PRE 2010 DOCSCity of Fridley
SUBJECT
PERM
`J®�
14544
AT THE TOP OF THE TWINS
PERMIT
r
L; L __�___ COMMUNITY DEVELOPMENT DIV.�'��
r 1 PROTECTIVE INSPECTION SEC.
1 CITY HALL FRIDLEY 55432
1.J 612-560-3450
BUILDING
NUMBER
910-F15
REV.
DATE
12/30/77
PAGE OF
APPROVED BY
JOB ADDRESS 5653 West Bavarian Pass N. E.
1 LEGAL
oESCR.
I LOT NO.
3
BLOCK
2
TRACT OR ADDITION SEE ATTACHED
Innsbruck Villages 2nd SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
Darrel A. Farr Development AM Corp. 7286 - 72nd Zane No. 560-8110
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 CLASSOF WORK
NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Construct a 27' x 29' Townhouse and a 21' x 22' Garage (Matterhorn)
9 CHANGE OF USE FROM TO
STIPULATIONS
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
TYPE OF CONST.
Wood Frame
OCCUPANCY GROUP
OCCUPANCY LOAD
THIS PERMIT BECOMES NULL AND VOID 1F 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
ZONING
R-1
SQ. FT.
796+462.
CU. FT.
20,200 Total
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
$25r795
$12.90
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.
$80.80
$375.00
PLAN CHECK FEE
TOTAL FEE
$20.20
$488.90
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
N RLY VALIDATED -THIS IS YOUR RMI
SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE)
BLDG )NSP DfT E
AI'1,L1CATIOti 1:011 RL:5I1)]iw7'It;L, A1,1'Lil:e1'1'IU.��,
OR ADDITION Y,UH,I)ING P1:I:jMIT
C11' OF FRID1,13Y, 1MIjNXJ1::i0'1*A
OU.NER' S NAME : ,ai ,e,1 / • � iP tfl�'V . ['� 4��t BUILDER: �Q9�►�
ADDIRESS:7 1,� LAh* Aloyfn ADDRESS: �e�3. J�,►. .3'��-�$
NO: • S� STREET:
LOT: ' BLOCK: ADDITIO_d:�T�e�s�,�sa��
CORNER LOT: INSIDE LOT: G SETBACK:' SI DE''ARD :
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: dW��ed�®��
/s AV—nhOVS10 Front: .22 Depth: P? 4 Height: --2
Square Feet: /sM- Cubic Feet: 3dp oZ�
^Front: off® Depth;�? Height: /C1
%®iftL
/
Square Feet; -46.2 Cubic Feet: �.Zd
Type of Construction: W064 Fk',aWe, Estimated Cost: $
To Be Completed: 11978
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance faith 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: _ S (� ®0 J977 SIGNATURE -
(See Reverse Side For Additional Inforntation.)
80.20
S�uz
I a CP()
.bac,
CITY OF FRIDLEY
APPLICATION FOR PUIMBING AND GAS FITTING PERMIT
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Water
Heater
as
lec
$
Catch Basin
x
$5.00
$
Water Heater - to 99,000 BTU P
x
$5.00
100,000 BTU to 199,000 BTU
x
$10.00
$
Water Softener
x
$7.00
$
New Ground Run Old Building
1st
$5.00
$
Electric Water Heater
x
$5.00
$
2nd
3rd
4th
(R) a Future Connection Opening
(*),= New Fixture, Old Opening
Connected with Sewer
Water
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO.
RATE
TOTAL
Number 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 P
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 $ /.50
TOTAL FEE $ {!/.
REINSPECTION FEE
Job Address � � I CIV, C
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. , 19 1
OWNER���
KIND OF BUILDING
USED AS i ; •d y;C l t6
TO BE COMPLETED ABOUT
ESTIMATED COST CCl�
OLD - NEW BUILDING PERMIT NO. PERMIT NO.
Company
Signed By
Tel. No. .17)
ROUGH INSP.
Date
FINAL INSP.,? - 2-
"
Date
APPROVAL FOR PERMIT
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 pLUS $.50 STATE SURCMUM
D a6 -0q
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND
.AIR CONDITIONING SYSTEMS AND DEVICES
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR:
Furnace Shell & Duct Work
Replacement of Furnace
Repairs & Alterations -up to $500.00
Repairs & Alterations each add. $500.00
MECHANICAL WARM AIR:
Furnace Shell & Duct Work to 100,G00 BTU
each add. 50,000 BTU
Replacement 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
each addn. 50,000 BTU
OIL BURNER- to 3 gal. per hour
each add. 3 gal. per hour
GAS BURNER- from 100,000 BTU to 199,999 BTU
(over 199,999 BTU see Fee Schedule)
GAS FITTING FEES:
RATE
TOTAL
$12.00
$
7.00
$
7.00
$
4.00
$
$12.00
4.00
7.00
7.00
4.00
$12.00
4.00
7.00
6.00
$10.00
10.00
$10.00
1st 3 Fixtures x S 3.00
Additional Fixtures x $ 1.00
Gas Range to 199,000 BTU x $10.00
AIR CONDITIONING4M'oa?•4 (1/
FAIN HEATING SYSTEMS See Pee Schedule
VENTILATING SYSTEMS
ALTERATIONS & REPAIRS
State Surcharge
TOTAL FEE
PAUGB IMP. REINSPECTION FEE
Date p� ($10.00)
PHIAL INSP. �- P
Date
APPROVAL FOR PERMIT
Job Address 6-1^5-3 L)
Department of Buildings
City of Fridley
Tel. #571-3450
MINIMUM FEE FOR ANY HEATING PERMIT IS $7. SO PLUS $.SO STATE SURCHARGE
The undersigned hereby makes application for a permit for the work herein
$ •0 0
specified agreeing to do all work in strict accordance with the City Codes
S
and rulings of the Department of Buildings, and hereby declares that all the
5
facts and representations stated in this application are true and correct.
S
Fridley, Minn. 19
OWNER AD19XA el
$
KIND OF BUILDING ® ®M� is
$
USED AS �iltdi���ADi�I�
-/6 "
TO BE COMPLETED ABOUT C) 6
S '
$
ESTIMATED COST
/0�
OLD - NEW BUILDING PERMIT NO. PERMIT NO.
$
$—
DESCRIPTION OF FURNACE/BURNER
$
[HEATING)or POWER PLANTS, Steam, Hot Water, azm AiY No.
SOOa •
Trade Name Size No. O �OC OQf' 7,2
S
$
.
Capacity Sq. Ft. EDR BTU ® 60 6 HP
$
$ 5050
Total Connected Load / Kind of Fuel
BURNER - Trade Name Size No.
Capacity Sq. Ft. EDR BTU HP
MINIMUM FEE FOR ANY HEATING PERMIT IS $7. SO PLUS $.SO STATE SURCHARGE
IVA-C40vt', V/71 06- 5��Iaa l:;- 3
HEAT LOSS CALCULATIONS HEATORIGAAM C*VDITIGIVIVS
Weatherstrips
A.S.H.V.E.
Guide
Reference
1 g
Construction No.
Insulation
Windows
Doors
Out. Wall
Int. Wall
Ceiling
Roof
Floor
Kind
How Applied
Yes -No
Yes -No
63 F1. V Room Length Width Height
FI.® Ro;Tj LengthWidth /0 Height
Windows and Doors-Crackage and Area
indows and Doors-Crackage and Area
No. Width Height No. of Lineal ft. Area
of pane of pane lights of crack sq. ft.
3 2- 2�
No. Width Height No, of Lineal ft. Area
_ of pane of pane lights of crack sq, ft.
1�
Coef Btu
Coef Btu
Infiltration �
Glass
Y7 P `�
Infiltration .7
Glass
Exp. wal I /f
Exp. wall
Net exp. wall„
_J7
Net exp. wall AZ &
Int. wall
Int. wall
Ceiling
Ceiling
Floor
Floor
Total Bou.
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. a ���� Room I Length �r? Wid4h j, Height
FI Room Length IV Width
Height
Windows and Doors-Crackage
and Area
Lineal ft. sq.
of crack meq. ft.
Win ows and Doors-Crackage and Area
No. Width Height No. of
of pane of pane lights
No.
Widttt
of pane
Height No. of
of pane lights
Lineal ft. Area
of crack sq. ft.
Coef Btu
Coef
Btu
Infil4ration
Infiltration
F
Glass
Glass --
Exp. wall "�—
Exp. wall
Net exp. wall
Net exp waI1 70
Ay 6
Int. wall
Int. wall
Ceiling ®"-
Ceiling
Floor / 3 x/ d/3
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
I.�L Room Length Width Height n.
FI L Room I Length I&K Width 7 Height
Windows and Doors-Crackage and Area
No. Width Hght No. of Lineal ft. Area
of ane of peiane lights of crack sq, ft.
Windows
and
Doors-Crackage and Area
in
Height No. of Leal ft. Area
_of pane lightsof crack sq. ft.
�s®� ® �j
No
Width
of pane
g
2
yU3
Coef Btu
Coef
Btu
Infiltration
Infiltration -3
Glass
Exp, wall
Glass
Exp. wall
Net exp. wall
Net exp. we I
�e
Int. wall
Int. wall
Ceiling
y' Floor `
Ceiling ®� °�
Floor
g3
� Total Btu.
Tote! Btu.
�T
�i Required sq. ft. E.D.R. or sq. ins. W.A. Leader area T i
Required sq. ft. E.D.P. or sq. ins. W.A. Leader area
� n
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572-3604
Effective On January 1, 1993
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
PLUMBING FIXTURE RATES:
NO. RATE
New Fixtures
Old Opening, New Fixture
Beer Dispenser
Blow Off Basin
Catch Basin
Rain Water Leader
Sump/Receiving Tank
Water Treating Appliance
Water Heater -Electric
Water Heater - Gas _
Gas Range
Gas Dryer
Back Flow Preventer Required ( )Yes () No
Type
$ 7.00
$ 4:00
$ 5.00
$ 7.00
$ 7.00
$ 7.00
$ 7.00
$10.00
$ 7.00
$10.00
$10.00
$10.00
$5.00
Reinspection Fee $30.00
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
I% of Value of Fixture or Appliance
State Surcharge
TOTAL FEE
TOTAL JOB ADDRESS �, �� Our'k c_ ire 1 E S
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 Building Division, and hereby declares that all the facts
and representations stated in this application are true and correct.
Owner
Building Used As
Estimated Cost ®S PERMIT NO. d 1 •��
PLUMBING COMPANY Almz���
SIGNED BY _ TEL N0. �a �� - •'���I�
Approved
$ .50
Rough -In Date Final Date
MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00
$ ^� PLUS THE $.50 STATE SURCHARGE
co -
II
#R xaw
sd 3 s xi n"`re Y
gg
w.yxkd•
DVv 10Gas St,,,
r
Direct Vent Gas Heater --_
an autheu-
olo (HF T) Provides
Techn' ce and ambience.
Heatilator Flame hest
tic, lively wood -fire appearance delivers the safety.
-art direct vent design and ultimate
A state -of -the , installation vers st l t 'd homes.
1 fuel effi • to today s well assembly corn
ideally suited d hole as perfect
Six ceramic fiber logs with Pm terials Provide a
°u and flame appearance.
wing embP-r
bored with Own nclilivolt power
woodstove log enerates itdsg an electrical
Standmg pilot design g • even
supply to ensure operation
e recision cut by acomputer-guided
power outage-
orient parts az P rating efficiency
Comp um fit and operating
a 20,000 to
laser for OP switch contro10 7 e efficiency,
A convenient ON/OFF input at up
30,000 BTUIhr• viable
t sting• all thermostat.
ARROW pV10 Gas StOveff combines
The AR with the
Woodstove stylingof gas•
conVenience and technol°ane and
The DV 1 0 offers the aPPea
ience of an authentic a of two way air
amb
stove with the convenient This system
flow direct vent ob limitless, consistent
can provide hours
heat at the touch of a switch (HFT) tea-
r -lame yellow
Heatilator mbination of tall, dancing Y
tures a coin logs embers that
flames and glowing 9
ether to create the look of a real
blend tog fire.
woodburning o ,
per laboratory e to work with a w
e design ceramic glass; your choice of
Controls are old finish.
Durable cast iron door with
or polished, 24 carat g installations.
black paintmobile home and boom e
Approved for m can often utilize existing chimney
This direct vent system
when ieplacing a wpodstove.
One-year
limited warranty. Warnock Hersey to ANSIIC•G.A.
Tested and listed by �
Standards.
Heater S �
� �nnve
o �C4 or RC6) Provides total
. Remote contr TKGL) gold finish
nience. CGU) and lower
Optional upper
give the stove a distinctive
OU trim is available to gi
appearance an kit (FKST)lmproves the distribution of
125 CFM f _
heated air. -
Heatilator Inc.
a HON INDUSTRIES company
1915 W. Saunders Street
Mt. Pleasant, Iowa 52641
800/247-6798 319/385-9211
FAX 319/385-9225
HEATILATOR and ARROW are registered trademarks
of Heatilator Inc.
Specifications and options are subject to change.
Consult the DV10 Technical Guides for complete list-
ings, unit and installation dimensions and clearances.
All dimensions
are in inches.
TwRgr- "Im "�']r
Horizontal Termination
,This dimension reflects the width
of the base and face of the stove.
Flame appearance, when operated by homeowner,
may differ slightly from that shown in the photograph.
This is due to atmospheric and geographic differences.
71629A 9-93 25M WAG Made in U.S.A. • Printed in U.S.A.
CITY OF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432
572-3604
Effective On January 1, 1993
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
PLUMBING FIXTURE RATES:
New Fixtures
Old Opening, New Fixture
Beer Dispenser
Blow Off Basin
Catch Basin
Rain Water Leader
Sump/Receiving Tank
Water Treating Appliance
Water Heater —Electric
Water Heater — Gas
NO. RATE
Gas Range y
Gas Dryer
Back Flow Preventer Required ( )Yes () No
Type
$ 7.00
$ 4.00
$ 5.00
$ 7.00
$ 7.00
$ 7.00
$ 7.00
$10.00
$ 7.00
$10.00
$10.00
$10.00
$5.00
TOTAL JOB ADDRESS 53 ZA)Lam,
Reinspection Fee $30.00
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1 % of Value of Fixture or Appliance CO
State Surcharge $ ..50
TOTAL FEE $/ �•
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 Building Division, and hereby declares that all the facts
and representations stated in this application are true and correct.
(11 17
Owner
Building Used As
Estimated Cost VW- OD PERMIT NO. //cj
e
PLUMBING CO PANY
_jhk�'�'�
SIGNED BY TEL NO. YL9�
Approved fay Rough—In Date Final Date I�
v �
M FEE FOR ANY PLUMBING/GAS P
PLUS THE $.50 STATE SURCHARGE
City of Fridley
SUBJECT
lytIT NO.
249.29
AT THE TOP OF THE TWINS
BUILDING PER MIT(
_RFC'EIPT NO.
r • COMMUNITY DEVELOPMENT DIV.
r E PROTECTIVE INSPECTION SEC.
E
I 1 CITY HALL FRIOLEV 55432
NUMBER
REV
DATE
PAGE OF
APPROVED By
612-571-3450
910415
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
❑ NEW ❑ ADDITION ❑ ALTERATION 1 REPAIR ❑ MOVE ❑ REMOVE
6 DESCRIBE WORK
Reside 11 Buildings
9 CHANGE OF USE FROM TO
STIPULATIONS
Install building wrap and have inspection of same unless manufacturer's
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 Pas 5621,5623,5625,5627 W Bavarian Pass;
5631,5633,5635,5637 W Bavarian Pass; 5651C 6535655,5657 W Bavarian Pass; 5680,
5682,5684,5686 Hest Bavarian Pass; 5691,569-5—,5695,5697 West Bavarian Pass
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT
CU. FT
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO. DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
@
$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-
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
$1,547.25
Fire SC $232.00
PLAN CHECK FEETOTAL
FEE
Lie SC 5.00
$1,900.25
S,GNA E OF CONTRACTOR OR AU HORi.ED AGENT (DATE,
H N P- ERLY V (DATED THIS IS YOUR PERMIT
S,GNATURE OF 0I%NERoF OwNERBUILDERr iDATE,
LDG 1 $P rrAiE
N.
E
I.
SUBJECT
ERMIT NO.
City of Fridley
30744
AT THE TOP OF THE TWINS
BUILDING PERMIT
i �
I
COMMUNITY DEVELOPMENT DIV.
� tV _
PROTECTIVE INSPECTION SEC.
NUMBER
REV
DATE
PAGE Of
APPROVED BY
CITY HALL FRIDLEY 55432
•"' '. �'' 612-571-3460
910-Ft 5
3/ 17/00
JOB ADDRESS 5651, 5653, 5655, 5657 West Bavarian Pass NE
1 , LEGAL'-
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
1, 2, 3, 4
2
1 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
K,?. . ❑ NEW ❑ ADDITION ❑ ALTERATION Q REPAIR
❑ MOVE ❑ REMOVE
B ; DESCRIBE WORK
Reroof Garage Building (20 S) Tear-off
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
SO. FT
CU FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 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
$
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$1,748
.87
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-
Fire SC $1.75
STRUCTION R TH pF CONSTRUCTION
$63.15
ad
PLAN CHECK FEE
TOTAL FEE
!/
License SC $5.00
$70.77
SIGNATURE Of CONTRACTOR OR AUTHORIZED AGENT IDATEI
WHEN P PE VALIDATED THIS IS YOUR, ERMIT
� �J
BLDG INSp
/�AtE
S,GNATURE OF OWNER,IF OWNER BUILDER. IOATEI
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16:37 CITY OF FRIDLEY P.02/03
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 S - J • U' Site Address: -Y 1.3 W tt v OP -I' lZ6 /"e< -rJ
The applicant is: cirice one)
Owner ontractor
Property Owner.
Add g'J u. a vet
a J1
City:. e
State• lifA l ZIP: -r
Phone:
Cell: Fax:
Contractor Inform4n 0
�i� tom- PLL
Company Name:
.
Contact Person: Jaz
Address: et x)ig Add
City.7
state: H1�J zip:.fr V12 -
Phone:: 63 -Si! ° 1°`
Call: Fax:
Email:
MN Bond# & Exp Date-
Datk—
Type
Type of Work ;irate one): NewReplacamnt Alteration/Remodel
Detailed Description of work:
Equipment Installed: MFG: te Model. 660 SIzeBTI]:
MFG: ,r ei;
Model: h-ra C-,0 Size/BTU //L
MFG:
Model: Size/BTU'
Please check all that apply:
_Fireplace (gas) $15.00 New Gas Grill $10.00
LA/C $25.00
—Fireplace (wood) $35.00 _Gas Unit HTR $10.00
_Air to Air exchanger $15.00
_L_Fumace $38.00 _Pool Heater $35.00
Boner $35.00
^_Chimney
_Gas Dryer $10.00 _Ventilator $15.00
Liner $10.00
_Gas Piping $10.00
Duct Work $10.00
Gas Range/Oven $10.00
Pemtitt Fee $ 1(0 • �' __ (Total from above -Minimum fee $35.00)
Surcharge
Total Due $®
Make check payable to City of Fridley
This is an application for a permit- not valid until processed
I hereby apply for a meohanicel permit and I &*nowledge that the information above Is complete and
accurate; that the work will be In conformance with the ardinances and codes of the City of Fridley and
with the Minnesota Construction Codes; that I understand this Is not a permit but ordy an application
for a permit and work is not to start without a permit that the work will be In accordance with the
approved plan in gaum of all work which requires roviow and approval of plans.
Signature of Applicant: - Date:
Appmval Inspector Signature: Date:
Pipase Note: Seoarate hermits are required for Building, Plumbing, and Electrical work
AUG -03-2005 16:37 CITY OF FRIDLEY P. W/03
REQUIRED INFORMATION NEEDED TO PROCESS PERMIT
RESIDENTIAL PERMIT APPLICATION HVAC
❑ NEW HOMES/ADDITIONS XE)GSTING HOME ❑ MAKE-UP AIR
REQUIRED FOR NEW ISTING HOMES
1. Combustion Air (See note below)
a. Oil or solid. fUel WC Chapter 7 with MN Amendments
(_� NatiwA Gas or propane(MGC Chapter 3 with UN Amendments
2. ?Make-up Air (See note below)
a. IMC Chapter 5 with MN Amendments
3. 'Venting
glias appliances 1 FGC Chapter 5 with MN Amendments
b. Fuel other than gas IMC Chapter 8 with MN Amendments
4. Heat 1 "cooly$ load per room
a. ReQwYW on new oonmction IMC 1346.0312
S. ventilatio
a. er MN En Code 7670 or 7672
6. Duct, per IMC 1 46.0603.2
a. ACOA Maaual D
NO'T'E: Centerpoint Energy Mechanical Code Guidelines software may be used for
combustion and make up air calculations
TOTAL P.03