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PRE 2010 DOCSCity of Fridley, Minn. 'BUILDING E I N� a Date: i Owner:4 Builder Address _ .._ Address W11CA F BUILDING icv No. !�. Street ___�_ Part of pt Lot Block ___ Addition or Sub -Division + ` Corner Lot Inside Lot Setback �- _ _ ____ Sideyard Sewer Elevation Foundation Elevation DESCRIPTION. OF BUILDING Front Depth Height Sq. -- -_ t Depth eight _ Sq. Ft. __ _. Cu. Ft. _ Type of Construction _ Est. ""'.✓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 $ s , 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 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. 14 ..1 NOTICE: This permit does not cover the construction, installation for whh% plumbing, gas heating, sower or water. Be sure to see the Building Inspector for separate permits for these Rens. 4 APPIIMM SUBJECT TO COx FOR -MLI CE TO AFPLICADLE CODES MID 0FDr__,rULTCLS - BU 2LDRTG COil CITY OF F EY,f±F@Mf0N FOR BUILDING PERMIT CITY OF FRIDLEY# MnmsOTA G%�/�`il 9� Owner's Name /�.,�_ Pilder Addres ®v V r/"/- .- LOCATION QF BUILDING � 7y No* Streefi� �� Fart of Lot $ ... �+. ..Block °r7 Addition or Subdivision�zA .�. Corner Lot�&' Inside Eot Setback L Side Yard SLrVMR ELEVATION FOUNDATION ELE� T:101q Applicant attach to this form Certificate of survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used ass Front,Depth .Z Heights sq. S t . LCU. Ft,�- Front_______ Depth Height sq. Ft. Cue Vt. Type of Construction _Estimated Cast To be Completed 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 (Schedule of Fee Cots can be found on the Reverse side). City of Fridley Application for Plwnbing and Gas Fitting Permit Dep:. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK % ®� Number, Kind and Location of Fixtures Location PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: O. RATE / TOTAL Number Fixtures x $1.50 e ® (-) Future Fixture Opening ................ x New Fixture Old Opening .............. x Catch Basin ............................ x Water Heater (Up to 200,000 BTU) ...... __�" x New Ground Run Old Bldg . ............ x 1.20 $ 1.00 $ 3.25 $ 2.00 $ ;23 � d 3.25 $ w yy Z }� Y Z rz Z pp tT3 Z 1 O J w G Z z . 0 t F b N WATER HTR. GAS ELEC- U' O Base .2 1st 2nd 3rd 4th ' Future Connection Openings Connected with Sewer New Fixture, Old Openings I JJ Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: O. RATE / TOTAL Number Fixtures x $1.50 e ® (-) Future Fixture Opening ................ x New Fixture Old Opening .............. x Catch Basin ............................ x Water Heater (Up to 200,000 BTU) ...... __�" x New Ground Run Old Bldg . ............ x 1.20 $ 1.00 $ 3.25 $ 2.00 $ ;23 � d 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ Additional Fixtures .................... Gas Range to 200,000 BTU x .50 x 2.00 $ $ .............. REPAIRS & ALTERATIONS --Refer to Code Description ................................................. $� TOTAL i City of Fridley: The undersigned hereby makes application for a permit for the work herel 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 a true and correct. Fridley, Minn lJ� 19ce-. ., r 10% 1 It Owner j Kind of Building Used as�.� To be completed about Estimated Cost, $ aa eze", Old New. uilding Permit No Permit No. Signe By Business Phone No ROUGH ' S �- FINAL Application for Power Plants and Heating. Cooling, Ventilation. Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SU 4-7470 GRAVITY WARM AIR: RATE TOTAL Location G O Furnace Shell & Duct Work ........................... 8.00 $ Replacement of Furnace ............................. 5.00 $ City of Fridley: The undersigned hereby makes application for a permit for the work herein Repairs & Alterations—up to $500.00 .................. 5.00 $ specified, agreeing to do all work in strict accordance with the City Ordinances Repairs & Alterations each add. $500.00" '" " " " " ' 2.50 $ and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. 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 Xurnace 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 $ S" G O GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... $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 $ I Ste' ROUGH FINAL Owner Kind o: Used as !7' To be completed about R --'36 'Ire Z_ a-c3� Estimated Cost, $ :;!00 New. Building Permit No. tf 141 Permit No. !:>C DESCRIPTION OF WORK HEATING or POWER PLANTS -Steam, Hot Water, Warm Air—No 1 Trade NamPa2z-"4��- Size No- Capacity o Capacity Sq. Ft. E.D.RTi7 0 BTU A.P. Total Connected Load -7 34 72 r L7 Kind of Fuel BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. ADVANCED HEATING i AIR CONDITIONING, INC. 4709 & E. RAIN STREET Mil. °APOUS 21, MINS.. Signed 7$G. C,57a sy (REMARKS -OVER) gy42 2M Business Phone No. D•56 a z HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS FRIDLEY, MINN. 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._ iz Fl.l/_ ° /ter,` Room Lensth�/" rt Width) ev '/Height lw of II r Fl_I I . I. _ f�..o Room l Length � �� "Width .,er!.a Windows and Doors—Crackage and Atea v Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. G� Vacl 3 2— 7— 33 Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. it. Z- aP Coef. Btu Coef. JCoef.l Btu Infiltration Btu p 5, Lo qo 1,060 Glass �^^® Exp. wall Net exp. wall a Exp. wall Net exp. wall Int. wall Ceiling Exp. wall Net exp. wall Ceiling g p Ceiling Int. wall /g J /d '900 /0 Ceiling y Floor Ceiling v 1 otal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area A FI.I/V J /?',o,(Room I Lengthy; '., # Width/ z_'-I.?Height R -A �r Windows and Doors—Crackage and Area v Width Height No. of Lineal ft. I 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 sq. ft. 2— 7— 33 Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. it. Z- aP Coef. Btu Coef. Btu Infiltration Btu o 5, Lo Glass Exp. wall �^^® Exp. wall Net exp. wall a 16 44-t7 Net exp. wall Int. wall Ceiling Exp. wall Int. wall Ceiling g p Ceiling Floor /g J /d '900 1 otal Btu. Z� Required sq. ft. E.D.R. or sq. ins. WJL Leader area J Room 1 Lengthy s °P, Midth 9 4,, 7 Height Sri .0 A er Windows and Doors—Crackage and Area v Width Height No. of Lineal ft. I Area No. of pane of pane lights of crack sq. ft. f 4dth Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 2— 7— 33 Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. it. Z- aP Coef. Btu Coef.1 Btu Infiltration T, Btu Vol Glass Exp. wall' 5-01d Exp. wall Glass p Int. wall Net exp. wall Ceiling Exp. wall Int. wall Floor g p Ceiling Net exp. wall /d Floor /0 ,� Z y 1 btal btu. nequtrea sq. it. nai.m. or sq. ins. W.A. Leader area 1 :.gyp/I Windows and Doors—Crackage and Area v Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. f 4dth Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 2— 7— 33 Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. it. Z- aP Coef. Btu Infiltration Coef. Btu Infiltration S-0 9 Q Exp. wall' YC' 2 Glass p Int. wall Net exp. wall Ceiling Exp. wall Int. wall Floor g p Ceiling n Net exp. wall /d 2 /0 ,� Z Int. wall Ceiling p Floor Total Required sq. ft. E.D.R. or sq. ins. W.A. Leader area 1, Ell /Voll c % ra _ Windows and Doors--Crackage and Area v Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 2— Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. it. Z- aP Coef. Btu Infiltration yo T Glass 7 S-0 9 Q Exp. wall' ® � v Net exp. wall p Int. wall Net exp. wall Ceiling f g Int. wall Floor Total rs: 1 otal lata .L 4 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area ... I .......e.. �.e... P --v Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. it. Z- aP Coef. Btu Infiltration Glass ® � v Exp. wall, Net exp. wall io lla Int. wall Ceiling n /d Floor 1 otal lata .L 4 Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Ddb 1 a z HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS Weatherstrips A.S.H.V.E. Construction No. Guide Windows( Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Yes—No Yes—No 19_ .11 FO r. r ,....,Room l Lenstth/i ,'Widths? t. ,n "f f Height ji ' q 'r'lI R.l Windows and oors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane light,, of crack sq. ft. 1 It P rr I �d �L 1 LQ Coef.1 Btu Infiltration ® &'-,v Glass Exp. wall Btu Net exp. wall Int. wall �y Ceiling Glass Floor 2 1 otal Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area J1JF1.1 ,Q- rl-n 1/Room I Length.*,.'-A'rWidth x-',, It Height Windows andboors--Crackage and Area Width Height No. of Lineal ft. Area No. of Dane of pane lights of crack sq. Lt. Width Height No. of Lineal ft. Area of pane of pane lights of crack sq. It, VX.o. ' 7 I 0 Coef. Btu Infiltration Coef.1 Btu Infiltration Net exp. wall �y 0 Glass Ceiling 2 2- a O Exp. wall Net exp. wall Int. wall 1,03 0 Ceiling 94 /® Floor 1 otal titu. 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 Dane of pane lights of crack sq. Lt. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int, wall Ceiling Floor 1 btal titu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Kind Room Windows and Doors—Cracl Width Height No. of No. of pane of pane lights FRIDLEY, MINN. Insulation How Applied Width Height and Area meal ft.Area 'crack sq. ft. .-- Coef. Btu Infiltration % — Glass 2 p Exp. wall Net exp. wall Int. wall Ceiling Floor 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 Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration Glass Exp. waU Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area Fl.l Room I 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. Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor 1 otal titu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area H. STIPULATIONS (List): DATE REQUIRED DATE COMPLETED I. MISCELLANEWS: BAY Summm S M QTY OF FRIDLEY, HINNESDukoZ jf�e1 ADDRESS AM LWAL DESCRIPTION. ' OwNEWCONTRACT OOKSTRUCTION DATE: ADDITIONS: CERTIFICATE OF OCCUPANCY ISSUED: YES NO DATE A. ZONING ACTION: ORDINANCE NO: B. SPECIAL USE PERMIT(S): C. IDT SPLIT (S) : D. VACATION (S) '"24 (� ! ORDINANCE NO: E. VARIANCES APPEALS COMMISSION: APPROVED DISAPPROVED • DATE NO. CITY COUNCIL: APPROVED DISAPPROVED DATE ND. F. EASEMENT'S: REQ'D DEPT RBC'D Bikeway/walkway Street right-of-way Utility Drainage Alley Other (Specify) G. LICENSE(S) (List): Date of Renewal: H. STIPULATIONS (List): DATE REQUIRED DATE COMPLETED I. MISCELLANEWS: SUBJECT PER JJT_N.O._ City of Fridley y 27545 AT THE TOP OF THE TWINS BUILDING PERM I T -Rs PT-N- _ COMMUNITY DEVELOPMENT DIV. v PROTECTIVE INSPECTION SEC. NUMBER REV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 612-571-3450 910-F15 19/2/98 JOB ADDRESS 6061 2nd Street 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 29 30 7 d SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Herb Aaker 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Tachenv Roofing Inc. 49 Owasso Bl494-1466 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 jj REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK four- lex Reroof lsmxsiEx= 23 SO Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED 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 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 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 1971 .98 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STAT -OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFO CE OF CONSTRUCTION. 62,25 $1.9,7 PLAN CHECK FEE TOT FEE .20 SIGNATURE OFON CTORORAUTHORIZEDAGE T MATEI HENMPFJLID THIS ISjr'QIJIRSIGNATURE - OF OWNER IIF OWNER BUILDER, (DATE, BL N MATE Prepaid Plan Check $ Estimated Cost $ Receipt # Effective 1/1/98 CITY OF FRIDLEY R-3, COMMERCIAL & INDUSTRIAL a� BUILDING PERMIT APPLICATION Construction Address (Po (jZomig Legal Owner & Address CONTRACITOR & ADDRESS Architect Tel#. j2ookmciTNS j Oyu,. 31 c) Lf -:"Pele'aq 14( Reg.# Engineer Reg.# BUILDING CONSTRUCTION TYPE OF WORK [] New [] Addition [] Alteration-pescribe _Q��... OFC. AREA: Length Width W[M AREA: Length Width OTHER AREA: Length Width Height Sq. Ft. Height Sq. Ft. Height Sq. Ft. APPLICANT Tel # '04-14fo Date Sq. Ft. x $ Sq. Ft. x $ Sq. Ft. x $ Building Use Air Conditioning [] Yes [] N Performance Bond Amount $ Pezmit Fee Plan Check Fire Surcharge State Surcharge SAC Charge $ Erosion Control $ Park Fee 1 $ Spec. Assessments $ VALUATION Cost/Sq. Ft. = Valuation $ ) Cost/Sq. Ft. = Valuation $ ) Cost/Sq. Ft. = Valuation $ ) Construction Type C+� Occupancy Group o Fire Protection govided [] Yes []No Driveway Escrow $ T07MLAL $ �. •� VALUE See Reverse for Schedule Received []Yes []No See Fee Schedule on Reverse Side In Excess of Prepaid Amount - See Reverse Side .001 x Permit Valuation (1/10th a) $.50/$1,000 Valuation (See Sched. for > $1 Million) $1000 per SAC Unit (Plans to MCC for determination) $450.00 Conservation Plan Review Fee Determined By Engineering Agreement Necessary [] Not Necessary [] feet x $13.50/foot ATTACH STIPULATIONS 6431 University Ave NE Fridley, MN 55432 (763) 572-3604 �v IQN UIV. utective un Jan 1, zuuz APPLICATION FOR PLUMBING AND GAS FITTING PERMIT QA MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR PLUMBING FIXTURE RATES: New Fixtures Old Opening, New Fixture Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater -Electric Water Heater - Gas** Gas Range** NO. RATE Gas Dryer** Back Flow Preventer Required ( )Yes () No Type Reinspection Fee $47.00/Hr $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 TOTAL JOB ADDRESS S11- NE 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 and rulings of the Building Division, and hereby declares that all, the facts and representations stated in this application are true and correct. 200 Owner JoWh � ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge .50 Building Used As W 15LILU V Estimated Cost D _ PERMIT NO. / y PLUMBING COMPANY, MCGUIRE & SONS ns, MN 55343 -q �' -� �� SIGNED BY ff TEL N0. FAX I� ��� Approved By Rough -In Date Final Date TOTAL FEE $ PLUS THE $.50 STATE SURCHARGE COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6-A. COMMON VENT INFO ON BACK SIDE THE BELOW MUST BE FILLED IN WHEN REPLACING FUEL BURNING APPLIANCES OR THE APPLICATION WILL BE RETURNED (`SIL MON VFNT, VENT QNNFGTOR AND r.01VIRURTION AIR VFRIFIM110N �5 When re la g an avis ingfi rancum, 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 (► No ( ) The venting system is plastictPVC 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 exicti nmis,stinn air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When required to install a new _nmh intron air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes( ) No( ) When jpgtajlonn a new y _nting system, the undersigned hereby verifies that it 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( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes( )No( ) Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU 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 Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter " in Type HEATING CO: Signed By: Date: