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PRE 2010 DOCS• FOUNDATION PERMIT ONLY Date: March 7, 1969 City of Fridley, Minn. BUILDING PERMIT N9 10121 Owner: Maurice.._Fil-is_ter•--_•-•_---_--_---__-_.__._._.__ Builder ...._Same.____._ -.__.__.....-- Address_J321 East 21st St. . Address Same ------------------------------------------------------- ...._.....-•----........_. Minneapolis, Minnesota Same LOCATION OF BUILDING No. ......... 575-0 .... Street ....._..East. -River. --Road ........... ............--............................ Part of Lot ---------------------------------- - - LotPt ....._of.._17..._ Block ..................................................... Addition or Sub -Division ....._.....Aud........Sul....41$......................... ...... __._ Corner Lot ...... ..........-........ Inside Lot ..... -................................... Setback ..................................... Sideyard Sewer Elevation ..... _...... _......................... _...... .................. .......................... Foundation Elevation DESCRIPTION OF BUILDING To be Used as: 18.5 2508 46,394 Recreation Bldg . Front _96.4/_41Depth64f 60.-.._.. Height 25f 34-,_3 Sq. Ft. 61696-0Cu. Ft 1.7.8•,513 ..... .............. -•........................_.------... Front ------------------.. Depth ...................... Height ..... -........... •--- Sq. Ft. -- -----....._.----.. Cu. Ft. ..... .............. _ Type of Construction _Frame ........ -............................ Est. Cost ...........------ .............-•---.........---...... To be Completed ............ ..._-------------- - . Sewer Connection Charges to be paid when the full permit is issued. This permit is good only until March .17, 1969.(Plumbing Plans to be by this date). • 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 fo and in coi)prpliance with all provisions of ordinances of the city of Fridley. // ,✓� - r In consideration of the payment of a fee of $.._369 _00....... . , permit is hereby granted to Maurice Filster _............._............._............._......._.-......... 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. Official y _ _. ._-•--- — ____ BuildingA*J@WtW Hank Muhich NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these hems. I O >-+ MI K A a O H A H A APPLICATION FOR NON-RESIDENTIAL BUILDING PERMIT CITY OF FRIDLEY NOTE: Applicant should obtain building permit procedure information from Building Inspection BUILDER• N '` Department Secretary. ADDRESS: & Z f -/,//,// ;, 1.7,06' Street City Zip Code TELEPHONE: !2z,7--5` <-- Home Home Business p �- PROPERTY OWNERS ) � (r�'d W �/ �'1 l ADDRESS(ES) Street City Zip Code Street City, Zip Code TELEPHONE NO . (S ) "'yl `/ y Home Business LOCATION OF BUILDING Property Location on Street- ��� f �/� ,p or Exact Street Address (if any): �t Legal Description of Property: Total Area of Property sq. ft. Present Zoning Ciassiticati.on DESCRIPTION OF BUILDING , Proposed Building Use: A Af,6 _ J c3 6 Building Dimensions: Front ,k/ Depth4y Height 2y `f .� 7y!, y , G o Tk Tye Square Ft. $ /G Cubic Ft. _ Type 3 Type of Construction: _ Z Y 3 71Y ' ryee Estimated Cost To Be Completed I DATE: APPLICANL'S'SrGNATURE: y • City of Fridley, Minn. BUILDING PERMIT Date: _......... 25� _1969 Owner: Maurice F lister _Builder....._Same....... Address...._13.12 East 21st S t . ........................ Address ....._Same _ LOCATION OF BUILDING No. ------ 5.75D............ Street ..----------Eaxt... R-.yer-Rgad......... ...................... .._..------.... Part of Lot .................... -............. ...... ........_ Lot Pt . of17&18 Block ....._ ..................._............._......._.._. Addition or Sub -Division ....._...-. Axk.......Audi Sub �7 #7..§ Corner Lot ......- ............. ........ Inside Lot Sewer Elevation Setback .......................................... Sideyard ........... Foundation Elevation ....._........... N° 10151 DESCRIPTION OF BUILDING To be Used as: 96.4 64 18.5 2,508 46,394 Recreation Bld ont 4.1..-$......_.. Depth .......... Height 25-I.34-.,.3 Sq. Ft. Ocu. Ft. 1184.5-13 •-----.............---.........----------.....----•------- Front ...................... Depth ...................... Height ..... _................. Sq. Ft. ..... -................. Cu. Ft. ..................... Type of Construction ...... ............ Frame ................... Est. Cost .._ .100.,--OOQ._00_........ To be Completed .................... ............. _._......... • 1. Plumbing permit to be withheld until complete plans on schematics of waste and vents are submitted. • 2. Permit issued with understanding that all recommedations as proposed by Health Inspector and Fire Marshal be part of the codes & specifications. 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 ordinances of the city of Fridley. �. 116 '/ 6 4 $712.50 Sewer riec ibne' arge In consideration of the payment of a fee of $.................... _....._. , permit is hereby granted to...._Maurice F i 1 i s t er _e ............._.._........._............._......._........... to construct the building or addition as described above. This permit is granted upon thexpress 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. �j Official Building lumntm Henry Muhich NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. 0 aH W a :, PQ A PLP ICATION R J- ES DENTIAL CITY OF FRIDLEY BUILDER: NOTE: Applicant should obtain building permit procedure information from Building Inspection Department Secretary. ADDRESS: Street City Zip Code TELEPHONE: Home Business PROPERTY OWNER(S) ADDRESS(ES) TELEPHONE NO.(S) LOCATION OF BUILDING Street ' City Zip Street City Zip Code Home Business Property Location on Street�Q or Exact Street Address (if any): ' ! � U �i /li V (Y Legal Description of Property: 16/S /7q -IJ /1 t, i -5,z , Total Area of Property 3�Gam— sq. ft. Present Zoning Classification — i DESCRIPTION OF BUILDING Proposed Building Use: /fie c Yel? 6 -a B L� z i q4.y ,q Building Dimensions: Front S1 Depth �o Height 2 3 3 i so - q4, 3,9 Square Ft. (�L,,, q1_ Cubic Ft. j 1 Type of Construction: /C7r1 " P Estimated Cost To Be Completed DAT -F,: APPLICANT'S S1uNATURE: PAGE 2 APPLICATION FOR NON-RESIDENTIAL BUILDING PERMIT ADMINISTRATIVE PROCESSING AND PLAN CHECK ZONING: - TYPE V VARIANCE REQUIRED PLOT PLAN: (A) PRELIMINARY APP. BLDG. INSPECTION SPECIAL USE TOTAL AREA FRONT YARD SIDE YARD REAR YARD (B) FINAL APPROVAL CITY ENGINEER FIRE REQUIREMENTS: FIRE MARSHALL FIR ENTION BUREAU GRADE ELEITATIO"T X37.5 EXITS (dates approx) OJTSIDE UTILITIES & SITE DEVELOPMENT WATER SEWER CURB GUTTER DRAINAGE SCREENING & PLANTING t'/ Date Approved 0 -0 -K - City Engineer l INSIDE UTILITIES: Date Approved by Inspectors CERTIFICATE OF OCCUPANCY DATE ISSUED: PLUMBING VENT & HEATINGELECTRICAL 5C4A)'VNt�c5 Lf- 4jfP9-vPhyr7 I /, � �� APPLICANTS SIGNATURE SPECIAL ASSESSMENTS: IF LATERAL ASSESSMENTS HAVE NOT BEEN PLACED ON THIS PROPERTY, AN AGREEMENT MUST BE SIGNED, AGREEING TO ASSUME SUCH LATERAL ASSESSMENTS BEFORE A .PERMIT WILL BE ISSUED. AGREEMENT NECESSARY�,,�� MAR.V N C. BRUNSELL2—�n� AGREEMENT UNNECESSARY Finance Director rPCvi,.,;' rn �� �i onS•a//s �r-11C..5 O ��/ #a�%`Li .��cs� ` a F,�e, Mar,%ta� 6e Par7- of fLiP Ca&IPS f S%JC-��f,'�d/ r.Gyis O W S �C� V VIP y� tS f�C� 9' P S v d 7�7 r 1fP p/ r a I 27) &rte,. 7- iSs&Pdl LA-) rPCvi,.,;' rn �� �i onS•a//s �r-11C..5 O ��/ #a�%`Li .��cs� ` a F,�e, Mar,%ta� 6e Par7- of fLiP Ca&IPS f S%JC-��f,'�d/ r.Gyis City of Fridley, Minn. BUILDING PERMIT • Date: March 25, 1969 • • 3� N° 10153 Owner: --Maurice il.i ter ............. - ........... Builder Pools , Inc.. ............._.............---•-----•--•---.................... Address ....._.....1312.._East_.-21st...'St ----............. -.............. ........ ...... Address ..... - ............ _.22.9..-W `i.t.-._6.O. h.S.iw... ............ ....................... - LOCATION OF BUILDING No. .._575.0........... Street ....._...East .River Road ------ ................................... Part of Lot........------......_............._................................. Lot Pt . of --17... &Block ...... ................... - Aud . Sub . #78 ............ Addition or Sub -Division - ........._............. --......_..-....._..._.......-..._.._ —_ Corner Lot ..... ...... ......... ....... Inside Lot Sewer Elevation Setback ----._ ...... ................ _........... Sideyard .._........ Foundation Elevation ..... _........... DESCRIPTION OF BUILDING To be Used as: --_g.---... _ .. Front _ _ z Depth ..._32......_.. Height ....._. . Cu. Ft. wmmin Pool 44�----_--._- 9 Sq. Ft. ........ . ........................ Front ...................... Depth . Height .................... - Sq. Ft. ---.....---........ Cu. Ft. Type of Construction ............... Gunite.......... ..--- - Est. Cost ......_ 6--x_000.._00...._ ........ 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 compR oe with all provisions of ordinances of the city of Fridley. / In consideration of the a 36.00 Pools, Inc. p ....6...__.-----.-.---._.-, Permit is hereby granted to .......... yment of a fee of $....._... _............._.............---------­-- ....---- ..._..--------------. 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. ,` / Official /1Z:Z2. , `�- — Building �tiii- Henry . Mu is NOTICE: This permit does not cover the construction, installation for wiring, plumbing, pas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. V g4 A G7 z H r. In. ;" 1 li 11 ► 1.1Fi, w! ml,,� CITY OF FRIDLEY NOTE: Applicant should obtain building permit procedure information from Building Inspection BUILDER: Department Secretary. ADDRESS: Street City Zip Code TELEPHONE: Fi / — :�7 a C) Homy Business PROPERTY OWNER(S) 5'7 ADDRESS(ES) Street City Zip Code TELEPHONE NO.(S) Street City Zip Code Home Business LOCATION OF BUILDING Property Location on Street or Exact Street Address (if any): Legal Description of Property: Total Area of Property sq. ft. Present Zoning Classification DESCRIPTION OF BUILDING Proposed Building Use:4 Building Dimensions: Front Depth Height Square Ft. `f Cubic Ft. Type of Construction: Estimated Cost ekz� To Be Completed /I 6 DATE: �G =_`"'` / • APPLICANT'S SIGNATURE:vv% Application for Power Plants and Healing, Cooling, Ventilation, Refrigeration and Air Conditioning Systems and Devices ?-.-I- PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ........................... $10.00 $ Replacement of Furnace 6.00 $ Repairs & Alterations—up to $500.00 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ each add. 60,000 BTU ....................... 3.00 Replacement of Furnace ....................... 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam .... $10.00 $ Furnace Shell & Line to 640 sq. ft. EBR Hot Water 10.00 $ Each add. 200 sq. ft. EDR Steam ... .................. 3.00 $ Each add. 320 sq. ft. EDR Hot Water .................. 3.00 $ OIL BURNER—to 3 gal. per hour 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 199,000 BTU) 5.00 $ over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures x$ 2.00 $ 1,00 Additional Fixtures ..... ....... x .75 $ Gas Range to 199,000 . I ......... x$ 5.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL leg PC See Fee Schedule $ $ ion -o0 TOTAL FEE $ 920,00 Dept. of Bldgs. Phone 560-3450 Ix O City of Fridley: The undersigned hereby makes application for a permit for the work hereir. specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn. May 15 , 1969 Owner Atland Mf Kind of Building Concrete Block Used as P.ecreational Bldg. To be completed about September, 1969 Estimated Cost, $ 22,161.00 Old—New. Building Permit No. Permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No. Trade Name 44Y 64K Size No. Capacity Sq. Ft. E.D.R. '39196 BTU 9iU DOD H.P. Total Connected Load Kind of FueL CA S BURNER — Trade Name Size No. Capacity (REMARKS—OVER) 42 Sq. Ft. E.D.R. BTU H.P. Signed FRED VOGT & C0.3 HENTING & AIR CONDITIONING 3260 Gorham Ave. • 929.6767. By -91, touft Park, Minnewto 55426 Business Phone / - rEWA IRE CFA / S 7/SNJ I - rEMOAiRF CFA l2 /65M 2 - ACME 024E 3200 c, -N 18.0D ACME 014E 1700 cFM 1 - ACME P282 490 cFM 7- gkoAAI 317 /00 CFM / - SL 0360 2 - sLa�oc BOILER BURNER 1�B,41T 65oo CA14 �o, oa 20.00 /500 crit' 5.00 /000 CF14 do'o04S 18.0D 5,00 I0$, OD 5100 / B,oD 15 .4e,Zf-,z 16 0 o e FM -7:7'r � 12,90 c FNJ 2-7 e,- /000 CF14 Heat Loss and Plans Enclosed ma appy Q3 0411101TIGM03 RIA A d 30,00 65, -00 3o -o0 24,00 /0,00 20- oo do'o04S I0$, OD City of Fridley Application for Plumbing and Gas Fitting Permit DESCRIPTION Or WORK Number, Kind and Loc ion of Fixtures • Future Connection OpeningsI Connected with wer 0 * New Fixture, Old Openings Cesspool 0 PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL 6 Number Fixtures ...... ....... x $2.00 $ gG' Future Fixture Opening ................ x $1.50 $ New Fixture Old Opening .............. x $1.50 $ Catch Basin ... ....... _ Z x $3.25 $ Water Heater (Up to 99,000 BTU) ...... r) a x $3.00 O U $ /o' New Ground Run Old Bldg . ............ x $3.25 $ Electric Water Heater 2} Z Z GAS FITTING FEES: Q Z U Z O S J .......... 1st 3 Fixtures ......' 0 w $ WATER HTR. 3c'i o� Z Ez 3 o a J 20 ~'� c�m j< <3 <n (9< <Z 0 <a 0o' F N GAS ELEC. Base 2 2 2 — — 1st 13 2nd S CD _ — _ 3rd -- — — _ 4th • Future Connection OpeningsI Connected with wer 0 * New Fixture, Old Openings Cesspool 0 PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL 6 Number Fixtures ...... ....... x $2.00 $ gG' Future Fixture Opening ................ x $1.50 $ New Fixture Old Opening .............. x $1.50 $ Catch Basin ... ....... _ Z x $3.25 $ Water Heater (Up to 99,000 BTU) ...... r) a x $3.00 O U $ /o' New Ground Run Old Bldg . ............ x $3.25 $ Electric Water Heater a $2,00 $ GAS FITTING FEES: NO. RATE TOTAL .......... 1st 3 Fixtures ......' x $2.00 $ Additional Fixtures x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ i�REPAIRS & PALTERATI-O-IS4-Refer to Code Description ............................................... $ TOTAL FEE $ " Dept. of Bldge. Phone 560-3450 Location S/ ,5-0 Z�S 7 - City City of Fridley: The undersigned hereby makes application for a permit for the work herei 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 true and correct. A Fridley, Minn. S— 27 , 19 ! 9 Owner --- Kind of Used as To be completed about O'v Estimated Cost, $__ etlLv Old—New. Building Permit No. `� >�' �Permit No. Signe '-� • �- By Business Phone o. �� ` 771 ROUGH FINAL 42 N° 4944 Original Permit for PLUMBING AND GAS FITTING I N.B. When work covered by this permit is ready, the Plumbing Ordinance requires that request for Permit $ /'C77, inspection shall be phoned in to the plumbing Inspector, 560-3450 giving number of this permit., Fee DESCRIPTION OF WORK Number, Kind and Location of Fixtures c Connected with Sewer -Cesspool Gas Piping for Openings Permission is hereby granted `' ' ''u to do the plumbing and gas fitting in the building described in the statement here o attached, upon the express condition that the person to whom this permit is granted, and his agents, employees and workmen, in the plumbing or gas fitting of said building shall conform in all respects to ordinances of the City of Fridley, and this permit may be revoked at any time upon the violation of any of the provisions of said ordinances. By Order Of The Inspector Of Buildings Roughing in Inspection Inspector. Final Inspection Date Inspector. 1 42 i M -6-65-v City of Fridley , 19 A' 7 Owner Location Kind of Building �AL t ---?Y i -t= Used as— To s To be Completed '19— Estimated 19_ Estimated Cost $ ZT E-c Old-New. Building Permit No. I C f Inspector of Buildings. N N Stories W FW N Z = W Z N Y = N N Y~ Z Z w 3 W Z O 2 Z U 3 Z 0 U J W (7 WATER HTR. GAS ELEC, Q OJ ¢ 6 7 Q Z Q K ¢ O 2 OJ ¢ Q Q Q O W x < 6a. Q Q 3 U G m F m N h- O LL (JJ LL O U m J i LL (7 Basement r� est' 2nd 3rd 4th Connected with Sewer -Cesspool Gas Piping for Openings Permission is hereby granted `' ' ''u to do the plumbing and gas fitting in the building described in the statement here o attached, upon the express condition that the person to whom this permit is granted, and his agents, employees and workmen, in the plumbing or gas fitting of said building shall conform in all respects to ordinances of the City of Fridley, and this permit may be revoked at any time upon the violation of any of the provisions of said ordinances. By Order Of The Inspector Of Buildings Roughing in Inspection Inspector. Final Inspection Date Inspector. 1 42 i M -6-65-v City of Fridley , 19 A' 7 Owner Location Kind of Building �AL t ---?Y i -t= Used as— To s To be Completed '19— Estimated 19_ Estimated Cost $ ZT E-c Old-New. Building Permit No. I C f Inspector of Buildings. Origirw i PERMIT for Power tants and Heating. Cool. ing. Ventilation. Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK No. of / Heating Plants 771rJ.d 11 to be nstalled ltered—repaired Make �a-�J , Size C/ / O _ /-X-Cei Oil fired ;Coal fired—, Gas fared x , Gas Authorization No. Remarks Approved by Final Inspection 19_ Inspector 7 ff"' Perla N° 4510 Fee $ 3 Office of the Inspector of Buildings City of Fridley City of Fridley, Minn. S , I9 Owner Location �,576_0 4W Kind of Building How Occupied Work to be Commenced To be Completed � 19-4L? Estimated Cost, $ 42; / 6, / • &-y Old -New, Building Permit No. Permission is hereby granted to t h Pd `��D' V--& ^ to install—erect—use the material and devices described in the above statement. This permit is grantedup�he express condition that the person to whom it is granted, and his agents, employees and workmen, in all the work done and materials used under this permit, and in the operation of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley relating to or governing the work to be done and the operation of the devices herein named, and to the specifications set forth in the approved application for this permit on file in the office of the Inspector of Buildings. �j J b`1•C-f1 �� r,�!� - :) , Inspector of Buildings 4z 2M 11-67 V 52-84-S915e51 City of Fridley Application for Plumbing and Gas F H69 Pem* Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK Number, Kind and Location of Fixtures Location 5750 E River Rd Ti i I _ Z = C = U Z_ O Z w = • • WATER i+TR. QF ��jQ <� 7 v! ,� J u O z z 3. I � i U d S<<- `< / N GAS ELEC. v 3� ow o <3 O� 3< CSO Base_ -- 1st Int lrlcineratw - — - -- — - -- 2nd - - - — 3rd 4th _L_L__ L --- Future Connection Openings Connected with ---- --- - --- '� New Fixture, Old OpeningsSewer I -__ Cesspool j-1 PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $2,00 $ Future Fixture Opening _ x $1.50 New Fixture Old Opening x $1.50 $ __ Catch Basin x $3.25 $ Water Heater (Up to 99,000 BTU) x $3.00 $ New Ground Run Old Bldg. _ x $3.25 $ Electric Water Heater s $2.00 $. GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures x $2.00 $ Additional Fixtures . ... .......... .. x $ .75 $ Gas Range to 199,000 BTU. ............ x $5.00 $ Gas Incinerator 1 5,00 REPAIRS & ALTERATIONS—Refer to Code Description .... ... . ..... ........... ... $ TOTAL FEE $ 5.00 City of Fridley: The undersigned hereby makes application for a permit for the work herei 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 true and correct. Fridley, Minn. 12-5-69 _19— Owner ,1s_Owner Geortown Ct Apts Kind of Building brick Used as res To be completed about 12 Estimated Cost, Old—New. Building Permit mit N M"V POLIS GAS By- - CO. - Business Phone No. ROUGH FINAL City of Fridley S Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK Location 5750 c�.45 % A d �' K-c��Ao Number, Kind and Location of Fixtures '� � q 'Ir N F z S N Y S} Z Z K _ O Z LLo U F' Sm �U' O S j <3 J < o. c� U� c�< Z a coo i N WATER HTR. GAS ELEC. Base 5 1st 2nd 3rd 4th • Future Connection Openings I %,onnecieu wizn * New Fixture, Old Openings Sewer E] Cesspool E] PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $2.00 $ /G •oU Future Fixture Opening x $1.50 $ New Fixture Old Opening .............. x $1.50 $ Catch Basin .... ................ x $3.25 $ Water Heater (Up to 99,000 BTU) ...... x $3.00 $ New Ground Run Old Bldg. ........... Electric Water Heater GAS FITTING FEES: 1st 3 Fixtures ...... ................... Additional Fixtures ................... . Gas Range to 199,000 BTU ............. REPAIRS & ALTERATIONS—Refer to Code — x $3.25 $ _ x $2.00 $ NO. RATE TOTAL x $2.00 $ x $ .75 $ x $5.00 $ City of Fridley: The undersigned hereby makes application for a permit for the work herei 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 true and correct. Fridley, Minn. '7,12- 3 19 � Owner 1 Z• 1 S i e oa Kind of Building �17C cyt : Used as %�� &✓yc, A P I S . To be completed about /O// .17D c� Estimated Cost, $ qe'v Old—New. Building Permit No. P`ermit No. o Signed /'�' S�C%C ci/ i �1:,ec_ By Business Phone ROUGH FINAL 10 - g - % y Description ......................................... 1 $ TOTAL FEE $ AP -00 4 2 N° 51'70 Original Permit for PLVMBING AND GAS FI NG N.B. When work covered by this permit is ready, the Plumbing Ordinance requires that request for Permit inspection shall be phoned in to the plumbing Inspector, 560-3450 giving number of this permit., Fee j-2-6, QU DESCRIPTION OF WORK Number, Kind and Location of Fixtures Connected with Sewer -Cesspool , Gas Piping for Openings Permission is hereby granted3U. S . to do the plumbing and gas fitting in the building described in the statement he,90 attached, upon the express condition that the person to whom this permit is granted, and his agents, employees and workmen, in the plumbing or gas fitting of said building shall conform in all respects to ordinances of the City of Fridley, and this permit may be revoked at any time upon the violation of any of the provisions of said ordinances. By Order Of The Inspector Of Buildings Roughing in Inspection Date Inspector. Final Inspection Date , Inspector. 42 1 M-6-69- V City of Fridley S , a2o Owner /�?/i •� aJs Location • . 1 8 a Kind of Building__1/I b • Lam, Used as To be Completed , 19_ Estimated Cost $ &0.00 SNew. Building Permit No. Date Inspector of Buildings. N M N Stories W < Z = to > Y �- W K Z o = 2 3 W o WATER HTR. FW O < Z F m N Y Z �, < Z 7 3 J K v z N v J GAS ELEC. J 3 K < 7 < m a 3 o S Q< Q O N X < R << u o m m i- o v a n. o u m K J i rL O a o s Basement 1st 2nd 3rd 4th Connected with Sewer -Cesspool , Gas Piping for Openings Permission is hereby granted3U. S . to do the plumbing and gas fitting in the building described in the statement he,90 attached, upon the express condition that the person to whom this permit is granted, and his agents, employees and workmen, in the plumbing or gas fitting of said building shall conform in all respects to ordinances of the City of Fridley, and this permit may be revoked at any time upon the violation of any of the provisions of said ordinances. By Order Of The Inspector Of Buildings Roughing in Inspection Date Inspector. Final Inspection Date , Inspector. 42 1 M-6-69- V City of Fridley S , a2o Owner /�?/i •� aJs Location • . 1 8 a Kind of Building__1/I b • Lam, Used as To be Completed , 19_ Estimated Cost $ &0.00 SNew. Building Permit No. Date Inspector of Buildings. City of Fridley, Minn. 8 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUILDING PERMIT Date:ems_ 17 a, _19 71 Owner: Builder P Q.i�.;z_I11G QTR r d _ Address.-_-5.7..5Q...E.ast....Rlu�r_..goad..N..E.__.�...-_..�_ Address ._.._._.229 West 60th Street -2 Mpl G _ LOCATION OF BUILDING No. ..... .... 575Q,.____._. Street ....._............_East River Road NEPart of Lot Lot ............. ____ ....--.._. Block _ ........................ _.......................... ... Addition or Sub -Division ......... ____ ----.___ Corner Lot --------------_-__....---- Inside Lot ............ ___ ..-----•.......... ... Setback .............. ___..__.___....... Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Swinuning_..P.Q.ol.__..--. Front _44_!.-5.'.' Depth _2Q `._..__. Height _..8-� -9._' Sq. Ft. __96$__ Cu. Ft. ...4B4.Q. Front ..._._._..___ Depth _..._-______ Height .__._.._._._.. Sq. Ft. Cu. Ft. Type of Construction .._Gunite.._Cnncrete- Est. Cost $8,300..O.Q............ _....... To be CompletedNov-0.71 Stipulations: 1. Pool must be fenced with a self closing gate. 2. Provide a ground circuit interrupter on the electrical system. 3. All equipment including filter, pump and skimmer shall be N.S.F. approved. 4. The skimmer lines must be separately valved. 5. Provide depth markers on both sides of pool. (Per Health Inspector 9/15/71) 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 et forth and in compli ce with all provisions of Ordinances of the city of Fridley. 7 In consideration of the payment of a fee of $__ 5j yQQ____., permit is hereby granted to Pools Tnr- _........._..__......__.-._................................._ 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 wont 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. Building Inspector CLARENCE BELISLE NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sun to see the Building Inspector for separate permits for these items. APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME: �� %�l'SE BUILDER: y,4r ADDRESS , c� �5'D ADDRES s NO:. �7�5Z� STREET • d%z`� 4': LOT: BLOCK: ADDITION: CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location: drawn on these Certificates. DESCRIPTION OF BUILDING To Be Used As: � fiy Front: 7�/ �� �Berth : Height Square Feet: % Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction:vNjf� ��or1,CefE Estimated Cost: To Be Completed: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all Mork in sttict 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. DATE: SIGNATURE (See Reverse Side For Additional Information.) Stipulation: A= All temporary signs to be removed. City y of Fridley, Minn. N° ` SIGN PERMIT Date: April 50 1973 Owner: Maurice Filister Erector: Leroy Signs Inc. Address: 5750 East River Road N.E. Address: 6325 Welcome Avenue North Tel. No.. Tel. No.: LOCATION OF SIGN No. 5750 &XXX Street: East River Road N.E. Lot: Gov. 2, 3 Block: Addn. or Subdivision: Section 22 Corner Lot: Inside Lot: X Zoning Classification: _ R=3 DESCRIPTION OF SIGN Sign Type: Ground Mount - Concrete Pillars (Pylon) Sign Dimensions: Length: 8' Width: 12' Sq. Ft.: 96' Bldg. Dimensions: Length: Width: Sq. Ft.: How Installed: Roof: Flatwise on Bldg.: Extended Fr. Wall: Pylon: X Variance Approved Distance Fr. Prop. Line: 5' Intersections or Driveways: Grade: _9' Variance ApproveGType of Construction: Plas i /SPP1 Illumination: Yes Valuation: $ UU Installation to Begin: (Revolving Beacons, Zip Flashers and Similer Devices Including Any Sources of Light Which Changes In Iat,ez"A'ty Lre Prohibited. ) Hours Used: To Be Completed: 90 days In consideration of the issuance to me of a permit to construct the sign described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of the ordinancesofthe/City of Fridley. (Date)nd Owner or His Agent) In consideration of the payment of a fee of $ 25.00 , permit is hereby granted to Leroy Signs Inc. . to construct the sign as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, emplbyees and workmen, in all work done in, around and upon said sign, or any part thereof, shall conform in all respects to the ordiHances of Fridley, Minnesota regarding location, construction, alteration maintenance, repair and moving of signs within the City limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances, -- -� Rate BUILDING INSPECT C. BELISLE City of Fridley SultigCT AT THE TOP QP THR TWIMI SIGN PERMIT APPLICATION -------- COMMUNITY pEVEI,OP}rRNT tMY. I PPCTECTW9 00009CT*M OiPT. pry HALO PIpIKEV f#os OATC PA{E OF t FY R Ovrt-, 2/15/73 1 1 JAI 00 Owner Address Phone i . Ae E Erector Address Phone Legal Lot No. Block No. Tract or Addition Corner Lot Inside Lot Z911ing glasgification e•�3 Sign Type Pylon, Dimensions: Roof: Wall: Length: c�' ' Width: S Ft.: �� Building Frontage Length: Width: Sq. Ft.: Distance From: 1iA�ED c Pro ert Line: P Y S Intersection or D ,. Residential: Grade: 91 Type of Construction: �euU fu 13 Illumination: Y FS (Revolving beacons, zip flashers atid similar devices including any sources of light which changes in intensity are prohibited,) Installation to Begin: To Be Completed: I hereby authorize and direct the City of Fridley to remove the sign and sign structure, at my expense, where maintenance is required and the maintenance is not furnished, but only after a hearing and after a notice of sixty (60) days specifying the maintenance required by the City, I hereby authorize and direct the City of Fridley to remove and dispose of any signs and sign structure on which -a permit has been issued to me, but the annual fee has not been paid (billboards only). The fee is due on April 30th of each year, with a thirty (30) day grace period. In consideration of the issuance to me of a permit to construct the sign described above, I agree to do the proposed work in accordance with the description above set I forth and in compliance with all, provisions of the ordinances of the City of Fridley.+ I Date (Lund Owner or His Agent) In consideration of the payment of a fee of $ this permit is hereby granted to to construct the sign 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 Baia sign, or any part thereof, shall conform in all respects to the ordinance oi_ Fridley, Minnesota regarding locatiQp, construction, alterations, maintenance, repairi and moving of signs within the City limits and this permit tray be revoked at any I time upon violation of any of the provisions of said �Sordinances. '�O ' BUILDING INSPECTOR 53-84-s-915.51 City of Fridley Applic®iiom for Pkmbbg and Gat RM" Fant Dart- of BWlW Phem 98"M DESCUtMON or WORK 5750 E. River Road Number. Kind WA Lecalioo et flrtuy*r. PARTIAL RATE SCHEDULE FtolOING nlr MM RATES: NO. RATE TOTAL. Nundw Finhwes ..... .......... s iiOQ i 1lrttue RRstum Operdme ........... :1160 ice_ . Now p da re Old Opening. .......... ir C-00% Sarin .................... Rater Koster 'Up to 99A60 BTVf • • • • _ S&OD 6 New Gerund Run OW Bldg.:........ ::4.Z5 f Electric Water lLetrr............. s Mm _ Cal rinzwo r m- M A&Tt TOTAL. tat ! tiutnnes .................. 3 RUM = 2.00 aAill"Oew 1111ho . ............... 5 s $ JS 3.75 On ROW to IMAM RrU ........... —zaft f State Surcharge $ .50 IMAM s ALTERATIONS—attar ,s cN. psi Install_O Gas Lihts .: 21.00 ..... .......................... TMALLM 630•�5 City of hiew.. The undersigned ham makes application for a permit for the work heron'.- specified, aVveing to do aII w ce is strict accordance with the My Oedinanee r and nilinr of the Department of Buiidinp, and hereby declares that aU the fad and representations stated in tbb true and correct � 5 197 a� »�. ownerGeorge Town Court Apts. Kind of Building. Brick Used as Apts. To be completed about 6/1073 Estimated Cost i 80.00 - p/ oid�—Riewr. Building. P�nit w� F -wit Kw S"98 { Dusim!s ire a� 81 all- In 9 ................MEN IMMENIMMINIMMINIM. PARTIAL RATE SCHEDULE FtolOING nlr MM RATES: NO. RATE TOTAL. Nundw Finhwes ..... .......... s iiOQ i 1lrttue RRstum Operdme ........... :1160 ice_ . Now p da re Old Opening. .......... ir C-00% Sarin .................... Rater Koster 'Up to 99A60 BTVf • • • • _ S&OD 6 New Gerund Run OW Bldg.:........ ::4.Z5 f Electric Water lLetrr............. s Mm _ Cal rinzwo r m- M A&Tt TOTAL. tat ! tiutnnes .................. 3 RUM = 2.00 aAill"Oew 1111ho . ............... 5 s $ JS 3.75 On ROW to IMAM RrU ........... —zaft f State Surcharge $ .50 IMAM s ALTERATIONS—attar ,s cN. psi Install_O Gas Lihts .: 21.00 ..... .......................... TMALLM 630•�5 City of hiew.. The undersigned ham makes application for a permit for the work heron'.- specified, aVveing to do aII w ce is strict accordance with the My Oedinanee r and nilinr of the Department of Buiidinp, and hereby declares that aU the fad and representations stated in tbb true and correct � 5 197 a� »�. ownerGeorge Town Court Apts. Kind of Building. Brick Used as Apts. To be completed about 6/1073 Estimated Cost i 80.00 - p/ oid�—Riewr. Building. P�nit w� F -wit Kw S"98 { Dusim!s ire a� 81 53 -8b -s-915.51 Cil-/ of ,'-ridloy ..,,. .. 'l=}I•.r^ *••►J" fit'.,. P.. ,,,� o^-�-.i? �p ��i4•�14i�J �tll �'�u�,.1iY� �.:•iL1 ��2.sa E�r'�:Di.� ��.:L6..i Dept. of 131d;z. Phone °L -3450 ' DESCRIPTION 0. v10111: 5750 East River Road Nui~Tb�or, Y.i.ad and Locr on of Fixtures Lota�� T NO. RATE TOTAL Number Fixtures ................ x $2.00 1zT ! :o Future Fixture Opening .. • .. • • • • • • x $1.50 $ -.. H x $1.50 N WAT(-t wTIt. G-$ RIC. n j; i1 $ ;:ew Ground Run Old Bldg......... v ;; 3 O'v 3 �U IU c �U V al.S FITTING FEES: NO. RATE TOTAL Ist 3 Fixtures ............ • • • • • • x 52.00 $ Ad-d'donal Fixtures .............. x $ .75 $ Gas R.anye to 199.000 BTU ........... x $5.00 $ Es!e i 1st In Lal 1 Gas Grill 2 _ 2r$ 3:d S:h • Fur"Zo Ccn:.o:::,^a Opocin;s Xsw Flxh:re, Old Oponings PARTIAL RATE SCHEDULE �ar�az Cc ::.pool PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ................ x $2.00 $ Future Fixture Opening .. • .. • • • • • • x $1.50 $ -.. New Fixture Old Opening .......... x $1.50 $ _.. _. Catch Basin .................... x $3.25 $ Water Beater 'Up to 99.000 BTU) . • • • x 53.00 $ ;:ew Ground Run Old Bldg......... x 53.25 3 Electric Plntoz Hsat.or........... z $2.00 S al.S FITTING FEES: NO. RATE TOTAL Ist 3 Fixtures ............ • • • • • • x 52.00 $ Ad-d'donal Fixtures .............. x $ .75 $ Gas R.anye to 199.000 BTU ........... x $5.00 $ City of Fridley: The undersigned hereby makes application for a permit for thr work herei specified, arrreefng to do all work in s:rict accordance With the Cid C dir=" and ruling of the Department cf Buile.:ngs, and hereby declares that all the fact and representations statod- Ln this applica::on are true and correct 7-17-75 19.._ Fridley, b'.ian Owner Georgetown Court Apt, Kind of Building F'raTne Used as Apt. House To be completed about 7-24-75 - Estimated Cost, S 20.00 - 15WNew. Building Permit No. P.rait No. Sibnc+Fi✓ By MINNEGASCO - Business Phvne No ROUGH FINAI, � - � ' ? �• F—T'PAI:i3.� ALTERATIOXS—Refer to Cod. .50 State Surcharge j Install 2GasGrills, 10.00 Des.-ript.on . , . , ... . , , , TOTAL F= 3. 10.50 Class "A" Surcharge, .MO 97-84-416051 41`P.ICATION FOR PLUMDIIiu: Alio GAs FITT1—iia ft.*;I r t.e I1 � I,.t.,et :,,rnc;ttor. Gj•::n:r j -- •- -:.¢CLad .11th saver I r•c. t I�tr.te, Cld Ojar,:r 7 Nater s 1-11 TING tM; .I.UIt...ul ft.tucse blu 1'All,, 6 ALTiRATICN5 11..t )IOU.Ou tr.r. 6.31, 51�+ wJ . r frazuzr Job Addt ass 57.% E. River Road ------------- Oejurt,r.r:nt St City at I'rldlay Tel. 1571-1450 Tlla urrduryl.In,,} 1:_taiy r..:kat a(jli.-at:o- f_r t er%it, (:.r tu' wt.lk Lertln i epbeltte,! e)tectuy �� d; e:! wGtk Jr. str:Ct a -'sere �:tl. tl., City and rulinjs of the ::fi:!:artRcnt of B.:::Sjrjs, ttat el! rho factdl e.,d r;l r,�+ctar.tc;,e et]tod ct,:. 6-24-80 C11NLR GEORGETOWN APTS KIND OF IIUI"I::,,# brick USLD AS a As. TO BE C:,'0PLCT!_3 tW. 7-1-80 ESTIW%'I'LD COS"f OLD - t1L'{i lSL't[.GI:1,: l•il.:tl: ���`— i '!NNEC, S1;nC.1 Ey ROUGH I05P. Da La FIN6L INSP• -4 _FC) A 5].00 $ Coco x `v: D. GJ AliliVVl,(. l i,it PE:u:: ; HIMMt:11 UL'L 1,.tr 1,r, 1LL'r.u:l.� FC1�.II IS S7. J i•LUi ; .0 .:LTC iUKOU.Id.0 _ 23.00 RATE 70:„1. t.t.•caa x $2.30 j .a tar teatcr - to $i.G;.O bri 00 1w,JJ� EIV LQ la ,;;,0 b:U 1. $ l0 0. co S •&ter a+ftenec x 57.00 $ rcY t:t...rnd 0.,n Old b.61141ry x ;x5.00 $ .le:tt►� ualee tlystee • 55.00 $ s 1-11 TING tM; .I.UIt...ul ft.tucse blu 1'All,, 6 ALTiRATICN5 11..t )IOU.Ou tr.r. 6.31, 51�+ wJ . r frazuzr Job Addt ass 57.% E. River Road ------------- Oejurt,r.r:nt St City at I'rldlay Tel. 1571-1450 Tlla urrduryl.In,,} 1:_taiy r..:kat a(jli.-at:o- f_r t er%it, (:.r tu' wt.lk Lertln i epbeltte,! e)tectuy �� d; e:! wGtk Jr. str:Ct a -'sere �:tl. tl., City and rulinjs of the ::fi:!:artRcnt of B.:::Sjrjs, ttat el! rho factdl e.,d r;l r,�+ctar.tc;,e et]tod ct,:. 6-24-80 C11NLR GEORGETOWN APTS KIND OF IIUI"I::,,# brick USLD AS a As. TO BE C:,'0PLCT!_3 tW. 7-1-80 ESTIW%'I'LD COS"f OLD - t1L'{i lSL't[.GI:1,: l•il.:tl: ���`— i '!NNEC, S1;nC.1 Ey ROUGH I05P. Da La FIN6L INSP• -4 _FC) A 5].00 $ Coco x `v: D. GJ AliliVVl,(. l i,it PE:u:: ; HIMMt:11 UL'L 1,.tr 1,r, 1LL'r.u:l.� FC1�.II IS S7. J i•LUi ; .0 .:LTC iUKOU.Id.0 _ 23.00 CITY OF FRIDLEY INSPECTION DIV, Effective On January 1, 1993 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE JOB ADDRESS The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Fumace'Shell and Duct Work, Burner - rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 1,'.0.00 $ representations stated in this application are true and correct, ^. Gas Piping (Needed with new furnace) $ 10.00 $ F�.�� OWNER Gas Range $110.00 $ BUILDING USED AS Gas Dryer $ 10,00 $ �� r' 0 ESTIMATED COST - PERMIT NO.__(-^ *Air Conditioning -All Sizes $ 10,00 $ DESCRIPTION OF FURNACE AND OR BURNER All Others/Repalrs & Alterations (LIST ON BACK) 1% of Value of Appliance or Work $ No, of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. Commercial/Industrial 3 L " BTU HP EDR 1 % of Value of Appliance or Work. \ $ Fuel Total Connected Load S - 3 - Z I j State Surcharge 50 Burner Trade Name _ Size No. TOTAL FEE J� D , J b BTU HP EDR l� MINIMUM FEE FOR ANY HEATING/COOLIN91YENTILATION�.�p REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE ^ro,�IV REINSPECTION FEE $30.00 Uv a HEATING COMPANY FRED VOGT & COMPANY 3260 GORHAM AVE ST LOUIS PK 55426 Signed By Tel No. 9 2 9- 6 7 6 7 #3°� Approved By Rough -In Date Final Date f� *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner.FILL OUT BACK SIDE FOR STACK VERIFICATION ON P41 _)'�0 J amt? REPLACEMENT FURNACE ,Aw �f HEATING COMPANY FRED VOGT & COMPANY Signed By Date CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes ( j No ( j 2. Is free from rust or deterioration Yes ( ) No ( ) 3. Has no foreign objects lodged within Yes ( ) No ( ) 4. Is securely supported Yes ( ) No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes ( ) No ( ) 6. Has total heating BTU's of All other BTU's TOTAL BTU's Remarks List Alterations Being Done: HEATING COMPANY FRED VOGT & COMPANY Signed By Date CITY OF FRIDLEY INSPECTION DIV 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On May 10, 1999 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT _ MARK NUMBER OF FIXTHRFS TO RF INSTAI I Fn nNi FArN Pi nnR PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas** Gas Range** Gas Dryer** Back Flow Preventer Required ( )Yes () Nc Type WA44' 0001 Q i �/_, NO. RATE TOTAL $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 1 $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL FEE �?U.0 0 $ .50 $ 2O. s'a JOB ADDRESS_ S^7 SSU �, /p 5 �Z 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 Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. 1999 Owner F; I I5% 4.,2 Ca,�4r�,r,,.4 S Building Used Estimated Cost ZOO PERMIT NO.S- PLUMBING COMPANY SIGNED BY Approved By Rough -In Date Mic-�A,,`« N TEL N0. S^ �' %� `1 ' O� c% Final Date ;RMIT IS 17�- "COMBUSTIONSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SIZE 9 SQ INCHES. CITY OF FRIDLEY INSPECTION DIVISION/ vC Effective On January 1, 2000 64'J1 University Ave NE ` Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572.3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESSA& RATE SCHEDULE OWNER Residential Rate TOTAL Furnace Shell and Duct Work, Burner - BUILDING USED AS . 0 z& Also Replacement Furnace $ 30.00 $�� , (Side Vent - Fill Out Back) ESTIMATED COST �� PERMIT N0. Gas Piping (Needed with new furnace, $ 10.00 $ but not replacement) DESCRIPTION OF FURNACE AND OR BURNER Gas Range $ 10.00 $ No. of Heating Units _ Circle One (Steam) (Hot Water) (Warm Air) Gas Dr_ $ 10.00 $ Trade Name Size No. .� fa.✓ BTU HIP EDR *Air Conditioning All Size $ 25.00 $ Fuel Total Connected Load All Others/Repairs & Alterations (LIST ON BACK) Burner Trade Name Size No. 1% of Value of Appliance or Work $ BTU _HP EDR Commercial/Industrial 1.25% of Value of Appliance or Work $_ The undersigned hereby rnakes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes an State Surcharge $ .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. TOTAL FEE $ DATE Z0— C) MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION HEATING CO A-4 d- 41C_� REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 Signed � TEL S3b`aC,L? PLUS THE $.50 STATE SURCHARGE � # REINSPECTION FEE $47.00/Hr - *Air Conditioners can not be placed in a side yard without Approved B Rough-In Date Final Date written permission from adjoining property owner. COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing 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 manufacturers 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 installing 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 I 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 _ Appliance #2 Type _ Appliance #3 Type _ Total Appliances Common Vent Type _ BTU Input _ BTU Input _ BTU Input Total Btu Input Fan Assisted or Nat Fan Assisted or Nat Fan Assisted or Nat Vent Height Diameter inches Appliance #1 `vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date : SuBjECT � City of Fridley 30814 AT THE TOP OF THE TWINS BUILDING P E R M I T r RECEIPT NO. • _____ COMMUNITY DEVELOPMENT DIV. �- - j PROTECTIVE INSPECTION SEC. /00 CITY MALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910 F15 4/11/00 JOB ADDRESS 5750 East River Road NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. IPt 17,18 Auditor's Subdivision #78 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Filister Enterprises 5750 East River Rd NE 571-3300 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO B & B Sheet Metal & Roofing Inc 210 Centennial Dr, Buffalo, Mn 55313 682-4233 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Apartment 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION 5P REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof Pool Building; Carlisle 45 Mil EPDM 9 CHANGEOFUSEFROM TO STIPULATIONS Install per manufacturer's specifications. SEPARATE PERMITS ARE REQUIRED 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 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 $10.31 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $20,630 DOES NOT PR ME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE P OVISION F ANY OTHER TATE LOCAL LAW REGULATING CON- $335.25 Fire SC $20.63 S U TIO O THE PERF R A C CONSTRUCTION PLAN CHECK FEE TOTAL FEE 366.19 S-ATUREO CON"RACTOR CFRAUTNORI AGE OATE. ENAPROP VALIDTE THIS IS V U PER IT S-GNATURE OF OWNER,IF OWNERBWLOER, iDATE.-88L iNSo FiaiE ._�.. PREFINISHED SCUPPER W/DOWNSPOUT _ -„,-,.-„ „�_,�. NEW PRERNISHED FASCIA W/CONT.KEEPER CXISTINC CANT ............. _ ....__ ...._.__ R.U.SS.FASTENER ..-TAPERED EPS __..........._ ......... ....—...... RIVER ROCK PRESSURE 5ENSTUVF.R.U.S,S. 45 MIL EPDM i 45 MIL EPDM W00p DECK T_ Arl TAPERED EPS O, T�' I-U.O.M. - � �9g 9 9/4 ROLLS " 0T-z 100'-4S MIL EPDM-, X_T_ -”"" -' 00 ROLLS 20 x 100 60 MIL EPDM 3�2 ROLLS 6"PRESSURE SEN§.R.U.S.S. fAC� -arooD DECK 1 2 ROLLS 7?."UNCURED EPDM FLASHING _ Q11 ROLLS i6"CURLD EPDM FV.ASHING 32 EACH PREFORMED I�O,CORNERS 00 EACH PIPE BOOTS SMALL 00 CLAMPS I . 00 EACH PIPE BOOTS LARGE W CLAMP(S) AC 350 EACH 2"SEAM PLATES Z SCUPPER Q CANT EDGE 350 EACH i 1 4 FASTENERS 1 CANTEDGE DETAIL _- _._ 93 TONS BALLAST_ .... �. ._.._._ -_.�— 4 EACH NO SCALE __IONS_ .. 1 APPROX.100' NO SCPLE 90 GAL BONDING ADHESIVE .....__._... 09 GAL SPLICE CEMENT � 03 GAT. „-SPLdCE CLEANER 02 GAL LAP SEALANT AC UNITS REMOVED 00 -TU—BE(S) I__SEAM SEALANT AND PUT BACK ON 02 TUBE S W.C.O.M. NEW AC PADS 00 EACH _�.�. POURABLE POCKET fAC, —09 GAL -.. POURABLE SEALER__-- .i 3"SEAM TAPE- 05 GAL HP 250 SPLICE PRIMER ELEV. 2' 02 SDS SHINGLES AC] PRE-FINISHED SHEET METAL 20 POUNDS _ SWPLEX r 07 EACH A CPADS I ....-..BONDING ADHESIVE ROOF 00 N/A BONDING _...., II �.-... �..-�BONDIDI NG AUHCSIVt- Co00 N/A N/A EPDM MEMBRANE .EPDM MEMBRANE CO SQS ISOG. \\ U1 " Lb7 TAPERED PRESSURE SEN5.R.U.5.S. PRESSURE SENSITIVE KU.-S. - o 00 - EPDM MEMBRANE " O C7 O ----EPDM MEMBRANE a oUoo_ RIVER ROCK ROOF ROCK TAPERED EPS TANERED EPS DECK _._....._...__DECK ._._....._.....__ ` � FASTENING PLATE AND FASTENING PLATE AND NOTES V OT c�"`E S SURE SEAL FASTENER ..._...-...________......._-.SURE-SEAL.FASTENER (MAX.12"O.C) (MAX.12"G.C.) -REMOVE THE EXISTING BUR DOWN TO THE EXISTING MOD DECK -OVER WOOD DECK,INSTALL A TAPERED EPS SYSTEM -OVER EPS,INSTALL A CARLISLE E 45 MIL BALLASTED EPDM ft00F SYSTEM LL -INSTANEW SANITARY SPECK AND ROUE CURB RB FLASHINGS SHINGLED -FABRICATE AND INSTALL NEW NEW PREFINISHED SCUPPERS AND DOWNSPOUTS 3 PARAPET DETAILFLAT TO HINGLED ROOFFAS CAATE AND INSTALL NEW PREFINISHED PERIMETER METAL 1 APPNOX.55' NO SCALE 1 APPROX.62" NO SCALE CAR MILE 15 YEAR TO-SYSTEM WART NN CARLISLE 20 YEAR MATERIAL WARRANTY NORTH ROOF PLAN NO SCALE LAP SEALANT. +++"13 TON OF BALLAST.CHECK LOAD TICKETS .__....._-_NEW DRIP EDGE �.._.._..PRESSURE SEN5.HASHING JOB GEORGETOWN POOL ROOF ice OR 5750 EAST RIVER ROAD SCA PROJECT: FRIDLEY, MN oAT ftOOF'ING CONTRACTOR: AWN�- ���F" SO.I 210 W7Vr AWY4 Mlf,OLIMAL0,MNO""ZP S0s _....—_ ._.._.__.......".."_'- GENERAL CON1TtAC70R: MORRIE llUlTlF6Rp UNIT 571-3300 _ --- UNIT RFv BONDING ADHE'SNE ------- BONDING ADFIESIVE TYPE OF WORK/ROOF: URA _ SEAM FASTENING PLATE(MAX.12"tl.C.) ---SEAM F'AS7ENING P(ATF.(MAX.12`OF. -' SEE NOTES SURE SEN5.R.U.5.S.-- � - """""""-"-"'"----� I i .-.�.. EPDM MEMBRNJE- -- N —MIND 010 SPLICE SPLICE TAPE C,/ B S I T EyEMERGENCY MF[GE CY N F V \ MAT ,oUoOoCXJO o _ RIVER ROCK- AP SEALANT I _..................___ AP SCAIANi TAPERED EPS.- .-..........---..EPDM MEMBRANE EPDM MEMBRANE UNITY HOSPITAL - . oo NEAREST HOSPITAL.: 550 OSBORNE ROAD FRIDLEYY, MN 55432 --RIVER ROCK RIVER ROCK EMERGENCY PHONE NUMBER: 9t t DECK-----/ IF YOU CANfi USE 911 THEN: %80-884.5 STEWING PLATE AND NON-EMERGENCY PHONE NUMBER-.j429-2222 -_-�-_-, IRE-SEM-FASTENER-------- __ TAPERED EPS TAPERED EPS ---- $1 V (MAX.12`O.C.) DECK ..•DECK POLICE DEPARTMENT EMERGENCY PHONE#: INFORMATION: ON—EMERGE- -_IF rou CAM USE 9n rHEo _ ___ NON-EMERGENCY 572-382.9 �� 5 ROOF TO WALL. 5 CURB DE_TAIL,_ 7 SKID BUCK DETAIL f'112E DEPARTMENT EMERGENCY PHONE 1 APPROX.24'_ NO SCALE _1 APPROX.80' N0 SCALP. APPROX.20' w0 SCA E INFORMATION: IF YOU CANT'USE 919 THEM �mmW NgN,.,EMERCEwcr 5%a-3B13 Prepaid Plan Check $ Estimated Cost $ Receipt # Construction Address Legal Owner & Address /—i L -157x2%-1 CONTRACTOR & ADDRESS Z-2 v -/,-�,�� r� Architect 111114 CITY OF FRIDLEY R-3, COMMERCIAL & INDUSTRIAL BUILDING PERMIT APPLICATION 0 4?, Effective 1/1/2000 (612)572-3604 51siq Zoning s- 7 SO C [ �E 5e 7= R '41 Tel# ( ) ✓ '713dU FE % 1)&7,-4 6- 'Cl vFi�rq =�/C Tel# (7G3) z 4z33 Reg.# Engineer Reg.# BUILDING CONSTRUCTION DD_-• TYPE OF WORK [] New [] Addition Alteration -Describe PE t�o� Fld / OFC. AREA: Length Width Height Sq. Ft. WHSE AREA: Length Width Height Sq. Ft. OTHER AREA: Length Width Height Sq. Ft. APPLI 4 /_-� b G3�� Tel # / �3 Date -:;,6 7 Cfb RA -GT) VALUATION Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) // Gem _ $ Z�j (1 30 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 Permit Fee $ '33J ?S_ Plan Check $ Fire Surcharge $ State Surcharge $ SAC Charge $ Erosion Control $ Park Fee $ Spec. Assessments $ Driveway Escrow $ TOTAL $ PERMIT FEES See Fee Schedule on Reverse Side In Excess of Prepaid Amount - See Reverse Side .001 x Permit Valuation (1/10th t) $.50/$1,000 Valuation (See Sched. for > $1 Million) $1100 per SAC Unit (Plans to MWCC for determination) $450.00 Conservation Plan Review Fee Determined By Engineering Agreement Necessary [] Not Necessary [] feet x $15.50/foot ATTACH STIPULATIONS JOB NUMBER: RR#999 AP 2D-340 PERMI T: YES GENERAL CONTRACTOR OR FIRM TO BE BILLED CONTACT PERSON MORRIE FILISTER PHONE #: 571-3300 JOB TYPE ?: COMPLETE TEAR OFF ROOFING SYSTEM ?: CARLISLE NAME: FILISTER ENTERPRISES ADDRESS: 5750 EAST RIVER ROAD FRIDLEY, MN 55432 ARCHITECT: OR ROOFING CONSULTANT: CONTACT PERSON OWNER: CONTACT PERSON MORRIE FILISTER PROJECT (JOB): NAME: N/A ADDRESS: PHONE #: FAX #: 571-4209 FAX #: NAME: FILISTER ENTERPRISES ADDRESS: 5750 EAST RIVER ROAD FRIDLEY, MN 55432 PHONE #: 571-3300 FAX #: 571-4209 PROJECT MANAGER / SUPERINTENDENT: PHONE: MORRIE FILISTER COUNTY NAME: GEORGETOWN POOL ROOF ADDRESS: 5750 EAST RIVER ROAD FRIDLEY, MN 55432 571-3300 FAX #: 571-4209 ANOKA ROOFING WARRANT6� / NO WARRANTY & ROOFING SYSTEM INFORMATION CONTRACT PRICE: $20,630.00 MANUFACTURER: CARLISLE JOB AREA: 2604 SQUARE FEET HOW LONG ? 15 / 20 YEAR CONTRACT DATE: 04/10/00 nneo Cn.IFIJ(_ nn ltmn 7 nW 7 -CA SUBJECT PERMI _. City of Fridley 3 1839 AT THE TOP OF THE TWINS BUILDING PERMIT -- r ` RECEIPT NO. _ COMMUNITY DEVELOPMENT DIV. y ------ -'-- . r PROTECTIVE INSPECTION SEC. �� -3604 ^�� � � 02 NUMBER REV DATE PAGE OF APPROVED BY ' -'"1 CITY MALL FRIOIEY 5532 �"� ,'' 612-571-3450 910-F15 5/21/01 JOB ADDRESS 5750 East River Rd NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 17, 1$ Auditor's Subdivision #78 SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Filister Enterprises 5750 East River Rd NE 763-571-3300 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO B & B Sheetmetal & Roofing Inc 210 Centennial Dr, Buffalo, MN 55313 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 763-682-4233 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Apartment 7 CLASS OF WORK O NEW 0 ADDITION O ALTERATION (2 REPAIR 0 MOVE O REMOVE 8 DESCRIBE WORK Tear -off and reroof portion of roof; Carlisle 45 Mil Ballasted Roof System 9 CHANGEOFUSEFROM TO STIPULATIONS SEPARATE PERMITS ARE REQUIRED 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 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 12, 750 $6.75 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- W STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK F TOTAL EE 2 2.75 SIGNATURE OF CON'RACTOR OR AUTHORiZEO AGENT iOATEi HEN ROP VALIDA E THIS ISYOUR PERMIT / S-GNATURE OF OWNEP,IF OWNERBWLOERi DATE- NEW PRF.FINL5HE0 FASCIA W/CONT.KEEPER _.... /� R.LLS500DSTENER \ - FBPOM M[ONDING MBRANEJE u+ PRESSURE SENSITIVE R.U.S.S. \ PRESSURE:SENSITIVE RUSS -45 MIL EPDM -.-_....___—EPDM MEMBRANk —......-. O O O ROOF ROCK .� TAPERF_0 EPS >>- ' "^� � TIERED EPS v I DECK I DECK B, p, FAUTENING PLATE AND -............. SURE-SEAL.FASTENER I CMAX.12'U.C.) I 2 Fln,r TO SLOPED ROOF I NO SCALE CTEDGE DETAIL_ I I I — _ I � ANnia SCALE 1 I 1 I � I I I -NEW PRE'FINISHED SPILLOUISCUPPER / PRESSU E SENSITIVE(LASHING - -'45 MIL EPDM -TAPERER EF i" _ NOTE`_` - -- REMOVE THE EXISTING JINGLE PLV ROOF DOWN TO THE EXISTING WOOD DE( ELEV. -- \ OVER EHISEING DECK,INSTALL..TAPERED EPS SE rT I' "'"' _" \ OVER EPS,INSfAII.A CARLISLE 45 MIL.NAI.L.S'TEO ROOF 11SICM G '-' " "- INSTALL NEW FtASI11NGS A PEI ETRATSNS NON— ~ -DECK \ FABRICATE AFA RICATE ND INSTALL.NEWINSTALL 2 S f REFINFSHEDUNI `PERIMETER METAL UT LPERS HEFTED � avx CARLISLE 15 YEAR TOTAL..SYSTEM WARRANTY I � I ILL I I x� 7 TON OF BALLET,CHECK LOAD TICKETS SPII_LOIJT SCUPPER 4 TERMINATION ON SLOPED ROOF NO SCALE ---NO SCALE ._.._ II 1 I I I _...._—. _.._W.C.C.M. JOE3 GEORC'�COWN RECREATION BLGD Lo p� —TERMINATION BAR ND NAIL-IN F 7� ---- -- OR 5750 EAST F21V6:R ROAD />J�IY sc PROJT.CT: FRIDLEY MN 55432 D/9. _ � ROOFING CONT'F2ACTOR: OW f5tfftT PlCTA"RWPM//I Sc I ZK)C,NfCNNIAt rrhIC,9UF`FN0,MN53.�19 sc --------PRESSURE SENSITIVE KUS I t\ GENERAL..COIJ'i"RAC-(OR. MORRIE FIIJST'E',R pe EPDM MEMBRANE __ 163-571-3300 _ TYPE:OF WORK ROOF _ DR f SEE NOTES i DECK JOBS IIELMERGENCY INF-ORMA1 _ _ UNITY I-IOSr ITAI_. _ 3 FASTINING PLATE AND NEAREST HOSPITAL., 550 OSBORNE ROAD ..—.-.--SURE-SEAL.FASTENER FRIDLEY, MN 55432 -._.....__ .�._._ (MAX.12"O.C.) EMERGENCY PHONE NUMBER: IF YOU CANT USE 911 THEN: 763-780-681 NON--EMERGENCY PHONE Nt1MHF.R: 7fi3�-_421-2222 _ ORT-I ROOF PAN 5 TERMINATION AT DORMERS POLICE DEPARTMENT ""'ENCYPHONE#: 911 __, ,__,_„_ IF YOU CANT USE 411 THEN: 763- -- b Bc E INFORMATION: NO SCALE' � �^ NUN-EMERGENCY j 763-572-3613�� FIRE DEPARTMENT EMERGLNCY PHONE N: 911 IF YOU CANT USE 911 THEN: 763 INFORMATION: - -------- . 572-3629.................— N(1N-EMERGENCY : 763- Prepaid Plan Check $ Estimated Cost $ Receipt #`S V Construction Address 5 75-6 Legal CITY OF FRIDLEY R-3, COMMERCIAL &INDUSTRIAL BUILDING PERMIT APPLICATION �s7— __�)-4-c- R 0 A /� Effective 1/1/2001 (763)572-3604 Zoning Owner & Address t- /L/STE� �TAFP_ Pe -1 5--r- / SAS e Tel# (7G3 ) S7i - 3 3v0 CONTRACTOR & ADDRESS�� EtAA�{Vf�N6. Tel# ( 7&3) G G Z —wiz 3 3 ..,,r 210 CeMennlal Drive Architect Reg.# Engineer Reg.# BUILDING CONSTRUCTION TYPE OF WORK [] New [] Addition Alteration -Describe r2 F Fy �� OFC. AREA: Length Width Height Sq. Ft. WHSE AREA: Length Width Height Sq. Ft. OTHER AREA: Length Width Height Sq. Ft. APPLICANT�3i LETEi2 Tel # �G�Z y2-33 Date_S_ VALUATION Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) UO Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) _ $ J-2) 75-0 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 FEES Permit Fee $� �5 See Fee Schedule on Reverse Side Plan Check $ In Excess of Prepaid Amount - See Reverse Side Fire Surcharge $ • J 001 x Permit Valuation (1/10th o) State Surcharge $ �•�S $.50/$1,000 Valuation (See Sched. for > $1 Million) SAC Charge $ $1150 per SAC Unit (Plans to MWCC for determination) Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined By Engineering Spec. Assessments $ Agreement Necessary [] Not Necessary [] Driveway Escrow $ feet x $15.50/foot TOTAL- S ATTACH STIPULATIONS JOB NUMBER: RR#1 094 MAP; I 2D-340 PERMI T: YES JOB TYPE ?: COMPLETE TEAR OFF ROOFING SYSTEM ?: CARLISLE GENERAL CONTRACTOR NAME: FILISTER ENTERPRISES OR FIRM TO BE BILLED ADDRESS: 5750 EAST RIVER ROAD CONTACT PERSON FRIDLEY, MN 55432 MORRIE FILISTER PHONE #: 763-571-3300 FAX #: ARCHITECT: NAME: N/A OR ROOFING CONSULTANT: ADDRESS: CONTACT PERSON PHONE #: FAX #: OWNER: NAME: FILISTER ENTERPRISES ADDRESS: 5750 EAST RIVER ROAD CONTACT PERSON FRIDLEY, MN 55432 MORRIE FILISTER PHONE #: 763-571-3300 FAX #: PROJECT (JOB): PROJECT MANAGER / SUPERINTENDENT: PHONE #: MORRIE FILISTER COUNTY: ROOFING WARRANT : YE / NO CONTRACT PRICE: $12,750.00 NAME: GEORGETOWN RECREATION BUILDING ADDRESS: 5750 EAST RIVER ROAD FRIDLEY, MN 55432 763-571-3300 FAX #: AN OKA WARRANTY & ROOFING SYSTEM INFORMATION MANUFACTURER: CARLISLE JOB AREA: 1,300 SQUARE FEET HOW LONG ? CONTRACT DATE: 05/07/01 nam 7mi a r. 15 YR INSPECTION REPORT CITY OF FRIDLEY MINNESOTA 158536 10 INSPECTION REPORT DATE REPORT If no corrections are listed above, approval is hereby given to proceeds. You will be in violation of the ordinance if you do not call for the proper inspections and make corrections as called for. 159538 f� INSPECTION REPORT CITY OF FRIDLEY MINNESOTA (763) 572-3604 TIME INSPECTION REPORT DATE REPORT e -:> " 10M.-WOMOII --- If no corrections are listed above, approval is hereby given to proceeds. You will be in violation of the ordinance if you do not call for the proper inspections and make corrections as called for. CITY OF FRIDLEY PERMIT NO.: 2005-00261 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 03/01/2005 572-3604 VAX: (763) 571-1287 ADDRESS 5750 E RIVER RD NE PIN 223024130006 LEGAL DESC UNPLATTED / V LOT 0 BLOCK 0 O PERMIT TYPE HEATING PROPERTY TYPE COMMERCIAL CONSTRUCTION TYPE ALTERATION VALUATION $ 11,500.00 NOTE: GEORGETOWN APARTMENTS- POOL EXHAUST 1) PROVIDE CALCULATIONS FOR VENTILATION RATE PER ASHRAE62 ADDENDUM (N) PER 1346.0403 2) PROVIDE SKETCH OF UNITS ON ROOF IE. ROOF ACCESS, NEAR ROOF EDGE, PROXIMITY TO OTHER AIR HANDLING UNITS REPLACE EXISTING MAKE UP AIR W/ I IRID 250 G 10 AND (2) NCR 15 RA EXHAUST FANS IN POOL ROOM APPLICANT VOGT HEATING AC & PLBG LLC 3260 GORHAM AVE ST LOUIS PARK, MN 55426- (952) 929-6767 OWNER MAURICE FILISTER 5750 EAST RIVER RD NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg In,atee�-�� HEATING PERMIT FEE, COMM 143.75 STATE SURCHARGE, VALUE 5.75 TOTAL 149.50 PAID WITH CHECK # 36044 i ricr� w river. 3nrAMIA 1 n rGlClvll 1 0 r'nyL111XE' L! r Vl\ VV Vl\1\ V I L LL.1\ 1 1 Lrf1V LLJI.I\1LL✓ t iuv r u. ADDRESS PIN LEGAL DESC PERMIT TYPE PROPERTY TYPE CONSTRUCTION TYPE INSPECTION TYPE CITY OF FRIDLEY PERMIT NO.: 2005-00261 6431 UNIVERSITY AVENUE NE DATE ISSUED: 03/01/2005 FRIDLEY, MN 55432 (763) 572-3604 FAX: (763) 571-1287 5750 E RIVER RD NE PERMIT APPLICANT: 223024130006 VOGT HEATING AC & PLBG LLC UNPLATTED 3260 GORHAM AVE LOT 0 BLOCK 0 ST LOUIS PARK, MN 55426 - HEATING COMMERCIAL ALTERATION BUILDING INSPECTION RECORD 24 HOUR NOTICE REQUIRED FOR ALL INSPECTIONS. CALL FOR INSPECTIONS WEEKDAYS: 8 AM TO 5 PM DATE INSPECTOR INSPECTION TYPE DATE INSPECTOR INSPECTION COMMENTS: IN ACCORDANCE WITH CITY ORDINANCE, NEW OR SUBSTANTIALLY REMODELED BUILDINGS SHALL NOT BE OCCUPIED UNTIL ALL WORK HAS BEEN APPROVED, AND A CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED BY THE BUILDING DEPARTMENT. THIS CARD MUST BE POSTED AND VISIBLE AT ALL TIMES UNTIL WORK IS COMPLETE. *Air Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to City FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE ��4 Approved by Rough -in Date Final Date I iY OF FRIDLEY BUILDING INSPECTION Effective 4/1/2004 , 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION 763-572-3604 FAX 763-571-1287 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS RATE SCHEDULE Fee Total I Residential owner eU 6w-,1 (ur �- ADv Lz�nea Furnace Shell and Duct Work, Burner & �J also Replacement Furnace $35.00 $ Building Used As 0 m YY12�j C i Gas Piping (New Furnace, Fireplace, Insert) $10.00 $ ESTIMATED COST l� PERMIT NO Gas Range $10.00 $ DESCRIPTION OF FURNACE AND BURNER Gas Dryer $10.00 $ # of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. *Air Conditioning -All Sizes $25.00 $ BTU HP EDR Fuel Total Connected Load All Other Repairs or Alterations (List on Back) 1% of Value of Appliance or Work $ Burner Trade Name Size No. Minimum Fee $15.00 for Residential or 5% of cost of BTU HP EDR Improvement whichever is greater The undersigned hereby makes application for a permit for the work herein Commercial/Industrial/Institutional specified agreeing to do all work in strict accordance with the City Codes 1.25% of Value of Appliance or Work (List on Back) $ `'� and rulings of the Building Division, and hereby declares that all the facts Minimum Fee $35.00 for Commercial/Industrial/Institutional and representations stated in this application are true and correct. ` vCk (� l ( LL L State Surcharge $ HEATING CO L� (--own, �� ;a5�ta�o TOTAL FEE $ 1 Signed Cl- (, W IQy Tel # a of 7(p� t-7 1 Z7� � �" REINSPECTION FEE $50.00/HOUR FAX # 70� Date *Air Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to City FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE ��4 Approved by Rough -in Date Final Date FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furnace, 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 -LAMA 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 installing 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 I 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 _ Appliance #2 Type _ Appliance #3 Type _ Total Appliances Common Vent Type _ BTU Input _ BTU Input _ BTU Input Total Btu Input Fan Assisted or Nat Fan Assisted or Nat Fan Assisted or Nat Vent Height Diameter indhes Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type W I1 �I� aso�io crnrj(q)dr� nr� HEATING CO: Signed By: Date : 03/31/2005 10:30 FAX 08 OFFICES & WAREHOUSE: 2857 LOUISIANAAVENUE NORTH NEW HOPE, MINNESOTA 55427 Telephone (763) 544-8626 FAX (763) 544-8631 WALTERS CLIMATE INC. U001/003 Page of including this page, WALTERS o CLIMATE, INC. TO: CITY OF FRIDLEY KEVIAI RUIRR M -u•4- UNtT CFM DATE 'S/ 3 1 1 d 5 - FROM: FROM: PERRY F-IMA-SEZ-1E- vERIFic,4TaAi t<EVit/- oN 3/?-g1oS --r-MET 1N�Tk -SoHN 5uPe2 of V -tT t-�T6 . T� M E�4 S u2E THE CFh'� {7Qo -546 IV EW PW PP U N Cr THE: Pz VA p ILMT lT H ll4-S r3 4 g NAL _?Ro Fa C E BzCs Su2E r-bfZ77S 'S/_4 H t C q c oki R-1 E M N'kJ e cTey 7'� A- M A4C-ZNEhl ELAL , 1 r- F TH E7l . FLOTiEi OPJ ►4 CFrn cNA4-T pg, %jtpm my Ru Pp C m"+ G -- Z 2l S CFt-;-7 Is- S r�F-5.�q E 5"2kF-D PEgF-On-h oeW - = Z-200 - SEE FojCe'o5FD CN�+2? WIE A t.SQ VF-/Z/F-/&-D Po o L Rao iln . -T-�. f3 -E- 6 Pee- y¢Ti,y<Z_ PUT O ' To St i6H7G y /V � 7-I VC- p1LC-SSuR� ECoh�i-,E Poo e- P L c Tio 03/31/2005 10:30 FAX 08 WALTERS CLIMATE INC. Size 1-3 Neater CFM vs. Burner Profile Pressure R002/003 0.15 0.2 0.25 0.3 0.35 0.4 0.45 0.5 0.55 Burner Differential Profile Pressure (in. w.c.) 0.6 0.65 RuPP MODEL RID. -250 -C-110 S/!J 32593 8 (size I NE14-i'Q2� ME1'� SLtReZ 11L&i2NE�12 DImEYZZNT1A4j- PROFILE PRESS. = .39 ", V4- c. ME14SE4REZ ray = PERRY F,-1PRseZje- 1N r4LTE12g - t Un?ATe� pN C Pt -APP REPR£sc�rr►+va� 03,/3x•1/2005 10:31 FAX 08 Fan Submittal 4 Order # 325938 PO# 20045 WC# 8059PF WALTERS CLIMATE INC. BDCRISRA 103.01 lbs Centrifugal downblast belt drive exhaust fan with a 15.75" wheel. Motor Model S48D60C82C • 0.25 HP • 1 Phs • 115/208-230 V 4.6/2.3-2.3 FLA • 60 Hz • ODP (Open Drip Proof) Pulley information Part Type Cwt Browning # Turns Out Belt 1 A20 Blower Pulley 1 AK94 x 3/4 Motor Pulley 1 1 VL40 x 5/8 1.0 Performance Volume: 1110 cfm RPM: 632 TS: 2606 ft/min SP: 0.25" w.g. BHP: 0.09 0.500 0.450 0.400 0.350 0.300 in w.g. 0.250 0.200 0.150 0.100 0.050 0.000 Sound Data Fan # 1 Quantity: 2 R003/003 Page 1 of 1 Page 2 of 2 E)Q-(. FAM ?EP,FORLYPIAN cry C x 2 F" S Mn,LiGxxLY- J uu ?0 0.1 -------------- ; ------ r ------- ;------- --- 0.090 Pd -P;------- ;--------r------- 0.1 , 75% ------- -----Powerw/Drive tosses------ --- 0.1 - -' - - 0.0769W , ----------------------- -L ----- - I -----'--------------- ------'-------- ------ 0.1 Power RPM , 01 %E , 60% HP -------;------- ---(7,110 cfm, 0!250 in w q)-- --�-- ------------------------------ 0.1 , , 0.0 i------- -------- r-------r-------i-------- ---------- ------------ ------ -------r------ i--- -------------- x---25 % 0.0 -- ---- ---- ----------- --------- -- 0 0.0 0% 00 0 200 400 600 800 1,000 1,200 1,400 1,600 1,600 cfm Oct 1 Oct 2 Oct 3 Oct 4 Oct 5 Oct 6 Oct 7 Oct B Sones LwA dBA 41.4 63.1 55.8 54.1 50 44.4 6.6 0 2.9 55.9 44.4 2,000 https://www.ruppams.com/Catalog/FanSubmittal. asp?nJobfansid=200072&nFanunitid=1237&nManflablid= 17... 3/29/05 CIlYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 COVER SHEET TO: FROM: Inspection Division, City of Fridley, 763-572-3604 Ron Julkowski, Building Official Dave Jensen, Building Inspector Mary Hintz, Permit Technician DATE: Page 1 of CONTRACT INSPECTORS: Bob Clauson, Electrical Inspector Kevin Hanson, Mechanical Inspector-<::Z-- Terry nspector-<::Z--Terry Overacker, Plumbing Inspector Em REMARKS:�i�O�/l��' NOTE: Please call if all pages have not been properly received. ' � Out P a 7QJ� /1/� a tvf P��t / r PLPD 3 , . FJNI.�, BQX fi;975 'PAr7L, MN'55164. Q 7.5 -A S VED7TFT �,AGE� ST .,ell sry Plumbed,�ce�se r ' `,5 _ '`� "p'} & SE nT(7+ 1005 s FM' a, SF"TESTE y� ,`aka, U.Q ♦ .' '�• .. s.t+.�'s.R'">+.,r ib.' Idles- SO A�el�r � TOi �R .. lam l'jiy' q MN ` `5a e 16 91 [��y1 y `�gt• ?$ "$ A � '�4 •k %!' T! `d` ' `i �•vcl r��*7 �� E� �1•V =D14TE _." k :EXPLftA, _;y MINNESOTA DEPARTMENT OF HEALTH - BONDING AND INSURANCE CERTIFICA This is to certify that Barry G. Wood, Master Plumber License No. PM005099, representing Vogt Mechanical, Inc. DBA Vogt Heating, Air Conditioning, Plumbing LLC, has filed a $25,000 bond with the Commissioner of Health on February 16, 2005 and provided evidence of Public Liability Insurance, including Products Liability Insurance of at least $50,000 per person and $100,000 per occurrence and Property Damage Insurance of at least $10,000 for the year 2005 in accordance with the provisions of Minnesota Statutes, Section 326.40. BOND NO. 14659421 Western Surety Company Sioux Falls, South Dakota MR BARRY G WOOD VOGT MECHANICAL, INC. DBA VOGT HEATING, AIR CONDITIONING, PLUMBING LLC 3260 GORHAM AVENUE ST. LOUIS PARK MN 55426 POLICY NO. CP 3097721 Secura Insurance Company Timothy Tucker, Minnesota Agent Rochester, Minnesota Patricia A. Bloomgren, Director Division of Environmental Health Dianne Mandernach, Commissioner li 02/25/2005 11:08 FAX 08 WALTERS CLIMATE INC. (71001 OFFICES & WAREHOUSE: 2857 LOUISIANAAVENUE NORTH NEW HOPE, MINNESOTA 55427 Telephone (763) 544-8626 FAX (763) 544-8631 Page of including this page, WALTERS ❑ CLIMATE, INC. TO: C11 -Y OF F%Z.IDley RE: DATE 2 12-5-L05- FROM: nER RY 5o "4- x 32' Z = 768 S K'Kfte S c ANDAPD C2 / IV EAMA WO x 3 2' 16. 6 ' REPCAs% h PQ Pv _ F" A v IGS 02/25/2005 11:08 FAX 08 WALTERS CLIMATE IN( �I TABLE 6.1 (Continueco Minimum Ventilation Rates In Breathing Zone (This table is not valid in isolation; it must be used in conjunction with the accompanying notes.) Addendum n to ANSI/ASHRAE STANDARD 62-2001 Default Values People Outdoor Air Rate Area Outdoor Air Rate Occupant Deo- Combined Outdoor Alr Rate (see RP Re sity (see Note 4) Note 5) crm/person Us -person efruat" Lls•m= Category pil000 ft, crmlpersao Us-personOetupaney Notes (41100.1) Shippiog/receiviog - - 0.12 0.6 B - Transportation waiting 7.5 3,8 0.06 0.3 100 8 4.1 Warehouses - - 0.06 0.3 B _ Public Assembly Spaces Auditorium seating area 5.0 2.5 0.06 0.3 150 5 2.7 Places of religious worship 5.0 2.5 0.06 0.3 120 6 2.8 Courtrooms 5.0 2.5 0.06 0.3 70 62.9 Legislative chambers 5.0 2.5 0.06 0.3 50 6 3,1 Libraries5.0 2.5 0.12 0.6 10 17 8.5 Lobbies 5.0 2.5 0.06 0.3 150 5 2.7 Museums (children's) 7.5 3.8 0.12 0.6 40 11 5.3 Museums/galleries 7.5 3.8 0.06 0.3 40 9 4,6 Retail Sales (except as below) 7.5 3.8 0.12 0.6 15 16 7.8 Mali common areas 7.5 3.8 0.06 0.3 40 9 4.6 Barber shop 7.5 3.8 0.06 0.3 25 l0 5.0 Beauty and nail salons 20 10 0.12 0.6 25 25 12.4 Pet shops (animal areas) 7.5 3.8 0.18 0.9 10 26 12.8 Supermarket 7.5 3.8 0.06 0.3 8 15 7.6 Coin-opemled laundries 7.5 3.8 0.06 03 20 11 5.3 Sports and Entertainment Sports arena (play area) - - 0,30 1.5 - Gyrn, stadium (play area) - - 0.30 1.5 30 Spectator areas 7.5 0.3 15p 8 4.0 ,Swimming (pool and deck) - 2.4 CDisco/dancefloors !!h 20 0.3 100 21 103 health tluldaerobics room 20 0.3 40 22 10.8 Health club weight rooms 20 10 0.06 0.3 10 26 13.0 Bowling alley (seating) 10 5.0 0.12 0.6 40 13 6.5 Gambling casinos 7.5 3.8 0.18 0.9 120 Game arcades 7.5 3.8 0.18 9 4.6 0.9 20 17 8.3 Stages, studios10 5,0 0.06 1 03 D 70 11 5.4 GENERAL NOTES FOR TABLE 6.1 1 Related Rcquiremeots: The rates in this table are based on all other applicable requirements of this standard being met 2 Smoking: This table applies to no -smoking areas. Rates for smoking -permitted spaces must be determined using other methods. 3 Air Density: Volumetric airflow rates are based on an air density of 1.2 kgds/m3 (0.075 Ibda/ft ), which corresponds to dry air at a barometric pressure of 1013 kPa an air temperature 21 °C °1). (I atm) of (70 Rales may be adjusted for actual density, but such adjustment is not required for compliance with this standard. and 4 Default Occupant Density: The default occupant density shall be used when actual occupant density is not (mown. 5 Default Combined Outdoor Air Rate (per person)_ itis rate is based un the default occupant Density. 6 Unlisted Occupancies: If the occupancy category for a proposed space or zone is not listed, the requirements for the listed occupant density, activities, and building construction shall be used. occupancy category that is most similar in terms of 7 Residential facilities, Health care facilities, and Vehicles: Rates shall be determined in accordance with Appendix E. ITEM -SPECIFIC NOTES FOR TABLE 6.1 A For high school and college libraries, use values shown for Pubfic4aees-Libraries. B Rate may not be sufficient when stored materials include those having potentially harmful emissions. C Rate does not allow for humidity control. Additional ventilation or dehumidification may be required to remove moisture. D Bate does not include special exhaust for stage effects, e.g., dry ice vaporssmoke. Addendum n to ANSI/ASHRAE STANDARD 62-2001 JUL-072005 15:45 CITY OF FR I DLEY o9 X,5 „ d / / P.01/04 6431 University Ave NE R-3/COMMERC[AL/INDUSIRIAL/PUBLIC/INSTiTIlTIONAL Fridley, MN 55432 BUILDING PERMIT APPLICATION 0� (763) 572-3604 FAX (763) 571-1287 S CONSTRUCTION ADDRESS S7�y Zoning ^�J Legal Owner & Address ,r i 11 S i'e/-��2 I�� rS 5 !=05;-s Tel# { 7 �7 (� 3 3 v 0 -60 Z-�z3 CONTRACTOR & ADDRESS l� ( Sr�E-r+? �vF1c� ei# -zl 0 T P 1414L b/ 3c)Fi4 0 / 3 Architect Reg.# Engineer Reg.# / BUILDING CONSTRUCTION /� TYPE OF WORK [] New [] Addition Alteration -Describe_ wy� of 4a-0 ,1-4gps -Tr--) Code - OFC. AREA; Length Width WHSE AREA: Length Width Height Sq. Ft. Height Sq. Ft. OTHER AREA: Length Width Height Sq. Ft. APPLICANT EL W el #�%63 4?- 3 72 bate % /L O 5— VALUATION Sq. Ft. x $ Cost/Sq. Ft. = Valuation Sq. R. x $ Cost/Sq. Ft. = Valuation Sq. Ft. x $ Cost/Sq, Ft. = Valuation $ __-) TOTAL VALUE Building Use ' Construction Type - Occupancy Group Air Conditioning []Yes PJ06 Fire Protection Provided []Yes [M Performance Bond Amount $ _ See Reverse for.Schedule Received []Yes []No PERMIT FEES Permit Fee $ 35� �s See Fee Schedule on Reverse Side Plan Check $ �� 65% of Building Permit Fee Fire Surcharge $ 0� - Sd .001 x Permit Valuation (1/10th %) Stabs Surcharge $ $.50/$1,000 Valuation (See Sched. for > $1 Million) SAC Charge $ $1450 per SAC Unit (Plans to MWCC for determination) Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined By Engineering Spec. Assessments $.. -- Agreement Necessary [] Not Necessary Curb Cut Escrow $ feet x /foot TOTAL $ 3zzl ab ATTACK STIPULATIONS a� 0" NEW VftEFINISHED FASCIA W/CONT.KEEPER '-EXISTING CANT R.U.S.S.FASTENER PRESSURE SENSRIVE R.U.S.S. i AS Mtn EPDM r - - 1/2" OODFIBER ELEV. 10' f^IIII -PAVERS 0 TOP EDGE OF SEEP DOWN "'�_ WOOD DECK EI..EV 10'6 ROOF SAFETY PLAN 'EAVERs®TOP (`)PERIMETER DETAIL EDGE of s1EP Dowty - YELLOW- ---SAFEIY FLAGS & STANDS 1 /APPROX.345' No O—P BLUE GUARD RAILS a \J PINK - --LADDER GREEN-------DUMPSTER BLACK- -- - TANKER -- -- RED --- FIRE EXTINGUISHER EISV. 11' PAVERS®TEP EDGE OF SPEP DUWN NOTES -REMOVE THIS EXISTING BUR DOWN TE THE EXISTING WOOD DECK RE ICE ANY ROTTED DECKING -OLA VER ALL,INSTALL 1 LAYER OF 1/2"WOODPIBER -OVER WOODFIBER,INSTALL A NEW CARLISLE 45 MIL BALLASTED ROOF SYSTEI -FABRICATE AND INSTALL NEW PREFINISHED SCUPPERS AT ALL EXISTING LOCA ELEV. 1 1'6" -FABRICATE AND INSTALL NEW PREF'INSHED PERIMETER METAL CARLISLE 10 YEAR WARRANTY -- -PREFINISHED SCUPPER 1/2"PLYWOOD AT SCUPPER ELL CE21 O0! T 3 PRESSURE SE SIi'IVE:T'LASIfING �L fJ(l�i),JePn 1 45 MR.EPDM i/T"WOODFIBF.R w�o0oo0 WOOD DECK ROOF PLAN NO SCALE JOB GEORGETOWN GARAGES #0-162 0e. OR 5750 EAST RIVER ROAD �1 sca PROJECT FRIDL.EY, MN 55432 DAT rf"\SCUPPER DETAIL RGOFwc S NTRAGTOR: M_-W 7-llrrNL9 WOrM,1W, sQ.l 1 s OR 6 EACH No SCALE 910 CCNTCNNW DKA✓C,G1firALa MNs4<_ GENERAL CONTRACTOR: FILISI'ER ENTERPRISES TR-A MORRIS 763-571-3300 TYPE OF WORK/ROOF: DRA SEE NOTES 1 JOBSI_TE EMERGENCY INFORMAT UNITY HOSPITAL NEAREST HOSPITAL: 550 OSBDRNE ROAD FRIDLEY, MN 55432 911 EMERGENCY PHONE NUMBER: IF YOU CANT USE 911 THEN: 763-421-2222 NON EMERGENCY PHONE NUMBER: 763-780-6845 POLICE DEPARTMENT EMERGENCY PHONE": 911 INFORMATION: IF YOU cUSE 9n THEN: 7 NON-EMERGENCY J83-557272-3629 FIRE DEPARTMENT EMERGENCY PHONE$: 911 INFORMATION: IF YOU CANT USE 911 THEN: NON-[MERGENCV 763-572-3613 From: City of Fridley To: 763-682-5620 Page: 4/5 Date: 9/15/2006 11:19:22 AM Building BUILDING Permit No.: Inspections, COMMERCIAL/INDUSTRIAL Received By: 763-572-3604 CITY OF FRIDLEY Date Recd: DATE �` l �— O YOUR E-MAIL ADDRESS I Q.V 1,C6 �rl�T�c-2�o j SITE ADDRESS =V �/jI5Q- cl d y TENANT_ 6 11evy cu,U r, _Suite No._ PROPERTY OWNER NAME:_ S TEe '1 ADDRESS:_��O FAST Pic/et. CITY�p/t� STATF I ZIP �73Z— $1550 per SAC Unit (Plans to MWCC for determination) PHONE: (0 S7 3 3 d d ARCHITECT NAME:_ � Park Fee ADDRESS: CITY STATE ZIP CONTRACTOR NAME: Alt L�µ0�rT�G $ ADDRESS: Z/d %ENS/�L C,� CITYWUFr;1,1L11 STATF���-3/3 Curb Cut Escrow PHONE:_ �� 3 G� Z �Z 7i FAX_ �G _ft + 6 ft = _ _ft x $21 = $ *NOTE: CITY LICENSE REQUIRED FOR MULTI FAMILY/COMMERCIAL/INDUSTRIAL JOBS PROPERTY TYPE ❑ TOWNHOUSE ❑ COMMERCIAL/INDUSTRIAL ❑ INSTITUTIONAL ULTI-FAMILY PERMIT TYPE ❑ ADDITION ❑ NEW CONSTRUCTION ❑ OTHER ❑ REMODEL EFI�00F ❑ 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: _sF WHS _sF OTHER SF _OA'XOFFICE TOTAL SIZE: STORIES FIRE PROTECTION (Y/N) AC(Y/N) DETAILED DESCRIPTION OF WORK -2vd�2T l�y14-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 ofe City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a perm' d work is not to start without a permit; that thi work will be in acTordance with the approved plan in the case of all work which re vie approval of plans. _ SIGNATURE OF APPLICANT PRINT NAME/EG�3C �J D E / ALL FEES 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: $470W USE OCCUPANCY _ TYPE Permit Fee $ See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ o --O .001 times the total job valuation Surcharge $ 10- q3 .0005 x Permit Valuation Minimum $.50 SAC Charge $ $1550 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 Due $ Make checks oavable to: Citv of Fridlev Attach Stipulations NCW PRL IN SI i:D£::(:IA/COIV'1'.AI L9ER / NF k.0 S I �F IVER ' Il L.iEN51TM 2.0.5.5. ice/ � �a51 FI DRQ i -1/z w<oorlu[R V` w ooa, 00 'ri^7�7 mwq a 1rrer,A IVI;)WOIiK 1'1'18 PL RIMEr I)E Ali_ nFwxox sGo No srn1,N f..f.. `;AfTTY PI_A. _..._...._. ..._ YF I lOW SAI F IY R-FICS a STAND` -- F1m Nlc racD ScuPPCR RLUL GU/RD FABS FINK IADDER � F GREEN - DUIMPSFER G-) - T/a P1vwoDr Al ouvvr: FELACK NI'E12 1. 1 I{E{) FfL( IXTIN(UISHER PRISSMIE_ILN1IhVI A6"11NG o IIFV. IO'C," ... 111FAILIIDrf 1/2 WOODFIDI::i G}5-.YSr`,* >YPF7 r T IN Cl C C.. P R D —WOOD DECK EFIN0Vr T'1:'r. TN(`'H R DOWIN ILID FHISRNG WOOD Dr CK f�DL� /I EOWIV _ RCI I.A C ANY ROTTED DECKING 11 NEW L I LAYERCANT O 1fI1NFIFR OVAIF 51 ll 1 IAYEI1 OR I/2 \NOf pF1011 _AV (Ih WOODFIKA INSFALF A NEW CAN SLG AS MILE DAIASTCD I NYSRF.I f AH4i O`w f::AND IINSFAI..L NCW PR{FINIS ILD SCUFDCRS Al'ALL EXISTING LOCA ELEV- 1O' eR E AW NSA-_NEW R1 rnlw aI_ aDRINITER NERAL �•cmrsusLE 10 r,au war¢w,Nrr CU f'1 k 1)F[All_. 1, (T9 F / C NOR Irl -- JOB r d N�FT1 AI 5FFiUIFYEIINRR,GARAGES A( fO c U "r cr�rl lrzFlc mr f� ,.�,tftC7 P78'PM�'HVCJt°MG,lhlG, n. f[ '2E SENFJTIEFF RUSS 2v tel'"rFka7.MN 'J9P1r sUe ``—+ `—^rn-----�•+^ GL.N"..I�'N CGNiI�F CI'G1R Rl f R W EMEI21 R1 _ DfiF FPDN MLMf R/NE — � -- � ..... � d01 R L /1=IDO 'tDt TYPO OF WORKER C DRa "- IG NORE' IFF n1AK WOOD ULL — JOH`>1TE CMEKGENCY INFOf MAI -- UMf Y HOSPITAL f,I ARf`EI -10")PITAL: 5')o oSRORNl: ROAD F'RIDLI-Y, MN 554,32 I rr ( 1 I�F CAH F EOrtf ItGEIVCY PHONE NUMBER 1YOU CANF IDSL 911 THEN 763-421 2122 1or M /6N- AFRGENGYw IIA 1815A N ', E POLI .... .. C E [)LPAH IIVEN I E101GENCY PHONE R. 911 II OW CANT USY 911 f!CN — INFORMATION: NON-FWelzraDNCY rvG E�z-a.. ................................ _.._._.____..._._..._..__._..:..—_..._�_.._.._ 9..._..._-_... FIRE DEFARTMf N I uNeuGDNCY PHONE p: ,911 INFORMATION: IF YOU CAN1 USE NI1 THEN'. NON-1.1LI G�f,Y I JOB NUMBER: RR#1544 MAP.- PERMIT.- AP:PERMIT: YES JOB TYPE ?: COMPLETE TEAR OFF ROOFING SYSTEM ?: CARLISLE GENERAL CONTRACTOR NAME: FILISTER ENTERPRISES OR FIRM TO BE BILLED ADDRESS: 5750 EAST RIVER ROAD CONTACT PERSON FRIDLEY, MN 55432 MORRIE FILISTER PHONE #: 763-571-3300 FAX #: 763-571-4209 ARCHITECT: NAME: N/A OR ROOFING CONSULTANT: ADDRESS: CONTACT PERSON PHONE #: FAX #: OWNER: NAME: FILISTER ENTERPRISES ADDRESS: 5750 EAST RIVER ROAD CONTACT PERSON FRIDLEY, MN 55432 MORRIE FILISTER PHONE #: 763-571-3300 FAX #: 763-571-4209 PROJECT (JOB): NAME: GEORTOWN GARAGES #43-60 ADDRESS: 5750 EAST RIVER ROAD PROJECT MANAGER / FRIDLEY, MN 55432 SUPERINTENDENT: PHONE#: 763-571-3300 FAX#: MORRIE COUNTY: ANOKA ROOFING WARRANT YE / NO CONTRACT PRICE: $20,970.00 AREA: 4,224 SQUARE FEET TRACT DATE: 09/14/06 WARRANTY & ROOFING SYSTEM INFORMATION MANUFACTURER: CARLISLE HOW LONG ? 10 YEAR Fridley Building Inspection 6431 University Ave NE Fridley, MN 55432 (763)572-3604/FAX (763)502-4977 Address of: Pool: 5750 East River Road Owner: Harvey Filister RECD APR 10 2007 PUBLIC SWIMMING POOL LICENSE APPLICATION 2007-2008 Address: 5750 East River Road, Fridley, Mn 55432 Telephone No. 763-571-3300 Indoor Pool(s) one NUMBER OF POOLS Outdoor Pool(s) Two Wading Pool(s) Person responsible for pool maintenance: ATTACH COPY OF POOL OPERATOR'S CERTIFICATION DEAN E. PAULSON 5840 East River Road, Fridley, Mr, 55432 Tel: 763-259-0381 (Include name, address, and telephone number) I hereby make application to the City of Fridley to operate the above listed swimming pool(s) for The period May 1, 2007 through April 30, 2008 subject to all conditions and provisions of said ordinance. I enclose the sum of $ 5C/payable to the City of Fridley as required by the ordinances of said City and have complied with all the requirements of said ordinances necessary for obtaining this license. Signature Z - ,2�0O % Date BASE FEES: Indoor Pool - $350.00 Outdoor Pool - $250.00 25% of base fee per additional pool type on the same premises Approved By: �G ; ` License #2 ', �%~% Receipt # Date: 1� PauZj o as an Operator of Aquatic Facilities CPO® Registration No. 55-126381 As hereby Certified and Registered by the NATIONAL SWIMMING POOL FOUNDATION on Joa n.TC&Na�vra 1/ INS UCTOR 5/16/02 DATE CERTIFIED g"'L'14 C; O O ® O 0 .spq o4�� :u ME walie m Building PLUMBING Permit No.: -/)/57/ Inspections COMMERCIAL APPLICATION Received By: 763-572-3604 Re G2007 CITY OF FRIDLEY -7 DATEJv -o YOUR E-MAIL ADDRESS SITE ADDRESS CJ F, Q_I ✓Q - TENANT � I SteriL SUITE NO. PROPERTY NAME: OWNER/ TENANT ADDRESS: Y D CITY 4a dlea STATE_M§IP � ,^ PHONE: (X 3 -5-7 1 -S -J // CONTRACTOR NAME: SUBMIT A COPY OF _ STATE LICENS # iY) EXP DATE 12— "J�"D % YOUR STATE ,, /� ADDRESS /V � CITY A4e f STATE WZIPSC z; �2_ LICENSE WITH "" PHONE &12, -1522— -34q9 FAX U/2- • j 22 LQ 2— APPLICATION APPLICATION PERMIT TYPE ❑ INSTITUTIONAL LTI-FAMILY ❑ SWIMMING POOL ❑ TOWNHOUSE ❑ OTHER VNIMERCIALANDUSTRIAL TYPE OF WORK: ❑ NEW REPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK �C�� 2 - FIXTURES: (INDICATE TOTAL NUMBER OF EACH) _ CLOTHES WASHER _ FLOOR DRAINS XRPZ VALVE _ URINAL DISHWASHER GAS PIPING BACKFLOW PREY. 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 Total Job $ 2Z,'i All fees are based on valuation, including the cost of labor and materials. Valuation Permit Fee $ (1.25% of Job Valuation / Minimum fee: $35) Surcharge $ Valuation X.0005 Total Due $ 15-1540 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. a '-2 /-/NAME / ' U OF APPLICANT / . DATE D U SIGNATURE OF APPLICANT PLEASE NOTSEP TE PERMITS ARE REQUIRED FOR BUILDING, ELECTRICAL AND MECHANICAL WORK City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building PLUMBING Permit No.: 5 �- Inspections COMMERCIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY�� DATE- 2/7- 0-? YOUR E-MAIL ADDRESS SITE ADDRESS C5(Q U0 CD (Z I v e TENANT ;:; I I Ste— SUITE NO. PROPERTY NAME: f'_U►� OWNER/ ADDRESS: 5_ ISO IE� (2-D CITY ✓ -J STATE_LLIP_3 a 3Z TENANT PHONE: Ir� 1V7J -E5^I 1 -S -_-Z' /I CONTRACTOR NAME: c bLw IL iY1P C'�A STATE LI�� 2 pf�l EXP DATE 1.2- '3 ( -y -7 SUBMIT A COPY OF YOUR STATE ADDRESS:"" �� %� Z� = S'� CITY 4d p f STATE%1�[YZIP�� Z LICENSE WITH PHONE 612- -15 ZZ 34 cl C FAX I Z S ZZ - g 2 APPLICATION -''J _- PERMIT TYPE ❑ INSTITUTIONAL ❑ MULTI-FAMILY ❑ SWIMMING POOL ❑ TOWNHOUSE )RCOMMERCIAL/INDUSTRIAL ❑ OTHER TYPE OF WORK: ❑ NEW fif REPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK P=e CQ. Z- FIXTURES: (INDICATE TOTAL NUMBER OF EACH) CLOTHES WASHER FLOOR DRAINS _kRPZ 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 Total Job $ All fees are based on valuation, including the cost of labor and materials. Valuation Permit Fee $ (1.25% of Job Valuation / Minimum fee: $35) Surcharge $ Valuation X.0005 Total Due $ /5 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 all work which requires review and approval of plans. approved plan in the casIt, v ,/u_k� NAMEOF APPLICANT lik • DATE SIGNATURE OF APPLICANT PLEASE NOTE: SFPAR ATP. PERMITS ARE REQUIRED FOR BUILDING, ELECTRICAL AND MECHANICAL WORK City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building PLUMBING Permit No.:�(,L�-( Inspections COMMERCIAL APPLICATION Received By: _"." 763-572-3604CITY OF FRIDLEY Mnt, , �' o DATE YOUR EE ADDRESS --MAIL SITE ADDRESS TENANT SUITE NO. PROPERTY NAME: OWNER/ ADDRESS: CITY STATE ZIP�,:�- TENANT PHONE: -71P3-5-71 r✓' 3II CONTRACTOR NAME: C / STATE LICENSE # li %�%7 EXP DATE -31-0 SUBMIT A COPY OF YOUR STATE y/ ��i n ADDRESS:3,3Q/ / V -- CITY "'P?l„s STATE�ZIP v502— LICENSE WITH / " PHONE LZ' �/ FAX (p/2'SZ2 X12 APPLICATION PERMIT TYPE ❑ INSTITUTIONAL ❑ MULTI -FAMILY ❑ SWIMMING POOL ❑ TOWNHOUSE 900MMERCIAL/INDUSTRIAL ❑ OTHER TYPE OF WORK: ❑ NEW REPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK Z FIXTURES: (INDICATE TOTAL NUMBER OF EACH) i CLOTHES WASHER FLOOR DRAINS )C_,RPZ VALVE _ URINAL " DISHWASHER _ GAS PIPING TT BACKFLOW PREY. _ 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 Total Job All fees are based on valuation, including the cost of labor and materials. Valuation Permit Fee $ (1.25% of Job Valuation / Minimum fee: $35) Surcharge $ Valuation X.0005 V 'S_ Total Due $ 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. J D 7 NAME OF APPLICANT 1 V DATE 0' /' SIGNATURE OF APPLICANT PLEASE NOTE: SEPARATE PERMITS ARE REQUIRED FOR BUILDING, ELECTRICAL AND MECHANICAL WORK City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building PLUMBING Permit Ivo.: o Inspections COMMERCIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date AU '' DATE Q ' �� E-MAIL ADDRESS nn {�Y`-OUR SITE ADDRESS c]�7 Zb {C�l �/e l� TENANT r -fl I Sf O_ 1 SUITE NO. PROPERTY NAME: OWNER/ TENANT ADDRESS: r_) V CITY '�-Ii1Cl L.2u STATE ISI ZIP 15 32_ PHONE:7�LOj5-7) -j3 11 CONTRACTOR / NAME:, 1OLU tiC'Lu')' -Cj f0XYY". STATE LICENSE # -3j E'Z r^\ EXP DATE 12--31-0 p SUBMIT A COPY OF YOUR STATE ADDRESS:a3O / IV Z -`Z =` 5 - CITY Aj eLf STATE�INZIP 55A ,( Z LICENSE WITH PHONE b/2 •S2-2- 34q'j- FAX LP l 2 SZZ, 44L9 Z APPLICATION PERMIT TYPE ❑ INSTITUTIONAL ❑ MULTI -FAMILY ❑ SWIMMING POOL ❑ TOWNHOUSE q OMMERCIAUINDUSTRIAL ❑ OTHER TYPE OF WORK: ❑ NEW UkEPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK P=Q PLO= P=P ��- FIXTURES: (INDICATE TOTAL NUMBER OF EACH) CLOTHES WASHER _ FLOOR DRAINS _,-:1iPZ VALVE _ URINAL DISHWASHER _ GAS PIPING BACKFLOW PREY. 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 Total Job $ 21 -CO — All fees are based on valuation, including the cost of labor and materials. Valuation Permit Fee $ (1.25% of Job Valuation / Minimum fee: $35) Surcharge $ Valuation X .0005 Total Due $ 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. �f -7 NAME OF APPLICANT at � %v A/ i_, S . DATE 4 7- / , y / SIGNATURE OF APPLICANT PLEASE NOTE: SEPARATE PERMITS ARE REQUIRED FOR BUILDING, ELECTRICAL AND MECHANICAL WORK City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 007 Building PLUMBING permit No.: s Inspections COMMERCIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Dat 'd- DATE �• �� ' 1 YOUR E-MAIL ADDRESS SITE ADDRESS ` -140 Ei IGS \/ eY 1J TENANT P I JS.b&t, SUITE NO. PROPERTY NAME: d1011 OWNER/ ADDRESS: C1 CJ,O L 1! )Y )°r aD CITY 6- 7p e� STATE,/I A/ZIP- Z TENANT PHONE: _'§37_-5-7/-G.3// CONTRACTOR NAME:A syr_ STATE LICENSE # 3 38 Zpl'Y% EXP DATE SUBMIT A COPY OF YOUR STATE ADDRESS: -�'3W /V Z!2 zz CITY / _f STATE_,WZIP45 Z LICENSE WITH PHONE &5 `S 2 2 ' 3edi FAX l!lZ X22 05GgL APPLICATION PERMIT TYPE ❑ INSTITUTIONAL ❑ ULTI-FAMILY ❑ SWIMMING POOL ❑ TOWNHOUSE OMMERCIAUINDUSTRIAL ❑ OTHER TYPE OF WORK: ❑ MEW TEPLACEMENT 11ALTERATION/REMODEL /"�7%�-- DETAILED DESCRIPTION OF WORK /Q FIXTURES: (INDICATE TOTAL NUMBER OF EACH) _ CLOTHES WASHER _ FLOOR DRAINS _PZ VALVE — URINAL DISHWASHER _ GAS PIPING BACKFLOW PREY. 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 Total Job $ All fees are based on valuation, including the cost of labor and materials. Valuation Permit Fee $ (1.25% of Job Valuation / Minimum fee: $35) Surcharge $ Valuation X .0005 Total Due $ • 5� 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 casae of all work which requires review and approval of plans. Q �] NAMEOF APPLICANT ✓ { DATE SIGNATURE OF APPLICANT PLEASE NOTE: SEPARATE PERMITS ARE REQUIRED FOR BUILDING, ELECTRICAL AND MECHANICAL WORK City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building PLUMBING Permit No.: Inspections COMMERCIAL APPLICATION Received By: r007 763-572-3604 CITY OF FRIDLEY W 6 DATE q c5 - O-- YOUR E-MAIL ADDRESS (� SITE ADDRESS 45I •►'SO C_5 12) ✓e ` l� TENANT (� e -IVSUITE NO. PROPERTY NAME: S�S2 ►� OWNER/ADDRESS: CITY � s STATE MNZIP��-- TENANT �3 5 % I �� PHONE:- • CONTRACTOR NAME: C n 1 Q STATE LICENSE # Z �/ Y1 EXP DATE SUBMIT A COPY OF /� w��� / :30/ /� Z�'� S� CITY /� P)S STATE [�IVZIPZ YOUR STATE LICENSE WITH ADDRESS PHONE CD [ Z SZZ • 3�{ q QI FAX CQ [2 S22 { q "Z - APPLICATION PERMIT TYPE ❑ INSTITUTIONAL ❑MULTI -FAMILY ❑ SWIMMING POOL ❑ OTHER ❑ TOWNHOUSE *OMMERCIAL/INDUSTRIAL OF WORK: *EW 06EPLACEMENT ❑ ALTERATION/REMODEL TYPE DETAILED DESCRIPTION OF WORK���!�- FIXTURES: (INDICATE TOTAL NUMBER OF EACH) CLOTHES WASHER _ FLOOR DRAINS /RPZ VALVE _ URINAL _ DISHWASHER _ GAS PIPING BACKFLOW PREY. —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 $ l All fees are based on valuation, including the cost of labor and materials. Valuation Permit Fee $ (1.25% of Job Valuation / Minimum fee: $35) Surcharge $ Valuation X.0005 Total Due $ ,= 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. –y � C� � KV +b -,P– I' S DATE � ' CS " v/ NAME OF APPLICANT SIGNATURE OF APPLICANT PLEASE NOTE: SEPAkATt PERMITS ARE REQUIRED FOR BUILDING, ELECTRICAL AND MECHANICAL WORK City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building PLUMBING Permit No.: Inspections COMMERCIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY DatRd U DATE YOUR E-MAIL ADDRESS p-7, y� ' SITE ADDRESS TENANT j_; / �`¢.t, SUITE NO. PROPERTY NAME: CO OWNER/ ADDRESS: ✓ k- 0 CITY STATE MNZIP�8Z TENANT 1,5D PHONE:& -7I035-71.S 3 // CONTRACTOR NAME: STATE LICENSE # ��g Z Ji►"Y 1 EXP DATE I Z �/ - O% SUBMIT A COPY OF YOUR STATE ADDRESS: , z> / /�/ Z�—� �7� CITY (�--i J/ S STATENZIPjS&jI 2— LICENSE WITH PHONE FAX APPLICATION PERMIT TYPE ❑ INSTITUTIONAL 17 _MULTI -FAMILY ❑ SWIMMING POOL ❑ TOWNHOUSE COMMERCIAL/INDUSTRIAL ❑ OTHER TYPE OF WORK: ❑ NEW ❑ REPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK 2e plGL CL P,02— FIXTURES: (INDICATE TOTAL NUMBER OF EACH) CLOTHES WASHER _ FLOOR DRAINS _XRPZ VALVE _ URINAL DISHWASHER GAS PIPING BACKFLOW PREY. 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 Total Job $ 7 ay All fees are based on valuation, including the cost of labor and materials. Valuation Permit Fee $ (1.25% of Job Valuation / Minimum fee: $35) Surcharge $ Valuation X .0005 Total Due $ —G— 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. '% �L S J � ' NAME OF APPLICANT y (i' �'' DATE / SIGNATURE OF APPLICANT PLEASE NOTE: SRPAR ATP PERMITS ARE REQUIRED FOR BUILDING, ELECTRICAL AND MECHANICAL WORK City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building PLUMBING Permit No.: Inspections COMMERCIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Darf�' YOUR E-MAIL ADDRESS DATE - 2./ '0�1 y� SITE ADDRESS E)GO tel/ TENANT J 1 S tit, SUITE NO. PROPERTY NAME: ADDRESS: -I 1. �/ey CITY sTATE�ZIPSS432- TENANT PHONE: -7(,P3 -S-71 -45, 3 /I CONTRACTOR NAME: 4Aa)(_ YYLOt'o.I~Y.C. t;se.1' �KALi STATE LICENSE # 003 3e2,P= EXP DATE !Z -3/ - -7 SUBMIT A COPY OF YOUR STATE ADDRESS:3�V /y lin=k f,& CITY &4% 1_r STATE% VLIPG� Z LICENSE WITH PHONE [P/Z -522- 3 FAX t!/l2 -S 7,_-'-44q 2 - APPLICATION PERMIT TYPE ❑ INSTITUTIONAL ❑ MULTI -FAMILY ❑ SWIMMING POOL ❑ TOWNHOUSE ICCOMMERCIALANDUSTRIAL ❑ OTHER TYPE OF WORK' ❑ NEW r REPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK �Q('Q_p Z FIXTURES: (INDICATE TOTAL NUMBER OF EACH) CLOTHES WASHER _ FLOOR DRAINS ZC RPZ VALVE _ URINAL DISHWASHER GAS PIPING BACKFLOW PREY. _ 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 Total Job $ ?pcJ — All fees are based on valuation, including the cost of labor and materials. Valuation Permit Fee $ (1.25% of Job Valuation / Minimum fee: $35) Surcharge $ Valuation X.0005 Total Due $ 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 S DATE SIGNATURE OF APPLICANT PLEASE NOTE: SEPARATE PERMITS ARE REQUIRED FOR BUILDING, ELECTRICAL AND MECHANICAL WORK City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building PLUMBING Permit No.: 0b7 i5 Inspections COMMERCIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY DATE 7'' 0 _ YOUR E-MAIL ADDRESS SITE ADDRESS TENANT /J,J�/j SUITE NO. PROPERTY NAME: r OWNER/ --TENANT �[� l �-C-I sTATE�zIi��j��;Z-. ADDRESS: yck- CITY PHONE:�IG 3 •S' 7 5 an / CONTRACTOR NAME: (� STATE LICENSE # a'>�j�Z �Y EXP DATE SUBMIT A COPY OF YOUR STATE ADDRESS:y I /V Zn=� S CITY L Pj STATEj4V ZI �Z LICENSE WITH PHONE &12-SZ'Z•34-c7FAX (,/2.522g[t'cYZ APPLICATION PERMIT TYPE ❑ INSTITUTIONAL ❑ MULTI -FAMILY ❑ SWIMMING POOL ❑ TOWNHOUSE 0 COMMERCIAL/INDUSTRIAL ❑ OTHER TYPE OF WORK. ❑ NEW KREPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK QQ_P ja�— FIXTURES: (INDICATE TOTAL NUMBER OF EACH) 11 // CLOTHES WASHER _ FLOOR DRAINS J-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 Total Job $ 2- All fees are based on valuation, including the cost of labor and materials. Valuation Permit Fee $ (1.25% of Job Valuation / Minimum fee: $35) Surcharge $ Valuation X .0005 Total Due $ 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 SIGNATURE OF APPLICANT PLEASE NOTE: SEPARATE PERMITS ARE REQUIRED FOR BUILDING, ELECTRICAL AND MECHANICAL WORK City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building PLUMBING Permit No.: co - Inspections COMMERCIAL APPLICATION Received By: 763-572-3604CITY OF FRIDLEY D'� DATE C1 J ' 0 � YOUR E-MAIL ADDRESS n SITE ADDRESS TENANTSUITE NO. PROPERTY NAME: S ADDRESS: So aWif V CITY /V I � S STATE�ZIP 0_43 OWNER/ TENANT 1 33 33 2 PHONE: CONTRACTOR NAME: GUL%�� STATE LICENS # 33gZ prn EXP DATE SUBMIT A COPY OF CITY /�- S STATE M/ VZIP 5S�j ' YOUR STATE ADDRESS: LICENSE WITH PHONE �� - Z Z �GI % FAX 1p/ APPLICATION PERMIT TYPE ❑ INSTITUTIONAL ❑ MULTI-FAMILY ❑ SWIMMING POOL ❑ TOWNHOUSE *COMMERCIAL/INDUSTRIAL ❑ OTHER TYPE OF WORK: WEW REPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK _ 4e Pla 6,6 /2Z- FIXTURES: (INDICATE TOTAL NUMBER OF EACH) CLOTHES WASHER _ FLOOR DRAINS eRPZ VALVE _ URINAL DISHWASHER GAS PIPING BACKFLOW PREY. _ 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 Total Job $ All fees are based on valuation, including the cost of labor and materials. Valuation Permit Fee $ (1.25% of Job Valuation / Minimum fee: $35) Surcharge $ Valuation X.0005 1 S' Vr- Total Due $ 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 which requires review and approval of plans. /work p� WH-e'4's DATE / J04 NAMEOF APPLICANT C� SIGNATURE OF APPLICANT ( i - [ri> .%1 O.JL. PLEASE NOTE: SEPARATE PERMITS ARE REQUIRED FOR BUILDING, ELECTRICAL AND MECHANICAL WORK City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building PLUMBING Permit No.: Inspections COMMERCIAL APPLICATION Received By: 763-572-3604 2 8 CITY OF FRIDLEYaQe DATE $' �-7 ' YOUR E-MAIL ADDRESS SITE ADDRESS V e Y RZ TENANT i S SUITE NO. PROPERTY NAME: {- OWNER/ ^^'' ADDRESS:5D ,� V'e l� 12,D CITY �V I (�7 f e u STATE �-WZIPS 3Z TENANT / PHONE: ��/ ?)-cj% 1 -SSI CONTRACTOR NAME: TOE - 22 STATE LICEN # J ap p�� EXP DATE SUBMIT A COPY OF YOUR STATE /EZ ADDRESS: � / y 2!�` -S 'L" CITY - L UIS 5� STATE H 14ZIP5S41 Z LICENSE WITH PHONE [a / Z FAX (P 12. •SZZ .94q2— APPLICATION PERMIT TYPE ❑ INSTITUTIONAL ❑ MULTI -FAMILY ❑ SWIMMING POOL ❑ TOWNHOUSE XCOMMERCIALANDUSTRIAL ❑ OTHER TYPE OF WORK: ❑ NEW REPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK Z FIXTURES: (INDICATE TOTAL NUMBER OF EACH) 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 Total Job $ — All fees are based on valuation, including the cost of labor and materials. Valuation Permit Fee $ (1.25% of Job Valuation / Minimum fee: $35) Surcharge $ Valuation X .0005 Total Due $ ��' SU 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. J% �� NAMEOF APPLICANT � / DATE 7 SIGNATURE OF APPLICANT k PLEASE NOTE: SEPARATE PERMITS ARE REQUIRED FOR BUILDING, ELECTRICAL AND MECHANICAL WORK City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building PLUMBING Permit NO.:_' 159 Inspections COMMERCIAL APPLICATION Received By: 763-572-3604 Da 'AUG 2�� CITY OF FRIDLEY DATE 21, 0% YOUR E-MAIL ADDRESS SITE ADDRESS S O l 0 () e K/1 ✓ 12- D TENANT e/ 1 qZ2,i , SUITE NO. PROPERTY NAME: OWNER/ ADDRESS: CITY dleu STATE B ZIP 55j _2 - TENANT TENANT 77(P_3 -,5-7i PHONE: (P3 • S%i S3I1 7 CONTRACTOR NAME: STATE LICENSE # X39:2__Qry1( EXP DATE J Z SUBMIT A COPY OF YOUR STATE ADDRESS: -3�d / '-V L� "� _ S�L- CITYE(i1 SgN A -i 126 STATNZIPS_- LICENSE WITH PHONE &12 -S-341/f) FAX 012 - �2Z 1 7_ APPLICATION PERMIT TYPE ❑ INSTITUTIONAL ❑ MULTI -FAMILY ❑ SWIMMING POOL ❑ TOWNHOUSE �UOMMERCIAL/INDUSTRIAL ❑ OTHER TYPE OF WORK: ❑ NEW IXREPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK QQ P(1` 0. ,�JZ FIXTURES: (INDICATE TOTAL NUMBER OF EACH) qq�� CLOTHES WASHER _ FLOOR DRAINS ?RPZ VALVE _ URINAL DISHWASHER GAS PIPING BACKFLOW PREY. 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 Total Job $ '2 -CV ' All fees are based on valuation, including the cost of labor and materials. Valuation Permit Fee $ (1.25% of Job Valuation / Minimum fee: $35) Surcharge $ Valuation X .0005 Total Due $ _1 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 ja u DATE Z2 7D:2 SIGNATURE OF APPLICANT PLEASE NOTE: SEPARATE PERMITS ARE REQUIRED FOR BUILDING, ELECTRICAL AND MECHANICAL WORK City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 Building PLUMBING Permit No.: �C - -'� Inspections COMMERCIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Dat '' 17' DATE ,j' Z U / YOUR E-MAIL ADDRESS SITE ADDRESS U 11;1& 0 TENANT SUITE NO. PROPERTY NAME: A rom OWNER/ n ADDRESS:61S C� G ✓�� a12 CITY STATEMMIP��- TENANT PHONE: / �? 3 S -71 "G> 3 it CONTRACTOR NAME: STATE LICENS # -3,3y2-3,3y2,.-p EXP DATE 12- -31 -0-7 ,- SUBMIT A COPY OF YOUR STATE 2 ADDRESS: ':J�j N 2'� 4- CITY A4RO STATEWZIP'y/ 2 LICENSE WITH PHONE (pf2 -S2 2 -3 4919 FAX W 12 •S22 01'4 9 Z - APPLICATION PERMIT TYPE ❑ INSTITUTIONAL ❑ ULTI-FAMILY ❑ SWIMMING POOL ❑ TOWNHOUSE OMMERCIALANDUSTRIAL ❑ OTHER TYPE OF WORK: ❑ NEW REPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORKZ- FIXTURES: (INDICATE TOTAL NUMBER OF EACH) CLOTHES WASHER _ FLOOR DRAINS 1k6RPZ VALVE _ URINAL DISHWASHER —GAS PIPING BACKFLOW PREY. _ 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 Total Job $ 2-W— All fees are based on valuation, including the cost of labor and materials. Valuation Permit Fee $ (1.25% of Job Valuation / Minimum fee: $35) Surcharge $ Valuation X.0005 Total Due $ /5-5-0 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 caseofall work which requires review and approval of plans. NAMEOF APPLICANTy� r ky4 Ll c is DATE - Z SIGNATURE OF APPLICANT PLEASE NOTE: SEPARATE PERMITS ARE REQUIRED FOR BUILDING, ELECTRICAL AND MECHANICAL WORK City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 7 Building BUILDING Permit No.: ,,3 07-0/gJ, Inspections COMMERCIAL/INDUSTRIAL Received By: ta Date Rec'd: 763-572-3604 CITY OF FRIDLEY Mtn 11CIA Imp DATE O U -7 YOUR E-MAIL ADDRESS SITE ADDRESS TENANT 0" 5 o " rt C- e. C L- C C_ -J- rzo pi C S Suite No. / % "3 PROPERTY OWNER NAME:S ✓Sta PPI O F- j lAz Stri-f P_ 0,9- 1- / /of S ADDRESS: CITY STATE ZIP PHONE: ARCHITECT NAME: ADDRESS: CITY STATE ZIP CONTRACTOR NAME: O,% 4A AJ n -Tvt. ADDRESS: ,� 103 �— C�tit , N^J ST /U `-J CITY C { QAfSTATEPK41P <i' / PHONE: 6 %�- cl-qg - ?113 FAX -763 -7 3 - i *NOTE: CITY LICENSE REQUIRED FOR MULTI FAMILY/COMMERCIAL/1NDUSTRIAL JOBS PROPERTY TYPE ❑ TOWNHOUSE ❑ COMMERCIAL/INDUSTRIAL ❑ INSTITUTIONAL ❑ MULTI-FAMILY PERMIT TYPE ❑ ADDITION ❑ NEW CONSTRUCTION ❑ OTHER ;iKREMODEL ❑ 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 (c / 3 3 SF VMS 6 12Z 3 SF OTHER SF TOTAL SIZE: STORIES FIRE PROTECTION (Y/N)AC(Y/NN .-- DETAILED DESCRIPTION OF WORK D,�rwo s� tiv�,t f�-��sfwt � . �c<� NiG.� ���t>' L+� a.--,— THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED THIS 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 approva plans. :hicand 11 ' "" %-i4 SIGNATURE OF APPLICANT PRINT NAME JUS^-ItL, 5 —43 Q DATE O f / 0 / 0 ALL FEES ARE BASED ON VALUATION Sq. ft. x $ Sq. ft. x $ Sq. ft. x $ TOTAL JOB VALUATION: $ qB J T" — USE Permit Fee Plan Review Fire Surcharge Surcharge SAC Charge Erosion Control Park Fee Special Assessments Curb Cut Escrow Total Due Cost/sq. ft. = Valuation $ Cost/sq. ft. = Valuation. $ Cost/sq. ft. = Valuation $ OCCUPANCY TYPE See Back Page for Fee Schedule 65% of Building Permit Fee .001 times the total job valuation .0005 x Permit Valuation Minimum $.50 $1675 per SAC Unit (Plans to MWCC for determination) $450 Conservation Plan Review Fee Determined by Engineering Agreement necessary ( ) Non Necessary ( ) ft + 6 ft= ftx$21 =$ Make checks ble to: City of 51--lP Attach Building PLUMBING Permit No.: - �104 Inspections COMMERCIAL APPLICATION Received By: 763-572-3604 nate R� 11 CITY OF FRIDLEY 763-502-4977 FAX EFFECTIVE 1-1-09 DATE �� • On� YOUR E-MAIL ADDRESS SITE ADDRESS I TENANT V !'-i SUITE NO. PROPERTY NAME: ADDRESS: )OD CITY � ;CJ W STATEA2 jZIP_r- TENANT _f n -meq 1-5all PHONE: 1(D3 CONTRACTOR NAME: ll e SUBMIT A COPY OF YOUR STATE? EXP STATE LICENSE # ��Jl1J —QIYI DATE "c�� O LICENSE, BOND AND PLUMBING BOND # ►C- L ,, EXP DATE I -3)-(09 CERTIFICATE OF ADDRESS: I N �i1G� 5f CITY STATErr N zip P_95412 INSURANCEPHONE (Pl c�, •�2� c� FAX LOI'a, •�Jc'1-r�� ci PERMIT TYPE ❑ INSTITUTIONAL ❑ MULTI -FAMILY ❑ SWIMMING POOL ❑ TOWNHOUSE fgCOMMERCIALANDUSTRIAL ❑ OTHER TYPE OF WORK: ❑ NEW REyP,LACEMENT ElALTERATION/REMODEL DETAILED DESCRIPTION OF WORK 0-" "� a —. FIXTURES: (INDICATE TOTAL NUMBER OF EACH) 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 �'� — Total Job $ All fees are based on valuation, including the cost of labor and materials. Valuation Permit Fee $ ( 1.25% of Job Valuation / Minimum fee: $35) Surcharge $_ Valuation X .0005 Total Due $JD Make Checks Payable to: City of Fridley 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 all which requires review and approval of plans. Lwork -1 ` i�✓ r7 ' NAME OF APPLICANT DATE SIGNATURE OF APPLICANT PLEASE NOTE: SEPARATE -1'E +ti TS ARE RE U11ED F .R BUTI,I i i ALA10 N AM City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 M. - Building BUILDING Permit No.:-<00� "4f 90 Inspections COMMERCIALANDUSTRIAL Received By: 763-572-3604CITY OF FRIDLEY D °34 0 UrU 9 763-502-4977 FAX $ o2,'7 00.0005 x Permit Valuation Minimum $.50 SAC Charge EFFECTIVE I -I -W $2000 per SAC Unit (Plans to MWCC for determination) DATE 1 �+ 0 j YOUR E-MAIL ADDRESS SITE ADDRESS T150 t-a"k z v' ?=A TENANT Suite No. PROPERTY OWNER NAME: e CxNkr' 9 SC. S 543.1- ADDRESS: �� l o { . i �S � ��f z v' '� �� W�-_ CITY ) , c�_STATE•li ZIP 554-3-1- Special Assessments $ PHONE: i� '� _ `��l \ - 3 3 (I C' PHONE: AReHrFECT NAME: �yIEJ� i1�c+ ADDRESS: I �2 So S (� �s\ . c �3 \t' CITY j\- I S STATEPoIA ZIP SS `IO --�L CONTRACTOR NAME: ' NOTE: CITY LICENSE REQUIRED ADDRESS: I 1 , cli e_,? } ( CITY Sf . P(UL�� STATE Y1 ZIP 95,D-157 COMMERCIAL, PHONE: US INDUSTRIAL AND MULTI FAMILY C): u, - - S6 ' 13 7w., PROPERTY TYPE ❑ TOWNHOUSE ❑ COMMERCIALANDUSTRIAL ❑ INSTITUTIONAL .MULTI -FAMILY PERMIT TYPE ❑ ADDITION ❑ NEW CONSTRUCTION ❑ OTHER tiREMODEL ❑ 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/N) AC(Y/N) DETAILED DESCRIPTION OF WORK THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UN'T'IL 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 all work requires review and approval of plans. which SIGNATURE OF APPLICANT i��' / �� �i�---� PRINT NAME -%!4 MFF iss �eaitS ii/L DATE %%_/U 'y`� ALL FEES 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: $ S. 4/J USE OCCUPANCY TYPE Permit Fee $ �` See Back Page for Fee Schedule Plan Review $ / 65% of Building Permit Fee Fire Surcharge $ �, .001 times the total job valuation Surcharge $ o2,'7 00.0005 x Permit Valuation Minimum $.50 SAC Charge $ $2000 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 Due $ Make checks payable to: Cky of Fridley Attach Stipulations TVAG NOUVIlViSM X00d�]T-S MS��fl�MN IV Noi ols 0 JLN-�NDUOJNOV,AM IWM FILMS 6,' V110'sNiv Id ....... .. 11 j 7 "Z ........... 1,�bll,.Ild— HIM —p 11,b"qi-1,1j.p M I- 09 1 IllnG­NI"Is—1-13 Il P'll �N I d 114 N Dmato-om N0119 NOlilidV6 UN18V�Jb diJ)U-�iNl iv-liviai lv�ldAl )NlHi`VlJ 11VAA NOli`V(JWOJ UUU3iX3 iV UVI'36 9' .............. —N nnIN�P jdtl WO I NN. svnx iv 11 11 iv Id.1p p IN—11 ill-� p �dl,I d-0 9-051-D b,plp,a s J1 NOUVAII3I1W1SV3/ N11VAPIIIVM1S3M/P, NOLVA311 TVM Hinos NVId ON13HOdN11H llVM WllHVd MDIA NVId 10"�6 HIHON I X� ......... ':—,Z,1 -ZlIz-7 11 d31N30(10OMW CONSULTING STRUCTURAL ENGINEERS I � �I° ;t T E I DAINHEL E kAUU Y "f "itis 5 a MICHAE_) RAAERTH,°E JERGD HC—MA.N, FE A,NTHOI1.iA, I- P01.USNY. PE Na.i nnj?n.� corn ERIC)N SZ.WED, FE Date: October 15, 2009 Project: Garage Repairs: Georgetown Apartments, Fridley, MN Addendum No. 1 This addendum shall become a part of the Contract Documents dated October 8, 2009. All items shall remain as originally drawn or specified unless otherwise indicated in this addendum. Project Manual 1. The project Manual for the work, dated October 15, 2009, p.p. 1-9, is issued as a part of this addendum. 2. The certification, page 1 of the Project Manual will be signed by the required professional engineer prior to application for a building permit. 3. General Condition of the Contract for Construction of a small project, AIA Document A205 — 1993 p.p. 1-4 are issued as a part of this addendum. Drawings, Sheet S-1 4. The certification, sheet S-1, will be signed by the required professional engineer prior to application for a building permit. 5. On Details 6 and 8 the grade presently shown as being level at the edge of the new trench drain is to slope up from that point at the rate of 1 (vertical) to 2.5 (horizontal) until that slope meets the existing grade. The exception to this criterion is the requirement that the present bituminous walkway from the north exit door of the adjacent Living Center is not to be undermined or otherwise disturbed. For bidding purposes the existing grade between the garages and the Living Center can be assumed to be level and at the elevation shown on Detail 3, South Wall Elevation. 6. Apply soil top dressing and lay sod on all areas where existing sod and/or earth has been removed. 7. On Detail 6 the trench drain and wall flashing detail shall be installed along the short east and west walls of the garage complex. 8. Reference Detail 1: note that a sturdy temporary barrier is to be constructed along the north line of the present bituminous path that leads from the exit door of the north wall of the Living Center. End of Addendum No. 1 (UIB J® CONSULTING STRUCTURAL ENGINEERS 12 SOUTH SIXTH STREET, SUITE 810 DANIEL E. MURPHY, PE MINNEAPOLIS I DULUTH I PHOENIX MINNEAPOLIS, MN 55402-1564 MICHAEL J. RAMERTH, PE FEC 612.338.0713 JEROD HOFFMAN, PE .AX: 612 337.5325 1 ANTHONY J. POLUSNY, PE www.mbjeng.com ! BRION SZWED, PE Date: October 21, 2009 Project: Garage Repairs: Georgetown Apartments, Fridley, MN Addendum No. 2 1. The bid date has been changed to be Wednesday, October 28, 2009 at 2:00 pm. 2. The Scope of the Work has been changed to include the group of garage stalls identified as nos. 163 to 180. They are located immediately west of the garage stalls shown on Drawing S-1 3. Drawing SIA (8'/2 x 11) dated 10-21-09 is issued as a part of this addendum 4. Requirements for items shown on Drawing S -IA are as follows: a. Trench drains and waterproofing are to be installed along the east and south walls of the unit as shown on Detail 6/S-1. Note that the exterior wall is constructed of brick veneer rather than CMU material. b. Detail 2/S -IA shows caulking to be applied along the north wall of the unit. c. The present grade along the east and south walls is approximately 1.5 ft. above the garage slab. This earth is to be removed in order to install Detail 6/S-1. The final graded earth adjacent to the trench drain is to be sloped up at one (vertical) to 2.5 (horizontal). d. Five existing trees (8" — 10" diameter) are assumed to be removed from along the east wall of the unit. e. Sheetrock surfaces shall be removed on north and south walls of 5 units as shown on Drawing S- IA. Such removal shall be for the bottom 4 ft wide existing Sheetrock surfaces only. New materials shall be fastened as shown on Detail 12/S- IA. f. Wood sills and studs that may contain rot cannot be identified until sheetrock is removed. Replacement as determined by the Engineer will be treated as an extra charge. WCorrespondence\2009 projects\09.443\Addendum 2.doc lVlBi6J'r Job No.. ��, 4-4 Sheet: CONSULTING STRUCTURAL ENGINEERS Project:6!N-z,6-s - MIN EAPOLIS I DULUTH I PHOENIX�n � gv. � r Mu _z1��j Date: 14 Ali DE NcU M N0,z 1 vi �7 s� N f IL N � I G I� IN I LL J t N ki 4� d w dl 131 .4 r fi r 41 01 131 .4 r fi r 41 01 PROJECT MANUAL FOR GARAGE REPAIRS GEORGETOWN APARTMENTS FRIDLEY, MN OWNER: FILISTER ENTERPRISES CONSULTANT: lVlBw4l'r Meyer, Borgman and Johnson, Inc, 12 South Sixth Street Suite # 810 Minneapolis, MN 55402 October 15, 2009 09.443.0 Georgetown Garage Repairs I hereby certify that this plan, specification, or report was prepared by me or under my direct supervision and that I am a duly licensed professional Engineer under the laws of the State of Minnesota. Om UAA? r&� 10/8/2009 14259 Date: Michael J. Ramerth Minnesota Reg. No. Certification page Index to Construction Documents Project Participants and Locations Information to Bidders Georgetown Garage Repairs PAGE Page 1 Page 2 Page 3 Page 4 General and Supplementary Conditions Page 5-6 (General Conditions of the Contract are included as pre-printed AIA document A205 — 1993, pp 1 — 4) Description of the Work Proposal Form Plan Drawings 2 Page 7 Page 8-9 Drawing S-1 (30x42) OWNER Filister Enterprises 5750 East River Road NE Fridley, MN 55432 Contact: Harvey Filister Phone: 763-571-3300 CONSULTANT Meyer, Bor-man and Johnson, Inc. 12 South Sixth Street, Suite #810 Minneapolis, MN 55402 Contact: John Meyer Phone: 612-338-0713 Fax: 612-337-5325 e-mail: jmeyerCmbjeng.com PROJECT LOCATION Georgetown Apartments 5750 East River Road Fridley, MN 55432 ' Georgetown Garage Repairs Georgetown Garage Repairs The description of the proposed work is given in the "scope of work", on structural drawing S-1 of these documents. It shall be the bidder's responsibility to conduct sufficient site investigations to become familiar with the facility, access for material and equipment, available storage and staging facilities and any existing conditions which are evident or apparent and may affect the work. Coordinate any required access to the facility with the Owner prior to conducting site investigations. For access purposes the Owner's site representative is Hans Lilijard 763-571-5311. 2. The project manual and drawings are provided only to invited bidders; there is no documents deposit. 3. All questions regarding this project shall be directed to Meyer, Borgman and Johnson, Inc., attention John Meyer. The question and answer will be forwarded by fax to all bidders if it is received three or more working days from the date bids are due. 4. Submit one completed copy of the bid (fax copies are acceptable) clearly marked with the bidder's name, signature, address and project name by 2:00 p.m. on October 21, 2009 to: Meyer, Borgman & Johnson, Inc. Attn: John Meyer 12 South Sixth Street, Suite 810 Minneapolis, MN 55402 Phone: 612-338-0713 Fax: 612-337-5325 e-mail jmeyer@mbjeng.com 0 Georgetown Garage Repairs 1. See the attached description of work, work schedule, and structural drawings for a general description of the work. 2. Install and maintain all temporary barriers required to protect the work, users of the garages. Install a sturdy temporary barrier along the north line of the present bituminous path at the north face of the Lynwood Golden Living Center. The bituminous path is a required fire exit from the Living Center and must be kept clear at all times3. 3. The work area shall be clean and free of debris at the end of each day. Debris and salvaged material shall become the property of the contractor and shall be legally disposed of offsite including excavated earth, vegetation, trees, demolition debris, etc. 4. Normal operation and traffic flow within the site shall not be restricted, unless unusual operations are specifically approved by the Owner. 5. The contractor shall make arrangements with the Owner for use of the following: a. Temporary storage facilities and parking b. Temporary electrical power c. Water supply d. Sanitary facilities All of the above items are available at the site without charge. The contractor shall be responsible for any costs associated with temporary hook up or extension of utilities. The Owner will be responsible for the costs of power consumption. 6. The contractor shall be held responsible for the repair and replacement of any items (including, but not limited to: vehicles, equipment, drains, adjacent structural elements, etc.) which are damaged or rendered less effective by the Contractor's activities for the duration of the work. It shall be the contractor's responsibility to document any items which are deficient prior to the start of the work. 7. The American Institute of Architects Document A205-1993, "General Conditions of the Contract for Construction, Small Projects Edition", is a document of this contract. All provisions of A205-1993 shall apply to this contract unless specifically modified herein. Supplementary conditions to specific sections of A205-1993 are given on page 6: 5 Georgetown Garage Repairs 8. The form of agreement between the Owner and contractor shall be the "Standard Form of Agreement between Owner and Contractor for a small project where the basis of payment is a stipulated sum," AIA A105-1993. Supplementary Condition to A205 - 1995 Article 1 1.4 Wherever "Architect" appears in the document, change to "Consultant." Article 7 7.3a Applications for payment shall be made monthly. The Owner shall not pay for any material until it has been delivered to the site and /or satisfactorily incorporated into the work. 7.3b Retainage of 10% of the value of work performed shall be deducted from payments for the first half of the work. The retainage shall be payable 30 days after Substantial Completion, less any amount required to pay for correction or completion of the work. Release of holdback will be made upon receipt of waivers of claim from all furnishers of labor, material and equipment. Article 8: 8.2 In 11.1 the Contractor's Comprehensive General liability insurance coverage for this work shall be for $1 million and shall be maintained in force for a period of one year from the date of substantial completion. This insurance shall include an Owner's Protective Liability Policy in the names of the Owner and Consultant and their sub -consultants, agents and employees. 8.3 Prior to commencement of the work, the Contractor shall purchase and maintain throughout the duration of the work: Worker's Compensation insurance, including Employer's liability to cover employee injuries or disease compensable under the Workers' Compensation Statutes of the state of Minnesota; disability benefit laws, if any; or Federal compensation acts if applicable. Self-insurance plans approved by the regulatory authorities in the state are acceptable. 8.4 The Contractor shall provide Comprehensive Automobile Liability to cover bodily injury and property damage arising out of operation of all motor vehicles by the contractor, sub- contractors and all employees, in the amount of $1 million for each occurrence. 8.5 The Contractor shall purchase and maintain the required property and loss of use insurance naming the insured parties to be the Contractor, all subcontractors, the Owner, the Consultant, sub -consultants and the Lynwood Golden Living Center. E Georgetown Garage Repairs The work is as described on drawing S-1. PROPOSAL FOR'VI PROJECT IDENTIFICATION Bid deadline 2:00 p.m. local time October 21, 2009 This bid is submitted to: Garage Repairs Georgetown Apartments 5750 East River Raod Fridley, MN 55432 Filister Enterprises 5750 East River Road N.E. Georgetown Garage Repairs Fridley, MN 55432 The undersigned, being familiar with local conditions, having made all field investigations and factors affecting the work does hereby propose to furnish all labor, materials, equipment, tools, skills and all else necessary to complete the following in accordance with the drawings and specifications dated October 8, 2009 and prepared by Meyer, Borgman and Johnson, Structural Engineers including addenda number is issued thereto, receipt of which is hereby acknowledged for the following lump sums in accordance with the attached proposal form for the following amounts: BASE BID FOR WORK SHOWN ON DRAWING S -I AND SPECIFICATIONS FOR THE SUM OF: The Bidder agrees to fully complete the project by Dollars ($ ) (Base Bid) The Owner reserves the right to reject any and all bids to waive minor irregularities and informalities therein. By signing this proposal, I hereby acknowledge such as a Contract with the Owner and agree to adhere to plans and specifications here attached. Georgetown Garage Repairs If Bidder Is: An Individual (Seal) (Individual's Name) Doing Business As Telephone: A Partnership By (Seal) (Firm's Name) Business Address Telephone: A Corporation M (Corporation Name) (State of Incorporation) 2 (Name of Person Authorized to Sign) Title: (Corporate Seal) Attest: (Secretary) Business Address Telephone 9 Building PLUMBING Permit No.: Inspections COMMERCIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date: 763-502-4977 FAX EFFECTIVE 1-I-09 q DATE I • � \' © \ YOUR E-MAIL ADDRESS SITE ADDRESS _595C) e (21 Ve 1- IZO TENANTC-Ifi&de' W e SUITE NO. PROPERTY NAME: 1 fes' �J •e- ADDRESS:5216 E7 Q_%'ey-e_y e-1 CITY STATEN ZIP` TO NANT PHONE, �-7• � � ' J" 7L.�O CONTRACTOR NAME W K- SUBMIT A COPY OF 2 _ 'l q D(� I i �i ')�� " � �' � 1/0 YOUR STATE STATE LICENSE # EXP DATE 1 LICENSE, BOND AND 11'' PLUMBING BOND # 55J 4 LO a- EXP DATE ja jai 10!9 CERTIFICATE OF ADDRESS: , r3_) I /V 2fle--t CITY m pIs S'IATE_nM�_ZIP_!5Cj4jz- INSURANCE PHONE(01?-•522 •?101 FAX LP 12 -522 "%H2 - PERMIT TYPE ❑ INSTITUTIONAL )(MULTI -FAMILY ❑ SWIMMING POOL ❑ TOWNHOUSE ❑ COMMERCIAUINDUSTRIAL ❑ OTHER TYPE OF WORK: �JNEW ❑ REPLACEMENT ❑ ALTERATIONIREMODEL DETAILED DESCRIPTION OF WORK 1 i �ZL ► V�V\j PZ FIXTURES: (INDICATE TOTAL NUMBER OF EACH) CLOTHES WASHER FLOOR DRAINS A 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 Total Job $ All fees are based on valuation, including the cost of labor and materials. Valuation Permit Fee $ (1.25% of Job Valuation / Minimum fee: $35) Surcharge $ Valuation X.0005 Total Due $ Make Checks Payable to: City of Fridley 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 all work which requires review and approval of plans. a � NAME OF APPLICANT DATE SIGNATURE OF APPLICANT PLEASE NOTE: SEPARATE PERMITS ARE REQUIRED FOR BUILDING ELECTRICAL AND MECHANICAL WORK City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 til