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PRE 2010 DOCS�9 City of Fridley, Minn.. N9 9784 BUILDING PERMIT owner: _ Richard Brisbon Bider Ben Wolke , Inc. Address Address 251 Rina ,Creek Terrs.ce LOCATION OF BUILDING No. X 671 �.155treet — lain Sheet . _ ...._..._ Part of Lot Lot ____ 11 _ _ _ Block 2 Addition or Sub -Division _ Rice Creek Plaza South Corner Lot _ Inside Lot Setback — _ __ Sideyard —_ Sewer Elevation .-836 - 06 _839.01 _(A D.rx _ Top of Footing DESCRIPTION OF BUILDING To be Used as: Ilbk . Rna w_ Front 431811 Depth 281811 Height 161 Sq. FL 2468 aL FL 32. 508 - C,Qa;Front _221 _ Depth 2S t Height _ 10! Sq. Ft. 616 Cu. FL 6160 _ Type of Construction Est. Cost _$361000_.20 _TobeCompleted Sept. 15, 1968 Subject to approval by Heating Inspector on heating units and chimneys. SERER LOCATION - 191 S. of Manhole WATER LOCATION - 191 S. of Manhole In consideration of the issuance to me of a permit to construct building described above the proposed work in accordance with the description aboveZn and in compli with ordinaaoes of the city of Fridley. i% $150.00 Sewer Connection Charge In consideration of the payment of a fee of 58.00 , permit is hereby granted to Ben Wolke , 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 within the city limits and this permit may be revoked at any time upon violaatio of theliroviaions of said ordinances. r CLARENCE BELI NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, gas heating, sewer or water. Be airs to we the Building Inspector for separate permits for these Items. DEPOSIT g__ _ CITY OF FRIDLEY, MnR%ESOTA APPLICATION FOR NON-RESIDEIr-TIAL BLrrjY DING PERMIT OWNER'S wME r A ..�" dJ l� l S /� ®6 BUT_IDI3R ; .�� / ADDRESS ABDtrSS Zr/ LOCATICN OF BMIZING NO._ � � ee STREET . � � ��PART OF LOT LOT BLOCK —4- r, L ALzB�'3. OR SUB.DIV. � Applicant attach to this form; 3 sets of Plans - 2 Plot Plans- 2 Certificates of survey with proposed building drawn on these Certificates. SUBMIT TO; Meeting Date Approval Date To Be Used As: BUILD11W BOARD BOARD OF APPEALS .5'22"C'r i �V_ -- F DESCRIPTION OF BUILDING PImAN 0 COPA. COUNCIL 4 `k—el' r , r r ' 4111, L' Front es � � � Depth ��` r� ht Heig /4 ,�, cl `� Sq. Ft. Cu. Ft. Type of ConstructionEstimaima ted 1 To Be Completed »� i% Certificate of Occupancy; L ^yew Sewer Connection Charge Receipt No. Z�� ® Permit Fee & Plat,.Chec)6,0'0 Receipt NoA/?--/ Less Deposit —Receipt No.` Net Pe, -c it Fee Due ____�iReceipt No.� City of Fridley Application for Plumbing and Cres RMng Permit Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK Number, Kind and Location of Fixtures Location PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ....... .............. �� x $2.00 $ ice Future Fixture Opening ................ x $1.50 $ New Fixture Old Opening .............. x $1.50 $ Catch Basin ...... ..................... x $3.25 $ 0 Z • • WATER HTR. —2- x $3.00 $� New Ground Run Old Bldg. ............ 3 $ Electric Water Heater a $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $2.00 $ VO O F N ASTELE x $5.00 $ Base 1st 2nd 3rd 4th • Future Connection Openings Connected with Sewer E] e New Fixture, Old Openings Cesspool E] PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ....... .............. �� x $2.00 $ ice Future Fixture Opening ................ x $1.50 $ New Fixture Old Opening .............. x $1.50 $ Catch Basin ...... ..................... x $3.25 $ O Water Heater (Up to 99,000 BTU) ...... —2- x $3.00 $� New Ground Run Old Bldg. ............ x $3.25 $ Electric Water Heater a $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $2.00 $ VO Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................... ...........$ � TOTAL FEE $• City of Fridley: 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. Owner Kind of Building Used as To be completed about Estimated Cost, $ Oldew. uilding Permit No Permit No. 45-0 ROUGH FINAL Signed By Business Phone No Application for Power Plants and Healing, Cooling, Ventilation, Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ...........................$10.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 .................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ MECH. WARM AIR Q Furnace Shell & n X • Duct Work to 120,000 BTU .... ... $10.00 $ each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $ Each add. 200 sq. ft. EDR Steam ..................... 3.00 $ Each add. 320 sq. ft. EDR Hot Water .................. 3.00 $ OIL BURNER—to 3 gal. per hour ........................ 6.00 $ over 3 gal. per hour—See Fee Schedule Q GAS BURNER (up to 199,000 BTU) �.. , 5.00 $ I o, over 199,000 BTU See Fee Schedule d 0 GAS FITTING FEES: NO RATE TQTP�, O 1st 3 Fixtures ...................... x$ 2.00 $ Additional Fixtures ................. x .75 $ Gas Range to 199,000 ........... x$ 5.00 $ AIR CONDITIONING ' A � . '7�- d , U FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE & ROUGH FINAL Dept. of Bldgs. Phone SM -3450 City of Fridley: The undersigned hereby makes application for a permit for the work hereir. 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 Kind of Used as A � Fridley, A inn- Q -7 I9 -1/Y To be completed about Estimated Cost, $�� Old ew. uilding Permit No. i �I s Permit No. h�gO2 DESCRIPTION OF WORK HEATING or POWEjt PLANTS -Steam, Hot Water, Warm Air—No Trade Name- Size No. [ice z) Capacity Sq. Ft. E.D.R BTU H.P. Total Connected Load .fy z.1� Kind of Fue 60 �c= BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS—OVER) Signed SUBURBAN .AIR CONDITIONifii, 9419 CENTER DRIVE By SI N N FAra orQ tl .1YJ6J I N otn,Ka• r�r432 --- 4a Business Phone No Community Development Department PLANNING DIVISION City of Fridley DATE: February 16, 1994 TO: Address File; 6711 and 6715 Main Street N.E. FROM: Barbara Dacy, Community Development Director SUBJECT: Tasks Unlimited Inc.; Purchase of Property On February 15, 1994, I talked to Craig Brett of Tasks Unlimited, Inc. regarding purchase of the above -referenced property. Currently on the property is a duplex. Each unit contains three bedrooms. Tasks Unlimited, Inc. has a contract with Anoka County to provide a variety of housing and other support services for adults with mental health disabilities. Mr. Brett stated that three adults would be living in each of the units. He also stated that this operation is not subject to the licensing requirements of Rule 36, nor does it require a special use permit. Tasks Unlimited, Inc. will lease each of the units to the three individuals collectively. Because three unrelated individuals are living in one unit, it meets the definition of a Family according to the Fridley Zoning Code. I advised Mr. Brett to contact Dick Larson regarding appropriation of rental licenses as soon as possible. Leon Madsen advised me last week that Tasks Unlimited, Inc. has applied for tax exempt status. He is in the process of researching their by-laws to determine whether or not the application would be approved. BD/dn M-94-77 CITY OF FRIDLEY INSPECTION DIV. Effective On August 1, 1995 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 672-3604 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR --, Uti: Wits h F -.!' Floor lj A LAO. Gas Wider Heater Stories St s Urinal �T Shower Tray N in .,p T"M Drain a . eat Washer Range Gas Elee Basement Floor I tt Mau Floor 2 Floor 3 Floor 4 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS New Fixtures x $7.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $4.00 specified agreeing to do all work In strict accordance with the city codes Beer Dispenser $5.00 and rulings of the Building Division, and hereby declares, that'alf the facts Blow Off Basin $7.00 and representations stated In this application are true ,a'dcorrect. Catch Basin $7.00 Rain Water Leader $7.00 '19% Sump/Receiving Tank $7.00 Water Treating Appliance $10.00 Owner Water Heater —Electric -$7.00 Water Heater — Gas** $10.'00 Building Used As Gas Range" $10.00 Gas Dryer** $10.00 Estimated Cost PERMIT NO. Back Flow Preventer Required )Yes No Type $15.00 PLUMBING COMPANY +/-6, Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge $ so TOTAL FEE $ 0?0'0 SIGNED BY TEL NO. S-6041-7 ) g* Approved By Rough—In Date Final Date PLUS THE $.§Q STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SQ INCHES. I SuBjECTity IT NO. C of Fridley 245 � THE TOP OF THE TWINS BUILDING P E R M I T r RECEIPT ND. � • _____ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC 04Y,3 NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 9/11/96 JOB ADDRESS 6711 Main Street NE & 6715 Main Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11 2 Rice Creek Plaza South SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Tasks Unlimited 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Sela Roofing & Remodeling Inc 4100 Excelsior Blvd St Louis Park 55416 1050 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 823-8046 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Duplex 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Remove flat roof and replace with insulation/roofing 9 CHANGE OF USE FROM TO STIPULATIONS Install per State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 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 $4.60 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $9,200 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 $9.20 STRUCTIONN OR THE PERFORM CE OF CONSTRUCTION. $162.25 �g PLAN CHECK FEE TOTAL FEE 1/' License C $5. $181.05 SIGNATURE OF CONTRACTOR OR AUTHO D AGENT IDATEI RA ALIDAT IS IS YOUR PERMIT OG INSP BATE SIGNATURE OF OW NER IIF OWNER BUILDER) IDATEI I I NEW [ l ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: Legal Description: Owner Name & Address: C', -� ( I S1. /� E- , TA s 1, '�' Q ^, (" 6V 'P cd Effective 1/ 1/95 " -;�, '�' T1.# Contractor: SELA ROOFING & REMDDEI INC, INCAN LICENSE # Address:4100 EXCELSIOR BLVD. Tel. #ST 696116 PARK, MINt4EseTA55418 _ Attach to % Pg tion, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: DESCRIPTION OF IMPROVEMENT ? -) ) 'S c,-( Com. Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Comer Lot [ ] Inside Lot [ 1 Type of Construction: Approx. Completion Date: _ Ft. Yd Setback Side Yard Setbacks Estimated Cost: $ (Cost on Back) Driveway Curb rCut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL 8 CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $850 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 [ ] STIPULATIONS: d ' '�- 2 ,. is o -/ Mutnespolis SL Paul 823-8048 844-3362 Fax 023.1078 r. SELA CING 4100 Exoelslor Boulevard St. Louis Panic. UN 55418 M•e.o * State of Minnesota License 10110001050 * Bonded * Insured 'WO Propose hereby to Orr Sh material anawtw pe6ficowne beta+, for aro am+ of. Nine thousand two hundred 9,290.00 an MWu Is PAMMwa to be as Metft& M Wowr n la rprnpwee in a WMMWms me,ner aam�p 19 NW4 W n—Uaa so.eW work Wd ombd roe AMW to Owes .pm eboeveey a rrafen01%ft Am ww#Mr s afteam 4w 06cgiomeotn war owhMj sera eosts . w mosso my upon 8=n ween. W +e beema m 6" w.r0e awr as slaw rke ht4,Nb. M a watt +ipa .ve... ett�Dwef w as\7+ lrrwd — mnrypl. O.nr W easy rn. lln'M &W 0OW nom" AVAa W aoes.a aN fi3O, ea.s•sd bvto�+'+ee�prram uweenoa We hereby submit spocOca form and estimates for NOW Tra proposru may W ?�® sAr Wnroll by w J not eooeptw.dlhkt Oaye. Flat Roof 1. Take off shoot metal counter flashing and dispose of. 2. Sweep clean the existing roof surface. (:lean up and Maui away all debris from the premises. 3. Tear off the existing roofing down to the roof boards. Clean up and haul away all debris from the premises. Replace any rotten and%or broken roof boards (if any) at a separate price based on labor and materials, above the contract price. price for labor and materials would be 81.65 per sq. ft. if large quantity is necessary price will be reduced per sq. ft - 4. install one layer of 2.7" leacyanurate roof insulation over the entire roof surface. S. Install one layer of 1/2" wood fiber roof insulation over tris entire roof surface. 6. Then over base ply we will install T` layers of Type IV fiberglass felt, running all felts up onto the base flashings. Each layer of felt will be mopped in solid with hot asphalt at a rate of no lose than 25 ibs..per sq. ft. 7. Flash all wells, curbs, chimneys, etc., with an additional layer of modified bitumen 160 mil flashing material, fasten and secure. 8. Install new pitch pans to replace the existing pitch pans. 9. Install new galvanized sheet metal plumbing stacks of two piece construction with lead tops. le. Reuse existing center drain and re -flash properly to new root system. It. Install new galvanized sheet metal edge metal around the entire outside perimeter. 12. Install not+ galvanized scuppers where existing are now. 13. Flood coat the entire roof surface with a final layer of hot asphalt at a rate of 60 lbs. per 100 sq. ft. and embed washed roofing gravel in asphalt while still hot a rate of 580 lbs. per 100 sq. ft. 14. remove all roofing equipment and materials from Job site when completed and clean up and haul away all debris from the premises. CURWM=e This contract comes with a 10 year conditional guarantee on workme�shia terials. Quarrg�tee to be supplied upon completion of b JJobs on a weather pamUttft 6a�s. Contractor to pus an necessary peimrb. Contractor to c+ean up and r nWn an debris from entire yard Contractor to provide a mechanics Gen WANer upon receipt of MAI payment for the above work Bee Rewree Side r -or Important Notloa. Acceptance of Contract—n,,w, pma, . ramie,, d„ r a" eM"— u. e.WACW, and an rWw W woe . t . Yeo sq sue—id da IN fwk u .a0aMW. ftj-&,L *Ut M n4d0 ee Nupod obwm. DAM a t .%O.m.' r- ' SUBJECT - City of Fridley (79�107 AT THE TOP OF THE TWINS BUILDING P E R M I T r REC T NO2. _ COMMUNITY DEVELOPMENT DIV. i►V �� , r � � PROTECTIVE INSPECTION SEC. ' NUMBER REV DATE PAGE OF APPROVED BY i I I CITY HALL FRIDLEY 55432 612-571-3450 910-F15 3/30/9 JOB ADDRESS 6711 Main Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED oEscR. 11 2 I Rice Creek Plaza South SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Tasks Unlimited Bldg Services 2419 Nicollet Ave S M ls. MN 55404 871-3320 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20092527 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Duplex 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION ❑ REPAIR X ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Interior patching walls; chane interior doorways. 9 CHANGEOFUSEFROM TO STIPULATIONS CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. 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 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 2 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 QE COMPLIED $2'000 $1.00 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 CNA E PRO ISI NS F ANY O HER TATE OR LOCAL LAW REGULATING CON• $62.25 Fire S $2.00 ST U T O_N THE E FO NCE Of CONSTRUCTION PLAN CHECK FEE TOTA E s SC $5./0 0.25 Si NnrUpE0FC0 O ORAUTNORIjEDAGENT DATE, C HENOPE LI T IS UR PERMIT r S�GNATU'fE Of OWNEA ��F OWNER BUR DE Ri i ATEA BLD -NSP - MATE 7 NEW ADDN ALTER ConstructionAddress: Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION 6 7 (( (A a.: $I - fJ F - Effective 1/1/99 Owner Name & Address: ( �s 6/- S � K ( U z k� Lad e�Ul' �C�ttf�lY�a # 0 it -332 �Q�� S Vi�[tw�� Contractor: (pfd e�vc Ce S S SE# MN LICEN 2 69z �2 Address: `Z cf($ A'e%d Ari IS 1�1 T S`�� d Tel. # g? (' 3 3 2 0 LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. n Width Hgt/Ground Sq. Ft. A in;-iA-)rg 6uau-s �O f Construction Type: H S c . �.c .'^ 0 Y ;tea Noe%Aeµ�S Estimated Cost: $ 2oa 9 (, r r•""`4 &Ruk (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 3 ^ 3 y _ � � APPLICANT: S 7-�- (S-6 U Tel. # / • 3 2-6 TOTAL $_ �•� STIPULATIONS: CITY USE ONLY Permit Fee $ 6,2,. �f Fee Schedule on Reverse Side Fire Surcharge $ o 00 .001 of Permit Valuation (1/10th%) State Surcharge $ —/,00 $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ S-60 $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 [ ] TOTAL $_ �•� STIPULATIONS: i CITY OF FRIDLEY fNSPECTION DIViSION 6431 University.Ave NE'_ Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 763.572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES 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.- All :Sizes All Others/Repairs & Alteratiions (LIST ON BACK) 1% of Value of Appliance or.Work Commercial/Industrial 1.251yo of Value of Appliance or Work Rate TOTAL $ 30.00 $ -�= $ 10.00 $ $ 10.00 $ $ 10.00 $ $ 25.00 $� State Surcharge TOTAL FEE MINIMUM FEE FOR ANY-HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. JOB ADDRES OWNER BUILDING USED Effective On: January 1, 2001 J, ESTIMATED COST �j % PERMIT.NO. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) 6 arm ir) Trade Name Size No., BTU HP EDR Fuel Total Connected Load 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 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are trueand correct: DATE STANDARD HUI G �' i i ii ti3i i iUNlClli CiJ. HEATING CO 490 WEST LAKE STREET M19 - 2998 Sig ne 612-824-2656 TEL # i Approved By Rough -In Date Final Date i! - 0, BACK SIDE MUS BE FILLED IN ON VENT SIZE, VENT CONNECTORS AND COMBUSTION 'AIR VERIFICATION h COMMON VENT VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes-( ) 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 existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes ( ) No ( ) When installing a new venting system, 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 sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes ( )No(') Appliance Type and Size/Common Vent and Vent Connector Information 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 ALTERATIONS: (Describe) HEATING CO: Signed By: Date : G7YOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 November 26, 2001 Rockets Lodge 6715 Main Street NE Fridley, MN 55432 Re: Final Inspection at 6711 Main Street NE Contractor: Standard Heating & Air Conditioning Dear Sirs: A mechanical permit was issued on June 28, 2001 to install a furnace and an air conditioner at the above noted address. According to the 1991 Uniform Mechanical Code a final inspection shall be conducted on the 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 Codes. 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 CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572-3604 REFRIGERATION AND AIR CONDITIONING' SYSTEMS AND DEVICES 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 - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Rate TOTAL; $ 30.00 $ 10.00 $ 10.00 $ 10.00 $ 25.00 State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not•be placed in a side yard without written permission from adjoining property owner. $3.)00 $ .50 $< �l OWN Effective On January 1, 2002 BUILDING USED AS ffSl ESTIMATED COST L PERMIT NO, DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam.)'. (Hot3Water) Trade ame V5 Size No. Z3Ac 7 " BTU_=(a0 01!!IPO _ HP EDR Fue Total Connected Loader Burner Trade Name Size No. BTU HP EDa The `undersigned hereby makes application for a permit'for the work herein specified agreeing to do all work in strict acoordance.with the, City Codes an rulings of the Building Division, and hereby declares that'all,the facts and representations stated in this application are true and correct. STANDARD HEAMNG & AIR iONDIT CNING CO. {� 416 WEST LAKE .;TREEZ' DATE MINNEAPOLIS, MN 55466-2998 612-8242656 HEATING CO Rough -in Date #<t1`°SL Final Date. P1 %LE� THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED COMMON VFNT,,VFNT CONNECTOR AND COMR1ISTION AIR VFRIFICATION When raplacingn'pxic_tih�_furance, the undersigned hereby verifies that the venting has: een eX mme i and - and is free from rust, deteHoratiort .obstructions, r._ and is securafy supported end firestopped where regdired. Yes (o (:) The venting system is plastict.PVC and meets all current codes and manufacturer" specifications including sizing, length, number of elbows and termination. Yes O 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 pxis±ing combustion .air is sized and installed to meet the current codes and manufacturer's specifications. Yes (LI No ( ) When required to install a new pomb istion air�itwill be sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When installing a new ventingy, the undersigned hereby verifies that it.9s a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Fd0nace 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. Yes (eNo ( ) Appliance TVpa and Si7 _1 Common Vent and Vent Connector Information !;-? D®a Appliance #1 Type BTU Input Fan Assisted or Nat fit Appliance #2 Type kPM' = BTU Input o c o Fan Assisted or Nat . tU Appliance #3 Type aTg-c BTU Input 1 ° Fan Assisted or Nat Total Appliances Total Btu Input'C9 oo - Common Vent Type 13d �'4T Vent Height Diameter U inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type ftJA.?J,, Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS- (nescribel A t, %i Gc Ce - k FICS— Com: Building BUILDING /lam Permit No.:,>?B-DA ~642 Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: 763-502-49777 FA�X2 EFFECTIVE 1-1-08 DATE 4-7 — YOUR E-MAIL ADDRESS SITE ADDRESS 6 711 GL/N THIS APPLICANT IS: ❑ OWNER ^ONTRACTOR PROPERTY OWNER/ NAME: ADDRESS: CITY STATE ZIP TENANT PHONE: NAME: /� '' ADDRESS: obi 3 0 Y� &,414 Fes— Q R • CITY Ah ✓tlle. STATE ZIP SSO CONTRACTOR SUBMIT A COPY OF PHONE '?S9 - F o ff - 7 `70 D FAX YOUR STATE LICENSE STATE LICENSE #,A03 /,S Z !2 EXP DATE PROPERTY TYPE INGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH OOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING �j ,j HOUSE ONLY 1 `❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES v� 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used. PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING ADDITIONS. & PORCHES SUBMIT: ❑ Vinyl ❑Soffit 1. Site Plan/Survey showing the existing structures ❑ Aluminum ❑Trim and proposed project. ❑ Other ❑ Fascia 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: (USING THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION $a i��`i" _ OCCUPANCY TYPE Permit Fee . Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1825 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks savable to: City of Fridley Attach THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a buildin 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 wi the Minnes to Construction Cc at I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will e ' danc with r plan in the case of all work which requires review and approval of plans. SIGNATURE OF APP PRINT NAME fSpdQr� �1r�sr, �� DATE2 -/9 -07 �✓' APPROVED BSL DA __