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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT Date: Owner: - - , •• ;�= a, s!�� _..__.... Address Builder _.._. ........ +....... .._.._..... Address ...., _._._ ... _.W_ _ LOCATION O I DING Part of Lot ... No..... f Streetw._ -----___ Lot ... Block ..... _...... ddition or Sub-Divisi n.......�.�-.. s.. Corner Lot ..__......._..._...-._....... Inside Lot .-----------.. Setback ..._,�+� ......._...._..__ Sideyard _ .— . -• Sewer Elevation ..... . ............................ ........ _.... .............. .............. _.._............. _... Foundation Elevation DESCRIPTION OF BUILDING To bq Used as: i ��"'' / _. .:_..:. Front . _. ,. Depth .. . _ Height ._ :,. Sq. Ft. _ yr�'_ Cu. Ft. d-9 e - -.44.4 .... Front . Depth .. .... Hsight _' Sq. Ft. ....._f — Cu. Ft.... Type o nstruction .....:........�. Est. Co ...... _o be Completed ....._............._............-- _.... In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $...;?... __:...._.::., permit is hereby granted to.....___............................... to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violationany of the provisions of said ordinances. '— ^/? Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these hems. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner's Name 6 ci. Build4s 'f Address Address - � � y� A v c �y LOCATION OF BUILDING No. Street Part of Lot Lot !_ Block 13 Addition or Subdivision -2, Corner Lot Inside Lot „�, Setback -g Side -Yard SEWER ELEVATION 9' FOUNDATION ELEVATION Z'Z cf , Applicant attach to this form Certificate of Survey of Lot and proposed building location. To be used as: DESCRIPTION OF BUILDING Frontepth : ,_Height Sq. Ft. Cu. Ft. Front L 3 _Depth a Height Sq. Ft. Cu. Ft. Type of Construction "�� �'� ' Estimated Cost /f Q To be Completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE / --� e77SIGNATURE (A Schedule of Fee Costs can be found on the Reverse Side.) Application for Power Plants and Heng. Cooling. Ventilation, Reftigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: Furnace Shell & Duct Work .......................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 .................. Repairs & Alterations each add. $500.00 ............... MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ each add. 60,000 BTU ....................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 ................. Repairs & Alterations each add. $500.00 .............. STEAM or HOT WATER SYSTEM RATE TOTAL 8.00 $ 5.00 $ 5.00 $ 2.50 $ 8.00 $ 2.00 $ 5.00 $ 5.00 $ 2.50 $ Furnace Shell & Lines ---to 400 sq. ft. EDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ GAS FITTING FEES: NO RATE TOT 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS REMARKS: $ See Fee Schedule TOTAL FEE Dept. of Bldgs. Phone SII 4-7470 City of Fridley: v The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are trueand correct. .4Fridley, 1Vlinn �E G 5,-- 1960 - 195— Owner Z Kind of Building Used as To be completed about 195- 195- 00 Estimated Cost, $ ding Permit No.�' DESCRIPTION OF WORN HEATING , Warm Air—No- Trade Name Size No Capacity Sq. Ft. E.D.R G BTU H.P. Total Connected Load Kind of Fuel. BURNER — Trade Nam Size No �'A- Capacity Sq. Ft. E.D.R 1001 Xenia Av. 5. Minneapolis 16, Minn. Signed y 11 POST 1M-12-58 Business Phong'No 'Y a. fly 6 4►"' �., ®�'.^y6.. - fr _ - / '� ._ v- 1)•36 HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MINNEAPOLIS. MINN. A.S.H.V.E, Weatherstrips _ Guide Construction No. Insulation WindowsI Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How. Applied Yes—No Yes—No 19_ F1.1 Room I Length ; Width Heistht - II F1.1 Room I Length Width ` Height Windows and Doors—Crackage and Area Width Height No. of Lineal f : Area No. of pane of pane lights of crack sq. ft. el i • Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int: wall Ceiling - i Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length " '._ Width' Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. - el i • Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling i Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane llghta of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor - Total Btu. Required sq. ft. E.D.R. or'sq. ins. W.A. leader area Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area Noe of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Lenge Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. F Required sq. ft. E.D.R. or sq. iris. W.A. Leader area F1.1 Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area '50s91 City of Fridley, Minn. N° 8465 BIT.[ D NG PERMIT Date: SEPTEMBER 17, 1965 Owner: JAMES BRUBAKKEN Builder OLSON COMPANY Address 6810 naklev Drive N -E- Address 4004 - 4th Avenue South Fridley 32, Minnesota LOCATION OF BUILDING No. 6810 Street Oakley Drive N.E. part of Lot Lot 12 _ Block 3 Addition or Sub -Division Brookview Terrace, 2nd Addn. Corner Lot ._ Inside Lot _ _ Setback __._ Sideyard Sewer Elevation To be Used as: Foundation Elevation DESCRIPTION OF BUILDING Front - Depth Height . _ Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Est. Cost _,?,QQO.00 To be Completed z REPAIRS DUE TO STORM DAMAGE - REBUILD In consideration of the issuance to me of a permit to construct the building described above I agree to do the proposed work in accordance with the description ab set set forth and in compliance with a'll provisions of ordinances of the city of Fridley. /_ / . - In consideration of the payment of a fee of $ 10.00 , permit is hereby granted to OLSON COMPANY to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving ofbuildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. ALLEN G. JENSEN Building motor NOTICE: This permit den sof corer the conairuedw, butallafion for wiring, plumbing, gas heating, sewer or waist. Be saes to no tiro Building Mgmftr for aoparab p mahs for these Berns. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA /I/r/i2C�l� �_ti r 2 S OWNER'S NAME, � �' � � ' � BUILDER ADDRESS ��� .�' / �° C��' ADDRESS C LOCATION OF BUILDING NO, STREET PART OF.LOT LOT BLOCK ADDITION OR SUBDIVISION CORNER LOT INSIDE LOT SETBACK SIDE -+YARD SEWER ELEVATION FOUNDATION ELEVATION 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; LZ f Depth Height Fron D p H t Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Type of Construction To be completed Cu. Ft. Estimated Cost / a ,, v 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, DATE S (Schedule of Fee Costs can be found on the Reverse Side). 00 SUBJECT MIT NO. City of Fridley("� 2 9123 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT -NO.���7 F • ____ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r i PROTECTIVE F � _ CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 4/1/99 JOB ADDRESS 6810 Oakley Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 12 3 Brookview Terrace 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Todd Jenko 6810 Oakley Street NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Premium Roofing 6680 Lucia Lane NE Fridley, MN 55432 571-3973 20097688 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 House & Garage (24 Sq) Tear -off 8 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 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 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 $2,056 $1.03 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- $74.15 Fire SC 2.06 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE OWOTAL FE f�-6e �.I�'C �- - Lice .00 $ 4 SIGNATURE OFCON TRACTOR OR AUTHORIZED AGENT IDATEI NPR PEAL DATED T S YOU R T I BLDG SP RATE S-GNATURE OF OWNERJF OWNER BUILDER� IDATEI 00 NEW [ ] ADDN [ l AT [ ] Effective 1/1/99 CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: A Ve) 0,4& /7- S / Legal Description: �� F Owner Name & Address: 7o- a p J_E l ;G Tel. # Contractor: MN LICENSE#9 Address: 4� 6'� Z 0 l r1/ 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: Construction Type: Estimated Cost: $� (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: q - -q 9 APPLICANT: - Tel. # Permit Fee $_ S Fire Surcharge $ ' 6 C State Surcharge $ 1,p3 SAC Charge $ License Surcharge $ CSO Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ col'?- :_ STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1050 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] SUBJECT ERMIT N City of Fraley 3 802 AT THE TOP OF THE TWINS BUILDING PERMIT RNO. _ ____ COMMUNITY DEVELOPMENT DIV. L - PROTECTIVE INSPECTION SEC. % ��pp 2-oVO4 dAECEIPT q� ■ CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 5/7/01 JOB ADDRESS 6810 Oakley Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. %$ 12 3 Brookview Terrace 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Todd/Deb Jurek 6810 Oakley Street NE 763-571-0655 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Four Seasons Construction Co Inc PO Box 32033, Fridley, MN 55432 763-786-4039 a ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 2456 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW 7 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 22' x 101 Living Area Addn; an 8' x 10' Deck; and an 18' x 22' Garage 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan. WAm"NING Before digging call for all utility locations 454.0002 REQUIRE® BY LAW SEPARATE PERMITS ARE REOUIREO FOR ELECTRICAL. PLUMBING. HEATING. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION � OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ' NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 $17.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $35,000 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE ROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- S CTI R THE PERF MANCE OF CONSTRU 492.25 Fire SC $35.00 u � Al6 PLAN CHECK TOTA EE jF Lice e$5. 549.75 SiG TU C •RACT OR AUTMORI GENT '^ IDATE7 OAT THIS IS V P - 17 S,GN4TUBE OF OW NEA,iF OWNER BUILDER, BOATF VOG iNSPor- f�ATf NEW [ ] Effective 1/1/2001 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION 1/1 Construction Address: a' Legal Description: Owner Name & Address: Tel. # 065 5 Contractor: Toe", MNLICENSE# R12-,9456 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 aWidth 1D Height Sq. Ft. GARAGE AREA: Length 125 Width Height Sq. Ft 30/ DECK AREA: Length Width /® Hgt/Ground Sq. Ft _CS (5 OTHER: Construction Type: 4,'®.A., Estimated Cost: $�360oQ, 0t] n Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ i'r- 3 ,d3 DATE: 4L -JR ---O/ APPLICANT: CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Call (763) 572-3604 for Permit Fees if mailing in application $� Fee Schedule on Reverse Side $ 3S, 00 .001 of Permit Valuation (1/10th°) $ /?7, $.50/$1,000 Valuation $ $1150 per SAC Unit $ 00 $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 [ ] Land Planning land Survey i J Soils Testiny Civil b- Municipal En5ineermy ENGINEERING, INC. i — Engineers Surveyors 370Mississopj ft. AT.. Minrn gowns ?l, Minniesota S14101W40" certificate of sszrPe �`'� Ai'y�-c A/Yt;✓i ULJ►2 _T A /rove ' r� ---- ?2 C) `F v 10' Drive_. 1 , � 24.0 �. w �r0h /hereby certify that this is a true and correct representation oV'o sirveyf eft bandor;es o`'& ohow demcrilard /arid, and of'#je 1whon #Poll b #ldin9s, #xre&7, and o/l risible err wcbments , If & , fnri or 07 "id /and. As 'survey ed hq me Phis-- cby A:D dui2. SU6UR8AN ENGINEERING, INC. E319 leers E- Surre yrs AY71171 A r CITY OF FRIDLEY INSPEC) iUN DIV 6431 University Ave NE Fridley, MN 55432 763-572-3604 V II APPLICATION FOR PLUMBING AND GAS FITTING PERMIT Effective On Jan 1, 2001 PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas" NO. RATE TOTAL Gas Range" Gas Dryer" Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 7 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance • State Surcharge $ .50 TOTAL FEE $o? -S. a JOB ADDRESS The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. 7___9 • . 20C2! Owner Building Used As Estimated Cost PERMIT NO. / 3m�y PLUMBING COMPANY Pipe SIGNED BY 1114111V jk TEL N0. 03 Approved By Rough -In Date Final Date aim COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE MARK NUMBER OF FIXTURES TO BE INSTALLED ON EAUH I-LUUK �•� �:::: •� ><Jeitm..<' Wash r:. >?> Floor i:.::..Auto. Vis;:::.:?+:?:.:.Gas i' •%..:.f.::•:::: %�.: :"Water Heater y::.a.�: Gas Elec Stories Urinal u'': Shower 't°... Showt.. :.,,••:'::ll,v+:. aP:%` Tra t><:' Drain !#�t5t:<N« Washer - .v1+.'Y.+ :::;:-.`:1Q:: ..;aaP' ?• �•: +� ::l . :v fi• :::3•,: ��i :? :Pi.: :Y{.P::!i::,:j:: F. •'{: {Pi,P�a; ...li: ':.. • .: %:.; ... :{k:!ri8'di:!i�%�;: i::v�::?? a::a?+//.P }%�;�v,-$?:1;;::Y�: ..:,L,`:. Basement .....'.. :F?:{P:::•.!•':::;idi: :iYiS'{ :%d;{?;: yr .,. .. :ay:%H::6 i!{?. Floor 1 r:: y �•- • �t . :?a2! PPY-f:P:.: ......:...:.. i;:i?`T!r•::{••,;.ecy{ `>':Y.:.::. F:!?y: 'a•,��,::-'.Y:;P;. '•PXa:O::•i: Floor 2 itli?•PYk+O:a iiii�:: Floor 3 .:':::::.Pi::Y.}:+••} �- :.:•:..::::• :•: ••.-: •. �. :::: •.ter:: r:. ?•.,{:... Floor 4 PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas" NO. RATE TOTAL Gas Range" Gas Dryer" Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 7 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance • State Surcharge $ .50 TOTAL FEE $o? -S. a JOB ADDRESS 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 Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. 7___9 • . 20C2! Owner Building Used As Estimated Cost PERMIT NO. / 3m�y PLUMBING COMPANY Pipe SIGNED BY 1114111V jk TEL N0. 03 Approved By Rough -In Date Final Date aim COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes ( ) No ( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes ( ) No ( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturers 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) HEA71NG CO: Signed By: Date : CI7YOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 February 14, 2003 Mr. & Mrs. Jurek 6810 Oakley Street NE Fridley, MN 55432 Re: Final Inspection at 6810 Oakley Street NE Contractor: PMR Mechanical Inc & Pipeworks Inc Dear Mr. & Mrs. Jurek: A plumbing permit was issued on July 12, 2001 to install a sink and a mechanical permit was issued on September 7, 2001 to install gas piping for a fireplace and unit heater and new supply openings, venting a kitchen hood exhaust and a bath fan at your address. According to Section 4715.2800 of the State Plumbing Code, and the State Mechanical Code, final inspections shall be conducted on the work authorized by these permits. As of this date the inspections have not been requested. The permit fee that was paid covers the inspection to make sure the work was completed according to the Codes. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will mark the permit "no inspection called for by homeowner after notification" and take no further action. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. CITY OF FRIDLEY INSPECTION 6431 University Ave NE Fridley, MN 55432 763-572.3604 RATE SCHEDULE DIViSION C //_CC A APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, (Abut notleplacemQnttpm Gas Ranle � *_ ee ",�'ele Gas Dryer Effective On January 1, 2001 JOB ADDRESS nn�� (�olu C_hy'lp_�[ Il OWNER e -*A" - kkt.E� Rate TOTAL i BUILDING USED AS P0�aMcor $ 30.00 $ > ESTIMATED COST 1001 0 PERMIT NO. $ 10.00 $ 0.0'0 DESCRIPTION OF FURNACE AND OR BURNER $ 10.00 UO -100 No. of Heating Units $ 10.00 $ Trade Name BTU HP *Air Conditioning - All Sizes $ 25.00 $ All Others/Repairs & Alterations LIST ON BACK) 6q) 5190 1% of Value of Appliance or Wor $ Commercial/Industrial 1.25% of Value of Appliance or Work $ State Surcharge $ .50 TOTAL FEE $ - o�S ?® 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. Fue Circle One (Steam) (Hot Water) (Warm Air) _ Size No. EDR Total Connected Loa 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 A601 HEATII\CO PRC- a Le Signed Approved By /�^ Rough -In Date BACK SIDE MUSTBE FILLED IN ON V AND COMBUSTION AIR VERIFICATION TEL # 412-`721=?&Z& Final Date i VENT CONNECTORS COMMON VENT VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No ( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No () . The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturers 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 manufacturers 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 It 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 HEATING CO: Signed By: auiIding $ -?SO- us BUILDING Permit No.: Inspections 65% of Building Permit Fee RESIDENTIAL APPLICATION Received By 763-312-3604 Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ CITY OF FRIDLEY n 'd 763-502-4977 FAX $1825 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 = $ EFFECTIVE 1-1-08 $ DATE YOUR E-MAIL ADDRESS $ Fee Determined by Engineering 'C S= N $ SITE ADDRESS ty n na� '$ J u) Make checks payable to: City of Fridley Attach Stipulations THIS APPLICANT IS: OWNER ❑CONTRACTOR PROPERTY OWNER/ NAME: IJt y -el ADDRESS: O 'e CITY STATE�W ZIP S TENANT a PHONE:? to a S' 71 0 & S-5' NAME: ADDRESS: CITY STATE ZIP CONTRACTOR SUBMIT A COPY OF PHONE FAX YOUR STATE LICENSE STATE LICENSE # EXP DATE PROPERTY TYPE SINGLE FAMILY/NEW CONSTRUCTION SIZE 1 _3 V- 0 ®k -AA_ 13 TWO FAMILY/NEW CONSTRUCTION STORIES_ PERMIT TYPE ❑ ADDITION ❑ GARAGEISHEDWINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR XREMODELING DESCRIBE WORK BEING DONE: GLS Y° t l SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING ADDITIONS. & PORCHES SUBMIT: ❑ Vinyl ❑Soffit I. Site Plan/Survey showing the existing structures ❑ Aluminum ❑ Trim and proposed project. ❑ Other ❑ Fascia 2. Two sets of construction plans WINDOWS3. & Energy Calculations IN EXISTING OPENINGS ❑Yes Jlo LOCATION OF 1 �5 a S e m KPDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF i=).K ti OPENING CHANGES & �� TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: r� (USING THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION $1 9 Ku tag OCCUPANCY TYPE Permit Fee $ -?SO- us See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1825 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due '$ J u) Make checks payable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the MinneFsnstruction Codes; that I unders�ar►d this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in a with ap roved plan in ase of all work which requires review and approval of plans. SIGNATURE OF APPLICANT PRINT NAME DATE APPROVED BY DATE