PRE 2010 DOCSCity of F idley
Application for Plumbing and Gas Ring Permit
Dept. of Bldgs. Phone SQ 4-7470
1,4a
DESCRIPTION OF WORE
Number, Kind and Location of Fixtur� Location ---5-1,S'-70
e'
x
Z
'rxa�
Oz
Fa�3z
04�
(g
Z
00
s
F
6
N
WATER HTR.
GAS
ELEC.
O
Base
1st
2nd
3rd
4th
° Future Connection Openings
Connected with
e New Fixture, Old Openings
Sewer 0
Cesspool
PLUMBING FIXTURE RATES:N RATE TOTAL
Number Fixtures ...................... 7 x $1.50 $ o2 cJ
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) ...... Z x 2.00 $ y
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 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.
Fridley, Minn ® '-?'z 1
Owner _ -44'..' - '
Kind of Building &�n zz
Used as
To be completed about
Estimated Cost, $
Old-e'e,wj Building Permit No e Permit No.
ROUGH
FINAL
Phone No
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 $
24ECH. 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 $
I IL 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
$ N!
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
$
ROUGH—
Si L
OUGH
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 are true and correct.
Fridley Minn �� 18
Owner
Kind of Building CS
ara` _JA'.
Used as
To be completed about 'Z L-0-ji r
Estimated Cost, $ / *207 40 L S. _
Old New Building Permit No. ® Permit NO.-��
DESCRIPTION OF WORK
HEATING or POWER PLANTS --Steam, Hot Wa , War�Air---
'
Trade Nam °t d_� —' Size NoZ zs-0
Capacity Sq. Ft. E.D.R.Z10 e &_" BTU H.P.
Total Connected Load � Kind of Fuel
BURNER — Trade Name Size No
Capacity Sq. Ft. E.D.R BTU H.P.
(REMARKS -OVER)
Sign "Y N .WELTER HEATING 00.
4637 CHICAGO AVE.
By— L-� W1WN5rSnTA
4? 2M Business Phone No
Compliments of North Central Public: Service.,
BEAT LOSS CALCUI.ATI®NS i" '•"'- •— � �
DEPARTMENT OF BUII,DIN
Weatherstrips A.S.H.VX Construction No.
Guide
Vygidows Doors Reference Out. Wall Int. WallCeiling Roof I
- CITY
`IIS � �-� •��
19 ....
Fl. Room Len�7 Width/'? .p Height { � . Room I Length/ ' - Width �`� Height' �'..
Windows and
Doors—Crackage and Area
_
No.
No..
Width
of pane
Height
of pane
No. of
lights
Lineal ft.
of crack
Area
sq. ft.
�. $py
'. °
�jsq.
59
+�*•
a
ViOT
Btu
Infiltration
R
ICoef.1
Btu
Infiltration
Infiltration
Glass
Btu
Glass'
}.
Exp. wall .
k
Exp. wall _ �.,
Net exp.. wall
,
Exp• wall
Net exp. wall
Int. wall
Exp. wall A
,1- ;
>,41
Int. wall
Net exp. wa13
Int. wall
Net exp. wall•
Floor
Ceiling' lr
h'' `
Int. wall
. ' .
Floor
RP`
.
Ceiling
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
I Fl. 11- sa f' Room I Leng l ,— ' Width ' Height ;
Windows and
Doors=Crackag and Area'
No. of
lights
No.
Width
of pane
Height
of pane
No. of Lineal ft
lights of crack
Area
I sq. ft.
Lineal ft.
of crack
Area
ft.
�. $py
'. °
�jsq.
59
+�*•
a
ViOT
Btu
Infiltration
R
Coef.
Btu
Infiltration
Infiltration
Glass
Btu
Infiltration
}.
Exp. wall .
a ;.
Net exp. wait
Net exp.. wall
Exp• wall
Int. wall
Int. wall
Exp. wall A
Ceiling k�
Net exp. wa13
Int. wall
Net exp. wall•
Floor
Total Btu.
Int. wall
Required sq. ft. E.D.R. or sq.. ins. W.A. Leader area
Fl. I a �, .� Room I Length 91 . Width If ffi Height �
Windows and
Doors—Crackage and Area
No. of
lights
..
No.
Width
of pane
Height
of pane
No. of
lights
Lineal ft.
of crack
Area
ft.
�. $py
'. °
�jsq.
59
+�*•
a
ViOT
Btu
Infiltration
R
Coef.
Btu'
Infiltration
Coef.
Btu
Infiltration
1,0
Glass;
a ;.
Net exp. wait
Glass'
Exp• wall
-
Int. wall
Exp. wall A
Net exp. wa13
Int. wall
Net exp. wall•
- ..
Int. wall
a
RP`
.
Ceiling
FL I o% y+w• Room
I Length `°Width Height
Windows
Floor
Doors—Crackage
and Area
Total Btu.
Required sq. it. E.D.R. or sq. ins. W.A. Leader
Windows and Doors--Crackage and Area
Width Height
of pane of pane
No. of
lights
No.
Width Height
of pane of pane
No. of
lights
Lineal ft..
of crack
Area
sq. ft.
�. $py
'. °
59
+�*•
Coef.
Btu
Infiltration
R
Coef.
Btu'
Infiltration
Exp. wall`
3 :7
1,0
Glass;
Net exp. wait
Exp• wall
-
Int. wall
Net exp. wa13
Int. wall
Ceilingf
- ..
Ceiling ; d
Floor
RP`
.
Total Btu. A y 61-V
Required sq. ft. E.D.R. or sq., ins: W.A. Leader area
�° 1. Length'* !Width Height
Windows and Doors--Crackage andArea
No.
Width Height
of pane of pane
No. of
lights
Lineal ft.
of crack
Area
sq. ft.
� s
�t
�. $py
Coef.
Btu
Infiltration
R
Glass
Exp. wall`
Net exp. wait
' +
Int. wall
Ceilingf
- ..
Floor
Total Btu.
Required sq ft. E.D.R. or sq. Ins. W.A. I det• area
FL I o% y+w• Room
I Length `°Width Height
Windows
a
and
Doors—Crackage
and Area
No,
Width
of ane
Height
of pane
No. of
lights
Lineal ft.
of crack
Area
sq. ft.
!�
Coef.
Batt
Infiltration
Glass."'
Exp. wallf
.A�
Net exp. wail
J '
Int. wall
Ceiling
le
Floor`
t
II Total Btu.
sq. ft. E.D.R. or sq. ins. W.A. Leader area
GMAVITT WARM AIR:
RATE TOTAL
Furnace Shell & Duct Work ...........................$10.06
$
Replacement of Furnace .............................
6.00 $
Repairs & Alterations—up to $500.00 .................
6.00 $
Repairs & Alterations each add. $500.00 ...............
3.00 $
WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $
each add. 60,000 BTU ....................... 3.00 $
Replacement of Furnace ............................. 6.00 $
Repairs & Alterations�up to $500.00 ................. 6.00 $
Repairs & Alterations each add. $500.00 .............. 6.00 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines --to 400 sq. ft. EDR Stearn .. .$10.00 $
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water 10.00 $
Each add. 200 sq. ft. FDR Steam ...............:...... 3.00 $
Each add. 320 sq. ft. EDR Hot Water :........... 3.00 $
OIL BURNER—to 3 gal. per hour .... ... 6.00 $
over 3 gal. per hour ---See Fee Schedule
GAS BURNER (up to M,000 BTU) ....................... 600 $
over 189,000 BTU See. Fee Schedule
GAS FILING FEES: NO RATE TOTAL
1st 3 Fixtures x$ 2.00 $
Additional Fixtures x .75 $
Gas Range to 198,000 .......... 3i$'.
600 $
ROUGH
Dept. ofBldga. Phone 380-3480
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 Ordinance.
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,
owner /u/ U
Kind of Building
Used as
To be completed about
Estimated Cost, $
Old—New. Building Permit No. Permit No.
HEATING or POWER, PLANTS—,Steam, Hot Water, Warm Air—No
Trade Name Size No
Capacity Sq. FL F,.D.R BTUA H.P.
Total Connected Load_ Kind of Fuer
BURNER — Trade blame Size No
(REMARKS -®VER)
Original
PERMIT for Power P ants and Heating, Cool-
ing, Ventilation. Refrigeration and Air
Conditioning Systems and Devices
DESCRIPTION OF WORK
No. of Heating Plants to be installed—altered—repaired
Make ,Size ;
Oil fired—, Coal fired ; Gas fired—; Gas Authorization No.
Remarks a�-J-al
Approved by.
Final Inspection Date , 19_
Inspector
Permit N? - - 4699
Fee $ /0.00 -
Office of the Inspector of Buildings
City of Fridley
City of Fridley, Minn. 192L
Owner
Location .� 1�� �• �.
Or
Kind of Building_ A
How Occupied
Work to be Commenced—, 19—
To be Completed /�,19
Estimated Cost, $1-510,
(OPNew, Building Permit No.
Permission is hereby granted toinstall—erect—use the material and devices described in the
above statement. This permit is granted upon the express Qhdition that the person to whom it is granted, and his agents, employees and workmen, in all the work
done and materials used under this permit, and in the operation of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley
relating to or governing the work to be done and the operation of the devices herein named, and to the specifications set forth in the approved application for this
permit on file in the office of the Inspector of Buildings. l '
.�_
�01�0 ,j�f.�-cInspector of Buildings
42 Z� 1 �'E!% v
CITY OF FRIDLEY
Effective Date May 1, 1988
APPLICATION FOR POWER PLANTS AND HEATING,
COOLING, VENTILATION, REFRIGERATION AND
AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
RESIDENTIAL
RATE
TOTAL
Job Address 5250 Taylor St.N.E.
Furnace Shell and Duct
20.00
furnace)
Burner (Also replacement furnace) $
20.00
$
Department of Buildings, 6431 University Ave. N.E., Fridley, MN 55432
Y Y
City of Fridley
Gas Piping $
10.00
$
Tei. 8571-3450
(piping needed with new furnace)
Gas Range $
10.00
$
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
Gas Dryer $
10.00
$
and rulings of the Department of Buildings, and hereby declares that all the
facts and representations stated in this application are true and correct.
• Air Conditioning (all sizes) $
10.00
$ _
Fridley, Minn. October 3.198— , 19_
All Others/Repairs and Alterations
OWNER William Job
li of Value of Appliance or Work
$
KIND OF BUILDING Residential
COMMERCIAL/INDUSTRIAL
USED AS
lit of Value of Appliance or Work
S
TO BE COMPLETED ABOUT 10-4-89
ESTIMATED COST $2,325.00
State Surcharge
$ .50
OLD - NEW BUILDING PERNIT NO. PERMIT NO. /03
TOTAL FEE
$20.50
Reinspection Fee ($15.00)
$
DESCRIPTION OF FURNACE/BURNER
Rough Insp.
Date
HEATING or POWER PLANTS, Steam, Hot Water, Warm Air- No. j
/�
1-3 ®3Tl
Trade Name Lennox size No. G16Q 4/5 12 ,
Final Insp. (J
�
Date
Capacity Sq. Ft. EDR BTU 125,000 HP
Approval for Permit
Total Connected Load Kind of FuelNatural
Gas
BURNER - Trade Name Size No.
Capacity Sq. Ft. EDR BTU HP
MINIMUM FEE FOR ANY HEATING PERMIT IS
$15.00,
Company Cronstroms H_ pnting
PLUS $.50 STATE SURCHARGE
Signed By
Tel. No. 920-3800
*Air Conditioners can not be placed in side yard without
written permission from adjoining neighbor.
Fill out back side for stack verification on replacement furnaces
/
t
CHIMNEY AND STACK VERIFICATION
The undersigned hereby verifies that the existing chimney or stack;
1.
'Has .been. carefully examined
Yes
(X)
No ( )
2.
Is free from rust or deterioration
Yes
(X)
No ( )
3.
Has no foreign objects lodged within
Yes
k
No ( )
4.
Is securely supported
Yes
(x)
No ( )
5.
Meets all current Code requirements for size and
total BTU connected -
Yes
(X)
No ( )
6.
Has Total heating BTU's of 125,000
All other BTU's 4n, nn
TOTAL 166.000
Remarks 61' Class s
Company Cronstroms Heating and-Air-Cond.
Signed By
Date 10-3-89
CRONSTROMS . HTG. St AIR CON D.r INC. Job Name_ t
D-56 4410 Excelsior Goolovaril, Minneapolis 16, Minn. tr 2 e^ ® ` y t d e S A- N G..
MEAT LOSS CALCULATIONS Job Address J :
Weatherstrips _ Glade Construction No. I Insulation
Windows Doors Referenu Out. Wall Int. Wall Ceding Roof Floor I Kind How Applied
Yes- o I Ye—� 19—
1 1:11 0► ► Rnn.n I Lenatlk Width Height 193ASI1.1 dt_.L... Room ILength Width Height
Windows and Doors—Crackage and Area
// 1
J
Width Helght I No. ofLineal ft.
No. of pane of pane lights pt crack
Area
sq. ft.
/
3 dar S 60
1 60 Llrr l 38'
4(.
4e ao &1 Fr
31-
1-1 -2.. ®
Btu
Infiltration
Infiltration
6/ 0
Coef. Btu
Infiltration
Glass
Ceiling
30 7
`lQ
1q 7
Glass
sl &-
7008,
Exp. wall
11
Net exp. wall
Exp. wall
(1 S7
T
12 T156
Int. wall
Net exp. wall
$ ` 6 y
Ceiling
livX0
Int. wall
S,1 6
Floor
Ceiling
Ceiling
Floor
Floor
S
41160
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 Helght No. of Lineal ft. Area
No. of pane of pane lights of crack sit. ft.
Width Height No. of Lineal ft. Area
No. of pane of Lane lights of track sq. tt.
Z1 re 30
3 dar S 60
Z 6® Y Fr' ! 3 Fr V6
Coef.1 Btu
Infiltration
Coef.
Btu
Infiltration
Infiltration
Net exp. wall
4
151514,
Glass
Ceiling
30 7
`lQ
1q 7
Exp, wall
sl &-
7008,
Exp. wall
11
Net exp. wall
(1 S7
T
12 T156
Int. wall
$ ` 6 y
Ceiling
livX0
13 1
S,1 6
Floor
Ceiling
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area `{ 60?08.
F1.1 Room I Length Width Height
Windows and Doors—Crackage and Area
Width Helght No. of Lineal ft. Area
No. of pane of pane lights of crack sit. ft.
width Height No. of Lineal It. Area
No. of pane of pane lights of crack sq. ft.
'Y V-
Z 6® Y Fr' ! 3 Fr V6
Coef.1 Btu
Infiltration
Glace
Coef.
Exp. wall
Infiltration
Net exp. wall
r 6j;
Int. wall
? 5
Ceiling
Glass
Floor
Tbtal Btu.
Required sq. ft. E.D.R.'or sq. ins. W.A. Leader area
Windows and Doors—Cmckage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft.
width Height No. of Lineal It. Area
No. of pane of pane lights of crack sq. ft.
'Y V-
Z 6® Y Fr' ! 3 Fr V6
•Z d oa,
Infiltration
0
Coef.
Btu
Infiltration
Net exp. wall
r 6j;
Int. wall
? 5
G S$ Z
Glass
Floor
l v L
sl &-
7008,
Exp. wall
Net exp. wall
$ ` 6 y
Int. wall
Ceiling
Floor
/FZ.o
S
41160
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 2" 3 Z y
PLI Roam 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. Bto
Infiltration
Glass
Exp. wan
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
1F1_I Roam I Iinath Width Height
Windows and Door--Crackage and Area
Width Height No. of Lineal ft. Area
Ne. of pane of Paas lights of crack sq. tt.
Coef. Btu
Infiltration
Glass
Exp. wall
Net exp. wall
Int. wan
Ceiling
Floor
Total Btu.
Required'sq. ft. E.D.R. or sq. ins. W.A. Leader area
HOUSE HEATING TEST RECORD
;ESS 5250 Taylor St. N.E. APT FLOOR CITY SUBURB Fridley
OCCUPANT WILLiam Job OWNER_ stamp
HEAT LOS 'ons romps IiAatinZ '&INRs r on aC. INSTALLED gy R BADGE
SOLD BY
Electrical Work By— Gas Line By, - -- - --
TYPE OF HEAT GA— FA__ HW STEAM-- SPACE HTR. UNIT H HER
GAS DESIGN CONVERSION
OF BURNER
Seria ffi
Max. BTU Rating
INPUT
MAKE OF FURNACE
-
Model
CONTROLS
R
THERMO T a Plug 8
!�
Vent Size
Valve
KIND OF LIN
SIZE NONE
Limit
raft Hood
Regulator
Limit Setting �
Filters Size ��/�- �' �� Number
Fan Setting_ 4L� ®
Chimney Location Inside
Outside
Pilot Type- `'��- ��®�®�
chimney Construction A
Pilot Make
Pilot Mode
Smoke Bomb
Wiring L�
Pilot Timing �. �Go; a
Draft
Test Tag L/
L.W. Cut Off
Door Pressure
Lighting Inst
Pressured — Percent CO2
Date Tested
Input CFH ,Z; Z Percent 02
Company Testing
Stack Temp Percent CO
Name of Tester
NA
SUBJECT
P .-.�
City of Fridley-
2
AT THE TOP OF THE TWINS
BUILDING
PERMIT
r
i
�
RECEIPT NO.
I COMMUNITY DEVELOPMENT DIV
r I ~ PROTECTIVE INSPECTION SEC
4
CITY HALL FRIDLEY 55432
NUMBER
REV
DATE
PAGE OF
APPROVED BY
L 612-571-3450
910-F15
11/22/9
JOB ADDRESS 5250 Taylor Street NE
I LEGAL
LOT NO.
BLOCK
TRACT OR ADDITION
SEE ATTACHED
DESCR.
17
1
Marion Hills 2nd Addition SHEET
2 PROPERTY OWNER MAIL ADDRESS
ZIP PHONE
Bill/Gloria Job 5250 Taylor Street NE
572-0828
3 CONTRACTOR MAIL ADDRESS
ZIP PHONE LICENSE NO.
Allstar Construction 3315 N Hwy 100 M ls. MN 55422 593-5325 3247
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
X
8 DESCRIBE WORK
Reroof House 33 Sq) Tear -Off
9 CHANGE OF USE FROM TO
STIPULATIONS
Underlayment must comply with the State
Building Code.
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, 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 ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED
WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT
$2,722
$1.36
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-
STRUCTIO R HE PEPAORMANCE OF CONSTRUCTION
$74.75
Fire SC $2.72
--
PLAN CHECK F
TO L FEE
U7.1cense
YC
$83.83
S T E OF CONT RACTOR OR AUTHORIZED AGENT (DATEI
N PR
7. L G INS
LY VVA IDY,E{,D�THIS IS YOUR PERMIrT
pA7E
SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI
NA
NEW [ ]
ADDN [ ] CITY OF FRIDLEY
ALTER [ l SINGLE FAMILY AND DUPLEXES R-1 AND R-2
Building Permit Application
ConstructionAddre
Legal Description:
Effective 3/1/96
Owner Name & Address: D, 6 I � (s)
Contractor:
Address: '�'3 / /� J .•.,., l
Tel.# 57Z-062�
MN LICENSE # - Z.Y 7
Tel. # 5-,q !? - 5'"3 Z
Attach to this application, a Certificate of Survey of the
lot, with the proposed construction drawn on it to scale.
DESCRIPTION OF IlVIPROVEMENT
LIVING AREA: Length Width Height Sq. Ft.
GARAGE AREA: Length Width Height Sq. Ft.
DECK AREA: tength Width Hgt/Ground Sq. Ft.
OTHER: J ,C� �,' — 33
6'
Corner Lot [ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks
Type of Construction: J.Q dFG r- Estimated Cost: $�%a.
Approx. Completion Date:
(Cost: on Back)
Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $
DATE: 72 j5 APPLICANT: (q . Tel. #3.5 32�;
Permit Fee
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Driveway Escrow
Erosion Control
Park Fee
Sewer Main Charge
TOTAL
STIPULATIONS:
CITY USE ONLY
$ - �— Fee Schedule on Reverse Side
.001 of Permit. Valuation (1/10th%)
$ / .36P $.50/$1,000 Valuation
$ $900 per SAC Unit
$L � 00 $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 [ ]
BUILDING PERMIT FEE SCHEDULE
The Chief Building Official shall, before issuing permits for the erection of any building or structure, or for
any addition to any existing building or structure, or for any alteration or repair to any existing building or
structure, upon application therefore, require the payment by the applicant for such permit of fees to the amount
herein below set forth and in the manner herein provided to -wit:
,TOTAL VALUE
$1 to $500
$501 to $2, 000
$2,001 to $25,000
$25,001 to $50,000
$50,001 to $100,000
$100,001 to $500,00.
$500,00.1 to $1,000,000
$1,000,001 and up
$21 (Minimum Fee is $21 plus surcharge)
$21 for first $500 plus $2.75 for each additional $100 or
fraction thereof, to and including $2,000
$62.25 for first $2,000 plus $12.50 for each additional $1,000
or fraction thereof, to and including $25,000
$349.75 for first $25,000 plus $9.00 for each additional $1,000
or fraction thereof, to and including $50,000
$574.75 for .first $50,000 plus $6.25 for each additional
$1,000 or fraction thereof, to and including $100,000
$887.25 for first $100,000 plus $5.00 for each additional
$1,000 or fraction thereof,..to.and including $500,000
$2887.25 for the fust $500,000 plus $4.25 for each additional
$1,000 or fraction thereof, to and including $1,000,000
$5012.25 for the first $1,000,000 plus $2.75 for each. additional
$1,000 or fraction thereof
DRIVEWAY DEPRESSION ESCROW
(Concrete Curb Streets Only)
Alternate "A": Removal and replacement of curb and gutter only - Driveway width plus 6 feet times $13.50.
Alternate "B": Removal and replacement of curb and gutter and install a 3 foot wide
approach with 6 inch depth - Driveway width plus 6 feet times $15.75.
VERIFICATION OF FOUNDATION
Permits for construction will be issued a minimum of 24 hours from the time of application to allow for proper
review of the proposed structure and of the construction site.
A Certificate of Survey of the lot, showing the location of the foundation once it has it has been constructed
will be required before proceeding with the framing.
(EAF-477
CITYOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (612) 571-3450 • FAX (612) 571-1287
August 9, 1990
William and Gloria Job
5250 Taylor Street N.E.
Fridley, MN 55432
RE: Property at 5250 Taylor Street N.E.
Dear Mr. and Mrs. Job:
On July 1, 1990, the City of Fridley beg&n a new program called
Systematic Code Enforcement. This program is designed to provide
fair and equitable code enforcement, improve the City's appearance,
and maintain property values by creating a more attractive suburban
environment. Under this program, all properties in the City will
be inspected approximately once each year to ensure that they are
in compliance with the Fridley City Code.
A recent inspection of your property revealed that not all Code
requirements are presently being met. Listed below are item(s)
which do not comply with the Code:
1. Discontinue outside storage of materials under tarp and part
of utility trailer located in side yard.
Your prompt attention in correcting this problem would help us in
our effort to improve the City. A reinspection will be conducted
on or about August 23, 1990, at which time compliance is
anticipated. Please call me at 572-3595 if you have questions or
wish to discuss this further. Thanks for your cooperation!
Sincerely,
Steven Barg
Code Enforcement Officer
SB:ls
C-90-603
Y.
City 1FricHey,T n
B
1PERMIT
Date:
l %!
e 1'.�;:( _%� �:�� .��/cii' 1 • �2.q j//iZa �l i%til
AddressAddress
OCATI F B.r
L®ING
No. S ____ P of Lot
Lot _ __ Block Addition or Sub -DivisionAl
_
Corner Lot Inside Lot Setback -- jjL-- _ Sideyard
Sewer Elevation _ _L 12 ® mon Elevation 2 6 5" J °
Tor at' F.e-r1n16.
In consideration of the issuance to me of a permit to construct the building described above, I agree io do
the proposed work in accordance with the description above set fo and in compliance with�¢ll provlatons of
ordinances of the city of Fridley. r „ 4
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 pari thereof, shall conform in all respects to the ordinances of
Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings
owithin the
rdinances city limits and this permit may be revoked at any t�im�e violalaeu of any of the provisions of said
Building Inspector
NOTICE:
Ibb permit does not ewer the eonstrucdon, hutallation for vrtrtag, plumbing, on heathlg, smer or webr. Be sore to we
the Building hopestor for separate permits for these Henn.
It , 16
APPLICATION FOR.BUILDING;PF;T
CITY OF FRIDLEY, MINNESOTA.
LOCATION OF ;BUILDING-
No,Street ��lL� 1?a�cti of Lot
Lo.tBrock Addition or Subdivi,s ion
Corner Lot Inside Lot�Setback_ Side;Yard.
SEWER ELEVATION FOUNDATION ELEVATION
Applieant,attech.,to this form Two Certificates of Survey of Lot and proposed build-
ing.location drawn, -on these -Certificates.. +'
DESCRIPTION OF BUILDING
To be used as:
Front, i Depth Height,
Sqi Ft... Cu..Ft.`.
Front Depth Height
Sq., 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 anil.correct.
DATE SIGNATURE
(Schedule of Fee Costs can be found on the Reverse Side).
R
BUILDING PERMIT FEE SCHEDULE
Section 2. The Inspector of Buildings shall, before issuing any permit for
the erection of any building or structure, or for any addition to any exist-
ing building or structure, or for any alterations or repairs to any existing
building or structure, upon application therefor, require the payment by the
applicant for such permit of fees to the amount herein below set forth and
in the manner herein provided to -wit:
2.1. For any such permit for the erection of any fire -proof building, other
than a. -garages warehouse, factory or grain elevator, or for the erection of
any fire -proof addition, for similar occupancy, to any existing building
shall be at the rate of $1.40 for each one thousand cubic feet, or fraction
thereof, in such cubical contents.
2.2. For any such permit for the erection of any fire -proof garage, -warehouse,_
factory or grain elevator, or for the erection of any fire -proof addition,
for similar occupancy, to any existing building shall be at the rate of $1.25
for each one thousand cubic feet, classified as "fireproof" by Section 502 of
the -Minneapolis Building Code..
HOUSES
2.3. For any such permit for the erection of any non -fireproof building other
than a garage, warehouse, factory or grain elevator, or any, non -fireproof
addition, for similar occupancy, to any existing building - permit $1.00 for
each one thousand cubic feet.
GARAGES
2.4. For any such permit for the erection of any non -fireproof garage,
warehouse, factory or grain elevator, or for the erection of any non -fireproof
addition, €or similar occupancy, to any existing building or for each such
building or addition - ninety cents ($0.90) for each one thousand cubic feet
or fraction thereof, in the cubical contents thereof with a minimum of $4,00..•
For the purpose of computing fees for building permits, the cubical contents
of any building or addition to a uniform height throughout by multiplying the
ground area covered from a point six (6) inches below the floor line of.the
basement or cellar to the average height of the upper surface or to the
average height of the roof surface of the maim gable of a pitched roof.
2.5. For repairs or alterations to an existing structure, the fee shall be
at the rate of $3.00 per each Five Hundred Dollars ($500.00) or fraction
thereof in the cost of all proposed work.
2.6. In no case shall the fee__charged-.for any permit. as set forth in
Section 2 be less. than $4-.00.
CITY OF FRIDLEY INSPECTION DIVISION
6431 University Ave NE
Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
763-572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES
RATE SCHEDULE
Residential
Furnace Shell and Duct Work, Burner -
Also Replacement Furnace
(Side Vent - Fill Out Back)
Gas Piping (Needed with new furnace,
but not replacement)
Gas Range
Gas Dryer
*Air Conditioning - All Sizes
All Others/Repairs & Alterations (LIST ON BACK)
1% of Value of Appliance or Work
Commercial/Industrial
1.25% of Value of Appliance or Work
JOB Al
OWNE
0=p/ a 7r
Effective On January.1,.2001
Rate TOTAL
BUILDING USED AS moo► �� �� S
$ 30.00 $
ESTIMATED COST �U®• PERMIT NO. -
$10.00
O.$10.00 $
DESCRIPTION OF FURNACE AND OR BURNER
$ 10.00 $
$ 10.00 $
$ 25.00 $ 9W. °7'
State Surcharge
TOTAL FEE
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00
PLUS THE $.50 STATE SURCHARGE
REINSPECTION FEE $47.00/Hr
*Air Conditioners can not be placed in a side yard without
written permission from adjoining property owner.
$ .50
No. of Heating Units -1 Circle One (Steam) (Hot Wate=(WarmAir)
Trade Name `FRAAJE Size No.
BTU �,9_014 Q6Q HP EDR
Fuel D _ Total Connected Load
Burner Trade Name Size No.
BTU HP EDR
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 an
rulings of the Building Division, and hereby declares that all the facts and
representations stated in this application are true and correct.
Ti
DATE �� / - 6 /
TEL # ��
Approved By Rough -In Date Final Date
BACK SIDE MUST"BE FILLED IN ON VENT SIZE, VENT CONNECTORS
AND COMBUSTION AIR VERIFICATION
COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION
When replacing an existing furance, the undersigned hereby verifies that the
venting has been examined and is free from rust, deterioration, obstructions,
and is securely supported and firestopped where required.
Yes ( ) No ( )
The venting system is plastic/PVC and meets all current codes and manufacturer
specifications including sizing, length, number of elbows and termination.
Yes ( ) No ( )
The undersigned also verifies that the replacement unit is a listed assembly
and meets the current codes and manufacturer's specifications. This does
include AGA-GAMA Category I Central Furnace Venting Tables for fan
assisted and natural draft appliances.
Yes ( ) No ( )
The existing combustion air is sized and installed to meet the current codes
and manufacturer's specifications.
Yes () No ( )
When required to install a new combustion air, it will be sized and installed
to meet the current codes and manufacturer's specifications.
Yes () No ( )
When installing a new venting system, the undersigned hereby verifies that
it is a listed assembly and meets the current codes and manufacturer's
specifications. This does include AGA-GAMA Category I Central Furnace
Venting Tables for fan assisted and natural draft appliances. Yes (} No ( )
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented
separately as per current codes. Yes ( ) No ( )
Appliance Type and SizefCommon Vent and Vent Connector Information
Appliance #1 Type BTU Input Fan Assisted or Nat
Appliance #2 Type BTU Input Fan Assisted or Nat
Appliance #3 Type BTU Input Fan Assisted or Nat
Total Appliances Total Btu Input
Common Vent Type
Vent Height Diameter inches
Appliance #1 Vent Connector Height ft Length ft Diameter in Type
Appliance #2 Vent Connector Height ft Length ft Diameter in Type
Appliance #3 Vent Connector Height ft Length ft Diameter in Type
ALTERATIONS: (Describe)
HEATING CO:
SLgned By: Date :
t
CIIYOF
FRIDLEY
FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY ` '- 4
TSG TEST OCDR
SES' Cr�Y
OWNER
vS'TALLED gY
XVDOSS ISG VST H ��OTIIER
OCCUPANT �® DATE . 3
SAT LOSS WORK EY SIAM
ELEC�CAL GA (— )6 FA —
TypB OF HEAT _
SPACE11% AGN S
M- DIY
MODEL C� NONE CNAME OF
SAN
KIND OF LVR PERCENT CO2
2
P
PERCENTOCID
i
CIVR.
VV�
_.",uirwe
_Yu c roe permit and no
_ V nave any questions answered, please contact the Building
—.yision at (763) 572-3604.
DJ/mh
CITY OF FRIDLEY
6431 UNIVERSITY AVENUE NE
FRIDLEY, MN 55432
572-3604 FAX: (763)571-1287
ADDRESS 5250 TAYLOR ST NE
PIN 253024220036
LEGAL DESC MARIAN HILLS 2ND ADD
LOT 17 BLOCK 1
PERMIT TYPE BUILDING
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYPE : DECK
PERMIT(NO.: 2 04-0136 4
DATE ISSUED: 08/18/200408/18/2004
VALUATION : $ 5,013.00
NOTE: SEE NOTATIONS ON PLAN.
CALL GOPHER STATE ONE AT 651454-0002 FOR UTILITY LOCATIONS. CONSTRUCT A 28'X 14' DECK.
STATE LICENSED CONTRACTOR 1
APPLICANT
MIDWEST VINYL SYSTEMS (20297950)
1301 208 ST
ST CROIX FALLS, WI 54024 -
OWNER
JOB WILLIAM M & GLORIA D
5250 TAYLOR ST NE
FRIDLEY, MN 55421
AGREEMENT AND SWORN STATEMENT
This permit becomes null and void if work or construction
authorized is not commenced witin 60 days or if construction
or work is suspended or abandoned for a period of 120 days
at any time after work is commenced.
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of worl
will be complied with whether specified herein or not. The
granting of a permit does not presume to give authority to
violate or cancel the provisions of any other state or local law
regulating cons tion or the performance of construction.
ADnlicangl I Date i i
Bldg Insp.
BUILDING PERMIT FEE
125.25
PLAN CHECK FEE
81.41
FIRE SURCHARGE
5.01
STATE SURCHARGE, VALUE
2.51
LICENSE SURCHARGE
5.00
TOTAL
219.18
PAID WITH CHECK # 1876
SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.
• 0E105/2004 08:33 7154839379MIDWEST `� it-f87� PAGE 01
JUL-30-2004 12:17 CITY OF FR I DLEY � �� /h) ��cl P . X03
NEW ] CITY OF FRIDLEY Effective 411/2004
ADDN [ j 6431 UnUversiity Ave NE, Fridley, MN 55432 (763) 572-3604 Bldg Insp
ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND P,2 (763) 571-1287 Fax
BUILDING PERMIT APPLICATION
Construction Address:
Legal Description,-
Omer
escription,owner Name & Ad--/dnLc��: Tel. # 6 3 57�• 4�'a'�
Contractor. IG%S : MN LICENSE # aoa 9 �gSr�
Addn s: %� . t'�S�C� � f Ff /Zra Tel. 0?/vim
LMNG AREA:
GARAGE AREA:
DECK AREA:
OTHER
Attach to this application, a Certifioate of Survey of the
bt, with the proposed construction drawn on it to scale.
DESCRIPTION OF IMPROVEMENT
Length Width Height„_ Sq. Ft.
Length Width Height _ . Sq. Ft
Length Width a l HgtlGround - Sq. Ft. o
Construction Type: tt Estimated Cost;
Driveway Curb Cut Width Needed: Ft + 6 R,; = Ft x $ $
DATE: APPUCANT: Tel. #
Call (M) 572.3604 for Pennit Fees if mating in application. Fax to 763.671.1287 If using credit card and we w111 call
you for card number.
CITY USE ONLY -
Permit Fee
Plan Review
Fire Surcharge
State Surcharge
SAC Charge
License Surcharge
Curb Cut Escrow
Erosion Control
Park Fee
Sewer Main Charge
Fee Schedule on Reverse Side
55% of Permit Fee
,001 of Permit Valuation (1/10t %)
$.50/$1,000 Valuation
$1350 per SAC Unit
$5.00 (State Licensed Residential Contractors)
Alt, "A" or Aft. "Qi" Above
$450,00 Conservation Plan Review
Fee Determined by Engineering
Agreement Necessary [ ] Not Necessary [ ]
TOTAL $ ® 9DPULATtONS:
08/05/2004 08:33 7154839379 MIDWEST
Sold -H101
All Decked Out
IRC w/ state amendments
Standard Codes Practices
1) All piers 42" deep (concrete)
2) All handrails rain. 36 77 tall
3) No gaps in excess of 3 7/8"
4) Rise/rum on stairs 7 Vt" X 101/z"
5) Typ, Joist con.fig. 2x10 @ 16" o/c (ACQ)
6) All fasteners ACQ certified
7) Double NO" southern yellow pine fascia/beam
NOTE: Unless otherwise specified
8 No span between post/gusset arm over 81011
g) Stair handrail with 2" mappable surface
PAGE 03
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