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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT Date: June 29, 1970 L72 Owner: John Dzacleak Builder Rodney Billman Incorporated Address AM_ Trollhagen DriveAddress 151 Silver Lake load, New Brighton 1558 1558 LOCATION OF BUILDING No. =M Street Trollhagen Drive N.E. part of Lot Lot _ Block 4 Addition or Sub.Division Innsbruck 5th Addition Corner Lot _ Inside Lot Setback _ __ _ Sideyard elevation __ 975.76 (1.5' Riser) 980.25 Minimum Wye Top of Footing DESCRIPTION OF BUILDING To be Used as: &2_7 10" Dwelling & Tuck -Under Front 541-611 Depth 25' -6" Height Sq. Ft. 1416 Cu. Ft. 28, 520 Front Depth Height Sq. Ft. Cu. Ft. Type of Construction - Frame Est, Cost 30 000 _ To be Completed Oct. 1, 1970 Verification of Basement location by survey. Truss framing 16" On Center. SEWER LOCATION: 91 feet West of Manhole WATER LOCATION: 101 feet West of Manhole 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 forth and in compliptnce with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ 53.00 , permit is hereby granted to Rodney Billann, Inc . 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 andmoving 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. Q I - � (' CLARENCE BELISLE NOTICE: This permit does not cover the consimcdon, installation for wiring, plumbing, gas heating, sewer or water. Bo sure to we the Building lnspoetor for wparato permits for these items. 4 APPLICATION FOR BUILDING PERMIT OWNEE 'S NAME BUILDER ADDRESS / 7-7"0 J/4(a QPADDRESSA j JS.� LOCATION OF BUILDING '/�2y`1r�/fni2 J Z f% e NO o STREET 'Y P LOT ! BLOCK ADDITION OR SUBDIVISION G �-4 A CORNER LOT INSIDE LOT SETBACK SIMARD SEWER ELEVATION TOP OF FOOTING 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 j�i�i� Height i stir-( Square feet Cubic Feet r P , 4 ( c -7�PFront Depth Height Square feet a Cubic Feet Type of Constructionza� Estimated Co . 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 presentations stated in this application are true and corrects DATE �� SIGNATURE �� X" (Schedule of Fee Costs can be found on the Rev e Side.) BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any building or structure, or for any addition to any existing structure or building, or.for any alteration or repairs 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 mazzmer herein provided to -wit: Uniform Building Code.- Type 1, 2, & 4 - $1075 for each one thousand cubic feet, or fraction thereof, i- such cubical contents. Type 3 & 5 $1050 for each one thousand cubic feet. For the purpose of computing fees for building permits, the cubical c-ontents of -any- i'i`i-rdit� o A:Mi-tt "to`a uniform heig�t"th glfad multiplying the ground area covered from a point six (6) inches below the floor line of the basement or the 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. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 per each five hundred dollars ($500000 or fraction thereof in the cost of all proposed work. In no case shall the fee charged for any permit as set forth in Section 2 be less than $50000 NSSSD Connection Charges based on location _ Area 1 or 2eIIJ r�F ,o i N? 5162 Oris Permit for PLwMBING AND GAS WNG N.B. When work covered by this permit is ready, the Plumbing Ordinance requires that request for Pertnat inspection shall be phoned in to the plumbing Inspector, 560-3450 giving number of this permit., Pee 9 DESCRIPTION OF WORK II Number, Kind and Location of Fixtures Stories W yW < J 3 U Q 7 _ m F Z < M m z tll = a s K F- Z 7 O 0 t, O Z (p Z 00 Q J Z LL a x Z F 10 Q¢ U 0 3 Z X 6 O Z J m K i iz 0 pJ, Qa M Q W 0 z Q Q 0 K WATER HTR. 6A8 ELEC. Basement ist / 2nd 3rd 4th Connected Gas Piping for Openings Permission is hereby granted to do the plumbing and gas fitting in the building described in the statement hereto attar d, upon the express condition that the person to whom this permit is granted, and his agents, employees and workmen, in the plumbing or gas fitting of said building shall conform in all respects to ordinances of the City of Fridley, and this permit may be revoked at any time upon the violation of any of the provisions of said ordinances. By Order Of The Inspector Of Buildings Roughing in Inspection Date Inspector. Final Inspection Date Inspector. az IM -5-69-Y City of Fridley w ,19-a Owner �s Location _ �� �� ✓ . Kind of Building. Used as k� To be Completed , 19-2-0 Estimated Cost $ New. Building Permit No. Date Inspector of Buildings. City of Fridley Appcaton for Phnnbbg and Gad Fktkg Paamt Dept. of Bldgs. Phone SW DESCRIPTION OF WORK a ,, l iv P a Number. Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL ' Number Fixtures ................ WATER MTR. ELEC. $ Future Fixture Opening ............ x $1.50 $ New Fixture Old Opening .......... x $1.50 $ Base Catch Basin .................... x $3.25 $ Water Heater (Up to 99,000 BTU) .... ® x $3.00 $ 0 1st �2- $ Electric Water Heater .............. z $2.0o $ -RAS FITTING FEES: 2nd TOTAL 00 1st 3 Fixtures ............ • • • x $2.00 $ 3rd Additional Fixtures ..................—x$.75 $ Gas Range to 199,000 BTU ............... x $5.00 $ 4th • Future Coaneet en Openings Connect" with * New Fixture, Old Openings Sewer Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL ' Number Fixtures ................ x $200 $ 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 $ 0 New Ground Run Old Bldg......... x $3.25 $ Electric Water Heater .............. z $2.0o $ -RAS FITTING FEES: NO. RATE TOTAL 00 1st 3 Fixtures ............ • • • x $2.00 $ Additional Fixtures ..................—x$.75 $ Gas Range to 199,000 BTU ............... x $5.00 $ REPAIRS S ALTERATIONS—Refer to Code Description ......................................« ......$ 9. TOTAL FEE ; City of Fridley: The .undersigned hereby makes application for a permit for the week 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 app ca are true and correct Fridley, Minn 19 Fib Owner zzlza,02i Kind of Building Used as To be completed about Estimated Cost, $ Old—New. Building Permit No. Permit No. Signed. By -- _ Business Phone No ROUGH FINAL 0 'n' oZ Z ' %S Application for power Plants and Healing, Cooling, Ventilation, Refrigeration and Air Conditioning Systems and Devices V� PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ..........................$10.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 .................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $ Each add. 200 sq. ft. EDR Steam ...................... 3.00 $ Each add. 320 sq. ft. EDR Hot Water .................. 3.00 $ OIL BURNER—to 3 gal. per hour ........................ 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 199,000 BTU) ....................... 5.00 $ over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x$ 2.00 $ �' Additional Fixtures ................. x .75 $ Gas Range to 199,000 ........... x$ 5.00 $ AIR CONDITIONING FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ 9 ALTERATIONS & REPAIRS TOTAL FEE $ ROUGH FINALI- / Z� Dept. of Bldgs. Phone 560-3450 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. �i Fridley, Minn- -/ 19� Owner Kind of Building Used as�d� To be completed about Estimated Cost, $ ���� r►v Old- ew Building Permit No. Permit No. DESCRIPTION OF WORN BEATING or PO��� )PLANTS -Steam, Hot Water, *Om No� Trade Name L�'�J�`' Size No Capacity Sq. Ft. E.D.R _ BTU 6� Total Connected Loa "� Kind of Fue 2 BURNER — Trade Nam 4- Size No z� a- Capacity Sq. Ft. E.D.R �C,s BTU H.P. (REMA OVER 4637 CHICAGO AVE. 8 0HNFAF03LOS 7o aJ C4110.42 Business 1?hone No Oris 0 0 PERMIT for Power Plants and Heating. Cool- ing, Ventilation. Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK No. of- 1 Heating Plants WaAI ! 6�tto b installed tared—repaired Make -0-4n A l t l (�--X— J , Size Q, Oil fired ; Coal fired—, Gas fired --1 ; Gas Authorization No. Remarks ,, Ae-_-L-2 ."I` Approved Final Inspection Date , 19_ Inspector Permit No - 4785 Fee $ ®� Office of the Inspector of Buildings City of Fridley City of Fridley, Minn.--- '/��`%le% , 19� Owner /ny 42' % Location ZAo -Q ��u O d Kind of Buildings �n'l Flow Occupied _ Work to be Commenced—, 19 To be CompletedX.� ,19-1-d Estimated Cost, $_ 2 e)049 Old ew Building Permit Permission is hereby granted to L' to install—erect—use the material and devices described in the above statement. This permit is granted upon tie express condition that the personlio 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 /�tothe sp�ecif)specificationsset f rth in the approved application for this permit on file in the office of the Inspector of Buildings. s ,Inspector of Buildings 42 ars »-acv City ®f Friaiey SUBJECT 15966 AT THE TOP OF THE TWINS BUILDING PERMIT � t • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. ----I CITY HALL FRIDLEY 55432. NUMBER REV. DATE PAGE OF APPROVED BY j, J\ 612-571-3450 910-F15 10/8/80 JOB ADDRESS 1558 Trollhagen Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 4 Innsbruck 5th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John J. Dzubak 1558 Trollhagen Drive N.E. 571-7338 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW Lj ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Construct a 21' x 14' Porch Addition with Hot Tub 9 CHANGE OF USE FROM TO STIPULATIONS Hot tub to be installed according to manufacturer's specifications. WARNING Before digging call local utilities TELEPHONE - ELECTRIC • GAS Etc. REQUIRED BY !AW 4PERATIt PERMITS REQUIRED FOR WIRING HOTIN% PLUMOII AND SIGNS. , TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION 294 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 ISTALLS 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 $4.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $8,000 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- $48.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $12.00 $64.00 /AGENT (DATE) OFCONTRACTOR OR AUTHORIZED WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT ,SIGNATURE �/ YE, BLDG JSP F)qTE SIGNATOR LWNE ,IF NR B ERI IDATEI V L.- CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING .PERMITS (flew, Alterations, Additions, or Repairs) OWNER: ��� �/, � � l,Ul�d�� BUILDER. T ADDRESS, aq e,m D 'P a ADDRESS: TEL NO: df 57/- 33 TEL 1.40: 7P/ ` 3 c/� Construction Location STREET NO: STREET: 6L L HA -C, & lA) LOT: BLOCK: ADDITION: S '- Corner Lot: Inside Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. A A k Z / pESCRIPTIOtd OF CONSTRUCTION Depth.- ®,ems f` //11 t46A-), Square. Feet: Cubic Feet: Front: Depth: Height: d' Height: Square - Feet: Cubic Feet: Type of Construction: ��'�r� Estimated Cost: $ To $e (bmpleted: _6 J 1900"® r Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET 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: le) - 7-ee SIGNATURE: stipul.atxons : _ Ho 7`-ae - / ® /.t1.S i X41- (s EJ 4C CO k O r �J CQ 7-6 ����c �l Cts-�a.�1 �• b 4 �. U0 - P't 00 0_0 ' 1 BUILDING IIER141T FCC: SCHEDULE- SE'CTION 2. - lfit! Inspector. of: Buildin(jr, .;hall, before i.s ,u.ing permits for the. erection of ;Uly building or structure, or for any addition to any existing building or structure, Or for any alteration or repairs 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: NEW CONSTEZUCTION: Single Family IEome:s and Garages; $4.00/1,000 cubic feet:. . PLAN JE:CK: 25 percent- of building permit fee, DRI:M-MY DBPRESSION: (Concrete. Curb Streets Only) " Alternate A: Removal and replacement of concrete curb and gutter only; Driveway width plus 6 feet x y:15.75 Alternate B: Removal and replacement of concrete curb and gutter and install a 3 foot wide approach -with 6 inch depth; Driveway width plus 6 feet x $17.85 -ADDITIONAL INFORMATION For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point six (G) inches below the floor line of the basement or the cellar to the average heights of the upper surface -or -to -the average height of the roof surface of the main gable of a pitched roof. ror repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 rer each five hundred dollars --($500.00) or fraction thereof in the cost of all proposed work. In -no rase shall the fee charged for any permit as set forth in Section 2 be less than $7.50 plus $.50 state surcharge. VERIFICATION OF FOUPDDATION NOTE: Permits for construction will be issued a minimum of 24 hours frozm 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 been constructed will be required before proceeding with the framing. CERTIFTUTE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. 0 " I NU �s Ile p�f Nilo PEARL BATHS spa Coflecti -on tt 1T tf. All Spas are constructed of Plexiglas DR high impact -resistant ACRYLIC re- inforced with a polyester/fiberglass back- ing. acking. This incredibly durable material will not discolor, blister or crack. Five year 7T warranty on our spa shells. i. WAIKIKI 611 Gallon Water Capacity k 6'5" x 9'11" x 3'®na / T LANAI 520 Gallon Water Capacity "' t u 8'1 •• x 6'1 " x 42" MAUI 455 Gallon Water Capacity 7'4" x 6'3" x 36'° z H I,LO s 425 Gallon Water Capacity k6'x 6'x 3' f� KONA ` 405 Gallon Water Capacity 1 67" Diameter x 33" / POLY SPA 484 Gallon Water Capacity 67" x 67" x 42" (2 sections -3'3" x 3'3" x 42") Colors: Aqua, Tan, Chocolate, & White Poly Spa: White Only Hilo & Kona: Matching -Ceramic Tile 6801 SHINGLE CREEK PARKWAY MINNEAPOLIS, MN 55430 T a L Poly Spa A%r , FS a KARL&gHs Uses the Finest SupportEquipment Available PUMPS WITH HAIR AND LINT STRAINER Hyir and Lint Strainer The P Series has a large in- tegral strainer in corro- sion -proof thermoplastic. It has a transparent cover held on by a stainless steel clamp, providing instant access to the gasket. Convenient drain plug for winterizing. Strainer basket is made of tough thermoplastic — plenty of water flows even when basket is filled with debris. Electric Motor Unit type ... ball bearing construction ... factory lubricated and sealed for years of service. Made by internationally known American makers to the latest NEMA specifications, so service is always readily available. If necessary, motor may be removed for service, without disturbing plumbing. Mechanical Seal Matching faces of ceramic and carbon with all other parts of Buna-N-rubber and stainless steel. The finest seal of its type, assuring a minimum of friction and wear. Cast Iron Base Pump has strong, cast iron base for bolting to the foundation or filter base. Enclosed Impeller Enclosed impeller runs inside a multi -vane diffuser, which features stainless steel wear ring. Assures good efficiency, balanced radial load and reliable self -priming action. Extension of impeller hub forms an insulating sleeve over the motor shaft and carries the mechanical shaft seal. HYDRO -AIR FITTINGS In the use of Jacuzzi equipment, you are given the advantages of time tested principles. 0 For more than 20 years, the name has been o o u synonymous with hydrotherapy equipment. Through extensive research, it has been °o ° discovered that the most healthful water o . o P massage is achieved when there is a particular air -to -water ratio by volume and when the air v bubbles are a certain diameter. You get exactly the right air -to -water mixture and unequaled performance when you have. Jacuzzi equip- ment. A Jacuzzi hydro -air fitting actually delivers up to three times more air than other types. ADJUSTABLE WHIRLPOOL INLETS Stainless steel Hydro -air fitting can be positioned for directional flow within 150 of its center position. Page 2 't F I These fittings are manufactured by Jacuzzi MECHANICAL SEAL ELECTRIC _ MOTOR j!�I! J HAIR & LINT " } STRAINER ,j I � �• ' 1 ..ti e 5 IJ i� i NATIONAL ON" PM . Yk' WSTITUT11 ENCLOSED .- Us ' -CAST IRON BASE IMPELLER Electric Motor Unit type ... ball bearing construction ... factory lubricated and sealed for years of service. Made by internationally known American makers to the latest NEMA specifications, so service is always readily available. If necessary, motor may be removed for service, without disturbing plumbing. Mechanical Seal Matching faces of ceramic and carbon with all other parts of Buna-N-rubber and stainless steel. The finest seal of its type, assuring a minimum of friction and wear. Cast Iron Base Pump has strong, cast iron base for bolting to the foundation or filter base. Enclosed Impeller Enclosed impeller runs inside a multi -vane diffuser, which features stainless steel wear ring. Assures good efficiency, balanced radial load and reliable self -priming action. Extension of impeller hub forms an insulating sleeve over the motor shaft and carries the mechanical shaft seal. HYDRO -AIR FITTINGS In the use of Jacuzzi equipment, you are given the advantages of time tested principles. 0 For more than 20 years, the name has been o o u synonymous with hydrotherapy equipment. Through extensive research, it has been °o ° discovered that the most healthful water o . o P massage is achieved when there is a particular air -to -water ratio by volume and when the air v bubbles are a certain diameter. You get exactly the right air -to -water mixture and unequaled performance when you have. Jacuzzi equip- ment. A Jacuzzi hydro -air fitting actually delivers up to three times more air than other types. ADJUSTABLE WHIRLPOOL INLETS Stainless steel Hydro -air fitting can be positioned for directional flow within 150 of its center position. Page 2 't F I These fittings are manufactured by Jacuzzi iiill 3s x ``o ALL SPAS TO BE INSTALLED BY LICENSED ELECTRICIAN AND PLUMBER TO MEET STATE, FEDERAL AND LOCAL CODES. ALL SPAS INCLUDE: ® Air Induction—seat and floor ® Blower ® Skimmer ® Plumbing Collar (immediate connec- tions around spa) ® Anti-Vortexing Suction Return a Floor Drain ® Gate Valves ® Check Valves ® Solar Blanket e Thermometer ® Chemical Package (pH up, pH down, Bromine Sticks, Bromine Test Kit, Oxy -Bright, Perfect Set includes metal guard, no foam, water clarifier, and water conditioner). Note: Poly-Spa—air induction and blower not available. SPA PACKAGE # 1 Waikiki ................$4,400.00 Lanai .................$4,100.00 Maui ..................53,900.00 Poly -Spa ...............$3,900.00 8—Jacuzzi high performance jets 2-1'/z HP Jacuzzi pumps with 6" strainer 1-1,12 HP Jacuzzi pump with 6" strainer 1-40 sq. ft. cartridge filter by Jacuzzi 1-12 KW Ray-Pac electric heater. Volt- age: 230; amps: 91 (optional gas -31) SPA PACKAGE #2 Waikiki ................$4,150.00 Lanai .................$3,850.00 Maui ..................$3,650.00 Poly -Spa ...............$3,650.00 Hilo ............... Kona .................. `D.00 3,556.00 4—Jacuzzi high performance jets 2—Hydro-air jets 1-1'/: HP Jacuzzi pump with 6" strainer 1—'/2 HP Jacuzzi pump with 6" strainer 1-40 sq. ft. cartridge filter by Jacuzzi 1-12 KW Ray-Pac electric heater: Volt- age: 230; amps: 82 (optional gas -22) SPA PACKAGE #3 Hilo ..................$2,995.00 Kona .................. $2,995.00 4—Hydro-air jets 1—% HP Jacuzzi pump with 6" strainer 1-60 sq, ft. cartridge filter by.Jacuzzi 1—Through wall fitting 1-12 KW Ray-Pac electric heater. Volt. age: 230; amps: 73 (optional gas- 115/230V, 21/14 amps) Options: ® 151,000 BTU Ray-Pac heater: (includes headers and relief valve -specify indoors or outdoors) .......... $350.00 ® Ultraviolet light water clarifier.......................................................... $480.00 ® Spa light (installed) .. ................................ ............................... $158.00 ® Bromine feeder................................................................$ 75.00 ® Air volume control—each jet add.......... .......... ............................... $ 10.00 ® Return to deck handrail.............................................................. Um� ® Decorator blue tile trim (available only on Maui, Lanai and Waikiki if ordered in aqua or white) ....... ® Marblized colors (grey & white—brown & white) ........................................... $250.00 Commercial Package: SPECIALLY DESIGNED FOR COMMERCIAL INSTALLATION THAT WILL COMPLY WITH NSF (National Sanitation Foundation) CODES. WAIKIKI ............... $5,500.00 LANAI ............... $5,200.00 8—Jacuzzi high performance jets 2-1% HP Jacuzzi pumps with 6" strainer 1—'/a HP Jacuzzi pump with 7" strainer 1-12 KW Ray-Pac electric heater 1—Commercially rated blower 2-60 sq. ft. Jacuzzi cartridge filters (complies with NSF filtration recommendations) 1—Mounting kit 1—Inter pipe kit MAUI ............... $5,000.00 1—Skimmer 8—Check valves 6—Gate valves 1—Floor drain (NSF approved) 1—Chlorine feeder with meter (NSF approved) 3—Anti-Vortex returns (suction fittings) 1—Flow meter 1—Commercial test kit Optional features: same as above. THE FOLLOWING PRICES AVAILABLE UPON REQUEST FOR ALL SPAS: Delivery to job site from factory, skid mounting; electronic package; installation of spa on job site. PFARLBATHS 6801 Shingle Creek Parkway, Minneapolis, MN 5.543.0 (612).561-7020 Page 3 a ,ft. • Acrylic . Will not blister, crack or discolor. Time tested in pools, aircraft and on outdoor signs for over 25 years! Sound Level By locating the support equipment away from the spa, the noise level is greatly reduced. This creates an atmosphere of -relaxation that enhances conversation and enjoyment. Whirlpool Action It's not how many jets — it's the quality. Feel the action. There is a big difference in whirlpool jets. For example, the Jacuzzi Brothers High Performance Jet recirculates 30 gallons per minute with an air.ratio that is three times greater than other jets. It's the proper combination of air to water that achieves a good whirlpool action. Serviceand Reliability Jacuzzi Brothers Equipment. Experience. Knowledgeable personnel. Largest supplier of Whirlpool products in the Midwest. 19 years of experience in sales and service. RAY -PAC SPA HEATERS — ELECTRIC AND GAS TIME IN MINUTES FOR 10 DEGREE TEMPERATURE RISE Page 4 GAS-FIRED SPA HEATERS BTU/HR INPUT (IN THOUSANDS) ELECTRIC SPA HEATERS KILOWATT INPUT Spa Gal. 100 125 150 175 200 250 325 400 Spa Gal. 6 kw12 kw 300 20 16 13 11 10 8 6 5 300 73 36 400 27 21 18 15 13 11 8 7 400 97 48 500 33 27 22 19 17 13 10 8 500 122 61 600 1 40 32_26 -_ 23 _ 20 _ 16 12 10 600 146 73 700 _ 47 37 43� 3127 35 _ 30 — 23 26 19 14 12 700 170 85 800 53 _ _ 21 16 13 800 194 97 900 60 4$ _ 53` -40 4q- _ _ 34 _ 33..._ 30 _ ___.. 33 _ ___24._..___..1.8 27 20� 15 17 90Q 1000 .219. 109 1000 _V 243 121 Page 4 s JO) Id w � o QNv�kQQQ Qq�Oa V)��O�v�� 14Wv" J ZS44 iA f %A 61 o M Page 5 � Y� a t'' � N Yom► �1 � dui . [ N � 'n � � H Ir J �• � N Q � .. Y ►J NY 4f V ti ti x 1- d. 0 a 0 zx O< 86 .i00 J, 3 0 ix w %N ,r Page 5 Points • Consideration PREPARED FOR: Name:_ Address: City: _ State: _ 1. Spa to be located indoors outdoors. If indoors, how will humidity be dealt with: _ Zip: 2. Approximate distance from spa to support equipment feet. Vertical rise in feet 3. Electric heater only for indoor use. 4. Gas Heater: indoor outdoors. (indoor 6" stack required). 5. Available amperage to operate system: 6. Available space for installing spa sq. ft. 7. ;;ow many persons do you anticipate using the spa at one time? • 8. Water temperature 9. Water chemistry 10. Color of spa 11. How would you install spa: Above ground Below ground_ 12. SDa selection: Options: 13. Approximate shipping date: 14. Special instructions: Prepared by: Partial Work: Phone: Date: PEARL BATHS 6801 Shingle Creek Parkway, Minneapolis, Minnesota 55430 0 (612) 561-7020 Page 6 ,� i � I a�x�a C4c fi X37 iyF-r CITY OF FRIDLEY Effective Date May 1, 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDENTIAL Furnace Shell and Duct Work, Burner (Also replacement furnace) Gas Piping (piping need w th riew f ce) Gas Range Gas Dryer * Air Conditioning (all sizes) All Others/Repairs and Alterations 1% of Value of Appliance or Work COMMERCIAL/INDUSTRIAL 1% of Value of Appliance or Work RATE TOTAL $ 20.OG $AJ, 0 L) $ 10.00 $ $ 10.00 $ $ 10.00 $ $ 10.00 $16. o State Surcharge TOTAL FEE Reinspection Fee ($15.00) Rough Insp. Date Final Insp. Date Approval for Permit MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00, PLUS $.50 STATE SURCHARGE Job Address Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 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. A m Fridley, Minn. , — / , 19J�F/ KIND OF -BUILDING '��®/'C�' USED AS $ TO BE COMPLETED ABOUT �j s 3 ESTIMATED COST C�- ;F(( e% $ .50 C OLD NEW BUILDING PERMIT NO. PERMIT NO. Attach stack verification form with.replacement furnace permits *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. DESCRIPTION OF FURNACE/BURNER No� HEATING or POWER PLANTS, Steam, Hot Water, arm Air No. Trade Name ��• � Size No./16"6A 1G0 Capacity Sq. Ft. EDR BTU HP Total Connected Load a Q =end of Fue1���-v�Lx��j� BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Company Signed By Tel. No. 53 CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack; 1. Has been carefully examined Yes (�� No ( ) 2. Is free from rust or deterioration Yes ( No ( ) 3. Has no foreign objects lodged within Yes No ( ) 4. Is securely supported Yes No ( ) 5. Meets all current Code requirements for size and total BTU connected Yes (J No ( ) 6. Has Total heating BTU's of All other BTU's f�. U f,� C) TOTAL ell D o d Company Signed By Date CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On January 1, 1997 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS New Fixtures $ 7.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $ 4.00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $ 7.00 and representations stated in this application are true and correct. Catch Basin $ 7.00 Rain Water Leader $ 7.00 �"' `% , 1998 Sump/Receiving Tank $ 7.00 / Water Treating Appliance $10.00 Owner S-7 e 7�.� 97 Water Heater —Electric $ 7.00 j Water Heater — Gas** $10.00 Building Used As Gas Range** $10.00 lo�" / Gas Dryer** $10.00 Estimated Cost PERMIT NO. Back Flow Preventer Required ( )Yes () No Type $15.00 PLUMBING COMPANY Reinspection Fee $42.00/Hr SIGNED BY (�• �'0. 51 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance ®c Approved By Rough—In Date Final Date State Surcharge $ .50 MINIMUM FEE F ANY PLUMBING GAS PERMIT IS $20.00 TOTAL FEE $ ���'� PLUS THE $.50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SQ INCHES. suB.iEtr IT NO. City of Fridley 30061 AT THE TOP OF THE TWINS BUILDING PERMIT � RECEIPT NO. -------COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. �J r w��"' ` CITY HALL FRIDLEV SS432 NUMBER REV DATE PAGE OF APPROVED BY L „ 612-571-3450 910-F15 8/16/99 JOB ADDRESS 1558 Trollhagen Drive NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 4 1 Innsbruck 5th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Martha Dzubak 571-7338 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Midwest Timberoof 1001 E. Cliff Rd. Burnsville 55337 808-1149 20147336 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential T CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION FX REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (28 Sq,) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. rermit Inspection Cards W111 Be Walled To Homeowner To. Post 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 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 $ 2,447 ;$1.22 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 $83,25. f Fi3A SC 2.45 PLAN CHECK FEE TO IFEE Lice n S 5. 1.92 SIGNATURE OF CON "RAC TOA OR AUTHORIZED AGENT IOATEI EN RO VALIO D THIS P g�ISR S.GNATURE OF OWNER,1F OWNER BUILDERI IDATEI BLD INSR GATE EiC87'3IIL F.0l`0c ul W ? Effective 1/1,198 ADDN C l CITY OF FRIDLEY ALTER iia SINGLE )FAMILY AND DUPLEXES R-1 AIND R-2 0, 1.�� � r T31;1LU1NG PERMIT APPLICATION ConstructionAddress: y Legal Description: j Owner Name &Address: j,�`"° 'Tel. #,L- �� T - I 7- Contractor: ���`� r!�. r� i� "�`'' ) MN LICENSE # Address: a i (� � I > Ile_ S's3.3 -7 Tel. # (- �' �� LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: Attach to this application, a Certificate of Survey of the Jot. with the proposed construction drawn on It to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sys. Ft. Length Width Height Sq. Ft. Length Width HSt/Oround Sq. Ft. Driveway Curb Cut Width Needed: Estimated Cost: $ Wee Schedule on ,Back) � G Ft. -+ 6 Ft - Ft x $ =$ DA'T'E: APPLICANT: �' Petnnit Fee $ ` Fire Surcharge State Surcharge $ - -- SAC Charge $ License Surcharge Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $' . . STIPULATIONS: CITY MUSE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10Rh%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Alin Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ J Building $ _'.1 S BUILDING Plan Review Permit Inspections Fire Surcharge RESIDENTIAL APPLICATION .001 times the total job valuation Re 6BN 763-572-3604 .0005 x Permit Valuation Minimum $.50 CITY OF FRIDLEY $ S. aD Date Rec'd: PRIA r_ DATE��� \�UT YOUR E-MAIL ADDRESS $1550 per SAC Unit (Plans to MWCC for determination) SITE ADDRESS $ ft + 6 ft = ft x $21 =$ THIS APPLICANT IS: ��� ❑ OWNER /&O CTOR $450 Conservation Plan Review PROPERTY OWNER/ NAME: Fee Determined by Engineering TENANT $ Agreement necessary ( ) Non Necessary ( } Total Due ADDRESS: CITY STATE_ZIP PHONE: - a 3 NAME: Renewal By Andersen CONTRACTOR SUBMIT A COPY OF STATE LICENSE # 1920 County Road "C" West YOUR STATE LICENSE ADDRESS: Roseville, MN 55113 r STATE ZIP WITH APPLICATION PHONE ❑ SINGLE FAMILY/NE` License #20130983 PROPERTY TYPE ❑ TWO FAMILY/NEW C. 651-264-4777 ❑ ADDITION ❑ GARAGE/SHEDNDOWS PERMIT TYPE ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ W ❑ ADDITION MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE. U ` A SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT S . Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan PROPOSED SIZE: ❑ DETACHED GARAGE 2. Proposed floor plan PROPOSED HEIGHT: 3. List of structural members to be used SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Ph /Survey showing the existing structure ❑ Other ❑ Fascia and proposed project. WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: TOTAL JOB VALUATION L2. (n 9 U.B.0 FEE OCCUPANCY TYPE A Permit Fee $ _'.1 S See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ :Q. Lan .001 times the total job valuation Surcharge $ 1. -5_-�- .0005 x Permit Valuation Minimum $.50 License Surcharge $ S. aD $5.00 (State Licensed Residential Contractors) SAC Charge $ $1550 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 $ Make checks payable to: City of Fridley Attach Stipulations 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 ben conformance with the ordinances,ano codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not permit but only an application fof ipermit and wo 's not to start without a permit; that the work will be in accordance with the approve( plan in the case of all work whic * rgvi tllaToyal of-Wamb,-N SIGNATURE OF APPLICANT rI �}{ } From: City of Fridley To: 6127242018 "ge: jr4 u�ti�. '°+�"'�•,•• .. — NICAL Perm it No.� Building ReceivBY Inspections RESIDENTIAL APPLICATION 763-572-3604 ITT F FLEY Dat DAfiE�_ �i�Z Q YOUR&MAILADDRESS - -- - -----.•-__ _ SITE ADDRESS 1'IUS APPLICANT IS: Cd gWNER �NTRACTOR _ -- -- -- .� f^gt�I"E�'1'S'- _ NAME: �__3•s—�r�� _'F...-�..� ,�1r�..SS4!�...____-._.__—.._..w_._._.............__..__.._.__.._ 01VIT(' ER/ ADDRESS:—i `J S — _ e_c�.,.i -�=c1T_.- TF.t+IANT - �Sl �Yfl l� l6> t in — ---- - ---- _ —----..._._ - SUBMIT ACOPY OT-- --- 41sg4'tlVef"UDATC____________.__------_— YOUR STATE STATE LICENSE t1_ j� � j �STATE� _ZIP___,_— LICENSI: WITH ADI?RESS: _ -- APPLICATION PHONE �SRVGLE FAMILY ❑TWO FAMILY 13 TOWNHOUSE PERMIT TYPE 1'YI?Ir.CDI+ WORK: ClN13W MR11PLACEMENT ®ALTURATIONtREMODEL - DETA11,ED DESCRIPTION OF WORK l'1 1t 5 the pet fee is a tttitt#tlrtttttt of $I 18.00' or 11% of the total cost up to $50.00, whichever is greater, for the MS 1611.6665 E�6permitinytalla per replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor isnprnvcment, 11. ;} s .Gabor cost, and©r $3(X)= '$15.00. Labor cost between $300 to $500 n cost of labor x .OS -- FOR PROJECTS wI IERE I.AIIOR E?iCEEDS $500, FEES ARE BASED ON 510.00 PER FDCTURE, EXCEPT w1IERE NOTED, F1:iTURES: (INDIC:ATL TOTAL. NUMBER OF EACH BELOW) MODEL: _ _ SIZEJBTU Equipment Inatalt ki MFG: � MODEL: _ _ _ _ StWBTU NIFG. _ SIZVBTU MFG: — MODEL: FIREPLACE (GAS) 515.00 GAS RANGFJOVliN $10.00 S,�l/C' $25.00 —FIREPLACE (WOOD) .00 NEW GAS GRILL. $10 00 AIR TO AIA ENCHANGEER $,1 S I R FIREPLACE ACE (WOOD) GAS UNIT HTR $10.00 _BOILER $.35.00 POOL HEATER $55-00 - CI-MINEY LINER 510.00 GAS DRYER SI0.00 VENTILATOR $15.00 GAS PIPING $10.00 c� Number of fixtures (0)$10 00 _ — x $10 .t10 = S Permit Fee$ _- RC2 — 54 Number of fixtures )x,1$15.00 — x $15,00 - Surcharge $ $ Number of fixtures Cruet.• $25.00 __ x $25.00 =$r___....-_.. = TOTAL DUE, Number of fixtures A $35.00 -._-_ x $35.00 State Surcharge = $__ _ _�q Total TILS 15 AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I. hereby apply for a building rmit and I a?knowle a that the information above is complete and accurate; that the work will be in cartfot.mance with ilio ordulan sand codes of the riy of Fridley attd with the lviuutesata Construction Codes; that. I understand this is not a permit but only an appl' tion for a tit ork is not to start without a permit; that the Fork. will be in accordance with the approved plan in the case of work whit aqui s view and approval of plans. ff ii v _PRINTNAMfi`�`9C'`t,ATE-_ °E..- SIGMATURE OF APPLICANT Cit' ®f Fridley Building i[nspectilons Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-5024977 Building Inspections 7.63-572-3604 DA' i- cl,6- 6-7 SITE ADDRESS I THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR. STATE LICENSE WITH APPLICATION PERIYIIT TYPE TYPE OF WORK: RESIDENTLA L APPLICATION COY OF FRIDLEY YOUR E-MAIL ADDRESS 12001 M ❑ OWNER NCONTRACTOR t- f}a-agLrAew% Received By: ADDRES e`� a ®�`®6 G9 �� s e� (��/ _STATEI40 ZIP S� `/ J PHONE: '2 63- S'? q- '13-7 Q COMPANY NAME:_ CONTACT PERSON: STATE LICENSE # EXP DATE S yp 1 PHONE I V'7 -15 4- 11141 6 SINGLE FAMILY ❑ TWO FAMILY ❑ NEW tC REPLACEMENT FAX -11 '� U- v 2S 0 TOWNHOUSE X ALTSRATION/REMODEL ATE 104N ZIP 5 � q _' DETAILED DESCRIPTION OF WORK 'IA S,"U �i �t �(�c�- ��►sL�-� PER MS 1613.665 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 factures. ('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 PROJECT'S WHERE LABOR. EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERENOTID. FIXTURES: MMICATE TOTAL NUMBER OF EACH BELOW) MODEL: SIZEBTU Equipment Installed MFG: SIZEBTU MFG,, MODEL: MFG. MODEL: SIZEBTU A/C $25.00 2LFIREPLACE (GAS) $15.00 . GAS RANGWOVEN $10.00 FIREPLACE ( ,AIR TO AIR E7{CHANGEIIt $15 (WOOD) $35.00 NEW GAS GRILL $10.00 BOILER $35.00 _,FURNACE $35.00 _GAS UNIT HTR $10.00 -CHIMNEY LINER $10.00 _GAS DRYER $10.00 FOOL HEATER 535.00 —DUCT WORK $10.00 GAS PIPING $10.00 VENIII,ATOR $15.00 —�---��•1.,.na.,...a�.,.'��r�i3�rr�ra�a�'k'"l+iY Permit Fee a S . y ® Number of fixtures @ $10.00 x $10.00 = $ Surcharge $ .50 Number of fixtures @ $15.00 d x $15.00 = TOTAL DUE $ 0 S' -.9 a Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ _50 Total = $ iS • z c' 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 work which requires review and approval of plans. 6 7 SIGNATURE OF APPLICANT l r -l0 A ch2 6g:ld PRINT NAME Chr 16 R W A DATE 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 HOMES/ADDITIONS EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEWIEXISTING HOMES 1. Combustion Air (See note below) a_ Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propanefl'F'GC 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 DvIC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new contraction 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 NO'S'E: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion an:d snake up air calculations