PRE 2010 DOCSJ
SUBJECTjr
City of Fridley
809
AT THE TOP OF THE TWINS
BUILDING PERMIT
ECEIPT NO.
4.
COMMUNITY DEVELOPMENT DIV.
%
r PROTECTIVE INSPECTION SEC.
,
I CITY HALL FRIDLEY 55432
IL'
NUMBERDATE
flEV.
PAGE OF
APPROVED BY
--'J4". , 612-560-3450
910-F15
11/18/74
JOB ADDRESS 7351 Pinetree Lane N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
3
2
Jim Lund Estates SHEET
2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE
James Lund Construction, Inc. 2417 - 148th Avenue N.E., Ham Lake 55303
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS 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
Construct a 24' x 40' Dwelling and a 26' x 22' Garage
9 CHANGE OF USE FROM TO
STIPULATIONS
Provide a hard surface driveway. Provide a verifying survey before
capping.
SEWER LOCATION: 242' South of Manhole (S. Inv. 891.58)
Wye Elev: 892.55
Top of Footing: 895.55 Minimum
'WATER LOCATION: South of sewer service in same trench
SEPERRTE PERMITS REQUIRED FOR WIRING,
HEATING, PLUMBING ANIS SIGNS.
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
Wood Frame
ZONING
SQ. FT.
CU. FT.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
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
1020
NO. DWLG. UNITS
OFFSTREET PARKING
ANY TIME AFTER WORK IS COMMENCED.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
I
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
$24,052
12.03
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,
STRUCT104 OR THE PERFORMANCE OF CONSTRUCTION.
PLAN CHECKFEE
TOTALFEE
MY
SIG TUREOfCONTRACTOR ORAUTHORIZED AGENT fpAAI
HE PROPERLY VALIDA EDT IS �YOURPERMIT
BLDG )NSP
S)GNAVRE OF OWNER I IF OWNER BUILDER) (DATE)
J
APPLICATION FOR RESIDENTIAL, ALTERATION,
OR ADDITION BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
OWNER'S NAME: James Lund Const., Inc. BUILDER: James Lund Construction, Inc.
ADDRESS: 2417 -148th Avenue N.E. ADDRESS:
Ham Lake, Minnesota 55303
NO:. 7351 STREET: Pinetree Lane N.E.
LOT: 5 BLOCK: 2
CORNER LOT: X INSIDE LOT:
Same
ADDITION: Jim Lund Estates
N-8'
SETBACK: 35' SIDEYARD: S-38,20'
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: 7o
s:o
Single Family DwellingFront: 24, Depth: 401 Height:
Square Feet: -1 —Cubic Cubic Feet;
Garaize Front: 26' Depth: 22' Height: r`)
Square Feet;/, Cubic Feet: j c)
Type of Construction: Frame Estimated Cost: $ 33,000.00
To Be Completed: 1/31/74
The undersigned hereby makes applicati-on f --or a permit for the work herein
specified, agreeing to do all work in strict accordance with the City of
Fridley Or 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: 11/15/74 SIGNATURE: VCS
(See Reverse Side For Additional Information.) I�
l
OF SURVEY
i4. ?: Ar„ Y.,
quo 1
I I F-rel,y C"Itify that tilts true and correct representation of a survey of
Job Nn.
!h- kmt1dal l"s of t!w ah(wt, described land and (if the I,,c.,ition of at! huildings,
wly, all vi-"hIL' Cti CI U,iCI1nU'r1iS, It ally, "0111 Qr On [dlcf 1J"rl.
�403`)
25
--
114.00
j 10
35.00
Fr,u, -,33 ",lo
.�
I = 4O
Dr,vewa
i
w
■ • •
�
��
� y J G. p �.� Ci
-YT
O
Z 1
N
m
n O
d r
c
`------
----
-� -
i
CD
25zo
is
c� 104.16 -
----- �-
6
I`
0 Denotes iron monument
Dote: Descrir,tion invalid
until plat is filc,(
Denotes Existing Grade
Dencte-s Proposed Grade,
Froposed Top of Foundation -
903.5
DESCRILT1771;
Lot 3, Block 2., Proposed JIM LUND
ESTATES, Anoka County, Minnesota
SII
/'
�O[�'%i ��' �ounlre�
I I F-rel,y C"Itify that tilts true and correct representation of a survey of
Job Nn.
!h- kmt1dal l"s of t!w ah(wt, described land and (if the I,,c.,ition of at! huildings,
wly, all vi-"hIL' Cti CI U,iCI1nU'r1iS, It ally, "0111 Qr On [dlcf 1J"rl.
119
' ��„ 'nym• ,;r. F'.,, ., ,,y
,�,i I,y nus lin, �,3 r1.i, or QC'F 1g 14
j 10
Fr,u, -,33 ",lo
Mom Hey No _149h4
I = 4O
ewe (�
C-., 4,c,
elf
,�,O�w �g-
5ecver S"Pc✓/C2
/Xl)
e q �
City of Fridley
nplecWkao ftr r%mbbg and G= Img Pomlr
Dept. of Bldgs. Phone 560-3430
DESCRIPTION OF WORE
Number. Kind and Location of Fixtures
O
l i
Number Fixtures ................
_ _ x $200
i
Future Fixture Opening ...........
S
o o
New Fixture Old Opening ..........
G o
ZZ_
S 2
Catch Basin ....................
x $3.25
V f
N
*1
I
N
WATER 14TR1.
GAS
EIEC.
_N
a $2.00
3AS FITTING FEES:
NO. RATE TOTAL
Ist 3 Fixtures ............. • •
x $2.00
$ 6 �'
Additional Fixtures ..................
x $ .75
$
Gas Range to 199,000 BTU.....—.
x $5.00
$
1st
—
2nd
_
3rd
4th
• Future Coanwilion Openings
e New Fixture. Old Openings
Connected with
Sewer
CCaspool El
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
NO. RATE TOTAL
Number Fixtures ................
_ _ x $200
$
Future Fixture Opening ...........
x $1.50
New Fixture Old Opening ..........
x $1.50
$
Catch Basin ....................
x $3.25
$
Water Heater (Up to 99,000 BTU) ....
x $3.00
$
New Ground Run Old Bldg....... , .
x $3.25
$
Electric Water Heater...........
a $2.00
3AS FITTING FEES:
NO. RATE TOTAL
Ist 3 Fixtures ............. • •
x $2.00
$ 6 �'
Additional Fixtures ..................
x $ .75
$
Gas Range to 199,000 BTU.....—.
x $5.00
$
REPAIRS k ALTERATIONS—Refer to Code
City of Fridley:
The undersigned hereby makes application for a permit for the work herel
specified. agreeing to do all 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 application are true and correct'
Fridley.
Owner
Kind of Building
Used as
To be completed about
Estimated Cost, $
Old—New. Building Permit No. Permit No.Signed
lG
P i
By
Business Phune No
ROUGH
FINAL vZ ' 'Z ^ %
.50 State Surcharge
Description .............................................. _
9 v
TOTAL FEE f�
®� MRrd-gig -bgig® V ,10. ®
Air IM, sync= and Daview
PARTIAL RATE SCHEDULE
GRAvrry WARM AM:
RATE TOTAL
Furnace Shell & Duct Work ...
..... . $10.00
Replamment of Furnace
6.00
Repairs & Alterations—up to $500.00
6.00 $
Repairs & Alterations each add. $500.00
300 $
Furnace Shell & Duct Work to 130,000 BTU ..$10.00
each add. 60,000 BTU . .. ...... 3M $
Replacement of Furnace 6.00
Repairs & Alterations—up to $500.00 6.00 $
Repairs & Alterations each add. $500.00 3.00 $
STEAM ox HOT WATER SY21TEN
Furnace Shell & Lines—to 400 sq. ft. FMR Steam
$20.00
$
Furnace Shell & Line to 640 sq. ft. EDR Hot Water
20.E
$.
Each add 200 sq. ft. EDR Steam
xon
$
Each add. 320 sq. ft. EDR Hot Water
3.00
$
OIL BURNER—to 3 gat, per hour
6.00
$
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to M,0M BTU)
&00
over 199.000 FM Scow Fee Schedule
GAS FITT NG Fes:
NO RATE TOTAL
Ist 3 Fixturesx$
200
$
Additional Fixtures
x ,'g
$__ _
Gas Range to 10=0
x$ $.00,
$
ASR COMITWNMG State Surcharge .50
Y
FAN E=71M SY57=1 See Fee achadmio
VENTI"TMO SIMT=
AL T> AT1fO1CIB It 111EA M TOTAL1 $ / 7 _Lc)
r M s- 2- s- - /76
Dept. of B149. )!hens
1 9
City of Fridley:
The undersigned hereby makes application for a permit for the wont here&.
specified. agreeing to do all work in strict accordance with the City Ordinance¢
and ruling of the Department of Buildings, and hereby declares that an the fads
and representations stated 'in this application are true and correct.
r Fes' ley, Minn
Owner - `�
Kind of "Buiidin¢ .-
Used as
To be completed about
Estimated Cost; $.. /
Old—New. Building Permit No. _ permit No.
HEATING or POWER PL AMS --Steam, Hot Water, L�": �_ o
Trade Name'—` �7 - ? l L � Seise No- Aft ,'O T 6
w
Capacity____ .— Sq. Ft. r- D BTU X31,
Total Connected Load _ 7 --� Kind of
BURNER — Trade Na size , ( O , O C5, CG
/
cepadFt. E.D R B1V IMP -
_72 1
<
V-7 '1
._. -
HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS VILLA OF MOUNDS VIEW
WEATHERSTRIPS
A.S•H•Y•E.
Guide
Reference
19
TYPE OF CONSTRUCTION
INSULATION
WindowsI
Doom
Ye s — No
Out. Wal
Int. Wall Ceiling
Roof Floor
Kind
Ceiling well
Yes — No
I
I I
I I
FI. oom I .Length Width Height
Fl. I Room I Length Width , 4 Heigh+
WINDOWS and
DO RS — CRACKAGE and AREA
WINDOWS and DOORS
— CRACKAGE and AREA
No. of Lineal ft. Area
lights of crack sq. ft.
No.
Width
of pane
Haight No, of
of pane lights
Linealft.
of crack
Area
sq. ft.
Width Height
No. of pane of pane
IS
r
fm r
Coef. Bfu.
Coef.
Bfu.
Infiltration Windows
Doors
1 =16Infilfrefion
Windows
Doon
Exp. Wall
+`
Exp. Wen
Glass
qq�,
y,,9, 0
Glass
Nef Exp. Well
0 0
Net Exp. Wall
int. Wail
Int. Wall
Ceiling or Floor
C %
Ceiling or Floor
Total Btu.
Total Bfu.
Reg.iired sq. ft. E. D. R. or sq. ins. W.A. Leader area
Required aq. ft. E. D. R. or sq. ins. W.A. Leader area
FL I Room Length Width , Height , 1
FI. I, V oorri I Length 1,2 Width. Height
WINDOWS
and DOORS — CRACKAGE and AREA
Width I Height No. of Lineal ff. Ana
off� pane of pane lights of creek sq. ft.
V.45) 1 5 ®
a�
WINDOWS and DOORS
— CRACKAGE and AREA
No.
Width Height
No. of pane of pane
No. of Lineal ft.
lights of crack
Area
sq. ft.
AUL A_-
Coef. Btu.
Coef. Btu.
Infiltration Windows
Doors
461—
Infilfration Windows
Doors fe
Exp. Wall
a
Exp, Will
5
Glen
S S®
Gila
7 7
Nef Exp. Wall
6 j C 30
Net Exp. Wall
�-A-
/ e 9_,L
Int. Wall
Int. Wall
Ceiling or Floor
Ceiling or Floor
Total Btu. 4 163
Total of..
Required sq. f+. E. D. R. or sq. ins. W. A. Leader area
Required sq. #. ED. R. or sq. ins. W.A. Leader area
Fi.
I Room I Length 9 ` Width Height
FI. I ,�, Room I Length Width Height"
WINDOWS and DOORS — CRACKAGE and AREA
WINDOWS
and DOORS — CRACKAGE and AREA
Width Height No. ofLinea ft. Area
of pane off panglights of crack sq. ft.—
Width Height No. of Lineal ft.
No. of pane of pane lights of crack
Area
. ft.
No.
,V— cl-
Coef.
Btu.
Coef. Btu.
Infiltrafion Donn ws
ndows
In$Ifrafion Windows
rs
_
Exp. Well
Exp. Wall
Glass
i
%'�
_
Glen 1
Net Exp. Well
1i C' 3
%D
] ci 3
Not rmp. Well � ` Lj
r b
Int. Well
Int. Wall
Ceiling or Floor
f� tl
I
Catling or Floor a C(
j(0
Total Btu.
6
Tofal Bfu.
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
RT•500.6.58 GRAND TOM37
7 j
HEAT LOSS CALCULATIONS
DEPARTMENT OF BUILDINGS VILLAGE OF MOUNDS. VIEW
WEATHERSTRIPS
A.S•H•Y-E*
Guide
Reference
19
TYPE OF CONSTRUCTION
INSULATION
Windows
I Doors
Yet — No
Out. WaB
Int. WaB
Ceiling
Roof
Floor
Kind
Ceiling
Wall
Yet — No
I
I
I
I
FL I 47yi jv Room I .Length aA Wldfh
Height
FL I Room I Length Width
Height
WINDOWS and
DbORS — CRACKAGE and AREA
WINDOWS and DOORS
— CRACKAGE and AREA
No. of Lineal ff. Area
lights of crack sq. ff.
No.
Width
of pane
Height No. of
of pans lighhhtts
Unea Area
of crack sq. ff.
Width Height
Na, of pane of pans
14
9,R- Z5 C
7
g
Coef.
Btu.
Coef.
Btu.
Infiltration Window
Doors
Infiltration Windows
Doors
e�
Esp. Wall o? %
Eilp. Wall
6->
Glace vz
o
Glace
7
Net Esp. Wall y
101
9 of ®
Net Esp. Wall
5
to
-4;T'2 0
Int. Wall
Int. Wall
Ceiling or Floor
Coiling or Floor
Total Btu.
Total Bfw
196 A 13
Regdired sq. ft. ED. R. or sq. ins. W.A. Leader area
Required sq. ft. ED. R. or sq. ins. W.A. Leader area
Fl. I Room Length ;Z–Widfh
Height
I FL I Room Length IX Width
/
Height s
WINDOWS
and Dd6RS — CRACKAGE and AREA
Width Height No. of Lineal ft. Area
of pane of pane lights of crack sq.*.
WINDOWS and DOORS
— CRACKAGk and AREA
No. of L neat ff. Area
Iightt of crack sq. ft.
No.
Width Height
No. of pane of Pana
Coaf.
Btu.
Coef. Bfu.
Infiltration p row
G
A
Infiltration Doon29
e"'`–
An ZI
Esp. Walt
. Will
Glass
4(D
S
A-2. 0 0
Glass
i
Not Esp. Well
22, 6
10
jge9d
Net Esp. Wall
(G1
id
Int. Wall
Int. Wall
Ceiling or Floor
Coiling or Floor
Total Btu.
- Q
Total Btu.
Required sq. ft. E. D. R. or sq. ins. W. A. Leader area
H. I Room I Length /�Z_ Width
/:Z
Height
Required sq. ft. E. D. R. or sq. ins. W.A. Leader area
FL I Room Length Width
Height
WINDOWS and DOORS — CRACKAGE and AREA
Width Helght No. of Lineal ft. Area
No. of pane of pane lights of Crack . ft.
WINDOWS and DOORS — CRACKAGE and AREA
Width Height No. of Lineal ff. Area
No, I off pane offj pane lights of crack sq.ft.
Coef.
Btu.
Coef. Btu.
Infiltration Doors
Zj,
060
mows
Infiltration Windows
Esp. Wall
Esp. Well
Glace
7S
�'
Glen 16
Net Exp. Wall
t)
®
Not Eq,. Wall ®®
®
®®(a
I Int. Well
Int. Wall
F
Coiling or Floor
I /�Lj
17
Coiling or Floor /76
Total Btu.
I
Total Btw
Required sq. ft. E. D. R. or sq. ins. W.A. Leader area
I
Required sq. ft. E. D. R. or sq. ins. W. A. Leader area
&T-9004-18
TOTA !—lam L.
HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS VILLAGE OF MOUNDS VIEW
WEATHERSTRIPS
A.S•H•Y•E.
Guide
Reference
19
TYPE OF CONSTRUCTION
INSULATION
WindowsI
Doors
Yes — No
Out. Wen
Int. Wan
Ceiling
Roof
Floor
Kind
Ceiling
Wall
Yes — No
I
(
I
FL Room I length 41 Width
Height
FL I Room I Length /6
Width
Height
WINDOWS
and DOORS — CRACKAGE and AREA
Width Height No. o Lineal ft. Ana
of pane of pane lightsof crack sq. ft.
WINDOWS and DOORS
— CRACKAGE and
No. of Lineal ft.
lights of crack
AREA
Area
sq. ft.
d
No.
Width Height
No. of pane of pane
Coef. Bfu.
Coef. Bfu.
Infiltration Windows
Doors
Infiltration Wlndows
Doors
e7 i
Exp. Wail
e `
Esp. Wall
Glass
0
Glee
/21
S S
Net Exp. Wall
G9
Net Esp. Wall
0
16 7
int. Wall
Int. Wall
Ceiling or
% v
/ '
Ceiling or Floor
%2,1q q o
Total Btu.
Total Bfu.
r
Regaired sq. ft. E. D. R. or sq. ins. W.A. Leader area
FL I f,6 F-7Room Lengfh 4 9-_ Width % ! Height
Required sq. ft. E. D. R. or sq. ins. W. A. Leader area
F. I 41 Room LengthWidth
Height `
WINDOWS
and DOORS — CRACKAGE and AREA
Width I Height No. of Lineal ft. Ana
of pane of pane lights of crack sq. ft.
WINDOWS and DOORS
— CRACKAGE and
No. of Lineal ft.
�lights of crack
1.
—a
AREA
Area
sq. ft.
q .pp
Sd
No.
Width Height
No. of pane of pa✓(�ns
9 1
may_
o✓
Coef. Btu.
Coef. Btu.
Infiltration Windows
Doors
Infiltration Windows —
Doors
G e
Exp. Wall
Exp. Will
_
Glen
16 6
Glass
q 6
o '�
Nef Exp. Wall
/ U (6 1'i
Nef Esp. Wall
% ��
c
Int. Wall
Inf. Wall
Ceiling or Floor
Ceiling or Floor
7
%
Total Btu.
Total Btu.
Y 0 -
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
FL I Room I Length S— Width ` Heighf
FL I L:1 I�r Cr7 Room I Length ® �2 Width
1,cy
Height
WINDOWS and DOORS — CRACKAGE and AREA
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack I sq. ft.
c!
WINDOWS and D ORS — CRACKAGE and AREA
Width Height No. of Lineal ft. Area
No. I of pans of pane
tD lights orf crack sq. ft. �'C
®G®Gc y-
Coef.
Btu.
Coef. Btu.
WindowsCa
Infiltration Doors
42Windows
Infiltration Doors
v
V
Exp. Wall
Esp. Well
f/C
Glare
-� `�
S3 C-
Glen
9
'f
Not Exp. Wall
(9
Net Esp. Wall
! /
/ g / n
Int. Well
Int. Wall
Ceiling or FloorCeiling
or Floor
C
Total Bfu.
Tofal Bfu.
Required sq. ft. E. D. R. or sq. ins. W. A. Leader areaL
Required sq. ff. E. D. R. or sq. tree. W. A. Leader area
TOTAIs=���
HEAT LOS4 CALCULATIONS DEPARTMENT OF BUILDINGS VILLAGE OF MOUNDS VIEW
WEATHERSTRIPS 11
A.S•H•V.L
Guide
Reference
9
19—
11
Ouf. Wall
TYPE OF CONSTRUCTION
Int. Wall Gi(tng
Roof Floor
INSULATION
Kind ( Ceiling
I Well
WindowsI
Doors
Yes — No 11
Yea — No
I
I I
Fl. I Room I .Length
Fl.
Width
Height
FL I Room I Length Width
Height
WINDOWS and
DOORS — CRACKAGE and
AREA
Area
sq.. ft/.
Bl ---F—
7 to
WINDOWS and DOORS — CRACKAGE and AREA
No. IWidth
of pane
Height No. of
of pane lights
Lineal ft
of crack
Width Height No. of Lineal ft.
No. of pane of pane lights of crack
Area
sq. ft.
AA f
FVv
—J.—�
.
Coef.
Btu.
Coef.
Btu.
Infiltration Windows
Doors
Infiltration Windows
Doors
Ezp. Wall
Esp. Waft
tc
Glen
J�Jr
Glen
Net Esp. Wall
Net Esp. Wall
4
/b
6 P'49
Int. Wall
Int Wall
7.
Calling or Floor
0
Gilieg or Floor
C
S`Cw
Total Btu.
Total Btu.
J
Reclaired sq. ft. L D. L or sq. ins. W.A. Leader area
Al
07 S- C3
Required sq. ft. ED. R. or sq. ins. W.A. Leader area
FL Room Length
Width
113 Height
FL I Room I Length "7 Width
Height
WINDOWS
and DOORS — CRACKAGE and
Widt I Height No. of Lineal ft.
of pane of pane lights of crack
AREA
Area
sq. ft.
WINDOWS and 60ORS
— CRACKAGE and AREA
No.
Width Height
No. of pane of pane
No. of
lights
Lineal ft.
of crack
Area
sq. ft.
Coef.
Btu.
Coef. Btu.
Infiltration Windows I L L.,
Doors
Infiltration Windows
Doors
�-
Esp. Wall
4LU Will
Glen
�s
®
Glass
ZE IS' 7
Not Esp. Wall
l
Net Esp. Wall
Int. Wall
Int. Wall
Calling or Floor
G
.T'
Calling or Floor
-7,6
s
Total Btu.
I
w
Total Btu.
Required sq. ft. E D. R. or sq. ins. W.A. Leader area
jj FL I &,Ct Room I Length / dth
I
`Cj
Height
Required sq. ft. ED. R. or sq. ins. W.A. Leader area
FL I Room I Length Width
Height
WINDOWS
and DOORS —CRACKAGE and
I Width Height No. of Lineal ft.
of pane of pane lights of crack
AREA
Area
sq. ft.
WINDOWS and DOORS — CRACKAGE and AREA
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
No.
Coef.
Btu.
Coef. Btu.
Infiltration Doors s
ws Infiltration fro
Esp. Wall
�ESP.
Wall
Glen
Ll
l�
e)
Glass
Not Exp. Wall
G 6
Nef Esp. Wall
Int. Wall
Int. Wall
Giling or Floor
_76-50
Ceiling or Floor
Total Btu.
y it T ®
Total Btu.
Required sq. ft. L D. R. ors . ins. W. A. Leader area
Required sq. ft. L D. L or sq. ins. W.A. Leader area
--�
RT-500-6-Sa GRAND TOTALS—�3�
HEAP LOSS CALCULATIONS DEPARTMENT OF BUILDINGS VILLAGE OF MOUNDS VIEW
WEATHERSTRIPS
%*I•H•Y•E
Guide
Reference
14
Out. Wall
TYPE OF CONSTRUCTION
Inf. Wall Giling
Roof Floor
INSULATION
Kind I
Coiling
I
Wall
Windows
I Doors
Yes — No
Yea — No
I
I
FI. I Room I .Length
Width
Height
FL I P!! e Room I Length :ZX
Wid+h
Height
WINDOWS
and DOORS — CRACKAGE and
AREA
Area
sJq. it.
WINDOWS and D60RS — CRACKAGE and
Width I Height No. of Lineal ft.
No. of pans of pans lights of acrack
AREA
Area
sq. ft/.a
No.�
Width
of pane
Height No. o
of p�argne lights
Lineal ft.
of crack
/
®
Coef.
Btu.
Coef.
Btu.
Infiltration Windows
Doors
Infiltration Windows
Doors
Exp. Wall
POT
Esp. Waft
Glass
Al!
S®
Glen
v
Not Esp. Well
6
Net Esp. Wall
int. Wall
Int. Wall
Giling VZJRGDZ
Giling or Floor 1,2
91 9f I
3,S' -.28 -
,S' -.28 -
Total Btu.
Total
Teal Btu.
31M lye
Regaired sq. ft. E D. R. or sq. ins. W. A. Leader area
1
Required sq. ft. E D. R. or sq. ins. W.A. Leader area
R. 73 Ed Room Length
Width
% Height
IFLtyj pfARoom I Lang+h Q
Widlh
Height
WINDOWS
and DOORS — CRACKAGE and
Width Height No. of Lineal ft.
of pane of pane lights of crack
�- 1 C9,
AREA
Area
sq. ft.
WINDOWS and DObRS — CRACKAGE and
AREA
No.
Width Height
No. of pans of pane
No. of Lineal ft.
. Ii hts of crack
Area
sq. ft.
��
0
Coef.
Bfu.
Coef.
Btu.
Infiltration Doorssows
Infiltration Doors
Exp. Wall
. Wall
Glass
'
S7
7d
Glass
S�5
Nef Exp. Wall
Nef Esp. Wall
vic
ri
Int. Wall
lot. Wall
Ceiling c-Flvar•
�a
/
® 1 %
Ceiling or Floor
`lam
�Z
Total Btu.ISS,-26
Total Bfu.
Required sq. ft. E. D. R. or sq. ins. W.A. Leader area
I
Required sq. ft. E. D. R. or sq. ins. W.A. Leader area
FL I Room I Longfh I&
Width
Height
L FL I � Room I Leng+h
Width
Height
WINDOWS and DOORS — CRACKAGE and AREA
Width Height No. of Lineal ft. Area
No. of pane of panne lights of crack sq. it.
WINDOWS and DOORS — CRACKAGE and AREA
Width Height No. of
No. of pane of pane lights
Lineal ft.
of crack
Area
sq. ft.
Coef.
Btu.
Coef.�
Btu.
Windows
Infiltrafion Doors
Windows
Infiltration Doors,
Esp. Wall
Lra e®
Wdll
I �i
Glass
7
Glass
Not Exp. Wall
J-7
lb
®
Net Esp. Wall
C)
�
Int. Wall
Int. Wall
Giling or Floor
c/ d
g or Flor
Total Bfu.
jR*qu1Erdsq.04ff.
Required sq. ft. E. D. R. or sq. ins. W. A. Leader area
ED. R. or sq. ins. W.A. Leader area
6.56
560-3450
® r l
Ie
ANOKA COUNTY
6439 UNIVERSITY AVENUE NE January 16, 1975 FRIDLEY, MINNESOTA 55432
James Lund Construction, Inc.
2417 - 148th Avenue N.E.
Anoka, Minnesota 55303
Re: Structural Finals on Homes in
Jim Lund Estates
Dear Mr. Lund:
You have been requesting finals on the homes built in Jim Lund Estates.
Upon making these inspections, we have noted that there are no door -closers
on the door leading from the dwelling unit to the garage. This is a
requirement of the Building Code and therefore you must install them. Make
sure that they are capable of completely closing the door as some that we
have seen are not capable enough and do not close and latch the door.
This is necessary to keep the integrity of the firewall between the
houseand the garage.
We ask for your cooperation in getting these installed on all your
homes prior to your requesting finals and those with people in and already
finaled must be installed on or before February 7, 1975.
Upon your completion of this request, would you please supply us with
the addresses of those installed in the homes that we have already make
finals on so we can reinspect them.
If there are any questions on this matter, please feel free to contact
me at 560-3450.
Sincerely,
DARREL G. CLARK
Community Development Adm.
DGC/mh
v
CH -j of Fridley l
Dept. of Bldgs. Phone M-3450 T
DESCRIPTION OF V1011
Number, Kind and Locelfon of Fixtures
• Futuro Conaoc•..cn Oponings
+ New Fl:tore, Old Openings
City of Fridley:
The undersigned hereby makes application for a permit for the work herei
specified, a„teeing to do all 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 applilcason are true sed correct
Owner
Kind of
era ❑ Used as
i?ooi ❑
To be completed about
PARTIAL RATE SCOHEDULE
Estimated Cost, $
Permit No.
Old—New. Building Permit No.
PLUMBING FIXTURE RATES:
NO. RATE
TOTAL
NIMMMM
Number Fixtures ................
x $2.00
$
Signed—��
NJ
Future Fixture Opening ...........
x $1.50
New Fixture Old Opening..........
x $1.50
$—__
Business
une No—
o
Catch Basin ....................
Catch
x $3.25
$
Water Beater 'Up to 99,000 BTU) .. • •
x $3.00
$ �.
"
■■.■E■■N■■MM
,
New Ground Run Old Bldg.
x $3.25
3
Electric Water Heater ............ .
•
z $2.00
$
■.
:AS FITTING FEES:
NO. RATE
TOTAL
1st3Fixtures •.••••.••••.•:
$2.00
$
Additional Fixtures ...............
x $ .75
$
Gas Range to 199.000 BTU ...........
x $5.00
$
REPAIRS & ALTERATIONS—Refer to Code
NUNN
.50 State
Surcharge
.
Description ........................................
--�
TOTAL FEE
■■■.■■■■■.■M.■■■.
• Futuro Conaoc•..cn Oponings
+ New Fl:tore, Old Openings
City of Fridley:
The undersigned hereby makes application for a permit for the work herei
specified, a„teeing to do all 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 applilcason are true sed correct
Owner
Kind of
era ❑ Used as
i?ooi ❑
To be completed about
PARTIAL RATE SCOHEDULE
Estimated Cost, $
Permit No.
Old—New. Building Permit No.
PLUMBING FIXTURE RATES:
NO. RATE
TOTAL
Number Fixtures ................
x $2.00
$
Signed—��
Future Fixture Opening ...........
x $1.50
New Fixture Old Opening..........
x $1.50
$—__
Business
une No—
o
Catch Basin ....................
Catch
x $3.25
$
Water Beater 'Up to 99,000 BTU) .. • •
x $3.00
$ �.
ROUGH
,
New Ground Run Old Bldg.
x $3.25
3
Electric Water Heater ............ .
•
z $2.00
$
FIN.'1L
:AS FITTING FEES:
NO. RATE
TOTAL
1st3Fixtures •.••••.••••.•:
$2.00
$
Additional Fixtures ...............
x $ .75
$
Gas Range to 199.000 BTU ...........
x $5.00
$
REPAIRS & ALTERATIONS—Refer to Code
.50 State
Surcharge
Description ........................................
--�
TOTAL FEE
CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
PARTIAL RATE
SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE
TOTAL
Number Fixtures
x
$3.00
a
Future Fixture Opening
�
$2.00
$
Water
O
[i
v
M+
A
pC�
$5.00
ro}�
tr e
Pr. q '�
N
G
y
b N
4
W
P4
OWN
5
`1
Water Softener
Heater
$7.00
$
New Ground Run Old Building
x
$5.00
qCC
Electric Water Heater
x
$5.00
$
[1
aN
4
Cl NG
C
4
U•
-1 :1
g
V
M
13 •4
U
M
m
M
ro
A k.
c
v1
W
mproM•N
U M
FC 3
U
O
;as
'lec
1st
GR
2nd
3rd
4th
—I
HE
(R) - Future Connection Opening
Connected with Sewer
(�) a New Fixture, Old Opening
Water
PARTIAL RATE
SCHEDULE
PLUMBING FIXTURE RATES:
NO.
RATE
TOTAL
Number Fixtures
x
$3.00
$
Future Fixture Opening
x
$2.00
$
New Fixture, Old Opening
x
$2.00
$
Catch Basin
x
$5.00
$
Water Heater - to 99,000 BTU
x
$5.00
$
100,000 BTU to 199,000 BTU
x
$10.00
$
Water Softener
x
$7.00
$
New Ground Run Old Building
x
$5.00
$
Electric Water Heater
x
$5.00
$
GAS FITTING FEES:
is t 3 fixtures x $3.00 $
Additional Fixtures x $1.00 $
Gas Range to 199,000 BTU x $x:0.00 $
REPAIRS $ ALTERATIONS
First $100.00 $5.00 $
each add. $100.00 or fraction $2.00 $
State Surcharge, $ .50
TOTAL FEE $8-00
REINSPECTION FEE
rain nm
Job Address 7�351 pin& TrraA Tn-
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 facta and reprosontations stated in this application are true and correct
Fridley, Mn. 7-9-79 19
OWNER EGGERT
KIND OF BUILDING Frame
USED AS R'es •
TO BE COMPLETED ABOUT 7-16-79
ESTIMATED COST 10.00
OLD - NEW BUILDING PERMIT NO. PEPJ4IT NO.
Company
Signed B a*m .
Tel. No. MINNEGASCO
ROUGH INSP.
Date
FINAL INSP.
Date
APPROVAL FOR PERMIT 1',
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE
SUBJECT
"PER
City of Fridley
18544
AT THE TOP OF THE TWINS
BUILDING
PERMIT
RE
COMMUNITY DEVELOPMENT DIV.
INSPECTION
r PROTECTIVE SEC.
1 �
! CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
j 612-571-3450
910-F15
7/16/86
JOB ADDRESS 7351 Pinetree Lane N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
3
2
Jim Lund Estates
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
John Eggert 7351 Pinetree¢ Lane N.E.
786-0693
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS
ZIP PHONE LICENSE NO.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW j] ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 10* x 16' Three Season Porch
9 CHANGEOFUSEFROM TO
STIPULATIONS
Berate 119642
call la
S ARATE PERMITS REQUIRED FOR
���cr,�l�. ����t�la�
REQ I� Ett
Etc,
WIRING. HEATING, PLUMBING AND SIGNS
�Y LAW
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SQ. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
ISTALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND,ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
$3,000
$1.50
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-
$38.50
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
LAN CHECKFEE
TOTALFEE
$ 9.63
$49.63
&RECONTR:AROF,THORIZED GENT IDATEI
- 'WHEN PROPERLY LI DATED THIS IS YOUR PERMIT
BLDG INSa
E
SI AT RE OF OWNER IIF OWNER BUI ) (DATEI
NEW [ ]
City of Fridley Effective 4/1/86
ADDN. �R-1 AND R-2
ALTER. I ] Building Permit Application
W Az. Ys —Vv—V« ---
Legal Description: �C�T✓�-� K ���
Owner Name & Address: �� EL�i 73S I ` �t�2�� `� - — Tel . # K_0"o?3
Contractor: J _ Tel. #
Address:
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 C� Width Hgt/Ground Sq. Ft-
OTHER:
t.OTHER: ✓ vu Po R"t l I<
Corner Lot [ ] Inside Lot
[ ] Ft. Yd. Setback Side Yard Setback
Type of Construction: W o 09 ql=yv-- Estimated Cost: $
Approx. Completion Date: Mc, A=�S �� v Qv
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation
DATE: ` ^ L �`' APPLICANT: Tel. # vim✓
JY'USE
®® ONLY
Permit Fee $ LT Fee Schedule on Reverse Side
Plan Check $ ��� 25$ of Building Permit Fee
State Surcharge $ �$.50/$1,000 Valuation
SAC Charge $ $475 per SAC Unit
Park Fee $ Fee Determined by Engineering
Sewer Main Charge $ lei
Agreement Necessary [ ] Not Necessary [ ]
TOTAL $
STIPULATIONS:
CERTIFICATE OF SURVEY
FOR. JAMES LUND
.
114.00
25 - 46.7 �10 �� f 6
/2 £
�6„ C `� W
z.7 N �'
Ld co{ CIOn�
N w C
d
o I C
40 d I u
�Nn- 0 a
QD ..
25 aT
104.16
tn
N
-77 JZ
I-- DESCRIPTION:
O Denotes iron monument
Revised 11/26/74 to show
foundation
Lot 3, Block 2, JIM LUND ETATES,
Anoka County, Minnesota
z7own & Country
SurvecyorJ
Land Surveying • Site Planning
Civil Engineering
8816 70th Av. N. (1 94 at Boone Av N I
Brooklyn Park, MN 55428
Phone: 533-7340
hereby certify that this s a true and co rest representat on of a survey of
the houndai ies of the above described land and of the location of all buildings,
if any, thereon, and all visible encroichments, if any, tiorn or on said Lind.
As surveyed by me this _ _ _- 23---- day of - - -�1C F-_—_-- , 1914.
Minn. Reg. No. - 1o9 -44__ ------
Job No.
1'79
Bo -k -- Page
11-10
40.
CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
New Fixtures $ 5.00 $
Future Fixtures S 3.50 S
Old Opening, New Fixture $ 1.50 $
Beer Dispenser S 4.00 S
Blow Off Basin $ 5.00 $
Catch Basin $ 5.00 $
Rain water Leader $ 5.00 $
Hydraulic Valve $ 5.00 S
Sump or Receiving Tank S 5.00 $
Water Treating Appliance $ 7.00 S
Hot Water Heater $ 5.00 S
Gas Range $ 10.00 $
Gas Dryer 1 $ 10.00 S�OC7
Back Flow Preventer naquired. . . Yes ( ) No ( )
Type S 5.00 $
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1t of Value of Fixture or Appliance $
State Surcharge $ .5o
Reinspection Fee S
($15.00) TOTAL FEE $�Q
Effective May 1, 1990.
J�I
Job Address r\
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 ccorrect
Fridley, Mn. �'��� , 19
OWNER / ! L� /' �C� �
KIND OF BUILDING�2
USED AS _ no )p
TO BE COMPLETED ABOUT �] — �j 6 — '7 U
ESTIMATED COST , o o
OLD - NEW BUILDING PERMIT NO. PERMIT NO. ly
Company 1 'P_ S C U
Signed By
Tel. No.
ROUGH INSP. `•'i'�'�G�'�
Date
FINAL INSP. g_ (/ _?0
Date
APPROVAL FOR PERMIT
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00
PLUS THE $.50 STATE SURCHARGE
H
A
m
ro
u
k
N
Water
d
V
.er
ro
e
N
ro N
a
w
Heater
••pr
v
b
Rm
m
A
s�C
R K
3
u a
E
s�
.-4
• N
W
�
a
'�
�
W O
x
8M
N
y m
N
�
u
m
U
a
og
U,
�r
n w
rn
-4
w
e�
D
U r�
a 3
t7
c�
o
as lec
1st
2nd
3rd
4th
(R) ® Future Connection Opening
Connected with Sewer
(') . New Fixture, Old Opening
Water
RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
New Fixtures $ 5.00 $
Future Fixtures S 3.50 S
Old Opening, New Fixture $ 1.50 $
Beer Dispenser S 4.00 S
Blow Off Basin $ 5.00 $
Catch Basin $ 5.00 $
Rain water Leader $ 5.00 $
Hydraulic Valve $ 5.00 S
Sump or Receiving Tank S 5.00 $
Water Treating Appliance $ 7.00 S
Hot Water Heater $ 5.00 S
Gas Range $ 10.00 $
Gas Dryer 1 $ 10.00 S�OC7
Back Flow Preventer naquired. . . Yes ( ) No ( )
Type S 5.00 $
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1t of Value of Fixture or Appliance $
State Surcharge $ .5o
Reinspection Fee S
($15.00) TOTAL FEE $�Q
Effective May 1, 1990.
J�I
Job Address r\
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 ccorrect
Fridley, Mn. �'��� , 19
OWNER / ! L� /' �C� �
KIND OF BUILDING�2
USED AS _ no )p
TO BE COMPLETED ABOUT �] — �j 6 — '7 U
ESTIMATED COST , o o
OLD - NEW BUILDING PERMIT NO. PERMIT NO. ly
Company 1 'P_ S C U
Signed By
Tel. No.
ROUGH INSP. `•'i'�'�G�'�
Date
FINAL INSP. g_ (/ _?0
Date
APPROVAL FOR PERMIT
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00
PLUS THE $.50 STATE SURCHARGE
CITY OF FRIDLEY INSPECTION DIV.
Effective On January 1, 1997
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
JOB ADDRESS
RATE SCHEDULE
The undersigned hereby makes application for a permit for the work herein
Residential Rate
TOTAL
specified agreeing to do all work in, strict accordance with the City Codes and
Furnace Shell and Duct Work, Burner -
rulings of the Building Division, and hereby declares that all the facts and
Also Replacement Furnace $ 30.00
$
representations stated in this application are true and correct.
(Side Vent - Fill Out Back)
11997
Gas Piping (Needed with new furnace) $10.00
$
OWNER `�./ .tsrn�.tA % S .O - s
T S Z
Gas Range $10.00
$
BUILDING USED AS /.
Gas Dryer $10.00
$
T
'
ESTIMATED COST PERMIT N0.
*Air Conditioning - All Sizes $ 25.00
$
DESCRIPTION OF FURNACE AND OR BURNER
All Others/Repairs & Alterations (LIST ON BACK
1 % of Value of Appliance or Work
$
No. of Heating Units
Circle One (Steam) (Hot Wate
Trade Name
Size No.�
Commercial/Industrial
BTU a-7 HP F EDR
1.25% of Value of Appliance or Work
pp
$
Fuel �,�►-'�"' Total Connected Load .
State Surcharge
$ .50
Burner Trade Name Size No.
BTU HP EDR
TOTAL FEE
_
$15(
HEATING COMPANY d&AJ�% o
oTlf Afo
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
Signed By_IX Tel No.
5-V 13
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr Approved By Rough -In Date Final Date
*Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE FOR STACK VERIFICATION ON
written permission from adjoining. property owner. REPLACEMENT FURNACE
CHIMNEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack:
1. Has been carefully examined Yes () No ( )
2. Is free from rust or deterioration Yes () No ( )
3. Has no foreign objects lodged within Yes () No ( )
4. Is securely supported Yes () No ( )
5. Meets all current Code requirements for size
and total BTU's connected Yes () No ( )
6 Has total heating BTU's of
All other BTU's
TOTAL BTU's
7. Has a liner been provided for water heater Yes ( ) No ( )
8. Has combustion air been provided for water heater Yes ( ) No ( )
Ws, Sm
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572-3604
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
Effective On January 1, 1997
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
NO. RATE TOTAL
._1_
Water Heater — Gas**
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
Reinspection Fee $42.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
State Surcharge $ .50
JOB ADDRESS 7.35, %'� ve Z& A115
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.
Al _'1998
Owner , 0RI z;VaMy -790 - g7 81
Building Used As zad lae� y
Estimated Cost -,P 716D — PERMIT NO. l� I I LI
PLUMBING COMPANY /: %Z
SIGNED BY TEL NO.
Approved By ACS. Rough—In Date Final Date
MINIMUM FEE fOR ANY PLUMBING/GAS PERK
TOTAL FEE PLUS THE $.50 STATE SURCHARGE
**COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SO INCHES.
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572— 3604
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
Effective On January 1, 1997
PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS 73V /4t
New F'octures
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**
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
Reinspection Fee $42.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
State Surcharge $ .50
TOTAL FEE
The undersigned hereby makes application for a permit for the work herein
specked 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.
3%C , 1998
Owner .���,� •�D/P� 0 — % Z
Building Used As
Estimated Cost PERMIT NO. / r
PLUMBING COMPANY
SIGNED BY TEL N0.
Approved By Rough -In Date Final Date
MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20.00
PLUS THE $.50 STATE SURCHARGE
**COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SO INCHES.
SUBJECT
City of Fridley
(�
2 97
AT THE TOP OF THE TWINS
BUILDING
P E R M I T
r
RECEIPT NO.
1 v _._--- COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
iy
j((jj////
r 1
E �
E "'1 CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
612-571-3450
910-F15
6/18/99
JOB ADDRESS
7351 Pinetree Lane NE
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
3
2
I Jim Lund Estates
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Jim Murdy
780-8782
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Ea leview Const. Inc. 2937 174th Lane NW Andoypr 55304
753-5469
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
O NEW O ADDITION O ALTERATION XX REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Reroof house and garage (24 S Tear -off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING. HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT
CU FT.
AUTHORIZED IS NOT COMMENCED WITHIN 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
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
$2098
$1.05
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
$83.25
Fire SC 2.10
PLAN CHECK FEE
TOTAL FEE
/g q
:SIGNATU
License SC $5.00
$91.40
EOFCON'RACTORORAUTHORIZED AGENT 404I
WHEN PROPERLY V DATED THIS IS Y U`R PERMIT
m
_
s
S,GNATURE OF OWNERIIF OWNER BUILDER) IDATEI
BLOC SP
NATE
NEW [ ] - Effective 5/10/99
ADDN [) CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address:
Legal Description:
Owner Name & Address: J^Pn 197u"c4 Tel. #
Contractor: �c� �/u z �,✓ MN LICENSE # -200 &7 d -/3
Address: aG 3 `� `% u M (�yv-.L�� Tel. # %S3 -
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: f -�- R Estimated Cost: $
Driveway Curb Cut Width Needed:
Ft. + 6 Ft = Ft x $
W
DATE: T 7 ? 7 APPLICANT: Tel. # �S`T3 " S Ye, �
TOTAL
STIPULATIONS:
CITY USE ONLY
Permit Fee
$ 6;6-
Fee Schedule on Reverse Side
Fire Surcharge
$ 2 / U
.001 of Permit Valuation (1/10th%)
State Surcharge
$ /, 5^
$.50/$1,000 Valuation
SAC Charge
$
$1050 per SAC Unit
License Surcharge
$ S-.00
$5.00 (State Licensed Residential Contractors)
Driveway Escrow
$
Alt. "A" or Alt. "B" Above
Erosion Control
$
$450.00 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement Necessary [ ] Not Necessary [ ]
TOTAL
STIPULATIONS:
SUBJECT
PERMIT NO.
City of Fridley
AT THE TOP OF THE TWINS
BUILDING
PERMIT
3 15 3 2
r
-RECIPT NO.
`COMMUNITY DEVELOPMENT DIV.
L ______
PROTECTIVE INSPECTION SEC.
r
(d
i CITY HALL FRIDLEY W432
NUMBEF
REV
GATE
PAGE OF
APPROVED BY
-•--J� ��"'f
1 612-571-3450
910415
10/26/00
JOB ADDRESS 7351 Pinetree Lane NE
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
3
2
Jim Lund Estates SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Lorrie & Jim Murdy 7351 Pinetree Lane NE 763-780-8782
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
SYMN Renewal By Andersen 350 73 Avenue NE,
Fridley, MN 55432 612-502-4777
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
20130983
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION lR REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Replace 10 windows within existing openings
9 CHANGEOFUSEFROM
TO
STIPULATIONS
Provide smoke detectors in all sleeping rooms and on all levels of the
dwelling per Section 310.9.1.2 of the 1997
Uniform Building Code.
Permit Inspection Cards
Will Be Mailed
To Homeowner To Post
SEPARATE PERMITS ARE REOUIREO FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT
CU FT
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
1
STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
@@
$8,000
$4.00
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 COW
153.25
Fire S�.' 8.00
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TO A FEE
Licen a SC $ 0
170.25
S-GNATURE OF CONTRACTOR OR AUTNOR1ZEO AGENT IDATEi
HE PR R VALID T HIS ISYOUiPLUMIT
UJB '/V/ij/yV/ J\J
S,GNATURE OF ON/NERoF OWNER BUILOM iDATEI ,
f.a -NSP f1ATE
NEW[ ] Effective 5/10/99
ADDN [ ] CITY OF FRIDIXY
ALTER [ ] SINGLE FAAMY AND IDUPIMM R-1 AND R-2
BUILDING PERMIT APPLICATION
Construction Address: -4--j ) t .? Iv1-C)rt-Z- LD1%- (0 ,
Legal Description:
Owner Name &Address: Lo�C�q A. \ „fc) 1(Y\". jA� Tel. #
Contractor:; RENEWAL BY ANDERSEN MST LICENSE #
350 -73RD AVE. HE
Address: FRIDLEY, MN 55432 Tel. #
Alta (612) 502-4777
LICENSE #20130983 vey of the
lot, _ __ .r_ t ., .....,.,,..,u�►�uvu utawla Ula It to scale.
DESCRHF ON OF III-RGVENfENT ..
.LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width Hgt/Ground Sq. Ft.
OTHER:
40p�'" Ip00
Construction Type: LyINVI'" C�Q Q,n, L Estimated Cost: $ 8,Oco
Driveway Curb Cut Width Needed:
Ft. + 6 Ft = Ft x $.
DATE: /o: aN - 00 APPLICANT: AaxjrAc � �A A A Tel. #95,) -3((S - (o0 y
Permit Fee
$y�;5a s
Fire Surcharge
$�
State Surcharge
$
SAC Charge
$
License Surcharge
$°O.
Driveway Escrow
$
Erosion Control
$
Park Fee
$
Sewer Main Charge $
TOTAL $
STIPUI,A Ns. 1
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 [ ]
�u-�GEE�i,�t6i
/�ou„lE
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
RATE SCHEDULE
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
$ 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 On January 1, 2000
JOB ADDRESS ��S�,P/�t/£ 7W9£ L,,J
OWNER
TOTAL
BUILDING USED AS_ 116? l f—
$
ESTIMATED COST o%("D. uv PERMIT NO.
$ lB• �t3
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units Circle OneSteam
( ) (Hot Water) N&rm Air)"
$ Trade Name e0t, ggLc1f Size No. eae-
unrgr� srorl�
BTU 10,o
py HP EDR
$ Fuel 6,fs —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
representations stated in this application are true and correct.
$ d? S, Sd
DATEZI
HEATING CO- *f//z£s;fAl-, AJC—
Signe TEL # G�/-G33 SSG/
Approved ByA Rough -In Date Final Date 4mo
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 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 manufacturers 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 manufacturers
specifications. This does include AGA-GAMA Category I Central Furnace
Venting Tables for fan assisted and natural draft appliances. Yes (V)/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)
��/S7�?"�- / /e��s"�%✓P��.J� 5 f7 Z /0% �lz-&-'✓ ow
HEATING CO:���--
Signed By: Date: 114,4"
SuB.,ECr
ER
City of Fridley
'33045
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
-------COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
� -
r E
l(�d—F
E ;
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
763-571-3450
910415
9/5/02
JOB ADDRESS 7351 Pinetree Lane NE
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
3
2
Jim Lund Estates SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Jim Murdy 7351 Pinetree Lane NE 763-780-8782
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Cedar Valley Exteriors Inc 9920 Zilla St, Coon Rapids, MN 55433 763-755-2221
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
20177285
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO
6 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE
B DESCRIBE WORK
Reside House & Garage
9 CHANGE OF USE FROM TO
STIPULATIONS
Per Section 1402, 1997 Uniform Building Code, requires that a weather resistive
barrier be placed over exterior sheathing to protect the interior wall covering.
Exceptions for this provision would be if sheathing is an approved weatherproof
panel or when the siding is an approved weather barrier. Vinyl siding is not a
weatherproof covering unless the manufacturer states this in their application
guidelines. Call for inspection of wrap before covering. Caulk and flash all
exterior openings.
Permit lns;��®n Cards
Will Bebrled
To Ho ul r To Post
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCYLOAD
VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT
CU FT
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
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
12,500
$6.25
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.
223.25
Fire SC $12.50
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
PLAN CHECK FEE
TOTALFEE
Licen C $J.
X47.00
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE,
HE PRO VALIOA D THIS I R PERMIT
SIGNATURE OF OWNER ,IF OWNER Bua DER. iDATE,
8 G SNS PATE
JUN -24-1998 11:48 FROM CITY OF FRIDLEY Tjy]iy�Opdg4�_ 8959962 P.01/04
s 1 ✓AAW\A...r •. A. � �
ADDN I I CITY OF FRIDLEY
kLTER `[eh] SINGLE, FAMILY AND DUPLEXES R. AND R-�aTY OF FRIDLEY
BUILDING PERMIT APPLICATION 6431 UNIVERSITY AVE. N.E.
—7 FRIDLEY, MN 55432-4384
-onstructionAddress: E � t 0
. egal Description:
Dwner Name & Address- ���� Tel.
:oatractor: Cedar Valiff Exteriors Inc. MN LICENSE # JA67 T) 65
Address• 9920 Street Gaon Rkpide, MN 554SS Tel. # 'a
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.
DTHER:
:onstruction Type: Estimated Cost: $ , 9'
(Fee Schedule on Back)
)riveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
'ermit Fee
'ire Surcharge
tate Surcharge
;AC Charge
.icense Surcharge
)riveway Escrow
3rosion Control
'ark Fee
;ewer Main Charge
TOTAL
;TIPULATIONS:
CITY USE ONLX
$ Fee Schedule on Reverse Side
$ la. .001 of Permit Valuation (1/10th%)
$ $.50/$1,000 Valuation
$ $1000 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 [ J Not Necessary [ ]
$�,. • LTJ