PRE 2010 DOCSCity of Fridley, Minn.
WELDING PERMIT
Date: .. ..!.`......................
owner .......................................
Address ......................................
N® 3251
Builder ........:...
Address .............................................
LOCATION OF BUILDING
NoWY� ... Streetl + l "... "�: b�t .5V ............... Part Lot �®®
Lot ..... Va ... Black ... ........... Addition or Sub -Division ..�. . •. .�:' ;t;'� °... r� L �,
.. Inside Lot ............ Setback .-�...............
c
Corner Lot ......... ........ Sideyard � �...�...:::: v ........ .
DESCRIPTION OF BUILDING
To be Used as:
�;P :........
•e
I.
S
6�
.......
Frontez
....
Depth4:-r.�. Height ... ..
Sq. Ft�� . Cu. 1;'t
Type of Construction
ont
j::: ....
Depth ........ Height .. . ..
mist. Cost.Z�� 0.10 .... ....
Sq. Ft. ........ Cu. Ft.
To be Completed .4.)U -4V ....... .
In consideration of the issuance to me of a permit to construct the building desribed 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.
......................... I..........................
In consideration of the payment of a fee of $.:.°.:....., permit is hereby granted to :.j.. �.
......................... to construct the building or addition as described above This pemut i8 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 with-
in the city limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
NOTICE:
This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating,
sewer or water. Be sure to see the Building Inspector for separate permits for these Items.
1
M'uqDERFAwGDuE'r'-% G COo.91NCw
ENGINEERS AND SURVEYORS
LAND StUfk%VEYINO SOILS TESTING
CIVIL &. MUNICIOAL ENOINEERING LAND PLANNING
6418-SGTN AVENUE N.
MINNEAPOLIS 2T, MINN•
KE 7- 5657
7-1
i
4
I 1
C~� r -f
�l
� - Ins ecto�
WE HEREBY CERTIFY THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A SURVEY OF THE BOUNDARIES OF THE
LAND ABOVE DESCRIBED AND OF THE LOCATION OF ALL WtLDINGS, IF AMY, THEREON, WD A1d. VISIBLE ENCROACHMENTS,
IF MY, FOM OR ON SAID tAt4V. MINDER ENGINEERING CO., INC.
DNTED TNtS My OR , SVRv@YORS
City of Fridley, Minn.
BUILDING PERMIT N? 6579
Date:.0
Owner: ` iJ Builder
Address Address
=1ON&F UI DING
AF
No. WPW StreetP t---
Lot ._._�—__ Block ____� Addition or Sub-Divisi c��� % �'
Corner Lot — Inside Lot �' .Aktback Sideyard �r
Sewer Elevation -- F dation Elevation
DESCRIPTION OF BUILDING
T as:
Front Depth Height ZZ Sq. Ft. Cu. Ft. 09 Y-4151
Fro, Depth Height —�_ Sq. Ft. Cu. Ft.
Type of Construction
Fra,
Est. Cost _ 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 /
accordanwith the description above set !7V
//(( // an" co "ance with all provisions of
ordinances of the city of Fridley. /
In consideration of the payment of a fee of $ j — . , 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 buildffig, or any dart thereof, shall conform in all respects to the ordinances of
Fridley. Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
within the dty limits and this permit may be revoked at any ty�ne�)� vion of any of the provisions of said
ordinances.
Building Inspector
NOTICE..
This ponnh don not cover the construction, installation for whing, plumbing, gas heating, sewer or water. Be sura to sea
the Building hapecter for separate parmhs for these hexa.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
01MWI ' S
NAMELP® Gl &d
&- rS LIQ(
BUILDER
F
ADDP.LSS
" y,J/(1
S
ADDRESS
�M
LOCATION OF BUILDING
No. 49W Street /°Y% 4616444 64 IVZ- Part of Lot_
Lot Block Addition or Subdivisioul E Ly 7 A
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.
OF BUILDING
To be used as;
.7 Frontes 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 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 L n7 SIGNATURE
(Schedule of Fee Costs can be found on the Reverse Side).
- , w
CITY
OF FRIDLEY Effective nate May 1, im
APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND
AIR CONDITIONING
SYSTEMS AND DEVICES
RATE SCHEDULE
RESIDENTIAL ` RATE
TOTAL
Job Address
Furnace Shell and Duct Work,
e v
Burner (Also replacement furnace) $ 20.00
$
Department of Buildings, 6431 University Ave. N.E., Fridley, NN 55432
Gas Piping $ 10.00
$ &
City of Fridley
Tei. #571-3450
(piping needed with new furnace)
Gas Range $ 10.00
$
The undersigned hereby makes application for a permit for the work herein
G88 Dryer $ 10.00
$
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.
• Air Conditioning (all sizes) $ 10.00
40
$ le
Fridley, Minn.
All Others/Repairs and Alterations
OWNER
1% of Value of Appliance or Work
$
KIND OF BUILDING��--
COMMERCIAL/INDUSTRIAL
USED AS
16 of Value of Appliance or Work
$
TO BE CDBPLRM ABOUT
State Surcharge
$ .50
ESTIMATED COST Z 5/ S
TOTAL VER
$
OLD - NEW BUILDING PERMIT No. PERMIT NO.
..
Reinspection Fee ($15.00)
$_'
DESCRIPTION OF FURNACE/BURNER
Rough Insp.
Date
HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No.
Final Insp. —
Trade Name -y o l Size No. lyzl -1
Date
�.
Approval for Permit
Capacity =iOer rl Sq. Ft. EDR BTU HP
Total Connected load ZL Ge c-, Kind of Fuel �a �
BURNER - Trade Name Size No.
Capacity Sq. Ft. EDR BTU HP
MINIMUM FEE FOR ANY HEATING PERMIT IS $15.00.
PLUS $.50 STATE SURCHARGE
Company .S[�_er'sPnl�vur� Zier�s-r'�
Signed By /—��-��e�
*Air Conditioners can not be placed in side yard without
Tel. No.
written permission from adjoining neighbor.
Fill out back side for stack verification on replacement furnaces
410 W. LAKE ST. I P,1072 PAYNE AVE.
MINNEAPOLIS, MN 55408-2998 ST. PAUL, MN 55101-3892
612/824-2656LC—EaTiNG ANDAIRCONDMONING 612/772-2449
-&r+:nOM Tiro, cities since 1930"
ORSAT TEST RECORD /�
ADDRESS CITY Ica(
OCCUPANT ,/, e e'_ OWNER
DATE HTG. INST. INSTALLED BY
GAS LINE BY
TYPE OF HEAT: GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER
CONTROLS
MODEL
CONVERSION
OF BUR R
BTU RATING
OF FU
THERMOSTAT U) HEAT PLUG ;2 VENT SIZE<�
VALVE /IN/L� KIND OF LINER SIZE,.5�'LNONE
LIMIT ty Lo DRAFT HOOD REGULATOR
LIMIT SETTING CHIMNEY CONSTRUCTION
FAN SETTING �" ® DRAFT; i TEST
PILOT TYPE�y�,r� �'C LIGH ING INST. ,�.gzc=-.t�
PILOT MAKE w
PILOT MODEL a
PILOT TIMING
PRESSURE _PERCENT CO2 DATE TESTED.
INPUT CFH PERCENT 02 �A
STACK TEMP.ERCENT CO �% NAME OF TESTER _
GAS DESIGN
MAKE
/C� p1�
MAKE
MODEL
MODE
SERIAL
/
MAX.
INPUT
��5,�
MAKE
CONTROLS
MODEL
CONVERSION
OF BUR R
BTU RATING
OF FU
THERMOSTAT U) HEAT PLUG ;2 VENT SIZE<�
VALVE /IN/L� KIND OF LINER SIZE,.5�'LNONE
LIMIT ty Lo DRAFT HOOD REGULATOR
LIMIT SETTING CHIMNEY CONSTRUCTION
FAN SETTING �" ® DRAFT; i TEST
PILOT TYPE�y�,r� �'C LIGH ING INST. ,�.gzc=-.t�
PILOT MAKE w
PILOT MODEL a
PILOT TIMING
PRESSURE _PERCENT CO2 DATE TESTED.
INPUT CFH PERCENT 02 �A
STACK TEMP.ERCENT CO �% NAME OF TESTER _
CHIMNEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack;
1.
Has been carefully examined
Yes,I)
No ( )
2.
Is free from rust or deterioration
Yes
No ( )
3.
Has no foreign objects lodged within
Yes(( )
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 20®C-?
All other BTU's 4a iia
TOTAL 1 S.
Rema rk s
STUNAD HEAT!"' ; P JD AI19 CONDITIONING
AKE STREET
MINN``�i!, LfN 55408
Company
F - -'
b-24-265624-2656
Signed By is
Date