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PRE 2010 DOCSCity ®f Fridley, BUILDING PERMIT NO. 6191 Date: �""` '�""' Owner: Builder Address _ _ _ Address -- A ry ■ ■ ■ v rro w No. 46 Scree /� o t Lot Block Addition or Sub-Divisio Corner Lot M Inside Lot Setback Sideyar Sewer Elevation ___ _.._ Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Front Depth _ Height Sq. Ft Cu. Ft. Front Depth ght _ _ Sq. Ft. cu. Ft. Type of Construction Est. Cost ._ be Completed In consideration of the issuance to me of a permit to construct .the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley.! In consideration of the payment of a fee of $ permit is hereby granted to Ar to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform inall respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon vi of any of the provisions of said ordinances. ,rte Building Inspector NOTICE: 'fids penult does not corer the construction, hutaMon for whb& plumbing, gas hong, sewer or water. Be sono to see the Building Inspector for sop -ate permhs for these Nuns. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner 1 s Name Builder Address AA41C_A__ —Address LOCATION.OF BUILDING No. (0 / Street 040Part of Lot Lot Block Addition or Subdivision Corner Lot Inside Lot Setback Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as: Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction 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 L � SIGNATURE I (Schedule of Fee Costs can be found on the Reverse Side). c BUILDING PERMIT FEE SCHEDULE. 10 Section 2. The Inspector of Buildings shall, before issuing any permit for the erection of any building or structure, or for any addition to any exist- ing building or structure, or for any alterations or repairs to any.existing building or structure, upon Application therefor,'require the payment by the applicant for such permit of fees °-,, the amount herein below set forth and in the manner herein provided to -wit: 2.1. For any such permit for the erection of any:fire-proof building, other than a garages warehouse, factory or grain elevator, or for the erection of any fire -proof addition, for similar occupancy, to any existing building shall be at the rate of $1.40 for each one thousand cubic`feet, or fraction thereof, in such cubical. contents. 2.2. For any such permit for the erection of any fire -proof garage, warehouse, factory or grain elevator, or for the erection of any fire -proof addition, for similar occupancy, to any existing building shall be at the:rate of $1.25 for each one thousand cubic feet, classified as "fireproof1° by Section 502 of the Minneapolis. Building. Code. HOUSES 2.3. For any such permit for the erection of any non -fireproof building other than a garage, warehouse, factory or grain elevator, or any non -fireproof addition, for similar occupancy, to any existing building - permit°$1.00 for each one thousand cubic feet. GARAGES 2.4. For any such permit for the erection.of any non -fireproof garage, warehouse, factory or grain elevator, or for the erection of any non -fireproof addition, for similar occupancy, to any existing building or for each such building or addition - ninety cents ($0.90) for each one thousand cubic feet or fraction thereof, in the cubical contents thereof with'a minimum.of $4.00. For the purpose of computing fees for .building permits,'the cubical contents of any building or addition to a uniform height throughout by multiplying the ground area covered from a point six (6),inches below the floor line of the basement or collar to the average height of the upper surface or -,to the average height of the roof surface of the main gable of.a pitched roof. 2.5. For repairs or alterations to an existing structure, the.fee shall at the rate of $3.00 per each Five Hundred Dollars ($500.00) or fraction thereof in the cost of all *proposed work. 2.6. In no case shall the fee charged for any permit as set forth in Section 2 be less than $4.00. be O SUBJECT City of Fridley 27582 AT THE TOP OF THE TWINS BUILDING PERMIT r ECE COMMUNITY DEVELOPMENT DIV. _ v PROTECTIVE INSPECTION SEC. " NUMBER REV GATE PAGE OF APPROVED BY CITY HALL FRIDLEV 55432 612-571-3450 910-F15 9/4/98 JOB ADDRESS 6291 Trinit Drive NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 25 2 iSylvan Hills Plat 3 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Lynn Boer erhoff 721-6628 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE: NO. Panelcraft of MN 3118 Snelling Ave S Mls MN 5721-6628 2179 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 jj REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (20 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD 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 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- STR N PERFORMANCE OF CONSTRUCTION.56 c Fire SC 1.71 CK FEE PLAN CHECK TOTAL FEE (O"HE License SC $5.00 64.32 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI WHEN PROPERLY a BLO INSP A IDATE THIS IS YOUR PERMIT � qa TE _ S)GNATURE OF OWNERUF OWNER BUILDER) IDATEI 1� Is 1v �_K ADDN 11 AL•TEIt I I Construction Address Legal Description: Owner Name' Add. Contractor: 1 i _ P>�iC Address:.S//d 4,0 CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ."I't 7e//U�� bOP& L11ccUve 1/094 MN LICENSE Tel. 1l 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 Sy. Ft. GARAGE ARCA: Length Width Height Sq. Ft.- DECK t.DECK AREA: Length Wil th Hgt/Ground Sq. Ft. OTHER: 4� 1 0 -' Corner Lot i l Inside Lot Ft. Yd Setback Side Yard Setbacks Type of Construction: ""/ Estimated Cost: Approx. Completion Date: ( Cost on Back) Driveway Curb Cut Width Needed: Ft. + Ft 177t x $ Tel. // 14 DATE: APPLICANT: Permit Fee Fire Surcharge Slate Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge. CITY USE ONLY d S -_— Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) o $ U�o $.50/$1,000 Valuation $ $800 per SAC Unit _ _ U� $.5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering '� -- Agreement Necessary I I Not Necessary I TOTAL STIPULATIONS: SUBJECT City ®f Fridley 3145 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. REC�� COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. PROTECTIVE � e CITY HALL FRIDLEY 55432 NUMQERnEv DATE PAGE OF APPROVED Br L 612-571-3450 910-F15 10/6/00 JOB ADDRESS 6291 Trinity Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 25 2 Sylvan Hills Plat 3 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Lynn Boergerhoff 6291 Trinity Drive NE 763-571-9427 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install a basement egress window 9 CHANGE OF USE FROM TO STIPULATIONS Egress window to meet the State requirements. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 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 AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $500 I $.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CH RGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $ 23 SO Fi sc $ STRUCTION OR THE PERFORMANCE OF CONSTRUCTION . .50 PLAN C77 E TOTAL FEE / 4.50 $i NATURE OF CON"RAC OR OR AUTHORIZE G T IDA TEI HE R P VALI AT THIS IS Y UR PERMIT yy F.t BLD INSR T+A+E S -GN TUBE OF OWNER.,F OWNER BUILD I ATEI NEW [ I Effective 1/1/2000 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: a / �r-, +n ;1'�, r) %#,k A)� Legal Description: ,� c-'�' '� t3)a�t�G ML `J.,)v+t,, _ V2 ))s M-41 3 Owner Name & Address: L Contractor: Tel.# 7l3. 97J-41447 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 Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: _�c't r'ess ?JL--.jONJ -1 Construction Type: Q004 �e4me Estimated Cost: $v Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: 10 rp a0'00 APPLICANT: fl Tel. # no -s 1— `1' i a7 CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Call (763) 572-3604 for Permit Fees if mailing in application $ CZ3, Fee Schedule on Reverse Side $� .001 of Permit Valuation (1/10th%) $ $.50/$1,000 Valuation $ $1100 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 [ ] 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 VALU18 $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 u $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus'$7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $50,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof,`to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. New Houses Only N W 0 W 0 0 m Li- z 0 m Ln v LD Ln LD v tD Egress window R. O. 28 7/8 x 413/8 (3)2x8 header (treated) 1 /amu -i 11.22 1 ------i'__-- Inside elevation Floor ill 1 susiky RMIT NO. City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT ®� 27 ` RECEIPT NO. •16 COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r E � CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE Oi APPROVED BY 1 J` 612-571-3450 910-F15 1/13/00 e e JOB ADDRESS 6291 Trinity Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 25 2 Sylvan Hills Plat 3 SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Lynn Boergerhoff 6291 Trinity Drive NE 571-9427 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION ALTERATION ❑ REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Install a sauna in the basement 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. SEPARATE PERMITS REQUIRED FOR: WIRING HEATING MOIR AND SIGHS SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 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 $1,000 $.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 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- $38.75 Fire SC $1.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEET AL FEE $40.25 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT WATE, H PRO Y VAL AD THIS IS YpUR IT 86tG INSPATE SiGNATUREOFOWNERnfOWNER BWLOERI jDATEj 1 NEW [] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: b Z9 ) 7rr; 114 bsoI;K NF Owner Name & Address: J. Contractor: �0�9 -TIO; ' � 0 iN.;V4 ?JV Vr%Al es Effective 1/1/2000 612-572-3604 Bldg Insp A Tel. # bJ*J. 571-101 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 Width Height Sq. Ft GARAGE AREA: Length Width Height Sq. Ft DECK AREA: Length Width Hgt/Ground Sq. Ft OTHER: Construction Type: 5&I v v% a. Estimated Cost: $ )-0013 If Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: I 1Z APPLICANT: Tel. # Q� A. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Call (612) 572-3604 for Permit Fees if mailing in application Fee Schedule on Reverse Side $ .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $ $1100 per SAC Unit $ $5.00 (State Licensed Residential Contractors) "A" or Alt. "B" Above E.1 $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL STIPULATIONS: $ �' /X0,"16 BUILDING PERMIT FEE SCHEDULE The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: TOTAL VALUE $1 to $500 $501 to $2,000 $2,001 to $25,000 $25,001 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1,000,000 $1,000,001 and up FEES $23.50 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $3,233.75 for the first $500,000 plus $4.75 for each additional $1,000 or fraction thereof, to and including $1,000,000 $5,608.75 for the first $1,000,000 plus $3.15 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $15.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $23.25. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. New Houses Only 2000 11.43AM _ No•1497 P. 3/3 poe rn cr ho -f a$'pvw" I TrlW,%- y N 111 1 �oOO top t 00, ;00, i S A i,� in,du i 1 . ..v_... ol 00,0� 000�/ E " "ITY OF FRIDLEY INSPECTION DIVISION Effective On January 1, 2= 5431 University Ave NE =ridley, MN 55432 APPLICATION FOR POWER PLANTS ARID HEATING, COOLIN% VENTILATIi?t+I, � 763) 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEttlCiiES � J08 ADDRESS Z � RATE SCHEQULE G' OWNER---t'C tesidential Rate TOTAL Furnace Shelf and Duct Work Sumer • BUILDING USED AS Also Replacement Furnace $ 30.00 (Siam Vent - Fig Out Back) $ � ESTIMATED COST PERMIT No _ Gas Piping (Needed with neer furnace, $ 10.0 0 $ bud not replacement) RESCRIP LAAE AN) ®R BUS Gas Range $ 10.00, No. of Heating Units Circle One (Steam) (Hot dater) (Warm Air) { Gas Dryer $1(0.00 $ Trade Narrte _ _ Size Ido. BTU— 14P £DR— *'Air Conditioning - Ali Sizes $ 25.00 I uel _ Total Connected Load � Al! Others/Repairs & Alterations (LIST ON BACK) .. F3urnsr Trach: Name - -_ ._,• Size No. 1.%, of Value of Appliance or Work $ STil HP EDI- 'ommerciallinduslrial 1.25,70 of Value of Appliance or Work $ The undersigned lweby makes application for a permit for the work here]n specified agreeing to do all work in strict accordance with the City Codes an State Surcharge -& 50 rulings of the Building Division, and hereby declares that all the facts and e ,�—� representations statim in this application are true and correcto TOTAL FEE � DATE ,tttrI . _ t • t . AL 'Xit !EiNSPECTION FEE $47.00/Hr Air Confflioners can not be placed In a side yard without mitten permission from adjoining property owner. )v FILL OUT BACK SIDE EQR STACK VERIFlCAT14N ON REPLAQEME T EURNACE N TFtE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED %.;�".,�."MIN VFNT' VFNT CnNNFCTnR ANn CnMBiiCTInN AIR VFRIFICATInN When axiating fi oranna, the undersigned hereby verifies that the, venting has been examined and is free from rust, deterioration, obstructions, Yes and is securely supported and firestopped where required. { y No ( } The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and temnination. Yes ( ).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 Yes (} No ( ) assisted and natural draft appliances. The oxisarm nemeusfinn sir is sized and installed to meet the current codes and manufacturer's specifications. Yes (1 No ( } When required to jnntan a new cemblotien airs it Will be sized and installed to meet the current codes and manufacturer's specifications. Yes { } No When jpaftijing a ne��pyy em, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufactur'er's specifications. This does include AGA -LAMA Category I Central Furnace No Venting Tables,for fan assisted and natural draft appliances. Yes {) { ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes ()No( ) Appliance #1 Type OOM�01213TU Input _ Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat_______._ Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances , Total Btu Input Common Vent Type Vent Height Diameter Inches Appliance #1 Vent Connector Height ft Length ______ft Diameter in Type Appliance #2 Vent Connector Height ft Length _____ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type HEATING UlYOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (763) 571-3450 - FAX (763) 571-1287 June 29, 2004 Mr. Lynn Boergerhoff 6291 Trinity Drive NE Fridley, MN 55432 Re: Final Inspection at 6291 Trinity Drive NE Contractor: Daves Appl Htg & AC & CenterPoint Energy Dear Mr. Boergerhoff: Mechanical permits were issued in September and October,2003 to install a furnace and an air conditioner at your address. According to the 1991 Uniform Mechanical Code a final inspection shall be conducted on the work authorized by this permit. As of this date the inspection has not been requested. The permit fee that was paid covers the inspection to make sure the work was completed according to the Codes. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will mark the permit "no inspection called for by homeowner after notification" and the permit will be expired. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. Sincerely, DJ/mh CIlYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 July 7, 2004 Mr. Lynn Boergerhoff 2321 Quincy St NE Minneapolis, MN 55418 Re: Final Inspection at 6291 Trinity Drive NE Contractor: Daves Appl Htg & AC & CenterPoint Energy Dear Mr. Boergerhoff: Mechanical permits were issued in September and October, 2003 to install a furnace and an air conditioner at your address. According to the 1991 Uniform Mechanical Code a final inspection shall be conducted on the work authorized by this permit. As of this date the inspection has not been requested. The permit fee that was paid covers the inspection to make sure the work was completed according to the Codes. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will mark the permit "no inspection called for by homeowner after notification" and the permit will be expired. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. DJ/mh �� IN CITY OF FRIDLEY SPECTION DIViSION Effective January 1, 2003 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) §72-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES FAX (763) 571-1287 JOB ADDRESS 9Z ft'/1 RATE SCHEDULE OWNER e' ,-44 " , /4 AIn Residential Rate TOTAL Furnace Shell and Duct Work, Burner - BUILDING USED AS ce— Also Replacement Furnace $ 30.00 $-36-f (Side Vent - Fill Out Back) ESTIMATED COSTPERMIT N0. e� Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) DESCRIPTION OF FURNACE AND OR BURNER Gas Range $ 10.00 $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Gas Dryer $ 10.00 $ Trade NameQ,-a,d Size No.f?CrAk0 7 E/+M t_- 9 BTU -7La lw HP- EDR *Air Conditioning - All Sizes $ 25.00 $ Fuel_A)a+-ura Ge¢ 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 specified agreeing to do all work in strict accordance with the City Codes ar State Surcharge $ .50 rulings of the Building Division, and hereby declares that all the facts and TOTAL FEE $3' 20 representations stated in this application are true and correct. DATE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION CenterFoint Energy Minnegasco HEATING C013562 Central Ave NE, Anoka, MN 55304 REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE Signed - 763-757=6202 FAX # 763-757-6701 REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without Approved B _ Rough -in Date Final Date %I /1'1j written permission from adjoining property owner. p � FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE T. HE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPUCATION WILL BE RETURNED Men turn ning an axantin0 hirance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, Yes (Xi No ( ) and is securely supported and firestopped where required. The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes (XI No ( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and entral Furnace Vent ng Tables nufacturer's specifications. fo ifandoes include AGA-GAMA Category I C Yes (x) No ( ) assisted and natural draft appliances. The nn airis sized and installed to meet the current codes Yes) No ( ) and manufacturer's specifications. When required to:: �+ 'r new comh �stinn air_ it will be sized and installed Yes No( ) to most the current codes and manufacturer's specifications. When InataWow" yantinn 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 yes) No ( ) Venting Tables for fan assisted and natural draft appliances. Is the common vent and vent connectors sizedr and installed as been removed from the commonvent and vented tly after an appliance h Yes (x) No ( ) separately as per current codes. 9pganrn Tvoe and cine,/f nmmn^ Vpnf and Vent r^^^artnr Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type �.. C- t-- BTU Input Fan Assisted or Nat 1 A Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances 2, Total Btu Input \\Q .oa- Common Vent Type B Vent Height--- Diameter_ inches Appliance #1 Vent Connector Height _Jft Length ft Diameter _ i —4in Type n Type Appliance #2 Vent Connector Height 3 ft Length . _ft Diameter 0 M Appliance #3 Vent Connector Height = Length ft Diameter in Type HEATING CO:CenterPoi 13562 Central ve NE, Anoka, MN 55304 Signed By:Date: -13 -oz Building $ BUILDING Permit No Inspections RESIDENTIAL APPLICATION Received By: 763-572=3604 CITY OF FRIDLEY D e c'd: DATE 0-1 YOUR E-MAIL ADDRESS SITE ADDRESS 41 T 1'1,4%` $ THIS APPLICANT IS: 0 OWNER 2RONTRACTOR SAC Charge PROPERTY OWNER/ NAME: r,' h"I R - $1675 per SAC Unit (Plans to MWCC for determination) TENANT ADDRESS: �fitbe CITY STATEAQIP ft + 6 ft = ft x $21 = $ PHONE: $ CONTRACTOR NAME: L LL 0 4 -J cr✓c�-� J' Park Fee $ STATE LICENSE # 20 7 9 �r DATE - �� Fee Determined by Engineering SUBMIT A COPY OF ' q f wa ��/ _ y/r YOUR. STATE LICENSE ADDRESS: 04 / CITY STA " WITH APPLICATION P ONE 6 /- ZITXrr FAX /2 - /' �✓v?t PROPERTY TYPE A SINGLE FAMILY/NEW CONSTRUCTION S12E 0 TWO FAMILYiNEW CONSTRUCTION STORIES PERMIT TYPE 0 ADDITION 0 GARAGE/SHED 0 WINDOWS 0 BASEMENT FINISH 11 ROOF 0 DRAIN TILE 0 DECK 0 SIDING 0 OTHER 0 SWIMMING POOL TYPE OF WORK: 0 NEW 0 ADDITION ❑ MAINTENANCE/REPAIR P REMODELING DESCRIBE WORK BEING DONE: L'V S'c� $ & n c cy'�' +61< 1 C� 4 L -e SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING 0 HOUSE ONLY NUMBER OF SQUARES 0 HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES 0 ATTACHED GARAGE 1. 2. Existing Floor Plan Proposed floor plan PROPOSED S12 E: 0 DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, 0 Vinyl Soffit ADDITIONS. & PORCHES SUBMIT: 0 Aluminum 0 Trim 1. Site Plan/Survey showing the existing structures 0 Other`ascia and proposed project WINDOR'S IN IN EXISTING OPENGS Yes ONo LOCATION OF WINDOWS 2. 3. Two sets of construction plans Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED5vga AV (,60 K NUMBER OF'WINDOWS / ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE I9X U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ g, d -D $5.00 (State Licensed Residential Contractors) SAC Charge $ $1675 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( } Total Due $ 12'9.:61 Make checks payable to: Citv of Fridlev Attach Stipulations THIS IS AN APPLICATION FOR A PERMITNOT 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 case of all work w ' h requ. es eview and approval of plans. J i SIGNATURE OF APPLICAJ PRINT NAME ZI Adn& h &. Aer DATE Page 2 - Building Residential Application 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 $23.50 (Minimum Fee is $23.50 plus surcharge) $501 to $2,000 $23,50 for 1`` $500 plus $3.05 for each additional $100 or fraction; to and including $2,000 $2,001 to $25,000 $69.25 for 1' $2,000 plus. $14 for each additional $1,000 or fraction, to and including $$25,000 ' $25,001 to $50,000 $39125 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 l' $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 VER.MCATION 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