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PRE 2010 DOCSCity of Fridley SUBJECT IT NO 1404'7 AT THE TOP OF THE TWINS BUILDING PERM r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. E r PROTECTIVE INSPECTION SEC. 1 . � �---: CITY HALL FRIDLEY 55432 �'3 NUMBER REV. DATE PAGE OF APPROVED BY ---- 612-560-3450 910-1715 5/4/77 JOB ADDRESS 1406 West Danube Road N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 20 1 Innsbruck North SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Harstad & Todd Construction 2200 Silver Lake Road 636-7711 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 CA NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOV 8 DESCRIBE WORK WWI Construct a 70' x 2613" Dwelling and a 22' x 2514" Garage@ d ipg Gall locai u, 'ELEPHONE • ELECTRIC - 9 CHANGE OF USE FROM EATING, PLUMBING AND SINS. KtU ,'Provide STIPULATIONS Provide a hard surface driveway. sod in the front and side,- ide,-yards. yards.'Provide a verifying survey before capping. Soil boring tests & compaction tests may be required. Minimum setback in front yard to be 41.5 feet. Provide City with copy of truss design. Provide section through within 7 days or stop work. Provide proper energy calculations within 7 days or stop work. SEWER LOCATION: (Approx. 17' Deep in street -with existing 7 foot riser -10' dee �\ 31' North of Manhole (Inv. 958.02) WYE ELEV: 957.80 + 7.00(riser) = 964.80 TOP OF FOOTING: 968.30 Minimum WATER LOCATION: 2' South of Sewer Service DRIVEWAY DEPRESSION: N/A Existing Fridley Surmountable Curbing. THE CITY OF FRIDLEY DOES NOT GUARANTEE T1iE ACCURACY OF UTILITY LOCATIONS AND ELEVATION'S: *IS DATA IS FOR INFORMATION PURPOSES ONLY AND SEPARATE rdFtR ,OUIRED FOR ELECTRICAL, PLUMBIN A F CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Wood Frame 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 R-1 1722 + 550 34,664 Total ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 7 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. $24.20 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $48,390 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- $375.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $138.66 N CHECK FEE TOTAL FEE 2—PLA� P.� ,.r�r'J 5' s� 7 $ 6 $572.52 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) E� PR9PERLY VALIDATED THIS IS YOUR PERMIT y. b SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI BLDG INSP DATE MAY -,4 CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OW14ER: � qv- BUILDER: Address: ddress: �2l! Tel. No. No.Street: .? pa,�/J=,•2��,�� LOT: (2 BLOCK: ADDITION: CORNER LOT: INSIDE LOT: SETBACK: L SIDEYARDS: '16 qep� 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: _ lx}1(,5 Front: 7Q Depth: Height: Square Feet: o2 Cubic Feet: 304 2(o oy O Front: Depth: Height: Square Feet: + Cubic Feet: Type of Construction: -Z Estimated Cost: $ To Be Completed: Alt. A Alt. B, Proposed Driveway Width If New Opening Is Desired ,50 $ &-/ $ (SEE REVERSE SIDE OF SHEET) The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work 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. See reverse side ffor additional information. DATE: DATE: _2 7 SIGNATURE: (✓,{ ��-��Cdr�� 97 f ® 6 Stipulations: /,� Sof �G✓i� - .�' � ��.er�,' � _ �. c� 7e G,� Teg-f a- 4001 �i) //V/ 6%% l.� �� CITY OF FRIDLEY 4 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE �a ��%% / /J l qaC ��p/,/6 0,41 U131 D GRAVITY WARM AIR: RATE TOTAL Job Address Furnace Shell & Duct Work $12.00 $ Replacement of Furnace 7.00 7.00 $ $ Department of Buildings Repairs & Alterations -up to $500.00 4.00 $ City of Fridley Repairs & Alterations each add. $500.00 Tel. #571-3450 MECHANICAL WARM AIR: The undersigned hereby makes application for a permit for the work herein $12.00 $!�'� ® specified agreeing to do all work in strict accordance with the City Codes Furnace Shell & Duct Work to 100,000 BTU 4.00 $ and rulings of the Department of Buildings, and hereby declares that all the each add. 50,000 BTU Replacement of Furnace 7.00 $ facts and representations stated in this application are true and correct. Repairs & Alterations -up to $500.00 7.00 $ 4116f/ - 19 Repairs & Alterations each add. $500.00 4.00 $ , Fridley, Minn. _ OWNER STEAM OR HOT WATER SYSTEM: '4�4&s Boiler & Lines up to 100,000 BTU $12.00 $ KIND OF BUILDING ERAM each addn. 50,000 BTU 4.00 $ , 1e 50 G® Boiler only up to 100,000 BTU 7.00 $ USED AS eW1 each addn. 50,000 BTU 6.00 $ TO BE COMPLETED ABOUT OIL BURNER- to 3 gal. per hour $10.00 $ �O " each add. 3 gal. per hour 10.00 $ ESTIMATED COST®�v GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 > $ /®/ OLD - NEW BUILDING PERMIT NO. PERMIT NO. (over 199,999 BTU see Fee Schedule) $ GAS FITTING FEES: 1st 3 Fixtures x $ 3.00 $3,-'00 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, Marm Air No. AIR CONDITIONING $ Trade Name JA PIT O e— Size No. '73 FAN HEATING SYSTEMS -See Fee schedule $ VENTILATING SYSTEMS C $ Capacity0, ® Sq. Ft. EDR BTU HP / C ALTERATIONS $ REPAIRS _J State Surcharge $ $ .50 Total Connected Load 76 - Kind of Fuel✓ TOTAL FEE $ BURNER - Trade Name Size No. ROUGH INSP. REINSPECTION FEE Capacity Sq. Ft. EDR BTU HP Date ($10.00) FINAL INSP. 42- 9--L-?? Company eml tLoe Date Signed By APPROVAL FOR PERMIT /� Tel. No. MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS WEATHERSTRIPS A.S.KVA Guide Reference 19 TYPE OF CONSTRUCTION INSULATION Out. Wap In. Wan Calltn Roof Floor Kind I Calling I Wall Windows I Doers Yes — No Yes — No Fl. I Room I Length f Width y p1�, Height Fl. I Room I Length Width Height WINDOWS and DOORS — CRACKAGE and AREA Wt. Ara of aeck sq. ft. WINDOWS and DOORS — CRACKAGE and AREA idth Haight No. of Lineal ft. Area No. of Pana of pang lighh of crack sq. ft. No. Width of pane Height No. of a@ lights Coef. Bfu. Coef. Btu. Infiltration p . Infiltration awri—n°w. Esp. Wall 131111s Wall Glace Glass Net Exp. Wall Net Esp. Wall Int. Wall Int. Wall iii or Floor (j Calling or Floor Total :llfu. Total Bfw Reyaired 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 R I rvjj Room Length Z)-- Width _ Height FI. I Room I Length Width Height WINDOWS and D ORS — CRACKAGE and AREA Height No. of Lineal Ara of ns 11 of as . ff. WINDOWS and DOORS - CRACKAGE and AREA Width eiq I No. of Lineal ft. Ara No. of pane of pane t lights of crack sq. ft. N . Width of pan@ Coef. Bhu Coef. Btu. ows Windows Infiltration Doon Infiltration Do Exp. Wall Exa. Will Glass % Glass Net Exp. Wall AD I Nef Esp. Well Int. 'Well let. Well Giling or Floor 3MI 10 35//0 Calling or Floor Total Btu. A9:�a Total Btu. Required sq. ft. E. D. R, or sq. ins. W. A. Leader area Required sq. ft. E. D. R. or sq. fns. W. A. Leader area FI. Room I Length Width Hight FL I Room I Length Width Height WINDOWS and DOORS — CRACKAGE and AREA Width Height No. of Lineal ft. Area of pans of pans ll hh of crack sq. ft. WINDOWS and DOORS — CRACKAGE and AREA I No. Width Height No. of Linea ft. Area No. I of pan* of pang lighh of crack sq. H. Coef. Bice Coef. Btu. ndows Infiltration DDoo,, Infiltration Windows Esp. Wall Exp, Well Gla" Glass Net Exp, Wall Net Eicp, Wall Int. Wall Int. Wall colliall or Floor Coiling or Floor Total Btu. Total Btu. Required sq. 0. E. D. R. or sq. ins. W. A. Leader area wired . ff. E. D. R. ors . ins. W. A. Leader area RT -500.6.38 GRAND TOTAL_.. (•._ HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS VILLAGE OF MOUNDS VIEW WEATHERSTRIPS �•H•V.L Guide Reference 19 TYPE OF CONSTRUCTION INSULATION Windows I Doers Yas — No Out. WAD Imo. Waq Coiling Roof Floor Kind Coiling I Wall Yes — No I Fl. Room .Length / Width ' Height I Rv� idth ij Height WINDOWS and DOORS — CRACKAGE and AREA Haight No. o na Area Of ant. lights of pack sq. ft. WINDOWS and DOORS — CRACKAGE and AREA No. of Lineal ft. Area lights of crack ttt. ft. No. Width of pan* Width Hight No. of Pana of pent. Gef. Btu. Coef. Btu. Infiltration Winn Windows L9/ ndows Infiltration Windows rs 7FJ- . Wall &P. Waq Glace 0 13e) e) Glaze V,6 610 Net Ex . Wall ®0 / rp Net Es . Ws11 6) A-56 int. Wall Int. Wall Coign r Floor A Ceiling or An-, Total Btu. Total Btu. Regrired sq. ft. E. D. R. or sq. ins. W. A. Leader area p. I til ✓)6 Room Length S'/ 1 Width /D: Height Required sq. ft. E. D. R. or sq. ins. W. A. Leader area FL v(pu 6 Room I Lengfh'3/ Width 1 :T Height WINDOWS and DOORS — CRACKAGE and ARE Width Ht.lq No. of Lift a of pane of pane li his of crack sq. ft. . WINDOWS and DOORS — CRACKAGE and AREA f No. Width Haigh} No. of pen* of pan* No. of Lineal k. Area lights of crack sq. ff. cod. 146 Cosf. Infiltration poan0� ows Infiltration Doors ZQ Esp. Wall Exp, Will Glass / .Glace � �® Net Exp. Wall fb Not Exp. Wall i4 �} Int. 'Wall e Int. Wall % � ,coal Coiling or_Fbor- ` Coiling or .Floor 329 1,16� Total Btu. 1 760Total Btu. Required sq. ft. E. D. R. or sq. ins. W. A. Leader area I Required sq. ft. E. D. R. or sq. Ins. W. A. Leader area FI. I m I Length E/3 Width Height 2FL i p -a Room I Length Width � Height WINDOWS and DOORS — CRACKAGE and ARE Width Height No. of L nalArea No. of ans of pant. lights of crack . ft. WINDOWS and DOORS — CRACKAGE and AREA Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu. Coof. Bty., InfiltrationpeOnn Infiltration Winnows Exp. Wall Well Glace 60 ;�;--60 Glace 60 b Net Exp. Wall ® /0 t) Not Ex Wall Int. Wall Inf. Wall 7®0::.o'p Coiling or /60 0 100b Giga or -Flier F06 Total Btu. Total Btu. '33 Required sq. ft. E. D. R. or sq. ins. W.A. Leader area 11 Required sq. ft. E. D. R. ors . ins. W. A. Leader area RT•500.6•58 GRAND TOTA HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS VILLAGE OF MOUNDS VIEW WEATHERSTRIPS 11 A.S.M.E. Guide 11 Reference 11 19 TYPE OF CONSTRUCTION INSULATION WindowsI Doors --No Out. Wan Int. Wan CalnOg Roof Floor Kind Coiling I Wall Ye: — No Yes I FL I E�D Room I .Length ,l% Width Height FL Room I Length o Width, 6 1 Height WINDOWS and DOORS — CRACKAGE and AREA WINDOWS and DOORS — CRACKAGE and AREA Width Haight No. of Lineal ft. Ar" No. of pens of Pam lights of crack sq. ft. No. Width Haight No. o of pan$ of Pon. lights n" of crack Ar" sq. ff. 2 Coef. Bfu. Coof. Btu. _ Infiltration Doopo" Infiltration C nnows Ex . Wall W Exp. Wan ® P Glen 6 Glass :!%o Net Esp. Wall /0 Net Esp. Wall �' 6 1916 Int. Wall Int. Wall Eva o �� D ' ,'m'2—® Csilin or Floor Total Btu. Total Bfu. Rogaired sq. ff. E. D. R. or sq. ins. W.A. Leader area Required sq. ff. ED. R. or sq. ins. W.A. Leader area FL A9 Room Length > Width Height FL I T �� Roem Length I Width 17, Height 7�F' WINDOWS and DOORS — CRACKAGE and AREA I Haight No. of Lin" of Pana 11 hts of crack . ft.. WINDOWS and DOORS — CRACKAGE and AREA No. Width of pens WidthHaight No. of pans of pans No. of Lln$al ft. of crack Ara& sq. ft. L:;L _ Coef. Btu. Coof. Bfu. Infiltration Windows Doom Infiltration Windows Doon Exp. Wall Exe,Will Glen -40 O Glass 0 04 Net Esp. Well 41,r Net Esp. Wall ® l9 Int. Well Int. Wall 9 �p Coilin or Floor :9wor Floor Total Btu. Total Bfu. 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 Fl. Room I Length f Width �'/ Height 47- Room I Longfh / Width j6Height WINDOWS and DOORS— CRACKAGE and AREA I Width Haight No. of L n"I" of apnea of pans lights of crack ff. Q �s WINDOWS and DOORS — CRACKAGE and AREA Width Haight No. of Lin"I ft. Area No. I of pans of pans lights of crack sq. ft. Ne. Coof. of, Coof. Infiltration Do., s Infiltration Do,, s Esp. Wall Eq, Wall f' Glace /l® 50 Glace 0 Net Esp. Wall % tj Not Esp. Wall /6 164-16 Int. Wall Int. Wall l �D/� 6 -7/ ' in r Floor %� 11109 r Floor o z tozin Total Btu. wo� otal Btu. 3 d Required sq. if. E. D. R. orsq. Ins. W. A. Leader area Required sq. ft. E. D. R. ors . ins. W.A. Leader area ' RT -500-6-58 GRAND TOTA CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT Job Address / 1/0& W"71 "71 >M)L7 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. Nin. 7-4 , 19 77 OWNER KIND OF BUILDING LAG 0i USED AS m TO BE COMPLETED ABOUT PARTIAL RATE SCHEDULE ESTIMATED COST PLUMBING FIXTURE RATES: NO. � TOTAL 43 Number Fixtures Future Fixture Opening-�_ Water $_- _ Company U New Fixture, Old Opening x $2.00 $ .caro m A m Signed By w w x $5.00 $ Heater 14 N N a $ .ci dl c x $10.00 3 Water Softener x $7.00 $ x $5.00 $ m Electric Water Heater x $5.00 � Date � (d FINAL INSP. �, e '$3.00 o � Date lst 3 fixtures Additional Fixtures (n u D to � 3 t� w ai REPAIRS $ ALTERATIONS � � c� as lec each add. $100.00 or fraction $2.00 $ MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURCHj'=, State Surcharge $ .50 TOTAL FEE $ 34vc Q REINSPECTION FEE Bass k ( $10.00) 1st 2nd ' 3rd 4th (R) = Future Connection Opening Connected with Sewer (*j = New Fixture, Old Opening Water Job Address / 1/0& W"71 "71 >M)L7 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. Nin. 7-4 , 19 77 OWNER KIND OF BUILDING LAG 0i USED AS TO BE COMPLETED ABOUT PARTIAL RATE SCHEDULE ESTIMATED COST PLUMBING FIXTURE RATES: NO. RATE TOTAL OLD - NEW BUILDING PERMIT NO. PERMIT NO. Number Fixtures Future Fixture Opening-�_ x $3.00 x $2.00 $_- _ Company U New Fixture, Old Opening x $2.00 $ • Signed By Catch Basin x $5.00 $ Water Heater - to 99,000 BTU x $5.00 $ Tel. NO. J ?� 100,000 BTU to 199,000 BTU x $10.00 $ Water Softener x $7.00 $ New Ground Run Old Building x $5.00 $ ROUGH INSP. Electric Water Heater x $5.00 $ Date GAS FITTING FEES: FINAL INSP. �, e '$3.00 340—V � Date lst 3 fixtures Additional Fixtures x x $1.00 $ $ Gas Range to 199,000 BTU x $10.00 $ APPROVAL FOR PERMIT REPAIRS $ ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURCHj'=, State Surcharge $ .50 TOTAL FEE $ 34vc Q REINSPECTION FEE ( $10.00) EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER: DATE 5—® /Z 7 SITE ADDRESS: 9 -�'y � PHONE: 3 o 2Z, CONTRACTOR: Determine working square footage of each 1. Total exposed wall area...... _ sq. ft. x .17 = fir- //" Y 2. Toal roof/ceiling area ...... sq. ft.' x .05 Total exposed wall area above floor a. b. C. Total Total Total wall window area....................•• door area .........:.......... ...............�_� sliding glass door area ......................... r-2 `d. Total fireplace wall area ............................. �® P .e. Total wall framing area (average 10%) .................. 3 ILI/0 floor .......................... "2z f. Total rim joist area .................................. "u$$ �® _ g. e wall area above floor.. ...................... "U" h. wall area above floor .......................... i. wall area above floor .......................... j. wall area above floor .......................... "2z Total exposed foundation area = k. Total foundation window area ........................... -�- l.,Total net foundation area above grade ................. Determine "U" value of each wall segment (e.g. window, door, each separate wall section) a. X @full (% (? C. X oluft 19, PQ d. X "u$$ �® _ e _�� X "U" • � tiM q. X "U" — h. X "u" _ i. X "un = X ..U.. k X Stull l . X "U" 3. Total _ If item #3 is the same as, or less than item #1, you have met the intent of SBC 6006 (c) 2. Total exposed roof/ceiling area = X97 M. Total skylight area .......................... 0. n. Total roof/ceiling framing area (average 10%)... o. Total net insulated roof/ceiling area........... �' a Determine "U" value for each roof/ceiling segment M. X "U" _ n. o 4 ........................... Total If total of #4 is the same as, or less than #2, you have met the intent of SBC 6006 (c) 1. Alternate Building Envelope Design To utilize the total envelope system method, the values established by the sum of items #3 and #4 shall not be greater than the sum of items #1 and #2. l.. .[�� . „_ + 2. 9 Py 3. -12' + 4. rc - September 9, 1977 843.1 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 TELEPHONE ( 612)571-3450 Harstad-Todd Construction Co. 2200 Silver Lake Road New Brighton, Mn. 55112 Re: Final Inspection at 1406 West Danube Road N.E. Dear Sirs: A final inspection was made on September 8, 1977 of 1406 West Danube Road N.E. and the following items were noted which must be completed before the structure can be finaled out; 1. Provide house numbers on structure. 2. Install a hard surface driveway. 3. Provide sod in the front and side yards. 4. Submit a verifying survey to this office. We will expect all of the above items to be completed by October 15, 1977, when a reinspection will be conducted to determine compliance. If you have any questions on these items; please feel free to contact me at 571-3450. Sincerely, IQ .0, DARREL G. CLARK Community Development Adm. DGC/mh SUBJECT PERMIT NO. City of Fridley s� AT THE TOP OF THE TWINS BUILDING PERMIT Ir � REOPT NO. i �• COMMUNITY DEVELOPMENT DIV.�Q'� ______ a. PROTECTIVE INSPECTION SEC J i CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APP VED BY 612-571-3450 910-F15 JOB ADDRESS 1406 WEST DANUBE RD NE NO. BLOCK TRACT OR ADDITION SEE ATTACHED 1 LEGALLOT 20 1 INNSBRUCK NORTH ADDITION SHEET DESCR. 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE ALEX GONSALVES 1406 W DANUBE RD NE FRIDLEY MN 55432 574-0435 3 CONTRACTOR MAIL ADDRESS . ZIP PHONE LICENSE NO L. M. PETERSON 1334 SOUTH 4TH ST STILLWATER MN 55082 430-9993 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 JOX ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE 8 DESCRIBE WORK REMOVE OLD DECK & PUT NEW DECK WITH SCREEN ENLCOS URE (12'x14') 9 CHANGE OF USE FROM TO STIPULATIONS SEE NOTATIONS ON PLANS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT CU. FT. THIS PERMIT BECOMES NULL AND VOID IF 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 NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED, I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED 3,268.72 1.63 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW F15EGULATING CON- 87.25 FIRE SC 3.27 STRUCTION ORT E;WFO�RAOF CONSTRUC N.LAN CHECK FEE TOTALFEE 9 LICENSE SC 5.00 97.15 SIGNATI' EOFCONTRACTORORAUTHORIZEDA NT I IDA I WHEN PROPE I Y VALIDATED THIS IS YOUR PERMIT r Z(1� 9 d B DG )NSP qA TE SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI ,.i. ...'i`i`i: ♦.�.-. �.iv �.i?: )i?(.:..: •:.( t`:)t?i ('.( iv(•i`i.(vitt)i?t?i)(ti`i)ivi.i!i!i.Kvi)i.()ivi!iv(.?C!(tiv(!i. ♦. v. v)(. ♦. 5!v. ♦?(ti)i?'? v...\.\.•..v.i.♦?-!'?f )i'i?(?(: (?(!(!(: i`5!53t 5'\!t`5It253t•v ♦h \ 1 \ 1 \ ♦ t ) !..\.) ) . v)v! >i .. •� \\.\\. v. \. ♦, \\ 3, v.. •.. 33\i v...v. .. v ti\v v.•v. .. v. \. 5. v. ♦. v. u... i... ... NEW . „ [ ] Effective 8/1/95 ADDN Pd CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: ZZ -0 6' JSP ,e5 11�S' T /P,,V Al U.3.1f7 XP, _ Legal Description: Owner Name & Address:��,�%®iY.S � L/�S Tel. # J— 7 r b Contractor: Z. 0- /�TE`'&.S(_) 1J C'� _ MN LICENSE # Address: /� -70 -5'0= 9-71• -YT 7' -/CC v,,47-AEn mit/. Tel. #oo- 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 B "'Width .0'-o"HgtlGround Sq. Ft. OTHER: ,eEi✓otwe OF 6G6 />Ee_,e d,- 4--e;e �Vi,—,y "c/�E '•`/ Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: !"C� Estimated Cost: $ 0 6 y D Approx. Completion Date: X F 17 r;vq,gZ- (Cost; on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ A" DATE: APPLICANT: Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $�-7® / )/ .CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,00 Valuation $850 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 [ ] SUBJEtrMIT NO. City of Fridley 29899 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 1 � NUMBER REv DATE F;GE OF APPROVED BY = S CITY HALL FRIDLEY 55432 "'j 612-571-3450 910415 7/19/99 JOB ADDRESS 1406 West Danube Road NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 20 1 I sbruck North SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Sue Gonsalves - 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Jayson Lindsay Roofing 9520 Jackson St XR 13.1aine 55434 799-3857 203 72737 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO e USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION Xc REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and arae 28 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 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 2447 `''1.22 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 $83.25 PLAN CHECK FEE TOTA EJ: Licens 5. .92 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDAtt, EN RO G INSP V...ALIDAT HIS I R P RMIT GATE S-GNATUAE OF OWNER,IF OWNER SUILDERI IDATEI ,. JUU-12-1998 NEW [ ] ADDN [ ] ALTER [ ] 12:16 FROM CITY OF FRIDLEY TO CITY OF FRMLEY SINGLE FAMILY AND DUPLEXES R -ll AND R-2 BUILDING PERMIT APPLICATION 7B60893 P.01i01 Effective 1/1/gs a V1 / ConsttuctionAddress: /° L-/ CD (� ,� �,� 2 Legal Description: Owner Name & Address: Tel. # 6 %Y Contractor: CLAC, MN LICENSE 11j „Z -] Address: - Tel. #`� V2 /f'S % Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale DESCRIPTION OF IMPROVEtHei LIVING AREA: Length Width GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: - - APPLICANT: "2161 Tel. # -C1[TY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ '�� .001 of Permit Valuation (1/10th%) State Surcharge $ /, �^ $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ C) 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 $ — 1L. � STIPULATIONS: TOTAL P.01 FF� rfY OF FRIDLEY INSPECTION 6431 University Ave NE Fridley, MN 55432 (763) 572-3604 V5/(l FAX (763) 571-1287 RATE SCHEDULE DIViSION APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work Rate $ 30.00 $ 10.00 $ 10.00 $ 10.00 $ 25.00 State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Effective January 1, 2003 JOB ADDRESS N68 -b). 1111/6e 1(1145 OWNER_, IP9 &01 Se.- ) ✓e TOTAL y/ BUILDING USED AS ESTIMATED COST 4(00,Lt) PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units T Circle One (Steam) ( of a e) (Warm Air) $ Trade Name_Size No. BTU 100, 0M HP EDR $ Fuel 4,24-h r<l r5e, s Total Connected Load Burner Trade Name Size No. $ BTU HP EDR $ The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes ar $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE CenterPoint Energy Minnegasco HEATING C013562 Central Ave NE, Anoka., MN 55304 Signed em e -.N- %S �� 63-757=6202 FAX # 763-757-6701 Approved By_ Rough -In Date Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED ��nMMnN V]EN .= Vr=NT Cf)NNFr'TQR A,Nn GQMRI ISTIQN ARNERECAIM When an exietina f trance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, Yes (x) No ( ) and is securely supported and firestopped where required. The venting system is plastic/PVC and meets all current codes and manufacturer Yes �i No ( ) specifications including sizing, length, number elbows and termination. The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and m nFurnace Venting ions. This fan does include AGA-GAMA Category I CentralYes No ( ) assisted and natural draft appliances. The is sized and installed to meet the current codes Yes No ( ) and manufacturers specifications. When required to ^eau g new comeUSEDD air_ it will be sized and installed Yes O No( ) to meet the current codes and manufacturer's specifications. When jpsta111II" " "anfine system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Yes) No( ) Venting Tables for fan assisted and natural draft appliances. Is the common vent and vent connectors sizedand installed correctly after an appliance has been removed from the common vent and vented Yes (x) No ( ) separately as per current codes. Appliance #1 Type s A BTU Input 1 j2jn- Fan Assisted or Nat a1 BTU Input Appliance #2 Type k.�. �d� � � Fan Assisted or Nat _ � �� Appliance #3 Type BTU Input Total Appliances Total Btu Input Common Vent Type 0 Vent Height 1 H Diameter inches Appliance #1 Vent Connector Height _t ft Length , '_ft Diameter °2 in Typeice_ Appliance #2 Vent Connector Height _,3-f—ft Length2� ` fft Diameter min Type 0 Appliance #3 Vent Connector Height ft Length ft Diameter in Type HEATING CO: CenterPoint Enercv 13562 Central Ave NE, Anoka, MN 55304 Date: Signed By: �/� �� Building MECHANICAL PermitNo.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY DaMAUG 6 - DATE YOUR E-MAIL ADDRESS L SITE ADDRESS I ®cv es e►x-,Q low 9—® 0..j THIS APPLICANT IS: ❑ OWNER VCONTRACTOR PROPERTY NAME: ® S v 5 OWNER/ ADDRESS:_ � `4 ITY v STATEMO ZIP 5S TENANT PHONE: �%C®3- S��I • 014`3S- CONTRACTOR COMPANY NAME: CENTERPOINT ENERGY CONTACT PERSON: JOANN Z INREN SUBMIT A COPY OF YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH ADDRESS: 9320 EVERGREEN BLVD STE BITY "COOW-RAP.IDS sTATEMN zIP55433 APPLICATION PHONE 763 - 757 -- 6202 FAX 763-757-6701 PERMIT TYPE USS GLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK•13NEW PLACEMENT 13ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK -_ s � o-1% Imp �A cn 1,rQonAi %,z ya PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor X.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) ;� Equipment Installed MFG: `',%A LL MODEL: L�:k P--�- 6-5(.o sIZE/BTU '34(�,Y1 d 4 S, -- r MFG: MODEL: SIZEBTU MFG: MODEL: SIZE/BTU A/C $25.00 FIREPLACE (GAS) $15.00 _GAS RANGE/OVEN $10.00 — AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 NEW GAS GRILL. $10.00 ER $35.00 FURNACE $35.00 GAS UNIT HTR $10.00 _BOIL' _CHIMNEY LINER $10.00 _GAS DRYER $10.00 POOL HEATER $35.00 DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 o1 Kermit Fee $ Number of fixtures @ $10.00 x$10.00 = $ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $25.00 1 x $25.00 = $ a 5.00 Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 Total = $ A & Sd 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 all work which requires review and approval of plans. SIGNATURE OF APPLICANT NAME ROGER ROFFHE IN DATEy l 15 t ® -) City of Fridley Building Inspections`Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 City of Fridley Residential Mechanical Application Page 2 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS Y'/EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make-up air calculations.