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PRE 2010 DOCSCity of Fridley, 1VIi=. BUILDING PERMIT N° Date: Owner: _' _ s�".s+ Builder_ _.._.__. _._._..._.. Address _— -- — —.— #; L p TION F BUILDING Part�of Lot.._.... --- Lot _ _ ` __- Block Addition or Sub -Division;, .` Corner Lot _ Inside Loi _ _ _._ Setback _ Sideyard Sewer Elevation , _ Foundation Elevation _ ,DESCRIPTION OF BUILDING Tore U r �•� Front Depth � Height . Sq. Ft.�._�.. Cu. Ft�� _ Zol . Depth ... -A ". Height Sq. Ft... Ca, k"t. Type of C etion Est. Cost _"'"'To be Completed In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $.7 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 timpo of any of the provisions of said ordinances, .- Building Inspector NOTICE: This pennh does not cover the construction, installation for wiringo plumbing; 'gas beating, sewer or water. Be sure to we the Building Inspector for separate permits for these items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDIEY, MINNESOTA Owner's Name Builder i a 4 j Address Address? L 7 ® LOCATION OF BUILDING NO. + / 3 I Street I► EDI e-4-1-4 c _____Part of Lot n� Lot h Block Addition or Subdivision e- /®dA 4Atg Corner Lot Inside LotSetback 3 V Side -Yard 1 SEWER. ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING "13 3 To bp used as: /pq,� All r Sq. Ft. I S"® Cu. Ft. A —�_ Front Depth 2` Height % � Sq. Ft._ `-Cu. Ft. To be Completed ted Cost The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE SIGNATURE (A Schedule of Fee Costs can be found on the Revers BUILDING PERMIT FEE SCFEDUIR 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 build- ing 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, to any existing building shall be at the rate of $1.40 for each one thousand cubic feet, or fraction thereof, in such cubical contents. 2.2. For any such permit for the erection of any fireproof garage, warehouse, factory or grain elevator, or for the erection of any fireproof addition, for similar occupancy, to any existing building shall be at the rate of 01.25 for each one thousand cubic feet, classified as "fireproof" by Section 502 of the 'NU.nneapolis Building Code, HOUS Z, S 2.3. For any such permit for the erection of any non -fireproof building other Vhan a garage, warehouse, factory or grain elevator, or any non -fireproof addition, for similar occupancy, to any existing building. Permit $1.00 for each one thousand cubic feet. GARAGES 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 nor -fireproof addition, for similar occupancy, to any existing building or for each such building or addition. Ninety Cents for each one thousand cubic feet or fraction thereof, in the cubical contents thereof with a minimum of $4.00. For the purpo^�: of computing fees for building permits the cubical contents 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 to an existing structure, the fee -shall be at the rate of $3.00 for each Five Hundred Dollars ($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 than $4.00. City of Fridley Application for Plumbing and Cas Fitting Permit DESCRIPTION OF WORK Number, Kind and Location of Fixtures �j '+ 0 yy �� Z H qy 3F y =O OLL x $1.50 iii V C Q'S �Q O Z C9O R 6 N WATER HTR. GAS ELEC. Ba $ Q New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... Z x $1.50 "d $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ 1st J 2nd _ 3rd 4th • Future Connection Openings New Fixture, Old Openings Connected with Sewer Cesspool PARTIAL RATE SCHEDULE PLIIMBING FIXTURE RATES: NO. RATE TOTAL #7 Number Fixtures ...................... x $1.50 $-16' Future Fixture Opening ................ Qt2 x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ Q New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... Z x $1.50 "d $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ 0 Dept. of Bldgs. Phone SII 4-7470 Location 7cf City of Fridley: The undersigned hereby makes application for a permit for the work herek specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the faci and representations stated in this application are true and correct. �1)*ey, Mann Owner Kind of Building Used as To be completed about Estimated Cost, $®®�\\ ����� 01d Ne. . Building Permit Nom ROUGH 3 - 3 ® — G 7 -- FINAL Business Phone 0 Application for Power Plants and Heating, Cooling. Ventilation, .Reftigmation and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL, Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR / Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 60,000 BTU .... . .................. 2.00 $ _ Replacement of Furnace §.00 $ Repairs & Alterations—up to $500.00 ...._ ............ 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam....... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour ........................ 5.00 $ ovet 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FFE _ $� ROUGH FINAL Dept. of Bldgs. Phone SU. 4-7470 City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. s, Frey, 11tinn �> , 199 Y Owner Kind of $adding m o s Used as To be completed about d -a Estimated Cost, $ / Gf e" -r/ Building Permit No. Permit No. 1 DESCRIPTION OF WORK HEATING or P9WER PLANTS --Steam, Hot Wa r��, Warm Trade Name 7 �' -" D Size No 4 Capacity Sq. Ft. E.D.R_ �"�� BTU H.P. Total Connected Load -,/% 6 ro Kind of Fue BURNER — Trade Name Size No Capacity Sq. Ft. EM.R BTU H.P. (REMARKS—OVER) S'gne'hAY N. WELTER HEATINGr+C By 4637 CHICAGO AVE. MINNEAPOLIS 7, MINNESOTA Jaz 2M 7-59 Business Phone No City of Fridley, Mm. 7501 BURDING M Date: May 24s 1965 Owner: Walter Sabol Builder nalberg BIiUders Inc. Address 7371 'e Terrace Address 7 72 Stinson Blvd. X. E. LOCATION OF BUILDING No. 7371 street Tempo Terrace Part of Lot Lot 2 Block 2 Addition or Sub -Division Melody &norr Corner Lot . _ inside Lot Setback _ _ Sideyard Sewer Elevation __ _ Foundation Elevation To be Used as: Front Front Type of Construction DESCRIPTION OF BUILDING Depth Freight Sq. Ft Cu. Ft Depth Freight Sq. Ft Cu. Ft — Est Cost $6,- 00 __ To be Completed Storm Damage , Frame In consideration of the issuance to me of a permit to construct the building described above I agree to do tht' proposed work in accordance with the description above set forth in compliance , a'' provisions of ordinances of the city of Fridley. � „ l B d /d A . In consideration of the payment of a fee of $ld• , permit is hereby granted Inc. to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work, done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances NOTICE: Ub permit don not sower the sondruetion, huftffiffion for wkbs phmebheg, an heads®, sewer or eider. Be sure to no the Building hrspeator for separate permits for these BMW `APPLICATION FOR ING PERMIT CITY OF PRIMV"Ito LNNESOTA OWNER , LocAnoN OF .! Lot_ —Block _2. Additions or Subdlvision Corner Lot Inside Lot Aetb4ck Side Yard of Lot , SEWER ELE'QATIQN FOUNDATION EUVATXON Applicant attach to thio form, Two. Certificates of Survey of Lot and proposed`bu$ld— ing location drewn on these Wtificates . DESCRIPTION OF BUILDING T* be used as; ronC Depth Height 9q, Ft. cu. Ft. front Depth Height Sq. Ft. Cu. Ft. Type of Construction Estimated Cost 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 ®f the Department' -of Buildings, and hereby declares that all the facts and,' repre *mations stated in this application ar rue and correct J ` 'chedale .of Fee Costs can be found on the Reverse Side) . r s�,�katE�i��;•. n BUILDIM PERMIT FEE SC }ME a � • Section 2. The Inspector of Buildings eha2l, befors'i�sa�,i any permit for the erection of any building or structt;,ure., ,Coe - for any add;,t to any exist- ing building or structure, or for -any alteratss«or'repaita to any existing build3,i�g or structure, upon applicatic►ti }erefgr, Vequire the pa nt by the applicant for such permit of fees `to the amount •herein.- below set •forth -and in the. manner herein provided to-witt For any. -such permit for the araptiod-pfany fir44rqsf bufidipg, other. ;. • a garage# warehouse, factory. az . '' 44V45W. f®r the ex tUn of ' anp •Bice -prof addition,. or`. aim$iarallopanay� -to: any existi}g bud.lci w shall be at the rate a# 1.4Qfor eanli'pno_tboutand tubi,¢ feet, orfr�n ...thereof, in such cubical contests,'' 2.2. For any such permit.. faa ._�be erection of any fire -proof gorage..•rau:a-�--� ory or grain elevator, or fr •the eraction Of anF f Sao$ for similar occupancy, to any wish' ..ng ildfug shad.%• •be at .t ie ` ' w fob 'sash one .thousand cubic .feet,$'c�,lassified .As.Pfireprftf" the- Minaeeap�...g,t�dii�g: Code.�+*�: .. HOUSES <; &n. Forenysuch permit for the erection of any non-firep}rf building otba a garage, warehouse, factory or, grain elevator, or any none-fi f' addixi�an, for simil,dr occupahcy, to any e#iati builditg - permit $1.:•60 for each one thousago -cubit. feet.. GAS 2A. For any such permit for the erection of any non -fireproof garage,, warehouse, factory or grain ei;evator, or for the erection of any -non-ftreproa additioixr-.4*r -similar' occupancy, to any existing building of for each such a »ing or addition - ninet or fiea�tifeet on thereof, in the cubical contentsfthereof withta minimum ofd cu�irt$4*04L • For the purpose of computing fees for•building permits, the cubical cov►tentir'• Of any building or addition to a uniform height throughout."by multiplying t��'• ground area covered .from a point six (6) inchoO below'the floor line vf_the�,. ,.. basement or cellar to the average heightofthe upper -surface or to -the average height of the rQo£ surface of the main gable of a•pitbhed roof, . 2.5 . For repairs or alterations to an exist • at the rate of 3.00 striuctu a fee shall ,bo v� ••. $ per each Five Hundred Dollars ($3 6.67-,'M: ,,o-,,. r rac on . �therebf in the cosi 'of`h11 proposed Work, 2 6.` • xn, no .case ... , . �• ,.. : � x` :. ...�r._ shall the Sectioa. 2 be less..,.,than_$4,00f ,Dp ` I Ar SUBJECTI T NO. . City of Fridley 26884 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. _ COMMUNITY DEVELOPMENT DIV. � PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 ---. .� L 612-571-3450 910415 7/29/98 JOB ADDRESS 7371 Tem o Ter 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 2 IMelodvManor SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Ann Sabol 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Four Seasons Roof & Remod.9 - 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 ❑ ADDITION ❑ ALTERATION R] REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garag e(23Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with 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 BO 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 $1918 $.96 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONSANY OT TE OR LOCAL LAW REGULATING CON- STRUCTION OO THE P FORMA E OF CONSTRUCTION. $62.25 Fire SC $1.92 PLAN CHECK FEE License 5.00 TOTAL FEE $70. NATURE OFCONT ACTOJ/OR AUTHORIZED AGENT EN P OPERLY A ATED THI S YOUR PERMIT c • BL INSP f)AT SIGNATURE OF OWNEROF OWNER BUILOERI IDATEI I Ar NEW [ ] Effective 1/1/98 ADDN [ ] ,..CdY,.OF FRIDLEY . ALTER [ ] SINGLE FAM14IY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION - ... t t •::.v 7R.+u:�.e .��it�r.n+ �+ 8th?�: .. � .ti .;,i afr $:,xy+,'.� 1�a4: AV 7 t.,'.. �L ... Constructio-nAddress: Legal Description: ; Owner Name & Address: 4- —Tel: #4 Contractor: U U ( S eas M,S R o v�Cia ei Rem ode -Le . MN LICENSE # Address: '7Cl3 d U vi (U eX� 4-4 U f -r %V E F�r i cl I Tel. # %?5- Q ql D Attach to .this 'application; - a Certificate of Survey of the lot, with the proposed: construction drawn on it to scale. DESCRIPTION, OF BIPROVEMENT LIMING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width . Height Sq. Ft. DECD AREA: Length Width Hgt/Ground Sq. Ft. OTHER: 62 //0 a Y,0 $ %. 'x.001 hof Permit'Valuation (1/10th%) SG Swte Sufzha Construction Type: Refit tthd�C�lS yO-�- Estimated Cost: $ • t (Fee Schedule onBack): ; Driveway Curb Cut Width Needed: Ft. , + 6 Ft = Ft x $ _ $ DATE:. �% `% APPLICANT:' Tel: # ' X96 7440 CITY, USE _O_NLY Permit Fee s. '2 Fee Schedule.on Reverse Side'_ Fire Surcharge $ %. 'x.001 hof Permit'Valuation (1/10th%) Swte Sufzha , $.1;000 Vaivation SAC Charge . 000 per SAC Unit t License Surcharge � :;-.',Y`.$5.00: (State Licensed Residential Contractors) Driveway Escrow $ ' „ Alf, "A" or"Alt: "B" Above sit}�t4� Erosion Control $ ; 4 )$450.00 Conservation Plan Review Fee Dete�b� Engineeriuz Sewer Main Charge - _Not. .F t ljAlu t k S IPULAUONS: f;, BUILDING PERMITTEE SCHEDULE The Chief Building Official shall, be 'ord jssuing permits for'the erection'of any building or structure,, or for any addition to any existing building or structurei'or for any alteration or repair to°any: existing;building or structure, upon application herefore, require the payment by the applicant for such permit of fees to ahe 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 $100,600 $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 1$13.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6=:W466"depth; Driveway, .width plus 6 feet times` $15:75. i f VERIFICATION OF FOUNDATION w Permits for.constructionwill be,.ssuet.'a,minimt�m,af.4 hours,from�the tune of app roper n to, �+ or p review of the proposed structur "in "of. the construction site. A Certificate of Survey of the .lot,. showing the location of the foundation once,.it basit,has been -constructed will be required before proceeding?with the framing. C17YOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (612) 571-3450 - FAX (612) 571-1287 May 19, 1999 / l� Jim Woltering 7341 Tempo Terrace NE Fridley, MN 55432 Re: Final plumbing inspection at 7341 Tempo Terrace NE Contractor: Anoka Culligan Dear Mr. Woltering: A plumbing permit was issued on May 12, 1998 for the property located at 7341 Tempo Terrace NE for a new water softener. According to Section 30.5(a) of the 1991 Uniform Plumbing Code a final inspection shall be performed on plumbing systems. As of this date no inspection has been called for. You will be given thirty (30) days from receipt of this notice to respond. If we do not hear from you, we will expire the permit and any inspections on this installation will require a new permit. Any questions can be addressed to myself at (612) 572-3603. Sincerely, je�x' /X;/� Bary iesch Building Inspector CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT Effective On March 1, 1996 Kj wifrnn ntumtstrt ter H4IURE5 TO BE INSTALLED ON EACH FLOOR $ 7.00 t� ... Urinal Beer Dispenser Shower Blow Off Basin W as h Y :.�?:::::.::>•:. Drain •Ct`�1p �` ::E)c11:::>::: Auto, ...:..:.:.:.:.:::.. Washer ::I.>` i:?I� .... Gas ware re H ate r Range 9 Gas Elec S stories ori s $ 7.00 Bam e se nt Water Heater —Electric $ 7.00 Water Heater — Gas** $10.00 Gas Range** $10;00 Gas Dryer** $10.00 Floor Type $15.00 Floor Floo 3 r FoI or 4 PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 7.00 Old Opening, Now Fixture $ 4.00 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin .$7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Applianceo-p_v_a Water Heater —Electric $ 7.00 Water Heater — Gas** $10.00 Gas Range** $10;00 Gas Dryer** $10.00 Back Flow Preventer Required ( )Yes () No Type $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance • C-11 o State Surcharge $ .50 TOTAL FEE $ 0 _$1D JOB ADDRESS_ 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. Owner O Building Used As_ Au Estimated Cost PERMIT NO IRS PLUS THE $.50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 80 INCHES. CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURFS Tn RF INSTAI i Fn nN FA(`N M nnR Effective On Jan 1, 2000 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS_'5491F te, 6W.31E�I? . 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 c# cedes Beer Dispenser $ 5.00 and fulings of thef�uilding 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 SABOL, ANN Rain Water Leader $ 7.00 7371 TEMPO TERRACE 20 Sump/Receiving Tank $ 7,00 FRIDLEY, MN 55432 Water Treating Appliance $10.00 Owner. (763) 784-8988 Water Heater -Electric. $ 7.00 Water Heater - Gas''' -� $10.00 _.Building Used As hE_61D Com,, G4.r Range" $10.00 Gas Dryer" $10.00 � Estimated Cost ��._ PERMIT NO. Back Flaw Preventer Required ( )Yes () No Type $15.00 _PLUMBING COMPANY Reinspection Fee $47.00/Hr SIGNED BY j41I TEL N0. ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Picture orAppliance Approved By Rough -In Date Final Date4MC)� State Surcharge $ .50 MINIMUM FEE FO ANY PI PLUMBINGIGAS PERME IS S20.00 TOTAL FEE PLUS SAO SUTE -SUR-CHAEME COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6A. COMMON VENT INFO ON BACK SIDE �� _ - -_ - ® � R pR • R' � � A .. i '.RAF PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS_'5491F te, 6W.31E�I? . 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 c# cedes Beer Dispenser $ 5.00 and fulings of thef�uilding 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 SABOL, ANN Rain Water Leader $ 7.00 7371 TEMPO TERRACE 20 Sump/Receiving Tank $ 7,00 FRIDLEY, MN 55432 Water Treating Appliance $10.00 Owner. (763) 784-8988 Water Heater -Electric. $ 7.00 Water Heater - Gas''' -� $10.00 _.Building Used As hE_61D Com,, G4.r Range" $10.00 Gas Dryer" $10.00 � Estimated Cost ��._ PERMIT NO. Back Flaw Preventer Required ( )Yes () No Type $15.00 _PLUMBING COMPANY Reinspection Fee $47.00/Hr SIGNED BY j41I TEL N0. ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Picture orAppliance Approved By Rough -In Date Final Date4MC)� State Surcharge $ .50 MINIMUM FEE FO ANY PI PLUMBINGIGAS PERME IS S20.00 TOTAL FEE PLUS SAO SUTE -SUR-CHAEME COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6A. COMMON VENT INFO ON BACK SIDE COMMON VENT, VENT CONNECTOR AND COMBUSTION AiR VFRIFICATION 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. Yds () No ( ) The venting:Aystem is. plastic/PVC and meets all current codes and manufacturer specifications.Including sizing, length, number of elbows and termination. Yes () No ( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When required to install a new combustmotb ahi jt will be sized and insOlie To meet the current codes and manufacturers specifications. Yes () No ( ) When Installina 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 correc'itly after an appliance,i:has been -removed from the common vent and vented separately as';per current codes. Yes( )No( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter 'inches Appliance #1 Vent Connector Height ' ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter., in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date : .4 Building BUILDING Permit NO.*: 0� a73 Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: A2 — 763-502-4977 FAX $ EFFECTIVE 8-19-09 DATE � �%L�e1 YOUR E-MAIL ADDRESS GAYFIse QC)1. (On SITEADDRESS 'q3 I I evV►PC-.' 7\or/'. THIS APPLICANT IS: OWNER ❑CONTRACTOR PROPERTY OWNER/ NAME: S c.;rr Se R he r— TENANT $2000 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow ADDRESS: CITY STATE ZIP ft + 6 ft = ft x $22 = $ PHONE: CONTRACTOR NAME: SUBMIT A COPY OF $ YOUR STATE LICENSE STATE LICENSE # EXP DATE AND CERTIFICATE OF ADDRESS: CITY STATE ZIP .INSURANCE PHONE FAX PROPERTY TYPE "SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGEISHED ❑ WINDOWS N(Ca1 29 BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCEIREPAIR PLREMODELING DESCRIBE WORK BEING DONE: Mew 1l,1 -,s e "rR rrrJ SIZE OF IMPROVEMENT ` LENGTH 1,91 WIDTH P- i HEIGHT 1 SQ FT ' 6� 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 I. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia WINDOWS pSS�� I r �tnl/1nynQ� and proposed project. 2. Two sets of construction plans IN EXISTING OPENINGS Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations FOR WINDOWS — PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: SING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $�C�'C� OCCUPANCY TYPE Permit Fee $ 91&1s See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $22 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due _ $ OS a Make checks vavable to: Citv of Fridlev Attach StiDulafionS 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 t e 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 plication for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in e I work which requires review and approval of plans. SIGNATURE OF APPLIC1'. PRINT NAME DATE X,0 Page 2 - Building Residential Application 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 $23.50 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23,50 for 1' $500 plus $3.05 for each additional $100 or fraction, to and including $2,000 $2,001 to $25,000 $69.25 for 1" $2,000 plus $14 for each additional $1,000 or fraction, to and including $$25,000 $25,001 to $50,000 $391.25 for I' $25,000 plus $10.10 for each additional $1,000 or fraction, to and including $50,000 $50,001 to $100,000 $643.75 for 1"` $50,000 plus $7 for each additional $1,000 or fraction to and including $100,000 $100,001 to $500,000 $993.75 for 1' $100,000 plus $5.60 for each additional $1,000 or fraction to and including $500,000 $500,001 to $1,000,000 $3,233.75 for the 1" $500,000 plus $4.75 for each additional $1,000 or fraction to and including $1,000,000 $1,000,001 and up $5,608.75 for the 1' $1,000,000 plus $3.15 for each additional $1,000 or fraction 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 proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the existing foundation will be required before proceeding with the framing. New Houses Only City of Fridley Building Inspections Department 6431 University Avenue NE Fridley, MN 55432 763-572-3604 Fax: 763-502-4977 s Building MECHANICAL Permit No.:�i� --icy InspectionsRESIDENTIAL APPLICATION Received By 763-572-3604 CITY OF FRIDLEY D' 763-502-4977 FAX EFFECTIVE 2-19-09 Loq Icy GN4 ';@ Q I• DATE U YOUR E-MAIL ADDRESS F Vel'Q 0 GUy, SITE ADDRESS THIS APPLICANT IS: eab OWNER ❑CONTRACTOR PROPERTY NAME: ADDRESS: JA Oil CITY STATE ZIP OWNER/ TENANT 11.04 , c. PHONE: CONTRACTOR COMPANY NAME: CONTACT PERSON: SUBMIT A COPY OF YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH ADDRESS: CITY STATE ZIP APPLICATION PHONE FAX INGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE PERMIT TYPE ❑ NEW ftEPLACEMENT ❑ ALTERATION/REMODEL TYPE OF WORK: DETAILED DESCRIPTION OF WORK ('MiaCe Oed LA ft/1thGe, FEES-AM BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACRULOW) . , - " PROVIREMEAT LOSS CALCIS PER MANUAL J 2006 ASHRAE HANDBOOK. Equipment Installed MFG: MODEL: SIZE/BTU MFG: MODEL: SIZE/BTU 1AjC MFG: MODEL: SIZE/BTU $25.00 PLACE (GAS) $15.00 _GAS RANGE/OVEN $1000 _F AIR TO AIR EXCHANGEER $15 (WOOD) $35.00 GAS GRILL $10 D0 XREPLACE _NEW BOILER $35.00 $35.00 _GAS UNIT HTR $10 00 _FURNACE _CHIMNEY LINER $10.00 DRYER $10.00 _POOL HEATER $35.00 : r _GAS DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 Cit F 25 '�✓ x e r � i "1.� ;.h. �', �` f .. � Pi : � `� � g '� C �£ C � .v F3 ,r 1 ,R "C.� C _. 3 :. x➢ to , k-. v � � 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 York which requires review and approval of plans. SIGNATURE OF APPLICANT PRINT NAME C V2n ���— DATE APPROVAL INSPECTORS SIGNATURE DATE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 City of Fridley Residential Mechanical Application Page 2 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments MN Rule 1346 Sec. 501 3. Venting a. Gas appliances IFGC ,Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments 4. Heat loss & cooling load per room a. MN Rule 1322, Sec. N1104.4.13 5. Ventilation a. Per MN Rule Chapter 1322. Sec. 1104 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make-up air calculations.