Loading...
PRE 2010 DOCSCITY CF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE PLU%IBING FIXTURE RATES: \0. e: o (D x G _� x Water r. Catch B"in x ~�_ v o x c� x Heater x rr� r. p ::, .:, i, •� n •K 7 - O v u c� c4 N � � � N •+. M1 qj 4J to :J ..- f 3rd Eutu e Connection G- ming I Connected with Sewer New ixt rc, Old G_ ting II water PARTIAL RATE SCHEDULE PLU%IBING FIXTURE RATES: \0. Num!:.er = it titres (D x Future . fixture Opening _� x ..e•.. nxture, Old Opening r. Catch B"in x water 'cater - to 991600 BTU r. 1CC,G0'7 'BTU to 199,000 BTU x ?:.ter Softener er x N^ -w G_o find ?..:.. Old Building x Electric Water Heater r. GAS FITTING FEES: RATE $3.00 $2.00 $2.00 $5. CO $5.00 $10.00 $7.00 $5.00 55.00 1st 3 fixtures �_ x $3.00 A!d, do nal Fixtures x $1.00 Gas FL-nge to 199,000 BTL' x $10.00 REPAIRS $ ALTERATIONS rirst $160.60 eaci add. $100.00 or fraction State Surcharge TOTAL FEE $5.00 $2.00 TOTAL $ Job Address �`�f0"7 /Y. &I o<` !)eF)artmant of Buildings City of Fridley Tel, 0571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all •_•ork in strict accordance with the City Cedes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are trite: and correct / Fridley, Mn. 3 /Z , 19- OWNER /�%', s /GJ 0 KIND OF BUILDING USED AS lee f, TO BE COMPLETED ABOUT ESTIMATED COST OLD NEw UILDING PERMIT NO. P ILMIT NO. ROUGH INSP. Date Co-mpany 13le 6/�3� Signed By �'i - Tel. No. 75,> • 32 5 G FINAL INSP. -�- y ^ -72 Date APPROVAL FOR PEI2:4IT i MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 City Cit of Fridley SUBJECT PE ®13934 AT THE TOP OF THE TWINS BUILDING PERMIT CEIPT NQ. COMMUNITY DEVELOPMENT DIV. �: r -a°� PROTECTIVE INSPECTION SEC. 8 1 � � �`---1 CITY HALL FRIDLEY 55432 `---- • •�j NUMBER REV.DA�E J3 11 /77 PAGE OF APPROVED BY 812-580-3450 810-F15 JOB ADDRESS 1464 North Danube P -b. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4, 2 Innsbruck North SHEET 2 PROPERTY OWNER MAILADORESS ZIP PHONE Lowell Mellum 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Harstad Todd Construction 2200 Silver Lake Road New Brighton 636-3751 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. SAME 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING residential 7 CLASS OF WORK NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct house and garag-e.,28 x 52 30 DAY NOTICE TO CITY ENCS. call lo�l go".. CEURS 9 CHANGE OF USDWIA TO tEt�PNONE ELE0TRIC PLACEMENT AIM STIPULATIONS AT bIdVt IIA`f OPENING5. REQUJIKCV 1:Provide City With copy of truss design Sewer: (Approx. 8' deep) 2. Provide verification survey before capping 43' East of M.H. (Inv. 941.3 3. Provide a hard surface driveway Wye Elevation 941.52 Sod � �ront and side yards Top of footing 944.52(Minimu • °GUA_i Ryardds THE NOT ACCURACY Of ummc ' cOCA%*S AM UWATIONS. US DATA IS KW --ENATION PURPOSES ONLY ANL) Mater: Approx. 10' East of RRSONS V*4-1f `6tML0`VER y THE INFORMAnON sewer service ON In S/1Er. SEPEi i r ORM CT S�IRW y`y'% ` r • .7II �y •Vi,.13'� Wpb"' �.pY�dfiG „ i ...d j�6 _'�� 1 �..' Jq 7ia db ' . rod§s W� :AHT WMANAUt ' TOM ZIW,"%OGW 10 i17 SR t�tpiAV l c�tsAe' OtTAAif .!C Y? =>A r,;;!A YJAO 91 ATAQ W MOM W. 140 Joe BW NO tai�twA�i�; tin �JA aillt.1(� ► �t � :►.►;a �:;. . �• IM VM A NO 03JJAT2ht TI43mglug3f!q . A MSWA 91142.30 MMI 221012 O"A aMl�iu!!!J9 .WtTA,3H n ti CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: h D w P Il MPI 1 a t", Address: I c BUILDER: Address: P-9-66 '3 U , N, bYi9�� Tel. No.: Co 3 4, 3 9s - No.: � 1 fl No.: y� Street: �� D 2 4 a L -e LOT: y BLOCK: ADDITION: -� '� n SbY�« �� /V a v-1 h CORNER LOT: INSIDE LOT: >< SETBACK: ,36 / SIDEYARDS: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: SLS Front: �a t/ Depth: Height: /2® Square Feet: TS� Cubic Feet: t d'% 2rt�© r " � .dam Front: �l ®®9 Depth: �� a Height::��.11.�d Square Feet: 0 Cubic Feet: �GOV Type of Construction: Zt)ovj Ir -wL Q- Estimated Cost: ® � To Be Completed: 01 'Ju ► /Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) 3VL6, r — 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 fo dditional information. DATE: � � �� � % 7 SIGNATURE: Stipulations: CP ` r 611 dAuA c:,-Fo BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repairs to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: NEW CONSTRUCTION: Single Family Homes and Garages:. $4.00/1,000 cubic feet. PLAN CHECK: 25 percent of building permit fee. DRIVEWAY DEPRESSION: (Concrete Curb Streets Only) Alternate A: Removal and replacement of concrete curb and gutter only; Driveway width plus 6 feet x $11.75 Alternate B: Removal and replacement of concrete curb and gutter and install a 3 foot wide approach with 6 inch depth; Driveway width plus 6 feet x $15.75 a For the purpose of computing fees for building permits, the cubical.contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or the cellar to the average heights of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. In -no case shall the fee charged for any permit as set forth in Section 2 be less than $7.50 plus $.50 state surcharge. NOTE: Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has been constructed will be required before proceeding with the framing. Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. i WAI Before digging TELEPHONE - El REQUIRE CERTIFICATE OF SURVEY FOR: Hars-Va a - Todd Construci-iol, Co. C,6 . IAIV 9�, � — , ce►r� Dr it, i 0 IG local utilities 'RIC - W Etc. BY LAW iAiv �4 N. d, q9� �'0 o Dena}9es icon rrtot�vttler�} %tom �' .� 3 OR V01 GI)Arkp`&41c: lt,. GP 11TiLITV LOCATIONS EL>VATI0Id �. WA -QA IS FOR INF'OPJMT1ON PURPOSES ONLY AND USING n SHOULD VMFi THE WORMAnQN Sn Leel descrip+iomrn -- Loi- 4, Nm%< 2, INAIswwm NORTH, Amtka Co wN; Mirineso'rm I hereby cdrtify that this is a true and correct representation of a survey of File No. the boundaries of the above described land and of the location of all buildings, -142 DEMARS - GABRIEL if any, thereon, and all visible encroachments, if any, from or on said land. LAND SURVEYORS, INC.IS+� da Book — Page As surveyed by me this y of Fib , 19�. 3030 Harbor Lane No. Plymouth MN 55441 Phone: (612) 559-0908 Scale ,s m M1 Minn. Reg. No. 10944 jG o�--fav„�F 9yy ,�o Ae / f�.Jr - &I kyr, � '! t” -; rr k 7� C, � r- : 4 c C, 01ease. be advi se d.Mr..Mel'ium called and indicated his concern with the development takUg place to the .east of his residence,. He :indicated there 1-S' bit of excavation and embankment going'on which- he feels is jeopardizing the storm sewer' in the. area. He believes some of the storm sewer piping has beencovered up.. Please review the -situation and -determine ff the development taking place is causing problems. Also, Mr. Mellum would like to be advisdd.as to additi nal grading on his own rear yard *hick would., ensure proper operation of the storm se er V$tem. I indicated to him 4e "would -probably .get back to'him within a coup] 111.1of days. OS/j .,u _ I{ September 27, 1977 8431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 65432 TELEPHONE ( 812)671.3450 t Harstad Todd Construction Co. 2200 Silver Lake Road New Brighton, Mn. 55112 Re: Final Inspection at 1464 North Danube Road N.E. Dear Sirs: The final inspection was made on September 26, 1977 of the above address and the following items were noted which must be completed before the structure can be finaled out; 1. Provide sod in the front and side yards. 2. Provide house numbers on structure. We will expect the above items to be completed by November 1, 1977 when a reinspection will be conducted to determine compliance. If you have any questions on these items, please feel free to contact me at 571-3450. Sincerely, RON HOLDEN Building Inspector RH/mh CC: Mr. L. Melcum 1464 North Danube Road N.E. 0 CITY OF FRIDLEY GAS FITTING FEES:0� 1st 3 Fixtures x $ 3.00 $ �° Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00 $ AIR CONDITIONING �+ $ FAN HEATING SYSTE>IS See Fee Schedule $ VENTIL :TINT' SYSTEMS $ ALTERATIONS $ REPAIRS_) $ State Surcharge $ .50 r TOTAL FEE $� ROUGH INSP. E�kilv� F=AL INSP. R - Y - 7 Data APPROVAL FOR PERvI'i REINSPECTION FEE (.$10.00) MINIMLM FES FOR ANY HEATING PERMIT IS $7.50 DESCRIPTION OF FUPVACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, arm Ai - No. Trade Name �elylwol Size No. 13-110 Capacity A�W C, P/t-�. Sq. Ft. EDF BTU ° HP Total Connected Load j r Kind of Fuel /yT {� 7- .Z_ BUP-NER - Trade Dame Size No. Capacity Sq. Ft. EDR BTU H? Company a Signed By Tel. No. U-�-,�/ APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY WAP -M AIR: RAT I: TCTAL Job Address Furnace Shell & Duct Work $12.00 $ Replacement of Furnace 7.00 7.00 $ $ Department of Buildings Repairs & Alterations -up to $500.00 City of Fridley Repairs & Alterations each add. $500.00 4.00 $ Tel. 1*:571-3450 I`IECHANICaL WAR.M AIR: J d The undersigned hereby makes application for a permit for -the work herein $12.00 $ 12e specified agreeing to do all work in strict accordance with the City Codes Furnace Shell & Duct Work to 100,000 BTU 4.00 $ ti and rulings of the- Department of Buildings, and hereby declares that all the each add. 50,000 BTU 7.00 $ facts and representations stated in this application are true and correct. Replacement of Furnace Repairs & Alterations -up to $500.00 7.00 $ pn� Repairs & Alterations each add. $500.00 4.00 $ Fridl_y, Minn. � 15[� OWNER 7? STINT OR HOT WATER SYSTEM: Boiler & Lines up to 100,000 BTU Boiler $12.00 $ KIND OF BUILDING each: addn. 50,000 BTU 4.00 $ Boiler only up to 100,000 BTU 7.00 $ USED'AS /!% I^% L it each addn. 50,C00 BTU 6.00 $ TG BE COMPLETED ABOUT�n OIL BURNER- to 3 gal. per hour $10.00 $ each add. 3 gal. per hour 10.00 $ ESTIMATED COST GAS BURNiR- from 100,000 BTU to 199,999 BTU $10.00 •$ OLD - NEW BUILDING PERMIT NO. _ PERMIT NO. (over 199,999 BTU see Fee Schedule) $ GAS FITTING FEES:0� 1st 3 Fixtures x $ 3.00 $ �° Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00 $ AIR CONDITIONING �+ $ FAN HEATING SYSTE>IS See Fee Schedule $ VENTIL :TINT' SYSTEMS $ ALTERATIONS $ REPAIRS_) $ State Surcharge $ .50 r TOTAL FEE $� ROUGH INSP. E�kilv� F=AL INSP. R - Y - 7 Data APPROVAL FOR PERvI'i REINSPECTION FEE (.$10.00) MINIMLM FES FOR ANY HEATING PERMIT IS $7.50 DESCRIPTION OF FUPVACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, arm Ai - No. Trade Name �elylwol Size No. 13-110 Capacity A�W C, P/t-�. Sq. Ft. EDF BTU ° HP Total Connected Load j r Kind of Fuel /yT {� 7- .Z_ BUP-NER - Trade Dame Size No. Capacity Sq. Ft. EDR BTU H? Company a Signed By Tel. No. U-�-,�/ HEAT LOSS CALCULATIONS .DEPARTMENT OF INSPECTION Weatherstrips _ A. Guide Construetion No. WindowsI Doors Reference Out. Wap Int. Wap Ceiling Roof Floor Yes— Imo Doors 19_ // F1.1 lia_ Room I Length I® Width Height II Fl.I Windows an Doors—Crackage and Area p Width Height No. of Lineal tt. Area No. of pane of Dane lights of crack sp. ft. !/ e� d10 7� Coef. Btu Infiltration J2s Coef. Btu. Infiltration lid I le 1760 Class®® Exp. wall Net exp. wall 41�1 Net exp. wall Int. wall Ceiling Ceiling d Int. wall Floor ff'4� ;r Ed Total Btu. I Required sq. ft. E.D.R. or sq. ins. W.A. Leader area A Fl.I I I V1 *h 4 Room I Length al Width I V Height Windows and Doors—C-rackage and Area �o . i_/Z,vp®rV s WidthHeight No. of Lineal It. Area Nol of pane of pane Ilghu of cnak SQ. ft. Coef. Btu Infiltration J2s 39 15';g'J Glass Exp. wall . Net exp. wall 41�1 Int. wall Ceiling Floor Int. wall Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area e t:1 I.. .'i i m Ci Rnnm I l .meth / / Width / / Height Windows and Doors—Crackage and Area i r® S Width Height No. of Lineal ft. Area No. of pane of pane lights of crack W. ft. Coef. Btu Infiltration Glass . Glass 41�1 � Exp. wall Int. wall Net exp. wall ff'4� ;r Ceiling �Ao Int. wall Floor Ceiling ' Floor Total Btu. I j V A Required sq. ft. E.D.R. or sq. ins. WA. Leader area No. Infiltration Glass Exp. wall Net exp. ;all Int. wap pom4j Y.II fr • MRS&APOLIS. MINS lnsulation Kind How Applied Room I Length 2 Width ors—Crackaae and Area Btu Floor Total Btu. e' Required sq. ft. E.D.R. or sq. ins. WA. Leader area A i■ .1. A Wn.1.1. #7— I D O r 1.i f® awaw i a ..a... — Windows and Doors—Crackage and Area o . - -- - O.-Sicr�t Vii' f �2 x a Width Height No. of Lineal it. Area No. of pane of pane lights of erack sa. ft. Btu Infiltration Infiltration Glass . Glass Exp. wall Net exp. wall Int. wall Net exp. wall ff'4� ;r Ceiling �Ao Int. waU Floor Total Btu. U o Required sq. ft. E.D.R. or sq. itis. W.A. Leader area >n I J ve5 2.11 ,.. th 0 Width /L, Height Windows and Doors—Craekage sad Ana Width Height No. of Lineal tt. Area No. of pane of ne lights of crack sq. tt s /�®LAI u if Coef. Btu Infiltration 77-17-6 Glass Exp. wall Net exp. wall ff'4� ;r �Ao Int. waU Ceiling ' Floor ITotal Btu. - N YU Required sq. ft. E.D.R. or sq. ins. WA. Leader area T�. BEAT LOSS CALCULATIONS .DEPARTMENT OF INSPECTION WeatherstripsA. Guide Construction No. Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof Floor —y—W-7-0 19_ Fl_I �. t? Rn L.enath 0,Wi mtdth , Height II A F1.1 ` 0 T, Windows and Doors—Crackage and Area a K Width Height No. of Linea) !t. Area No. off�pane of pan Ilghte of crack $4. ft. Width H9 Lineal. ft. Aea No. of pas ofeight pane lights of crack sq. ft. e- Coef. Coef. Btu Infiltration 0 .I G Glass 74T 77 To Exp. wall Net exp. wall 9 Floor Int. wall Net exp. wall GCS 5, / fL' 15 Int. wall Floor Floor ;W Ceiling Int. wall <: Floor Ceiling Total Btu. Required sq. -ft. E.D.R. or sq. ins. W.A. Leader area 4' FI a _ P� +L Room I Lenffth & Width f/ Height Windows a d Doors—Crackage and Area I ® , d" ®'r Width Height No. of Lineal ft. Area Na of pane of pans lights of crack N. ft. Width H9 Lineal. ft. Aea No. of pas ofeight pane lights of crack sq. ft. e- Coef. Coef. Btu Infiltration c e p` Glass 41 Exp. wall Exp. wall Net exp. wall Net exp. wall 9 Floor Int. wall Int. wall Ceiling Ceiling Net exp. wall Floor Floor ;W p Total Btu. %D Required sq. ft. E.D.R. or sq. ins. WA. Leader area Rnnm I L.enath 4iW Width / Heiffht Windows and Dors. Crackage and Area je. ��` Width Height No. of Lineal ft. Area Na of pane of pans lights of crack N. ft. 3� F o e Coef. Btu Infiltration ; S, c e Glass - 't1' 41 Exp. wall Glass Net exp. wall Floor Int. wall Ceiling Net exp. wall Floor Total Btu. IG/ 3 00 Reauired sq. ft. E.D.R. or sq. ins. W.A. Leader area N�NNEAPOLIS. 1 Insulation Kind How Applied R...%vn I I math Width 4"" Height Windows and Doors---Crackage and Area ,`� o2l Width Height No. of Lineal ft. Area, No. of pane of pane lights of crack ell. ft F o e Coef. Btu Infiltration Coe��f. Btu Infiltration Exp. wan 41 p-4,6 Glass Ceiling Floor Exp. wall Net exp. wall 7 61 Int. wall Ceiling Floor vp pa Total Btu. I' squired sq. ft. E.D.R. or sq. ins. WA. Leader area m I Rmtn I L anoth Width Height Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane Ilghte or crack rp. ft. Coef. Btu Infiltration Glass Exp. wan Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. itis. W.A. Leader area C1 I Rnnm I I math Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane Ilghte of crack eq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor ITotal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area City of Fridley AT THE TOP OF THE TWINS SUBJECT BUILDING PERMIT PERMIT _ __ 248, 6 r ' , 1 __ COMMUNITY DEVELOPMENT DIV. r ' PROTECTIVE INSPECTION SEC. 1 CITY HALL FRIDLEY 55432 612-571-3450 ECEIP . J® NUMBER 910-F15 REV DATE 5/6/94 PAGE OF APPROVED BY JOB ADDRESS 1464 NORTH DANUBE RD NE 1 LEGAL DESCR. LOT NO. 4 BLOCK 2 TRACT OR ADDITION SEE ATTACHED Innsbruck North SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mellum 1464 North Danube Rd NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Right Way Roofing 16475 45 Ave N, Plymouth 557-8678 3999 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 C� REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (20 Squares) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underla'y}ment must comply with the State BUilding Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. ZONING SQ. 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 1 STALLS I 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 WITH WHETHER PECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PR S ME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE $1,500 $.75 PERMIT FEE SAC CHARGE PROVIS S F NY OTHER STATE OR OCAL LAW REGULATING CON- TRU O T E P FORMANCE NSTRUCTION. $35.00 Fire SC $1.50, PLAN CHECK FEE TOTAL FEE %4 License SC $5.00 $42.25 URE OF CONTRACTOR OR AUTHORIZED AGENT DATE) SIG IV, HEN P♦ R ALIDATED THIS IS YOURPERMIT • 57-k"q� B G IN D V GATE SIGNATURE OF OWNER OF OWNER BUILDERI (DATE) NEW ADDN () CITY OF FRIDLEY ALTER () SINGLE FAMILY AND DUPLEXES R-1 AND R -Z Building Permit Application Construction Address:�p Legal Description: — — Owner Name & Address: , pTel. # Effective 1/ 1 /94 Contractor: o r MN LICENSE # 3'1 Address:7/ _ �/ N / Tel. # S 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: Leagth W' th Hgt/Grou d Sq. Ft. OTHER: `C ���� e e S t (.� ACS o� D �-�-lZ ►F Corner Lot [ ] Inside Lot [ ] Ft Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ J Approx. Completion Date: - )- ') y (Cost on Back)- Driveway C b /u t Width Needed: . + 6 JF= Ft x = $ DATE:, v(L APPLICANT: Tel. # :35C CITY USE ONLY Permit Fee Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ 12S—$.50/$1,000 Valuation SAC Charge $ $800 per SAC Unit License Surcharge $ S • e b $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: _ BUILDING PERMT FEE SCHEDULE - The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: TOTAL VALUE FEES $1 to $500 $15 (Minimum Fee is $15 plus surcharge) $501 to -$2,000 $15 for first $500 plus $2 for each additional $100 or fraction thereof, -to and including $2,000 $2,001 to $25,000 $45 for first $2,000 plus $9 for each additional $1,000 or fraction thereof, to and including $25,000 $25;001 to $50;000 $252 for first $25,000 plus $6.50 for each additional $1;000 -or fraction thereof, to. and including $50,000 $50,001 to $100,000 $414.50 for first $50,000 plus $4.50 for each additional .$1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $639.50 for first -$100,000 plus -$3.50 for each additional. $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 - $2039.50 for the first $500,000 plus $3 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $3539.50 for the first $1,000,000 plus $2 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide. approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. Building $ kBaa S BUILDING Plan Review Permit No.':-PWq—.6tE�i Inspections 763-572-3604 Fire Surcharge RESIDENTIAL APPLICATION Received B :: Surcharge $ 3t) CITY OF FRIDLEY License Surcharge DaAgd on $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow 763-502-4977 FAX ft + 6 ft = ft x $22 = $ Erosion Control $ $450 Conservation Plan Review Park Fee EFFECTIVE 8-19-09 Fee Determined by Engineering Sewer Main Charge DATE �` '- J� YOUR E-MAILADDRESS (76� vL�)e- ln� ` (1e✓ SITE ADDRESS Itk, 41 /J Da U'\l.t. THIS APPLICANT IS: ❑ OWNER ®LONTRACTOR PROPERTY OWNER/ NAME: TENANT ADDRESS: CITY STATE ZIP PHONE: CONTRACTOR NAME:_i SUBMIT A COPY YOUR STATE LICENSE STATE LICENSE # --QV�44ge,- ' `� `� EXP DATE AND CERTIFICATE OF � ADDRESS:_ C3 4� • Be -'4 79 CITY 7 FQ f tty STATE ZIP5�3�7 INSURANCE PHONE —,/cSF3 FAX 261i. —4179-- i3 PROPERTY TYPE U SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑BRAIN TILE 13 DECK ❑ SIDING BOTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION "AINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: bcl t 1 V—N2A SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE 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: IDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS_ & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other 13 Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS FOR WINDOWS — PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: TOTAL JOB VALUATION S o OC —U e THE 1997 U.B.0 FEE SCHEDULE) OCCUPANCY TYPE Permit Fee $ kBaa S See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ (p ® .001 times the total job valuation Surcharge $ 3t) .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $22 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ Make checks payable to: Citv of Fridlev 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 on site; that the work will be in accordance with the approved plan in the case of pkwork whiequires eview and approval of plans. tt i6 SIGNATURE OF APPLICANT '� / PRINT NAME {�Cv�y d DATE Page 2 - Building Residential Application BUILDING PERNIIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: TOTAL VALUE FEES $1 to $500 $23.50 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23,50 for 1' $500 plus $3.05 for each additional $100 or fraction, to and including $2,000 $2,001 to $25,000 $69.25 for 1" $2,000 plus $14 for each additional $1,000 or fraction, to and including $$25,000 $25,001 to $50,000 $391.25 for V $25,000 plus $10.10 for each additional $1,000 or fraction, to and including $50,000 $50,001 to $100,000 $643.75 for V $50,000 plus $7 for each additional $1,000 or fraction to and including $100,000 $100,001 to $500,000 $993.75 for I" $100,000 plus $5.60 for each additional $1,000 or fraction to and including $500,000 $500,001 to $1,000,000 $3,233.75 for the V $500,000 plus $4.75 for each additional $1,000 or fraction to and including $1,000,000 $1,000,001 and up $5,608.75 for the 1' $1,000,000 plus $3.15 for each additional $1,000 or fraction VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Only City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 CITY OF . -., i ION DIViSION 6431 University Ave NE Fridley, MN 55432 ! APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 a 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 Rate $ 30.00 $ 10.00 $ 10.00 $ 10.00 *Air Conditioning-- All Sizes $ 25.00 All Others/Repairs & Alterations (LIST ON BACK) 1%u of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS IME $.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. Effective On May 10, 1999 JOB ADDRESS Igtoy l7ca ,n.u�L�z, lZc� OWNER TOTAL BUILDING USED AS ESTIMATED COST ay0 W PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units__l__ Circle One (Steam) (Hot Water) (Warm Ai $ Trade Name Size No. -5 p BTU o®i 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 $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are'true and correct. wImZ'S Q 02 HEATING CO WW4-� .i Signed' DATE 11-0 -av f Approved By Rough•In Date Final Date r Remarks: t HEATING CO: Sigfied By: Date: CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies -thatAh&.eiisting-chimney or stack: 1. Has been carefully examined Yes O No 2. ...Is free from rust or deterioration Yes O No 3. Has no foreign objects lodged within Yes No 4. Is securely supported Yes O No 5. Meets all current, Code `requirements for size and total BTU's connected Yes O No 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes No 8. Has combustion air been provided for water heater Yes O No Remarks: t HEATING CO: Sigfied By: Date: GAS WORK ORDER • 1082 Payne Ave. STANDARD9 410 W. Lake St. St. Paul, MN 55101 Minneapolis, MN 55408 651/772-2449 b H EAT I N G O 612/824-2656 & AIR CONDITIONING A Blue Doan: Service Co. EQUIPMENT INFORMATION LAST h6 FIRST ADDRESS L�' "'a" . 10 CITY -�ZIP 4 HM PH � S ? � kLj WK PH LTECH __ �.� DATE TYPE - MAKE MODELS SERIAL®cam j INPUT; ORSAT TEST RECORD CO2 { % METERED INPUTr" f ' ,D, Cfh CHIMNEY TYPE 02 . 7S� % LIMIT SETTING 9 ® ° FLUE SIZE U In. CO '�:3 % PILOT OUTAGE/,,� V, -v.- sec CONNECTOR SIZE A in. NET STACK TEMP 0 TOTAL CHIMNEY INPUT btuh AW G7YOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 November 26, 2001 Ms. Delores Mellum 1464 North Danube Rd NE Fridley, MN 55432 Re: Final Inspection at 1464 North Danube Rd NE Contractor: Standard Heating & Air Conditioning Co. Dear Ms. Mellum: A mechanical permit was issued on December 6, 2000 to install a furnace at your 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. Sincerely, DAVE JENSEN Building Inspector DJ/mh