AF - 42040Application for Rawer PlaM�s and: He�ing, Coding, Veni�lation. .Retrigera�ion and
Air Conditianing Systems and Device�s
PARTIAL RATE S�HEDULE nep:. of Bldgs. Phoae $U 4-7470
GRAVITY WARM AIR: RATE TOTAL .
Furnace Shell & Duct Work . . . . . . . . . . . . . . . . . . . . . . . . . . 8.00 $
fteplacement of Furnace ............................. 5.00 �
Repairs & Alterations—up to $500.60 . . . . . . . . . . . . . . . . . . 5.00 $
Repairs & Alterations each add. �500.00 . . . . . . . . . . . . . . . 2.50 $
MECH. WARM AIR
Furnace Shell & Duct Work to 120,Q00 BTIT . . . . . . . . . . . .
each add. 60,Q00 BT[J ..........:............
Replacement oY Furnace .............................
Repairs & Alterations—up to $500.00 . .. ... . . .. .. . . . . . .
Repairs & Alterations each add. $500.00 . . . ... .:.. . . . .
8.00 $ 8 • �
a.00 � r____.
5.00 $
5.00 $
2.50 $
3TEAM or HOT WATER SYSTEM
� Furnace Shell & Lines—ta 400 sq. ft. EDR Steam ...... 8.00 $
'� Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $
y
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
.......... s.00 � 5.00
GAS BURNER (up to 400,000 BTU) . . . . . . . . . . . . .
GAS FITTING FEES: NO RATE TOTAL
lst 3 Fixtures ...................... x$1.50 $ 1•50
Additional Fixtures . . . . . . . . . . . . . . . . . ' x .50 $
Gas Range to 200,000 BTU . . . . . . . . . . , x 2.60 $
AIR CONDITIONING �
FAN HEATING SYSTEM See Fee Schsdule
VENTILATING SYSTEM $
ALTERATIONS & REPAIRS TOTAL FEE � 14' • 5�
Rf�UGH
FINAL
�
Lxation 2�,3 El�
_ �:
City of Fridley:
The undersigned. hereby makes applica.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 st�ed in this application are true and correct.
' Fridley, Minn. h-1 �.=6�. , 19 —
Owner Remco. Con�,,truction CO. _ _
Kind of Building F`x�.
Used as Res.
To be completed about 7'i9-63
Estimated Cost, $ �}uv. Vv
Old—Nsw. Building Permit No. LD �`� Permit N
DESCRIPTION OF WORK
o�
HEATING or POWER PI.ANTS—Steam, Hot Water, Warm Air—No. 1
Trade Name Westinsrhouse g�e No, GUA—%5
Capacity Sq. Ft. E.D.R. BTiT 7 5� H.P.
Total Connected Load 40, 714 Kind of Fuel GA,S
BURNEA — Trade Name Size No.
Capacity Sq. Ft. E.D.R BTiT H.P.
(REMARKS-OVER)
`'�:, >
�;;�<z zM �.s9
FRED VOGT �& CO.
Signed
HEATING 8 AIR CONDITl�;�,,,��,
By
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Business Phone �o°Y� P°�k' MinnNOtr �
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_ ,� � ,,�, z � � � -��� '
w�T �.oss ce►t�n.�na�s ��r�rrr � eui�ir�s n��v�v�e,�ous. n�.
Wsad�srttrips �� Cunstructan No. In�ulation
�l&'iado�rs Dox� RefereDU Out. W�U Int. Wall Celiat Roof Floor Kind How Applied
��- t es--- 09_. ,
�' F7. , Room L.ea�th Widtk Heisht FI.) Etnom L.en�th Width Heisht
�liadows and Doors--Cracka�e aed Ana Window� and Doora--Cracka`e and Area
Wldth HNS t No. ot Ltn�al Area • IAtY H�I��t No. ot Ll�ul tt. Ar�a
fae. ot p�n� et Mw� Il�ha e! ek p. tt. ' No. of paM ot Dan• If�yt• o[ cract p. tL
� t y. o �; s- 8'
Q� a
�- P'
Coef. Btu Cocf. Ba '
Ie6ltration 0
Glaa
�. Kt� �
N� exp, wa!!
�iat. wa11
Ceilin� 2
Floor
i7w1 Bta.
�qe�ited p. ft. E.D.R. or �q. ina. �V.A. L.eader area
� El.� • Room Len�th Widch
t
Wiadows asd Door♦-�racka�e and Ana
— IAe Mstit No. ot Lleh rt. Ar�a
No. ot �an• •t pae� lf�Yt� ot er�ek N. tt.
L t�l L � / S�. _�%
Coef. Btu
�a�ibratiat �
�iaa 7 .Sa � S _`
�'atD• wal! '
�let e:p. Mrs�
f nR. wali
Ceiling .�,5
Floor �
?otal Bt�.
Required �q. k. ED.R. or �q. in�. W.A. L,eader area►
Fi.i Room ( L.en;th Width '
11Vindow�� asd Goors--Cratkase and Area
AY dtYt No. ot Llnul tt. Area
No, ot Ma�• at Nu� If�\t� ot cratk p. tt.
� .s � � � �� �e
isrilcs�tiw I
4'Ja.s ___-�-�__ — U
��a wail �' <
a�^+{et e��w�t� �.,.� _ �
��,t. ws3i �._._._..�.M
r.;ca��ng
E°�eaor ��:_.._.___.a_�_.. �
Tatal �tu.
Requ'ved sq. ft. E.D.R. or aq. ins. W.A. Leader are�
..� �_ _� —_ _ _ _ _ �
�—�
In6ltration
Glaa
Esp. wall � � �
A1e! c�. wa11
Int. wall
Ceiling
Floor
Total &u.
�
/3
Rcquired �q. ft. E.D.R. or sq. iati �.A. Leader area
1 Fl.I �„vQ Rooen I Lensth/�.. Width
Windows and Doon--Cracka�e and Area
IdtA Hel�ht No, o� Lle�al tt. An�
I�o. o[ �as� of y�n� 1 hb oI cr�ck p. tt.
j21��T��101!
Glas�
' F�p. wall ��
Net e:p. wall
Int. wall .,�
� Ceilin� �./�i
Floor
Total &u.
�
1
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/`"+�,.V .
o i e-.i �,
/ I�-r+-v .
Required sq. ft. E.D.R. or sq. in�. W.A. Leader area
Fl. � i ��� w�h • ��ti�
Rlindows �nd Door�--Crackase and Are�
ldtn d�ht Na ot Llnul tt. Ar�a
No. •t pan• ot p�n• tl�ht• ot cr�ek _ �v. tt.
ecu ,��
i � �y,�._ Infileration
� � . `Ca�Yf3 -- –
��. wal�
r���..� � � Nct exp. wal{ �
IInt. wall
� ! Ceiling �t. �
; 4 � I Floor
��
i�
CoeE.1 &u
Tocal Bcu.
Required sq. ft. E_D.f�. or sq. ini. WA. Leader area /
:
City of Fridiey
Application for P'fumbing cmd Gas Fitting Permit
DESCRIPTION OF WOAK
Number, I{ind and Lxation of Fixtures
�n 1/� U' WATER HTR.
C[: � Z �n S� Y~ C Z = Z W ? � �
� nv� = 2 �n u1 1G �' Z Z � 8 U �= J ��C w
; U � �6 � m in 3� o� � LL� V�< 3 <U' < U�' oG (� O R N GAS ELEC.
Base /
lst � %
2nd
3rd
4th
• Fu2ure Conaectica Openings
* New Fixture, Old Openiags
PARTIAL RATE SCHEDULE
f / �City of Fridley: ' Y� �/� — .✓l' t f
The undersigned hereby makes applicat on for a permit for the work herei
specifie d, agreeing to do a ll wor k 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. ��-'�-�ti'< 2�, 19 G-�
Owner , / � � Tc
Kind of Building ��''¢'l{ �
Sewer [� Used as ��l � '
Cesspool � /
To be completed about � U 4— �
PLIIMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures . . .... .. . . . ... ... .. . . � x $1.50 $��
Future Fixture Opening ................ x 1.20 $
New Fixture Old Opening . . . . . . . . . . . . . . x 1.00 $
Catch Basin . . . . x 3.25 $
Water Heater (Up to 200,000 BTin ..... .�_ x 2.00 $ �-c G U
New Ground Run Old Bldg . . . . . . . . . . . . . x 3.25 $
Estimated Cost, $
Old—New. Building Permit No. �`O Permit o. ��� `O
Signe ` � ` �,�% i�'�-t
By � �Z ,�'� P �-Fr��
Business Phone No. S �' - � � �r 3 � �-�
ROUC3H a
�r��� ��3a� �
�
FINAL
GAS FITTING FEES: NO./' RATE TOTAL
_y
lst 3 Fixtures .......................... x$1.50 $ � S
Additional Fixtures ..... ............... x .50 $
Gas Range to 200,000 BTU . ............. x 2.00 �
REPAIRS & ALTERATIONS—Refer to Code
Description ................................................$
mrai, r�E g�.� d
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• �
City of Fridley, Minn.
BUILDING PERMIT N� s s s s
• ....
Date: _._...._� =`-'.:•....� ._.'.` �.!� _ � .._._...._.......__.__..._...� � � ` ��
��,�'1���,.�._.. . . � ' .
Owner: ......__.._... .._.. ..__..� Builder _. _....� .... ..: . ..... ............._...__.--•--...---......._......_..______.._.._
�
•
Address_..._.._.._:.__.._..._...._....__._.___.._.__.._..._ .............._...._...._.._...-----.._ Address
LOC N F B ILDING
No. rS.�-,� ..... Street ..... �. .:... ._.. .. ... ....�-•------� ,�....�.✓...-•------�-- Part t .. ... . .. .._.._._._._._
Lot ./�..�`il..-(p�._ Block _-----•.._...... ...._ ..------- •----._..._. Addition or Sub-Divisio � ... ��/�"-`..'-..r . .. . �
.. . .. .. . -• ..... �-�•.._.._...__.._.___....__
Corner Lcrt _.__.._..._..._.._.._ Inside Lot •---•------------,1'.`. �...------ Setback .....�__��_.---•---- ideyard ......_.._ __. �.<-..._..__.__.__
Sewer Elevation ..__..___.---._.._.---..._._..._.._...__.._..__...._..........._---_.._ Foundation Elevation
'� DESCRIPTION OF BUILDING
o U/ . �.. Depth ��.d ,� �.� .. Sq. F� L J:�! F't,�•��.�P �
_ . ... ...... ...__ Front __ ...... . _. .. ..... Height -----. .. .._.. . ._ Cu. _
p -
.... � .._ FroA _.! ....___ Depth F��._�H�ight �.�.� Sq. Ft. ��� Cu. F� �..� �a
Type of truction _��,�..�..�._..�..�.�-°r���.' Es� Cost��--..11...+�.�.'_....._�`��To be ComPleted -----..._.._..__._:._.._._.__._._.
In consideration of the issuance to me of a permit to construct the building described above, I a�ree to do
th� proposed work in accordance with the description above set and ' compli with all provisions of
ordinances of the city of Fridley. ^
A
�,
_
In ca�sfderatfon 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 upon
the express condition that the person to whom it is granted and his agents, employees and workmen, in all work
dane in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, altera.tion, 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
ordivances. s� A /"1
Building Inspector
NOTICE:
TAk p�emN do�s not eowr fh� wnstruelion, in�all�Non fo� wtriny. Phnnbtn9. ��s h�NGi�, trw�r or wN�r. 8� sun to su
th� BuiWiag In�p�efor for ap�nt� p�rmhs for tha� ihms.
. �y
•
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City of Fridley, Minn.
BUILDING PERMIT
,7ULY 26, I966
Date: __�___..�_.._...�r._.._..._._...
� 5�%3z
N° 8939
Ov�er: _,.._M.JEROME SOWADA Builder _._ THE SUSSEL,__COMPANY ____._....,__
Address _.._._?43_.ELY_ STREE.__ :T_ N_..s_E.:___..____.._.._.._.__ Address ____ 185 0_G�.�LQ...A��..__.
FRIDLEY, MINNESOTA 55432 ST. PAUL� MINNESOTA
LOCATION OF BUILDING
No. _.._..__243�._... Street ._._..._..ELY. STREET 1�..,..E.�.___...._..._.__..._.._.._._. Part of Lot __._.__..... ._.._. _.
Lot _._15 �.16..._ Block _.._._.._._._.__l�k.._......_..... Adclition or Sub-Division ..%PRING RRnOK PARK .
Corner Lot .___....__...____ Inside Lot .._.__._.___..____._.. Setback ._____._...._..._.._...._... Sideyard
Sewer Elevation ____..__._._._.__.___..._..._.._.._._._.._._..___.._..____.._ Foundation Elevation ..___....__.
DESCRIPTION OF BUILDING
To be vsea as:
RECREATION ROOM �t ����� �p� _.�_._...._ Height ..___._._._. Sq. Ft. ___.._..._..
_.___.___.__.._.....__............ Front _�___._..__ Depth _..__�..__ Height _..__..._._._.. Sq. F� _...._..._.....
Type of Construction __....._. F�1`.'� _�... Es� Cost ._.._..s�`.900 . 00__..._..._.._ To be CoanPleted
,�i�ai�■
Cll. Ft. _._..
In co�sideration oP the issuance to me of a pexmit to construct the building described above, I agree to do
th� proposed work in accordance with the description above set forth and in compliance with all pravisiona of
ordinances of the dty oP Frfdley. -, .� � re �
In comaideration of the psyment of a fee oP �.6 . 00 ____..._.., permit 9s hereby granted to.�.� SII�SrE�
COMPANY to construct the buildin�g or addition as described above. Thispe rmit is granted upon
the express condition that the pexson to whom it is granted and his agents, employees and workmen, in all work
dane in, around and upon said builcling, or any part thereof, shall confrnm in all respects to the ordinances o�
��eY, M��� �S�di�►B location, construction, alteration, maintenance, repair and mavin8 oP buil�
within the dty limits and this permit may be revokecl at ar�y time upoz� violation of any of the PTavisio�a o! d
ordinances.
CLAREftCE LBELISLE $�� ���
NOTICE:
7fits p�rmit doa net eowr 1M eonsteuefke, InqallrHen fer wle�. P��Y. Y+� �. swwK er wahr. !� w» to w
fh� Wlldio0 Inq�lo� for apuat� p�naila for 1ha� i�wn�.
..: . . --
�
�
APPLICATION FOR BUILDING PERMIT
� CITY OF, FRIIiLEY, MINNESOTA
OWNER' S NAME ��Q�%E, Sc� �,t�,d�Q _ BUILDER �,� S�l�S�G ,��
ADDRESS ��3 ��y ADDRESS1�5� � �� �(��
LOCATION OF BUILDING
N0._ v�¢.3 STRE�T_, ��}� � FART OF LOT
L4T BLOCK ADDITION OR SLTBDIVISION
CORNER LOT INSIDE LOT SETBACK SIDE-YARD
SEWER ELEVATION F'OUNDAT'YON ELEVATION
Applicant attach to this farm Two Certificates of Survey of Lot and proposed
buftding location drawn on these Certificates.
DESCRIPTION OF BUiLDING
To be used as ; ��C���l01C/ �oo/LJ' �/� -�i'F�����
Front Depth Height
Sq. Ft. Cu. Ft.
Front Depth Height
Sq. Ft. Cu. Ft.
Type ot Construction � jv%� Estimated Cost / d����
To be completed� ��/�� �G� , ���
The undersigned hereby makes application for a germit for the work herein
specified, agreeing to do al]. work in strict accordance with the City of
Fridley Ordinances and rulinga of the Department of Buildings, and hereby
declares that all the facts and representations stated in this applicatian
are true and correct.
DAT � `SIGNATiJR� .CS��.,
� .
( chedu e of Fee Costs can be found on the Reversa Side).
_. . ! .. �R i
�
�� � �
� _.
Application �or Power Plants and Healing� Cooling� Yentilation. Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GAAVITY WARM AIR: RATE TOT]►L
Furnace Shell & Duct Work . . . . . . . ... . . . . . . . . . . 8.00 $
Replacement of Furnace .. ... ... . ....... ... . ...... .. . 5.00 �
Repairs & Alterations—up to $50Q.00 . . . . . . . . . . . . . . . . 5.00 $
Repairs & Alterations each add. $500.00 . . . . . . . . . . . . . . . 2.50 $
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTCT . . . . . . . . . . . .
esch add. 60,U00 BTiJ .. .. . ... . . . .. ... .. . . .. .
Replacement of Furnace .............................
Repairs & Alterations—up to $500.00 . . . . . . . . . . . . . . . . .
Repairs & Alterations each add. $500.00 . . . . . . .. . . . . . .
8.00 $
2.00 �
5.00 $�—
5.00 $�L—
2.50 $
3TEAM or HOT WATER SYSTEM
Furnace Shell & Lines—ta 400 sq. ft. EDR 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 BUR1vER—to 3 gal. per hour . 5.00 $
r aver 3 gal. per hour—See Fee Schedule
G�3 BURNER (up to 400,000 BTU) . . . . . . . . . . . . . . . . . . . . . . . 5.00 $
GAS FITTING FEES: NO RATE TOTAL
lst 3 Fixtures ..................... x $1.50 $
Additional Fixtures ......... x .50 $
Gas Range to 200,000 BTU . . . . . . . . . . . x 2.00 $
i AIR CONDITIONING
I FAN HEATING SYSTEM
I VENTILATING SYSTEM
I ALTERATIONS & REPAIRS
ROUC3H
FINAL
�
See Fee $chedule
$
TOTAL FEE a�
Dept. of Bldgs. Phone $U 4-7470
���o ��
�
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 eby declares that all the facts
and representations stated in this application e e and correct.
A
F�idley, 1Vlinn. � , 19 �
Owner ��
Kind of Building
e
Used as
To be completed about
Estimated Cost, $ �� '
��- _ �'�c; : �oc��. /
� c._," New. Building Permit N.�Cf ��] Permit No. C�
DESCRIPTION OF WORK
HEATING or POWER PLANTS�team, Hot Water, Warm Air—No.
Trade Iv ame Size No.
Capacity Sq. Ft. E.D.R. BTII H.P.
Total Connected Load Kind of Fue�
BURNER — Trade Name Size No.
Capacity Sq. Ft. E.D.R STLJ H.p.
(REMARKS-OVER)
��n42
Business Phone
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=�, '-. Room � Lcngth �idth . G Height Fl. � '�Loa�lt' �
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:�a"w�s and Doo:sr-�-Crackage and Area �`�tdov� and�,�
t4 eiBht No. of <, iaas #L Aeaa t!k ��- ,°,.
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�. : � . . . . . � �... .� , :.. . �';''F t�,sMS ? ':� s'," �
` Rrqvired sq. ft ,�.D.R. or sq. ins. 1V.A. Leadar asa R '�d' - h. £.F�% r�r-`'` ,
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t� � � � i � � � y� ���
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53-��-5915.51
�i1y of Fridley
A►PPlica�ion 1�or Plu�binq a�d Gas Rfii�q hrn�it
Dept. of Bldys. Phon� 9�0-3450 --
DESCRIPTION OF WORH 2I�3 N E�'XX�t Ely St .
biumb�r, Kiad and Locat�on oi Fixtu:es L��°°
3��� �s���������o���
Base
let In t
2nd
Srd
4th
• Putur� Coaa�clioa 4D�niaqs
* N�w Fixtur�, Old Op�ni�
o I� � I< 3 IU' � IU' � IU S� • I • I WATE�
c c��Z W • N GA$ FIEC
PARTIAL RAT� SCHEDULE
S�w�r ❑
��� n
PLIIMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures . . . . . . . . . . . . . . . . x 32.00 S
F�ature Fixture Opening . . . . . . . . . . . x a1.50 3�_.
New Fixture Old Opening. . . . . . . . . . . x a1.50 3-----
Catch $asin . . . . . . . . . . . . . . . . . . . . x a3.25 3
Water Heater :Up to 99,000 BTU) .•.. x a3.00 ;
New Ground Run Old Bldg. . . . . . . . . x �3.25 $
Elsctric Wst�r H�at�r . . . . . . . . . . . . . : s2.00 i
GAS FITTING FEE$: NO. A11TE TOTAL
1st3Fixturea ••••••••••••••• • xS2.00 ;
Additionat Fixtures . . . . . . . .... . . . . . x ; .7b ;
Gas RanQe to 199.000 BTU . . .... . . . . ... 1 x a6.0o < <7•00
REPAIRS � 1►LTERATIOI�fb--R�f�s !o Cod�
Deacription . . . . . . . . . . .... . ... . ...... . .... . . ...... ..... i
'1�OTAI, l�'EE _ �'. nn
Citq of Fridley:
The undersigned hereby makes application tor a permit for the vroak herei
specified, agreeing to do all work in strict accordance with the Cit�r Qtdinance
and ruling of the Department of Buildings, and hereby declares that ali the tacl
and representations stated ia this application are true and correct
8-11-71
Fridley, Minn 18,
Owner J �owad.a
xind or Buiiding frame
used as res
To be completed about 8-16–'jl'
Estimated Cost, a
Old—New. Buitding Permi o ' P mit N
Signed �
By !; `� �����-- _
Business Phune No.
ROUGH
FINltL �l " �'1 - 7 Y
���I�
Appfication I�or �ow�,r Ma�1: ttnd HsaNng. Cooling, Yent�'krtioe. R�/eiy�r�atioe �d
Air Conditioning Srst�nis ond Devic�s
PARTI�►L R�TE SCHEDULE
aRAVTTY WAAM AIR: �� •r��y
ll�rnace Shell & Duct Work . . . . . . . . . . . . . . . . . a10.00 �
Replacement oi Furnace . . . .. . . . . . 6.00 �
Repairs dr Alterations—up to =500.00 g.pp =`_ _____
Repairs dc Alterationa each add. 5500.00 . 3.W �_---
1tECH. WJ1Rl� J1I3t
Furnace SheU dc DnM Wark to 190,000 BTU ...... . .. a10.00 �
eadi add Q0,000 BTU ............. ....... .. 3.W i
RePLcement of Ftirnace 6.00 �
Repain dt Alterations--up to t500.00 6.00 ;
Repairs dz Alterations each add. =500.0p 3.pp i
STEADR or HOT WATER SYSTEH
I�rnace Shey 3c Lines—to 400 sq. tt. EDFi Steam �20.00 �. ___
iLrnace Shell & Line—to 640 sq. ft. EDR Hot Water 20.00 s_
Each add. 200 sq. ft. EDR Stesm g,0(1 �__ ___
Each add. 320 sq. ft. EDR Hot Water 3,pp ;_,___
OIL SURNER—to 3 gal. per hour g,pp a _
over 3 gal. per hour—See Fee Schedule
GAS BIIRI:ER (up to 199,000 BTU) ... 6.00 ;
over 199,000 BT[J Se� FN seladul�
GAS FIITING FEEB: lf0 AATE TOTAL
lst 3 F�xtures . ... xE Z00 i
Additional Fixtures , . x .� ;
Gas Rangp to 199.00� . � 6.0� i
�un coucmo�a � � v � w
p�►x r�►nxc sTSr� s« p« s�b.adb
v�ia►rwc s�rsraM "
ALTERATIOIfa t REPIIIAS ?pT� g� �_ ��
xovaH (SURGHARGE $,,5p)
Fn�rau. �
D.pt. oi Bldys. Pho� Qe0-34�0
C .
(J � •
�
ciey or rxa��: '
The undersi�ed hereby makes applicatton for a permit for the work :hereir
speciiied, agreeing to do all work in strict accordance with the City Ordibance:
and ruling of the Depai•tment ot Buildings, and hereby declares that sIl the facta
and representations stated in this application are true and co�rect.
F1�idley,
��� Z
Owner L"`-�1
Kind oi Building .__ -�-'�...
t
Useti as - . -- -
To be completed abouti�� — �` � �-
Estimated Cost, E---_ "'�� S�r Z�_
�New. Buiiding Permit No. P•rmit Nio. �-� �� C>
�, j�o ��,�%% � DESCAIPTiOl1 OF WORt
team. Hot Water� Warm Air—No _
Trade Name �� 3ize Ne� � % � /�
CapacitY 3q. Ft. E.D.R B1'U 3�� ii.P
Total Connected Load � � ��
BURNEA — 1�ade Na••+p giu �-
Capadty gq, �'t, E,D,g g•l'�J
I�P.
(REMARItf-OVER)
si� �`� ���1�
�
�i iry , I� �'
s�� peoo� �- �� U-- G! (o yC
ADDRESS
PIN
LEGAL DESC
PERMIT TYPE
PROPERTY TYPE
CONSTRUCTION TYPE
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
�631572-3604 FAX: (763) 571-1287
: 243 ELY ST NE
: 033024420139
: LJNAVAILABLE
: LOT BLOCK
: BUILDING
: RESIDENTIAL
: RESIDING
,--- _
PE IT NO.: 2004-004� 1�
�—_...__....._. -
DATE ISSUED: 03/31/2004
VALUATION : $ 5,500.00
NOTE: PER SECTION 1402, 1997 LTNIFORM BUILDING CODE, REQUIRES THAT A WEATHER RESISTIVE BARRIER BE
PLACED OVER EXTERIOR SHEATHING TO PROTECT THE INTERIOR WALL COVERING. EXCEPTIONS FOR THIS
PROVISION WOULD BE IF SHEATHING IS AN APPROVED WEATHERPROOF PANEL OR WHEN THE SIDING IS AN
APPROVED WEATHER BARRIER VINYL SIDING IS NOT A WEATHERPROOF COVERING UNLESS THE
MANUFACTURER STATES THIS IN THEIR APPLICATION GUIDELINES. CALL FOR INSPECTION OF WRAP BEFORE
COVERING OR TAKE PICTURES,
STATE LICENSED CONTRACTOR
APPLICANT
CME BUILDING & REMODELING
985 215 LN
EAST BETHEL, MN 55011
OWNER
FISCHER DAVID C& ERICA J
243 ELY ST NE
FRIDLEY, MN 55432
1
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 wor�
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 cons� or tl��erformance of construction.
Bldg Insp
BUILDING PERMIT FEE
FIRE SURCHARGE
STATESURCHARGE,VALUE
LICENSE SURCHARGE
TOTAL
PAID WITH CHECK # 2616
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
125.25
5.50
2.75
5.00
138.50
NEW
ADDN
ALTER
[l
I)
�l
CITY OF FRIDLEY
6431 University Ave NE, Fridley, MN 55432
SINGLE FAMILY AND DUPLEXES R-1 AND R-2
BUILDING PERMIT APPLICATION
� i�� f
Effective 1/1/2004
(763) 572-3604 Bldg Insp
(763) 571-1287 Fax �
�l
��
.�1L 3 yl s�. f s 3� �
C o n s t r u c t i o n A d d r e s s. � h l� r ����;� 1' h N/ S y
Legai Description:
Owner Name & Address: L� � �r� r�Sc�o� Tel. #
Contractor: � � 1 v °� � MN LICENSE #�D�l�y �6
Address: 9�5 �) S_�' L�l ����- Ssod Tei. # Cl`o ��) ��a B-�s � 8
Attach to this application, a Certificate of Survey of the
bt, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA:
OTHER:
Length Width Hgt/Ground Sq. Ft.
� �c�l�� j�� ���I 6�,.�
r�...
Construction Type: 1%,A � Si ���� _ Estimated Cost: $ S�D
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x$ _$
DATE: .�/ 31 /1?il APPUCANT: � �la�f9' �t i�-h� w, Tel. # �[v 1�� .�z� / f 78
Call (763) 572-3604 for Permit Fees if mailing in application. Fax to 763-571-1287 if using credit card and we.will call
you for card number.
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
CITY USE ONLY -
� o�S'�b
$ '
$ � iS �
$
$ S.6C�
$
$
$
$
$—�2�.�
Fee Schedule on Reverse Side
.001 of Permit Valuation (1/10th%)
$.50/$1,000 Valuation
$1350 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 [ ]
�•
STIPULATIONS:
��`�
ilding MECHANICAL Permit No� ,
1riS eCt10riS Received B :
p RESIDENTIAL APPLICATION y�---
763-572-3604 CITY OF FRIDLEY e'' '
DATE �'� ' �� YOUR E-MAIL ADDRESS
SITEADDRESS aU�j �`., S �t
THIS APPLICANT IS: ❑ OWNER �7CONTRACTOR
PROPERTY NAME: E, i e c� �'� e��e. ►--
OWNER/ ADDx�ss: a�t 3 E lu S� N� crr�r �' '�
TENANT KE -e- STATEYr1NZIP���
PHONE: ��o'?j � �1 �� - g aq 3
CONTRACTOR Co1v�pNY NAME: CENTERPOINT ENERGY
SUBMIT A COPY OF
CONTACT PERSON: JOANN � INREN
YOUR STATE STATE LICENSE # EXP DATE
LICENSE WITH pDDRESS: � 3 2 � EVERGREEN BLVD STE Hrrx "C0011i' `RAPIDS STATEMN ZIPS $ 43 �
APPLICATION PxoxE �63 — 757 — 6202 FAX 763--757--6701
PERMIT TYPE ��T'�GLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK: � NEW �SCREPLACEMENT ❑ ALTERATION/REMODEL
DETAILED DESCRIPTION OF WORK ��,� �� tt� r e
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 )
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 BELOV�
Equipment Installed MFG: '�1 � MODEL: '�l A N L' 6 a�'E SIZFJBTU e� �� �
MFG: MODEL: SIZE/BTU
MFG: MODEL: SIZE/BN
�A/C $25.00 _FIREPLACE (GAS) $15.00 _GAS RANGEJOVEN S 10.00
_AIR TO AIR EXCHANGEER $15 _FIREPLACE (WOOD) $35.00 _NEW GAS GRILL 510.00
BOIT.ER $35.00 FURNACE $35.00 GAS UNIT 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
�ermit Fee $ Number of fixtures @$10.00 x S 10.00 =$
Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $
TOTAL DUE $ Number of fixtures @ $25.00 �_ x $25.00 = $ �5 � GU
Number of fixtures @ $35.00 x $35.00 = $
State Surcharge = $ .50
Tota1= S �
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTII. PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is complete anct 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 APPLICANT �� �' � T rrAME ROGER HOFFHE IN DATE I) O
City of Fridley
Building Inspections� Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977
City of Fridley Residential Mechanical Application Page 2
REQUIRED INFORMATION NEEDED TO PROCESS PERMIT
RESIDENTIAL PERMIT APPLICATION HVAC
❑ NEW HOMES/ADDITIONS � EXISTING HOME ❑ MAKE-UP AIR
REQUIRED FOR NEW/EXISTING HOMES
l. Combustion Air (See note below)
a. Oil or solid fuel IMC Chapter 7 with MN Amendments
b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments
2. Make-up Air (See note below)
a. IMC Chapter 5 with MN Amendments
3. Venting
a. Gas appliances IFGC Chapter 5 with MN Amendments
b. Fuel other than gas IMC Chapter 8 with MN Amendments
REQUIRED FOR NEW HOMES
4. Heat loss & cooling load per room
a. Required on new construction IMC 1346.0312
5. Ventilation
a. Per MN Energy Code 7670 or 7672
6. Duct Design Per IMC 1346.0603.2
a. ACCA Manual D
NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for
combustion and make-up air calculations.
Building
' Inspections
' 763-572-3604
763-502-4977 FAX
DATE �i� � � -!
SITE ADDRESS �—�
THIS APPLICANT IS:
PROPER
CONTRACTOR �
S OF
YOUR STATE LICENSE
AND CERTIFICATE OF
INSURANCE
PROPERTY TYPE
PERMIT TYPE
TYPE OF WORK:
DESCRIBE WORK BEING
SIZE OF IMPROVEMENT_
ROOFING
NUMBER OF SQUARES _
GARAGES
PROPOSED SIZE:
PROPOSED HEIGHT:
SIDING
❑ Vinyl
❑ Aluminum
❑ Other
BUILDING
RESIDENTIAL APPLICATION
�..n
OWNER
STATE LIC
ADDRESS:
CITY OF FRIDLEY
EFFECTIVE 1-I-09
ADDRESS
�
Permit No O��g
Received By:
Date Rec'd: � ,h �
A'
EXP DATE
_CITY STATE ZIP.
PHONE FAX
SINGLE FAMILY/NEW CONSTRUCTION SIZE
❑ TWO FAMILY/NEW CONSTRUCTION STOR[ES
❑ ADDITION ❑ GARAGE/SHED ❑ WiNDOWS
❑ BASEMENT FINISH ❑ ROOF ❑ DRAIN TILE
�IDECK ❑ SIDING ❑ OTHER
� ❑ SWIMMING POOL
❑ NEW HOME CONSTRUCTION ❑ ADD[TION
❑ MAINTENANCE/REPAIR ❑ REMODEL[NG
WINDOWS
IN EXISTING OPENtNGS ❑Yes ONo
OR FOR NEW OPENINGS-DESCR[BE SIZE OF
OP�NING CHANGES &
TYPE OF. WINDOW TO BE INSTAI.,LED
❑ HOUSE ONLY
❑ HOUSE & GARAGE
❑ ATTACHED GARAGE
❑ DETACHED GARAGE
HEIGHT
FT
BASEMENT REMODELING SUBMIT:
1. Existing Floor Plan
2. Proposed floor plan
3. List of structural members to be used
� �z
FOR NEW CONSTRUCTION INCLUDING DECKS,
❑Soffit ADDITIONS. & PORCHES SUBMIT:
❑ Trim 1. Site Plan/Survey showing the existing structures
and proposed project.
❑ Fascia 2. Two sets of construction plans
3. Energy Calculations
LOCAT[ON OF WINDOWS
NUMBER OF
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
SIN T E 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $�LO (, OCCUPANCY TYPE
Permit Fee
Plan Review
Fire Surcharge
Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Total Due
$ 1 Vd•
$
$
$
$
$
$
$ /�//7 . �/ /
�See Back Page for Fee Schedule
65% of Buiiding Permit Fee
.001 times the total job valuation
.0005 x Permit Valuation Minimum $.50
$5.00 (State Licensed Residential Contractors)
$2000 per SAC Unit (Plans to MWCC for determination)
ft+6ft= ftx$22=$
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary (
Make checks aavable to: Citv of Fridlev
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCESSED
Attach
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 n to start without a permit on site; that the work will be in accordance with the
approved plan in the case of al w res review and approval of plans.
SIGNATURE OF APPLIC , RINT NAME�/P���V /�/�yATE (/) L� ����
Building BUILDING Permit No.%(J O�--d iCF �
Inspections RESIDENTIAL APPLICATION Received By:
763-572-3604 CITY OF FRIDLEY Date � g
763-502-4977 FAX EFFECTIVE 8-19-09
DATE / �" `� �'�' t YOUR E-MAIL ADDRESS
SITE ADDRESS ��'I � � L-Y S� �� � Ii� �
THIS APPLICANT IS: ❑ OWNER �CONTRACTOR
PROPERTY OWNER/ NAME:
TENANT ADDRESS: CITY STATE ZIP
PHONE:
CONTRACTOR NAME: ( v�J�-G1�- � v w�
SUBMIT A COPY OF STATE LTCENSE # o� �� ��,I �l � EXP DATE d
YOUR STATE LICENSE
AND CERTIFICATE OF ADDRESS: i�Co �('� �I�CIC�(�-�� S) N`�� CITY � � STATE� ZIP
INSURANCE pHONE - 1 0� �% L FAX
PROPERTY TYPE "�s�T�1GLE FAMILY7NEW CONSTRUCTTON SIZE
�O'fW0 FAMILY/NEW CONSTRUCTION STORIES
PERMIT TYPE O ADDITTON O GARAGE/SHED ❑ WINDOWS
❑ BASEMENT FiNISH ROOF � DRAIN TILE
❑ DECK ❑ S DING ❑ OTHER
❑ SWIMMING POOL
TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION
❑ MAINTENANCE/REPAIR �REMODELING
DESCRIBE WORK BEING DONE: T ELi� � `! �'� � �� i'�:�
SIZE OF IMPROVEMENT 78L� �% LENGTH WIDTH HEIGHT S FT
ROOFING O HOUSE ONLY BASEMENT REMODELING SUBM[T:
NUMBER OF SQUARES � �) HOUSE & GARAGE
l. Existing Floor Plan
GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan
PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used
PROPOSED HEIGHT:
SIDING FOR NEW CONSTRUCTION INCLUDING DECKS,
0 Vinyl ❑Soffit ADDITIONS_ & PORCHES SUBMIT:
❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures
❑ Other ❑ Fascia and proposed project.
2. Two sets of construction plans
WINDOWS 3. Energy Calculations
IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS FOR WINDOWS — PROVIDE U-VALUE AND
OR FOR NEW OPENINGS-DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW.
OPENING CHANGES &
TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS
ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS:
(USING THE 1997 U.B.0 FEE SCHEDULE)
TOTAL JOB VALUATION $ OCCUPANCY TYPE
Permit Fee
Plan Review
Fire Surcharge
Surcharge
License Surcharge
SAC Charge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Total Due
$ X J•�is
$
$
$ �
$ �0
$
$
$
$
$
$ •[n
See Back Page for Fee Schedule
65% of Building Permit Fee
.00I times the total job valuation
.0005 x Permit Valuation Minimum $.50
$5.00 (State Licensed Residential Contractors)
$2000 per SAC Unit (Plans to MWCC for determination)
ft+6ft= ftx$22=$
$450 Conservation Plan Review
Fee Determined by Engineering
Agreement necessary ( ) Non Necessary ( )
Make checks �avable to: Citv of Fridlev Attach
THIS IS AN APPLICATION FOR A PERMIT-NOT VALID UNTIL PROCBSSED
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 ptan in the case of atl work which requires revie and approval of plans.
SIGNATURE OF APPLICANT �-' !��(/+ . PRTNT NAME l vG—t.1C � Q-U�DATE � �� �