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PRE 2010 DOCS0 City oFridley, , Minn!* BUILDING PERMIT N? 4020 Date:....._..._.._...._........._............._............_.._...._._........_.._......_....._............._.. i ......._. . Owner:....._............._..................._..............._.........._.._..._....__.------.._.................... Builder Address........... .............. _.. ... _................. ___......... Address ....... -........ ............. ........... ....................... ....... ........ _._........... ...._...... _ —q _.._�CA_._I N �� DING No. �� .._/...o..�'... Street ....._..._�.......J_../......................_.............. Part of Lot .............. _............ ......._.........._............._............._ Lot h.. . `�.b. Block ....._......... I ........ _................. Addition or Sub -Division .. .. _.... ..........._ ...... . � r Corner Lot ....._X ...................... Inside Lot ..... ................................. Setback .a=...®._........ ideyard ...IOC.... .._._�C /�' Sewer Elevation ....._..----�f..._............. ............................ ......... I............ Foundation Elevation ................................. �.0 . 5- T�.�.FT �' g/, DESCRIPTION OF BUILDING To be Used as: �-ront o/Height °�.J.`._�- Sq. Ft Cu. Ft ......._............. .. Depth .............. _.... _.. Height ....................... Sq. Ft. ...... ................. Cu. Ft. ..... ................. Type of Construction ........................... ....... _............. _........ Est. Cost..... / � . ............. To be Completed ....._............._............. ................. In consideration of the issuance to me of a permit to construct the building de above, I agree t do the proposed work in accordance with the description above set 'or h and in comp an th all provisi of ordinances of the city of Fridley. " -X .......... ............ .X.........._......._....___......:.__...........__...__..__.___...._.._.._ ___.. _ .__._.._._. In consideration of the payment of a fee of $. ......................., permit is hereby granted .... __..................... ........................................ 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. Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, plumbing, gas heating, sewer or water. Be sure to sea the Building Inspector for separate permits for these items. 4 City of Fridley A 'cation for Ph mbin and Gas R M'n Permit PPS 4 9 Dept. of Bldgs. Phone SII 4.7470 _ Q DESCRIPTION OF WORK %� Q� w Number, Kind and Location of Fixtures Locations I �G a NO. 1 Number Fixtures ...................... F x $1.50 aT3� Zou x pQ�u QN $ 13 Ud j0•NK U Uo ® WATER HTR. $ ELEG Base 2.00 $ New Ground Run Old Bldg . ............ x 3.25 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $1.50 $ 1st s� x .50 $ .S Gas Range to 200,000 BTU .............. x 2.00 2nd 3rd 4th • Fugue Connection Openings I e New Fixture, Old Openings Connected with Sewer � Cesspool ❑ PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures ...................... F x $1.50 $ c (. 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 $ Additional Fixtures .................... s� x .50 $ .S Gas Range to 200,000 BTU .............. x 2.00 REPAIRS & ALTERATIONS—Refer to Code Description................................................$ TOTAL FEE $—'5-2 c c') 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 Building Used as To be completed about Estimated Cost, $ Old qujlding Permit No. 4-100Z ti Signed BI - ul�§ey Business Phone No_ 'F •! 00 3_3 FEB 9 1960--� .- FEB 6 1960 FEB 3 1960, -- FEB 1 1960��� 3 11 POST IM -12-58 19 - -6 T 19- 19— Application for Power Plants and Heating. Cooling, VentRation, AeMgercition mid, Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone $U. 4-7470 GRAVITY WARM AIR: RATE TOTAL, Location '5-'Q06- rd, • 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 E.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 $ Q GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures� ' 0 ...................... 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 $ D ALTERATIONS & REPAIRS TOTAL FEE ROUGH FINAL 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, 'nn /-40 Owner A �c im ® U/11 cc a s e o Kind of Building V --rd yyl&' ` h Used as "7 — e,x To be completed about — " 4"' d 49 Estimated Cost, $ a D �% � - d. Old—New. Building Permit No."�� Permit No. DESCRIPTION OF WORK HEATING or POWER PLANTS—Steam, Hot Water,arm Air No Trade Name �✓ �� < f y Size No- 6 o t�,` Capacity Sq. Ft. E.D.R H.P. Total Connected Load Kind of Fuel BURNER — Trade Name . Size No Capacity Sq. Ft. E.D.R BTU H.P. Sign By QQD.42 2M 7_59 Business Phone No- ?CI® 9 (REMARKS—OVER) �� •�7W6N4&� �� /lee,. HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS Weatherstrips A.S.H.V' • Construction No. Insulation Guide WindowsI Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes—No Yes—No 19_ F1.1 . i ""Am Room I Lenath __2 / Width J3 14eiaht II - - _,:rr ? I I Renm I LenQtth Z Width IZI Hekht Windows and Doors—Crackage and Area Coef. Btu Infiltration Glass Width Height No. of Lineal fl. Area No. _ of panesn of pane light,, of crack sq. ft. O� �6a Net exp. wall (� 0 Int. wall Coef.1 Btu Infiltration Glass 7 & S-61 -f 43M - FAp. wall 13 j( r /40 Windows and Doors—Crackage and Area 2"0 Net exp. wall Floor % Int. wall Ceiling Floor S Total Btu. Required sq. . E.D.R. or sq. ins.. W.A. Leader area Fl. oom Length Width Windows and Doors—Crackage and Area Wldth Height No. of Lineal ft. Area No. of paned of pane lights of crack sq. ft. Btu Infiltration Coef. Btu Infiltration Glass Q Exp. wall Q Net exp. wall (� 0 Int. wall Coef. Ceiling Infiltration Floor 6-60 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area .9 F1.1 Room I Length Width Height Windows and Doors—Crackage and Area 2"0 Width Height No. of `Lineal ft. Area NO. Of DaDe Of D6n8 IlRhte Of Crack se. fd Btu Infiltration Glass % Width Height I No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Exp. wall Net exp. wall Coef. Btu Int, wall Coef. Ceiling Infiltration Floor / 0 Total Btu. �O Required sq. ft. E.D.R. or sq. in;. W.A. Leader area SPC2M10S7 Windows and Doors--Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Width Height I No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. y Coef. Btu Infiltration Q Coef. Btu Infiltration s (- Glass Exp. wall Int. wall Q 2"0 Net exp. wall Floor % Int. wall Ceiling Floor 6 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area I jf 3® FITR® Room I Length M Widthl V Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. ® 2?,/s To Coef. Btu Infiltration Q / Q Glass Exp. wall f Net exp. wall Glass Int. wall Ceiling Exp. wall to Floor % Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area V Fl. -5_ Room l L.enath /3 Width /0 Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane ligh/te of crackly 84. ft Coef. Btu Infiltration /..P - Glass Exp. wall to Net exp. wall Int. wall Ceiling Floor % Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader areal®� HEAT LOSS 4C4CULATIONS DEPARTMENV OF BUILDINGS --�~-- WeatherstripsA.S.uH.ide V:1 Construction No. Insulation G Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Yes—No I Yes—No 19 Fl.� �► yam Room Length , 2 / Width /,V Height X Fl. ?` J RoomI Length 4. Width Windows and Doors—Crackage and Area Width Height No. of Lineal f . Area No. of Dane of Dane llehts of crack sc. tt. Btu Infiltration Glass 67 Width � Heigh No. of Lineal 1L. Area No. of pane of pane lights � o/L crack eq. ft. 49.,'� Exp. wall / X /Q Coef.Btu Net exp. wall 6 to Glass Exp. wall ,( (j ��' Int. wall SI Int. wall Glass Ceiling Floor Exp. wall 9 Floor1. Net exp. wall Total Btu. Q / Int. wall Required sq. . E.D.R. or sq. ins. W.A. Leader area ,� Fl. oom Lengthy Width j Height tof Windows and Doors--Crackage and Area Floor / width Height No. of Lineal ft. Area No. o[ pane, of pane lights of crack eq. ft. Coef. Btu Infiltration jcmD Glass Exp. wall g Net exp. wall Int. wall Ceiling Floor //.t, e U Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area .9 Q d Fl. � Room I Length Width Height Windows and Doors—Crackaite and Area Infiltration // r 9t 10 Glass /I Exp. wall Net exp. wall G Int. wall Ceiling Floor /'°" 6 d Total Btu. fl O Required sq. ft. E.D.R. or sq. ins. W.A. Leader area SPOM1087 Heieht Windows and Doors—Crackage and Area f Width � Heigh No. of Lineal 1L. Area No. of pane of pane lights � o/L crack eq. ft. 0 G. / s 71-71 a?o �" � e� elf 7• i Coef.Btu Infiltration /.S� 6 to Glass Exp. wall ,( (j ��' Net exp. wall SI Int. wall Glass Ceiling Floor Exp. wall 9 Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area eo FI.I i ,v Room I Length 1A Width / Height Windows and Doors—Crackage and Area f Width Height No. of Lineal ft. Area No. of pace of pane lights of crack sq. ft. 71-71 a?o �" � e� elf 7• i Coef. Btu Infiltration d SI 11AId Glass d ! ir%•`�"4 Exp. wall 9 Net exp. wall Q / Int. wall Ceiling Floor / 1-700 Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area 1j FLIM d 0 -!�_ Room I Length / 9 Width / ej Heittht 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 d ! ir%•`�"4 Exp. wall Net exp. wall dei► Int. wall Ceiling Floor f Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area ""Q f HEAT LOSS 4CA).CULATIONS DEPARTMENT OF BUILDINGS Weatherstrips A.S.H.V; Construction No. Insulation Guide' Windows Doors Reference Out. Wall lInt.Wall I Ceiling Roof Floor Kind How Applie Yes—No I Yes—No 19, FI.1 Z Y A/G Room I Lensfth —2 / Width /3 Heilrht r II / Fl.1 /ate Room I Length Width / Height Windows andboors—Craekage and Area C Glass Width Height No. of Lineal ft. Area . No. of pane of pane Ilghts of crack sq.ft. /t 47 .qa '0 Iv /6.5"® Net exp. wall ` Int. wall Coef. Btu Infiltration Floor �O %fid f Glass F1.1 Room I Length Width F.xp. wall / 3 Y %® S i Int. wall Net exp. wall Ceiling Int. wall Floor to Ceiling Int. wall Floor Ceiling Total Btu. Required sq,,h. E.D.R. or sq. ins. W.A. Leader area Fl.1, & e ooln I Length j Width Windows and Doors--Crackage and Area Width Height No. 01 Lineal ft. Area No. of pang. of pane lights I sof crack I sq. ft. Infiltration C Glass /a//0 Exp. wall g)( Iv /6.5"® Net exp. wall ` Int. wall /01 40Hd Ceiling 2ZJ Floor �O %fid Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Ifnier area F1.1 Room I Length Width Windows and Doors—Crackage and Area width Height No. of Linealft. No. of nave tolights of eraek Ares eo. tt Btu eat BPC2M1057 Windows and Doors—Crackage and Area Coef.1 Btu Infiltration /a//0 ' Glass .21 Iv /6.5"® ' Exp. wall J( Net exp. wall d13 /01 40Hd Int. wall Ceiling /,.' �O %fid Floor S"u� Total Btu. 7/ Required sq. ft. E.D.R. or sq. ins. W.A. Leader area BPC2M1057 Windows and Doors—Crackage and Area Width Height No. of Llneat M Area No. of pane of pane lights of crack sq. ft. o ° 9 Coef. Btu Infiltration d Glass 5-6 S"u� Exp. wall Glass Net exp. wall 16 S i Int. wall Net exp. wall Ceiling Net exp. wall Floor to Total Btu. W a O Required sq. ft. E.D.R. or sq. ins. W.A. Leader area rw / n _ -- I f __-d.. /-A lYN_.t.L -, [I_G_L• Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area of pane of pane lights of crack sq. ft. �N/oo�. . Y P Coef. Coef. Btu Infiltration SQ Glass /A / Glass Exp. wall Exp. wall Net exp. wall Net exp. wall to Ceiling Int. wall Floor Ceiling Floor Total Btu. I A& Required sq. ft. E.D.R. or sq. ins. W.A. Leader area / FLI W— 4 -A 1. Renm I Length /Q Width M Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of.pane lights of c%%rack sq.. ft. Coef. Btu Infiltration ape 13 Glass Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. . 1 .4. 3 ftr Required sq. ft. E.D.R. or sq. ins. WA. Leader area HEAT LOSS 4LC1JLATIONS DEPARTMENT OF BUILDINGS - Weatherstrips AS.H.V1E' Construction No. Insulation Guide' Windows I Doors Reference Out. Wall Int. Wall Ceding Roof Floor Kind How Applie Yes—No Yes—No 19_ F1.1 ✓i/t/ Room I Length ,,.2, / Width /.R Height / F1.1 )6�& vVs, Room I Length.1, Width /0 Height Windows andboors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. AldP . Net exp. wall A0 � Coef. Btu Infiltration Glass ZZ jv " -�' *7—'91s Fzp. wall le X /p /0 Total Btu. Net exp. wally Int. wall Floor Ceiling I ,:. /® ®?%IQ Floor Total Btu. Required sq, 4t. E.D.R. or sq. ins. W.A. Leader area / F1.1 *'ITf' A PAoom I Length J Width // Height d' Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of panIF of pane lights of crack Coef.1 Btu Infiltration - — - ��©,. 14 Glass Exp. wall AldP . Net exp. wall A0 � Int. wall Infiltration Infiltration Ceiling Glass Exp. wall O Floor Net exp. wall /0 Total Btu. Int. wall Required sq. ft. E.D.R. or sq. ins. W.A. Deader area Fl. e -We Room I Length f Width X1 Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. a .G Coef. Btu Infiltration .y' 77 /Q 16 Glass er? / 5'J /0-1'6 Exp. wall Net exp. wall Int. wall Ceiling za d Floor Total Btu. ed/ Required sq. ft. E.D.R. or sq. ins, W.A. Leader area BPOM1057 Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. AldP . Coef. Btu Infiltration Infiltration 11 Glass Exp. wall O G Net exp. wall /0 510 Int. wall Ceiling /,P} Floor Int. wall Total Btu. P. Q A Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.I Room l Length d 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, r ®( � �lr Eat. � /• Coef. Btu Infiltration d /A / Glass i 6 16.5-6 Exp. wall, Net exp. wall Int. wall Ceiling Q ® �► d -d Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl.I -ff— Reem 1 Length /-3 Width /O Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack sq. ft. ra Coef.1 Btu Infiltration d /.veir Glass /.SSG Exp. wall / 6 Net exp. wall Int. wall Ceiling %� ® �► d -d Floor Total Btu. ft. E.D.R. or sq. ins. W.A. Leader area City of Fridley, Minn. BUH DING PERMIT Date:AddressI SzBuilder OdA Address N4 5634 LO TION OF BUILDING No. Street'00/ - Lot Block Addition or Sub -D visi Corner Lot t f f f:!! Inside Lot _._ 20back ideyard Sewer Elevation __ _ _ Fo dation Elevation DESCRIPTION OF BUILDING TPe„AA”' �,��,, ,% Front Z Depth Height Sq. Ft C� & Cu. Ft3&V ¢a-�V Fro Depth eight Sq. Ft. Cu. Ft. Type of Construction :;4 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 $"'' ___r__,_., 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 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 violation of any of the provisions of said ordinances. Building Inspector NOTICE: This permit does not cover the construction, installation for wiring, Plumbing, Bae heating, sewer or water. Be sure to sae the Building Inspector for separate permits for these Items. APPLICATION FOR BUMING PERMIT CITY OF FRIDIEY, MINNESOTA Owner' a Name Builder Address Address' LOCATION OF BUILDING No. Street L;�Co -- --Part of Lot Lot Block Addition or Subdivision Corner Lot Inside lot Setback Side -Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUILDING To be used as: Sq. Ft. Cu. Ft. Fronk Depth Height Sq. Ft. Type of To be Completed Cu. Ft. ted 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 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. (A Schedule of Fee Costs can be found on the Reverse Side.) VA City of Fridley Application for Plumbing and Gas Fitting Permit Dept. of Bldgs. Phone 560-3450 DESCRIPTION OF WORK Number, Kind and Location of Fixtures m x $2.00 $ Future Fixture Opening ................ x $1.50 12 n Y $ Z �c(�9 n s °d w (�9 Z �O • P • N WATER HTR. GAS ELEC. Base GAS FITTING FEES: NO. RATE TOTAL 1st re6l 1 2nd _ 3rd 4th • Future Connection Openings New Fixture, Old Openings I Connected iv i Sewer � Cesspool PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures .............. ....... x $2.00 $ Future Fixture Opening ................ x $1.50 $ New Fixture Old Opening .............. x $1.50 $ Catch Basin ............................ x $3.25 $ Water Heater (Up to 99,000 BTU) ...... x $3.00 $ New Ground Run Old Bldg . ............ x $3.25 $ Electric Water Heater a $2.00 $ GAS FITTING FEES: NO. RATE TOTAL 1st 3 Fixtures .......................... x $2.00 $ Additional Fixtures .................... x $ .75 $ Gas Range to 199,000 BTU..............x $5.00 $ 3.00 REPAIRS & ALTERATIONS—Refer to Code Location 5902 NE 3 St. City of Fridley: 879.01 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 22 Nov 67 19_ Owner Kenneth Ghmn Kind of Building fr Used as res To be completed about 55M 28 Nov Estimated Cost, $ 5.00 Old—New. Building Permit No Permit No. 9 Signe 6 y Business Phone ROUGH FINAL Description ................................................$ TOTAL FEE 3.00 a2 97-84-879001 APPLICATION FOR PLUMBING AND GAS FITTING PEF441T Job Address _ 5202''3rd St NE „ Department of Buildings City of Fridley Tel. $571-3450 PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO, RATE TOTAL h% :Sar Fixtures ` Future Mttura Opening Now Fixture, Old Opening Catch Basin. Water Heater - to 99,000 BTU, 100;000 BTU to 199,000 BTU Water Softener New Ground Run Old Building Electric Water Heater GAS FITTING FEES: lst 3 fixtures Additional Fixtures :Gas Range to 199,000 BTU REPAIRS $ ALTERATIONS First $100.00 each add. $100.00 or fraction x M $ • �_ 1 $3.00 S __ w. d' a „ -x e8p U M x w o ^_ x Water Hunter S __ • x $7.90 S _ x $5.00 s x $5.00 $ +_ -X $3.00 $ _- �- x $1.00 x $10.00 $ �_ • a m � w 8 � � � 3 ii O as leo 0 : � v► tad C nnect ry r 3rd 14th (R) - Future Connection Opening Connected with Sewer (•) a New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO, RATE TOTAL h% :Sar Fixtures ` Future Mttura Opening Now Fixture, Old Opening Catch Basin. Water Heater - to 99,000 BTU, 100;000 BTU to 199,000 BTU Water Softener New Ground Run Old Building Electric Water Heater GAS FITTING FEES: lst 3 fixtures Additional Fixtures :Gas Range to 199,000 BTU REPAIRS $ ALTERATIONS First $100.00 each add. $100.00 or fraction x $3.00 $ • �_ 1 $3.00 S __ x $2.00 $ __ -x $5.00 S __ x $5.00 $ ^_ x $10.00 S __ • x $7.90 S _ x $5.00 s x $5.00 $ +_ -X $3.00 $ _- �- x $1.00 x $10.00 $ �_ State Surcharge TOTAL FEE $2,00 N9� .. so �T►.CDc hnt r cgF _ -, - - - _- - The undersigned hereby makes application lora permit for the work hei specified agreoing•to do all work in strict accordance with the City Coo and rulings of the Department of Buildings, and hereby declares that al: the facts and representations stated in this application are true and a Fridley, Mn. .6-3-77 , 19_ OWNER MILLER — KIND OF BUILDING Frarae USED AS Res _ TO BE COMPLETED ABOUT 6-10-77 ESTIMATED COST 10.00 OLD - NEW BUILDING PERMIT N0. ®� IT NCIa I A 9 Company ' .�GASCO Signed By' Tel. No. ROUGH INSP. Date FINAL INSP. � � -2- Date Date APPROVAL FOR PERMITg5 KOS_ MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.•50 97-8h-416051 CITY OF FRIDLEY APPLICATION FOR PWMBING AND GAS FITTING PERMIT PARTIAL RATE SCHEDULE e •2 RATE TOTAL pi. in $ Future Fixture Opening x $2.00 v . � b+ Catch Basin Water m Water Heater - to 99,000 8TO 4 $ 100,000 STU to 199,000 BTU x $10.00 ,' S h d1 $ q b$4 pa, w �M $ Heater .a i o ee x •$3.00 $ Additional Fixtures x $1.00 sr Gas Range to 199,000 BTO x $10.00 a First $100.00 N $ each add. $100.00 or fraction $2.00 O J• O $ .50 TOTAL FEE H-.O REINSPECTION FEE 3� 1W 0mR 4J mdtl o y u 0 m w u M a o as lee Im 1s t 11 2nd 3rd 4 th (R) a Future Connection Opening Connected with Sewer (•1 s New Fixture, Old Opening Water PARTIAL RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL Number Fixtures x $3.00 $ Future Fixture Opening x $2.00 $ New Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 $ Water Heater - to 99,000 8TO x $5.00 $ 100,000 STU to 199,000 BTU x $10.00 $ Water Softener x $7.00 $ New Ground Run Old Building x $5.00 $ Electric Water Heater x $5.00 $ GAS FITTING FEES: 1st 3 fixtures x •$3.00 $ Additional Fixtures x $1.00 S Gas Range to 199,000 BTO x $10.00 $ REPAIRS & ALTERATIONS First $100.00 $5.00 $ each add. $100.00 or fraction $2.00 S State Surcharge $ .50 TOTAL FEE S 8_on REINSPECTION FEE ($10.00) Job Address K900 3 Street Department of Buildings City of Fridley Tel. #571-3450 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 Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct Fridley, Mn. 7-19-78 , 19 OWNER SORA KIND OF BUILDING frame USED AS reS . TO BE COMPLETED ABOUT 7-26-78 ESTIMATED COST / �} OLD - NEW BUILDING PERMIT NO. PERMIT NO. Company Signed By Tel. No. ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7.50 PLUS $.50 STATE SO MMM CITY OF FRIDLEY APPLICATION FOR PLUMBING AND GAS FITTING PERMIT RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures _ $ 5.00 $ Future Fixtures _ $ 3.50 $ Old Opening, New Fixture $ 1.50 $ Beer Dispenser $ 4.00 S Blow Off Basin $ 5.00 $ Catch Basin $ 5.00 $ Rain Water Leader $ 5.00 $ Hydraulic Valve $ 5.00 S Sump or Receiving Tank S 5.00 S Water Treating Appliance $ 7.00 $ Hot water Heater $ 5.00 $ Gas Range _ $ 10.00 $ Gas Dryer $ 10.00 $ Back Flow Preventer Required. . . Yes ( ) No ( ) Type $ 5.00 $ ALL OTHERS AND/OR REPAIRS AND ALTERATIONS It of Value of Fixture or Appliance $ / po L Oc' State Surcharge $ .50 Reinspection Fee $ /J ($15.00) TOTAL FEE S�.�j Effective May 1, 1990. Job Address,59Do Department of Buildings City of Fridley Tel. 1571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to Jo all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and oorract OWNER KIND C Fridley, Mn. _� Qg�y�y�, 13, 1g 9 (� USED AS TO BE COMPLETED ABOUT p -/ y -9 U ESTIMATED COST I �St OLD - NEW BUILDING PERMIT NO. PERMIT NO. 10-'>-3 A,- Company Signed By 2 ,,// n d Tel. No. _ 53 S-- '70� / 7 ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT jW !1INIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE S.50 STATE SURCHARGE w N m q u x w Water 0 .ei k ro N �41 N w at tr � Neater Ca m go Y R m �.cCi '10,. � g� C N ai O G .Oi g N 7 m U) ii u lec N U a o� 'A li o a 'A w U a s o as let 2nd I 3rd 4th (R) - Future Connection Opening Connected with Sewer (') - New Fixture, Old Opening Water RATE SCHEDULE PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures _ $ 5.00 $ Future Fixtures _ $ 3.50 $ Old Opening, New Fixture $ 1.50 $ Beer Dispenser $ 4.00 S Blow Off Basin $ 5.00 $ Catch Basin $ 5.00 $ Rain Water Leader $ 5.00 $ Hydraulic Valve $ 5.00 S Sump or Receiving Tank S 5.00 S Water Treating Appliance $ 7.00 $ Hot water Heater $ 5.00 $ Gas Range _ $ 10.00 $ Gas Dryer $ 10.00 $ Back Flow Preventer Required. . . Yes ( ) No ( ) Type $ 5.00 $ ALL OTHERS AND/OR REPAIRS AND ALTERATIONS It of Value of Fixture or Appliance $ / po L Oc' State Surcharge $ .50 Reinspection Fee $ /J ($15.00) TOTAL FEE S�.�j Effective May 1, 1990. Job Address,59Do Department of Buildings City of Fridley Tel. 1571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to Jo all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and oorract OWNER KIND C Fridley, Mn. _� Qg�y�y�, 13, 1g 9 (� USED AS TO BE COMPLETED ABOUT p -/ y -9 U ESTIMATED COST I �St OLD - NEW BUILDING PERMIT NO. PERMIT NO. 10-'>-3 A,- Company Signed By 2 ,,// n d Tel. No. _ 53 S-- '70� / 7 ROUGH INSP. Date FINAL INSP. Date APPROVAL FOR PERMIT jW !1INIMUM FEE FOR ANY PLUMBING PERMIT IS $15.00 PLUS THE S.50 STATE SURCHARGE SUBJECT City of Fridley 20780, AT THE TOP OF THE TWINS BUILDING PERMIT Ir P _ COMMUNITY DEVELOPMENT DIV. v PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 -37766 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 4/24/91 JOB ADDRESS 5900 3rd Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14,15 11 Hyde Park SHEET 2 PROPERTYOWNER MAIL ADDRESS ZIP PHONE Curt Sorum 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Rainbow Construction 1715 - 133rd in NE Ham Lak.e 55304 723-7557 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 4-Plex 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION CR REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Partial Rerooi; (10 Squares) 9 CHANGEOFUSEFROM TO STIPULATIONS On rear roofs or tear -offs and replacement roofs, all Cade requires that 2 Izvers of 15 Ib. felt, State together, be installed to iL point 24 inches mopped up from exterior wall line, or the use of other approved underlayment membrane. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT 1 HAVE READ AND EXAMINED THIS APPLICATION 4 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $500 $e 50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISINS OF ANY THER STATE OR LOCAL LAW REGULATING CON- $15.00 $.50 Fire SC STRUCT O OR THE P RFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE q � Z L / $16.00 SIGNATURE OF CONTRAC R OR AUTHORIZED AGENT IDAT)WHEN PROPER VALIDATED THIS IS YOUR PERMIT PZ BIOG )NSP nATE SIGNATURE OF OWNER OF OWNER BUILDER) (DATE) NEW [ ] Effective 1/1/91 ADM [ ] R-1 AND R-2 ALTER [ ] Building Permit Application construction Address: 59 00 - Z A E 6 S% &) e Legal Description: Owner Name & Address: Our f;)c r -O v✓"' ��o � + � � �d1 Tel. # Contractor: Fig- Iak) u0,A) Sty- Tel. # 7Z.3 -755 % Address: l-Iis I'���t1 1 k) � .ir Attach to this application, a Certificate of M vey of the lot, with the proposed cm tructicn drawn on it to scale. DFSC RIPPIOM OF ZKOVY �P LTVIM AM: Length Width Height Sq. Ft. CURAGE Al2Epi: IPI]gth Width Height Sq. Ft. DBM AREA: length Width Hgt/G mond Sq. Ft. OMMM: 16 S Ct-AA-O-- - — AtA- , "'7 Corner Lot [a Inside Tot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction: 1�(j Estimated cost: $ SO Approx. Carpletion Date: 7 '�q Proposed Driveway Width If New Opening Is Desired: Ft. $ $ Width + 6' See Back Page DATE: Zu APPI�CA :�14 Tel. # 7Z 3 --ISS-2 Permit Fee Fire Surcharge $ 5-0 State Surcharge $ �� SAC Charge $ Driveway Escrow $ Park Fee $ Sewer Main MmVe $ Z= $ ,&-d0 Cir USE Fee Schedule on Reverse Side .001 x Permit Valuation (1/10th �) $.50/$1,000 Valuation $650 per SAC Unit Alt. "A" or Alt. "B" Above Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ J SUBJECT . City of Fridley :� 7211774 AT THE TOP OF THE TWINS BUILDING P E R M I T i RECEIPT NO. COMMUNITY DEVELOPMENT DIV. r 1 L PROTECTIVE INSPECTION SEC. 4 �� CITY HALL FRIDLEY 55432 NUMBER REVDATE PAGE OF APPROVED BY j 612-571-3450 910415 12/17/91 JOB ADDRESS 5900 - 3rd Street NE 1 LEGALLOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14,15 11 Hyde Park Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS 21P PHONE 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Rainbow Construction 1715 - 133rd Lane 55304 - 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING 4-flex 7 CLASS OF WORK ❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Replace windows, door, repair wall flooring in all units 9 CHANGEOFUSEFROM TO cm STIPULATIONS See needed repairs.on list dated August 23, 1990 and memo dated 10/3/1990 TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 80 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 VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED 10.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $20,000 PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $207.00 Fire SC $20.00 STRUCTION R THE PER RMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE ' 2� 34. $371,55 _W�R&Y�LIDAT�EED THIS IS YOUR PERMIT SIGNATURE OF CONTRACTOR OR UTMORIZED AGENT IOATEI 4� BLDG INS GATE SIGNATURE OF OWNER 0F OWNER BUILDERI IDATEI Effective 1/1/91 I u _ _• ra �+ •1' n Building Piezit Application Construction Address .!ELJ n 0 arc( S JZoning Legal Desc.-ripkian Ownex & Address Tel . # CONTRACIC R & ADDS t "1 S r3 6 D ) I K 5:� ;,joftel . # SS L_ 7 - 7 SS 7 Architect & Address Reg. # Engineer & Address Req•# TYPE OF WORK [ ] New [ ] Addition [ql'ilteration Describe A) i d J6 -0 S d Z)G o r l., l_1 l � 'F l VO G, Applicant Signature Y U Lti .9�.� L Tel # fo7 - 75,51 Date //k /- OFC. AREA: Length Width %HM AREA: Length Width OIHM AREA: length Width Height Sq. Ft. ``1,# of Stories 17!, fir=_ V 0_d Height Sq..Ft. Height Sq. Ft. Height Sq. Ft. Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) = $,20, O c� 0. ` G Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) MiAl, VALUE Building Use aonstniction Type Ooc:gMV_T Group Air Conditioning [Yes []No Fire Protecti Provided *es []No Performance Bond Amount $ See Reverse for Schedule Received []Yes []No Permit Fee Plan deck Fire Surcharge State Surcharge SAC Charge Park Fee Spec. Assessmexits $ Driveway Escrow $ TOM $ See Fee Schedule on Reverse Side In Excess of Prepaid Amount - See Reverse Side .001 x Permit Valuation (1/10th &) $.50/$1,000 Valuation (See Schad. for > $1 Million) $650 per SAC Unit Fee Determined By Engineering reenent Necessary [] Not Newry [] feet x $13.50/foot AmI'1'IOi�IL STIPQLATIOi� OST REVERSE BIDE L0�--- 9s,00 /IVS SL 01 CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Effective On January 1, 1991 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, Bumer - Also Replacement Furnace Gas Piping (Needed with new furnace) Gas Range Gas Dryer 'Air Conditioning - All Sizes Rate TOTAL $ 20.00 $ $ 10.00 $ $ 10.00 $ $ 10.00 $ 10.00 All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work Commercial/Industrial � 1" y., - 1 % of Value of Appliance or Work State Surcharge TOTAL FEE JOB ADDRESS J S� 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 ruling of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. 11991 OWNER ?A-iA)bow BUILDING USED AS �)'� u (T �-�� �! y PLa-04- $ ESTIMATED COST X400 PERMIT NO. ML S DESCRIPTION OF FURNACE AND OR BURNER $ No. of Heating Unit Circle One (Steam) (Hot Water) tg Air Trade Name Size NoNMOF 05"' BTU 5 -eq 0 HP EDR $ Fuel &A-T/G'0s Total Connected Load_ 21, o0 0 $ .50 Burner Trade Name Size No. eq. g-0 BTU HP EDR MINIMUM FEE FOR ANY HEATING/COOLINGNENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $15.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $30.00 Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. HEATING COMPANY l l[s-7_6 m Nec,4o-;j r Signed B&4� Tel No.2- Approved By Rough -In Date Final Date FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE CHIMNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes ( ) No ( ) 2. Is free from rust or deterioration Yes ( ) No ( ) 3. Has no foreign objects lodged within Yes ( ) No ( ) 4. Is securely supported Yes ( ) No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes ( ) No ( ) 6. Has total heating BTU's of All other BTU's TOTAL BTU's Remarks List Alterations Being Done: HEATING COMPANY Cl Signed By Date CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 Effective On January 1, 1991 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 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 TOTAL JOB ADDRESS 5-706 2- 3 .'L� ", ` /-Z Gas Dryer Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $5.00 The undersigned hereby makes application for a permit for the work herein .3.2.o(-, 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. Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1% of Value of Fixture or Appliance /e, 00 State Surcharge $ .50 Building Used As Estimated Cost �. S^ ,19w PERMIT NO. �/9L PLUMBING COMPA14Y 09 S® PI -86. Z&<::. SIGNED BYA �'`- TEL N0. Z :?f — 6 92-1 Approved ByRough n Date Final Date C e ) / - 9 2- M1141MUM FEE FOR ANY PLUFABING/GAS PERMIT IS $15.00 TOTAL FEE PLUS THE $.50 STATE SURCHARGE Water Closet Urinal Bath Tub Shower Wash Sink Tray Drink. Fount. Floor Catch Auto. Gas Drain Basin Washer Appl. Gas Misc. Water Heater Range Fixt. Gas Elec Stories Basemen Floor 1 P,+� R Floor 2 Floor 3 Floor 4 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 TOTAL JOB ADDRESS 5-706 2- 3 .'L� ", ` /-Z Gas Dryer Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $5.00 The undersigned hereby makes application for a permit for the work herein .3.2.o(-, 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. Reinspection Fee $30.00 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1% of Value of Fixture or Appliance /e, 00 State Surcharge $ .50 Building Used As Estimated Cost �. S^ ,19w PERMIT NO. �/9L PLUMBING COMPA14Y 09 S® PI -86. Z&<::. SIGNED BYA �'`- TEL N0. Z :?f — 6 92-1 Approved ByRough n Date Final Date C e ) / - 9 2- M1141MUM FEE FOR ANY PLUFABING/GAS PERMIT IS $15.00 TOTAL FEE PLUS THE $.50 STATE SURCHARGE CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 01.� APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 572-3604 Stories Ck Basement Floor 1 Floor 2 Floor 3 Floor 4 MARK NUMBER OF FIXTURES TO. BE INSTALLED ON EACH FLOOR hath Wash 17r1t1k Floor CatOl Auto. Urinal Tull Shower Smk TrayDrain Bann Washer PLUMBING FIXTURE RATES: NO. RATE TOTAL New Fixtures $ 7.00 Old Opening, New Fixture $ 4.00 Beer Dispenser $ 5.00 Blow Off Basin $ 7.00 Catch Basin $ 7.00 Rain Water Leader $ 7.00 Sump/Receiving Tank $ 7.00 Water Treating Appliance $10.00 Water Heater —Electric $ 7.00 Water Heater — Gas** �_ $10.00 Gas Range** $10.00 Gas Dryer** $10.00 Back Flow Preventer Required ( )Yes () No Type $15.00 Reinspection Fee $42.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance State Surcharge $ .50 TOTAL FEE $124.3-0 Effective On January 1, 1997 Gas MIc, Water Heater Range Fust....._;,, Gas Elec JOB ADDRESS 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 an correct. 1997 Owner .hCt,eT 50Ae21k7 S,? e_1 —O -/L/4' Building Used As Estimated Cost ��® B- O� PERMIT NO. PLUMBING COMPANY SIGNED ,,.,,BY. C -'}KX o Approved By 51 Rough—In Date ''v TEL N0. Final Date MINIMUM FEE FOR ANY PLUMBING/ PLUS THE $.50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SO INCHES. CITY OF FRIDLEY INSPECTION DIV. Effective On August 1, 1995 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 Rate TOTAL Furnace Shell and Duct Work, Burner — Also Replacement Furnace $ 30.00 $ (Side Vent — Fill Out Back) Gas Piping (Needed with new furnace) $ 10.00 $ Gas Range $ 10.00 $ Gas Dryer $ 10 QO $ *Air Conditioning — All Sizes $ 25.00 $ All Others/Repairs & Alterations (LIST ON BACK) I% of Value of Appliance or Work Commercial/Industrial r 1.25% of Value of Appliance or Work ' State Surcharge TOTAL FEE JOB ADDRESS_�L/� 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 OWNER M BUILDING USED AS ESTIMATED COST w PERMIT NO. x DESCRIPTION OF FURNACE AND OR BURNER $ No. of Heating Units _ Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. BTU HP EDR $ Fuel Total Connected Load 50 Burner Trade Name Size No. BTU HP EDR MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr *Air Conditioners can not be placed in a side yard without written permission from adjoining property owner. HEATING COMPANY Signed ByZ",", ��" Tel No Approved FILL OUT BACK SIDE REPLACEMENT FURL Rough—In Date STACK VERIFICATION ON Final Date HIMNEY AND STACK VERIFICATI The, undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes () No ( ) 2. Is free from rust or deterioration Yes () No ( ) 3. Has no foreign objects Dodged within Yes () No ( ) 4. Is securely supported Yes () No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes ( ) No ( ) 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes () No ( ) 8. Has combustion air been provided for water heater Yes () No ( ) Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: ;s. FA SuB.IECT City of Fridley =88� AT THE TOP OF THE TWINS BUILDING PERMIT �-ATCUFT NO. • COMMUNITY DEVELOPMENT DIV. ------ PROTECTIVE INSPECTION SEC. J6r F � NUMBER REV DATE PAGE OF APPROVED By = CITY HALL FRIDLEY 55432 612-571-3450 910415 2/4/99 JOB ADDRESS 5900 3 Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 14,15 111 Hyde Park SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Curt Sorem 2501 Northrup Dr, Laguna Hills, CA 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Wren Builders Inc 9218 11 Ave S, Bloomington MN 55420 888-4952 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING 4-Plex 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION CR REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof Building 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REOUIRED 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 80 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 4 ISTALLS 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 $3.60 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $7,200 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- Fie SC $7.20 STRUCTION O TME PERFORMANCE OF CONSTRUCTION $124.75 PLAN CHECK FEE TOTA EE 7- VC $ 135.55 $IGN4TURE OF CON"RACTOR OR AUTHORIZED AGENT DATES ENP OPE ALI 111 HIS IS Y UR PERMIT (�� �„ 8LOG SP _ 7 6atE S,GNATURE OF OWNEROF OWNER BUILOER1 iDATEi FA Prepaid Plan Check $ Estimated Cost $ Receipt # Effective 1/1/99 CITY OF FRIDLEY R-3, COMMERCIAL & INDUSTRIAL BUILDING PERMIT APPLICATION Construction Address 57,900 �/S/ 1. 3 �� Zoning Legal l Owner & Addres fes-.-. �/S�O/ /1 r�i7 / Tel# avnzA=R & ADDRESS Tel# �- V S S Architect - Reg.# - Engineer Reg.# BUILDING CONSTRUCTION TYPE OF WORK [] New [] Addition [] Alteration -Describe Ri✓ OFC. AREA: Length Width Height Sq. Ft. WH.SE AREA: Length Width Height Sq. Ft. OTHER AREA: Length Width Height Sq. Ft. APPLICANT Tel # dU') "(9SZ Date �l VALUATION Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) _ $ �2 Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) 1UM VALUE Building Use Construction Type_kjb� Occupancy Group Air Conditioning [] Yes [] No Fire Protection Provided [] Yes [] No Performance Bond Amount $ See Reverse for Schedule Received []Yes []No Permit Fee Plan Check Fire Surcharge State Surcharge SAC Charge Erosion Control Park Fee S Spec. Assessments $ Driveway Escrow $ TOM $ i See Fee Schedule on Reverse Side In Excess of Prepaid Amount - See Reverse Side .001 x Permit Valuation (1/10th t) $.50/$1,000 Valuation (See Sched. for > $1 Million) $1050 per SAC Unit (Plans to MWCC for determination) $450.00 Conservation Plan Review Fee Determined By Engineering Agreement Necessary [] Not Necessary [l feet x $13.50/foot ATTACH STIPULATIONS n v "A a(1. D Building PLUMBING Permit No.: Inspections RESIDENTIAL APPLICATION Received By: 763-572-3604 CITY OF FRIDLEY Date Rec'd: DATE U I )C) U YOUR E-MAIL ADDRESS SITEADDRESS K� s� o '�re) Sr W-' THIS APPLICANT IS: ❑ OWNER "CONTRACTOR PROPERTY NAME: e ADDRESS:.-� 2 rS 9' 6ce—'- CITY 6" eA 1 X STATE tocZIP A Z OWNER/ TENANT g��19 PHONE: `% Lo ' '7 ©j� 10 o 1 0)-51 CONTRACTOR NAME:yP45 "J -k D'5 fa N 2�)p L'ra r STATE LICENSE # S7 Lf 1 �'�^ EXP DATE �Z I -0-3 CITY T ",ki --k TATE r'+uZIP Z SUBMIT A COPY OF YOUR STATE ADDRESS: ((r i S l+- Y 1 a :�20i 2� j& LICENSE WITH PHONE (--I/ q 3 q FAX2 (,3 02' 1f� APPLICATION PERNIIT TYPE 0 SINGLE FAMILY ❑ TWO FAMILY >rOWNHOUSE TYPE OF WORK: O NEW REPLACEMENT DETAILED DESCRIPTION OF WORK r n S-rw / ) .4" �u) l 5 i Le t41P Q-cAe - a 449. ► - PER MS 16B.665 the permit fee is a minimum of $15.00 or 5% of the total cost up to $500.00, 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 ) ®®a . & o 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) BATH SINK/LAV DRAINS —SHOWER _WATER PIPING _ _FLOOR BATHTUB GAS PIPING p&Ez) = rCFmo _ SWRVRAING POOL —WATER SOFTNER ($35) _ _ CLOTHES WASHER KITCHEN SINK _ WATER CLOSET _ BACKFLOW PREV. ($15) _ _ DISHWASHER LAUNDRY TRAY _WATER HEATER ($35) FOR IRRIGATION _ — _ WATER METER OTHER Permit Fee. $ Number of fixtures @ $10.00 x $10.00 = $ Surcharge .50 Number of fixtures @ $15.00 x $15.00 = $ Number of fixtures @ $35.00 x $35.00 = $ TOTAL DUE $ State Surcharge = $ .50 Total = $ THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I ackAowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances andes a City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application forl a pe/4t and work is not to start without a permit; that the work will be in accordance with the approved plan in the case of all worich uires review and approval of plans. `V 00fl DATE E.�'� � �� (s SIGNATURE OF APPLICANT PRINT NAME, r1s,,•" I Y. ?.. 5. '7' t�.r City of Fridley Building Inspections Department 6431 University Avenue NE, Fridley, MN 55432 763-572-3604 FAX: 763-502-4977 City of Fridley 6431 University Ave NE Fridley MN 55432 (763) 572-3602 or Fax (763) 502-4977 >� Water and Sewer Permit Application D New Connection Utility Line Repair/Rel cation b� D Existing ater and Sewer Connection Date: l Zs�o Job Address: cLS �2 'rya Name of Applicant (Plumber): Name of Property Owner:���- Existing Structure Permit # Permit Type: Sewer Fee: Water Fee: Meter Fee: Repair Fee: Relocation: State Surcharge: SAC Charge: Special Assessment '' -- T Applicant Signature: Inspector approval: 1 - cp IC Water Meter Repair — Weekend & Holidays $125/hour Water Connections Permit $50 Sewer Connections Permit $50 Inspection Fee for Water/Sewer Line Repair $40 Special Assessments See Engineering Cost of Water Meter See Utility Billing SAC Charge $1450 State Surchar e$ .50 Water Ta See Kn-gineering 04/04/05