PRE 2010 DOCSSUBJECT
P
City of Fridley
3 2135
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
COMMUNITY DEVELOPMENT DIV.
572-3004
PROTECTIVE INSPECTION SEC.
1
REV
DATE
PAGE Of
APPROVED BY
i
1 �•'•1 � CITY HALL FRIOLEY 65132NUMBER
�•••'� �''
612-571-3450
91aF15
9/5/01
JOB ADDRESS 5728, 5730, 5732 4 Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DEscR.
1,2,3
6
1 Gateway East Addition
SHEET
2 PROPERTY OWNER MAIL ADORES$
ZIP PHONE
Gateway East Redevelopment LLC 325 Cedar St, St Paul, MN 55101 651-227-6925
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO
Albrecht Construction Services (5125) RR 1, PO Box 183,
Motley, MN 56466 5125
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO
218-352-6807
5 ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
6 USE OF BUILDING
Three Unit Townhouse Building
7 CLASS OF WORN JJ NEW O ADDITION O ALTERATION ❑ REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
Construct a 7,141 sf Three Unit Townhouse Building
9 CHANGE OF USE FROM TO
STIPULATIONS
See notations on plan. Paid Park Fee of $2,250.00 ($750 x 3).
TYPE OF CONST.
OCCUPANCY GROUP
OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING,
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
3 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
$144,1-&3
$209-88$419.76
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PERMIT FEE
SAC CHARGE
PROVISIONSor NY OTH STATE OR LOCAL LAW REGULATING CON-
STRUCTION O HEP RF RMANCE OF CONSTRUCTION
$2,785,75
$3,450.00
PLAN CHECK FEE
TOTAL FEE
/
$6,865.39 + PF
SIG ATu RACTORORAUTHORIZEDAGENT (DATE,
PROPERLY VALIDATED THIS IS Y UR ERMI
S,GNATURE OF OWNERdF OWNER BUILDER, IDATEI
l G NSP1
fit. TE
Ju.n. 4. 2001- 4:02PM- %0,0aa v` 9 No.6355""P. 1/91
$-9, ~A* & Tim a ,pu=
BUZOING Palo= APMOMON
Construction Aaftese S7 3016-T7 3 2. 41r# S
regal L&FS 1-9 ASAX3 sorra 4,10& 4 &o ss -7 ASOL.V/a sir viEki .owror�+�wr
owner a Addraas 6 A T G ~ Ag �T'. d aE�VEto/e �tMr S. LG
#T PA�.e. : Tel$ t491) z% 7-&O 2s
aoMTRACM a sass i s A-V z. .8 -Ra S . 4 g!KZp?lanZ&.r 5e. Tat (�.) ys7 @@
3 �1 AV -SER 3- sT e.e, ss: Aa,&. �
____�
Architect _i'� k S /i5S CW... - AM #Z@E2-& setgineer & S� OL . � - 0.33%`1
VVMX M CoNOTRUCTXrox
rM OF Kopx XNLV 11 Addition 0 Alteration -Describe
OFC. MM: Length
width
Height Zl_ ���.� Sq. Ft./ 7,3 -/, 7 X,t7y.
VASE AFM&.- Length
, Width
Sq. Fe. li'7_7_.+" x-' I9 • SQ
IIeight-��
OTHER AMR: Length
_ 111idth
��
might - 2q. Ft-�' �' �/ �` ) 11-00
y1-o� t '74t +t 1-► 00
�stCAUT
Yex $ Date
U A -Te
VZLUX ao� 3 y/ 9 7 (0
x 3
_ - Cost/Sq. Ft. = Valuation $ // 5j72 / l�C.P�viJ-
,g . Ft. x $
Cost/Sq- ft. s Valuation ¢ ) s I y 7�
.q. Ft. x $
Coat/sq. Ft. .2 Valuation S ) TOT VALUX
.. �rV� 1
CAAFle
holding Qae XES144eNT1AL Conat�ructi wmaf0W
�►Pe icy93
'Ir Conditionixtg XYes [Iso Fira Protection Provo" 11Yea
'erfoxmanwn &Md Am ort $ -.
Lee Reverse for SC1' eftl8 v+ (1Yes (INC
P "me
Permit Fee
Q `
$ �� V �e �J
See Fee SC1kC'tle an Re erme Side
Flan Check
$
Yn was Of PrWaid Amount - See Reverse Sid
Fire awclslttge
3 74-7 q .
-001 x P it Valuation i1./lath 0)
State Surcharge
$ 0
$. So/$1, 000 Valuation (sag Schdfl. for s $1 NjILlfon)
SAC urge
S 3150 100
$uSa per SAC Vbit (Plow to MVC for determination)
Erosion Couticol
$�..
$450.00 CoOservatieft Plan Review
Park Fee
M
Fee Determined By Engineer-Ou
SgeO. AnDesewents
8_ - �)
Agreement 1Peceaaary [) not Ne"fileary [)
Drivmmy Recr+om
S
feet x $Is. so/toot
TonL
'ITYOF FRIDLEY INSPLL i iuN 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:
t7
NO.
RATE
TOTAL
JOB ADDRESS
slew Fixtures
$ 7.00
r717,0
The undersigned hereby makes application for a permit for the work herein
)Id Opening, New Fixture
$ 4.00
specified agreeing to do all work in strict accordance with the city codes
3eer 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
fain Water Leader
$ 7.00
_2001
Sump/Receiving Tank
$ 7.00
Nater Treating Appliance
$10.00
Owner
Nater Heater -Electric
$ 7.00
Nater Heater - Gas""
$10.00
ff
Building Used As —FOLO Vl_
Sas Range"
Sas Dryer"`
$10.00
$10.00
Estimated Cost cl PERMIT NO.
3ack Flow Preventer Required ( )Yes () No
1r��
lel l
Type
$15.00
PLUMBING COMPANY t' 1
v
Zeinspection Fee $47.00/Hr
SIGNS EL N�
\LL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
Approved By Rough -In Date Final Date
State Surcharge
$ .50
TOTAL FEE
$�
MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $20.00
PLUS THE $.50 STATE SURCHARGE
COMBUSTION 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, 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_ �57'' --"4t'-'
RATE SCHEDULE n
Residential
Rate
TOTAL
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace
$ 30.00
$_51 100
(Side Vent - Fill Out Back)
Gas Piping (Needed with new furnace,
$ 10.00
$_j Q , Q0
but not replacement)
Gas Range
$ 10.00
$
Gas Dryer
$ 10.00
$
*Air Conditioning - All Sizes
$ 25.00
$ a.5 I C0
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 $ .50
TOTAL FEE $_L5_1 so
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.
OWN
BUILDING USED AS --1-7)03 V\. Li l Q
ESTIMATED COST PERMIT N0.
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units_ Circle One (Steam) (Hot Wat (Warm A'
Trade Name C'01- JQ�5c)y1 Size No.
BTU to - C1 -)n HP EDR
Fuelsh, Wra 16 �, Total Connected Load
Burner Trade Name
BTU HP
Size No
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.
HEATING CO
DATE I —,_20-0 O3,
FF Rough -In Date ��Final Date
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 manufacturers 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 manufacturers specifications. Yes () No ( )
When required to install a new combustion air, it will be sized and installed
To meet the current codes and manufacturers 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 manufacturers
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 Connectorilnformation
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 INSP. DIV.
6431 University Avenue NE
Fridley, MN 55432
(763) 572-3604
JOB SITE:
Applicant:
Address:
HYDRANT RENTAL AGREEMENT
(Effective January 1, 2001)
I/We agree to make the above deposits and pay the water and service
charges for the use of hydrant connections and equipment borrowed. In
the event that the above meter or equipment is damaged, the cost of
repair or replacement shall be made by the p-licant tated in this
agreement of re the deposit is refunded. L
Date
Deposit Check # .56000 Deposit Amount Returned By _ (01l9a
Date
See other side for instructions on picking up and returning equipment
borrowed.
RENTAL CHARGES
�
6-®,®o
Service Charge:
$50.00
$
Water: Minimum
$10.00, $1.00/1000 gal. with meter
$
10,60
TOTAL CHARGES
$
Receipt # 51q 77
EQUIPMENT USED & DEPOSITS HELD
Meter Deposit:
$200.00 Meter #
$
Meter Reading:
// G�
Start oo/ 3(®/0 End 1 b 7 *76
TOTAL GALLONS x $1.00 =
$
Equipment Deposit: (wrenches) $150.00
$
jj
TOTAL DEPOSIT CHECK
$
List Equipment
Borrowed:
Above Equipment
Returned to:
Signature
Date
I/We agree to make the above deposits and pay the water and service
charges for the use of hydrant connections and equipment borrowed. In
the event that the above meter or equipment is damaged, the cost of
repair or replacement shall be made by the p-licant tated in this
agreement of re the deposit is refunded. L
Date
Deposit Check # .56000 Deposit Amount Returned By _ (01l9a
Date
See other side for instructions on picking up and returning equipment
borrowed.
SWIMMING POOL WATER & EQUIPMENT RENTAL
Application is filled out, deposits are held and charges are paid at City Hall, Building
Inspection Division.
Application is then taken to filtration plant. All equipment is picked up at Commons
Filtration plant at 601 - 61 st Avenue from Water Department personnel.
Water Department will list on application what equipment was borrowed and the meter
reading on the meter if used.
Application is left at filtration plant until equipment is returned and the final meter reading
is put on application.
EQUIPMENT MUST BE RETURNED IN GOOD CONDITION (hoses must be rolled and
tied as when picked up) TO GET DEPOSIT BACK. Call City Hall before bringing
equipment back to insure that someone .will be at the filtration plant to receive it.
Bring signed application back to Building Inspection Division, City Hall to get deposit
back.
CONSTRUCTION WATER & EQUIPMENT RENTAL
Same as above