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PRE 2010 DOCSApplication for Power Plants and.Heating. Cooling. Ventilation..ReFrigerand a Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bld1g& Phone SU. 4-7470 �l GRAVITY WARM AIR: RATE TOTAL, Location Furnace Shell & Duct Work .......................... 8.00 $ City of Fridley: Replacement of Furnace 5.00 The undersigned hereby makes application for a permit for the work herein Repairs & Alterations—up to $500.00 .................. 5.00 $ specified, agreeing to do all work in strict accordance with the City Ordinances Repairs &Alterations each add. $500.00 2.5Q $ and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. NECK. WARM WARM AIR Fridley, inn Z 19 Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $— reach add. 60,000 BTU _ 2.00 $ Owner 1_ Replacement of Furnace §.00 $ Kind of Building Repairs & Alterations—up to $500.00 .... ............ 5.00 $ Used as 2 S12 Repairs &Alterations each add. $500.00 .......... ..... 2.50 $_ To be completed about STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam....... 8.00 $ Estimated Cost, $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Old—New. Building Permit No. Permit No. Each add. 200 sq. ft. EDR Steam ................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ DESCRIPTION OF WORK OIL BURNER—to 3 gal. per hour ........................ 5.00 $ HEATING or POWER PLANTS --Steam, Hot Water, Carmm#r--No over 3 gal. per hour—See Fee Schedule� v2� Trade Namer ��-�1� Size No- GAS o GAS BURNER (up to 400,000 BTU) ....................... 5.00 $� ux �® ®O® ocr.�'P t®O,®O® ih`awY GAS FITTING FEES: NO RATE TOTAL Capacity. Sq. Ft. E.D.R BTU H.P. 1st 3 Fixtures ...................... x $1.50 $ Total Connected Load 294-1 Kind of Fuel n01.O &5 Additional Fixtures ................. x .50 $ BURNER — Trade Name Size No Gas Range to 200,000 BTU ........... x 2.00 $ Capacity Sq. Ft. E.D.R BTU H.P. AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM ALTERATIONS & REPAIRS TOTAL FEE $ Signe By ROUGH . 42 2M 7-59 Business Phone No FINAL (REMARKS—OVER) ''a 01 suBIECT V PWIT NO. City of Fridley WRECKING - 15655 AT THE TOP OF THE TWINS PERMIT r RECEIPT NO. 1 r.y_______ COMMUNITY DEVELOPMENT DIV. j A' r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 4/11/80 JOB ADDRESS 4748 - 2nd Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. t.2 all pt. 4 Hl SHEET ck 5 IRM Plymnuth 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Arthur Gills 4748 _ 566-5073 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 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 ❑ REPAIR ❑ MOVE? REMOVE 8 DESCRIBE WORK Wreck 14' x 201 Garage 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT NONE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE 00 SIGNATUR OF CONTRACTOR OR AUTHORIZED AGENT (DATE) PERMIT HEN PROPER VALIDATED THIS IS ;411—A6 r,1E"A_t1j ATUREOFOWNERIIFO NERBU RI 01 eDATE) BLDG INSP DATE 01 City of Fridley bUbJl[CT Permit No. AT THE TOP 0P THE TWINS r 1 ` WRECKING PERMIT APPLICATION Receipt No--:! r •------- GOWNVNITY Dlh+ WWWNT DIV, ' MCT;:TINR IN!)fC-rwm wrrl I CITY NA{ . RIMY bbAb Nl WW— iKY. DATL PA9 vr�o ®Y i ,lob Address ii�- Legal Lot No. Bock No. Tra t or it oii Desc. ,>- A, 4240—=& Property Owper Address Phone 42 Contractor address Phone Description From Depth �� Height Sq. Ft. Cu. Ft. of Bldg. `� ( No. of Dwelling Unite Taxes Paid Tax Receipt No. Estimated Cost of Wrecking To Be Completed Utilities Notifieds State whether notified and date , Minneapolis Gas Company Engineering Department 372-4850 Northern States Power Company Customer Business Office 330-5540 Northwestern Bell Telephone Co. Business Office 332-4112 Approved By Water 6; Sewer Department: All Bilis Are Paid Services Are Disconnected The undersigned hereby makes application for a permit to wreck the.building described above, agreeing to do all work in strict accordance with the City .Ordinances and rulings of the Department of Buildings, and hereby declares that .all facts and representations stated in this application are true and correct. � Co tractor l I Date i IN SUBJECT City of Fridley 15 6 5`6 AT THE TOP OF THE TWINS _ BUILDING PERM l r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. 1 INSPECTION SEC. 1 1 i PROTECTIVE 1 � � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 4/11/80 JOB ADDRESS 4'748 - 2nd Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. Pt. 2, Al 3, Pt 4, B ock 5, Plymouth. Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 0 Arthur Gilles 4748 - 2nd Street N.E. 566-5073 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Sl 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Construct a 281-x 28' Detached garage 9 CHANGE QF USE FROM TO STIPULATIONS Provide a KIM& hard surface driveway. Provide truss design. SEPERATE PERMITS REQUIRED FOR WIRING HEATING. PLUMBING AND SIGNS. 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 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 $6,900 $3.45 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- $31.36 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $34.81 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE PROPERLY Y-ALIDATED THIS IS YOOUR PEERMIT PS;WH�E GNATURE OF OWNERI WNE B DERI IDATEI DG INSP DATE IN CITY OF FRIDLEY APPLICATION FOR RCSIDMTIAL BUILDING PERMITS (New, Alterations, Additions, or Repairs) OWNER: �®C/�,y�� '�� GUILDER: ADDRESS:�;�—�� ADDRESS: TEL NO: Vic, z TEL PdO: Construction Location STRMT NO: 71/Zz STREET: � /� .�' 7` LOT: BLOCK: �� ADDITION: Corner Lot: Inside Lot: Setback: Sideyards: Applicant attach to this form tvio Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION Front-. Depth: v��' �'T Height: 1 7- -----tom 02&Square. Feet_ — Cubic Feet: Front: Depth: Height: Square - Feet: Cubic Feet: 81 Type of Construction: 6'10A�6 ib Be Cbmpl.eted: 1 no— Proposed Driveway Width, If New Opening Is Desired: Estimated Cost: $,�� Alt. A Alt. B SEE REVERSE SIDE OF SHEET The undersigned hereby makes application for a permit for the wort: herein specified, agreeing to do all work in strict accordance with the City of I'ridley 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: SIGNATur.E : 0 Stipulations: Ly Pan OA SUBJECT PER City of Fridley 14 20104 AT THE TOP OF THE TWINS BUILDING PERMIT r RE COMMUNITY DEVELOPMENT DIV.®� r PROTECTIVE INSPECTION SEC. Y s , CITY HALL FRIDLEY 55432 L NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 9/7/89 JOB ADDRESS 4748 - 2nd Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. S 5' of Lo 2, All of of 3, N. 30' of Lot 4, Bl. 5, Plymouth SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Don Gilles 4748 - 2nd Street N.E. 572-8557 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 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 ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct an 8tx28'� and a 4'x18'• Additions- to Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan On all new roofs or tear-offs and replacement roofs, State Code requires that 2 layers of 15 Ib. felt, mopped together, be installed to a point 24 inches Up from Before drty exterior wall line, or the use of other approved all ut ility locall to call for u•nderlaYrnent Membrane, cationsdRd 454-0002 /� iJ —� ` ED y SEPARATE �'F ,:: i 1,"'D FOR LAS' WIRING, PLEA t ii'a , �.. * Y'veA5y1��dG AND SAGN9. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 7 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 $56,250 $28.73 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- $446.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTA �4E 13 SIG TU RE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) W "PROPLI A THIS IS OUR PERMIT DG INSP nATE SIGNATURE OF OWN0F1Z/.UI=L=.=E=.I' IDATEI ADEN ALTS [ l R-1 AND R-2 Building Permit Application Effective 5/1/88 Construction Address: _ `?' �� .��; - 1,G1ve_ e-1 -5:�rV A 7A5- s®crr s-,ee�r®��.r��a,�c�� r �r3'.0p , °r 2 r# 3® Iagal Description: Gore/ . /nu c .� �Lv�o�y-�t v .rl. n'C ce', A'ry 1�/i'r veW-✓t- owner Name &Address: _ o / Tel Te1. # �q -9,C/J-7 Owner `��-� -X114/8-�� U�- Contractor:O� �je� 77y- �'s7 . #�.�t-cam^, z Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LVIM AREA: length GMAM AREA: 1MYTth DECK AREA: length OMM: 0 Width 9" height Sq. Ft. Width Leight Sq. Ft. Width Hgt/Ground Sq. Ft. Corner lot [ ] Inside lot D Ft. Yd Setback -3-57. / Side Yard Setbacks Type of Construction: %�' c— Fstineted Cost: $_ Co — NO Approx. Completion Date: '— Proposed Driveway Width If New Opening Is Desired: Ft. $ $ Width + 6' See Back Page DATE: - APMCANT: ��--, �� . Tel. Permit Fee $ 4 State Surcharge $ SAC Charge $ Driveway Escrow $ .Park Fee $ Sewer Main charge $ STIPUTATIMS: C=Y USE aaax Fee Schedule on Reverse Side $.50/$1,000 Valuation $575 per SAC Unit Alt. "A" or Alt. "B" Above Fee Deer++; *ed by Engineering Agreement Necessary [ ] Not Necessary [ l S(OA SOM6 ®ave 414.0 cvQh of tShe 1 L4'6h K Ch -01 9 / (1-7-6 Oft ftwvwmwS O%b 16C It t7 Es` Qft `m-16 %g r Z. sh (42 CITY OF FRIDLEY { Effective Date May 1, 1988 ~ APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDENTIAL RATE Furnace Shell and Duct Work, Burner (Also+replacement furnace) $ 20.00 Gas Piping ! . $ 10.00 (piping needed with new furnace) Gas Range Gas Dryer' $ 10.00 * Air Conditioning (all sizes) $ 10.00 All Others/Repairs and Alterations 1% of Value of Appliance or Work COMMERCIAL/INDUSTRIAL 1% of Value of Appliance or Work State Surcharge TOTAL FEE Reinspection Fee ($15.00) Rough Insp. Date Final Insp. Date Approval for Permit MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00, PLUS $.50 STATE SURCHARGE $ $ 0® e Job Address yup /t/, 'r ��' a � Department of Buildings, 6431 University Ave. N.E., Fridley, NN 55432 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, Minn. // ;zZ OWNER 6 A) Va iLZi.F KIND OF BUILDING USED AS TO BE COMPLETED ABOUT ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER 'HEATING or POWER PLANTS, Steam, Hot Water, Warm Airp No. / Trade Name 4J)o � ANSize No. Oe, E C) erL �J Capacity Total Connected Load Sq. Ft. EDR BTU HP Kind of Fuel 1v41-_ 6A - 5 - BURNER - Trade Name l ��A Al size No. Capacity Sq. Ft. EDR BTU A att ch stack verification form with replacement furnace permits J U L`a *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. HP company Heating & A/C Signed B Tel. No. 824-2656 CITY OF FRIDLEY APPLICATION FOR PWMBING AND GAS FITTING PERMIT PLUMBING FIXTURE RATES: New Fixtures RATE SCHEDULE NO. Future Fixtures Old Opening, New Fixture Beer Dispenser Blow off Basin Catch Basin Rain Water Leader Hydraulic Valve Sump or Receiving Tank Water Treating Appliance Hot Water Heater Gas Range Gas Dryer RATE $ 5.00 $ 3.50 $ 1.50 $ 4.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 $ 7.00 $ 5.00 $ 10.00 $ 10.00 Back Flow Preventer Required. . . Yes ( ) No ( ) Type $ 5.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1% of Value of Fixture or Appliance State Surcharge Reinspection Fee $ ($15.00) TOTAL FEE TOTAL S 5-1) 4✓ $ .50 $fv, 50 Effective Date May 1, 1988 A)6- nC)@► Job Address 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. � , 19 8q OWNER KIND OF BUILDING USED AS TO BE COMPLETED ABOUT ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. ( 0 3 -3 Company �f�/'�tBvf� zzG Signed By Tel. No. ROUGH INSP. ate' Date �®_ZSR/fid FINAL S Date APPROVAL FOR PERMIT CCeCA MINIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE k v Water ai ro e Q m m N W Heater •N N (4 e 9 4J 3 Nani :5d •a .xfi .c S vi 104 D Oeq roro P9 N A W m U cG 3 C7 c7 o s lec j l 1st 2nd 3rd 4th (R) = Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water PLUMBING FIXTURE RATES: New Fixtures RATE SCHEDULE NO. Future Fixtures Old Opening, New Fixture Beer Dispenser Blow off Basin Catch Basin Rain Water Leader Hydraulic Valve Sump or Receiving Tank Water Treating Appliance Hot Water Heater Gas Range Gas Dryer RATE $ 5.00 $ 3.50 $ 1.50 $ 4.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 $ 5.00 $ 7.00 $ 5.00 $ 10.00 $ 10.00 Back Flow Preventer Required. . . Yes ( ) No ( ) Type $ 5.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1% of Value of Fixture or Appliance State Surcharge Reinspection Fee $ ($15.00) TOTAL FEE TOTAL S 5-1) 4✓ $ .50 $fv, 50 Effective Date May 1, 1988 A)6- nC)@► Job Address 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. � , 19 8q OWNER KIND OF BUILDING USED AS TO BE COMPLETED ABOUT ESTIMATED COST OLD - NEW BUILDING PERMIT NO. PERMIT NO. ( 0 3 -3 Company �f�/'�tBvf� zzG Signed By Tel. No. ROUGH INSP. ate' Date �®_ZSR/fid FINAL S Date APPROVAL FOR PERMIT CCeCA MINIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE c::ITY 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, 1997 _ A r 0 y PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS New Fixtures $ 7.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $ 4.00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $ 7.00 and representations stated in this application are true and correct. Catch Basin $ 7.00 Rain Water Leader $ 7.00 �? • ;21 - 1997 Sump/Receiving Tank- $ 7.00 //�S S-72 IV -7 Water Treating Appliance $10.00 Owner /'J Cs Water Heater -Electric $ 7.00 Water Heater - Gas** $10.00 Building Used As 4y'. P C = Gas Range** $10.00 Gas Dryer** $10.00 Estimated Cost /d.So °-�- PERMIT NO. Back Flow Preventer Required ( )Yes () No Type $15.00 PLUMBING COMPANY Reinspection Fee $42.00/Hr SIGNED BY TEL No. -5-7,2 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance G Approved By Rough -In Date Final Date_ State Surcharge $ .50 MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20.00 TOTAL FEE $ d� Sd PLUS THE $.50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SQ INCHES. 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, 1998 PLUMBING FIXTURE RATES: NO, RATE TOTAL JOB ADDRESS `f ?N o e� "—� Sr N�_: 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 /0.00 Gas Range** $10.00 Gas Dryer** $10.00 Back Flow Preventer Required ( )Yes () No Type $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge .50 TOTAL FEE $ P . 0 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. 11,93 '1998 Owner iia n/ 61L1 - ES 5-7?— ` % 197 7 Building Used As Ah fv..A Estimated Cost 00 PERMIT NO. PLUMBING COMPANY T SIGNED BY TEL N0. A Approved By /\!::f Rough–In Date Final Date PLUS THE $.50 STATE SURCHARGE MIT IS **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6–A. MINIMUM SIZE 9 SQ INCHES. FA SUBJEct .. - - PE City of Fridley ' 3 7 AT THE TOP OF THE TWINS BUILDING P IT r S DIV. ,. O. -------- COMMUNITY DEVELOPMENT r � PROTECTIVE INSPECTION SEC. e I . , NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 4/26/01 10B ADDRESS 4748 2 Street NE - 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3, pt 4 5 Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Arthur Gilles 4748 2 Street NE 763-572-8957 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 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 ❑ ALTERATION j7 REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof Garage UX (11 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Call for ice shield inspection before covering. 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 V 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 $1,125 $ .56 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- Fire SC $1.12 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $44.85 PLAN CHECK FEE TOTAL EE 1-01 $ .53 X�SIGNAIR AuiMOi D n E iOATE, N P OPE LID E IS IS O PERMIT ��(SATUREOFOWNEAIF OWNER BUILDERS INTE, BLO INSP O&TE FA NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & Address: Effective 1/1/2001 (763) 572-3604 Bldg Insp Tel. # -71,? -5-7,91 Contractor: --- MN LICENSE # Address: '7l7 Kj� - 2 -LZ Tel. # -7G 77 - 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: LengthL Width Height Sq. Ft. DECK AREA: L ntht/Ground Sq. FL OTHER: E � % opr 61 i�o� l I I S*,) Construction Type: (� Estimated Cost: $ r, U Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: Tel. # CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Call (763) 572-3604 for Permit Fees If mailing in application $ '`I, �5 Fee Schedule on Reverse Side $ .001 of Permit Valuation (1/10th%) $ $.50/$1,000 Valuation $ $1150 per SAC Unit $ $5.00 (State Licensed Residential Contractors) "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] ---W -rr_ -- _. conformance with the ordinances and codes of the City of Fridley and with the Minnesota o nota permit but only an on for d work is not to start without a permit; that the work will be in accordance with th approved plan im the of c requir s review and approval of ans. /f'\� / SIGNATURE OF APPLI Rn�II �/' 1Yl ATE J City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 MECHANICAL perlrlit No.: cs-ooD(a Building Inspections RESIDENTIAL APPLICATION : "` 7 Received ByI Dat AN 2� 763-572-3604 CITY OF FRIDLEY . E- DATE d �UR DS SITE ADDRESS THIS APPLICANT IS: 0 OWNER CONTRACTOR PROPERTY NAME: OWNER/ ADDRESS: Z (t ST ZI TENANT �. !r PHONE: CONTRACTOR COMPANY NAME; CONT7kCTPERS( X&417 ( 410 WEST [AKE STREET SUBMIT A COPY OF, MN 55408 YOUR STATE STATE LICENSE I! 2524� STATE ZIP LICENSE WITH ADDRESS; APPLICATION PHONE FAX „SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE ERMIT TYPE F PE OF WORK: 11 NEW )(REPLACEMENT I7 ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK 4 J 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, ARE BASED ON $10.00 PER FIXRIRE, EXCEPT WHERE NOTED. FVCTURES: (INDICATE TOTAL NUMBER OF EACH BELOW),lis SIZEBTU Equipment Installed MFG: . MODEL: MFG: MODEL: SIZEIBTU MFG: MODEL: SIZFIBTU (GAS) $15.00 GAS RANGE/OVEN $10.00 _A/C $25.00 _FIREPLACE AIR TO AIR EXCHANGEER $15 LACE (WOOD) $35.00 NEW GAS GRILL $10.00 GAS UNIT HER $10.00 BOII ER $35.00 FURNACE $35.00 CHIMNEY LINER $10.00 GAS DRYER $10.00 POOL HEATER 00 VENTILATOR $115.5. 00 DUCT WORK $10.00 GAS PIPING $10.00 — $ Number of fixtures @ $10.00 x $10.00 = $ Permit Fee Surcharge $ .50 Number of fixtures @ $15.00 x $15.00= $ TOTAL DUE $ Number of fixtures @ $25.00 x $25.00 = $ fixtures @ $35.00 :tx $35.00 = $ aT Number of State Surcharge = $ 50 Total = $ THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED r >,PH� annly for a buildine Dermit and I acknowledge that the information above is complete and accurate; that the work will be in ---W -rr_ -- _. conformance with the ordinances and codes of the City of Fridley and with the Minnesota o nota permit but only an on for d work is not to start without a permit; that the work will be in accordance with th approved plan im the of c requir s review and approval of ans. /f'\� / SIGNATURE OF APPLI Rn�II �/' 1Yl ATE J City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMESIADDITIONS EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEWIEXIS.T,.IN,Q HDM.E:S .:.;:, 1. Combustion Air (See note below)'' a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or PropaneaGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. TMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances 1FGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a.. Required on new construction IMC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or 7672 6. Duct Design Per ]MC 1346.0603:2 - a- ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion' and make up air calculations