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PRE 2010 DOCSl Laity of Tridley, Minn. BUILDING PERMIT No 4207 Date: . -September.....9..a....195..9................. ._.......................... _.. Owner: ................................ Builder .............. LYRALE _BUILDERS_............_._. Address....._............._......._-.._............_.._-......_._.._._._.....__..._........._...... Address 3019 ITndale . Avenue South _._. Minneapolis, Minnesota LOCATION OF BUILDING No. ........ .r' 321 .............. Street ........................ _............ .. Part of Lot ..... ............. ........... .... .......... ............ .... ........ ... Lot .._9ZArM....... Block ............. 1......_ ........ - ................. Addition or Sub -Division ...._;V.n ,6..._BU_31. Prgs--../ftlh.._ 1C1.�n.a Corner Lot .................................. Inside Lot ............... X.................. Setback ............. 3.r�...t.................... Sideyard ... ............. ..._....6_t..........._............._..._..... SewerElevation ................................... _....... ----................... ................................... Foundation Elevation .................... _............. _............. _............................ _....... _.... ... DESCRIPTION OF BUILDING To be Used as: .DW8113Y1� ....................... Front 431—- Depth ....27.=........ Height ......_191.... Sq. Ft.Cu. Ft. 20a.5..39 ... -.............. ....................................... Front ...... ................. Depth ... ........ ............ Height ................. - Sq. Ft. ........................ Cu. Ft. ..... _................. Type of Construction ............ 7 .... .........._.._- Est. Cost .......$13.2.296....._................ To be Completed ..... _............. ....................... ........ In consideration of the issuance tome 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 ordinances of the city of Fridley. a -tea .�✓'�-°. _. —� In consideration of the Payment of a fee of $............ permit is hereby granted to.......................................................... ... __....... ...... ................................................ to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or 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 ofrovisth ions of said ordinances. Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. 4 Application for Power Plants and Heating. Cooling, Ventilation, Refrigeration 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 .............. STEAM or HOT WATER SYSTEM RATE TOTAL 8.00 $ 5.00 $ 5.00 $ 2.50 $ 8.00 $ g' 2.00 t 5.00 $ 5.00 $ 2.50 $ 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 $ 5 GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM ALTERATIONS & REPAIRS TOTAL FEE REMARKS: DepL of Bldgs. Phone SII 4-7470 Limon ptz '. r 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. C� dley /' 1951 Owner 195— Kind of Building 195— Used as�� To be completed about .z Estimated Cost, $ Old—New. Building Permit No.� DESCRIPTION OF WORK HEATING or P0711 PLANTS—Steam, Hot ater, Warm Air—No gil Trade Name s Size No_ Capacity Sq. Ft. E.D.R l210 e6J® BTU H.P. Total Connected Load �� Kind of Fuel BURNER —Trade Name Size No Capacity Sc 11 POST 1M-12-58 Business Phone No, Z'112?&" D•56 -gal-79 ��- HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS Weatherstrips A.S.H.V.E. Construction No. Guide Windows Doors, Reference Out. Wall Int. Wall Ceiling Roof Floor es I e 19_ 1 ev °' • r-1 I n_-- I t __-.L 2n 3 W/:.I.L ♦ � I Lde:..I.r ®/ II / 1:1 I _moi a..1 ,7"-.7.1...—ft"'WO.1— Windows an 'Doors—Crackage and Area _oors—Crackage and Area Width Height No. of Llneal ft. Area No. of pane of pang lights of crack sq. ft. .2- 112.0 -?i a / al .-11? A�", /o. a1 e �D .5D s le 1P -&.6 ao %'O Exp. wall 40,0 �/, D Coef. Btu Infiltration Int. wall 1175 Gr Ceiling J 7 d p Glass Exp. wall Net exp. wall A0 //d0 Exp. wall Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Exp. wall f /to 149T710 Net exp. wall Net exp. wall Ceiling Int. wall / /® /e�-® Int. wall Ceiling 6-3 Ceiling Floor /® cam? d Floor I. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area /rl I - _ D....... I I ---.L 0 Y w;,I.►. /,/,o Windows a _oors—Crackage and Area Coef.1 Btu Infiltration Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. It. y/ Glass ao Exp. wall s -P-0 Btu Coef. Btu Infiltration Int. wall 1175 Glass Ceiling Exp. wall Glass Floor Exp. wall Net exp. wall A0 //d0 Exp. wall Required sq. ft. E.D.R. or sq. ins. W.A. Leader area f /to 149T710 Net exp. wall Floor Ceiling Int. wall / e® 1.2/e-) Floor Ceiling 6-3 Floor Total Btu. I�o Required sq. ft. .D.R sq. ins. W.A. Leader area Fl. / Room ( Length /; r Width /// Heights' Windows and Doors—Crackage and Area Width Haight No. oL Lineal ft. Area No. of Dane of pane llghte of crack eq. ft. 6--1, 5J6- 4-770's MINNEAPOLIS. MINN. Insulation Kind How Applied RMm I l .Pnath O14 Width P / Height v Windows and Doors—Crackage and Area Coef.1 Btu Infiltration Glass ao Exp. wall s -P-0 Btu Net exp. wall 1,0-014 Int. wall 1175 Glass Ceiling Exp. wall `J D Floor Exp. wall Net exp. wall Total Btu. mPO Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 6--1, 5J6- 4-770's MINNEAPOLIS. MINN. Insulation Kind How Applied RMm I l .Pnath O14 Width P / Height v Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. ofpane of pane lights of crack sq. ft. 7 Coef. Coef. Btu Infiltration / 51? 1175 Glass Exp. wall `J D .�e Exp. wall Net exp. wall / mPO Net exp. wall f /to 149T710 Int. wall Floor Ceiling / e® 1.2/e-) Floor 6-3 Total Btu. od U Required sq. ft. E.D.R. or sq. ins. W.A. Leader area G'I I J/ Rnnm I L.enath // / Width / / / Height - " Windows and Doors—Crackage and Area Wldth Height No. of Lineal Lt. Area No. of pane of panne lights of crack sq. ft. 7 Coef. Coef. Btu Infiltration / 51? 1175 Glass�9 Exp. wall `J D .�e Exp. wall Net exp. wall mPO Net exp. walle f /to 149T710 Int. wall Floor Ceiling 1.2/e-) Floor 6-3 Total Btu. IQ r/ `e Required sq. ft. E.D.R. or sq. ins. WA. Leader area / FII •,4 Rnnm I Lenath/.2-T Width X� A Height r Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No.�y ofpaneof pane lights of crack sq. ft. 0 d®•/, /9"0 Coef. Btu Infiltration 09 Glass Exp. wall Net exp. wall mPO Int. wall Ceiling Floor /to Total Btu. uired sq. ft. E.D.R. or sq. ins. WA. Leader area W6 79 �. F HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MINNEAPOLIS. MINN. Weatherstrips A.S.H.V. Construction No. Insulation Guide Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied 19— _ Width /� Height rl.l�� r. l\WILL I LG11gL11 ...�a.a� Windows and Doors—Crackage and Area ••O••• CJ Width Height I No. of Lineal ft. Area No.�% of^pane of pane lights of crack sq. ft. Coef. Btu Infiltration Coef. Btu Infiltration 1MV Net exp. wall A /Y Glass Ceiling pile 1 1/010 Floor ? 3�® Exp. wall .W Net exp. wall Exp. wall /0 Rogo Int. wall Net exp. wall Ceiling Floor 1499 Total Btu. I 5e,7 / d - Required sq. ft. E.D.R. or sq. ins. W.A. Leader area /F7_I Al. Room I Lenath 10 ® Width Height, cP® Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pan lights of cra k eq. ft. Coef. Btu Infiltration Glass. Btu Exp. wall Btu Net exp. wall 3 Int. wall Glass Ceiling pile 1 1/010 Floor ? Total Btu. Required s t. or sq. ins. WA. Leader area FII R...,.., I I ....th .1 Wmij,Height -0 Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pan lights of cra k eq. ft. Coef. Btu Infiltration Coef. Btu Infiltration Btu Infiltration 3 Int. wall Glass Ceiling % d Glass Exp, wall .W Net exp. wallzz Exp. wall Int. wall Net exp. wall Ceiling Floor 1499 Total Btu. Reouired so. ft. E.D.R. or sq. ins. W.A. Leader area FI.) �� oom eng Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Coef. Btu Infiltration Int. wall Ceiling Floor Glass Exp. wall Net exp. wall Int. wall Ceiling Floor _ / Total Btu./� 17 `dpl" Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI.I Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. his. WA. Leader area m I R...,..L I 1 ffinath Width Height Windows and Doors—Crackage and Area Width I Height No. o! Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int, wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area City of Fridley Appriccal ion for Plumbing and Gas Fitting Permit DESCRIPTION OF WORN Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ....... ....... x $1.50 $ c Future Fixture Opening ................ x New Fixture Old Opening .............. x Catch Basin ............................ x Water He4ter.,(V, p to 200,000 BTU) ...... x New Ground Run Old Bldg . ............ x 1.20 $ 1.00 $ 3.25 $ 2.00 $ "� d 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ..........................—� x $1.50 $---1—/- 6 Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description................................................$ TOTAL FEE $, Dept. of Bldgs. Phone SII 4.7470 Location 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 d correctt.. 1-2 4 VViAlev_ Minn - �✓�. �/� 19.� Kind of Building Used as To be completed about — Estimated Cost, $ Old—New. Building Permit ROUGH N®v 2 7 195 FINAL 42 2M 7-54 14 Y Z p VI W W Z • • WATER HTR. GAS ELEC. 0 / Base l 1st l I 2nd _ 3rd — 4th • Future Connection Openings Connected wish Sewer � e New Fixture, Old Openings Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ....... ....... x $1.50 $ c Future Fixture Opening ................ x New Fixture Old Opening .............. x Catch Basin ............................ x Water He4ter.,(V, p to 200,000 BTU) ...... x New Ground Run Old Bldg . ............ x 1.20 $ 1.00 $ 3.25 $ 2.00 $ "� d 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ..........................—� x $1.50 $---1—/- 6 Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description................................................$ TOTAL FEE $, Dept. of Bldgs. Phone SII 4.7470 Location 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 d correctt.. 1-2 4 VViAlev_ Minn - �✓�. �/� 19.� Kind of Building Used as To be completed about — Estimated Cost, $ Old—New. Building Permit ROUGH N®v 2 7 195 FINAL 42 2M 7-54 14 City of Fridley, Minn. • BUILDING PERMIT Date: — Au -gust 13, 1968 Xo owner: Henry Geo. Saffert Builder _Same — ----- Address 521 54th Ave. N. E. Address Same -7119f.6-6 9885 LOCATION OF BUILDING No. 5 21 ____- Sit _ 54th Ave. N. E . Part of Lot Lot 22A & 22B Block 1 — Addition or Sub -Division -_ __ yndale Blders -6.efj e!2�/ , Corner Lot — Inside Lot Setback Sewer Elevation Sideyard Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Garage Front 23 t Depth 23' Height 121 Sq. Ft. 576 CtL Ft 6912 Front Depth _ _ Height Sq. Ft. _ _ Cu. Ft. Type of Construction Frame Est. Cost ^ $ 1400.00 -_To 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 compli ce with aft provisions of ordinances of the city of Fridley. , r D .' d In consideration of the payment of a fee of $ 10.00 ., permit is hereby granted to. Heney Geo. Saffert 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, freggtin ound and upon said building, or any part thereof, shall conform in all respects to the ordinaaors oP Fridley, ota locao,constructiithin thdty limits and this permit may be revoked at any time upon violation of any of the P�� of said ordinances. / M, Official Building • NOTICE: This permit does not cover the construction, hataliation for wiring, ping, gas heating, sager or water. Be sure to see the Building inspector for separate permits for these Noma. APPLICATION FOR BUILDING PERMIT LITY OF FRIDLEY, MINNESOTA OWNEE "S NAl�„P►� �efi,��'� BUILDER s /� ADDRESSar2 / �`�- ,VQ�� /�/ � • ADDRESS�� LOCATION OF BUILDING NO o ,� STREET�- LOT O;r .2g4.6BLOCK / ADDITION OR SUBDIVISION.CYAJ D J L 0 COB -NM LOT INSIDE LOT 6/- SE'TBA(K SIDEYARD SEWER ELEVATION TOP OF FOOTING Applicant attach to this fore. T,.7o Certifi,ates of Survey of Lot and proposed building location drawn on these Certificates. DESCFt.I.F'I':i ON OF BUILDING To Be Used As: 0. LF Front oa " / °Depth 3 aC / O aHeight Square feet 5-74- Cubic Feet Front Depth Height Square feet Cubic Feet Type of Construction Estimated Cost To Be Completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. (Schedule of Fee Costs can be found on the Reverse Side. �/1 4-;V�� OC� l i , rZj 1 go . SUBJECT PE of Fridley 15 6 7 5 AT THE TOP OF THE TWINS BUILDING PERMIT rpCity RECEIPT N COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. J� r PROTECTIVE J` i /"'1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 4/21/80 JOB ADDRESS 521 - 54th Avenue N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 22/a b 1 Lyndale Builders 4th SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Henry Saffert 521 - 54th Avenue N.E. 560-3082 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION II ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof dwelling 9 CHANGE OF USE FROM TO STIPULATIONS Roof can be 2nd but not 3rd roof. Install ridged galvanized valleys. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED . 5O WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $500 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 TOTAL FEE $8.00 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE)WHEN PROPERLY VA DATED THIS IS YOUR PERMIT SIGNATURE O NER tl FOWNEEEERBU ILDERI IDATEI BLDG INSP 4ATE CITY OF 17RIDI_EY APPLICATION FOR RESIDENTIAL_ BUILDING PERMITS ((dear, Alterations, Additions, or Repairs) OWNER: "4 SPY saFF_ e_ El ADDRESS. TEL NO: Ma2: BUILDER:�i�-� ADDRESS: TEL NO: Construction Location STREET NO: STREET: LOT: 2za Zz.b BLOCK: ADDITION: L`f►yDAL_ �UILDE25 ¢�`� Corner Lot: Inside Lot: j/ Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. �oF Y uS� DESCRIPTION OF CONSTRUCTION Front: Square Feet: Depth: Height: Cubic Feet: Front: Depth: Height: Square -Feet: Cubic Feet: Type of Construction: To Be Cbmpleted: S `� z 3`0 Proposed Driveway Width If New Opening Is Desired: Estimated Cost: $ _.S-Qjop Alt. A Alt. B 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. DATE: 4LZ1 /-J® SIGNATURE: Stipulations: su9iECT PER City of Fridley 2 9 7 2 7 AT THE TOP OF THE TWINS ? BUILDING PERMIT r RECEIPT NO. : `COMMUNITY DEVELOPMENT DIV. L ______ -I PROTECTIVE INSPECTION SEC. s� r NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 6/21/99 JOB ADDRESS 521 54th Avenue NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 22A, 22B 1 L ndal a Builders 4th Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Henry Saffert 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO D & B Home Improvements 4901 105th Ln Circle Pies 55014 784-0922 7773 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION Yff REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (28 S 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 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 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 $2447 $1.22 DOES NOT PRESUME TO GIVE AUTHORITY TO V E OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF AN THER STATE O LOC W REGULATING CON• T CTI N OR TH RF,4RMAN F C UCTION 83.25 Fi re SC 2.45 PLAN CHECK FEE TOTAL FEE License SC $5.091.92 11 ATURE OF CON' RA 0PFAUWORIZED AGENT 1OATE7 WHEN PROPER ALIDATED THIS IS YOWR PEPMIT G iNSA s raATE S.GNATURE OF OWNERof OWNER BUILDER. .DATE,B� NEW[ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY nA ALTER [ ] SINGLE FAAMY AND DUPLEXES R-1 AND R-2 J\ 4 BUILDING PERMIT APPLICATION C1 Q� Construction Address: o� 7 ly� d V Legal Description: Owner Name & A ess: e A) e Tel. # Contractor: ptt (� ��(% MN LICENSE #-717-? Address: )—�J 16't c�C 6 Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width _ GARAGE AREA: Length Width _ DECK AREA: Length Width OTHER: p� Construction Type: Height Sq. Ft. Height Sq. Ft. Hgt/Ground i So. Ft. Estimated Cost: $ _ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ 11 DATE: APPLICANT: Tel. # TOTAL STIPULATIONS: CITY USE ONLY Permit Fee $ 83- aS- Fee Schedule on Reverse Side Fire Surcharge $ 415 .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1050 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: Building PLUMBING Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY DATE 41�- `-' — 7 YOUR E-MAIL ADDRESS SITE ADDRESS Z E THIS APPLICANT IS: OWNER OCONTRACTOR PROPERTY NAME; >-t EM — 7 OWNER/ ADDRESS:2. CITY G STATE ZIP TENANT PHONE: S Z 2- -- Z- Z Z CONTRACTOR Nom; STATE LICENSE EXP DATE SUBMIT A COPY OF YOUR STATE ADDRESS: CITY STATE—ZIP- TATEZIPLICENSE LICENSEWITH PHONE FAX APPLICATION PERMIT TYPE KINGLE FAMILY O TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: W ❑ REPLACEMENT DETAILED DESCRIPTION OF WORK�� 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 /!�p 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) BATH SINK/LAV DRAINS SHOWER _ WATER PIPING _ _FLOOR _ GAS PIPING (xw cirrucEmsE) SWIMMING POOL _ WATER SOFTNER ($35) —BATHTUB _ _ CLOTHES WASHER KITCHEN SINK WATER CLOSET _ BACKFLOW PREY. ($15) _ _ _ LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION —DISHWASHER _ WATER METER OTHER h t� Permit Fee $ $r. _ Number of fixtures @ $10.00 x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $35.00 x $35.00 = $ TOTAL DUE $ i State Surcharge = $ .50 Total = $ 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. �j SIGNATURE OF APPLICANT PRINT NAME t4a / A%DATE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building MECHANICAL Permit No.:200�1 Inspections RESIDENTIAL APPLICATION Received B 763-572-3604 CITY OF FRIDLEY DLT' ` :20 DATE 6-22-07 YOUR E-MAIL ADDRESS SITE ADDRESS 521 S� • �V� 'y L THIS APPLICANT IS: ❑ OWNER 1'. -CONTRACTOR PROPERTY NAME: h y S Cry OWNER/ _ ADDRESS: 62� % -'� r CITY /6-1 ` 6 22 - W XA/ZIPJ_ �1 TENANT - S 72 - .9- %2- PHONE: X:� 9.9-7 CONTRACTOR COMPANY NAME: 0hb& \ CONTACT PERSON: F>410 SUBMIT A COPY OF L YOUR STATE LICENSE WITH STATE LICENSE # 4 EXP DATE /� /� '` I r� ADDRESSS: V C- U�+�9 -N 1-\ "y S fi C CITY 5 PC 1� L,s rc d'g MLTATEA1LIP�3` APPLICATION PHONE /CEJ- Z96 r-19 Lt FAX 7& S - � - 73- 2 2 PER1%HT TYPE XSINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW REPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK e j c V Y VN PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor X.05 = 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: 1^ -eMODEL:{�'1 V d SIZE/BTU1610 MFG: e'ocrr%Yr MODEL: 2- SIZEIBTU MFG: MODEL: SIZE/BTU 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 $35.00 _FURNACE $35.00 _GAS UNIT HTR $10.00 _BOILER LINER $10.00 DRYER $10.00 _POOL HEATER $35.00 _CHIMNEY _GAS DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 -r 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 r x $25.00 = $ .?S Number of fixtures @ $35.00 / x $35.00 = $ 35 State Surcharge = $ 50 Total = $ 6-0 . 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 work w ich requires review and approval of plans. r PRINT NAME gfJ C, �-6 h DATE SIGNATURE OF APPLICANT ,)r�N, City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 City of Fridley Residential Mechanical Application Page 2 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC 0 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 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.