PRE 2010 DOCS]BUILDING ' PERMIT
Village of Fridley, Minn.
N° 2398
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Date• 61. V..� ......................
Owner �2 . Builder .";� ......... ... ....... .
Address ��d� .5 l...1r Address ..
LOCATION OF BUILDING
No: . 6 4�.�. Street . fart of Lot .. .... .......
Lot .... Block .4 ... Addition or Sub -Division
Corner Lot ....... ...........,
,... Inside Lot . Setback..... Sideyard A? .......................
DESCRIPTION OF BUILDING
Tobe Used as
Type of Construct
. Front ,3 Depth Height /�... . Sq. Ft.74� . Cu. Ft.. ..... .
Front pq. .. Depth "....Height ,... Sq.,
Ft. �� Cu. Ft.. .. .
Construct!
.............. •� .. Est. cosF ,l. % o .e0��......... To beCompleted... .
In consideratio 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 all provisions of
ordinances of the v age of Fridley.
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In nsi alio o the payment of a fee of $. /. ... , permit is hereby granted to
to construct the building or addition as described above. This per 't •' •granted upon
the express conditio . 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 with-
in the village limits and this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
•!.✓Building Inspector
MOTIM
This permit does not cover the construction, installation or alteration for wiring, plumbing, gas heating,
sewer or water. a sure to see the Building Inspector for separate permits for !these items.
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Application for Power Plants and Ideating. Cooling, Ventilation. Re%geration 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 $
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $
each add. 60,000 BTU 2.00 $
Replacement of Furnace ............................. 5.00 $
Repairs & Alterations—up to $500.00 ................. 5.00 $
Repairs & Alterations each add. $500.00 .............. 2.50 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. EDR Steam .....
8.00
$
Furnace Shell & Line—to 640 sq. ft. EDR Hot Water ..
8.00
$
Each add. 200 sq. ft. EDR Steam ......................
2.50
$
Each add. 320 sq. ft. EDR Hot Water ........... . . .....
2.50
$
OIL BURNER—to 3 gal. per hour ........................ 5.00 $
over 3 gal. per hour—See Fee Schedule
GAS BURNER (up to 400,000 BTU) 5.00 $ 'dc)
GAS FITTING FEES:
NO RATE TOTAL
1st 3 Fixtures ......................——
x $1.50
$
Additional Fixtures . ...............
x .50
$
Gas Range to 200,000 BTU ...........
x 2.00
$
AIR CONDITIONING
$
FAN HEATING SYSTEM
See Fee Schedule
VENTILATING SYSTEM
$
ALTERATIONS & REPAIRS
TOTAL FEE
$
ROUGH
Dept. of Bldgs. Phone 560-3490
FIN
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.
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Fridley, Minn_ 06-r® % 19 &�
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Owner ed�) ec"
Kind of Building
Used as��--�^�J%/� To be completed about �� 7
Estimated Cost, $_ /52�f e o
Olc Uew. Building Permit No. Permit No. -1-19% ov
DESCRIPTION OF WORK
HEATING or POWER PLANTS -Steam, Hot Water, Warm Air—No
Trade Name Size No
Capacity Sq. Ft. E.D.R BTU H.P.
Total Connected Load Kind of Fuer "_e_, J
BURNER — Trade Nam V Size No -_?e -fig
Capacity_������� Sq. Ft. E.D.R BTU H.P.
(REMARKS -OVER)
Signed
-1!r.B-42 Business Phone
52-84-5915.51
PARTIAL RATE SCHEDULE
,W4D1NG FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ...... ... . .......
x $2.00
$
Future Fixture Opening ......... ......
x $1.50
$
New Fixture Old Opening .......
x $1.60
$
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
= $2.00
$
GAG F'IITTING FEES:
NO. RATE TOTAL
lot 3 Fixtures ..........................
x $2.00
$
Additional Fixtures . ..................
x $ .75
$
Gas Range to 199,000 BTU ..............
x $5.00
$
Gas Dryer
1
5.00
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PARTIAL RATE SCHEDULE
,W4D1NG FIXTURE RATES: NO. RATE TOTAL
Number Fixtures ...... ... . .......
x $2.00
$
Future Fixture Opening ......... ......
x $1.50
$
New Fixture Old Opening .......
x $1.60
$
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
= $2.00
$
GAG F'IITTING FEES:
NO. RATE TOTAL
lot 3 Fixtures ..........................
x $2.00
$
Additional Fixtures . ..................
x $ .75
$
Gas Range to 199,000 BTU ..............
x $5.00
$
Gas Dryer
1
5.00
ALTERATIONS—Refer to Coda
Description .............................................$
TOTAL. FEE $— 5.00
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, Athan 10'°15-69 19_
Owner P Brophy
Kind of Building fry
Used as res
To be completed about _ 10-20-69
Estimated Cost, $ 10.00
Old—New. Building Permit No Perm*oda.
By POLIS GAS CO.
Business Phone No
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1:tfecCivc January 1, 2UU3
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
FAX (763) 571-1287
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 AD
'i
OWNER LIMA
Rate TOTAL
BUILDING USED AS
_LKf_':—) C
$ 30.00 $ •
ESTIMATED COST " PERMIT NO. 'f
$ 10.00 $
DESCRIPTION OF FURNACE AND OR BURNER
$ lo.00 $
No. of Heating Units k _ Circle One (Steam) (Hot Water) arm r)
$ 10.00. $ Trade Name 1�6 Size No.
BTU HP EDR
$ 25.00 $ ® Fuel 5 —Total Connected Load
State Surcharge
TOTAL FEE
MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION
REFRIGERATION/AIR CONDITIONING PERMIT 15 $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
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.
DATE 1 -7A _
HEATI I`
Signed
FAX #
Approved By Rough -In Date
17
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0
Final Date 7 Q
FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE
THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE
APPLICATION WILL BE RETURNED
nnmmnN vENT, MEm - /►/1w NFr-TQR AND C(�IL MISTIM AIR RIFICATIC91N
V �V 1 IILItCL ■ l R
When ra lamina an taxi_ctingff�rance, the undersigned hereby verges that the
venting has been examined and is free from rust, deterioration, obstructions,
and is securely supported and firestopped where required. Yes K No( )
The venting system is plastic/PVC and meets all current codes and manufacturer
specifications including sizing, length, number of elbows and termination. Yes `lam 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 N No( )
The pYismuar-emh,ietien air is sized and installed to meet the current codes
and manufacturer's specifications. Yes No ( )
When required to Install a naw _emb ,Mien air it will be sized and installed
to meet the current codes and manufacturer's specifications. Yes p No( )
When jp4ajJjpg 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. YesV 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. YesNo ( )
Arnnlir nce Tygand Size/Gemmen Vent and Vent Genned2
Appliance #1 Typ a BTU Input Fan Assisted or Nat FM
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 Diameterin Type _
Appliance #2 Vent Connector Height ft Length ft Diameter in Type
Appliance #3 Vent Connector Height ft Length ft Diameter in Type
HEATING CO: 1)1yffk71�yn'V-5 R
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