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PRE 2010 DOCSBUILDING PERMIT Tillage of Fridley, Minn. Date,'...r .......J Owner .�'�'+&% Builder ;�F�'�^'ye °tom► Address 2021 Address.................. �,...................... LOCATION OF BUILDING No. Street Part of Lot .................... . .�% - . Lot ...... R.f....... Block ...1b .......... Addition or Sub -Division ' 42�w....... Corner Lot ............ Inside Lot ..jo,,/....:. Setback�� . Sideyard fit . . DESCRIPTION OF BUILDING To be Used as: Front p�� �!+ DepthHeight r .... Sq. Ft.Cu. Ft. .................... Front ........ Depth ........ Height ......... Sq. Ft...., ... Cu. Ft......... Type of Construction .. .. Est Cost.. � .... To be Compleed ................... xv i . i i In consideration of the issuance to me of a permit to construct the building describ d 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 village of Fridley. ............................ ...................... In conjideration of the payment of a fee of $. .; permit is hereby granted to .,..y�4, We*�.. ..... to construct the builditr ad dition' as described above.. Thi si erxmt is on ess coalition that the person to whom it is granted and his' agents, employees d workmen, in all work done in, around and upon said building, or any ,part thereof, shall conform in all resp ec to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and loving of buildings with- in the village limits and this permit may be revoked at any time upon violation�of any of the provisions of said ordinances. 4. NOTICE: This permit does not cover the construction, installation or alteration for wiring, sewer or water. Be sure to see the Building Inspector for separate permits for these 0- 0 ... Building Inspector gas heating, City. of Fridley, Minn.. BURDING PERMIT N? ,, 59, /1� gyBuilder p/ Address Address LOCATION LpING I Z'No. Street -A 0a'` Part A# Lot ._ : _ Block Addition or Bub -Di n Corner Lot Sewer Elevation _ _ Fo tion Elevation DESCRIPTION OF BUILDING,,,,". To U ' Front pepth Leight Sq. Ft. Cu. Ft. Depth 1Teight- Sq. Ft. r " Cu. Ft. 6 Type of Vnstruction F o 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 a'll provisions of ordinances of the city of Fridley. 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, alteratio�WXY2!94 maintenance, and moving of buildings within the city limits and this permit may be revoked at any of the Proviatona of said ordinances NOTICE Tide permit don not eovar i6e, eonstmcdoe, h ah0aden for Whine, pWmbing, on hosting, sower or %i ftr. Be sure to as the MIA* Inspaetor for apsrata Permits for flus tt�s. �Ipi¢Se Spa�rX s 440A -4 �pi�Mo�f' A1,11c-,AL-11)6iU `CV/LMS r Application for Pewer Plays and Heating, Cooling, Vm lation, Rafrigen�alioR and Air Conditioning System and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ... .. $10.00 $ Replacement of Furnace ... ..... ..... 6.00 $ Repairs & Alterations—up to $500.00 6.00 $__ Repairs & Alterations each add. $500.00 3.00 MECH. WARM AIA Furnace Shell & Duct Work to 120,000 BTU ...... . $10.00 $__ each add. 60,000 BTU .................... 3.00 = Replacement of Furnace 6.00 $ Repairs & Alterations—up to $500.00 6.00 $ Repairs & Alterations each add. $500.00 3,00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam $10.00 Furnace Shell & Line—to 640 sq. ft. EDR Hot Water 10.00 $_ Each add. 200 sq. ft. EDR Steam 8.(1(1 - Each add. 320 sq. ft. EDR Hot Water 3,00 $-- OIL BURNER—to 3 gal. per hour over 3 gal. per hour --See Fee Schedule GAS BURNER (up to 189,000 BTU) over 199,000 BTU See Fee Schedule GAS FITTING FEES: 1st 3 Fixtures Additional Fixtures Gas Range to 198,000 AIR - I FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL 9 - ;Z 3 -9 y 6.00 $-- &00 -_ &00 $ NO RATE TOTAL - x$ 2.00 $ - x .7a $ -2$5.00 $ WiLL-1 See Fee Schedule $ TOTAL FEE (SURCHARGE $ _,50) Dept. of Bldgs. Phone 860.3490 City of Fridley: I 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, Owner Kind of Building Used as To be completed about Estimated Cost, $ G Old—New. Building Permit No. Permit No. DESCREMON OF WORK HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No Trade Name Size Ne Capacity Sq. Ft. E.D.R BTU H.P Total Connected Load Mnd of Fuet BURNER — Trade Na.ne Size No Capaci Sq. Ft. EMD R- BTU NP (REMARKS-OYER) SUBJECT PErD6 City of Fridley _ o0 '9AT THE TOP OF THE WNS BUILDING PERMIT r L -110 RECEI . 1 ; COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. i ,-� CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY ---- L 612-571-3450 910-F15 9/30/88 JOB ADDRESS 6320 Monroe Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 6 Christie Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Maxine Mondloh 6320 Monroe Street N.E. 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 REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Dwelling 9 CHANGEOFUSEFROM TO STIPULATIONS Roof can be 2nd layer but not 3rd. Install ridged 00002KIK galvanized valleys. On all new roof$ or tear -offs and replacement roofs, State Code rsgpjYes that ^2 laydrs of 15 lb. felt, mopped to , be installed W a point Z4 Inches ',or up fr n e c yr wall 46,the use sof 6tber approved : laymen,. emb.* �I 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 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 $850 $� rj0 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. PAN CHECK FEE TOTALFEE $21.50 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEI WHEN PROPERLY V ATEDTHIS IS YOUR PERMIT y 7 SIGNATURE OF OWNER IIF OWNER BUILDERI (DATE) BLDG INSP OAT NEW [ ] City of Fridley Effective 5/1/88 ADDN [) R-1 AMID R-2 ALTER [ ] Building Permit Application Construction Address: LoJ .JV / / l0 e /V &-- Legal Legal Description. e % /k-1 6 [ _ Owner Name &Address: ®/T" Tel. # Cbntr actor : ��� �� Tel. # Address: Attach to this application, a Certificate of Survey of the lot, with the proposoed construction drawn on it to scale. J: UA c •' 1,' 1'' • 5 I� LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. ODrner Lot [ ] InsideL [ )h Ft. Yd Setback Side Yard Setbacks Type of Construction: Estimated Cost: Approx. Completion Date: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: $ S Width + 6' See Back Page DATE:- Arr�I�xr. Peaoit Flee S / 0 y State Surcharge S SCJ SAC Charge 5 Driveway Escrow 5 Park Flee 5 Sewer Dain Charge 5 TOTAL, CITY USE ONLY Tel. # Z72 Flee Schedule on Reverse Side $.50/51,000 Valuation $550 per SAC Unit Alt. "A" or Alt. 'B" Above Flee Determined by Engineering Agreement Necessary [ ) Not Necessary [ ] -4` Building MECHANICAL Permit No.. R! Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604CITY OF FRIDLEY D q 763-502-497x77 FAX EFFECTIVE 2-19-09 �= DATE` YOUR &IVjAIL ADDRESS SITE ADDRESS �Cl� �-- ��C ��' THIS APPLICANT IS: ❑ OWNER CONTRACTOR PROPERTY NAME: - - , Z2 a OWNER/ ADDRESS: C�,3�� �� 0-��r1Lf�i .S" CrrY STATE TENANT —CONTRACTOR PHONE: COMPANY NAME: SUBMIT A COPY OF CONTACT PERSON: STATE LICENSE # 7402 W9*Mft A YOUR STATE LICENSE WITH _� ADDRESS: bM �6e' MNC STATE ZIP APPLICATION PHONE FAX PERMT TYPE f `G E FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW LACEMENT ❑ ALTERATION/REMODEL ' DET ED DISC ON OF WORK/ .�, / " —kms FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) PROVIDE HEAT LOSS CALC'S PER MANUAL J 2006 ASBRAE HANDBOOK Equipment Installed MFG: Ce- MODEL:, SIZFIBTU 1;! 40 MFG: r`�s/� MODEL: '9'% SIZE/BTU MFG: MODEL: SIZE/BTUC $25.00 FIREPLACE (GAS) $15.00 GAS RANG&OVEN $10.00 *A.IR 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 Number of fixtures @ $10.00 x $10.00 = $ Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures 35.00 x $35.00 = State Surcharge = $��" FEE $35.50Total = $ Cs�' 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 c s of Ci of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an ap ca on f r a d work Is of to start without a permit; that the work will be in accordance with the approved plan in the case all h review and pproval of plans. XDATE SIGNATURE OF APPLIC PRINT NAME APPROVAL INSPECTORS SIG ATURE DATE PLEASE NOTE: SE ARATE PPMTMM REQLTIRED FOR BUILDING, ELECTRICAL AND MECHANICAL WORK City of Fridley L`�Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977