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PRE 2010 DOCSCity of Fridley, Minn.. BUILDING PERMIT N° f57 J3 Date: 1 F Owner'�` Builder— Address V _. Address LOCATIOJ$ OF i D G No. Past _ of Lot Lot _ _ _.__ Block �' ____ Addition or Sub -Division" p Corner Lot _ Inside Lot Setback 4 - Y!�,n _ Sideyard _ Sewer Elevation Foundation IIevation DESCRIPTION OF BUILDING vsea r�"f LdL •' Front Depth , Height Sq. Ft. Cu' F Front Depth ght Sq. Ft. — Cu. Ft.� Type o Construction�.,�. Est. Cost �J To be Completed In consideration of the issuance to me of a permit 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 consideration of the payment of a fee of $ 4' , 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 aad his agents, employees and workmen, ffi 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 location, construction, alteration, maintenance, repair and moving of buildings the city limits and this permit may be revoked at any time upon violati of any of the provisions of said Building Inspector NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, gas heating, sower or water. Be sure to see the Building Inspector for separate permits for thus items. 4 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner Is Name Builder LAL If - (IVL— d _ Address L. _,^9i VA., LOCATION OF BUILDING Street Part Of Lot Lot locka Addition or. 6bdivisionkQLg�_" Corner LotInsid® Lot- 1/� Setback,_„�Side-Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate Of Survey of Lot and Proposed building location. DESCRIPTION OF BUILDING To be used ass sq. Ft •__pi�2 L'r nn�Cu . Front0 Depth Sq. Ft. lei Cu. Type of Construction Estimated To be 4 !eight 'Z® Ft . _• Ft Cos The undersigned hereby makes application fora permit for th® work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and ruling of the Department of Build- ings, and hereby declares that all the facts and representations stated in this application are true and correct_ Application for Power Planate and. Hearing. Cuing. Ventilation, .ReMgeraflon and Air Conditioning Systeans and Devices PARTIAL RATE SCHEDULE 'GRAVITY WARM AIR: . Furnace Shell & Duct Work .......................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 .................. Repairs & Alterations each add. $500.00 ............... RATE TOTAL. 8.00 $ 5.00 $ 5.00 $ 2.50 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 60,000 BTU ....................... 2.00 $ _ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL BURNER—to 3 gal, per hour ................. ...... 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ GAS FITTING FEES: NO RATE TO L 1st 3 Fixtures ...................... x $1.50 $ Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH a t FINAL See Fee Schedule $ TOTAL FEE $ �� Dept. of Bldgs. Phone SU 4-7470 T.nenf9nin �A �/ ®iUl/.Eo��� 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 applicatiown truA aAVrrect. Fridley, OwneAver 0 Kind of Ling Used as To be completed about 301962 Estimated Cost, $�®` Ne Building Permit No. Permit No. DESCRIPTION OF WORK 19 — HEATING Water,–Warm Air—No- Trade Name ✓ Size No— Capacity-- Ft. E.D.Relgg BTU H.P. /Sq. S` Total Connected Loa I Rind of Fuel BURNER — Trade Nam Size o-�✓�a7 %l! Capacity Sq. R. E.D.RIWABTU H.P. -Yoe GEO. SEDGW CK HTG. & AIR-COND. CO 1001 Xenia Av. S. Minneapolis 16, Minn. Signe - By , s.4Z zM 7_59 Business Phone ;0- (REMARKS—OVER) HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MINNEAPOLIS. MINN. Weatherstrips A.S.H.V.E. Construction No. Insulation Guide Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How. Applied Yes—No I Yes—No 19— FI.I Room I L.enath Width Height II ,' FLI Room I Length:. Width Heistht: Windows and Doors—Crackage and Area Width Height No. of Lineal f . Area No. of Dane of pane lights of crack eq, ft. &p u { s: l c . s4' M Coef. Btu Infiltration : `= Glass ,• �d:. Exp. wall Net exp. wall Int. wall Ceiling s' Floor Total Btu. r Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI.I Room I Length,, Width i .4` Height ..' Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. &p u { s: l c . s4' M JCoef.j Btu Infiltration F:. Glass 0;n ,• �d:. Exp. wall Net exp. wall Int. wall Ceiling j Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.i Room 1 Lensrth Width v ..:Heiaht Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. &p u { s: l c . Coef. Btu Infiltration` Glass ,- Exp. wall P<' Net exp. wall Int. wall Ceiling p %deur Total Btu. Reauired sa. ft. E.D.R. or so. ins. W.A. Leader area Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of Bane of pane lights of crack eq. ft. &p u { s: l c . Coef. Btu Infiltration Glass ,- Exp. wall Net exp. wall Int. wall Ceiling p Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I as FIS' :9 Room I Length v' Width Height . Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. s: l c . Coef. Btu Infiltration Glass t ,- Exp. wall Net exp. wall Int. wall Ceiling p Floor Total Btu. Required sq. ft. E.D.R. or sq. itis. WA. Leader area Room I Length Width Windows and Doors—Crackage and Area Width Height No - of Lineal ft. Area No. of pane of pane lights of crack eq. ft. Height. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceifirig Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MINNEAPOLIS MINN. Weatherstrips A.S.H.V.E. Construction No. Insulation Guide Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes—No I —Y—es--No— es l-io 19— F1.1 Room i Lenath i Width Height ,' II FI_I Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal f . Area No. of pane of pane lights of crack eq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu.. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length s. Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef.1 Btu Infiltration Glass Exp. wall Net exp, wall Int. wall Ceiling Floor Total Btu. 1 7 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FIA Room I Lenath Width " Heiaht Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I Fl.l Room I Lensfth Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. iris. W.A. Leader area F1.1 Room I Lensfth Width Height Windows and Doors—Crackage and Area Width Height No. of Liof ft. Area No. of pane of pane lights of crack eq. ft Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area City of Fridley Application for Plumbing and Gas i= Mng Permit DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: Number Fixtures ..................... Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin ............................ RATE TOTAL �NO. �/ � ,,, � � u� QC Z � Z 0 yTw� — w ? • • NGAS WATER HTR. ELEC. Base 1st / 2nd 3rd 4th • Future Connection Openings I New Fixture, Old Openings Connected with Sewer E] Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: Number Fixtures ..................... Future Fixture Opening ................ New Fixture Old Opening .............. Catch Basin ............................ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ New Ground Run Old Bldg. ............ x 3.25 $ Dept. of Bldgs. Phone SII 4-7470 Location -5, 3 a /' %'-/ :- 0 G A/ 'Al /s , City of Fridley: 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. Fridley, Minn APR 2 e 196 19— Owner Kind of Building / 2 Used as `D W, To be completed about Estimated Cost, $ Old 5ew.Building Permit No 3 Permit No. 02 LONDON PLUMBING CO, Signed By Business Phone No ROUGH � � -" L, 7' FINAL GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code G0 Description .......................................$ TOTAL FEE It L19 'If' 94 d2 2M RATE TOTAL �NO. &V — x $1.50 $ Z x 1.20 $ — x 1.00 $ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ New Ground Run Old Bldg. ............ x 3.25 $ Dept. of Bldgs. Phone SII 4-7470 Location -5, 3 a /' %'-/ :- 0 G A/ 'Al /s , City of Fridley: 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. Fridley, Minn APR 2 e 196 19— Owner Kind of Building / 2 Used as `D W, To be completed about Estimated Cost, $ Old 5ew.Building Permit No 3 Permit No. 02 LONDON PLUMBING CO, Signed By Business Phone No ROUGH � � -" L, 7' FINAL GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code G0 Description .......................................$ TOTAL FEE It L19 'If' 94 d2 2M City of Fridley SUBJECT j-16 6 01 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. `L ....... COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 j NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 5/27/82 JOB ADDRESS 5230 Lincoln Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 2 Marion Hills Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Walter Jopke 5230 Lincoln Street N.E. 571-2205 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Mike Spears (CONTRACTOR NOT LICENSED IN THE CITY) 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ADDITION El ALTERATION ❑ REPAIR ❑ MOVE E3 REMOVE O� 8 DESCRIBE WORK Construct a 161-x 13' Addition to Rear of Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS Provide outside combustion air to new wood burner or existing furnace room. Provide products of combustion alarm in the area of the existing bedrooms. WME0116 Before drains cap loaf utiiMes TELEENONE - ELECTRIC - GAS Etc. �E.KRA1'E PERMITS A`E E1� � F04 '�� REQUIRED BY LAW N�aTrN� �.Lr�te�� q � 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. 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. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 ISTALLS 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 $3.45 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $6,900 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- NONE STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. $62.50 PLAN CHECK FEE TOTALFEE $15.63 $81.58 SIGWPAEOF O r4OR AU ORI DAGENT (DATE) WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT Q q iNSP �A E SIGNATURE OF OWNER OF OWNER BAItEV (DATE) IBLDG 1 CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATIM FOR RESIDENTIAL BUILDING PEIV41TS (New, Alterations, Additions, or Repairs) OWNER: BUILDER: P ADDRESS:��sVc_ �/J/ 2 ADDRESS: TEL NO: �% — �-a j J TEL NO: Construction Location • STMMT NO: J2� STREET: ;L1x'-CV /L IAT: BLOCK: ADDITION:e� Corner Lot: Inside Lot: / Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. /� :���---- DESCRIPTION OF CONSTRUCTION G�'G%G��.� Front: / 6 Depth: �� / Height: Square. Feet: Cubic Feet: Front: Depth: Height: Square -Feet: Cubic feet: 4?03)C 4�7IQ 2 (09 19. ®c, Type of Construction: ��f/��� /—�/✓��r�i'/lam To Be Cbmpleted: %�%� ✓� J�Estimated Cost: $ Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: SEE REVERSE SIDE OF SHEET Mie undersigned hereby makes application for a permit for the -work-herein specified, agreeing to do,all work in strict accordance with the City of rridley Ordinances and rulings of the Department of Buildings, and hereb declares that all the facts and representations stated in this application are toe and correct. - DATE: � `�/ /�� SIGNATURE: Stipulations: 1 f Xt'j- (.'t. s® c j P. e. I s. (3 ge e v� a C:FN - Tr - IF 0 _ �C Fo •D l � to _moi=tel ¢ • _�—_ ______ __ __. 0 [arid" /mdsrrr yh y Soils Testy [Evil b A&uiki)V/ by Ar, y 3� 6875 -Root y *acs AT. Mirmmp/s v, ENGINEERING, INC. °'a f Slhlrfd6066 — Fnyineers 16 Surveyors — certificate of sumVeY f er Sr cocAl • TR /'✓IBL A 77- A( T N I o -/ ..3 .Ttc a I —, 161.27 -- M Bks M17e"nn f////,. �— r, / hembs d srvey Arhk bavdoryes qr& e6are Asc,4bwd Iand, adyyh!ec�io� /avl�n gl'o/l drrildrn9s , f/riecrr , arnd d/ risible aw»a�lrn�tnfs , i!'arx�, �rnm mr ensoid /mad. As wrveyed � m�e A�'3�� °by c 1, A.D SUBURBAN ENGINEERING, INC. 6rr9inerrs Fr Sur,r,e s i -- ® ...--- �����75 S'R`iaT SET 7 ttnT.7.►�n CITY OF FRIDLEY INSPECTION 6431 University Ave NE Friuley, MN 55432 (763) 572-3604 FAX (763) 571-1287 W IMW RATE SCHEDULE DIViSION APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Residential Furnace Shell and Duct Work, Burner - Also Replacement Furnace (Side Vent - Fill Out Back) Gas Piping (Needed with new furnace, but not replacement) Gas Range Gas Dryer *Air Conditioning - All Sizes All Others/Repairs &Alterations (LIST ON BACK) 1% of Value of Appliance or Work Effective January 1, 2003 JOB ADDRESS _Ldao O/l(o/n n - OWNER " UIC "fir 61� Rate TOTAL $ 30.00 $ �� BUILDING USED AS LfIL&11 G2— 3�� n ESTIMATED COST /f�M-JD PERMIT NO. $ 10.00 $ DESCRIPTION OF FURNACE AND OR BURNER $ 10.00 $ No. of Heating Units_ Circle One (Steam) (Hot Water) ( arm Air $ 10.00 $ Trade Name oe6)LcL Size No.UG'P 71 BTU IM666 HP EDR $ 25.00 $ Fuel_.3 rat Gccs Total Connected Load Commercial/Industrial 1.25% of Value of Appliance or Work State SurcliZge 10 TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $47.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. Burner Trade Name Size No. $ BTU HP EDR $ The undersigned hereby makes application for a permit for the work herein specified agring to do all work in strict accordance with the City Codes an $ .50 rulings of the.-Opilding Division, and hereby declares that all the facts and $ 3(),30 representati o1V stated in this application are true and correct. `- ° DATE CenterPoint Energy Minnegasco HEATING C013562 Central Ave NE, Anoka, MN 55304 Signed 63-757=6202 FAX # 763-757-6701 Approved By Rough -In Date' Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED Irn • EDIT CONNECTOR AND CQMRLISTIIJN IR VFRIFICAT1f)N When renisir-Ang "n aY;eting furance, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes (R� No ( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes (x) No ( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan Yes (x) No ( ) assisted and natural draft appliances. The Pv'etine en+enatien a;r is sized and installed to meet the current codes Yes ) No ( ) and manufacturers specifications. When required to inetall a opw rnmbitytinn air_ It will be sized and installed to most the current codes and manufacturer's specifications. Yes �) No ( ) When Installing a naw var ing system, the undersigned hereby verifies that it is'a listed assembly and meets the current codes and manufacturers specifications. This does include AGA-GAMA Category I Central Furnace Yes {r) No( ) Venting Tables for fan assisted and natural draft appliances. Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented Yes (x) No ( ) separately as per current codes. An oanma Tena and m7ptinnmmen dent and V _nt Conn c er InfermatinII -G BTU Input Whob Fan Assisted or Nat Appliance #1 Type rpt r _ Appliance #2 Type BTU Input 31 0VV Fan Assisted or Nat,. Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input 01 Common Vent Type C Vent Height Diameter G inches Appliance #1 Vent Connector Height � ft Length Diameter �in Type Appliance #2 Vent Connector Height ___L' ft Length _,2! ft Diameter V "in Type ._./- Appliance #3 Vent Connector Height ft Length ft Diameter in Type HEATING CO: CenterPoint Engrc 13562 Central Ave NE, Anoka, MN 55304 o� Mi n�no�,asee Signed By: -Date: