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AF - 44141: City of Fridley, Minn.. BUILDING PERMIT N� 5293 � Da�: ..,,�'1".'-_�� -..._.�.�.._____._. — � � ! � �: �''''`'�,� ��„r�«�,�,,,� 8,��.'� ......�_ ....r,,._...:__.. � Address_..._.._.__..._.._..._..._...._.__. ._.._.____....__..__._.__._..._.._._._ Address ___._ m._.._.._...�._._.__._._._._.�._._� �*� LO �►TlON O F G °` �� ;:. No. � �� StrEet _ ` .. P ,a Lot W..__ _ Lot .... ,..�..�._ Block _._ _....._....�......___...._._ dition or Sub-Division .._. � � Corner Lot _..._ ............._....... Inside Lot _.._.......� ._.._�..�_.�..A._.. Setback .,�.�. � _._ Sideyard _.� .._ Sewer Elevation _..._..___..�_______.___._____.._....._....�.._.._._..._.. Foundation IIevation _._._.._..._._._..__ . . . . , -. � . :rP_.- � . DESCRtPT10N OF BUILDING ' r To Used • �� _ F�ont Depth _.� Height ....�_ Sq. FL �� C�. � ._...__..._.._..._.__.._..._..._.._._ t_.._..........._. Depth .�..... � H ight _____. Sq, Ft. ____�_�_._ Cu. Ft. .�____r.._ Type of• Construction .r��,r,��..w.. Es� C�t ._:._�o be C�►pletsd ' . - , �, , :s � .�`'` . � h� �, 't . . �_ In consideration oP the issuance to me of a perxnit to construci the buildintg described above, I agree to do the proposed work in accordance with the deseription above set forth and in c:ompliaace with ,a11 P� � ordinanoes oi the city of Fridley. �_ a Itt comsi8eration of the payment of a fee of $..�..:.___.._.., permit is hereby grantscl to� _ to construct the building or addition as described above. Thispe x7nit is greuited upon the express condition that the person to whom it is granted and his agents, employees and wori�en. itt ali �ca�k done in, around and upon said building, or any part thereof, shall conform m a]l reffipects to the o�efiiaaa�s oE Fridley, Minnesota regarding location, constructiaa�, aiterat�on, maintenance, repair and mov3ng o! within the city limits and this permit may be revoked at anY time upon violati mf any d the pro�!isla�s o� ord�nancea ,�rr�i�� , :t � �"^'. NOTtCE: � .. ,,, �. 7'his p�emR do�s not eowr tM waslweNon, inslallation for wi��,'p�Nnbia�,r�as hqHa�, s�wK er w�r. M� N aM fho BviWinp In��eMr for s�pa�h parmifs for tbr.� iMma ' F° �i � a�o4 • .�� . a_„____.-. �-- -_ __ � APPLICATION FOR BIIILDING PERMIT CITY OF FRIDLEY, MINNFSOTg Owner's Name �� r a � 13a �U4',� / Bui].der '7'�,,,,�''a�S 7. CD lddress •3�/5 �R.�d,�/? �e. Address �.2/9 ��.�A/_ .lJo. LOCATION QF BUILDING No. ��. f'� Street ,c�,�� ,S�.a ,✓� Part of Lo� Lot �/ Block � Addition or Subdivision !�I�..e;,iAl �/1 LS Corner Lot Inside Lot � Setback o3�" � S3de-Yard /,Q -�/ /2 �- 9" SEWER ELEVATION FOUNDATION ELEVATION �.pplicant attach to this form Certifica,te of Survey of Lot and proposed building location. DESCRIPTION OF BUILUING To be used as : G 2, 3 �� /o M� Front�Depth� Height Sq. Ft. Cu. Ft. Front Depth Iieight Sq. Ft. /�' 9� Cu. Ft. Type of Construction /��.4� M� Estimated Cost /��o d To be Completed .5'�y�7'` / S 7"' /9� � / The undersigned hereby makes a:pplica.tion 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 thia applica.tion axe true and correct. � � , DATE !�� ' 9� l�G/ SIGNATTJRE (A Schedule of Fee Costs can be found on the Reverse Side.) i �.._ • .. . � �f�� City of Fridley . App�ic.crtian #or P'lumbing �d Gas Fitting Pennit — Dept. of Bldgs. Phone SU 4-7470 (" DESCRIPTION OF WORK / Number, Kind and Locatian of Fixiures Location t�� n �t'c�Z ��e �zx � — W�f� Z , ; WATER HTR. �. S V/ Z S} Z Z 1' Q� Z U Z O uI1 J ✓� U� Z � CJ7 =-a, � m 1c� Z �� = j�<� j` < a ` Z< � a R N GAS ELEC. �(J � O� m N 3 �- � LL N LL O U m � 3 U� � C� L' i% O Base � � l. � ~ lst � � / 2nd 3rd 4th • Future Coaaectioa Openiags * New Fixture, Old Opeaiags PARTIAL RATE SCHEDULE Sewer � Cesspool j'] PLUMBING FIXTURE RATES: NO. RATE TOTAi. � Number Fixtures . . . . . . . . . . . . . . . . . . . . . � x $1.50 $ �• ,> �j C� Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening . . . . . . . . . . . . . . x 1.00 $ Catch Basfn ............................ x 3.25 $ Water Heater (Up to 200,000 BTin ......� x 2.00 $ .�. a � New Ground Run Old Bldg . . . . . . . . . . . . . x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL lst 3 Fixtures ..........................� x $1.50 $ �'�� Additional FYxtures .................... x .50 $ Gas Range ta 200,Q00 BTU . .. ..... .. ... . x 2.00 t� REPAIRS & ALTERATIONS—Refer !o Code I3escription................................................$ TOTAL �'EE $�d City of Fridley: The undersigned hereby .makes application for a permit for the work herein specified, agreeing to do �ll 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. ,�l / � __, ig� iAjf . t_��t tyc- � � ) Owner I Kind of Building _ 'i /4 -��J �, . Used as To be completed about Oc Estimated Cost, $ �� 63r�_ New. Building Permit No. ��'� Permit No. f °Z �.i1 B . ., .� . .,� //. /I l ROUC3H � ` J � ` � � FINAL az sM �-s9 Phone No. �'-� � — �� - ,, Y � , Application �or P�o�wer Plants and He�ating. Coding, Ventilation. .Refric�rrai�ion dnd Air Conditianing Systems and Devices PARTIAL RATE S�HEDULE GRAVITY WARM AIR: RATE TOTAL . Furnace Shell & Duct Work . . . . . . . . . . . . . . . . . . . . . . . . . . 8.00 $ Replacement of Furnace . . . . . . . . . . . . . . . . . . . . . 5.00 � Repairs & Alterations—up to $500.Qt1 . . . . . . . . . . . . . . . . . . 5.00 $ Repairs & Alterations each add. $500.00 . . . . . . . . . . . . . . . 2.50 $ MECIi. WARM AIA Furnaee Shell & I?uct Work to 1?A,Q00 BTIT . . . . . . . . . . . . each add. 60,Q00 BTU .. .. ...... . ........ . . . . fteplacement oP Furnace ............................. Repairs & Alterations—up to $500.00 . . . � . . . . . . . . . . . . . Repairs & Alterations each add. $50Q.00 . . . . . . . : . . . . . . 8.00 $ V 2.00 � v.�__ �.00 $ 5.00 $ 2.50 $ 3TEAM or HOT WATER SY3TEM Furnace Shell & Lines—ta 400 sq. ft. EDA Steam. ...... 8.00 $ Furnace Shell & Line--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 $ OIL BURIVER—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: lst 3 Fixtures ...................... Additional Fixtures ................. � Gas R.ange to 200,000 BTU . . . . . . . . . . . AIR CONDITIONING FAN HEATING SYSTEM Vi£NTILATING $YSTEM x4t.TERATION3 & REPAIRS � ROUGH FINAL NO RATE TOT,AL _ x $1.5d $ �� _ x .50 $ _ x 2.00 $ � See Fee Sched.ule „_ $��, TOTAL FYE �7�'�, J ��! � , Depi. oi Bldgs. Phoae SU. City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to da all wark 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. �• ey� � v n i v �vv � , 19 — Owner � � ' ` — �-. � Kind of Building Used as To be completed about ��U 3� mU Estimated Cost, $ � -� 0 - Permit No. �� -'3 Permit No. � �� DESCRIPTION OF WORK HEATING e�� i�Ka�i; Wazm Air—No. � _ � Trade Name Size No%�� Capacity Sq. F't. E.D.R.6,� BTiJ H.P. Total Connected Load '� 6� Kind of Fuel i� . � BURNEA — Trade Nam Size No.��•�� '/� Capacity Sq. Ft. E.D.R A� � BTLT H.P. p GEO. SE WICK HTG. c: ^.i� -'�, ::.`. ,°�7 � D � 1001 Xenia �',v. S. Minneapolis lb, ��`��,�. Signe By . - � r' �';;�.<z TM 7-59 Business Phone N. (REMARKS-OVER) � r , , . � . � �% U�56 i s ,�7� �� HEAT LOSS CALCULATIONS a DEPARTMEN'T OF BUILDINCS 1NINIYF-�F('� MIMV• Weatherstrips A.S.H.V.E, Construction No. Inaulation Guide Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How. Ap Yes—No Yes—No 19_ Fl.� ' �� Room � Lenqth �� Width ` Height � Fl.� '� Room L.ength Widtt► 1 Windows and Doors—Crackage and Area Windows and Doora—Crackage and Area �Vidth Height No. ot, Lineal f. Area � Wldth � Height No. ot Ltaeal tt, Arts No. o[ pane of pane lights ot crack aq. it. No. ot pane ot Dane lights ot Crack ep• �tt 3° p�or 1 z� �.a 3 a y � �� ►- � I Coef. � Btu Ca Inhltration 5 3 Infiltration 3i Glaaa �Jd � Glaaa Facp. wall Exp. wall X 7.00 Net exp. wall 3 � Net eap. wall Int. wall Int. wall Ceiling 2 I�{ � � Ceiling } Floor Floor T'otal Btu. � Total $tu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required aq. ft. E.D.R. or aq. ina. W.A. Leader area Fl.� ''t � Room � Length J 3 Width �?, Height g �ry.� z Room ( Length Width Windows and Doors—Crackage and Area Windows and Doora—Crackage and Area Width Helght No. ot Llneal ft. Area Width Hefght No. o! Lineal !t. Area No. o[ yane ot pane ilghts ot crack sq. tt. t k Coef.l Btu Infiltration cta� 3 Exp. wall `� �j Net exp. wall (p Int. wall Ceiling � �� Floar Total Btu. Required aq. ft. E.D.R. or sq. ins. W.A. Leadsr area Fl. }( � e Room � Length � Width , Windows and Doors—Crackage and Area Wfdth Height No. oL Lineal tt. Area No. ot pane of pane lighte ot crack eq, ft. Coef. Btu Infiltration 3 Glaas 00 Exp. wall [ .1 Net exp. wall g 3 Int. wall Ceiling j � �� l� loor Tota) Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area �� __r __�� . �__�� I c�ass Exp. wall � Net exp. wall � _ _. _ Int. wall Ceiling 3 x > > Floar Total Btu. �uired sq. ft. E.D.R. or aq. ins. W.A. Leader aid► Windowa and Doors—Crackage aad Area Width He1`ht No. of Lineat fL Area No. ot pane ot.DSne tlBbts . ot crsok q. tQ �0 �.2 l � In6ltration � G1aaa sc� Exp. wall k Net exp. wall �p Int. wall Ceiling � X � � i7 Floor 'fotal Btu. Required sq. ft. E.D.R. or sq. ins. WA. L.eader area � 4 b D�S6 �� 9 HEAT LOSS CALCULATIONS , DEPARTMENT OF BUILDAVGS w ry 9 A.S.H.V. , �ieati►erstrips Conatruction No. ' Tastl�aE�n Guide Windowa Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind I�w Appli�d Yes—No I Yes—No 19_ Fl.� Room Length Width Height Fi.� Room Length �i�►. HeiBt►t Windows and Doors—Crackage and Area Windows and Doors—Crackage and A�rea �� Width Height No. ot Llneal ft. � Area Widt6 HetBht No. ot L1n�a1 fQ ArM' � . �� No. of Dane of pane lighta oi crack ep. LL No. ot pane of Dane lighta ot ciaclR q. LL , � �.o �a � 2n �z . infiltratiott �aaa • ' � Eap. wal! � X �d Net exp. wall Int. wall Ceiling i'� X 1 C� i 1�YJ Coef. � Btu � 7'otal Btu. Required sq. ft. E.D.R. or aq. ins. W.A. l.eader area Fl.� Room � Length Width Height Windows and Doora--Crackage and Area Wldth Helsht No. ot Ll�eal ft. Area No. oL Dane ot pane lighta of crack �q. St. Coef.l Btu In6ltration Gtaas Exp. wall Nec exp. waU Iai. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or aq. ins. W.A. Leader area FI. : Room { i.ength Width Wiadows and Doors—Crackage and Area Wtdth HeiBht No. of Lineal ft. Area . NO. Ot pane ot pane ilghts ot crack eq. tt. � Coef. Btu Infiltration ( Glaas Exp. wall Net exp. wall Int. watl Ceiling I� loor Total Btu. Required sq ft. E.D.R. or sq. ins. W.A. Leader area �f : � � Infiltration Gta:a Eap. wall : Net ezp. wall Int. waU Ceiling Floar Total Btu. Required aq. k. E.D.R. or aq. ina. W.A. L�ea�iet�'..�ea FI.I Room � Length ��, . He�ht Windowa� and Doors�--Cracicage and Ana . Wldth Height No. of Lfaeaf LR Ar4a No. of pane of psns light� ot eraok ep. ft Infiltration Glaas Exp. wa11 Net ezp. wal! Int. wall Ceiling Floor Total Btu. Requued aq. ft. E.D.R: or sq. iaa. W.A: laudat �ea . Fl.� Room 1 L.ength Wic� I�leiBl�z W.indows and Doors--Crackage and Are� •` Width FIetsht Na of I.in�ul Lt Area No. of psne ot.y�ee Ilghts of eraak �p: !k Coef &n Infiltration � Glaaa Exp. wall Net exp. wall Int. wall Ceiling Floor � Totai Btw Required :q. ft. E.D.R. or aq. ias. WA. L.eadet ar�a ••� ;:: • • Date: Owner ity of Fridley, Minn. • BUILDING PERMIT N� s 8 i 5 ...�.�._..`-_�.._..,�:w- _�. �.__._.._. `��`�.� _.. ._..w . �._.__.._...__..._..._.._..__ Builder _.._c..__.._..______.....��.......1............_......._...______._..__ Address....._._..._:..........__.___.._____._..___._..._._........_.........._.._.._.._......._.._ Address LO ATION OF B ING No�,�t../�.(�•�..... Street .. _... ......_ ..�_`--��.�-r--'+�.r.,�•.---••r-.... Part of Lot ......._....._..___...__..____.__..._.�.___.._..— Lot ..--.--•--__....__...__..__ Block _.___._._....__..--•--._......._._. Addition or Sub- i' n --• ,�,,.- �,._._..___�._._.__._.. _...._.__: �_.._.._ �w7 Corner Lot ....._........._.._..._.. Inside Lot ....._.�'� ................ Ib'�back ....................... Sideyard .._._�E�i�.._� .._........__ Sewer Elevation ._._..._�..__..._...._____..._......__.._..__.__.._......_.._---•..._ Fo dation Elevation .------•...._...�_.__...._....__......._.__..---..._...._... DESCRIPTION OF BUILDING T • � � i / r� - .. .._.�...._ Fr�t _..�� Depth _....�t..'�`. Height ...,��-_. Sq. F� �.�_.._ ._._ Cu. FL y�� ...._.._..._._........._.._.._._._.__...._ _____.......__ Depth _...___...._. eight _.�.. .__ Sq. Ft. _.___._..__. Cu. F't. __........._._ � Type of Construction _ .. ......w._......._... Est. Co ��..��.... ._...��..._ To be Completed ___.____._...._..�...._._.._. In consideration of the issuance to xne of a permit to construct the "Iding described above, I agree to do th� proposed work in accordance with the description above set forth in compliance with all provisio of, c�rdinances of the city of Fridley. ._ /�/ � //, In consfderation of the payment of a fee of permit is hereby granted to._._.._.._._� — .,.._._..._....___..___....._...:_,._._.__..___. to construct the building or addition as described above. This permit is granted upoa 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 o� Fridiey, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the dty limits and this permit may be revoked at aqy time upo� i�p�3�t ion of any of the provisions of said ordinances. .i1 i✓a' 1 �� • NOTICE: This p�rmif dou not eowr fh� eon�teueHoe, inshllNion for wiriny. Plumbins, gas h�afing. K or wN�r. 8� wn to sN th� Buildieg In:pa�or fo� a�ps�at� p�rmits fo� ��a 1Nms. SuBJECT City of Fridley �� g � AT THE TOP OF THE TWINS g � I L D I N G P E R M I T f � ' PT � � � COMMUNITV DEVELOPMENT DIV. ' ; V'�""', r � � PROTECTIVE INSPECTION SEC. ��% � � - ' � �'��I � CITY HALL FRIDIE� 55432 NUMBEA �7EV DATE PAGE bf APPROVEO BY �----�'•� ,•' 612-571-3450 910-F15 5/22/97 � / J08 ADDRESS 5260 Buchanan Street NE t LEGAL ��T NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 21 1 Marian Hills Addition SMEET 2 PROPERTY OWNER MAIL ADORESS 21P PHONE Ron Marier 5260 Buchanan Street NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same a AqCHITECTORDESIGNEF MAILADDRESS ZIP PHONE IICENSENO. 5 ENGINEER MAIL ADDRESS Z�P PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK p NEW ❑ ADDITION O ALTERATION ❑ REPAIR p MOVE ❑ REMOVE 1L 8 DESCRIBE WORK Construct a 16' x 20' Deck 9 CHANGEOFUSEFROM TO STIPULATIONS See notations on plan. TYPE OF CONST. OCCUPANCV GROUP OCCUPANCV LOAD SEPARATE PERMITS ARE RE�UIRED FOF ELEC7RICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZpNING SO. FT. CU. FT. AUTHOR�ZED 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. N0. DWLG. UNITS OfFSTFEET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND OF;DINANCES GOVERNING THIS TYPE OF WOFK WILL BE COMPLIED $2�838 �1.42 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAI LAW REGULATING CON- STRUCTION OR THE PEFFORMANCE Of CONSTRUCTION. �74.75 Fire cJC, �Z.B�F PLAN CHECK FEE TOTAL FEE $79.01 5 NATUAEOFCON�FACTOA0�7AUTH ionr i /� — WHEN PfiOPER ALI4 ATED THIS IS YOUR PERMIT _ G� :' / f.�-+� " � 2?.� � SiGNA EOFOWNERUFOWNERBU�LDEiiI C �OA EI BLD �NSP �1l.7E NEW ADDN ALTER [l i j CTTY OF FRIDLEY �� [� SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: � a� � �� u� �I ,q-,v ��¢H/ S / �L �-y ;' Legal Description: %� S'� o Owner Name & Address: Contractor: -� � Address LIVING AREA: GARAGE AREA: DECK AREA: OTHER: K r �,�- Effective 1/1/9w � - �� 1' v � �� /yl�' .I' �`Y�-/. Tel. # S �� - �� MN LICENSE # Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IlVIPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length G, � Width 2� ' HgtiGround � i" Sq. Ft. ��x �, �i7 =��3� � ��►� � . Construction Type: �� `�� '� ��5 �timated Cost: $ • � �3�� %U (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + b Ft = Ft x$ _$ `� DATE: � '"`� �- `j ��-- APPLICANI': � �-vr `��G`�l�/Z_.. Tel. # � � �`�� Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATiONS: CITY USE ONLY $�'f %j Fee Schedule on Reverse Side $ .001 of Permit Valuation (1/lOth%) $ , y2 $.501$1,000 Valuation $ $950 per SAC Unit $ $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review $ Fee Determined by Engineering $ Agreement Necessary [ ) Not Necessary [ ] $ q Q ,.= ,, , , ,, . ' . . � . . �i .�,t ��: r S ..4 *C� fr�,yg�s . . . - < �Str ' ) E �,tw�Yi,'�r . . _ .�" ��"si $ke 6:�.. � - . ;:. � , ' .. � ... . . ...... . , .. . ., ,.,9�. .. ' � ... . . . , .t' . S Y } TJ ` , �.04/pINING'�THB RECORDS�OF `r � �. ,.,. , HARVEY A. CARTWRIGHT �', C�RT�� .�' y��O� ` J E. HILL,:.,CIWI.'ENG�(viEaR ,. .,'.:. ANOKA COUNTY SURVEYS . — E�TAtl61fH[D I�G6 HENNEP�N COUN7Y�� SURVEYS �- - �.� -�L t1 NI) . S UR �'L� YORS- �. - c.�.F. SANDHOFF ' MINNEAPOl,iS SURVEYS ' � . � - � 0a:0 PA�LM sTREET N W. REG�ST6Rf0 UNDEN 1.�W6 OF STAT6 OF MINNgSOrA - � C9TABl.BN C'Nfvaa' � � �� SUnser a•�855 �� LICHNQE� BY ORDINANCE OF CITY OF MINNEAPOI.IS � � owr�eA JAMES NELSON 326 PLYMOUTH SUILDING • FEoErra� 8-8721 SuRVEYOR HENNEPIN AT SIXTN • MINNEAPOLI5 3. MINNESOTA EsTaeusMeo �szs'. INDUSTRIAL — JUDICIAL � � '�� •� tlU5iNE55 — TOPOGRAPHICAL . � � � �� METROPOL.ITAN LAND . � � � GITY LOTS — pLATTING �� HC�CpOC,g �CTIIf�CAti . � � . 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CtTY OF FRIDLEY {NSPECTION DIV. 6�431 University Ave NE �.�� ,�ridiey, MN 55432 i � 572-3604 Stories Basement Floor 1 Floor 2 Floor 3 Floor 4 PLUMBING FIXTURE RATES: APPLICATlON FOR PLUMBING AND GAS FITTIFlG PERMIT M�RK NUMBER OF FfXTURES TO BE INSTALLED ON EACH FLOOR .y!ru;•.':y.::i:::i:;: ,}•?x:�:�ii: �:<:>�::::� �:;;f:::::<:.:: �:::: Wash �� `;.;;,>�:..:::>: Fioor ��<<'::<;� Auto. ..,1�.:::,::.., . �.�....�"�+........:: ;.:::::.,... Urinal �::. ::.:,<;:.: Shnwer J?'��:�,...:.r;r::: Tra ...:.;::. .....:;>,.:x::; ...�::,: k.::': "'�`E�� `� ��I�� .:. v �Q�i��k:::>>:::::: Drain ��ti�t� . `� Washer NO. RATE 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*' _L Gas Range"' Gas Dryer"' Back Flow Preventer Required ()Yes () No $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 Type $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATlC1NS 1.5% of Value of Fixture or Appliance State Surcharge TOTAL FEE Effective On May 10, 1999 Gas ��:`�;`�t>; Water Heater �:>,.�.�;A. ,.. .. ::v�{„ �:;.. "...�,�. . Ran e � ..r.,:�� Gas EI 4 ��i�--� - - ec /-� �� 70TAL JOB ADDRESS (�lvlJ 0 The undersigned hereby make� appiication 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. CYRANKOWSKI, WIESLAW 5260 BUCHANAN STREET Owner _ FRIDLEY, MN 55421 (612)571-6555 Building I l�/-3 , 1999 Estimated Cost 7U� PERMIT NO. � PLUMBING COMPANY / U(� � P/Gl/%�/l�:�Cl SIGNED BY �� TEL N0. Z��7v33 Approved By Rough-In Date Final Date .-�- �� ...._...._ _.'__ . -- ----�---- - ...,-.,..-.. �. � • � : . _ : "COMBUSTION AIR SHALL BE PR�VIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMl1M SIZE 9 SQ INCHES. � w _ _ C[TYOF FR[DLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. I+1.E. FRIDLEY, MN 55432 •(763) 571-3450 • FAX (763) 571-1287 February 23, 2001 Wiesiaw Cyrankowski 5260 Buchanan Street NE Fridley, MN 55421 Re: Final Inspection at 5260 Buchanan Street NE Contractor: Norblom Plumbing Dear Mr. Cyrankowski: A mechanical permit was issued on November 8, 1999 for the installation of a gas water heater at your property. According to Section 305(a) of the 1991 Uniform Mechanical Code a final inspection shall be pertormed on the mechanical permit. As of this date no inspection has been called for. You will be given thirty (30) days from receipt of this notice to respond. If we do not hear from you, your permit will expire and any inspections on this installation will require a new permit. Any questions can be addressed to myself at (763) 572-3603. incerely, :NSEN Inspector DJ/mh Building MECHANICAL Permit No�� 15 Ynspections RESIDENTIAL APPLICATION Rec ' � � 763-572-3604 CITY OF FRIDLEY vat��c�'c1:�� 763-502-4977 FAX EFFECTNE 1-1-08 DATE II-IS-OB YOURE-MAILADDRESS K.r1SAr1�1'�SWE�UYba+�au"-0�"�Q�n� �v►''� SITE ADDRESS J'r�.IoO �tAC�pu'�Ar� � THIS APPLICANT IS: ❑ OWNER �CONTRACTOR PROPERTY NAME: I/JC S CV ✓' OWNER/ ADDRESS: SZ(o0 $ldCJ4p.vtou-� � CITY �i'lt�►�J STATE MNZIP�7- TENANT pHONE: -i(o3 - S�TI - ��S CONTRACTOR COMPANY NAME: �� '` .�^ -r'( NOTE: V-- SEPARATE CITY CONTACT PERSON: �r SQ,✓i d l"+i F✓��Gi'i LICENSES ARE STATE LICENSE # EXP DATE REQUIRED FOR GAS AND HVAC. ADDRESS: �D'rdc OS�dY►'�p Rd !� CITY �P'(�LR.I� STATE MNZIP SS�� SUBMIT COPY OF BOND pHONE�IL3• �1� '�� FAX 7�3-�%SA -�Ilo�1� ANDINSURANCE PERMIT 1'YPE SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: � NEW �REPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK rro� QCd r�ac.� a.� e IM.�- P��n m�ew� PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) OR Labor cost under $300 =$15.00. Labor cost between $300 to $500 = cost of labor x.OS = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) Equipment Installed MFG: �F�� MODEL: 3SSC�4V U�1iO�o� SIZE/BTU (00 � OOd MFG: 5 MODEL: 2$(oAN SIZEBTU 2A � Ode MFG: MODEL: SIZEBTU �A/C $25.00 FIREPLACE (GAS) $I5.00 GAS RANGE/OVEN $10.00 _AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 `NEW GAS GRILL $10.00 BOILER $35.00 �FURNACE $35.00 `GAS iJNIT HTR $10.00 CHIMNEY LINER $10.00 GAS DRYER $10.00 POOL HEATER $35.00 DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 �;. '� �° ,?"� . :m � �r > :i�. �,,�� Permit Fee $ Number of fixtures @$10.00 x$10.00 =$ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DiIE $ OR Number of fixtures @$25.00 I x$25.00 =$ 25. 00 Number of fixtures @$35.00 1 x$35.00 =$ 35. OD State Surcharge = $ .50 MINIMUM $15.50 MINIMUM $15.50 Tota1= $� O• 5� 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 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. SIGNATURE OF APPLICAN pts�nC.�- PRINT NAME .�Yt�CS�r�cl� �/'�r'x.�1 DATE �tI�S D APPROVED BY DATE City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 � - ; burban ir;;� EQUI PM ENT SI ZI NG CALCULATI ONS FOR: 5260 Buchanan St, Fridley ZoneDesrxiption Sq Footage Heaking Requirements Cooling Requirements Ventilation Requirement: mai n 1,150 40,250 BTU H 1.64 Tons CFM pee Sq Ft base 1,150 17,250 BTUH Tons Bedrooms BTU H Tons BTU H Tons 0 BTUH Tons Totals 2,300 57,500 BTUH 1.64 Tons 15 Prepared by Staburban Air -10/30/08