PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT N° 5176
Date: _ _ '�" "" `4'�."
Owner: Builder AA
... .- -•-�
A�
Address _ _ _ _ _ Address -- - -_-. - - -- —
` } L® TI® O L I G
No. J 1 Street - Part of t
Lot —.2.:, __ Block _ Addition or Sub -Division
Corner Lot __ Inside Lot _ _ Setback __ Sideyard
Sewer Elevation ___ _ __ Foundation Elevation
DESCRIPTION OF BUILDING
To 'Used07 If•
�.
' Front - Depth A&re2 Height % Sq. Ft. Cu. Ft.
onDepth Height
i Sq. Ft. Cu. Ft.
Wil
Type o Construction _ Est. Cost _.. � __" __ eo be Completed
In consideration of the issuance to me of a permit to construct the building described above, I agree to da
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 $1W 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 uponviolation any of the provisions of said
ordinances.
Building Inspector
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see
the Building Inspector for separate permits for these items.
APPLICATION FOR BUIIDING PROaT
CITY OF I!IBYp MINNESOTA
. 1
Owner Is Name Z, -#Ie
Address
NO. Street Part of Lot
7Z7
,�
Lot— Block Addition or Subdivision.Xifa-,41L
s
Corner Lot inside Lot Setback Side -Yard V S� .
SEWER ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and proposed building
location.
To be used
DESCRIPTION OF BUILDING
nA�th — Raieht
l Sq. Ft. %�� Cu. Ft.__, f)
Front Depth Height ,,Zj'
Sq. Ft. Gu. 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 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.
DATE 3 , � ® - J�- ! SIGNATURE
(A Schedule of Fee Costs can be found on the Reverse Sit.)
City of Fridley
Application for P'luanbing and Gas Fitting Permit
Dept. of Bldgs. Phone SU/+7
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures
„,
'
( x $1.50
$ 9�
Future Fixture Opening ...............
j x
1.20
$®
New Fixture Old Opening ..............
x
opZ
�Z
O=
_j
3.25
Z
Z
+
6
WATER HTR.
$
New Ground Run Old Bldg . ............
0
;�
$
��
NO.
RATE TOTAL
1st 3 Fixtures ..........................
o�
$1.50
oo�UQ
Additional Fixtures ....................
x
.50
$
Gas Range to 200,000 BTU ..............
R
N
GAS
EIEC
rn
3�
Base
1st
2nd
_
3rd
_
4th
• Future Connection Openings
Connected With
Sewer �
* New .mixture, Old Openings
Cesspool E]
PARTIAL RATE SCHEDULE
PLUMMBING FIXTURE RATES:
NO. RATE TOTAL,
Number Fixtures ......................
( x $1.50
$ 9�
Future Fixture Opening ...............
j x
1.20
$®
New Fixture Old Opening ..............
x
1.00
$
Catch Basin ............................
x
3.25
$
Water Heater (Up to 200,000 BTiA ......
x
2.00
$
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 $/]
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.
/i_ .
Fridley, Minn—
Owner a
Kind of Building
Used as
To be completed about
i/
196 l
Estimated Cost, $
Old—New. Building Permit No��—� �� Permit No.®�
Signe
By.006
Business P ne No-
ROUGH
o
ROUGH 'q -A Y- � I
FINAL
.94�42 ZM 7-59
J Application for Power Plants and Heating, Cooling, Ventilation, Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SU/4�470
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. 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 $
REMARKS:
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 tru and correct.
Fridley, Minn. � �® 190
-- - ,
0�r.� Ivrc
Kind of
Used as
195—
To be completed about V
Estimated Cost, $ /
Old ew. Building Permit No. \41,
DESCRIPTION OF WORK
HEATING or PO LATS—team, Hot Water, arm Air No
�
Trade Nam
Size No
Capacity .1414 BTU H.P.
Total Connected Load—� ®' Kind of Fue
BURNER — Trade Name Size No
Capacity Sq. Ft. EM.R BTU H.P.
Sign
By ��
11 POST IM -12-58 Business hone No.�/moi ;7-7 :�-
Z