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PRE 2010 DOCSLaity of Fridley, Minn. BUILDING PERMIT N? 6651 Date: r Owner: Builder — Address Address Corner Lot Sewer Elevation ......... Inside Lot —S etback Sideyard —/ - Foundation Elevation DESCRIPTION OF BUILDING T%1eUsed ZA Front Depth Height Sq. Ft. Cu. Ft. Fro Depth eight —��, 4#q. Ft. Cu. Ft. Type of Constructio ...T_ ___ Est. _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 comp with a& ons of ordiaanc es 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 time uponviolation of any of the provisions of said ordinances. r^, _ / I Building Inspector NOTICE: " permit does not corer the coasheclion, hwhWen for wiring, phnnbleg, gas beefing, rower or water. Be sero to no tiro Betiding Inspector for separate permhs for these hems. City of Fridley Application for Pluntbing and Gas Fitting Perndt Dept. of Bldgs. Phone SII 4-7 DESCRIPTION OF WORK ��, Number, Kind and Location of Fixtures Location PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: O. RATE 7�T`6AL Number Fixtures ...................... x $1.50 $ Future Fixture Opening ................ x 1.20 $ U' �p F N WATER HTR. GAS ELEC. Base $ Water Heater (Up to 200,000 BTU) ...... S' $J • b 6 New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ 1st JLJ $ 6 Gas Range to 200,000 BTU .............. x 2.00 $ 2nd 3rd 4th • Future 'r -i tion Openings * New Fixture, Old Openings Connected with Seale! Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: O. RATE 7�T`6AL Number Fixtures ...................... x $1.50 $ Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $J • b 6 New Ground Run Old Bldg . ............ 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: 9 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 application are true andel Fridley, Minn / ,/ /� 19ir3 Owner Kind of Building g I X ri n Used as To be completed about [^ 3 Estimated Cost, Old—New. Building Permit No. ROUGH l� FINAL �QJDZ42 '2M By--' �`� Business Phone R i Application for Power Plants and Heating, Cooling, Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SII 4-7470 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 ............ &00 each add. 80,000 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. IDR Steam ...... 8.00 Furnace Shen & Line --to 840 sq. ft. EDR Hot Water ... 8.00 Each add. 200 sq. ft. EDR Steam ...................... 2.50 Each add. 320 sq. ft. EDR Hot Water .................. 9.50 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 PIPING (Up to 3 Fixtures) .......................... 1.50 (Add 50c each over 3) AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS REMARKS: e See Fee Schedule TOTAL FEE 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. SEP 2 5 1963 Fridley, Minn_ , 195_ Owner / / A;� ✓ Kind of Building Used as To be completed about 195- 195— OG Estimated Cost, $ 5�"DO - ew uilding Permit No. DESCRIPTION OF WORK HEATING , Warm Air—No— Trade Name Size Capacity Sq. Ft. E.D.R ® BTU H.P. Total Connected Loa Kind of Fue BURNER — Trade Name % ize Capacity Sq. Ft. E.D.S.P. YIE ING F ATMG 8z WIR GOND, C®, J 6409 GOODRICH AVr. S. MINNEAPOLIS 26, AIINN, Saga29-85, 3 sy -41�11 POST i M-8-58 Business Phon No T L 1.., /-n A /V 4 cy � c, 2 y Gr R o S S HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS A. S. H. V. E. Weatherstrips Guide Construction No. Windows I Doors Reference Out. Wall IInt. Wall I Ceiling J--R—Oof—� Floor e e 19— % z C 0-1 ROBBINSDALE, MINN. Insulation Kind How Applied I Room I Length ,�2 1 k Width 13 T Height rA 11 t F1. I2—t k Room I Length 7-3 Width j -7- Height W Windows and Doors—Crackage and Area C F �q� Windows and Doors—Crackage and Area L F 6- No. Width of pane Haight of pane No. of lights Lineal Ft. of crack Area sq. ft No Width of pane Haight of pane No. of lights Lineal ft. of crack Area sq. ft. 1 -A4 i(o , 13 7 Coef Btu Coef Btu Infiltration 3,9 s $ p Infiltration Q 3g 5 `I `i' Glass & 1 50 �) o5 o Glass 50 Exp. wall 3 y N X 6o -j 2 $7 Exp. wall ( 7% X g 3/ X q 91 Net exp. wall '�)&-7 q 3 a, 13 Net exp. wall °7 q 27 6 (.,( Int, wall Int. wall Ceiling3 Ceiling %y X cj '3124 Floor T_ Y (o C7 Floor Total Btu. I 403 Total Btu. Icy -N Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft E.D.R. ore . ins. W.A. Leader area 1 Fl. r -P,,,,,,,, Room I Length 10 - - Width 1(o Hei ht d Fl. I -e o Room I Length t y 2� Width q 3 Height Windows and Doors—Crackage and Area C � M l©� Windows and Doors—Crackage and Area n A' c l No. Width of pane Height of pane No. of lights Lineal ft. of crack Area sq. ft. No• Width of pane Height of pane No. of lights Lineal ft. of crack Area sq. ft. `[� � :1 Co 7 7(�; tG Q, 3I Coef Btu Coef Btu Infiltration 7 31 ' S Infiltration '3 I 11,80 Glass Glass iq 5o q 6n Exp. wall q o 1 A V? 12-1 Exp. wall d.6 Net exp. wall 7 t) 9` Net exp. wall ®I q l $® Int. wall Int. wall Ceiling Ceiling t L '/Z y , '�7 Vq 1 ?� I Floor 10 /y Le I® 13 I (e I O Floor t -',N A Gj % 15 1 c)-35 Total Btu. S Total Btu. (o 116 0 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. ors . ins. W.A. Leader area Fl. Room I Length Width Height j Fl. Room I Length I I yZ Width I3 'lHeight Windows and Doors—Crackage and Area c� Windows and Doors—Crackage and Area No. Width of pane Height of pane No. of lights Lineal ft. of crack Area sq. ft. No Width of pane Height of pane No. of lights Lineal ft of crack Area sq. ft. Coef Btu Coef Btu Infiltration Ie-) 3g. 5% Infiltration X 1 1 g p Glass �— �5®R.� Glass Exp. wall I I %r x Exp. wall �, �� x ICY Net exp. wall go CY_ % Z p Net exp. wall 1 i 0/ 4 (o Int. wall Int. wall Ceiling Ceiling Floor I l x C? /q 16 q 1(p ((o (o © Floor Total Btu. 4 6p Total Btu. y I 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 . . y HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS ROBBINSDALE, MINN. A. S. H. V. EFtWall Weatherstrips GuideConstruction No. Insulation Windows Doors ReferenceInt. Wall Ceiling I Roof I Floor Kind How Applied Y e * 19_ 1 Fl.I T-2,,- ci Room I Length ID gWidth c?-%- Height F1.I 1-l�--i.L Room I Length 1.1 Width 4 Height 7 Y2- Windows Z Windows and Doors—Crackage and Area 116 C� Windows and Doors—Crackage and Area No. Width of pane Height of pane No. of lights Lineal ft. of crack Area sq. ft. No. Width of pane Height of pante No. of lights Lineal ft. of crack Area sq. ft. I I C© 5 I® I dZ -(:, -'I,- T" 1 I I I Coef. Btu I I I Coef Btu Infiltration 1 S -�% 570 Infiltration 1cl 39 -7 2- C, Glass 10 u 3 q 1 0 &0 Glass 1 g So qg Exp. wall 11 -3.K $ 1{9'�v Y, 114 3 Exp. wall x r/ %-Zell (0 Net exp. wall �� 13?z 1 ► 19 `i Net exp, wall tj -a Cl' Int. wall Int. wall - Ceiling I C5 x 2 17 19 Ceiling Floor Floor p 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 j F1.1 leo Room I Length I Z = Width G1 Windows and Doors—Crackage and Area -� Height? -4- / 1/ Fl. Room Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pan,, lights of crack sq, ft. No. Width of pane Height of pane No. of lights Lineal ft. of crack Area sq. ft. C)15 Coef Btu Coef Btu Infiltration S '?S Infiltration Glass .0 _5c) 7 Glass Exp. wall. x ► ] �. I [ter, Exp. wall Net exp. wall 15(, cy i 3 5 o Net exp. wall Int. wall Int. wall Ceiling Ceiling - Floor �� g l NI f f >✓ r a 5�. Z L Z t Co 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. I �, Room I Length G Width 5 `r Height Y/ Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 1 , 6, 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 sq. ft. Coef Btu Coef Btu Infiltration I 3S y� Infiltration Glass Co Sb 3 emo Glass Exp. wall (Q X 7 q 6 Exp. wall Net exp. wall 3 cl R 3 5 Net exp. wall Int. wall Int. wall Ceiling Ceiling Floor :PF r I re) Ff 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 SUBJECT PERMIT City of Fridley o 1313 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. COMMUNITY DEVELOPMENT DIV. '-INSPECTION r PROTECTIVE SEC. 1 i � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-1715 8/12/75 JOB ADDRESS i 1 LEGAL LOT NO. BL TACt 61T A bbITTCN SEE ATTACHED DESCR. 3 5 Innsbruck 1st Addn SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Will Erie 5258 Matterhorn Drive N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Milton Johnson Co. 2513 Central Avenue N.E. Mpls. 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING rpgidential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION CX REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK re -roof 9 CHANGE OF USE FROM TO STIPULATIONS 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 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 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 $1,000 .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- 6.00 STRUCTION OR THE PE FORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE ' "i Z- �� $6.50 SIGNATURE OF CONT CTOR OR AUTHORIZED AGENT (DATE) EN PROPEI; Y VA ED T I IS YOUR PERMIT BLDG INSP DATE SIGNATURE OF OWNER (IF OWNER BUILDERI IDATE) ' .APPLICATION FOR RESIDENTIAL.; ALTL'RA1'ION, OR ADDITION.BUILDING PERMIT CITY OF FRIDLEY, NIINNESOTA OWNER'S NAME : (/�1 � I I � (2 � BUILDER : � % '-� D � � d /� � s o -ADDRESS: j)R ADDRESS : 4513 N0:. 5-2, S Y STREET : r 7 A T T WZW a� cL LOT: BLOCK: � ADDITION: CORNER LOT: INSIDE LOT: SETBACK: SIDE -YARD: Applicant attach to this fora. Two Certificates. �f 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: Square Feet; Cubic Feet': 7. od • Type of Construction. Estimated Cost: 16 o To Be Completed: The undersigned hereby makes application fora 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: / Z T SIGNATURE (See Reverse Side For Additional Information.)' . • a SUBJECT PERMIT NO. City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT 2 2 5 4 2 i � RECEIPT NO. te__--_ COMMUNITY DEVELOPMENT DIV. r-- � PROTECTIVE INSPECTION SEC. �� r � NUMBERDATE PAGE Of APPROVED BY CITY HALL FRIDLEY 55432 1'j 612-571-3450 910-F15775/18/94 JOB ADDRESS 5258 Matterhorn Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 5 1 Innsbruck 1st Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Margaret Erie 5258 Matterhorn Drive NE 5714-2054 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Quality Home Works 1 431-5998 9238 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 Ox REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House (23 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1 725 $.86 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $41.00 Fire SC $1.73 STRUCTION O THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE License SC $5.00 TOTAL FEE $48.59 �-/ - — SI ATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI W I VAL TED THIS IS YOUR PERMIT JBLDG'LINSP GATE SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI NEW () Effective 1/1/94 ADDN (] CITY OF FRIDLEY ALTER () SINGLE FAMILY AND DUPLEXES R -I AND R-2f� Building Permit Application Construction Address: d 6 /'1,,7 Legal Description: K- p ©f " Owner Name & Address: i C^ Tel. # 5 7 ® S—;e Contractor: vIg /,,I ,� ® r /Z S / MN LICENSE #q,�?,T 8 Address: ,,V 616 9 /� Tel. # �d 3 / - G 198 , 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: Length Width Hgt/Ground Sq. Ft. OTHER: re S Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ CIO Approx. Completion Date: / 70s - (Cost on Back) Driveway Cuib Cut Width Needed: Ft. + 6 Ft Ft x $ _ $ DATE: _ZZ- 17- APPLICANT: - Tel. #�3/ .S -r !P ' CITY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control $ 00 Park Fee $ Sewer Main Charge TOTAL STIPULATIONS: Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $800 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 [ ] CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1993 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS ,� Iy RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell -and Duct Work, Burner — rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $20. 00 $ representations stated in this application are true and cor ct, Gas Piping (Needed with new furnace) $10.00 $ OWNER_198_ _ �i�����%� .�C � Gas Range $ 10.00 .$ — BUILDING USED AS, Gas Dryer $ 10.00 $ ESTIMATED COST �� ® "— PERMIT NO. *Air Conditioning — All Sizes $10.00 $ DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work $ No. of Heating Units Circle One (Steam) (Hot Water)arm Ai Trade NameSize Noz,�--fipcn> Commerciallindustrlal BTU o� v HP EDR 1% of Value of Appliance or Work $ Fuel— Total Connected Load State Surcharge $ .50 Burner Trade Name Size No. BTU HP EDR TOTALFEE . HEATING COMPANY MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION //�� _ `�� REFRIGERATIONIAIR CONDITIONING PERMIT IS $15.00 Signed Byz _J , Tel No. PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 Approved By Rough—In Date Final Date *Air Conditioners can not be laced in a side and without p Y written permission from adjoining property owner. FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes No ( ) 2. Is free from rust or deterioration Yes P<1 No ( ) 3. Has no foreign objects lodged within Yes No ( ) 4. Is securely supported Yes No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes ( ) No 6. Has total heating BTU's of ®®®� All other BTU's TOTAL BTU's Rama rlrc IV List Alterations Being Done: HEATING COMPANY Signed By Date��.�"��� CITY OF FRIDLEY BUILDING INSPECTION 6431 University Ave NE Fridley, MN 55432 763572-3604 FAX 763-5714287 RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner & also Replacement Furnace Gas Piping (New Furnace, Firepla , nsert) Gas Range Gas Dryer *Air Conditioning - All Sizes All Other Repairs or Alterations (List on Bade 1% of Value of Appliance or Work Minimum Fee $15.00 for Residential or 5% of cost of Improvement whichever is greater �!� . 411/2004 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS ��`) MQ±t&hbYk1 brly-eFee otal — $35.00 $ $10.00 $ $10.00 $ Building Used As ESTIMATED COST, �f PERMIT NO DESCRIPTION OF FURNACE AND BURNER $10.00 $ # of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. $25.00 $ BTU HP EDR Fuel Total Connected Load Commercial/Industrial/Institutional 1.25% of Value of Appliance or Work (List on Back) Minimum Fee $35.00 for Commercial/Industrial/Institutional State Surcharge TOTAL FEE REINSPECTION FEE $50.00/HOUR $ Bumer Trade Name BTU HP Size No. _ 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 $ and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct *Air Conditioners can not be placed In side yard without written approval from adjoining property owner- copy to City FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE Kline Corp. HEATING CO DBA: Practical Systems 43428 Shady Oak Road Signed Hopkins, MN 55343 452-433-1868 FAX # f m T m ru d m W M m m m 0 3 0 m w N ru CD A6 Approved by Rough -in Date Final Date N ru Building PLUMBING Permit No.: o®i-I'f)lff Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRI DLE'Y Date RACD M V 21 DATE May 18, 2007 YOUR E-MAIL ADDRESS wnelsonalarsonpiumbing.com SITE ADDRESS 5258 Matterhorn Drive NE THIS APPLICANT IS: lJ OWNER ®CONTRACTOR PROPERTY NANM' Roger Frakie OWNER/ ADDRESS: 5258 Matterhorn Drive NE CITY Fridle � STATE M N ZIP 55432 TENANT _ PHONE: 76MZ2-1713 CONTRACTOR NAmF.: Larson Plumbing, Inc. SUBMIT A COPY OF STATE LICENSE # 3341 PM EXP DATE 12/31/2006 YOUR STATE ADDRESS: 3095 -162nd Lane NW CITY Andover sTATEMN zip 55304 LICENSE WITH PHom 763/427-7680 FAX 763/427-9448 APPLICATION PERNIIT TYPE IN SINGLE FAMILY O TWO FAMILY Q TOWNHOUSE TYPE OF WORK: la NEW 3 REPLACEMENT DETAILED DESCRIPTION OF WORK Water Heater Replacement 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 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 paw cnrucros4 _ SWIMMING POOL WATER SOFTNER ($35) _ CLOTHES WASHER KITCHEN SINK _ WATER CLOSET BACKFLOW PREV. ($15) DISHWASHER _ LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION _ WATER METER —OTHER �j '-yi'rf YFw�:'. �K:�:{., .he=:v.33:st'l:.e:•.i: <f. "" y .t,... •�y''��^^ . 1' •Y.• �[2J�`/� g lt.:...s.. �G'.9:$':�.. ,4•.!. :yy�r��v!. :1 •L ' �-F:RC��Ni'1'�7°.[y�;R. '` . `�`1DJ.1317tA ..l' ifki.4' .... � ...... .................. r.:..,..... ............ .....N... ".'i'. ' .;J ry.+•.'x .,fh:. ...;+.::.`fi'.a ;liii£n?.h4°5§,�?1��'�,E���>FO�Z:P��7��f�'-'OR.�$:�.6.Q:�: Permit Fee. 35 _t 00 Number of fixtures @ $10.00 x $10.00 = $ •e Surew .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE _35. 0 Number of fixtures @ $35.00 x $35.00 = $ 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 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 c all worwhi requires review and approval of plans. �u e C r� ®� t SIGNATURE OF APPLI PRINT NAME Wendy Nelson DATE 5/18/07 rr!'YEf }�. •{7,t(�yy}�t.yyJ. ti/: J}+��,y. f .� r.},�. i ...�,r��; 'r .ii3'V �'WJ'A:NJ,ii��a�7�L:CLfVi .j. �t, t)1 -. (•'1,^ e.v�.i"9 t"t`5'-t=. City of Fridley Building inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 2007'. Building Inspections 763-572-3604 763-502-4977 FAX DATE (0 -111 -to SITE ADDRESS 525 THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION MECHANICAL RESIDENTIAL APPLICATION CITY OF FRIDLEY YOUR E -ML ADDRESS � er arra ri yr AF ❑ OWNER —)(CONTRACTOR NAME: L r^O p l ADDRESS: I � l.� pIy L,508ff r PHONE _((2 COMPANY NAME:ff,)C � CONTACT PERSON: W I R Permit No.: Received 4 N 893eozlpN 2 9 2010 STATE LICENSE # 2XPATECf IC/�_STATEy/ IPADDRE 1Od K ITYJ/ PHONE , j _195 FAX PERMIT TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW *REPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) PROVIDE HEAT LOSS CALC'S PER MANU J 2006 SHRAE HANDBOOK. Min i Q ow Equipment Installed MFG: Y MODEL: � TU SIZE/BTU I MFG: CaYY�QY MODEL: CAN 6113 ^W SIZE/BTU d'1� MFG: -A/C $25.00 MODEL: FIREPLACE (GAS) $15.00 SIZEBTU _GAS RANGE/OVEN $10.00 TO AIR EXCHANGEER $15 F�REPLACE (WOOD) $35.00 _NEW GAS GRILL $10.00 _AIR $35.00 $35.00 _GAS UNIT HTR $10.00 _BOILER LINER $10.00 _✓FURNACE DRYER $10.00 _POOL HEATER $35.00 (M• 03 _CHIMNEY DUCT WORK $10.00 _GAS GAS PIPING $10.00 _VENTILATOR $15.00 (SJ�J 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 Fridtey 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 1 ork whichrequires review and approval of plans. , j �p�,�ry j,, SIGNATURE OF APPLICANT PRINT NAME ��Yi(dG�tJ°y� 1 U� 11) Permit l - , �� � D APPROVAL INSPECTORS SIGNATURE DATE I1) `'City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977