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AF - 47593.�.. � City of Fridley, Minv.. BUILDING PERMIT N° 5123 Date: ...�.�.. ""'._...�...�L.....`w'_...l�!! ± ._._.___._.�.___�.. � �' � : j �,;' Owner: .. " .__�. , � •• � --.._. ._ .. .__ ....:�� Builder ___.._.__.._. M._.- ------_..----....____......._.._.....----..._.._._.._.___._.__.. Address •••------•--- ............._. _. _. _. _ _. _.._. r... . Address ...__ ....__ _ � ... . ... . _ . .-•- --......-•-----•----------•-----. _ _.......��"-�'��!�!�.._......_._..._._.._._..___.._ No. .....i�J ��....... Street .._� Lot � ..�...... .��...'�Block Y..-_ Corner Lot ....._--------------........ Inside Sewer Elevation LOCATIOJV � ...__ --�-�'"�.�'.'.�� Lot ..�t..____._.-----------_. _ . ..V. �....._ ...........:.. Addition or Sub-Division ._ .. _ .._.. -- - --__ _..._...._ •-----.._--•�"'"�------- Setback _...�..,�...�._..._ Sideyard _....�L.�...._....._..._.....__.._..�._.___..._ Foundation Elevation DESCRIPTION OF BUILDING . � To Used ♦ ... Front _._�.�_..6!_'_.. Depth �_�.._ Height ..y,�..._. Sq. F� �� Cu. Ft �.� _..�..._._..__...._._.....w �_ Fro .._.__._____ Degth _..._......_..._ H ' ht __. . _ Sq. Ft. __.,_._�._ Cu. F� _._...__r.. � Type of Constructio _,,..�-.�:.��. Es� Cost _��...�- To be Completed In consideration of the issuance to me oP a pernut 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. .+�--_..._. In co�sideration 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 done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding lceation, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked a t any time upon vi,c�latiap of any of the provisions of said ordinances. _ i 1 >Buildin8 Inspector NOTICE: ' ?hfs p��mif do�s nof eov�� fhs eenstwction, installa8on for wfring, �dumbing; pas 6�alfng, »w�r er wabr. B� sun To aw th� Building Inspeefor for ssp�rats p�rmits for fh�ss ifems. . a _ _ � � °�'' � _ w_ ._� 0 �PPLICATION F0� BUIL�ING P�MIT C ITY OF FR.IDIEY, MINNESOTA .. � . . ... ... . : . .. ; . Owner's Name �,��'� ^ Builder � lddress � S� � C ��,.`�-�-„y�,�� 9ddress � .�..,______ LOCAT�ION OF No. '� / �o Street Part of Lot Lot �i 7'y �- y 9 Block � Addition or Subdivision�,_,�.c�.�..-�� Corner Lot �Inaide Lot � Setback Side-Yard SF�W�. ELEVATION FOtJNDATION ELEVATION �pplicant attach to this form Certifica.te of Survey of Lot and proposed building location. DFSCRIPTION OF BUILDING To b used as:� � Front_�Depth � Height � � Sq. Ft. �� L�,�,_ Cu. Ft. ,,,,� S� � Front,�,� Depth Height Sq. Ft. Cu. Ft. •f-=— � �i Type of Construction +, Eatimated Cost Q� To be Completed The undersigned hereby makes application for a permit for the work herein specified� agresing to do aZl work in strict accordance with the City Ordinances and ruling of the Department oP Buildings, and hereby declares tha.t al.l the facts and representatione stated in this application axe true and correct. DAT� � � �� SIGNATURE (A Schedule of Fee Costs can be fowld on the Reverse Side.) � , r . • M � � City of Fridley App�ica�tion for Plumbing nnd Gos Fitting Perneit Dept. of Bldgs. Phone SU 4-7470 DESCRIPTION OF WORK % Number, Kind and Location of Fixtures L'�B�O" "/� � � (�9 WATER HTR. w� �. Z � xvf} ZZ nh p<Z �Z 02u! _j �n U' u Z � • � q �� m � z ` ia � p � � y+ <~� �` � a` Z ` a i N GAS ELEC. i c� � n t�- m �n 3�- o LL �n a c U m< 3 (� t` (� Sn C� O Base / lst � � 2nd 3rd 4th • Futurs Coanection Openings * New Fixfure, Old Opsriags PARTIAL RATE SCHEDULE Sewer � Cesspool ("� PLUMBING FIXTURE RATE3: NO. RATE TOTAi. 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 B1'f.T) . . . . . . � x 2.00 $ ' � � New Ground Run Old Bldg . . . . . . . . . . . . . x 3.25 $ GAS FITTING FEEB: NO. RATE TOTAL lst 3 Fixtures .......................... _�— x$1.50 $ % s o Additional FYxtures .................... x .50 $ Gas Range to 200,000 BTU . .... ... ... ... x 2.00 � REPAIR3 & ALTERATIONS—Refer !o Code Description................................................$ TOTAL F'EE $ I_�• / � City of Fridley: 6�,�� 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 hereb� declares that ail the facts and representations stated in this application are true and correct. Fridley, 1Vlinn. �rnQ�-� � � , 19� Owner l�f �_,t'/'.�LA�� Kind of Building Used as To be completed about Estimated Cost, $ Old ew Building Permit No. �12-3 Permit No. ,�5�? �� Signec� `�� `"� By Business Phone No. RaUaH y l9- 6/ FINAL a z sM 7-s9 �I �� Appiication for Pawer Ptants and �Heating� Cooling. Ventilation. Refrigeratio�n c�d Air Conditianing Systems a�rd Device�s PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work . . . . . . . . . . . . . . . . . . . . . . . . . . 8.00 $ Replacement of Furnace ............................. 5.00 $ R.epairs & Alterations—up to $500.00 . . . . . . . . . . . . . . . . . . 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECH. WARM AIR Furnace 5hell & Duct Work to 120,000 BTU . . . . . . . . . . . . each add. 60,000 BTIT . ......... ... ......... . Replacement of Furnace ............................. Repairs & Alterations—up to $500.Q0 . . . . . . . . . . . . . . . . . Repairs & Alterations each add. $500.00 . . . . . . . . . . . . . . 8.00 $ �� 2.00 $ _ 5.00 $ 5.00 $ 2.50 $ STEAM or HOT WATER $YSTEM Fiarnace Shell & Lines—ta 4U0 sq. ft. EDR Steam ...... 8.00 $ Furnace Sheli & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam : . . . . . . . . . . . . . . . . . . . . . 2.50 $ Each add. 320 sq. ft. E7�R Hot Water . . . . . . . . . . . . . . . . . . 2.50 $ OIL BURNER—to 3 gal. per hour . . . . . . . . . . . . . . . . . . . . . . . . 5.00 $ over 3 gal. per hour—See Fee Schedule � � � GAS BUANEA (up to 400,000 BTLT) . . . . . . . . . . . . . . . . . . . . . . . 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 $ AIR CONDITIONING � FAN HEATING 3YSTEM See Fee Schadule VENTILATING SYSTEM ALTERATIONS 8c REPAIRS TOTAL FEE $� REMARICS: Dept, cf Bidga Phone SII 4-7470 � � �d . /y� 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. dley, 1VIinn. �— / � , 19�� a 6 Owner � — — 195— Kind of Building ,�,��/YyC.�P� 195� Used as —��L.! �,��(/K-� To be completed about Estimated Cost, $ � �� Old ew. Building Permit No. �� DESCRIPTION OF WORK � HEATING or POVPER P'L.AN -�team, Hot Water arxn —No. Trade Name V/.[/L/ �� Size No. ��O Capacity.�s�_"_'_7_ Sq. Ft. E.D.R. BT`U H.P. Total Connected Load "/ �. �� Kind of Fuel BURNER — Trade Name Size No. Capacity Sq. Ft. E.D.R. B H,p, � FRANK'S HEATE N pNp SHEET M sign� 2505 MARSHALL ST.N.E. sy 11 pOST t M- i 2-58 Business Phone No '�� • � City of Fridley, Minn. � BUILDING PERMIT �U�� 7� N° 6466 Date: _...�L__. '._� `.r. �D� ._._._.. __... __ __._ / Owner: ' .µ �.*.._..� •• - . Builder ' . . ..... _... .... . , .. .._.. . �� A _.__.._._._...._..._._._____.�..�...._.___. ....._...__..__...._.._.__._._ Address _.�_.____.._....._.______..._...__._.._.___.�._._.�_._..__� LOCAT� OF ILDING No. ..l�! .��.._... Street _. ...... . .. .. _ __ .._ ��-!_..�.��i,t. P f Lot ._._..._._r... __.— f ��"•'.1.,�...�Block _._.._.. �......_. . _. _..._._ Addition or Sub-Di i .. . . ... ' �Q�•= sor.-c- Lot _ ._. ... . / Corner Lot _.__....._.._._._ Inside Lot ...__.�.._..._�etback .. __ ..._.... . Sideyard ._..._ .___. _..._� Sewer Elevatfon ..____.,_______�....___.._ ..__.___.._._ Fo da.tion IIevation _..____._.._._.._...._._.- DESCRIPTION OF BUILDING T U : .,�� ..�..�__.-�' Height ._�� _. Sq. F� ��C'� Cu. F't �'./_� .2.. F'ro�t ._�.w Depth ._.._._.._._ _....__...�...._._ b� _.__....__ Depth ____. fTeight ._..___�._ Sq. F't. ._.�_�.._. Cu. F't. Type of Constructio , �.. . ........ __. _..... Es� ��/ .. �J.�_ ...�.�..._�...:... To be C�npleted _�. _� Y��`. Ea consideration of the issuance to me of a permit to construct the building described above, I agree to do th� proposed work in accordance with the d�scription above se� (�an�ix► compli ice with all provisions of ordinances of the city of Frfdley. �/G / j` � � In ca�sideration of the payment of a fee of �_! f! �_"-_.., permit is hereby granted to� to construct the building or addition as described above. This permit is granted upo� the �express condition that the pernon to whom it is granted and his agents, employees and worlunen, in all work 8one in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances � P'ridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildin�s within the city limits and this permit may be revoked at any time upon vig�a�t�f any of the provisions of said ordinances. _ / I Buildin8 Inspecta� • NOTICE: 'Ihis p�nait doa not eowe fM eenshueNon, iiafallalion fe� wkiny. Plumbia�, ys h�Nin� swvK er wat�r. d� wn to sN th� suildiog infp�m for s�p�raN p�nnils for fh�a itNm. APPLICATION FOR BUILDING PERMIT CiTY OF FRIbLEY, MINNESOTA � .��CI' s� � ADDRESS � ADDRZ:SS LOCATION 0 UILDII� � No. ��`j Street � Part of Lot Lot��__�Block Additi or Subdi ision //C /7'�j �, .� / Corner Lot Inside Lot �""��tback Side-Yard SEWER ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed build - ing location drat�a on these Certificates.� DESCRIPTION OF BUILDING To be ed as : ;' Front Depth � Height Sq. Ft.. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of ConsCruction Estimated Cost To be Completed The undersigned hereby makes application for a permit for the work herein specifipd, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. � DATE SIGNATIIRE (schedule of Fee Costs can be found on the Reverse Side). � � � • + � ., .r CITY OF FRiDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572- 3604 Stories Basement Floor 1 Floor 2 Floor 3 Floor 4 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR �tli : Wash nCrCtk ; Floor ��tcl�: < Auto. Urinal Tub . Shower Srnk Tray �auhk :. Drain E�asFn :: Washer PLUMBING FIXTURE RATES: NO, RATE TOTAL New Fixtures $ 7.00 Old Opening, New Fixture $ 4.00 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10,00 Water Heater -Electric $ 7,00 Water Heater - Gas** _� • $10.00 Gas Range** $10.00 Gas Dryer** $10.00 Back Flow Preventer Required ()Yes () No type $15.00 JOB ADDRESS Effedive On January 1, 1997 Gas Ranqe �p�� Water Heater Gas Elec f � � � � J �-►��:� �, L�� .�� 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. �J t3 , 1997 Owner � l� V� �j ,�1� L Building Used As � � 5 �J /�/- Estimated Cost Sa v• PERMIT NO. � l%�Gy PLUMBING COMP,R�IY �•/� �TQ I`� AS S Reinspection Fee $42.00/Hr SIGNED BY'�C.L�.� r��-,` TEL N0. �� 3-� �� , ALL OTHERS AND/OR REPAIRS AND AL7ERATIONS � 1.5% of Value of Fixture or Appliance _� , Approved By Rough-In Date Final Date U�7 State Surcharge .50 MINIMUM FEE F R ANY PLUMBING/GAS PERMIT IS $20.00 TOTAL FEE $�04� PLUS THE $.50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND T�LE 6-A. MINIMUM SIZE 9 SGl INCHES. 1 CITY OF FRIDLEY INSPEC710N DIV. 6431 Universiry Ave NE Fridley, MN 55432 . 572-3604 � RATE SCHEDULE Residential „., . APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Furnace Shell and Duct Wo�k, Burner — Also Replacement Furnace (Side Vent — Fiil Out Back) Gas Piping (Needed with new turnace) Gas Range Gas Dryer *Air Conditfoning — All Sizes All Others/Repairs & Afterations (LIST ON BAC� i�a of Value of Appliance or Work Commercial/i ndustrial 1.25% of Value of Appliance or Work Rate TOTAL $�30.00 $ �0 •Ofl $10.00 $ � �O�vv $10.00 $ 25,00 State Surcharge TOTAL FEE J�_: Effective On January 1, 1997 JOBADDRESS ��/[D �.'"��SU��I2� .� lv� The undersigned hereby makes application for a permit forthe work herein specified agreeing to do all work in, strict accordance with the City Codes and rulings of the Building Division, and hereby deciares that aif the facts and representations stated in thls application are true and correct. - oC-/ `� ' ,1997 ;>3 J/�-� . n� � J ' �- � .. ,..5 „ : ::.a�� BUILDING USED AS_ o�t,v�%J � nq �,�� r. $ . � ` ��.�•�-->.. , ESTIMATED COST� I�DO • D O � PERMITNO,'” ��.J� � . . �� "�� i21 � . <f �:<, DESCRIPTION OF FURNACE AND OR B�IR�IER�` . :f� ii � $ Na of Heating Units � Circle One (Steam) (Hot 1�later) Trade Name i�uu.�l Size No, EAuE� BTU 100 ; p0 a HP EDR $ Fuel �q�- � a:S Total Connected Load O� pQ�} ! $ .50 3�o.'Z� MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRiGERAl10N1AiR CONDiT10NiNG PERM17 IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Cond�ioners can not be placed in a side yard without written permission from adjoining properry owner. Burner Trade Name Sfze No. BTU NP EDR ' BLAINE HTCi. A/C ELECT.� INC. 13662 CENTRAL AVE. N.E. HEATING COMP Y ANOKA. MN 55304 . Signed By T I o. �%S�1- b a� Approved By Rough—In Date Final Date �''�Z/�l FILL OUT BACK SIDE � STACK VERIFICATION ON `�� . REPLACEMENT FURNACE . � C%IIIVINEY AND STACS VERIFICATION The undersigned hereby verifies that the existing chimney or st�ck: 1. . Has been carefully eaamined Yes (Vf No O 2. Is fi�ee firom n�st or deterioration Yes (�%f No O �3. Has no foreign objects lodged within Yes ( v� No () 4. � 6 �� Is securely supported Meets all current Code requiremenis for size and total BTIJ°s connected Has total heating BTIJ's of �4 �, D a p All other BTU's L}O�40Z� TOTAL BTU's � � j ��'O Has a liner been provided for water heater , Has combustion air been provided for water heater Yes ( J� No ( ) Yes (1�No ( ) Yes ( ) No ( � Yes .(� No ( ) � Remarks: � List ALTERATIONS Bein�Doae: � . _ , _ HEATING CO: Signed By: Date: �� a� �� I i � 6��,�� HEATING HOUSE HEATING TEST RECORD AIR CONDITIONING AND ELECTRIC. INC. ADDRESS�y� J p,��'�� ,L:.� 5;'� �� APT. FLOOR CITY �R�Q�LI SUBURB OCCUPANT _� ty E OWNER __k' � � HEAT LOSS DATE HTG. INST. (�- $�a►1 SOLD BY (ki� 1,`: �.%:iL-rp'�itic INSTALLED BY �C_.w �,"LS �:'t(�. Electrlcal Work By � L.+��i `t2 to� � �.1�`� Gas Lfna By TYPE OF HEAT GA FA� HW STEAM_ SPACE HTR._ UNIT HTR._ OTHER GAS DESIGN MAK6 '��_,[� C� MAKE OF BURNER , Model �, c.� � U►[)°'Z 1� i3.�,� � Modal Serial ��_�Z�p��.�q'� Max.BTURatinp _ INPU7 'i"T_ � C� MAKE OF FURNACE Model CONVERSION � cowrao�s ` r THERMOSTAT �! �� L Haat Plug ��' VaM Siza �" Valve � i..�' KIND OF LINER u�,�,y -t g�ZE 's`� NONE limit �^e 8�� DraR Hood ��'D a� t�f> Royulator �'�'�" Limit Setting `�e� t1 O° FtRaa Siz� �Aa+l"tTs �� Numbar 1 Fan Setting �Lf�9 :� wA.�.r2� Chimnay l.ocatlon fnsida ��_ Outsida Pllot Typa _ i*�b"� �+�i2��Crt3 Chimnay Construct(on ��,,ra 1 P(lot Make K � $ Ptlot Modet -.�--�. Smoka Bomb �� Wiring Pilot Timing 1� �C.. Draft �� Tast Tag L. W. Cut Off °"""'"��' Door Prassura c"—' Lighting Inst. Pressure ��, � Parcent CO, ""� • � Data Tastad �'� �'1 InputCFH 'R��f�`� Parcent0 � CompanyTasUng '�-p��..+ a�'� 13562 CENTRAL AVE Stack Temp. 3`�-� a Parcent CO r� Nama of Tastar KE�I MN. Form 235