The URL can be used to link to this page

PRE 2010 PERMITS� City of Fridley, Minn. BUILDING PER.IVIIT N° �� 8 s Date: .- . ...��..._'.'.'...-. �,p�'...�-----�'�----iE'.r�---•.�.f.:r�-:::.....----- .................... Owner: � y �. . Builder -•-�-•--�--_..--•-•- ...............• -�-- ---............�-- .....-- ........---�---� --...----.._........ -�-�-- -•--- --------------1._...--- . . ........._C��..........._. .. Address- -..... - • ......................-- -�----._.................--�----.......................... ............ Address - - ......-- --......._........... ....._-- -..._.. -...... --- - ....... - - ...-- - -- - / LOC 10(y,, O fVG No. .iR-.y. � .. •�.1-.- ... Street .. . .. . . : ........�.�....!r ./..-- �-�---...... .��. I.C..r--.I..-..-- P rt of Lot ...___. . - ...... ..............................._...-- % l y ,� Lot -- -.�.... .__.._ . Block .......---- -.l-........... -�-... ...... Addition or Su1 �-,D� .3Sla� l�i�� - -- �-_-t�__'_...__.___._._'___.-� CornerLot ......- � ..................... Inside Lot -� -. "_....._.._.._....... - . Setback ...�a..Y�...................... Sideyard -- ...... O-� --.....�J....................._................--�- SewerElevation ...................._..... - - ....- •-- �-�-��-- �---�----........................................... Foundation Elevation ................ .......... �-�� ---........ �- � � �� - ....... --..._..... DESCRIPTION OF BUILDING To v ea .. : ....__� ... ._._....t.. Front _�.�.. Depth :1_...ii ..._.. Height ��..�..... Sq. Ft.��.l..._� Cu. Ft. �,( :�� ..............�--�-------.................. .......---... -- � -- - - Depth ...-------�--• - --..._...--- . Sq. Ft. .. -..........- .... Cu. Ft. -�- � -............._.. •-- -.._... ......- - ......_ �� ,QD �`� T of Construction ....... '� 'r� ype .�.._...._.. Est. Cost ...................tr.�_ .. ............ To be Completed ......... -......._.................-�--�---��--��--- In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. ..,�-•- .........................�--_..._..-•----------_.....----.._......_.._._._.._..._._..._.� _____ f In consideration of the payment of a fee of $_�.?�..._......._......._.., pexmit is hereby granted to....._.._..._...._............_......._...._.._.... ....._ ............._............._................................... to construct the building or addition as, described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in a11 work done in, around and upon said building, or any part thereof, shall conforin 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 a t any time upon violation of any of the provisions of said ordinances. .. . -1 Building Inspector NOTICE: This permit does not eover ths construction, installation for wiring, plumbing, gas heafing, sewar or water. Be suro To sse ths Building Inspector for separate permits for these items. • . . .. . 4 • . .. � �� a,''t �.�� , s,� a � , ,, � Y� �� , �. � '� �il � .. R ' _ � . � .. ,,F �, � s. '. �� - ,�, ,. , _ . ', t:= � ' ; �. w.'' ;. . � _ • • • �, � ,� �. ; y � �. HARVEY A. CARTWRIGHT C�g��GHT & OLSON ��e�NirvG rHe qecort�5 oF ANOKA COUNTY SURVEYS J. E. HILL. Civit, ENGINEER [� ESTABLI6MED iBiE H[NNEPIN COUNTY SURVEvS L��'v[� S L�ll � E��X S MINNEAPOLIS SUFVEYS C. F. SANDHOFF 8410 PALM STREET N W FEGISTERfiD UNDER LAWS OF STATE OF MINNESOTA CIVIL ENGINEER SUNSET 4�7655 ESTAbLISNEG 1pOH L�CENSED BY ORDINANCE OF CITY OF MINNEAPOLIS owHea JAMES NELSON 326 PLYMOUTH BUILDING FEoean� B-8721 SuRVEvO►t INDUSTRIAL - JUDICIAL HENNEPIN AT SIXTH • MINNEAPOLIS 3. MINNESOTA E"'A�"-"'Eo '°i' i ausirre55 - TOPocRqPHic.a� $,Eirtievor�$ (�fTtlflldlf METROPOLITAN LAND � UTV LOTS - PL,�,TTING - SURVEYORS, i.t�we�is�.ro �o.� — :1� __'•�'• _, - �: i': l. ._ ' '. ._ . � i.�� .� _ � . i ; T � , , , �\ ,, .�........,�.,,._...,�.�.,..�._.......:.................w.._....�....�..�� _..:._.::��.�:��,.,�,...,.�.,, _ . _...�._.__...._.... - ' ' . �_�, � � ..M.__��._�.__._ .. _.._.__________ , y .� � �, '. w`� � t : w � � ..,� � ^� � � � � �� i ! s , ? �� . � ti � � rc�: t�, � c � � E � -A 'E� # „ � � ' I � r <- J : G �� (> '' � �? (�• � � •, �� ' ��y rh . � r` ,' � � .9' �+� � � • 1 � �� " ; �•,.. , �..,� ;, ; � � ' ; � � . � , ' �` 1 ,,� \. � '�. ! M r _�:�._....v.. �r ti` � �- ° , ' .... • , � �.' � i � E ,` , � � ` 51 �'- U'� _ .,... _ . : ...�...__,, i t- „��-:� �� _ ___ _ _ __� _ _ - _ _ _ _ _ — ,,� ; , _ � � `. � � . ' F�� < va . t �oq,ti� `� ,� ��C, �,0�� .,�� > j �y� ��:�� .�r`� � iY�` �i _r�. .�5,� ~ ;Y� 1 ��,r- Gv c: _ . _ , • . .�-�?LL�� y.cy�4 !�; `,1 � ,. . _ _ , ... , ... . ... . . . ^ �`Y -�,� i� ; � y r ''` �/ 0 y�,." Or . _,. :_', _ , , _ `L. .'_ ._ . ,-G��Y ,, , �,�. �__ �-�,. � ,� �,._,_,•, �� . SIGNED _ _._�_. _ . _ —_______.__ _ __-.�____.__ __ ` • ��WRIGHT AND OL90N ti APPROV�D S[J;�JECT TO CQT?�'OR�rZ�NCE � 1[/ .Cll ..L 1J T�J �1-: �:J..! �.:>' �.�� J! .�'j 1� _� w� A A�{ V �.� 1�7 • / \ -� : - _r-.. �.�C. _ _ :-�� : l"�: �":• "�'•" ^ i� APPI,ICATIOiU FOR � �, j�,�3j��ji;SJTA CITY OFr' FRID.LE , � ,,,. Owner's Name `;; : ; -� `, E- � � , �, .� . Builder Address_ -� `/ I � d'-��; �� . �- S� , a�; ,; � Address LOCATION OF BUii,DING , � 1 �,.,. ._ No. � � i .�treet ,'% � �,� . , �L, �; , �art oi Lot %/c_',:, c— j`.�,t�� i>�' 0/%�sr�Y,� j,��j" Lot_ ,� �;�� Block � Addition or SubdiGision�_ Corne�c Lot inside Lo� Setback Side-Yard SEV�IER ELEVATION ,?OUNDATION ELEVATION Ap�licant attach to this iorm Certi�icate o� Survey o� Lot and proposec� building location. DE��CRIPTZON OF BUILDII�TG To Ioe used as o �- . � , _ 3 G' �� !� Laront �' j Depth '�'=�� Heigh� i �- �>!�' �Ty S�. Ft. � ��, Cu. Ft. Front Dep�th Height Sc� . Ft . Cu e Ft . Type of Construction Estimated Cos�� To be Completed The undersigned here�y makes application for a permit ior the work herein specified, ag�ee�ng to c►o all work in strict accordance with the City of Fridley Ordinances and ruliny o� the Department of Build- ings, and hereby declares that all the facts and rep=esen�ta�ions stated in this application are true and correct. � � � � �� Da�TE -� / ,5 . - E �G S I GNATUI2E .� - � i.. .-� � -*- ( - . � .i _ -=' f " (Schedule of Fee Costs can be round on the l�everse �ide). _.., i • , . BUILDIL�TG PERP�[IT L'EE 3CHEDULE Sec-�ion 2. The Tnspector o£ Buildi,zc�s shall, befor �erini� ror the erec•�ion oi any builain� or structure addition to any exis�inC buildang or s�truc�ture, or f or repa�rs to any �xistiny building or sf:ructure, up �h�refor, require the payment by �the a�plicant �or s iees �o the amount herein belaw set forth and in the ;�arovidecl to-wito issuinc� any or f or any r any altera�tions n appZication ch permit of mannei herein 2.1. For any such p�rmit =or the erection oiE any fire-proo� building� of:her than a garage, warehouse, �actory or grain elevator, or for the erec'cion or any size-�aroo� addition, for similar occu�ancy, to any existing building shall be at the rate o� $1.40 for each on� thousand cu�ic �eet, or �raction thereof, in such cubical contents. 2�2. For any such permiic ior the erection of any fire-proor garage, warehouse, factory o�: grain elevator, or for the erection o� arly fire- proo� addition, ior sinlila� occupancy, to any existing building shall be at the rate oi $i.25 �or each one thousanc� cubic feet, classi�ied a.s "iireproo�" by �3ec��.on 502 of the Niinnea�olis Building Code. HOUSES 2.3. For any ,ing other than non�fireproor Pe�:mit $1.00 f Ce�s�r�� such permit for tlne e�cectaon o:� any non-fireproo� build- a gara�ye, warahouse, iactory or grain elevator, or any addit�on, for similar occupancy, to any exis�cing building. or each on� thous�and cubic feet . 2.a. For any such ��ermitc for the erec�ion o� any non-fireproo� garage, warehouse, �acto�y or g�-ain elevator, or for the erection of any non-fireproor addition, tor similar occu�ancy, to any existing }�uilaing or �or each such building or adclition. Nin�ty Cen�s for each one �thousand cubic �eet or frac•tion ichereo�, in the cubical conten�s �hereof wi�h a min?m�uin o� $4,00. For the �ur�ose o� com�auting fe�s for tents o� any buildi�y� o�: adaiti�n to multi�lying the ground aLea cov�red i �he floor line o� the basement ��r cel up�er sur�ace or to 'che average heigh ga�ale oi a pitched �coo�. building permits the cub ical con- � uniform height throu�hou�t by �om a point six (6) inches belaw ,ar to the average heigh�t of the : of the roof surface of tlle main 2.5. For repairs or alteration� to an existing structure, the iee shall be at �he ra�e of $3.00 p�r each Five Hundred Dollars ($500.00) ar �raction �thereo� in �he cost o� all �ro;aosed wor}c e 2.6. In no case shall the fee ��harged ror any �ermit as set fo-rth in Section.2 be less t� $4.00e • r Application �or Power Plants and Heerting� Cooling, Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GR1�v13`Y �1�iARM AIR: RATE TOTu Furnace Shell & Duct Work . . . . . 8.00 $ Replacement of Furnace . . . . . . 5.00 � Repairs & Alterations—up to $500.00 . . . . . . . . . . . . 5.00 $ Repairs & Alterations each add. �500.00 . 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTLT . . . . . . . . . . . each add. 60,000 BTU . . .. ...... ... ..... .. . . Replacement of Furnace .......... Repairs & Alterations—up to $500.00 . . . . . . .. . . . . . . . . . Repairs & Alterations each add. $500.00 .............. 8.00 $ 2.00 � 5.00 $ 5.00 $ 2.50 $ 3TEAM or HOT WATER SY3TEM F�arnace Shell & Lines—to 400 sq. ft. EDR Steam 8.00 $— F'urnace Shell & Lin�to 640 sq. ft. EDR Hot Water 8.00 $� Each add. 200 sq. ft. EDR Steam . 2.50 $ -� —�— Each add. 320 sq. ft. EDR Hot Water 2.50 $ Z `� OIL BURI3ER—to 3 gal. per hour 5.00 $— over 3 gal. per hour—See Fee Schedule —_�� GAS BURNER (up to 400,000 BTU) 5.00 $ GAS FITTING FEES: NO RATE TO�� lst 3 Fixtures x $1.50 $�:� Additional Fixtures x .50 $ Gas Range to 200,000 BTU x 2.00 $ AIR CONDITIONING � FAN HEATING SYSTEM See Fee Schedule VEN'" 'NG SYSTEM $__� �S & REPAIRS TOTAL FEE �� Depi. of Bldgs. Phone SU 4-747 . Me.:.... �379 l�� City of Fridley: " The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and corre F�idley, Minn � �� , 1�� Owner �.% "" �c.-�.'�✓� �-l-t��'4-�1.. � / Kind of Used as To be co � � �� Estimated Cost, $� � Old�uilding Permit No. � �/� � Permit No. • �L � / � DESCRIPTION OF WORK HEATING or POWE F'I..�NTS—Ste , ot Water arm Air—No.�� Trade Name Size No. «— � Capacity � _ Sq. Ft. E.D.R. �4`� BTL1 H.P. Total Connected Load /�� '�� Kind of E�e "' + BURNER — Trade Name 1 ' Size No. �'� � Capacity Sq. F't. E.D.R. Z� �. e'a � BTU H.P. � � .r�/ Signed � � � � �tiny �Peaia�ufe By . t �• 1� 7-7�73 - ST. PAUL � ��.<Z sM Business Phone No. (REMARKS-OVER) �ity of Fridley ��i�� or �umbi�g and Gas RtfiAg P�nnst Depz. of Bldys. Phons 560-3450 DESCRIPTION OF WORK �` � .�J Numb�r, Kind and LocaYian of Fixtures Loeatio� f � � G WATER HTR. !- ae � W Z � O j<� ��i �N �i =>< zz � oz< Fz ox �,4 Z Z• •� -- at oe �j � � af � y � 7< y 7� 7 a I N G�S ELEC. _� 3 i 1� 3 N 3� N oO�a <3 C�< U' ¢ U_� __ —___ Bas� ' - lsi I 2nd 3rd - - — 4th - - L— - -- - l-- — - -- - - ' Fuiur� Conn�clioa Opsnings Conn�ctd with * New Fixlur�, Old Op�nings Sew�z � !_� Cesspool � PARTIAL RATE SCHEDULE PLIIMBING FIXTL7RE RATES: Number Fixtures F�ture FSixture Opening New Fixture Old Ope ' g.- --`\ Catch Basin �� , �= \ Water Heater (Up a �,000 B New Ground Run Ol ldg. Electric Water H�ater GA3 FITTING FEES: lst 3 Fixtures Additional F�xtures Gas Range to 199,000 BTU NO. RATE TOTAL — x $2.00 $ -- X $1.50 $-- ----- -- x $1.50 $ -- — x $3.25 $ — x $3.00 $ x $3.25 $ _ z $2.00 S NO. RATE TOT1i►L — x 32.00 ; —x$.75 � — x a5.00 � REPAIRS & ALTERATIONS--R�ier !o Cod� Description . ; TO'PAL FEE i--t,,-�-� City of �idley: �� a 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 oi the Department o2 Buildi s, and hereby declares that all the fact and representations stated in this app�ca ign are y;ue and correct. Fridley, Owner Kind o! Used as 1��; To be completec�bout _ �-'�- �/ _ r C; ^�°'' EStimated Cost, $ ��%�'� ,� Ol -New. Building Permit Na___ ._ __Pez it No. -� �� Signed �� , ` � ; `r BY- / `'_ Business Phune No._ ` C` ROUGH FINAL O ^ I ? - 7� N° 5169 �ri� Permet for P MBING AND GAS FI ING �� l Perxnit N.B. When work covered by this permit is ready, the Piumbing Ordinance requires that request for I F� ��;U� inspection shall be phoned in to the plumbing Inspector, 560-3450 givi.ng number of this permit., DESCRIPTION OF WORg I Number, Kind and Location of Fixtures N � W StOTIQ9 f N < O 3 0 Basement lst I 2nd 3rd I 4th � N J ry� a tl) Z � Z N 7 m F I m Connected with ' F w � q = N I I W WATER HTR. � 2%� Y Z Z Z 3 ' Z Q¢ � O I �J ¢ 6¢ C � N x < d ¢ < GAS EI.EC. N 3 1- O �. N LL O U Gl IY J E Y. U' Q U' � I Gas Piping for Openings Permission is h.ereby granted '�'� to do the plumbing and gas fitting in the building described in the statement hereto attache , 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 ardinances. By Order Of The Inspector Of Buildings Roughing in Inspection Date lnspector. Final Inspection ns pector. �,'��•. � z 1 M-6-69- V 0 City of Fridley � , 19� O�1CG'T �"�� `�•(..C�C- q:�-�� ...- � S —' Location �9 �p�-� / �1�� Kind of Building �?.�'irY�l'� Used as To be Completed - , 19� Estimated Cost $ 7� d-�t d Old- ew. Building Permit Date Inspector of Buildings. s�,e�ecT PERMIT NO. c�ty of Fridley ,� ; ,, 4-- = AT THE TOP OF THE TWINS gU I L D I N G P E R M I T�� .. ��? �� -� � r --- ' ' RECEIPT NO � � � ` _____ COMMUNITY DEVELOPMENT OIV r �� PROTECTIVE INSPECTION SEC _ _ ��, � � ��[ � ' �-'"1 � CI7Y HALL FRIDLE� 55432 NUMBEA aev DATE an�e oF navaoveo av � ""�'� �'' 612-57t-3450 g10-F15 6/19/95 / / JOB ADDRESS 6379 Highway ��65 NE � LEGAL LOT NO BLOCK TRACT OA ADDITION SEE ATTACHED DESCR. ll} 1 Moore Lake Highlands 3rd Addition sHEEr 2 PROPERTY OWNER MAIL ADDRES$ ZIP PHONE Kenneth Littler/Kennard Littler 571-0567 3 CONTRACTOA MAIL ADDRESS ZIP PHONE LICENSE NO Same a ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDFESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Apartment 7 CLASS OF WORK ❑ NEW C] ADDITION ❑ ALTERATION L� REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Reroof Buliding 9 CHANGE OF USE FROM TO STIPULA710NS TYPEOFCONST OCCUPANCVGROUP OCCUPANCVlOAO SEPARATE PERMiTS ARE REOUIRED FOR ELECTRICAL, PLUM8ING, HEATING, 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 DAVS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONEO FOR A PERIOD OF 120 DAVS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFV THAT I HAVE READ AND EXAMINED THIS APPLICAT�ON 8 STA��S GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF IAWS VALUATION SURTAX AND ORDINANGES GOVERNING THIS TVPE OF WORK WILL BE COMPUED WITH WHETHER SPECIFIED HEREIN OA NOT. THE GRANTING OF A PERMIT �Z �%7H � 1.39 DOES NOT PFESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pEFM1T FEE SAC CHAfiGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OP CONSTRUCTION $.3S.IO Fire SC �2.%S PLAN CHECKFEE TOTALFEE $39.27 5��aaTuaeoFco�r�aacToaoAnuTKoaizEonGeNT iDA7E� N P OPE LY UDATED THIS IS VO P RMIT /1 � �-�� l - � � -��- ; � _ f-% ��" - �-�� S�GNaTURE O� OWNEQ��F OW E BUiLDERi iD iA�E B�DG �ti / h<tE Prepaid Plan Che�:k $. Estimated cost $ Receipt # CICY OF I�IDiEY R-3, �RCIAL & INDUSIRIAL BUII�ING PEC2MI"C APPLs('.AT[ON . Construction Address ��- -> '-' �% �'j � � � �i F.. ; /(. � � r Legal Description ,; � owner & Address i r " i� � � c - r /� i � il � _ � � ,'� ,` `' ��' � l , --, •• •• �. .��:-� . • .. :� � . - •.. - TYPE OF WORK [] New [J Addition Effective 1/1/95 Zoning ='Iiel.# - ,'/-�_�, E � Ztiel . # Reg.# R�ea. # [ 7 �-�'ation -Descri.be f"�-� �� - , � _ -� - , Applicant Signature � �� i �!-� - � � �� '�- Tel # :�� - �' � E' 1 Date � / � i-' � •te_��. :� � �� i� • �. Hei t Sq. Ft. ��'�';� E�' # of Stories � L�1 Width 9h or,c. �: r�r�gth wiatn Wf-iSE ARFA: r�th Width Q1�iF�2 ARE'A: L�ngth Width Height Sq• �- Height SQ• �- Height SQ- �- �� Sq. Ft. x$ Cost/Sq. Ft. = Valuation sq. Ft. x$ Oob`t/Sci- Ft. = Valuation Sq. F't. x$ Cbst/Sc1- Ft. = Valuation j1.��x 7� =��.� s � $ ) _ $ $ ) �O�PAL VALLJE R►�i lding Use� Oonstruction Type � ��Y �P �` / Air Coriditioning (]Yes []No Fire Protection Provided {]Yes []No pe�o�� go� p�nt $ See Reverse for Schedule Reoeived [)Yes [�No Permit Fee Plan (�ec3c Fire Surcharge State Surcharge SAC �e �osion Control Park Fee Spec. A�sessments $ Drivec�ray Escraa $ �.. s.,.�..�..�� See Fee Schedule on Reverse Side In �oes.s of Prepaid Amount - See Revezse Side .001 x P�ermit Valuation (1/lOth %) $.50/$1,000 Valuation (See Sc"-hed• for > $1 Million) $g5p per SAC Unit (Plans to Z�b�OC for determination) $450.00 C'onse�vation Plan Review Fee Determined By IIiqineering Agreement Necessaiy [] Not Necessar'y [) feet x $13.50/foot '� �r�/�� . C��s � � . C�v��=��,�U $1 501 2,001 to 500 to 2,000 to 25,000 25,001 to 50,000 50,001 to 100,000 100,001 to 500,000 500,001 to 1,000,000 1,000,001 and up $1 tA 2,000 2,001 tA 25,000 25�001 � 50,000 50,001 � 100,000 ioo,00l � �,000 0�1�' $356,000 BUILDING PERMIT FEE SCHEDULE $15 (Minimum Fee is $15 plus surcharge) $15 for lst $500 plus $2 for each addn'1 $100 or fraction, to and including $2,000 $45 for lst $2,000 plus $9 for each addn'1 $1,000 or fraction, to and including $25,000 $252 for lst $25,000 plus $6.5o for each addn'1 $1,000 or fraction, to and including $50,000 $414.50 for lst $50,000 plus $4.50 for each addn'1 $1,000 or fraction, to and including $100,000 $639.50 for lst $100,000 plus $3.50 for each addn'1 $1,000 or fraction, to and including $500,000 $2039.50 for the lst $500,000 plus $3 for each addn'1 $1,000 or fraction, to and including $1,000,000 $3539.50 for the lst $1,000,000 plus $2 for each addn'1 $1,000 or fraction PREPAID PLAN CHECK FEE SCHEDULE $29.25 $29.?5 fcr lst $2,000 plus $5.85 fcer eadl aac�'1 $1,000 cg fracticn, tr� a¢�l imlu�ing $25,000 $163.80 fcg' lst $25,000 glus $4.225 fcg' e�31 adc�l'1 $1,000 cg' fr�cticn, to ar�i i rr.l tx�ing $50, 00� $269.43 fcg' lst $50,000 plus $2.925 fcg' e�cil aci�l'1 $1,000 c�' fract.ictl, to �cl incltx�irr� $100,000 �s.�a ��.st $ioo,000 � Sa.z� fc� � aa��l Si,000 c� fractir.�-�, t� � irrlu�inq $356,000 $1,000 (531��oe c�e with i��oe c� butlt3ir�g p�nut) PERFORMANCE BOND POLICIES - . . ..�.� �_. .: ... �«. ._. .: �� ..-.- . �._ .:._� . o• -• ti r �. • o a ti '- �:� :i •- i• • r. a� a r• o• �- � �• o• �• •- M i-•� • •• a • � •- �. • o _ �.. • • • r o• �• � •er.��i • • •: w � • i�• • • .� ��• • -� o_ • o • :� • � • .� • ��r.• •i . :�- � h. � • �; •� • .; • � � •� •� s• � o• • ■ � • � • • •�• � � 1 - •• • .� • r . •� • � • • ,• •::• - • �• . � • •• .i • • e� �; .� �II •• • •�■ : . • � •- • •c• •• • - :i 1� 1 � M � � • • i ■• o• •i _ �: ��a •• • • � r.ac• • « • �r.; •� ' • c�� i • • • w •- • � o e �.. •e :a . � •� e• � •• • :• •.. •�a ■ ' r � c� •• • c�c• •• •� � •� • • � � t:a .i • ■ i • • • - �� •i • • � o• ■• � i - • � i •i .i •�r.i�- � r. • � 1 - M � • e o�:� • .� • •�� • c •i � _:i • • • ■ w . • • C• •� i : • o •� ' _ �o• •�� •i ■ ^ _:� • • � .� - -� .��: �• • - e• CITl" OF FRIDLEY INSPEC 1 iUN DIV. 6431 Unnrersity Ave NE Fridley, MN 55432 763-572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effective On Jan 1, 2001 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" 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 _ _ Gas Dryer" $10.00 Back Flow Preventer Required (�Yes () No Type CIJ�- f J� � �t � � y ��i 3�`-( -%L" � $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 ��i ., ,,, -- $ .�i.. '� � � JOB ADDRESS % � � � J -� � 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. Owner Building Used As i��'�`��t-� c�-�� nLi Estimated Cost ��_ —_ PERMIT NO �l� - i%' � � , 20_/ � ��. � PLUMBING COMPANY ��° 5-� �-' ��vr'�`''�`J % � c> h �--- - — SIGNED BY � TEL N0. Cv�� -� �-��' �� Rou h-In Date Final D�� Approved By g � MINIMIlM FEE FOR ANY PLUMBINGIGAS PERMIT IS S20.00 P� ��S THE 5.50 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE COMMON VENT VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacina an existing furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No () The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No () The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. The existins� combustion air is sized and installed to meet the current codes and manufacturer"s specifications. 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() Yes ( ) No ( ) Yes ( ) No ( ) When installinq a new ventina 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 () Apt�liance Tvpe and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS• (Describe) HEATING CO: Signed By: Date : Building PLUMBING permit Iv .. � �� Inspections COMMERCIAL APPLICATION Re�e��ed By �� 763-572-3604 763-502-4977 FAX CITY OF FRIDLEY Dace Re��a:�:.='( �+ �� EFFECTNE I-1-08 DATE ;/ — C��I — ��% YOUR E-MAIL ADDRESS Cx �� t �f �I �N� � L- � I/��/� _ S[TE ADDRESS � � 1 ��—% �� TENANT �C��1 C�l �� ( �' (� SU[TE NO. PROPERTY NAME: G t OWNE12/ p,�DRF,SS: I0� l� � i� ° C[TY ��L�� STATE�ZfPS- I�v TENANT pHONE:�r�, Z � �� `� Na.ME:fifi G��,S�i�i' � �,(�+�.^ �IU� � �� 'L'� i�zLti�ti�°l.i � c'L1�1 r +��, ��I��vLi �,U� CONTRACTOR STATE LICENSE # �`� G� � � EXP DATE �Z c� �—�� SUBMIT A COPY OF PLUMBfNG BOND # Z�y �� L�S EXP DATE YOUR STATE ,/ ) LICENSE AND BOND ADDRESS: I LI 7 Z1 — JV{�(�1 �j`� S�l i C' C[TY 1�I,�cJC.� "'l." � STATE�ZIP��__ PHONE �'I7 � f_ � .� � � FAX PERMIT TYPE � �NST[TUTIONAL �MULTI-FAMILY ❑ SW[MMfNG POOL ❑ TOWNHOUSE ❑ COMMERCIAL/INDUSTRIAL ❑ OTHER TYPE OF WORK: �NEw ❑ REPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK �.� �� 'LL� �� 2 ��5� 1 1 FIXTURES: (INUICATE TOTAC, NUMt3ER OF EACH) CLOTHES WASHER FLOOR DRAINS _ RPZ VALVE _ URINAL D[SHWASHER _ GAS PIPING (CITY LIC RF.Q'D BACKFLOW PREV. _ WATER HEATER DRINKING FOUNTA[N GREASE TRAP ROOF DRAfNS _ WATER METER FAUCET KITCHEN SINK _ SHOWER _ WATER P[PING FLAMMABLE WASTE TANK LAUNDRY TRAY _ SLOP SINK _ WATER SOFTENER I,AVATORY SWIMM[NG POOL __ WATk3R CLOSET Total Job $ �. G �� All fees are based on valuation, including the cost of labor and materials. Valuation � ` Permit Fee $ 4' ,� (125% of Job Valuation / Minimum fee: $35) Surcharge $ � � Valuation X .0005 ($.50 Minimum) ,-- sv Total Due $�5 Minimum $35.50 Make Checks Payable to: City of Fridley THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED I hereby apply for a mechanical permit and I acknowledge that the information above is complete and accurate; that the wark 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 perm�it 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 �1 work wh��h requires review and approval of plans. � SIGNATURE OF APPLICANT � � ��'� � �� " �� PRINT NAME � ��5 ��1 I � � �J DATE �� l—C�g APPROVED BY ` _ DATE PLEASE NOTE: SEPARATE PERMITS ARE REQUIRED FOR BUILDING, ELF,CTRICAL AND MECHANICAL WORK J� City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977