PRE 2010 DOCSAppficerion for Power Plants and Hearing, Cooling, Ventilation, Refti'igeretion and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR:
Furnace Shell & Duct Work ..........................
Replacement of Furnace
Repairs & Alterations—up to $500.00 ..................
Repairs & Alterations each add. $500.00 ...............
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............
each add. 60,000 BTU .......................
Replacement of Furnace .............................
Repairs & Alterations—up to $500.00 .................
Repairs & Alterations each add. $500.00 ..............
RATE TOTAL
8.00 $
5.00 $
5.00 $
2.50 $
8.00
$
2.00
$ _
5.00
$
5.00
$
2.50
$
STEAM or HOT WATER SYSTEM
NO RATE TOTAL
1st 3 Fixtures ......................
Furnace Shell & Lines—to 400 sq. ft. IDR 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
$
OIL 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 $ -Z-- C' O
GAS FITTING FEES:
NO RATE TOTAL
1st 3 Fixtures ......................
x $1.50
$>T-6 j
Additional Fixtures .................
x .50
$
Gas Range to 200,000 BTU ...........
x 2.00
$
AIR CONDITIONING
$
FAN HEATING SYSTEM
See Fee Schedule
VENTILATING SYSTEM
$
ALTERATIONS & REPAIRS
TOTAL FEE
$®
REMARKS:
G L, 010 I
Dept. of Bldgs. Phone SII 4-7470
— .3
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.
ey, 195,Z-
Owner
95ZOwner C�L195._
Kind of Building 195—
Used as
To be completed about
Estimated Cost, $
ANNEWORW Building Permit No.
DESCRIPTION OF WORK
ABATING or POWER PLANTS --Steam, Hot Water, Warm Air—No
Trade Name Size No
Capacity Sq. Ft. E.D.R BTU H.P.
Total Connected Load Kind of Fuel
BURNER — Trade Name Size No
Capacity.
Sq. Ft. E.D.R BTU H.P.
Signed
By
-QW11 POST IM -19-58 Business Phone No-s-�Z' 7
r
d�
City of Fridley
Applicafrkm for Plumbing and Gan Fitting Porneit
DESCRIPTION OF WORK
Number. Kind and Location of Fixtures
PARTIAL RATE
SCHEDULE
PLUMBING FIXTURE RATES:
NO. RATE TOTAL
Number Fixtures ......................
x $1.50
$
Future Fixture Opening ................
x 1.20
$
New Fixture Old Opening ..............
x 1.00
$
Catch Basin ............................
x 3.25
$
Water Heater (Up to 200,000 BTU) ......
x 2.00
$
New Ground Run Old Bldg . ............
x 3.25
. J
GAS FITTING FEES:
NO. RATE TOTAL
ERNE
IN
.I CIL V�
�� r
0
�/. ��
1����wCnt/ArrAd
■■
E
��/E�IIN ME
v�
K
PARTIAL RATE
SCHEDULE
PLUMBING FIXTURE RATES:
NO. RATE TOTAL
Number Fixtures ......................
x $1.50
$
Future Fixture Opening ................
x 1.20
$
New Fixture Old Opening ..............
x 1.00
$
Catch Basin ............................
x 3.25
$
Water Heater (Up to 200,000 BTU) ......
x 2.00
$
New Ground Run Old Bldg . ............
x 3.25
$
GAS FITTING FEES:
NO. RATE TOTAL
1st 3 Fixtures .......................... x $1.50
Additional Fixtures .................... x .50
Gas Range to 200,000 BTU .............. x 2.00
REPAIRS & ALTERATION Refer to Code
Description�t� .........................$
TOTAL FEE $-, �
Dept. of Bldgs. Phone SU 4-7470
Location 01 — 6-3 AyE , 9
City of Fridley:
The undersigned hereby makes application for a permit for the work herein
specified, agreeing to do 411 work in strict accordance with the City Ordinances
and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and correct.
Fridley, Minn ® J 19
Owner ADoA-/�" A C�/4 4
Kind of Building _17 d A M -F—
Used
Used as & M4 og
To be completed about VA -A48,6-:4! !
Estimated Cost, $
Old—New. Building Permit No Permit No.
Signed—
By
Business Phone No �� 96 71
ROUGH
FINAL
a a 2M 7-59
CITYOF FRIDLEY INSPECTION DIV.
6431 University Ave NE
Fridley, MN 55432 it:` -
572 -3604
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
Effective On May 10, 1999
MARK NUMBER
OF
FIXTURES
TO BE INSTALLED
ON EACH FLOOR
<t..
+>
:;
::t. •s%.:
Wash
^<
'< :• rpt.
��'r� ,r..
F loori,
.:.�,.
: x;
�
:;:}:
Auto. ::.:s.. r�.:<.: Gas
/.
::f'
�,,�,�.� 3. Water H eater
Stories
4;I{�4. J.:.<:
d!
!> f✓•':
Urinal
t•�•R•. •.
r \k4' :
' Shower
':.{:,�,.:;•'X;% r:
F' jar,.'%.
I
:•r:•O:'i;',a,�,.� r.✓t+<..�.•:i+.�.
zr. 1,t.
iEtll
.
eJ'.'vy�y#:
N <,.
r�idS % :f.
^WG�'mk'�
ON
i ,>{ Ir
:
Tray
:.,
Drain
tt; k„:.
Washer . ! Ran a
F 1 Gas Elec
Basement
Floor
...
........A
f:•:::::.:.�.....
Floor
Floor 3
Floor 4
>{
PLUMBING FIXTURE RATES:
NO. RATE TOTAL JOB
New Fixtures
Old Opening, New Fixture
Beer Dispenser
Blow Off Basin
Catch Basin
Rain Water Leader
Sump/Receiving Tank
Water Treating Appliance
Water Heater -Electric
Water Heater - Gas**
Gas Range”
Gas Dryer**
Back Flow Preventer Required ( )Yes () No
$ 7.00
$ 4.00
$ 5.00
$ 7.00
$ 7.00
$ 7.00
$ 7.00
$10.00
$ 7.00
$10.00
$10.00
$10.00
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
0
The undersigned hereby makes application for a permit for the work herein
specified agreeing to do all work in strict accordance with the city codes
and rulings of the Building Division, and hereby declares that all the facts
and representations stated in this application are true and correct.
Owner'jGfO
Building Used As
Estimated Cost - PERMIT NO. f
PLUMBING COMPANY
TEL N0. �,`% — 05 -6 -S --
Rough -In Date Final Date /,/-& -60
TOTAL FEE $ PLUS THE S -501 -STATE SURCHARGE
"COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SO INCHES.
Ud: e9f Arl LbI 11/lU/yu f&Lwe',,leePaE rage 1 ®®
r
FAX INSTALLER JOB SUMMARY COVER SHEET Date: 11/10/1999
Page: 1
FROM: THE HOME DEPOT, INC.
STORE 2807: BRIGHTON RD
1520 NEW BRIGHTON BLVD
MINNEAPOLIS MN 55413
FAX: (612) 706-1447
PHONE:(612) 782-9594 Ext. 440
TO: KCJ ENTERPRISES INC FAX: (612) 551-2555 Ext.
KCJ ENTERPRISES INC PHONE:(612) 551-0555 Ext.
INSTALLER * 50023733
2800 CAMPUS DR.
SUITE 40
PLYMOUTH MN 55441
TOTAL NUMBER OF PAGES TRANSMITTED: 2
IF YOU DO NOT RECEIVE ALL OF THE PAGES LISTED ABOVE,
PLEASE CALL THE SPECIAL SERVICES DESK -
(612) 782-9594 Ext. 440 - IMMEDIATELY!
rAW
FRIDOF
LEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287
September 25, 2000
Judy Edwards
631 53 Ave. NE
Fridley, MN 55421
Re: Final Inspection at 631 53 Ave. NE
Contractor: KCJ- Mr. Rooter
Dear Ms. Edwards:
A plumbing permit was issued on April 19, 2000, for the above noted address,
to install a gas water heater. According to section 4715.2800 of the State
Plumbing Code, a final inspection shall be conducted on the plumbing authorized
by this permit. As of this date no inspection has been called for.
You will be given thirty (30) days from receipt of this notice to respond. If we do
not hear from you, we will expire the permit and any inspections on this
installation will require a new permit.
Any questions can be addressed to myself at (763) 572-3603.
Sincerely,
�5SEN
Ffnspector
LIVIi
01
SUBJECT
City of Fridley
33550
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
RECEIPT NO.
COMMUNITY DEVELOPMENT DIV.
PROTECTIVE INSPECTION SEC.
r E
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
L J ` 763-571-3450
910-F15
5/23/03
JOB ADDRESS 631 53 Avenue NE
1 LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
3
2
Oakhill Addn inc. 1/2 of Vac Jefferson St SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Judy Edwardh 631 53 Avenue NE
763-572-8164
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
❑ NEW ❑ ADDITION ❑ ALTERATION J] REPAIR ❑ MOVE ❑ REMOVE
11LL
8 DESCRIBE WORK
Reside House & Garage
9 CHANGE OF USE FROM TO
STIPULATIONS
Per Section 1402, 1997 uniform Building Code, requires
that a weather resistive
barrier be placed over exterior sheathing to protect the interior wall covering.
Exceptions for this provision would be if sheathing is
an approved weatherproof
panel or when the siding is an approved weather barrier. Vinyl siding is not
a weatherproof covering unless the manufacturer states
this in their application
guidelines. Call for inspection of wrap before covering or take pictures. 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
SO. FT
CU FT
AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED.
NO DWLG. UNITS
OFFSTREET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION
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
$4,600
$2.30
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-
Fire SC $4.60
STRUCTION OR THE PERFORMANCE OF CONSTRUCTION
$111.25
PLAN CHECK FEE
TOTALFEE
$118.15
OF CON'RAC TOR OR AUTMORfZED AGENT IDATE,
EN PROPERLY
VALIDATED THIS IS YOUR PE MIT
XSIGNATURE
_I 2y
71GNATUR Of OW
IBLOG INSP
HATE
LIVIi
01
NEW [ ] CITY OF FRIDLEY Effective 1/1/2003
ADDN [ ] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 5714287 Fax
BUILDING PERMIT APPLICATION
Construction Address: (a 31 - f0rd CLrnc,eC&1 L
Legal Description:
Owner Name & Address -j j4dt,4 Tel. Q3/672'
Contractor: T4%" 4 Li4 A 4 D WAC " MN LICENSE #
Address: Tel. #
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.
Construction Type:i/�f Estimated Cost: $ `% 60
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ —=$
DATE: 512310 3 APPLICANT:Qt .C)aA,i ' k Tel. # 7(r,81,572: -k0
Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we will
call you for card number.
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
CITY USE ONLY -
Fee Schedule on Reverse Side
$ O .001 of Permit Valuation (1/10th%)
$ A,30 $.50/$1,000 Valuation
$ $1275 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 [ ]
$ 118, /s"
Building
BUILDING
Permit Fee
Permit No.--,,? 6I '6 "
Inspections
Plan Review
RESIDENTIAL APPLICATION
Received By -
763 -572-3604
$ i
CITY OF FRIDLEY
Surcharge
Dat QdFE 2
763-502-3604 FAX
License Surcharge
$
$5.00 (State Licensed Residential Contractors)
SAC Charge
$
EFFECTIVE 1-1-2010
Curb Cut Escrow
$
DATE Gg
YOUR E-MAIL ADDRESS '~
$
SITE ADDRESS i
d
�� �, & /'—
$
THIS APPLICANT IS:
❑ OWNER [CONTRACTOR
$
PROPERTY OWNER/
-
NAME: /01 Ls
$ /
TENANT
ADDRESS: � ' nn
���� � J3�,�,4L. A) CITY l`r�
STATE IP
PHONE:—2-6 3— 2�Z j 1p:3 rT e�
CONTRACTOR
NAME: -
SUBNHT A COPY OF
STATE LICENSE # � O �) EXP DATE
YOUR STATE LICENSE
AND CERTIFICATE OF
ADDRESS: C'LIZ)CITY �.' -d _STATE /_I �I T C
INSURANCE
PHONE 41;1 , / FAX
PROPERTY TYPE
ff SINGLE FAMILY/NEW dONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE
❑ ADDITION ❑ GARAGEISHED ❑ WINDOWS
❑ BASEMENT FINISH Ml_ROOF ❑ DRAIN TILE
❑ DECK ❑ SIDING ❑ OTHER.
❑ SWIMMING POOL
TYPE OF WORK:
❑ NEW HOME CONSTRUCTION ❑ ADDITION
❑ MAINTEENANCEIREPAIR ❑ REMODELING
DESCRIBE WORK BEING DONE: V w
SIZE OF IMPROVEMENT
LENGTH WIDTH
HEIGHT SQ FT
ROOFING ❑ HOUSE ONLY
NUMBER OF SQUARES /��HOUSE & GARAGE
BASEMENT REMODELING SUBMIT:
�
1. Existing Floor Plan
GARAGES
❑ 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
FOR WINDOWS — PROVIDE U -VALUE AND
OR FOR NEW OPENINGS -DESCRIBE SIZE OF
MANUFACTURE STICKER ON WINDOW.
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING THE 1997 U.B.0 FEE SCHEDULE)
'1'O'1•AL JOB. VALUA'FION $
OCCUPANCY '1'YFE
Permit Fee
$
See Back Page for Fee Schedule
Plan Review
$
65% of Building Permit Fee
Fire Surcharge
$ i
.001 times the total job valuation
Surcharge
$
.0005 x Permit Valuation Minimum $.50
License Surcharge
$
$5.00 (State Licensed Residential Contractors)
SAC Charge
$
$2100 per SAC Unit (Plans to MWCC for determination)
Curb Cut Escrow
$
ft + 6 ft = ft x $22 = $
Erosion Control
$
$450 Conservation Plan Review
Park Fee
$
Fee Determined by Engineering
Sewer Main Charge
$
Agreement necessary ( ) Non Necessary ( )
Total Due
$ /
Make checks Davable to: Citv of Fridlev 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 on site; that the work will be in accordance with the
approved plan in the case of all work which yeq fres review and approval of plans.
SIGNATURE OF APPLICANT PRINT NAME W'111;4-10 � �Ie i 0