PRE 2010 DOCSSUBJECT
PERMITNO.
City of Fridley32328
AT THE TOP OF THE TWINS
BUILDING
PERMIT
1r
RECEIPT NO.
V ......COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
REV
DATE
PAGE OF
APPROVED BY
1 CITY HALL FRIDLEY 55432NUMBER
-'j
612-571-3450
910415
11 / 16 / 01
JOB ADDRESS 5740, 5742, 5744, 5746, 5748 4 . Street NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
1,2,3,4,5
2
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 RRl, PO Box 183, Motley, MN 56466 218-352-6807
4 ARCHITECT OR DESIGNER MAIL ADDRESS
ZIP PHONE LICENSE NO.
5125
S ENGINEER MAIL ADDRESS
ZIP PHONE LICENSE NO
6 USE OF BUILDING
Townhouse Building (5 Units)
7 CLASS OF WORK
CA NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE
B 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.
Before digging call for
SEPARATE PERMITS
all Utility locations
REQUIRED FOR:
45-0002
WIRING, HEATING
REQUIRED BY
LAW
PWIVIBING AND SIGNS
SEPARATE PERMITS ARE REQUIRED 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
ANY TIME AFTER WORK IS COMMENCED.
NO DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION
5
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 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 TME
PERMIT FEE SAC CHARGE
PROVISIONS OF A Y OTHER STATE OR LOCAL LAW REGULATING CON.
$4,183.75 )1,750.00
STRUCTION ORT PERFORMANC OF CONSTRUCTION
/
olk /0-C"/0/
PLAN CHECK FEE TAL FEE
10,983.15 + PF
SiNATURE OF CON TRACTOR OR AUTHORIZED A ENT IDATEi
E P LY V TED THIS I YUR RA-LT
I
-
S.GNYTURE OF ONERBUILDER.F OWNER BUILDER. IDATEi
W
AT
iN Q`if
CITY OF FRIDLEY INSPLu i ivN DIV.
3431 University Ave NE
=ridley, MN 55.432
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: NO. RATE TOTAL JOB ADDRESSD 72q!A H �A C42� Q (C2
slew Fixtures $ 7.00 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
3low Off Basin $ 7.00 and representations stated in this application are true and correct.
,atch Basin $ 7.00
fain Water Leader $ 7.00 .1-3 _, 2o�Qo_�
lump/Receiving Tank $ 7.00
Nater Treating Appliance $10.00 Owner V\ hrzn-1—�_0 "'Vo V4
Nater Heater -Electric $ 7.00
Nater Heater - Gas"" $10.00 Building Used As kz t�ulQ�
Sas Range" $10.00 �^�� ����
Sas Dryer"` $10.00 Estimated Cost c l[� �+ �l PERMIT NO.
3ack Flow Preventer Required ( )Yes () No I
Type $15.00 PLUMBING COMPANY l U l
I i 94leinspection Fee $47.00/Hr SIGNE ELN p. ( 1
\LL OTHERS AND/OR REPAIRS AND ALTERATIONS
1.5% of Value of Fixture or Appliance
Approved By t Rough -In Date Final Date
State Surcharge $ .50
TOTAL FEE
H
: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
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
RATE SCHEDULE
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 TOTAL
$ 30.00 $-
$ 10.00 $ I D
$ 10.00 $
$ 10.00 $
$ 25.00 $�
State Surcharge
TOTAL FEE
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT 15 $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
$ ,cJ o
JOB ADDRESS -
OWNER rLL
BUILDING USED
Effective On January 1, 2002
ESTIMATED COST UM, M PERMIT NO. /e_6Yi
DESCRIPTION OF FURNACE AND OR BURNER
No. of Heating Units_ Circle One (Steam) (Hot Water)Warm Air)
Trade Name
-&--i �0 6(Tn Size No.Gto V2 -U46DQ-
BTU O O HP EDR
Fuel Total Connected Load
Burner Trade Nam
BTU
Size No._
HP 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
HEATING CO 6'
Sig # J�
FAX # -
Approved ByA Rough -In Date Final Date�'-
THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE
APPLICATION WILL BE RETURNED
COMMON VFNT, V NT CONNFCTOR AND CQMR1ISTION AIR VIFIRIFICATION
When rela _ing an existing ,f ur�g, 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 Pxisting combustion air is sized and installed to meet the current codes
and manufacturer's specifications. Yes () No ( )
When required to install a new cambustion air.it will be sized and installed
to meet the current codes and manufacturer's specifications. Yes () No ( )
When installing a new venting systLam, 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 :