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PRE 2010 DOCSBei TEL RE City of Fridley SUBJECT IT NO. ® 360 AT THE TOP OF THE TWINS BUILDING PERMIT S RE T NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. I . � NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 L" -'A f ,'j 612-560-3450 910-F15 16/22/76 JOB ADDRESS 303 Liberty Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 1 1 Spring Brook Park 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE The Rottlund Company P.O.Box 32082 Fridley, Mn 55432 .9171-0066 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. SAME 7 -ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING residential 7 CLASS OF WORK NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK garage ' Imal(�utQON )RED FOR �IIiRI>I�{Gs : , = ccaaljlJ yme p�'��ryyy��. Iiam=LW.Vi �l7i's E%, ..4.1 ; HEATIn PLUOING AND SIGNS>i 1. Provide City with copy of truss design —IMPORTANT --d 2. Provide a verification survey before capping NOTIFY THE FRIDLEY ENOR, 3. Sod the front and side yards DIVISION REGARDING CURB 4. Provide a hard surface driveway. REMOVAL AND REPLACEMENT SEWER LOCATION (Approx. 7' Deep) 142' W. of Manhole (Capped) AT DRIVEWAY OPENINGS. Manhole Inv. 844.64 WYE ELEV: 845.35 TOP OF FOOTING: 848.35 Minimum WATER LOCATION: 6" CIP watermain 40' south of ]?flVplUfiy 4neFr4WT BE�TAPPED) NOT A r ACCURACY QF unm LOCATIONS .FWD fir-'- THIS DATA IS FOR INFORMATION PUC ,:Ly , PERSONS USING 6 Mom y TM O CULT p, ON THE SITE, SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD 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 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ,104+792 3,248+7,920 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ISTALLS 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 $30,900 17.61 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 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; $53.66 350.00 STRUCTIONI, OR THE PERFOR14ANCEj OF CONSTRUCTION. //i.IIN PLAN CHECK FEE TOTAL FEE $421.27 ^e0 to WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT SIGNATUR FCONTACTOR OAUTHORIZED AGENT (DATE) if T�; A -ti i , ce.�� (.-.m-J) 6, - BLDG. INSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) Hf Land Planning stex"dQa" 6875 Highway No..65 PL I. Land Surveying • �/�.• rye Minneapolis, Soils Testing ` -!� 2�iY/GG ) �4it Minna $5412 Civil Engineering Telephone 784-6066 Municipal Engineering Engineers & Surve"ro Area Code 612 Mortgage Loan Survey for ROTTLUND CO. --7q nn - 03 U BERTY STREET D O NORTH - Denotes Drainage f W 1 l ity Easement LOT 3 , BLOCK 1 SPRING BROOK F'r,'-\RK 2 "D ADDITION ANOKA COUNTY this is atrue and correct representation of a survey of the boundaries of the land above described and of the location of all buildings, if any, thereon, and all visible encroachments, if any, from or on said land. This survey is made only in- connection with a mortgage loan now being placed on the property and no liability is assumed except to the holder of such mortgage or any other interest acquired by the reason of such mortgage. It is understood and agree no monuments have been Iaced for the purpose of establishing lot lines or boundary � - corners. Dated this day of `. f� A. D. 1952 SUBURBAN ENGINEERING, INC. L363Engineer Surve or j 9 A by U C f1 e--4FZ-%om--_ J 2 5/j J.VV—�� ro 16) I 1 56.0+ I I I ► 9* �IF'ourMation Only I+I R 2 .0± I ,r Mot I1.9i I I �I 1 1 i+ I 16) 161 ; --7q nn - 03 U BERTY STREET D O NORTH - Denotes Drainage f W 1 l ity Easement LOT 3 , BLOCK 1 SPRING BROOK F'r,'-\RK 2 "D ADDITION ANOKA COUNTY this is atrue and correct representation of a survey of the boundaries of the land above described and of the location of all buildings, if any, thereon, and all visible encroachments, if any, from or on said land. This survey is made only in- connection with a mortgage loan now being placed on the property and no liability is assumed except to the holder of such mortgage or any other interest acquired by the reason of such mortgage. It is understood and agree no monuments have been Iaced for the purpose of establishing lot lines or boundary � - corners. Dated this day of `. f� A. D. 1952 SUBURBAN ENGINEERING, INC. L363Engineer Surve or j 9 A by U C f1 e--4FZ-%om--_ J 2 5/j APPLICATION FOR RESIDENTIAL, ALTERATION OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME:'rN(�asd• Ti-���u�lG.• ,T�yeo . ADDRESS: ADDRESS: R. n S a x 32-0 itz. NO:. 303 STREET: <l iwp i`X $T• LOT: 3 BLOCK: / ADDITION Sir i.V Rv e e �� CORNER LOT: INSIDE LOT: X SETBACK: 3r SIDEYARD:W$*%fio 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: Sl vP/a, )=A"�ccCX o v S. e Front: .2 Depth: 3(. ' Height: Square Feet: / O O S' Cubic Feet: GA v A,9 Front: a rr * Depth : Z -y ' Height: Square Feet; jr- 7 Z Cubic Feet: Type of Construction: ?!!V-A)* Q2 Estimated Cost: $ a0, fed , d O To Be Completed: oar /, 1921 The undersigned hereby makes applicatian for a permit for the work herein specified, agreeing to do all work in stxict 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 re true and correct. DATE: — Z/ — 7L. SIGNATURE: %� s 4 trj <tll ` e � J-1 d IT (See Reverse Side For Additional Information.) awmn® pwo o De o rso W I rr+ GoOy or- i ,4 Page 1 of 4 EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION ®7g, S.M OWNER: _ DATE 7 SITE ADDRESS: PHONE: CONTRACTOR:1�07T 1 U At 0 • �N� , 207 T '3 ax, ek l ]360r-Je,euX'S sPY��y I3Yeek RC1 it/oy, Determine working square footage of each d =AlC/-JAv-P WALX- o -T- ♦v/ 1. Total exposed wall area...... l(?y y..9/ sq. ft. x .17 3 • 3- 2. 2. Toal roof/ceiling area ...... ( C)o?,op sq. ft. x .05 = c -D• Ll Total exposed wall area above floor = a. Total wall window area ................................./ S• 9 b. Total door area ...................................... 9 c. Total. sliding glass door area .......................:� 35.9 7 d. Total fireplace wall area May-,nt y-ypt e. Total wall framing area (average 100) ................ 143 2 f. Total �/irn joist area ................................. 0.00' !74.Qo g •,Jpe d wall area above f loor XW C -1v f^.+9 .q Ae K. fVr.... r4O" 4 -70, 2f h.1 ,e.. wall area above floor., jr. ?�: ............... Q32. 00 i.5'j-��a wall area above floor.. ..' ... �.1 j. 4A,vy' wall area above floor 7r.vbut1?"7..... . ..... . . . ... fig; p0 Total exposed foundation area = k. Total / u �-��. U - window area ........................... T7. 14 1. Total net foundation area above grade .................. 74 -e, z Determine "U" value of each wall segment (e.g. window, door, each separate wall section) E a. lcS� /I� x nUn b. g2Q, ob X „U„ •.SSS �._. _ /J• o D d. X 11U11 — = e1 eT.* e. /q3• R'? X „u„ 113 = !(or ! f. 60 x "u" '057 g. 2 0. a Sf X „u" h. a3a, DU X "U" , 04; � = l y. 38' i. 397- ay x „U„ , o& 4. 7/ 00 X "U" .062 _ = j, 13 If item #3 is the same as, or less than item #1, you k. _ �� X "U" Ste._ = s� /, / � have met the intent cf SBC 6006 (c) 2. 3 . ............................. Total 306,:34.. Exterior Envelope Average "U" Computation Total exposed roof/ceiling area = M O e m. Total skylight area ............................ n. Total roof/ceiling framing area (average 10%)... o. Total net insulated roof/ceiling area........... %d 9,,2o Determine "U" value for each roof/ceiling segment M. X "U" _ n. /00, $'p X fluff •03 _ o. 20 7, .2o X "u" , 0,31/ _ 4 ........................... Totai - _ If total of #4 is the same as, or less than SBC 6006 (c) 1. Page 2 of 4 Alternate Building Envelope Design intent of To utilize the total envelope system method, the values established by the sum of items #3 and #4 shall not be greater than the sum of items #1 and #2. 1. 3/3.43 + 2. 5'0. vo = 3/Y. ©3 0�� 3. 30 , ,3 + 4. /O - as. 93 -ArA9e WAt( C. ANT AYe A �NT-rrior Al 61Im -97- .71VT-Prior Air. ¢'►1M 6 I NS u /AT/0 A-1 l v O .Sn-sv 1A rA.V 0,06 �� 6 1-17-- - ,. 7-.e_ a o a/ q �� Fir � rv,� � I � S� F T %o r• A�'� , /�� , � �!7•vr®®r Al', Im •qZ �y yS/� '0 o�Z l/ WALL SECTIONS NOTE: Use 10% of opaque wall area for frame construction ,1 ` 3 BASIC WALL n F.TC. #3 FRAPiE i TALL Page 3 of 4 Construction R -Value 1. Interior air film 0.68 2. ,>2.. 9X er-% Y'0 e -k V,9- 6. Exter.aor air film 0.17 Total �- Interior air film 0.68 2 S/lrc7�Y0 rk .NS 3. 3Yd =NS0/ArIoM 4.a*3'a. 611r- rirc. 5. Y2 Gids it y / Ly 6. Exterior air film 0.17 5. Y2 ZmSv//T•c 6. Exterior air film TUGC7.L to, u W .\ Ole 0.17 Total 4, , 7 e/ ,dsj U -ra o w A' ( 1. Interior air film /0.68 4. A; Y F � � A.� • ! � 5. S To C.e® • 3 � 6. Exterior air film 0.17 •• Total , a 6 9 i 6 FIG. #4 ` NOW,: Indicate type, "R" 'value, depth and placement of insulation. ROOF/CEILING Vented Heat flow up Page 4 of 4 Construction R -Value 1. Intek' or air film 0.61 01 3. 4. Exterior air film (still) 0.61 Total 31. 79 0? ,031 v FIG. #r5 1. Interior air film 0..61 2. Z "AlUI®,V SOT I8.O�u 4. Exterior air film (still) 0.61 Total 097. o?R •036U Neat: flow u -Vented• FI c. #6 -30 17 e it • Hent if flow up ' 1. Inside air film 0.61 2. 3. 4. 5. Outside air film 0.17 Total Note: Use additional sheets if more space is needed for details and calculations CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE N PLUMBING FIXTURE RATES: NO. �+ m TOTAL Number Fixtures lP U $3.00 x ro �_ x Water $ ,uv New Fixture, Old Opening A $2.00 $ $$4 ro c q m N ro $4 ¢, 04 W Cd c(x $ Heater x '%i $ N E + $a eac New Ground Run Old Building S N 4 $ Electric Water Heater $+ x $5.00 $ ro C m 141MN 1 .[ +� En m ro ' y ro ..14 0 $+ o O x O -� 4J N ro ro lJ p$ o ro N'� ro o sa a ro GA W [n Q N u] r. U W 3 0 /3 / 1st / 2nd 3rd 4th (R) = Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures lP x $3.00 $ Future Fixture Opening �_ x $2.00 $ ,uv New Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 $ Water Heater - to 99,000 BTU x $5.00 $ 100,000 BTU to 199,000 BTU x $10.00 $ Water Softener x $7.00 $ New Ground Run Old Building x $5.00 $ Electric Water Heater x $5.00 $ GAS FITTING FEES: 1st 3 fixtures % x $3,00 $ 3'O) Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ REPAIRS $ ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ State Surcharge $ .50 TOTAL FEE $� S REINSPECTION FEE ($10.00) Job Address 3 0 -:) /, , „g a1v _ Department of Buildings City of Fridley Tel. #571-3450 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 Department of Buildings, and hereby de lares that all the facts and representations stated in this applic ion re true and correct ridley, Mn. (� �� , 19 OWNER v L'( �' '3 , KIND OF BUILDING t USED AS TO BE COMPLETED ABOUT ESTIMATED COST OLD — NEW BUILDING PERMIT NO. ROUGH INSP. Date PERMIT NO. Company " Signed By G/ Tel. No. FINAL INSP. 31- 3 Date APPROVAL FOR PERMIT1 MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 e CH -f Of F700y 53-84-9915051 " Applic tlan for P1UTr61n-3 Wald G'�z � ��;a� e'er :i� Dept. of Bldg -A. Pham S:~J•3450 DE5CSIPTION 0: V1011i Lo:a.i: L' Itus:IbaT. Kim s. -Id Lo*cr:lc+-- of Fixtures r N0. RATE TOTAL A't:rr.ber Fixtures ......... *....... - I 3 �-- ' (~ $ , -••-- Few Fixture Old Oyrring• •.• • • •'• • • • ---- wATf� wT+1. L _ �' �► R •P s O' Cateh basin .................... _._.—.•x53.25 i p e ii r.As fIIC. o I < i,� , I1� 3 • S.------ - W i Y I Li V t li N0. RA TOTAL _N • 1st3Fixtures ••••••••••'••••••'•-----'-X32.00 Ad:ltlanat Fixtures ..:... •........--------- x S .75 S CU R:.: ac to 193.000 BTU ........... ...... x 35.00 G ----- 1:t ,:rt I cant 3:d 4.`` N{ s Naw Flswro. Old C?' -'SM rss Ccsa?wt PARTIAL RATE SCHEEDULE LU18111C FIXTU'E RATES: N0. RATE TOTAL A't:rr.ber Fixtures ......... *....... - x $2.000. 3 �-- Future Fixture Openins • • • • • • • • • • •--------- x SI.FA $ , -••-- Few Fixture Old Oyrring• •.• • • •'• • • • ---- x 51.50 i...-.»---- S Cateh basin .................... _._.—.•x53.25 Water lieater 'L•p to 69.000 BTU) • • • • ------ x ,3.00 S . New Ground Run 0141 Bldg.:..:.... _._.--- x :1.25 S.------ il.ctr+.a Y1atsr 1:Ntas... • .:.........�..�....�� ob-_,__._...__� s 5_.00 'rJS TITTING FEES: N0. RA TOTAL 5---- • 1st3Fixtures ••••••••••'••••••'•-----'-X32.00 Ad:ltlanat Fixtures ..:... •........--------- x S .75 S CU R:.: ac to 193.000 BTU ........... ...... x 35.00 G ----- City of Fridley: The undersigned hereby makes appUcation for a permit for the- work 11 specified, aCr eeing to do all work in strict acco. dance with the Cit? O:dir. and ruling of the r.,cpa.tment of Bull:LDV, and hereby declares that a;1 the and representations stated is his appllcatiost are true and correct' , . ' 1 Fridley, btiaa 8-4-76 Owner _ Rottland Oompgmmy frame Kind of Building Used as res.. To be completed about Estimated CQSt. $ 10.00 ' Old --NM Building Permit No. SiZr. By, M1NNFr.Acrn BUSIAU= Mine No ROUGH • .50 State Surcha: 5e . ALTERATIONS—P.afef fo Cods ' TOTAL TMt-- CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work $12.00 $ Replacement of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTU each add. 50,000 BTU Replacement of Furnace Repairs & Alterations -up to $500.00 Repairs & Alterations each add. $500.00 STEAM OR HOT WATER SYSTEM: Boiler & Lines up to 100,000 BTU each addn. 50,000 BTU Boiler only up to 100,000 BTU each addn. 50,000 BTU OIL BURNER- to 3 gal. per hour each add. 3 gal. per hour GAS BURNER- from 100,000 BTU to 199,999 BTU (over 199,999 BTU see Fee Schedule) GAS FITTING FEES: lst 3 Fixtures Additional Fixtures Gas Range to 199,000 BTU AIR CONDITIONING FAN HEATING SYSTEMS _ See Fee Schedule VENTILATING SYSTEMS "'ALTERATIONS $ REPAIRS e $12.00 $ `' 4.00 $ 00 7.00 $ 7.00 $ 4.00 $ $12.00 $ 4.00 $ 7.00 $ 6.00 $ $10.00 $ 10.00 $ $10.00 $ x $ 3.00 $ i • 0j x $ 1.00 $ x $10.00 $ State Surcharge TOTAL FEE ROUGH INSP. REINSPECTION FEE Date (.$10.00) FINAL INSP pR -;2 Date APPROVAL FOR PERI4IT _�L MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 S Job Address 3 an 3 L b r"''�7 'r7_ T Department of Buildings City of Fridley Tel. #571-3450 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn. % ' 19 ? 6 OWNER J? o '-. ,/ C KIND OF BUILDING USED AS /, z/ >Zj' �T TO BE COMPLETED ABOUT��� 7 L ESTIMATED COST 0 U D OLD BUILDING PERMIT NO. PERMIT NO. to / U/ DESCRIPTION OF FURNACE/BURNER HEATING or POWERPLANTS, Steam, Hot Water, Warm Air- No. Trade Name 17/ A q Size No. Capacity Sq. Ft. EDR / d ^ BTU HP Total Connected Load f % y (' Kind of Fuel C,::; f BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Company Signed By �Y Tel. No. HEAT LAS CALWLATI0M MEATINGA Ash rmmne-nmummon uttilr�rcecrtf Ic �etnml Weatherstrips A.S.H.V.E. Construction No. Insulation Windows Doors Guide out. Wail + Int. Udall Ceiling1 I pp Reference Roof j f9oca Kind How Applied Yes—No T Yes—No ig l FI,4 t_7,_,W Room Length 19�dtn Heigfit FX - '17, 3,-L,-)/.�,' Room Lengtf+. Width Height Windows and Doors-Crackage and Area Windows and Doors—Crackare and Area No. M�d,.h Height No. of Lineal ft. 4 -aa Worn ♦eight No. of Lr real h. Area cf parte of pane lights of crack sq- f No. r.f .a,�. 1 of I fights ft. pane crack sq. AL �/dr p P� 7 2,2J Coef, Btu Coefj Btu Infiltration Infiltration Glass 1�4 Glass Exp. wall Exp. wall Net exp. wall 3 Net exp, wally �3 C) Int. wail �j�� ��{�(f C',r`c� Int. wail oor lg Qe/ _j�1 CeilinZI / g/Q71 I' Fl- Floor Floor Total Btu. Total Btu. Required sq. ft. E.D.R. ors . ins. W.A q .Leader area Required s . eq q ft. E.D.R. ors .ins. WA. Lea r area q tie ea FI 20oom I Length Width/-& Height � FI. �C� Room Length Width Haight 1 Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area No Wo&h Height No. of Lineal ft. Area of pane of pane lights of crack sq. ft. No. Widrh Height No. of Lineal ft. Area of pare of lights _ ^ pane of crack sq. ft. 3-2 Coefl Btu Coe Btu Infiltration Infiltration f Glass 07 Glass Exp. wall i2xvExp. wall & lwy: - Neta. wall 97 Net exp..w,ali Int. wall KIEL Int. wall CeCeiling_ _ g � ` Ceiling 6�`_ Floor Floor Total Stu. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Lea area Required sq. ft. E.D.R. or sq. ins. WA. Leader area FI. Roam Length Width Height Ft.r G° RoomLength Width Height 1 Windows and Doors-Crackage and Area Windows and Doors-Crackage and Area No. W,arh Height No. of Lineal ft. Area of pane of p lights of crack sq. ft. Na. W.drh Height No. of Lineal ft. Area a# pass of pane lights of crack sq. tt. e Kr e I 1 ±Coefl Btu jCoefj Btu 3 Infiltration Infiltration �r 9 C Glass i I -i Glass Exp. wall Exp. wall Net exp. mallrz 'Net ex wall p Int. %vall ; Int. wall _::�q Ceiling — Ceiling /.2 F70 I Floor Floor Total Biu. Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area Rpniiircuf c„ #, t n o M A . __,_- _-- HEAT LOSS CALCULATI(M HEATING& AIR C®N®ITIOMING C . MINNEAPMJS. MINN. Weatherstrips A.S.H.V.E. Guide Refers Lg Construction oto. — — _- Insulatim Wirnilms I Doors Out. wall Int. 1Ya11 Ceaitvtg Roof a Flour Kind tft Applied Yes—No Yes—No Room Length WidthHeight FI. Roars 1 Length width Height Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area I No- of p ne I of pane rfi his of crack I sa. ft. i No. H9tgrh Height No. of _ I cf parse of pane lights pineal ft. Area of cr c sq. ft. I ; Coef Btu 1I 1CoefjBtu Infiltratior Infiltration Glass Glass Exp. wall1,21 �} Exp. wall Net exp. wall Net exp. wall Int. wall Int. wall Ceiling Ceiling Floor - , Floor Total Btu. JU 72- Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required ft. E.D.R.or s sq. q. ins. W.A. Leader area FI. Room I Length Width Height FI. Room I Length width Height Windows and Doors—Crackage and Area No. Nrh Height No. of Lineal ft. Area of arse of pane fights of crack sq. ft. Windows and Doors—Crackage and Area Wtdrh Height No. of pane of parte Nlights oo. of Lf crack sq fAre4. Coefj BtuBtu 4 Infi Itration Infi Itration Glass Exp. small Glass Exp, wail Net exp. wall Net e xp..wald Int, wall Int. wall Ceiling Ceiling Floor Floor Total Btu. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl, Ronin I Length Width Height FI. Room Length Width Height Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area M.arh Height No. of Lineal h. Area No of pane lights of crack sq. f. of pang No. W,meo Height No. of Lineal ft. of arw of pane lights of crack Asea sq. ft, i Coef' Btu ------------ TCoe Btu Infiltration Infiltration Glass Glass Exp. wall ! Exp, wall Net exp, wail I Net exp. wall Int, wall Int. wall Ceiling Ceiling Floor Floor Teta] Btu. Total Btu. I CIT., APPLICATION FOR POWER PLANTS AND HEA AIR CONDITIONI PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work $12.00 $ Replacement of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $. MECHANICAL WARM AIR: $ Furnace Shell & Duct Work to 100,000 BTU $12.00 $ each add. 50,000 BTU 4.00 $ Replacement of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Repairs & A]terations each add. $500.00 4.00 $ STEAM OR HOT WATER SYSTEM: ROUGH INSP.% REINSPECTION FEE Date % ($10.00) FINAL INSP. �2ti 7 , Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 O f V 1. z Ix 00 � LU H Q F U W LU zti C7 I- may' =z o V~ a W C7 = p W W h H0 W C7 \I 12 CC W N 0 W I> Z O U 2 F 2 O}0 � O � W m J J m c J H ;x zC7w I N m ,C Q 0 LU Ca C* C05 Q O }LL W a-�m v0 SOF-p+�,W CC1LU0 2a Q O i y W H W W Q Z of Z m CC LL o �o Y m m Y m Q o w Q o WCLH Y W CL W Boiler & Lines up to 100,000 BTU $12.00 $ each addn. 50,000 BTU 4.00 $ Boiler only up to 100,000 BTU 7.00 $ each addn. 50,000 BTU 6.00 $ OIL BURNER- to 3 gal. per hour $10.00 $ each add. 3 gal. per hour 10.00 $ GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $ (over 199,999 BTU see Fee Schedule) $ H C GAS FITTING FEES: a � F J IN 1st 3 Fixtures x $ 3.00 $ Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00 $ AIR CONDITIONING .qv. � � -- T' `° $ / u- �+ o A YSTEMS See Fee Schedule $ VENTILATING SYSTEMS $ ALTERATIONS $ REPAIRS_ S O J V $ State Surcharge $ .50 CA y c c O E E d d o$ TOTAL FEE $ Id. V ROUGH INSP.% REINSPECTION FEE Date % ($10.00) FINAL INSP. �2ti 7 , Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 O f V 1. z Ix 00 � LU H Q F U W LU zti C7 I- may' =z o V~ a W C7 = p W W h H0 W C7 \I 12 CC W N 0 W I> Z O U 2 F 2 O}0 � O � W m J J m c J H ;x zC7w I N m ,C Q 0 LU Ca C* C05 Q O }LL W a-�m v0 SOF-p+�,W CC1LU0 2a Q O i y W H W W Q Z of Z m CC LL o �o Y m m Y m Q o w Q o WCLH Y W CL W Z O Z o d W 0 V� H C OC Z a � F J IN C c O m 0 O i C y ZV d N it d N O J V O d LL N O O m = m CA y c c O E E d d o$ H d E E j YLL. Cj Ci 0 t Ca 0 13 Q 0 Z ` o ® C14 CY 00 O J a V V O a e c c H d m d CL J! O 0 � I H, C cmIt CO) tm c m O _ m d c 0 "$ 'E Q = E c. y a) - ScF U LL W > t+ r N +r E 0 ++ ++ r 0 0 0 U1 Y m C F - >JJLLdaaa.J O. M CL :rein ides Ll the :ct. L9 % G SUBJECT City of Fridley 8 CRI'GEIRINDe" 8857 AT THE TOP OF THE TWINS BUILDING PERMIT r `y COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. /,ebsn ( ` r-'-I CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910415 8586 JOB ADDRESS 303 Liberty Street N.E. 1 LEGALLOT NO. BLOCK l TRACT OR ADDITION SEE ATTACHED DESCR. Spring Brook Park 2nd Addn. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE James Kli stein X= 303 Liberty Street N.E. 786-7468 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Power Company 2325 Endicott Street St. Paul MN 55114 593-1279 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 ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE x 8 DESCRIBE WORK Construct a 14' x 14` Three Season Porch Addition and a 17' x 14° Deck 9 CHANGEQFUSEFROM TO STIPULATIONS See comments on plan. WARIP�-.V- SEPARATE PERMITS Before digging call luui : "'` WIRING. HEATING REQUIRED R PLUMBING AND TELEPHONE - ELECTRIC - GMS SIGNS, REQUIRED BY LAW SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION 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 l ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVER NG THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFI EREIN OR NOT. THE GRANTING OF A PERMIT $5,200 $2.60 DOES NOT PRES T IVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS AN T ER STATE OR LOCAL LAW REGULATING CON- STRUCTION R TH ORMANCE OF CONSTRUCTION. $56.50 PLAN CHECK FEE TOTALFEE 14.13 $73.23 SIGNAT E FC NTRACTORORAUTHORIZEDAGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT " BLDG WSP J _ 6 - - 0AjfE SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI NEW [ ] ADDN. [ J ALTER. [ ] Construction Address: 303 City of Fridley �R-1 AND R-2 Building Permit Application Effective 4/1/86 Legal Description: Owner Name & Addres �°/� ` /,�%�� Tel. 4 Contractor: d (/1/�S �® Tel. V -/,2_7 Address: Jnr i � � Ste• �,D , .� �l G V/0/1 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. cJ/��J DESCRIPTION OF IMPROVEMENT �- .3, Length / Width Height __ Sq. Ft.1 — GARAGE AREA: Length __ Width _ _ _ Height _._ Sq. Ft. DECK AREA: Length! ! _ Width_ Hgt/Ground Sq. Ft. OTHER . L j96 r89 I = 3 ane 3 �- a� G.o= I %IYi..'�0 SZ h( Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback _ Side Yard e Setback Type of Construction: Estimated Cost: $ �� A4 Approx. Completion Date: /�rlC ' Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation Tel. 45���_���� DATE: a '' - C-6 APPLICANT: CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Plan Check $ 25% of Building Permit Fee State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $475 per SAC Unit Park Fee $ Fee Determined by Engineering Sewer Main Charge $ ��• Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: ? U c, 1RAjj S � 4,— 3 2.'� S`zrz. Caw►M��a � 2o S6 . SU Land Planning lend Surveying Soils Testing Civil Engineering Municipal Engineering Mortgage Stele/y ,,41W" 6873 Highway N0.65 N.L. • • Minneapolis, Minn. 5542 v Telephone 704-6000 Engineers Surveyors Area Code 612 Loan Survey for ROTTLU * b CO.' "r nn a. V V ro 61 0-1- 6) I 56 0 +_ CD Found0ion Only w` O o� o » 11.91 26.0 ! i 1 161) I ' �i _ `71: nn _ .,.. W -303 LIBERTY STREET NORTH �—Denotes Drainage f Ut UA4 Easement LOT 3 ,BLOCK 1 SPRING BROOK PARK 211 DADDITION ANOKA COUNTY This is a true and correct representation of a survey of the boundaries of the land above described and of the location of all buildings, if any, thereon, and all visible encroachments, if any, from or on said land. This survey is made only in- connection with a mortgage loan now being placed on the property and no liability is assumed except to the holder of such mortgage or any other interest acquired by the reason of such mortgage. it is understood and agreed) no monuments have been laced for the purpose of establishing let lines or boundary corners. Dated this -4E --day of o. c, A. D. 19� SUBURBAN ENGINEERING, INC. 1_ 6 [nginser Sd►ert by J2 5H MIT N SUBJECT R O. City of Fridley 2 4 4 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. `a: ------ r � � PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 8/8/96 JOB ADDRESS 303 Liberty Street NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 1 Spring Brook Park 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Brian Anderson 303 Liberty Street NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Midwest Siding & Roofing 3533 Perry Ave N, Crystal MN 55422 521-3652 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 200010277 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW IJ ADDITION ❑ ALTERATION 1 REPAIR ❑ MOVE 11 REMOVE 8 DESCRIBE WORK Reroof House & Garage (24 Sq) 2nd Layer 9 CHANGEOFUSEFROM TO STIPULATIONS Roofing can be the 2nd layer but not the 3rd. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING MOT CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 1 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 $1,488 $.74 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHE STATE OR LOCAL LAW REGULATING CON- STRUCTION O THE PERFO MANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE License SC $5.00 $55.73 SIGNTURF FCONTRACTORORA TRORIZEDAGENT IOATE) HEN PROPER�L/Y VA TED HIS IS YOUR PERMIT BLDG I SP s qaT SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) MIT N NEW [ ] Effective 3/1/96 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: a L?�, 4 F Legal Description: Owner Name & Address: 13r;,,, A, Ag S 6 ^ Tel. # Contractor: yr , . A ,. - , 4 c: •--I Address: -`>, C- 3 3 LIVING AREA: GARAGE AREA: DECK AREA: OTHER: MN LICENSE # :41,)/&J-77) Tel. # S -a / - J'6 j—,4 Attach to this application; a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF MPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Len Width Hgt/Ground Sq. Ft �` e-,� 5�� Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ �c /'�/900 Approx. Completion Date: (Cost: on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: ��''� � APPLICANT: �✓� r� Tel. # 5'---4t -.?C �. Permit Fee �'e $ AM ..a U Fire Surcharge $ State Surcharge $ , SAC Charge ��$ License Surcharge Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ 23 STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1 / 10th %) $.50/$1,000 Valuation $900 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 [ ] & .' MTY OF FRIDLEY BUILDING INSPECTION Effective 4/1/2004 9 3431 University Ave NE APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION 9=ridley, MN 55432 L REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES 763-5723604 FAX 763-571-1287 9 JOB ADDRESS 363 D RATE SCHEDULE Fee DOW ���0.` Com'-V'\Cx,^ -P Residential Owner CA -z Furnace Shell and Duct Work, Burner & ' ��"'►�� also Replacement Furnace $35.00 $ Building Used As Gas Piping (New Furnace, Fireplace, Insert) $10.00 $ o ESTIMATED COST%q ®�J` PERMIT 130 Gas Range $10.00 $ DESCRIPTION OF FURNACE AND BURNER Gas Dryer $10.00 $ # of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. *Air Conditioning -All Sizes $25.00 $--,2?-5,C0 BTU HP EDR `r -�uvd 0 N rYl rYl , Ga -\ Fuel Total Connected Load All Other Repairs or Alterations (List on Back) Size No. r 1% of Value of Appliance or Work $ Burner Trade Name HP EDR Minimum Fee $15.00 for Residential or 5% of cost of BTU Y Improvement whichever is greater on work less than $300.00 The undersigned hereby makes application for a permit for the work herein Commercial/industrial/Institutional specified agreeing to do all work in strict accordance with the City Codes t 1.25% of Value of Appliance or Work (List on Back) $ and rulings of the Building Division, and hereby declares that all the facts Minimum Fee $35.00 for Commercial/industriaVinstitutionai and representations stated in this application are true and correct. CENTERPOINT ENERGY MINNEGASCO Y State Surcharge $ .50 HEATING CO 13562 CENTRAL AVE NE BLAINE, MN 55304 1Tel TOTAL FEE $fid Signed— \A AR�� # 763-757-6202 REINSPECTION FEE $50.00/HOUR FAX # 763-757-6701 Date % :a - M *Air Conditioners can not be placed in side yard without written approval N from adjoining property owner - copy to City o- N i FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE Approved by Rough -in Date Final Date, FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furnace, 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 (3� No ( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes (t No ( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes No( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes (io No( ) When required to install a new combustion air, it will be sized and installed to meet the current odes and manufacturer's specifications. Yes No( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes No Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes No Appliance Type and Size/Common Vent and Vent Connector Information Appliance 91 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input 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 ALTERATIONS:_ (Describe) CENTERPOINT ENERGY MINNEGASCO HEATING CO: 13562 CENTRAL AVE_ NE BLAINE, MN 55304 Signed By: Date: ?A/?A' H TGU,9J.1.9d 01 A31018A A0 A110 W084 CF: T T be02-22—Nc4b - CITY OF FRIDLEY PERMIT.: 2004-01681 * 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 09/27/2004 ' (763) 572-3604 FAX: (763) 571-1287 ADDRESS : 303 LIBERTY ST NE PIN : 033024310114 LEGAL DESC : SPRING BROOK PARK 2ND ADD : LOT 3 BLOCK 1 PERMIT TYPE : HEATING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. INSTALL AIR CONDITIONING. # A/C UNITS 1 VALUE OF APPL OR WORK 0 # FURNACES 0 # GAS DRYERS 0 # GAS RANGES 0 VALUE (FOR MINIMUM CALC) 2400 APPLICANT HEATING PERMIT MINIMUM FEE FURNACE SHELL/DUCT WORK 0.00 0.00 CENTERPOINT ENERGY/1VIINNEGASCO 13562 CENTRAL AVE NE GAS RANGE FEE 0.00 ANOKA, MN 55304- GAS DRYER FEE 0.00 AIR CONDITIONING FEE 25.00 HEATING REPAIRS/ALTERATIONS 0.00 STATE SURCHARGE, MECH FLAT TOTAL PAID WITH CHECK # 6067 0.50 25.50 OWNER FERNANDEZ ELEAZAR & JOSEPHINE 303 LIBERTY ST NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulatin constru ion or the performance of constructi App ' ant Date Bldg Insp Dat SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 6W-MI11L=a►10.wWISMWA r-t;1i ADDRESS : 303 LIBERTY ST NE PIN : 033024310114 LEGAL DESC : SPRING BROOK PARK 2ND ADD : LOT 3 BLOCK 1 PERMIT TYPE : ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION PERMIT NO.: 2004-01682 c d 9 DATE ISSUED: 09/27/2004 VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL FURNACE. # 0-100 AMP CIRCUITS 1 APPLICANT CENTERPOINT ENERGYAHNNEGASCO 13562 CENTRAL AVE NE ANOKA, MN 55304 - OWNER FERNANDEZ ELEAZAR & JOSEPHINE 303 LIBERTY ST NE FRIDLEY, MN 55432 ELEC CIRCUIT FEE (0-100 AMPS) 20.00 STATE SURCHARGE, ELEC FLAT 0.50 TOTAL 20.50 PAID WITH CHECK # 6067 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of worl will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Date SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY INSPECTION DIV. Effective April 1, 2004 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT (763) 572-3604, FAX (763) 571-1287 MARK NI IMRFR nF FIXTI IRFR Tn RF INRTAI I FI71 OKI FACH FLOOR Reinspection Fee $50.00/Hr SIGNED BY ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.25% of Value of Fixture or Appliance State Surcharge $ .50 TOTAL FEE $ 25�.�—b Approved By TEL NO.G 2a—/9,90 9,90 Rough -In Date Final Date MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 or 5% OF COST OF THE IMPROVEMENT WHICHEVER IS GREATER ON WORK LESS THAN $300 COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. **PROVIDE COMMON VENT INFO ON BACK SIDE Shower 3 Wash Tray. Floor .;::::;•Drain �..Washer Auto. ... as � ....Range.... Water Heater Stories psUrinal Gas Eleca�: Bas ''�`<' specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $10.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $10.00 and representations stated in this application are true and correct. Floor or 1 $10.00 _ �-f % 5 Rain Water Leader $10.00 DATE: v , 20 Sump/Receiving Tank $10.00 FIo or 2 Water Treating Appliance $35.00 OWNER Water Heater -Electric $35.00 � ��1 l ( 1 Water Heater - Gas** Floor 3 BUILDING USED AS Gas Range** $10.00 Gas Dryer** $10.00 ESTIMATED COST PERMIT NO. Floor 4 () No >� Type $15.00 PLUMBING COMPANY�G'� Reinspection Fee $50.00/Hr SIGNED BY ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.25% of Value of Fixture or Appliance State Surcharge $ .50 TOTAL FEE $ 25�.�—b Approved By TEL NO.G 2a—/9,90 9,90 Rough -In Date Final Date MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 or 5% OF COST OF THE IMPROVEMENT WHICHEVER IS GREATER ON WORK LESS THAN $300 COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. **PROVIDE COMMON VENT INFO ON BACK SIDE 3 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS New Fixtures $10.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $10.00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $10.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $10.00 and representations stated in this application are true and correct. Catch Basin $10.00 _ �-f % 5 Rain Water Leader $10.00 DATE: v , 20 Sump/Receiving Tank $10.00 Water Treating Appliance $35.00 OWNER Water Heater -Electric $35.00 � ��1 l ( 1 Water Heater - Gas** $35.00 BUILDING USED AS Gas Range** $10.00 Gas Dryer** $10.00 ESTIMATED COST PERMIT NO. Back Flow Preventer Required ( )Yes () No >� Type $15.00 PLUMBING COMPANY�G'� Reinspection Fee $50.00/Hr SIGNED BY ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.25% of Value of Fixture or Appliance State Surcharge $ .50 TOTAL FEE $ 25�.�—b Approved By TEL NO.G 2a—/9,90 9,90 Rough -In Date Final Date MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 or 5% OF COST OF THE IMPROVEMENT WHICHEVER IS GREATER ON WORK LESS THAN $300 COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. **PROVIDE COMMON VENT INFO ON BACK SIDE i FILL IN COMPLETELY FOR REPLACEMENT FUEL BUFkNING APPLIANCE PERMITS COMMON VENT; VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furnace, 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 plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and terminatidn. Yes () No ( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) The existina combustion air is sized and installed to meet the current codes BTU Input and manufacturers specifications. Yes ( ) No( ) When required to install a new combustion air, it will be sized and inttalled Fan Assisted or Nat to meet the current codes and manufacturer's specifications. Yes ( ) No ( ) When installing a new venting system, the undersigned hereby verifies that Total Appliances it is a listed assembly and meets the current codes and manufacturer's: specifications. This does include AGA-GAMA Category I Central Fumice Vent Height Venting Tables for fan assisted and natural draft appliances. Yes () No( ) Is the common vent and vent connectors sized and installed correctly after ft Diameter in Type an appliance has been removed from the common vent and vented ft Length separately as per current codes. Yes () No( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Tctal 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 ALTERATIONS: (Describe) HEATING CO: Signed By: Date : Building PLUMBING Permit No.: QQ7 -yrs) I Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 DIA- 2007 CITY OF FRIDLEY DATE YOUR E-MAIL ADDRESS SITE ADDRESS SawtL -mgi THIS APPLICANT IS: 0 OWNER *ONTRACTOR Elazar Fernandez PROPERTY -NAME: 303 Liberty Street Northeast OWNER/ ADDRESS: Fridley, MN 55432 TENANT _ZIP PHONE: 7637924827 CONTRACTOR NAME: SUBMIT A COPY OF STATE LICENSE # C% EXP DATE YOUR STATE ADDRESS- i�� / CITY/J STATEfddlZIP rJ_% ' LICENSE WITH . PHONE - y03 FAX 177- 11 12 APPLICATION - PERMIT TYPE SINGLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE TYPE OF WORK: 0 NEW XREPLACEMENT DETAILED DESCRIPTION OF WORK PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00; whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This.should_reflect only. the cost of labor) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor X.05 = =•F -PROJECTS WHERE LABOR EXCEEDSS500;7FEES ARE BASED ON $10.00 PER FDZTURE,'EXCEPTP7(2T "WHERE M,:Fl)ngZM:: (,KATE TOTAL NUMBER OF EACH BELOW) BATH SINK/LAV _FLOOR DRAINS _ SHOWER _ WATER PIPING _ BATHTUB _ GAS PIPING (NmwcmucaysE) _ SWIMMING POOL _ WATER SOFTNER ($35) _ CLOTHES WASHER _ KITCHEN SINK_ WATER CLOSET BACKFLOW PREY. ($15) _ _ _-LAUNDRY TRAY ,-[_WATER HEATER ($35) FOR IRRIGATION _DISHWASHER WATER METER OTHER Permit Fee $ _ Number of fixtures @ $10.00 x $10.,00 = $ Surcharge .50 Number of fixtures @ $15.00 x $15,00 = $ ITAL DUE $ Number of fixtures @ $35.00 —� x $35.00 = $ 3S.Oo State Surcharge = $ .50 Total = $ 3S. so 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 review and approval of plans. / SIGNATURE OF APPLICANT PRINT NAME Jc /►lmrilOrlh DATE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 %I Building $ BUILDING See Back Page for Fee Schedule Permit No.: ' r-nspections RESIDENTIAL APPLICATION Received By:cOL'� /63-572-3604 ---V—(.0005) CITY OF FRIDLEY Date SO� )ATE r '/V i:4 S It n t� fo /*?a , l e o /Y)S T -MAIL ADDRESS UR S. -ITE S TE ADDRESS 3 D 3 f 7'/ ! y kC Charge TFUS APPLICANT IS: ❑ OWNER %@ONTRACTOR $1450 per SAC Unit (Plans to MWCC for determination) PROPERTY OWNER/ NAME: IX i ! /' 11 d n Z TENANT ADDRESS: 303 66t t CITY rl Cl ty STATE—ZIP g S L/32 $ PHONE: ? 6 3 Z Q C O-77 $450 Conservation Plan Review CONTRACTOR NAME:_ 17HD At- Home Services, Inc. Jodi m Frd t f J d n < Fee Determined by Engineering STATE LK 2690 Cumberland Pkwy, Ste 300 t q sa 12 Y5 - (. b U 7 SUBMIT A COPY OF Cumberland Office Park 'otal Due YOUR STATE LICENSE ADDRESS CITY STATE ZIP WITH APPLICATION PHONE Atlanta, GA 30339-3913 ❑ SINGLE Lic# 20268257 Ph. 763/542-8826 �E PROPERTY TYPE ❑ TWO FA _ .'ORIES PERMIT TYPE QADDITION ❑ GARAGE/SHED`�NIIQDOWS El BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW 13 ADDITION ANCE/REPAIR ❑ REMODELING :aESCRIBE WORK BEING DONE: 3 W n cyo P 1 J .i /it T 4 a 0 R P -ZE OF IMPROVEMENT LENGTH WIDTH IGHT Sq. Ft. )OFING ❑ HOUSE ONLY ,UMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING -SUBMIT: rARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan 2. Proposed floor plan 'ROPOSED SIZE: ❑DETACHED GARAGE 3. List of structural members to be used 'ROPOSED HEIGHT: rDING FOR NEW CONSTRUCTION INCLUDING DECKS, Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: Aluminum ❑ Trim I. Site Plan/Survey showing the existing structures J Other ❑ Fascia and proposed project 'I]�TDOWS 2. Two sets of construction plans EXISTING OPENINGS NYes ❑No LOIZATION OF WINDOWS 3. Energy Calculations FOR NEW OPENINGS -DESCRIBE SIZE OF We d t t a rA / r ii . L t U) A �J DENING CHANGES & �S ri S 3 :PE OF WINDOW TO BE INSTALLED QUA /' NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ ;?'?(-'7 OCCUPANCY TYPE �rmit Fee $ 3-2V 5 See Back Page for Fee Schedule .an Review $ 65% of Building Permit Fee archarge $ ---V—(.0005) times the total job valuation —Minimum $.50 'ire Surcharge $ .2 , g 7 .001 x Permit Valuation (1/10%) _cense Surcharge $ S. $5.00 (State Licensed Residential Contractors) kC Charge $ $1450 per SAC Unit (Plans to MWCC for determination) .n b Cut Escrow $ ft + 6 ft = ft x $20 = $ �-osion Control $ $450 Conservation Plan Review ark Fee $ Fee Determined by Engineering -wer Main Charge $ Agreement necessary ( ) Non Necessary ( ) 'otal Due $ Y 2 7 0 Make checks savable to: City of Fridlev Attach Stipulations 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 cnformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a ermit 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 an in the case of all workwhich requires review and roval of plans. /r y / / J 1NATURE OF APPLICANT ? / M ✓ e AJ in a pPRINT N DATE `