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PRE 2010 DOCS'9----�-IJ7 City ®f Fridley, Minn. BURDING PERMIT N° 6827 Date: Owner: Buil r Address Address LOTION BUILDING y; No. Street Part of Lot P Lot----�-__ Block _ _____ A tion or Sub -Division . e -,V-ja � Corner Lot W Inside Lot _ _ f — Setback Sewer Elevation P2&- ire d ° st .6; _ _FewWMian Elevation DESCRIPTION OF BUILDING T U Front Depth AX Height Sq. Ft. Cu. Ft. Front : Depth Height Sq. Ft. Cu. Ft. Type of ctionEst. Co; .�.�To be Completed In consideration of the issuance to me of a permit to co et the building des Bove, Ila R to do the proposed work in accordance with the description above fo anel in com ce with ons of ordinances of the city of Fridley. - - � t� In consideration of the payment of a fee of ! '., permit is hereby granted to to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any upon vie of any of the provisions of said ordinances. 'A A Building Inspector NOTICE: Thb permit don not corer the construction, haftWon for wiring, phnnhfng, gas heating, sewer or water. Be sure to see the Building ingmter for separate permhs for these ftemw APPLICATION FOR BUILDING PENT CITY of FRIDLE$, MINNESOTA Owner's Name Builder 5 ;�vw-7 h _..._ Address 2' c E/ _ 7= z — f '�/c, PV Address LOCATION OF BUILDING No. street Part of Lo Lot Block � Addition or Subdivisionuz:_�hv-p- Corner Lot Inside Lot Setback Side -Yard SWER ELEVATION FOUNDATION ELEVATION J Applicant attach to this form Certificate of Survey of Lot and proposed building location. To be used as: DESCRIPTION OF BUILDING FrontDepth;Leight sq. Ft. .moi � .� CU. Ft. Front Depth Height Sq. Ft. Cue Ft. Type of Construction Estimated Cost,, 0, � To be Completed J The undersigned hereby makes application for a permit for the work herein specified., agreeing to do all.work in strictaccordance with the City of Fridley Ordinances and ruling of the Department of Build Ings, and hereby declares that all the facts and representations stated in'this application are true and correct. DATE 6� _�s SIGNATURE UR ' � �' ��✓s«. _.� (Schedule of Fee Costs can be found on the Reverse ide)- BUILDING PERMIT FLEE SCHEDULE Section 2. The Inspector of Buildings shall, before issuing any permit for the erection of any building or structure, or for any addition to any existing building or structure, or for any alterations or repairs to any existing building or structure, upon application therefor, 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 2 1. For any such permit for the erection of any fire -proof building.. other than a garage, warehouse, factory or grain elevator, or for the erection of any fire -proof addition* for similar occupancy, ton existing building shall be at the rate of $1.40 for each one thousand cubic feet, or fraction thereof, in such cubical contents. 2.22,. For any such permit for the erection of any fire -proof garage, warehouse, factory or grain elevator, or for the erection of any fire- proof addition, for similar occupancy, to any existing building shall be at the rate of $1.25 for each one thousand cubic feet, classified as "fireproof" by Section 502 of the Minneapolis Building Code. OUSES 2.3. For any such permit for the erection of ing other than a garage, warehouse, factory or non -fireproof addition, for similar occupancy, Permit $1.00 for each one thousand cubic feet. GARAGES any non -fireproof build - grain elevator, or any to any existing building. 2.4. For any such permit for the erection of any non -fireproof garage, warehouse, factory or grain elevator, or for the erection of any non-fireproof.addition, for similar occupancy, to any existing, building or for each such building'de addition. Ninety Cents for each one thousand cubic feet or fraction thereof, in the cubical contents thereof with a minimum or $4.00. For the purpose of computing fees for building permits the cubical con- tents of any building or addition to a uniform height throughout by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or cellar to the average height of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. 2.5. For repairs or alterations town existing structure, the fee shall be at the rate of $3.00.per each Five Hundred Dollars -A $500.00) or fraction thereof in the cost of all proposed work. 2..6. in no case shall the fee charged for any permit as set forth in Section 2 be less tri $4.00. ft S h CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: Number Fixtures Future Fixture Opening New Fixture, Old Opening Catch Basin Water Heater - to 99,000 BTU 100,000 BTU to 199,000 BTU Water Softener New Ground fun Old Building Electric Water Heater GAS FITTING FEES: lst 3 fixtures Additional Fixtures Gas Range to 199,000 BTU REPAIRS & ALTERATIONS First $100.00 each add. $100.00 or fraction NO. RATE $3.00 $2.00 $2.00 $5.00 $5.00 $10.00 $7.00 $5.00 $5.00 TOTAL x $3,00 $ x $1.00 $ x $10.00 $ $5.00 $2.00 State Surcharge TOTAL FEE REINSPECTION FEE ($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 correct Fridley, Mn. 19 OWNER ? KIND OF BUILDING USED AS TO BE COMPLETED ABOUT r ESTIMATED COST G c� OLD - NEW BUILDING PERMIT NO. PERMIT NO. ROUGcI INSP . Date FINAL INSP. Company Signed By Tel. No. Date APPROVAL FOR PERMIT: is MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 m o a) Wate re � p, W r Heater 11 -i a .0 N 4UUI C $4 O .a � In N 9 "1 3 o O U.'1 -P W Off + N N N N S.' O e `d W w v w 3 0 o as lec . 1st 2nd 3rd 4th (R) = Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: Number Fixtures Future Fixture Opening New Fixture, Old Opening Catch Basin Water Heater - to 99,000 BTU 100,000 BTU to 199,000 BTU Water Softener New Ground fun Old Building Electric Water Heater GAS FITTING FEES: lst 3 fixtures Additional Fixtures Gas Range to 199,000 BTU REPAIRS & ALTERATIONS First $100.00 each add. $100.00 or fraction NO. RATE $3.00 $2.00 $2.00 $5.00 $5.00 $10.00 $7.00 $5.00 $5.00 TOTAL x $3,00 $ x $1.00 $ x $10.00 $ $5.00 $2.00 State Surcharge TOTAL FEE REINSPECTION FEE ($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 correct Fridley, Mn. 19 OWNER ? KIND OF BUILDING USED AS TO BE COMPLETED ABOUT r ESTIMATED COST G c� OLD - NEW BUILDING PERMIT NO. PERMIT NO. ROUGcI INSP . Date FINAL INSP. Company Signed By Tel. No. Date APPROVAL FOR PERMIT: is MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 I E City of Fridley SUBJECT ®1483 AT THE TOP OF THE TWINS PERM I T r BUILDING RECEIPT NO. ` COMMUNITY DEVELOPMENT DIV. - __ -___ INSPECTION r PROTECTIVE SEC. 1 � � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-660-3450 910-F15 $/2/78 JOB ADDRESS 7372 S Dhonv Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 5 Melody Manor Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE AnthonySchreiner = Same as above 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Rpqidpntial - drain tile system 7 CLASS OF WORK ❑ NEW ❑ ADDITION Cly ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Drain tile system 9 CHANGE OF USE FROM TO STIPULATIONS 1. Install piping from sump pump to exterior (outside) house. 2. Call for inspection before covering License - $35.00 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 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 $800.00 .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- STRUCTION OR THE FORMA `CE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE f SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT ( ATE) WH PR ERL� Y VALIDATED THIS IS YOPR PER�M�IT -� BLDG WSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTE=RATIONS, ADDITIONS, OR REPAIRS) ° O'iTIi1;R� � ` 13UILll);12: AddressC dress:) Tel. 140. No.:� Street: E LOT: BLACK: ADDITION: CORNER LOT: I14SIDE LOT: SETBACK: SIDEYARDS: Applicant attach to this form A%,o Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING j To Be Used As: Front: Depth: Height: Square Feet: Cubic Feet: Front: • Depth: Height: Square Feet: Cubic Feet: Type of Construction: Estimated Cost: $ Ta Be Completed: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and, rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. See reverse side for additional information. DATE: SIGNATURE: Stipulations: a 0 y D• o . . BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings 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 repairs 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: . NEW CONSTRUCTION: Single Family Homes and Garages: $4.00/1,000 cubic feet. PLAN CHECK: 25 percent of building permit fee. DRIVEWAY DEPRESSION: (Concrete Curb Streets Only) Alternate A: Removal and replacement of concrete curb and gutter only; Driveway width plus 6 feet x $14.50 Alternate B: Removal and replacement of concrete curb and gutter and install a 3 foot wide approach with 6 inch depth; Driveway width plus 6 feet x $17.20 For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or the cellar to the average heights of the upper surface on to the average height of the roof surface of the main gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 Fier each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. In -no case shall the fee charged for any permit as set forth in Section 2 be less than $7.50 plus $.50 state surcharge. NOTE: 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 been constructed will be required before proceeding with the framing. Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or occupied until a .Certificate of Occupancy has been issued. SUBJECT PE City of Fridley 215 6 3 AT THE TOP OF THE TWINS FC U I ®I G P E I T BUILDING f ` COMMUNITY DEVELOPMENT DIV. Ld L RE�fEIPT N0. 0 1 C/ '1 � d PROTECTIVE INSPECTION SEC. rj Pel D � , CITY HALL FRIDLEY 55432 NUMBER REV- DATE PAGE OF APPROVED BY 612-571-3450 910-F15 8/20/92 JOB ADDRESS 7372 Symphony Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 5 Melody Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Cindy Schriner 7372 Symphony Street NE 786-2772 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Minnesota Exteriors 295 Rwy 55, Hamel 478-6001 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 IR REPAIR ❑ 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. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED3.11 $6,220 $ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE LAW REGULATING CON-$90,00 Fire SC $6.22CTION. PLAN CHECK FEE TOTAL FEE W%X7 License SC $5.00 $104.33 SIN U RE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) HEN RQ8LY VA IDA D THIS IS YOUR PERMIT bfld// -2-6)-�PZ LDG INSP QATE SIGNATURE OF OWNER 0F OWNER BWLOERI IDA TEI - Prepaid Plan Check $ Effective 1/1/92 Estimated Cost $ CITY OF FRED EY Receipt # 10, COMMERICAL & B01WRIAL BUKINNG PERMIT APPUBCA17ON •.; w . ..a •• r 1 .: eel 9% M .,. C . Engineer & Address TYPE OF WC M [ ] New [ ] Addition [ ] Alteration Describe Ap gid n Applicant Signature "D '' Tel # Date :1 1 1 1 I t Is .`f • �. Building Use P 1b6,I Construction Type ��ac a � 1 Crxupancy Gp Air Conditioning []Yes []No Fire PL^otection Pded []Yes []No Performance Bond Amount $ See Reverse for Schedule Received []Yes []No Permit Fee Plan Check Fire . S=charge State Surcharge SAC Charge $ wee 1—,u-n�e $ ,®® Spec. Assessments $ Driveway Escrow $ TOTAL $ tQLA �J See Fee Schedule on Reverse Side In Excess of Prepaid Amount - See Reverse Side .001 x Permit Valuation (1/10th .) $.50/$1,000 Valuation (See Sched. for > $1 Million) $700 per SAC Unit (Plans to N1WOC for determination) Fee Determined By Engineering Agreement Necessary [] Not Necessary [] feet x $13.50/foot Width Height Sq. Ft. # of Stories OFC. AREA: Length Width Height Sq. Ft. VRM AREA: Length Width Height Sq. Ft. CIMER AREA: Length Width Height Sq. Ft. VAiiIMC K Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) cD��c� Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) _ $ . Sq. Ft. x $ Cost/Sq. Ft. - Valuation $ ) TOTAL VALUE Building Use P 1b6,I Construction Type ��ac a � 1 Crxupancy Gp Air Conditioning []Yes []No Fire PL^otection Pded []Yes []No Performance Bond Amount $ See Reverse for Schedule Received []Yes []No Permit Fee Plan Check Fire . S=charge State Surcharge SAC Charge $ wee 1—,u-n�e $ ,®® Spec. Assessments $ Driveway Escrow $ TOTAL $ tQLA �J See Fee Schedule on Reverse Side In Excess of Prepaid Amount - See Reverse Side .001 x Permit Valuation (1/10th .) $.50/$1,000 Valuation (See Sched. for > $1 Million) $700 per SAC Unit (Plans to N1WOC for determination) Fee Determined By Engineering Agreement Necessary [] Not Necessary [] feet x $13.50/foot BUILDING PERMIT FEE SCHEDULE PERFORMANCE BOND POLICIES o• i - • <rti •- I•: • GUGits,a 'e•:m: r :• • cr a letbw •I i c•t dval be - •ul •rc• ■• • - CLty. Mm •• • will coverall • •may •- it+. • G i0 ■sincludiM • 1 • lirAted to •b•:i• • r •: w • ambdrxj, • .• �r•1• • bAlXMpamitwlueupto.a2rrdllimcbll.7 • • o« •: .1 111 ■• • v• . I • i.s, i •- • •o• ■• ■ - nemmt $100.91 e CWy resamm• - right to requim gr -: Ex or Gtia: •• • ammrts based ai uruml•+ • u: r.•G� • • O«■s vdfti • • s •- r • GIG its, •G -nolt- require a •• • .. 500 II I -- phr. -i.:l•- 2,001•• w 111 $45 fcr Ist111 • •: earh :•• 111 cr fraction, to .• •i • 1 t $25,000 25,001 to 50,000 $252 fxr Ist $25,000 phr. $6.50 fir eErh atbll $1,0W ar r .«■. • to .• • • • $5D,000 50,001 r• 100,000 1 flor 3st $50,000 1 1 1 • 1 flor each. • • $1,000 1 •: : . «w • to . • iralyling 11 111 3M,001 to 500,000 $639.50 fcr 3st %W1000 p1m $3.50 fcr each adcbll $1,000 cr : .ct • to . • • • $500 ,000 01 !1 r• 1,000,000 $2M9.50 fxr ttn ist $500,000 plus x fcr eachatblll $1,000 cr ■ .«■i. to .: • ind3irliml 111 111 1,000,001 ard up $3539.50 fcr ftm $1,000,000 plus "2 f-cr each atbll $1,000 ar act • PREPAID PLAN CHECKSCHEDULE to 2,000 $29.25 2,OaL to 251000 11 Y,., ,r for$2,,000 phr. $5.85 fir each atbll $1,000 cr : . «d• to ard irr-Irling $25,000 25,001 1 to 50,000 $163.80 fcr Ist$25,000 phis $4.225 for each : • • $1,000 1 •: r . «w • to .: • imlixiirrj $5C),000 50,001 ■• 100,000 $269.43 ftr 1& $50 ,000 ous $2.925 fcr each atbll $1,000 or fraction, to .; • •i • $100,000 100,OM ! r• 356,000 $415.68 fcr$100,000 1 111 • s $2.275 fcreach adcbll $1,000 cr r . «u • r• .: • Jrr-lxxJJrrj $356,000 Over $356,,000 $1,000 (PAI dia ulth issumm cf hdldirg pmdt) PERFORMANCE BOND POLICIES o• i - • <rti •- I•: • GUGits,a 'e•:m: r :• • cr a letbw •I i c•t dval be - •ul •rc• ■• • - CLty. Mm •• • will coverall • •may •- it+. • G i0 ■sincludiM • 1 • lirAted to •b•:i• • r •: w • ambdrxj, • .• �r•1• • bAlXMpamitwlueupto.a2rrdllimcbll.7 • • o« •: .1 111 ■• • v• . I • i.s, i •- • •o• ■• ■ - nemmt $100.91 e CWy resamm• - right to requim gr -: Ex or Gtia: •• • ammrts based ai uruml•+ • u: r.•G� • • O«■s vdfti • • s •- r • GIG its, •G -nolt- require a •• • V/ J CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1991 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace Gas Piping (Needed with new furnace Gas Range�� Gas Dryer "Air Conditioning - All Sizes Rate TOTAL $ 20.00 $ $ 10.00 $--/0., $ 10.00 $ $ 10.00 $ $ 10.00 $ All Others/Repairs & Alterations (LIST ON BACK) JOB ADDRESS -73 Is 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 ruling of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. OWNER L � 1'1 ,1991 BUILDING USED AS 2e ___L; do,, ESTIMATED COST '3 fT/. 0 0 PERMIT NO. P/661' DESCRIPTION OF FURNACE AND OR BURNER 1 % of Value of Appliance or Work $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. Commercial/Industrial BTU HP EDR 1 % of Value of Appliance or Work $ Fuel Total Connected Load State Surcharge $ .50 Burner Trade Name Size No. BTU HP EDR TOTAL FEE $ � Burnsville Heating & A/C, Inc. 12481 Rhode Island Ave. So. - - — HEATING COMPANY Savage, MN 55378-1122 MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION 0!11+- REFRIGERATION/AIR CONDITIONING PERMIT IS $.15.00 Signed By—zTel No. PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 Approved By�6 fm-- Rough -in Date Final Date 10 *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes ( ) No { ) 2. Is free from rust or deterioration Yes ( ) No ( ) 3. Has no foreign objects lodged within Yes { ) No ( ) 4. Is securely supported Yes ( ) No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes { ) No ( ) 6. Has total heating BTU's of All other BTU's TOTAL BTU's Remarks List Alterations Being Done: HEATING COMPANY Signed By Date 01 sueJECr , PER28158 City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC F 8 ; � NUMBER REV DATE PAGE OF APPROVED By CITY HALL FRIDLEY 55432 612-571-3450 910-F15f' 10/8/98 JOB ADDRESS 7372 S hony Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 R 5 IMelodyManor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Tony Schreiner 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO DRI Const. 26103 Verdin St Is t` MN 55Q40 444-0024 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 Q ADDITION O ALTERATION J REPAIR O MOVE O REMOVE B DESCRIBE WORK Reroof house and garage 25 S Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REOUIRED 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 S0. 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 $2142 $1.07 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 $74.75 Fire SC $2.14 2 PLAN CHECK FEE TOTAL FEE License SC $5.004 1 $82-96 SIGNATURE OF CONTRAC TOR OR AUTHORIZE D AGE N TV ID TEI WHEN PgRROPPERLY IOATED THIS IS YOUR PERMIT d BLDG NSP v Ik IX IP MATE S-GNATURE OF OWNERIIF OWNER BUILDER, [DATE, 01 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: < - — v- Tel. # Contractor: MN LICENSE # z r 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: Lenggtth� WidthHgt/Ground Sq. Ft. OTHER: Iq _ a I � - i --"bZ ` (, F-%` Construction Type:�� c� Driveway Curb Cut Width Needed: Ft. + 6 Ft = Estimated Cost: $ c� i`/�) (Fee Schedule on Back) Ft x $ = $ DATE: /0 / A'APPLICANT:�- -`�-�` f.� Tel. # e// </ - G i o TOTAL $ 7 7 STIPULATIONS: CITY USE ONLY Permit Fee $ 1741, %S Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ $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 [ ] TOTAL $ 7 7 STIPULATIONS: 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. 11 SUBJECT P City of Fridley 2 9 013 AT THE TOP OF THE TWINS BUILDING PERMIT r RE COMMUNITY DEVELOPMENT DIV. INSPECTION SEC r PROTECTIVE Oy i'1 �o'���,•� CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY ____� L 612-571-3450 910-F15 3/16/99 JOB ADDRESS 7372 Symphony Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 5 Melody Manor SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Cindy/Tony Schreiner 7372 Symphony Street NE 786-2772 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Douglas Wikstrom Const 5787 Fairview Ave N, Shoreview, MN 55126 784-6648 9058 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 ❑ NEW C ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 20' x 18' Addition to House 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan. CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. WARNMIK WWTE PFOM TS RFQIjIRED FOR Before el.iROOPF; call for WIRING, HEA i li-A—G, P.LUMBIND AND'1G alt Utility Encations 454-0002 FRMEQUIRED BY LAW 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 80 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 1 HAVE READ AND EXAMINED THIS APPLICATION 1 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 $32,649 $11.22 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHA PROVISION OF ANY OTHER STATE OR LOCAL LAW REGULATING CON - SC $22.45 STgUCTI OR THE PERFORMANCE OF CONSTRUCTION $324.75 Fire PLAN CHECK FE Li se C 0 TOTAL EE $363.42 SIG TUBE OFCONTRACTORORAUTHOAIZEOAGENT IDATEI HEN R D T ISYS R PERMIT r � BL INS+4 or rIA1E S-GNATURE OF OWNER OF OWNER BUILDER, IDATEI 11 NEW [ ] NEW[ ] CITY OF FRIDLEY ADDN ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: _ Owner Name & Contractor: Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Effective 1/1/99 2 3 2,� 5�,, 4a, Tel. # &'/2 - 2 kG MN LICENSE /���;�y✓ ��� �D . ��.f��'�r�� / �f�c _Tel. # 4�1,���� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length �D Width / Height Sq. Ft. WSq. Ft. Length Width Height � Length Width Hgt/Ground Sq. Ft. Construction Type: y(;�e estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: ��.'APPLICANT: G� Tel. #Cs/ lo Permit Fee $ , -),/ Fire Surcharge $ State Surcharge $ SAC Charge $ License Surcharge $ J-, 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 $1050 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 heiein below set forth and in the manner herein provided to-witf 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. Mar -12.-99 02:33P l JIL "A SPRING LAKE PARK LUMBER COMPANY 8329 Central Avenue NE + Mlnneapolls, MN 55432 Phone: 784-3062 / Fax: 784-2275 2 % FA/X TRANNSM17TAL SIIEET DATE: Jf 1 a"' / COMPANY- C r Ony F.1X NUMBER: C) l.,p 7 % / - Ig FRO51: (/" �t 6\ COMPANY: SPRING LAKE PARK LUMBER COMPANY FAX NU6UlER; (612) 784-2275 NUMBER OF PACES (INCLUDING THIS TRANSIMTPAL FORM) ✓ P-01 COMMENTS: Ti�'1- SGoG rG G//G�f SliAk!/+i f 6L "7372 5 y-., e/fb,—� Sd• �,d� • f/�/DlG CJs- / 67 L A S s QQ ~,K4 /., i -,c eye/-- A SE.�� IF ALL PAGES WERE NOT RECEIVED OR IF THERE ARE QUESTIONS REGARDING THIS INFORMATION, PLEASE CALL THE PERSON LISTED ADOYE A•r (612) 784-306L / (� RESIDENTIAL "COOKBOOK" WORKSHEET Ap N41_ !'BonpeJ` Date statement of CompUaace: The proposed building design represented in these Building Official Use Appli Address / �� ,` r/ • �/ sC� v �-U ��� �`j�- 7 documents is consistent with the building plans, specifications, and other calculations submitted . with the Moth application. The proposed building has been designed to meet the requirements of Ile Minnesota Energy Code. Ceiling with low heel truss . R-44** Building Address: _ ye 00, 0.33 unconditioned space T'lrO-✓ %�li�_ v r��3..� Ceiling -no attic R-38 w/ R-5 sheathing 0.23 Ap licant/Engmeer MINIMUM REOUIREMENTS for "Cookhnnk't OnNnn, Entry floors 1-3/4" solid wood w/ storm Ceiling with energy truss R-38*# O ta- CAV /(c /4s wll Rim joist R-19 door or equivalent (Min. 7%," top plate to sheathing) 2x4 framing, R-13 insulation, sheathing R-7 or greater. Foundation Windows* Insulated Glass w/1/2" gap in Ceiling with low heel truss . R-44** Floor over R-24 wood or vinyl frame 0.33 unconditioned space *Include square footage in calculation of Window/Door Area • Ceiling -no attic R-38 w/ R-5 sheathing 0.23 to determine above grade Window 1.1 -Value. 0.20 0.19 a4.au,auw4 1-194 4utauan4:19 at w laser UCslgn tronamons 'Window and Door Area G c 100 = % ` _ + 6 y S- % % WINDOW U -VALUE -. 3 As % of Exposed Wall Area Above Grade Window and Gross Wall Area Window/Door Area Source: NFRC . cZ!= or ASHRAE 1993 Handbook FoundattonWindow/Door Area �. MAY111R11U WINIIAW 1/_V A s rttt`e Cbeek Wall . -Typoosod WALL TYPE XIMIUM WINDOW AND DOOR AREA % OF EXPOSED 12% 14% 16% 18% 20% 22% 24% 26% WALL AREA 28% 30% 32% 34% TYPE A 2x4 framing, R-13 insulation, sheathing R-7 or greater. •0.55 0.47 0.41 0.36 0.33 0.30 0.2710.2S 0.23 0.22 0.20 0.19 TYPE H 2x4 framing, R- IS insulation, sheathing R-5 or greater. 0.52 0.45 0.39 0.35 0.31 0.28 026 0.24 0.22 0.21 0.20 0.18 TYPE C 2x6 framing, R-19 insulation, sheathing less than R-5. 0.48 0.41 0.36 0.32 0.29 0.26 0.24 012 0,21 0.19 0.18 0.17. TYPE D 2x6 framing, R-19 insulation, sheathing R-5 or greater. 0.56 0.48 0.42 0.37 0.34 0.31 0.28 0.26 0.24 0.22 0.21 0.20 TYPE E 2x6 framing, R-21 insulation, sheathing less than R-5. 0.51 10.43 0.38 0.34 0.30 0.28 0.25 023 10.22 1 0.20 0.19 10.18 TYPE F 2x6 framing, R-21 insulation, sbeathing R-5 or greater. 10.58 1 0.50_1_0.44 10.39 0.35 0.32 0.29 0.27 10.25 10.23 10.22 10.21 "41a Mum wuunna 4ntCgM1d11vn3 04 4nC V41UCS nt tnC t:nergy Lode. Part 7670Ag73. Stlbp. I This is a summary only. Other requirements may apply. Seethe Minnesota Energy Code. 2/SPM Questions? Call Department of Public Service Information Center at 612/2%-5175 or I-800/657-3710. � ,Q.41 IftOi W, ./T-, %�.. ter //6 1-o / /' �� �e A LUMMI nra a w O N 64W W M e O N Mar -3,,2-99 02:34P P.03 . MINNESOTA ENERGY CODE Emit= ENVELOPE U -VALUES WORKSHEET Applicant Name Phone Date Statement or Compliants: The proposed building design represented in these documents is consistent with the Applicant Address: 4 Skylights ------ �Other / building plans. speciflcadons, and other calculations submitted with the permit application. The proposed building has been Building Address: ® 7, a•• _ ®= iD x ® _ designed to meet the requirement of the - i , a y Minnesota Ent Code. • � Windows 116 Yi Applicant(Enginecr Assembly - Ceiling/Roof Area (Sq Ft) ti -Value U -Value x Area Ceiling/Roof (Total Framing and Insulation Area) Ceiling/Roof (Total Framing and Insulation Area) 4 Skylights ------ �Other / Other--- 7 Totals OO 6 0 ® 7, a•• Average U -Value: (�1_� _• i0 d ® 7, Z, ® 0.026. Required U -Value from Energy Code::L ®= iD x ® _ Rim Joist Assembly -Exposed Wall q6 -f Area (Sq Ft) Lf -Value U -Value x Area Wall (Stud and Iasakted-Caa+t#)' 4 / Wall (Stud and Insulated Cavity)' 7 Fireplace Wall Rim Joist , a y 9 Windows 116 3 4/ 6• �/ - Doors ;-_�/e . H %4 "L. -/.A Above Grade Foundation Wall 31 fe lv 3, - G Foundation Windows 4 44 41 Other Totals • ® .'7 © Average U -Value: ® 2.91 s 6, Required U -Value from Energy Code: 0.110 TRADE-OFF PROCEDURE: If ® is greater than ®, or ®, is greater than ®, revise the design as necessary to meet envelope criteria of the Energy Code. If the total of -(Z +0,17o, 14 is less than or equal th the total of 0 + 0 1*, 14 _then the design meets Energy Code. I wood me, metal Brame. masonry U -Values are found on the Wail U -Values. Calculation equations are on pp -11 13 of the code - I 2 U -Value for skylight and window must be determined by the National Fenestration Kattng c:ouncH bwnaatu tuvs. or nannn� •�-, Handbook of Fundamentals, Chapter 27, Table S. Ibis is a s mmwy only. Other requirements may apply. See the.Minnesota energy Code• 2tV% Questions? Call Department of Public Service Information Center at 61212W5175 or 1-8001657.3710. AMINEM 0 NEW 1. n9e�eer�r� �' 6873-Hi9hnoy *cS N.E. Minnmvfw/s 2/, ENGINEERING, INC.nne�t° sungiIf- o" En9 ineers E Sup vectors - . ate. of suzv. ev for E & M DEVELOPMENT CO. E 5c a 4e- 1"= 4,89A = +Aw rXir 5� NCR s EL 86 3 i �Cii4UND .f-LEW 866.5 Nouse coR SONY hh OENOTEPi IRont ' --- L _ Ov_NoTBS U"TIL.1T`f DRAINAGE EASEMENTS i ------ { i. 'ELEVATIOWS ARE PSZQP03£O `as 4 Z.. FIRST FLOOR F_L_VATION ?O 6E 2.5 FE£.T A60VE GROU00 ELEV. SHOWN fI,O T g BLOCK. 5 ME Z.o.DY' MAhi O A. N f, /h sp�i�if fho% ihis'is a Iruie Wd cnrrtcf �ePresenfof ion v�,a swvey �'Ihe bn MVIes �' a ofie ' b(acn►�trd fond, and :o�lYxJawno'o!!'bre/drn�s;!/nieon,enodM/ ris�b/e aru-oachmenfs,�f'mu�.n oraisoid /and. As serrverJedme llas doy' SUBURB" ENGINEEIZ/NG , INC. En9i e & Surr or S C ,4 L. i", 4a q�so des se 4Tatsed AM- so; peb=tP ee; St TTeue eeea ou ui • 9' Z • Xoe� eodoxd T'LE o oa eta UT ;oese� - UOT4019= so (o0 b05Sci" tTo P�' P � ® "F3 V ee''2ed"pp•x6$ 30 'e e� eta �>3 eq TT�E�KB� 3.121 70 Lp t` y E 5c a 4e- 1"= 4,89A = +Aw rXir 5� NCR s EL 86 3 i �Cii4UND .f-LEW 866.5 Nouse coR SONY hh OENOTEPi IRont ' --- L _ Ov_NoTBS U"TIL.1T`f DRAINAGE EASEMENTS i ------ { i. 'ELEVATIOWS ARE PSZQP03£O `as 4 Z.. FIRST FLOOR F_L_VATION ?O 6E 2.5 FE£.T A60VE GROU00 ELEV. SHOWN fI,O T g BLOCK. 5 ME Z.o.DY' MAhi O A. N f, /h sp�i�if fho% ihis'is a Iruie Wd cnrrtcf �ePresenfof ion v�,a swvey �'Ihe bn MVIes �' a ofie ' b(acn►�trd fond, and :o�lYxJawno'o!!'bre/drn�s;!/nieon,enodM/ ris�b/e aru-oachmenfs,�f'mu�.n oraisoid /and. As serrverJedme llas doy' SUBURB" ENGINEEIZ/NG , INC. En9i e & Surr or S C ,4 L. i", 4a q�so des se 4Tatsed AM- so; peb=tP ee; St TTeue eeea ou ui • 9' Z • Xoe� eodoxd T'LE o oa eta UT ;oese� - UOT4019= so (o0 b05Sci" tTo P�' P � ® "F3 V ee''2ed"pp•x6$ 30 'e e� eta �>3 eq TT�E�KB� • s v X,C C P T/On/� Pmv//e/ m1h the sw1h I O5 JU"s7 I � I L II II it 90 90 $AVENUE 98.3 v =22% a 73 h aaa �S, ♦Q 16 r„ / tic -As Sj ot O ti� r h I` V � h N o V 0 LU ery a � I ® O o a /0 T=tos� /78.93 q0 75 4o s v X,C C P T/On/� Pmv//e/ m1h the sw1h I O5 JU"s7 I � I L II II it 90 90 $AVENUE 98.3 v =22% a 73 h aaa �S, ♦Q 16 r„ / tic -As Sj ot O ti� r h I` V � h PA t.. G I. LO q > 1:.3 ! G C� Li g SID' G I. lZk LO q > 1:.3 ! G C� Li er SID' NN 1 A L •�- TN LO q > 1:.3 ! G C� Li NN 1 A L •�- TN It/--- -�41 —I f .,r WiN.=w 10, c W;Oldsw a gip,Kep 10 T-WroH 5787 Fairview Ave. No. ghorevaw, Mian. 65126 REMOOELDO DESM ro Few DOUGLAS R. •� fMKSTROM CONSTRUC71ON 0 Phone 6SI - 784$648 ♦- v- "1 %V / ov 1-1. —1 w ernsr-s a •— r1 ► t 1 -� IF ± ft G'A -- i 1L now ;r Siks . ��' �' ' 1 'Pa• �•- a f t,� 3'g 'p�i.t�.t�.t lf�5U1. Per. .6 cmZ41,10 "4V4 si e4l lhw It-bu 61.2 - 17- iSo— 3/ 0 u•• 11O+ -Y ENGINEERED TRUSS DESIGNS AMID LA` OLFI S SHALL BE MADE ITE I FOR TN 446 k(P G INSPECTION • ��T lTf`IpE�.1 h -•'Ali WA- A`, wf 5787 Fairview Ave. No. Phone Shoreview. Minn. 55128 �jS/� 7846645 assm To OOUGW R. WkSTROM • CONSMUC77ON 4 t4W CP '�'a''i�r��-' •►►�►jL ISS 'I�� }8'.1t°[j -� IF ± ft G'A -- i 1L now ;r Siks . ��' �' ' 1 'Pa• �•- a f t,� 3'g 'p�i.t�.t�.t lf�5U1. Per. .6 cmZ41,10 "4V4 si e4l lhw It-bu 61.2 - 17- iSo— 3/ 0 u•• 11O+ -Y ENGINEERED TRUSS DESIGNS AMID LA` OLFI S SHALL BE MADE ITE I FOR TN 446 k(P G INSPECTION • ��T lTf`IpE�.1 h -•'Ali WA- A`, wf 5787 Fairview Ave. No. Phone Shoreview. Minn. 55128 �jS/� 7846645 assm To OOUGW R. WkSTROM • CONSMUC77ON 4 �IIPOS�S- SIMI FaNew Ave. No. Ph" ShWS,AeW. Mian. 55126 6-5/— 76443848 DESM 70 FUNO DOUQLAS R. 'Ile Y� r 4ar4jk oftf ball FaNOW Ave. No, mow, Minr1 55120 gsl Ph" lk GESKW TO FWASH DOUGLAS WKS7WM CONSM T44-14 T tz -No- 41- k4- 41 t � a IA �511 i t�vcArr�cr� rS+ �•t*�+c--- *• gyp, 4kf- .� ti Zr e // t hW fwK. t5ujc Mid 171 p4&. int— Na / r2. f t 404w eriOH a t x f 'Ftt- ,. - PPa 'tt`( law >NK .aw �+ ell 1 ww 4s 5787 Fairview Ave. No. Phone ShmMemr, Minn. 561 �jS/— 784.6648 1 ROXXaM oTo 7 _�W CONSTRUCT/ON 01) 9 902 W- 1,2 1 _ J IA .� 5787 thew Ave. No. Phom ShMWAqw. Mina 533126 66/—78443648 �r 3 COM 70 DDUGLLAS R. WlKS7ROM �xfx cult.; 44a�;�. � ,kN . =�H .� i ,�=•—=�; - » --f �� $gyp+ CAN, Ott IONti M�US.s�Ls, f rata 4-41 m G) rip r ...... ... A3 Miss•I��� ;.:?rte &&J ; ✓om t CITY OF FRIDLEY INSPECTION DIVISION Effective On January 1, 1998 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES .} c JOB ADDRESS { 3 7 a J YY)�= RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Fumace Shell and Duct Work, Bumer — rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30.00 $ representations stated in this application are true anA an.correct. (Side Vent — Fill Out Back) ;a,#ggg t�9� Gas Piping (Needed with new furnace) $10.00 $ OWNER Gas Range $10.00 $ BUILDING USED AS 1 Gas Dryer $10.00 $ / �7 ESTIMATED COST Q DD PERMIT N0. / 1 < l(S *Air Conditioning — All Sizes $ 25.00 $ -th � � � 9A ID + b &Q * ' DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) of Value of Appliance or Work $ PS -OD No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. Commercial/Industrial BTU HP EDR 1.25% of Value of Appliance or Work $ Fuel Total Connected Load State Surcharge X50 Burner Trade Name Size No. BTU HP EDR TOTAL FEE $05.50 HEATING COMPANY Sf, , I yW e shed` eAE j_ -k.' MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION t REFRIGERATIONJAIR CONDITIONING PERMIT IS $25.00 Signed By Tel No. PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr Approved By Rough—In Date Final Date *Air Conditioners can not be placed in a side yard without FILL OUT BACKSIDE FOR STAC VERIFICATION ON written permission from adjoining property owner. REPLACEMENT FURNACE CMMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes () No ( ) 2. Is free from rust or deterioration Yes () No ( ) 3. Has no foreign objects lodged within Yes () No ( ) 4. Is securely supported Yes () No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes () No ( ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater ` Yes ( ) No ( ) 8. Has combustion air been provided for water heater Yes ( ) No ( ) Remarks: HEATING CO: Signed By: Date: