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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT Date: .... ....!.. �.... ....... owner . ....... ........... ................... Address...........I.......................... N00, (: 3632 Builder .. .:` ............. , Address .._ .......:.................................. T'ON 9f BUILDING No. .. S eet .....% ...... Part of t ... Lot ..... .. B� ...... ! Addition or. Bub -Division .', ...... .... . . Corner Lot ........ i, ... Inside Lot ...;!' ....... Setback . ! `� �. �. Sidey �.�i 4 .. *......... . DESCRIPTION OF BUILDING T/o� l' ' ., f y� :. V.......... Front ... . Depth ......... Height . �! .. Sq. Ft. .. C. W.40 Cu. Ft. . IiRt ............... Front ........ Depth ... i Sq. Ft. ...... GL. Ft. ....... Type of Constructio.................. Est Cost. ". ....... To be Completed .................. . In consideratior the proposed work ordinances of the cl of the issuance to me of a permit to construct the uilding desribed above, I agree to do i accordance with the description above setforth d in co ce with all provisio.ns of r of Fridley. ............. .... .......... In consideratioof the payment of a fee of $..! K ...... , permit is hereby granted to ................... ................. . ..... to construct the building or addition as described above. This permit is granted upon the express conditi that the person to whom it Is granted and -his agents, employees and workmen, in all work done in, around an 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 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 or alteration for wiring, plumbing, gas heating, sewer or water.11 Be sure to see the Building Inspector for separate permits for than items. City of Fridley, Minn. BUILDING PERMIT Date: '" 7— Owner: Builder Address Address l _ LOCAMN OF BUILDING N° 5218 No. e.treat _ r +a� _ .. _-._._.... Part Lot Lot _,Block _._._ Addition or Sub -Division Corner Lot -A�� Inside Lot k Setback Sideyard_t, f P Sewer Elevation ! ____ Foundation Elevation DESCRIPTION OF BUILDING To Used ap,- s , �r ,,, , +� -- Front=- Depth �� Height . _ Sq. Ft. A/ Cu. Ft. A" it Depth _ _ H Sq. Ft. _ Cu. Ft. Type of Construction Est. Coss "go 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 $'� , permit is hereby granted to..— to construct the building or addition as described above. This permit is granted upon the express condition that the person to whom it is granted and his agents, employees and workmen, in all work Bone in, around and upon said building, or any part thereof, shall conform in all respects to the ordinances of Fridley, Minnesota regarding location, construction, alteration, maintenance, repair and moving of buildings within the city limits and this permit may be revoked at any time upon violation of any of the provisions of said ordinances., Building Inspector NOTICE: This permit doss not cover the construction, Installation for wiring, plumbing, gas heating, sewer or water. Be sure to see the Building Inspector for separate permits for these Items. MIND rNGP4E G C0*911NC ENGINEERS AND. SUiIVF.Iyo;zs SOIL$ TESTING CIVIL &u MUNICIPAL. ING1146EMING LANG MANN . ING 6418-SC3u AVENU9 N. MINNEAPOLIS -T1, MILAN. KE 7- SG37 Ilk le- _7 to L Z— WE KERM CERTIFY THM THIS, IS A TIM AMM CORRECT 'RePRtSrwTlkTIom OF x SUIZVEY OF T%E Bout4opAlEs OF THF LAND ABOVE DESCRIBED AND OF TME LOCATION OF ALL MLOINGS, IF ANY, '11AMEON ,AND M.L)ASISLE ENERONCHMENTSp IF MY, fgtotvt ok 0" SlQD LAND. MINDER ENGINEERING CO., INC. GATED THIS M'? OF vo a AND -54F.4rayofts 4 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, NINNESOTA Owners Name Builder L a Address Address W -V g_.%y! LOCATION OF BUILDING No. Street L � J • AJ 6 Part of Lot Lot Block. Addition or Sub.Div. -�' Corner Lot Inside Lot Set Baok j�J: Side -Yard SEM ELEVATION FOUNDATION ELEVATION Applicant attach to this form Certificate of Survey of Lot and proposed building location. DESCRIPTION OF BUnDING To be used as: Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Estimated Cost To be completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and represent& tions stated in this application are true and correct. DATE 7 - / - Q- SIGNATURE (A Schedule of Fee costs can be found on the Reverse Side.) 0 Application for Power Plants and Healing, Cooling, Ventilation, .Refrigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATE TOTAL, Furnace Shell & Duct Work .......................... 8.00 $ Replacement of Furnace ............................. 5.00 $ Repairs & Alterations—up to $500.00 .................. 5.00 $ Repairs & Alterations each add. $500.00 ............... 2.50 $ MECIL WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ 8.00 $ each add. 80,000 BTU ..... . .................. 2.00 $ Replacement of Furnace ............................. 0.00 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 $ GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures ...................... x $1.50 $— Additional Fixtures ................. x .50 $ Gas Range to 200,000 BTU ........... x 2.00 $ AIR CONDITIONING FAN HEATING SYSTEM VENTILATING SYSTEM ALTERATIONS & REPAIRS M ROUGH— FINAL— See OUGHFINAL See Fee Schedule TOTAL °S Dept. of Bldgs. Phone SU. 4-7470 City of Fridley: The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City Ordinances and ruling of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. Fridley, AGzm ✓` 19 Q Owner Kind of Building � a VYL 60 - Used as /\ 451-0, To be completed about Estimated Cost, $ S� Old—New. Building Permit No. :� / Permit No. c2 DESCRIPTION OF WORK HEATING or POWER PIAANTS—Steam, Hot Water, rW Air Trade Na--. Size -No 6� BOO -C- Capacity Capacity Sq. Ft. E.D.R®O 0 0 BTU H.P. Total Connected Load G� 7� 6y Z Kind of Fuel BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. Signe By .df X42 1M 7.59 Business Phone No �� S—e 2-1 (REMARKS -OVER) HEAT LOSS CALCULATIONS DEPARTMENT OF BUILDINGS=* Weatherstrips A.S.H.V.. Construction No. Guide ows I rs Reference Out. Wall Int. Wall Ceiling Roof Floor iA No a No 19_ FI.I _ i r✓s;i fRoom I Lenath—�r/ `2 zC-'Height Py II O FI_I AA Windows andBoors—Crackage and Area Coef.1 Btu Width Height No. of Lineal f . Area No. of pane of pane lights of crack sq. ft. e 1 c 4ex. /V ` /.��il /,. •moo. /'�0 yr / /X 117 0 Exp. wall 9 -� 7 Coef. Coef. Btu Infiltration Int. wall Net exp. wall /3P Ceiling Glass �vgg Glass Exp. wall tJa ,3 �O / Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Exp. wall -:F/.Z -64-0 Net exp. wall Exp. wall &,0-29 /Q Net exp. wall Int. wall Net exp. wall ® -P® Int. wall %tJ .2110 Int. wall CeilingDtll-oe '� I -l® 716f, p A® Ceiling l®� .:7 O Floor �p / Total Btu. I / ®fit/ Required s P,f(t. E.D.R. or sq. ins. W.A. Leader area FI.I r no W oom I Length /5P'fWidth /P/ Height .mss Windows and Doors—Crackage and Area Coef.1 Btu Width Height No. of Lineal ft. Area No. of pane of pane llg�hfts of crack sq. ft. e 1 c 4ex. /V ` /.��il ®f ®I` �i4 yr / /X 117 0 Exp. wall 9 -� 7 Coef. Btu Infiltration 660 Int. wall Net exp. wall /3P Ceiling Glass 11,94 Floor Total Btu. Exp. wall tJa ,3 �O / Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Exp. wall -:F/.Z Net exp. wall 4S A; /Q Net exp. wall Int. wall ® -P® Int. wall %tJ /4:51 Floor,�' CeilingDtll-oe '� I -l® 716f, p A® Floor l®� Total Btu. Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Fl. 10oom I Length 9 "X Width /, -,Height er-' Windows and Doors—Crackage and Area Width Helght No. of Lineal ft. Area No. of pane of pane llghte of crack sq. ft. Windows Wldt] No. of oar MINN. Insulation Kind How. Applied Room I Length 14 Width / /Height ors—Crackage and Area h5No. of Lineal ft. Area ne llghte 1 of crack I sq. ft. II I Coef.1 Btu Infiltration �� ,�� --7/ Glass /X 117 0 Exp. wall 9 -� 7 Btu Net exp. wall A01 660 Int. wall Net exp. wall /3P Ceiling 16 11,94 Floor Total Btu. Exp. wall tJa ,3 �O / Required sq. ft. E.D.R. or sq. ins. W.A. Leader area Net exp. wall Floor Windows Wldt] No. of oar MINN. Insulation Kind How. Applied Room I Length 14 Width / /Height ors—Crackage and Area h5No. of Lineal ft. Area ne llghte 1 of crack I sq. ft. II I I JCoef.jBtu Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq, ft. Infiltration --7/ /X 117 Glass Coef. Btu Exp. wall 3/ 3,/ Net exp. wall /3P /d /® Int. wall job"& Exp. wall Ceiling Net exp. wall Floor A; /Q x:? -7 Total Btu. �J® Required K9. ftlZ.D.R. or sq. ins. W.A. Leader area FI.169 PA i, 19 Room I Lenzth //,"Width //1` Height Windows and Doors—Crackage and Area Width Height No. of Lineal ft. Area No. of pane of pane lights of crack eq, ft. Coef. Btu Infiltration 3/ 3,/ // Xr Glass /® .67 job"& Exp. wall �- Net exp. wall /Q /f/® Int. wall Ceiling %tJ /4:51 Floor,�' '� I -l® 716f, Total Btu. Required sq. ft. E.D.R. or sq. iris. W.A. Leader area FI.1 Room I Lenath --V`? Width Height ;4�o 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 /d` Ar _:r9® Glass /® -!29 5,-Xw Exp. wall �- Net exp. wall /e2 Int. wall Ceiling Floor Total Btu. VS ---76 1 uired sq. ft. E.D.R. or sq. ins. W.A. Leader area City of Fridley, Minn.. BUILDING PERMIT N? 5926 Date: a_ Owner: Builder0_._.. _. Address Address , LO TION OF BUILDING No. Street ��� Part Lot Lot __ Block Addition or .Sub- x on . Corner Lot__"'" Inside Iot M _"�elback Sideyard.._ Sewer Elevation ____T F dation Elevation DESCRIPTION OF BUILDING Toed as: A 400 Front _ Depth ,ye_"_Height Sq. Ft ,a cu. Ft Depth Height, Sq. Ft. _ Cu. Ft.�+ Type of Construction Fast. . �_ � 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 ordinanoes of the city of Fridley. In consideration of the payment of a fee of 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 pari 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, upo violation, i of the provisions of said ordinances. s'� t. Inspector NOTICE: This permit does not cover the construction, Installation for wiring, plumbing, gas heating, sewer or water. Be am to we the Building Inspector for separate permits for these Rema. APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owner's Name (�9 Builder Address 0,0 - Address � LOC`A�ATION OF BUILDIL,N�G No. y��7 ® Street U� 'd%r 7 Part of LotJ. Lot Block_PAddition or Subdivision Corner Lot k�', Inside Lot SetbacklASide-Yard SEWER ELEVATION FOUNDATION ELEVATION Applicant attach to this form Two Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING To be -used as: Front Cp Depth eight Sq. Ft. Cu. Ft. 4 �� Front Depth Height Sq, Ft. P:� Cu. Ft. �m -0 Type of Construction 11irzod —011 Estimated Cost To be Completed The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. DATE SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). • City of Fridley, Mian.. BUILDING PERMIT Date: June 7s 1965 "',21or d�-�o N° '7'772 Owner: C. W. Cooper Builder *Ddem Garage Builders t Address 5800 6th Street K. E. Address 94Q Tyndale Ave. So. LOCATION OF BUILDING No. 5800 Street 6th Street N. E. Part of Lot Lot - S Block 6 Addition or Sub -Division Bennett Palmer Add. Corner Lot _ Inside Lot — Setback Sideyard Sewer Elevation Foundation Elevation DESCRIPTION OF BUILDING To be Used as: Garage Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft. Cu. Ft. Type of Construction Wood frame Est cost 010320-QQ _ To be Completed • Addition to Present Slab Gar. • In consideration of the issuance to me of a permit to the proposed work in accordance with the description abe ordinances of the city of Fridley. Y\ do In consideration of the payment of a fee of t is hereby granted/to Nodern Gar., Bldtre. to construct the building or addition as described above. This permit is granted upon the express condition that the perm 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 location, construction, alteration, maintenance, repair and moving of buildings within the city limits and tMa permit may be revoked at any time upon violation of any of the provisions of said ordinances. Allen Jensen Building Inspector NOTICE: Thk permit doss not emu the comtroetien, hutaMen for vkfn& pWmbine, gas heating, sewer or water. Be sere to ws the Bedding kqmftr for eepm is permhs for thew hems. APPLICATION Fdk4iiionm PERMIT CITY" Oh FWLEY, MtMOOTA OWNEE' S NAML fMY�WVV'ISO W v WOO 9 F �� f jii/iini .%LA Q LOCATION bF BUILDING Y NO'.Street, •Par* t of Lot,�ir/ LOT - © BLOCK ���ADDMON OR SUB.DMSICN . �1 Corner Lot Ins ide`LOT�y SeCback Side -Yard • .. F't1UNDATION• �%ATYCIN _ � . SEVER• ELBVA�� - • Applicant attach 'to. this foft Tufo Cartiificates• of •Svir4ey of Lot and proposed building location drawn on these Certificates.,. ; DESCRIPTION 'OF BUMMiG To Front Depth. Height , Sq. Ft._� 2 Cu. Ft. -- 5 `Front Depth ' Height Sq vt: Cu. Ft. Type of Construction Estimated Cost /.S lv. To be. `.completed— — The undersigned•hereby,makes application- for a peraif for the work berein specified, agreeing to do all work in. strict. accordance with.the City of Fridli' Qrdinances and -rulings :of ,the :Dspa'rtent of Buildings, said Hereby. ;declares that all -the facts and representations seated"in this applicati ire true correct. Lo: DATE SIG (Schedule of Fee Costs can be found on t e R ver a Side). Original • 9■ • PERMIT for Power Rants and Heatin Cool- ing. Ventilation. Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK No. of_ Aeating Plants to be installed–altered—repaired Make '" Oil rued_; Coal fired , Gas fired ; Gas Authorization No. Remarks Approved by Final Inspection Date , 19_ Inspector Permit N® 4591 Fee $ to, e -a Office of the Inspector of Buildings City of Fridley City of Fridley, Minn. 52" a , 19-" Owner �2_ _ _ e c LocationyT8�i lazy- G Kind of Building How Occupied— Work ccupied Work to be Commenced—, 19— To be Completed i o– i v ,19_ f Estimated Cost, Owl - ew, Building Permit No. Permission is hereby granted to to install—erect—use the material and devices described in the above statement. This permit is granted upon the express condition that the person to whom it is granted, and his agents, employees and workmen, in all the work done and materials used under this permit, and in the operation of the devices herein mentioned shall conform in all respects to the ordinances of the City of Fridley relating to or governing the work to be done and the operation of the devices herein named, and to the specifications set forth in the approved application for this permit on file in the office of the Inspector of Buildings., Inspector of Buildings � 42 2M11 -67V APPRcation for Power Plants and Hea ls% Cooling, Ventilation® R"on and Air Conditioning S"Nm and Device PARTIAL RATE SCHEDULE GRAVITY WARM AIR: RATIN TOTAL Furnace Shell & Duct Work ...........................$10.00 $ Replacement of Furnace ............................. 8.00 $ Repairs & Alterations—up to $500.00 .................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ MECH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 8.00 '$ Repairs & Alterations—up to $500.00 ...... . ...... ... 6.00 $ Repairs & Alterations each add. $500.00 .............. 3.00 $ STEAM or HOT WATER SYSTEM Furnace Shell & Lines—to 400 sq. ft. EDR Steam .. .$10.00 $ Furnace Shell & Line—to 840 sq. ft. IDR Hot Water .. 10.00 $ Each add. 200 sq. ft. EDR Steam ... ...... ... :...... 3.00' t_ Each add. 320 sq. ft. EDR Hot Water . . . ........ ... 3.00 $ OIL BURNER—to 3 gal. per hour ... ...... ... .. ..... 8.04 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to 199,000 BTL) .............. .. .. 8.04 $ over 199,000 BTU see. Foe Schedule GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures x$ 100 $ Additional Fixtures ................. x .78 $ Gas Range to 19900 x$ 8A0 $ 9j o AIR CONDITIONING ��'`- FAN HEATING SYSTEMSee Fee Schedule VENTILATING SYSTEM ALTERATIONS & REPAIRS TOTAL FEE $ l ROUGH Dept. of Bldgs.. Phone 880.3984 .ocatflea� 6— Citya City of Fridley: The undersigned hereby makes application for a permit for the work hereft 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 facts and representations stated in this application are true and correct. Fridley, Minn Owner Kind of Building Used as To be completed about /0 Estimated Cost, $ d 0 ld New. Building Permit No. Permit No. Y-6-22 I DESCRIPTION OF WORK; HEATING or POWER PLANTS—.Steam, Hot Water, Warm Air—No Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. Total Connected Load Hind of Fuel BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU- H.F. (RMARrcs—OVER) ME SUBJECT P City of Fridley _ 16 5)6_ AT THE TOP OF THE TWINS BUILDING PERM I T ' COMMUNITY DEVELOPMENT DIV. r i PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 NUMBER REV. DATE PAGE OF APPROVED BY �----, L 612-571-3450 910-F15 15/7/82 JOB ADDRESS 5800 6th. Street N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 8 6 Bennett Palmer Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE John L. Slopek 5800 6th Street 571-4885 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. 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 ❑ NEW ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK construct 12 ft. by 21 ft. deck 9 CHANGE OF USE FROM TO STIPULATIONS TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. wood THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING S0. 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 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 $2000 1.00 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE .33.50 SIGNATU OF CONTRACTORORAUTH RIZEDAGE (DATEI s HEN�jPRROP�ERLLYY VALIDATEQ THIS IS YOUR MI BLDG INSP GATE SIGNATURE OF OWNER OF OWftER BUILDER) DA CITY OF FRIDLEY Effective Aug. 1, 1981 APPLICATIM FOR RESIDENTIAL BUILDING PEP14ITS (ULv, Alterations, Additions, or Repairs) OWNER: S_,L�� p � is_ BUILDER: ADDRESS:0 2I - f . ADDRESS: TEL N0: _� — y, 5 TEL NO: Construction Location STREST NO: SCJ C-) STREET: ' ti . mac' LOTS BLOCK: ADDITION: cEEN/V Corner Lot:y Inside Lot: Setback: Sideyards: Applicant attach to this form two Certificates of Survey of lot and proposed building location drawn on certificates to scale. DESCRIPTION OF CONSTRUCTION Front: /, X / Depth: Height: Square Feet: 3`% Z/ Cubic Feet: Front: Depth: Height: Square -Feet: Cubic Feet: Type of Construction: ecc''o u>c�G-Z) To Be Cbrapleted: 'QN aN-n-h P10" Estimated Cost: $ 0 Alt. A Alt. H Proposed Driveway Width If New Opening Is Desired: $ $ SEE REVERSE SIDE OF SHEET . Mie undersigned hereby makes application for a permit for the work herein specified, agreeing to do •all work in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. M A _ DATE: -5—Z-7 �k�--._ SIGNATURE: Stipulations: `7` - �a.� i i i At L -_ E'cG9P'T' F'ofk 'PTIR VUA:'S 1 2 fi ---T" a i P / CITY OF FRIDLEY INSPECTION DIVISION Effective On January 1, 1999 6431 University Ave NE Fridley, MN 55432 APPUCATION FOR POWER PLANTS AND HEATING, COOUNG, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES ��W JOB ADDRESS , 6 RATE SCHEDULE Residential Furnace Shell and Duct Work, Bumer — 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 TOTAL $ 30.00 $'_ $10.00 $ $10.00 $ $10.00 $ $25.00 $ S� $ State Surcharge TOTAL FEE $ .50 MINIMUM FEE FOR ANY HEATING/COOUNG/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. 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.D/h� 1998 OWNER l l�lZOc ✓1v� BUILDING USED AS PV&.UXZ ESTIMATED COST eiAW"O' i?ERMITNO. //9903 DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units Circle One (Steam) (Hot Water)(Warm Air) Trade N meL Size No. IZO, BTU MW HP EDR Fuel Total Connected Load Burner Trade Name�� Size No. 14eeo Q BTU go 90 HP EDR HEATING COMPANY Signed B Tal No. ✓ 4 Approved DyRough—In Date Final Date f; V ".0 F_T0 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 (4ZN�( ) 3. Has no foreign objects lodged within Yes ( No ( ) Remarks: List ALTERATIONS Being Done: RAY N. WELTER HEATING CO. . 4637 Chlca., HEATING rne Minneapolis, Mai b5407-3592 Signed By:�� Date: 4. Is securely supported Yes ( /No ( ) 5. Meets all current Code requirements for size and total BTU's connected Yes tINO 6 Has total heating BTU's of All other BTU's ®®y TOTAL BTU's 00 0 7. Has a liner been provided for water heater Yes e4 <No) 8. Has combustion air been provided for water heater Yes ( ) Remarks: List ALTERATIONS Being Done: RAY N. WELTER HEATING CO. . 4637 Chlca., HEATING rne Minneapolis, Mai b5407-3592 Signed By:�� Date: 7, 'Q lkwal 14% �!cjf,� �'�i1SKao-8, Im D -Z HEAT LOSS CAL aJIATIONS Weatherstrips ASH V.E. tide ndo Do Reference es 19fu, Frr Rnnm I Ilnoth '� 5-16 03 /3ruf/ DEPARTMENT OF' INSPLCTiON Construction No. Out. Wall Int. W&U I Celging I Roof I Floor Width Height Windows and Doors—Crackage and Area No. Width Height No. of of pane of pane lights Lineal tL Area of craek sq. IC U yy �Co 015 AI Infiltration coef.1 Btu Infiltration R 92 / / 7 Coef. Btu Infiltration R/ & Ji 9' Coef. Btu — Lnbltration Net exp. waQ Class Int. wall � Exp. wall / , Nct c. --P. wall /tet .31 53 enf- wail Ceiling Floor Total Btu. Required sq. ft. E.D.R. or sq. ins. WA. Leader area Fl.I Room I Lenath Width Height 'Windows and Doors --trackage and Area Width Height No. Of Lineal ft. No. of pane of pane lights of track Aran all. fl `I U J U yy �Co 015 ?tv Infiltration coef.1 Btu Infiltration R 92 roL 11 3 Coef. Btu Infiltration R/ & Exp. wall Class Net exp. waQ Exp. wall Int. wall � Net exp. wall / Floor Int. wall /tet .31 53 _ Ceihi.� Total Btu. Required sq. ft. E.D.R. or sq. ins. WA Leader area Fl.l Room I Lewitt Width Height Windows and Doom—Crackage and Area Width Height No. of Lineal fl. Area No. of pane of pane lights, of crack at►. ft. 17 CoeEj Btu Infiltration coef.1 Btu Infiltration R 92 Exp. wall 11 3 Glass R/ & Exp. wall / Net exp. waQ �(1 Int. wall � Ceiling / Floor /tet .31 53 Total Btu. 1 • Required sq. ft. ED.R or sq. ins. WA. Leader area NIINIVEAPOLIS. MM Insulation Kind How Applied Fl.I Room I Length Width Height Windows and Doom—Crackage and Area Width HeightNo. of Lineal tL Area No. of pane of pane lights, of crack .4. 99. CoeEj Btu Infiltration Glass Exp. wall Net exp. wall int. waft Ceiling Floor Total Btu. Required sq. ft. ED.R. or sq. ins. WA Leader area F1.1 Room I Length Width Heialit Windows and Doom—Crackage and Area Width Height No. of Lineal ft. Area No. of pans of pane lights of crack sq. fL Coef. to Infiltration Class Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. ED.R. or sq. ins. WA Leader area Fl.l Rnnm I (&math Width Height Windows and Doors—Crackage and Area Width Helgbi No. of Lineal IL Area No. of pane of pane lights of crack sq. fl. Coef. Btu Infill-ation Glaze Exp. wall Net exp. wall Int. wall Ceiling Floor Total Btu. Required sq. ft. ED.R or sq. ins. WA Leader area CITY OF FRIDLEY PERMIT NO.: 2004-00078 6431 UNIVERSITY AVENUE NE FRIDLEY, MN 55432 DATE ISSUED: 01/22/2004 572-36U4 YAX: (763) 571-1287 ADDRESS : 5800 6TH ST NE PIN : 233024240047 LEGAL DESC : BENNETT-PALMER ADD : LOT 8 BLOCK 6 PERMIT TYPE : ELECTRICAL PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : ADDITION/ALTERATION VALUATION NOTE: ELECTRICAL PERMIT BECOMES VOID 12 MONTHS AFTER PERMIT ISSUE DATE. INSTALL XCEL ENERGY SAVERS SWITCH # INSPECTIONS 1 APPLICANT HUNT ELECTRIC CORP 2300 TERRITORIAL RD ST PAUL, MN 55114-1614 (651) 646-2911 CIIAWI SLOPEK, CAROL L 5800 6TH ST NE FRIDLEY, MN 55432 AGREEMENT AND SWORN STATEMENT This permit becomes null and void if work or construction authorized is not commenced witin 60 days or if construction or work is suspended or abandoned for a period of 120 days at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. Applicant Date Bldg Insp Date STATE SURCHARGE, ELEC FLAT 0.50 ELEC PERMIT FEE - MIN (RESI) 20.00 TOTAL 20.50 PAIDWITH CHECK # 113375 SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE.