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is fKQ City ®f Fridley, Minn. BUILDING PERMIT Builder __ .._.. Address N° 6599�� 1L LOCATION OF BUILDING No. Street /a X,' / _` ��G� _Part of r. 9t Block A tion or Sub -Division . Corner Lot —_ Inside Lot Setback __ _�� _ Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING T U Front _ Depth Height _ Sq. Ft. 1,�Cu. Ft. ®ZLC Front _ Depth eighth �. ��Sq. Ft. Cu. Ft j'e" Type of ction Fst. ;7ZRe-V� c![� _ __ 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 f and in compliance with all provisions of ordinances of the city of Fridley. /j 1 n /9 . O 100 In consideration of the payment of a fee of $ -A 4 , 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 of the provisions of said ordinances. NOTICE Ma permh does not corer the eoestruMen, Mdaliat on for wh%& phnnbhfg, gas heathm sewer or water. Be ams to we the Bu[Miag hopector for separate permits for these Items. z.. sFarr.'._ v 5 43J �d m r te, a b 4 � 1 t t Application for Power Plants and Healing, 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. 80,000 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 $ 1 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 TOTYiL 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 $ � ROUGH FINAL Dept. of Bldgs.. Phone SU 4-7470 r —.aa-- a' `Y -- -� 4 /Z 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 ? 19 Owner Kind of Building a � (J J n , A Used as To be completed about Estimated Cost, $ Oldl New Building Permit N. Permit No. mZ to DESCRIPTION OF WORK HEATING or WER PLANTS - am, Hot Wa Warm Air—/N % Trade Name � AAi �� Size No r Capacity Sq. Ft. E.,D/.Rp 6V,r-� BTU H.P. Total Connected Load Sr e e, `tea Kind of FuelQ BURNER —Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS—OVER) SPAY ISI .WELTER HEATING -M. 4637 CHICAGO AVE. By 42 2M Business Phone No Compliments o North Central Public Service Co., Required sq. ft. E.D.R. or sq. ins. W.A.1 a area TOWN �` ► ' �' FL I Room Length Width �J fight rOFBIU,ELDINGS VILLAGEWindows and Doors--Crackage and Area Insulation Width Height No. of Lineal t. area Roof Floor Kind I How Applied No. of pane o! pace lights of crack sq. ft. Fl. JR4 tj Room I Length +Width /V Heij Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Ceiling Floor`► E �► Total Btu.., Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl. , P?. ,-/,/sRoom I Length F' ldthP Height Windows and Doors—Crackage and Area I ----e— .. __ No. Width He of pane oY pane No. of lights Lineal ft. Area of crack sq. ft. rs trackage and Area 11' No. Ire Height No. of Lineal ft. ofpane lights of crack�/ Area sq. ft. { 4p ® 41T , �r q.1;4 Coef. Btu Coef. ?a-- Btu Infiltration , m Bttl "? Glass Net exp. wall Int. wall Net exp. wall Int. Wall ,. Glace Exp. wall Exp. wall ,r gr •! "�� Net exp. wall Floor Net exp. wall Total Btu.+ Int. wall ev - Room I Length 1/ . Width I/ ht Windows and Doors—Crackage and Area Int. wall Ceiling .4) .f / Width of pane Height of pane No. of lights Lineal t. Area of sq. ft. Floor Ceiling Ile w to Floor Total Btu.I'!v G 4 I' Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Lf — I S — I ___�_ I T _-09 - ft)dJY1– / / r------ Doors—Cm&age I ----e— .. __ r •......b.. Windows Area Area ft. rs trackage and Area 11' No. Width of pane Height No. of Lineal ft. ofpane lights of crack�/ Area sq. ft. { 4p ® 41T , �r q.1;4 Coef. Btu Infiltration ?a-- Glad Coef. Bttl Infiltration Net exp. wall Int. wall Net exp. wall Int. Wall ,. Glace Exp. wall r ,, ` . "'fie •! "�� Net exp. wall Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Total Btu.+ Int. wall ev - Room I Length 1/ . Width I/ ht Windows and Doors—Crackage and Area Ceiling .4) .f / Width of pane Height of pane No. of lights Lineal t. Area of sq. ft. Floor crack Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. header area' , ,. Windows and Doors—Cm&age and Area Width No. of pane Height No. of of pane lights Lineal ft. oY crack Area Area ft. 11' Coef. Btu Infiltration ?a-- Glad 70 Exp. Wall Net exp. wall Int. wall Net exp. wall Int. Wall s Ceiling id f U �i�t► !a. �• C� Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Total Btu.+ 4 Required sq. ft. E.D.R. or sq. ins. W.A. header area 1 10' Fl. iq.,pj Room I Length J/ F Width Op I Height . Windows and Doors--Crackage and Area No. WidthHeight of pane of pane No. of lights Lineal ft. of crack area sq. ft. Coef. Btu Infiltration Glass Exp. wall ',.2 Net exp. wall Int. wall rid JOYY Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area ;4' 4 ev - Room I Length 1/ . Width I/ ht Windows and Doors—Crackage and Area No. Width of pane Height of pane No. of lights Lineal t. Area of sq. ft. crack Coef. Btu Infiltration ?. 3 p9 Glass Exp. wall Net exp. wall.J Kel Int. wall Ceiling ' fLely f, 4's 47 / Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area f V- SUBJECT PER City of Fridley � . 8� AT THE TOP OF THE TWINS BUILDING PERMIT r � RECEIPT NO. COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC j �� r NUMBER REV DATE PAGE OF APPROVED BY 0--'-1 CITY HALL FRIDLEY 55432 ,'1 612-571-3450 910415 9/6/96 JOB ADDRESS 24 66 1/2 Way NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 4 1 Edgewater Gardens SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Steve/Diane Bosivich 24 66 1/2 Way NE 574-9167 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Best Built Construction 2309 Main St NW Coon Rapids MN 55448 757-5340 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20069845 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 11ESCRIBE WORK Construct an 18' x 12' Addition 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. WARNING Before digging call for all utility locations ABY REQUIRED Alli FOR SEPARATE PERMITPL MBi WIRING, HEATING, G AND SIGNS.UIRED TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 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 $6.47 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $12,938 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 $12.94 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $199.75 PLAN CHECK FEE T TAL FEE ,� n pq/� 01 Lic nse SC $5 0 $224.16 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT MATEi2 W PROPE VALII ED THIS IS Y 4 DG INS .UUPERMIT (/" qA E SIGNATURE OF OWNER IIF OWNER BUILDER$ IDATEI V- NEW [ ] Effective 3/1/96 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application *411d ConstructionAddress: 0`2 /� 6:1 Lam, Legal Description: d Owner Name & Address: Q Tel. # 7 ie `l e 7 Contractor: aae- L° MN LICENSE Gq Address: PS6 - �U. W . (° �. �/.�. Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF EMPROVEMENT f LIVING AREA: Length / Q Width �P__ Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Corner Lot [ ] Inside Lot [i -r Ft. Yd Setback Side Yard Setbacks Type of Construction: Lc Estimated Cost: $ G` Approx. Completion Date: 3 d (Cost: on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: ,�, APPLICANT: °o�%c c�Q ce) , Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ AL1,/6 CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $900 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] OWLD T. COYIME 300 BRUNSWICK AVE. S GOLDEN VALLEY, MINN. INDUSTRIAL - - JUDICIAL ` COMBINING MORE THAN 30 YEARS OF CITY LOTS - PLATTING COMMERCIAL TOPOGRAPHICAL OUrbeporz Certificate LAND SURVEYING EXPERIENCE IN THE TCNY '!'KACZIK..' 7 Z--/ LOT SURVEYS COMPANY LANM SURVEYORS. WM'NTZWM UNDRS 2AWA OF NTATZ O! 'SQF>RiSOSA LIOB1E = ST OILDENANCE OT OI!! Or 1HNR=A3POLIS 5917 Idaho Ave. N. 533.9912 Minneapolis 27, Minnesota RAVMOMO A PRASCM 6917 IDAHO AVE. N. BROOKLYN PARK. MINN ti d � � Q �'��' 3 — tea,• '� ! 'y METROPOLITAN AREA #1062 F.B. 10.5-36 WP hereby certi: _ this is a tr.)e and correct rearese7tat1cn of a survey of: Lot 3, Block I., Edcreweter Gardens. Anoka County, Minne-scta. As surveyed b•y us this 2nd day of October, 1962, ! Signed r - LAT .SVIiv$is COMPANY .. i I ! I 1 I i �1 i i 1 , I, I : I I i I I CITY OF FRIDLEY INSPECTION DIV. d , Effective On March 1, 1996 6431 University Ave NES Fridley, MN 55432 APPLICATION FOR POWER PLANTS. AND HEATING, CO©LING, VENTILATION, 7(,� 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS,, A+E IL. RATE SCHEDULE The undersigned hereby makes application for a permit for the work 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 true and correct. _ (Side Vent — FIII Out Back) ,1996 Gas Piping (Needed with new furnace) $ 10.00 $ OWNER � 1 ©( off- " S� 7q ' Qi I V% Gas Range $ 10.00 $ BUILDING USED AS Gas Dryer $ 10.00 $ �Ot) •00 l ATED COST _ P R IT NO.��_ *Air Conditioning —All Sizes $ 25.00 $ �ka t�V is CA/It4 V\ OAAA U1�i All Others/Repairs &Alterations (LIST ON BACK DESCRIPTION OF FURNACE AND OR BURNER 1 % of Value of Appliance or Work $ No, of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No, Commercial/Industrial BTU_ HP EDR* 1.25% of Value of Appliance or Work $ Fuel Total Connected Load State Surcharge 50 Burner Trade Name Size No. TOTALFEE BTU HP EDR MINIMUM FEE FOR ANY HEATING/COOLIINgNENTILATION REFRIGERATION/AIR CONDITIrJNIIVG PERMIT IS 25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr "Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. HEATING COMPANY 9f•► (C!0P S�i1- 1 Signed By_ � �' �-_ Tel No. Approved ByRough—In Date Final to eY//�' FILL OUT BACK SIDE OR STACK VERIFICATION ON REPLACEMENT FUR ACE List ALTERATIONS Being Done: HEATING CO: Signed By: Date: CEMANEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes () No ( ) 2. Is free from rust or deterioration Yes () No ( ) 3. Has no foreign objects lodged within Yes () No ( ) 4. Is securely supported Yes () No ( } 5. Meets all current Code requirements for size and total BTU's connected Yes ( ) No ( ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes () No ( ) 8. Has combustion air been provided for water heater Yes () No ( ) Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: Building Inspections 7.63-572-3604 SITE ADDRESS — MECHANICAL RESIDENTIAL APPLICATION CITY OF FRIDLEY YOUR E-MAIL ADDRESS X L In L / b7 Permit No.. Received By: Date Rec'd; TMS APPLICANT IS: ❑ OWNER VeONTRACTOR / PROPERTYNAI„ : c J < © L 1_C _- STATE IP_ OWNER/ ADDRESS: Z I N 6 k F g A S T. CITY — �- ►✓ TENANT %C� �� S`- 714— "116 -7 x $25.00 = $ PHONE: Number of fixtures @ $35.00 x $35.00 = $ G� CONTRACTOR COMPANYIT NAME:' CONTACT PERSON: J� I✓ �'iL �' e"J �'e `��— SUBMACOPY OF YOUR STATE STATE LICENSE # Z! � C% EXP Dq,ITE d S' �/ Z IV/�- y1 L(�6 U CITY rvl , {,,,,,J STATI ZT LICENSE WITH ADDRESS: f ►U/1 V2A APPLICATION PHONE '7/ ?- k 2 'g FAX PERMIT TYPE I *OLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE ❑ NEw PLACEMENT ❑ ALTERATIONMEMODEL TYPE OF WORK: i DETAILED DESCRIPTION OF WORK ('�.! C 0 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 df7 ; 7 x .05 = e�-5-6 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: SIZE/BTUMFG. MODEL: __ MFG: �FIREPLACE(GAS)$15-00 MODEL: SIZEBTU A/C $25.00 GAS RANGE/OVEN $10.00 AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 _BOILER $35.00 _FVRNACE $35.00 _GAS UNIT HTR $10.00 DRYER $10.00 POOL HEATER S35.00 CHIMNEY LINER $10.00 [ dAS GAS PIPING $10.00 _VENTILATOR $15.00 DUCT WORK $10.00 3 �ulowd IF 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 an&codes f a City of Fridley and with the MinnesotaConstruction Codes; that I understand this is not a permit but only an applicationit or is not to start without a permit; that the work will be in accordance with the approved plan in the case of a wores r ' w and approval of plans. / ,,p SIGNATURE OF APPLICANT PRINT NAME >✓i '� V/ `' � � `ATE City of Fridley Building Inspections Department . 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Number of fixtures @$10.00 x 10. _ Permit Fee $ 50 $ 0 Number of fixtures @ $15.00 x $15.00 = $ Surcharge $ Number of fixtures @ $25.00 x $25.00 = $ TOTAL DUE 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 an&codes f a City of Fridley and with the MinnesotaConstruction Codes; that I understand this is not a permit but only an applicationit or is not to start without a permit; that the work will be in accordance with the approved plan in the case of a wores r ' w and approval of plans. / ,,p SIGNATURE OF APPLICANT PRINT NAME >✓i '� V/ `' � � `ATE 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 PropanmUGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances TGC 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