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City of Fridley SUBJECT PERM AT THE TOP OF THE TWINS BUILDING PERMIT Q'14935 i ` RECEIPT N ` COMMUNITY DEVELOPMENT DIV. y______ f PROTECTIVE INSPECTION SEC. 1 /'•'1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L•'» ,'J 612-560-3450 910-F15 9/25/78 JOB ADDRESS 5615 Danube Road N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 1 Innsbruck North SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Lee Renz 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Del'B. Construction, Inc. 1931 Main St. N.W. , Anoka 755-7516 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 j)NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 64' x 3918" Dwelling and a 22' x 22' Garage SEPERATE PERMITS REQUIRED FOR WI 9 CHANGEOFUSEFROM HEATING, PLLWBI STIPULATIONS Provide a hard surface driveway. Provide sod in the front and side yards. Move House 4 feet forward of location shown on application to avoid Need for rear yard variance (35' rear yard minimum). Proivde truss design and verifying survey by September 30, 1978. Provide combustion air to furnace. Expose 6 inches of block at perimeter. Fireplace not to support structural members. SEWER LOCATION: (Approx. 20' Deep In Street) 56' N. of Manhole(Inv. 945.49) WYE ELEVATION: 945.34 TOP OF FOOTING: 949.34 Minimum WATER LOCATION: 51.5' N. of Manhole, Approx. 10' S. of Sewer Service. DRIVEWAY DEPRESSION COST: N/A THE CITY OF Pouf Dogs NOT GuARANM IMWARNING ACCURACY OF tnnitY LOCATIONS AND ELEVATION& Defore digging can local THIS DATA utilihp IS MR INFORMATION FURPOSfrS ONLY ANLL TELEPHONE -ELECTRIC • GA5 Etc. PERSONS USING IT SHOULD VEM THE INFORMATIOIJ r3W 74 SIZE- SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. �UCgIQCyy,��AD VENTILATING OR AIR CONDITIONING. Wood Frame tt11 VV 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 R-1 2148 +484 50,572 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. $101,690 $50.85 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- STRUCT19 OR THE PE FORMA E OF CON RUCTION. $202.28 $400.00 PLAN CHECK FEE TOTAL FEE $50.57 $703.70 SI AUR OF CONTRACTOR ORA HORI AGENT (DATE) PROPERLY VALIDATED THIS IS YOUR PERMIT JLH.11 CX�J cc) BLDG.'NSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI CITY OF FRIDLEY APPLICATION FOR RES I DINT IAL BUILDING PE11141 TS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS)(�,G� 1' OWNER:�W-�� Address: No.: ,�6 /g Street: • BUILDER: Address: ���� /h1 3 V0 Tel. No.: LOT: ::5- PLOCK: _ ADDITION: b^ e�f� Ori CORNER LOT: 114SIDE LOT: y SETBACK: SIDEYARDS: / � Applicaht 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: Front: c/ / Depth: •' Height: _6 Square Feet: .20 T� Cubic Feet: ��� P Z. Front: �� , Depth: -- / Height: ' Square Feet: • Cubic Feet: r10,d Type of Construction: %® J -r y4z, Estimated Cos _f To Be Completed: �; Alt. A Alt. B Fr6posed Driveway Width If New Opening Is Desired $ $ (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 fo additional informati n. DATE: '151f SIGNATURE: Stipulations: 4�14,,. -,,..:r awl =4JW-901 GA4 Piwn-�•t �.. 0 ,�5-6 ga,� 40-� 20, r cl� 4 - ----------- ------ ----- - /�) aaIV cqs� 73:0 x �OOyj570, 44 -fj, a6' /416"8 x %,YG y 9(o 141 a 3� 0 3�'gdc,ay -8y X cl� 4 - ----------- ------ ----- - /�) aaIV cqs� 73:0 x �OOyj570, 44 -fj, a6' CERTIFICATE OF SURVEY FOR: % 16E e'D/V.$r1?UCr%01\/ E.risnN6 f1ouSE Ld l 51 910C1� /1 11712511-0Mot-14 �tiX 980,7 - N O loi980,8 o Denotes iron monument Proposed lowest floor elev. = o Denotes offset stake Proposed top of foundation elev. _ x 000.o Denotes existing elev. BENCH MARK: (000.o) Denotes Proposed elev. -----. Denotes surface drainage ® r Proposed garage floor elev.= 1 hereby certify 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, DEMARS - GABRIEL if any, thereon, and all visible encroachments, if any, from or on said land. LAND SURVEYORS, INC. 25th 1V— 78 Book —Page As surveyed by me th' y of , 19_. 3030 Harbor Lane No. • Plymouth MN 55441 Phone: (812) 559-0908 , ~` Scale Minn. Reg. o. 36' CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL.RATE SCHEDULE PLUMING FIXTURE RATES: NO. RATE A Number Fixtures % x $3.00 to Future Fixture opening x $2.00 U New Fixture, Old Opening x aWater $ Catch Basin a $5.00 $ vo _� x $5.00 E n u a •$ . 1e o' G. $. New Ground Run Old Building Heater $5.00 a� ed x' el $ GAS FITTING FEES: X N �[_ x ' $3.00 $ 3-66 Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ REPAIRS & ALTERATIONS .First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ O vii u a w ra W 3 a �°, vvi k u A c� as lec 1st 1 2nd 3rd 4th (R) - Future Connection Opening Connected with Sewer M - New Fixture, Old Opening Water PARTIAL.RATE SCHEDULE PLUMING FIXTURE RATES: NO. RATE TOTAL Number Fixtures % x $3.00 $JL-oO Future Fixture opening x $2.00 $ New Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 $ Water Heater - to 99,000 BTU _� x $5.00 $ 100,000 BTU to 199,000 BTU x $10.00 •$ . Water Softener • x $7.00 $. New Ground Run Old Building x $5.00 $ Electric Water Heater x' $5.00 $ GAS FITTING FEES: lst 3 fixtures �[_ x ' $3.00 $ 3-66 Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ REPAIRS & ALTERATIONS .First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ State Surcharge $ .50 TOTAL FEE $ REINSPECTION FEE ($10.00) Job Address Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makos 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 representation- stated in this application aare true and correct Fridley, Mn. -L2 L • 7 , 19-2-760 OWNER KIND OF 0 d 4A. gSED AS JN S , TO BE COMPLETED ABOUT ESTIMATED COST s �. OLD - 00IILDING PERMIT NO. PERMIT NO. IC`�II Compan{ Gam: C' Vh 4b Signed By c� Tel. NO. �� © Le ROUGH INSP. Date e FINAL INSP. Z Date APPROVAL FOR PERMIT �? MINIMUM FEE FOR ANY PLUMBING BERKXT IS $7.50 pjpg $.50 STATE SQRDAAGE 560-3450 r rje ANOKA COUNTY 6431 UNIT AVEMIE ME Ummmber 28, 1978 FRIDLEY, MINNESOTA 55432 t Minneapolis Post Office uemtt Superintendent of De'.Ll"mery 1st & Aiarquette Ave=e Minneapolis, Minnesota. 55= Bio: Clhwne of Address- Effective January 1, 1979 City of Fridley Centlemen: She are listing the ff®UzwAzg clawge of address in the City of Fridley; NAim . IIAe 'L B , Inc. FJMK: 505 Most Iwwbe--1RDad N.E., Fridley, MN 55432 'D: 5ms iDa•tlh Road N.E. , Fridley, M 55432 _ rmtt 5, Block 1, Innsbruck North Addition We have notified tle ==qpa= of ttbl eban a and we would appreciate It very much if you wbd cbmMe y== records accordingly. SjMCere1y, G. CLARK amity Development Adm. DC/mh CC: City Water DilUmg Mapt. City .Assessing ml -r mrd Minneapolis Gas Cmap=ry - MrawAdyn Faxk Office Wort'hern States Power iCwgx y . Alort1 esters Bell Te2ephDne City Voters Regis;rxmT_ z Homeowner 560-3450 ate ANOKA COUNTY 6431 UNIVERSITY AVENUE NE November 28, 1979 FRIDLEY, MINNESOTA 55421 Del'B Construction, Inc. 1931 Main Street N.W. Anoka, MN 55303 Re: Change of House Numbers Effective January 1, 19.79 Dear It has been necessary for this office to change the address of your house FROM 5615 East; Danube Road To 5615 North. Danube Road N.E. LEGAL DESCRIPTION Lot 5, Block 1, Innsbruck North Addition We have notified the Post Office Department, Minneapolis Gas Company, Northern States Power Company, Northwestern Bell Telephone Company and various departments in City hall of this change. Sincerely, DARREL G. CLARK Co-nimunity Development Adm. DGC/hh /�. DEPARTMENT OF INSPECTIONS - 220 GRAIN EXCHANGE COOLING -LOAD SHEET MINNEAPOLIS, MINNESbTA 53415 Job Name ' co -f , + ® Address Room: Width Length Height Time: 'A. M. Design Conditions: Outside: Dry Bulb Wet Bulb Inside: Dry Bulb Wet Bulb Wall Color: Dark p; Light ❑; Medium UY: , Roof: Dark) Light p; Medium ❑. Windows: Shades Taf Awnings p; Bare ❑. NO. ITEM DIMENSIONS AREA SO. FT. K D SENSIBLE HEAT LATENT MEAT . 1. CONDUCTION HEAT GAINS Exterior wall, gross •• i• ••s• a•• 2. Exterior glass 3 Exterior wall, net T •"' 4. Partitions, net •••' 5. Floor 6. Ceiling or roof °n r . f r` •"• 7. EXCESS SOLAR GAINS WALLS (direction faced) ` $. ` r / `�` - •iii 9. •rss 10. Roof r r v f ••i• GLASS (direction faced) 12.E I �r �71 �' •i•• 13. •••• 14. Skylights 15. BODY HEAT GAINS Sensible ' No. of people x 225 = •'•' 16. Latent (quiet) No. of people x 175 •"• 17. Latent (active) No. of people x 450 '•'• 18. EQUIPMENT HEAT GAIN; Electric lights Watts x 3.4 _ •sis 19. Electric motors (total H.P.). r x 2545 x Power Factor ••" 20. Other electrical equipment 21. Gas burning equipment C. F. H x 1000 22. Miscellaneous heat gains 23. Miscellaneous heat gains r °' 24. TOTAL HEAT GAIN (SENSIBLE) ° _ •"' 25. TOTAL HEAT GAIN (LATENT) ••'• �' 26. Sensible heat ratio= Item 24 x 100 = x 100 = % Item 24 + Item 25 27. Temperature of air supply Dry bulb, Wet bulb 28. Total air supply= Item 24 = _ C.F.M. pp y_ 1.1. [room d.b. — Item 27 d.b.] HEAT LOAD OF VENTILATING AIR 29. No. of people x C.F.M. per person= C.F.M. Outside Air. 30. Item 29 x B.T.U. ver C.F.M.= B.T.U. per hour 31. Total cooling load = Item 24 + Item 25 + Item 30 = B.T.U. per hour 32. Tonnage equivalent of cooling load= Item 31 = _ -:, .re Tons 12000 12000 I .0 CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATIONANDAND AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE _6t5_1 GRAVITY WARM AIR: RATE TOTAL Job Address 5615 .80. Danube Furnace Shell & Duct Work $12.00 Replacement of Furnace 7.00 Repairs & Alterations -up to $500.00 7.00 Repairs & Alterations each add. $500.00 4.00 MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTU $12.00 each add. 50,000 BTU 4.00 Replacement of Furnace 7.00 Repairs & Alterations -up to $500.00 7.00 Repairs & Alterations each add. $500.00 4.00 STEAM OR HOT WATER SYSTEM: ROUGH INSP. REINSPECTION FEE Date *� ($10.00) FINAL INSP. 6 — C - Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 $ �. Boiler & Lines up to 100,000 BTU $12.00 each addn. 50,000 BTU 4.00 Boiler only up to 100,000 BTU 7.00 each addn. 50,000 BTU 6.00 OIL BURNER- to 3 gal. per hour $10.00 each add. 3 gal. per hour 10.00 GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 (over 199,999 BTU see Fee Schedule) GAS FITTING FEES: 1st 3 Fixtures x $ 3.00 Additional Fixtures x $ 1.00 Gas Range to 199,000 BTU x $10.00 AIR CONDITIONING 2 --'41S9-3l1 Air Cond. FAN HEATING SYSTEMS See Fee Schedule VENTILATING SYSTEMS ALTERATIONS & REPAIRS — State Surcharge TOTAL FEE ROUGH INSP. REINSPECTION FEE Date *� ($10.00) FINAL INSP. 6 — C - Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 $ �. $> v 10.6-6 Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn. . 19_ OWNER Be4—B RX$' Const. KIND OF BUILDING Frame USED AS DWg TO BE COMPLETED ABOUT ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. / j DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. 2 Trade Name Lennox size No. 01103-105 ea. o• � � o Capacity Sq. Ft. EDR HP Total Connected Load 143,959 Kind of Fuel Oil BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Company Mill City Feating Co. Signed By C�r� . Tel. No. 559-250 $ $> v 10.6-6 Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn. . 19_ OWNER Be4—B RX$' Const. KIND OF BUILDING Frame USED AS DWg TO BE COMPLETED ABOUT ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. / j DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. 2 Trade Name Lennox size No. 01103-105 ea. o• � � o Capacity Sq. Ft. EDR HP Total Connected Load 143,959 Kind of Fuel Oil BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Company Mill City Feating Co. Signed By C�r� . Tel. No. 559-250 of pane of pane lights of crack '#101 No. of Linealft. H /doors /doors Coef. BTU Infiltration Windows HEAT LOSS CALCULATIONS Plan Name, Address Date__,._ Total Heat Loss /doors _ .65 x 1.15 = =Total Btu Input IAII windows & doors are weatherstripped k r Fl. /doors Room I Lgth. " Wth. Ht. Fl.,a Coef. BTU Room I Lgth. " Wth. Ht. No. Width Height No. of Linealft. Area No. Width Height No. of Linealft. Area Ceiling '"1 a,Y° e'Or �• Infiltration S/Doors of pane of pane lights of crack sq. ft. ' "" of pane of pane lights of crack sq. ft. No. of Linealft. H /doors /doors Coef. BTU Infiltration Windows sq, ft. Infiltration W/Doors Infiltration S/Doors Infiltration S/Doors /doors �- Exp. Wall R« ' Glass & Doors /doors Net Exp. Wall t. Coef. BTU Infiltration Windows Ceiling Net Exp. Wall." -' Total Btu. Infiltration W/Doors I411tration S/Doors Ceiling '"1 a,Y° e'Or �• Infiltration S/Doors "/ 1=1 . Floor ' ' "" _ Exp. Wall s+ , �If �_" y _ S ^ , Glass & Doors Total Btu. r� P Net Exp. Wall Room Loth. F. r r Ceiling,. Ceiling F loor a Total Btu. - FI. Room Loth Wth. Ht ' No. Width Height No. of Linealft. Area of pane of pane lights of crack sq. ft. Room I LgtFl "Wth. No. Width Height No. of Linealft. H /doors /doors Coef. BTU Infiltration Windows sq, ft. Infiltration W/Doors Infiltration S/Doors Infiltration S/Doors Exp. Wall Exp. Wall R« ' Glass & Doors Net Exp. Wall t. 3 n� Ceiling Net Exp. Wall." F loor Total Btu. Glass &Doors FI. `:: Room I LgtFl "Wth. No. Width Height No. of Linealft. Area of pane of pane lights of crack sq, ft. Coef. BTU Infiltration S/Doors /doors Exp. Wall R« ' li7 9V Glass & Door's 3 n� a. Net Exp. Wall." /doors /doors Coef. BTU Infiltration Windows Infiltration W/Doors Infiltration S/Doors Exp. Wall Glass & Doors Net E xp. Wall Ceiling F loor Total Btu. FI. /doors Coef. ,BTU Infiltration Windows /l., .. 4.'-<- Asa Infiltration W/Doors /doors /doors Coef. BTU Infiltration S/Doors /doors Exp. Wall R« ' li7 9V Glass & Door's 3 n� a. Net Exp. Wall." Glass &Doors I411tration S/Doors Ceiling '"1 a,Y° e'Or �• i ¢ "/ 1=1 . Floor ' Total Btu. s+ , �If �_" y F loon S ^ , Net Exp. Wall /doors /doors Coef. BTU Infiltration Windows Infiltration W/Doors Infiltration S/Doors Exp. Wall Glass & Doors Net E xp. Wall Ceiling F loor Total Btu. FI. Room I Lgth. " Wth. Ht. No. Width Height of pane of pane No.of Linealft. lights of crack /doors Area sq. ft. _77 - /doors /doors Coef. BTU Infiltration Windows`""'`' /doors Infiltration W/Doors r, Infiltration S/Doors 3 n� a. Exp. Wall Glass &Doors I411tration S/Doors .Net Exp'. Wall �. f t Ceiling F loon S ^ , Net Exp. Wall Total Btu. r� P If FI. q_, Room Loth. No. Width of pane Height of pane No. of lights Linealft. of crack Area sq. ft. _77 - /doors /doors Coef. BTU Infiltration Windows Infiltration W/Dogrs I411tration S/Doors Exp. Wall .V t Glass & Doors r 'S• S ^ , Net Exp. Wall Ceiling,. Floor Total Btu. a 'Fl. Room I Lath.'? Ht. No. Width Height of pane of pane NO. Of lights Linealft. of crack Area sq. ft. Coef. Glass & Doors Infiltration Windows `4 /doors dam"-' /doors -7J #101 HEAT LOSS CALCULATIONS /doors Plan # BTU Name Address Date Total Heat Loss 4i 7 Infiltration W/Doors =Total Btu Input JAII windows & doors, are weatherstripped Ceiling .65"X 1.15 Total Btu. Infiltration Moors Fl. Exp.Wall Room Lgth'..4 S Wt. Fl. Exp.Wall Roo�n Lgth.," Wth. Ht. Width No. Height No. of Line4l" ft, ' Area Net Exp. Wall Glass & Doors Net Exp. Well N Width Height alfAreat N I Linealft. of pane of pane lights of crack sq.f;. 0. .1 of pane of pane ,o. lights of c k sq. f. rac sq Total Btu. Floors Floor Floor 14, Total Btu. Room I Lgth. e 'Fl. Room I Lath.'? Ht. No. Width Height of pane of pane NO. Of lights Linealft. of crack Area sq. ft. Coef. Glass & Doors Infiltration Windows `4 /doors dam"-' /doors -7J /doors /doors /doors Coef. BTU Coef. BTU Infiltration Windows Ceiling /L 4i 7 Infiltration W/Doors Exp. Wall 4_ Infiltration W/Doors Ceiling F Total Btu. Infiltration Moors Exp.Wall Room I Lgth;� Wth. Ht. C Exp.Wall Glass & Doors Area zv Net Exp. Wall Glass & Doors Net Exp. Well Ceiling 1A, J, Ceiling,, Ceiling Coiling y� Total Btu. Floors Floor Floor "FL 4 Total Btu. Room I Lgth. e Wth. Total Btu.r Total Btu. Width No. of pane Height of pane 'Fl. Room I Lath.'? Ht. No. Width Height of pane of pane NO. Of lights Linealft. of crack Area sq. ft. Coef. Glass & Doors Infiltration Windows T /doors /doors /doors Coef. BTU Infiltration Windows I nfiltration S/Doors Ceiling /L 4i 7 Infiltration W/Doors Exp. Wall F loor Ceiling Infiltration S/Doors Total Btu. Total Btu. Exp.Wall Room I Lgth;� Wth. Ht. C Glass &-Doors Glass & Doors Area zv Net Exp. Wall Net Exp. Wall Ceiling 1A, F loor Ceiling Coiling y� Total Btu. Floor Floor "FL 4 Room I Lgth. e Wth. Total Btu.r Total Btu. Width No. of pane Height of pane No. f Linealft. light's of crack N3 Room I Lath'Wth. Ht. -7, No. Width of pane Height of pane NO. Of Linealft. lights of crack Area sq. ft. Coef. Glass & Doors Infiltration Windows T /doors Infiltration W/Doors /doors Coef. BTU Infiltration Windows I nfiltration S/Doors Ceiling /L Net Exp. Wall Infiltration W/Doors Exp. Wall F loor Ceiling Infiltration S/Doors Total Btu. Total Btu. Exp. Wall Room I Lgth;� Wth. Ht. C Glass &-Doors Height No.of Linealft. of craft. of pane lightsck I Area Net Exp. Wall Ceiling F loor Ceiling Total Btu. Floor Y "FL 4 Room I Lgth. e Wth. Total Btu.r Ht. Width No. of pane Height of pane No. f Linealft. light's of crack N3 /doors /doors Coef. 'BTU Infiltration Windows IInfiltration W/Doors Exp. Wall /doors /doors Coef. Glass & Doors Infiltration Windows T Net Exp. Wall Infiltration W/Doors Exp. Wall I nfiltration S/Doors Ceiling /L Net Exp. Wall if z 4" Exp. Wall F loor Ceiling Total Btu. Total Btu. T1. Room I Lgth;� Wth. Ht. C Width of pane I Height No.of Linealft. of craft. of pane lightsck I Area /doors /doors /doors Coef. BTU Infiltration Windows Infiltration W/Doors Infiltration W/Doors Exp. Wall I nfiltration S/Doors Net Exp. Wall if z 4" Exp. Wall Ceiling Glass & Doors Total Btu. f Net Exp. Wall Ceiling F loor Total Btu. Y "FL 4 Room I Lgth. e Wth. Ht. Width No. of pane Height of pane No. f Linealft. light's of crack Area sq. ft. /doors /doors Coef. BTU Infiltration Windows Infiltration W/Doors Infiltration S/Doors Exp. Wall Glass & Doors Net Exp. Wall if z 4" Ceiling F loor Total Btu. f Width Height No. of pane of pane No.af Linealft. lights of crack Area sqft. GlZ t $ ria •RLAAI+' /doors /doors Coef. BTU /doors Net Exp. Wali /doors Coef. BTU Infiltration Windows HEAT LOSS CALCULATIONS Plan # Glass & Doors Name Address'Date� -+#101 Total Heat Loss_ No Width of cane sex 15 = =Total Btu Input IAII windows & doors are weatherstripped 5 Total Btu. Room Lgth. .. Wth. Exp. Wall .. Ht. FI. a" Room Lgth. I- 4i `... Wth... < ` ' Ht. Width No. Height No. of Lnealft. Area Width Height No. No. of Linealft. Area of pane of; ane lights of crack sq. ft. of pane of pane lights of crack sq. ft. Ceiling F loor Total Btu. ,_ ts. /doors /doors ' /doors Coef. BTU /doors COef. BTU Infiltration Windows Infiltration Windows Infiltration W/Doors Infiltration W/Doors Infiltration S/Doors Infiltration S/Doors fliaN i * 44,7 D Exp. Wall o r Glass & Doors { J Glass & Doors f ` Net Exp. Wall Net Exp. Well Ceiling Ceiling Floor Floon 1 r Total Btu. ° '� ,� e';-' Total Btu. FI. Room Lgth. " Wth. Ht. FI. Room Lgth. " Wth. Ht. " Width Height No. of pane of pane No.af Linealft. lights of crack Area sqft. GlZ t $ ria •RLAAI+' /doors /doors Coef. BTU /doors Net Exp. Wali /doors Coef. BTU Infiltration Windows F loor Glass & Doors Total Btu. Net Exp. Wall Infiltration W/Doors Room I Lgth. " Wth. Ht. " No Width of cane Ceiling Infiltration S/Doors Total Btu. Exp. Wall Gloss& Doors Net Exp. Wall Ceiling F loor Total Btu. FI- Room I Lath. ' " Wth. I" Ht. ' "1 No. Width Height No. of Linealft. Area of pane of pane lights of crack sq. ft. Infiltration W/Doors Infiltration S/Doors /doors /doors Coef. BTU Infiltration Windows Net Exp. Wali Infiltration W/Doors Infiltration S/Doors Ceiling Exp. Wall F loor Glass & Doors Total Btu. Net Exp. Wall FI. Room I Lgth. " Wth. Ht. " No Width of cane Ceiling F loor Total Btu. No. Width Height No. of Linealft. Area of pane of pane lights of crack sq. ft. /doors /doors Coef. BTU Infiltration Windows Infiltration W/Doors Infiltration S/Doors Exp. Wall Glass & Doors Net Exp. Wali Ceiling F loor Total Btu. FI. Room I Lgth. " Wth. Ht. " No Width of cane Height No.of Linealft. Area of Dene liahts of crack sa. ft. /doors /doors Coef. BTU Infiltration Windows Infiltration W/Doors Infiltration S/Doors Exp. Wall Glass & Doors Net Exp. Wall Ceiling Floor Total Btu. CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-360.4 RATE SCHEDULE APPLICATION FOR POWER PLANTS ANO.H�ATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYS�'fEMS AND DEVICES Residential Rate TOTAL Furnace.Shell and Duct Work, Burner Also Replacement Furnace $ 30.00 $ (Side Vent — Fill Out Back) Gas Piping (Needed with new furnace) $10.00 Gas Range $10.00 $ Gas Dryer $ i0.00 $ *Air Conditioning — All Sizes $ 25.00 $ All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work $ Commercial/Industrial 1.25% of Value of Appliance or Work $ State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEAT] NG/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE .50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Effective On January 1, 1997 JOB "'DRESS �_6 /21T /l/ n� v ,6 e Tlie'undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true a orrect. �' v� 1997 OWNER: (7oi / f BUILDING USED AS ����L"M �S ESTIMATED COST PERMIT NO DESCRIPTION OF FURNACE AND OR BURNER No. 'of iHeating Units _ Circle One (Steam) (Hot Water) (Warm Air) Trade Name Le v% x Size No. BTUHP EDR Fuel' ,fjj, -i aws Total Connected Load Burner Trade Name BTU HP Size No. EDR HEATING COMPANY Signed By G c� Tel No. Approved By A Rough—In Date Final Date FILL OUT BACK SIDE F R STACK VERIFICATION ON REPLACEMENT FURNACE Remarks: . List ALTERATIONS Being Done: HEATING CO: Signed By: Date: CHMINEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes () No ( ) 2. Is free from rust or deterioration Yes () No ( ) 3. Has no foreign objects lodged within Yes ( ) No ( ) 4. Is securely supported Yes ( ) No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes () No ( ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes ( ) No ( ) 8. Has combustion air been provided for water heater Yes ( ) No ( ) Remarks: . List ALTERATIONS Being Done: HEATING CO: Signed By: Date: SUBJECT ITAMIT�769 City of Fridley 2 4 AT THE TOP OF THE TWINS BUILDING PERM I T r �• COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 r 1 1 1 CITY HALL FRIDLEY 55432 I.J NUMBER REV DATE P AGE OF APPROVED BY 612-571-3450 910-F15 2/6/97 JOB ADDRESS 5615 North Danube Road NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 1 Innsbruck North SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Janet Renz 5615 North Danube Road NE 574-0417 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO RiteWay Waterproofing 448 Lilac St, Lino Lakes MN 55014 786-0550 City 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential T CLASS OF WORK ❑ NEW ❑ ADDITION ( ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install drain tile 9 CHANGE OF USE FROM TO STIPULATIONS Electrical extension cords can not be used as part of the power source to the pump. -SEPARA'f E PERNTS REQUIRED FOR WIRING,. HEATING, PLUMBING AND SIGNS. 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 1 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $2,130 $1.07 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- $74.75 $2.13 STRUCTIO THE PER OR ANC OF CONSTRUCTION. x PLAN CHECK FEE TOTAL FEE ;2-6-77 $77.95 SIGNATURE OF CONT RACTOR OR AUTHORIZED AGENT (DATEI WHEN PROPERLY AII�DA ED THIS IS YOUR PERMIT BL INSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI NEW [ J ADDN (J CITY OF FRIDLEY ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: 16 Effective 8/l/95 Legal Description: Owner Name &Address: cJ RET E fJ Zo ► 5 bpw 013e . Tel. # }{ — b 1 rl Contractor: [� - _ MN LICENSE # Address: 14 q S h UA n . �T . U o "Q 5 O I _Tel. # 'IS fo Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ Approx. Completion Date: -q'7 (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: ( -Z9 I APPLICANT: Tel. # Y7R(o -0 Sao CITY USE ONLY Permit Fee $ ��.-- Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ 1. l,�' $.50/$1,000 Valuation SAC Charge $ $850 per SAC Unit License Surcharge $ cX em Pi $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: SUBJECT ERMIT NO. City of Fridley 25495 AT THE TOP OF THE TWINS BUILDING PERMIT Ir �RECEIPT NO. L ------COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV DATE 9/12/97 PAGE OF APPROVED BY 612-571-3450 910-F15 JOB ADDRESS 5615 North Danube Road NE I LEGALLOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 5 1 I Innsbruck North SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Jeff/Sandy Hagen 5615 North Danube Road NE 571-9441 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. C & C Building Corp 7025 Oak Ridge Rd, Corcoran MN 55340 478-8711 5849 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Construct a 26' x 24' House Addition and a 25' x 24' Garage; Remove existing age 7 CLASS O OR O NEW $] ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ID REMOVE 8 DESCRIBE WORK See Above 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan. Provide a hard surface driveway. WARNfNC Bebre di ; 8ging call for all utility . locations � REQUIRED � SEPARATE PERMITS REQUIRED FOR Y LAS/ WIR:114% HEATING, PLUMBING AND SIGNS. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. 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 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 $ 48,870 $24.44 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- $565.75 Fire SC $48.87 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE License SC $5.00 $644.06 GNA URE OF CONTRACTOR OR AUTHORIZED AGENT (DATE WHEN PROPE VALIDATED THIS IS YOUR PERMIT B G NSP OATS SIGNATURE OF OWNER,,F OWNER BUILDER) tOATEi NEW [ ] Effective 1/1/97 ADDN j ] CITY OF FRIDLEY'�y� ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION. ConstructionAddress: N • T -)i ,6 _ . Legal Description: L- c 4- �5' e I ® Lk. ! r ns b t- L o r Owner Name & Address: J e. Sv) - q Tel. # `7 i - q q q I Contractor: _t_4_011 � le MN LICENSE # 5_3 Address: 19. � �, I i �l � � � C ) "� � <- gjel. # 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 Z Height Z—S Sq. Ft. &Z91,v7(0_T'71t ' GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. //®qy°� OTHER: Construction Type: to /o c4_, � [ Jo D d --A-a Estimated Cost: $ 55c- , LW, h%% , q4 (Fee Schedule on Back) Driveway Curb Cut Width Needed: DATE: B= Z9- 1-7 APPLICANT Permit Fee $ S Fire Surcharge $. y , f State Surcharge $ gy SAC Charge License Surcharge Driveway Escrow Erosion Control Ft. + 6 Ft = Ft x $ $ Tel. # Ll CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $950 per. SAC Unit $ -) $5.00 (State Licensed -Residential Contractors) $ Alt. "A" or Alt. "B" Above $ .$450.00 Conservation Plan Review Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: Fee Determined by Engineering Agreement Necessary [ ] Not Necessary ( ] � f_ 4jgj SUBJECT City of Fridley 2 5 6 4 AT THE TOP OF THE TWINS BUILDING PERM r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910415 10/29/97 JOB ADDRESS 5615 North Danube Rd NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 1 Innsbruck North SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Fireside Corner 2700 N Fairview Ave, Roseville MN 55113 633-2561 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 20090911 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 ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install a fireplace (built-in or corner unit) 9 CHANGE OF USE FROM TO STIPULATIONS Smoke detectors to be installed in all sleeping rooms and on each level of the house to meet the State Building Code. SEPARATE PERMITS ARE REOUIRED 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. OWLG. 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 $1,100 $.55 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- $37.50 Fire SC $1.10 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEETOTA E Licen C $5 0 $44.15 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI N OP VALIDAT + BLD INSP THIS IS YO R PERMIT /• GATE ' SIGNATURE OF OWNER IIF OWNER BUILDERI [DATE) NEW ADDN [ ] CITY OF FT ALTER [ ] SINGLE FAMILY AND DU BUILDING PERMIT ConstructionAddress: J5-&/5 Legal Description: Owner Name & Address: Contractor: Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach fo this application, a lot, with the proposed const DESCRIPTION OF Length Width Length Width Length Width Construction Type:: Driveway Curb Cut Width Needed: DATE: w APPLICANT: Permit Fee $ 137-S-0 Fire Surcharge $ /. / C) State Surcharge $S SAC Charge $ License Surcharge $, CSO Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ YL/ /5 STIPULATIONS: Ft. + 6 Ft = R-1 AND R-2 ►TION Tel. # MN LICENSE # Tel. # :ate of Survey of the drawn on it to scale. Effective 1/1/97 Height Sq. Ft. Height Sq. Ft. Hgt/Ground Sq. Ft. :imated Cost: $ cZ Fee Schedule on Back) 't x $ = $ Tel. # Fee Schedule on R verse Side .001 of Permit Val tion (1/10th%) $.50/$1,000 Valuation $950 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLFo ON EACs FI MR Effective On January 1. 1997 INate .. BotF1?:° Wash int `vk °.'•= Floor ��1, Cs' Auto. tC}i°' A o. Geis°=:"::Gas '`Y"% t1g,..;,; water Heater Stories Ctoset< Urinal Tub . Shower Binh Tray fount • Drain Hasin::- Washer A` i.' Range Ff ; >r.< Gas Elec Basement . ;: Water Heater - Gas"" �( - Gas Range*" r> Gas Oryer— Floor 1 )Yes () No I oft s pr �-;6 5F .v R, . Floor 2 Floor 3 Floor 4 _ PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures Old Opening, New Fixture Beer Dispenser Blow Ott Basin Catch Basin Rain water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas"" �( - Gas Range*" Gas Oryer— Back Flow Preventer Required ( )Yes () No Tyle $ 7.00 �'()0 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00, $10.00 $15.00 . Reinspection Fee $42.00/Hr ALL OTHERS ANDIOR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge S .50 JOB ADDRESS 5b 15 d 6,7 ail� The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strlct accordance with the city codes and rulings of the Building Division. and hereby declares that all the facts and representations stated in this application are true and correct. 1 - , 1997 Owner r Building Used As� _ Estimated Cost PERMIT NO. C115�� PLUMBING COMPA _ i'' I (,� DIN j ,? P40 ( y�J�� SIGNED BY TEIL N0, `3��- Approved By Rough -In Date Final DateD MINIMUM FEE F OR ANY PLU Bi G GAB PERMIT IS 20.00 TOTAL FEE PLUS THE 5.50 STATE SURCHARGE ""COMBUBTION AIR SHALL BE PROVIDED PERIJM SECTION 504(A) AND TABLE a -A. MINIMUM SIZE 9 SO INCHES. SUBJECT PE City of Fridley 29144 AT THE TOP OF THE TWINS BUILDING PERMIT f COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. V NUMBEp REV DATE PAGE OF APPROVED By CITY HALL FRIDLEY 55432 612-571-3450 910-F15 4/5/99 10B ADDRESS 5615 North Danube Road NE 1 LEGAL LOT N0. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 1 1 Innsbruck North SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jeff Hagen 5615 North Danube Road NE 571-3433 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 ❑ NEW 0 ADDITION ❑ ALTERATION l� REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (42 Sq) 2nd Layer 9 CHANGEOFUSEFROM TO STIPULATIONS Roofing can be the 2n(% layer but not the 3rd. 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 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 1 HAVE READ AND EXAMINED THIS APPLICATION 1 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 BE COMPLIED @ $2,703 $1.35 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTA F E '4/ &. SNATURED CON•RACTOROR4UTNORIZE AGENT IDATEI EN RO 11 A ,DAT IS I$ YoffFI P RMI -4, -FL-5d INSP OA,fE GNAT q a OVV R,6 R BUILDER, IDATEI NEW [ ] Effective 1/1/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND 1.1-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: Owner Name & Address: Contractor: W Tel. # S`-71 3133 MN LICENSE # Address: 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: �f 2-4 © Construction Type: �� �"' Estimated Cost: $� o (Fee Schedule on Back) '703, Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: APPLICANT: Tel. # CITY USE ONLY Permit Fee $ q, r7,5 Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ t , $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ $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 $ b STIPULATIONS: