PRE 2010 DOCSMINIMUM FEE MR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE. SURCHARGE
CITY OF
FRIDLEY
APPLICATION FOR POWER PLANTS AND HEATING,
COOLING, VENTILATION, REFRIGERATION AND
.AIR
CONDITIONING SYSTEMS AND DEVICES
PARTIAL RATE SCHEDULE
.'
GRAVITY WARM AIR:
RATE
TOTAL
Job Address
Furnace Shell & Duct Work
$12.00
$
Replacement of Furnace
7.00
7.00
$
$
Department of Buildings
Repairs &Alterations -up to 000.00
4.00
$
City of Fridley
Repairs & Alterations each add. $500.00
Tel. #571-3450
MECHANICAL WARM AIR:
The undersigned hereby makes application for a permit for the work herein
Furnace Shell & Duct Work to 100,000 BTU
$12.00
specified agreeing to do all work in strict accordance with the City Codes
each add. 50,000 BTU
4.00
$
and rulings of the Department of Buildings, and hereby declares that all the
Replacement of Furnace
7.00
S
facts and representations stated in this application are true and correct.
Repairs & Alterations -up to $500.00
7.00
$
X/ 19
Repairs & Alterations each add. $500.00
4.00
$
Fridley, Minn. .
STE 1 OR 1K)T WATER SYSTEM:
OWNER
Boiler & Lines up to 100,000 BTU
$12.00
$
KIND OF BUILDING
each addn. 50,000 BTU
4.00
$
Boiler only up to 100,000 BTU
7.00
$
USED AS �� ���✓•7�> __
each addn. 50,000 BTU
6.00
$
'`�T 7Jr,
TO BE COMPLETED ABOUT c4
OIL BURNER- to 3 gal. per hour
$10.00
$
& 6
each add. 3 gal. per hour
10.00
$
ESTIMATED COST •' ? L, 0
GAS BURNER- fron 100,000 BTU to 199,999 BTU
$10.00
$
OLD - NEW BUILDING PERMIT NO. PERMIT NO.
(over 109,999 BTU see Fee Schedule)
$
GAS FITTING FEES:
`
1st 3 Fixtures x
$ 3.00
$:6 rAe
DESCRIPTION OF FURNACE/BURNER
Additional Fixtures x
$ 1.00
$
q x
Gas Range to 199,000 BTU
$10.00 '
$
H iTEA NG,�or POWER PLANTS, Steam, Hot taster, Warm Air, No.
r
AIR COtiDITIO*11"1G J�i"1R ��� '` < `d
!
$ : C��d
).i
Trade Name s � `++o� Size No. 6/�k� A
FAN HEATING SYSTEb1S See Fee Schedule
$
VENTILATING SYSTEMS
ALTERATIONS $ REPAIRS
$�:
$
._�� _
Capacity Sq. Ft. EDR BTUHP
State Surcharge
$ .50
Total Connected Load o Rind of Fuel
TOTAL FEE
$5 � ^�
BURNER - Trade Name Size No.
ROUGH INSP. REINSPECTION FEE
Capacity Sq. Ft. EAR BTU HP
Date ($10.00)
GEO. SE®GWICK HTG. & $R COh�(i� !MM,
INSP.
Company
Date
Signed By
APPFO°1PL, FORPERMIT
Tel. Na. �`��-%
MINIMUM FEE MR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE. SURCHARGE
A e L0�
HEAT LOSS CALCULATIONS HEATOM(OOZAgn C0MD0700DZjUU(G CC). MINNEAPOLIS, MINN.
Weatherstrips A.S.H.V.E.
Doors
Reference
Yes—No Yes—No 19 --
Construction No.
Insulation
Out. Wal I
Int. Willi
a
Ceiling
Roof Floor
Kind
How Applied
Room I Length Width Height
F I Room Length Width Height
Windows and Doors—Crackage and Area
No. oWjdth Height No. 0 IF I Lineal ft. Area
f pane of pane lights of crack sq . ft.
Wi�dow_s �nd Doors—Crackage
and Area
'WidTh Height No. of
No. of pane of pane lights
Lineal ft. Area
of crack sq. ft.
Coef Btu
Coef Btu
Infiltration iL 7
Infiltration
Glass
Glass
Net exp. wal I
I
Int. wall
Int. wall
Ceiling
Ceiling 2 q
Floor 1-9 V )"41
Floor
Total Btu.
Total Btu.
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
&I.Sftf4.g Room [Length" Width
Height 51
F Room I Length/ 4Vr Width /0 Height
Windows and Doors—Crackage and Area
Windows and Doors—Crackage and A
a
Area
sq. f t.
No. Width Height No. of Lineal ft. Area
of pane of pane lights of cra c k sq. ft.
No. OW dth Height No. of Lineal ft.
f pane of pane lights of crack
Coef Btu
Coef[
Btu
Glass
Glass
0/00
Int. wall
Int. wal I
Ceiling
Ceiling
Floor 2- k0f
lys
Floor
Total Btu.
Total Btu.
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
v�. Room
Width Height
Fl. h Width Height
Windows and Doors—Crackage and Area
Of Pane of Pape lights of crack sq._ ft,
Windows and Doors—Crackage and Area
f panp 01planp hakits f crack sq. ft.
Coef Btu
1coef
Btu
Glass sli
Glass
Int. wall
Int. wal I
Floor
Floor
Total Btu.
Total Btu.
Required sq. ft. E.,D.R. or sq. ins. WA. Leader Eare=a�_
or sq. iris. W.A. Leader area
F
k
�'r x
HEAT LOSS CALCULATIONs
•• VOL i lUt Slr i Pti A•S.H.V.E. Construction No.`
Insulation
Windows Doors Guide Out. Wall Int. Wall Ceiling Roof Floor Kind
Reference How Applied
Yes—No Yes—No 19
FI 0(A- Room Length Width �� Height FI.49 �o Room Length Width ® Height
Windows and oors—Crackage and Area Windo sand Doors—Crackage and Area
No. Width Height No. of Lineal ft. Area
- of pane of pane lights - of crack sq, ft. No. Widrh Height No. of Lineal ft. Area
.� 04 pane of pane lights of crack sq. ft.
(9�
Coef = Btu Coct/ Btu
Infiltration c9
Infiltration d
Glass
Glass
Exp, wal I g Exp. wal I
Net exp. wall
Net exp. wal I
Int. wall
Int. wall
Ceiling a�
�• � Ceiling
Floor
Floor
Total Btu. Total Btu.
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
FI. Room Length Width
Heigh4
FI. Room Length Width
Height
Wind sand Doors—Crackage and Area
Area
sq. ft.
Windows and Doors—Crackage
and Area
No. of Lineal ft. Area
lights of crack sq. ft.
No. Widrh Height No. of Lineal ft.
of pane of pane lights of crack
No. Widrh Height
of pane of pane
b a
Coef Btu
Coef
Btu
Infiltration
Infiltration
Glass
Glass
Exp. wall �®
Exp, wall
Net exp. wall
Net exp, wall
Int. wall
Int. wall
Ceiling
s�
Ceiling
Floor
Floor
Total Btu.
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
FI. Room Length Width
Windows and Doors—Crackage and Area
No, Width Height No. of Lineal ft. Area
of pane of pane li hts of crack sq. ft.
Height
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
FI. Room Length Width
Windows and Doors—Crackage and Area
No.Wiath Height No. of Lineal ft. Area
of pane of pane lights of crack sq. ft.
Height
Coef
Btu
Coef
Infiltration
Glass
Exp, wall
Btu
Infiltration
Glass
Exp. wall
Net exp. wall
Net exp. wall
Int. wall
Int. wall
Ceiling
Ceiling
Floor ---
Floor
Total Btu.
4equired'sq. ft. E.D.R. or sq. ins. W.A. Leader area
I
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
s
SUBJECT
T -
City of Fridley
14'71
AT THE.TOP OF THE TWINS
BUILDING
P E R IVB
r
CEIPT NO.
COMMUNITY DEVELOPMENT DIV.
r 1 PROTECTIVE INSPECTION SEC.
1 . �
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED B
L•�__'�'� ,•� 612-560-3450910-F15
5/19/78
JOB ADDRESS 1510 Trapp Court N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION
SEE ATTACHED
DESCR.
2
7
1 Innsbruck Villages
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Darrel A. Farr Development Corp. 7286 - 72nd Lane No., M ls. 560-2110
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
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
x
8 DESCRIBE WORK
Construct a 24" x 34' Townhouse and a l' ' Garage
9 CHANGE OF USE FROM TO
STIPULATIONS
Provide combustion air to furnace
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
Wood Frame
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SQ. FT.
CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
984+460
22,936 Total
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
$30,375
$15.19
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMITFEE
SACCHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR .THE PERFORMANCE OF CONSTRUCTION.
$91.74
$400.00
PLAN CHECK FEE
TOTALFEE
$529.87
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
WH
ERL VALIDATED THIS 1S YOUR ERM)
BLDG WSP
3 %
DTAI E
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE)
s
tll'P1.!(:��'1'Iti 1Ult Ri.:S1I)1i:37°IP.L, A1,11:1ZATION,
30
Olt AUMT10;\ BUI1.1)1itiG I11:W-1IT 9 �
CITY OF-FRIllLEY, IllMXESC}'iA '
P��f.
'SS:7A 8&'Zj
/La�►�. iIl 0s►fl� ADiiP.Ess :°3!�/s�,..�"-•�►
LOT: BLOC:: ~% ADDITIO ? : iMj A J,u t It
CORITZER LOT: INSIDE LOT: MACK:' SIDM'ARD:
Applicant attach to this form Zero Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
�"s�rrsr cya�eopn
To -Be Used As:
t r
-7A& `iaas2 Front:, 424- Depth.- 31T. Height:_ Z 0.
Square Feet: !% Cubic Feet:_ 0 0
+ i►�.t��. Front: , b Depth: Height: /0
Square Feet; Cubic Feet:_ A7.300
Type of Construction: W004 Frame, Estimated Cost: $ 61 00
To Be Completed.-' 19 %
The undersigned hereby makes application for a permit for the Mork herein
specified, agreeing to do all work in strict •accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
are true and correct.
��� SI NA `I �lzZ
DaTE : ��� G TURF .
(See Reverse Side For Additional Information.
• d �&0`
i. "
CITY OF FRIDLEY
APPLICATION FOR PU1MBING AND GAS FITTING PgRMIT
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
2tam: er Fixtures
Future Fixture Opening
New Fixture, Old Opening
Catch Basin
Water Heater— to 99,000 BTU
100;000 BTU to 199,000 BTU
water Softener
New Ground Pun Old Building
Electric Water Heater
GAS FITTING FEES:
1st 3 fixtures
Additional Fixtures
Gas Range to 199,000 BTU
REPAIRS 4 ALTERATIONS
First $100.00
each add. $100.00 or fraction
Job Address _ / �� � ct
Department of Buildings m
City of Fridley
Tel. #571-3450
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the City Codes
and rulings of the Department of Buildings, and hereby declares that all
tho facts and representations stated in this application are true and correct
Fridley, Mn. 19
OWNER
KIND OF BUILDING
USED AS
TO BE COMPLETED ABOUT U
ESTIMATED COST
OLD - NEW BUILDING PERMIT NO. PERMIT NO.
x
$3.00
$
x
$2.00
$ Company n
x
$2.00
$
x
$5.00
�
Signed By
$
x
$5.00
d+
x
Water
d
x
$7.00
A
�
x
$5.00
ro
x
$5.00
a
ys
wU
Heater
�fa
0
x
3
uo�E
4)
IRC:
h
8.4
c
ci
7r
U
y'H
O
o
x
Mm
0
lee
Cd
R1
vJ
3
W
N
w
u w
49
t7
C7
o
as
1st
/
1
2nd
3rd
4th
(R) a Future Connection Opening
Connected with Sewer
(') = New Fixture, Old Opening
Water
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
2tam: er Fixtures
Future Fixture Opening
New Fixture, Old Opening
Catch Basin
Water Heater— to 99,000 BTU
100;000 BTU to 199,000 BTU
water Softener
New Ground Pun Old Building
Electric Water Heater
GAS FITTING FEES:
1st 3 fixtures
Additional Fixtures
Gas Range to 199,000 BTU
REPAIRS 4 ALTERATIONS
First $100.00
each add. $100.00 or fraction
Job Address _ / �� � ct
Department of Buildings m
City of Fridley
Tel. #571-3450
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the City Codes
and rulings of the Department of Buildings, and hereby declares that all
tho facts and representations stated in this application are true and correct
Fridley, Mn. 19
OWNER
KIND OF BUILDING
USED AS
TO BE COMPLETED ABOUT U
ESTIMATED COST
OLD - NEW BUILDING PERMIT NO. PERMIT NO.
x
$3.00
$
x
$2.00
$ Company n
x
$2.00
$
x
$5.00
�
Signed By
$
x
$5.00
$ Tel. No.
x
$10.00
$
x
$7.00
$
x
$5.00
$ ROUGH INSP.
x
$5.00
$ Date
x
x $1.00
x $10.00
State Surcharge
TOTAL FEE
RZ:ZPl.^,P6C1'ir�F7 FI•:F:
$5.00
$2.00
FINAL INSP. 6 "- /9 — 9
$ ' Date
$ APPROVAL FOR PERMIT d
S
$ MINIMUM FEE FOR ANY PLUMBING PERMIT IS $?.50 PLUS $.50 STATE SURCWUM
$ .50
07-8h—b16051 CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures
x
'
Future Fixture Opening
x
$2.00
New Fixture, Old Opening
x
$2.00
Catch Basin
x
$5.00
Water Heater - to 99,000 BTU
45
4
$5.00
100,000 BTU to 199,000 BTU
Water
A
of
to
A
New Ground Run Old Building
x
N
H
tr
G •a
uH
q
� 4
4J
r4
a
tc
N
Heater
.o4
0
ro
C
m
k .rou
al
N
C C
C
N
O
O
L
0
N
.Oi O
O
S
•N
n
N
`0
N
d
y
u
a
»+
ro
u 0
c
1
ro (d
M
rp
ro
as
lec
mro
to
3
Q W
to
fs�
U fn
+Q 3
C7
C7
O
1st
r
n
2nd
3rd
4th
(R) o Future Connection Opening
Connected with Sewer
(*) = New Fixture, Old Opening
Water
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures
x
$3.00
Future Fixture Opening
x
$2.00
New Fixture, Old Opening
x
$2.00
Catch Basin
x
$5.00
Water Heater - to 99,000 BTU
X.
$5.00
100,000 BTU to 199,000 BTU
x
$10.00
water Softener
x
$7.00
New Ground Run Old Building
x
$5.00
Electric Water Heater
x
$5.00
GAS FITTING FEES:
1st 3 fixtures x $3.00
Additional Fixtures x $1.00
Gas Range to 199,000 BTU x $10.00
REPAIRS $ ALTERATIONS
First $100.00 $5.0Q
each add. $100.00 or fraction $2.00
State Surcharge
TOTAL FEE
REINSPECTION FEE
($10.00)
Job Address 1510 Trapp Court
Department of Buildings
City of Fridley
Tel. #571-3450
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the city Codes
and rulings of the Department of Buildings, and hereby declares that all
the facts and representations stated in this application are true and correct
Fridley, Mn. 6-8"79 , 19
•'AY
KIND OF BUILDING frame
USED AS frame
TO BE COMPLETED ABOUT res
ESTIMATED COST 50 .m
OLD - NEW BUILDING PERMIT NO. PEP14IT NO.
CompanyT 04a 6r
Signed By NINNECASCO
Tel. No.
ROUGH INSP.
Date
FINAL INSP.'�.�'
$ Date
S
$ APPROVAL FOR PERMIT
$ MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE
$ .50
s 10®50
City of Fridley
suBJEcrMIT
NO.
?4929AT
THE TOP OF THE TWINS
BUILDING PERMIT(
IPT NO
[ COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
i
CITY HALL FRIDLEY 55432
NUMBER
REV
DATEPAGE
OF
APPROVED BY
612-571-3450
910-F15
3/28/97
JOB ADDRESS See Below -.Multiple Buildings
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION SEE ATTACHED
DESCR.
SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO
Columbus Exteriors Inc 2131 111 In, Coon Rapids MN 55433 868-9195 3509
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO
6 USE OF BUILDING
Townhouse Buildings
7 CLASS OF WORK
CJ NEW _: ADDITION 0 ALTERATION REPAIR G MOVE O REMOVE
8 DESCRIBE WORK
Reside 11 Buildings
9 CHANGEOFUSEFROM TO
STIPULATIONS
Install building wrap and have inspection of same unless manufacturer"
specifications state it is not required.
5600 5602 5604,5606 North Innsbruck Ct; 1511,1513,1515,1517 North Innsbruck Dr;
1510 1512,1514,1516 Trapp Ct; 1531,1533,1535,1537 Trapp Ct; 1511,1513,1515,1517
Trapp Ct; 5610,5612,5614,5616 W Bavarian Pass; 5621,5623,5625,5627 W Bavarian Pass;
5631,5633,5635,5637 W Bavarian Pass; 5651,5653,5655,5657 W Bavarian Pass; 5680,
5682,5684,5686 West Bavarian Pass; 5691,5693,5695,5697 West Bavarian Pass
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST
OCCUPANCY GROUP
OCCUPANCYLOAD
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 SUSPENOED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED
NO DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT THE' GRANTING OF A PERMIT
@
$232,000
$116.00
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
$1,547.25
Fire SC $232.00
PLAN CHECK FEE
TOTAL FEE
>-f
Li e SC 5.001
$1,900.25
S:(,NAI. E.`[lfvI'ua( TOR 014 J A,�ENT .UAIE.
H N P ERLY V IDAT ED THIS IS YOUR PERMIT
-- --- --
.GNa',::F TATE.
LDG ;E "—f
FA
CITY OF FRIDLEY INSPECTION DIViSION'%�✓�
Effective On
6431 University Ave NE
January 1, 2000
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572.3604
REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
JOB ADDRESS 1-510 � r`" � �
j—�-
OWNER J
Residential Rate
TOTAL
c)1- (-N l
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace $ 30.00
$
BUILDING USED
(Side Vent - Fill Out Back)
Gas
ESTIMATED COST PERMIT NO. AY
Piping (Needed with new furnace, $ 10.00
$
but not replacement)
Gas Range
_DESCRIPTION OF FURNACE AND OR BURNER
$10.00
$
Gas Dryer
y $ 10.00
$
No. of Heating Units Circle One (Steam) (Hot Water) arm Air
Trade Name d °roe i- Size No. :700-00
*Air Conditioning - All Sizes $ 25.00
$
BTU HP EDR i
Fuel Total Connected Load
All Others/Repairs & Alterations (LIST ON BACK)
Burner Trade Name Size No.
1% of Value of Appliance or Work
$
BTU HP EDR
Commercial/Industrial
1.25% of Value of Appliance or Work
$
The undersigned hereby makes application for a permit for the work herein
State Surcharge
$ 50
specified agreeing to do all work in strict accordance with the City Codes an
rulings of the Building Division, and hereby declares that all the facts and
TOTAL FEE
$ �"'
representations stated in this application are true and correct.
101
DATE 1
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
HEATING CO v4 di- VJ-C,
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
-7G3-5-7A
PLUS THE $ 50 STATE SURCHARGE
Signed l TEL # _ Lt
REINSPECTION FEE $47.00/Hr
*Air Conditioners can not be placed in a side yard without
Approved By Rough -In Date Final Date'����
written permission from adjoining property owner.
COMMON VENT VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When replacing an existing furance, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions,
and is securely supported and firestopped where required. Ye4xNo ( )
The venting system is plastic/PVC and meets all current codes and manufacturer
specifications including sizing, length, number of elbows and termination. Yes Y) No( )
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturer's specifications. This does
include AGA-GAMA Category I Central Furnace Venting Tables for fan
assisted and natural draft appliances. Yes ( No( )
The existing combustion air is sized and installed to meet the current codes
and manufacturer's specifications. Yes {) No .( )
When required to install a new combustion air, it willbesized and installed
To meet the current codes and manufacturer's specifications. Yes 0No ( )
a.,
When installing a new ventin6 system, the undersigned hereby verifies that
it is a listed°assembly and meets the current codes and manufacturer's
specifications:{ This does include AGA-GAMA Category I Central Furnace
Venting Tables for fan assisted and natural draft appliances. Yes) No( )
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the. common vent and vented
separately 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
MA''r-10-2001 15:27 SALES ADM
612 321 5220
P.05/05
LOUD. Entire House
05-07-07.
1510 Trapp C Job#
A1.I7th ..� 1tY05[f.7
3.0,
WN :2078Mhoie
1 dAoom
Entite Houaa
houaB
FL
pt
2��1
120.0 &t-
120-0
Pt
x Ft
3Pt
Rom 06m*m IL
0.9 t.
24.0 x
36.0 Ft
x
4 d ,Ft coard+t 32.01
d 12.0
heat/Cool
TYM QF C5T Km A
R
&
Aral Slob
Cie
app. C18 cis
g a 12C 8.3 2.4 1440
taw 'Orr
1440 .rw
.oat
aew sett
mass erw
•ew era
vara ease
b 14A 46.9 9.9
0
as°
0
mu war
°�' ereo
cove eae+
+6 ab s1 a 1'aA :1. b C-0
0
soar vara
0
rto+ 048°
w N eNv
rtrt sew
8 149 13.2 2.9
224
Omnw Oq0
224
seat sew
Sere tq�
veer owr
e lee 6.6 0.0
$60
8O'r ..or
$60 mww
e'Or
tteo
orae ®tee
f 0.0 0.0
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osw tett
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0
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56
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$64
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f 0.0 0.0
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10 Ceilesg4 a 16H 2.4 1.2
964
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b 0.0 0.0
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c 0.0 0.0
0
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11 Flom s 19F 10.0 0.0
864
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t2 {� a 99.6 10.4
158
15732
1639
158
15732
1634
13 3ubtagpth 8.+11'1$
mess
51334
+
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9rte
rase
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wa ease
asst
14 Duct Wh Lme
0
fl
sva
0
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ew®
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ig :atal8tahlraaer 13*14
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51336
ap Oi9t
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2
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2
ala
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ww
sw
ww
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Ap 1200
1
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I
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O
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17 Su81atRS13Caat�►8.¢12+16
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ass
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sow
691
691
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69I
691 Nw
am*
Pfiama mtfied by ACCA to Omd W nqwmmnU of MWUW 3 Fcxm
TOTAL P.05
MAY -10-2001 15:26 SALES AIXI
5 — .
Pr000sal Worksheet
612 321
urnac herntostat
R Boiler
M water Heater
* Air Conditioner
El H.R.V.
O Air Cleaner
O other -
C1 Humidifier
O Other
ne Set News+veamer
0 Class S Venting for
0 Reconnect A
2 -Stage
O Reconnect Humidifier
O DLct Cleaning
O New Chimney/Liner
O Firestop
O New Drip -T or
O Dismantle Furnace
M onry Drip -T
onnectlReclaim AC
'Planum Work
O Re nnect/New�ones
O New Ret. Drop
ew Fresh Air Intake
wMiter rack
0 Extra Electrical
0 Ductwork
Charges: —
# SsmL Supplies
O Gas Piping; tL
ReOtrr+s -m-
O New/Reconnect
0 Main Fi. Supplies_
Condensate Pump
Returns —
O New Expansion Tank
#Upstairs Supplies_
p New Chimney Cep
Returns —
went Water Heater/
O Mpls. Permit—
Te in Otter Equip.
Other Pricing Notes:
® Temp Meet Required
EXISTING FURNACE
Reconnect? VES NO Dismantle? YES NO
Oil YES NO Gravity? YES NO
lAwbOy YES No Asbestos YES 0
Bra f3
Ret At, iie X
Plenum Size x x
EASTING
Reconnec AU
Natu+atGas7
Newftnum? YES Remount C ' . o
Brand T 'S
enLine Sat Dimensions
Location • NrXea di
X
r IsnfsG
VWNG �®
New total BTUs into Chimney
CIasS B Needed from F ce to T? YES
Masonry Liner? YES Ciamatar: in.
Class B? NO Diame in.
New Ch' pine` Needed? E NO
Heigh Diameter in.
New Tee- asonry? YES
New Class 5 Tee? YE3
Current Chimney Asbestos? YES
OVS1? YES
New Chimney Cap? YES
Chimney Offset?
Clearances to Code? % No
ReventWH.? ' YES NO
New Wye Saddle? Y WO
L
Brand 1�! Amp u S/Breeker
Sub anal Needed? YES
Garage Service?
Recessed Panel? Y NO
Distance to Con angor? h
New Service Require(1? YES
Zones? YES
FO UNDATIC)N/OASEMENT
Block Wall? A NO Beam Pili? YEAdD
Brick? sI
Floor Drain?m No
Distance to urnece.ft
Finished Calling? ytt No
Tifi,,M,,STA
Reconnect tu®
Pull wires Of -Ste ?
Relocate?rE N re?_---—
Beauty Pleze needed Yes
New Subbase?PLUMBING
pO
water Nester Move? Ye
Distance—ft t�
(See Drawing for New W.H. Locoon)
EXISTING EQUIPMENT
Remove existing Humidifier? (' NO
Remove existing Air Cleaner? YES NO
`lova DownflowD Horizontal
-
Combustion? YES NO f�
steam NO Asbestos? YES No
r? YEs
Copper? New Exp. Tank? V
Now zone valves?
How many?
RPZVoivo N YES NO .�
HV P I res NO
Mixing Valve? YES NO
02000 Rallant Fnervv Form 443
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
763) 572-3604 FAX: (763) 571-1287
ADDRESS
: 1510 TRAPP CT NE
PIN
: 243024410180
LEGAL DESC
: INNSBRUCK VILLAGES
: LOT 2 BLOCK 7
PERMIT TYPE
: BUILDING
PROPERTY TYPE
: MULTI DWELL
CONSTRUCTION TYPE
: ROOFING
PERMIT N .:2004-01979
"D
DATE ISSUED: 10/26/2004
VALUATION : $ 21,739.00
NOTE: INSTALL PER MANUFACTURERS 5PE JFICATIO UNDERLAYMENT PER STATE BUILDING CODE. REROOF
BUILDING WHICH INCLUDES 1510, 1512, 1514 AND 1516 TRAPP COURT.
STATE LICENSED CONTRACTOR 1
APPLICANT
ALLSTAR CONSTRUCTION
840173 AVE N STE 80
BROOKLYN PARK, MN 55428 -
OWNER
GASSEN MGMT CO
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of wort
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or cancel the provisions of any other state or local law
regulating constru tion or the performance of construction.
Anblic nt 11 Date I I
Bldg Insp Datd -')1 a
BUILDING PERMIT FEE 349.25
FIRE SURCHARGE 21.74
STATE SURCHARGE, VALUE 10.87
LICENSE SURCHARGE 5.00
TOTAL 386.86
PAID WITH CHECK # 65625
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
NEW [ ] CITY OF FRIDLEY Effective 4/1/2004
ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
ALTER] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
I Co u2+
Construction Add ess: I!51L 151 I
Legal Description:
Owner Name & Address: &A,&,1 MANAbeAjeNt'c2; Y-4P4c-6ATel. # ZZ 5�s
Contractor: All `?Mlz onS&Rdc iia A'c - MN LICENSE # 39--"
Address: 801 73 ZA A it-etod eiki -ffK®, beop -L.y N e740< -J--- Tel. # -703 53 S- 77®v
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 I Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: Length Width// Hgt/Ground Sq. Ft.
OTHER: PSP' Ott F 13 0 I t, b I A & 6b i/) F-tA"7-
Construction Type: Estimated Cost: $ 241M -
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
�.,'./ 9
DATE:/LfID APPLIC&.5 ` �y Tel. # 7J CJS 70Q
Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call
you for card number.
Permit Fee
Plan Review
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
CITY USE ONLY -
Fee Schedule on Reverse Side
65% of Permit Fee
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1350 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 [ ]
TOTAL $ '30 � . � � STIPULATIONS:
PLUMBING
RESIDENTIAL APPLICATION
City of Fridley
sof 6,107q
�N/ bar
Receive By
Date Re ' ed
NOTE: IF PROPERTY IS NOT OWNERIOCCUPIED- A LICENSED CONTRACTOR MUST OBTAIN THE PERMIT.
?_ '� & �
DATE _IFOUR E-MAIL ADDWS
SITE ADDRESS 5Z0 �_),s'Z&,0..,a
THE APPLICANT IS: (CIRCLE ONE) OWNER CTO
NAME
PROPERTY OWNER/
ADDRESS
TENANT
CITY STATE ZIP
PHONE #
NAME Y , LICENSE # ® 7
ADDRESS
CONTRACTOR
CITY STATE 611, ZIP 57-1!�,
PHONE # 7 (b 3- FAX#
PERMIT TYPE
SINGLE FAMILY TWO FAMILY TOWNHOUSE
TYPE OF WORK
❑ NEW CDQREPLACEMENT
DETAILED DESCRIPTION OF WORK
FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED
FIXTURES: (INDICATE TOTAL NUMBER OF EACH)
BATH SINK/LAV FLOOR DRAINS SHOWER WATER PIPING
BATHTUB GAS PIPING (Need City License) SWIMMING POOL WATER SOFTENER ($35)
CLOTHES WASHER KITCHEN SINK WATER CLOSET BACKFLOW PREY. ($15)
DISHWASHER LAUNDRY TRAY WATER HTR ($35) FOR IRRIGATION
WATER METER OTHER
Permit Fee $ , MIN UM: $15.00 o 5% of cost -of the improvement -whichever is
Plan Review $ greater on work less than $300
Surcharge $ .50_
15-96
TOTAL DUE $ Make checks payable to: City of Fridley
THIS IS AN APPLICATION FOR A PERMIT — NOT VAUD UNTIL PROCESSED
I hereby apply for a plumbing 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 wit -ft Minnesota Construction Codes; that I understand this is not a permit but only an
application for a permit and ork is t to start withou i that the work will be in accordance with the approved plan in the case of all work which
requires review and appro I S.
NAME OF APPLICANT��_---_-DATE
P ase type or print
SIGNATURE OF APPLICANT
CITY OF FRIDLEY COMMUNITY DEVELOPMENT DEPARTMENT
6431 UNIVESITY AVENUE NE, FRIDLEY, MN 55432
(763)572-3604
(61109 Mo. 5`0 75� 7
9
10
3 '` s a ra,�s t 8.P' � � h r tt � ✓+.. �M1"f,'"
� s *'°�t s�''�'� i t .��`wsa `Y`£ � 'v �`�,�'� � ✓+. r t i ';¢ da e�rrr a ��m .
.,�a
rR5o`'44##
"�7
iaater DenE.
OrKs
Location of Service need 1510 Trapp Court
Owner or Agent of Property Phone: (H)
Name of Citizen Phone: (H)
Address
Detains of Request
Locate Standpipe and shut off water. Inspected Permit # 200501677
****BILL***** Bill Olsen Plumbing $25.00 qgj .4141 '
�h� rr
Request Taken By:
Department w Ct
Jeans.
Person responsible for request Title
Action taken (include date & communication with citizen)
WC 4-e�—
z�Ane LP
lir /'yr
lv-e
Date Cleared 8 J gS
Signature of person clearing
No
Building
Inspections
763-572-3604
763-502-4977 FAX
DATE q111/1a
SITE ADDRESS —1-'2
THIS APPLICANT IS:
PROPERTY
OWNER/
TENANT
PLUMBING
RESIDENTIAL APPLICATION
CITY OF FRIDLEY
EFFECTIVE 7-1-2010
YOUR E-MAIL ADDRESS
0 OWNER
PHONE:
Permit No.: Z& 16S'Ap
Received By:
CONTRACTOR
NAME: Wiry 1N11j"
SUBMIT A COPY OF
YOUR STATE
STATE LICENSE # EXP DATE
LICENSE, BOND AND
STATE BOND EXP DATE
CERTIFICATE OF
S#r r,
ADDRESS: MD AW 4 it AIE *5A CITY r {�I ��Le�l STATE4-4 ZIP9A'?_
0
INSURANCE
PHONE FAX 6i_ -3k4- mu
PERNUT TYPE
�#INGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK: III NEW FREPLACEMENT
DETAILED DESCRIPTION OF WORK
FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE
$35.50.
BATH SINKILAV
FLOOR DRAINS
WATER PIPING
_
BATHTUB
GAS PIPING (NEED CITY LIC)
—SHOWER
SWIN&JING POOL
—WATER SOFTNER ($35)
_
CLOTHES WASHER
_
KITCHEN SINK
_
WATER CLOSET
BACKFLOW PREV. ($15)
_
_
LAUNDRY TRAY
T WATER HEATER ($35)
_
FOR IRRIGATION
—DISHWASHER
_
WATER METER
OTHER
THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED
I hereby apply for a plumbing 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 on site; that the work will be in accordance
with the approved plan in the c f �wo 1 vhich requires review and approvl f pl
SIGNATURE OF APPLICANT �//i ✓ PRINT NAME /�� �, DATE q11141,;
APPROVAL INSPECTORS SIGNATURE
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977