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PRE 2010 DOCSAppli for P®w4w Pkmft owl Hleb% Cooling, Ventiledon, R D . and Air Conditioning Sys and Devices PARTIAL RATE SCHEDULE O>1 AVIFTY WARN AII4: -- - ---- -----RA9'1G TOTAL Furnace Shell & Duct Work ................ .. $10.00 Replacement of Furnace .... 6.00 Repairs & Alterations—up to $500.00 6.00 $ Repairs & Alterations each add. $500.00 3.00_ - Furnace Shell & Duca Work to 130,000 BTU ........ .. $10.00 $_ each add. 60,000 BTU ....:............... .. 3.00 ; Replacement of Furnace ... &00 $ �/ Repairs & Alterations—up to $500.00 6.00 $ Repairs & Alterations each add. $500.00 &W $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam $10.00 Furnace Shell & Line to 640 sq, ft. EDR Hot Water 10.E Each add. 200 sq. ft. EDR Steam &00Each add. 320 sq. ft. EDR kot Water 3.00 $ OIL BURNED—to 3 gal. per hourover 3 gal. per hour—See Fee Schedule GAS BUR (up to M,0W BTU) 5.00 $ over 189,000 BTU See Fee schedule GAS FITTING : NO RATE TOTAL 1st 3 Fixtures y,$ zoo $ Additional Fixtures x .75 $ Gas Range to 199,0011 x$ &OD $ :.. "A VIVO ROUGH am Fee 1khodub TOTAL ru $ %6 (SURCHARGE $ _.50) Dept. of Bldw Phos. 880.3490 n._ n City of FHdley: The undersigned hereby makes application for a permit for the work herein 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 facts and representations stated in this application are true and correct. Fridley, Mi�n(n lg _ Owner k L Lk 25 Kind of Building - Fria -W 42- Hou -.sem — SJl/l le Dwellik_q Used as .. --- .- Dktle2 . – — To be completed about 73 Estimated Cost, $_ _1100. Old—New. Building Permit No. Permit No. EMATING, or PORot Water, Warm Air—No—/ Trade Name 4�� Size No Capacity-- Seg. Ft. E.D.R VTv�-- l$�°tJ ©4 R.P Total Connected Load Kind of Fue !� BURNER — Trade Namee Size No Capacity Sq. FL E.D.R BTU NP. (REMARKS -OYER) BY Business Pi=e No 516 0 t2-'5_* 631-053' x 3z3,5 SUBJECT PERM City of Fridley _ 15 9 0 AT THE TOP OF THE TWINS BUILDING P E R M I T r RECEIPT N � • ___ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. � I � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L J \ 612-571-3450 910-F15 9/12/80 JOB ADDRESS 451 Rice Creek Terrace N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11 1 Rice Creek Terrace Plat 3 SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Richard McMahon 451 Rice Creek Terrace N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Lloyd's Home Improvement Inc. 1012 - 421 Avenue N.E. 788-5602 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 CR ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling & Garage 9 CHANGE QF USE FROM TO STIPULATIONS Roof can be 2nd but not 3rd roof- Install ridged galvanized valleys. 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 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 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 $1,100 $.65 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN 9REt99EE TOTALFEE J"�X"/J'v J 1-1 1 $9.65 SIGNATUREOFCONACTOROR ORIZED AGENT (WE) WHEIN PROPERLY V LIDATED THIS IS YOUR PERMIT-, W84) BLDG INSP SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING.PERMITS Mew, Alterations, Additions, or Repairs) OWNER:t _.%.. lj 1: i TEL NO: Construction Location STREET NO: �il- / STREET: • f � 4_tA_�, LOT: BLOCK: �_ ADDITION: �j�;�el; - Corner Lot: Inside Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION Front: Depth: Height: Square. Feet: -- Cubic Feet: Front: Square - Feet: Depth: Height: Cubic Feet: Type of Construction: 1/ G To Be Cbntpleted: Proposed Driveway Width If New Opening Ts Desired: Estimated Cost: $ / 'i':�`r�--P� Alt. A Alt. B SEE'REVERSE SIDE OF SHEET 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 t1ie facts and representations stated in this application are true and correct. DATE: z'%f°aa 1,W /9�fj SIGNATURE: Stipulations: SUBJECT City of Fridley , THE TWINS BU I L ®I N G PERMIT 7Tu o RECEIPT O. ` COMMUNITY DEVELOPMENT DIV. SEC. r PROTECTIVE INSPECTION ".—I i . — I CITY HALL FRIDLEY 35432 �'' NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 10/22/98 JOB ADDRESS 451 Rice Creek Terrace 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. I 1 1 1 Rice creek Terrace Plat 3 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ro er Musolf 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Ron Miller Const. Inc.971-1914 6354 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION { REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage 25 S Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 $2142 $1.07 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHERI STATE R LOCAL LAW REGULATING CON- STRUCTIO R THE PERFOR ANC 0 STRUCTION $74.75 Fire AC $2.14 PLAN CHECK F TOTA F E Lice S 5.00 .96 SIGNATURE OF CON TRACTQ T_H0_RTZ_EDA'6ENT IOATEI EN ROP A D T OOHIS IPERb11 f(/'`/ Y BL INSP MATE SIGNATURE OF OW NERgF OWNER BUILOE51 10ATE1 NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: Owner Name & Address: I - QC - Contractor: Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: Tel. # Effective 1/1/98 MN LICENSE # V/ Tel. # 7/— Attach % Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Length Width Height Length Width Hgt/Ground Driveway Curb Cut Width Needed: Ft. + 6 Ft = Sq. Ft. Sq. Ft. Sq. Ft. yflEstimated Cost: $ � (Fee Schedule on Back) Ft x $ = $ DATE: `� 2 APPLICANT: Tel. # ,j —��^ c� �7 STIPULATIONS: CITY USE ONLY Permit Fee $ 99, Fee Schedule on Reverse Side Fire Surcharge $ I1% .001 of Permit Valuation (1/10th%) State Surcharge $ /, 0'7 $.50/$1,000 Valuation SAC Charge $ $1000 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 $ a? STIPULATIONS: CITY OF FRIDLEY BUILDING INSPECTION Effective 4/1/2004 6431 University Ave NE''.= r p Fridley, MN 55432..APPLICATION FOR -POWER: PLANTS AND ,HEATING, COOLING, VENTILATION 763-572-3604 FAX 763-5711287 `, t REFRIGERATION AND AIR CONDITIONING SYSTEMS Al�tp DEVICES JOB ADDRESS %RATE SCHEDULEEN Residential Owner' Furnace Shell and Duct Work, Burner & - also Replacement Furnace ,; $35.00 $ Building Used As—COS, \6J2f'M 1�- Gas Piping (New Furnace, Fireplace, Insert) $10:00- $ ESTIMATED COST PERMIT AVO g • r Gas Range $1000. $DESCRIPTION OF FURN Gas Dryer $10.00: $ # of Heating Units , t Circle One (Steam) (Hot Water) <V?� Trade Name fM'v-')Cl if 1C�- Size No. *Air Conditioning -•Ali Sizes $25.00 $ BTU C) CD HP EDR All Other Repairs or Alterations (List on Back) 1% of Value of Appliance or work' - $ Minimum Fee $15 Orb for Residential orb% of cost of Improvement whichever is greater r Comme_ r� cial/Indus ial/Inla o* L25°%o of Value of Appliance or Work (List on Back) $ Minimum Fee $35.00 for Commercial/Inde strial/Institutional State Surcharge TOTAL FEE e'• T; REINSPECTION FEE $50.00/HOUR y _ *Air. Conditioners can not be placed in side yard without written approval fromadjoining property owner - copy to City FILL OUT BACK SIDE FOR STACK VERIFICATION ON -REPLACEMENT FURNXCE Fuel "Q CQ \ A- S Total:Connected Load . Burner Trade Name Size No. BTU HP EDR The undersigned hereW, 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 Dlvision,`and hereby declares that all the facts and rep resentations,stated in this application are true and correct. HEATING CO " NOMERN HEATING & AIR CONDITIONING, INC. 12 FAX Approved by Rough -in Date Final Date 1 FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furnace, 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 odes and manufacturer specifications including sizing, length, number of elbows and termination. Yes Q/I' No( ) The undersigned also.verifies that the replacement unit is a listed assembly and meets the current codes and manufacturers specifications. This does include AGA GAMA Category I Central Fumace Venting Tables for fan assisted and natural draft appliances. Yes (✓� No(, ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No �1 When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes (kr No( ) When installina a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA -LAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes (,K 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 t,,j' No ( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type h a i y\c,.LQ BTU Input' -10,00D 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 �t2 Common Vent Type i;� r� ere 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) HEATING CO: Signed By: _ Date : Buii l ding $ BUILDING See Back Page for Fee Schedule Permit No.: �. 667-7 a 1 Inspecti�Ons b(o .._ RESIDENTIAL APPLICATION Fire Surcharge Received By: 763-572-3604 .001 times the total job valuation CITY OF FRIDLEY $ Date Rec'd: 763-50pp2-4977 FAX License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge EFFECTIVE 1-1-08 $1825 per SAC Unit (Plans to MWCC for determination) 0 a DATE - 13— 1 YOUR E-MAILEE-MAIL ADDRESS ft + 6 ft = ft x $21 = $ SITE ADDRESS %1 J\ It✓ (KEEK K T-60 -,?-A C - THIS APPLICANT IS: ❑ OWNER CONTRACTOR $ PROPERTY OWNER/ NAME: 5 WACC A QRT, HANK moi- 'T g2'- Sewer Main Charge ADDRESS:—c161� R 1 C Ck , TF9 s CITY FIZlalt rSTATE I/} IIsi ZIP S:rL13,:Z TENANT Total Due PHONE: 91TI, az Make checks payable to: City of Fridley Attach Stipulations NAME: ��yy q Q �, B ADDRESS: % I O 1 E L F Q t 9 C D iz CITY V) ®0 &yA y STATE ftV,iLIP Sr.% 2-5- CONTRACTOR SUBMIT A COPY OF PHONE 1-131—aN S- FAX 6SJ--1.31-,2 31 q YOUR STATE LICENSE STATE LICENSE # Oa 11-2- 2k EXP DATE -3 31 1 PROPERTY TYPE SINGLE FAMILY SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING `OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR MODELING ®® DESCRIBE WORK BEING DONE: T*iF' OP�l— CASI19 s TCS D p Vfhe- OwNei\ G� SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT S FT ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: 1. Site Plan/Survey showing the existing structures El Aluminum ❑ Trim and proposed project. ❑ Other 13 Fascia 2. Two sets of construction plans WINDOWS IN EXISTING OPENINGS ❑Yes Io LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OFPE (Z �I.Arl' lJ L0C-ATl o ,�,JS OPENING CHANGES & �`%T� TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION $ 0-0 OCCUPANCY TYPE Permit Fee $ 'l �('"u1' See Back Page for Fee Schedule Plan Review $ b(o .._ 65% of Building Permit Fee Fire Surcharge $ _ zJ - 0 .001 times the total job valuation Surcharge $ . .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1825 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ 91TI, az Make checks payable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesolk Construction C ; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that a work will a in acro th the a ro ed plan in the case of all work which requires review and approval of plans. SIGNATURE F �PLI PRINT NA"®A1n 5Ed eP— DATE 1 P / F APPROVED BY DATE