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PRE 2010 DOCSDate: Feb. 5, 1968 City of Fridley, Minn.. BUILDING PERMIT Owner: _ Homedale Blders Builder Address 5217 Wayzata Blvd. Address Same Same No LOCATION OF BUILDING No. 7525n Street _ Tem2o Terrace ___ - Part of Lot Lot 11 Block 4 Addition or Sub -Division _ Melody Manor 4th Addn. Corner Lot Inside Lot X Setback 35' _ _ Sideyard — 5' - 10' Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING 9607 To be Used as: Dwelling; Front 46' Depth 24 28 Height —20 Sq. FL 1152 Cu. F•t. 23,040 Garage Front 19' Depth 24' Height 10 Sq. Ft. 456 Cu. Ft. 42 0 Type of Construction Frame Est. Cost _ $19,500_ _ 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 ;JI provisions of ordinances of the city of Fridley. ,% 7" ,, $100.00 Sewer Connection Charge il ssi['C In consideration of the payment of a fee of $ 41.00permit is hereby granted to Homedale Bld 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, a cit limits regardthi location, construction, aat ani maintenance re moving buildings within the city limits and this permit may be revoked at upon vio of the Aro ons of said Official insawtur NOTICE: 1Ws perp* does not cover the construction, hutalWon for whdng, phtmbing, gas heating, sewer or water. Be sun to no the Boildlog Inspector for separate permits for them items. s. 4 APP�JCATIFX.iYC.tlir L'\7 Tn�,•,.r— Cox 0 ;�`:=.a:��� , m-im;I.SOTA A�..a' ADDRESS ,. LOCATION OF BUIL-DI'NG ._....,..--STPvEET _PART OF LOT---- LOT OT---..___LOT _ BLOCK ADT ITION OR SUB1)'1-VIS10i� � CORNER LOT INSIDE LOT SET±SACK � SEt•IER ELEVATION FOUNDATION ELEVIVIVION Applicant attach to this form Two Certificates of'Susvey of Lot and proposed building location drawn on these Certificates, DESCRIPTION OF BUILDING _ To Be Used As -� Front Depth -Height_r___ An .2 Sq. Ft. - ---- --_Cu. Ft. J� Front Depth--�Height Sq. Ft.— /�� Cu. Ft -7- Type 7 -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 Mork 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 � .�yL'.— � � SIGNATUREAl �ge� (Schedule of Fee Costs can be found on the Revarse Side). /ae % 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 .......................... $10.00 $ Replacement of Furnace ............................. 6.00 Repairs & Alterations—up to $500.00 .................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ MECH. WARM AIR s 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 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $ Each add. 200 sq. ft. EDR 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 199,000 BTU) ....................... 5.00 $ <` over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ..... ................ x$ 2.00 $ Additional Fixtures ................ x .75 $ Gas Range to 199,000 .......... x$ 5.00 $ AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $ ROUGH FINAL Dept. of Bldgs. Phone SM -3450 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- �7:0`r/.yc "� ✓%� ' , 1�9 a r Owner z—/-1--Z-,a- Kind of Building�� n Used as�� `" a: • P � be To be completed about''-' Estimated Cost, $_ l Old New °Building Permit No. Permit No. DESCRIPTION OF WORK i- -1 �4 HEATING or POWE ,.AN -- - PLSteam, Hot Water, arm Air No Trade Name ��'°��% Size No. g Capacity Sq. Ft. EM R ' -y' ��� BTU A.P. Total Connected Load _"� f Kind of Fuel BURNER — Trade Name _r, _r. Size No- `- Capacity Sq. Ft. E.D.R.o"�' "BTU H P. (REMARKS-+0GER1, MAY N.WELTER HEATING GO. Signed_ 4S317 U 19DUALOU AT*. N6a8EAPOLIH ado MIDI kSO u A 4E Business Phone No �%'�� :'gip• ,,J✓►. City of Fridley I ( Application for Plumbing and Gas Fitfiing Pem it Dept. of Bldga. Phone 560 -3 - DESCRIPTION OF WORK Number, Kind and Location of Fixtures PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ....... .............. --7x $2.00 I� $ l 4 Future Fixture Opening ................ x $1.50 $ New Fixture Old Opening .............. x $1.50 Z12 Catch Basin ...... .................. .. x $3.25 $ UN' ? z !2 • •N1Za WATER HTR. GASFIX- Electric Water Heater s $2,00 $ GAS FITTING FEES: NO. RATE TOTAL O Base 1st r I2 ! 2nd 3rd 4th • Future Connection Openings Connected with New Fixture, Old Openings I Sewer Cesspool [] PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ....... .............. --7x $2.00 I� $ l 4 Future Fixture Opening ................ x $1.50 $ New Fixture Old Opening .............. x $1.50 $ Catch Basin ...... .................. .. x $3.25 $ Water Heater (Up to 99,000 BTU) ...... x $3.00 $ 3 r New Ground Run Old Bldg. ............ x $3.25 $ Electric Water Heater s $2,00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $2.00 $— Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ 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. Owner e.. 6 Kind of Building o Used as To be completed about Estimated Cost, $ Old—New. Building Permit No- q ® Permit No. Signe By k�UAL4-� Business% Phone No. -ry ROUGH FINAL 42 HOUSE HEATING TEST RECORD � ADDRESS / APT. 60OR Cl S BURFL OCCUPANT OWNER, HEAT LOSS DATE HTG. INST. GAS CO. METER BAD 00, SOLD BY INSTALLED BY M# Vj Electrical Work By Gas Line By loor TYPE OF HEAT GA FA HW STEAM SPACE HTR. UNIT HTR. OTHER GA D CONVERSION MAKE MAKE OF BURNER Model .:�, ��� , Model Soria) �LF�, Max. BTU Rating INPUT MAKE OF FURNACE Model CONTROLS THERMOSTAT Heat Plug Vent Size 401 Valve KIND OF LINER SIZE NONE Limit Draft Hood Regularor Limit Setting - Filters Size Wumber Fan Setting Chimney Location Inside �'"''� Outside Pilot Type Chimney Construction Pilot Make Model Smoke Bomb Wiring 'el Pilot Timing Draft 49 Test Tag L_____ L.W. Cut Off � ;Fr Pressure— Lighting Inst. Pressure ? Per ent CO Date Tested �MRmpany —1onj ii I Input CFH Pq�ci�", Testing Stack Temp. Percent C dO L Name of Tester Form 235 52--84_S915.51 City of Fridley Application for Plumbing and Gas Fitting Per nit Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK 7S2 5 Tempo Terr Number, Kind and Location of Fixtures Location y x $2.00 ZN �y l�lLSs � $ YFi if Oz �Z O?1� x $1.50 w z • • WATER HTR. Water Heater (Up to 99,000 BTU) ...... Base $ New Ground Run Old Bldg . ............ x $3.25 $ lns Electric Water Heater alj Gas Dry4r $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $2.00 1st Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ Gas Dryer 1 5.00 REPAIRS & ALTERATIONS—Refer to Code 2nd Description ................................................$ TOTAL FEE $--i- 00 3rd 4th • Future Connection Openings New Fixture, Old Openings I Connected with Sewer Cesspool Ej PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... x $2.00 $ Future Fixture Opening ................ x $1.50 $ New Fixture Old Opening .............. x $1.50 $ Catch Basin ............................ x $3.25 $ Water Heater (Up to 99,000 BTU) ...... x $3.00 $ New Ground Run Old Bldg . ............ x $3.25 $ Electric Water Heater x $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $2.00 $ Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU .............. x $5.00 $ Gas Dryer 1 5.00 REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $--i- 00 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 731-68 19— Owner Fold Holmberg Kind of Building Used as res To be completed about 8-4-68 Estimated Cost, $ 10,00 Old—New. Building Permit No Permit No. A& 9 -7 si e By Business Phone o . --- ROUGH FINAL Application for power Plants and Heating. Cooling, Ventilation, Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL Furnace Shell & Duct Work ........................... $10.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 .................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ MECIL 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 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... $10.00 $ Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 10.00 $ Each add. 200 sq. ft. EDR 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 199,000 BTU) ....................... 5.00 $ over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x$ 2.00 $ Additional Fixtures ................. x .75 $ Gas Range to 199,000 ........... x$ 5.00 $ AIR CONDITIONING FAN HEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $ ROUGH FINAL Dept. of Bldge. Phone City of Fridley: The undersigned hereby specified, agreeing to do all and ruling of the Departmen and representations stated in Owner n Kind of Building. Used as and :es application for a permit for the work hereiL k in strict accordance with the City Ordinances Buildings, and hereby declares that all the facts application are true and correct. y, Minn ` 19 To be completed about ' Estimated Cost, $ r Old uilding Permit ` /lam© Permit No. f� D CRIPTION OF W &�"�T/41�9dsjd .ii�d . HEATING or PO R No Trade Name- Size No Capacity �� �'� BTU H.P. Total Connected Loa Kind of Fuel BURNER — Trad am t— .1 Capacity Sq. E .R H.P. (REMARKS -OVER) N.WELTER HEATING CO. Si 4637 GHICAME3 A -Vi, t INNEAPOLIS 7. MINNESOTA as usiness Phone No� ' 97-84-41605i APPLICATION FOR PU1t•1BING AND GAS FITTING PEI -u r ~ �. '• �� by — i 1J �• { c. 1luater KA ter Job Add ttss 7525 Temp® Terr°. 4 ..I i , 1� ,';, =I Ic u ! ►. rr --+— - DLparLiv rnt Lf L:J:r _t 11 .:i ai. b7 2 ,.+• •. ,., �v if4 Y qq ..7 qq L7 '• S :1 t1C City Gt rrtd:.y -J Tel. 1571-3•I50 - '! --I-4-- •—•—�,�.t 111 �_�— , 1 _ _ _I Tha'undrjrbll)ntd h_teiy r. Ar. epnClfted a. cuufn. , 'r a •'mr :t f,;r t1,5 wOlk Lerult, 3 — --- ( •- � 1 I I i w do' t.. w -._ c:k ir. scat czjac.o t—'I—'—:—'—.._►_ --`_i__ w:tt. t1.1 City L..dua and rulings e� tb: ;',e;arurent of e_t:41r)s, 1-1 •• .u_:sre{ -I- t - ��}�� t��I .:uci hat. alt t WIG facU4 a,td CGI'C,1::,,nL.11la�t{d 9C�lJd i^. ttii. �.��_' -.._�����I���� „•.:cauc„ :ro t,aa and ��� 6-1C-80 _ HART CHNER aI 1••t•,le :..rncctt:.r, G crlir. N 3 .-:. .:.¢:ccd a1tA Sbwltr ( KIND OF IIUILLIL•.: fyaa.mP `D btu t I,t,.te, Cid Ol:cr.;t.7 Nater USED AS r�S. TO DE COMPLC,t.G Tr..: t 6-17-80 —' ESTIMATL'0 COS-" 50.00 RATE TOTAL 1:AI uCt7 • - OLD - gCFi IiCI[.G2:1.; I•:.h;il: :;J. F£i�':I�� v. $3.00 S ae. t t.,be, C ry ►. :.ld vper.l:.a X eS r2. ba .:'q:,- $5.00 S SLy;IIC.t By �` P.1PiFr l,sczdk '.a♦ttl Neater - l0 $j,030 bri~_ 55.00 t�16-4.030U w EI1y c„a b!6. x $lo.ao 5 T. T..dJ� 11�. =•tor a.,ften.r Ilicr 4u..1nJ Pin Old b'Atldlro] x $5.00 S "- ROUGH LI cctt,� N,tcc II&ALec --•__. I IISP . i t t 11ING !•LES: :al 1 [ItIY[ti FINAL. It15P. - a ;� aD S CdLY ♦.Lit►Ia.,at ILAtur011 x $1.00 5 �'� • �" hl /• to I4S.GOu bIU x 410.00 S APPROVAL fi.it I•LItr1I, ¢� _J'.f,thl r 11 1. J't lt.�l ItJi�S $5.00 `r tt.l. •.:1. St,1r.Nd :.0 fra:t.;,�r1 $:.C.i S �-� 11IIIIMU11 I'LL 1,.{t 1:+'t fLt:.u:l,:, PCI, SL'atn S.r.r.�:ge 5 PLUS ;.Sp �;�.SC iUkClu.Ilf,C 8.00