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AF - 47719V � City of Fridley, Minn. BUII.DING PERMIT �te: . . ./. �: : . .� .� .-. :�` . �. . . . . . . . . . . �� ....................................... Addre�s ...................................... � N° 3490 �—�'�. Builder . . . . . . . . . . �t"' .°�.'.1� . . . . . . . . . . . . . . . �� Address............................................. LO�CATION OF BUILD[NG No. . . :`: �,I . . . . Street . ,/ ( .-�? . . . . . . � dC,.l�. . . . . . Part of Lot . . . . . . . . . . . . . . . Lot . . . � . . . . . . . Btock . . . . . � . . . . . . . . . . . Addition or Sub-Dfvision ��''F.�4.e�: ..`��l��":5+. . ., . Corner Lot . . . . . . . . . . . . Inside Lot . ?%�. . . . . . . . . Setback .',.�-� . : � . Sideyard J.r a :' � . . . . . . . . . . . . . . . . . r DESCRIPTION OF BUILD[NG To be Used as: .� , �,/ !�:��. . . . �nt �!� .' :s' neprr► �� : :� �Height l. 9 : .0 / Sq. Ft. � �l." c�. �.� �`.�� ..............:..... Front ........ Depth ........ Height ........ Sq. F't. ........ G�. Ft. ........ Tjrpe of Construction ................... �t. Co�t.. .............. To be Completed ................... /�� 9¢ fe' �" In consideration of t'he issuance to me oi a permit to construc the proposed work in accordance with the description above set ordinances of the city of Fridley. .�..... above, I agree to do with all provisions of ...................... In consideration of the payment of a fee o! $��.�.^.., pernut 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 wham it is gianted and ists agents, employees and worlunen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinanoes oi Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. � _ , . `:�7�� . . �i. . . . Building Inspeebor NOTICE: This permit does not cover the construction, inatallation or alteration to� wiriny, plumbin�, yas heatiny, sewer or water. Be sure to see the Buildinp Inspector for separate permits for th�e (tema. f , .. � City of Fridley, Minn. � BUII.DING PERMIT N° 3� 6 9 � _ _.�. Date: . . . �' .� a. .��. . . . . . . . . . . Owaer . .. . . Builder . `/� . .. . .. .......�!�.. .......................... . ... .... .. Adciress...................................... Address ........... ................................. LC?CATIO�N BUILDING ��l.. . : No. . . . . . . Street . .� . . . . . . . . . . . . . . . . . �'�d'e. . . Part o Lot . . . . . . . . . . . . . . . . . . . . . . Lot . . . . . � . . . . Btock . . . .� . . . . . . . . . . . . Addition or Sub-Division � . . . . . . . .�. . . Corner I.ot ............ Inside Lot ............ Setback ............ Sideyard ........................... DESCRIPT[ON Ol� BU[LDING To Used . ,(/ f �'' �� q . . . . . . . . . Front . ! . � il �p� oZ S'. . Height %l. .—�° r sQ. F t. %a d. �. �. r�. l IO:� ..1.✓. .'�:�� .. . . . �ont ��. .�� Depth o� �,= d�'Heigh �l�s� 4 Sq. F't. .4��. s� . G�. Ft.��C1.p Type of Construction . f � . . . . . . . �� Co�t. . l ��%."V. . . . . . . . . . To be Completed . . . . . . . . . . . . . . . . . . . In consideration of the issuance to me of a permit to construct the building the proposed work in accordance with the descciption above se and in c ordinances of the city of Fridley. ....Y: �.'�'.G3/r./....� a�ee to do provisions of vv�.►�.�.� . .. . . . -- � � In consideration of the payment of a fee of a.. �......, pernut is he y granted to ................... ......................... to construct the building or addition as described above. This_perinit is granted upon the express condition that the person to whomn it is granted and his agents, employees and worlunen, fn all wurk done in, around and upon said building, or any part ffiereof, shall conform in all respects to the ordinances of F�idley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings with- in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances. I , I�� . � - � . . �. //n � / l L..�:�. � ii�� NOTICE: � J L� This permit does not cover the construa!(on, installa#ion or alteration fo� wiriny, plumbin�, 9as heating, sewer or water. Be sure to see the Buildinp InspeCtor for aeparate permtb for theso itema ..�' �A� Owners �ddres APPLICATION FOR BUIGDING PERMIT GITX OF FRIDLEY, MINNFSOTA � f : u- L / � ./,.c�/ : . - r� ,i"„ ii.� if/ ..� '.. --_ -- �/Fl/ .i �// / �� / • LOCI�TION F BUILDING No. ,��Stree P€irt of Lot _._._____... __ _, : . Lot.,,� Block � hddition or Sub. Div.� '' —/ Corner Lot Inside Lot ��— Set Ba.ck • Applicaxa,t atta.ch to this form Certificate of Siirvey of Lot and proposed building location. To s�. ed DESCRIPTION QF BUILDING ` % % Front �.�_ Depth �� Height . � c,�. r�. � I i s�� Front .,C��Depth� v _.._Height �.r......._ v Sq. F`t. Cu�„ �'t. .�_. i,�J i Type of Construction �f�� .� Estima.ted Cost ,�ri� . To be completed ��—.�.---' The undersigned hereby makes application for a permit for the work herein specified� agreeing to do all work in strict accordance with the City ardinances and ruling of the Department of Buildings, and hereby declares that all the facts and representa.tions stated in this a are true and rrect Date � (A Schedule af Fee Costs can � � Signature be found on the Reverse � � i. ) �,a � . 7 �� Appticatian for� Rower Ptants and He�ating. Coo�ling, Ventilatian� Refrigeratio� c�nd Air Canditianing Syste�s Qnd Device�s PARTIAL RATE SCHEDULE GRAVITY WARM AIR: AATE TOTAL Furnace Shell & Duct Work .......................... 8.00 $ fteplacement of Fiaraace ............................. 5.00 $ Repairs & Alterations—up to $500.00 . . . . . . . . . . . . . . . . . . 5.00 $ Repairs & Alterations each add. $500.00 . . . . . . . . . . . . . . . 2.50 � MECH. WARM AIA Furnace Shell & Duct Work to 1?A,000 BTU . . . . . . . . . . . . each add. 60,000 BTU ....................... Replacement ot Piarnace ............................. Repairs & Alterations—up to $500.00 . . . . . . . . . . . . . . . . . Repairs & Alterations each add. $500.00 . . . . . . . . . . . . . . 8.00 $ ''� 2.00 $ 5.00 $ 5.00 $ 2.50 $ STEAM os HOT WAZ'�R SYSTEM Ftunace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $ �iarnace Shell & Line`to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. it. EDR Steaxn . . . . . . . . . . . . . . . . . . . . . . 2.50 � Each add. 820 sq. ft. EDR Hot Water . . . . . . . . . . . . . . . . . . 2.50 $ OIL BURNER to 3 gal. Per hour . . . . . . . . . . . . . . . . . . . . . . . . 5.00 '� over 3 gal. per hour�ee Fee Schedule GAS BURNER (up to 400,000 BTCT) . . . . . . . . . . . . . . . . . . . . . . . 5.00 $ 4/ GAS PIPING (Up to 3 Fixture� .......................... 1.50 � L� (Add 50c each over S> AIR CONDITIOMING FAN FiEATING SYBTEM See Fee Schedule VENTILATIMG SYST�R �� ALTERATIOI�S & REPAIRS TOTAL F'EE U � �ss: ��2 � �-'q � �1 � � � a ° ' � ''"` `F �`��• � . � _ Dept. af Bldgs. Phone 3U 4-7470 LoC83iOn /f � / / ` " 2� YL Q ��%C � � ' CC �� 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. Fridley, Minn � � � �-'f � ' � � , 195�. Owner ��. � i �� ' _�1--�t i 195— Kind of Building �'✓ " 1��'� �/ 195— LTsed as '�" � t L-P _.��(' --C•�c-,c To be completed about .�t � � fl� � � �1 Q� Estimated Cost, $ �� — Old New Building Permit No. ��"' � DESCRIPTION OF WORB HEATING or PO R PLANTS--Steam, Hot Water, Warna No C Trade NamP - aZ_ Y ��2 C_f _ Size No �`, %� Capacity Sq. F't. E.D.R� '`'—`�` BTU H.P. Total Connected Loa�1 lj � � '� � � Kind of Fue � ' ' �" BiTRNER — Trade Name Size No Capacity. Sq. Ft. E.D.R BTU H.P. RAY N. WELTER HEATING Cl� s�nw�— - - B9MINNEAP�LIS 7, MINNES�Te 11 POST 1 M-8-58 Btlsin@33 PhOII2 NO l ``I '�� 1 �� . • . . . . • . 7 Appf�ca�an far �awer Plants arrd He�a�nq� Coolong. Ventdat�an. Re�rigerat�on and � er Air Canditianing Systen�s and Device�s PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone $U 4-7470 GRAVITY WARM AIR: RATE TOTAL Locafior�r� ��J'�-�� Furnace Shell & Duct Work . . . . . . . . . . . . . . . . . . . . . . . . . . 8.00 Replacernent o! Ftiunace ............................. 5.00 Repairs & Alterations--up to $500.OQ .................. 5.OQ Repairs & Alterations each add. $500.00 . . . . . . . . . . . . . . . 2.50 MECFL WARM AIR Furnace Shell & Duct Work to 120,000 BTIT . . . . . . . . . . . . B.OQ each add. 60,000 BT[J .... .. .. ..... ......... . 2.00 Replacement ai Furnace ............................. 5.00 Repairs & Alterations—up to $500.00 . . .. . . .. . . .. . . . .. 5.00 Repairs & Alterations each add. $500.00 .. . .. . . . . . .. .. Z.50 STEAM or HOT WATER BYSTEM � � $ $ $ � v � � $ $ Furnace Shell & Lines—to 400 sq. ft. EDR. Steam ...... 8.00 $ Furnace S�hell & I.iue—to 640 sq. ft. EDR Hot Water ... B.OQ $ Each add. 200 sq. ft. EDR Steam . . . . . . . . . . . . . . . . . . . . . . 2.50 � Each add. 820 sq. ft. EDR Hot Water . . . . . . . . . . . . . . . . . . 2.50 $ OIL BIIRNER to 3 Bal. Per hour . . . . . . . . . . . . . . . . . .. . . . . . 5.00 � aver 8 gal. per hour—See Fee 5chedule GAS SORNER <up to 404,000 BTIT) . . . . . . . . . . . . . . . . . . . . . . . 5.00 � � GAS PIPING (Up to 3 Flstures) . . . . . . . . . . . . . . . . . . . . . . . . . . 1.50 � " (Add SOc each over 31 AIR CONDITIOMING � FAN HEATING SYSTEM See Fee Schedule VENTILATIliG $Y$TE�L AI.TERATION$ & REPJIIRB TOTAL FSE � �<% REMJ►ABS: ,� 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 her declares that all the facts and representations stated in this applieation�r2 t�`�i�d correct. � '� _ �, Fi�idle� 1Vlinn - '�� j`' '` 195—. Owner Kind of Building Used as -------�� To be completed about 195—. 195— Fstimated Cost, $� � ��'� �i� Oi,�' ew,� uilding Permit No. `� (�� DESCRIPTiON OF i1POR8 HU�ATING -£tesm,�•, Warm Air—No. � Trade Name � -� -/%�� Size Noa��dG � Capacity Sq. Ft. E.D.R �.�� ' BTiT H.P. Total Connected Loa � O � Kind oi Fue � BURNER. — Trade Nam - � Size No ��1" Capacity Sq. F't. E.D. � TU H.P. �/ GEO. SEL)G CK HTG. �, �qk�:��Nt�r. C,� � ` ��a 1001 Xenia Av. S, Mi neapolis 16, Minn. Sign B� , _ �l0 �� - � 11 pOST 1 M-8-58 Buainess Phone o • � � . City of Fridley, Minn. BUILDING PERMIT nate: ._._. �ugust L1, 1965 ___._ ._� N° �r: � Harland Carey B��r ��Glem�ton, Inc. �^� A� �821 Kennaston Drive I3. E. Ad�s �701 Columbia Blvd._ Fridley� Niinnesota Minneapolis,^�innesota Na 821 � �_ 6 Corner Lat Sewer Elevatiaa� LOCATION OF BUILDING street SENNASTON DRIVE N. E. ._._...___._._ Part oi Lot . Block 1�..._._..._...�. Additian or Sub-Divisi� . BrookvieW Terrace ._____ Inside Lot ._. g..._ Setback _�_._..._._.._._.__ Sideyard __ ? � Foundation Elevatian �o�� 8343 DESCRIPTION OF BUILDING To be vaea as: Attached Garage ..._. Fraut i5� nepth ?�' Height 10�_. Sq. Ft. 3i5 _.._.�.._.._.._ F`r�t _�. Depw � xeigt,t _.._...._._._ sq. Ft. ____ Type of Construction �.. ....._._ _�s� Cost _.._$9L�.5.00..__._._..._.._ To be C�r►pleted _ �,, � 3�50 Ct1. Ft. In consideration of the issuance to me of a permit to ct e building abo�ve, to do th� propo�ed work in acx�ordance with the descriPtion ab set and in ' ce with ons oi ordinanoes o! the dty of Fridley. Ea casisiderati� of the payment of a fee o! �._�'� , permit is hereby graated to CIEMRODt, INC to c�struct the bufiding or addition as described above. This permit is granted upou the expre�s c�dition tt►at the person to whom it is granted and his agents, employees and worlanen, in all wark done in, around and upo� said building, or any part thereof, shall conform in all respects to the ordinances a� Frldley, Minnesota regarding lceation, construction, alteraL�, maintenance, repair and mavfn8 of builBinSa within the city limits and this permit may be revoked at aqy time upon violation of any of the grovisians o� sa�d oi'diaances. ALLEN G. JEN3EN B� � NOTICE: 71�is p�emi! dea net eevu Ih� eoa�veRos, iu�allMi�s fer wiriw. P�w Yas � swrw er waNr. M wM �o sN flN duildtea Imp�lor for s�pnaN p�esila for f6�a i�ns. OWNER' S ADDRESS APPLICATION FOR $UILDING PERMIT CITY QF FRIDLEY, MINNESOTA tQCATIO�[ OF BUII�DING � =��_.. -�� i� Street Part of ot '*"�.. .. L� � K � ADDITION OR SUBDIVISION � Corner Lot�rYnside L �Setback Side-fY�rd �'—�.lJ' �..... . . SSTaER ELEVATI�1 �OUNDATIOR ELEV��iON. ,.. ^ �...�...__._. Applicant attach to ti�is form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as / � , Front- �� d^ DepthL,�/ � Beight - � Sq. Ft._ .�� -� Cu.. Ft. , � � �i ' �..CJ F`rant Depth �T�geight � Sq. Ft. Cu. Ft. �,.�_... Type of Coustructior► < G�� Eg t imated Co j'� .3 To be cvmpieCed +�he undersigned hereby makes application for a permit for the work herein s.pecified, agreeiag to do all work 3.n strict accordance with the City of Fridleq Ordineaces and rulings of the Department of Buildings, and hereby declares that all the,facts and representations stated in this application are trne and co�s�eti. � • (Schedule of Fee Costs can be found on the Reverse Sid� / • /s o , � _ _ v • • a � � : �. Y � l sue�ecT PER . City of Fridley � 15 2 41 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � r � ; � RECEI . � i v_ COMMUNITY DEVELOPMENT DIV. � r � � PROTECTIVE INSPECTION SEC. �..�j � � 1 � � ( --- �;��;.� CITY HALL FRIDLEY 55432 NUMBEF REV. DATE � PAGE Of APPROVEO BV ` J� 612-571-3450 910-F15 6/5/79 � / JOB ADDRESS 821 Kennaston Drive N.E. t LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCfi. ( 1 Brookview Terrace SHEET 2 PROPERTY OWNER � MAIL ADDRESS ZIP PHONE Paul E. Nagel 821 Kennaston Drive N.E. 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAILADDRESS ZIP PHONE LICENSENO. 6 USE OF BUILDING Residenti.al 7 CLASS OF WORK ❑ NEW O ADDITION ❑ ALTERATION ❑ REPAIR � MOVE ❑ REMOVE , X 8 DESCRIBE WORK IriSt31 C ]Itlri 9 CHANGE QF USE FROM TO ,,STIPULATIONS S�PERATE PERMtTS. REQUIRED f4R W!�'t� HEATING, PLi3.MBIMG AND SIGAtS. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. Mg'�1, THiS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORI2ED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENOED OR ABANDONED FOR A PERIOD OF 120 DAYS AT 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 $350 y�. SO DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $%. SO P�AN CHECK FEE TOTAL FEE y58. �� i iw7 CON'RACTORORA HORIZEDAGENT IDATEI WHEN PROPERIY VALIDATED THIS IS YOUR PERMIT �` . � ►. (�.;�,�,t,.) SiGNATURE OF OWNE UF N R BUiLD � � DATEI BLDG INSP �p CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL.BUILDING PERMITS (New, Alterations, Additio�s, or Repairs) OWNER: „�Cd.li L �1�L..�.�� ADDRESS : g � ,/ ,��n� �� TEL N0: �57,1�—��5� : � ' - ii `i .i , i ' � �' I f � t .� •. � // . ..� . / Construction Location STItF�T NO: g� � STREET: ��l�IfiQS /�(� �CL!`�.�'� L{L•�' LOT: � BLOCK: � ADDITION: ,,�i-(f�;,�` Y/�¢CU ��of�Ga C'� Corner Lot: Inside Lot: �^ Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lo t and proposed building location drawn on certificates to scale. DESCRIPTIOW OF CONSTRUCTION � /nr,��;� Front: Depth: Height: Squ��e.Feet: • Cubic Feet: Front: Depth; Height: Square Feet: Cubic Feet: � Type of Construction: ��C Estimated Cost: $ 3 S G. QQ Zb Be O�mpleted: . Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET Z9ne 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 Departmerit of Buildings, and hereby declares that all the facts and representations stated in this application are true an d correct. DATE: '� �' 1 SIGNATUF� e _�� l '�"`�� ,. �9��Z�� . Stipulations: � i � �i i r .- , SUBJECT City of Fridley � 1616 2 AT THE TOP OF THE TWINS g U I L D I N G P E R M I T � r ' ' EIPT � � • � ' COMMUNITY DEVELOPMENT DIV. � `ti: - r � � PROTECTIVE INSPECTION SEC. � O/ � � � . � � � �"'1 � CITY HALL FRIDLE� 55432 NUMBER. REV. DATE PAGE OF� APPROVED BV �""'�"� �'' 612-571-3450 910-F15 5/7/81 / / JOB ADDRESS g21 Kennas.ton Drive N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 6 1 B.Y'OOI{V12W T2rrdC2 SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Pau1 Nage1 821 Kennaston Drive N.E. 574-1389 3 CONTRACTOR MAIL AODRESS ZIP PHONE LICENSE NO. 5ame 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE IICENSE NO. 5 ENGINEER MAIL ADORESS Z�P PHONE LICENSE NO. 6 USE OF BUILDING Res.idential 7 CLASSOF WORK � NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE O REMOVE X S DESCRIBE WORK Cons:truct a 10' x 15` Deck. 9 CHANGE OF USE FROM TO STIPULATIONS � �� , CO� .� Q�`�� S• WARN1HG �� s�� '�S �,,No Before digging catl locat utilities Qti� ,��G TELEPHONE - ELECTRIC - GAS Etc. �4��` Q�� REQUtRED BY lAW S�Q -��t�G' �� TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAO SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWIG. UNITS OFFSTREET 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 ORDINANCES GOVERNING THIS TYPE OF WORK Wl�l BE COMPLIED $`$OO $. SQ WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE pERM1T FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $"]�SO STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECKFEE TOTALFEE � 8. 0� ;�si oFCON�a CTOao 7HOAIZEDAGENT IDATEI WHEN PROPEFILY VALIDATED THIS IS VOUR' PERMIT j�.,u a;��—(� _S � f�'� / � SiGNATUREOFOWNERUFOWNERBUIL�ER1 ATEI � BLDG INSP � E . . . .. .. . .. .. . . .... � • - � .:.. . . . ' " r , i� CITY 0� FRIDLGY • � , APPLIC/1TI0'd FO(t RLSIf)E:i��TI/t�_ QUILpIi�G PCf��ITS � . (!de►•r, A1 Cer.�tions, /ldclitions, or Repairs) � � Ot�ltdFR: * � i'>,.,� ��a„�..�� [3UI LDER : _ �a � � � ^.� - ADQRESS: ,_�Z I K�''cr►•��Ksv,.� ADDRCSS: - � . TCL: �►0: � J�- /� � c.�/- � TEL t�0• � Construction Location ` � . STI2EGT NO: � : STREr.T: M�--N�,/ �� LO�.': . . BLOL� : 1�DAITION : . Corner Lot: � Inside Lot: Setbackc Sideyards: Ap�lieant attach to this form two Certificates of Survey of lot and proposed building locai:ion dra�an on certiiicates to scale. � DESCRIPTIOid OF C01•JSTRUCTIOP� . � � ��i I'ront: Depth: 1 � Iieight: Squa�e. �'eet: ��! Caibic Feet: � k'ront : DePth : Height: . ; Square� i'eAt: GUbic I'eet: Type of Construction : r� C,. �'� �_ EstimaL-ed Cost: $ ��, (�} V �b Be Oor,�pleted: �Q('J Q'��'i� ' . ` . . Alt. A Alt. B Proposed Drive�•�ay W'idth If New Opening Is Desixed: $' $ , ., S�L R�VERSE SIDE OF SHE�T . . . ' � 7Sie undexsignec� liereby make� applicat5.cn for a permi� fcr the t:nrk� herein specified, �{ aqreezng to c?o .all work ir� s�:rict accordance with the Ci4y of I'ridley Ordiiiances and +'' rula.ngs of the Departmei�t. of Buildings, and hereby �eclares that all the tacts and � xepzesen t,ltions stated :11 this r�pplicatian are true and corxect. � ' �� 4 A.'�TF :%��i}s I S IGN2ITU F� : c�� : �----- � Stipul.ai:ions : �- • - . � Q�C,FZ. D!� � : � � ; p��.�- �? : ��' � - . � . a� � ..r—., ,.. , . ., � �. a v � � � CITY QF FRIDLEY INSPECTION DIV, 6431 University Ave NE Fridiey, MN 55432 572-3604 �TE SC�jE�UL� Resldentiai �1PPLICATION FOF{ POWER PLANTS AND HEATING, COOLI�JG, VEN7ILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS A�JO DEVI�ES Furnace Shell and Duct Work, Burner - Also Rep{acement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace) Gas Range das Dryer *Air Conditioning - All Sizes All Others/Repairs & Alterations (LIST ON BACIn 1% of Value of Appliance or Work Commorciai/Industrial 1.25% of Value of Appliance or�Work Rate $ 30,00 $ 10,00 $ 10.00 $ 10,00 $ 25.00 State Surcharge TQTAL FEE Effective On March 1, 1996 JOB ADDRESS � 2 i I 1�� Q S�U ��121 U� �t' The undersignod hereby makes applicaticn for a pErmit for tlie work herein T07AL specified agrQain� to do all work in strict �ccordance with the City Codes and ' rulings of the Building Division, �ncl hereby cleclares that ail the facts and $• (�. U� representatlons statad in thfs application are true and correct. : / _ _ : ` ,1996 $ I 1f,, OWNER �I f� L1.� �-GVt I� S%L!'O�o��I $ � $ .� : �'� BUILDING U�ED AS ��S 1�✓�T"IaI O� .�L �� ESTIMATED COST � I cl.c1 "`— PERMIT N0, !!T�- : •►• : ��: : : $ No. of Heatin Units_� Gircle Ono (Steam) (Hot Water) arm Air Trad�r Name�R� fb 1J�' Size No. • cWvo • v 6TU '"10�¢� HP EDR $ Fuel ��' 'i� G R� � Total Connected Load � .50 ` Burner 7rade Name Size N�, BTU HP EDR � � .� MINIMUM FEE FOR ANY HEATINC,�[�OOLIWGNENTIL.ATION REFRIGERATION/AIR CONDITIONING PERMIT IS �25 00 PLUS THE $ 50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr HEATING COMPANY (�l�A (�1� �-}�Z'�1�5� d- � 1(Z CptU'� �S � Signed 8y�b�i (/U�� Tel No.7s3"�S�-C� Approved By Rough-In Date Final Date *Air Conditioners can not be placed ln a�ide yard without FILL OUT BACK SIDE FOR STACK VERIFICATION ON written permission from adjoining property owner. REPLACEMENT FURNACE CHIlVINEY AND STACB VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes (� No () 2. Is free from rust or deterioradon Yes Qn No O 3. Has no foreign objects lodged within Yes �) No ()_ 4. Is securely supported Yes (� No O 5. Meets all current Code requirements for size and total BTU's connected Yes �(;J No O 6-- Has total heating BTLT's of � di �� All other BTU's 30� � d d TOTAL BTU's I � D � � � � _ 7. Has a liner been provided for water heater ; Yes O No ( Y� , l�� _>, 8. Has combustion air been provided for water heater Yes (1� No O Remarks: . List ALTERATTONS Bein� D, one: HEATING CO: Signed By: Date: CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572— 3604 APPLICATION FOR PLUMBING AND GAS FfTTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Effedive On March �, 1996 PLUMBING FIXTURE RATES NO. RA7E TOTAL New Fixtures � Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater —Electric Water Heater — Gas** Gas Range** ' Gas Dryer** ' Back Fiow Preventer Required ()Yes () No $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $1 Q,00 $10.00 Type $15.00 �� Reinspect(on Fee $42.0o/Hr � ALL OTHERS AND/OR REPAIRS AND ALTERATIONS �, `� 1.596 of Value of Fixture or Appliance State Surcharge TOTAL FEE .50 JOBADDRESS ��l /��yt�1G�v1'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. Owner � ` l �� G "�'1 C-� G` � , 1996 �-f�l� .�'7y - o�� Building Used As � b v'��- Estimated Cost �� U� `� PERMIT NO. / PLUMBING COMPANY C��r'� l ��GJ_ SIGNED BY � J TEL N0. S bb �'�'l � f Approved By � Rough-In Date Finat Date �I ....mv�.. . �� vn r�� r�.vmr��ai $�!'�,� PLUS THE $.50 STATE SURCHARGE **COMBUS110N AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 8—A. MINIMUM SIZE 9 SC! iNCHES. /