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PRE 2010 DOCSSUBJECT PER City of Fridley 2 0 3 6 3 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEI NO. COMMUNITY DEVELOPMENT DIV. I L PROTECTIVE INSPECTION SEC. 97 7 r CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 5/17/90 JOB ADDRESS 110 - 6411 Way N.E. 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 1 Oliver Olson Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Steve Bodinski 15515 University Avenue N.E., Anoka, MN 434-5043 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. 8 USE OF BUILDING Residential 7 CLASS OF WORK NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 5V1011 x 3W Dwelling and a 24' x 241 Garage 9 CHANGEOFUSEFROM TO STIPULATIONS Provide a Bard surface driveway. Provide sod in the front and side yards. Provide.City with copy of verifying survey before capping. Paid $750.00 Park Fee. See notations on plan. SEWER & WATER SERVICES are in but not clearly tied on on as-built drawings. Water box appears to be approximately 17" behind curbing and sewer service is approxi' n4tely 10''-14 " east of water service.. DRIVEWAY DEPRESSION COST: N/A WARNING Before digging call for all utility locations SEPARATE PERMITS REQUIRED FOR Wrrr•�Qa2 v11li?�s.en I.1,-�,-i•, .., I; jf�*� (� . .•.- G /'mill �4J� ! t� SIGNS. RE�QI�� REQUIRED BY LAW a TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $82,050 $41.03 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $ STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE p, $1,204.03 S TUBE FCO RACT ROR AUTHORIZED AGENT ('pD/A_TEI WHE PROPERLY S YOUR PERMIT �� �IIA�EDM SiGNATURE OF OWNER OF OWNER BUILDER) IDATEI. BLDG )NSP DATE IST ADIIV [ ] ALTER [ ] Oonstn:cticn Address: Legal Description: CITY OF FRIDLEY I--1 AND R-2 Building Permit Application Effective Owner Name &Address: ,Aey Contractor: Sze kr Tel. # efye%. ® d1 Address: 15515 12441. Ave. N. C. ne 1f -o, j Mn Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. D£. IPTION OF neammm LWnC ARM: Length 3 i0' 10' width Height sq. Ft. 1 I B 3 GUMM ARM: Length Width Height sq. Ft. 576 DECK AM:. Length width Hgt/Gux3 Sc Ft. 07IM: Corner Lot Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks 17.5 Type of Construction: Estimated Cost: Approx. Completion Date: MLJA ,31 lq q Proposed Driveway Width If New Opening Is Desired: Ft. $ $. Width + 6' See Back Page DATE: - O APPLICANT': Tel. # Permit Fee $ 66a. co State Surcharge $ y I Al SAC Charge $� , b Driveway Escrow $ `Park Fee $R Sewer Main (barge $ 70M Ct E ilpz STIPULATIONS: I - CITY USE ONLY Fee Schedule on Reverse Side $.50/$1,000 Valuation $600 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] d r �4 I►•rf•rmino the "U" valet, of each sr-eTment (1-9) and multiply by t -he ar.� x out. ALD l-) :•Oi, TOTAL WALL SEGMENTS ITi•;'•1 III �27i:� F. Determine the "U" value of each segment (10-12) and multiFly by thy_ area :1s ! follows: 10. _Cl� X 11U" _ 11. �c� 9 x "U" Ct ADD 10-12 FOR TOTAL ROOF/CEILING SEGMENTS _ ITEM IV cV�- n G. If Item III is the same as, .or less than Item I, you have met the inte::t of State Building Code 6006 (c) -2. H. If Item IV is the same as, or less than Item II, you have met the intent of State Building 'Code6006 (c) 1. I. Add Item I + Item II = ZR1) � C J. Add Item III rj�•� + Item IV = ---"19-9 K. If the sum of Items III and IV are less than Items I and II, you have met the intent of the Code for total envelope system. The undersigned, as applicant for a building permit, hereby affirms the above information- has been prepared and submitted by -himself or und•jr his direction, pore -by acknowl* dnc•s tho information to be correct and accurate; and hereby l resents the information with required plans in support of the building permit al•c)lication. Q By: s (�o�Ct n S rZr4Z4 DATE: i iopt ,r . .sls,a ENERGY CU ISLUVATIOt4 SUPPLEMENT TO 13UILD114G PERMIT 'PLICATION pl,ANNING AN!) 1NS1s1-JCTTr1ra CITY 01' I•I:IUi,i:Y, Thi:, i:, ptu•.icrrd to .i::f:ist the ,aI ):i t :.tt,t ir. rc,mrutinrl I:XTI•.I27t'P•'. ENVELOP% AVL: Acl:: "U" FACTOR INF(;kNATION. 'Phis informat;on is rr.quirc.d so the FiUILULP.0 C1: , .'lr►L c,,:t 6• cCrintty. tu,f. r.ubmitted plans c:f.r!J- •+lit)1 t:ii' DESIi;:+ CRITELIA of ti L. STATE BUILDING CODE (Sc -tion 6000) . It ifi the AP'PLICANT'S responsibility to accurately compute the data; rrflCct the l:rol.cr DESIGN CRITERIA in the plan::; sul:mi t product specif ica tions, if needed to --upport the "R" and "U" 'factors used; ar:d to assure construction is per approved plans. JOB LOCATION: OWNER/CONTRACTOR: S4-eye22 ADDRESS: ! �� tl n I z. Av0 . �. �•� ��� A1�. PHONE: A. Determine the Total Exposed Wall Area as follows: 1. Tbtal wall window area 2. Total door area 3. Total slicing glass door area 90 4. Total fireplace wall area 5. Total wall framing area (average 10%) 6. Total net wall area above floor(average 90%) 7. Total rim joist area Subtotal: Toil -.l exposed wall area above floor 8. Total found&cion window area 9. Total net foundation area above grade Subtotal: Total exposed foundation area GRAND TOTAL EXPOSED WALL AREA ll� B. Multiply the GRAND TOTAL EXPOSED WALL AREA X .17 Item I ;,> � ,r C. Determine the Total Exposed Roof/Ceiling Area as follows: 10. Total skylight area n 11. Total roof/ceiling framing area (10%) 12. Total net insulated roof/ceiling area GWID TOTAL EXPOSED ROOF/CEILING AREA D. Multiply the GRAPID TOTAL EXPOSED ROOF/CEILING AREA X .05 Item II �-,3 , �• r �' TNS OtiY CF FF;!Di'' t�,^E: bIt? A.00U-"rY OF U'FILI Y c�i_, �;�.�; .,�� � it -i THIS DATA IS FOR 1NF0RP, ,",,T,0N' Puliposcs ONLY AND PERSONS USING 1 HIS INFORMATICiiV SHOULD / VE!?IFY IT ON THE SITE. j� C^ is N'TT! !:;-.I ill T�-;i., ,? EA ' :?P ?riC:'•.'•,',L OF TI IE CITY OF F ?), c .11 %10 N 4•• w 1'%.\ 0 ,h -b \ 6 0912 1 o 516 b \ O 011 \ 9 6.\ hoc \ ®fit®� �`g�� locat�o�s � �� "� • \ u`14� p0 N 160,21.94 ti 4- tiby� `t:3 60 urs, ae,se��J v u 114AAy anJ Vraknaage Cab& s are h6owrl JIM" 5 , �'`� ho4 -to _.ca i8 _. I hereby cei tation of si placed in tl be designate A)(DT Cl r -CZ x ,V /P H loO A-2 15 � f C ---F VI C e Effective May 1, 1990. CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL_ New Fixtures $ 5.00 '75 $ Future Fixtures 3 $ 3.50 Old Opening, New Fixture Kk W� $ Water S 4.00 S Blow off Basin $ 5.00 $4 - $ 5.00 $ Rain Water Leader $ 5.00 $ Hydraulic Valve Heater $ 5.00 S Sump or Receiving Tank $ 5.00 S water Treating Appliance $ 7.00 $ Hot Water Heater ® $ 5.00 $� Gas Range ✓ g 10.00 g `� Gas Dryer i $ 10.00 $ Back Flow Preventer Required. . . Yes ( ) No ( ) Type $ 5.00 S ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1% of Value of Fixture or Appliance U a State Surcharge yO Reinspection Fes $ u TOTAL FEE _ $ e6/-. 00 O l f. as ec lat 2nd 3rd 4th (R) - Future Connection Opening Connected with Sewer (•) - New Fixture, old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL_ New Fixtures $ 5.00 '75 $ Future Fixtures 3 $ 3.50 Old Opening, New Fixture $ 1.50 $ Beer Dispenser S 4.00 S Blow off Basin $ 5.00 $ Catch Basin $ 5.00 $ Rain Water Leader $ 5.00 $ Hydraulic Valve $ 5.00 S Sump or Receiving Tank $ 5.00 S water Treating Appliance $ 7.00 $ Hot Water Heater ® $ 5.00 $� Gas Range ✓ g 10.00 g `� Gas Dryer i $ 10.00 $ Back Flow Preventer Required. . . Yes ( ) No ( ) Type $ 5.00 S ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1% of Value of Fixture or Appliance $ State Surcharge S .50 Reinspection Fes $ ($15.00) TOTAL FEE _ $ e6/-. 00 Job Address Department of Buildings City of Fridley Tel. 1571-3450 The undersigned hereby makes application for a periit 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 a plic tl a tcu�e and correct Fridley, Mn. 1g 'Fy OWNER � �� (�� Ancil) 01 KIND OF bUILUING gxi el USED AS TO BE COMPLETED ABOUT i ESTIMATED COST OLD NEW B LDING PERMIT NO. PERM104190IT NO. company Signed By Tel. No. �p7� ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT M- !1INIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE CITY OF FRIDLEY Effective Date May 1, 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE Furnace Shell and Duct Work, Burner (Also replacement furnace) Gas Piping (piping needed with new furnace) Gas Range Gas Dryer * Air Conditioning (all sizes) All Others/Repairs and Alterations 1% of Value of Appliance or Work COMMERCIAL/INDUSTRIAL 1% of Value of Appliance or Work State Surcharge TOTAL FEE Reinspection Fee ($15.00) Rough Insp. Date Final Insp. Date Approval for Permit MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00, PLUS $.50 STATE SURCHARGE *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. OLD - NEW BUILDING PERMIT NO. PERMIT NO. MS -1 APPLICATION "t_9S- DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Ions Trade Name �� r G Size No. /��e6 CCA! ;7-s� Capacity :Z s `)elm Sq. Ft. EDR BTU HP Total Connected Load Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Company �A J -i; Signed By Tel. No. 7�®- Fill out back side for stack verification on replacement furnaces / 2 RATE TOTAL Job Address $ 20.00 $ Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley $ 10.00 F� $ ! 0 Tel. #571-3450 $ 10.00 $ 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 $ 10.00 $ and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. $ 10.00 $ Fridl Minn. f OWNER KIND OF BUILDING USED AS $ TO BE COMPLETED ABOUT ESTIMATED COST State Surcharge TOTAL FEE Reinspection Fee ($15.00) Rough Insp. Date Final Insp. Date Approval for Permit MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00, PLUS $.50 STATE SURCHARGE *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. OLD - NEW BUILDING PERMIT NO. PERMIT NO. MS -1 APPLICATION "t_9S- DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Ions Trade Name �� r G Size No. /��e6 CCA! ;7-s� Capacity :Z s `)elm Sq. Ft. EDR BTU HP Total Connected Load Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Company �A J -i; Signed By Tel. No. 7�®- Fill out back side for stack verification on replacement furnaces 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 ( ) 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 connected Yes ( ) No ( ) 6. Has Total heating BTU's of All other BTU's TOTAL Rema rk s Company _ Signed By Date SUBJECT City of Fridley -P 210 3 7 AT THE TOP OF THE TWINS BUILDING PERMIT f ' , REC COMMUNITY DEVELOPMENT DIV. -7 UU ______ 1 PROTECTIVE r PROTECTIVE INSPECTION SEC. 1 NUMBER REV DATEPAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 8/30/91 10B ADDRESS 110 - Wi Way NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 1 Oliver Olson Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Arlin Peters 110 - 6411 Way NE 571-3398 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. &M Same 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 ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 201 x 161 Deck 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan. .WAMNG won 44mv ceN for afit t1 iliq 4matoris 454-M2 .. REQUIRED BY LAW TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1 80.0 $.9.0 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT f PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $31.00 Fire SC $1.80 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. . p FEE TOTALFEE $33.70 1 NATURE OFCONTRACTOR OR AUTHORIZED AGENT q^ IDATEI WHEN PROP RL V T IS IS YOUR PERMIT BLDG INSP DATE S,GNATU OF OWNER OF OWNER BUILDERI IDATEI MW [ ] Effective 1,/1,/91 ADfN [ ] A-1 AND R-2 [ ] B/wilding Femit Application Oonstnxtion Address: 1 6 h `t' ON Q, Legal Description: o -i , ®1® C-R.. O 1 ®� �, i �-c � j l 60,A-� owner Na®e i Address: A r 1 +-t_ r'Ss-A,mc tc v vTe1. # _S_7)-3 398 y?�y—S Address: Attach to this application, a Certificate of Survey of the lot, with the proposed omys xuction drawn on it to scale. .=r�; SVM �, •r I,I;e;OJ'l_yirA LIMB AREA: Lergth Width Height Sq. Ft. GRIUM AREA: Length Width height Sq. Ft. eG=. AM: Length � 0 W�.;1i/y/dth �/yy Hg M=z d ' Sq. Ft. 1�/�/] V vim. � J4 I ® Y '.-ff i �� N 74-0 0 G*__ Corner Uyt 1� Imide Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ l D CJ Apprrox. Om pletion Date: Proposed Driveway Width If New Opening Is Desired: Ft. $. $ _ Width + 6' See Back Page WM: ' 30-% APFrLICANT: C�-^ � S- —Tel. # �%) 33'V '+_iii �:�_ • >`�_ A Permit Fee Fee Schedule on R verse Side Fire SurdkuVe .001 x Permit Valuation (1/10th $) State Surd=Ve $ . Ct o $.50/$1,000 Valuation SAC Cl=Ve $ $650 per SAC Unit Driveway Escrow $ Alt. "A" or Alt. 'B" Above Park Fee $ Fee Determined by Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] 707%L STIPJUMCNS: �s ■ ■ . ■ ■ ■ ■ ■.■ . ■ M A K A R.■ ■ ■ ■ .;M ■ ■ ■■ ■' ■ ■ ■ ■ ■I:■ ■ ! ■ ■ E ■ M M V R ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ mommmmmmmmmmm3ummmmm�m�mommo ■■ ��li���!■iii I ■i��i\\���l��� ■■ ■�li�ii!'�ii� I ■I�iil�il���l��!9� ■t► !�l��iil��i� I ��►�l��i!l��� MON ■OUNMEliiii I ■Ilii\`1i�i�l���i PER ■E■ ■liiiil�ii�Fl �� ■�l��i1���1��■ ONE !-lEiMEMEMEN I ■i �il��rl�li�■ ■■ ■���lii���_�� I ■�i�l��►� OMEN iOMEMiiilOMNI I■EMMEiiMENEME ■ ��l���il����� v i�l�ii�l�i�.li�� ■ �®®i��®®®�i�ii\iii���i�L�i�■ ■�1��`i�ilii���lliil� �(7L"�E��■ i/k' 1� ►�F- �L'C LL jrNS. o. a. 1 40 94i n - _ c Nor ao. CLQ wA 'b e&0 b& Z F j Cit� -1c _\ ria M0 i/k' 1� ►�F- �L'C LL jrNS. o. a. 1 40 94i n - _ c Nor ao. CLQ wA 'b e&0 b& 612 541 0648 07/16/90 11:20 FAX 612 541 0648 ADVANCE SURVEY Q002 LZ£06 ON 80 C + -z 1 ° -+ t Maq } N A t�2 "WN to ra- C 1�ats � � N s � �•-'w'«wo rh co Ai 'VV9 i�Zb�` LS"6ti at I ILt c �u3lifaSE WA PUB 26suicia o '3u60,�Ze9t'N '3 'N AVIAA Z/ �►� 58'88--- �+r4u3wm3 ft#t tfn put: a 8H'WC3 ,, of l ! / > un d I A •. � w a - � t 6 + -z 1 ° -+ t Maq } N A t�2 "WN to ra- C 1�ats � � N s � �•-'w'«wo rh co Ai 'VV9 i�Zb�` LS"6ti at I ILt c �u3lifaSE WA PUB 26suicia o '3u60,�Ze9t'N '3 'N AVIAA Z/ �►� CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On January 1, 1997 T � Z APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: NO. RATE TOTAL JOB ADDRESS 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 7// , 1998 Sump/Receiving Tank $ 7.00 �- Water Treating Appliance $10.00 Owner 6 Water Heater -Electric $ 7.00 Water Heater - Gas** $10.00 06 Building Used As _ Gas Range** Gas Dryer** $10.00 $10.00 / EstimatedTER N QIY "NT- / �o ��'�� Back Flow Preventer Required ()Yes () No Type $15.00 jQ�stry Ave. N. #114 p PLUMBING_,... ►AAI-t,F.'til'� L g" Reinspection Fee $42.00/Hr SIGNED BY421-6140 4 q No rAX ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance ;0.00 011 Approved By Rough -In Date Final Date '/S%00 State Surcharge $ .50 ' MINIMUM FEE OR ANY PLUMBING/GAS PERMIT IS $20.00 TOTAL FEE $•Sb PLUS THE $.50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SO INCHES. CI71'OE FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287 September 11, 2000 Tom Godfrey 11064Y2WayNE Fridley, MN 55432 Re: Final Inspection at 110 64'2 Way NE Contractor: Mr. Rooter of Anoka Co. Dear Mr. Godfrey: A plumbing permit was issued on April 17, 1998, for the above noted address, to install a gas water heater. According to section 4715.2800 of the State Plumbing Code, a final inspection shall be conducted on the plumbing authorized by this permit. As of this date no inspection has been called for. You will be given thirty (30) days from receipt of this notice to respond. If we do not hear from you, we will expire the permit and any inspections on this installation will require a new permit. Any questions can be addressed to myself at (763) 572-3603. Sincerely, DAVKOENSEN Bui g inspector SUBJECT P O. City of Fridley 29740 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. COMMUNITY DEVELOPMENT DIV. ' • f PROTECTIVE INSPECTION SEC. 76 7 I . CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 6/22/99 J013 ADDRESS 110 64 1/2 Way NE I LEGAL LOT NO. BLO CK TRACT OR ADDITION SEE ATTACHED DESCR. 3 1 Oliver Olson Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Mim gmftd Tom Godfrey 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO B & B Roofing Services 6760 Madison St Fridley 55432 571-0248 9042 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 JOK REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage (23 Sq) 2nd Layer 9 CHANGE OF USE FROM TO STIPULATIONS Roofing can be 2nd layer but not 3rd 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 1 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 $2010 $1.01 DOES NO PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVI ON OF ANY OTHER STATE OR LOCAL LAW REGULATING CON• $2.01 STR CTI OR THE PERFOR NCE OF CONS RUCTION $83.25 Fire SC PLAN CHECK FEE TOTAL FEE License SC $5.00 $91.27 SIGNATURE O CON-PACYOROR AUTHORIZED AGENT IDATEI WHEN9PROPERALIDATED THIS IS Y UDRPERMIT BL G INSO QA�E S-GNATURE OF OWNER,IF OWNER BUILDERI IDATEI NEW [ ] Effective 1 / 1 /99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: //6�1 ✓ *i Legal Description: Owner Name & Address: Tela # ? Contractor: Address: !_;7rye ._75-'r 7-AAr S�3a MN LICENSE # Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF 11"ROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: Construction Type43 5 q 2- A dl-/4yf'g' Driveway Curb Cut Width Needed: Ft. + 6 Ft = Estimated Cost: $ C.-:;20/0 (Fee Schedule on Back) Ft x $ = $ DATE: APPLICANT: /��`�%�� Tel. # STIPULATIONS: CITY USE ONLY Permit Fee $ 83 2 Fee Schedule on Reverse Side Fire Surcharge $ cZ 0 / .001 of Permit Valuation (1 / 10th %) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ $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 [ ] &2"% 91:9_9E TOTAL $ STIPULATIONS: Building MECHANICAL Permit No. . I Inspections RESIDENTIAL APPLICATI®N Received By: 763-572-3604CITY 763-502-4977 FAX OF FRIDLEY Rgg,,C' 1 00 EFFECTIVE 2-19-09 r DATE oeYOUR E-MAIL ADDRESS SITE ADDRESS 4gyl ukv NE - THIS APPLICANT IS: ❑ OWNER I CONTRACTOR PROPERTY NAME: TO 6 OWNETENANT ADDRESS: I . CITY U STATE ZIP PHONE: ., ' CONTRACTOR COMPANY NAME: Sharp Heating & A.C. CONTACT PERSON: Floyd Joswick SUBMIT A COPY OF STATE LICENSE # EXP DATE YOUR STATE LICENSE WITH ADDREs9221 University Ave. N.E. cITYFridley STATE MN Z055432 APPLICATION PHONE 763-572-0459 FAx763-572-0164 PERMIT TYPE INGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW REPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK VEV' FEES ARE BASED ON $10.00 PER FLXTURE, EXCE4T WHERE NOTED. FIXTURES: (IN'Aff TOTAL NIIAIBER OF EACH BELOW Equipment Installed MFG: MODEL: SIZEBTU & ����y MFG: '"'�--- — MODEL: p� S SIZE/BTU MFG: MODEL: SIZE BTU C A C 525.00 _FIREPLACE (GAS) 515.00 RANGE?OVEN 510.00 _GAS _AIR TO AIR EYCHANGEER S15 FIREPLACE (WOOD) 535.00 _ GAS GRILL S10.00 _NEW _BOILER 535.00 FURNACE 535.00 UNIT HTR S 10.00 _GAS _CHIMNEY LINER S10.00 _GAS DRYER S10.00 HEATER S35.00 _POOL _DUCT WORK S10.00 " GAS PIPING 510.00 VENTILATOR S15.00 Number of fixtures (a) $10.00 x S10.00 = $ Number of fixtures (a. $15.00 x $15.00 = S cp Number of fixtures (a) $25.00 1 x $25.00 = S a+ Number of fixtures a $35.00 A_x $35.00 = $ 3,5,E State Surcharge = $ .50 (MINIMUM FEE $35.50) Total = $ lU . 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 Constriction Codes: that I understand this is not a permit but only an ap lication 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 o all work hicquires review and approval of plans. SIGNATURE OF APPLICANT , PRINT NAME DATE e PLEASE NOTE: SEP TE PERMITS AlkE REQUIRED FOR BUILDING, ELECTRICAL AND MECHANICAL WORK Uity of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 City of Fridley Residential Mechanical Application Page 2 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC NEW HOMES/ADDITIONS - EXISTING HOME MAKE-UP AIR REQUIRED. FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments 3. Venting a. Gas appliances IFGC Chapter 5 with MN Amendments b. Fuel other than gas IMC Chapter 8 with MN Amendments REQUIRED FOR NEW HOMES 4. Heat loss & cooling load per room a. Required on new consti action 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.