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PRE 2010 DOCS7 SUBJECT - PERMIT City of Fridley 14130 AT THE TOP OF THE TWINS BUILDING PERM i � � t • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 . � CITY HALL FRIDLEY 55432 L NUMBER REV. DATE PAGE OF APPROVED BY J\ 612-560-3450 910-F15 6/3/77 JOB ADDRESS 5111 & 5115 3rd Street N.E. 1 LEGAL DESCR. LOT NO. 6 BLOCK 1 TRACT OR ADDITION q SEE ATTACHED Carlson) s Summit Manor Annex ®(jDb A660 • SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE B.E. Enterprises, Inc. 85 Third Avenue S.E., New Brighton, Mn. 55433 636-4164 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP A��WSE NO. 6 USE OF BUILDING call local V Q$ d1�- Residential 8@fora Etc. 7 CLASS OF WORK ��,/ Cj NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR S �^ *f t �T� V Vv 8 DESCRIBE WORK Construct a 5219" x 48' Duplex and a 22' x 30" Garage SEPWIE PERMS 9 CHANGE OF USE FROM HEATING PLUMBING ANff SIGNS. STIPULATIONS Provide a hard surface driveway. Provide sod in the front and side yards. Provide a verifying survey before capping. Provide City with copy of truss design. SEWER LOCATION: (Approx. 8' Deep In Street) 143' North of Manhole(Inv. 831.67) WYE ELEV: 831.96 TOP OF FOOTING: 835.46 Minimum WATER LOCATION: 12" CIP Watermain 10' West of centerline of 3rd Street. MUST BE TAPPED DRIVEWAY DEPRESSION COST: "Alt. "A" 30' + 6' x $11.75 = 288X $423.00 30 DAY NOTICE TO CITY EN TW Ct1'll OF IMM DOES t= QtlAtai m Torg DIY. REQUIRED FOR CUR ACMACY OF VMW tOC WO AND RiAVONS, REMOVAL AND REPLACEMEN THIS DATA IS EOR WONAM" ftWOM ONLY AND AT DINVIEWAY OPENIN rERsONS USM a SROM vum Win a wAIRON ON TME sa SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. wood Frame 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 1040 + 660 27,400 Total ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 2 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 $34,420 $17.21 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 THE PERFORMANCE OF, CONSTRUCTION. $109.60 $750.00 OR I 1 11ox�rn mm,kATURE PLAN CHECK FEE TOTAL FEE $27.40 $904.21 OF CONTR C O OR AUTHORIZEDAGENT )DATE) WHEN PPRRPP`ER�LryY�VALIDATED THIS IS YOUR PERMIT BLDG INSP DATE SIGNATURE OF OWNER OF OWNER BUILDER) (DATE) 6. 7 CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: Q. BUILDER: Address:44Fa4l,G�® �-%3 Tel. No.:- Address: o.: Address: -j-/// �00 � No.. 5-11LO LOT: (e CORNER LOT: Street: ?V-6 S� BLOCK: ADDITION: C'Q�Cs��(s �_ t FAF�T �!�✓xt Ay'/oy INSIDE LOT: _ V SETBACK: ► SIDEYARDS: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. 2 d ,*j L o e— 3 To Be Used As: DESCRIPTION OF BUILDING Front: Depth: • Height: [®'L S Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: 4bao Estimated Cost: $ (v®,®la� — ti To Be Completed: ja��t. �']'q 1 Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ X $ (SEE REVERSE SIDE OF SHEET) 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 Fridlev 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. See reverse side for additional information. DATE: a.'� J� �' SIGNATURE: Stipulations: jey, 2/ 3Ej. CITY OF FRIDLEY '• APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND b AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE t" Company Signed By✓`d"✓ GRAVITY WARM AIR: RATE TOTAL Job Address ��— - _____ rnace Shell & Duct Wow' $12.00 $ Replacement of Furnace Repairs & Alterations -up to $500.00 7.00 7.00 $ $ Department of Buildings Repairs & Alterations each add. $500.00 4.00 $ City of Fridley Tel. #571-3450 MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTU $12.00 $.W U each add. 50,000 BTU 4.00 $ Replacement of Furnace 7.00 $ Repairs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ STEAM OR HOT WATER SYSTEM: Boiler & Lines up to 100,000 BTU $12.00 $ each addn. 50,000 BTU 4.00 $ Boiler only up to 100,000 BTU 7.00 $ each addn. 50,000 BTU 6.00 $ OIL BURNER- to 3 gal. per hour each add. 3 gal. per hour $10.00 $ 10.00 $ The undersigned hereby makes application for a permit for the work herein v� 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. OA 1 21 19-27 OWNER �. n !vL RLLo �� KIND OF BUILDING USED AS GAS BURNER- from 100,000 BTU to 199,999 BTU $10.00 $ (over 199,999 BTU see Fee Schedule) $ s GAS FITTING FEES: �5 lst 3 Fixtures x $ 3.00 $ 6.00 . oC Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00 • $ AIR CONDITIONING $ FAN HEATING SYSTEMS See Fee Schedule $ VENTILATING SYSTEMS $ ALTERATIONS $ REPAIRS $ State Surcharge $ .50 TOTAL FEE $ O . �;b ROUGH INSP. Date FINAL INSP. 1%=/-9-%S Date APPROVAL FOR PERMIT REINSPECTION FEE (_$10.00) MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE TO BE COMPLETED ABOUT EST OST OLD NEW ILDING PERMIT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER HEATING or POWER' PLANTS, Steam, Hot Wat , Warm Air No. Trade Name �r Size No. Capacity `1 � � OR Sq. Ft. EDR BTU HP f_ ✓5 Total Connected Load f) Kind of Fuel Mb %/G'ya L GGq S BURNER - Trade Name �I L�1 ��/,L/ Size No. Capacity Sq. Ft. EDR BTU HP t" Company Signed By✓`d"✓ Tel. No. 75 `7 ' G 3� AT LOSS CALCULATIONS Weatherstrips A'SJM Guide CVindowsDoors -Reference ' Out. Wall Int. Yes—No Yes. --No 11 19- 1;l l E:' Reem Lenatlt r . Width �: z- U Construction Nix tall Ceiling Roof Floor Heil;ht �� Fl Windows and Doors—Crackage and Area -, 6,6:0 y� . a Width Height No. of Lineal ft Area No. of pano o[ pane --lights of crack sq. tt. i - �} ♦ 11 7 �f ♦ ♦ z 8 Inc. wall Coef. Btu Coef: Btu Infiltration Glass YJ 110,2 RRp• wau Net exp. wall Net exp. wall i i ms`s 9 Int. wall Ca. Floor Total Btu. Required sq. ft E.D.R. or sq. ins. W.A. Leader area Cell. Windows and Doors—Crackage and Area -Area .y ✓ Y Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area j M-1 .'4, �).. 11mm I Lenath /_ 3 Width ✓ Height Windows` and Doors—Crackage and Area -, 6,6:0 y� . a Width Height No. of Lineal ft. Area No. of pane of p e lights of erack sq, t. i - �} ♦ 11 7 �f ♦ ♦ z 8 Inc. wall Coef. Btu ef. Btu Infiltration' Glass O �-33 Glass Net exp. wall Exp. wall y� Net exp. wall Int wall Ca. Floor Total Btu. Required sq. ft E.D.R. or sq. ins. W.A. Leader area Ceil. Windows and Doors—Crackage and Area -Area A - Total Btu. Required sq. ft E.D.R. or sq. ins. W.A. Leader area F1. - , j Room J Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights I of crack sq. ft. - Coef. Btu Infiltration V18JD -3 1j' not Glass 7-1 SS Z Exp. wall Net exp. wall z 8 Inc. wall Coef. Btu Infiltration Floor Glass Ceil. Net exp. wall Total Btu. z Required sq. ft. E.D.R. or sq. ins. W.A. Leader area ISind +,+ 11 ... tl. /B4RIV Insulation I V -G N COMPAN) How Applied Height Windows and Doors--Crackage and Area — [CTl/1 Width Height No. Of Lineal ft. Area No. of pane of pane lights of crack q. ft. - - Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Floor Ca. Total Btu. Required sq. ft E.D.R. or sq. ins. W.A. Leader area Fl.l Room I Length ZI Width 7 — Height Windows and Doors—Crackage and Area -Area A Width Height Na of Lineal ft. No. of Done of pane lights of crack sq. tt. Co f. Btu bMtration --& Glass �•3 Exp. wall ' Net exp. will Z' Int. 6Vall Floor Ceal. Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area F1.1 2:) Room I Length (' Width ! Height ` Windows anel Doo rs—Crat kage and Area _. f y' Width Height No. of Llneai Lt. Area No. of pane ormane lights of crack sq. ft. Q —' Coef.1 Bf: Infiltration . -) 7 -3 i Glass l" ' `, , Exp. wall Net exp. wall '!'. 6 Int wall Floor + Ceil: � P. _ Total Etu. • •_ n r n avr A ti __J_.. �I socy.:a.c�a ay. aa....✓wa.,w ay. -- _-_l__-- HEAT LOSS CALCULATIONS Weatherstrips 'Guide C ustraeBon No. Windows Doors Reference ' Out. Wall Int. WaY Ceiling Roof I1eor Yes—Wo I Yeses—lNo � 19 171.1 Room Length t a Width Height II R-1 ..�:. dTlindows and Doors—Crackage and Area _ ,7 , tr Width Height Nc. of Lineal IL Area No. of Dano or pane lights of crack sq. t6 . 7 Coef.9 Btu Infiltration Coef.1 Btu Infiltration Btu -ILL/ s: U a Glass Exp. wall �' ••.� -' ) j :- Exp. wall %' ' ' .F - .:.'t � ; Z4 f� Int. wall --Inn wall Net exp. wall 10. wall . ,.._ - Floor i ZOO Floor • 6 L "�. -7-, /; '" '7 Ceil. Iota! Btu. '-:5 Required, sq. ft. E.D.R. or sq. ins. WA. Leader area I I.� Room I Length Width / Height t, Windows and Doors—Crackage and Area _ ,7 , Width Height No, of No. of pane of Dane lights Lineal ft. Area or crack sq. ft. . 7 Coef.9 Btu Infiltration Coef. I3:u Coef. Btu Infiltration GIaSS , J 3�/ . J- 5-0 Exp. wall �' ••.� -' ) �c Z D �� :- 2' Net exp. wall ' " (�,•� Int. wall --Inn wall Floor - Floor l 6 L Cell. -7-, *_. wall -I otal Btu. 1 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 171.1 Room I Lenath , Width 1 Height Windows bind Doors—Crack. and Aiea _ ,7 , Width Height No. of Lineal ft. No. of pane of pane lightss of crack Area sq. tt, . 7 Coef.9 Btu Infiltration Coef. I3:u Coef.1 Btu Infiltration 0 A-7 Glass --Z-477 Class Exp. wall - :- 2' Net exp. wall ' " (�,•� Int. wall ` Floor 7o Ceil. r�— Total Btu. Required s; ft. E.D.R. or sq. ins. W.A. Leader area r BL's' �t.1N l MPANy Find w A, pi . Om Length.� %r�dlfl Windows and Doors—Crackage and Asea _ ,7 , Width Height 140. of Llaeal ft. Na of pane of Dane lights of crack 3 r. / I . 7 Coef.9 Btu Infiltration Coef. I3:u Infiltration Glass 0 A-7 D --Z-477 Class Exp. wall ..,. _^ e •: 1 ? `ice 2' Net exp. will Exp. wall (o ` ?i Net exp. wall' ;.,,.sem = - 4 (.� -7-, *_. wall Floor 2-V 0 .:5 eD Cell. Total Btu.?"'+.� Required sq. f t. E.D.R, or sq. ins. W.A. Leader area 171.1 ? ''r 7'r1 / Room Length Width Heightg Windows and liners—Crackaae and A a Width Height Na of No. of no of pane lights Lineal ft. of crack Area sq It. f r r V . 7 Coef.9 Btu Infiltration Coef. Btu Infiltration _—! Glass 0 Class ./ 7-7 > Exp. wall ..,. _^ e •: 1 ? `ice 2' Net exp. will ` ,IB& vwall ��. ?i �• a' Floor / Cea. Total Btu, Required sq, ft. E.D.R. or sq. iris. W.A. Leader area i:l 1 n r':; ,. 'i': 1D— I I p. th / Width Rn ! t Windows and Doors—Crackage and Area -; ` -' J• 9— Width Height Na of Lineal it. Area Na of pane of,pane lights o[ crack aq• lt-}/ Coef.9 Btu Infiltration - _—! Glass %I• / Exp. wail Net exp. wall 1 Int. wall CeiJ6 Total Btu. Required sq. fit. ED.R., or sq- iaa. Vit Lt acies area HEAT LOSS CALCULATIONS Weatherstrips A'B Construction No. Guide Glindows I Doors Reference 'Out. Wall lat. Wad Cet�iag Roof Floor Yes- o Ycs—tVo 19- 1F1.1 r'. Room Length /', Width / % Height G I) Fl.l Windows and Doors—Crackage and Area 1 Width No. of Dano Height No. of Lineal ft. Area of pane lights of crack sq. ft. Area sq. ft. Coef.1 Btu Infiltration Glass Exp. wall Cocf. Btu Infiltration r Int. wall Glass Floor Infiltration Exp. wall Net exp. wall Net exp..waU Glass Int. wall Int. wall Exp. wall Floor CeiL Cell. -Iotal Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area Room I Length Width Heitrht Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area Na of pane of pane lights of crack eq. ft. Lineal ft. of crack Area sq. ft. Coef.1 Btu Infiltration Glass Exp. wall Infiltration Net exp. wall Int. wall Coef. Floor Infiltration Ceil. i otal t5tu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Room I Length Width Height Windows and Doors—Crackage and Area Width Height Pio. of No. of pane of pane lights Lineal ft. of crack Area sq. ft. Coef. Btu Infiltration Glass EFp. wall Infiltration Net exp. wall Int. wall Coef. Btu Infiltration Ceil. Net exp. wall Glass Int. wall Exp. wall CeiL Net exp. wall Int. wail Floor Ceil. T061 13 -m Required s.-,. fi. E.D.R. or sq. ins. W.A. LA adar area Find Room I Length 7 i—.. BURMAN COMPANY Insulation How Appiicd Width Height Windows and Doors—Cracka . and Area Width Height No. of Lineal ft: Aroa No. of pane of pane lights of crack eq: it. Area sq. ft. Coef. Btu Infiltration Glass EFp. wall Infiltration Net exp. wall Int. wall Floor Exp. wall Ceil. Total Btu. I Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length Width Height Windows and Doors—Crack age and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Area sq. ft. Coef. Btu Infiltration Glass Exp. wall Infiltration Net exp. will Int. wall Floor Exp. wall Ceil. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.l Rnnm I Length Width Height Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Na of pane of pane lights of crack Area sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Floor CeiL Total Btu. Required sq. ft. E.D.R., or sq. ins. d;i lli. Leader area I ' CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE m FIXTURE RATES: NO. RATE m Nu..-'�er Fixtures x $3.00 o Future Fixture Opening x v $ Water x $2.00 $ Catch Basin x $5.00 w C� x $5.00 �— $ �D 100,000 BTU to 199,000 BTU x $10.00 $ water softener x a m New Ground Ran Old Building x $5.00 $ Electric Water Heater x y a GAS FITFING FEES: 4Ja w C Heater Sid J C .0 $ Additional Fixtures E• .0 •.+ n C 3 O m U •� ro W o .0 W U 0 o w ro c� ro u o x ro ro cn t, :D a to 0 w U) -0 w U m¢ 3 0 O 3as Elec 1st 2nd 3rd 4 th (R) = :L,ture Connection Opening Connected with Sewer (*) = N, -.w Fixture, Old opening Water PARTIAL RATE SCHEDULE FIXTURE RATES: NO. RATE TOTAL Nu..-'�er Fixtures x $3.00 � $ LLQ Future Fixture Opening x $2.00 $ New Fixture, old Opening x $2.00 $ Catch Basin x $5.00 $ Water ?seater - to 99,000 BTU x $5.00 �— $ �D 100,000 BTU to 199,000 BTU x $10.00 $ water softener x $7.00 $ New Ground Ran Old Building x $5.00 $ Electric Water Heater x $5.00 $ GAS FITFING FEES: 1st '$3.00 3 fixtures x $ Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU_ x $10.00 REPAIRS f, aLTERATIO,NS Firs_ $100.00 $5.00 $ eac:: ad.i. $100.0,.) or fraction $2.00 $ State Surcharge $ .50 TOTAL FEE REINSPECTION FEE ($10.00) Job Address ,°� 5� �L S/�/ 1• 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. '-fa 6--J , 19� OWNER J - KIND OF BUILDING USED AS0 /j/ C L TO BE COMPLETED ABOUT S ESTIMATED COST ? `57- � G OLD 6EW UILDING PERMIT NO. PERMIT NO. Ae�� Company op Signed By Tel. No. ROUGH INSP. Date FINAL INSP. //—,g 9 - Z7 Date APPROVAL FOR PERMIT Wl-�'r MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION OWNER SITE ADDRESS CONTRACTOR „ , g- f DATE U 7 PHONE 41 4 Determine working square footage of each. 1. Total exposed wall area ...... . ode sq. ft. x .17 = 2. Total roof/ceiling area ...... sq. ft. x .05 = S D Total exposed wall area above floor = a. Total wall window area ..............:............ b. Total door area .... 3 7. $o c. Total sliding glass door area ...................a,�o d. Total fireplace wall area........ .... e. Total wall frami.ng-area (average 10%). ....:.::.. f. Total net wall area above floor ................. g. Total rim joist area. ............................ I/ /B, Total exposed foundation area h. Total foundation window area...... ............. i. Toal. net foundation area above grade q5, 38 Determine "U" value of each wall segment.. a, 2X 0 Hull 0 rg�1 b._ 3 7, eo X Hull e 20 = 7_ c •__ . �0 X stud y%oo d. _ o — X eoUll _ e. z4gz x ..U.. X Hull t,07 9 • l 1. /8 X "U" h. _ o — X 11U11 _ 3...... .............................Total = 58 . If item #3 is the same as, or less than item #1, you have met the intent of SBC 6006(c)2. ' v = ,/z /Z 400 a- O r& v : a ado i N T A 171 /r: /l✓vl %- 41 vp �a fl< v/Vf i -X r ins r 41)v- f/V/ �77PAt lo% /eyr 4.4 U = ,/lo C4."e C -v c "91 770/X-'7-' U = ,U7 �.� • G0 •l? 7 /f 1.V- fJ.1/V/ "'G Yp -Bp 7 17 ,�� vi✓r s e r�eev� �Xr �i� fi�Ni v = , h/7 C/ln*f ,mss 1 . G/ /fir//,t�►�I 3%77 0=.a3 I It lo% /eyr U = ,/lo C4."e C -v c "91 770/X-'7-' U = ,U7 �.� • G0 •l? 7 /f 1.V- fJ.1/V/ "'G Yp -Bp 7 17 ,�� vi✓r s e r�eev� �Xr �i� fi�Ni v = , h/7 C/ln*f ,mss 1 . G/ /fir//,t�►�I 3%77 0=.a3 I It CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 572-36U4 YAX: (763) 571-1287 ADDRESS : 51113 ST NE PIN : 263024220014 LEGAL DESC : CARLSONS SUMMIT MAN ANNEX 2 : LOT 6 BLOCK 1 PERMIT TYPE : BUILDING PROPERTY TYPE : DUPLEXES CONSTRUCTION TYPE : RESIDING VALUATION : $ 10,945.00 PERMI f NO.: 2004-01757 ) DATE ISSUED: 10/06/2004 NOTE: PER R703,2000 INTERNATIONAL RESIDENTIAL CODE, REQUIRES THAT A WEATHER RESISTIVE BARRIER BE PLACED OVER EXTERIOR SHEATHING TO PROTECT THE INTERIOR WALL COVERING. EXCEPTIONS FOR THIS PROVISION WOULD BE IF SHEATHING IS AN APPROVED WEATHERPROOF PANEL OR WHEN THE SIDING IS AN APPROVED WEATHER BARRIER. VINYL SIDING IS NOT A WEATHERPROOF COVERING UNLESS THE MANUFACTURER STATES THIS IN THEIR APPLICATION GUIDELINES. CALL FOR INSPECTION OF WRAP BEFORE COVERING OR TAKE PICTURES. RESIDE DUPLEX. STATE LICENSED CONTRACTOR 1 APPLICANT SEARS HOME IMPROVEMENT PRODUCTS 1824 FLORIDA CENTRAL PKWY LONGWOOD, FL 32760 - C1]L'/►101.7 ALY SAMY M S & GREEN WENDY 5115 3RD ST NE FRIDLEY, MN 55421 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of wort will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or can el the provisions of any other state or local law reaulatinw6onkupliod Q&&erformance of constructiotn. BUILDING PERMIT FEE FIRE SURCHARGE STATE SURCHARGE, VALUE LICENSE SURCHARGE TOTAL QT:DAD A rV VQDUFTTQ DVnTTTDlQn 7:/1D 1I7l1DIV /1TLTVD TLTAAT T1174Z!'DTD1 n ATIMM I---- - -__ .. - - 195.25 10.95 5.47 5.00 216.67 NEW [) CITY OF FRIDLEY ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & Address: Contractor. Q Effective 4/1/2004 (763) 572-3604 Bldg Insp (763) 571-1287 Fax MNLICENSE# RC " • 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 QTHER: Construction Type: Estimated Cost: Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x DATE: Y® " C2 APPLICANT: ` ' Tel. # 7 b,3 ®53 9- °71 `/J 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 Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1350 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 [ ] TOTAL $/ L �'� STIPULATIONS: Building PLUMBING Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 M6XV CITY OF FRIDLEY DATE__ I- I_O -0 YOUR E-MAIL ADDRESS SITE ADDRESS -ShG THIS APPLICANT IS: O OWNER (wcoNTRACTOR PROPERTY NAME:_ A 1" .S&rl 0, — OWNER/ TENANTC ADDRESS:' S CITY 1� MzA4 STATIM �IP S54a PHONE:9 �� 5 ► Ly - (p`� CONTRACTOR NAME: Champinn SUBMIT A COPY OF STATE ucENSffi51-3W1340 EXP DATE Ia -CO YOUR STATE ADDRESS: 3670 [odd Rd. #100 CITY STATE ZIP LICENSE WITH PHONE FAX APPLICATION PERMIT TYPE A5INGLE FAMILY ❑ TWO FAMILY 0 TOWNHOUSE TYPE OF WORK: W D REPLACEMENT DETAILED DESCRIPTION OF WORK 'Lj pI ,t,Cjk L �-(J, y` 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, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) _ BATH SINK/LAV _FLOOR DRAINS SHOWER WATER PIPING _ _ —BATHTUB _ GAS PIPING (NEm Cl7i LlcFhmo _ SWIMIvtING POOL SOFTNER ($35) —WATER _ CLOTHES WASHER — KITCHEN SINK_ WATER CLOSET BACKFLOW PREV. ($15) _ _ DISHWASHER _ LAUNDRY TRAY ,WATER HEATER ($35) FOR IRRIGATION _ WATER METER OTHER .<,...%"� .i. '.FNSk x.f...Fc4'. L cb<.e:�''v.�. Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge 50 Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $35.00 x $35.00 = $ TOTAL DUE $.�� 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 work which require review and approval of plans. �n / SIGNATURE OF APPLICANME yAdl/i T PRINT NA1. DATE 4 City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building PLUMBING Permit No.: y Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRMLEY Ree; 1 ' 20 763-502-4977 FAX EFFECTIVE 7-1-2010 DATE 112 YOUR E-MAIL ADDRESS SITE ADDRESS g ( S /`I r r Z THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY NAME: uti• DLn4 ADDRESS: 51 S CITY �NI STATE ZIP sE VVNER/R/ NANT PHONE: -'(DY— S b 1 +v— -I CONTRACTOR NAME: v i SUBMIT A COPY OF YOUR STATE STATE LICENSE # EXP DATE LICENSE, BOND AND STATE BOND # EXP DATE CERTIFICATE OF ADDRESS: 0pm AlwjqS J% CITY 6ittlio STATEI/-ZIP INSURANCE PHONE /y� -�' %6 x �_f- 7.iJ' 9wUI FAX 1v 4S� PERNUT TYPE XSINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE ❑ NEW REPLACEMENT TYPE OF WORK: DETAILED DESCRIPTION OF WORK L96.k1jj in hk FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $35.50. BATH SINK/LAV DRAINS _ WATER PIPING _ _FLOOR —SHOWER GAS PIPING (NEED CITY LIC) SWIMMING POOL _ WATER SOFTNER ($35) —BATHTUB _ _ CLOTHES WASHER KITCHEN SINK WATER CLOSET BACKFLOW PREV. ($15) _ _ _ LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION —DISHWASHER _ WATER METER OTHER j- . i i3 �£? 3 �#$�� a 3,:::.. � � � r �Mi�a3 33 7 3�� tR` �t I � r '�� _,y x'.— 3" £ 3.. i� �i� 3�3< 3 3i• 3 3 £'irq-�'E2 "1 {, ifa- E 3! g i I i 3 1tiI�iiu`� 2 ;' L off 3 3 3�✓a _ £ 'd£�4 f < 3 - ��. i i 3 .. # .fie �i � � , `.�," „� �3IryA 3 i �ra i ( _,.3 ) )Ie 3 f3,2' i s. r.-. 4Ap S� I �3 i �'z, } 3 s 3x },5a 13 :+wi3 N3.. 't1G 33 �3 3l3?k= '{'£"`3 -i ,,3 3 ( 3 3337231,., 131.�d t i is3 r !33 3fi3,F.} 3 3i'm 3' f ii S�'r 5 9 b1 i.,;; 3i �'.. £ mom, 3 .,40w,� � .:. . ,, ,. I � i Y I 3 THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a plumbing 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 on site; that the work will be in accordance with the approved plan in the is a! 1 h requires review and approvTans. is SIGNATURE OF APPLICANT PRINT NAME / � DATE G� APPROVAL INSPECTORS SIGNATU L Ng��6 City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977