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PRE 2010 DOCSOriginal PERMIT for Power ants and Heating. Cool- ing, Ventilation, Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK No. of Heating Plants to be installed—altered—repaired Make �, Size Oil fired—, Coal Remarks Approved by. Gas fired ; Gas Authorization N Final Inspection Date , 19_ Inspector Permit N° 4372 Fee $ Office of the Inspector of Buildings City of Fridley City of Fridley, Minn- ---? Q , 191-7 Owner (2 ��r ® Location /0 Kind of Building r`) �_° � How Occupied Work to be Commenced ,19-6 To be Completed ,19 65 Estimated Cost, Old -New, Building Permit No. Permission is hereby granted tom 1 " Lf A`-�, k --e • to install—erect—use the material and devices described in the above statement. This permit is granted upon Me express condition that the person A whom it is granted, and his agents, employees and workmen, in all the work done and materials used under this permit, and in the operation of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley relating to or governing the work to be done and the operation of the devices herein named, and to the specific ns set forth in the approved application for this permit on file in the office of the Inspector of Buildings. , Inspector of Buildings 4z 2M 11-67 V I �, Application for Power Plants and' anon. Refrigeration and Air Conditioning MSystems an PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone 560-3450 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 AIR Furnace Shell & Duct Work to 170,000 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) ....................... 500 $ 5-00 over 199,000 BTU See Fee Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x$ 200 $'� Additional Fixtures ................. x .75 $ Gas Range to 199,000 ........... x$ 5.00 $ 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 a true and correct. Fridley, Minns , 19 Owner Kind of Used as To be c Estimated Cost, $ (21d,4 -New. Building Permit No. Permit No. 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 Fuel �&L i BURNER — Trade Name �/ Size No_ L���" Capacity Sq. Ft. E.D.R BTU 90/ LOW � AIR CONDITIONING $ FAN HEATING SYSTEM See Fee Schedule :z VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $ C'd Signe By ROUGH sa Business Phone No FINAL_ (REMARKS -OVER) January 17, 1978 To whom it may Concern: On behalf of the city of Fridley, DIinnnesota, I hereby certify that a check in the amount of :3030..00 dill be drafted to the First State Bank of Spring Lake Park when City Council approval of the j:)urchase of the utility easement for nIr. and lTrs. Robert G. Hayes, 310 Osborne Rd, Fridley, �Ainn 55432 is received in the same amount. This action is being taken on the request of .fir. Robert Hayes and 'Ube First estate Bank of Spring Lake Park and refers to Title #1484874 dated 12-1-77. CIF V L 9 y > � r SUBJECT � PER City of Fridley � 4 AT THE TOP OF THE TWINS BUILDING PERMIT r R IPT NO. COMMUNITY DEVELOPMENT DIV. f rr ______PROTECTIVE INSPECTION SEC. 672©3004 1 . . NUMBERDATE REV vAGE OF APPROVED BY 1 ` � -I CITY HALL FRIDLEY 55432 '•j 612-571-3450 910-F15 10/22/01 JOB ADDRESS 310 Osborne Rd NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Luis/Flora GOnzalez 310 Osborne Rd NE 763-785-0903 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 ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof House & Garage (30 Sq) Tear -off 8 CHANGEOFUSEFROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD 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 ISTALLS 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 $3,216 $1.61 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- Fire $3.22 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION $97.25 W PLAN CHECK FEE TOTAL PA $1 .08 SIGNATURE OF CON'RACTOR OR AUTHORIZED AGENT IDATEi VHEN ROP Y/ALIDATEQ Tog IS YOUR PERMIT XIN-A111.E 6 lil0 INSo � • MATE O�OWNEe)-F 40ER� iDATE� NEW [ J Effective 1/1/2001 ADDN [ j CITY OF FRIDLEY (763) 5724604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address:. Q %Al -k S -E 3 Z Legal Description: roc) � Ci, i r' -i, Owner Name & Address: Lu i S '� J -LO vi Tel. # 7&3 -7 E; S 10"03 Contractor:r- Address LIVING AREA: GARAGE AREA: DECK AREA: OTHER: MN LICENSE #_ Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. FL Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Construction Type: Estimated Cost: Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x —=$ DATE: Z © APPLICANT: - tO V CTel. # '?ks 6l O's CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing in application Permit Fee $ �S Fee Schedule on Reverse Side Fire Surcharge .001 of Permit Valuation (1/10th%) State Surcharge $ / 4 % f $.50/$1,000 Valuation SAC Charge $ $1150 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ / ©� - 08 STIPULATIONS: JA4ep qq,2i5 CITY OF FRIDLEY INSPECTION DIVISION Effective January 1, 2003 6431 University Ave NE ' Fridley, MN 55432 ' ' APPLICATION FOR FLOWER PLANTS AND HEATING, COOLING, VENTILATION, (763) 572.3604 .' REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES FAX (763) 571-1297. f JOB ADDRESS 31b tl %we kd lot 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 Rate TOTAL ^` $ 30.00 $ 10.00 $ $ 10.00 $ $ 10.00 $. $ 25.00 $ State Surcharge TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $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. OWNER rt", CSOn leZ- " BUILDING USED AS ReSCi!90W- ESTIMATED COST �111:001LV PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water)armDir Trade Name �'rt'`�° Size NoSfSDGA�c�ol BTU 190, 050 HP EDR Fuel A.134yra t Crc.5 Total Connected Load Burner Trade Name Size No. $ BTU HP EDR i $ 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 $ . .50 rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. DATE r3 CenterPoint Energy Minnegasco HEATING C013562 Central Ave NE, Anoka, MN 55304 Signed 63-757=6202 FAX # 763-757-6701 ! E J Approved By_ Rough -In Date' Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE Building $ Qt;-' BUILDING Plan Review Permit No. / Inspections Fire Surcharge RESIDENTIAL APPLICATION .001 times the total job valuation Received By: NS7,, 763-572=3604 .0005 x Permit Valuation Minimum $.50 CITY OF FRIDLEY $ Q Date Rec'd: QA kS- � DATE �b k_1 br,AJ� ` o © 1 U) Curb Cut Escrow YOUR/E-MAIL ADD Sf ft + 6 ft = ft x $21 =$ SITE ADDRESS l ri �UQ C-6 l ,'I U:: / G s Z THIS APPLICANT IS: OWNER OCONTRACTOR Fee Determined by Engineering PROPERTY OWNER/ NAME: k j Q AJ 7i 1' -z— Agreement necessary ( ) Non Necessary ( ) TENANT TENANT ADDRESS: j b L�60 r AJ-k-COCITY YZ �/ STATE &I' C � Y3 PHONE:' :11C -*-7R2, CONTRACTOR NAME: =\ V ( () ` /J Z' STATE LICENSE # EXP DATE i ADDRESS: 3 I d CJS „ b lrJQ- tic( CITY " STATE#4IP L.�cY3 L SUBMIT A COPY OF YOUR STATE LICENSE WITH APPLICATION PHONE `J -Zi FAX PROURTY TYPE SINGLE FAMILY/NEW CONSTRUCTION SIZE O FAMILY/NEW CONSTRUCTION STORIE_ PERMIT TYPE (TION OTGARAGE/SHED JUWINDOWS O BASEMENT FINISH O ROOF O DRAIN TILE O DECK La -SIDING O OTHER O SWIMMING POOL TYPE OF WORK: O NEW O ADDITION 0 MAINTENANCE/REPAIR O REMODELING DESCRIBE WORK BEING DONE:SIZE OF OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. ROOFING O H9JAE ONLY NUMBER OF SQUARES Z'HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES O ATTACHED GARAGE I. 2. Existing Floor Plan Proposed floor plan PROPOSED SIZE: O DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SIDING FOR NEW CONSTRUCTION INCLUDING DECKS, XrVinyl OSoffit ADDITIONS. & PORCHES SUBMIT: O Aluminum O Trim 1. Site Plan/Survey showing the existing structures O Other O Fascia and proposed project. WINDOWS 2. Two sets of construction plans IN EXISTING OPENINGS OYes ONo LOCATION OF WINDOWS 3. Energy Calculations OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING.THE,19 7 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ �'�°�''C OCCUPANCY TYPE Permit Fee $ Qt;-' See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ .0005 x Permit Valuation Minimum $.50 License Surcharge $ Q $5.00 (State Licensed Residential Contractors) SAC Charge $ $1675 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21 =$ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ �,;^'. Make checks payable to: City of Fridley Attach Stipulations THIS IS 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 plan in the case of all work which requires review and approval of plans. SIGNATURE OF APPLICANTi) fl MUNT NAME DATE