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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N 6094 Date: ` owner: Bail Address Address L'6c LDING No. 52, y Part t Lot _ Block — Addition or Sub -Division Corner Lot _ Inside Lot — Setback Sideyard Sewer Elevation _ ____ _ Foundation Elevation DESCRIPTION OF BUILDING T)q UsePA.90CC: Depth Height Sq. FtDepth freight Sq. Ft . 4` Ft of eti ""'%ibe Completed Tyke afro � Fit �.�� r 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 ail provisions of ordinanctas oP the city of Fridley. In consideration of the payment of a fee of$C� , 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 and moving of buildings within the city limits and this permit may be revoked at any timed anon any of the provisions of said ordinances. ..�""' At NOTICE: 'Ihb pemdt don not cover the sondndton, huta9dion for v rbg, -ph mbing, ga hea8ng, ewer or gator. Be sun M as the Bulming Mqw ter for apm tr pwmhs for thea hens. APPLICATION FOR BUILDING PERMIT CITY OF.FRIDLEY, MINNESOTA Owner ° s Namej_ rh .J,:�z3e�Builder Address`; !� / �.� Address LOCATION(OF BUILDING No. ��Street_�,� Part of Lot Lot Block_Addition or Subdivision Corner Lot Inside Lot -,X _Setback_ _Side -Yard A3 SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To be used as: DESCRIPTION OF BUILDING Front Depth Height Sq, Ft, Cu. Ft. Front 5—<D Depth Height Sq. Ft. Cu. Ft. Type of Construction Estimated Cost 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 of Fridley Ordinances and rulings.of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are trnc A"A nnrrnrt FITFi (Schedule of Fee Costs can be found on the Reverse Side). City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone SU 4-7470 DESCRIPTION OF WORK Number, Kind and Location of Fixtures Location W NO. RATE TOTAL Number Fixtures ...................... x 12 Say ZF�� x 88 $ New Fixture Old Opening .............. x !2 t9 Z � O e F i N WATER HTR. GAS ELEC. Base 2.00 $ New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 Additional Fixtures .................... x .50 1st Gas Range to 200,000 BTU .............. x I I 2nd 3rd 4th • Future Connection Openings e New Fixture, Old Openings I Connected with Sewer Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ !q, Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ...... ..................... x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ...........$ TOTAL FEE $ City of Fridley: I The undersigned hereby makes application for a permit for the work herei specified, agreeing to do ail work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this Minapplicati n are true and correct. /Fridley, n_ �/0 191.)— Owner 9 `.)— Owner U Kind of Building Used as To be completed about Estimated Cost, $ OlNe uilding Permit No a Pe�it Business Phone ROUGH 9 — / z — 4 z— FINAL az 2M Application for Power Plants and Healing. Cooling. Ventilation. Re iigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add 80,000 BTU ....................... 2.00 $ Replacement of Furnace 5.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM 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 $ 15-10-19 GAS FITTING FEES: NO RATE TOTAL 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 ROUGH FINAL See Fee Schedule TOTAL FEE '® Dept. of Bldgs. Phone SU 4-7470 City of Fridley: 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. Fridley, Owner Kind of Building Used as To be completed about Estimated Cost, Old—.4G,Building Permit No. r « Permit No. DESCRIPTION OF WORK HEATING or POWE —Steam, Hot Water, Warm Air—No� Trade Nam Size No - Capacity Sq. Ft. E.D.R de BTU—f� H.P. Total Connected Load -304 �, y Kind of Fue112ZA ✓.4:L-**' BURNER —Trade Name o Size No, Capacity Sq. Ft. E D.R BTU H.P. (REMARKS -OVER) SUBG E," a E[ATIN'G & SHEET METAL 8419 CENTER DRIVE N. E. Signed MINN €Anna 1C% n1-; -Ift.. By- e®� <z 7M Business Phone No- .Sa.-I-2g;A®o Ddb a z HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS Weatherstrips A.S.H.V.E. Construction No. Guide Windows I Doors Reference Out. Wall Int. Wall I Ceiling Roof Floor n —No —Noo- F1.1 Room I Length Width / Height / Fl Room Doors--4 Height ] No. of Dane of Wane I Windows a dDoors—Crackage and Area Windows and Doors Width Height No. of Lineal ft. Area No. of pane of 1 Dial Btu. I Q Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I2 Fl.� .� ,i,,, Dom ( Lenath -2.,* o Width `4/ Height Windows and Doors—Crackage and Area Room I Le / Dane lights of crack eq. tt. z , ,6 lv Width Height No. of Li eat ft. Area No. of pane of pane lights of rack sq. ft. Coef.1 Btu Coef.1 Btu Infiltration Coef.1 Btu Infiltration o y Glass 9.27 Glass S c.40 Exp. wall Int. wall Net exp. wall VAI, D -Roo ap Int. wall Floor Aa Z4 L Ceiling Net exp. wall p 2 ,p Floor Int. wall : O 1 Dial Btu. I Q Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I2 Fl.� .� ,i,,, Dom ( Lenath -2.,* o Width `4/ Height Windows and Doors—Crackage and Area Room I Le / Width Height I No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. 2CA-ir v , AL— p lv Width Height No. of Li eat ft. Area No. of pane of pane lights of rack sq. ft. Coef.1 Btu Coef.1 Btu Infiltration of o y Glass Exp. wall y Exp. wall c.40 -2,0L 4ek Int. wall Net exp, wall VAI, /0 Int. wall Floor Aa Z4 L Ceiling Net exp. wall Floor Int. wall : O 1 otal Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader are-;a Fl , Dom I are�Length / .3 / Width7/HeI� indows and Doors—Crackage and Area Room I Le / Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 2� .6 Y % . 8. lv Width Height No. of Li eat ft. Area No. of pane of pane lights of rack sq. ft. Coef.1 Btu Infiltration j j Glass Coef. Btu Infiltration Exp. wall p Net exp. wall• c.40 -2,0L 4ek Int. wall Exp. wall Ceiling Net exp. wall Floor Aa Z4 L Tbtal Btu. ft. E.D.R. or sq. ins. W.A. Leader area .3/1 k :L- A FRIDLEY, MINN, Insulation ekage and Area ofLl sal ft Ar to of crack sq. Coef. Btu Infiltration p 1i Glass Z Exp. wall Net exp. wall Int. waU Ceiling Floor Total Btu. .� Required sq. ft. E.D.R. or sq. ins. A. Leader area F7_I YaRnnrft I Length e-1/ Width �// Heiaht jP / Windows and Doors—Crackage and Area Room I Le / Width Height No. of Lf eal ft. No. of pane of pane lights of crack Area sq. ft. Y % . 8. lv Width Height No. of Li eat ft. Area No. of pane of pane lights of rack sq. ft. 70 A[z o Coef. Btu Infiltration y Infiltration Glass c.40 -2,0L 4ek - Exp. wall 33 Net exp. wall Aa Z4 L Int. wall Net exp. wall Ceiling Int. wall : O Floor Ceiling Total Btu. Required sq. ft. E.D.R. or sq. ins. A. Leader area i��� F1.1 Room I Le / Width / Heigh ' / Widows and Doors—Crackage and Area Width Height No. of Li eat ft. Area No. of pane of pane lights of rack sq. ft. 70 A[z o Coef. Btu Infiltration c.40 Glass 33 Exp. wall Net exp. wall Int. wall Ceiling Floor rotal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area /� SUBJECT JkITMIT NO. . City of Fridley 272 7 8 AT THE TOP OF THE TWINS BUILDING PERM l f � NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. �s r 1 NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 8/19/98 JOB ADDRESS 6549 Pierce Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11 1 Don's 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS, ZIP PHONE Gregory & Deanna Martin 571-4991 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO PTL Contracting 2526 N. Ferry St. Anoka MN 55303 323-7400 5294 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 kbc REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (22 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 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 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 1834 .92 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 ERFORMANCE OF CONSTRUCTION. $59.50 Fire SC 1.83 `f PLAN CHECK FEE TOTAL FEE �i Li nse SC $5.00 1 $67.25 SI ATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PRO ER ATED THIS IS PERMIT B OG INSP —VALI d/` ;Yr ryATE S.GNATURE OF OWNERIIF OWNER BUILDERI IDATEI NEW" ( ] ADDN [ ] CITY OF FRIDLEY ALTER j ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: J6 Legal Description: Owner Name & Address: Contractor: Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Effective 8/1/95 l� 6�P Tel. # — __ MN LICENSE # oZ j_ -Tel. # Attach ho this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. 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 SSyide[ �aYar $setbacks / Q Type of Construction: 2U 5 D • 1Q-�� �Estiniated Cost: $ _ G C.�� _ Approx. Completion Date: (Cost on Back) Driveway Curb CutWidthNeeded: Ft + 6 Ft = x $ _ $ DATE: �� ��1� _ APPLICANT: Tel. #3.x 3 -7 YOD i CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ % . .001 of Permit Valuation (1/10th%) State Surcharge $ 67R $.50/$1,000 Valuation SAC Charge $ $850 per SAC Unit License Surcharge $ S__06 $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: Building MECHANICAL Permit No.: Inspections RESIDENTIAL APPLICATI®N Received By: 7.63-572-3604 CITY OF FRIDLEY Date REM- DATE E- DATE (, - Z ( - o -7 YOUR E-MAIL ADDRESS SITE ADDRESS C L S� a E if,,- / c./ THIS APPLICANT IS: 0 OWNER )1CONTRACTOR . PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITTI APPLICATION NAME: ADDRESS: tv5'Lt7rr NCITY �jQiL7/f.C. STATEt±6jZIPS)�!3$ Coe PHONE: 7 63 - a 6 9- i 3 Xy COMPANY NAME:.N CONTACT PERSON:. STATE LICENSE I{_ ADDRESS: PHONE 743 S E-. IV C - .0 9 11 FAX EXP DATE ATEA 1N ZIPS q3 '-- PERMIT PERNII.T TYPE SINGLE FAMILY O TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: o NEW )PLACEMENT 0 ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK 1 n s" (I 1 p/ c c K �-�►� F'CA M n A t L C' 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, excluding the fixtures. ('This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 =cost of labor x.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) MODEL: SIZEIBTU Equipment Installed MFG: B IV MFG: MODEL: SISIZFZEJBTU MFG: MODEL: A/C $25.00 _FIREPLACE (GAS) $15.00 . GAS RANGE/OVEN $10.00 — AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 OILER IRE 1FURNACE $35.00 _GAS UNIT HTR $10.00 _CHIMNEY LINER $10.00 GAS DRYER $10.00 POOL HEATER $35.00 _B DUCT WORK $10.00 GAS PIPING $10.00 —VENTILATOR $15.00 07 Permit Fee $ to Q Number of fixtures @ $10.00 x $10.00 = Surcharge Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ o. !d Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 Total = $ THIS IS AN APPLICATION FOR A PERMIT --NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota -Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans-. 2 SIGNATURE OF APPLICANT Ck-�I•o "'Z PRIM NAME ff ri J ' ik P p DATE-`-- City TE` City of ]Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 t� REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEWIEXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propan&UGC 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 Per IMC 1346.0603.2 a. RCCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make up air calculations