFRIGERI�TION AND A!R CONDiT1 a. � RATE 5�i�ED�JLE � � �esiden#ial � Furnace Sheii and Duct Work, Burner - � Afso Replacernent Furna+�e (SisJe Vent - Fili Qut Back} Gas Piping (Needed with new #urnace, but not re�lacement} Gas Range � Gas Dryer �Air Conditioning - All Sizes All Otf�rs/Repairs & �terations {LIST ON BACK) �� of Value of Appliance or Work � � '.ommerciaUlr�dus#rfal � 1.25�'o af Value of A�pliance or 1rt+ork � 0 � � U Rate 74TRL $30.00 ��i.�e $ i0.Q�0 $ $ 10.04 $ $ 10.00 $ � 25.U�0 $ $ $ State Surcharge 7QTAL FE� � _ �-- AINIMUM fEE F R ANY HEATII►IG/C�pLINGIYENi1LA710N REFRiCERATI�N/AIR CONp�TIONING p RMIT �� .�Q � �LUS THE $.50 STATE SURCHARGE � � �EINSPECTION FEE $47,OU/Hr m m � Air Conditioners can no# be placed in a si�e yard withcwt �m rritten permission frorn adJoining property owner. � 0 .50 � � �. �`L) �`lf�. C� BNING SYSTEMS AMD QEVICES� Effective an January l, 2fl42 J�B A�}DRESS ��-�,�� c;�� r.� OWi�fR— - � � � � � � \ � BU�LDING US€D A� �a��,�� O"�.. �� ;� J � ESTiMATED COST ��'']�Q�^� PERMfT N�. / F F AND OR BU NER No. of �I�eating Units i Circle �ne {Steam) {Ha# Wate (Warm Ai Trad� Name r-�, a,.�,�- Size f�a / BTl1_,.. � MP EDR FueJ u.,fv Total C+annected Load Burner Trade Wame g�Z� �a. B�'U HP ED �he Undersigned he�eby makes application for a permit for the wark herein specified agreeing #o do al9 work in strict accordance with the City Codes ar� rulings of the Building Divisron, anci hereby deciares t�at aN the facts and representations sta#ed in this appfieation are true and �arrecf. 1.f � oar� 1 �/i��s Z l C(� • S`Z�' HEATING CQ � -� C Signed TE�. #�l la3 -�-15 5l -') U53 FAK# � l�3- �ci`6- r12:°�� Approved By��, Rough-tn Date` Final - : � 1� OCT-�1-2002 13�55 FROM �ITY OF FRIDLEY TO 763�987299 P.03f07 THE BEL4W MU$T BE FILLED IN WHEN REPLACING FUEL BURl1HNG APPLJ�WCES OR THE APPLI�A►TIt?!V WILL BE RETURNED C:t]MMON NT L�R�? CAk �(�TpR Al�D Oi�'.B 1 Tldl` AiR t►�t2lGh^aTl�^,.�� When ��-�w�,.��„�+r+� •�n , the undersigned her�by verifi�s tF�at the venting has been examinecl and �s free from rus�, deterioration, obstructic�ns, and is securely supparted and fires#opped wher� requir�d. Yes �) No () The venting sysEem is plasi�c/PVC and rrteet� att cunent cbdes and manufacfiurer sp��ifications induding sizing, lengtri, number of elbaws anci termination. The uncfersigned aiso verifles that the replacement unit is a lis#ed assembly and meets the current cades and rY+anufac�rer's speci�ica#ions, This daes includs AGA-GAMA C�tegory i Central Fum�ce Venting Tabies for fan assisted artti natural dCa#t applianc�s. The ��_pQ r_erribL�nn_ir is siz�d and insta�led to meet the �cun�nt cades anc� manufactu�+ers specifica�ans. When required to �•±��n 9�_�, .,�. �:- it �nnl{ be si��c! and instailed ta mee# the current codes and manufactur��s specifications. �� a ��ew �rnnfio�.�y�. the undersign�d herei�y verifes that it i� a listed assembiy and meets th� curr�nt codes and manufa�turer's sp�#�ons. T{�is does indude A�A-GANiA C�ttegory t Certtral Fumaoe Ver:ting Tables for fan ��sis�ed a�nd rlatural draft appliances. fs the commcn vent at�d veM cann�ctcx�s sizeci and install�d correctiy �fter an appilance has beerti removed frorn the common vent and v�nted sepatatety as pes currerri c:odes. Yes ( } No� Y�s �j NG { ) !� Yes � No { } Yes� No ( ) Yes � No � ) Yes�jNa( ) B,�nt�anc� T�r�o 6�d Si�l�arnrner� t�a -nd tlen ['nnnt.�r lrt�'erm� �nn Applialloe #1 Type n. ��,� ,� ,,, BTU Input 66 F�rt Assisted 4r Nat � Appliance #2 Type 8TU tnput � F�n Assis#ed or Nat ApP�noe #3 Type BTU [nput � Fan Assisted ot N�t � Tot�t Appliances Totat B�a Input Gommon V�nt T e � Vent Height Diamet+er �o �1 inch� Yp � /�s� Appliance #1 Vent Connector Meight i# Length ft �i�met�r in Type ,�1ppliance #2 Ven# Connector Hei�h# ft L�ngth _ ft Diameter in Type , Applias�e #3 V�nt Connec�or W�ighi �_ft Length R Diameter in Type ��,,,, f_ - �.. y, � . - HEATINGCO: As e Vent' lation & Heating Co. � BY� E7�I�ee : � 2 .. . ... .. .... . ... .......�vtatll�w. 6431 University Ave NE Fridley, MN 55432 (763) 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS � `��i��' �ifc- G� ' 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•" 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 �l-ab 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 stated in this application are true and correct. Owner Used Estimated $15.00 PLUMBING PERMIT �,� " o � �- , 20 .2 �� C��-9 . �c _ Reinspection Fee $47.00/Hr SIGNED B --- TEL N0. �C.�.�` `�-33 �E�� ALL OTHERS AND/OR REPAIRS AND ALTERATIONS FAX #�7� " 3" E;- _-, 1.5% of Value of Fixture or Appliance 9,�� Approved By Rough-In Date Final Dat State Surcharge .50 �� I ��c�.., MtNIMUM FEE OR ANY PLUMBING/GAS PERMIT IS $20.00 TOTAL FEE $ o� i. S� PLUS THE $.50 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A} AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNiNG APPLIANCES OR THE APPUCATION WILL BE RETURNED C`�p11�,�11",OI� �/FI�Tr��T r�l�(�FCT(�R AND rnMBl ISTION AIR VERIFIrATInN When nla _in0 an xic i� f�rancP, 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 plastiGPVC and meets all current codes and manufacturer speafications inGuding 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 manufacturers specifications. This does include AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. mg PYic in0 comh ,st�on air is sized and installed to meet the current codes and manufacturer's specifications. Whe� requir'ed to inetall a new cemhi,stien air� it will be sized and installed to meet the current codes and manufacturers specifications. When jpS�ljjpq a new venting„4y��, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's speafications. This does inGude AGA-GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. Is the common vent and vent connectors sized and installed correctly after an app4iance has been removed from the common vent and vented separately as per current codes. Yes ( ) No ( ) Yes( ) No( ) Yes( ) No( ) Yes ( ) No ( ) Yes( )No( ) �.. .. - .- ... - .��.. -. ... -. ...-«. . ..��. .. Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU lnput Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type __ � � :' �► �- ..,- HEATING CO: Signed By: Date : NEW , �. � ADDN ( ] ALTER [ ] ao�s- oo�� CITY OF FRIDLEY 6431 University Ave NE, Fridiey, MN 55432 (763) 572�604 Bldg Insp SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION _ �� ' � � �� Construction Address: �� q �e r n � << r c f t� , _ Legal Description: �� a3 /j%ck � �n.,sst��/f -st-`' �c,J� �it � Owner Name & Address —� �^ °�"�� / "' Sa'"` � Tel. # 7�3 -� �� 5� 5�f -- L Contractor: it/1�1- MN LICENSE # ti�� Address: y��' Tel. # �� 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 3� � Width �a � Hgt/Ground �� Sq. Ft. �G v OTHER: � : �� S� � eJu� � 7"'� - 3 SOC' 1�� Construction Type: �o� ��e c�' 4r„ k J r=�a-�Estimated Cost: $�° eb C(%ono bI� (�eck Rcpl+ce G.:�1� /1t�... in Sa.n� ivlk�r�+�► � Driveway Curb Cut Width Needed: Ft. + 6 Ft = DATE: APPLICANT: Ftx $ _$ Tel. # Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. CITY USE ONLY - Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge � $ $ � � �� $ $ $ $ $ $ Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1450 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 [ ] TOTAL $ �O •"1 STIPULATIONS: BUILDING 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 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 $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 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 $14.00 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 $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1, 000 or fraction thereof, to and including $1, 000, 000 $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) Removal and replacement of curb and gutter only - driveway width plus 6 feet times $20.00. 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 location of the existing foundation will be required before proceeding with the framing. New Houses Only � The Home Depot # 2802 .� 5650 MAlN ST, NE, FRIDLEY, MN 55432 �. • . (763) 571-8600 . - Thu May 12 11:06:01 2005 - The materials for this project will cost $3114.32 • JOHN ROCKWELL � CEDAR 1 160439 ' 3D View � � �� ` � l� � :i ., • �. ._: v � � ��1 . j I,,� � ; ' c"�S 1L- U �GN�1 4�-S �1 � • � � r GoNu��.5 �� i�Q � : : G�_/�/ r � : �Y p � �("jyY 2 C�_ K-�-� I r �� . _ � 1 ` .. .. 1� Ir��+� ��lr ' . ��n � �I � J . �� . . . . j�9�f (F/a �� . 1 f � LVf!'l'� • / ce�%�� %tck d� Sia:.s � .-, . 's / -, a..�4..'�r�C'7iC�' �� :.� . 0 :.;,�:� , -- � . � , ,, n � . � ` . . . . �.7 � � � �Ul ;� .. �..: +: .,: -, �; - �u� r�� S ' � - G� I�4 NCI � I� , . . � : �j�`a i Q w� t rtS� ��1: � � , � , . ,� , �' � t �� l4'� �� l fZ Q,ISF� �. -� � , i . . �.��,�� . , .. . � ` __ ._.__:.�: �� ' I RC. . . � The Hqme Depot # 2802 5650 MAIN ST, NE, FRIDLEY, MN 55432 (763) 571-9600 � 5/12/2005 . JOHN ROCKWELL � CEDAR 1 160439 Materials for Deck: ' Qty � UUM SKU Use Description -=--------------------------------------------------------------------------------------------------------------------- 62 1 10 1 66 14 �15 21 1 1 7 4 1 4 3 3 1 15 14 22 12 12 .2 4� 2 1 23 23 62 62 62 1 EA EA EA EA EA EA EA EA EA EA EA � EA EA EA EA EA EA EA EA EA EA EA EA EA EA EA EA EA EA EA EA PK EA EA EA EA EA EA EA 302477 168335 124884 128372 128340 167136 167119 167929 167055 127713 127084 168335 128372 124884 128372 257974 258132 264784 155961 255988 '167119 167055 167929 351636 865858 209715 206450 735068 169765 177313 439432 462810 454141 538981 928607 544208 538892 538981 735068 Baluster Beam Beam Beam Beam Decking Decking V Top Rail H Top Rail Joist Joist Joist Joist Joist Ledger Post � Post Railing Post Stair Stringer Stair Stringer Tread Tread V Bottom Rail V Top Rail 2x8 Joist Hanger 4x4 Post Foot Brkt AnchorBoltw/NY�L 8alusterScrewTan ConcPierin-Ground Deck Screws Tan Flashing Hanger Nails 2x8 Joist Framing Nails Lag Bolt Washer Ledger-Bolt Rail Post-Bolt Rail Post-Nut Rail Post-Washer Step Screw Tan . . . . � . : iX3-i3 #�1 F� PT . . . . . . . � 2X6-8FT. N0.2 PRIME PT SYP , . 2X6-10 NO 2 PRIIVIE PT � �. 2X8-.8 NO 2 PR1ME PT � •'�� ' 2X8-16 NO 2 PRIME PT � ' . • . � � � 5/4 X6-12FT. �REEN STK CEDAR DECI�INC3 • ° 5/4 X6-10FT. GREEN'STK CEDAR DECKING ' 2X4-8FT. N0.2 PRIME PT SYP 5/4 X6-BFT. GF2EEN STK CEDAR�DECKING � �. 2X8-12 NO 2 PRIME PT . •"'� 2X8-10 NO 2 PRIME PT � . 2X6-8FT. N0.2 PRIME PT SYP :; 2X8-8 NO 2 PRIME PT .�.; •. i � 2X8-8 NO 2 PRIME PT � � . . • �� 4X4-12 #2 PT � • � '' 4X4-8FT. GREEN STK CEDAR S4S „..,, 1;w:,.-; �3.,_ .� 2X12-16 #2 PT � -� 2X12X10 PRESSURE TREATED � 5/4 X6-10FT. GREEN STK CEDAR DECKINCy --� 5/4 X6-8FT. GREEN STK CEDAR DECKING , 2X4-8t=T. Nu.2 �RfME PT SYP - 2X4-10FT. GREEN STK CEDAR S4S� �MIPJ( � �IST HANf'�F..St�� : ' ��a BASE 4X4 Z-MAX , � 1/21NX81N ANCHOR BOLT,NUT W/WASHER ' -�l� �TAN 5LB 2 1/21N DECKMATE DECK SCRV1l ''� 80LB. CONCRETE MIX � � • ' ' TAN 5L6 3 1/21N DECKMATE DEGK SCREW'_„ r, .. QECK LEDGER FLASHING BRN GALV 8�7'"�`�" :- � 10D JOIST HANGER.NAILS � 16D 3-1/2" HOT GALV BOX 5 LB FLAT CUT WASHER GALV 1/2 • � LAG SCREW GALV 1/2 X 6 ' • �� CARRIAGE BOLT-GALV. 1/2 X 8 '. � HEX NUT GALV 1/2 ' FLAT CUT WASHER GALV 1/2 •� �� —� TAN 5L6 2 1/21N� DECKMATE DECK SCRW � ,' The total cost of in stock materials is $3114.32 plus tax. This estimate was created on 5/12/2005 and is valid for 3 business days. Parameters from UBC.cod parameter file. Parameters used for Deck 1: 60 psf tive load, 48 inch footing depth. . Parameters used for �eelf� 60 psf live load, 48 inch footing depth. .%�sr� it �o Scto•� �ick � 14�d:� c�rt� l�M'7 �a,� rzSe,�s . . ' .'. .. 'y , l (o @ �/� `C � — � � : . - ., � .��c*:.x-� � -' v ,. � . ! G��- �^^.�S g" � `i g" @ 9 . . � /It�M �K .s74i/if f � � ,. WARNING: . . ' THIS IS NOT A FINAL DESIGN PLAN. VARIATIONS IN BUILDING CODES, SPECIFIC ARCHITECTURAL. ,•; CONSIDERATIONS, OR SITE CONDITIONS MAY REQUIRE CHANGES TO THIS DESIGN. YOU ARE RESPONSIBLE • � i . . ., �,.r•. . , . �,�� , � �.The Home Depot # 2802 " 5650 MAIN ST, NE, FRIDLEY, MN 55432 (763) 571-9600 , - Thu May 12 11:06:01 2005 - The materials for this project will cost $3114.32 JOHN ROCKWELL CEDAR 1 �... . 160439 ��` � , Deck Layout � � � ._.. � �i � �� ' � � 9 — ��s�, �� d�i�rw�� (iS� . �`� � .� , r �l�"'�C � -�p'' � ' �� 4'tW4 �t`i ��s . c� "+•� , I �c�(I�1 fY11N �� _lG CX, � � �� , , w� �-P p� h� �.c�2 _ , i i , 1 rVi�� -�` �;e�l' ' � _ 1 3 � ��C� (1�J h� N G �1 . ., . -�, :. .. , .� � ; , �-,- : � -•The Home Depot # 2802 " 5650 MAIN ST, NE, FRIDLEY, MN 55432 (763) 571-9600 . - Thu May 12 11:06:01 2005 - The materials for this project will cost $3114.32 JOHN ROCKWELL CEDAR 1 160439 Post Layout for Deck 1 � � � 12'i �, 'I " 1' 3" ! _ ......; ... . Deck ... ; � � M ' � 1� . � �� Ot� � � 1." � �� s 11 � 3 �� , ,�... ' ' ''-' 2 � � c.s -�"`x �4� _ �5 -� �v = t � � 5 t b S , r ' • , f � : ____ ��_�__ ___ ___ s�z�_ _ 1�_,�-�o�__ a�_._` �_ _ i��►� v��y . BasePoint'A _� ` � . � t� . . � . ' . . ; . r . , • . � � �The Home Depot # 2802 � 5650 MAIN ST, NE, FRIDLEY, MN 55432 (763) 571-9600 . - Thu May 12 11:06:01 2005 - The materials for this project will cost $3114.32 JOHN ROCKWELL CEDAR 1 160439 � Deck Dimensions for Deck 1 0 � , 3R� 0 30' ' Joist Spacing = 16 in. o.c. . * Baluster Spacing = 3 3/4" 't� Toe Spacing'= 3 3/4" � ' s� H�.��;:4 3:�!' • . :.r: . � � � J i 0 n .; , � . : , .� . .. � '�d• �� -.�: � The Hc�me Depot # 2802 5650 MAIN S?`, NE, FRIDLEY, MN 55432 (763) 571-9600 Thu May 12 11:06:33 2005 JOHN ROCKWELL CEDAR 1 160439 Construction Specifications deck 1: Construction Method = Beam on Top of Post Footin� T pe = Pier In-Ground � - �'�'� ' Load = 10 Decking Spacing = 0 1 /8" .!C�cr cnoi-inn = � (j�� _�, ._. .y Beam Spacing = 120" Post Spacing = 56" Decking = 5/4X6 - Western Cedars No. 2 Beams = 2X8 ACQ Prime Southern Pine No. 2 Joists = 2X8 ACQ Prime Southern Pine No. 2 Posts = 4X4 ACQ Southern Pine No. 2 -;� , ,�',,�-�7e°�" Diagonal Bracing = No Deck Skirt = No Joist Overhang = 12" Beam Overhang = 12" Decking Deflection Factor = 360 Joist Deflection Factor = 360 Beam Deflection Factor = 360 Pref Decking Size = Pref Joist Size = 2x8 � Pref Beam Size = 2x8 Pref Post Size = 4x4 Stair 1: Step Width = 36" Step Hei�h�t --�,4,��,,�/4" • ��1. ;��';�'"" Stringers = 2X12 ACQ Southern Pine No. 2 ^' - � - �"XG ACQ Soutrern P�ne Standard ICIJGIJ � J/Y Treads = 5/4X6 - Western Cedars No. 2 Railing 9: �� t . - ., ��r.;±�. ��Toe Space = 3 3/4" �, Railing 10: . Railing Height = 36" Baluster Spacing = 3 3/4" Toe Space = 3 3/4" •F2ailing 2: �'�` Railing Height = 36" Baluster Spacing = 3 3/4" Toe Space = 3 3/4" Railing 1: �` Railing Height = 36" . . . Baluster Spacing = 3 3/4" J 0 �. .. . �, , .� � . . .. ,. . � . .,. , . .r:. . t � . . � .,,_ , 0 � . Toe Space,= 3 3/4" t• : ' Railinq 8: � ' Railing Height = 36" " Baluster Spacing = 3 3/4" Toe Space = 3 3/4" : Railing 3: Railing Height = 36" • . Baluster Spacing = 3 3/4" Toe Space = 3 3/4" Railing 4: ' Railing Height = 36" � Baluster Spacing = 3 3/4" ; Toe Space = 3 3/4" , ' . . , . .. .. . . , .. ' I . . . I . � I . • � . . .. . �, . , ..; ... .�:»::... ,. . �...... ; � , •. • ' , .. . ...�.1.•. • i�� 4. � � � The Home Depot # 2802 ' 5650 MAIN ST, NE, FRIDLEY, MN 55432 : (763) 571-9600 . � Thu May 12 11:06:01 2005 -� The materiais for this project wiil cost $3114.32 � JOHN ROCKWELL CEDAR 1 160439 Post Layout for Deck 2 f ' ' r ' � f � - �� I • i 4' 7 � i,• • �. 4 = BasePoint____.._g � 6�� _.______3 Dec: ; • �• • # . . V ' i � '� � � �� •, . �,�.:� i . , . . .. , � �, . , ' 1 .: . . , � � 1 . . . . . . i . . .- 'i � . . ..�: ` � -� a � � . � . . . .. . ° � � •� � . • I . ; . r � -•The Hame Depot # 2802 .• 5650 MAIN ST, NE, FRIDLEY, MN 55432 (763) 571-J600 , :• Thu May 12 11:06:01 2005 - The materials for this project will cost $3114.32 . JOHN ROCKWELL . CEDAR 1 1.60439 ' Deck Dimensions for Deck 2 s' j . . . k . . �� ' . S. • r� f ♦ . • i • • � .. Joist S�nacinc� = 12 in o c • Baluster Spacing = 3 3/4" .. Toe Spacing = 3 3/4" � Railing Height = 36" � . � . � , . , 0 . ,. � . . . •. �.r 1 . , � � 1 . t .. . . -r.w _. j '� � ♦ i �I � ... . .� �F•.� :. .'�•l.� J . 1 � � • 1 • . i . � � . ,"! ... , . ._*,� •; r : i . � . The Home 4epot # 2802 ! , 5b5U IVIHIIV J 1, iVE, FRIDLEY, MN 55432 � . �(763) 571-9600 Thu May 12 11:06:56 2005 JOHN ROCKWELL . CEDAR 1 • 160439 ' � Construction Specifications � deck 2: : Construction Method = Beam on Top of Post . Footing Type = Pier In-Ground Live Load = 60 Dead Load = 10 ' Decking Spacing = 0" � Joist Spacing = 12" ' Beam Spacing = 58" � Post Spacing = 36" Decking = 5/4X6 - Western Cedars No. 2 � Beams = 2X6 ACQ Prime Southern Pine No. 2 Joists = 2X6 ACQ Prime Southern Pine No. 2 � Posts = 4X4 ACQ Southern Pine No. 2 �' Deck Height = 37" , Diagonal Bracing = No � . D�ck Skirt = No � Joist Overhang = 0" � Beam Overhang = 0" ' Decking Deflection Factor = 360 � Joist Deflection Factor = 360 � Beam Deflection Factor = 360 Pref Decking Size = ' Pref Joist Size = NONE ' • Pref Beam Size = NONE . Pref Post Size = NONE � ., . E" Railing 5: ,� . Railing Height = 36" � . Baluster Spacing = 3 3/4" ` � Toe Space = 3 3/4" ; , Stair 5: . - Step Width = 36" Step Height = 35 3/4" ' � Step Rise = 6" . Step Run = 11" ' Stringers = 2X12 ACQ Southern Pine No. 2 t• Risers = 5/4X6 ACQ Southern Pine Standard Treads = 5/4X6 - Western Cedars No. 2 � 'F2ailinn 1R. � Railing Height = 36" ; Baluster Spacing = 3 3/4" ; . . Toe Space = 3 3/4" . . • Railing 14: , Railing Height = 36" � � - Baluster Spacing = 3 3/4" t• Toe Space = 3 3/4" t �• � Railing 6: Railing Height = 36" ' Baluster Spacing = 3 3/4"� . . . . . . . • . . ... � ... ,'Y� •��.1 � . . , • .. . . ._� , .. ,-;��.: ! . . . . , � , . . . ; . � _ .. , .r,.�•`.'�.:r �*.: � � , . .. . . ..�,...ti�::�rx � � • ,•,' . " Toe SpaGe,= 3 3/4" A , t . � Stair 3: ' Step Width = 36" � � Step Height = 35 3/4" . . Step Rise = 6" Step Run = 11" ;� � Stringers = ZX12 ACQ Southern Pine No. 2 ` Risers = 5/4X6 ACQ Southern Pine Standard • � Treads = 5/4X6 - Western Cedars No. 2 � • � • � Railinq 11: Railing Height = 36" Baluster Spacing = 3 3/4" � � Toe Space = 3 3/4" � . Railing 12: . Railing Height = 36" ; � � Baluster Spacing = 3 3/4" : Toe SpaG� ° 3 3/4" � . � Railing T. Railing Height = 36" r Baluster Spacing = 3 3/4" ' Toe Space = 3 3/4" � ; .. c" � � . f • ♦- Y YyI . ' . .. .I i� �t � ' . , . . � L� # . . . ' i M M a . , s . . � � . .. �. 0 G 0 c . . . . . r , . ..�.'�� - .:..,�,^r.;o:. ' . « .. . , . . . , . . . . , . � + »;�ii . $ , . . . . . � ! � � _. _: .,»�,;��:,�r`v: . � • - . ��. � .. ' . • 1 . � ` . ... ,. ....,r,..:'�� i . .. ,: �.+✓.`. ..'..""`.,. . • .. .. .. , .. : ; : ��: 1°.:.,--sz .