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City of Fridley, Minn. BUILDING PETIT Date: Owner: Y, A,r Builder Address Address — E � L TI= BUILDING No. Street ti _ Part yo�ot Lot Block _ _ Addition or Sub-Divisio .sad_ corner Lot Inside Lot ' '' Setback $4 Sideyard ,l Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To Used le rf a� z__I.t Front Depth Height Sq. Ft. Cu. Ft. —nt Depth H 'ght Sq. Ft. Cu. Ft. Type of Construction. Est. Cost "" "ice be Completed In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed worst in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ , 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 anypart thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, rep and moving of buildings within the city limits and this permit may be revoked at any upon olatioh @f any of the provisions of said Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be aura to see the Building Inspector for separate permlb for thue Mems. APPLICATION FOR BUILDING PERMiT CITY OF FRIDLEY, MINNESOU Owners Name Builder L �. Address Address LIA ,r LOCATION OF BUILDING No. :��� S� Street TP Part of Lot Lot. _ r plock1 _,Addition or Sub.Div. L A"'' � Corner Lot_ side Lot Set SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To Ike used as: P 'd Front Depthj-Z a Height—r-,�-- Sq. Ft.Cu. Ft. d Front Depth Height Sq. Ft. Cu. Fto pp����1� l a Type of Construction ,_0 V—' Estimated Cost„I0 , IY® , To be completed The undersigned hereby makes application for a permit for the work herein 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 representa- tions stated in this application are true and gQrrect, DATE -19L SIGNATURE (A Schedule of Fee costs can be found on the Reverse Side.) City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone SU 4-7470 DESCRIPTION OF WORK ,¢— 1157 Number, Kind and Location of Fixtures Location Y./-0 e-/ l'G 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 $ + G d 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 $ /• -S Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ C1 TOTAL FEE City of Fridley: The undersigned hereby makes application for a permit for the work herein 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 applica4ah-Ire triee and correct. -Al, 19-d-/ Owner Kind of Building Used as To be completed about Estimated Cost, $ Old—New. Building Permit No Permit o. Signe ` By Business Phone No ROUGH f -,90 " 4 -480-42 2M 7-59 a w �j w ? • • N WATER HTR. GAS ELEG 3 s� wf�9°d �O R Base 1st 2nd _ 3rd — 4th • Future Connection Openings I Connected with Sewer [� New Fixture, Old Openings Cesspool ❑ 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 $ + G d 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 $ /• -S Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ C1 TOTAL FEE City of Fridley: The undersigned hereby makes application for a permit for the work herein 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 applica4ah-Ire triee and correct. -Al, 19-d-/ Owner Kind of Building Used as To be completed about Estimated Cost, $ Old—New. Building Permit No Permit o. Signe ` By Business Phone No ROUGH f -,90 " 4 -480-42 2M 7-59 fir - Application for Power Pkmts and Healing, Cooling, Ventilation, .Refiigeral'ion and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL, V Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ NECK. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $� ,r _ each add. 60,000 BTU ........................ 2.00 $ Replacement of Furnace ............................. .§.00 $ Repairs & Alterations—up to $500.00 ... ... ............ 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam....... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ t 011 BURNER—to 3 gal. per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ 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 $ AIR CONDITIONING a $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM ALTERATIONS & REPAIRS TOTAL FEE • ` � ROUGH FINAL Dept. of Bldgs. Phone SII, 4-7470 City of Fridley: The undersigned hereby makes application for a permit for the work herein 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. Owner Kind of Building Used as To be completed about / s�� ` �Z Estimated Cost, $ / Old—New. Building Permit No. \:!r.:3permit No. _,A5_W1 6 DESCRIPTION OF WORK HEATING orPO PLANTS—Stean Hot Water, -No Trade Name Size No Capacity Sq. Ft. E.D.R- ®0 BTU H.P. Total Connected Load Kind of Fuel C_a_`� BURNER — Trade Name . Size No Capacity Sq. Ft. E.D.R BTU H.P. Sign By .42 zM 7_59 Business Phone No (REMARKS -OVER) or 1 otal Btu. /r- O !K1 Require ft. E.D.R. or sq. ins. W.A. Leader area Fl.1 ,,.A m ( Lenath/9r Width /� Heieht Windows d Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane llagghts of sq. ft. ft. D46 79 ry�Q Dili. 6 IV °V .?,f ;ro ..C, /r; Z /O. a / e QqjF4 C= _ HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS) �8 Weatherstrips A.S.KV.E, Infiltration Construction No. Insulation Total Btu. Required s ft.A.D.R. B Guide Reference 19_ Room f Length //,' Width Glass Windows and Doors—Crackage and Area Bows rs I Out. Wall Int. Wall Ceiling Roof Floor Kind How. Applied Y � Q �� .f FI.� Room I Lengtl},a/' Width /�' Height %' Fl.) Room I Lengthy! -. Width/ Hei Windows a oors—Crackage and Area R/ 10940 Windows and Width No. No. of pane Doors—Crackage and Area Height No. oY Lfaeal ft. Area of pane lights of crack eq. tt. Width Height No. of Lineal f . Area No. of pane of pane lightsof crack sq. 1 otal Btu. /r- O !K1 Require ft. E.D.R. or sq. ins. W.A. Leader area Fl.1 ,,.A m ( Lenath/9r Width /� Heieht Windows d Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane llagghts of sq. ft. ft. Q Gsr4t, -20-0 -?�,A ry�Q Dili. 6 IV °V .?,f ;ro ..C, /r; Z /O. a / e QqjF4 Coef.1 /7; /9,91Coef. Btu Btu Infiltration /.5- Glass Total Btu. Required s ft.A.D.R. B Glass Room f Length //,' Width Glass Windows and Doors—Crackage and Area Width No. of Bane Exp. wall 3/ Net exp. wall .15-j Exp. wall Q Net exp. wall .f aos Net exp. wall Wo —.P3 Int. wall R/ 10940 a Int. wall Ceiling % 3 9 Q ®j?d Ceiling Q Int. wall ®V Al /® 3®,'� Floor Floor e® -7/ 1 otal Btu. /r- O !K1 Require ft. E.D.R. or sq. ins. W.A. Leader area Fl.1 ,,.A m ( Lenath/9r Width /� Heieht Windows d Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane llagghts of sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. Ito 77 Net exp. wall Z 47 / Int. wall Coef.1 Btu Coef. Btu Infiltration .foe /.5- Glass Total Btu. Required s ft.A.D.R. B Glass Room f Length //,' Width Exp. wall Windows and Doors—Crackage and Area Width No. of Bane Exp. wall 3/ Net exp. wall .15-j 90. Q Net exp. wall Int. wall aos /6 Wo —.P3 Int. wall Coef. a Floor Ceiling % 3 9 Q ®j?d Floor Q Int. wall ®V /.1 Total Btu. ® 3 6. Require ' q. A. E.D.R. or sq. ins. W.A. Leader area / Fl.l V @ Room I Length — Width ooO� ' Heiaht Windows and Doors—Crackage and Area / Width Height No. of Lineal ft. Area No. of pane of pane llagghts of sq. ft. crack eC s /r o Net exp. wall / Int. wall Coef.1 Btu Infiltration Infiltration .foe z A' Glass Total Btu. Required s ft.A.D.R. or sq. ins. W.A. Leader area 0 Room f Length //,' Width Exp. wall Windows and Doors—Crackage and Area Width No. of Bane Height No. of Lineal ft. Area of panne lights of crack sq. ft. Net exp. wall .15-j 90. Q Net exp. wall Int. wall f I Ceiling Coef. a Floor Glass % 3 9 Total Btu. le Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Coef.l Btu Infiltration Glass / Exp. wall Net exp. wall / Int. wall Coef. Ceiling Infiltration Floor jj Total Btu. Required s ft.A.D.R. or sq. ins. W.A. Leader area Fl.l Room f Length //,' Width Windows and Doors—Crackage and Area Width No. of Bane Height No. of Lineal ft. Area of panne lights of crack sq. ft. .15-j Net exp. wall f I Int. wall Coef. Infiltration g Glass Exp. wall Net exp. wall Floor Q Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area r F1.1 A'— -I-,d Room I Lematl6"'9 Width d''' Heieht ,,d'/ 1 Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration jj r7e Glass Exp. wall .15-j Net exp. wall f I Int. wall Ceiling Floor Total Btu. Requireds4. ft.`E.D.R. or sq. ins. W.A. Leader area 52-84-5915.51 City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK 5885 N E 7th St Number, Kind and Location of Fixtures Location 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 $ -ji� x 2.00 $ (5 Z �p • F r N WATER HTR. GAS ELEC. Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ Gas Dryer 1 2.00 REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ ��a Base I Ist G r 1st 2nd 3rd 4th Future Conaectioa Openings Connected with I Sewer � * New Fixture, Old Openings Cesspool 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 $ Gas Dryer 1 2.00 REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ 00 TOTAL FEE $ n f2: 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, Alinn10-6-66 19— Owner Geo Patterson Kind of Building frame Used as To be completed about Estimated Cost, $ 10-11-66 Old—New. Building Permit No Perm -d..-7® d - C 5i 'By Business Phone No ROUGH FINAL SUBJECT PERMIT City of Fridley 12690 AT THE TOP OF THE TWINS BUIL DING PERMIT r R EIPT NO • COMMUNITY DEVELOPMENT DIV. �y------- r � PROTECTIVE INSPECTION SEC. nom} � 1 . � CITY HALL FRIDLEY 55432 IL I'J NUMBER REV. DATE PAGE OF APPROVED BY L----� 612-560-3450 910-F15 /23/74 JOB ADDRESS 5885 7th Street N.E. 1 LEGAL LOT NO. 17 BLOCK 2 TRACT OR ADDITION SEE ATTACHED Lyndale Builders 7th Addition SHEET DESCR. 2 PROPERTY OWNER MAILADDRESS ZIP PHONE George Patterson 5885 7th Street N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. SAME 4 ARCHITECT OR DESIGNER MAILADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING garage 7 CLASS OF WORK 7 NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 20 x 24 detached garage 9 CHANGE OF USE FROM TO STIPULATIONS 1. Provide hard surface driveway SEPERATE PERMITS RE911RED FOR WIRING', HEFTING, PLUMBI.NG AND SIGNS., TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, wood frame VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION 480 4 BOO 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 2 544.00 1.27 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT RESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- 9 O0 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE 10.27 900,11URE OF CONTRACTOR ORAUTAO ED (DATE) / r ' WHY, PROPSLY A A HIS IS YOUR PgRMIT R BL INSP DATE SIGNATURE OF OWNER (I WNER BUILDER) (DATEI APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA � owNER ' S NAME • l.� e d 2I � r %r,-._ 1� 04 BUILDER: r ADDRESS : ��T ( V e Al 2— ADDRESS NO :. I g 6- STREET • Z LOT: q BLOCK: Y ADDITION:_ CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: 1.1 Front 2 Depth: 2 �- Height: 7 6 Square Feet • 171P n Cubic Feet: ld f) Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction:-'��` ---� .6 „ -*� Estimated Cost: To Be Completed: 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. (See Reverse Side For Additional Information.) A e Land Planning cf&&N4Uj7L ws-Hi9fi wy •cs #E. Lardswliny Mirnwpll/ 2/, soilsksmy ENGINEERING, INC. w" -v/0 Civil b Muriri l A014.60" Po , En&erhy --- En9►ineers Sur vectors -- Mortgage Loan Survey for 86UMOckgr i • 35.0 _-- NI 27. ol ol N a' Lo+ kl,5lock _ LYNDALE. scale i'=3o' 2 ANOKA CotaNT� Ibis a o frac and eared mprswlc1 an of# wrrey eifhe bowrdorits e�('1he /amod obort dwribed �ds�'/%e lorotim mall bvi/darys, i�'o y, fher�a», mre a/1 risible aru�odima�s , i�'any, �i ar irr sod lid. firs sa�rry rs maafo arly it �amirct�an �rifh o marf /acn na�v 6r�iy pbridan !hc �rgatrly old as limbi%dy a otw�ted ��t lb ibe holder o�'surfi ma�o9e ar' oH►er' a►hesf or�l► �/�sa/ gr srarh mart o e. Nis ansarsfaod and ayrt�ad raountnts bore &a►i �or' 1Yus �'�sfim� /af / ar b�n�darf �rraus. 99 OeAb0 r SUBURBAN ENGINEERING, INC. 6ryineers end Sui'�¢__ by (lam_ SUBJECRVIr T -'P� City of Fridley i0 171.9 AT THE TOP OF THE TWINS BUILDING P E R M I T ECEIPT N0. ______ COMMUNITY DEVELOPMENT DIV. ~ Ir PROTECTIVE INSPECTION SEC. "','� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L j\ 612-571-3450 910-F15 6/8/83 JOB ADDRESS 5885 - 7th Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 1,7 2 Lyndale Builders 7th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE George Patterson 5885 - 7th Street N.E. 571-7554 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 ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Reroof Dwelling 9 CHANGEOFUSEFROM TO STIPUCATIONS Roof can be 2nd layer but not 3rd. Install xsg ridged galvanized valleys. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Asphalt THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. 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 VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $400 $•50 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $15.00 PLAN CHECK FEE TOTALFEE $15.50 SIGNATURE OF CONTRACTOR O ORIZED AGENT MATE) WHEN PROPERLY VOAJDATED THI IS YOUji PMI �/ GN URE OF N I O E BUILDERI ID Et BLDG INSP DAT CITY OF FRIDLEY APPLICATI94 FOR RESIDbMAL BUILDING PEW41TS (New, Alterations, Additions, or Repairs) OWNER: C�7Qca l� �c�sYJt�-�'1BUILDER: ADDRESS: S~KcKS ^ 7 T NE ADDRESS: TEL NO: S17 / — ? S'S 4- TEL NO: Construction Location Effective Aug. 1, 1981 STREET NO: STREET: LOT: BLOCK: g ADDITION: ' Corner Lot: Inside Lot: Setback.: Sideyards: Ap,plicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: Ano ., 1 Estimated Cost: $ 4M To Be Cbripleted: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE pzvF.RSE SIDE OF SHEET . Me undersigned hereby makes application for a permit for the %:ork herein specified, agreeing to do,all work in strict accordance with the City of Fridley Ordinances and rulings of the Delhirtment of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: % _ SIGNATUFE: Stipulations: SUBJECT P City of FridleyG 19093 AT THE TOP OF THE TWINS BUILDING PERMIT R ' COMMUNITY DEVELOPMENT DIV. �----y---- r PROTECTIVE INSPECTION SEC. i" 3 1 i i p% (•--- ,.� CITY HALL 'FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY J. L „ 612-571-3450 910-F15 8/3/87 JOB ADDRESS 5885 - 7th Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 17 2 Lyndale Builders 7th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE George Patterson 5885 - 7th.Street N.E. 571-7554 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. AMRE 3700 Annapolis Lane, Plymouth, MN 55441 553-0020 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 Reside Dwelling 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 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 $5F500 $2.75 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 ROVISION A OT ER OR LOCAL AW GULATING CON- S R CT OR T P ANC OF CO o $56.50 PLAN CHECK FEE TOTALFEE $59.25 L,16GNIATUREO CONTRACTORO THORIZED AGENT (DATE) , WHEN PpROPERLY 1 INSP (DATED THIS IS YOUR PERMIT OAT SIGNATURE OF OWNER IIF OWNER BUILDER( IDATEIBLDG NEW [ J City of Fridley ADDN. ( J R-1 AND R-2 ALTER. ( J Building Permit Application Construction Address: S r� 27� Legal Description 2 Effective 4/1/86 Owner Name & Ad�-�j Tel. # ✓ /� %S.s'f/ Contractor • /�/fiG'�-- Tel . # 5�r���G-2 0 Address • "?2049 ,�642, � /�l0 �f%�/y. �•�% f-tS�S// LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Corner Lot L 7 Inside Lot [ ] Ft. Yd. Setback Side Yard Setback G// Type of Construction: Pf.c�'�.v� Estimated Cost: $ Approx. Completion Date:'�.�� Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation f� ..r:0,,Ca.2a DATE: �/ � �� APPLICANT: Tel. # CITY USE ONLY Permit Fee $ S�/' S`0_ Fee Schedule on Reverse Side Plan Check $ 25% of Building Permit Fee State Surcharge $ 022R�::= $.50/$1,000 Valuation SAC Charge $ $ 525 per SAC Unit Park Fee $ Fee Determined by Engineering Sewer Main Charge $ .2S" Agreement Necessary [ ] Not Necessary [ ] TOTAL $ �— STIPULATIONS: sueJEcr IT NO. City of Fridley 2 6 7 8 AT THE TOP OF THE TWINS BUILDING PERMIT r ` RECEIPT NO. >r COMMUNITY DEVELOPMENT DIV. ------ PROTECTIVE INSPECTION SEC. —/ep r 1 . I NUMBER REV DATE 17/23/98 PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 IL""� �'� 612-571-3450 910415 JOB ADDRESS 5885 7th St NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 17 2 ILyndale Builder's 7th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE George Patterson 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSPO. Wright Home Improvement 4735 Norwood Ln. Plymouth 55442559-4250 2003&829 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 M REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (19 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlay�ment must comply with State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING. HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1584 .79 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLAT R CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LA EGULATING CON- STRUC NOR THE P RFOR NCE OF C TRU ION. 51.25 ire SC $1.58 PLAN CHECK FEE TOTAL FEE Lic nse SC $5.O 58.62 IGNATUREO NTAACTOR OR AUTHORIZED ENT IDATEI ENPPROPER VALIDATED THIS IS YOUR PPEERMII-7�J(} F B OG IN SP ryATE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI NEW [ ] Effective 1/1/98 ADDN [ J CITY OF FRIDLEY ALTER [) SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �� 8 BUILDING PERMIT APPLICATION 5 ConstructionAddress: 57F 7 f- Legal Description: Owner Name & Address: �Qo 2 f Tel. # Contractor: Vxkj �, Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: /e 0,1L, -�000'0 _ MN LICENSE # 020 y 3 Tel. # 5-T'? Attach to this application, ' a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Length Width Height Length Width Hgt/Ground 0'1 �2 ) Sq. Ft. Sq. Ft. Sq. Ft. _v 7�0� Construction Type: t�kft xa�i �� Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: 71�) / APPLICANT: Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control CITY USE ONLY $ S Fee Schedule on Reverse Side $ .001 of Permit Valuation (1/10th%) $ $.50/$1,000 Valuation $ $1000 per SAC Unit $ S,00 $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above Park Fee $ $450.00 Conservation Plan Review Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ J TOTAL $ �� STIPULATIONS: su9jEeT P IT NO. City of Fridley 28700 THE TWINS BUILDING PERMIT 572-3604 5. O COMMUNITY DEVELOPMENT DIV. i y � PROTECTIVE INSPECTION SEC. Ay�/� 16 / f � f/ NUMBEA REV DATE PAGE OF APPROVED BY I �"'1 CITY HALL FRIDLEY 55432 ....... 612-571-3450 910-F15 12/3/98 JDs ADDRESS 5885 7th Street NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 17 2 1 L ndale Builders 7th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO L & L Contractors Inc. 1697-9495 20139735 a 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 O NEW ❑ ADDITION ❑ ALTERATION Ej REPAIR ❑ MOVE O REMOVE B DESCRIBE WORK Reside house and garage 9 CHANGE OF USE FROM TO STIPULATIONS Call for building wrap inspection before covering. SEPARATE PERMITS ARE REOUIREO FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 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 4200 $2.10 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIO ANY OTHER TATE OR LOC LAW REGULATING CON. ST ION OR HE PERF AN OF UCTION $99.75 FireAC $4.20 PLAN CHECK FEE TOT F E /2--3-7 q' Lice 5.0 .05 SIGNATURE Of CON•RACT AAAA ORi2ED AGENT IDATE. EN GP VALID HIS IS YO R ERM Ba NSP gAtE SIGNATURE OF OWNER01 OWNER BUILDER, iDATr1 NEW - [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �® BUILDING PERMIT APPLICATION �� U ConstructionAddress: 5 98S -7�" ,Sf . ,J. 6. Legal Description: Owner Name & Address: 5 685 -1 T� S --F, ,SIE Tel. # Contractor: ���. MN LICENSE # aoi 3-1-1 35 Address: 15/ t -Ize i& S,- l� ff - Ne"✓ i3�6.� Fo„1 9�ti Tel. # (-S/-9 - 5'�5S 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:F,,,,,,ojc-- i�QzpcAca .5,Dw6- Estimated Cost: $ q zma (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: / z 391' APPLICANT: �� S�� L 4-4 Tel. # 3 s y -5z--->:,, S Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee $ Sewer Main Charge $ TOTAL STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1000 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 [ ] 0 SUBJECT City of Fridley 3 3 2 7 6 AT THE TOP OF THE TWINS BUILDING PERMIT r o COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. r I NUMBER REV DATE PAGE Of APPROVED By CITY HALL FRIDLEY 55432 763-571-3450 910-F15 1 /22/02 JOB ADDRESS 5885 7 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 17 2 Lyndale Builders 7th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Solita Reum 5885 7 Street NE 763-586-9693 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 8 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Remove interior wall between living room and bedroom on main floor: install egress window in basement bedroom 9 CHANGE OF USE FROM TO STIPULATIONS Egress window to meet the State Egress Code. 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. Caulk and flash all exterior openings. 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 S0. 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 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 @ $2,500 $1.25 WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- Fire SC $2.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $83.25 PLAN CHECK FEE TOTAL FEE $87.00 SIGN A TUR F CON TRACTOR OR AUTMORIZEDAGENT IDATEI=ENLY VALIDATED THIS IS YO R PERM)S,GNATURE OF W NE R � IF OWNER BUILDER) I ATE OATS 0 NEW [ ] CITY OF FRIDLEY Effective 1/1/2002 ADDN [ J 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp ALTER SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION rte° yJ Construction Address: 59X5_ 7�h sy Legal Description: Ra 04 ble u - Owner Name & Address: S611 �a e 1A vv► Sq vNe rs a b.0 0 e- Tel. # 7b3 -5'9 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: Remove Wal) bdWfe&i n �cuiwaty®®N� 4 bea"raotM vo 'eharrn kogf- n bedtoom, Add &4,re5s w;� oar i A IOU el'oek"+ hp�Proow� fio vkake i t a (��c( Construction Type: A I ie ra h Estimated Cost: $ Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ —=$ DATE: J a '7119 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. CITY USE ONLY - Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge $- y 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 $ U STIPULATIONS: O O ►TI � 'moi � O O C'e �t v� AQ7t'lf H f % — RPk 0 Are- r o o ill Col ro o n, X31 a - 7v CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 571-36U4 V'AX: (703)!571-1287 ADDRESS : 5885 7 ST NE PIN : 233024130114 LEGAL DESC : LYNDALE BUILDERS 7TH ADD : LOT 17 BLOCK 2 PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOW/DOOR REPL PERMIT ) O.: 2004-01555 DATE ISSUED: 09/07/2004 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. REPLACE FRONT WINDOW. STATE LICENSED CONTRACTOR 1 APPLICANT WINDOW ACADEMY INC (20398809) 13405 PINEVIEW CT DAYTON, MN 55327 C81AIR REUM SOLITA E & ALBERT L 5885 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 rovisions of any other state or local law regulat. c s c op 0!)�erfce of construclion�j Apphc Date 4,1 Bldg BUILDING PERMIT FEE 54.00 FIRE SURCHARGE 1.50 STATE SURCHARGE, VALUE 0.75 LICENSE SURCHARGE 5.00 TOTAL 61.25 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. NEW [ ] CITY OF FRIDLEY e L4�?O2 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 S Construction Address: Legal Description: Owner Name & Address: en /4�,- 12,e- `"" Tel. # Contractor. Z %/ "d0tJ MN LICENSE # 13' Z-0 3 iA0,P'0 q Address: 13 Lf05- .0;7e, ✓/ f -AJ Tel.# 763 7 1-2- Attach y Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVINGAREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft OTHER: G e f7E;'- /-✓� �/ �% ©c.� Construction Type: Estimated Cost: $�� Driveway Curb Cut Width Needed: Ft + 6 Ft = Ft x $ _ $ DATE: q 7 I 0 � APPLICANT: YVI 4 � (f' f, �� Tel. # 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. CITY USE ONLY - Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.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: f /.0' Building MECHANICAL(:�!i�celved B5N. Inspections RESIDENTIAL APPLICATION Da �'�5-2 0 763-572-3604 CITY OF FRIDLEY chever is the PER MS 16B.665 the permit fee is a minimum residential or 5% of the total cost fixtureo excluding the fixtures. , (�O.00ouldlreflect only the cosotrof labor ) improvement, installation or replacement Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05= FOR PROJECTS «ARE LABOR EXCEEDS $500 FEES ARE BASED ON 510.00 PER FIXTURE, EXCEPT N� HERE NOTED. FIXTURES: m(I�NDICATTE TOTAL ,,tiUMBER OF EACH BELOW) � � MODEL: A9 SIZEIBTU �7, C�i1LL Equipment installed MFG: MODEL: SIZE/BTU MFG: SIZE/BTU MFG: MODEL: GAS RANGE/OVEN $10.00 A/C $25.00 —FIREPLACE (GAS) $15.00 _NEW GAS GRILL $10.00 .AIR TO AIR EXCHANGEER $15 —FIREPLACE (WOOD) $35.00 GAS UNIT HTR $10.00 BOILER $35.00 —FURNACE $35.00 —POOL HEATER $35.00 _ _CHIMNEY LINER $10.00 —GAS DRYER $10.00—"�TILATOR $15.00 DUCT WORK $10.00 _GAS PIPING $1000 — .. _..,:.:.. .o..c.,..rs_.-c I?117f�:T3'Ti.�`i. �.i7�=PIt3ECTS-OV£R50 gT.FEE-PR0i7ECTS F.OR UNI)hK°3ouu :1; w;,-_... .. Permit Fee $ • C� Number of fixtures @ $10.00 x $10.00 = $ $ Number of fixtures @ $15.00 x $15.00 = Surcharge 50 $ TOTAL DUE $ Z�—� Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 Total = $ THIS 1S 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 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 the case o/f�all/work which requires review and approval of pplan/s.�L / SIGNATURE OF APPLICANT C Lt/�'Lt )AJA �---PRINT NAMEL - G4/J� �q DATE. ----- ' City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 YOUR E-MAIL ADDRESS DATE t(.l'L„G'�" S SITE ADDRESS 6 - THIS APPLICANT IS: ❑OWNER NTRACTOR PROPERTY NAME: _ CITY sr zIP\ OWNER/ ADDRESS' S ' -S TENANT PHONE: CONTRACTOR COMPANY NAME: Anderson Heating and Air -Conditioning CONTACT PERSON: OL�c SUBMIT A COPY OF STATE STATE LICENSE N/a 4341 Central Ave N.E. — ZIP. l'OUR STATE fr - LICENSE R'ITH APPLICATION ,ADDRESS: �" �S/i COI. Hts, Mn 55421 PHONE Z&-3- TYPE.SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE PERMIT ❑ NEW ' REPLACEMEN ❑ ALT ERA TYPE OF WORK:TION/REMODEL DETAILED DESCRIPTION OF WORK chever is the PER MS 16B.665 the permit fee is a minimum residential or 5% of the total cost fixtureo excluding the fixtures. , (�O.00ouldlreflect only the cosotrof labor ) improvement, installation or replacement Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05= FOR PROJECTS «ARE LABOR EXCEEDS $500 FEES ARE BASED ON 510.00 PER FIXTURE, EXCEPT N� HERE NOTED. FIXTURES: m(I�NDICATTE TOTAL ,,tiUMBER OF EACH BELOW) � � MODEL: A9 SIZEIBTU �7, C�i1LL Equipment installed MFG: MODEL: SIZE/BTU MFG: SIZE/BTU MFG: MODEL: GAS RANGE/OVEN $10.00 A/C $25.00 —FIREPLACE (GAS) $15.00 _NEW GAS GRILL $10.00 .AIR TO AIR EXCHANGEER $15 —FIREPLACE (WOOD) $35.00 GAS UNIT HTR $10.00 BOILER $35.00 —FURNACE $35.00 —POOL HEATER $35.00 _ _CHIMNEY LINER $10.00 —GAS DRYER $10.00—"�TILATOR $15.00 DUCT WORK $10.00 _GAS PIPING $1000 — .. _..,:.:.. .o..c.,..rs_.-c I?117f�:T3'Ti.�`i. �.i7�=PIt3ECTS-OV£R50 gT.FEE-PR0i7ECTS F.OR UNI)hK°3ouu :1; w;,-_... .. Permit Fee $ • C� Number of fixtures @ $10.00 x $10.00 = $ $ Number of fixtures @ $15.00 x $15.00 = Surcharge 50 $ TOTAL DUE $ Z�—� Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 Total = $ THIS 1S 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 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 the case o/f�all/work which requires review and approval of pplan/s.�L / SIGNATURE OF APPLICANT C Lt/�'Lt )AJA �---PRINT NAMEL - G4/J� �q DATE. ----- ' City of Fridley Building Inspections Department 6431 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 NEWIEXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propan&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 1FGC 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