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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT N© 6204 Date: Owner: Builder Address Address LOCATIO F BUILDING No.,M S t — Part alot Lot Block Addition or Sub -Division Corner Lot_ Inside Lot ________getback �, +� _ Sideyard , ,04► Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING T'�+" Used Front Depth Height -� Sq. Ft. - Ca. Ft.:+ MA Front Depth ght Sq. Ft. Cu. Ft. ! Type of Co ction Est. Cost 'MW""""i 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 aJl 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 hfs 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 NOTICE: We permit don not cover the condrucdon, installation for v"g, plumbing, ges boding, smor or water. Be sun to no the BWhUng lesputor for separate perral t for these hems. . t APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY* MINNESOTA Owner's Name Zell � Buildsr Address e�IX'W /- A&k*u LOCATION OF BUILDING Street /—.e.✓ �o Part of Lot Lot Z Block Addition or Subdivision �4 a? Corner Lot Inside Lot ""'� Setback Side -Yard SEWER ELEVATI014 FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To be used as; Front --�,e%l ' Depth �?,(o _Height Sq. Ft. Cu. Ft. Front /I:," 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 z6 - /1��- SIGNATURE X &.2Z. (Schedule of Fee Costs can be found on the Reverse Side). 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 ............ each add. 60,000 BTU ....................... Replacement of Furnace ............................. Repairs & Alterations—up to $500.00 ................. Repairs & Alterations each add. $500.00 .............. STEAM or HOT WATER SYSTEM - Furnace Shell & Lines—to 400 sq. ft. EDR Steam ..... Furnace Shell & Line—to 640 sq. ft. EDR Hot Water . . Each add. 200 sq. ft. EDR Steam ...................... Each add. 320 sq. ft. EDR Hot Water .................. 8.00 $ 2.00 $ 5.00 $ 5.00 $ 2.50 $ 8.00 $ 8.00 $ 2.50 $ 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 $'� . d ROUGH FINAL Dept. of Bldgs. Phone SU 4-7470 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 ar7,tte and correct. Rridley,,Minn_ r 19 OwnerAl- IA.L� 1 Kind of Buildin Used as To be completed about Permit No. 1_67 Permit No.�� DESCRIPTION OF WORK HEATING or POWER team, of Wa Warm Air—No Trade Name a �) i� Size No Capacity % Sq. Ft. E.D.R BTU 76 0 H P. Total Connected Load �� Kind of Fue BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS—OVER) WA 48 2M Business Phone No 11 D-36 7'4W9 HEAT LOSS CALCULATIONS DEPARTMENT OF BUIL'DMdS MINNEAPOLIS. MINN. Weatherstrips A• GHa .E. Construction No. Insulation Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes—No I Yes—No 19— I � + Y F1.1 IPWT 1� < _ : Room Length :rte' P , _ Width Heistht S 11 F1.1 Room I Lenath Width Height 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 f . Area No. of pane of pane lights of crack sq. ft. SG Z. Coef. Btu Coef. Btu Infiltration 3? cF $e Glass /-9,60 7-7� Exp. wall Net exp. wall / :> ,r ol 2 e, A, ,. Net exp. wall Int. wall Q�T/2'G.t_� dr S a Int. wall Net exp. wall -s- 7 Z a Ceiling 3 3 Int. wall Floor Total Btu. I Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.l ,,, ,:o. jto m I Lenath 4eL Width i e Height %' 4 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. off pane of pane ligfts of crack sq. ft. Req •''�*' Coef. Btu Coef. Btu Coef. Btu Infiltration ✓` ' /-9,60 Glass o G Net exp. wall / :> ,r ol 2 e, A, ,. Exp. wall Int. wall Q�T/2'G.t_� dr S a %3 Net exp. wall -s- 7 Z a 87' v 3 3 Int. wall Ceiling Floor Total Btu. 1 /57// el Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length Width Heistht 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 Coef. Btu Glass W$$s �,F,4;1 Zo zrs ,S� ,9Q< Glass Exp. wall f .2 / PJ V Xe- k Of ,-' o G Net exp. wall / :> ,r ol 2 e, A, ,. /? �- Int. wall Q�T/2'G.t_� dr S a %3 Ceiling W -s- 7 Z a 87' v Floor Total Btu. Required so. ft. E.D.R. or so. ins. W.A. Leader area Windows and Doors—Craekage and Area Width Height No. f Lineal ft. Area No, of pane of pane Ilgh a 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 I F1.1 Room I Lenath Width Height Windows and Doors—Cncckage and Area Width Height No. of Lineal ft. Area No. of pane of pane 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 F1.1 Room I Lenath Width Height Windows and Doors—Ceackage 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. h. E.D.R. or sq. ins. W.A. Leader area 5` L cz-�, HEAT L6si CALCULATIONS DEPARTMENT OF BUILbI)tiGS ' 6 Z y o MINNFAPOLIS. MINN. Weatherstrips ' A.S.H.V , Construction No. Insulation Guide Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How. Applied .`'�s'eY'��° oNoN I e No 19— / F1.1 / _ _ Room I Lenath 7 6 Width / 2 Height II / F1_I �D Room Length 9 Width S" Heittht k Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. ZZ F- 2 Z) z z Coef. Coef. Coef. Btu Infiltration Infiltration // Glass Zo Glass `% 3 Glass o 17 3 u Exp. wall G d Z 3 �e o Exp. wall 441,5 Net exp. wall Floor /p -2-16,6 Int. wall 6 Floor 170 Ceiling Z, f6 d Floor Ceiling Total Btu. ///z/9/ Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / F1.1 Room I Length/ v Width /., Height F Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. ZZ F- 2 Z) / 3.,-' z z Coef. Coef. Btu Coef. Btu Infiltration // Glass Zo 3 `% 3 Glass o 17 3 u 3 9 G d Z 3 �e o Exp. wall 441,5 Int. wall Floor Net exp. wall 6 Floor 170 Int. wall Ceiling 4-1 �zo Floor Total Btu. 1 7V Z Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / F1.1 %7. __ _ Room I Lenath �i Width /./ Heiaht Windows and oors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack aq. ft. -f— Z-0 -Z— Coef. Coef. Btu Infiltration 3 / 3 // Glass Zo G� 12-60 Exp. wall o 17 3 u Int. wall Net exp. wall -3-3 /® 441,5 Int. wall Floor Ceiling 6 Floor 170 Int. wall Total Btu. I Y0 o r Required sa. ft. E.D.R. or so. 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. 2- / Coef. Coef. Btu Infiltration / 3 40 Glass 7 .J y 2 d Exp. wall o 17 3 u Int. wall Net exp. wall -3-3 /® 3 0 Int. wall Floor Ceiling 6 Floor 170 Int. wall Total Btu. 1 /6 Y51 Required sq. ft. E.D.R. or sq ins. W.A. Leader area FII 41 Rn m I T Pnoth / Se Width /is Heiaht tel` Windows and Doors—Crackage and Area Width Height No.of Lineal ft. Area No. of pane of pane lig is of crack sq. ft. I 3 z lc Coef. Btu Infiltration Coef. 7 Glass /y 40 /® 4/.0 Exp. wall 3& z,s,V Net exp. wall o 17 3 u Int. wall X,�P 13 7 0 Ceiling 1340 0 ✓ � Floor Total Btu. 1 1 -5-11` V'?, Required sq. ft. E.D.R. or sq. his. W.A. Leader area / F1.1 P,,.('Room I Eenirth / 7 Width / Z Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. I 3 z lc Coef. Btu Infiltration 33 3& z,s,V Glass Z Z X,�P 13 7 0 Exp. wall Net exp. wall /-7 ® /6 170 Int. wall Ceiling 4-1 �zo Floor Total Btu. S-7/el Required sq. ft. E.D.R. or, sq. ins. W.A. Leader area City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bld s. Phone SU 4-1 DESCRIPTION OF WORK Number, Kind and Location of Fixtures I'ho y go C 3 a 12� Number Fixtures ....... .............. x $1.50 $_ Imo_ Z z n Z< Z �i �jO New Fixture Old Opening .............. w ? �O • F • N WATER HTR. GAS ELEc Base New Ground Run Old Bldg. ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ r� Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ 1st 2nd 3rd 4th • Future Connection Openings New Fixture, Old Openings I Connected with Sewer Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: RATE >>T��OTA®®L®® Number Fixtures ....... .............. x $1.50 $_ Imo_ 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 $a New Ground Run Old Bldg. ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ r� Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description................................................$� TOTAL FEE /:tt�j 0 IN- 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 appliftatAn are true and correct. Owner Kind of Used as To be completed about — Estimated Comet, $ Old—New. Building Permit ROUGH FINAL 42 2M Business Phone No.z Z— 53-5li-S-915.51 City of Fridley -r AT THE TOP " TNI TWIN4 it : PLUMBING PERMIT APPLICATION j VU--------COMMVNITY DEVELOPMENT DIV. 1 ' ! PROTECTIVE W1ftCY*N 4R r---� i CM HALL P1IDL4V 0644 �....�.� .J 014-500-340 "WANN REV. DATE IPAOE- Of JAP0W0—V-(0--8y J Job Address 910-F18A 1 0 2115/73 1 1 800 6548 N. E. Pierce Street ner Address— Vernon E. Brewers Phone Contractor Address Phone MINNEGASC® -- Kind of Building on Date 7£NVa ',ddY eve 'X 1! i '78101 I i •eaa, 'MNiva m sNlere Ipps� _% NOlv7 ME 6NIVaa Oo 0 O u I s83MOa$I O 's �10 '1NfIOdI tl � HNlaa Q � SAYalI HSVM SMNISl SNISVS HLVV Frame I _ • 10.00 I I I RATE TOTAL Number Fixtures x $2.00 $ Future Fixtures x $1.50 New Fixture -Old Open. x � . 4 $3.25 Water Heater -99,000 BTU x $3.00 Ground Run Old Bldg. x se RePPLS., MINN, Gas Fitting Fees: 1st 3 Fixtures x $2.00 Additional Fixtures x $ .75 Gas Range -199,000 BTU x $5.00 Repairs & Alterations See Description: Install Grill Code 5.00 State Surcharge Class 1A01 Surt'ha i ce -.50 .50 TOTAL FEE $ 5.50 !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 Tulin of the Department of Buildings, and hereby declare that all'the facts and representations stated in this applicatigp-are-;true and orr t. :..� � f C ; 'Signature 44(44�_.. `Date ; I f _ • 10.00 Plumbing Fixture Rates: NO. RATE TOTAL Number Fixtures x $2.00 $ Future Fixtures x $1.50 New Fixture -Old Open. x $1.50 Catch Bastn x $3.25 Water Heater -99,000 BTU x $3.00 Ground Run Old Bldg. x $3.25 Elec. Water Heater x $2.00 Gas Fitting Fees: 1st 3 Fixtures x $2.00 Additional Fixtures x $ .75 Gas Range -199,000 BTU x $5.00 Repairs & Alterations See Description: Install Grill Code 5.00 State Surcharge Class 1A01 Surt'ha i ce -.50 .50 TOTAL FEE $ 5.50 !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 Tulin of the Department of Buildings, and hereby declare that all'the facts and representations stated in this applicatigp-are-;true and orr t. :..� � f C ; 'Signature 44(44�_.. `Date ; I f F FRIDLEY b"ttective Aug. 1, 1981 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES RATE SCHEDULE RESIDENTIAL RATE TOTAL Job Address 6548 NE Pierce St, #574=0066 Furnace Shell and Duct Work, Burner (Also replacement furnace) $ 20.00 Gas Piping $ 10.00 (piping needed with new furnace) Gas Range $ 10.00 Gas Dryer $ 10.00 * Air Conditioning (all sizes) $ 10.00 All Others/Repairs and Alterations 1% of Value of Appliance or Work COMMERCIAL/INDUSTRIAL 1% of Value of Appliance or Work State Surcharge TOTAL. FEE Reinspection Fee ($15.00) Rough Insp. Date Final Insp. Date // Approval for Permit !? MINIMUM FEE FOR ANY HEATING PERMIT IS $10.00 PLUS $.50 STATE SURCHARGE $ Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432 City of Fridley $ Tel. #571-3450 $ 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. S Fridley, Minn. 30 Dec 88 19 $ 15 , 00 OWNER Vernon Brewers KIND OF BUILDING Fr USED AS Res S $ .50 S Attach stack verification form with replacement furnace permits *Air Conditioners can not be placed in side yard without written permission from adjoining neighior. TO BE COMPLETED ABOUT ESTIMATED COST 30Dec88 250, OLD -11 1 BUILDING PERMIT NO. PERMIT NO. J Replace 6Y Class B stack & tee, DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. Trade Name Capacity Size No. Sq. Ft. EOR BTU HP Total Connected Load Kind of Fuel BURNER - Trade Name Size No. Capacity Sq. Ft. EDR BTU HP Minnegasco #342.5337 700 W. Linden Avenue P. 0. Box 1165 Minneapolis, MN 55440-1165 co Tel. No. .