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PRE 2010 DOCSCity of Fridley, Minn.. BUILDING PERMIT 11TH C437 ) Owner: Builder Address Ad LAT OFVILDING No. Street — Part of t Lot_ Block ddition or Sub -Division -- VY� Corner Lot — Inside Lot Setback Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To used Front Depth`-- Height Sq. Ft. Cu. Ft d=-~Fwnt Deptheight Sq. Ft. Cu. Ft. J Type o nairuction Est.+ — 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 all provisions of ordinanc�a of the city of Fridley. In consideration of the payment of a fee of $-;-/ 7 , 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. ,s. Building Inspector NOTICE: This permit does not cover the construction, tastailation for wiring, plumbing, gas heating, sewer or water. Be sure to we the Building Inspector for separate permits for these items. APPLICATION FOR BUILDING PFRhIIT CITY OF FRIDLEY, MINNESOTA Owner's Name Builder J04", - Address Address 7117- LOCATION 117- LOCATION OF BUILDING No. ®� Street6 f� �- G� Part of Lot Lot Block Addition or Subdivision„&, � � r �ZA *,o,44 �l Corner Lot Inside Lot Setback Side -Yard SZM ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. To be as: DESCRIPTION OF BUILDING rJ FA Sq. Ft. 12, IF- Cu. Ft. cont 2�2- Depth ZZ Height Sq. Ft. L/09 Cu. Ft. Me d� Type of Construction r tggrm� Estimated Cost_ ��J Z929— To be Completed DC -,e7" /157— 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 the facts and rntations stated in this application are true and correct. DATE SIGNATURE �epre / (A Schedule of Fi(e Costs can be found on the ReverWAJde.) City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK��� Number. Kind and Location of Fixtures Loaatio q 3 CU3 RATE = ai Number Fixtures ................. VI ; F- Y C LL Future Fixture Opening .............. I. Z LL N U 3 v! U� G W �z U4a Z a 90 . F ` N WATER HTR. GAS EIEC Base x 2.00 $ New Ground Run Old Bldg . ............ x 3.25 $ jO / NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 Additional Fixtures .................... x .50 1st Gas Range to 200,000 BTU .............. x 2.00 $ 2nd 3rd 4th • Future Connection Openings I New .Fixture, Old Openings 1 Connected with Sewer Cesspool � PARTIAL RATE SCHEDULE City of Fridley: The undersigned hereby makes application for a permit for the work herel 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_$rue and correct. Fridley, Minn Owner Kin of Building ' Used as To be completed about PLUMBING FIXTURE RATES: NO. RATE AL Number Fixtures ................. x $1.50 $ Future Fixture Opening .............. I. x 1.20 $ G 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 Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................... TOTAL FEE $ Estimated Cost, $ Old—New. Building Permit No ROUGH FINAL Business Phone 194-1 Application for Power Pkmts and Healing. Coding. Ventilation..Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL, Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR / Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 60,000 BTU .... . .................. 2.00 $ Replacement of Furnace §.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. IDR Steam....... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. IDR 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 BTL) ....................... 5.00 $ • e_� GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures x $1.50 $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $� ROUGH FINAL Dept. of Bldgs. Phone SII. 4-7470 T.nrnt;nn ®f 0 % — W _*� 9 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. Frivn Minn 19 4=J Owner ✓� Kind of Used as To be completed about Estimated Cost, $ //7d Old('—'Newuilding Permit No. Permit No. Z,5- DESCRIPTION 4F WORK HEATING or POWER PLANTS-Steap"Hot Wa , Warm Air No— Trade NameS� 46'&&t-U&S9ze No 16r Capacity Sq. Ft. E.D.R- T' d BTIT // H.P. Total Connected Load��� �� Kind of Fu e i�illv�. BURNER —Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. Slg,,edRAyN. WEtTER HEATING t:( By 4637 i;H(cAcn Avr_ MINNEAPOLIS 7, MINNESOTA 4Z 2M 7.59 Business Phone No 7 (REMARKS—OVER) SUBJECT NO. City of Fridley O AT THE TOP OF THE TWINS BUILDING PERMIT _19280 RECEIPT NO � COMMUNITY DEVELOPMENT DIV. _ r PROTECTIVE INSPECTION SEC. 9ig CITY HALL FRIDLEY 55432 NUMBERDATE REV. PAGE OF APPROVED BY L 612-571-3450 910-F15 11/19/87 JOB ADDRESS 209 - 69th Avenue N.E. 1 LEGAL LOT N0. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. $ 1 Rice Creek Plaza North Addn. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John Boser 209 - 69th Avenue N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Beitler Building Systems 2751 Mississippi Street, New Brighton 55112 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 63 6-192 7 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION Ij ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Remodel Kitchen 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS RF-QUIRED FOR JiEATING, PLUMBING AND SIGNS. �AJIRVXTIG, SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING 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 $1.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,000 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PR VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $32.50 ST R CTION OR THE PERFORMANCE OF CONSTRUCTION. n PLAN CHECK FEE TOTAL FEE r $33.50 S GNAhJRrOF CONTRACTOR OR AUTHOR[ DAGE T IDAA) WHEN PROPERLY ATED THIS IS YOURZMIT 9 a° SIGNATURE OF OWNER IIF OWNER BUILDERI (DATE) BLDG INSP FIAT NEW [ ] ADDN. [ ] ALTER. [)4 Construction Address Legal Description:_..[ Owner Name & Address: Contractor:____ Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: City of Fridley R-1 AND R-2 Building Permit Application I _ A , Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. Effective 4/1/86 Tel. # _ Tel . # 3� DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length J Width Height Sq. Ft. Length _� Width Hgt/Ground Sq. Ft. Corner Lot [ ] Inside Lot [ ] Ft. Yd. Setback Side Yard Setback mo Type of Construction: Estimated Cost: $ Z �-- Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation /S -z 7 DATE: / APPLICANT: Tel. (��TY USE ONLY Permit Fee $ so Fee Schedule on Reverse Side Plan Check $ 25% of Building Permit Fee State Surcharge $ 1,00 $.50/$1,000 Valuation SAC Charge $ $ 525 per SAC Unit Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ STIPULATIONS: I -ASC J•��.C� V �p�, `l" . W Building Inspections 763-572-3604 DATE_ L� SITE ADDRESS THIS APPLICANT IS: PROPERTY OWNER/ TENANT CONTRACTOR SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PERMIT TYPE TYPE OF WORK: MECHANICAL RESIDENTIAL APPLICATION CITY OF FRIDLEY 0-1 _ . YOUR n ADDRESS: COMPANY NAME; 01ANDANO CONTACT PERS( jC&Q , L.S', 410 MIN STATE LICENSE # PHONE `SINGLE FAMILY ❑ TWO FAMILY ❑ NEW REPLACEMENT DETAILED DESCRIPTION OF WORK FAX 9 Permit Received By: e1�eOC n � MN 55408 STATE ZIP ❑ TOWNHOUSE ❑ ALTERATIONIREMODEL 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 futures. (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 ARE BASE ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: MEDICATE TOTAL NUMBER OF EACH BELOW) o�CJ��1 BquipmentlnstalIC4 MFG. cl--, MODEL:3-LS- S1ZE/B MFG: MODEL: SIZFIBTU MFG: MODEL: SIZFJBTU C $25.00 CE (GAS) $15.00 GAS RANGE(OVEN $10. AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 FURNACE $35.00 GAS UNIT HTR $10.00 BOILER $35.00 CHIMNEY LINER $10.00 GAS DRYER $10.00 POOL HEATER $35.15.000 DUCT WORK $10.00 GAS PIPING $10.00 VENTII.ATOR $15.00 Permit Fee $ Number of fixtures @ $10.00 x $IU.UU = Surcharge $ .50 Number of fixtures @ $15.00 x $15.00= $ TOTAL DUE $ Number of fixtures @ $25.00x $25.00 = $ 2 - db Number of fixtures @ $35.00 x $35.00 = $ State Surcharge= $ .50 THIS IS AN APPLICATION FOR A PERMITNOT 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 a City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an n for d work is not to start without a permit; that the work will be 7z)r7 ce with the approved plan in the o rk whi review and approval of s• ATEl b SIGNATURE OF APPL _ RSTL4Y!:�� ni� 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 HOMESIADDITIONS [EXISTING HOME ❑ MAKE-UP AIR REQUIRED FOR NEW/EXIS_T,.INQ MQDIt:S >: 1. Combustion Air (See note below) a_ Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or PropanmVGC 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 MIST 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 TMC 1346.0603.2 a_ ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for .combustion and make up air calculations