PRE 2010 DOCSCity of Fridley, -Minn.
BUILDING PERMIT® 4 7 o z
Date: ....._../____.
Owner: --..: ... Builder �.��.-__._..._....__._...._��—_..._...�_:
Address.............. ... ._...._._...._.._..._. ._ _ __ ___ Address ............. ..._._.___.. _. _.._.._..__._.._.____.._.._._._._-
LO ION OF BUILDING
No..1.. l ....... Stree _... _ -- -- -- .. f Lot ._---......_._._.____. _...._._
Lot ........ _ ... - - - _ .. _.__ . ....._ _
��....................... Block ....._.......'`.1�._ .-----•----------------.. Addition or Sub-Divisio ......... - - �:
"T
Corner Lot ...--- ............................. Inside Lot... .._..t.�/...
............. Setback....._.........._::....._...._........_..,..U..... _..........................................
SewerElevation....._............._............._......._...._............._......._...._.._.._...._........ Foundation Elevation _..._..............................
DES RIPTION OF BUILDING
To e Used as:
Front-_/. / Depth _...Height _...._.. Sq. Ft._.1 G
_ ................... :............. .............. Front ..... _................. Depth .....--........... eight .................. Sq. Ft. ..... _................. Cu. Ft. ..... _................
.
Type of Construction.s,.�A-'--- Est. Cost.-.77._F�...��................... .... To 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 $ ' o_a...., 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 violation of any 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.
4
APPLICATION. FOR IWILDING PERMIT
CITY`OF.FRIDLEY; MINNESO
Owners Naim®
Address
LOCATION -OF -1 BUILDG.
Part of Lot o
Lot _'Block Addition or Sub.Div.
Corner Lot,_, Inside Lot Set Back Side"Yard���
$EWES ELEVATION FOUNDATION ELEVAk
Applicant attach to thls,.form Certificate of Survey of Lot and proposed building
location. f.. .
DFSCRiPTTON OF BUMMG
To be sed as:
a I(
P
Front Depth height ._.....:...,.,..
Sq. Ft. Cu.. Ft,
t Front pth'' :... Height .
Sq. Ft. Cu. Ftp
Type o Construction Estimated Cost Z, 7.11*6
To be completed
The undersigned hereby makes application for a permit for. the wori',herei:n specified,
agree�ng.to.do all work in strict accordance with the City Ordinances,and ruling of
the Department of ;Buil dings, and -hereby declares that all, the .,facts and': representa-
tions stated in thio application. a 6:,,true .and correct:
DATE SIGNATURE
(A Schedule of Fee costs can be found on the Severse. Side.)..
City of Fridley
Application #or Plum ing and Gas Pitting Permit
Dept. of Bldgs. Phone SU 4.7470
DESCRIPTION OF WORK �/
Number, Kind and Location of Fixtures Location
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: 0. RATE TOTAL
Number Fixtures 0. x $1.50 $ " ! y ' ® G%
Future Fixture Opening � 0
................ 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
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, Minn -2— 19
Owner ALL
Kind of Building
Used as c
To be completed about
Estimated Cost, $
Old—New. Building Permit No. Permit N. -,11"Z
Signe
01
By.
Business Phone No —
ROUGH -6 O
FINAL
Description ................................................$
TOTAL FEE $ 42 2M 7-59
zzSZ3?
Og
a
w
•
•
WATER HTR.
end
�O
F
N
GAS
ELEC.
m
Base
1st
2nd
_
3rd
—
4th
• Future Connection Openings
Connected with
I
Sewer �
New Fixture, Old Openings
Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: 0. RATE TOTAL
Number Fixtures 0. x $1.50 $ " ! y ' ® G%
Future Fixture Opening � 0
................ 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
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, Minn -2— 19
Owner ALL
Kind of Building
Used as c
To be completed about
Estimated Cost, $
Old—New. Building Permit No. Permit N. -,11"Z
Signe
01
By.
Business Phone No —
ROUGH -6 O
FINAL
Description ................................................$
TOTAL FEE $ 42 2M 7-59
CITY OF FRIDLEY INSPECTION DIV.
Effective On January 1, 1993
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 6 7 4 Z4 Ce -e
RMg 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 Shelf and Duct Work, Burner —
rulings of the Building Division, and hereby declares that all the facts and
Also Replacement Furnace $ 20.00
$
representations stated in this application are true and correct.
9— Z-/ ,1993
Gas Piping (Needed with new furnace) $ 10.00
$
��`��"�
OWNER �� ��. '411.<f
Gas Range $ 10.00
$
BUILDING USED AS De;c� e"
Gas Dryer $10.00
$
C)
ESTIMATED COST �� � PERMIT NO.
*Alr Conditioning — Ali Sizes $10.00
$
DESCRIPTION OF )"'t, IRN6CE 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 Water) (Warm Air)
Trade Name d f—O& -ce Size No.
Commercial/industrial
BTU ® 0 ® HP EDR
1% of Value of Appliance or Work
$
Fuel. Total Connected Load®` 0 &-1
State Surcharge
$ .50
Burner Trade Name Size No.
TOTAL FEES
BTU HP EDR
HEATING COMPANY
MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATiON•
REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00
�O� �� p�`� ��'
Signed By/4.-,-, o.
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $30.00 Approved By Rough—in Date Final Date
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner. FILL OUT BACK SIDE FOR STACK VERIFICATION ON
REPLACEMENT FURNACE
CHIMNEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack:
S. Meets all current Code requirements for
size and total BTU's connected Yes ()e) No { )
6. Has total heating BTU's of oyr
All other BTU's'w D d
TOTAL BTU's
Remarks
List Alterations Being Done:
HEATING COMPANY
Signed By
Date ��-
Has been carefully examined
Yes Qq
No ( )
2.
Is free from rust or deterioration
Yes (}
No ( }
3.
Has no foreign objects lodged within
Yes
No ( )
4.
Is securely supported
Yes
No ( )
S. Meets all current Code requirements for
size and total BTU's connected Yes ()e) No { )
6. Has total heating BTU's of oyr
All other BTU's'w D d
TOTAL BTU's
Remarks
List Alterations Being Done:
HEATING COMPANY
Signed By
Date ��-
SUBJECT
PER . `a
City of Fridley
27 13 1
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
`
PT NO.
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
®0
r
NUMBER
REV
DATEPAGE
OF
APPROVED BY
CITY HALL FRIDLEY 55432
L 612-571-3450
910415
8/12/98
JOB ADDRESS
6711 Plaza Curve
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
8
4
1 Rice Creek Plaza
South Addn.
SHEET
2;TOOPE TY OWNER MAILADDRES$
ZIP
PHONE
Hvrt Korrzak
571-5041
3 CONTRACTOR MAIL ADDRESS
ZIP
PHONE LICENSE NO.
Four Seasons Roofing & Remodeling 7930 Universitye
BE Fru
ket 795-9410
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP
PHONE LICENSE NO.
20138780
5 ENGINEER MAIL ADDRESS
ZIP
PHONE LICENSE NO.
8 USE OF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION XX REPAIR
❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reroof house n Tear -off
9 CHANGE OF USE FROM
TO
STIPULATIONS
Underlayment must comply with
State Building Code.
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 BO 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
1668
$.83
DOES NOT PRE UME TO GIVE THORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONS ANY OT STAT OR LOCAL LAW REGULATING CON-
STRUCT) THE P F R A E OF CONSTRUCTION.
54,00
Fire SC $1.67
PLAN CHECK FEE
TAL FEE
Z d?l
icens 5Z161.50
IGNATURE OF CONTRACTO R AUTHORIZED AGENT IDATEI
LY V 1
ED THIS I$ UR P MISIGNATURE
VHEPR
OF OWNER IIF OWNER BUILDER) IDATEI •
nATE
NEW ] Effective:I/1198
ADDNFItIDLEY...•
ALTER [ ] SINGLE FAMI Y,' AND DUPLEXES; R=L AND R 2
BUIIMDIG'F,RiIT APPLICATION /��
�. 1 a .' ' y,�{'�,�. i} -�. r el iJ.�" +ti•,lF''9 i �s-6 ,1r °E���t.{rr r s 4,'��_
'. , M r, rfN't•.. '� I Ib t:y ! r a a.�:�+,K''�,K •�i.,. Yr' �'�,yt
ConstructionAddress.:-...-.. 1 ,;.,.;..�
c t .'},.:J7; xri ¢ �,•.` *' i . 'ij .. :. rd�'.rolY'I,i'i
U�gal Description:
Owner Name & Address: � 1 OT
Contractor: ,rU u r n,2 ej jeem t �9 Lina MN LICENSE #
Tel.
:'address: 7C% 3 d ( t U eX�4-L4f__ �f-
Attach to'.this' applicatibn a Certificate .o€,$mvey of the
lot, witli`tt *9posed-contraction.drawn on''-it,to scale.
DESCIRIK-ON, OF IlViPROVEMENT
LIVING. AREA: Length : Width Height Sq. Ft.
GARAGE AREA: Length,' 'Width Height Sq.':.Ft.
DECD AREA: Le li Width ______ • Hgt/Ground
glSq. Ft. -.-,—
OTHER:
Construction Type. -P V , Cl_t 6� Estimated Cost: $
(Fee Schedule, on
Driveway Curb Cut Width Needed:`; "" +''6 Ft = Ft x $ _ $
DATE: /® APPLICANT:,.;,- a Ll)n m4
f '•Q , s.'t r4, `,.a. //..��".•.YV*TS�1 i..'�f', r� c,�yli�t '.,
,i; di'<pl.+: NaY�•a'1.� �'� e�'G,wr V+g L` ON` -.fit`, MyZ'�
Permit FeeSFee Schedule. on Reverse Side
$a,�=3
Fire Surcharge g 1 of
Pi (1110th%):
State Surcharge $ a ' $:50%$!1';x000 Valuation }
SAC Charge: $ .k > '� �� $10001pek,, SAC Unit.
f.i p. k .;a `trel?,F1°11y: 4st'.}? .. •. :' 1 �. -, 5 .� Ydi',nb4'�� r, l y '�,.P4JA
License Surcharge$$00(State Licensed. Res}el
� q `� n kaa 1 f ' '•,• 'p
Driveway Escrow $ = s w7 1 NfJ7 i�4 �b;'�'A"for�Alt.' Ilb"' Above
ti {,.,.+�' in+ r T; a; ,� f +h �i�y b�,a» c T .r r ,,�s;' }.ratan '•..
Erosion Control r
Fee
F"Cg 4t'on�Plan.`P ev�.tew
Park Fee $''» g• . g,:':
ee Determined by Enine rin
Sewer Maui Charge. $ aag VAgreement Necessary' [ ] Not, Necessary
t'ca `• i t la. l r iaRA
TOTAL �_' F `l+�tstx �.�. ....
,t
STIPULATIONS: t
' : F's }q� ,gyp}¢�•�s ,'
„ n7ja'ro 3r
August 14, 2001
To whom it may concern,
This letter is an acknowledgement of our understanding and agreement to the owners of
6711 Plaza Curvo expanding their driveway to the property line between 6701 Plaza
Curve and 6711 Plaza Curve: Should you have any questions or further requirements
please call 763-572-2157.
Sincerely,
C, -f-�
James and Debra Tschida
6701 Plaza Curve
Fridley, MN 55432
01
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572-3604
Stories
Basement
Floor 1
Floor 2
Floor 3
Floor 4
Effective On January 1, 1999
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
�virwim vAumoc�n yr riA I UMMO I U Ct INA I ALLtU UN tAUH FLOOR
nth Wash Dtmk Floor Catch Auto blas Gas Mlse Water Heater
Urinal Ttib. Shower Sink,`. Tray Fount.< . Drain BasinWasher Apel Range Fixt Gas Elec
�C
PLUMBING FIXTURE RATES: NO.
RATE TOTAL
New Fixtures
$ 7.00
Old Opening, New Fixture
$ 4.00
Beer Dispenser
$ 5.00
Blow Off Basin
$ 7.00
Catch Basin
$ 7.00
Rain Water Leader _
$ 7.00
Sump/Receiving Tank
$ 7.00
Water Treating Appliance
$10.00
Water Heater —Electric
$ 7.00
Water Heater — Gas** )4
$10.00
Gas Range**
$10.00
Gas Dryer**
$10.00
Back Flow Preventer Required ( )Yes () No
Type
$15.00
Reinspection Fee $42.00/Hr
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
9
JOBADDRESS103\` kC,7.g_ L a,
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.
101 - —ice
Owner �17 C 7a K
Building Used As
G
Estimated Cost a=n PERMIT NO.
MCGUIRE & SONS
PLUMBING COMPANY__ SM 12n Avenut SwO
opkiris, NIN 55343
SIGNED BY 1 TEL N0. eDdem i — q [.
Approved By Rough—In Date _
State Surcharge $ .50
MINIMUM FEE R ANY PLUMBING/
TOTAL FEE $ PLUS THE $.50 STATE SURCHARGE
go
Final Date
**COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SO INCHES.
Ckq Inz-i
Building
MECHANICAL
Permit No.� S
Inspections
RESIDENTIAL APPLICATION
Received By:
763-572-3604
DatQi: M At 31 2
CITY OF FRIDLEY
DATE :5 ® YOUR E-MAIL ADDRESS
^
SITE ADDRESS L;—) 1 ( k' AMC,- �lx rV'� Nf,
THIS APPLICANT IS: ❑ OWNER f CONTRACTOR
PROPERTY
NAME: e -er- %c�O -z-4
OWNER/
G
ADDRESS: Lo, it t& -Le` 0.urur- N ITYr i STATE_MIPG ��
TENANT
PHONE: --I L3 -S-1 1 • ,5-04
CONTRACTOR
COMPANY NAME: CENTERPOINT ENERGY
CONTACT PERSON: JOANN I INICEN
SUBMIT A COPY OF
YOUR STATE
STATE LICENSE # EXP DATE
LICENSE WITH
ADDRESS: 9320 EVERGREEN BLVD STE BITY "COW—RAPIDS sTATEMN zIP55433
APPLICATION
PHONE 763 — 757 -- 6202 FAX 763--757-6701
PERMIT TYPE
K4INGLEFAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK:
❑ NEW )QREPLACEMENT ❑ ALTERATION/REMODEL
DETAILED DESCRIPTION OF WORK -:rv,yskc,,t k 1Z'r0 ke4(! C— AI`r C&COA i O n e t —
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 tabor)
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)
Equipment Installed MFG: MODEL: to e 1-- a30 SIZE/BTU -114L 4 n
MFG: MODEL: SIZEIBTU
/ MFG: MODEL: SIZE/BTU
$25.00 _FIREPLACE (GAS) $15.00 _GAS RANGEIOVEN $10.00
NEW
_AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00
_BOILER $35.00 _FURNACE $35.00 UNIT HTR $10.00
CHIMNEY LINER $10.00 _GAS DRYER $10.00 HEATER $35.00
_POOL
DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00
f�� V � ;,, `" ; � aia'. bey. � .`"t_d
4
Ik{i ��. l u`('A ,J , ` �'� o +, ��.� ki , s •y;'"� t � `I�i '� �'�'a'_.'..,7.s�r R���V,` "�
Permit Fee $
Number of fixtures @ $10.00 x $10.00 = $
Surcharge $ .50
Number of fixtures @ $15.00 x $15.00 = $
TOTAL DUE $
Number of fixtures @ $25.00 1 x $25.00 = $ .25700
Number of fixtures @ $35.00 x $35.00 = $
State Surcharge = $ .50
Total 5,50
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.
SIGNATURE OF APPLICANT RA, NAME ROGER HOFFHEIN DATE D
City of Fridley
Building Inspections- Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977
07
City of Fridley Residential Mechanical Application Page 2
REQUIRED INFORMATION NEEDED TO PROCESS PERMIT
RESIDENTIAL PERMIT APPLICATION HVAC
❑ NEW HOMES/ADDITIONS EXISTING HOME ❑ MAKE-UP AIR
REQUIRED FOR NEW/EXISTING HOMES
1. Combustion Air (See note below)
a. Oil or solid fuel IMC Chapter 7 with MN Amendments
b. Natural Gas or Propane/IFGC 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. ACCA Manual D
NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for
combustion and make-up air calculations.