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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PE N® 3455 Date: 1.0....... ....�r. s .......... Owner ....................................... Builder... ..... ................. ��Z ' ..t. Address ........... Address ......... ...... POAIF 5�rLOCATION OF BUILDING No..... .... Street .....(.0.1...x... .... ............. Part o Lot ............................... Lot ....�....... Block .... ............ Ad or Sub -Division ".. 4_1 ................... Corner Lot .. ... de Lot .... 14 Setback ..�..... Sideyard �.. ............... DESCRIPTION OF BUILDING T Used as: , . ..... Front ..� .. . Depth R 6:.,C) Height I,? -.® Sq. Ftf T.. !� Cu. Ft � .f% 0 .................... Front ........ Depth ... .. Height ........ Sq. Ft. ........ Cts. Ft. ..... Type of Construction .. ..... list.C.Qr� To be Completed .................... In consideration of the issuance to me of a permit to construct the building desribed above, I agree to do the proposed work in accordance with the description above set forth co pliance with all provisions of ordinances of the city of Fridley. . ...........s7. ..... In consideration of the payment of a fee f $ �.:"'., 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 with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. G .. .. ....... . Building 7ector NOTICE: This permit does not cover the construction, Installation or alteration for wiring, plunjWn jF,gas heating, sewer or water. Be sure to see the Building Inspector for separate permits fqr these e Application for Power Punts and Heating. Cooling.. Ventilation. Refrigeration and Air Conditioning Systenm and Devices PARTIAL RATE SCHEDULE Dep:. of Bldgs. Phone sv 4-4�0� GRAVITY WARM AIR: RATE TOTAL Locsfion 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 MECK WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 each add. 60,000 BTU ....................... 2.00 Replacement of Furnace ............................. 5.00 Repairs & Alterations—up to $500.00 ................. 5.00 Repairs & Alterations each add. $500.00 .............. 2.50 STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 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. $20 sq. ft. EDR Hot Water .................. 2.50 k, l 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 PIPING (Up to 3 Fixtures) .......................... 1.50 $ (Add 50c each over 3) AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS REMARKS: See Fee Schedule $ TOTAL FEE $ • 3 City of Fridley: Nil 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. Mi Fridley, nn �J". - 195 Owner�f� ®l C -,l U N i -S 195— Kind of Building 195_ Used as To be completed about �-4 ``'-t� �%`3 ✓� Estimated Cost, $ Old– New)Building Permit No. '4 67,3 DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water,/Warm Air -No - Trade Name � �� `%� j 0Size No Capacity " Sq. Ft. E..D.R BTU 4— H.P. Total Connected Load --3 -5 ; I --,– D Kind of Fuel Aa.." BURNER — Trade Name Size Capacity Sq. Ft. E.D.R BTU H.P. Sign ByRE.R5E 1QN HEATING COMPANY, INC. 3RU 11 POST IM -8-58 B IDUUM AVL SO. - TA. a-5297 A HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS e A.S.H.V.E Weatherstrips, Guide Construction I11o. w `Windos Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind Yes—No I-Yes—No 19—*1 FV Room I Length w-----'OVidth,-""-'�"Heistht -,hvr 11 6 FU 0' - A Room il -w-Th0owls,71 and)boors—Crackage'lng Area rackageAd Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No f Lineal ft' Area No. of pane of pane llg�ta of cracksq. ft. NA 7747- Coef. Btu 7 � I 4, af A:- Infiltration Exp. wall Coef. Btu Infiltration e; Int. wall il Glass Exp. wall Exp. wall:;, Net exp. ea'117`1 IT 4, Net exp. w4ft Int. wall 7— ceilitig Int. wall Floor ToW Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 �,Ari, i\,, Room I Lenixth,,�Width ,'Height. r Wi�'naowrs'atn"J'Mon—Crackage"ana Area rackageAd Area Width Height No of Lineal ft. Ar;7&- No. of pane of pane lights of crack sq. ft. x Width Height No f Lineal ft' Area No. of pane of pane llg�ta of cracksq. ft. NA Coef. Btu Infiltration 4, Glass Infiltration Exp. wall Net exp. wall Int. wall e; Int. wall --Ceiling Floor s. Exp. wall Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area ,Fl.1 , -..o Room I Lengthy _l Width 14eiaht av, ;WZEZ`�`�"-=Tb-oor rackageAd Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 'n Width Height No f Lineal ft' Area No. of pane of pane llg�ta of cracksq. ft. Coef. Btu Infiltration JCoef.j Btu Infiltration Exp. wall a 4" Glass Int. wall Ceiling Exp. wall 'Floor Net exp. w4ft 0. 91 Int. wall 0 + Ceiling Floor No. of pane I of MINNEAPOLIS. MM Insulation How Applied Width Height e an Area r Lineal ft. Area of crack sq. ft._ d0n Coef. Btu Infiltration Glass "Exp. wall Net exp. -.4al e Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Cl I �:,l ., D--- I T wa ;At{ -"7 14.;.ht , -1 14, 'P, ---- WinaovW'and boors—Crackage 'and Area I - Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 'n fi Coef. Btu Infiltration Glass k Exp. wall a Net exp. wallet Int. wall Ceiling 'Floor Total Btu.I X, Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I - , 0 1 . , JA, ,AP� -,&Anm I I -P..th .v �- Width 14eiaht ir- Vm'1w,`and 'Doors.—Crackage rnd Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. fi Coef. Btu --Infiltration Glass Exp. wall Netexp.-walr Int. wall Ceiling 'Floor Total Btu. Total'Btu. T 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 �+►e LOCATN OF UILDING . No. ,1 _ Street 694#1-4 � of Lot Lot _ _ Block Z ddition or b- cd Corner Lot . _ Inside Lot hack ideyard Sewer Elevation Elevation DESCRIPTION OF BUILDING Front Depth , _ Height _ Sq. Ft. Cu. Ft. Fro Depth eight Sq. Ft. Cu. Ft. Type of Construction Esta CTo 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 aJl provisions of ordinancoa of the city of Fridley. In consideration of the payment of a fee of $"°�°` , 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, M umota 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. 42 1 7 . , Building NOTICE: This psnnit does not cover the construction, instatiation for Whh ^Phnnbhig, gas boding, sewer or wafer. Be sure to We the Building inspector for soparoH permits for thea item. APPLICATION rt)R BUILDING PEMIT CITY OF FRIDLEY, XIMSOTA LOCATION OF BUILDING No. /9 � �Aga Part of Lot Lot 3�lock � ,'r' Addition or Subdivision Corner Lot Inside Lot setback Side -Yard SEVMR ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate ofSurve of proposed building location, Y Got and DESCRIPTION OF BUILDING To be used ass g sq. Ft ..� Ym2 D Cu . Ft. Y Front„�_rDep.�h Sq. Ft. Cu. Pt. Type of Construction Estimated cost � v o° To be Completed The undersigned hereby mak®s application for a permit for the herein specified, agreeing to do all work in strict accordancewwith he City of Fridley Ordinances and ruling of the Department of Build- inggs, and hereby declares that all he facts and representations at in this application are true and correct. /D Iii UPX (Schedule of Fee Costs can be found on the Reverse Side). �. - afimn for Power Mob mW Heaft. Coang. Venn ®s- R vi Io® cind Air Conditioning S"ona and Devices PARTIAL RATE SCHEDULE Mpt. of Bldge. Phow NO -MM GRAV*TY WARM AIR: RATi6 TOTAL Furnace Shell & Duct Work .......... ..... .. $10.00 $ Replacement of Furnace ... ..... 6.00 $ Repairs & Alterations—up to $500.00 600 Repairs & Alterations each add. $600.00 3.00 $ MECH. WARM AM Furnace Shell & Duct Work to 120,000 BTU ... .... ..$10.00 $ each add 60,000 BTU .................... .. 3.00 $ Replacement of Furnace 6.00 $ Repairs & Alterations—up to $500.00 6.00 $ Repairs & Alterations each add. $500.00 3.00 $ STEAM or HOT WATER SYSTEM •.; -, �' Furnace Shell & Lines—to 400 sq. ft. EDR Steam $10.00 $---- . T_Furnace FurnaceShell & Line—to 640 sq. ft. EDR Hot Water 10.00 $_ Each add. 200 sq. ft. EDR Steam $.00 Each add. 320 sq. ft. IDR Hot Water 3,00 $ OIL BURNER—to 3 gal. per hour over 3 gal. per hour ---See Fee Schedule GASB (up to 199,0W BTU) over 159,000 BTU See Fee Sch"ule GAS FITTING 1st 3 Fixtures Additional Fixtures Gas Range to 199,000 CO&LDYTS 6.00 $-- NO— NO RATE TOTAL - x$ 2.00 $ - x .7S $ - x$ 5.00 $ ® a FAN HEATING SYSTEM Sea FN Sclitedule VENTILATING SYSTEM t ALTERATIONS & REPAIRS TOTAL. FEE ROUGH(SURCHARGE , _ 5, i City of Fridley: " �I The undersigned tereby makes application for a permit for the work hereir specified, agreeing to to all work in strict accordance with the City Ordinancei 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 '? 's® ig Owner Kind of Building. Used as To be completed about �— — V " 11-3 1�f .4f Estimated Cost, Old—New. Building Permit No. Permit No.. "5�'2/6 DEBOWTION OF WORK HEATING or POWER M ANTS -Steam, Hot Water, Warm Air—No Trade Name - Sias No Capacity Sq. Ft. E.D.R BTU H.P. Total Connected6 Kind of Fuel BURNER — Trade Nares Size No Capacity Sq. Ft. E.D.R BTR- mp (REMARKS-OVKRI •.; -, �' . ,� ,`� y ,ter' , 9 ruimw G7YOF FRIDLEY CIVIC CENTER • 6431 UNIVERSITY AVE. N.E., FRIDLEY, MINNESOTA 55432 • PHONE (612) 571-3450 July 19, 1984 Mr. Chester Wrubel 193 River Edge Way N.E. Fridley, MN 55432 Re: Intersection Vision Safety Zone Obstruction Dear Mr. Wrubel: In order to provide safe passage for vehicular and pedestrian traffic in the City of Fridley, periodic inspections of street intersections are conducted. An inspection on May 23, 1984 has determined that the sightline for the intersection on your property is obstructed and could present a hazard to traffic. Section 205.154 of the City Code requires that, "On a corner lot in a vision safety control zone, nothing shall be erected, placed, planted or allowed to grow in such a manner as to impede vision..., the vision safety control zone is described as follows: That area bounded by the street right of way lines of a corner lot and a straight line joining points on said right of way lines twenty five (25) feet from the intersection of said right of way lines." Therefore, the City is requesting you, the property owner, to correct the following problem and to make the City's streets safer for travel. A reinspection will be conducted on or about July 30, 1984 to determine compliance. We are confident in your cooperation to correct this problem, but if there is any problem with the interpretation of this letter, please feel free to call on me at 571-3450. The inspection of your property indicated that the following obstruction existed and should be corrected: Cut and remove low branches and shrubs to provide a clearer sight line onto East River Road. Sincerely, Ad�) ST EN J. OLSON, R.S. Environmental Officer SJ 0/mh SUBJECT PERM City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT ECEIPT Ir i _-- COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 � = CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 4/7/87 JOB ADDRESS 193 River Edge Way N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 1 River Edge Addition SHEET 2 PROPERTY OWNER MAILADORESS ZIP PHONE Chester Wrudel 193 River Edge Way 571-3966 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. George B. Johnson Co. 5410 Girard Avenue, Brooklyn Center 55430 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 566-2351 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residetnial 7 CLASS OF WORK ❑ NEW ❑ ADDITION" ❑ ALTERATION IR REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House 9 CHANGEQFUSEFROM TO STIPULATIONS Roof can be 2nd layer but not 3rd. Install ridged galvanized valleys. 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $900 $.50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- ,6TFtWCTIOt4 OR THE PERFORMANCE OF CONSTRUCTION, 16.00 J4-47�� PLAN CHECK FEE TOTALFEE 1 1 $16.50 SIGNATURE OF C RACTOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLYL DATES YOUR PIRMIT SIGNATURE OF OWNER IIF OWNER BUILDERI (DATE) BLDG WSP 'D TE NEW [ ] City of Fridley Effective 4/1/86 ADDN. [ ] R-1 AND R-2 ALTER. [ ] Building Permit Application v_gy Construction Address: Legal Description: �o 7- l Owner Name &Address: Ci% r Or �� k Tel. # Tel. # Contractor: wj ALM/y r. ' ` 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 Width Hgt/Ground Sq. Ft. m l 'r, A h4dl' OTHER: If Corner Lot [ ] Inside Lo [ ] Ft. Yd. Setback Side Yard Setback of Estimated Cost: $ Type of Construction: Date:1�� Approx. Completion Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation Tel. DATE: DATE: / APPLICANT: CITY USE ONLY Permit Fee $ b(� Plan Check $ State Surcharge $ SAC Charge $ Park Fee $ Sewer Main Charge $ TOTAL $ STIPULATIONS: 'o o Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $ 525 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] SUBJECT PERMI T City of Fridley ® 19 '331 AT THE TOP OF THE TWINS BUILDING PERMIT RE I • COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r PROTECTIVE CITY HALL FRIDLEY 55432 �� NUMBER REV, DATE PAGE OF APPROVED BY ••"' 612-571-3450 910-F15 2/26/88 JOB ADDRESS 193 River Edge My, N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 I 1' River Edge Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Iris Wrubel 193 River Edge Way N.E.. 571-3966 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. American Remodeling 3700 Annapolis Lane, plymouth 55447 553-0020 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 ❑ ALTERATION El REPAIR X ❑ MOVE 11 REMOVE 8 DESCRIBE WORK Reside Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS 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 GOVERNING THIS TYPE OF WORK WILL BE COMPLIED ,ORDINANCES WITH WHETHER SPECIFIED HEREIN OR NOT-THE GRANTING OF A PERMIT $4,968 $2.48 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISI F ANY OTHER TE OR LOCAL L REGULATING CON- STR ION O TH ERF MA CEOF CO ST ION. $50.50 AN CHECK FEE TOTAL FEE $52.98 SIGNATURE OF CfONTRACTORO UTHORIZEDAGENT. ID EI HEN PROPERLY V L TED THIS IS YOUR PERMIT p / r' SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI NEW [ ] City of Fridley Effective 4/1/86 ADDN. [ ] R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: Legal Description: Owner Name & Address: ��'��=Tel . #�� A_ Contractor: Address Tel. # 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 j ] Ft. Yd. Setback Side Yard Setback Type of Construction: /G 2S•,u Estimated Cost: $ Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation �� pGp2 U APPLICANT: 1 �✓ Tel. # CITY USE ONLY Permit Fee $ SU Fee Schedule on Reverse Side Plan Check $ 25% of Building Permit Fee State Surcharge $� $.50/$1,000 Valuation SAC Charge $ $ 525 per SAC Unit Park Fee $ Fee Determined by Engineering Sewer Main Charge $ r Agreement Necessary [ ] Not Necessary [ ] TOTAL $ a STIPULATIONS• f CITY OF FRIDLEY INSPECTION DIV. Effective On January 1,199.§ 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 RA's, SCHE!21JLE 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, Sumer - rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 20.00 $ o O 0 representations stated in this application are true and correct. / (Side Vent - Fill Out Back) _ZO �199(� Gas Piping (Needed with new furnace) $10.00 .$-JAW OWNER r, S Gas Range $10.00 $ BUILDING USED AS r s Gas Dryer $ 10.00 $ ESTIMATED COST I PERMIT NO. *Air Conditioning -Ali Sizes $10.00 $ DESCRIPTION OF FURNACE tD OR BURNER All Others/Repairs & Alterations (UST ON BACK) 1 1% of Value of Appliance or Work $ No. of Heating Units Circle One (Steam) (Hot Wate (Warm Ai f Size Nob m ( r 3 Trade Name a . 0.7 �r Commerciallindustrial BTU -Z,5p a � HP EDR I% of Value of Appliance or Work $ FuelS Total Connected Load_ State Surcharge $,60 Sumer Trade Name Size No. TOTAL FEE $ BTU HP EDR HEATING COMPANY~ a MINIMUM FEE FOR ANY HEATING(COOLINGNENTILATION �;. Y' Te! No. %� Z REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 Signed By PLUS THE $ 50 STATE SURCHARGE Date Final Date REINSPECTION FEE $30.00 Approved By Rough -In *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 NOTE: #1 through #8 required when using a side vent furnace. 6 Has total heating BTU's of 1755 o 0 0 All other BTU's 3z-, TOTAL BTU's I 7. Has a liner been provided for water heater S. Has combustion air been provided for water heater Remarks: HEATING CO: Signed By: Date: Yes No ( ).Pkl YesAA No ( ) CHIMNEY AND STACK, VEJUREWATION 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 AA No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes No ( } 6 Has total heating BTU's of 1755 o 0 0 All other BTU's 3z-, TOTAL BTU's I 7. Has a liner been provided for water heater S. Has combustion air been provided for water heater Remarks: HEATING CO: Signed By: Date: Yes No ( ).Pkl YesAA No ( ) Building BUILDING Permit No.: J 0019-00 g I ri Inspections RESIDENTIAL APPLICATION Received Byxk 763-572-3604 .CITY OF FRIDLEY Date Rec'd:�� 763-502-4977 FAX EFFECTIVE 1-1-08 DATESITE ADDRESS, THIS APPLICANT IS: YOUR E-MAIL ADDRESS PROPERTY OWNER/ NAME: 1 .10'CITY STATE—91P� TENANT ADDRESS: PHONE: -7k oy NAME: ADDRESS: CITY STATE ZIP CONTRACTOR SUBMIT A COPY OF PHONE FAX YOUR STATE LICENSE STATE LICENSE # EXP DATE PROPERTY TYPE SINGLE FAMILYINEW CONSTRUCTION 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 ❑ REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT_ ROOFING NUMBER OF SQUARES _ GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl ❑ Aluminum ❑ Other WINDOWS IN EXISTING OPENINGS []Yes ❑No OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE ❑Soffit ❑ Trim ❑ Fascia LOCATION OF WINDOWS 10 NUMBER OF. BASEMENT REMODELING SUBMIT: I . Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS. & PORCHES SUBMIT: I . Site Plan/Survey showing the existing structures and proposed project. 2. Two sets of construction plans 3. Energy Calculations ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 UBC FEE SCHEDULE) COTAL JOB VALUATION $ '�%-r) . 6b OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1825 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks savable to: City of Fridley Attach 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 w' out a permit on site; that the work will be in accord a wi the approved plan in the case of all work which requires /review and approval of plans. SIGNATURE OF APPLICAN PRINT NAMEIAdI - DATE APPROVED BY DATE