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PRE 2010 DOCSCity, of Fri ,,ley, Afinn. BUILDING i PERMIT N°25 Date:If oo IL Owner: a uuilder - ,�" Address _._..._._._.. ddress � L®. IO F BUILDING Street Lot _. Block _ Addition or Sub -Division _ Corner Lot Inside Lot __ _ Setback_ Sideyard Sewer Elevation _ _ ___._ _ _ ___ ___ Foundation Elevation DESCRIPTION OF BUILDING T Il Used . Front Depth Height _ Y Sq. FL44W Cu. Ft. jFro&n_DepthHe t, Sq. Ft __ cu. Ft. Type of Construction Est .. �,4Z. 00 Pio 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 , 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, 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. Building Inspector NOTICE: This porndt does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building inspector for separate permhs for these hems. 4 Owner r s Address APPLICATION FOR BUILDING CITY OF FRIDLEY, MINNE LOCATION OF BUILDING No.,j4 -7 q Street Part of Lot /yell Lot. Block Block Addition or Subdivision Corner Lot Inside Lot Setback Side -Yard �. SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: FrontU Depth -Z Height Sq. Ft, A ® 0 Cu. Ft. Front epth Height Sq. Ft. Cu. Ft. Type of Construction _ Estimated Cost '�0—/- 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 Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and repretions stated in this application are true and correct. --V 7 (A Schedule of Fee Costs can be found on the Reverse Side.) O Application for Power Plcnots and'Heating. Cooling, Ventilation, ,0 WINEon trod Air Conditioning Systenos and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SU, 4-7470 GRAVITY WARM AIR: RATE TOTAL, Location 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 ............................. .P.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. IDR 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) ....................... 51,00 $ 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 VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL $ See Fee Schedule TOTAL FEE $ City-._of_F°ridley: 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, Minn 19 — Owner _!�#JrO l m® to -els a (0 ®t-) Kind of Building Used as To be completed about �ev- 05 Estimated Cost, $ Oldew uilding Permit No. N v Permit No. i DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Wa , Warm Air, 0 - Trade Names Size No. Capacity Sq. Ft. E.D.R ®®� BTU /lo Total Connected Load p Sind of Fuel IV*-' BURNER — Trade Name Size No Capacity Sq. VE.D.R BTU H.P. Sign 3 __ By _ & az 7M 7.59 Business Phone No - (REMARKS -OVER) \ DEPARTMENT OF BUILDINGS MNNS VOLT. MINN. Construction No. Insulation ' Wall I Ceiling I Roof Floor Kind How. Applied 7 7 - Height II i O Height Windows and Doors—Crackage and Area WIG 11 yl1',$5 79 Width . Height No. of Lineal f . Area No. of pane " of pane lights of crack sq ft. 'HEAT LOSS CALCULATIONS , Weatherstrips S.H.V.E, Q Infiltration Guide Btu Windows Doors Reference Out. Wall Int ;57+ N o I ` e , No ; 19_ Ceiling �" F11 AOXNJ ;,;,*t& Room 1 Length 'Jj Width DEPARTMENT OF BUILDINGS MNNS VOLT. MINN. Construction No. Insulation ' Wall I Ceiling I Roof Floor Kind How. Applied 7 7 - Height II i O Height Windows and Doors—Crackage and Area WIG 11 -_o neignt Width . Height No. of Lineal f . Area No. of pane " of pane lights of crack sq ft. hl s Width Height No. of Lineal ft. Area No ,,,, of pai a '•, of pane' lights of crack sq, ft. Q Infiltration Coef. Btu Infiltration Exp. wall At a Coef.; ~ Glass "< Exp. wall ,. Ceiling Exp. wall Glass L Net exp. wall . �; Exp. wall t Int. wall 7 F Net exp. wall 'Ceiling' Floor' Ceiling & 7} " Total Btu.' M 9r a i,� �: , nwm 4 ;L.engtn F A* WIG 11 -_o neignt Windows; and 'Doors—Crackage and' Area hl . r Width Height No. of Lineal ft. Area No ,,,, of pai a '•, of pane' lights of crack sq, ft. Q Infiltration Glass Coef. Btu Exp. wall At a Coef.; r Btu Infiltration, Int. wall Exp. wall ,. Ceiling Glass L w Iat.:wall Exp. wall t Ceiling 7 F Net exp. wall : N° Int. wall Ceiling Ceiling Floor's ° sr ;Floor ;; .► . r Total Btu. #" Required sq. ft. E.D.R. or sq. ins. W.A. Leader area FIA 51 A'rlA Rnnm I1.Pnoth 0, W;,4th 17 14 ;_ht -6z - Windows and Doors—Crackage and Area 1 - - — - ' �,11, Width Height No. of Lineal ft. 'Area No. of pane of pane lights of crack sq. ft. Windows and Doors—Crackage and Area hl Width Height No. of Lineal ft. Area No, of pane of pane lights of crack sq. ft. Coef. Btu, Infiltration Glass Coef. Btu Exp. wall At a 'Net exp. wall Glass:. Int. wall Exp. wall ,. Ceiling Floor" Net exp. wallis Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader Area Fl 1,��,�`a� �.;'� � .Room Length Width �,�' eig t Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area of pane of pane ligh4a of crack eq. ft. Width Height No. of Lineal ft. Area No, of pane of pane lights of crack sq. ft. Co 9 t Coef. Qtu, Coef. Btu Infiltration ` 17R, Glass:. Glass► Exp. wall ,. Exp. wall 17, Net exp. wall Int.' wall_.. Net exp. wallis " Iat.:wall Net exp. wall Ceiling 7 F Floor '; 'it, .t : N° Total Btu. - 3 Required so. ft. E.D.R. or so. ins. W.A. Leader area Fl.l f f'h f t '' 'Room 1 Length � Width. Height Windows and Doors—Cracka a and Area Width Height No. of Lineal ft. Area Nb: of pane - „of.pane lights:, of crack sq. Width Height No. of Lineal ft. Area of pane of pane ligh4a of crack eq. ft. fir .130 Coef. Qtu, Infiltration Infiltration Glass Glass► Exp. wall ,. Net exp. wall Int.' wall_.. es't Net exp. wall . 7 F Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area & L9 I enl, a L►'11--AL, a12) VU.A*{. ; ". T -7 I Windows, and Doors—Crackage and Area Width Height No. of Lineal ft. Area Nb: of pane - „of.pane lights:, of crack sq. ,' Coef. Btu Infiltration Glass► Exp. wall Net exp. wall Int. wall'. Ceiling Floor's ° sr Total Btu. tired sq, ft. E:D.R. or, sq. ins. W.A. area ,E)46 HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS etak. s MIi '0 MINN. Weatherstrips A.S.H.V.E. 'Construction No. Insulation Guide Windows I Doors Reference Out. Wall llnt.Wall Ceiling NNo 19____ , tl , , ",^. 5 Fl. I1 U� f` :Room I Length31- Width ' ,It' Height `,, Windows and Doges-Crackage and Area - y Width Height No. of Lineal f . Area No., of pane . 'of pane lights . of crack sq. ft. i. ? IRoom I Length .. Width ,# fj-,�. ` Height �'3 Coef. Btu Infiltration s„0 #236, y Glass Exp. wall Net exp. wall' Int. wall Ceiling A" SV 1,4- %11-1 'Ceiling ' Glass'_ a� " Flodr ;...1 1 otal litu. ` t' Required sq. ft. E.D.R. or -sq ins. W.A. Leader area hi A erp....-*'A Room I Length )',4— Width Height Windows: and Doors=Crackage and Area - .. Kind How Applied Width Height No. of Lineal ft. Area o; pane. ,vf pane lights, of crack sq. ft. Fl 1 0,-F2, ? IRoom I Length .. Width ,# fj-,�. ` Height �'3 Coef.1 Btu Infiltration s„0 #236, 1' % Glass .. Ceiling # , V�'1W3•+71.'C" SA, Infiltration_ Exp. wall I"l1v - �L t Glass'_ a� " Net exp. wall Int. wall Ceiling Floor 4, Total Btu. Required sq. ft. E.D.R. "or sq. ins. W.A. Leader area FM Room I Length Width Height Roof Floor - .. Kind How Applied Fl 1 0,-F2, ? IRoom I Length .. Width ,# fj-,�. ` Height �'3 Windows and Doors-Crackage and Area Width No. ofpane Height No of Lineal ft. Area of pane lights;., of crack sq. ft. #236, f Ceiling Coef. - Btu Infiltration_ � "-i Glass'_ a� " Windows and Doors—Crackage and Area - .. Width Height No. of Lineal ft. Area No. of pane of pane lights, J of crack sq. ft. Coef.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 , wall exp. wall Int. wall Ceiling Floor.'" fi ► "`. ,': ,+ Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area ' Fl Doom I Length Width Height Windgws and Doom—Craclrage and Area Width Height No. of Lineal ft. Area' ?No. of pane of pane lightsa of crack sq. ft. ?r Coef. Btu. Infrl"tration Glass4; EXp. Wall Net exp. wall Int..wall Ceiling.. �' w Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.l Room 1 Length .Width Height Windows and Doors—Crackage and. Area Width Height No. of Lineal ft. Area - No. gf pane of.pane lights "of crack sq. ft. Coef. - , Btu Infiltration �. Glass" Exp. wall Net exp. wall 14.'wail Ceiling Floor Total Btu. 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 Bldgs. Phone SU 4-7470 DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE 1 PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 � $ Zda p o Future Fixture Opening ................ -2--x 1.20 $ Z x 1.00 N WATER HTR. GAS ELEG Water Heater (Up to 200,000 BTU) ...... x 2.00 $ 0 New Ground Run Old Bldg. ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL x $1.50 1st 3 Fixtures .......................... �O jF Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ Base 1st 1 2nd _ 3rd _ 4th • Future Connection Openings Connected with Sewer New Fixture, Old Openings Cesspool 1 PARTIAL RATE SCHEDULE 1 PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $1.50 � $ Zda o Future Fixture Opening ................ -2--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 $ 0 New Ground Run Old Bldg. ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL x $1.50 1st 3 Fixtures .......................... Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS --Refer to Code Description ................................................$ =�- TOTAL FEE ,/ d City of Fridley: e The undersigned hereby .makes application for a permit for the work herein specified, agreeing to do al1 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 appkation are true and correct. 1�j Owner Kind of Building Used as To be completed about lope Estimated Cost, $ Old—New. Building Permit No Permit ROUGH ' f - / Z ` (el FINAL az 2M 7-59 Bye Business Phone J SUBJECT PER City of Fridley 13103 AT THE TOP OF THE TWINS PERM r BUILDING RECEIPT NO. `L COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION SEC. 8"7r 1 � NUMBER REV, DATE PAGE OF APPROVED BY � ----1 CITY HALL FRIDLEY 55432 ---- `'� 612-560-3450 910-F15 7/23/75 JOB ADDRESS 5679 Regis Trail .E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 11 2 Parkview Oaks 1st Addition SHEET 2 PROPERTY OWNER MAILADDR,ESS ZIP PHONE Dave Petterson 679 Regis Trail 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. G & M Construction, Xnc. 1908 19 A. Street N.W. 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. Same 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING residential 7 CLASS OF WORK ❑ NEW ❑ ADD TION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK reroof 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, 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, R IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PEf IOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINETHIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORKWILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1,000 .50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLA E OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $6.00 STRUCT N OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE irri� a/C:C�e Oc J O SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) EN PROPERLY ATED T S IS YOUR RMIT BLDG INSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) IDATEI J -APPLICATION FOR RESI'DE'NTIAL., ALTL'RA1'ION, OR ADDITION.BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S MIE : cqo,4> U �•-�,.� BUILVER : ��.�� ov� ADDRESS: bG 7 _� ADDRESS :,�/ ¢�/��%� Applicant attach to this form T%Jo Certificates. ?f Survey .of Lot and.proposed . building location drawn on these Certificates. •HESCRIPTION'OF BUILDING To Be Used As Front: Depth•. Height: Square Feet: Cubic.Feet: ` Front:' Depth: Height: Square Feet; Cubic Feet: • ' Type of Construction: stimated Cost: To. Be Completed: 114 -3o The undersigned hereby makes application -for a permit for the work herein specified, agreeing to do all work in sttict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and herjeby declares that all the facts and representations stated in this application are true and correct. tl • DATE:��' SIGNATURE • .(See Reverse Side For Additional In tion.)' STREET: 10T: iiLOCK:__. ADDITION: BLOCK: CORNER LOT: INSIDE LOT: SETBACK: SIDE -YARD: Applicant attach to this form T%Jo Certificates. ?f Survey .of Lot and.proposed . building location drawn on these Certificates. •HESCRIPTION'OF BUILDING To Be Used As Front: Depth•. Height: Square Feet: Cubic.Feet: ` Front:' Depth: Height: Square Feet; Cubic Feet: • ' Type of Construction: stimated Cost: To. Be Completed: 114 -3o The undersigned hereby makes application -for a permit for the work herein specified, agreeing to do all work in sttict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and herjeby declares that all the facts and representations stated in this application are true and correct. tl • DATE:��' SIGNATURE • .(See Reverse Side For Additional In tion.)' CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND .AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE � v GRAVITY WARM AIR: RATE TOTAL Job Address �h ��S Furnace Shell & Duct Work $12.00 $ $ Replacement of Furnace 7.00 $ 7.00 Repairs & Alterations -up to $500.00 7.00 $ Department of Buildings Repairs & Alterations each add. $500.00 4.00 $ City of Fridley VENTILATING SYSTEMS TO BE COMPLETED ABOUT Tel. #571-3450 MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTU each add. 50,000 BTU Replacement of Furnace Repairs & Alterations -up to $500.00 Repairs & Alterations each add. $500.00 STEAM OR -HOT WATER SYSTEM: Boiler & Lines up to 100,000 BTU each addn. 50,000 BTU Boiler only up to 100,000 BTU each addn. 50,000 BTU OIL BURNER- to 3 gal. per hour each add. 3 gal. per hour GAS BURNER- from 100,000 BTU to 199,999 BTU (over 199,999 BTU see Fee Schedule) The undersigned hereby makes application for a permit for the work herein $12.00 $ specified agreeing to do all work in strict accordance with the City Codes 4.00 $ and rulings of the Department of Buildings, and hereby declares that all the 7.00 $ facts and representations stated in this application are true and correct. 7.00 $ 4.00 $ Fridley, Minn. /49 —,30 OWNER �/ , ��9OV6 0171,J Al GAS FITTING FEES: � v 1st 3 Fixtures $12.00 $ KIND OF BUILDING Additional Fixtures x $ 1.00 4.00 $ Gas Range to 199,000 BTU x $10.00 • $ 7.00 $ USED AS 9 dvt�'4 6.00 $ $ VENTILATING SYSTEMS TO BE COMPLETED ABOUT $10.00 $ S'01 State Surcharge 10.00 $ ESTIMATED COST �® TOTAL FEE $ ®. S® jet' $10.00 $ OLD -. NEW BUILDING PERMIT NO. PERMIT NO. $ "t 6 /7 a .4 GAS FITTING FEES: 1st 3 Fixtures x $ 3.00 $ Additional Fixtures x $ 1.00 $ Gas Range to 199,000 BTU x $10.00 • $ AIR CONDITIONING $ FAN HEATING SYSTEMS See Fee Schedule $ VENTILATING SYSTEMS $ ALTERATIONS $ REPAIRS $ State Surcharge $ .50 TOTAL FEE $ ®. S® i DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, Bot Water, Warm Air- No. Trade Name Size No. Capacity Sq. Ft. EDR Total Connected Load BTU Kind of Fuel BURNER - Trade Name Size No. HP ROUGH INSP. REINSPECTION FEE Capacity Sq. Ft. EDR BTU HP Date 010.00) j CompanyZ° Imo/ FINAL INSP. _ Data Signed By rs2� APPROVAL FOR PERMIT Tel. NO. t�n� C.7 MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE 01 SUBJECT PE City of Fridley 19831 AT THE TOP OF THE TWINS BUILDING PERMIT _ r RECEIPT NO. • ��, COMMUNITY DEVELOPMENT DIV. INSPECTION SEC. oZ D J r � � PROTECTIVE 1 � ` CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY � l 612-571-3450 910-F15 4/17/89 JOB ADDRESS 5679 Regis Trail N.E. 1 LEGAL LOT NO. ll BLOCK 2 TRACT OR ADDITION Parkview Oaks 1st Addition SEE ATTACHED DESCR. SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Moreen Sprungman 5679 Regis Trail N.E. 574-1685 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO, Expert Siding 2635 - 111th Avenue NW, Coon Rapids, MN 55433 754-1504 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 Reside Dwelling 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Aluminum 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,OADINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED$8500 $4.25 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 FANY OTHER STATE OR LOCAL LAW CON- $108.00 STRUCTION ORTHE PERFORMANCE OF CONSTRUCTION. ONEGULATING PLAN CHECK FEE TOTALFEE $112.25 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATEI PROPERLY ALIDATED HIS IS YOUR PERMIT •BLDG )NSP DATE SIGNATURE OF OWNER IIF OWNER BUILDER) (DATEI 01 Construction : a Legal Description: Owner Nan Oontractc Address: Effective 5/1/88 R-1 AND R-2 Building Permit Application n r r-1 < Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. LIVING AREA: Length G A E AMM: Length DEM AREA: Lencith O'T'HER:. S Width Height Sq. Ft. Width Height Sq. Ft. Width Hgt/Ground Sq. Ft. Corner Lot [ ] Inside Lit [ ] Ft. Yd Setback Side Yard setbacks ' Type of Construction: Estimated Cost: Approx. Carnpletion Date: Proposed Driveway Width If New Opening Is Desired: Ft. $ $ C� Width + 6' See Back Page DATE: APPLICANT: Tel. # Permit Fee $ /108. ®O State Surcharge SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main Charge $ STIPULATIONS: CITY USE ONLY Fee Schedule on Reverse Side $.50/$1,000 Valuation $575 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] CITY OF FRIDL.EY INSPECTION DIV. 643'1 University Ave NE Effective On January 1, 1997 y Fridley, MN 56432 APPLICATION FOR POWER PLANTS AND HEATING, COOUNG, VENTILATION, c 572--3604 REFRIGERATION AND AIR CONDITIONING-SYST9M1S AND DEVICES JOB ADDRESS- S—C 7. J 7 RATE WHIEDULE The undersigned hereby makes application (ora permit (or the work herein w Residential Rate TOTAL specified agreeing to-do all work in strict accordance with the laity Cods andro Furnace Shell and Ouct Work, Burner – tulings'of the Building Division, and hereby dectares that all the foots and Also Replacement Furnace $ 30.00 $ Q - `, P . , representations stated In this application are tr�b and corm.: (Side Vent _Fill Out Back) 1997 Gas Pi In (Needed w9h.rfiew furnace $1000-.: : $: �-_-� � :: Cas Mange $ ' t= - ` ': x . � c'' C) c •13UlLDING USED AS Gas Dryer. $1Q $ /� J e �� e t _ `- ESTIMATED COST _ �2PERbiT►C. *AirCondiUoning – AllSzes $25.00 e m DESCRI PTiON OF FURNACE AND B[1RN�R All Others/Repairs & Atterations (LISTON BACK) - a 96 of Value of Appliance or Work $. No. of Ideating nits. ' �- c!e One tSteariaj Water)(Hot .� (Mian Air} R . Trade,l arne L,r 1 tiOlt Size No. Commercial/industrW BTi,-.7 c�oc3 HP r EDR 1.25% of Value of Appliance or Work $ . Fad: o� ( 4 ja. , Total Connected Load State Surcharge $ .50 Burner Trade Name Size No. TOTALFEE �.. S� . SiU HP EDA HEATING COMP Y � r•f KMNIMUM FEE FOR ANY HFATiNGICCOUh[G,,�VMTILATION REFRIGERATIONLAIR CONDIT10NIN0 PERMIT it $25.110 Slgned TeI PWS T IE $.5t} STATE SURCHARGE REINSPECTION FEE $4200 Hr _ 1 / Approved By rough In Date Final Date m Mir Conditioners can not be placed In a side yard without SIL L OUT BACK SIDE P R STACK VERIFICATION ON �A ' vrritten permission frorrh adjoining property owner, R&LACEl MT FURNACE '-Jt,-I ta: y t ";a. 41 t i. ids been y examined Yes . No { } ' ..\nil. ♦ ,.',4'�. '.. .. '' ' 2. U. free from r. ust'or detbrioration Yes No { } Has nio forte objects J i.i� Yes ) 40 { 4. Is securely supported 'Yes No 5. Meets all cluaent Code requirements for size, ami total BTU's,comected Yes (� Not 6 Has total heating BTUs of �^ c3 �o All other BTU'S TOTAL B'TU's 006 7. . Has a. liner been *vvided.for water heater ..Yes { ) 'No 8. kw combustion ` been,Mvided ,>®vate .. r :: ..Yes No 'xT r , �.,.�.:' ..,. � ...� ,. 4 •.fey'. 0:4 ... EO/E0'd LBET TLS ZT9 A31Q I dd d0 AM B sz : zT L66T-2B-inf