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PRE 2010 DOCS.51 aj SUBJECT. idley City of Fridley 716 AT THE TOP OF THE TWINS BUILDING PERMIT - r EIPT N COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION r SEC. 1 =� ---n CITY HALL FRIDLEY 55432 ,.j NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 11/1/76 JOB ADDRESS Ruth Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 17 1 Spring Brook Park 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE The Rottlund Co., Inc. P.O. Box 32082, Fridley, Mn. 571-2060 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Same 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 ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 60 NT« Construct a 40' x 26' Dwelling and a 24' x 22' Garage WTIFY THE FRI LES' Sf.`F'ERA1'E PERMITS REWIRED Fit �rtlR! ofvisioN REGARDING 6 9 CHANGE QF USE FROIN L^ec-m "'AT� " .PtU16i81NG AND SIGNS. AT DRIVEWAy' ®PENT( STIPULATIONS Provide a verifying survey before capping. Provide sod in the front and side yards. Provide a hard surfaced driveway. Provide truss design. SEWER LOCATION: (Approx. 12' Deep) 38' North of Manhole (N. Inv. 843.45) WYE ELEV: 843.34 TOP OF FOOTING: 846.84 Minimum WATER LOCATION: 11' South of Sewer service, 36.1' Northwest of Manhole 'N, M, CRY or NOW W i WX �ium fEB Tin ���' ACCURACY OF UnLITY LO% ATONS AND UWATTC0S. Note digging Cali IOW ut�liHeB TAS DATA IS FOR INFORAAMION PUPTOSSS ONLY Alm Pff it IM USING 0 SHOULD VERIFY TIG e�ORMWH TELEPHONE - ELECTRIC -"S Etc. ON me SfM pEQUIRED BYLAW SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Wood Frame 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 R-1 1082+576 21,304 +5760 ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT 1 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. $ 34, 750 $17.37 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. - THE PERFORMANCE OF CONSTRUCTION. $108.26 • $350.00 STRU TI N OR L PLAN CHECK FEE TOTAL FEE �Q!?Y a& °11 -c ,� %+� - 11-12 - i4 $27. C6 $502.69 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE1 WHENOPERLY VALIDATED THIS IS YOWR PERMIT //Z/ BLDG. INSP DATE SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) .51 aj APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION B (✓ I BUILDING PERMIT , C I'1.'Y OF I !:I DLLY , �I I NNESOTA OWNER ' S NAME : �/ BUILDER ADDRESS: ADDRES S: Po a 0 x 9 7 6� NO ; . CBCT STREET: % ? u i'A Ste`. /V LOT:- -BLOCK: � ADDITION : , S/��� �� & 7 Ad CORNER LOT: 'C INSIDE LOT: SETBACK: ,,�� SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. — DESCRIPTION OF BUILDING To Be Used As: � S � Front : �/ 0 Depth : � P Height : Square Feet: �° Cubic Feet: —Front: Depth: 12, Height: /a Square Feet; -524Cubic Feet: Type of Construction: Estimated Cost: To Be Completed: / — 77 �® %The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that -ill the facts and representations stated in this application are true and correct. A 40, Z1 -et-. DATE: 2Z- 7i 5IC;�AIURE:z "S (See Reverse Side For Additional Information.) .::P:, �. 4 i.:e�...a. �:*;� -.c•�. 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" � � i+. • '"Y�e. :�..t 3_ a� za:r � y, -� 'c ;�rr'r4 .3c sr m�tr,, �r � ,yp. _: rr� � �;�A. =q3 , _����._�'�a� �`.x�•s,'�s.®.. >.a � � �� 3 �:�$`„:'b�.'��ay�.�5�.''��a+a+a'•�'3�e•t.Gd�.���w��._ CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT G 6 1 Z PARTIAL RATE SCHEDULE y PLUMBING FIXTURE RATES: NO. Ny TOTAL ,N, ber Fixtures x u $ av y o $2.00 Water d. W n $2.00 $ Catch Basin x a s y n x + w w � $10.00 Heater CJy x $7.00 c New Ground %.r, Old Building �' u u Electric :-rater Heater ^cr:o r S4 0. H y+ m r c .4 v c k $4 O U G c U O y ' .oi $4 r q .i N M 3 N U o u. = Cr .-4 w Ji tr al .0 U m Aj N ni t 3 N b U • 4 z b U u 0 ;as 'lee _1st 2n3 `3rd I S th (R) = Future Connection Opening Connected with Sewer (*) a New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL ,N, ber Fixtures x $3.00 $ av Future Fixture Cpening_ x $2.00 $ 6, art New Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 $ Water Heater - to 99,000 BTU x $5.00 $ ,vd 100,000 BTU to 199,000 BTU _L_ x $10.00 $ Water Softener x $7.00 $ New Ground %.r, Old Building x $5.00 $ Electric :-rater Heater r. $5.00 $ GAS FITTING FEES: 1st 3 fixtures x $3.00 $ c' Additional Fixtures x $1.00 $ Gas _Range to 199,000 BTU x $10.00 $ REPAIRS $ aLTEP.ATIONS First $100.G0 $5.00 $ each add. $100.00 or fraction $2.00 $ State. Surcharge $ 3 5-.50 TOTAL FEE $ REINSPECTION FEE i ($10.00) Job Address 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 OWNER KIND OF BUILDING USED AS TO BE COMPLETED ABOUT ESTIMATED COST GJ OLD - NEW BUILDING PERMIT NO. PERMIT NO. ROUGH INSP. Date Compan Signed Tel. N 19-ZL- FINAL INSP. Date APPROVAL FOR PERMIT J`/ �" MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 T CITY OF FRIDLEY - `- 3 O.' s APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & 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 $ MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTU $12.00 $0--"" each add. 50,000 BTU 4.00 $ y, w Replacement of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ STEAM OR HOT WATER SYSTEM: Boiler & Lines up to 100,000 BTU each addn. 50,000 BTU Boiler only up to 100,000 BTU each addn. 50,000 BTU OIL BURNER- to 3 gal. per hour each add. 3 gal. per hour GAS BURNER- from 100,000 BTU to 199,999 BTU (over 199,999 BTU see Fee Schedule) GAS FITTING FEES: 1st 3 Fixtures —L Additional Fixtures Gas Range to 199,000 BTU AIR CONDITIONING FAN HEATING SYSTEMS See Fee Schedule VENTILATING SYSTEMS ALTERATIONS $ REPAIRS $12.00 $ 4.00 $ 7.00 $ 6.00 $ $10.00 $ 10.00 $ $10.00 $ lam✓, $ x $3.00 $ x $ 1.00 $ x $10.00 $ State Surcharge TOTAL FEE ROUGH INSP. REINSPECTION FEE Dav�te (.$10.00) FINAL INSP. jc Date APPROVAL FOR PERMIT 0/ / 61 MINL14UM FEE FOR ANY HEATING PERMIT IS $7.50 $ Job Address 4�/� `` � -/- h 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 correct. y� Fridley, Minn. , 19_L OWNER /2 "' / / //l / �n + d C c� n ✓ / KIND OF BUILDING USED AS C% vv r11 // TO BE COMPLETED ABOUT �'/ry' B' /- ESTIMATED COST OLD BUILDING PERMIT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS,.Steam, Hot Water, Wa�ir- No. -` Trade Name A-3^ "A Size No. c// /yi Capacity Sq. Ft. EDR BTU l or Vu d HP Total Connected Load �" '� 3 6 So Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Company Sf!gned By ,_Tel. No. V HEAT LOSS CALCULAPQI�S HEATING&MR Weatlierstrips I A-S.�V.E. Consir,=tjon NO, 31d 6 mill, .Pafs,i MUM. Windows D=s Int. V 0 Lt. wa) I ceilmg Roof Kind 4-mv App I i ed Yes- No Yes -No__ Ro-- L--gth Width F, ll - Vidth /,CHeight Windows and or Dos-CIISCkage and Area Mnaows a-nd D=s-Crackage and Area W, d? He, 1; of pane of pane 1, [�P�Of ClaCK SZl. it. 1,11z 0. Or 4 ea ',Pnts S-4-, an C- 01 crack Sc. / - M. Coef Btu ;Coef Btu 4. Infiltration T1 Infiltratjo-. Glass 121 S-0 Glass lj Z- 1 Exp. wa I I Exp. wa i 1, 11 Net exp. wall 6 IDY Net exp. wadi 1.?,6 61117 Int. wall j C4� Int. wall Ceiling Ceiling 17,rl 2 3v[ —S Floor Floor Total Btu. Total Btu. Required sq. ft. E.D.R. or sq, ms. W.A. Le der area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area IFl, pip 'lelf Room J' Length 7 Width Height /F Windows and Doors-Crackage No. 12 "e" of Sam of Length Width/_3 Height and Area No. of Lineal Ft---A7r—ea lights of crack sq. ft. Windows and Doors-Crackage and Area No. Width Height %-- of Lineal ft. Area of pam of pa J -*ICS of crack sq. ft. ---------- Coef Btu Coef Btu Infiltirbtion 70 12 6 infiltration Glass Elass Exp. wall 116 If- Exp. wall ?, PRO Net exp. wal I .340 '7 o5 .7 Net exp. small Int. wall Int. wall Ceiling4" 7 16 47 Ceiling Floor J-5 13 1,5 4? Floor Total Btu.45 4,k] 7 Total Btu, Required sq. ft. E.D.R. or sq. ins. W.A. Leaderarea Required sq. ft. E.D.R. or sq. ins. W.A. Leader area /Fl. 4§�A Room Length Wi(dhth HeightRoom I Length /,�E- Width/;Z Height Windows and Doors -Crackage and Area Wfidth Height Loieal fi A:ea Windows and Doors-Crackage and Area No. pane of pane ------------ g- S of crack* Scl ft. No. No. of Lineal ft. Area lights of J of crack sq, ft, 7- ---------- 4- !!Coef i Btu Coefj Btu Infiltration I -7 Infiltratio, M a G; ass Expwa I I 23 Exp. wall Net exp. wall %et exp. wai; Int. wall Int. "all et i ing '7 I / F I oor Floor Total Btu. -4 gr Tota! Btu. i , �red s�q Ft E.O.R. or -., HEAT LOSS CALCULATIM HEATING& AIR CONDiTIONING Co. MITOEAPaIS, MINN. -Vacs mr�zzrI ps A-S.KV-E. Windows Doors Guide Out. Wall Int. Wall ;W,erence Cei3ingRoof Floor Kind tai Applied Yes -No 'fes --No LFI. Poom _�i_Length Width Rocir-, LengthHeja V9:57 tt Windows and Dc*rs-Crackage and Area - V'�,�-r'cws and Doors-Crackage and Area No. vv, dTi, H r- "i_ .?f I Lineal ft. 4,ea of Cal<- r of v ar�lc I or crack sc. f,. %0 q ht -it Lineal'A— :;a-e of pane ;,its i of crack' 6 Coef Btu lCoef 8% Infiltration — Glass Glass Exp. wail Exp. *,all Net exp. wall Net exp. w -a I I tnt. wall Int. wall Ceiling 13 Ceiling Floor Fl= Total Btu. Total Btu. le7> Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl. Room I Length Width Height Required sq. ft. E.D.R. or sq. ins. W.A. Leader area.670 Fl. Room Length Width Height Windows and Doors-Crackage and Area"i,i ndows and Doors Crackage and Area No. f Lineal ft. Area JF!,`a`nhL of pane d,yhts ofcracksq. ft. No. wah Lineal ft. —A,.a f rte --��of tS of crack sq. ft. C,efj Btu E'Def B lnfiltration Infiltration Glass Glass, Exp. wall Exp. vral I Net exp. vvaIT— Net exp. wal I Int. wail Int. wall Ceiling Ceiling Floor Floor Total Btu. Required sq. ft. E.D.R. or so. ins, W.A. Leader area Total Btu. Required sq. ft. E.DJ9. or sq. ins. W.A. Leader area Fl. Room I Length Width Height Fl. Room Length Width Height Windows and Doors-Crackage and Area Windows and Doors-Crackage and Area N I;Md" Height No. of Lineal ft, A,ea o. f, of Pajf ],03ne Jfg"s of crack sq. ft. NL W, C' He,g" r ",Sf Lineal e a I -T- ft. Area va,e of ane t crack Sq. ft. !Coef! Btu iCoef! Btu Infiltration Inf i !tr.!,O- G lass Glass Exp. wall Exp, wai Net exp. wall Net exp. wail Int. wall -Ee. 1, ng —floor C ethrig Total Stu. Total Btu. rMquired sq. 1!. E.D.R. or sq. 4ns. W.A. Leader area I P--- -- .. 560.3450 ANOKA COUNTY 6439 UNIVERSITY AVENUE NE December 3, 1976 FRIDLEY,. MINNESOTA 6543; Minneapolis Post Office Department Superintendent of Delivery 1st & Marquette Avenue Minneapolis, Minnesota 55402 Re: Change of Address City of Fridley Gentlemen: We are listing the following change of address in the City of Fridley; NAME : The Rottlund Co., Inc. FROM: 8085 Ruth Street N.E., Fridley, Mn. 55432 TO: 8012 Ruth Street N.E., Fridley, Mn. 55432 LEGAL DESCRIPTION: Lot 17, Block 1, Spring Brook Park 2nd We have notified the occupant of this change and we would appreciate • it very much if you would change your records accordingly. Sincerely, D CLARK Community Development Adm. AGC/Ind, CC: City Water Billing.Dept. City Assessing Department Minneapolis Gas Company - Brooklyn Park Office Northern States Power. Company Northwestern Bell Telephone City Voters Registration Homeowner i I 560-3450 ANOKA COUNTY 6431 UNIVERSITY AVENUE NE December 3, 1976 FRIDLEY, MINNESOTA 55421 The Rottlund Company Inc. P.O. Box 32082 Fridley, Mn. 55432 Re: Change of House Numbers Dear Sirs: It has been necessary for this office to change the address of your house FROM 8085 Ruth Street N.E. TO 8012 Ruth Street N.E. LEGAL DESCRIPTION Lot 17, Block 1 Spring Brook Park 2nd We have notified the Post Office Department, Minneapolis Gas Company, Northern States Power Company, Northwestern Bell Telephone Company and various departments in City hall of this change. S' cerely, i' DA -L G. CLARK Community Development Adm. DGC/mh 560.3450 (:iF,v of 7ridley ANOKA COUNTY 6431 UNIVERSITY AVENUE NE January 24, 1977 FRIDLEY, MINNESOTA 55432 The Pottlund Company, Inc. P.O. Box 32082 Fridley, Mn. 55432 Re: Final Inspection at.8012 Ruth Street N.E. Dear Sirs: A final inspection was made on January 21, 1977 of 8012 Ruth Street N.E. and the following.items were noted which must be completed before the structure can be finaled out; 1. Provide house numbers on structure by February 1, 1977. 2. Provide temporary front step by February 1, 1977. 3. Provide temporary garage step by February 1, 1977. 4. Provide a hard surfaced driveway by June 15, 1977. 5.Provide sod in the front and side yards by June 15, 1977. 6. Finish exterior by June 15, 1977. We will expect the above items to be completed by the scheduled dates when reinspection will be made to determine compliance. If you have any questions on these items, please feel free to contact meat 571-3450. Sincerely, DARREL G. CLARK. Community Development Adm. DGC/mh �, a 01 SUBJECT City of Fridley 2 AT THE TOP OF THE TWINS BUILDING PERMIT REIPT NO. • ______ COMMUNITY DEVELOPMENT DIV I �. PROTECTIVE INSPECTION SEC.! r I � CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED By 612-571-3450 910-F15 7/20/95 JOB ADDRESS 8012 Ruth Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 1 Spring Brook Park 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE George Klingenberg 8012 Ruth Street NE 783-3538 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Twin City Exteriors Co 9060 Zachary Ln N #108, Maple Grove MN 55369 425-4737 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 2535 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION? REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Reside Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS 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 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 $3,700 $1.85 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 $63.00 Fire SC $3.70 PLAN CHECK FEE TOTAL FEE License SC $5.00 73.55 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROP LY VALIDATED THIS IS YOUR PERMIT BLOG INSP OAT.T SIGNATURE OF OWNERIIF OWNER BUILDERI (DATE) �, a 01 NEW ADDN ALTER Construction Address_ Legal DeS,,. on Owner Name & Addr Contractor: Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Effective 1/ 1 /95 CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application D/ V 6 St,5nt 44, 4 tj�v R Tel. # 7g3 MN LICENSE # �'S3 i& -e* Tel. # Attach to this application, a Certificate of Survey of tM 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. Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Se ks or Type of Construction:Estimated Cost: $ Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x DATE: 7 S— � APPLICANT: —1 �vrD/ ,����% Tel. # ? Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control $ Park Fee $, Sewer Main Charge $, TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1 / 10th %) $.50!$1,000 Valuation $850 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] :ITY OF FRIDLEY INSPECTION DIV. 431 University Ave NE 'ridley, MN 55432 763) 572-3604, FAX (763) 571-1287 Effective April 1, 2004 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT DRDa(aq MARK NUMBER OF FIXTURES TO BE INSTALLFD nN FACH FI nnR 'LUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS_ 6&nnn1P - a.S o'W DJ Ad_ Jew Fixtures $10.00 )Id Opening, New Fixture $10.00 Deer Dispenser 9 flow Off Basin �& 54 EMU= •is:�— $10.00 ;ump/Receiving Tank $10.00 Vater Treating Appliance $35.00 Vater Heater -Electric $35.00 Vater Heater - Gas** $35.00 las Range** $10.00 Sas Dryer** $10.00 lack Flow Preventer Required ( )Yes () No Type $15.00 'LUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS_ 6&nnn1P - a.S o'W DJ Ad_ Jew Fixtures $10.00 )Id Opening, New Fixture $10.00 Deer Dispenser $10.00 flow Off Basin $1.0.00 :atch Basin $10.00 Iain Water Leader $10.00 ;ump/Receiving Tank $10.00 Vater Treating Appliance $35.00 Vater Heater -Electric $35.00 Vater Heater - Gas** $35.00 las Range** $10.00 Sas Dryer** $10.00 lack Flow Preventer Required ( )Yes () No Type $15.00 teinspection Fee $50.00/Hr +LL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.25% of Value of Fixture or Appliance State Surcharge 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. KLINGENBERG, GEORGE 8012 RUTH STREET NORTHEAST 23 , 20 OS FRIDLEY, MN 55432 OWNER (763) 783-3538 35.00 BUILDING USED AS kSI ae4-'1C4'__ ESTIMATED COST q60 0 ' PERMIT NO. TOTAL FEE $ � ' SD PLUMBING COMPANY NO (_`OVA'RUVA6yl SIGNED BY_ �� TEL N0. ((v1Z� 232%-clo33 Approved By OF THE IMPROVEMENT WHICHEVER IS GREATER PLUS THE SURCHARGE. -#OMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. "PROVIDE COMMON VENT INFO ON BACK SIDE ■ 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 codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No ( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA GAMA Category I Central Furnace 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( ) When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes () No( ) When Installing 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-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () 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 () No( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input 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 Common Vent Type 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 : Building $ &q 2,d 2 BUILDING Permit No.: Q06i Inspections 65% of Building Permit Fee RESIDENTIAL APPLICATION Received By: Ac 763-572-3604 Surcharge CITY OF FRIDLEY Dat JUN 2 �� 763-502-4977 FAX $ , 0 0 $5.00 (State Licensed Residential Contractors) SAC Charge $ $1825 per SAC Unit (Plans to MWCC for determination) EFFECTIVE 1-1-08 $ DATE (> v20 d9 YOUR E-MAIL ADDRESSg�O,� wr✓ �� ��1C/ % ✓✓� SITEADDRESS 904A Gf 7% .Sl Park Fee $ Fee Determined by Engineering Sewer Main Charge THIS APPLICANT IS: ❑ OWNER OCONTRACTOR Agreement necessary( ) Non Necessary ( ) PROPERTY OWNER/ NAME: C &,A 66 ' PIA 14�U11116 1 S'0P6 . Make checks payable to: City of Fridley Attach Sti ulations ADDRESS: 901 &771 S, CITY 1-1"hzz V STATEA�Z/V ZIP TENANT PHONE: 60V :Z(- 3 Xz NAME:d ^✓ CONTRACTOR ADDRESS: /sV 7 XZIrXW L /t� CITY .6-56W4E STATE/4A-i]P ,� // SUBMIT A COPY OF PHONE 6V � '71 % FAX 6,,r -1(,o33 YOUR STATE LICENSE STATE LICENSE # 34 )-% .� ®=(' ti EXP DATE PROPERTY TYPE O SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED I^INDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION jvIAINTENANCEIREPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: igL%(� o� G iwA v S Sc F j T 16/A % `TC SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ 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: FOR NEW CONSTRUCTION INCLUDING DECKS, SIDING ADDITIONS & PORCHES SUBMIT: ❑ Vinyl ❑Soffit 1. Site Plan/Survey showing the existing structures ❑ Aluminum ❑Trim and proposed project. ❑ Other ❑ Fascia 2. Two sets of construction plans WINDOWS IN EXISTING OPENINGS 1A'es ❑No LOCATION OF WINDOWS CA -1r 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: TOTAL JOB VALUATION S 569 ®95 UBC FEE SCHEDULE) �J OCCUPANCY TYPE Permit Fee $ &q 2,d 2 See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ , .001 times the total job valuation Surcharge $ 'Q -00 .0005 x Permit Valuation Minimum $.50 License Surcharge $ , 0 0 $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 $ rte) Make checks payable to: City of Fridley Attach Sti ulations 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 on site; that the work will be in accord ic��X/e withprove plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANT taPRINT NAME P /✓ Alill&el-S DATE APPROVED BY DATE From: 8668662 Page: 213 Date: 9/16/200812:18:16 PM FROM : Donnelly Brothers PHONE NO. : 8668662 Sep. 16 2008 09:06AM P2 Building BUILDING PermitNo.-. Inspections RESIDENTIAL APPLICATION Received B : - 763-572-3604 CITY OF FR DLEY i7a ' a 763-502-4977 FAX rh'FF "riYF l.ld]A DATE 9-%- &a I oss YOUlt &MAM ADDRRS3 SITE ADDRESS �� 4. ] Sia C �-St THIS APPLICANT LS: 0 OWNER fiCONTRACTOR PROPERTYTENANOa NM NAJAE: ,a 4�=�1Alr , 2' , ��.._ ADDRESS; C'�i - Mti1. d1et�l CI7Y_1flcasit-i ,_ S?A]E7wW SQL h NAMJ3 pbn{�1. i?�Ct�[ ny�5- tot-. 3A0j ~ CONTRACTOR pJ,^ ADDRzsS:5;ciZ$UAl[`�-\"�S�' C17"Y1S STATEMO'�lPSS�I� SUBMIT A COPY OF PHoNE �A\'I - %l_ok. - k Lot At FAX k„ . %Osr - FSi., I- YOt3R STATE LIC.EIV•315 , STATF. i.icwsE # AXI; EXP DATE I IS t1? -03C% MOPERTY TYPE XSWGI..R FAMIT YINEW CONSTRUCTION SIZE 17 TWO FAMILYMEW CONSTRUCTION STORIES PST TYPE O ADDITION © GARAGE/SHED p WEgDOWS 0 BAMMENT FMSH 0 ROOF 17 DRAIN TILL' 0 DEcIK WIDiING ®aTHM © SWlNIlMIDTG POOL TYPE OF WORK. 13 NEW Hou E CONsmc noN 0 ADDITION ,d�]�dAJ�]TENANGFJta>'�A%R ❑ R8M0%�I'al.A�iG D SCRIE Lt WORKBEING DONE: _f Eom � WK K s C�VIC 7 1 ` t ba.► n A ts.a C +sem �*t �� (�(.�c� SIZE OF & ROVWARNT LENGTH WIDTH FMC4HT t $ p f NIJbtBER OF SQUARES U HOUSE ONLY 13 HOUSE & OAKAGL' BASEMENT REMODELING? 8i7A'M]T: GSGS E3 O ATTACHED GARAGE 1. Exis ft Fkm Plan 2. Proposed floor plan PROP PROP OSED Sim. PROPOSEDBE ORT: DETACIMD GARME 3. List of *ucttuni membeta to be used INC FOR NEW CONSMUCTION INCLUDING DECKS, ]] Vipyi pffit ADDITIONS. & PORCM SURMIT- Q AiQMio D Trim I. She P1en/S VM sb W%g the esbft 0ACftft of Olhar pa"") O Fay and IreP—ti pith z TWO sets ofMfttslioa plans WYLYDd11Vfi TNR)(lX ']NGOPENINGS QYes ONo LOCATION OF WINDOWS 3. EneWCaloAlfions OR FOR NEW OPENiNOS-DESCItII3E SUE()* OPENINOCUMMS & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS AAAA" X"JMw7 JXXW. Plan Review Fire Surdwge Survharp License Sm'charge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Choose VPI vJNLILJAJLJtVN JLLV9,J6VJLAV4V'JIIt7JE COST OF LABOR AND MATE]RIAL$- v s-11(UMG THE 1999 UBC FEE'SCREDUUE) See Back PW for Fee Sohedale $ 65% of Builtf6tg Permit Fee $ .001 tines the total job valuation ` -000 x Permit Valuation Kmimum $30 $ r'A L) $5.00 (State Liomed R®sideatial Contactors) S $1$25 per SAC Unit (Plans to M'9at'C.0 for determination) ft+6ft= ftx$21-$ _ $ $450 Conservation Plan Review _.. Fee Ddamined by Engineering $ A,greeMeW necessary ( ) Non Necessary ( } THIS IS AN APPLICATION FOR A PERMIT NOT VA.L)D UrfriL PROCESSED I hereby apply for a [miid]g prrmit Ond i aoknow]edF that ft %nfor udon above is Complete and acmusiq that the wmk will be in coaforma ea with the ordinwom and rodeo Of the CtW Of MUSY awl Wfth the Mlnnesot4 C mftotion Cedt; that I nndarstand this is not a peeneit but only an application for a permit and WWk is not to start wMaut a p&M k on she; tient the work will be in -WTI With the apprmv0 lapin the Casa of all work which requires revtaw and approval of plana. a SIGNATURE OF APPLICANT�,.�+ PRINT NAME 1 A/A &qe \I �.� _ BATE- \ - tom.► APPROVED BY y V DATE