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PRE 2010 DOCS'3-84-879001 CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE.SCHEDULE PLUMBING FIXTURE RATES: NO. jy q Number Fixtures ro $3.00 o Future Fixture Opening k e $ Water x $2.00 $ q x $5.00 $ Water Heater - to 99,000 BTU x $5.00 $ 100;000 BTU to 199,000 BTU x w $ Water Softener Heater $7.00 4J '4 9 q C q F" x 1 y N q .0 C m w a 1st 3 fixtures f•1 $3.00 $ Additional Fixtures •./ W N U Q M es C C .� $10.00 $ ^I C 3 U •'I O x U 0 q N - ° -.i $, y! ro q a q ro •11 P wo O c O ., JJ W rorooro JJ W q ro . j ro .0 4J as lec to U w c to A w y w W R 3 c� c� O lst c nmJct rInTe 2nd 3rd 4th (R) = Future Connection Opening Connected with Sewer (*) - New Fixture, Old Opening Water PARTIAL RATE.SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $3.00 $ Future Fixture Opening s $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: 1st 3 fixtures x $3.00 $ Additional Fixtures x $1.00 $ .Gas Range to 199,000 BTU x $10.00 $ REPAIRS & ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ State Surcharge $ .50 TOTAL FEE $ 8.00 REINSPECTION FEE ($30.00) Job Address 6231 NE RAINBOW DRUTE ? 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 correc Fridley, Mn. 11-22-76 , 19 OWNER KNUTSON KIND OF BUILDING frame USED AS res. TO BE COMPLETED ABOUT 11-29-76 ESTIMATED COST 10.00 j OLD - NEW BUILDING PERMIT NO. PERKIT NO. �( Company Z Signed By UINDIEGASCO Tel. No. ROUGH INSP. Date FINAL INSP. % Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES . PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Sell & Duct Work $12.00 $ Replacement of -Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ MECKkNICAL WARM AIR: $ Furnace Shell & Duct Work to 100,000 BTU $12.00 y � $ each ad.:. 50,000 BTU 4.00 7.00 $ $1.60-. Replace_: ent of Furnace Reca:rs & Alterations -up to $500.00 7.00 $ Re_airs & Aiterations each add. $500.00 4.00 $ STEA\: OR HJT It 71012 SI S7MM : Date Boiler & Lines up to 100,000 BTU $12.00 $. each addn. 53,000 BTU 4.00 $ Boiler only up to'100,000 BTU 7.00 $ each adan. 50,000 BTU 6.00 $ OIL BURNER- to 3 gal. per hour $10.00 $ each add. 3 gal. per hour 10.00 $ GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 (over -199,999 B^.0 see Fee Schedule) $ GAS FITTING FEES: ist 3 Fixtures x` $ 3.00 s3_1_0_0 Additional Fixtures x $ 1.00 $_ Gas Range to 199,000 BTU x $10.00 $ AIR CONDITIONING FAN HEATING SYSTEMS see Fee Schedule VENTILATING SYSTEMS $ A LTERaTI ONS $ REPAIRS S $ _ State Surcharge $ .50 TOTAL FEE $� ROUGH INSP. REINSPECTION FEE Date ($10.00) . r i.0—, IxSP. Date =VAL ' AP FOR PERMIT G� }1'iSZti:U:i FEE FOR ;xf HEATING PERMIT IS $7.50 s Job Address Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby :Hakes 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) e and correct. ,1/ Fridley, Minn./ 19-L OWNER -"'6 (h✓l �y �r�� i �J - KIND OF BUILDING USED AS TO BE COMPLETED ABOO�UT � ///�� A � /I l -t / ESTIMATED COST q(a ® V © G OLD -NEW BUILDING PERMIT NO. PERMIT NO. �! U f DESCRIPTION OF FURNACE/BUR4iER HEATING or POWE LANTS, Steam, Hot Water, arm Air-- No. Trade Name Size No. Capacity 0 ®_� S4• Ft. EDR BTU H? Total Connected Load HI _ Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU Company Signed By r e SUBJECT City of Fridley 2 � � 3 AT THE TOP OF THE TWINS BUILDING PERMIT r NO. ' • COMMUNITY DEVELOPMENT DIV r � PROTECTIVE INSPECTION SEC. i NUMBER REV DATE PAGE OF APPROVED B CITY HALL FRIDLEY 55432 612-571-3450 910-F15 10/30/95 JOB ADDRESS 6231 Rainbow Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Joyce Knutsen 6231 Rainbow Drive NE 571-2475 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Suburban Roofing 13418 Crooked Lake Blvd Andover MN 55304 755-0427 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20038979 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK 0 NEW O ADDITION 0 ALTERATION Rl REPAIR 0 MOVE 0 REMOVE 8 DESCRIBE WORK Reroof House & Garage (20 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must MqM comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, 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 $1,600 $•80 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- $51.25 Fire SC. $1.60 STRUCTION PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE fT License SC $5.00 $58.65 SIGNATURE OF CONTRACTOR O THORIZED AGENT (DATEi .� WHEN PROPERLY^ ALLII DATED THIS IS YOUR PERMIT ' off 1,0— 30-2� SIGNATURE OF OWNERoF OWNER BUiLDERi iDATEi BLD INSP DATE NEW [) Effective 8/1/95 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: (0 2 S f T I Legal Description: ( _ o K7( Owner Name & Address: e oz- K�, Tel. # ) ?S' Contractor: S,� y �ti 1 -/?U Z � _ MN LICENSE # zon q Pq > _ Address: y 1hVja1e/:. -//Tel. # Zs's e �— 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: Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ Approx. Completion Date: /I - 3 -'e �— (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 F = Ft x $ _ $ DATE: 110 3 u- g _ APPLICANT: r Tel. # CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ l (o O .001 of Permit Valuation (1/10th%) ,State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $850 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ } Not Necessary [ ] TOTAL $ STIPULATIONS: CITY OF FRIDLEY INSPECTION 6JV. 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On August 1, 1995 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT - PLUMBING FIXTURE RATES. NO. RATE TOTAL Now 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** 0 Gas Range" $10.00 Gas Dryer** $10.00 Back Flow Preventer Required )Yes No Type $16.00 Reinspection Fee $42.00/Hr,' ALL OTHERS AND/OR REPAIRS AND ALTERATIONS G) C1 1.5% of Value of Fixture or. -Appliance c State Surqharge $ .50 JOB ADDRESS 4 zo-c 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 aretrueand correct. Owner Building Estimated Cost 4) PERMIT PLUMBING COMPANY a SIGNED BY Ze" TEL NO Approved By Rough—In Date Final Date TOTAL FEE PLUS THE SM STATE SURCHARGE **COMBUSTION AIR SHALL BE PRC5VIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SO INCHES. 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 Residential- Furnace esidential 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) I% o(Value of Appliance or Work :ommercial/lndus trial 1.251, of Value of Appliance or Work Rate _ TOTAL $ 30,00 ' 0D- � $10,00 $ 10,00 $ $ 10,00 $ $ 25.00 $ State Surcharge TOTAL FEE v �i_ z• ► . _ •;• i • tEINSPECTION FEE $47.00/Hr Air Conditioners can not be placed in a side yard without mitten permission from adjoining property owner. $ .50 Effective On January 1, 2002 JOB ADDRESS_ _` 64,11V&W U, N OWNER Joyc-„ .10Nvts d RU BUILDING USED AS -"L ESTIMATED COST OD °v PERMIT NO. > DESCR#PTION OF FURNACE AND OR BURNER e No, of Heating Units_ Circle One (Stearn) (Hot Water) Warrn Ai Trade Name Luy A -I /1� Size No. 6-f-?'® S�®! c,� BTU , dy-u HP EDR Fuel 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 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE HEATING CO River City Sheet Metal, Inc.9928 e it W. Signed Coon Rapids, MN13&4%3 FAX # 60, - 754-2199 Approved By Rough -in Date` Final Dat Building PLUMBING Permit No.�'LiG°"a Inspections RESIDENTIAL APPLICATION Received By: ✓ " 763-572-3604 i CITY OF FRIDLEY Dad: FAQ 763-502-4977/) EFFECTIVE 1-1-2010 V. DATE !i q ` (G !,, YOUR E-MAIL ADDRESS SITE ADDRESS W '3 1 + 1 YI`Y✓UK) THIS APPLICANT IS: 13 OWNER []CONTRACTOR PROPERTY NAME: 050y' I,, ADDRESS: (0 3l AhM CITY STATE ZIP l4a)' OWNER/ TENANT r2_11 �J`flfi'�151 ! A416 P ONE: _161,15 pLe CONTRACTOR NAME: SUBMIT A COPY OF S" ATE LIC is EXP DATE YOUR STATE I __ 4, LICENSE, BOND AND STATE BOND # EXP DATE CERTIFICATE OF ADDRESS: shakwas. MNCITY STATE ZIP INSURANCE t1 PHONE E�6 2-. .�-4803 FAX PERMIT TYPE INGLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE TYPE OF WORK: OI'NEW -.U-REPLACEMENT DETAILED DESCRIPTION OF WORK {.Q� ICA CfL FEES ARE BASED ON $10.00 P�R FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $35.50. BATH SINMAV DRAINS SHOWER WATER PIPING _ _FLOOR _ _ _ BATHTUB _ GAS PIPING (NEED CITY LIC) —SWIMMING POOL WATER SOFTNER ($35) CLOTHES WASHER KITCHEN SINK WATER CLOSET _ BACKFLOW PREY. ($15) _ _ _ _ DISHWASHER _ LAUNDRY TRAY HEATER ($35) FOR IRRIGATION _WATER WATER METER —OTHER n g 9 4 �a t� � b n' - , _' Q..of '� 2 C. h &5 t 5P � �`, ✓ , 3 i"* ix N ` `4t 's ' k^� THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a plumbing permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinalnces and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an apphication for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in &c of all work which re uires review and approva of plans. , � SIGNATURE OF APPLICANT PRINT NAME l�e I l DATE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977