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PRE 2010 DOCSsuBIEcr PERM- City of Fridley 3.6 9 AT THE TOP OF THE TWINS BUILDING PERMIT _ _ r i0 R CEIPT NO. 1 r.y_______ COMMUNITY DEVELOPMENT DIV. t� 6 7 d PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 8/3/79 JOB ADDRESS 5616 West Bavarian Pass N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 9 Innsbruck villages SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Darrel Farr Development Corp. 7286 - 72nd Lane North, Mpls., MDT 55428 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Same 560-8110 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 24' x 35.5' Townhouse and a 20' x 231 Garage (Su nenheim) 9 CHANGE OF USE FROM TO STIPULATIONS Provide combustion air to furnace from outside. F444plpp ti WARNNG . e f e at 4iaing call local utilities pt ��TS MEMIDNE • lC EtECTR• W Etc, elf h+�r ,z SQUIRED BY LAW -44P,6 TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. [Mood 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 984 22,936 Total OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT 1 1 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 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. WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $34,100 $17.05 DOES NOT PRESUME TO GIV AU ORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS "NY H S TE OR LOCAL LAW REGULATING CON- R NCE OF CONSTRUCTION. $91.74 $425.00 STRUCTION H �-® PLAN CHECK FEE TOTALFEE 6.73 SIGNATURE OF 0 CTORO THORIZED AGENT (DATE) 011,WHEN ROPERLY V D T D 'IS IS YOUR PERMIT BLDG INSP. DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) - . •. -. .. .. . \•ate a\..•►JO a•a.e►a ire.•, 941I. •Ia►ria iV.., Olt ADDJTIOX BUILDING I E111 IT CITY OF FRIDLEY, slih,'!l.:SO A STREE'i': tsCJ.�d� LOT: BLOCK: ! ADDITIO?a :Z&as rue rc U`11dAE' S COREMP. LOT: INSIDE LOT:- � SETBACK : ' SI DEYARD :e________ Applicant attach to this form Two Certificates of Survey of Lot and proposed building location dram on these Certificates. DESCRIPTION OF BUILDING To .BP Used As: 'ya".oc #1 be loft? Z. rw,*Vha4use. Front:. 24- Depth: 3,T. �'- Height: 20. Ja el - Square Feet: Cubic Feet: /� �23 6ataoe.. Front: _Depth: Height: Square Feet; Cubic Feet:®® ' Type of Construction: Woofs B'Qme, Estimated Cost: $555 0 To Be Completed: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stkict -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: `2 b I. S IbNATURE. : (See Reverse Side For Additional. Infornnation.) 410—.00 ' Ss ,-'`)� -PC e M 17- -PLA k� 0 f(�C`-e-, Dry. 0fi j0,BUILDER: .SajV%e ADI7:'.E SS :7 �% 72q L,aite- Alo-T1t ADDP.BSS :-Me/j . STREE'i': tsCJ.�d� LOT: BLOCK: ! ADDITIO?a :Z&as rue rc U`11dAE' S COREMP. LOT: INSIDE LOT:- � SETBACK : ' SI DEYARD :e________ Applicant attach to this form Two Certificates of Survey of Lot and proposed building location dram on these Certificates. DESCRIPTION OF BUILDING To .BP Used As: 'ya".oc #1 be loft? Z. rw,*Vha4use. Front:. 24- Depth: 3,T. �'- Height: 20. Ja el - Square Feet: Cubic Feet: /� �23 6ataoe.. Front: _Depth: Height: Square Feet; Cubic Feet:®® ' Type of Construction: Woofs B'Qme, Estimated Cost: $555 0 To Be Completed: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stkict -accordance with the City' of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. ' DATE: `2 b I. S IbNATURE. : (See Reverse Side For Additional. Infornnation.) 410—.00 ' Ss ,-'`)� -PC e M 17- -PLA k� 0 f(�C`-e-, - r 1S3„-�': . 3 F° '. '-:.=> i ��s�,y;.Y'.*_a- � -.. moil. .5 h �F�Vma'2 ��i btt:•�..irfiLdN 47 �k:r'"` r,r �j �,.��4�z '' s�t°Y,-';.�k �:s(�t s 1d�%�i14F� i.T^. 1 x xt i � .d "i�ies , �S4",,'�s >t rbei: �•�9`l :^:-��•�- '.),->"if �. � .: �Y{a, .'..� ;,. �f }4' ..,g� k.: .. 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Ti "�'N��8 fi - .$f p�r;* 4 , T9�w,-Y '.. r,� :�i+1, ; ''?� '4 Y5u 5b' l>. � ,'• 5 �,,..dPJ _�vm,-"-.� YAce''�.g,”�, r92a .� .rt��--S'.y'..-.}Z�`:,,'i!�. a.'� �%Ar4q'%ay�>Ea �,�.t��3.y,��',�+L.w,�.7.Z>o..i,L{.,,�`�/ 'YT ' ..J r�.'i�a% df�� g-J�^bl�� e �. �m -1 ..,''n 4yi �4 .'�` -a: .�5= �.^ ,F*�4.'- n-X �dxii- �. `3S � ., �.Y.i .t�13 /A��'"I�/.r/.�7{Fy'kp ` `�St -. ,},t.t_:.iw , ztl.i+�! t�f�i 3�hy. i�Fy��'�� f%�GF .'k_-_$-:. ,. . '��y�S'r'yA ,q'f.y� • T '.��"-p"'��__ii.' w+�,'`P>'i4� �. Y��1 �a G�r.��9�'•r3�i3r. ! Y�� A4ik Fanti�4iC tJ` h.2 @¢ay�- Zd1 �� AF�s� t i vh:'i h �ce , >l� � >a��, 1 .4dr—l— 11 ^.a-�-Sg. NN At- i - � I 15 s a 1 7. �: CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: Number Fixtures Future Fixture Opening New Fixture, Old Opening Catch Basin Water Heater - to 99,000 BTU 100,000 BTU to 199,000 BTU Water Softener New Ground Run Old Building Electric Water Heater GAS FITTING FEES: 1st 3 fixtures Additional Fixtures Gas Range to 199,000 BTU REPAIRS $ ALTERATIONS First $100.00 each add. $100.00 or fraction NO. RATE TOTAL m $3.00 $ >. m rd $2.00 0 X x $5.00 $5.00 0 x Water o1 m to o 9 x $5.00 sro4 C ..c4m m $5.00 C m 4J $4 04 W $1.00 $ Heater 42.0 °m .4 m 9: e H ,a u $4 0 ec a a x .04 ci ani aiU a M 3 o u ro� a 3 U a as lec w° rn U .1st I 2nd 3rd 4th (R) - Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: Number Fixtures Future Fixture Opening New Fixture, Old Opening Catch Basin Water Heater - to 99,000 BTU 100,000 BTU to 199,000 BTU Water Softener New Ground Run Old Building Electric Water Heater GAS FITTING FEES: 1st 3 fixtures Additional Fixtures Gas Range to 199,000 BTU REPAIRS $ ALTERATIONS First $100.00 each add. $100.00 or fraction NO. RATE TOTAL x $3.00 $ x $2.00 x $2.00 $ X x $5.00 $5.00 $ $ x $10.00 $ X $7.00 $ x $5.00 $ x $5.00 $ X $3.00 $ x $1.00 $ X $10.00 $ $5.00 $ $2.00 $ State Surcharge $ .50 TOTAL FEE $ REINSPECTION FEE ($10.00) Job Address Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in Strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and roprosentations stated in thiMaication are true and correct Fridley, Mn. , 1%� OWNER�u X � KIND OF BUILDING USED AS TO BE COMPLETED ABOUT /� e ESTIMATED COST OLD - rW BUILD G PERMIT NO. PERMIT NO. Company Signed By Tel. No.�/ ROUGH INSP. Date FINAL INSP. " kC Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE Q -d7164 CITY OF FRIDLEY APPLICATION'FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL ,lob Address JZ//. Furnace Shell & Duct Work $12,00 $ ` Replacement of Furnace 7,00 $ Repairs & Alterations -up to $500.00 7.00 $ Department of Bua4ngg Repairs & Alterations each add. $500=00 4.00 $ City of Fridley Tel. #571-3450 MECHANICAL WARIN1 AIR: Furnace Shell & Duct Work to 100,000 BTU each add. 50,000 BTU *Replace-e:t of Furnace Repairs & Alterations -up to $500.00 Repairs & Alterations each add. $500,00 STEAM OR HOT WATER SYSTEM: Boiler & Lines up to 100,000 BTU each addn. 50,000 BTU Boiler only up to 100,000 BTU 1 each adzes. 50,000 BTU OIL BURNER- to 3 gal. per hour each add. 3 gal. per hour The undersigned hereby makes application for a permit for the work herein $12.00 $ ®al.®® specified agreeing to do all work in strict accordance with the City Codes - 4.00 $ and rulings of the Department of Buildings, and 'hereby declares that all the 7.00 $ facts and representations stated in this application are true and correct. 7,00 $ 4,00 IF Fridley, Minn. �>� ®j , 14 71� OWNER "�p $12. PQ $ 4.00 $ 7- PP $ P.. AA s. $?Q.AR ��A�AR GAS Bt1RNE R- from 100,000 BTU to 1gq,gqq PTP $?A,Aq (over 19S,999 BTU see Fee Schedule) GAS FITTING FEES:. 1 1st 3 Fixtures �" ?s $, S. GA S �•®® A24.itional Fixtures ;AA Gas Range to 199,000 ETU XIA;AA AIR CONDITIONING `7/I77RA�i¢ FAN HEATING SYSTEMS See Fee Schedule $ VENTILATING SYSTEMS ALTER TIONS 4 REPAIRS $ State Surcharge $ .50 TOTAL FEE $ ':r® PaUGH INSP. REINSPECTION FEE Date C$10.00) FINAL INSP. W - X S Date APPROVAL FOR PEFMIT Y.I.'%M"ZM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $. SO STATE SURCHARGE *Attached stack verification form PND pF BUILDIb'G - PSE, N AS TA PP. FAMPIF.TR RAuR o® - 7 V RR " Mc PgTRTNG PFF-ITT NO. PFRMT7 N0. • ! /� AESORTPTTON pF FUR%'ACE/BUR4ER #fE?�T�NG A� EAY�R E?�►�?TE; St€�?F!a flet VJ�t:e�'; Ward} AI.�— No. / Trade Name 'Cl.-y"yo Size No. 04 IA ee J - Capacity Sq• Ft. BDR STUB HP Total Connected Load �d� �+ 774 Kind of Fuel an-lv BUR*TER - Trade Name Size No. Capacity Sq. Ft. EDR BTU D HP Company Signed By Tel. No. i �a01 `✓ o G ,�' . SOUTH A' A e Construction No. Insulation Windows R HEAT LOSS CALCULATIONS Int. Wall H IE AT 0 RgG2, non r—nRl nM nno P mr—, nn MINNEAPOLIS_ MINN Weatherstrips A. S. H. V. E. Guide Reference 19_ 9 Construction No. Insulation Windows Doors Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes- No Yes -No --- ---- — --- FI. Room i Length Width 0 Height FI1- Room LWidth Height Windows and Doors—Crackage and Area Windows and Doors—Crackage and Area --��' No. Width Hcigtit Nc. of Lineal ft. Area of pan<r of pane Iigh[5 of crack sq. ft. ''�- f NO. vi drh i HOlght of ci.InP No. of Lm,aa; it. Area liphtp of track sq. ft. i Coef Btu Coef Btu Infiltration Q'.P `'y 1 ---+ z Infiltration Glass y � f '� � Glass ( 19Exp. wall .� �` Exp. wall Net exp. wall Net exp. wall Int. wall Int. wall Ceilings g Ceiling � �" 2z - Floor PSI" " Floor Total Btu. Total Btu. Required sq. ft. E.D.R. or sq, ins. W.A. Leader area Required sq. ft. E.D.R, or sq. ins. W.A. Leader area Room Length c Width' Height Q FI �. Room i Length/ Width Height Windows and Doors—Crackage and Area 3fNO• Windows and Doors—Crackage and Area 33 No. Width Height No. of Lineal ft. of pane o@ pane lights of crack ^Area me q. ft. Wldrh Height I of pane of pane No. of Unzal ft. lights of Area sq. ft. crac9k Coef Btu — Coef Btu Infiltration _ Infiltration r t°�°1 7 Glass Glass Exp. wall- Net exp. wall �® G � -�-- ---_ - Exp. wall �' Cs t — -- — -- - he t exp wall Int. Wall _ ( 6 Int. wall 1-- Ceiling --- -- Floor _ loc,r rr,titl Btu. Required sq. ft. E.D.R or 5 1, s. W.A. Leader area ! Total Btu. � Required sq. ft. E.D.R. or sq, ins. W.A. Leader area I Room Length -L Width Heights li Width Hei ht tI _—Windows and Doors--Crackage and Area -- --- --- No width Heigh ! Nt ,•rTil�• L-,!,31 It. A•e•-, ,..,4 of ne of »n, I I� of rrack �q ft. .- p til 4:'Indows and Doors- Crackage and Area -_ .. _ .. -�. - -- -- ---- ;J , tr 1 t f I ArtdAV !•. I --r--q�'ts ....... - --- - ---- � Coef! Btu --- - - - i - -._—. - .Coef Infiltration ¢fit Glass--�—�-f �� e° .-- Inf,it'at�on lass -- -- - --� Exp. wall Exp. �•nll Net exp, wall .�,� . 9 -7 -- - -- ---- Npt Pxp, wall _ - Int. wall i - - - - - - --- - it. ,valI — r Ceilirtg — i -----..--------- - F l oor ! I— +� Total Btu. e s ' I nr r I T._._• L r— fi Required sq. ft. E.D.R. or sq. Ins. W.A. '_.eader area _ 1. Rnq ..ed sq. ft F.D.R. or sq. r,s. W.A Leader area —_i TIT 8431 UNIVERSITY AVENUE N.E., PRIDLEY, MINNESOTA 66432 TELEPHONE ( 812)571-3450 December 26, 1979 Darrel A. Farr DeveloEment Corp. 7286 - 72nd Lane North Brooklyn Center, MN 55428 Re: Final Inspections at 5616 West Bavarian Pass N.E. & 5627 West Bavarian Pass N.E. Dear Sirs: Final inspections were made on December 20, 1979 of the above addresses and the following items were noted which must be completed before the structures can be finaled out; 5616 West Bavarian.Pass N.E. 1. Provide sod in the front and side.yards by June 15, 1980. 2. Provide handrail and guardrail on inside stairway by January 21, 1980. 3. Provide access door to plumbing -wall at bathtub by January 21, 1980. 5627 West Bavarian Pass N.E. Provide access door to plumbing -wall at bathtub by January 21, 1980. We will expect the above items to be completed by the scheduled dates when reinspections will be made to determine compliance. If you have any questions'on these items, please contact me at 571-3450. Sincerely, 0 LIZ DARREL G. CLARK Chief Building Official DGC/mh City of Fridley SUBJECTIT NO. '?'49?9 AT THE TOP OF THE TWINS i BUILDING PERM IT EIPT N � ' iCOMMUNITY DEVELOPMENT DIV. y____-_ PROTECTIVE INSPECTION SEC. I i CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 3/28/97 JOB ADDRESS See Below - Multiple Buildings 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Columbus Exteriors Inc 2131 111 In, Coon Rapids MN 55433 868-9195 3509 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Townhouse Buildings 7 CLASS OF WORK O NEW ❑ ADDITION O ALTERATION REPAIR MOVE p REMOVE 8 DESCRIBE WORK Reside 11 Buildings 9 CHANGE OF USE FROM TO STIPULATIONS Install building wrap and have inspection of same unless manufacturer" specifications state it is not required. 5600,5602,5604,5606 North Innsbruck Ct; 1511,1513,1515,1517 North Innsbruck Dr; 1510,1512,1514,1516 Trapp Ct; 1531,1533,1535,1537 Trapp Ct; 1511,1513,1515,1517 Trapp Ct; 5610,5612,56146-6-16-'N Bavarian Pass; 5621,5623,5625,5627 W Bavarian Pass; 5631,5633,5635,5637 W Bavarian Pass; 5651,5653,5655,5657 W Bavarian Pass; 5680, 5682,5684,5686 West Bavarian Pass; 5691,5693,5695,5697 West Bavarian Pass SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVISIONS OF LAWS VALUATION ISURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT THE GRANTING OF A PERMIT @ $232, 000 $116.00 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STR,;CTION OR THE PERFORMANCE OF CONSTRUCTION $1,547.25 Fire SC $232.00 PLAN CHECK FEE TCTA,FEE Lie SC 5.00 $1,900.25 ry'HAITQRORAu1HORt:EDAGENT iDATE, V IRATE^ THIS IS YOUR PERMIT p�\NER Bu4 DEn• XrN rDATEr rarl Fri SuBJECT City of Fridley 3074 AT THE TOP Of THE TWINS BUILDING P E R M I T i � RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE IN SEC. L/{ NUMBER REV DATE PAGE OF APPROVED BV 1 Ti CITY HALL FRIDLEY 55432 612-571-3450 910 -FIS 3/17/00 JOB ADDRESS, " 5610, 5612, 5614, 5616 West Bavarian Pass NE 1 ` LEGAL I LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 1,293,4 9 Innsbruck Villages SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Stock Roofing Inc 3840 205 Ln Anoka MN 55303 213-1455 3112 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential Townhouse Garage 7 CLASS OF WORK -, O NEW O ADDITION O ALTERATION J7 REPAIR O MOVE O REMOVE 8 ,DESCRIBE WORK Reroof Garage Building (20 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED 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 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 $.87 WITH WHETHER SPECIFIED HEREIN O OT. THE GRANTING OF A PERMIT $1,748 DOES NOT PRESUME TO GIVE A ORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHE ATE OR LOCAL LAW REGULATING CON - Fire. SC $1.75 ION ORT MANCE CONSTRUCTION $63.15 PLAN CHECK FEE TOTAL FEE /� U/ License SC $5.00 $70.77 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PR PER VALIDATED THIS IS YOUR PERMII.TpInCJ�� BLp i' gaTE SIGNATURE OF OWNER,tF OWNER BUILDER. IDATEI Fri CITY OF FRIDLEY INSPECTION DIViSION Effective On January 1, 2002 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Rate $ 30.00 $ 10.00 $ 10.00 $ 10.00 $ 25.00 State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. JOB ADDRESS 5�0 & W. &Yhle /§4xL PASS OWNER 441.0/4 G�%1 Z�•�K TOTAL BUILDING USED AS PU& QIn/r- ESTIMATED COST e O® vp PERMIT NO. A; DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) $ Trade Name Size No. BTU HP EDR $�s•0® Fuel Total Connected Load Burner Trade Name Size No. $ BTU HP EDR $ 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 an $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. $ o2S SU DATE HEATING CO U&A �l S1f P -`.7F 1�7�Ci L Gp ,a -f. ds 4 u l �r �e w , Off/ r9'%e s , M Signed. TEL#?10.3--7.SZJ_�'�q% FAX # Approved BY16 Rough -In Date Final Date THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED COMMON VENT. VFNT CONNECTOR AND COMBIISTION AIR VFRIFI ATION When replacing an exit ingft rannP, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes( ) No( ) The venting system is plastictPVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes( ) No( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) The existing combustlnn air is sized and installed to meet the current codes and manufacturer's specifications. Yes( No( ) When required to install a new _omb ustinn airy it will be sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When installing a new v _n ong saystem, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes( No( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes( )No( ) Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type HEATING CO: Signed By: Date City of Fridley Building Inspections Dept. Ph: 763-572-3604 FAX: 763-571-1287 6431 University Ave NE Fridley MN 55432 Mechanical -Permit # Residential Application City of Fridley See Back Side For Required Information Date '611 Site Address: The applicant is: (cirlce one) Owner Contractor Property Owner: Address: � City:A State:—/PA/ ZIP: �25!;K1d� Phone: Cell: Fax: Contractor Information Company Name: Contact Person: Address: C'Ityv-1 21,OA State: Zip: d, 51*z Phone: 2kZ747-& Cell: Fax: Email: MN Bond# & Exp Date Type of Work (circle one): New Replacement Alteration/Remode Detailed Description of work: X1'16 4p4441 1� p44 4--e�- �� a4CL6—� Equipment Installed: MFG: Model: Size/BTU: MFG: Model: Size/BTU: MFG: Model: Size/BTU: Please check all that apply: _Fireplace (gas) $15.00 New Gas Grill $10.00 _AIC $25.00 _Fireplace (wood) $35.00 _Gas Unit HTR $10.00 _Air to Air exchanger $15.00 _Furnace $35.00 _Pool Heater $35.00 _Boiler $35.00 _Gas Dryer $10.00 _Ventilator $15.00 _Chimney Liner $10.00 _Gas Piping $10.00 Duct Work $10.00 Gas Range/Oven $10.00 Permit Fee $ (Total from above -Minimum fee $35.00) Surcharge ,$ Total Due $ '�?5 -U, 0.50 Make check payable to City of Fridley This is an application for a permit- not valid until processed I hereby apply for a mechanical 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 case of all work which requires review and approval of plans. Signature of Applicant Approval Inspector Sic Please Note: Separate permits are required for Building, Plumbing, and Electrical work Revised 6/14/2005 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make up air calculations ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 UBC F F, SCHEDULE) COTA:L JOB VALUATION F r "-7a'+ ,Li /-# 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 BUILDING Permit No.: J&&l5bb 3Uilding [nspections'' RESIDENTIAL APPLICATION Received By - 763 -572-3604 CITY OF FRIDLEY D "� 763-502-4977 FAX EFFECTIVE 1-1-08 �. D'U �S Vl� � C�� • ' �"` SATE YOUR E-MAIL ADDRESS 3rCE ADD � CHIS APPLICANT IS: ❑ OWNER XCONTRACTOR PROPERTY OWNER/ NAME: O �' La C ADDRESS: atfe i S.S CITY krldt6ySTATE ZIP TENANT PHONE: 76;, , s 72— NAME: ADDRESS: G CITY STA ZIP CONTRACTOR SUBMIT A COPY OF PHONE ,t; -j :3 og '; � z2- /�o FAX YOUR STATE LICENSE STATE LICENSE # 2a5az3o;,�EXP DATE oq PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMITTYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: g - (!�" - SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FI3�?Q ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES .21_ ❑ HOUSE & GARAGE 1, Existing Floor Plan GARAGES PROPOSED SIZE: ❑ ATTACHED GARAGE ❑ DETACHED GARAGE 2. Proposed floor plan 3. List of structural members to be used. PROPOSED HEIGHT: 4 T— FOR NEW CONSTRUCTION INCLUDING DECKS, S INGI ❑Soffit ` ADDITIONS. & PORCHES SUBMIL �NLVinyl ❑ Aluminum ❑Trim 140_ 1. Site Plan/Survey showing the existing structures and proposed project ❑ Other ❑ Fascia a 6,H 2. Two sets of construction plans WINDOWS J -PS 78 �-lL f 3. Energy Calculations IN EXISTING OPENINGS ❑Yes )4No LO�,C,�A"TI�ON O WS �I 7 p�L `C ly— OR FOR NEW OPENINGS -DESCRIBE SIZE OF C9 e4S l� 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 THE 1997 UBC F F, SCHEDULE) COTA:L JOB VALUATION F r "-7a'+ ,Li /-# 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 See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1825 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21 =$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks savable to: Citv 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 application for a permit and work is not to start without a permit on site; that the work will b accordan�h,tbe�an the case of all work which requires review and approval of plans. SIGNATURE OF AP`LI�ANT PRINT NAME uA �ACI�� DATE �wI�I AAAWMATA $ (OLN See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1825 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21 =$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks savable to: Citv 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 application for a permit and work is not to start without a permit on site; that the work will b accordan�h,tbe�an the case of all work which requires review and approval of plans. SIGNATURE OF AP`LI�ANT PRINT NAME uA �ACI�� DATE �wI�I AAAWMATA IPIF v r� L90 D r - 3 11 3110 r t -.e, 1 UUUU , vil -�o :3P ter_22, CIS :4z CP NA G 4- 10 OF- ol for q -To 7 � 4 -01 ck fj -01 20 1511 1513- I� Q 569) S69j 13 5695 5693 �60, 5 ,0 I S,Lot 1 Block 24 16 ` IL 565,2 1523 5 ............ 1533 1333 71RAPp COURT 5626 3624 4 1. s6?3 •-ar 1W15620 562 5615 � . 2 617 0 c 5610 4 1�° 5612 1511 1517 5610 612 5 604 t513 ISiS 5602 NORTH to 5613 X11 C 5605 607 55604 06 n 23 5603 56x)1 5600 5602 INNSBRUCK DRIVE INNSBRUCK VILLAGES