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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N°421 Date: Owner: a Builder — Address Address LOC#TIO F BUILDING �q�,,��rr " _ _ Part f Lot Oro No..��:.�� street ._.�... ._ Lot ____.__ Block Addition or Sub -Division Corner Lot —_ Inside Lot Setback - J� --- Sideyard Z Sewer Elevation — Foundation Elevation DESCRIPTION OF BUILDING TojUeUsed Front Depth Height _ Sq. Ft _ -Cu. Ft.&P t 2 Depth fight Sq. Ft. WIr Ft. Construction r Est � Type o ''o be Completed In consideration of the issuance to me of a permit to construct the building described above, T 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. 1 f� In consideration of the payment of a fee of $ * permit is hereby granted to— to oto 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 any of the provisions of said ordinances. Z-1 Building Inspector NOTICE: This permit does not cover the construction, Installation for wirlaW plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these hems. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner's Name Builder i o A N ji'� Address Address -7 11 -7 LOCATION OF BUIMING No. 2 , q J Street_ e L l-wle— Part of Lot Lot Block Addition or Subdivision/14/0 H,� ml, Corner Lot Inside Lot Setback 3 1 Side -Yard SEWER ELEVATION FOIINDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. sme- As ]ai m d-e..l DESCRIPTION �e� A� OF BUILDING -737, _ �� •n � 1•a� �`. To be -used as: t �. Front®' Depth Z- Height Sq. Ft. / ;k / Cu. Ft. F�A�t Front 2—�Depth Height l® Sq. Ft. Cu. Ft. Type of Construction FA4,, 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 el the facts and representations stated in this application are true and correct. rArm P46��'� (k Schedule of Fee Costs can be found on the Reverse ide.) City of Fridley Application fa• Plumbing and Gas Fitting Porn* Dept. of Bldgs. Phone SU 4-7 DESCRIPTION OF WORK Number, Kind and Location of Fixtures q NO. RATE TOTAL yN Y x $1.50 vCQ 2 �� aa z Z x 1.20 �C $ G- w �9 00 ? �p $ N WATER HTR. GAS EIEC Base $ a New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL_ 1st 3 Fixtures ..........................Z x $1.50 $ 5 d Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ ist r 2nd 3rd 4th • Future Connection Openings I New Fixture, Old Openings Connected with Sewer Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL d Number Fixtures ...................... x $1.50 $ 0 Future Fixture Opening ................ Z x 1.20 �C $ G- New Fixture Old Opening .............. x 1.00 $ Catch Basin ...... ..................... x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ a New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL_ 1st 3 Fixtures ..........................Z x $1.50 $ 5 d Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description.................$ ............................... TOTAL FEE $ U City of Fridley: The undersigned hereby .makes application for a permit for the work here! specified, agreeing to do an 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. KhWof Building Used as To be completed about Estimated Cost, Old—New. Building Permit ROUGH FINAL 42 2M Business Phone 194" Application for Power Plants and Heating. Coding, Ventilation, A F, igeration tind Air Conditioning Systems 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 ............... MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ each add. 60,000 BTU ....................... 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 $ 8.00 $ 2.00 $ 0.00 $ 5.00 $ 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 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 TOTAL FFE $�/_�. ROUGH FINAL Dept. of Bldgs. Phone SII. 4-7470 0 City of Fridley: o�. 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 '� Mtnn 19 Owner Kind of Bu �Zg Com/ J Used as To be completed about I f��, a Estimated Cost, $ Ol —New. uilding Permit No. Permit No. DESCRIPTION OF WORK HEATING or PO PI,AN1`S--.Steam, Hot Wa,Warm Air— o Trade Name .+�K �-� � 2rZ�rJ Size No X G Capacity Sq. Ft. E.D.R BTU H.P. Total Connected Load ` X 6 Kind of Fuell BURNER —Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS—OVER) Signe C By d65'37 CHICAGO AVE I�INN�,4POLIS 7, MINNESOTA r42 7M 7.59 Business hone o City of Fridley, Minn.. BURRING PERMIT Date: Owner:p� Builder Address Address LOCATION BUN?G No. Street {„�_ J � Part of Lot Lot !_ �._ Block Addition or Sub -D vision Corner Lot Inside Lot Setback Sideyard _ Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING TOAA,se Front :t Depth Height 5� Sq. Ft Cu. Ftvc.'4✓ Front Depth Height -A Sq. Ft Cu. Ft 40 Type of cl3o ,;f2� Est Cley ` _ To he 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. 1 In consideration of the payment of a fee of $ , 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 any of the provisions of said ordinances. � a A •^. Building Inspector NOTICE: This permit does not corer the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to we the Building Inspector for separate permits for thus items. 4 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner's Name �T��r®'� �id�� Builder Address Address LOCATION OF BUILD No. e Street s Part of Lot Lot Block j Additio or Subdivision / Corner Lot Inside Lot Setback z�.� Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To be used .as: Front - Depth 01.5' t Sq. Ft. �� �/, Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction �%�iB z� Estimated Cost ® �/d 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 /� ���� SIGNATURE �'� �'�'L° A, (Schedule of Fee Costs can be found on the Reverse Side). W Lon& Planning 6875 -90 ay 19615* A!E. Land Surveying Minneapofis 21, sods Tesh;�q ENGINEERING, INC. ,innesofa Civil b- Munrapal S1117W a [OC6r� Enjineerm9 Engineers Sur vegors certificate of surveT fes E & M DEVELOPMENT CO. E ep 0' (.Cj _ � 2 ®• a _1 m 0 l� go t I 1 � I � )r 1 �t;l• PN9� ,�Q,v 1 8 �roa�d Elev. 87?»,o C Nouse Corvit-ts, o DEMOTES IRON ___ MEWOTE.S UTILITY DRAINAGE EASEMENTS N•1r E : — 1. £LE.VATIOMS ARE PROP'OS£D 2. FIRST FLOOR ELEVATIOW TO BE 2.5 FEET ABOVE GROUND ELEV. SHOWN LOT 16 5LOC K 3 MELODY M AN O RL / hereby WhAy fhd Ibis is a true and correct represenfafion 00 survey 0he bundOries of Ik abort° aSer,bed /and, end nF /oeofi ,e plf/ bui/drn95 , fltereon , °rdo// nsib/e war gchmenfs , i!'ony, �i or &7 said /and. As surveyed by me ifus _ ahy `se SUB URBAN ENGINEERING, INC. [n 9 in fs Sury ors SCA,LE "=30' � . 556 c City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone SU 4-7 DESCRIPTION OF WORK Number. Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TZOTAL� Number Fixtures ......................-9 x $1.50 r Future Fixture Opening j 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 $ 10 New Ground Run Old Bldg . ............ � �Q�Q �. GAS FITTING FEES: � � x> Zz i?8`z x .50 $ Gas Range to 200,000 BTU .............. � � UN' i • F s N WATER HTR. GAS ELEG azo" O Base 1st 1 i 2nd 3rd 4th • Future Connection Openings Connected with I sewed New Fixture, Old Openings Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TZOTAL� Number Fixtures ......................-9 x $1.50 r Future Fixture Opening j 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 $ 10 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 iS'�� 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, Owner Kind of Building �^�`►-� A .. Used as To be completed abc$it I Estimated Cost, $ Old—New. Building Permit No. / P... No. � Signe p By ull Business Phon No 1 ROUGH - 1S^� Cep ?-- FINAL I" 4� Q Application for Power Plants and Heating, Coating., Ventilation, Refrigeration and �( Air Conditioning Systems and Devices a Dept. of Bldgs. Phone SII 4-7470 PARTIAL RATE SCHEDULE , ®` GRAVITY WARM AIR: RATE TOTAL Locaflo 'a 10e —, Furnace Shell & Duct Work .......................... 8.00 $ Replacement of FurnaceCity of Fridley: ............................. 5.00 $ Repairs &Alterations—up to $500.00 .................. 5.00 $ 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 Repairs &Alterations each add. $500.00 ............... 2.50 $ and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. MECEL WARM AIR Furnace Shell & Duct Work to 120,000 BTU .. _ ......... 8.00 $ each add. 60,000 BTU ....................... 2.00 $ Replacement of Furnace ............................. 5.00 $ Repai s & Alterations --up to $500.00 ................. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Furnace Shell & Linen—to 400 sq. ft. IDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. IDR Hot Water ... 8.00 $ Ehch add. 200 sq. ft. EDR Steam ...................... 2.50 $ �ach add. 320 sq. ft. EDR Hot Water .................. 2.50 $ OIL AURNER—to 3 gat. Per hour ........................ 5.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ GAS PIPING (Up to 3 Fixtures) .......................... 1.50 $ • p (Add 50c each over 3) AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS See Fee Schedule TOTAL FEE '4140 Fridley, e1 9 Kind of Building Used as a To be completed about l / 9 EstimatedCost, $ Old—New. Building Permit No. DESCRIPTION OF WORK 19 -SATING or POWER PLANTS --Steam, Hot Wa arm Air No Trade Nam Size No -A Capacity S q. F't E D R BTU H.P. Total Connected Load Z� �� °- Kind of Fue BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R. BTU H.P. 11 POST IM -8-58 Sign- / �P" '-eo ZP. � By, fUFfCTION HEATING COMPANY, INC._ 2936 FOURTH AVL SO. s TA. 3- 28 Business --����S 8 MINNESOTA Application for Power Plants and Heating. Coaling, Ventilation. Refrigeration and Air Conditioning System and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: BATE 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 $ d 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. IDR Steam ...... 8.00 $ Furnace Shell & Line—to 640 sq. ft. IDR Hot Water ... 8.00 $ Each add. 200 sq. ft. IDR Steam ...................... 2.50 $ tach add. 320 sq. ft. IDR Hot Water .................. r 2.50 $ ,GMAnYRN>:11 to 3 gal. per hour ........................ 5.00 over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ S,- a GAS PIPING (Up to 3 FhTtures) .......:.................. 1.50 $ (Add 50c each over 3) AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule 1 VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $ Dept. of Bldgs. Phone SII 4-7470 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. �5 ® . 19hif- Owner Kind of Building Used as To be completed about Estimated Cost, $ Old -New. $uildina Permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS --Steam, Hot Water, Warm Air—No Trade Name Size No 195- 195— Capacity Sq. Ft. E.D.R BTU H.P. Total Connected LoaI Kind of Fuel BURNER —Trade Nam Size No Capadty.oeg Sq. Ft. E.D.R BTU H.P. Signed By PERFECTION HEATING COMPANY, INC., 29N POURIH AyL bo. • 11A. 3-5287 11 Ppsr 1M -8-S8 Busing pho&MAVOLIS 8 MINNESOTA Application for Power Plants and Heating. Cooling. Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE 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 $ til � . _;_ i_u P, 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 TOTAL 1st 3 Fixtures x $1.50 $ Additional Fixtures x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIH CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $� ALTERATIONS & REPAIRS TOTAL FEE $ ROUGH FINAL Dept. of Bldgs. Phone SU 4-7470 Location % 3 l � - � Y/ � / C 414 Ne 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 d, 4, /6., 194-.2- Owner 94-.2- Owner &AI � Av Ai e Kind of Building Used as AZ - / To be completed about Z ✓ o a,& - Estimated d'Estimated Cost, $ 7 6 Old—New. Building Permit No. Permit No. 'Z�z ee v2 DESCRIPTION OF WORK HEATING or POWER PLANTS -Steam, Hot Water arm Air No Trade Name Te j-1 e .,_4 � 6 N Size No Capacity -*dm- Sq. Ft. E.D.R �.�, QO O BTU H.P. Total Connected Load Sz, a e. 7 Kind of Fuel /��4 �. ��11, If BURNER — Trade Name Size No Capacity Sq. It. E.D.R BTU H.P. (REMARKS -OVER) Signed IeEc ,o Gd By X42 2M Business Phone No- D -M E 6 . HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS FRIDLEY, MINN. Weatherstrips A.S.H.V.E. Construction No. Insulation Guide Windows I Doors Reference Out. Wall JInt.Wall I Ceiling I RoofFloor Kind How Applied e No a No 19— / F1.1 /, i, v q Room I Length ,J Width P3 Height 9 II / Fl.l /? 9A Room I Lenitth S Width S Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. .;I- a 6 0- / Z t 1- 13 7 lI -Z "? . 8 C"L Coef. Coef.1 Btu Infiltration—L-0 99' / ,2 g Glass 3 ®�. Glass 0 0 7 Lo 3 6 ba Exp. wall Net exp. wall L10.0 1/0 16 0d Net exp. wallg-/ Floor _ _. 6 S 3 A9-0 Int. wall Floor — 3� Ceiling 7 8 13, tg-Int. 6 Floor _ Ceiling �}- g Total Btu. I / [/6 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 1 F1.1 n G Room I Length / z Width / / Height F Windows and Doors—Crackage. and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. i. Zo / Z t 1- 13 7 lI -Z "? . 8 C"L Coef. Btu Infiltration 1 34 99' / ,2 g Glass ,14t $ 0 0 0 Exp. wall 6 O Int. wall Net exp. wall /60 1/0 16 0d Int. wall Floor _ _. 6 S Ceiling Int. wall Floor — 3� 7 7 8 Windows and Doors—Crackage and Area Width Height No. o! Lineal ft. Area No. of pane of pane lights of crack sq. ft. / 2 Za /7 o- / Z t 1- 13 7 lI -Z "? . 8 C"L Btu Infiltration Coef.1 Btu Infiltration a G{ Exp. wall 50 4 )-- Glass 6 O Int. wall ,so I so Exp. wall S76 Int. wall Floor _ _. 6 S Net exp. wall Int. wall Floor vt wall 7 8 08 tg-Int. 6 Floor Ceiling r �i Floor -- 1 % Tbtal Btu. I / 9 a - Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. / z / 2- /3 C"L Btu Infiltration 4 13 Glass V a S d Exp. wall 50 366 Net exp. wall 6 O Int. wall Net exp. wall 7 Ceiling S76 Int. wall Floor _ _. 6 S Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F7_I p !4/ Room 1 Length ,- Width , Height 9 Windows and Doors—Crackage and Ana Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. / z / 2- /3 Coef. Btu Infiltration 13 39 Glass 7 50 366 Exp. wall �11, p 0 0 Exp. wall Net exp. wall 7 110 S76 Int. wall 6 Ceiling -- Int. wall Floor vt Ceiling 7 8 Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area 9 F1_1 p _ J Roam I Length /a Width 9 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 g_i e r; Glass t 6 525 p 0 0 Exp. wall 8 Net exp. wall 6 Int. wall Ceiling 08 6 Floor r �i -1 otal I3tu. ' Required sq. ft. E.D.R. or sq. ins. WA. Leader area II Required sq. ft. E.D.R. or sq. ins. WA. Leader area D-36 e,�s HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS FRIDLEY, MINN. Weatherstrips Windows and Doors—Crackage and Area A.S.H.V.E, Guide Reference 19— Coef. Btu Construction No. Insulation ' dows I Doors es No Out. Wall Int. Wall I Ceiling Roof Floor Kind How Applied Ye No Coef. Btu FI R0o m l Leng th Width Height ht 69'II -% Fl_I X> Room I Length ! - Width ill Height Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area ' .7- Fl.l R _ _I Room I Lenath I A Width i Height 011 Windows and Doors--Crackage and Area Width Height I No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. 3 3- Z b Windows and Doors—Crackage and Area Coef. Btu Width Helght No. of Lineal f . Area No. of pane of pane lights of crack sq. ft. ;L 1 6 2- 3a Infiltration Infiltration 3 / ;Z 9 L Coef. Btu Infiltration (� Exp. wall 8 Glass Net exp. wall d Sd pd O Exp. wall a . 1 Ceiling Net exp. wall 8 /59-1 l 0 Int. wall Z16 . 5 Ceiling $ 6 Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area ' .7- Fl.l R _ _I Room I Lenath I A Width i Height 011 Windows and Doors--Crackage and Area Width Height I No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. 3 3- Z b a- b _-L 30 .26 Coef. Btu Infiltration Coef. Btu Infiltration Infiltration 3 / ;Z 9 L Glass - ' 000Z S01 J,d O Exp. wall /3-2 Exp. wall Net exp. wall p 8 _10 NTO Inc. wall j 7L 1 Ceiling Int. wall 8 Q 00 Floor Ceiling Z16 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.l 1?)5-- 1' Room I Length ql Width /Af Heiaht V Windows and Doors--Crackage and Area Width Height I No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. Width Height No. of Lineal ft. Area No. of pane of Dane lights of crack sq. ft. 3 3- Z b a- b _-L 30 .26 Coef. Btu Infiltration Coef. Coef.1 Btu Infiltration 30 t.114o 3 8 I - ' 000Z Glass d o Exp. wall 1561d Exp. wall Net exp. wall p 8 _10 NTO Net exp. wall j 7L 1 3_760 Int. wall 8 a Ceiling . 5 Floor 6 Tbtal Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area indows and Doors—Crackage and Area Width Height I No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. Width Height No. ofLineal ft. Area No. of pane of pane llghte of crack sq. ft. Coef. Btu Infiltration Coef. Btu Infiltration 36 30 t.114o Glass Z1 50 d o Exp. wall 6 Net exp. wall 24 _10 NTO Int. wall Ceiling Floor 3 8 a Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FI.I Room I Length Width Height Windows and Doors—Crackage and Area Width Height I 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. ED.R. or sq. iris. W.A. Leader area FI.I Room I Length Width Height 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. k. ED.R. or sq. ins. WA. Leader area CITY OF FRIDLEY POLICE DEPARTMENT TO: Nasim M. Qureshi, City Manager FROM: James P. Hill, Asst. City Manager/Public Safety Director DATE: June 3, 1975 SUBJECT: Snow Cone Vendor (JH -39) The subject in question has been identified as Tom Luck, age 14, of 7341 Lyric Lane, Fridley. Tom works for a Mr. Harvey Glommen of 1048 - 87th Avenue, N.E., Blaine. Mr. Glommen operates a candy business and also utilizes the Snow Cone bicycles in the summertime. He hires various juveniles to operate these bicycles and to date we have not received any particular complaints regarding these vehicles. Insofar as the licensing is concerned Mr. Glommen is licensed by the State of Minnesota Commissioner of Agriculture which exempts him by State statute from being required to be licensed by individual munici- palities with the exemption of the municipality in which his business is housed. In this particular case Mr. Glommen is licensed by the Anoka County Comprehensive Health Department with respect to his business and bicycles; he therefore complies with all laws regarding the licensing of the business and vehicles. Since our contact with Mr. Glommen he has sent his daughter, Beth, to the Fridley City Hall where she has applied for a vending license. The Fridley license was applied for without my personal knowledge so therefore I would recommend that we simply process the license for approval although technically he is not required to have such a license in Fridley by State statute. The Police Department has already talked to the boy in question, Tom, and we do not anticipate any future difficulties with this company. It is my understanding that Steve Olson will also talk to Tom in the proper food -handling procedures in the future. c - Steve Olson, -?' Darrel Clark Dick Sobeich Marvin Brunsell 01 40001007777717777 '� �,4: f�.Ci' n_ •'Y,�.°F";_a V ; > S k r M ii- u.- W''f,�y_'Er*c" U" r.� '�j4 list AV - e. *.,' J 'OM H k''k+d } r^��- ,`"•f ..�+'i�"*" i fes( = aOFFICE OF THE CITY MANAGER CITY OF FRIDLEY MEMORA14DUM FROM THE CITY MANAGER TO: DATE: RE: PUBLIC SAFETY DIRECTOR MAY 22, 1975 SNOWCONE VENDOR IN THE AREA OF 75TH AND 4TH STREET MEMO NO. JH -39 Respond by: 6-6-75 Cont., to: Mr. Breider has brought to my attention that there is a teenager vending snowcones in this area. Our record do not show any licenses acquired by this person. If your policemen note him vending in. this area, please_ get his name and address and advise him to get. a license. Thank you for your assistance. NMQ/ms CC: Steve Olson/ Darrel Clark Dick Sobiech Marvin Brunsell Police advised to check area for vendor. Subject may have State license and exempt from City ordinances. This has been the case in past years. See attached letter from City Attorney. LAW OFFICES WEAVER, TALLE $ HERRICK CHARLES R. WEAVER HERMAN L.TALLE VIRGIL C. HERRICK ROBERT MUNNS JAMES D. GIBBS WILLIAM K. GOODRICH THOMAS A. GEDDE JEFFREY P. HICKEN James H i I I Acting City Manager Fridley City ;-fall 5431 University Ave. N.E. Fridley, 1.11N 55432 Denr !I..r. 316 EAST MAIN STREET ANOKA. MINNESOTA 55303 421-5413 6279 UNIVERSITY AVENUE N.E. FRIDLEY, MINNESOTA 55432 560-3850 FIRST STATE BANK BUILDING COON RAPIDS,MINN.55433 755-1330 July 5, 1973 Re; License for Treat Center Company have finished ex mining mater i � l retaining to the question i•Ahether the Treat Center Company is required to obtain a license from the City of Fridley. I am of the opinion that if they have a velid state license that they our c;;cmpt from our. ordinancest' The following information pertains to the question of whether they our required to have a city license; 1. t -13A 17.037(3) (1957) which provides that "when a food manufacturer, processor, or distributor is licensed by the commissioner of agriculture, the food manufacturer, processor or distributor is exempt from t,,ie licensing re ,u i rc.:icnts Which may be imposed by the municipal corporation or subdivision of state Sovernment, except For licensing requirements which may he imposed I the municipal corporation or subdivision of state govern- ment in which the rn:-inufacturer, processor or distributor locates _. plant ... Delivery equipment is exempt from licensing by any municipal corporation or subdivision of stoic covernl7ent c%ccpt for those requirements which may !ac i mposc"! P)y the mun i c i pa I corpUr at i on or subdivision of staff -,e government in which the equipment is pr i nc i pz:! ly t M O '.1i I 1 Ji.l I y �, , X73 In constru 1 i:,(' sect -ion, 11C iQ;'ney oCilercl I held + tna t o t7 i l k d i str j l)utor would be a food d i s tr i'outor entitled to a I i cens i nc e°:c tn;� t i on, anti thus, a v i l 1 age cou I cd not requ i re a n i P< d i str i !3utor to ob'U a i n ii license from the village as a condition to dieing pertit i teed to se I I cla i ry products w i th i n the v i I I age, where the milk distributors plant dere principally located within the other municipality. Op. Atty. Gen. 290J-6, Play ??, 1.960—, MSA 23x1.01 e i, (1971.-Ca;lsa 1 i c'<_ feel flood i ceps i ng pct-;�rov i cies th wt no person, .other than iAho I esa 1 e `'_''�'C�,►_l!.. c?^.��! �:' 3, �'1•:'! P `>� �,� LI jr^.:1 •t -n ':o d �° �Or':.' is ".1P;n one license i n order to engage cion any aspect or food ."lancdl In^ rlescril:)c d In sf'.ctlon �`3 .n n._'.Cdl 1 `_,: 11eC� I I CCIlC "1•�:I d !�^_. vi -1 i :_9 'nr 11.0 Eic_' _'- ';tl + S!?lP- ;in i a rcqu 1 res` to !_) '. I :'surf` otl 1 ;/ one Fear un 1 ecs t':le cc1lo 7 1 14 Lo t -'?c i 1 cense+ ns required by . l section �3:i.07, do .2x,2.'1.0) (1-971). The city of :=r i c I cy n:7y require 1!!int this hours reocrc.'. i ns their s:..1 es. If you have to this, please cont%'ct me. � Sincerely, Virgil C. Herricd< company observe reckon as 1 e any questions in regard SUBJECT P City of FridleyC:��" 898 AT THE TOP OF THE TWINS BUILDING PERMIT r • COMMUNITY DEVELOPMENT DIV. _____ r 1 PROTECTIVE INSPECTION SEC. �. NUMBER REV DATE PAGE OF APPR vED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 11/28/95 JOB ADDRESS 7341 Lyric Lane NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR, 18 3 1 Melody Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Larry Luck 7341 Lyric Lane NE 784-0084 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 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 ❑ ALTERATION Rl REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof West half of House (10 Sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. 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 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 i);©$800 $•50 WITH WHETHER SPECIFIED HEREIN OR 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 LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION PLAN CHECK FEE TOTAL FEE $25.55 ' SIGNATURE OF CONT RACTOR ORAUTORIZED GENT IDATEi WHEN PROPERLY V*IDATED THIS IS YOUR PERMIT SLOG SP �/ MATE S.GNA URE OF NE WNER BU4DERI (DATEi NEW [ ] Effective 8/1/95 ADDN [ ] CITY OF FRIDLEY ALTER (] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: 2 3 '/"/ z 4�,� _ Legal Description: i3Ike, 3l ,i t Owner Name & Address: ztcz f f 7-3v / n,,z Tel. # 7 0 1 Contractor: em _ MN LICENSE # Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width. Hgt/Ground Sq. Ft. /fir ev �v LW 1 gA 4a a 21?4 '` y. ��T 4 Comer Lot [ ] Inside Lot [q Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: $ /a 9,0, Approx. Completion Date: /`�� .Y" (Cost on Back) Driveway Curb Cut Width Needed: Ft. +0t A x $ _ $ DATE: /z y �' APPLICANT:«- Tel. # 7 f3� d y STIPULATIONS: a CITY USE ONLY PermitFee $ camI2j Fee Schedule on Reverse Side Fire Surcharge $ , EJ .001 of Permit Valuation (1/10th%) State Surcharge $ �i •� $.50/$1,000 Valuation SAC Charge $ $850 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ 7 STIPULATIONS: a SUBJECT City of Fridley� FP�ERMJIT � 48 AT THE TOP OF THE TWINS BUILDING PERMIT r RECEIPT NO. L • COMMUNITY DEVELOPMENT DIV. _ PROTECTIVE INSPECTION SEC. r 1 . � 1 CITY HALL FRIDLEV 55432N UMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 7/8/97 JOB ADDRESS 7341 Lyric Lane NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 18 3 Melody Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Larry Luck 7341 Lyric Lane NE 784-0084 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Same 4 ARCHITECT OR DESIGNER MAILADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION j] REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS Install building wrap and have inspection of same unless manufacturer's specifications state it is not required. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIREDFOR 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 1 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 WILL BE COMPLIED $5,600 $2.80 WITH WHETHER SPECIFIED HEREIN OR 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 LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $120.65 S NAT EOFc TRACTORORA H IZED GENT IDATEI OFWHEN PROPERLY V DATED THIS IS YOUR PERMIT „BLDG NSP DATE SIGNATURE OFjq4NER0F OWNER BLKRDiDATEj NEW [ ] Effective 1/1/97 ADDN [ ) CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �� Co nstructionAddress: 2 , Legal Description: Owner Name & Address: 64-1Gef� (.5ce 4 ) Tel. # 299z��� Contractor: MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: V 1, w u Construction Type: Driveway Curb Cut Width Needed: Ft. + 6 Ft = Estimated Cost: $ o 0, (Fee Schedule on Back) _Ft x $ _ $ DATE: � f APPLICANT: I Q' coTel. # STIPULATIONS: .CITY USE ONLY Permit Fee $ Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ o ,60 $.50/$1,00 Valuation SAC Charge $ $950 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ -$450.00 Conservation Plan Review Park Fee $ , Fee Determined by Engineering Sewer Main Charge . $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ l��• �.� STIPULATIONS: $uBjEGT City of Fridley 2 9 5 063 AT THE TOP OF THE TWINS BUILDING PERMIT � RECEIP COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r PROTECTIVE tI 0.-1 CITY HALL FRIDLEY 55432 NUMBEq qEV GATE O: APPROVED Br � L " 612-571-3450 910-F15 5/20/99 F;GE/ JOB ADDRESS 7341 Ly ri c Lane 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 18 3 IMelodyManor SHEET 2 PROPERTY OWNER MAIL ADORES$ ZIP PHONE Larry Luck 784-0084 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Ea leview Const. Inc. 2937 174th Lane Andover MN 55304' 753-5469 20067043 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ®C REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage 20 S Tear-off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. f r SEPARATE PERMITS ARE REOUIREO FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 80 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 1 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 WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1714 $.86 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- STRUCTION OR THE PERFORMAALCE OF CONSTRUCTION $63.15 Fire SC $1.71 C $I PLAN CHECK FEE Li cens 5.00 TOTAL EE 7.W. 7 2 iGNATFjRE OF CONTRACTOR OR AUTHORIZED AGENT 40A N ROP ALIDAT THIS IS V�UR P MI 01 i $GNAiURE OF OW NERiiF OWNER BWIDE Ri iOATE� Bl i- DATE NEW[ l Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 �� \ BUILDING PERMIT APPLICATION r Q Construction Address: -73 tz � G Legal Description: Owner Name & Address: Tel. # DOS`% Contractor: ,/u- MN LICENSE # -ycp(o� D 43 Address: (TY 1,64 -ti Tel. # —7 S 3 S` & I Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height- Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground . Sq. Ft. OTHER: Construction Type: ,Q&'-1� �2 �7���` � Estimated Cost: $ o� 0 Zl�— Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ DATE: f r 7 1 i APPLICANT: Tel. # STIPULATIONS: ".. - CITY USE ONLY Permit Fee $ �. lS� Fee Schedule on Reverse Side Fire Surcharge $ f / .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ , O b $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ D • �� STIPULATIONS: ".. - --1 A D r C9 U CITY OF FRIOLEY INSPECTION DIV 8435 University Ave NE Fridley, MN 55432 APPLICA1 ricin roil PLUM91NG ANO GAS FI I TING PERMI I 572-3604 MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR Filective on January I. logo Water Bath Wash Stories Closet Urinal Tub Shower Sink Tray Drink. Fount. Floor Drain Catch Basin Auto. Gas Washer Appl. Gas Range Misc. Fixt. Water Heater Gas Elec Basement = $ 7.00 _ Catch Basin $ 7.00 Rain Water Leader $ 7.00 Surnp/ReceMng Tank _ $ 7.00 Water Treating Appliance Floor 1 Water Heater -Electric $ 7.00 Water Heater - Gas** $10,00 Gas Range`• $10.00 Gas Dryer" $10.00 Floor 2 Type $15.00 Floor 3T. - Floor 4 PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 7.00 Old Opening, New Fixture $ 4.00 Seer Dispenser $ 5.00 Blow Off Basin $ 7.00 _ Catch Basin $ 7.00 Rain Water Leader $ 7.00 Surnp/ReceMng Tank _ $ 7.00 Water Treating Appliance $10.00 Water Heater -Electric $ 7.00 Water Heater - Gas** $10,00 Gas Range`• $10.00 Gas Dryer" $10.00 Back Flow Prevenler Required( )Yes () No Type $15.00 Reinspection Fee $42.001Hr ALL OTHERS ANDIOR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge $ .50 TOTAL FEE $ o So JOB ADDRESS The undersignf,, . hr,raby makes application for a permit for the work herein specified agre1: r ­a' ti ,.In ill work in strict accordance with the city codes and rulings eat !hsx Hlui;tar`q and hwo4ly Oi ar all trre tact's and representation% ;1,,1r,ri in lhi -11-1p r'a•`i ;r..,in +r t, vy ', <,r I itat� Owner Building Used Estimated Cost s'SJ — PERMIT PLUMBING COMPANY_ V SIGNED BY r I U�-� �`" TEL No. Approved By Rough -In Date T— Final Date-2_n4w� _ MINIMUM _ FEE_ FO _ ANY PLUM BI NGIGAS_PEAMIT IS $20.00 ?:, I C% f O< PLUS THE ;.So STATE SURCNA1iGE "COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. MINIMUM SI2E 9 SO INCHES. Building MECHANICAL o Permit No. InspectionsRESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: -. �- 763-502-4977 FAX EFFECTIVE 2-19-09 0 DATE YOUR E-MAIL ADDRESS 3qj LYKIC L, til -- SITE ADDRESS IONTRACTOR THIS APPLICANT IS: ❑ OWNER >> PROPERTY NAME: l) K OWNER/ ADDRESS: 2 L (C IJQ CITY h �' STATE ✓IJZIP�3� ANT PHONE: - zD p `t — 6j 54 CONTRACTOR COMPANY NAME: CONTACT PERSON: R-1 Ar- AJ et -Se) Al SUBMIT A COPY OF YOUR STATE STATE LICENS-5 # EXP DATE LICENSE WITH ` r p ADDRESS: �s� �' - a c=CITY_kbC A - STAT) �/ZIPSO-3 APPLICATION PHONE 7 GAX PERMIT TYPE INGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW '_!JR PLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) Equipment Installed MFG: �e IJ /Vci1C MODEL: 62(—aC A C'� e SIZE/BTUpyd MFG: MODEL: SIZE/BTU MFG: MODEL: SIZE/BTU A/C $25.00 _FIREPLACE (GAS) $15.00 GAS RANGE/OVEN $10.00 AIR TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRILL $10.00 _BOILER $35.00 FURNACE $35.00 _GAS UNIT HTR $10.00 _CHIMNEY LINER $10.00 _GAS DRYER $10.00 _POOL HEATER $35.00 _DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 3 � D��.w �,� +� `� � ' s ^;�•,—`�?+..�y. � ,.gnu J i�'F' r i 0� t L�:�,d'SW� ,�^ "S � M! Y�e� f _... `� � 56 } PYf i•��" � � i� � "� 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 application fora work is not to start without a permit; that the work will be in accordance with the approved plan in the case of al rk whic requ' review and approval of plans. . 7 V ft C+'J SIGNATURE OF APPLICANT PRINT NAME /Ci r 4 N J -j DATEsm ; City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977