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PRE 2010 DOCSCity of Fridley.�6 SUBJECT PER ( ATTHE TOP OFTHE TWINS BUILDING PERMIT r i.�ECEIPT NO. COMMUNITY DEVELOPMENT DIV. { r~ e o c PROTECTIVE INSPECTION SEC. o_ NUMBER REV.DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 812-560-3450 910-F15 3/15/77 JOB ADDRESS 5535 Hest Uinube Road N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 2 Innsbruck North 2T2d Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ' ZIP PHONE Lyle E. Christie 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO,. Ulmer Construction, Inc. 5590 Matterhorn Drive N.E., rridlsy, .tn. 574-0305 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 0 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE 8 DESCRIBE WORK Construct a 54' x 40' Dwelling and. a 22' x 22' Garage DIV. REQUIRED F p TE PERMITS REQUIRED *FOR WIRING. REMOVAL AND REi' 8 CHANGE OF USE FROM HEATINCIII,PLUMBING AND 'SIGNS. STIPULATIONS Provide a hard surface ciriveGray. Provida a verif,yiag survey before cappin,,-. Provide sod in the front and sire yards. Provide truss design before capping. m c7 Z K C O SE69ER 1MALION: (Approx. 9' Deep) 86..C' South of Manhole (Inv. 954.49) p7� > O rffE EL V: 955.23 r- TOa OF FOOTING: 958.23 `rlinimura MEILE17 SU 0107 ITA3LE CURBING M A ;0 2 WATER LOCATION: 3' South of sewer service * Z m m Dc��" CITY OF FRIpL1:1t DOES � 00 L 0 rn -0ACC(SRACY NOT GUA�E TME OF Uf)LtTy LOCATIONS m n z m AND EMAT10t:S: T'r1I$ DATA IS FOR 1NFORMAT{OM PURPOSES BE�Oi� digging C8� local utiiitl�S Z 0 '< Z m n m O,f X 11 + "ASO S US1MG ff SNOULO VEXrf TELEPHONE -ELECTRIC -GAS Etc, THE ON a�1�or�,►v nor, z x 0 REQUIRED BY LAW -, SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Wood Fro'. e 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 �^l ilk 4$E 23, 992 P.ai 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 l 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 $55.1,7255 $27.36 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- Y1.35.33 $375.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $33.33 $571.52 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE( f WHEN PROPERLY VALIDATED THIS IS'YOUR PERMIT BLDG INSP DATE S NATURE OF OWNER (IF' OWNER BUILOERI (DATE) toy .-ITY EN )R CU ACEME1 PENINC 'U n CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS ft16 �J (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) C 'r "Ale- BUILDER: �-k, WI4 r (on s- rQ C.`�i c� e 3 C Address: ea\`e.w,��f��d � '�,;Address: 5`�9�' ffk-AVCA�Lzrr Tel. No. 0 G i � i 5 No.: r:" Street: es� LOT: BLOCK: ADDITION: n s o r Q ck, rJ g ( Ll MA CORNER LOT: INSIDE LOT: ``/ SETBACK: � r,` SIDEYARDS: 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: 7a,s�1d; P Front: 5 4 Depth: Height: Square Feet: 2 G, Cubic Feet: ( Q, , 2-RC6 Front: r Depth: Square Feet: Cubic Feet: Height: Type of Construction: lr')ae4 f-rc' Estimated Cost: $ 4-�, To Be Completed: Q 1 i "l `1 /Alt.A Alt. B / Proposed Driveway Width If New Opening Is Desired 1(o $ r/ $ (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 sid for additional information. LRO-DATE:' \� C„n_ c � 1 Q� @ � `j"� SIGNATURE: Stipulations: j II VV IN LIC, I'V 1%101. JOB ADIMP;S ENE COIRISERY"FATIUNIN E This form must be completed by the proponent, his designer, or heating, cooling contractor before a Building Permit can be considered or issued. OVERALL CALCULATED THERMAL TRANSMITTANCE VALUES Uo U, _ A&,+ U.A.+ U, A9+ UdA,I+ QAC*.... A 0 U10 CEILING/ROOFS (Includes opaque ceiling area and skylights) EXPOSED WALL I (Includes opaque wall, rim joist, windows, • • ........ .... ...... ' BIu/Nr/FI/F° - doors, framing, and exposed basement wall) FLOORS OVER UNHEATED'SPACES . . ®Z6 Bf./Nr/FtZ/F° FI-OORS ON GRADE • • .. ... , s Btu/NI/FI/F° TOTAL HEAT LOSS AS DESIGNED Btu/Nr/F° ata used t® c a l c n l a e thermal transmittance values Uo i ows Identification Number Total Glass uy value Calculated, Manufacturer Number Units Used Area Ft A, R, Value U, =1/R9 U, Ag ndow 1�A2,virJ (02.2 1. to (025 �� 2,® ecification acts must be ached. 7-043--svJ I 1 -7,:14—= 1, U (62e, 1o,84- 1, q.849 -IV\/ 4- (� 4, Lq 0 G kS1r--�' 1' 204o -Lw I 9.S I Ill 13.94- 'I,� ®� 11 X040 -3W -T '0, 4- J 1 I 24 4o , I 1 �.-� 8 X77 i4 - t Z Ob 1, 4; �i��®�� opaque � � � Rim Joist 6Ay�.r�N� +.✓atl g Basement Area AreaI/� �P�n�r�� Upper Floors �,�,,�,®e ?� 001 14 14a,r 'AALoTYpe ® N (1 -ALD -n�a a � Manufacturer � , � � Exterior MAh QpI^F, N!A5or-5Ive Siding Thickness / 1 �„ 5/ U Value RValue le �aa i•... ::•s::::• :::;;:;.;. :.d•: Type r� 1e r 1 R 12— r 1FZ.- F Framing Size U Value R Valu :::�:::::�::s::::::;:• ... .... - e >. a...; Exterior U ......... 7-- i Ir Exterior R .1 �.1 33 .17=: •��•: Film Interior U Inter' ::.:•.::. ....::... .:::.::.:::•.;•::::::..�.::::::....:::::::...:::::•::.:.::..::•:.:•••....;........................... Interior R 6 g ;: 6 8: . 68 �• R.; Total o (Insulated Area) Calculated U,,, TOTALS U_ =1/R,,f,9 . C)15c�c,—i , o (Insulated) Z l ®7 1 Wall Area (Jnsulated)-A., use 90%of the 'total wall area), �j QI i Z O '10,5 (v (,vo I Uwi Awl �.v4 8.04, 5,®2 Ili,{�y� Zd2.l� R,,, Total (Framing Area) �, 2 Calculated U' TOTALS U,,,=1/R,,, (Framing) . Wall Area (Framing) -A, • (use 10% of the total wall area) 7,9 184 115 Uwf Awf 10-7 iNc, ®� VAPOR BARRIERS ARE REQUIRED.. O d Manufacturer Door Specification �A5 Sheets must be Attached. If garage is to be heated, garage doors must also be included. l Identification Number (0066 08 -S9 oUP %nNu Wa 6 Total Rim r Joist o Area Sl.orm Type Co n tre � g a31 oLk. Number Door Door Rd Value UdCalculated ®_ Units Area R Door Used R Storm Door Door Assem `Thickness Used Fe- A, Value yes/no Door Value Assembly U, =1/Re U, A, U Value 40,o l, b 0 a I a SSG .................... Type ne. si n .F,6'Or— C-0C�s.5 q.,�-� r -.%pr Gjl"s 3� F,b-eylcuss ykcts Manufacturer o �J ^ S8: J. M• J. J , i� • , , . Thickness Insulation U Value 1,3.3 -' Rau V I e ic�9,o� �:::i�:::•::::::•::!�:::i:':� :::::::.. 39, 54 oUP %nNu Wa 6 Basement Area Rim r Joist o Area �/� l;rcnm, Upper Floors Type Co n tre � g a31 oLk. Cs� ` SJ rrn a3oaA hbon� L p sd"% ;0 A� Manufacturer ®_ U , S , — U `Thickness Interior Finish U Value a RVIu e .................... Type ne. si n .F,6'Or— C-0C�s.5 f'b-Q' G-lws" r -.%pr Gjl"s 3� F,b-eylcuss ykcts Manufacturer o �J J �\ J. M• J. J , i� • , , . Thickness Insulation U Value -' Rau V I e •:{'.::•':•�•'';$:¢:;.}isfil::i•?��:��:s��:}::;':��:}:•lJ�:::i::vi:ti{.:��.�•:•::J:::::•�:i:::::::j:?:�fti::::•}i::�:i:.:•::::}':••:•::•:f::f{: �:::i�:::•::::::•::!�:::i:':� :::::::.. Type N o aE- i t 0 0 t�, hion C ....q....:.... 0 N Manufacturer Thickness Exterior Sheathing U Value R Value If loors- over unheated .spaces Y Type Manufacturer R Value ti Insulation o, fie, Finish Flooring ®6 Under Layment �� IJ l 0�' pInterior A it m Exterior Air • film92 ..... ......... .92 Total Assembly R. Value - - � Calculated U„ , U„ =1/R„ . . . . . ... .. . 0,7-6 Total Floor Area A,,. G' - Assembly U. A. • ceding assemblS9 y Type Manufacturer R Value Finish Ceiling�� VENTED Insulation 6 Qb'qr SPACE ABOVE Total Assembly R. Value • sf ,-1 Calculated U,, U.=1/R, .._� oil Total Area Aa . I Assembly U, A. - Type Manufacturer R Value Area FtE Sheathing NON Insulation - VENTED SPACE Roofing Skylighting Total Assei y R. Value - - Calculated 1J.. U.=1/R4 - - Total Area An - - Assembly U. Aa VAPOR BARRIERS ARE REQUIRED ,/" AIR INFILTRATION TESTING January 8, 1976 west in accordance with ASTM-E283-73,'Rate of Air Leakage through windows. Codes and Industry Standards allow a maximum of .5 cfm/per ft. of crack. (Patio Doors allowed •75 cfm./per ft. of crack). Above testing was conducted at 1.567 PSF Test Chamber Pressure - Equivalent to 25 mph wind. MARVIN WINDOWS 0 ALLOWABLE WINDOW AIR LEAK* TYPE OF UNIT AIR LEAK UNIT LEAK CFM,/LIN . FT. PASS /FAIL GLAZING OF CRACK #6068 Patio Door 16 cfm 7.9 cfm .193 cfm Pass 5/8" Insulated (.75 allowable #2856-2 Casemaster 12.4 cfm .3 cfm .012 cfm Pass SSB #232 Casement 12.8 cfm .4 cfm .016 cfm Pass SSB #1528 Lever Lock Stack and Strip 6.75 cfm .5 cfm .037 cfm Pass 1/21' Insulated #5-2818 Singl-Glide 10.75 cfm 2.3 cfm .106 cfm Pass SSB #V-3621 Singl-Lift 9.0 cfm 4.5 cfm .250 cfm Pass SSB 36 x 24 All-Star Double Hung_9.0 cfm 2.9 cfm .161 cfm Pass SSB 36 x 24 ARB 100 Double Hung 9.O cfm 6.3 cfm .350 cfm Pass SSB 36 x 24 E -Z Tilt Double Hung 9.0 cfm 6.8 cfm .377 cfm Pass SSB 36 x 24 Featherlift ' Double Hung 9.0 cfm 7.3 cfm .405 cfm Pass SSB 28 x 32 E -Z Glide 9.25 cfm 7.3 cfm .391 cfm Pass SSB 28 x 32 ARB Glider 9.25 cfm 12.8 cfm .691 cfm Fail SSB west in accordance with ASTM-E283-73,'Rate of Air Leakage through windows. Codes and Industry Standards allow a maximum of .5 cfm/per ft. of crack. (Patio Doors allowed •75 cfm./per ft. of crack). Above testing was conducted at 1.567 PSF Test Chamber Pressure - Equivalent to 25 mph wind. MARVIN WINDOWS 0 CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE m TOTAL ed 7 x U $ 5/,00 Future Fixture Opening x Water m m 49 4 H m $ E A� q Q y (d $4 a k' $5.00 $ Heater ,im x A $ Water Softener x 1 41 3 uu New Ground Run Old Building x $5.00 ti ani x $5.00 $ O +i - xM R C N -.•i ;j O O .Ci a� m 11 m m $1.00 $ y U p P�0 cNQ PO N 3 A W to w U PO 3 Cro7 ,m{ £ �tpo U O a9 leC $ State Surcharge $ .50 TOTAL FEE a $ �9• Sa REINSPECTION FEE 1 ($10.00) 1st ) l I 1 A 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 7 x $3.00 $ 5/,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 _L x $5.00 $ 57.0 0 100,000 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 $ 3.4D 0 Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ REPAIRS $ ALTERATIONS First $100.00 $5.QQ $ each add. $100.00 or fraction $2.00 $ State Surcharge $ .50 TOTAL FEE $ �9• Sa REINSPECTION FEE ($10.00) Job Address c3S 0 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. L/- /'�_ , 19 OWNER J KIND OF BUILDING .� :!c_- A USED AS TO BE COMPLETED ABOUT ESTIMATED COST OLD UILDING PERMIT NO. PERMIT NO.(:F) Company P i YYi C-, - Signed By Ci Tel. No. ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE CITY OF FR I DLEY ,APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE $ '- g- 00 4.00 $ 7.00 S 7.00 rS-39 � � �" 9GRAVITY WARM AIR: RATE TOTAL :Job Address Furnace Shell & Duct Work $12.00 $ 7.00 replacement of Furnace 7.00 7.00 $ $ Department of Buildings Repairs & Alterations -up to $500.00 Ciof Fridley Renairs & Alterations each add. $500.00 - 4.00 $ Tell.. "571-3450 MECHANICAL h ARM 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 STET-\: OR Iii T WATER SYSTLM: Boiler & Lines up to 100,000 BTU each addn. 50,000 BTU Boiler only up to 1CO,000 BTU each addn. 50,000 BTU OIL BURNER- to 3 gala per hour each add. 3 gal. per hour $12. CJ $ '- g- 00 4.00 $ 7.00 S 7.00 $ 4.00 $ $12.00 $ 4.00 $ 7.00 $ 6.00 $ $10.00 $ 10.00 $ GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $ (9 (over 199,999 BTU see Fee Schedule) $ GAS FITTING FEES: 1st 3 Fixtures x $ 3. CO $ Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00 $ AIR CONDITIONING $ FAN HEATING SYSTE>'S See Fee Schedule $ VENTILATING SYSTEMS ALTSRATIONS & REPAIRS _ i $ State Surcharge $ 50 TOTAL FEE $ C, I ROUGH INSP. Date r� Fa.xAL INSP. '(� ` -2 Date APPROVAL FOR PERMIT REINSPECTION FEE ($10.00) , r _Y2NIML!,1 FEE FOR AIS^_' HEATING PERMIT IS $7.50 �e.la 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. s Fridley, Minn. ��d � � , lg /9 OWNER 1,1 �•ly �� CT`� '�E�1J KIND OF BUILDING Ptc xII�� USED AS w ® N� & TO BE COMPLETED ABOUT ESTIMATED COST OLD - NEW BUILDING PERMIT NO. _ PERMIT NO. _ DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air No. / Trade Name Size No. 1a / `3®sY_ Capacity &L?®o c !lea Sq. Ft. EDR BTU 3 7 Hp Total Connected Load 0 a 6�a Kind of ^-uelAI —Y� '6Rr � BUY<XER - Trade Name Capacity Size No.. Sq. Ft. EDR BTU tip Y company 4A'tS0-9 Signed By r Tel. No. b' sM HEAT LOSS CALCULATIONS .DEPARTMENT OF INSPECTION, MANN• Weatherstrips A' ' Construction No. Insulation Guide Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes— INo I Ye— s�—I� 0 19— Fl 1— Room I Length a Width Height Fl Room i Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. / +'41 A �� ; Fl.i Room I Length 2, Width Width Height No. of Llaeal ft. Ares No. of pane of pane lights of craox N. 4& Windows and Doors---Crackage and Area Width Height No. of Lineal it. Area No. of pane of pane lights of crack sq. ft. ® Q aft Coef. Btu Infiltration Coef. Btu , Glass Net exp. wall'" Exp. wall Exp. wall �c ,;y a Net exp. wall P Net exp. wall F 5 Int. wall S a m 1 2......, 11 .r..th YV Width J2- HeiKht Int. wall Ceiling 0� 9 Ceiling '9 Q Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 0.1 r Room I Length Width Windows and Doors=-Crackage and Area Width Helsht No. of Llneal•ft. Area 9 No. of pane of pans Ilahto of crack p. ft. as n/ a� Windows and Doors—Crackage and Area ; Fl.i Room I Length 2, Width Width Height No. of Llaeal ft. Ares No. of pane of pane lights of craox N. 4& Windows and Doors---Crackage and Area Width Height No. of Lineal it. Area No. of pane of pane lights of crack sq. ft. ® Q aft Coef. Btu Infiltration Coef. Btu Glass - ?� Net exp. wall'" Exp. wall Ceiling x 3 Net exp. wall P F 5 Int. wall S a m 1 2......, 11 .r..th YV Width J2- HeiKht Net exp. wall Ceiling 0� 9 Floor Total Btu. Floor Int. wall Required sq. ft. E.D.R. or sq. ins. WA. Leader area F1.1 Room ( Length ,- E L, Width Ceiling Height Windows and Dooes—Crackage and Area Width Haight No. of Lineal ft. Area �No.of pane of pane I16hts of crack eq. ft. Floor Coef. Btu Infiltration ? �' Glass Exp. wall x Net exp. wall 6 P c s Int. wall Ceiling Floor Total Btu. ✓ Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Windows and Doors—Crackage and Area ; Fl.i Room I Length 2, Width Width Height No. of Llaeal ft. Ares No. of pane of pane lights of craox N. 4& Windows and Doors---Crackage and Area Width Height No. of Lineal it. Area No. of pane of pane lights of crack sq. ft. ® Q aft Infiltration Coef. Btu Infiltration fF Net exp. wall'" lat. wall Glasser. Ceiling x 3 Floor Exp. wall F 5 Required sq. ft. E.D.R. or sq. itis. W.A. Leader area S a m 1 2......, 11 .r..th YV Width J2- HeiKht Net exp. wall 0� 9 Int. wan Ceiling Floor Int. wall Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area ; Fl.i Room I Length 2, Width Height . Windows and Doors---Crackage and Area Width Height No. of Lineal it. Area No. of pane of pane lights of crack sq. ft. ® Q aft Infiltration Glass A� C� Exp. wall Btu Net exp. wall'" lat. wall Ceiling x 3 Floor Total Btu. F 5 Required sq. ft. E.D.R. or sq. itis. W.A. Leader area S a m 1 2......, 11 .r..th YV Width J2- HeiKht Windows a Doors—Crackage and Area Width Haight No. of Idneal ft. Area No. of pane of pane I1Bhte of crack 11 sq. ft. ® Q aft Coef. Btu Infiltration/ 2L. x 3 Glass . S a Exp. wall ?t 0� Net exp. wall Int. wall Ceiling Floor 11 % J; ? 11 Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area I a• t 13L�- i HEAT LOSS CALCULATIONS DEPARTMENT OF INSPECTION IMEAPOUS. MM. Weatherstrips 1A.SHVE' Construction No. Insulation Guide How Applied Windows I Doors Reference Ou¢. Wall Int. Wall Ceiling Roof Floor Kind pP Yes—No Ye— s—�o 19� F1.1 oom I Length ?,- Width ®. HeightFD. ja Roam. Length Width Height Windows and rs—Crackage and Area Doors—Crackage and Area Required sq. -ft. E.D.R. or sq. ins. W.A. Leader area Width Height No. of Lineal ft. Area No. of pane of Dane lights of crack sq. ft. 3 vC Ana sq. ft. Windows and Doom—C-rackage and Area Width Height No. of Lineal -ft. Area r No. of pane of pane lights of crack sq.ft. Coef. Btu vp Coef. Btu Infiltration'' Exp. wall / ?e Coef. Btu Lifiltration 69 Glass , .' S Glass Floor ZL, ” LV Total Btu. Exp. wall Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.1 L,,,,a'p_wA1ZCRoom I Length // 7- Width . Height Net exp. wall' Int. wall Ceiling Floor' W' doors anit Doors—Crackage and Area Required sq. -ft. E.D.R. or sq. ins. W.A. Leader area Width No. of pane Height No. of Lineal ft. of bane lights of crack Ana sq. ft. Windows and Doom—C-rackage and Area Width Height No. of Lineal -ft. Area r No. of pane of pane lights of crack sq.ft. Coef. Btu vp _ ' Glass a 6„' (77 7 Exp. wall / ?e Coef. Btu Lifiltration 69 Int. wall , .' S Glass Floor ZL, ” LV Total Btu. 41 .�n a 0 0 Total Btu. v�• Required sq. -ft. E.D.R. or sq. ins. W.A. Leader area Infiltration Room I Length 2 Width Height Windows and Doom—C-rackage and Area Width Height No. of Lineal -ft. Area r No. of pane of pane lights of crack sq.ft. Coef. Btu Infiltration _ ' Glass a 6„' (77 7 Exp. wall / ?e Net exp. wall 9110 a Int. wall Total Btu. Ceiling Floor ZL, ” LV Total Btu. ",4, . - K S :l Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.1 L,,,,a'p_wA1ZCRoom I Length // 7- Width . Height Windows and Doors—Crackage and Area Wldth Helght No. of Lineal ft. Area No. of vane of pane lights of crack sq. it. Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu.' -""' Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.l r' -Room Length P Width Height doors and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane 11ghts of crack sq. ft. Infiltration Glass Exp. wall Net exp. wall Int. wall lPe . A -c -q— Ceiling' Floor Total Btu. Required sq. ft. E.D.R. or sq. iris. WA. Leader area I F1.1 Room I Length Width Height Windows and Width 1 No. of pane t Infiltration Glass Exp. wall Net exp. wall Int. wall and Area seal tt 1 crack s Coef.l Btu Ceiling _ I Floor Total Btu. IRequired sq. ft. E.D.R. or sq. ins. W.A. Leader area Coef. Btu Infiltration 3k le Glass Exp. wall' Net exp. wall _ ' Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu.' -""' Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.l r' -Room Length P Width Height doors and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane 11ghts of crack sq. ft. Infiltration Glass Exp. wall Net exp. wall Int. wall lPe . A -c -q— Ceiling' Floor Total Btu. Required sq. ft. E.D.R. or sq. iris. WA. Leader area I F1.1 Room I Length Width Height Windows and Width 1 No. of pane t Infiltration Glass Exp. wall Net exp. wall Int. wall and Area seal tt 1 crack s Coef.l Btu Ceiling _ I Floor Total Btu. IRequired sq. ft. E.D.R. or sq. ins. W.A. Leader area SUBJECT PERN(lfi NO City of Fridley N� 17 0. 8 AT THE TOP OF THE TWINS BUILDING PERMIT r RE T N � `y COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. �® �� CITY HALL FRIDLEY 55432 NUMBER REV. DATE 81983 PAGE OF APPROVED BY 612-571-3450 910-F15 JOB ADDRESS 5535 West Danube Road N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 10 2 1 Innsbruck North second Addn SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Joyce Christie 5535 West Danube Road N.E. 571-7573 3 CONTRACTOR MAIL ADDRESS . ZIP PHONE LICENSE NO. Leo Sanders 7813 Jackson Street N.E. 786-2860 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 EX REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK install drain tile 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 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 2,300 1.15 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 PROVISIONOF ANY OTHER STATE OR LOCAL LAW REGULATING CON- 38.50 STRUCTIO OR THE PERFORNIANCE OF CONS UCTION. PLAN CHECK FEE TOTAL FEE PIN 39.65 `` SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) H:N PROPERLY VALIDATED THIS IS PEYMI 41 � /�^�T SIGNATURE OF OWNER (IF OWNER BUILDER) IDATEI BLDG INSP GATE CITY OF FRIDLEY APPLICATIOA FOIi RESIDLIMAL BUILDING PEFU41TS (Nc-r, Alterations, Additions, or Repairs) 1z eG OWNER: L2 ' ADDRESS: .S—L3, 1 TEL N0: --5-71-- =, 7,_5 STRMT NO: STREET: Effective Aug. 1, 1981 'BUILDER: or, ADDRESS: TEL NO: - 7e Construction Location LOT: BLOCK:ADDITION: Corner Lot: Inside Lot: Setback:( Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: 4 Type of Construction: -,J/ Estimated Cost: Zb Be 0cmpleted: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE PSVERSE SIDE OF SiIEET liie undersigned hereby makes application for a permit for the ulork herein specified, agreeing to do,all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and herepy declares that all the facts and representations stated in this application are��irue and coXrect. DATE: SIGNATURE: Stimulations: SUBJECT P City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT r REC . � • _____ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r � � PROTECTIVE 7 51-7 ----1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED By 612-571-3450 910-F15 3/29/88 JOB ADDRESS 5535 West Danube Road N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION . SEE ATTACHED DESCR. 10 2 Innsbruck North 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Christy/Nault 5535 West Danube Road N.E. 571--1222 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. The American Handyman Cont. Inc. 1202 Hathaway Lane N.E., Fridley 571-2655 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 J] ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 36' x 2216" Addition Over Garage 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan, SEPARATE PERMITS 4vrr HEATING, F® PLUMBING AND SIG�9Sa 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 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 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 JSTALLS 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 $391350 $19.68 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- $238.00 TRUCTION OR THE PERFORMANCE OF CONSTRUCTION. je ®7 �> �� PLAN CHECK FEE $ 59.50 TOTAL FEE $317.18 SIGNAT RE OF CONTRACTORORAUTHORIZED AG NT (DATCEI, WHEN PROPER VALIDATED THIS IS YOUR PERMIT BLDG INSP TE SiGNATURE OF OWNER 0F OWNER BUILDER) (DATE) NE34 [ ] ADDN. ] ALTER. [ Construction Address Legal Description:_ Owner Name & Address: Contractor Address: > 4 6 City of Fridley R-1 AND R-2 Building Permit Application Effective 4/1/86 A/W Tel. $ .57)k /; `� � Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT / Q LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq./Ft. DECK AREA: Length _r___.__. Width Hgt/Ground Sq. Ft..OTHER: �a:�=- /,61e, Corner Lot [ ] Inside Lot-[>� Ft. Yd. Setback Side Yard Setback r�4T�2- Estimated Cost: �� Type of Construction: , Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: ed APPLICANTf `/ /�" Tel. Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ 7,S06 Fee Schedule on Reverse Side $ J• S® 25% of Building Permit Fee $ �a�a $.50/$1,000 Valuation $ $ 5,59 per SAC Unit $ Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] 352. I� EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER: c -Jo\ to (" ,-/ S/ 1) ,,�� SITE ADDRESS: 5— /,i ��,,ta,(6 '"�/'a CONTRACTORd. 'ge, d� �,� DATE :PHONE: 5 1-21' C$C 2. 3. 3. DETERMINE WORKING SQUARE FOOTAGE OF EACH: TOTAL EXPOSED WALL AREA,,..,.,. � sq ft x "U" TOTAL ROOF/CEILING AREA........ sq ft x "U" TOTAL EXPOSED WALL AREA CALCULATIONS: if item #3 is the same as, or less than item F1, you have met the intent of 2 MCAR 1.16008-A and 0. Page 1 Total exposed wall area above floor.., sq ft a) Total wall window area: t Vo,�JZe glazed...... ft 11U11 sq x glazed...... A� sq ft'x "U" a b) Total door area ......... sq ft x "U" ffi 0 Total sliding glass door area: glazed...... sq ft x "U" glazed...... sq ft x "U" _ d) Total fireplace wall area �- sq ft x "U" —' e) Total wall framing area - (Average 10!;) ........... sq ft x "U" f) Total net wall area above floor (Insulated)....... 'S sq ft c a Y3 _ ', x."U" g) Total rim Joist area...... sq ft x "U" Total foundation area (Exposed)......... sq ft h) Total foundation window area ............. sq ft x "U" _ i) Total net foundation area above grade........ sq ft x "U" TOTAL a) th ru 1) if item #3 is the same as, or less than item F1, you have met the intent of 2 MCAR 1.16008-A and 0. Page 1 4. TOTAL EXPOSED ROOF/CEILING CALCULATIONS: Total exposed roof/ceiling area........ c sq ft J) Total skyiiaht area....... sq ft x "U" °' �a Q Total roof/ceilinq framing area (Average 102;)...... sq ft x "U" Q 1) Total net insulated roof/ceilinq area....... 29a sq ft x "U" ® ®,� ° 4. TOTAL J) thru 1) If total of #4 is the same as, or less than 92. you have met the intent of 2 MCAR 1.16008 A and 0. 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 R1 and #2. 3. �e 2� + 4. 0. C E R T I F I C A T 1 0 N I.hereby certify that I have calculated the "U" factors and "R" values herein and that the building here described meets or exceeds the State of Minnesota Energy Conservation Act. { Siq ture z —/ — d (Date) Page 2 )NSTRUCTION LAMING SECTION:' interior air film R VALUE A to MON (INSULATED) Interior air film L a " < n 'u P (' Exterior airIlm ;T SECTION: Interior air film U- 1/R-. 0 �/ A.f►R Kr a�A 0.17 TOTAL R a QZ U- 1/R- ®®i _ AM � Exterior air t it A A. t7 CONSTRUCTION R VALUE''; CE I L I NG:• SECT I ON (1 NSULATE DY* k t:'Inp'terlor air film xterIor ai"r 11Mst111 TOTAL R • ° 4 , (, `may.. .i a ♦. CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDENTIAL Furnace Shell and Duct Work, Burner (Also replacement furnace) Gas Piping (piping needed with new furnace) .Gas Range Gas Dryer 6 Air Conditioning tall sizes) RATE TOTAL $ 20.00 $ IP0>4� $ 10.00 $ $ 10.00 $ $ 10.00 $ S 10.00 $ 10-0,0 All Others/Repairs and Alterations 11 of Value of Appliance or Work $ COMMERCIAL/INDUSTRIAL 11 of Value of Appliance or Work $ State Surcharge $ .50 TOM !EE $ Reinspection Fee ($15.00) $ O.SU Rough Insp. Date p Final Inep. Date Approval for Permit =.�,i k <- MINIMUM FEE FOR ANY HEATING PERMIT IS $10.00 PLUS $.50 STATE SURCHARGE Attach stack verification form with replacement furnace permits *Air Conditioners can not be placed in %ide yard without written permission from adjoining neighbor. Effective Auq. 1. 1981 Job Address D West A P Q 6 C- D&tV C-, Department of Buildings, 6431 University Ave. N.E.. Fridley. MN 55432 City of Fridley Tel. #571-3450 The undersiqned hereby maked 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. OWMER 0>Q a) 0 /-t RIND OF BUILDING 5 iCL 6 l.+ Ho—& TA�6u' UdlYriDd USED AS aC- TO BE COMPLETED ABOUT' 8v ESTIMATED COST l'27 ��• `' OLD - NEW BUILDING PERMIT M0. PERMIT NO. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Mater, Warm Air- No. n Trade Name �l ke I i - r- Bis* No. AG OA 010 0 Capacity 93 l/d Ar FJ a Sq. ,Ft. CDR BTU 0 coo NP 'f efo®Ape-i Total Connected Load/l S Kind of�rual 94S BURNER - Trade Name 2l bj i V G eS A L- Size No. Capacity Sq. Ft. EDR BTU HP Company bo e- s / Signed Byie�- Tel. No. ,p - .0..5x® C CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: NO. N TOTAL ?i W ro $ U $ x v 3.50 Water di m b 1.50 $ Beer Dispenser N ro m Blow Off Basin m (d y, a w $ 5.00 Heater Rain Water Leader $ 5.00 $ % $ 5.00 3 N 1:O 9 $ Water Treating Appliance $ 7.00 $ M w m $ 5.00 +: Gas Range C 0 $ Gas Dryer $ 10.00 $ U d 1% of Value of Fixture or Appliance $ State Surcharge $ M 14 g ($15.00) TOTAL FEE W of ai 3 Q w ami UM43 U o s lec 1st 2n 3rd 4th (R) = Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures• $ 5.00 $ Future Fixtures $ 3.50 $ Old Opening, New Fixture $ 1.50 $ Beer Dispenser $ 4.00 $ Blow Off Basin $ 5.00 $ Catch Basin $ 5.00 $ Rain Water Leader $ 5.00 $ Hydraulic Valve $ 5.00 $ Sump or Receiving Tank $ 5.00 $ Water Treating Appliance $ 7.00 $ Hot Water Heater $ 5.00 $ Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1% of Value of Fixture or Appliance $ State Surcharge $ Reinspection Fee $ .50 ($15.00) TOTAL FEE Effective Aug. 1, 1981 Job Address S�'I' 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 ths application are true and correct � ) Fridley, Mn. %1 , 1g� OWNER \l/ cI�' VY1 KIND OF BUILDING USED AS �a TO BE COMPLETED ABOUT ESTIMATED -- COST 6 OLI) - NEW BUILDING PERMIT NO. PERMIT NO. Company o o Signed By tet, VVV Tel. No. ROUGH INSP. Date FINAL INSP. #7- 7- 9 Date APPROVAL FOR PERMIT \ MINIMUM FEE FOR ANY PLUMBING PERMIT IS $10.00 PLUS THE $.50 STATE SURCHARGE ,'fix-Lllt- -�' V' SEP 2 6 1994 Fridley Municipal Center 6431 University Ave. N.E. Fridley MN 55432 Attn. Mr. William.Burns, City Manager Dear Mr. Williams Since last October I have had acts of vandalism occur 4 times in front of my home. In October we had the drivers side window busted out of a 1993 Mazda.. I suspect they were going to take the radio but got scared off. In April the same Mazda was Egged. In July on the same Mazda the tires were slashed on the -middle of the road side, and at the same time a neighbor had all 4 tires slashed. This week I had my 1983 Audi broken into and the stereo and 20 CD's stolen. Bob Horeck at 5505 west Danube has had about the same number of incidents. The area in front of our house has no street lighting therefor it is quite dark. Since the street bends and the only street lights are on the ends the light doesn't get to the middle of the block. I have spoken to John Flora in your public works department and he said our only solution would be for the neighborhood to pay to put in and support a street light. We, the neighbors and I, believe that we are paying to live in a protected environment and that the city is being remise in it's responsibilities to us. This week when my car was broken into the police didn't even bother to come over but only took the report on the phone. I am sure that you will agree that 4 acts of vandalism in 1 year, for a family that has no teenagers or no school children, is very excessive. I would like some action taken. I was going to canvas the neighborhood and take up a petition for a street light and more frequent police patrols, but I decided I would bring the matter to your attention first. Would you please let me know what if anything I have to do next to get some action. Thank you in advance for your attention to this matter Yours Truly R Normand A. Nault 5535 West Danube Road Fridley MN 55432 Work Tel. # 612 7734245 Home Tel.# 612 5717573 01) SuB.iECT OtIngrIT NO. _ City of Fridley 30581 AT THE TOP OF THE TWINS BUILDING PERMIT r RE NO ------ COMMUNITY DEVELOPMENT DIV. V -e___PROTECTIVE "C�EI%PT r INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 12/14/99 JOB ADDRESS 5535 West Danube Rd NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. lO 2 Innsbruck North 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Norman Schultz 5535 West Danube Rd NE 571-1383 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Mark Hittner Construction 4310 White Bear Ave, White Bear Lake, MN 55110 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 2550 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW CA7 ADDITION 0 ALTERATION 0 REPAIR 0 MOVE 0 REMOVE B DESCRIBE WORK Construct an 11'6" x 16' Screen Porch Addition 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan. a RAN WARINIM Before digging Cali for all utility locations 454-0002 StPARATE REQ IREp Y �A V��RI�1��, ��71NGs P�l�l�i��l�l�� Fps . AND- SIGN& 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 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 $1j 000 S.SO 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- $195.25 Fire SC $11.00 TRUCTION OR THE PERFORMANC4_OOF CONSTRUCTION PLAN CHEC�FE TOTALFEE i G�-Lice $5.0A $20.75 SIGNATURE OF CONTRAC�T15A OR AUT.ORIZEO AGENT IDATEI N H IS YOER T �OPIDATED BLD INSP DA rk SIGNATURE OF OWNER PIF OWNER BUILDERI IDATEI 01) �q' \ NEW[ ] Effective 5/10/99 ADDN [) CITY OF F UDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: 5�5 3 xlG! Legal Description: Owner Name & Address: No R t -o7 ,1,U Scl-{ a L Tz Tel. # 5-71- / 3 8"3 Contractor: ZZ -1 Li4 gE& Co r T7T MN LICENSE # .2 -!YO Address: //3/ O 14,' /17Z' RZ-4p A-I,,,Tel. # &S/- Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: DESCRIPTION OF IMPROVEMENT Length Width Height Length Width Height Length Width Ground paoecll Driveway Curb Cut Width Needed: Ft. + 6 Ft = Sq. Ft. Sq. Ft. Sq. �t r Estimated Cost: $ Ft x $ DATE: APPLICANT: Tel. # TOTAL STIPULATIONS: $ a/&, 7S CITY USE ONLY Permit Fee $/�j ,o�� Fee Schedule on Reverse Side Fire Surcharge $ �/ , ®� .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ $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 STIPULATIONS: $ a/&, 7S SUBJECT PER IT NO. " City of Fridley 6 33557 AT THE TOP OF THE TWINS BUILDING PERMIT -RrCEIPT NO. COMMUNITY DEVELOPMENT DIV. ':______ r ' L PROTECTIVE INSPECTION SEC. ' NUMBER REv DATE PAGE OF AP ROVED BY IL"'f� CITY HALL FRIDLEY 55432 A 1 _-_- 763-571-3450 910-F15 5/27/03 JOB ADDRESS 5535 West Danube Road NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. lO 2 Innsbruck North 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Norm Schultz 5535 West Danube Rd 763-571-1383 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Midwest Roofing & Siding 313 Jefferson Hwy, Champlin, MN 55316 763-427-9696 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20010277 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK 0 NEW 0 ADDITION 0 ALTERATION REPAIR 0 MOVE O REMOVE B DESCRIBE WORK Reroof House & Garage (27 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. F * 8SC�o Will B8 Mailed To Homeowner TO Post 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 SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 I STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $3,126 $1.56 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 TOTALFEE Licen e SC $5.00 $106.94 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT iDATE, ]�JEN PROPERLY VALIDATED THIS IS YOUR P RMIT S.GNATURE OF OWNEROF OWNER BUILDER. -,DATE. 8 INS FIA�E Mam 27 03 OS:45a Theresa @ Midwest 763-427-5001 p.2 APR -09-2003 12:34 FROM CITY OF FRIDLEY TO 4279001 P_01/02 NEW ] CITY OF FRIDLEY Effective 1/12003 ADDN I l 6431 University Ave NE, Fridley, MN 55432 1763) 572.3604 Bldg Insp ALTER ] ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 57142S7 Fax BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & Address: Nzrw� Sc i.� �� _ Tel. v -Wo 3 S71 /3 tg3 Contractor: Midwesteaa�Y" MN LICENSE # c�LC O / 0;) 7 % Address -31-3,1 ffers or, Tel. # -R, 3 4/ a 7 9&9<00 Attach to this applicadon, a Certificate of Survey of the lot, with the proposed construction drawn on it to sole. DESCRIPTION OF IMPROVEMENT LIVING AREA, Length Width Height sq. Ft. GARAGE AREA: Length --._ Width Height Sq. Ft. DECK AREA: Length OTHER: Hgt/Ground Sq. Ft. Constmction Type: Ear it," z- re- roc, _ Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. t 6 tFt = Ft x $ = $ �7 DATE: 03 APPLICANT: 60 "+r i C 1� �1.Tel. #�(�'"� 4t a7 9�l'ly 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 Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL o.0 CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1 /10th%) $.50/$1,000 Valuation $1275 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 [ j Not Necessary [ ] ^ITY OF FRIDLEY BUILDING INSPECTION V0 17: Effective 4/1/2004 dD . 9 3431 University Ave NE 9=ridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION L 763-5723604 FAX 763-571-1287 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES 9 ` JOB ADDRESS D n RATE SCHEDULE Fee Total VMY' J �� zv Residential Owner e.r Furnace Shell and Duct Work, Burner & �S`CX) also Replacement Furnace $35.00 $ Building Used As Gas Piping (New furnace, Fireplace, Insert) $10.00 $ ESTIMATED COST�®iq®®. 00 PERMIT NO Gas Range $10.00 $ DESCRIPTION OF FURNACE AND BURNER Gas Dryer $10.00 $ # of Heating Uilits, I Circle One (Steam) (Hot Water) arm Air Trade Name 5-?CV A 090-1-1kSize No. *Air Conditioning-All Sizes $25.00 $ BTU 01 000 HP EDR Fuel K)" a (Ig.-, Total Connected Load All Other Repairs or Alterations (List on Back) r 1% of Value of Appliance or Work $ Burner Trade Name Size No. A Minimum Fee $15.00 for Residential or 595 of cost of BTU HP EOR Y . improvement whichever is greater on work less than $300.00 1 The undersigned hereby makes application for a permit for the work herein Commercial industrial/Institutional specified agreeing to do ail 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/industriai/insliWUonal 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 $ ?J� .SO - , SignecL Tel # 763-757-6202 v REINSPECTION FEE $50.00/HOUR FAX # 763-757-6701 Date d 7, -7 -0 m*Air Conditioners can not be placed in side yard without written approval N from adjoining property owner - copy to City FILL OUT BACKSIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE Bf 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 Length 3 ft specifications including sizing, length, number of elbows and termination. Yes (y) No( ) The undersigned also verifies that the replacement unit is a listed assembly Length _eft and meets the current codes and manufacturer's specifications. This does Type include AGA-GAMA Category I Central Furnace Venting Tables for fan Length ft 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, will be sized and installed to meet the current codes and manufacturer's specifications. Yestx) 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 -LAMA 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 �.•�F�-s BTU Input W,ogo Fan Assisted or Nat y� Appliance #2 Type tar BTU Input 3s, 6" Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input /Z 3.. mo Common Vent Type 61-,8 Vent Height �01 Diameter C " inches Appliance #1 Vent Connector Height _eft Length 3 ft Diameter 4/ .in Type e'/ - Appliance #2 Vent Connector Height _eft Length _eft Diameter j/ - _in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe)dr� - — s-= ze/ � CENTERPOINT ENERGY HEATING CO: 13562 CENTRAL AVE NE BLAINE, MN 55304 Signed By: ®, Date FA/;7P * A T n).91.SL. Ol A37C l d3 d0 AI 1 O WON -1 moi, : i T b00Z-LZ-�1dd Building $ � , a 5 BUILDING Plan Review Permit Nd: � — Oo h InspectionsRESIDENTIAL Fire Surcharge APPLICATION Received By: 763-572-3604 $ o'.) S— .0005 x Permit Valuation Minimum $.50 Date Rec'd: �' I,, '30-1 $ , QC7 $5.00 (State Licensed Residential Contractors) CITY OF FRIDLEY $ $1675 per SAC Unit (Plans to MWCC for determination) DATE YOUR E-MAIL ADDRESS _ _ SITE ADDRESS 5 S %L h L1 i .;L— Erosion Control THIS APPLICANT IS: ❑ OWNER °CONTRACTOR Park Fee PROPERTY OWNER/ NAME: /U 0rc.i,,, Sewer Main Charge TENANT ADDRESS: :5 5- 3 5— Ge�� 100P'11,64— CITY STATE_ZIP $ ��, PHONE: 743-57)- !43-05 3) -CONTRACTOR CONTRACTOR NAME: a'v' SUBMIT A COPY OF STATE LICENSE # EXP—ATE -31/ y Zo YOUR STATE LICENSE ADDRESS: 41)F $d , CITY /QLS STATF /iZIP 55 WITH APPLICATION PHONE --60- FAX PROPERTY TYPE INGLE FAMILY/NEW CONSTRUCTION SIZE ❑ O FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ,9-0THER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR MODELING DESCRIBE WORK BEING DONE: e w D `f' SIZE OF IMPROVEMENT LENGTH WIDTH 9 7 HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan 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. WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: � �2 6-®() (USI THE 1997 U.B.0 FEE SCHEDULE) T TAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee $ � , a 5 See Back Page for Fee Schedule Plan Review $ t j 11 65% of Building Permit Fee Fire Surcharge $ ia, 50 .001 times the total job valuation Surcharge $ o'.) S— .0005 x Permit Valuation Minimum $.50 License Surcharge $ , QC7 $5.00 (State Licensed Residential Contractors) SAC Charge $ $1675 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 =$ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ ��, Make checks payable to: City of Fridley Attach Stipulations 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 ch requires eview and approval of plans. �y .LC OA 011 �v - �? -'1 Q.� DATE ��a V SIGNATURE OF APPLICANT PRINT NAME e ' 4 ;✓r Jh 4 1 II TZ, :..- 1 - i � 1 _ J L y ^ C',✓ I - �` - l (y11q� /�.1(�_ jay - Yrs - - -+ - f .i �� J _ t � _ _ �t _ _ � ' - _ _ _ l ry. _ _ _ I�dl � Gdt lfr� d�`� `Y�1✓!S _ _ i ' - ' I i 2f 1. ibl 1+� PAIA Irl^p3d-Vje--W i dyi t 11 -TIP r r11 N ` -- - - _. �� _ _ � l _�_- - - - -- _-- 1 `_•��l`l �� Vim„ _ _ _ _ _ _ _ �! t Ij�3y, Itl •a�1� _ -jai ;- -A - -- r- _ --- --- 1 t'` rr ti �1 _ _ - --- --ice^ 1..: ___ i-_ __ -_ __ -- , 1 �Y, (�,R �t �•Fl,yn y- __-L_1 _ I � t _______ VBttwo __� _ .�- 1: i Building MECHANICAL, Permit No.. --OD Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 Date Rec'd: t i CITY OF FRIDLEY DATE 2 -10 � YOUR E-MAIL ADDRESS i SITE ADDRESSV W Y. 1r�A► D THIS APPLICANT IS: ❑ OWNER t9005NTRACTOR PROPERTY NAN. SCHULTZ NORM OWNER/ ADD 5535 W DANUBE DR STATE ZIP TENANT PHO: FRIDLEY 55112 CONTRACTOR COM (763)571-1383 SUBMIT A COPY OF CON ::[O M YOUR STATE STATE LICENSE #_ EXP DATE M � LICENSE WITH q u CITY i "An k- I STATH_ _ZIP t'6 `i' Z 3 ADDRE� S�:1n APPLICATION PHONL/� C& q 32 l 3 FAX U 2- 501 PERMIT TYPE SINGLE FAMILY O TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: O NEW D REPLACEMENT TERATION/REMODEL DETAILED DESCRIPTION OF WORK PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor) Labor $300 $15.00. Labor $300 $500 labor 500 =2�. cost under = cost between to =cost of 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: MODEL: SIZE/BTU MFG: MODEL: SIZEBTU MFG: MODEL: SIZEIBTU _A/C 525.00 _FIREPLACE (GAS) $15.00 _GAS RANGEIOVEN $10.00 _AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 _NEW GAS GRILL $10.00 _BOILER $35.00 _FURNACE $35.00 _GAS UNIT HTR $10.00 _pIlIvINEY LINER 510.00 _GAS DRYER $10.00 _POOL HEATER $35.00 DUCT WORK 510.00 GAS PIPING $10.00 VENTILATOR $15.00 Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 Total = $vc�, 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 Citypof 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 11 work w 'ch requir review and approval of plans. ` SIGNATURE OF APPLIC PRINT NAMI fO� JY�VI Q1 A e✓ U DATE _'Z1_0_ rte,` OEM" MMOMM . .� City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 PLUMBING Permit No.• P a� Building Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: ` DATE 3'- —07 YOUR E-MAIL ADDRESS SITE ADDRESS THIS APPLICANT IS: O OWNER XCONTRACTOR PROPERTY NAME: SG STATE '-t ZIP KMIK L OWNER/ ADDRESS: S53S CITY�- TENANT PHONE: Z3' .'S7�-• /.�� CONTRACTOR NAME: STATE LICENSE # 1Z IPM EXP DATE 2 3 d / CITY �» �� C ado? STATE�%ZIP'S_%j SUBMIT A COPY OF YOUR STATE ADDRESS:W?;z Lb SO , ,&E ISL+F LICENSE WITH PHONE FAX APPLICATION PERMIT TYPE XSINGLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE TYPE OF WORK: 0 NEW P REPLACEMENT DETAILED DESCRIPTION OF WORK Tse ��✓ h w PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) WATER PIPING BATH SINK/LAV FLOOR DRAINS _SHOWER WATER SOFTNER ($35) — BATHTUB X_ GAS PIPING crrrUcENsE) _ SWIMMING POOL _ CLOTHES WASHER �C KITCHEN SINK _ WATER CLOSET _BACKFLOW PREY. ($IS) W DISHWASHER _ LAUNDRY TRAY _WATER HEATER ($35)— FOR IRRIGATION OTHER METER (' '.. �a FIRM ,yWATER s. h Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $35.00 x $35.00 = $ TOTAL DUE $ State Surcharge= $-7,--0 .50 Total = $�� THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED ply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in e with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is t 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 Lpermit an in the case of w which uire eviewapproval of plans. ,-i !S DATEdk�Kilu'x OF APPLICANPRINT NAME1'"� r City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building Inspections 763-572-3604 DATE (.? r SITE ADDRESS _h THIS APPLICANT IS: PROPERTY OWNER/ TENANT 1z CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION CITY OF FRIDLEY YOUR E-MAIL ADDRESS p OWNER *ONTRACTOR Permit Received By; ADDRESS:CITY STATE ZIP P14ONE•5-71-1,393— COMPANY 7/-/,3933 COMPANY NAME:_ CONTACT PERSON: STATE LICENSEE #gyp L E�XPP DATE ADDRESS: ad1 [li al ✓I S T�i—,�� r --CITY M PHONE 25 FAXIk3 PERMT TYPE O SINGLE FAMILY E3 TWO FAMILY O TOWNHOUSE D NEW )(REPLACEMENT TYPE OF WORK: 13ALTERATION/REMODEL )ETAILED DESCRIPTION OF WORK 6 L� 1Md r AG2� Ssy3 PER MS 1613.665 the permit fee is a minimum of S-15.00 or, of the total cost up to, S500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should i-eflecLonly- 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'. FDCTURES: ICATE TOTAL NUMBER OF EACH BELOW)MFG: MODEL: I.Oa SIZEIBTU Equipment Installed _ SIZFJBTU MFG: MODEL: • MFG: MODEL: SIZEIBTU FIREPLACE (GAS) $15.00. _GAS RANGE/OVEN $10.00 J,A/C $25.00 GEW GAS GRILL. $10.00 AIR TO AIR EXCHANGEER $15 _TFIREPLACE (WOOD)"$35.00 _GAS UNIT HTR $10.00 BOILER $35.00 _FURNACE $35.00 CHIMNEY LINER $10.00 GAS DRYER $10.00 _POOL HEATER $35.00 DUCT WORK $10.00 GAS PIPING $10.00 VENT'II,ATOR $15.00 '.'+�4'•�'� Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $25.00 1 x $25.00 = $ 2S •0 Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 Total = $ ?—S -51t:' 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 confo• mance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not &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 w w ich req ' review and approval of p] SIGNATURE OF APPLICANT PRINT NAME ✓' S DATE G _ ( 0 City of Fridley 3uilding Inspections. Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT " RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid feel 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. jMC. 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 3� 4. Heat loss & cboling load per room a. Requirecl'.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: Center point Energy Mechanical Code Guidelines software may be used for combustion and make up air calculations Building MECHANICAL Permit No. Inspections RESIDENTIAL APPLICATION Received By 763-572-3604 CITY OF FR.IDLEY Da 'dAUG 2' 9 20 DATE 0% Z15 j GZ C011� YOUR E-MAIL ADDRESS SITE ADDRESS `��Js y THIS APPLICANT IS: ❑ OWNER N.CONTRACTOR PROPERTY NAME: Ce,.Y- ^e_a10 ISOLVIL4J —e— ADDRESS: 5_z3s ! .1 CITY "-a STATE YM6 C OWNER/ TENANT PHONE: 'ilii. - s—1 ® 4 ® -3 F3 CONTRACTOR COMPANY NAME: CE 9TERPOINT ENERGY CONTACT PERSON: JOANN 7INKEN SUBMIT A COPY OF YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH ADDRESS: 9320 EVERGREEN BLVD STE BITY "COON''RAPIDS sTATEMN zIP55433 APPLICATION PHONE 763 — 757 -- 6202 FAX 763---757--6701 PERMIT TYPE 'SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW PLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK nci t i eNy-t Q lr 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: 0.1rV- ® £ MODEL: a4 Af't,15;- O73(,, SIZEIBTU� MFG: MODEL: SIZEBTU MFG: MODEL: SIZEBTU A/C $25.00 FIREPLACE (GAS) $15.00 _GAS RANGE/OVEN $10.00 TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 _AIR $35.00 FURNACE $35.00 _GAS UNIT HTR $10.00 _BOILER CHIMNEY LINER $10.00 DRYER $10.00 _POOL HEATER $35.00 _GAS WORK $10.00 _GAS PIPING $10.00 _VENTILATOR $15.00 _DUCT PERMIT FEE PROJECTS FOR UNDER $500 : PERMIT FEE FOR PROJECTS OVER $500': Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $25.00 k x $25.00 = $ a?5'•CJ� Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 Total = $ QS, SO 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. p J E'\ SIGNATURE OFAPPLICANT 1 [N1 NAME ROGER HOFFHEIN DATE PLEASE NOTE: SEPARATE PERMITS ARE REQUIRED FOR BUILDING, ELECTRICAL AND MECHANICAL WORK ' City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 City of Fridley Residential Mechanical Application Page 2 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC 0 NEW HOMESDDITIONS ; /AEXISTING HOME 0 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. Building BUILDING Permit No.:o Inspections RESIDENTIAL APPLICATION Received By:, 763-572-3604 CITY OF FRIDLEY DatR@NdN0V 3 763-502-4977 FAX $ EFFECTIVE 8-19-09 Surcharge DATE ! " � _09 / - YOUR E- AIL ADDRESSs' 5k'1,-' c1 1nJKA Conn SITE ADDRESS 5 �� S- h/ ai1I '-&- `� 0� , %E �f r -j tuo THIS APPLICANT IS: ❑ OWNER ONT//RACTOR $ PROPERTY OWNER/ NAME: &-/* S Cyl✓ // A z Curb Cut Escrow TENANT ADDRESS: .iF3s- A/ 6e ®G�/1� CITY ?.P (� SiSTATE ZIP 533 Erosion Control PHONE: 6, a /% $ C2 CONTRACTOR NAME: V0G✓C�t $ SUBMIT A COPY OF STATE LICENSE # EXP DATE YOUR STATE LICENSE AND CERTIFICATE OF ADDRESS: lot y 4,Yl: e". CITY LIC STATE/4&ZIP S_ J --01q INSURANCE PHONE 61,?'CIFAX i'f - �� _Y0 PROPERTY TYPE INGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH )K'ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAIINTENANCEIREP,+A�IR MODFLINGG e ` ,/ it Am L 'aL DESCRIBE WORK BEING DONE: r— �' le�r , / C� ll 6cl u S SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING P HOUSE ONLY NUMBER OF SQUARES OUSE & GARAGE BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan GARAGES TTACHED 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: SING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ 30A to OCCUPANCY TYPE Permit Fee $ -1, See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ r -j tuo $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 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 $ �(� e '� Make checks payable to: City of Fridley Attach Stipulations 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 M2 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 Awork which uires review and approval of plans y/ // ` e SIGNATURE OF APPLICANT 41 PRINT NAME f!9 "5 Ae `� DATE r! d —®