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PRE 2010 DOCSCity of Fridley, Minn. BUIWING PERMIT Date: . �........ ......................... owner....................................... Address ...................................... N® 3592 Builder Address............f.a.............................. LOCATION OF BUILDING No. .. Street �f . .. F .... Part of Lot ...... .......... _. Lot . �/........ Block ..... .......... G Addition or sub -Division r �. .-. ... .. Corner Lot ............ Inside Lot ............ Setback Sideyard .. .. � .................... DESCRIPTION OF BUILDING To be Used as: ..... Front 'Depth 0? 7!.:. Height ` :��.. Sq. Ft. Cu. Ft. :�,... Front O �:. Depth : ��`�. Height �. Sq. Ft '.. Gtti Type of Cons ction ................... ]list. cost.. � �G � c.�.. To be Completed ...................` In consideration of the issuance to me of a permit to construct the building the proposed work in accordance with the description above set f and in c ordinances of the city of Fridley. , In consideration of the payment of a fee of $. .: .., permit is herebygrantedto .............. to do )ns of ......................... 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 with- in 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 or alteration for wiring, \plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. Y e, k City of Fridley Application for Plmnbing and Gas fitting Permit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK b r-7 Number, Kind and Location of Fixtures -tion PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL. Number Fixtures ....... x $1.50 $� 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 $ s d New Ground Run Old Bldg . ............ — x 3.25 GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 Additional Fixtures .................... x .50 g Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ............................................... l TOTAL FEE $ I ` , 5-0 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. Frid1Q T\ Owner�C�i �,-"®"v rr ;lJ' .......� 19 ' Kind of Building Used as 19— To be completed about��°� Estimated Cost, $ / e7 Cew uUding Permit Sign p Y _ Business Phone No Connection Permit No . ....................................................... 3- Lf 7 O�� 11 IM -8-58 Water Sewer Meter Deposit N m z � 4 WATER HTR. GAS ELEC. QOJ 3 z Qm z �qa �p �qa QQa �� a �z z ¢a F N Ci 60 m N 3 F O LL N LL p U m Q 3 Q 0 Base 1st 2nd 3rd 4th Futur@ Connection Openings Connected with New Fixture, Old Openings Sewer Vq Cesspool 0 - PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL. Number Fixtures ....... x $1.50 $� 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 $ s d New Ground Run Old Bldg . ............ — x 3.25 GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 Additional Fixtures .................... x .50 g Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ............................................... l TOTAL FEE $ I ` , 5-0 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. Frid1Q T\ Owner�C�i �,-"®"v rr ;lJ' .......� 19 ' Kind of Building Used as 19— To be completed about��°� Estimated Cost, $ / e7 Cew uUding Permit Sign p Y _ Business Phone No Connection Permit No . ....................................................... 3- Lf 7 O�� 11 IM -8-58 Water Sewer Meter Deposit 1-7-� �7-9? �7 City ®f Fridley, Minn. N® 7835 PERMITBUHDING Date: June 10j, 1965 4 Owner: Lowell Parish Builder C. Eldon Peterson Constar. Co.' Address 6737 Washin&ton Street N. E. Address 2908 132rAd Ayg. X. W. Anolca�� LOCATION OF BUILDING No. 6737 street Wash on $tree N. X. - Part of Lot Lot 13 Block 1 Addition or Sub.Division Rice Greek Terrace, Plat 4 Corner Lot Inside Lot Setback Sideyard Sewer Elevation To be Used as: Front Front Type of Construction Foundation Elevation Depth Height Sq. Ft. Depth height Sq. Ft. _ Est. Cost , 000• i To be Completed Storm Damage Repair Cu. Ft. 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 abov�ser,�h ancjria�com�liance with a'll provisions of ordinances of the city of Fridley. l p� ,\ In consideration of the payment of a fee of $10• , permit is hereby granted to on .� �, to construct the building or addition as described above. This permit is granted upon e express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. A.33_en &men Building inspector NOTICE M permit don not cover the construction, iastailaden for wiring, plumbing, pas boating, sewer or water. Be sure to we the Building Mqm for for separate permh for these hsua. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA ► y • % ,, ► Rh-nZelow- Ali AI► ► ' - 1 1� v ► ► •ESS 29 � / �� ' r LOCATION OF BUILDING No.7 Z Street_ k1q SAMA&& -pAl. Part of Lot LOT BLOCK ADDITION OR SUBDIVISIO _ C. Corner Lot Inside LOT ✓Setback Side -Yard_ "Cr, 4o�6 SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To be used as; DESCRIPTION OF BUILDING Front Depth_Height Sq. Ft. Cu. Ft. Front Depth Height, Sq. Ft. Cu. Ft. Type of Construction ER ® Wmated Cost To be completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to .do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. (Schedule of Fee Costs can be found on the Reverse Side). -464. zatOL144or lei �� ® '� ��-�Gf��,r,$' �`"�e►.% ®,S' a^P ` .W; /o jre4poWb t' u SUBJECT PER City of Fridley 12 AT THE TOP OF THE TWINS BUILDING PERMIT � r � ECEIPT NO COMMUNITY DEVELOPMENT DIV./ INSPECTION r PROTECTIVE SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 6/28/73 JOB ADDRESS 6737 Washington Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 13 1 Rice Creek Terrace Plat 4 SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Rodney Cantin 6737 Washington Street N.E. -3—CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Bauer the Builder 302 South Cedar Lake Road 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 XJ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBEWORK Construct 12' x 12' Addition to Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS REQUIREt� FOR-WI�IN�, RTE,_ PERM gEpERg SIGNS- HEAVING, pLUMBING AND TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, Wood Frame VENTILATING OR AIR CONDITIONING. 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 R_1 144 1728 OR WORK IS SUSPENDED OR ABANDONED FORA 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 $2,056 1.03 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 ORT PERFORMANCE O CONSTRUCTION. ea 14°60 PLAN CHECK FEE TOTAL FEE / /' `a 9 C� 7 SIGM uR CONTRACTORORAUTHORIZE ,AGENT (DATE) C W N PROPERLY VALID EDH IS YOUR PERMIT i . a SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) BLDG. iNSP DATE u P APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME• yi BUILDER: ADDRESS• ADDRESS• 10 S NO :. STREET • Vt1G �fi /TO �• LOT: /A BLOCK: U ADDITION CORNER LOT: INSIDE LOT: A---- SETBACK: SIDEYARD: 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: JI N/✓l1%,Q IYi'le11 Front:_/oV O, Depth: /0V1 Q Height: Square Feet: /4/4,/ - 4Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: 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 sttict 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. �O DATE:':j �7 SIGNA at4 _L (See Rev a Side For Additional Information.) a o _ (mad 6 uta q , 0, Air C=9101E S�W' am and Dowkez GRAVITY WARM AM: RATE TOTAL ice dell & Duct Work ... .... .810.00 Replacement of Furnace 6.00 $� Repairs & Alterations—up to $500.00 6.00 6_0 Repairs & Alterations each add. $500.00 300 $ IMCDL WAS am Furnace Shell & Duct Work to 120,000 BTU .. $10.00 $ each add. 60,000 SM . ......... 3.UU ; Replacement of Furnace 6.00 $ Repairs & Alterations—up to $500.00 &00 Repairs & Alterations each add. $500.00 3,W $ Furnace Shell & Lines—to 400 sq. it. FMR Steam $10.00 $ Furnace Shell & Line to 640 sq. ft. EDR Hot Water 10.00 $. Each add 200 sq. ft, EDR Steam n. on $ � Each add. 320 sq. ft. EDR Hot Water 3.00 $ OIL BURNER—to 3 gal per hour 6.OD over 3 gal, per hour—See Fee Schedule GAS BURNER (up to LM000 BTU) 5" $ over 1099,000 BM Sam Fes gchoduls GAS FITTING Yom: NO RATE TOTAL Ist 3 Fixtures x$ 200 $ Additional Fixtures z .yg Gas Range to MAW X$ 6.W $ :� 3fires a MAL J —�l a7� State Surcharge .50 am Fee achwiwla TaTAB. EM City of Ridley: The undersigned hereby makes application for a permit for the work hereit- specified, agreeing to do all work in strict accordance with the City Ordiaiancev and piling of the Department of Buildings, and hereby declares that all the fad and representations stated in this application are true and correct. MTM Kind of Building Used as To be completed about, Fridley m 'e__ Estimated Cast, $ Otd— ew. Building Permit No Permit No. (� FMA77NG or P01MM 1 teams, Not Water, W=m Elir No 1U Trade Name Sias Nn- Capacity—__. ..— Sq. Ft E.D.R EMU Hg. Total Connected Load Mnd of FVet BURNER -- Tri Name Sive No Capacity Sq. YL ZM.R taas._1 SUBJECT P City of Fridley AT THE TOP OF THE TWINS BUILDINGr PERMIT CDvIT � RECE • COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r PROTECTIVE NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 �.___1l.' �•� 612-571-3450 910-F15 8/29/83 JOB ADDRESS 6737 Washington Street N.E. 1 LEGALLOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 13 1 Rice Creek Terrace Plat 4 SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE John Mittelstadt 6737' Washington Street N.E. 574-0137 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 ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE x 8 DESCRIBE WORK Construct a 71.x 22' Garage Addition 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway. LEARNING SEPERATE PERMITS REQUIREDFOR WINN4' Before digging cal( local utilities HEATING, PLUMi3ING AND SIGNS. TELEPHO - ELECTRIC - GAS Etc. RE04 IRED BY LISW SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD 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 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 $1,644 $.82 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- $28.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $28.82 SIGNAT REOFCONTRpCSOR I7H R¢EDAGE 7 tDATEt .WHEN PROPER ALIDATE THIS IS. YOUR PERMIT I ATE 1,7 SIGN URE OF OWNER IIF OWNER BUILDERI CITY OF F1tIDLLY Effective Aug. 1, 1981 ' APPLICATIM FOR RESIDENTIAL BUILDING PLRilITS (New, Alterations, Additions, or Repairs) OW11ER:7:SEA v��,1v�� )r6BUILDER: YO r` k) �1.4 JmAc1� ADDRESS: Col 3 7 A,� ADDRESS: C % 3 % W A,& . t TEL h0: C4—C)L 3-7 TEL 110: 7 L4 - i� ! 3 7 Construction Location STREET NO: Q3 -7 STREET: LOT: -13, BLOCK: l Corner Lot: Inside Lot: . �C- Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTIOR OF CONSTRUCTION 1 r Front: Depth: Height: 1 Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: _ Estimated Cost: $ Type of Construction: 410 Be Cbripleted: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE PEVERSE SIDE OF SHEET . 2be undersigned hereby makes application for a permit for the %-nrk 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. A D,%TE: �' g� SIr.NATUi,: Stimulations: ►. r LOT SURVEYS COMPANY, INC. LAND SURVEYORS REGISTERED UNDER LAWS OF STATE OF l,'IINNESOTA 7601.73cd Avenue North 660.8095 Minneapolis, Minnesota 66428 �►ttrvr�inrs �rrtifftatt JOHN MITTLESTADT W _ L 0) I T Irt� V � Lot 13, Block 1, RICE CREEK TERRACE PLAT 4 I l We hereby certify that this is a true and correct representation of a survey of the boundaries of the above described land and the location of all build- ings and visible encroachments, if any, from or on said land. Surveyed by us this 19th day of July 19 83 ��o,�P�� INVOICEN 1218 LE 1— I — 1 RON X20 i'V 1 10 W O W �+ W+ Em Q C til y l I L � N -w. I iza r U) 0, y i� a I /2.0• h 36.01 mm 44CoNCRere Wwoa WeLL -I,40.00- ��o,�P�� INVOICEN 1218 LE 1— I — 1 RON X20 i'V 1 ' W J 2 x a 0 W+ 3 Q C til y l I -w. TI ^:1 ja i� Signed , r v i a v, r ymond A. Presch, Minn. Rey. FIRE DEPARTMENT MEMO (::TO:--. BUILDING INSPECTI ASSESSING SUBJECT: 'FIRE DAMAGED STRUCTURE or& FIRE HAS OCCURRED, . J�Wj 6737 Ajobn Mittalstadt St --CADDRESS) October 26, 1983 (DATE OF FIRE) FPB -6 DATE: ®et. 26, 1983 City of Fridley SUBJECT - 1730-7 AT THE TOP OF THE TWINS BUILDING PERMIT r REC COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 CITY HALL FRIDLEY 55432 I.J NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 10/26/83 / / JOB ADDRESS 6737 Washington Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 13 1 Rice Creek Terrace Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John Mittelstadt 6737 Washington Street N.E. 574-0137 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. R. A. Ungerman Const. Co. 5156 Thomas Avenue South 922-2800 4 ARCHITECT OR DESIGNER MAILADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Roof Repair (Fire Da nage) 9 CHANGE OF USE FROM TO STIPULATIONS 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 SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $15,000 $7.50 DOES NOT ESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISI S F NY OT ER STATE OR LOCAL LAW REGULATING CON- STRUC ON T E ORMANCE OF CONSTRUCTION. $110.50 PLAN CHECK FEE TOTAL FEE �� ' �,� $118.00 SIGNATURE OF CONT;r OR OR AUTHORIZED AGENT (DA EI WHEN PROPER LIDATED THIS IS YOUR P RMIT q 0 0 SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) BLDG INSP IJATE CITY OF FRIDLEY . Effective Aug. 1, 1981 APPLICATIM FOR RESIDENTIAL BUILDING PEN41TS (Revs, Alterations, Additions, or Repairs) OVINE R: r ADDRESS 7 TEL K0: .BUILDER: K174111,1el"J"41i �V-Ac- ADDRESS: TEL 110: C12 2— 2 F -d6 Construction Location STREET NO: STREET: LOT: BLOCK: ADDITION: Lx Corner Lot: Inside Lot: J Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTIOR OF CONSTRUCTION Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: _ Type of Construction: stimate Cost: S � e) To Be Cbmplcted: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE PZVF:RS-' SIDE OF SMEET Zile undersigned hereby makes appliclticn for a permit fcr the %:vrk herein specified, agreeing to do.all work in strict accordance with the City of rridley Ordinances and rulings of the Department. of Buildings, and hereby declares that all the facts and representations stated in this application,,aT9jtrye and correct. DATE: /612CA-S SIGNhTUr:.: /k jlf �l2c1D � Stimulations : 10 / 0� "r-1 SUBJECT P 0• City of Fridley 20334 AT THE TOP OF THE TWINS ? BUILDING PERMIT Ir RECEIPT NO. COMMUNITY DEVELOPMENT DIV. I v PROTECTIVE INSPECTION SEC. r / I , "S CITY HALL FRIDLEY 55432 NUMBER REV, DATE PAGE Of APPROVED BV j 612-571-3450 910-F15 5/3/901 JOB ADDRESS 6737 Washington Street N,E, 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 13 1 Rice Creek. Terrace Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mark Gabel 6737 Washington Street N E 5729.113 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. S=e 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace porch, windows: with_a 6." patio door and a 4 foot window 9 CHANGE of USE FROM TO STIPULATIONS S:ee, notations: on plan, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1 1O $,58 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 6 PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $29, aO STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $29,58 I I' U EOFC NTR T RORA THORI DAGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT v n0� iGNATURE OF OWNER IIF OWNER BUILOERI (DATE) BLDG INSP NEW [ ] ADDN [ ] ALTER Construction Address: Legal Description: R-1 AND R-2 Building Permit Application Effective 1/1/90 L Owner Name & Address: �kr- . GRL'O Tel. Contractor: (S CA vim) 1 Tel. # Address: b� 37 a,\ �Qk Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVIM AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: P 1\ k,�rov�e rZJn -CK4cdI (' P ,® CbDr, :4 4k:�, w.,, �oW Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setba cs Type of Construction: Estimated Cost: s-- 1 0 0E) Approx. Completion Date: Z v� U 9 (3 Proposed Driveway Width If New Opening Is Desired: Ft. $ $ ((Width + 6' See Back Page DATE: 3- 01 Q APPLICANT: VA � f,1� S �', 61 Tel. # 5 % a -q I 13 Permit Fee $_ago State Surcharge $ a58 SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ TOTAL 6 o STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side $.50/$1,000 Valuation $600 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] l� ��'®e-' SUBJECT City of Fridley / AT THE TOP OF THE TWINS BUILDING PERMIT 1 COMMUNITY DEVELOPMENT DIV. r [ � PROTECTIVE INSPECTION SEC. REV. DATE PAGE OF 1 i"'1 CITY HALL FRIDLEY 55432 NUMBER ti'"'� f 1'j 612-571-3450 910415 10/23/90 JOB ADDRESS 6737 Washington Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION DESCR. 13 1 Rice Creek Terrace Plat 4 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mark Gabel 6737 Washington Street N E 786 3 CONTRACTOR MAIL ADDRESS ZIP PHONE SamePHONE 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP 5 ENGINEER MAIL ADDRESS ZIP PHONE 8 USE OF BUILDING Residential IT NO. RECEIPT N APPROVED BY SEE ATTACHED SHEET LICENSE NO. LICENSE NO. LICENSE NO. 7 CLASSOFWORK ❑ NEW ❑ ADDITION] ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Alterations to. kitchen. area, 9 CHANGE OF USE FROM TO STIPULATIONS See notations on Aan TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. THIS PERMIT AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT pFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS THAT I HAVE READ AND EXAMINED THIS APPLICATION 1STALLS GARAGES I HEREBY CERTIFY SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND KNOW THE AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $5,5 .0 $2, 75 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $81, 00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $89.25 Fi S a an I S N TUR.E�fOFCONi�CTORAUHtZEDAGENT AT I EN PROPERLY VALIDA D THIS IS YOUR PERMIT ID TEI NSP f1ATE NEW [ ] Effective 8/16/90 ADDN [ ] R-1 AND R-2 A= Building Permit Application Construction Address: 03 Legal Description: LO t 13 j�L / C'S` &- 'Tw`e I ' Owner Name & Address: ) q j" � �R 6 ( Tel. # % ( L{ l Contractor: SCtW\k, Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. ,0-' Iy'!I*' W/�ul�i�i4 LIMM AREA: Length Width Height Sq. Ft. GAVJ E AREA: Length Width Height Sq. Ft. DEM AREA: gtC/Groun�d/y Sq. Ft. ((l�-enpQgth �w� OTHEFU `�"1f ep\ 0 ` y,, wtW��iy�dptnh� O� /I1� (/may f� zzW Vl'W, g ^ `.'\AJ"\y1 aH� J IC��L! \ �y" 1y R �p p � p �`�-�.pfp�Q - V +(.1 `QU Actys �lo V�GYI.�"'X Corner Lot [ ] Inside Inst Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $5 ®OHOca Approx. Conpletion Date: p2C Proposed Driveway Width If New Opening Is Desired: Ft. $ $ Width + 6' See Back Page nom: t o 112.311qQ APPLIaWT: '(�c�d k u �e I Tel. # S 7a - 9 (/3 -)eb-�� Cs� CITY USE ONLY Permit Fee $ ` 400 Fire Surcharge $ State Surcharge $ SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ STIPULATIONS: Fee Schedule on Reverse Side .001 x Permit Valuation (1/10th o ) $.50/$1,000 Valuation $600 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] (Z-do3-7 CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1991 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace Gas Piping (Needed with new furnace) Gas Range Gas Dryer *Air Conditioning - All Sizes Rate - TOTAL $ 20.00 $ �. ')� $10.00 $I®.v0 $10.00 $ $10.00 $ $10.00 $ All Others/Repairs & Alterations (LIST ON BACK 1 % of Value of Appliance or Work Commercial/industrial 1 % of Value of Appliance or Work State Surcharge TOTAL FEE JOB ADDRESS V737 7 Al 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 ruling of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. -3— 1 ,1993 OWNER &RK 6abeI --- 57d -7//3 BUILDING USED AS ESTIMATED COST PERMIT NO. 1 A-23 DESCRIPTION OF FURNACE AND OR BURNER $ No. of Heating Units I Circle One (Steam) (Hot Water) arm Air Trade Name L E1,1N®K Pw16e` Size No. oa v, - �` 3 BTU (90,a®a HP. EDR $ Fuel NI r co Total Connected Load $ .50_ $ 3c . �® MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Burner Trade Name Size No. BTU HP EDR HEATING COMPANY /WS# ,4/' 4 W C edjVrwja' Signed By Tel No. 536 - 0b6 7 Approved By Rough -In Date Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes (4 No ( ) 2. Is free from rust or deterioration Yes 6() No ( ) 3. Has no foreign objects lodged within Yes No ( ) 4. Is securely supported Yes (74 No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes (X) No ( ) 6. Has total heating BTU's of All other BTU's q.0 ) ,o v o TOTAL BTU's Remarks List Alterations Being Done: a ,l mac• a �' HEATING COMPANY S/ W&rSet& d- Signed By Date HOUSE HEATINC TEST REcoRn 47�S ` FLOOR CITY SUBURB ADDRESS ^� �,,, `�I tT' APT. � OCCUPANT J`��~ ��CL�b Com. OWNER HEAT LOSS DATE IITG. INST. _ SOLD DY_1��lr�=>� 4Z-26'✓C'ZNSTALLED BY Electrical Work By Cas Linc TYPE OF HEAT: GA—FA-)LI It? STEAM Sher, IITR._ UNIT IITR._OTIIER __ CAS DESIGN CONVERSION HAKE � iuKL OF. BURNER ----- .:.,dcl. 6 i��c �6 z0 _ Model. -- _.._ ---- t Max. BTU Ratini; INPUT ll�� CSC 1S&KE OF FURNACE f�'lnbx n��SP Model CONTROLS THERMOSTAT "6 Heat Plug, _ - Vcnt Size P✓L valva Ube rf s k4-/ KIND OF LXNF.R SIZE -- NONE..-._.-- Limit /q0'1 Draft Hood Rcrulatox__�_—_,-- Limit Setting_ _ Zoo` S�ilCera; Sizc 7X� XS Number; Fan Settingq0Chimncy Location: Pilot Typc )nCc1' G Chimney Construction, Pilot Make' .Smoke Bomb Wiring Pilot Model , Pilot Timing Sec-ON05 DraftTcst TnI; - L.W. Cut Off Door Door Prcaaure Lightinr, lnst._� /Oc Percent CO2 7 Date TcaCcd 3 - ! r %3 a - Q Com an Testing M 19(2$ � �'17G � 4V CCI Input CFI �O� Percent Ct� ' P Y .Shack Temp. q Percent C01.021'16 Name of Tcs to IJd� SUBJECT City of Fridley ?3307 AT THE TOP OF THE TWINS BUILDING PERMIT I° j r +� RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r I L PROTECTIVE INSPECTION SEC 1 � � CITY HALL FRIDLEY 55432 NUMBER REV DATEPAGE OF APPROVED BY 612-571-3450 910-F15 4/25/95 10B ADDRESS 6737 Washington Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 13 1 Rice Creek Terrace Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mark Gabel 6737 Washington Street NE 572-9113 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 ❑ NEW ❑ ADDITION ( ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install Bay Window (9'1" x 22" x 7'); remove picture window 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,200 $ .50 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 $29.00 Fire SC $1.20 PLAN CHECK FEE TOTAL FEE $30.70 S GG�Nj'ATTUUREq/FC NTRA TORO UTHORIZEDAGENT tDATEt WHEN PROPE& VALIDATED THIS IS YOUR PERMIT SiGNATUREO OW NER ,iF OWNER BUILDERt tDAT t BLUE iNSPi gaTE ,NEW ADDN [ ] ALTER [%C� Construction Address: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application 61 Effective 1/ 1/95 Legal Description: Owner Name & Address: Mari G -j e. � Tel. # a -),;L - 1.3 W6- it q Contractor: MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length � ° I a° Width =01 Height �] Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Bn7'N ti9��®� �p��c�a., p�c�.,� �-�a , u�► Comer Lot [ ] Inside Lot [ j Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ Approx. Completion Date: Zv 1 a 36120 a �9 q T (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ /, 2JO- DATE: qjxq APPLICANT: MNfI/� Tel. # dS -,*,,,r1 l _ STIPULATIONS: CITY USE ONLY Permit Fee $ ot t, Fee Schedule on Reverse Side Fire Surcharge $ /. 2C .001 of Permit Valuation (1/10th%) State Surcharge $ , Oro $.50/$1,000 Valuation SAC Charge $ .$850 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: W sueJEcr City of Fridley 2736 4 AT THE TOP OF THE TWINS BUILDING PERMIT e , O e � e COMMUNITY DEVELOPMENT DIV. 16 r PROTECTIVE INSPECTION SEC. 1 e PLUMBER REV DATE PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 612-571-3450 910-F15 18/24/98 JOB ADDRESS Washington 6737 St NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 13 1 1 Rice Creek Terrace Plat 4 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mark Gabel572-9113 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Affordable Family H&mes Inc 12301 rt-nfral Avp NF '111-aine MN 55414 254-29()9 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION *k REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage 38 S tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL. PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 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 1 HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW T ME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX ERNING THIS TYPE OF WORK WILL BE COMPLIED AND O"PRESUME WITHI HEREIN OR NOT. THE GRANTING OF A PERMIT $3169 11.58 DOES GIVE AUTHO ITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVHER ST E R LOCAL LAW REGULATING CON- ST4i FORMA O CONSTRUCTION. 87.25 FireAC 3.16 PLAN CHECK FEE TOTA F E Licen C5.00 9 .99 N OP D TI$ I$ R PERMIT I' S ATURE OF ONTRACTOR OR AUTNORIZEO AG (DATE) IN$P DATE SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI NEW [ . Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �I BUILDING PERMIT APPLICATION '1� 0.1 1 , A i/ J ConstructionAddress: fp 73 -7 ak,4 Legal Description: Owner Name & Address:4USA�?� Tel. # �P i� 9 //3 Contractor: ^^ dz "' 1 MN LICENSE # /6 ZU Address: 1�3o 4qGz Tel. #6cZ 25`Yt-zo 2— Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: �Estimated Cost:11 AV $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ '3i("�'9 DATE: Cb Y APPLICANT: Tel. # 7 S z® Z TOTAL STIPULATIONS: CITY USE ONLY Permit Fee $ 2S Fee Schedule on Reverse Side Fire Surcharge $ 3.16 .001 of Permit Valuation (1/10th%) State Surcharge $ .S $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ 5-00 $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 r BUILDING Permit NO _L25 Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Recd: DATE 3---1- ® ( (2-73 SITE ADDRESS t2 -7 3 , THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE .X OWNER E: PHONE:2rj3' E-MAl DRESS i,y\ c� r VC • Q ea 6e I@ C C J 0 q Wt -CO" ❑CONTRACTOR 6'a -.Ag o-aoq TE,f S NAME: STATE LICENSE V EXP DATE ADDRESS: CITY STATE ZIP PHONE SINGLE FAMILY/NEW CONSTRUCTI( O TWO FAMILY/NEW CONSTRUCTION PERMIT TYPE A ADDITIUN U IIHLCEIU� JRGL O BASEMENT FINISH O ROOF O DECK O SIDING O SWIMMING POOL TYPE OF WORK: O NEW ADDITION O MAINTENANCE/REPAIR O REMODELING DESCRIBE WORK BEING DONE: 61 a & C_� 3 3) C' ?( 1 & 8" t SIZE OF IMPROVEMENT 1 U LENGTH 33't" W11C ROOFING O HOUSE ONLY j- —7/'-7?Q. -79 NUMBER OF SQUARES O HOUSE & GARAGE O DRAIN TILE O OTHER GARAGES O ATTACHED GARAGE PROPOSED SIZE: O DETACHED GARAGE PROPOSED HEIGHT: 141 30.3 , i J C-9 Il'6X HEIGHT Sq. Ft. 1. Exis 2. Proposed floor plan 3. List of structural members to be used SIDING ORTIEW_CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit _ ADDITIONS. & PORCHES SUBMIT: ❑Aluminum O Trim �J `+t' 1. Site Plan/Survey showing the existing structures O Other O Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ONo LOCATION OF WINDOWS 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: (USING TFIE 1997 U -BC FEE SCHEDULE) TOTAL JOB VALUATION $ (P/ 9ds-'34P OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ 'cR 7, 75 See Back Page for Fee Schedule $ // 7 3,OZ4 65% of Building Permit Fee $ .001 times the total job valuation $ --720 . C' /" 0005 x Permit Valuation Minimum $.50 $ $5.00 (State Licensed Residential Contractors) $ $1550 per SAC Unit (Plans to MWCC for determination) $ ft + 6 ft= ftx$20=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ Make checks payable to: City of Fridley Attach 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 applicatio r 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 equ. e�e 'ew nd roval of plans. �M�P� Z SIGNATURE OFAPPLICANT .•(�'// PRNTNAME tl11�' 6�►�C/�--DATE 3�Z—O 'OI mous nuapn;lp; .,,o, 96206— # . 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L Lu aNNNa Z> iso W4, NW � Iy1 Z � Y �SZ WWW O c J� as di oc N t� 6s o N 4+ ,F o W oJmm La w 0 - LL L pTo SNJ S Y 9 Q 0 s L s � B UO U ° 8Z z oz > 3F a Y —F LL ea P m J O o Z W J L ~."> O J�NJU J P <� NF �W Wm ZI f � N � J JiNp (! o FKW E PCO �\� W ,Z Z Y OU JO mm 1-42 DIARENSIONS AND PROPERTIES W STRUCTURAL SHAPES 1-43 W SHAPES Ifrk,.kDimensions xrLbux-," r d Xr t ' Y �k b Compact Web Flange Distance Thickness tom. Width Thickness Axis X -X Axis Y Y Area Depth Desig- nation A d tw 2 bt tf T k k1 in3 in. in. in. in. in. in. In. in. W8x67 19.7 9.00 9 0.570 9/16 5/16 8.280 81/4 0.935 15/16 61/8 17/16 11'16 X58 17.1 8.75 85/4 0.510 1/2 1/4 8.220 81/4 0.810 13/16 81/8 15/16 11'16 X48 14.1 8.50 81/2 0.400 3/8 3/16 8.110 81/8 0.685 11'18 61/8 13/16 6/8 _ x40 11.7 825 81/4 0.360 3/e 3/18 8.070 81/8 0.560 s/18 61/8 11/16 5/8 X35 10.3 8.12 81/8 0.310 5/16 3/16 8.020 8 0.495 1/2 61/8 1 9/16 x31 9.13 8.00 8 0.285 5/18 3/16 7.995 8 0.435 7/16 61/8 15/16 8/16 W848 8.25 8.06 8 0285 5/16 3/16 6.535 61/2 0.465 7/16 61/8 16/16 9/16 X24 7.08 7.93 77/8 0.245 1/4 1/8 6.495 61/2 0.400 3/8 61/8 7/8 9/1e W8x21 8.16 8.28 81/4 0250 1/4 1/a 5.270 51/4 0.400 3/s 65/8 13/16 1/2 X18 526 8.14 81/6 0230 1/4 1/8 5.250 51/4 0.330 5/16 65/8 3/4 7/16 W8x15 4.44 8.11 81/8 0245 1/4 1/9 4.015 4 0.315 She 65/8 3/4 1/2 ` x13 3.84 7.99 8 0.230 1/4 1/e 4.000 4 0.255 1/4 65/8 91/Ie 7/ie X10 2.96 7.89 77/8 0.170 3/16 1/6 3.940 4 0.205 3/16 65/6 5/3 7/18 W6x25 7.34 6.38 63/8 0.320 5/16 3/18 6.080 61/8 0.455 7/1e 43/4 Y3/1e 7/ie X20 5.87 6.20 61/4 0.260 1/4 1/e 6.020 6 0.365 3/6 43/4 3/4 7/16 , X15 4.43 5.99 6 0.230 1/4 1/e 5.990 6 0.260 1/4 43/4 % 3/6 W6x16 4.74 6.28 61/4 0.260 1/4 1/g 4.030 4 0.405 3/e 43/4 3/4 7/18 X12 3.55 6.03 6 0.230 1/4 1/8 4.000 4 0.280 1/4 43/4 5/e 3/8 X9 2.68 5.90 57/e 0.170 3/16 1/8 3.940 4 0.215 3/1e 43/4 9/16 3/e W5x19 5.54 5.15 5118 0.270 1/4 1/8 5.030 5 0.430 7/1e 31/2 13/18 7/18 X16 4.68 5.01 5 0.240 1/4 1/e 5.000 5 0.360 3/e 31/2 3/4 The W4x13 3.83 4.16 41/8 0.280 1/4 1/8 4.060 4 0.345 3/6 23/4 11/16 7/1e W SHAPES , k,�k Properties xrLbux-," r k Nom- Compact Plastic inai Section Elastic Properties Modulus WL criteria Axis X -X Axis Y Y per bt h Fy" I S r I S r tt X1 X2 x 106 Z,, Zy lb 2if te, ksi kel (1/ksl) in.° in.3 in. ln.4 In3 in. In? In.3 67 4.4 11.1 - 6620 73.9 272 60.4 3.72 88.6 21.4 2.12 702 32.7 58 5.1 12.4 - 5820 122 228 52.0 3.65 75.1 18.3 2.10 59.8 27.9 48 5.9 15.8 - 4860 238 184 43.3 3.61 60.9 15.0 2.08 49.0 22.9 40 72 17.6 - 4080 474 146 35.5 3.53 49.1 12.2 2.04 39.8 18.5 35 8.1 20.4 - 3610 761 127 312 3.51 42.6 10.6 2.03 34.7 16.1 31 92 222 - 3230 1180 110 27.5 3.47 37.1 927 2.02 30.4 14.1 28 7.0 222 - 3480 931 98.0 24.3 3.45 21.7 6.63 1.62 27.2 10.1 24 8.1 25.8 - 3020 1610 82.8 20.9 3.42 18.3 5.63 1.61 232 8.57 21 6.6 27.6 -- 2090 75.3 18.2 3.49 9.77 3.71 126 20.4 5.69 18 8.0 29.9 -(_2 3890 61.9 15.2 3.43 7.97 3.04 1.23 17.0 4.66 15 6.4 28.1 - 2670 3440 48.0 11.8 3.29 3.41 1.70 0.876 13.6 2.67 13 7.8 29.9 - 2370 5780 39.6 9.91 3.21 2.73 1.37 0.843 11.4 2.15 10 9.6 40.5 39 1760 17900 30.8 7.81 3.22 2.09 1.06 0.841 8.87 1.66 25 6.7 15.5 - 4410 369 53.4 16.7 2.70 17.1 5.61 1.52 18.9 8.56 20 8.2 19.1 - 3550 846 41.4 13.4 2.66 13.3 4.41 1.50 14.9 6.72 15 11.5 21.6 - 2740 2470 29.1 9.72 2.56 9.32 3.11 1.46 10.8 4.75 16 5.0 19.1 - 4010 591 32.1 10.2 2.60 4.43 2.20 0.966 11.7 3.39 12 7.1 21.6 - 3100 1740 22.1 7.31 2.49 2.99 1.50 0.918 8.30 2.32 9 9.2 29.2 - 2360 4980 16.4 5.56 2.47 2.19 1.11 0.905 6.23 1.72 19 5.8 14.0 - 5140 192 262 10.2 2.17 9.13 3.63 128 11.6 5.53 16 6.9 15.8 - 4440 346 21.3 8.51 2.13 7.51 3.00 1.27 9.59 4.57 13 5.9 10.6 - 5560 154 11.3 5.46 1.72 3.86 1.90 1.00 6.28 2.92 MINNESOTA -DAKOTAS Key Club POINT REPORT FORM (Due by 10th of following month) Keqqlub of Month Send Copy To: --- - Dist. Sec. white — U. Grow green Gmernor canary _ Admigistrator Pink CI !ham 1. Did your club/°POss d at least two meetings this month? 2. Did your club start, tinue, or complete any project this ......................................................... / 5 month? :..................5 3. Did at least one member m your Key Club attend each meeting of your sponsoring Kiwanis C17 ............................................................ 4. Did at least one member of your s soring Kiwanis Club .....""'S attend each Key Club meeting? ...................... Did two or more members of your sponorin s.........wanis............. Club ......................................... 5 attend each Key Club meeting? ...................... 5. Did your:club's Faculty Advisor.attend each KeyoClub 'ng or was your club's Faculty Advisor represented at eac . 6. Have your club's International and District Dues n paid for t new year? (Once you earn these points, you continue to rn them each mont fter)..............................12 7. Were your club's Monthly and Point Repo filed last month? .................................................16 8. Average attendance of paid member t Key Club meetings: Above 90% = 10 pts. Ove 60% = 4 pts. Above 80% = 8 pts. Above 50% = 2 pts. Above 70% = 6 pts. ................................. 9. Has your club comp) d a Recommended Key Club Project in each of these a s yet this year? (Once your club completes a project in one of thes re S, it earns the points for that area for the rest of the year). Partnership Projects withthe KiwanisFamily ......2 Mentorin&; Program .....2 Suppor" of School .....2 Support of Human Spirituality .....2 Support of Home and Community .....2 World Wide Service project .....2 Civic Partnership Project with Outside Orgolvement .....2anizations .....2 10.Has your club submitted an article to the Minn -Kota Key this month? .................. Has your club submitted an article to the Keynoter this month? ""5 11. Have your club's Monthly Reports and Point RAnnrtc hann f;l-.l 0 r- ------POINTS EARNED - UbAm AND GIRDE.Z DES ;UVIFORM LOAD TABLES 1 W 8 BEAMS i -y=38 BEAMS W Shapes 36 k6l `v Shapes Maximum factored uniform loads in kips Maximum factored uniform loads in kips for beams laterally supported for beams laterally supported For beams laterally unsupported sae page 4-113 For beams lateraly unsupported, see page 4-113 Designation u w8 W8 WS Wt./ft 67 58 7 `� 40 35 31 �� 2815 2c 21 18 8 190 161 3 g 168 144 107 94 � � _ 4 � 90 152 118 96 83 73 5 59 11 138 1 106 86 75 66 � K: ~-_ 6 73 61 49 12 96 78 s8 "' 7 84 72 63 52 42 126 108 55 4 `. � 72 62 55 8 73 63 55 46 37 13 117 99 108 S1 14 68 58 51 9 65 56 49 41 33 15 92 61 54 47 76 M 10 59 50 44 37 29 101 86 16 95 81 57 50 44 11 53 46 40 33 27 17 89 76 54 47 41 £ ° ' 12 49 42 37 24 18 64 72 51 442 39 4 13 45 39 34 28 23 48 36 14 42 36 31 26 1 21 19 68 56 20 76 53 46 39 35 15 39 33 29 24 20 37 33 16 37 31 28 23 18 17 35 29 26 22 17 g18 33 28 24 20 16 19 31 26 23 19 15 ctD c�" 20 29 22 18 15 tic, Co $, vzo� r Z r h f` xIn.3 peftie8 and Reaction Values F � properties and Reaction Values 70.2 59.8 49.0 +baWo 39 8 34.7, �p ft 1520 12� 30,t-,}' 272 232 20.4 17.0 13.6 $vVn k1pS 99.7 1� 860 75085 z 588 501 441 387 294 DRi 73.7 88.8 6$.1 57.7 48.9 ,• 42.8 44 K .t 44.7 37.8 40.2 36.4 38.8 0Fty kiparin. 20.5 18 4 34.4 27.9 241 x " h 24.0 19.3 18.3 15.5 16.5 kR3 fdps 94.4 13.0 112 10 t _ 10.3 8.82 8.00 8.28 8•� 127 100 64.1 49.5 372 30, 31.7 23.5 242 19A 20.8 �rRt 17.2 10.1 927 - 0,RS kid s 172 � 5.67 4.26 4.33 4.16 5.28 58.4 44.4 33 5 -€ L' 28.7 212 21.8 17.9 18.0 OA )k 1 122.9 13.5 12.4 8.07 81�t `' 7.56 5.67 5.77 5.54 7.05 Load above heavy is ►invited b 89.8 76 6 83 0 83 3 39.7 40.8 352 40.9 Vakees of R M bfllWfe"exceed d strengfih. tirtlftad- �r �OvYrE W8 we 13 10 62 48 49 38 41 32 35 27 31 24 27 21 25 19 22 17 21 16 19 15 18 14 16 13 15 12 14 11 14 11 13 10 11.4 8.87 246 192 35.7 26.1 14.2 9.56 8,28 6.12 17.0 9.71 5.48 2.79 14.1 824 7.31 3.72 37.9 20.3 Permit # Permit Date Report Date: 03/20/06 Data filename: C:1Program Fi1eslCheck\REScheck16737 Washington.rck Energy Code: 20001ECC 40.0 Location: Fridley, Minnesota Construction Type: Single Family 40.0 Glazing Area Percentage: 18% Wall 1: Wood Frame, 16" o.c.: Heating Degree Days: 7391 3.0 Construction Site: Door 1: Glass: Owner/Agent: Designer/Contractor. Mark Gabel Wall 2: Wood Frame, 16" o.c.: 299 6737 Washington St. N.E. 3.0 13 Fridley, MN 55432 5 763-572-9113 0.280 1 Window 2: Vinyl Frame:Double Pane with Low -E: mark.gabel@caligor.com � ClrXinarePas�s*es �JyjoilnlJA?u[9 ,,- ofr�HorrteJA�I� X51 o SetYe do C e(UA�). a_..a... _ ,..3 .... _ ... Ceiling 1: Cathedral Ceiling (no attic): 579 40.0 19.0 10 Ceiling 2: Flat Ceiling or Scissor Truss: 203 40.0 19.0 4 Wall 1: Wood Frame, 16" o.c.: 225 16.0 3.0 12 Door 1: Glass: 25 0.280 7 Wall 2: Wood Frame, 16" o.c.: 299 16.0 3.0 13 Window 1: Vinyl Frame:Double Pane with Low -E: 5 0.280 1 Window 2: Vinyl Frame:Double Pane with Low -E: 1 0.280 0 Window 3: Vicryl Frame:Double Pane with Low -E: 23 0.280 6 Window 4: Vinyl Frarne:Double Pane with Low -E: 7 0.280 2 Window 5: Vinyl Frameftubte Pane with Low -E: 5 0.280 1 Window 6: Vinyl Fmme:Double Pane with Low -E: 1 0.280 0 Window 7: Vinyl Frame:Double Pane with Law -E: 7 0.280 2 Window 8: Vinyl Frame:Double Pane with Low -E: 11 0.280 3 Window 9: Vinyl Frame:Double Pane with Low -E: 11 0.280 3 Wall 3: Wood Frame, 16" o.c.: 130 16.0 3.0 8 Basement Wall 1: Masonry Block with Empty Cells: 225 0.0 10.0 13 Basement Wall 2: Masonry Block with Empty Cells: 272 0.0 10.0 15 Window 10: Vinyl Frame:Doubla Pane with Low -E: 8 0.280 2 Window 11: Vinyl Frame:Double Pane: 8 0.280 2 Basement Wall 3: Masonry Block with Empty Cells: 225 0.0 10.0 12 Window 12: Vinyl Frameftuble Pane: 8 0.280 2 Compliance Statement: The proposed building design described here is consistent with the building plans, specitications, and other calculations submitted with the permit application. The proposed building has been designed to meet the 2000 IECC requirements in REScheckVersa n 3..3 ijnd to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Builder/Designer Company Name Date Page 1 of 5 REScheck Software Version 3.7.3 Inspection Checklist Date: 03/20/06 Ceilings: ❑ Ceiling 1: Cathedral Ceiling (no attic), R-40.0 cavity + R-19.0 continuous insulation Comments: ❑ Ceiling 2: Fiat Ceiling or Scissor Truss, R-40.0 cavity + R-19.0 continuous insulation Comments: Above4rade Walls: ❑ Wall 1: Wood Frame, 16" o.c., R-16.0 cavity + R-3.0 continuous insulation Comments: ❑ Wall 2: Wood Frame, 16" o.c., R-16.0 cavity + R-3.0 continuous insulation Comments: ❑ Wall 3: Wood Frame, 16" o.c., R-16.0 cavity + R-3.0 continuous insulation Comments: Basement Walls: ❑ Basement Wall 1: Masonry Block with Empty Cells, 8.1' ht/7A bg/8.1' insul, R-10.0 continuous Insulation Comments: Exterior insulation must have a rigid, opaque, weather -resistant protective covering that covers the exposed (above -grade) Insulation and extends at least 6 in. below grade. ❑ Basement Wall 2: Masonry Block with Empty Cells, 8.1' ht/7A' bg/8.1' maul, R-10.0 continuous Insulation Comments: Exterior insulation must have a rigid, opaque, weather -resistant protective covering that covers the exposed (above -grade) Insulation and extends at least 61n. below grade. ❑ Basement Wall 3: Masonry Block with Empty Cells, 8.1' ht/7.6' bg/8.1' insul, R-10.0 continuous insulation Comments: Exterior insulation must have a rigid, opaque, weather -resistant protective covering that covers the exposed (above -grade) Insulation and extends at least 6 In. below grade. Windows: ❑ Window 1: Vinyl Frame:Double Pane with Low -E, 1.1 -factor 0.280 For windows without labeled U -factors, describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 2: Vinyl Frame:Double Pane with Low -E, 1.1 -factor 0.280 For windows without labeled 1.1 -factors, describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 3: Vinyl Frame:Double Pane with Low -E, 1.1 -factor 0.280 For windows without labeled 1.1 -factors, describe features: #Panes Frame Type Thenal Break? Yes No Comments: ❑ Window 4: Vinyl Frame:Double Pane with Low -E, 1.1 -factor 0.280 For windows without labeled 1.1 -factors, describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 5: Vinyl Frams:Double Pane with Low -E. 1.1 -factor 0.280 For windows without labeled 1.1 -factors, describe features: Page 2 of 6 #Panes Frame Type Thermal Break? Yes No Comments, ❑ Window 6: Vinyl Frams:Double Pana with Low -E, U -factor. 0.280 For windows without labeled U -factors, describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 7: Vinyl Frame:Double Pane with Low -E, U -factor. 0.280 For windows without labeled U -factors, describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 8: Vlnyi Frame:Double Pane with Low -E, 1.1 -factor 0.280 For windows without labeled 1.1 -factors, describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 9: Vinyl Frameftuble Pane with Low -E, U -factor. 0.280 For windows without labeled 1.1 -factors, describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 10: Vinyl Frame:Double Pane with Low -E, U -factor. 0.280 For windows without labeled U -factors, describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 11: Vinyl Frame:Double Pane, 1.1 -factor. 0.280 For windows without labeled U -factors, describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 12: Vinyl Frame:Double Pane, 1.1 -factor 0.280 For windows without labeled 1.1 -factors, describe features: #Panes Frame Type Thermal Break? Yes No Comments: Doors: ❑ Door 1: Glass, U -factor. 0.280 Comments: Air Leakage: ❑ Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. ❑ Recessed lights must be 1) Type IC rated, or 2) Installed inside an appropriate air -tight assembly with a 0.5° clearance from combustible materials. If non -IC rated. the fixture must be installed with a 3° clearance from Insulation. Vapor Retarder. ❑ Required on the warm -in -winter side of all non -vented framed ceilings, walls, and floors. Materials Identification: ❑ Materials and equipment must be Installed in accordance with the manufacturer's installation instructions. ❑ Materials and equipment must be Identified so that compliance can be determined. ❑ Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. ❑ Insulation R -values and glazing 1.1 -factors must be dearly marked on the building plans or specifications. Duct Insulation: ❑ Ducts In unconditioned spaces must be insulated to R-5. Ducts outside the building must be insulated to R-8.0. Duct Construction: ❑ Ali joints, seams, and connections must be securely fastened with welds, gaskets, mastics (adhesives), mastic -plus -embedded -fabric, or tapes. Tapes and masfics must be rated UL 181A or UL 181 B. Exception: Continuously welded and locidng-type longitudinal joints and seams on ducts operating at less than 2 In. w.g. (500 Page 3 of 5 Pa). ❑ The HVAC system must provide a means for balancing air and water systems. Temperature Controls: ❑ Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. Service Water Heating: ❑ Water heaters with vertical pipe risers must have a heat trap on both the inlet and outlet unless the water heater has an integral heat trap or is part of a circulating system. ❑ Insulate circulating hot water pipes to the levels In Table 1. Circulating Hot Water Systems: ❑ Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: ❑ All heated swimming pools must have an onloff heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: ❑ HVAC piping conveying fluids above 105 degrees F or chilled fluids Mow 55 degrees F must be insulated to the levels in Table 2. Page 4 of 5 Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes Table 2: Minimum Insulation Thickness for HVAC Poes Piping System Types Fluid Temp. Range(°F) Insulation Thickness In Inches by Pipe Sizes Heating Systems Non -Circulating Runouts Circulating Mains and Runouts Heated Water Low Pressurefremperature 201-250 1.0 Temperature (°F) Up to 1" Up to 1.25° 1.5" to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-169 0.5 0.5 1.0 1.5 100-189 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Poes Piping System Types Fluid Temp. Range(°F) Insulation Thickness in Inches by Pipe Sizes 2" Runouts 1" and Less 1.25° to 2.0" 2.5" to 4" Heating Systems Low Pressurefremperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate (for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water, Refrigerant and 40-55 0.5 0.5 0.75 1.0 Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD: (Building Department Use Only) Page 5 of 5 Building Inspections 763-572-3604 WAM SITE ADDRESS THIS APPLICANT I5: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PERMIT TYPE TYPE OF WORK: r� MECHANICAL RESIDENTIAL APPLICATION CITY OF FRIDLEY E-MAIL ADDRESS ❑E ADDRESS: COMPANY NAME:_ CONTACT PERSON: STATE LICENSE #_4 PHONE NftINGLE FAMILY D TWO FAMILY 0 NEW rEPLACEMENT DETAILED DESCRIPTION OF WORK "®EXP DATE CITY FAX D TOWNHOUSE D ALTERATION/REMODEL Permit No.: Received By: Date Rec'd: ATOA.Z 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 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 NO'T'ED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) MODEL: �(d SIZEBTU MFG �® Equipment Installed MODEL: _ SIZEBTU MFG: SIZEBTU MFG: MODEL: S RANGE/OVEN $10.00 _FIREPLACE (GAS) $15.00 _GA A/C $25.00 (WOOD) $35.00 _NEW GAS GRILL $10.00 FIREPLACE _AIR TO AIR EXCHANGEER 515 -FACE (WOOD) —GAS UNIT HTR $10.00 —BOILER $35.00 —GAS DRYER 5. 0.00 _POOL HEATER $35.00 —CHIMNEY LINER $10.00 =GAS PIPING $10.00 —VENTILATOR $1500 DUCT WORK $1000 —,.t,�r , 11 AND a., 'ERERflG3'5EitSii1 .r, Number of fixtures @ $10.00 x $10.00 = $ Permit Fee $- Number of fixtures @ $15.00 x $15.00 = $ Surcharge $ .50 TOTAL DUE � Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ 50 Total = $ 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 pe t an w of to start without a permit; that the work will be in accordance with the approved plan in the e of all work hich it s review and.a royal of plans. 9 �I �g SIGNATURE OF APP p "4 DATE � NAME�.w�lI �I71� City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 ri REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC Fj NEW HOMESIADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEWIEXISTING HOMES' 1. Combustion Air (See note below) a. Oil or solid fuel ]MC Chapter 7 with MN Amendments b. Natural Gas or Propane/TGC Chapter 3 with MN Amendments 2, Make-up Air (See note below) a_ IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances 1FGC 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 IlVIC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make up air calculations Building PLUMBING Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Recd: DATE I 1® k' YOURE-MAIL ADDRESS SITE ADDRESS 6-2 3`7 to,, sf- N Ic— THIS APPLICANT IS: OWNER ❑CONTRACTOR PROPERTY NAME: TN� Cop (00'e 1 OWNER/ ADDRESS: 6-71) S-� C STATE I►IINZIP TENANT PHONE: 76.3 - S"7a-n,13 e e ll 61Z -2_T)-10 97 CONTRACTOR NAME: STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE ADDRESS: CITY STATE—ZIP— TATEZIPLICENSE LICENSEWITH PHONE FAX APPLICATION PERMIT TYPE 'SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: -ANEW 'REPLACEMENT DETAILED DESCRIPTION OF WORK 1-< W-VCD .A Y-Nt\J - co Cidd\+.-' 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 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 ROJECTS WHERE LABOR EXCEEDS1500 -FEES ARE BASED ON $10.00 PER FDCTURE, EXCEPTWBERE NOTED ..FIXT-UMS,-.(INDIC-ITE TOTAL " NUMBER OF EACH BELOW) BATH SINKILAV ®91FLOOR DRAINS _ SHOWER _ WATER PIPING _ GAS PIPING (AEm crrrrrcEm) _ SWIMMING POOL _ WATER SOFTNER ($35) —BATHTUB _ CLOTHES WASHER KITCHEN SINK —WATER CLOSET _ BACKFLOW PREV. ($15) _ _ _ DISHWASHER _ LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION OTHER _ WATER METER 5 lalL yv; y Number of fixtures @ $10.00 3 x $10.00 = $ C0 Permit Fee $ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $35.00 x $35.00 = $ TOTAL DUE $ State Surcharge = $ .50 Total = $ 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 S rk which re LVirgs revieAv and approval of plans. 1- (� L s� SIGNATURE OF APPLICANT Gni La� �u��/ r �C.�1 PRINT NAME K `s �I �� L// DATE 11� < City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building Inspections 763-572-3604 DATE1 l_ 1 SITE ADDRESS THIS APPLICANT IS: PROPERTY OWNER/ TENANT MECHANICAL RESIDENTIAL APPLICATION CITY OF FRIDLEY n ADDRESS: YOUR E-MAIL ADDRESS Permit No.: Received By: Date Rec'd: ATT ZIRaYP- CONTRACTOR COMPANY NAME:-ConditioningAnderson Hating and Air SUBMIT A COPY OF CONTACT PERSON: YOUR STATE STATE LICENSE # N/ A 4341 Central Ave N.E. _STATE ZIP LICENSE WITH ADDRESS: APPLICATION PHONE �l��" �S/� 01,11 �l. HtS, Mn 55421 `SINGLE FAMILY 0 TWO FAMILY ❑ TOWNHOUSE PERMIT TYPE // EI NEW l� REPLACEMENT [IALTERATION/REMODEL TYPE OF WORK: DETAILED DESCRIPTION OF WORK r 5% of the total cost chever is the PER MS 16B.665 the permit fee is a minimum ameof $15-00 fixture excluding the fixtue so (Thi Ohou dl reflect only the cost rof labor j improvement, installation or replacement Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05= FOR PROJECTS V l IERE LAIQR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELO�A�MODEL: sIZE/BTU Equipment Installed MFG: SIZEBTU MFG: __ MODEL: SIZEIBTU MFG: MODEL: _ ___-- GAS RANGE/OVEN $10.00 A/C $25.00 —FIREPLACE (GAS) $15.00 _NEW GAS GRILL $10.00 �AIR TO AIR EXCHANGEER $15 —FIREPLACE (WOOD) $35.00 GAS T HTR $10.00 _ BOILER $35.00 —FURNACE $35.00 —POOL HEATER $35.00 _ CHIMNEY LINER $10.00 —GAS DRYER $1000 VENTILATOR $15 00 GAS PIPING S10 00 — DUCT 1�'ORK $10.00 — �z y }7, 07ECTS O1ER $5 ,,.....,. �... .nh:Ya. .. c,:F ..':r-au."I'll, .,:5'. 1.11w"' s�'EY:upFT'c'N '099�vblf� 0 �„ �... �: �. '. .. :.x,`{, t. pp o.pt�, .',.co-: r-_.r.".t. .. ..«...:- .. _ jfT7, _ . R Number of fixtures @ $10.00 x $10.00 = Permit Fee $ 0 Number of fixtures @ $15.00 x $15.00 = $ Surcharge $ 50 TOTAL DUE $ ��• Number of fixtures @ $25.00 x•$25.00 = $ Number of fixtures @ $35.00 x $35.00 = $ 50 State Surcharge = $ Total = $ 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 e work willtb e is e in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; 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 o/flall work which requires review and approval of pplan/s.�` L / SIGNATURE OF APPLICANT [ ��/2� �l Sct/�I2 PRINT NAMEC.ATE__ City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977