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PRE 2010 DOCSDate: Owner: July 19, 1967 A. L. Williams Builder Same Address 8562 East River Road Address Same No. 7312 Street LOCATION OF BUILDING Van Buren _.- part of Lot Lot 1 __ Block __ _l _ _ Addition or Sub -Division . Diane Addn . Corner Lot ._ Inside Lot -- X Setback 40 ' Sideyard — 10 1 & 5 Sewer Mevation 872.74 875.74. TOP OF FOOTING N® 9358 To be Used as: Dwelling Garage DESCRIPTION OF BUILDING Front 40 f Depth 26' Height 20' Sq. Ft, 1040 Co, F, Front 20' Depth 221 Height 10, Sq. Ft. Cu. Ft. Type of Construction Frame Est. Cost — $19. aQD--- To be Completed SEWER LOCATION - 154' North of Manhole WATER LOCATION - 10' North of Sewer 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 afid in compliance with 21 provisions of ordinances of the city of Fridley. $100.00 Sewer Connection Charge In consideration of the payment of a fee of $ 38.00, permit is hereby granted to A • L Williams 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. CLARENCE BELISLE Building mor NOTICE: This permit does not cover the constructioe, instatWon for wiring, plumbing, gas heating, sewer or wafer. Be sore to see the Building Inspector for separate permhs for there items. A?r'7L1C,5X1rX.i FOR BMIELD"MM M1f.AL':1T CITY 0. FRIMT11 NINNESOTA ONNER'S NAME FIG,11DER, ADDRESS ADDRESS LOCATION OF BUILD11% PART OF LOT ST P, r �* /' -;) , , � I 1106 REET—­­ LOT BLOCK ADDITION OR SUBDIVISION -/2 la Al -C CORNER LOT INSIDE LOT SETBACK 4(0 SIDE -YARD S7E4F!,.R ELEVATION FOUNDATION ELEVATION ipplicant attach to his f rm Two Certificates of Survey of Lot and proposed building location draiqq. on thes Certificates. DESCRIPTION OF BUILDING To Be Used Ad: Front & Depth Height Sq. Ft.__jjQZLa Cu. Ft. Front -,Depth__.,- Height -A Sq. Ft. Cu. 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 01 and rulings of the Department of Buildirgs, and hereby declares that all the facts 0 C2 and representations stated in this application are true and correct. DATE SICNATURE ./ � �,.cai (Scbedul of Fee Costs can be found on the Reverse Side). J 0 BUILDING PEF.MIT FEE SCHEDULE SECTION 2. The Inspector of Buildings shall, before issuing permits for the erection of any building of structure, or -for any addition to any existing building;or'structure, or for any alteration or repairs 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: _Uniform Building Code: Type 1;2, & 4- $1.75 for each one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3 '& 5 - $1.50 for each one thousand cubic feet. For the purpose of computing fees'•for building permits, the cubical contents of any building or addition to a uniform height throughout by multipluing the ground area covered from a point six (b) 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 main gable of a pitched roof. 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. In no case shall the fee charged for any -permit as set forth in Section 2 be less than $5.00. NSSSD_ Connection Charges based on location- Area 1 or 2. . Y . 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 $ MECIL 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 $ Dept. of Bldgs. Phone SII 4-7470f Location Z / 0' 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. /�,p Fridley, Minn. , /2— % , 19 Owner Kind of Building Used as STEAM or HOT WATER SYSTEM To be completed about Furnace Shell & Lines—to 400 sq. ft. EDR Steam ..... 8.00 $ Estimated Cost, $ ® o Furnace Shell &Line—to 640 sq. ft. EDR Hot Water .. 8.00 $ Old ew Building Permit No. '� P / �ermit No. �3 47 Each add. 200 sq. ft. EDR Steam ...................... 2.50 $ Each add. 320 sq. ft. EDR Hot Water ................... 2.50 $ DESCRIPTION OF WORK 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 4648,, $ Additional Fixtures x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING $ FAN BEATING SYSTEM See Fee Schedule VENTILATING SYSTEM $ _ ALTERATIONS & REPAIRS TOTAL ROUGH FINAL HEATING or POWER PLANTS—Steam, Hot Water, Nojrj—No_ Trade Name / 7 49 Size No /yl Capacity. - Sq. Ft. E.D.R BTU H.P. Total Connected Load Kind of Fu BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS -OVER) i Application for Power Plants and Healing, 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 AYR 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 VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH FINAL See Fee Schedule $ TOTAL FEE Dept. of Bldgs. Phone 560-3450 Locatioa `-s ZZ- �® "V, 'C" City of Fridley: The undersigned hereby makes application for a permit for the work hereir. 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 Kind of Building R–" Used as To be completed about Estimated Cost, $ �' -a Old ew. uilding Permit No. 1.a � Peamit No. DESCRIPTION OF WORN BEATING or POWER. PLANTS -team, Hot Water, No� Trade Name ✓�7? -L -���-� ® %10–,/ Q-5' Size No. /&,-� Capacity Sq. Ft. E.D.ft I BTU H.P. Total Connected Load Kind of Fu BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS—OVER) Signe By PERFECTION HEATIN, COMPANY, INC. 2936 FOURTH AVL SQ t , ae Busines3 g AMNN 507* r F D-56 z s IG HEAT LOSS CALCULATIONSs( DEPARTMENT OF INSPECTION MINNEAPOLIS, MINN. WeatherstripsA.S.H.V.E, Construction No. Insulation Guide Windows F -I Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes—No Yes—No 19— -.-w Y Room Length Width /'&- Height F1.� Room Length � Width Height Windows a oors—Crackage and Area Width Width Height No. of Lineal ft. Area No. ofpaneof pane llghts of crack sq. ft. Width No. of pane Height of pane No. ofJ1 lights omeal f . Area sq. ft. No. Coef.1 Btu Infiltration 6 "fcrack //& / 7 00 Glassd 141 17"'o Ceiling 0 Exp. wall 9 ae� / 177.1 Net exp. wall 1 (n / ,e' fo Int. wall 171.1 E oom I Lensrth J -Lol Width 9 Coe. Btu Infiltration /' 17S— 4_ Floor Glass 1r0 Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Total Btu. Require , f . .R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Windows and Doors—Crackage and Area 1P.Sat. Room I Length /--0 Width Width Height No. of Lineal ft. Area No. ofpaneof pane llghts of crack sq. ft. 6 7 Width Height No. of Lineal ft. Area No. Coef.1 Btu Infiltration 6 //& / 7 00 Glassd 141 17"'o Ceiling 0 Exp. wall 9 AF / 177.1 Net exp. wall Total Btu.* (n / ,e' fo Int. wall 171.1 E oom I Lensrth J -Lol Width 9 Ceiling 1 /If /' 17S— 4_ Floor F1.1 1P.Sat. Room I Length /--0 Width Windows an oors—Crackage and Area Width Height No. of Lineal ft. Area No. ofpgyan of pane lights of crack sq. ft. 6 //& Net exp. wall Int. wall /:7/ 141 17"'o Ceiling Total Btu. ,�spr® Floor Windows and Doors—Crackage'`and-°Area 0. 0 10,01400 Coef. I Btu Infiltration 1 °' :-- - - g C, Glass �5;® Coe£ 2 0 Exp. wall, 6 //& Net exp. wall Int. wall /:7/ 141 17"'o Ceiling Total Btu. Exp. wall Floor AF / 177.1 Net exp. wall Total Btu.* (n / / `. z 0 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 171.1 E oom I Lensrth J -Lol Width 9 Heiaht Windows and Doors—Crackage'`and-°Area 0. 0 10,01400 JZ Width Height No. of Lineal ft. Area No. of pane ofpanelights of crack �sq. ft. Width Height No. of itlea t. Are No. ofpane ofPane Is to f cr c F s Exp. wall Net exp. wall Coe£ Btu Infiltration //& '� /moi Glass Floor Exp. wall Total Btu. Exp. wall �. AF / 177.1 Net exp. wall Heistht ., (n / / 0 Int. wall /S Floor Ceiling Floor Total Btu. - I 1ti 3 . 0' Required sq. ft. E.D.R. or sq. ins. W.A. Leader area " Fl.l Room I Length // Width Windows and Doors--Crackage and Area Wldth Height No. of Lineal ft. .Area No. of pane of pane I1gh4e oL crack sq. ft. Infiltration 0. 0 10,01400 JZ Glass Width Height No. of itlea t. Are No. ofpane ofPane Is to f cr c F s Exp. wall Net exp. wall Coef.1 Btu Int. wall Ceiling°. Glass. Floor Exp. wall Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leaded axe AF / 177.1 Ream I Lenath Vii ' .;Width Heistht ., Windows and Doors—Crackag 'ao A _ a 7 JZ Width Height No. of itlea t. Are No. ofpane ofPane Is to f cr c F s Coef.1 Btu Infiltration Glass. ,�. Exp. wall Net exp. wall AF ®® Int. will Ceiling /S Floor I-otal l3tu. I I -?- Required sq. ft. E.D.R. or sq. ins. W.A. Leader area City of Fridley, Minn.. -11358 6431 University Ave. N. E., Minneapolis, Minn. 55432 BUEWING PERMIT ate: ___._March _ 21, 1972 Owner: _ Don Cater Builder A. L. Williams Address 7312 Van Buren Street N.E. Address 947 86th Avenue N.W. No. 7312 Street Van Buren Street N.E. pare of Lot $pt 1 Block 1 Addition or Sub -Division . Diane Addition Corner Lot Inside Lot Setback _ Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: BasemenjAlterations Front Depth Height . Sq. Ft. Front Depth Height Sq. Ft. Cu. Ft. Cu. Ft. Type of Construction _Frame Fast. Cost _ $1.500.00 To be Completed ___ mor ham_ 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 d in compliance with all provisions of Ordinances of the city of Fridley. 25 Statp RiirelhargA �.. In consideration of the payment of a fee of *--9—. _00, permit is hereby granted to A. L. Williams 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 XWdley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings ice � city limits. and this permit may be revoked at any time upon violation of any of the provisions of said tOl. CIMENCE BELISLE G NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas beating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. APPLICATION FOR RESIDENTIAL, ALTERATION, OR ADDITION BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAM: , �'f� /1i e R / /L � BUILDER: A.2, e 1 /- /— l,9 ADDRESS: 7 " f ' A, NO• STREET:_ LOT: BLOCK: ADDITION: CORNER LOT: INSIDE LOT: SETBACK: SIDEYARD: Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING Too Be Used As : Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet; Cubic Feet: Type of Construction: (% Estimated Cost:��j®,� , To Be Completed: 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 hereby declares that all the facts and representations stated in this application are true and correct. DATE: �? 2 % % SIGNATURE• (See Reversed Side For Additional Information.) IQ a , 14 J <, BUILDING PERMIT FEI SCHEDULE SECTION 2. The Inspector of Buildings 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 repairs 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: UNIFORM BUILDING CODE: Type 1, 2 & 4 - $2.15 for each one thousand cubic feet, or fraction thereof, in such cubical contents. Type 3 & 5 - $1.85 for each one thousand cubic feet. ADDITIONAL INFORMATION For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or the cellar to the average heights of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. 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. In no case shall the fee charged for any permit as set forth in Section 2 be less than $5.00. VERIFICATION OF FOUNDATION NOTE: 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 Certified Survey of the lot, showing the location of the foundation, once it has been constructed, will be required before proceeding with the framing. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been issued. 0 SUBJECT Cit of Fridle y y F7�0�' AT THE TOP OF THE TWINS BUILDING PERM r RECEIPT NO � • COMMUNITY DEVELOPMENT DIV. r � PROTECTIVE INSPECTION SEC. � CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-580-3450 910-F15 6/15/78 JOB ADDRESS 7312 Van Buren Street N. E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 1 Diane Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE G. Thomas Amiot 7312 Van Buren Street N.E. 786-0949 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 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 Ij ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 14' x 14' Deck 9 CHANGE OFUSE 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 SO. 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. $6OO $.5O 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 OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION$7.50 OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $8..00 SIyATURE OF ONTRACTOROR H5y IZEDAGENT ATE) WHEN PROPERLY AALIDATEnD THISISYOUR PERMIT BLDG INSP DATE SIGNATURE OF OWNER IIF OWNER BUILDERI l ATEI • CITY 017 FRIDLEY . APPLICATION FOR RESI-)ENTIAL BUILDING f'EIMITS GIEW, ALTERATIONS, ADDIT101dS, OR REPAIRS) • /9J•DUILDI;R:Oi7IER: /'�, Address:Address: r % - L� IP8,4 �/L� Address : I Tel. No.:- No.: o. No.: Street: LOT: ]3I,OCY.: ADDITION: CORNER LOT: IIISIDE LOT: SETBACK; SIDL•'YARDS: A,,Vlicatt attach to this form avo Certificate_ of Survey of Lot- and proposed building location drawn on these Certificates. DESCRIPTION OF BUI LDI.NG To lie Used ins : / Front: ��f / Depth: •� / Height: _ Square Feet: Cubic feet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: Estimated Cost: $ 4 X01 To Be Completed: !!5 Alt. A Alt. B Proposed Driveway 1-7idt:h If New Opening Is Desired $ $ (SEE. REVERSE SIDE OF SHEET) The undersigned hereby makes application for a permit- for the wort: herein specified, agroeing . t:o do all work in strict accordance with the City of Fridley Orcinances and rulings of the Dcpartment of wildings, and hereby - declares that all the facts and representations stated in this application are true and correct:. See reverse side for additional information. DATE: �� SIGNATURE: Z"z-%' Stipulations: BUILDING PERMIT FEE SCHEDULE SECTION 2. The Inspector of Buildings 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 repairs 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: NEW CONSTRUCTION: Single Family Homes and Garages: $4.00/1,000 cubic feet. PLAN CHECK: 25 percent of building permit fee. DRIVEWAY DEPRESSION: (Concrete Curb Streets Only) Alternate A: Removal and replacement of concrete curb and gutter only; Driveway width plus 6 feet x $14.50 Alternate B: Removal and replacement of concrete curb and gutter and install a 3 foot -wide approach with 6 inch depth; Driveway width plus 6 feet x $17.20 For the purpose of computing fees for building permits, the cubical contents of any building or addition, is determined by multiplying the ground area covered from a point six (6) inches below the floor line of the basement or the cellar to the average heights of the upper surface or to the average height of the roof surface of the main gable of a pitched roof. For repairs or alterations to an existing structure, the fee shall be at the rate of $3.00 Zjer each five hundred dollars ($500.00) or fraction thereof in the cost of all proposed work. In no case shall the fee charged for any permit as set forth in Section 2 be less than $7.50 plus $.50 state surcharge. VERIFICATION OF FOUNDATION NOTE: 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 been constructed will be required before proceeding with the framing. CERTIFICATE OF OCCUPANCY Application for a Certificate of Occupancy shall be made ten (10) days prior to the use or occupancy of any structure for which a building permit has been issued; and said structure shall not be used or occupied until a Certificate of Occupancy has been -issued. CITY OF FRIDLEY INSPECTION DIV. Effective On August 1, 1995 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR-POWER PLANTS AND HEATING, COOLING, VENTILATION, •_ 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS RATE SCHEDULE :The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner — rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $30 0 $ ( representations stated in this application are true and correct. (Side Vent — Fill Out Back) \ , �17 Gas Piping (Needed with new furnace) $10.00. $ OWNER Gas Range $10.06.'. $ BUILDING USED AS Gas Dryer $10'.0.0.. ESTIMATED COST PERMIT NO. *Air Conditioning — All Sizes $ 25.00 $ DF_SC IIPTION OF FURNACE AND OR BURNER All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work .. •' $ No. of•Heating Units_ Circle One (Steam) (Hot Water) arm Air) Trade -Name \ s�0 rye Size No:�l `� C� . Commerclal/Industrial BTUHP EDR . 1.25% of Value of Appliance or Work $ Fuel Total Connected Load State Surcharge. $ .50 Burner Trade Name Size No. . • . BTU HP EDR TOTAL FEE �-� HEATING COMPANY MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25:00 Signed BTel No. PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr Approved By Rough—in Date Final Date *Air Conditioners can not be placed in a side yard without FILL OUT BACK SIDE FOR STACK VERIFICATION ON written permission from adjoining property owner, REPLACEMENT FURNACE Remarks: List ALTERATIONS Bgim Done: HEATING CO: Signed By: Date: CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes `y) No ( ) 2. Is free from rust or deterioration Yes) No ( ) I Has no foreign objects lodged within Yes� ) No ( ) -N) 4. Is securely supported Yes No ( ) 5. Meets all current Code requirements for. size and total BTU's connected Yes -XI) No ( ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes) No ( ) 8. Has combustion air been provided for water heater Yes No { ) Remarks: List ALTERATIONS Bgim Done: HEATING CO: Signed By: Date: • SUBJECT City ®f Fridley 2 815 5 AT THE TOP OF THE TWINS BUILDING PERM I P • COMMUNITY DEVELOPMENT DIV. rRECEIPT ______ PROTECTIVE INSPECTION SEC. �� 1 NUMBERREv DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910. 10/8/98 JOB ADDRESS 7312 Van Buren Street NE ' I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 1 1 I Diane Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE David White 786-1141 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Midwest Roofing &_Siding 18979 Gladstone Blvd Maple Grove 99311 416-4RO4 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 O ADDITION O ALTERATION J7x REPAIR O MOVE 0 REMOVE B DESCRIBE WORK Reroof house and garage (25 Sq) Tear -off 9 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. Call for all required inspections, ice & water and final inspection. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. 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 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 $2142 $1.07 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $74..75. FireSC $2.14 PLAN CHECK FEE IOTA F E Liceuze<o $5.00 .96 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDATEIEN ROP ALIDAT HIS IS Y UR PEBRY IT � � a SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI'<--1?5,G INSP 1 - TATE 7 snRY[n.n: Building MECHANICAL Permit Ivo.• f - 60"o Inspections RESIDENTIAL APPLICATION Received By - 763 -572-3604 CITY OF FRIDLEY DT4j' • l 763-502-4977 FAX EFFECTIVE 1-1-08 I' Lim DATE -4115 1 0e) YOUR E-MAIL ADDRESS kyl5 li^ iro p sId bmtr-ha�ncor -onliy)e-• SITE ADDRESS "1312. V&m On 331 THIS APPLICANT IS: 0 OWNER CONTRACTOR PROPERTY NAME: -DG1VW WK& ADDRESS: ����=Ads CITY oidia\� STATEMfJZIP55432 OWNER/ TENANT PHONE: '113 «'I -11141 CONTRACTOR COMPANY NAME: cS CONTACT PERSON: KIr1 Sa*ld✓6l Frzrxjl SEPARATE CITY STATE LICENSE # EXP DATE LICENSES ARE REQUIRED FOR GAS AND HVAC. ADDRESS: 12.010-BzIP 55432 ��6¢ R� F CITY STATE SUBMIT COPY OF BOND PHONE `j03-'1eA-4oI00 FAX -1f 3-1Q4 - MI 6 AND INSURANCE PERMITTYPE SINGLE FAMILY 0 TWO FAMILY 0 TOWNHOUSE TYPE OF WORK: 0 NEW REPLACEMENT ❑ ALTERATION/REMODEL DETAILED DESCRIPTION OF WORK Beta VT4 14"50J 01/C end �1G 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 ) OR 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) Equipment Installed MFG: B a"d MODEL: 16!5A.0 SIZEIBTU .24, 0 00 MFG: MODEL: SIZE/BTU MFG: MODEL: SIZE/BTU I A/C $25.00 (GAS) $15.00 GAS RANGE/OVEN $10.00 _FIREPLACE TO AIR EXCHANGEER $15 (WOOD) $35.00 NEW GAS GRILL $10.00 _AIR _FIREPLACE $35.00 $35.00 -GAS UNIT HTR $10.00 -BOILER _FURNACE LINER $10.00 DRYER $10.00 _POOL HEATER $35.00 -CHIMNEY -GAS DUCT WORK $10.00 GAS PIPING $10.00 VENTILATOR $15.00 �R 3E Permit Fee $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge $ .50 Number of fixtures @ $15.00 x $15.00 = $ TOTAL DUE $ OR Number of fixtures @ $25.00 1 x $25.00 = $ 25.00 Number of fixtures @ $35.00 x $35.00 = $ State Surcharge = $ .50 MINIMUM $15.50 MINIMUM $15.50 Total = $ 2.5. 50 THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a mechanical 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 plan in the case of all work which requires review and approval of plans. �/ SIGNATURE OF r- ICAN �- PRINT NAME5�I try-& DATE Y i5 0 DAT l APPROVED BY a City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977