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PRE 2010 DOCS111 suedEcr PERMIT N0. City of Fridley • 3 AT THE TOP OF THE TWINS PERMIT BUILDING "RECEIPT NO. ` `� ______ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 � = CITY HALL FRIDLEY 55432 ,'� NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 9/21/77 JOB ADDRESS 5637 West Bavarian Pass N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 17 Innsbruck Villages SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Darrel A. Farr Dev. Corp. 7286 - 72nd Lane North 561-8110 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same. 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK 7 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 28' x 37' Townhouse and a 20' x 23' Garage (Sunnenheim). 9 CHANGE OF USE FROM TO STIPULATIONS Combustion air is required in furnace area. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood F e 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 -1 22,936 Total ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION I 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 $30,375 $15.19 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. $91.74 $375.00 PLAN CHECK FEE TOTAL FEE SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) N RjFERLY VALIDATED THIS IS YOUR P RMI BLDG INSP a-/ fzz ;p DA. E SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) 111 Al'I'LI CAT I O I:UIt 10:811)]:N.' I' f A I,, itl.'!'J;laA'1'IUX, Olt ADDI TIOX 1,U I I,UI i�G 1'I:Iti•I I!' CITY OF FRIDLEY, �S1t\IiS(l'I'�l OrmNEI:`S ATAIiL':,Q3&C[F�t3p-U?i!. n�,I;UZLllF.I�:_ �QS� ADU.-UN :SS ADDRESS : � 3 • ,��J. �'.��-.� � EO:. STREET: LOT: % BLOCK:� ADDITION: CORINER LOT: IT►SIDE LOT: &00' SETBACK:SIDE-YARD: Applicant attach to this form Two Certificates of Survey of hot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To -Be Used As: e a P" 3bra�/�ewS2 Front: '-' De th- p ''ZA Height - 2 0. Square Feet: !%„� Cubic Feet: Galr!A l Front: ti Depth: Height: 73 /0 Square Feet; Cubic Feet: '<A6a l' Type of Construction: Woo Feap"e • Estimated Cost: $ a3 To Be Completed: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict. •accbrdance 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 : / % 72 SIGNATURE: (See Reverse Side For Additional Information_)l ^�/�' ® 9i. -?� ,p n, Ig �qq 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 Job AddressJ'' 7 Furnace Shell & Duct Work $12.00 S Replacement of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Department of Buildings Repairs &Alterations each add. $500.00 4.00 $ City of Fridley Tel. #571-3450 MECHANICAL WARM AIR: The undersigned hereby makes application for a permit for the work herein Furnace Shell & Duct Work to 100,000 BTU $12.00 _ S :,'CL specified agreeing to do all work in strict accordance with the City Codes _ each add. 50,000 BTU 4.00 $ and rulings of the Department of Buildings, and hereby declares that all the Replacement of Furnace 7.00 $ facts and representations stated in this application are true and correct. Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ Fridley, Minn. ✓� - . 19>�_ STEMS OR HOT WATER SYSTEM: OWNER .Boiler & Lines up to 100,000 BTU $12.00 $ KIND OF BUILDINGy a)r) each addn. 50,000 BTU 4.00 $ Boiler only up to 100,000 BTU 7.00 $ USED AS each addn. 50,000 BTU 6.00 $ '- 7 TO BE COMPLETED ABOUT ,�':�'` (: 2 - OIL BURNER- to 3 gal. per hour $10.00 $ each add. 3 gal. per hour 10.00 $ ESTIMATED COST �� o �e� GAS BURNER- from 100,000 BTU to 1990999 BTU $10.00 $ ,u OLD -NEW BUILDING PERMIT NO. PERMIT NO. (over 199,999 BTU see Fee schedule) $ GAS FITTING FEES: 1st 3 Fixtures �i x $ 3.00 $ -'a.,: c DESCRIPTION OF FURNACE/BURNER Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00 $ d HEATING. or POWER PLANTS, Steam, Hot Water, Wa_Air- No. 1' AIR CONDITIONING x'•21-, r �� '" ,� ;�,� $ / - Trade Name a��e 7 �'. ;? .. Size No. ,; �. �J z7) �� ' FAN HEATING SYSTEMS See Fee Schedule $ VENTILATING SYSTEMS $ �� Capacity Sq. Ft. EDR BTU , JL HP ALTERATIONS & REPAIRS $ State Surcharge $ •50 Kind of Fuel Total Connected Load�� `> �z TOTAL FEE BURNER - Trade Name Size No. ROUGH INSP. REINSPECTION FEE Capacity Sq. Ft. EDA BTU HP Date ($10.00) GE®. SEDGWICK HTG. & AIR CON®. CO. FINAL INSP. ,- 1701Company /� �• Date - Signed By APPROVAL FOR PERMIT a"� , i -•.s Tel. No. MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE C 4 - MINNEAPOLIS, MINN. 4' Weatherstrips A. S. H. V. E. Construction TJo. Insulation Windows Doors Guide Out. Wa I I Int. Reference --T -- Wall Ceiling R0,1f Fluor Kind How Applied HEAT LOSS CALCULATIONS COMOBT50-POUNG CO. C 4 - MINNEAPOLIS, MINN. 4' Weatherstrips A. S. H. V. E. Construction TJo. Insulation Windows Doors Guide Out. Wa I I Int. Reference --T -- Wall Ceiling R0,1f Fluor Kind How Applied Yes --No Yes' No , 19 Room Length Width Height Room 1Length 7,Width 1Height 3 Windows andboors—Crackage and Area Windol and Doors —Crackage and Area No ght f mea! tt;-.T---A�ed- No. tane I PX1. of Cra ck SQ. it. p ts •4o. of �nea a of If CoeFi B to iCoe` Btu InfiltrationI Glass Infiltration Glass Exp. wa i I Exp. wall Net exp. wall Net exp, wall Int, wa I I Int. -AlaH Ceiling Z, Ceiling 10 Floor Floor Total Btu. _et 44 1 Total Btu. Required sq. ft. E.D.R. or sq. ins. W,A. Leader area Rf--g,., �,j sq. ft. E.D.R. or sq. ns, W.A. Leader area F I Room Length Width Height Fl, Rcom Length Width Height VVindAs and Doors—Crackage and Area VVindows and N o. pa;le Doors—Crackage and Area No. f-,! Lme'l; ft. of hgit,, of :rack Arca sq, ft. No. Width of pane Height 0 No. of Lineal 0 f 1), ane lights of crack Area sq. ft. Ccef, Btu jCoefl Btu I nf i Itrb t i on Infi !tratior, Glass ull zl 2, Glass Exp. wall Exp. wa I I Net exp. wall Int. walli Int 4 Ce, ling ---- Floor Floor BtL, Total Btu. Required sq. ft. F,D.R. cr sq. iris, 1 rjqijtfl ar(.-3 Req,irr,,ci sm, it. E.:- R. or sq. W./%. Lf -oder a,fa Fl. P(Jorn Lergt'l Width .1e;r it F!, Room:�rcitm Width Height Windows and Doors --Crackage and Area ind DL)ors Cr�ickage and Area -- h, - - -- -- -- -- - - - No- A, of Pa 7 t - - .-T 4- Btu I nf i Itra t I or) 'D e Exp. wa! I E) Net exp. wall N P' ef,, A' -41- 'Int. wall nt Cei I ing Floor Total Btu. Required sq, ft. ---.D-R. ;sr sens. area ,r-,)taf a%;. -C:qL, `ed SG. ft. " .D,?. or _Fader arpa y-'�':mY�j(4 ��"�,. ,moi i e-�G � C�C2a^•- ,M.:� '�$ CuP <c3"� . n tay �� i '1�e A 4 ° ^• i."�°/'fQ frill,! ,g ,' 0 b HEAT LOSS CALCULATIONSCr rM H t � L C) t� h I f'� _ MINNEAPOLIS, MINN. Weatherstrips A.S. H. V. E. Construction No. Insulation -----� Guide `- 1 Windows I m Dors Out. Wall 1 1n4. Wall Ceiling Roof Floor Kind How Applied Reference —� _ .... Yes- Na Yes -No , --------�_ _.—.—�- -. -_ Fl.. Room Length Width I Height FI p� Room Length Width, Height __ f>� H t; 'age I & Windows �- and Doors--Crackage and Area y W' indcws and Doors-Crackage and Area ye T W,dt' I -I r. iht No. of L,nc':a' 't. o} oar.i, oft -tna I, �nt_s sof crj-,ck .�� A ca r. ft. �^y No. \N,d!h Herrht No rf Lineal ft. Area f pgayne`yi U�l.+nye _ Lights of crack sq. ft. '�` --�-- I-�------. Coefr - B to I Coefl -Btu a,.-- � �-�® Infiltration m "' °` a � p a � �� L� Inti Itration ( Glassclass --- -- -- �_ I- Exp. wall Net exp. wall Exp. wall --- �"f-..-----� Net exp. wall---- - x . Int. wall - --- Int. wall Ceiling Ceiling Floor;afC f o� Floor - --- i 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 �FI.�J-;; ��Room I Length fag Width Height Fg Room i Length o Width Height - Windows and Doors-Crackage and Area Area =: a. ft. Windows and Doors-Crackage and Area No. Width Height No. of Lineal ft. Of pane of Uane i tights of crack Nc Width He,yht No. of Lineal ft. Area _ , of pare of pane ,ghis_ f lack sq. it. 71 1011 a , t i— II ` Coe f Bou I Coef! Btu Infiltration- — Glass infi!tration ^ � Mass Exp. wall Exp Wali — - Net exp. wail° °� i' t fx{ wt>I - -�; 1- _ Int. wail J Ceiling I , v ,II :Itnt 4--i Floor ,r r - - - Totai Btu. -`-- - --- -- . _ f R a ;reed sct, ft. E:.D.ff, or- sr;. irs. A t1. Lead__e-r__area-. -- Total Btu. Required sq. ft. E.G.R. or Sq. ins. YV.A. Leader area � - FI.� Room Length VJldth 4. H ,yt _ I: -t : _77 ,_! P�'c- n' L ennII,— �°' Width - Height - - Windows and Doors-Crackage and Area ltinda',v and Doors-Crackage and Arra .r. .t... 1 W,dth I i-I-ght I No t:' L ne 3: tL .-�, '� - �' fl r NFlFlr.. + oftN ¢..ot p,-fnr: I ihts t q' ft—! r`� _ ._ -� �� r '� : t r 3 f Arer, � i r �'�. fj�_' _ofr3Cl. jCoefl Btu j - I 1Goefi Btu Infiltration 171a5S.:r y 1 8 J' ' -' ----{f-- 'i IdSSo �_—— — - Ex wall Ex P. I,. viall Net exp. wail `°"° 3- "-•.-_.. ._ �1 `" et exp v"all i Int. wall i In, waCl ting -__ ---- Ceiling— --- ?' Floor f��_- Floor Total Btu. i 4111 i,-' n1-1171 Total Btu. Required sq. ft. E.D.R. or sq. ins. `AJ.P. Leader area ! a J ?toutred sq. ft. E.D.R. or sq ins. 'N. 4. Leader are; -- 97-84-416051 CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PErM T PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Irmber Fixtures x $3.00 Future Fixture Opening x $2.00 New Fixture, Old Opening x $2.00 • Catch Basin x $5.00 Water Heater-- to 99,000 BTU x $5.00 100,000 BTU to 199,000 BTU x $10.00 Water Softener x m New Ground Run Old Building x $5.00 m x $5.00 GAS FITTING FEES: v x - a •$3.00 Water x a Gas Range to 199,000 BTU x $10.00 REPAIRS $ ALTERATIONS First $100.00 $5.00 o w 0044 w State Surcharge Heater I 9 L4 O cc 1i -5 0�y1 m }( C N ,fq� •+i O of O W O A k� +� W 07 L W R W N Nq 1t VW4 u a w [Q y 3 o w° w U m 9--' [:�� lec C7 Q ha 2nd 3rd 4 th {F?) a Future Connection Opening Connected with Sewer !') New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Irmber Fixtures x $3.00 Future Fixture Opening x $2.00 New Fixture, Old Opening x $2.00 • Catch Basin x $5.00 Water Heater-- to 99,000 BTU x $5.00 100,000 BTU to 199,000 BTU x $10.00 Water Softener x $7.00 New Ground Run Old Building x $5.00 Electric Water Heater x $5.00 GAS FITTING FEES: 1st 3 fixtures x •$3.00 Additional Fixtures x $1.00 Gas Range to 199,000 BTU x $10.00 REPAIRS $ ALTERATIONS First $100.00 $5.00 each add. $100.00 or fraction $2.00 State Surcharge TOTAL FEE REIt75117E^TIrti FEE i Job Address 5637 O� Bavarian Pass Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the Work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn. 6-1 940 , 19 OWNER DARRELL FARR DEV. KIND OF BUILDING frame USED AS res. TO BE COMPLETED ABOUT 6-26-28 ESTIMATED COST 20.00 OLD - NEW BUILDING PERMIT NO.U. NO pE . "• Company MBNNEGARra Signed By Tel. No. ROUGH INSP. Date , FINAL INSP. 5� -,;ZO ?r Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT 13 $7.50 pZ= $.SO STATE SURCHMM City of Fridley suejECT � 4 IT� NO. 29 -AT THE TOP OF THE TWINS r BUILDING PER M IPT N 1 1 '—REC ' • ____ COMMUNITY DEVELOPMENT DIV. 1 PROTECTIVE INSPECTION SEC. E , 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 Ln, 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 ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside 11 Buildings 9 CHANGE OF USE FROM TO STIPULATIONS Install building wrap and have inspection of same unless manufacturer"C 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; 5610,5612,5614,5616 W Bavarian Pass; 5621,5623,5625,5627 W Bavarian Pass; 5631,5633,5635 637�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 SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED ISURTAX 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 I SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $1,547.25 I Fire SC $232.00 �'�17 PLAN CHECK FEE TOTAL FEE L4 QeS CA 5.00 ;k4 $1,900.25 S�GNA EOF CON11IACTOR OR AGENT iDATEi H N P ERLY VAIIDATED THIS IS YOUR PERMIT - Z7 S,GNaIURE OF C)P.NER,1F OWNER BUILDER, ,DATE, lDG r SP r, FA 01 SUBJECT City of Fridley 5006 AT THE TOP OF THE TWINS BUILDING PERMIT r O. • _ COMMUNITY DEVELOPMENT DIV rr /7 r ; PROTECTIVE INSPECTION SEC. / J - I "! CITY HALL FRIDLEY 55432 '.J NUMBER REV DATE PAGE OF APPROVED BV 612-571-3450 910-F15 4/28/97 JOB ADDRESS 5637 West Bavarian Pass NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 1 17 Innsbruck Villages SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Harvey Boomer 5637 West Bavarian Pass NE 572-0426 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Justus Lumber 330 11 Ave S, Hopkins MN 55343 938-2741 2780 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 XQ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace 7 windows 9 CHANGEOFUSEFROM TO STIPULATIONS Replacement bedrooms windows must meet the State Egress Code. Install smoke detectors to meet the State Building Code - In each bedroom and on each level adjacent to sleeping rooms. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $6,100 $3.05 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- $124.75 4' Fire SC $6.10 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE `7 - /Jrl �s � License C $0 00 $138.90 IGN TUBE OF CONTRACTOR OR AUTHORIZED AGENT I 1 AT I P LY VA (DATED THIS IS YQJ& PERMIT r l LOG P DATE SIGNATURE OF OWNER IIF OWNER BUILOERI IDATEI 01 NEW [ ] Effective l/ 1/97 ADDN [ ] CITY OF FRIDLEY ALTER V] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 3-7 W� � S Legal Description: Owner Name & Address: mr: Tel. # S7Z _tq q 2 Contractor: U5-ru t_c) rvy3 2 MN LICENSE # 270 Address: 3 3® Tt+ "_S HoPk late S 43 Tel. # q3 $-,,2.1 q 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: REPLACE. `7 Ly,goows ,, 5,amf- AS E x I STI Al (r Construction Type: Wt&j)i� (�/zAA °r Estimated Cost: $ (0j p p ab (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 12 -%APPLICANT: s Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ 1,3S.90 CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1 / 10th %) $.50/$1,000 Valuation $950 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] CITY OF FRIDLEY INSPECTION 6431 University Ave NE Fridley, MN 55432 (763) 572-3604 FAX (763) 571-1287 RATE SCHEDULE DIVISION APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES 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 TOTAL $ 30.00 $ 10.00 $ $ 10.00 $ $ 10.00 $ $ 25.00 $ - .0c, State Surcharge TOTAL FEE $ .50 $. '-5:1 MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATIO 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. Effective January 1, ;003 JOB ADDRESS -5-637 [�� r��e� 6'�� P#5S tJ OWNER BUILDING USED ESTIMATED COST /V&t PERMIT NO. /S& 9_5 DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units. Circle One (Steam) (Hot Water) ( arm Air Trade Name tp4oJbX Size No. -6 �t t� 4 07.0 BTU 76 HP EDR Fuel gw' Total Connected Load 3), ay,, 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 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE %//!/®3 HEATING CO i1-1 `/� Signed TEL # 163436-0667 FAX # 76–5.36--vic- Approved By I- Rough -In Date Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED CONNFGTnR AND rnMBLISTnnN AIR VERIFICATnnN r-nmmnmyENT, yr=NT When relarAnpangio a"a^ce, 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 Ni No ( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes (_► No O 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 Yes No ( ) assisted and natural draft appliances. The minting cnmh sty inn aor is sized and installed to meet the current codes and manufacturer's specifications. Yes ( No ( ) When required to inctall a now cnmhuctinn air. it will be sized and installed to meet the current codes and manufacturer's specifications. Yes () No When iostallinn- now venting system, 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 Yes (s) No ( ) Venting Tables for fan assisted and natural draft appliances. 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. Tyrne Size/Cnmmnn Vent and Vent nnnnectnr Yes (�) No ( ) Infntmatinn AgIgIlienna and Appliance #1 Type&IW"c BTU Input 70, oov an Assis e r Nat Appliance #2 Type 1 JU BTU Inputgga am Fan Assisted oa Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances = Total Btu Input Ila -.oma Common Vent Type i-k�e+ f r am _ter inches 1 Ve t Connector Height 3 ft Length ft Diameter n Type #2 Vent Connector Height ;� ft Length ft Diameter min Type > #3 Vent Connector Height ft Length ft Diameter in Type N HEATING CO: i shlj A �� ('70 t 22 "r' e5 Signed By: Date City of Fridley Building Inspections Dept. Ph: 763-572-3604 FAX: 763-571-1287 6431 University Ave NE Fridley MN 55432 17) 0 ®r� Mechanical Permit # Residential Application City of Fridley See Back Side For Required Information Date L &a �- Site Address: S� 3 7 1.,j - IS., a cysz, Pa sA The applicant is: (cirice one) OwnerContractor Property Owner. r ugu Address: S-CD3 7 1,,es City: F-t, dltom State: Memi • zip: Phone: - �7 2 –cam a-(. Cell: Fax: Contractor Information Company Name: T Contact Person: Address: L City: State: Zip: Phone: Cell: Fax: Email: MN Bond# & Exp Date Type of Work (circle one): New Replacement Alteration/Remode Detailed Description of work:S7`rz i I GI RS S e.- r Za±0 llnez3eez� Equipment Installed: MFG: .�ece—rota Model: (9rc -Yj SIZe/BTU: 3o,bm� MFG: Model: Size/BTU: MFG: Model: Size1BTU: Please check all that apply: _OFireplace (gas) $15.00 New Gas Grill $10.00 A/C $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 $40.00 Permit Fee $ �-S " (Total from above-Minimum fee $35.00) Surcharge 0.50 Total Due $S- �s^v Make check ayable to City of Fridley This Is an application for a permit- not vaua uniu 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 pians. - Signature of Approval Ins Date: Dater 8 l% Please Note: Separate permits are required for Building, Plumbing, and Electrical work Building MECHANICAL Permit No,�� —�ca Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: DATE 1 b -7 YOUR E-MAIL ADDRESS SITE ADDRESS 5L :3 -% 6_J r', -,,n Pa S5 THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY NAME: a4rve 6&z e r ADDRESS: -7 W. e,.v� k TTY �9`fG� I �'� STATE Ina-►Zlp f e )31 OWNER/ TENANT PHONE:!Z19 ��7,�- DiP��I� CONTRACTOR COMPANY NAME: SUBMIT A COPY OF CONTACT PERSON• • iddh IL T' N& YOUR STATE STATE LICENSE # iba Finials XP DATE 1200 T�� ' �• F LICENSE WITH ADDRESS: CITY TATE ZIP APPLICATION PHONE Ros"alwalff55113 FAX 8Si z"s517�•a�T PERMIT TYPE )<SINGLE FAMILY O TWO FAMILY ElTOWNHOUSE TYPE OF WORK: ��W` ❑ REPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK . t L9 r �`' k 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 NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) �/ s SIZEBTU 1 Equipment Installed MFG: dee, I\ v MODEL: 6MP / yen MFG: MODEL: SIZE/BTU-' MFG: MODEL: SIZE/BTU A/C $25.00 FIREPLACE (GAS) $15.00 GAS RANGE/OVEN $10.00 AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 BOILER $35.00 $35.00 _GAS UNIT HTR $10.00 _FURNACE LINER $10.00 GAS DRYER $10.00 _POOL HEATER $35.00 _CHIMNEY WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 _DUCT °EWA—Up jam,' [ f ey;'. . ... .. ..... .. ..i-MUT Permit Permit Fee $ Number of fixtures @ $10.00 x $10.00 Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 — $ TOTAL DUE $ Number of fixtures @ $25.00 x $25.00 = $jQ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 Total = $ THIS IS AN APPLICATION FOR A PERMITNOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANT PRINT NAME�� t�DATE_46 O n woo r City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 City of Fridley Residential Mechanical Application Page 2 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC 0 NEW HOMES/ADDITIONS 0 EXISTING HOME 0 MADE-UP AIR wm~ a mu REQUIRE STING HOMI �MUM ebm i et relum .6111veaw 1. Combustid KPnote below) ran- =%, r 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.