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PRE 2010 DOCSCity of Fridley, Minn. BUILDING PERMIT Date: ____""�_`......-_' '40,_.. _ _.. Owner: i�, .... _.... __-_�.r..� --. Builder Address ....=...-..____. _ ._.____ _ .. ... _ _ _ _ _.._.. Address 48zo � LO TION OF BUILDING No. '. d ''1 •.. Street _•-G/•.6�4 r- +v ,F� °� ......__.._.........__..__.._ P.# of Lot ... .... :..... .. 7.11 Lot ....._........... _........ Block ............ tib•- -------------------- _. Addition or Sub -Division 'f Corner Lot .......................... _........ Inside Lot ..... _....... ,,�.�t._.._ ... Setback .----•c.-..: ... ..... Sideyard ..--._--..:AQ.__._......... Sewer Elevation _ ......................... _...._.......__.._.....---...._.._..__.._......_...._...._.. Foundation Elevation DESCRIPTION OF BUILDING To Used as. f __ . Depth ... ........._.. Height ....... .... Sq. Ft.. •� � - r e.. r, �-- ._ .� Front _. .t�' Cu. Ft. ,� ..... .............. -............. .......... .............. ...................... Depth ................ Hpight ........._.... Sq. Ft ..................... Cu. Ft. ..................... Type of Construction .._ .r!t, .. Est. C��t... X�� +�.�'-aiQQ......_._._.. To be Completed ..... -....... _.__....._..... _...... ......... I!.{!S pERM1� D� \,•:J CEJ 8 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. .1. ........ ... _._� i 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 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 upoq violation-,, f any of the provisions of said ordinances. )/i, Building Inspector NOTICE: This permit does not cover the Construction, installation for wiring, plumbing, gas heating, sower or water. Be sure to see the Building Inspector for separate permits for these Items. 4 0 APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA Owners Name G ' d �i0 Builder � --&G V/. Address Address .�% rd _��.d� l:©�/� /�/ LOCATION OF BUILDING No. Street (n �1� 1 Part -of Lot. Lot ,.. Block Addition or Sub. Div.—" Corner Lot_,Iriside Lot `set Back—: 3.71 Side -Yard SEWER ELEVATION ;. FOUNDATION ELEVATION... Applicant attach to this form Certificate'of Survey of Let and,proposed.building location. DESCRIPTION OF BUILDING, To be used as: Front Depth Height Sq. Ft. Cu. Ft. Front Depth Height Sq. Ft... Cu. Ft. Type of Construction - Estimated Cost 1 To becompleted The'.undersigned hereby makes applica.tion.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' �s' SIGNATURES (A Schedule of Fee costs can be..foi=d on the • Reverse. Side. ) . j,K City of Fridley Application for Plumbing and Gas Fitting Porn* Dept. of Bldgs. Phone SU 4-7470 DESCRIPTION OF WORK��s° _ Number, Kind and Location of Fixtures Location— % CGl ;�J �� PARTIAL RATE SCHEDULE Estimated Cost, $ fie. �' Old—New. Building Permit No �� ` Permit No. 22 pp Z Z p[ IY Number Fixtures ..... WzT-� (9 Z F N WATER HTR. WATER GAS ELEG New Fixture Old Opening .............. x 1.00 $ Business Phone No Catch Basin ............................ uZ-i 3� e� Water Heater (Up to 200,000 BTU) ......____� oo t� < d n �O ROUGH W GAS FITTING FEES: NO. RATE x $1.50 ,TOTAL 1st 3 Fixtures .........................._� Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ Base 1st i 2nd _ 3rd 4th • Future Connection Openings Connected withI Sewer � New Fixture, Old Openings Cesspool 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, . ilm i o Owner __%! Kind of Building Used as REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE It , 42 zM 7-59 To be completed about PARTIAL RATE SCHEDULE Estimated Cost, $ fie. �' Old—New. Building Permit No �� ` Permit No. 22 PLUMBING FIXTURE RATES: NO. RATE TOTAL ` Number Fixtures ..... x $1.50 $ 14o Signe Future Fixture Opening ................ x 1.20 $ By New Fixture Old Opening .............. x 1.00 $ Business Phone No Catch Basin ............................ x 3.25 $ Water Heater (Up to 200,000 BTU) ......____� x 2.00 $ ®® New Ground Run Old Bldg . ............ x 3.25 $ ROUGH FINAL ' GAS FITTING FEES: NO. RATE x $1.50 ,TOTAL 1st 3 Fixtures .........................._� Additional Fixtures .................... x .50 $ Gas Range to 200,000 BTU .............. x 2.00 $ REPAIRS & ALTERATIONS—Refer to Code Description ................................................$ TOTAL FEE It , 42 zM 7-59 0/ Application for Power Plants and: Heating. Cooling, Ventilation. Reirigeration and Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone SII. 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 ............................. .§.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. 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 $ 4 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 $ 15. 0 G 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 See Fee Schedule VENTILATING SYSTEM $ ALTERATIONS & REPAIRS TOTAL FEE $ 0 ROUGH FINAL Localfon Xp -'0\ �Q (:S 19: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 trupe, and correct. Fridley, Minn_® 41 <3 fcy e r ISA 19 Owner ! a m Kind of Building F CotqM !� Used as To be completed about Estimated Cost, $ Old—Ne Building uilding Permit No. ?` �'� Permit No. �oZ DESCRIPTION OF WORK HEATING or�^� OWER PLANTS—Steam, Hot Water, Warm Air—No Trade Namp a ` '1, li� Size No �t) Capacity Sq. Ft. E.D.R BTU K - d ®® H.P. Total Connected Load �� �� Kind of Fuel BURNER — Trade Name Size No Capacity Sq. Ft. E.D.R BTU H.P. (REMARKS -OVER) Shea c; ���a CZ I r12- . By w 42 2M 7_59 Business Phone No • r� U • City of Fridley, Minn_ N° 8453 BUILDING PERMIT Date: - September 15 1965 • I • • . • I LI^4�'f;;Y�ii%`SiFaaa'.taa Owner Address 6260 6thStreet„E, Address LOCATION OF BUILDING No. 6960 Street hth Street N_t+._ Part of Lot Lot __ Block 2 Addition or Sub -Division ?IP?and2nd, Addition Corner Lot._ Inside Lot Setback — Sideyard �Z _77WW_�i� Foundation Elevation DESCRIPTION OF BUILDING To be Used as: net- Garage Front 24 Depth _ 24' Height 10'__ Sq. Ft. _576 Cu. Ft. 5,760 Front Depth Height Sq. Ft. cu. Ft. Type of Construction Fe Est.Cost $1-985 _ _ 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 ca;8iaanoas of the city of Fridley. /”' ),, � Q�) In consideration of the payment of a fee of $ H. on , permit is hereby granted to Ronald W_ Laraon 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 wiorthi nthe city limits and t� permit may be revoked at any time upon violation of any of the provisions of said NOTICE "b parmb don not emm the condruefim, hutatldkn for whing, plumbing, gn heating, away or wdor. Be mm to ao do Building Wwoder for aparata pwaft for thea bmw APPLICATION FOR BUILDING PERMIT CITY OF FRIDLEY, MINNESOTA d 6r6lkl�5 OWNER'S NAME oraltJ,42Z % ����Q�-� BUILn ADDRESS & -?G a - � Z h 5r • X1- 6-• ADDRESS LOCATION OF BUILDING N0* &.-.>6 e? STREET 6 HA2 PART OF LOT LOT J BLOCK oZ ADDITION OR SUBDIVISION E/,04,9N10S, CORNER LOT INSIDE LOT v"' SETBACK SIDE -YARD SEWER ELEVATION FOUNDATION ELEVATION 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 v?'11 Height 6) Sq. Ft._ Cu. Ft. .5 Front Depth Height Sq. Ft. . Cu. Ft. Type of Construction %l'41 1C Estimated Cost"/,9'?<S . co 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. q4r>u<%&001DATE_s/,5, 11761SIGNATURE (Schedule of Fee Costs can be found on the Reverse Side). CAppffcatbn for Power Mwft and Heating, Cooling. Venh'tatton. Ret *rWkn and , Air Conditioning Systems and Devices PARTIAL RATE SCHEDULE Dept. of Bldgs. Phone W -U0 GRAVITY WARM AIR: RATE TOTAL L 6%260 1.0 '9L� a �, Furnace Shell & Duct Work ...........................$10.00 $ Replacement of Furnace ............................. 6.00 $ Repairs & Alterations—up to $500.00 ................. 6.00 $ Repairs & Alterations each add. $500.00 ............... 3.00 $ ZiCH. WARM AIR Furnace Shell & Duct Work to 120,000 BTU ............ $10.00 $ each add. 60,000 BTU ....................... 3.00 $ Replacement of Furnace ............................. 6.00 $ 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 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 $ OIL BURNER—to 3 gal. per hour ... . ' ... ... .. ..... 6.00 $ over 3 gal. per hour—See Fee Schedule GAS BURNER (up to M,000 BTU) ....... ....... '......... 8.00 $ aver 199,000 BTU See. Fee Schedule ; GAS FITTING FEES: NO RATE TOTAL 1st 3 Fixtures x$ 100 $ Additional Fixtures x .75 $ Gas Range to 19900 .......... g$ SAO $ WE ==MONIN yorX eMaV $ FAN HEATING SYSTEM tSee'Fee Schedule VENTILATING SYSTEM ALTERATIONS do REPAIRS ROUGiY TOTAL FEE City of Fridley: The undersigned hereby makes application for a permit for the work hereir I 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- l [�� / . ,. I& 2-0Owner Le-(� pa r(..f Kind of Building ��a7np- Used as To be completed about rJ 77L �sZ%l 9'70 Estimated Cost, $ FUo 00 , f ld New. Building Permit No. Permit No. '1 DESCRIPTION OF WORN _91r Conol;�ioz;q No Trade Name— r Size No e-12) 0�4 Capacity Sq. Ft. E.D.R BTU H.P. Total Connected Load Bind of Fuel BURNER — Trade Naaup Size No Capaci Sq. Ft. E.D.R BTU H.P: (MMARKS-OYER) OdOnal ! i PERMIT for Power Plants and Heating, Cool- ing, Ventilation, Refrigeration and Air Conditioning Systems and Devices DESCRIPTION OF WORK No. of Heating Plants ( -.to be installed--altered—repaired Make , Size—C fn -.-J_ 5� ; Oil fired—,- Coal fired—, Gas fired ; Gas Authorization No. Remarks Approved Final Inspection 19— Inspector Permit AT° 4749 Fee $ Office of the Inspector of Buildings City of Fridley City of Fridley, Minn.- Owner inn. Owner Location i Kind of Building_sP�� How Occupied &,,) jjj: =�4 Work to be Commenced—, 19 To be Completed Q, ma Estimated Cost, Old New, 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 t express condition that the person toikhom 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 specificatao set orth in the approved application for this permit on file in the office of the Inspector of Buildings. Inspector of Buildings �42 2M 11-67 v City of Fridley AT THE TOP OF THE TWINS SUBJECT BUILDING PERMIT 8 P7PT r COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. CITY HALL FRIDLEY 55432 612-571-3450 NUMBER 910-F15 REV. DATEP AGE OF APPROVED BY JOB ADDRESS 6260 - 6th St. N.E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 3 2 Upland 2nd Add. SHEET 2 PROPERTYOWNER MAILADDRESS ZIP PHONE Leonard Bu'ak 6260 - 6th St. N.E. Fridley 55432 571-9265 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Pearson MasonrV 741 Kennaston Dr. Fridley 55432 571-7224 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING 7 CLASS OF WORK ❑ NEW IR ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK 9 CHANGE OF USE FROM TO STIPULATIONS SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Brick 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 R 1 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 SAMETO 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 .7O DOES T PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PRO 'SIO SOjF1Y ER TE OR LOCAL LAW REGULATING CON- STR TI ORR R AN E OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE //5'�/ % NATURE OF CONTRACT ROR AUTHOR12ED AGENT IDA 1 EN PR P V LI TED THIS IS YOUR PERMIT 1 '�1' eg1 BLDG )NSP OATE SIGNATURE OF OWNERIIF OWNER BUILDER) IDATEI CITY OF FRIDLEY APPE.ICAT 1OJ FOft Rf=SIf)E�JTIAi. t3UILDINr PERMITS (New, Alterations, /additions, or Repairs) OIJFEER: L k BUILDER: �� ✓� ADDRESS: 6260 (Q -/?Y, S1 ADDRESS: TEL NO: S 71-1Z6's" TEL NO: 1�9 /'2/0 /5-7 7z-zq STRIMT NO: LOT: 3 Corner Lot: Construction Location ' STREET: `1 c P. BLOCK: ��-- ADDITION: 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: Depth: Height: Squane.Feet: Front: Square - Feet: Cubic Feet: Depth: Height: Cubic Feet: Type of Construction:, #1^OAJ*4� Q Y Estimated Cost: $ To Be Completed: 9 0!2ig 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 %-nrk'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: SICNATUMO: x Stipulations: co 41 busf/a'i At ;1 �It.m �f �, OV SUBJECT P City of Fridley O AT THE TOP OF THE TWINS BUILDING PERMIT _18750 r R T • ___ COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. 9 149 � l1 = ----I,� CITY HALL FRIDLEY 55432 , NUMBER REV. DATE PAGE OF APPROVED BY L ----� 612-571-3450 910-F15 11/19/86 JOB ADDRESS 6260 - 6th Street N. E. 1 LEGAL LOT NO. BLOCK TRACTOR ADDITION SEE ATTACHED DESCR. 3 2 Uplands 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Leonard Bujak 6260 - 6th Street N.E. 571--9265 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. D & D home Tm rovement 7401 Central Avenue N.E. 784-7543 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Vinyl Siding, Aluminum Trim 9 CHANGEOFUSEFROM TO STIPULATIONS 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 1 ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND GOVERNING THIS TYPE OF WORK WILL BE COMPLIED ,ORDINANCES WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $4,800 $2.40 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 - RU TIOTHE PERFORMANCE OF CONSTRUCTION. $50.50 LAN CHECKFEE TOTALFEE 7 $52.90 GNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE I WHEN PROPERLY ID TED T IS IS YOUR PE MIT 'BLDG SIGNATURE OF OWNER IIF OWNER BUILDER) (DATE) INSP FIAT NEW [ ] City of Fridley Effective 4/1/8( ADDh - j ] R-1 AND R-2 j ALTER. I ] Building Permit Application Construction Address: &2�✓� &�h <J"`ep� �� Legal Description: L0 i Jam, It/it AS 2AJ O m �" �� � Tel. 1 Owner Name i Address: Contractor: C 7`f��F `' Tel . # Address:Wo/ 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 Height Sq. Ft. GARAGE AREA: Length Width Height Sq. Ft. DECK AREA: Length Width _ Hgt/Ground Sq. Ft. OTHER: Ft. Yd. Setback Side Yard Setback Corner Lot [ ] Inside/;Lot/ [C ] --� - J/ ®O w Type of Construction: w/ J/�/�%qql& Estimated Cost: Approx. Completion Date:_AZ! �� Alt. A Alt P Proposed Driveway Width If New Opening Is Desired: $ See Back Page for Explanation DATE:- _ I Ila APPLICANT: /� Tel. Permit Fee Plan Check State Surcharge SAC - Charge Park, Fee Sewer Main Charge TOTAL STIPULATIONS: CITY USE ONLY O Fee Schedule on Reverse Side 3 25% of Building Permit Fee U $.50/$1,000 Valuation $475 per SAC Unit Fee Determined by Engineering 90 Agreement Necessary [ ] Not Necessary [ ] 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, Burner - Also Replacement Furnace Gas Piping (Needed with new furnace) Gas Range Gas Dryer Rate TOTAL $ 20.00 C $10.00 $ tc,cc- $ 10.00 $ $ 10.00 $ "Air Conditioning - All Sizes $10.00 $ All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work $ Commercial/Industrial 1 % of Value of Appliance or Work $ State Surcharge $ .50_ TOTAL FEE $ MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION 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. JOB ADDRESS LrAV-0 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. 5J_ v�- 1194— OWN BUILDING USED AS • I,- ESTIMATED COST G�_' (C (_� PERMIT NO. �, / 1� DESCRIPTION OF FURNACE AND OR BURNER No. of Heating Units_ Circle One (Steam) (Hot Water) 6arm Air) , Trade Name ISize No. .Sl g BTU—t- (, . cc c HP EDR Fuel Total Connected Load Burner Trade Name Size No. BTU HP EDR i1FJ� IIID AIR IANDfii�G � 410 WEST LNC- Si P.EET HEATING COMPMY L41blNFsaou8. h.oJ 606-2998 PHONE 824-26-06 Signed By Tel No. Approved By --N-'- Rough -In Date Final Date 21 41 y- -73 FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE f, " 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 ( j No ( ) 3. Has no foreign objects lodged within 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 All other BTU's TOTAL BTU's Remarks List Alterations Being Done: HEATING COMPANY Signed By Date r •, STANDARD HEATING & AIR CONDITIONING CO. SERVING THE TWIN CITIES SINCE 1930 HEAT LOSS CALCULATION FOR BUJAK 10892 CDS ------------------------- FIRST LENGTH ---------- 44 WIDTH 24 HEIGHT 8---------- -------- -------------------------------------- WINDOWS & DOORS — CRACKAGE AND AREA WIDTH HEIGHT NO. LIN FT AREA NO. PANE PANE LIGHTS CRACK SQ FT 5 16 56 1 67.5 42.4 1 28 16 2 14.3 8?399999 1 24 16 2 13.3 7.4 8 36 20 2 141.3 102.2 1 32 80 D 18.7 17.8 1 36 80 D 19.3 20 COEFF BTU 136 R.FT 274.4 20 5488 INFILTRATION ................. 198.2 40 7928 GLASS .............................. 136 EXP WALL ........................... 889 889 8 12 10677.6 NET EXP WALL ........................ ,.5440 5 5 BELOW GRADE...... 8 •••-•" ...... . 1056 10560 CEILING .......................... .. 1056 2 2112 FLOOR............................... 0 0 0 VENTILATION...... 0 ................ 42205.6 TOTALBTU ............................................ TOTAL BTU OF ALL ROOMS/FLOORS....................................... 42205.6 s A 410 W. LAKE ST. MINNEAPOLIS, MN 55408-2998 612/824-2656 (LCEATINGANDAINCONDITIONINGCOP 'Serving The Twid Cities Sues IV"" ORSAT TEST RECORD i ADDRESS 7 6 0 6-1' n < r III CITY OCCUPANT DATE HTG. INST. INSTALLED BY GAS LINE BY TYPE OF HEAT: GA FA HW ST AM OWN I 1072 PAYN E AVE. ST. PAUL, MN 55101-3892 612/772-2449 Fil SPACE HTR. UNIT HTR. OTHER .� GAS DESIGN MAKE MAKE MAKE MODEL `-7MODEL SERIAL ;, 7.9 7 -oo e__ MAX. INPUT A,Ci^00 MAKE OF BURNER BTU RATING OF FURNACE CONVERSION CONTROLS MODEL THERMOSTAT , � HEAT PLUG VENT SIZE .7 " VALVE / KIND OF LINERSIZE % NONE LIMIT DRAFT HOOD - REGULATOR LIMIT SETTING 1 7 0 CHIMNEY CONSTRUCTION �261c - FAN SETTING �� DRAFT , 2 t.-. /T EST JAG s•• tom. PILOT TYPE ��r �.��°� LIGHTING INST.._ PILOT MAKE PILOT MODEL PILOT TIMING PRESSURE m� PERCENT CO2 DATE INPUT CFH PERCENT 02 P STACK TEMP.] ,� PERCENT CO NAME TESTED / o -/Z -t-1 OF TESTER y`° k CITY OF FRIDLEY INSPECTION DIV. s 6431 University Ave NE Fridley, MN 55432 572-3604 RATE SCHEDULE Effective On January 1, 1997 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES Residential Rate 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 $10.00 *Air Conditioning - All Sizes $ 25.00 All Others/Repairs & Alterations (LIST ON BACK) 1 % of Value of Appliance or Work Commercial/Incipstrial 1.25% of Value o ance or Work State JOB ADDRESS o(i� D (D The undersigned hereby makes application for a permit for the work herein TOTAL 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. n 10-09. ,1997 TOTAL FEE MINIMUM FEE FOR ANY HEATING/COO LIN GNENTI LATION 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. BUILDING USED As-,. �- ESTIMATED COST ����— PERMIT NO. DESCRIPTION OF FURNACE AND OR BURNER of Heating Units Circle One (Steam) (Hot Water) (Warm Air) Name HP Burner Trade Name BTU Size No. EDR Total Connected Load Size No. HP A-90 HEATING COMPANY L (,➢�.� Signed By Tel No, �� �f Lf �41r/ Approved By Rough -In Date Final Date rU7 FILL OUT BACKSIDE F R STACK VERIFICATION ON REPLACEMENT FURN CE t Remarks: . HEATING CO: Signed By: Date: a CREWNEY 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 7. Has a liner been provided for water heater Yes O No ( ) 8. Has combustion air been provided for water heater Yes () No { ) Remarks: . HEATING CO: Signed By: Date: a Remarks: . CfEMINEY AND STACK VERIFICATION The undersigned hereby verifies that theexistingchimney 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 (y4- 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: . sue.iEtr P30456 City of Fridley AT THE TOP OF THE TWINS ?` BUILDING PERMIT RECEIPT NO. : COMMUNITY DEVELOPMENT DIV. SEC. r PROTECTIVE INSPECTION I � NUMBER NEV DATE PAGE OF APPROVED BY CITY HALL FRIDLEY 33132 L J` 612-571-3450 9iaF15 10/29/99 JOB ADDRESS 6260 6th Street NE 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DEscR. 3 2 1 Uplands 2nd Addition SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Leonard Bujak 571-9265 3 CONTRACTOR MAIL ADDRESS 21"55337 PHONE LICENSE NO Four Seasons Roofing 2107 1/2 W Burnsville Pkwy Burnsville 890-1899 20138780 / ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO 6 USE OF BUILDING Residential 7 CLASS OF WORK O NEW ❑ ADDITION ❑ ALTERATION EF REPAIR ❑ MOVE ❑ REMOVE B DESCRIBE WORK Reroof house and garage (26 S 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 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 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE 9ACCHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- FirejSC STR CTION OR E PERFORMA E OF C STRUCTION $83.25 $2.27 PLAN CHECK FEE TOTAL EE � Licen S $5.00 $9 .66 SiG NATURE OF CON�RAC OR OR AUTMORiZED EN SDA E� HEN RO BL �N$F' Y ALIDAT D IS IS YOUij PERMIT f�AiE S-GNATURE OF OWNER of OWNER BUILDER$ IOATE' NEW [ ] Effective 5/10/99 ADDN [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMH.Y AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION � Construction Address: fig Legal Description: Owner Is Contract. Address: LIVING AREA: GARAGE AREA: DECK AREA: OTHER: Construction Type: _ MN LICENSE # o V _1'(!�'1' EV ,Ile— —Tel. # &.2- VO- /91�/9 Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to scale. DESCRIPTION OF IMPROVEMENT Length Width Height Sq. Ft. Length Width Height Sq. Ft. Length Width Hgt/Ground Sq. Ft. Estimated Cost: $ Jr— a�- Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: l% .�� �C/ APPLICANT: Get Tel. #950 CITY USE ONLY Permit Fee $ �j3 �J Fee Schedule on Reverse Side Fire Surcharge $ v? .001 of Permit Valuation (1/10th%) State Surcharge $ / , l� $.50/$1,000 Valuation SAC Charge $ $1050 per SAC Unit License Surcharge $ , Q $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: Building $ 2a "35 BUILDING Permit No.• -C &'7/ Inspections 65% of Building Permit Fee RESIDENTIAL APPLICATION Received By: 763-572-3604 Surcharge CITY OF FRIDLEY Dc's �yw— DATE YOUR E- ADDRESS $5.00 (State Licensed Residential Contractors) SITE ADDRESS 0 1` - IV . $1675 per SAC Unit (Plans to MWCC for determination) THIS APPLICANT IS: OWNER ❑CONTRACTO ft + 6 ft = ft x $21= $ PROPERTY OWNER/ NAME: $450 Conservation Plan Review TENANT ADDRESS:� U ,45o..5 CITY STATE IP Z Sewer Main Charge PHONE:_ _ 76- S'- Ell- �'(.- 22 22 Agreement necessary ( ) Non Necessary (_ ) CONTRACTOR NAME: Make checks payable to: City of Fridley Attach Stipulations _ STATE LICENSE # EXP DATE SUBMIT A COPY OF YOUR STATE LICENSE ADDRESS: CITY STATE ZIP WITH APPLICATION PHONE FAX PROPERTY TYPE ❑ SINGLE FAMILY/NEW CONSTRUCTION SIZE ❑ TWO FAMILY/NEW CONSTRUCTION STORIES PERMIT TYPE ❑ ADDITION ❑ GE/SHED ❑ WINDOWS ❑ BASEMENT FINISHOOF E3DRAIN TILE E3DECK ❑ SIDING ❑ OTHER ❑ SWIMMING POOL TYPE OF WORK: ❑ NEW ❑ ADDITION ❑ MAINTENANCE/REPAIR ❑ REMODELING DESCRIBE WORK BEING DONE: SIZE OF IMPROVEMENT LENGTH WIDTH HEIGHT Sq. Ft. OR OFINGhi 10 HOUSE ONLY �L NUMBER OF SQUARES HOUSE & GARAGE BASEMENT REMODELING SUBMIT: GARAGES ❑ ATTACHED GARAGE 1. 2. Existing Floor Plan Proposed floor plan PROPOSED SIZE: ❑ DETACHED GARAGE 3. List of structural members to be used PROPOSED HEIGHT: SMI NG FOR NEW CONSTRUCTION INCLUDING DECKS, ❑ Vinyl ❑Soffit ADDITIONS. & PORCHES SUBMIT: ❑ Aluminum ❑ Trim 1. Site Plan/Survey showing the existing structures ❑ Other . ❑ Fascia and proposed project 2. Two sets of construction plans WINDOWS 3. Energy Calculations IN EXISTING OPENINGS ❑Yes ❑No LOCATION OF WINDOWS OR FOR NEW OPENINGS -DESCRIBE SIZE OF OPENING CHANGES & TYPE OF WINDOW TO BE INSTALLED NUMBER OF'WINDOWS ALL FEES ARE BASED ON VALUATION, INCLUDING THE COST OF LABOR AND MATERIALS: (USING THE 1997 U.B.0 FEE TOTAL JOB VALUATION9Sf OCCUPANCY TYPE Permit Fee $ 2a "35 See Back Page for Fee Schedule Plan Review $ 65% of Building Permit Fee Fire Surcharge $ .001 times the total job valuation Surcharge $ 1, J .0005 x Permit Valuation Minimum $.50 License Surcharge $ $5.00 (State Licensed Residential Contractors) SAC Charge $ $1675 per SAC Unit (Plans to MWCC for determination) Curb Cut Escrow $ ft + 6 ft = ft x $21= $ Erosion Control $ $450 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement necessary ( ) Non Necessary (_ ) Total Due $ St 7 U7 Make checks payable to: City of Fridley Attach Stipulations _ THIS IS AN APPLICATION FOR A PERMIT -NOT VALID UNTIL PROCESSED I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Fridley and with the Minnesota Construction Codes; that I understand this is not a permit but only an application for a permit 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 work wl*h requiregfevJ94 and approval of plans. SIGNATURE OF APPLICANT I'/ ��14 PRINT NAME h-116rn_ I[ ot.&;Js -Z7-0 7 CITY OF FRIDLEY BUILDING INSPECTION 6431 University Ave NE Fridley, MN 55432 763-572-3604 FAX 763-571-1287 RATE SCHEDULE Residential Furnace Shell and Duct Work, Burner & also Replacement Furnace Gas Piping (New Furnace, Fireplace, Insert) Fireplace insert Gas Range Gas Dryer *Air Conditioning -All Sizes Effective 4/1/2004 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS � 2_b 0 ' ' ° !V i Fee Total Owner_ $35.00 $ Building Used As 6611 4 $10.00 $ $15.00 $ $10.00 $ $10.00 $ i $25.00 $ 2� All Other Repairs or Alterations (List on Back) 1% of Value of Appliance or Work Minimum Fee $15.00 for Residential or 5% of cost of Improvement whichever is greater on work less than $500.00 Commercial/Industrial/Institutional 1.25% of Value of Appliance or Work (List on Back) Minimum Fee $35.00 for Commercial/Industrial/Institutional ESTIMATED COST PERMIT NO DESCRIPTION OF FURNACE AND BURNER # of Heating Units Circl On (Steam) (Hot Water) m�► s�e- Trade Name ,�rr.Size N BTU HP EDR _ Fuel Total Connected Load Burner Trade Name BTU HP Size No. EDR (Warm Air) 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. State Surcharge $ 0.50 (if permit fee is over $1,000 multiply by .0005) TOTAL FEE $ *Air Conditioners can not be placed in side yard without written approval from adjoining property owner - copy to City FILL OUT BACK SIDE FOR STACK VERIFICATION ON REPLACEMENT FURNACE HEATING CO 7Irlj ° SignedATel #760 T 7 (Z O Z Z FAX # Date 6 / L/ 0 Approved by;6 Rough -in Date Final Date FILL IN COMPLETELY FOR REPLACEMENT FUEL BURNING APPLIANCE PERMITS COMMON VENT, VENT CONNECTOR AND COMBUSTION AIR VERIFICATION When replacing an existing furnace, the undersigned hereby verifies that the venting has been examined and is free from rust, deterioration, obstructions, and is securely supported and firestopped where required. Yes () No( ) The venting system is plastic/PVC and meets all current codes and manufacturer specifications including sizing, length, number of elbows and termination. Yes () No( ) The undersigned also verifies that the replacement unit is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No( ) The existing combustion air is sized and installed to meet the current codes and manufacturer's specifications. Yes () No( ) When required to install a new combustion air, it will be sized and installed to meet the current codes and manufacturer's specifications. Yes () No ( ) When installing a new venting system, the undersigned hereby verifies that it is a listed assembly and meets the current codes and manufacturer's specifications. This does include AGA-GAMA Category I Central Furnace Venting Tables for fan assisted and natural draft appliances. Yes () No( ) Is the common vent and vent connectors sized and installed correctly after an appliance has been removed from the common vent and vented separately as per current codes. Yes () No( ) Appliance Type and Size/Common Vent and Vent Connector Information Appliance #1 Type BTU Input Fan Assisted or Nat Appliance #2 Type BTU Input Fan Assisted or Nat Appliance #3 Type BTU Input Fan Assisted or Nat Total Appliances Total Btu Input Common Vent Type Vent Height Diameter inches Appliance #1 Vent Connector Height ft Length ft Diameter in Type Appliance #2 Vent Connector Height ft Length ft Diameter in Type Appliance #3 Vent Connector Height ft Length ft Diameter in Type ALTERATIONS: (Describe) HEATING CO: Signed By: Date :