PRE 2010 DOCSApplieatiar 4Or P6WW Plaets and HowhM Cooling, Ventilatone Rehigemion aed
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE tet• of Slam Phom Goo -mm
GRAVITY WARM AIR: RATE TOTAL
Furnace Shell & Duct Work ................ .. $10.00 $
Replacement of Furnace .. 6.00 City of Fridley:
Repairs &Alterations—up to $500.00 g $ _ The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do all work in strict accordance with the City Ordinance. -
Repairs & Alterations each add. $500.00 3.00 $_ _ and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and correct.
MECiL WARN AIR
Furnace Shell & Duct Work to 120,000 BTU ..$10,00 $_
each add. 60,000 BTtY .................... .. 3.00 i
Replacement of Furnace .... 6.00
Repairs & Alterations --up to $500.00 .. 6.00 $
Repairs & Alterations each add. $500.00 3.00 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR Steam
$10.00 $.
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water
10.00 $_
Each add. 200 sq. ft. EDR Steam
3.00
Each add. 320 sq. ft. IDR Hot Water
3.00 $_
OIL BURNER—to 3 gal. per hour 6.00 $ _
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to 199,000 BTU) 6.00 $
over 199,000 BTU See Fee Schedule
GAS FITTING FEES: NO RATE TOTAL
1st 3 Fixtures x$ 200 $
Additional Fixtures a .75 $
Gas Range to 199,000 x$ 6.00 $
"AIR CONDITIONING
FAN HEATING SYSTEM
V rITLATING SYSTEM
ALTERATIONS & REPAIRS
ROUGH
FINAL o2 'l U ' 7 �
Sae Fee Schedule
$
TOTAL FEE v
(SURCHARGE
Fridley, Minn_ 18 _
owner k/'
Kind of Building
Used as= --
To be completed about
Estimated Cost,12
&New. Building Permit No. Permit No. f ,fes
(semv DEdCRIPTION OF WORK
HEATING or POWER PLANTS --Steam, Hot Water, Warm Air—No
Trade Name _�Size No,
Capacity—Sq. Ft. E.D.R BTU i HB
Total Connected Load Sind of Suet
BURVNER — Trade Name Size No
Capaci Sq. Pt E.D R- BTU Hr.
)deal Sheet Metal Inc.
544 Summit St. N.E.
SignedMpls. r�Mlnti/m 55421
Business Phalle No 7
(REMARKS—OVER)
01
SUBJECT
City of Fridley
bo
- 17447
AT THE TOP OF THE TWINS
BUILDING PERMIT
J
r
RECEIPT NO.
• COMMUNITY DEVELOPMENT DIV.
r 1 PROTECTIVE INSPECTION SEC.
1 I �
CITY HALL FRIDLEY 55432
NUMBER
REV.
DATE
PAGE OF
APPROVED BY
j 612-571-3450
910-F15
4/9/84
JOB ADDRESS 4928 - 3rd Street N.E.
1 LEGAL
LOT NO.
BLOCK
TRACTOR ADDITION SEE ATTACHED
DESCR.
19
3
Summit Manor SHEET
2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE
3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO.
North Central Builders 7401 - 42nd Avenue North, New Hope, MN 55427
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 Cj ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
8 DESCRIBE WORK
Reside Eiouse
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.
Steel/Alum
n.
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
STALLS I 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
$4,700
$2.35
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-
�TRUCTIO OR THE PERFORMANCE OF CONSTRUCTION.
$50.50
CHECK FEE
TOTAL FEE
J\J`/ tl�y le-41PLAN
$52.85
SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)
PROPERLYly=eLIDATD THIS IS YOUR E MIT
L,,�W'HEN
AJ \�
BLDG INSP DAT
SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI
01
NEW [ ]
ADDN. [ ]
ALTER. [ ]
Construction Addri
City of Fridley Effective 4/1/84
R-1 AND R-2
Building Permit Application
Legal Description: L--(` 1 1 `7 k--� -n-7 rr1 c r v, irrNvru
Property Owner/Address: V 9 9 T Al. L ' Tel. #S 7 46
Contractor: /V 6 &Aj A3 LOW&, Tel. # '3
Address: 7��0 1 c��'= 141/) /&O /01�W /41P MA; ST 9-7 7
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
LIVING AREA: Length
GARAGE AREA: Length
DECK AREA: Lente h
OTHER:`C. S i D
DESCRIPTION OF IMPROVEMENT
Width Height Sq. Ft.
Width Height Sq. Ft.
Width Hgt/Ground Sq. Ft.
Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback o
Type of Construction: &WAT-7 STL5 ,F A LLTAA Estimated Cost: $ y7 b D
Approx. Completion Date:
Alt. A Alt B
Proposed Driveway Width If New Opening Is Desired: $ $
See Back Page for Explanation
DATE: APPLICANT: G�Z� Tel . # `J 3 3-61
Permit Fee
Plan Check
State Surcharge
SAC Charge
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
CITY USE ONLY
$ Fee Schedule on Reverse Side
$ 25% of Building Permit Fee
$ $.50/$1,000 Valuation
$ $425 per SAC Unit
$ Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
1
812,&�
CITY OF FRIDLEY INSPECTION DIVISION ' Effective On January 1, 1999
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
HEATING COMP v w- Qv -v
Signed a-4X9Tel No. Z
Approved Rough -In Date Final Date
FILL OUT BACKSIDE FOR
�� �' 5%
JOB ADDRESS
RATE SCH DULE
�2
The undersigned hereby makes application for a for the work herein
e *
permit
Residential
Rate
TOTAL
specified agreeing to do all work in strict accordance with the City Codes and
Furnace Shell and Duct Work, Burner -
rulings of the Building Division, and hereby declares that all the facts and
Also Replacement Furnace
$ 30.00
$
representations stated in this application are true 9nd correct. .
(Side Vent - Fill Out Back)
_ 3 0 _,1998
Gas Piping (Needed with new furnace,
$10.00
$
but not replacement)
OWNERtJ
Gas Range
$10.00
$
BUILDING USED AS
Gas Dryer
$10.00
$
q
Z(2�30
ESTIMATED COST PERMIT NO.
*Air Conditioning - All Sizes
$ 25.00
$
DESCRIPTION OF FURNACE AND OR BURNER
All Others/Repairs $ Alterations (LIST ON BACK
1 % of Value of Appliance or Work
$
No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air)
Trade Name/ 4a s1 4 � e Size No. PU (Z35 R�J
Commercial/Industrial
BTU HP EDR
1.25% of Value of Appliance or Work
$
Fuel Total Connected Load
State Surcharge
$ .50
Burner Trade Name Size No.
S-0
BTU HP EDR_
TOTAL FEE
$ 'K,
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $42.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
HEATING COMP v w- Qv -v
Signed a-4X9Tel No. Z
Approved Rough -In Date Final Date
FILL OUT BACKSIDE FOR
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 ( )
8. Has combustion air been provided for water heater Yes ( ) No ( )
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 ( )
8. Has combustion air been provided for water heater Yes ( ) No ( )
Remarks:
List ALTERATIONS Being Done:
HEATING CO:
Signed By:
Date:
II
Sue,,EeT
PERMIT NO.
City of Fridley
2 9 0 5
AT THE TOP OF THE TWINS
BUILDING
PERMIT�l'
r
F
COMMUNITY DEVELOPMENT DIV.
r V PROTECTIVE INSPECTION SEC
/���
NUMBER
REV
DATE
PAGE OF
APPROVED By
CITY HALL FRIDLEY 55432
612-571-3450
910-F15
3/25/99
JOB ADDRESS
2 tree
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
193
1 Carlson's Summit nor South Addu SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Kevin Wal ren 4928 3 Street NE
586-1086
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
858-9365
4 ARCHITECT OR DESIGNER MAIf ADDRESS
ZIP PHONE LICENSE NO
20091282
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
8 USE OF BUILDING
Residential
7 CLASS OF WORK
O NEW O ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
X
8 DESCRIBE WORK
Reroof House & Garage 23 SO Tear-off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State Building Code.
CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday
thru Friday; 9:00 am to
9:00 pm on Saturday; No work on Sunday.
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
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
$1,971
$
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
.98
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CMA GE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON-
Fir $1.97
STRUCTION OR THE PERFORMANCE OF STRUCTION
$62.25
`SC
PLAN CHECK FEE
TOTA FEE
L SC
$ $70.20
SIGNATURE OF CONTRACTOROR AUTHORIZED AGENT
ID T IS IS Y UR ERMIT
EINIR
S.GNATURE OF OWNER,IF OWNER BUILDER& iDATE
-ftma'rN5O -
OAiE
II
Mar -19-99 11:24A P.13
NIIW [ ] Effective 1/1/98
Ar)DN [ ] CITY OF FRIDLEY
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �
BUILDING PERMIT APPLICATION
ConstructionAddress: XAS
Legal Description: -7';�&r e±E f4 /6e --am-f
Owner Name & Address: 64)aJ c f Tel. #
Contractor: C4 , r`y MN LICENSE #6200
Address: oZ / el. 1/ E;fL — 734-5-
Attach
.36S_Attach to this application, a Certificate of Surve 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: �
Construction Type: i'O ate' Estimated Cost: $
(Fee Schedule on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $
DA'Z'E: APPLICANT: �Tel. #
2 �3G
TOTAL $ 6 • ;-6
STIPULATIONS:
CITY- USE ONLY
Permit Fee
$ �. �S�
Fee Schedule on Reverse Side
Fire Surcharge
$
.001 of Permit Valuation (1/100%)
State Surcharge
$
$.50/$1,000 Valuation
SAC Charge
$
$1000 per SAC Unit
License Surcharge
$ �Qt�
$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 $ 6 • ;-6
STIPULATIONS: