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PRE 2010 DOCSSUBJECT PERMIT NO.` City of Fridley ® 14442 AT THE TOP OF THE TWINS BUILDING PERMIT, r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. L PROTECTIVE INSPECTION SEC. OfD�(�? � r I I CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVE BY - "--' 612-560-3450 910-F15 10/25/77 JOB ADDRESS 5605 West Danube Road N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE'ATTACHED DESCR. 14 2 Innsbruck North 2nd Addition SHEET - 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE, Harstad Todd Construction 2200 Silver Lake Road 636-3751. 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS LICENSE NO. SEPERATE PERMITS REQUIRED FOR WIRi"NG 6 USE OF BUILDING HEATING, PLUMBING �° Residential i ! l'! 7 CLASS OF WORK NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ 0 r jj VE 6 DESCRIBE WORK 491 x 29.5' & 2' x 22' 22' x 24' Before digging call local ut;lttle Construct a 2,111&A)BI Dwelling and a Garage MEftnt (Change in House Plans) E QUIR D ay i. 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway. Provide sod in the front and side yards. Provide a verifying survey before capping. Please note that it is the responsibility of the owner/builder to ensure proper compliance with and permit acquisition from any other public agencies that might have requirements associated with the proposed construction. Provide I-beam for rafter support in garage to replace double 2 x 12 shown on plans. Provide truss design. SEWER LOCATION: (Approx. 9' Deep In Street) 12.5',S. of Ma.nhole(Inv. 953.47) 40' East of Manhole WYE ELEV: 953.52 TOP OF FOOTING: 956.52 Minimum with 35' setback WATER LOCATION: 3' South of Sewer Service DRIVEWAY DEPRESSION COST`: N/A THE CITY OF FRIDLEY DOES NOT GUARANTEE THE- ACCUIZACY OF UTILITY LOCATIONS AND ELEVATIC=!,�"'.. THIS DATA IS FOR INFORMATION FU ,.POSES ONLY AND E►&pCPSP.I gJ� - ONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PER E FO ELECTRICAL, PLUMBING, HEATING, VENTILATING 00t41q1d5K IT&NING. Wood Frame ZONING SQ. FT. 1490 +y�52 CU. FT WORK THIS PERMIT` BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION R-1 A ,3 �/a�/9 OR IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT 'f AAAA,+1AA6 "Otal 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 GOVERNING THIS TYPE OF WORK WILL BE COMPLIED. VALUATION $�,5p�,y�740 SURTAX AND ORDINANCES WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT y� / �/7 / / p $��$22.87 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMITTEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL 'LAW REGULATING CON- STRUCTIPERFORMANCE PF TRUCT A 141..26 $375..00 �C, PLAN CHECK FEE TOTALFEE $574.45 S $35'.32' SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) E PER Y VALIDATED THIS IS YOUR PERMIT BLDG INSP ATE SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OMIER: (c,YS �� c� \ G 0 n BUILDER: Address: a ,-Le O �(/ � f� Address: Tel. No.. No.: _ Street: ow aYsi2A - (©oma cc�S !9 0 S'/ iR A 3 6 3 7- l LOT: l BLOCK: ADDITION&W-5BR V eJi CORNER LOT: INSIDE LOT: �C SETBACK: 3,5 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: Front: R Y Depth: -71-Z 6 Height: Square Feet: Cubic Feet: ` a �,' % 4 Front: Depth:cV- to Height:F Square Feet: Cubic Feet: --- Type of Construction: Com (—f vo-e Estimated Cost: To Be Completed: —�' 6 I 1 7t _ Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired 16 $ $ (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 si ;or ad iona1 ' f �mati -. i DATE: �� SIGNATU s 6 L'�au�ti^� �= Stipulations "Aa �orvre�wtwoo ri" 44141 aNy. 677f IC P- Pah-Ica a o_tF °l'`f'" AWS �d•� crJ '"''1 3• 4 0 ' ,-, EXTERIOR ENVELOPE AVERAGE --"-U" COMPUTATION OWNER" SITE ADDRESS CONTRACTOR DATE # - / — PHONE 06 .3 Determine working square footage of each. i 1. Total exposed wall area ...... sq. ft. x .17 = 2. Total roof/ceiling area ...... sq. ft. x .05 = 1 74-M Total exposed wall area above floor = a. Total wall window area ........................... i s�o b. Total door area ................................. c. Total sliding glass door area ................... d. Total fireplace wall area ........................ e. Total wall framing area (average 10%)............ f. Total net wall area above floor ................. g. Total rim joist area ............................ I Total exposed foundation area = Ste` h. Total foundation window area...................... i. Toal net foundation area above grade ............ Determine "Ut1 value of each wall segment. a./® X 111111 X b. /� X III U1 II agoc C. X 111111 S - -- d. Y X 1111U11 , 0 e. Y X 1111 11 t/ p f. /y X $fu11 e 9-- 6 X 111 U111 %J Gj _ • B� A e h.q X Dull i PP X nU" 3.....................................Total = I Z1T3V9 If item #3 is the same as, or less than item #1, you have met the intent of SBC 6006(c)2. Total exposed roof/ceiling area = Total gross roof/ceiling area = j. Total skylight area ........................ k. Total roof/ceiling framing area ............ 1. Total net insulated roof/ceiling area....... Determine "U" value for each roof/ceiling segment. 010 A X IO U $# _ J. AM oa- s k. X ►�U�� o 3.5 024 1. X "U I - S 4..................................Total If total of #4 is the same as, or less than #2, you have met the intent of SBC 6006(c)l. To utilized the total envelope system method, the values established by the sum of items #3 and #4 shall not be greater than the sum of items #1 and #2. 1. + 2. 3. + 4. r 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 October 5, 1977 ;ota-Department of Natural Resources Region Headquarters, Waters Section larner Road iul, MN 55106 n1.1.C11cion: Ronald De Harnack, Regional_Hydrologist Gentlemen: TELEPHONE ( 612)571.3450 Subject: Construction of Certain Properties in North .Innsbruck Second Addition Please be advised that the City of Fridley will issue a building permit for construction of a single family residence at: Lot 14, Block 2, Innsbruck North 2nd Addition On October 17, 1977 For your information, the plans submitted are in full accordance with the City• ordinances and regulations, therefore issuance of the building permit is re= quiredo A note has been placed on the builidng permit indicating it is the responsibility of the owner/builder to ensure .proper compliance and permit acquisition from any other public agencies -and might have requirements associ- ated with the -proposed construction. This information is passed on to you in the spirit of cooperation in attempting to allow a time period for your agency to proceed as required to satisfy your rules and.regulationso Yau very t� 1 Bu dng nspection epartment City of Fridley cc: Richard No Sobiech, Public. Works Director Nasim Mo Qureshi, City Manager Dennis Schneider, Ward Councilman Harstad-Todd Construction, 2200 Silver Lake Road, New Brighton, Mn. ��:- OF DEPARTMENT OF NATURAL RESOURCES `�(NNE54TA October 25, 1977 Keith Harstead Harstead < Todd Construction 2200 Silver Lake Road New Brighton, MN. 55112 so -7%- m 6 Metro Region Headquarters Division of Waters 1200 Warner Road St. Paul, MN. 55106. RE: INNSBRUCK NORTH 2nd. ADDITION ,SG®S U• .10QA)(J3C. Dear Mr. Harstead: The Department has received notice from the City of Fridley that a building permit for Lot 14, Block 22 Innsbruck North 2nd. Addition has been issued to you. You are hereby advised that the above referenced lot contains public waters subject to regulation under Minnesota Statute 105.42. We under- stand you are aware of this fact and therefore expect you to apply for a water resource permit prior to construction within the wetland. Failure to comply with the statute, MS 105.42, is punishable as a misdemeanor as well as being subject to civil action. The land you have available includes more than one wetland and it would be most beneficial to you and I to address all of them at the same time. I will request that the permit application be submitted within 15 days so that this problem does not drag on indefinetely. I am available for further discussion at your convenience. Yo Iry, R n dHarnack Regional Hydrologist RDH:MLM:sb enclosure / cc: Darrel Clark, City of Fridley George Jurgenson, Conservation Officer :, Rice Creek Watershed District ADMINISTRATIVE SERVICES WATERS, SOILS, AND MINERALS LANDS AND FORESTRY GAME AND FISH PARKS AND RECREATION ENFORCEMENT AND FIELD SERVICE _63N.-- A I 1925 Oakcrest Avenue Roseville, Minnesota 55113 (612) 636-7744 220 - 20th Avenue North St. Cloud, Minnesota 56301 (612) 253-3451 REPORT OF HAND AUGER BORING AND DENSITY TESTS PROJECT: /I REPORTED REPORTED TO: 'Q V PROPOSED RESIDENCE HARSTAD — TODD CONSTRUCTION 5605 WEST DANUBE 2200 SILVER LAKE ROAD FRIDLEY, MINNESOTANEW BRIGHTON, MINNESOTA 55112 GEC JOB NO: 1545 DATE: DECEMBER 5, 1977 CC: FRIDLEY BLDG. INSPECTOR HAND AUGER BORING A hand auger boring done in the rear of the proposed house indicated approximately 12' of sand fill underlying the front footing trench. The soil encountered below the sand fill appeared inorganic and was classified as a gray sand clay, with a trace of gravel (CL). FIELD DENSITY TESTS Two field density tests were conducted at the referenced site on November 22, 1977. The tests were done using the Density of Soil in Place by the Sand Cone Method procedure (ASTM D 1556). One Modified Proctor Density Test (Moisture -Density Relation of Soils using a 10 lb. Rammer and 18" Drop ASTM 1557-70) was also conducted. Relative density was then computed by dividing the field density by the Proctor density, expressed as a percentage. The results of the field density tests are as follows: DEPTH BELOW MOIST. RELATIVE TEST TEST FINISHED CONTENT PROC. DENSITY NO. DATE LOCATION GRADE _ M NO. 1 11/22 NE corner of house, 4' 4®4 1 105 frost footing trench 2 11/22 10' N. of Garage ftgs. 3/4' 9.6 1 902 & 10' E. of front of HYDROLOGY • SOIL AND FOUNDATION ENGINEERING • TEST BORINGS MATERIALS TESTING. PERCOLATION TESTING • ENGINEERING GEOLOGY • CONSTRUCTION INSPECTION r GEC Job #1545 Page 2 The results of the Proctor test are as follows: OPTIMUM MAXIMUM DRY PROCTOR MOISTURE DENSITY NUMBER SOIL DESCRIPTION CONTENT (%) cf) 1 Sand, fine to medium grained, 10.5 117.6 brown, (SP) REMARKS Based on the results of the hand auger boring and the results of the field density tests, we feel inorganic soils were removed and replaced with compacted fill. As discussed with Mr. Ron Holden of the Fridley Building Inspection Department, surficial fill soil appeared frozen and should be removed prior to the placement of footings. Footings and floor slabs should bear on frost free soils. Report Prepared By: Charles W. Bisek Under the Supervision of: Robert E. Pendergast, P.E. Minn. Reg. No. 8450 F APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE ' GRAVITY WARM AIR: RATE TOTAL Job Address Cy Furnace Shell & Duct Work $12.00 $ Replace^.ent of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Department of Buildings Repairs & Alterations each add. $500.00 4.00 $ ----- City of Fridley Tel. #571-3450 MECHANICAL WAIM AIR: The undersigned hereby makes application for a permit for the work herein Furnace Shell & Duct Work to 100,000 BTU $12.00 $ /a.00 specified agreeing to do all work in strict accordance with the City Codes each add. 50,000 BTU 4.00 $ and rulings of the Department of Buildings, and hereby declares that all the Replace=ent of Furnace 7.00 $ facts and representations stated in this application are true and correct. Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ Fridley, Minn. , 19^ ° ©(� STEAM OR IST WATER SYST51: OWNER ju Boiler & Lines up to 100,000 BTU $12.00 $ KIND OF BUILDING i- ,+P4 G each addn. 50,000 BTU 4.00 IE 6 Boiler only up to 100,000 BTU 7.00 $ USED AS - A}6 !L- each addn. 50,000 BTU 6.00 $ -3f TO BE COMPLETED ABOUT OIL BURNER- to 3 gal. per hour $10.00 $ Iff�7 each add. 3 gal. per hour 10.00 $ ESTIMATED COST GAS BURNER- from 100,000 BTU to 199099 BTU $10.00 $ Ur o OLD - NEW BUILDING PERMIT NO. PERMIT NO. (over 199,999 BTU see Fee Schedule) $ GAS FITTING FEES: 1st 3 Fixtures x $ 3.00 l $ ,(id. DESCRIPTION OF FURNACE/BUILNER Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00 $ HEATING or POWER PLANTS, Steam, Hot Water Warm Ai No. AIR CONDITIONING $%! Trade Name ����� Size No. FAINHEATINGSYSTEMS Fee Schedule VENTILATING SYSTEMS STEMS $ $ -y � Capacity ® o0o Sq. Ft. EDR BTU d 0 HP ALTERATIONS $ REPAISee SS $ __ State Surcharge $50 Total Connected Load � �-'--- Kind of Fuel TOTAL FEE $ f 5V -^--�-�� /'uL� Size No. BURNER - Trade Name ROUGH INSP.REINSPECTION FEE Capacity Sq. Ft. EDR BTU VP Date ($10.00) ($10.00) y ^ l- FINAL INSP. / Company mw' C-� � Date signed By AP2ROVAL FOR PERMIT Tel. No. y,) 706 MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE e r � 13LAP 5 X IE `N WidtA Height No. of Lineal rt. Area No. of pang of pane lights of crack N. ft. Windows and Doors—Crackage and Area Pyr HEAT LOSS CALCULATIONS Width .DEPARTMENT OF INSPECTION • miNN• Weatherstrips A. Guide No. of pane CoslatrNo. uulation Insulation Windows _ Doors Reference Out. Wall Lot. Wall Ceiling Roof Floor Kind How Applied Yeses— o I e� s—Ro 19_ ► `- DO Fl ),r `,, ),yL J/Room I Length Width -A Height FlI Room I Length Width Height �. P 5 X IE `N WidtA Height No. of Lineal rt. Area No. of pang of pane lights of crack N. ft. Windows and Doors—Crackage and Area Pyr Exp. wall',', Width Height No. of Lineal It. Area Btu Infiltration No. of pane of pane Iighto of crack sq. it. Glass j _ . v Floor, Total Btu. Exp. wall a , o;►a-0, Exp. wall Net esp. wall ► `- DO Int. wall ICoef.1 Btu Infiltration 13 19 1 54 W Glass g :;, 6, 6 Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. it. E.D.R. or sq. ins. W.A. Leader area FI.1 v Room I Length Width .s Height Windows and Doors---Crackage and Area Wldtb Ho1gAt No. of Llneal•ft. Area No, of pans of pono lie to of crack sq. !t. Btu Infiltration Gla" Exp. wall Net exp. wall Int. wall Ceiling Floor Tnr�— Required sq. ft. E.D.R. or sq. ins. W.A. Leader area ® F1.1 Room I Len Widih Windows and Doors—Crackage and Area Width Height No. a agal It. Area No. of Pana I of pans lie to of crack sq. It. Btu Infiltration Gla" Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft, E.D.R. or sq, ins. WA: Leader area Windows and Doom—Crackage and Area P 5 X IE `N WidtA Height No. of Lineal rt. Area No. of pang of pane lights of crack N. ft. `7. Pyr Exp. wall',', Coef.1 Btu Infiltration Infiltration 3'K J34747 Glass j _ . v Floor, Total Btu. Exp. wall a , o;►a-0, Exp. wall Net esp. wall ► `- DO Int. wall Ceiling Int. wall Floor Ceiling Total Btu. -715 5 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I m I Rnnm I I1n4tIt % Width Height Windows and VDoors--Cratkage and Area 1 5 X IE `N Width Height No. of Lineal It. Area No. of pane of pans lights of crack ea. ft. `7. Pyr Exp. wall',', Net exp. wall A0%� Btu Infiltration Ceiling j _ . Glass Floor, Total Btu. old ! P-/ ° V , o;►a-0, Exp. wall Net exp. wall .:, Int. wall Ceiling Floor Total Btu.' Required sq. ft. E.D.R. or sq. ins. WA. Leader area Fl.1' y 'y Room I Length Width Height Windows and Doors—Craekage and Area Width Holgbt No. o! Lineal t6 Area No. of ane of naso lighto of trek Stu Infiltration 46 5 X IE `N Glass j Pyr Exp. wall',', Net exp. wall A0%� �� q Int. wall Ceiling Floor, Total Btu. ! P-/ ° V Required sq, ft. E.D.R. or sq. ins. W.A. Leader arra HEAT LOSS CALCULATIONS .DEPARTMENT OF INSPECTION Weatherstrips _ . Guide Construction No. Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Yes- Ile I e��o 19_ Fl. 1,PVK41C Room- Length 1,4, Width v Height FI. Windows and Loon—Crackage and Area tVldth HN:ht No.O Llnul It. Ana No. of vans of vane 11:01• o! crack aq. tt. Windows and Doom--Crackage 'and Area Coef. Btu Infiltration �� 9 Glass ��' �-� � h,,.., , ,k�-�;� l� Exp. wall Infiltrations ' Net exp. wall Btu Infiltration Int. wall Floor Ceiling Total Btu. Floor Floor 90XE/ `-, -77 Total Btu. Required sq. it. E.D.R. or sq. ins. W.A. Leader area 0, Fl.l Room Len><th Width Hei[tht Windows and Doom--Crackage 'and Area Coif. Btu Width Height No. of Lineal ft. Area No, of van of vans Ilghta of enok p. ft = a Glans ��' �-� � h,,.., , ,k�-�;� l� Exp. wall Infiltrations ' Coef. Btu Infiltration Int. wall Floor Ceiling Total Btu. Floor Glaze; 90XE/ { ` Required sq. ft. E.D.R. or sq, ins. WA. Leader area s3 ` Int. wan �a Exp. wall Net exp. wall, " Ceiling Floor .a Int, wall Ceiling 777", Floor'. tal Utu. quired sq. ft. E.D.R. or sq. ins. WA. Leader area _1.l Room I Length With Windows and Doors—Crackage and Area a 1314* Insulation Kind How Applied 2 Width / , Height Windows and Doors --Crack and Area Coif. Btu Infiltration = z - Glans ��' �-� � h,,.., , ,k�-�;� l� Exp. wall Infiltrations ' Net exp. wall I."N r;➢� Int. wall Floor Ceiling Total Btu. Floor Floor Total Btu.; 90XE/ { ` Required sq. ft. E.D.R. or sq, ins. WA. Leader area s3 ` Int. wan Width Height 1314* Insulation Kind How Applied 2 Width / , Height Windows and Doors --Crack and Area 4 __3 1112,17Z Width eight No. of Lineal ft. Ars No. o[ vane of vans lights of crack /cep. ft. V3 7 ., Glass° ,— €.d Coef. Btu Infiltrations ' Int. wall Ceiling Glace-" Floor Exp. wall Total Btu. Floor Net e:P• wall Required sq. ft. E.D.R. or sq. ins. W.A. Leader area s3 ` Int. wan Width Height Ceiling Floor .a Required sq. ft. E.D.R. or sq. ins. W.A. Leader area !" Fl.l Room I Length width Windows and DoorsA-Craekage and Area Width Height No. of Llneat It. Area No. of vart4 of vane It:hb of ereek sa. tt. m Infiltration 4 __3 1112,17Z G Glass° ,— €.d Esp. wan Net exp. wall 30 el �F ' Int. wall Ceiling Net exp. wall Floor Ceiling Total Btu. Floor Required sq. ft. E.D.R. or sq. ins. W.A. Leader area tr71 t2e,. m I L—math Width Height Windows and Doors—Crackage and Area Width Height Na of Lineal ft. Area No. of vane of pane Ilghte of crack 04- ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader ama October 2, 1978 [log HO 0 =4 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA' 55432 TELEPHONE ( 612)571-3460 Mr. Bob Todd Harstad-Todd Construction 2200 Silver Lake Road New Brighton, MlV 55112 Re: Final Inspection at 5605 West Danube Road N.E. Dear Mr. Todd: A final inspection was made on October 2, 1978 of the above address and the following items were noted which must be completed before the structure can be finaled out; 1. Provide sod in the front and side yards by November 15, 1978. 2. Provide missing light fixture by October 16, 1978. 3. Install smoke detectors immediately. 4. Insulate around stove vent by October 16, 1978. S. Install two steps in garage by October 16, 1978. We will expect the above items to be completed by the scheduled dates when reinspections will be made to determine compliance. If you have any questions on these items, please feel free to contact me at 571-3450. Sincerely, RUN If6LDEN Building Inspector EH/mh. tit f Ur FRIDLEY APPLICATION FOR PLUMBING AND GAS PITTING PERMIT Job Address V v °�► Department of Buildings. City of Fridley Tel. #571-3950 The undersigned hereby makes application for a permit for the %pork 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 land oorrew KIND OF BUILDING USED AS Fraley, MI. I �� I �g '19 `0 I m TO BE COMPLETED ABOUT a m SCHEDULE U k u Water e9 A of A PLUMBING FIXTURE RATES: NO. $4 a -A o rs N PERMIT NO. � m $4 w w tr Heater cy Future Fixture Opening .a H A Company H•+ .XC s, lob N $ LL 1, J c7 C L N yO�l C N .i a O O .v N 4� N. N N N �/� j ��S 7 — 9 �'7 3 / 14 w r $ .� ro N o c H rd d a M ro m .0 +j x �lec m U 5 ra ci w 3 0 r. a4 w U M RC 3 0 0 O ;as • FINAL INSP. 1st 3 fixtures x '$3.00 $� Date Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ APPROVAL FOR PERMIT REPAIRS $ ALTERATIONS First $100.00 2n•' $5.00 $ each add. $100.00 or fraction $2.00 $ MINIMUM FEE FOR ANY PLUMBING PERM= IS $7.50 PLUS $.50 STATE SURCM=B State Surcharge $ .50 3rd TOTAL FEE $ /7Y:D . 4 --, LLL (R) = ELt%;re Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water Job Address V v °�► Department of Buildings. City of Fridley Tel. #571-3950 The undersigned hereby makes application for a permit for the %pork 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 land oorrew KIND OF BUILDING USED AS Fraley, MI. I �� I �g '19 `0 I REINSPECTION FEE ($10.00) TO BE COMPLETED ABOUT PARTIAL RATE SCHEDULE ESTIMATED COST PLUMBING FIXTURE RATES: NO. RATE TOTAL OLD - NEW BUILDING PERMIT NO. PERMIT NO. Atz:Ser Fixtures x $3.00 $3,®c 0 0 � ��r Future Fixture Opening r x $2.00 $ O O Company 4✓L�� New Fixture, Old Opening x $2.00 $ Signed By Catch Basin x $5.00 $ Fater Heater - to 99,000 BTU �_ x $5.00 $_ , 00 Tel. No. �/� j ��S 7 — 9 �'7 3 / 100.000 BTU to 199,000 BTU x $10.00 $ Water Softener x $7.00 $ New Ground Ran Old Building x $5.00 $ ROUGE! INSP. _ Electric Water Heater x $5.00 $ Date GAS FITTING FEES: • FINAL INSP. 1st 3 fixtures x '$3.00 $� Date Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ APPROVAL FOR PERMIT REPAIRS $ ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ MINIMUM FEE FOR ANY PLUMBING PERM= IS $7.50 PLUS $.50 STATE SURCM=B State Surcharge $ .50 TOTAL FEE $ /7Y:D . REINSPECTION FEE ($10.00) CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 763) 572-3604 FAX: (763) 571-1287 ADDRESS : 5605 W DANUBE RD NE PIN : 243024420088 LEGAL DESC : INNSBRUCK NORTH 2ND ADD GAS DRYER FEE : LOT 14 BLOCK 2 PERMIT TYPE : HEATING PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ADDITION/ALTERATION VALUATION PERMI NO.: 2004-01327 DATE ISSUED: 08/13/2004 NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM ADJOINING PROPERTY OWNER COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. INSTALL A GAS FIREPLACE. # A/C UNITS 0 # FURNACES 0 # GAS DRYERS VALUE (FOR MINIMUM CALC) APPLICANT RIVER CITY SHEET METAL 9928 BLUEBIRD ST NW COON RAPIDS, MN 55433- (763) 754-2199 X11,.+/�I DI :7 BARBARA DARBY 5605 W DANUBE RD NE FRIDLEY, MN 55432 0 # GAS RANGES 0 0 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 regu ti cons#ction or the performance of construction. �. ,�. C i X 1;1 i I il a HEATING PERMIT MINIMUM FEE 15.00 FURNACE SHELL/DUCT WORK 0.00 GAS RANGE FEE 0.00 GAS DRYER FEE 0.00 AIR CONDITIONING FEE 0.00 STATE SURCHARGE, MECH FLAT 0.50 TOTAL 15.50 PAID WITH CHECK # 13601 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. CITY OF FRIDLEY BUILDING INSPECTION 6431 University Ave NE Effective 4/1/2004 Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION 763-572-3604 FAX 763-571-1287 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOBADDRESS J3e.5_ LE'&c RATE SCHEDULE Fee Total Residential Owner i,'�4-g4';-� Furnace Shell and Duct Work, Burner & 1Gyg_LL, also Replacement Furnace $35.00 $ Building Used As !'UG - ESTIMATED COST / SDD. DU PERMIT NO Gas Piping (New Furnace, Fireplace, Insert) $10.00 $ Gas Range $10.00 $ DESCRIPTION OF FURNACE AND BURNER Gas Dryer $10.00 $ # of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. *Air Conditioning - AllSizes $25.00 $ BTU HP EDR All Other Repairs or Alterations (List on Back) Fuel Total Connected Load �/� ?�,2s?'lc %FLEDV a 1% of Value of Appliance or Work $ `� Bu'rrier Trade ai'lm- Si a No. Minimum Fee $15.00 for Residential or 5% of cost of BTU HP EDR Improvement whichever is greater The undersigned hereby makes application for a permit for the work herein Commercial/Industrial/Institutional specified agreeing to do all work in strict accordance with the City Codes 1.25% of Value of Appliance or Work (List on Back) $ and rulings of the Building Division, and hereby declares that all the facts Minimum Fee $35.00 for Commercial/Industrial/Institutional and representations stated in this application are true and correct. State Surcharge $ HEATING CO Sy Tel TOTAL FEE $1 Signed� "/(0..3 -��ti O � ) 2- —10 REINSPECTION FEE $50.00/HOUR FAX # Date 7 *Air Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to City FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE Approved by Rough -in Date Final Dated �' 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 verges that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA GAMA Category 1 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 PERMIT NO.: 2004-01495 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 09/01/2004 5"/2-36U4 VAX: 1 7(33) 5"/1-Il87 ADDRESS 5605 W DANUBE RD NE PIN 243024420088 LEGAL DESC INNSBRUCK NORTH 2ND ADD LOT 14 BLOCK 2 PERMIT TYPE ELECTRICAL PROPERTY TYPE RESIDENTIAL CONSTRUCTION TYPE ADDITION/ALTERATION VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL SAVERS SWITCH. # INSPECTIONS 1 APPLICANT HUNT ELECTRIC CORPORATION 2300 TERRITORIAL RD ST PAUL, MN 55114 - OWNER BARBARA DARBY 5605 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 worl 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 # 117431 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.