PRE 2010 DOCSD < � �514C) CITY OF FRIDLEY
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND
.AIR CONDITIONING SYSTEMS AND DEVICES
PARTIAL. RATE SCHEDULE
GRAVITY WARM AIR:
Furnace Shell & Duct Work
Replacement of Furnace
Repairs & Alterations -up to $500.00
Repairs & Alterations each add. $500.00
MECHANICAL WARD( AIR:
Furnace Shell & Duct Work to 100,000 BTU
each add. 50,000 BTU
Replacement of Furnace
Repairs & Alterations -up to $500.00
Repairs & Alterations each add. $500.00
STENM OR HOT WATER SYSTBI: •
Boiler & Lines up to 100,000 BTU
each addn. 50,000 BTU
Boiler only up to 100,000 BTU
each addn. 50,000 BTU
OIL BURNER- to 3 gal. per hour
each add. 3 gal. per hour
GAS BURNER- from 1.00,000 BTU to 199,999 BTU
(over 199,999 BTU see Fee Schedule)
GAS FITTING FEES:
1st 3 Fixtures x
Additional FiAtures x
Gas "Range to 199,000 BTU x
AIR CONDITIONING
FAN HEATING SYSTEMS see Fee schedule
VENTILATING SYSTEMS
ALTERATIONS & REPAIRS
RUUGH INSP.
Date
FINAL INSP. ro " 12- " 7 f
Date
APPPAVAL FOR PERMIT
RATE
$12.00
7.00
7.00
4.00
TOTAL
$12.00 • $
4.00
$
7.00
$
7.00
$
4.00
$
$12.00
$
4.00
$
7.00
$
6.00
$
$10.00
$
10.00
$
$10.00
$ how) C'
$ 3.00
$
$ 1.00
$
$10.00 •
$
State Surcharge
TOTAL FEF
REINSPECTION FEE
($10.00)
S
MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 ,LUS $.50 STATE SURCHARGE
Job Address
Department of Buildings
City of Fridley
Tel. #571-3450
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the City Codes
and rulings of the Department of Buildings, and hereby declares that all the
facts and representations stated in this application are true and correct.
Fridley, Minn. �, 19
VANER
KIND OF BUILDING.
USED AS
TO BE COMPLETED ABOUT
ESTIMATED COST
OLD - NEW BUILDING PERMIT NO. PERMIT NO. —�
DESCRIPTION OF FURNACE/BURNER
-j (BEATING,Ior POWER PLANTS, Steam, Bot Water, WaitAir-)No.
Trade Name , l Size No. �' ✓� Z =
Capacity Sq. Ft. EDR BTU 0 HP
Total Connected Load � !f , ,� � hind of Fuel
BURNER - Trade Name Size No.
Capacity Sq. Ft. EDR BTU HP
Company GEO. SEDGWICK HTQ. & AIR CONOID. co.
Signed By
Tel. No.
,.. "..i: -Y. �" .«,, 1
&,AtA e, s F 8' /j
HEAT
LOSS CALCULATIONSfit' M IOt';OMM iOk 9, CO.MINNEAPOLIS,
Weatherstrips
A.S.H.V.E.
Guide Reference
T g
Construction No.
Insulation
WindowsDoors
-
Out. Wall
Int. Wall
Ceiling
Roof
Floor
Kind
How Applied
Yes—No Yes—No
Room Length Width ®
Height
Q FI
Room
LengthWidth ® Height
Windows and Doors—Crackage and Area
No. Width Height No. of Lineal ft. Area
of pane of pane lights of crack sq. ft.
g®
Windows and Doors—Crackage and Area
Width Height No. of Ltneal ft. Area
NO of pane of pane lights of crack sq. ft.
Coef
Btu
Coef Btu
Infiltration
Infiltration
a 6
Glass
��
Glass
Exp. we l l gExp.
wa l I
Net exp. wall ILL
G
Net exp. wall
d
Int. wall
I
Int. wall
Ceiling
Ceiling
Floor 09
took,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
,jFI.S4f4.a �. c.�Rom Length ¢ Width
Height :y
Q FI Room
I Length 45r Width Height
Windows and Doors—Crackage and Area
Windows and Doors—Crackage
and Area
No. Width Height No.of Lineal ft. Area
of ane of pane lights of crack sq• ft.
No Width Height No. of Lineal ft. Area
of pane of pane lights of crack ft.
qsq.
Coef
Btu
Coefj
Btu
Infiltration
Infiltration
1?
Glass
Glass
_ —0 -
Exp. wall
Exp. wall Q C
Net exp. wall AKA
Net exp. wal l
3 7„
Int. wall
Int. wall
Ceiling e In
Ceiling
Floor
Floor
Total Btu.
Total Btu.
g
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
1419Heightt
FI.;43 om
Length '' Width
Height
dw Windows and Doors—Crackage and Area
Windows and Doors—Crackage
and Area
Y
Width Height No. of Lineal ft. Area
N°' of p ne of pa a lights of crack sq. ft.
W'orh Height No. of Lineal ft. Area
N°' of pane of pang hatits of crack sq. ft.
Coed
Btu
Coef Btu
Infiltration q
1
1797
Infiltration
Glass AGlass
Exp. weI1 3Exp.
wall
Net exp. wall
Net exp. wall
Int. wall
Int. wall
Ceiling
Ceiling *-C-
® I
r
t
Floor
l 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
z.:
6 M... v
S& nv,? Am i;1" r . ,
HEAT LOSS CALCULATioNS
rngaw
MINNFApni is amin
Weatherstrips A.S.H.V.E.
Construction No.
Insulation
WindowsDoors Guid® Out. Wall Int. Wall
Reference Ceiling Roof
Yes—No Yes—No
Floor Kind How Applied
19—
9FI
FI 9 Room Length Width ®®
Height
® FI I d Room Length73 Width ®
Height
YJindows and oors—Crackage and Area
No. Width Height No. of Lineal ft. Area
Windo s and Doors—Crackage and Area
of pane of pane lights of crack sq. ft.
®
No. Width Height No. of Lineal ft. Area
of pane of pane lights of crack sq. ft.
Coef
Infiltration mp
Btu
Coe f Btu
®
Glass
�o
Infiltration
122
®
00
Glass
`
00
Exp. wall ®
Exp. wall
Net exp. wall
Net
_
' Int. wall
exp. wall
®®
Int. wall
Ceiling
"' �
� �
Ceiling
Floor
Floor
Total Btu.
Required sq. ft. E.D.R. or sq, ins. W.A. Leader area
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
FI. Room Length Width
Height
FI. Room Length Width
Height
WindAs and Doors—Crackage and Area
YJindows and Doors—Crackage and Area
eane
No. of paWidth Height No. of Lineal ft. Area
of pane lights of crack sq. ft.
Height No. of Lineal ft. Area
of pane lights of crack sq. ft.
M___
Coef
Btu
Infiltration / `
Coef
Btu
Glass
Glass
Exp, wall �
Exp. wall
Net exp. wall
+
Net exp. wall
Int. wall
Int. wall
7_area�=�'
Ceiling17 J
Ceiling
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. L
FI. Room Length Width
Height
Fl. Room Length Width
Height
Windows and Doors—Crackage and Area
Windows and Doors—Crackage and Area
No, Width Height No, of Lineal ft. Area
of ane of pane li hts of crack sq. ft.
No. W,gth Height No. of Luteal ft. Area
of pane of pane lights of crack sq. ft.
Coef
BtuCoef
Btu
Infiltration
Infiltration
Glass
Glass
Exp. wall
Exp, wall
Net exp. wall
Net exp. wall
Int. wall
Int. wall
Ceiling
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. ills. W.A. Leader area
SUBJECT
PE
City of Fridley
01471
AT THE TOP OF THE TWINS
BUILDING
P E R M Ir
r
RE
COMMUNITY DEVELOPMENT DIV.
7/67
r PROTECTIVE INSPECTION SEC.
o - n CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
AP ROVED BY
612-560-3450
910-F15
15/18/78
COs ADDRESS 1516 Trapp Court N.E.
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
1
7
Innsbruck Villages
SHEET
2 PROPERTY OWNER " MAIL ADDRESS
ZIP PHONE
Darrel A. Farr Development 7286 - 72nd Lane No.,
Mpls. 560-2110
3 CONTRACTOR MAILADDRESS.
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
jl NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 244 x 344 Townhouse and a 23J' x 20' Garage
9 CHANGE QF 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
]
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
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION.
$91.74
$400.00
PLAN CHECK FEE
TOTAL FEE
2•
529.87
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
W ENP P RLY VALIDATED THIS IS YOU PERMI
BLDG. INSP
/
7E
SIGNATURE OF OWNER IIF OWNER BUILDER) (DAT EI
A!"1'L1UAI 1UN PUR IC1.:51M.NJ IAl,, AL. I1:Kf11 IUN�
Olt ADDITION 1;UII.UTN'G P1:1Z;dIT
_
CITY OF FRIDLEYD MINIVESCITA
•�9 �
0:•d::1mlS I�AtiE: �! rd% . fexyt• lJ�u oF,UiLDER:, - a),IC
ADIi:u-SS :7A IM 7,H- Lake- Mo4h ADDIZESS : /s . ��. ,.3'.��-� 8
NO:. STRErX:
LOT • BLOCK: 7 ADDITIO_ : ,.,�Iyils�t 1•ut � Vr �lQ_ q�� .
CORNER LOT: INSIDE LOT: V00" SETBACK SIDi�'ARD:��
Applicant attacli to this form Two Certificates of Survey of Lot and proposed
building location.drawn on these Certificates.
DESCRIPTION OF BUILDING
To .Be Used As
:<
�Ao,ho"Ise- Front: Depth: . �� Height: 20
Square Feet: Cubic Feet:
Front:Depth: height: /®
Square Feet; 430 Cubic Feet:. 43oo
Type of Construction: Wood Et -awe, Estimated Cost:_
To Be Completed:
The undersigned hereby -makes application for a permit for the work herein
specified, agreeing to do all work in strict. -accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application ,
are true and correct. '
DATE: a�� ��� SIGNATURE-
(See Reverse Side For Additional Information.)
CITY' OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO.
RATE
TOTAL
N.uaber Fixtures
x
$3.00
u
Future Fixture Opening
x
of
$
Water
er
ai
'�
Catch Basin
x
$5.00
w
0�
N
c
$
4
04
w
5�
Water Softener
Heater
$7.00
$
.4
x
as
$
H
.. o
$5.00
$
m
m s,
W
a
w"
x
'$3.00
$
Additional Fixtures
-
$1.00
$
Gas Range to 199,000 BTU
x
$10.00
$
REPAIRS & ALTERATIONS
49
First $100.00
$5.00
$
each add. $100.00 or fraction
0
0
$
State Surcharge
$ .50
c
o
g
a
40J -CM
N
N
�i
'u
a
M
C4
ow
0
o
al
UU)
w
ciM,Q3
x
as
-lec
f
1st
2nd
3rd
4 th
(R.) a Future Connection Opening
Connected with Sewer
('} s New Fixture, Old Opening
Water
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO.
RATE
TOTAL
N.uaber 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 Pun 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
$5.00
$
each add. $100.00 or fraction
$2.00
$
State Surcharge
$ .50
TOTAL FEE
$ �G• ^�b
r,Eltr;rr-.^riorr t'sF
Job Address
Department of Buildings a ,
City of Fridley
Tel. #57,1-3450
The undersigned hereby snakes application for at permit for the work herein
specified agreeing to do all work in strict accordance with the City Codes
and rulings of the Department of Buildings, and hereby declares that all
the facts and representations stated in this application are true and correct
Fridley, Mn. 19
OWNER
KIND OF BUILDING'_,
USED AS
TO BE COMPLETED ABOUT
ESTIMATED COST /
OLD - NEW BUILDING PERMIT NO. PERMIT NO.
Company
Signed By i7Q fin,��
Tel. No.
ROUGH INSP.
Date
FINAL INSP. -f'' z V 7
Date �/
APPROVAL FOR PERMIT ��j
MINIMUM FEE FOR ANY PLUMING PERMIT IS $7.50 PLUS $.50 STATS SURCSARg
City of Fridley
SUBJECT
IT N O.
AT THE TOP OF THE TWINS
f
1 1
BUILDING PERM
EIPT N
t �
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC.
i
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
910415
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
❑ NEW ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE
B 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, 516 rapp Ct; 1531,1533,1535,1537 Trapp Ct; 1511,1513,1515,1517
Trapp Ct; 5610,5 12,5614,5616 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 Best 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 SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED
NO DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT THE GRANTING OF A PERMIT
$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
TDTA_PEF
Llseyk4 S CA 5.00
$1,900.25
tia Fr•t (.nr;"wA [[a+ctt[Ai;iuini:EJ A�Ea r DATE
N N P ERLY V (DATED TI!C �5 YOUR PERMIT
---------------------------- — - - — -
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