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PRE 2010 DOCSCity of Fridley SUBJECT PERM 14240 AT THE TOP OF THE TWINS PERMIT r BUILDING REGflPT NO. �. COMMUNITY DEVELOPMENT DIV.— r i PROTECTIVE INSPECTION SEC. '9� 1 1 � NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-560-3450 910-F15 7/26/77 JOB ADDRESS 1500 North Innsbruck Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 9 Innsbruck North SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Ulmer Construction Inc. 103 East Golden Lake Lane 784-1315 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAILADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK a 72' x 54' Dwellingand a 23' x 26' Garage WARNING #i°te�e dig`inQ call locsl REQ FOR 1NlRIWC�„ i 9 CHANGE OF USE FROM JEATING, PLUM -1 D S1IGNS. REQUIRED BY � STIPULATIONS Provide a hard surface driveway. Provide sod in the front and side yards. Provide a verifying survey before capping. Provide window or exhaust fan to outside in furnace room. Provide truss design before capping. Provide soil borings and/or compaction tests and site inspections shall be required. Submit mfg. specifications and approval data for elevator before capping. SERVICES OFF NORTH INNSBRUCK DRIVE SEWER LOCATION: (Approx. 8' Deep In Street) 89' East of Manhole (E. Inv. 960.00) WYE ELEV: 962.67 TOP OF FOOTING: 965.90 Minimum WATER LOCATION: 19.2' East of property line. Approx. 10' East of Sewer Service DRIVEWAY DEPRESSION COST:.N/A Existing Surmountable Curbing. TM! CM OP • PMOM. DOES NOT GidARANTEE THE ACCURACY. OP VMffT LOCATIONS AND ELEVATIG •, THIS DATA 43 MR *062MATION PURPOSES ONLY AN.) PERSONS USING R SHOULD VERM THE INfQN"71ON SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Wood Frame 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 R-1 1640 + 554 38,340 Total ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING v I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ] 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $50,675 $25.34 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- S OF CONSTRUCTION. $153.36 $375.00 RUCTION OR THE PERFORMANCE PLAN CHECK FEE TOTAL FEE $ .34 $592.04 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGEN (DATE) HEN PROPEIJLY VALIDATED THIS IS Y UR PERMIT BLDG IN SP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) ities Etc. NO t,L I I UI CK / APPLICATION FOR RESIDENTIAL BUILDING PERMITS J CNEW, ALTERATION,, ADDITIONS, OR REPAIRS) OWIIER: BUILDER: 34�' Address: Address: ��e�D Tel. No. L � No.: Street: LOT: BLOCK: ADDITION: CORNER LOT: INSIDE LOT: SETBACK: 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: Front: 7,2-- Depth: ^T Height: L Square Feet: ��� Cubic Feet: Z- z S ®-� Front: 3 Depth: Height: L� Square Feet: Cubic Feet: Type of Construction: Estimated Cost: To Be Completed: Alt. A Alt. B Proposed 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 for additional information. DATE: �'1 —�7 SIGNATURE: dydna . Stipulations: &AJ O44 •� A&V J101 d. P.44JiP9- 71ZAO'S e,,,� 5 _ ate. 3V pe" S44 oma! ALM J"A d CITY OF FRIDLEY APPLICATION FOR POWER PLANTS A;,m HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE - GRAVITY WARM AIR: RITE TOTAL Job Address hj®O DSP/VF Far^ace 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. X571-3450 MECHANICAL WARM AIR: The undersigned hereby makes application for a. permit for the work herein $12.00 $ specified agreeing to do all work in strict accordance with the City Codes Furnace Shell & Duct Work to 100,000 BTU r 4.00 $ L Q and rulings of the Department of Buildings, and hereby declares that ail the eac.. 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 $ 19_ Repairs & Altera;:ions each add. $500.00 4.00 $ Fridley, Minn. STEAM OR HOT WATER SYSTEM: OWNER f �M rg CO SLS T7�FB�' 7'10-d Boiler & Lines up to 100,000 BTU $12.00 $ /- KIND OF BUILDING each add:.. 50,000 BTU 4.00 $ q� Boiler only up to 100,000 BTU 7.00 $ USED AS V W E L, 141(. each addn. 50,000 BTU 6.00 $ ' TO BE COMPLETED ABOUT /997 OIL BURNER- to 3 gal. per hour $10.00 $�� � COST /0-700 each add. 3 gal. per hour 10.00 $ ESTIMATED PERMIT NO. GAS BURNER- from 1C0,000 BTU to 199,999 BTU $10.00 $ OLD - NEW BUILDING PERMIT NO. (over 199,999 BTU see Fee Schedule) .10,00 $ GAS FITTING FEES: lst 3 Fixtures x $ 3.00 $ 3.00 DESCRIPTION OF FURNACE/BURNER Additional Futures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00 $ HEATING or POWER PLANTS, Steam, Hot Water, WNo. AIR CONDITIONING $Trade Name E-8doxSize No.. � 77— FAN HEATING SY ST ENS % see Fee Schedule VENTILATING SYSTEMS ;- $ $ sq. Ft. EDR BTU 13Z000HP ALTERATIONS $ REPAIRS % $ Capacity _ State Surcharge $ .50 / Total Connected Load F/ / ?rind of Fuel �[% fir C?�� TOTAL FEE $ a ) BUP.NER - Trade Name /ti tY /� Size No. ®� ?OUGH I�SF. REINSPECTION FEE Capacity Sq. Ft. EDR BTU HP Date (.$10.00) Company f 0 �_ L IDNAL INSP. Date Signed By ��5 /� APPROVAL FOR PERMIT ��1�- r Tel. No. A4`NIMUX FEE FOR ANY HEATING PEP-4IT IS $7.50 P y HEAT LOSS CALCULATIONS DEPARTMENT OF INSPECTION WeatherstripsGA.Suide Construction No. Windows Doors Reference Out. Wap Int• Wall Ceiling Roof Floor Yes-�o I Yes—No 19_ Kind 11_I �• ® R.,.tat l�nath / Q/idth fc.� Hainht Ift I F1 pN6v/ p WC Room Length Wi ws and Doors--Crackage and Area / Width Hight No. o ael t . Ara No. of pans of pane lights of amck sq. ft. _ �e -41 Coef. Btu Infiltration Btu 37 Infiltration Glass AV � ✓� � � Exp. wall If p Gan Net exp. wall,' Y31 Up. wall, f el, Int. wall 06' y Ceilings dE31%! rd Floor _ Ceiling Tow Btu. 1 //®-00 o Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI.1 A J Room I Length Width / Heiaht F Windows and Doors—Crackage and Area / Width Height No. of Lineal -fl. Are No. of pane of pan. lights of track pe. yr 141 LL -41 Coef. Btu Ceef.1 Btu Infiltration's Infiltration Glass Glass p Gan Net exp. wap Y31 Up. wall, f el, �=3 06' y Net exp. wall Int. wall dE31%! 1 _ Ceiling s =71 71 �1-5 Floor `�` ��6 6 Total Btu. J'O Required sq. ft. E.D.R. or sq. ins. WA• Leader area Fl_l-,f016:.P Regie► ILenirth IP Width �` Heitht Windowsf'and Doors--Crackage alnl Area 11 Width Hight No. of a al n. Ate No. of pane of pan* lights of ==k sq. it. e,�°�' `®777 -41 Coef. Btu Cftf.1 Bas Infiltration's Infiltration Glass Glass p Gan Net exp. wap Y31 Exp. wap f el, �=3 06' y Net exp. wall dE31%! Net exp. wall _ lat. wall Iat. wall Ceiling Floor �'' � E'' J 13L,41� NUMEAMUS. MM. Inlrulatiou How Applied Width A/ Height Windows, and Doors—Crackage and Area 11 Width Height No. of Lineal ft. Are No. of pans of pk • lights of erack etl• IL e,�°�' `®777 7-7 Coef. Btu Infiltration- nfiltrationGlaze Coef. Btu Infiltration Glass Exp. wap- T p Gan Net exp. wap Y31 1 zo �=3 Ev. wall y Ceiling�)i dE31%! Net exp. wall Iat. wall Ceiling Floor 0� Total Btu. IICT 4119 Required sq. ft. E.D.R. or sq. ins. WA• Leader area V1 I d'' .' f' "," -/2.•••... 11 I9_ Qhdrh jez Heaht .4 Windows soil Doors--Craekage and Area ,qq ".ag width Height No. of Lineal It. Are No. of pan• of pam of craek sp. ft• Alights a, 77 r7L7. 7 , IS Coef. Btu Infiltration- nfiltrationGlaze Btu Infiltration Glass Exp. wap- T Glass Net exp. wap Y31 1 zo �=3 Exp. wall Ceiling�)i dE31%! Net exp. wall Int. wap Ceiling Floor Windows akd Doors—Crackage and Area Width Hight Na of Lineal tl. Are No. ofpac. et • lights of crack N• it. �/ F JT 7 / IS Coef. Btu Infiltration- nfiltrationGlaze Glass Exp. wap- T Net exp. wap Y31 1 zo Int. wall Ceiling�)i dE31%! Floor Total Btu. ( :Crrr; c>p II Total Btu. I tllo 14' Required sq. ft. E.D.R. or sq, ins. WA. Leader area I Required sq. N. E.D.R. or sq. ins. WA. Rader area HEAT LOSS CALCULATIONS DEPARTMENT OF INSPECTION Weatherstrips Guide Construction No. Windows Doors Reference Out. Wap Int. Wall Ceiling I Roof Floor Kind - Yes-ITO I a- 0 19_ F1.1 s!0^YVc. Room I Unath ,,'_ Width Heiaht II Fi.� ' ? �' Room lLe Windows and Doors-Crackye and Area �7 21 Width Height No. of Lineal tL Area No. of pane of patio lights of crack sq. IL c='ild% 7777 7 97 76 Coef. Btu Infiltration Glass C"Ll Exp. wall ° Infiltration Net exp. wall a c' Int. wall 3 k Ceiling " C) 0 Floor 1 otal litu. ? O �- v Required sq. ft. E.D.R. or sq. ins. WA. Leader area F1.1 Z,,40) Room I lanath ,' Width - -� Heisht . ` Windows and Doors}-Crackage and Area �7 21 width Height No. of Llne4tL Are No. or pane of pane lights of crack on. rL 7777 7 97 76 Btu C"Ll Btu Infiltration c' e : 3 k - -: Glue y 6 , Exp. wall 777 -6 Int. wall C5? 0 0 Net exp. wall Y'VO S-' Int. wall fi Ceiling 2* Floor 5 _ Total Btu. Required sq. h. E.D.R. or sq. ins. W.A. Leader area Windows and Doors--Crackage and Area �7 21 Width Height No. of Lineal tL Ana No. of pane of pane lights of arack sq. V' f f�it. J —E1 ---f �4� Btu COCO Btu Infiltration c' e : 3 k �f k Glass i> 6 0 0 Exp. wap 777 -6 Int. wall C5? 0 0 Net exp. wall Y'VO Floor lot. wan fi Ceiling 2* Floor 5 _ Total Btu. :4110 5� 4 Required sq. ft. E.D.R. or sq. ins. WA. Leader area 131AP ItrIDVNFAPOLIS. MM. ]pfnlatiOn How Applied f- Width 0P Heiaht /f Windows a"'Doorii-Xvackage and Area �7 21 width Height IVa of Lineal ft. Apra No. or pane or Nano lights of crack M. fl. 0 �.� J —E1 ---f �4� Btu Coef. Btu Infiltration c' �> ,. �� 61 /'!rcla Glace i> 6 0 0 Exp. wall 777 -6 Int. wall C5? 0 0 Net exp. wall Y'VO Floor Int. wap fi Ceiling 2* Floor 5 _ Total Btu 1 z;* Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F'1_I '',!% = '' Rmm 1 Ianath Al Width '°e Heisht ' Windows and Doors--Crackage and Area et Width Height No. of Lineal ft. Area No. of pane of Was lights of crack sq. ft. Btu Infiltration Stu Infiltration Glass /'!rcla Exp, wall Net exp. wall 0 0 Exp. wall 777 -6 Int. wall Ceiling Floor lat. wall Total Btu. 6 Required sq. ft. E.D.R. or sq. iris. WA. Deader area FI -1 .0,-A A Rmm I lanath ,1 Width .f',; Height Y Wiadowa and Door -trackage and Area 99. Width Height No. of Llnel it. Ana a of pane of twos, lights of crack sq. IL Coef.1 Stu Infiltration /'!rcla Glass 0 0 Exp. wall 777 -6 Net exp. wall lat. wall Ceiling Floor Total Btu. I ; �.Y ur Fv,,!DLEY APPLICATION FOR PLUMBING AND GAS PITTING PE MIT PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures Future Fixture Opening New Fixture, Old Opening Catch Basin • Water Heater - to 99,000 BTU 100,000 BTU to 199,000 BTU Water Softener New Ground Run Old Building Electric Water Heater GAS FITTING FEES: 1st 3 fixtures Additional Fixtures Gas Range to 199,000 BTU REPAIRS $ ALTERATIONS First $100.00 each add. $100.00 or fraction x $3.00 $ e $2.00 $ x m $ x $5.00 U x k d x Water v x $7.00 $ x $5.00 H a C q b H W w Heater +i Wb A r- N JJ W M 0 .9 r d 1 U M 0 sa U o3 o . -A .0•a 41 y � N .i a O 8 •✓ N O X u N N m N x 'as to u 0 m aq to ' o w y w U m It, 3 0,4c O lec 1st 2nd 3rd 4 th (R) = Future Connection Opening Connected with Sewer (•) = New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures Future Fixture Opening New Fixture, Old Opening Catch Basin • Water Heater - to 99,000 BTU 100,000 BTU to 199,000 BTU Water Softener New Ground Run Old Building Electric Water Heater GAS FITTING FEES: 1st 3 fixtures Additional Fixtures Gas Range to 199,000 BTU REPAIRS $ ALTERATIONS First $100.00 each add. $100.00 or fraction x $3.00 $ x $2.00 $ x $2.00 $ x $5.00 $ x $5.00 $ x $10.00 $ x $7.00 $ x $5.00 $ x $5.00 $ x •$3.00 $ x $1.00 $ x $10.00 $ $5.00 S $2.00 $ State Surcharge $ .50 TOTAL FEE $ REINSPECTION FEE ($10.00) Job Address f �i ! �n'1 � 1-�� /-)." 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 OWNER n Fridley, Mn. 42-2 , 19= KIND OF USED AS TO BE COMPLETED ABOUT ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMITNNO. Company Signed By Tel. No. ROUGH INSP. /7 Date FINAL INSP.- j Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 pLUS $.SO STATE SC 'E v 0 Q CITY OF FRIDLEY APPLIQTION FOR PLUMBING AND GAS FINING PERMIT Job Address A -15-0y Department of Buildings City of Fridley Tel. #571-3450 4) d4i� ��& /&- The undersigned hereby makes application for a permit for the work hereia 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, Mn. , 19 OAAER KIND OF • s t s• AS•. - - s TO BE COMPLETED ABOUT PARTIAL RATE SCHEDULE m PLUMBING FIXTURE RATES: >. m TOTAL m PERMIT NO. o x X d Water al m m $ Company w a .c+ to m o +-1+ a w 13'Heater $ Md ro G N E. Catch Basin a $5.00 eer. 0a0i a Water Heater - to 99,000 BTO_x s+ $ J� G® Tel No. rd 100,000 BTU to 199,000 BTU x $10.00 $ Water Softener 8w $7.00 $ New Ground Run Old Building x $5.00 $ ROUGH INSP. w � $5.00 ro u O x . m ro�� ro y N -Cm '$3,00 3 $ �OG ag rd 14 U U w t .� 0 3 Q w rn w U ca 3 c� c o as lec Raqp First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.SO STATE SURCSARGE State Surcharge $ .50 1st TOTAL FEE $� REINSPECTION FEE ($10.00) 2nd 3rd 4th (R) = Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water Job Address A -15-0y Department of Buildings City of Fridley Tel. #571-3450 4) d4i� ��& /&- The undersigned hereby makes application for a permit for the work hereia 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, Mn. , 19 OAAER KIND OF • s t s• AS•. - - s TO BE COMPLETED ABOUT PARTIAL RATE SCHEDULE ESTIMATED COST PLUMBING FIXTURE RATES: NO. RATE TOTAL OLD - NEW BUILDING PERMIT NO. PERMIT NO. Number Fixtures x $3.00 Future Fixture Opening $2.00 $ Company x New Fixture, Old Opening x $2.00 $ r V Signed By 1-17-111C NX Catch Basin x $5.00 $ Water Heater - to 99,000 BTO_x $5.00 $ J� G® Tel No. 100,000 BTU to 199,000 BTU x $10.00 $ Water Softener x $7.00 $ New Ground Run Old Building x $5.00 $ ROUGH INSP. Electric Water Heater x $5.00 $ Date GAS FITTING FEES: FINAL INSP. > ^ ? ^ 1st 3 fixtures _L x '$3,00 3 $ �OG Date Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ APPROVAL FOR PERMIT REPAIRS $ ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.SO STATE SURCSARGE State Surcharge $ .50 TOTAL FEE $� REINSPECTION FEE ($10.00) NEW .L ] City of Fridley Effective 4/1/86 ApPN. [ ] R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: 1500 North- Innshruc-k nr; t7A - 'Fridley, - Legal Description: Lot 2, Block 9, Innsbruck North Owner Name & Contractor: Address: John and Mary McKendrick and Ear D & ngTel. # 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 GARAGE AREA: Length DECK AREA: Length OTHER: Porch A ir Width Height Sq. Ft. Width Height Sq. Ft. Width Hgt/Ground Sq. Ft. 134 [4101(Vg•696`(OW - ItQ Corner Lot [X] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: Wooj� FtAynL- Estimated Cost: $ '- Approx. Completion Date: .(fitjr�-7 10 wv Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: APPLICANT: Tel. # '57/-el3?2 CITY USE ONLY Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $ 525 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] s av o v— '3oZ• JrV �a. Jz SUBJECT ffRM4T NO. City of Fridley4 41 AT THE TOP OF THE TWINS BUILDING P E R M I T<__ Ir RECEIPT NO. � • ______ COMMUNITY DEVELOPMENT DIV. 1 PROTECTIVE INSPECTION SEC. r NUMBER REV DATEPAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910415 6/7/95 10B ADDRESS 1500 North Innsbruck Dr NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 9 Innsbruck North SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Robert Kutcher 1500 North Innsbruck Dr NE 574-1500 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 ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling (30 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT IHAVE READ AND EXAMINED THIS APPLICATION 1 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 $2,250 $1.13 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- Fire SC $2.25 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $54.00 PLAN CHECK FEE TOTAL FEE $57.38 SIGN R F ONT UTHOR AGENT (DATEi WHEN PROPER VALIDATED THIS IS YOUR PERMIT (R/ NATURE OF N DE ) IDA EI LD INSP p NEW [ ] Effective 1 / 1 /95 ADDN ..... . [ .] CIT. y. -OF- •FRIDLEY . :... :... _.. ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Legal Description: ��/��� //�� Owner Name & Address: �D_�.?� -Z ,1� ��� Tel. Contractor: '� ��� MN LICENSE # Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + _ $ DATE: APPLICANT: Tel. d CITY USE ONLY Permit Fee $_ /� O Fee Schedule on Reverse Side Fire Surcharge $ �- a�^ .001 of Permit Valuation (1/10th%) State Surcharge $ L / 3 $.50/$1,000 Valuation SAC Charge $ $850 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 STIPULATIONS: . CITY OF FRIDLEY INSPECTION DIViSION Effective On January 1, 2001 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 JOB ADDRESS ISCO N _Zn05bruff., Drive, RATE SCHEDULE RQbf-r I KUf OWNER Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Rate TOTAL BUILDING USED AS Ce5( i'1 " $ 30.00 ESTIMATED COST' 5Eq] PERMIT NO. $ 10.00 $ DESCRIPTION OF FURNACE AND OR BURNER $ 10.00 $ No. of Heating Units Circle One (Steam) (Hot Water) Warm Air $ 10.00 $ Trade Named Size No�►�� BTU HP EDR $ 25.00 $ 26 -Do Fuel_ N&f fagS i Total Connected Load 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. $ .50 $5s=0 Burner Trade Name Size No. BTU HP EDR The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes an rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE LO 1131 Q / Rough -In Date COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, the undersigned hereby verges that the venting has been examined and is free from rust, deterioration, obstructions, firestopped where required. Yes ( No ( ) and is securely supported and The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes) No( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes No( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes) No( ) When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes ( No( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes No( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes No( ) Appliance Type and Size/Common Vent and Vent Connector information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date : CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-3604 FAX: (763) 571-1287 ADDRESS : 1500 N INNSBRUCK DR NE PIN : 243024420069 LEGAL DESC : INNSBRUCK NORTH : LOT 2 BLOCK 9 PERMIT TYPE : ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION PERMIT NO.: 2004-01786 6p t DATE ISSUED: 10/05/2004 VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL A SAVERS SWITCH. # INSPECTIONS 1 APPLICANT HUNT ELECTRIC CORPORATION 2300 TERRITORIAL RD ST PAUL, MN 55114 - OWNER DONALD STUDLEY 1500 N INNSBRUCK DR NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of worl will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp Date ELEC PERMIT FEE - MIN (RESI) 20.00 STATE SURCHARGE, ELEC FLAT 0.50 TOTAL 20.50 PAID WITH CHECK # 118132 SEYAKAIE YEKMI S REQUIRED FOR WORK OTHER THAN DESURLBED ABOVE.