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PRE 2010 DOCSj V%llage of Fridley, Mims. BUILDING PEW= N° 6$8 Mice of INSPECTOR OF BUMDINGS owner' Architect Fridley, Minn., Builder - c LOCATION OF BUILDING 1_ y 8kms t r r Fas LOt No. Street Party of Ili Lot Block Addition or Sub-Division DESCRIPTION OF BUILDING Front m DepthHeight--L— Stories " Manner of Constructio++ ° To b�e�used as �, ` ' To be completed '' Estimated Cosi,/f` Permit Is hereby ted i 7 a the building described in the above statement. This permit is granted upon the express condition that the person to whom it is granted, and his agents, employees and workmen, in all the work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordi- nances of Fridley,) Minn., regarding the 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. I inspector of Buildings. AGREEMENT AND SWORN STATEMENT In consider,tion of the issue and delivery to me by the Inspector of Buildings of Fridley of the above pe'it, I hereby agree to do the proposed work in accordance with the description above set forth,, and according to the provisions of the ordinances of Fridley, and, being first duly sworn, I hereby state and say that the facts stated by me and contained in the above permit are true as therein ;stated. Subscribed d sworn to before me at Fridley, Minnesota, this day of ° f , U D. 19 `, -i SUBJECT IT NO. City ®f Fridley 27177 AT THE TOP OF THE TWINS BUILDING R M I T r ` COMMUNITY DEVELOPMENT DIV. O. RPFlo r PROTECTIVE INSPECTION SEC. � I NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 8/13/98 JOB ADDRESS 6140 Sunrise Dr 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 22 2 1 Sylvan Hills SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Roy Gelhart 571-8695 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Custom Color Painting & Remod. 13684 Yukon St NW Andover 55304 757-0651 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20139344 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION XX REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace siding on south end of home 9 CHANGE OF USE FROM TO STIPULATIONS Call for building wrap inspection before covering. 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 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 500 $.50 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- RUCTI N OR THE PERFORMANCE OF CONSTRUCTION. $21.00 Fire SC $.50 PLAN CHECK FEE TOTAL FEE rf License SC $5.00 1 $27.00 GNAT F NTRACTOR OR AUTHORI2 GENT �® TEI WHEN PROPERL BLOOF INSP ALIDA ED THIS IS YOUR PERMIT i MATE SIGNATURE OF OWNER I IF OWNER BUILDER$ IDATEI NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: Owner Name & Address: p Tel. # �f S Contractor: MN �� , �,n MN LICENSE # ,;?,U/rj341,V Address: 4 11,41 " p Tel. # 'Z `O Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EUPROVEMENT LIVING AREA: Length Width Height 7 Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: P -7-'0/6"'C te/z"�r �� moi_ Pte. sfl/�Le' CID Construction Type:( Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: APPLICANT: , Tel. # % t,96,sI Permit Fee $ C�a Fire Surcharge $ !�-(D State Surcharge $ SAC Charge $ License Surcharge $ Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ C6) STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1000 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 [ ] BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: TOTAL VALUE FEES $1 to $500 $21 (Minimum Fee is $21 plus surcharge) $501 to $2,000 $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $5012.25 for the first $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE L°'/� Effective On May 10, 1999 Fridley; MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 57z-3604 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Wash :IIrx ��:::>:::>::::: .......11:-.......... Floor ..a t�:::::::>:::: ...... � Auto. ::�• as::::::>::::>:: .�',�.................. Gas 1t::::::»::: Water Heater Stories �I:...... . hoover 1�Tray c�C��:'G<:::::::.;:. Dram tit:::>:>:> Washer :fit :.. �:. �:::�::::>::: Ran a 17 Gas Elec Basement ent Floor 1 Floor 2 Floor 3 Floor 4 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS�� I �C(/U) ( �� MEP New Fixtures $ 7.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $ 4.00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $ 7.00 and representations stated in this application are true and correct. Catch Basin $ 7.00 Rain Water Leader $ 7.00 1999 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Owner Water Heater -Electric $ 7.00 Water Heater -Gas"` $10.00 Building Used As ['lei Gas Range** $10.00 G6 Gas Dryer** $10.00 Estimated Cost PERMIT NO. Back Flow Preventer Required ( )Yes () No Type $15.00 PLUMBING COMPANY Reinspection Fee $47.00/Hr SIGNED BY TEL ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance Approved By 9 Rough -In Date Final Date �``y State Surcharge $ .50 ciX lr MINIMUM FEE R ANY PLUMBINGIGAS PERMIT IS $20.00 TOTAL FEE PLUS THE $-50 STATE SURCHARGE "COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SQ INCHES. IFAA GiYOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (612) 571-3450 - FAX (612) 571-1287 June 29, 2001 Mr. Roy Gelhar 6140 Sunrise Drive NE Fridley, MN 55432 Re: Final Inspection at 6140 Sunrise Drive NE Contractor: Shiloah Water Co Dear Mr. Gelhar: A plumbing permit was issued on November 4, 1999 to install a water softener at your address. According to section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the plumbing authorized by this permit. As of this date, no inspection has been called for. The permit fee that was paid covers the inspections to make sure the work was completed according to the Plumbing Code. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will expired the permit and no further action will be taken. To set up the inspection, or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. Sincerely, DJlmh CITY OF FRIDLEY INSPECTION DIV. 3431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BF INSTAI I Fn ON FArl4 FI nnR Effective On Jan 1, 2000 e .$B Ri •I• A 3� RSR _man_ ' PLUMBING FIXTURE RATES: New Fixtures 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** NO. RATE ME Gas Dryer** Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance TOTAL State Surcharge $ .50 TOTAL FEE $2Ll.5.0 JOB ADDRESS_ _54NIF te, dWL31Ee . 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 P,uilding Division, and hereby declares that all the facts .and representations stated in this application are true and correct. GELHAR, ROY ,`/ / 20� 6140 SUNRISE DRIVE NORTHEAST ' ` FRIDLEY, MN 55432 Owner_ (763)571-8695 Building Used As 'FI€611x7w cz Estimated Cost �� PERMIT NO. j20 PLUMBING COMPANY 0 rk QQ puntoj(4 SIGNED BY YFL Nn_//7-R77-4993 J Approved By COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-X COMMON VENT INFO ON BACK SIDE COMMON VENT VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, 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 O 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 asper current codes. Yes( No ( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nate 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 : CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Fridley, MN 55432 ADPLICA TION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572 3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Effective On January 1, 200 JOB ADDRESS I �I C��'�L.t nr�� ^ ;V .F, RATESCHEDULE R Residential Rate TOTAL OWNERA—�� Furnace Shell and Duct Work, Burner - BUILDING USED AS uje.`t►/1a Also Replacement Furnace (Side Vent -Fill Out Back $ 30.00 $ 3 ptOC), g�� ESTIMATED COST fi®® erPERMIT NO. l �� Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) DESCRIPTION OF FURNACE AND OR BURNER Gas Range $ 10.00 $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Ai Gas Dryer $ 10.00 $ Trade Name r" o rr w_ Size No. t.�.aAu ®`7 BTU HP EDR *Air Conditioning - All Sizes $ 25.00 $ Fuel (_Y.. Total Connected Load All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name Size No. 1% of Value of Appliance or Work $ BTU HP EDR Commercial/Industrial 1.25% of Value of Appliance or Work $ 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 at State Surcharge $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. TOTAL FEE $ (� •S® DATE 4 eZ MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION HEATING COi`�/�� REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE Signed TEL # REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without Approved B4bJ Rough -In Date Final DateU� written permission from adjoining property owner. -) o FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE Building Inspections 7.63-572-3604 DATE—� SITE ADDRESS 4 THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SU13MIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PERMIT TYPE TYPE OF WORK: MECHANICAL RESIDENTIAL APPLICATION CITY OF FRIDLEY YOUR E-MAIL ADDRESS ADDRESS:- CITY, PHONE: .96-3— Permit No.: Received By: Date Rec'd: ,,17!� -- COMPANY NAME: River eity-08 9jo CONTACT PERSON._8,� �-- STATE LICENSE # ADDRESS: r sdtW I V' N 5 CITY STATE—ZIP— PHONE TATEZIPPHONE (763) 754-2199F, ax (763) 754-2906 �NNGLE FAMILY ❑ TWO FAMILY 0 TOWNHOUSE O NEW PLACEMENT 0 ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK CA PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor X.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FI��X��T99URE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) MODEI�"SIZE/BTU Equipment Installed MFG' STZF/BTU MFG: MODEL: MFG: MODEL: SIZEBTU A/C $ZS.QO —FIREPLACE (GAS) $15.00. GAS RANGE/OVEN $10.00 _A/C TO AIR EXCHANGEER $IS _FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 AIRBOILER $35.00 FURNACE $35.00 ,GAS UNIT HTR $10.00 _CHIMNEY LINER $10.00 _GAS DRYER $10.00 POOL HEATER $35.00 DUCT WORK $10.00 GAS PIPING $10.00 PEIVTTLATOR $15.00 - m�'?..sy�r.,...'i.�,,,r�rv3a.,r`3vvrY1c4�''1.Y��id'"�'W5 Permit Fee $ Number of fixtures @ $10.00 x $10.00 = Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL $ .�'- 0 Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 Total = $ 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 workZe .requires review and approval of plans. SIGNATURE OF APPLICANT - -PRINT NAME DATE 6L6L City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 1 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMESIADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR s REQUIRED FOR NEWIEXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or PropanoUGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 5. Ventilation a_ Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346:0603.2 a. ACCA Manual D NGT': Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make up air calculations