PRE 2010 DOCS.
53 -8L -S-915.51
City of Fridley
AT THE TOP OF THE TWIN$
i `r..-------- CowMuNITY oEViLOPMENT DIV, PLUMBING PERMIT APPLICATION
PROTECTIVE OlftCTION KPT,
i r---� CITY HALL PRIDL19V �MIt
44-500-34" NIrlISER REV. DATE P"E OF A OV D BY
Job Address - 0 2 15 3 1 71 800 74
6380 N. E. Madison Street
s
9`7-7.3% �
Paul
M. Shaw
560-1767
Contractor
MINNEGASCO Address P one
x733 MAaQUETTE AVENUE
Kind of Building
Use ., MINN.
Frame
Res.
Completion- Date
stimateCost
3 -L -7L
10.00
i
I �I
Plumbing Fixture Rates: NO.
RATE TOTAL
�I'j
—
i
( ----'
!
I Number Fixtures
$2.00_
3
I
I
If
Ix
Future Fixtures x
$1.50
aflsvo�
'
'too
I
( !
�
•�
'! New Fixture -Old Open. x
$1.50
O
'dd`
i I
I
! Catch Bastn x
$3.25
i
Water Heater -99,000 BTU x
$3.00
•D6IN
!
I
Ground Run Old Bldg. x
$3.25
saa,
j
MNIvaI
I
i i�
,
m
Elec. Water Heater x
$2.00
a
sNISYs
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lO
H�lY�I
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Gas Fitting Fees:
o
sNlvaa
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3 o
=
aO��dl
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a
1st 3 Fixtures x
$2.00
;w
'00
�0
ffi113MOHS
V
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Additional Fixtures x$
_
.75
1Nnod
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HNlaal
Gas Range -199,000 BTU x
$5.00
�VJp�
Q
sAVal
HSYMI
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i Repairs & Alterations
See
s)1NI8
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Description: Install DryerCode
$5.00
Class ''A' Surcharge .50
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sNleval
1
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State Surcharge
.50
sora
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3
TOTAL FEE
$ 5.50
Htva
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sIYNlan
!The undersigned hereby makes application
for a permit
l
I
I
for the work herein specified, agreeing
to do all work
.tasoio
in strict accordance with the City Ordinances and rulin
Y71YM
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+
of the Department of Buildings, and hereby declare that
all'the facts and representations stated
in this
application are true and correct.
$$
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Signature
Date
}
9`7-7.3% �
SUBJECT
City of Fridley
br°`
25510
AT THE TOP OF THE TWINS
BUILDING
PERMIT
V------ COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.®
r
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
612-571-3460
910415
I
9/16/97
JOB ADDRESS 6380 Madison Street NE
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
2
5
Christie Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Paul Shaw 6380 Madison Street NE
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Master Remodeling Inc 32 10 Ave S, Hopkins, MN 55343 932-9311
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
20012916
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION jJ REPAIR ❑ MOVE ❑ REMOVE
6 DESCRIBE WORK
Reroof House (20 Sq) Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS Underlayment must comply with the State
Building Code.
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
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
ANYTIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
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
$1,668
$.84
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-
Fire SC $1.68
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
$54.00
PLAN CHECK FEE
TOTAL FEE
License SC
$5.00
$61.52
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IOATEI
WHEN PROPERLY
I BLD )NSP
V DATED THIS IS YOUR PERMIT
DATE
S)GNATURE OF OWNER,,F OWNER BUILDER) IDATEI
N�W [ ] Effective 1 / 1 /97
ADDN [ ] CITY OF FRIDLEY .1255 Id
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION 4966
ConstructionAddress: 6 -3 9-6 AWD --J S71-- N 6- zc'r
Legal Description: /
Owner Name & Address: �a w S#,4 �S�n?Es�aye, Tel. #
Contractor: MASMR REMODELING, INC MN LICENSE #_2 o O/c2l 9V 4
32TOa South
Address:
Attach &RAM, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF EM PROVEMENT
LIVING AREA: Length Width Height Sq. Ft..
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width HgtlGround Sq. Ft.
OTHER:
Construction Type: dOF % a Of^ Estimated Cost: $ o"_O a 0
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ =$
DATE: /S
Tel. # a —F3 //
TOTAL
STIPULATIONS: a 513 &(1v(✓e-rs ; 4� 4V P E
y r 5-J Y 3
C -:>.-
wk
CITY USE ONLY
Permit Fee
$ U
Fee Schedule on Reverse Side
Fire Surcharge
$ �,
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$950 per SAC Unit
License Surcharge
$ 5--06
$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 j ]
TOTAL
STIPULATIONS: a 513 &(1v(✓e-rs ; 4� 4V P E
y r 5-J Y 3
C -:>.-
wk
SUBJECT
City of Fridley
(27637
~�
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
`
ftp" NO.
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
1 -
NUMBER
REV
DATE
PAGE OF
APPROVED BY
`
1 CITY HALL FRIDLEY 55432
612-57173450
910-F15
9/9/98
JOB ADDRESS
6380 Madison St NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP
PHONE
Paul Shaw 6380 Madison St NE 5 432
571-1767
3 CONTRACTOR MAIL ADDRESS . ZIP
PHONE LICENSE NO
Master Remodeling, Inc 55343
932-9311 20012916
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
❑ NEW ❑ ADDITION ❑ ALTERATION jJ REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroofxxxsx house & garage (28SQ) Tear-off
Reside
9 CHANGE OF USE FROM TO
STIPULATIONS
Reroof - Underlayment must comply with the State Building Code.
Reside - Call for building wrap inspection before covering.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING,
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
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
$3, 558.00
$1.78
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-
$8725
FiSC $2.56
e
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
T7EE
Licen S $5 0
$96.59
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI
EN R VALIDA
BLA-NSF"'_4ATE
THIS 1$ R MIT
S-GNATURE OF OWNER--F OWNER BUILDERI IDATEI
r
JUN -16-1998 11:39 FROM CITY OF FRIDLEY TO 9329316 P.01i02
NEW [ S W - -3 ce S'r Effective 111/98
ADDN [ ] CITY OF FRIDLEY
ALTER I l SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
ConstructionAddress: 3 Yo
Legal Description:
Owner Name & Address: Tel. # L5-7 /-- / 7 4v 7
Contractor: MASTER REMODELING, INC. MN LICENSE #_.2D O/.21/ to
I us sou",Address:__ Hopkins, Minnesota 55343 Tel. #
LIVING AREA:
GARAGE AREA:
DECK AREA:
lUdWdIft a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height
MAS'T'ER REMODELING, WC.
32 Tenth Avenue South
Hopkins, Minnesota 55343
(912) 932-9311
Sq. Ft.
Length Width Height Sq. Ft.
Length Width Hgt/Ground Sq. Ft.
OTHER:
Construction Type:/, e& tn±j of,C �imated Cost: r4
(Fee Schedule
Driveway Curb Cut Width Needed: Ft. + 6 Ft = F $ _ $
DATE: APPLICANT: G `� Tel. # �2_-9711
Permit Fee $ ,.-
Fire Surcharge—
State Surcharge $
SAC Charge $
License Surcharge $
Driveway Escrow $
CITY USE ONLY
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1000 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt. "A" or Alt. "B" Above
Erosion Control $ $450.00 Conservation Plan Review
Park Fee $ Fee Determined by Engineering
Sewer Main Charge
TOTAL
STIPULATIONS
$ Agreement Necessary [ J Not Necessary [ ]
a�
IlecL��7,
auu�r
CITY OF FRIDLEY INSPECTION DIVISION � l�
6431 University Ave NE J Lu
Fridley, MN 55432 APPLICATION FOR MOWER PLANTS AND HEATING, COOLING, VENTILATION,
(763) 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
FAX (763) 571-1287
RATE SCHEDULE
Residential
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace
(Side Vent - Fill Out Back)
Gas Piping (Needed with new furnace,
but not replacement)
Gas Range
Gas Dryer
*Air Conditioning -:AII Sizes
i
All Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work
Commercial/Industrial
1.25% of Value of Appliance or Work
Cs MIZI
Rate TOTAL
00BUILDING USED AS
$
ESTIMATED COST PERMIT NO.
DESCRIPTION OF FURNACE AND OR BURNER
$ 10.00 $
No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air)
$ 10.00 $ Trade Name Size No.
BTU I -IP EDR
$ 25.00 $ Fuel Total Connected Load
State Surcharge
TOTAL FEE
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATI16
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.SO STATE SURCHARGE
REINSPECTION FEE $47.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
Burner Trade Name Size No.
$ BTU _HP EDR
$ 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 an
$ .50 rulings of the Building Division, and hereby declares,that all the facts and
rehresehtations stated in this application are true and correct.
$.35.5D
DATE
HEATING CO
FAX # '�:'1S
Approved By Rough -In Date
Final Date
THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE
APPLICATION WILL BE RETURNED
nnMMQN VFNT-, VENT nQNNFCTQR ANn MMMISTInN AIR VFRIFICATIM
When _ I�inQangin ina Iran _ , the�:undersigned hereby verifies that the
venting has been examined and is free-from.rust, deterioration, obstructions,
and is:seairely supported and firestopped_where required. -Yes i No( )
The venting system is plastic/PVC and meets all current codes and manufacturer
specifications including sizing, length, number of elbows and termination. Yes( No( )
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturer's specifications. This does
include AGA-GAMA Category I Central Furnace Venting Tables for fan
assisted and natural draft appliances.
Yes( ) No( )
The pY�a rnmbL-ctinn air is sized and installed to meet the current codes -
Yell No( )
and manufacturer's specifications.
When required to ina+all a new cnmbtosfinn_ air it will be sized and installed
to meet the current codes and manufacturer's specifications.
Yes () No
When iostallinn new yon ing sMstem, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturer's
specifications. This does include AGA -LAMA 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.
T;y^ts and gi7P1Cnmmnn Vent and Vent _nnn _4nr
Yes( )No( )
Infermatinn
Anlianrp
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 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
DI TFRaTIC1NR• (Mincrihal
17
HEATING CO: J �V
Signed By. ate
Building
PLUMBING
Permit No.:
Inspections
RESIDENTIAL APPLICATION
Received By:
763-572-3604
CITY OF FRIDLEY
Date Rec'd: ` t�
DATE YOUR E-MAIL ADDRESS
` ,{
SITE ADDRESS G'6 YSO y LO d t SM Sit ('l F -
THIS APPLICANT IS: ❑ OWNER 96ONTRACTOR
PROPERTY
NAME: ?Qa.(,I sylo-W
ADDRESS: 16555) 1 V 6LCW Y7 St I At CITY 'F�(lGk kk" STATE k0lzIP
OWNER/
TENANT
PHONE: (-16-__,,) (311. X161
CONTRACTOR
Nom: TI m , S ual ► l L
STATE LICENSE# //yy� 1 O P ,t EXP DATE /�. M OZIP 55 %9
b Qr
SUBMIT A COPY OF
YOUR STATE
ADDRESS: 5 a'✓ rr1 Ara_I y c CITY s e_ J STATE
LICENSE WITH
PHONE C�6 3 i 5i l b LEs FAX
APPLICATION
PERWr TYPE
M4INGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
❑ NEW til REPLACEMENT
TYPE OF WORK:
DETAILED DESCRIPTION OF WORK Y2,_.47I Q CA OC4 \i Gid V 2 f01C� �rtD P o^
PER MS 16B.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 Xwwe 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)
BATH SINK/LAV _FLOOR DRAINS _ SHOWER — WATER PIPING
_
—BATHTUB _ GAS PIPING (NEED crrrLrcmw) _ SWIMMING POOL _ WATER SOFTNER ($35)
_ CLOTHES WASHER _ KITCHEN SINK _ WATER CLOSET _ BACKFLOW PREV. ($15)
—DISHWASHER _ LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION
WATER METER —OTHER
PERMIT FEE PROJECTS FOR UNDER $500
PERMIT FEE FOR PROJECTS OVER $500
Permit Fee $
Number of fixtures @ $10.00 x $10.00 = $
Surcharge .50
Number of fixtures @ $15.00 x $15.00 = $
Number of fixtures @ $35.00 x $35.00 = $
TOTAL DUE $
(
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 odes 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 �PA �. C�.I[il �'�_'C UL PRINT
I PLEASE NOTE: SEPARATE PERMITS ARE REQUIRED FOR BUILDING, ELECTRICAL AND MECHANICAL WORK
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977