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PRE 2010 DOCS11 0 Date: Nov. 13, 1968 Owner: Gary F 1 or Address City of Fridley, Minn. BUILDING PERMIT Builder Smith & Anderson Inc. Address 912 40th Ave. N. E. LOCATION OF BUILDING No. 5771_ Street ._ 7th S t . N. E. --- Fart of Lot Lot 9 & 10 __ Block 2 — Addition or Sub -Division . ®d.amo, �St eet Addn _ Corner Lot --- Inside Lot __._ x Setback 3�� _ Sideyard — 10' r61 Sewer Elevation 850.34 853 4 Top of Footing DESCRIPTION OF BUILDING -41 wvr/ N° 10018 To be Used as: Dwelling Front 44' Depth 24' Height 2.Q' Sq. Ft. 105 6 cu. F't.27 _1 _0 Garai Front 20' Depth 22' Height 10' Sq. Ft. 440 Cu. Ft. 4400 Type of Construction _ _ Frame. Est. Cost—._a$16 , - 00 — _ _ To be Completed Sewer Location - 238' North of Manhole Water Location - 250' North of Manhole 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 71orth and in compliance with a'll provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $-j3 - 00 , permit is hereby granted to Smith & Anderson Inc. to construct the building or addition as described above. This permit is granted upon the express condition that thele 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 within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. e Belisle NOTICE: This permit does not cover the construction, installation for whing, plumbing, gas heating, sewer or water. Be sun to see the Building Inspector for separate permits for these items. APPLICATION FOR BUILDING PERMIT CITY -OF FRIDLEY, MINNESOTA OWNER 7S NAME Zi �,i BUILDERSty, . ` .� l�s��� �o i� c ADDRESS ADDRESS yD LOCATION OF BUILDING NO. �' STREET LOT—??,/ le BLOCK ,2 ADDITION OR SUBDIVISION CORl�'ER LOT INSIDE LOT,S SETBACK .7S SIDEYARD SEWER ELEVATION TOP OF TOOTING Applicant attach to this form Typo Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: /,/- ,r. Front Depth Height 0 Square feet / 6 Cubic Feet FrontL� Depth___2 2 Height % Square feet ' 4 Cubic Feet t/' Type of Construction To Be Completed Estimated Cost The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with. the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE SIGNATURE j— c. c (Schedule of Fee Costs can be found on the Reverse Side.) Application for Power Plants and Heating. Cooling, Ventilation, Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ........................... $10.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 .................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ MECK. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $ Each add. 200 sq. ft. EDR Steam ..................... 3.00 $ 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 199,000 BTU) 5.00 $ over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x$ 2.00 $ 'A Additional Fixtures ................. x .75 $ Gas Range to 199,000 ........... x$ 5.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL See Fee Schedule TOTAL FEE Dept. of Bldgs. Phone IM City of Fridley: and The undersigned hereby makes application for a permit for the work hereir. specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn- Owner Kind of Building Used as To be completed about Estimated Cost, Old -6e. Building Permit No. Permit No. DESCRIPTION OF WORK HEATING or POWER NTS—,Steam, Hot Water,arm Air No Trade Name �� � � Size No - Capacity Capacity Sq. Ft. E.D.R BTU H.P. Total Connected Load®/ Kind of Fuel BURNER — Trade Nam Size No- Capacity. o Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS—OVER) S'%ehY N. WELTER HEATING CO. 4637 CHICAGO AVIt. By C4jjDb42 Business Phone No d r °F[EAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS Weatherstrips A.S.H.V.E. Construction No. Insulation Guide Windows I Doors Reference Out. Wall JInt.WalI I Ceiling I Roof I Floor Kind How Applied s—No. e No 19._'12 C % _ " 4 i ii I? F1.1 Room I Length i r" Width = Height c} 1 Fl.1 - R, -sr :1 Length Width Heig . Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of Dane lights of crack sq. ft. 00;1l !� -� Vic Coef. Btu Infiltration t - Glass i •l C r_� </ Fsp. wall Net exp. wall Ceiling Floor 6 U Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI.I Room I Length _ Width ( Height l G Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef.1 Btu Infiltration /U 1e 1 3 e G. Exp. wall a _A- ,&- 9 IT--�Li Net exp. wall " - ,� I�,/" Int. wall Ceiling X jr Floor / 1 7 A Mal Ulu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FLS Room I Leneth Width Height -6- `— Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft Width Height NoOf No. of pane of pane Ilghte Lineal ft. Area of crack Coef. Btu Infiltration Coef. to Infiltration Coef.1 Btu Infiltration v er Glass c SZ Exp, wall Zx -7 / - 00 Net exp. wall Int. wall 2 /c-, Ceiling L7 Floor K, — Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area a.m. a, It Windows and oors—Crackage and Area -2 Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft Width Height No. of I Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Coef. to Infiltration Glass Exp. wall 5- v er I y c Coef. Btu Infiltration / - 00 C' 2 ec, Glass ! — a d Exp. wall 7.40 Int. wall Net exp. wall Ceiling i, U Inc. wall Floor• Ceiling I- C O Q O Floor - C 1 U 1 00 Total Btu. 7 ` Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / Fl.l Room I Length / ::? Viddl 2 — Windows and Doors—Crackage and Area -2 Width Height No. of Lineal ft. Area N of pane of pane Ilghte of crack sq. ft. Width Height No. of I Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Coef. to Infiltration Glass Exp. wall 5- 5V 3 U Glass '�j �' / - 00 Exp. wall 2 ec, Net exp. wall Ll 7.40 Int. wall Ceiling i, Floor• Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.I Pd _/" Room I Lenath / 2 — Width — He ht Windows and Doors—Crackage and Area -2 Width Height No. of Lineal ft. Area N of pane of pane Ilghte of crack sq. ft. Coef. Btu Infiltration 5 (� 3 Glass Exp. wall 7 , 'X 5V Net exp. wall Int. wall Ceiling :r -Y Floor 1 f E Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area City of Fridley Application for Plumbing and Cvm Ming Permit Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL_ Number Fixtures ....... .............. x $2.00 $ zE"'� Future Fixture Opening ................ x $1.50 $ New Fixture Old Opening .............. 8CU�' Catch Basin ...... ..................... O 5 J z Ute' z � P � N WATER HTR. GAS EL EC. �. ® 1st 3 Fixtures .......................... x $2.00 $d Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ °1�0 Base 1 1st 2nd 3rd _ 4th • Future Connection Openings Connected with e New Fixture, Old Openings I setae: ❑ Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL_ Number Fixtures ....... .............. x $2.00 $ zE"'� Future Fixture Opening ................ x $1.50 $ New Fixture Old Opening .............. x $1.50 $ Catch Basin ...... ..................... x $3.25 $ Water Heater (Up to 99,000 BTU) ...... x $3.00 $ New Ground Run Old Bldg . ............ x $3.25 $ Electric Water Heater x $2,00 $ GAS FITTING FEES: NO. RATE TOTAL �. ® 1st 3 Fixtures .......................... x $2.00 $d Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................ TOTAL FEE $ ,,�? -3. City of Fridley: The undersigned hereby makes application for a permit for the work herei 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, Minn ' 19 Owner Kind of Building Used as To be completed about Estimated Cost, $ Old Ne . uilding Permit No Al a ® / Permit No. 44011 Signed 4` By Business Phone No ROUGH FINAL SUBJECT City of Fridley 21536 AT THE TOP OF THE TWINS BUILDING PERMIT i • ECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r NUMBER REVDATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910415 9/9/92 JOB ADDRESS 5771 - 7th Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9,10 2 Adams Street Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gary Flor 5771 - 7th Street NE 571-7819 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Leslie Tranby & Son Roofing & Siding 6917 Valley Place Crystal NN 55427 533-3330 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 2579 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House (22 Squares) 2nd Layer 9 CHANGEOFUSEFROM TO STIPULATIONS Roofing can be 2nd layer but not 3rd, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 $1,166 $.58 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- $29.00 Fire SC $1.17 S UCTION OR THE PERFO MANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE y� .9 License SC $5.00 $35.75 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT 10 EI PR RLY V �.ID ED THIS IS YOUR PERMIT EgEN G INSP f1ATE SIGNATURE OF OWNEROF OWNER BUILDERI IDATEI NEW [ ] Effective 3/1/92 ADDN [ ] CITY OF FRIDLEY - ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �� i Building Permit Application Construction Address: 7 7/ - 7 ori S N Legal Description: Lois e lo, ,&Ltz A6" -s � . ®A . Owner Name & Address: Tel. # 5-7/ - 7 e/ 2 Contractor: L c s,- t-: 7-A,,9- r✓,? y -i S ani fi'�v v F//v6 S1 oitie, MN LICENSE # ,2 S 7 S Address: 6,F 2 (1A `c y 19,eA cE 6nY 1719 z. e2? 1v 55`5'a Tel. # 5 33 —3.?30 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: _� ,� ,� y a s Q Corner Lot [ ] Inside Lot (] Ft. Yd Setback Side Yard Setbacks Type of Construction: 1?F �. � A/ v54 t Estimated Cost: $ Approx. Completion Date: Driveway Curb Cut Width Needed: Ft. + 6 Ft = (Cost on Back) Ft x $ = $ DATE: 9,1919—, APPLICANT: Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow $ Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: 5.00 CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $700 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ J Not Necessary ( ] -14 suejEcr P T NO.3002 City of Fridley 4 AT THE TOP OF THE TWINS BUILDING PERMIT _RTEIPT NO. � • _ ___ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. E , CITY HALL FRIDLEY 55432 NUMBER REV GATE PAGE Of APPROVED BY 612-571-3450 910415 8/9/99 JOB ADDRESS 5771 7th Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 9, 10 2 Adams Street Addn. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 571-7819 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Norling Exteriors Inc. 341 79th Way Fridley W 55432 784-8936 20098700 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 -yff REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Replace storm damaged facia 9 CHANGE OF USE FROM TO STIPULATIONS 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 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $600 $.50 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- STRUCTION OR THE PERFORMANCE OF CON TRUCTION 26.55 Fire SC .60 PLAN CHECK E TOTA FE4E SIGNATURE Of CONTRACTOR OR AUTHORIZE AGENT iDATE, HE PMPVATT LIDANIS;'/,YOUR PERM T 4 S-GNATURE O. OWNER.IF OWNER BUiLOERI 4DATE, SL iNSo Z rJA1E � h NEW [ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY V� ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (? BUILDING PERMIT APPLICATION ra� Construction. Address: 7 %/ % S 7 - Legal Legal Description: Owner Name & Address: . G Tel. # 57/ 7Y/!2 Contractor: /(1a,. /4✓T�rQ Sr- _ MN LICENSE # 2-CO!?g:7-� Address: 2 q ':Ow le Tel. # Attach to thi 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:9-�em,:6,,,2 .d Estimated Cost: $ 4,00"90 dy ,T � Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE:�— APPLICANT: ; Tel. # 7Wel W3 C10 Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control CITY USE ONLY $ � 6- S Fee Schedule on Reverse Side $ %O .001 of Permit Valuation (1/10th%) $ S_0 $.50/$1,000 Valuation $ $1050 per SAC Unit $ 00 $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review Park Fee $ Sewer Main Charge TOTAL STIPULATIONS: Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] NEW () CITY OF FRIDLEY Effective 1/1/2o02 AALDDN I l 6431 University Ave NE, Fridley, MN 55432 (763) 5724604 Bldg Insp I l SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION X Construction Address: S 7 %/ �'"�= �' �• N Legal Description: x Owner Name & Address: ���'� Tel.# Contractor. MN LICENSE # Address: 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: ,�� I� �., Estimated Cost: $ )(Driveway Curb Cut Width Needed: 3© Ft + 6 Ft = Ft x $ X DATE: APPLICANT: Tel. # Call (763) 572-3604 for Permit Fees if mailing in application or Fax to 763-571-1287 if using credit card and we will call you for card number. Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge CITY USE ONLY - Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1200 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[ ] TOTAL $ STIPULATIONS: N GARY M. FLOR oe-es 9429 MARY A. FLOR DL F-460-271-803-840 F-460-587-067-891 17-2/910 704 / 5771 - 7TH ST., NE. PH 763-571-7819 4/ DATE FRIDLEY,/MIN�'j5543322 /'� Q; fr FAY TO THE / . J7 a � 2 J 1, 4 �' I `1��j ✓ i � ORDER OF O.1.n. en IMbank. INeekwni KS FOR_---��-- 409 L0000 2 21: 03 L0054495 Lu' 94 29 e 01 CRty of Fridley I dley CUSTOMER RECEIPT 'Per; KIRKH{ Type: OC Drawer: 1 Date: 6/28/02 00 Receipt no: 3691 p Qt Amount 66 riptU�IC WORKS CDN ly x-00 G/L account number: 10100003410800 GARY N. FLOR: APRON ADDITION TO CURB CUT AT 5771 -7TH ST NE Tender detail 9429 .� CK CHECK Total tendered M.00.00 Total payment Trans date: 6/28/02 Time: 9:59:56 W 1 CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 1631572-3604 FAX: (763) 571-1287 ADDRESS : 5771 7TH ST NE PIN : 233024130014 LEGAL DESC : UNAVAILABLE : LOT BLOCK PERMIT TYPE : HEATING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION PERMITO.: 2004-00727 DATE ISSUED: 05/19/2004 VALUATION : $ 166.00 NOTE: AIR CONDITIONERS CAN NOT BE PLACED IN A SIDE YARD WITHOUT WRITTEN PERMISSION FROM ADJOINING PROPERTY OWNER. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. INSTALL RANGE WITH APPROVED FLEX LINE AND SHUT- OFF VALVE. # A/C UNITS 0 # FURNACES # GAS DRYERS APPLICANT CENTERPOINT ENERGY/MINNEGASCO 13562 CENTRAL AVE NE ANOKA, MN 55304 - OWNER FLOR GARY M & MARY A 5771 7TH ST NE FRIDLEY, MN 55432 0 # GAS RANGES 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. Applic Date Bldg Date, FURNACE SHELL/DUCT WORK GAS DRYER FEE AIR CONDITIONING FEE STATE SURCHARGE, MECH FLAT GAS RANGE FEE HEATING PERMIT MINIMUM FEE TOTAL PAID WITH CHECK # 1009041 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. 0 1 0.00 0.00 0.00 0.50 0.00 15.00 15.50 CITY OF FRIDLEY BUILDING INSPECTION 6431 University Ave NE Fridley, MN 55432 763-572-3604 FAX 763-571-1287 RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner & also Replacement Furnace Gas Piping (New Furnace, Fireplace, Insert) Gas Range Gas Dryer * 11 IAir Conditioning - All Sizes All Other Repairs or Alterations (List on Back) 1% of Value of Appliance or Work Minimum Fee $15.00 for Residential or 5% of cost of Improvement whichever is greater Commercial/Industrial/Institutional 1.25% of Value of Appliance or Work (List on Back) Minimum Fee $35.00 for Commercial/IndustriaVinstitutional State Surcharge TOTAL FEE REINSPECTION FEE $50.00/HOUR 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. $ 15'9J ` *Air Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to City FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE HEATING CO Sign Tel # ".7" '7 7 FAX# 7 Date0`� Approved by Rough -in Date Final Date Effective 4/1/2004 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES 5/ 71 5% JOB ADDRESS Fee Total Owner $35.00 $ Building Used As how $10.00 $ ESTIMATED COSTPERMITNO $10.00 $ DESCRIPTION OF FURNACE AND BURNER $10.00 $ # of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. $25.00 $ BTU HP EDR Fuel Total Connected Load $J5 Burner Trade Name Size No. BTU HP EDR Commercial/Industrial/Institutional 1.25% of Value of Appliance or Work (List on Back) Minimum Fee $35.00 for Commercial/IndustriaVinstitutional State Surcharge TOTAL FEE REINSPECTION FEE $50.00/HOUR 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. $ 15'9J ` *Air Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to City FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE HEATING CO Sign Tel # ".7" '7 7 FAX# 7 Date0`� Approved by Rough -in Date Final Date FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furnace, 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 : Buildinr, 'g -PL D G Permit bio.: Inspe11tions SIDE T F L/kL ARPLICATION Received Bv: 763 -57? -3604 763-502-4197/7 F. ��IOF =L.Y I D WAU aFFEC=, 1-1-05 DATE '�, 2 o y YQURE-MAIL ADDRESS rr SITE ADDRESS THIS APPLICANT IS: ❑ OWNER$CONTRACTOR I PROPERTY NAME: elk, I PlAwn, r1i W OWN Y ADDRESS: 61111 -:V g}- �11;�- CITY n STATEMZIP�� TENANT -31% PHONE: 10 ' 5 11- q CONTRACTOR NAME: i4q Awmli CG, SUBMIT A COPY OF YOUR STATE STATE LICENSE E,YP DATE LICENSE, BOND AND STATE BOND # E.YP DATE CERTIFICATE OF ADDRESS: n4V`Wy1�I CITY i�l/1�� STATE zrF.S,S'AjZ INSURANCE. / PHONE �1i�i'�S"1�ZI FAX -'b-J ' 7JY'�ei�� PERIYIiTI+ .SPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: 13 NEW /REPLACEMENT DETAILED DESCRIPTION OF WORK SYt�'�Q� jun �f y'e� SIC filo � *� 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 SO surcharge OR FOR PROJECTS WHERE LABOREXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEES 1550. _BATH SINKILAV FLOORDRAINS _SHOWER WATERPIPING —BATHTUB _ GAS PIPING (NEED QTY LIC) SWnWMING POOL _ WATERSOFTNER (535) _ CLOTHES WASHER KITCHEN SINK WATER CLOSET PREV. ($15) _ _ _BACKFLOW _ DISHWASHER _ LAUNDRY TRAY aWATER HEATER ($35) FOR IRRIGATION WATER METER OTHER .. '' •. �..- f _ :.1Yi:�,�',-�"•'U��n11�:W]Sr *tl��4'.�'�.. .@'k7.\`dWl Permit Fee $ Number of fixtures @ S10.00 x $10.00 = S Surcharse .50 Number of f xtures @ $15.00 x $15.00 = $ OR Number of fixtures @ $35.00 l x $35.00 = S� TOTAL DUE S State Surcharge = $ .50 (MINIMUM S15.50) (MINIMUM 515.50) Total = S THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED 1 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 ofthe 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 i i with the approved pian in the case of all work which requires review and approval of plans. SIGNATIIRE PLANT IGIOL� ✓'v�L�t� °P.iNT 'JANE.. �lI I �L '`e!J% DATE h� 0 I, .'.PPROVLD 131` �■[1[o b—To IIrd01 }r?;s..I? 'I�?Ei1�itIT,S,RE'Rfrt7UIRiD FOR 3.l�TL;�1NtJ:..iL: fR1C:1L. ai�iD lEirii;lC.'�L.;vi�Rl —i it !)it 74 " 4dle-r aBiBcin:I!Z _nsue,_rOl,<s 1enar-menr ,�•� i : niversil:�..,,venue . •IE. ridle•. `:i il : � -_ -_U -. From: unknown Page: 2/4 Date: 8/12/2009 9:22:13 AM Building 44JBUILDING PerrnitNa.• 2'0 Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY DalMd. 763-502-4977 FAX EFFECTIVE I -I-09 IMA nF SITE ADDRESS THIS APPLICANT IS: PROPERTY OVi TENANT SUBMIT A COPY OF YOUR STATE LICENSE AND CERTIFICATE OF INSURANCE E-MAIL ADDRESS 0 OWNER STATE El SINGLE FAMILY/NEW CONSTRUCTION O TWO FAMILY/NEW CONSTRUCTION PERMIT TYPE u Auvi i «.,I. la BASEMENT FINISH �F O DECK 0 SIDING TYPE -OFWORK- El NEW HOME CONSTRUCTION 0 MAINTENANCEIREPAIR p DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LQUIZING NU F SQUARES n -(o �7zo I PROPOSED SIZE: PROPOSED HEIGHT: O HOUSE ONLY 0 HOUSE & GARAGE 0 ATTACHED CARO 13 DETACHED GA O DRAIN TILE O OTHER neeFaAFIV'i' REMODELING SUBMIT: 1, Existing Floor Plan 2. Proposed flow plan 3. List of saueamat members to be used FOR NEW CONSTRUCTION INCLUDING DECKS, w..... nnwc Pr3RGHIS I 0 Vinyl CI Aluminum QSoffit 1. Site Plan/Survey showing the existing strucwres O Trim and proposed project O Fascia 2. Two seta of construction plans ❑ Other 3, EnerllJ' Calculations NMDOW IN EXISTING OPENINGS 0Yes IDNo LOCATION OF OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & w nuncD AF UITW nWS TYPE OF WINDOW TU HG rns r A��cu .._..---•- ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR • S NG THE 1997 U.B.0 FEE SCHEDULE) OCCUPANCY TYPE . TOTAL JOB VALUATIONS $ � Permit Fee See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ C7'ac) $5.00 (State Licensed Residential Contractors) 0 per SAC Unit (Plans to MWCC for determination) SAC Charge $ $200 Curb Cut Escrow $ R+6ft= ftx$21 $450 Conservation Pian Review Erosion Control $ Park Fee $ Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) ' Sewer Main Charge $ nawahip tn: City of Fridley Attaii 11 LPLYe vwa - --- THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in erstand s is not a conformance with the ordinances and codes and work is noof t start Without a peand with the innesota rmi on site; thattion the work wthat labe indaccordancet with the permit but only an application fora permit approval of plans. �� Q approved Alan in the case of all h requires review and app / PRINTNAME Troy �y�h DATE SIGNATURE OF APPLICANT _ - _ , _ ..,,—..,.trf%AT UunOW From: unknown Page: 4/6 Date: 9/4/200911:00:07 AM Building MMC CAL PerrnitNo.; a0N-0 Inspections RESIDENTIAL NTIAL APPLICATION Received By. 763-572-3604 CITY OF FRIDLEY Dat • q7-rt09 763-5024977 FAX EnrEcnvEz_19-09 DATE, ) LYOUR E-MAILADDRESS SITE ADI?RFI3S 7 THIS APPLICANT IS: a OWNER CONTRACTOR R PROPII,,'RTY NAME: 1TElYW AAM ADDRESS: r7-21Z''�' C17Y S'1'A'i LIP SUBMIT A COPY OF CONTACT PERSON: AA7eIr YOUR SPATE STA I E LICENSE 0 EXP DATE O T APPLICATION A�eCrry STXIL�zIP 37 PHONE FAX FAX �I+Z — O �Q PiEMr TYPE JV SINGLE FAMILY O TWO FAMILY 0 TOWNHOUSE TYPII', aF WORX. O NEW REPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK fi�1 ,Cp_ A t.0. d/G, Al &L, Gt f -l! �M t r FEES AUX BA= ON $10.00 PER FDLT & CEPT WIIERE NOTED. FVCMtES: KATE � NUMBER OF EACQ Equilm MIRSWIC4 MFCi: -nom �► - MODEL: ��J � SMATU W- MFG: ' , MODEL; x�7 SW..MTU fQ2-- - A/C MFG: MODEL: SIZEIBTU FIREPLACE (GAS) $15.00 GAS RANGE/OVEN $10.00 TO AI A11ti0AlitLrlGCHANCEER$IS RREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 _DOILR $35.00 j�,FURNACE $35.W GAS UNrr HTR $10.00 CMN H EY LWEX $10.00 GAS DRYER $I0.00 HEATER $35.00 DUCT WORK 510.00 GAS PIPING $10.00 _POOL VENTILATOR $15.00 THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the orditumoos and codes of the City of Fridloy and with the Minnesota. Construction Codas; that I understand this is not a permit but only an application for a permit and work is not to steel without a permit; that the work will be in accordance with the approved plata in the can of all work which requires review and approval of plans. SIGNATURLOIsAPPLICANT PRINTNAMEA9,44;J Q&Lj DATE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 From: unknown Page: 5/6 Date: 9/4/200911:00:07 AM City of Fridley Residential Mechanical Application Page 2 REf1UH= INFORMA 17ON NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC 0 NEW I- IOMES/ADDITIUNS )4 EXTSnNG HOME 0 MAKE-UP AIR UH= FOR NEWAMSTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with M.N Amendments b. Natural Gas or Propane/%FGC 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 P— UIRED FOR NEW HOMES 4. Heat loss & coolIng load per room a. Required on new construction IMC 1346.0312 5. Ventilation a. Per MN Snergy Code 7670 or 7672 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Enemy+ Mechanical Code Guidelines software may be used for combnflon and make-up air calculations. From: unknown Page: 6/6 Date: 9/4/2009 Revision Date: 9/4/2009 Sits Information Address 1: 5771 7th at Address 2: City: Fridley County: AoolieMon Information Business Name. Gopher Heating and Sheet Metal Inc. Contact Person: Dennis O'Brien Office Ph: 952-890-3466 Fax: 952-890-3685 Address 1: 12330 Ottawa, Ave. S. City: Savage State: MN Zip Code: 55378 Date: 9/4/200911:00:07 AM Existing Construction: Pre 1994. Project * Lot: Block: Subdivision: MN Contractor License *mn25304 Cell Ph: 612-919-1307 Combustion Appliance �—�__�� "-- _____� Water Heater. Natural D input BTUs: 35,000 Independently Vented_ Furnac eftiler. Direct Ve mbustion Input STLIs: 66,000 Independently Vented Other Combustion Appliances Gas Fired Direct Vent Fireplaoe(s): No Gas Fired Natural Draft Fireplace(s): No Exhaust Eoulpment Continuous Exhaust Ventilation Capacity (cfm): NA Exhaust Fan Rating (cfm): 135 Malm-UUR Air No Make -Up Air Required by Code Combustion Air Minimum Combustion Air Requirements Met Applicant N Code OfficlaI Gas Fired Power Vent Fireplace(s): No Solid Fuel Appliance(s): No Clothes Dryer (afm): 135 Q 2004 CenterPoint rsnera Minnegasco. 2004 Mechanical Code Guidelines. Page 1