Loading...
PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT Date: ...�,® 4 ...................... Owner....................................... Address ...................................... 1 BuilderCtt"�.........cam'. ..:.............. Address............................................. / J�A LOCATION OF BUILDING No. !�.y. Street .. :........................ Part of Loto ......C. ....... Lot ......... Block ...I .............. Addition or Sub -Division .. ® ....... .. Corner Lot ............ Inside Lot .......... Setback .. �? .... Sideyard . l ......s........... DESCRIPTION OF BUILDING T be Used -as: B�� S* .. ..... Front�l .. Depth .. . Height .... Sq. Ft. l ®® 9 Cu. Ft. ........ . . A ... . .1 . .. 4 -cot ....... Front .1!'� ... Depth ... �.. Height ........ Sq. Ft. ..Fl? Cu. Ft. ........ . of Co .truction 11�if/ ..... Est. Cost. I !� ®....... To be Completed .4..* ........ . ;ks�. In consideration of the issuance to me of a permit to construct the building desribed 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 city of Fridley. 0 In consideration of the payment of a fee of $. 1.4. .. , permit is hereby granted to .6L4_4.. .... ... ......................... to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with- in the city limits and this permit inay be revoked at any time upon violation of any of the provisions of said ordinances. . 14, Building, Inspector NOTICE: This permit does not cover the construction, Installation or alteration for wiring,ueJyti�ng, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for th e ' ems. City of Fridley, Minn. N° 7756 BUILDING PERMIT • Date: dune 7s 1965 Owner:—Dou91W Rawns Budder Carlson & King Builders Address 6250 7th Street N. l$. Address 7142 .Rim= Tang Anoka9 Minn. No. 6250 Street Lot !4________ Block LOCATION OF BUILDING 7th Street N. . Part of Lot 1 Addition or Sub -Division Uplands, lst. Add. Corner Lot _ Inside Lot — Setback — Sideyard Sewer Elevation Foundation Elevation To be Used,= DESCRIPTION OF BUILDING Front Depth Height Sq. Fie Cu. Ft. Front Depth freight Sq. Ft. Cu. Ft. Type of Construction Est. Cost A: AO- __ To be Completed • Storm damage repair; Repair shakes and Reshing7e roof • 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 a'!1 provisions of ordinances of the city of Fridley. 01 In consideration of the payment of a fee of $ 10..0 _, permit is hereby granted to Carlson & King Bld t rs . 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= 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. Allen Jensen Building Inspector NOTICE lids perm@ does not sewn the soustrostion, hataiiation ter vri&& piumbb2g, ga boating, sewn or water. B. sura to se. tin SulMieg bispeder for sepaMe pera to for thea Rena. OWNER'S APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA LOCATION OF 'BUILDING P No. Street Part of Lots LOT BLOCK ADDITION OR SUBDIVISION24dz. -� Corner Lot Inside LOT Setback Side- and SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building, location drawn on these Certificates. DESCRIPfi Z ` B � GA��/�e To be used as: Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq'. Ft. Cu. �Ft.�: `� a -<- timated Cost 7 el ®. � -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.reipresentations stited'in this a' location are true and correct. DATE % SIGNATURE C rL•� _`/_� .� `�®- ✓c'�—� (Schedule of Fee:GQsts can'be found.gn the Reverse Side). 1s �w City of Fridley SUBJECT /'I 115gUILDINC AT THE TOP OF THE TWINS CEN ` PERMIT NO. `L --------- COMMUNITY DEVELOPMENT DIV. / r � PROTECTIVE INSPECTION SEC. /y 1 = � NUMBER REV. DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-560-3450 910-F15 5/31/77 JOB ADDRESS 6250 - 7th Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 1 Upland First SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Gordon A. VonWald 6250 - 7th Street N.E. 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 Ij NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install above ground pool 9 CHANGE OF USE FROM TO -STIPULATIONS Stipulations as per Environmental Officer's letter dated May 26, 1977. Before egging Cali boat Qty 1 SEVERATE PERMITS REQUIRED FOR WMINU, TEUME -ELECTRIC - GAS "FATM' PLl1 OM AND AIGN& REQUIRED 9Y L 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 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. $.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $995 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- $7.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $8.00 SIGN URE OF. CONT/R`AfTOROR U ORIZE�D�AGE�N%T (DATE) �'"T WHEN ROIPERLY V LIDATED THIS IS YOUR PERMIT 1� BLDG INSP DATE SiqNATURE OF OWNER IIF OWNER BUILDEI 1 TEI IEs m CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS - (NEW, ALTERATIONS, ADDITIONS, OR -REPAIRS) OWNER: (90 r 3 0 V1 V 0 Yk WQ I BUILDER: Address: bias Address : . No.. CPRS O LOT: Z) CORNER LOT: Tel. No. Street: Sk BLOCK: 1 ADDITION: j� 1Q`n`� • rs INSIDE LOT: SETBACK: SIDEYARDS: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. e DESCRIPTION OF BUILDING To Be Used As: off. SGU: rr�m'�`�y �k Front: .P L/ Depth: q " Height: Square Feet: Cubic Feet: Front: Depth: _ Height: Square Feet: Cubic Feet: Type of Construction: l Estimated Cost: To Be Completed: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) 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. See reverse side for additional information. DATE: SIGNATURE: Stipulations: `- • 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 1 Mr. Gordon A. VonWald 6250 - 7th Street N.E. ' Fridley, Mn. 55432 TELEPHONE ( 612)571-3450 Re: Swimming Pool Construction at 6250 - 7th Street N.E. Dear Mr. VonWald: This letter is to make clear this departments 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 water's 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 site 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. 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. V1 1 44, May 26, 1977 y' i 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 1 Mr. Gordon A. VonWald 6250 - 7th Street N.E. ' Fridley, Mn. 55432 TELEPHONE ( 612)571-3450 Re: Swimming Pool Construction at 6250 - 7th Street N.E. Dear Mr. VonWald: This letter is to make clear this departments 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 water's 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 site 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. 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. V1 Mr. Gordon A. VonWald 6250 - 7th Street I.E. May 26, 1977 Page 2 8. All electrical lines must be 10-20 feet or more away from the pool surface. 9. The pool fill spout must be air gapped or protected by a vacuum breaker. 10. Suitable safety equipment to include but not limited to a ring buoy and rope that is 11i 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, ext. 170. Sincerely, oldel" STEVE J. OLSON Environmental officer SJO/mh INDUSTRIAL OUSINESS CITY LOTS TOPOGRAPHIC MAPPING r. L.• ���.1 i� ✓/ it/; �' / /7v� is /r/i! C. 6_ COULTER LAND SURVEYOR REGISTERED UNDER LAWS OF STATE OF MINNESOTA LICENSED BY ORDINANCE OF CITY OF MINNEAPOLIS 3300 LYNDALE AVE. SO. MINNEAPOLIS S. MINN. TAYLOR 4-0370 &/Rl/EY FOi? 14.?Y/,O 4, C.4,PZ YaIV je� S4/V ZNl, L'i'liritegar'Ii 0 -id iftrair < 15, , 24' 35' Q, PLATTING V C JUDICIAL tj SCA-, E'" a) N PLATTING FARId 1,11RVQYO LAKESHORL JUDICIAL 0 za-,,7 I hereby certify that the above is a true and correct plat of a survey of: Lot Four (4), Block One (1), UPLAND 1st ADDITION, Anoka County, Minnesota. A d b ti Q surveye y me h s 7th day of August 1958 A. D. Signed Minnesota Registration No. 2594- z"), 584 Z r` F� � F f May 26, 1977 j b1: 9 Yi 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 Mr. Gordon A. VonWald ' 6250 - 7th Street N.E. Fridley, Mn. 55432 TELEPHONE (812)571-3ASO Re: Swimming Pool Construction at 6250 - 7th Street N.E. Dear Mr. VonWald: This letter is to make clear this departments requirements for the swimming pool construction at the above address. As indicated, one (1) skimmer approved by the National Sanitation Foundation will be provided. As indicated, one (1) inlet of approved design for fresh and/or repurified water will be provided. �. 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 water's 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 Ci ti, . 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 o e 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. 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. , Mr. Gordon A. VonWald 6250 - 7th Street N.E. •�' May 26, 1977 Page 2 8. All electrical lines must be 10-20 feet or more away from the pool surface. 9.' The pool fill spout must be air gapped or protected by a vacuum breaker. 10. Suitable safety equipment to include but not limited to a ring buoy and rope that is 1-� 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, ext. 170. Sincerely, i SJO/mh F Ste" r t y rs' c f .tie v M T i 46 DESERT STAR i ' r - _ - � r - - _ { *' - - S - 0 Y1 n. t ! 4 testi Y •��} .n a J (� ® Approx. • SIX INCH TOP SEAT /�� ,c Approx. Approx. surface k'& 4 0 �� S� �`�' Flat Exp. Area Appr�—' • 20 MIL EXPANDABLE J Size -Model Gal. Cap. Gal. Cap. (Sq. Ft.) ShW. Wt. LINER Aoughboy n -manufacturer reserves the right to 161 x 4811 4.616-07 5,957 7,308 201 366lbs. MIN change manufacturer construction of Dough- 181 X 4811 .4618-07 ,7,4.17 - 8,988 248 415 lbs. boy's family products,-or any pert thereof, without r n • HOT DIP GALVANIZED Incurring any-, tigation to make kike changes on 21 x 48 .4621-07 :10,161 12,68 34k1 .4m_lbs. products previously manufactured. 241 x 4811 4.624=07 -13"395 448 556-lbs. Doughboy Recreational, Inc. ' i PLU �� 10959 Jersey Btvd.,,Cucamongs, CA 91730 4628-Q� � 9 23,998 11l 1-1 • • SIX INCH TOP SEAT • 20 MIL EXPANDABLE LINER • HOT DIP GALVANIZED - PLUS'" dow1hn 7) Doughboy as manufacturer reserves the right to revise, change or modify construction of Dough- boy's family products, or any part thereof, without Incurring any obligation to make like changes on products previously manufactured. Doughboy Recreational, Inc. 10959 Jersey Blvd., Cucamonga, CA 91730 Approx. Approx. Approx. Surface Flat Exp. Area Approx. Size Model Gal. Cap. Gal. Cap. (Sq. Ft.) Shp. Wt. 241 x 161 x 4811 3646-07N 9,667 10,767 325 604 lbs. 321 x 161 x 4811 3626-07N 13,378 15,756 450 846 1bs. 401 x 161 x 4811 3606-07N 17,089 20,718 574 1,025 Itis. 411 x 211 x 4811 3611-07N 22,500 27,500 756 1,100 lbs. i AW G7YOF FRIDLEY PLANNING DIVISION MEMORANDUM DATE: November 3, 1989, TO: Elsie Hanscom, Cashier FROM: Michele McPherson, Planning Assistant SUBJECT: Temporary Sign Permit, SI #89-27 The Fridley Jaycees have complied with the terms and conditions of temporary sign permit, SI #89-27. Please refund their $200.00 cash refundable deposit. The refundable deposit can be returned to: Mark McCown 6250 - 7th Street N.E. Fridley, MN 55432 Tele: 571-7842 MM/dn M-89-676 (10,111,11 CITY OF FRIDLEY Effective 8/15/89 TEMPORARY SIGN PERMIT APPLICATION Applicant/Busines Address: City/Zip/Telephon Sign Erector: Name/Business: Address: City/Zip/Telep Proposed Sign Location: Address: S �� Zoning: Description of Sign: ( ) Balloon (x) Porta -Panel ( ) Banner ( ) Other ' Length y° Height Square Footage Building Characteristics: ( ) Industrial Multi -Use Building ( ) Free -Standing Industrial (�) Commercial Multi -Use Building ( ) Free -Standing Commercial ( ) Free -Standing Institution Number of Permits Allowed Per Year: 1 - 5 tenants in building 2 permits allowed per year 6 - 10 tenants in building 3 permits allowed per year 11 - 15 tenants in building 4 permits allowed per year 16 or more tenants in building 5 permits allowed per year Period of Temporary Sign Display: Erection: q ® Expiration: oe-/ '7/9 - (Approval for 14 days only) Permits Granted this Year: 1. 2. 3. 4. 5. Fees: Under 40 square feet in area - 24.0 Receipt: Over 40 square feet in area -$ 6 Receipt:_ * Deposit - 200.0 Receipt: � * The deposit will be cashed by the City. The deposit will be refunded if the temporary sign is removed by noon of the next business day after the temporary sign permit expires. The undersigned hereby makes application for a temporary sign permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley ordinances and rulings and hereby declares that all the facts and representatives stated in this application are true and correct. —� X3 Date 0c; o2j Date (please pr C Date Cit Sign Code En CITY OF FRIDLEY INSPECTION DIV. Effective On August t, 19% JOB ADDRESS �ZS� `j�"' 6431 University Ave NE New Fixtures 87.00 -< Fridley, MN 554.32 APPUCAInON FOR PLUMBING AND GAS FITTING PERMIT $ 4.00 o 572-3604 Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts -u MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR $ 7.00 and representations stated in this application are true and correct. i+ Bath Wash I Drhlc , .I Floor Catch : Auto. Gas `. Gas iWfsc - �Ws" r Water Stories , Closet . Urinal Tub ; Shower Sink:: Tia Fount': Drain Basin " . Washer I: :Ran Fixt . - j Gas Ef-'lac :: m Basement Sump/Receiving Tank ° 1 t Water Treating Appliance Floor 1 Owner Water Heater -Electric $ 7.00 2:2na Floor 2 Water Heater - Gas" $10.00 Building Used As 1 Gas Range" Floor 3 115 �S M Gas Dryer" $10.00 Estir"lled Cost PERMIT NO. Floor 4 l Back Flow Preventer Required ( )Yes {) No PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS �ZS� `j�"' r•. New Fixtures 87.00 The undersigned hereby makes application for a permit for the work herein rn Old Opening, New Fixture $ 4.00 specified agreeing to do al: work in strict accordance with the city codes Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts -u Blow Ott Basin $ 7.00 and representations stated in this application are true and correct. i+ Catch Basin $ 7.0000 Rain Water Leader $ 7.00 .199u1 -v Sump/Receiving Tank $ 7.00 t Water Treating Appliance $10.00 Owner Water Heater -Electric $ 7.00 2:2na Water Heater - Gas" $10.00 Building Used As Gas Range" $10.00 115 �S M Gas Dryer" $10.00 Estir"lled Cost PERMIT NO. Back Flow Preventer Required ( )Yes {) No Type $15.00 PLUMBING COMPANY Reinspection Fee S42.00/Hr SIGNED BY i► `� 3'0 �`�3S 7 zo `�' ALL OTHERS ANO/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance w Approved By Rough -In Date Final Date 00 State Surcharge $L5Q o Sp MINIMUM FEE FOR ANY PLUMBING&AS PERMIT IS $2120.04 0 TOTALFEE S%�� PLUS THE $1.50 SIATE SURCHARGE C) ""COMBUSTION AIR SHALL. BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SO INCHES. 7 N AK O"N � n x CV �- h -ID 00 M T� k� suerecT City of Fridley =784�7 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 16 r le CITY HALL FRIDLEY 55432 NUMBER REV DAT E OF APPROVED BV ' 612-571-3450 910415 3/12/98 F;GE / JOB ADDRESS 6250 7 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 1 Upland 1st Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Sandy Moses 6250 7 Street NE 571-5808 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Minnesota Exteriors Inc 8600 Jefferson Hwy, PO Box 266, Osseo, MN 55369 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 391-5514 2877 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 Soffit/Fascia 9 CHANGE OF USE FROM TO STIPULATIONS Install soffit ventilation to meet the State Building Code. 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,794 $.90 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. $56.75 Fire SC $1.79 PLAN CHECK FEE TOTALFEE -AGENT License SC $5.00 $64.44 SIGNATURE OF CONTRACTOR OR AUTHORIZED IDATEI WHEN/PPROOPERLY LIDATED THIS IS YOUR PERMIT BL INSP ^IAT�� - SIGNATURE OF OWNER iIF OWNER BUILDERI IDATEI NEW [ ] Effective 3/1/96 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Applications b\ ConstructionAddress: Legal Description: Owner Name & Address: Tel. # Contractor:�Wj leeO MN LICENSE # Address: Tel. # 39// 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: Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: '%le-, cE- Estimated Cost: $ A rox. Completion Date. PP P r (Cost on Back) Driveway rb ut Width Needed: Ft. + 6 Ff= Ft x $ _ $ DATE: / APPLICANT: Tel. # 3!9 -SS's TOTAL STIPULATIONS: » CITY USE ONLY Permit Fee $ 7 Fee Schedule on Reverse Side Fire Surcharge $ / • '? 9 .001 of Permit Valuation (1/10th%) State Surcharge $ '9b $.50/$1,000 Valuation SAC Charge $ $900 per SAC Unit License Surcharge $ $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: » SUBJEci PE City of Fridley 2 8 6 28650 -Ir E�°b THE TWINS BUILDING PERMIT o 572 fr �_____ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC -� -77 / r 1 PROTECTIVE `uj NUMBER REV DATE PAGE OF APPROVED BY I = I CITY HALL FRIDLEY 55432 612-571-3450 910-F15 11/25/98 JOB ADDRESS 6250 7th Street 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 1 Upland 1st Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Sandy Mosesi571-5808 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO DRI Contracting 26103 Vprdin St Tgant' 55040 444-0024 21711169123 s 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 Reroof house and garage (18 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED 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 154 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 $51.25 Fire sC 1.54 eV - PLAN CHECK FEE TOTAL FEE SIGN A TUBE OF CONTRACTOR OR AUTHORIZE O AG T IO TEI WHEN PROP/, LY VALIDATED THIS IS YOUR PERMIT 6 S,GNATURE OF OWNER,IF OWNER BUILDERI IDATE, OG INS FIAiE NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 6c '� —� Si % ` l Legal Description: Owner Name & Address: -��4,4' -2> .S c= S Tel. # Contractor: c MN LICENSE # ?ano 6 9 3 2 Address: ©� 1/C2,�i �� S / .-�o., Tel. #ao 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: 16359 - al Y (q., . Construction Type: /2G=- �o o r �2 d ,=� Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: / / Z APPLICANT: ! Tel. #/`,12-)W�1- %a `l-3 Permit Fee $ 511–Is- Fire 1–IS Fire Surcharge $ /. S� State Surcharge $ '22 SAC Charge $ License Surcharge $ . 6 0 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 [ ] Building' Inspections 763-572-3604 DATE -) / SITE ADDRESS �P THIS APPLICANT IS: 6 BUILDING RESIDENTIAL APPLICATION CITY OF FRIDLEY D %77 YOUR E-MAIL ADDRESS iU -< ❑ OWNER CONTRACTOR Received By: Date Rec'd: &Z' 1, , r) n e,*,,- PROPERTY OWNER/NAME 5 dfL) 1( 14 See Back Page for Fee Schedule TENANT ADDRESS:q7 JlT iv • CITY�/L STAT&ZIP— Fire Surcharge PHONE: .001 times the total job valuation CONTRACTOR NAME: .0005 x Permit Valuation Minimum $.50 STATE LICENSE # E)T DATE $5.00 (State Licensed Residential Contractors) SUBMIT A COPY OF S �y A« G sTATJy�ziP Z/ YOUR STATE LICENSE ADDRESS: U2 _CITY _ WITH APPLICATION PHONE 7& 3 S % - / 3 D O FAX FAMILY/NEW CONSTRUCTION SIZE PROPERTY TYPE $ ❑SINGLE TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS $ `7 .7 ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK:tic NEW ❑ ADDITION MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: HEIGHT Sq. Ft. SIZE OF IMPROVEMENT LENGTH WIDTH ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan GARAGES 11 ATTACHED GARAGE 2• Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS Ar T FFFc ARF. IRACF.T) nN vAT.TTATTnN INCLUDING THE COST OF LABOR AND MATERIALS: TOTAL JOB VALUATION f 199 U.B.0 FEE SCHEDULE) '0C). OCCUPANCY Permit Fee $ -1(oct .-1 See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ --W.0 6 .0005 x Permit Valuation Minimum $.50 License Surcharge $ sS , 00 $5.00 (State Licensed Residential Contractors) SAC Charge $ $1550 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $20 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ `7 .7 Make checks payable to: City of Fridley Attach Stipulations 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 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 of all wor which requires revs w and approval of plans. T % J -(.V-DATE 7 r/6 SIGNATURE OF APPLICAI PRINT NAME V 1 Wt `� 1 � ✓ (-3 ®f v -18 nt: Sandra Property:. 6250 7th St NE Fridley, MN Operator Info: Operator: KC Type of Estimate: Fire Dates: Date Entered: 03/24/2006 'Price 1,ist: MNMN2S6A Restoration/Service/Remodel Estimate:. MOSES i ($ _ ®® �r J f MOSES Room: Kitchen Subroom 1: Offset Subroom 2: Offset LxWxH 10'6" x 8'0" x 8'0" LxWxH 412" x 3'6" x 810" LxWxH 9110" x 8'10" x 8'0" Detach & Reset Refrigerator - 18 cf 1.00 EA Detach & Reset Dishwasher 1.00 EA Detach & Reset Range - 30" - gas 1.00 EA R&R 5/8" drywall - hung, taped, ready for texture 185.44 SF R&R Blown -in insulation - 14" depth - R38 185.44 SF Visqueen vapor barrier 185.44 SF Seal/prime the ceiling - one coat 185.44 SF Mask wall (per LF) 63.67 LF Acoustic ceiling (popcorn) texture 185.44 SF R&R Underlayment - 1/4" lauan/mahogany plywood 185.44 SF Remove Vinyl floor covering (sheet goods) 185.44 SF Vinyl floor covering (sheet goods) 213.26 SF 15 % waste added for Vinyl floor covering (sheet goods). R&R Baseboard - 3 1/4" hardwood 63.67 LF Clean the walls 509.33 SF Clean patio door (sliding glass) (per side) 2.00 EA Clean window unit (per side) 10 - 20 SF 2.00 EA Clean door (per side) 2.00 EA Clean door / window opening (per side) 6.00 EA Clean cabinetry - upper - inside and out 10.50 LF Clean cabinetry - lower - inside and out 12.00 LF Clean refrigerator 1.00 EA Clean range 1.00 EA Clean dishwasher 1.00 EA Clean sink - double and faucet 1.00 EA Clean countertop 14.00 SF Paint door slab only - 2 coats (per side) 2.00 EA Paint door/window trim & jamb - 2 coats (per side) 2.00 EA Finish door/win trim & jamb - 1 coat urethane (per side) 2.00 EA Stain & finish baseboard 63.67 LF Seal then paint the walls (2 coats) 509.33 SF Room: Living Room LxWxH 1813" x 11'5" x 810" Subroom 1: Closet LxWxH 417" x 2'4" x 810" R&R 5/8" drywall - hung, taped, ready for texture 219.05 SF R&R Blown -in insulation - 14" depth - R38 219.05 SF Visqueen vapor barrier 219.05 SF Seal/prime the ceiling - one coat 219.05 SF Mask wall (per LF) 73.17 LF MOSES 03/29/2006 Page: 2 CONTINUED - Living Room Acoustic ceiling (popcorn) texture 219.05 SF Detach & Reset Bifold door set - Colonist - Double 1.00 EA R&R Baseboard - 3 1/4" hardwood 73.17 LF Clean the walls 585.33 SF Clean window unit (per side) 10 - 20 SF 3.00 EA Clean door - bifold set (per side) 2.00 EA Clean door (per side) 2.00 EA Clean door / window opening (per side) 5.00 EA Paint door slab only - 2 coats (per side) 1.00 EA Finish bifold set - 1 coat urethane (per side) 2.00 EA Finish door/win trim & jamb - 1 coat urethane (per side) 5.00 EA Stain & finish baseboard 73.17 LF Paint - closet package (shelf, jamb & casing) 1.00 EA Painting - Faux (special effects) - 2 part 585.33 SF Sand, stain, and finish wood floor 219.05 SF Room: Hallway Subroom 1: Closet Subroom 2: Closet LxWxH 19'10" x 312" x 810" LxWxH 6'0" x 310" x 6'0" LxWxH 2'2" x 210" x 810" R&R 5/8" drywall - hung, taped, ready for texture 85.14 SF R&R 1/2" drywall - hung, taped, floated, ready for paint 542.67 SF R&R Blown -in insulation - 14" depth - R38 85.14 SF Visqueen vapor barrier 85.14 SF Sea]/prime the ceiling - one coat 85.14 SF Mask wall (per LF) 72.33 LF Acoustic ceiling (popcorn) texture 85.14 SF R&R Oak flooring - select grade - no finish 85.14 SF R&R Interior door - oak veneer - oak veneer jamb & casing 2.00 EA R&R Door lockset - interior 2.00 EA R&R Baseboard - 3 1/4" hardwood 72.33 LF Stain & finish door slab only (per side) 4.00 EA Stain & finish door/window trim & jamb (per side) 4.00 EA Stain & finish baseboard 72.33 LF R&R Closet package - hall/linen (4 shelves 3' wide) 1.00 EA Paint - closet package (shelf, jamb & casing) 1.00 EA Seal then paint the walls (2 coats) 542.67 SF Sand, stain, and finish wood floor 85.14 SF MOSES 03/29/2006 Page: 3 Room: NW Bedroom LxWxH 12'10" x 9'10" x 8'0" Subroom 1: Closet LxWxH 6'0" x 214" x 810" R&R 5/8" drywall - hung, taped, ready for texture 140.19 SF R&R 1/2" drywall - hung, taped, floated, ready for paint 496.00 SF R&R Blown -in insulation - 14" depth - R38 140.19 SF Seal stud wall for odor control 496.00 SF R&R Batt insulation - 4" - R13 248.00 SF Visqueen vapor barrier 388.19 SF Seal/prime the ceiling - one coat 140.19 SF Mask wall (per LF) 62.00 LF Acoustic ceiling (popcorn) texture 140.19 SF R&R Oak flooring - select grade - no finish 140.19 SF R&R Interior door - oak veneer - oak veneer jamb & casing 2.00 EA R&R Bypass (sliding) door set 1.00 EA R&R Door lockset - interior 1.00 EA R&R Baseboard - 3 1/4" hardwood 62.00 LF R&R Casing - 2 1/4" hardwood 32.00 LF R&R Door opening (jamb & casing) - 32" to 36" wide - hardwood 1.00 EA Clean window unit (per side) 10 - 20 SF 4.00 EA Stain & finish door slab only (per side) 6.00 EA Stain & finish door/window trim & jamb (per side) 6.00 EA Stain & finish baseboard 62.00 LF R&R Closet package - hall/linen (4 shelves 5'- 6' wide) 1.00 EA Paint - closet package (shelf, jamb & casing) 1.00 EA Seal then paint the walls (2 coats) 496.00 SF Sand, stain, and finish wood floor 140.19 SF Room: NE Bedroom LxWxH 11'4" x 11'0" x 8'0" Subroom 1: Closet LxWxH 77" x 2'4" x 810" R&R 5/8" drywall - hung, taped, ready for texture 142.36 SF R&R Blown -in insulation - 14" depth - R38 142.36 SF Visqueen vapor barrier 142.36 SF Seal/prime the ceiling - one coat 142.36 SF Mask wall (per LF) 64.50 LF Acoustic ceiling (popcorn) texture 142.36 SF Detach & Reset Bifold door set - Colonist - Double 1.00 EA R&R Interior door - oak veneer - oak veneer jamb & casing 1.00 EA R&R Baseboard - 3 1/4" hardwood 64.50 LF Clean the walls 516.00 SF Clean window unit (per side) 10 - 20 SF 3.00 EA Clean door - bifold set (per side) 2.00 EA Clean door / window opening (per side) 2.00 EA Stain & finish door slab only (per side) 2.00 EA Finish bifold set - 1 coat urethane (per side) 2.00 EA MOSES 03/29/2006 Page: 4 CONTINUED - NE Bedroom Stain & finish door/window trim & jamb (per side) Finish door/win trim & jamb - 1 coat urethane (per side) Stain & finish baseboard Paint - closet package (shelf, jamb & casing) Seal then paint the walls (2 coats) Sand, stain, and finish wood floor 2.00 EA 3.00 EA 64.50 LF 1.00 EA 516.00 SF 142.36 SF Room: Center Bedroom Subroom 1: Closet LxWxH 11'6" x 8'10" x 810" LxWxH 6'0" x 2'4" x 810" R&R 5/8" drywall - hung, taped, ready for texture 115.58 SF R&R Blown -in insulation - 14" depth - R38 115.58 SF Visqueen vapor barrier 115.58 SF Seal/prime the ceiling - one coat 115.58 SF Mask wall (per LF) 57.33 LF Acoustic ceiling (popcorn) texture 115.58 SF Detach & Reset Bifold door set - Colonist - Double 1.00 EA R&R Interior door - oak veneer - oak veneer jamb & casing 1.00 EA R&R Baseboard - 3 1/4" hardwood 57.33 LF Clean the walls 458.67 SF Clean window unit (per side) 10 - 20 SF 3.00 EA Clean door - bifold set (per side) 2.00 EA Clean door / window opening (per side) 2.00 EA Stain & finish door slab only (per side) 2.00 EA Finish bifold set - 1 coat urethane (per side) 2.00 EA Stain & finish door/window trim & jamb (per side) 2.00 EA Finish door/win trim & jamb - 1 coat urethane (per side) 3.00 EA Stain & finish baseboard 57.33 LF Paint - closet package (shelf, jamb & casing) 1.00 EA Seal then paint the walls (2 coats) 458.67 SF Sand, stain, and finish wood floor 115.58 SF Room: Bathroom LxWxH 8'0" x 7'0" x 810" R&R 5/8" drywall - hung, taped, ready for texture 56.00 SF R&R 1/2" drywall - hung, taped, floated, ready for paint 296.00 SF R&R Blown -in insulation - 14" depth - R38 120.00 SF Visqueen vapor barrier 120.00 SF MOSES 03/29/2006 Page: 5 CONTINUED - Bathroom Seal/prime the ceiling - one coat 56.00 SF Mask wall (per LF) 30.00 LF Acoustic ceiling (popcorn) texture 56.00 SF R&R Interior door - oak veneer - oak veneer jamb & casing 1.00 EA R&R Baseboard - 3 1/4" hardwood 30.00 LF R&R Vanity 3.00 LF R&R Vanity top - one sink - cultured marble 3.00 LF Clean window unit (per side) 10 - 20 SF 3.00 EA Stain & finish door slab only (per side) 2.00 EA R&R Casing - 2 1/4" hardwood 14.00 LF Stain & finish door/window trim & jamb (per side) 3.00 EA Stain & finish baseboard 30.00 LF Seal then paint the walls (2 coats) 240.00 SF Room: Stairway Formula Stairway 8'8" x 3'3" x 81 0" Clean the walls and ceiling 221.75 SF Seal then paint the walls and ceiling (2 coats) 221.75 SF Remove Carpet 26.00 SF Carpet 29.90 SF 15 % waste added for Carpet. 12.00 SF Clean floor R&R Carpet pad 26.00 SF Step charge for "waterfall" carpet installation 12.00 EA Room: Office LxWxH 1210" x 1016" x 713" Subroom 1: Closet LxWxH 10'6" x 210" x 810" Clean the walls and ceiling 673.25 SF Clean cabinetry - upper - inside and.out 3.00 LF Clean cabinetry - lower - inside and out 7.50 LF Clean door - bypass set (per side) . 2.00 EA Clean countertop 12.00 SF Clean floor 147.00 SF Seal then paint the ceiling (2 coats) 147.00 SF Finish paneling 526.25 SF MOSES 03/29/2006 Page: 6 Room: Family Room LxWxH 22'0" x 110" x 8'0" R&R Acoustic ceiling tile 242.00 SF Clean the walls 528.00 SF Remove Carpet 242.00 SF Carpet 278.30 SF 15 % waste added for Carpet. 160.00 LF R&R Carpet pad 242.00 SF Room: Laundry Room LxWxH 42'0" x 11'0" x 8'0" Clean the walls and ceiling 1,310.00 SF Clean water heater 1.00 EA Clean furnace - forced air 1.00 EA Clean water softener 1.00 EA Clean laundry tub 1.00 EA Clean floor 462.00 SF Room: Roof LxWxH 60'0" x 24'0" x 810" R&R Truss - 4/12 slope 820.00 LF R&R Sheathing - plywood - 1/2" CDX 1,944.00 SF Carpenter - General Framer - per hour 48.00 HR Ice & water shield 1,008.00 SF Ridge cap - composition shingles 160.00 LF R&R Roof vent - turtle type 6.00 EA R&R 3 tab - 25 yr. - composition shingle roofing - incl. felt 19.44 SQ R&R 2" x 6" lumber (1 BF per LF) 336.00 LF R&R Fascia - metal, 8" 168.00 LF R&R Soffit - box framing - 3' overhang 168.00 LF R&R Soffit - metal 504.00 SF R&R Gutter / downspout - aluminum 208.00 LF Room: Exterior/General Siding - Minimum charge 1.00 EA Painter - per hour 8.00 HR Room: Miscellaneous MOSES 03/29/2006 Page: 7 CONTINUED - Miscellaneous Dumpster load - Approx. 30 yards, 5-7 tons of debris 3.00 EA Electrical repair 1.00 EA Heat, vent, & air conditioning repair [ Open Item ] 1.00 EA Plumbing repair [ Open Item ] 1.00 EA Building permit 1.00 EA Grand Total Grand Total Areas: 6,775.98 SF Walls 3,260.77 SF Floor 2,259.67 SF Long Wall 0.00 Floor Area 0.00 Exterior Wall Area 0.00 Surface Area 0.00 Total Ridge Length 3,274.80 SF Ceiling 362.31 SY Flooring 1,141.46 SF ShortWall 0.00 Total Area 0.00 Exterior Perimeter of Walls 0.00 Number of Squares 0.00 Total Hip Length 10,050.78 SF Walls and Ceiling 863.09 LF Floor Perimeter 864.13 LF Ceil. Perimeter 0.00 Interior Wall Area 0.00 Total Perimeter Length J MOSES 03/29/2006 Page: 8 ro P ro MAR -29-2006 WED 01:38 PM LITTFIN TRUSS n9Aa"� I m 1v V eq 14 tq r 1+ m 0 0 o w 0 e o 0 c+ m N ttw r®q K ro w• r v HP; 11 6 n N v tq H c+ m N �N ONUI yQ W t10 �Q 0 O it FAX N0. 9524731245 84 4 s A- u1 - P. 02 eN � mto0yl �WI�fM W Io� mVmW(] W►WN!'it t 6 OmOfA rNp�1w to a% Od,4o NOON �� mmlpm .1Epmd 0000 .QN� Go00 V ♦9 W V �1 1O C r Y M lJ oa oaoo eoecapypy�� NlNt1 +~I yWi� WW W1w 0 0 0 � w d # # V h1 10 #A fA tO � a W rn,aaH #uuoM p m e long D mp l- Iem " I ���Waa w of U O~IJ ct mM4C T N6-110 11 L-. qNm�; MN O O ►� MR "^ 1 N ii 4 M' 1 ha 07 W I V � M - Id roes r Hrrrr `d~ IgA �ap�1 � IN1.. arum 4pi00b m � � Dp�Q r v mlwr � w A tomlar. � c mtr is I -Aro m P. o ~ i nfyit�i 1 aWNt+ A A I R14 tFp 1 M","o 1 p OP oda ;Aol µD H OA`• 1 1 I Wotuo p4 �W r Nap 1� plp t} 000 O .f W.00 � M 1 yr10,1�P� p o N to O p 1 t 1 ty w.�rrou+ t w 000KH1'1a NN0 1WAo1S\OH 000��pl MO IQ N• 1Doy P •.QG �1O WOO �ma0 N AC/1 fa K1 pf o 0 0 v 10 �Ov i 1 N• w n • 1 1 1y esoo ; 1 1 t O W O D o 1 MAR -29-2006 WED 01:38 PM LITTFIN TRUSS r-, w. tjV N o n GYY O� N G 1 I n IWA O O FAX N0, 9524731245 P. 03 O 11 D ,�.,V_T, O W l� D N O O N m e o Y w o W N N PWO �7mmOA O1w Pta (i rPbf7 too .1 /17 0.V-110 QNW W. to to to WW O OOO1yq oOOOO y 40 J% v08t i+ k'j F'`f+rr6C o►�ON fn W is1+rW mWNwm gieirw WinrwW 0000� 00000n b* Noavw wf►IN PSD 4of N eh r u m en 9A M us It pa°HRq m' W►� O 6aB�ytlmyo.a u N p, NP m1P&11 I MEN 668' � 1 P, 10 pb rt ate. A n w !nmlov cr pt A y p► F'' 13 M~ � O►Nr+o� � i [HlYM 4 MMq 0QQ � �p� I�ON��� �•�� 6P i7 �noW`711t+ K p 11 IAOOr@MypQiM'� wvG W " O mob" OR h o p� p F� b W�y/ SC Nm� tq 114 MpNS0 b��L�H1OM�N�9 tl r V s6W� a s i mml°r.1 rZ to DO yO 1 Wf. rR � mat 1 i•W Nr Ittt�'aoaa Egg- -4 d. 4.1 gg-4v0 o%11e� W e�eYNNr�+ V eepp iA + N N 61 ONPo �Moobo Woov� OOooW i —vv 10 i rt �p 1 Y Ki O O O W O� 11 1 r 1 oW0 MAR -29-2006 WED 01:39 PM LITTFIN TRUSS 141 9XI'll AHI p o o N o O e o m m a m •• b M 10 M D 0 N �z d 0 b JS FAX N0. 9524731245 P. 04 N/1 -w- H O WNM W •• t! a til hJ trJ \ O N N O N A WNCt 6 W W Ii 1\1N•• NNNN 4N Aim 7eowM w N 10, CA a� coca in a 0. a &a W t' 0 0 0 Of T of O' mvl+i 0000 pxp N W N N 0 0 0 o N A 00 q p o 0 o n A .Nj .10.OI�m N �l I°m •aH *mm OooM a NwO 06 D 0 N �z d 0 b JS FAX N0. 9524731245 P. 04 N/1 Avmlo WNM amB NOl �fmfm] A WNCt Ii NNNN 4N Aim o Om {Ni.gglNn r m Oot In 10, CA a� coca in a 0. a &a W t' 0 0 0 Of T of 4t 0000 pxp N W N N 0 0 0 o N A q p o 0 o n e 0 o n .Nj .10.OI�m N �l I°m •aH *mm OooM a �pNIP ��m�uIPAA mN(It (A 'h O I�+I+S1� IyPMMa EP` u a mNNm 6 roay CM lf�m@ N •� BNA O O YI moo d1 •r. gl�. i roWih M�I�r�o µW 1 11-• I C � ���W¢tM� tp�r M Ep y old A ��i �o p ppw Q 9 �• K C 117• dad o o fFpa�• �Wr P h � tl N O@ lo+ M OHIO R N 'T al 616 NO\NP '�rraHl.,00 wI w Ramo ""41m,'A r3 o e. 0 1p��og. oii„ p55�g � fly+} ►t {A �Wi �7 � 1 ft eo104.1 ,-n *oil p m�� O 1 W W M W M m In itw R i a t vil b >A K� frArAit7e 1 WNM gCm4mFyF�O �.r.�`r rT l►rr/t aJe dCd�i � oY0 H 1 Kiao 0 M 1 vVIMPt O � 141 pm I I µ I IOPNNn e1o+Mop■K cHy� I 1 1 p O N n O^ 1 M O O N o 0 CA N I Isom i N IG NINAObV 1 1 ' NH 1 or~•.O ooA/A 1 oro m n MAR -29-2006 WED 01:39 PM LITTFIN TRUSS yyObp W R7 8 1.nIt, N N .. N 4 v of N door►+ 1 N O {ril O o Ab 0 r+ N N 1p +-71 e N N m Is a FAX N01 9524731245 P. 05 Y l+rr NrWWN or.NW CIaoWNW y1oYNN mlporNf] JOI tAol.fNeggA1111111 I m t. fA N to o m :l .l fil A MYI�N+• 4AA+o 4/JAAr 94 ♦AOwm W IRm m mm N i W IN 1aN AWOIY W .IW WF•M NONNOQ•O OOOOO p��p��11 oOOOOo pyyq oomm tN.tJJJAI+W n In 4�C0 1 1 t 1 � mrinNM07 enoC o C** aca 0 0 01 IA 1 N;o j..11r 0 JIWONN W a 1 1 O O O e 0 A O O O O O Q n CXab W p� .[In m/n W Jr.1v.1JH JNNA CamAA Arl wo 9mJOAY yy�� ep,Wyp 1n NNNN K K 11 K II 11 mmq my �yNm�fOA &la A.oola Q PaHIA f� � Off) O�MHot R � l as faWNF'F` J t7 f'�F+•91a �NO/pM 16S" � oao`on' 01 N• m g; N � WI b �0 00 pYyg t`N{Fpp�r mmm f li ''w p 41 m 41 0 in In M aro d w r MIND O ~ n 00 W N M 1 n� 61 • �Qr+, e r �{ �hO � pe �. t l 1 p g M C1 sa+y m N m F H F+rem► � oR ppg��'`IIG� ml 04 m PIWpO ��@ JA !,j v mo ��y � Io®On� �0 Hp Q 6„�m A0 IaolppTM 7ba1 1 911 a � , n I m W N 1 1 A mm� r O M r N pemn►Hi el�� o ,e �t I t.e: m r ggY•mp� i Ss�4pep 644pC1a�� - N---` 9 �101 }N�r{�r�•1 i ooYrw H OO ES tltltl 111111 K 1 KiioaJo 0 �OOglp� 1 1 .I. I ro p pp Wig eeeo�l�r t1bJW "a w.00.4 QIP. � � r0 NMf0oalnw pypp�Mrp1�1mrR�1 e+ by oOMO N 12 0 1;1 10 } j10f 11 N1 01 A �p`Ip ►.i �mppoNaoi8�1 ���[t100000P�t D INIIOF�'• p IMP pO1NOQ1O0 w0 aIra 1 't ldvvm�p N C i NAP OObogl 1 ��� �1� mm"ia i owM N 1 1 1 1 �I,N i oNo CON► oao �r p rd "a µ 11 MAR -29-2006 WED 01:39 PM LITTFIN TRUSS FAX NO. 9524731245 P. 06 tE 00 N on, A n �] n M '+1 Q 0 W Ln A to - rN m m c, 0 6 0 0 N M M M M ARM M '+1 Q 0 W Ln A O rN m m N In I G UJ 0 cm m Q% O M A s N- Its W W- bN a0toom a W wryy WtD A•+m%ann No W N(7 N►'•NN A1NNN 1 O14Ymq 10WOIp M O o a O P o 0 M 01 UI0 in W ulpbN 0000 0 0 0 0 N Y r a 0 0 0 0 .1 W W O O W O N M m 1 1 O O O O in hI 0 0 0 0 tp aJ `W vW W., LS �i ,., W 0 1 m on•oA 6 ???PO O O o 0 VJ" COaPmmAPmm mra p to.p MH Nm mNH p� .t. �O 1.".� ' �of�1R�� '"Fyp3 r���oygorr ola� ae� 1 ►+� q o �f`�p sn o RIHMaW� G, �n y1 W p i�rrmr ��'rtr N M� go q�oael q fQQqq�� �r A [ajmNrt�pN r N w 95 0 p9�11 i(�,nDno iaWNF� i, 1 ct C,o1 0 1 1 , 1 1 d HE 1 eoro1 H to iu to � 1 , � N i6om eCNr� . 1 1 wo WO p0 i6W ioC2 Hp1� UI pm.-ao M 1 N0.4M F� ONW Oda V 1 W 1, 7 16�N�AA� � �y`yy I 1 1 8 7�0000� lao�`C. l"M 000 1 too I low 1, 000q 10 { m rtr 1 i K �m� 1 tato 1 om oogol 11 O O O 1 I E MAR -29-2006 WED 01:40 PM LITTFIN TRUSS FAX N0. 9524731245 P. 07 W1� N� a1o`o1r nl►wNN aoo6°r .I dom n(j a.aAwl.�1`�Ji 1 �Q Q N Jgtot 1.0 �N1pp NIJNN r�Qr� W P J W 6 1WO WOO R at OMM Nt11OlOmoM o0a0py� oa000�yq mm W OO Wt� OrOf�A t� 1 1 I IQ O o O 0 0 0 0 0 Ai.li.►�� mio'rwm� Ip A W U1 YI A A o v1 0000 ooOOHn mN mol La as mAA Mb OOtO mmA do mwA01aM �1m+ll 9 N la i'!1"1 Q MNNN ..ppp'r�KKK O 1p WA �1 P Mf7 n R!/o lmluW �@@graf�9YOb�i��� t7�il' fq 1-e Vre 1 O �� ma W 1 1 N l+ r n i-� t tom' ry ., mks J- ed 0 F. M m 1 1 i. r W m �Qa NNR N C!OIWIi � O WWW � 1- mH 1 �� M3334 1 it rt !}� +� 45 e 1o+py �s %SEE O M 1 1 1 M tob�FO]NA�Io O i��iSS11 O�IfOOOo MM r 1 0 � 1 � aow.'.Wro��.o®� `mOm�01� OI�fAO tt� N J.A W• Qo01oa U O R � O, 1 m N P i OOOo�9 i '~+vv Ip a+NliOm rHl aro 000li 0 � 1 I 1 r 1 o A a 0 o N A 1 (I ft e b.• tl O p \ O N N O v 10 at w 1.\p1N•• F+ N 17f N ij c 1 c �fn O O A ro 0 N OD T �Q Q N Jgtot 1.0 �N1pp NIJNN r�Qr� W P J W 6 1WO WOO R at OMM Nt11OlOmoM o0a0py� oa000�yq mm W OO Wt� OrOf�A t� 1 1 I IQ O o O 0 0 0 0 0 Ai.li.►�� mio'rwm� Ip A W U1 YI A A o v1 0000 ooOOHn mN mol La as mAA Mb OOtO mmA do mwA01aM �1m+ll 9 N la i'!1"1 Q MNNN ..ppp'r�KKK O 1p WA �1 P Mf7 n R!/o lmluW �@@graf�9YOb�i��� t7�il' fq 1-e Vre 1 O �� ma W 1 1 N l+ r n i-� t tom' ry ., mks J- ed 0 F. M m 1 1 i. r W m �Qa NNR N C!OIWIi � O WWW � 1- mH 1 �� M3334 1 it rt !}� +� 45 e 1o+py �s %SEE O M 1 1 1 M tob�FO]NA�Io O i��iSS11 O�IfOOOo MM r 1 0 � 1 � aow.'.Wro��.o®� `mOm�01� OI�fAO tt� N J.A W• Qo01oa U O R � O, 1 m N P i OOOo�9 i '~+vv Ip a+NliOm rHl aro 000li 0 � 1 I 1 r 1 o A a 0 o N A 1 M - MAR -29-2006 WED 01:40 PM LITTFIN TRUSS n A A Glu G 0 Q O O 14'A 6666 rorob47 I�aMMM yy O RIO W R7 H 7C J ,H{?R N m N • ad \ G N .g O J ►d Nom. a w RLptr�IWpy OOoo�q O ori+ ►7 -102 oo1JW tf N 1 1 1 1 Od 1-1 F1 N m r Nlpmch OOI.+o lj 1 1 1 1 0' v~iIInn 00 O N O a 1',1m,Ioma 1 ole b 1 ,NIr N'amd � cM " oN n o0e�o; OONw 1 or OD T lit FAX N0, 9524731245 P. 08 ION Jml 1000 oWbMyy Lt to� O1Jm10A W dWNA N N N N N N N N v b o 0 0 0 N g J N O O o o O O O o m J J a o N N 0 JW NaoN�+ OOoom ooeo 000e e• J N r M N pZf m w n m 0.m1A0 V wmmtn 1 0000 oaoo W ►N' moo aves H bm01 m.� OI W wqieJ11WH �rll ���f► f� �F aW fpr �7WNpp K Op tWf'vAK K K K O Ie0 to Ww�Lp. eO S mii�j ~J'r�1�+MOr1 j1 ofp \\a NomMl O#�o C's s ~ DrA O w + ?I to g A wo �•" � r»oop lG� ���Ae N tl a m hl o r mI r n ►� m m I, O 11'o�P[+ ►�I+rRHIt Q0 �� M P µ r IN 2- !� P17 WJ Q bi m I"t+ g o o w It 4�tW9 ��eeea °om IN mwr:�1"�wrLrid "A Iv A¢ ; htNRfl lame rm 0 1Q tr W qmR �0000160iQM''000 � �6 � 1 X61 � 104 �°m1� Krw W " ���A �pWNN J m N r R} ■; v o 00►"1,� SEES ►d NOio a RLptr�IWpy OOoo�q O v ►7 -102 oo1JW tf 1 1 1 1 Od 1-1 F1 N m r Nlpmch OOI.+o lj 1 1 1 1 O N O a 1',1m,Ioma 1 ole b 1 ,NIr N'amd � cM " oN o0e�o; OONw 1 or 0 T MAR -29-2006 WED 01:40 PM LITTFIN TRUSS FAX N0, 9524731245 P. 09 I^.I W rriNN IpoMNlalr tll lAa AtaINM ( II,I 11.1aµ I I MMMM1+ 1 1 1 1 1 1 yy ANW W A� mtpOHN Wi� .Im YIi1a NI'S 1 1 b NlAitd00 WNW N41J V i] 9 m w w Q O O w n p O O O rorororo O�p N 00 im tA" C i O s N W LN P, i m m b N .INma1W ♦ N O A a r /+ A#atm 4A Q� 7a as lna il� 1aON N N NIIIIII y1N N P 1DA00� fY I I H I O O o 0 o 0 o O o o O O O mm mcn MMI+M�+1-� " NNNNNN2 W&4 4-1® OWIa1W W O 33qq o o 0 0 0 0 0 n 0 0 0 0 0 0 0 W A00iN1'7 66 J QM WN iP•IJmAca AAOM P01NNNa1W M O..1W W�tON � 11w Op n�aP rlumylmpm 8 Igorp eleo®� p�a��91�W � 7•o�W7 p' o rQlr+�nam Nr 10m0 7i 113 1p m�G 041 D PN'oEO� 4p'I b y O P y� F��qqa er1np I`Wpb4h��p � �Kh Ci f1 1 0 1-1aa���P}}Pp a �M OiAMh Si SAm7R 1 c Fa o ®A �, y I O 1 ODM-pvoo IIIc 06v • 1'I' t? r.a� J1� 1p+Ippnpry�+ lµ ONO olop� W m ^'EIP OpM Q� 00 o ryp1 d1W& w1 r4 yrl+il 9 oOfl pM`1 1� ��•m �� AO OmAI7 w(11OPr 7I7I77IIA19+, 007 m Rr Oomffmll.p Iby g �g+ �Fa� K�gpM 'Tem. ima o�F �plW-4 wa d e oo s e W i N40Y: mIC N M �Iµd� i Y'►�"il ea P anN P3 Rn li 1 ���P1ol�1pig {-M--- I+fR�RR�j I�>r•Ifa 1I�t11 ;7110 SEE��EN i oel~aµo b d 1 1 1 M 1 1 1 .d alooAo :p14m�°J° u til �,00~ONW R OWE 1 1 II-� 1 �gNNim� �+Ooe� lei 1 1 1 1 1 w 04 MYID Qw~iY0 1!,, OII+OO MO I �* aalNooNaO 01, 1 t N 1 4fA HaHHr k+ip iIP�71Dt" 1 wG��v 00100 � plNr 1 om16MIµ.1 oJmY1 I I 1 1 1 1 I 1 1 VH 1 PMIr+00 o00po1I1�11 Ia I o A o 0 0 00µA 1 M W 0 p t, w �yO M�]RI�s � •• •• b •• G O \ O N !r i9 �i1 N 4 rl O1 N �eorr 1 1 r ►+ O N t11 O O I+ 00 T O�p N 00 im tA" C i O s N W LN P, i m m b N .INma1W ♦ N O A a r /+ A#atm 4A Q� 7a as lna il� 1aON N N NIIIIII y1N N P 1DA00� fY I I H I O O o 0 o 0 o O o o O O O mm mcn MMI+M�+1-� " NNNNNN2 W&4 4-1® OWIa1W W O 33qq o o 0 0 0 0 0 n 0 0 0 0 0 0 0 W A00iN1'7 66 J QM WN iP•IJmAca AAOM P01NNNa1W M O..1W W�tON � 11w Op n�aP rlumylmpm 8 Igorp eleo®� p�a��91�W � 7•o�W7 p' o rQlr+�nam Nr 10m0 7i 113 1p m�G 041 D PN'oEO� 4p'I b y O P y� F��qqa er1np I`Wpb4h��p � �Kh Ci f1 1 0 1-1aa���P}}Pp a �M OiAMh Si SAm7R 1 c Fa o ®A �, y I O 1 ODM-pvoo IIIc 06v • 1'I' t? r.a� J1� 1p+Ippnpry�+ lµ ONO olop� W m ^'EIP OpM Q� 00 o ryp1 d1W& w1 r4 yrl+il 9 oOfl pM`1 1� ��•m �� AO OmAI7 w(11OPr 7I7I77IIA19+, 007 m Rr Oomffmll.p Iby g �g+ �Fa� K�gpM 'Tem. ima o�F �plW-4 wa d e oo s e W i N40Y: mIC N M �Iµd� i Y'►�"il ea P anN P3 Rn li 1 ���P1ol�1pig {-M--- I+fR�RR�j I�>r•Ifa 1I�t11 ;7110 SEE��EN i oel~aµo b d 1 1 1 M 1 1 1 .d alooAo :p14m�°J° u til �,00~ONW R OWE 1 1 II-� 1 �gNNim� �+Ooe� lei 1 1 1 1 1 w 04 MYID Qw~iY0 1!,, OII+OO MO I �* aalNooNaO 01, 1 t N 1 4fA HaHHr k+ip iIP�71Dt" 1 wG��v 00100 � plNr 1 om16MIµ.1 oJmY1 I I 1 1 1 1 I 1 1 VH 1 PMIr+00 o00po1I1�11 Ia I o A o 0 0 00µA 1 M W 0 p tura LAV. 6431 University Ave NE Fridley, MN 55432 (763) 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Ltrcctive vii Jan 1, 2002 I�l Ito]ky,MIz"aK4to] a=11117�� NO. RATE TOTAL New Fixtures 3 $ 7.00 2 /-oD Old Opening, New Fixture $ 4.00 Beer Dispenser $ 5.00 Blow Off 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 $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge 50 JOB ADDRESS 1,04� I I � L 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 orrect. S_ D Owner C a 'cs c `rS ��.1 Ct7 �. C �c�c TA_ -1-c. Building Used As I �� Estimated Cost 3r o na• nG PERMIT NO. PLUMBING COMPANY ja/rK/W SIGNEDBY_ � _ TEL NO." I L ' bqO O (DS ;913i�.TSWai LP[IJI Approved By f v !�zL Rough -In Date Final Date 1WHININVIUM TOTAL FEE $ V. a � PLUSTHE $ 5 SO TATE ,SURCHARGEV^J rG^,•"' ,J COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED f-.0MMQN VENT MIT COIIIIFCTnR Alin CnMMIRTION AIR VFRIFICATION When replacinaan_axisti City of Fridley Building Inspections Dept. Ph: 763-572-3604 FAX: 763-571-1287 6431 University Ave NE Fridley MN 55432 Mechanical Permit # �00�'oo'-A?UN Residential Application City of Fridley Spe Back Side For Reauired Information Date S'n(, Site Address: fa 7 . Sf 11146 The applicant is: (cirice one) Owner Contractor Property Owner: Address: City: State: Zip: Phone: Cell: 2L3 - Z. -oY 9 8 Fax: Contractor Information Company Name: ^4AM Kew Contact Person: YWIA Address:(.ZYg LAIW rp A -f m City: 62YI-l'i PAAk State: M4 Zip: Phone:763- 53#6 -obb7 Cell: falz-9la-3713 Fax: Email: MN Bond# & Exp Date Type of Work (circle one): New Replacement Alteration/Remodel Detailed Description of wo/r�k:pr of & [' 405 � %�/� 1 Ve Equipment Installed: MFG: Model: Size/BTU: MFG: Model: Size/BTU: MFG: Model: Size/BTU: Please check all that apply: _Fireplace (gas) $15.00 New Gas Grill $10.00 $25.00 _Fireplace (wood) $35.00 _Gas Unit HTR $10.00 _A/C to Air exchanger $15.00 _Furnace $35.00 P I Heater $35.00 _Air filer $35.00 hBimney Liner $10.00 _Gas Dryer $10.00 �tilator $15.00 _Gas Piping $10.00/.�� V Duct Work $10.00 Gas Range/Oven $10.00 Permit Fee $ �'Sr Minimum fee $15 or 5% of cost of improvement Surcharge 0.50 whichever is greater + surcharge Total Due $ .�� Make check payable to City of Fridley This is an app cation for a permit- not valid until processed I hereby apply for a mechanical permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this Is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in case of all work which requires review and approval of plans. Signature of Applicant: % Date: A /06 Approval Inspector Signature: / Date:_ d Please Note: Separate permits are required for Building, Plumbing, and Electrical work Revised 6/14/2005 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS ❑ EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propan&UGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a. Lias 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 w 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 • r Building PLUMBING Permit No.: IUOI Inspections RESIDENTIAL APPLICATION Received By:_. ' 763-572-3604 CITY OF FRIDLEY Date Recd: , X70 DATE YOUR E-MAIL ADDRM dA6D _L%4aLOL SITE ADDRESS R.S-6 T+%'% Si- ;UC THIS APPLICANT IS: 0 OWNER ON'riiACTOR PROPETtT'Y 7ME: d _ TENANT AbT P MS: (12a SV :72-%,%5+ AVE CITY ✓` � � � STAT9M CONTRACTOR NAW.: SUBMIT A COPY OF STATE LICErtSE N�-•— EXP DATE (' YOUR STATES ADDRBSS�`Vq-L/0---- E CITY L STATELMA&M LICPAPPLNSEWIM PHONEIa— 7(- i -76 –� ON —PAX rERMIT TYPE 3LE FAMILY Q TWO FANMY O TOWNHOUSE TYPE OF WORTC: M NEW k6LACE14ENT DETAILED DESCRIPTION OF�WORK -c �, 1C.��i C'a 9 c iib, ciQOV+� PER MS 165.665 the permit fee is a minimum of $15.00 or 5% of the total cost Up to $500.00, whichever is gaster, for the imp'rovetntot, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor) Labor cost under $300 a $15.00. Labor cost betwxn $300 to $500 –cost of labor x.05 = FOR PROJECTS WHERE LABOR EXCEEDS 5500, FEES ARE BASED ON $10.00 PER FDMURE, EXCEPT Vfi4RU NOTED. FIXTURES: (IIIDICATE TOTAL NUMBER OF EACH BELOW) BATH SDOL I.AV FLOOR DRAINS _$ROWER —WATER WATER PIPING I3ATH?l1B _GAS PIPING X0WyjjC&a4 _ SWINA+IING POOL WATER MINER ($35) CLOTHES WASHER XITCFXN SINK WATERCLOSET—BACKFLQW PP". ($15) DISHWASHEF• LAUNDRY TRAY .CWATr-A HEATBR ($35) FOR IRRIGATION — WATER MEM —OMER r Permit Fee. $ _, Number of fixtures @ $10.00. x $10.00 m 3 Surehrr�e .50 Number of fixtures C $15.00•.,-,_ x $15.00 - $ TOTAL DUE S Number of fixtures Q $35.00,,,,` x $35.00 m $ State Surcharge = $ .50 Total = $ • 5V THIS 1S AN APPLICATION FOR A PZ M1T•NOT VALID UNTIL PROCESSED 1 hereby apply for a building permit and I acknowledge that the infotmation above is complete and.accurate; that the work will be is confonttanee with the ordinances and codes of the City of Fridley and with the Minnesota Construction Cods; 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 accordanot with the approved plan in the case of. li work hie requir s review and approval of p ane. SIGNATURE�OFAPPLIC rr _ PItIIVTNA43$ �s DATE . City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 wq wr! I.j'_!% : T goon. GT -unr L8ZTTLS£9L: '014 XUA Faiplud do 61 -TO: W17ztw From: unknown Page: 4/4 Date: 6/22/2009 8:53:51 AM Building MECHANICAL Permit No. Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604CITY OF FRLEY ID ° ' Z 763-50/2-4977 FAX BFFECTIVE2-19.09 DATE GPS `O YOURS -MAIL ADDRESS `� •CGS SITE ADDRESS 2_-7� THIS APPLICANT IS: DOWNER. NTRACTOR PROPERTY NAME: Cw > Y OWNER/ p�,, ADDRESS: (O -Qt -7t:- Si- N C CITY �Y+` �S STATE ' ZIP_�2Z TENANT PHONE: CONTRACTOR COMPANY NAME: t— SUBMIT A COPY OF CONTACT PERSON: YOUR STATE STATE LICENSE S EXP DATE LICENSE WITH ADDRESS: 6 O.I [�rt„I %�1M /). CITY � , 4-- STATE 1�1�2IP Z APPLECAnON PHONE CoSf y� � FAX &S(9-57 CZ33 PERMIT TYPE >MINGLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE TYPE OF WORK: 0 NEW di -REPLACEMENT 0 ALTER4T10NIREMODEL DETAILED DESCRIPTION OF WORK FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES, i (INDCA E TOTAL;�IUM BER OF EACH BELOW) Egalpmcn Insmlled MFG: �`!'c.,� MODEL: _So.c- SiZEIBTU MPG: �^' MODEL: lr,t W2 SIZEnM MFG: MODEL. SIZE/STU 4A/C $25.00 FIREPLACE (GAS) $15.00 GAS RANGE/OVEN $10.00 AIR TO AIR EXCHANGEER $IS FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 BOILER $35.00 FURNACE $35.00 GAS UNIT HTR $10.03 CHIMNEY LINER $10.00 GAS DRYER $10.00 POOL HEATER $35.00 DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 Number of fixtures ® $10.00 x $10.00 - $ Number of fixtures @ $15.00 x $15.00 = $ A'S Number offs lures @ $25.00 x $25.00 = $ Number fixtures $35.00 $35.00 = $ 3,15 of @ x State Surcharge = S. .50 C), �b 1RUMUM FEE $3554 Totai = $ TICS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED d I acknowledge that the information above is complete and accurate; that the work will be in I hereby apply for a build1W4 conformance with the ordinancesodes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an aa permit and work is not to start without emit; that the work will be in accordance with the approved plan in the case ich requires view and approval of pl SIGNATURE OF APPLICANT PRINT NAMH-�-1 �DATE� " PLEASE NOTE: SEPARATE PERMITS ARE REQUIRED FOR BUILDING ELECTRICAL AND MECHANICAL WORK City of Fridley Building Inspections Department 6433 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977