PRE 2010 DOCSCity of Fridley, Munn. 17 1
6431 University Ave. N.E., Minneapolis, Minn. 55432
BUILDING PERMIT
Date: Nprywhex 1,x,972
Owner: _ Viewcon. Inc. Builder Same
Address _ 5901 Brooklyn Boulevard Address Same
LOCATION OF BUILDING
No. __55.7..0__._._ Street Meister Road N.E. Part of Lot
Lot Block -__._._1 ___.._..._:_-_ Addition or Sub -Division Innsbruck North Townhouse Addn.
Corner Lot _.__ ____.__ Inside Lot _X Setback
Sewer Elevation
To be Used as:
Sideyard
Foundation Elevation _----.
DESCRIPTION OF BUILDING
1240
Tnwnb ojr .._g __ Front _20_ Depth 31 r Height _ 28' Sq. Ft. 620' Cu. Ft. _ 17-3 0
Garage ___ Front 20' Depth 22 ` Height 10' Sq. rt 440' Cu. pL 4400'
Type of Construction —Wood Frame Est, cost —"416 To be Completed March. 1973
Stipulation: See 5510 Meister Road N.E.
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 wt ail provisions of
ordinances of the city of Fridley. �� A /
In consideration of the payment of a fee of $ 61.50 , permit is hereby granted to V ewcgn ;Inc ._
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
menthe city limits and this permit may be revoked at any time upon violation of any of the provisions of said
e�el� -11—f-L "2.Z, ,�ding spect.
CLARENCE BELISLE
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see
the Building,►inspector for separate permits for these items.
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING URMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAYS: Alaaeo" -2,;Pe• BUILDER: S a~e.
ADDRESS :.✓r'7®/ e1 -®0A /y6° %/V1! ADDRESS •
Ido :. .SS NO STREET: ®S'le.00 0 fit e
LOT.* 7 BLOCK.: ADDITION: 'r'V'Wrj--W4d 7.-11.
CORNER LOT: INSIDE LOT: SETBACK: SIDEXARD:
Applicant attach to this form Two Certificates of Survey of Lot and proposed
building location drawn on the®e Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
je— Front: 20 Depth: 3/ Height: Z 8
i24o
Square Feet: 4ae Cubic Feet:
&qene4e Front: Depth: Height; ®a �
Square Feet; Q'¢d Cubic Feet: �QOD
Type of Construction:Ove' Estimated Coat: $ /'A/�p•,O,°,�
To Be Completed: ape -4 /'r® /9 7z
The undersigned hereby makes application for a permit for the wor% he7gin
specified, agreeing to do all work in stiict accordance with the City o�
Fridley O?dinancea and rulings of the Department of Buildings and hevehy
declares that all the facts and representations stated in this applia4t&on
are true and correct.
DATE:
09 - // � 7Z
SIGNATURE:
(See Reverse Side For Additional. Information.)
JI
Ac
VUn'!Cgr m ft 71-4 ��' F71 d "GUILS p vendkRks. f d
Ab,md DevI
MAVITIF W AM: MTZ TOTAL
r Shell & Duct 77 h 410.00
Replacement of Towee ... ..... 6.00 �
Repairs & Alterations—up to x.00 6.00 g--- -- —
Repairs & Alterations each add. .00 3.00_—
Mwnace bell A Duct Work to 130,000 BTT ... .. 310.00 o
each add. 30.000 BTU ............... .... . 3.00 it
Replacement of Furnace 6.00
Repairs A Alteration—up to $M.00 &00
Repairs & Alterations each add. M.Do 3.00 �
9 at HOT WATER STWIM
nirazace Shell do Lines --to 400 sq. ft. ZDR Steam $10.00 $
Fku-nace Shell do Line—to 640 sq. ft. EDR Hot Water 10.00 $_.
Each add. 2M sq. ft. EDR Steam Ion
Each add. 320 sq. ft. EDR Hot Water 3.00
OIL BURNER—to 3 gal. per hour 6.00 3
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to IM000 BTU) . &00 $-
ower 195,000 BTU see Fra fthodwe
GAS FITTING FEES. NO RATE TOTAL
1st 3 Fixtures x= 200 i
Additional Fixtures x .75 :
Gas Range to 199,000 Z$ Up $
AIR CO1aDTti011><w0 d ,
FAN HEI1TUM aTOT= ace Fee nabodabr
YF.IIT LAATi> G aT9tr= a l� GY✓
ALTERATIONs t REPAIRa TOTAL ru
ROUGH
rMA1. G-ay-7�/
City of
The aandersig ned hereby makes appliea n fos a pemit fos the work hereL
specified, agreeing to do all work in strict "nee with the City OnUmanew
and ruling of the Department of Buildings, ammd hereby declares that a-1 Me 8aeL,
and representations stated in this application are trace
Fridley, Minn 19 _
Kind of Building ._—
Used as
To be completed about ----.----
Estimated Cost,
Old--. Building Permit No. Permit N, - __Ll
HEATING or POWER Not Water, Warm Air—No
Trade Name She tD_ .3 9 y — ke
capacity— S9. Ft, ED R B'1RJ HP
Total Connected Load Kind of Ftse
BURNER — Trade Nam Size No
Capadty Sq. Ft. E.D A- BTI- Hr.
(NNAf-0M)
Base
City of Fridley
Applmgfon for PhmiWft and
Dept. of Bldaa. Phone NO -3450
DESCRIPTION OF WORK
Plumber, Kind and Locafion of FixtuR"
III
r
pill 1,;1VI a ZZ
VMMMEARAMI
NNONE]
NEWN 01
wAM VM. City of Fridley:
® w cis ncc
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 and correct
PARTIAL RATE SCHEDULE
5--
PLUMBING FIXTURE RATES.,'
RATE
TTO�TA,L,
Number Fixtures ................
____ x $200
�
i__!_d=
Future Fixture Opening .... ; ......
x $1.50
$
-
New Fixture Old Opening ..........
x $1.50
Catch Basin . .... . • . . • . • . . . .....
x x3$1
.25
!$
$
�
Water Heater 'Up to 99.000 BTU)
x $3.00
S
`f'
New Ground Run Old Bldg.........
x $3.25
S
Electric Water Heater ..............
a $2.00
$
GAS FITTING FEES:
NO. RATE
TOTAL
lot 3 Fixtures ............ • • • . • •
_, x $2.00
$
Additional Fixtimm ...............
x $ .75
$
Gas Range to 199,000 BTU .. ,.........
x $5.00
:
State Surcharge
$
.50
REPAIRS tt ALTERATIONS—Refer to Code
Description .......................... a... " ... "'.
TOTAL FEE
Fridley, Minn-
Owner
inn Owner
Kind of Building-
-N
Used as
To be c(
Estimated Cost. $ n
Old New. uilding Permit No. Permit No. S16
Signed
By
Busith l PR-WM
7217 - 77th AVE. NO.
MINNEAPOLIS, MINN. 55428
425-x.183
i—_1
City of Fridley
4T THE TOP V THE TWIN0
a
rL-------- coMwuNlTr DEvELoPIreNT oIv,
PROTECTIVR 1101909CTION ft".
CITY HALL s1u0LEr 600E
. 53 -8h -s-915.51
T
PLUMBING PERMIT APPLICATION
Job Address - / 1:) 11.5 1 1 1 1 buu
5570 N. E. Meister Road
Owner Address
Phone
Darrell Farr Development 560-3550
Contractor
MINNEGASGO Address ne
7133 MAftCiUEI'TE AVE
Kind of Building
omptetion
1-30-7b
SHISVO
sanl
611"
S1YN,an
I I
I
I
I -
Additional Fixtures x $ .75
I
I
lGas Range -199,000 BTU 1 x $5.00
5.00
Repairs & Alterations.
See
�r
Description: Code
Ii
State Surcharge Gla-WmA®ISurcharg .50g
i
.50
TOTAL FEE $
5.50
!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 declare that
all'the facts and representations stated in this
aeI
�and
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SHISVO
sanl
611"
S1YN,an
se
Res.
stimatea Cost
10.00
Plumbing Fixture Rates: NO. RATE TOTAL
Number Fixtures x $2.00_
Future Fixtures x $1.50
New Fixture -Old Open. x $1.50
Catch Basin x $3.25
Water Heater -99,000 BTU x $3.00
Ground Run Old Bldg. x $3.25
Elec. Water Heater x $2.00
Gas Fitting Fees:
I I
I
I
I -
Additional Fixtures x $ .75
I
I
lGas Range -199,000 BTU 1 x $5.00
5.00
Repairs & Alterations.
See
�r
se
Res.
stimatea Cost
10.00
Plumbing Fixture Rates: NO. RATE TOTAL
Number Fixtures x $2.00_
Future Fixtures x $1.50
New Fixture -Old Open. x $1.50
Catch Basin x $3.25
Water Heater -99,000 BTU x $3.00
Ground Run Old Bldg. x $3.25
Elec. Water Heater x $2.00
Gas Fitting Fees:
1st 3 Fixtures x $2.00
I -
Additional Fixtures x $ .75
I
lGas Range -199,000 BTU 1 x $5.00
5.00
Repairs & Alterations.
See
Description: Code
Ii
State Surcharge Gla-WmA®ISurcharg .50g
i
.50
TOTAL FEE $
5.50
!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 declare that
all'the facts and representations stated in this
application are true correct.
�and
__-Signature "!GAN MM - Date
SUBJECT
City of Fridley
72"7 1 3
AT THE TOP OF THE TWINS
?
BUILDING PERMIT
Ir
RECEIPT NO.
� • COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
c;>
NUMBER
REV
DATE
PAGE OF
APPROVED BY
CITY HALL FRIDLEY 55432
�••-•� �'' 612-571-3450
910-F15
7/13/94
JOB ADDRESS 5570 MEISTER RD NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
7
1
Innsbruck North Townhouse SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Dicks Fire & Storm 864 19 Ave SE Minneapolis MN 55414 7RI-617n
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USEOFBUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION ❑x REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof House & Garage (Tear-off); gutters
9 CHANGEOFUSEFROM TO
STIPULATIONS
Underlayment must comply with the State Building Code. Inform owners
to install smoke detectors adjacent to all sleeping areas and in basement.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REOUIRED 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 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
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
$2,270.00
$1.14
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-
$54.00
Fire SC $2.27
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECK FEE
TOTAL FEE
License SC $5.00
62.41
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEIWHEN
P Y V DATED THIS IS YOURPERMIT
I
:Jl
BLDG INSP MATE
SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI s•
vr,'vv I j
Effective i / I ; u
ADDN (] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
Construction Address: --5-5-". Meister Rd., Fridley, Mn .
Legal Description:
Owner Name &Address: }� Tel. #
Contractor: R.J. Williams General Contractor MN LICENSE # 2481
Address: 864 - 19th Ave. S.E., Mpls., Mn. 55414 Tel. # 781-6170
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:
Comer Lot { ] Inside Lot j) Ft. Yd Setback Side Yard Setbacks
Type of Construction: house and garage roof Estimated Cost:
Approx. Completion Date: gutters
(Cost on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: 7/8/94 APPLICANT: R.J. Williams General Cont. Tel. # 781-6170
Permit Fee $ -r
Fire Surcharge 3`� $ -A-L
State Surcharge ~ $
SAC Charge
License Surcharge? )'
~,$�
Driveway Escrow
$
Erosion Control
$
Park Fee
$
Sewer Main . Charge $
CITY USE ONLY
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 [ )
C
TOTAL
STIPULATIONS:
01
su9�Etr
PERMIT NO.
City of Fridley
3 5
AT THE TOP OF THE TWINS
BUILDING
PERMIT
!024
i
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
,
NUMBER
REV
DATE
PAGE OF
APPROVED Br
l CITY HALL FRIDLEY 55432
.--- "'i
L 612-571-3450
910-F159/21/99
JOB ADDRESS 5566,70,74,78,82,86,90,94 Meister Road NE
I LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
1-8
1
Innsbruck North Townhouse
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
North Central Bldrs Inc 7401 42nd Ave N NevLHope55427
533-J616R
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
❑ NEW ❑ ADDITION O ALTERATION ,a REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
Reside Townhouse and garages
9 CHANGE OF USE FROM TO
STIPULATIONS
Call for building wrap inspection before covering.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REOUIREO 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 1 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
$44,928
$22.46
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-
$593.25
Fire SC 4.93
STRUCTION OR THE PERRMANCE OF CONSTRUCTION
PLAN CHECK FEE
ATAL FEE
d=L;� - ? —
Licens
5.00
$665.
SIGNATURE OF �AACTOR0 UTNORiZEO AGENT IDATE�
N P OPER IOATEDH IS R PERMIT
00
tr
/
GLOC INSP
4A�E
S-GNATURE Of OWNER..F OWNER BUILDER-. IDATEi
01
NEW[ '] Effective 5/10/99 $
ADDN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION / e /(J1 S
Construction Address: � ��j ��PO 4.3 F� tbc.eT "l
Legal Description:
Owner Name & Address: Tel. #
Contractor: IlU P-7,6/ CSM,4j_ uirel �rY1 g �i�� MN LICENSE # S7
Address: -7 401 42-0 Ate A J A% 6� 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:
Length
Width
Hgt/Ground Sq. Ft.
OTHER:
S D
U
$.50/$1,000 Valuation
Construction Type:
Estimated Cost: $
Driveway Curb Cut Width Needed:
Ft. + 6 Ft = Ft x $ _ $
DATE: Zo 99 APPLICANT:
Tel. #
CITY USE ONLY
Permit Fee
$ �3. 2S
Fee Schedule on Reverse Side
Fire Surcharge
$ 'y 3
.001 of Permit Valuation (1/10th%)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$1050 per SAC Unit
License §urcharge
$ S 7 OD
$5.00 (State Licensed Residential Contractors)
Driveway Escrow
$
Alt. "A" or Alt. "B" Above
$rosion Control
$
$450.00 Conservation Plan Review
Patk Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement Necessary [ ] Not Necessary [ ]
TOTAL $ 6�'Co (y
STIPULATIONS:
SUBJECT
PER
City of Fridley
10 4 7
AT THE TOP OF THE TWINS
BUILDING PERMIT
�•
COMMUNITY DEVELOPMENT DIV.
______
PROTECTIVE INSPECTION SEC.
C/✓^ /� `�'
1 . i
CITY HALL FRIDLEY 85432
ED
REV
OATS
PAGE OF
APPROVED BY
� �'� 612-571-3450
rg10-FtS
6/8/00
JOB ADDRESS 5566, 70, 74, 78, 82, 86, 90, 94
Meister Road NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
;,1_8
1
Innsbruck North Townhouse Addn SHEET
2, PROPERTY OWNER MAIL ADORES$ .
ZIP PHONE
,
Innsbruck Townhome Association
651-224-5482
CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Garlock -French Roofing Corp2301 E 25
Street, Minneapolis, MN 55406 612-722-71
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
1423
S ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
8 USE OF BUILDING
Townhouse Building
7 . CLASS OF WORK
O NEW O ADDITION O ALTERATION REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Reroof Building
8 CHANGE OF USE FROM
TO
STIPULATIONS
Underlayment must comply with the State Building Code.
_
Permit Inspection Cards
Will Be Mailed
To Homeowner Tor"ost
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
S0. 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. OWLG. UNITS
OFFSTREET PARKING
1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
8
ISTALLS 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
$17,980
8 99
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-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTAL FEE
--*I , /
320.22
SIGNATURE OFCON'RACTORORAUTHORIZED AGENT rDATEr
R PERMIT
N Pk OPE ALID D THIS IW_�_U
-rjb
BIOG So FiAtE
_
S-GNATURE OF OWNER.IF OWNER BUILDER. IDATEI
s '.ITY OF FRIDLEY INSPECTION DI iSION
i431 University Ave NE
-ridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTIiLATION,
763) 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
iesidential
Furnace Shelf and Duct Work, Burner -
Also Replacement Furnace
(Side Vent- Fill Out Back)
Gas Piping (Needed wi* new furnace,
but not reph-.cement)
Gas Range
Gas Dryer
'Air Conditioning • All Sizes
All Others/Repairs & Alterations (LIST ON BACK)
10% A Value of Appliance or Work
:ommercial/Industrial
1.25% of Value of Appliance or Work
Rate TOTAL
$ 30.00 $
$ 10.00 $
$ i0.00
$ 110.00
$ 25.00
$v"
State Surcharge
TOTAL FEE
`EINSPECTION FEE $47,00/Hr
Air Conditioners can not be placed in a side yard without
mitten permission from adjoining property owner.
JOB
C"-- b
a_'� 5
Effective On January 1, 2000
leg N
BUILDING USED AS es ` ca- �
ESTIMATED COST �f PERMIT N0.___�
DLSCRIPT„M,OF FU ACE ANa OR BURNER
No. of Heating Units _ Circle One (Steam) (Hot Water) (Warm Air) {
Trade Name -- Size No.
BTU_ HP — — EDR
Fuel Total Connected
a
r
Burner Trade Name_ __. Size Nc,.
BTIJ __ 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
representations stated in this application are trine and correct. O
,DA.TF 5 -R. -Ok- ___ _.--.--
HEAT .-_
H EAT
Approved
TEL 9
Rough -In Date Final Date
6
N
6
n
Z0 ' d "111101
COMMON VENT, VENT CONNECTOIR AMC) COINBUSTiON AIR VERIFICATION
When re lacino an existing furance, the undersigned hereby verifies that the
Fan Assisted or Nat
venting has been examined and Is free from, rust, deterioration, obstnwtions.
STU input
and is securely supported and firestopped where required.
Yes( ) No( )
The venting system is plasticlPVC and meets all current codes and manufacturer
'Fan Assisted or Nat
specifications including sizing, length, number of elbows and termination.
Yes( ) No( )
The undersigned also verifies that the replacement unit is a fisted assembly
Common Vent Type --
and meets the current codes and manufacturer's specifications. This does
Diameter inches
include AGA -LAMA Category I Central Furnace Venting Tables for fan
ft Length
assisted and natural draft appliances.
Yes( No( )
The exMna combustion air is sized and installed to meet the current codes
ft Diameter in Type
and manufacturer's specifications.
Yes () No ( )
When required to install anew combustion airit will be sized and installed
To meet the current codes and manufacturees specifications.
Yes (; No ( )
When Instatling a naw ventinst Aystem, the undersigned hereby verifies that
it 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( )
Is the common vent and vent connectors sited and installed correctly after
an appliance has been, removed from the =mmon vent and vented
separately as per current codes. Yes ( ) No ( )
Appliance Type and Size/Common Vent and Vent Connector Information
Appliance #1 Type
RTU Input
Fan Assisted or Nat
Appliance #2 Type
STU input
Fan Assisted or Nat
Appliance #3 Type �.,
STU 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 Le„y;i
ft Diameter in Type
Appliance #3 Vent Connector Height
ft Length
ft Diameter in Type
ALTERATIONS: (Describe}
a
HEATING 0
dCLE S!:!! �s► ��� _ �
------- F11 1 a-4-hITA4 -4n �,i M WCN.A e5-:zt ee0z-iz-1)CN
CIiYOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287
November 9, 2001
Barbara Brooks
5570 Meister Road
Fridley, MN 55432
Re: Final Inspection at 5570 Meister Road
Contractor: Dave's Heating and Air
Dear Ms. Brooks
A mechanical permit was issued on May 29, 2001, to install an air conditioner at your address.
According to section 305 (a) of the 1991 Uniform Mechanical Code, a final inspection shall be
conducted on the mechanical work authorized by this permit. As of this date, no inspection has
been called for.
The permit fee that was paid covers the inspection to make sure the work was completed
according to the Mechanical Code. We will keep your permit open for another 30 days and if we
do not hear from you within this time to set up the inspection, we will expire the permit and no
further action will be taken.
To set up the inspection or to have any questions answered, please contact the Building
Inspection Division at (763) 572-3604.
DJ/mh
3uiIding
$ p
BUILDING
Plan Review
Permit No.:
inspections
Fire Surcharge
RESIDENTIAL APPLICATION
.001 times the total job valuation
Received By:
763-572-3604Date
.0005 x Permit Valuation Minimum $.50
CITY OF FRIDLEY
$ �° .Cly
Rev'd: q' - U
SAC Charge
$
$1550 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
$
)ATE 0
YOUR E-MAIL ADDRESS
$
;ITE ADDRESS U r'►f l"ST 2 12oAp
Park Fee
MIS APPLICANT IS:
❑ OWNER $CONTRACTOR
Sewer Main Charge
PROPERTY OWNER/
NAME: 6A2R A 130-goKS
Total Due
ADDRESS: ScJ 3o M? r5 I ze RDA,( CITY R- v LC I
STATEMNZIP SS V 3Z
TENANT
PHONE:
CONTRACTOR
NAME: 14 t u N / A'yCaMAtJ
STATE LICENSE # EXP DATE
913 Z XSR-)(C S 4vc Ij2oo«/YN SSdyN
SUBMIT A COPY OF
YOUR STATE LICENSE
ADDRESS: /�f' CITY
%,lgl1 STATENAZIP
WITH APPLICATION
PHONE - 49 3 -170 FAX '� 6 3 - 119 3- 06
PROPERTY TYPE
❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGEISHED ❑ WINDOWS
❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
DECK ❑ SIDING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEw ❑ ADDITION
❑ MAINTENANCE/REPAIR A REMODELING
DESCRIBE WORK BEING DONE: Dc,^u u,s m 7 rs rSv6 Duc Rt t,Acf- Sys 5 s Itror C'vs S CRA, S r.10 et5 /'ce,�ew
SIZE OF IMPROVEMENT ��� LENGTHWIDTH
HEIGHT S . Ftp
ROOFING
❑HOUSE ONLY
NUMBER OF SQUARES
❑ HOUSE & GARAGE
BASEMENT REMODELING SUBMIT:
GARAGES
❑ ATTACHED GARAGE
1.
2.
Existing Floor Plan
Proposed floor plan
PROPOSED SIZE:
❑ DETACHED GARAGE
3.
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
❑ Fascia
and proposed project
2.
Two sets of construction plans
WINDOWS
3.
Energy Calculations
IN EXISTING OPENINGS ❑Yes [No LOCATION OF WINDOWS
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:
��?® .L �3 •� (USING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $ OCCUPANCY TYPE
Permit Fee
$ p
See Back Page for Fee Schedule
Plan Review
$ n
65% of Building Permit Fee
Fire Surcharge
_moi
$
.001 times the total job valuation
Surcharge
$ °1
.0005 x Permit Valuation Minimum $.50
License Surcharge
$ �° .Cly
$5.00 (State Licensed Residential Contractors)
SAC Charge
$
$1550 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
$
ft + 6 ft = ft x $21 =$
Erosion Control
$
$450 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement necessary ( ) Non Necessary ( )
Total Due
$ 61
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 d work is not to start without a permit; that the work will be in accordance with the approved
plan in the case of all worklitr acre iew and approval of plans.
SIGNATURE OF APPLICANT PRINT NAME. DANT U D lav S tt rIvOt DATE y 2 0 _