PRE 2010 DOCSDate:
Owner:
Address
ATO
0048
Address
,PC? N ZrILDING
No� 0
— street _ Part Lot
Block Addition or Sub -Division
Cmmer Lot TnFdtle Lb t Setback Sideyard
Sewer Elevation Foundation Elevation
f DESCRIPTION OF BUILDING.,
T�-eUse_ d
Front
Depth Height Sq. Ft _A Cu. Ft.
Front Cu.Ft
Depth Height Sq. Ft. e5�96— 01--
Type 0 Est. etion...., Coa� be Completed
In consideration of the issuance to me of a permit to construct the building described above o do
the Proposed description above set forth and In compliance with V agree Of
ordinancars of work In accordance with the de pr
the city of Fridley.
In consideration of the payment of a fee of 2 •1 'A' 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 an work
done in, around and upon said building, or any art thereof, shall Conform in all respects to the ordinances Of
location, construction,
UctF
c
Fridley, Minnesota regard" on, 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. ria
Building Inspect=
NOTICE:
IW@ porndt does not cover the construction, InstaffiNan for wking, phrmbing, gas heating, sewer or water. Be sure to we
the Building Inspector for separate permits for then items.
APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
Owner's Name tw, ad Buil,er
Address Address
LOCATION OF BUILDING
No. � Street " �bart of Lot
Lot B1ockAddition or Subdivisions:��
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: P/
Front Depth '-Height l
Sq, FtCu. Ft.
Front ZZDepth—jf=,.Height
Sq. Ft. - Cu. Ft.��
Type of Construction Estimated Cost �443-C�
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).
tw
a
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 ............ 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. MR 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. IDR Hot Water .................. 2.50 $
OIL BURNER to 3 gal. per hour ...... I ................. 5.00 $
over 3 gal. per hour—See Fee Schedule /
GAS BURNER (up to 400,000 BTU) ....................... 5.00 It +�
GAS FITTING FEES: NO RATE TOTAL
1st 3 Fixtures ...................... x $1.50 It
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 $ 4
K
ROUGH
FINAL
Dept. of Bldgs. Phone SII 4-
a
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.
AUG 2 8 19U,
n Fridley, nn_ 19 _
Kind of Building
Used as T
To be completed about be "
Estimated Cost, $
a� ®O
ew uilding Permit No. 6 6 L Permit No. ,=:;'- U
DESCRIPTION OF WORK
HEATING , Warm Air—No
. Ak
Trade Nam Size No,/X01 > — AQ
Capacity ,S/q. Ft.'E.D.R ��`-�' BTU H.P.
Total Connected Load �`� ?/� Kind of Fue
BURNER — Trade Name Size No-
Capacity
o Capacity 4 Sq. Ft.E D.TU H.P.
GEO. SEDtt 6CK HTG. & AR-COND. Cu
1001 Xenia Av, S.
Minneapolis 16, Minn.
Signe
By
.QW 4 2 2M Business Phone No
(REMARKS—OVER)
D-56
HEAT LOSS, CALCULATIONS DEPARTMENT OF BUILDINGS
Weatherstops, A.S.HYE. Construction No.
Guide
Wit dews I Doors Reference Out. Wall Int. Wall Ce , fling Roof LAOi2L
Yj--o Yes 2— T 19—
V
F1.1
F1.1 Width' OOM
I Length; Height
Windows and Doors—Crackage and Area
Re : quired sq. ft. E. D.R. or sq. ins. W.A. Leader area
Width Height No. of Lineal fi. Area
No, ofpape of pane lights of creek sq. ft.
Windows and Doors—Crackage and Area
7
Width Height No of Lineal ft. Area.
No of pane lights of crack sq. Lt.
-------------
—7777—
.J.
Cod. Btu
Infiltration
Infiltration
Exp. wall
Glass
Glass
Exp. wall jf-
Glass
Net exp. wall
Exp. wall
Int. wall
_ .
Ceiling
Net exp. wall
v
Floor
Total Btu.
Int. wall,
F1.1 `ALength. I Len-� ,
= Width 14.;M7
Ceiling
Int. wall
Floor
Ceiling , f 4
Total Btu.
Re : quired sq. ft. E. D.R. or sq. ins. W.A. Leader area
F1.1 Room I Length Width r Height
Windows and Doors—Crackage and Area
7
Width Height No of Lineal ft. Area.
No of pane lights of crack sq. Lt.
-------------
—7777—
.J.
Coef.
Coef. Btu
Infiltration
Exp. wall
Glass
Net exp. wall
Exp. wall jf-
Glass
Net exp. wall
Ceiling
Int. wall
_ .
Ceiling
-t77-
v
Floor
Total Btu.
Required sq. ft. E.P.R. or sq. ins. W.A. Leader area
F1.1 `ALength. I Len-� ,
= Width 14.;M7
Windows and Doors—Crackage and Area
41
Width Height No f Lineal ft. Area
No. of pane JiW_pgkne of ta of crack sq. ft.
-
7`
7
-------------
Coef. Btu
Infiltration
Coef.
�tv
Infiltration
Exp. wall
Net exp. wall
Glass
Ceiling
_ .
wall
Net exp. wall
Int. wall
Ceiling , f 4
_71�
Floor
Total Btu.
i
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Windows and
No. :Vpldi�h
f
I -
Infiltration,
Glass
Exp. wall
Net exp. wall
1VIINNEAP011S. MINN.
Insulation
Kind How. Applied
omlLength `;r- Width 0� Height
—Cracliage and Area
No. of Lineal ft. Area
lights of crack sq. ft,
Coef. Btu
Int. wall
Ceiling
Floor
Total Btu.
Required, sq. ft. E.M. or sq. ins. W.A. Leader area
FV Room I Length Width Height
Windows and,Doors—Crackage and Area
Width Height No. of Lineal ft. Area
of pang
0
g,pane lights of crack sq. ft.
�7-
7 hl
Coef.. Btu
Infiltration
Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling k'�
Floor
Total Btu'
Required sq. ft. F.,P.R. or sq. ins. W.A. Leader area
Room lLength Width,,4,M_ Height
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of peas,of pane lights of crack sq. ft.
7`
-------------
Coef. Btu
Infiltration
'Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
I Total Btu. 4 41112. _11
City of Fridley
Application for Plumbing and Gas Fitting Permit
Dept. of Bldgs. Phone SU 4-7470
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures Locsti°n �4
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
<K
3
Number Fixtures ....... .............
c�
19
$1 ' U G
Future Fixture Opening ................
x 1.20
$
New Fixture Old Opening ..............
x 1.00
$
Catch Basin ............................
x 3.25
$
UN'
i
`an
U' O
•
F
•
N
WATER HTR.
GAS
ELEC.
Base
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
$
lst
l
1
2nd
3rd
4th
• Future Connection Openings
* New Fixture, Old Openings
I
Connected with
Sewer �
Cesspool Ej
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES:
RATE TOTAL
Number Fixtures ....... .............
x $1.50
$1 ' U G
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
$ F �'
New Ground Run Old Bldg . ............
x 3.25
$
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 $ zt
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 application are true and correct.
Owner
Kind of Building
Used as
To be completed about —
Estimated Cost, $
Oldew. uilding Permit
ROUGH
FINAL
4a 2M
19_
No.
Business Phone No a " $