PRE 2010 DOCSCity of Fridley, Minn.
BUILDING PERMIT N® 519
Date:
Owner:
Address
Address ... ._.
.._ =.` �, _.ee_ ���^_ _...._..........._....._._ _____..____.._.....___..._.._.__._._
LO 10F BUILDING
No..._... Street .._ .,,r...__0: ............. _..._..... Part Of Lot _..._...... __ _ _ ...__.. _.
Lot .�, ._ Block ....._ '.:................._........ Addition or Sub -DIN
Corner Lot ...:...................... ......... Inside Lot ..... _.... .. ......._...._........ Sideyard ..../.�_......._.
................. Setback ....: .. .._... ----------••-----•--..._._........
Sewer Elevation ............. ..... ........ ----.._.._......... ..................._...._....................._ Foundation Elevation
DESCRIPTION OF BUILDING
To Used:as:
Front . _.. Depth ...:,y` Height..._-- Sq. Ftl_
r
_.._........-._ ............._......._.............. Front . - .............. Depth .................. Heigh9t ................. Sq. Ft. ............ Cu. Ft. ..... .............. ...
Type of Construction ,.°° ':..... Est. ��...0i�'.��--.�'......`.. 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.
-Z ..... .................
_
In consideration of the payment. of :a fee of $.'� .................._...., permit is hereby granted to. .................... ....__..._............:_..___.
_..._.__—_..._._._.._.._..__w...._..... 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. o A'.07
i
Building Inspector
NOTICE:
This permit does not cover the construction, installation for wiring, plumbing, Bas heating, sewer or water. Be sure to we
the Building Inspector for separate permits for these hems.
• s •
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APPLICATION FOR BUILDING PERMIT
CITY OF FRIDLEY, MINNESOTA
LOCATION OF BUILDING
No. 7 1Street ,j� !Y/_ r Part of Lot
Lot,,-) 2bL 9 f_._Plock Zd _ Addition or Sub.DivA--�����
Corner Lot �Inside Lot ----) Set Back o��5'C Side -Yard ,f 6
SEM ELEVATION FOUNDATION ELEVATION
Applicant attach to this form Certificate of Survey of Lot and pro sed building
location.
ION 04 BUILDING
To be used as:
Front Depth_,&k Height �
- r
Sq. Cu. Ft,� ?�
Front Depth Height
Sq. Ft. Cu. Ft.
Type of Construction Estimated Cost
To be
Mr
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 representa-
tions stated in this application are true and correct.
DATE G�P✓_%_�C� SIGNATURE x�11�i�.os
(A Schedule of Fee costs can be found on the Reverse Side.)
pproio
-----.------------- --- �a��.
r
Application for Power Plants and'.Healing. Cooling. Ventilation..Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SU. 4-7470
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 0.00 $
Repairs & Alterations—up to $500.00 ...:e ............ 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 f
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—Seg Fee Schedule
GAS BURNER (up to 400,000 BTU) ..................... .00 $
GAS FITTING FEES: NO RATE TOT
1st 3 Fixtures
...................... x $1.50 IRI;
Additional Fixtures ................. x 6 $
Gas Range to 200,000 BTU ........... x 2.00 $
AIR CONDITIONING
FAN HEATING SYSTEM
VENTILATING SYSTEM
ALTERATIONS & REPAIRS
ROUGH—
OUGH
FINAL—
FINAL
See
See Fee Schedule
TOTAL--
_ o_ :9
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, Mnn_
Owner
Kind of Building
Used as ZZ04,&
To be completed'about
Estimated Cost, $�%% T®
Old—New. Building Permit No. e G Permit No.
DESCRIPTION OF WORK Ac - 0_4 �'=
HEATING or POWER PLANTS—S Hot Water, arm Air—No
Trade Name 2 ���/�g ��'d maize No
CapaciSq. Ft. E.D.R BTU H.P.
Total Connected Load S /& Kind of Fuel
BURNER —Trade Name Size No
Capacity
(REMARKS -OVER)
,,*.42 2MI7.59
Sq. Ft. E.D.R BTU A.P.
„r' Gni
Application for Power Plants and Healing, Coding, Ventilation, ,Refrigeration and
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE
GRAVITY WARM AIR:
Furnace Shell & Duct Work ..........................
Replacement of Furnace .............................
Repairs & Alterations—up to $500.00 ..................
Repairs & Alterations each add. $500.00 ...............
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ...........
each add. 60,000 BTU .......................
Replacement of Furnace .............................
Repairs & Alterations—up to $500.00 ... ...........
Repairs & Alterations each add. $500.00 .............
STEAM or HOT WATER SYSTEM
RATE TOTAL,
8.00 $
5.00 $
5.00 $
2.50 $
8.00
$
2.00
$
;x.00
$
5.00
$
2.50
$
Furnace Shell & Lines—to 400 sq. ft. IDR Steam- ...... 8.00 $
ry �
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. IDR Hot Water .................. 2.50 $
OIL BURNER—to 3 gal, per hour ........................ 5.00 $
over 3 gal. per hour—See Fee Schedule
s�
GAS BURNER (up to 400,000 BTL) ....................... 5.00
GAS FITTING FEES: NO RATE TOTAL -
ist 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��
Dept. of Bldgs. Phone SU. 4-7470
Location,_ea �2zle
t�
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
Fridley, Min,
Kind of Building ��✓✓l�.eOJi��
Used as
To be completed about ®�
Estimated Cost,
Old Ne Building Permit No. 4'� Permit No. 4 -3
DESCRIPTION OF WORK
HEATING or POWER PLANTS --Ste .,� of Wates arm Air—No
Trade Nam ize No
s
Capacity Sq. Ft. E.D.R BTU H.P.
Total Connected Load' '76 Kind of Fuel
BURNER — Trade Name Size No
Capacity
a 2 2M 7-59
(REMARKS—OVER)
Sq. Ft. E.D.R BTU H.P.
GSI(
'cation for Power Plants and '
Application .. Hearing. Cooling. VenttWon. ,Refngerallon end
Air Conditioning Systems and Devices
PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SII. 4-7470
GRAVITY WARM AIR: RATE TOTAL, Location
Furnace Shell & Duct Work .......................... 8.00 $
Replacement of Furnace.............. ... . .. . ........ 5.00 $ City of Fridley:
.
The undersigned hereby makes application for a permit for the work herein
Repairs & Alterations—up to $500.00 .................. 5.00 $ specified, agreeing to do all work in strict accordance with the City Ordinances
Repairs & Alterations each add. $500.00" " " ' '... 2.50 $ and ruling of the Department of Buildings, and hereby declares that all the facts
and representations stated in this application are true and correct.
MECH. WARM AIR
Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 Fridley' Minn- 19
��� �®
each add. 60,000 -BTU .BTU ...... .................. 2.00 $
Owner
Replacement of Furnace §.00 $ Kind of Building
Repairs & Alterations up to $500.00 .... ............ 5.00 $
Used as
Repairs & Alterations each add. $500.00 ............... 2.50 $
STEAM or HOT WATER SYSTEM
Furnace Shell & Lines—to 400 sq. ft. IDR 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 $ /d , D G
GAS FITTING FEES: NO RATE TOTAL
1st 3 Fixtures ...................... x $1.50 $—,R"r—V
Additional Fixtures ................. x .50 $ /-5-0
Gas Range to 200,000 BTU ........... x 2.00 $
AIR CONDITIONING
FAN HEATING SYSTEM
VENTILATING SYSTEM
ALTERATIONS & REPAIRS
ROUGH
FINAL
$
See Fee Schedule
TOTAL FEE $ O d
To be completed about
Estimated Cost,
Permit No. / Permit No.
t
DESCRIPTION OF WORK
HEATING or POWER PLANTS -Steam, Hot Water, Warm Air—No
Trade N Size No
Capacity Sq. Ft. E.D.R BTU H.P.
Total Connected Load Kind of Fuel
BURNER — Trade Name oiz4 - Size No
Capacity. Sq. Ft. E.D.R BTU H.P.
(REMARKS—OVER)
,t.42 2M 7-59 Business Phone No
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MEMORANDUM
TO: Mary Hintz - PW99.177
FROM: Jon H. Hauk�as„As_sistant Public Works Director
DATE: October 19, 1999
SUBJECT: Sewer Repair for 5373 6`h Street
The sewer service repair for 5373 6`h Street was determined to be in the City's right-of-way and was, therefore, fixed
by City crews. Please refund the fee to the contractor who took the permit out for this work.
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