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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT Date: ..�/........... Owner ... .... Builder Address . ././.... Address N® 3125 . ........ - IP -4 CATION Of BUILDING No.... Street. ...... ...... Part of Lot ............................... Lot ............ Block .................. Addition or Sub -Division ....................................... Corner Lot ............ Inside Lot ............ Setback Sideyard ........................... DESCRIPTION OF BUILDING To be Used as: f Front .. Depth` Height ........ Sq. Ft. Cu. Ft. ........ .... Fr t Depth .. / H ' ht .�. .. Sq. Ft. ........ Cu. Ft. ........ Type of Construction Est. C . /.. 0. -- To be Completed .... .......... . 1� 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 fort and in compliance with all provisions of ordinances of the city of Fridley. 1 1/1 C��j� In consideration of the payment of a fee of $...-f ......... permit is hereby granted t.A . ......................... 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. J NOTICE: This permit does not cover the construction, installation or alteration for wiring, pl g, gas heating, sewer or water. Be sure to see the Bullding Inspector for separate permits for these ms. CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL ;ATE SCHEDULE GPUVITY WARM AIR: RATE TOTAL 5'arnace Shell & Duct Work $12.00 $ of Furnace7.00 $ Revairs & Alterations -up to $500.00 7.00 $ e:airs & Alterations each add. $500.00 4.00 $ MECHANICAL UARNI AIR: Furnace Shell & Duct :fork to 100,000 BTU $12.00 $ each add. 530,C00 BTU 4.00 7.D0 $_ $ ne_lacement of Furnace Repai_s & Alcerations-up to $500.00 7.00 $ _ Re,airs S Alterations each add. $500.00 4.00 $ Sic.A�•i OR HOT I':ATiER SYS EM: Boiler s Lines up to 100,C00 BTU $12.00 $ _ each ac ^.. 53,030 BTU 4.00 $ Boiler only up to 100,000 BTU 7.00 $ each addn. 50,000 BTU 6.00 $ OIL SU: -,N' -;:R- to 3 gal. per ho::r $10.00 S each add. 3 gal. per 'hour 10.00 $ GAS BURNER- frog 100,000 BTu to 199,999 BTU $10.00 $ (over 199,999 B:u sLe Fee Schedule) $ GAS FITTING FEES: Ist 3 Fixtures x` $ 3.00 $ Z Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00 $ _ I FAN HEATING SYSTE•.NIS See Fee Schedule $ . _ VENTILATING SYSTEMS; $ ALTIONS S REFAI RS E1k' J $_ __ _ State Surcharge $ .50 _ TOTAL FEE $ . ROUGH INSP. Date FL\ A : INSP. Date APP=IAL FOR PER%= REINSPECTION FEE (.$10.00) :4I1i+:uSS FEE FOR AwY HEATING PER:IT IS $7.50 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 correct. Fridley, Minn. �� ®�� 15 7 OWNER XIND OF • J Aw - USED AS TO BE COMPLETED ABOUT ESTIMATED COSTa® OLD NEW BUILDING PERMIT NO. PER:dIT NO. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- Na. Trade Name ? el ,e- Size No. ova : Capacity �� Sq. Ft. EDR ETU HP Total Connected Load ��-w Kind of Fuel ® � BURNER -Trade Name e �-y " , >e Size No. 04 - capacity -Capacity �6'1°! Sq. Ft. EDA BTU HP c Company Signed By •Tel. No. ! ®4MMAJOR BLVD. MINNEAPOLIS 1% WK 920000 MONSTROMS HTG. & AIR CdND., INC. Job Mame 4410 MiSgelsler tt elevaird, Mhlneepells 16, Man., r C /G NEAT LOTS C"CULA"ON* Job Address(� Weatherstrips, A Guide Construction No. Insulation Windows Doors Reference Out. Wan Int Wall Cellruag Rood - Floor Kind How Applied Yea o- , ,I . -Yeo. • u, ,l 4_ .. / Fl.l - Room Length 2-/ Width l ].Height rte' FL) Room I Length/1 Width L_ Height Windows and Doors—Crackage and Area ' . Y Width Height No. of Lineal ft. Area No. of pane t v:pe lights of crack ss. ft. v 1.79 �.. Coef. Btu Coef. Btu " Infiltration icoef.1 Btu Infiltration Glm Up, wall Net em Walt W m/ L Glass /D Int. wap Exp. wall Floo - - Net exp. wall 3 j: - 5` �� ?,n a -in Int. wall Ceiling ,2 ys" Floor fotma Btu. 6 5 - Required Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI Room I Lenirth / Width i Height Windows and Doors--Crackage and Area Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No* of pane of pane lights of crack p. ft. v No. of pane of pane lights of crack ap. ft. Coef. Btu Coef. Btu " Infiltration Coef. Btu S� Glass Glm Up, wall Net em Walt W m/ L Net exp. wall ® _77 /D Int. wap Ceilin l z Floo 1 otal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl. Room I Length width Windows and Doors—Crackage and Area Ideh Helibt No. of Llaea! ft. Area No. of sane of Dane Is, to of creek m. ft_ Int. wall Ceiling Z2 ye i® S s Floor Tota tu. Required sq. ft. E.D.R. or sq. ins. W.A. leader area F 1.1 Room I Length V Width Windows and Doors--Crackage and Area Width Hetght No. of Lineal !t. Area Na of Haas of pans 1ltbta of crack aa. Infiltration Glass Exp. wap Net exp, wap Int. Wan, Ceiling Floor 30 Tom Coef. Btu Infiltration P Glass SNO Exp. wap Net exp. Ab Int. wall Ceiling Floor Tbtal Btu. Required sq. ft. E.D.R. of sq. ins. W.A. Leader area m Required sq. ft. E.D.R. or sq. itis. W.A. Leader area I r Fl_ Reeea I t enoth / S ' Width / 7.,Heiaht Windows and Doom—Crackage and Area Windows and Doors—Crackage and Area Width Height Na of Lineal ft. Area No. of pane of pane lights of crack ap. ft. Coef. Btu Infiltration Glass , Coef. Btu Infiltration _�/ b )-- Glm Exp. wap - - Net em Walt W m/ L � o Int. wall Ceiling Z2 ye i® S s Floor Tota tu. Required sq. ft. E.D.R. or sq. ins. W.A. leader area F 1.1 Room I Length V Width Windows and Doors--Crackage and Area Width Hetght No. of Lineal !t. Area Na of Haas of pans 1ltbta of crack aa. Infiltration Glass Exp. wap Net exp, wap Int. Wan, Ceiling Floor 30 Tom Coef. Btu Infiltration P Glass SNO Exp. wap Net exp. Ab Int. wall Ceiling Floor Tbtal Btu. Required sq. ft. E.D.R. of sq. ins. W.A. Leader area m Required sq. ft. E.D.R. or sq. itis. W.A. Leader area I r Fl_ Reeea I t enoth / S ' Width / 7.,Heiaht Windows and Doom—Crackage and Area Width Height Na of Lineal ft. Area Na of pane of page lights of crack SQ. ft. 77 Coef. Btu Infiltration Glass , Exp. wap Net exp. waU 14- W - 1,e s In& wall Ceiling l r yr P Floor Om CIVIL lequired`sq. ft. E.D.R. or sq. ins. WA. Leader area r , / INSTR©MS HTG. St .AIR CONDe0 INC.' Job Nola• 1 _% 444410 Ettetd+ier f elevord,'IYlinneepolis T6; "a. C VSAT LO" CALCULA1'IONR Job Address ( W Al.A .,.N. ea era r Guide nstruchon o. Windows Doors Reference but. Wall Ilut.Wall Saolk Floor ICmd Room I Length? e. Width Height F1.1 Room I Length Windows and Doors—Cfackage and Area width Height No. of Lineal ft. Ares• o No. of pane of pane lights of crack sq. tt. ? t. lCmf.1 Btu Infiltration 1 1 1 ?,k t; 2 - Exp. wall-- Net exp. wall � j = mJ, 0 py - Int. wall loor otal Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI.I Room I Length Width Height Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of Dane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp, wall Net exp. wall Int. wall Ceiling Floor I otal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.l Room I L.enath Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No* of pans of pane lights of crack sq. tt. 1Coef.1 Btu. Infiltration Glass Exp. wan Net mm. wall Int. wan Ceiling kloor Insulation How Applied Width Height Windows and Doors--Crackage and Area Width Height No. of Lineal It. Area No. of pane - of pane lights of crack sq. tt. Coef. Btu Infiltration Class Exp. wall Net expo wall Ina wall Ceding Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI.I Room I Lenath Width Heiaht Windows and Doors--Crackage and Area Width a ght No. of Lineal ft. Area No. of pane or pane lights of crack $Q. ft. [Coef-Ito Infiltration Glass Exp. wall Net exp. wall Int. wan Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area Fl.l Room I Length Width Height Windows and Doors--Crackage and Area Width eight No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Ina wall Ceiling Floor I oral >au.Total Btu. - - Required sq. ft. E.D.R. or sq. ins. WA. Leader area Required°sq. ft. E.D.R. or sq. ins. W.A. Leader area CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On January 1, 1993 APPLICATION FOR PLUMBING AND GAS FII7iNG PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS Co l y STrtR L irE rg�V New Fixtures 3 Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank - Water Treating Appliance Water Heater -Electric Water Heater - Gas Gas Range Gas Dryer Back Flow Preventer Required ( )Yes () No Type $7.00/•�a $ a.00 $ 5.00 $ 7.00 $ 7.00 $ 7.a0 $ 7.00 $10.00 $7.0 0 $10.00 $10.00 $10.00 $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance al l.ua State Surcharge • $ .50 TOTAL FEE 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. 11— y • ,1 ss1� Owner o nj b o e- Building Used As 1�o+hE / I Estimated Cost a 0 aS' 00 ` PERMIT NO. / PLUMBING COMPANY n� s �u AG �T x PL u /h 6,"I 6 SIGNED BY E TEL No. 55-7 (- O 4,5 q Approved By Rough- Date Final Dam/�� t� Urinal a �..•. hower � .. . .D Floor ain o Washer .as ::. R angeS . 3. aor eae rWash ' Gas E lecStories Basement m nt Floor 1 Floor 2 Floor 3 Floor 4 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS Co l y STrtR L irE rg�V New Fixtures 3 Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank - Water Treating Appliance Water Heater -Electric Water Heater - Gas Gas Range Gas Dryer Back Flow Preventer Required ( )Yes () No Type $7.00/•�a $ a.00 $ 5.00 $ 7.00 $ 7.00 $ 7.a0 $ 7.00 $10.00 $7.0 0 $10.00 $10.00 $10.00 $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance al l.ua State Surcharge • $ .50 TOTAL FEE 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. 11— y • ,1 ss1� Owner o nj b o e- Building Used As 1�o+hE / I Estimated Cost a 0 aS' 00 ` PERMIT NO. / PLUMBING COMPANY n� s �u AG �T x PL u /h 6,"I 6 SIGNED BY E TEL No. 55-7 (- O 4,5 q Approved By Rough- Date Final Dam/�� L sueiEtT PERMIT NO. City of Fridley 113 AT THE TOP OF THE TWINS PERMI BUILDING � RECEIPT NO. 16 � ; L ------COMMUNITY DEVELOPMENT DIV. 41117 G ,n .ter j 1 PROTECTIVE INSPECTION SEC. 11 r/ NUMBER REV OATE PAGE OF APPROVED BY 1 -11 CITY HALL FRIDLEY 55432 ,'� 612-571-3450 910415 7/6/00 JOB ADDRESS 6141 Starlite Boulevard I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 16 2 1 Sylvan Hills Plat 2 SHEET 2 PROPERTY OWNER MAIL ADDRESS- ZIP PHONE Don Doree 6141 Starlite Boulevard 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Lakeland Door and Remodeling 9900 Foley Blvd., Ste. 100 Coon Rapids, MN 55433 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 780-4064 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION OX REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof $ Tear Off House $ Garage 18 squares 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 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 $1 573.00 $.79 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRAN;OG OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOL OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF A Y OTHER STATE OR LO AL Lr REGULATING CON- $57.05 Fire SC $1.57 TqU TIO R T E PERFOR ANC Of C ST 710N PLAN CHECK F TOT FEE Licens $5.00 A64.41 (GNAT EOFcON' RI .OR 4 MODAGENT IDATE. EN ROPE ALIOA IF BLDj T&fA E THIS IS RPE MIT nArE SIGNATURE Of OWNER ❑F OWNER BUILDER) IDATEI L NEW [ l Effective 1/1/2000 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name /&-, Address: uj C� � ff Tel. # Contractor: ! 12 fjd /1 MN LICENSE # dd Address: 9100 d v r' G4 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: Le!gth With Hgt/Ground Sq. Ft OTHER: 00r �rd -66C Construction Type: P �aCc Estimated Cost: $ �7 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: lec"- APPLICANT Tel. # %65--65-7a CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $-®sr Fee Schedule on Reverse Side Fire Surcharge $ - S% .001 of Permit Valuation (1/10th%) State Surcharge $ %9 $.50/$1,000 Valuation SAC Charge $ $1100 per SAC Unit License Surcharge $ _ 5-00 $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 [ ] 6 �- TOTAL $ STIPULATIONS: CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE`s Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 763-572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Rate TOTAL /q -,5? --37 Effective On January 1, 2001 JOB ADDRESS STIM1-77-6 A61 . OWNER NrJ 't RJB/-} Ntee 763-:S 6-0/L0 BUILDING USED $ 30.00 $_20_L0_0_ / ESTIMATED COST $40C,0,00 PERMIT NO. / $ 10.00 $ 10.00 $ 10.00 $ 25.00 State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. R DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units_ Circle One (Steam) (Hot Water) ( arm Air $ Trade Name (9 AIAP V Size No. 6 --03 BTU 50R HP EDR Fuel 9Aw _Total Connected Load Z8,0c�o 674 Burner Trade Name Size No._ $ BTU _HP ED $ 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 an $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. $ 5,5,5-D DATE id // I/ dl HEATING CO 4M -4. Amita Signed / TEL # -763 `-5-3& Approved By Rough -In Date Final Date` BACK SIDE MUSf BE FILLED IN ON VENT SIZE, VENT CONNECTORS AND COMBUSTION AIR VERIFICATION COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, the undersigned hereby verges that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes (LI No ( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes (LY'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 (Z,�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 (v�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 (j 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 kvA'lz"-4 BTU Input �- zOO& Fan Assisted 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 t -6 / r Vent Height 2 ( ' 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: ,a.S)4 M5,fTW6 Signed By: Date : ��� F, _ I um ml 1. A 1 ADDRESS: o,(49�yej APT: FLOOR: CITY: DATE: JO l-;WU OCCUPANT: OWNER: HEAT LOSS: Malih HEATING INSTALLED BY: ELECTRICAL WORK BY: GAS LINE BY: TYPE OF HEAT: GA FA ROOFTOP SPACE HTR UNIT HTR OTHER GAS DESIGN MANUFACTURER: MODEL: - S SERIAL: INPUT: wo L,d` CONTROLS THERMOSTAT: - gD VENT SIZE: vc VALVE:LnLAax)aKIND OF LINER: SIZE NONE LIMIT: DRAFT HOOD: REGULATOR: LIMIT SETTING: `` FILTERS - SIZE: It X, -)a X NUMBER: FAN SETTING: CHIMNEY- INSIDE X OUTSIDE PILOT TYPE: H sr CHIMNEY CONSTRUCTION: PILOT MAKE: PILOT MODEL: `— SMOKE BOMB: WIRING: PILOT TIMING: DRAFT: TEST TAG: L.W. CUTOFF: DOOR PRESSURE: LIGHTING INST: PRESSURE:13.s tj . C. % CR, _ DATE TESTED: �d ' INPUT CFH: v , % OZ COMPANY TESTING: STACK TEMP: C�' % CO NAME OF TESTER: 2� I UiYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 February 28, 2003 Mr. Donald Doree 6141 Starlite Blvd NE Fridley, MN 55432 Re: Final Inspection at 6141 Starlite Blvd NE Contractor: Marsh Heating & Air Conditioning Inc Dear Mr. Doree: A mechanical permit was issued on October 23, 2001 to install a furnace and air conditioner at your address. According to the 1991 Uniform Mechanical Code a final inspection shall be conducted on the work authorized by this permit. As of this date the inspection has not been requested. The permit fee that was paid covers the inspection to make sure the work was completed according to the Codes. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will mark the permit "no inspection called for by homeowner after notification" and take no further action. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. Sincerely, DJ/mh SUBJECT PER IT Cityof Fridley 312 61 AT THE TOP OF THE TWINS BUILDING PERMIT r R I T NO. __ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 I "'1 CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 7/28/00 JOB ADDRESS 6141 Starlight Blvd. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 16 2 Sylvan Hills Plat 2 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Donald Doree 6141 Starlight Blvd 763-586-0120 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Owner 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK 0 NEW 0 ADDITION 0 ALTERATION IN REPAIR 0 MOVE 0 REMOVE 8 DESCRIBE WORK Vinyl reside house f garage 9 CHANGEOFUSEFROM TO STIPULATIONS Per Section 1402, 1997 Uniform Building Code, requires that a weather resistive barrier be placed over exterior sheathing to protect the interior wall covering. Exceptions for this provision would be if sheathing is an approved weatherproof panel or when the siding is an approved weather barrier. Vinyl siding is not a weatherproof covering unless the manufacturer states this in their application guidelines. Call for inspection of wrap before covering. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CON T. 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,000.00 $1.00 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 . $69.25 Fre SC $2.00 PLAN CHECK F TO L FEE 11 72.25 SIGURE OFCONTRACTOR ORAUTHORIZED AGENT HE PROP VALI T THIS I UR PERMIT �J O}IDDAATEI / K Li/•�S.t/R AZAGII.Nil' INSo r)AIE �WNERiIFOWNERBUILOERI i ATE, NEW [ ] Effective 1/1/2000 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Ins ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION r Construction Address: Legal Description: Owner Name & Address: BIVW,0-ld n -4*740 Tel. #!� Contractor: ��%,� MN LICENSE # 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: Construction Type: —':5/t6h'yA V 1 r't h I Estimated Cost: $ G1�. Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: I Z2�Q APPLICANT: CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Call (763) 572-3604 for Permit Fees if mailing in application Tel. # $ 15- Fee Schedule on Reverse Side $ ® 0 .001 of Permit Valuation (1/10th%) $ $.50/$1,000 Valuation $_$1 100 per SAC Unit $ $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above E13 $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS: $ IQ- P< Building BUILDING Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: DATE YOUR E-MAIL ADDRESS SITE ADDRESS C I THIS APPLICANT IS: OWNER ❑CONTRACTOR PROPERTY OWNER/ NAME: W See Back Page for Fee Schedule TENANTADDRESS: P/ CITY STATE 4][P !' Fire Surcharge PHONE: ; .001 times the total job valuation CONTRACTOR NAME: .0005 x Permit Valuation Minimum $.50 STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY STATE ZIP WITH APPLICATION PHONE FAX SINGLE FAMILY/NEW CONSTRUCTION SIZE PROPERTY TYPE Erosion Control TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS Sewer Main Charge ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE Total Due ❑ DECK ❑ SIDING V OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCEIREPAIR JkREMODELING C DESCRIBE WORK BEING DONE: 'A HEIGHT Sq. Ft. SIZE OF IMPROVEMENT LENGTH WIDTH ROOFING ❑ HOUSE ONLY ,NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan 'PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans .WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS AT T Frrc ARF. RAQV111 nN VAT.TTATInN_ TNCT,TTnTN(-. THE COST OF LABOR AND MATERIALS: (USING THE 1997 U. FEE SCHEDULE) TOTAL JOB VALUATION $ 11Z, Q OCCUPANCY Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ /S. rr) .001 times the total job valuation Surcharge $ 15'� .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1550 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $20 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ Make checks payable to: City of Fridley Attach Stipulations TION 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 applicatio for a permit and r .s not to start without a permit; that the work will be in accordance with the approved plan in the case of all work h r s e aZ;/ va1 of plans.) %�/O A �(LDATE,SIGNATURE OF APPLICANT PRINT NAME q)q 2 Building Permit Fee $ BUILDING Plan Review Permit Inspections Fire Surcharge RESIDENTIAL APPLICATION Received. By: 763-572-3604 $ 5-00 .0005 x Permit Valuation Minimum $.50 CITY OF FRIDLEY $ Date UD: DATE $ YOUR E-MAIL ADDRESS Curb Cut Escrow SITE ADDRESS ft + 6 ft = ft x $21= $ Erosion Control $ THIS APPLICANT IS: ❑ OWNER ACONTRACTOR Fee Determined by Engineering PROPERTY OWNER/ NAME: 00 E t `L Agreement necessary ( ) Non Necessary ( ) TENANT ADDRESS: giuAvi CITYIWIT pq STATEI [ IP PHONE:' CONTRACTOR NAME: a b STATE LICENSE # yy�� EXP DATE V n SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY L) r nSTA4JWaa2 WITH APPLICATION PHONE - FAX ' PROPERTY TYPE INGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED WS E3 BASEMENT FINISH ❑ ROOF DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION Xsl MAINTENAN AIR ❑ REMODELING DESCRIBE WORK BEING DONE: te'd-o-oo, e4gwaL)�� SIZE OF HVIPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE I. Existing Floor Plan 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural member, to be used PROPOSEDHEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. Z. Two sets of construction plans WINDOWS�y >0es 3. Energy Calculations IN EXISTING OPENINGS ON. LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED V NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USIN�THE 1 JU.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ a OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ r o , -00 .001 times the total job valuation Surcharge $ 5-00 .0005 x Permit Valuation Minimum $.50 License Surcharge $ SOD $5.00 (State Licensed Residential Contractors) SAC Charge $ $1675 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 Dae 0/, Make checks pAyable to: qq of Fridle Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the 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; that the work will be in accordance with the approved plan in the case of all work hick requitr review and approval of plans. 1 j� SIGNATURE OF APPLICANT �, [NT NAME 3GIWI I -`Ul U S DATE U �J "►