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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N° 4 0 7 7 Date:7— . ............._..--------_..-------...__ Owner: _..... . ........... ............. _............ - ......_ - -- _ ............... Builder ........_ _...._.....Q _._._........_. ...- Address-----••...............-.__...._..._._........__-....... _ _ . __. .... Address ........... ............... ......... -............ LOCATION OF BUILDING No...... e .. Street .. .1.i 1— ..- ........:. ...._.... _........_ ...........-.............. Part of Lot ....._....... .... - - ..... f Lot ....._.....�/ ................ Block .......... - . _............._............. Addition or ub-Division ® r Corner Lot .................................... Inside Lot .–A ....................... Setback ..�.... ...'_'®._........ Sideyard .--- .".................................. Sewer Elevation....._.............-.............-...........__............._......._....-....................... Foundation Elevation DESCRIPTION OF BUILDING To be Used as: F cs f �v / c� /y�/ ... ----...._... ........-•--- Front ... Depth ��.'.. Height �. "' Sq. Ft. /....0..f_ .A� Cu. Ft. ®/ 7 j.!� o w P �/ e< <, 7 -,-7� .. ................. ............ Front 1..A.7- .16 Depth 3`.! e,� �'•Height �/(�.". Sq. Ft. W. .. Cu. Ft. Type of Construction................----.........---......................... Est. C r.. .. —... 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 �fgrth anin compkance with all provisions of ordinances of the city of Fridley. �",�� --�' k\ j ki In consideration of theayment of a fee of P ............ 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. • • • • Application for Pourer Tants and Heating. Cooling. Ventila ion. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SII 4-7470 GRAVITY WARM AIR: RATE TOTAL Location 152 R iv e r s Edge WS Y Furnace Shell & Duct Work ................:......... 8.00 $ Replacement of Furnace ......... ............ .. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace ................. I........... 5.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ TEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. IDR Hot Water ... 8.00 $ Q Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ 5 e ® 0 GAS PIPING (Up to 3 Fixtures) .......................... 1.50 $_ (Add 50c each over 3) AIR CONDITIONING FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $ 14.50 REMARKS: 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, Mnn_ De Cc° ,, 3,, 195 , 195— Owner Mark Jones 195— Kind of Building Frame 195— Used as Dwelling To be completed about Fed .96® Estimated Cost, $ 510,,00 Old-�New) Building Permit No. ,,) ® � 7 DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, Vkrm A"o I Trade Name Pe feCtlOn Size No MG100DXN Capacity Sq. Ft. E.D.R BTU loom H.P. Total Connected Load 3 5 1� 920 Kind of Fuel Gas BURNER — Trade N—P Size No Capacity Sq. Ft. E.D.R BTU H.P. 11 Ppm 1 M-8-58 Business Phone No Win ows and Doors—Crack age . d Area !-1`777w"- Width HelghtNo. of Lineal ft. Area HEAT LOSS CALCULATIONS DEPARTMENT O#,;: --BUILDINGS BROOKLYN CENTER, MINA. Weatherstrips A.S.H. Construction No. '1' Insulation Infiltration t Guidea Reference 19— Glass Windows I Doors Out. Wall Int. Wall Ceiling Roof Floor Find How Applied tl Yes—No Yes—No FQRoom Len Wid Height Fl.� ' Room I Length Widt Height Win ows an Doors—Crackage and Area > Windows and oors—Crackage and Area OF Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of Dane of pane lights of crack sq. ft. AAm 4-0- Coef.1 Btu Coef. Btu Infiltration Infiltration Glass Glass 40 Exp. wall� Exp. wall Net exp. wall Net exp. w Int. wall Int. wall Ceiling Ceiling Floor _.. Floors & ; Total Btu. 440 Total Btu. 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 Flat ;°': Room Length^� F. Widt Height ` Fl.i3 Room Len idtk . y . Win o6i indDoors—Crackage and Area Width Height No. o! Lineal ft. Area No. of pane of pane lights of crack sq. ft. Height 1 Windows and Doors--Crackage and Area Width Height No.,of Lineal ft. Area No. of pane of pane lights of crack sq. ft. �g ,r Coef. Btu Coef. Btu Infiltration z :'e,Infiltration Glass IfGlass-" Exp. wall Exp. wall Net exp. wall a, Net sap. wall Int. wall Int. wall Ceiling Ceiling Floor Floor Total Btu.Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area or Required sq. ft. E.D.R. or sq. ins. W.A. Leader area . Fl.� . h; x Room I Lerith,,-17 Width 4 '' Heurht F7 I ..o �k oR.,..,.. I t a.emth _ -Width Height �0 Win ows and Doors—Crack age . d Area y` Width HelghtNo. of Lineal ft. Area No. of pane of pane Iights of crack sq. ft. Coef. Btu ' Infiltration Glass Exp. wall Net exp. wall d Int. wall Ceiling Coef. Btu Infiltration t Glass 14 1 Exp. wall Net exp. wall Int. wall Ceiling Floor" . E.D.R. or Windows and oors—Crackage aidd, Area Width Height No. of Lineal ft. Area No. of pane of.pane lights of crack Bq. ft. 1 Coef. Btu ' Infiltration Glass Exp. wall Net exp. wall d Int. wall Ceiling Floor ° g' z. ; Total Btu. , a Required sq. ft. E.D.R. or sq. ins. W.A. Leader .area BROOKLYN -PRINTING .& ADV. CO. ,_ e" A City of Fridley Application fcw Plumbing and Gas Fitting Pwmit DESCRIPTION OF WORK Number, Kind and Location of Fixtures ffi CC�� RATE TOTAL Number Fixtures ...................... x $1.50 Y Future Fixture Opening .................1 z aa7 5� New Fixture Old Opening .............. � C9 Z F N WATER HTR. GAS ELEG � x 2.00 $ 0 Q New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ Additional Fixtures .................... x .50 Base p f x 2.00 $ 1st 2nd 3rd 4th — Future Connection Openings Connected with New Fixture, Old Openings Sewer Cesspool � PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ 6i g Future Fixture Opening .................1 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 $ 0 Q New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE IS DepL of Bldplgs. Phone SU 4-7470 /�/,/J/� 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. Fridl Minn 196 d Owner %d� T 19— Kind of Bui Ming- -c-2 19 Used as To be completed about Estimated Cost, $ Old New uildmg Permit Business Phone MAR 4 1960 it POST 1M-12-58 52-84-5915.51 City ®f Fridley Application for PlumWing and Gas Fitting Permit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK 152 $iversedge Way Number, Kind and Location of Fixtures Location Zto QW ELEC. Oaz O WATER HTR. Z PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ....... .................... x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ New Ground Run Old Bldg . ............ x 3.25 $ Base Ir st4U Ga, - 1st 2nd 3rd 4th • Future Connection Openings Connected with I Sewer ❑ New Fixture, Old Openings Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ....... .................... x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ Gas Dryer 1 2.00 REPAIRS & ALTERATIONS—Refer to Code City of Fridley: The undersigned hereby makes application for a permit for the work herei 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. 8-26--66 Fridley, Winn— 19_ Owner Gerhart Fragal Kind of Building frame Used as JVVO To be completed about 8-31-66 Estimated Cost, $ 10.00 Old—New. Building Permit No Permit No. Signed ROUGH FINAL Description ................................................$ TOTAL FEE QW d z Business Phone No Application for Power Plants and.. Heating. Ceding, Ventilation. .Reiriget and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: Furnace Shell & Duct Work .......................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 .................. Repairs & Alterations each add. $500.00 ............... MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ � .each add. 60,000 BTU ...................... . Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 .... ............ Repairs & Alterations each add. $500.00 ............... STEAM or HOT WATER SYSTEM RATE TOTAL, 8.00 $ 5.00 $ 5.00 $ 2.50 $ 8.00 $ 2.00 $ _ y§.00 $ 5.00 $ 2.50 $ Furnace Shell & Lines—ta 400 sq. ft. EDR Steam....... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fes Schedule VENTILATING SYSTEM $� ALTERATIONS & REPAIRS TOTAL FEE $�� ROUGH FINAL Dept. of Bldgs. Phone SU. 4-7470 11 ` City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Owner U C v Kind of Building '. Used as To be completed about Estimated Cost, $ -4)(19 / O New. Building Permit No. Permit No. i`)(1 9 DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No 19 — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. Total Connected Load Kind of Fuel BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS -OVER) By , .Z!rZ�42 IM 7=89 Business Phone No Z'// ') Wim® SUBJECT PERMI City of Fridley 16 -4`' 3.1 AT THE TOP OF THE TWINS BUILDING P E R M I T r ECEIPT L 4y COMMUNITY DEVELOPMENT DIV. ` r PROTECTIVE INSPECTION SEC. ®9 1 � � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 7/31/81 JOB ADDRESS 1552 River Edge Way N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11 1 Rivers Edge Addition SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Gerhard Pragal 152 River Edge Way N.E. 571-4648 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Richard Hastings 6331 Riverview Terrace N.E. 574-9966 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 Ej ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof and add alum. soffit & facia 9 CHANGE OF 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 $2,800 $1.40 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $18.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. Z PLAN CHECK FEE TOTALFEE %13 1 $19.40 SIGNATURE OF CONTRACTOR OR Au ORIZEDAGEN7 DAT) WHEN PROPERLY VALLII�DA�TED� IS YOUR PERMIT ,e THIS \ I 16 BLDG INSP DA E SIGNATURE OF OWNER OF OWNER BUILDER) (DATE) CITY OF FRIDLEY APPLICATION FOR RESIDtNTIAL BUILDING PER14ITS (New, Alterations, Additions, or Repairs) OW14ER: CeRlAkO ?RA JA L ADDRESS: IS 2- 6etc, TEL NO: 5"7/ Y6 yap BUILDER: e,.4?-,Dfit, S'�e`�CC S' ADDRESS: 633t jZ't vc . ABs`&: 4..A �i_'d2, TEL 1-10: .S•) K_ fpf Construction Location STREET NO: /5 2- STREET: 2+C yisk -JAZ LOT: %l BLOCK: / ADDITION: � i4 �B° �' 5 f4 a 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: Square. Feet: Depth: Cubic Feet: Height: Front: Depth: Height: Square -Feet: Cubic feet: !A Type of Construction: 9 oof mw 11am. seenr Estimated Cost: $ ® -- 00 To Be Completed: /3 '18 Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE PEVERSE SIDE OF SHEET 9.lie undersigned hereby makes application for a permit for the %nrk- herein specified, agreeing to do,all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: � 3/ i? SIGNATURE: - Stipulations: %� CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 RATE SCHEDULE Effective On January 1, 1997 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, V REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Residential Rate TOTAL Furnace Shell and Duct Work, Burner - Also Replacement Furnace $ 30.00 $ - std (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace) $10.00 $ Gas Range $10.00 $ Gas Dryer $10.00 $ *Air Conditioning - All Sizes $ 25.00 $ Z`9's' All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work $ Commercial/Industrial 1.25%a of Value of Appliance or Work $ State Surcharge $ .50 TOTAL FEE$ 551S -Z MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr JOB ADDRESS _ J 52- � 1 %16A ,--dIV-& The undersigned hereby makes application for a permit forthe 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 a d correct. - & '?� ,199q 01. W�ffl ��w BUILDING USED AS ESTIMATED COST $37-00,00 PERMIT NO. 3 IL,a DESCRIPTION OF FURNACE AND OR BURNER No, of Heating Units Circle One (Steam) (Hot Water) karm Ai Trade Name ,�� Size No. �� a7g" BTU n®� HP EDR Fuel V14rT Total Connected Load 37> Burner Trade Name BTU HP Size No. EDR . HEATING COMPANY_/lam 010, Signed By Tel No. Approved By Rough -In Date Final Date-� *Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE FOP/STACK VERIFICATION ON written permission from adjoining property owner. REPLACEMENT FURNACE CHD4 NEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: Remarks: . List ALTERATIONS Being Done: HEATING CO: Signed By: Date: tf: �,r/ 77 No 1. . Has been carefully examined Yes ( ) 2. Is free from rust or deterioration Yes (4 No ( ) 3. Has no foreign objects lodged within Yes (`�No ( ) 4. Is securely supported Yes (WNo ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes {o { ) 6 Has total heating BTU's of -75),)Oo All other BTU's L% OD TOTAL BTU's %� , 000 7. Has a liner been provided for water heater Yes (L,)/No ( ) 8. Has combustion air been provided for water heater Yes (-,�'No ( ) Remarks: . List ALTERATIONS Being Done: HEATING CO: Signed By: Date: tf: �,r/ 77 ADDRESS: I's -z I's-zvwir,,,f E,,J Vw. FLOOR: CITY: d 1 k DATE: 130/ OCCUPANT: o[ Lam. OWNER: HEAT LOSS: HEATING INSTALLED BY: ELECTRICAL WORK BY: GAS LINE BY: Mats v TYPE OF HEAT: GA FA Y ROOFTOP SPACE HTR UNIT HTR OTHER GAS DESIGN MANUFACTURER: Le,V (&o MODEL: SERIAL: ici INPUT: -7 - v-�® CONTROLS THERMOSTAT: T VENT SIZE: VALVE: '� ' KIND OF LINER: stzE NONE LIMIT: DRAFT HOOD: REGULATOR: LIMIT SETTING: �°�� FILTERS.- SIZE: NUMBER: FAN SETTING: CHIMNEY - INSIDE I OUTSIDE PILOT TYPE: Ro 1 S°-ifFx�. CHIMNEY CONSTRUCTION: PILOT MAKE: PILOT MODEL: SMOKE BOMB: WIRING: PILOT TIMING: sex, DRAFT: TEST TAG: L.W. CUT OFF: DOOR PRESSURE: LIGHTING INST: PRESSURE: ' W tC % CO2 DATE TESTED: INPUT CFH: ` 15- d crO b % 02 � o COMPANY TESTING: STACK TEMP: z 1 1% CO NAME OF TESTER: I� unroF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 August 9, 2000 George Pragal 152 River Edge Way NE Fridley, MN 55432 Re: Final Inspection at 152 River Edge Way NE Contractor: Marsh Heating and Air Cond. Dear Mr. Pragal: A mechanical permit was issued on June 14, 1999 for the property located at 152 River Edge Way NE for a furnace an air conditioning unit. According to Section 305(a) of the 1991 Uniform Mechanical Code a final inspection shall be performed on the mechanical system. As of this date no inspection has been called for. You will be given thirty (30) days from receipt of this notice to respond. If we do not hear from you, we will expire the permit and any inspections on this installation will require a new permit. Any questions can be addressed to myself at (763) 572-3603. Sincerely, CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 p / l � -95 Effective On March 1, 1990 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR 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** _ $10.00 6 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 State Surcharge $ .50 JOB ADDRESS '5q04E IS, 00J AJEA- 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. PRAGAL, GEORGE 152 RIVER EDGE WAY NORTHEAST 1c FRIDLEY, MN 55432 Owner (612) 574-2680 Building Used Ash Estimated Cost `7 PERMIT NO. PLUMBING COMPANY NJ��--� SIGNED Approved By L Rough—In Date TOTAL FEE $16°50 PLUS THE $.50 STATE SURCHARGE TEL N0. Final Date c **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SO INCHES. E 01 SUBJECT City ®f Fridley 32307 AT THE TOP OF THE TWINS BUILDING PERMIT P I T NO. COMMUNITY DEVELOPMENT DIV. d PROTECTIVE INSPECTION SEC. B NUMBER REV DATE PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 _--•�;"'t;'� 1 612-571-3450 910-F15 11/7/01 JOB ADDRESS 152 River Edge Way NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11 1 River Edge Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE George Pragal 152 River Edge Way NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Richard Hastings Contractor 6331 Riverview Terrace NE, Fridley, MN 55432 4051 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 763-574-9966 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION O ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (19 Sq) 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 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 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 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 $2,037 $1.02 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- SC 2.04 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $53.25 ire PLAN CHECK FEE OTALFEE Z/ /_2 za 4 Licen SC 5.00 $ .31 SIGNATURE OF CONTRACTOR OR AUTHORIZE AGENT IDA E. EN P E L A ATE D TH A�VOER BLDG S� ' TE IV S-GNATURF OF OWNER iIF OWYNEA BUILD.ERI IDATEi 01 ►1 ATA ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: S 2- Z �� v A , Legal Description: Owner Name & Address: Contractor. Address: (.9-31 -mow LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Effective 1/1/2000 (763) 572-3604 Bldg Insp Tel. # MN LICENSE # Z/0 S P Tel. # 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 Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. l 4 Construction TypeEstimated Cost: $ 0 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE:IZZ—/O APPLICANT: � Tel. # CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ �� Fee Schedule on Reverse Side Fire Surcharge $ d .001 of Permit Valuation (1/10th%) State Surcharge $ I, U $.50/$1,000 Valuation SAC Charge $ $1100 per SAC Unit License Surcharge $ - 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: Building PLUMBING Permit No.:W410$10 Inspections RESIDENTIAL APPLICATION Received 763-572-3604 CITY OF FRIDLEY Date RFf 763-502-4977 FAX EFFECTIVE 2-19-09 DATE YOUR E-MAIL ADDRESS SITE ADDRESS THIS APPLICANT IS: ❑ OWNER OCONTRACTOR PROPERTY NAME: 'AAti OWNER/ ADDRESS:_! �� 1UL71/0'n 14Z U5iL CITY �✓`t Q� STATE ZIP TENANT PHONE: CONTRACTOR NAME: SUBMIT A COPY OF STATE LICENSE # EXP DATE YOUR STATE LICENSE, BOND AND STATE BOND # EXP DATE CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE PHONE FAX PERMIT TYPE SINGLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE TYPE OF WORK: 0 NEW ti -REPLACEMENT DETAILED DESCRIPTION OF WORK v'e place Soy, OW Valve FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER -OF EACH BEL ). MINIMUM FEE $35.50. _ BATH SINK/LAV _FLOOR DRAINS SHOWER WATER PIPING —BATHTUB _ _GAS PIPING (NEED CITY LIC) —SWIMMING POOL _ WATER SOFTNER ($ _ CLOTHES WASHER _ KITCHEN SINK WATER CLOSET _ BACKFLOW PREY. $1 ) —DISHWASHER _ — LAUNDRY TRAY _WATER HEATER ($35) _ FOR IRRIGATION _ WATER METER _ OTHER A 5 % �� y �i�yf, ; { x 3✓7d°t0 ii�b� Y �� [ b'� � �� .Q 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 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 on site; that the work will be in accordance with the approved plan in the caseo 'all work v hich requires review and approval of planes. SIGNATURE OF APPLICANT— PRINT NAME 6eOr u �r DATE 6 )'%A SMI City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977