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PRE 2010 DOCS0 Village of Fridley, Minn. BUILDING PERMIT 40 1742 Builder.............................................. Address............................................. LOCATION OF BUILDING No . ............. Street .... �t.�J ........................ Pa Lot .... ............ I� Lot .... ....... Block ....../.......... Addition or Sub-Divisio Corner Lot ........... Inside Lot Setback ... ..l. Sideyard .............. DESCRIPTION OF BUILDING Tne Used as: ....... ........ (`//"j'rN Front W. Depth . P Height .� Sq. Ft. Cu. Ft. ............... F ont ........ Depth ..... Height ...... Sq. Ft. ........ Cu. Ft. ........ Type of Construction Est. Cost/. P3f. L&.'Z0F.4Ze 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 village of Fridley. "on of the payment of a fee of $/. fir... , 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 with- in the village limits and this permit may be oked at any time upon violation of any of the provisions of said ordinances. ........ . .... Building Inspector a NOTICE: This permit does not cover the construction, Installation or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. 0 • • 0 City of Fridley, Minn. BUILDING PERMIT Builder N® -'t- / i ,,IA—' 6776 LO 1 N F BUILDING No.4/1 Street. / —_ P f Lot Lot - Block Addition or Sub-Divisi� Allf--JV—JS Corner Lot — Inside Lot Setback a Sideyard Sewer Elevation — Foundation Elevation DESCRIPTION OF BUILDING T - Used P /,� Front !Z _ Depth Height �� Sq. Ft. &P0Cu. Ft. 201 Front Depth eight Sq. Ft. Cu. Ft. Type of Construction _Fast. Cost =To be Completed _ In consideration of the issuance to me of a permit to c nstruct t1A building above, the proposed work in accordance with the description above set fo and in W-/ s of ordinances of the city of Fridley. _ _ In consideration of the payment of a fee of $ , permit is hereby granj6d 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 satd building, or anypart 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 vrr of any of the provisions of said ordinances. �� a f NOTICE: , 7hb perm8 does net eorer the eonstruc*on, huteQedon for wbing, phtmbing, gas henthig, sewer or water. Be euro to see &a Building hupeeter for separate permits for these Rema. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA OWNER ° S ITAIM R.&441 -10 e BUILDER 14 ADDRESS y"® ADDRESS -SAd 0F LOCATION OF BUILDING .Street-- hip d- Part of Lot Lot '!S Block j Addition or Subdivision Corner Lot Inside LotSetback IS Side Yard i h SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form. Two Certificates of Survey of Lot and proposed build- ing location drawn on these Certtficates. DESCRIPTION OF BUILDING To be used as: TA y o 5 TO /Z? e- -Z�' 4 '0! < A s % � j � `�P T, AV d!%`'' Front Depth �j e ° Height / y4 or, jr Sq. Ft. Cu. 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`SIGNATIME (Sebedule of Fee .Costs can be found on the Reverse Side). .» STerlleg 1.6150 BLAKE ENGINEERING COMPANY SOILS ENGINEERING 7101 Highway 65 N.E MINNEAPOLIS 32, MINNESOTA ' Order ff i256 r; January 30, 1964 Mr. Ronald Fngesethen 4601 Boone Avenue North rt inneapol is 2E, Minnesota Dear 3 it : httactled are the logs of three soil borings made on lots 2 and 3. Rearrangement of Block 15, llymouth In Fridley, Minnesota. Tiie bcrtngs were E,ut down at the locations shorn on tr_® attached sketch. Four density tests were also made on these lots and the results are given on sheets attached. The bench nark used is also shown on the attached sketch. Soil was visually classified ac- cording to the U. S. Bureau of Soils Classification System - It may be seen that 2* to 3 feet of fill was found at these borings. The underlying soils are mostly sandy, with borings 1 and 3 terminating in clay. No free ground mr tur was encountered at this time to the depths of these borings. Based on these three soil borings ana four density tests, it is ciur opinion that these twu housescould be adequately supported on widespread rArforced concrete footings, placed on the existing fill at normal fo�ating depth. VIER/ej Copy to: Building Inspector Frio:ley, Minnesota Sincerely youru, BLAKE ENG IE -E MIh G COMIA Y Ward z. Blake Jr., r. Z. kinn. I-,eg. ,Io. 5597 ift City of Fridley Application for Plunnbing and Gas Ruing Perndt Dept of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK ' Se �3 Number, Kind and Location of Fixtures Location 82 3 RATE TOTAL �� w 3� Oii. (20 x 8•�a S <3 ,j (�9°1 0 �Sn Z aO • F • N WATER HTR. GAS ELEG Base 3.25 $ Water Heater (Up to 200,000 BTU) ......—Z x 2.00 $d New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: RATE TOTAL 1st 3 Fixtures .......................... x $1.50 A Additional Fixtures .................... 1st .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ 2nd 3rd 4th • Future Connection Openings * I New Fixture, Old Openings _ Connected with Sewer Cesspool O PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... (20 x $1.50 $� 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) ......—Z x 2.00 $d New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: RATE TOTAL 1st 3 Fixtures .......................... x $1.50 A Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description................................................$ TOTAL FEE $7—`"`_ 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 fact and representations stated in this application are true and correct. Fridley, Minn -4-A't— ! 19L Y Owner \'NX t� Kind of Building Used as To be completed about Estimated Cost, $ Old(F§ Building Permit No_ ,L,�permit No. Signed ^ By Business Phone No 4 U ROUGH FINAL �01314.42 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 $ NECK. 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 NO RATE TOTAL 1st 3 Fixtures ...................... 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 $ ALTERATIONS & REPAIRS TOTAL FEE $ ROUGH FINAL Dept. of Bldgs. Phone SU 4-7470 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 Kind of Used as oe�2441-4-1,1, -cfc To be completed about e7'46__ EstimatedCost, $ v Old New Building Permit No. 6 P.'t DESCRIPTION OF WORK i HEATING or POWER PLANTS—Steam, Hot Wa , W rm No s Trade Name-�'v��,�6 Size No C/ %0 a� Capacity Sq. Ft. E..D.ft Q_" BTU H.P. Total Connected Load �/`-.� Rind of Fuel BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS -OVER) signepAY N. WELTER HEATING C ❑ 4637 CHICAGO AVE. By—MINNEAP0162r 7. MILAN 42 sM Business Phone No 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 5.00 $ 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. IDR 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- OUGH FINAL- FINAL Dept. of Bldgs. Phone_ 3 4-7470 City 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_ �- �L` ' � 19 Owner Kind of Building Used as To be completed about «/ .tel �`, Estimated Cost, $ / 3 0 Ol New. ?3uilding Permit No. 62712(- Permit No. cam? C® 6 DESCRIPTION OF WORK HEATING or POWER PLANTS—Steeaam/, Hot WWa �Warm —No , Trade Name ; �% L `7 , 6�- — - Size No `s G Capacity Sq. Ft. E.D.R- Z201,, BTU H.P. Total Connected Load L"ts s Kind of Fue BURNER — Trade Name Size No Capacity Sq. Ft. EMR BTU H.P. (REMARKS -OVER) Sig jeY N. WELTER H EATI N G ME 4637 CHICAGO AVE. By 2M Business Phone No Coef. Btu . HEAT LOSS CALCULATIONS DEPARTMENT OF BI INGS r , Weatherstrips .S.I.1.14 Ceiling Construction No. Insulation Floor Infiltration Guide Reference P Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Windows Doors Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Exp. wall m. ,' Yes—No I Yes—NO 19_ Rooth Length ,`, Width r`'.,Height .."�' F11 Room Length Width Height Windows .and Doors-Crackage and Area Win`wws and Doors—,Crackagi and Vea Width Height No. of Lineal ft. Area No. of pane of pape lights of crack sq. ft: - Width Height No. of Lineal ft. Area No.' organs of pane lights of crack eq. ft. f 3 K Y'P JJ t lI Coef. Btu Coef. Btu Infiltration k 1"`4 ` ,, Infiltration • << Glass775 XA . Glassy FAp. wall Exp. wall Net exp. wall ! ; �' < ,�a * Net esp. wall. , " Int. wall Int. wall Ceiling fM',' Ceiling Floor Floor s:, Total Btu. ' Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area Required sq. ft. E.D.R. or sq: ins. W.A. Leader area F1.1Room I Length width, `F Height'Fl.l Room I Length Wiath. Height : .:.,t p,r Winnows and Doors--'Crackage : tI f v Windows and Doors--Crackage� and Area p W1Afw He1sA1 1Nn_ of I dneal fLArea ht N f Lineal ft Area Coef. Btu Infiltration Glass Width .Height No. of Lineal ft. Arei No. of pane of pane lights of crack sq. ft. Exp. wall Net exp. wall Int. wall' Ceiling Coef. Floor Infiltration Total Btu. P Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Cl 1, . IV---- ,---o ... -- Vifi ws an ' Doors—Crackaii andrArea Width .Height No. of Lineal ft. Arei No. of pane of pane lights of crack sq. ft. 224 ¢ Coef. Btu Infiltration r Glass Exp. wall m. ,' Net exp. wall Int. wall Ceiling Floor Total Btu." Required sq. ft. E.D.R..or sq. ins. W.A. leader area B.D. 218 Of of VMS lights of crack sq. ft Coef. Btu Infiltration Glass Ezp . wall .� NetaP . wall Int. wall Ceiling Floor Total Btw Required sq. ft. E.D.R. or sq. ins. WA. Leader area FL[i > ` Room I L.eagth Width, a Haight ; 'Windows Doors-Crackage and• Area " w uew V�I�w► wiw_ n1 rJn,wal_fL Area' Coef. Btu Infiltration Glass �. Exp. Wall d Net UP. w`a Int. waU # r Ceiling Floor -: Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader areas HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS Weatherstrips .S.H.V. Construction No. Insulation G Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Yea—No I Yes—No 19u,ide -A CI i 4 , ' - :. aM t --- th 'v:2 '_,j V;.1t6 � � .��i-IP;e6r �' � II Fl I Jol �^ Room I Length Width Windows and Doors-Crackage and Area 4` 6 - Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft: Int. wall Ceiling ' 4'p. "'44— �{ _'21 Coef. Btn Coef. Btu Infiltration Net exp. wall" Int. wall' Net exp. wall A/ g�' Gl WBSS h; , Fap. wall 'Y' Ceiling .. Floor _ Net exp. waft Net Int. wall Required sq. fL E.D.R. at sq. ins. WA. Leader area ,a Ceiling Floor w, Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area en.l �. - Room I Len;! 4/ Q, Width * L Height Windows and Doors—Cradcage and Area 4` 6 Net exp. wall'45' Width Height No. of Lineal ft. Area No. or Dane or pane lights of crack sq. it. Int. wall Ceiling ' 4'p. "'44— �{ _'21 Coef. Btn Infiltration' Glass Exp. wall ^� - Net exp. wall" Int. wall' Net exp. wall Ceiling p.G=a Net exp. waU'`'�` Ceiling Floor Floor Total Btu..41 Required sq. ft. E.D.R. or sq. ins. WA. L Mier area A FI_I _a Rnnm I Lenath ,dam! 'V- v,,m e7 ed Heitr6t . ?`� Windows and Doors—Crackage and Area 4` 6 Net exp. wall'45' Width .Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. it. Int. wall Ceiling ' 4'p. "'44— �{ _'21 Floor Coef. Btu Infiltration Glass &p. wally,— -4 s� ou ya.,•e s� . Net exp. wall Net exp. waU'`'�` Ceiling Floor Int, wall Required sq. fL E.D.R. at sq. ins. WA. Leader area Ceiling w, Floor Total Btu. Required sq. ft. E.D.R. or sq. ins: WA. Leader are - - B.D. 218 Windows and Doom--Crackage and Area Wi#IHeialb No. oe Lineal tt. AreaNo.' of pno lighte " of crack sq. ft. Bloomington I ICoef.l Btu Glass77 &P. wall , ' �� a 4` 6 Net exp. wall'45' 1 ; Int. wall Ceiling ' 4'p. "'44— �{ _'21 Floor Total Btu. Kequned sq. rt. r-u.m or sq: His. wa% a t:aucr aQca t FI_I Rnnm I Lenftth Width. Height Windows and Doors—Crackage and Area I i ( Width Height No. of Lineal ft. Area No. of vane of pane lights of crack eq. cc Coef. Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. fL E.D.R. at sq. ins. WA. Leader area In I Rnnm 1 Length Width Heiltht Windows and Doors--Crackage and Area I Width Height No. of Lineal ft. Area No. of pose of pane lights of crack sq. it. Coef. Btu Infiltration Claw ExY• wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area, City of Fridley Application for Plumbing and Gas F•rtring Pernut Dept. of Bldgs. Phone SII 4-7470 DESCRIPTION OF WORK � 44 — I (, Number, Kiwi and Location 6Asa of Fixtures 1 �J N N W 3 y 27j K 7 11112 Z < et �{ Y Et a p QC < Z J at 1�o Z < U p� O W 3 t�°d w� Z t��n U' Z n c�0 F N WATER HTR. GAS ELEG Base, $ Water Heater (Up to 200,000 BTL) ...... x 2.00 $ 61 New Ground Run Old Bldg. ....... .... x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... 1st x $1.50 $ i x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ 2nd 3rd 4th • Future Connection Openings * New Fixture, Old Openings I Connected with Sewer Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOtAL Number Fixtures ...................... x $1.50 Future Fixture Opening ................ x 1.20 $ 6 Q New Fixture Old Opening .............. x 1.00 $ Catch Basin .... ..................... x 3.25 $ Water Heater (Up to 200,000 BTL) ...... x 2.00 $ 61 New Ground Run Old Bldg. ....... .... x 3.25 $ 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 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE 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 fact and representations stated in this application are true and correct. Fridley, Owner Kind of Building _ J� Used as �% L To be completed about e 14* Estimated Cost, $ 1\ 0 G V Ol Ne Building Permit No Permit No. -I-13 / _ Signe By Business Phone No ROUGH FINAL 42 • • 0 City of Fridley, Minn.. BUILDING PERMIT OCTOBER 19, 1965 Date: N° 8540 Owner: LEMOYNE JORGENSON guilder STRAND CONSTRUCTION COMPANY Address 4544 - 3rd St. N. E. Address 4779 Osseo Road Fridley 21, Minnesota Minneapolis, Minnesota LOCATION OF BUILDING No. 4544 Street 3rd St. N. E. Part of Lot Lot .......3 Block 1 Addition or Sub.Division ._Rearrangement of Blocks 13,14,15 Corner Lot _ Inside Lot Setback Sideyard Plymouth Addition Sewer Elevation _ Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Att. Garage 20 22 10 440 4400 Front — Depth Height Sq. Ft. 440 FL Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Frame Est Cost_ $1,800.00 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 f rth and in oo�mlp-liance with sil one of ondinanctas of the city of Fridley. In consideration of the payment of a fee of $--L 00 , permit is hereby granted to STRAND CONSTRUCTION CO. to construct the building or addition as described above. This permit is granted upon the express condition that the person to who it is ted and his agents, employees and workmen, in all work done in, around anad upon said building, or any pa thereof, shall conform in all respects to the ordinances of Fridley, Minnesota this locations, constructton, alteratton, maintenance, repair and moving of buildings within city liasita this permit may be revoked at any time upon violation of any of the provisions of said ALLEN G. JENSEN NOTIM Thb pomb does net wwr the aondmd hm, Inrtdidlen hr Yrbbb plimbino, oes hodino, emer or welor. Be sere to ao the BUIMMo lnqmftr for apaato PWM1 t for thea bong. OWNER * S ADDRESS APPLICATION FOR 13UTLDING PERMIT CITY OF FRIDLEY,.MINNESOTA LOCATION OF BUILDING -Ian_,, Streek Part of Lot;_�r. LOT K ADDITION OR SUBDIVISION Corner Lot Inside L Setback Side -yard ...SZWER EiZVATTON FOUNDATION ELEVA'1"IObI, Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To be used as; Type of Construction To be completed DESCRIPTION OF BUILDING Front_C.1 -� Depth, 'X 2 Height Sq. Ft. Cu. Ft._ -..T- - a Front Depth Height Sq. Ft. Cu. Ft. timated Cost ��- 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. (Schedule of Fee Costs can be found on the Reverse Side). CIAF FRIDLEY INSPECTION DIVISION 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES 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 Effective On January 1, 2000 JOB ADDRESS q-�;_'c/ `/ %, e.0 a- 4�J E Rate TOTAL V BUILDING USED AS $ 30.00 $ ESTIMATED COST /I i /c�u� PERMIT NO. /� 113 ci $ 10.00 $ DESCRIPTION OF FURNACE AND OR BURNER $ 10.00 $ No. of Heating Units Circle One (Steam) (Hot Water) (Warm Air) $ 10.00 $ Trade Name Size No. $ 25.00 $ BTU Fuel HP EDR Total Connected Load 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. Burner Trade Name Size No. $ BTU HP EDR $ 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 6, ® J -2-- - 0-) I_AQ-t"1A-JHEATING CO 4 /V/'Z_ q- 4L' SigTEL # C/ ,?-/ " d 0' S�— �'i 4- 4 Approved ByI":_ Rough -In Date Final 'w COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furance, 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 plastic/PVC 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 manufacturers specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No ( ) The existina combustion air is sized and installed to meet the current codes and manufacturers specifications. Yes () No ( ) When required to install a new combustion air, it will be sized and installed To meet the current codes and manufacturer's specifications. Yes( ) No( ) When installing a new venting 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 Type and Size/Common Vent and Vent Connector Information 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 1 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 ALTERATIONS: (Describe) HEATING CO: Signed By: Date : CIlYOF FRIDLEY FRIDLEY MUNICIPAL CENTER • 6431 UNIVERSITY AVE. N.E. FRIDLEY, MN 55432 • (763) 571-3450 • FAX (763) 571-1287 February 11, 2002 Bart Duffy 4544 3`d Street NE Fridley, MN 55421 Re: Final Inspection at 4544 3`d Street NE Contractor: Lakeland North Heating & Air Conditioning. Dear Mr. Duffy: A mechanical permit was issued on June 13, 2000, to install an air conditioner at your address. According to the 1991 Uniform Mechanical Code, a final inspection shall be conducted on the work authorized by this permit. As of this date, no inspection has been called for. The permit fee that was paid covers the inspection to make sure the work was completed according to the Code. We will keep your permit open for another 30 days and if we do not hear from you within this time to set up the inspection, we will mark the permit "no inspection called for" and take no further action. To set up the inspection or to have any questions answered, please contact the Building Inspection Division at (763) 572-3604. JENSEN g Inspector DJ/ls A 27f24!',-? Building BUILDING $ Permit No::fg70f-0/ 33 Plan Review $ 65% of Building Permit Fee Fire Surcharge Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) CITY OF FRIDLEY $ Date Rec'd: 763-502-49c7y7 FAX $ ft + 6 ft = ft x $22 = $ Erosion Control $ EFFECTIVE 8-19-09 Park Fee $ DATE / O YOUR E-MAIL AD ESS Sewer Main Charge SITE ADDRESS 'V 6- 7 C% C Agreement necessary ( ) Non Necessary ( ) THIS APPLICANT IS: ❑ OWNER CONTRACTOR $ PROPERTY OWNER/ NAME: �/ d TENANT ADDRESS: c3 CITY r L STATE"ZIP PHONE: 2 _— -- oC D -' /,?o CONTRACTOR NAME: <- C) ©e —k— SUBMIT A COPY OF YOUR STATE LICENSE STATE LICENSE #EXP DATE AND CERTIFICATE OF / ADDRESS: S-3 team t/ l' CITY /� - C STATE, ZIP s S- ., INSURANCE PHONE 4� 3 4 < FAX PROPERTY TYPE SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GARAGEISHED e ❑ WINDOWS ❑ BASEMENT FINISH t:ROOF ❑ DRAIN TILE ❑ DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW HOME CONSTRUCTION ❑ ADDITION ❑ MAINTENANCEIREPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: R1 n o � > ,r O , Re .fo L ` " ao Ate/ SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT SO FT ROOFING ❑ HOUSE ONLY BASEMENT REMODELING SUBMIT: NUMBER OF SQUARES 11 HOUSE & GARAGE 1. Existing Floor Plan GARAGES ❑ ATTACHED GARAGE 2. Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: i IDING [ FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl c ❑Soffit ADDITIONS_ & PORCHES SUBMIT: 13 Aluminum 13 Trim 1. Site Plan/Survey showing the existing structures 13 Other ❑Fascia and proposed project. 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS FOR WINDOWS - PROVIDE U -VALUE AND OR FOR NEW OPENINGS -DESCRIBE SIZE OF MANUFACTURE STICKER ON WINDOW. 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 1997 U.B.0 FEE SCHEDULE) TOTAL JOB VALUATION $ Z d OCCUPANCY TYPE Permit Fee $ S° 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 $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $2000 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $22 = $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary ( ) Total Due $ O o Make checks savable to: Citv of Fridlev 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 the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application f pe i d k is not to start without a permit on site; that the work will be in accordance with the approved plan in the case of all o r u review and approval of plans. / Q SIGNATURE OF APPLI PRINT NAME �� c d DATE / / Building MECHANICAL Permit No.: Inspections RESIDENTIAL APPLICATION Received By. 763-572-3604 D 'SEP 6 CITY OF FRIDLEY 763-502-4977 FAX EFFECTIVE 2-19-09 DATE YOUR E-MAIL ADDRESS!SD�OIQ3 SITE ADDRESS THIS APPLICANT IS: ❑ OWNER ONTRACTOR PROPERTY NAME: ADDRESS: CITY STATE ZIP OWNER/ TENANT PHONE: CONTRACTOR COMPANY NAME: SUBMIT A COPY OF CONTACT PERSON: ,A YOUR STATE LICENSE WITH STATE LICENSE # EXP DATE ADDRESS: O 0 CITY STATE /.,.Zip— APPLICATION )67> Sri �- S_ FAX "26,21 S�_ &% PHONE PERMIT TYPE le SINGLE FAMILY ❑ TWO FAMILY ❑ TOWNHOUSE TYPE OF WORK: ❑ NEW ` IREPLACEMENT ❑ ALTERATION/REMODEL I DETAILED DESCRIPTION OF WORK FEES -ARE BASED ON $10.00 PER FIXTURE, EXCEPT WHERE -NOTED: FIXTURES: (INDICATE TOTAL NUMBER OF,.FACH� EL0W_) PROVIDE -HEAT LOSS CALCIS PER MANUAL J 20 ASHF-4KHANDBOOK.b �/ - D 0 SIZE/BTU Equipment Installed MFG: MODEL: r MFG: MODEL: SIZE/BTU MFG: MODEL: SIZEIBTU A/C $25.00 (GAS) $15.00 GAS RANGE/OVEN $10.00 _FIREPLACE TO AIR EXCHANGEER $15 FIREPLACE (WOOD) $35.00 NEW GAS GRILL $1000 _AIR _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 $15.00 p—VENTILATOR ., •YC^.� df+w�. �" �^ � xy ,; � f' �, � T `t ,?1,�, � �� 'Lii�8*w � �i R £ � pti f d -, ,� C �� +� ��� �' '� .:� ? A .. �, � �= � S i-Y'�.' '� 'f ''T� ! "'� 'R 'F "S a=te• 9 .s& -rna, d't• 3� _ � �>fJ {) rV�' � �3i �fi� * �e �5� ��u� -vn.� � 5�,. ��4� �•,3��j'��v, C� ��������.�• K��� � fi"`d ftl � II '45 `y -•' h E 1 c '�£ C�+ �, d' ly yr 'S � ' 0^� � r i� � _: SF'��i _ � i �i� � -':y 5 SnT � OR +ks; .•p„? sf 8 �su-#'� w'¢' .Y��?-F`h£ .& 3 i N b � 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 WTic—hnecluires revie d approval of plans. �� G� Q OF APPLICANT PRINT NAM& 41e—`SJLI1 ff-BATE SIGNATURE APPROVAL INSPECTORS SIGNATURE DATE t $E vF City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 City of Fridley Residential Mechanical Application Page 2 REQUIRED INFORMATION NEEDED TO PROCESS PERMIT RESIDENTIAL PERMIT APPLICATION HVAC 0 NEW HOMES/ADDITIONS ❑ EXISTING HOME 0 MAKE-UP AIR REQUIRED FOR NEW/EXISTING HOMES 1. Combustion Air (See note below) a. Oil or solid fuel IMC Chapter 7 with MN Amendments b. Natural Gas or Propane/IFGC Chapter 3 with MN Amendments 2. Make-up Air (See note below) a. IMC Chapter 5 with MN Amendments MN Rule 1346 Sec. 501 3. Venting _. a. Gas appliances IFGC Chapter,S with MNidnents _ ;. b. Fuel other_than gas IMC Chapter 8 with MN Amendments. >. 4. Heat loss & cooling load per room a. MN Rule 1322, Sec. N1104.4.13 5. Ventilation a. Per MN Rule Chapter 1322. Sec. 1104 6. Duct Design Per IMC 1346.0603.2 a. ACCA Manual D NOTE: Centerpoint Energy Mechanical Code Guidelines software may be used for combustion and make-up air calculations. Building Inspections 763-572-3604 763-- 02,4977 FAX DATE_J_U r' 3V — SITE ADDRESS THIS APPLICANT IS: From: 7637809081 Page: 2/2 Date: 10/30/200910:53:07 AM PLXJMBING RESIDENTIAL "PLICATION D OWNER CITY OF FRIULEY ADDREMM M Y1 0.. L- L, Permit No.: Received BY1 Da% dt1rT .. 4 A NAIVE- 1'JFrNAN ADDPMS- 1 1I T 3TATE_=3 FNC)NE: SUBMIT A COPY OF YOUR STATE LICENSE, BOND AND CERTIFICATE Of INSURANCE PIERMIT TYPE M STATE LICENSE STATE 13OND # EXP DATE _l -L 6 eSINO.LE FAMILY a TWO L:AMTLY Q TOWMOUSE TYPE OF WORK: I E3 NEW O(UPLACE[MENT DETATT.F.T) I)ESCRIBTION OF WORK PHIS IS AN APPLICATION FOR A PARMIT.NOT VAL11) cJmM p=CM5= 1 hereby apply far a plumbing permit and I acknowledge that the information above is oompletc and accurate; that the work will be in conformance w the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that 1 undc�rard tt;;s is not a permit bn� only nn a lication fu, a PP permit and work is not to start v4thOut a Pc tilt on site; that the work will be in accordance with the approved plan in tMLhEkO o allwwhi h rc uires review and approval of plans. % n SIGNATURE OF AFFr i!`ANT k f t . D 0 L. .... _._ _.. _ M I i U, A it -1 AI P. I i a _ , % #1 A arm City of Fridley Bading Inspections Department 64431 University Avenue NE, Fridley, MN 55432 763-572-360-1 FAX: 763-5024977 FLEES AR.E DASD ON $10.00 YlR FDMM.V, EXC;I Vl' WKW NOTED. FUTURE $33.50. S: (M4ICATE TOTAL NUMBER OF EAGFI BELOW), MINiMUA7 — RATH SWILAV FLOOR DRAINS —CCAS Pi M(j (NEED CITY LIC) — SHOWER 3W1MMl a PpOL ,,FFR WATER PJPING _ CLOTHO WASHER — D4SHwASR _ KITCHEN SINK TRAY — : WATER CLOSET -- WATER SOFTNER ($3S) — BACKFLOW PREV. p 1.9 -t-WINDRY —WATER HEATER ($35) FOR IRMATIOv, s WATER METER — OTMR PHIS IS AN APPLICATION FOR A PARMIT.NOT VAL11) cJmM p=CM5= 1 hereby apply far a plumbing permit and I acknowledge that the information above is oompletc and accurate; that the work will be in conformance w the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that 1 undc�rard tt;;s is not a permit bn� only nn a lication fu, a PP permit and work is not to start v4thOut a Pc tilt on site; that the work will be in accordance with the approved plan in tMLhEkO o allwwhi h rc uires review and approval of plans. % n SIGNATURE OF AFFr i!`ANT k f t . D 0 L. .... _._ _.. _ M I i U, A it -1 AI P. I i a _ , % #1 A arm City of Fridley Bading Inspections Department 64431 University Avenue NE, Fridley, MN 55432 763-572-360-1 FAX: 763-5024977