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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMITNo (6 65 8 Date: __ ..... ��.._.._.._.........._._..._-._....._....� Owner: Builde ' Address..._....... ......_. ...._ _...._ _ ..---....-..__._...__.._.._......-_-_ Address __-- s O N OF BUILDING NO.. � .. Street✓ _ . Lot ..- f�..d�_ Block _ _ - ...._......_.._.-........ Addition or Sub -Division _ v` Corner Lot ... .Lir+� _Inside Lot .... _............ ..... _....... _.... Setback _..,�...._-_...4Seyrd Sewer Elevation ...._..._._.__....... .._..___........................... Foundation Elevation ............. _._............... ... DESCRIPTION OF BUILDING jT Upd-Front �� Depth .... Height .�.. Sq. �:Cu. Ft.Front _ _ . De th i ht .�_� p ..i%- g ....-�� Sq. Ft. -{. .. Cu. Ft. of.. -_ Est.��Cost !L jo.be Completed ..._.......�._ ........_._ Ar 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. a , In consideration of the payment of a fee of $ ..... ___._.., permit is hereby granted to ---- to o....-- _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 bw1thIn the uildings ordinances, limits and this permit may be revoked at any time uMnAviolati=jDf any of the provisions of said 1. -d Gddidot-M Building Inspector NOTICES This permit does not cover the construction, Installation for wiring, plumbing, gas boating, sewor or water. M sure�Wlo the Building Inspector for separate permits for these items. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER'S NAME BUILDER ADDRESS ADDRASS./ s LOCATION OF BUILDING No. Street ? Part of Lot Lot/G Block ZVI Addition or Subdivisio Corner LotInside Lot Setback Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed build- ing location drawn on these Certificates. DESCRIPTION OF BUILDING To beu as : ..� Front pth Height 01 Sq. Ftj �aT-,-� u. Ft. Front % Depth-- Height Sq. Ft. Cu. Ft. Type of Construction Estimated Cost 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 rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE SIGNA �s/�%�✓ vyLi�-'^�" (schedule of Fee Costs can be found on the Reverse Side). City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK Number. Kind and Location of Fixtures q Z 88 U' Z 0O • F • N WATER HTR. GAS ELEC Base 1st 2nd 3rd 4th • Future Connection Openings * New Fixture, Old Openings I Connected with Sewer ❑ Cesspool El PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL � Number Fixtures ...................... x $1.50 $/4 Future Fixture Opening ................ x 1.20 $ New Fixture Old Opening .............. x 1.00 $ Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ...... x 2.00 $ New Ground Run Old Bldg. x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ f! Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE $Zr 4®, _ - -r s�- 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 Ordinance and ruling of the Department of Buildings, and hereby declares that all the facl and representations stated in this application are true and correct. Fridley, Minn Owner Kind of Used as ��evc— /- 4 To be completed about �� ✓� '� Estimated Cost, $ z�' Old— ew. uilding Permit No, ® Permit No. ROUGHT v / / '-4-3- FINAL 42 '2M Business Phone Application for Power Plants and Heating, Cooling, Ventilation, .Refrigeration 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. IDR Steam....... 8.00 $ 0 > 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 W. GAS BURNER (up to 400,000 BTU) ....................... 5.00 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $ I� 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— OUGH FINAL— FINAL Dept. Dept. of Bldgs. Phone SII 4-7470 rv/ _ & . 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. Owner 194=7 Kind of Building Used as e✓" p� To be completed about , ® xs— Estimated Cost, $ J--"> Old a uilding Permit No. Permit No. 11Z 1�clk DESCRIPTION OF WORK HEATING or PO R PLANTS— Ste H�Wa�terarmAir—No Trade Name --t-� Size No Capacity Sq. Ft. E.D.R BTU H.P. f 5-0 °f Total Connected Load • . G% Kind of Fuel BURNER — Trade Name Size No I� �' ® Capacity ®® Sq. Ft. E.D.R BTU H.P. (REMARKS -OVER) kjz s �� HEAT LOSS CALCULATIONS DEPARTMEN OF BUILI?INCS i IOSEVILLE, MINN. Weatherstrips A.S.H. .E. Construction No. Width Height No. of Lineal ft. Ara No. of pane of pane lights of crack sq. eft. 3v OP Guide Infiltration2W Glass Coef. Btu Infiltration 117 Exp. wall Net exp. wall Glass Exp. wall Windows Doors Refer a Out. Wall Int. Wall Ceiling Roof Floor Floor Kind Yes—No I Yes—No 19 F1.1 Room I Length Width Height Room I Length Windows and Doors—Crackage and Area - \Vldth Helght No. of Llneal tt. Area No. of Dane of Dane lights or craelt sq. ft. Infiltration Glass Exp. wall J Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.l 7N) W )ad /—Room I Lenath Width Height Windows and Doors--Crackage and Area A7 Width Height No. of Lineal ft. Ara No. of pane of pane lights of crack sq. eft. 3v OP 2 2 Infiltration2W Glass Coef. Btu Infiltration 117 Exp. wall Net exp. wall Glass Exp. wall ?a— Net exp. wall O -770 Int. wall Ceiling Ceiling Floor Floor Q I(a Total Btu.' Required sq. ft. E.G.R. or sq. ins. W.A. Leader area 9 Fl.l 1 _ir '' Room I Lenttth Width Height Windows and Doors—Crackage and Area �, r Width Height No. of Lineal ft. Area No. of pane of pane Itghta of crack eq, ft. 3v OP 2 2 Infiltration2W Glass 3 Coef. low ®, t Exp. wall Net exp. wall Q Exp. wall Z Int. wall Net exp. wall Inc. wall Net cap. wall Ceiling Int. wall Floor Floor Floor Total Btu. Req sq. ft. E.D.R. or sq. ins. W.A. Leader area Insulation How Applied Width Height Windows and Doors—Crackage and Area / Wid4He No. of Llneal ft. Area No. of Dlights ofcrack eq. it. 3v OP 2 2 Coef. Btu Infiltration 1o -16 ej Glass O Exp. wall Z Exp. wall Net exp. wall Inc. wall Net cap. wall Ceiling Int. wall Floor O Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area A M I AGLArTtl Rnam I Lenath Width Height W Windows and Doom--Crackage and Area C3 Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. 2 2 f. Btu Infiltration 0 p Glass Exp. wall 0 Net cap. wall Int. wall Ceiling Floor Total Btu. t Zp go Required sq. ft. E.D. or sq. ins. W.A. Leader area / 0 1 U-1 'I hri nnm I I Pnath Width Height Windows and Doors--Crackage and Area Width HeightNo. of Lineal ft. Area No. of pane of Daae lights of crack eq. ft. 2 2 ef. tl� Infiltration Glass 0 p _ Exp. wall Net exp. wall Int. wall Ceiling • p Floor 0 p Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area //,0- F f�rkK® Z)1�q, -- Ize0 HEAT LOSS CALCULATIONS - DEPARTMENT OF BUILDINGS Weatherstrips A.S.H.V.E. Construction No. Guide WindowsI Doors Refereme Out. Wall Int. Wall Ceiling Roof Floor Yes—No Yes—No 19— I SIJ A . _B / Rnesn I L.enath Width Heistht II Fl.� Windows and Doors—Crackage and Area , WidthHelght No. of Lineal ft. Area No. or pane of pane Ilgh a of crack sq. ft. 'L CO Z 16 7L. Coef. Btu Infiltration Btu Glass Exp. wall Net exp. wall p 01 lie Int. wall Glass Ceiling 30 101 pip Floor Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I Fl.l A. J 7 _ Room I L.enath Width Height Win ws and Doors—Crackage and Area 9� 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 sq. ft. 16 7L. Coef. Btu Co f. Btu Infiltration D b Glass Net exp. w 166 0 Exp. wall Floor Ceiling Net exp. wall b G Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F1.1 IIA Room I L.enath Width Height ROSEVILLE, MINN. Insulation Kind How Applied R.nm I 1 moth Width Height Windows and Doors—Crackage and Area 9� Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration % U Glass Exp. wall Exp. wall A P1- Net exp. wall Int. wall Net exp. w Ceiling d O Floor Ceiling Total Btu. b Required sq. ft. E.D.R. or sq. ins. WA.Leader area FI.I Room I Length Width Height Windows and Doors—Crackage and Area 9� Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Coef. Btu Infiltration U Glass d Exp. wall A P1- Net exp. w fp Int. wall Ceiling Floor O Total Btu. Required sq. ft. E.D.R. or sq. iris. W.A. Leader area m I RMm I 1 moth Width Heisrht Windows and Doors—Crackage and Area 9� Width Height No. of Lineal ft. Area No. of Dane of pane lights of crack sq. ft. Coef. Btu Infiltration U Glass d Exp. wall L 4 Net exp. wall Int. wall Ceiling Floor fp Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area C. Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq. tt. Coef. Btu Infiltration Glass _ Exp. wall Net txp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area V 01 SUBJECT Po City of Fridley 19055 AT THE TOP OF THE TWINS BUILDING PERMIT _ CEIPT NO. � 1 • COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 1 i CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 7/7/87 JOB ADDRESS 4501 - 3rd Street N.E. 1 LEGAL LOT NO. BLOCKTRACT OR ADDITION SEE ATTACHED DESCR. 16,17 I 16 Pl ou: Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jessie De'arlais 4501 - 3rd Street N.E. 572-1563 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 X 8 DESCRIBE WORK Reside Dwelling 9 CHANGE QF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REOUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Steel 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 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 $6,000 $3.00 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- $56.50 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTALFEE $59.50 ySIGNAT FCONTRACTOR UTHORIZEDAGENT IDATEI WHEN PROPERLY VA ATED THIS IS YOUR PER IT lea SiGNATURE OF OWNER IIF ER UILDE I IDATEI 4 Ajz..e BLDG INSv TE V 01 NEW [ ] City of Fridley Effective 4/1/86 ADDN. [ ] R-1 AND R-2 ALTER. [ ] Building Permit Application Construction Address: Legal Descriptio s Owner Name & Address: Tel. # Contractor: `� ____— Tel. # Address: 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: 4.�.o Corner Lot L l Inside Lot [ ] Ft. Yd. Setback Side Yard Setback Type of Construction: Estimated Cost: $ Approx. Completion Date: Alt. A Alt B Proposed Driveway Width If New Opening Is Desired: $ $ See Back Page for Explanation DATE: ') ".*7— 2_7 APPLICANT: ��� Tel. CITY USE ONLY Permit Fee $ s� Fee Schedule on Reverse Side Plan Check $ 25% of Building Permit Fee State Surcharge $ Q U $•50/$1,000 Valuation SAC Charge $ $ 525 per SAC Unit Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary L ] Not Necessary [ ] TOTAL $ a�9 S� STIPULATIONS: SUBJECT PVRMIT City of Fridley 1.9569 AT THE TOP OF THE TWINS BUILDING PERMIT _ rp EIPTNO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 1 1 ; � l 1� ��'���,,J CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY --•- L 612-571-3450 910-F15 6/28/88 JOB ADDRESS 4501 - 3rd Street N.E. 1 LEGAL LOT N0. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 16,17 16 Plymouth Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Jessie DeJarlais 4501 - 3rd Street N.E. 572-1563 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. AMRE 3700 Annapolis Lane, Mpls., MN 631-0450 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 x❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Construct a 161 x 161 Deck Addition 9 CHANGE OF USE FROM TO STIPULATIONS See notations on plan 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 SQ. 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 1 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 WI H WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $1.,750 $.87 DOS NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PR SIOE OTHER STATE O LOCAL LAW REGULATIN CON- ST CTIOERFORM $41.00 XOFNSTRUCTION. PLAN CHECK FEE TOTAL FEE c z $41.87 SIGNATUR OFC NTRACTO O AUTHORIZED AGENT (DATE) WHENPROPERLY VA ATED THIS IS YOUR PERMIT SIGNATURE OF OWNER IIF OWNER BUILDER) 1DATE) BLDG )NSP IATE NEW [ ] City of Fridley Effective 5/1/88 ADDN [ ] R-1 AND R-2 r' AMER [ ] Building Permit Application Construction Address: ��� ye� Legal Description:--. LOT -S n Mo, -W Owner Name & ress: V f,i.5 ( �� Tel. # Contractor: id'1 c Tel. # �i -OS� Address:�C� Attach to this application, a Certif icate of Survey of the lot, with the proposoed construction drawn on it to scale. DESCRIPTION OF IMPROVIIMENP LIVING AREA: Length Width Height Sg. Ft. GARAGE AREA- Length Width Height Sq Ft. DEM AREA: Length l6 Width �� Hgt/Ground Z6 1.4 Sq. Ft. LEM6:. Cbrner Lot [ ] Inside Lot [ ] Ft. Yd Setb@Lck V0 Side Yard Setbacks Type of Construction: -T"44AEstimated Cost: Approx. Completion Date: / - Pa L 16 a I a �� �'� ��� Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired: 5 5 Width + ' See Back Page DATE: S APPLICANT: /ATel. # S v CITY SE ONLY Permit Fee $ 0030 State Surcharge S SAC Charge $ Driveway Escrow 5 Park Fee 5 Sewer Main Charge 5 Sl'IFULATIONS: $ I® Flee Schedule on Reverse Side $.50/51,000 Valuation $550 per SAC Unit Alt. "A" or Alt. 'B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] 0 0