Loading...
PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N° 3385 Date: ... ..... .............. Owner ....................................... Builderr:1... ...::i.!o Address...................................... Address ............................................. LOCATION OF BUILDING No. o7V.... ... Street . . !. ...` . �" .. . .. Part o Lot ........................... .. . Lot .... Block .... .......... Addition or Sub -Division . . �� .. . Corner Lot ............ Inside Lot ..X t S � �� Irg Se back . A ........ Sideyard ........................... DESCRIPTION OF BUILDING Too be Used G //� t� Front` f a.vP Height I1 :. Sq. Ft. /.SP:�ciT. Cu. F't.���� .. Front . 1 ®`Depth .%-.��nJHeight .: �. Sq. Ft. 547.. Cu. Ft. �.�' b Type of Construction .............. •. •.... ]St, cost. , � 9, .. To be Completed ................... In consideration of the issuance to me of a permit to construct the building desribed 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. X................................................. In consideration of the payment of a fee of $R........., 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 with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. .: ..... .... ;Building Inspector NOTICE: This permit does not cover the construction, Installation or alteration for wiring, plumbin , heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. City of Fridley Application for Pimnbing and Gas Fining Permit DESCRIPTION OF WORK Dept of Bldgs. Phone SII 4-7470 ' � 1 „ Number, Kind. and Location of Fixtures Location ;2� / �� '� l�y PARTIAL RATE SCHEDULE PLUMBING FIXTURE BATES: K RATE Z12S Number Fixtures ...................... Y Z $1.50 0- Z= Future Fixture Opening ................ 2- W V' ? S -),40 WATER HTR. x 1.00 $ Catch Basin ............................ x 3.25 c0 Water Heater (Up to 200,000 BTU) ...... $� a3 �� �� �a F N GAs ELEC $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... .-, -� x $1.50 $ s 7� Additional Fixtures .................... x Base $ Gas Flange to 200,000 BTU .............. x 2.00 $ 1st 2nd 3rd 4th • Future Connection Openings Connected with New Fixture, Old Openings 0 cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE BATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 $ L --1r 5-0 Future Fixture Opening ................ 2- x 1.20 $ -),40 New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $-- Water Heater (Up to 200,000 BTU) ...... x 2.00 $ New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... .-, -� x $1.50 $ s 7� Additional Fixtures .................... x .50 $ Gas Flange to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS -Refer to Code Description ............................................ TOTAL 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 re true and correct. Fridle , Owner-d/"�� f ✓✓G"�_� ��_% `� a- 1� Kind of Building Used as 19_ To be completed about /-I o Estimated Cost, --% r (', New,'Building Permit No o Sian By Business Phone No Connection Permit No . ....................................................... Water Sewer 11 1 M-8-sa Meter Deposit SUBJECT City of Fridley 66 72 AT THE TOP OF THE TWINS _ _ BUILDING PERMIT r RECEIPT NO. • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. I "1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 5/12/81 JOB ADDRESS 281 _ 67th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 4 1 Rice Creek Plaza South Addition SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Curtis Britz 281 - 67th Avenue N.E. 571-1439 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Gary Jansick 6480 Squire Drive N.E. 574-9679 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 ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 16' x 16' Deck 9 CHANGE OF USE FROM TO STIPULATIONS WARNNG Before digging call local utilities TELEPHONE - ELECTRIC - GAS DO. REQUIRED BY LAW 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 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 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 $2,0Q0 $1.00. 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- $12.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $13.00 ? SIGNATURE OF CONTRACT OR AUTHORIZED AGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT I BLDG INSP 1A SIGNATURE OF OWNER IIF OWNER BUILDERI tDATEI CITY Of f=RIDLEY APPLICATION FOR RESIDI"NTIAL BUILDING PERMITS (New, Al ten tions, Additions, or Repairs) OWNER: (_���0^7�is �1, Z' BUILDER:�Qru e�C,�19-sic � nonREss. :-/ Cr ADDRESS: fir. TEL NO: 677%' �%92 TEL I410: Construction Location STRI,T NO. STREET: L07': BLOCK: y ADDITION: A 10 Corner Lot: Inside Lot: is Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location dra,an on certificates to scale, DESCRIPTION Or CONSTRUCTION Front: Depth: Height: Squalls. Feet: Cubic Feet: Front: Square -Feet: Depth: Height: I Cubic Feet: Type of Construction: r Estimated Cost: $ Q p Q To Be Completed: U-"!3 .e. ( y f � Alt. A Alt. B Proposed Driveway `width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET . The undersigned hereby makes application for a permit for the vork'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. D,'=3: _S_ �`''/ simaUI.E: Supinations: Pali 1z'00 . /3 0 i ;t 1 V1, i ;t 1 J srj, R� flWvC�i� �J14C a — aIX6 Devi TiZP L l i 5 .2 XG /G DIEOk B41)as RIG L ;-r ., ru e `x 8xa . SJaPQG� I io Fmi-4 • _ axe so�.��o zx� rT��.us-..� %QICiti6 is" 0.C. GO.vCIfi. 7C 4�"AAOs7 NEW CONSTRUCTION GARY JANSICK 6480 SQUIRE DR I REMODELING FRIDLEY. MN 55432 STAIR RAILINGS 574-9619 DECKS J srj, R� flWvC�i� �J14C a — aIX6 Devi TiZP L l i 5 .2 XG /G DIEOk B41)as RIG L ;-r ., ru e `x 8xa . SJaPQG� I io Fmi-4 • _ axe so�.��o zx� rT��.us-..� %QICiti6 is" 0.C. GO.vCIfi. 7C 4�"AAOs7 CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572=3604 RATE SCHEDULE APPLICATION FOR POWER PLANTS AND HI=ATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS 02k Residential Furna a Duct Work, Burner - so acement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace) Gas Range Gas Dryer *Air Conditioning - All Sizes Rate TOTAL ®v $30.00-- $10.00. 30.00.•$10.00• $ $10.00 $ $10.00 $ $ 25,00.: $ All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work $ Com mercial/Industrial 1.25% of Value of Appliance or Work $ 30 State Surcharge $5_0 TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING 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. Effective On August 1, 1995 The undersigned hereby makes application for a permit for the work herein specified agreeing to do ail work in strict accordance with the City Codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. 1-1-7 — 'f,% ,1995 BUILDING USED AS ESTIMATED COST PERMIT NO. No. of.Heating Units _ Circle One (Steam) (Hot Water)arm Air Trad6Aame i'v _-�, �� � Size No. -7 �— BTU • -75 , o eyy HP EDR .Fuel . _r Total Connected Load Burne[ Trade Name Size No. BTU' ` HP EDR HEATIN Signed Approved By Rough -In Date FILL OUT BACK SIDE R STACK VERIFICATION ON REPLACEMENT FURNACE Final Date )-3647 6bf--,- ,6 Has total heating BTU's of All other BTU's TOTAL BTU's / S O 7. Has a liner been provided for water heater Yes No ( ) 8. Has combustion air been provided for water heater Yes () No ( ) Remarks: HEATING CO: Signed By: Date: CHIMNEY 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 (r✓j No ( ) 3. Has no foreign objects lodged within Yes { ✓f No ( ) 4. Is securely supported Yes ('f 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 / S O 7. Has a liner been provided for water heater Yes No ( ) 8. Has combustion air been provided for water heater Yes () No ( ) Remarks: HEATING CO: Signed By: Date: SUBJECT PER City of Fridley 27859 AT THE TOP OF THE TWINS BUILDING PERMIT r COMMUNITY DEVELOPMENT DIV. r 1 _E g SEC. 1 i { CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED By 612-571-3450 910-F15 9/18/98 JOB ADDRESS 281 67th Ave NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 4 4 1 Rice Creek Plaza South SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE maim 571-7999 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Brost Commercial 677 Hamline Ave N St Paul 55104 646-3500 20107295 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK 0 NEW 0 ADDITION 0 ALTERATION G} REPAIR O MOVE 0 REMOVE 8 DESCRIBE WORK Reroof house & garage (23SQ) Tear—off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REOUIREO FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED, NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT 1 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 $1,971.00 $.98 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 PROVISION OF ANY OTHER STATE OR LOCA LAW REGULATING CON. $62.25 Fire SC $1.97 STRUCTION R THE PERFO MAN'(:!Of CONST CTION PLAN CHECK FEE TOTAUPIEE Licepge SC$ .00 $70.20 SIGNATURE O CONCRACTO OR AUTNORi2E0 AGENT (DATE. N OPROP VALIDA D HIS 1 UR PEBMI S-GNATUREOF OWNEROF OWNERBU4DERi iDATE, FOG 1NSP gArE NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Effective 1/1/98 Y9 186q ConstructionAddress: oJi� Le al Iles ' 1on• - Owner Name & Address: 1P,, _ �. ,� J� t Tel. # 5-1 Contractor:'1 �a MN LICENSE # Address: VI `j \,\nC>.rv. SS \ p `( Tel. # Zoe—[ l� ~ 3 S Q U 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 Height Sq. Ft. _ GARAGE AREA: Length Width Height Sq. Ft. _ DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Q --k- '23 sun , - 7-(-) (; Construction Type: �Iou-x Estimated Cost: $ ti -1 zc r o (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: CA \ 19) q % APPLICANT: Tel. # 3 TOTAL STIPULATIONS: CITY USE ONLY Permit Fee $ Fee Schedule on Reverse Side Fire Surcharge $ /, 97 .001 of Permit Valuation (1/10th%) State Surcharge $ j $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ 66 $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: 3ITY OF FRIDLEY INSPECTION DIV. 3431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON FACH FI OOR Effective On Jan 1, 2000 SIB ® �'R CR • JOB ADDRESS NNIF its 61401✓ I— � � c Y• • • � _`sem � .y. r� '.RAF •W�[�i� Beer Dispenser - - _ - r �® $ 7.00 and representations stated in this application are true and correct. Catch Basin $ 7.00 Rain Water Leader $ 7.00 SIDDIQUI, ASHRA 5.20J7 Sump/Receiving Tank $ 7.00 281 67TH AVENUE NORTHEAST Treating Appliance $10.00 Owner— (763) 5 1 99 55432 FRIDWater (763) 571-7999 Water Heater -Electric $ 7.00 Water Heater - Gas** ^� $10.00 Building Used As�`�i��Ry Cer, Gas Range** Gas Dryer** $10.00 $10.00 ff Estimated Cost PERMIT NO. /V Back Flow Preventer Required ( )Yes O No Type $15.00 PLUMBING COMPANY4ik=M PLO A C, CA PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS NNIF its 61401✓ I— New. Fixtures $ 7.00 The undersigned hereby makes application for a permit for the work herein Old Opening, New Fixture $ 4.00 specified agreeing to do all work in strict accordance with the city codes Beer Dispenser $ 5.00 and rulings of the Building Division, and hereby declares that all the facts Blow Off Basin $ 7.00 and representations stated in this application are true and correct. Catch Basin $ 7.00 Rain Water Leader $ 7.00 SIDDIQUI, ASHRA 5.20J7 Sump/Receiving Tank $ 7.00 281 67TH AVENUE NORTHEAST Treating Appliance $10.00 Owner— (763) 5 1 99 55432 FRIDWater (763) 571-7999 Water Heater -Electric $ 7.00 Water Heater - Gas** ^� $10.00 Building Used As�`�i��Ry Cer, Gas Range** Gas Dryer** $10.00 $10.00 ff Estimated Cost PERMIT NO. /V Back Flow Preventer Required ( )Yes O No Type $15.00 PLUMBING COMPANY4ik=M PLO A C, CA Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge $ .50 TOTAL FEE $2LJ-50 SIGNED BY Approved By TEL N0.&Z- - 0 . Final Date COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A COMMON VENT INFO ON BACK SIDE COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacina an existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No ( ) The venting. system is plastic/PVC and meets all current codes and manufacturer specifications .including sizing, length, number of elbows and termination. Yes( No (. ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes ( ) No ( ) When required to install a new combustion air, it will be sized and installed To meet the current codes and manufacturer's specifications. Yes ( ) No ( ) When installina a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category (.Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes( ) No( ) Is the common vent and vent connectors sized and installed correctly after an appliance;has been removed from the common vent and vented separately as`per current codes. Yes( ) No ( Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance -#2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length It Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date : Building $ BUILDING Plan Review $ Permit No. -2L9519, I Inspections $ 1C J,) 0 RESIDENTIAL APPLICATION Surcharge $ Soo ReceivedB : 763-572-3604 $ 5-o $5.00 (State Licensed Residential Contractors) SAC Charge $ gec '' Curb Cut Escrow $ CITY OF FRIDLEY Erosion Control $ > 763-502-4977 FAX $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due EFFECTIVE 1-1-09 Make checks payable to: City of Fridley Attach Stipulations DATE :: — – YOUR Ec-MAIL ADDRESS r S h 1 A/ Yf,� / o a Coh-1 SITE ADDRESS 1 7� // N C- P THIS APPLICANT IS: OWNER *CONTRACTOR PROPERTY OWNER/ NAME: /-f I 'MM f T DyY1 S /UC , TENANT ADDRESS: Soa S 16,44 1/0 S r CITY R1A1 L STATE &ZIP PHONE: & 3 - 7 CONTRACTOR NAME: :64 M SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE # ? d O 6' EXP DATE AND CERTIFICATE OF ADDRESS: CITY STATE ZIP INSURANCE PHON ZJ FAX 2& – �L PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILYNEW CONSTRUCTION STORIE PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED WINDOWS ❑ BASEMENT FINISH ❑OOF ❑ DRAIN TILE ❑ DECK !=ING ❑ OTHER 13 SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ DITION ❑ MAINTENANCE/REPAIR >QREMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SQ FT ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES 13 HOUSE & GARAGE BASEMENT REMODELING SUBMIT: 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: FOR NEW CONSTRUCTION INCLUDING DECKS, Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim I . Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS>IYes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBES E OF OPENING CHANGES & , d TYPE OF. WINDOW TO BE INSTALLED AQ O U NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ OCCUPANCY TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ 1C J,) 0 .001 times the total job valuation Surcharge $ Soo .0005 x Permit Valuation Minimum $.50 License Surcharge $ 5-o $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $22 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ U vl4� Make checks payable to: City of Fridley Attach Stipulations THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of or 'c2res review d approval of plans. �� �Kl SIGNATURE OF APPLICANT + PRINT NAME l� o b f R -r ""; DATE Building PLUMBING Permit NO.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 l' CITY OF FRIDLEY D��'a 763-502-4977 FAXq EFFECTIVE 2-19-09 DATE ZOQ / YOUR E-MAIL ADDRESS SITE ADDRE S �J 67 THIS APPLICANT IS: ❑ OWNER OCONTRACTOR PROPERTY NAME: OWNER/ TENANT ADDRESS: CITY STATE ZIP PHONE: CONTRACTOR L NAME: SUBMIT A COPY OF ' YOUR STATE STATE LICENSE # 6 �6 EXP DATE Z 0 LICENSE, BOND AND D STATE BOND # j&_Z <,4, J -M3 EXP DATE 12-l-,, CERTIFICATE OF INSURANCE ADDRESS:_/' 7Z WIL 211 1" A,e• ✓U, M -A CITY c4 C /C S ATE�ZII�. PHONE �Z - 2>/ — � ? iV FAX PERMIT TYPE 226INGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW REPLACEMENT DETAILED DESCRIPTION OF WORK 7A FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW). MINIMUM FEE $35.50. 2- BATH SINK/LAV _FLOOR DRAINS SHOWER WATER PIPING -'2 _ _ :BATHTUB _ GAS PIPING (NEED CITY LIC) SWIMMING POOL WATER SOFTNER ($ _ CLOTHES WASHER / KITCHEN SINK Z WATER CLOSET PREY. $1 _BACKFLOW _DISHWASHER _LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION _ WATER METER —OTHER ... � C ! 3�'.:. d � 'G 5: .$^ ��5•, ' �� 4 �¢ i d a'`'�� M" ' Y .g w.�i .'h�' 0'yF, � ? �� 3' '. l'cc x,4« � � �" vrz �i� ,y 'y € '� �. yy k� � - '°�� � '� K.�� Y S. tYi" ?�, .✓ Y �Su�� a. J' S._ M •� N" a"� M1� Ss �°p�, t � �3 .' /g � �• d� A �.�`i`+' �,.�y i" 3fi6 ��Z 3 � � 'L �� I �` _ 4 $. 1W. v �� Ft L •2. I, L.r k 3 - 8 1 �� Ts `ii 3 :d THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a plumbing permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of al work which requires review and approval of plans. / SIGNATURE OF APPLICANT PRINT NAMATE 6 Z•t7 �~��d����. -��•°�s�° :��B�i�.��� ®��lo��t1�� �It1ll�C #(�[ �� ^fid �1 `�I a ��� �� City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-5024977 BuHdint $ BUILDING $ Permit No.: l 8 Inspections63-572360 Park Fee RESIDENTIAL APPLICATION Sewer Main Charge Received By: 763-572-3604 $ ._ CITY OF FRIDLEY Date Rec'd: 763-502-49/77 FAX ' EFFECTIVE 1-1-09 DATE__ �O� i YOUR E-MAIL ADDRESS SITE ADDRESS 7 L/ Z— THIS APPLICANT IS: X OWNER ONTRACTOR PROPERTY OWNER/ NAME: SA hal A S e-cA) Tit /f -- 7"01 TENANT ADDRESS: CITY STATE ZIP PHONE: CONTRACTOR NAME: SUBMIT A COPY YOUR STATE LICENSE STATE LICENSE # dO ✓'� EXP DATE AND CERTIFICATE OF ADDRESS: p q OaS (S4 g,,zl 'V 5 CITY STATE ZIP INSURANCE PHONE - S FAX (o 3 2 - PROPERTY TYPE PROPERTY SINGLE FAMILY/NEW CONSTRU TION SIZE ❑ TWO FAMILYNEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGE/SHED ❑ WINDOWS -v ,Q ti 3 S� F,9 S o N per ❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE r /'u Tp1 Sf/f Saw ❑ DECK ❑ SIDING 'POTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCE/REPAIR I REMODELING DESCRIBE WORK BEING DONE:._Sdti /-(fiQ Cff IIU 7-0 Oy F'4 SOV SIZE OF IMPROVEMENT LENGTH /02 WIDTH HEIGHT SQ FT ROOFING ❑ HOUSE ONLY NUMBER OF SQUARES ❑ HOUSE & GARAGE BASEMENT REMODELING SUBMIT: I. .Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS & PORCHES SUBMIT: ❑ Aluminum ❑ Trim I . Site Plan/Survey showing the existing structures ❑ Other ❑ Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF. WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: TOTAL JOB VALUATION $ —//! 0 (USING HE l 997 U.B.0 FEE SCH D ® OCCUPANCY TYPE Permit Fee $ Plan Review $ Fire Surcharge $ 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) $2000 per SAC Unit (Plans to MWCC for determination) -ft +6 ft= ftx$22=$ $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) Make checks payable 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 a p�ri mit d work is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of o ws a ires review approval of plans. SIGNATURE OF APPLICANT PRINT NAME A-6 S�40,00Cl% *'ZDATE_ - 2 CERTIFICATE O. F SURVEY for SKYWAY QUALITY HOMES / < n , V / Ile ., 0. VII 1281 �W Existing e, � House . � o Scale: 1 " = 30' 0 Denotes 1/2" iron pipe monument 3P. U) U) of °t'I� O° found. 1c\ up.0 Denotes Utility Pole �m -ou- Denotes Overhead Utility Line - de 9. The orientation of this Bearing System / is based upon the recorded plot of RICE CREEK PLAZA SOUTH ADD1710N. DESCRIPTION PER DOC. NO. 2006589.005 All that part of Lot 4, Block 4, Rice Creek Plaza South Addition that lies northeasterly of a line which is 75 feet southwesterly and parallel with the northeasterly line of said Lot and as measured along the southeasterly and the northeasterly lines / thereof, Anoka County, Minnesota. I hereby certify that this survey, plan or report was prepared by me or under my direct supervision and that I am a duly Licensed Land Surveyor under the laws of the State of Minnesota. I I MIDWEST and No certillcation whatsoever is extended to subsequent owners, mortgagees or title Lend Surveyors & Civil Engineers, Inc. insurers, unless this survey has been redated for this purpose by the surveyor. 710 East River Rood. Dated this 27th day of ov 2009. Anoka, MN. 55303 B r: • Registration No. 25343 Ph. 763-712-9099 Fox. 763-712-9055 y es E. spier — Mi esoto Licensed Land Surveyor Job No. 09-127 Book—Page DCF Acad FJIe 09-127 Asbuift Dated this day of 20 02009—Midwest Land Surveyors & Civ9 Engineers, Inc — All Rights Reserved D/" 7LVf 'r q UffLI7 r vrYIt—';o f( J2v 5! 4 t wt A A.) 5 K f_ ra- 0kh-c tj a &Cf U(44�. WC6 i am THIS JOB C®PY S 4J IAlfbd�%t/ / AYAlt AdLt ON IKE JOB SITE FOR THE FRAMING X /n AND FINAL INSPECTIONS 3 5919 5 ®n1 IY`C:S..JVI S ( V /�7tO Pooh �d?Av�cl� tZE i � M zea - 29xw �r aicc�lois 0 ^ VIAs 61-7 k-,// S 9 -7-0 R /u -77/Y�E APPROVED PLANS\ /, 1 PER RC SEC R106.3.1 BLDG I SP CTO 4 �1 Z�9oCo` tQG �E � ;bkjz4f- 4�,E 6,JS&- REScheck Software Version 4.2.1 Compliance Certificate Project Title: REMODEL Energy Code: 2000 Minnesota Energy Code Location: Anoka County, Minnesota Construction Type: Single Family Glazing Area Percentage: 200% Climate Zone: 2 Construction Site: Owner/Agent: 281 67TH AVE. ROB SCHMANSKI FRIDLEY, MN 55432 SKYWAY QUALITY HOMES INC. 612-644-1442 Compliance: 3.4% Better Than Code )Maximum UA: 116 Your UA: 112 Mllff"Awss"IM"bly Designer/Contractor: RICHARD J. SCHWIETERS SCHWIETERS HOME DESIGN 1628 COUNTY HIGHWAY 10 N.E. SPRING LAKE PARK, MN 55432 763-785-2105 SCHHOMDSGNC&AOL.COM Ceiling 1: Flat Ceiling or Scissor Truss 117 38.0 0.0 4 Wall 1: Wood Frame, 16' o.c. 294 20.0 0.0 14 Window 1: Above-Grade:Wood Frame:Double Pane 16 0.350 6 Door 1: Glass 42 0.330 14 Floor 1: Slab-On-Grade:Heated 117 30.0 74 Insulation depth: 4.0' Furnace 1: Forced Hot Air 90 AFUE Boiler 1: Click here to select Assembly 80 AFUE Compliance Statement The proposed building design described here is consistent with the building pians, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the 2000 Minnesota Energy Code requirements in REScheck Version 4.2.1 and to comply with the mandatory requirements list i e REScheck inspection Checklist leit,10jO h 5&1-14ve oft Name - Title ) lJ �? r�-- Si nature Date S C Ile", s `�ri�7 i�r �4 <l REScheck Software Version 4.2.1 REScheck Inspection Checklist Plan Review and Inspection Issues This list of items may be helpful for Plan Reviewers and Building Inspectors to use as a guide for enforcing the Minnesota Energy Code. The items apply to Group R, Division 3 Occupancies, one- and two-family residential dwellings. The items marked with ' apply only to detached one- and two-family residential dwellings. Plan Review Issues Foundation Inspection: Foundation wall insulation R-5 minimum. Foundation insulation extends from top of wall down to top of the footing. Exterior foundation insulation is covered by a protective coating finish. Concrete Slab or Under -Slab Inspection: Slab on grade perimeter insulation R-5 minimum. Ll Slab insulation extends from top of slab to design frost line or top of footing. 0 Floors over unheated space R-30 minimum. Windows / Doors / Skylights: Average U -value is 0.37 maximum for windows and glass doors (excludes foundation windows). 0 Window U -values consistent with building plan and REScheck Certificate. Ll Window and door areas consistent with building plan and REScheck Certificate. Mechanical ventilation Issues: 0 Residential mechanical ventilation system provides adequate ventilation per code requirements'. L) Furnace efficiency is consistent with REScheck Certificate or building plan. U Protection against excessive depressurization is installed per code requirements'. Envelope Insulation for Plan Review: E] Interior basement insulation R-5 minimum (if no exterior insulation). 0 Ceilings with attics R-38 minimum or consistent with building plan and REScheck Certificate. i] Wall framing and insulation level is consistent with building design and REScheck Certificate. Inspection Issues Concealed Insulation Framing and Sheathing: L1 Wind wash barrier installed at attic edge. U Exterior wall comers framed so that insulation can be installed after exterior sheathing is installed. C3 Intersections of interior partition walls and exterior walls framed so that insulation can be installed between the partition and exterior sheathing after exterior sheathing is installed. L1 Gaps between framing less than one-half inch are eliminated by securing framing together or are insulated at the time of assembly'. L] All penetrations between conditioned and unconditioned spaces made prior to framing inspection are sealed'. Interior Air Barrier: All fire stops are air sealed. Pipes, ducts, wires, equipment and flues and chimneys through the interior air barrier are sealed. LI A sealed continuous interior air barrier is installed on the warm side of the building envelope at ceilings, walls, and floor rim joist areas `. O Air barrier behind tub and shower is sealed and protected. Ll Recessed light fixtures are sealed. Envelope Insulatiaip: Basement insulation �i-5, minimum. Wind wash barrier an wall `separating house and garage is sear. U Loose fill insulation is prevented from entering the eaves. Lj Insulation on skylight shafts and walls exposed in attics Is supported on the unconditioned side. Attic Insulation: Ll Attic access panel insulated to R-38 for ceiling panel and R-19 for wall panel. Ll Attic card attached to framing near access opening. D Notification of attic R -value and date of installation posted near building permit inspection card. This is a summary only. Other requirements may apply. See the Minnesota Energy Code. Questions? Call the Department of Public Service Information Center at 651-296-5175 or 1-800-657-3710. Building MECHANICAL Permit 06q,00 RESIDENTIAL APPLICATION ReceiveInspections WBy: 763-572-3604 Da CITY OF FRIDLEY 763-502-4977 FAX I EFFECTIVE 2-19-09 DATE o YOUR E-MAIL ADDRESS SITE ADDRESS THIS APPLICANT IS: ❑ OWNER INCONTRACTOR PROPERTY NAME: L✓® m m ADDRESS: 1e CITY STATE ZIP OWNER/ TENANT PHONE: CONTRACTOR COMPANY NAME: `7Q CONTACT PERSON: 614 6 f SUBMIT A COPY OF YOUR STATE LICENSE WITH STATE LICENS # EXP DATE �� ADDRESS: �� CITY ��� STATTi/O*ZIP� APPLICATIONPHONE %%,�� % YU FAX / k.� 2�` /� PERMIT TYPE E SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE ❑ Qd'ALTERATION/REMODEL TYPE OF WORK: ❑ NEW REPLACEMENT DETAILED,DESCRIPTION OF W�1tISi f'a� d'� In � rt---e/W'V o� P 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: SIZE/BTU MFG: MODEL: SIZE/BTU $25.00 (GAS) $15.00 _GAS RANGE/OVEN $10.00 _A/C _FIREPLACE TO AIR EXCHANGEER $15 (WOOD) $35.00 NEW GAS GRILL $10.00 _AIR _FIREPLACE $35.00 $35.00 _GAS UNIT HTR $10.00 _BOILER _FURNACE CHIMNEY LINER $10.00 DRYER $10.00 POOL HEATER $35.00 _GAS DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 �" Y '7 � b � �- � d �`.i �1t' b 1'�.� A"�'3' F�,� i � Y�;(u'C ,. ''� m3., „ri�,R�.' � �',� v'$.'•. � � -. F .3 +: � � � � � 55f", �^ .` i rc 5 f Y ,�{:.r " § P -Lwin y.E �.T .% 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 9r1 hich re . es review d approval of plans. % SIGNATURE OF APPLICANT PRINTNAME' �/` �S �QFATE AiR fi 01 LEEDS 10 MIXA, � 011 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 0 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.