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PRE 2010 DOCSCity of Fridley, N mn. BUILDING PERMIT Date: _ —fir' Owner: ��. Builder — — ----- Address _ _ Address — ,r _r,�r LOCA N SOF B DING No. 411.5-7 ° Street — 7' ._�^� ! _•f -� _Part ofLot Lot — —__ Block —„fir — Addition or Sub -Div ion Corner Lot _ _ __ Inside Lot $-� Setback 0 - Sideyard Ze Sewer Elevation ___ _ ---Foundation Elevation DESCRIPTION OF BUILDING To Used Am or lr_e Front Depth — Height Sq. Ft. Cu. Ft From Depth .a► Height Sq. Ft. !� Cu. Ft. h� ea Type i Construction Esta Cost o be Completed _ In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of q npmr ccs 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 .grhnted' and` his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. �'°'-'� _' NOTICE: This permit does not cover the construction, installation for wkIng, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, IOTA Owner's Namef--- Address Address LOCATION OF BUILDING No. Street Part of Lot Lot 4 Block 2r� Addition or Subdivision Corner Lot Inside Lot A-�- Setback --r-- Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: f Front Sq. Ft. Ft. I� ®= Type of To be Completed i 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. DATE t`: d SIGNATUREA 142 (A Schedule of Fee Costs can be found on the Reverse Side.) l9 Application for Power Plants and Heating. Cooling, Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL 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 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 60,000 BTU 2.00 $ Replacement of Furnace ............................. 5.00 $ 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 $ 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 $� GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures x $1.50 $ It 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 w ROUGH— OUGH FINAL— FINAL Dept. of Bldgs. Phone SII//4-7470 T.MO*Cnn City 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 6 19 — Kind of Used as To be completed about a Estimated Cost, Old—New. Building Permit No. putt No. /F,? DESCRIPTION OF WORK HEATING or PO team, Hot Water, Warm Air—No te-A Trade Nam Size No 0 000 Capacity MafO Sq. Ft M.R BTU H.P. Total Connected Load Kind of Fuel BURNER — Trade Name 2 Size No Capacity ��$ Sq. Ft. E.D.R BTU H.P. (REMARKS—OVER) w <z 7M SUBJECT PERMIT City of Fridley 3105 AT THE TOP OF THE TWINS BUILDING PERMIT 11 � t COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r F PROTECTIVE 3706 1 . F NUMBER REV DATE PAGE OF APPROVED BY I 1 CITY HALL FRIDLEY 55432 ' 612-571-3450 910-F/5 6/12/00 JOB ADDRESS 1357 53rd Ave NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 13 2 1 Swanstromt s Court SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Thomas Trygg 1357 53rd Ave. NE Fridley 571-5143 3 CONTRACTOR Sons MAIL ADDRESS ZIP PHONE LICENSE NO Tabor and )?'s Roofing, Inc. 10547 Terrace Rd. Blaine, MN 55434 789-1902 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20014248 S ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO B USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW O ADDITION O ALTERATION M REPAIR ❑ MOVE O REMOVE B DESCRIBE WORK Reroof House and attached garage (27 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 OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING Sp. 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 I STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND VALUATION SURTAX �% ORDINANCES GOVERNING THIS TYPE OF WORK WILL iBE COMPLIED $2,360.00 18 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- STRUCT ON OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEETOTAL F Licens C $5 . 0 $91.79 SIGNATURE OF CON'RACTORORAUTNORIZEOAGENT IDATEI EN ROPE IDAT $ is Y R PERMIT S.GNATURE OF OWNEROF OWNERSUILOERI IDATEI 9LEG INSP gAtt NEW [] ADDN [ ] CITY OF FRIDLEY ALTER [ J SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: Legal Description: Owner Name & Address: Contractor: Address: 1 o q -Y 7 LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Effective 1/1/2000 (763) 572-3604 Bldg Insp Tel. # MN LICENSE # 02 oo/5' Z VY Tel.# '7fS q-/qa2 Attach to this app, cation, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length V*th Height Sq. Ft Length Width Height Sq. Ft Length Hgt/Ground Sq. Ft Construction Type: �� �? 7 SQ Estimated Cost: $ aPS?3 (O 6 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT:I� f�� Tel. # 79'Y'1,9Ol CITY USE ONLY - Call (763) 572-3604 fo� Permit Fees if mailing in application Permit Fee $ 83 --?3r- Fee Schedule on Reverse Side Fire Surcharge $-��o .001 of Permit Valuation (1/10th%) State Surcharge $.50/$1,000 Valuation SAC Charge $ $1100 per SAC Unit � 6® License Surcharge $ $;.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ �ee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ (9 1, gq STIPULATIONS: Building MkCHANICAL PerrnitN 31 Inspections RESIDEN IAL APPLICATION Received By: - _ 04, Date Recd: d �� 7.63-572 36 CIT OF FRIDLEY DATE 10 3 --OG YOUIR E-MAIL ADDRESS SITE ADDRESS rd OLe (1Q THIS APPLICANT IS: ❑ OWNER Pr4ONTRACTOR PROPERTY NAME: —rong OWNER/ ADDRESS: /3.517 53 o–d /1^� CITY STATE/�1N.1;IP S$` TENANT i/_ 2 _ ch/ _ eYc12 CONTRACTOR COMPANY NAME: SUBMIT A COPY OF CONTACT PERSON: r' YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH ADDRESS: &VO nlroiln Sf n4 3 CITY ,�%� STATEI ZIP5Y& APPLICATION PHONE 7G 3 - 7sy-,At99 FAX PERMIT TYPE I ❑ SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: I ❑ NEW ❑ REPLACEMENiT )<ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between P00 to $500 = cost of labor x.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) MODEL: SIZE/BTU Equipment Installed MFG: MODEL: SIZEBTU MFG: SIZE/BTU MODEL: A/C $25.00 ,FIREPLACE (GAS) $15.00 . —GAS RANGEIOVEN $10.00 AIR TO AIR EXCHANGEER $15 —FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 BOILER $35.00 —FURNACE $35.00 —GAS UNIT HTR $10.00 —_CHILER S LINER $10.00 —GAS DRYER $10.00 POOL HEATER $35.00 DUCT WORK $10.00 GAS PIPING $10.00 _VENTILATOR $15.00 _ _ _ . _.. _ _ _._ . , _ .. k.� ..... __,..,� �:��:....,a�.;:...r•_�.;Erni::+rt',+vr+ra�.`i.sv+Yiia�4R��' Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge $ .50 Number of fixtures @ $15.00 �x $15.00 = $ I S• On TOTAL DUE $ Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ 50 Total = $ IS -C,6 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 w k/which re uires review and approval of plans. SIGNATURE OF APPLICANT 7A PRINT NAME DATE & 3-�_ 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 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. Gas appliances IFGC 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 Building &573 MECHANICAL Permit No. 6 jt 'v Inspections Cw RESIDENTIAL APPLICATION Rec B� 763-572-3604 CITY OF FRIDLEY Date a d: o DATE YOUR E-MAIL ADDRESS A E SITE ADDRESS ,35 S 3r pU,G 1 v THIS APPLICANT IS: ❑ OWNER ]CONTRACTOR PROPERTY NAME: 11&0M s Yy G G OOWNN TEANT ADDRESS: 135-1 Sar �u � N E CITY f r STATE*ANIP K154 PHONE: CONTRACTOR COMPANY NAME: CENTERPOINT ENERGY CONTACT PERSON: JOANN Z INKEN SUBMIT A COPY OF YOUR STATE STATE LICENSE # EXP DATE LICENSE WITH ADDRESS: 3320 EVERGREEN BLVD STE B= ''COON "RAPIDS sTATEMNzIP55433 APPLICATION PHONE 763 - 757 - 6202 FAX 763--757--6701 PERMIT TYPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW REPLACEMENT ❑ ALTERATION/REMODEL DETAILETDES_. TION OF WORK �v�5 ` IQ �ri�� Y`c�c Clan cI fkDr PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor X.05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) ` Equipment Installed MFG: + MODEL: LkR-A ' div SIZE/BTU LA MO $7� MFG: MODEL: V y SIZE/BTUa-�o+r1 1_) $Le! MFG: MODEL: SIZEIBTU A/C $25.00 FIREPLACE (GAS) $15.00 GAS RANGE/OVEN $10.00 TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 _AIR _BOILER $35.00 -EFURNACE $35.00 _GAS UNIT HTR $10.00 LINER $10.00 DRYER $10.00 _POOL HEATER $35.00 _CHIMNEY _GAS _DUCT WORK $10.00 _GAS PIPING $10.00 _VENTILATOR$15.00 PERMIT FEE PROJECTS FOR UNDER $500 PERMIT FEE FOR PROJECTS OVER $500 Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $25.00,_ x $25.00 = $ V6•CP Number of fixtures @ $35.00 x $35.00 = $ 35.00 State Surcharge = $ 50 Total = $ &4.-W 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 work which requires review and approval of plans. g ROGER HOFFHE IN I I U SIGNATURE OF APPLICANT .PRITTT NAME DATE PLEASE NOTE: SEPARATI? PERMITS ARE RE UHIED FOR BUILDING, ELECTRICAL AND, MECHANICAL WORK City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 h City of Fridley Residential Mechanical Application Page 2 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC ❑ NEW HOMES/ADDITIONS YrEXISTING 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 Propane/IFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments 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.