PRE 2010 DOCS1J I
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Village of Fridley, Minn.
BUILDING PEBXW
N° 744
Office of INSPEMOR OF BU"INGSI
-�at"A
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Architect
Fridley, Minn., 18
LOCATION OF BUILDING
No.
Lot
Street Part of17
Lots �
Block gip- Addition or Sub -Division
i y.
V DF�SCRIPTION OF BUIMING
Front ""D
-<, `. --."-� ...,b
�ith Height_ � Stones - Manner of Construction
To be used as_
��,.� �a�� �- :, ,�' �*•.».
`�' ` To be completed—L-- .w' Estimated Cost � -g
I
G -
;i
n
i'
Permit is hereby
ranted to �?`
�� �- described in the above statement. This permit is granted
the buildln
upon the express
condition that the persoato whom it is granted, and his agents, employees and workmen, in all
the work done �1I�
around and upon said building, or any part thereof, shall conform in all respects to the ordi-
nances of Fridlei
Minn., regarding theonstruction, 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,
�_Inspector of Buildings.
AGREEMENT AND SWORN STATEMENT
In considez
ation of the issue and delivery to me by the Inspector of Buildings of Fridley of
the above p
it, I hereby agree to do the proposed work in accordance with the description
above set forth
and according to the provisions of the ordinances of Fridley, and, being first duly
sworn, I hereby
state and say that the facts stated by me and contained in the above permit are
true as therein
stated.
Subscribed
d sworn to before me at Fridley, Minnesota, this
day of
A.D. 19 _a-22
i
�I
II
L_.
City of Fridley, Minn.
BUILDING PERMIT x® 4167
Date:
Owner: .-----•--..._....-----.......•----- . ............._.. ................................... _....... -........... Builder .............. .:: :.:.... �.. - "'��.._.
Address
Address
CAT N OF BUILDING
No. --�/. -... fStreet ._.._: ....- ----._......._...:_ .._........... _ Part of Lot
Lot ..... . ...................... _........ Block ....._..- ... ......... ........... _....... _........ Addition or Sub -Division ....._............._........------
Corner Lot ................................ Inside Lot ....................................... Setback ...................._ ....................... Sideyard
Sewer Elevation ........... ......... -............. _.... ...................................... ... .................. Foundation Elevation ..................
To be Used as:
Type of Construction
DESCRIPTION OF BUILDING
Front ZP.-�6 Depth.`..-hIeight ./0. +"Sfq. Ft ..ZF-W'7 Cu. Ft. ..1....
Front ..... ..................
....._Depth ...................... i .. Sq. Ft......................... Cu. Ft.
_.... Est. Cost........ p H7 .... ..._...".._...:... To be Completed .........................
Irl
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 and in compliance with all provisions of
ordinances of the city of Fridley.
---------...._...._............_........_... _ . _ _ _ ..._..._.... ._.._._.. ._.._.._
In consideration of the payment of a fee of ........._..---, rmit is hereby $ pe y 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 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. _ ® , / I
Building Inspector
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to see
the Building Inspector for separate permits for these items.
Application for power Plants and Heating. Cooling. Ventilation, ReMgeration 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 $
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
$
Z
ALTERATIONS & REPAIRS
TOTAL FEE
a
ROUGH
FINAL
Dept. of Bldgs. Phone 560-3450
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- 19 (@
Owner
v v v
Kind of Buildings-'-�
Used as
To be completed about
Estimated Cost,
&-New. Building Permit No. Permit No�
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 Loa Kind of Fuel
BURNER — Trade Nam / Size No 16 V./O .7- 9
v
Capacity Sq. Ft. E.D.R BTU H.P.
(REMARKS—OVER)
t
Sign d
By
r / f%
-6
Business
U1 1'J; LWUD 17. JJ f OJL4CJ:J:JG.7J
nv� �,.r vv
Date: 1/1512009 Revi
n Date: 1/15/2009 Existing Construction: Pre 1994,
ite 10forTnation
Address 1: 4668 2nd st
+�
He Project #: j
Address Z;
1 1Lot Block: I'
City: Fridley County, 110nepin
Subdivision:
&PIlcMign I io
Business Name: Cente4int
Energy MN Contractor License 4:
Contact Person. Pat Duo
n
Office Ph: 6123215367
� Fox Cell Ph:
Address 1: 700 WESTL�
DEN AVE
City: MPLS State: 11AN
Zip Code: 55403
Corrtb+ustion Appliai�r oe
Water Heater: Natural 0
ft Input BTUs: 38,000 Common Vent Combustion ,Zone 2
Combustion Zone 2
Furnace/Boiler: Fan Ass
ted Input BTUs: 75.000 Common Vent I
M®k:Yo Air
i �I
NO Make-Up Air Required
Iby Code
I
Cornbustion Alr
Combustion Zone One:
nin° urn Combustion Air Requirements Met.
Minimum Combustion Airj
Requirements Met.
Ir
Appricant Name, (print):
Signature/
Code Officialrint :
iP ) �
If
_ Slgnature/Date:_..._
Pnrrm' minnO3 ar.4l VX)d VNI—ilnirol C odp. r'nticlwlinos, roar 1
Permit No.:
Building MECHANICAL )
Inspections RESIDENTIAL APPLICATION Received BAA -
763 -572-3604 CITY OF FRED -LEY Date '�2
DATE A ` YOUR E-MAIL ADDRESS
SITE ADDRESS
THIS APPLICANT IS: 0 OWNER VCONTRACTQR
PROPERTY
OWNER/
TENANT
COMPANYNAME:_ Sharp Heating & A. C.
SUBMIT A COPY OF CONTACT PERSON: Floyd Joswick
YOUR STATE STATE LICENSE # EXP DATE
LICENSE WITH ADDRESS: 7221 University Ave. N.E. Cly Fridley STATE ZIP 55432
APPLICATION PHONE 763-572-0459 FAX
PER UT TYPE t�SINGLE FAMILY O TWO FAMILY 0 TOWNHOUSE -
TYPE OF WORK: 0 NEW 1KREPLACEMENT 0 ALTERATION/REMODEL
DETAILED DESCRIPTION OF WORK It G7 API; V?a%A('.I✓'_
PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $50.0:00; whichever is .greater, for the
improvement, installation or replacement of a residential fixture, excluding the fixtures. (This should reflect only the cost of labor )
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) t
Equipment Installed
MFG: MODEL-
MFG: MODEL:
SIZEMTU
SIZE/BTU
_A/C $25.00
MFG: MODEL:
FIREPLACE (GAS) $15.00
SIZEIBTU
GAS RANGE/OVEN $10.00
_AIR TO AIR EXCHANGEER $15
FIREPLACE (WOOD) $35.00
NEW GAS GRILL $10.00
_BOILER $35.00
FURNACE $35.00
GAS UNIT HTR$10.00
CHIMNEY LINER $10.00
_GAS DRYER $10.00
POOL HEATER $35.00
_DUCT WORK $10.00
GAS PIPING{ $10.00
_VENTILATOR $15.00
Permit Fee $ Number of fixtures @$ j 0.00 x $10.00 = $
Surcharge $ .50 Number offvdures @ $15.00 x $15.00 = $
TOTAL DUE $ Number of fixtures @ $25.00 x $25.00 = $
Number of fixtures @ $35.00 x $35.00 = $�
State Surcharge = $ 50
Total
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
Lnota permit but only an a plication for a permit and wor is not to start without a permit; that the work will be in accordance with the
roved plan in the case all work i euires revi approval of plan.��A JJJJATURE OF APPLICANT PRINT NAMEMDATE -1 (Q "O
City of Fridley
Building Inspections Department
6431 University Avenue NE, Fridley, MN 55432
763-572-3604
FAX: 763-502-4977