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PRE 2010 DOCSCity of Fridley, NHnn. BUILDING PERMIT Date: Owner:,14L ' Builder Address Address No.OX- Lot ` . -- Corner Lot Sewer Elevation N4 23 L TIO BUI DING street - `'` f 2F Pa: Block__- _-._ Add_ ition or Sub-Divisiog Inside Lot Setback s Foundation I Ar DESCRIPTION OF BUILDING To Used A Front Depth Height °''' Sq. Ft. `1 Cu. Ft. f Front Depth Height Sq. Ftp Cu. Ft,,� . -:•�:7 .aL? Type of nstruction ""�" -- -> Est. Co 1�� _""' —'moo be Complejted -- 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 fo and in compli ce with all provisions of ordinances of the city of Fridley. --T--- In consideration of the payment of a fee of $ = t , 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 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 violati of any of the provisions of said ordinances. may`/ Building Inspector NOTICE: This permit does not cover the construction, Indallation for wiring, plumbing, gas heating, sewer or Prater. Be sure to see the Building Inspector for separate permits for these items. 4 - �I APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA e Address Addre LOCATION OF No. o�„f Street Part of Lot Lot Block. _ Addition or Sub.Div Corner Lot_ side Lot—/---- -Set Back �_ _ Side-Yard,,,_,,,®,�,__-�,_,,,� SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To byused as Sq. Ft. / Cu. Ft. Front Depth_,_,_j:.�Height / 0 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 Ordinance$ and ruling of the Department of Buildings, and hereby declares that all the facts and representa- tions stated in this appl#a.tion are true and coy'rect. DATEf�' -_ SIGNATURE hedule of Fee costs can be found on the Reverse Side.) City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone SII 4-7 DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE T/OCTAL, Number Fixtures ...................... x $1.50 $ Future Fixture Opening ................ 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 $ SR ' New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ..........................�L x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ AIRS & ALTERATIONS—Refer to Code ................................................$ TOTAL FFA $�� 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 facl and representations stated in this application are ,rue and correct. Owner i j Kind of Building �- Used as To be completed about — Estimated Cost, $ Old New. uilding Permit ROUGH 'I % `% FINAL .q 4z 2M 16* Business Phone 12xY Zz a� Fez Ox .1 WU' C9 Z • • WATER HTR. ec GZ 63 d �a4 �0 F N -Al ELEC. rl1 U30 Base 1st 2nd 3rd 4th • Future Connection Openings Connected with I Sewer � New Fixture, Old Openings Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE T/OCTAL, Number Fixtures ...................... x $1.50 $ Future Fixture Opening ................ 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 $ SR ' New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures ..........................�L x $1.50 $ Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ AIRS & ALTERATIONS—Refer to Code ................................................$ TOTAL FFA $�� 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 facl and representations stated in this application are ,rue and correct. Owner i j Kind of Building �- Used as To be completed about — Estimated Cost, $ Old New. uilding Permit ROUGH 'I % `% FINAL .q 4z 2M 16* Business Phone y Application for Power Plants and Heating, Coding, VentRation..Rehigera ion 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 ...........................;. #.00 $ Repairs & Alterations—up to $500.00 ...:............. 5.00 $ Repairs & Alterations each add. $500.00 .............. 2.50 $ STEAM or HOT WATER SYSTEM Air—No—j-- Trade Nam==WAeazWrHbVWatr;r 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 GAS FITTING FEES: NO RATETOTAL 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 F],'E `SOUGH FINAL Dept. of Bldgs. Phone SII. 4-7470 Leeafien //>�0/ //�9�/ City of Fridley: v The undersigned hereby makes application for a permit for-1he 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. Fxi'd-loy, 'nn MEfif 1961 , 19 Owner Kind of Building Used as To be completed about JUL aG _ Estimated Cost, $®D Permit No.� 3 /Permit DESCRIPTION OF WORK HEATINGWarm Air—No—j-- Trade Nam==WAeazWrHbVWatr;r �Size No-✓��% �® Capacity Ft. ED.R.�6 BTU H.P. �/Sq. 5 4/14 Total Connected Loa Kind of Fuei BURNER — Trade Nam Size No�� ZZ - /10 Capacity Sq. Ft. E.D.-/W ' = TU H.P. GEO. SED ICK HTG. & AII;-C0t-,!D. CO 1001 Xenia Av. S. Minneapolis 16, Md Inn. Signe 42 21M1 7-59 Business Phone 10— (REMARKS—OVER) ,�� HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MINNEAPOLIS, MINK. Weatherstrips A.S.H.V.E, Construction No. Insulation Guide WindowsI Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kin How. Applied Yes—No Yes—No 1 19— /° Room I Length/ Lidth / 0 Height Fl. 6 � q we a' oom I Length A# Width Iv' Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of Dane or an s� odf,yc�rack sq. ft. Coef. gjiigphte I $Z 2-- Y�1 Coef. Btu Infiltration f/' 6341 Glass S-0 Exp. wall 4 Net exp. wall 17 1 Int. wall Ceiling I ki, _ " 40 d �� Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl. 14g Room I Length Width /a Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. ® p� 9Ad/ it 1 ,p r� Net exp. wall s� j Coef. Btu Infiltration /3 Total Btu." d Required sq. ft. E.D.R. or sq. iris. W.A. Leader area Glass F1.1 Room I Length / Width Glass Windows and Doors—Crack age and Area Width Height No. o; Lineal ft Area No. of pane of 1,4laghts of crack sq. ft. Exp. wall y Exp. wall ' X i Net exp. wall Net exp. wall" Int. wall Ceiling y oq o TC Floor Ceiling. Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 3,. Fl. 6 Room I Length X I Width J V" Height jr Windows Ad Doors—Crackage and Area Width Height No. of Lineal ft. Area No.. of pane Boff pane lights of crack sq. ft. 2 ice^ a fi g/ � 1.2S— %,, � . _f Obi r"t� / i o le b.5-1 Coef. Infiltration Glass50 Exp. wall 3 3. r Net exp. wall Int. wall N ,x Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Btu 1, t� Windows and Doors—Crackage and Area //'5 y Glass Width Height No. ofLineal ft. Area No. of pane of pane of crack sq. ft. �llghta f '... / � / V ® p� 9Ad/ it 1 ,p r� Net exp. wall s� j Ceiling Coef. Btu Infiltration Total Btu." d Required sq. ft. E.D.R. or sq. iris. W.A. Leader area 1-1 F1.1 Room I Length / Width Glass Windows and Doors—Crack age and Area Width Height No. o; Lineal ft Area No. of pane of 1,4laghts of crack sq. ft. Exp. wall ' X i 4i Net exp. wall" Int. wall Ceiling. / 3,. Floor Total Btu. Required sq. ft. E.D.R. or sq; ins. W.A. Leader area Fl.l 9 Room I Length 1 �/° Width I�% Height Windows and Doors—Crackage and Area Width Height No. Of Lineal ft. Area No. of pane of pane lights of crack sq. ft. —$-., �2- / / -/, j �' 117 Infiltration //'5 y Glass Exp. wall A X Net exp. wall s� Int. wall Ceiling Floor. Total Btu." Required sq. ft. E.D.R. or sq. iris. W.A. Leader area F1.1 Room I Length / Width Height v Windows and Doors—Crack age and Area Width Height No. o; Lineal ft Area No. of pane of 1,4laghts of crack sq. ft. Coef. Btu Infiltration Glass Exp. wall Net exp. wall A-17 I ;i d Int. wall Ceiling �� +< Floor 44 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area City of Fridley, Minn. N°• MU DING PERMIT Date: July 7., 1965 C;? 9�r p I - 8137 Owner: Joe Saban Builder Horton Connett Constr, Co. Address 6821 Oakley Address 3757 W Broadway �zZ LOCATION OF BUILDING No. 6821 Street Cakle� Part of Lot Int _ _ ZLBlock 2 Addition or Sub.Division Brookview Terrace, 2nd Add In Corner Lot Inside Lot — Setback _ Sideyard Sewer Mevation Foundation Elevation To be Used as: Front Front Type of Construction DESCRIPTION OF BUILDING Depth Height Sq. Ft. Cu. Ft Depth Height Sq. Ft Cu. Ft — Est. Cost 1%12 00.00 _ To be Completed Storm damage repairs Rebuild from foundation 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 forthand in compliance with alons of ordinanoes of the city of Fridley. In consideration of the payment of a fee of $ 10.00 , permit is hereby granted to Horton, Cornett 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. Allen Jensen Building mor NOTICE: M perm* does no .frau the aondructioe, hnsuWan toe Wig, plumbing, gas hedhm esrrer or water. Be sure to see the Building hupww for soparato pwmhs for these hems. APPLICATION FOR BUILDING PEM41T CITY OF FRIDLEY. MINNESOTA OWNER'S N1 �'�� GL✓ EUILDER ADDRESS AMRM � LOCATION OF BUILDING �Ai'�Irl6�, No � � � �� Street Part of. Lot's`_ LOT �BLOCR Z. ADDITION OR SUBDIVtSiON,J1 . ��,.c. o�o,.r.L�C'. Cdirrie'r Lots 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. o DESCRIPTION T9 -be used as: `OF BUILDING /Depth Height Sq. Ft. Cu. Ft. Front .Depth Height s 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 t -hi*- application :are true .a d.,correct. (Schedule of Fee Costs can be found on the Reverse Side). %a,So0. ®C) CITY OF FRIDLEY APPLICATION FOR POWER PLANTS ANIS HEATING, COOLING, VENTILATION, REFRIGERATION AND t AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RA►E SCHEDULE GRy:'ITY 'SAP -%I AIR: RATE TOTAL' Furnace S :ell & Duct Bork $12..00 $ RL= lac .V nt of Furnace 7.00 v F.epa rs s Alterations -up to $500.00 7.00 $ R::pairs & Alterations each add. $500.00 4.00 $ >IECH:NICAL 1 --'AR}) AIR: Furnace Shell & Duct Work to 100,000 BTU $12.00 $41-2-0 each add. 50,600 BTU 4.00 $ eal.ic e.Cc'nt of Furnace 7.00 $ R e- * rs & Alteratio ns -up to $500.00 7.00 $ Re.airs & Alterations each add. $500.00 4.00 $ Srk\: OR I) T r AaTF.R SYS• I:NI : Boiler &Lines up to 100,000 BTU $12.00 $ eazh ad.:II. 50, OCO BTU 4.00 $ Boiler only up to 100,000 BTU 7.00 $ each ac :n. 50,030 BTL' 6.00 $ OIL BURNER- to 3 gal. per hour" $10.00 $ _ each add. 3 gal. per hour 10.00 $ G.?S 3U"XLR- from 100,000 BTU to 199,999 BTU $10.00 $ (over 19:•,995 BTU see Fee Schedule) $ GAS FITTING FEES: ist 3 Fixtures x' $ 3.00 $ Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00 $ AIR CONDITIOXING �I FAX IHE-TING SYSTEMS$ See Fee Schedule VENTILATING SYSTEMS { $ ALTERATIONS & REPAIRS_ $ 10, State Surcharge $ .50 TOTAL FEE $ 3� •.�'O i^Ui I\SF. REINSPECTION FEE Date ($10.00) FLUAL I14P. Date APPRvVAL FOR PEaIIT .v.-&%.:%'Lv FEE FOR ANY HEATING PER: -.IT IS $7.50 Job Address Department of Buildings City of Fridley Tel. 6571-3450 The undersigned hereby makes application for a permit for the work here -41 specified agreeing to do all work in strict accordance with the City Cedes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, Minn.��• 19�d OWNER KIND OF BUILDING "W — USED AS J T BE COMPLETED ABOU'C --d o A � JOW ESTIMATED COSTX470 0 -- OLD NEW BUILDING PERMIT NO. PERMIT NO. DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water Warm Air No.' / Trade name Zz'& /a )C Size No. Capacity /-" )-j4— Sq. Ft. FDR BTU H? AD Total connected Load ��Kind of Fuel BURNER - Trade Name -4-64' Af 0 ZeSize No. 611� /--I� Capacity Sq. Ft. EDR BTU Zeo _JAlf ' HP Ly. Company 1—,,eydc7'X &A2 Signed By . Tel. ��"f✓ CRONSTROMS HTG. & AIR COND., INC. Job Name D-56 4410 gxeelsior Boulevard, Minneapolis 16, Minn. / +� NEAT LOSS CALCULATIONS Job Address(� H .. Weatherstrips A.SConstruction No. I IDsulatton Guide. Windows I Doors Reference Out. Wall Int. Wall Ceiling Roof Floor I Kind How Applied Yes -No Yes—No 19_ Fl. - Room Length e — Width ! 2 --Height Fl.j`Room Length J 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.1 lCoef.1 Btu Infiltration Glass Infiltration 1 332-- qu 3 es 0) -- iiGlass -3 6 Coef. Btu Infiltration 3r 2 Glass Exp. wall Net exp. wall 3 / o Int. wall Ceiling° Floor Total Btu. G L_ - Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / F1.1 .vf — . Room I L.enath T5 0 ---c Width / y Height Ji Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pa.. lights of crack sq. ft. 77 q,- Coef.1 lCoef.1 Btu Infiltration Glass Infiltration 1 332-- qu 3 es 0) -- iiGlass -3 6 Exp. wall ' Glass a<� Net exp. waH3 Z. (, tr= ? C, 1 -0 b ® b Int. wall Net exp. wall =- — 0 Ceiling Int. wall ,� 2 Floor Floor Ceiling / ? 7 Total Btu. I el) el) , Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I F1.1 %-A Ftl v jmm oath // Width PC— Heiaht Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane of Dans lights of crack sq. ft. 2— Coef.1 Coef. Btu Infiltration Infiltration 1 332-- Glass Class ' Glass a<� Exp. wall Exp. wall Net exp. wall =- — 0 Net exp. wall ji"j� Int. wall ,� 2 Floor Ceiling / ? 7 j L Floor Ceiling Tbtal Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area I r Windows and Doors—Craikage and Area Width Height No. pt Lineal tt. Area No. of pane of pane lights of Brack sq. tL 2�a Coef.1 Btu Coef. Btu Infiltration - " Glass S`1� ' Glass Exp. wall Int. wall Net exp. wall ji"j� = ,� 2 Floor Int. wall Ceiling Floor Total Btu. h --,-) �/j Required sq. ft. E.D.R. or sq. ' a. W.A. Leader area F1.I y Room 1 Length / Width' / 2-- Height Windows and Doors—Cracl�age and Area Width Height No. o Lineal ft. Area No. of pane of pane lights I of crack sq. ft. Infiltration Glass S �„ Exp. wall Net exp. wall Int. wall Ceiling Floorf� Total Btu. ° 27 Required sq. ft. E.D.R. or sq. uis. W.A. Leader area FI.I Rnem I lrnslth / ?/Width Height ' Windows and Doors --Crack 'g and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. tt � � f Coef.1 Btu Infiltration - " Glass S`1� Exp. wall Net exp. wall 77T 7 (, q Int. wall Ceiling e, Floor Total Btu. 1� Required`sq. ft. E.D.R. or sq. ins, ', W.A. Leader area CRONSTROMS HTG. & AIR COND., INC —A& Names D•56 4410 Axeelsior boulevard, Minneapolis 16, Minn. e NEAT LOSS CALCULATIONS Job Address- '' z ✓ ... Weatherstrips A.SHV. Construction No. Insulation Guide WindowsI Doors Reference Out.Wall Int. Wall Coiling Roof Floor I Find How Applied* Yea—No Yea No 19_ Room I Length/'F —Width 2,11 -eight '2 Room I Length 77 Width C� -Height °e Windows and Doors—Crackage and Area ' Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. �✓ C d L Coef.1 Btu Coef.1 Coef. Btu Infiltration 36 S f I 0 Glass 7' Glass Ceiling Exp. wall Exp. wall e Exp. wall Net exp. wall •j -- (®'r -1 e z, d Net exp. wall S=& -n Int. wall ��,� - �.= a C� Int. wall Ceiling = J� 7777,77 771 7- 7 Floor T. ! / IJP Ceiling Total Btu. / Required sq. ft. E.D.R. or sq. ins. W.A. Leader area .I ;u Room I Length /S' -Width Windows and Doors--Crackage and Area Width Height No. of'' Lineal ft. Area No. of pane of pane lights or crack sq. ft. Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. �✓ C d L Coef.1 Btu Coef.1 Coef, Btu Infiltration 36 S f I 0 Glass 7' Glass Ceiling Exp. wall Exp. wall e Exp. wall Net exp. wall S -- (®'r -1 e z, d Net exp. wall S=& -n Int. wall ��,� - �.= a C� Int. wall Ceiling Int. wall 7777,77 771 7- 7 Floor ! / IJP Ceiling t Total Btu. 1 , ,� 1 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area .I " , Room I Length -2_ Width / —Height 7 -- Windows and Doors—Crackaite and Area / Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area f - Windows and Doors--Crackage and Area Width Height No. of'' Lineal ft. Area No. of pane of pane lights or crack sq. ft. Width Height No. t Lineal ft. Area No. of pane of pane llghtb of crack sq. ft. Coef.1 Btu Coef.1 Btu Infiltration Btu Infiltration S f I ' - v QP Glass 7' Glass Ceiling 12 G .- D Exp. wall e Exp. wall Net exp. wall / �o Net exp. wall , r, Net exp. wan/21pp � ��,� - �.= a C� Int. wall / SG y C,77 Int. wall 7777,77 771 7- 7 / Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area f - Windows and Doors--Crackage and Area Width Height No. of'' Lineal ft. Area No. of pane of pane lights or crack sq. ft. Width Height No. t Lineal ft. Area No. of pane of pane llghtb of crack sq. ft. Coef.1 Btu Infiltration Coef. Coef. Btu Infiltration ' 7/7' 7' Glass Ceiling Exp. wall Floor' t e Exp. wall Net exp. wall Net exp. wan/21pp � ��,� - �.= a C� 16 E Int. wall Floor �� ! / IJP Ceiling t Floor 777 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.l r oom I Lenath Width Height - W 'dows and Doors--Cra4age and Area Width Height No. of'' Lineal ft. Area No. of pane of pane lights or crack sq. ft. Width Height No. o Lineal ft. Area No. of pane or pane lights of crack sq. ft. Coef.1 Btu Infiltration Coef. Btu Infiltration 1- exp. wall y Tz Glass Int. wall _ Ceiling Exp. wall Floor' t 77 Net exp. wall Int. wall Ceiling Floor �� ! / IJP t Total Btu. Required sq. ft. E.D.R. or sq. ' s. W.A. Leader area Room I Lenirth // Width -2 Height Windows and Doors--Crackage and Area I Width Height No. of'' Lineal ft. Area No. of pane of pane lights or crack sq. ft. f J Coef.1 Btu Infiltration Glass-1� Exp. wallNet exp. wall y Tz Int. wall _ Ceiling Floor' t 77 Total Stu. a _ Required°sq. ft. E.D.R. or sq. ins. W.A. Leader area SUBJEtT P City of Fridley 2 9152 AT THE TOP OF THE TWINS BUILDING P C D A A I T r L"'r1 1 RECEIPT NO. •_ COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. r F PROTECTIVE NUMBER REV DATE PAGE 0: APPROVED BY 1 CITY HALL FRIDLEY 55432 612-571-3450 910-F15 4/7/99 JOB ADDRESS 6821 Oakley Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DEscR. 15 I 2 I Brookview Terrace 2nd Addn SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Wayne Bosell 6821 Oakley Street NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Premium Roofing 6680 Lucia Lane NE, Fridley, MN 55432 571-3973 20097688 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 0 ADDITION ❑ ALTERATION Cj 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 $2142 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION Fir SC $2.14 -_��_ _ ]- PLAN CHECK FEE License $5.,90 TOTAL 2.96 SIGNATUR OFCON.RAC?ORORAUTHORIZEOAGENT IDATEI EN RD E A IDAT BLD NSP � r IS IS V VA P MIT2Y TIA TE SIGNATURE OF DINNER. IF OWNER BUILDERI IDATEI NEW [ ] Effective 1/1/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: ,l> qa/ A &e & Y ST Legal Description: %At 0,-F � /PE GP"' Owner Namep& Address: CVA -41E l Tel. # Contractor: f/ ®Pe^16114, koo .-IN& MN LICENSE #_)rx)c17eTg- Address• _ro 1re__1A Tel. # '5' 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: I° QIV 6-1- 61 A eAe-6- a � Construction Type: ;�a�,�, �i/�v Estimated Cost: (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE:, %q APPLICANT: ,�� Tel. # 5!! CITY USE ONLY Permit Fee r- $ / 7�r Fee Schedule on Reverse Side Fire Surcharge $ .001 of Permit Valuation (1/10th%) State Surcharge $ /. D `% $.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: Building MECHANICAL Permit No.: - Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEYF_@R 2 0 2008 DATE — YOUR E MAIL ADDRESS SITE ADDRESS THIS APPLICANT IS: m 6wNER CONTRACTOR PROPERTY NAME: ADDRESS: e CITY JEV STATEJW ZIP 3 OWNER/ TENANT PHONE: Al — CONTRACTOR COMPANY NAME: SUBMIT A COPY OF CONTACT PERSON: YOUR STATE LICENSE WITH STATE LICENSE # EXP DATE ADDRESS: At�'. CITY F�` EJ STATEAd—zip 7T3.c APPLICATION , PHONE /10'3�J�TI� ® FAX PER.NIIT TYPE )(SINGLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE TYPE OF WORK: 0 NEW REPLACEMENT 0 ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK Mpt PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00; whichever is greater, for the improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor ) Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x,05 = FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL NUMBER OF EACH BELOW) ' Equipment Installed MFG:MODEL: S®CT o 7® SIZEBTU v/ , v vy MFG: MODEL: SIZE/BTU T MFG: MODEL: SIZE/BTU $25.00 _FIREPLACE (GAS) $15.00 GAS RANGE/OVEN $10.00 _A/C _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 Permit Fee $ Number of fixtures @ $i0.00 x $10.00 = $ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ Number of fixtures @ $25.00 x $25.00 = $ Number of fixtures @ $35.00 = x $35.00 = $ State Surcharge = $ 50 Total = $— 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 a plication for a permit and wor 's not to start without a permit; that the work will be in accordance with the approved plan in the case all work h requires revi approval of pl XSIGNATURE OF APPLICANT PRINT NAME.Amo DATE z City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977