PRE 2010 DOCSSUBJECT
PE ..
City of Fridley
32135
AT THE TOP OF THE TWINS
BUILDING
PERMIT
f
1 1
1 L.
COMMUNITY DEVELOPMENT DIV.
r PROTECTIVE INSPECTION SEC
1 . F
NUMBER
nEv
DATE
PAGE Of
APPROVED BY
CITY HALL fRIOLEY 55132
612-571-3450
910-F15
9/5/01
108 ADDRESS 5728, 5730, 5732 4 Street NE
1 LEGALLOT
NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
1,2,3
6
Gateway East Addition
SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Gateway East Redevelopment LIC 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
1 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 WORK
�1 NEW 0 ADDITION O ALTERATION O REPAIR O MOVE 0 REMOVE
B 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
OCCUPANCYLOAO
SEPARATE PERMITS ARE REOUIREO 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 60 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
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
THE GRANTING
! [O�
$209.88
WITH WHETHER SPECIFIED HEREIN OR NOT. OF A PERMIT
PERMIT FEE
SAC CHARGE
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS 0 NY OTH STATE OR LOCAL LAW REGULATING CON-
STRUCTION P RMANCE CONSTRUCTION
$2,785.75
$3,450.00
0 HE RF OF
'
PLAN CHECK FEE
TOTAL FEE
ADATE,
$6,865.39 + PF
SIG ATu AACTOAOAAUTHORIZEDAGENT
PROPERLY VALIDATED THIS IS Y UR.PERMI
S.GNATUAE OF OWNEROF OWNER BUILDER. --DATE,
G INSo
,Art
;ITY OF FRIDLEY INSPLU i ivN DIV.
3431 University Ave NE
=ridley, MN 55432
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
)Id Opening, New Fixture
3eerDispenser
3low Off Basin
'atch Basin
lain Water Leader
Sump/Receiving Tank
Nater Treating Appliance
Nater Heater -Electric
Nater Heater - Gas**
Sas Range"*
NO. RATE TOTAL
Sas Dryer`*
3ack Flow Preventer Required ( )Yes () No
ll
I
$ 7.00
$ 4.00
$ 5.00
$ 7.00
$ 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
$ .50
JOB ADDRESS F20 4 !�L Q L ----
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.
— cq"t , 2001
Owner
Building Used As —F�7 VL kz
Estimated Cost ; ) 15M. C—)O PERMIT NO. /_3cZ_�
PLUMBING COMPANY 0 l
SIGNE ATEL N.
Approved By Rough -In Date Final Date
TOTAL FEE $?-S7� PLUS THE $.50 STATE SURCHARGE
,OMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE
CITY OF FRIDLEY INSPECTION
6431 University Ave NE .
Fridley, MN 55432
572-3604
RATE SCHEDULE
DIViSION
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
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
$ �5.00)
All O,hers/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work
$
Commercial/Industrial
1.251 of Value of Appliance or Work
$
State Surcharge $ jj 50
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.
Effective On January 1, 200C
JOB ADDRESS 5'73LJ ^::�/4 T" � T (— "'C?uc�
OWNER �nf-E VVT
BUILDING USED AS -T_7Nk pA, �Vt'QQ
ESTIMATED COST "�L-7 . PERMIT NO._�
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Unit_ Circle One (Steam) (Hot Wat ) (Warm Air)__
Trade Name_ �tsUSoy'\ Size No. Gto 12.0 --C6n.
BTU foo- Cho HP EDR
Fuel M .�A-ura ( la a` 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.
H
S
DATE
Approved By� Rough -In Date
7
4 1'cl —
Final Date eV
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 :