Loading...
PRE 2010 DOCSFON 'I;L:SI►II;::I1P,I,, AI. ERAI IU , 01: ADDITION I;U I .it I NG CITY OF 14"IDLE'V, :•I.!\ 1-.!;0'1*A n S �;D: lleu.l`dYp.BUILDER: ti.3ay++P LO. BLOCK: ADDITIO\ •/3'�3�irt� COTti-ER L 0 T : INSIDE LOT: P1 SETBACK: SIDE'laD: Applicant attach to this form Tt•7o Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILD To -Be Used As: %lkaT a� 6lP:/`iT1''E,�° IS�,� /�ar»`7at+se- Front: e.2Depth: Height: RC1 Square Feet: Cubic Feet: go Front: a?, Depth: Height ; ��i Square Feet; 44&2s Cubic Feet: -- —4&.ZO ' Type of Construction: Woocl 5--a9 4e.- Estimated Cost: _$ � To Be Completed: �� Iq ZZ The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all t•:ork in strict -accordance with the City of - Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. ' DATE: /0/?7.SIGNATUI'.1; :v,' ��, ✓�.e ,+> �_ (See Revers Side For Additional Information.) " 1r U4 �'4'2.90 fe- e", IV • 16- P-.5- C, ✓ SO 3 9 1/, Aa 99 9 CT_ IV VP0 CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE W PLUMBING FIXTURE RATES: NO. > N TOTAL �o %� x $3.00 to d Water N m m x $2.00 N r. C .14i 0 $5.00 $ p, w x $5.00 Heater 100,000 BTU to 199,000 BTU It Ey � Water Softener H -4 fus0 $7.00 $ C IS 4) a $5.00 rtZ a S4 +ei H ami m n r� .� ° x' 41 a y 3 H .0 u -•+ o $ C)� 6 v $1.00 $ Gas Range to 199,000 BTU W $10.00 q REPAIRS $ ALTERATIONS m .M O A g ro ro .c b ro N ro each add. $100.00 or fraction 4J .°� $2.00 (d .+ 13 w y 1-4 w v w a � 0 as lec 1st 2nd ' 3rd 4th (R) = Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures %� x $3.00 $ X0.00 Future Fixture Opening x $2.00 $ New Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 $ Water Heater - to 99,000 BTU i x $5.00 $ 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 $ C)� 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 ($10.00) Job Address_L � ( `JJ � s'z � 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? OWNER N.VL�kA KIND OF BUILDING USED AS TO BE COMPLETED ABOUT ESTIMATED COST T OLD - NEW BUILDING PERMIT NO. PERMIT NO. _4pC Company Signed Sy ' Tel. No.l� ROUGH INSP. Date FINAL INSP. (® % 10 Date APPROVAL FOR PERMIT =� ' MINIMUM FEE FOR ANY PLUMBING PEP14IT IS $7.50 PLUS $.50 STATE SURCHARGE 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 Address% Furnace Shell & Duct Work $12.00 $ 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 $ 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 $ 9 19 Repairs & Alterations each add. $500.00 4.00 $ Fridley, Minn. STEAM OR HOT WATER SYSTEM: OWNER Boiler & Lines up to 100,000 BTU $12.00 $ KIND OF BUILDING 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 $ TO BE COMPLETED ABOUT OIL BURNER- to 3 gal. per hour $10.00 $ each add. 3 gala per hour 10.00 $ ESTIMATED COST'r'G GAS BURNER- from 100,000 BTU to 1990999 BTU $10.00 $ 9' :L' OLD-(NfM')BUILDING PERMIT FO. PERMIT NO. / 24 (over 199,999 BTU see Fee Schedule) $ GAS FITTING FEES: 1st 3 Fixtures x S 3.00 $ a DESCRIPTION OF FURNACE/BURNER Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00• $® HEATING or POWER PLANTS, Steam, Hot Water, Warm AitiY4 No. AIR CONDITIONING �) �y� C �'�_ a $ &.d: C Trade Name ;1�; •. Size No. FAN HEATING SYSTEMS See Fee Schedule VENTILATING SYSTEMS $ ,� t� HP ALTERATIONS & REPAIRS $ Capacity Sq. Ft. EDR BTU,-PZC State Surcharge $ .50 Total Connected Load a Kind of Fuel 0zs � TOTAL FEE $ , . `� �" BURNER - Trade Name Size No. ROUGH INSP. REINSPECTION FEE Capacity Sq. Ft. EDR BTU HP Date ($10.00) FINAL INSP. 4 CompanyGE0. SEDGWICK HTS..& AIR M �O, Dae Signed By APPROVAL FOR PERMIT ;17 - Tel. No. MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE -- _ Weatherstrips A.S. H. V. E. Construction No. Insulation Windows © Doors Guide Out Wall Int. Wall Ceiling Roof Floor Kind How Applied Reference Yes- No Yes -No 19 . FI. l Room Length Width Height FI.g �� -.. Room Length Zs Width �� Height Room HEAT LOSS CALCULATIONS H MG u Z ,; CPi, R,ID)� 7 P r:R\1 la( TIC, r-rn) MINNEAPOLIS, MINN. Weatherstrips A.S. H. V. E. Construction No. Insulation Windows © Doors Guide Out Wall Int. Wall Ceiling Roof Floor Kind How Applied Reference Yes- No Yes -No 19 . FI. l Room Length Width Height FI.g �� -.. Room Length Zs Width �� Height Room Windows and Doors-Crackage and Area indows and and Area No. Width Height No. of Lineal ft. Area _ of pane of pants lights of crack sq. ft. No. Width I Hurght No. of Ltneal ft. Area / 3 � 32- Bye tj .q , G g of panne of pane lights of crack sq. ft. Coef BtuCoeff Btu Infiltration v Infiltration , ' Glass 6 (D Glass J� ' Exp. wall 4r fi (� Exp, wall Net exp. wal I °- Net exp, wall Int. wall Int. wail Ceiling Ceiling Floor 1�% Floor +70 Total Btu. Required sq. ft. E.D.R. Total Btu. or sq, ins. W.A. Leader area Required sq. ft. E.D.R, or sq. ins. W.A. Leader area &' `�4- FI. Room Length ? Width/ Height F1� Room Length ��, Width Height Windows and Doors-Crackage and Area Fr Win6ows and Doors-Crackage and Area No. oWidth papne of pane bligho. ts of cracFt. k Area sq. ft.No. Width of pane He+ght No. of Lineal ft. of pane lights_ of crack Area sq. ft. Coef Btu Coef Btu Infiltration Infiltration Glass Glass Exp. waI l Exp. wall Net exp. wall --- ----- et exp. wal l T Nlnt, -I `- --- _--------- -- -- - Int. wal! --_- - wall Ceiling -�----"` _ Ceiling Floor Floor i7 _5 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 t Room Length ,� Width ,•���Height FI _ Room I Length %z Width % Height _ Windows and Doors-Crackage and Area VJind�ws anti Doors-Crackage and Area No. Width Height No. of L-ne it ft. Arra of pane_ of pane Tights of crack sy. ft.! ' i No. j He,aht No. of Lrneal fr, Area of pane ! of p•ln+ gh_is of crack sq. ft. I �p 111 ~ Coefi B to Coef Btu Infiltration I -- - Infiltratlon GlassGl —� � ass k_ ,�p� Exp. wall f C! �, f .----------- Exp. wall r -- ------ -P -- Net exp. wall ---Int. wall- ---� ---- I _—'f�----i - e Net exp. wall - -- --+--- � ---�. Int. wall - --- Ce i l . ng Floor IS -- ----- - ----�._ yd �� ie"Yo i 7 :Ivor Total Btu. _7 f9 Total Stu. L►." Required sq. ft. E.D.R. or sq. ins. W.A. Leader area°" 3 Required sq. ft. E.D.P,. or sq. ins. W.A. Leader area a— 1 HEAT LOSS CALCULATIONS R 7 0aP\�j0mG CO. MINNEAPOLIS, MlNN. Weatherstrips A. S. H.V.E. Guide Reference 19— 9FI. Construction No. Insulation ; Windows "Doors Out. WaII Int. Wall Ceiling Roof Floor Kind How Applied Yes -No Yes -No F I.9 Y , Room Length Width Height FI.�- Room Length k9 Width °9 Height Windows and Doors-Crackage and Area Windows and Doors-Crackage and Area 5 No. Width of pane He of pane No, of ! lights Lineal ft. of crack Area sq. ft. No. W or of pane of Height lig of pane llights Uncal of crackk Area sq, ft. -ti R} Coef B to Coef B to .Infiltration Infiltration Glass = Glass Exp. wall.-_ Exp, wal I Net exp. wall ' p Net exp. wall° - Int. wall Int. wall Ceiling A .al/ ? 1 Ceiling Floor 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 FI. I a Room Length /,S Width f0 Height FI. Room Length Oad/' Widt Height Window and Doors-Crackage and Area Windows and Doors--Crackage and Area No. Width of pane Height No. of of Pane ghts Lineal ft. of crack Area sq. ft. Widrh NO of pane Liar ht No. of of pAne lights Lineal ft. of crack Area sq, ft. Coefi B to Coef Btu Infiltration f.�If `[`� Infiltration 1?F7 Glass Glass BFd Exp. wall Exp. wall f all Net exp. Wall Int. wall B� Net exp. wall Z. Int. wall Ceiling �,� �'� t" e Ceiling Floor Floor Total Btu.- Total Btu.r 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 d FI.✓I �- Room i Length 4 Width �k�' Height/ FI. Room I LenGth-- Width Height Windows and Doors-Crackage and Area Coef . Btu Windows No. _ --_ and Wictr rr I of pane Doors-Crackage ht _,! dant_ — and Area N: of Linea ft. _!_i g�.tts _°f crack --_ --- Area sq. ft. I - ic-, Btu No. W drh of parte Height of pane No. of Lineal ft. lights of crack _ A -ea sq. ft. Infiltration j Glass Exp. wall Net ex wall I m�" P� �- � Infiltration j Glass - --�1 Exp, wall --- Net exp_ wal I + - $ ._ i Int, wall i -- - -------- Int. wall Ceding_Ceiirng--- Floor — Floor - — --- -- 11 Tota! Btu. � ,� d . ✓ � Tota. Btu. i Required sq. ft. E.D.R. or sq. +~s. W.A. Leader area Required sq. ff. E,D.?. or sq, 'ms. W.A. Leader area j(/ 7 f Al June 29, -.»....< a�.K: �.<.,,u,».e. .. , rnis:�: ru.SWh:,IL.;au`.i`�e�V^i.r.._..:s3�w+[.barm.�vs-.i...L:.�....... ',..:ozav, wu::rnwv::wlGrcWLids.Lm k..,5. dn'�u'�e �"'S._-,io,—a � N. <;4:.• •, ::: 1978 yE. :. y..:m -OP ��'• �b g�� 6431 UNIVERSITY AVENUE W.E., FRIDLEY, MINNESOTA 55432 TELEPHONE ( 812)571-3450 Darrel A. Farr Development 7286 -72nd Lane North Minneapolis, MN 55428 Re: Final Inspection at 5664 West Bavarian Pass N.E. Dear Sirs: A final inspection was made on June 28, 1978 of the above address and the following items were noted which must be completed before the structure can be f inaled out; 1. Provide nuts on anchor bolts. 2. Provide let -in or other approved bracing in garage wall. We will expect the above items to be completed by July 21, 1978 when a reinspection will be made to determine compliance. If you have any questions on these -items, please contact me at 571-3450. Sincerely, J�_ i RON HOLDEN Building Inspector RH/mh SUBJECT PER JTZ -NO. J City of Fridley® AT THE TOP OF THE TWINS BUILDING PERMIT r O. RECEIPT N/'� COMMUNITY DEVELOPMENT DIV. r L PROTECTIVE INSPECTION SEC C/ NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 4/5/96 JOB ADDRESS 5664 West Bavarian Pass NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 2 1 Innsbruck Villages SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Barb Pickering 5664 West Bavarian Pass NE 571-0934 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 siding/Aluminum Trim 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $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 STRUC N OR THE ERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE License SC $5.00 $125.46 SI RE OF CONTRACTOR OR AUTHORIZED AGENT IDATEIWHEN PROPERLY/ WHEN ZUr SLOG YNSP THIS IS YOUR PERMIT SATE SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI ......... L 1 %waa a %Aw 1'.4ua zamoS A1f..'TM � SOGISIVAPAMMAMMI 11 2-1 AM R-2 C 5664 W Bavarian West Bavarian Bass taga[Dwai0a= N& Barb Pickering TeL # 571-0934 Columbus Exteriors, lnc.WIJCENSE# 3509 2131 111th 3.n NW, C8®n ]RARiaa. MN 55433 Tel.# 858_2195 At#b U9 s Culffkao of Swvay of do on it to scale. OF UVENG ARM: IAN& Sq. Ft GARAGE ARM. IMWh Widdi Hew Sq. lit BECK ARTA: IMMh via BWGvmmd _ Sq. FL OTEMh Vinyl -siding Aluminum tries }' f tii i° ui,d Lot FL 1 .wai-,a.yy ti:'. .t ftmm Completion Date: (Cost co Back) _, d - DATE. APPUCANT: ✓ `r:ftIFt isFm i. tali 1'a"SwaseSide Fke S ; ct., MI of PaMft Vahmdon SAC OMP $90D per SAC Unk • i `,_ i r.: ♦0 $5.00 (Stdc Ucemed(Std::fisc.. iii,: Comactoml Ddvewsy ESCMWt 1' AIL W Above Brasion CAMU01 $ $450.00 Cowavedon Plan Reviewl Park ■_ :+. tn.i .nd Bqomwft Sewa 1 dY.[w.1'a:1. .y .+ii m =i:M' ham: i..' '4 ir«Yt,y, . s �i w i 60- C®LU'VIDU,c ERIC RS, INC. SONG 2131 -111th Lane N.W. Coon Rapids, MN 55433 Larry — 666-9195 SuBjECT PERMITN_O. City of Fridley - t�- r 4 148 AT THE TOP OF THE TWINS BUILDING PERMIT Ir RECEIPT NO. � • _____ COMMUNITY DEVELOPMENT DIV. � r PROTECTIVE INSPECTION SEC. f �� /"'1 CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE 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. Var1011 SHEET I 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Various 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Columbus Exteriors - 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 O ADDITION O ALTERATION ❑ REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK Reside 9 CHANGEOFUSEFROM TO STIPULATIONS /,V• an Pass; 5601,5603,5605,5607 West 5600,5602,5604,5606 West BaZest.-Beverlea-Pess; Bavarian Pass; 5610,5612,5614,5616 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; 5660,5662,56x,5666 West Bavarian Pass; 5661,565.3,5655,5657 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 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORIRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $114.40 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $228,800 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 TOTAL FEE o� License SC $5.00 $1,880.45 SIG 'OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPERLY IDATED THIS IS YOUR PERMIT BLDG IOSPDATE S,GNATURE OF OWNEP,F OWNER BUILDERI IDATEI SUBJECT City of Fridley 30747 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. L•IF 0'"I CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY �""' 4 '' ` !', 612-571-3 0 910415 3 / 17/00 JOB -ADDRESS;' ` - ' West Bavarian Pass NE 1 ' LEGAL LOT NO. BLOCK [TRACT OR ADDITION SEE ATTACHED DESCR. 1-4 2 nsbruck 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 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 t4'f O NEW O ADDITION O ALTERATION RO REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof Garage Building (20 S) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REOUIRED 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 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 STRUCTIO OR TH ., NCE OF CONSTRUCTION $63.15 rXJ PLAN TO L FEE Lice $5.00 0.77 S-GNATURE OF CONTRACTOR OR AUTHORIZED AGENT iDATE9 6CHECK R VALI THIS ISYUR PERMIT S-GNATURE OF OWNER--F OWNER BUILDER- IOATEI P AtE ruv-its-ems 11 3b l,1 1 Y UI- F -K 1 LILLY P. 02/03 CITY OF FRIDLEY M31 University Ave NE R-3/COMMERCIAL/INDUSTRTAL/PUBUC/INST1TMONAL Fridley, MN 55432 BUILDING PERMIT APPLICATION (763) 572-3604 FAX (763) 571-1287 _ A CONSTRUCTION Legal Zoning Tel# Tel#(o i�B A&I -<15YM Architect Reg.# Engineer Reg.# BUILDING CONSTRUCTION OFC. ARTA: Length Width Height Sq. Ft WHSE AREA: Length Width Height Sq. Ft. OTHER AREA: Length Width Height Sq. Ft. APPLICANT ..�t`f ,�� Tel #djQ2'e4-" -w Date " 3/ OS VALUATION Sq. Ft. x $ Cost/Sq. Ft. - Valuation Sq. Ft. x $ Cost/Sq. Ft. - Valuation $ 1= $ N, J Sq. Ft. x $ Cost/Sq. Ft. = 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 Permit Fee $ .. See Fee Schedule on Reverse Side Plan Check $ 65% of Building Permit Fee Fire Surcharge $_ .001 x Permit Valuation (1/10th %) State Surcharge $ a 5O $.50/$1,000 Valuation (See Seed. for > $1 Million) SAC Charge $ $1450 per SAC Unit (Plans to MWCC for determination) Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined By Engineering cc Spec. Assessments $ Agreement Necessary [] Not Necessary Curb Cut Escrow $ feet x /foot TOTAL $ ATTACH STIPULATIONS ServiceMaster / Total Service Company 6314 Cambridge Street St Louis Park MN 55416 952-646-3870 Phone 952-646-3832 Fax MN Lic # 3903 Insured: Barb Pickering Home: (763) 571-6846 Property: -6660,-"ft; 5664,,APb6CrBavarian 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: (952) 646-3870 Business: 6314 Cambridge St St Louis Park, MN 55416 Claim Number Policy Number Type of Loss Deductible 4497MA 0 Fire Dates: Date of Loss: 01/10/05 Date Received: 01/10/05 Date Inspected: 01/13/05 Date Entered: 01/19/05 Price List: MNMN2B5A Restoration/Service/Remodel with Service Charges Factored In Estimate: 005-01-19- 613-P ;' S c o ) Af --•" --- � Qui , �' REVS WED I CEDE OE 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: Barb Pickering Home: (763) 571-6846 Property: *660,-"02; 5664,-&0666P 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: (952) 646-3870 Business: 6314 Cambridge St St Louis Park, MN 55416 Claim Number Policy Number Type of Loss Deductible 4497MA 0 Fire Dates: Date of Loss: 01/10/05 Date Received: 01/10/05 Date Inspected: 01/13/05 Date Entered: 01/19/05 Price List: MNMN2B5A Restoration/Service/Remodel with Service Charges Factored In Estimate: 005-01-19- 613-P lam` N�-. 10o" so ,r SDE � 9 d Mo TY OF FRIDLEY BUILDING INSPECTION Effective 4/1/2004 9 3431 University Ave NE --�� 3� APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION 9 :Adley, MN 55432 L 763-572,3604 FAX 763-5711287 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS D n RATE SCHEDULE Feet Total ��� �°��� `dk—'-r i V-\ Residential Owner Furnace Shell and Duct Work, Burner & 8 er i also Replacement Furnace $35.00 $ Building Used As QS' �- Gas Piping (New Furnace, Fireplace, Insert) $10.00 $ ESTIMATED COST PERMIT NO Gas Range $10.00 $ DESCRIPTION OF FURNACE AND BURNER Gas Dryer $10.00 $ # of Heating Uvts Circle One (Steam) (Hot Water (Warm Air) Trade Name rr ,t er 'S K C V A o-io- I-' Size No. *Air Conditioning -All Sizes _ $25.00 �r-c t .e,r T)( A coq ;z' -on $ c � BTU �� �� U HP EDR Fuel vscA_� Coco. s Total Connected Load All Other Repairs or Alterations (List on Back) 1% of Value of Appliance or Work $ Burner Trade Name Size No. A Minimum Fee $15.00 for Residential or 5% of cost of BTU HP EDR Y improvement whichever is greater on work less than $300.00 The undersigned hereby makes application for a permit for the work herein :3 Commercial/Industria(/lnstitutional specified agreeing to do all work in strict aocordance with the City Codes t 1.25% of Value of Appliance or Work (List on Back) $ and rulings of the Building Division, and hereby declares that all the facts 3 Minimum Fee $35.00 for Commercial/industriaVinstitutional and representations stated in this application are true and correct. CENTERPOINT ENERGY Y State Surcharge $ .50 HEATING CO 13562 CENTRAL AVE NE BLAINE, MN 55304 TOTAL FEE 1�r $k0•SO Signed lel# 763 -757-6202 v REINSPECTION FEE $50.00/HOUR .FAX # 763-757-6701 Date IT Im8 *Air Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to City ry FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE IL CE: 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 verges that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes (x) No( ) The venting system is plastic/PVC and meets all current codes and manufacturer Yes No ( } specifications including sizing, length, number of elbows and termination. (y) 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-GAIVIA 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 oystem, the undersigned hereby verifiers 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 ( 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. Yes No ( ) Appliance Type and Size/common Vent and Vent Connector Information Appliance #1 Type A®�- -° BTU Input MoOD Fan Assisted or Nat Appliance #2 Type i i BTU Input q&.a,b Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input ' log aoD Common Vent Type Vent Height -;f L/ / Diameter _ r, inches Appliance #1 Vent Connector Height ft Length > ft Diameter q "-in Type Appliance #2 Vent Connector Height ft Length ,eft Diameter'/ '`-in Type Appliance 93 Vent Connector Height ft Length ft Diameter in Type CENTERPOINT ENERGY HEATING CO: 13562 CENTRAL AVE NE BLAINE, MN 55304 Signed By: Date r�Gl/�R'rl TRJ.9J.Sd Ol J,3 -IQ 1 �� �0 J,l 10 W0�1-I S� : T T b00Z-LZ-cldl� P i Date: 1/13/2006 Revision Date: 1/13/2006 Site Information Address 1: 5664 West Barvarian Pass N.E. Address 2: City: Fridley County: Application Information Business Name: CenterPoint Energy Contact Person: Steve Trutwin Office Ph: 763-757-6202 Fax: 763-757-6701 Address 1: 13562 Central Ave. N.E. City: Ham Lake State: Minnesota Zip Code: 55304 Existing Construction: Pre 1994. Project #: Lot: Block: Subdivision: MN Contractor License #:CA01796 Combustion Appliance Water Heater: Natural Draft Input BTUs: 32,000 Common Vent Combustion Zone 2 Combustion Zone 2 Furnace/Boiler: Fan Assisted Input BTUs: 66,000 Common Vent Make -Up Air No Make -Up Air Required by Code Combustion Air Combustion Zone One: Minimum Combustion Air Requirements Met. Minimum Combustion Air Requirements Met. Applicant Name (print): Signature/Date: zz dice' Code Official (print): Signature/Date: 0 2004 CenterPoint Energy Minnegasco. 2004 Mechanical Code Guidelines. Page 1