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PRE 2010 DOCSAPPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND PARTIAL RATE SCHEDULE GRAVITY WARM AIR: .AIR RATE CONDITIONING TOTAL SYSTEMS AND DEVICES Job Address (2 _ ®-oS Furnace Shell & Duct Work $12.00 $ BTU 60AO 'o4 Total Connected Load Preplacement of Furnace Repairs & Alterations -up to $500.00 Repairs & Alterations each add. $500.00 7.00 7.00 4.00 $ $ $ Department of Buildings City of Fridley Tel. #571-3450 Size No. 12 e: =e0i0 MECHANICAL WARM AIR: Furnace Shell & Duct Worh to 100,000 BTU �, $12.00 $ -14(•00 each add. 50,000 BTU 4.00 $ Replacement of Furnace 7.00 $ - kepaizs & Alterations -up to $500.00 7.00 $ Repairs & Alterations each add. $500.00 4.00 $ STEN%I OR 10T WATER SYSTEM: Boiler & Lines up to 100,000 BTU $12.00 $ each addn. 50,000 BTU 4.00 $ Boiler only up to 100,000 BTU 7.00 $ each adds. 50,000 BTU 6.00 $ OIL BURNER- to 3 gal. per hour $10.00 $ each add. 3 gal. per hour 10.00 $ GAS BURNER- from 100,000 BTU to 199,999 STU A* $10.00 $� 20 40 (over 199,999 BTU see Fee Schedule) $ GAS FITTING FEES: 1st 3 Fixtures 9_ X $ 3.00 $ 440 Additional Fixtures X $ 1.00 $ Gas Range to 199,000 BTU X $10.00 $ AIR CONDITIONING e®•®er g®�® FAN HEATING SYSTEMS Sae Fee Schedule $ VENTILATING SYSTEMS $®,00 ALTERATIONS $ REPAIRS $ State Surcharge $ .50 TOTAL FEE $ RDUGH INSP. REINSPECTION FEE Date ($10.00) FINAL INSP. ' it 7- " ,-7 Date APPROVAL FOR PERMIT ,dY MINIMUM FEE FOR ANY HEATING PERMIT IS $7.50 PLUS $.50 STATE SURCHARGE .The undersigned hereby makes application for a permit for the work here?n 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. �j Fridley, Minn. �(� 102+ , 19� OWNER �JG Se'Y &"Q9 l✓S91Z V (f ZALRI }SND OF BUILDING USED AS TO BE COMPLETED ABOUT ESTIMATED COST /�-y� OLD - JEW UILDING PERMIT NO. PERMIT NO. /-7((yy DESCRIPTION OF FURNACE/BURNER HEATIN or POWER PLANTS, Steam, Hot Water, arm AiY No. .� Trade Name4,0,9 A-1 Size No. U6 --GLS 1 Capacity Sq. Ft. EDR BTU 60AO 'o4 Total Connected Load Kind of Fuel G BURNER - Trade Name —y /g/%®% Size No. 12 e: =e0i0 Capacity Sq. Ft. EDR BTU t9 0,0002 Companyf 6J A%,(/� Signed By J�lC�I7/V • Tel. No. SUBJECT PER City of Fridley 98 AT THE TOP OF THE TWINS BUILDING PERMIT RECEIPT NO. COMMUNITY DEVELOPMENT DIV. OSA PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY 612-571-3450 910-F15 11/15/84 JOB ADDRESS 0 1 6303 - 6487 5th Street N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR, i 1�f 24 1 Alice Wall Addition SHEET 2 PROPERTY OWNER MAILADDRESS ZIP PHONE Canadian Financial Housing 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Minnesota Roofing & Siding Inc. 5435 Lyndale Avenue South 827-2501 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Apartment Complex 7 CLASS OF WORK ❑ NEW ❑ ADDITION E� ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reside structures with. steel siding 9 CHANGE OF USE FROM TO STIPULATIONS 12 Separate Buildings - Permit Fee figured on total job and not each building. 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 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 16 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION $93 000 SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED X ������� yg �$1�% $46.50 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT ter' IMS 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- $412.00 STRUCTIO O THE PERFO MANCE OF CONSTRUC ION. l�fi 'PLAN 11 f.S & CHECK FEE TOTAL FEE $458.50 SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT IDA EI LY A I A E HIS IS YOUR PERMIT �WHPROPE NSP SATE SIGNATURE OF OWNER IIF OWNER BUILDERI IDATEI Prepaid Plan Check $ "=mom Estimated Cost $ Receipt # City Of Fridley R -3r COMMERCIAL & INDUSTRIAL Building Permit Application Construction Address: 6 l d 7 *-w—_ 6 q, Effective 4/1/84 Legal Description: Z *4 1 &jjg1C Li Property Owner & Address:• 1 4rIjJ frA� i�) a Tel. # Contractor & Address:_ MAJ 1tf4R#J d .1. S fQ / L + Cd 3kl 4 'iMAAb&el . #Q ' Architect & Address: AVIS so Reg. #, Engineer & Address: Reg.# Type of Work [ ]New [ ] Addition [ ] Alteration 9451. USE OF BUILDING: APPLICANT SIGNATURE: Tel. # Date: BUILDING DIMENSIONS Size of Structure State Surcharge $ —�,� SAC Charge $ Length Width Height Sq. Ft. # of Stories OFC. AREA: Length Width Height Sq. Ft. WHSE. AREA: Length Width Height Sq. Ft. OTHER AREA: Length Width Height Sq. Ft. VALUATION Sq. Ft. X $ Cost/Sq. Ft. = Valuation $ ) 40 Sq. Ft. X $ Cost/Sq. Ft. = Valuation $ ) _ $ gLco4 Sq. Ft. X $ Cost/Sq. Ft. = Valuation $ ) Total Type of Building Construction Air Conditioned [ ]Yes [ ]No Permit Fee $ 1, 06 Plan Check $ State Surcharge $ —�,� SAC Charge $ Park Fee $ GOOM" Sewer Main Charge $ Driveway Escrow $ TOTAL $ r d STIPULATIONS:4 Ls ,. Occupancy Group Class. Zoning Fire Protection System [ ]Yes [ ]No. See Fee Schedule on Reverse Side In excess of Prepaid Plan Check -See Back Pg. $.50/$1,000 Valuation (See Sched. for > $1 mil) $425 per SAC Unit Fee Determined by Engineering Agreement Necessary [ ] Not Necessary [ ] suBiEcr PER -, City of Fridley 28059 AT THE TOP OF THE TWINS BUILDING PERMIT � REC;1P COMMUNITY DEVELOPMENT DIV. INSPECTION SEC f PROTECTIVE ! 1 � CITY HALL FRIDLEY 55432 NUMBER REV DATE PAGE OF APPROVED BY 612-571-3450 910-F15 10/1/98 JOB ADDRESS 6303-05 5th Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. pt. of 24 1 I Alice Wall Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Village Green 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO BEI Exterior Maintenance 148 W 61st St s MN 55419 861-6243 20021338 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION Qc REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof - double (17 Sq) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCYLOAD 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 1 HEREBY CERTIFY THAT 1 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 1456 $.73 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- STRUCTIO R T E PERF RM CE OF CONSTRUCTION $48.50 jFire 1.46 PLAN CHECK FEE TOTAL Ell License 5.00 55.69 sl ATUREOFCON RORAUTHORIZEOAGENT TEI NPR PERL IOATED I IS YOUR PEEJRMIT $,GNATURE OF OWNER„F OWNER BUILDER, (DATE, BL sp IF OA TI, NEW [ ] Effective 1/1/98 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 I BUILDING PERMIT APPLICATION ConstructionAddress: 4&4gba;ca� ��t.-4—w= &&&Ee—) . Legal Description: Owner Name & Address: 99hao9zaa ydezaacZE 60f<i _Tel. # Contractor: g e -x naej, /Z rnP /nt TFNAfvrAE MN LICENSE #Z-00 Z 133,8 Address: lcf r W b7s�- 61 STAT- /� i �r av u � 5�'S - /°/ Tel. # k& / — Z29 3 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF Ili IPROVEMENT LIVING AREA: Length Width Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width Hgt/Ground Sq. Ft. OTHER: 1 7 dSE Construction Type: /?E- &QE '' &U-1341— Estimated Cost: $ (Fee Schedule on Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: APPLICANT: /LC%Qi Tel. # CITY USE ONLY Permit Fee $ S-0 Fee Schedule on Reverse Side Fire Surcharge $ 1,416 .001 of Permit Valuation (1/10th%) State Surcharge $ 173 $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ OO $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 STIPULATIONS: $ SS• G9 susiEtr RMIT NO. City of Fridley 30643 AT THE TOP OF THE TWINS BUILDING PERMIT � • IPT NO. COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC NUMBER REVOATE PAGE OF APPROVED By CITY HALL FRIDLEY 55132 612-571-3450 910415 1/26/00 JOB ADDRESS 6303-05 5 Street NE 1 LEGAL LOT N0. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. Pt 24 1 Alice Wall Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Village Green Apartments 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO Viking Exteriors 1775 Selby Ave, St Paul, MN 55104 (651) 646-2007 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 3773 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Duplex 7 CLASS OF WORK ❑ NEW ❑ ADDITION O ALTERATION .J REPAIR O MOVE ❑ REMOVE 8 DESCRIBE WORK Reside Duplex 9 CHANGE OF USE FROM TO STIPULATIONS Call for building wrap inspection before covering. 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 2 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX A ANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED ITH WHET R SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $13,845 $6.92 DOES NOT P SLIME T GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS ANY THER--STATE OR LOCAL LAW REGULATING CON- STRUCTION O ERFORMANCE OF CONSTRUCTION $237.25 Fi SC $13.84 PLAN CHECK FE TOT L FeEE i�/ Licen $5.0 $263.01 I NATI R CON7FACiOpOAAUTHORIZEDAGENT IDATEI EN ROP BLD -NSP dv A ID THIS IS UR PE IT DATE (��� S-GNATURE OF OWNERof OWNER BUILDERI IDATEI Prepaid Plan Check $� Effective 1/1/2000 Estimated Cost $ r ' �"^ CITY O IDLEY (612) 572-3604 l Receipt # R:�3; C RCI & INDUSTRIALS s' DING RMIT APPLICATION Construction Address toJQ �j Q 5 s — ��� zoning Legal Owner & Address �Ss�[.- 7 iSs/S /�� / Tel# ( ) CONTRACTOR & ADDRESS ��,(=�y2 9 M / V Tel# ( ) Architect Reg.# Engineer Reg.# BUILDING CONSTRUCTION TYPE OF WORK [] New [] Addition [] Alteration -Describe OFC. AREA: Length Width Height Sq. Ft. WHSE AREA: Length Width Height Sq. Ft. OTHER AREA: Length Width Height Sq. Ft. V APPLICANT i 91P)eQ' /'PS Tel #' 6.19 � Date �- �6 X00 VALUATION Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ p ) _ $ 3, O L /S� Sq. Ft. x $ Cost/Sq. Ft. = Valuation $ ) TOTAL VALUE Building Use Air Conditioning [] Yes [] No Performance Bond Amount $ Permit Fee Fire Surcharge JS a Surcharge WSL Erosion Control Construction Type Occupancy Group Fire Protection Provided []Yes []No See Reverse for Schedule Received []Yes Park Fee $ Spec. Assessments S Driveway Escrow TOTAL 0mr-lowt s [] No PERMIT FEES 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 Sched. for > $1 Million) $1100 per SAC Unit (Plans to MWCC for determination) $450.00 Conservation Plan Review Fee Determined By Engineering Agreement Necessary [] Not Necessary [] feet x $15.50/foot ATTACH STIPULATIONS