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City of Fridley, Minn. BUILDING PERMIT N? t 122 Date: owner:--� saucier i Address Address ,. lON NG No.StreetPart o Lot 4ddition or Sub -Division Corner Lot Inside Lot Setback Sideyard Sewer Elevation _ _...:Foundation Elevation DESCRIPTION OF BUILDING Front Depth HeightXSSq. Ft. Cu. Ft Depth eightq. Ft. Cu. Ft.Type of Construction Est. Cost obe 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. e In caosideration 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 paw thereof, shall conform in all respects to the ordinances of Fridley, Minnesota ling location, constructtTon, alteration, maintenance, repair and moving of buildings within the city limits � thea permit may be revoked at an:� u violatWy any of the provisions of said ordin NOTICE: Thb permit don not cover the eoastracdw, hutall en for wh"bg, pk"Ing, gas hsaftm so m or wahr. Be ars to sa tho Building Inspector for sepmft permbs for those hbm. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner's Name —• " ��Builder. Address 6-5-0 _ya Address �OCATION OF BUILDING _� No. Street Part of Lot LotBlock 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 building location drawn on these Certificates. To be used as; DESCRIPTION OF BUILDING Front Depth Height Sq, Ft. Cu. Ft. Front Depth Height Sq. Ft., Cu. Ft. Type of Construction Estimated Cost To be Completed The undersigned hereby makes application for 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 (Schedule of Fee Costs can be found on the Reverse Side). City of Fridley Application for Plumbing and Sm F'ini'ng Permit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK I— Number, Kind and Location of Fixtures Lomtto 77 PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE�OTALNumber J12 ��O .....4 x $1.50 < �e z a Z Z <� w x w ? z • P • N WATER HTR. GAS ELEG Base 2.00 $ d-0 New Ground Run Old Bldg. ......... mr,I 3.25 $ - GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $_"./'>� C1 Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. Ist 2.00 $ 2nd 3rd 4th ° Future Connection Openings e New Fixture, Old Openings I Connected with Sewer Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE�OTALNumber Fixtures .....4 x $1.50 $ 0 Future Fixture Opening ................ x 1.20 $ F� New Fixture Old Opening .............. x 1.00 $ Catch Basin ...... ..................... x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ d-0 New Ground Run Old Bldg. ......... .. x 3.25 $ - GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $_"./'>� C1 Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description .........•• TOTAL FEE $ 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 applicationy are true and correct. Owner Kind of Used as To be completed about Estimate Cast, $ OldNe ding Permit No Permit N Jr� Signe By Business Phone No ROUGH FINAL 42 '2M 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 $ 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 $ ,FTEAM 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. IDR 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 FEE$ ,p U ROUGH— OUGH FINAL— FINAL Dept. of Bldgs. Phone SU 4-7470 Locatio 1p. 7 e o 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 t e and correct. Fridley, 19l®Z /I Owner ti Kind of Building21 c Used as To be completed about Estimated Estimated Cost, $ Ol New.s uilding Permit No. '� Permit No. D DESCRIPTION OF WORK HEATING or MPO of Wa to arm Air—No Trade Nam�` 9 Size No_ Capacity L26 'b Sq. Ft. E.D.R-�� � '. BTU O H.P. Total Connected Load Q AKind of Fuel BURNER — Trade Name Size No Capacity. (REMARKS -OVER) 42 2M Sq. Ft. E.D.R BTU A.P. 6z f s -e HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MINNEAPOLIS, MINN. Weatherstrips A.S. H.V.. Construction No. Insulation Guide Windows Doors Reference Out. WallInt. Wall Ceiling Roof Floor Kind How. Applied Yes—No I Yes—No 19_ / Fl.l / ivi A. -p Room I Lenstth Z 7 Width /J ` Heistht 9- 11 0 F1.1 -7, a -.✓Room I Lenuth Width ? Height, Windows and Doors—Crackage and Area width Height No. of Lineal f7 Area No. of pane of pane lights of crack sq. ft. z f Zr �d Z 177- Coef. JCoef.j Btu Infiltration 5z 73 13,? 1 1-77-f Glass ,/® d 71 14,ol q7 6 Exp. wall Net exp. wall 2-74 / c� / �° 9 6 Net exp. wall ;24. O5/,0 7-0-7-6 Int. wall ,/ a y IFO Floor Ceiling 7-75 /d ?- 7 S ej Floor Total Btu. I / / .e 3 gf Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I / FI.I /'� 7--,AAARoom I Length / 3 Width / 3 Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft Area No. of pane of pane lights of crack sq. ft. z Coef. Btu Infiltration A 5z ,0-62- 11-62- Glass / �Lb ,/® d Exp. wall Net exp. wall �► / c� / �° 9 6 Int. wall Ceiling y ,/ a y IFO Floor Total Btu. el Required sq. ft. E.D.R. or sq. ins. W.A. Leader area ..4, ._ ,,,,Rnnm I Length // Width <7 Height a Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. ofpane of pane lights of crack sq. ft. z Coef, Btu Infiltration /3 5z ,0-62- 11-62- Glass Glass / �Lb ,/® d Exp. wall Net exp. wall S-4/ /,a -5 - Int. wall Int. Ceiling y ,/ a y IFO Floor Total Btu. 1 -5 7 v' Z 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. z Coef. Btu Infiltration /3 5z ter°, Glass `' �Lb 92-0 Exp. wall Net exp. wall" 0 Int. wall Ceiling /J .,y` _7 � c Floor Total Btu. 1 X-0 3 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / Fl.l A4 A n --/- Room I Length /-5- Width / -z e Height,rr Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. tis 44' Z Coef. Btu Infiltration L sp / 2 5-f Glass `' �Lb / Z C j Exp. wall Net exp. wall Int. wall Ceiling /J .,y` _7 � AP 7 Floor Total Btu. I �; Y Required sq. ft. E.D.R. or sq. iris. W.A. Leader area 72, 1 Lenath/moo C Width //_1 Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. tis 44' Z Coef. Btu Infiltration Z S Glass `' e -n / 2 -C Exp. wall Net exp. wall Int. wall Ceiling a Floor Total Btu. I -T-.z 71e Required sq. 'ft. E.D.R. or so. ins. W.A. Leader area D -S6 ' 9 HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS Weatherstrips A.S.H.V.. Construction No. Guide Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Yes—No I Yes—No 19— FI U X? AO `_E' -4 Room I Length / Z 'C Width /l -,C Height �F II FI I Windows and Doors—Crackage and Area Width Height No. of I.Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of lights of crack sq. ft. pane Coef. Btu Infiltration Coef. Coef. Btu Infiltration 31' 4Z/ 3 r I // ® o Glass 41 17 44 /42-4 Exp. wall Net exp. wall 6'V I Z' �Y % 4 Net exp. wall 3 ?9 ®S 3,% Int. wall Floors Ceiling /y y d Floor In, K -7v Windows and Doors—Crackage and Area Width Height No. of I.Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack A. ft. Coef. Btu Infiltration Coef. Btu Infiltration /7 Exp. wall 31' 4Z/ Glass Int. wall 41 Exp. wall VV Net exp. wall 6'V I Z' �Y % 4 JAZ wall- 3 ?9 Ceiling Floors Total Btu. 74;-f 3 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area A7,Fl.1 _' -Room I Lensrth A#,Width/2- Heiaht 7 Windows and oors—Crackage and Area Width Height No. of I.Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. Coef. Btu Infiltration Coef. Btu Infiltration Exp. wall M71 /ZTZ Glass, Int. wall Ceiling Exp. wall VV Net exp. wall -2- r .Z. -iftl-wa# 3 ?9 Ceiling Floor1-6,511ZZ-69 Total Btu. 1 137 M_ Required sq. ft. E.D.R. or sq. ins. WA. Leader area I i ,tr..- MINNEAPOLIS, MINN. Insulation Kind How. Applied Rnnm I Length Width Heiaht Windows and Doors—Crackage and Area Width Height No. of I.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 F1.1 Room I Length Width Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. o! Wane oL pane 1lghta oL crack efl• ft. Infiltration Glass Exp. wall 8 Net exp. wall®�7®zo 6 3.01 J 13 7-41 Int. wall/ /�/�' �� Ceiling 1�r.� 1 ® J J L-317-0 / Floor Total Btu. Required sq. ft. E.D.R. or sq. his. W.A. Leader area Fl.l Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lighte 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 n '� HCl., l �L%i /�., ..40 9 n•� % 3 4FJ ��q /`e..r. ®... HEAT LOSS CALCULATIONS Coef. DEPARTMENT OF BUILDINGS MINNEAPOLIS, MINN. Weatherstrips A.S.H.V . Guide Btu Construction No. 61-9 Insulation Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes—No I Yes—No 19— ,t Int. wall .. 7 C. J FI.i / .sem, r.s Room I Length," Width .* = Height II f p �" F1J- Room I Length Width Heigh Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane offpane lights of crack sq. ft. 3 4FJ ��q z t/ Coef. Coef. Btu Coef. Btu Infiltration 61-9 Glass 73 3 J, ;. 7 7 Glass <f r Int. wall 44, > Exp. wall ,t Int. wall .. 7 C. Net exp. wall be=t f p P ,q Floor Int. wall Ceiling Floor Total Btu. I / ! 9 -�6 y Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I / F1.I A-. rr--rRoom I Length / .a Width ! -3 Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. r ✓� am Z Coef. Coef. Btu Infiltration f To 61-9 Glass /' ,6 /ter► '?4 Exp. wall <f r Int. wall Net exp. wall > �' ,t Int. wall Floor Ceiling be=t f p P ,q Floor Total Btu. I -1K-1 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area ® F1.1 7-) .:,Room I Length .s' i' Width e-1 Height Windows and Doors-Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. z ! Coef. Coef. Btu Infiltration -- 4— To / -6j- j - Glass Glass /' ,6 /ter► '?4 Exp. wall ®� Int. wall Net exp. walla > �' ,t Int. wall Floor Ceiling "y 0�. Td Floor Total Btu. 3 7,e _ 2 - Required Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Iw Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. ofpane ofpane lights of crack sq. ft. z ! Coef. Btu Infiltration / 777- 7 Glass `t Glass Exp. wall ,6 Net exp. wall ®� Int. wall Net exp. wall Ceiling ." "' 6 36 Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / F1.1 w / Room I Length 3 Width 77, Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq• ft. z / Ca Coef. Coef. Btu Infiltration' Glass / Glass :71 ,6 Exp. wall ®� Int. wall Net exp. wall Ceiling/'Z/ /4 Int. wall Floor Ceiling 77 f " Floor Total Btu. 1 &..5 " Y. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F7_I 2 fT;-5/72nnm I Lenath &- idth //- 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 / T 6 Exp. wall 1741 Net exp. wall S �' Int. wall Ceiling/'Z/ /4 / Z,/® Floor Total Btu. I -a -d /r Required sq. ft. E.D.R. or sq. ins. W.A. Leader area tsa s HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MINNEAPOLIS. MINN. Weatherstrips A.S.H.V.. 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 ,%i ► Room I Length / 12 4e Width,<� �/ Heistht 4 II Fl.l Room I L.enixth Width Height Windows and Doors—Crackage and Area I Width HeightNo. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal f . Area No. of panne of pane lights of crack eq. ft. Y / I --t- Coef. Btu Infiltration Coef. Btu Infiltration° Infiltration 17 Glass Int. wall Glass Ceiling Exp. wall ' `e Exp. wall Net exp. wall° s 14141 S.C.3 4 Int. wall a3 '9 &. k's V jy--57 7 Ceiling '0 Floor Ceiling 7 Z 4 - Total Btu. 1 --,sr �s 9, . Required sq. ft. E.D.R. or sq. ins. W.A. Leader area P. F1.I /q - Room I Lenath' Width s Heistht.7 Windows and Doors—Crackage and Area I Width HeightNo. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. ofllpane of pane lights of crack sq. ft. Y / I --t- Coef. Btu Infiltration Coef. Coef. Btu Infiltration 17 Glass Int. wall Glass Ceiling Exp. wall �e Exp. wall Net exp. wall p',o 14141 S.C.3 4 Net exp. wall a3 '9 &. k's V jy--57 7 Ceiling Floor Ceiling 7 Z 4 - Floor1�� Total Btu. 11CM11L / -- Windows and oors—Crackage and Area I Width HeightNo. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Y / I --t- Coef. Btu Infiltration Coef. Btu Infiltration °/ ���° 'Z. Glass Int. wall Ceiling Exp. wall Floor Net exp. wall 24 14141 S.C.3 4 �Fnt-ovaH a3 '9 &. S Ceiling Floor :y z 7 Z 4 - Total Btu. 12-2 y 'L Required sq. ft. E.D.R. or sq. ins. W.A. Leader area: Windows and Doors—Crackage and Area I Width HeightNo. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. I --t- 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 Fl.l Room I Length Width Height Windows and Doors—Crackage and Area Width I Height No. of Lineal 1t. Area No. of nane o1 pane lights of crack eq. ft. Infiltration Glass Exp. wall / �.rkco 73 r Net exp. wall �� , '; b 6 3 Int. wall / .i di:'r14 Ceiling 5' A oo 6 Floor Total Btu. Required sq. ft. E.D.R. or sq. his. W.A. Leader area F1.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 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 City of Fridley Appliccolon for Pkmbbkg and G= g 53-84-9915.51 Dept. of Bldgs. Phone M WW DESCRIPTION OF WORK r„•,��r 6577 HE McKinley St. Number, Kind and LocaBon of 1Fixtuns ® • • w�rni City of Fridley: z f f g 3 a 6 a GAS Fuc The undersigned hereby makes application for a permit for the work herei� 0 A specified, agreeing to do an work in strict accordance with the City Ordinance Base and reeling of the Department of Buildings. and hereby declares that all the fact and representations stated in this application are true and correct ist o d Mte k ri 1 26 Sep 72 2nd _ Fridley. Miaa 3rd Owner Albin L Goben 4th Kind of Building f r • i»bmm comecdon Op•ninp voll • o ®� �. Old opwuiqp Cesspool sewer pQ Used as res Maw To be completed about 30 Oct ten PARTIAL RATE SCHEDULE Estimated Cost. $ Old—Nm Building Permit No. Permit No. s/C� PLUMBING &iX`i UY� �1kTESa NO. RATE TOTAL Number Fixtures ........ . ....... x $2.00 $ Future Fixture Opening .... i ...... x $1.5:0 S • New Fixture Old Opening .......... X $1.50 $ Catch Basin ............. • • .. • .. x $3.25 II Water Heater ''Up to 98,000 BTU) .... x $3.00 $ Electric Water Run Old Bldg........ • x $3.225 $ •etriOuter Heater• • . • • . , . . . • . • • s $too $ GAS FITTING FEES; NO. BATE TOTAL lot 3Fixtures ................ z$'LOO $-2 00 Additlloaal P°ixtures ......Lftpe?t:$ z $ .76 $ 3 •-00 Gas Range to 199.000 HTU ............ x $6.00 $ State Surcharge $ .50 REIPAIRS & AL•uTEEl11ATIOM --A = to Cc& _ TOTAL FEE $.18,00 - ROUGH FINAL U CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDENTIAL Furnace Shell and Duct work, Burner (Also replacement furnace) Gas Piping (piping needed with new furnace) Gas Range Gas Dryer 0 Air Conditioning (all sizes) RATE TOTAL $ 20.00 $ All Others/Repairs and Alterations 1t of Value of Appliance or work COMMERCIAL/INDUSTRIAL It of Value of Appliance or work $ 10.00 $ $ 10.00 S $ 10.00 $ $ 10.00 State Surcharge TOTAL !EE Reinspection Fee ($15.00) Rough Insp. Date Final Insp. Date Approval for Permit *1 "1 MINIMUM FEE FOR ANY HEATING PERMIT IS $ .00 PLUS $.50 STATE SURCHARGE $ 0.00 S $ $ .50 0 Attach stack verification form with replacement furnace permits *Air Conditioners can not be placed in side yard without written permission from adjoining neighbor. Effective Aug. 1. 1981 Job Address 6577 s/ c ,` X ST N6 Department of Buildings, 6431 University Ave. N.E., Fridley. MN S5432 City of Fridley Tel. 1571-3450 The undersiqned hereby waked application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulinqs of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true` and correct. JFridley, Minn. �! . lg?I OWNER hA &v A f'Ii-('V SO A°) KIND OF BUILDING �eS�d(��+�� USED AS TO BE COMPLETED ABOUT -- ESTIMATED COST OLD - NEN BUILDING PERMIT SID. PERMIT NO. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Stem, Hot Mater, warm Air- No. Trade Name Site No. Capacity Sq. Ft. CDR BTU up Total Connected Load Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU NP �/ Company f' .�J , �_, A=J"l Siqned By nnlL :2,6- —® 6� Tel. No. SUBJECT PER City of Fridley G AT THE TOP OF THE TWINS BUILDING PERMIT 7NO.9 rL RE •COMMUNITY DEVELOPMENT DIV. Lu _____ INSPECTION SEC. r PROTECTIVE 1 � i 1 CITY HALL FRIDLEY 55432 NUMBER REV. DATEPAGE OF APPROVED BY 612-571-3450 910-F15 7/12/89 JOB ADDRESS 6577 McKinley Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 2 1 Clark's Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE David Anderson 6577 McKinley Street N.E. 574-1349 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Twin City Storm Sash Co. Inc. 10825 Greenbrier Rd, Minnetonka 55343 546--8160 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 jD REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Install.soffit & facia; window and door trim 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCT ON ZONING SO. 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 $4,500 $2,25 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- $72.00 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $74,25 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI 'WHEN PROPERLY YfLIDATED THIS IS YOUR PERMIT - --J. SIGNATURE OF OWNEROF OWNER BUILDER) IDATEI BLDG )NSP DAT MW [ ] ADM [ ] AMER [ ] cmwtn c tion Address: L 5 6- « U 4z .. o;j _ 1-7 3 y 9 R-1 AND R-2 Building Permit Application Effective 5/1/88 Owner Naze & Address: ��Q= � �� � ��� .% /. 5 ;' 2 Ul % 3 Address: Attach to t='gppT '.tion, a Oertificate of Survey of the lot, with the prr�posed construction drawn on it to scale. DiFffiC21IPTZGN OF IIGPliOVEl�afl' LIVING ATt'EA: length Width Height Sq. Ft. GRPAM Ami: nth Width Height Sq. Ft. U= AM: nth Width H#/Ground Sq. Ft. O'TM1: Gbrner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Dost: $ 4'1,500o'O Apprmac. Ompletion Date: S Proposed Driveway Width If New Opening Is Desired: Ft. $ $ Width + 6' See Back Page DiATE: APPLICANT: Reel. # El (-' o Permit Fee $ 07?' -W Fee Schedule on Reverse Side State Surcharge $ 7.r $.50/$1,000 Valuation SAC maxge $ $575 per SAC Unit Driveway Escrow $ Alt. "A" or Alt. "B" Above Park Fee $ Fee Determined by F�rii t,opri nrr Sewer Main charge $ Agreement Necessary [ ] Not Necessary [ ] UUMCKS: z)(i IN CITY STCRM SASH C0.1 INC. 7'z (61g)"MOD MOD SUBJECT P - City of Fridley 29307 AT THE TOP OF THE TWINS BUILDING PERMIT � RECEIPT NO. COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r PROTECTIVE �r���,•� CITY HALL FRIDLEY 55432 NUMBER REV GATE PAGE OF APPROVED BY L 612-571-3450 910.F15 4/27/99 JOB ADDRESS 6577 McKinley Street NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 1 Clark's Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dave Anderson 6577 McKinley Street NE 574-1349 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Midwest Roofing & Siding 18979 Gladstone Blvd, Maple Grove, MN 55311 416-4804 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 20010277 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION] REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House & Garage (25 sq) Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. SEPARATE PERMITS ARE REOUIRED 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 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $2,142 @ $1.07 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• $74.7x3 ]fig Fire SC $2.14 ION OF THE P ORMANCE OF CONSTRUCTION Y—,2 -% PLAN CHECK FEE License SC $5.00 TOTALFEE $82.96 SIGNATURE OF CON'RACTOR OR AUTHORIZED AGENT (DATE, WHEN NEAPRROPER VALIDATED THIS IS YOUR PERMIT 4rV , A /, S,GNATURE OF OWNEROF OWNER BUILDER, IDATEI -BL G,NSR OAfE NEW [ ] ADDN [ ` ] CITY OF FRIDLEY ALTER [ ] SINGLE FANMY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: Legal Description: 57;2 Effective 1/1/99 o� 0 a _'�- Owner Name & Address: &q v( )4 Tel. # Contractor: ?490A,+ d- fir �i� G MN LICENSE # e7� /©d ? % Address: «ll 9 & 4,4 /yyy g� , A'0' Zz� 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: ng Width Hgt/Ground Sq. Ft. OTHER: 1 �'s� L� ���/ 7 -a ke, 14 - fav IF' Construction Type: &A15 Estimated Cost: $ S (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: APPLICANT: �� �J yam_ Tel. STIPULATIONS: CITY USE ONLY Permit Fee Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ /, 0 r% $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ :S_ -00 $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 $ STIPULATIONS: CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On January 1, 1993 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin NO. RATE 'TOTAL Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater —Electric Water Heater — Gas Gas Range Gas Dryer Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $5.00 Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1 % of Value of Fixture or Appliance State Surcharge TOTAL FEE JOB ADDRESS . 712,`2 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. 1991 Owner Building Used As !al LL", Estimated Cost t ciL-, �� PERMIT NO. PLUMBING COMPANY , � L�L14. L -)v-- Ize in., &C,— SIGNED BY �-; ��J z-�_ TEL N0. 7� - (;,�/�,;� / ITO Approved By Rough—In Date Final Date r $ .50 MINIMUM FEE FOR ANY PLUMBING/GAS PERMIT IS $15.00 $,r �' �� PLUS THE $.50 STATE SURCHARGE