AF - 47615SUBJECT P E
City of Fridley . 14013
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
r
� � RECEIPT NO.
� ` _�__ COMMUfJITY DEVELOPMENT DIV.
� L � PROTECTIVE INSPECTION SEC.
r , ,
� ,
'4 � /'��1 � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BV
"'—'� � ,'� 612-560-3450
910-F15 4/20/77 � �
JOB ADDRESS 689 Janesville Street N.E.
1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED
DESCR. �.8,19 P R1V@rVl@W H@1CjY1'tS SHEET
2 PROPERTYOWNER MAILADDRESS 21P PHONE
Western Construction 6950 Wayzata Boulevard, Mpls. 546-3385
3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSENO.
Same
4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAILADDRESS 21P pHONE UCENSEN0.
6 USE OF BUILDING
Residential
7 CLASS OF WORK
� NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE REMOVE
8 DESCRIBE WORK
Construct a 26' x 42' Dwelling (NO GARAGE) Q� .�
SEPERA�'E PERMITS RE iR�ftQ Ft�t WIRIN •��CT��- Etc,
9 CHANGE QF USE FROM NEATtA4, PLUMBNMG AND T�� W
STIPULATIONS provide a hard surface driveway. Provide a verifying survey before
capping. Provide sod in the fr.ont and side yards. Provide parking stall
beyond front line of house toward rear.
DRIVEWAY DEPRESSION: 12' + 6' x$11.75 =$211.50
Call in for Sewer & Water Locations and Top of Footing: No'�available at this tim .
SEWER LOCATION (Approx. 9' Deep) 136' W. of Manhole (Inv. 827.11)
WYE ELEV: 822.80 Capped- May be Wye only.
TOP OF FOOTING: 825.80 Minimum :�O DAY i�� �
iNf rt:i. of �ote�r Ooes t'wi od�RANi� TNE �'' '�' .
�uCCUR�iGt OI� V�tK 1iDCa►n0�t �w �ter�tior�*,. DlV. REQ�tiRED R�
11�1� OAtA IS �OR M�fORMATION Ml�� ONLV �Na REM01/At ANp REPIACEME
r.�so�u usa� � sNOWO ve�r triE a�ro�w►norr AT DRiVEWAY OPE
oN t� snt ,
WATER LOCATION: MUST BE TAPPED: 6" CIP 30'
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING. WOOCZ FY3itlG
THIS PERMIT BECOMES NULL AND VOID IF WOFiK OR CONSTFUCTION ZONING SQ. FT. CU. FT.
AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTFiUCTION
OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R-1 1144 'I' O ZZ�SSO
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET 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 ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT yS`3�.�000 $ZS.SO
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHE TAT OR LOCAL LAW REGULATING CON-
STRUCTI R T31E PERF E�TRUCTION. �`9�..52 $375.00
+� PLAN CHECK FEE TOTAL FEE
/� ` ���� � Q�"� .�� �
2 . 8 504.90
SIGNATUREOFCONiRACTORO HOFIZEDAGENT IDarE� E P PERLY VALIDATED THIS IS YO PERMIT
.� �d % ,,,
T SiGNATURE OF OWNER IIF OWNER BUILDERI IDATEI BLDG INSP �ATE
�
1
�
�
e�
�
�+:�alD i. COYN�
���� f.�Zi`ij'.�✓�C� /�VG S.
G:?LD�v Y,iIIEY, M�t�lN.
�il�i;l. 2rG. NO. 41�1
IM�USTRIAL — JUOiCl/�t
COU1�!ERCIAI -- 70POGF�IPHICAL
CiTY LC)75 — PL/►TiIiVG
��IP.Ct:i•tQP�T BUIL�r.r�S
/'�f��-'� �€.�cJ��� � ,4��
��
; ��r�S'
�,�� a�i�s':�a�i: :! � ��� ld�;.�5 J a R59i7AODAHO ^��� SCi-1
LAi`:I3 SL!RVr.�Oi�.S BROOKLYN PARK. ►e!�:►i.
MIN�I. REG. NCl. 67�13
Ri;.^.fSTERFD L'tiAF.R L..1W3 OF 3TAT�; OF �iItiNF.30'fA L253
I.iCEti3rD BY pRbIN;tiGF OF CiTY Ar Ml�tiF.AYA1.iS INYOICE NO.
5747 :V. Broad..iy 533•Q921 F. B. iti0. �- �'L
tifinraapotis. M�nt:sso'e 5:�28 S�IE 1° � `�
��.i�U�1�iI�£ ��1�����ii�v O -- DEr�O��S taOH �
;, o -Denotes i�+lo •
� - 54 �.,- :,� . ti�-':• : i �! � hub for s
. i��+K `'' � excavation
fC ka+ ^ � � '
� i h r, e ` � ;� �'1L1Y'�OSCS
� � Oril
��
3.� -'
—.r�— _ .
1rY�,,d 6xre�.
Ftrce
(� �'�{ �-- . -� --�
azS. �'� );�Ao �•�`� �'��
_ /
�������
ing �N 1oca� ut,tit«s
d� S Etc.
��iore �g E�E�iRI� - � �,
'�����HQN IRE� gY �A
����
ie r ? '
! - � �
�c:� '
,
��
. ' /\
l�
�
_ �
o —;
�
� '�
. . + n r � i�7E�� Ti'�E
ppES Npt G� � r.
TME C1i:� �?� �?I�
E�Ev A� Cii�S
�Q%a`no�s a�
�,���� �?� � ��N P�JRppS S ONLY AFO
TM+�9 "��� �� �� iMFO � �lE N� nel
����NN�i kl�iN�a R SHOU►D YF3t1
1
- � ��� �rt�. � �
,
❑
�
:,, � . �
�
, ; —' �
: � c - . .
,� .
,�
,
;Z.n i s
_. _ . y ,� ,� �
:2���: l� ,..�.�'� A
� � � � . .' i . . .
� • � l'�l
� ,�t��.
7� I ; �
n p • �
� n �.L '
�. ? �,.
t� �
.' � 2 . - - , o .
=� � � v
� � � . + a ;'a 7 j
� � ��" y t-5-> �-
��^��,�.� ��•�
- � .
i , ' _ , ! . .�
. I •.A. �. j1 . . ' . � � . . . � .
� � � ti� �. � � .. � � � .
� 5 � � .
.o � � ►� ,
,. � _
l ' ir
, . ; . . � �. . . .• i . .
! .� 1 �...
i�_=�-. � �'"
. . —` —_ �� _" _. _ �••--••_.. - �_ i,� r ���+ � 5�[ 3.� �' � . .
e "
� �-��� �`� "�� o� �'�� � �� � � ���
°�
A,� NptIGE T�CI � ��g Q ��� � _ _ _ ._._ . . � Z'
� � REQUIRED _ �
EME�.�T ., � ; � ,._ ► �
V p�C �
, �p �- - � i � �
D� �Y�` A � O�E�� . � ,__ � Y ! � _ � . . g �
�
a� °���w�Y
.
� i �(' �J ' i.!� j.` U' )T ^`7�/ j;�ir ��]f � � ;•-• j� !� ,�5/ �' .�..ttt- ♦!' v. �r. �
�JV v .� fy .j �/ �1VC� 1\1 V'� V.�. 11} [�'wl��i� iJ � KL[VC�� V lill�.'.i� � !'� �.ral\7►i4
Wo hrsry :� -y t"»t rhi; is a t�ue ar.d corr..t r��r�s�n'ac�.nn j� . :
ci - s:.rvav c, '^e !^,��:rd.+-ie� or tye a5a.a d�:�r.b�d lin•l ard ��� � �"
;t �� 1,.tar%on a� _�i S,�i!d�ngs a�� vis;�'e e�.roa:4.�ents, if r.r.y, /�.' _ _ �.� r� !
, .t :� _ � � � �
Ct:i�i'1 G� 7'l YJ:f�. �lAG�. . � � . / `� �P ,. . )� .
�l� :°l� . . 1
,� y ;� 7 ^r� �� .
_ •�:r. .. �v tts t�i:. _l/c�ev ef .i���.'� v�:� � 19__,/J-. -- T�J1 Sj!���:�V►� �.v-:in��1Y ... - . _ .
�� �� � � ��� � � l����
��
� , � ,. a � �� � ��� �, �� �. //,
__ �� �,
,� � ,� 8`�� , �a
�� � �' -
T.
O�
�,� ��- �,�� �e
�Y� o,��.��
�
�
� Tj rt� G- � �� �� �L
���i/��/n�
�
�� �
/ ��vs i ��
� �� ���
� r',O
��
i
�d
��} iv �S vi c. L �
Z�/
7 � �
, o -,�� :�J, �,.�� _��
i��'"
D/� t�£�p�c�-s.S� a� C'os-r ' .
I I�/� II �' ��'-' `' }_, _ ;; .:;.}a� '�s s
/ �L � I T '�, r � ,' , y
,, � : .� s ;.�
/�?�� � 11,�� -� ��`��ry.��'�
_ ,�:�...---���;=°°: �
�
,p.
� ,
�40 EZtlti."��'.�✓1CK�i�VE 5. ��•�rJ� �1�6''�C��"t�' si � ln+��l�T,'r��� ii RAYIyIOiVD A. PRASCH
6417 IDNHO AVE. PJ,
G�?LDEN t/�LLEY, Mif�IN. BROOKLYN PARK. MINN.
Mlr;�, REG. NO. 4141 LA�'U SURV�;YORS MINN. REG. NO. 6743 I
RETISTr^_RED U1tiD£.R L.�W3 OF 9TATE OP MINNE307A �253 '
LiCENSED BY ORDINANCT OF CITY OF M(NNBAPOI,IS li`IYOICE NO. iI
5747 W. Broadwey 533-9922 F. B. NO. 1' + �_ �i
INOUSTRIAL — JUDICIHL . Minraapolis, M�nnesole 5542B J !
COrAMERClAL — TOPOGR/�PHICI�t SCALE 1" = il
CITY LOTS — PL/►TfiNG ��Yj�1�;'jr$ (i�g���tr��� O-- DENOi�S IRON �
�BIRC:?i�iONT BUIL�E�S = � ` O - DenoL�s Wo
�.;-, ` - 50 0 - ,.: , -� z � _ huo for ��
, � .�� _ �e tr� •` .,� '
j ="_,-
3.-�f � ;rcr�a�� �., k r.: � . _ ; _ excavation . �,
W. 6 etil �� {, n e � � c o ipa5@S �
� '
^ Fertce a �
.�.
�� . � — - � . .
,—
-- c . � �
� _
� t
d
- i2:? ; � .
U
2��0� i � ��. �
. � � ; � -- � .
� ;
� � .
,,, Z
� ;� a- £ '' � . �
— + �., s� 1 ..� � .
p — � - ; 2- ` - — � p .
Q �' l C
� .
, t . � � �
. � � A `' . . � .
1-5-5
"E r 3 7 ri � � �' .14�a
� - � - � � ,?� ��� . . :
!� � : ;
, ,�, ...,_, . `.' ' . .
li.' ��
�� — -- ` -�" b�
:. � r- �S .
��)
� �_':
, j. ' -
1
I� -� � ' �(���`
M �f _�
�� � � ,4 � v � �
�� �
�/ . $
( J ��j��v�t�� �
� �� /2 , �, � rJ . �-
4 � . � .
� � — +�-" .
�
_5o a = �' -
�'�g? �
-- , _ -- -�- -
� . `% 'T f� I' « . � . . .
� -
,
� L'� ^�� i9, Bi�c�: ., � E::v i:���! H�I�sI?iS, Anoka �oc:nty, i �i.^.n�sot2
� L O �. 1 w
� .
i�Va horeby car:ifjr th�► ihis is a true and corr�ct reprssent�?�on j�l :
; af r. s�rvey oi t}�s bcundn*ie+ of the above de:cr.bsd I�nd and j �'-�''��I �� �
�; ;!�a 1xa'�on oF a't b.�itdings e�d vis�bla encroachments. if any. ` , 1�.; ._� .- �,�',- j' f.rf .
, ;t-��it cr on s�id !mid. � ' � � • �
t ,,��l�;il£t� — . .
� ;,..,�,-.� �•, �,: t�;, Z!da,, �s � Ace �;.e� �v 7j .LOT S[�P��"F:YS CO�:PANY
�
CITY OF FkIDLEY
APPLICATION FOR RESIDENTIAL BUILDING PERMITS
�NEW, ALTERATIONS, ADDITIONS, OR REPAIRS)
OWf7ER: � �` C
. ^
Addres s : �( � � � �-iv'C
No. 8
LOT: ���_
CORNER LOT: '
Street:
BIACK:
INSIDE IAT: �
BUILDER: C'VE.��%'/ COGI�f %�%'4l� ��� [7
Address : � 7 �O (..•�� � Yi �/��" +
Tel . No . : c�Y (� — �i �
SLTBACK: � S SIDEYARDS:
Applicant attach to this form Ztao Certificates of Survey of Lot and proposed
building location drawn on these Certificates.
DESCRIPTION OF BUILDING
To Be Used As:
Front: � � Depth: � Z Height: �
Square Feet: �a Cubic Feet: �-�-� �� � g d
Front: Depth: Height:
Square Feet: Cubic Feet:
Type of Construction: ,,(�'� ��� Estimated Cost: $�� 0�
To Be Completed: �d �r.+�,�... � ' �
IZ �;'� � t. A Alt. B
Prorosed Driveway Width If New Openin� Is Desire �� $� $.
.�.}�IC'�
1
(SEE REVERSE SIDE OF SHEET)
The undersigned hereby makes application for a permit for the work herein
� specified, agreeing to do all work in strict accordance with the City of
Fridley Ordinances and rulings of the Department of Buildings, and hereby
declares that all the facts and representations stated in this application
GFi,n are tr e and correct. See reverse side ,�dditio rinformation.
��y, � /�
� ��� DATE: ; ` �� �� SIGNATURE: -�liL'� � �_-
�� a �� �
� s L �G���f�
� i�� Stipulations: + G,� ,�� �,lls�_ �J
/. �h�t'a �.l �� �
' �°�`.� .G�'`k.,� 4�-
�2�- :��-� J��'�- -
�
� �Z t6 x il. �S �
�I� `r!�'`X
/ � -r.cr��`x
5AC_.
�6tS �
� i i �'�3 -
� '/, ,S L
� 0?2, �P
/'Si Sd
�.., �—�5, e �
��'�/ � P� Cu.�
� �
yi� , �a
,
�n�e.r:P a��� �° �8B/% s � o ��'�
_ _ �_--�
,. � �
r . � -' _
�>c�,�z" �� f�!' Sl�� . � .. //5�� ;Y_ � — %%�,�L . �,
..,
_ y� � - c�z G '�r 5/5� - �/ �y _ .. , _ ! 3, •�•�� , ::r t _
, . , .t.
_
� . . � z� ��$a :�.; ,t:
!�� , ����- . _ ` .:. ,. � _ _ :
_ _ _ .-- . . __
_,
, .
2z �8�d � ����' - . -�
f � �/�-L
��.� �.�... �.� ; �. , .� : � __�.. .�- . . -' f �� . _ . .
� �g
... �,_ _ . - � .. ti- �. .
: -.�_ . . __ .
. . _ .. ,
. . , :- . ._ .. . .
t ,. .,t.
� , .
�/�5� �' ��s� ` j 1 ���v� c� . : , � � ,,
c�J _ _ . _ -- _ .
�_.. _ ,�';
� . ;_ .� . , '...
� �' �/ �`/ k .� Z. 6� ._. 1. �, 8.��i�. 4�� : '
, . �-
. , . . _ _ � ,.�
- �. . _ . . . , . . .. I _ � r_. . .. . . . . . ... _ .^. ..'_ . . . ._. _
- �/ � z � � ' ' `'
�, ., _„._ !_., .s__.,..:
__ . ,_
_ ,
� _ ,..
s �,J � ... � `�`- �"�'�- : -, /u� � � � �. �t- : _ :
� ., .., , , ..
, .. : .
, , �
_ _ . ..
. __ _
� . c�3��5",_�� : _ - :-
_ _ . �� �.�,���
: . _ _ . ;� _
_ . - - — -- -
_ y� _- - -.
, _ - . � � . + .., • � , _ . __ . ._ _
�
. / /. _ _ ..�f
�
�d , 9 '
. _ - � D , _r- -- - ,__.
. _,� � ;
-- _ _, _ . _ . _
. _ _ -!�/' _ . -_ : -- ---
/ ._
. ' � �C% .. � , . �`(,2.
_ . . _ . . _. — -_ _
_ . , -;- . . � . . . - . .-..,- ...,�r.
� . . . � . � . , ._ . .., -
.. . _ . _.... . :. .�. • ::--.4� . .. .
. . . .. . - . 3�, �
�
._ . _ _. . .��'`� . . . _. __. .._.._._.__.. _ .. .. . �._._.._._ _ __�...._._.____._ _ . ._..
_ _ . . . . . . . . . ..�. . --.
. •
. . . . . . . . . ... . . _ . . . . '__. _ . _ '____ _t.__ __� _. . . _ . . _. .
� � � ��, �
_i. ... _ . . . . .._.. _ _ ._.. , �__.�__ �.
k. . . . . . .. . . . . . ... _. . _._. __ . _. . _._-_._ .; _- '•.___i___.- ._,_.-_-_.
:, ;
. . _ _. . � . . � � _._ .-_ . .. . . I. _ . � ,
Page 1 of 4
„ EXTERIOR ENVELOPE AVERAG� "U" COriPUTATION
• r � � ' /{� � `� �/e��p�,.N �GkS7�l"l/!T/�GN
OWNER: � OG '��G_ ��G(i/�T � �'v DATE 1�(�r�' � I�s � I� 7�
SITE ADDRESS: rQ ��/,/ j/j �S(�;� l[E� S/,�`� PHONE: S t'I �- 3 3��
CONTRACTOR: A� Q, (n l� �-U Z� h
Determine working square footage of each
1. Total exposed wall area...... /��� sq. t. x .17 =
2. Toa1 roof/ceiZing area ...... /�� / sq. ft. x .05 =
a.
b.
c.
d.
e.
f.
g•
h.
i.
]-
Total exposed wa11 area above floor = l , z
Total wall window area .................................
Total door area .......................................
Total sliding glass door area ...................... .
Total fireplace wall area .......................... .
Total wall framing area (average 10�) ..................
Totalrim joist area ..................................
wall area above floor......... ...............
wall area above floor ............... .........
wall area above floor ..........................
wall area above floor ..........................
Total exposed foundation area = ��6•.2
�
23z . Qs
5"6 . a
• `t �
'% •
/. / �.
��'��/b. Z
� 8 � ����
k. Total foundation window area .......................... ��
1. Total net foundation area above grade ................. �'��_
Determine "U" value of each wall segment
(e.g. window, door, each se�ate wall section)
a. � 4 a•�5 X��U�� . 5 Jr � �g', 3� /' .
b. 3'7,g2 X,.U„ � �a� ►�'_� 4�. ��
c,
a.
X "U" _
x ��u��
e. I 3� • (2. X
f. 81�.g� X
g. . z X
h. � � X
�. ��.z X
„U„
..U.,
„U��
oUn
��u,�
.119 �,
.o� �
.o�l _
. 5 5 =1
� , X ��U�� � T�/ _
k. X "U" -
l. X "U" _
3 . ........ .................... To�al =
� 5..�
��.�/
�.o�
�I .
�, zs
�✓^
3�•�
If item #3 is the same as,
or less than item #1, you
have met the intent of
. �BC 6006 (c) 2.
� '
ti
� .� � ,�,� .,c �� y y �. . � ,2 � 3
�
' Exterior Envelope Average "U" Computation
Total exposed roof/ceiling area�= � �
m. Total skylight area ............................
n. Total roof/ceiling framing area (average 10�)...
o. Total net insulated roof/ceiling area........... �►Q�)�,rp
Determine "U" value for each roof/ceiling segment
m- X
_ n , - F � ��_.._ X
o. X
��U�� '"1 _
,�U�� , 0 5 Z =
„U„ . b_y_� _
S ��
��.�.._
Page 2 of 4
4 ........................... Total = '-f b. 3 3
If total of #4 is the same as, or less than #2, you have met the intent of
SBC 6006 (c) 1.
Alternate Building Envelope Design
To utilize the total envelope system method, the values established by the sum of
items #3 and.#4 shall not be greater than the sum of items #1 and #2. , �v%
!s°'"
�. ,Z32. �5 + 2. 56. z - 2��. �5
x�
�� ��: I�� � a�- + 4. �� . 33 = 2z5 � s'7 � G__ zG j
��
L�
�
0
. WALL SECTIONS
N�TE: Use 10$ of opaque wall area for
ti fzame construction.
WALL
FIG. #1
- FRAPiE t9AT•T•
�
.,,, ; �
b ��� f'` � � �'ti
F�G. #3
� �«4`� �
i_ t � .
' d � .
, , • � � • ;
r,, ` : . � � � � -
��
Page 3 of 4
Construction � R-Value
1. Interior air fi]m 0.68
2.
3.
4.
5.
6. Extermr air film ' 0.17
Total
1. Interior air film 0.68
2.
3.
4.
5.
6. Exterior air film 0.17
Total
l, Interior air film 0.68
2.
3.
4.
5.
6. Exterior air f ilm 0.17
Total
� '
�'� . 1. Interior air film 0.68
• V ' 2.
� �_ . . .
-- 3.
4.
5.
6. Exterior air film 0.17
Total
' . ' • ' � Q . r- • • � a
: � i
: �
� ._�� �-�F � f k , � :, . `� . . - � � ,
_`�1 __ I�r • (� • ' � .
. �_
� /l ( " ' ' • ' 1
^ ' fj ` i 1 i -
.. , _ , .-
� «� .' �,� ' , �� � �i��^ �, ��
FIG., �4 «c � � � •. � o r i'�
"" ` `//! `
. . r. • f
. . � `r� � X -: V `- /! / . .
' ' I` �l� : �!( ,�.` f/( � r ` �
NOTr : Indicate tyoe, "R" 'v�lue, deptl� and
placer.�ent of insulation.
/
ROOF/CEILING
�
• VEIZT
�Tented
�
t�
!;-��sfi11 l � 1', f I l l I; l)�
�---------�r
` �` J ``J . . .
Heat f low �
up . . .
FIG. �5 � �
7,A�_?j��.r `N� :j\c��'+.li_`.��. '-.�:P, �•T°r.C?.Sti'J•'Crt�GQ�iCal ..
. ��_ �.� _ .. .- . . .---- -"•�
1 2 � � .
Hear flos•1 vp . , ••venCed
_ .FIG. #6 .. .. . � � � , ' .
. . . . .. 1 `—` --- 1 '`-�' ' f v c
1�
• n�.�-vr.�tr.0 . ,
� � .. ' � Hent • `� � � . '�
, : • • � £low up _ • • . ,
. .� - . . „
l.i'Xr. l�7 . , . � .
Page 4 of 4
Construction R-Value
1. Interior air film 0.61
2.
3.
4. Exterior air f ilm (still)� 0.61
Total
1. Interior air film 0.61
2.
3.
4. Exterior air film (still) 0.61
Total
1. Inside air fi}1n 0.61
2.
3.
4.
5. Outside air film 0.17
Total '
Note: Use additional sheets if more space is
needed for details and calculations
,�
.�--=
CITY 0�= FRiDLL-Y
aPPC?C�;�ION FOR FOWER PL.4NTS Af�;D hEATING, �oG�TNG, ���cf�TILl;TIOh, f�ErRiGER,^,TION AND
I�IR �ONDITIOI�I^:G SYSTEhiS AND �cVICES
PARTIAL �T� SCHtDULE
cie.a��?Ti� l�:a��! :i?lz:
_.._._�ce Sae�l S Duct t•7ork
3� lac�:zce: o° :'t:r..�ce
:e�airs S Aiteratior.s-up to $500.00
Repa:.rs & Alterations each add. 5500.00
�fECh:i\IC.aL titi:\F�1 :\IR:
r^sr.^:�ce S':e11 s Duct Sdork to 1C0,000 vTL'
�..c?� ac�. 5�, Ov0 3T:;
itE-��dC�^C' :L OF : L.I1dCG
Repairs & Alterations-up to $SOJ.00
Repairs & �lterations each add. $500.00
STEa.�i OR FiOT titi:�T:.R S1'ST�._�I:
5ui_2_ & �ir.25 u� �0 1CO,OGO BTU
eac:7 acc :. 50, OGO &Tli
Boiler �r.ly ;:p to 100,000 3TU
each addn. 50,000 BTU
OIL Bli R\:R- to 3 gal. per hour
each add. 3 gal. oer hour
R;\":'': TG'I','1L
$12.00 $
7.00 $
7_00 $
4.00 $
S12•0� S_�
1.�0 S
7.00 S
�.00 $
4.00 $
$12.00 $
�.00 $
7.00 S
6.00 S
vic.oc
ia. oc
C-.aJ BUR\: R- f_-o:a 1CO�COJ °i� to 1�9,599 oTJ S1G.00
{over 199,999 STJ sae Fee Schedule)
GaS rITTI�G I�EES:
lst 3.ixtnras x S 3.�0
Addi*_ion�l Fi�tures x $ 1.00
Gas �.:.^ge to 1y9,0^vC Bi:J :c $10.00
�
�Tt"1 C���:�;:ti�l��i
F:1\ HE:�T:\G S1'STL>!S _ see =ee schedule
VE\TIL;TI\'G SYST��1S
�LTLRaTIO\S � REPaTRS_ j
' State Surcnarge
I TOTAI. FEE
' F20UGH I:QSP.
Date
r�az, z�;s�. /.� -.� o � 7 %
, Date
eiP?:JVFu FOR P=.^ti.+SIi _��'J_LY�J
s
s
$ L/
S
S (/
S
$
�
S
$
S,
S
50
REINSPECTION FEE � S. S V
CS10.00)
u
SiItiIA!ii:f FEE FOR AIQY H�TING PER"^.iT IS $7.50
Job Aciclress
liepart*�cr,t o: Builciings
City of Fridley
Tel. �'S71-3450
The undersig:aed hure:�y makes ai�plicution for a ne�it for the ��or'.: :�er2iz
��pecified ar,rec:::y to do ali c:c1-: in strict acccrdance •dit:^� tne City Ccdcs
and ruli::gs of tY:c Lepar�mer.t of 3uiic-i.^.gs, and he:cby c?eclares t?�.at al'_ t.e
facts ur.d representacions sta�e�.: in this applicatio� are true and ccrrecc.
Fridley, Minn. _ . Z9�
OWNT:R �%(�iLt,�7LLYL. �ASF'�
KIND OF BOILDThG
�
USED A: � / � �� L. ---
TO BE COMP?,ETED ABOUT �f-:
�STIi�i.T-;TEU COS; LJ �D ,/H)
OLD I��W UZLD�i1� PER:`^.IT N0. PEk}SIT ::G. �
DESCkIP^1ICN OF FUR\nC�fB:;RNER
HEATING or POWER PLnNTS, Stea�.^., :iot War.er, T'arr.1 A`�r- No.
Trade Name �z ��A�. Size No.�.�%�� _
Capacity Sa. r^t. EDR �UBTU EP
Total Connected Load �. � Kind of �uel �r, � CGf.v�
BURN�R - Trade Name .�J�h. �YQQ'J Size r.�. �(1/�
Capacity Sq. Ft. EDP. �v�,�u g'� HP
c�m�,�ny RI�Y N..,WELTER HEATING CO.
. . t4637� Chi�ago Ave.
� SicneB By �'�
• Tei.. No. �����n �%
City of Fridley
Applic�ion far Plumbing and Gos Fitting Permit ���, 3�s�
Dept. of Bldgs. Phone � „�
DESCRIPTIOiV OF WORK
Number, Kind and Locaiion of Fixtures
u� 1l� y� y� (9 WATER HTR.
W� �-1 Y 2� Y Z K K Z u Z O S � WU' Z � ♦
3 U 7 �6 � � ?; F C� u=i � C u� < 3 U' < C�'J a U`' O i N GAS ELEC.
Base
lst
2nd
3rd
4�, � ���� I � - --
• Futuse Coaaectfon Openiags Connected with
* New iixture, Old Openiaga I Sewer �
Cesspool �
PARTIAL RATE SCHEDULE
PLIIMBING FI$TURE RATES: NO. RATE TOTAL
Number Fixtures . . . . . . . �_ �.`gBUg o� %i D 1?
...... x .
P'uture Fixture Opening ................ x $1.50 $
City of Fridley:
Zl /[/' �
;J •
�; �
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 all the fact
and representations stated in this application are true and correct.
Owner
Kind of
Used as
To be c�
Estimated Cost, $ ( � d �% ��0`1,
Old—New. Building Permit Na Permit No. �� %�
Signe
By
New Fixture Old Opening . . . . . . . . . . . . . . x $1.50 $ Business Phune No �J s� � �
Catch Basin .... ................. x $3.25 $
`v" �. o C>
Water Heater (Up to 99,000 B1'f� . . . . . . x . $
New Ground Run Old Bldg. . . . . . . . . . x $3.25 $ ROUdH
a
IIectric Water Heater z $Z,pp $ 'J �� �
GAS FITTING FEEB: NO. RA.TE TOTAL C��N�
lst 3 Fixtures .........................
. x 3'Qb0 � $ � � � �
Additional Fixtures .................... x $ .75 �
Gas Range to 199,000 BTiT . .. . . . ..... .. . x $5.00 �
REPAIR$ 8c ALTERATIONS—Refes !o Code
': Description ..........................................
TOTAL F'EE �
� 7T%"�- • S�
�
� 3�f,.1�
�.
4z
�
- .___�
� �_ �� 514
� CITY OF FRIDLEY 6 -�� -��
PUBLIC WORKS DEPARTMENT
TAPPING APPLICATION AND PERNIIT
FOR INSTALLATION OF WATER & SEWER SERVICE
I) This form to be completed before a tap is made to any eaisting water or
sewer line. .�, • i � •
Address
Owner �
Plumber
CHARGES TO BE PAID BEFORE TAP IS MADE — WIiERE
ASSESSMENT HAS NOT BEEN LEVIED AGAINST PROPERTY
II) Water & sewer connection permit must be registered before this' Tapping
Permit can be issued.
City supplies all material and labor for 1" or under water tap. Con-
tractor supplies all material and labor for water tap over 1", and all
sewer taps.
WATER TAP: Materials Used: $ /o� �• �
Street Patch: �Zs�: $ �4'a � �`"D
TOTAL: $ � a � �
SEWER TAP: Street Patch: _� : $
III) If this property has not paid a full Lateral Chazge for its share of the
water and sewer system, additional charges will be placed against it.
This will be in addition to the normal connection and tapping permits,
meter deposits, etc.
��te�'
ASSESSMENTS TO BE LEVIED: Lateral: $
Sewer Lateral: $
TOTAL ASSESSMENT: $ �S �..�D
Clerks Signature `�(,jLt�1lJ�� �.�� +�1�!`�2�i1��( ���/
Supt. of Public Works
M/P 3/76 White P.W. Canary Finance Pink Prop. Owner Golde�rod Plumber •
97-8l�-l�1b�51
APPLlCATION FOft PWMBING AND GAS Fl7TING PERMIT
I, � }. a � U . � U WdtOX
� .Mi .Mr N H •.Ci a ►�i � a ro M �; �" � Hoator
' I ��, j �1 '� •a ,Mf� � G C d 1Q1 .C(J �.�1 � .G � U
•�' � ' IqA C N �.1 � � O �qJ pVI aJ VI 11� Vt U1 .C�
C1 � U D q . q V1 �C A u�. vl G. U W K� l� � u� o ne • lec
� ..
.: isc � ., on ec r ge
�
,' Z:►d •
I � rt , .
< ch . . ,
.(R) � FU ture Connectl.on Opening Connected with Sawor
(�) • l�cv Fixture, Old Opening wntar
� PAR?IAI, RATE SCHEDULE
PLU>1BINC FIXTURE RATE5: N0,
2.1,►� et F!x tut a a ` .
FV:ure F±�cture Opening �
1:cv Fixcure, Old Oponing
Catch Baein• '
r Nater Heatcr - to 99,000 H'IZ!
� 100;G00 BTV to 199,000 BTU
Hater Sottener •
1t�v Grour.d � 1�n Old Suildinq
Elactrlc WaCer Neater -
G.�S FIT?I\G FEES; � ,
. ,
lst 1 iixtuse�
T.�ditio�al Fixtura�
.Ca� Range to 199,000 9TU
REP�IRS 6 ALTERATIONS
lirst SL00.00
each add. 5100.00 or traction
RATE TOTAL
�
x S�.ao
• x $2.00
• x $2.00
x 55.00
� x 55.00
x 510.00
• x S7. QO
�_ x 55.00
x 55�0�
x 53�0�
� x S1.00
x 510.00
SS.00
5�.00
State Surcharga
� . TOTU F£E
AELNS4EC'!`ION FEF
S
S
S
S
S
S
S r_
S !�
S
S
9
9 �_
Job Addreee �89 Janeaville St.Ne. _—_—
,� DepartmenC o! Buildinge •
' City ot Fridley I
Tol. N571-J450 �
Tho undaraigned heraby taake� applicaCion for�a permit tor the vork t
epecilied agraoing•to do all work in atrict accordnnce with the Cicy c
and r�linq9 ot thn Departraont o! 8�ildinga, and haraby declara� that i
tha faot9 and ropreeantationi �tntcd in thir application nra truc nr.d
FridleY, Mn. 8�i1�?7 , 19_
owNFa �STERN CONST '
, —
KIND OF DUILDING FR�A� ' '
USED AS R�•
TO BE COMPLETED ABOUT 8�Z���TT _.
ESTIMATED COST ZO OO �
OLD - NEW BUILDING PERMZT N0. �� PEf�IIT N0. �/�l'SJr_
, �i��^`r��.,�/ �G . ����
Company � �<
' M�.�E�i+1�Q S `C3
. Signed By' �
� Tel. No.
ROUCH INSP. '
Date � ' ,
FIN�I, INSP. � '�l�J' ^ � . , .
Datn '
1�PPROV7IL TOR PCRMIT -���' , ,. �
.
g � � •
$ t-� �IjdNIMUM FEE FOR ANY PLUMBINC PERMIT i9 37.50
O 'C �
$ .50 �• �� .
.8�00 �' : '
� `�1 • : •
J,
�
�
_ ., ..
FIRE DEPART���IENT MEh10
T0: BUILDING INSPECTION
ASSESSING
SUBJECT: �IRE DAMAGED SiRUCTURE DATE: a�7T�$l
FIRE NAS OCCURRED AT
DDRES
e
DATE F FIRE
r
` FPa-6 •
� ,
sus�ecr R MIT �
City of Fridley _ 16 2 7 7
AT THE TOP OF THE TWINS g U I L D I N G P E R M I T
;,
,�
� ' COMMUNITY DEVELOPMENT DIV.
� ; ..------ , � 5-a, �
r � � PROTECTIVE 1NSPECTION SEC.
� ,
'� � r���1 � CITY HALL FRIDLE� 55432 NUMBER REV. DAiE PAGE OF APPFOVED BV
i..��'�iI �.J
612-571-3450 910-F15 7/2/81 / /
JOB ADDRESS 689 Janesville Street N. E.
LOT NO. BLOCK TRACT OR ADDITION
1 LEGAL SEE ATTACHED
DESCR. �-S ��.9 P R1V@Y'V1.2W' HQ].CJIl't.S SHEET
2 PROPERTY OWNER MAIL AODRESS ZIP PHONE
Michael Curtis 689 Janesville Street N.E. 571-1042
3 CONTRACTOR MAIL ADDRESS Z�P PHONE UCENSE NO.
Ed Hel�eth Construction 844-23rd Avenue N., South St. Paul 451-33 73 _
4 ARCHITECT OR DESIGNER MAfL ADDRESS ZIP PHONE LICENSE NO.
5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO.
6 USEOF BUILDING
Residential
7 CLASS OF WORK
❑ NEW ❑ ADDITION ❑ ALTERATION C� REPAIR ❑ MOVE O REMOVE
8 DESCRIBE WORK
Repair f ixe damage to dHZ:elling
9 CHANGEOFUSEFROM TO
STIPULATIONS
SEPER�I?E PERMITS REQUfiRED �QR �MlR�
HEATtNG, PLUM8ING Al!�Q SIG�iB.
c�u Fo�t o►u. < �rvs�crroNS.
Ftnat���ions oi al� 1�des
r� �v�pl�r
�IIdIM�.
TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD
SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING,
VENTILATING OR AIR CONDITIONING.
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT.
AUTHORIZEO IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION
OR WORK IS SUSPENDED OR ABANDONED FOH A PERIOD OF 120 DAYS AT
ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTFEET PARKING
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION �- STALLS GARAGES
AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX
AND OFiDINANCES GOVERNING THIS TYPE OF WORK WI�L BE COMPUED $2Q.�QOQ $ZQ.O�
WITH WHETHER SPECVFIED HEREIN Oii NOT. THE GRANTING OF A PERMIT
DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERMIT FEE SAC CHARGE
PROVISIONS OF ANY OTHER STATE OR �OCAL LAW REGULATING CON-
TR CTION OR THE PERFORMANCE OF CONSTRUCTION. �120• QD
PLAN CHECK FEE TO�yTA�]L FEE
J . . i T��iO�OQ
(
SIGNATUREOFCONTRACTORORAUTHORIZEDAGENT IDATEI WHEN PROPER Y VALIDATED THIS IS YOUR PERMIT
,' �
SiGNATUREOFOWNER�IFOWNERBUILDERI IDATEI BIOG �NSP QTE
CITY Of' FftIQLCY •
A('PLIC/1'fIOiJ FOR RLSIUI:i�lTIN_ QUILDI�lG PCfL'�ITTS
(tJe�•r, Al Lerations, /ldditions, or Repairs)
� 01�Jf�ER; Michael Curt is
ADDRESS: 689 Janesvil3.e Ave. N.E.
ri ey
?EL N0: 571-1�42
S
f3UILUER: �n NF.t.SFTH rn�Rt1(_`T_��, -
ADDRESS: 8z�4 23rd. Avenue North
South St. Paul, Minnesota
TEL PJO: _ 451-3373 ' 55075
Consi;ruction Location '
• STRI�T NO : �8 � STREET: _
1 �-SZJ � �
Lo�.�: !�3 , � �- $LOCxc: � V ADDITION : �� ��.2 � � � �iS'2r-� ?s � _
Corner Lot: Inside Lot: Setback: Sideyards:
Ap�licant attach to this form two Certificates of Survey of lot and
. proposed building location drawn on eertiiicates to scale.
. DESCRIPTIOid OF COP�STRUCTION _ .
r-`� . _
�� �� ��- �� I'ront: � De th : . Aei ht:
r �
Squa�e. �'eet: Qxbic Feet: �
. �'ront: Depth: _. . Height: -
- . --T--
• : Squar.e• Feet: Cubic I'eet:
Type of Construction :_ Re}�a.] r F� Yp IIam�g�_ EstimaL-ed Cost: $20. Q00. QO
. Rb Be Gbr,�pleted: S,e,r.,temY�t.� 1.;._1981 . -
.
` . . Alt. A Alt. B
_ Proposed Drive�•�ay Width If New Opening Is Desired: $' �$
• , . . SE� Re.VERSE SIDE OF SHEET ,
,
. .
. , .
�.Sie undersigned hereby makes appliclticn for a permit fcr the �:orl:� herein specified, �,
. agreeinq to do ,all work ir� strict accordance ��ith the Cifi�y of I'ridley Ordiiiances and
rul5.ngs of i:lie Department of Bu�ldSnc�s, and hereby declares that all tlie facts and
repreGen tatians stated :si this �.pplication,_ are true and correct.
D:,T�: 7-1-81 SIGNATUF�E: ��e,Cr�1% ��., __!����e� -- . .
SL-i��u�.ations : � .
..�-� %16�UU ' Zo
�. . ,� .� .
_ C4�0� •' ���
s.�
�30,�� �
z
_.._
A .
: .
�� � _ � �
_ . . . .. . .
; .
�
�
��
KF
:F�'��� .. ... . . ...... w...
���.,�'� � __ ��
�r F �
" �� �` ,�
r
t
t
August 15, 1977
� CITY OF FRIDLEY
6431 UNIYERSITY AVENUE N.E.� FRIDLEY, MINNESOTA 55432`
TELEPHONE ( 812)571-3450
� .� . � . . . �.' C . . .. . . . .. . � .
� .,. , , .
Western Construction ,. . . •
6950 Wayzata Boulevard ,_ , . .; , . .
Minneapolis, Mn. 55426 � , .
Re: Final Inspection at 689, Janesvil�].e Stree� N:E: �
Dear Sirs: _ : - .. ..
. � -. . , � - , , . .: � .;; ; .
A final inspect'i':on , was. �made on Augus.t- 15, 1977 of the aYiove � address and ., •, ��
the following items were noted which must be completed before the structur�� ..4 ��,� ,A
can be finaled out: � '' �
1. Provide house nu�b�rs on structtire. �- -
2. Px�ovide sod in the front and side yards. '� ` '
3. Provide a hard surfaced driveway. _ � -� �
• .. , , . 7
We will expect the above items to be completed by October-15, 19?7 when a •- ��
reinspection will be conducted to determ.ine compliance.• If you have any • -''
• questions on these items, please feel tree to contact me at 571-3450.
Sin.cerely, , . � '':�a
. _ !'i
, . : �:�
_ , � � �
DARREL G. CLARK � _ . . _ �
Community Development Adm. .. .,. . .
DGC/mh � . _. . � ... , . ,. . . .
, ,; ..
� � . • � : ..
, .
, . l , . +r•
� . _' , , �, ' � . •
� , .. � �, .
, �; ;
.<...b,. _.._ _. ... . _ __. .. . _ _.__ _. ,
,--_ .....�. �..��.�_ _.. _ _ __. �:_..___w� . _ �._�
.R,�� ,
CITY 4� FRIDLEY
A?PLICATIO� FO R PLUMBING AND uAS FITTING PERMIT
� m >, N 'ro o . � d water
�? N Ol A l�i �..°, m o u w w � xeater �
o u .� �' m E+ •.+ ro s, m ro s� w t�
O A C M! X L Cl 1+ .0 C� CI r.� C. H
�: � c� t .•� ,f( ^' G C 3 O U� .0 V d
� U O '^�. +� N C fA •� � Q 0 1J UJ J.� IR N N N JC .
�� -+ � �a �e •.� M �+ o ,c .� ro ro -r m ro � � o as lec
co y U � D G W tn 3 � u+ � m t� U R1 i2 3 C7
1�, \ f
� ls=
� ���j
3; : � j
4 =�.� 1
(�) = Future Connection oper.ing Connected with Sewer
(*) = tlew Ei.xture, Old Opening Water
PARTIAL RATE SCHEDULE
PL'J�I3IVG FIXTURE RATES:
Nu�er Fixtuzes
F7ature Fixtuze Opening
2;ea Fixture, Old Opening
Catch Basin
�ria:er Heater - to 59,000 BTU
100,000 B2V to 199,000 HTU
�Rater Softener
4e•�r Ground I�n Old Building
Eiectric Water Heater
��S FITTI�'G FEES:
lst 3 fixtures
Additional Fixtures
Gas Ranqe to I99,000 BTU
REPAIRS $ ALTERATIONS
First $100.00
each add. 5100.00 or frnctton
r
a
N0.
_� x
x
x
x
� x
x
x
x
x
RATE
S3.Q0
$2.00
52.00
$5.00
$5.00
$10.00
$7.00
$5.00
$5.00
x $3.00
x 51.00
x $7:0.00
State Surcharqe
TOTRL FEE
REINSPECTION FEE
($10.00)
TOTAL
$-.LI�-__
$
$
S
S�
S
$
S
S
2 O�
S ,�L`_.__.
S
S
$S.OQ S
$2.00 $
$ .50
��
��` s G
�'� �,�-,�� a� A�. �, ��i
Job Address �
Department o€ Buildings
City of Fridley
Tel. #571-3450
The undersigned hereby makes apolicatiqn for a permit for the work herein
specified agreeing to do all work in strict accordance with the City Codes
and rulings of the Department of Buildings, and hereby declares that all
the facts and reprosentations stated in this application are tzve and crorrect
Fridley. Mn. t,/ l/�� f Q , 19 ��
OWNER � �2 ,�5� �� CG��"�. �c7 �"'�� � �
ICIND OF BUILDING
USED AS ��r�,p� ��_
TO BE COI�LETED ASOUT ����d'/
ESTIMATED COST J� �O� �
OLD - NEW BUILDING PERM.IT N0. PERMIT NO. C�(�`1'
ROUGH INSP. •
Date
FINAL ZNSP. �-�/- ��
nate
14E'PROVAL FOR PERMIT
ComP�Y � h Ci !J ��I/
Signed By
Tel. No. ��%'/ ��
fii'�1/'..�iL 1`{.�7�3. Qc �i 1 i t. C^. :
, 205J White Eear A�.-�.
S:. Paul, Minnesota �J�`:�
Phone: 777-i��3
MTNIMUM FEE FOIi ANY PLOMBING PERMIT IS $'7.50 p=,� S.50 STATE SURCSARGE
SI-�'ORT
� ' �-
s
.
CITY OF FRIDLEY
APPLICATION FOR POWER PLANTS AND HEATING, COOLIN6, VENTILATION� REFRIGERATION AND
AIR CONDITIONING $YSTEMS AND DEVICES
PARTIAL RATE SCHEDULE
GEWVITY WA2+1 AIR:
Rtrnace Shell z Duct Work
R Replacement of FUrnace
Repairs & Alterations-up to $500.00
Repairs s Aiterations each add. SS00.00
MECNA�ICAL WARHf AIR:
Fvrnace Shell i Duct Work !0 100,000 BTU
each add. 50,000 BTU '
• Replacement of Furnace �� 100,000 81U
Fepairs i Alterations-up to $500.00
Repairs c Alterations each add. $500.00
srF,i••t oR t�n' waT�t s�ts�r�:
Boiler & Lines up Lo 100,000 BTO
each addn. 50,000 BTU
Soiler only up to 100,000 STU
each addn. 50,000 8TU
OI L BUR�ER- to 3 qal. per hour
each add. 3 gal. per hour
RATE
512.00
7.00
7.00
4.00
512.00
4.00
7.00
7.00
4.00
TOTAL
S
S
S
$
S
S
$__��
S
s
$12.00 S '
4.00 $
7.00 S
6.00 $
$10.00 S
10. 00 S
GAS BliR�GR- from 100.000 STU to 199,999 BT[J 510.00
(over 199,999 BTU aae Fea Scheduls)
G.�S FITTI\G FEES:
' lst 3 Fixtures x$ 3.00
• 11d3ieional Fixtures x $ 1.00
Gas Ranqe to 199,000 BTU x$10.00
AIR CONDITIOyING
FAV 11EATI \G SYSTE�fS gea gee Schedule
VE�TILATI�G SYSTE�iS
AI.TERATIONS f� REPAIRS
• state Surcharg•
TOTIIL F88
POUGH INSP. RBINSPEGTION P8E
�ate . t530.00)
rmu. :xsp.' 8 - 3 � � 1
• � Date
APPROV7II. FOR PERMIT ���/ /'�
S
S
S
S
S
S
S
S
S
S .50
S /L�,
KINIHUH FEE FOR. 7►A1Y Nl�1TItiC PS1iMIT I9 $7. SC pypg •�j. 50 iT71TE SUAIC7I71R[,`B
•llttached stack verificat�on fosm
0
Job Addreas
Dapartment of Buildinqe, 6431 Univeraity Ave. N.E., Fsidley, MN 55432
C:.ty of Fridley
Ti�l. N571-3450
The undersigned heseby makes apalication for a oermit fos the work herein
spedifled aqreeing to do all work in strict accordance with the City Codes
and ivlinga of tfie Degartment of Bulldings, and hereby declares that all the
faeta and representations stated in this application are true and correct.
Fridley, Flina. a9 � , 19$/
an�x �_ Q��� � �Yt �'$ ) .
iC7ND OF BUILDING V %Z�_./1'��
USED AS 1L7lL�-L_�J�.�tiY1�
TO BE O�MPLETED 1180UT '
ESTIMAT80 COST �� C�''��i '�
( OLD } NEFI SUILDING PP.RMIT NO. PEANIT NO. t
`.�
DESCRIPTION OF FURNACE/BURNER
HEATING or POWER PLi1NTS, Steam, Hot Water, Warm Air- No.
Trade Nama Size No.
Capacity Sq. Ft. EDR ST[1 HP
Sbtsl Connectad Load icind oi Fusl
St7I�iER - Trada Ltame Sis� No.
plpaCity Sq. Ft. 8DR 81V NP
Ooaip°"q • ` �
� Siqn�d By •
Tel. No.
, � July 27, 1981
!
,City of Fridley�
>
' Heating permit application information enclosed for job at
689 Janesville (job site)
Ed Helseth� general contractor
Suburban Heatina & Air Conditionina
2050 White Bear Ave.
St. Paul� MN 55109
(Phone 777-1363)� heating contractor
We are installing all new ductwork and registers as necessary.
Al.so� checking air conditioner and furnace. Install new 2�-ton
coil and line for air conditioner and install combustion air.
Estimated job cost -$1, 000. 00
Permit Fee $11.50 (As per phone conversation with City Hall 7-27-81.
Check #�12812