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PRE 2010 DOCSCity of Fridley, Minn. WELDING PERMIT N° ('5-968 Date: Owner: Builder _.— Address Address LOC�4'I'lON }� UILpINCa No. Street �w. �� Part t — Lot_ Slock _ Addition or Sub -Di on Corner Lot _ Inside Lot — Setback -WSideyard Sewer Elevation ___ Foundation Elevation DESCRIPTION OF BUILDING To Used ar /',..r.. Front Depth Height -- Sq• �• 4 Fro Depth Height Sq. Ft. ` Cu. Ft. Type of nstruction �� Est. Co To be Completed _ In consideration of the issuance to me of a permit to construct the building described above I agree to do the proposed work in accordance with the description above set "forth and in compliance with ail provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $"'" permit is hereby granted to to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any�^77io�of any of the provisions of said ordinances. wilding Inspector NOTICE: This permit does not cover the construction, Installation for. whing, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. i Owner's Address APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY. MINNESOTA ress. LOCATION -OF BUILDING MMo. ! Street .i.,r_�_.e , Part of -Lot Lot Block` Addition or Subdivision Corner Lot IInside Lot—X—Setback, _�!, Side -Yard SEWER ELEVATION FOUNDATION 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: Frontg4!-!!!!Depth Height Sq. Ft. %�� Cu. Ft. FrontDepth Height S _ FtCu, Ft. G� Type of Construction Estimated Cos To be Completed The undersigned hereby makes 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 and representations stated in this application are - (Schedule of Fee Costs can be found on the Reverse Side). City of Fridley Application for Plwnbing and Gas Feting Porn* Dept. of Bldgs. Phone SII 4-7 DESCRIPTION OF WORK Number. Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: yJ TOTAL Number Fixtures ....... .............. x $1.50 00 $�-- Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x z F N WATER HTR. GAS ELEC. Water Heater (Up to 200,000 BTL) ...... x 2.00 $� New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: RATE TOTAL 1st 3 Fixtures .......................... //NO. x O $ % �5 Additional Fixtures .................... x .50 � Gas Range to 200,000 BTU .............. x 2.00 $ p Base 1st 1 2nd ` 3rd 4th • Future Connection Openings Connected with I Sewer ❑ New .Fixture, Old Openings Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: RATE TOTAL Number Fixtures ....... .............. x $1.50 00 $�-- Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTL) ...... x 2.00 $� New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: RATE TOTAL 1st 3 Fixtures .......................... //NO. x $1.50 $ % �5 Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE City of Fridley: r 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 of the Department of Buildings, and hereby declares that all the fact and representations stated in this applicatign are true and correct. Fridley, Owner Kind of Building Used as To be completed about to, Estimated Cost, $ OldNew. RVilding Permit No —` Pe N Signe I By Business Phone No FINAL 42 2M 19A=2— To 9 =2 Application for Power Plants and Heating. Cooling, Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: Furnace Shell & Duct Work ........................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 .................. Repairs & Alterations each add. $500.00 ............... MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ each add. 60,000 BTU ....................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 ................. Repairs & Alterations each add. $500.00 .............. STtAM o: HOT WATER SYSTEM 40 Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... Furnace Shell & Line—to 640 sq. ft. EDR Hot Water .. . Each add. 200 sq. ft. EDR Steam ...................... Each add. 320 sq. ft. EDR Hot Water .................. RATE TOTAL 8.00 $ 5.00 $ 5.00 $ 2.50 $ 8.00 $ &a 2.00 $ 5.00 $ 5.00 $ 2.50 $ 8.00 $ 8.00 $ 2.50 $ 2.50 $ OIL BURNER—to 3 gal. per hour ....................... '. 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures .......... ........... x $1.50 $--4,57-0 Additional Fixtures ................. x .$0 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $� ROUGH FINAL Dept. of Bldgs. Phone SU 4-7470 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. Owner Kind of Used aE To be c Estimated Cost, $ Old—Building Permit No. ` (O Permit No. d DESCRIPTION OF WORK k.- Estimated . HEATING or POWER team, Hot Water, Warm Air—No Trade Nam r Size No ,A0ql0 0 Capacity Sq. Ft. E.D.R. 1"2a/AV-29 BTU H.P. Total Connected Load Kind of Fuel BURNER — Trade 'Nam ' Size No-��� Capacity Sq. Ft. BTU H.P. S011111AN HEATING & SHEET METAL 9419 CENTER DRIVE N. Signed IN E. By . 42 sea Business Phone (REMARKS -OVER) D-36 HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS FRIDLEY, MINN. Weatherstrips A.S.H.V.E. Construction No. Insulation Guide Windows Doors Reference Out. Wall Int. Wall I Ceiling Roof Floor Kind ow ftlied No I —No 19, s / F1.1 oLenitth/ / Width / HeiahtC- / II / Fl.I Room I Lemrth /// idth //� Height,f� om i � /" 3 Windo and Dors—Crackage and Area --- a a, Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft: Width Height No. of Lineal f . Area No. of pane of Dane lights of crack sq. ft. — `ZCIAO p Coef. Btu Coef. Btu Infiltration Glass Infiltration zP742 Exp. wall Int. wall Glass Net exp. wall t/v �' 7006.)— Int. wall Floor Ceiling Ceiling Net exp. wallZ zlQ �iloor .20 p ego -notal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area tea„ , Room I Length -2j f Width /%/ Height ,P/ Windows and Doors—Crackage and Area --- a a, Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft: Wld h Height No. of Lineal ft. Area No. of pane of pane light's of crack eq. ft. — `ZCIAO y Coef. Btu Coef.1 Btu Coef. Btu Infiltration Glass Exp. wall ex y Int. wall Glass Ceiling V 5P �' y Exp. wall Floor Ceiling y Net exp. wallZ Floor Int. wall Ceiling ,p 0 Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area fFl. om I Lenath/ 3- Width 7/ Height d/ indows and Doors—Crackage and Area --- a a, Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft: Z Z— / 2 Coef. Btu Coef.1 Btu Infiltration �� y ym Glass Exp. wall ex y Int. wall Net exp. wall Ceiling V 5P e Int. wall Net exp. wall Floor Ceiling y 49 Floor 1 btal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Windows and Doors—Crackage and Area --- a a, Width Height No. of Lineal ft. Area No of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. it. / 2 Coef. Btu Infiltration Coef. Btu Infiltration INUF ex y Int. wall Glass Exp. wall Ceiling V 5P e Floor Net exp. wall Floor ® y Int. wall Ceiling Floor Total Btu. 1,,5 y Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 100 FU _ Room I Lenath /. Y Width /®o' Height ,-?/ Windows and Doors—Crackage and Area --- a a, Width Height No. of Lineal ft. Area No of pane of pane lights of crack sq. ft. 31 oea Coef. Btu Infiltration 1,Av Glass Exp. wall Net exp. wall ex y Int. wall Ceiling V 5P /,0 V3,9 O Floor Total Btu. I d1WA___ Required sq. ft. E.D.R. or sq. ins. W.A. Leader area f ml o__ i t vra.t. 9i u_: -Lf cbe - --I ------ • ---o-- „� -- -- - Windows and Doors—Crackage and Area --- a a, Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. WW Coef. Btu Infiltration I AP/ 50.1 1,Av Glass /�- 41 Exp, wall Net exp. wall Int. wall CeilingAa Floor 1 otal Btu. ft. E.D.R. or sq. ins. W.A. Leader area I /—/ e SUBJECT City of Fridley 313 3 6 AT THE TOP OF THE TWINS BUILDING PERMITEC _ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 77Z 1 . � CITY HALL FRIDLEY 55432 Nume" REV DATE PAGE OF APPROVED 8V j L „ 612-571-3450 910-F15 8/23/00 JOB ADDRESS 6517 Lucia Lane NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 2 1 Don's 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Evina Timo 6517 Lucia Lane NE 763-557-9964 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO PTL Contracting 2526 N Ferry St, Anoka, MN 55303 763-323-7400 5294 a ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION O ALTERATION j7 REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof House & Garage (28 Sq) Tear-off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANC S GOVERNING THIS TYPE OF WORK WILL BE COMPLIED GOVERNING $2,447 $1.22 WITHWH HEREIN OR HE GRANTING OF A PERMIT DOES NOT RES ME TO GIVE AUTHO I TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIO OF ANY OTHER ATE LOCAL LAW REGULATING CON- $83.25 Fir SC $2.45 ST RU TIO OR HEP RFOR N CONSTRUCTION PLAN CHEC4FE TOT L FEE Licens$5. 0 $91.92 SIGNATURE OFCON ACTOR OR AUTMQRij ENr IDATE. E�PVALIDTHIS .•8e `1f�AiE IS RPERMIT S,GNATURE OF 0INNERof OWNERBUROERi iDATEi e ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND UPLEXES R-1 AND R-2 BUILDING P IT APPLICATION Construction Address: Legal Description: A Owner Name dress: Contractor. `%_4-- Effective 1/1/2000 612-572-3604 Bldg Insp .� Tel. # MN LICENSE # ✓�—�—� 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: L ng gWithHgt/Ground_Sq. Ftt..-�OTHER: P.PnnFef� � � �t_' �V`"�'— U Construction Type:%G Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. 6 t= F $ _ $ DATE: C� a 2 OD APPLICANT: Tel. # CITY USE ONLY - Call (612) 572-3604 for Permit Fees If mailing In application Permit Fee $ 83�,�S- Fee Schedule on Reverse Side Fire Surcharge $ �5 .001 of Permit Valuation (1/10th%) State Surcharge $ /. J- $.50/$1,000 Valuation SAC Charge $ $1100 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: Building MECHANICAL Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Recd: DATE .. YOUR E-IvjAIL ADDRESS SITE ADDRESS C ( (�� THIS APPLICANT IS: ❑ OWNER AONTRACTOR PROPERTY NAME: ��Ct/e OWNER/ ADDRESS: CITY_ STA ZIP TENANT PHONE: CONTRACTOR COMPANY NAME: SUB1%1IT A COPY OF YOUR STATE CONTACT PERSON' STANDAR D HEONG 8 AIR CM -01 M110NING STATE LICENSE 41�A11>14KE STRr LICENSE WITH ryry�A ADDRESS: P061gg..� p�N 55408 STATE ZIP APPLICATION PHONE FAX PERNIIT TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK' ❑ NEW PLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK Cc GPS 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 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) 3 SIZEBTU� � Equipment Installed :MFG: FG: MODEL: MFG: d``x`11 MODEL: SIZE/BTU OE it MFG: MODEL: SIZEBTU L $25.00 (GAS) $15.00 GAS RANGE/OVEN $10.00 _L'C —FIREPLACE _AIR TO AIR EXCHANGEER $15FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 FURNACE $35.00 GAS UNIT HTR $10.00 _BOILER $35.00 LINER $10.00 GAS DRYER $10.00 POOL HEATER $35.00 _CHIMNEY DUCT WORK $1000 GAS PIPING $10.00 —VENTILATOR $15.00 . i .. ... o. .. =Y71'r .. . ,,.�. . . ���` E . k, .aG.. > .l:_��,... U. "„4;�?!'.roN�� � Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $25.00 / x $25.00 = $-_l . �L Number of fixtures @ $35.00-7—x$35.00 = $,g—'sem State Surcharge = $50 Total = $� 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 thf Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an applic r or not Io start without a ermit; that the work will be in accordance with the ecrequirteeview approved plan in the case of w ' d approval of plan SIGNATURE OF APPLICANT City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter I with MN Amendments b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a_ Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 5. Ventilation a_ Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 a_ ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make up air calculations