PRE 2010 DOCSSUBJECT
IT NO.
City of Fridley
32330
AT THE TOP OF THE TWINS
BUILDING PERMIT
r
RECEIPTNO.
v ......COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
CITY HALL FRIDLEY 55432
�''
NUMBER
REV
DATE
PAGE OF
APPROVED By
612-571-3450
910 -FIs
11/16/01
JOBADDRESS 5720, 5722, 5724 4 Street NE
1 LEGAL
LOT NO.
BLOCK TRACT OR ADDITION
SEE ATTACHED
DESCR.
1,2,3
4 Gateway East Addition
SHEET
2 PROPERTY OWNER MAIL ADORES* ZIP
PHONE
Gateway East IMMIX Redevelopment LLC 325 Cedar St, St Paul, MN 55101 651-227-6925
3 CONTRACTOR MAIL ADDRESS ZIP
PHONE LICENSE NO
Albrecht Construction Services 'RR 1, PO BOR 183, Motley, MN
56466 218-352-6807
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP
PHONE LICENSE NO.
45125
S ENGINEER MAIL ADDRESS ZIP
PHONE LICENSE NO
6 USE OF BUILDING
Townhouse Building (3 Units) for 3 units
7 CLASS OF WORK
Ek NEW O ADDITION O ALTERATION O REPAIR
O MOVE O REMOVE
B DESCRIBE WORK
Construct a Townhouse, deck, porch & Garage
8 CHANGE OF USE FROM TO
STIPULATIONS
See notations on plan. Park Fee of $2,250.00 paid.
SEPARATE PERMITS
REQUIRED FOR: Before digging call for
WIRING HEATING all utility locations
PLUMBING AND SIGNS 4540002 .
REQUIRE® BY 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 60 DAYS. OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
3
ANY TIME'AFTER WORK IS COMMENCED.
NO DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
3
STALLS
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
$347,163
SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
,$209.88 $419.76
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL TME
PERMIT FEE
SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON•
STRUCTION THE
$2,785.75
$3,450.00
OR P RFORMTRUCTION
PLAN CHECK FEE
TAL FEE
;K:7;
$6,865.39 + PF
SIGN URE OF CONTRACTOR OR AUTHORIZED &tENT aDATEi
WH ffP! RLY VA
LDG —IAP
ATED THIS IS YO. R PE
4AIf
S,GNATURE Of OWNERdf OWNER BUILDER. iDATEN
CITY OF FRIDLEY INSPECTION DIV.
6431 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
Effective On Jan 1, 2001
PLUMBING FIXTURE RATES: NO.
RATE TOTAL
New Fixtures L11oe$7.00
o -
Old Opening, New Fixture
$ 4.00
Beer Dispenser
$ 5.00
Blow Off Basin
$ 7.00
Catch Basin
$ 7.00
Rain Water Leader
$ 7.00
Sump/Receiving Tank
$ 7.00
Water Treating Appliance
$10.00
Water Heater -Electric
$ 7.00
Water Heater - Gas`*
$10.00
Gas Range**
$10.00
Gas Dryer**
$10.00
Back Flow Preventer Required ( )Yes () No
Type
$15.00
JOB
11a( '7
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 Building Division, and hereby declares that all the facts
and representations stated in this application are true and correct.
.'200/
Owner �J V
Building Used
Estimated Cost
PLUMBING
Reinspection Fee $47.00/Hr SIGNED BY
ALL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
Approved By
State Surcharge $ .50
MINIMUM
TOTAL FEE $ o?g- b PLUS THE
COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A.
O
M
PERMIT NO. ��
Rough -In Date Final Date
COMMON VENT INFO ON BACK SIDE
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 Tvoe 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
CITY OF FRIDLEY INSPECTION DIVISION Effective On January 1, 200(
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 , �--
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
All Others/Repairs & Alterations (LIST ON BACK)
1% 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
6
$ ' esz
OWNE
BUILDING USED AS -0
��y`�-2��, 0
ESTIMATED COST Z c J On PERMIT NO. O
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units_ Circle One (Steam) (Hot Wate (Warm Air)
Trade Name—C-, 1 V), -,n7 � Size No.C7&l2C_-
BTU Q HP EDR
Fuel Total Connected Load
Burner Trade Nam
BTU
HP
Size No
ED
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.
DATE ~Q
Approved By Rough -In Date Final Date
FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE
COMMON VENT VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When replacing an existing furance, the undersigned hereby verges 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 installina 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 Jnformation
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 :
X Y OF FRIDLEY INSPLL i ivN DIV.
3431 University Ave NE
=ridley, MN 55432
763-572-3604
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:
NO.
RATE
TOTAL
JOB ADDRESS �� �� � 2-4 C<_C� Q C ,
Jew Fixtures
l
$ 7.00
The undersigned hereby makes application for a permit for the work herein
Dld Opening, New Fixture
$ 4.00
specified agreeing to do all work in strict accordance with the city codes
Seer Dispenser
$ 5.00
and rulings of the Building Division, and hereby declares that all the facts
Now Off Basin
$ 7.00
and representations stated in this application are true and correct.
;atch Basin
$ 7.00
lain Water Leader
$ 7.00
1a:71 , 2001
Sump/Receiving Tank
$ 7.00
Nater Treating Appliance
$10.00
Owner
Nater Heater -Electric
$ 7.00
Nater Heater - Gas**
�_
$10.00
A-) -60
Building Used As
Sas Range**
,as Dryer**
$10.00
$10.00
;��,�-�
Estimated Cost �� ! K�_9J. PERMIT NO.
3ack Flow Preventer Required ( )Yes
() No
Type
$15.00
PLUMBING COMPANY
leinspection Fee $47.00/Hr
\LL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
State Surcharge
TOTALFEE
$ .50
SIGN
Approved By
IWILIVM T 1 ._
(10 _6 �__
,OMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE