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PRE 2010 DOCSBUILDING PERMIT Village of Fridley, Minn. No Date .. <! .:..!.. ..... .. ....... Owner .. li�� Builder Address . .! .� .... ........ Address 3001 / .../ ••. LOaCA�INOFBUILDINGNo. Street .. �....................�ju Part o Lot /. Block ...........•� , . ..... . .... ....... y ./.............. Addition or Sub -Division ........................... . • Corner Lot ............ Inside Lot ....... Setback . � .... Sideyard DESCRIPTION OF BUILDING To/1 be Used as: .../ .. .... Front G W ./ Depth .Height Sq. Ft. . 5� Cu. Ft........ . l� dsQ�is�/ . . , ...... Front V .. Depth 4 Hight Sq. Ft......... cu. Ft........ . cAo— Type of Construction /Uvmg�..Est. Cost , (� ® li 4�... To be Completed ....�. 0 In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the village of Fridley, -I'M% leln . _ , ,..,.., ..a.. .T..... c �.�.. In consideration of the payment of a fee of $. �er,� . , permit is hereby granted to ..... .... .... . . ....................... to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with- in the village limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. I-ol 0/fBuild' c =m NOTICE: This permit does not cover the construction, Installation or alteration for wiring, -Ing, ng, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. City of Fridley Applicarion for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ....... .............. x $1.50 $ Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ...... ..................... x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ New Ground Run Old Bldg . ............ on 3.25 $ GAS FITTING FEES: NO. to 1st 3 Fixtures .......................... x $1.50 $ Additional Fixtures .................... PlAff .50 $ Gas Range to 200,000 BTU .............. x 2.00 AP ONE■ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ....... .............. x $1.50 $ Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ...... ..................... x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $ �t City of Fridley: The undersigned hereby .makes application for a permit for the work hereat specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, Owner Kind of Building Used as To be completed about Estimated Cost, $/ Old—Ptd Building Permit NoPermit Signe�/ ROUGH FINAL d2 2M, Business Phone No - 19_ SUBJECT PER City of Fridley -17698, AT THE TOP OF THE TWINS BUILDING PERMIT _ r REC ' ______ COMMUNITY DEVELOPMENT DIV. ti. r , PROTECTIVE INSPECTION SEC. -LIS CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L 612-571-3450 910-F15 9/5/84 JOB ADDRESS 7541 - 4th. Street N.E. 1 LEGALLOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 1 6 1 I Osborne Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Kenneth Mueller 7541 - 4th Street N.E. 784-2225 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION Ij ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be 2nd layer but not 3rd. Install ridged galvanized valleys. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Fiberglass 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 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1,900 $.95 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 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- $31•00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $31.95 IGNATURE OF CONT R AUTHORIZED AGEN (DATE) WHEN PROPERL V LIDATED THIS IS YOUR PERMIT 9 —8 BLDG INSP fi TE G ATURE OF OWNJM jjWrOWRE`R,0U1LDER1 / ATE) NEW [ ] City of Fridley Effective 4/1/84 ADDN. [ ] R-1 AND R-2 ALTER. [ ] Building Permit Application -7Construction Address: �yf Al 7-13'�� ,�% -- Legal Description: ® / �v ye -40-4 ©� �� ` . �R Owner Nairne a Address: T ��vsv/= I- ,� '/ C� ���`%� Tel. # Contractor: Tel. # Address: v ' Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: �� �L% / J o®lr_z-4// e- S ` "V /°r-� S Corner Lot Nnside Lot4[L� Ft. Yd Setback Side Yard Setback J� _b Estimated Cost: $ Type of Construe ion: Approx. Completion Date: 9 _l Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation DATE: S APPLICANT: Tel. #71 CITY USE ONLY Permit Fee Plan Check State Surcharge SAC Charge Park Fee Sewer Main Charge TOTAL STIPULATIONS: J1,00 Fee Schedule on Reverse Side 25% of Building Permit Fee $.50/$1,000 Valuation $425 per SAC Unit ' Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] CITY OF FRIDLEY INSPECTION DIVISION Effective On January 1, 1998 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES ]] J08 ADDRESS —1541IT— RATE —RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner - rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30.00 $ representations stated in this application are true and correct. (Side Vent - Fill Out Back) — -7—,79 - Gas Piping (Needed with new furnace) $10.00 $ OWNER Gas Range $10.00 $ BUILDING USED AS J k-1 CI Gas Dryer $10.00 $ 3 ESTIMATED COST I�PJo PERMIT N0. 13z� *Air Conditioning - All Sizes $ 25.00 $ DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) I% of Value of Appliance or Work $ No.' of Heating Un' s Circle One (Steam) (Hot Water) Ki;;Dr) Trade Name U RAIt Size No. '&V Commercial/Industrial BTU EDR 1.25% of Value of Appliance or Work $ Fuel as Total Connected Load State Surcharge $ .50 Burner Trade Name Size No. TOTAL FEE BTU H 13562 CENTRAL AVE. ME ANOKAI MN 55"'^A HEATIN M MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 Signed Tel No. PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr Approved ByRough-In Date Final Date *Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE FOR ACK VERIFICATION ON written permission from adjoining property owner. REPLACEMENT FURNACE Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: BLAINE HTG. A; C ELECT., INC. 13562 CENTRAL AVE. N.E. 0 CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes ( No ( ) 2. Is free from rust or deterioration Yes (� No ( ) 3. Has no foreign objects lodged within Yes No ( ) 4. Is securely supported Yes) No V ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes No ( ) 6 Has total heating BTU's of All other BTU's L10 i TOTAL BTU's 7. Has a liner been provided for water heater Yes () No (S� 8. Has combustion air been provided for water heater Yes No ( ) Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: BLAINE HTG. A; C ELECT., INC. 13562 CENTRAL AVE. N.E. 0 City of Fridley Building Inspections Dept. Ph: 763-572-3604 FAX: 763-571-1287 6431 University Ave NE Fridley MN 55432 Mechanical Permit# Residential Application City of Fridley See Back Side For Required Information Date - - Site Addr -`-- "e The applicant is: (cirice one) t& n Contractor Property Owner: Keo Muellf Address:cSrA,rv\,c- City: State: Zip: Phone:A2 -1 Cell: Fax: Contractor Information Company Name: i r 'e C - Contact Person: iArOct c CtA P Address: Li ` °1 r City: u T � State: �j Zip: 3 Phone: '7(P -'? 4 ­5 Cell: fP1a 3lo(o`a7 la- Fax: 2,�5- 4 c 3-7 Email.°- t- Al c- -h E _ MN Bond# & Exp Date (.P 3G -6 �P Type of Work (circle one): New Replacement Alteration/Remodel Detailed Description of work: 61 qty �� — ll�/44 Equipment Installed: MFG: Model: Size/BTU: MFG: Model: Size/BTU: MFG: Model: Size/BTU: Please check all that apply: _Fireplace (gas) $15.00 New Gas Grill $10.00 A/C $25.00 _Fireplace (wood) $35.00 _Gas Unit HTR $10.00 _Air to Air exchanger $15.00 _Furnace $35.00 _Pool Heater $35.00 _Boiler $35.00 _Gas Dryer $10.00 _Ventilator $15.00 _Chimney Liner $10.00 _Gas Piping $10.00 Duct Work $10.00 Gas Range/Oven $10.00 Permit Fee $ -3 ° ('�O (Total from above -Minimum fee $35.00) Surcharge $ -.0.50 � �— Total Due $ �S Make check payable to City of Fridley This is an application for a permit- not valid until processed I hereby apply for a mechanical permit and I acknowledge that the information above is complete and accurate; that the work will be In conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in case of all work which requires review and approval of plans. Signature of Applicant: &LL / Dater Approval Inspector Signature: Date: Please Note: Separate permits are required for Building, Plumbing, and Electrical work Ravicarf R11419nns REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS (STING HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction IMC 1346.0312 5. Ventilation a_ Per MN Energy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make up air calculations