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AF - 44092`\� , Application f�or Pawer Plants and He�rting� Coding, Ventilation. .Refrigera�ion �d Air Canditianing Systems and Device�s PARTIAL RATE SCHEDULE nep:. of Bldgs. Phone SU 4-7470 GRAVITY WARM AIA: Furnace Shell & Duct Work . . . . . . . . . . . . . . . . . . . . . . . . . . Replacement of Furnace ............................. Repairs & Aiterations—up to $500.00 . . . . . . . . . . . . . . . . . . Repairs & Alterations each add. $50U.00 . . . . . . . . . . . . . . . MECH. WARM AIR F'urnace Shell & Duct Work to 1?A,000 BTU . . . . . . . . . . . . each add. 60,000 BTIT . . . . . . . . . . . . . . . . . . . . . . . Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 . . . . .. . . . . . . . . . . . . Repairs & Alterations each add. $500.00 . . . . . . . : . . . . . . RATE TOTAL. 8.00 $ 5.00 $ 5.00 $ 2.50 $ 8.OU � � •OO 2.00 � Y----- 5.00 $ 5.00 $ 2.50 $ $TEAM or HOT WATER SYSTEM Furnace Shell & Lines—ta 400 sq. ft. EDR 5team .... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EI?R Hot Water .. 8.00 $ Each add. 200 sq. ft. EDR Steam . . . . . . . . . . . . . . . . . . . . . 2.50 $ Each add. 320 sq. ft. EDR Hot Water . . . . . . . . . . . . . . . . . 2.50 $ tOIL BURIvER—to 3 gal, per hour ... .... ...... ....... 5.00 $ , over 3 gal. per hour—See Fee Schedule ,iGAS BURNER (up to 400,000 BTU) . . . . . . . . . . . . . . . . . . . . . . . 5.00 $ 5 •� GAS FITTTNG FEES: NO RATE TOTAL lst 3 Fixtures . . . ... . . .. . . .. . ... .. . . x $1.5d $ 1.50 Additional Fixtures . ............... x .50 $ Gas Range to 200,000 BTU . . . . . . . . . . , x 2.00 $ AIR CONDITIONING � FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ . ALTERATIONS & REPAIR3 TOTAL i'$E ��_ ROUGH . FINAL 5211 Buchanan N. E. V � ! City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Owner Kind of Building Used as Fridley, ivrinn. December 19, 1q60 , 19 — Phillip Hirsch Const. Co. To be completed about Estimated Cost, �'I'&�IDB 1-19-1960 400.00 Old—New. Buiiding Permit No. �-' ",,� Permit No. %� a�a DESCRIPTION OF WORK HEATING or POWER PI,ANTS—Steam, Hot Water, Warm Air—No, WeStingi�0us@ Trade Name Size No.—� �,� � p Capacity Sq. Ft. E.D.R. BTU-�� H.P. Total Connected Load .��06 Kittd of Fuel G�B BURNER — Trade Name Size No. Capacity Sq. Ft. E.D.R. BTLT H.P. (REMARKS-OVER) SignPd By f��t3 �� . HEAp�TING i AIR COND;7lJ;�Ii�IG ��<Z 7M �-s9 Busine�q.i3ET° I�i i�o e t. � .-6 6 St, lovis Park, Minnesota � � �,.'��Y....�,_ . fT`^' . . � . y ,s `.t' a�s �.��.. �' J — � ? // ,,��u,G �. !�� ,� -��— � _ _ - HE�17 lA6.S CALCUI.ATIONS DEPAR'IMENT OF BUILDINGS 'N�� Weathentrips A Guide � �nstruction No. Insulation L ' � _� -�. ��8,- MIIVN. Windows I Doora Reference Out. Wall Int. Wall C,eiling Roof Floor Kind How Applied Yes—No Ye— s�—t� 0 19� ,,! Fl.� Room Length / Width Q. Height l Fl.�,y� -,�,,._ Room � Length /¢ Width Windows an Doors--Crackage and Area / Windows and Doors—Crackage aad Area � Wtdth HN6ht No. o! Llneal f[. Area 1 A WidtA Hei�ht No. ot Lln�al ft. ArN No. o[ pan� oC Dane !{�h!■ of cr�ck W. 1t. �� No. of D�n• o[ pane tlshu ot cr�ck .�a. tt. �%-- <"a • .1 c n '� r '- ' / �� 3� Y .Z.3 Coef. Btu In6ltntion Glas� ,� +sp. wall � � Net exp. wail E lnt. wal! _Lei�ing Floor - Total Btu. R�equired aq. ft. E.D.R. ot sq. ina. W.A. [.esder area Fl.� � Room L.en�th / � Width / � Windows aed Doors—Crackagc and Area t t! Hd�ht lYO. of Lin�al ft. Are� Ne. ot pan� ot �an• II�pU o[ crack p. ft. � � � / � .,- � ;�`- i�h� . l Q �.,i c�.i �� Infdtration Gla� ' « E�cp. wall � Net exp. wali Iat. waU Ceiiia� Floor Tota1 &u. Reqnued tq. ft. E.D.R. or sq. i�s�. W.A. Geader rrea Fl. ' R4a. �I.,ery�th Width � �endov►�s and Uaors--�Crackage and Area tdtl� iieftlbt No. o[ Ltneal t[. Area � No. ot paa• a[ v�M It`htr ot ersc& aq. tt. / ..- • .� . / — In6ltration Glau _ Ezp. wall �' ' _ Net ezp, wail _ Int. wall _ Ceiling � ,� � � Floor _ Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. L.eader area / Fl.l Room ( L.en�th . Widt6 ' �iindows and Doors--Cracluge and Area WidtA Hef�ht No. �t Llne�l tt. ArN No. of pa�� o[ pan� 11�At� ot er�ck p. tt. _ � � �--- 1n61tration i Giass � Exp. wall ,s • U Net e:p. wall _ � Int. wsl! � Ceifir�� ? . � F�� Total Bcu. Required eq. k. E.D.�2. or sq, ins. W.A. Lcader area Heq`hi • , �_F7.i � � �ooai I Lengt�y/�... Widt11 �, Windovn �ad L3bors--Crackage and Ana li ldth •ISRt No. ot I.lw�al It. Area t No. ot pae� et p�es Ittht• ot crack p. tt. I i.�� T 3� i i�• 3 r:� In6ltrstion I �_ - Infiltr:tion Glass `'' Glass Eacp, w� ` ( E�p. wall � � Net exp. wail � ,� . IVet exp. wa11 lnt. wsll �_ Int. wall Ctiling � __�^"" � Cei{ing F loor p p� Floor _ __.._ iotad �tu. _ __ ±�" �,,r' '� �' T�tai Stu. _. _ _._. - r�_._ __ ,� ..�..__._. ftec�a�iaed aq. ft. E.�'ioR.: or sq`inx. W.A. I.^a�r area � !� �?.^�sired sq. ft. E.D.R. or aQ. ins. WA. Leader irra � � 1 e � � �'. �a' �,�,` �f. &� v D-Sd .1�. � v � • • F�;Ai LOSS CALC'ULATIONS DEPARTMENT OF BUiLDINCS �. S. �vtINN. Weatherstrips '4'S' •V• '• � Constructiun No. insulation Guide Windows Doora Reference Out. Wa11 Int. Wall Ceiling Roof Floor Kind How Applied ea-- o( Yes—No 19_ I� Fl.� �.� oom � Lengtt� �'� Width/ Height � 1, FI.� Room Length Rtidth s Neisht ?1� Windows an Danes—Crackage and Area Windows aud Doors--Crackage and Area Width Heisht No. u( Llneri ft. Ares Wldlh Hei�ht No. o[ Llneal fL Ar�a No. oC p¢ne of D�ne lighta o! creck p. CL No. ot pan• o[ Dane tlthq of crack �V. tt. f � r' Coef. Btu Cocf. Btu IefiDtracion In5ltration Glass � Glaaa i Exp. wall � E�cp. watl S" Net exp. wall "7�' Idet exp. wall • �. C Int. wal! lnt. wal! Ctiling ..�t... �' I Ceiling F1oor �loor I �fota! Btu. Required �. h. E.D.R. ot sq. ins. W.A. l,eader area F7.� Raom Len�th Width Height Windowa and Doors--Crackage and Area �acs x. ��c a+.. ot L�.e.� cc. w�.. , No. �t pns ot pane 11�AH ot enck p. tt. _ �' Z ♦ /_ i� .'� / /9 I� CJaa � F.�, �ra� • N�t exp. wa� lat. evall Ce�;� Floor Total 9cu. �qn+red sq. ft. ED.R. or �q. ia�. W.A. Leader arsa r�. I � w� �'Mdow: aad �n--Cracka�e a�d Area 1ltA M t I�e. �t tt. �r�a l�l�._ _ �! �M K NO� ifr►t/ OL CT<C� p. ft. la6kir� � Glsss �..� . Aiet sxp. w+►!! � l�t. � Geiina rL./ �',,, i� �oor Tatai �tu. R:y�aered aq. ER. E.�.R. ar �c�, ins. �J.�l. !.�eader ar�s Total Btu. Kequired sq. ft. E.D.R. or :q. in�. WA. C.eader area � Fl.�w..$..� . Room I 1.eeqtho?1� Width Windows and Door�--Crackage and Area Wldth Ha{�At Na. ot Lla�al tt. Arsa No. o[ p�ae of pan• Il�bt� ot cnck �V. tt. 8tw = �,� leiltration � Sv _ Glass Esp. wall � � Net e:p. waN Lnt. wsl! Ceilin; f/�„ F7oor � � Tocat Bcu. iiaryired p. k. E.D.R. or �q. ws. W.A. I.eader aru �� Rr'�nd�ws and IdtA 1 rIO. Oi Ya�� i �ti �°/ _ Isftitration j'.p Glass ( �p. ,�n Net exp. wal) Int. waU � Ceiling Floor Total Btu. �. � u�, w�h aad Area swl tt. I cr�ck r Coef.� &u Rtquired sq. ft. E.�.R. o� sq. ina. R�.A. Leadet area City of Friclley, Minn. BUILDING PERMIT t N° 5012 1 nate: _....[..i_..."....�.,��''.�':.....St�_._.__... _..:._. . . � �� Owner: .. . __.�:i� Builder ._.......____ ._.._._.._...._._._._.._..,.�_._...,.____. Address ..__.__�.._.....__......_._.___ _..__.._._._.__.__:.__.._..__... Address .._._. _ ,;�e LO TION OF BU ING :_ � .,'' �� , � _ No. .i� ....�.. _. Street ._ ._��'.-. : ._..... P f Lot _.� _ � ". � _�.._._._�. , - � Lot ._.._..� __.__..__ Block _.._..._.. ..__._.....; .." :�Addition or 5ub-Divisi�.__ � _ Corner Lot ._..__.:_..._.._.__. Inside Lot _.__.._.�""•...�.__.__ Setback _..�a3�.._.._._._ Sideyard �_.��._ , , Sewer Elevation _._.._�_..._._._._._._____.._._..._...___._:..._._.__�_ Foundatioa Elevation _.._....._._._.._._..._.. DESCRIPTION �� BUtLDiNG To vsea � _'�. Fro�tt a'��_. Depth ,.� Height _ w� Sc!• F't. Qu. . P'G _. .__ F�row� .alb1� Depth # eight ..� Sq. Ft. C�.i. F#. � Type of truction _._y"�, �.�._. '�� Cc�st . ..��.:._ o be Carapleted ;; In consideration of the issuan� to me af a permit to co�struct tbe building described abave, I asree to �la the proposed work in accordance with the..4Slescription above set forth and in complianoe with alI parvvisbam aE ordinances of the city of Fridley. � . ;�� In consideration of tt�e payment of a fee of $.j�L'�, permit is hereby granted to._._ to eonstrelct the building or addition as descrfbed above. This permit ia gi�prtted tt�ion : the express c�dition that theperson to whom it is granted and his agents, employees aad worknne�n, in aii �o�ek done in, around and upan said building, or any part thereof, shall c�nform in all r�pecte to tl�e � bt �'ridley, Mi�u►esota regarding location, construction, alteration, mafntenance, repair a�d maving , a��bt� yvithin the•�►`iitnits'and this permit may be revoked at any time upo� violaifon of any o! ti►e pi�ovistoas c� Ordinatices. .., r ��^'1 �� NOTICE: ihis p�nni�.,do�s not eowr fM w�uiruehon, fesldl�tion for wirlaq. PWe�bi��. os 6�Nins, swinr oe vnNw. M a� N sN � tlu BuiWinY Msp�eror fa' s�pa►+h P�s far Iha� h�. _ �4 ' . � _ � � ,� -x.:,�. . i. . . . f'�.+.. y �� Mn-5He �+i� , . . ' �� / � (°?•�� , �. �,'� .;r.:�'�� r ,'�,.�,. �, ,�� °.; � - , � -a.. �. �, *�;. o �'`� . . ,� - �� '�. " • � ,> � � � � �.� ��h:. ��*� ��.�_�.��YS ��; �� `'� '�''� � �%�s#k 3. r. ,'�,+� °�, �.- �s �� ' .� .� � �� +j �, '� '�� ' _ 'k��"""`u"'�"� a ; . _ . _ . .::: . , `"i Y .a . +.,' jt �� , � e �.4. � . '�e . � �k."3..t. � � � . .- _ + . a '�" . . . . . . �� 'lq;r � . . . �" �" ' � '�".�.. "r i�''s �'''1� �fAyf. w5.: � `� � e=/� . . �, � . �r �Sj ` �y,. . . . . . , � . � . �-et;- � "pai . . .�',My"`'"�w � 4 �.� �� ',r �.: t . . .. , � :, a. � e.F �..� , .d�ss. . .. . ..- � �� . � .. � • � � . . - :.,. � . . $�� .. . , < � ... . . - . I..i �7.4'�,-.?�'?'�'y�b� . ._ �._ . ,. .... `. � . . . . . .. }.i� . r , � 0 . . . � � . � . � . . - � . ' , _ , ' .. . . _ �t .. . , . . . . . . . . . . . . �� . . . . . . . . . _' . . . . . .. s . . . .. . . . . . . _.. - � . . . . . . . ... . . . _ _._....:.. .. ..:.:._ _.... . . . � Y�, � . . . . .. . . . ..�. . '. ,,.. : _ , ., ;_'�. � . "�:�. .. � . . � � . .. . . ..... . � �_� . . , � � � .. . m , .. �-.. �;.. . . � ' �� 'y�t.'., '�. . �. ; . � � � . . � � � ¢�f� � - . . ' ,,... ; . .�s . . g . .. . . .. � , : . . . . .. - . . � . . .. . .. . . .:� . � . � . ....� � � . . � � . . . � , .,.� APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTI� Q��rner's Name ,��i � /� %� � �7 /rs c�S C,.�i �Builder ,I./, ib � � rs t �C Ca �vs? Co. �7v' c. .�ddTe s8 '�fd a�- �-�- /V &�.� yvc o� /� r'' c AC1dI'e 88 � p L�/1� G.L �E. FV' d o� /%� 1r °< /"!/DI+S � % �JiNlv �/�ILS /G/ /�i/%V/d LOCATION OF BUTLDING No. �✓�/� 5treet �f � Part of Lot , Lat / o Block �- Addition or Subdivision /�%ri o� /�i�i�-1-S Corner Lot �Inside Lot � Setback .3v �� Side-Yard i o ir-,-T•c �,� � so, SEWER ELEVATTON FOUNDATION ELEVATION �pplica.nt atte.ch to this form Certifica.te of Survey of Lot and proposed building location. DFSCRIPTION OF BUILDING To be used ae : �% jN e IL L� �� G- � Front S� , Depth Z 7/ Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction �Y a �, � Estimated Cost Z°. O7" : To be Completed ��'` �� i f� y� The undersigmed hereby makes application for a permit for the work herein specified� agreeing to do a11 work in strict accordance with the City Ordinances and ruling of the Depaxtment of Buildings, and hereby declaxes tha.t all the facts and representations stated in this applica.tion are true and correct. � DAT� �� Go SIGNATURE - � �A Schedule of Fee Costs can be found on the Reverse Side.) � , � � � �- .. , „i � � -� 52-�.-��.�.s� �� `�-�' . City of Fridley Application #or P'lun�bing and Gas Fitfing Pennit Dept. of Bldgs. Phone 560-3450 ” DESCRIPTION OF WORK �21]. N E�t1Cha,I18ri St � Number, Kind and Location of Fixtures Locatio� - � � � � O <g � �� z �� so 3 oO� S� <'3 �1 �� o � 3(J � m �n 3 �- o u, u� � o sase Ins as Dr r 3st 2nd 3rd 4th . �.�� n �� I ConnecYed with * New Ffxlure, Old Openiags � PARTIAL RATE SCHEDULE WATER HTR. • t F N GA$ ELEC. Sewer � Cesspool j'� PLUMBING FIXTVRE 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 Eieater (Up to 99,000 BTU) . . . . . . x $3.00 $ New Ground Run Old Bldg. . . . . . . . . . . . . x $325 $ Electric Water Heater : $2,00 a GA3 FITTING FEES: NO. RATE TOTAL lst 3 Fixtures .......................... x $2.00 $ Additional Fixtures . . . . . . . . . . . . . . . . . . . . x $ .75 $ Gas Range to 199,000 BTU ............ .. x$5.00 � Gas Dryer 1 5.00 REPAIR$ 8c ALTERATIONS—Reies !o Code Description ................................................$ TorAt, �E g 5 • 00 r�� ..Y.�_ � . .. . 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 atl the facf and representations stated in this application are true and correct. 12-6-67 Fridley, Minn. , 19_ Owner JeT�e:8 Robi218c111 Kind of Building frame Used as res To be completed about 12--17--67 Estimated Cost, $ 1�•00 Old—New. Building Permit No. Permit No. 5i • _�.�'.�i't�i� By Business Phone N . _� -- ___ .._._.. .._ _�_.�__� 9.., _ " . ROU(3H _!� /` � FINAL �,/,�' � � , . �\ _ , ., 1 d2 /\ // / / -" � U � $ /� App�cation �or �owtr Ptanl�s and H�aNng� Coding. Yentiivtion. Rrf�ig�r�ion aed Air Conditioning SYst�n�s a�d Devic�s PARTIAL RATE SCHEDULE GRRY*TY WARM AIR: �� T�� Plirnace Shell & Durt Work . . . . . . . a10.00 i Replacement of Fl�rnace . . . . . . . . 6.00 � Repairs & Alterations--up to =500.00 6.pp a�-- — Repairs di Alterations each add. �500.00 , 3.0U ;,__ ___ _______ MECH. WJ1RM AIA Fiu'nace Shell dt Ihut Work to 170,000 BTV ... .. ..$10.00 =— each add. A0,000 BTU . . ........ ... ... .... . . 3.W i Replacement of F�rnace 6.00 ! Repairs dc Alterations—up to 5500.00 6.00 S R.epairs & Alterations each add. =500.00 g,pp ; STEAM oz HOT WATER SYSTEM Furr:ace She21 & Lines—to 400 sq. ft. F.DR Steam $20.00 $. _____ Ftirnace Shel] & Line--to 640 sq. ft. EDR Hot Water 20.00 a_., Each add. 2U0 aq. tt. EDR Steam g,0(1 �__ _____ Each add. 320 sq. ft. EDR Hot Water 3.pp a--- OIL BIIRNER—to 3 gal. per hour g,pp a, __ over 3 gal. per hour�ee Fee Schedule G113 BORNER (up to 199,000 BTU) b.00 ; over 199,000 BTfI See FN Seh�dul� G1+8 FI'1'1'ING FEEB: Ii0 AATE TOTAL lst 3 fixtures Xa �pp �- __ Additional Fiatares x .7b ; — Gas Range to 199.00p =; 6.pp ; AIA COIfDI'PIOI�IIIG FAIi HEATII�G SYSTEM VEI�TILATI1fG sY87'EI/ JILTERATIOItB t AEPAIAS ROUC3H �rr�u. �-30-7/ i�.st_� SM FN Seh�dn4 � rorur. �as � o-� n.�t. of s�a9.. r�,. sea�so Lo�.�a �� i � /�Jv�ci� ,�i� , ci�. City of �ldley: The undersigned hereby makes application for a permit for the work hereir specified, agreeing to do all work in strict accordance with the City Ordinance: and ruling of the Depai�tmenf of Buildings, and hereby declares thaf aIl tbe facts and representations stated in this application are true and eorreet. FYidley, Minn � � lg J / Owner � —___Y"""� _ , Kind of Building Used as . — G�'-?.x'c'- �--� /- - To be completed about __L��'�_�L f�%' 7,% 7 -- Estimated Cost, �__._/ ____ 'd � �__ _ Old—New. Building Permit No. _. P�rmit No. '7`Yi'L/ C� � _ ` _\ DFdCAIPTiOIf OF WOAR FIEATING or POWEA Pi,ANTS��Steatn, Hot Water� Warm Air—No Trade Name �� 3ise No Capacity-- Sq- Fk E.D.R BTU �,( �� gp Total Connected Load Rind of 11�e1 BURNER — 1Yade Name 3iu Aio CaP8�t3' 3q. 1R. E.DR BTU i�p! (REMARKS-OVER) . s�, ,��..� ��--�� . Hy _�C , �! � Busineas P6obe No- 7� � �'/ /! jt c;ty of Fridley AT TME TOP OF TME TVNINS i� ,� i • COMMUNITY QEVELOPNIENT OIV. � LV �� r � � PR07ECTIVE INSPECTION SEC. i , � ' �"'1 � CITY NALL FRIOLH� 55132 �----�•' �•' 612-571-3450 SuB�EGT � I PE �UILDIN� PERMIT 5?2-360� NUMBEA � REV O�TE P�GE O� 910-F15 4/25/O1 / / JOB ADDRESS 5211 Buchanan Street NE ' t IEGAI LOT NO. BLOCK TiiACT OR ADOITION DESCR. lO 2 Marian Hills 2 PROPERTV OWNER MAIL ADpRESS Stanley Johnson 5211 Buchanan Street NE 3 CON7RACTOR MAILADDRESS American Buildin Contractors 12247 Nicolle t ARCHITECT OR OESIGNEF MAIL AODRESS 5 ENGINEER 6 USE OF BUILDING Residential 7 CIASS OF WOFiK IL AODFE$S O NEW O ADDITION O ALTERATION 8 DESCRIBE WORK Reroof House & Gara�e (21 SQ) Tear-off 9 CHANGE OF USE FROM 3 i 766 5 B� SEE ATTACHED SHEET 763-571-3957 ZIP PMONE �ICENSE NO Burnsville, MN 55337 ZIP PHONE UCENSE NO. 952-707-6959 20169383 21P PHONE IICENSE NO � REPAIR STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE RE�UIRED FOF ELECTRICAL, PLUMBING, NEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL ANO VOID IF WORK OR CONSTRUCTION IONING AUTHORIZED IS NOT COMMENCED WITHIN 60 OAYS, OR IF CONS7RUCTION OR WORK IS SUSPENDED OR ABANOONEO fOR A PERIOD OF 120 OAVS A7 ANY TIME AFTER WOFK IS COMMENCED. ' NO DWLG. UNITS I MEREBY CERTIFV THAT I MAVE READ AND EXAMINEO THIS APPLICA710N 1 AND KNOW THE SAME TO BE TRUE ANO CORRECi. ALl PROVISIONS OF LAWS VALUATION AND ORDINANCES GOVERNING TMIS TYPE Of WOAK WILL BE COMPL�ED 2 147 WITN WMETHER SPECIFIE� MEREIN OR NOT THE GRANTING OF A PERMIT � � DOES NOT PRESUME TO GIVE AUTMORITY TO VIOLATE OR CANCEL THE pEqM1T fEE PROVISIONS OF ANV OTMER STATE OR LOCAL LAW REGUTATING CON• @83.25 STR CTiON OR TME PERFORMANCE Of CONSTRUCTION W PLAN CNECK f E GZi�✓ Licen S $�GNATUQE O� CONCaA(;TOQOA AUTHOQ�2ED eGENi IDATE� wp pp� S�GHnTUAE O� OwtiEQ i�� OWNEA BU�IDEA� idATE� ,�; - I' = B� G� � S�.FT STA�LS $5. AL O MOVE O REMOVE iOUP OCCUPANCVLOAD CU FT. )fFSTREET PARKING IGARAGES SUpTAX � $1.07 iAC CHARGE Fir SG $2.15 fOT FEE 1.47 ) MIS IS V P MI �' -��-G. � e ��ir�t ��, - NEW [ ] ADDN [ l ALTER [ ] Effective 5/10/99 CITY OF FRIDLEY SL�IGLE FA�1�II,Y A1�1D DUPLEXES R-1 AND R-2 BUII,DING PERMIT APPLICATION � � �D �Q Construcdon Address: _ ��.� � ' �.�'� �� N • �� Legal Description: Owner Name & Address: �}�lj'��l�t J Tel. # Contractor:�'�YlQ,1"1`('�1�,ld.�G�.1,1�1� (�j��1'�� /�, MN LICENSE #�� D� `�Y�' Address: �Z�� i�lC�`I�P�� i�VP �J1��'1 ��lil �� N�I 1�� Tel. #(�%(.��'JZ '��'�.� Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: GARAGE AREA: DECK AREA: � � � DESCRIPTION OF Il�IPKOVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width HgtJGround Sq. Ft. ��V�ii � Wvc+ L F�i�l JV u-�l � Construction T e._ r 1"D� `�i J� Estimated Cost: $�� ' Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ . . �/�, DATE: APPLICA��IT: � � �i � S Tel. � �v t-� � Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: $ E •�5 $ a 15 $ I • D"l $ $ �j , 00 $ $ $ $ $ "lI�%�� CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit �,_,__ _ .. .- . - - $.50/$1,000 Va $1050 per SAC I �� $5.00 (State Lice� Alt. "A" or Alt. ' �Q,,��1/L{,'t $450.00 Conserv� Fee Detemvned b � � 1 • �� Agreement Neces: CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 � � PERMIT O.: 2004-01359 I DATE ISSUED: 08/18/2004 (763) 572-3604 FAX: (763) 571-1287 ADDRESS : 5211 BUCHANAN ST NE PIN : 253024210054 LEGAL DESC : MARIAN HILLS : LOT 10 BLOCK 2 PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION : $ 2,920.00 NOTE: SEE NOTATIONS ON PLAN. PROVIDE SMOKE DETECTORS IN ALL SLEEPING ROOMS AND ON ALL LEVELS OF THE DWELLING PER R317 OF TI� 2000 INTERNATIONAL RESIDENTIAL CODE. INSTALL A DRAIN TILE SYSTEM. STATE LICENSED CONTRACTOR 1 APPLICANT BUILDING PERMIT FEE 83.25 STANDARD WATER CONTROL SYSTEMS INC IS��o?� FIRE SURCHARGE 292 5337 LAKELAND AVE N STATE SURCHARGE, VALUE 1.46 CRYSTAL, MN 55429- LICENSE SURCHARGE 5.00 (763) 537-4849 TOTAL 92.63 OWNER ��r�I� � RICHARD LABOUNTY �` �` ��IQn 5211 BUCHANAN ST NE ( Q y '/, �� M• ��r�s FRIDLEY, MN 55421 om�o�n a��ea err°pos t 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 regul ' constructi�on or the performance of cons ction App 'cant Date Bldg Insp Da � � SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. AUG-1T-2004 11:29 AM STANDARD WATER CONTROL T6� 537 c� NEW ( j CITY OF FRIDLEY ADON ( j 8431 Unlvarsity Ave NE, Fr(dley, MN 55432 AL7ER [ j SINOLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ��i�� Construct{on Address: Legal Description: _ Qwner Name 8 A�dress� Contractor: Address: 1882 P.01 �� Effectiva 111/2003 (763) 672-3804 Bldg Insp (TB3) 571-1287 Fax �oo� � 6�,3 S�9 rg�.# 7/�- ��.�-9�� MN IICENS� #�,"L:� �YB�. � � � - � ��9 Attach to thl9 application, a Certificate oi Survey of the lot, with the proposed construction drawn on it to scale. D1�8CftIP410N 4F IMPaOV�iV��I�T ININm AREA: Length Wldth Hei�ht _ Sq• F�• OARAG� AREA: Lenqth _____,.�_ Width ^�_ H��gtit .��.-- Sq. Fi. DECK AREA; Length „^,,,_ Wldth �_ H9�Ground Sq. Ft. _ OTHER: � � _ Estimated Cost: $ �� / ��L' � �� Construction Type: � t'� r �1 � ( ----+--- Drlveway Curb Cut Width Needed: —.Ft. * 6 Ft = Ft x$ _ =$ DATE: �� APPLlCAN7: Tel. ��'�'r. �!�' y�7 � Cail (763) 572-3604 for Permlt Fse� it maiiing In upplication. Fax to 763-�71-1287 it using credit card and we will call you ror card number. CITY U9E ONLY � Permit Fee Fire Surcharge State Surcharge SAC Charge Licensa Surcharge Curb Cut Escrow Erosion Control Park Fee Sew�r Main Charge TO?AL � �� S� � $ $ $ �U $ $ $� - $ �' � ` / % �r`�� C� /, �C �` e' �_—� ' � r Fee Scheduie on Reverse Side .OQ1.c�i` Permit Valuation; (1/10th°r6) $.50/$'1,000 Valuetion $1275 per SAC Un'rt $5.00 (State Licensed Residential Cantractors) Alt. "A'' or Alt. "B" Above $450.00 Conservatian Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] �Y�p� arL Ic�NB� � A AUG-17-2004 11:29 AM STANDARD WATER CONTROL 763 537 1882 , , � . i �r1�� ' ,!' .�� '�.►��, � , . , � �� Confirol �tanda�rd Water 5 stem�, Tr►�. Y � ��p .��i L,{' � j �"� � ,,,�� j,,µ; �,� �� ,_,; Q�� I�'� 'M' �',,, 1"ia, !,a� �.� �i�i, �nr � �Qt� Ssnd to: / „ �� . ,�„ � rom : � � Company� Phone �': Fax #: Phone #: �ax #: -4849 763-537-iB62 U176ENi � R�PLY �lS�P �. PL�'A3E COMM�Ni � PL�ASE R�VT�'W � FYZ � ❑ �� TOTA4 PA6E5, INC4VDIN6 COVER: _, w�f ' � I�c�s� C%r�..� e �� , I o, �,� d% � �.T_��.._____.�,�____.,......___.�_. .. . . 533i Lokeland Ave N Crystal, MN 55429 ,wRiii�IlA��I��. �GIM.�.�.. Standnrd P. 02 �w.�. ween rRG11G' � V J-J�J / -TV'� / Fox: 76�-537-1882 Email mikeC�standardwater.com Website: 3tandardwater.com CITY OF FRIDLEY 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 PERMIT�10.: 2004-01830 � __ _ � _ -� DATE ISSUED: 10/06/2004 (763) 572-3604 FAX: (763) 571-1287 ADDRESS : 5211 BUCHANAN ST NE PIN : 253024210054 LEGAL DESC : MARIAN HILLS : LOT 10 BLOCK 2 PERMIT TYPE : BUILDING PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : SHED (GREATER THAN 120 SQ FT) VALUATION : $ 1,200.00 NOTE: SEE NOTATIONS ON PLAN. CALL GOPHER STATE ONE AT 651-454-0002 FOR UTILITY LOCATIONS. CONSTRUCT A 10' X 14' DECK IN REAR YARD. APPLICANT BUILDING PERMIT FEE 44.85 RICHARD LABOUNTY PLAN CHECK FEE 29.15 5211 BUCHANAN ST NE FIRE SURCHARGE 1.20 FRIDLEY, MN 55421 STATE SURCHARGE, VALUE 0.60 TOTAL 75.80 OWNER RICHARD LABOUNTY 5211 BUCHANAN ST NE FRIDLEY, MN 55421 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days ar 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 o y other state or local law regulating co tion e e of construction. Applicant Date —0� Bldg Insp Dat `7 O � ' SEPARATE PERMITS REQ IRED FOR WORK OTHER THAN DESCRIBED ABOVE. NEW ADDN ALTER [) CITY OF FRIDLEY Effective 4/1/2004 [] 6431 University Ave NE, Fridley, MN 55432 (763) 572-3604 Bidg Insp [] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 (763) 571-1287 Fax BUILDING PERMIT APPLICATION Construction Address: `"�� D � ��1 ��33� Legal Description: r�� l0 �%� �, a'r�i" �llS Owner Name & Address: r ��tr� �,�QG�vJ�IiI vi�-�" Tel. # 7(3-SOZ-�� Contractor: � MN LICENSE # Address: Tel. # LIVING AREA: GARAGE AREA: Attach to this application, a Certificate of Survey of the bt, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height DECK AREA: Length OTHER: Width Sq. Ft. HgtlGround Sq. Ft. Wt�i�d� l0' �/�arouv�o� $��'� � � /5�d� Constnaction Type: u%4�4�- Estimated Cost: $ /v�fi0 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$ DATE: ��'" �� APPLICANT: -Kt�1• A. 1 a�i7/��y'"/ Tel. # 763�'�� "�i_3 Cal{ (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we witl calt you for card number. CITY USE ONLY - Permit Fee Plan Review Fire Surcharge State Surcharge SAC Charge License Surcharge Curb Cut Escrow Erosion Control Park Fee Sewer Main Charge TOTAL $ �� $ �� 15 $ l �� $ r �Q �i $ $ $ NA $ $ $ $ _.,5.8� Fee Schedule on Reverse Side 65% of Permit Fee .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1350 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "6" Above $450.00 Conservation Plan Review Fee Determined by Engineering ` Agreement Necessary [) Not Necessary [ J STIPULATIONS: HARVEY A. CARTWRIGHT C�T��G� & OiM�ON ANOKA GOUNTY BURVEYS M6NNEPIN COUNtY SURVEr3 LA ��D S UR V�E YURS MINNEAPOLI6 SUqVEYB 8-070 PAtM STREET N. W. REGIST[Ri0 UND[R LAW OF BTATE OR MINNE90TA SUN9FT 4•7853 �,�CENY[a BY OROINANCi Of GIT1' OF MINNEAPOL78 OwNEn 326 PLYMOUTH BUILDING FEoERa� 6-6721 INDUS7RIAL — JUOICIAI HEN(YEPIN AT SIXTH • MINNEAPOLIS 3. MINfYESOTA BUfINEfB — TOPOGRqPMICAL $,E�rbeporrs 4Certit�catc CITY LOTS — PLA7TIIMG , •�-r'f ' / :`'�4 �11:i1.�J_0 1.1.I'SCIZ �i0i�:�fiT'UCti.uil l�' � , ._"'"��._"�� - �.`�! � ,�r�.a, `'ti /r.�.� �; ,�,. � - Ct'i � _� 1 3s. 3 S `' sv � 1 '`.� , ,-.r � /i��. \ , '�J � � � � � .� ' %i�;•. 36.5 G Z / ` T, . i � '� / � c.t � '�--�_ ,, s, ' ,' h , .,� �, ' , �, � .� T G ��,. COMBINING THE RECORDS OF J. E. HlL.L, Clv�� ENOINEER 6oTA6LIBM[D 1�Y� C. F, SANDHOFF GIVIL ENCi1NEER ESTABIIbMEO 1Y0� JAMES NELSON SURVEYOR ' ESTA8L18HE0 fYZ1 MEi'ROPOLt7AfY LANO SURVEYORS, ceTwsLisHeo ins+ Inv.%r' ?J_F90 � �'. }. 7�1�-�!� - � r, , _ ... __ - /�� _. , c ^� /�.�a � _ ��,. - , - , , . �_ . --rl'i'.�; !;' �.`:i ,nl-,�., i:: 4= ,s�, v E° „��- _______.___---,_ ---� _ -_ ; - __ .' � . �; /�,M�,i �r � -*;� � �11 � � � ,' � " � � ;, . .- � �� d �� _,`� �� .�� a ,:�� t� � ,, �� ; ---T-------�i/c•� � I hereby certify t�zb t-"„l:is is �. �ruc ::�nc+. correc.t r�,pr�sentation of a survey o.f i Lot i 0, :?lc,c;lc 2, i��??TGPI IiILI,>, �^�nok�� i;ounty, Ninnesot�, as s�x've;jed by mA iliis 23L�� d�f of' Uctaber. , l;ar,'�, v / �,'�'r.. � � �.t � �� K�� yO 1 � 1 51 G Ni.�, •�'' ,,f+ + t j! `� e . ]�•4 ��" `` � �r �� DJ• " ' ,° T .o,. ' •� �* ' C_�AR IGHT �HO OL90N e�" r� i CITY OF FRI(�LEY BUlLDING INSPEGTION 6431 Uni�ersity Ave NE Fridley, MN 55432 7fi3-572-3604 FAX 763-571-1287 RATE SCHEDULE Regidential Furnace Shell and Duct Work, Burner & also Replacement Furnace Gas Piping (New Furnace, Fireplace, Insert) Gas Range Gas Dryer �f��5f �� Effective 4/1J2004 APPLICATION FOR PQWER PLANTS AND HEATING, CDOLING, VENTILATION REFR�GERAT1pN AND AIR CQNDITIO(UING SYSTEMS AND DEVICES � TOteI $35.00 $ 3S�ov $ia.ad $ �10,00 � $10.00 $ *Alr Conditloning - All Sizes $25.00 � Ali Other Repairs or Alterations (Lisl on Back) 1% of Value oF Appfiance or Work � Minimum Fee $15.00 for ReSidentiat or 596 of cost o1 lmprovement sohichever is �eater on w�rk iess than $500.00 Comrne rcia � Ind ustria l/lns ti lu liona I 1.25%of Value of Appllance or Work (list on 6ack) $ t4�finimum Fve $3�.�0 for Corrt:rter�izlf!r,d:�strial,�lnstitur��na! State Surcharge TOTAL FEE REINSPECTION fEE $50.00/HOUR �' 'II a�Ii �� / . � !/��L .� � ! � 9uilding Used As � W°L- LL 1►t-�G- ESTIMATEd COST � �Q�•�d PERMIT N� n�FSrRIPT10H OF FURNAC�.pND BURNER # of Heating U its�_ Circle One (Steamj (Not Water) warrn Air Trade Name `' Size No. J'�1i'7Y1 jj �O1�0 -/ � g1't! � @-d-u HP EQR Fuel Total Connected Load Burner Trade Name Size No. 8TU HP EDR The undersigned hereby makes application 1or a permit for the work herein specitied agreeing to do all work in st�ict accordance with the City Codes and ruli�gs of the Building Division, a�d hereby declares that atl the facts and representations stated in this application are true and correct. $ � 50 HEATIN� 00 //-,�i1 �/ ��9`'G�G �.G�C�G $�v Signeti 1�/2� �l��7�^. Tet ��G�3 -%j y- a-� �i �l fAX#��3-- 7S�' �l � i� Date �/�'3!O j�" *Air Conditioners can not be placed in side yard without written approval from adjoining prope►ty owner - copy t� City FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMEN7 FURNACE Approved by Rough•in Date Finai Date ,�o� l i �uc ��vr�w s�' �� `� ��',�� e•d �dlol FILL IN COMPIETELY FOR REPLACEME�IT FUEL BURNING APPLIANCE PERMITS COMMON VENT, VENT CONNECTOR AND COMBUSTION A1R VERIFICATION When re lacincf an existin�'fumace, the undersigned hereby verifies that the venting has been exam+ned arid is free from rust, deterioration, obstructians, and is securely supported and frrestopped where required. Yes�� No () The venNng system is plasticlPVC and meets a11 currerrt codes and manufacturer specifications including sizing, length, rx�mbe� of elbows and termination. Yes;�'S The undersigned also verif�es th8t the r�acement unit is a listed assembly and meets the currerrt codes and manufecturers specifications. This does include AGA-GAMA Category I Centraf Fumace Venting Tabtes for fan assisted ar�d natural draft �liances. Yes � The existinq combustion air is sized and instailed to meet the current codes and manufacture�'s spec�catians. When �equired to instail a new combustion ait, i� wiA be sized and inst��ed to meei the current codes and manufactur�r's specifications_ Yes� Yes ��') '\. When installir�a a new ventina svstem, the und�signed t'tereby veri�+es ihat it is a listed assembly and meets the current codes and manufacture�s specifications. T#tis does indude AGA-GAMA Category 1 Centt'a) Fumace Venting Tabfes far fan assisted and natural draft applia►�ces. Yes �j ls the cammon vent and vent connectors sized and installed correct(y afte►' an appliance has been r•emoved from the common veni and vented separately as per current codes. No ( ) Na ( ) No ( ) No ( ) No ( ) Yes( ) No( ) A�pliance 'lbae and SizelCommon Vent and Vent Cor�eator Iriformation Appliance #1 Type `��' �""t BTU Input �i�'��' �' a��Assisted cx N Appliance #2 Type BTU Input < �? �<'c- Fan Assisted o a, Appliance #3 Type � BTU Input Fan Assisted or at Total Apptiances�_ TtRal Btu input Common Vent Type �� - __ Vent Height Diameter �� inches Appiiance #1 Vent Connector HeigM ft �ength ft Diameter in Type Applisnce #2 Verrt Connector Height ft Length ft Diameter in Type App{iance #3 Vent Connector HeigM ft Length ,,,�ft Diameter _ _in 7ype ALTERP►TIpNS: Describe HEATING CO: ./ �A C� �S�`��' T � �/��'� ��D✓� Date : ��.� Signed 8y: - �0i£0'd .l3�QIb� �0 J.lI� LZ:Zi t�00Z-zT-ftON CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 (763) 572-3604, FAX (763) 571-1287 Effective April 1, 2004 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT LC��`' - vC�`' �"�� MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin NO. RATE TOTAL Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas'* �L° C> °% � � Gas Ra�ge** Gas Dryer*'` Back Ffow Preventer Required ()Yes () No Type $10.00 $10.00 $10.00 $10.00 $10.00 $10.00 $10.00 $35.00 $35.00 $35.00 $10.00 $10.00 $15.00 Reinspection Fee $50.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 125% of Value of Fixture or Appliance State Surcharge TOTAL FEE .�> .� C� JOB ADDRESS �� I FJ1�'G.�►�J SS% !V F p 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. DATE: �(�'3lOS�' , 20 OWNER �? �.Q L%3"nJ U' U W i"�-f BUILDING USED AS � W� .Q,[ t/1/LG� ESTIMATED COST �� 'd� PERMIT N PLUMBING COMPANY SIGNED BY ("�� 0 tQ'f�l ' TEL N071v3- %�}�" a'��i '�j � Approved By $ � Rough-In Date Final Date $ 3S�.SD OF THE IMPROVEMENT WHICHEVER IS GREATER PLUS THE SURCHARGE. COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. **PROVIDE COMMON VENT INFO ON BACK SIDE