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PRE 2010 DOCSAppRcatioe for Power Plaints and Healing, Cooling. Vem6aften Re/rigeraf%e and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work .......... ..... .. $10.00 $ Replacement of Furnace ..... ..... 6.00 $ Repairs & Alterations—up to $500.00 6.00 $ Repairs & Alterations each add. $500.00 3.00 $___ MECIL WARM AIR Furnace Shell & Duct Work to 120,000 BTU ... ..$10.00 $_ each add. 60,000 BTU .. ................. . 3.00 ; Replacement of Furnace 6.00 $ Repairs & Alterations—up to $500.00 6.00 $ Repairs & Alterations each add. $500.00 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam $10.00 Furnace Shell & Line—to 640 sq. ft. EDR Hot Water 10.00 $_ Each add. 200 sq. ft. EDR Steam 3,00 Each add. 320 sq. ft. EDR Hot Water 3.00 $ OIL BURNER—to 3 gal. per hour 6,00 $ over 3 gal, per hour—See Fee Schedule GAS BURNER (up to 199,000 BTU) .... - &00 $ over 199,000 VM See Fee Schedule GAS FITTING FEES: NO RATE/TA L 1st 3 Fixtures x$ 100 $ Additional Fixtures x ,75 $ Gas Range to 199,000 x$ 5.00 $ — AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM ALTERATIONS & REPAIRS TOTAL FEE $ ROUGH FINAL it - / 9 _ 7 (SURCHARGE $ _.50) Dept. of MdoL Phone W-3480 E City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley Minn It % L Owner _0 � L�� Kind of Building . le Used as --- � To be completed about Estimated Cost, Old—' Building Permit No. Permit No. I J 8 9 DESCRIPTION OF WORK HEATING or PO PLANTS—Steam, 1%t Water, S—arm No Trade Name_ �^ fp z�� Sine No:—A4 CapacitY'/gov 61-450°S, Ft. E.D.B BTU g,p Total Connected Load hind of Fue BURNER — Trade Nam '2 , Size No Capaci Sq. Ft.E.D R BTU (REMARKS -OVER) gtone i 14AV It' WF9-TER HEA33NG Ce , 4637 CHICAGO AVE. By ULN t Q :,% MINN:50T1i Si5Al2 Business Phone No. - ' o CM -7 of Fridley Apficathm for Mmbbee and Gas R"biq P - Dart- of Bm4.. Phone 50-34M s:> a1>rnoa or woos a.� i - Number, Kind and Locate of Ftrdum PARTIAL RATE SCHEDULE PLQfiMMCN rlXTURL RATM NO, RATE TOTAL K aaber Fixtures ................ NUM 5_° -- Future, rmtuz op"ling ....:...... 3 z silo New FL%b we Old Opening .......... _XVM : Cole% Basin .............:...... Water Koster •,Up to 99AM BTU).... _L._ z no i 3-12 New Grsrnrd Rua Old Bldg:........ z ; c6etdc Watwumstar.............. a GAS PfrrE G rEEL MW RATE TOTAL lot 9�Wixtwes ................ Ad Lai l Thitures ......... z 9.75 ! (he to 191PA* OLAP ......... Z $S W- 6 State Surcharge $_50 1�'S f iLT®fd►T1a to Calc t..►.ee..e.a....e.w..eea.....y...00— TOTAL I=$ 0a . " 0 City of Ridley: The undersigned hereby crakes application for a permit for the work herei•'< specified. agreeing to do all work in strict accordance with the Q4 OrdtaaDwr� and ruling of the Department of Budding, and hereby declares that all the fad--- and ad=and representetioos dated in this applicaUm an Ince and correct may. l[ioa2/ - %a . 192 Kind of Buildingaing a A2.s=-- - Used as • �� To be conmleted about �� S! 7, Estimated Cast„ 5 OM -.New. Building Prrmit Wo. By s Brasneas Plmme Na c �/ S` 0 -1, e .................OR PARTIAL RATE SCHEDULE PLQfiMMCN rlXTURL RATM NO, RATE TOTAL K aaber Fixtures ................ NUM 5_° -- Future, rmtuz op"ling ....:...... 3 z silo New FL%b we Old Opening .......... _XVM : Cole% Basin .............:...... Water Koster •,Up to 99AM BTU).... _L._ z no i 3-12 New Grsrnrd Rua Old Bldg:........ z ; c6etdc Watwumstar.............. a GAS PfrrE G rEEL MW RATE TOTAL lot 9�Wixtwes ................ Ad Lai l Thitures ......... z 9.75 ! (he to 191PA* OLAP ......... Z $S W- 6 State Surcharge $_50 1�'S f iLT®fd►T1a to Calc t..►.ee..e.a....e.w..eea.....y...00— TOTAL I=$ 0a . " 0 City of Ridley: The undersigned hereby crakes application for a permit for the work herei•'< specified. agreeing to do all work in strict accordance with the Q4 OrdtaaDwr� and ruling of the Department of Budding, and hereby declares that all the fad--- and ad=and representetioos dated in this applicaUm an Ince and correct may. l[ioa2/ - %a . 192 Kind of Buildingaing a A2.s=-- - Used as • �� To be conmleted about �� S! 7, Estimated Cast„ 5 OM -.New. Building Prrmit Wo. By s Brasneas Plmme Na c �/ S` 0 -1, e SUBJECT PERMIT City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. I. ; L'__-_-_, COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION G log- `- (� SEC. 1 i ` CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 7/19/73 JOB ADDRESS 298 Li erty Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 53 54 6 Spring Brook Park Addition SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE DeGardner Construction 7950 East River Road N.E. 786-1220 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Same ,4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK X NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct 30' X 301 & 34' Dwelling (No Garage) 9 CHANGEQFUSEFROM TO 'STIPULATIONS Provide a hard surface driveway. Provide a verifying survey before capping. Widen footings to 241inches with 2 - A rebars and install drain tile at lower level. Drain tile to be inspected prior to backfilling. See attached chart for elevations. SEPMTE HEAtIIG,yPat TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING- OR AIR CONDITIONING. Wood Frame THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION R-1 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $22,697.64WITH 11.35 WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE CAL LAW REGULATING CON- PROVISIONS OF ANY OTHER STATE,VFNSTRUCTION. STRUCTION OR THE PE OR 36.00 275.00 PLAN CHECK FEE TOTAL FEE $322.35 SIGN EOFCONTRACTORQRAUTHORIZEDAGENT (DATE) G WHEN PROPERLY LIDA ED THIS IS YOUR PERMIT BLDG INSP TE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) P APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA I f'4te. - OWNER'S NAME: EL BUILDER: C ADDRESS:– -ADDRESS: NO STREET: LOT: BLOCK: 5//�n q ADDITION: CORNER LOT: INSIDE LOT: SETBACK: 3 SIDEYARD:_ 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: Front: Depth: ''Y Height: Square Feet: Cubic Feet: f Front: Depth: Height: Square Feet;_ Cubic Feet: Type of Construction: IAL&21-6 Estimated Cost:_ $ To Be Completed: The undersigned hereby makes application for a permit for the work herein specified„ agreeing to do all work in sttict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and orrect. DATE: 77// -1 — si.TuRE. (See Reverse Side For Additional Information.) OT CF -0 n,TC 14 V c) rWILLIAMA.CAR!SON,PRES. CERTIFICATE OF SURVEY C 2324 WEST t I'Nh STREET 385.2084 ;) -7 8 55431 Res d ARLSON INC. � 4Fi5QN S SURVEY FOR' � v DEGARLNER RL_ALTY arc CONST, CO. LAND SURVEYORS Licensed, Insured & Bonded 77 r LEGAL DESCRIPTION: LOTS 53' AND 54' BLOCK 6, SPRING BROOK PARK. WE HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF THE LAND ABOVE DESCRIBED AND OF THE LOCATION OF ALL BUILDINGSp IF ANYp THEREON? AND ALL VISIBLE ENCRGACHMENTS9 IF ANY9 FROM OR ON SAID LANDt AS SURVEYED BY US THIS 20TH DAY OF JUNE 9 1973, MINN. REG. NO.- 5643 a WILLIAM A. CARLSON, PRES. CERTIFICATE OF SURVEY 2324 WEST 110th STREET 888-2084 55431 a aw.son � SURVEY FOR: LAND SURVEYORS Licensed, Insured & Bonded DE GARDNER REALTY & CONST• CO. Cole, 6c•0 LEGAL DESCRIPTION: LOTS 53 AND 549 BLOCK 69 SPRING BROOK PAR-F.- WE ARC-SIE HEREBY CERTIFY THAT ON THE.26TH DAY OF .JULY# 1973 WE LOckire? THE BUILDING ON THE ABOVE DESCRIBED PROPERTY AND THAT THE ABOVE REPRESENTATION IS TRUE AND CORRECT• MINN. REG. No. 5648 SUBJECT P E R M IJL� City of Fridley 12386 AT THE TOP OF THE TWINS BUILDING PERMI T r � CEIPT NO I; L'______ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. to"Zo 1 � = �l "1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-580-3450 910-F15 I I NOV . 13 7 JOB ADDRESS 298 LIBERTY STREET N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 53, 54 6 SPRING BROOK PARK SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE DEGARDNER CONSTRUCTION 10757 UNIVERSITY AVENUE N.E., 3 CONTRACTOR MAIL ADDRESS ZIP PHONE. LICENSE NO. SAME 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING RESIDENTIAL 7 CLASS OF WORK 1 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 6 DESCRIBE WORK CONSTRUCT a 24 x 22 GARAGE 9 CHANGE OF USE FROM TO STIPULATIONS gOM PROVIDE A HARD SURFACE DRIVEWAY PERMITS REQUIRED FOR WIRINGO _ SEPER ATE PLUMBING AND SIGNS. HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. WOOD FRAME THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION R-1 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT 528 5280 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 $2,391 1,19 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $10.00 STRUCTION OR THE PERFORMA E OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE Lazle n 11A 1 $11.19 SIGNATURE OF CON ACTOR OR AUTHORIZED AGENT (DATE) W EN P OP Y ALI TED THIS IS YOUR PERMIT - " I✓ 11-130 fu. BLDG INSP GATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE)- APPLICATION FOR RLSIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF I-1:ILILLY, MINNESOTA OWNER IS NAME: DEi_c_di 1/t/eV_CbA�cBUILDER: ADDRESS: / © 25 7 I 101'0 AJ , ��, ADDRESS: NO:. (� T STREET • Z e LOT: - BLOCK: ADD • .S CORNER LOT; INSIDE LOT: SETBACK; SIDEYARD: 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: �a r A-� (f-- '�?_ Yz Front: Depth: Height: Square Feet: 572-3" Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: c� Type of Construction: 1AJ'*& its Estimated Cost: To Be Completed: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict accordance with the City of Fridley Ordinances and rulings of tho Department of Buildings, and hereby declares that •ill the facts and representations stated in this application are true and corrcct. DATE: S I G NATURE : (See Reverse Side For Additional Information.) RTa1/Y\�� Y iz rt 10a0o From: City of Fridley To: 763754290£ Page: 4/4 Date: 4/16/2009 11:00:10 AM Buiitima PLUMBING Permit Notxq iI1SpeCti011S 1ESIENTL_A-L APPL.IC A'I'IOIN! Re p�xs 7677272-360 t"`T�t' OF'FRInf ,FV Date ec'd: !tr-JUL-u`31I .t'An. I EFFECTIVE 2-19-0" DATE 51 DSI YOUR E-MAIL ADDRESS SITE ADDRESS /. HIS APPLICANT IS: ❑ OWNER "ONTRACTOI: PROPERTYI NAME: TOV1 VI OWNER/ WANT ADDRESS:- GC � � � CITY � 'Pie ' STAT L1rS� v PHONE: 1�f1�'�r9� 019LI 6 CONTRACTOR NAME: FIV&- SUBMITA COPY OF YOURSTATE STATE LICENSE i! EXP DATE LICENSE, BOND AND STATE BOND If EXP DATE CERTIFICATE OF ADDRESS: p /�eL® I�IrY�.If►�I �T /gN� �� CITY f �G STATEk, 5J'I�a INSURANCE PHONE i�'�J f'�C1 l FAX PERMIT TYPE I ANGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: I ❑ NEW XREPLACEMENT DETAILED DESCRIPTION OF WORK A"A lLdAi VA FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM NEE $35.50. SINK/LAV DRAINS _ WATER PIPING —BATH _FLOOR PIPING (NEED CITY LIC) —SHOWER POOL —WATER SOPTNER ($35) —BATHTUB WASHER —GAS SINK —SWIMMING WATER CLOSET PREV. ($15) _CLOTHES DISHWASHER _KITCHEN LAUNDRY TRAY aWATER HEATER ($35) _BACKFLOW FOR IRRIGATION _ _ WATER METER OTHER THIS IS AN APPLICATION FORA 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 j conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Coda; 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 ca: , of all work which requires review and approval of plans. ` SIGNATURE OF APPLICANT &Z /� PRINT NAME I bl& DATE 7 i City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, I N 55432 763-572-3604 FAY: 763-502-4977 .�. _. _ ................. ..�..,n....,., �..w.uAF,A.v AMM a.%Jai Vr 1,AnVltAivJ) mAl'x:KiAr S_ (USING THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION $ 00.. 0" . OCCUPANCY TYPE Permit Fee Building -g . See Back Page for Fee Schedule BUILDING $ Permit NG.:0 Inspections $ RESIDENTIAL APPLICATION Surcharge 'Received By: 763-572-3604 License Surcharge $ $ • o •$5.00 (State Licensed Residential Contractors) SAC Charge $ CITY OF FRIDLEY Curb Cut Escrow Date S � E P 2 763-502-4977 FAX Erosion Control $ $450 Consefvation Plan Review Park Fee $ Fee Determined by Engineering EFFECTIVE 1-1-08 $ Agreement necessary ( ) Non Necessary ( ) d $ Make checks a able•to: Ci of Fridle Attach Stl Mations DATE Y UR E-MAIL ADDRESS THIS IS AN APPLICATION FOR A PERMrr NOT VALID UNTIL PROCESSED SITE ADDRESS a 8 L THIS APPLICANT IS: ❑ OWNER CTOR PROPERTY OWNER/ Nom; TENANT ADDRESVWI 99 CITY SrAT4�L/7zIP 55 3h � PHO % D NAME: CONTRACTOR ADDRESS: SS -- SS?�/ SUBMIT A COPY OF YOUR STATE LICENSE PHONE SI 17 =- Ak 4p FAX (DATE sTATL/i. ZIP S� _ 06 O ` SPATE LICENSE # %y� 3 PROPERTY TYPE GLE FAMn— .Y ON sm ❑ TWO FAMILYMEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGEISHED atWINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRQ TILE ❑ DECK aSIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSMUCTION ❑ ADDITION CFJREPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: — a —� �µ.d SIZE OF IMPROVEMENT LEN WIDTH HEIGHT SO FT NOOM OF C3 HOUSE ONLY UMBBER SQUARES ❑ HOUSE GARAGE EASEMENT REMODELING SUBMIT: GARAGES PROPOSED SIZE: C3 ATTACHED GARAGE ❑ DETACHED GARAGE I. . 7— Existing Floor Plan Proposed floor plan PROPOSED HEIGHT: 3. List of structural members to be used RSIDING FOR NEW CONSTRUCTION INCLUDING DECKS, O'Vinyl ❑Soffit ADDITIONS. &PORCHES CTiRMiT ❑ Aluminum ❑ Trim 1. Site Plen/Survey showing the existing structures ❑ Other ❑ F� and proposed project l C.�. IN EXISTING OPENINGS ❑No LOCATION OF WS I� D�Uh, 3. 2. T sets ofconstruction plans � Calculations OR FOR NEW OPENINGS-bESCRIBE SIZE OF 1 yti OPENING CHANGES & TYPE OF. WINDOW TO BE INSTALLED NUMBER OF WINDOWS ATT tiWWO ♦7f1T bAnTnT AST �f♦t tt.•wrwtiw .�. _. _ ................. ..�..,n....,., �..w.uAF,A.v AMM a.%Jai Vr 1,AnVltAivJ) mAl'x:KiAr S_ (USING THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION $ 00.. 0" . OCCUPANCY TYPE Permit Fee $ -g . See Back Page for Fee Schedule Plan Review $ 65019 of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ D .0005 x Permit Valuation Minimum $.50 License Surcharge $ $ • o •$5.00 (State Licensed Residential Contractors) SAC Charge $ $1825 per SAC Unit (Plans to MWCC for determination) . Curb Cut Escrow $ ft + 6 ft = ft x $21= $ Erosion Control $ $450 Consefvation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Dae $ Make checks a able•to: Ci of Fridle Attach Stl Mations THIS IS AN APPLICATION FOR A PERMrr 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 MingesolkConstruction Codes; that understand this is not a permit but only an application r a t on site; that the work will be ' ccorda tir the permit and work is not to start without a penmi approve pi in the case ofall work which regtrirN]�'aw d o plans. SIGNATURE OF APPLICAI PRINT NAME DATE APPROVED BY 0 DATE