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PRE 2010 DOCSs 'City of Fridley, M BIAIL-VOING PERMIJ N? 6600 r Date: AddressAddress CgvTl Ny LDING No. Street Part of Lot Lot _._ Block _ ddition or Sub -Division . Corner Lot._ Inside Lot Setback 2J Sideyard :2 Sewer Elevation _ _ Foundation Elevation DESCRIPTION OF BUILDING TUsed3 p� rt Front Depth �_ Height Sq. Ft Cu. Fh�J Front Depth eight Sq. Ft. Cu. Ft. Type of Construction tom___ _ Est. 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 forth and in compliance with all provisions of ord9nanc:es of the city of Fridley. In consideration of the payment of a fee of $��f , permit is hereby granted to thto construct the building or addition as described. above. This permit is granted upon e 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 ]units and flus permit may be revoked at any time upon violation of any of the provisions of said ordinances. 11 _ �� k MM,11M70iTi ^� NOTICE: Tho penntt does not cover the construction, Installation for wiring, phanhing, gas heating, sewer or water. Be sure to we the Bending Inspector for separate permits for these items. U City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK ' Number, Kind and Location of Fixtures Location v7 N RATE TOTAL Number Fixtures ...................... x $1.50 3� c� --x o0�e S� <3 U�' °j �GSa Z �U' O f R N WATER HTR. GAS EIEC Base 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ '� P New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL Ii Ist i 1 2nd 3rd 4th • Future Connection Openings New Fixture, Old Openings Connected with Sewer E] Cesspool EJ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: N RATE TOTAL Number Fixtures ...................... x $1.50 $ --x Future Fixture Opening ................ 1.20 $U New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ '� P New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... Additional Fixtures .................... Gas Range to 200,000 BTU ............. REPAIRS & ALTERATIONS—Refer to Code x $1.50 $ x .50 $ x 2.00 $ 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. Fridley, Minn_ Owner �n cor__ Kind of Buil�g A- et- � if I A P/ Used as To be completed about Estimated Cost, $ /� �• e Old—New. Building Permit No tl,0 Permit No. ®� S1 c) Signe 13 By Business Phone No ff-1E! - — 7 4r 0 set - ROUGH FINAL Description ................................................$ TOTAL FEEd2 zM Application for Power Plants and Hewing, Cooling, Ventilation, Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. ci Bldgs. Phone SU 4-7470 %GRAVITY WARM AIR: RATE TOTAL Locatia Furnace Shell & Duct Work...........:.. 8.00 > Replacement of Furnace ......... ... , ......... 5.00 City of Fridley: Repairs &Alterations—up to $500.00 5.00 $ 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 Repairs &Alterations each add. $500.00 ::.......:.:.. 2.50 $ and ruling of the Department of Buildings, and hereby declares that all the facts ., and representations stated in this applicatiozi are true and correct. MECH. WARM AIR FrJdley Minn �� _ , 19 _ Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $— ' each add. 80,000 BTU ........ 2.00 ; Owner 40�A!,X Replacement, of Furnace .. , ....:......... ... ,_...-..... 5.00 $ Kind of Building Repairs & Alterations --up to $500.00 ................. 5.00 $ , Repairs & Alterations each add. $500A0 .............. 2.50 Used as STEAM or HOT WATER SYSTEM To be completed about Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 0:00. $ Estimated Cost, $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $tg2. wilding Permit No. Permit No.7` Each add. 200 sq. ft. EDA Steam ......:..'...... ...... 2.50 $ Each add. 320 sq. ft. EDR Hot Water ............"..... , 2,50 $ DESCRIPTION Of WORS - OIL BURNER.—to 3 gal. per hour .......................... 5.00 $ HEATING ` Warm Air—No, over 3 al. g per hour—See Fee Schedule o ; Trade Name ! Size No ' / GAS BURNER ftp to 400,000 BTU) .. 5.00 $ Capacity Sq. Ft. E.D.R BTU H.P. GAS FITTING FEES: NO RATE Tp'l'1►h 1st 3 Fixtures .......:.............. x.'T--- $1.50 $= Total Connected Load 44& Kind of Fue Additional Fixtures .........:. x .50 -$ BURNER — Trade Name 40 Size No- o Gas Gas Range to 200,000 BTU ..........,. x 2.00 $ Capacity Sq. Ft. E D H.P. AIR CONDITIONING i FAN HEATING SYSTEM See` Fee $ f � :aTiiYG gT8_ Ti�c3r tsar COavn.m 6409 GOGDRIC i AVE. S. 4chadule �; VENTILATING SYSTEM ALTERATIONS &REPAIRS TOTAL FEE $ Z-/'' Signe By - ROUGH e a 4 z 2M Business PhoneNo- FINAL (REMARKS—OVER) iyss _ 4I -IF .OSS CALCULATIONS DEPARTMENT OF BUILDINGS W .. erstrips A. Guide E, Construction No. Guide Insulation Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof Floor �I Kind .e How Yes—No Yes—No 19— 171.1 ;o Room I Length Z 3 Width Height g F1.1 ?�/2 Room I Length Width Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area Width Height No. of Lineal f . Area Width Helght No. of L(neai !t. Area No. of pane of pane lights of crack sq. ft. No.` of ane of pane lights of crack eq. ft. 1 otal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 1 1 A -`� Q(get_ 'rwrw I i nns+l, / -7 W;A,.L ). -� -m-1./ Windows and Doors—Crackage and Area 95 Width Height No. of Lineal ft. Area. No. of pane of pane lights of crack eq. ft. �®® 2-4 Z— Z -_Q , 56 E,,', 2-S Net exp. wall 2,0 1 e Infiltration Glass Coef.1 Btu Infiltration Exp. wall Glass Exp. wall 8 Z j Glass ..L° 3 Int. wall 176,50 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Exp. wall Room I Length 13 -�- Width Height af dT wall Net exp.J Coef. Btu Infiltration Floor Ne'� y� C 00 Ceiling 2, Floor 1 otal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 1 1 A -`� Q(get_ 'rwrw I i nns+l, / -7 W;A,.L ). -� -m-1./ Windows and Doors—Crackage and Area I Y Width Height No. of Lineal ft. Area. No. of pane of pane lights of crack eq. ft. �®® 2-4 Z— Net exp. wall Coef.1 Btu Infiltration Glass Coef.1 Btu Infiltration Glass Exp. wall Glass Exp. wall 3,91etrg C -- 0 Ca -0 Exp. Exp. wall ..L° 3 Int. wall Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Net exp. wall Room I Length 13 -�- Width Height Floor dT Int. wall Coef. Btu Infiltration Floor Ceiling C 00 Floor 2, Total Btu. 149. °® Required sq. ft. E.D.R. or sq. ins. W.A. Leader area - F1.1 /_ F - D "*Room I Length / 7 Width <9 Heiarht Windows and Doors—Crackage and Area I Y Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Exp. wall Net exp. wall Coef.1 Btu Infiltration Glass Infiltration 98 2 Z, (D Exp. wall Glass Exp. wall Net exp. wall Total Btu. Int. wall Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Ceiling Room I Length 13 -�- Width Height Floor dT 7' Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area �,_M�._ EN I Infiltration yoef. Btu ,P 8 a Glass I Y ks q 5 a Exp. wall Net exp. wall Coef. Int. wall Infiltration Ceiling Glass Exp. wall Floor Total Btu. Net exp. wall Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length 13 -�- Width Height Windows and Doors-Crackage and Area Width Height No. o! I Lineal ft. Area No. of pane of pane lights of crack sq. ft. 3 2- Ceiling Coef. Btu Infiltration Floor 1318 Glass -- - � ® o� Exp. wall m ®� Net exp. wall ; Int. wall Ceiling Floor 2__ AiL6;��,, Total Btu. G 56Y Required sq. ft. E.D.R. or sq. ins. W.A. Leader area . r t1I / /- n XA �) R.V.... l t inmlh / Width / A Height Windows and Doors—Crackage and Ana /! Width Height No. of Lineal ft. Area Na of pane ot•pa�n°e lights of crack sq. it. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor C 00 Total Btu. 1 b 6 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I tr G .,->75 _ .OSS CALCULATIONS DEPARTMENT OF BUILDINGS W rtersGuidetrips A..H. a Construction No. WindowsI Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Yes—No Yes—No 19— / 171.1 d-`' /i,t .')Room I Length // Width 0 (, Height A II Fl.l Windows and Doors—Crackage ana Area Jam, Width Height No. of Lineal ft. Area No. of pane of lights of crack aq. it. pane\ C� Coef.1 Btu Coef.1 Btu Infiltration Glass 2el 1 G RV Glass 0 Exp. wall Int. wall Net exp. wall ,�91 Floor Int. wall Ceiling Floor Z // , c Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I L.en fth Width Heiaht Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane llghts of crack sQ. ft. Coef.1 Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Lenath Width Heiaht Windows and Doors—Crackage and Area Width Rol ht No, of Lineal ft. Area No. of pane of pane lights of oraok eq, ft. Coef.1 Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Tbtal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Kind How Applied r Rnnm I Lenath Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft Area No. of pane of pane lights of crack ea. ft. Coef. Btu Infiltration Glass Exp. wall Net exp: wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.l Room I Length Width Height Windows and Doors--Craekage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Reem I Lenath Width Height Windows and Doors—Crackage and Area Width No. o Lineal ft. Area No. of pane et.paas lights of oraok sq. it. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area per, � �� � k b n - t+* _ p � r Z _ �,: 'xlf��. 'Fr"'.�r {� s. �� his w c i a r ^5s'+ a �-- � i.� f ,y+ u •+ .1 e :' �„v,. .:: ,-,- .''� .. :-. ..�. r ,1✓,� .v.'_: ..r,4 ,. '.;, :w.r yqe 4 .. ,.,. _... �,. .. - �. .. .. ..., �_f sr�' .. _...... S SUBJECT PE City of Fridley 1,12 19028 AT THE TOP OF THE TWINS BUILDING PERMIT Ir? • COMMUNITY DEVELOPMENT DIV. r 1 PROTECTIVE INSPECTION SEC. � i1 { �'-'1,� CITY HALL FRIDLEY 55432 NUMBERREV. DATE PAGE OF APPROVED BY •--- L 612-571-3450 910-F15 6/25/87 JOB ADDRESS 5197 St. Moritz Drive N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 5 1 Innsbruck 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE, Engquist 5197 St. Moritz Drive N.E. 571-2237 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. D & D Home Improvement 7401 Central Avenue N.E. , Fridley 784-7543 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 ❑g REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reshingle overlay, aluminum trim 9 CHANGEOFUSEFROM 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 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 $3,175 $1.59 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- $44.50 TRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $46.09 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) HEN ALI TED THIS IS YOUR PERMIT PRP BLDG )NSP f1ATE SIGNATURE OF OWNER (IF OWNER BUILDER) IDATEI NEW [ ] City of Fridley Effective 4/1/84 ADDN. f R-1 AND R-2 ALTER.] Building Permit Application Construction Addre Legal Description: Owner Name & Address: EAS Tel. # `'�7"aoZ37 Contractor: M --T7r1PPdVejn*nt I Tel. # " 75-41 Address: i40i �dl�'r� �61C' OFRic���� 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 [ ] Insides Lot 0(] Ft. Yd. Setback Type of Construction: R - hi - 1 d oVe&5 44 (4m /A 'A m 1 N! Approx. Completion Date: -? Proposed Driveway Width If New Opening Is Desired: Side Yard Setback Estimated Cost: $ 231r'7 5, Or - Alt. A Alt B See Back Page for Explanation DATE: � APPLICANT: ' Tel. # 71� 75Y3 Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge fbTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $425 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] 2a1..0,5- Building BUILDING Permit No.am_cb�7 Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY(UT R 763-502-4977 FAX EFFECTIVE 1-1-08 DATE 2171Z009 YOUR E-MAIL ADDRESS �<<���/IUMn COt� SITE ADDRESS 7 �IUI(iZ �riV2 THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY OWNER/ U NAME;�Lfl[ TENANT ,� ADDRESS: JI�7 - Ilofd� of. CITY il(,tSTATE 90 ZIP S542-' PHONE: -1(0 3 — 571 - -1 34 3 NAME: l) 00LIS vlOrl CONTRACTOR ADDRESS: Z � b S COQ y 011 VEL CITY UUMiU STATE ZIP J S ( l SUBMIT A COPY OF PHONEl' -1-1 (0 �Jt@[O FAX �a Si - -Il ie - YOUR STATE LICENSE STATE LICENSE # EXP DATE PROPERTY TYPE SINGLE FAMILY/NEW CONSTRUCTION SIZE 43 TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGEISHEDWINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ ANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: ��[� S 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, ING 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 3. Energy Calculations IN EXISTING OPENINGS Yes []No LOCATION OF WINDOWS OR FOR NEW OPENING -D SCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COPT OF LABOR AND MA'1 URIALS: (USING THE 1997 UBC FEE SCHEDULE) TOTAL JOB VALUATION Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee .Sewer Main Charge Total Due 3,200 -- $ r 231. Z S, $ $ (0.a o $ 5.00 2,0 ANCY 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 +6 ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks savable to: City of Fridley Attac THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I ac wledge that the inf ation above is complete and accurate; t work will be inJa ce with the ordinances and codes of the City of Fridley and with the Minneso onstruction Code ; I understand this is not a permit but my application foand work isnot to start without a permit on site; that the work will be in actorththe appro pl in the case of all work which requir revs dapproval SIGNATURE O I NT PRINT NAMEDATE -21-710Y APPROVED BY DAT194 0 CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDENTIAL RATE Furnace Shell and Duct Work, Burner (Also replacement furnace) $ 20.00 Gas Piping $ 10.00 (piping needed with new furnace) Gas Range $ 10.00 Gas Dryer $ 10.00 * Air Conditioning (all sizes) $ 10.00 All Others/Repairs and Alterations 1% of Value of Appliance or Work COMMERCIAL/INDUSTRIAL 1% of Value of Appliance or Work State Surcharge TOTAL FEE Reinspection Fee ($15.00) Rough Insp. Date Final Insp. 2 — 9— Date q Approval for Permit MINIMUM FEE FOR ANY HEATING PERMIT IS $10.00 PLUS $.50 STATE SURCHARGE TOTAL $ $ S $ .50 Attach stack verification form with.replacement furnace permits *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. Effective Aug. 1, 1981 Job Address. 9� S/—. Z!Za�' zz "O G /e-/" Z' Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 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 applicati re `true and correct. z Minn. KIND OF BUILDING USED AS �! TO BE COMPLETED ABOUT 7 ` /,0'"' 7 CP v ESTIMATED COST �/4vr OLD - NEW BUILDING PERMIT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER r HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Trade Name Size No. Capacity Sq. Ft. EDR BTU O HP Total Connected Load Kind of Fuel /t�— BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Company �j��G �'/^^i%r� �j��''�%�'✓ fo Signed By Tel. No.