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PRE 2010 DOCSBUILDING PERMIT 4+ ' a e of Fridley, Minn. N� 2 16 g Y l Date Owner ! j .. ``.. ' 'fir ...... Builder' ... .... ....... ................ Address +' ...... +` Address ........................................ . LOCATION OF BUILG No. -* .... Street .:", ........................ ............. Part of Lot ....................... Lot !"..�.� Block .......... Addition or Sub -Division .....:' "t'L .... ✓� M Corner Lot ............ Inside Lot ............ Setback Sideyard "' ................. DESCRIPTION OF BUILDING To be Used as: ........ tt /... Front .. Depth iw .... Height ..... ! ... . .................... Front ........ Depth ........ Height .... �$flsi.I' /.;L Ora) a a Type of Construction h .......... Est. Cost ..... .. .............. Sq. Ft......... Cu. Ft" ........ Sq. Ft......... Cu. Ft. ........ To be Completed'" ........ . If 1Z W /or,:. al .0,0,r 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. .r F r ons }'Fera on of the payment of a fee of $...✓ . , permit is hereby granted to i ? 4-::°.. • • . , • . : V... ... `.... ...... 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 uponn violation of any of the provisions of said ordinances. ... Building Inspector r NOTICE: This permit does not cover the construction, installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. __- 0 BUILDING PERMIT Village of Fridley, Minn. N° 2 q 71 Date..K ........................ Owner ... F .. RICI ,FYM*,. Builder ...... .. ...................... s� .. .......... y/ Address �.... Address . � ... � P�'!�� .:..... . P_ �L%OCATION OF BUILDING No.-��..... Street ..... ! ......... ....... ....... Part of Lot ....................... a Lot JQ4........ Block ...... 3........ Addition or Sub -Division ... 1. r . ........... Corner Lot ...=a.. Inside Lot ............ Setback ............ Sideyard .......................... DESCRIPTION OF BUILDING 7-5—bN Used as: /1 s Front ........ Depth ........ Height ......... Sq. Ft.. Q Cu. Ft. ........ .................... Front ........ Depth ...... Height ......... Sq. Ft......... Cu. Ft......... r, Type of Construction . ��01!�!t! Est. Cost '. ! .6,. -q u........... To be Completed .. �. !Y�!:� ...... a In consideration of the issuance to we 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. n lJ �In consideration of the payment of a fee of $X V, permit is hereby granted to .. ....... . �tAd.�w7Y�sio�..... to construct the building or addition as described above. This permit is gran&d 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, re d ming of buildings with- in the village limits and this permit may be revoked at any/pon viol on any the provisions of said ordinances. It Inspector NOTICE: C._ - This permit does not cover the construction, Installation or alteration for wiring, pl ing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. . cater ftr paws Air aZ,hq �a Do PARTIAL RATE SCHEDULE GRAVITT WARM AIR: RATE TOTAL V%zrnace Shell & Duct Work .$10.00 $ Replacement of Furnace 6.00 Repairs & Alterations -up to $500.00 &00 $ Repairs & Alterations each add. 1500.00 300 $ IMML WARD.ht Alit Furnace Shell & Duct Work to 120,000 BTU eash add. 60,000 VM . .. ...... Replacement of Furnace Repairs & Alterations -up to $500.00 Repairs & Alterations each add. $500.00 STEAM oz HOT WATER SYSTEM ..$10.00 $ 3.U0 5 ''--� 6.00 6.00 $ 3.00 $ Furnace Shell & Lines -to 400 sq. ft. F.DR Steam $30100 $ Furnace Shell & Line -to 640 sq. ft. EDR Hot Water 10.00 S. Each add 200 sq. ft. EDR Steam a nn $ Each add. 320 sq. ft. EDR Hot Water 3.00 $ OIL BURNER -to 3 gal. per hour 6.00 $_ over 3 gal. per hour -See Fee Schedule GAS BURNER (.up to 39,000 BTU) 5.00 $ 0 over 199,OW UM See Fee Schodulo GAS FITTING PETS: NO RATE TOT4%L 1st 3 Fixtures x$ 200 $ 2 Additional Fixtures x ,78 Gas Range to U9.0CO x$ 5.00 $ r YVl@1 L 1115-- i — / State Surcharge .50 am Fess achodalo TOTAL iii Dept. of Bide& phom wo-M v City of Fridley: z7x The undersigned hereby makes application for a permit for the work herds 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 facts= and representations statrd in this application are true and correct. Kind of Used as To he completed about,- 2 -O �7 d d Estimated Cost; $-� 62 -New. Building Permit No. _-_ permit No. HEA77NG or POWER` RANT-q--SSteatmm, Hot Water, M Ai - No � Trade Name �.F��L� --� Size No Capacity—..__ — Sq, TL F..D.R BTU $p Total Connected Lomd Kind Of F'ua l BURNER - Tirade Nammae Size PIo Capacity Sq. Ft. E.D-R 13TU E20- ( ARn-OW" t.rti'twrvsi a.. J, Nth» V; . AGREEMENT owner of the property located at �� ,� (— %T�� S� A/ have no objection to the City allowing the construction of a }/j�� to be located at _7T/i sTc- without the required certificate of surre,, that the City ordinarily requires for all new construction. Signature _ Address 3 �o Date Witney M SUBJECT I IT Cit of Fridley Y Y 13445. QRE:ii� AT THE TOP OF THE TWINS PERMIT r BUILDING COMMUNITY DEVELOPMENT DIV. r � PROTECTIVE INSPECTION SEC. � 1 } � CITY HALL FRIDLEY 55432 NUMBEDREV. DATE PAGE OF APPROVED BY 612-560-3450 910-F15 4/9/76 JOB ADDRESS 5546 - 7th Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 1,3 8 Hamilton's Addn. to Mechanicsville SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Larry Brusseau 5546 - 7th Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Sussel Company, 1850 Como Avenue, St. Paul 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 0 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 24' x 24' Garage and aretaining wall 9 CHANGEQFUSEFROM TO STIPULATIONS Retaining wall to have two solid poured blocks; midsection, north and south wall. Letter of release required from neighbor to south, prior to starting garage work. PERMITS RFQUIRED FOR WIRING, S PERATE HEATING, PLUMBING AND SIGNS. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Wood Frame 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 R-1 576 5760 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 $3,202.40 Total $1.60 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- $17.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $18.60 SPATUREOFCONTRACTOR ORAUTHORIZED AGENT (DATZWYEN PROPER ED THIS IS YOUR P MIT SIGNAF OW ER IIF OWNER BUILDERI DATE) BLDG iNSP 1)A E M 01 APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER ` S NAM: RR y )lJS SFS c[ BUILDER: U5 S y ADDRESS ADDRESS: ST- nla u L NO:. STREET: LOT: Z — BLOCK: ADDITION: Am 1 a&, CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Cextificates. DESCRIPTION OF BUILDING wwt a Used As: C2 f/'z �/ Front: Depth: _ Square Feet: Cubic IE -(p / / Front: Depth: L-) L- -- i Height: Feet: / ;–, Height: _ / Square Feet; Cubic Feet: Type of Construction: To Be Completed: Estimated Cost: _$4 z G ? • C/6 / -3- -2, J The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work i.rk strict accordance with the City of Fridley Ordinances and rulings o% the Department of BuildLags, and hereby declares that all the facts and representatiGns stated in this.application are true and. correct. DATE: e-1 , SIGNATURE: c (See Reverse Side For Additional Inform.=: 5/fpa<y77d/%) 5 � c7 N -� �D � 0 �aeiG DL11VLn►ly �YtyM-miunnnc I C T+rrot ivinavuim. CONTRACTOR'S 1 1 FORM -NO -155 NaAe Phone Date i S tate Location of Job Sheet No. Estimator Checker Estimate No. Basis of Bid plus Ic Job to be Commenced To be Finished escription Dof Job DESCRIPTION MATERIALS EMPLOYMENT EXTENStONS -- - ---- Ems NO. 155 •♦ THE SLACKHOURN SYSTEMS. INC.. ST. PAUL. MINN. r . . 5546 -7th Street N.E. Fridley, Minnesota May 7, 1976 City of Fridley Department of Engineering Gentlemen: I would like to construct a garage adjacent to the south side of my house at 5546 -7th Street N.E. Because of the differences in elevation, the floor plan of the house and the distance of the garage from the house, it will not be practical to attach the garage to the house. I am writing this letter to assure the Engineering Department that the garage will not be attached to the house. I understand that if the house will not be attached, that frost footings will not be necessary for the garage slab. Very truly yours, La ryBrusseau LEB:nt LIM SUBJECT PER City of Fridley 18 5 8 7 AT THE TOP OF THE TWINS BUILDING PERMIT _ r � R EIPT NO. • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 t 1 i 1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 8 11— JOB ADDRESS SSQ { Q otp J �BLOCK 1 LEGAL LOT NO. TRACT OR ADDITION SEE ATTACHED DESCR. ' SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE l A 22. so q 4-c-3 17t, 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. s_ C� 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING r 7 CLASS bF WORK � NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 9 CHANGE OF USE FROM TO STIPULATIONS _j�-Z040- QW14 &JS -r r c � njL .4 LA 2 w. '?> py3fivna_,--r3 AzAj4 PA pr( -t- Sam 2 a oV % %I0 f>; 0 vLls SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. (L -IS 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 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATIONSURTAXAND ORDINANCES GOVERNING WITH WHETHER SPECIFIED HEREIN IOR NOT. THE GRANTING OF AS TYPE OF WORK WILL BE O PERMIT Z��ovrr\\ cj jp DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. `J PLAN CHECK FEE TOTALFEE —I I �cJ •�WHENPRO E A D T D THIS IS YOUR PERMIT SI ATUREOFCON RACTOR OR AUTHORIZED AGENT IDATQEI®IF 4A.6444 -� SIGN T OF OWNE I F OW E BUILDER) IDATEI DATE LIM NEW [ ] City of Fridley, Effective 4/1/86 ADDN. [ ] F R-1 AND R-2 ALTER. Building Permit Application Constretion Address: Legal Description: Owner Name & Address: 1.�`� Tel. # Contractor: el. # " � Address 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: /_LO�rs�f`?��`�Ld3�s��.� Corner Lot [ ] Inside Lot [x] Ft. Yd. Setback Side Yard Setback Type of Construction: d?°- --- Estimated Cost: $ Approx. Completion Date:^ Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: See Back Page for Explanation DATE: �� be Tel. # S7 )(APPLICANT: c ~� CITY USE ONLY Permit Fee $ ��C3 Fee Schedule on Reverse Side Plan Check $ �"'® 25$ of Building Permit Fee State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $475 per SAC Unit Park Fee $ Fee Determined by Engineering Sewer Main Charge $ _ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: SUBJECT P ' City of Fridley 20929 AT THE TOP OF THE TWINS BUILDING PERMIT r 1 , O COMMUNITY DEVELOPMENT DIV. 1 v PROTECTIVE INSPECTION SEC. J� ��9U r 1 � 1 { ) CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE Of APPROVED BY 612-571-3450 910-F15 7/9/91 JOB ADDRESS 5546 - 7th Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1,2,3 8 Hamilton's Addn, to Mechanicsville SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Larry Brusseau 5546 - 7th Street NE 574-9522 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Owner 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 ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct an 18t x 34� Above Ground Swimmin .Pool (Doughboy -Smoky Pointe Model 9 CHANGE OF USE FROM TO STIPULATIONS See stipulations on letter dated 7/9/91. See stipulations on plan, SEPARATE PEM47S' 177,.,1 'PED FOP, WARNING WIRING, HEATING, PLUMBING AND SIGNS. Before digging call for all utility locations 450002 REQUIRED BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED 11 r 000 $5,50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $126.00 Fire SC $11.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $142.50 i NATURE OF CO ACTOR ORAUTNORIZEOAGENT IDATEI WHEN PROPERLY V (DATED T IS IS YOUR PERMIT 1 (i BLDG INSP OAT SIGN EO OWNERIPF OWNER BUILDER) IDATEI NEW [ ] Effective 2,/1/91 ADM [ ] R-1 AND R-2 AMER [ ] Building Permit Application Construction Address: S V& — ?Tla Sr: /wF Legal Desscription: R A3 3o /�a y 31 Owit L /3 o TS / a 3 _ G1� � .MF��s9,�.ics✓i�.�•� Owner Name & Address: �Q y A81Wssl:Ial u — S�.y,� - Tel. # S 7y - 960?a Contractor: Ad o L S TO R rt Tei •# 7A ISW Address: 1 blO0 Minx &-r, ,QLAi v s. /1/1.v ,S�y3Y Attach to this application, a Certificate of Sway of the lot, with the proposed oowtruction drawn on it to scale. r aprIM ar r LIVn1G AREA: Length Width Height sq. Ft. GNOM AREA: length Width Height Sq. Ft. ME= AREA: length Width Hgt/Qm nnd sq. Ft. Corner Lot [ ] Inside Lot Type of Cmistruction: Approx. Completion Date: _ 7., i 41r [Xl Ft. Yd Setback Side Yard Setbacks Estimated Cost: $ Z /q Proposed Driveway Width If New Opening Is Desired: Ft. $ $ Width + 6' See Back Page DATE: -7 APPI�ICa' M: Tel. # S� 7q -'96-2 2. QTY DSE �Y Permit Fee Fire Surduarge $ / CO State Surcivrge $ L C" SAC Qzarge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ STIPUTATIMS: 01&�j L�- 1. Fee Schedule on Reverse Side .001 x Permit Valuation (1/10th $) $.50/$1,000 Valuation $650 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by gig jrAeerirxj Agreement Necessary [ ] Not Necessary [ ] C, i MGOAC,L. n c su 36 1= CIiYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 July 9, 1991 Mr. Larry Brusseau 5546 - 7th Street N.E. Fridley, MN 55421 Re: Swimming Pool Construction at 5546 - 7th Street N.E. Dear Mr. Brusseau: This letter is to make clear this department's requirements for the swimming pool construction at the above address. 1. As indicated, one (1) skimmer approved by the National Sanitation Foundation will be provided. 2. As indicated, one (1) inlet of approved design for fresh and/or repurified water will be provided. 3. The filter and pump shall be approved by the N.S.F. and be of sufficient capacity to provide a minimum turnover of at least two (2) times in 24 hours. This department recommends a turnover rate of 6 - 8 hours. 4. A deck of at least three (3) feet wide, measured from the pool waters edge, shall be provided which extends completely around all private residential pools. Above ground private residential pools may be provided with decking of a minimum size of 4 feet by 4 feet at pool entry points and provided that such decking has the approval of the City. 5. Fencing or other effective means including but not limited to walls or buildings, acceptable to the City, shall be provided to positively control all access to public and private residential swimming pools. Fencing shall meet the following criteria: a. The fencing shall prevent the entrance of children and be without hand or foot holds that would enable a person to climb over it. b. The fencing shall be at least 6 feet high and entrances shall be equipped with self-closing and self -latching gates capable of being locked. C. Self-closing and self -latching devices shall be placed at the top of the gate or otherwise inaccessible to small children. d. The opening between the bottom of the fence and the ground or other surface shall be not more than four inches. July 9, 1991 Mr. Larry Brusseau Re: Swimming Pool Construction Page 2 6. An automatic chlorinator should be provided with a suitable test kit. 7. All electrical and plumbing installations shall be inspected and approved by the City Inspection Department. S. All overhead electrical lines must be a minimum of 10 feet horizontally from the pool surface and 18 feet straight line distance from the waters edge. An alternative is to bury said lines. 9. The pool fill spout must be protected by a vacuum breaker or air -gapped. 10. suitable safety equipment to include but not limited to a ring buoy and rope that is 1 1/2 times the pool diameter, and shepherds crook pole must be provided and maintained with the pool at all times. Furthermore, these and any other requirements must meet the provisions of the Fridley City Code, Section 115, swimming pools. The building permit is approved contingent on final inspections and approval by the City. If any questions or problems arise from this letter, please feel free to contact me at 571-3450. Sincerely, DARREL G. CLARK Chief Building Official DGC/mh CITY OF FRIDLEY INSPECTION DIV. Effective On January 1, 1991 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES 0J� JOB ADDRESS SVd % RATE SCHEDULE The undersigned hereby makes application for a permit for the work Residential Rate TOTAL herein specified agreeing to do all work in strict accordance with the Furnace Shell and Duct Work, Burner - city codes and ruling of the Building Division, and hereby declares Also Replacement Furnace $ 20.00 $ that all the facts and representations stated in this application are true and correct. �% _ �� ,1991 Gas Piping (Needed with new furnace) $ 10.00 $ OWNER Gas Range $ 10.00 $ BUILDING USED AS Gas Dryer $ 10.00 $ ESTIMATED COST 3 Z So d d PERMIT NO.`c, *Air Conditioning - All Sizes $ 10.00 $ All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work $ Commercial/Industrial 1% of Value of Appliance or Work $ State Surcharge $ .50_ TOTAL FEE $ fes_ MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATIO REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE EF REINSPECTION FEE $30.00 DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. BTU HP EDR Fuel Total Connected Load Burner Trade Name Size No. BTU HP EDR TING COMPANY Approved By Rough -In Date Tel No. -7515(-7// 2 Final Date 1 '- Fj *Air Conditioners can not be placed in a side yard without ---- written permission from adjoining property owner. FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE 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 ( ) 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 TOTAL BTU's Remarks List Alterations Being Done: HEATING COMPANY Signed By Date CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55482 572-;3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR B6tth Wash Dtittk Flaora>;Oi� < Auto. Urinal Tula Shower Silh ! Tray ya'urit. Drain $aalfl Washer PLUMBING FIXTURE RATES; NO. RATE TOTAL New Fixtures $ 7.00 Old Opening, NawFixtute $ 4.00 Beer Dispenser $ 5.00 Blow ON 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 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance + C1111 -1 - State State Surcharge 50 TOTAL FEE g Effective On March 1, 1996 id Gas MiBc Water Heater Range Fiat, Gas Elec JOB ADDRESS S5 'ke Z� A)&. 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 apprication are true and eptreat, Owner i /2-- m a CrF- 0 Building Used As;pC/&y�g Estimated Cost PERMIT NO. PLUMBING COMPANY �11 >PI ,,,`, 4 Jc3/Q SIGNED B%v P� " TEL No. ��3�- fag 7 Approved By 14— Rough -In Date Final Date PLUS THE $ 5o STATE SURCHARGE "COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 80 INCHES. i Ir o A S ��I i CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 RATE SCHEDULE APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Residential Furnace Shell and Duct Work, Burner — Also Replacement Furnace (Side Vent — Fill Out Back) Gas Piping (Needed with new furnace) Gas Range Gas Dryer *Air Conditioning — All Sizes All Others/Repairs & Alterations (UST ON BACK) I% of Value of Appliance or Work Commercial/industrial 1.25% of Value of Appliance or Work Effective On August 1, 1995 r" Z $ State Surcharge .50 TOTAL FSE MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. No. of.Heating Units Circle One (Steam) (Hot Water) (Warm Alr) Trad"ame Size No. BTU HP EDR Fuel . Total Connected Load • r� BurnerTrade Name Size No. BTU ' ' HP EDR HEATING COMPANY ¢ ^ Signe 7By 0 ApproRcugh—In Date Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE ��(D �� JOB ADDRESS o A✓K- •; Tlie undersigned hereby makes application for a permit for the work herein Rate TOTAL 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 $ 30.00.. $ representations stated in this application are true and correct. ,199b $10.00- $ OWNER �� _ 57 y — y 5� Z Z $10.00 $ BUILDING USED AS $10.Ou $ ESTIMATED COSTPERMIT NO. Ob (R= $25.00. $� DESCRIPTIOIJ OF FURNACE AND ORB RU NER $ State Surcharge .50 TOTAL FSE MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. No. of.Heating Units Circle One (Steam) (Hot Water) (Warm Alr) Trad"ame Size No. BTU HP EDR Fuel . Total Connected Load • r� BurnerTrade Name Size No. BTU ' ' HP EDR HEATING COMPANY ¢ ^ Signe 7By 0 ApproRcugh—In Date Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE 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 O No ( ) 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 TOTAL BTU's 7. Has a liner been provided for water heater Yes () No ( ) 8. Has combustion air been provided for water heater Yes () No ( ) Remar I 1A List ALTERATIONS Being Done: n n 1 HEATING CO: Signed By: Date: OF SUBJECT PE City of Fridley 2 6 � 9 7 AT THE TOP OF THE TWINS r BUILDING PERMIT COMMUNITY DEVELOPMENT DIV. _ PROTECTIVE INSPECTION SEC. 7 NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEV 55432 612-571-3450 910415 6/29/98 JOB ADDRESS 5546 7th Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1,2,3 8 1 Hamilton's Addn to Mechanicsville SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Bruesseau 5546 7th Street NE 574-9522 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Advance Home Products 3770 West Broadway 521-9211 2332 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Tear off and reroof 42 S uares 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with State Building Code TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD 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 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 1 I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 D NOT. THE GRANTING OF A PERMIT WITH WHETHER SPECIFC%R $3,502.80 $1.75 DOES NOT PRE UME VRITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE R LOCAL LAW REGULATING CON- PROVISIONS O AtERMA4AF Fire SC $3.50 STR CTI O THCONSTRUCTION. $87.25 PLAN CHECK FEE T AL FEE Z Licens 5. 97.50 IGNA U E OF CONTRACTOR OR AUTHORIZED AGENT IDATEI E PRO B G INSP VALID r THIS IS YOUR PERM 'j -'t z SIGNATURE OF OWNERIIF OWNER BUILDERI IDATEI OF NEW [ ] Effective 1/1/97 ADDN [ J CITY OF FRIDLEY ALTER [ SINGLE FAMILY AND DUPLEXES R-1 AND R-2 3 7. BUILDING BUILDING PERMIT APPLICATION ConstructionAddress: Si yl-, 7fh Legal Description: Owner Name & Address: Lars -v Contractor: Address: �'7 i/) -- 5;5L Tel. # 57q- MN LICENSE Tel. #��-� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type: yp �,�� - 7.-6 - ' gid, Estimated Cost: 2 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Tt N $ i2 = $ DATE: 6 -- & - fAPPLICANT: �� s1.� Tel. # CITY USE ONLY Permit Fee $ �1�� 2� Fee Schedule on Reverse Side Fire Surcharge $ 3 .001 of Permit Valuation (1/10th%) State Surcharge $ 7 $.50/$1,000 Valuation SAC Charge $ $950 per SAC Unit License Surcharge $ e $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ % STIPULATIONS: IN SUBJECT P City of Fridley 30792 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. _ __ PROTECTIVE INSPECTION SEC 1 ; � NUMBERREV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 4/5/00 10B ADDRESS 5546 7 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1,2,3 8 Hamilton's Addn to Mechanicsville SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Larry/Jean Brusseau 5546 7 Street NE 574-9522 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Advance Home Products Inc 3770 West Broadway, Robbinsdale, MN 55422 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 521-9211 2332 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION] REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Replace bay window 9 CHANGEOFUSEFROM TO STIPULATIONS Provide smoke detectors in all sleeping rooms and on all levels of the dwelling per Section 310.9.1.2 of the 1997 Uniform Building Code. SEPARATE PERMITS ARE REOUIREO 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 I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS 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 @ $2.85 WITH WHETHER SPECIFIED H EIN OR NOT. THE GRANTING OF A PERMIT $5,700 DOES NOT PRES ME TO IV AUTHORIT TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF NY OT ER TATE O LAW REGULATING CON - Fire SC $5.70 OR E PER R NCE O NST UCTION $125.25 PLAN CHECK FEE TOTAL FEE Licens SC $5.00 $138.80 SIGN URE OF CON-RA'CTOA OR AUTHORIZED AGENT IDATEI H PROPERLY VALIDATED THIS IS YOUR PERMIT S,GNATURE OF OWNEROF OWNER BWLDERI IDATEIG INSP OATt IN NEW [ ] Effective 1/1/2000 ADDN [ ] CITY OF FRIDLEY 612-572-3604 Bldg Insp ALTER( SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION nG� Construction Address: J�J Y� �' 7 AIE \ q Legal Description: Owner Name & Address: Lapty Tel. #��7 1.5-d Contractor.Cf K ,( e_ A,MN LICENSE # Address: c <« e' Tel. # 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: Construction Type: A g v 6L/ii Estimated Cost: $ 5-7069. tit) Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ —=$ DATE: Y -57 -, Wag APPLICANT: �v,,�i�w.e_ Tel. # CITY USE ONLY - Call (612) 572-3604 for Permit Fees if mailing in application Permit Fee $ l� �� Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $.50/$1,000 Valuation SAC Charge $ $1100 per SAC Unit License Surcharge $ G? $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ / o-) STIPULATIONS: CITY OF FRIDLEY PERM NO.: 2004-00563 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 04/22/2004 572-36U4 YAX: 176315714L&l ADDRESS 5546 7TH ST NE PIN 233024310091 LEGAL DESC UNAVAILABLE LOT BLOCK PERMIT TYPE BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOW/DOOR REPL VALUATION : $ 1,500.00 NOTE: PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER R317 OF THE 2000 INTERNATIONAL RESIDENTIAL CODE. CAULK AND FLASH ALL EXTERIOR OPENINGS.. INSTALL ONE EGRESS WINDOW IN BASEMENT. APPLICANT PUBLIC HEALTH SOLUTIONS 736 PIERCE ST NE MINNEAPOLIS, MN 55413- (612)331-8998 OWNER BRUSSEAU LARRY E & JEAN A 5546 7TH ST NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of worl will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating c,ttrgctigtt o,ythe p�fformance of construgtion, Bldg Insp a� Dat 3 6 4 BUILDING PERMIT FEE 54.00 FIRE SURCHARGE 1.50 STATE SURCHARGE, VALUE 0.75 TOTAL 56.25 PAID WITH CHECK # 2141 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. E t+ -), as,7 NEW [ ] CITY OF FRIDLEY Effective 4/1/2004 ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: � ` (0 Legal Description: C G:�Li � l S Owner Name & Address:_ Tel. # 76 7K '7 Y 42 Contractor. ?)-,2-,l Lr— - HE -A d'14 S DSI D Ny-, -S MN LICENSE # Address: Tel. #Z� ��/2 �sl6-G�7 7 Attach to this app cation, 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/Grnou'nd Sq. Ft. OTHER: Construction Type: "F�) A/r741\-J,,,� Estimated Cost: $ l Driveway Curb Cut Width Needed: Ft. + 6 Fit = Ft xee$ _ $ DATE: � v APPLICANT: X54( - -11- ` LA& Tel. #moi/ 6 —&L7 7 Call (763) 572-3604 for Permit Fees if mailing In application. Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY - Fee Schedule on Reverse Side $ 65% of Permit Fee $ /eSC .001 of Permit Valuation (1/10th%) $ o %� $.50/$1,000 Valuation $ $1350 per SAC Unit $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] $ S - �T STIPULATIONS: Emil =a- d CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 57"L-3bU4 VAN: ( 763) ADDRESS : 5546 7TH ST NE PIN : 233024310091 LEGAL DESC : UNAVAILABLE : LOT 0 BLOCK 0 PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOW/DOOR REPL PERMIT O.: 2004-00702 DATE ISS : 5/13/2004 VALUATION : $ 4,000.00 NOTE: PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER R317 OF THE 2000 INTERNATIONAL RESIDENTIAL CODE. CAULK AND FLASH ALL EXTERIOR OPENINGS. REPLACE SIX WINDOWS WITHIN EXISTING OPENINGS. STATE LICENSED CONTRACTOR 1 APPLICANT CUSTOM REMODELERS INC (1748) 474 APOLLO DR LINO LAKES, MN 55014 CIART1 *'11 SHELLY SANDRACK 5546 7TH ST NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of worl will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. ADDliCa1%, n Date BUILDING PERMIT FEE 97.25 FIRE SURCHARGE 4.00 STATE SURCHARGE, VALUE 2.00 LICENSE SURCHARGE 5.00 TOTAL 108.25 PAID WITH CHECK # 45616 SEPARATE PERMITS REOUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. qf NEW [ ] CITY OF FRIDLEY Effective 4/1/2004 .ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION ��7cll� Construction Address: 01 `4b— J Legal Description: caner Name & Address: Tel. # % 6 ntractor. MN LICENSE # % t Address: Tel. # (0 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: Construction Type: CWgA&Am4iAkK- estimated Cost: $ !J 1900 DD Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ 4 DATE: ��® APPLICANT: Tel. #615-7g�''(�3 Call (763) 5723604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL CITY USE ONLY - $ q1 . A� A Fee Schedule on Reverse Side $ 65% of Permit Fee $--- 4, 00 .001 of Permit Valuation (1/10th%) $-00 $.50/$1,000 Valuation $ $1350 per SAC Unit $ $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ] Not Necessary [ ] STIPULATIONS: D j Building PLUMBING Permit Noalb � Inspections RESIDENTIAL APPLICATION ReJZ 7 ton 763-572-3604 CITY OF FRIDLEY Date Rec'd: - 763-502-4977 FAX EFFECTIVE 1-1-08 DATE U YOUR E-MAIL ADDRESS , �^ SITE AD ESS — < G THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY NAME: ADDRESS: CITY STATE ZIP OWNER/ TENANT PHONE: CONTRACTOR NAME: STATE LICENSE # .3 EXP DATE / SUBMIT A COPY OF YOUR STATE LICENSE, BOND AND STATE BOND # �7 EXP DATE J CERTIFICATE OF ADDRESS:/ p?1 _CITY STATE ZIP_LQ!�Tl INSURANCE PHONE/ 3 FAX PERMIT TYPE INGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW REPLACEMENT / DETAILED DESCRIPTION OF WORK PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x .05 = plus .50 surcharge .0 FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10000 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $15.50. _ BATH SINK/LAV _FLOOR DRAINS _ SHOWER _ WATER PIPING GAS PIPING (NEED CITY LIC) SWIMMING POOL _ WATER SOFTNER ($35) —BATHTUB _ _ CLOTHES WASHER KITCHEN SINK WATER CLOSET _ BACKFLOW PREY. ($15) _ _ _ DISHWASHER LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION _ WATER METER OTHER Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ OR Number of fixtures @ $35.00 x $35.00 = $ TOTAL DUE $ State Surcharge = $ .50 MINIMUM $15.50 (MINIMUM $15.50) Total = $ THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a plumbing 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 on site; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. /�� SIGNAT REO ICANT PRINT NAME_,Q 4!: ' I� DATE 117 APPROVED BY DATE LT lru Did, NI .E� City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building PLUMBING Permit No.: Inspections RESIDENTIAL APPLICATION Received By -164, 763-572-3604 CITY OF FRIDLEY Date Recd: 763-502-4977 FAX EFFECTIVE 1-1-08 DATE YOUR E-MAIL ADDRESS THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY NAME: ADDRESS: CITY STATE ZIP OWNER/ TENANT PHONE:' CONTRACTOR NAME: STATE LICENSE #Q a EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE, BOND AND STATE BOND # EXP DATE _ ZIP r CERTIFICATE OF ADDRESS: Q CITY24.LSTA INSURANCE . PHONE 7,,,3�%- �� di� FAX PERMIT TYPE SINGLE FAMILY ❑ TWO FAMILY O TOWNHOUSE OF WORK: O NEW /q REPLACEMENT TYPE / DETAILED DESCRIPTION OF WORK G PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x .05 = plus .50 surcharge OR FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $15.50. BATH SINK/LAV FLOOR DRAINS _ SHOWER _ WATER PIPING — BATHTUB _ GAS PIPING (NEED CITY LTC) _ SWIMMING POOL _ WATER SOFTNER ($35) WATER CLOSET BACKFLOW PREV. ($15) _CLOTHES WASHER _ KITCHEN SINK _ DISHWASHER LAUNDRY TRAY WATER HEATER ($35) FOR IRRIGATION WATER METER —OTHER Permit Fee $ e Number of fixtures @ $10.00 x $10.00 =$ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ OR Number of fixtures @ $35.00 _1 x $35.00 = TOTAL DUE $ State Surcharge = $ 0 (MINIMUM $15.50) (MINIMUM $15.50) Total = $ THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a plumbing 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 on site; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. �tr� SIGNATURE OF APPLICa PRINT NAME /--A Z_ G DATE APPROVED BY XJ .xs,. MEN' NMI City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building Inspections 763-572-3604 MECHANICAL RESIDENTIAL APPLICATION CITY OF FRIDL.EY Permit No. Received By: DATE v ` SITE ADDRESS y_-- 0 THIS APPLICANT IS: 0 OWNER CO CTOR PROPERTY NAS: OWNER/ ADDRESS:�� °� pGI l�i✓a Sq�� 4�'- TENANT PHONE: CONTRACTOR COMPANY NAME; _STANDAR CONTACT PERSC ;� ; 1 410 WE T SUBMIT A COPY OF $ MN 55408 YOUR STATE STATE LICENSE 0 2. 24 -STATE ZIP LICENSE WITH ADDS: APPLICATION PHONE FAX PERNH T TYPE SINGLE FAMILY 0 TWO FAMILY D TOWNHOUSE 0 NEW LACEMENT ❑ ALTERATION11"ODEL TYPE OF WORK: DETAILED DESCRIPTION OF WORK Nle4i PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost ap to $500.00,whichever is greater, for tt►e improvement, installation or replacement of a residential fixture, excluding .tile fi�es...(Iiiis should. Only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $S00 = cost of labor X .OS FOR PROJECTS WHERE LABOR EXCEEDS $5 , FEES ARE R . ON •$10.00 PER FIXTURE,.EXCEPT WHERE NOTED. � � TAL NUMBER OF EACH BELOW) MODEL 3 S y-- • SIZF/BTu 16& ' EquipmentInstalled MFG. . SIZVBTU' MFG: MODEL ffitu- MFG: MODEL: SIE10VE A/C 525.00 FIREPLACE (GAS) $15.00 GAS RANGB�VEN SI0.00 AIR TO AIR EXCHANGEER $15 FIRMILACE (WOOD) $35.00 NEW GAS GRILL $10.00 FURNACE $35.00 GAS UNIT HTR $10.00 BCHINIIIEYSLII�IER $10.00 4GAS DRYER 510.00 POOL HEATER $35.00 HAMM DUCT WORK. $10.00 GAS PIPING $10.00 yF.NTII.ATOR $15.00 Permit Fee $ Number of fixtures @ $10.00 x 51U.UU = Surcharge ,50 Number of fix @ $15.00 x 515.00•= $ TOTAL DUE $ Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 —Tx $35.00 = $ State Surcharge = $—L—IS Total = $� THIS IS AN APPLICATION FOR APERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I aclmowledge that the information above is complete and accurate; that the work will be u conformance with the ordinances and codes of the City of Fridley and with the Nnuesota Construction Codes; that I understand this i not a permit but only an 'cidon fora d work is not to start without a permit; that the work will be in accordance with the approved plan in the of whi review and approval of SIGNATURE OF AP �1'Yl ATE City of Fridley Building Inspections Department 64.31 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXISTING°HQW10- ::,>:. 1. Combustion Air (See note belo;Wy- ` : �`� ' :'•`' a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propane/TGC 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 TMC Chapter 8_ with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new construction BIC 1346.0312 5. Ventilation a. Per MN Energy Code 7670 or 7672 6. Duct Design Pef1MC 1346.0603:2 a. ACCAMamnl D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustioni and make up air calculations