PRE 2010 DOCSsueJEt
P NO*
City of Fridley
3232
AT THE TOP OF THE TWINS
BUILDING
PERMIT
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
r � � PROTECTIVE INSPECTION SEC.
CITY MALL FRIDLFV 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
';
612-571-3450
910.F15
11/16/01
10B.AODRESS 5702, 5706, 5708, 5710, 5712 4
Street NE
I LEGAL
LOT NO.BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
1,2,3,4,5
I
1
Gateway East Addition SHEET
2 ; PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Gateway East Redevelopment LLC 325 Cedar
St, St Paul, MN 55101 651-227-6925
J CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Albrecht Construction Services RR 1, Box
183 Motley, MN 56466 218-352-6807
4 . ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5125
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
8 USE OF BUILDING
Townhouse Building (5 Units)
7 CLASS OF WORK
Gk NEW O ADDITION O ALTERATION O REPAIR O MOVE O REMOVE
8 DESCRIBE WORK
Construct a Townhouse, deck, porch & Garage for 5 Units
9 CHANGE OF USE FROM
TO
STIPULATIONS
See notations on plan. Park Fee of $3,750.00 paid.
SEPARATE PERMITS
REQUIRED FOR:
!MIRING, HEATING
Before call OB
PLUMBING
all utiliitygoCations
AND S16ego60
454-0002
REQUIRED LAW.
SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING,
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
VENTILATING OR AIR CONDITIONING
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION
ZONING
SO. FT
CU FT.
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
=
ANY TIME AFTER WORK IS COMMENCED.
NO DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
5 ISTALLS
GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS
VALUATION
SURTAX Fire SC
AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$578,605
$349.80 $699.60
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 OR THE PERFORMAN OF CONSTRUCTION
$4,183;75
$5A750.00
PLAN CHECK FEEL
FEE
2
ti 111201,01
+ PF
S1NATURE OF CONTRACTOR OR AUTHORGE T iDATE,
S GNATORE
HE !'PRQOX VA D THIS IS PfAMIT
!'L
OF OWNER iii OWNER BWLDERi iDATEi
TJA TE
;ITY OF FRIDLEY INSPLL i ivl4 DIV.
3431 University Ave NE
=ridley, MN 554.32
163-572-3604
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR
Effective On Jan 1, 2001
'LUMBING FIXTURE RATES
Jew Fixtures
old Opening, New Fixture
3eer Dispenser
3low Off Basin
,atch Basin
fain Water Leader
Sump/Receiving Tank
Nater Treating Appliance
Nater Heater -Electric
Nater Heater - Gas**
,as Range**
NO. RATE TOTAL JOB ADDRESS ` 1 ( a 4 r_c� Q E ,
Sas Dryer**
3ack Flow Preventer Required ( )Yes () No
Type
$ 7.00 The undersigned hereby makes application for a permit for the work herein
$ 4.00 specified agreeing to do all work in strict accordance with the city codes
$ 5.00 and rulings of the Building Division, and hereby declares that all the facts
$ 7.00 and representations stated in this application are true and correct.
$ 7.00
$ 7.00
$ 7.00
$10.00
$ 7.00
$10.00
$10.00
$10.00
$15.00
ieinspection Fee $47.00/Hr
\LL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
State Surcharge $ .550
TOTAL FEE $ 5 ('sem
1-3 _, 20-Q
Owner
Building Used As —Fau�) V�, V
Estimated Cost - r, -'j f) 0, (X) PERMIT NO.
I
PLUMBING COMPANY tLA AAnj Lk
SIGNED Dix, t 0 A t1AA 11100.6EL N� i U
ApprovedBy Rough -In Date Final Date
_2/�&
I; I - ► � ' ►
'OMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE
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 DEVICES
JOB ADDRESS��� I a, �
RATE SCHEDULE � l I�Ck_C,�IA
OWNER
Residential
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace
(Side Vent - Fill Out Back)
Gas Piping (Needed with new furnace,
but not replacement)
Gas Range
Gas Dryer
*Air Conditioning - All Sizes
All Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work
Commercial/Industrial
1.25% of Value of Appliance or Work
Rate
$ 30.00
$ 10.00
$ 10.00
$ 10.00
$ 25.00
State Surcharge
TOTAL FEE
PLUS THEs$.50 STATE SURCHARGE
I
REINSPECTION FEE $47.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
TOTAL
BUILDING USED AS,, 11G �j
$ ESTIMATED COST-��
l®° PERMIT N0.
$ioCO
DESCRIPTION OF FURNACE AND OR BURNER
$ l
No. of Heating Units ! Circle One (Steam) (Hot Water) (Warm Air)
$ Trade Name Co i 0 ,!SOY\ Size No.
BTUto 0, ye) HP EDR
$ Fuel a�(,Ui°a\ �7 �� 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
$ .50 rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are true and correct.
DATE
HEATING CO_O`f
SiTEL # C 1
FAX #
Approved By;6 Rough In Date Final Date (®`(% _o- '
THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE
APPLICATION WILL BE RETURNED
COMMON VENT, VFNT CONNFCTOR AND COMRI ISTION AIR VIFRIFICATION
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 comhustion air is sized and installed to meet the current codes
and manufacturer's specifications. Yes () No ( )
When required to install a new anmhtistion air, it will be sized and installed
to meet the current codes and manufacturer's specifications. Yes () No ( )
When installing a new ventina cyctimm, 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
Appliance #2 Type
Appliance #3 Type
Total Appliances
Common Vent Type
_ BTU Input
_ BTU Input
_ BTU Input
Total Btu Input
Fan Assisted or Nat
Fan Assisted or Nat
Fan Assisted or Nat
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 :