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PRE 2010 DOCS01, SUBJECT TellMI City of Fridley _ AT THE TOP OF THE TWINS �f?14305 PERMIT i � BUILDING • COMMUNITY DEVELOPMENT DIV.�,nj�/ INSPECTION r � � PROTECTIVE SEC. 1 � � CITY HALL FRIDLEY 55432 NUMBER REV. DATE 18/22/77 PAGE OF APPROVED BY 612-560-3450 910-F15 JOB ADDRESS 5660 West Bavarian Pass N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 2 Innsbruck Villages SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Darrel A. Farr Development Corp. 7286 - 72nd Lane North 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 CLASS OF WORK Xf7 NEW ❑ ADDITION ❑ ALTERATION. ❑ REPAIR ❑ MOVE ❑ REMOVE 8, DESCRIBE WORK Construct a 24' x 35.5' Townhouse and a 20' x 23' Garage (Sunnenheim) 9 CHANGE OF USE FROM TO STIPULATIONS Combustion air required in furnace area. ORNIlam' G call local SEPERATE PERMITS RE UIM Q FOR AS r- TELEPHONE ELECTRIC -G WIRING, L HEATING, PLUMBING AND SIGNS. P.F.QUili,ED BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Wood Frame THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R-1 984+460 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 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 $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- OR THE PERFORMANCE F CONSTRUCTION. $ 91,74 $375.00 h� �� 71."N�ATCRE PLAN CHECK FEE 22.94 TOTAL FEE 504.87 OF CONTRACTOR OR AUTHORIZED AGENT (DATE) PRO ERLY VALIDATED THIS IS YOUR PERIT BLDG INSP PATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) 01, AYP1.1CA IOC! FON', "It}:SII)I:!�'I'11;t�, AIA-ENATIt1:,.F, OR ADDITION 13U 11.D•1 :G 1'Ii1Z141T CITY OF FRIll1.E , :dl\NESOTA o •::: EP.' S 1Vq-1I::,�%Ai. � �. 4a.pp, Am � "a� kpj1,U ILDFR �:�:;�'' �s :218G 71kj- L a;%.7- Alovfto Am Ess : AV ols LOT: BLOCK: "'' ADDITIOa:_,Z/'inI�S CORNER LOT: INSIDE. LOT: WOOO SETBACK SIDEYARD: Applicant attach to this form Tt70 Certificates of Surve of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To .Be Used As lew�i�ioets�. Front: 24L Depth: 31T. S' Height: Square Feet: /7Cubic Feet:_ �e 6*2b Front: +C Depth: Height: /°o Square.Feet; 430 Cubic Feet: aC) Type of, Construction: k 00j Eftz e, Estimated Cost: 00 C� To Be Completed: 19Z7 The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in stkictt-accordance with the City of Fridley Ordinances and xulinos'of the Department of Buildings, and hereby declares that all the facts and representations stated in this application, are true and correct. DATE:C4q /moi? 7 SIGNATUF.N :_ F✓�i) (See Reverse Side For Additional Information_) 'l� a,elL e :. % a6_ A E. zr -O�oo Jq - CITY OF FRIDLEY OcNI-1-13 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 100,000 BTU each add. 50,000 BTU Replacement of Furnace Repairs & Alterations -up to $500.00 Repairs & Alterations each add. $500.00 STE41 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 $12.00 7.00 7.00 4.00 TOTAL $ $12.00 $ a, QQ 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 $ 3.00 $ I el.. Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00, $ AIR CONDITIONING`�r»q,u/. $ zexe FAN HEATING SYSTEMS See Fee Schedule $ VENTILATING SYSTEMS $ ALTERATIONS $ REPAIRS $ State Surcharge $ .50 TOTAL FEE 'Te ROUGH INSP. REINSPECTION FEE Date ($10.00) FINAL INSP. d Date /! APPROVAL FOR PERMIT MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE 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 representations stated in this application are true and correct. Fridley, Minn. I(L' / 2 , 19-2,? OWNER rA, y9 r KIND OF BUILDING USED AS J Lid d i � 1 IPI TO BE COMPLETED ABOUT 11-12- 27 ESTIMATED COST . �` ?s- OLD - NEW BUILDING PERMIT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Wazm Air No. *ade Name 1=;a.°l"'® Size No. 0& '- Capacity Sq. Ft. EDR BTU 26. , 00 6 HP Total Connected Load Kind of Fuel LI)Z/,IS BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU _ Company Signed Byn all v Tel. No. HEAT LOSS CALCULATIONS HEA70 �,[G2 ADCC CORI] Fag 75nDagRmgr, Crime MINNEAPOLIS, MINN. Weatherstrips A.S.H.V.E. Guide Reference 19 Construction No. Insulation Windows Doors Out. Wall Int. Wall Ceiling Roof Floor Kind —`-- How Applied --- Yes- No Yes -No Fl. Room I Length JL V Width Height Fir Rf4noom Length�� Width /Y Height Windows and Doors-Crackage and Area Area sq, ft. ,y,�,J`T' Windows and Doors-Crackage -'----- No Width 1 Height of pane of pane and Area No. o`� Lineal ft. Area lights of crack sq. ft. of crack t No. Wi drh of pane Height of pane No. of tights Lineal ft. of crack Coef. Btu Coef Btu Infiltration''' 3 `� • G.� Infiltration ( re Glass ! "ol f Glass Exp. wal I Net exp. wall Exp. wal I -- jf ;I Net exp. wall 71Int. wall Int. wall Ceiling Floor ! Ceiling f' c° Floor — 2 -Z -q aoi Total Btu. f 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 Ss Width Height ' FI °�� Room ! Length/ Width /0 Height Windows and Doors-Crackage and Area i Windows and Doors-Crackage and Area No Width of pane Height No. of Lineal it. of pane lights of crack Area sq. ft. y� Vv, of pane H-ght of p�aFne No. of Lineal ft. lights of Crack Area Sq. ft. 8' 6..- Coefl Btu Coefj Btu f _ Iniltration � Infiltration r' Glass -- -- _ Glass_ Exp. wal I 'C', - - - �: f?t AXj wall int. w 11 eillnq.�.°„� flour t area Exp. wall Net exp. wall- Int. wall Catling Floor -- �-_ — -" I� Total Btu. Required sq. ft. E.D.R, or sq Ins. W.A. Leader area_-- �- � - Intal Btu- -- ---- ---- _._1.---' Required sq. ft- E.D.R- or s,J. ins, W.A. Leader � F1. t d= Room •. Length � t Width - -_ _ 9 - oc; ` Heiyht a - "� _ e e FI.t wtom Ler th Width ' � S Height a'=' ., _ Windows and. Doors Crackarge and Area - — —1' -- — =� VVI lndotis and Doors Crackage and Area — - - `-- ;- � _._p ; _N f � . i,ii�.i fi Area "J� _ — 1 p,r. _ pi r f— t� _nf --r tc'k Sq, it. — No Width I of p ne �.., +---.--L Heigf t I of pane Nn. of i lights �. .. L i' ud, ft. T .,f (`rack f A.,, ; q• ft. ---- ( --"-; ICoeft. Btu C'oef Btu Infiltration Glass --- ------ s —111 - - --- I Infiltration Glass Exp. wall Net exp. wal l t. wall - - -- - -- Exp. wall ��- jA - Net exp. wall �, 1 Int, wall -- Ceiling— _Floor - ra� -- I � � --- - — ar � --- rPi!r9 —��------- -- F i oor --- -- - -- --- - �� ; ' Btu. j �� ft. E.D.R, or sq, ins. W.A. Leader area 9 Total Btu. Required sq. ft. E.G.E- or sq, ins. W.A. Leader area Nn v February 14, 1978 Mr. Jim Lo ndo n Darrel Farr Development Corp. 7286 - 72nd Lane North. Minneapolis, Mn. 55428 Re: Final Inspection at 5660 West Bavarian Pass N.E. Dear Mr. London: A final inspection. was made on February 13, 1978 of the above address and the following items were noted which must be completed before the structure can be fi naled out; 1. Replace 5/8 inch gypsum in garage where it has been removed to install insulation by February 22, 1978. 2. Caulk at two corners at bathtub base by February 22, 1978. 3. Provide a hard surface driveway by July 11, 1978. 4. Provide sod in the front and side yards by July 11, 1978. We will expect the above items to be completed by the scheduled dates when reinspections will be conducted to determine compliance. If you have any questions on these items, please contact me at 571-3450. Sincerely, DARREL G. CLARK Community Development Adm. DGC/mh. March 13, 1978 N"14 AiW� 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 66432 Mr. Jim London Darrel Farr Development Corp. 7286 - 72nd Lane North Minneapolis, Mn. 55428 Re: Final Inspection at 5660 West Bavarian Pass N.E. Dear Mr. London: TELEPHONE ( 612)671-3460 P A reinspection was made on March 7, 1978 to final out the above address per compliance with our letter of February 14, 1978. The inspection noted the following items which have to be corrected; 1. Repair hole in garage floor by June 30, 1978. 2. Repair garage flashing by June 30, 1978. 3. Repair door closer to be operative by June 30, 1978. 4. Provide sod in the front and side yards by July 11, 1978. S. Provide a hard surface driveway by July 11, 1978. 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 feel free to contact me at 571-3450. Sincerely, RON HOLDEN Building Inspector RH/mh I SUBJECT City of Fridley'C ,y 01 AT THE TOP OF THE TWINS BUILDING PERMIT f RECEIPT NO. ' , COMMUNITY DEVELOPMENT DIV ______ L PROTECTIVE INSPECTION SEC. 3P 7 r NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 8/24/94 JOB ADDRESS 5660 West Bavarian Pass NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 1 2 Innsbruck Villages SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Louis/Sophia Hudoba 5600 West Bavarian Pass NE 571-3381 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Mon Ray Inc 2222 W 94 Street, Bloomington MN 55431-2313 888-5243 5111 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 I� REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install 5 windows 9 CHANGE OF USE FROM TO STIPULATIONS Any change in bedroom windows must meet State Egress 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 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 $3,616 $1.81 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. $63.00 Fire SC $3.62 PLAN CHECK FEE TOTAL FEE )cense SC 15.00 73.43 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI H PER BLDG Y VALIDATED THIS IS YOUR PERM MATE SIGNATURE OF OWNER OF OWNER BUILDER) (DATE) NEW [ ] ADDN [ ALTER N Construction Address: Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application 5660 West Bavaria Pass Effective 3/1/92 Owner Name & Address: Louis & Sophia Hudoba 5660 W Bavarian Rag-, Tel. # 571 3381 Contractor: Mon Ray Inc Fri 1 ey MIN LICENSE # 0005111 Address: 9292 w 94±h c+ -Bloomington ISN _431 Tel. # 888 5243 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 NT idth Hgt/Ground Sq. Ft. OTHER: 5 Windows installed Comer Lot [ ) Inside Lot [) Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ 3� 616.00 Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 8/9/94 APPLICANT: CITY USE ONLY Tel. # 888-5243 Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ F 0 $.501$1,000 Valuation SAC Charge $ $700 Per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary j ] Not Necessary [ ] •f a TOTAL STIPULATIONS: la'a .44d5 4�pe4� e60� �� SUBJECT P of Fridley / 1 AT THE TOP OF THE TWINS BUILDING P E R M I T EIPT NO. Ir?City COMMUNITY DEVELOPMENT DIV. 1 r PROTECTIVE INSPECTION SEC I CITY HALL FRIDLEY 55432 �'' NUMBER REV DATE PAGE OF APPROVED BY '""� 612-571-3450 910-F15 2/6/96 JOB ADDRESS 5660 West Bavarian Pass NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 1 2 1 Innsbruck Villages SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Louis/Sophia Hudoba 5660 West Bavarian Pass NE 571-3381 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Mon -Ray Inc 8224 Olson Memorial H 546-8625 1 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 Replace atio door 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 ISTALLS I 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 $950 $.50 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE License SC $5.00 $41.20 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WH PROPER VA )DATED THIS IS YOUR PERMIT BLOG INSP PATE SIGNATURE OF OWNER i IF OWNER BUILDER) IDATEI NEW Il ADD '(I ALTER ,PQ Construction Address CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application 5660 West Bavarian Pass Legal Description: Owner Name & Address: Louis & Sophia Hudoba -Same Address - Effective 8/1/95 Tel. # 571-3381 Contractor: MON-RAY, INC. — MN LICENSE # 0005111 Address: 8224 Olson Memorial Hwy -Golden Valley, Mn 55427 Tel. # 546-8625 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: INSTALL (1) REPLACEMENT—PATIO DOOR - Comer Lot [ l Inside Lot [ ] Ft. Yd Setback Type of Construction: RESIDENTIAL Approx. Completion Date: (Cost on Back) Ft. + 6 Ft = Ft x $ Driveway Curb Cut Width Needed: _ DATE: — APPLICANT: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL Side Yard Setbacks Estimated Cost: $ 950.00 Tel. # CITY USE ONLY $ 34.75 Fee Schedule on Reverse Side $ _�� .001 of Permit Valuation (1/10th%) $ $.50/$1,000 Valuation $ $850 per SAC Unit $ 5.00 $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 [ ] $ 41.20 STIPULATIONS: _ SUBJECT City of Fridley (L24048 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. � • COMMUNITY DEVELOPMENT DIV. r � - PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REY DATE PAGE OF APPROVED BY �.j 612-571-3450 910-F15 4/5/96 JOB ADDRESS 5660 West Bavarian Pass NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 2 1 Innsbruck Villages SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Louis Hudoba 5660 West Bavarian Pass NE 571-3381 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Columbus Exteriors Inc 2131 111 Ln NW 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 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE x❑ 8 DESCRIBE WORK Vinyl sidin Aluminum Trim 9 CHANGE OF USE FROM TO STIPULATIONS 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 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 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 $5,470 2.74 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- $112.25 Fire SC $5.47 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE 46-R License SC $5.00 $125.46 �U RE OF CONTRACTOR OR AUTHORIZED AGENT (DATE( WHEN PROPERLY ALI DATED THIS IS Yl�OODUR PERMIT /�S SIGNATURE OF OWNER of OWNER BUILDERI IDATEI BLD VNSP DATE ``aas,va• `, i W ir�ips W .i� Z AM1 ADZ BdlMmgF=mftAffVc9dW 471 .._ - ,7:l ill 1 r.4.. • ,ic. 4.�r}�1 - l t COLUMISOUS WaEMORS, INC. NCS 2131 -111th Lane N.W. Coon Rapids, MN 55433 Larry - 666-9195 SUBJECT PERMIT NO. City of Fridley n`�` _ r 4 1 8 AT THE TOP OF THE TWINS BUILDING PERMIT - r RECEIPT NO. � COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. �J CITY HALL FRIDLEY 55432 NUMBER REV DATEvAGE OF APPROVED BY ' 612-571-3450 910-F15 5/7/96 JOB ADDRESS See Below 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Variou SHEET I 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Various 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Columbus Exterior869-9192 3509 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Townhouses 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside 9 CHANGEOFUSEFROM TO STIPULATIONS /1"/-, 5600,5602,5604,5606 West Ba v Jan Pass; 5601,5603,5605,5607 West Bavarian Pass; 5610,5612,5614,5616 est-Bevai4aa-Pase; 5620,5622,5624,5626 West Bavarian Pass; 5620,5622,5624,5626 North Innsbruck Ct; 1521,1523,1525,1527 Trapp Court; 5650,5652,5654,5656 West Bavarian Pass; 5660,5662,5664,5666 West Bavarian Pass; 5661,5653,5655,5657 West Bavarian Pass; 5671,5673,5675,5677 West Bavarian Pass; and 5681,5683,5685,5687 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 44 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 $228,800 $114.40 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- $1,532.25 Fire SC $228.80 STRUCTION R THE PERFORMANCE OF CONSTRUCTION. / PLAN CHECK FEE TOTALFEE License SC $5.00 $1,880.45 SiG OFCON'RACTORORAUTHORiZEDAGENT IDAM 1=41BLOG WHEN PROPERLY LIDATED THIS IS YOUR PERMIT r S-GNATURE OF OWNER,,F OWNER BUILDER, iDATEt 10SP- DATE SuBjECT City of Fridley 30747 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. fr ___ __ COMMUNITY DEVELOPMENT DIV. - r E , PROTECTIVE INSPECTION SEC. 1 � � CITY HALL FRIDLEY 55432 NUMBER Ai7 DATE PAGE OF APPROVED BY L J ` 612-571-3450 910-F15 3/17/00 108 ADDRESS Jbb ffintl" xx t West Bavarian Pass NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1-4 2 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 8 USE OF BUILDING Residential Townhouse Garage 7 CLASS OF WORK 0 NEW 0 ADDITION 0 ALTERATION XO REPAIR 0 MOVE 0 REMOVE 8 DESCRIBE WORK Reroof Garage Building (20 Sq) Tear-off 9 CHANGEOFUSEFROM TO STIPULATIONS 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 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 1 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 $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- STRUCTIO OR TH .. NCE OF CONSTRUCTION $63.15 Fire SC $1.75 6-0PLAN CHECK TO L FEE Lice SC $5.00 0.77 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IOATEI EN R VALI THIS IS YOUR PERMIT SIGNATURE OF OWNER of OWNER BUILDER. IDATEI BLOJI INSP rla T NEW [ l Effective 1/1/2000 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bld Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION n \1 11 Construction Address: 5 (I ( O – .Sd G 1l 41"Lj' /0/153 '/\\\v'\\ Legal Description: Owner Name & Address: _ Tel. # Contractor: lc %e".' i N MN LICENSE # 211Z Address: 05 'L� �j,�.o,�e; :!5 -,5 -?0 _? Tel. # 6 /2 o21-f/YSS 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.. Widt� ; HgttGropnd Sq. Ft 77 _117 - OTHER: `- /C.(' ) O 77'yv `Dam Construction Type: Estimated Cost: $ ` T Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: 3-15-40 APPLICANT: �� /'� Tel. # CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application a/3- IVSS Permit Fee $ (D d % Fee Schedule on Reverse Side Fire Surcharge $_ l� %S� .001 of Permit Valuation (1/10th%) State Surcharge $ �� $.50/$1,000 Valuation SAC Charge $ $1100 per SAC Unit License Surcharge $ 6_0 $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 $2e), 9 STIPULATIONS: CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-36U4 k'AX: (763) 571-1237 PERMITO.: 2004-01992 DATE ISSUED: 10/26/2004 ADDRESS : 5660 W BAVARIAN PASS NE PIN : 243024410159 R 568 LEGAL DESC : INNSBRUCK VILLAGES 93 : LOT 1 BLOCK 2 PERMIT TYPE : BUILDING PROPERTY TYPE : MULTI DWELL CONSTRUCTION TYPE : ROOFING VALUATION : $ 21,739.00 NOTE: INSTALL PER MANUFACTURERS SPECIFICATIONS. INSTALL PER STATE BUILDING CODE. REROOF BUILDING WHICH INCLUDES 5660, 5662, 5664 AND 5666 WEST BAVARIAN PASS. STATE LICENSED CONTRACTOR 1 APPLICANT BUILDING PERMIT FEE FIRE SURCHARGE 349.25 21.74 ALLSTAR CONSTRUCTION 840173 AVE N STE 80 STATE SURCHARGE, VALUE 10.87 BROOKLYN PARK, MN 55428- LICENSE SURCHARGE 5.00 TOTAL 386.86 PAID WITH CHECK # 65625 OWNER GASSEN COMPANY INC E AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application 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 does not presume to give authority to violate or cancel the provisions of any other state or local law regulating cons tion or the performance of construction. Appi an 24 f Date/ Bldg Insp Date �� SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. NEW [ ] CITY OF FRIDLEY Effective 4/1/2004 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address:6& Slplol® W E,5 - gAy Ate -i Ar� PASS Legal Description: Owner Name & Address: &AQW,1 MANAbeMeNt �; 1�4pfc--&,qS Tel. # q�2- q ZZ j"5--75 Contractor: Abkz on5&Rucln)A AIL MN LICENSE # 39--" Address: 801 TAW-40e- 10ddh -#KD ATel. # 763 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: Ri5P-WF E501Lbjr(6 7 - Construction Type: Estimated Cost: $ Zl -7'5 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE:/O/Z/04 APPLIC&5 1At& '7 6✓ Tel. # %�> ��s'7M Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using'credit card and we will call you for card number. Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge CITY USE ONLY - Es Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1350 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 [ ] TOTAL $ STIPULATIONS: CITY OF FRIDLEY INSPECTION DIV. �� `� �®�� Effective April 1, 2004 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT (763) 572-3604, FAX (763) 571-1287 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR : >?::: Water Heater Wash � Floor >:.::::: Auto. :::::: Gas ��k...... • Shower Tray �rain �:>::>:;•• Range ....'....: :..Gas ElecStories Urinal Washer Basement m nt >>' Floor Floor 2 Floor 3 Floor 4 PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADD New Fixtures $10.00 Old Opening, New Fixture $10.00 Beer Dispenser $10.00 Blow Off Basin $10.00 Catch Basin $10.00 Rain Water Leader $10.00 Sump/Receiving Tank $10.00 Water Treating Appliance $35.00 Water Heater -Electric $35.00 Water Heater - Gas** $35.00 Gas Range** $10.00 Gas Dryer** $10.00 Back Flow Preventer Required ( )Yes () No Type $15.00 Reinspection Fee $50.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.25% of Value of Fixture or Appliance State Surcharge $ .50 la TOTAL FEE $i 0 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. 1 � DATE: �9 f _'20 OWNER BUILDIN, ESTIMATED COST V PERMIT NO PLUMBING ( SIGNED Approved By Rough -In Date &Iu TEL N0. — C Final Date COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. **PROVIDE COMMON VENT INFO ON BACK SIDE t FILL IN COMPLETELY FOR REPLACEMENT FUEL BUMING APPLIANCE PERMITS COMMON VENTl VENT CONNECTOR AND COMBUStION AIR VERIFICATION When replacing an existing furnace, 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 plastic/PVC 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 combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes ( ) No( ) When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes ( ) No ( ) When installing a new 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 Furnice V6nting 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 Type and Size/Common Vent and Vent Connector Information 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 ALTERATIONS: (Describe) HEATING CO: Signed By: Date : CITY OF FRIDLEY BUILDING INSPECTION W3_ Effective 4/1/2004 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION 763-572-3604 FAX 763-571-1287 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES *Air Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to City FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE Approved by Rough -in Date Final Date JOB ADDRESS Pp D&�) RATE SCHEDULE Fee Total Residential Owner�)arv,4- it n.� � a �„ Furnace Shell and Duct Work, Burner & also Replacement Furnace $35.00 $ Building Used As Gas Piping (New Furnace, Fireplace, Insert) $10.00 $ ESTIMATED COST '�/Rf PERMIT NO Gas Range —'� $10.00 $ DESCRIPTION OF FURNACE AND BURNER Gas Dryer $10.00 $ # of Heating Units Circle One (Steam) (Hot Wate(Warm Air) Trade Name - m M" Size No. *Air Conditioning - All Sizes $25.00 $ BTU. 00C HP EDR Fuel Total Connected Load All Other Repairs or Alterations (List on Back) 1% of Value of Appliance or Work $ Burner Trade Name Size No. Minimum Fee $15.00 for Residential or 5% of cost of BTU HP EDR Improvement whichever is greater The undersigned hereby makes application for a permit for the work herein Commercial/Industrial/Institutional specified agreeing to do all work in strict accordance with the City Codes 1.25% of Value of Appliance or Work (List on Back) $ and rulings of the Building Division, and hereby declares that all the facts Minimum Fee $35.00 for Commercial/IndustriaVinstitutional and representations stated in this application are true and correct. State Surcharge HEATING CO TOTAL FEE $o Signed, I Tei # 7[0.3 S`7/ 3"�s REINSPECTION FEE $50.00/HOUR FAX # %CQ3 S%f,o--7a9 9 Date 3ZZLo — *Air Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to City FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE Approved by Rough -in Date Final Date FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT. VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furnace, 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 plastic/PVC 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 combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No( } When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes () No( ) When installing a new 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 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 Type and Size/Common Vent and Vent Connector Information 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 ALTERATIONS: (Describe) HEATING CO: Signed By: Date : CITY OF FRIDLEY BUILDING INSPECTION 6431 University Ave NE Fridley, MN 55432 763-572-3604 FAX 763-571-1287 RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner & also Replacement Furnace Gas Piping.,(New Furnace, Fireplace, Insert) Fireplace insert Gas Range Gas Dryer 5� Effective 4/1/2004 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Fee Total $35.00 $ $10.00 $ $15.00 $ $10.00 $ $10.00 $ *Air Conditioning - AllSizes $25.00 $ All Other Repairs or Alterations (List on Back) 10/6 of Value of Appliance or Work $ Minimum Fee $15.00 for Residential or 5% of cost of Improvement whichever is greater on work less than $500.00 JOB ADDRESS fie' L�Ai76 t�� Gre PetS� Owners+�� Building Used As 1 �� ESTIMATED COST �_ PERMIT NO DESCRIPTION OF FURNACE AND BURNER # of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. BTU HP EDR Fuel Total Connected Load Burner Trade Name BTU HP Size No. EDR The undersigned hereby makes application for a permit for the work herein Commercial/Industrial/Institutional specified agreeing to do all work in strict accordance with the City Codes 1.25% of Value of Appliance or Work (List on Back) $ and rulings of the Building Division, and hereby declares that all the facts Minimum Fee $35.00 for Commercial/Industrial/Institutional and representations stated in this application are true and correct. State Surcharge $ 0.50 HEATING COG��a - L- c a (if permit fee is over $1,000 multiply by .0005) TOTAL FEE $ Signed��. Tel #�b 6l / b ! cC p FAX # -2 7 I as / Date *Air Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to City FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE Approved by fo Rough -in Date Final Date FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacina an existing furnace, 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 plastic/PVC 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 -LAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) The existina combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes {) No( ) When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes () No( ) When installing a new 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 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 Type and Size/Common Vent and Vent Connector Information 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 fC HEATING CO: JS/ Signed By: rn n .e C3 2) -�- r CITY OF FRIDLEY BUILDING INSPECTION 6431 University Ave NE Fridley, MN 55432 763-572-3604 FAX 763-571-1287 RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner & also Replacement Furnace Gas Piping (New Furnace, Fireplace, Insert) Fireplace insert Gas Range Coos- 60570 Effective 4/1/2004 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Fee Total $35.00 $ $10.00 $ $15.00 $ $10.00 $ Gas Dryer $10.00 $ *Air Conditioning -All Sizes $25.00 $ All Other Repairs or Alterations (List on Back) 1% of Value of Appliance or Work $ �5 Minimum Fee $15.00 for Residential or 5% of cost of Improvement whichever is greater on work less than $500.00 Commercial/Industrial/Institutional 1.25% of Value of Appliance or Work (List on Back) Minimum Fee $35.00 for Commercial/Industrial/Institutional JOB ADDRESS 6�( -�'_ A* 3 5 Owner Iry e z �, Building Used As IA,� mit ESTIMATED COST PERMIT NO DESCRIPTION OF FURNACE AND BURNER # of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. BTU HP EDR Fuel Total Connected Load Burner Trade Name BTU M Size No. 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 $ and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. State Surcharge $ 0.50 (if permit fee is over $1,000 multiply by .0005) TOTAL FEE $ S *Air Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to City FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE HEATING CO �''/� ' (4 zG A caC_ Tel#'7&S LI`/t(otgc) I L FAX # , . S 710 C 3 Date Approved by 1 6 Rough -in Date Final Date FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMM! -PN VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacina an existing furnace, 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 plastic/PVC 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 combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes ( ) No( ) When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes ( ) No ( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specfcations. 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 Type and Size/Common Vent and Vent Connector Information 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 ALTERATIONS: (Describe) 0,17; / 1/�76 �4 HEATING CO:� Signed B'y: Date : i� s JAN -28-2005 1136 CITY OF FRIDLEY P.02/03 CITY OF FRIDLEY 6431 University Ave NE R-3/COMMERCIAL/INDUSTRIAL/PUBLIC/INSfTRMONAL 1 Fridley, MN 55432 BUILDING PERMIT APPLICATION (�® (763) 572-3604 FAX (763) 571-1287 CONSTRUCTION Legal Zoning Te I# (w} -% Tel# ' se fico �'�/I6 Architect Reg.# Engineer BUILDING CONSTRUCTION OFC. AREA: Length Width Height Sq. Ft WHSE AREA: Length Width Height Sq. R. OTHER AREA: Length Width Height Sq. Ft. APALICANT..f _ �� Tel #`�Z "IOH�o "'.w'70 Date--L- VALUATION ate, -VALUATION Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) P Sq. Ft. x $ Cost/Sq. R. = Valuation $ Sq. R. x $ Cost/Sq. R. = Valuation $ ) TOTAL VALUE Building Use Construction Type Occupancy Group Air Conditioning []Yes []No Fire Protection Provided []Yes []No Performance Bond Amount $ See Reverse for Schedule: Received []Yes ❑No PERMIT FEES ft Permit Fee $ f 75 See Fee Schedule on Reverse Side Plan Check $ 650/0 of Building Permit Fee Fire Surcharge $ .001 x Permit Valuation (1/10th %) State Surcharge $ `r/ o� $.50/$1,000 Valuation (See Sc hed. for > $1 Million) SAC Charge $ $1.450 per SAC Unit (Plans to MWCC for determination) Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined By Engineering Spec. Assessments $ Agreement Necessary [] Not Necessary 0 Curb Cut Escrow $ feet x /foot TOTAL $ [� ATTACH STIPULATIONS 0 ServiceMaster / Total Service Company 6314 Cambridge Street St Louis Park MN 55416 952-646-3870 Phone 952-646-3832 Fax MN Lic # 3903 Insured: Dan & Bonnie Shay Property: 5660 Bavarian Pass Fridley, MN Claim Rep.: JEFF BOLGER Estimator: Jeff Agness Business: (952) 646-3870 Title: Owner Company: Total Service Company Business: 6314 Cambridge St St Louis Park, MN 55416 Company: Total Service Company Business: 6314 Cambridge St St Louis Park, MN 55416 Claim Number Policy Number 4497MA 0 Dates: Date of Loss: 01/10/05 Date Inspected: 01/13/05 Type of Loss Fire Date Received: 01/10/05 Date Entered: 01/19/05 Price List: MNMN2B5A Restoration/Service/Remodel with Service Charges Factored In Estimate: 2005-01-19-1613-S 0 PIC�6,� ZXA/ 0pA Business: (952) 646-3870 Deductible .0 REVIEWED`�'`ti MR,fCOOE Y'L.IAN CE Building Permit Fee BUILDING 57 ® See Back Page for Fee Schedule Permit No.:. -� � Inspections 65% of Building Permit Fee RESIDENTIAL APPLICATION $ Received By: 763-572-3604 $ CITY OF FRIDLEY License Surcharge Date Rec'd: S-5-.00(3 763-502-4977 FAX SAC Charge $ $2100 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ EFFECTIVE 1-1-2010 Erosion Control $ VS/0 Park Fee 9� /Y� ° DATE YOUR E-MAIL ADDRESS SITE ADDRESS 15&(p0 �CJ Total Due $ 4 Make checks uavable to: Citv of Fridlev Attach Stiuulations THIS APPLICANT IS: "S3)WNER ❑CONTRACTOR PROPERTY OWNER/ NAME:'} �-',1--- TENANT ?q ., AJZIP 6 3a� 33 da—A& ADDRESS:' & -CITY a/Yl STATER PHONE: CONTRACTOR NAME: STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE AND CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE PHONE FAX PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE BECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION �i MAINTENANCE/REPAIR ❑ REMODELING � DESCRIBE WORK BEING DONE: Sk d- / ti-- nQ '0_t SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES ❑ HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes []No LOCATION OF WINDOWS FOR WINDOWS — PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: 97 U.B.0 FEE SCHEDULE)UPANCY TYPE TOTAL JOB VALUATION $ `��® OC Permit Fee $ 57 ® See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ 1-79 .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2100 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $22 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ 4 Make checks uavable to: Citv of Fridlev Attach Stiuulations 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 be in accordance with the approved plan in the case of allrk,yWh r&qui4review and approval of plalls. SIGNATURE OF APPLICANT %��J ) / 1/j,G_� PRINT NAME f is Vc � r 1 � �� DATE .�' -M sign 0 65978 :.;;;::;......., , y R . 3/5/2010 • '•°'.+'\ta i1\ �'ri'\u:' \: {+:`\iii\�..�i:+ >•• * * * Take this sheet to the Building Materials desk to purchase your materials. You selected a 1 level deck with: ! Below is•a section of the railing style and Pressure Treated Framing Material 4 x 4 Framing Posts options you have selected for your deck. 514" x 6" Pressure Treated Deck Boards _ Pre -cast Footings ! Premium Gold Combo Drive Screws Galvanized Framing Fasteners �Idi IUI dli bt;ICt,UUI I5. .36 Horizontal Handrail Railing 'x2"x36" Pressure Treated Sq. End Spindles "x4"x48" Pressure Treated Utop Notched Railing Posts 2"x4" Pressure Treated Hand Rail Vat t hi u Spindle placement is approx. 4° apart depending on style You may bu� all the materials or any part at low cash and carr prices. Because of the wide variable in codes, hllonardc rnnnn nI mrantoo that matoHnk lictad will moot vnI Ir rn a rom Iiramantc Phork With vnI Ir Inral ml Inirinalitu for plan compliance and building permit. These plans are suggested designs and material lists only. Some items may vary from those pictured. We do not guarantee the c . pleteness or prices of these structures. Tax, labor and delivery not included. THIS uol3 COPY si�>`-.�.� ;� .�I�u.��€ �(� a AVAILABLE 01',J I'i-iE Ott} cajokliC6 Es SITE FOR TI'S — f ,R.:.., 1 Lv �� eaiyr1 .4G AND FINAL. ld�% r uc� V � .qWoo. i 185* r v w `-Lk Sao , r� ��` L � . tbd I�.i•s _,:..::::::r <i Illustration intended to ow general deck Size and shape. Some options selected may not be shown for picture clarity. oday's cost for materials estimated in this design with options®$ U6, 94 *The base price includes: 40 PSF deck live load, AC2 treated • horizontal 2x6 *(BASE price): $390.46 deck boards, 4x4 posts, 2x8 joists and beams, galvanized framing fasteners, ***If purchased today, you save:47,40***ACU49W* vertical foist without posts. and oremium screws. ***Monthly BIG Card Pavment would be: 14.80**" IE0 esi n 7� �......:�«.:..:..:: 151 010 of ,•.;�:`��;,`,�, :•�� °�4'��>� * * * TAP this Chppt to the Rididinn MatA6I.q dp-gk to nurrhacP vniir mntprialr 9 8 d gxsxs�l�S= Level 1: 8'x 14' 5' off the ground Vertical Decking 2X� Ir 2" x 8" Joists 2 ft cantilever on joists�� 2" x 8" Beams •-2tel" # cantilever on beams ' -- -.,.:: 40 PSF Deck Live Load r-- L & =4 Today's cost for materials estimated in this design with options® 6.94 *The base price includes: 40 PSF deck live load, AC2 treated - horizontal 2x6 *(BASE price): $390.45 deck boards, 44 posts, 2x8 joists and beams, galvanized framing fasteners, ***If purchased today, you save:$47.40*** AC2.treated 36" Vertical handrail to joist without posts, and premium screws. ***Monthly BIG Card Payment would be: $14.80*** ESTIMATE FOR: shay, bonnie 8X14 DECK Fridley, MN 55432 Ph: (612) 201-4297 PROJECT DESCRIPTION: BONNIE DECK Estimate From G03ZQU�a Estimate # 65978 STORE # 3018 FRID PHONE: (763) 571-8689 Page 1 of 3 5351 Central Ave. NE FAX: (763) 571-1932 Fridley, MN 55421 ESTIMATE BY ESTIMATE DATE FJB 03/05/10 SKU NUMBER DESCRIPTION QTY TO ORDER ADDITIONAL ITEM INFORMATION 111-0656 14' AC2 THICK CUSTOM DECKAG 18 EACH Deck Boards 111-0805 2X4-6' AC2 TREATED AG ARSENIC FREE LW 4 EACH Bottom Rail Bd 111-0818 2X4-8' AC2 TREATED AG ARSENIC FREE LW 1 EACH ON SALE THRU 03/14/10 Y Bracing 111-0850 2X4-16' AC2 TREATED AG ARSENIC FREE LW 3 EACH ON SALE THRU 03/14/10 Hand Rail 111-1325 2X8-8' AC2 TREATED AG ARSENIC FREE LW 10 EACH ON SALE THRU 03/14/10 Internal Joist 111-1325 2X8-8' AC2 TREATED AG ARSENIC FREE LW 2 EACH ON SALE THRU 03/14/10 Rim Joist 111-1354 2X8-14' AC2 TREATED AG ARSENIC FREE LW 2 EACH ON SALE THRU 03/14/10 Beams 111-1354 2XB-14' AC2 TREATED AG ARSENIC FREE LW 1 EACH ON SALE THRU 03/14/10 Ledger Joist 111-1354 2XB-14' AC2 TREATED AG ARSENIC FREE LW 1 EACH ON SALE THRU 03/14/10 Rim Joist 111-2214 4X4-8' AC2 TREATED GC ARSENIC FREE LW 3 EACH ON SALE THRU 03/14/10 Posts 111-3103 4X4X48 U TOP -IT DECK POSTAC2 TREATED 7 EACH ON SALE THRU 03/14/10 Railing Posts 111-3404 2X2X36" SQUARE END AC2 TREATED 50 EACH ON SALE THRU 03/14/10 Railing Spndls 157-1013 10' STEEL DECK FLASHING BROWN 2 EACH Ledgr&RimFlash 179-4195 3-3/8"X12" CONC FOOT PAD 30LBS 3 EACH Post Footing 191-7668 HOW TO BUILD - DECK PLAN G90050 1 EACH Deck Plan This is an estimate. It is given only for general price information. This is not an offer and there can be no legally binding contract between the patties based upon this estimate. The prices stated herein are subject to change depending upon the market conditions. The prices stated on this estimate are not firm for any time period unless specifically written otherwise on this form. The availability of materials is subject to iuventory conditions. MENARDS IS NOT RESPONSIBLE FOR ANY LOSS INCURRED BY THE GUEST WHO RELIES ON PRICES SET FORTH HEREIN OR ON THE AVAILABILITY OF ANY OF THE MATERIALS STATED HEREIN. All information on this form, other than price, has been provided by guest and Menards is not responsible for T� any errors in the information on this estimate, including but not limited to quantity, dimension and quality. Please examine this estimate GUEST L' ST COPY carefully. MENARDS MAKES NO REPRESENTATIONS, ORAL, WRITTEN OR OTHERWISE THAT THE MATERIALS LISTED ARE SUITABLE FOR ANY PURPOSE BEING CONSIDERED BY THE GUEST. BECAUSE OF WIDE VARIATIONS IN CODES, THERE ARE NO REPRESENTATKM'INEX"lr°TIMI ATERIALS LISTED HEREIN MEET PAGE 1 OF 3 YOUR CODE REQUIREMENTS. ESTIMATE FOR: shay, bonnie 8X14 DECK Fridley, MN 55432 Ph: (612) 201-4297 PROJECT DESCRIPTION: BONNIE DECK Estimate From STORE # 3018 FRID PHONE: (763) 571-8689 5351 Central Ave. NE FAX: (763) 571-1932 Fridley, MN 55421 ESTIMATE BY ESTIMATE DATE FJB 03/05/10 Estimate # 65978 Page 2 of 3 SKU NUMBER DESCRIPTION QTY TO ORDER ADDITIONAL ITEM INFORMATION 227-1507 NAILS 1-1/2 JOIST HANGER 1LB GALV 2 EACH ON SALE THRU 03/14/10 Joist Hangers 227-1742 2 X 8 JOIST HANGER 18 GAUJUS28-TZ 11 EACH ON SALE THRU 03/14/10 Internal Joist 227-1760 4 X 4-6 POST CONNECTOR PB44-6TZ 6 EACH ON SALE THRU 03/14/10 Posts 227-1788 ANGLE 1-3/8" X 4-1/2" MPA1-TZ 2 EACH ON SALE THRU 03/14/10 JoistCrnrAnchr 229-5473 NAIL 8D GALVANIZED BOX 1 LB BOX 1 BOX Sandwhich Beams 229-5499 NAIL 16D GALVANIZED BOX 1 LB BOX 1 BOX Post Hardware 229-5499 NAIL 16D GALVANIZED BOX 1 LB BOX 3 BOX Framing 230-5518 3 PREM DECKSCREW GLD COMBO 1LB 2 EACH ON SALE THRU 03/14/10 Spndle Fastnrs 230-5523 3-1/2 PREM DECKSCREW GLD COMBO 1LB 1 EACH ON SALE THRU 03/14/10 Railing Rails 230-5552 2-1/2 PREM DECKSCREW GLD COMBO 5LB 1 EACH ON SALE THRU 03/14/10 Deck Boards 232-4373 3/8 X6GALV.LAG SCREW 7PC 34373-1 LB. 3 EACH Ledger Joist 232-4755 3/BX6GALV.CAR.BOLT 6PC 34755-1 LB. 3 EACH Railing Posts 232-5589 3/8 HEX NUT BPC GALV 35589 -SLIM PACK 2 EACH Railing Posts 232-5660 3/8 FLATWASHER BPC GALV 35660 -SLIM PACK 2 EACH Railing Posts 232-5660 3/8 FLATWASHER BPC GALV 35660 -SLIM PACK 2 EACH Ledger Joist This is an estimate. It is given only for general price information. This is not an offer and there can be no legally binding contract between the parties based upon this estimate. The prices stated herein are subject to change depending upon the market conditions. The prices stated on this estimate are not firm for any time period unless specifically written otherwise on this form. The availability of materials is subject to inventory conditions. MENARDS IS NOT RESPONSIBLE FOR ANY LOSS INCURRED BY THE GUEST WHO RELIES ON PRICES SET FORTH HEREIN OR ON THE AVAILABILITY OF ANY OF THE MATERIALS STATED HEREIN. All information on this form, other than price, has been provided by guest and Menards is not responsible for any errors in the information on this estimate, including but not limited to quantity, dimension and quality. Please examine this estimate e+GUEST COPY carefully. MENARDS MAKES NO REPRESENTATIONS, ORAL, WRITTEN OR OTHERWISE THAT THE MATERIALS LISTED ARE SUITABLE FOR ANY PURPOSE BEING CONSIDERED BY THE GUEST. BECAUSE OF WIDE VARIATIONS IN CODES, THERE ARE NO REPRESENTATIONS THAT THE MATERIALS LISTED HEREIN MEET PAGE 2 OF 3 YOUR CODE REQUIREMENTS. ESTIMATE FOR: -shay, bonnie 8X14 DECK Fridley, MN 55432 Ph: (612) 201-4297 PROJECT DESCRIPTION: BONNIE DECK Estimate From GuXaQU�a STORE # 3018 FRID 5351 Central Ave. NE Fridley, MN 55421 PHONE: (763) 571-8689 FAX: (763) 571-1932 ESTIMATE BY ESTIMATE DATE FJB 03/05/10 Estimate # 65978 Page 3 of 3 SKU NUMBER DESCRIPTION QTY TO ORDER ADDITIONAL ITEM INFORMATION 563-4235 PAINTER'S PREMIUM CLEAR WL0037720 10OZ Flshing&LagScr EACH *** If purchased today, you save $47.40 *** ON SALE THRU 03/14/10 This is an estimate. It is given only for general price information. This is not an offer and there can be no legally binding contract TODAY'S SUB -TOTAL: 526 between the parties based upon this estimate. The prices stated herein are subject to change depending upon the market conditions. .94 REGULAR SUB -TOTAL: 574.34 The prices stated on this estimate are not firm for any time period unless specifically written otherwise on this form. The availability of materials is subject to inventory conditions. MENARDS IS NOT RESPONSIBLE FOR ANY LOSS INCURRED BY THE GUEST WHO RELIES ON PRICES SET FORTH HEREIN OR ON THE AVAILABILITY OF ANY OF THE MATERIALS STATED HEREIN. All information on this form, other than price, has been provided by guest and Menards is not responsible for any errors in the information on this estimate, including but not limited to quantity, dimension and quality. Please examine this estimate GUEST COPY carefully. MENARDS MAKES NO REPRESENTATIONS, ORAL, WRITTEN OR OTHERWISE THAT THE MATERIALS LISTED ARE SUITABLE FOR ANY PURPOSE BEING CONSIDERED BY THE GUEST. BECAUSE OF WIDE VARIATIONS IN CODES, THERE ARE NO REPRESENTATIONS THAT THE MATERIALS LISTED HEREIN MEET PAGE. 3 OF 3 YOUR CODE REQUIREMENTS. BuildingMECHANICAL Permit NO. ( 0 -;`Q Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 i CITY OF FIZIDi, LEY 9 763-502 -4977 FAX CTIVE 7-1-2010 /�, ,,, RATE -� �^ % YOUR E-MAIL ADDRESS riQG$d (ems/ /!?/rte/ e,_ /�,rG-C/�L%3Oh7 SITE ADDRESS S�G�Q.,+"��C� i S 1-.64 THIS APPLICANT IS: O OWNER )KCONTRACTOR PROPERTY NA_1+1E: ee OWNER/ TENANT ADDRESS712—s('�L12�"�>1 0&c Cm PHONE:�%��! CONTRACTOR CO)APANYNAME-4&!V ,,. SUBMIT A COPY OF CONTACT PERSON: w-0� STATE LICENSE tI EkP DATE YOUR STATE APPLILICENSE WrrHITON APPI.1CaTrolV ADDRESS;�,� d�yC. ! CITY �� +� STAT, ZIPZ 9 PHONEFAx PERMIT TYPE INGLE FAMILY 0 TWO FAMILY- I 0 TOWN14OUSE I TYPE OF WORK: i 0 NEW REPLACEMENT Ia AU, TEI ArIONIREsMODEL DETAILED DESCRIPTION OF WORK FEES ARE BASED ON $IOM PER FIXTURE, EXCEPT WHERE NOTED. FIXTI;R£S: (INDICATE TOTAL NUMBER OF EACH BELOW) PROVIDE HEAT LOSS CALC'S PER MANUAL 3 2006 ASHRAE HANDBOOK Equipment Installed MFG:��r MODEL: SIZESTV 4ae .0010 MFG: X�1� MODEL: MEAn I -add MFG MODEL. SIZGOTU )(IVC $25.00 FIREPLACE (GAS) $15.00 _GAS RANGEJOVEN $10.00 N $10. AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) 535.00 I NEW GAS GRILL BOILER $35.00 FURNACE $35.00 NE UNIT HTR L $10.00 LINER $10.00 00 ,CHIMNEY I _GAS DRYER $10.00 I POOL HEATER 535.00 DUCT WORK $10.00 GAS PIPING $10.00 I ^VENTI1-AT0R$15.00 Number offixtures @ $10.00 x 510.00 = S Number of fixtures @ $15.00 x $15.00 = $ a Number of fixtures @ MOD x $25.00 = Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ 5.00 trIUM FEE $40.00 Total = $ 05 J 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 I work,,vres ew d approval of pITS. SIGNATURE OF APPLIC PRINTNAM APPROVAL INSPECTORS S[ ATURE i DATE PLEASE NOTE: SEPARATE PEOM ARE IZE UIRED FOR B[., NG, ELECTRICALAND ME --- WORY City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 63-502-4977 Ad 9£ZOZ 4 MOZ/9 V6 :9180 91S:968d 6 4££ 999 £9L :WOJ-1