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PRE 2010 DOCS10 City of Fridley, Minn. BUILDING PERMIT Date: AUGUST 20, 1965 N° 8390 Owner. CHARLES SAUMM Builder MADWAY MAINf,INE HOMES, INC. Address 1489 a 64th Avenue N. E. Address 7701 Normanda7 a Road Fridley 21, Minnesota Minneapolis, Minnesota LOCATION OF BUILDING No. 1489 Street _ 64th Avenue N . E, part of Lot Lot 2 _ Block 1 Addition or Sub -Division .__ _SPMNG V TT.EZ ADDITION Corner Lot _ x Inside Lot Setback 37' — Sideyard 40' Accagg gnarl Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: DWELLING Front 36'91 Depth 261111 Height 8_'1-5 /ft Ft. 962— Cu. Ft 9,,6 20 Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Frames Est. Cost _ $15, 000.00 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 compliance with 21 provisions of ordinances of the city of Fridley. 1") „ /9 p A In consideration of the payment of a fee of $ 10.00 , permit is hereby granted to MAD -WAY r' A�� HOMES, INC., 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 pari 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 say of the provisions of safd ordinances. ALLEN G. JENSEN Building Inspector NOTICE: M puma don not done the comtruddon, hutalhMloe for wbing, plumbiee, on hsa&& ewer or water. Be are to see the Bwhuno lespedw for separate r"Uft for these MMM APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA s ��y ' OWNER'S NAME �/�}� L� �L9��i fR/' BUILDER1%}®�IL�i�`lt�s4il/ L//veFOXP5r� - ADDRESS �� '�� ADDRESS_ Na9/11iqQi*Ze APZS, LOCATION OF BUILDING N0. STREET /U• le" 15V PART OF LOT -d9 -Z- L. LOT BLOCK ADDITION OR SUBDIVISION t9 ��}LL�Ci t9D,0/7 !/ CORNER LOTINSIDE LOT SETBACK �% SIDE -YARD --'ye SEWER ELEVATION &® 0 k FOUNDATION ELEVATION `` Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. IJESCRIPTTOR OF BUILDING To be used ass sm % �'� � � S 'Oe e'v 49 ON a PLS -Front ��C /9,/t DepthHeight Sq. Ft. 96-1 -1 Cu. Ft. Front Depth Height era /e -Cio"We41ye Sq. Ft. Cu. Ft. Type of Construction �� Estimated Cost /,�C�C) 0 To be completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE�� SIGNATURE % (Schedule of Fee Costs can be found on the Revefse Side). ` r 0 �C • • • City of Fridley, Minn.. N9 9658 BUILDING PERMIT Date: April 9, 1968 Owner: LeRoy Smith Builder Same Address 949 44th Ave. N. E. Address Same LOCATION OF BUILDING No. —1489 street 64th Ave. _ part of Lot Lot .— 2 ..._.__ Block 1 Addition or Sub -Division ._ __Spring Valley Addn - Corner Lot --- Inside Lot __ Setback 371 —�_ Sideyard -- Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Replace Bas't Wali%nt �36' 9" Depth 26' Height . _ 20' Sq, Ft 834 cu, Ft 2620 & Bearing Wall Ftgfr'ont Depth Height Sq. Ft. .0 Cu. Ft. Type of Construction Frame Est. Cost 4 83, 800 To be Completed _..._. Subject to approval of existing footings capability by Inspector. In consideration of the issuance to me of a permit to co ct the building described a , I agree to do the proposed work in accordance with the description above forth and in compliance wi provisi of ordioanoes of the city of Fridley. _ �/ In consideration of the payment of a fee of $ 11.00 , permit is hereby granted to LeRoy Smith 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 movit� of build�� within the city ]units and this permit may be revoked at any tune upon violation of as of the provisions of said ordinances. % % Clarence Belisle NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, gas heating, sower or water. Be am to neo the Building Inspector for separate permits for those Moms. 71. t r APPLICATION FOR BUILDING ARKIT CITY. OF. FRIDLEY,SC1fiA OWNER'S NAME ADDRESS G ADDRESS Z -- LOCATION _ _ �� -LOCATION OF BUILD1110 NO.- STREET a _ - LOTADDITION OR SUBDIVISION + CORNER LOT INSIDE SETBACK SIDE' L (Act: S+ . ).+• R..r . SEWER ELEVATION c' :' + : _TOP,d,�' - FOOTIN A l*06 it 'attach tb'ttii � Tito. Certificates Of Surve �y hof Ldt and proposed . . PP building location drawn on.these Curti€icates*. DESC&X4' & OF BUILDING (��•� ` - ..@To- Bel Used As. • . . _ .:..,, ., / r j � �� \ 10"fir '•r'4 .... N oep _ Frost__ Lpth , 8eight (,✓ 6„'�, Sj a� f moi.®' t4_� aS C �. Mase feet L�C,ybiv- Feet . Front Depth Height. Square feet a Cubic Feet Type of Construction /L Estimated Cost --4(z a 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 app ication are true and correct. V. DATE 1i1� _�•--�--SIGNATURE_„_ (Schedule of Fee Costs can be found on the Reverse Side). 5&.4C� -r C5 a -4-1 p j2 d pJ -) 4 ® / %V s f�A rL O N r .y 9�'' Application for Power Plants and Heating. Cooling. Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SM -3450 GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work .......................... $10.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 .................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 $ <9 ° 00 Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $ Each add. 200 sq. ft. EDR Steam ...................... 3.00 $ Each add. 320 sq. ft. EDR Hot Water ............. .... 3.00 $ OIL BURNER—to 3 gal. per hour ........................ 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 199,000 BTU) ....................... 5.00 $ over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x$ 2.00 $ Additional Fixtures ................. x .75 $ Gas Range to 199,000 ........... x$ 5.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL See Fee Schedule TOTAL FEE Location l i�zO / — 49 -�e5Z, 0'2- 6� 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. Fridley, Minn- e�' / ® —y 19 Owner Kind of Used as To be completed about .�0 Estimated Cost, $ Old Building Permit No. Permit No. DESCRIPTION OF WORK HEATING or POWER PZANTS-Steam, Hot Water, Warm Air—No Trade Nam- A��-�-r�` yA/� Size No- _42e:2 Capacity. Total Connected Sq. Ft. E.D.R BTU H.P. Rind of Fue BURNER —Trade Name Size No Capacity. Sq. Ft. E.D.R BTU H.P. Signed`"` ti <z Business Phone Nom -'1ET,r' E;Cj j0N HEATING COMPANY? 2?36 r0iffl 1 AS SQ ! TA. (REMARKS -OVER) A HEAT LOSS CALCULATIONS DEPARTMENT OF INSPECTION Weatherstrips A.S.H. .E, Construction No. Guide WindowsI Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Yes—No Yes—No 19_ VV;,4th J / Wnioht II m Windows and Doors—Crackage and Area Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pan..e•, llgg�hts,. of crack sq. ft. -0 " 4..�' Coef. Coef. Btu Infiltration 'Oei , 0 20 0 0 011- 0 Glass LC ° Net exp. wall Int. wall 14 0 Exp. wall �,c .t ° 7 0 Net exp. wall Net exp. wall Int. wall Floor /0 iL600 o Ceiling Ceiling Floor Floor Ceiling Total Btu. Required q. ft. E.D.R. or sq. ins. W.A. Leader area Room I Length �° Width Height , Windows an 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 Dane of pan lights of crack sq. ft. Coef. Coef. Btu Infiltration 'Oei , 0 20 0 0 Glass Exp. wall Infiltration Glass LC ; Net exp. wall Int. wall d /0 ° Ceiling 0 Net exp. wall Int. wall Floor /0 iL600 Ceiling Total Btu. I Required sq. ft. E. r sq. ins. W.A. Leader area 1' -r nnm I Lenath % ? Width F 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' 'Oei , 0 Glass APE Btu Infiltration Glass LC Exp. wall 4do f,16 0 e i� Exp. wall Net exp. wall 0 Net exp. wall Int. wall Ix e) /0 iL600 Ceiling Floor Ceiling Total Btu. I 16 t Required sq. ft. E.D.R. or sq. ins. W.A. Leader area MINNEAPOLIS, MINK. Insulation Kind How Applied nm I I.enoth / Width./ 0 Height Windows and Doors—Crackage and Area No. Width Height No. of Lineal ft. Area of panne of pane lights � of crack 13Q/0. ft. Coef. Btu Infiltration¢ -10 , 0 Coef. Btu Infiltration Glass LC Exp. wall 4do f,16 0 e i� Exp. wall Net exp. wall, 0 Net exp. wall Int. wall Ix e) /0 iL600 Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl. ,r. ' oom I Length , e&l Width Height r Windows and Doors—Crackage and Area Width Height No. of Lineal [t. Area No. of pane of pane llghta of crack eq. ft. Infiltration /Z -j Glass Exp. wall y4" Net exp. wall t Int. wall Ceiling Floor _ Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I FII 17,OV _ Rnnm I Lenath Width Heistht 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¢ -10 , 0 Glass' f"". Exp. wall Net exp. wall, 0 Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Application for Power Plants and Heating. Cooling. Ventilation. ReMgeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work .......................... $10.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 .................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $ Each add. 200 sq. ft. EDR Steam ...................... 3.00 $ Each add. 320 sq. ft. EDR Hot Water .................. 3.00 $ OIL BURNER—to 3 gal. per hour ........................ 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 199,00 BTU) ....................... 5.00 $ over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures x$ 2.00 $ Additional Fixtures x .75 $ Gas Range to 199,000 ........... x$ 5.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL See Fee Schedule $ TOTAL FEE $ Dept. of Bldgs. Phone 860-3480 I0 City of Fridley: The undersigned hereby makes application for a permit for the work hereir specified, agreeing to do all work in strict accordance with the City Ordinance* and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn- / D R y 19 Owner Kind of Building Used asiL�s`� -��- To be completed about Estimated Cost, $ Lld ';New. Building Permit No. _Permit No. -41 DESCRIPTION OF WORK HEATING or OWER PLANTS ---.Steam, Hot Water, Warm Air—No Trade Name �' ��'-�� -A ize No-/ Capacity Sq. Ft. E.D.R BTU H.P. Total Connected Load Kind of Fue BURNER —Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS—OVER) Signed Nielson Gas Haat By' ea Business Phone No_722-1961 v ` City of Fridley Application for Plumbing and Cas lifting Permit Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK /Y Q7— G y �� , Number, Kind and Location of Fixtures Location O /�gp '—� 0l I x $2.00 __ Future Fixture Opening ................ x $1.50 12�" New Fixture Old Opening .............. Yet Z 62 Z Z _ O w (� ? z • F • N WATER HTR. GAS ELEc $ 3 a $2.00 �� GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $2.00 ®o' s�2 Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 �O Base 1st 2nd 3rd 4th • Future Connection Openings COQ®� �� * New Fixture, Old Openings I Sews _ Cesspool E] PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $2.00 $ Future Fixture Opening ................ x $1.50 $�C New Fixture Old Opening .............. x $1.50 $ Catch Basin ............................ x $3.25 $�� Water Heater (Up to 99,000 BTU) ...... —� x $3.00 $ New Ground Run Old Bldg . ............ x $3.25 $ Electric Water Heater a $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $2.00 ®o' s�2 Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ...............................................$ TOTAL FEE / t i City of Fridley: The undersigned hereby makes application for a permit for the work herei specified, agreeing to do all work in strict accordance with the City Ordinance and ruling of the Department of Buildings, and hereby declares that all the fact and representations stated in this application are true and correct. Fridley, Minn— Owner inn Owner "2,4, Kind of Building Used as To be completed about Estimated Cost, $ Old—New. Building Permit No Permit No. S' By P Business_Phone No9 a o 2 % 9 ROUGH FINAL 4z City of Fridley, Minn. 0 10782 BUILDING PERMIT Robert name Address 1489 -64th Ammue N.E. Address X Sam LOCATION OF BUILDING No. 1489 Street — 64th Avenue N.E. — part of Lot Lot_ 2 ___ Block 1 — Addition or Sub -Division .ging Valley Corner Lot — X __ Inside Lot _ _ Setback --- Sideyard Sewer Elevation To be Used as: Foundation Elevation DESCRIPTION OF BUILDING Garage- Addition Front _.2.9 Depth _ 8' Height 10, Sq. Ft. 1601 cu. Ft 16001 Front Depth . _ Height — Sq. Ft. Cu. Ft. Type of Construction Frame Est. cost _ _. 3.L�0..1i4 To be completed Jan- 1. 1971 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 with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ 5.00 ., permit is hereby granted toN. Pence 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 of the provisions of said ordinances. /U NOTICE: Thb pmO don not cover the construction, hwhMen for whine, plumbing, On heating, rower or water. Be wre to see the Budding Inspector for mparah penahe for them item. APLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA ADDRESS:_ I -V97 L ➢ : !l_ I ' 1 �CX-t*Ak NO • . ef22 STREET • C Y?X A U L b, F . LOT: 2 BLOCK: ® ADDITION: ,Spy@ j u &yA Ue Y CORNER LOT: ko*'O� INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: (y.ARA&£ 44Wi f O.✓ Front•0 Depth:— 4 Height: ,� ) Square Feet: �'�' Cubic Feet: ' Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: FLo Estimated Cost:_ $ 3e6.06 To Be Completed: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in sttict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE: SIGNATURE: (See Reve se Side For Additional Information.) City of Fridley SUBJECT Pfi^IT NO. - 6924 AT THE TOP OF THE TWINS BUILDING PERMIT r ' COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. t . , CITY HALL FRIDLEY 55432 612-571-3450 REC NUMBER 910-F15 REV. DATE 2/16/83 PAGE OF APPROVED BY JOB ADDRESS 1489 - 64th Avenue N.E. 1 LEGAL DESCR. LOT NO. 2 BLOCK 1 TRACT OR ADDITION SEE ATTACHED Spring Valley Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Robert R. Pence 1489 - 64th Avenue N.E. 574-0510 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 jI ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Alter Interior (bathroom remodeling) 9 CHANGEOFUSEFROM TO STIPULATIONS Install products of combustion fire alarm in hall outside bedrooms. EPERATE PERMITS REQUIRED FOR "'RM HEATING, PLUMBING AND SIGN& 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 AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION ZONING SQ. FT. CU. FT. 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 AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT VALUATION $4700 SURTAX $2.35 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $50.50 PLAN CHECK FEE TOTALFEE $52.85 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) WHEN PRO PERLY.VA LI DATED THIS IS YOUR PERMIT )) J, V SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) BLDG INSP DAT CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATION FOR RESIDENTIAL BUILD1i1G PERMITS (New. Alterations. Additions. or Repairs) OWNER: ,__ ADDRESS: _ /1fk 9 � �17% X t-/ e- I,, E TEL NO: ,; % `f ` 06-16 BUILDER: ADDRESS: TEL NO: Construction location • STRECT NO: STREET: LOT: BLOCK: ADDITION: Corner Lot: Inside Lot: Setback: Sideyar . Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. / J1 -7r- AP®� DESCRIPTION OF CONSTRUCTION as Front: Square rcets Front: Depth: Height: Cubic Feet: Depth: Height: Square Feet: Cubic feet: 'Woozx Ripe of Construction: 0C)ke-yhode-4 Estimated Cost: $ :/ 700-oa Rb Be Cbripleted: Alt. A Alt. 8 Proposed Driveway Width If New Opening Is Desired: $ ' $ SEE REVERSE SIDE OF SHEET Zile undersigned hereby makes application for • rp permit for the work herein specified, agreeing to do,all work is, striot accordance with the City of Fridley Ordinances and rulings of the Derartment of buildings, and hereby declares that all the facts and representations stated in this application are true and correct. U'%Tzt _ -/�/- 93 SIGNMUME: Stipulations: rpec, a$ U SUBJECT PER City of Fridley2 8 8 8 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. I _____ COMMUNITY DEVELOPMENT DIV. �,; - PROTECTIVE INSPECTION SEC. 7 III � � 1 � NUMBER REV GATE PAGE OF APPROVED BY i CITY HALL FRIDLEY 55432 �'� 612-571-3450 910-F15 4/1/98 JOB ADDRESS 1489 64 Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 1 Spring Valley Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mark Schendel 1489 64 Avenue NE 574-2413 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Sussel Corp 1852 Como Ave,. St Paul, MN 55108 645-0331 1934 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 1p NEW 0 ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Construct a 24' x 24' Detached Garage 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. Provide a hard surface driveway. WARNMG Before digging Celt for all Utility locations 454-0002 REQUIRED BY LAIN 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 SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN BO 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 $5.33 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $10,650 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- $174.75 Fire SC $10.65 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE License SC $5.00 TOTAL FEE $195.73 SIGNATURE OF CONT FACTOR OR UTHORIZ DAGENT (DATEI HEN PPRROOPERLY I,zIDATED THIS IS YOUR PERMIT ✓Fb �� 2r qLogFINSP GATE _ SIGNATURE OF OWNER 0F OWNER BUILDER) (DATEI NEW [ ] Effective l/ 1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION,fly ConstructionAddress: t Ll 4110 � V t, Legal Description: Owner Name & Address: l� tc ✓� S c e� e, Tel. #S 7�✓a YC3 Contractor: ,S' c� f S �� y� ,/ , MN LICENSE # Address: n C2 V Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF BOROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length _R Width_ Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type:* �� - cc.!'� e"_ z � Estimated Cost: $ _ Fire Surcharge G' , °-0 .001 of Permit Valuation (1/10th%) State Surcharge (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE: ? �1 �' APPLICANT: AN=Tel. # yJ� I CITY USE ONLY Permit Fee $ Z _7Y. 73 Fee Schedule on Reverse Side Fire Surcharge $ /0' b .001 of Permit Valuation (1/10th%) State Surcharge $ 33 $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ c-0 $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 $ /93" STIPULATIONS: 5USSELGARAGES 1852 COMO AVENUE ST. PAUL, MN 55108 Permit by6t7 441:_ Legal Description_ Lot Blk Add'n Value Type Const. SLAB: /S4Y SUSSEL ❑ By Owner Approx. ❑ In 2 -STARTING POINTS ONLY - S.P.L. S.S.P.L. R.P.L. Alley HouseF. Street Other ❑ Square With.. A.t ❑ Sod Rem. • By ❑ A.B.U. ❑ ® Grade Point _ ❑ conduit -_ ____ _ -__- M Blocks: Oey Owner -e Sussel ❑ Wtr.proof:oy Own. ❑By Sus. ❑ Backfill: ^y Own. ❑By Sussel 4-'(T'RAaintain 8' Total Wall Height Including Blocks OR ❑ Maintain 8' Wall Height on Top of Blocks Block Size (Top course) J6_ --°4' Wall Height other than 8'--^-- 71 Cl C3 L Existing garage: No ❑ ❑ Detached ❑ Attached Yes6 Size of existing: x Existing garage will be: ❑ Left as is ❑ Converted to L.S.. By owner Q1'Removed By: Owner CO Sussel Junk Must Be Removed By Owner Stakes visible - ❑ Yes cEMo Survey available - ❑ Yes ❑ No D Special instructions from Cement Man UV- C6- 14j^ft V AOf1C0 Mr. Mark Schendel #8348 1489 64th Ave. NE Fridley, MN 55432 H 574-2413 W 627-0374 24x24 Det. Allbilt W/Conc. 2/20/98 Dennis Jarnot E: E: IZE 3 jZut�; I3` Jc cc 3A-uc' it!)9-Ll �- rf° A C4,1-( A -P # vw K.T i CO ntURt-t ACCESS ❑ Good ❑ Fair ❑ Poor ' PURCHASER'S INITIALS: 1011+7j I L L 2' — DIRECTION Mr. Mark Schendel 1489 64th Ave. NE Fridley, MN 55432 H 574-2413 W 627-0374 I CI TY LEGAL DESCRIPTION LOT: BLOCK ADDITION: PLOT PLAN I t7� iS n LOT SIZE: 17-1 x r 33 - dc, �� C�r jlt� HOUSE SIZE 'J �J"%f `%'4 SQ. FT. IC& ,f CROSS STREETS: _Y'7 -lie - iv'�/ ANDS 0 DIRECTION 0 fi lZ -� 4 - ROOF GAEL REVERSE GABLE HIP EAVE OVERHANG: M RAKE OVERHANG: SEAL DOWN SHINGLES WITH PLYWOOD OR WAFERBOARD ROOF SHEATHING AND 15 LB. FELT Roof Sheathing Seal Down Shingles Manufactured Trusses —1' 2' x 4'' Double Top Plate Soffit Cove NOTE: I 1) Roof approved by Minn. State Building Dept. as meeting Minn. State 2" x 4" Studs Code Requirements of 30# snow load. 2);1111,Hi of onsis taV ers x 6" c ties " O. ., 2" x Siding p r rs n o pets a ed. RAFTERS: Trusses ® 24" O.C. STUDS- 2" x 4" f6LaZ' 24" O.C. WALL SHEATHI 11.1 Zk b� 1!!>G: SIDING: L L, OVERHEAD DOOR HEADER uble 2" x 12" r 2 - Micro Lams x Slab on grade construction approved per Minnesota State Code. Refer to State Building Code Letter Number 11. SLAB 4" WITH MESH 6" x 6" #10 Gauge 45 Trim 1' x 4' Sub Fascia Fascia lu J - 1,'2" x 7" Anchor Bolt Id ;.tr�l 2'' x 4'. Treated Bottom Plate q ®> Grade TC FORCE AM IRM GSI 1- 2 -3214 0.27 0.66 0.92 2- 3 -2821 0.14 0.62 0.76 3- 4 -2821 0.14 0.62 0.76 4- 5 -3214 0.27 0.66 0.92 8C FORCE ARI. BND GSI 30- 9 2979 0.48 0.22 0.71 9- 8 1995 0.32 0.17 0.50 0- 7 1995 0.32 0.17 0.50 7- 6 2979 0.48 0.22 0.71 WEB FORCE WEB FORCE 2- 9 -592 3- 7 858 3- 9 858 4- 7 -592 R103 re 1.15 L -- � T T" F -•WIX)U 1Allss SYSIITfS--- SUSSEL SUSSEI, - WO: TOP CHDRDS) 2x4 . SPP 61/112 (N) BOT CBDRDSt 2x4 SPP, 1650F-1.Sc WEBSt 2x3 SPP STUD (N) MhX LIVE LOAD DEPLECTIM L/999 Ls -0.23• Des -0.10• Ter -0.33• MAX BORIZONUL DEFLSC' ONs T. 0.12• T All WAPR£SSION Chords are aeslmred to be continuously braced unless noted otherwise. .............. Joint Locations ............... 1) 0- 0- 0 5) 24- 0- 0 9) a- 3- 4 2) 6- 4-14 6) 24- 0- 0 10) 0- 0- 0 3) 12- 0- 0 7) 15- 8-12 4) 17- 7- 2 8) 14- 0- 0 4X4 1-0 II 4 -3 -IS 0 -3 -IS M R 24-0-0 11 to 14624 3.50" 7 6 11-0-0-0 .� ( 1462X 3.50"� (RI -0-10) I Is 14-0-0 (I R1.0.10) EXCEPT AS SHOWN PLATES ARE TL20 GA TESTED PER ANSUTI'I 1-1995 scale = 0.2500 WHKNI Nlj: READ ALL NOTHS ON THIS SHRET. A COPY OF THIS DRAWING TO 111? GIVI,N'1'0 ERECTING CONTRACTOR. BRACING WARNING DESIGN INFORMATION Bracing ahr.a m Oil dm%irt is ad aectim b«cirewir.1 b«citg. Portal l.aciog a simity bracing wbicb is a pad of the b+ddias We design Is ha' se irdiYi lual buikttng ecmp...rl sed rna ba'enl bum ro infama. tlm (-ovidd by Ibe cGe/. 11. designer d'uctaimr any rap.avilibly I.. d -X. daign ssd w$ich must be canidesd by Ibe Isniklirng daigna. Bm.ieg Aboav is for Wend euppod of Was members t-dy to toluee a • aeauB of Gugy a incatOd ieh-collico, efaaifialia , -.11a dnignc futniand to the truss desigoea by 11m cGed ssd the eareclr.sa m accuracy of N.Uirt; lecrgtd Aovisions must be made to techs bleol bracing Ibis InformaUm as B may «We to a Specific pcoj d. This buss has leen n soil sod efedfid Mcticoa deermlod by the briWigg dagoer. Additional bradog of the mmll structure may be raryved. daigvad io -ccaMece LIb"TPI 93• and 'NDS -91' to be incapaatd a fwd of Ito building daigo by a IloMir% Deaigaes. lvbm reriewd for anvmal by the (.Sa IIIB 91 of TPI). For Specific truss bracing «gwirmeda• GuldiM daigm, the daigo badiMs elan most be heckM to t. sum BW the u-ud Williryt datgoer. (Truss flat. Ir.limle, TPI• b bold .t SR) D'(h..fno Odvr, Mdis-, Wtaamie 3)719). Mtn sheen are in sprelcm t with 0. Imal luikliog eda. Incl climatic records for wird a sac- lode• print apacifcafia or aped.!.M4iW lode. TC Live 40.0 psf Designed By: JODY '1'C Dead 7.0 psr RC live 0,0 psf Checked Ily: IIC Wad 10.0 psf Date: 6-12-97 TOTAL 57.0 psf LOAD OUR. NAC: 1.15 D1sg• No: SPACING: 24.0" Segn: 05.22.97- 8520 CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 RATE SCHEDULE APPLICATION FOR POWER.PLANTS,AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING -SYSTEMS AND DEVICES Residential . Furnace Shell and Duct Work, Burner — Also Replacement Furnace (Side Vent Fill .Out Oack) Gas Piping (Needed with new fumace) Gas Range Gas Dryer *AirConditioning. -- Ail Sizes All Others/Repairs & Allerations (UJST ON BACK) 1 % of Value of Appllance or Work Cornmercial/Industriat 1.25% of Value of Appliance or Work Rate $ 30.00 $10,OQ, $1000 $10.00 $ 26.00 State Surcharge TOTAL FEE -3Y,07 Effective On January 1, 1997 `lam f61 1 JOB ADDRESS i q F ? 6 y�6Aws,v,45 The undersigned hereby makes application for a permit for.the worts herein TOTAL specified agreeing to do all work in strict accordance with the Clty Codes and rulings of the Building Division, and hereby declares that all the facts and $ '• representations stated In this application are true and correct, _ d 1 7 .1997 �.a-11•{L' OWN R: Sc"1e�l�f S7y'- BUILDING USED AS.� $ESTIMATEDCOST -42?-cO L PERMIT NO. $ DESCRIPTION OF FURNACE AND OR BURNER' $ No..of Heating Units, Clrcle One (Steam) (Hot Water) arm Air ' Trade Name . Le IVW6'A Size No. GZ6- 03 EDR $ Fuel. ,11±7— Total Connected Load MIN_ I MUM FEE FORANY HJcA1INa1000LNGIVVENTI LATION REFRIGERATIONIAIR CONDITIONING PERMIT IS $26.00 PLUS THE 1&0 STA19 -SURCHAA(k REINSPECTION FEE $42,00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. .60 Burner Trade Name Size No. BTU HP EDR . 0. HEATING COMPANY -P1f9P,,SJq Pte% Signed By ,u Tel No. 5 � Approved By / Rough --In Date Final Date FILLOUT.9ACK SIDE 1=0 STACK VERIFICATION ON REPLACEMENT FURNACE JUN -18-1997 16:03 CITY OF FRIDLEY 612 571 1287 P.02/02 TOTAL P.02 77 v :�tg pau�cs -�' ��,, °�'4'°`... .::'°w fere w=00 JNbLH Won.:. S OLZ�'2II.L-IV IsI'I • f } Y. t � { ; .•� ` fib•' '� i,y >� .Y O ON .00 Sax . IM!Acud ua2q jaa.q v seH �? to h SME[ 39q4o Iry .� 30. s.nJA:2ruP.wq IQol SPH 9 () ON (} sad, po op. s.rue inm p� am -x,6; babes 9PO3 miw= IF Q=w 'S () ON (1 sad. PoPoddns Ala= = sI -,P • 7Med V*q s1ggo,ug!uo; ou'sM •£,. Gori Cdr) max' �Pa'�[a3 4 SCH -I•' zts so . • *V rM A Aqm q pwSt=pjm *CL . • NOI.LVDLUN A 30VIS TOTAL P.02 *Air Conditioning'— All Sties $ 25.00 All Others/Repairs & Aherations (IST ON BACK) 1 % of Value of Appliance or Work Com me rcial fl ndustrial 1.25% of Value of Appliance or Work State Surcharge TOTAL FEE $ � •50 MINI MUM FEE FOR ANY LELTIN-01 1�fENTILATION RE HIGERATIONNA C_ ONDITIONING PERMIT lS $x.00 PLUS THE $,60 STAl'E SURCHASM REINSPECTION FEE $42.001Hr *A[rConditioners can not be placed in a side yard without written permission from adjoining property owner. DESCRIPTION OF FURNACE AND 08 BURNER- No..of Heating Units ClrcleOne (Steam) (Hot Water) (Warm Air) Trade NameSize No, STU_ - HP EDR Fuel.. Total Connected Load Burner Trade Name Size No. BTU HP HEATMG COMPANY � �� l/� ��"�`�.. . (0,A0. 3lgned By Tel No. b 7 Approved By Rough—In Date Final Date FILL OUT BACK $IDE R STACK VERIFICATION ON lolle%l REPLACEMENT FURNACE -y3 -73 -99 CIN OF FRIDLI Y INSPECTION DIV. Effective On January 1, 1997 8431 University Ave NE Fridley. MN 55432. APPLICATION FOR POWER. PLANTS, AND HEM ING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING•SYSTEMS AND DEVICES JOB ADDRESS/N6' RATE SCHEDULE The urdersigned hereby makes application for a permit for the worst herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner — rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30.00 $ representations stated In this application are trovend rrect, (Side Vent Fill .O.ut hack) . -.777., ,19 Gas Piping (Needed with new.furnace) $10.00.: ;;� - - - Aft / OMER: .>c ed dC Gas Range $10.00 $ _ :g ". BUILDING USED AS Gas Dryer $1000 $ ESTIMATED COST 0/54)0 W- PERMITMO. /s *Air Conditioning'— All Sties $ 25.00 All Others/Repairs & Aherations (IST ON BACK) 1 % of Value of Appliance or Work Com me rcial fl ndustrial 1.25% of Value of Appliance or Work State Surcharge TOTAL FEE $ � •50 MINI MUM FEE FOR ANY LELTIN-01 1�fENTILATION RE HIGERATIONNA C_ ONDITIONING PERMIT lS $x.00 PLUS THE $,60 STAl'E SURCHASM REINSPECTION FEE $42.001Hr *A[rConditioners can not be placed in a side yard without written permission from adjoining property owner. DESCRIPTION OF FURNACE AND 08 BURNER- No..of Heating Units ClrcleOne (Steam) (Hot Water) (Warm Air) Trade NameSize No, STU_ - HP EDR Fuel.. Total Connected Load Burner Trade Name Size No. BTU HP HEATMG COMPANY � �� l/� ��"�`�.. . (0,A0. 3lgned By Tel No. b 7 Approved By Rough—In Date Final Date FILL OUT BACK $IDE R STACK VERIFICATION ON lolle%l REPLACEMENT FURNACE HOUSE HEATING T6::T RM-Ultu - ADDRESS /�I�CoCo `-�tor4ve nJ APT. rL00R CT1020 SUDUR>3_�` OCCUPANT,',,AQk• e761-1.ZJ.2 OWNER HEAT LOSS DATE 11TC. INST. SOLD BY. OI AIP? I INSTALLED DY LleCLrlCal stork Dy sPA,7k Cas Linc By. TYPE OF HEAT: CA FA `p�, 11W STF.IX SFACE 11TR. UNIT 11TR.• OTHER CAS DESIGN CONVERSION T~;l"};1: L I=x 14AKE OF, BURNER cl(� )?a -% ,3 -.�� - Model Scrial_59-7 7 �� on 7� 7 5� Max. BTU Rating INPUT --- 4 000 HAKE OF FUR)rACE Model CONTROLS THERMu:,io.*�: )lest Plug Vent Size t Valva Lt -9A KIND OF LI24F.1tff L,,L-r��• SIZE�NONI_ Limit Draft Hood Rcrulator Limit Setting Doo:' Filters; Size _/lcX.25-9 Number - Fan Setting 50-- 1") 0 Chimney Location: 'Inside X Outaidc Pilot Type SImle lt Chimney Construction Pilot Make Pilot Model Smoke Bomb Wiring Yilo t liming L Sx-,�P� Draft Tea t Tar * e ? L.ii., Cut Off Door PressureLirhtinE Inst. Prcasure Percent CO2 y / Date Tested t Lz A -T _ Input CFH (, 40cf0cxccnt O,, O Company Tca ting, !AAP,- S ��• . - Stack Temp. a Percent CO 0 Name of Tcster cc, C> L-� Building BUILDING Permit No.: Inspections $ RESIDENTIAL APPLICATION Received By. 763-572-3604 CITY OF FRIDLEY -&�- Date Rec'd: " DATE Fi YOUR E-MAIL ADDRESS 6�1�/i� L �%jclJ • !_c" SITE ADDRESS /rR 7 y /Vr- /%%C �t1L!/ tt, THIS APPLICANT IS: -O'OWNER ❑CONTRACTOR PROPERTY OWNER/ NAME: 6;,o, a- f�IAxr TENANT ADDRESS: ' yg i 6 y4' fye- ME CITY En� STATDR ZIP .r!r`%3 L PHONE: 76 s^ 1-1 CONTRACTOR NAME: ` ,.e SUBMIT A COPY OF STATE LICENSE # O EXP DATE 1 — 3I-- ®� YOUR STATE LICENSE ADDRESS: 1? /tea CITY STATFii VZIP, � 1 WITH APPLICATION PHONE-- FAX PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILYNEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHEDROWS 13 BASEMENT FINISH [3 ROOF ❑ DRAIN TILE ❑ DECK SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR MODELING DESCRIBE WORK BEING DONE: `eft 54 , Jw 1 ��, SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. 2. Existing Floor Plan Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, inyl [3 Aluminum ,Soffit //1 Trim Q/�r� i, ADDITIONS. & PORCHES SUBMIT: 1. Site Plan/Survey showing the existing structures ❑ Other Fascia and proposed project. 2. Two sets of construction plans WINDOWS IN EXISTING OPENINGSYes ❑No LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGSAESCRIBE SIZE OF OPENING CHANGES & rr TYPE OF WINDOW TO BE INSTALLED dd a° NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATIdN, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ LoG60 _ ®® OCCUPANCY TYPE Permit Fee Plan Review Fire Surcharge Surcharge License Surcharge SAC Charge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge Total Due See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1550 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks savable to: Citv of Fridlev Attach 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 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 ' equires and approval of plans. SIGNATURE OF APPLICANT PRINT NAME T°C f 6t, -DATE - $ $ See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $5.00 (State Licensed Residential Contractors) $1550 per SAC Unit (Plans to MWCC for determination) ft+6ft= ftx$21=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks savable to: Citv of Fridlev Attach THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work w ' equires and approval of plans. SIGNATURE OF APPLICANT PRINT NAME T°C f 6t, -DATE - Building MECHANICAL Permit No.- 007;;C/ Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY D Mc$P G - 7 2007 i DATE l�- YOUR E-MAIL ADDRESS l SITE ADDRESS l O I 1� In -Q - THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY NAME: �� OWNER/ ADDRESS: n4L CITYE('xl,ic A-4 STATMAZIR�S TENANT PHONE7?L03 Sy, CONTRACTOR COMPANY NAME: k a A N it' SUBMIT A COPY OF CONTACT PERSON: YOUR STATE STATE LICENSE # EXP DATE �C� LICENSE WITH J r ' ADDRESS:V n0 � AX CITY E (V I STATW rIIP I SUQ APPLICATION PHONE71IQ�, 1 l'U'f0\ FAX PERMIT TYPE INGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW 1314EPLACEMENT ❑ 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 $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: SIZE/BTU MFG: MODEL: 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 $35.00 _GAS UNIT HTR $10.00 _BOILER _FURNACE LINER $10.00 DRYER $10.00 - _POOL HEATER $35.00 _CHIMNEY _GAS DUCT WORK $10.00 �S PIPING $10.00 _VENTILATOR $15.00 Permit Fee $ w 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 = $ Number of fixtures @ $35.00 x $35.00 = $ 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 plication for Vermit and work is not to start without a permit; that the work will be in accordance with the approved plan in the c e oall work w c r uires w and approvalof pl s. (� -T � SIGNATURE OF APPLIC V PRINT NAME L7 TE ��"._ `` ' ,'�>k tM NOW 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 ❑ 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.