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PRE 2010 DOCSCity of Fridley, Mims BUILDING PERMIT No 5879 ---") Date: �.,. Owner:Builder Address _ _ _ __ Address -- TION OF..IL No"� S _ _ .. f Lot 7 Lot _ _ Block .�. __� Addition or Sub -Division Corner Lot Inside Lot OT!!_ Setback _`_ _ _ Sideyard—.— Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING *fco�c�;tlar Front Depth � Height"Sq. Ft:Cu.Ft.Depth H htlSq. Ft.. CuFant. CotX� To 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._._. 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 in all 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 violpCoft.-of any of the provisions of said ordinances. _ .A i �. Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, 'plumbing, gas heating, sower or water. Be sure to we the Building Inspector for separate permits for thew hems. 4 -- , APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner's Name ® Builder Address M- ,�Cv®o Address LOCATION OF.BUILDING No. / ..,Street_ //�/T... +art of Lot Lot Block l� -Addition or Subdivision�zZZ, Corner Lot Inside Lots SetbackSide--Yard SEfi,TER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used ass FrontDepth 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 ruling of the Department of Build- ings, and hereby declares that all the facts and re sentations stated in this ap lication are true and correct., - DATE SIGNATURE (Schedule of Fee.Costs can be found on the Rei(erse Side). BUILDING PERMIT FEE SCHEDULE 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 existing 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 to 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 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 $1.40 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 $1.25 .for each one thousand cubic feet, classified as t$fireproof" by Section 502 of the Minneapolis Building Code. HOUSES 2.3. For any such permit for the erection of any non -fireproof build- ing 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 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 con- tents 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 cellar 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 be 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 t" n $4.00. s p Qq City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs, Phone SII 4-7470 DESCRIPTION OF WORK Number, Kind and Location of Fixtures Location y, NN 00 K y, PARTIAL RATE SCHEDULE Estimated Cost, $ W PLUMBING FIXTURE RATES: OE UN' Z O F N WATER HTR. GAS ELEG� Base $ By New Fixture Old Opening .............. x 1.00 $ Business Phone No CatchBasin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ 9,00 d ROUGH ` New Ground Run Old Bldg . ............ x 3.25 $ 1st / 2nd 3rd _ 4th • Future Coanectioa Openings New .Fixture, Old Openings Connected with Sewer � Cesspool 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 all the facl and representations stated in this application are true and correct. Fridley, Minn 19�� Owner J Kind of Building Used as GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $T- Y f 10 e Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ 42 2M To be completed about PARTIAL RATE SCHEDULE Estimated Cost, $ ew. Building Permit No- 71 Permit No. PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ....... ....... x $1.50 $� Signed Future Fixture Opening ................ x 1.20 $ By New Fixture Old Opening .............. x 1.00 $ Business Phone No CatchBasin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ 9,00 d ROUGH ` New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $T- Y f 10 e Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ 42 2M City of Fridley Application for Plumbing and Gas Fitting Permit DepL of Bldgs. Phone SD 4-7470 DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ......................� x $1.50 $ 66 Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ -4190 New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code 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 19 Owner Kind of Building Used as To be completed about Estimated Cost, $ Old—New. Building Permit No "_71P®M No d ROUGH -✓A. - I Iz— FINAL Description ............................................... $ TOTAL FEE $ 42 2M 7-59 N N 005 3 W t7 Z z . ` WATER HTR. ELEC. 5 6� ? 3� OS O� S 6 �$ �p R N GAS m 3 Base 1st l a Ind _ 3rd _ 4th • Future Co wectl n Openings Connected with Sewer E] New Fixture, Old Openings Cesspool EJ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ......................� x $1.50 $ 66 Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ -4190 New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code 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 19 Owner Kind of Building Used as To be completed about Estimated Cost, $ Old—New. Building Permit No "_71P®M No d ROUGH -✓A. - I Iz— FINAL Description ............................................... $ TOTAL FEE $ 42 2M 7-59 Application for Power Plants and Heating, Cooling, Ventilation, Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work .......................... 8.00- Replacement .00 Replacement of Furnace 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 It each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. IDR 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 TO L 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE ROUGH FINAL Dept. of Bldgs. Phone SU 4-7470 City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application ht I rrect. ridley, Minn 19 19 Owner /7 4 :z9_' Z6_4C: � Kind of Building Used as ` 62 To be completed about Estimated Cost, $ ew. wilding Permit No. Permit No. C U OF WORK BEATING , Warm Air—NoZ Trade Nam Size Capacity Sq. Ft. E.D.R-" - BTU H.P. Total Connected Load z,1.1 Rind of Fuel r� BURNER — Trade Nam � P Size N �4? 7 /A Capacity Sq. Ft. E.D. `W TU A.P. GEO. SEDMVICK HTG. €': AIR -GOND. CO 1001 Xenia AV. S. / Minneapolis 16, Minn. Signe . By 4E 2M Business Phone o (REMARKS -OVER) D.M 7-4SO-9 HEAT LOSS CA Weatherstrips Windows Doors Yes—No I ft 84 - i�16 "r- 14 .CLXATIONS DEPARTMENT OF BUILDINGS A.S.H.V.E. Construction No. Guide P�ii Reference Out. Wall Int. Wall Ceiling Roof Kind 7 19_ 11 ;' Ft_I -a- a Room i Length e RoomiLength width Height Windows and Doors--Crackage and Area 'c'i ,, J-1 Width Height No of Lineal fi. Area No. of pane of pane lig�ts of crack sq. ft. —LL Coef. Coef. 1 A W- Infiltration Coef. I Btu Infiltration 65, Sl "'J .1�1 1� "i 1'11 Glass 4 1;i""' fi ,3 Exp. wall Exp. wall Net exp. wall, e Pr Net exp. wall Net exp. wall Int. wall 4 34 '5' Int. wall Int. wall Ceiling,:,, Ceiling Ceiling 17 ' j Floor V Floor i�Pf Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 , mi � vA..!x- Room I Lenstth � --;t, �, Width i ,- i, ;, Height 9, Windows and Doors—Crackage and A ea Width Height No of ' Lineal ft. Area No. of pane of pane ligi�ta of crack eq. ft. 'c'i ,, J-1 —LL Coef. Coef. 1 Btu Infiltration T : -FT Glass "'J Glass 4 1;i""' Exp. wall -2 Net exp. wall, e Pr Net exp. wall Net exp. wall Int. wall 1-4 `4 & "141 Int. wall Ceiling Ceiling 17 ' j Floor Floor i�Pf kyr Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 T - tQ,�j,,.PkRoom I Length V Width '11 Height. 9� Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. 'c'i ,, J-1 —LL Coef. Coef. 1 Btu Infiltration Glass c' N� Glass 4 1;i""' Exp. wall ,2" Net exp. wall, 7 Pr Net exp. wall Net exp. wall Int. wall 1-4 `4 & Int. wall Int. wall Ceiling Ceiling ::-s, 17 ' j Floor 4 i�Pf Total Btu. I "'� 41 Required so. ft. E.D.R. or so. ins. W.A. Leader area 1 01 1 NUNNWOLIS, MINN. Insulation How. Applied Width P,.' Heiaht Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area nl crack sq. it. No. of pane of pane lights of Coef. Coef. Btu Infiltration Glass Glass Exp. wall Exp. wall; ,2" Net exp. wall, 7 Pr Net exp. wall Int. wall Int. wall Floor 4 'K e 2" Ceiling ::-s, 17 ' j Floor -,". i�Pf kyr Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 'I R -1 " W R r A Room I Length �, --A� Width r� I'-,;,!- {- Height,';� Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack -sq. ft* Coef. Btu Infiltration Infiltration Glass Glass Exp. wall Exp. wall :2q3 Net exp. wall, 7 Pr LI_r Int. wall Ceiling Floor 4 'K e 2" Ceiling 17 ' j Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area t Uvv% RnnmlLength Width 11 Heistht Windows and Doors—Crackage and Area Width Height No. of Lineal ftArea No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall :2q3 7 Net exp. wall Int. wall Ceiling Floor 1A kyr Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area A.- .. �. . F D-56 ' s HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS Weatherstrips A•S.H.V.E. Construction No. Guide Windows Doors Reference Out. Wall JInt.Wall I Ceiling I Roof Floor Yes—No I Yes—No 19._ k F1.1 --a' Room l Length t Width i Heiaht sk II Fl.l Windows and Doors—Crackage and Area Width Height No. ks of Lineal ft`. r. Area No. of pane of pane lights of cracsq. ft. Width Height No. of Lineal f . Area No. of pane of pane lights of crack sq. ft. LJCoef.j Infiltration Glass Btu Infiltration Net exp. wall ; a; Glass Ceiling 4 i Exp. wall i ' •, x; . �. Net exp. wall _ r Int. wall Ceiling >, Floor Total Btu. 11 (? '`,gym, Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.1 Room I Lenath Width Heiaht Windows and Doors—Crackage and Area Width Height No. ks of Lineal ft`. r. Area No. of pane of pane lights of cracsq. ft. Coef. Btu Infiltration Glass Exp. wall `t Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef.l Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I MINNEAPOLIS, MINN. Insulation Kind How. Applied Room I Length Width Heiaht Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling -Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length Width Windows and Doors—Crackage and Area �Wldth Height No. oL Lineal ft. Area No. of nave 011 pane lights of crack sq. ft. Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area P1.1 Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of Dane t.pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area PERMIT for Power Tants and bleating. Cool- ing, ventilation, Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK No. of_ kk� Heating Plants aC,�J 69'+ZZ to qe in,4 ltered—repaired Make �.�ih�r��° ,Size �d s (-7-1Z - Oil fired—,— Coal fired—,- Gas fired—k; Gas Authorization No. Remarks Approved Final Inspection 19_ Inspector 64®gq Permit N° 4850 Fee $ Office of the Inspector of Buildings City of Fridley City of Fridley, Minn., ®Jd r, / �7 , 192 Owner zV- !& Location Kind of Building �(64X p _. How Occupied , Work to be Commenced-,19— To ommenced ,19_To be Completed JIZ,19 Estimated Cost, $ 1 JV 0, 0® Old- ew, Building Permit No. Permission is hereby granted to' .4,4,4 install—erect—use the material and devices described in the above statement. This permit is granted upon thi express condition that the person to whom it is granted, and his agents, employees and workmen, in all the work done and materials used under this permit, and in the operation of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley relating to or governing the work to be done and the operation of the devices herein named, and to the s ecifications set #rth in the approved application for this permit on file in the office of the Inspector of Buildings. � ® f Inspector of Buildings 4z 2M 11.67 V AppleaAm for Power B Vewflkition. 11 cmd Air Condiffming S and Devices PARTIAL RATE SCHEDULE ' GMAVITY WAIN AIR: RATE TOT", Furnace Shell & Duct Work ............... I .......... $10.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 .................. 6.00 $ Repairs & Alterations each add. $500.00 ........... ... 3.00 $ Cl. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ each add. 60,000 RM ....................... 3.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ....... I ......... 6.00 $ Repairs & Alteratigns each add. $500.00 .............. S.M. STEAM or HOT WATER SYSTEM Furnace Shell & L[nes—to 400 sq. ft. E'DR Steam ... .$10.00 $ Furnace Shell & Line—to 640 sq. ft. IDR Hot Water .. 10.00 $ Each add. 200 sq, ft. EDR Steam ......... ..... :...... 3.00'S Each. add. 320 sq. it. EDR Hot Water ... I . ........ ... 3.00 $ OIL BURNER—to 3. gal_,. -per hour .... . . ... ..... 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to M,000 BTU) ......................... 6.04 $ over 189,004 BTU See. Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ..... ................ x$ 7.00 $ OL 0 (� Additional Fixtures .................. x .78 $ Gas Range to 199.004 .......... AM t HEATING SYSTEM See 'Fae Schedule VENTILATING SYSTEM $� ALTERATIONS A REPAIRS TOTAL FEE Dept. of Bldgm. Phone 884-3494 City of Fridley: The undersigned hereby makes application for a permit for the work hereir 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. /�) FridleyA Minn- //—/-3- Is;!() Owner. Kind of Used as To be completed about 101 () Estimated Cost, $ Old—New._ Building Permit No. Permit No. DESCRIPTION OF WOR* Trade Size Capacity Sq. Ft. E.D.R BTU H.P. Total Connected Load .j /) 3 Riad of Fue BURNER — Trade Name size No Capacity Sq. Ft. E.DR- BTU H.. FINAL— (REMARKS-OVER) 7 M. CITY OF FRIDLEY APPLICATION FOR PLIMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: N0. RATE TOTAL New Fixtures Future Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Hydraulic Valve Sump or Receiving Tank Water Treating Appliance Hot Water Heater Gas Range Gas Dryer $ 5.00 $ 3.50 $ 1.50 $ 4.00 $ 5.00 $ u $ � a 5.00 Water m ail of $ Gm $ EN+ I '4do Q m H a CN Heater O .0 •.r, 6M fi rW AC U uggh H� f t'gnu D LQ y 3 4 w a] w0 u 3 i� o as lec PO yx lst 2nd 3rd 4th (R) r Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: N0. RATE TOTAL New Fixtures Future Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Hydraulic Valve Sump or Receiving Tank Water Treating Appliance Hot Water Heater Gas Range Gas Dryer $ 5.00 $ 3.50 $ 1.50 $ 4.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 $ 7.00 $ 5.00 $ 10.00 nn P $ 10.00 Back Flow Preventer Required. . . yes ( ) No ( ) Type $ 5.00 $ ALL OTHCRS AND/OR REPAIRS AND ALTERATIONS 1% of Value of Fixture or Appliance $ 15,00 State Surcharge $ .50 Reinspection Fie $ TOTAL FEE ($15.00) $1 S Ettective Date May 1. 1988 Job Address 1473 NE TTOlhagen Drive 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. 12 j an 90 19 OWNER Monte Kolodze #5710844 >^ KIND OF BUILDING fr USED AS res TO BE COMPLETED ABOUT 12 Jan 90 ESTIMATED COST 300, OLD - jag( BUILDING PERMIT NO. PERMIT NO.�� .:,.m Comf5ainy// S Tel. No. ROUGH INSP. Date FINAL INSP. s gL) Date APPROVAL FOR PERMIT Minnegasco #342.5337 700 X. Linden Avenue P. 0. Box 1165 Minneapolis, MN 55440-1165 &A.) MINIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE SUBJECT IT NO. City Of Frialey 27244 AT THE TOP OF THE TWINS BUILDING PERMIT T R T NO. COMMUNITY DEVELOPMENT DIV. ♦V � PROTECTIVE INSPECTION SEC. r � NUMBER REV DATE PAGE OF APPROVED BY i' o "n CITY HALL FRIDLEY 55432 612-571-3450 910-F15 8/17/98 JOB ADDRESS 1473 Trollha en Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 2 Innsbruck 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Monte Kolod e 571-0844 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO, 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW O ADDITION O ' ALTERATION CK REPAIR O MOVE 0 REMOVE 8 DESCRIBE WORK Reroof house and garage (29 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING MOT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED, NO, DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 241$ $1.20 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. $74.75 Fire SC $2.41 ° PLAN CHECK FEE TOTAL FEE 79. 3 6 SIG ATUREOFCONTRACTO,g�iR UTH R12E AGENT DATEI N ROP V ALIDATE HIS IS YOUR MIT (x� V /P S,GNAT RE OF OWNER OF OWNER BUILDERI ID EI B G INSP �� E NEW [ ] ADDN [ ] ALTER [ ] X ConstructionAddress: Legal Description: _ X Owner Name & Contractor: Address: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �� 3 Effective 1/1/98 Tel. # s) f MN LICENSE # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Tel. # LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. iC OTHER: ,M -b,— L9 Construction Type: Estimated Cost: $ cl? `7 / 8 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: ?-/E 491APPLICANT: Tel. # CITY USE ONLY Permit Fee $ �% `7. %�� Fee Schedule on Reverse Side Fire Surcharge $ �. `l/ .001 of Permit Valuation (1/10th%) State Surcharge $ / o2C� $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ $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 [ ] TOTAL $ STIPULATIONS: BUILDING PERMIT FEE SCHEDULE The Chief Building Oficial shall, before issuing permits for the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repair to any existing building or structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount herein below set forth and in the manner herein provided to -wit: TOTAL VALUE FEES $1 to $500 $21 (Minimum Fee is $21 plus surcharge) $501 to $2,000 $21 for first $500 plus $2.75 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $62.25 for first $2,000 plus $12.50 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $349.75 for first $25,000 plus $9.00 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $574.75 for first $50,000 plus $6.25 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $887.25 for first $100,000 plus $5.00 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $2887.25 for the first $500,000 plus $4.25 for each additional $1,000 or fraction thereof, to and including $1,000,000 $1,000,001 and up $5012.25 for the first $1,000,000 plus $2.75 for each additional $1,000 or fraction thereof DRIVEWAY DEPRESSION ESCROW (Concrete Curb Streets Only) Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50. Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide approach with 6 inch depth - Driveway width plus 6 feet times $15.75. VERIFICATION OF FOUNDATION Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper review of the proposed structure and of the construction site. A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed will be required before proceeding with the framing. CITY OF FRIDLEY 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 WARM 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 STEAM OR HJT WATER SYSTEM: RATE TOTAL $12.00 $ 7.00 $ 7.00 $ 4.00 $ Job Address 14'73 Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein $12.00 • $ specified agreeing to do all work in strict accordance with the City Codes 4.00 $ and rulings of the Department of Buildings, and hereby declares that all the 7.00 $ a a -P facts and representations stated in this application are true and correct. 7.00 $ 4.00 $ Fridley, Minn. OWNER ROUGH INSP. Date FINAL INSP. ooze APPROVAL FOR PERMIT REINSPECTION FEE ($10.00) MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE KIND OF BUILDING USED AS TO BE COMPLETED ABOUT J ESTIMATED'COST 46 OLD NEW BUILDING PERMIT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot water, azm �No. Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Total Connected Load Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Company. / o Signed By�� /s Tel. No. Boiler & Lines up to 100,000 BTU $12.00 $ each addn. 50,000 BTU 4.00 $ Boiler only up to 100,000 BTU 7.00 $ each addn. 50,000 BTU 6.00 $ OIL BURNER- to 3 gal. per hour $10.00 $ each add. 3 gal. per hour 10.00 $ GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $ '-p (over 199,999 BTU see Fee Schedule) $ GAS FITTING FEES: 1st 3 Fixtures x $ 3.00 $ Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00• $ AIR CONDITIONING $ FAN HEATING SYSTEMSSae Fee Schedule $ VENTILATING SYSTEMS $ ALTERATIONS $ REPAIRS $ State Surcharge $ .50 TOTAL FEE $ 42, SD ROUGH INSP. Date FINAL INSP. ooze APPROVAL FOR PERMIT REINSPECTION FEE ($10.00) MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE KIND OF BUILDING USED AS TO BE COMPLETED ABOUT J ESTIMATED'COST 46 OLD NEW BUILDING PERMIT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot water, azm �No. Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Total Connected Load Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Company. / o Signed By�� /s Tel. No. CITY OF FRIDLEY APPLICATION FOR HEATING REPLACEMENT CHIMNEY AND STACK VERIFICATION THIS FORM MUST ACCOMPANY STANDARD APPLICATION FOR HEATING PERMIT FORM. LOCATION 7 � DATE /- /�I r` OWNER ADDRESS /5173 The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined 2. Is free from rust or deterioration 3. Pio foreign objects are lodged within 4. That it is securely supported 5. That it meets all current Code requirements for size and total BTU connected 6. Total Heating BTU All Other BTU TOTAL, REMARKS HEATING PERMIT # SIGNED a �. Licen by Address �21/ 2, rS AJ 'Telephoned Fridley City License / 5I Building MECHANICAL Permit No.: S Inspections RESIDENTIAL APPLICATION Received By: / 7.63-572-3604 CITY OF FRIDLEY Date Rec'd: DATE YOUR E-MAIL ADDRESS SITE ADDRESS THIS APPLICANT IS: ❑ OWNER ❑CONTRALTO PROPERTY NAME: OWNER/ ADDRESS: CITY STATE ZIP/ TENANT PHONE: CONTRACTOR COMPANY NAME: SUBMIT A COPY OF CONTACT PERSON: YOUR STATE LICENSE WITH EXP D�.A�� ' �� STATE LICENSE �� G? STATE! - ZI1t �� UQ CITY'? ADDRESS: APPLICATION PHONE FAX PERMIT TVjeE ❑ SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW ❑ REPLACEMENT ALTERATION/REMODEL ! 1 DETAILED DESCRIPTION OF WORK . PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x .05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) Equipment Installed MFG: MODEL: SIZE/BTU MFG: MODEL: SIZEIBTU MFG: MODEL: SIZE/BTU A/C $25.00 (GAS) $15.00 GAS RANGEIOVEN $10.00 _FIREPLACE TO AIR EXCHANGEER $15 (WOOD) $35.00 NEW GAS GRILL $10.00 _AIR _FIREPLACE $35.00 $35.00 • _GAS UNIT HTR $10.00 _BOILER _FURNACE LINER $10.00 GAS DRYER $10.00 _POOL HEATER $35.00 _CHIMNEY DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 1y.1 .. L - �"� APs ... a .. .. ... .. .. v .'. May Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 Total = $ 60 THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all wor which requ' review and approval of plans. "— DATE SIGNATURE OF APPLICANT PRINT NAME a l' 'LSA: E��i7't�' El�'A,IZ�Ax ,1��',ER�.vIl.TS�AR)�;RE; UII2ED`F O�.Bi3Ii.>D1N:G;, LSC C `�,ANI?z�l✓. _'C�.�,��0 � City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMESIADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or PropaneAFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments _ 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 5. Ventilation . a. Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make up air calculations