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PRE 2010 DOCSCITY OF FRIDLEY b rtiL? 9�- APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES = PARTIAL RATE SCHEDULE / / T S49 ti r 'fi�),�/7 C r h 4 / GRAVITY WARM AIR: RATE TOTAL Job Address \/ {.. l Furnace Shell & Duct Work $12.00 $ Replacement of Furnace 7.00 7.00 $ $ Department of Buildings Repairs & Alterations -up to $500.00 4.00 $ City of Fridley Repairs & Alterations each add. $500.00 Tel. #571-3450 MECHANICAL WARM AIR: The undersigned hereby makes application for a permit for the work herein Furnace Shell & Duct Work to 100,000 BTU $12.00 $ `2 , specified agreeing to do all work in strict accordance with the City Codes each add. 50,000 BTU 4.00 $ and rulings of the Department of Buildings, and hereby declares that all the Replacement of Furnace 7.00 $ facts and representations stated in this application are true and correct. Repairs & Alterations -up to $500.00 7.00 4.00 $ $ _ / 3 Fridley, Minn. . 19 7 G Repairs & Alterations each add. $500.00 a %� �' �' r STEAM OR HOT WATER SYSTEM: OWNER r- v • �` r- Boiler & Lines up to 100,000 BTU $12.00 $ KIND OF BUILDING each addn. 50,000 BTU each 4.00 $ Boiler only up to 100,000 BTU 7.00 $ USED AS each addn. 50,000 BTU 6.00 $ // TO BE COMPLETED ABOUT OIL BURNER- to 3 gal. per hour $10.00 $ d �� `' each add. 3 gal. per hour 10.00 $ ESTIMATED COST / GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $ Ino o d / OLD -BUILDING PERMIT NO. PERMIT NO. �(G+ (over 199,959 BTU see Fee Schedule) $ GAS FITTING FEES: 1st 3 Fixtures _L x $ 3.00 $ 3, v DESCRIPTION OF FURNACE/BURNER Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00 $ HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. j AIR CONDITIONING e- $ `� Trade Name �� G r✓ �-- Size No. �/y X U � FAN HEATING SYSTEMS ,_ See Fee Schedule $ VENTILATING SYSTEMS $ Capacity Sq. Ft. EDR-*V & y0 BTU HP ALTERATIONS $ REPAIRS $ _S State Surcharge $ .50 �y q Total Connected Load 3 a t Kind of Fuel 4 � V TOTAL FEE $ BURNER - Trade Name Size No. ROUGH INSP. REINSPECTION FEE Capacity Sq. Ft. EDR BTU HP Date ($10.00) Company FINAL INSP. ^ --1-- Date Signed By t� ® APPROVAL FOR PERMIT e t�e� ��f��s,CE! �II�IIi� Alp C�k�dr:il` 'T4eblCo No. r L� XENIA AVE.j -LITH 1r01 1AINNCAPOLIS, MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 545-1611 ,� . ti ` • HEATLOr =r. G , MINNEAPOLIS, MiNN. WeatherstripsA.S.H.V.E. Guide Reference 19 - Construction No. Insulation Windows Doors Cut Wal l Int. Wall Ceiling Roof Floor Kind How Applied Yes -No Yes -iso Fl. Room LengthWidth �� 140 Height FI. J Root Length o Width J ®Freight or Windows and Dos-Crackage and Area oto_ Nidrh He,ghtNo. of Linea! f3_ Area et pane of pane fights of craw Area ft. Windows and Doors-Crackage and Area W,,&h +�e.gnr No. of Lineal tt. Area NO• ct ane r' a3ne h hts of crack sq. ft. ! { Coeff Btu lCoeO Btu Infiltration Infiltration Gly Glass Exp. waI I Exp. wall Net exp. Net exp. wall Int. wall If Vic r 4 72- Int. wall Ceiling Ceiling Floor : 1,77- Floor G .300 "total Btu. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI. 4 t -V Room I Length Width Height §f FI °®ddo R.00rn I Length Width 741 &teigltt Z. Windows and Doors-Crackage and Area Windows and Dams-Crackage and Area 12-q �® Width Height No. of Lineal ft. Area Of pane of Dane lightsof crack sq. ft. Widrh tfevght No. of Lineal ft. Area N° of pa a of is I ght.4 of crack sq. ft.. $ A I Coef. Btu Cod Btu infiltration Id j 7 infiltration IY71 W 33 Glassj' Glass 1 71 Z Exp. we I I Exp. wa 11 1 P Net exp. wall Net exp. wall I I RIS MCI Im. wall ( Int, wall Ceiling i Ceilina �/ ® "Z v� Floor �� al 3 Floor Twat Btu. { Total Btu. Required sq. ft. E.D.R. or sq. fns. W.A. Leader area Requtred sq. ft. E.'.R. or sq. ins. W.A. Leader area 19YI. �,� Room i Length Ir. Width Height Fs. rw 4 Rotor Length _.2-.cJ Width Height O Windows and Doors-Crackage araC: Area i 1 VIVindObEws and F°o 1 Width of pane Doors-Crackage and Area �� qhr No. of Lineal ft. Area Lq c,3rm ! lights of crack s ft. f ba Width He,ght Ne. of L"ea, : Area of ane of pa ty h hts of .gy { sq. ft p` �- 8 f i I iCoeg Btu i Coef' Btu ;nffltration ir7f`ttration '�► td fslasS� Mass Ixr. wa 11IPVJ fft. wall f %st exp. wall { S'" i Net exp. wall q tat. wall I f"Tt, wall Cei t mg Itng 0 31 Al r 0 Ts2tal Btu. Trial Btu. i Required sq. ft. E.D,,R. sr sq. . €i_ *er 3rea i; :u ec sq.:t. E. _R. sq. ins. W -A. lamer area qtv4 6' HEAT LOSS CALCULATIOINSH 2ATI NG 2 Al R CONDITIONING CO. MINNSAPOLIS. MIM. Weatherstrips A.S.H.V.E. Guide Reference 19FI.— Construction No. insulation lk' — Windowsr Doors Out. Wait Int. Wa I I Ceiling I Roof Floor Kind How Applied Yes -No Yes -No ,e Room Length WidthH eight I FIAPP I Lerth j 2, Wickh Height Windows and Doors-C.'ackage and Area No. W'C?P' I He,g�t___ NO, Of Lineal ft. 1) Ot vane of arve lights of crack .32- Z_ _,�,(/Rooin Windows and Doors-Crackage and Area 1 Width It �4 Ight No. of i Lineal ft. -ea No. of his I A I of parse pane li of crack so. ft- j'Coef Btu it IC(Wl t Infiltration 1 971 16) 2107 Infiltration I Glass Glass Exp. wa I I Exp. wa I I Net exp. wall L lir Net exp. wal I Int. wal I Int. wall Ceiling Ceiling'7 Flopr Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area Ft. Rom Length Width Height Ft. Room Length Width Height Windows and Doors-Crackage and Area No. Width Height No. of Lineal ft. Area _v_ of pane lights of crack sq. ft. Windows and Doors-Crackage and Area No. Width H ight No. f Lutea! ft. Area of pane ofpane lights k is Of crack SQ. tL Coe Btu Btt Infiltration Infiltration Glass Glass Exp. wall Exp. wa I I Net exp. wall Net exp. wall Int. wall Int. wall Ceiling 0 Ceiling Floor F toor Total Btu. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq, fir E.D.R. or sq. ins. W.A. Leader area Ft. Room , Length Widt-n Height 11. Room I Length Width Height Windows and Doors-Crackage and Area h t N`s� No. wt6& . L�_ Area pane jfw4s Windows arxi Doors-Crackage and Area W of ah 'h No. of J Lme.1 ft. Area a NSIMS of crack Sq. M iao-efT_ Btu1 i f Btu Infiltration Infiltration Glass 1-3 lass Exp. wall Exp. watt Net exp. vrat I 1 Net exp. wail Int. wall 1-t. wall Ceiling Ceiling Floor Floor Total ft. Total Btu. nvqu1jW Z4"- + t. of 5z; WV,-. Leeruel i 4equired S9. f!, �. .F, or sq. rne%. W.A. Leader am � P IT NO. City of Fridley 13'7SUBJECT 93 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. • ------COMMUNITY DEVELOPMENT DIV. �,;. PROTECTIVE INSPECTION cc r SEC. D �7Dy 1 9 � 1 ----1 I CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY '.J 612-560-3450 910-F15 10/1/76 JOB ADDRESS 5612 North Innsbruck Court 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 20 Innsbruck Villages SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Darrel A. Farr Development 7286 - 72nd Lane North, Mpls. 55428 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ X NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 261 x 271 Townhouse and a 201 x 221 Garage 9 CHANGE QF USE FROM TO STIPULATIONS provide adequate light, ventilation and combustion air. 5'E"�'FRAT PERM" REQUIRED PM its! "EATING, PLUMSnyIG AND StG?VS, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. wood Frame 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 8424 16,576 Total 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. $21,815 $10.91 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- $66.30 $350.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE 0 $16.58 $443.79 SIGNATUREOF CONTRACTOR OR AUTHORIZEDAGENT (DATE) W EN, PR ERLY VALIDATED THIS IS YOUR PERMIT l6 -,>-, 6 SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI BLDb INSP DATE APPLICATION FOR RE'SIDENT]AL, ALTERATION, ss .F Olt ADDITION BUILDING PERMIT e - CITY OF FRIDLEY, MINN1:SOTA Ot ri ER ` S I:Eu'` E ro_ ^o, Z)ee e /iA. BUILDER : VClin e. ADD%ESS 2,7-86 7Z "d ,Lane. it% ADDRESS . ISO :. -,5-lv /.Z STREET: /(/W_A (f 0 e � LOT: BLOCK: ADDITION: li�.�� .6 �u c •�c iii //Ad9e S CORNER LOT: INSIDE LOT: ✓ SETBACK: SIDEYARD: Applicant attach to this fora Tcao Certificates of Survey of Lot: and proposed building location drawn on these Certificates. DESCRIPTION OP BUILDING To Be Used As: 92(v a?7 !.Z J, ->he ees e✓ Front: r2e*, s Depth : ,?!a Height : � Square Feet. 8/fZ4t _ _ q �;�ri,Z Cubic Feet: (Sd ret qe.. Front: a?o Depth : 12 Z. Height: /43 , .raj. Z 40 av Square Feet Cubic Feet: Type of Construction: Nnagl --Prdb4_0� Estimated Cost: .73660 Tq Be Completed: 0 1, 1476 tr i 8AP . The undersigned hereby makes-applica.tian 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. DATE: _ �lLq , c�, /97Co SICNATUT.E (See Reverse Side ''or Additional Information.) swt% �v• 4/ { 3. P9 _ CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT Job Address 5 U /:� I Vu rj . k ... k (C=Aj DepartmOnt 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 correc Fridley, Mn. /V / . 19� OWNER PIA wa l De 4.,, --- - KIND OF BUILDING USED AS TO BE COMPLETED ABOUT PARTIAL RATE SCHEDULE m ESTIMATED COST PLUMBING FIXTURE RATES: NO. m RATE TOTAL OLD - NEW' BUILDING PEPVIT NO. PERMIT NO. e x o $ U Water i ature Fixture C. ening x $2.00 $ Company �%�4 '.%vi Fixture, old Opening x $2.00 $ Signed By Catch Basin W x $5.00 Heater 5 Water Heater - to 89,000 BTU r. $5.00 $ S fJCJ lel. No. u :! x '• $ '�' Water Softener - u $7.00 $ New Ground ?.:r. Old Building x $5.00 ..Ci x�C .0 '• C S 0 O a 0� Electric 'e-ater Y.epLter GAS FITTING FEES: U x U y 1- FINAL INSP. �)- I I � 1st 3 fixtures :,:ditio :al Fistures Q .p•l b b4 U .0 -4 b .J r1 A •-I b u x 31ec wn „O.1 r tl G1 tl N $ 0 C. tf, t+. U M 4 •= U Z C7 O ,as $ .50 yyU 38, 6 TOTAL FES $ 1st I 2nd I J 3rd 14th { (R) = Future Connection Opening Connected with Sevier (�) = :few Future, old Opening 1 Water Job Address 5 U /:� I Vu rj . k ... k (C=Aj DepartmOnt 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 correc Fridley, Mn. /V / . 19� OWNER PIA wa l De 4.,, --- - KIND OF BUILDING USED AS TO BE COMPLETED ABOUT PARTIAL RATE SCHEDULE ESTIMATED COST PLUMBING FIXTURE RATES: NO. RATE TOTAL OLD - NEW' BUILDING PEPVIT NO. PERMIT NO. ::.....mer Fixtures x $3.00 $ U e i ature Fixture C. ening x $2.00 $ Company �%�4 '.%vi Fixture, old Opening x $2.00 $ Signed By Catch Basin x $5.00 $ 5 Water Heater - to 89,000 BTU r. $5.00 $ S fJCJ lel. No. 100,000 BTU to 199,000 BTU x $10.00 $ Water Softener x $7.00 $ New Ground ?.:r. Old Building x $5.00 $ ROUGH INSP. Date Electric 'e-ater Y.epLter GAS FITTING FEES: x $5.00 $ FINAL INSP. �)- I I � 1st 3 fixtures :,:ditio :al Fistures x x $3.00 $1.00 $ .3.00 $ Date APPROVAL FOR PERHIT Gas Range to 199,000 BTU x $10.00 $ REPAIRS $ ALTEP.ATIONS First $100.00 each add. $100.00 or fraction $5.00 $2.00 $ $ MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 State Surcharge $ .50 38, 6 TOTAL FES $ REINSPECTION FEE ($30.00) ' 97 -8Zi -416051 L111 Vi � naar�.r.� APPLICATION FOR PWMBING AND GAS FITTING PE RMI Job Address 561e NO ?TH_ INNSBROOK COURT Department of Buildings City of Fridley Tel. $571-3450 The undersigned hereby makes application fora permit for the work here specified agreeing -to do all work in strict accordance with the City Codi and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and co:- Fridley, Mn. 3-11-77 , 19 PARTIAL RATE SCHEDULE y PLUMBING FIXTURE RATES: NO. E m q x m m w �; w m tP S Water Heater M J .0°4 C Catch Basin x $5.00 $ .ci x $5.00 $ 100;000 BTU to 199,000 BTU x UN $ Water Softener x $7.90 $ New Ground Run old Building :0 $5.00 $ Electric Water Heater x $5.00 w GAS FITTING FEES: , iRmC 1st 3 fixtures x Iq 0 as lee $1.00 $ .Gas Range to 199,000 BTU x $10.00 N SG►1 a 'Ag First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ State Surcharge $ .50 TOTAL FEE $ ' • 8.00 •1st CO` NFT ANG 2nd 3rd 4th (R) - Future Connection Opening Connected with Sewer (�) - New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL h% " -Cr Fixtures x $3.00 S Future Fixture Opening x $2.00 S Now 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 $7.90 $ New Ground Run old Building x $5.00 $ Electric Water Heater x $5.00 $ GAS FITTING FEES: , 1st 3 fixtures x $3.00 $ 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 $ ' • 8.00 REINSPECTION FEE ($]0.00) OWNER DARREL FARR DEV KIND OF BUILDING frame USED AS r c a TO BE COMPLETED ABOUT 3-18-77 ESTIMATED COST 10.00 ,ry OLD - NEW BUILDING PERMIT NO. PERMIT 140. Company MINNEGASCO Signed By Tel. No. ROUGH INSP. Date FIN4L INSP. Date APPROVAL FOR PERMIT ��2LL.•�= MINIMUM FEE FOR ANY•PLUMBING PERMIT IS $7.50 Class "A" Surcharge .500 . PARTIAL RATE.SCHEDULE PMMING FIXTURE RATES; NO, RATE TOTAL. N%=-hrt Fixtures � K $3.00 Hater U u .. A x $2.00 b h t; c u " $5.00 $ i Wator Heater - to 99,000 BTU ,� $5.00 01 100;C00 BTU to 199,000 BTU ._._r._. x • p l(u� r o . 2 C M '� N k 6! 6 w 8 CA 'N O -CW $5,00 $ �� GAS FITTI.NG FEES; '. 13t 3 fixtures . U' $ iJdicioaal Tixturee ._—. x• 51100 _ 3 -1 0 A x w W ��70 .+ K �pn Mpw O 3as lac in G� V`il :CPj �. U W l7 l9 is t t; r -n tc, rye tad . <0 Fu tura Connection Opening Connected with Suver (•) Nov Fixture, Old Opening I water RATIONS first 5100.00 each add. $100.00 or traction State Surcharge TOTAL FEE $5,00 $ $2,00 $ �T 1 8.00 Job Address 5612 •Irmsbrook Court North Dapartment of Buildings ' City of Fridley I Tel. 9571-3450 ` Tito undersigned hereby makes application for permit for the war specified agruoing•to do all Work in strict accordance with the Cit and rulings of the Dapartmont of Buildings, and hereby doclaros tha the !eats and repraeentations stated in this application are trve i 11-21-77 Fridley, M.i, , OWNER BETTY JACOBSON KIND OF BUILDING frame - USED AS res. TO BE C014PLETED ABOUT 11-28-773 ESTIMATED COST 20.06 OLD - NEW BUILDING PERMIT NO, VIP -IT 0. oe Company MINNEGASCO Signed Dy ' MINNEGASCO ' Tel. No. ROUGIL INSP. Date FINAL. INSP. Dato ' APPROVAL FOR PERMIT MINIMUM FEB FOR ANY PLUMBING PERMIT 19 $7.50 PARTIAL RATE.SCHEDULE PMMING FIXTURE RATES; NO, RATE TOTAL. N%=-hrt Fixtures � K $3.00 Future F.lxture 6pening >2 $2.00 $ New Fixture, old Opening x $2.00 $ Catch Basin• x $5.00 $ i Wator Heater - to 99,000 BTU x $5.00 $ 100;C00 BTU to 199,000 BTU ._._r._. x 510,00 $ Nater Sol toner .__-.... ' Wcw Grourd Lain Old Building x $5,00 $ Elecr-ri'c Water Heater - �T x $5,00 $ �� GAS FITTI.NG FEES; '. 13t 3 fixtures x 53.00 $ iJdicioaal Tixturee ._—. x• 51100 _ 3 W s Range to 199,000 BTU x $10.00 $ RE 01 T RS it JILTS' RATIONS first 5100.00 each add. $100.00 or traction State Surcharge TOTAL FEE $5,00 $ $2,00 $ �T 1 8.00 Job Address 5612 •Irmsbrook Court North Dapartment of Buildings ' City of Fridley I Tel. 9571-3450 ` Tito undersigned hereby makes application for permit for the war specified agruoing•to do all Work in strict accordance with the Cit and rulings of the Dapartmont of Buildings, and hereby doclaros tha the !eats and repraeentations stated in this application are trve i 11-21-77 Fridley, M.i, , OWNER BETTY JACOBSON KIND OF BUILDING frame - USED AS res. TO BE C014PLETED ABOUT 11-28-773 ESTIMATED COST 20.06 OLD - NEW BUILDING PERMIT NO, VIP -IT 0. oe Company MINNEGASCO Signed Dy ' MINNEGASCO ' Tel. No. ROUGIL INSP. Date FINAL. INSP. Dato ' APPROVAL FOR PERMIT MINIMUM FEB FOR ANY PLUMBING PERMIT 19 $7.50 SUBJECT City of Fridley 20973 AT THE TOP OF THE TWINS BUILDING PERMIT COMMUNITY DEVELOPMENT DIV. 1 PROTECTIVE INSPECTION SEC. NUMBER REV. GATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 7/31/91 JOB ADDRESS 5612 North. Innsbruck Court NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 20 Innsbruck Villages SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Innsbruck Townhouse Association 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Stock Roofing Inc. 289 Liberty Street NE, Fridley 55432 780-3561 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 l� REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Townhouse (.8 Squares.) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 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 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $416.00 $•50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $15.00 Fare SC $ .42 STRUCTION OR THE PERFORM N E OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE l J $15.92 _.14-71SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN OPERLY VA S IS YOUR PERMIT BL )NSP DATE SIGNATURE OF OWNERIIF OWNER BUILDER) (DATE) IM7 [ ] Effective 1/1/91 ADM [ ] A-1 AMID i-2 ALM [ ] Building Permit Application �. j tion Address: - 5 Z I2 �r� C7c O Utz 7 0 �2tiC-� Legal Description: LC ( Owner Name % Address: 1-,121 � � 2�;�� /��C � Tel. C Cntractor: J fes, c �� 1 oai �e 5 ��C : Tel $ 7,YO` 3-S6 � Address: L' "_/� r.= Attach to this application, a Oertificate of Survey of the lot, with the proposed oarmtzuctian drawn an it to scale. LIVIM ATEA: Length Width Height Sq. Ft. GRTJM AMM: Legh Width Height Sq. Ft. Me= ATi'FA: Length Width Hgt/Grour d / Sq. Ft. 07MM: t Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of onion: Estimated Oost: s? Approx. Ompletian Date: x/31 A/ Proposed Driveway Width If New opening Is Desired: Ft. $ $ / , /� Width + 6' See Back Page DAZE: �'i�`i/ APPLICAMir: l �%' Teel. # V %- 17l 6'm Permit Fee $ Fire Surcharge State Surcharge $ �Tc SAC Qharge $ Driveway Es=ow $ Park Fee $ Sewer Main Quarge $ $ /" /--a - VIZOIKUWNT Fee Schedule on Reverse Side .001 x Permit Valuation (1/10th $) $.50/$1,000 Valuation $650 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by RV, neer g Agreement Necessary [ ] Not Necessary [ ] SUBJECT PERMIT NO City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. 1 L COMMUNITY DEVELOPMENT DIV. r 1 PROTECTIVE INSPECTION SEC. f 0� CITY HALL FRIDLEY 55432 NUMBER REV DATEP AGE OF APPROVED BY 612-571-3450 910-F15 5/7/96 JOB ADDRESS See Below I LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. Variou SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Various 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Columbus Exteriors - 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Townhouses 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 6 DESCRIBE WORK Reside 44 Units (11 Buildings) 9 CHANGEOFUSEFROM TO STIPULATIONS n �z'�" ' 7 an Pass; 5601,5603,5605,5607 West 5600,5602,5604 606 West BaZest.-Bevar-len-Pass; Bavarian Pass; 5610,5612,5614,5616 5620,5622,5624,5626 West Bavarian Pass; 5620,5622,5624,5626 North Innsbruck Ct; 1521,1523,1525,1527 Trapp Court; 5650,5652,5654,5656 West Bavarian Pass; 5660,5662,5664,5666 West Bavarian Pass; 5661,5653,5655,5657 West Bavarian Pass; 5671,5673,5675,5677 West Bavarian Pass; and 5681,5683,5685,5687 West Bavarian Pass 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 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 44 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $228,800 $114.40 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- $1,532.25 Fire SC $228.80 STRUCTION R THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE License SC $5.00 $1,880.45 SSG OF CONTRACTOR OR AUTHORIZED AGENT (DATEi WHEN PROPERLY IDATED THIS IS YOUR PERMIT BLDG SP Da Tf S,GNATURE OF OWNER oF OWNER BUILDER, IDATE6 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 FAX (763) 571-1287 RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but pet -0R_ / 00 n Gas Range �Q 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 $ 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. Effective January 1, 2003 JOB ADDRESS �L� �� ;r Y,6 6-0 c k C7- OWNER— STOWNER TG -S Grtcv1 TOTAL BUILDING USED AS ESTIMATED COST �Z_3G'� ' PERMIT N0. _ DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units 1 Circle One (Steam) (Hot Water) (Warm Air) $ Trade Name &k,, a� - 6;l0 -.:a►5z,-,Size No. BTU 30, oco 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 S� representations stated in this application are true and correct. DATE /3_0 o 3 HEATING CO ' i-c-J.,e- Ik,,V Signed TEL # FAX # Approved By4 Rough -In Date Final Date THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED When rapine -inn an axictin0 Iran _ _, 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 awlc6nn nnmhnstinn air is sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When required to install a now _nmhiistion amt will be sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When jpgntaiiina a new venting,nye pm, 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 #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 7 Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Heightft Length ft Diameter in Type M HEATING CO: Signed By: Date Building Inspections 763-572-3604 DATE x_44 SITE ADDRESS _ THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PERAM TYPE MECHANICAL RESIDENTIAL APPLICATION CITY OF FRIDLEY YOUR 0 OWNER COMPANY NAME; a I Hnued CONTACT PERSC kEWTL.65,41 STATE LICENSE # PHONE FAMILY 0 TWO FAMILY TYPE OF WORK: 1 [7 NEW EPLACEMENP DETAILED DESCRIPTION OF WORK MN 55408 Permit Received D STATE ZIP FAX []TOWNHOUSE ❑ ALTERATIONMEMODEL PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, exclucling.t3te. nGtureS- _: CThis should reflect only.the cost of labor) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor - x .OS FOR PROJECTS WHERE LABOR EXCEEDS $500 ,4RE B _ ON -$10.00 PER FIXTURE, EXCEPT WHERE NOTED. �: (/M' ICATTE TOTAL NUMBER OF EACH BELOW) MODEL 3 l o SITU t8-�—� Equipmentlnstalled MFCi: gT&FlB7X7 MFG: MODEL: MFG: MODEL~ _ __ sU3MTU A� FIREPLACE (GAS) $15.00 GAS RANGE#OVEN $10.00 AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 BOILER $35.00 FURNACE $35.00 GAS UN1T HTR $10.00 CHIIvII-IEY LINER $10.00 5.00 %GAS DRYER $10.00 VENTILATOR;1�5 00 DUCT WORK $10.00 (IAS PIPING $10.00 Number Permit Fee $ of fixtures @$10-00—x $lo.uv = Surcharge $ .50 Number of fixtwu @ $15.00 x $15.00-= $ TOTAL DUE $ Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = $� StEb Surcharge = Total = $,�'r_g THIS IS AN APPLICATION FOR APERMIT-NOT VALID UNTIL PROCESSED D that the information above is complete and accurate; that the work will be m of Fridley and with the Minnesota -Construction Codes; that i understand this is ark is not to start without a permit; that the work will be in accordance with the low and approval of Ow, I hereby apply for a building pennit and I conformance with the or c es and code not a permit but o ap 'en�for a j approved plan in a case o o whicl SIGNATURE OF City of Fridleg Building Inspections DePartment 6431 Univer * Avenue NE, Fridley, MN 55432 763-672-3604 FAX: 763-502-4977 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMESIADDITIONS EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXISTINQ° : Q I�,S Li iV 1. Combustion Air ('See note belo`Vvj a. Oil or solid fuel ]MC Chapter 7 with MN Amendments b. Natural Gas or Propane/1FGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8. with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or 7672 6. Duct Design PerIMC 1346.0603:2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for Combustion and make up air calculations