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PRE 2010 DOCS0♦ City of Fridley, Minn. BUILDING PERMIT Date: JULY 14, 1966 X? 8922 Owner: WALLACE SCHMEDEKE Builder CARL HANSON (CMENT CONTRACTOR) Address 5616 - 4th St. w. E. Address Fridley, Minnesota 55421 LOCATION OF BUILDING No. 5 616 street — 4th S t . N. E . —_part of Lot Lot 6 Block 4 Addition or Sub.Division HANILTONS ADDN. TO MECHANICSVILLE Corner Lot _ Inside Lot _._. X Setback Sideyard Sewer Elevation _ _.._ — Foundation Elevation DESCRIPTION OF BUILDING To be Used as: D. Garage Front 24 Depth 24 Height 10 Sq, Ft. 576 Cu. pt. 5,760 Front Depth Leight — Sq. Ft. — Cu. Ft. Type of Construction Frame Est. Cost —9-1-21-00 -.20 _„ 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'#orth and in coos an with ail ons of ordinances of the city of Fridley. n U /W %� In consideration of the payment of a Pee of $ 6.00, permit is hereby ranted to WALLACE SCHMEDEKEto 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 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 adthis permit may be revoked at any time upon violation of any of the provisions of said ordinances. CLARENCE BELISLE NOTIM ibis permit don sot eowr the eembumion, 6atailWan hr wi log, plumbing, ger hating, awor or water. Be an to no the building hupemor for apmes permhe hr thea hams. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME �'"!�� �. �", '� �� BUMDER �� ADDRESS ADDRESS LOCATION OF BUILDING` STREET '� PART OF L N0. /t—� ` LOT BLOCK ADDITION OR SUBDIVISION CORNER LOT INSIDE .LOT SETBACK SIDE YARD SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as; Front_ Depth_±,�/Height U Sq. Ft. Cu. Ft. s5 i U > ` ` �� Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Estimated 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 of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE SIGNATURE (Schedule-of Fee Costs can be found on the Reverse Side), � J ®d �i" Application for Power Plants and Heating. Cooling. Ventilation. Refrigeration and Air Conditioning Systems and Devices V�Z// 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 ............... MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ each add. 60,000 BTU ....................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 ................. Repairs & Alterations each add. $500.00 .............. RATE TOTAL 8.00 $ 5.00 $ 5.00 $ 2.50 $ 8.00 $ 2.00 $ 5.00 $ 5.00 $ 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 $� r> 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 $$-1 ALTERATIONS & REPAIRS TOTAL FEE P�(L ROUGH FINAL Dept. of Bldga. Phone BW -33450 Location Q5Z/1/ — `7 - 7•S 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. 19 �� Owner Kind of Building Used as +z�_ To be completed about Estimated Cost, Building Permit No. 7 Permit No(df 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 C'!%5�tli✓ &-uW-e-A' Size No — Capacity ®o Sq. Ft. E.D.R BTU Hp. (REMARKS -OVER) 42 Business end H bd Aira-fl!� g '�'v z s -A Dow1cm PARTIAL RATE SCHEDULE GR1!@rI" WARN AIR: RATE TOTJU.. Furnace Shell & Duct Work ... ... ..... .. $10.00 $ Replacement of )lumace 6.00 Repairs & Alterations—up to $300.00 600 $ Repairs & Alterations each add. $500.00 3 W $ 1zC1-L WMW ADI; F tunace Shell & Duct Work to 120,000 BTU each add 60.000 BTU . ......... Replacement of Furnace Repairs & Alterations—up to $300.00 Repairs & Alterations each add. $300.00 STEAM or HOT WA'TE'R SYSTEM ..$10.00 $--f--- 3.00 S 6.00 $ 6.00 $ 3.00 $ Furnace Shell & LInes—to 400 sq. it. F.DR Steam $10.00 $ Furnace Shell & Line ---to 640 sq. ft. EDR flot Water 10.00 $, Each add 200 sq. ft. EDR Steam xon $ Each add. 320 sq. ft. EDR Hot Water 3.00 $ OIL BURNER—to 3 gal. per hour 6.00 $ over 3 gal, per hour—See Fee Schedule V GAS BURNER (up to M.000 BTU) over 199,E BW See Fee Schedule GAS FMING FEES: NO RATE TOTAL -o 1st 3 Fixtures x$ Zoo g Additional Fixtures x .98 Gas Range Range to 10.00 x$ 6.00 8 COEDMOMMG >(, -�^(® State Surcharge t7,1 50 VEMTMATMG STSTM ALTER&Trom & REPAM Tom. rM Dapt. of Bld9s. Phom IMO -UM City of Fridley: The undersigned hereby makes application for a permit for the work herei specified. agreeing to do all work in strict accordance with the City Ordisnano and ruling of the Department of Buildings, and hereby declares that all the fac and representations stated in this application are true and correct. Owner Kind of Building • �� Used as To be completed about, 7 Estimated Cost~ $ Old ew. Building Permit No. __ Permit No.1-3 HEATING or PO FI.ANI�--Str�ar>a, Not Water, Warm Air—No Trade Name— piC S1m NO Capacity—_-- .— Sq. Vt. E.D.R ' co BTU NJ Total Connected Lomd— --.77 Kind of fte'. BURNER — TrvAe Nance Siwe No Capikei Sq. FL E D BTU 7M v e/ (0 ®� — . 4a6aRf—om0t1 �1��� (� 53-811.-879.01 City of Fridley Appliceicn for.Plumbing and Gas 0j4'.n� Perm!' Dept. of Bldg*. Phone SED -3454 . DESCRIPTION 07 WORM 5616 N. E. 4th. Street Number, Kind and Loce_Ken of Fixtures Locate r NO. RATE TOTAL Number Fixtures ................ x $2.00 $ Future Fixture Opening ........... x $1.50 $ _. New Fixture Old Opening.......... x $1.50 wATrq MTR. Catch Basin .................... x $3.25 $ Water Heater 'L•p to 99.000 BTU) • • • • x $3.00 $ I New Ground Run Old Bldg.......:. x $3.25 $ Electric avatar Heater .............. s $2.00 $ IIS FITTING FEES: NO. RATE TOTAL Ist 3 Fixtures ... * ...... * . • • • • • • x $2.00 Re la a an e x $ .75 $ l l 5.00 Gas Range to 199.000 BTU ........... x 55.00 S Future Connettiaa Op'oaintsI r..�.�...,....... go-warNew Fixture. Old Openings -- Cccspool 0 PARTIAL RATE SCHEDULE .CMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 $ Future Fixture Opening ........... x $1.50 $ _. New Fixture Old Opening.......... x $1.50 $_-_---. Catch Basin .................... x $3.25 $ Water Heater 'L•p to 99.000 BTU) • • • • x $3.00 $ New Ground Run Old Bldg.......:. x $3.25 $ Electric avatar Heater .............. s $2.00 $ IIS FITTING FEES: NO. RATE TOTAL Ist 3 Fixtures ... * ...... * . • • • • • • x $2.00 $ . Additional Fixtures .............. x $ .75 $ l 5.00 Gas Range to 199.000 BTU ........... x 55.00 S City of Fridley: The undersigned hereby makes application for a permit for the Work herei specified, an eeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct' Fridley, Minn 4-i5-75 19— Owner _. A. Wallace Kind.of Building Frame _ Used as Res. To be completed about 4-22-75 Estimated Cost. $ 10.00 -- Old—NaW=uilding Permit No P.rmit No. Signed �"'�'�� "� • By MINNEGASCQ -- Business Mine No ROUGH EPAIRS a ALTERATIONS—Aofat fo Code .50 State Surcharge .Description ....................................... � . TOTAL FEE s 5.50 Acres �V-urcharge .50s? t CITY OF FRIDLEY INSPECTION DIViSION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Residential Rate TOTAL Furnace Shell and Duct Work, Burner - Also Replacement Furnace $ 30.00 $ (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ *Air Conditioning - All Sizes $ 25.00 $ a S: �0 All Others/Repairs & Alterations (LIST ON BACK) 11yo of Value of Appliance or Work $ Commercial/Industrial 1.25% of Value of Appliance or Work $ State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. $ .50 Effective On January 1, 2000 JOB ADDRESS 5 (o I L 'q T11 $'t . pi • C. OWNER 1 I m W h e,e'L ► S BUILDING USED AS 0e Il n G ESTIMATED COST 19 00 , Od PERMIT NO. / LPC DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. BTU HP EDR Fuel Total Connected Load Burner Trade Name Size No. BTU HP EDR 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 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. River City Sheet Metal, Inc. 9923 Bluebird St. N.V\VATE rl a I I o0 Coon Rapids, MN 55433 HEATIN% Signed /, / A Approved BykJ b Rough -In Date TEL # Is. :�7 Final Date 6 COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing 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 () 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 assisted and natural draft appliances. Yes () No The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No When required to install a new combustion air, it will be sized and installed To meet the current codes and manufacturer's specifications. Yes () No When installing a new venting system, the undersigned hereby verifies that it 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 assisted and natural draft appliances. Yes () No Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes( ) No ( ; Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type 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 ALTERATIONS: (Describe) HEATING CO: Signed By: Date Building #/qq(5 MECHANICAL Permit N "* -;?0612M Inspections RESIDENTIAL APPLICATION Received By: 763-57-2-3604 CITY OF FRIDLEY RURAuG - 1 DATE -a-7 -O -7 YOUR E-MAIL ADDRESS ( SITE ADDRESS 5(014p !"l 54Y f_167 - 'X)G` THIS APPLICANT IS: ❑ OWNER ]CONTRACTOR PROPERTY NAME:/0e_ o OWNER/ TENANT t� F ADDRESS: SIOI IO 4a' + IO6 CITY cdt Ie 4 STARZIP $ 3 PHONE: CONTRACTOR COMPANY NAME: CENTERPOINT ENERGY CONTACT PERSON: JOANN Z INKEN SUBMIT A COPY OF YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH ADDRESS: 9320 EVERGREEN BLVD STE RITY "COON'-'RAP.IDS sTATEMN ziP55433 APPLICATION PHONE 763 — 757 -- 6202 FAX 763-757--6701 PERMIT TYPE aINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: 13NEW 9<6LACEMENT 13ALTERATIONMMODEL DETAILED DESCRIPTION OF WORK-J;�Sdal l Qp„p A-[ _ 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: (IND �C/1TE TOTAL NUMBER OF EACH BELOW) � /( Equipment Installed MFG�� MODEL:-Y������ -01f S1zE/BTU MFG: MODEL: SIZEBTU MFG: MODEL: SIZE/BTU _A/C $25.00 FIREPLACE (GAS) $15.00 ; ' GAS RANGEIOVEN $10.00 AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 __ _BOIL' ER $35.00 _FURNACE $35.00 GAS UNIT HTR $10.00 _CHIMNEY LINER $10.00 _GAS DRYER $10.00 _POOL HEATER $35.00 DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 ,... 9 k l 1 al Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $25.00 1 x $25.00 = $ c35. OD Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 Total = $�3S • 5D 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 approval of plans. SIGNATURE OF APPLICANT �• NAME ROGER HOFFHEIN DATE INE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 City of Fridley Residential Mechanical Application Page 2 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS /EXISTING HOME ❑ MADE-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 Propane/IFGC 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 REOUIRED 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. Building BUILDING Permit No.-2AQ0 q Inspections RESIDENTIAL APPLICATION Received By( 763-572-3604 CITY OF FRIDLEY n cq1� 763-502-4977 FAX EFFECTIVE 1-1-2010 DATE 7 ?2 YOUR E-MAIL ADDRESS SITE ADDRESS S,!(/4 THIS APPLICANT IS:OWNER ❑CONTRACTOR PROPERTY OWNER/ NAME: TENANT ADDRESS: 474W i 4 _S-,I—,V-P CITY r, STATL"4/ZIP PHONE:_ 76.3 -5-,X2-,22J/-5-- 572-e22J/-5--CONTRACTOR CONTRACTOR NAME: SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # EXP DATE AND CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE PHONE FAX PROPERTY TYPE ❑ SINGLE FAMILYNEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GAR.AGEISHED ❑ WINDOWS ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR '❑ REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING HOUSE ONLY ! NUMBER OF SQUARES,.�� OUSE & GARAGE BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ 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 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans V11MOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes 17No LOCATION OF WINDOWS FOR WINDOWS - PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. 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) COTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due $ (O(4 `/�� See Back Page for Fee Schedule $ 65% of Building Permit Fee $ F .001 times the total job valuation $ .0005 x Permit Valuation Minimum $.50 $ $5.00 (State Licensed Residential Contractors) $ $2100 per SAC Unit (Plans to MWCC for determination) $ ft+6ft= ftx$24=$ $ $450 Conservation Plan Review $ Fee Determined by Engineering $ Agreement necessary ( ) Non Necessary ( ) $ Make checks Davable to: Citv of Fridlev 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 permJit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of all w rk w 'ctituires review and approval of plans. L/ SIGNATURE OF APPLICANT PRINT NAME 70 DATE r - -Z( - l