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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N° CO7 2 Date: "06 Owner: '� Builder Address Address LOGATIUM OF BIJILDING NO. 4 Street Part o tA Jot Lot . _ Block _,Iwon or Sub -Di !!A 9 Corner Lot — Inside Lot __ _ Setback side -yard Sewer Elevation _ _ Foundation Elevation DESCRIPTION OF BUILDING T Used Front Depth WW=,Height Depth 1� Hei it Sq. FL ____ _._ � Cu. Ft. Type of Construction Est. CosO&I " 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 a'A provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ e*+ w - , 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 anyupon violation of any of the provisions of said ordinances. „ . __1 NOTICE: IIs peneh does not cover the condmd1 n, hufeWon for whble, pw"Ing, on bn&& "WW or aster. B. sore to no the BntMd lespector for mpmft permits for these hems. J_vl�Z 5—P / X a,,z �ti APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner's Name Builder Address Address M .��PAW1191" No. (Q__j _5_-5_ Street C� Part of Lot, Lot Block+�Addition or Subdivision Corner Lot Inside Lot__,,�, Setback _36 / 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. To be used as: DESCRIPTION OF BUILDING Front Depth Height Sq, Ft. Cu, Ft. . Front Depth Height Sq, Ft., Cu. Ft. Type of Construction Estimated Cost 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 represents s stated in'this application are true and correct. „ DATE (Schedule of Fee Costs can be found on the Reverse Side). Application for Power Plants and Heating. Cooling, Ventilation. Refrigeration and 9 Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ........................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 ................ 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $ Furnace Shell & Line --to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 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 $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE ROUGH— OUGH FINAL— FINAL Dept. 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 A-/' Kind of Building Used as To be completed about 19�� Estimated Cost, $ G ' Old ew. wilding Permit No. O Permit No. =-Z DESCRIPTION OF WORK HEATING or POWER to Hot Wates Warm Air—No Trade Nam G Size No e, 0 �• Capacity �� Sq. Ft. E.D.R BTU H.P. Total Connected Load � 9 �� Kind of Fue o_ BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS—OVER) 42 2M Business Phone HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MINNEAPOUSr MINN. Weatherstrips A.GHa • ' Construction No. Insulation Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How. Applied Yes_No I Yes—No 19— F 19. A .. - ; Room I Length Width Height II FI.I Room I Length Width Height Windows and Doors—Crackage and Area I Width HeightNo. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal f . Area No. of pane of pane IIghts of crack sq. ft. I - —t—. Coef. Btu Infiltration Coef. Btu Infiltration ,T C2 Glass 2-5, Int. wall Exp. wall Floor Net exp. wall J ! 7:P, ic Int. wall- ,. Ceiling Floor �+ p y y/ Z— 6 Total Btu. / 2�44 4. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack aa. ft. Coef. Btu Infiltration Glass L,,' �„Z°'" �' F ,'? Exp. wall �.` ' &7'z�io Net exp, wall see ✓ GeJ` 41 Int. wall 72 1 Mr Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length Width Heiaht Windows and Doors—Crackage and Area I Width HeightNo. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. I - —t—. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Windows and Doors—Crackage and Area I Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. I - —t—. Coef.1 Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I F1.1 Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. It. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Windows and oors—Crackage and Area Coef. Btu Width Height No. of Lineal ft. Area No. of Dane of pane lights of crack sq. ft. 3Z Z® Z- 14 4 v Ze Glass / HEAT LOSS CALCULATIONS Coef. DEPARTMENT OF BUILDINGS NJNNEAPOLIS, MINN. Weatherstrips A.S.H.V., Infiltration Construction No. 3 Insulation 3 Guide Glass < `i` d Exp. wall WindowsI Doors Reference l Out. Wall Int. Wall. Ceiling Roof Floor Kind How Applied I Yes—No Yes—No 19-. _ Int. wall Ave/a Floor / F1.1 s' Room I Lenath 2 -S" Width -1 Heisht II / FI Room I Length -7-4 Width4 _ Height V Windows and oors—Crackage and Area Coef. Btu Width Height No. of Lineal ft. Area No. of Dane of pane lights of crack sq. ft. 3Z Z® Z- 14 4 v Ze Glass / = Coef. Coef. Coef. Btu Infiltration f 3 �, 3 3 2 e' Glass < `i` d Exp. wall Net exp. wall 'el -5-4 Exp. wall Z'O Net exp. wall Floor 171 i e Net exp. wall Int. wall Ave/a Floor �. �1?0 Int. wall 77, ej 2- e> Floor Ceiling T3-7 /e, 3-3-75 Floor Total Btu. V_!Y 7 Y Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Room I Length /,`7 Width //-Heiszht Windows and Doors—Crackage and Area Coef. Btu Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 4 _ Glass Coef. Coef. Coef. Btu Infiltration 139 f 3 2. ✓� a�; Glass Ceiling Exp. wall < `i` d Exp. wall Net exp. wall Total Btu. Ceiling Z'O Net exp. wall Floor 171 i e /7/0 Int. wall 12-90 Floor Ceiling 77, ej 2- e> Floor Total Btu. ` IF -7 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area tvr..3.t 277 u_:_L. Ci Windows and Doors—Crackage and Area Coef. Btu Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. .5to L A Glass Coef. Coef. Btu Infiltration 5.7a 139 1,49fe Glass Exp. wall Ceiling Exp. wall < `i` d Int. wall Net exp. wall Total Btu. Ceiling Z'O Int. wall Floor Ceiling 12-90 Floor Total Btu. Reouired so. ft. E.D.R. or so. ins. W.A. Leader area Windows and Doors—Crackage and Area Coef. Btu Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 2— 12-11, A Glass Coef. Btu Infiltration 5.7a Glass �` 4 Exp. wall Ceiling Net exp. wall < `i` d Int. wall Total Btu. Ceiling Z'O —76 Floor Total Btu. 1 7 v 3 d Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI.I ; Room I Lenath i 7 Width .' "� ' Height JP° Windows and Doors—Crackage and Area Coef. Btu Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 4/ :7, 138, A Glass Coef. Btu Infiltration Net exp. wall Glass Int. wall Exp. wall Ceiling Net exp. wall / v Floor Int. wall Total Btu. Ceiling ,, � Z'O 0 Floor Total Btu. 7 k f Required sq. ft. E.D.R. or sq. his. W.A. Leader area Fl.�:� , % Room I Lengthl - Width Height y' Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. Coef. Btu Infiltration 4/ :7, 138, A Glass Exp. wall Net exp. wall Int. wall Ceiling / v Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area City of Fridley Application for Plumbing and Gas Firming Permit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK / Number, Kind and Location of Fixtures Location__ � n__ C✓ c PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: Number Fixtures ...................... Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin ...... ..................... Water Heater (Up to 200,000 BTU) ...... New Ground Run Old Bldg . ............ NO. RATE TOTAL — x $1.50 $ — x 1.20 $ — x 1.00 $ — x 3.25 $ x 2.00 $ — x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50• $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description .................................. ...........$ TOTAL FEE $ City of Fridley: C, d� 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 applicationzare true and correct. Owner A,- c414 Kind of Building Used as To be completed about Estimated Cost, Old Ne uild , n 19 6;�— ROUG FINAL 42 2MM 8n <I Z O uhf < w Z �O • F � N WATER HTR. GAS ELEC. �� o� 5 �g �nS Base 1st 2nd 3rd 4th • Future Connection Openings Connected with New Fixture, Old Openings Sewer � Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: Number Fixtures ...................... Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin ...... ..................... Water Heater (Up to 200,000 BTU) ...... New Ground Run Old Bldg . ............ NO. RATE TOTAL — x $1.50 $ — x 1.20 $ — x 1.00 $ — x 3.25 $ x 2.00 $ — x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50• $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description .................................. ...........$ TOTAL FEE $ City of Fridley: C, d� 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 applicationzare true and correct. Owner A,- c414 Kind of Building Used as To be completed about Estimated Cost, Old Ne uild , n 19 6;�— ROUG FINAL 42 2MM City of Fridley, Minn. BUILDING PERMIT Date: - April 30, 1969 Owner: Morris Sprung Builder Address 6533 Lucia Lane Address Same Same LOCATION OF BUILDING No. _ 6533 Street Lucia Lane Part of Lot Lot _ _ _ _ __ Block Corner Lot _ Inside Lot Sewer Elevation Addition or Sub -Division — Setback Sideyard Foundation Elevation DESCRIPTION OF BUILDING Z/4,yL/b N° 10206 To be Used as: Addn. to Garage Front 12' Depth 26 - Height 10' Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Frame Fst. Cost ^ $800.00 __ To be Completed In consideration of the issuance to me of a permit to construct the builds the proposed work in accordance with the descriptio bove set fo ltd in ordinances of the city of Fridley. � a to do ns of In consideration of the payment of a fee of5.00 , permit is hereby granted to Morris Sprung 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 time upon violation of any of the provisions of said ordinances. (u, ZA& = , Clarence Belisle NOTICE: Thb pormit does not cover the construction, WWWon for wiring, phunbing, gas hosting, sewer or wafer. Be am to no the Building Inspector for separate permits for these heam APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME BUILDER ADDRESS o _ ADDRESS LOCATION OF BUILDING NO. l!g 3.3 S LOT BLOCK ADDITION OR SUBDIVISION CORNER LOT INSIDE LOT SETBACK SIDEYARD� � SEWER ELEVATION TOP OF FOOTING 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 Height Square feet Cubic Feet Front % Depth Height i Square feet / Cubic Feet Q Type of Construction Estimated Cost D �d•� To Be Completed ice{/ � 6 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 st�.te�'i this application are true and correct. �/ DATE ! c0 SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side.) xA 17- �� 6 7 ��-- City of Fridley AT THE TOP OF THE TWINS. SUBJECT D � A I T r I BUILDING PERMIT PERMIT ® 13033 r wCOMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. DV I v cR'v' RECEI . �� NUMBERDATE 910-F15 REV. 6-19-75 PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 812-680-3450 JOB ADDRESS 6533 LUCIA LANE N.E., FRIDLEY, MINNESOTA 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 2 1 DON'S, 2ND ADDITION SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE RICHARD HUISENGA 6533 LUCIA LANE N.E. FRIDLEY MINNESOTA 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 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION Cay REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK RE—ROOF 9 CHANGE OF USE FROM TO STIPULATIONS I SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. 33HINGLES 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 R-1 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 $200.00 .50 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $5.00 PLAN CHECK FEE TOTALFEE $5.50 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) t I WHEN PROPERLY YALIDATED HIS IS YOUR PERMIT /f — JUNE 19, 1975 BLDG. INSP DATE SIGNATURE OF OWNER IIF OWNER BUILDE IDATEI J -----� APPLICATION FOR RESIDENTIAL., ALTERATION, OR ADDITION.BUILDING PERMIT CITY OF-FRIDLEY, MINNESOTA OWNER'S NAME : A o cls N9 fPr) n ui 5r/y &i9i BUILDER : S�% /415 ADDRESS: (,o53_3 1_61[119ADDRESS: 5191V1E NO:.&53 3 STREET: LOT: 16 BLOCK: ADDITION: DO/V-5 Z) �8 19 O P CORNER LOT: INSIDE LOT. k"� SETBACK: SIMARD: Applicant attach tc this form Tmo Certificates of Survey of Lot.and.propose' building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: �� 1Qom74/tYG* Front : Depth: Square Feet: Cubic.Feet: Height• Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: Jam`'//�C Estimated Cost: $ ,?00.0 0 To Be Completed: Moyil7lls 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 true and correct. DATE: (e7 l C? ^ 7S SIGNATURE • � - (S a Reve a Side For Additional Information.)' 01 suB�EtT City of FridleyC 79746 AT THE TOP OF THE TWINS BUILDING P PERMIT M I T t i �COMMUNITY DEVELOPMENT DIV. L__�___ INSPECTION SEC. � � r � PROTECTIVE 1 ; � NUMBER REV DATE PAGE OF APPROVED By CITY HALL FRIDLEY 5542 ' 612-571-3450 910415 6/22/99 JOB ADDRESS 6533 Lucia Lane 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 2 Don's, 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Sandra Steinberg 572-0665 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Window -Lite 523 Central Avenue Osseo MN 55369 425-0293 20039258 4 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 0 ADDITION O ALTERATION Ox REPAIR 0 MOVE 0 REMOVE 8 DESCRIBE WORK Reside; Windows 9 CHANGE OF USE FROM TO STIPULATIONS Call for building wrap inspection before covering. Install smoke detectors to meet the State Building Code - in each sleeping room and on each level of the house. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL. PLUMBING, HjEATING, TYPE OF CON T. 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 80 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 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 $21,750 $10.87 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- Fire SC $21.75 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $349.25 PLAN CHECK FEE TOTAL FEE License SC $5 0 $386.87 SIGNATURE OF CON'RACTOA OR AUTI.ORIZED AGENT IDATEI WHEN PROPS VALIDATED THIS IS Y UR PERMIT /A'V (/ems/Y • .6 S-GNATURE Of OWNERoF OWNER BUILOERI IDATEI A iE 8 G INSP 01 NEW [ l E ective 1/1/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: ,3 Lane Legal Description: Owner Name & Address: �� ,�� a j �� % ,' Tel. # - eaee Contractor.MN LICENSE # 9 Address: n m- atle 6S --)x-,) "- -) ��3Vj Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DF,SCRIPTION OF IlAPRO.VEAWM LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type:(,Estimated Cost: $ , �; (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE:�42929 Permit Fee $ w , -.� Fire Surcharge $ , $� State Surcharge $ 16-87 SAC Charge $ License Surcharge $ a Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ 38%' C97 STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.501$1,000 Valuation $1050 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 [ ] FROM :City of Fridley Building inspections 763-572-3604 2-3604 SITE ADDWA -2 TMS APF°J.ICANT IS: FAX NO. :7635711297 Dec. 05 2005 i1:34F" P2 pfcmit Nt MECHANICAL Ke.cciVOd RESIDENTIAL APPLICATION � CITY OF FAPIEY ., irre.r«s � . OWMR/ ADDttM: UNANT PHONE: COW_[ CTOR CMVANYNAM+E:� AIR MASTERS„ SUBW A COPY OF CONTACT PERSON: _ : , • • YOUR STAn STATE UCIEVSR 6915 -146th Street West U ,ASH� ITH ADDRESS:. Apple Valley, MN 55124 STATB —� AMICATION PH= (952)431-5932 .- PERMIT TYPE WMNOLB FAMILY a TWO FAMILY 0 TOWNHOUSE TYPE OF W01M A NEW /�-ACEt�i i la AUMAMOWMIMOM DETAHM =SCRIFF! OF rX►ORK PER Ms 168.665 the permit fed is a mlolmnM of $13.00 or 5% 01 the total gest up to MOO, w'hidlevor Is !ice'► far be lmprove ment► inetdhdon or repbwmew of a residential fixture, excluding the fixtures. (This should r&eta oAly the cost "W) ) Loor cost fouler $300 - $15.00. Labor cost betwom $300 to $500 a cost Of labor x.05 -- FOR .05 -- FOR PROISCTS Wk1 M LABUR SXapEDS SSW, FM ARE BASED ON $10.00 I'Ett FIXTUM EXCWT WHEREMM.). PMTURffi: CATS TMAL NUMBER OF SACH MODEL, y6 51ZFJBTl1 MrK1: , MaroDSL:.,�..-.— s�laTv A MFG;; � MODSL .� /C W5.p0 _FTREPI.ACS (0") SI5'Q0 e" RAO IRO�CHANGEERSIS FIREPLACE Opl$35.00 :DmOASMUS10A TSS.00 FNA g Um UNIT »S10.09 CI IEY LIM SIM00 (IAS DRYUR x10,00 _POOL KBA773R WAivt[�r amRK SIOLM c3AS MING $10.00 VSNTJI,ATOR $15.00 pefrldt pee S ? , Number of flxlures ® $10.(10 X $10.00 Number of fipc"@ $15.00 x $15.00 TOTAL DUE $ _ 3s`_ `:srdwes� Number of ffid uts 0 $25.110 It $25.00 $��.�„ Number of fixtures 0 $35.00 x $35.00 SAL.-_ S SM surcharge $so TOW THIS IS AN APPLICATION FOR A PEM -NOT VAUD UNT11- PROCESS M I boroby apply for a building permit and I kbowiedge that the infom"011 above is OMPIete and eexlterate; that the Wnk will be in conformance with the mftanm aad codes of the City of l+tidlely and with ths A' Wmesota•Cons or, Codes; that I und stand tide is not a parmh but only an applicatiou for a permit and work is not to start without a permit; that tate work will be in awari am with the approved pM In the case of all work Which requires review and approval of plane. 9It1NATM OF APPLICANT City of Fridley Building Inspections Department 6431 Univ=ity Avcmue NE, Fridley, UN 55432 763-572-3604 FAX: 763.5024977 /V FROM :City of Fridley FAX NO. :7635711287 Dec. 05 2M 11:35AM P3 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC (� NEW HOMESIADDITIONS EXISTING HOME [] MAKE-UP AIR 1. Combustion Air (See note below) a. Oil or solid fuel RMC tempter 7 with MN Amendments b. Nmrai On or Fropaae/iFTGC Chapter 3 with MN Amecdmeu#s 2. M*B-Up Air (See note below) . a. 1KC Cbapter 5 with MST .AwendmWu 3. VendUS a. Gn appliance U*C Chaps 5 with Mei Anmodaimu b. Fuel other 0= gas TMC Chter 8 with MN Amandmmts 4. Heat lois & cooft load per groom a. R.eq*W on now construction WC 1346.0312 5. VentHadion a. Per MN Enemy Code 7670 or 7672 6. Duct Design Per DMC 1346.0603.2 a. ACCA Macuai D NOTE.. CeItterpoiat Ener► Mechanical Code Guiddines software may be used for combustion and make up air calculations