PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PENT
or . I- 't - / /
N°
.uaw: �w
Owner: Builder
Address Address
ION O . IU DING
No. Street _ Parte Lot
sion
Lot . i __ Block - Addiiion or Sub-Diviflele
Corner Lot _ _ Inside Lot — Setback Sideyard
Sewer Elevation _______ Foundation Elevation
DESCRIPTION OF BUILDING;
To Used
- / ' Front 4 -- Depth Height .40- Sq. Ft. Cu.
kl�.' Fron Depth Height - Sq. Ft. Cu.
Type of Cons ction _ 4r"h _ - _ - g Est~ Cost To be Completed
In consideration of the issuance to me of a permit to construct the building described above,
the proposed work in accordance with the description above set. forth and in compliance with alljPa
ordinances of the city of Fridley.
gree to do
rovisions of
In consideration of the payment of a fee of E , permit is hereby granted to
to construct the building or addition as .described above. This permit is
the express condition that the person to whom it is granted and his agents, employees and workm
done in, around and upon said building, or any part thereof, shall conform in all respects to the 16rdinances
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and movin
within the city limits and this permit may be revoked at any time upon violation of any of the pro
ordinances
granted upon
, in all work
of
of buildings
'ons of said
'Buil Ung
Inspector
NOTICE:
This permit does not cover the construction, installation for v&bM, plumbing, gas heating, sewer or water. I a
sure to see
-the Building inspector for separate permits for these hems.
4
Address
APPLICATION FOR BIIILDING.PERMIT
CITY OF FRIDLEY, MINNESOTA
LOCATION OF BUIMING
No. Z3 5-3 Street / /�1/`�.�is/�a.c �! �/1 s Part of Lot
Lot Z dock f Addition or Subdivision
Corner Lot Inside Lot Setback Side -Yard /.3
SEWER. ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
To }fie used as: a
DESCRIPTION OF BUILDING
Sq. Ft. e� �C, > Cu. Ft.
I _ FrontJ- Depth Height r/
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 ces and ruling of
the Department of Buildings, and hereby declares that facts and representations
stated in this application are true and correc
DATE ��2®� C� SIGNATUIJCg
(A Schedule of Fee Costs can be found on the Rev a Side.)
Application for Power Plants and. Heating. Cooling, Veni�Wi on..IReh igereutrilon 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 $
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 $ V/, -
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
'
ROUGH
FINAL
Dept. of
Location
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.
SEP 19 196
' ey, 18
Owner
Kind of Building
Used as
To be completed about ®� 19 1961
0d
Estimated Cost, $
'New. uiiding Permit No. �1 0� Permit No./ �J
DESCRIPTION OF WORK
HEATING o t__ , Warm Air—No
Trade Nam Size No
✓mss
Capacity Sq. Ft. E.D.R ®®e—BTU—H.P.
Total Connected Load Kind of Fue
BURNER — Trade Nam 9 _' 'a Siz NO
Capacity Sq. Ft. EM.Ra 1 TU H.P.
GEO. SEDG CK HTG. & AIR-COND. CO
%�—S6 1001 Xenia Av. S.
Minneapolis 16, Minn.
Signe
By
CZ4, 4z zM r -s9 Business Phon?''No
(REMARKS -OVER)
Dd6 v9
HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MINNEAPOLIS, MINN.
Weatherstrips A.S.H.V.E, Construction No. Insulation
Guide
Windows I Doors Reference Out. Wall Int. Wall CeilingRoof Floor Kind How. Applied
Yes—No Yes—No 19_
1 FI.1 I , .. n Room I Lenath 1`7 Width t -7 Height 4'k II P Fl. �1- t I Room I Length Fk Width k Height A
Windows and Doors—Crackage ana Area
J
N
VA 4j
Width Height No. of Lineal f . Area
No. of pane of pane lights of crack sq. ft.
310 116
� � �
Coef Btu
Infiltration 1PCs
JCoef.j
Coef.
Btu
Infiltration
SLpra
Glass
Glass
Ceilin
Exp. wall
,Sm
el
Exp. wall
Net exp. wall
,%
-I
C)
Net exp. wall
Ceiling
Int. wall
Floor
Ceiling
Floor
Catoa
l
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
I MiVoo�t`1.. I Room I Lenath 7 _t Width V) . Heistht A
Windows and Doors—Crackage and Area
J
N
VA 4j
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
O '�u 10
Coef Btu
Infiltration 1PCs
JCoef.j
Btu
Infiltration
Exp. wall
SLpra
Glass
Ceilin
Exp. wall
114
Ceiling
Net exp. wall
,%
-I
C)
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
1 Rnnm I Lenath v% Width % % Height Q
Windows and Doors—Crackage and Area
J
N
w
Width Height No. of Lineal ft. Area
No. of pane ofpanne lights of crack sq. ft.
3 -2-® '9
Coef Btu
Infiltration 1PCs
Coef.
Btu
Infiltration
Exp. wall
SLpra
Glasstt
Int. wall
Ceilin
Exp. wall
Floor
Ceiling
Net -exp. wall
Floor
�,�
C)
Int. wall
Ceilin
Floor!�h
Total Btu. I 0'7.A n
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Windows and Doors—Crackage and Area
J
N
Width I Height No. of Lineal ft. Area
Noq. of pane of pane lights of crack sq. ft.
3 -2-® '9
Coef Btu
Infiltration 1PCs
Infiltration
Glass
'�
Exp. wall
Net exp. wall
Exp. wall
Int. wall
Ceilin
Floor
Ceiling
Total Btu.116
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
V!I—
I FIM Room I Lensrth 1A Width i `1 . Height.%
Windows and Doors—Crackage and Area
J
N
Width I Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
3 -2-® '9
Coef. Btu
Coef. Btu
Infiltration
Glass
Glass
(3S Q
Exp. wall
Int. wall
Net exp. wall
Int. wall
2,0 o
Ceiling
Floor
C)
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Fl.l Room I Lenath Width Height
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pan. lights of crack eq. ft.
Coef. Btu
Infiltration
Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
6� m
City of Fridley U�
Application for Plumbing and Gas Fitfing Porn*
Dept. of Bldgs. Phone SII 4-7470
DESCRIPTION OF WORK 22 �
Number, Kind and Location of Fixtures Location 2,3 1 5 moi%
q
n
�
DWI
3
e
8�Z
t� C
QQZu,
lJ m
p�
<
J
'd
t9
n4
U0'
Z
�U' O
�
F
1
N
WATER HTR.
GAS
ELEG
Base
I
i
1st
2nd
3rd
—
4th
• Future Connection Openings
New Fixture, Old Openings
Connected with
Sewer E]
Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FISTIIRE RATES: NO. RATE TOTAL
Number Fixtures ...................... 0 x $1.50 $
Future Fixture Opening ................ x 1.20 $
New Fixture Old Opening .............. x 1.00 $
Catch Basin ...... ..................... x 3.25 $
Water Beater (Up to 200,000 BTU) ...... x 2.00 $
New Ground Run Old Bldg . ............ x 3.25 $
City of Fridley:
The undersigned hereby makes application for a permit for the work hereii
specified, agreeing to do all work in strict accordance with the City Ordinance
and ruling of the Department of Buildings, and hereby declares that all the fact
and representations stated in this application are true and correct.
Fridley, Minn-
Owner a �-
Kind of Building
Used as °d p
To be completed about
Estimated Cost, $
Old—New. Building Permit No �� Permit No. a
Signet // .444
By—4g 1'0 e di _ IL-7 /leu.�Loe.
Business Phone No 7 — b g�
FINAL
GAS FITTING FEES: NO. RATE TOTAL.
1st 3 Fixtures .......................... x $1.50
Additional Fixtures .................... x .50 $
Gas Range to 200,000 BTU .............. x 2.00 $
REPAIRS & ALTERATIONS—Refer to Code
Description ................................................$
TOTAL FEE $� a z 2M