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PRE 2010 DOCSs City of Fridley, Minn. BUILDING PERMIT N® 3589 Date: . .. ..... ... ... .................. . A. Owner .............. Builder ....... ..... Address ...................................... Address ............................................. � LOCATION OF BUILDING No. "e� ® . Street ...�/... �.. ....Ax -4....... Part of Lot ........ ... . Lot ... r...... Block ....... 9;�........ Addition or Sub-DivisionA2 W-4� Q............... a Corner Lot ............ Inside Lot Ar .......... Setback . .: .... Sideyard . ' Q .. f? .................. DESCRIPTION OF BUILDING To be Us as: 0;: p o rs C. ....... Front ...... ��Depth . ��-Neight '/. .... Sq. Ft. /.� Q � Cu. Ft.4:?.! /% awl. ...a .... Front . ��: Depth . ��: i Height ®. Sq. Ft -Y� ./.. Cn. Ft. Y® 7 !? Type of Construction ................... Moat. cost..................... To be Completed ..............:.... In consideration of the issuance to me of a permit to construct the building desribed above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $.l..� ....., 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 with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. .e. . ........... Building Inspector NOTICE: This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inepecter for separate permits for these items. a 's CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1993 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS_ .6900 nAIN150tJ _D QIVC 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, Burner - rulings of the Building Division, and hereby declares that all the facts and Also Replacement Fumace $ 20.00 $ A0, 0-0 representations stated in this application are true and correct. /0- 1993 ,1993 Gas Piping (Needed with new furnace) $10.00 $ OWNER 3ht J I W 6&y` b e l'' Gas Range $ 10.00 $ BUILDING USED AS 01U) ell ri 1 Gas Dryer $10.00 $ ESTIMATED COST 1016010-0 PERMIT NO. I� *Air Conditioning - AD Sizes $10.00 $ DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) I% of Value of Appliance or Work $ No. of Heating Units Circle One (Steam) (Hot Water)(Warm Air Trade Name B Ral1qa/i' Size No. LA v _3 too 5 5 Commercial/industrial BTU 6&" r" HP EDR 1 % of Value of Appliance or Work $ Fuel ,� W4.1 Total Connected Load 5. 3, &v -o State Surcharge $ .50 Burner Trade Name Size No. BTU HP EDR TOTAL FEE o S Q BLAINE HTG, A/C & ELECT. W_ 13562 CENTRAL AVE. N.E. HEATING COMPANY ANOKA. MN 55304 MINIMUM FEE FOR ANY HEATING/COOUNGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 Signed By Tel No._ 75 7- (oa 0-0 PLUS THE $.50 STATE SURCHARGE Approved By Rough Date ' REINSPECTION FEE $30.00 -In Final Date *Air Conditioners can not be placed in a side yard vfthout written permission from adjoining property owner. FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE `` • - - SUBJECT - - PER City of Fridley 3 216 4 AT THE TOP OF THE TWINS BUILDING PERMIT � • COMMUNITY DEVELOPMENT DIV. `f-ReClErff NO. _____ r PROTECTIVE INSPECTION SEC - e NUMBER REV DATE PAGE OF APPROVED BY ---,•; CITY HALL FRIDLEY 55432 L J'0 612-571-3450 910-F15 9/14/01 JOB ADDRESS 5800 Tennison Drive NE I LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 8 2 1 Parkview Heights Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Shelly Garber 5800 Tennison Drive NE (PO Box 32217) 763-574-0759 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK 0 NEW 0 ADDITION O ALTERATION 11 REPAIR 0 MOVE 0 REMOVE 8 DESCRIBE WORK Reroof House & Garage (28 Sq) Tear -off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING. HEATING. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 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 I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS 'VALUATION' SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL SE COMPLIED @ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $3,001 $1.50 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 PERFORMANCE OF CONSTRUCTION $97.25 Q fire SC $3.00 PLAN CHECK FEE TOTAL FEE $101.75 SIGNAT R c CO 'Q rOa 0a A .I IZED AGE I ATE- - HE PROPERLY VALIDATED THIS IS OUR PERMIT I ®pINS� - I DATE S N4TUAEOFOVyNEAdF EABUILO. I IDATEI I= NEW [ ] Effective 1/1/2001 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: —40zS3' MN LICENSE # Tel. # Attach to this application, a Certificate of Survey of the lot�Jwith the proposed construction drawn on it to scale. I DESCRIPTION OF IMPROVEMENT �2 LIVING AREA: Len Width Height Sq. FL GARAGE AREA: Length Width Height Sq. Ft DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: c Estim d Cost: $ el Driveway C rb Cut Width Needed: Ft. + 6 Ft = Ft x $ —=$ x" - DATE: APPLICA Tel. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Call (763) 572-3604 for Permit Fees if mailing in application $ �1 Fee Schedule on Reverse Side $ -(� .001 of Permit Valuation (1/10th%) $ $.50/$1,000 Valuation $ $1150 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 [ ] 8 c�� 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 ALUE FEES $1 to $500 $23.50 $501 to $2,000 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $5,608.75 for the first $1,000,000 plus $3.15 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 $15.50. 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 $23.25. 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. New Houses Onlv CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work 1 �p 1'( 4` I� GOLS f'fP,N�o 10 Vj�TLR 1401C+2K Commercial/Industrial 1.25% of Value of Appliance or Work Effective On January 1, 2002 JOB ADDRESS S900 j< 2^✓�,50.E �� OWNER Rate TOTAL BUILDING USED AS $ 30.00 $ ESTIMATED COST I O �® PERMIT NO. 4j0 $ 10.00 $ DESCRIPTION OF FURNACE AND OR BURNER $ 10.00 $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) $ 10.00 $ Trade Name Size No. BTU HP EDR $ 25.00 $ Fuel Total Connected Load State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Burner Trade Name Size No. $ BTU HP EDR $ The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes an $ .50 rulings of the Building Division, and hereby declares that all the facts and $ ,2 So representations stated in this application are true and correct. S, DATE '" / g " O 2 - HEATING HEATING CO rO Ktf CS A ° ®N C Signed &L'4� TEL# 6/.2- 6/6 - 6 9S FAX # Approved By Rough -In Date Final Dat l'�� -6 Z- THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED r'nMMnN VENT- VFNT CnNNFr-TnR AND CnMMIRTInN AIR VFRIFICATInhl When ra Inminn an PA-gfinO,ran . , 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( l No( ) The venting system is plastiGPVC 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 manufacturers specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes( No( ) The exr- iisfing rnmbustinn air is sized and installed to meet the current codes and manufacturers specifications. Yes () No ( ) When required to install a new rnmbu_etinn airy it will be sized and installed to meet the current codes and manufacturers specifications. Yes( ) No( ) When jpstallong a new ventingiystem, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturers 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 as per current codes. Yes( )No( ) Appliance Zyg a and -qi7/Cnmmnn Vent and Vent Cnnnertnr Infarmatinn 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 _ HEATING CO: Signed By: Date: 3TY OF FRIDLEY INSPEC"IIUN Df% ;431 University Ave NE ridley, MN 55432 F63 -57i-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE K� Effective On Jan 1, 2001 PLUMBING FIXTURE RATES: NO. RATE New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receivit Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas" Gas Range— Gas Dryer`" Back Flow Preventer Required { )Yes () No $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 Type $15.00 Reinspection Fee $47.00/Hr j ALL OTHERS AND/OR REPAIRS AND ALTERATIONS I 1.5% of Value of Fixture or Appliance TOTAL fi �� JOB ADDRESS SS®® 61 � Sc�1-t Dr, VL The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the city odes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. 2099 State Surcharge S A TOTAL FEE $ Z 56 Owner Building Used As >� Estimated Cost ISO PERMIT NO. �° PLUMBING COMPANY "Y' SIGNED BY Approved By COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6 -A- L SUBJECT.. P City of Fridley 3 2 4 6 6 AT THE TOP OF THE TWINS BUILDING PERMIT r ` RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r 1 � NUMBERAEv DATE PAGE OF APPROVED BY i E "'1 CITY HALL FRIDLEY W432 612-571-3450 910-F15 3/19/02 JOB ADDRESS 5800 Tennison Drive. NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DIE 8 2 Parkview Heights Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Shelly Garber 5800 Tennison Drive NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Nassau Builders Inc 17221 Nassau St NE, Ham Lake, MN 55304 763-413-9100 2026593 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] REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reinsulate, sand and coat all hardwood floors; install steel I beam to fix floor sag in kitchen; ceramic tile in kitchen and two bathrooms; install 4 wa nscoa fn bathrooms 9 CHANGEOFUSEFROM TO STIPULATIONS See notes on project discription dated 12/5/01. SEPARATP REQRi E FOR: IRIPLUM NSG" AND �e �9ONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, 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 I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS 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 $500 $ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT .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. $23.50 Fire SC $ STRUCTION PR7HE PERF R CE OF CONSTRUCTION .50 PLAN CHECK FEE TOT FEE 17/4/0Licen C $5. 9.50 NATURE CT ROR AUTNORI2ED AGENT IDA EI HE PRO VALIDATE THIS IS YOUR PE�R/M�I/(T�// I _G� G INSo "ATE S-GNATURE Of OWNEROf OWNER BUILOERI IDATI NEW [ ] CITY OF FRIDLEY Effective 1/1/2002 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: �� _ 77;� .n/ AI,5 5 0AJ �%� Legal Description: L 6 8' 6I�jC Owner Name & Address: G19;0-9,e45�e_ / Tel. # Contractor. Ajq ST,, Wd d�rs���� s MN LIC NSE # �P eY'Y T S Address: �'? rr /� �. � ��'�Tel. # 76 3 fLZ ` 1,W 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: GARAGE AREA: Length All ���� r h l � S�Ft DECK AREA: Length Width / Hgt/Ground Sq. Ft OTHER: ECr' tri �'d ` w C'�7lGr9�®•/ ���C �2Z� 5 A EAM is 166A, E&6, 1A 7/Za4-&� Construction Type: f�*er�` �f,�! Estimated Cost: $ 457� Driveway Curb Cut Width Needed: Ft + 6 Ft= Ft x $ = $, DATE: APPLICANT: -37oi►/2 , 111gL7 Tel. 790 Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 If using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ 07' 9 S`o CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 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 [ ] 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 $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,00 plus $3.15 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 $15.50. 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 $23.25. 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. New Houses 0nly 0 Project Detailed Description Home renovation and update Date 12/05/01: Specifications: General: Inspect utilities and update all related areas. Sanitization: gay ApPR4VE0 •,,a��t`.t i4 Fl�. Apply enzyme sanitizer to all affected areas and prime with a Radon rated sealer. Electrical: 2aLk-e ! / 7" (12000,/C. 6 /� ala^, evoC) Electrical inspection and addition of smoke detectors in bedrooms. % Ventilation and gas lines: Inspect ventilation system with test. Inspect furnace for damage. Remove old humidifier. e6�/VAC:& Test all gas lines. o Properly cap dryer gas line. Change all gas valves to approved fittings. Plumbing: Replace all drain lines with PVC. Cap line near furnace in utility room.���%�.� x/71, Test all waste and vent lines �T Structural: Install rated steel I-beam in basement ceiling to fix floor sag in kitchen. Insulation: / Reinsulated entire upper -floor ceiling with R-44 blown insulation. Seal all bypasses in conjunction with insulating. Flooring: Sand and coat all existing hardwood floors. Install Ceramic tile floor in kitchen, and two bathrooms Wall coverings: Install 4 foot wainscot in two bathrooms. CITY OF F RIDLEY IN6HL(_ l ivN ulV. 6431 University Ave NE Fridley, MN 55432 (763) 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FI OnR Ettecuve On Jan 1, 2UO2 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS�� 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 &(ij! J) , 20& Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Owner Water Heater -Electric $ 7.00 Water Heater -Gas** $10.00 'CX Building Used As Gas Range** $10.00 Gas Dryer** $10.00 Estimated CostPERMIT IA NO. 3 Back Flow Preventer Required ( )Yes () No Type $15.00 PLUMBING COMPANY �1�n11vYr'���ni Reinspection Fee $47.00/Hr SIGNED BY TEL N0. l2_4% % _957 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS FAX #—������� 1.5% of Value of Fixture or Appliance Approved By Rough -In Date Final Date State Surcharge .50 MINIMUM FEE R ANY PLUMBING/GAS PERMIT IS $20.00 TOTAL FEE $ j� PLUS THE $.50 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE C THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED COMMM VF:NT. yFNT rf)NNTOR Am nmgi jSTlnl` AIR yFRIFI ATif)N When rre la rine an existing f urance, 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 (vylNo ( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes ( eNo ( ) 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 (\)Ao ( ) The existing rnmhusfinn air is sized and installed to meet the current codes and manufacturers specifications. Yes (VNo ( ) When required to install a n _w _omh action air ,.it will be sized and installed to meet.the current codes and manufacturer's specifications. Yes (v�`No ( ) When installing a new y _n inesystepm_„ the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturers specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft �No appliances. Yes ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Appliance Types Yes (o ( ) and Sine/C'ommon Vent and Vpnt ConnPetar Inform ion 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 HEATING CO: Signed By: Date : Building BUILDING Permit No.: InspectionsRESIDENTIAL APPLICATION Received By: 763-572-3604 .0005 x Permit Valuation Minimum $.50 D 4 E P® 5 2001 $5.00 (State Licensed Residential Contractors) CITY OF FRIDLEY $1550 per SAC Unit (Plans to MWCC for determination) DATE 3 5_cQ+ c 8) ft+6ft= ftx$21=$ $ $450 Conservation Plan Review YOUR E-MAIL ADDRESS t�Sc��c�cid@ a7 e(�()�.(_DC • C.Cnrr� SITE ADDRESS ':-)80d Agreement necessary ( ) Non Necessary ( ) %— THIS APPLICANT IS: ❑ OWNER RICONTRACTOR PROPERTY OWNER/ NAME: _bCLcJr cl \JO'}'f�-tbC-' TENANT ADDRESS:_ ~ CITY STATE_ZIP PHONE: 3 Ly3 - NAME: Renewal By Andersen CONTRACTOR SUBMIT A COPY OF STATE LICENSE # 1920 County Road "C" West YOUR STATE LICENSE ADDRESS: Roseville, MN 55113 f STATE ZIP WITH APPLICATION PHONE License #20130983 PROPERTY TYPE ❑ SINGLE FAMILY/NEI ❑ TWO FAMILY/NEW G 651-264-4777 ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS PERMIT TYPE ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK 0 SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE. (o (u; r�c� A 1 ri p bcc,,( Wl;yx -C46 �i I�q ��'� s SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING 0 HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan PROPOSED SIZE: ❑ DETACHED GARAGE 2. Proposed floor plan PROPOSED HEIGHT: 3. List of structural members to be used ❑SI SIDING nyl ®Soffit FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Aluminum 0 Other 0 Trim ADDITIONS. 1. & PORCHES SUBMIT: Site Plan/Survey showing the existing structun ❑ Fascia and proposed project. WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION � 11 , 11-). ®% r.rd'r ro • ut'v T.,Dw Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due rai � See Back Page for Fee Schedule $ 65% of Building Permit Fee $ • ' .001 times the total job valuation _$ .0005 x Permit Valuation Minimum $.50 $ $5.00 (State Licensed Residential Contractors) $ $1550 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$21=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ - 30. 9 f2 Make checks payable to: City of Fridley Attach 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 i conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not permit but only an appliZwchrrequires a permit and work is not to start without a permit; that the work will be in accordance with the approve plan in the case of all wore and approval of plans.QSIGNATURE OF APPLICANDATE, � ` g 43-cqo 1�qI c4ci 0 14 Building MECHANICAL Permit No.: 35 Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Da d• ® Q 763-502-49r7g7 FAX EFFECTIVE 2-19-09 DATE 09 YO ®�A 17 y E-MAIL ADDRESS SITE ADDRESS Se Z-50 THIS APPLICANT IS: ❑ WNER p6WrRACTOR PROPERTY NAME: 1\10Fe-ri OWNER/ TENANT ADDRESS: CITY STATE ZIP , ` PHONE: .4- 2-- 2 J CONTRACTOR COMPANYNAME: c— CONTACT PERSON: SUBMIT A COPY OF STATE LICENSE # EXP DATE �. a ADDRESS I STAT>� "ZIP .✓��1 — -3 -1 SIJ YOUR STATE LICENSE WITH APPLICATION — 5�7 PHONE'? �' � FAX PERMIT TYPE 0&iGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW 'LACEMI+NNT ❑ ALTERATI "�EON/REMODEL DETAILED DESCRIPTION OF WORK FEES ARE BASED ON $10.00 PER FIXTURE, CEPT WHERE NOTED. FIXTURES: IDICATE T TAL NUMBER OF EACH B Equipment Installed MFG: i _ MODEL: �' SIZFJBTU MFG: MODEL: SIZE/BTU MFG: MODEL: SIZE/BTU A/C $25.00 —FIREPLACE -(GAS) $15.00 _GAS RANGE/OVEN $10.00 AIR TO AIR EXCHANGEER $1.5 FIItEPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 BOILER $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 VENTILATOR; $15.00 Number of fixtures @ $10.00 X$10.00'=$ - Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = State Surcharge = $ .50 FEE $35.50 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 C' 3if Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an applica ' permit or s Ott without a permit; that the work will be in accordance with the approved plan in the ork which re s re w and ap vat of plans. 1'�j�j SIGNATURE OF APPLICANT L ' ®5L. �' PLEASE NOTE: SEPARATE PERMITS ARE RE UIRED ROR BUILDING, ELECTRICAL AND MECHANICAL WORK City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 6 02/19/2010 11:06 Building; Inspections 763-572-3604 763-502-4977 FAX DATE C - 14 - 1 � SITE ADDRESS THIS APPLICANT IS; 7637542908 RIVER CITY MECHANICAL RESIDENTIAL APPLICATION CRY OF FPJDLEY Y©UR E-MAIL AUuRUS5 O OWNER )WONTRACPOR Peet No.: R I '5. Date ec'd: PAGE 02/02 OWl�i,�i• .. 1 - TENANT ADDRESS: � A� -4 �a ' %�s A 0 CITY w- 110 STATE (4 0 ZIF 3 �•. PHONE: - 5' b COMPANY suslwII A cvl}Y azt CONTACT PERSON: C L r e s u YOUR. STATF, STATE LICENSF. # EXF DATE LICENSE WrIH ADDRESS: X46 Nt-z CITY .+cr_t+. S7ATF IP � APPLICATION PHONE -7 t-.1 • s 19 FAX PERMIT TYPE 34INGLE FAMMY M TWO )FAMILY O TOWNHOUSE TYM OF WOM Dom' PLA IT ALtERATiO IRSIuIODEL DETAILED DESCRIPTION OF WORK. )?ItICS ARE BASED ON $1DA0 FER FIXTfiI CzP P vvnF= b10x3rIT BlXTURF$s (MICATE TO'I AI.NUMBER OF EACH BkT.O>aVj EgLdpnmt Installed rAFG: _ MODEL: SIZEISM _ MPC L"22, MODEL• � v, l„nv ' rl SIZEf= A 525.00 IC MFG: MODEL: FIRE PLACE (CTAS) $15.00 SIZEIBTIJ GAS RANOBIOVEN $10.00 ,a _AIR TO AIR EXCHANGEER S15 FIREPLACE (WOOD) $35.00 NEW GAS CATTJ, $10.00 BOM -,ER R35,00 _AYRNACE WSA _- CLAS UNIT HTR $10,00 BEY LINER $10.00 DUCT WORK E10.00 GAS DRYER $10.00 POOL HEA TUR $35.00 w PIPING $10.00 VENTILATOR 515.00 TMS 13 AN AITLICATION FOR A PERMIT NOT'VA,LID UNTIL PROCESSED F hereby apply for a building permit and I acknowledge that the information above is complete and accurst[; 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 Platt in the case of all work which requires review and approval of'plans. SIGNATURE Of APPLICANT rt p `PP WT NAME !� ,- .3 DATE1. City of Fridley - Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-.3604 FAX: 763-502-4977