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PRE 2010 DOCSCity of Fridley SUBJECT PERMIT NO. ® 14532 AT THE TOP OF THE TWINS BUILDING PERMIT i COMMUNITY DEVELOPMENT DIV. RECEIPT O. 91 --------IF 1 - r 1 -- PROTECTIVE INSPECTION SEC. R CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 12/30/77 JOB ADDRESS 5181-5183 3rd Street N.E. 1 LEGAL DESCR. LOT NO. 2 BLOCK 1 TRACT OR ADDITION —4.00, SEE ATTACHED Carlson' s Summit Manor Annex �. SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE B-E Enterprises 85 Third Avenue S.E., New Brighton 636-4164 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. THE CITY OF FRIDLEY DOES NOT GWARANVZTHE PHONE LICENSE NO. 5 ENGINEER AwAgwomsspF LITIMY LOCATIONS AND V THIS DATA IS FOR INFOg ATIC�y', 6 USE OF BUILDING USING rf SHOULD ONLY VERIFY THE INFO AND ON THE RIX RMATION Residential 7 CLASS OF WORK Cj NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK WARNING Construct a 42' x 26' Duplex and a 30' x 24' Garage IBM= digging call local TELEPHONE - 9 CHANGE OF USE FROM TO HEATING, PLUMBING AND SIGNS. REQUIRED BY STIPULATIONS Provide a hard surface driveway. Provide sod in the front and side yards. Provide a verifying survey before capping. Typical floor section showing 50 or better S.T.C. sound rating construction required before construction begins. Provide written certification of soils before pouring footings. Provide combustion air to furnace. Submit letter of drainage responsibility absolving the City before°any construction begins. SEWER LOCATION: (Approx. 8' Deep In Street). 178' N. of Manhole (Inv. 832.33) WYE ONLY - WYE ELEVATION: 832.69 TOP OF FOOTING: 836.69 Minimum WATER LOCATION: MUST BE TAPPED - 12" CIP 10' W. of Sewer Line. DRIVEWAY DEPRESSION COST: Paid in 1977, to be constructed when weather permits. 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 SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION 1137 + 785 22,740 f 785 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 2 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. $421240 $21.12 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- $122.36 $750.00 STRUCTION QR THE PERFORMANCE O CONSTRUCTION. PLAN CHECK FEE TOTAL FEE 30V l.l��r%7 $ 30.59 $924.07 SIGNATURE OF CON R TOR OR AUTHORIZED AGENT (DATE) EN PROPERLY VAVDATED THIS IS YOUR PERMIT 36,- 7,> BLDG INSP DATE a SIGNATURE OF OWNER IIF OWNER BUILDER) IDAT EI itilities kS Etc. r- • CITY OF FRIDLEY , APPLICATION FOR RESIDENTIAL BUILDING PERMITS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: - L BUILDER: - L Address: Address: �_ '�'`�c�e� �%�• Tel. No . No.: 67J R Street: LOT: BLOCK: �_ ADDITION: CORNER LOT: INSIDE LOT: SETBACK: �� SIDEYARDS: Applicant attach 'to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION'OF BUILDING To 1Be Used As: l/ Front: 7 � Square Feet: _ Front: -3.0 Depth: --e-1G Height: Ld Cubic Feet: .22 %0"® Depth: Zr Square Feet: Cubic Feet: Height: /d 78s43 . Type of Construction: Estimated Cost: To Be Completed: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ Q 0 2 v (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 ridley Ordinances and rulings of the Department of Buildings, and hereby 1,) eclares that all the facts and representations stated in this application �1 are true and correct. See reverse side for additional information. • DATE: / 2t 7 7 SIGNATURE: Stipulations: °�hook -A&' 9 ®AI; - 07-4 12Z . JrP ENERGY CONSERVATION SUPPLEMENT TO BUILDING PERMIT APPLICATION PLANNING AND INSPECTION DEPARTMENT CITY OF FRIDLEY, MINNESOTA This supplement is provided to assist the applicant in computing EXTERIOR ENVELOPE AVERAGE "U" FACTOR INFORMATION. This information is required so the BUILDING OFFICIAL can determine that submitted plans comply with the ENERGY CONSERVATION DESIGN CRITERIA of the STATE BUILDING CODE (Section 6000). It is the APPLICANT'S responsibility to accurately compute the data; reflect the proper DESIGN CRITERIA in the plans; submit product specifications, if needed to support the "R" and "U" factors used; and to assure construction is per approved plans. JOB LOCATION: 1,4n A OWNER/CONTRACTOR: Its, — ADDRESS: q�5 r A. Determine the Total Exposed Wall Area as follows: 1. Total wall window area 2. Total door area 3. Total sliding glass door area 4. Total fireplace wall area 5. Total wall framing area(average 10%) 6. Total net wall area above floor(average 90%) 7. Total rim joist area Subtotal: Total exposed wall area above floor 8. Total foundation window area 9. Total net foundation area above grade Subtotal: Total exposed foundation area GRAND TOTAL EXPOSED WALL AREA PHONE : 6.q 6 - to'26 5Z B. Multiply the GRAND TOTAL EXPOSED WALL AREA X .17 = C. Determine the Total Exposed Roof/Ceiling Area as follows: 10. Total skylight area t�J 11. Total roof/ceiling framing area (10%) 12. Total net insulated roof/ceiling area p �� GRAND TOTAL EXPOSED ROOF/CEILING AREA //.3 % D. Multiply the GRAND TOTAL EXPOSED ROOF/CEILING AREA X .05 = 0 Item I -31 *- Item II J- .P-� �G� a E. Determine the "U" value of each segment (1-9) and multiply by the area as follows: X "U" 1. 13 4:1 X O!U,. . S737- 12. m 74 X foul) 3. 4. Lo X oluto 5. �cE �_ X Ofull 6. /ass, X ..U.. 7. 73 X fluff m _ 3. 8. 0 X "U" © = 8 9. X "U" ® _ ADD 1-9 FOR TOTAL WALL SEGMENTS = ITEM III .29Z rJ F. Determine the "U" value of each segment (10-12) and multiply by the area as follows: 10. X "U" O = O 11. _rl3 X nut@ 12. m 74 X foul) . ®� _ • '7 ADD 10-12 FOR TOTAL ROOF/CEILING SEGMENTS = ITEM IV G. If Item III is the same as, or less than Item I, you have met the intent of State Building Code 6006 (c) 2. H. If Item IV is the same as, or less than Item II, you have met the intent of State Building Code 6006 (c) 1. 1. Add Item I 311. 9 + Item II J. Add Item III 22-7, 7 + Item IV 42, % _ Rab • A0 K. If the sum of Items III and IV are less than Items I and II, you have met the intent of the Code for total envelope system. . /--� .0-W, The undersigned, as applicant for a building permit, hereby affirms the above information has been prepared and submitted by himself or under his direction, hereby acknowledges the information to be correct and accurate; and hereby presents the information with required plans in support of the building permit application. DATE: of CITY OF FRIDLEY APPLICATION FOR PU MBING AND GAS FITTING PERMIT 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, 3-2- , 19'7O OWNER KIND OF BUILDING USED AS m TO BE COMPLETED ABOUT / /f/ ,g PARTIAL RATE SCHEDULE a 6� ESTIMATED COST V 14 � w to OLD - NEW BUILDING PERMIT NO. Water Heater aAi j() x $3.00 $ Q .CS C-) Future Fixture Opening •� A $ Company p+ x g $ Signed By 4 0 x $5.00 $ 0 xCq [ 3 g .4 o 100,000 BTU to 199,000 BTU x $10.00 $ O Water Softener x $7.00 ro 3 •.i C w N w V 3 Electric Water Heater U3 iJ $ lec v1 u 12 00 df $ 1st 3 fixtures x '$3.00 00 ' Date Additional Fixtures x O as Gas Range to 199,000 BTU x $10.00 $ APPROVAL FOR PERMIT / REPAIRS $ ALTERATIONS First $100.00 $5.00 $ lst each add. $100.00 or fraction ' $ MINIMUM FEE FOR ANY PLUMBING PERMIT I3 $7.50 pLUS $.SO STATE SURGE State Surcharge $ .50 TOTAL FEE $� 2nd ($10.00) 3rd 4th (R) = Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water 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, 3-2- , 19'7O OWNER KIND OF BUILDING USED AS TO BE COMPLETED ABOUT / /f/ ,g PARTIAL RATE SCHEDULE 6� ESTIMATED COST PLUMBING FIXTURE RATES: NO. RATE TOTAL OLD - NEW BUILDING PERMIT NO. PERMIT NO. Number Fixtures j() x $3.00 $ Q .CS C-) Future Fixture Opening x $2.00 $ Company New Fixture, Old Opening x $2.00 $ Signed By Catch Basin x $5.00 $ Water Heater - to 99,000 STU =x $5.00 $ /Q•®O Tel. No. 100,000 BTU to 199,000 BTU x $10.00 $ Water Softener x $7.00 $ New Ground Run Old Building x $5.00 $ ROUGH INSP. Electric Water Heater x $5.00 $ Date GAS FITTING FEES: FINAL INSP. H l - 1st 3 fixtures x '$3.00 33 $ 7-� ' Date Additional Fixtures x $1.00 $ Gas Range to 199,000 BTU x $10.00 $ APPROVAL FOR PERMIT / REPAIRS $ ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 $ MINIMUM FEE FOR ANY PLUMBING PERMIT I3 $7.50 pLUS $.SO STATE SURGE State Surcharge $ .50 TOTAL FEE $� REINSPECTION FEE ($10.00) CITY OF FRIDLEY _L__ APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND .AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE GRAVITY WARM AIR: Furnace Shell & Duct Work Replacement of Furnace Repairs & Alterations -up to $500.00 Repairs & Alterations each add. $500.00 MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTU each add. 50,000 BTU Replacement of Furnace Repairs & Alterations -up to $500.00 Repairs & Alterations each add. $500.00 STEAM OR HOT WATER SYSTEM: Boiler & Lines up to 100,000 BTU each addn. 50,000 BTU Boiler only up to 100,000 BTU each addn. 50,000 BTU OIL BURNER- to 3 gal, per hour each add. 3 gal, per hour GAS BURNER- from 100,000 BTU to 199,999 BTU (over 199,999 BTU see Fee Schedule) GAS FITTING FEES: RATE TOTAL $12.00 $ 7.00 $ 7.00 $ 4.00 $ Job Address Department of Buildings City of Fridley Tel. #571-3450 ;a. The undersigned hereby makes application for a permit for the work herein $12.00 specified agreeing to do all work in strict accordance with the City Codes 4.00 $ and rulings of the Department of Buildings, and hereby declares that all the 7.00 $ facts and representations stated in this application are true and correct. 7.00 $ 4.00 $ Fridley, Minn. Md 30 , 19 7ff OWNER 15- . $12.00 $ 4.00 $ 7.00 $ 6.00 $ $10.00 $ 10.00 $ $10.00 1st 3 Fixtures x •$ 3.00 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 TOTAL FEE ROUGH IMP. Date F3NAL INSP. Date APPROVAL FOR PERMIT j REINSPECTION FEE 010.00) $ X0.00 S $3.00. S $ 7 MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE KIND OF USED AS TO BE CC ESTIMATED COST OLD �ILDING PERMIT NO. PERMIT NO. !128(a . DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, arm Air- o. p - Trade Name Size No. S g O o ID Dv Capacity ® ® d Sq. Ft. EDR BTU k06 00 HP Total Connected Load Kind of Fuel e BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP kWI R .ztvA :� 97—BL-879001 CITY OF FRIDLEY , • APPLICATION FOR PLUMBING AND GAS FITTING PERMIT • /03 Job Address 4 72 --'Rest G ie a-" ' 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. 11-15-78 , 19 OWNER KIND OF BUILDING frame USED AS res. • TO BE COMPLETED ABOUT 11-22-75 PARTIAL RATE SCHEDULE ESTIMATED COST 30,00 PLUF®IN G FIXTURE RATES: U RATE y d Number Fixtures Water w+o $ y• �+ x $2.00 H u m. x N M l4 a w b+ • $5.00 Heater Signed By Water Heater - to 99,000 BTU x $5.00 $ Tel. No. 100,000 BTU to 199,000 BTU �- x $10.00 $ Water Softener x $7.00 $ , New Ground Run Old Building 4 9 O S ROUGH INSP. Electric Water Heaterx xin $ Date g 2110, V m y Gl Vl U 0- A n W 0 O W 0 W V .3 1•G/1 lid d e 2nd 3rd (R) - Future Connection Opening Connected with Sewer (•) - New Fixture, Old Opening Water Job Address 4 72 --'Rest G ie a-" ' 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. 11-15-78 , 19 OWNER KIND OF BUILDING frame USED AS res. • TO BE COMPLETED ABOUT 11-22-75 PARTIAL RATE SCHEDULE ESTIMATED COST 30,00 PLUF®IN G FIXTURE RATES: NO. RATE TOTAL OLD - NEW BUILDING PERMIT NO. FERMI . Number Fixtures x $3.00 $ Future Fixture opening x $2.00 $ Company- SCO New Fixture, Old Opening x $2.00 S Mipmr-G • Catch Basin x • $5.00 $ Signed By Water Heater - to 99,000 BTU x $5.00 $ Tel. No. 100,000 BTU to 199,000 BTU �- x $10.00 $ Water Softener x $7.00 $ , New Ground Run Old Building x $5.00 $ ROUGH INSP. Electric Water Heaterx $5.00 •� $ Date GAS FITTING FEES: 1st 3 fixtures x '$3.00 Additional Fixtures x $1.00 Gas Range to 199,000 BTU x $10.00 REPAIRS $ ALTERATIONS First $100.00 $5.00 each add. $100.00 or fraction $2.00 State Surcharge TOTAL FEE FINAL INSP. Date APPROVAL FOR PERMIT s jdl MINIMUM FEE FOR ANY PLUMBING PERMIT 1.3 $7.50 PLUS $.50 STATE SURCEIARf n REINSPECTION FEE _ Pero nn% SUBJECT ITN city of Fridley 30524 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. � ; � ______ COMMUNITY DEVELOPMENT DIV. / r 1 PROTECTIVE INSPECTION SEC. ��� 1 � ; 1 1 1p--'1 CITY HALL FRIDLEY 55132 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 11/17/99 JOB ADDRESS 5181-5183 3rd Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 1 1 Carlson's Summit Manor Annex 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ron Nolby 5183 3rd St 651-697-1127 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Amek Construction Inc. 140 W 98th St #103 Bloomington 55420 888-1200 20164402 / ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Duplex 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION x® REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Rjeroof d=lex (27 Sq) Tear-off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 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 '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 $1.18 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2360 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- RUCTION OR THE PERfO $83.25 Fire SC $2.36 OF CONSTRUCTION PLAN CHECK FEE TO L FEE 9n4 Licens $5.0 1.79 SI ATURE IVON'RACTOR OR AUTHORIZED AGENT IDATEI E PROP VALID&ffD THIS IS YOUJI PERMIT _ S-GNATURE Of OWNER,,F OWNER BWLDERi (DATE, B G iNSP r r) NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 /8� ^ BUILDING PERMIT APPLICATION I Construction Address: Legal Description: A Owner Name /& Address: I 1 O' 1105 / b l4 � 3rj 5*, Tel. # 6 Contractor: l`tl coo,5f To MN LICENSE # Address: 141C)q`6f-(' 5' , -5'1,f;-teLO2 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Wido Hgt/Ground Sq. Ft. OTHER: A6 ji'l"m Construction Type. M4 AP(e7-et CWU) c.timated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE: 1C—r'7—?c( APPLICANT: Tel. Permit Fee $ C� az ~ Fire Surcharge $ State Surcharge $ SAC Charge $ License Surcharge $ ®p Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ �I STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1050 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A' or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] CITY OF FRIDLEY INSPECTION DIViSION � Effective On January 1, 2002 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND cDEVICES - JOB ADDRESS �j b 3 S�_ Alt RATE SCHEDULE A , i OWNER Residential Rate TOTAL Furnace Shell and Duct Work, Burner • 2 BUILDING USED AS Also Replacement Furnace $ 30.00 $ 3D' _ (Side Vent - Fill Out Back) ESTIMATED COST G -3U0.00 PERMIT NO. Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) DESCRIPTION OF FURNACE AND OR BURNER'. - Gas Range $ 10.00 $ No. of Heating nits _Circle One (Steam) (Hot Wateer) ffrmirGasDryer _�$ 10.00 $ Trade Na a �r Size No.h! 1T�� U EDR *Air Conditioning All Sizes $ 25.00 $ 0 BTo HP Fuel_ Cr_ Total Connected Load All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name Size No. 1% of Value of Appliance or Work $ BTU HP EDR Commercial/Industrial ; 1.25% of Value of Appliance or Work $ 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 an State Surcharge $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. TOTAL FEE $ DATE BI.AINE HTG. A/C ELECT., INC. MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION 1356?. CAl ENTRAL HEATING CO A, MN AVE.AVEN.E. . REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 r,, PLUS THE S.50 STATE SURCHARGE Signed �- TEL # I �Y?JS7—Cpz01 FAX # REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without Approved By Rough -In Date Final Date written permission from adjoining property owner. THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED CQMMQN VFNT, VFNT CQNNFCTQR ANn CQMR1ISTIQN AIR VFRIFICATIQN When re lacing an existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. . Yes No ( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes(q No( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan MA assisted and natural draft appliances. ,Yes ( No( ) The axistang combustion air is sized and installed to meet the current codes 1 and manufacturer's specifications. Yes No( ) When required to install a new _emh istinn air, twill be sized and installed to meet the current codes and manufacturer's specifications. Yes No( ) When ins ailing a new ventingglestam, the undersigned hereby verifies that it is a listed assembly and meets the current codes and-nanufacturees specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliar res. Yes No( ) Is the common vent and vent connectors sized and ins,. 311ed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes KNO ( ) Appliance Type and Si7 _/ _emmnn Ilent and Vent .enn _cter Infennatian Appliance #1 Type I,V V4-tL BTU Input Fan Assisted or Nat. Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type El-AINE HTU. A/C ELECT., . HEATING CO: 1.4562AN KA a(N 5VE.4N.E. Signed By:2=e—^- - Date : Building $ [ BUILDING Permit rTo.: — �� , Inspections 65% of Building Permit Fee RESIDENTIAL APPLICATION Received By: 763-572-3604 Surcharge CITY OF FRIDLEY Date Rec'd: 1 =-O DATE YOUR E-MAIL ADDRESS $5.00 (State Licensed Residential Contractors) SITE ADDRESS $ $1550 per SAC Unit (Plans to MWCC for determination) THIS APPLICANT IS: OWNER ❑CONTRACTOR ft + 6 ft = ft x $21 =$ PROPERTY OWNER/ NAME: cZ $450 Conservation Plan Review TENANT ADDRESS:,5 I I 1 -�37^ S1 ._CITY C STATE—ZIP—'SS,--\J � Sewer Main Charge k- / i PHONs -1-71LQ ^' Q � S Agreement necessary ( ) Non Necessary ( ) CONTRACTOR NAME: Make checks payable to: City of Fridley Attach STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY STATE ZIP WITH APPLICATION PHONE FAX PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE O FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: W ❑ ADDITION [3MAINtENANCE/REPAIR ❑ REMODELING -- DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH 2m WIDTH \ HEIGHT S . Ft ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE I. Existing Floor Plan 2. Proposed floor plan PROPOSED SIZE: 13 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 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ONo LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ t �(� _,4 8_ OCCUPANCY TYPE Permit Fee $ [ See Back Page for Fee Schedule Plan Review $ O 65% of Building Permit Fee Fire Surcharge $ 1,90 .001 times the total job valuation Surcharge $ C' .0005 x Permit Valuation Minimum $.50 License Surcharge $ $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 $ 11TOP Make checks payable to: City of Fridley Attach 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 whigNrequjres review 1md approval of plans. SIGNATURE OF APPLICANT 11M)WA WJ UW `l PRINT NAME I V) I/ 1 1 Ii7 fl0eE DATE ,.. 14 r & 0 CORIM AM & ASSOCIAT REQISTEREO PROFESSIONAL • LAND SUR VE YORS 531 - SAW Telephone 561-2M but IC a%m VILLAGE NORTH PROFESSIONAL BLDG. 7420 UNITY AVENUE NORTH BROOKLYN PARK, MINNESOTA 66443 Kart if ®cats of So""Purvey PROPERTY OF B and E_Ent �rprisestac. _ ,described as fol lows - Lot , Block 1 , CARLSON tS NEX SiEgOND ADDITION AnckA o ,„j;y Min ieantw!ar•rrl to the plat .of mcord thereof.z aubject t�semant of record. 1 hornol cvtity that this un4.r or tlrnlel •w 4040( IM IOWA hf 1 Ma4t 1tAlt 6%0~1 Sot P 0"4. 111111111 1917 8912 Please bring these plans to the cashier to purchase. Posts' 1'6" 1 , ' 3' ' 4'6" 1 6�1'6" mv CalwWA-0t A :$' lA3s QA -1., cam'. N U E C 8E� E -9.2 E� cc s o� O Y N X CQ W O -= .Cc d V N P CC + E CCv i E m E T it NSW E> � � $� O O O C4f U wO+ O U v CA ,U 'O = dCM p CII A O s d CO CO Zn U E C`p N _ C p•� C" Ct7 N CI d Ca N U C N L N CII O N O CC R � CC E O O � ca 79 cc� U yo-cccoi> o � o Q -`E 19 � G 'a = Rev ot�" � 2, !�N C�. C� N �►�! �`Q�QS pP Layout dimension sheets are intended as a construction aid. Not all options selected are shown. -esigp #: -25 MEN�1F2iD�S - * * Take this sheet to the Building Ma You selected a 1 level deck with: Pressure Treated Framing Material 6 x 6 Framing Posts 2" x 6" Pressure Treated Deck Boards Poured Footings 12" Tube 4' deep Premium Gold Square Drive Screws Stainless Steel Framing Fasteners Handrail selections: 36" T Handrail to Joist w/o Posts Railing 2"x2"x42" Pressure Treated Spindles, Beveled 1 514x6 Pressure Treated Plain Handrail terials desk to purchase your materials. Below Is a section of the railing stye anc options you have selected for your deck, Endl You may buy all the materials or airy part at Ic Menards cannot gua ntee that mate nals listed for Ian compliance and building permit. These Aplar from tfpose pictured. we do not guarantee the comple OPiiiuie pidGei nem is ap�ait uepeliuniy U1 aiyit 0- WY4t�( l`IVIMtI�I �i ,' 4 �tv u.AkA PISF—� N C�-- Qk*�e-ml�k ?K I Ir — 3>114 1 D ��OU�J*- A- -�Eq _31I I 4) fc�s�rs- (phi' posts shown in this picture are not necessary and not includ :' ::' less railing type you selected!) X' Illustration intended to show general ' `°�ze and shape. Some options selected may not be shown for picture clarity. Today's cost for materials estimated in this design with itions: $1133,07 *The lase price includes: 40 PSF deck live load, AC2 treated - horiaontzl M deck boards, 4x4 posts, oists and beams, galanniaed framing fasteners, AC2 treated W Vertical handrail to foist without posts, and Premium screws. *IRA CP n6pale 1077 A IMF# 1w"M tat aww1h VW&MadG e a Joist Layout for Your Deck The Scale is 114" :1' Design#:66825 C A A- A A A A A A C Mark Length Description Usage A 1119" 2x8 Green Treated Joist B 11'9" 2x8 Green Treated Ledger C 11110-112" 2x8 Green Treated Rim joist D 12 2x8 Green Treated Rim joist Joists to be on 16" centers. Joists to be hung from the ledger with joist hangers. Joists to be toe -nailed to beams with 3-112" (16d) galvanized nails. Rim joists to be face -nailed to joists & ledgers with 3-1/2"(1 6d) galvanized nails. Y bracing is estimated, but not shown. Blocking and bridging may be required by your local code. �¢'-< (Ol- S70 fnzllg�ln^ ISOs E)k e.�.'Jc P_4eel AS Layout dimension sheets are intended as a construction aid, Not all options selected are shown, -a C6 6- E9 ��E cc s o � <„ �o CO O cc AU •� RxY N _ � O C •� WU�0 m E c=0 gra o Co�Q> U U!n-U 03 CMC Q L s CDCc 15 cn �i d a5 =2 O Q CD N U ::_7v7 � cam W Ca W _o WCO CO�,�°' cc��� E c cc eu Q a * * * Take this sheet to the Buildi Level 1: 12'x 12' 8' off the amend Horizontal Decking 2" x 8" Joists 2" x 8" Beams 40 PSF Deck Live Load n Materials desk to Pui four materials.* * * Today's cost for materials estimated in this design with itions: $1133® 7 *The base price includes: 40 PSF deck live load, AC2 treated - horizontal 2x3 deck Wrds, 4x4 per,oists and beams, gaiv nized framing fasteners, AC2 treated 33° Vertical handrail to joist without posts, and premium screws. f BASE price): 922. Beam Layout for Your Deck The Scale is 114" :1' Design#:66825 Mark . -Length Description A 12' Green Treated :)-zyit Layout dimension sheets are intended as a construction aid, Not all options selected are shown, z� N._ N =E O IC3SE�' E .SL I nc�E� ce0-t= cess cc CO jg Cn a`a u> C CJI A? r C L Cn U 4.y .� �N� O CD O � U Q ccA C O L N to O COE2t cc = C> Ca U cc a; CO CQ € -'O-' C U)Ca � t` W �O 3 CO O "a E G> R C] O C .0 C E V) C C CQ d O Q4-7 2 E O L O G7YOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 BUILDING PERMIT APPLICANT: PROPERTY OWNER I, M HO.Frtr understand that the State of Minnesota requires that all residential bulliding contractors, remodelers and roofers obtain a state license unless they qualify for a specific exemption from the licensing requirements. As the owner of the property at _ 1!:� 1 9 1T-' f 5?, — ✓� , Fridley, I am exempt from the state licensing requirementy if on 1 am not building or improving this property for purposes of resale. By signing this document, I attest to the fact that I am improving this house for my own use and do not intend to sell it. I hereby claim to be exempt from the state licensing requirements because I am not in the business of building or remodeling on speculation or for resale and that the house for which I am applying for this permit, isl the first residential structure I have built or improved in the past 24 months. I also acknowledge that because I do not have a state license, I forfeit any mechanic's lien rights to which I may otherwise have been entitled under Minn. Stat. 514.01. Furthermore, I acknowledge that I may be hiring independent contractors to perform certain aspects of the construction or improvement of this house and I understand that some of these contractors may be required to be licensed by the State of Minnesota. I understand that unlicensed residential contracting, remodeling, and/or roofing activity is a misdemeanor under Minnesota law, and that I would forfeit my rights to reimbursement from the Contractor's Recovery Fund in the event that any contractors I hire are unlicensed. I have also been informed and acknowledge that by listing myself as the contractor for this project, I alone will be responsible to the City of Fridley for compliance with all applicable building codes and city ordinances in connection with the work being performed on this property. Name —A Date lam/ _ 4 Building MECHANICAL Permit No.:210 - Inspections RESIDENTIAL APPLICATION Received By. 763-572-3604 CITY OF FRIDLEYMe eS 763-502-4977FAXEFFECTIVE 7-1-2010 DATE –I ' I YOUR E-MAIL ADDRESS SITE ADDRESS 5f,93 3 c S'�►- N THIS APPLICANT IS: 0 OWNER McONTRACTOR PROPERTY NAME: 3 1 E rc. V1 ► �`'L 14 C'_S0--P' OWNER/ ADDRESS: 5 ug J' 3 d S� CITY ,T 1 [ t STATEpn �IP5S' TENANT PHONE: CONTRACTOR COMPANY NAME: T"7w��!nFa SUBMIT A COPY OF CONTACT PERSON: G rt s�&4` rrp f111 s1 La. lnr,C Air YOUR STATE STATE LICENSE # �� l �r%raza� LICENSE WITH ADDRESS: �, d9i STATE ZIP .- M APPLICATION aPol's, PHONE F0V j7A{-1299 PERMIT TYPE 11 SINGLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE TYPE OF WORK: 0 NEW &EPLACEMENT 0 ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK p C c 7Q, r onex. CC C-a c r. a r' $ f� Jam.y c C)6 95—� c — FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) PROVIDE HEAT LOSS CALCIS PER MANUAL J 2006 ASHRAE HANDBOOK. Equipment Installed MFG: C B_Crae'r MODEL: S YS Yhv c- (6.0 SIZE/BTU 60, CX C7 MFG: MODEL: SIZEBTU MFG: MODEL: SIZE/BTU A/C $25.00 _FIREPLACE (GAS) $15.00 _GAS RANGE/OVEN $10.00 AIR TO AIR EXCHANGEER $15 (WOOD) $35.00 _NEW GAS GRILL $10.00 _FIREPLACE OILER $35.00 FURNACE $35.00 _GAS UNIT HTR $10.00 _CHIMNEY LINER $10.00 SAS DRYER $10.00 _POOL HEATER $35.00 _DUCT WORK $10.00 GAS PIPING $10.00 $15.00 _VENTILATOR Number of fixtures @ $10.00 x $10.00 = $ Number of ftures @ $15.40 u Number of fixtures @ $25.00 x $25.00 = $ M^ a Number of fix.QQ $ State Surcharge =' ` $ 5.00 0 tr (MINIMUM FEE ;$40.091)i'! Total THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit nd I acknowl ge th the information above is complete and accurate; that the work will be in conformance with the ordinances an des of t ity o dley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application r a rm' d w rk s not to start without a permit; that the work will be in accordance with the approved plan in the case of all wor h' r es re i and approval of plans. SIGNATURE OF APPLICANT APPROVAL INSPECTORS SIGNATURE DATE PLEASE NOTE: SEPARATE PERMITS M REQUMEEFOR BUILDING, EL C MECHANICAL WORK t_ City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977