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PRE 2010 DOCS
Date: City of Fridley, Minn. BUILDING PERMIT N? CO5 LAj11=WNPP__� Address Address �LOCATI ILDING No. street _+ Part o t Lot - Block Addition or Sub -Division Corner Lot — Inside Lot _ . Setback - Sideyard Sewer Elevation _ Foundation Elevation DESCRIPTION OF BUILDING To Used 1� Front Depth Height Sq. Ft Cu. Ft. l'A Front Depth Height Sq. Ft. Cu. Ft ..� Type of Construction +`' Fit. 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 accordance with the description above set forth and in compliance with aft 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 paw 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. NOTICE: 'fids permh does not corer the construction, lastaWtion for wirhM p umbing, @a hediM sewer or wrier. Be sure to as rhe Building Inspeftr for uparate pwm6s for these items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner's Name Builder Address �—,ycr Mdrw LOCATION OF BUILDING No. 1©S`ell 4e, Street.1c/. ` Part of Lot Lot 22, Block1,9 Addition or Subdivision . Corner Lot 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. DESCRIPTION OF BUILDING To be used as: Front 7`�. / Depth ;7,*'& �! 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 _& SIGNATURE (Schedule of Fee Costs can be found on the,Reverse Side). w City of Fridley Application for Plumbing and Curs Fitting Permit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK P ` Number, Kind and Location of Fixtures 1 07 I TOTAL_ Z r Z�Z` $ Future Fixture Opening ................ x 1.20 o New Fixture Old Opening .............. �U' UN' Z • P • N WATER HTR. GAS ELEC. $ �r G 3 x 3.25 � � GAS FITTING FEES: w 1 O � $T .11 Cz adz_ U < 3 U0' °� Sy (�j 0 Base 1st f 2nd 3rd 4th • Future Connection Openings I Connected with e New Fixture, Old Openings I 1 Sewer Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL_ Z Number Fixtures ...................... x $1.50 $ Future Fixture Opening ................ x 1.20 $ Q New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ....../ x 2.00 $ �r G New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE 'DOTAL 1st 3 Fixtures ......................... X $1.50 $T Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ......... .......................................$ TOTAL FEE $ Q City of Fridley: 0 a 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 application are true and correct. Owner Kind of Used as To be completed about — Estimated Cost, $ Old— el\(uilding Permit ROUGH—P P 11'y --G 'IV FINAL 42 '1M CG _ Z Application for Power Plants and Heating, Cooling, Ventilation, Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GIVITY 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 $ 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 ' G � ROUGH FINAL Dept. of Bldgs. Phone SU 4--74700 City of Fridley: 0 1" X / � a 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, Ninn ®, 6 %) Kind of Building-,. C'_4 Used as To be completed about 196_L Estimated Cost, $ Old New uilding Permit No. 1 -_;)---fJ\6 Permit No. DESCRIPTION OF WORK BEATING or POWER/Ybh to �Hb�tW)Warm Air—No Trade Name ��G Size No e 2 --r 1 Capacity 72 O ®c� Sq. Ft. E.D.ft U BTU ° H P. Total Connected Load 4777 ?A10 6 Kind of Fuel QZ9 � BURNER —Trade Name Size No Capacity Sq. Ft. E.D.R BTU A.P. (REMARKS -OVER) .ZW04-42 zM Business Phone .+ 7 �� y 1>46 oG Z L / %z 5-o / w HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS NIINNEAPOLIS. MILAN. Weatherstrips A.S.H.V.. Construction No. Infiltration 66 Glass Insulation 3 Guide Glass Net exp. wall 3 /g I d Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind'' How. Applied Yes—No I Yes—No 19— 0 1-1/90 Int. wall / F1.1 _ �.: �_ n Room I Lenath 25' Width Fl_I .�T _ Room I Length '% C Width 4�_ Height F Windows andboors—Crackage and Area Width Height No. of Lineal f . Area No. of pane of pane 11'ghts of crack sq. ft. 3z zf'J � oG Z L / %z 5-o / / -5, Coef. JCoef.j Btu Coef. Btu Infiltration 66 Glass Exp. wall 3 3 Z Glass Net exp. wall 3 /g I d Z 11 Exp. wall p Int. wall /j �/ d Floor Net exp. wall /Z e% /T 171 0 1-1/90 Int. wall Ceiling 3 3 7D 1,o 33 O Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / Room I Lenath IS- Width //Y Height 9� Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane llghta of crack sq. ft. 7— -IT 4; f. 3Z Z6 Z Coef. JCoef.j Btu Coef.1 Btu Infiltration 66 Glass Exp. wall h �2- O9, Glass Net exp. wall 3 /g I d Z 11 Exp. wall p Int. wall /j �/ d Floor Net exp. wall /Z e% /T 171 0 171,0 Int. wall Ceiling /7Z 1,o / 7 z O Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area --r F1.1 / ue-/Room I Length / 3 r Width --!C Height Y Windows and Doors—Crackage and Area Width Height No. of Lineal ft., Area No. ofpane of pane lights of crack sq. ft. J� Z ® Z Oe 2A Coef. JCoef.j Btu Infiltration 5-,7.o 1391 66 Glass Exp. wall h 0 Exp. wall Net exp. wall 3 /g I Net exp. wall Int. wall lei p Int. wall /j �/ d Floor Ceiling /Z e% /T 17,90 Floor Total Btu. Required sa. ft. E.D.R. or sa. ins. W.A. Leader area Windows and Door s—Cr`ckage and Area Width Height No',of Linealft. Area No. of pane of pane llg to of crack sq. ft. / Z Zd Oe 2A Coef. Btu Infiltration /s 39 5-,7.o Glass 66 .5-Y-'� Exp. wall 6.0 /% d Exp. wall Net exp. wall 3 /g I �Y 3 Int. wall /'0 p Ceiling /j �/ d Floor Ceiling 162- Total Btu. 117-0-50 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area r- Fl.l P oY Room I Lenath/ 7 Width Height fr' Windows and Doors—Crackage and Area Width Height No of Lineal ft. Area No. of pane of pane lig to of crack sq. ft. Z 3Z Id -Zl Oe 2A Coef.Btu Btu Infiltration '31 3 // % Glass `? 6.0 /% d Exp. wall Net exp. wall /'0 p Int. wall Ceiling 162- /T 17,90 Floor Total Btu. J.Y 7, !r Required sq. ft. E.D.R. or sq. itis. W.A. Leader area 7 Fl.l 9 % v� Room I Length /,sem Width,,-/--!; Height � Windows and Doors—Crackage and Area Width Height N . of Lineal ft. Area No. of pane of pane lights of crack sQ. tL Z- Z e 146 Oe 2A Coef.1 Btu Infiltration 3 3 4 3 Glass 6.0 S� Exp. wall Net exp. wall / Int. wall Ceiling 47 1.3 17,90 Floor Total Btu. C Required sq. ft. E.D.R. or sj. ins. W.A. Leader area "D-58 9 .. . 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 Ceiling Roof Floor Kind How Applied Yes—No Yes—No 19- 74 F1.1 A — _ S Room I Lenath Width Height II Fl.l Room I Length 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. Width Height No. of Lineal f . Area No. of pane of pane lights of crack sq. ft. C z lCoef.1 Btu Infiltration Coef.1 Btu Infiltration 1 5.0 3 Sri/ h o d Glass 2 6 tJ /`y `flJ Exp. wall Floor Net exp, wall O Int. wall— 7� S- Ceiling H7_ Floor o d �/ Total Btu. /6 2r4L 6 . Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length Width Height Windows and Doors—Crackage and Area Width. Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. ft. Coef. Btu Infiltration Glass ,gar U 1V Exp. wall s-- ® .593PO 13%Ur! Net exp, wall C Z/ W Int. wall /j/,C 7— 7 Z o Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length Width Heiaht Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. lCoef.1 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 Windows and Doors—Crackage 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. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 Room I Length Width Height Windows and Doors—Crackage 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 I F1.1 Room I Length 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. 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 City of Fridley, Minn. BUILDING PERMIT N? 6780 Date: .P 41. 13 Owner: .Builder Address Address ILOCATIONAR BUD G No. street Part t Lot _....�_ Block�Addition or Sub- on . ��,® s Corner Lot .. Inside Lot Setback Sideyard Sewer Elevation ____.__ _ , F Ldation Elevation DESCRIPTION OF BUILDING To Aa Front Depth �a Height ® Sq. Ft. �� Ca. Ft. ��tl — ��aDepth igh _Sq. Ft. Cu. Ft. Type of Construction Est. �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 accordance with the description above set forth and in compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $,V , 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 agenic, employees and workmen, in all work done in, around and upon said building, or any Bart thereof, shall conform in all respects to the ordinances of Fridley, Mirmesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and th:.s permit may be revoked at adv tune upon vio�� n of any of the provisions of said ordinance. NOTICE: This pemb don not cover the construction, installation for whio& phmbing, gas heating, sewer or water. Be sure to we t6 Bul1diss hopeetor for nparate permiN for these items. SUBJECT P City of Fridley 2 5 8 8 9 AT THE TOP OF THE TWINS BUILDING PERMIT r R COMMUNITY DEVELOPMENT DIV. �1:--/ r � I PROTECTIVE INSPECTION SEC. /9 NUMBER REV DATE PAGE OF APPROVED By i1 i CITY HALL FRIDLEY 55432 ----� '� L 612-571-3450 910415 4/l/98 JOB ADDRESS 6564 Pierce Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 3 2 Don's 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Ben Imbertson 6564 Pierce Street NE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Richard Hastings Co 6331 Riverview Ter NE, Fridley, MN 55432 574-9966 4051 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 ❑ ADDITION ❑ ALTERATION IR REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof House (26 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must zxp±y comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, 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 $2,168 $1.08 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- $74.75 Fire SC $2.17 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE License SC $5.00 $83.00 SIGNATURE OF CONTRACTOR O AUTHORIZED AGENT IDATEI MMII WHEN PROPERLY LIDATED THIS IS YYOURo/PERMIT OLD INSP JERR STT DATE _ SIGNATURE OF OWNER OF OWNER BUILDERI IDATEI NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 � BUILDING PERMIT APPLICATION (t P-01 ConstructionAddress: if< 5 6 / I� i ec E S7` Legal Description: Owner Name & Address: 13Ey Tel. # Contractor: R : C A A -AS-t ; K G s MN LICENSE # �IyS/ Address: C 3 3 I v € ;2 U LE ` " `Cr; iK Tel. # 5-7 y -57 P6,d 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: z S a Construction Type: 7"-c/4 R o Ff lZ t ,e c r r Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: `f / 9 APPLICANT: /A�- Tel. # Permit Fee $ '74 %�- Fire Surcharge $ o?. /1 State Surcharge $ 11060 SAC Charge $ License Surcharge $ 5-'00 Driveway Escrow $ Erosion Control $ Park Fee $ Sewer Main Charge $ TOTAL $ 63,06) . STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side .001 of Permit Valuation (1/10th%) $.50/$1,000 Valuation $1000 per SAC Unit $5.00 (State Licensed Residential Contractors) Alt. "A" or Alt. "B" Above $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ]