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PRE 2010 DOCSCity ®f Fridley AT TNR TOP QIP TME TWINS ------ COMMUNITY DEVELOPMENT CIV. PROTECTIVX W9ftCT*N KPT, ---t CITY HALL FRlpLCY $*Olt .� 44-600-3460 SU9JEGT PLUMBING PERMIT APPLICATION Job AM—ress /. 4rZ y i Address- —Phonei FSA ViTe ow" V. WAM of Building 1 A sxwsI �vl j I I W 0 .9 k, Li r W �I I 1 I I i W Ir suni I I I ru.Ye 13 I aDNVH IYN Ian I I svD� I I t SYD f ea�YM 781N •saa�l � MNIYa I I I� 41 I aD. SNISYH 1 Hn1Yz 10 G 6NIYaOI I I I o aoo1 � �O V I Sa3MOH$I I I I iO •tNno.�l tf I b IlNtaa U� A sxwsI �vl j I I W 0 .9 k, IPlumbing Fixture Rates: NO. RATE TOTAL Number Fixtures x $2.00 iI Future Fixtures x $1.50 New Fixture -Old Open. x $1.50 i Catch Bastn x $3.25 1 i Water Heater -99,000 BTU x $3.00 I Ground Run Old Bldg. x $3.25 1 E1dc. Water Heater x $2.00 Gas Fitting Fees I lst 3 Fixtures � x $2.00 Additional Fixtures x $ .75 I Gas Range -199,000 BTU x $5.00 Repairs & Alterations - See Description: Code IState IREEharge .50 1 ! TOTAL FEE $ 1p�u ?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 declare that all'the facts and representations stated in this application are true and correct. /& 'Signature Date , SNISYS �I I 1 I I I suni I I I ru.Ye I IYN Ian I I I I I ea�YM IPlumbing Fixture Rates: NO. RATE TOTAL Number Fixtures x $2.00 iI Future Fixtures x $1.50 New Fixture -Old Open. x $1.50 i Catch Bastn x $3.25 1 i Water Heater -99,000 BTU x $3.00 I Ground Run Old Bldg. x $3.25 1 E1dc. Water Heater x $2.00 Gas Fitting Fees I lst 3 Fixtures � x $2.00 Additional Fixtures x $ .75 I Gas Range -199,000 BTU x $5.00 Repairs & Alterations - See Description: Code IState IREEharge .50 1 ! TOTAL FEE $ 1p�u ?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 declare that all'the facts and representations stated in this application are true and correct. /& 'Signature Date , . ASCD City of Fridloy 53-84-S-915.51 - Applicattan for PlU§1 C-zu GUS FIVAI.9 Permit - _- -•-- Deppi. of Elda$• Phone 560.3450 - - DESCRIPTIOId OF BTORIC 6125 N. • E; Woody Lane Numb -or, Kind and LxrHen of Fixtures 1'Q�N'"`- -- V ! d:< 3 F i �I�Z i 7 _< a 3 J d �' 0L S J� 1 u Z 2< N iZ 7 1 ► H GAS FLfc. In�ta 1 :,)Pa -.e ea er .�__ �Na 1, � _ --VR- ig� - - — :d T nth • TutQrs CiCUnG:ti:.D OPvnl.n2s e Xow . nxtare, Old Opsninq•s W iai•iva.•vK wa... f3s�svor Ccwpool PARTIAL RATE SCHEDULE 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 Ordirance and ruling of the Department of Buildings, and hereby declares that all the tact and representations stazed in this application are true and correct' Fridley, Minn 10-27-75 19M Owner Douglas R. Ramseth • - Kind of Building Frame Used as Res. To be compTeteTaboout 11J-75 10.00 Estimated Cost, $ Old uilding Permit No.P.:m No. PLU MB'TNG FIXTURE RATES: NO. RATE TOTAL Signe Number Fixtures ..... • ....... • .. x $2.00 $ n� • EM Future Fixture Opening . . ..... .. .... x $1.50 $ _. By 1��i New Fixture Old Opening.......... x $1.50 $._:__ Business Phone No - - Catch Bnin .................... x $3.25 $ a •Yater Iieater '.Up tQ 99.000 BTU).... x $3.00 $ ROU0H New Ground Run Old Bldg......... x $.3.25 $ Voctric Water Hoatar.....:..... r.. x $2.00 3 _______.__ FINAL 16-11L-72 aA� iiTTING FEES: NO. RATE TOTAL :1st 3:Fixtures x $2.00 $ Additional Fixtures ............... x 5 .75 S Gas Range to 199.000 BTU ........ , .. x $5.00 $ k ?"AIRS is ALTERATIONt.—Refer to Code .50 State Surcharge Dessiiption .... Install• ppacpjeater.............3 00 TOTAL, rzE s L50-- 001. 50-- ' :class -Pr :surcharge .500 CITY OF FRIDLEY APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND .AIR CONDITIONING SYSTEMS AND DEVICES PARTIAL RATE SCHEDULE ,GRAVITY WARM AIR: 'Furnace Shell & Duct Work Replacement of Furnacp Repairs & Alterations -up to $500.00 Repairs & Alterations each add. $500.00 MECHANICAL WARM AIR: Furnace Shell & Duct Work to 100,000 BTU each add. 50,000 BTU Replacement of Furnace Repairs & Alterations -up to $500.00 Repairs & Alterations each add. $500.00 STEAM OR HOT WATER SYSTEM: Boiler & Lines up to 100,000 BTU each addn. 50,000 BTU Boiler only up to 100,000 BTU each addri. 50,000 BTU OIL BURNER- to 3 gal. per hour each add. 3 gal. per hour GAS BURNER- from 100,000 BTU to 199,999 BTU (over 199,999 BTU see Fee Schedule) Ger TUTTT4IG�e-- �. 1st 3 Fi'x'tures x Additional Fixtures x Gas Range to 199,000 BTU x AIR CONDITIONING FAN HEATING SYSTEMS See Fee Schedule VENTILATING SYSTEMS ALTERATIONS $ REPAIRS RATE TOTAL job Address 6125 Woody Lane $12.00 $ 7.00 $ 7.00 $ Department of Buildings 4.00 $ City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein $12.00 $ specified agreeing to do all work in strict accordance with the City Cordes 4.00 $ and rulings of the Department of Buildings, and hereby declares that all the 7.00 $ facts and representations stated in this application are true and correct. 7.00 $ 4.00 $ Fridley, Minn. 7-25-77 , 19_ OWNER Wm. Gagner $12.00 $ KIND OF BUILDING f rame 4.00 $ 7.00 $ USED AS ro c 6.00 $ TO BE COMPLETED ABOUT B 8- 3 0— 7 7 $10.00 $ 10.00 $ ESTIMATED COST a $10.00 $ /0,00 OLD - NEW BUILDING PERMIT NO. PERMIT NO. $ 3.00 $ $ 1.00 $ $10.00• $ State Surcharge TOTAL FEE ROUGH INSP. REINSPECTION FEE Date ($10.00) FINAL INSP. Date #1880 Fred Vogt APPROVAL FOR PERMIT<` l S $ $ .5o s-27. -50 MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE DESCRIPTION OF FURNACE/BURNER HEATING or POWER PLANTS, Steam, _Hot Water, Warm Air- No. Trade Name Lennox Size No. G120-082 Capacity 8 2M Sq. Ft. EDR BTU HP Total Connected Load rplmt_ Kind of Fuel gas BURNER - Trade Name same as aboya!Lze No. Capacity Sq. Ft. EDR BTU HP Company Signed By Tel. No. �r FRW GT & Cc. PIRTING A AM CONDITIONING no eafts An, 929.6767 f, lqft P9% AWspofi 65426 SUBJECT -PERM IT NO. City of Fridley 26782 AT THE TOP OF THE TWINS BUILDING PERMIT r 1 16_ COMMUNITY DEVELOPMENT DIV. ~ PROTECTIVE INSPECTION SEC. NUMBER REVDATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 L J ` 612-571-3450 910-F15 JOB ADDRESS 6125 W ody Lane N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 5 3 1 Moore Lke Hills SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Lorraine A. Gagner 6125 Woody Lane 574-9895 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Owner 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Siding - house and garage 9 CHANGE OF USE FROM TO STIPULATIONS Call for building wrap inspection beforiovering. 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 80 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 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $6,000 $3.00 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. $112.25 Fire SC $6.00 PLAN CHECK FEE TOTAL FEE 121.25 U F•CONTRACTORORAUTHORIZ AGENT IDATEI WHEN PROPE VALIDATED THIS IS YOUR PERMIT � � �s� G�. BL INSP I nATE SIGNATURE OFOWNER,IFOWNER SUILDERI IDATEI NEW [ ] ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: / /.9 6 - Legal Description: o� _, - - Effective 1/1/98 Owner Name & Address: C:� 's-ez.Tel. # Contractor: MN LICENSE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. I ly LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER. xz""� V Construction Type: �� Estimated Cost: $ 6 (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ = $ DATE: -��-� APPLICANT:L Tel. # Permit Fee Fire Surcharge State Surcharge SAC Charge License Surcharge Driveway Escrow Erosion Control Park Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY $ ��.�� Fee Schedule on Reverse Side $ 00 .001 of Permit Valuation (1/10th%) $ o GCS $.50/$1,000 Valuation $ $1000 per SAC Unit $ $5.00 (State Licensed Residential Contractors) $ Alt. "A" or Alt. "B" Above $ $450.00 Conservation Plan Review Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ]