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PRE 2010 DOCS0 0 Village of Fridley, Minn. BUILDING PERMIT ° 1758 Date: ../LL -7 ....... �- ..174 ........... Owner.......................................Builder .............. . Address...................................... Address ............................................. XT. ATIO F BUILDING No.� 7�qq.. Street .... l .............. Part of Lot ........................ Lot .... *17 ...... Block .......i.....--...//. Addition or Sub -Division ..[/�' ...... ....��.. Corner Lot ........... Inside Lot ... V..... Setback ... Sideyard ....../..L .................. DESCRIPTION OF BUILDING To be used .. ..... - .... Front Depth .:?7.6.. Height .f. Sq. Ft. Cu. Ft. ........ ..................... Front ........ Depth ........ Height ........ Sq. Ft. ........ Cu. Ft. ........ 0a Type of Construction ? ?"? ....... Est. Cost ... ✓ (�.. � .. To be Completed .................. In consideration of the issuance to me of a permit to construct the building described above, I agree to do the proposed work in accordance with the description above set forth and in compliance with all provisions of ordinances of the village of Fridley. ........... ......................... elm In consideration of the payment of a fee of $.f.?':....., 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 ma a 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 or alteration for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these items. Date Owner Address.......... BUILDING PERMIT Village of Fridley, Minn. .......... N° 2193 Builder . • p ........................ Address......................................... LOCATION OF BUILDING No. 'Street ... ...A� '�. .................. Part of Lot ....................... Lot ............. Block ................ Addition or Sub -Division ..: r!°�' ........ , , , . , , , , Corner Lot ...... ... Inside Lot ........... Setback ....... :.... Sideyard .......................... DESCRIPTION OF BUILDING To be Used as: *_A"_AVW- .. Front !`: Depth Height Sq. Ft......... Cu. Ft........ . .................. . Front ......... Depth ......... Height ......... '9q. Ft......... }}Cu. Ft........ . Type of Constructi n 9-4 Est. Cost APA .....`...'......... To be Completed .. i :.. ra....... . In considerati n of the issuance to me of a permit to construct the building described above, I agree to do the proposed wor in accordance with the description above set forth and compliance with all provisions of ordinances of the age of Fridley. c derati n of the payment of a fee of $:., ... , permit is hereby granted to P0AA* ............. . ..... to construct the building dr addition as described above. This permit is granted upon Oee!Vress condi on that the person to whom it is granted and his agents, employees and workmen, in all work done in, around d uponsaid building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minneso regarding location, construction, alteration, maintenance, repair and moving of buildings with- in the village lima and this permit may be revoked at any time upon violation of .any of the provisions of said ordinances. -- - .. �e.�r �• • ,: �:' Building Inspector NOTICE: This perm 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. �pne�; ..�.r-rC ��.•'q� �°,t,,,y p^•v.�..sy a9 n.,, ^- ars..-+,^�-,, p 'y. nA ,..,r?9° R � k�,,.i'�...•�-,+ .rt :wr� �.:... i%'...° JJ'�.i:�li 4.�'Jd li't✓.1 d'4J 4J�.+:1 �J ..... Le.�a .w .. ....,.A' �n _z,.,.y L o-:{' pp�°-' .'5.`' .✓� `��..&ai �a m"LL:.. 1. �..ad r...✓�v:9~c.i: �L PARTIAL RATE SCHEDULE 'i GRAV= WARM AM: Furnace Shell & Duct 'F'i'ork Replacement of nrnare F.epairs & Alterations—up to $500.00 'Repairs & Alterations each add. 5500.00 I0 Y Z ... . ..... ..�IO.q 6.00 600 5 3(X $ UZCI'L WAIMP17 PM FUrnace Sl:ell & Duct Work to 120,000 BTU es -ch add.. 60,G00 BTU . ......... Replacement of Furnace ,Repairs & Alterations --up to $500.00 IL—airs & Alterations each add. $500.00 STEAM or HOT WATER S' STS- 4 ..31000 b 3.00 $ 6.00 e — 6.00 3.00 $ Furnace Shell & Lit,es—to 400 sq. ft. F.DR Steam $10.00 $ Furnace Shall & Line- -to 640 sq. ft. EDR Hot Water 10.00 $. — Each add 200 sq. ft. EDR Steam 3.00 $ Each add. 320 sq.. ft. EDR Hot Water 3.00 g OIL BURNER—to 3 gal. per hour 6.00 over 3 gal. per hour --,See F'ee Schedule GAZ rBUZINEER (up to 1✓19i MO BTU) 5-W oc:22- 3S9,000 EVI Soo Fee Sehodule GAS FIT IZIG _ � -- /130 RATE TIOJAL —1_ �^ 3sR 3 F`sxtures x • 5 ; 00 $ Additional Fixtures x .75 3__. Gas Range tD 10.000 a 5.00 S AJR CC•::D-3rIC7=yj:Q rAr .. PIE: _.: C'iFTtJ GG a zp State Surcharge -� Do t. 03131 Vis. T�°l r seo '�➢-. �.� 3 /� City of r'idley: The undersigned hereby makes application for a permit for the work here&. specified. agreeing to do all work in strict accordance with the City Ordirznce_ and ruling of the Department of Buildings. and hereby decisr that all than izez: and representations stated in this application are true and correct. , Minn _19— Owner 9— Owner Kind of Used as i ` To be completed about, /,Z- L6 7 r _ Estimated Cost; $ SSe� id w. Building Permit No. _—_ Parmit No. HEA71NG or POWER PL-kNIS--.Steam, Not Waw, Warm Air—No_ Trade Name Sire Noy t - -Capacity — Sq. n E.D.11 � BTU =-p Total Connected Load Y 7frA of Fur BURNF-A — Trade No= Size N capacity Sq. 78. L�.D 'i I SZ�J (ra�sat+�a-&asa) M HEAT LOSS CALCULATIONS DEPARTMENT OF INSPECTION Weatherstrips A S' H.V.E. Construction No. Insulation Guide Windows Doors Reference Out. Wall Int. Wall Ceiling Roof Floor Kind How Applied Yes— o I Yes—No 19_ Fl.1 Room Len 7 �Widtha Yd t, Height " - FI.1 Room I Length Width Height Windows and Doore—Crackage"and Area Windows and Doors—�Crackage anW�Area %Vlfth¢ Ile�ght No. of Ineal Area idth Hafgha No. of Lineallo. of pane of pane Ilghte of crack sq. ft. No. of pane ofpane liable of cra Coef.1 Btu Infiltration (01 V 36 6 Glass 1606-6 91060 Exp. wall Net exp. wall �. a Int. wall Ceiling / Floor.. 12"Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area toovan 1 &CUNtas if IPIVW antig Windows and Doors—Crackage and Area Lineal ft. Area of crack sq. tt. Width Height No. of pane of pane No. of Llneal ft. Ilghts of crack Area SQ. ft. ;rw Infiltration Glass Glass Exp. wall Exp. wall c aeration Net exp. wall Int. wall Int. wall Ceiling Floor Ceiling Coif., Infiltration: Int. -wall Glass Ceiling Exp. wall . A7 I� Net exp. wall ! 6 iii. Int. wall Zo Ceiling �� b Floor`s Total Btu-. 1 - _�eguired sq. ft. EDR or sq. ins. WA. Leader area R.I Room I l enrfth VAdth E$eirtht Windows and Doors—Crackage and Area y Width Height No, of Lineal ft. Area No. of pane of pane lights of crack sq. ft. Lineal ft. Area of crack sq. tt. Coef.1 Btu Coef.1 Btu Infiltration Glass Glass Exp. wall Exp. wall c aeration Net exp. wall Int. wall Int. wall Ceiling Floor Ceiling Floor Total Btu. Rmuind m ft. E.D.R. or sq. ins. WA. Leader area - —1 — y a . l L Coel Infiltration (4 't I' 7, Glass ® x- fe ,e ;te ° !A Exp. wall Net exp. wall — Int. wall �— Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area F7_I Room I Length Width Bat Height Windows and Doors--Crackage and Area Area SQ. tt. Width Height No. of No. of pane of pane lights Lineal ft. Area of crack sq. tt. Coef.1 Btu Infiltration Glass ® _Coef.1 Exp. wall Btu c aeration Int. wall . .Glass Ceiling Floor Exp. Mall Net exp. wall Int. -wall Ceiling Floor T I; Rcgoired sq. k. ED.R. or sq. iio. WA. L.eadar area Boom I Length Width Windows and Doors—Crachane and Area Width Helaht No. of Lineal ft. No. of pane of pane lights of crack Area SQ. tt. Coef.1 Btu Infiltration Glass Exp. wall Net exp. wall Int. wall Ceiling Floor II Total Btu. Required sq. ft. E.D.R. or sq. ins. VIA. Leader area SUBJECT PERMIT City of Fridley 15098 AT THE TOP OF THE TWINS BUILDING PERMIT r ECEIPT NO. v ______ COMMUNITY DEVELOPMENT DIV. PROTECTIVE INSPECTION r SEC. 7 y� / CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY L J` 812-580-3450 910-F15 4/4/79 JOB ADDRESS 7549 - 4th Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 17 1 Osborne Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Alvin Schlan en 7549 - 4th Street N.E. 3 CONTRACTOR MAILADDRESS ZIP PHONE LICENSE NO. Bob & Sons Roofing Inc 4553 Xerxes Avenue South 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 9 CHANGE OF USE FROM TO STIPULATIONS New roof can be the second but not the third roof. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. 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 1 HAVE READ AND EXAMINED THIS APPLICATION 1 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. $1,200 $.60 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES O PRESUME TO AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVI 10 SOF ANY OTH R STATE OR LOCAL LAW REGULATING CON - STRU9 10 OR THE PER R ANCE OF CONSTRUCTION. . $`9.00 PLAN CHECK FEE TOTALFEE $9.60 ;o ' SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT 1 ATEI WHEN PROPERLY VALIDATEAAD THIS IS YOUR ERMIT L BLDG INSP ATE SIGNATURE OF OWNER IIF OWNER BUILDERI (DATE) CITY OF FRIDLEY APPLICATION FOR RESIDENTIAL BUILDING PERMITS ON, ALTERATIONS, ADDITIONS, OR REPAIRS) OWNER: BUILDER: ,, Address: Address: Tel. No. No.: `% Street: IAT: J "J BLOCK.: z ADDITION: CORNER LOT: INSIDE LOT: SETBACK.: SIDEYARDS: Applicant attach "to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. To Be Used As: DESCRIPTION OF BUILDING Front: Depth: Height: Square Feet: Cubic Feet: Front: Depth: Height: Square Feet: Cubic Feet: Type of Construction: ��� -. _ Estimated Cost: $ To Be Completed: Alt. A Alt. B Proposed Driveway Width If New Opening Is Desired $ $ (SEE REVERSE SIDE OF SHEET) 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 represe tations stat in this application are true and correct. See reverse sid or additio information. DATE: r 4t' 73 SIGNATURE: Stipulations: �9�a 1.1I I VI I MUI_I_I L 97=84416051 APPLICATION FOR PU MBING ANo GAS FITTING PERMIT PARTIAL RATE SCHEDULE �'« ' o �; a PLU,kIBING FIXTURE RATES; NO, RATE U Ibex Fixtures x ID $ Nater x $2,00 .�0i F+ m $2,00 $ ,a '� " A Hater Heater - to 99,000 BTU w $ 100,000 BTU to 199,000 BTU Heater o. A0 Natar Softener x $7.00 $ New Ground Run Old Building a 9 8 A jj � $5.00 44 GAS FITTING FEES; lst-3 fixtures ri 14 .•1 U H a b M W .1 in• N H 0 Q 4, ,C u1 .1 4, (J RI P b a 3 74 t7 O ;a9 31eC $ each add, $100,00 or traction $2,00 $ State Surcharge, $ .50 TOTAL VCC $ 8.00 REINSPECTION FEC 1st , 2nd Wa 4m ing V2 MA 0p 00 3rd 4ih (R) A Future Connection Opening Connected with Sewer (') o New Fixture, Old Opening Water PARTIAL RATE SCHEDULE �'« , PLU,kIBING FIXTURE RATES; NO, RATE TOTAL Ibex Fixtures x $3,00 $ Futura Fixture Opening x $2,00 $ -� New Fixture, Old Opening x $2,00 $ Catch Basin x Hater Heater - to 99,000 BTU x $5,00 $ 100,000 BTU to 199,000 BTU x $10.00 $ Natar Softener x $7.00 $ New Ground Run Old Building x 65.00 $ Electric Hater Neater x $5.00 6 GAS FITTING FEES; lst-3 fixtures x $3.00 $ Additional FLxtures x $1.00 G -is P-inga to 199,000 BTU x $Moo $ REPAIRS 4 ALTERATIONS First $100.00 $5.00 $ each add, $100,00 or traction $2,00 $ State Surcharge, $ .50 TOTAL VCC $ 8.00 REINSPECTION FEC Job Address 7549 NE 4 Street Department of Buildings City of Fridley Tel. 0571-3450 The undersigned hereby makes application for a permit for th4 work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declareu that all tho facL•u alld roprueontaLions stated in this application aro CCue and carrot Fridley, Mn. 10-2-79 19 OWNER SCHLANGEN KIND OF BUILDING frame USED AS TO BE COMPLETED ABOUT 10-9-79 ESTIMATED COST 110.00 OLD - NEW BUILDING PERMIT NO. PER14IT 140. 6r--�-- Company Signed By Tel, No, ROUGH IIISP. Data FINhL IIISP, Date APPROVAL FOR PERMIT MINIMUM FEE FOR ANY PLU14BING PERMIT IS $7,50 PLUS $,50 STATE SURCILARGE �'« suBjECT ERM City of Fridley C�' 9 5 4 8 AT THE TOP OF THE TWINS BUILDING P E R M I T NO. COMMUNITY DEVELOPMENT DIV. f PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F/5 5/25/99 JOB ADDRESS 7549 4th Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 17 1 10sborne Manor SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Alvin Schlan er 612-786-6757 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Sussel Corp. 1852 ComoAS1_649-n3m 1Q34 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO B USE OF BUILDING Residential 7 CLASS OF WORK O NEW XIN ADDITION 0 ALTERATION O REPAIR 0 MOVE 0 REMOVE B DESCRIBE WORK Construction of a 24' x 16' room; a 22' x 40' garage 9 CHANGE OF USE FROM TO STIPULATIONS Provide a hard surface driveway. See notations on plan. CONSTRUCTION WORK HOURS: 7:00 am to 9:00 pm, Monday thru Friday; 9:00 am to 9:00 pm on Saturday; No work on Sunday. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT CU FT AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS. OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $41,431.20 $20.72 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- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION 562.95 F' re SC $41.43 A PLAN CHECK FEEC TAL FEE _UX Li e C 7$630.10 S�GNATUOF CONa*-TRACT ROR4 NORiZED AGENT �DATEi HE Y AL1 D THIS IS YOU�MQIF(? Y L S-GNATURE OF OWNERof OWNER BUILDER, ,DATE, INSP pAtE NEW[ ] Effective 5/10/99 ADDN [ J CITY OF FRIDLEY ALTER [ ] SINGLE FAABLY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION �a y Construction Address: °7 S / C/ '/'I N4 . Legal Description: Owner Name & Address: A 1 ,� L, Tel. Contractor: SLA L-5 :g p �,/, MN LICENSE # 1 l3 Address: l .oz /9 � 4 / Tel. # al 44/ f 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 Ito Height Sq. Ft. 3eYX 8, 0' 07YY"? GARAGE AREA: Length Width _'L� Height R Sq. Ft. 1?0 X 3r=17 00t DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: q �L/ 3 1' 2 Construction Type:_ m 0, Ea Estimated Cost: $ Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: 3� ^� 9 °l APPLICANT: � _ 9 Tel. # CITY USE ONLY Permit Fee $ 1-62,95' Fee Schedule on Reverse Side Fire Surcharge $ q 7. 1/3 .001 of Permit Valuation (1/10th%) State Surcharge $ $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $ fc STIPULATIONS: CITY OF 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 Rate TOTAL Furnace Shell and Duct Work, Burner — Also Replacement Furnace $ 30.00 $ 30, oa (Side Vent — Fill Out Back) Gas Piping (Needed with new furnace, $10.00 $ but not replacement) Gas Range. $10.00 $ Gas Dryer *Air Conditioning — All Sizes All Others/Repairs $ Alterations (LIST ON BACK) 1 % of Value of Appliance or Work Comme rcial/I ndustrial 1.25° of Value of Appliance or Work $10.00 $ $ 25.00 $ ZS, OD JOB ADDRESS 7 5-'17 Effective On January" 1,! 1999 The undersigned hereby makes application fora it for the work herein died agreeing to do all work in strict ac dance with the City Codes and li sof the Building Division, and y declares that all the facts and r resentations stated In this a cation are true and qorre4 Z 1 P , C001krM0 BUI G USED AS Xc F Si .rte Lu_20, ESTIMATED COST ?J ©o PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER No, of Heating Units 1 Circle One (Steam) (Hot Water) (Warm Trade Name Am rS ,4-,k Size No. 061, ol� BTU q t, ooc HP /3 EDR Fuel G AS Total Connected Load —70,L)06 :t/e S arge $ .50 Burner Trade Name Size No. BTU HP EDR AL FEE $ .� S, So HEATING COMPANY 1111lez i ComA., -, u REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 Signed By ,. Tel No. PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr Approved By Rough—In Dat Final Date P�� 9119 *Air Conditioners can not be placed In a side yard without FILL OUT BACKSIDE FOR STAJK VERIRCATION ON R LACEMENT FURNACE 17 written permission from adjoining property owner. Remarks: List ALTERATIONS Being Done: b HEATING CO: Signed By: Date: CHN NEY AND STACK VERIFICATION The undersigned. hereby verifies that the existing chimney or stack: L Has been carefully examined Yes No ( ) Y 2. Is free from rust or deterioration Yes( -)'No (- ) 3. Has no foreign objects lodged within 7 Yes "� No (: ) 4. Is securely supported Yes (-j No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes () No ( ) 6 Has total heating BTU's of I a. q-oo All other BTU's a a TOTAL BTU's 110 , q-06 7. Has a liner been provided for water heater Ye) No (� ) 8. Has combustion air been provided for water heater Yes ) No ( ) Remarks: List ALTERATIONS Being Done: b HEATING CO: Signed By: Date: CITY OF FRIDLEY INSPEDIVISION 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 - Fill Out Back) Gas Piping (Needed with new furnace, $10.00 $ but not replacement) Gas Range $10.00 $ 9 Gas Dryer $10.00 $ *Air Conditioning - All Sizes $ 25.00 $ All Others/Repairs & Alterations (UST ON BACK) 1 % of Value of Appliance or Work $ 2S. "� Commercial/Industrial 1.25% of Value of Applian irk $ State Surcharge $50 TOTAL FEE MINIMUM FEE FOR ANY HEATING/COOUNG/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 PLUS THE $.50 STATE SURCHARGE REINSPECTION FEE $4200/Hr *Air Conditioners can not be placed In a side yard without written permission from adjoining property owner. JOB ADDRESS -7"9 - q t� ST ' ca Effective On A.huary� 1, 1999 �4 . The undersigned herby 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 LZ `9,t OWNER AL1/!&J BUILDING USED AS ESTIMATED COST S00 PERMIT NO. Z�V DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water) (Warm Alr) Trade Name Size No. BTU HP EDR Fuel Total Connected. Load , Burner Trade Name Size No. BTU HP EDR HEATING COMPANY Signed By ApprovedBy I FILL OUT BACK SIDE FOR STACK Tel No. &,9 I -77 r Rough -In Date Final Date r% 0 X� 4 !HD4NEY AND STACK 3XMCATIQN The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes ( ) "No O� 2. Is free from rust or deterioration 3. Has no foreign objects lodged within 4. Is securely supported Is 5. Meets all current Code requirements for size and total BTU's connected 6 Has total heating BTU's of All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater 8. Has combustion air been provided for water heater Remarks: List ALTERATIONS BeLng Done: Rom, To k c-rz+w=:,u dr),-r,o Aj HEATING CO: Signed By: Date: Yes ( ) No ( ) Yes No Yes No Yes ()No() Yes No Yes No CITY OF FRIDLEY INSPECTION DIV. 6431 University Ave NE Fridley, MN 55432 572-3604 APPLICATION FOR PLUMBING AND GAS FITTING PERMIT MARK NUMBER OF FIXTURES TO BE INSTAI I Fn ON FACH FI nnR Effective On May 10, 1999 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" Gas Dryer"* Back Flow Preventer Required ( )Yes () Nc NO. RATE TOTAL $ 7.00 $ 4.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 b�+ Type $15.00 Reinspection Fee $47.00/Hr ALL OTHERS AND/OR REPAIRS AND ALTERATIONS 1.5% of Value of Fixture or Appliance 2o• oo State Surcharge $ .50 TOTALFEE JOB ADDRESS_ �, _V9 v 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. li — % l 2 '1999 Owner egC Building Used As f70 /W C Estimated Cost PERMIT N0. PLUMBING COMPANY iw 6 C) w W t--%— SIGNED BY Approved By TEL N0. 7f-&-6 �%",- Rough -In Date Final Date *"COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6=A. MINIMUM SIZE 9 SQ INCHES. CITY OF FRIDLEY INSPECTION DIViSION Effective On May 10, 1999 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS rADEVICESND DEVICES JOB ADDRESS ` RATE SCHEDULE y� OWN ER_ i''f V 1 V1 SCh 1q k iq 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 Rate $ 30.00 $ 10.00 $ 10.00 $ 10.00 $ 25.00 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. TOTAL 11 BUILDING USED AS /-P�j dens -e_ $•� �0,6b ESTIMATED COST PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER No. of Heating U •ts Circle One (Steam) (Hot Water) arm Air) $ Trade Name_ 0rrf e r Size No. BTU_Jv0-0 . HP EDR Fuel VIA -t Q.4-61&- Total Connected Load 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 $ 56', 5-0 representations stated in this application are*true and correct. HEATING COA*fV1Cf0L elt! Signeda-P ��� �2 DATE �l S' '? / Approved By&4..— Rough -In Date Final Date / CEMEY 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 O 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: