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PRE 2010 DOCSCITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: Number Fixtures Future Fixture Opening New Fixture, Old Opening Catch Basin Water Heater - to 99,000 BTU 100,000 BTU to 199,000 BTU Water Softener New Ground Ran Old Building Electric Water Heater GAS FITTING FEES: 1st 3 fixtures Additional Fixtures Gas Range to 199,000 BTU REPAIRS & ALTERATIONS First $100.00 each add. $100.00 or fraction NO. RATE m x $3. no >, y x � $ o x k 0 water at m m x $5.00 $-( Sro4 E q 1 m A 4 d a w x Heater .oiO ra x $5.00 C m x X 41 $ $4 4 0 F Q x H $ O O O O 0 N +J N U w a ro q M VI ro 3 s4 0 0 W t y .i W ro ro U q v ro Q a ro C9 0 o as lec 1st 2nd 3rd 4th (R) = Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: Number Fixtures Future Fixture Opening New Fixture, Old Opening Catch Basin Water Heater - to 99,000 BTU 100,000 BTU to 199,000 BTU Water Softener New Ground Ran Old Building Electric Water Heater GAS FITTING FEES: 1st 3 fixtures Additional Fixtures Gas Range to 199,000 BTU REPAIRS & ALTERATIONS First $100.00 each add. $100.00 or fraction NO. RATE TOTAL x $3. no $ x $2.00 $ UCS x $2.00 $ x $5.00 $ x $5.00 $-( x $10.00 $ x $7.00 $ x $5.00 $ x $5.00 $ x $3.00 $ 6*CSS x $1.00 $ x $10.00 $ $5.00 $ $2.00 $ State Surcharge $ .50 TOTAL FEE $ as -Sb REINSPECTION FEE ($10.00) Job Address 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, Mn. 19'? OWNERj244114ar .yam KIND OF BUILDING J�- USED AS-,a�"�� TO BE COMPLETED ABOUT ESTIMAT�EDD COST �) OLD 1 NEW/BUILDING PERMIT NO. PERMIT NO. Company Signed By r'► ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT 4J - / % - 7 MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY WAIM AIR: Furnace Shell & Duct Work * Replacement of Furnace Repairs E. Alterations -up to $500.00 Repairs & Alterations each add. $500•.00 . ECHANICAL WAR..\f AIR: .ru=ace Shell & Duct Work to 100,000 BTU each add. 50,000 BTU *Replace=ent of Furnace Repairs & Alterations -up to $500.00 Repairs & AiLerations each add. $500,00 STEA-M OR HOT 1':aTER SYSTEM: RATE TOTAL ,lob Address 7,00 $ 7.00 $ Department of Bi;t1 .ngs 4.00 $ City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work here Ln $12.00 $ specified agreeing to do all work in strict accordance with the City Ccdes - 4.00 $ and rulings of the Department of Buildings, and hereby declares that all -the 7.00 $ facts and representations stated in this application are true and correct. 7,00 $ 4,00 $ Fridley, Minn. , 19 Boiler & Lines up to 100,000 BI:U each addn. 50,000 BTU 4.00 $ Boiler only up to 100,000 BTU ?•QA $ each addn. 50,000 BTU P. -PP OIL BURNER- to 3 gal. per hour $1q.QQ S each add. 3 gal. per hour ;A•AQ $ GAS BURNER- from 100,000 BTU to 4q!g1q ATR P: PIP $ I®.00 (over 199,999 BTU see Fee Sche ule GAS FITTING FEES: _ ist 3 Fixtures x S $SPA S. -6.60 Ai3itional Fixtures x $ ;;AQ Gas Range to 199,000 BTU AIR CONDITIONING FAN HEATING SYSTEMS Sea Fee schedule $ VENTILATING SYSTEIMS $ ALTERATIONS 4 REPAIRS $ State Surcharge $ .50 TOTAL FEE $ _25', 00 MUGH 7"MSP• REINSPECTION FEE Date ($10.00} g rn;AL INS? • Date . APPROVAL FOR PERKIT :.FEE FOR ANY BEATING PERYZT IS $7.50 PLUS $„ 50 STATE SURCHARGE *Attachad stack verification foyer PND OF BUILD.TNG jJSEE AS D k.41 �L leea'Ve TP FPTTW. PR PSR . M. RRTYMP F -FT -ITT NQ. N0. �ld� RESQWTTPq QF fUMACE/EURNER #TEAT;NR Ar $C1wn P:P.AwS; §tp4ml ER'- PTatz;:( ... ASF' o. Trade Name _s Size No. �el CAPaoity G 5d -.e) Sg. Ft. EDR BTU �rfiP Total Connected Load 6 3, l� Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU BP Company ���/Z Signed By Tel. No. o SUBJECT PE City of Fridley 1519 AT THE TOP OF THE TWINS BUILDING PERMIT - r RECEIPT NO. � COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. Q (Octf NUMBER REV. DATE PAGE OF APPROVED BY "­­I CITY HALL FRIDLEY 55432 L 612-571-3450 910-F15 5/16/79 JOB ADDRESS 5444 Meister Road N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 1 Innsbruck North Townhouse Plat 4 SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Darrel A. Farr Development 7286 - 72nd Lane N.E., Mpls. 55428 3 CONTRACTOR MAIL ADDRESS 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 Residential 7 CLASS OF WORK f� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Construct a 37' x 34' Townhouse and a 21' x 22' Garage CKavalier Model) 9 CHANGE OF USE FROM TO STIPULATIONS SEPERATE PERMITS REQUIRED FOR WIRfiljC1b 'HEATING, PLUMBING AND SIGNS'. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, Wood Frame 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 29, 660 Total 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 ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $37,348 $18.68 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- $118.64 $425.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $29.66 $9 $591.98 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY THIS IS YOUR PERMIT ©VALIDATED /yq BLDG INSP GATE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI • Lei l 1 UI 1 n11JLL1 APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) . OirJl1ER:1J�/1/ti.V AA BUILDER: Address: �p� J06 2.-d G .,T19.0 Address: -T Tel. No. Street: 6 W Ldm/ LOT: BLOCK: ADDITION: CORNER LOT: INSIDE IAT:'_ SETBACK: SIDEYARDS: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these -Certificates. i - ►_►_�q ,S g t, g � l-1-77 --£ DESCRIPTION OF BUILDING oQ�cz�i•'t''� To Be Used As: . T�n ,AaU S -P, Front: ? Depth; 3- Height: r Square Feet: .2,2, -Cubic Feet: QJ�.GL Front: Depth: 2�D Height: Square Feet: -46Z Cubic Feet: -4e"zD /, zD Type of �/ Construction.' �l� � !'l�/.ls�IZ�P � ". Estimated Cost: $ .To Be Completed: -1 /Alt. A Alt. B Proposed Driveway Width If New Opening Is Desilred -(SEE REVERSE SIDE OF SHEET) 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. See -reverse side for additional information. DATE: L / 9, SIGNATURE: Stipulations: i - ►_►_�q ,S g t, g � l-1-77 --£ v /6� o " -- 6 �o 3 -,z X60 4 IV 2-0 o.2 Ic 2. I!, 02S% 4,*,4j ��.R, - SUBJECT NO. City of Fridley 20 f311 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. L141 1 CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVEO BY L 612-571-3450 910-F15 7/14/00 JOB ADDRESS 5442 - 44 Meister Road 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5$6 1 Innsbruck North Townhouse Plat 4 SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Innsbruck Townhome Association 651-224-5482 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Garlock -French Roofing Corp., 2301 E 25th St., Mpls., MN 55406 x 1*x1 R4x 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 612-722-7129 .00001423 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof and Tear Off Townhouse Building 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. Permit inspection Cards Will Be Mailed To Homeowner To Post 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 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 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 2 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 $8,962.64 $4048 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- $167.25 Firp SC STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $8.96 PLAN CHECK FEE TOT,,#L FEE 180.69 SIGNATURE OF CON -RAC TOR OR AUYNORIZEDAGENT iDATEi OP VALID T THIS IS YOUR P RMI 4EP - - ATE S,GNATURE OF OWNERIIF OWNER BwLOERi 1DATEi Building $ BUILDING Plan Review Permit Ivo.: d® -zWl Inspections Surcharge RESIDENTIAL APPLICATION Zo ,�57O (.0005) times the total job valuation — Minimum $.50 Received By: 763-572-3604 .001 x Permit Valuation (1/10%) CITY OF FRIDLEY $ Date Rec'd: DATE 9— - 3— —0 YOURE-MAI DRESS $1450 per SAC Unit (Plans to MWCC for determination) SITE ADDRESS /J o�c o ft + 6 ft = ft x $20 = $ THIS APPLICANT IS: ❑ OWNER � CTOR $450 Conservation Plan Review PROPERTY OWNER/ NAME: Fee Determined by Engineering TENANT ADDRESS: nm *IeezzeAe CITY STATI Z]P Total Due PHONE: Q/ . Make checks payable to: City of Fridley Attach Stipulations CONTRACTOR NAME: STATE LICENSE EXP DATE 3 — 3l — Com.,' SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: / ® �IzmCITY STATZIP S 3' 3/3 WITH APPLICATION PHONE — S -Z —�KZ FAX PROPERTY TYPE SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK PCSIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR REMODELING p DESCRIBE WORK BEING DONE: c C _ SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan PROPOSED SIZE: ❑ DETACHED GARAGE 2. 3. Proposed floor plan List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, Vinyl %soffit ADDITIONS. & PORCHES SUBMIT: Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other IXFascia and proposed project. WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997Z.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ SGP OCCUPANCY TYPE Permit Fee $ f✓ % • �� See Back Page for Fee Schedule Plan Review $ 00 65% of Building Permit Fee Surcharge $ Zo ,�57O (.0005) times the total job valuation — Minimum $.50 Fire Surcharge $ .001 x Permit Valuation (1/10%) License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1450 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $20 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ Q/ . Make checks payable to: City of Fridley 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 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 reviewd a proval of plans. G� SIGNATURE OF APPLICANT �_/ / PRINT NAME % DATE