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PRE 2010 DOCSCity of Fridley, N BUEWING PERMIT N° 5208 Date: Owner: Builder— Address Address _ LOC ON MF BUILDING IL No. Street Part of t 17 Lot- _Block Addition or Sub- Divisi�on� 21eyard J Corner Lot — Inside Lot � Setback �y1_�_ Sewer Elevation Foundation Elevation t DESCRIPTION OF BUILDING To Usede / Front +" Depth ' Height Sq. Ft. Cm Ft,OV Fro Depth _ . ht Sq. Ft. Cu. Ft. _ Type of Construction _ Est st _ 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 ordinanors of the city of Fridley. In consideration of the payment of a fee of $ 5 permit is hereby granted to to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of of the provisions of said ordinances r, Building Inspector NOTICE: Uls permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to we the Building Impactor for separate permits for these hems. 4 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, KMMSOTA Owners Name Builder Address Address _..._ _.., LOCATION OF BUILDING No.©©� treet D �`' ` Pant of Lot Lot % Block . Addition or sub.Div. Corner Lot. Inside Lot�5et Back 3, Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUMING To b used as: j S lr^� k", i J,11'e &Z;u -A Front Depth.., / I) Height (, . _ Sq. Ft. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Estimated Cost 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 Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representa- tions stated in this application are true and correct. DATE G - (' SIGNATURE (A Schedule of Fee costs can be found on the Reverse Side.) IY36 79 / HEAT LOSS CALCULATI S DEPARTMENT OF BUILDINGS . MINN. Weatherstrips A.S.H.V.E, Construction No. Insulation Guide n ws I s Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How. Applied es No a No 19_ FI.1 Z'. YS -,,,,-Room Lenstth-.7 ®9 Width %sC' Heiaht , II i Fl.l (J, Room I Length /4e'- Width x.71 Height eO/ Windows and Doors—Crackage and Area Width Height No. of Lineal f . Area No. of pane of pane lights of crack sq, ft. ,s ate® � a��. �9'O. � •® / :5 S® Coef. Coef.Btu Coef. Btu Infiltration '// AV, Z'4:x Of -q 19 Glass -® 06-99-0 Exp. wall 99 Ii ® Ar/ Exp. wall 9 %Z/d Net exp. wall Net exp. wall Int. wall /O✓ % 7-5-0 /® --? 116 Int. wall ® 6 Floor Ceiling .0 7 '/.0 3® 7Q Floor &0 ao Total Btu. Rid g. E.D.R. or sq. ins. W.A. Leader area FLV'�n�iP Room I Lensrth /7`3Width /L->' Heistht 7 Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane llghts of crack sq. ft. /7 e Coef. Coef.Btu Coef. Btu Infiltration '// S'f Z'4:x Glass '9S"0 Glassy -® 06-99-0 Exp. wall 99 Net exp. wall Ar/ Exp. wall 3/ g %Z/d Net exp. wall Net exp. wall Int. wall /O✓ % 7-5-0 Floor ZO Int. wall ® 6 Floor Ceiling Floor aC1 ao Total Btu. I /® .SCS 6 Required s ft. E.D.R. or sq. ins. W.A. Leader area / FOUPILP'kO Room I Length 9 '2 Width /s Heiaht A' Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Coef.Btu Infiltration Infiltration 3d' '// S'f Z'4:x Glass '9S"0 / -® 06-99-0 Exp. wall 99 Net exp. wall Ar/ /® %Z/d Net exp. wall Ceiling Int. wall /O✓ % 7-5-0 Floor 42 Ceiling ® 6 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 llghts of crack sq. ft. Coef. Btu Infiltration s 3d' '// Glass 19 -1"® '9S"0 Exp. wall =p G / Net exp. wall Ar/ /® %Z/d Int. wall Ceiling %S /O✓ % 7-5-0 Floor 42 v ® 6 Total Btu. 1 7® 412 Required !2. ft. .P.R. or sq. ins. W.A. Leader area / F1.I-AQ0n 4'A Room I Lensrth /Y -'Width i`f' Heiaht ,F�1 Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. JCoef.j Btu Infiltration o-/ & //2"t Glass 19 -1"® "9S0 Exp. wall Net exp. wall Ar/ /® %Z/d Int. wall Ceiling Floor 42 ® 6 Total Btu.S� Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI.I Ranm I L.enath WidthrP'� Heistht-'s 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 SP 5'7® Glass /® 7 Exp. wall Net exp. wall Int. wall Ceiling Floor 42 ® 6 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area i� Application for Power Plants and Heating, Coding, Ventilation, .Refrigeration and A Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SII. 4-7470 4 GRAVITY WARM AIR: RATE TOTAL, Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 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 ............................. 0.00 $ 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 BTI) .......... I ............ 5.00 $ 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 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAe FEE ROUGH FINAL 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. A� ® Fri� 4e, Minn-, vt—'l 6 19 10) Owner Kind of Building'✓C�� Used as'� To be completed about Estimated Cost, $ Old—New. Building Permit No. Permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS ---Steam, Hot Wa , Warm Air �o eo`'`n Trade Name Size No- Capacity Sq. Ft. E.D.R /®0_Q ®� BTU /7 H.P. Total Connected Load '�Z16 9 / Kind of Fuel /ZV-4 BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS -OVER) i .<Z17-42 •'�� 2M 7•59 Business Phone No- v City of Fridley Appiicaf m for Plumbing and Gas Fitting Permit DESCRIPTION OF WORK Number, Kind and Location of Fixtures .ea Fa W 1-gg V/ Y =} Zpp 88Z <FZ j�i< a �U' •d ? w + F N WATER HTR. GAS ELEG 3V d� in 3� oS 'a� V 63 C�9 (�'J0 Base r f 1st I 2nd _ 3rd _ 4th • Future Coaaection Openings Connected with Sewer New Fixture, Old Openings Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures �o x $1.50 $ G a Future Fixture Opening ................ L x -1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ oZ • U O New Ground Run Old Bldg . ............ x 3.25 $ 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 Description ................................................$ TOTAL FEE $.,�® Dept. of Bldgs. Phone SU,,A'74747 // 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 agw_true and correct. Kind of Building Used as 9 To be completed about Estimated Cost, $ Old—New. Building Permit No Permit No By 41 72 Business Phone ROUGH — b FINAL as 2M 7-59 lg-.C_® City of Fridley, Minn. BUILDING PERMIT Date: _lir � �"r'"rY ,' """• . ti�1 s Owner:000 so._ Builder Address Address LOCA F BUILDING No. -i Street Part of Lot.._ Block Addition or Sub - Corner Lot _ Inside Lot —��"'� abackdeyard —; Sewer Elevation ____ _ Fo tion Elevation DESCRIPTION OF,. BUILDING d as: Front Depth Height Sq. Ft. '"cu. Ft. Fron Depth eight Sq. Ft. cu. Ft. ... Type of Construction "`r' Fast. �ro 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 r'I , permit is hereby granted to 1 to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work done in, around and upon said building, or any thereof, shall conform in all respects to the ordinances of Fridley, Minnesota location, construction, alteration, maintenance pair and moving of buildings oorrdinanceea city limita� permit may be revoked at any A v� atio of any of the provisions of said Building Inspector NOTICE: IMs ponnh don sof cover the construetfon, hatallatlon for whiny, p1mblog, an headm awor or water. Be son to as the Building lespedor for aparab permlb for thea Nona. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER' S NAME �' G 1A cl A_J BUILDER/ /o Umi I— �ys 7` , ADDRESS n%D& ADDRESS %® 14 01--ide,< S'.� - LOCATION OF BUILDING No. 4d % Wn r DrL Streett,�� l� j2�✓ Part of Lot Lot Block Addition or Subdivision Corner Lot Inside Lot Setback Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed build- ing location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as: i ( Front Depth / Height rZ Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft.. Type of Construction Estimated Cost /5C2 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 of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct, DATE / )ra "_L / 5 SIGNATURE (Scbedule of Fee Costs can be found on the Reverse Side). CITY OF FRIDLEY Effective Date May 1, 1988 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE -ESIDENTIAL RATE TOTAL Furnace Shell and Duct Work, Burner (Also replacement furnace) $ 20.00 $ 20.00 Gas Piping $'10.00 $ (piping needed with new furnace) Gas Range $ 10.00 $ Gas Dryer $ 10.00 $ * Air Conditioning (all sizes) $ 10.00 $ 10.00 All Others/Repairs and Alterations 1% of Value of Appliance or Work $ COMMERCIAL/INDUSTRIAL 1% of Value of Appliance or Work $ State Surcharge $ .50 TOTAL rEE $ 30.50 Reinspection Fee ($15.00) $ Rough Insp. Date Final Insp. Date Approval for Permit Job Address 1160 Ly de Drive NE Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley Tel. #571-3450 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn. N1ay 8 , 1989 OWNER Lee & Romelle Haugen KIND OF BUILDING Frame USED AS Residential TO BE COMPLETED ABOUT ESTIMATED COST $3300.00 OLD - NEW BUILDING PERMIT NO. PERMIT NO. /C � DESCRIPTION OF FURNACE/BURNER "Also installing One (1) HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. one Carrier 38TKO24 2 ton air conditioner, one (1) Carrier Trade Name Carrier Size No. 58SSBO60CC 49BF humidifier Capacity Sq. Ft. EDR BTU 60,000 HP MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00- PLUS 15.00PLUS $.50 STATE SURCHARGE Attach stack verification form with replacement furnace permits *Air Conditioners can not be placed in side yard without written permission frac adjoining neighbor. Total Connected Load BURNER - Trade Name Kind of Fuel nn t _ man S Size No. Capacity Sq. Ft. EDR BTU HP Company . �De,pendable Heating and A/C o Signed By ` r \0r -e'n ah A A fYp Tel. No. 757-5040 Lee 4-a��-Q 0 L T -<k -t D (—, =� CHIM14EY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack; 6. Has Total heating BTU's of All other BTU's TOTAL Rema rk s e I 1. Has been carefully examined Yes () No ( ) 2. Is free from rust or deterioration Yes () No ( ) 3. Has no foreign objects lodged within Yes (�I) No ( ) 4. Is securely supported Yes No ( ) 5. Meets all current Code requirements for size and total BTU connected Yes (!) No ( ) 6. Has Total heating BTU's of All other BTU's TOTAL Rema rk s e I Building PLUMBING Permit No.:' ' 1 t 5 Inspections - RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY DatjM Q DATE YOUR E-MAIL ADDRESS SITE ADDRESS SnwL� as �us�wta/ THIS APPLICANT IS: 0 OWNER KONTRA6TOR Lee Lee Haugen PROPERTY NAME: Lynde Drive Northeast OWNER/ LATE ZIP TENANT ADDRESS: Fridley, MN 55432 PHONE: 7635740013 CONTRACTOR NAME: STATE LICENSE # sC>, // EXP DATE SUBMIT A COPY OF YOUR STATE ADDRESS CITYSTA FLIP Sr LICENSE ATMPHONE 7— �/O� FAX 2 APPLICATION PERMIT TYPE SINGLE FAMILY D TWO FAMILY 0 TOWNHOUSE TYPE OF WORK: 0 NEW REPLACEMENT DETAILED DESCRIPTION OF WORK % PER MS 1613.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00; whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This.should_reflect only; the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor _x.05 = �_ 40"ROJECTS WHERE LABOR EXCEEDSS500;-FEES ARE BASED ON $10.00 PER FDa URE,'EXCEFT: WARE NGTED :F -D TLIIE3:.WDIC-ATE TOTAL NUMBER OF EACH BELOW) BATH SINIULAV _FLOOR DRAINS _ SHOWER _ WATER PIPING —BATHTUB _ GAS PIPING (NFzD crirziamsE) _ SWIMMING POOL _ WATER SOFTNER ($35) _CLOTHES WASHER _KITCHEN SINK WATER CLOSET—BAC FLOW PREV. ($15) DISHWASHER -LAUNDRY TRAY TWATER HEATER ($35) FOR IRRIGATION _ WATER METER —OTHER Permit Fee $ E Number of fixtures @ $10.00 $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 X $15,D0 = $ Number of fixtures @ $35.00 1 $35.00 = $ 3C cao TOTAL DUE $ State Surcharge = $ .50 Total = $ O THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an applic . n for a permit and work is not to start without a permit; that the work will be in accordance with the approved plan in the case 1 o w ruires review and approval of plans. SIGNATURE OF APPLICANTW PRINT NAME ��'� /i/0/OY1�1 DATE 3 City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977