PRE 2010 DOCSCity ®f Fridley,
&-LO TION O BU LD1 G
No.Strreet ) P of Lot
Lot _ _ I_— Block � Addition or Sub -Division
Corner Lot . Inside Lot Setback --.1 TL ' Sideyard _ S
Sewer Elevation
Foundation Elevation
DESCRIPTION OF BUILDING
To U
Front Depth Height Sq. Ft. Cu. Ft.
Front Depth Height Sq. Ft. Cu. Ft. r.
Type f Construction Fust. Coy ` J -.- 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 fo and in compliance all provisions of
ordiaencos of the city of Fridley.
r
In consideration of the payment of a fee o "— , 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 nardi location, construction, alteration, maintenance, repair and moving of buildings
within the city limits an this permit may be revoked at any time upon violation of any of the provisions of said
ordinances.
Building Inspector
NOTICE:
Uh permit does not cover the construetioe, hutadation for wiring, phmbleg, gas bootleg, sewer er water. Be sore to see
the Budding hopeetor for sopm to permits for then items.
'AppIlication for Power Plants and Heating, Cooling, Ventilation, Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SU 4-7470
/.. _�J /2 , '-_� Q.--
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 $
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
$ '�.✓
REMARKS:
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— 195-
Owner
Kind of
Used as
To be completed abo DEC 2 2 1962
o®
Estimated Cost, $ -,FGLe
11.1
ew wilding Permit No.
195-
195—
DESCRIPTION OF WORK
HEATING , Warm Air—No—
Trade
Size
ar
Capacity Sq. Ft. E.D.R f� ` BTU H.P.
Total Connected Load—��� ��� Kind of Fuel az
BURNER — Trade Name f���Q� Size No jZEX_�R
Capacity Sq. Ft. E.D.R BTU - H.P.
VIKING IDEATING & AIR COND. CO,
e_W 6409 GOODRICH AVE, S,
MINNEAPOLIS 26, MINN.
Sign 929-559
By
11 POST IM -12-58 Business Phon No
D36 r9
HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS �j/ MiNNEAPOLIS. MIM.
Weatherstrips A.S.H.V.E, Construction No. Insulation
Guide
Windows I Doors Reference. Out. Wall Int. Wall Ceiling Roof Floor Kind How. Applied
Yes—No Yes—No 19_
F1.1 q' „J . Room'j Length Width /� Height Fl:1 �" Room 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.
Windows and Doors—Crackage and Area
Width Height No. of Lineal Y . Area .
No. of pane of
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Fl.Il TY p Room ( Length / 67Width Height Pr
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft..
Btu
Infiltration
1 4160_tf 7 51X'
pane lights of crack aq. ft.
rlelgni
Exp. wall
Net exp. wall
Int. wall
Coef. Btu
Infiltration
Glass
Exp. wall
.121,26 60
Net exp. wall
Int. wall
Infiltration
Ceiling
Floor
Glass
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Fl.Il TY p Room ( Length / 67Width Height Pr
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft..
Btu
Infiltration
1 4160_tf 7 51X'
Glass
rlelgni
Exp. wall
Net exp. wall
Int. wall
Area
sq. ft.
Ceiling
%areai
Floor
Infiltration
Total Btu.
Required sq. ft: E.D.R. or sq. ins. W.A.
"
rl. U
mom Lengm a'
whin
rlelgni
Windows and Doors—Crackage and Area
Width Height No. of Lineal ft.
No. of pane of pane lights of crack
Area
sq. ft.
Infiltration
W/�,
Coef.1
Btu
Infiltration
Exp. wall7
"
Glass
Ceiling
Coef.. Btu
Infiltration
Exp. wall
Glass
Net exp. wall
Int. wall
17
st,13-5 o
Exp. wall`
Net exp. wall
Int. wall
Ceiling
89
Ceiling
Floor
Floor �� / .,
Total Btu.
I Coef. Btu
Infiltration -
Glass
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu. �9 el
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Fl.i p A' Room ( Length 515 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.
Width Height No. of Lineal ft. Area
No. of paiLe of pamgo lights of crack sq, ft.
Coef. Btu
Infiltration
W/�,
Coef.1
Btu
Infiltration
Exp. wall7
"
Glass
Ceiling
"
Exp. wall
Net exp. wall
Int. wall
Z
2r
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
00 F1_1 914TAI Ream I Length '7 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. Btu
Infiltration
W/�,
Glass
Exp. wall7
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu:
ired sq. ft. E.D.R. or sq. ins. W.A. Leader area — _ II Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
D•56 9
HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS MINNEAPOLIS. MINN.
E.
Weatherstrips A.S.H.V.
_ Guide Construction No. Insulation
WindowsI Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How. Applied
Yes—No Yes—No 19—
R.1 AM5 ' AORoom Lensth , .r h'°' idth er Heiirht II -1 FI.I e 1� Room I Lenath J Width // Height
Windows and Doors—Crackage and Area
n auua
Width Height No. of Lineal ft. Area
No. of pane of pane lights of crack sq. ft:
Windows and Doors—Crackage and Area
4
Width Height No. of Lineal ft. Area
sq.
No. of pane of pane lights of crack70
'ICoef-L
Btu
Infiltration
Glass
Coef. Btu
Exp. wall
Coef. Btu
Net exp. wall 177
Int. wall
270S
Ceiling
+/
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
Fl.1 nz !SIEQ Room I Length ® Width
Windows and Doors—Crackage and Area
Width Height No. of Ltneal ft. Area
No. of pane of pane lights of cjrack sq. ft.
2 l /
Coef.I Btu
Infiltration r 3 y 6'"4
Glass 20, 0
Exp. wall ,
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
rw 1 xl�2s►ae. n. I ■ .r ,P .B aer• �.a • r . ■ .
�._ a a. �• -- /tr. a�wau 1 a.caagau /
n auua
a acaaaaa
Windows and Doors—Crackage and Area
4
Width Height No. of Lineal ft. Area
sq.
No. of pane of pane lights of crack70
I r
S1tF`
Infiltration
Glass
Coef. Btu
Infiltration
Coef. Btu
'� /
Glass
Aa
""
Exp. wall V
Floor
Net exp. wall
Int. wall
Exp. wall
Ceiling
j
Net exp. wall
Int. wall
Floor
Total Btu.
ft. E.D.R. or sq. ins. W.A.
area
Windows and Doors—Crackage and Area
Width Height
No. ofpane of pane,lights
No. of Lineal ft. Area
of crack sq. ft.
4
S1tF`
Infiltration
Glass
Exp. wall'
Coef. Btu
Infiltration
Jv
Glass.
Floor
£ �°
Exp. wall
Net exp. wall
Int. wall
Ceiling
Floor
Total Btu.
Required sq. ft. E.D.R. or sq. ins. W.A. Leader area
P1 I Rnnm I Lenath Width Height
Windows and Doors—Crackage and Area
Width Height No. ofLineal ft. Area
No. of pane of pane lights of crack sq. 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
F1.1 Room I Length Width Height
Windows and Doors-Crackage and Area
Width Height No. of Lineal ft. Area
No. of vane of.vane lights of crack
Coef.1 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
City of Fridley
Appiication for Numbing and Gas Fitting Permit
Dept. of Bldgs. Phone SII 4-7470
DESCRIPTION OF WORE
Number, Kind and Location of Fixtures LocationA
"
ry
3
x 1.00
���
x 3.25
$
x 2.00
Y
O
x 3.25
K Z
8�
N
S
<
�G •d
w
�Sa
?
�O
•
F
•
N
WATER HTR.
GAS
ELEC.
Base
lot
I
2nd
I
3rd
4th
• Future Connection Openings %oonneczeu wsa Sewer
a New Fixture, Old Openings Cesspool
PARTIAL RATE SCHEDULE
PLUMBING FIXTURE RATES: NO. RATE TOTAL
�
Number Fixtures ....... .............. � x $1.50 $ / ,
Future Fixture Opening ................
New Fixture Old Opening ..............
Catch Basin ...... .................. .
Water Heater (Up to 200,000 BTU) ......
New Ground Run Old Bldg . ............
GAS FITTING FEES:
1st 3 Fixtures ..........................
Additional Fixtures ....................
Gas Range to 200,000 BTU ..............
REPAIRS & ALTERATIONS—Refer to Code
x 1.20
$
x 1.00
$
x 3.25
$
x 2.00
$ a
x 3.25
$
NO. RATE TOTAL
x $1.50 $
x .50 $
x 2.00 $
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 1 6/ c 1940
Owner ..c�� +
Kind of Building T
Used as
t.
To be completed about
�
�
Estimated Cost, $ /"� b' ® /
Old—New. Building Permit No 6 22!d Permit No.
Signe
By
Business Phone No G ®-7 d 5
ROUGH /d 2 NO -3
FINAL
Description ................................................$
TOTAL FEE , 42 2M
Original Permit for PUMBING ANDGAS FITTING�-
N.B. When work covered by this permit is ready, the Plumbing Ordinance requires that request for LFpr$d- inspection shall be phoned in to the plumbing Inspector, 560-345permit.,0 giving number of this
DESCRIPTION OF WORK
Number, Kind and Location of Fixtures
City o f Fridley ,19 ��
m m m
m W Q xx S m W WATER HTR.
Stories
Connected with
Gas Piping for Openings
Permission is hereby granted T to do the plumbing and
gas fitting in the building described ikMe state t hereto attached, upon the express condition that
the person to whom this permit is granted, and his agents, employees and workmen, in the plumbing
or gas fitting of said building shall conform in all respects to ordinances of the City of Fridley, and
this permit may be revoked at any time upon the violation of any of the provisions of said ordinances.
By Order Of The Inspector Of Buildings
Roughing in Inspection Date
nspector.
Final Inspection Date
Inspector.
az IM -6-69-V
Owner
.Location l // A-) LJ ®;xYl�
Kind of Buildings M2�
Used as
To be Completed 11 , 19-2-1
Estimated Cost $ 14, . 0 C)
Old- ew. Building Permit No.
Date
Inspector of Buildings.
t
z
Z
0
F� m
W
Y
m<
Z a
O
O
H m
Z rc
m per,
m 2
F
O IL
(p
1,
U m
_�
K g Y.
0 6
Q
0 4'
GAS ELEC.
Basement
1st
2nd
3rd
4th
Connected with
Gas Piping for Openings
Permission is hereby granted T to do the plumbing and
gas fitting in the building described ikMe state t hereto attached, upon the express condition that
the person to whom this permit is granted, and his agents, employees and workmen, in the plumbing
or gas fitting of said building shall conform in all respects to ordinances of the City of Fridley, and
this permit may be revoked at any time upon the violation of any of the provisions of said ordinances.
By Order Of The Inspector Of Buildings
Roughing in Inspection Date
nspector.
Final Inspection Date
Inspector.
az IM -6-69-V
Owner
.Location l // A-) LJ ®;xYl�
Kind of Buildings M2�
Used as
To be Completed 11 , 19-2-1
Estimated Cost $ 14, . 0 C)
Old- ew. Building Permit No.
Date
Inspector of Buildings.
CITY OF FRIDLEY INSPECTION DIVISION jlel-lob
6431 University Ave NE
Fridley, MSI. `55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION,
572-36()4 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 riot 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 ADDRESSLN?
Effective On January 1, 2000
State Surcharge
TOTAL FEE
MINIMUM FEE FOR ANY IiEATING/COOLING/VFNTILATION
REFRIGERATION/AIR CONDITIONINra PERMIT IS 225-00
PLUS THE $.50 STATE-$ RCHARG
REINSPECTION FEE $47.00/Hr
*'Air Conditioners ran not be placed in a side yard without
written permissior from adjoining property owner.
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 Divisi&i, and hereby declares tha"' all the facts. and
representations stated in this application are true and correct.
DATE � .r L `_- _ �-_� --- _.
HEATI
Signe TEL # _J1 _
Y}1 t2 g
Approved By Rough -in Date Final Date o. _�
OWNER I I 1
I XDJ`
Rate
TOTAL
BUILDING USED AS----_-L—
S$30.00
$30.00
f
ESTIMATED COST
PERMIT NO.
$ 10.00
.
®ES RIPTION OF FURNACE AND OR BURNER
$10.00
$ __
No. of Heating Units
Circle One (Steam) (Mot Water (Warm Air)
$ 10.00
$
Trade Name
Size No. -
BTU._ _..__
HP EDR__ � ._.^
25.00
Fuel . _..®�
Total Connected Load,----.---
oad,._,_..—._Burner
BurnerTrade Name—
_ Size No..,.------
o..•.__.__BTU
BTU
`
__ HP _ EDR.._.-
State Surcharge
TOTAL FEE
MINIMUM FEE FOR ANY IiEATING/COOLING/VFNTILATION
REFRIGERATION/AIR CONDITIONINra PERMIT IS 225-00
PLUS THE $.50 STATE-$ RCHARG
REINSPECTION FEE $47.00/Hr
*'Air Conditioners ran not be placed in a side yard without
written permissior from adjoining property owner.
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 Divisi&i, and hereby declares tha"' all the facts. and
representations stated in this application are true and correct.
DATE � .r L `_- _ �-_� --- _.
HEATI
Signe TEL # _J1 _
Y}1 t2 g
Approved By Rough -in Date Final Date o. _�
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 (,-f 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
Yes (� No ( )
and manufacturefs specifications.
When required to install a new combustion airit 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 AG'A-GALA Category I Central Furnace
Yes No ( )
Venting Tables for fan assisted and natural draft appliances.
Is the common vent and vent connectors sized and installed correctly after
an appliance has been removed from the common vent and vented
Yes (� No ( )
separately as per current codes.
Appliance Type and Size/Common Vent and Vent Connector Information
Appliance #1 Type�� l 4 BTU Input`S, Fan Assisted or Nat
Appliance #2 Type BTU Input _ _ Fan Assisted or Nat
Appliance #3 Type ETU 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 Di 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* Wescribel .
HEATING C
Signed By: