PRE 2010 DOCSCity of Fridley, 197inm.
BUILDING PERMIT N® 4318
Date: .- _ ....... - - - .......__..................
Owner: ..... ................................... _..-.................. ........ _.... ... _ _._......_..._............... Builder .... ........ ........
Address....... .................. ... -................................ _._--------._..__............... Address ........ ........ _..................... -
LTION OF, BUILDING
No......._ Street -7A4W"_;
>od.- ........-•-- ... Pant of Lot. --... - .. ....... -8
_.....
Lot .......c ............. Block ....._.. Addition or Sub -Division .. .. ...........-......-..._......................
.....- -
i (r
Corner Lot .................................. Inside Lot....%r............................. Setback _ �_.." ..`......... Sideyard ®...'_.....................
Sewer Elevation ...........i ��._.......---............. -....................... Foundation Elevation...._..�..._�%5............... _.......
- -..._.._...-
DESCRIPTION OF BUILDING
To be Used as-
--- ......................._..•---....._............ Front . � Depth : _`�J`.....`. Height ...-!...c�....� ') Sq. Ft..✓.....°°�... Cu Ft./ / !®
�� .........-......... -- .. Front .° �. Depth 3P._-` CHeight �®........'.0 Sq. Ft. ...0 �Z.�.. Cu. Ft. !�._O..`±
Type of Cons ction.............. ............. ...................... _........ Est. Cos IA�. -?.P�.�--�... 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. sejfh and in comp 'ance with alllprrovisions of
ordinances of the city of Fridley........_.
In consideration consideration of the payment of a fee of $_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 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. __,r
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.
4
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Application for Power Pants and Heating. Coaling, Ventilation. Refrigeration and
Air Conditioning Systems 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$ City of Fridley:
............................. 5.00
Repairs &Alterations—up to 500.00 5.00 The undersigned hereby makes application for a permit for the work herein
$ • • • • • • • • • • • • • • • • • $ specified, agreeing to do all work in strict accordance with the City Ordinances
Repairs &Alterations each add. $500.00 ............... 2.50 $ and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and correct.
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ Fridley, Sl?inn_ 0/ �� 195
each add. 60,000 BTU ....................... 2.00 $
Owners 195—
Replacement of Furnace ............................. 5.00 $ Kind ofuilding 195—
Repairs & Alterations—up to $500.00 5.00 $
Repairs & Alterations each add. $500.00 .............. 2.50 $ Used as
STEAM or HOT WATER SYSTEM To be completed about
Furnace Shell & Lines—to 400 sq. ft. EDR Steam ...... 8.00 $ Estimated Cost, $
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ... 8.00 $ 1(1�
Old—New. Building Permit No. —�
Each add. 200 sq. ft. EDR Steam ...................... 2.50 $
Each add. 320 sq. ft. EDR Hot Water ............... 2.50 $
DESCRIPTION OF WORD /
OIL BURNER—to 3 gal. per hour ........................ 5.00 $
over 3 gal. per hour—See Fee Schedule
HEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No
GAS BURNER (up to 400,000 BTU) 5.00 $ : Trade Name � �'�' ��-� ` Size No,a/2ar/-.5-
Capacity Sq. Ft. E.D.R_,e ?M F BTU H.P.
GAS FITTING FEES: NO RATE TOTAL
1st 3 Fixtures ...................... 3 x $1.50 $ 114-0 Total Connected Load Kind of Fuel
Additional Fixtures ................. / x .50 $— ` BURNER — Trade Name- - Size No
Gas Range to 200,000 BTU ........... x 2.00 $ _ .e
Capacity Sq. Ft. E.D.R /2s�� LP BTU H.P.
AIR CONDITIONING $
FAN HEATING SYSTEM See Fee Schedule
VENTILATING SYSTEM $
ALTERATIONS & REPAIRSTOTAL FEE $ 1ls 0 D Sign
REMARKS: By
11 POST 1M-12-58 Business Phone o ,Z/®����
z ANOKA HEATING & AIR CONDITIONING '
HEAT LOSS CALCULATIONS 6 6 _ Tom= e7— 327 VAN BUREN, ANOKA, MINNESOTA
Weatherstrips A.S.H.V.E. Construction Ko.Insulation
Guide
Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied
Yes—No I Yes—No 19_
Flj&ed Room I Length / / Width Height Room I Length /d Width /® Height
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack eq. a
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No, of
Total Btu. c, -P
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
F1.1 / #&f4, Room I Length e, / Width 3 ®Height
Windows and Doors—Crackage and Area
width Height No. of L1nea1 Lt. Area
No. of Dane of pane lights of cr�ack aq. ft.
'� /
7, Al I & —3
Coef.
Btu
pane of pane lights of crack
sq. ft.
�� e
f 6
�'!✓ ;L.$Al
01-
.
Glass
Btu
Infiltration
s , t
Exp. wall
Coef.
Btu
Infiltration
Glass
Net exp. wall
®
24
19
D
ff-0 .
Exp. wall
Net exp. wall
tP
Ceiling
G
Net exp. wall
V -Y r
Int. wall
/l
Total Btu. -f/ o7,9
Int. wall
Ceiling
/2-
'v Y Y
Ceiling
. m I n -tet 0...;.... 11 e.....a, 1 A i
W/:A6L r s
/9v
/2
-x
Floor
ly
y
Y Y )r
Total Btu. c, -P
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
F1.1 / #&f4, Room I Length e, / Width 3 ®Height
Windows and Doors—Crackage and Area
width Height No. of L1nea1 Lt. Area
No. of Dane of pane lights of cr�ack aq. ft.
'� /
7, Al I & —3
Windows and Doors—Crackage and Area
Coef.
Btu
Width Height No. of Lineal ft. Area
No. of pane of Dane lights of crack eq. ft.
Coef.1
Btu
Infiltration 'If
01-
.
Glass
Btu
Infiltration
s , t
Exp. wall
Ceiling
Floor
/ /--k-
rxN
Y b
Net exp. wall
®
)f
/do
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Int. wall
v'y
tP
Ceiling
f�
Net exp. wall
Floor
®
/l
Total Btu. -f/ o7,9
Int. wall
Ceiling
/2-
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
X
/2-
. m I n -tet 0...;.... 11 e.....a, 1 A i
W/:A6L r s
\e x ,x
Windows and Doors—Crackage and Area
Coef.
Btu
Width Height No. of Lineal ft. Area
No. of pane of Dane lights of crack eq. ft.
/ . C
® 3 Id -
Glass
Exp. wall
y x U
Net exp. wall
Coef.
Btu
Infiltration
s , t
k Y y
Ceiling
Floor
/ /--k-
rxN
Glass
Total Btu.
®
)f
/do
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Exp. wall
P1 I /1--.*
AIP
X
y y y
Net exp. wall
®
/l
Ceiling
Int. wall
Ceiling
/2-
y
2.
X
/2-
®'
Floor
\e x ,x
x
Y
V Y y
Tmtal Btu. -7k/ 7i,o -RS-o ® T^ 7,- 1 31,7-c
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
;Iindows and Doors—Crackage and Area
Coef.
Btu
Infiltration
/ . C
® 3 Id -
Glass
Exp. wall
y x U
Net exp. wall
/
Btu
Int. wall
x
k Y y
Ceiling
Floor
/ /--k-
rxN
ems•
Total Btu.
®
)f
/do
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Int. wall
P1 I /1--.*
Rnom I Lenath 14 Width �)
Height
;Iindows and Doors—Crackage and Area
Width Height ' yo. of Lineal ft. Area
No. of pane of pane fight® of crack eq. ft.
s� /
W
Coef.
Btu
Infiltration
Glass
/ s 4
2C
Infiltration
b
Exp. wall
Net exp. wall
1S.'6
®
)f
/do
*Ay
Int. wall
Exp. wall
Net exp. wall
v
p
yy
Ceiling
®
Y2 -
Ceiling
Floor
/2-
/4 V6
Y
v y t
Total Btu. 2- RA
Required sq. ft. E.D.R. or sq. his. W.A. Leader area
1 FI -1 Pr. a RLl m 1 Length J41 Width /0 Height
Windows and Doors—Crackage and Area
Width Height
No. of pane of pane
No. of Lineal ft. Area
lights of crack eq. ft.
Coef.1
Btu
Infiltration
b
®
1S.'6
Glass
e55Z
Y2 6
Exp. wall
Net exp. wall
v
p
yxy
Int. wall
)f
Y
Ceiling
®
/2-
/4 V6
Floor
V
\e x ,x
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Lemder area
r
ANOKA BEATING & AIR CONDITIONING .
FEAT LOSS CALCULATIONS _ — ®® 327 VAN BUREN, ANOKA, MINNESOTA
Weatherstrips*
SHV* Construction No. Insulation
Guide
Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied
Yes—No I Yes—No 19—
P1 1 77. — __ R�,.n I Lenath ees Width d?Height g.1_ II F1.1 Room length Width Height
Windows and sora—Crackage an Area
Width
No. of pans I
Width Height No. of Lineal A. Area
No. of Dane of pane lights of crack sq. ft.
r � s16
Infiltration
�ghts
7
Coef.
Btu
Infiltration
®,
,0 09.
Glass
Exp. wall
Net exp. wall
Y
v
L 'fl ® .
y y V
_r-'6 ® .
Int. wall
Ceiling
IP- Zilp
Int. wall
v Y \ /
6 -
-Floor
Floor
Ceiling
1 I
*v yv
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Fl -lk i n a, Room I Length 6—Width ®/
Windows a d Doors--Crackage and Area
Width Helght No. of Lineal [t. Area
No. of pane of pane lights of crack eq. ft.
i
Windows and Doors—Crackage and Area
Width
No. of pans I
Coef.1
Btu
Infiltration
�ghts
7
Glass
Infiltration
Coef. Btu
®,
Exp. wall
®
Y
Net exp. wall
Ceiling
IP- Zilp
Int. wall
V
Y X y
Ceiling
ii
®.
Floor
I/
v y y
Total Btu.
e
1A0,5,66
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
3k7l-0-
v yr y
12 R-1 a - t e Rmm I6_enath
Width
Height
Windows and Doors—Crackage and Area
Width
No. of pans I
No.
Width Height
of pane of Daae
No. of Lineal ft. Area
liof crack sq. ft.
�ghts
7
Infiltration
Coef. Btu
Glass
Btu
Exp. wall
Net exp. wall
Int. wall
Glass
Ceiling
Floor
Coef.
Btu
Infiltration
Int. wall
Glass
ap. wall
4 As W.V- 1
e
Zle-
119L
x
3k7l-0-
v yr y
Net exp. wall
4strwal!
. d 0 00
G
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
�
rl
s
lo
2:!Z"
Ceiling
y
x
Y N
Floor
/®
4P6 -
Total Btu.
Required sq. ft. E.D.R. or sq. fins. W.A. Leader area
Windows and Doors—Crackage and Area
Width
No. of pans I
Height No. of Lineal ft. Area
of pane lights of crack sq. ft.
Infiltration
Coef. Btu
Glass
Btu
Exp. wall
Net exp. wall
Int. wall
Glass
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
F1.1 Room I Length Width Height
Windows and Doors—Crackage and Area
No.
Width Height �1o. of Lineal ft. Area
of pane ofpans lights of crack aq. ft.
Coef.
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
m I Length Width Sleight
Windows and Doors—Crackage and Area
Width xeigh¢ No. of Lineal ft. Area
No. of pane of Daae lights of crack 1 aq. ft.
Infiltration
Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. of sq. ins. W.A. Leader area
Btu
9.7 -8b -b 16051 .
CITY OF FRIDLEY
APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures
Future Fixture Opening
New Fixture, Old Opening
Catch Basin
Water Heater - to 99,000 BTU
100,000 BTU to 199,000 BTU
Water Softener
New Ground Run Ol& Building
Electric Water Heater
GAS FITTING FEES:
1st 3 fixtures
Additional Fixtures
Gas Range to 199,000 BTU
REPAIRS $ ALTERATIONS
First $100.00
each add. $100.00 or fraction
x
$3.00
$
x
$2.00
$-
x
$2.00 ,
$
x
$5.00
$
X
$5.00
$
x
Water
al
°
,eCCi
$
A
$5.00
H
a
m
A
e
�rtH
a
W
Heater
O
OO
,1
N
NOI
Oo
O
8
O C
U
m
Wu
ca
3
Q W
ni
w
U PO
3
v
0
9
O
as
kec
an
e
2nd
3rd
44t'i1st
(R) Future Connection Opening
Connected with Sewer
(�).= New Fixture, Old Opening
Water
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
Number Fixtures
Future Fixture Opening
New Fixture, Old Opening
Catch Basin
Water Heater - to 99,000 BTU
100,000 BTU to 199,000 BTU
Water Softener
New Ground Run Ol& Building
Electric Water Heater
GAS FITTING FEES:
1st 3 fixtures
Additional Fixtures
Gas Range to 199,000 BTU
REPAIRS $ ALTERATIONS
First $100.00
each add. $100.00 or fraction
x
$3.00
$
x
$2.00
$-
x
$2.00 ,
$
x
$5.00
$
X
$5.00
$
x
$10.00
$
x
$7.00
$
x
$5.00
$
x
$5.00
$
Job Address 09AITri ni tZ llri,•vea
Department of Buildings
City of Fridley
Tel. #571-3450
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
and rulings of the Department of Buildings, and hereby declares that all
the facts and representations stated in this application are true and correct
Fridley, Mn. 8-L-78 , 19
OWNER 7, TLE
KIND OF BUILDING f r Isle
USED AS rPR _
TO BE COMPLETED ABOUT 9-6-78
ESTIMATED COST 20.00
OLD - NEW BUILDING PERMIT NO. PERMIT N d
Company
Signed By
ROUGH INSP.
Date
Tel. No.
.
FINAL INSP.
x •$3.00 $
Date
x $1.00 $
x $10.00 $ APPROVAL FOR PERMIT r
$5.00 $
$2.00 $ MINIMUM FEE FOR ANY PLUMBING PERMIT I9 $7.50 pLUs $.SO STATE SURaD=
State Surcharge $ .50
TOTAL FEE $ 8.00 replacement
REINSPECTION FEE
(S3.0.00)
P7 14-1,16o5i CITY OF FRIDLEY '
• APPLICATION FOR PLUMBING AND GAS FITTING PERMIT
PARTIAL RATE
SCHEDULE
PLUMBING FIXTURE RATES:
NO.'
RATE
TOTAL
17•,u~ber Fixtures
x
$3.00
U•
Future Fixture Opening
x
$2.00
$ '
Water
x
.J
.Oli
•
H
y
m .
[�,
N
t+
pa,
6"
�
100,000 BTU to 199,000 BTU
Neater
$10.00
$
a
x
$7.00
�
New Ground Run Old Building
pct
C
a?�
w
U
trod
x
4
u
d
leC
ou
S-
-4
N
X
h
C
w O
g
8
.-1
-W„C,
A rNJ
0
d ro
,,
U
00
V!'
.�
O U.
in
W
U M
�C r
O
89
re
la
r
ng
�d
a
!R) - Future Connection Opening
Connected with' Sewer
'•) - New Fixture, Old Opening
Water
PARTIAL RATE
SCHEDULE
PLUMBING FIXTURE RATES:
NO.'
RATE
TOTAL
17•,u~ber Fixtures
x
$3.00
$
Future Fixture Opening
x
$2.00
$ '
New Fixture, Old Opening
x
$2.00
$
Catch Basin
x
$5.00
$
Water Heater - to 99,000 BTU
x
.$5.00
$
100,000 BTU to 199,000 BTU
x
$10.00
$
Hater Softener
x
$7.00
$
New Ground Run Old Building
x
$5.00
$
Electric Water .Heater
x
$5.00
'I $
.,AS FITTING FEES:
1st 3 fixtures x' ' $3.00 $
Additional Fixtures x ,$1.00 $
Gas Range to 199,000 BTU x $10.00 $
III?ZPAIRS 6 ALTERATIONS
First $100.00 $5.00 $
each add. $100.00 or fraction $2.00 $
State Surcharge $ .50
TOTAL FEE $ 8.00
REINSPECTION ME
Job Address 6261. Trinity Drive
,Department of Buildings
City of Fridley
Tel. 0571-3450
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
and rulings of the Department of Buildings, and hereby declares that all
the facts and ropresentations stated in this application are true and correct
Fridley, Mn. 1-9-79 , 19
OWNER ZILE ,
RIND OF BUILDING FRAME
USED AS RES.
TO BE COMPLETED ABOUT 1-15-79r
ESTIMATED COST 30.00
OLD - NEW BUILDING PERMIT.NO. PERMIT N0.•
Company ` 4. /14
Signed By MINNEGASCO .
Tel. No.
ROUGH INSP. '
Date
FINAL INSP.
Date ,
APPROVAL FOR PERMIT
MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 pLVS $.SO STATE SVRCMU=
Building
PI �UM$I�TC
Permit No.: 7 -
Inspections
RESIDENTIAL APPLICATION
Received By:
763-572-3604
CITY OF FRIDLEY
Date Recd:
DAA July 14, 2006 YOUR E-MAIL ADDRESS wnelson(a7larspn lup mbing.com
SITE ADDRESS 6261 Trinity Drive NE
THIS APPLICANT IS: ❑ OWNER ®CONTRACTOR
PROPERTY
NAME Lisa Zile
ADDRESS: 6261 Trinity Drive NE CITY Fridley STAT EIVINZIP55432
OWNER/
TENANT
PHONE: 7 fi3/571-2738
CONTRACTOR
NAME: Larson Plumbing Inc.
STATE LICEJ35E # 3341 PM EXP DATE 12/31/2006
SUBMIT A COPY OF
YOUR STATE
ADDREss: 3095 -162nd Lane NW CITY Andover sTATEMN zip 55304
LICENSE WITH
PHoNE 763/427-7680 FAX 763/427-9448
APPLICATION
PERMIT TYPE
M SINGLE FAMILY 0 TWO FAMILY ❑ TOWNHOUSE
TYPE OF WORK:
17 NEW 0 REPLACEMENT
DETAILED DESCRIPTION OF WORK Water Heater Replacement
PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, whichever is greater, for the
improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor)
Labor cost under $300 = $15.00. Labor cost between $300 to $500 = cost of labor x.05 =
FOR PROJECTS WHERE LABOR EXCEEDS $500, FEES ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE NOTED. FIXTURES: (INDICATE TOTAL
NUMBER OF EACH BELOW)
BATH SINK/LAY FLOOR DRAINS _ SHOWER WATER PIPING
—
_
GAS PIPING (NEED CRYLICEME) _ SWIMMING POOL WATER SOFTNER ($35)
`BACKFLOW
—BATHTUB
CLOTHES WASHER KITCHEN SINK WATER CLOSET __ PREV. ($I5)
+
_
DISHWASHER LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION
_
_ WATER METER —OTHER
.:........................................_.,....r..,;......,......,r.. ....,.. }r.•:
-15+s.
;�£�.�£�R�JI£T���O�. ` 3��aD" I) e�fii:':
s2C v:e, •.+r..,l' ,:=rr; ��r�:,v '4 r'",�'' y< _ .>t ...
s..ys:.',, .r%:; .'•i`-ii=u :,1..c.�'a,° s.. ?r ;. mow. .�:...
• :i jly `,Fr•...s?kG.,... x., ,\: �iY.,. ....,, rti..h. L..r..
Permit Fee $ 35...-00 . Number of fixtures @ $10.00 x $10.00 = $
Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $
TOTAL DUE $Q Number of fixtures @ $35.00 x $35.00 = $
State Surcharge = $ .50
Total = $
THIS 1S AN APPLICATION FOR A PERMIT NOT VALID UNTIL PROCESSED
I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in
conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is
not a permit but only an application for a permit and work is not to start without a permit; that the work will be in accordance with the
approved pian in the c17 f all wo w ' require: review and approval of plans.
lc
SIGNATUREOFAPPLJCAk ; PRINTNAME Michael Malonski DATE 7/14/06
y t•
..+s:,p:,a �{�!�'-��+'$.. ...:.., ...,.'lk�......i, r.,�,.. ..��., .�.. .:...,�.•`G��F`���`',�µ'".�'..,�e7i �1,� Y+L�
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977
r�