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PRE 2010 DOCSCity ®f Fridley, Y[inn. BU, HDING PERMIT, N?6293j it .0 Date: ' %-- — Ovmer: Bun Address,, Address LQCATI0 N 0 TU LDI G Noer's LotBlock Addition or Sub Comer Lot _ Inside I-Ot".1,11.- At!!n--Setback Sldeyard -4ZI- f Sewei-Elevation Foundation Elevation DESCRIPTION 00BUILDING To Used Depth. Z' Cu. _7y Front elght,'.O�-- Sq. Ft Cu. Fro q. Ft. 0.) Depth Height 8 Type ofZtc;on To VT- 0- be Co In consideration of the issuance to me of �mf- construct the building described, above I agree.to do work In aqCD with the des= tabove set forth and, In compliance With, all providons of o%=Pr0= the city of In'consideration of the payment of a fee of pern4it; is hereby granted to to construct the building or addition as,i the express condition that the person to whom It Is granted and his done in,around and upon saict building, or any Fridley, Minnesota re I=n c0ns=ctFionjftjat1't:Ztif;ns,% within the city limitsW "tbis t 'may 0 at any ordinances. 'bov'Thisnhermit Is granted upon eWployees=aworkmen, in alwk In ag respects to the ordinances of moving of buildings :i,07Mf azrd the provisions of said Building Inspector NOTICE: This permit don not CGVW the CondMe"C", L hWM&fi0n for Wkb% plumbing, gn has&& www or wabr. Be mm to s" the Building kvoftr for "p"Aft "rMft for then Mama. F Appesartion for Power Pfmtts and: Heating, Cooling. Ventilation, Ren 5 kJon wsft and Air Conditioning Systems and Devises 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 $ NO RAI 1st 3 Fixtures ...................... x $1.50 each add. 60,000 BTU ... _ . .................. 2.00 $ _ Replacement of Furnace ............................. x.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 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 GAS FITTING FEES: NO RAI 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 FEE ROUGH Dept. of Bldgs. Phone SII. 4-7470 Locatfor 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. Fridley, ,. Owner Kind of Building dI. di .AP Used as To be completed about Estimated Cost, $ Old New Building Permit No. Permit No. CR DESCRIPTION OF WORK ABATING or POWER PLANTS -steam, Hot Wa Warm Air No Trade Name �� P `� Size No A F R — d o es Capacity b04� NrGq Ft. E.D.R " TU H.P. Total Connected Load '0 4-17 Kind of Fuel IVs' ^� BURNER — Trade N=W e ,,�, Size No Capacity q. Ft. EMR BTU H.P. (REMARKS—OVER) r Signed, At By 42 2M 7-59 Business Phone No ZZ HEAT' LOSS CALCULATIONS' DEPARTMENT OF BUILDINGS h6N�, MINN. Weatherstrips A.S.H.V. , Guide Reference 19— No. of pane of pane lights of crack sq. ft. Construction No. Insulation Wimors A ndows tyc!sA-No Out. Floor Wall Int. W Ceiling Roof Kind I o e Applied Infiltration -V, '�Iv�'ARoom iLengtl6_' , Width_* Heig -Height : 4r F1.1 �t`Room Leng, Width,, 4 t� -�� c,`-Height,�V e and Area Windows andb6ors—CrackagLineal Net exp. wall Wind , ows and Doors—Crackage"and Area Exp. wall Width Height No. of fi. Area of cck No. ofr PAP e fpane lights o Width Height No. of Lineal ft. Area No. of pane . of Poo" lithto of crack sci. ft. Exp. wall Int. wall Ot Ceiling Net exp. wall 1Coefj A;y ?-!t 0111? Coef. Btu Infiltration Int. wall Infiltration Glass Glass ff t Exp. wall Exp. wall Net exp. wall Net exp. wall Int. wall Int. wall Ceiling Ceilin Floor Total Btu. Y Qz Floor/'j Tot if Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area rea e 7f777 Height r ZRoom I L ngth Width Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area Width Height No. of Lineal ft. Area of,pane: of pane lights of c sq. ft. No. of pane of pane lights of crack sq. ft. L Cod. PVC, Infiltration Coetj Btu oo Infiltration P '11'�, Glass Net exp. wall Glass Exp. wall Net exp. wall Int. wall Ceiling";� —T5 Jr� Floor X - Total iitu. 74.X Required Leader area -0 sq �.D.R. or sq. ins. W -n.th' W;Ath 14.;.ht -V !3 vAnnin IT., Windows and Doors—Crackage andArea I 4D Height No. of Lineal ft. Area, Width of Pa o. of piano no lights of crac ft. Width Height No. of Lineal ft. Area of,pane: of pane lights of c sq. ft. 0 Cod. PVC, Infiltration Infiltration Glass. Net exp. wall Glass Net exp. wall Exp. wall Int. wall Ot Ceiling Net exp. wall 0111? -77jr Int. wall Ceiling 4 Floor Required sq. ft. E.D.R. or sq, ins. W.A. Leader area oom I Lenstth fHeight, W Width 4 Windows and Doors—Crackage and Area Height No. of Lineal ft. Area, Width of Pa o. of piano no lights of crac ft. eel, Cod. PVC, Infiltration Glass. Net exp. wall Net exp. wall Int. wall Ot Ceiling Floor Total Btu. Windows and Doors—Crackage and Area Width Height No. of Lineal ft., Area f No. of$Wlpe ofpan r. lights a sq ftt 16F ? Infiltration Glass e 4 Exp. wall '44 ylv Net exp. wall Int. wall Ceiling Ot Floor Total Btu. Total Btu. [tr Required sq. ft. E.D.R. or sq. ins. W.A. Leader area' Required sq- ft. E.D.R. or sq. ins. W.A. Leader area D.56 s k µ HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS Weatherstrips A•S.H.V.E, Construction No. Guide y+ , oors Reference Out, Wall Int. Wall Ceiling Roof Floor Kind Ye 3;do d l' t, Yes, ; No 19_ Room I Length Width Height e.,Y F1.1("1,lW."i Roomll Windows and Doors—Crackage 'and Area Width Height No. of Lineal f . Area No. of pane of pane lights of ora" eq w 100 ' Infiltration F° JJ 4 V414 ` ! Width Height No. of Lineal ft. Area'f No. of pane of p e lights ' at c a Glass Exp. wall.; .:4 o ne lights _ s;= Net exp. wall Btu,..,• Infiltration 1. Int. wall � Glass ' , 4 Ceiling a Exp. wall F ' Floor Total Btu. „ ti ' ft Required sq. ft. E.D.R. or sq. ins. W.A. ader area Int. wall F1.1 P . A ,. Room I Length Width I Height Windows and Doors—Crackage and Area JJ 4 V414 ` ! Width Height No. of Lineal ft. Area'f No. of pane of p e lights ' at c a No. o o ne lights _ s;= Coe Btu,..,• Infiltration 1. .d � Glass ' , 4 _73,;T-7. a Exp. wall F ' Net exp. wall,� ' , # - ' Int. wall Infiltration Ceiling F � �'=' q r� * r Floor t> Total Btu. Tjjdll Required sq. ft. U.R. or sq. ,ins. W:A. Leader area l ; f) ,Room I Lentath ft Width Height Windows and Doors—Crackage ,and Area JJ 4 V414 Width Height No. of Lineal ft: Area`" No. of p oY pane ligjtts of cra.�k sq ft:r; 15 No. o o ne lights of or eq f! C e ;;Btu Infiltration a' M �J Glass Exp. wall Net exp. wall ' , 4 _73,;T-7. a Int. wall Ceiling Floor ' , # - ' Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I b MINNEAPOLIS, MINN. Insulation How. Amlied .-_,. Heistht Windows and Doors—Crackage and Area JJ 4 V414 :t Width_ Height No. of Linealft. Area No. o o ne lights of or eq f! f Glass Exp. wall Net exp. wall 'Int. wall ' jr ,..,Floor . Coe Btu Infiltration b `yy � � �'=' q r� * r Glass Exp. will a:.a F� Net exp. wall r . ; t . Int. wall Ceiling Floor '�u ,� � ..tm Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A., eader area�` JJ 4 V414 ^Room Length Widdl f Height , Windows and Doors—Crackage and Area Coef. Btu Width Height No. of Lfne'1 ft.. Area No. of pa., of pane lights of crate ;. eq. ft. J��' , -` Glass Exp. wall =;?" Infiltration Glass'+ Exp. wall ;., ":-, Net exp. wall Int. wall " Ceiling, / 4y Floor Total Btu. 74" Required'sq. ft. E.D.R.!or sq. ins. W.AP'Leader area F1_1 Rnom I Length Width Height Windows and Doors-Crackage and Area Width Height No. o;',Lineal ft. . Area No. of pane of pane lights of crack :, sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall 'Int. wall Ceiling ,..,Floor . Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area City of Fridley AppEcation for Plumbing and Gas Rffing Pennit Dept. of Bldgs. Phone SU 4-7470 DESCRIPTION OF WORK �®(� Number. Kind and Location of Fixtures Location PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE (TOTAL. Number Fixtures ..... x $1.50 $ Future Fixture Opening ................ 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 $ New Ground Run Old Bldg . ............ x 3.25 $ / S :, 5 C2 GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $� WATER HTR. GAS ELEG Gas Range to 200,000 BTU .............. 3 $ F a �� cu ac c� a3 c�°d U4i t�0 J Base 1st 2nd 3rd 4th • Future Connection Openings I Connected with sewer p New Fixture, Old Openings JI Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE (TOTAL. Number Fixtures ..... x $1.50 $ Future Fixture Opening ................ 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 $ New Ground Run Old Bldg . ............ x 3.25 $ / S :, 5 C2 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 $ REPAIRS & ALTERATIONS—Refer to Code Description ............................................ . TOTAL 7 AG City of Fridley: The undersigned hereby makes application for a permit for the work herel 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 fact and representations stated in this application are true and correct. Fridley, Minn Owner C)' &- Kind of Building me ' Used as (5 .3/��"— � To be completed about e l (p Estimated Cost, $ �— Old—New. Building Permit No' _Permit No. Signe By Business Phone ROUGH FINAL 42 2M Application for Power Plants and Heating, Cooling, Ventilation, Refrigeration 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 $ NECK. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace 5.00 $ 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 $ over 3 gal. per hour—See Fee Schedule 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 true and correct. a�', Fridle Minn �vv ' e ('19 0 Owner ��'�'�� G Kind of Building Used as p To be completed about'' Estimated Cost, $_ _ Old—New. Building Permit No. Permit No. 02 DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No -� GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ -' , G p Trade GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ / 1-5' 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 FEE $ , .0 ROUGH FINAL Capacity. Size Sq. Ft. E.D.R BTU H.P. Total Connected Load Rind of Fuel BURNER —Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS -OVER) Signer]`sic-' s/L�✓^ By— .0j.Qjk.42 2M Business Phone No- .04 2 �� SUBJECT PER City ®f Fridley 21860 AT THE TOP OF THE TWINS ?r y K U! L D IPERMIT BUILDING I v RECEIPT � _ COMMUNITY DEVELOPMENT DIV. 6 1s PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV GATE PAGE OF APPROVED BY 612-571-3450 910-F15 5/19/93 JOB ADDRESS 5840 Tennison Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 13 2 Parkview Heights SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Tom Lasser 5840 Tennison Drive NE 572-2153 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Minnesota Exteriors 29.5 Hwy #55, Hamel, MN 55340 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 �J REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Resider soffit & Fascia, gutters & windows 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED 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 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1 3! S.C�O $6, 75 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 PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $153 $13-50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE Li.cen.se SC $5,Q0 $178.25 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN P ERLY VAL ATED THIS IS YOUR PERMIT S,GNATURE OF OWNER JF OWNER BUILDER, IDATEI LOG N'S P MATE NEW [ ] Effective 1/1/91 ADEN [ ] R-1 AND R-2 i ALTER [ Building Permit Application �- « .: /.�I -W-M AV 01M Attach to this application, a Certificate of Survey of the lot, with the proposed constructicn drawn on it to scale. DESQ2IPTION OF Il�i�VEt+�[TP LIVING AREA: length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DBCR AREA: L xit h Width —�-- Hgt/Groun�4 Sq. Ft. � Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ Approx. Completion Date: Proposed Driveway Width If New Cpen=g Desired: Ft. $. $ Width + 6' See Back Page DATE: APPIZCAW: ;% Tel. STIPUTATIONS: QTY UBE CINLY Fee Schedule on Reverse Side .001 x Permit Valuation (1/10th $) $.50/$1,000 Valuation $650 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Erxgineering Agreement Necessary [ ] Not Necessary [ ] Permit Fee $C�-6 Fire Surcharge $ e VZ State Surcharge $ _ S' SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ TOTAL STIPUTATIONS: QTY UBE CINLY Fee Schedule on Reverse Side .001 x Permit Valuation (1/10th $) $.50/$1,000 Valuation $650 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Erxgineering Agreement Necessary [ ] Not Necessary [ ] 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: $1 to $500 $15 odniim= Fee is $15 plus surcharge) $501 to $2,000 $15 for first $500 plus $2 for each additional $100 or fraction thereof, to arra including $2,,000 $20,001 to $25,000 $45 for first $2,000 plus $9 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $252 for first $25,000 plus $6.50 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $414.50 for first $50,000 plus $4.50 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $639.50 for first $100,000 plus $3.50 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $2039.50 for the first $500,000 plus $3 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $3539.50 for the first $1,000,000 plus $2 for each additional $1,000 or fraction thereof EMERY DEPRESSIC K ESCW i (Concrete Nrb Streets Only) Alternate "A": Removal and replacement of curb arra gutter only - Driveway width plus 6 feet tines $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. Permits for construction will be issued a m=mm of 24 hours E the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. CITY OF FRIDLEY INSPECTION DIV. 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 RATE SCHEIJULE 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 Furnace Shell and Duct Work, Burner -- rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 20.00 $ representations stated in this application are true and correct. • �� 11993 Gas Piping (Needed with new furnace) $10.00 $ _ OWNER_ Gas Range $10.00 $ BUILDING USED AS lki� Ze�I' Gas Dryer $10.00 $® __ "� 1133 *Air ESTIMATED COSTS PERMIT NO. Conditioning — All Sizes _ $10,00 $ DEE§CRIPTION OF FURNAQE AND OR NER All Others/Repairs & Aftembons (LIST ON BACK) 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 t% of Value of Appliance or Work $ Fuel Total Connected Load State Surcharge a0 Burner Trade Name Size No. TOTAL FEES_ BTU HP EDR MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.60 STATE SURCHARGE REINSPECTION FEE $30.00 *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. MEATING COMPANY-- Signed OMPANY—Signed B Tel No. Approved By Rough—in Date Final Date /7'22 g FILL OUT BACK SIDE FOR STACK VERIFICATION ON 4 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 CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 w% APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On March 1, 1996 PLUMBING FIXTURE RATES: NO. New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater —Electric Water Heater — Gas** ) Gas Range** Gas Dryer** Back Flow Preventer Required ( )Yes () No Type RATE TOTAL $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 _)D-00 $10.00 $10.00 $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge $ .50 A " J D 6, 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. 1996 LRS: ;ER Ti H Owner 5240 TEt-Iri I SON OR I IJE FR I i:1LE"r' 3 55432 Building Used As � ,,]] 0� 7 Estimated Cost i' PERMIT NO. H9 PLUMBING (%M#gNY _ , 1)j ()R15LOA 1 SIGNED BY TEL N0. MASTU L 1 S6 5 6 Approved By Rough—In Date Final Date MINIMUM FEEUFOR ANY PLUMBING/GAS PERMIT IS $20.00 TOTAL FEE $ OV -5D PLUS THE $.50 STATE SURCHARGE N®SBLOM PLUMBING CO. DBA VENTC05/AP LIA?NN E INSTALLERS **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SO INCHES. 2W5 GARFIELD AVE. SOUTH MINNEAPOLIS, MN 55406 SUBJECT e City of Fridley 25162 AT THE TOP OF THE TWINS BUILDING PERMIT �• RECEIPT NO. _ COMMUNITY DEVELOPMENT DIV. L PROTECTIVE INSPECTION SEC , NUMBER REV DATE PAGE OF APPROVED BY 11 1 /--'S CITY HALL FRIDLEv 55432 �""�' �'� 612-571-3450 910-F15 6/11/9 JOB ADDRESS 5840 Tennison Drive NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 13 2 Parkview Heights SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Tom/Lynn Lasser 5840 Tennison Drive NE 572-2153 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 6 USE OF BUILDING Residential 7 CLASS OF WORK Ej NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct an 18' x 16' 2nd Accessory Building 9 CHANGE OF USE FROM TO STIPULATIONS Special Use Permit SP#97-03 approved 6/9/97 with the following Stipulations; The accessory structure shall be architecturally compatible with the existing structure. The accessory structure shall at no time be utilized for a home occupation. See notations on plan. WARNING Before digging Call for all utility Woos 44.0002 SEPARATE PERMITS REQUIRED FOR REQUIRED BY LAW WIRING, HEATING, PLUMBING AND SIGNS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. 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 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 COMPLIED $5,276 $2.64 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 PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $74.75 Fire SC $5.28 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $82.67 CONT RACTOR OR AUT ZEDAGENT (DAM WHEN PROPERLY L_ATEP THIS IS YOUR PERMIT B N T RE of N OWNER BUILDERI IDATEI i BLD INSP DATE NEW ( ] Effective 1/1/97 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: '040r Owner Name &Address: Contractor: MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length WidthHeight Sq. Ft. Length �, Width Height Sq. Ft. DECK AREA:3 Length 'Width Hgt/Ground Sq. Ft. 7C. OTHER: Construction Type:_ Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: l f0 92 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY AA > Fee Schedule on Reverse SideSO, .001 of Permit Valuation (1/10th%)j $.50/$1,000 Valuation /� �� $950 per SAC Unit AS 91,6s $5.00State Licensed ed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review S Fee Determined by Engineering t Agreement Necessary j ] Not Necessary [ ] BUILDING PERMIT FEE SCHEDULE: The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: TOTAL VALUE FEES $1 to $500 $21 (Minimum Fee is $21 plus surcharge) $501 to $2,000 $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2.000 $2,001 to $25,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $349.75 for fust $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 fust $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 -cview of the proposed structure and of the construction site. ;1 Certificate of Survey of the lot, showing the location of the foundation once it has it has been construc-_.i iJ he required hefore proceeding with the framing, 3uilding BUILDING Permit No.:, X000- (V M - :nspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd:4 A� )ATE �� OUR E-MAIL ADDRESS ;ITE ADDRESS / �✓1 �/ ¢�"�`� 'HIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERMIT TYPE NAME: 1 0 r" l S e ADDRESS:) PHONE: 7L3 — S s NAME:/ t STATE LICENSE # c�a 0 n 2 ADDRESS: PHONE %SINGLE FAMILY/NEW CONSTRU( ❑ TWO FAMILY/NEW CONSTRUCTI ❑ ADDITION ❑ ( CITY EXP DA,VEI U / d D5; CITY v FAX SIZE - ❑ BASEMENT FINISH ❑ ROOF 5DECK ❑ SIDING ❑ SWIMMING TYPE OF WORK: ❑ NEW U .wIJl1 iVlr ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE; SIZE OF IMPROVEMENT_ NUMBER OF SQUARES GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl ❑ Aluminum ❑ Other LENGTH ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE ❑Soffit ❑ Trim ❑ Fascia ❑ WINDOWS ❑ DRAIN TILE ❑ OTHER WIDTH _<2i3 HEIGHT TE -517-0 BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS & PORCHES SUBMIT: 1. Site Plan/Survey showing the existing structures and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes [No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee See Back Page for Fee Schedule Plan Review $ h, 13, a 165% of Building Permit Fee Fire Surcharge $ % _ .001 times the total job valuation Surcharge $ / ,Sl .0005 x Permit Valuation Minimum $.50 License Surcharge $ 5-00 $5.00 (State Licensed Residential Contractors) SAC Charge $ $1550 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $20 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary( ) Tntni Due $ 1'70- Make checks payable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinan c es of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an apl ica ' n for a pe t or is not to start without a permit; th t the work will be in accordance with a approved plan in the case of all w which req ' evie and a r val of plans. _ h SIGNATURE OF APPLICANT PRINT NAME Page 2 - Building Residential Application BUILDING PERAUT 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 l`$500 plus $3.05 for each additional $100 or fraction, to and including $2,000 $2,001 to $25,000 $69.25 for l' $2,000 plus $14 for each additional $1,000 or fraction, to and including $$25,000 $25,001 to $50,000 $391.25 for 1- $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 l- $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 V $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 r� wry �w •,aa�r � T 24-30-24 Phone: GReenwood 3-8352 ARLE%GH' C. SMITH Registered Professional Engineer and Land Surveyor 16215 Wayzata Boulevard Wayzata, Minnesota PLAT OF SURVEY OF PA4P1•;RTY OF �a 4M81'7 TE 14 r►%so&S described as Rollows: L p. tw-- K V% v�,�' E t C' H T S Scale: I inch 3 feet. 1 CERT IFICATE OF LOCATION OF BUILDING I hereby certify that on- 19._•_ I made a -survey of the proposed location of the building on the above described property and that the location eY Said building is correctly shown ocr the above plat. NA Irl6; CERTIFICATE OF SURVEY I hereby certify that o O` 19.21 surveyed the property described above and that the above plat is a correct representation of said survey. JOB ADDRESS All -Ways Decks, Inc. S- 310 Wexford Heights Dr. New Brighton, MN 55112 License #20003805 `- l..% o v- 4.. ,(� L.rr-a.. Ad Tim w* m%'Q vvtA I' =L - REVIEWED FOR CODE THIS JOB COPY SHALL M LIA;NCE l��v�llV'2"�1p1�1 j AVAILABLE ON THE JO �,1 i SITE FOR THE FRAMIN ,1 BLDG s ANIS FINAL INSPECTION P A (3 ZY. lb ton---- 00 m o k rot Egs loto ACQ I � LL 17- ( 1't 16 X -7 )t 5-0165 CL�am4sc% — • ()Footings will be 42" deep, 12" diamete • Structure will be 2 x 10 GT 10 "0 C, • Decking will be cedar s- ��ll �Ll s6ce t" r • Rail height 36" min. • Rail space 4' max. • Step run will be 9" min. • Step rise will be 8" max. • Posts will be 6 x 6 * 441ht '7' Building PLUMBING Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604CITY OF FRIDLEY Date Rec'd: DATE - / a - ® (� YOUR E-MAIL ADDRESS SITE ADDRESS-'5y �e'1 Z74 2 -10,1 42d THIS APPLICANT IS: WWNER ❑CONTRACTOR PROPERTY Nom: r - ADDRESS: i��rlGa C! Pi 011-1O n I' d` CITY .' l� �! STATV; OWNER! TENANT PHONE: '263 -_52-2 - CONTRACTOR Nom: STATE LICENSE # XP DATE SUBMIT A COPY OF YOUR STATE ADDRESS: CITY STATE ZIP LICENSE WITH PHONE FAX APPLICATION PERNIIT TYPE MINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE ❑ NEW REPLACEMENT TYPE OF WORK: DETAILED DESCRIPTION OF WORK L) 4-IJ e- ge.�a PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) BATH SINK/LAV DRAINS _ SHOWER _ WATER PIPING _ _FLOOR PIPING (neo cn7LtcEhrA _ SWIMMING POOL —WATER SOFTNER ($35) —BATHTUB —GAS CLOTHES WASHER KITCHEN SINK _ WATER CLOSET _ BACKFLOW PREV. ($15) _ _ DISHWASHER LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION _ WATER METER —OTHER z }�F.. ... ,''.M .... s y�"';.,,M MEN . Permit Fee $ Number of es @ $10.00 x $10.00 = $ Numbfixtures Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $35.00 x $35.00 = $ TOTAL DUE $ State Surcharge = $ .50 Total = $ THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the a wo which requires r ' w and approval of plans. SIGNATURE 0 PRINT NAME ��- -DATE Sd�i t 9 City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 NEW [ a CITY OF FRIDLEY Effective 11112002 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg In 913 ALTER [ ] SINGLE FAMILY AND OUPI-E ES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale, DESCRIPTION OF IMPROVEMENT LIVING AREA- Length Width Height Sq. Ft. GARAGE AREA: Length �— Width Height Sq. Ft. _ DECK AREA: Length W(Ith Hgt/Ground Sq_ Ft. OTHER: Construction Type: Estimated Cost:_ Driveway Curb Cut Width Needed: --ft, + 6 Ft =Ft x $ DATE: APPLICANT: t, ►�, Tel, #TO -7i1 't Call (763) 572-3604 for Permit Fees If mailing in application or Fax to 763-579-1267 If using credit card and we will pall you for card number, CrY USE ONLY- Permit NLY- TOTAL $ STIPULATIONS: 145 Vol .f 4 -- Permit Fee $ - Fee Schedule an Reverse Side Fire Surcharge $ .001 of Permit Valuation (1110th%) State Surcharge aI D $,50/$1,000 Valuation SAC Charge $ $1200 per SAC Unit License Surcharge $ 6, UD $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "All or Alt. "B" Above Erosion Control $ $400.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary I 1 Not Necessary TOTAL $ STIPULATIONS: 145 Vol .f 4 --