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PRE 2010 DOCS
City of Fridley AT TK TOP OR THE TWIN$ Z L-------� COMMUNITY DEVELOPMENT OIV, PSOTECTIVU INGftCTION MK, I CITY HALL FRiDI.19Y 0642 ..-.Jl.� `.J 418-860-3400 cT Permit No. PLUMnING PERMIT APPLICATION Job Aaaress -- Owner Address Phone P•1 ng.Contractpr A ress Phone Kind of #Ailding lUse on Date I � ' CE + ;' I •Xlil F L � � � I � •781M1 � � ,_i i W $2.00 •saa-II Future Fixtures f 1� New Fixture -Old Open. 1 I $1.50 W i•MNlva x $3.25 Water Heater -99,000 BTU �I m SN18r81 3-o 0 Ground Run Old Bldg, x $3.25 f Elec. Water Heater x $2:00 r 1 Gas Fitting Fees: sva� I •w .2. 00 --` — oeNlraa+ $ .75 ®I 1 Gas Range -199,000 BTU I erfl �g •VQ :z a I Sa3M0H$I -5 _ 76 A/ os t t I •Xlil � � � I � •781M1 � � ,_i x $2.00 •saa-II Future Fixtures f 1� New Fixture -Old Open. 1 I $1.50 � i•MNlva x $3.25 Water Heater -99,000 BTU �I m SN18r81 3-o 0 Ground Run Old Bldg, x $3.25 f Elec. Water Heater x $2:00 1 Gas Fitting Fees: !1 ! 1st 3 Fixtures x $2.00 .2. 00 Additional Fixtures oeNlraa+ $ .75 ®I 1 Gas Range -199,000 BTU I I •G. �g •VQ :z a I Sa3M0H$I � �� � � W '1Nn0dl Description: Code b � xNlaa Q f: III � 8HN18 C� sNlsr®I � �I I I 1 I ve I \I sirwwnl I I I 017801D 1 a -5 _ 76 A/ os t t State Surcharge .50 TOTAL FEE $ 02 �%• S� !The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declare that all'the facts and representations stated in this application are true and correct. Signature flatp Plumbing Fixture Rates: NO. i RATE TOTAL Number Fixtures x $2.00 UC Future Fixtures x.$1.50 1� New Fixture -Old Open. 1 x $1.50 Catch• Basfn t x $3.25 Water Heater -99,000 BTU �I x $3.00 3-o 0 Ground Run Old Bldg, x $3.25 f Elec. Water Heater x $2:00 1 Gas Fitting Fees: !1 ! 1st 3 Fixtures x $2.00 .2. 00 Additional Fixtures x $ .75 1 Gas Range -199,000 BTU x $5.00 Repairs &•Alterations See Description: Code State Surcharge .50 TOTAL FEE $ 02 �%• S� !The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declare that all'the facts and representations stated in this application are true and correct. Signature flatp City of Fridley SUBJECT jPER O. 13422 AT THE TOP OF THE TWINS PERMIT BUILDING `L -------COMMUNITY DEVELOPMENT DIV. r � � PROTECTIVE INSPECTION SEC. 1 . � "1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 /29/76 JOB ADDRESS 5608 West Danube Road 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 1 3 Innsbruck North 2nd Addition SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE XNMX Lyle Kastner 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Kootenia Builders, Inc. 1580 Rockstone Lane New Brighton 55112 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. SAME 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING residential 7 CLASS OF WORK 2 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct 56' x 26' house with 31' x 26' tuch-under garage T"g CRY OF PRIDLEY DOES NOT GUARAN O TO 9 CHANGE OF USE FROM ACICUMCy OF UT L TtjjS DATA IS FOR INFORMATION PUI,,POSES ONLY AND STIPULATIONS PERSON ON THE SITE 1. relocate proposed house to meet minimum City set-back requirements 2. Provide truss design 3. Provide a verification survey SEWER 50' N. of M.H. (Inv. 953.47 4. Provide a hard surface drive Wye Elevation 953.27 Top of footing 956.57 ( ' Waters 4' South of Sewe 4e,k0le ELE� SEPERATE PERMITS REQUIRED F-U HEATING,. PLUMBING AND SIG w�Qo0 SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILA1:I14G OR AIR CONDITIONING. wood frame 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 1746 -1- $06 28,264 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. 26.35 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $52,700 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- $ 64.22 350.00 STRUCTION O7THE ERF RM CE,,OF CO TRUCTION, PLAN CHE E TOTAL FEE $440.17 SIGNATURE 0 C TRACTOR OR AUTHORIZED AGENT (DAT HEN PROP . LY LI A D , IS, YO R AVIIT� SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) BLDG WSP SATE OR ADDITION•BUILDING PERMIT CITY OF FRIDLEYt MINNESOTA : 0104 ER � S NAI IN : BUILVEF.: ho-07e—'U"A 0 v l Z� ' • ADDRESSADDRESS: STREET: lues / ,®,gw LOT:BLOCK: -ADDITION: -7-t-s CORNER LOT: INSIDE LOT:SETBACK: SIDEYARD:_"_� 4 Applicant attach to this for., Ttuo Certificates -,f Surve •of Lot and .proposed building location di-twn on these Certificates. • _1 DESCRIPTION' OF BUILDING To Be Used, As : ` < n.I�'rcnt : Depth : •. 2. 4 Height : 2� .• Square Feet: P Y4 Cubic.Feet: j yQa.S/ Front: 3 1 Depth : Height • P _. Square Feet; Cubic Feet: Type of Construction: Alda Estimated Cost:_ -A,, 'gee'. Q To. Be Completed: • 4& IY � T B P . 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 Fzidley 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. -— SIGNATURE d�.4TE: . °` • (See Ikeverse Side For Additional Information.) teou s ,5," 2 (91 1�4- Ct je-o(j lxev�lva� .. %�;�� �F5®eta . i 1 I - {-- /mc! �- ✓ `� I'T L G 3 , 6 4 i- -- - - TT— T---1 - +.�z f i a ---- ----- E i � T I1 All L ,t-�� tg�.a•,�ev �2•n +�10-�.p�y 'Y!a�•.'r•;'Sv fi._-r...r� ,r+ �.?,'e.w-^,:'. �s,,,...;;ir.� @� �.R+.i"�....'.i.m, $�..5�'�„f.n...ire�a$ivt.•,ps �a //1�� j,{',�1f �^ a•' ••p..V.r('�s�.r tlA. P1TYif�•��+!.. ..ee�� ,or�dt'P 1�/D; �.}^�N•j.?w• � ET'sfi� •b®'niiF.:aatw®..5�"� �i�w LiOGL+d e�e.aiw5 �'w'la0c'�:.FiS YY/ PARTIAL. RATE SCH..DU1.r GRAVM WARM AIR: RAe-Z 'I'O`°c`AL Pxm2ce Shell & Burt rorka. $10.00 $ Replamment of 'rurnae a 6,00 $ Repai^c & Aiterat:ons-- up to $500.00 600 S____ Repairs & Alterations each. add. $500.00 3W $ I?EEC1-L WAXW Ant Furnace Shell & Lunt Work to I20,000 BTU e&ch add. 60,000 BTU Rep!acemen: of l'urnace ReVairs & Alterstions--up to S5rA.00 Rep -airs & Alterations each add. $500.00 STEAM os HOT WATER SYSTEM .no tett $ 3.W S 6.00 S 6.00 $ 3.00 $ F-rrrce Shell 3c L:nes--to 41-10 sq. ft KDR Stetim @10.W Furnace She.11 Si Line -=•to 640 sq ft. EDR Hot Water 2000 5. Each add 200 sq. h EDR Steam R rA $ Each add. 320 sq. ft EDR Hot Water 3.00 OIL BUENZF.—to 3 gal. per hour 6.00 S. over 3 gal. per hour—See ree Schedule GAS BURNER (up to L�,000 BTU) 5.00 3 over I99.000 BTU aSae goo Schedule GAS FITTING FEES: no RATE TOTAL Isf 3 FZxtures _ _ z$ 200 $ Additional Fixtures x .75 Gas Range to 189,0X z$ &00 $ State Surcharge .50 AM Li`I'T02i2I:�' 4i TAN i==No SYSYa� Sea E00 Scbs TIZa zyr,-Iml A.L'a' =,.AT. Cr,3 & rIEWURS TOTAL 7= }opt. of BUIS*. Ptrorw 5-3250 City of Fridley: The underslpned hereby makes applications for a permit for the work here3s specified agrcring to do all work in strict accordance with the City Ordlra=ft, and n:ting of the Deya:tment pf Buildings, and hereby declares that an the farts and repr,sentatiuns stated in this application are true and correct. nwner Kind of E Used as Fridley. Minn—/ 121 To be completed about L/ZZZ2C2 A!!�? Estimated Cost; $ Z- C-14: Old NewBuilding Permit No. - .— ._ P©rmit F^a +ZCR3r" T'i41i OF WO t"?, HEATING or POWER FI.AN'115—Steans, Hct Fater(�arm Xo Trade Name— Size IN Capacity✓..__._— _ _ Sq. Ft. E.D.R� Fii°lT I3P Total Connected Lcad Kind of Fuz 69-5 BURNER — TrVe Nam—,,Z2 Z&32 j_ SL.e lf, 0/3 3 capacity Sq, rL EJ) A'- I RAY N. WELTER HEATING CO. gq 4637 Chicago Ave_ By Minneapolis, Minnesota 55407 * nw= Ica t��asus.-.orsal • f ��� a,t-ay. _. .. �1cvod �•,-'a..._.... �"'P$-•--,A.. .,., 1-R•'*.�•-T•',4., s,,,,m..i. $�' J+ ,,,r.r.4a,,,,A Q RrA�?�S ,.r..r..•..*$.a, �. ., Rs,:+ db�mst E�:`e t3"lsfCs'..� yr�. qj ...j�m. 'Fmrr4+�e�ran edLdG.a�u.asY�:a..g 5"®a:.ac' .�04o:3'bcv V 6'�o6$A vmL^ 8rbai:i:dC' SpnwC"`. as andovdc�4"�.z - PARTIAL RAT[- SCHEDULE E G?tAV= WARM AIR: RA i 3S TOTAL F.xaace Sl ell & Duct work $10,0 � Replaern"t of F rnane 6.00 gr Repat-e & Alterations-- up to 5500.00 600 & Repairs do Aiterations each, add. 1500.00 3W NZQi WARM AM Fumaee Shell & Duct Work to I20,000 BTU S10 6 ea -ch add. 60,000 BTU 3.tXJ S Repiac\-nent of Furnsce 6.00 t Repairs & Alterations^-tsp to S500.00 6.00 $ Repairs & Alterations each add. $500.00 3.00 $ STEAM or HOT MATER SYSTEM P- race Shell & Lines --to VV sq. ft ?.DR Sten n @10.00 $ Furnace Shell, & Line --to 644 sq ft. EDR Hot Water 3000 S. Each add 200 sq. ft. EDR Steam R:1n 3 Each add. 320 sq. ft EDR Hot Water 3.00 S OIL BURNZE-to 3 gal. per hour 6.00 S. over 3 gal. per hour -See ree Schedule GAS BURNER (up to Lg9,0W BTU) 5.00 $ over 10'S.000 BTU See Fee Schedule GAS F71TTING FEES: ro RATE TOTAL lsi 3 Fixtures xm 200 S Additional Fixtures � x .76 $__ -- Gas Range to I Q_000> _ 2$ 5.00 3 AIRoa�° 7�,1,® State Surcharge .50 36f000 a Ee Ia1a ��► STIP /��® 6eF1� FXPAIRS�"% •j 70,d TOTAL tCj 10 ROME fit. of Bldsa. 711: oaw sib -v= City of ;nridley: The undersigned hereby makes application for a permit for the work he. eir specified agr. ing to do all work ,n strict accordance with the City Ordir_anee; and ruling of the Depai tment pf I3u0dirms, and hereby declares that all the facts and reNr:SFntatiuns stated in this appL'cation are true and correct. Owner Kind of Used as Tobec Estimat Old -New. Building Permit No. _.__ .- Permit No. (O () (L) �L_ I?EZCT3PTION of W02 T HEATING or POWER FrEAN71S -Steam, Not Fater, Warm Ai: -No, Trade Name __ SL.e %do Capacity...__ — Sq. S't. F_D.R BTU H.P Total Connected Load Kim of F-uet BURNER - Trv4e Adams Size Pda car*city Sq. Ft. Cam BTU tx:-XAsxs-oeaal RAY N. WELTER HEATING CO. 4637 Chicago Ave. Ste,,AA1nnPnpa11A, Minnesota 55407 Of eq X2 Mr. John Flora Fridley Municipal Center 6431 University Avenue N.E. Fridley, Minnesota 55432 Dear Mr. Flora: As we discussed on the phone, this letter is to request to an extension on the completion date of the rigid piping for the sump pump at 5608 Danube. The sump pump discharges outside; however, the piping is flexible and the inspector requested rigid piping. I have purchased the rigid piping, but due to out of town business trips, I will not able to complete the rigid pipe installation until the Weekend of July 22. r ;��Aaz�z Ojars Strauss 5608 Danube Road West Fridley, Minnesota 55432 July 29, 1995 Mr. John Flora Fridley Municipal Center 6431 University Avenue N.E. Fridley, Minnesota 55432 Dear Mr. Flora: As we discussed on the phone, this letter is to request to an extension on the completion date of the rigid piping for the sump pump at 5608 Danube. The sump pump discharges outside; however, the piping is flexible and the inspector requested rigid piping. I have purchased the rigid piping, but due to out of town business trips, I will not able to complete the rigid pipe installation until the Weekend of July 22. r ;��Aaz�z Ojars Strauss SUBJECT .PERMIT NO. City of Fridley 2 4 0 5 4 AT THE TOP OF THE TWINS BUILDING PERMIT r - --�� RECEIPT NO. _ COMMUNITY DEVELOPMENT DIV. L PROTECTIVE INSPECTION SEC. r ; CITY HALL FRIDLEY 55432 NUMBER REV DATE F7r,E OF APPROVED BY 612-571-3450 910415 4/8/96 / JOB ADDRESS 5608 West Danube Road NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 3 1 Innsbruck 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE O'ars Strauss 5608 West Danube Road NE 571-8273 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO PTL Contracting 2526 N Ferry StAnoka. - 5294 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 O ALTERATION REPAIR O MOVE ❑ REMOVE X❑ B DESCRIBE WORK Reroof House 23 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. OWLG. 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 $1,840 $.92 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 kRW REGULATING CON- $59.50 Fire SC $1.84 TR CTIO OR THE P ORMA E O CONST TION PLAN CHECK FEE TOTALFEE License SC $5.00 $67.26 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN�P®CROPS VAL ATED THIS IS YUR PERMIT Bl G INSP qa TE10 SIGNATURE OF OWNEROF OWNER BUILDERI IDATEI NEW [ ] Effective 3/1/96 ADDN [ ] CITY OF FRIDLEY ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: �%02> /9),) %j ►3 i-= � _ LJ . Legal Description: Owner Name & Address: gaet ps S -r- R,U S S Tel. # 5-1 Contractor: �11- L C. " ; , MN LICENSE # 5-Z -tq Address: Z S z to P. DcEep-j .,L t. O to Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF MIPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Vr--7tezo;= L,35r--� a� T%o 2-2 1'S� , Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: VEgxxEstimated Cost: $r= r--- Approx. Completion Date: q - q- r, L -- (Cost: on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: q - ,. - 9 to APPLICANT: %, j L Co r.-) T. Tel. # 3 Z 3 ---74o r:� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee $ Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .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 [ ] CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 RATE SCHEDULE Effective On March 1, 1996 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES r JOB ADDRESS 0 CZ !.J Residential Rate TOTAL Furnace Shell and Duct Work, Burner — Also Replacement Furnace $ 30.00 $0 (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/Repairs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work Commercial/Industrial 1.25% of Value of Appliance or Work State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/CQQIING[VENTILATION REFRIGERATIONJAIR CONDITIONING PERMIT 1,(;-$25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr 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 application are true and correct. OWNER BUILDING USED AS ('?!ScC ESTIMATED COST PERMIT N0. APO—)_ DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units—Circle One (Steam) (Hot Water) arm A Trade Name S 641�i Size No. BTU f 06 , CIO _ HP EDR FueI_ii cZ Total Connected Load Burner Trade Name BTU Size No. HEATING COMPANY�����®:�;;_, p �O & W- '® �gnad Br��, �n� o _ Tel No. Final Date — "G EDR Approved By: I)--'' Rough—In Date "Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE F14 STACK VERIFICATION ON written permission from adjoining property owner. REPLACEMENT FURNACE Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: CHIMNEY 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 ( 1 8. Has combustion air been provided for water heater Yes ( ) No ( ) Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 (763) 572-3604, FAX (763) 571-1287 Effective On Jan 1, 2003 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Urinal Wash .:..Shower Tray (~�i�::::>:::�:: Floor rain >::: �.��::::::: �Stones Auto. Washer' :'.�aS::i:::::>: Gas4#i5+vlls= >.:.: Ran a�.:.:.:..........:.: �:.::::.::. Water Heater • :�::.:.:: Gas Ele c� Basement Floor 1 Floor 2 I F oor 3 I F o0 r4 PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas** Gas Range`* NO. RATE TOTAL JOB ADDRESS 56 D F �)G � It A ,P �_ L), Gas Dryer**' _ Back Flow Preventer Required ( )Yes () No S $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 Type $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS. 1.5% of Value of Fixture or Appliance 35-.06 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 application are true and correct. State Surcharge $ .50 TOTAL FEE $3-L 20O3 Owner () i Q r S Is rr 0 u - Building Used As Estimated Cost 3 Sy b PERMIT NO. PLUMBING COMPANY F (2. t,1,? Q rn Z ,f I / M SIGNED BY TEL NOJ6 1 -7-5 7- V F-6 Approved By Rough -In Date Final Date MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20.00 PLUS THE $.50 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED rQMMnN VFNL VENT rQNNFCTQR AND r.QMR1 IRTION AIR VERIFICATION When rpgil� aZgan PArdin0 Mranep, 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 plastiGPVC 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 axietin0 r-nmhi ,Minn air is sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When required to install a new _emh uc_tien air it will be sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( } When Installinn a new yentin0system, 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 #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 HEATING CO: Signed By: Date : SUBJECT City of Fridley (!1 33856 AT THE TOP OF THE TWINS BUILDING P E R M I T r CEIPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. E 1 � � NUMBER REV DATE PAGE OF APPROVED 0- 1 CITY HALL FRIDLEY 55432 '.; ''; 763-571-3450 910 -Fl S 9/4/03 JOB ADDRESS 5608 West Danube Road NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ojars & Joanne Strauss 5608 West Danube Rd NE 763-571-8273 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Kitchens By Design 201 Silver Lake Rd, New Brighton, MN 55112 651-226-7232 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 20315240 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION � ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Bathroom alteration 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. SEPARATEERI -fir REQUIRED FOR: IRIPLUMBING AND sio s 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 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 $10,000 @ $5.00 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 PROVISION O ANY OTHER STATE OR LOCAL LAW REGULATING CON• TRUCTIO $151.25 Fire SC $10.00 THE PERFORMANCE OF CON"RUCTION PLAN CH FEE TOTALFEE SC $5.00 $201.25 STItNA URE OF NTRACTOR OR AUTHORIZED AGENT IDATEi W EN PROPERLY VALIDATED THIS IS YOUP PER IT r atroG SP c1c3 F)A E _4.kn S,GNATURE OF OWNER,iF OWNER BUILDER) DATE. NEW [ ] CITY OF FRIDLEY Effective 1/1/2003 ADDN [ 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION A. Construction Address: _�0=7 Www'ZWO-0214 Legal Description: A/_F/720!��OAM Tel. Contractor '/ A/ r 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: Type: Estimated Cost: 040Construction Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x DATE: -03 APPLICANT: Tel. 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. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ 1 Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $ $.50/$1,000 Valuation $ $1275 per SAC Unit $ IS $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 [ ] y /8Z '/ ' (15 * I '/L!5 - ) 12 ORO p -'X i9' kliok 1119 elpzxlv� fy _3 Mev P iIV T�irIME/� sr�os '1.ZooR T_B.osB 0 Ri T AIF/J"=�Locc� 7�isiS ' /�""/ % l�kicT oN F/T-1Ns��,r} i/oma✓ Building $ �(� - (3 BUILDING Plan Review Permit No.: r " Inspections Surcharge RESIDENTIAL APPLICATION Received By: 763-572-3604CITY $ (, OF FRIDLEY License Surcharge Date Rec'd: DATE 10-710 YOUR E-MAIL ADDRESS $ SITE ADDRESS 5 6 19:-e e - $ THIS APPLICANT IS: ❑ OWNER CONTRACTOR $ PROPERTY OWNER/ NAME: SZ' k A 0I S $ TENANT ADDRESS: `S r97e' CITY & a4ey STA IP %9 Agreement necessary ( ) Non Necessary ( ) PHONE: 76 3 - 571— 99-73 $�` , �P ` CONTRACTOR NAME: e .� rm,4 /I-/ STATE LICENSE # & Z 0 i l 53 EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: 61 �� �a -. �� CITY119V' eb,77e STATF .GIP WITH APPLICATION PHONE FAX PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGEISHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: ,--�X SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan PROPOSED SIZE: ❑ DETACHED GARAGE 2• Proposed floor plan 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim I. 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: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ t ,� OCCUPANCY TYPE Permit Fee $ �(� - (3 See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Surcharge $ (.0005) times the total job valuation — Minimum $.50 Fire Surcharge $ (, .001 x Permit Valuation (1/10%) License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1450 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 $�` , �P ` 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 )ermit 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 Ian in the case of all work which requires review and ap roval of plans. 3NATURE OF APPLICANT PRINT NAME �� DATE �� Building - PLUMBING Permit Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY IREN ®�ffi DATE YOUR E-MAIL. ADDRESS SITE ADDRESS Sewn mss Owr►ea/' THIS APPLICANT IS: o OWNER *NTRACTC OJars Strauss PROPERTY5608 West Danube Road Nom' OAR/ Fridley, MN 55432 OAR/ADDRESS: TENANT 7635718273 SATE zrn PHONE: CONTRACTOR NAME: SUBMMTT A COPY OF STATE LICENSE 0 EXP DATE YOUR STATE ADDRESS• pati , CITY ' 9100/y STATE,&U/M 5�, rfwyl LICENSE WITH . PHONE g2%— V-0 FAX T27—'1jz APPLICATION 4 PERM£r TYPE SINGLE FAMILY O TWO FAMILY (3W TONHOUSE TYPE OF WORK: O NEW REPLACEMENT DETAILED DESCRIPTION OF WORK 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_reilect only.the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor X.05 = ' FO"ROJECTS WHERE LABOR EXCEEDS-U00.-TEES ARE BASED ON $10.00 PER FD URE,'EXCEFr,,VA3EREMMPI..:FUCR.MO:,•(DMICATE TGTAL NUMBER OF EACH BELOW) _ BATH SWK/1AV FLOOR DRAMS _ SHOWER WATER PIPING _ —BATHTUB GAS PIPING (mw cmvr a w) SVANOvENG POOL WATER SOFTNER ($35) T _ CLOTHES WASHER KITCHEN SINK�_ WATER CLOSET BACKFLOW PREY. ($15) _DISHWASHER -LAUNDRY TRAY LWATER HEATER ($35) FOR IRRIGATION WATER METER OTHER Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $15,DO = $ TOTAL DUE $ Number of fixtures @ $35.00 �_ x $35.00 = $ 3S.00 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 perm!p and work is not to start without a permit; that the work will be in accordance with the approved plan in the case qN w ' re review and approval of plans. % // SIGNATURE OF APPLICANT PRINT NAME Je. X10141011 I DATE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604