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PRE 2010 DOCSCity of Fridley, Minn. WELDING PERMIT N® 3426 Date: .... !..... . ®.-. .......... Owner ....................................... Builder ..r �Jv. ... ....... . Address ...................................... Address ..l. Q.,% .. .. ..... . ....r.. _ LOCC TION OF BUILDING / No. . C ✓ .. Street .. `Z .....'! .:. .................. Part of Lot .... ..... ... ......... . .. ... ... ... Lot Block ....3 .......... Addition or Sub -Division .. �'... . Corner Lot ............ Inside Lot X......... Setback 3.d. 8. Sideyard ................. ._O/ DESCRIPTION OF BUILDING To Used as: .7&— r g -, Ze �{ .l..... Front Depth .... Height . Sq. Ft. /ld A ,5"* Cu. Ft.� .................... Front ........ Depth ......... Height ........ Sq. Ft. ........ Cu. Ft. ........ Type of Construction ................... Not Cost./ -. 05 �. 00 . To be Completed i In consideration of the issuance to me of a permit to construct the building dedribed 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. �f.. ... ... .. .......... 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 with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. NOTICE: This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. Application for Power Plants and Heating, Cooling, Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM ATA: 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 Q Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $—� each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations --up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ a STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. IDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. IDR 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 PIPING (Up to 3 Fi res) .......................... 1.50 $�® (Add 50c each over 3) AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule 1 VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE Dept. of Bldgs. Phone SU 4-7470 Location .!% fj® ` e i'► s 6 e 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. /I' ridley, Minn- jjj�--Sz' !Zmac. , 195-k Owner �l C�f'�°e -,� ^�/�-� 195— Kind of Building 195— Used as AA--,. n To be completed about UmCi a( J �-✓ Estimated Cost, $ n Old—New. Building Permit No. 3Xd DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, arm Air No Trade Name � a' Size No J2 Capacity Sq. Ft. E.D.R- -/"a �r BTU H.P. Total Connected Load S:'� 6 ® Kind of Fue F ' BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R. BTU HP. FRANK'S HEATING AND SHEET METAL Sign MARSHALL ST.N. E. B- / 11 POST IM -8-58I Business Phone No- 7 3ei 9191; HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MINNEAPOLIS. MINN. Weatherstrips A..Hde,E• Construction No. Insulation Windo ( Door Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied e No No 19_ 1 F1.1 M A. RZI9 Room I Length e 2 Width en Heiaht P II / Fl.l 1/.4 Room I Lenath ,-a Width Windows and Doors—Crackage and Area ...1 ......a... - ^..... Width Height No. of Lineal ft. . Area No. ofpane of pane Ilghts of crack I sq. ft. Windows and Qoors—Crackage and Area zmzz IL ® ® s Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. A Btu Infiltration Glass JCoef.j Btu Infiltration Btu Infiltration —1 3YI (®� Glass 15 0 /m3 D �, Exp. wall jx 6 Exp. wall Net exp. wall �C?d Net exp. wall Int. wall Int. wall Ceiling -5,� Ceiling / Floor • P ' P 0 ®� Floor ® ® m® 9 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area rn I � n • .. mn �_. s Io • r . _ f' ..1 ...1 ......a... - ^..... ' —.a... Windows and Qoors—Crackage and Area zmzz IL ® ® s Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. A Btu Infiltration Glass Btu / / a Coef. Btu Infiltration —1 3YI 1611 Glass 15 0 /m3 Ceiling® Exp. wall jx 6 Floor If 9' Net exp. wall �C?d Int. wall Int. wall Ceiling Ceiling Floor • P ' P 0 Floor ' ' ' ' l otal Btu. 4N Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 4s / Fl.l n slc-rT_-Room 1 Length Width -07 Height Win ows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. _g 6-P A4, , zmzz IL ® ® s Coef.1 Btu Infiltration Glass Btu / / a Exp. wall ZY Glass Net exp. wa ® 136 Int. wall 15 0 /m3 Ceiling® �, 6 Floor If 9' Net exp. wall Total Btu. I Zg16 F '4te4uired sq: ft. E.D.R. or sq. ins. W.A. Leader area Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane I lights 'of crack sq. ft. _g 6-P A4, , zmzz IL ® ® s Coef. Coef. Btu Infiltration ,37 Glass 13314- Glass Exp. wall 15 0 /m3 Exp. wall A RJr �, / %,o Net exp. wall 0 Ceiling Int. wall Floor Ceiling ®0 0 Floor ' ' ' ' // 9 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 1 .^t 1 � D _ _� 1 f _ ..L sa � .G lY/7�aL . � Lr_LL• �" Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. ax a® —® 16- ® ® s Coef. Coef. Btu Infiltration Glass 13314- Glass07 Exp. wall ©'33 ' Exp. wall �, a Net exp. wall 0 Ceiling Int. wall Floor Ceiling a Floor Total Btu. Required sq. ft. E.D.R. or sq. his. W.A. Leader area 1 R-1 42 AI'W Rnnm I Leni:th '94 Width S Heiaht9' 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 1V Exp. wall Net exp. wait Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area > s HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS Weatherstrips A.SHVE Construction No. Guide Win wsDo s Reference Out. Wall Int. Wall Ceiling Floor —No I Y No Roof 19____ Fl 1 g'rl Room I Lenath 18 Width M c Height - 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. Windows and Doors—Crackage and Area Width Height No. of Lineal f . Area No. of pane of pane lights of crack sq. ft. l A Coef.1 Btu Infiltration Glass Exp. wall Coef. Btu Infiltration , �, 5 3 Glass Floor Exp. wall R� Net exp. wall A ® 4 Int. wall Ceiling 11 ® OU � Floor 1 7- - 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. Coef.1 Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling o Floor Total Btu. Required sq, ft. E.D.R. or sq. ins. W.A. Leader area h FI.1 Room I Lenath Width Heiaht Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of Dane of pane lights of crack sq. ft. Coef.1 Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling �Nloor -Total Btu. �Req`uired sq: ft, E.D.R. or sq. ins. W.A. Leader area MINNEAPOLIS. MINN. Insulation Kind How Applied Rmm 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 Atea Width Height No. ofLineal 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. his. W.A. Leader area Fl.l Room I Lenath 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 I City of Fridley, Minn. BUILDING PERMIT N° 597 0 Address Address %ALO TION OF BUILDING Street '' �E PartopLot Lot Block _ _ Addition or Sub -Di on _ y° Corner Lot _ Inside Lot �y".r' - Setback Sideyard _- Sewer Elevation — Fo dation Elevation DESCRIPTION OF BUILDING To U as: " Front Depth Height , _ Sq. Ft.�� Cu. Fti y. p� Depth Height Sq. Ft. Cu. Ft. Type of Construction Esti Cost/-'_"M�To be Completed 1W 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 m 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. 100,11 ,,,, ,.-'1 Building Inspector NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, gas heating, sewer or water. Be sure to we the Building Inspector for separate permits for these items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner's Name42��,��Builderr�-O,-,eo Olxjr . Address-yI ��,G /10_ Address .S71140 u " s !v LOCATION OF BUILDING No. j / Street �/S� Part of Lot �, Lot Block Addition or Subdivision 2 -- Corner Lot Inside Lot X Setback �S ide-Yard `-� � SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. To be used as. - ,_n lo( ,--A--- DESCRIPTION OF BUILDING ight ,r Sq. Ft.,5r- ,X X Cu. Ft. FrontDepth Height Sq. Ft. Cu. Ft. Type of Construction ,J!�/a P Estimated Cos/yPy To be Completed Je- / — ec 'I -- The 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 ruling of the Department of Build- ings, and hereby declares that.all the facts and representations stated in this application are true and correct. , l/ DATE 9 SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). W From the desk of _ NASIH QURESHI CITY MANAGER'S OFFICE MEMORANDUM JF -238 DATE: May 23 1984 TO ACTION INFO SUBJECT: PAVING OF PART OF AN ALLEY OFF 57TH Jnhn Flora, nPw 6/6184 AVENUE BETWEEN 4th and 5TH STREET See the attached request from five property owners about their desire to pave a portion of the alley at their own cost and being responsible for the maintenance of the same. This item was discussed at the pre -council meeting of May 21, 1984, and the City will go along with the proposal and if the alley is paved according to City standards, we will take the responsibility of patching the surface if need be in the future, but all other maintenance and snowplowing will be done privately by these owners. Make sure we do stake the grade for the alley that would make sense for any future extension and for the proper tying into 57th Avenue. Thank you for your assistance. NMQ/ms Attachment: Petition and map CC: City Council ---------------------------------------------- ------------------- 5/25/84 JF -238 To CM We -have received information from Mr.Hansco (5641 -4th Street) indicating Phil Johnson and Sons will be placing 4" of grave and 2" of asph t on this proposed alley. Our specifications call for 6" of Class V and a total of 3;2-" of asphalt. These are substantially greater than what is proposed to be placed. If the work is not completed this week, we can stake the alley out after we start 66th Avenue for the Brickner Plat next week. I would recommend that the City not be held responsible for maintaining this proposed access. JF/jmo 6/1/84 JF -238 To CM We inspected this site June 1, 1984. There has been no work. We will survey the alley if requested. JF/jmo We the property owners on the South side 57th Avenue who border the right-of-way between 4th and 5th Streets, do hereby declare our intent to have 176 feet of this right-of-way blacktopped by a private contractor. We the undersigned, will be responsible for the financing of this improvement as per agreement between us. We will also be responsible for the maintenance of this portion of the right-of-way and it is agreed that this alley will not be posted as a private drive. We the undersigned, do reserve the right to solicit an appropriate portion of the cost for this improvement to the property owners alone this right-of- way who make major improvements (such as garage, shed, parking area, etc.) or constant usage of this alley due to our improve- ments. SG�I yds% Signed: 1. l� - �D -�ey ( Datee 2. ��� G"(f �� 3f�' S_ i N L 3. SUBJECT City of Fridley 2 0 4 4 2 AT THE TOP OF THE TWINS BUILDING PERMIT _ - i � i5TlJ0. _ COMMUNITY DEVELOPMENT DIV. L PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 612-571-3450 910-F15 6/25/90 JOB ADDRESS 5641 - 4th Street N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 26,27 3 Hamilton's Addn. to Mechanicsville SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gary Hanscom 5641 - 4th.Street N.E. 574-9469 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. D & D Home Improvement 7401 Central Avenue N.E. 784-7543 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 ❑ ElNEW ❑ ADDITION ❑ ALTERATION g REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Tear-off and Rerogf Dwelling (:17 Squares) 9 CHANGE OF USE FROM TO STIPULATIONS On all new roofs or tear-offs and replacement roofs, State Cede requires that 2 layers of 15 Ib. felt, mopped together, be installed to a point 24 inches up from exterior wall line, or the use of other approved underlayment membrane. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SQ. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $850 $.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVIS NS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $23,00 STRU 10 OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE X t&M-Z n $23.50 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IOATEI WHEN P OPE Y D;AT D I IS YOUR PERMIT r �i 9L INSP DATE SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI NEW [ ] ADM [ ] ALTS [ ] CITY OF FRIDLEY R-1 AND R-2 Building Permit Application Effective 1/1/90 • - _�n - •.• - � �� " lei' �'. _ _ Contractor: z , moi° %. Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LTVnG AM: Length Width Height Sq. Ft. GRRAGE AREA: Lexgth Width Height Sq. Ft. DECK AM: Length Width Hgt/Ground Sq. Ft. 07m: Corner Lot [ ] Inside Lot ] Ft. Yd Setback Side Yard Setbacks Type of Construction: 4Af-O- Estimated Cost: $ C� Approx. Completion Date: 17 Proposed Driveway Width If New Cpez Desired: Ft. $ $ Width + 6' See Back Page DATE: "ns APPLSCANT: � Tel. # zml Permit Fee $ '-P 3, 0 D State Surcharge $ S� SAC Marge $ Driveway Escrow $ Park Fee $ Sewer Main Qlarge $ STIPULATIMS: CITY USE DAY Fee Schedule on Reverse Side $.50/$1,000 Valuation $600 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] CITY OF FRIDLEY INSPECTION DIVISION D ,°a��` Effective On January 1,1996 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS'� ,:: /� RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Fumace Shell and Duct Work, Burner – rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 50.00 $ representations stated in this application are true and correct (Side Vent – Fill Out Back) —� f- ,1996 Gas Piping (Needed with new fumace) $10.00 $ OWNER Gas Range $10.00 $ BUILDING USED Gas Dryer $ 90.00 $ ESTIMATED COST PERMIT N0. , *Air Conditioning – All Sizes $ 25.00 $ 6D 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 Size No. CommerciaUlndustnal BTU HP EDR 1.25% of Value of Appliance or Work $ Fuel Total Connected Load State Surcharge $ .50 Bumer Trade Name Size No. BTU HP EDR TOTAL FEE J';6-'J'D HEATING COMPANY MINIMUM FEE FOR ANY HEATING/COOLING/VENTiLATION (J REFRIGERATION/.AIR CONDITIONING PERMIT IS X25.00 Signed o• ��' `�%_ PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr Approved By Rough–in Date Final Date © 001, _ *Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE FOR STACK VERIFICATION ON written permission from adjoining property owner. REPLACEMENT FURNACE CHIllMY AND STACK VERWICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes () No ( } 2. Is ft0e from deterioration rust or Yes ( } No ( ) 3. Hat Ro foreign objects lodged within Yes () No ( ) 4. Is :securely supported Yes {) No { } 5. Moets all current Code requirements for size awl total BTU's connected Yes () No ( ) 6 Ha ,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: CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE yi Nov Fistures $ T N Future Fixtures q 3.50 U Old Opening, New Fixture li W Yid ter Bear Dispenser sy qi $ slow Off Basin $ 5.00 C $ m� w R $ Heatera Hydraulic Valve $ 5.00 S Sump or Receiving Tank $ 5.00 S Water Treating Appliance $ 7.00 $ Not Water Hester $ dS $ w $ 10.00 $ Gas Dryer $ qi yOp nwFA Back Flow Preventer faquired. NNN aA H L o 'lec ALL OTHERS AND/OR REPAIRS AND ALTERATIONS up a id Appliance $ in .0 w u �✓as' i ii ;as S lot 2nd 3rd 4th (R) - Future Connection Opening Connected with Sewer (•) 0 New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Nov Fistures $ 5.00 $ Future Fixtures $ 3.50 $ Old Opening, New Fixture $ 1.50 S Bear Dispenser $ 4.00 $ slow Off Basin $ 5.00 $ Catch Basin $ 5.00 $ Rain Water Leader $ 5.00 $ Hydraulic Valve $ 5.00 S Sump or Receiving Tank $ 5.00 S Water Treating Appliance $ 7.00 $ Not Water Hester $ 5.00 $ Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ Back Flow Preventer faquired. . . Yes ( 1 NO 1 ) Type S 5.00 $ ALL OTHERS AND/OR REPAIRS AND ALTERATIONS It Of Value of Fixture or Appliance $ State Surcharge S .50 Iwanspection Fee $ 1$15.00) TOTAL FEE S Effective Inlay 1, 1990 Job Address Department of Buildings City of Fridley Tel. 1571-34SO 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 a/ lication are true and correct rl Fridley, Mn. / 1g� OWNER V1 1XV 1 KIND OF BUILDIN —4 USED AS TO BE COMPLETED ABOUT ESTIMATED COST V • 6 V OLD - NEW BUILDING PERMIT NO. PERMIT NO. Company Signed By Tel. No. gn ROUGH INSP. Date FINAL INSP. r —,-n / Date APPROVAL FOR PERMIT 111NIMUM FIX FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE ._ , wra Ulv. 16431 University Ave NE Fridley, MN 55432 (763) 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: �/— V74 -s -r, d" e NO. RATE TOTAL JOB ADDRESS New Fixtures $ 7.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $ 4.00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $ 7.00 and representations stated in this application are true and correct. Catch Basin $ 7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank Water Treating Appliance $ 7.00 $10.00 _ Owner Water Heater -Electric $ 7.00 Water Heater - Gas** $10.00 Building Used As �✓�' %� ✓J �— Gas Range** $10.00 Gas Dryer** $10.00 Estimated Cost U ':�j PERMIT NO. Back Flow Preventer Required ( )Yes () No Type $15.00 / - / 2 PLUMBING COMPANY /- SC -A o% ly1G� Reinspection Fee $47.00/Hr SIGNED a TEL N0. .� ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value Fixture Appliance a FAX #_ Ito of or o;2:4 Approved By Rough -In Date Final Date State Surcharge .50 _K MINIMUM FEE F R ANY PLUMBING/GAS PERMIT IS $20.00 TOTAL FEE PLUS THE $.50 97ATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED r.nMMnN VFNT, VENT CQNNFCT0R AND COMR11STIM AIR VFIRIFICATIM When rela _ing 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 PYlsting rnmh ,stinn air is sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When required to install a new cnmhuntinn air, it will be sized and installed to meet the current codes and manufacturers specifications. Yes () No ( ) When enstalhng a new ventina nyc+am, 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 #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 HEATING CO: Signed By: Date: FROM :City of Fridley FAX NO. :7635711287 May. 09 20016 08:47AM P1 l�uildin� BUILDING Permit N°-:�"� ��u- - Inspections RESIDENTUL APPLICATION Received By: Date Reed:• 763-572-3604Cly OF FRTDLEX -. DATE 5I9L--zOC! �c YOtX r MAIt,AI DRESS �C� l�.!�"' 5 n SM, ADDKSs-.516y/ 4th STREEY THIS APPLICANT IS: O OWNRR MeNTKACTOic — N„ _TA ,14 ,2aeTa2 ADORMS:5&q %_ . Sf 3 % NE Cmf el De Ey S•I A'> PROPER:I"Y aVvNEly TENAN'f MOM:. -163,157- CONTRACTOR—.,- N�:�DmE trE , ...Lay&)ST@ueTtuN 012PD�PA7'l UilJ SUBMIT A COPY OF crArE LaCINSE it a O /�i%�,_ EXP T)A'rL' —,�/3L aU® 7 AvIDMS:J44.f SEX ELSIar2 LvpF crrY, T[o4ts TA'1'E_ZII' T��6 YOURSTATE1JCWSE WrM APPIa.CAVON _�,�0 fTIaNE 752 FAx(5 F2 PROPERTY TYPE o eIxGLE FAMMYiN};w CONSTRUL70N sib. 0 TWO PAM] LYINL•W CONSTRUC11014 STORIES _ -- PERMIT TYPE O ADDITION ! p�l1AT(AGEiSHFri ;WINDOWS O BASEMENT F1N'TSII XROOF 0 ORAIRTILE 0 UWK O .IT)IN(: 0 OTVP.R E3 SWDVIMINC POOL ...... _. TYPE OF WORK: 0 NEW 0 AUDTTION IN'1-IrNANCTlRPPAIR O REMODFI.TN(i _...• _� DESCRMF- WQRX BUNG DONE: E�2 A M E tf4,J-AL E SIZE Or IMPROVEMENT HMFIKG NUMBER 0JR SQUARES RZ e �3 GARAGES PROPOSWI.) SIZL: Aqiao PROPOCF,11 WWCHT: MprNG 0 Vinyl 0 AlutmnuM 0 Chhcr TN Ex1S7'LNC OPENINGS OYes ONn OR TOR NEW OP>r GS-DESC:RIS6SIM, Of OPEN INC) CHANGES & ALL Plan, Review Fire Surcharge Surcharge I.iccnsc Surcharge SAC Charge Curb Cut F.acrow Erosion Control Park Fee Sewer Main Chari; 0 HOUSE & OAKAGE 0 ATTACHED GARACIL `g'DP.TACHW GARAGE p$nffit 0 Trim 0 rascle LOCATION OF WINDOWS NUMBER OF VMV BASED ON VALUATION, MMIDING M COST (USING —M 1997 U -B.0 FEE SCH7,101111 VAL,>iTATION O[:CUPA $ 0 S $ 1 • Existing Flcwr Plan 2. Proposal floor plan 3. List of structural members to be used FOkNnW C0NSTR1X7rIO`N INCLUDING Dh_C KS. ADDMONS, & PO$CIM I -HMI -L. 1. Sito Plan/SnrvbY showing the existing sWeares W ptnpmed project. Z• Two Hats of coltstructton plans 3. Eocrpy (Woulatiom IR ANY? MATERIM S: Sec Back Page for Fee Schedule 65% of Building Permit Fee .00i tin= the total job valuation .0005 x Permit valuation Minimum $.SO SS-Oo (State Licensed Residential Contractors) $1550 per SAC. Unit (Plans to MWCC for detcrmination) ft+6ft- ftx$20=$ _. $450 Conservation Plan Review Fee Determined by Engineering Agreement ncc=sary ( ) Non Necessary ( ) Make checks payable to: City of Fridiff Attach StIpulatiunS 1'H1S 1S AN nI'I't.ICA'I'ION FOR A fFdtMIT-NOT VAI.•lu I TIL PROC SSW I hereby aMly for a building permit and I au knowledge that the information above is complete and accurate; that the work will be in conformance with The ordinances and code City of F.ridl seal with The Minnesota Construction Colles; that 1 undenctund this is not a permit but only an applicattion for a or o start without a permit; that the work will bo in accordance with The approved plan in the case of all work which al of plftox / STG7VATtJRE OF APYI,TCANT PRINT NnNSE�C K. B!)u ft(_..... riA7 L• �l R l a U (� yes �Izley 113140 mel 92.0 0 LF Cell. Perkneter Anans Wail. 2 . 949M X T°0" UPI= [M B GOOM - - w how 4 4, HR R&R Md%qmg -12- - in Ph= - Min gra& 20 20.00 LF Scal old WA for O&W ConftDI (WWF piginemw dwnw) W 610,00 SF Sod & 1 - l 15 15.UQ LF Z'x 6� x 141 *2 & bma Fir f Lamb ) 10 10.00 EA Carpeaw - General Framer- per how 5 5.01. Thf t is W the tines it will take tee taW dftVM mid ft4ftfld the befth. St1l & paint wow - ) 4 4,00 E-A Paint/finish overhead door - 2 coats (per side) 4 4.00 EA Detach & Reset Overhead door & hardware - 9'x 7' 1 1.00 EA R&R Overhead (garage) door opener 1 1.00 EA Prime & paint exterior fascia - wood, 6"- 8" wide 100 100.00 LF Prime & paint exterior soffit - wood 100 100.00 SF NOTES: u Room: GARAGE ROOF 736.00 SF Walls 1393.75 SF Walls & Ceiling 58.67 SY Flooring 192.00 SF Long Wall 100.00 LF Ceil. Perimeter Formula Eilp Roof & Bog 24'0" x 2210" x 8'0" 657.75 SF Ceiling 528.00 SF Floor 92.00 LF Floor Perimeter 176.00 SF Short Wall 031406-00001 Page: 3 NOTES: 14�10pll—^—1 733 522,W LF 69 68.00 LF 110 110.00 LF 62 62,00 LF 3 3.00 HR 733 733.00 L,P 100 IM.GF LF 5. 54.00 LF 100 MOM LF 100 100.00 9F MW: 7.3390 833 8,33 SQ 3*100 300.00 SF 44 44.00 LF 24 24.00 LF 30*8 240.00 LF 68 68.00 LF 7.33*100 733.00 SF ELECTRICAL- Per invoice 1 1.00 EA 031406-00001 Page: 4 Hometech Construction PROCTOR, TAMRAH CONTINUED - Electrical NOTES: Room: Miscellaneous Content Manipulation charge - per hour Taxes, insurance, permits & fees (Bid item) Dumpster load - Approx. 20 yards, 4 tons of debris NOTES: Room: Photos 12 05/09/2006 12.00 HR 1.00 EA 1.00 EA 031406-00001 Page: 5 Building BUILDING Permit NO.: - qy Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 '', CITY OF FRIDLEYIt J - ,,y' l � ��-LL T �� C DATE IJ YOUR E-MAIL ADDRESS `- l • SITE ADDRESS 6LVL4I Fire Surcharge THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY OWNER/ NAME: .4e_ :1—een erak-1. —PY® ADDRESS: JXVLI I W'D L3�i.d—_ WC CITY fY_fALA4 STATE ZIP "Ci TENANT $ PHONE: -1 lF?, . 7 �—i • d 0A CONTRACTOR NAME: M udran O_LJ STATE LICENSE # A0&05 LD� 15-1 EXP DATE 0, %,10.0 Curb Cut Escrow SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: 2300 I 1 e4 CI Yf&ebt I—eft.- STATE ZIP WITH APPLICATION PHONE 1P51 .q5A A® 12. FAX LPe)1 • C1O, - LYrJ0-7 PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE $ ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS Agreement necessary ( ) Non Necessary ( ) ❑ BASEMENT FINISH ROOF ❑ DRAIN TILE $ ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: T- ?i(`off- - ftr®aE­ SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES qHOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. Existing Floor Plan 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 WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes []No 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 $ a'3g2 OCCUPANCY TYPE Permit Fee $ _3,a57 See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ as .001 times the total job valuation Surcharge $ I. _k) .0005 x Permit Valuation Minimum $.50 License Surcharge $ ,S;y j $5.00 (State Licensed Residential Contractors) SAC Charge $ $1675 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 $ 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 which reou5es revi w and approval of plans. ACR 1 t,Oy 5,b1UC,t6r L1JL,., SIGNATURE OF APPLICANT (�'�i PRINT N (I ����� DATE