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PRE 2010 DOCS:.. Ir. .4 City ®f Fridley, Afinn. WILDING PERMIT Date: . Owner: I Builder Address __ Address ' ' .-.- ----- LOIO O BUILDING Ty' 7efi No./ Street - s- — - = = _ _ Part of Lqt Lot ___ Block_ _ Addition or Sub -Division '� 01 '�i -e'# �, P Corner Lot . Inside Lot �_ ` ' Setback _.5._ _____ Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To' Used 4} A sa �" s Front Depth, ,�s� Height, _ Sq. Ft./ / -/f --' Cu. Ft F Rt Depth __ 72 Height ri � Sq. Ft. Cu. Ft. Type of Construction''- -A- Est. Cos • __ � To be Completed In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $, _" __ ., permit is hereby granted to._._.. to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. I —IN Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, 'gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for them Hems. 4 APPLICATI N FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA: Owners Name alder Address LOCATION OF BUILDING r No. Street & 2 1 Part of lLLo�t Lot Block___,-___ Addition or Sub,Div. //�c'� ,,,�„_,_`r ���- J Corner LotInside Lot-4—set Back j Side -Yard SEWER. ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: r Front Depth ,,/ i f Sq. Ft•,� Cu. Ft., -Front Depth Height Sq. Ft. Cu. Ft. Type of Construction jEstimated Cost To be completed The undersigned hereby makes application for a permit for the work herein specified$ agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby decd that all the eta and representa- tions stated in this application are true d co rect. �14� - SIGNATURE — J, (A Schedule of Fee costs can be found on the Reverse Side.) Application for Power Plants and Heating, Cooling. Ventilation, JRehigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL, Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 124,000 BTU ............ 8.00 $ each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace .............................. &.00 $ Repairs & Alterations—up to $500.00 .... •............. 5.00 $ Repairs & Alterations each add. $500.00 ....... :...... 2.50 $ STEAM or HOT WATER SYSTEM NO RATE TOTAL 1st 3 Fixtures ...................... Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ t Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ +SOIL BURNER—to 3 gal, per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule G U GAS BURNER (up to 400,000 BTU) ....................... 5.00 $� GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $/ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM ALTERATIONS & REPAIRS TOTAL FEE �-�-�- ROUGH FINAL Dept. of Bldgs. Phone SU 4-7470 Location City of Fridley: 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 declares that all the facts and representations stated in this application are true and correct. Owner Kind of Used as To be completed about Estimated Cost, $ L'S�� , 0 G-) Old—New. Building Permit No. Permit No. L DESCRIPTION OF WORK HEATING or POWER PLANTS -Steam, Hot Water, Warm. Air—No Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. Total Connected Load Kind of Fuel BURNER —Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS—OVER) a z 2M 7-59 Sign �V By- Business y Business Phone No — / o City of Fridley Opel Application for Pinmbing and Gas Fitting Permit Dept, of Bldgs. Phone SU 4-7470 DESCRIPTION OF Number, hind and Locationn of of Fixtures Location [I1 $ x 1.20 $ x 1.00 $ x 3.25 $ x 2.00 g,G 6zz1 $ WATER HTR. oU N GAS ELEC5��0 Base 1st 2nd 3rd 4th — • Future Connection Openings Connected with �= New Fixture, Old Openings I Sewer � Cesspool Ej PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: 1 Number Fixtures ...................... Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin ........................... Water Heater (Up to 200,000 BTU) ...... New Ground Run Old Bldg. ............ City of Fridley: 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 declares that all the facts and representations stated in this application are true and correct. Fridley, Minn. id f 2 , 19kl- Owner A�7v 19— Kind of Building Used as To be completed about , • 'C' / JIV Estimated Cost, $_ �`� 0-10 NO. RATE TOTAL, Old—New. Building Permit x $1.50 $ x 1.20 $ x 1.00 $ x 3.25 $ x 2.00 $ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ..........................Z x $1.50 $ /,� Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ ll POST IM -12-58 19— Application for Power Plants and. Heating. Coding, Ventilation, Ref igeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL, Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AYR ®®6 Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ .each add. 60,000 BTU ........................ 2.00 $ _ Replacement of Furnace . §.00 $ Repairs & Alterations—up to $500.00 .... ............ 5.00 $ Repairs & Alterations each add. $500.00 .......:....... 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam....... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... ' 5.00 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $ ROUGH— FINAL— Kind OUGHFINAL Dept. of Bldgs. Phone SU. 4-7470 Lacafion 6 7 3 / ` . City of Fridley: 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 Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, T 'nn 4a Ia + 1 16� , 19 Cl Owner 1 .l A9 , '& A h, A q- e- S"� r� Kind of Building T7) -e_ Used as A>I To be completed about Estimated Cost, $ Old—New. Building Permit No. �,� _6 0 Permit N DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, aNarm Air No Trade Name 1✓.4 �''�'� -11,4VI Size No- Z) G i Z® OA S Capacity. Sq. Ft. E.D.R. 1110, 0 520 BTU H.P. Total Connected Load �_� o - Kind of Fuel A/,A BURNER — Trade Name Size Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS—OVER) Signed 01E e A / A;5; By 42 1M 7-59 Business Phone No- ` 7 J?/ ...r ! 67� A/+®��/'a�6s'7 ®` �. LBr el. `l "�o d�✓e a HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS Weatherstrips A.S.H.V.E, Construction No. °' Insulation Guide Windows Doors Reference Out. Wall Int. Wall Ceiling I RoofKind How. Applied GYe phiL No I —No 19— ®�a + ;r. ' ® { 4 P. ke-t' F1.1 ® .. Room I Length -)a Width IS Height IP / FLI /->_ ii Room I Length ® 2 Width to Height f Windows and Doors—Crackage and Area Coef. Width Height No. of Lineal ft. Area No. ofpane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane ofPane ligpphts of cra�ck sq. fft. P ggel Glass Coef. -Coef.1 Coef. Btu Infiltration j4 5 0 50 00 Glass 7 3L -3.0 Exp. wall Exp. wall g� 3 - Net exp. wall Int. wall Net exp. wall 6 T 8 6 Ceiling Int. wall Floor 0 Floor Ceiling .P .70 Floor 60 s cc, 7 5 ;- Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area d FI.I A-, f& A ® , Room I Length 2. 4 Width / b Height eP Windows and Doors—Crackage and Area Coef. Width Height No. of Lineal ft. Area No. ofpane of pane lights of crack sq. ft. 4-2— -, cf� 41,,e36 mss® ggel Glass Coef. -Coef.1 Btu Infiltration j 0 0 5 0 3,q -s o Glass d (3 7 3L Exp. wall Net exp. wall g� 16 - Net exp. wall Int. wall Floor 6 U ® f Ceiling E Floor 0 Floor 14 20 Total Btu. I l Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / FI.I P –Le Room I Length / e5 Width K Height P Windows and Doors--Crackage and Area Coef. Width . Height No. of Lineal ft. Area No. of Dane of pane lights ofcracksq. ft. /0 .2— 76 '� 1l 190 Glass Coef. Coef.1 Btu Infiltration j 0 0 561 750 Glass d (3 7 3L Exp. wall Net exp. wall q 09 16 - Net exp. wall Floor 10 6 Int. wall E Floor 102 Ceiling 96 Floor 60 7 4.1.0 Total Btu. sq. ft. E.D.R. or sq. ins. W.A. Leader area Windows and Doors—Crackage and Area Coef. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. ® ® C)y . 76 '� 1l 190 Glass Coef. Coef. Btu Infiltration 3 0 0 0 Net exp. wall Glass d (3 Exp. wan 3L Exp. wall Net exp. wall Ceiling 16 - Net exp. wall Floor 1.08 9 a516 Ceiling Int. wall E Floor 102 Ceiling q /, Floor 9' Total Btu. Required sq. ft. E.D.R. or sq: ins. W.A. Leader area I U / Fl.l _/ Room I Lengthl-0 Width cl Height f Windows and Doors—Crackage and Area Coef. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Infiltration 1 6 190 Glass Coef. Btu Infiltration Exp. wall 50 0 0 Glass Net exp. wall 32,3 d (3 Exp. wan 6 �® Net exp. wall Ceiling 16 ' �® Int. wall Floor 1.08 Ceiling 10? E Floor 102 Total Btu. Required sq. ft. E.D.R. or sq. iris. W.A. Leader area -,.F1.1 -ft Room I Length I �_ Width Windows and Doors—Crackage and Area Width I eightNo. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. Coef. Btu Infiltration 1 6 190 Glass ,2 J41 Exp. wall 1 aci Net exp. wall [ &,9 d (3 1('30 Int. wall Ceiling • 0 Floor 1.08 4 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area '57 9 ^f D56 vs HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MINNEAPOLIS. MINN. Weatherstrips A.S.H.V.E, Construction No. Insulation Guide Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied I es No Ye No 19- 86.1 9_8c Fl.1 Ain o.3 , . oom I Length -2.a Width 13 Height F1.1 Room I Length Width Height Windows and Doors—Crackage and Area Se-onR "� Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. �Xe, w� All Exp. wall Net exp. wall Int. wall Ceiling Floor plus 1,t �wsa/�jfi Coef. Btu Infiltration 39 0 1 44 Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I ° F1.1 Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef.1 Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Btu -ICoef.1 Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Windows and Doors—Crackage and Area �s Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. 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. W.A. Leader area Fl.l Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. 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. W.A. Leader area F1.1 Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of Wane of pane lights of crack sq. ft. Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Btu SUBJECT P N City -of Fridley 112 19933 AT THE TOP OF THE TWINS BUIL DING P E R M I T r RECEIP O. _ L ____ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. / � , CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 6/6/89 JOB ADDRESS 6731 - 2nd Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 26 3 Rice Creek Plaza South Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Robert/Laurel Coffey 6731 - 2nd Street N.E. 571-2952 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 551 ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK install bay window in back 9 CHANGE OF USE FROM TO STIPULATIONS Must be installed according to manufacturers instructions. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS; OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING 1 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 $1,800 $ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT .90 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. $41.00 PLAN CHECK FEE TOTALFEE $41.90 SIGNATURE OF CONTRACTOR ORA EDA NT (DATE) WHENPROPERLY V�(�DAT�EjDTHA IS IS YOUR PERMIT BLDG INSP OA E SIGNATURE OF OWNER of OWNER BUILDER) )DATE) NEW [ ] Effective 5/1/88 ADDN [ ] R-1 AND R-2 ATm $1 Building Permit Application Construction Address: %'.3 /- Legal Description: Owner Name & Address: Contractor: Tel. Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. MVIM ARMU Length Width Height Sq. Ft. GARAGE AIM: length Width Height Sq. Ft. DECK OTHER:�7=�+y : /+j�y�}th /� Width Hgt/GrounAd �j Sq . Ft. Corner Lot [ ] Inside Lot [ ] Type of Construction: Approx. Completion Date: Ft. Yd Setback Side Yana Setbacks Estimated Cost: $ /SOD � Proposed Driveway Width If New opening Is Desired: Ft. $ $ Width + 6' See Back Page DATE: - _ % APPLSCAIVT: Tel. 9 Permit Fee $ ,C6 State Surcharge q0 SAC Charge $ Driveway Escrow $ Park Fee - $ Suer Main Charge $ CITY USE CNLY Fee Schedule on Reverse Side $.50/$1,000 Valuation $575 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] TOTAL $ S'T'IPULATIONS : snow /,R,ttea , 00 n xw 2&ocr 1. 00 - SUBJECT - P City ®f Fridley 2 030 AT THE TOP OF THE TWINS BUILDING PERMIT t ` RECEIPT NO. .ewe COMMUNITY DEVELOPMENT DIV, Ir ------ r PROTECTIVE INSPECTION SEC. e NUMBER pEv DATE PAGE OF APPROVED By L1 = A "','; CITY HALL FRIDLEY 55432 L ---- JAI., ` 612-571-3450 910-F15 9/30/98 JOB ADDRESS 6731 2nd Street NE 1 LEGAL LOT NO. 13LOCK TRACTOR ADDITION SEE ATTACHED DESCR. 26 3 Rice Creek Plaza South Addition SHEET 2 PROPERTY OWNER MAIL ADORE" ZIP PHONE Laurel Coffey - 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Bo's Construction 2218 22nd Ave S Mplq MN 59404 709-5017 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION Ox REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (16 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 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ' NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 $1371 $.69 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- STRUCTIO OR TME P RFORMANCE OF CONSTRUCTION $45.75 Fire SC $1.37 �� PLAN CHECK FEE TOTALFEE Licen SC $5.00 52.81 SI&<ATUAEOF dOITRACTOPORAUTHORIZEDAGENT iDATE, ZVJAEN PROPERLY V ATE THIS IS41UR PERMIT SIGNATURE Of Ow NER, IF OWNER BUR OERi iDATEI BI OG �N$ ()AIE NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 0 BUILDING PERMIT APPLICATION J" ConstructionAddress: �� c� S�' J�ey I/U psi3a Legal Description: Owner Name & Address: , r -e f C 3 e�z Tel. # 5-71-- aqua Contractor: 6'5. co -n Jv" J e" MN LICENSE # d a Address: VI/l�� (U SSKULf Tel. # -7cel - So3-7 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: z 6, l �'g - UP--: r Construction Type: 1-�&- ��-e !/ Estimated Cost: $ �� 1,3%/ (Fee Schedule on Back) Driveway Curb Cut Width Needed: DATE: G lqr APPLICANT: Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: Ft. + 6 Ft = Ft x $ _ $ Tel. #7067- 5037 .CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.501$1,000 Valuation $1000 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 [ ] cirf^OF FRIDLEY INSPECTION DIV. 6431 University Ave NE `Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT Effective On May 10, 1999 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Stories r:a••:�•: iUrinal Shower Wash Tray Floor Drain .. Auto. Gas Washer Range Water Heater .>. Gas Elec Basement Floor 1 Floor 2 Floor 3 Floor 0 4 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 Gas Dryer** Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance TOTAL JOB ADDRESS �� 45 D��� State Surcharge $ .50 TOTAL FEE $ z®, 5b 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 �/% .1999 COFFEY, ROBERT Owner 6731 2ND STREET NE FRID:.EY, 141N 55432 Building Used As (612) 571-2952 Estimated Cost PERMIT NO. PLUMBING COMPAN{I RBLOM PL (612) 827-4033 SIGNED BY 2905 GARFIELD AVE. No. mAINNEAPOUrk MN Approved By ALJ Rough -In Date Final Date 3 • 6 **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SQ INCHES. G7YOF FRIDLEY FRIDLEY MUNICIPAL CENTER - 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 - (763) 571-3450 - FAX (763) 571-1287 January 18, 2001 Robert Coffey 67312 Street NE Fridley, MN 55432 Re: Final Inspection at 67312 Street NE Contractor: Norblom Plumbing Co Dear Mr. Coffey: A plumbing permit was issued on August 23, 1999 to install a gas water heater at the above noted address. According to Section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the plumbing authorized by this permit. As of this date no inspection has been called for. The permit fee that was paid covers the inspector's time to check to make sure the water heater was installed correctly, that the State Plumbing Code has been complied with for installation of combustion air for fuel burning appliance, and that the vent has been sized correctly with the correct vent connectors. You will be given thirty (30) days from receipt of this notice to respond. If we do not hear from you, we will expire the permit and any inspections on this installation will require a new permit. Please contact me at (763) 572-3603 if you have any questions concerning this matter. Sincerely, zk Wil V.PW DAVESEN Buildin pector DJ/mh Building Inspections 7.63-572-3604 DATE SITE ADDRESS l THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR MECHANICAL RESIDENTIAL APPLICATION CITY OF FRIDLEY YOUR E-MAIL ADDRESS `7 - Z= --') T -k -- D OWNER 6MNTRACTOR NAME: ` �v`'r 2 1 C es - e T%.I rI • lo --7--5 SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PERMIT TYPE PHONE: COMPANY NAME:_ CONTACT PERSON: STATE LICENR #_ PHONE FAMILY F•j D TWO FAMILY TYPE OF WORK: 0 NEW D REPLACEMENT Permit No.: a Received By: Date Rec'd: - t' ATE ZIP e— EXP DATE {� �CIIT�Y, , ` A% STATE( t• ZIP FAX D TOWNHOUSE D ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK .4'42!`0 7' 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 fixtures. (This should reflect only the cost of labor ) improvement, installation or replacement of a residential fixture, excluding the Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x .05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) MODEL: SIZEBTU Equipment Installed MFG: MFG: MODEL: _— SIZEIBTU MFG: MODEL: REPLACE (GAS) $15.00 SIZEBTU GAS RANGE/OVEN $10.00 A/C $25.00 AIR TO AIR EXCHANGEER $15 PLACE (WOOD) $35.00 NEW GAS GRILL 0.0.00 GAS HTR $10.00 _BOILER $35.00 _FURNACE $35.00 GAS DRYER $10.00 POOL HEATER $35.00 HE CHIMNEY LINER $10.00 WORK $10.00 GAS PIPING $10.00 D_ _ __ _ ._..�. ::..,.,� _VENTI Lp.$15.00 TORUCT ,�,.a �,:::..r�v, _ . . ''`.ISS Permit Fee $ Number of fixtures @ $10.00 ,j x $10.00 = $ (Cl- Surcharge $ 50 Number of fixtures @ $15.00 1 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = $ 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 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 w r hich req s re iew d approval of plans. ,, 1 SIGNATURE OF APPLICANT PRINT NAME R1`� 0 �1) �/ �' DATE,�Se 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 HOMES/ADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or PropaneUGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a, IMC Chapter 5 with MN Amendments 3. Venting a_ Gas appliances IFGC 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 IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make up air calculations 3uilding $ BUILDING Permit No.Mv inspections $ RESIDENTIAL APPLICATION Received B763-572-3604 Fire Surcharge $ CITY OF FRIDLEY Date Rec'd Surcharge $ YOUR E-MAIL ADDRESS ;ITE ADDRESS (.a-7 $ iTIIS APPLICANT IS: Cl OWNER UCONTRACTOR PROPERTY OWNER/ NAME: coo 'a 5714 ADDRESS: I n2 3 t Z It' CITY c c� �K -I STATE m tw .SS `7 3 Z TENANT Curb Cut Escrow PHONE: o? ' 2 CONTRACTOR NAME: C� �� � }� `� i � d1 iLfac. STATE LICENSE # EXP DATE � SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: 5s �l Ps CITY !�l'A w—' STATE ZIP `� WITH APPLICATION PHONE (� ? -� 9 FAX PROPERTY TYPE MINGLE FAMILY/NEW CONSTRUCTION SIZE Sewer Main Charge O TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE 0 ADDITION 0 GARAGE/SHED O WINDOWS Total Due BASEMENT FINISH 0 ROOF 0 DRAIN TILE S [] DECK ❑ SIDING 0 OTHER 0 SWIMMING POOL TYPE OF WORK: O NEW 0 ADDITION 0 MAINTENANCE/REPAIR KEn4ODELING DESCRIBE WORK BEING DONE:rM %s'-'-- SIZE OF IMPROVEMENT Z- LENGTH 3' ' WIDTH 16 HEIGHT Z� Sq. Ft. ROOFING 0 HOUSE ONLY NUMBER OF SQUARES [] HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES 0 ATTACHED GARAGE 1. Existing Floor Plan 2. Proposed floor plan PROPOSED SIZE: 0 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 I . Site Plan/Survey showing the existing structures [] Other [] Fascia and proposed project 2. Two sets of construction plans WINDOWS IN EXISTING OPENINGS Oyes []No LOCATION OF WINDOWS b t� ti r� 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,C FEE SCHEDULE) TOTAL JOB VALUATION $ / / 0:;D OCCUPANCY TYPE Permit Fee $ 39 '75' See Back Page for Fee Schedule Plan Review $ -- 65% of Building Permit Fee Fire Surcharge $ 1,00 .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ S . © ® $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 $21= $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ S 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 permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and app Koval of plans. SIGNATURE OF PRINT NAME I/0�+ ��1� `� DATE ��CO