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PRE 2010 DOCSApplication for Power Plants and Heating, Cooling, Ventilation, Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE ARM AIR: Furnace Shell & Duct Work .......................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 .................. Repairs & Alterations each add. $500.00 ............... MECH. WARM AIR RATE TOTAL 8.00 $ 5.00 $ 5.00 $ 2.50 $ Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. dO,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 GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures x $1.50 $ Additional Fixtures x .50 $ Gas Range to 200,000 BTU ............ x 2.00 $ IR CONDITIONING ken,'" ox FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $ ROUGH 4 'FINAL Dept. of Bldgs. Phone SU 4-7470 Location �` �® �%'/ • s r ' �UP®ty e, 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, Minn 7 0 / P 19 �_a Owner 6L,/ Kind of Building "-2 e Used as To be completed about Estimated Cost, Old --;New. Building Permit No. Permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No, Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. Total Connected Load Kind of Fuel BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R. BTU H.P. (REMARKS -OVER) Signe By NtAbNd AND Alit C9NDITIONINO tib. 441.0 EXCELSIOR BLVD. MINNEAPOLIS 1'�MR. 42 2M Business Phone No 9 -® City of Fridley Applicelon for Plumblhq and Gm Fh9kq Pam* Dept. of Bldgs. Phone 360-3450 DESCRIPTION OF WORK Number, Kind and Location of Fixtures Y.er F° • Future Connection OpeningsI waoec:ea �m * New Fixture, Old Openings City of Fridley: The .undersigned hereby makes application for a permit for the- work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that aR the fact and representations stated in this application are true and correct Owner Kind of Building Bawer❑ Used as Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 $ Future Fixture Opening ............ x $1.50 $ _ New Fixture Old Opening .......... x $1.50 $ Catch Basin ..................... x $3.25 $ Water Heater (Up to 89,000 BTU) • • • • x $3.00 $ New Ground Run Old Bldg. ........ x $3.25 $ Electric Wates heater .............. z $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ............... , x $2.00 ;- Additional Fixtures • ................. x $ .75 $ Gas Range to 188,000 BTU ... ,............ x $5.00 $ REPAIRS A ALTERATIONS—Refer to Code Description •••.••..•.•..•..•...•.....•.,...............•; TOTAL FEE $ I To be completed about J Estimated Cost, $ �r _ � C Old—New. Building Permit No. Permit No. `� `2S' 9 Signed. e --!t= By Business Phune o ROUGH mom ME • Future Connection OpeningsI waoec:ea �m * New Fixture, Old Openings City of Fridley: The .undersigned hereby makes application for a permit for the- work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that aR the fact and representations stated in this application are true and correct Owner Kind of Building Bawer❑ Used as Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 $ Future Fixture Opening ............ x $1.50 $ _ New Fixture Old Opening .......... x $1.50 $ Catch Basin ..................... x $3.25 $ Water Heater (Up to 89,000 BTU) • • • • x $3.00 $ New Ground Run Old Bldg. ........ x $3.25 $ Electric Wates heater .............. z $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ............... , x $2.00 ;- Additional Fixtures • ................. x $ .75 $ Gas Range to 188,000 BTU ... ,............ x $5.00 $ REPAIRS A ALTERATIONS—Refer to Code Description •••.••..•.•..•..•...•.....•.,...............•; TOTAL FEE $ I To be completed about J Estimated Cost, $ �r _ � C Old—New. Building Permit No. Permit No. `� `2S' 9 Signed. e --!t= By Business Phune o ROUGH a SUBJECT P MIT NO. City of Fridley 2 0 51 AT THE TOP OF THE TWINS BUILDING PERMIT i � RECEIPT NO. 1 `y COMMUNITY DEVELOPMENT DIV. _._.-_ r PROTECTIVE INSPECTION SEC. 1 `CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BV 612-571-3450 910-F15 8/9/SO JOB ADDRESS 6250 Trinity Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. ] 3 Sy1Van I -rills Plat 3 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ed/Sara Johnson 6250 Trinity Drive N.E. 571--5054 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Samp- 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 Ej REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof Dwelling (2nd layer) 10 Squares 9 CHANGE OF USE FROM TO STIPULATIONS Rood Can be. 2nd layer but not 3rd, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 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 $500 $.550 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- $15,00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PL N CHECK FEE TOTAL FEE $15.50 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI HEN PROPERLY VALID THIS I YOUR PERMIT ,y SiG ATURE OF OWNE BUILDERI IDATEI BLDG INS, n TE NEW [ ] ADDN [ ] ALTER [ ] Construction Address - Legal Description: Effective 1/1/90 R-1 AND R-2 Building Permit Application Owner Nene & Address: , % Aw�� Tel.. # 5 2 / --.S '5' Contractor: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVIM AREA: Lexgth Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: C: @c��.i© Z'4 -P Corner Lot [] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: <m/-- Estimated Cost: $ 500 Approx. Completion Date: Proposed Driveway Width If New Opening Is Desired: Ft. $ $. Width + 6' See Back Page DATE: - % rJ APPLIC I U: Tel. # Permit Fee $ /Z7, (1 0 State Surcharge SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ CITY USE ONLY Fee Schedule on Reverse Side $.50/$1,000 Valuation $600 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering 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 (Minim mi Fee is $15 plus suroharge) $501 to $2,000 $15 for first $500 plus $2 for each additional $100 or fraction thereof, to and including $2,000 $2,001 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 DRIVMMY 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. Permits for construction will be issued a minimum of 24 hours frain 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 prodding with the flaming. SUBJECT City ®f Fridley ' 2 � 119 ATTH BUILDING PERMIT �® 4 DIV. e v ______ COMMUNITY DEVELOPMENINSPECTION INSPECTION SEC. / �r r - � PROTECTIVE �/✓ `a�Jl NUMBER REV DATE PAGE OF APPROVED BY E /"'1 CITY HALL FRIDLEY 55432 �.___1l: '•, 612-571-3450 910415f! 1016/98 JOB ADDRESS 6250 Trinity Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 3 1 Sylvan Hills Plat 3 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Tom Simon 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Top Gun Inc. 5014 Parrish Ave NE Rogers MN 55374-9009 428-4559 20128211 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 Rx REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (20 Sq) Tear-off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OFCONST, 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 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 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 $1714 $.86 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 $56.75 Fire 54 $1.71 PLAN CHECK FEE TOTAL Llcens 5.00 64 2 SIGNATURE OF CON'RACTOR OR AUTHORIZED AGENT IDATEI P PER (DATE IS I PE IT BL Sp - rIATE S-GNATURE OF OWNEROF OWNER BUILDERI IDATEI NEW 11 ADDN II ALTER I1 ConstructionAddress: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Effective 8/1/95- Legal /1/95- Legal Description: \ — Owner Name & Address: d Gyri �4�2611 6TA A4 Tel. # Contractor: 7 -OP 60AJ .17/JC — MN LICENSE # Address: '501q /tm? iS ave Le, p ,.� , m n -SS 3-7 4 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 Width Height Sq. Ft.. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: $850 per SAC Unit - $ 5-. CO .$5.00 (State Licensed Residential Contractors) Driveway Escrow Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Alt. "A" or Alt. "B" Above Type of Construction: $ 'Estimated Cost: $ /p7/ L% Approx. Completion Date: $ Fee Determined by - Engineering Sewer Main Charge (Cost -on Back) Curb Cut Wdth Needed• Ft + 6 Ft= • Ft x $ _ $ $ Driveway 1 - DATE: APPLICANT: Tel. # '���- _SS 7 Permit Fee $ S 7&. -K' Fee Schedule on Reverse Side Fire Surcharge $ /,'7/ .001 of Permit Valuation (1/10th%) State Surcharge $ jl- $.50/$1,000 Valuation SAC Charge $ $850 per SAC Unit License Surcharge $ 5-. CO .$5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by - Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ l TOTAL $ to LI, 39 STIPULATIONS: Building MECHANICAL Permit No.: `s) I (-:)z 1 W Inspections RESIDENTIAL APPLICATION Received By 763-572-3604 CITY OF FRIDLEY Date R 'd: 763-502-4977 FAX EFFECTIVE 7-1-2010 ��� DATE / U Y9 R E-MAIL ADDRESS PROVIDE HEAT LOSS CALC'S PER MANU J X006 AS E NDBOOK �'Q SITE ADDRESS So k /�f� MFG:, C�i`� MODEL6 / it' � � SIZE/BTU - THIS APPLICANT IS: ❑ OWNER CO TOR _rA/C $25.00 _FIREPLACE (GAS) $15.00 RANGE/OVEN $10.00 PROPERTY NAME: 0 _NEW FURNACE $35.00 UNIT HTR $10.00 _CHIMNEY LINER $10.00 OWNER/ _DUCT WORK $10.00 _POOL GAS PIPING $10.00 VENTILATOR $15.00 TENANT ADDRESS: ST ZI PHONE: -* CONTRACTOR COMPANY NAME: Oittn CONTACT PERSON: SUBMIT A COPY OF STATE LICENSE #, EXP DATE YOUR STATE LICENSE WITH ADDRESS: CITY q.y7 ((,� {� per' STAT Z19 APPLICATION PHONE PERMIT TYPE }�-' SINGLE FAMILY �❑ ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: NEW XEPLACEMENT ❑ ALTERATIONIREMODEL DETAILED DESCRIPTION OF WORK �}iYttCiY�bf....... t#S 11�iP'lltir@ raP", 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 accord ce with the approved plan in the caseof-al'hwork which requires reviel)and avvroval of plans f-) SIGNATURE OF APPROVAL INSPECTORS SIGNATURE NA %I City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) PROVIDE HEAT LOSS CALC'S PER MANU J X006 AS E NDBOOK �'Q Equipment Installed MFG: /Y MODEL: )20 � SIZEBTU 0, /�f� MFG:, C�i`� MODEL6 / it' � � SIZE/BTU - cJ MFG: MODEL: SIZE/BTU _rA/C $25.00 _FIREPLACE (GAS) $15.00 RANGE/OVEN $10.00 _AIR TO AIR EXCHANGEER $15 _GAS FIREPLACE (WOOD) $35.00 GAS GRILL $10.00 _BOILER $35.00 _NEW FURNACE $35.00 UNIT HTR $10.00 _CHIMNEY LINER $10.00 _GAS _GAS DRYER $10.00 HEATER $35.00 _DUCT WORK $10.00 _POOL GAS PIPING $10.00 VENTILATOR $15.00 �}iYttCiY�bf....... t#S 11�iP'lltir@ raP", 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 accord ce with the approved plan in the caseof-al'hwork which requires reviel)and avvroval of plans f-) SIGNATURE OF APPROVAL INSPECTORS SIGNATURE NA %I City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building PLUMBING Permit No.: t Inspections RESIDENTIAL APPLICATION Received B : 763-572-3604 CITY OF FRIDLEY Da c 1 2 763-502-4977 FAX EFFECTIVE 7-1-2010 DATE ® YOU E-MAIL ADDRESS SITE ADDRESS ( o , V t� l / ^ V THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY NAME: OWNER/ ADDRESS: �P 90 �J e"�1 y,/� STAT±F IP 3,91 TENANT PHONE: -+ CONTRACTOR NAME:11-10-411--k P a SUBMIT A COPY OF YOUR STATE STATE LICENSE # — EXP DATE LICENSE, BOND AND STATE BOND # I XP DATEI r��) CERTIFICATE OF ADDRESS: CITY_ S ' W)o ZI INSURANCE p .. P-� PHONE e i�Z 'v �� &, FAX I PERMIT TYPE I (MINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW 26REPLACEMENT DETAILED DESCRIPTION OF WORK THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a plumbing permit and I cknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and code 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 ermit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the o 1 wo y �' review and ap 1 of tans. SIGNATURE OF APPLICANT NT NAME U APPROVAL INSPECTORS SIGN TURE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977