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AF - 47619City of Fridley, Minn. 6431 University Ave. N. E., Minneapolis, Mutn. 55432 BUILDING PERMIT Date: __Se�tember 29_� 1_.971 Owner: _.._�..d_��?]_._M��...._____ .._.._ ____._.� Builder ...��. Afldress -----�4.00.--����nn.�..��i�z�A, s�.� �.�.�1 aaaress :.��me s � 1119: LOCATION OF BUILDING No. ..-----._.fi9-9----_.._. street _----.Ta.nesuille_.S.txee.t_Di..E.�-- Part of Lot Lot _..2A721_.__._._ Block _..:.P...._......__._._.__._..........._._ Addition or Sub-Division ._$i.�r�]�ziew_Heiuhts Add� tion Corner Lot -•--.--------------_........ Inside Lot ..-•--•••-•-----?�.__._._.__ Setback � ._.._ Sideyard Sewer Elevation ..---___._.._----------•-.------•---..___.---_.___----------..._ Foundation IIevation -------- DESCRIPTION OF BUILDING To be Used as: --UwellinS_--...-------------- Front __40! -8" �p� 27 & 24 Height _�..:.__ Sq. Ft. 1038 Cu. F� ..���� --Ga-��a.g�..___._..._----------- Front ��._..__ Depth ..�...�1E.---. Height __�� Sq. F't. 312 Cu. F� 3,� 12Q Type of Construction --------Fr�a.mE____:�._._.. Es� Cost .._.$17�.C2.�....QQ._._._ To be Completed � 3zear Stipulations: Provide a verifying survey before capping. Provide a hard surface drive. Use 2 x 10 joists In consideration of the issuance to me of a permit to construct the building described above, I agree tq do 'Ehe proposed .work in accordance with the description above set forth and in compliane�with all pravia�ions ot Ordinances of the city of Fridley. �--, �A �--� � In consideration of the payment of a fee of $_.�� _�.�- , permit is hereby granted ____...�•.._.._.--.__._...._...._ ...:.......:.:__ to construct the building or addition as described above. This pex�nit fs granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, fn all Work done in, around and upon said building, or any part thereof, shall conform in all respects •to the ordinaaCes oi Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of builditl�8 }yithin the city limits and this permit may be revoked at any time upon violation of any of the provisians of said o�rdinances. :P,P� 0 ��� � t� � �t,v� �� CLARENCE BELISLE NOTICE: This p�rmit does not cover the consfruetion, installation for wiring, plumbing, gas heating, s�wer or wahr. Bs wh fo sN th� Building inspecto� fo� separafe permits for theae items. . 0 �_ APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITiON BUILDING PERMIT � ' 1 � � r � i ' � ;�• /+"` :/!'� ``'���r�, ��i''�►,�'!'�` ', �►` � i� � r%� a_; fa i.�rr.'a ti.j.131C.�1i r�� i� 1c��' �-,, �� 1%11�1'�►���/I/ �i!- '�'JI���' �� l�` 1►' '%//,r,/` , ,,, „ , � .�.y I� � ! � ' '�♦ � � � � � � � �:��I��W"� ���I\���V%,\I,����l� ��=I.�1�i,if��'�.�•� � r ���� . �� � __ _� �� � �� �^' ° �. � C % l � 1 �S, �♦ � !� � I � ��_1 �, � � � • � 1 1 � � � � — II 1' � 1 1 � 1' 1 Appllcant attach to this foxtn �o Certificatea of Survey of Lot and proposed building location dxawn an these Certificates. (%��. �u-� J �J - �2d Su,P. �1 �2� ��. HESCRIPTION OF BUILDING �, xo Be Used As : ,y� �.�... � .� , f Lf Front . ��'e th : a 7 � � / Height ; . � � °�"'�� ._,-,� � ��. +��- 7�� � � Squa�re Feet : ��� Cubic Feet : � � ,� � ���'�'`�'� Fxant ; Depth : a � Heigh� : � Squaace Feet; °� / - Cubic Feet: 1�►pe o� Construction: Cv D c��� �.�o cl� Estimated Cost: $/�%�p a�"'" , To Be Completed � J� � � � �, �,` � .,,....�, . � �f S� � � f � y ��_,�. The uadexBigned hereby makea applicatitin for a��it �or the work here�a apecified, agreeing to do a11 Mo�rk in stlict accordaaae with Cha C�ty of - 8ridley O�cdiaaace� and sulinga of the Department of Buildinga, and hera'by declarea that all the fact� md rapresentations stated in this application are true aad carrect. � ` nATE : � � �7 �' � / SIGNAIVRB : � � '' �, � � . (8ee Raver�e Side For Additional Information.� f _.. , `� � � a � ►- i -tlf .�.?' � 4 � � ---' L, .�. ��� G t _' � `.,� , �"""'_ �.. °-�' P� . , � ,.: y�... `,�i � �,,;� x,�: r � • y � ,.# , . l�/� I ..+s � � � Y � � h � '"'� • 4J Y ,c , �• t. �f �ti; ,,F � , • �,/ i• �.,.., �_ +M✓ C:,} �J � .,+ �. . '� t' .'' '� f a 4:r � J�, I�',� �a �.� ,�� .i ., .. . . ..:i � , °� � �' . #"�i A f.:+ ' �,{ 9 t " ��` �s� C� ��`. ' � # �.' / ��`�"������ ., � . . ... ! � � . f�' ! . �. . {�, 'i ��' � f'� U -.� �. 0 -� BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing penaits fox the erection of any building or structure, or for any addition to any existing building or structure, or for any alteration or repairs to any existing building or structure, upon application therefore, require the payment by the appli.cant�far such pennit of fees to the amount herein below set forth and in the manner herein provided to-wit: iJNIFORM BUILDING CODE: Type 1, 2& 4-$2.15 for each one thousand cubic feet, or fxaction thereof, in such cubical contents. Type 3� 5-�1.85 for each one thousand cubic feet. ADDITIONAL INFORMATION For the purpose of camputing fees for building permita, the cubical contenta of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or �he Cellax to the average heights of the upper surface or to the average� hei�ht af �he roof surface of the mnin gable of a pitched roof. For repai.xs ox alterations to an existing structure, the fee shall be at the rate of �3.00 per each five hundred dollars ($500.00) or fractioa thereof in the cost of all proposed work. In no case ahal]. the fee charged for any pezmit as set forth in Section 2 he less than $5.Op. V�RIFICATION OF FOUNDATION NOTE: �etm�,te for eanatruction will be issued a minitmua of 24 houxs from th� tiae of application, to allaw•for proper review of the proposed structure �d of the constructiom site. A Cexti.�i4d Survey of the lot, sho�iug the location of tha fouada.tion, once it has beea canstructed, will be required before vroceedinst yrith the frami�ng. CERTIFICATE OF OCCUPANCY � Applicatian for a Certificate of Occupaacy sha11 be made teu (10)'days prior to tlae use or occupancy of �uy atructure for which a buildiAg permit has beea issued; and eaid atructure Rhall aot be used or occuptad until a Certiticate �f Occupaacy.b e been issued. � �v�/ cyd-� .�y � ��. _/ ,�� , ' � � � ff ' .,,.�5 � o � p.1,rC �„ ,�` S � . °.�� � �� �* �-�� � r �- � � � �.� � f�.. �, � � � � � ,�. . �� `� � j � � ....� � '�� 1 % ;t . � �r +�::t: ,�� r l j: i �°• �� �% �'�`. � '� ", j � ,�+ ±�,? I / � September 20, 1971 Fridley 3uildiny Inspector Fridley City Offices 6431 Univ2rsity Ave. N. E. Fridley, Minnesota Dear Sirs: 4•1� have examired the �lue �;rints for the house proposed by C� K aui]d�rs for construction on Lo-�s 20 � 21, Block P, �'iverview tieig�ts, Anoka Cc:=unty, an�i give our �ermissian to go a��ead with construction of same. Lot size 60 x 110 for a total of 6,600 sq. . �� , / �v� �J� �'�9 ( 7s� -o��l.z �,� q �. �. K� . �-�-,�'`� � �� 6An v�� �z2-�- (_../ 2�� � � G� 4 G ,�'��%.��, � �o�- �9�9 0 0 0 • • September 2Q, 1971 Fridley Building Lnspector Fridley City Offices 6431 University Ave. N. E. Fri.dley, Minnesota - Qear Slrs: � l�� have examined the blue prints for the house proposed by C& K Builders for construction on Lo.�s, 20 & 21, Block: P, Rivervie� Heights, Anoka County, and give ou.r permission to go ahead �ith construction of same. Lot size 60 x 110 for a��tal of 6,600 sq. ft. � � �a�s � �g� _ y8�-s' a��..�.h:¢� a . t<< 0 ,_. . .:� � � , r..�..__ ,.�,w _ . 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' . . � � • t . � . •' � . . . . - ,. � • ' � • � • � ' � � - C • � � � . � . . � . . � : . � . . . . . _ � , , - � . � . ' ' . _ . � . . � .. � , ... - �. . . . � ' `. . ♦ . ' . . . � . • . � . .. 4 . � ,. . � . � . � � .. �. ,~�a . ' . . � .. _ ' . 3 .• . . • ` .• • . . � - . . � . . • . . .. . . 1. . � ./ � . .. . � � � . � .. . ♦ '! . ~ . . . � � � � . . � . . . . _. . . . .. . � . . . ... � . . ` .. � _ . ' .. ' . . . - . � . N° ).��2�9 � � : _ ; Buiiding Job Repor � ; � � % -�---- . . ADDRESS . � �� � / �a .�.. S" li l l -; . � � . _ , i ° i - _,. I OWNER , ; _ . i BUILDER - _. -. i i DATE PERMIT NO. . I DESCRIPTION f� / ..,/ ��' ' / � �� /l � y' --eA �/N/ � � � '- i � - �` ° S �` �� a � � �� _' . - I I�NSPECTION FiECORD - � _ . DATE REPORT � i �/ . � �7/ 7' ' � - i` �+ � � r- c� /� � / , . • - �i �. . � � ? . * ' � . , ': a • 1 . /i I � . OWNEft - REP_ INSPECTOR � . 1 . � ' , i .. � � . . . . . _ . .. . _ , . � . 1 . . . . . . . � . . . � `1 � . 1 f �r � , _ ��`� ���-'�,'-� v/r_i_-�_ r--�" . ,.5 - � _I � M ���..: _ ... - eC?k� .. . :��y, �iq.€.'. .. d��1 �v o 7� �- f,.,y �, , ro a � Nd7'�c�e.. ra,kt.r /-y 7i „ �_-. �7 �. (.�' a 1 �_ :- .L" G� -. �-,� � �.,,�.,.._.,,...� . _ �. . /i 'i��7 2- _ �:T . ;- ' - • - • � . . . ` ' . � . � � .. , _ .' . � ` • � . • � l�. . � , • . : ' � r •., r ` , __ __ __'_ _ _ _._ . , • '•' p • • • . , ` . _ . �. � i {S i • . , . . N. 17q69 _�,- � . ; • Bu�lding Job Repo ! - ` ADORESS , � � .�i , � , 9 9 --� ��� �.� � � Q �� j . . . . � � • ;� ' OWNER ; i � . � BUILDER `Y1. aQ L i lt ' . DATE I��� '—� � PERMIT NO. ' ' . ' DESCRIPTION �Q. '' i �� � • INSPECTION RECORD - : � DATE REPORT .� � "- � . � ' . . _ ' ' . ' ; ��..;� . • r . � l /` ' �_ ; .L; � , . ;� . � _ ; _ . � : r -' - _ i .. . . . � . • . . _ ', . -. _ = . , � �\ � 'i � � . - � . _ �� - ' '4 ' - -. � . ' . /,' /, ' �i . ,- ,- �. OWNER — REP ��� .; ��, JJ� l LZ��i INSPECTOR , �= - � � . �� ` -: . . . 1 ' � , _ , . ti _ . . � + _ _ �, �. 1 . " ' � � t, � , ' -- :x - • . ; ;. . _ - � . . - ' • • � . . � � ' . ' 6 � � � . � � a� � � • '. . � , , '. _ . ' � - � ; - - - � :,,� . . � . .. � ' _ , _ ,.. . j� . � k . .. . . _ , � . ,.- : . �L , . � • . . . , , . . . . . _. ..:._ . . .._. .. �. ..' . . � . . . . . ' . . .� �. � . � i- _ _ � i . . . ` . . . ,. ...�._..___.�_���.��._.. . k - - �° 18332 t � ,.; � ; Building Job Rep c � - ; :; . ' .ADDFiESS ( : � �� N � e�l u c t/i � / � • � , ? . OWNER { ; ,' BUILDER � � /�. ��� . . � DATE PERMIT NO. - DESCRIPTION —_` �� �� <' � � � triL' � � � � � . � .i G S U� G-t %ji1 liX% l� • - -. - INSPECTI N RECORD ( • � DATE REPORT - . - . ' f� 2. / , �, L' , ,, �.�.: C, � � �� � . � - � -� , � � , t . . � � . , , . • . � ; - ; ., . . ._,. . � �; . OWNER - REP. / � . ,... � INSPECTOR ` _ _ i . r • � � � � . � � . � _ � ` - . ' � . � y. . . � . . . . � . • . .. ' ,. '_ . : . . . � . '� . � . � � . � . . . � . � � .. ; . i . . L} ` . , , .. . . Y �: � _ . • •- � • ' ' y ' a '-� . . . � .' . . . � � � . � ... ., .... . �.- . � �- .. � � . ' , . , . .• , .' _.�.. � t , . . . � . • � . -. _ . . 1 • � f . . , . . : .. . . .,..._.. ...�__.._. ......,. ......_...._ . ..>r...' � ; {. _. . ' ' . . - . . _ � _ � . . . . ... . ' . � ! ; . .. N° 1718 � =� � � , Building Job Report ` _ ADORESS - 3 'i ; � . � ' OWNER ' ' � ,� BUILDER � ? / ? i : DATE f� ..�,Si" 7i PERMIT NO 1 :; • . � DESCRIPTION � , �! =i i �' � � � � INSPECTION RECORD i DATE % f•� ,� 7� REPORT ' , , , . _ i - •, - � .. � . . , � � � . . i • 2—C/ v A. � �—,_ �� �� ' �., •/G . � � - ' "L/1. . . . ' � . � - . . '. � J�.� . . _ � � . -. . � � . . . � . � � � . �. . . � .. . � � � �s� - - � .; . . � - . ' �� , , � / i � � , // . ' OWNER - REP. � / ' • , " " L�`"�'-'= INSPECTOR � . ' _ . _ ��� . . � . „ • � �, . . . . 1 - + + _ ., • . • ' _�' U. - � . � f.' . , -- . ;: ' - • . .. � • � . I . . ` � .� - 4 , � • . - � . . � � , � . . . � . � . • . . � . . � . � � . , � � .. � . ', _ � . • . C . ' � . � � � � .• ' ,� � r ' • . - ' . : , .. . . .. . � . . . � _ . � . . � . . � � � . � � � . . . . . . . . . . .. -_. . . . .. . . . . _. ___ . ' . � . . . . . . .__- . , : ,r : , j . �U � - ' f . � . � _. Building Job R� 1�4 8 , •r A�D - �1"f � � i . REgg , , , j t, � _ . . �WNER ` , y BUILDER . . ; , DATE � DESCRIPTION PERMIT NO. � ' �° _ ; ; �--L c -� � � _ � ,. � _ �. -� ,�� � ' -..� INSPECT�ON REC DATE ORp i , • -, � � ` - / REPpRT • ' 4 ` i � , ,, f=' d � - - . . . � Y� .� . ' .J c► _ • �: � � - t" y .1 � ,� ' .. . . � � �. / - / ry . -..:�'.�*�. . . � . . . f` �.� - � . .. . . . � . 1 � . / _ v ` • 1 , _�, i , � � , � . t � . ' . `ER - REP. " , . . , � �- �:.. lNSPECTpR � ., , . . � '��� . . . � - - .. , . - , _ � _ �. • . , ; . -j" . i � - }s , ' ._ . . • •� .' . . � r . � . �.. � - � � . . � • ' � .. ' � - "• , . . . . . . ' �7 . ' : - ` • �' � ' a � � .. _ , �... . ' � � , . . - . , i . -- • � ''� f , . " � ^� , , . ; • i . . ,. , , � ' .. . . . . - ,. . ... . . i . . __ _ .. _�__ . ___– . � � �� -- . , _ __.. ,. , __--- ---- . . f - ____-.--. _ __ _ � � -- — r � 11T� �.8054 � � � : j - � , . Building Job Repo � /G ; � - - E _ ADDRESS Sf� / _ i i i G�./u✓ r . . � OWNER . BUILDER �' '� /� C _�' .LO�✓ + � ., DATE � �. — � � PERMIT NO. ' � � � � � DESCRIRTION � . � � �� ' INSPECTION RECO D , .� i -. , REPORT I DATE - ; , Q. �� � C a v . . • : . � �a �-- l' � G a _- G � � . ,� — � n -' � � � � � � t� 8 �� �. . ' _ � •, , __ , � , � . . ,i j� INSPECTOR OWNER - REP. — „ . ,z, , � . , ' ^'�' ' � . . i - � - . , �. - . . � � � � � � . , � �. � � . . � .. 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F .. a� . ... . . � j� � ;� �,� :� �a �� ,� � ,� �g �`y , �rr��., ,� � :�� � �� / c� � � c+�� � �� �� `,*` � �, ��� f���, � � . �, � �: �� F � � � � ���, � r��� � � � � �..�__� , ' - , . , .. , � ` ' ° � . , . , a� , •� • • � ' ; � ' .� , . ' . . -. ' _ i , • ' ' ' � • • � •. . , ' f ' ` r . ''• . ' 1 . _ . � � . i. __ . , , ; , . 1 _. . �. .t . ' t , . N•° 18781 . _ . Building Job Report � _ , . .ADDRESS � � ,. � s �- � • , . . OWNER . '; • .; BUILbER � . , DATE PERMIT NO. ' ;-..j DESCRIPTtON . - , f •> ' � INSPECTION REGORD . . DATE / , REPORT ;_ . / �� 2 ,� �? � . � -, h' , • G / � �.-r / j _ � � � �. � �-, t _,, �? : —� � :� ..� :�, fi �� J �,., S'7�� / L-,, ' , . ' . i . . � �l _ . . . <J /�: � � i . k�,��,� i _ �� ; . ' �Ci--e./�,�. ,/ ' ` /1,. i , � �-- /� �i � .s ti /�� ` / ` G �, ` DI� i � _ , � � / �. � � t f�a t 1��, ~ _ ` � ,-, �%'�� � ��� � / i � � �` ' . '� �-'� _� � ./ -� - j . . . ' . .-,� / � � / .. _ ' � ���, �/ . . �°'/� as k, � � / , �+.J c� � � i� � ,! ;-f �-� � 1` � �� (. / a ,L � � + . . ; � -� �r .� � c `- � �� � : �� _� �. OWNER - REP. � � _ ,. iNSPECTOR � r ' . ` �C� � ' - _ �" _ _ � i . , � . , � - • _ � � . . -t ' s - . - ;j. . ,. � . ,: J , . � _� . � � - A.. � . . . • . � . , . � � � � � ... � . . . t - . � � . . . . . . . .._ ._ . . . . � � Ci4y o�f Fridley � plicalion ior Plwnbihq aed Gat hn�it %�P �9 Dept. of Bldqs. Pkon� 580-3� DESCHIPTION OF WOAIC % Qf� Iiumber, Kiad aed Localfoa o! Flxtures 1-°'��°°—= ,�-=--� '� � � � � z �'" O � � z � 3 � i� � ���o� ���aa3���� Base � lrt � � � 2nd 3rd �th � _.-Fut�u� Cooa�elbs Op�ai�s � * lf�w flxlnr�, Old Oy�nt�►qt �� V� I /� N I G�STE� MTIIC. PARTIAL RAT� SCHEDULE � S�w�s [� �� n pLDMSIIiG FIZTURE RATES: MO. RATE TOTAL Number PYxtures . . . . . . . . . . . . . . . . � x �200 E � . O F1�ture Fixture Opening . . . . . . . . . . . x a1.50 t _ New Fixture Old Opening . . . . . . . . . . . x a1.50 i�_ Catch Basin . . . . . . . . . . . . . . . . . . . . x �3.25 E Water Hester ;Up to 99,000 BTU). ... _�! x�3.00 : �, O v New Ground Run Old Bldg. ........ x f3.25 3 El�ctrLc Wata� ii�stv . . . . . . . . . . . . . . s =2.00 : GAS FITTING FEES: ItO. RATE TOTAL lst 3 Fixtures . . • . . • • . . . . . • . . . . �_ z a2.00 ; o�. Q O Additional �'hctur'ea . ... . . . . .... . . . . . x : .76 ; Gas Ran�e to 199.000 BTU .. . .... . .. . . ... x a5.00 � Clty O� i�I�CY: u 0 r� � ...� The undersigned h�eby makes application for a permit !or the vr�k heni specified. agreeing to do all work in strlct accordance with the �4,f Qrdinance and ruling oi the Department oi Buildin�s. arul hereby declues that ali the facl and represer►tations stated !n this appHcatioo are true and correct lYidleY. Minn._L1 - .__, 18 �� . /� . Ovnner �/�/�U Kind of Building Used as To be completed about �{�'�� � o- /` �J ESi1TY131.�a COSt� a �/ r �/J� . �� � Old—New. Building Permit No. _ P�rmit No. �'?� ROUGH i'U�tlIL REPAIR8 t JILTEAATIOIfb—R�f�s to Cod� •.� "'�� Descrlptlon . .. . ... . .. .... . ......... . .... . . ............ i , 1"OrPAL !FE : / % � C� (St�RGHARGE $ _.5�i Signed. i ' � /� Business Phune Appiication �or Power Plants and Heating. Cooling, Yentilation. Refrigerahon and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTI►L Furnace Shell & Duct Work . . . . . . . . . . . . . . . . . . . . . . . . . . $10.00 � Replaeement of �rnace ............................. 6.00 ; Repairs & Alterations—up to �50Q.00 . . . . . . . . . . . . . . . . . . 6.pp $ Repairs & Alterations each add. �500.00 . . . . . . . . . . . . . . . 3.00 � �iECH. WAAM AIR l�rnace Shell & Duct Work to 1�0,000 BTU . . . . . . . . . , . . $10.00 each add. 60�000 BTU . . ........ . .. .. . .. . . .. . 3.00 Replacement o4 �rnace ............................. 6.00 Repairs & Alterations--up to $500.00 . . . . . . .. . . . . . . . . . 6.00 Repairs & Alterations each add. �500.00 . . . .. . . . . . . . . . 3.00 $�l� S $ $ STEAM or SOT WATER SYSTEM Fumace Shell & Lines—to 400 sq. ft. EDR Steam .. $10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $ Each add. 200 sq. ft. EDR Steam . . . . . . . . . . . . . . . . . . . . . . 3.00 $ Each add. 320 sq. ft. EDft Hot Water . . . . . . . . . . . . . . . . . . 3.00 $ OIL BURNER—to 3 gal. per hour ....... over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 199,000 BTU) . . . . . . . . . . . . . . . . . . . . . . . over 199,000 B1'[T See Fee Schedule 6.00 $ �b.00 $ GAS FITTING FEES: NO RATE TOTAL Ist 3 Fixtures � ...................... x$ 200 $ Additional Fixtures ................. x .76 $ Gas Range to 199,000 . . . . . . . . . . xa 5.00 $ AIR CONDITIONING FAN IiF,�TING SYBTEM VENTI�,�TING SY$TEM ALTERATIONS & REPAIRS ROUGH FINAL !1� � I 3� 7 T � See Fee Schedule TOTAL FEE �#-a�1" "_ Dept. of Bldgs. Phoae 560-3450 a ;ti ��,� � c� City oi Fridley: The undersigned hereby makes application for a permit for the work hereir. specified, agreeing to do all work in strict accordance with the City Ordinance: and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. , 0 Owner 19 /_� Kind of Building ����� Used as �� � � To be completed about v` /�j r Estimated Cost, $ �� �' � Old ew Building Permit No. Permit No. v�-' 7� DEBCRIPTION OF WORK HEATING or PO PLANTS--.Steam, Hot Water, arm Ai No. / �o'�' �-----� / Trade Name �7G��. l�!���� Size No `j ����� Capacity Sq. Fk E.D.R �� BTU H.P. Total Connected Loa � Kind of �te �� BURNER — Trade Name i�. ��C.° Size No Capacity Sq. Ft. E.D.R BTiT H.P. (REMARKS—OVER) �.: I�2AY N. WELTER HEATING CQ Signec� 4 6�� -G I 1+6y4�r6-�4"�-- By MINl�IEAPOLIB '!. MINNESOT�► Busiaess Phone No- u������ AppNcalion � �ow�r Ma�Ms and H�aling. Cooling. Yentilatioe. R�ra�ion a�d ra o Air Conditioning S�n�s ond De� PARTIAL RATE SCHEDULE GRllY!TY WARM AIA: 111►TE ?O?AL ll�rnace Shell dc Durt Work . . . . . . . . . . . . . . . . . .:10.00 i� Repiacement of P�rnace . . . . . . . . . . . . . . . . . . 6.00 � Repairs dt Alterations-qp to =500.00 6.00 3-- -_ -_._ Repairs dc Alteratlona each add. =50�.00 . 3.W �--._ I�[ECH. WAAM ]ltR I+Lrnsce 3he11 dc Duct Work to 190,000 BTU . . . . . . . . . . a10.00 = %0 • o 0 e�ch add. 60,000 BTU . . ........ ... .. . .... . . 3.W i Replacement of Flirnace . . . . . 6.00 � ReDairs dc Alterations^-up to 5500.00 6.00 = Repairs & Alterations each add. =500.00 3,pp ; sTEJ1M or HOT WATER S1f3TElt F�rnsce She}1 d� Lines-to 400 sq. tt. L�DR Steam �10.00 a. Flunace Shell & Line�-to 640 sq, ft. EDR Not Water I0.00 E_ Each add. 200 sq, ft. EDR 3team B4Of► �-__ -__—_ Each add. 320 sq, ft. EDR Hot Water 9,pp �_ OIL BIIRNER-to 3 gal, per hour g,pp a _ over 3 gal. per hour�ee Pee 3chedule GAS BURIiER (up to 199,000 BTU) . . . . . 6.00 � � . 86 over 199,000 BTtI See FN 3cMdu1� GA8 FITTING FEEB: NO RATE TOTJ►L ist 3 P�xtures . .... xE 200 � •� � v a Additional Fixtures . _ x .� _ c� r�� � iee.00a .. � a.ou s AIR C011DI'1'IOIfI�lO p�►x �►rixa s�rs� v�ia►ru�c svsraM ALTERATIONS t A8PA1As ROUC3H �N. � . i.—__ s« r» seMdat. � roz�. raa =!��� (SURCHARGE $_.5�) n�.pc. of H�aq.. �. eeo-�so .�.,� �_r-� J=��Uf�U'/�-�-� � ����k �. ��. e� :, City oi I+�idley: The undersigned hereby makes appHcation for a permit for the worlc hereir specified, agreeing to do all work in strict accordance with the City Ordinance: and ruling of the Depai•tment oi Buildings, and hereby declares that sIl tbe facts and representations stated in this applicatioa are true and correct. F}id1eY, Mian- /`/O V � lg� I Owner _____L=+Q / "l �7 � � Kind of Building .-_ � �3�� ,�� i C E� Use� as _ . --- - _. _, --- - �'YO � � To be completed about __� �� /�- /� � Estimated Cost, ;__`----. -.- - � �� Ol New. uilding Permit No, p�smit Ido. �� DE3CAIPTI01� OF WOR1[ HEATTNG oz POWEB PLANT�-8t�eam� Hot Water, W� No �°�`�! 1'rade Name _�.�-/I C..Ll�9iil S g�e Na_ G#�� ��� Capacity 3q. !'t. E.DR gTU �Q, �� gp. Total Coanected Load Riad oi lLeL�t�t CAC avrtrr�t _ z'raae x,..,e j,cJ i c� t� x�, r� s �� CaW�►tY 3q. !'t Lr.DR g�J DU ,OOU FLP. REMARK OYER) Neu� - !��r ��_ '�r��� HOUSE HEATING TEST RECORD AdDRESS ��� �/✓���IeL�6�—!/ � APT. � L�0`,OR CI SUBURB:���`?�4�� �CCU�ANT •WNER � HEAT LO55 DATE HTG. tNST. GAS CO3 METER BAD # �— SOLD BY INSTALLED BY -�' -- � -e� v ` Eleetrical Work By Gas Line By TYPE OF HEAT GA FA HW STEAM SPACE HTR. 11NIT HTR. OTHER GAS ESI �J' CONYERSION MAKE '�'' C���`�� , MAKE OF BURNER Mode! ,�1•� v,CU�.� ��•� 2.�._. Model Sxial ���5���� �'��- Max. BTU Rating INPUT �� �� MAKE OF FURNACE Model ("��� CON7ROL5 ;{ THERMOST,A,}T at Plu Vent Si2e ' Valve � �� KIND OF LINER �='S1ZE NONE Limit ��-�/�!"" �'�� Droh Hood Reguloror Limit S�tting --�—'�'``� Filters Size Number Fan Setting �s-'��-y`��-�" Chimney Lacation Insids � Outside Pilot Type �L "—� Chimney Construction Pilot Make -� �' r�� Pilot Model Smoke Bomb Wiring �'�� Pilot 7iming �'�`'�'� Droft ��'�- Test Tag L�� L.W. Cut Off boor Pressure, Lightin9 Inst. � �' ,� � `5-� ` �� .� �-' �3 ° `�.� Pressure �'� Percent C0� Date Tested Input CFH ,��� Perce� °� �Z- t�tipony Testing �� r� 2 �L�.� Siack Temp. �a � Percent CO � Name of Testar Form 235 63 -81, —1,16051 CITY OF FRIDLEY A?PI.IC�TIOy FOR PLUNBING AND �AS FITTIN6 PERMIT m aN. v: a n • X d Water s ro b� c u •.+ � -+ tn , c� m ►+ a•�+ N a +� �, w � Heater p a+ .r � r: F•�+ y� ta vf A t+ p, � . -� q � C Cl Y J U 11 t, C � fJ R'., fd u '� c� ^ .a X � C C 3 p U••� O �C U U p L� (`, r+ ii Ct C N•� � O O �:'7 +� N fA N N �.' � .� �+ e -+ � �+ o .e .+ �d ro a �e ro ro +� as • lec v ',� U a G � N 3 O:a. cA k, U a7 �C s f7 � C9 O �, 1 '-5 = il ��:3� . �_� � � ti _z � i�) = r,:tare Co:LZection Opening Connected with 5ewer (;) = t:ew Fir:uze, Old Opening Water PARTIAL RATE SCNEDULE ?L'J�3I\G FIXTURE R.�TES: A'0. RATE �:.:.:�^es Fixt•.:res Fa*_e:re ?:.eture Cpzning Y.e.• : ix.ure, Old Ooeniaq �.3LC:1 �351Si :;3:er aeater - to 99,000 BTU :��,OGO S=J to 199,000 BTU i:a:e= So:tener �es+ Grouad fisa Old Buildi�g zleetzic kater Y.eater G.�S FITTI\G FEES: lst 3 fixtuzes .a33itioaa: Fix turea C+3s :�:.qe � 199, 000 BTU RE?Ai RS $ ALTE�1TI01S ?irst S1a0.00 eaeh add. 5100.00 or fraction x S3.Q0 x $2.00 x 52.00 X SS.00 x 55.00 x $10.00 X �%.�0 x $5.00 x $5.00 TOTAL S S $ $ S S $ S T $ x . $3.00 S x 51.00 S x 57:0.00 S SS.OQ $ �_ 52.00 S State Surcharge S .50 To�ru. Fe� s 8.00 REIhSPECTION FEE i"v10.00) 0 e Job Address 699 Janesville St. AiE �� Departr,ieat of Buildinqs City of Pridley Tel. #571-3450 The undersigned hereby makes apolicatioa for a pe^it far �':e �rork ::ereia speeif.ied aqreeing to do all work in strict accosdance with t'�e City Co�es and rulinqs of tha Departxent of Buildir.gs, and hereby dec2ares t:.at al?. tho facC� an8 reprosentations stated in this application aze tzue ar.d ccrzect Fridley, Mn. Zl.-30-81 , 19 �„��R J ACKSON xxNa oF suir,�zNC frame USED AS T'@S. TO BE COMPLETED ABOUT 7�7 �8�' ' ESTIMATED COST ��• �� OLD - NEW SUILDING PERNST NO. ?ER:4IT N0. �'� J c� -� � CoaP.1n � ¢ � �� � Signed By Tel. No. ROUGFi INSP. Date FINAL II3S2. �l-ZO- fj� Date APPRCJVAL FOR PER.'+lIT � �� 0 MINIMf7M FEE FOR ANY PI.IJN.BING PERMIT IS S7.50 py� 5.50 STI►TE SURC"rL1s'L;E CITY Or FRIDLEY Effective Aug. 1, 1981 APPLIC/ITIO;J FOft RCSIDLi�TI/li I3UILDIiiG PLfL'jITS (��e�•r, Alterations, Additions, or Repairs) ����5-�9� otrr�Fa: �. ./� I 1�� ��,c K� r� ADDRESS: ��t�} �G,,�eSyi 1(e� �' %I� � : r -�.1 I3UI LDER : � � AODRCSS: TEL f�0: Construction Location • ST121�T NO: ��/ STI2EET: J��v��ic� E LOT: . BIAQC: ADAITION : Corner Lot: Insic3e Lot: SetbacY.: Sideyards: Ap�licant attach to this form two Certificates of S1�rvey of lot and proposed building locatioa� drawn on certificates to scale. DESCRIPTI01� OF C01lSTRUCTIO�J � i'ront: Depth: Hefght: Squane.Feet: Qibic Feet; _ Front: Depth: Height: Squar.e� FePt: C1.ibic I'eet: /�' = . S' v Tj►pe of Cor,struction: _(., v2 B,¢ �vrr��2 Estimated Cost: $ �� Zb Be Wr.�pleted: � atra-,� � . S/��:3's�- d7 5-° . �-¢- �'-�-� 6-� Alt. A Alt. B Proposed Dxiveway Width if New O,peninq Is Desired: s� G+��n�Ni�� $ . . SE� Ii�VERSE SIDE OF SHEET �iie undersianed hereby ma3:e� application for a permit fcr the �aorl:� herein specified, agreein3 to c3o ,all wor3: ir, strict accordance with the City of Pridley Ordinances and rulings of t)�e Department of Buil�ings, and hereby decZares that all the facts and repres�t�tiens stated in this application are true and correct. D.1T�: -ff�,3�i� � SIGNATUFtE: Stipulations: u