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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N° 5198 Date: Owner: Builder. — --__ Address Address --- --- )F BUILPINO Y ee �....____.._..� P Lot _. ....._......._.._ _..._....._........_. _ . _ -- Lot _.._.- Block ._ Ad on or Sub -on,_. Corner Lot __�,w .y _ Inside Lot ___ ..._ .. Setback r a+fM _ Sid- rd Sewer Elevation _ _ _ __ _ _ Foundation Elevation DESCRIPTION OF BUILDING *. Front Depth Height Sq. Ft. Cu. Ft. n Depth- Height Sq. Ft. Cu. Ft. Type of nstruction - Esi. _ 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 violation of any of the provisions of said ordinances. - " 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 these Noun. 4 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Miner I e Name R-. WW"e_:' /®� l'r Builder XWo4cje lddressAddress 3 oc74o le101 r LOCATION OF BUILDING No.Street of Lot Lot 9 Block Z Addition or Subdivision � Corner Lot Inside Lot /Z Setback j.�Side-Yard /e SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be -used as: s Front. Denth Height t 'i 1/� Sq. Ft. Cu. Ft. FrontDepth �2 Height Z Sq. Ft. '— Ou. Ft..., Z3 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 Ordinances and ruling of the Department of Buildings, and hereby declares -that all th facts and representations stated in this application are true and correct. DATE �� SIGNATURE (A Schedule of Fee Costs can be found on the Reverse Side.) p BUILDING PERMIT FEE SCHEDUIE 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 build- ing 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 tanner 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 fireproof garage, warehouse, factory or grain elevator, or for the erection of any fireproof addition, for similar occupancy, to any existing building shall be at the rate of $1.25 for each one thousand cubic feet, classified as "fireproof" 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 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 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 for 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. Q! / J �d� APPhecrtion for Power Pkmts and.Heatiing. Cooling. Ventilation, A ISOgerallion and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone Sv. 4- 74 70 n GRAVITY WARM AIR: RATE TOTAL, Furnace Shell & Duct Work .......................... 8.00 $ 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 $ ✓ ,y each add. 60,000 BTU ........................ 2.00 $ Replacement of Furnace . #.00 $ Repairs & Alterations—up to $500.00 ... ............ 5.00 $ Repairs & Alterations each add. $500.00 .......:...... 2.50 $ STEAM or HOT WATER SYSTEM V 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 $ AIR CONDITIONING $ VAN HEATING SYSTEM See Fee Schedule gENTILATIN'G SYSTEM $ ALTERATIONS & REPAIRS TOTAL FF E ROUGH FINAL - 0 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. idley, r inn 111M I U m O1 , 19 Owner Kind of Building Used as To be completed about V j u [- —��i� god _ Estimated Cost, $ ew. uildina Permit No. �' Permit No. DESCRIPTION OF WORK (REMARKS -OVER) HEATING - ,Warm Air—No —� Trade Name .r & Size Capacity. Sq. Ft. E.D.R 2,e ® BTU H.P. Total Connected Load �O rv Sind of BURNER —Trade N-�'�'"®' ,•�r� Sizeo-�� r Capacity Sq. Ft. E.D.RC� �°® £'' BTU H.P. GEO. SEDGWICK HTG. & AIR -CORD. CO. 1001 Xenia Av. S. Minneapolis 16, Minn. Signed II A5460 JJ 4-42 2M 749 Business Phone Nof° (REMARKS -OVER) Windows and Doors—Crackage and Area A f is s5 P� EATr1 p 5..5, 3,`3 3 /tyjpJ /'L9 Coef. Coef. Btu Infiltration d HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS Glass�T' MINNEAPOLIS, MINN. Weatherstrips Int. wall A.S.H.V.E. Guide Construction No. Glass Insulation Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How. Applied . Int. wall No 19_ Floor Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Ceiling e Int. wall Room I Lensth 76 Width 14--, Height V II 1 Fl.l E mAR V Room ( Length Y Width Height ' Windows and Doors—Crackage and Area f �y Width Height No. of Lineal f . Area No. of pane of pane lights of crack sq. ft. 3,`3 3 a✓ " �' � cam. N � Coef. Coef. Btu Infiltration d Coef. 30,72 Glass�T' Exp. wall Exp. wall' Int. wall Exp. wall Glass Ceiling /0 "o Net exp. wall Exp. wall °a" Ceiling . Int. wall Net exp. wall Floor Floor Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Ceiling e Int. wall Floor ,' Ceiling L!IL P Total Btu. 1/46- ' R Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Windows and Doors—Crackage and Area f 6 Width Height No. of No. of Dane of pane lights Lineal ft. Area of crack sq. ft. 3 a✓ " �' � cam. N � Coef. Btu Infiltration r d Coef. Btu Infiltration Exp. wall Exp. wall' Int. wall , Glass Ceiling /0 "o Int. wall Exp. wall Ceiling Ceiling r Net exp. wall Floor Floor Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Int. wall Ceiling L!IL P Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl I p% y '."' Room I Lenath J-1_ Width Ji' Height Windows and Doors—Crackage and Area f of Width Height No. of Lineal ft. Area No. of pane of pane - Iighta of crack sq. ft. 'y. 44' / ,•` . of / #` i` Coef. Coef. Btu Infiltration r d Glass ¢: C, o Exp. wall Exp. wall' Int. wall Net exp. wall Net exp. wall Ceiling f ` Int. wall Int. wall Floor Ceiling Ceiling r ' Floor Floor Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Total Btu. I I 's ; Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Windows and Doors—Crackage and Area f Width Height No. of Lineal ft. Area No. of pane ofpane lights of crack eq. ft. f 'y. 44' / ,•` . of / #` i` Coef. Btu Infiltration Infiltration Exp. wall 1r le Glass Glass ¢: C, o Exp. wall Exp. wall Int. wall Net exp. wall Net exp. wall Ceiling � F Int. wall 'Int. wall Floor Ceiling � r ' Floor Floor Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Total Btu. a%cyuaavu ay. b► a'1-1 14'-1 �?r aagua Q Windows and Doors--Crackage and Area f --o--- ,>. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 'y. 44' / ,•` . of / #` i` Glass Coef. Btu Infiltration Exp. wall 1r le Glass Net exp. wall Exp. wall Int. wall Net exp. wall Ceiling 'Int. wall Floor Ceiling , `' Total Btu. 222 Floor 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 F1.1 Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. ofLineal ft. Area No. of pane of pane Iighta of crack aq. ft. Coef. Btu Infiltration / #` i` Glass Exp. wall 1r le Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Windows and Doors—Crackage and Area Ln Width Height No. of Lineal ft. Area No. of pane of pane llghts of crack sq. ft. Width No. of pane D•56 7 9 g .,:.: Coef. Btu HEAT LOSS CALCULATIONS Coef. DEPARTMENT OF BUILDINGS MINNEAPOLIS, MINN. Weatherstrips A.S.H.V.E, Coef. Construction No. Insulation Guide '/ ->�' V, Glass is Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How. Applied eNo I e No 19— /„ Int. wall FI Rnnm i.Pnoth ii Width , VJ.14P;crht V II Fl I Ronm I Lenoth Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane llghts of crack sq. ft. Width No. of pane Height No. of Lineal f . Area of pane, lights of crack sq. ft. g .,:.: Coef. Btu Infiltration Coef. Btu Infiltration' Exp. wall Coef. Btu Infiltration ' '/ ->�' V, Glass is Exp. wall YY6 Int. wall Net exp. wall, /„ Int. wall Floor Ceiling 441 n: F- LLL '' Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / Fl.1 "� .7 7 s� Room I Length zl Width Heis;ht Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane llghts of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Coef. Btu Infiltration' Exp. wall Net exp. wall Glass° ' �> � Exp. wall s Floor Net exp. wall Int. wall Ceiling Floor Total Btu. 11, Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.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 I of crack I sq. ft. JCoef.j 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 Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane llghts of crack sq. ft. Coef. Btu Infiltration Glass o Exp. wall Net exp. wall Int. wall Ceiling Floor Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl -I Room I Lenath 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. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. iris. W.A. Leader area F1.1 'Room I Lenoth Width Height Windows and Doors—Crackage and Area Width HeightNo. 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 o City of Fridley Application for plumbing and Gas Fitting permit DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Id Number Fixtures ...................... x $1.50 $ �- Future Fixture Opening ................ x 1.20 $ �` New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ Water Beater (Up to 200,000 BTU) ...... New Ground Run Old Bldg . ............ GAS FITTING FEES: 1st 3 Fixtures .......................... Additional Fixtures .................... Gas Range to 200,000 BTU ............. REPAIRS & ALTERATIONS—Refer to Code x 3.25 $ x 2.00 $ b x 3.25 $ NO. RATE TOTAL — x $1.50 $ s U x .50 $ x 2.00 IS Dept. of Bldgs. h 4-7470 Location 12 / City of Fridley: The undersigned hereby makes application for a permit for the work heret 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 fact and representations stated in this application are true and correct. Fridley, Minn, �% 19-0 Owner La ;-�a e Kind of Building Used as roe To be completed about — G Estimated Cost, $ �• Old—New. Building Permit No � �a z Permit No. c Signe w.� cQ By Business Phone No- e— 7 ` `7 4 d ROUGH •� 16 _ L I FINAL Description ................................................ TOTAL FEE $ _ 42 2M N Q�zo i� �4c Z z �U' • F s N WATER HTR. GAS ELEG 3 p m Base r 1 f 11 1 1st f 2nd _ 3rd 4th 4. Future Connection Openings Connected withI Sewer � New Fixture, Old Openings Cesspool Ej PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Id Number Fixtures ...................... x $1.50 $ �- Future Fixture Opening ................ x 1.20 $ �` New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ Water Beater (Up to 200,000 BTU) ...... New Ground Run Old Bldg . ............ GAS FITTING FEES: 1st 3 Fixtures .......................... Additional Fixtures .................... Gas Range to 200,000 BTU ............. REPAIRS & ALTERATIONS—Refer to Code x 3.25 $ x 2.00 $ b x 3.25 $ NO. RATE TOTAL — x $1.50 $ s U x .50 $ x 2.00 IS Dept. of Bldgs. h 4-7470 Location 12 / City of Fridley: The undersigned hereby makes application for a permit for the work heret 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 fact and representations stated in this application are true and correct. Fridley, Minn, �% 19-0 Owner La ;-�a e Kind of Building Used as roe To be completed about — G Estimated Cost, $ �• Old—New. Building Permit No � �a z Permit No. c Signe w.� cQ By Business Phone No- e— 7 ` `7 4 d ROUGH •� 16 _ L I FINAL Description ................................................ TOTAL FEE $ _ 42 2M 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 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 ............ each add. 60,000 BTU ...................... . Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 ................. Repairs & Alterations each add. $500.00 .............. 8.00 $ 2.00 $ 5.00 $ 5.00 $ 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 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM 1 $ ALTERATIONS & REPAIRS TOTAL FEE $ ROUGH— OUGH FINAL— FINAL Dept. Dept. of Bldgs. Phone SII 4-7470 < %!J►.A i1h1 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 coorrgct. Fridley, Minn 18 l n, \n n� ,, Owner Kind of Building Used as 1 To be completed about I �0 Estimated Cost, $ q��. DO Old New. Building Permit No. Permit No. G� DESCRIPTION OF WORK Trade Name a ��! Size No. IMC. 5 O,O 3 Capacity Sq. Ft. E.D.R BTT H.P Total Connected Load Kind of Fuel BURNER — Trade Name Size No Capacity Sq. Ft. EM.R BTU H.P Signed - U �e4�� By -K HHGA AfR-COWCO 4 z Business Phone No 1001 Xeffia- Av. Minneapolis 16, Wmm (REMARKS -OVER) Lt. 54611 City ®f Fridley, Minn.- , � 0 / fxq BURDINGN? 6463 TION OF 1 I G NO. �� Stree Lot Lot Block Xddition or Sub -Division . Corner Lot _ Inside Lot Setback Sideyard Sewer Elevation — Foundation Elevation O M O , 'I Front Depth Height Sq. Ft Cu. Ft nt _ Depth Height Sq. Ft Cu. Ft. Type of Construction Fst st _ _ To be Completed In consideration of the issuance to me of a permit to construct the building described above, I agree do the proposed work in accordance with the description above f coi cre ` th all, p ori of ordinances of the city of Fridley. _M � Z -« 1, 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 eupresa crondition 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 regardiYg location, construction, alteration, maintenance, repair and moving of buildings within the dty limits and this permit may be revoked at any time upon violatioa�$ any of the Pmt of said F: _� 9 Building Inspector NOTICE: This pwmk don not cover the eonstreedon, instatiation for whbg, phm hing, gas heating, sewer or wafer. Be sore to as the ft9dhig lospestor for separate permits for these kens. n j4 ADDRESS APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA LOCATION OF BUILDING No. /5 PLPart of Lot Lot Block Addition or Subdivision _uzl� It- "I Corner Lot ..Inside Lo 0"`� $etbad'k Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed build- ing location drawn on these Certificates. DESCRIPTION OF BUILDING To bg used as: pzc�_ enrv_e� Front :�!( -A 13X Depth /& Height Sq. Ft. 3-7(, Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction YPEstimated Cost o To be Completed� M 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. (Schedule of Fee Costs can be found on the Reverse 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 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 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-proo;"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 "fireproof".'t`y Section 502 of theMinneapolisBuilding Code. DOUSES 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, forsimilar 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 cellar to the average height of the upper surface or to the average height of the roof surface of the main gable of a patched 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,char'gwd for any permit,as set forth -in Section 2 be.less than $4.00. )3-84 9915051 CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE g 1A"- er Fixtures x $3.00 o Future Fixture Opening " w v $ water u u $ A x $5.00 $ Water Heater - to 99,000 BTU, x f� $ � w $10.00 $ Water Softener Heater •S. J A New Ground Ran Old Building x •N $ Electric Water Heater - x $5.00 t�oi 'yGCi "tll Oro x 0 4 . V M v % ' N •�1 a O 0 iJ iJ IA fll ill N o lec v1 u a m Ca vii 3 N w v'[i w u N a r � < c� as 1st 2nd 3rd 4th (R) . Future Connection Opening Connected with Sewer (+) . New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL 1A"- er Fixtures x $3.00 $ Future Fixture Opening i $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 $7.90 $ New Ground Ran 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 STU x $10.00 $ REPAIRS & ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ State Surcharge $ .50 TOTAL FEE $ 8.00 REINSPECTION FEE ($]0.00) " Job Address 1527 TROLL HAGEN DRIVE NE Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the workhezedi 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 corn Fridley, Mn. 12-17-70 , 19 OWNER CHARLES NORmH KIND OF BUILDING frame USED AS res. TO BE COMPLETED ABOUT 12-2h-76 ESTIMATED COST 10.00 OLD - NEW BUILDING PERMIT NO. PERMIT NO. Company Signed By MINNEGASCO Tel. No. ROUGH INSP. Date FINAL INSP. 6 C Date APPROVAL FOR PERMIT 2_ MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLU14DING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $2.00 I �3 Future Fixture Opening < K Z New Fixture Old Opening i Q _ 61 Catch Basin c� �. t9d n 90 / N WATER MM GAS ELEG Base : $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ..... 1 x $2.00 $ 2.00 Additional Fixtures .... .............. x $ .76 $ Gas Range to 199,000 BTU .............. x $5.00 $� install (1) gas lite 3.cw REPAIRS & ALTERATIONS—Refer to Code lot Description ................................. ..........$ TOTAL FEE 00 -- — 2nd 3rd 4th-- PLU14DING 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 99,000 BTU) ... x $3.00 $ New Ground Run Old Bldg. x $3,26 $ Electric Water Heater : $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ..... 1 x $2.00 $ 2.00 Additional Fixtures .... .............. x $ .76 $ Gas Range to 199,000 BTU .............. x $5.00 $� install (1) gas lite 3.cw REPAIRS & ALTERATIONS—Refer to Code Description ................................. ..........$ TOTAL FEE 00 53-84-S915.51 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 fact and representations stated in this application are true and correct Fridley, Minn__ .Tune 13, 1970 19_ Owner J. A. Pollak Jr. Kind of Building frame Used as residence To be completed about June 189 1970 Estimated Cost, $ 10.00 Old yXew. Building P No. _ _ Permit No. igned - o By --- Business —• Business Phone No ROUGH FINAL `� p� "� �� CITY OF FRJDLF-'Y INSPECTON biv 6431 unhiersity Ave NP. Fridley, MN 56432 572-3604 Ne,v F Old Bec Bi ,v Cater: Rain Surr ALL Of Fffective On Murch 1. 1996 APPUCAPON 'FOR P1 U MrA W! -11 �VJD FAS F11 I ING PT RM', m 6A"7 -ro-e-e L 1, 14.4 a ? f, AJ PQ ,e!- fV. 1,2133 - J-4 /v Af soo 6 3 Y,2 3 4. see, I t I a ',:'� A-1 SUHUHARUL **COMBUSTION AIR SHAD- BE PROVIDED PER U lq) k.; 83 f-(' 1-10 N 504 tt) ANC TABI-F- A M I NJ Mu M SlZlz 9 SQ INCHES. SUBJECT I N City of Fridley 31837 AT THE TOP OF THE TWINS BUILDING PERMIT e , NO. DIV. COMMUNITY DEVELOPMENINSPECTION r PROTECTIVE INSPECTION SEC. �� 1 . � NUMBER REV DATE PAGE OF APPROVED BY /,-11 CITY HALL FRIDLEY 55432 612-571-3450 910-F15 5/18/01 10B ADDRESS 1527 Trollhagen Drive NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 2 Innsbruck 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Chuck North 1527 Trollhagen Drive NE 571-0191 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO New Haven Construction 4208 83 Ave N, Brooklyn Park, MN 55443 763-566-5225 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 p NEW 0 ADDITION p ALTERATION REPAIR p MOVE O REMOVE B DESCRIBE WORK Reroof House & Garage (30 Sq) Tear -off 9 CHANGEOFUSEFROM 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 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 RE COMPLIED $3,068 $1.53 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 NATE OR LOCAL LAW REGULATING CON- $9,7 25 F SC $3 STRUCTION OR THE PERF NC OF STRUCTION • e .07 PLAN CHECK FEE T AL FEE �® /fir ®/ Licen C $5 106.85 S'GNATUR O CONTRA OR RAUT ORIZ DAGENT - i0ATE6 HE P OP VALI D THIS IS YOUR PERMIT l _ S,GNATURE OF OWNER„F OWNER BUILDER, ,DATE, 4'� B OG_,NSo - MATE NEW [ ] Effective 1/1/2001 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name&Address: 0 Contractor: e w '.�t—�A— Tel. # Jam% 1 — ®1�'1 MN LICENSE # 2LXD Tel. # �0 2 Z 6 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: L g Widt Hgt/Groound Sq. Ft. OTHER: t C� �O C T(o � 5 C� �1 / � w v Construction Type: C Uc�� Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: l' r Co l APPLICANT: Tel. # S�(0& CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ �99• -S® Fee Schedule on Reverse Side Fire Surcharge $ 3-01) .001 of Permit Valuation (1/10th%) State Surcharge $ �°< �� $.50/$1,000 Valuation SAC Charge $ $1150 per SAC Unit License Surcharge $ �- 6 0 $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 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 $501 to $2,000 $23.50 for first $500 plus $3.05 for each additional $100 or fraction thereof, to and including $2,000 $2,001 to $25,000 $69.25 for first $2,000 plus $14.00 for each additional $1,000 or fraction thereof, to and including $25,000 $25,001 to $50,000 $391.25 for first $25,000 plus $10.10 for each additional $1,000 or fraction thereof, to and including $50,000 $50,001 to $100,000 $643.75 for first $50,000 plus $7.00 for each additional $1,000 or fraction thereof, to and including $100,000 $100,001 to $500,000 $993.75 for first $100,000 plus $5.60 for each additional $1,000 or fraction thereof, to and including $500,000 $500,001 to $1,000,000 $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 $1,000,001 and up $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 01) SUB.,ECf City of Fridley 1908 AT THE TOP OF THE TWINS BUILDING PERMIT f RECEIPTrNO. `v _ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC ��2 -3604 J 11� NUMBER REV DATE PAGE OF AVPROVEO Br I "'1 CITY HALL FRIDLEY 55432 j4.,, 612-571-3450 612-571-3450 910-F15 6/18/01 10B ADDRESS 1527 Trollhagen Drive NE, I LEGAL LOT N0. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9 2 Innsbruck 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Charles North 1527 Trollhagen Drive NE 763-571-0191 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Sela Roofing & Remodeling 4100 Excelsior Blvd, St Louis Park, MN 55416 1050 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 952-823-8046 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW 0 ADDITION ❑ ALTERATION E REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Retuck chimney from roof up 9 CHANGE OF USE FROM TO STIPULATIONS 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 12Q 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 @ $1,900 $.95 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- $66.20.. Fire SC $1.90 STRUCTION O THE PERFOR ANCE OF CONSTRUCTION WI PLAN CHECK FEE TO A FEE A,, la _101 Licen SC $5. $74.05 AE01 CO .R TO AUT OA1ZEDA NT 10ATEv E PR Y VALIDAT D -THIS IS YOUR ERMIT 1 S-GNATURE OF OWNER ,iF OWNER BU4DER1 iDATE- B G NSR I� E 01) NEW [ ] EffectivZ111/2:00;1) ADDN [ J CITY OF FRIDLEY (763) ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 1!5-A 7, ro! I lje4 y z n 'P i^ Legal Description: Owner Name & Address:C AI,- ltb Its -f+h Tel. # 763-5-7/-01V Contractor: MN LICENSE # /d Address: S&A ROOFING & REMODELING Tel. # SELA ROOFING & REMODELING R� 19 Certificate of Survey of the 4100 EXCELSIOR BLVD lot, witheQ§rt& construction drawn on it to scale. ST. LOUIS PARK, MN 55416 ID #'0001050 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� � of ®� � Construction Type: L i)� rh A �e 1�Ct` � Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = t x $ $ DATE: —0 ( APPLICANT: ° Tel. # CITY USE ONLY - Call (763) 5//72-3604 for Permit Fees if mailing in application Permit Fee $ (alp ,dO Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ g $.50/$1,000. Valuation SAC Charge $ $1150 per SAC Unit License Surcharge $ O7 (' $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 $ ®S STIPULATIONS: 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