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PRE 2010 DOCSSUBJECT PERMI City of Fridley . 9115 AT THE TOP OF THE TWINS BUILDING PERMIT - r R • COMMUNITY DEVELOPMENT DIV. ma---y_--- r � � PROTECTIVE INSPECTION SEC. 1 LJ 1 � � /'--1 CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 4/18/85 JOB ADDRESS 1230-32-34-36 72nd Avenue N.E. 1 LEGALLOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. fp 1 Tri-Co Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Tri-Co Builders 2261 Fairoak, Anoka, MN 55303 IMM 427-6250 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 ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE % 8 DESCRIBE WORK Construct a 70' x 3V 4-plex Building & a 44' x 20' Garage 9 CHANGEOFUSEFROM TO STIPULATIONS Paid Sewer Main Charge of $72.00 SEWER LOCATION: 55' E. of M.H. WATER LOCATION: 141 S.E. of NE corner of 4-plex. 18' N.E. of S.E. corner of 4-plex ARp SEPARATE PERMITS REQUIRED FOR 6e�re d9&gn� � 91;4 r:l LI ;I64lles WIRING, HEATING, PLUMBING AND SIGMS,w, ULEPH4iiE-E�"L -GAS EW SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. 1; gC.CUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 4 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 $175,900 $87.95 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISION,"F ANY OTHER STATE OR LOCAL LAW REGULATING CON- $623.00 $1,360.00 TR�OR THE PERFORMANCE OF CONSTRUCTION. < PLAN CHECK FEE TOTAL FEE $2,194.45 _� l �z - $ 123.50 S NATURE 0TR TOR OR AUTHORIZED AGENT (DATE) WHEN PROPERLY LI DATED THIS IS YOUR PERMIT SLOG -SP Tjf SIGNATURE OF OWNER IIF OWNER BUILDERI (DATE) UOUNDAN " ENOINERRINQ �� � ifi. �., �i h. �•�in; � l.a�n, � l..nd��u . � •g• 1. n.. !',u.an� r. Certificate of Survey ,forte% 1' CO �VIL DEQ 72 .A/0 ^4 P � 4j• N6A°53'55"E O a C .4 VEI �✓�� I1 U. 00 .A C., C} ( t✓ ti I� e_ AS &grings shopvo are o.9w 7eo'• deno45 iron rnonumenl. 9.9911-5615,91'W 110. 1 LOT G,, BLOCAc , T Rl - CO Q,DDI TIO^/ , .4VO I -i -A COLIA17-Y, 44zA11vE sO TA , Sah)*ed to ea5en7¢,71-5 I hereby certify that this is a true and correct representation 01 a sure•y of the houndavies of the above described land, and of the location of all buildingh thereon, and all We encroachments, if any, from or on suid land. As surveyed by me this doy of °—}" r A. 0. 19/��i S/UIIURBA�M 1N.WMEBRING, #WC. Inyinee , '' Sutrviyors 1 1# 1br.- t .. _ - _ � _ .......... �—.�.�^P. -^`•_ may' 0 e_ AS &grings shopvo are o.9w 7eo'• deno45 iron rnonumenl. 9.9911-5615,91'W 110. 1 LOT G,, BLOCAc , T Rl - CO Q,DDI TIO^/ , .4VO I -i -A COLIA17-Y, 44zA11vE sO TA , Sah)*ed to ea5en7¢,71-5 I hereby certify that this is a true and correct representation 01 a sure•y of the houndavies of the above described land, and of the location of all buildingh thereon, and all We encroachments, if any, from or on suid land. As surveyed by me this doy of °—}" r A. 0. 19/��i S/UIIURBA�M 1N.WMEBRING, #WC. Inyinee , '' Sutrviyors 1 1# 1br.- t .. _ - _ � _ .......... �—.�.�^P. -^`•_ may' �� C r i Prepaid Plan Check Estimated Cost inn a N" Receipt # Construction Address: aid Legal Description: City Of Fridley R-3. COIMERCIAL A INDUST Building Permit Applicat Property Owner A Address:_ - e, '5/c/a, Tel. # P_ Contractor 6 Address: a¢ 2v c -Tel.# Architect 6 Address:_ ll�s � r_ ges;A , �%/ - 2/3 3 Reg. # Engineer & Address: Reg.# Type of Work 0\1 New [ ] Addition [ ] Alteration USE OF BUILDING: APPLICANT SIGNATURE: Tel. # Date: BUILDING DIMENSIONS Size of Structure Length Width Height Sq. Ft. ,� # of Stories �y �A: L'L�Length Width Height Sq. Ft. 242_- Wass---*M:UkPLength Width Height Sq. Ft. OTHER AREA: Length / Width / �.0 Height �' Sq. Ft. � A(:0 7� a3 Sq. Ft. X $ o Cost/Sq. 19 VALIIATION � Ft. = Valuation C Sq. X $ Cost/Sq. U Ft. = Valuation $ - ) = a at Sq. Ft. X $ ---�= �+L.-� Cost/Sq. - Ft. = Valuation $ Total Type of Building Construction _ e__ Occupancy Group Class. Zoning Air Conditioned [ ]Yes [ ]No Fire Protection System [ ]Yes [ ]No. Permit Fee �,(1( ; ' __),;AIM6ti H IL- Tz CITY OF FRIDLEY BUILDING PERMIT STAFF REVIEW MINNESOTA Date Received: Date Due: File No./Address: ���� _ /o�� •" JIM 12" MERE CLT &i. BOB 1 1. Planning_ 2. Code Enforcement L 3 -Pring 4. Fire TIM 5. Police I JIM DARREL , 6. Code Enforcement o JOHN 7. Public Works Director = Give Hack to Planning DATE: DATE: Building Permit Review Mtg. 12nd Mtg, uester Reg. DATE FILE REQUIRED INFORMATION: ROUTING ! APPROVED LOCATION COMMENTS Site Plan JIM Design Plan = DARREL Construction Plan DARREL R.C.W.D. Approval (if nec.)� DAMARK &�_ / JIM & Bonds Needed SID S J lr Easements: Bike/Walkway CLYDE Road ! CLYDE S7IL� /x'117 Drainage CLYDE c Utility i CLYDE 3/1 S/791' Drainage Plan ' MARK Landscape Plan i JIM EAW = MARK ' FIRE DEPARTMENT , BOB POLICE DEPARTMENT JIM H. OTHER, LIST: DATE INITIAL COMPLETED S STIPULATIONS I (a/4TE oN /I%RTH of %REFvse �NC�oauR� 3/0/8/5/ TRI -Q0 ADDITION P.S. #78-01 y iZA 92 *ON Ti VS0 -lv�J1N53 0-10 n:J- L = - -� - - -.862• - —1_ r 1 w •x � Y r-- 111 i l - : urrYst i rlso ! ! T/I I Ilrl r sstror rrn's I 1 � •-r' i '�°� ..�. �►' �t �V� 1 � mob`, � .r• , Y, I /, 1J / I �' -- - - --- Tf 1 1 i / •I 3 Y , = f d l r- I s �, rme ;o 1 6 .. ` EXTER OR ti+HER; l ENVELOPE AVERAGE CpMPUTATIO 5 o/O k? N 1114 c- SITE AcaREsx; 4 U11f /A CON TRACTOR: DATE.; DETERMINE WORKING 0 �..".""" "-•..'HONE: �• TOTAL EXPOSE 0 WALL S uARE FOOTAGE OF EACH: • AREA �. TarAL••••.... �79� ROOF/CEILIpG AREA sq ft x 3• TOTAL Xp '••••... U .11 E OSED MgLL 36G.9 ZZ AREA CALCULATIONS: �' sq ft x ��u�� 026 _ G8a Totalexposed wall Area above •� f Total MeI loor'...... Z�90 l Window area: t sq ft 914led, glazed. sq f t x ..U.. Total door area ••..,,,..Z1X¢ sq ft x �.Ui0 S c) Tota 1 l idin �� sq f t X #$UsI lJ g glass d ooZ r area: S L ""'..--•-. � g lazed...... pr Z�c ..r. gl4zed a-- sq ft x ..U.. Total flreplec e wa I 1 are sq ft x 00401 AL e1 Total Mall 4 framing sq ft X foul) (Average 109) , 9 area f) Total Aet Wali area ab • z7� :q ft x �iU�i ova , 4�9 floor (Insulated)...:... * 2•-�5�� g1 Total rim jolst sq ft X 48U,s Total foundation • • sq ft5 z L 41rgp (Exposed).•,,,, • hj Total f ••• oundation sq ft MlndoN area. Total net foundation. `q ft x ..U.. n U areq above grade.. . d egftx„�.. � If 'tom 03 is the TOTAL s a) thru Ij •�bood A ,�� As. or less than Item /1 302.93 ell . You have "at the intent of Page 1 0 CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE mme f ftWW0P f l r_ Furnace Shell and Duct Nor k, Burner (Also replacement furnace) Gas Piping (piping needed with now furnace) Gas Range Can Dryer 63'��.3b RATE TOTAL Job Address $ 20.00 s W • UD $ 10.00 $ " /(J . o O $ 10.00 $ $ 10.00 $ • Air Conditioning (all sizes) 1 $ 10.00 All Others/Repairs and Alterations 1t of Value of Appliance or work COMyERCIAL/INDUSTRIAL 10 of Value of Appliance or Work State Surcharge TOTAL !EE Reinspection Fee ($15.00) Rough Inep. Date Final Insp. �7—9/— Date Approval for Permit pr MINIMUM FEE FOR ANY HEATING PERMIT IS $10.00 PLUS $.50 STATE SURCHARGE Attach stick verification form with replacement furnace permits •Air Conditioners can tint lov placed in -;ids- yard without written permission from adp.tning neitlidwir. Effective Auq. 1. 19N1 Department of Buildings, 6131 University Ave. N.E., Fridley, HN SSI32 City of Fridley Tel. 0571-3450 The undersigned hereby waked application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated In this application are true and correct. Fridley, Minn. . 19 OWNER RIND OF BUILDING 'Re ( USED AS �Q J TO BE COMPLETED ABOUT r- Z o ` ESTINAT caST OLD NEM ILDtNG PERMIT IA. PERMIT NO. (9 DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, {�Steam, Not water, warm Air- No. /� ��)jC Trade Name l /�x�)CzT sine No. 5D 6�5) c Capacity Sq. rt. EDR BTU �� ° d NP Total Connected toad /� Rind of Feel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR B'R1 11P Company 1 Q4 Signed By Tel. No. Pierce Refrigeration To C LTkzC� C?t,� C`,e��: A 1;.�n `.;uafi ��: N.F:, CITY. FM"FM"OSS IALCLTLATION$ DFd�ARTMF: r OF BUILDINGS 4E, - VILLL AGE Weatherstrips A G JLVJL Construction No. Insulation Windows Doors Reference Out. Wall Int. Wall Calling RmfFlaor Kind How Applied Yes—No Yes—No 19........ r'L xoom I Length .Ya" width 9.5" Height r • Windows and Doors--Cmckage and Area LCOl- No. o! !dt e g L Nohtost of°: 9 efitt, ti Infiltration l9. 15.75 ld®J b° ..� n 4 v oZ . J d. o1J Exp. wall I . v" .S' Cv 9• 7 Coat BW Infiltration Infiltration $:,SD Ceiling y7 I .6 O Glass Floor Glass 477 02 y`i, G Exp. wall Yp J Exp• wall Net exp. wall 3/, b �r 1-2, 00nk X f0F 9 va) ,1 So 7 -5 Ceiling a .-S 5 Door_ a ,5-�, Oeo(t. _ 1 k6-1 YJ c . 01 Floor S�0 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl. I Room I Lente I.,./ " Width 19 'S ' Bj&ht sr ' Windows and Doors—Crackage and Area L o w E I� I, E V-= L No. Width Height o. of of pane of ane lights Llnealft. Area of crack . ft. Coef.1 Btu Infiltration -3 . jS lS.1s Glass Exp. wall riet exp. wall CMLI Btu Infiltration Ceiling Floor Glass Total Btu. 32�5 Yp J Exp• wall 3/, b Net exp. wall o 4 a 36 G 7�S' ;,x'? c,fi a" � / c . 01 Floor HS Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FL I Room I Length Width Height Windows and Doors—Crackage and Area Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FL I Room I Length Width Windows and Doors—Crackage and Area Wld lght o. of Lin iL No. o! of ane U hts of crack Area ti.. Coef.1 Btu Infiltration Glass Exp. wall riet exp. wall Int. wall - Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area YL I Room I Length Width Height Windows and Doors--Crackage and Area I I I I jCoefjBtu Infiltration Glass Exp wall Net exp, wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FL I Room I Length Width Height Windows arid Doors--Cmdmge and Area I I I I CoeLl Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceu►g Floor Total Btu. Required sq. ft. E.D.R, or sq. W. W.A. Leader area CITY OF FR] DLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: New Fixtures Future Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Hydraulic Valve Sump or Receiving Tank Water Treating Appliance Hot Water Heater Gas Range Gas Dryer NO. RATE $ 5.00 $ 3.50 S 1.50 S 0 $ •p $ U S k e 5.00 Water d $ a $ 5.00 $ W a -4 Tel. No.� �i S wRwof ° Heater t80M y y C0 C p Oba 4i mw✓ m N o v nwBua u a lec G let 2nd 3rd 4th (R) - Future Connection Opening Connected with Sewer (�) - New Fixture, old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: New Fixtures Future Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Hydraulic Valve Sump or Receiving Tank Water Treating Appliance Hot Water Heater Gas Range Gas Dryer NO. RATE $ 5.00 $ 3.50 S 1.50 S 4.00 $ 5.00 $ 5.00 S 5.00 S 5.00 D S 5.00 $ 7.00 $ 5.00 $ 10.00 $ 10.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS It of Value of Fixture or Appliance Reinspection Fee $ State Surcharge ($15.00) TOTAL FEE Ettective Aug. 1, 1981 Job Address Department of Buildings City of Fridley Tel. 5571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are '' true and correct Fridley, Mn. 198- OWNER i KIND OF BUILDING Lf ��� z USED AS(p.�� TO BE COMPLETED ABOUT S ESTIMATED COST S TOTAL OLeD F S Date ILDING PERMIT NO. PERMIT NO. FINAL INSP. J l5 S $ „'�C— Date S S Company S $ Signed By $ Tel. No.� S S S ROUGH INSP. S Date $ FINAL INSP. J l5 S $ „'�C— Date S $ APPROVAL FOR PERMIT S So S �Lo�•5� MINIMUM FEE FOR ANY PLUMBING PERMIT IS $10.00 PLUS THE $.50 STATE SURCHARGE IJ SUBJECT PERMIT NO. City of Fridley r 57Z04THE TWINS BUILDING PERMIT 28421 40 O. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. . 7 � 1 � � CITY HALL FRIDLEY 55432 •'' NUMBER REV DATE PAGE OF ""'"�� 612-571-3450 910-F15 110/26/98 JOB ADDRESS 1'"'-30 1236 72nd Avenue NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 1 Tri-Co Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Russ Beck 1236 72nd Ave NE Fridley 55432 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO 55 2n Ave S. Mpls MN 55406 Scott Construction �cilix 1504 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Commercial 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION Jk REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof 4- lex (35 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $3,000 $1.50 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $74.75 hireAC $3.00 PLAN CHECK FEE TOTAL E 17- /$7 . IGNATUR O CONTRACTOR OR AUTNORiZED AGENT IDATEI NP PER V ID TE IS YO R PE IT O *— S-GNATURE OF OWNEROF OWNER BUILDER, (DATE, BLDG JKSP r;Ayk- dl�: IJ Prepaid Plan Check $ Estimated Cost $ Receipt # Effective 1/1/98 CITY OF FRIDLEY R-3, COMMERCIAL & INDUSTRIAL BUILDING PERMIT APPLICATION l�-3a _ Construction Address z - % 2-/2 Jam- Zoning Legal Owner & Address OCNTRACIOR & ADDRESS Architect TYPE OF WORK [] New Reg.# Engineer BUILDING CONSTRUCTION Addition [] Alteration -Describe Tel# Tel# . f Reg.# OFC. AREA: Length Width Height Sq. Ft. [VSE AREA: Length Width Height Sq. Ft. OTHER AREA: Length Width Height Sq. Ft. APPLICANT Tel Date -2' -A, A70 VALUATION Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) _ $s-,277-'5-6 / Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) TOTAL VALUE Building Use Construction Type Occupancy Group Air Conditioning [] Yes [] No Fire Protection Provided [] Yes [] No Performance Bond Amount $ See Reverse for Schedule Received []Yes []No Permit Fee Plan Check Fire Surcharge State Surcharge SAC Charge Erosion Control Park Fee s 7,5— S Spec. Assessments $ Driveway Escrow $ TOTAL $c z S. See Fee Schedule on Reverse Side In Excess of Prepaid Amount - See Reverse Side .001 x Permit Valuation (1/10th %) $.50/$1,000 Valuation (See Sched. for > $1 Million) $1000 per SAC Unit (Plans to MKCC for determination) $450.00 Conservation Plan Review Fee Determined By Engineering Agreement Necessary [] Not Necessary [] feet x $13.50/foot ATTACH STIPULATIONS Building BUILDING Permit No.: ®0 19/ Co Inspections COMMERCIALANDUSTRM L Received By: 763-572-3604CITY OF FRIDLEY Date Recd:/O -E-MAILADDRESS(3. C) (• �M DATE—M- I � O-1 YOUR E C►w.►Iu��,,��rl� �K� � CO n A SITE ADDRESS 123 Ic T Ave_ . �t Y' (� -y , r v l 5 rJ `4 3 TENANT Suite No. PROPERTY OWNER $ ADDRESS: ZI bu IZ +''' CI 31STATEM&W 55 W Erosion Control $ PHONE: ARCHITECT NAME: ADDRESS: CITY STATE ZIP Special Assessments CONTRACTOR NAME: of Curb Cut Escrow _t ADDRESS: 81q Pxd1 l YlAV1'CW �, SE C 1@, l TAT) LIl',5 [e3 ft + 6 ft = ft x $21 = $ PHONE: 501- 35t,- 020 FAX 07 35(o740 2( $ — *NOTE: CITY LICENSE REQUIRED FOR MULTI FAMILY/COMMERCIAL/INDUSTRIAL JOBS PROPERTY TYPE ❑ TOWNHOUSE ❑ COMMERCIAL/INDUSTRIAL ❑ INSTITUTIONAL Of MULTI -FAMILY PERMIT TYPE ❑ ADDITION ❑ NEW CONSTRUCTION MOTHER ❑ REMODEL ❑ ROOF ❑ SWIMMING POOL PLEASE SUBMIT: 1.4 SETS OF DRAWINGS 5. CONTRACTORS LICENSE OR 6. SPECIAL INSPECTION 2. SURVEY/SITE PLAN LICENSE APPLICATION SCHEDULE 3. LANDSCAPE PLANS 7. PERFORMANCE BOND 4. ENERGY CALCS AMOUNT $ BUILDING TO BE USED AS: OFFICE SF WHS sF OTHER SF TOTAL SIZE: STORIES FIRE PROTECTION(Y AC(Y/N) T DETAILEDDESCRIPTIONOF WORK = r%S�:C_,11 Grp �'� T1JP �8�G�6At..A %,&r-, THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work w 'ch requiresvi pnd approval of plans. // %% J ',,QQ �dL 11PZt�5/ SIGNATURE OF APPLICANT MPRINT NAME, ,G17 DATE ALL PEES ARE BASED ON VALUATION Sq. ft. x $ Cost/sq. ft. = Valuation $_ Sq. ft. x $ Cost/sq. ft. = Valuation $_ Sq. ft. x $ Cost/sq. ft. = Valuation $_ TOTAL JOB VALUATION: $ 7 0 CQ USE OCCUPANCY b_1VIM Permit Fee $ 63 5 See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 SAC Charge $ $1675 per SAC Unit (Plans to MWCC for determination) Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Special Assessments $ Agreement necessary ( ) Non Necessary ( ) Curb Cut Escrow $ ft + 6 ft = ft x $21 = $ Total Dae $ — Make checks payable to: City of Fridley Attach Stipulations t i1/25/2003 08:00 4023934002 THRASHER BASEMENT PAGE 02/13 bundaff"on Pier System MATERIALS: Angle Smoket: Bracket Plaw Smcket Tube: Bracket Supports: Weld: 13mckat Cqv Threaded Rod, pier'lhhe: Coupler: Hydraulic lift: 8" x 8" x 1/2" ASTM A-36 Hut Rolled Length: 10 inches Tensile Str"th: 59,000 psi Yicld Sfrengtht 36,000 psi 5 1/2" x 9.112" x 3/4" ASTIA A-36 Hot Rolled Tensile Strength: 58,000 p3i 1'leld Sttcngth: 30,000 psi 3 7/8" OV x 3 1/8" M i,angth: 10" Wall Thicbms: 3/8" Tansfle Strength: 80,000 psi Yield Strangth: 70,000 psi 2" x 8" x 3/8" ASTl�f: A-36 Hot Roiled Y71T'l - Tcnsllc S.rcni;th: 71.000 psi 4" x 8 1/2" x I - A's T,m A -36 Hot Rolttd Tensile Strcngtlt: 58," ps; Yicld Strangth: 36,000 psi 3/4" x 12" Long - Gradr 7 Tensile Strangth: 133,000 psi min. Yield Strength: 115,000 psi min, 3" 017 x _ 120 Wall - [lot R0114d Electric Weld High Strength - Low Alloy Tensile Strength: 80,000 psi Yield Strength: 70,000 psi 2.75" Ob x A 34 WAU x 6" Long Hot Robed Tensile Strrngth: 80,000 psi Yield Strength: 70,1100 psi 22" Stroke Hydraulic Cyliruter Wonting Ptcssurc rating of 3,500 psi Ultimate cylinder lift capacity: 29,050 t 11 11/25/2003 0e:00 4023934002 THRASHER BASEMENT PAGE 03/13 MR 1'te' . Manufacturing Co., Inc. Dealer Development Group 3455 South 66`' Street, Omaha, NE 68106 Tel 800-827-0702 Fax (402) 393-4002 Lift Cylinder Assembly 9 11;;d0l 1919,4 IM: 100 419-137-04100.1 I MI[H7nGR 0H.2r-1' GIv I GRIP -TITER' FOUNDATION PIER SYSTEM num. v11 — BRACKET ASSEMBLY Part No. FP3B.A IZE 3 7/8" OD k 3 1/8" ID POM. Nfinimum Tensile StrenZ#It 80,00O l,si / Minimum Yield Strength 70,000 Iasi ASTM A-36 Hot 1101.1cd Steel. Minimum Tensile Strength 58,000 psi Minimum Yield Strength 16,000 psi PIACKS.SUPPUKT STRAPS RACKET PLAT - B Rolled Steel. Minimum Tensile Strength 58,000 psi Min ieldOStrength 365000 A-36 si G �[c�t N D: E71T1 Minimum Tensile Strength 71,000 psi THREADED ROU C+rade 7 Zinc Plated. Minimum Tensile Strength 133,000 Psi / Minimum Yield S"ngth 1.15,000 psi 9 11/25/2003 08:00 4023934002 THRASHER BASEMENT PAGE IJ5I13 5T©RP51 Twin City Testing Corporation PROJECT NUMBER: 3618 200-8742,1 PAGE: 1 or 2 DATE: July 20, 2000 Patzig Teming Laboratories 3922 Delaware Avenue Des Moines, imvn 50313-2397 REPORT OF LOA01ESTrNG Prepared for: Grip -Tito Co., inc, Attn: Mike Johnson 115 W. Jefferson Street P.O. Dox .I11 11'interset, IIA".50 73-0111 i Clirnt I'urch;lse Carder Number: Mike Johnson Prepared by: _ 116S. Escherich Job Manager Mechanical/Melatlurgical f.?ept. Phone: (515) 266-5101 Reviewed bv: j� k 1 `y ;�-, Timothy 113, Cox, P. Product Service I\1211ager i•lccliall ieal/ibleta( lurkical Delft. The test results contained in this report pert"i" unly to the samples submitted t'nr IL,4ting ;mid not net.marily to all similar products. AS A MI. -U-'%L moTEC n0N Tq Cl IEN1 S, TIIE Pumjr Alun r?UI+€L'I VFX. All MAXIM rCCFINOLOCIFA. INC 1ACPOP.TS All; 91,IDhAIT7F,(1 A riq I:,}r, IVEN 1141 INFORM: -ION OF.CUENr9, AND Al1rMLppZATICIN FOR PIJ19-1f,ArIGN OF STATF-M,ENTS. UINCLI,SIONA 0111 EXTFACtIONJ F'17r)r.A ?'1fr q 1,1.�FggW REP011rb s REsEnVCD FEND'Nr' 11�Iq PPICIM N;RIM1. APF`pQVA1, n 0;111 A!, Affirmarwe A:rton Fn„u! 11/25/2003 07:49 4023934002 THRASHER BASEMENT PAGE 06/13 PROJECT NUMBER: 3618 200.8742.1 PAGE: 2 of 2 DATE: July 20, 2000 This report presents the rdsults of load tests performed an house support piers. This work was requested by Mike Johnson of Grip -Tito Manufacturing Co.. Inc. The samples were received on June 22, 2000 with the work conducted on July 19, 2000. SAMPLE DE5gPjET Q_,N: A total of 1 sample was received. The sample was described as an ail -steal pier bracket for 3" tube (new design-robotically welded). Major design details =,Rist of 0.5 -inch X 8 X 8 -inch flat plate hent 90° as the bracket and 0.75 -inch thick top plate with a 1.0 -inch thick cap plate. Threaded roti to hold cap to top plate waa F4-10 grade 7 with 314 inch grade 8 nuts. M0 the sample was Attached to a fixture inverted t'Mm its normal position. A three inch diameter solid round bar was used to apply the load directly to the cap at a rate of approximately 12,000 to 24,000 Ibs,/minute with inspections and data recorded at 20,000, 30,000, and finally at the point when the samples Would no longer accept additional loads. Detlec;tion readings ware taken from a dial indicator measuring the relative travel between the ram and the Qro.,ahead, (Some of the deflection may have been Movement of the fixture rather than the sample) TF..ST l LULTS; t.., )A-1) OF {:Al' AT 4" 1'i.AIM5 I C.H S OF DEFLECTIONUI-_SCR. P-1 N' OF Fr'11r.,URr _ PEAK LOAD (LBS) 0.130 —... .... None20,000 - --- 0.155 Ntine 30.000 Not recorded r;c;tlt stretch 96.70n NOTV, -. The holt stretch Car sample = 0.24" RJOHT and 0.24" i.EF'1". U�eC151TIgiy of s_a�rrt �; Samples were returned to Afi 'e 1r`hnsc,n at, cnrnf,ict,on Oftestineo, erwTa,�r:�u��roixn�roaxxx\,axwlu: ��.,,. �a t U 11/25/2003 07:413 4023934002 THRASHER BASEMENT GPJP-TII'Eo FOUNDATION PIER SYSTEM I 36.00 3.00 PAGE 07/13 PIES. TUBE WITH COUPLER Part No. FP3T FRICTION COLLAR Part No. FP3FC ID2L.' 3"00x.12OWall High Strength/ Low Alloy Hot Rolled Electric Wrld. Minimum Tonsil e Strength 80,000 psi / Minimum Yield Strength 70,000 psi SOUP EL- 2.75" 00 x.134 Wall DOM Mechanical Steel Tubing. Minimum Tensile Strength 80,000 Psi / Minimum Yield Strength 70,000 psi EUCTION-COLLa— 3.25" 01) x .438 Wall DOM Mechanical Steel Tubing x 3.125" long. Minimum Tens(lo Strength 80.000 psi / Minimum Yield Strength 70,000 psi I 11/25/2003 07:49 4023934002 THRASHER BASEMENT PAGE 08/13 STOR1-Twin City Testing Corporation PROJECT NUMBER: 3618199-8240 Prepared by: PACE: 1 of 2 DATE: December 23. 1999 Patzig Testing Laboratories 3932 Delaware Avenue Des Moines, Iowa 50313.2597 REPORT OF LOAD TESTING 3 inch O.D. GRIP TITS TUBE . Prepared for: Grip-T'ite Co., Inc. Attn: Mike -Johnson.., --r �.."V,Vyc, 115 W. Jeffemn Street P.O. Box 111 Wittte:rset, IA 50273-0111 Client Purchase Order Nutnl.)er: Mikc hlmson Brian S. Escltericli Job Manager mcchattical/Metallurgieal Dept. Phone: (515) 260.5101 Reviewed by: Timothy B. Cox, P.E. Product Service Manager 11 �echenieal/Metatlurgicttl Dept. The test results Contained in this report pertain only to the samples submitted For testing Ind not necessarily to ail similar products. AS A lft":AL cnOTECTION TO CL16NTS, TETE PUBLIC AND OURSELVES. ALL MAXIM rECHNOt.OGIEB, INC REPORTS ARE SUBMITTED AS THE COnFIDENrIAL 1%;0RAIA-JN OF CLIENTS, AND AUTHORIZATION FOR PUBLICATION OF STATSM6vrS. CONCLUSIONS OR EXTRACTIONS FROM OR Mr,,AFiQ1NC, OLIS A!MnT4 B FIESEM D FENVINC 0IJFI PRIOR wmrTEN APPROVAL. An AAfirrneuv0,A0fif1r1 ;`. '`.I renal A:Inrrr+un;ly rR,r,�r,ur r 11/25/2003 07:49 4023934002 THRASHER BASEMENT PAGE 09/13 I PROJECT M.!(1IUR: 3618 199-5240 PAGE: 2 02 DATE: December 23, 1999 LNTRODUCTION: This repon presents dye results of load tests performed on three inch outside diameter tube. This work was requested by Mike Johnson of Grip•Tite Manufacturing Co., Inc. The samples were received and tested on t December 21, 1999. r 1 SAMPLE 120RIPTION: A total of 3 specimmis were received, Each specinnCn was described as a Grip — Tire 3 Inch O.D. rube with a nominal wall dilckness of 0.120 inches by 3 feet Ions. r-acli 3 foot long; section of tube hada coupler welded to dtc inside to fit to die inside of the adjoining pipe. TMS ING PROCEDURE: Each specimen was placed vertically between two loading plates and loaded in compression at a rate of approximately 24,000 Ibs.lntinute until the specimens would no longer accept additional loads. II AZ-TwoPEI „_ 3' sections torcther 81,700 t"s' #3-0no 3' section -- - -NOTE — The columns would no longer accept additional load when buckling started. The tests wire r erformed with a friction collar over the coupler at the baso, DISPOSITrON OF . Ssmples were returned to Mike Jofutson at completion of testing. W PDATAkAUTC"%199 xxxxu99.e240W Building PLUMBING Permit No. Inspections COMMERCIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec' DATE­ /0-15-00 YOUR E-MAIL ADDRESS SITE ADDRESS 1,q 3 (0 r7J We, TENANT SUITE NO. PROPERTY NAMEaues-d. < OWNER/ ADDRESS: I's 6l10Crryjdje_Af TENANT _STATE�ZIPG5,Wa PHONRJIo - M.7 - 6LG_S___ CONTRACTOR NAME: }-W PI'Dgwc)(IGS 'r STATE LICENSE # :�6 9, - A-'\- EXP DATE SUBMIT A COPY OF YOUR STATE ADDRESS:S o Do"(f 6(J _CITY STATW 55 LICENSE WITH PHONE FAX APPLICATION PERM]T TYPE 0 INSTITUTIONAL 0 MULTI-FAMILY 0 SWIMMING POOL 0 TOWNHOUSE $2)COMMERCDIMDUSTRIAL El OTHER TYPE OF WORK: I E3 NEW ';a REPLACEMENT 0 ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK �0_j,jpCe_ 1,I_2CL±Q,0 6JL&}__P' ATJ iCi L i - CLOTHES WASHER — FLOOR DRAINS RPZ VALVE_URINAL — DISHWASHER — GAS PIPING BACKFLOW PREV. WATER HEATER — DRINKING FOUNTAIN — GREASE TRAP ROOF DRAINS WATER METER —FAUCET KITCHEN SINK SHOWER WATER PIPING FLAMMABLE WASTE TANK LAUNDRY TRAY SLOP SINK WATER SOFTENER LAVATORY SWIMMING POOL WATER CLOSET V Total Job $ All fees are based on valuation, including the cost of labor and materials. Valuation Permit Fee $ S5. (1.25% of Job Valuation / Minimum fee: $35) Surcharge $ e C5 ID Valuation X .0005 Total Due $_ 5.50 Make Checks Payable to: City of Fridley THIS IS AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all work which requires review and approval of plans. NAME OF APPLICANT DATE 10 __6 - Q 10 SIGNATURE OF APPLICANT A City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building MECHANICAL Permit No.. I Inspections RESIDENTIAL APPLICATION Received By. 763-572-3604 CITY OF FRIDLEY D �RQcU C 763-502-4977 FAX ........---1�- .- __ DATE YOUR E-MAILADDRESS SITE ADDRESS MFG: MODEL: THIS APPLICANT IS: ❑ OWNER MkNTRACTOR PROPERTY NAME: _FIREPLACE (GAS) $15.00 RANGEIOVEN $10.00 OWNER/ _FIREPLACE (WOOD) $35.00 _GAS GAS GRILL $10.00 TENANT ADDRESS: I ITY—MMMRn STATE IP _CHIMNEY LINER $10.00 PHONE: _GAS HEATER $35.00 CONTRACTOR COMPANY NAME: _POOL VENTILATOR $15.00 SUBMIT A COPY OF CONTACT PERSON: 'Qa6ifUS0 N( STATE LICENSE # _ EXP DATE YOUR STATE LICENSE WITH ADDRESS: /�% , CITY STAT) 145/ APPLICATION i PHONE FAX PERMIT TYPE INGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW IRE PLACEMENT 11ALTERATION/REMODEL _ DETAILED DESCRIPTION OF WORK FEES ARE BASED ON $10.00 PER FIXTURE, XCEP WH E OTED. FIXTURES: ( DICAT T MBER OF EACH BELO Equipment Installed MFG: MODEL: SIZE/BTU MFG: MODEL: SIZE/BTU MFG: MODEL: SIZE/BTU _A/C $25.00 _FIREPLACE (GAS) $15.00 RANGEIOVEN $10.00 _AIR TO AIR EXCHANGEER $IS _FIREPLACE (WOOD) $35.00 _GAS GAS GRILL $10.00 _BOILER $35.00 FURNACE $35.00 _NEW UNIT HTR $10.00 _CHIMNEY LINER $10.00 _GAS DRYER $10.00 _GAS HEATER $35.00 _DUCT WORK $10.00 _GAS PIPING $10.00 _POOL VENTILATOR $15.00 XT. _1.', _e4_*—-_ r:.t ai n v%n __ es. X nn M Nun bercif fixtures @ $15.00 x $15.00 = � NumbedAxtures.$25AQ_ x$25.00 Nunabert���iXtures __L x $35.60 $ city of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977