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PRE 2010 DOCSYZ Application for Power Plants and Heating, Cooling, Ventilation, Refrigeration and Air Conditioning Systems and Devices Partial Rate Schedule CI GRAVITY WARM AIR: RATE TOTAL Location....�.®.....s..l..'.?.......w....�"1....e...�......---.- .............................. FurnaceShell & Duct Work ................................... _.......... _........... 8.00 $ ................................. Replacement of Furnace ...... 5,00 $. _ �-, City of Columbia Heights: 5.00 The undersigned hereby makes application for a permit for the work herein Repairs & Alterations—up to $500.00 ............ ................ $...........--------•----..•••• specified, agreeing to do all work in strict accordance with the City Ordinances Repairs & Alterations each add. $500.00 .................... 2.50 $ ...... .......................... and ruling of the Department of Buildings, and hereby declares that all the facts and representations s ted in this application are true and correct. MECH. WARM AIR 67 Furnace Shell &,bct Work to 120,000 BTU .................. 8.00 $............ _....... ........ ts, Minn .......................... ...........�................ 19,.K...7.. eachadd. 60,000 BTU ................................................... 2.00 $..... _.._..................... Owner ............... .:............ _............................................... _.......................... _ .............................. . Replacement of. 'uinace........................................................ _........... 5.00 $_. ,..-c.._ �.0 Repairs & Altezhtiiins-up to $500.00 6.00 $ Kind of Building ............................................................................................................. ....._.........._......._. ....._......_.....__._..... f Repairs & Alteratos each add. $600.00 .............................. 2.50 $........... _._..._.......... .: Used as ...................._........ _.............................. ... STEAM or HOT WATER 'SYSTEM To be compeletd about Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $._ ........ ................ _.... Furnace Shell & Line—to 640 sq. ft. EDR Hot Water 8.00 $___. _...... ........... Estimated Cost, $ ..... _....................... ....................................................................................................................... Each add. 200 sq. ft. EDR Steam ................ .......................... _.. 2.00 $..... _...................... 1 New. Building Permit No ............................... ........... Permit No.. _ .J.f .�....._........... Each add. 320 sq. ft. EDR Hot Water ..... . ................ _........... 2.00 $_....... _...... _........... OIL BURNER—to 3 gal. per hour ................ _............ _......... _... 5.00 $ ................................. DESCRIPTION OF WORK over 3 gal. per hour—See Fee Schedule ••-•••....... .. •-••••• HEATING or POWEPLANTS—Steam, Hot Water, Warm Air—No......................... GAS BURNER (up to 400,000 BTU) ............ ............................. 5.00 $..... ._..._... _._........... Trade Name.... ........ .. ..... :..._............................................ Size No.........._.......... GAS FITTING FEES: NO RATE TOTAL ._ 1st 3 Fixtures .................... x 1.50 __. _..... Capacity ..... "y_.'W.��......... H. P. $ $ - p Y ....................................... Sq. Ft.EDR............................... BTU Additional Fixtures _._._...... .. x .50 $ ............. ..........._..... Total Connected Load....................................................:............ Kind of Fuel .117 Gas ................. Gas Range to 200,000 BTU ........... _.... _..... x 2.00 $............ __. ............... (/ VENTILATING SYSTEMS BURNER—Trade Name..................................................................... Size No ............. _.................................. Duct work etc. not to exceed 2,000 cfm ........................... 6.00 $ Capacity ....................................... Sq. Ft. E D R .................. _......... ... ..BTU................._. ..... H. P. Each additional 1,000 cfm................. __.............. _....... _..... 2.50 $..... ... .......... ........... AIR CONDITIONING $---- _.._------- ._......... Signed......`.': .-U6UWAM-CflNOM- 0NING-ft ................. FAN HEATING SYSTEM See Fee Sche ule $............ _... _............. 8414 ALTERATIONS &REPAIRS By....................................................._.........._. . $....._.............._......... 11INNEAPOUS, MINNESOTA 5543. 00 Business Phone TOTAL FEE $ fid.. %_............._..... 1�To....�.-��/(��.............. (remarks—over) SUBJECT PE NO. City of Fridley ® 12558 AT THE TOP OF THE TWINS BUILDING PERMIT R 0. • COMMUNITY DEVELOPMENT DIV. �y-------- PROTECTIVE INSPECTION SEC. `/L/�� `l 7 1 � � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L 612-560-3450 910-F15 15/28/74 JOB ADDRESS 4548 2nd Street N.E. 1 LEGAL LOT NO. BLOCK ITRACT OR ADDITION SEE ATTACHED DESCR. 3 13 Plymouth Addn. SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Roger Frakie 4548 2nd Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Ernie Mithum 605 59th Avenue North 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING garage 7 CLASS OF WORK lj NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 18 x 22 garage 9 CHANGE OF USE FROM TO STIPULATIONS 1.Provide automatic garage door opener. 2.Provide a hard surface driveway. Variance granted by City Council May 20, 1974 SEPERATE PERMITS REQUIRE; FOR WIRING, HEATING, PLUMBING ANP SIGNS, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, wood f ram 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 378 31780 OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED. 2 098 80 1.04 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- 7.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE ? $8.54 SIGNATURE OF CONTR TOR OR AUTHORIZED AGENT (DATE) .(J PROPERLYVA D TED THI IS YOUR R MIT t �,•>� BLDG. INSP DATE SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY -OF FRIDLEY, MINNESOTA OWNER'S NAME: BUILDER: ADDRESS: ADDRESS:_ a NO:. STREET: LOT:.—BLOCK: 13- ADDITION: CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To Be Used As: DESCRIPTION OF BUILDING Front:_ f Depth: o{y�� Height: Square Feet:Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: Estimated Cost: To Be Completed: 7 `f 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. DATE: SIGNATURE: (See Reverse Side For Additional Information.) j SUBJECT City ®f Fridley 2 2 2 9 9 AT THE TOP OF THE TWINS BUILDING PERMIT r -RECEIPT NO. _ COMMUNITY DEVELOPMENT DIV. U' r ; PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 JOB ADDRESS 4548 2 Street NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 13 Plymouth Addition SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Cynthia Gauthier 4548 2 Street NE 574-7288 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. R &-M Associates 3482 Auger Ave, White Sear Lake MN 55110 770-9322 4391 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 O ADDITION j7 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Windows & Door replacement 9 CHANGE OF USE FROM TO STIPULATIONS Egress wi-ndows must meet state building code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES VALUATIONSURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $7,295 $3,65 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $99,00 Fire SC $7,.30 ,STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE License SC $5,00 $114,95 SIG TU OF CONTRACTOR OR AUTHORIZED AGENT IDATEi WHEN P ERL VALIDATED THIS IS YOUR PERMIT -9-` &/ OG INS DATE SIGNATURE OF OWNERIIF OWNER BUILDER) IDATEI NEW [ ] Effective 1/1/94 ADDN [ ] CITY OF FRIDLEY _ ALTER [ ] • SINGLE FAMILY AND DUPLEX . R-1. AND R-2 Building Permit Application Construction Address: 2 Ard '7 —r Legal Description: Owner Name & Address: ;r _��,��, �r Tel. # 37 G/ —�,e7 7 T Contractor: �- �5®< MN LICENSE #®� tj'3 Address: 3 5/ 'y' 13, 0— �c/%cp Tel. # "77® - l' 322— Attach 22— 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: Comer Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction:%� �l y as,� d n �, 5 -j- dor o $ Estimated Cost: $ 7 9 Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ftp b Ft = Ft x $ _ $ DATE:_ APPLICANT: Tel. #77e: %/jZ .14 xr-IffY USE ONLY Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $9, on $�� $ 3 - 111-1.2L L Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $800 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. Effective On January 1, 1993 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT i 572-3604 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: :Urinal i S o e h w r ': as Tra .:........:FI00r Drain �'I�as�r�� e Washer "t`<'' �#�`�'' ........ �iwi��i�i> Ran e : 4. Water He' ate r Stories Gas lec Ga E ase B ent m $ 7.00 Water Treating Appliance $10.00 Water Heater —Electric $ 7.00 Water Heater — Gas $10.00 $10 00 Floor r 1 Floor 2 00 FI r 3 In—in Floor 4 PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 7.00 Old Opening, New Fixture $ 4:.00 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Water Heater —Electric $ 7.00 Water Heater — Gas $10.00 $10 00 JOB ADDRESS 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 4 SCS d CI 't Building Used As Qe_g5tio Gas Range Gas Dryer $10.00 Estimated Cost oo PERMIT NO. Back Flow Preventer Required ( )Yes () No Type 45.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance State Surcharge PLUMBING COMPANY�`71 . c XW, SIGNED BY ���, j- TEL NO. 1117 Approved By. ro Rough—In Date Final ate 50 J TOTAL FEE $ SKsc PLUS THE $.50 STATE SURCHARGE City of Fridley AT THE TOP OF THE TWINS SUBJECT BUILDING PERMIT PERMIT NO 4 3 8 5 Ir COMMUNITY DEVELOPMENT DIV L PROTECTIVE INSPECTION SEC. r CITY HALL FRIDLEY 55432 ' 612-571-3450 RECEIPT NO.. NUMBER 910-F15 REV DATEP 7/23/96 AGE OF APPROVED By JOB ADDRESS 4548 2 Street NE 1 LEGAL DESCR. LOT NO. 3 BLOCK 13 TRACT OR ADDITION Plymouth Addition SEE ATTACHED SHEET 2 PROPERTY OWNER MAIL ADDRESS Cynthia Gauthier 4548 2 Street NE ZIP PHONE 574-7288 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. R & M Associates 3482 Auger Ave, White Bear Lake MN 55110 770-9322 4391 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 p ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Garage (6 Sq) 2nd Layer; Reside House & Garage 9 CHANGE OF USE FROM TO STIPULATIONS 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 AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION ZONING SQ. FT. CU. FT. OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS GARAGES 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 VALUATION $5,700 SURTAX $2.85 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONSAF ANY OTHER STATE OR LOCAL LAW REGULATING CON - TR CTION THE PERFORMANCE OF CONSTRUCTION $112.25 Fire SC $5.70 PLAN CHECK FEE TOTALFEE License SC $5.00 $125.80 SGNAT E ONTFACTOR ORAUTHORIZED AGENT (DATEI WHEN PROPERLY BLDC/I S LI DATED THIS IS YOUR PERMIT L4l� 3 riATE S)G ATURE OF OWNEROF OWNER BUILDER) IDATEI NEW [ ] Effective 8/1/95 ADDN [) CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application ConstructionAddress: Legal Description: Owner Name Address: `� i°- tF Tel. # 5���% �� �� - Contractor: t M ti C _ MN LICENSE #1-13!71 Address:."% .1 , ,44,r- .3"-r®®n Tel. # `7 Zr, —3 -3 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:` Width /Hgt/Ground Sq. Ft. OTHER: Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: r .-, Estimated Cost $� 21 Approx. Completion Date: n�G� ����,, y� �, el r 4i c�� cis -t Com. re It - (Cost on Back) Driveway Curb Cut Width Needed: Ft. 6 Ft = Ft x $ _ $ DATE: `�";%. APPLICANT: Tel. # STIPULATIONS: CITY USE ONLY Permit Fee $ l i --2 Fee Schedule on Reverse Side Fire Surcharge $ `7 .001 of Permit Valuation (1/10th%) State Surcharge $ >S`� $.501$1,000 Valuation SAC Charge $ $850 per SAC Unit i License Surcharge $ CIO $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 $ Os-' 5�o STIPULATIONS: V�� 711 Building BUILDING Inspections RESIDENTIAL APPLICATION Received By:4 763-572-3604 CITY OF FRIDLEY Date Rec'd: DATEd ' / • U A YOUR E -MA ADDRESS SITE ADDRESS THIS APPLICANT IS: ❑ OWNER �-CONTRACTOR PROPERTY OWNER/ NAME: Gvt �f.^GC ADDRESS: r /� ! CITYSTATE�iZIP TENANT PHONE: J3 5 7,�- — S CONTRACTOR NAME: -' - it 1� G STATE LICENSyI % U EXP DATE ADDS ' 3 Y LIZ�— my SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION p – 6 J. d FAX GkCNGtE FAMILY/NEW CONSTRUCTION _ 6 SIZE PROPERTY TYPE - ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PEI'iPE \ ❑ ADDITION 0 GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ROOF ❑ DRAIN TILE j ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: '' — ❑ NEW ❑ ADDITION b'MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: P�� �('i�� �' e - SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING NUMBER OF SQUARES LI HHOUSE ONLY ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDINGTHE OUST UY LA 3UX A UJ YIAI EKiaL3: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee $ i j J,S See Back Page for Fee Schedule Plan Review $ — 65% of Building Permit Fee Fire Surcharge $ P < U .001 times the total job valuation Surcharge $ , �-(7 .0005 x Permit Valuation Minimum $.50 License Surcharge $ '5; 0-0 $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 $ Az7� le", 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 ordm* ces and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an applicati 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 c requires review and approval of plans. �9 SIGNATURE OF APPLICANT PRINTNAME� 14�JI f i S DATE��� ��U _