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PRE 2010 DOCSCity of Fridley susdEcr PERMIT NO. � 14939 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. _.-_ COMMUNITY DEVELOPMENT DIV. ' r PROTECTIVE INSPECTION SEC. 1 3� 7 7� ; i /� ��"",•� CITY HALL FRIDLEY 55432 NUMBER REV. DATE , PAGE OF APPROVED BY --_- L 612-560-3450 910-F15 10/3/78 JOB ADDRESS 5555 West Danube 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11 2 Innsbruck North 2nd Addn. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Daily Homes 8510 Central Ave. 784-3910 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. LIT WAIRNIN 5 ENGINEER MAILADDRESS ZIP callLICEN E Befoe gOgE ng Iota1Rie 6 USE OF BUILDING Home - house garageFQ1y 7 CLASS OF WORK C,R NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Ho - Sq. Ft. 2248 Cu Ft. 46,976 Garage 32 X 26, 8' high Sq. Ft. 808 Cu. Ft. 8080 9 CHANGE QF USE FROM `CPERATO TE ®E STIPULATIONS ATING, PLIJM131NG AND SIGNS. Provide combustion air to furnace Verifying survey by Nov. 1, 1978 Hard surfaced driveway.& sod in front side yards SEWER LOCATION: (.Approx. 9' Deep In Street) 9' S. of M.H. (Inv. 954.49) WYE ELEV: 954.51 TOP OF FOOTING: 958.00 Minimum WATER LOCATION: 5' S. of Sewer Serivice Driveway opening:1 �Vr A)IEe7deD, 1A Clay RdDLEV DOES NOT GUARANTEE: THE ACCURACY OF UTILITY LOCATIONS AND ELEVATIONS. .. THIS DATA IS FOR INFORMATION .PUPPOSES ONLY AND PERSONS USING IT SHOULD VERIFY THE INFORMATION ON THE SITE. 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 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. $78,100 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT39.05 DOES NOT PRESUME TO GIVE AUTHORITY,JO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY H R STATE O AL LAW REGULATING CON- 220.22 400.00 STRUCT T ERF RMA CE C STRUCTION. PLAN CHECK FEE TOTAL FEE 5.5.06 $714-33. SIG A EOF CORtq19=5PbR AUTHORIZED AGENT (DAT) W N PERLY VALIDATED THIS IS YOUR PER ITIS` p a SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) - BLDG INSP DATE CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PEWITS (NEW, ALTL"-RATIONS, ADDITIONS, OR REPAIRS) OWNER: Address: s MILDER: �('3-L , �evyj�e� Address.- Tel. ddress:Tel. No. :226K^3` 10 Street: ",01S+ Q%AevVio�- LOT: BLOCK: ADDITION: CORNER LOT: IIISIDE TAT: SETBACK: SIDEXARDS: Applicant attach 'to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. 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 for ad itional information. DATE: l ��� ?� SIGNATURE. Stipulations: -Z2Q. VL aA� 7 DESCRIPTION OF BUILDING To Be Used As: Front: 7(, Depth: Height: Square Feet: PA9 Cubic Feet: IJ4 Gueg- S -e Front: ' Depth: % Height: ' ' S- uare Feet: Cubic Feet: �d Type of Construction: Lt�aeda h��y� Estimated Cost: $ O U To Be Completed: Alt. A Alt. B. f Proposed Driveway Width If New Opening Is Desired 63 - $ $ (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 for ad itional information. DATE: l ��� ?� SIGNATURE. Stipulations: -Z2Q. VL aA� 7 d DAJ U \3 6 2v S 4006 t -g s x QS 4% - t 1 (OlnAB i 10 q Ox = I r),g84 cA.4- 0. 240T)� 2 ,01` ZZ q43 if 2WL %ijfy WOW EXTERIOR ENV LOPE AVERAGE "U" COMPUTATIONS (to be submitted with building permit applications) One or two family dwelling.- Contractor f)n All other construction Site Address Date —Phone Other O&,_* 4LI LINEAL FT. OF EXPOSED WALL X FT. ABOVE MADE m 2 4 L TOTAL EXPOSED WALL AREA SQ. FT. OPAQUE WALL CONSTRUCTION: EAStx W-PrLL— Detail )EE 8L M_ r Aj?P4 reference from OP LJ ALI attached A, M F PC sheets Ej Qe_ W A-1-4— _r_R d Filw�WtcL 010 RUN" 0,SM_*717 WINDOWS: Make & type It 91 tt 1t DOORS: )%ke & type WO "U"VALUE SQ. F (U) (A) ,6(,a X m4 LL I X )51 9. 94 X X �a 4,i.j ta, x X 6s X )-'73 _J62 X 19 6 R X .1 _71 X AQ X -3,Q I+q X 1,063 X a3, X X X X g. X X X Vented tij t Beat flow s up r L - It ..- TYPICAL WALL SECTION "Rn •. _ ' d 1. Interior Air Film-- Wallboard t �' 2. Interior 3. Insulation z 0� u 4. Exterior Shea thin 8 '$ 5. ExteriorSiding 6, Exterior Air Film Total rb-' STUD & HEADER AREA t` Total Area No. "R° 00 �`3 Less Insulation l i Plus 3�" Softwood R Total -L--v RIM JOIST AREA > 1 Interior Air Film 06 - 2. Insulation ^j` �- 3 1V Softwood 4. Exterior Sheathing - .Dim r�", Exterior Siding 6. Exterior Air Film _ Totals, IU = FOUNDATION WALL AREA 1. Interior Air Film k f 2. Insulation 3, Insulation (Block) T. a 1 R 4. Extprior Air Film _ -�•-.aS N ' R g Total --2---'U ROOF/CEILING AREA` ... ` 1. Interior Air. Film - }. 2. Interior Wallboard_ 3 Insulation � 4. Exterior Air Film ^ �.�r: 1 r r (Still) ' Total '� :..0 =` ! t G, f CL'o RA 1,6 (3) Fz s LvOkr MA dn,-� P,�� .A -;7 s�//x 3�z35 r -z® i = V® 3 6� v 40 6,5-9=#1,)i I X ib Lq = J� aAl 3 X 31 -LD f )x �1-�-Z.- 1- g 1� 3 6� v 40 tl 1�DL4 C' z!S-L�— /®/® Z!g %73!�- 6,5-9=#1,)i I X ib Lq = J� aAl 3 X 31 -LD f )x �1-�-Z.- 1 k liz.l(- z -l( tl 1�DL4 C' z!S-L�— /®/® Z!g %73!�- CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PEWIT .PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE Numb"er Fixtures x $3.00 Future Fixture Opening x $2.00 New Fixture, Old Opening X 0 Catch Basin Water $5.00 Water Heater - to 99,000 BTU _� x $5.00 100,000 BTU to 199,000 BTU x $10.00 Water Softener yQ�y $7.00 M 41 Id 14 $5.00 w � $5.00 Beater N q w U8 � Lt 9 +1 .0 [ $ U •9 O .01 U G�1 � 0 el v n q c9 � o w° ai r. u w 4-9 8 � � o as lec 1st 2nd 3rd 4th (R) = Future Connection Opening Connected with Sewer � (*) = New Fixture, old Opening Watery .PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE Numb"er Fixtures x $3.00 Future Fixture Opening x $2.00 New Fixture, Old Opening X $2.00 Catch Basin x $5.00 Water Heater - to 99,000 BTU _� x $5.00 100,000 BTU to 199,000 BTU x $10.00 Water Softener x $7.00 New Ground Run Old Building x $5.00 Electric Water Heater x $5.00 GAS FITTING FEES: 1st 3 fixtures ��_ x Additional Fixtures Gas Range to 199,000 BTU x $10.00 REPAIRS & ALTERATIONS First $100.00 $5.00 each add. $100.00 or fraction $2.00 State Surcharge TOTAL FEE REINSPECTION FEE ($10.00) S $ .50 Job Address ��, e CU. D B+ It G? G ;ff 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. 197 OWNER KIND OF BUILDING USED AS 5; TO BE COMPLETED ABOUT `�/ a-7 ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO., Company 1, t5 iZ 6 l°��►� + L Signed By Tel. No. 'z- 's ROUGH INSP. Date � e ' FINAL INSP. o Date APPROVAL FOR PERMIT 1 MINIMUM FEE FOR ANY PLUMBING PERMIT I8 $7.SO V= $.SO STMg SUMMUM CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING VENTILATION► REFRIGERATION AND .AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE t __ GRAVITY WARM AIR: RATE TOTAL Job Address Furnace Shell & Duct Work Replacement of Furnace Repairs & Alterations -up to $500.00 Repairs & Alterations each add. $500.00 MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTU each add. 50,000 BTU Replacement of Furnace Repairs & Alterations -up to $500.00 Repairs & Alterations each add. $500.00 STEAM OR HOT WATER SYSTEM: Boiler & Lines up to 100,000 BTU each addn. 50,000 BTU Boiler only up to 100,000 BTU each addn. 50,000 BTU OIL BURNER- to 3 gal. per hour each add. 3 gal. per hour GAS BURNER- from 100,000 BTU to 199,999 BTU (over 199,999 BTU see Fee Schedule) GAS FITTING FEES: $12.00 $ 7.00 $ 7.00 $ 4.00 $ $12.00 $-�% 4.00 $ 7.00 $ 7.00 $ 4.00 $ $12.00 $ 4.00 $ 7.00 $ 6.00 $ $10.00 10.00 $10.00 1st 3 Fixtures x $ 3.00 Additional Fixtures x $ 1.00 Gas Range to 199,000 BTU x $10.00 AIR CONDITIONING I r FAN HEATING SYSTEMS See Fee Schedule VENTILATING SYSTEMS ALTERATIONS & REPAIRS State Surcharge TOTAL FEE ROUGH INSP. REINSPECTION FEE Date ($10.00) FINAL INSP. Date APPROVAL FOR PERMIT a Ll MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE 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. OWNER KIND C USED P. TO BE I 1,-- _ -7 ESTIMATED COST p/ OLD - NEW BUILDING PERMIT NO. , PERMIT NO. /� DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Aires No. 9 Trade Name��rav, e4�� Size No. 1 Capacity / Sq. Ft. EDR BTU L 4)HP Total Connected Loads 4��.:Yyo Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP a Company Signed B '.• Y 6 Tel. No. /6P Ef y March 20, 1979 w 6431 UNIVERSITY AVENUE N.E.. FRIDLEY, MINNESOTA 55432 TELEPHONE ( 612)571.3450 Mr. Howard Thorson Dailey homes 8510 Central Avenue N.E. Minneapolis, MN 55434 Re: Final Inspection at 5555 West Danube Road N.E. Dear Mr. Thorson: A final inspection was made on March 7, 1979 of the above structure and the following items were noted which must be completed before the work can be f inaled out; 1. Provide City with copy of th.e verifying survey by April 3, 1979. 2. Post house numbers on structure by April 3, 1979. 3. Complete firewall in garage by April 3, 1979. 4. Provide closer on door between house and garage by -April 3, 1979. 5. Provide drainage for walkout basement door by May 1, 1979. 6. Do not use front lower level rooms for sleeping. 7. Provide sod in the front and side yards by June 15, 1979. 8. Complete the garage by June 15, 1979. 9. Provide a hard surface driveway by June 15, 1979. We will expect the above items to be completed by the scheduled dates when reinspections will be made to determine compliance. If you have any questions on these items•, please contact me at 571-3450. Sincerely, DARREL G. CLARK Chief Building Official DGC/mh 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 TELEPHONE ( 612)571-3460 April 6, 1979 4 Q_~4 n5 �r J:. Mr. Howard Thorson Dailey Homes 8510 Central Avenue N.E. Minneapolis, MN 55434 Re: 5555 West Danube Road N.E. Dear Mr. Thorson: In a letter written to you dated March. 20, 1979, we listed eight items that were not completed at the time of the final inspection on the home located at 5555 West Danube Road N.E. Four of the eight items were to be done by April 3, 1979; only one has been completed. The other three, providing the City with a verifying survey, completion of the fire wall between the house and garage, and the installation of a closer on the door between the house and garage are still not completed. Would you please complete the three incomplete items by April 18, 1979. Just to refresh your memory on the other four items, they were; 1. Provide drainage for the walkout basement door by May 1, 1979. 2. Complete the garage by June 15, 1979. 3. Sod the front and side yards by June 15, 1979. 4. Provide a hard surface driveway by June 15, 1979. Your cooperation in meeting these dates will be appreciated. Sincerely, DARREL G. CLARK Chief Building Official DGC/mh P IT NO. 15918. SUBJECT City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT r R i • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 ; � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 9/8/80 JOB ADDRESS 5555 West Danube Road N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. I ] 2 Innsbruck North 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE IM Virgil Lindstrom 5555 West Danube Road 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Leo Sanders 7813 Jackson Street - 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ - ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install drain file 9 CHANGE OF USE FROM TO STIPULATIONS Electrical extension cords can not he used as part of the power source to the pump. F..©R W'Rii' REQ SIRE® PERMITS SEFERPI�E SIGNS. �Q elUMBING HE �,1jNG. 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 $3,000 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1.50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS ANY OTHER STATE OR LOCAL LAW REGULATING CON- S RUCTION THE PERFORM CE OF CONSTR ION. $18.00 PLAN CHECK FEE TOTALFEE $19.50 SIGNATOR F ONTRA P, '0RIZED GENT (DATE) WHEN PROPERLY V IDATED THIS IS OUR PERMIT BLDG )NSP DATE SIGNATUREOF OWNER(IF OWNER BUILDER) (DATE) P IT NO. 15918. CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) a 8 OWNER: ADDRESS: TEL NO: BUILDER: TEL Id0: Cnnstrurtinn P nratinn STREET NO: STREET: !`k C LOT: J/ 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: Squaue.Feet: Depth: Cubic Feet: Height: Front: Depth: Height: Square - Feet: Cubic Feet: Type of Construction: %r6 s Estimated Cost: $c.Z.®®O . Th Be Completed: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET Mie 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 aXp true and correct. - DATE : orrect._ DATE: e e /980 SIGNATURE: Stipulations: 01 SUBJECT P�RM1.T_N.Q City of Fridley ,� 6 AT THE TOP OF THE TWINS BUILDING PERMIT f COMMUNITY DEVELOPMENT DIV. v PROTECTIVE INSPECTION SEC. r CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 5/2/96 JOB ADDRESS 5555 West Danube Rd NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DEscR. 11 1 2 1 Innsbruck North 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Virg Lindstrom 5555 West Danube Road 574-1435 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. PReferred Home Improvement 3601 85 Ave N #B Brooklyn Park 55443 6641 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 424-2550 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE R 8 DESCRIBE WORK Reroof House 18 S Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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 $1,440 $.72 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- $48.50 Fire SC $1.44 STRUCTION OR THE PERFORMANCE O CONSTRUCTION PLAN CHECK FEE TOTAL FEE 6rA*� � a 9� License SC $5.00 $55.66 SIGNATURE OF CONTRACTOR ORA THORIZED AGENT IDATEI WHEN PROPE%rFALJDATED THIS IS YOUR PERMIT -� _1__2=& BLDG INSP MATE SIGNATURE OF OWNER OF OWNER BUILDER) (DATE) 01 NEW [ ] ADDN I l CITY OF, FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: 655 Legal Description: Owner Name & Address: 7 Contractor:' Address: 3 d% Effective 3/1/96 Tel. # `5 2Y— / y1� MN LICENSE # A 6fl Tel. # Ald A/-95�7-0 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Groun Sq. Ft. OTHER: _ � � -v —,.n, ` J ) JX so, '� Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ Approx. Completion Date: S C/& (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft. = Ft x $ DATE: APPLICANT: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY Tel. # $ " P `Fee Schedule on Reverse Side $ /, y �% .001 of Permit Valuation (1/10th%) $ $.50/$1,000 Valuation $ $900 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 [] $ l y� CITY OF FRIDLEY INSPECTION DIV. 6431 University.Ave NE Fridley, MN 5532 572--3604 RATE SCHEDULE APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Residential Rate TOTAL Furnace Shell and Duct Work, Burner - Also Replacement Furnace $ 30.00 $ (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace) $10.00 $ Gas Range $10.00 $ Gas Dryer $10.00 $ *Air Conditioning - All Sizes $ 25.00 $ All Others/Repaim & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Cornmercial/! ndustrial 1.25% of Value of Appifance or Work $ State Surcharge $ .50_ TOTAL FEE$ .� 5-.� MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION ROIGERA719N/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr Effective On January 1,1997' JOB ADDRESS �D 5 SS_ 6,0 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all worts in. strict accordance with the City Codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. ,1997 ©tr1tNER S1S � 6,:). Wig'— 5` 7 V - JL/35 / BUILDING USED AS ESTIMATED COST PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name '7 (D/ ,J0 4)z Size No. BTU HP EDR Fuel Total Connected Load Burner Trade Name Size No. BTU FIP EDR C":/Lo-cb, mrd fun* ft Ffirle Camey 2700 U. Fairview Ave. Signed By R!T� MN 56T*b Approved By& Rough -In Date Final Date 'AirConditioners can not be placed in a side yard without FILLOUT BACKSIDE F_ STAC1 VERfF CATION ON-- RNA written permission from adjoining property owner. REPLAEEME14 Uc-E-- 0 m U SUBJECT P City of Fridley2 5 7 2 5 AT THE TOP OF THE TWINS BUILDING PERMIT(' P RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. ; L------; r PROTECTIVE INSPECTION SEC. °� L j CITY HALL FRIDLEY 55432 NUMBER REV DATE APPROVED BY fir'-',•� ---- 612-571-3450 910415 12/9/97 =;PAGF JOB ADDRESS 5555 West Danube Road NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11 2 Innsbruck North 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Virg Lindstrom 5555 West Danube Road NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Dailey Homes Inc 1471 91 St Ave NE, Blaine, MN 55449 784-3910 2217 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install a direct vent fireplace - INSTALL windows on either side of fireplace 9 CHANGE'OF USE FROM TO STIPULATIONS Install per manufacturer's specifications. Install smoke detectors to meet 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 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS. YPE OF WORK WILL BE COMPLIED $7,500 $3.75 WITH WHETHER SPECIFIED HERE) NOT. THE GRANT G OF A PERMIT DOES NOT PRESUME TO GIV ORITY TO VIOLA OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTT STAT OR LOCA LA REG LATING CON- $137.25 Fire SC $7.50 STRUCEH PE R ANCE OF CON RU TION. PLAN CHECK FEE TOTAL FEE 7 License SC $5.00 $153.50 SIGNATURECO TRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPERL ALIDATED THIS IS YOUR PERMIT BLD ')NSP 4ATE S,GNATURE OF OWNER OF OWNER BUILDER) IDATEI/ NEW j ADDN [ J ALTER [ J ConstructionAddress Legal Description: CITY OF FRIDLEY SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Owner Name & Address] Contractor: Address: 1`171— a /,4-7 a /l � Tel. # Effective 1/l/97 MN LICENSE #__a--) / 7 %'e-4 Tel. # 7�7 ?/ 0 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVE`7G AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type:/ Estimated Cost: $ ��vy Oe'e (F e Schedule on Back) Driveway Curb Cut .Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE:.Z'/:��7 APPLICANT: Tel. Permit Fee 7.ire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow .-rosion Control lark Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY i $_/ _3 9. Fee Schedule on Reverse Side $ '%• ,Q .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $ $950 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 [ ] 163. el CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1997 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS SSS S '_D A N vi 6 , RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner - rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30.00 $ representations stated in this application are true and correct. (Side Vent - Fill Out Back) / `2 /,, 7 ,1997 Gas Piping (Needed with new furnace) $10.00 $ -7 Y ' 7Y P, 6-e- k � e OWNER L �,✓y cf S pa3 S 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 $10.00 $ $10.00 $ $ 25.00 $ $ State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOUNG/VENTILATIi REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. $ .50 BUILDING USED AS ESTIMATED COST /4-0— PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. BTU HP EDR Fuel Total Connected Load Burner Trade Name Size No. BTU HP EDR HEATING COMPANY'1.-- Signed B� 0 Tel No. 41_3V -0,0,o0 Approved By Rough -In Date Final Date FILLOUT BACK SIDE F R STACK VERIFICATION ON REPLACEMENT FURNACE List ALTERATIONS Being Done: HEATING CO..: Signed By: Date: CEMANEY AND STACK VERIFICATION The undersigned hereby verifies that the. existing chimney or stack: 1. Has been carefully examined Yes () No ( ) 2. Is free from rust or deterioration Yes () No ( ) 3. Has no foreign objects lodged within Yes ( ) 'No ( ) 4. Is securely supported , Yes ( ) No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes ( ) No ( ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes ( ) No ( ) 8. Has combustion air been provided for water heater Yes ( ) No ( ) Remarks: List ALTERATIONS Being Done: HEATING CO..: Signed By: Date: f.`' V_._ - -�•!!, 1.5y.-,�,,. 'fir, -- 4s e�I - ;r-:[sa '���sa � r^ ,.. - �. yV �• \`'. /rt f , Vs �'+' 'i..ijs•�p\ y-�r,. kldr'+ Fit" 14 � �'�Sb�7=' �5�5� a- a ��..��..��" .� $.�. . M1e � ems- ►' '.n���,.`� � ;� � � �� � .�,� � �; � },, � n•t+ a � �' 1� � 'a � � ^�' ��-�,565�,8 •" ,/ 3 ' T 9 r "asp' � .T .r •. :.. f-, py �-r .rb" ti4 ,,s .may sm-1� 1�? v' 'C �. d!> �'.i - _ .;'� r 'may � '4", •' y.. h '1 �,� � �. _ %� � � � � <� - �' � r p .. T � � �'��V`.� S.�Y �= �� F � � �5b�' ��� � ` � �+'g� � 40 �Y� �1+94� • 'q' m K��''+8 T -� _ r � � d4 s �� � R,c�15.�l�:.`� �a` a.:�. � ���-�g6�Ob '';��,�5 � ':.�VB`- ��`-'.►p��a-.... R• �„�� s c.. .. � jy � - � � ; E A moi• ,�> �-.. ` e k- T PIOU fi s .S cop! �a � � 50 � ;� .�,•w �f�d� rSC Air P8 k MIS 44 f . - ,,. _ - >. Vie,, � �"' � •: i Ott } �-. it 14 ��' .'i�r �� pee -,.. j _�k _ '8Ob J►�,y ..'r ,- ,d-. - i - I/� . !&i :' .' 3 .2 �.. µY z �.+ ear •-1'�' -1 [ .F ��5. 41 "�,•�'� - r I i A 15 .rye az a i� ' �' � ;n. v '�t«u.. `7�'*iw."�.,'�� ��.�- �-. �"^.i� - •�.'F!� F'�' vt� :,•. - "�..�, ` .. � '- r � �` :, -,« t � 3s-'. - .�"' &�'�"• a+`'� vs.<�,�s � �u - �. z..- gam. rYy �s.,,.�•!'a .� a 1 .: � ,.. '�.,. :U. � ,.. .r, ,<>_`---�j :- ..�. x.��� "" 3's.�a.; .�gym R,�-v� ,�-u4�, ...s � ty� �'+�+e,�s'`^a� ��3�'^"�` �^�'y'�4' �. �. . ...� '3"' e'€r:' _. - ,a _. , �� ";� V •f"'v.,7°h .-n .. .�.1 :s:,�rt-ia:�s:,*�-.. r �: :i�,,.s'�msx,., �.�ia ti,�«. ��n..K: ,.CITY OF FRIDLEY INSPECTION DIV. ! 6431 University Ave NE ` Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On January 1, 1999 PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin - - Catch Basin Rain Water Leader Sump/Receiving Tank NO. RATE TOTAL JOB ADDRESS 5Y,5—, kl ZWO13,�: A3), Water Treating Appliance Water Heater —Electric Water Heater — Gas** Gas Range** Gas Dryer** Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL FEE The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work In strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this applic?tion are true and correct. .1999 f MR. ROOTER OF ANOKA COUN Owner6200 hidustrY 21- o 4/ND57ok'O/'j Building Us Sey, MN 55303 42V6140 Estimated 01"6198 -FAX PERIUII`f IVO: 1QS3 PLUMBING COMPANY SIGNED BY TEL N0. • l�l� i fig/ _ Approved By Rough—In Date Final Date $ .50 $ PLUS THE $.50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SO INCHES. CIIYOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (612) 571-3450 - FAX (612) 571-1287 October 9, 2000 Virgil W. Lindstrom 5555 West Danube Road NE Fridley, MN 55432 Re: Final Inspection at 5555 West Danube Road NE Contractor: Mr. Rooter of Anoka Co. Dear Mr. Lindstrom: A plumbing permit was issued on April 8, 1999, for the above noted,address, to install a water treating appliance. According to section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the plumbing authorized by this permit. As of this date no inspection has been called for. You will be given thirty (30) days from receipt of this notice to respond. If we do not hear from you, we will expire the permit and any inspections on this installation will require a new permit. Any questions can be addressed to myself at (763) 572-3603. Sincerely, DAVEJENSEN Building Inspector • - - SUBJECT -- - PE City of Fridley 29949 AT THE TOP OF THE TWINS BUILDING PERMIT B • _____ COMMUNITY DEVELOPMENT DIV. �; - r � � PROTECTIVE INSPECTION SEC. °/// 740 1 , NUMBED REV DATE PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 612-571-3450 910-F15 7/28/99 JOB ADDRESS 5555 West Danube Road NE I LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 11 2 Innsbruck North 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Virg Lindstrom 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Dailey Homes Inc. 1471 91st Ave - 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 XM REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Replace footings and posts for existing deck 9 CHANGEOFUSEFROM TO STIPULATIONS See stipulations on plan 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 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $500 $.50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHAR PROVISIONS OF ANY OTHER TE OR LOCAL LAW REGULATING CON- THE PERFO A CE OF CONSTRUCTION $23.50 Fire $.50 A Y7; PLAN CHECK F TOTAL E Lice S $5.0 2 . 0 OFCON"RACTOQORAUTHORiZEDAGENT iDATEj EN ROPE LIDATE 9WIS IS YOUR P IT 1 r S-GNATURE OF OWNERoF OWNER SU4DERi sOATE, •" gL;NSP PATE NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name &Address: L _N,. p,.—I. Tel. # Contractor: �j a , L c,, �; MN LICENSE # d a 17 Address: 1 ci r -S-� A atAV Tel. # -N,-`? Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: Estimated Cost: $J �^ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: _ — ®� APPLICANT: -3P,) , spa Tel. TOTAL STIPULATIONS: $ 02 �• Sv CITY USE ONLY Permit Fee $ 3, SU Fee Schedule on Reverse Side Fire Surcharge $ • 56 .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $a $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: $ 02 �• Sv CITY OF FRIDLEY PERIVIIT NO.: 2004-01031 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 07/02/2004 5"/L -36U4 YAX: (7b3) 5 71-125 7 ADDRESS : 5555 W DANUBE RD NE PIN : 243024420085 LEGAL DESC : INNSBRUCK NORTH 2ND ADD LOT 11 BLOCK 2 PERMIT TYPE ELECTRICAL PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ADDITION/ALTERATION VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. # INSPECTIONS 1 APPLICANT SOUTH SIDE ELECTRIC INC 9201 E BLOOMINGTON FRWY STE H BLOOMINGTON, MN 55420-3494 C6]:'h( 01:7 LINDSTROM VIRGIL W & KAREN 5555 W DANUBE RD NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wort will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp Date ELEC PERMIT FEE - MIN (RESI) 20.00 STATE SURCHARGE, ELEC FLAT 0.50 TOTAL 20.50 PAID WITH CHECK # 203054 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. =.I ' CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-3604 FAX: (763) 571-1287 PERMIT NO.: 2004-02279 DATE ISSUED: 12/14/2004 ADDRESS : 5555 W DANUBE RD NE PIN : 243024420085 LEGAL DESC : INNSBRUCK NORTH 2ND ADD : LOT 11 BLOCK 2 PERMIT TYPE : PLUMBING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION : $ 0.00 NOTE: COMBUSTION AIR SHALL BE PROVIDED PER UMC CHAPTER 6 AND TABLE 6-A # ELEC WATER HEATERS 0 VALUE OF FIXTURE/APPLIANCE # NEW FIXTURES (EXIST OPENINGS) 0 # GAS WATER HEATERS # GAS DRYERS 0 # GAS RANGES # OF NEW FIXTURES 0 VALUE (FOR MINIMUM CALC) # WATER TRMT APPLIANCES 0 APPLICANT NORBLOM PLUMBING CO 2905 GARFIELD AVE S MINNEAPOLIS, MN 55408-2173 (612)827-4033 5 ONL C RAMMER ELIZABETH 5555 W DANUBE RD NE FRIDLEY, MN 55432 PLBG PERMIT MINIMUM FEE PLBG FIXTURES (NEW OPENINGS) PLBG FIXTURES (EXIST OPENINGS) WATER TREATMENT APPLIANCE WATER HEATER - ELEC WATER HEATER - GAS GAS RANGE FEE GAS DRYER FEE PLBG REPAIR ALTERATIONS STATE SURCHARGE, PLBG FLAT TOTAL PAID WITH CHECK # 29610 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating conshruction or the performance of construction. 6 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 0 1 0 300 0.00 0.00 0.00 0.00 0.00 35.00 0.00 0.00 0.00 0.50 35.50 CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 (763) 572-3604, FAX (763) 571-1287 Effective April 1, 2004 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT Winn Numvr-m ur NA I UKLb I U tit INS IALLED ON EACH FLOOR TOTAL JOB ADDRESS Q abS ow New Fixtures Wash :...,: :..::.• :<:;.::;:;.: G S z=: Water Heater UrinalS hooverraDrain MFloor:.•:..:.....:.Auto.a�; . Washer � Ran a �=< Gas Elec Basement ........... ................. ... Water Leader .,..__.. FI oor1 RAMMER, ELIZABETH I (/.30Rain 5555 WEST DANUBE ROAD, 20� Sump/Receiving Tank $10.00 FRIDLEY, MN 55432 Water Treating Appliance $35.00 OWNER (763) 502-0040 Water Heater -Electric $35.00 Water Heater - Gas** �® $35.00 Floor 2 ,,/ BUILDING USED AS K4,S 0) eMcC_ Gas Range** $10.00 Gas Dryer** $10.00 Floor 3 ESTIMATED COST qo LlPERMIT NO. Back Flow Preventer Required ( )Yes () No Type $15.00 Floor 4 PLUMBING COMPANY O C \k awW ,", 1pr Reinspection Fee $50.00/Hr SIGNED BY TEL N0. A-12) 927- 5lo33 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS PLUMBING FIXTURE RATES: NO. RATE - TOTAL JOB ADDRESS Q abS ow New Fixtures $10.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $10.00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $10.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $10.00 and representations stated in this application are true and correct. Catch Basin Water Leader $10.00 RAMMER, ELIZABETH I (/.30Rain 5555 WEST DANUBE ROAD, 20� Sump/Receiving Tank $10.00 FRIDLEY, MN 55432 Water Treating Appliance $35.00 OWNER (763) 502-0040 Water Heater -Electric $35.00 Water Heater - Gas** �® $35.00 3s va ,,/ BUILDING USED AS K4,S 0) eMcC_ Gas Range** $10.00 Gas Dryer** $10.00 ESTIMATED COST qo LlPERMIT NO. Back Flow Preventer Required ( )Yes () No Type $15.00 PLUMBING COMPANY O C \k awW ,", 1pr Reinspection Fee $50.00/Hr SIGNED BY TEL N0. A-12) 927- 5lo33 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.25% of Value of Fixture or Appliance Approved By Rough -In Date Final Date State Surcharge $ __60 TOTAL FEE �S• MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 or 5% OF COST $ OF THE IMPROVEMENT WHICHEVER IS GREATER PLUS THE SURCHARGE. 4. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. **PROVIDE COMMON VENT INFO ON BACK SIDE FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furnace, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes ( ) No( ) When required to Install a new combustion air,it will be sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This, does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes () No ( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input _ Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height _ Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date : CITY OF FRIDLEY BUILDING INSPECTION j Effective 4/1/2004 6431 University Ave NE - - Fridley, MN 55432 - APPLICATION FOR -POWER PLANTS -AND HEATING, COOLING, VENTILATION -- REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES 763-572-3604 FA 63-571-1287 JOB ADDRESS -.: - RATE -SCHEDULE Fee Toa Residential': Owner Furnace Shell and Duct Work,.Bumer also Replacement Furnace r $35.60 $ -Building Used As ' Gas Piping (New Furriace, Fireplace, Insert) ` $10.00 $ ESTIMATED COST 0 cc PERMIT NO Gas Range $10 00 : $ ` DESCRIPTION OF FURNACE AND BURNER Gas Dryer $10.00, *Air Conditioning. All Sizes - - $25.06-- All 25.00Ail Other Repairs or Alterations (List on Back) 1% ofValueof Appliance or Work " Minimum Fee $15.00 for Residential or 5% of cost of Improvement whichever is greater Commercial/Industria l/Institutiona l 1.25% of Value of Appliance or -Work (List on Back) Minimum Fee $35.00 for Commercial/industrial/Institutional $ ' # of Heating Units_ Circle One (Steam) (Hot Water) arm -Trade Name Size'No.� $ BTU 0-.0ID 'HP EDR Fuel" = " - Total Connected Load $ Bumer Trade Name Size No. BTU HP EDR State Surcharge $ v TOTAL FEE $ _5 a, REINSPECTION FEE $50.00/HOUR *Air Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to City FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE The undersigned horeby makes application for a permit for the work herein specified. agreeing to do all work in strict accordance with the City Codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. HEATING -CO Signed Tel #_%d FAX # Approved by Rough -in Date Final Date S� State Surcharge $ v TOTAL FEE $ _5 a, REINSPECTION FEE $50.00/HOUR *Air Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to City FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE The undersigned horeby makes application for a permit for the work herein specified. agreeing to do all work in strict accordance with the City Codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. HEATING -CO Signed Tel #_%d FAX # Approved by Rough -in Date Final Date FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT. VENT CONNECTOR AND COMBUSTION_ AIR VERIFICATION When replacing an existing furnace, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes ( No( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes (� -No ( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No (� When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes No ( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes No( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input �� �Ean Assisted o2:�_T__ Appliance #2 Type l,� BTU Input 0 0 Fan Assisted o Appliance #3 Type BTU ­Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height _ �8 Diameter y inches Appliance #1 Vent Connector Height _,3_ft Length 3 ft Diameter �_in Type <54A65- 6 Appliance #2 Vent Connector Height 3 ft Length _ft Diameter min Type e-l.,ts e_ Appliance#3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO:t® 2-�-C_7VA5 Signed By: Date:. /2'1 Building BUILDING Permit No.: �7- �- Inspections RESIDENTIAL APPLICATION Received By 763-572-3604 CITY OF FRIDLEY Date Ree 'd: 6A4 - DAT: SITE S- i SS Gv� THIS APPLICANT IS: ❑ OWNER YOUR E-MAIL ADDRESS �m0"6 4e_, fC4 /," . PROPERTY OWNER/ NAME: Z .'Z - TENANT ADDRESS: S" S S P �c�v+u+%2 CITY ��' 8 �°% STATA6! IP PHONE: 26 3— y®l-'�' -O ® o CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PROPERTY TYPE PERMIT TYPE TYPE OF WORK: NAME: a4iZL C/2�4h STATE LICENSE # p��l 3 EXP DATE 31 0-7 ^ 7 ADDRESS: S )-?, // VE- J"A'�-A CITY d1'1�LS STATEW? F T PHE (o {::� — G SINGLE FAMILY/N ❑ TWO FAMILY/NEW ❑ ADDITION ❑ BASEMENT FINISH ❑ DECK ❑ NEW ❑ MAINTENANC DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT NUMBER OF SQUARES GARAGES PROPOSED SIZE: PROPOSED HEIGHT: SIDING ❑ Vinyl ❑ Aluminum ❑ Other X 2f SGL T FAX EW CONSTRUCTION CONSTRUCTION ❑ GARAGE/SHEr ❑ ROOF ❑ SIDING ❑ SWIMMING PO • IGN E/REPAIR SKIEMODELING LENGTH Zr ❑ HOUSE ONLY ❑ HOUSE & GARAGE ❑ ATTACHED GARAGE ❑ DETACHED GARAGE ❑Soffit ❑ Trim ❑ Fascia STORIES WINDOWS ❑ DRAIN TILE ❑ OTHER WIDTH Iluj'6-7cloWSlo WS /',7 ,, ' fzti e h HEIGHT T t Sq. Ft. Z / o BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan 2. Proposed floor plan 3. List of structural members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, ADDITIONS, & PORCHES_SUBMTT: 1. Site Plan/Survey showing the existing structures and proposed project. 2. Two sets of construction plans WINDOWS3. Energy Calculations IN EXISTING OPENINGS es ❑No LOCATION OF WINDOWS 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: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee $ 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 $ CT $5.00 (State Licensed Residential Contractors) SAC Charge $ $1550 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $20 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge Agreement necessary ( ) Non Necessary ( ) Total Due $ ake checks payable to: City of Fridle Attach Stipulations THIS IS AN APPL N 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 requir#36� Nypd approval of plans. SIGNATURE OF APPLICANT V/UY1A- —o PRINT NAME DATE Building PLUMBING Permit No.: - (s c 01 " Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: DATE - YOUR E-MAIL ADDRESS SITE ADDRESS 5�t555 4r et4vd e THIS APPLICANT IS: ❑ OWNER MCONTRACTOR PROPERTY NAME: rc e \\✓ ''��y1 ADDRESS: SSSS v 0 CITY ►' STATE/- 4L ZIP � OWNER/ TENANT PHONE: AA CONTRACTOR NAME: STATE LICENSE #F 60 �/// EXP DATE ��� 3 ®O L 3 1 & I STATV&q ZIP �j SUBMIT A COPY OF YOUR STATE ADDRESS: �S %2 a 9c !C i® !Y-s/e CITY / � e. rt .S- LICENSE WITH PHONE 6i2- SW -,3M FAX APPLICATION PERNIIT TYPE SINGLE FAMILY 17 TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ® REPLACEMENT DETAILS DESCRIPTI OF WORK `s 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) BATH SINK/LAV FLOOR DRAINS _ SHOWER _WATER PIPING —BATH � GAS PIPING � crrruc&YA _ SWIMMING POOL —WATER SOFTNER ($35) CLOTHES WASHERKITCHEN SINK ?c Z _ WATER CLOSET _BACKFLOW PREV. ($15) X DISHWASHER _ LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION WATER METER —OTHER e M. Number of fixtures @ $10.00 x$10.00 = $ Permit Fee $ or.�D Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $35.00 x $35.00 = $ TOTAL DUE $ State Surcharge = $ .50 Total = $ 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 o k whiff requires review d approval of plans. SIGNATURE OF APPLIC i G�9��!/ PRINT NAMES 67 ...� F 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 SITE ADDRESS y THIS APPLICANT IS: PROPERTY OWNEW TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PERWHT TYPE TYPE OP' WORK: AffCE.ANICAL Permit No.. RESiDEl`1TIAL APPLICA'T'ION Received ""y CITY OF 1'RWLEY Date 11M 1d: ` YOUR FrMAIL ADDRESS COMPANYNAME: CONTACT PERSON: STATE LICENSE Y EXP DATE nrry STATE,ZIP f, SINGLE FAMILY O J vAIO FAMILY d TOWNMUSE 0 NEW O REPLACEMENT ALTBRATIONIREMOPEL I 'DETAILED DESCRIPTION OF WORK PER MS 16B.665 the permit fee is a minimum of 515.00 or SOA of the total cost up to $500,00, whichever a cost of laboris grater. for the ) _ improvetuent, installation or replacement of a residential fixture, excluding the fixtures. (This should reflea Labor cost under $300 -1.15.00. Labor cost between 5300 to 5500 -cost of labor -/ • ��x .05 - FOR PROJECTS WHERE LABOR EXCEEDS SSW, FEES ARE BAS I -D ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. poMj FS: poiCATE TOTAL. NUMBER OF EACH BELOW) Mol)EL- _ S2EJBTIJ Epu4mea InsWkd MFG: MODEL: SIZMTU MFG: . �_ SUATU MFG: MODEL: CTAS RANGFJOYSN SI0.00 A/C W-00 FIREPLACE (GAS) 515.00 _NEW CTAS GRILL $10.00 AIR TO Ant EXCHANGBER S 15 =FIREPLACE (WOOD) $35.00 GAS UNIT HTR 510,00 _BOILER 535.00 FURNACE R S 00 POOL NEATER 535.00 CHIMNEY UNER 5(0.00 GAS DRYER S O-00 yRNnWYOR SI5.00 —DUCT WORK Sia OAS PIPING SIO -00 '� wr•� Permit Fee `S Number of fixtures @ 510.00 x $10.00 C Surcharge 0 Number of fixtures @ $15.00 x $15.00 —S TOTAL DUE S Number of fixtures @ $25.00x $25.00 = S Number of fixtures ® $35.00 T x $35.00 - S State Surcharge S�Q Total = S THIS 15 AN APPUCATION FOR A PERMIT -NOT VAUD UNTIL PROCESSE=D I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in confornance with the ordin d codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only pplication or a permit and work is not to start wlthout a it; that the work will be in accordance with the approved plan in case of w which rqopi review and a roval of City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 TAX: 763-502-4977 t7d WdZS : ZO 900E tr T 'unr 48Z T ILS£9L : 'ON XtiJ Ti a l p t a d }o 61;0: wc1 dj