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City ®f Fridley, Mim. BUILDING PERMIT N° 5562. Address r j _. '��?RN OF BUILDING No. Street -- Lot Block _ Addition or Sub-Division� Corner Lot —� Inside Lot Setback _ — Sideyard —. Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING TY Used fFront Depth Height Sq. Ft. Cu. Ft._ Fro t___�____ Depth --- height Sq. Ft. Gu. Ft. 3 2 Type of Construction- Est. cost_� 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 forth and in compliance with all provisions of ordinances of the city of Fridley. In consideration of the payment of a fee of $ , permit is hereby granted to to constructthe 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 uponviol any of the provisions of said ordinances. .....�<��° Building Inspector NOTICE: This permit does not cover the Construction, installation for whing, plumbing, gas heating, sewer or water. Be sure to we the Building Inspector for separate permits for these Hems. OQW.4 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEYt MINNESOTA owner`s Name Builder �o Address 17 �� ^ Address -sryp{ �r ��rppy� I���� M 151-761LOCATION OF BUILDING N a ,_Street Part of Lot Lot:L-� 7 Block _ Addition ore Subdivision. Corner Lot !f Inside Lot Setback -?,P" Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. To be used as: DESCRIPTION OF BUILDING Fronts Depth freight Sq. Ft.7ke� Cu. Ft._� Front ---- Depth neight. Sq. Ft. Cu. Ft. Type of Construction Estimated Cost To be Completed -� i / C16 � The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and ruling of the Department of Build- ings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE , 1 / SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). 17" U Application for Power Plants and Keating, Cooling, Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SU 4-7470 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 $ 5. 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 $ ROUGH FINAL Location 5`7 G / Z _--c s; t °' y �— . 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 C �+J 7- 7 _ 19� �. Owner �;'��. ft, Kind of Building r.,PA may'_ 6 Used as To be completed about Estimated Cost, $ Old—New. Building Permit No. - �' �" Permit No. DESCRIPTION OF WORK BEATING or POWER PLANTS—Steam, Hot Water, Warm Air—No Trade Name A +° , *&6�-Xize Non Capacity Q Sq. Ft. E.D.R BTU H.P. Total Connected Load 49 C Kind of Fuel BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. ® Signed By ' 42 2M Business Phone No– He 7 1119 3 If (REMARKS -OVER) HEAT LOSS CALCULATIONS F-AoSF - -T' DEPARTMENT OF BUILDINGS FRIDLEY, MINN. Weatherstrips ��pp V � 1 A.S.H.V.E. Guide Reference 19_ Construction No. Coef.1 Btu Insulation WindowsI Doors Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes—No Yes—No Exp. wall o i® 1736 F1.1 A'L-r Room I Length Width Height 11 F1.1 A P. Room I Length Width Height Windows and Doors—Crackage and Area p Width Height No. of Lineal f . Area No. of pane of pane lights of crack eq. ft. yNo. G� � 4 Z 11, 133 -7 ��pp V � 1 Coef. Btu Coef.1 Btu Coef. Btu Infiltration Infiltration 46 1 fry, C o Glass 90113&0 Glass Glass Exp. wall o i® 1736 Exp. wall Net exp. wall -2,; D6, Ceiling 1`6 W60 Net exp. wall 4 &t;" /� (�✓.� Int. wall Int. wall 1713 Floor 0 4 Ceiling Ceiling 143 10 Floor 3 143 I*�—, 1 otal Btu. b tG Required sq. ft. E.D.R. or sq. ins. W.A. Leader area H.1 L-1 V Room I Length Width Heiaht Windows and Doors—Crackage and Area p Width Height No. of Lineal ft. Area of'Dgane of pane lights of cragck sq. ft. yNo. G� � 4 Z 4 %�. i ��pp V � 1 Coef. Btu Coef.1 Btu Infiltration Btu Infiltration 46 1 fry, C o Glass 90113&0 Iq •Ti Glass Exp. wall i i® 1736 1� Net exp. wall -2,; D6, Ceiling 1`6 W60 Int. wall Net exp. wall q7 s 1116 Ceiling 920 Int. wall 1713 Floor 0 4 Ceiling 1 otal situ. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 171.1 � /U-reY Room I Length Width Heiaht Windows and Doors—Crackage and Area f 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 pane' of pane lights of crack ft. *�sq. 60 ®1® S l4.0 ��pp V � 1 Coef. Btu Infiltration Coef. Btu Infiltration 31 90113&0 Iq •Ti Glass Net exp. wall i i® 1736 1� Exp. wall Z Ceiling j Net exp. wall q7 s 1116 /® 920 Int. wall 1713 Ceiling 143 10 9!66 Floor 143 I*�—, 4?0 Tbtal Btu. 2 6 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Windows and Doors—Crackage and Area f Width Height No. of Lineal ft. Area No* of pane of pane lights of crack sq. ft. ' 31- 16 2, 36 ei-, 27- .� 1 t✓ v. �v Coef. Btu Infiltration 3112.q-0 Btu Glass", 31 Exp. wall Iq •Ti Glass; Net exp. wall i i® 1736 Int. wall Exp. wall Ceiling j Floor s 1116 Total Btu. � 3 L? Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 4P Room I Length Width Height Windows and Doors--Crackage and Area C3 Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 27- .� 1 t✓ v. �v Coef. Btu Infiltration 31 & 0 Glass; '3 50 r7oo Exp. wall Net exp. wall IL 173C Int. wall 1713 Ceiling 143 10 9!66 Floor 143 I*�—, 4?0 Total Btu. 114 ff 5 0 Required sq. ft. E.D.R. or sq. ins. WA. Leader area F1.1 mil; ItV Room I Lenath Width Height Windows and Doors—Crackage and Area d Width Height No. of Lineal ft. Area No. of p�a]ne of pane of crack sq. ft. jq_ pplights Coef. Btu Infiltration ® l400 Glass '3 50 r7oo Exp. wall L 2.S Net exp. wall 16 5110 Int. wall Ceiling 10 9!66 Floor I*�—, 4?0 Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area D36 „az HEAT LOSS CALCULATIONS _ DEPARTMENT OF BUILDINGS FRIDLEY, MINN. Weatherstrips 3r& 1& 4,3 10,6 A.S.H.V.E. Guide Reference 19_ Construction No. Coef. Insulation WindowsI Doors - Out. Wall Int. Wall Ceiling Roof Floor Kind I How Applied Yes—No Yes—No Glass 36 15-0 1goo F1.1 Room Length Width Height Fl.1%� Room I Length Width Height Windows and Doors—Crackage and Area l Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Z4 Z 0.e) / .® .2, 3r& 1& 4,3 10,6 Coef. Coef.1 Btu Infiltration / 40 Glass /a/ ?e® Glass 36 15-0 1goo Std 1 q00 Exp. wall I— Net exp. wall q t 110 to Igio Int. wall Net exp. wall /0 Ceiling Int. wall 01 19,00 Floor Sr t 3 Ceiling I Floor I S Floor �p Total Btu. ®� Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl -1 Sav►zw-L nlr Room I Length Width Height Windows and Doors—Crackage and Area L� p t® Width Height No. of Lineal ft. Area No. of pane of lights of crack eQ. ft. /pane v . J3 nq- .2, 3r& 1& 4,3 10,6 Coef. Coef.1 Btu Infiltration Infiltration / 40 ?q0 Glass Glass Glass 36 15-0 1goo Exp. wall °2-e.s0 (Q Exp. wall I— Net exp. wall q t 110 to Igio Int. wall Int. wall Ceiling Ceiling 14 01 19,00 Floor Sr t 3 Ej I Windows and Doors—Crackage and Area -At to Width Height No. of Lineal ft. Area N9o. of pane of pane lig�hts of crack sq. ft. �c ` Coef. Btu Infiltration Infiltration / 40 / ?,V-0 Glass Glass Glass 15'Z) 9S� Exp. wall °2-e.s0 (Q Exp. wall Net exp. wall Net exp. wall 110 / 0 Int, wall Int. wall Ceiling Ceiling 14 116 Floor Sr t 3 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.l Room I Length Width Height Windows and Doors—Crackage and Area C ZFC Width Height No. of Lineal ft. Area No. of pane of pane llghts ofcrack sq. ft. 2 I(® Z_ /3 0 ` Coef. Btu Infiltration 3 30 .40 Glass Glass / g� (Q Exp. wall Net exp. wall 5 Net exp. wall 5-26 Int. wall Int. wall Ceiling 14 116 1766 Ceiling t 3 Floor I S 1 otal Btu. 1 'Z q,Total Btu. 57/ Z�o Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl. 64T ff Room I Length Width Height F1,I A.4 7-A4- Room I Length Width Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane Ilghta of crack eq. ft. l� ?� 3.3 7.17 Coef.1 Btu Infiltration 3 140 X26 Glass 3 S -V Exp. wall (Q Net exp. wall 5 `® 5-26 Int. wall Ceiling 14 116 1766 Floor IV Windows and Doors--Crackage and Area Width Height No. ofLineal ft. Area No. of pane of pane lights of crack sq. ft. /3, 7= Coef. Btu Infiltration 3 140 -5-ZIO Glass Exp. wall (Q Net exp. wall S `® 5 - Int. wall Ceiling Floor IV Tbtal Btu. 0 0 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I Required sq. ft. E.D.R. or sq. ins. WA. Leader arra cr�.E'_ J a 1COL7'E R 00 p -rte .. �a g sib 1 MPLS 2t, l3 Tt�i'R L 2� 1D 12 ©�yo F-Z' 4 a O �2.0� Ep Application for Rawer Plants and: Heating, Coding, Vent flon..Refilgeration 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 $ u 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 ............................. P.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 RATEOSTAL 1st 3 Fixtures ......... -3 x $1.50 $ aw ............. Additional Fixtures ................. x .50 $ _ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS ROUGH— OUGH FINAL— FINAL Dept. of Bldgs. Phone SU_ 4-7470 City City of Fridley: The undersigned hereby makes application for a permit for the work h rein 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.. Owner Kind of Used as 196 - To be completed about Estimated Cost, $ Old—New. Building Permit No. �'� ermit N 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 BURNER —Trade Name Size No Capacity (REMARKS—OVER) a z 7M 7-59 Sq. Ft. E.D.R BTU H.P. (RANK'S HEATINd Signed It Business Phone No 3 �% 01 SUBJECT City ®i Fridley 013 AT THE TOP OF THE TWINS BUILDING PERMIT REC • _____ COMMUNITY DEVELOPMENT DIV. f � � PROTECTIVE INSPECTION SEC. NUMBER REV DATE vAGE OF A0PROVEO By CITY HALL FRIDLEY 55432 612-571-3450 910-F15 7/21/00 10B ADDRESS 5761 2 Street NE 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. I Pt 6, 7 26 Hyde Park Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dave Heryla 5761 2 Street NE (1100 Polk P1, Col Hgts) 571-4808 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Century Roofing 6336 Lyndale Ave S, Richfield, MN 55423 869-5133 20093168 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Tri-plex 7 CLASS OF WORK ❑ NEW O ADDITION O ALTERATION jP REPAIR O MOVE O REMOVE 8 DESCRIBE WORK Reroof Tri-plex, 18 Sqs, Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED 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 3 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 $1,573 $.79 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT 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• S U TION OR THE PERFORMANC OF CONSTRUCTION $57.05 Fir SC $1.57 PLANCHEC EE Lic se SC $ .0 TOT EE 4...41 $67��025v SIGN A TUAE OFC NTRACTOR OR AUTHORIZED AGENT IDAT I H &ORVALID TE THIS SIGNATURE OF ERoF OWNER BUILDERI ,DATE, -' B DG INSP gaiE 01 NEW [) Effective 1/1/2000 ADDN [ ] CITY OF FRIDLEY (763) 572-3604 Bldg Insp ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION Construction Address: _ c i � Legal Description: Owner Name & Address: Contractor. 0 MN �11SE # Address: Tel. # Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft DECK AREA: Length Width Hgt//Ground Sq. Ft OTHER: Construction Type: ItA 4Estimated Cost: $_ n �� IS93 Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: Tel. #,� �J CITY USE ONLY - Call (763) 572-3604 for Permit Fees if mailing In application Permit Fee $ ��% �^ Fee Schedule on Reverse Side Fire Surcharge .001 of Permit Valuation (1/10th%) State Surcharge $ 99 $.50/$1,000 Valuation SAC Charge $ $1100 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 STIPULATIONS: $ 0